Amended in Senate June 13, 2016

Amended in Assembly May 31, 2016

Amended in Assembly May 9, 2016

Amended in Assembly April 18, 2016

Amended in Assembly March 30, 2016

California Legislature—2015–16 Regular Session

Assembly BillNo. 2588


Introduced by Assembly Member Chu

February 19, 2016


An act to amend Sections 1722, 1751.5, 14000, 14001, 14020, 14022, 14022.5, 14024, 14025, 14028, 14031, 14032, 14039, 14042, 14080, 14090.1, 14097, and 14099 of, to amend and repeal Sections 14030 and 14037 of, to amend, repeal, and add Sections 14029, 14038, 14040, 14061, 14063, and 14064 of, to add Sectionsbegin delete 14025.1 and 14079end deletebegin insert 14025.1, 14079, and 14090.3end insert to, to add and repeal Section 14097.5 of, to repeal Section 14027 of, and to repeal and add Sections 14010, 14021, 14026, and 14078 of, the Insurance Code, relating to insurance.

LEGISLATIVE COUNSEL’S DIGEST

AB 2588, as amended, Chu. Independent insurance adjusters.

Existing law, the Insurance Adjuster Act, sets forth various requirements with respect to operation as an insurance adjuster in this state, including, but not limited to, that the person be licensed, licensing qualifications and application requirements,begin insert continuing education and reporting requirements,end insert codes of conduct, disciplinary actions, and nonresident and emergency licenses. The act defines the term, “insurance adjuster,” to include a person, other than a private investigator, who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business. Any person who knowingly falsifies the fingerprints or photographs submitted as part of the application process is guilty of a felony, and any person who violates any other provision governing insurance adjusters is guilty of a misdemeanor punishable by a fine not to exceed $500, or by imprisonment in the county jail not to exceed one year, or by both that fine and imprisonment. Existing law prescribes a schedule for various insurance adjuster application, license, and license renewal fees.

This bill would revise and recast the above provisions by, among other things, changing the name of the act to the Independent Insurance Adjuster Act and redefining an “independent insurance adjuster” to mean an individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers, a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than as an employee, and a person who investigates, negotiates, or settles property and casualty claims for insurers. The bill would expand the categories of persons exempt from the act to include, among others, an individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments, and a person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative. The bill would impose additional information and educational requirements on applicants and would impose additional administrative and code of conduct requirements on licensees.begin insert The bill would require a person who fails to meet continuing education and reporting requirements, and who has not been granted an extension of time by the commissioner to comply, to have his or her license placed on inactive status, as specified, and would prohibit a licensee on inactive status from performing specified activities.end insert The bill would revise the provisions relating to nonresident and emergency licenses with regards to qualifying for those licenses. The bill would also create an apprentice independent insurance adjuster license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster and would set forth the various terms and conditions of the license, including an application fee to be fixed at up tobegin delete $170.end deletebegin insert $120.end insert The bill would make an apprentice independent insurance adjuster subject to a felony conviction if he or she knowingly falsifies the fingerprints or photograph submitted as part of his or her application for a license. The bill would impose a 3-year reporting requirement on the Department of Insurance. The bill would also make conforming changes. Because the bill would create a new crime, it would impose a state-mandated local program. The bill would also change various independent insurance adjuster application, license, and renewal fees, as prescribed.

The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.

This bill would provide that no reimbursement is required by this act for a specified reason.

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: yes.

The people of the State of California do enact as follows:

P3    1

SECTION 1.  

Section 1722 of the Insurance Code is amended
2to read:

3

1722.  

If a natural person while licensed pursuant to the
4provisions of this chapter or Chapter 6 (commencing with Section
51760), Chapter 7 (commencing with Section 1800), or Chapter 8
6(commencing with Section 1831) of this part, Part 5 (commencing
7with Section 12140) of Division 2, or Chapter 1 (commencing
8with Section 14000) of Division 5 enters the military service of
9the United States and is in that service at a time prescribed for the
10filing of a renewal application, the filing of that application is
11waived, and the license held by that licensee at the time of his or
12her entry into military service shall remain in force during the
13period of that military service and until the end of the license year
14in which he or she is released from that service but not for less
15than six months after that release. During that period, that person
16may secure a license of the type held by him or her on his or her
17entry into military service upon the filing of an application and
P4    1paying the fee therefor without the necessity of taking any
2examination or paying any penalty.

3

SEC. 2.  

Section 1751.5 of the Insurance Code is amended to
4read:

5

1751.5.  

The fees required by this chapter and by Chapter 6
6(commencing with Section 1760), Chapter 7 (commencing with
7Section 1800), and Chapter 8 (commencing with Section 1831) of
8this part and by Chapter 1 (commencing with Section 14000) of
9Division 5 are filing fees, no portion of which shall be refunded
10whether or not the application is acted upon or the examination is
11taken.

12

SEC. 3.  

Section 14000 of the Insurance Code is amended to
13read:

14

14000.  

This chapter may be cited as the Independent Insurance
15Adjuster Act.

16

SEC. 4.  

Section 14001 of the Insurance Code is amended to
17read:

18

14001.  

As used in this chapter, the following terms have the
19following meanings:

20(a) “Catastrophe” means an event that results in a large number
21of deaths or injuries, causes extensive damage or destruction of
22facilities that provide and sustain human needs, produces an
23overwhelming demand on state and local response resources and
24mechanisms, causes a severe long-term effect on general economic
25activity, or severely affects state, local, and private sector
26capabilities to begin and sustain response activities.

27(b) “Commissioner” means the Insurance Commissioner.

28(c) “Department” means the Department of Insurance.

29(d) “Fingerprints” means an impression of the lines on the finger
30taken for the purposes of identification.

31(e) “Home state” means the District of Columbia and any state
32or territory of the United States in which an independent insurance
33adjuster maintains his, her, or its principal place of residence or
34business and is licensed to act as a resident independent insurance
35adjuster. If the resident state does not license independent insurance
36adjusters for the line of authority sought, the independent insurance
37adjuster shall designate as his, her, or its home state either
38California or any state in which the independent insurance adjuster
39is licensed following an examination, provided that the independent
40insurance adjuster is licensed and in good standing in that state.

P5    1(f) “Individual” means a natural person.

2(g) “Licensee” means a person licensed under this chapter.

3(h) “Manager” means the individual under whose direction,
4control, charge, or management the business of a licensee is
5operated.

6(i) “Nonresident” means a person who is not a resident of
7California at the time of the performance of the act referred to in
8Section 14071.

9(j) “Person” includes any individual, firm, company, association,
10organization, partnership, limited liability company, and
11corporation.

12

SEC. 5.  

Section 14010 of the Insurance Code is repealed.

13

SEC. 6.  

Section 14010 is added to the Insurance Code, to read:

14

14010.  

The commissioner shall administer and enforce the
15provisions of this chapter.

16

SEC. 7.  

Section 14020 of the Insurance Code is amended to
17read:

18

14020.  

(a) A person shall not engage in a business regulated
19by this chapter, or act or assume to act as, or represent himself or
20herself to be, a licensee unless he or she is licensed as an
21independent insurance adjuster in accordance with this chapter.

22(b) A person shall not falsely represent that he or she is
23employed by a licensee.

24

SEC. 8.  

Section 14021 of the Insurance Code is repealed.

25

SEC. 9.  

Section 14021 is added to the Insurance Code, to read:

26

14021.  

An independent insurance adjuster, for purposes of this
27chapter, is all of the following:

28(a) An individual, a business entity, an independent contractor,
29or an employee of a contractor, who contracts for compensation
30with insurers.

31(b) A person whose tax treatment by the insurers is consistent
32with that of an independent contractor rather than an employee,
33as defined in Section 3121 of Title 26 of the United States Code.

34(c) A person who investigates, negotiates, or settles property
35and casualty claims for insurers.

36

SEC. 10.  

Section 14022 of the Insurance Code is amended to
37read:

38

14022.  

This chapter does not apply to any of the following:

39(a) A person employed exclusively and regularly by one
40employer in connection with the affairs of that employer only and
P6    1where there exists an employer-employee relationship. This
2subdivision shall become inoperative on January 1, 2018.

3(b) An officer or employee of the United States of America, or
4of this state or a political subdivision thereof, while that officer or
5employee is engaged in the performance of his or her official
6duties.

7(c) A person engaged exclusively in the business of obtaining
8and furnishing information as to the financial rating of persons.

9(d) A charitable philanthropic society or association duly
10incorporated under the laws of this state, which is organized and
11maintained for the public good and not for private profit.

12(e) An attorney at law admitted to practice in California, when
13acting in his or her professional capacity as an attorney.

14(f) A licensed collection agency or an employee thereof while
15acting within the scope of his or her employment, while making
16an investigation incidental to the business of the agency, including
17an investigation of the location of a debtor or his or her property
18where the contract with an assignor creditor is for the collection
19of claims owed or due or asserted to be owed or due or the
20equivalent thereof.

21(g)  An officer, director, manager, or employee of an authorized
22insurer, surplus line insurer, a risk retention group, or an
23attorney-in-fact of a reciprocal insurer.

24(h) A licensed insurance agent or broker or managing general
25agent of the insurer to whom claim authority has been granted by
26the insurer.

27(i) The legal owner of personal property that has been sold under
28a conditional sales agreement or a mortgagee under the terms of
29a chattel mortgage.

30(j) Any bank subject to the jurisdiction of the Commissioner of
31Business Oversight under Division 1 (commencing with Section
3299) of the Financial Code or the Comptroller of the Currency of
33the United States.

34(k) A person employed solely to obtain facts surrounding a
35claim or to furnish technical assistance to a licensed independent
36insurance adjuster.

37(l) Any building contractor, engineer, technical expert, or other
38person who is engaged by an insurer or licensed independent
39insurance adjuster to provide an expert or professional evaluation
40of the extent, cause, or origin of damage to the insured property,
P7    1but who does not otherwise participate in the process of adjusting
2claims.

3(m) An individual who is employed to investigate suspected
4fraudulent insurance claims but who does not adjust losses or
5determine claims payments.

6(n) A person who solely performs administrative or clerical
7duties, or any combination thereof, and who does not investigate,
8negotiate, or settle claims with policyholders, claimants, or their
9legal representative.

10(o) A licensed health care provider or its employees who provide
11 managed care if the services do not include the determination of
12compensability.

13(p) A managed care organization or any of its employees who
14provide managed care services if the services do not include the
15determination of compensability.

16(q) A person who settles only reinsurance or subrogation claims.

17(r) A United States manager of the United States branch of an
18alien insurer.

19(s) An individual employee, under a self-insured arrangement,
20who adjusts claims on behalf of his or her employer.

21(t) An individual or business entity that investigates, negotiates,
22or settles workers’ compensation claims.

23(u) An individual who, in regards to portable electronics
24insurance claims, collects claims information from, or furnishes
25claims information to, insureds or claimants, and who conducts
26data entry, including entering data into an automated claims
27adjudication system, provided that the individual is an employee
28of a licensed independent insurance adjuster or its affiliate where
29no more than 25 of those persons are under the supervision of one
30licensed independent insurance adjuster or licensed producer.

31

SEC. 11.  

Section 14022.5 of the Insurance Code is amended
32to read:

33

14022.5.  

(a) In the event of an emergency situation as declared
34by the commissioner, claims arising out of the emergency,
35catastrophe, disaster, or other similar occurrence may be adjusted
36by a nonlicensed independent insurance adjuster upon registration
37with the commissioner if all of the following requirements are met:

38(1) The work performed by the nonlicensed independent
39insurance adjuster is under the active direction, control, charge,
P8    1or management of a licensed independent insurance adjuster or an
2insurer authorized to do business in this state.

3(2) Registration with the commissioner is accomplished within
4five working days from the date on which the nonlicensed
5 independent insurance adjuster commences the claims adjusting
6activity in connection with the emergency situation.

7(b) “Registration,” within the meaning of this section, means a
8written letter to the commissioner, submitted by the supervising
9licensed independent insurance adjuster or admitted insurer, naming
10the nonlicensed independent insurance adjusters, identifying their
11independent insurance adjuster licenses held in other jurisdictions,
12and stating when their claims adjusting activity commenced.

13(c) Registration under this section is valid for a period of 180
14days from the date of the registration letter. Before the lapse of
15that period, the commissioner may grant further 180-day extensions
16as he or she deems appropriate upon written request from the
17supervising licensed independent insurance adjuster or the admitted
18insurer.

19

SEC. 12.  

Section 14024 of the Insurance Code is amended to
20read:

21

14024.  

(a)  An individual application shall be verified and
22shall include all of the following:

23(1) The full legal name and business, residence, and mailing
24addresses of the applicant.

25(2) The name under which the applicant intends to do business.

26(3) The applicant’s birth date and social security number.

27(4) The application fees set forth in Section 14097.

28(5) A statement as to the general nature of the business in which
29the applicant intends to engage.

30(6) A statement as to the classifications under which the
31applicant desires to be qualified.

32(7) Two photographs, no more than six months old, of the
33applicant, of a type prescribed by the commissioner, and one
34classifiable set of his or her fingerprints, to be sent to a live scan
35fingerprint provider as directed by the department, if fingerprints
36are not submitted in person with a live scan fingerprinting service
37provider certified by the Department of Justice.

38(8) A verified statement of his or her experience qualifications,
39unless applying for an apprentice independent insurance adjuster
40license.

P9    1(9) Other information, evidence, statements, or documents as
2may be required by the commissioner.

3(b) A business entity application shall be verified and shall
4include all of the following:

5(1) The full legal name and residence address of each of its
6partners, officers, and directors, and its manager.

7(2) The name under which the applicant intends to do business.

8(3) That the applicant paid the fees set forth in Section 14097.

9(4) A statement as to the general nature of the business in which
10the applicant intends to engage.

11(5) A statement as to the classifications under which the
12applicant desires to be qualified.

13(6) Other information, evidence, statements, or documents as
14may be required by the commissioner.

15

SEC. 13.  

Section 14025 of the Insurance Code is amended to
16read:

17

14025.  

Before a license is granted, the applicant shall meet all
18of the following requirements:

19(a) Be at least 18 years of age.

20(b) Not have committed acts or crimes constituting grounds for
21denial of licensure under Sections 1668 and 1669.

22(c) Shall have had either of the following:

23(1) At least two years of experience in adjusting insurance claims
24or the equivalent thereof as determined by the commissioner, unless
25applying for an apprentice independent insurance adjuster license.

26(2) One year as a licensed apprentice independent insurance
27adjuster, which is considered the equivalent of two years of
28experience in adjusting claims.

29(d) (1) Completed a 20-hour prelicensing education course of
30study.

31(2) A nonresident applicant currently licensed as a home state
32independent insurance adjuster in another state who has met that
33state’s prelicensing education requirements is exempt from
34completing the prelicensing education requirement.

35(3) A resident applicant currently listed under a licensed
36independent insurance adjuster’s license as an unlicensed employee
37is exempt from completing the prelicensing education requirement.
38This exemption shall be in effect only until January 1, 2019.

P10   1(e) Successfully passed the examination for the independent
2insurance adjuster license, unless he or she qualifies for an
3exemption in Section 14026.

4(f) Comply with those other qualifications that the commissioner
5may require by regulation.

6

SEC. 14.  

Section 14025.1 is added to the Insurance Code, to
7read:

8

14025.1.  

(a) The apprentice independent insurance adjuster
9license is a license to facilitate the experience, education, and
10training necessary to ensure reasonable competency in the
11responsibilities and duties of an independent insurance adjuster.

12(b) An individual applying for an apprentice independent
13insurance adjuster license shall submit an application in a format
14prescribed by the commissioner and shall declare under penalty
15of suspension, revocation, or refusal of the license that the
16statements made in the application are true, correct, and complete
17to the best of the individual’s knowledge and belief. Before
18approving the application, the commissioner shall determine that
19the individual meets all of the following:

20(1) Is at least 18 years of age.

21(2) Is a resident of California or is a resident of another state
22and has designated California as his or her home state.

23(3) Has a business or mailing address in California for the
24acceptance of service of process.

25(4) Has not committed any act that is a ground for suspension,
26revocation, or denial of licensure as set forth in Sections 1668,
271668.1, and 1669.

28(5) Has paid the fees set forth in subdivision (h) of Section
2914097.

30(c) The apprentice independent insurance adjuster license shall
31be subject to the following terms and conditions:

32(1) The applicant shall submit, with the apprentice independent
33insurance adjuster application, an attestation from a licensed
34independent insurance adjuster certifying that the apprentice will
35be subject to training, direction, and control by the licensed
36independent insurance adjuster and further certifying that the
37licensed independent insurance adjuster assumes responsibility
38for the actions of the apprentice in the apprentice’s capacity as an
39apprentice independent insurance adjuster.

P11   1(2) The apprentice independent insurance adjuster is only
2authorized to adjust claims in California.

3(3) The apprentice independent insurance adjuster is restricted
4to participation in the investigation, settlement, and negotiation of
5claims subject to the review and final determination of the claim
6by a supervising licensed independent insurance adjuster.

7(4) The apprentice independent insurance adjuster shall not be
8required to take and successfully complete the independent
9insurance adjuster examination to adjust claims as an apprentice
10independent insurance adjuster. At any time during the
11apprenticeship, the apprentice independent insurance adjuster may
12choose to take the examination. If the individual takes and
13successfully completes the independent insurance adjuster exam,
14the apprentice independent insurance adjuster license shall
15automatically terminate and an independent insurance adjuster
16license shall be issued to that individual in its place.

17(5) The apprentice independent insurance adjuster license is
18valid for a period not to exceed 12 months and is nonrenewable.

19(6) The licensee shall be subject to suspension, revocation, or
20denial pursuant to Sections 1668, 1668.1, and 1669.

21(7) The applicant shall submit two photographs, no more than
22six months old, of the applicant, of a type prescribed by the
23commissioner, and one classifiable set of his or her fingerprints,
24to be sent to a live scan fingerprint provider as directed by the
25department, if fingerprints are not submitted in person with a live
26scan fingerprinting service provider certified by the Department
27of Justice.

28

SEC. 15.  

Section 14026 of the Insurance Code is repealed.

29

SEC. 16.  

Section 14026 is added to the Insurance Code, to
30read:

31

14026.  

(a) An applicant for an independent insurance adjuster
32license, unless applying for an apprentice independent insurance
33adjuster license or crop insurance adjuster license, shall pass a
34written examination.

35(1) The examination shall test the knowledge of the applicant
36concerning the duties and responsibilities of an independent
37insurance adjuster and this code.

38(2) An applicant applying for an examination shall remit a
39nonrefundable fee as prescribed by the commissioner in Section
4014097.

P12   1(b) An individual who applies for an independent insurance
2adjuster license in California who holds a home state license in
3another state as an independent insurance adjuster shall not be
4required to complete the examination if he or she successfully
5passed an examination as a condition of receiving an independent
6insurance adjuster license in his or her home state. This exemption
7applies to individuals who are currently licensed in their home
8state or if the home state license expired and the application is
9received by the commissioner within 90 days of expiration.

10(c) An individual who applies for an apprentice independent
11insurance adjuster license pursuant to Section 14025.1, and who
12adjusts claims in that capacity, shall not be required to take and
13successfully complete the independent insurance adjuster
14examination.

15

SEC. 17.  

Section 14027 of the Insurance Code is repealed.

16

SEC. 18.  

Section 14028 of the Insurance Code is amended to
17read:

18

14028.  

After a hearing, the commissioner may deny a license
19unless the application makes a showing satisfactory to the
20commissioner that the applicant, if an individual, has not, or if the
21applicant is a person other than an individual, that its manager and
22each of its officers and partners have not done any of the following:

23(a) Been refused a license under this chapter or had a license
24revoked.

25(b) Been an officer, partner, or manager of any person who has
26been refused a license under this chapter or whose license has been
27revoked.

28(c) While unlicensed committed, or aided and abetted the
29commission of, any act for which a license is required by this
30chapter.

31(d) Committed any act or crime constituting grounds for denial
32of licensure under Section 1668.

33

SEC. 19.  

Section 14029 of the Insurance Code is amended to
34read:

35

14029.  

(a) The business of each licensee shall be operated
36under the active direction, control, charge, or management of the
37licensee, if the licensee is qualified, or the person who has qualified
38to act as the licensee’s manager, if the licensee is not qualified.

39(b) No person shall act as a manager of a licensee until he or
40she has complied with each of the following:

P13   1(1) Demonstrated his or her qualifications by a written or oral
2examination, or a combination of both, if required by the
3commissioner.

4(2) Made a satisfactory showing to the commissioner that he or
5she has the qualifications prescribed by Section 14025 and that
6none of the facts stated in Section 14028 or 14028.5 exist as to
7him or her.

8(c) If the manager, who has qualified as provided in this section,
9ceases for any reason whatsoever to be connected with the licensee
10to whom the license is issued, the licensee shall notify the
11commissioner in writing 30 days from the cessation. If notice is
12given, the license shall remain in force for a reasonable length of
13time to be determined by the rules of the commissioner pending
14the qualifications, as provided in this chapter, of another manager.
15If the licensee fails to notify the commissioner within the 30-day
16period, his or her license shall be subject to suspension or
17revocation and may be reinstated only upon the filing of an
18application for reinstatement, payment of the reinstatement fee, if
19any is due, and the qualification of a manager as provided herein.

20(d) Every manager shall renew his or her authority by satisfying
21the requirements of Article 8 (commencing with Section 14090).

22(e) This section shall remain in effect only until January 1, 2018,
23and as of that date is repealed, unless a later enacted statute, that
24is enacted before January 1, 2018, deletes or extends that date.

25

SEC. 20.  

Section 14029 is added to the Insurance Code, to
26read:

27

14029.  

(a) Each organization licensed under this chapter shall
28designate an individual also licensed as an independent insurance
29adjuster to be responsible for the organization’s compliance with
30state law.

31(b) This section shall become operative on January 1, 2018.

32

SEC. 21.  

Section 14030 of the Insurance Code is amended to
33read:

34

14030.  

(a) Whenever the individual on the basis of whose
35qualifications a license under this chapter has been obtained ceases
36to be connected with the licensee for any reason whatever, the
37business may be carried on for a temporary period and under the
38terms and conditions as the commissioner shall provide by
39regulation.

P14   1(b) This section shall remain in effect only until January 1, 2018,
2and as of that date is repealed, unless a later enacted statute, that
3is enacted before January 1, 2018, deletes or extends that date.

4

SEC. 22.  

Section 14031 of the Insurance Code is amended to
5read:

6

14031.  

A hearing held under this chapter to determine whether
7an application for a license should be granted shall be conducted
8in accordance with Chapter 5 (commencing with Section 11501)
9of Part 1 of Division 3 of Title 2 of the Government Code, and the
10commissioner shall have all of the powers granted therein.

11

SEC. 23.  

Section 14032 of the Insurance Code is amended to
12read:

13

14032.  

The form and content of the license shall be determined
14by the commissioner.

15

SEC. 24.  

Section 14037 of the Insurance Code is amended to
16read:

17

14037.  

(a) A licensee shall at all times be legally responsible
18for the good conduct in the business of each of his or her employees
19or agents, including his or her manager.

20(b) This section shall remain in effect only until January 1, 2018,
21and as of that date is repealed, unless a later enacted statute, that
22is enacted before January 1, 2018, deletes or extends that date.

23

SEC. 25.  

Section 14038 of the Insurance Code is amended to
24read:

25

14038.  

(a) Any licensee or officer, director, partner, or manager
26of a licensee may divulge to any law enforcement officer or district
27attorney, or to his or her representative, any information he or she
28may acquire as to any criminal offense, but he or she shall not
29divulge to any other person, except as he or she may be required
30by law to do so, any information acquired by him or her except at
31the direction of the employer or client for whom the information
32was obtained.

33(b) A licensee or officer, director, partner, manager, or employee
34of a licensee shall not knowingly make any false report to his or
35her employer or client for whom information was being obtained.

36(c) A written report shall not be submitted to a client except by
37the licensee, qualifying manager, or a person authorized by one
38or either of them, and the person submitting the report shall
39exercise diligence in ascertaining whether or not the facts and
40information in that report are true and correct.

P15   1(d) A licensee or officer, director, partner, manager, or employee
2of a licensee shall not use a badge in connection with the official
3activities of the licensee’s business.

4(e) A licensee or officer, director, partner, manager, or employee
5of a licensee, shall not use a title, wear a uniform, use an insignia,
6or use an identification card, or make any statement with the intent
7to give an impression that he or she is connected in any way with
8the federal government, a state government, or any political
9subdivision of a state government.

10(f) A licensee or officer, director, partner, manager, or employee
11of a licensee, shall not enter any private building or portion thereof
12without the consent of the owner or of the person in legal
13possession thereof.

14(g) A licensee shall not appear as an assignee party in any
15proceeding involving claim and delivery, replevin, or other
16possessory action, action to foreclose a chattel mortgage,
17mechanic’s lien, materialman’s lien, or any other lien.

18(h) A licensee shall not permit an employee or agent in his or
19her own name to advertise, engage clients, furnish reports, or
20present bills to clients, or in any manner whatever to conduct
21business for which a license is required under this chapter. All
22business of the licensee shall be conducted in the name of and
23under the control of the licensee.

24(i) A licensee acting as an independent automobile damage
25appraiser or adjuster or as an automobile insurance claims adjuster,
26appraiser, or representative shall not receive any financial benefit
27from an automobile repair facility. “Financial benefit” means the
28receiving of any commission or gratuity, discount on repair costs,
29free repairs, employment by a repair facility, or possession of more
30than 3 percent direct ownership in an automobile repair facility
31located in this state.

32(j) This section shall remain in effect only until January 1, 2018,
33and as of that date is repealed, unless a later enacted statute, that
34is enacted before January 1, 2018, deletes or extends that date.

35

SEC. 26.  

Section 14038 is added to the Insurance Code, to
36read:

37

14038.  

(a) Any licensee or officer, director, or partner of a
38licensee may divulge to any law enforcement officer or district
39attorney, or to his or her representative, any information he or she
40may acquire as to any criminal offense, but he or she shall not
P16   1divulge to any other person, except as he or she may be required
2by law to do so, any information acquired by him or her except at
3the direction of the employer or client for whom the information
4was obtained.

5(b) A licensee or officer, director, or partner of a licensee shall
6not knowingly make any false report to his or her employer or
7client for whom information was being obtained.

8(c) A written report shall not be submitted to a client except by
9the licensee who shall exercise diligence in ascertaining whether
10or not the facts and information in that report are true and correct.

11(d) A licensee or officer, director, or partner of a licensee shall
12not use a badge in connection with the official activities of the
13licensee’s business.

14(e) A licensee or officer, director, or partner of a licensee shall
15not use a title, wear a uniform, use an insignia, use an identification
16card, or make any statement with the intent to give an impression
17that he or she is connected in any way with the federal government,
18a state government, or any political subdivision of a state
19government.

20(f) A licensee or officer, director, or partner of a licensee shall
21not enter any private building or portion thereof without the consent
22of the owner or of the person in legal possession thereof.

23(g) A licensee shall not appear as an assignee party in any
24proceeding involving claim and delivery, replevin, or other
25possessory action, action to foreclose a chattel mortgage,
26mechanic’s lien, materialman’s lien, or any other lien.

27(h) A licensee shall not permit an agent in his or her own name
28to advertise, engage clients, furnish reports, or present bills to
29clients, or in any manner whatever to conduct business for which
30a license is required under this chapter. All business of the licensee
31shall be conducted in the name of and under the control of the
32licensee.

33(i) A licensee acting as an independent automobile damage
34appraiser or adjuster or as an automobile insurance claims adjuster,
35appraiser, or representative shall not receive any financial benefit
36from an automobile repair facility. “Financial benefit” means the
37receiving of any commission or gratuity, discount on repair costs,
38free repairs, employment by a repair facility, or possession of more
39than 3 percent direct ownership in an automobile repair facility
40located in this state.

P17   1(j) This section shall become operative on January 1, 2018.

2

SEC. 27.  

Section 14039 of the Insurance Code is amended to
3read:

4

14039.  

A person licensed as an independent insurance adjuster
5shall not do any of the following:

6(a) Fail to disclose his or her full financial interest in a contract
7or agreement executed by him or her for the adjustment of a claim
8prior to the execution thereof.

9(b) Use any misrepresentation to solicit a contract or agreement
10to adjust a claim.

11(c) Solicit or accept remuneration from, or have a financial
12interest exceeding 3 percent in, any salvage, repair, or other firm
13that obtains business in connection with any claim that he or she
14has a contract or agreement to adjust.

15

SEC. 28.  

Section 14040 of the Insurance Code is amended to
16read:

17

14040.  

(a) Any badge or cap insignia worn by a person who
18is a licensee, officer, director, partner, manager, or employee of a
19licensee shall be of a design approved by the commissioner, and
20shall bear on its face a distinctive word indicating the name of the
21licensee and an employee number by which the person may be
22identified by the licensee.

23(b) This section shall remain in effect only until January 1, 2018,
24and as of that date is repealed, unless a later enacted statute, that
25is enacted before January 1, 2018, deletes or extends that date.

26

SEC. 29.  

Section 14040 is added to the Insurance Code, to
27read:

28

14040.  

(a) Any badge or cap insignia worn by a person who
29is a licensee, officer, director, or partner of a licensee shall be of
30a design approved by the commissioner, and shall bear on its face
31a distinctive word indicating the name of either the licensee or the
32adjusting firm the licensee represents.

33(b) This section shall become operative on January 1, 2018.

34

SEC. 30.  

Section 14042 of the Insurance Code is amended to
35read:

36

14042.  

(a) A licensee shall not conduct a business under a
37fictitious or other business name unless and until he or she has
38obtained the written authorization of the commissioner to do so.

39(b) The commissioner shall not authorize the use of a fictitious
40or other business name that is so similar to that of a public officer
P18   1or agency or of that used by another licensee that the public may
2be confused or misled thereby.

3(c) The authorization shall require, as a condition precedent to
4the use of any fictitious name, that the licensee comply with Section
51724.5.

6(d) A licensee desiring to conduct his or her business under
7more than one fictitious business name shall obtain the
8authorization of the commissioner in the manner prescribed in this
9section for the use of that name.

10(e) The licensee shall pay a fee of ten dollars ($10) for each
11authorization to use an additional fictitious business name and for
12each change in the use of a fictitious business name. If the original
13license is issued in a nonfictitious name and authorization is
14requested to have the license reissued in a fictitious business name,
15the licensee shall pay a fee of twelve dollars ($12) for that
16authorization.

17

SEC. 31.  

Section 14061 of the Insurance Code is amended to
18read:

19

14061.  

(a) The commissioner may suspend or revoke a license
20issued under this chapter or may issue a restricted license in
21accordance with Section 14026.5 if he or she determines that the
22licensee, or his or her manager, if an individual, or if the licensee
23is a person other than an individual, that any of its officers,
24directors, partners, or its manager has done any of the following:

25(1) Made any false statement or given any false information in
26connection with an application for a license or a renewal or
27reinstatement of a license.

28(2) Violated any provisions of this chapter.

29(3) Violated any rule of the commissioner adopted pursuant to
30the authority contained in this chapter.

31(4) Been convicted of any crime substantially related to the
32qualifications, functions, and duties of the holder of the registration
33or license in question.

34(5) Impersonated, or permitted or aided and abetted an employee
35to impersonate, a law enforcement officer or employee of the
36United States, or of any state or political subdivision thereof.

37(6) Committed or permitted any employee to commit any act,
38while the license was expired that would be cause for the
39suspension or revocation of a license, or grounds for the denial of
40an application for a license.

P19   1(7) Willfully failed or refused to render to a client services or
2a report as agreed between the parties and for which compensation
3has been paid or tendered in accordance with the agreement of the
4parties.

5(8) Committed assault, battery, or kidnapping, or used force or
6violence on any person, without proper justification.

7(9) Knowingly violated or advised, encouraged, or assisted the
8violation of any court order or injunction in the course of business
9as a licensee.

10(10) Acted as a runner or capper for any attorney.

11(11) Committed any act that is a ground for denial of an
12application for license under this chapter.

13(12) Purchased, possessed, or transported any tear gas weapon
14except as authorized by law. A violation of this paragraph may be
15punished by the suspension of a license for a period to be
16 determined by the commissioner.

17(b) This section shall remain in effect only until January 1, 2018,
18and as of that date is repealed, unless a later enacted statute, that
19is enacted before January 1, 2018, deletes or extends that date.

20

SEC. 32.  

Section 14061 is added to the Insurance Code, to
21read:

22

14061.  

(a) The commissioner may suspend or revoke a license
23issued under this chapter or may issue a restricted license in
24accordance with Section 14026.5 if he or she determines that the
25licensee or if the licensee is a person other than an individual, that
26any of its officers, directors, partners, or its designated responsible
27person has done any of the following:

28(1) Made any false statement or given any false information in
29connection with an application for a license or a renewal or
30reinstatement of a license.

31(2) Violated any provisions of this chapter.

32(3) Violated any rule of the commissioner adopted pursuant to
33the authority contained in this chapter.

34(4) Been convicted of any crime substantially related to the
35qualifications, functions, and duties of the holder of the registration
36or license in question.

37(5) Impersonated, or permitted or aided and abetted an employee
38to impersonate, a law enforcement officer or employee of the
39United States, or of any state or political subdivision thereof.

P20   1(6) Committed or permitted any employee to commit any act,
2while the license was expired that would be cause for the
3suspension or revocation of a license, or grounds for the denial of
4an application for a license.

5(7) Willfully failed or refused to render to a client services or
6a report as agreed between the parties and for which compensation
7has been paid or tendered in accordance with the agreement of the
8parties.

9(8) Committed assault, battery, or kidnapping, or used force or
10violence on any person, without proper justification.

11(9) Knowingly violated or advised, encouraged, or assisted the
12violation of any court order or injunction in the course of business
13as a licensee.

14(10) Acted as a runner or capper for any attorney.

15(11) Committed any act that is a ground for denial of an
16application for license under this chapter.

17(12) Purchased, possessed, or transported any tear gas weapon
18except as authorized by law. A violation of this paragraph may be
19punished by the suspension of a license for a period to be
20determined by the commissioner.

21(b) This section shall become operative on January 1, 2018.

22

SEC. 33.  

Section 14063 of the Insurance Code is amended to
23read:

24

14063.  

(a) The commissioner may suspend or revoke a license
25issued under this chapter or may issue a restricted license in
26accordance with Section 14026.5 if the commissioner determines
27that the licensee, or his or her manager, if an individual, or if the
28licensee is a person other than an individual, that any of its officers,
29directors, partners, or its manager has done any of the following:

30(1) Used any letterhead, advertisement, or other printed matter,
31or in any matter whatever represented that he or she is an
32instrumentality of the federal government, or of a state or any
33political subdivision thereof.

34(2) Used a name different from that under which he or she is
35 currently licensed in any advertisement, solicitation, or contract
36for business.

37(b) This section shall remain in effect only until January 1, 2018,
38and as of that date is repealed, unless a later enacted statute, that
39is enacted before January 1, 2018, deletes or extends that date.

P21   1

SEC. 34.  

Section 14063 is added to the Insurance Code, to
2read:

3

14063.  

(a) The commissioner may suspend or revoke a license
4issued under this chapter or may issue a restricted license in
5accordance with Section 14026.5 if the commissioner determines
6that the licensee, if an individual, or if the licensee is a person other
7than an individual, that any of its officers, directors, or partners
8has done any of the following:

9(1) Used any letterhead, advertisement, or other printed matter,
10or in any matter whatever represented that he or she is an
11instrumentality of the federal government, or of a state or any
12political subdivision thereof.

13(2) Used a name different from that under which he or she is
14currently licensed in any advertisement, solicitation, or contract
15for business.

16(b) The section shall become operative on January 1, 2018.

17

SEC. 35.  

Section 14064 of the Insurance Code is amended to
18read:

19

14064.  

(a) The commissioner may suspend or revoke a license
20issued under this chapter or may issue a restricted license in
21accordance with Section 14026.5 if the commissioner determines
22that the licensee, or his or her manager, if an individual, or if the
23licensee is a person other than an individual, that any of its officers,
24directors, partners, or its manager, has committed any act in the
25course of the licensee’s business constituting dishonesty or fraud.

26(b) “Dishonesty or fraud” as used in this section includes, in
27addition to other acts not specifically enumerated herein, all of the
28following:

29(1) Knowingly making a false statement relating to evidence or
30 information obtained in the course of employment, or knowingly
31publishing a slander or a libel in the course of business.

32(2) Using illegal means in the collection or attempted collection
33of a debt or obligation.

34(3) Manufacture of evidence.

35(4) Acceptance of employment adverse to a client or former
36client relating to a matter with respect to which the licensee has
37obtained confidential information by reason of or in the course of
38his or her employment by that client or former client.

P22   1(5) Impersonating, or permitting or aiding and abetting an
2employee to impersonate, a law enforcement officer or employee
3of the United States, or of any state or political subdivision thereof.

4(c) This section shall remain in effect only until January 1, 2018,
5and as of that date is repealed, unless a later enacted statute, that
6is enacted before January 1, 2018, deletes or extends that date.

7

SEC. 36.  

Section 14064 is added to the Insurance Code, to
8read:

9

14064.  

(a) The commissioner may suspend or revoke a license
10issued under this chapter or may issue a restricted license in
11accordance with Section 14026.5 if the commissioner determines
12that the licensee, if an individual, or if the licensee is a person other
13than an individual, that any of its officers, directors, partners, or
14its designated responsible person has committed any act in the
15course of the licensee’s business constituting dishonesty or fraud.

16(b) “Dishonesty or fraud” as used in this section includes, in
17addition to other acts not specifically enumerated herein, all of the
18following:

19(1) Knowingly making a false statement relating to evidence or
20information obtained in the course of employment, or knowingly
21publishing a slander or a libel in the course of business.

22(2) Using illegal means in the collection or attempted collection
23of a debt or obligation.

24(3) Manufacture of evidence.

25(4) Acceptance of employment adverse to a client or former
26client relating to a matter with respect to which the licensee has
27obtained confidential information by reason of, or in the course
28of, his or her employment by that client or former client.

29(5) Impersonating, or permitting or aiding and abetting an
30employee to impersonate, a law enforcement officer or employee
31of the United States, or of any state or political subdivision thereof.

32(c) This section shall become operative on January 1, 2018.

33

SEC. 37.  

Section 14078 of the Insurance Code is repealed.

34

SEC. 38.  

Section 14078 is added to the Insurance Code, to
35read:

36

14078.  

(a) Unless refused licensure pursuant to Sections 14060
37to 14065, inclusive, a nonresident person shall receive a
38nonresident independent insurance adjuster license if all of the
39following apply:

P23   1(1) The applicant is currently licensed in good standing as an
2independent insurance adjuster in his, her, or its resident or home
3state.

4(2) The applicant paid the fees required by Section 14097.

5(3) The applicant submitted to the commissioner the completed
6application for licensure.

7(4) The applicant’s home state issues nonresident independent
8insurance adjuster licenses to residents of California on the same
9basis.

10(b) The commissioner may verify the independent insurance
11adjuster’s licensing status through any appropriate database,
12including the Producer Database maintained by the National
13Association of Insurance Commissioners, its affiliates or
14subsidiaries, or may request certification of good standing.

15(c) As a condition to the continuation of a nonresident
16independent insurance adjuster license, the licensee shall maintain
17a resident independent insurance adjuster license in his, her, or its
18home state.

19(1) The nonresident independent insurance adjuster license
20issued under this chapter shall terminate and be surrendered
21immediately to the commissioner if the resident independent
22insurance adjuster license terminates for any reason, unless the
23termination is due to the independent insurance adjuster being
24issued a new resident independent insurance adjuster license in
25his, her, or its new home state.

26(2) The nonresident independent insurance adjuster license shall
27terminate if the person’s home state does not issue nonresident
28independent insurance adjuster licenses to residents of California
29 on the same basis.

30(3) (A) The licensee is required to give notice of resident
31independent insurance adjuster license termination to any state
32that issued a nonresident independent insurance adjuster license.

33(B) The notice is required to be given within 30 days of the
34termination date. If the resident independent insurance adjuster
35license was terminated for change in resident home state, then the
36notice is required to include both the previous and current
37 addresses.

38(4) Maintaining a resident independent insurance adjuster license
39is required for the nonresident independent insurance adjuster
40license to remain valid.

P24   1

SEC. 39.  

Section 14079 is added to the Insurance Code, to
2read:

3

14079.  

(a) An independent insurance adjuster shall be honest
4and fair in all communications with the insured, the insurer, and
5the public.

6(b) An independent insurance adjuster shall provide
7policyholders and claimants with prompt and knowledgeable
8service and courteous, fair, and objective treatment at all times.

9(c) An independent insurance adjuster shall not give legal advice
10and shall not deal directly with any policyholder or claimant who
11is represented by legal counsel without the consent of the legal
12counsel involved.

13(d) An independent insurance adjuster shall comply with all
14local, state, and federal privacy and information security laws.

15(e) An independent insurance adjuster shall identify himself or
16herself as an independent insurance adjuster and, if applicable,
17shall identify his or her employer when dealing with any
18policyholder or claimant.

19(f) An independent insurance adjuster shall not have any
20financial interest in any adjustment or shall not acquire for himself,
21herself, or any person any interest or title in salvage, without first
22receiving written authority from the principal.

23

SEC. 40.  

Section 14080 of the Insurance Code is amended to
24read:

25

14080.  

Any person who knowingly falsifies the fingerprints
26or photographs submitted under paragraph (7) of subdivision (a)
27of Section 14024 or paragraph (7) of subdivision (c) of Section
2814025.1 is guilty of a felony. Any person who violates any of the
29other provisions of this chapter is guilty of a misdemeanor
30punishable by fine not to exceed five hundred dollars ($500), or
31by imprisonment in the county jail not to exceed one year, or by
32both the fine and imprisonment.

33

SEC. 41.  

Section 14090.1 of the Insurance Code is amended
34to read:

35

14090.1.  

(a) An individual who holds an independent insurance
36adjuster license and who is not exempt under subdivision (b) shall
37satisfactorily complete a minimum of 24 hours, of which three
38hours are to be in ethics, of continuing education courses pertinent
39to the duties and responsibilities of an independent insurance
40adjuster license and shall report the completion of this coursework
P25   1to the insurance commissioner on a biennial basis in conjunction
2with his or her license renewal cycle.

3(b) This section does not apply to any of the following:

4(1) A licensee not licensed for one full year prior to the end of
5the applicable continuing education biennium.

6(2) A licensee holding a nonresident independent insurance
7adjuster license who has met the continuing education requirements
8of his or her designated home state.

9(3) An individual licensed as an independent insurance adjuster
10and as a property or casualty broker-agent, pursuant to Section
111625, who has met the continuing education requirements specified
12in Section 1749.3.

13(4) An individual licensed as an apprentice independent
14insurance adjuster pursuant to Section 14025.1.

15begin insert

begin insertSEC. 42.end insert  

end insert

begin insertSection 14090.3 is added to the end insertbegin insertInsurance Codeend insertbegin insert, to
16read:end insert

begin insert
17

begin insert14090.3.end insert  

A person who fails to meet the requirements imposed
18by Section 14090.1, and who has not been granted an extension
19of time by the commissioner within which to comply, shall have
20his or her license placed on inactive status until he or she
21demonstrates to the satisfaction of the commissioner that he or
22she has complied with all of the requirements of this article and
23all other applicable laws. A licensee placed on inactive status may
24not perform the activities described in Section 1631. If a person
25cannot perform the requirements of this article due to a disability
26or inactivity due to special circumstances, the commissioner shall
27provide a procedure for the person to place his or her license on
28inactive status until the person demonstrates to the satisfaction of
29the commissioner that he or she has complied with all of the
30 requirements of this article for the period of disability or inactivity.

end insert
31

begin deleteSEC. 42.end delete
32
begin insertSEC. 43.end insert  

Section 14097 of the Insurance Code is amended to
33read:

34

14097.  

The amount of fees prescribed by this chapter, unless
35otherwise fixed, is that fixed in the following schedule:

36(a) The application fee for the qualifying examination for an
37original license isbegin delete seventy-two dollars ($72).end deletebegin insert fifty dollars ($50).end insert

38(b) The application fee for an original branch office certificate
39is forty-seven dollars ($47).

P26   1(c) The fee for an original license application is up to one
2hundredbegin delete seventy dollars ($170).end deletebegin insert twenty dollars ($120).end insert If the license
3will expire less than one year after its issuance, then the fee is an
4amount equal to 50 percent of the renewal fee in effect on the last
5regular renewal date before the date on which the license is issued.
6The commissioner may, by appropriate regulation, provide for the
7waiver or refund of the initial license fee where the license is issued
8less than 45 days before the date on which it will expire.

9(d) The renewal fee shall be fixed by the commissioner as
10follows:

11(1) For a license as an independent insurance adjuster, not more
12than one hundredbegin delete seventy dollars ($170).end deletebegin insert twenty dollars ($120).end insert

13(2) For a branch office certificate, not more than fifty-six dollars
14($56).

15(e) The application and license fee for classifications prescribed
16by the commissioner, in addition to those provided for in this
17chapter, and the application and license fees for a change in the
18type of business organization of a licensee, shall be in the amount
19prescribed by rule and regulation of the commissioner.

20(f) The delinquency fee shall be 50 percent of the renewal fee
21in effect on the date of expiration.

22(g) The fee for reexamination of an applicant isbegin delete twenty-nine
23dollars ($29).end delete
begin insert fifty dollars ($50).end insert

24(h) The application fee for an apprentice independent insurance
25adjuster license shall be up to one hundredbegin delete seventy dollars ($170).end delete
26
begin insert twenty dollars ($120).end insert

27

begin deleteSEC. 43.end delete
28
begin insertSEC. 44.end insert  

Section 14097.5 is added to the Insurance Code, to
29read:

30

14097.5.  

(a) On or before March 1, 2019, and for a total of
31three years thereafter, the department shall report annually to the
32Legislature all of the following:

33(1) The number of individuals licensed pursuant to this chapter.

34(2) The implementation costs incurred and the revenues received
35by the department for licensure of independent insurance adjusters.

36(3) The annual projected costs and revenues associated with
37ongoing licensure and enforcement activities pursuant to this
38chapter.

P27   1(b) (1) A report submitted pursuant to subdivision (a) shall be
2submitted in compliance with Section 9795 of the Government
3Code.

4(2) Pursuant to Section 10231.5 of the Government Code, this
5section is repealed on March 1, 2023.

6

begin deleteSEC. 44.end delete
7
begin insertSEC. 45.end insert  

Section 14099 of the Insurance Code is amended to
8read:

9

14099.  

Application or license fees shall not be refunded
10pursuant to Section 1751.5.

11

begin deleteSEC. 45.end delete
12
begin insertSEC. 46.end insert  

No reimbursement is required by this act pursuant to
13Section 6 of Article XIII B of the California Constitution because
14the only costs that may be incurred by a local agency or school
15district will be incurred because this act creates a new crime or
16infraction, eliminates a crime or infraction, or changes the penalty
17for a crime or infraction, within the meaning of Section 17556 of
18the Government Code, or changes the definition of a crime within
19the meaning of Section 6 of Article XIII B of the California
20Constitution.



O

    94