Trupanion continues to be the best decision I made in 2011. I adopted my dog in June, signed up for the free trial insurance that month, and unfortunately discovered some health issues my puppy had in July. I continued the coverage and it has been seamless ever since. Email notification of the claim process is easy and clear, and coverage is received in the mail within a week or two of filing the claim. I never feel like I have to "prove" that claims are related, and ongoing care following bone surgery was covered with no problems. We complain all the time that we wish our human insurance was as good as our pet insurance. We will be loyal customers for a long time!