We have been using Trupanion for several years for our two English Bulldogs. After Princess developed seizures we had to begin the claims process and to our surprise, Trupanion was very easy to work with and very clear in their communication. All of the eligible claims have been covered as stated in the policy and payments mailed promptly. Their customer service and claims process is very efficient. I also appreciate that the claims can be submitted a variety of ways (snail mail, email or fax). I would absolutely recommend Trupanion.