BILL ANALYSIS                                                                                                                                                                                                    Ó






                             SENATE INSURANCE COMMITTEE
                           Senator Ronald Calderon, Chair


          AB 1098 (Hagman)         Hearing Date: June 22, 2011

          As Amended: March 31, 2011
          Fiscal:             Yes
          Urgency:       No
          

           SUMMARY    Would require, under a law governing auto insurers and 
          direct repair program administration, that a request by the 
          California DOI seeking confirmation by an insurer of a fact 
          about a third party auto body repair shop be made to the insurer 
          in written form.  
          
           DIGEST
            
          Existing law
            
           1. Specifies certain rules governing the relationship between 
             an insurer and an auto body repair shop when participating in 
             the insurer's direct repair program.

           2. Permits a registered auto body repair shop that is denied 
             participation in an insurer's direct repair program to report 
             a denial to the Department of Insurance (DOI).

           3. The DOI  is required to maintain a record of all those 
             denials for the purposes of gathering market conduct 
             information and requires an insurer, upon the request of the 
             DOI, to disclose the fact that a denial was made.

           4. Authorizes an insurer to disclose personal or privileged 
             information about an individual to an insurance regulatory 
             authority, or to a law enforcement or other governmental 
             authority pursuant to law, or to make such other disclosures 
             otherwise permitted or required by law.
           
          This bill

            1. Specifies that a request by the DOI to confirm that an 
             insurer denied participation to a particular auto body repair 
             shop in its direct repair program be made in writing.
            




                                               AB 1098 (Hagman), Page 2




           COMMENTS

            Purpose of the bill  According to the Author, the relationship of 
          an insurer and an auto body repair shops in a direct repair 
          program involves a private business relationship as does the 
          denial to enter into that relationship.  To protect the privacy 
          rights of auto body repair shops, the request from the DOI 
          concerning the denial should be in writing  to ensure that the 
          person to whom the carriers release the information has made the 
          request on the basis of appropriate legal authority. The Author 
          states "A telephone call is not sufficiently protective because  
          there is no ability to verify the caller."  
           

           1.  Background and Discussion:  

          While the California statute AB 1098 amends does require an 
          insurer to confirm the fact of a denial upon request of the DOI, 
          the general legal privacy framework California insurers are 
          subject to under the Insurance Code is such that the disclosure 
          of information concerning third parties by an insurance does 
          depend on the nature of a query as legally authorized, whether 
          this authorization is based on fact that it is an insurance 
          regulatory agency making the request or another entity asking 
          pursuant to law.  

          Since this class of request by the DOI is not one solely 
          concerned with the insurer's business but involves at a minimum 
          identification of a third party, good legal practice under 
          California's Insurance Information and Privacy Act (California 
          Insurance Code Section 791 et seq) supports requiring the 
          request to be in writing on letterhead or facsimile indicating 
          its origin as an official California Department of Insurance 
          inquiry.

          The addition of the word "written" is sufficient to cover 
          letters, facsimile transmissions, and similar written 
          communications. 

           2.  Summary of Arguments in Support:   

               a.     The requirement of a writing permits validation of 
                 the request as from a source that is authorized to make 
                 such inquiries. 

           3.  Summary of Arguments in Opposition:    




                                               AB 1098 (Hagman), Page 3





               a.     None received
                

          4.  Amendments:  

               a.     None proposed

           5.  Prior and Related Legislation:   

               a.     None



           
          LIST OF REGISTERED SUPPORT/OPPOSITION
          
          Support
           
          Personal Insurance Federation of California (Sponsor)
           
          Opposition
               
          None Received

          Consultant: Ken Cooley  (916) 651-4110