We have had Trupanion Dog pet insurance, for about one year. As stated above we are not happy, and we are considering changing Ins. company's. We have filed about six clams and they have only paid for two. They state that our dog had a preexisting ear infection, that is true but it was almost nine months ago. I ask them if they where going to do this for ever, after all it was a long time ago, and they stated if it was preexisting yes. So be very care full if your animal has a preexisting problem.