I signed up for the Trupanion 2 month free trial offer. About day 28 into the trial offer my dog ingested two AA batteries. I took him to the Vet and recieved a $616 bill. I filled a claim with trupanion and faxed over the entire medical history. Less then one week later I have a check in the mail for 90% of the bill as promised. They are really easy to work with absolutely zero hassle.
The only thing I would improve is the ability to submit claims via email. Not everyone has a fax or enjoys going to the post office. I would have given them a 10 had they had email claim submission.