Excellent service and amazingly quick claim response time. I would fax in my claim and at times, before I knew it, I would receive a check in the mail by the end of the week. I'm amazed, as most insurance companies take forever to pay out claims. Trupanion processes them with utmost urgency and has excellent customer service.
They have increased premiums over the years since my dogs were puppies 7 years ago, but even with the increased cost, it is well worth the peace of mind and the excellent service.

I would recommend anyone with a pet to get Trupanion.