I've had Trupanion for just over a year, and I received an email today saying that my premium was going to DOUBLE! I've never submitted a claim and am signed up for automatic deductions so I've never missed/been late with a payment. Their stated excuse is "Advancements in veterinary medicine continue to improve the quality and lengthen the life of our pets. As cutting-edge technologies and techniques become the standard of care, Trupanion is committed to making these new options available to our policyholders. As a result, a rate adjustment is planned." Whether or not it's just a coincidence that I've only been a member for a year or if they increase your rates after a year, I'm not the least bit happy about this. I would think that if their stated reason was the true reason for the increase that there would be a more gradual increase than the one I got. Needless to say, I don't trust them and think others should beware.