I have had Trupanion for over 15 months now- and only one claim for one dog- when my pup jumped off the back of the truck before we got the ramp down and he injured his back leg. This was a claim of under $280 and we have not been to the vet since. I was notified that the $90.00 a month I was paying in premiums for my two dogs was now going up to $180.00 a month for the premium. Are you serious? Double the premium- I am a great customer, do not over use my insurance- take excellent care of my dogs with supplements, holistic food- all in the hopes in avoiding a vet visit for an illness/disease. Trupanion has left a terrible taste in my mouth, and myself and several others that I work with are dropping Trupanion and going to another reputible pet insurance carrier- whom has coverage in all 50 states! Very disappointed to say the lease!