SB 488,
as amended, Block. begin deleteIndependent insurance adjusters: public end deletebegin insertPublic end insertinsurance adjusters.
(1) 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, 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.
end deleteThis 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 or self-insurers, a person whose tax treatment by the insurers or self-insurers is consistent with that of an independent contractor rather than as an employee, and a person that investigates, negotiates, or settles property, casualty, or workers’ compensation claims for insurers or for self-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 executive, administrative, managerial, 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 code of conduct requirements on licensees. 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 by the commissioner and reasonably related to the actual cost to the department in performing its duties. 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 also make conforming changes. Because the bill would create a new crime, it would impose a state-mandated local program.
end delete(2) Existing
end delete
begin insertExistingend insert law, the Public Insurance Adjusters Act, sets forth various requirements with respect to operation as a public insurance adjuster in this state, including, but not limited to, that the person be licensed and licensing qualifications and application requirements for public insurance adjusters, nonresident public insurance adjusters, and interim public insurance adjusters. The act defines the term “public insurance adjuster” to mean a person who, for compensation, acts on behalf of, or aids in any manner, an insured in negotiating for or effecting the settlement of a claim or claims for loss or damage under any policy of insurance covering real or personal property or any person who advertises, solicits business, or holds himself or herself out to the public as an adjuster of those claims and any person who, for compensation, investigates, settles,
adjusts, advises, or assists an insured with reference to claims for those losses on behalf of any public insurance adjuster. 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 public insurance adjusters is guilty of a misdemeanor punishable by a fine not to exceed $500 or by imprisonment inbegin delete theend deletebegin insert
aend insert county jail not to exceed one year, or by both that fine and imprisonment.
This bill would revise and recast the above provisions by, among other things, redefining a “public insurance adjuster” to include any person who, for compensation or any other thing of value on behalf of an insured, acts or aids, solely in relation to first party claims arising under insurance contracts that insure the real or personal property of the insured, on behalf of an insured in negotiating for, or effecting the settlement of, a claim for loss or damage coverage by an insurance contract, or advertises for employment as a public adjuster of insurance claims or solicits business or represents himself or herself to the public as a public adjuster of first party insurance claims for losses or damages arising out of policies of insurance that insure real or personal property. The bill would expand the categories of persons exempt from the act to include,
among others, a person who negotiates or settles claims arising under a life or health insurance policy or an annuity contract and a person who settles subrogation claims between insurers.begin insert
The bill would make certain categories of persons who are exempt from the existing act, subject to the act, thereby requiring those persons to seek licensure in order to practice as a licensee under the act.end insert The bill would place additional eligibility requirements on applicants for a nonresident license. The bill would also repeal the provisions relating to an interim license, and would instead create an apprentice public insurance adjuster license to facilitate the training necessary to ensure reasonable competency in the responsibilities and duties of a public insurance adjuster, and would set forth the various terms and conditions of the license. The bill would make an apprentice public insurance adjuster subject to a felony conviction if he or she knowingly falsifies the fingerprints orbegin delete photographend deletebegin insert
photographsend insert
submitted as part of his or her application for a license. Because the bill would createbegin delete a new crime,end deletebegin insert new crimes,end insert it would impose a state-mandated local program.
(3) 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:
Section 1722 of the Insurance Code is amended
2to read:
If a natural person while licensed pursuant to the
4provisions of this chapter or Chapter 6 (commencing with Section
51760), 7 (commencing with Section 1800), or 8 (commencing with
6Section 1831) of this part, Part 5 (commencing with Section 12140)
7of Division 2, or Chapterbegin delete 1 (commencing with Section 14000) orend delete
8 2 (commencing with Section 15000) of Division 5 enters the
9military service of the United States and is in that service at a time
10prescribed for the filing of a renewal application, the filing of that
11application is waived, and the license held by that licensee at the
12time of his or her entry into military service shall remain in force
13during the period of that military service and until the end of the
14license year in which he
or she is released from that service but
15not for less than six months after that release. During thatbegin delete period, begin insert period theend insert person may secure a license of the type held by
16thatend delete
17him or her on his or her entry into military service upon the filing
18of an application and paying the fee therefor without the necessity
19of takingbegin delete anyend deletebegin insert anend insert examination or payingbegin delete anyend deletebegin insert
aend insert
penalty.
Section 1751.5 of the Insurance Code is amended to
21read:
The fees required by this chapter and by Chapter 6
2(commencing with Section 1760), Chapter 7 (commencing with
3Section 1800), and Chapter 8 (commencing with Section 1831) of
4this part and by Chapterbegin delete 1 (commencing with Section 14000) and 2 (commencing with Section 15000) of Division 5 are
5Chapterend delete
6filing fees, no portion of which shall be refunded whether or not
7the application is acted upon or the examination is taken.
Section 14000 of the Insurance Code is amended to
9read:
This chapter may be cited as the Independent Insurance
11Adjuster Act.
Section 14001 of the Insurance Code is amended to
13read:
As used in this chapter, the following terms have the
15following meanings:
16(a) “Catastrophe” means an event that results in a large number
17of deaths or injuries, causes extensive damage or destruction of
18facilities that provide and sustain human needs, produces an
19overwhelming demand on state and local response resources and
20mechanisms, causes a severe long-term effect on general economic
21activity, or severely affects state, local, and private sector
22capabilities to begin and sustain response activities.
23(b) “Commissioner” means the Insurance Commissioner.
24(c) “Department” means the Department of Insurance.
25(d) “Fingerprints” means an impression of the lines on the finger
26taken for the purposes of identification.
27(e) “Home state” means the District of Columbia and any state
28or territory of the United States in which an independent insurance
29adjuster maintains his, her, or its principal place of residence or
30business and is licensed to act as a resident independent insurance
31adjuster. If the resident state does not license independent insurance
32adjusters, the independent insurance adjuster may designate
33California as his, her, or its home state, provided that the
34independent insurance adjuster is licensed and in good standing.
35(f) “Individual” means a natural person.
36(g) “Licensee” means a person licensed under this chapter.
37(h) “Manager” means the individual under whose direction,
38control, charge, or management the business of a licensee is
39operated.
P6 1(i) “Nonresident” means a person who is not a resident of
2California at the time of the performance of the act referred to in
3Section 14071.
4(j) “Person” includes any individual, firm, company, association,
5organization, partnership, limited liability company, and
6corporation.
Section 14010 of the Insurance Code is repealed.
Section 14010 is added to the Insurance Code, to read:
The commissioner shall administer and enforce the
10provisions of this chapter.
Section 14020 of the Insurance Code is amended to
12read:
(a) A person shall not engage in a business regulated
14by this chapter, or act or assume to act as, or represent himself or
15herself to be, a licensee unless he or she is licensed as an
16independent insurance adjuster in accordance with this chapter.
17(b) A person shall not falsely represent that he or she is
18employed by a licensee.
Section 14021 of the Insurance Code is repealed.
Section 14021 is added to the Insurance Code, to read:
An independent insurance adjuster, for purposes of this
22chapter, is all of the following:
23(a) An individual, a business entity, an independent contractor,
24or an employee of a contractor, who contracts for compensation
25with insurers or self-insurers.
26(b) A person whose tax treatment by the insurers or self-insurers
27is consistent with that of an independent contractor rather than an
28employee, as defined in Section 3121 of Title 26 of the United
29States Code.
30(c) A person who investigates, negotiates, or settles property,
31casualty, or workers’ compensation claims for
insurers or for
32self-insurers.
Section 14022 of the Insurance Code is amended to
34read:
This chapter does not apply to any of the following:
36(a) An officer or employee of the United States of America, or
37of this state or a political subdivision thereof, while that officer or
38employee is engaged in the performance of his or her official
39duties.
P7 1(b) A person engaged exclusively in the business of obtaining
2and furnishing information as to the financial rating of persons.
3(c) A charitable philanthropic society or association duly
4incorporated under the laws of this state, which is organized and
5maintained for the public good and not for private profit.
6(d) An attorney at law admitted to practice in California, when
7acting in his or her professional capacity as an attorney.
8(e) A licensed collection agency or an employee thereof while
9acting within the scope of his or her employment, while making
10an investigation incidental to the business of the agency, including
11an investigation of the location of a debtor or his or her property
12where the contract with an assignor creditor is for the collection
13of claims owed or due or asserted to be owed or due or the
14equivalent thereof.
15(f) An officer, director, manager, or employee of an authorized
16insurer, surplus line insurer, a risk retention group, or an
17attorney-in-fact of a reciprocal insurer.
18(g) A licensed insurance agent or broker, attorney-in-fact of a
19reciprocal insurer, or managing general agent of the insurer to
20whom claim authority has been granted by the insurer.
21(h) The legal owner of personal property that has been sold
22under a conditional sales agreement or a mortgagee under the terms
23of a chattel mortgage.
24(i) Any bank subject to the jurisdiction of the Commissioner
of
25Business Oversight under Division 1 (commencing with Section
2699) of the Financial Code or the Comptroller of the Currency of
27the United States.
28(j) A person employed solely to obtain facts surrounding a claim
29or to furnish technical assistance to a licensed independent
30insurance adjuster.
31(k) Any building contractor, engineer, technical expert, or other
32person who is engaged by an insurer or licensed independent
33insurance adjuster to provide an expert or professional evaluation
34of the extent, cause, or origin of damage to the insured property,
35but who does not otherwise participate in the process of adjusting
36claims.
37(l) An individual who is employed to investigate suspected
38fraudulent insurance claims but who does not adjust losses or
39determine claims payments.
P8 1(m) A person who solely performs executive, administrative,
2managerial, or clerical duties or any combination thereof and who
3does not investigate, negotiate, or settle claims with policyholders,
4claimants, or their legal representative.
5(n) A licensed health care provider or its employee who provides
6managed care if the services do not include the determination of
7compensability.
8(o) A managed care organization or any of its employees who
9provide managed care services if the services do not include the
10determination of compensability.
11(p) A person who settles only reinsurance or subrogation claims.
12(q) A United States manager of the United States branch of an
13alien insurer.
14(r) A person who investigates, negotiates, or settles life, accident
15and health, annuity, or disability insurance claims.
16(s) An individual employee, under a self-insured arrangement,
17who
adjusts claims on behalf of his or her employer.
Section 14022.5 of the Insurance Code is amended
19to read:
(a) In the event of an emergency situation as declared
21by the commissioner, claims arising out of the emergency,
22catastrophe, disaster, or other similar occurrence may be adjusted
23by a nonlicensed independent insurance adjuster upon registration
24with the commissioner if all of the following requirements are met:
25(1) The work performed by the nonlicensed independent
26insurance adjuster is under the active direction, control, charge,
27or management of a licensed independent insurance adjuster or an
28insurer authorized to do business in this state.
29(2) Registration with the commissioner is
accomplished within
30
five working days from the date on which the nonlicensed
31independent insurance adjuster commences the claims adjusting
32activity in connection with the emergency situation.
33(b) “Registration,” within the meaning of this section, means a
34written letter to the commissioner, submitted by the supervising
35licensed independent insurance adjuster or admitted insurer, naming
36the nonlicensed independent insurance adjusters, identifying their
37independent insurance adjuster licenses held in other jurisdictions,
38and stating when their claims adjusting activity commenced.
39(c) Registration under this section is valid for a period of 90
40days from the date of the registration letter. Before the lapse of
P9 1that period, the commissioner may grant further 90-day extensions
2as he or
she deems appropriate upon written request from the
3supervising licensed independent insurance adjuster or the admitted
4insurer.
Section 14024 of the Insurance Code is amended to
6read:
(a) An individual application shall be verified and shall
8include all of the following:
9(1) The full legal name and business, resident, and mailing
10addresses of the applicant.
11(2) The name under which the applicant intends to do business.
12(3) The applicant’s birth date and social security number.
13(4) The application fees set forth in Section 14097.
14(5) A statement as to the general nature of the business in which
15the
applicant intends to engage.
16(6) A statement as to the classifications under which the
17applicant desires to be qualified.
18(7) Two recent photographs of the applicant, of a type prescribed
19by the commissioner, and one classifiable set of his or her
20fingerprints,
to be sent to a live scan fingerprint provider as directed
21by the department, if fingerprints are not submitted in person with
22a live scan fingerprinting service provider certified by the
23Department of Justice.
24(8) A verified statement of his or her experience qualifications,
25unless applying for an apprentice independent insurance adjuster
26license.
27(9) Other information, evidence, statements, or documents as
28may be required by the commissioner.
29(b) A business entity application shall be verified and shall
30include all of the following:
31(1) The full legal name and residence address of each of its
32partners, officers, and directors, and its manager.
33(2) The name under which the applicant intends to do business.
34(3) The name of a licensed independent insurance adjuster who
35is responsible for the business entities compliance with this chapter.
36(4) That the applicant paid the fees set forth in Section 14097.
37(5) A statement as to the general nature of the business in which
38the applicant intends to engage.
39(6) A statement as to the classifications under which the
40applicant desires to be qualified.
P10 1(7) Other information, evidence, statements, or documents as
2may be required by the commissioner.
Section 14025 of the Insurance Code is amended to
4read:
Before a license is granted, the applicant shall meet all
6of the following requirements:
7(a) Be at least 18 years of age.
8(b) Not have committed acts or crimes constituting grounds for
9denial of licensure under
Sections 1668 and 1669.
10(c) Shall have had at least two years of experience in adjusting
11insurance claims or the equivalent thereof as determined by the
12commissioner, unless applying for an apprentice independent
13insurance adjuster license.
14(d) If the applicant resides in a state that does not license
15independent insurance adjusters, he or she is required to be licensed
16in good standing
to designate California as his or her home state.
17(e) (1) Completed a 20-hour prelicensing education course of
18study.
19(2) A nonresident applicant currently licensed as a home state
20independent insurance adjuster in another state who has met that
21state’s prelicensing education requirements is exempt from
22completing the prelicensing education requirement.
23(f) Successfully passed the examination for the independent
24insurance adjuster license, unless he or she qualifies for an
25exemption in Section 14026.
26(g) Comply with those other qualifications that the commissioner
27may require by regulation.
Section 14025.1 is added to the Insurance Code, to
29read:
(a) The apprentice independent insurance adjuster
31license is a license to facilitate the experience, education, and
32training necessary to ensure reasonable competency in the
33responsibilities and duties of an independent insurance adjuster.
34(b) An individual applying for an apprentice independent
35insurance adjuster license shall submit an application in a format
36prescribed by the commissioner and shall declare under penalty
37of suspension, revocation, or refusal of the license that the
38statements made in the application are true, correct, and complete
39to the best of the individual’s knowledge and belief. Before
P11 1approving the application, the commissioner shall determine
that
2the individual meets all of the following:
3(1) Is at least 18 years of age.
4(2) Is a resident of California and has designated California as
5his or her home state.
6(3) Has a business or mailing address in California for the
7acceptance of service of process.
8(4) Has not committed any act that is a ground for suspension,
9revocation, or denial of licensure as set forth in Sections 1668,
101668.1, and 1669.
11(5) Is trustworthy, reliable, and of good reputation, evidence of
12which may be determined by the commissioner.
13(6) Has paid the
fees set forth in subdivision (h) of Section
1414097.
15(c) The apprentice independent insurance adjuster license shall
16be subject to the following terms and conditions:
17(1) The applicant shall submit, with the apprentice independent
18insurance adjuster application, an attestation from a licensed
19independent insurance adjuster certifying that the apprentice will
20be subject to training, direction, and control by the licensed
21independent insurance adjuster and further certifying that the
22licensed independent insurance adjuster assumes responsibility
23for the actions of the apprentice in the apprentice’s capacity as an
24independent insurance adjuster.
25(2) The apprentice independent insurance adjuster is only
26authorized to
adjust claims in California.
27(3) The apprentice independent insurance adjuster is restricted
28to participation in the investigation, settlement, and negotiation of
29claims subject to the review and final determination of the claim
30by a supervising licensed independent insurance adjuster.
31(4) Compensation of an apprentice independent insurance
32adjuster shall only be on a salaried or hourly basis.
33(5) The apprentice independent insurance adjuster shall not be
34required to take and successfully complete the independent
35insurance adjuster examination to adjust claims as an apprentice
36independent insurance adjuster. At any time during the
37apprenticeship, the apprentice independent insurance adjuster may
38choose to take the
examination. If the individual takes and
39successfully completes the independent insurance adjuster exam,
40the apprentice independent insurance adjuster license shall
P12 1automatically terminate and an independent insurance adjuster
2license shall be issued to that individual in its place.
3(6) The apprentice independent insurance adjuster license is
4valid for a period not to exceed 12 months and is nonrenewable.
5(7) The licensee shall be subject to suspension, revocation, or
6denial pursuant to Sections 1668, 1668.1, and 1669.
7(8) The applicant shall submit two recent photographs of the
8applicant, of a type prescribed by the commissioner, and one
9classifiable set of his or her fingerprints, to be sent to a live scan
10fingerprint provider as directed by the department, if fingerprints
11are not submitted in person with a live scan fingerprinting service
12provider certified by the Department of Justice.
Section 14026 of the Insurance Code is repealed.
Section 14026 is added to the Insurance Code, to
15read:
(a) An applicant for an independent insurance adjuster
17license, unless applying for an apprentice independent insurance
18adjuster license or crop insurance adjuster license, shall pass a
19written examination.
20(1) The examination shall test the knowledge of the applicant
21concerning the duties and responsibilities of an independent
22insurance adjuster and this code.
23(2) An applicant applying for an examination shall remit a
24nonrefundable fee as prescribed by the commissioner in Section
2514097.
26(b) An individual who applies for an independent insurance
27adjuster
license in California who holds a home state license in
28another state as an independent insurance adjuster shall not be
29required to complete the examination if he or she successfully
30passed an examination as a condition of receiving an independent
31insurance adjuster license in his or her home state. This exemption
32applies to individuals who are currently licensed in their home
33state or if the home state license expired and the application is
34received by the commissioner within 90 days of expiration.
35(c) An individual who applies for an apprentice independent
36insurance adjuster license pursuant to Section 14025.1, and who
37adjusts claims in that capacity, shall not be required to take and
38successfully complete the independent insurance adjuster
39examination.
Section 14027 of the Insurance Code is repealed.
Section 14028 of the Insurance Code is amended to
2read:
After a hearing, the commissioner may deny a license
4unless the application makes a showing satisfactory to the
5commissioner that the applicant, if an individual, has not, or if the
6applicant is a person other than an individual, that its manager and
7each of its officers and partners have not done any of the following:
8(a) Been refused a license under this chapter or had a license
9revoked.
10(b) Been an officer, partner, or manager of any person who has
11been refused a license under this chapter or whose license has been
12revoked.
13(c) While unlicensed committed, or aided and abetted the
14commission of, any act for which a license is required by this
15chapter.
16(d) Committed any act or crime constituting grounds for denial
17of licensure under Section 1668.
Section 14029 of the Insurance Code is repealed.
Section 14029 is added to the Insurance Code, to
20read:
Each organization licensed under this chapter shall
22designate an individual also licensed as an independent insurance
23adjuster to be responsible for the organization’s compliance with
24state law.
Section 14030 of the Insurance Code is repealed.
Section 14031 of the Insurance Code is amended to
27read:
A hearing held under this chapter to determine whether
29an application for a license should be granted shall be conducted
30in accordance with Chapter 5 (commencing with Section 11501)
31of Part 1 of Division 3 of Title 2 of the Government Code, and the
32commissioner shall have all of the powers granted therein.
Section 14032 of the Insurance Code is amended to
34read:
The form and content of the license shall be determined
36by the commissioner.
Section 14037 of the Insurance Code is repealed.
Section 14038 of the Insurance Code is amended to
39read:
(a) Any licensee or officer, director, or partner of a
2licensee may divulge to any law enforcement officer or district
3attorney, or to his or her representative, any information he or she
4may acquire as to any criminal offense, but he or she shall not
5divulge to any other person, except as he or she may be required
6by law to do so, any information acquired by him or her except at
7the direction of the employer or client for whom the information
8was obtained.
9(b) A licensee or officer, director, or partner of a licensee shall
10not knowingly make any false report to his or her employer or
11client for whom information was being obtained.
12(c) A written report shall not be submitted to a client except by
13the licensee who shall exercise diligence in ascertaining whether
14or not the facts and information in that report
are true and correct.
15(d) A licensee or officer, director, or partner of a licensee shall
16not use a badge in connection with the official activities of the
17licensee’s business.
18(e) A licensee or officer, director, or partner of a licensee shall
19not use a title, wear a uniform, use an insignia, use an identification
20card, or make any statement with the intent to give
an impression
21that he or she is connected in any way with the federal government,
22a state government, or any political subdivision of a state
23government.
24(f) A licensee or officer, director, or partner of a licensee, shall
25not enter any private building or portion thereof without the consent
26of the owner or of the person in legal possession thereof.
27(g) A licensee shall not appear as an assignee party in any
28proceeding involving claim and delivery, replevin, or other
29possessory action, action to foreclose a chattel mortgage,
30mechanic’s lien, materialman’s lien, or any other
lien.
31(h) A licensee shall not permit an agent in his or her own name
32to advertise, engage clients, furnish reports, or present bills to
33clients, or in any manner whatever to conduct business for which
34a license is required under this chapter. All business of the licensee
35shall be conducted in the name of and under the control of the
36licensee.
37(i) A licensee acting as an independent automobile damage
38appraiser or adjuster or as an automobile insurance claims adjuster,
39appraiser, or representative shall not receive any financial benefit
40from an automobile repair facility. “Financial benefit” means the
P15 1receiving of any commission or gratuity, discount on repair costs,
2
free repairs, employment by a repair facility, or possession of more
3than 3 percent direct ownership in an automobile repair facility
4located in this state.
Section 14039 of the Insurance Code is amended to
6read:
A person licensed as an independent insurance adjuster
8shall not do any of the following:
9(a) Fail to disclose his or her full financial interest in a contract
10or agreement executed by him or her for the adjustment of a claim
11prior to the execution thereof.
12(b) Use any misrepresentation to solicit a contract or agreement
13to adjust a claim.
14(c) Solicit or accept remuneration from, or have a financial
15interest exceeding 3 percent in, any salvage, repair, or other firm
16that obtains business in connection with any claim that he or she
17has a
contract or agreement to adjust.
Section 14040 of the Insurance Code is amended to
19read:
Any badge or cap insignia worn by a person who is a
21licensee, officer, director, or partner of a licensee shall be of a
22design approved by the commissioner, and shall bear on its face
23a distinctive word indicating the name of the licensee.
Section 14042 of the Insurance Code is amended to
25read:
(a) A licensee shall not conduct a business under a
27fictitious or other business name unless and until he or she has
28obtained the written authorization of the commissioner to do so.
29(b) The commissioner shall not authorize the use of a fictitious
30or other business name that is so similar to that of a public officer
31or agency or of that used by another licensee that the public may
32be confused or misled thereby.
33(c) The authorization shall require, as a condition precedent to
34the use of any fictitious name, that the licensee comply with Section
351724.5.
36(d) A licensee desiring to conduct his or her business under
37more than one fictitious business name shall obtain the
38authorization of the commissioner in the manner prescribed in this
39section for the use of that name.
P16 1(e) The licensee shall pay a fee of ten dollars ($10) for each
2authorization to use an additional fictitious business name and for
3each change in the use of a fictitious business name. If the original
4license is issued in a nonfictitious name and authorization is
5requested to have the license reissued in a fictitious business name,
6the licensee shall pay a fee of twelve dollars ($12) for that
7authorization.
Section 14061 of the Insurance Code is amended to
9read:
The commissioner may suspend or revoke a license
11issued under this chapter or may issue a restricted license in
12accordance with Section 14026.5 if he or she determines that the
13licensee or if the licensee is a person other than an individual, that
14any of its officers, directors, partners, or its designated responsible
15person has done any of the following:
16(a) Made any false statement or given any false information in
17connection with an application for a license or a renewal or
18reinstatement of a license.
19(b) Violated any provisions of this chapter.
20(c) Violated any rule of the commissioner adopted pursuant to
21the authority contained in this chapter.
22(d) Been convicted of any crime substantially related to the
23qualifications, functions, and duties of the holder of the registration
24or license in question.
25(e) Impersonated, or permitted or aided and abetted an employee
26to impersonate, a law enforcement officer or employee of the
27United States of America, or of any state or political subdivision
28thereof.
29(f) Committed or permitted any employee to commit any act,
30while the license was expired that would be cause for the
31suspension or revocation of a license, or grounds for the denial of
32an application for a license.
33(g) Willfully failed or refused to render to a client services or
34a report as agreed between the parties and for which compensation
35has been paid or tendered in accordance with the agreement of the
36parties.
37(h) Committed assault, battery, or kidnapping, or used force or
38violence on any person, without proper justification.
P17 1(i) Knowingly violated or advised, encouraged, or assisted the
2violation of any court order or injunction in the course of business
3as a licensee.
4(j) Acted as a runner or capper for any attorney.
5(k) Committed any act that is a ground for denial of an
6application for license under this chapter.
7(l) Purchased, possessed, or transported any tear gas weapon
8except as authorized by law. A violation of this subdivision may
9be punished by the suspension of a license for a period to be
10determined by the commissioner.
Section 14063 of the Insurance Code is amended to
12read:
The commissioner may suspend or revoke a license
14issued under this chapter or may issue a restricted license in
15accordance with Section 14026.5 if the commissioner determines
16that the licensee, if an individual, or if the licensee is a person other
17than an individual, that any of its officers, directors, partners, or
18its designated responsible person has done any of the following:
19(a) Used any letterhead, advertisement, or other printed matter,
20or in any matter whatever represented that he or she is an
21instrumentality of the federal government, or of a state or any
22political subdivision thereof.
23(b) Used a name different from that under which he or she is
24currently licensed in any advertisement, solicitation, or contract
25for business.
Section 14064 of the Insurance Code is amended to
27read:
(a) The commissioner may suspend or revoke a license
29issued under this chapter or may issue a restricted license in
30accordance with Section 14026.5 if the commissioner determines
31that the licensee, if an individual, or if the licensee is a person other
32than an individual, that any of its officers, directors, partners, or
33its designated responsible person has committed any act in the
34course of the licensee’s business constituting dishonesty or fraud.
35(b) “Dishonesty or fraud” as used in this section includes, in
36addition to other acts not specifically enumerated herein, all of the
37following:
38(1) Knowingly making a false statement relating to evidence or
39information obtained in the course of employment, or knowingly
40publishing a slander or a libel in the course of business.
P18 1(2) Using illegal means in the collection or attempted collection
2of a debt or obligation.
3(3) Manufacture of evidence.
4(4) Acceptance of employment adverse to a client or former
5client relating to a matter with respect to which the licensee has
6obtained confidential information by reason of or in the course of
7his or her employment by that client or former client.
8(5) Impersonating, or permitting or aiding and abetting an
9
employee to impersonate, a law enforcement officer or employee
10of the United States of America, or of any state or political
11subdivision thereof.
Section 14078 of the Insurance Code is repealed.
Section 14078 is added to the Insurance Code, to
14read:
(a) Unless refused licensure pursuant to Sections 14060
16to 14065, inclusive, a nonresident person shall receive a
17nonresident independent insurance adjuster license if all of the
18following apply:
19(1) The applicant is currently licensed in good standing as an
20independent insurance adjuster in his, her, or its resident or home
21state.
22(2) The applicant paid the fees required by Section 14097.
23(3) The applicant submitted to the commissioner the completed
24application for
licensure.
25(4) The applicant’s home state awards nonresident independent
26insurance adjuster licenses to residents of California on the same
27basis.
28(b) The commissioner may verify the independent insurance
29adjuster’s licensing status through any appropriate database,
30including the Producer Database maintained by the National
31Association of Insurance Commissioners, its affiliates or
32subsidiaries, or may request certification of good standing.
33(c) As a condition to the continuation of a nonresident
34independent insurance adjuster license, the licensee shall maintain
35a resident independent insurance adjuster license in his, her, or its
36home state.
37(1) The nonresident independent insurance adjuster license
38issued under this chapter shall terminate and be surrendered
39immediately to the commissioner if the resident independent
40insurance adjuster license terminates for any reason, unless the
P19 1termination is due to the independent insurance adjuster being
2issued a new resident independent insurance adjuster license in
3
his, her, or its new home state.
4(2) The nonresident independent insurance adjuster license shall
5terminate if the person’s home state does not award nonresident
6independent insurance adjuster licenses to residents of California
7on the same basis.
8(3) (A) The licensee is required to give notice of resident
9independent insurance adjuster license termination
to any state
10that issued a nonresident independent insurance adjuster license.
11(B) The notice is required to be given within 30 days of the
12termination date. If the resident independent insurance adjuster
13license was terminated for change in resident home state, then the
14notice is required to include both the previous and current
address.
15(4) Maintaining a resident independent insurance adjuster license
16is required for the nonresident independent insurance adjuster
17license to remain valid.
Section 14079 is added to the Insurance Code, to
19read:
(a) An independent insurance adjuster shall be honest
21and fair in all communications with the insured, the insurer, and
22the public.
23(b) An independent insurance adjuster shall provide
24policyholders and claimants with prompt and knowledgeable
25service and courteous, fair, and objective treatment at all times.
26(c) An independent insurance adjuster shall not give legal advice
27and shall not deal directly with any policyholder or claimant who
28is represented by legal counsel without the consent of the legal
29counsel involved.
30(d) An independent
insurance adjuster shall comply with all
31local, state, and federal privacy and information security laws.
32(e) An independent insurance adjuster shall identify himself or
33herself as an independent insurance adjuster and, if applicable,
34shall identify his or her employer when dealing with any
35policyholder or claimant.
36(f) An independent insurance adjuster shall not have any
37financial interest in any adjustment or shall not acquire for himself,
38herself, or any person any interest or title in salvage, without first
39receiving written authority from the principal.
Section 14080 of the Insurance Code is amended to
2read:
Any person who knowingly falsifies the fingerprints
4or photographs submitted under paragraph (7) of subdivision (a)
5of Section 14024 or paragraph (8) of subdivision (c) of Section
614025.1 is guilty of a felony. Any person who violates any of the
7other provisions of this chapter is guilty of a misdemeanor
8punishable by fine not to exceed five hundred dollars ($500), or
9by imprisonment in the county jail not to exceed one year, or by
10both the fine and imprisonment.
Section 14090.1 of the Insurance Code is amended
12to read:
(a) An individual who holds an independent insurance
14adjuster license and who is not exempt under subdivision (b) shall
15satisfactorily complete a minimum of 24 hours, of which three
16hours are to be in ethics, of continuing education courses pertinent
17to the duties and responsibilities of an independent insurance
18adjuster license and shall report the completion of this coursework
19to the insurance commissioner on a biennial basis in conjunction
20with his or her license renewal cycle.
21(b) This section does not apply to any of the following:
22(1) A licensee not licensed for one full year prior to the end of
23the applicable continuing
education biennium.
24(2) A licensee holding a nonresident independent insurance
25adjuster license who has met the continuing education requirements
26of his or her designated home state.
27(3) An individual licensed as an independent insurance adjuster
28and as a property or casualty broker-agent, pursuant to Section
291625, who has met the continuing education requirements specified
30in Section 1749.3.
31(4) An individual licensed as an apprentice independent
32insurance adjuster pursuant to Section 14025.1.
Section 14097 of the Insurance Code is amended to
34read:
The amount of fees prescribed by this chapter, unless
36otherwise fixed, is that fixed in the following schedule:
37(a) The application fee for the qualifying examination for an
38original license is twenty-nine dollars ($29).
39(b) The application fee for an original branch office certificate
40is eighteen dollars ($18).
P21 1(c) The fee for an original license application is an amount equal
2to the renewal fee in effect on the last regular renewal date before
3the date on which the license is issued, except that, if the license
4will expire less than one year after
its issuance, then the fee is an
5amount equal to 50 percent of the renewal fee in effect on the last
6regular renewal date before the date on which the license is issued.
7The commissioner may, by appropriate regulation, provide for the
8waiver or refund of the initial license fee where the license is issued
9less than 45 days before the date on which it will expire.
10(d) The renewal fee shall be fixed by the commissioner as
11follows:
12(1) For a license as an independent insurance adjuster, not more
13than one hundred eighteen dollars ($118).
14(2) For a branch office certificate, not more than twenty-four
15dollars ($24).
16(e) The application and license fee for
classifications prescribed
17by the commissioner, in addition to those provided for in this
18chapter, and the application and license fees for a change in the
19type of business organization of a licensee, shall be in the amount
20prescribed by rule and regulation of the commissioner.
21(f) The delinquency fee shall be 50 percent of the renewal fee
22in effect on the date of expiration.
23(g) The fee for reexamination of an applicant is twelve dollars
24($12).
25(h) The application fee for an apprentice independent insurance
26adjuster license shall be fixed by the commissioner by regulation
27and shall be reasonably related to the actual cost to the department
28in performing its duties under this
chapter.
Section 14099 of the Insurance Code is amended to
30read:
Application or license fees shall not be refunded
32pursuant to Section 1751.5.
Section 15001 of the Insurance Code is amended to
35read:
As used in this chapter the following terms have the
37following meanings:
38(a) “Apprentice public insurance adjuster” means a person
39who is qualified in all respects as a public adjuster, except as to
40experience, education, or training.
P22 1(b) “Business entity” means a corporation, association,
2partnership, limited liability company, limited liability partnership,
3or other legal entity.
4(c) “Catastrophic disaster” means an event that results in large
5numbers of deaths and injuries; causes extensive damage or
6destruction of facilities that provide and sustain human needs;
7produces an overwhelming demand on state and local response
8resources and mechanisms; causes a severe long-term effect on
9general economic activity; and severely affects state, local, and
10private sector capabilities to begin and sustain response activities.
11A catastrophic disaster shall be declared by the President of the
12United States or the Governor of the state or district in which the
13disaster occurred.
14(a)
end delete15begin insert(d)end insert “Commissioner” means the Insurance Commissioner.
16(b)
end delete17begin insert(e)end insert “Department” means the Department of Insurance.
18(c)
end delete
19begin insert(f)end insert “Fingerprints” means an impression of the lines on the finger
20taken for the purposes of identification.
21(d)
end delete
22begin insert(g)end insert “Home state” means the District of Columbia and any state
23or territory of the United States in which the public insurance
24adjuster’s principal place of residence or principal place of business
25is located. If neither the state in which the public insurance adjuster
26maintains the principal place of residence nor the state in which
27the public insurance adjuster maintains the principal place of
28business has a substantially similar law governing public insurance
29adjusters, the public insurance adjuster may declare another state
30in which it becomes licensed and acts as a public insurance adjuster
31to be the “home state.”
32(e)
end delete33begin insert(h)end insert “Licensee” means a person licensed under this chapter.
34(f)
end delete
35begin insert(i)end insert “Person” includes any individual, firm, company, association,
36organization, partnership, limited liability company, and
37corporation.
Section 15007 of the Insurance Code is repealed.
Section 15007 is added to the Insurance Code, to read:
begin insert(a)end insertbegin insert end insert“Public insurance adjuster,” for purposes of this
4chapter, means any person who, for compensation or any other
5thing of value on behalf of an insured, does any of the following:
6(a)
end delete
7begin insert(1)end insert Acts or aids, solely in relation to first party claims arising
8under insurance contracts that insure the real or personal property
9of the insured, on behalf of an insured in
negotiating for, or
10effecting the settlement of, a claim for loss or damage coverage
11by an insurance contract.
12(b)
end delete
13begin insert(2)end insert Advertises for employment as a public adjuster of insurance
14claims or solicits business or represents himself or herself to the
15public as a public insurance adjuster of first party insurance claims
16for losses or damages arising out of policies of insurance that insure
17real or personal property.
18(c)
end delete
19begin insert(3)end insert Directly or indirectly solicits business, investigates, or adjusts
20losses, or advises an insured about first party claims for losses or
21damages arising out of policies of insurance that insure real or
22personal property for another person engaged in the business of
23adjusting losses or damages covered by an insurance policy, for
24the insured.
25(b) Paragraph (1) of subdivision (a) does not prohibit a public
26insurance adjuster from handling third-party claims if liability is
27not in dispute.
Section 15008 of the Insurance Code is amended to
30read:
This chapter does not apply to any of the following:
32(a) An officer or employee of the United States of America, or
33of the state or of a political subdivision thereof while the officer
34or employee is engaged in the performance of his or her official
35duties.
36(b) A charitable philanthropic society duly incorporated under
37the laws of this state
that is organized and maintained for the public
38good and not for private profit.
39(c)
end delete
P24 1begin insert(a)end insert An attorney at lawbegin delete inend deletebegin insert admitted to practice in this state, whenend insert
2 performing his or her duties as an attorney at law.
3(d) Admitted insurers, agents, and insurance brokers licensed
4by the state performing duties in connection with insurance
5transactions by them.
6(e) The legal owner of personal property that has been sold
7under a conditional sales agreement or a mortgagee under the terms
8of a chattel mortgage.
9(f) Any salaried office employee who performs exclusively
10clerical and
administrative duties attendant to the disposition of
11the business regulated by this chapter.
12(g)
end delete
13begin insert(b)end insert Photographers, estimators, appraisers, engineers, and
14arbitrators, who are employed exclusively by a public insurance
15adjuster for the purpose of furnishing technical assistance to a
16licensed public insurance adjuster.
17(h) A private investigator licensed pursuant to Chapter 11.3
18(commencing with Section 7512) of Division 3 of the Business
19and Professions Code while acting within the scope of that license.
20(i)
end delete
21begin insert(c)end insert A person who negotiates or settles claims arising under a
22life or health insurance policy or an annuity contract.
23(j)
end delete
24begin insert(d)end insert A licensed health care provider, or employee of a licensed
25health care provider, who prepares or files a health claim form on
26behalf of a patient.
27(k)
end delete28begin insert(e)end insert A person who settles subrogation claims between insurers.
Section 15009.1 is added to the Insurance Code, to
31read:
(a) The applicant shall complete a 20-hour
33prelicensing course of study for the lines of authority for a public
34insurance adjuster license.
35(b) An applicant who resides in another state that does not
36license public insurance adjusters is eligible to designate California
37as his or her home state. He or she is required to complete the
38prelicensing education, pass the public insurance adjuster
39examination, and meet the license application requirements before
40a license can be issued.
P25 1(c) An applicant licensed as a public insurance adjuster in
2another state is exempt from completing a prelicensing education
3course to apply for a California public insurance adjuster license
4if, at the
time of application, the applicant’s out-of-state license is
5current or was canceled within 90 calendar days. The applicant is
6required to be a licensee in good standing in his or her home state.
Section 15010 of the Insurance Code is amended to
9read:
An application shall be verified and shall include all
11of the following:
12(a) The full name and business address of the applicant.
13(b) The name under which the applicant intends to do business.
14(c) A statement as to the general nature of the business in which
15the applicant intends to engage.
16(d) A statement as to the classifications under which the
17applicant desires to be qualified.
18(e)
end delete
19begin insert(d)end insert If the applicant is a person other than an individual, the full
20name and resident address of each of its partners, officers, and
21directors.
22(f)
end delete
23begin insert(e)end insert Twobegin delete recent photographsend deletebegin insert photographs, not older than six
24months,end insert of the applicant, of a type prescribed by the commissioner,
25and one classifiable set of his or her
fingerprints, to be sent to a
26live scan fingerprint provider as directed by the department, if
27fingerprints are not submitted in person with a live scan
28fingerprinting service provider certified by the Department of
29Justice.
30(g)
end delete31begin insert(f)end insert A verified statement of his or her experience qualifications.
32(h)
end delete
33begin insert(g)end insert Other information, evidence, statements,
or documents as
34may be required by the commissioner.
Section 15011 of the Insurance Code is amended to
37read:
Before an application for a license is granted, the
39applicant shall meet all of the following requirements:
40(a) Be at least 18 years of age.
P26 1(b) Be a bona fide resident of the State of California.
end delete2(c)
end delete
3begin insert(b)end insert Be of good character and shall not have committed acts or
4crimes constituting grounds
for denial of licensure under Section
51668 or 1669.
6(d)
end delete
7begin insert(c)end insert Shall havebegin delete had sufficient experience, or special education begin insert at least two years experienceend insert in the handling
8or training, or both,end delete
9of loss claims under insurance contracts as determined by
10regulations adopted by the commissioner, and be competent to
11transact business and discharge the responsibilities of a public
12insurance adjuster in a manner as to safeguard the interests of the
13public.begin insert
A person who has been licensed as an apprentice public
14insurance adjuster, as set forth in Section 15016, for 12 full months,
15shall be considered to have met the two-year experience
16requirement.end insert
17(e)
end delete
18begin insert(d)end insert Maintain an office in the State of California with public
19access during regular business hours.
20(f)
end delete
21begin insert(e)end insert Pass an exam given by the commissioner in regard to
22property loss adjusting.
23(g)
end delete
24begin insert(f)end insert Post a surety bond executed by a surety company authorized
25to do business in this state in the sum of twenty thousand dollars
26($20,000).
27(h)
end delete
28begin insert(g)end insert For an organization applicant, designate a licensed individual
29public insurance adjuster to be
responsible for the organization’s
30compliance with the insurance laws, rules, and regulations of this
31state.
32(i)
end delete
33begin insert(h)end insert For an organization applicant, authorize only licensed
34individual public insurance adjusters to exercise authority under
35the organization’s license.
36(j)
end delete
37begin insert(i)end insert Comply with any other qualifications as required by the
38
commissioner.
Section 15013 of the Insurance Code is amended to
3read:
Each applicant for a license as a public insurance
5adjuster shall, prior to issuance of the license, personally take and
6pass, to the satisfaction of the commissioner, an examination given
7by the department as follows:
8(a) The examination shall be prescribed by the commissioner
9and shall be of sufficient scope to reasonably test the applicant’s
10knowledge, among other things, of basic insurance theory, essential
11elements of contracts, technical competence in the handling of the
12various lines for which the applicant is being tested, claims ethics
13and knowledge of the Unfair Practices Act, and the duties and
14responsibilities of public insurance adjusters under the law.
15(b) The
examination shall be given to applicants under the
16supervision of the department or the department’s examination
17contractor and shall be in written form.
18(c) The commissioner shall, within a reasonable period of time,
19not to exceed 30 days, transmit the results of the examination and
20action taken on the application to the applicant.
21(d) In the event an applicant who is otherwise qualified fails the
22examination, the commissioner may administer abegin delete reexamination begin insert reexamination.end insert
23after a waiting period not to exceed six months.end delete
24(e) The examination shall be given at those times and places
25within the state as the commissioner deems
reasonably necessary
26to serve the convenience of the department and applicants.
Section 15015 of the Insurance Code is repealed.
Section 15016 of the Insurance Code is repealed.
Section 15016 is added to the Insurance Code, to
33read:
(a) The apprentice public insurance adjuster license is
35a license to facilitate the training necessary to ensure reasonable
36competency to fulfill the responsibilities of a public insurance
37adjuster as defined in Section 15007.
38(b) The apprentice public insurance adjuster license is subject
39to the following terms and conditions:
P28 1(1) The applicant shall submit, with an application for an initial
2apprentice public insurance adjuster license, an attestation or
3certification from a licensed public insurance adjuster assuming
4responsibility for all actions of that applicant.
5(2) The apprentice public insurance adjuster is
authorized to
6adjust claims only in California.
7(3) The applicant is required to qualify under the applicable
8provisions of Section 15011.
9(4) The applicant is required to pay a license fee of one hundred
10dollars ($100).
11(5) The applicant is required to comply with any other
12qualifications required by the commissioner.
13(6) The apprentice public insurance adjuster shall not be required
14to take and successfully complete the prescribed public insurance
15adjuster examination.
16(7) The licensee shall at all times be an employee of a public
17insurance adjuster and be subject to training, direction, and control
18by a licensed public insurance adjuster.
19(8) The apprentice public insurance adjuster license is for a
20period not to exceed 12 months, and the license shall not be
21renewed.
22(9) The licensee is restricted to participation in factual
23investigation, tentative closing, and solicitation of losses subject
24to the review and final determination of a licensed public insurance
25adjuster.
26(10) Compensation of an apprentice public insurance adjuster
27shall only be on a salaried or hourly basis.
28(11) The licensee shall be subject to suspension, revocation, or
29conditions in accordance with Section 1668.
30(12) The applicant shall submit twobegin delete recent photographsend delete
31begin insert
photographs, not older than six months,end insert of the applicant, of a type
32prescribed by the commissioner, and one classifiable set of his or
33her fingerprints, to be sent to a live scan fingerprint provider as
34directed by the department, if fingerprints are not submitted in
35person with a live scan fingerprinting service provider certified
36by the Department of Justice.
Section 15017 of the Insurance Code is amended to
39read:
(a) A nonresident license shall be issued by the
2commissioner to qualified persons who meet the requirementsbegin delete of set forth in
3this chapter asend deletebegin delete subdivisions (a), (c), (d), (e), (f), (g), Section 15011, and who have appointed the
4and (j) ofend delete
5commissioner as an agent for service of process in this state.
6(b) Unless denied licensure pursuant to Sections 15018, 15018.5,
7and 15019, a nonresident person shall receive a nonresident public
8insurance adjuster license if all of the following apply:
9(1) The
person is currently licensed in good standing as a public
10insurance adjuster in his or her home state.
11(2) The person has paid the fees required by Section 15060.
12(3) The person has provided proof of financial responsibility as
13required by Section 15033.
14(4) The individual has submitted to the commissioner the
15completed application for licensure.
16(5) The person’s home state awards nonresident public insurance
17adjuster licenses to residents of California on the same basis.
Section 15020 of the Insurance Code is amended to
20read:
The form and content of the license shall be determined
22by the commissioner.
Section 15027 of the Insurance Code is amended to
25read:
(a) A licensee shall not, directly or indirectly, act within
27this state as a public insurance adjuster without having first entered
28into a contract, in writing, on a form approved by the insurance
29commissioner and executed in duplicate by the public adjuster and
30the insured or a duly authorized representative. One original
31contract shall be kept on file by the licensee, available at all times
32for inspection, without notice, by the commissioner or his or her
33duly authorized representative, and one original contract shall be
34given to the insured.
35(b) The written contract between the licensee and the insured
36shall contain each of the following:
37(1) Title of “Public Adjuster Contract.”
38(2) The name, business name, license number, telephone
39number, and address of the licensee.
40(3) The name and address of the insured.
P30 1(4) A description of the loss and its location, if applicable.
2(5) The name of the insurer and the policy number, if known.
3(6) The full salary, fee, commission, or other consideration the
4licensee is to receive for services under the contract.
5(7) The following statement: “No public adjuster shall charge
6a fee, commission, or other valuable consideration based, in whole
7or in part, on any amount paid to the insured by the insurer prior
8to the date of the written contract between the insured and the
9public adjuster.”
10(7) A public adjuster’s fee, commission, or other valuable
11consideration shall not cause the insured to receive less than any
12amount paid to the insured by the insurer prior to the date of the
13written contract between the insured and the public adjuster.
14(8) A description of the services to be provided to the insured.
15(9) Signatures of the licensee and the insured.
16(10) The date the contract was signed by the licensee and the
17date the contract was signed by the insured.
18(11) The following statement: “As a public adjuster, I am
19required by the California Insurance Code to post a surety bond
20in the sum of $20,000 to cover certain kinds of claims made by
21you, the
insured. If you have any questions concerning the surety
22bond, you may contact the California Department of Insurance
23begin deleteProducerend delete Licensingbegin delete Call Centerend deletebegin insert Hotlineend insert at 1-800-967-9331 or
24www.insurance.ca.gov.”
25(12) A statement of the compensation to the licensee, including
26the percentage and base to which the percentage applies.
27(13) A statement that the insured has the right tobegin delete rescindend deletebegin insert
cancelend insert
28 the contract withinbegin delete seven calendarend deletebegin insert three businessend insert days of signing
29begin delete it.end deletebegin insert it and being provided the signed contract.end insert
30(c) A contract covered by this section shall not contain a contract
31term that does any of the following:
32(1) Allows the licensee’s fee to be collected when money is due
33from an insurer, but not paid, or allows a licensee to collect the
34entire fee from the first payment issued by an insurer, rather than
35as a percentage of each payment issued by an
insurer.
36(2) Requires the insured to authorize an insurer to issue a
37payment only in the name of the licensee.
38(3) Imposes late fees or collection costs on the insured.
39(d) A licensee shall not solicit or attempt to solicit a client for
40employment during a loss-producing occurrence. A loss-producing
P31 1occurrence continues to existbegin delete underend deletebegin insert whenend insert any of the following
2begin delete conditions:end deletebegin insert
conditions exist at the property that is subject to
3solicitationend insertbegin insert:end insert
4(1) Any of the circumstances that caused the loss arebegin delete present.end delete
5begin insert present at the property where the solicitation would otherwise take
6place.end insert
7(2) Emergency responders arebegin delete present.end deletebegin insert present at the property
8where the solicitation would otherwise take place.end insert
9(3) An evacuation order is still inbegin delete effect.end deletebegin insert effect at the property
10where the solicitation would otherwise take place.end insert
11(e) A licensee or any other person or entity offering, for a fee,
12service regulated by this chapter shall not solicit a policyholder
13for employment or initiate any contact with a policyholder between
14the hours of 6 p.m. and 8begin delete a.m.end deletebegin insert a.m., unless requested by the
15policyholder.end insert
16(f) A licensee shall not use any form of contract other
than that
17approved by the commissioner and that contains each of the
18following:
19(1) A provision allowing the client tobegin delete rescindend deletebegin insert cancelend insert the contract
20by written notice sent or delivered by certified mail, return receipt
21requested, or other form of mailing that provides proof of mailing,
22to the licensee by midnight of thebegin delete seventh calendarend deletebegin insert third businessend insert
23 day after the day on which the client signs a contract that complies
24with thisbegin delete section.end deletebegin insert
section and is provided a copy of that signed
25contract.end insert Each copy of the contract shall contain a completed form,
26captioned “Notice of Cancellation,” that shall be placed at the end
27of the contract and be separated from the remainder of the contract
28by a printed line. Nothing shall be printed on the reverse side of
29the notice form. The notice form shall be completed by the licensee,
30and shall contain in type of at least 10-point the following statement
31written in the same language, e.g., Spanish, as used in the contract:
|
|
(Date of Contract) |
38You may cancel this contract withinbegin delete seven calendarend deletebegin insert
three
39businessend insert days from the above datebegin insert
that you signed the contract
40and you were provided with a copy of that signed contract, except
P32 1that, as it pertains to a disaster as defined in Section 15001, your
2right to cancel is five calendar daysend insert without any penalty or
3obligation to pay your public adjuster, other than for reimbursement
4of moneys paid by your public adjuster for out-of-pocket
5emergency expenses for you or on your behalf. If your public
6adjuster seeks reimbursement from you for out-of-pocket
7emergency expenses, your public adjuster shall provide you with
8an itemized statement of those emergency expenses advanced to
9you or on your behalf if the cancellation is made within the first
10begin delete seven calendarend deletebegin insert three businessend insert days after the contract wasbegin delete initiated.end delete
11begin insert
signed by you and you were provided a copy of the signed contract.end insert
12 Nothing in this contract permits your public adjuster to recover
13any costs, except for out-of-pocket emergency expenses advanced
14to you.
15If you cancel, any money or other consideration paid by you will
16be returned within five business days following the receipt of your
17cancellation notice, and any security interest arising out of the
18transaction will be canceled.
19To cancel this contract, mail or deliver by certified mail, return
20receipt requested, or other form of mailing that provides proof of
21mailing, a signed and dated copy of this cancellation notice, or
22any other written notice, or send a telegram to:
|
|
(name of public adjuster) | |
at |
|
|
|
(address of public adjuster’s place of business)
|
|
not later than midnight of |
|
(Date) | |
I hereby cancel this contract |
|
(Date) | |
|
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(Client’s signature) |
38(2) The statement “WE REPRESENT THE INSURED ONLY”
39prominently displayed in at least 10-point type.
P33 1(3) A provision disclosing the percentage of the insured’s claim,
2or other fee, that the licensee will charge for his or her services.
3The licensee shall obtain the initials of the insured next to this
4provision.
5(4) A conspicuous statement in at least 10-point type in
6immediate proximity to the space reserved for the client’s signature,
7as follows: “You may cancel this contract at any time before
8midnight of thebegin delete seventh calendarend deletebegin insert
third businessend insert day after the date
9of this contract. See the notice of cancellation form at the end of
10this contract for an explanation of this right.”
11(g) A licensee shall not knowingly make any false report to his
12or her employer or divulge to any other person, except as he or
13she may be required by law to do so, any information acquired by
14him or her except at the direction of the employer or a client for
15whom the information is obtained.
16(h) A licensee shall not use a badge in connection with the
17official activities of the licensee’s business.
18(i) 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.
22(j) Pursuant to subdivisions (a) and (c) of Section 15006, the
23commissioner shall have the authority to enforce the provisions
24of this chapter and prosecute violations thereunder committed by
25unlicensed persons or entities that hold themselves out or act as
26public insurance adjusters.
27(k) For purposes of this section, “business day” shall have the
28same meaning given to that term in subdivision (e) of Section
291689.5 of the Civil Code, as in effect on the operative date of this
30statute.
31(l) The contract and the notice of cancellation set forth in
32paragraph (1) of subdivision (f) shall be written in the same
33language, e.g., Spanish, as principally used in the negotiation of
34the contract.
35(m) Within five business days after a contract has been
canceled,
36the licensee shall tender to the client any payments made by the
37client and any note or other evidence of indebtedness, including
38an itemized statement of all amounts tendered to the client.
39(n) The licensee is not entitled to compensation for services
40performed prior to cancellation, other than for reimbursement of
P34 1moneys paid by the licensee for out-of-pocket emergency expenses
2for the client or on behalf of the client. If the licensee seeks
3reimbursement from the client for out-of-pocket emergency
4expenses, and if the cancellation is made within the firstbegin delete seven begin insert
three businessend insert days after the contract was initiated, the
5calendarend delete
6licensee shall provide the client with an itemized statement of those
7emergency expenses advanced to the client or on behalf of the
8client by the licensee. Nothing in this subdivision shall permit the
9licensee to recover any costs, except for out-of-pocket emergency
10expenses advanced to the client. Any security interest shall be
11canceled upon cancellation of the contract.
12(o) Notice of cancellation given by the client need not take the
13particular form specified in paragraph (1) of subdivision (f). Notice
14of cancellation, however expressed, is effective if it indicates the
15intention of the client not to be bound by the contract.
16(p) Cancellation occurs when the client gives written notice of
17cancellation by certified mail, return receipt requested, or other
18form of mailing that provides
proof of mailing, to the licensee at
19the address specified in the contract.
20(q) Notice of cancellation, if given by mail, is effective when
21sent by certified mail, return receipt requested, or other form of
22mailing that provides proof of mailing, properly addressed with
23postage prepaid.
24(r) Until the licensee has complied with this section, the client
25may cancel the contract.
26(s) The contracts shall be executed in duplicate. The licensee
27shall retain one original contract, and shall provide the insured
28with an original contract.
29(t) The licensee shall provide the client with an original contract
30and notice of cancellation at the time the client signs the contract.
31(u) Any confession of
judgment or waiver of the provisions of
32this chapter shall be deemed contrary to public policy and shall be
33void and unenforceable.
34(v) Prior to the signing of the contract, the licensee shall provide
35the insured with a separate printed disclosure document in the
36following form that bears the name and license number of the
37licensee:
3There are three types of insurance adjusters that could be
4involved in the processing of your insurance claim. The definitions
5of the three types are as follows:
6(1) Public adjusters means the insurance adjusters who do not
7work for your insurance company. They work for you, the insured,
8to assist in the preparation, presentation, and settlement of your
9claim. You hire them by signing a contract and agreeing to pay
10them a fee or commission based
on a percentage of the settlement,
11or other method of compensation. Public adjusters are required to
12be licensed, bonded, and tested by the State of California to
13represent your interest only.
14(2) Company adjusters means the insurance adjusters who are
15employees of your insurance company. They represent your
16insurance company and are paid by your insurance company. They
17will not charge you a fee and are not individually licensed or tested
18by the State of California.
19(3) Independent adjusters means the insurance adjusters who
20are hired on a contract basis by your insurance company to
21represent the company in the settlement of the claim. They are
22paid by your insurance company. They will not charge you a fee.
23You have the right, but are not required, to use the services of
24a public adjuster in the preparation and handling of your insurance
25
claim.
26Public adjusters cannot solicit your business while the loss is
27underway, or between the hours of 6 p.m. and 8 a.m.
28Your “Public Adjuster Contract,” with a public adjuster
29representing you, should clearly indicate the amount of the fee you
30will be paying to your public adjuster. Your contract, with this fee
31percentage, should be acknowledged by your initials on the “Public
32Adjuster Contract.” The salary, fee, commission, or other
33consideration is to be paid by you (the insured), not the insurance
34company (insurer).
35You have the right to cancel the contract with your public
36adjuster, without any penalty or obligation, withinbegin delete seven calendarend delete
37begin insert three businessend insert days from the date the contract
is signed.begin insert If the
38contract was established from a catastrophic disaster as defined
39in subdivision (c) of Section 15001, the insured has the right to
40cancel within five calendar days.end insert
P36 1If you cancel the contract with your public adjuster, any money
2or other consideration paid by you will be returned within five
3business days following the receipt of your cancellation notice,
4and any security interest arising out of the transaction will be
5canceled.
6To cancel the contract with your public adjuster, mail or deliver
7by certified mail, return receipt requested, or other form of mailing
8that provides proof of mailing, a signed and dated copy of the
9cancellation notice, or any other written notice, or send a telegram
10to the public adjuster at the address in the contract.
11You have the
right to, and may, communicate with your
12insurance company at any time if you feel the need during the
13claims process.
14If you have any concerns or questions, the officers at the
15California Department of Insurance Consumer Hotline are there
16to help you. Pleasebegin delete callend deletebegin insert contactend insert them at 1-800-927-HELPbegin delete (4357),end delete
17begin insert
(4357)end insert or www.insurance.ca.gov.”
18(w) No later thanbegin delete seven calendarend deletebegin insert three businessend insert days after the
19cancellation has expired, the public adjuster shall notify the insurer,
20its adjuster, or its attorney, that he or she has entered into a written
21contract with the insured.
22(x) If the licensee misrepresents or conceals a material fact from
23the insured prior to execution of the contract, the insured is entitled
24to rescind the contract without time limit.
25(y) Notwithstanding any other provision of this section, if a
26
property loss is included in an area that is subject to a catastrophic
27disaster, as defined in Section 15001, the insured shall have the
28right to cancel a contract with a public adjuster within five
29calendar days of signing it and being provided a copy of the signed
30contract.
Section 15027.1 of the Insurance Code is amended
33to read:
(a) In addition to the restrictions in subdivision (e)
35of Section 15027, a licensee shall not solicit a contract of
36engagement for residential properties under this chapterbegin insert that are
37included in an area subject to a catastrophic disasterend insert until seven
38calendar days have elapsed from the conclusion of a loss-producing
39occurrence as defined in subdivision (d) of Section 15027.
P37 1(b) Subdivision (a) shall not apply if the licensee is contacted
2directly by the insured or the insured’s representative.
3(c) Nothing in subdivision (a) shall prohibit a licensee from
4providing a policyholder, without making personal contact with
5the policyholder, with accurate written materials explaining
6services provided by public insurance adjusters.
begin insertSection 15028 of the end insertbegin insertInsurance Codeend insertbegin insert is amended to
8read:end insert
No person licensed as a public insurance adjuster shall
10do any of the following:
11(a) Use any misrepresentation to solicit a contract or agreement
12to adjust a claim.
13(b) Solicit or accept remuneration from, or have a financial
14interest in, any salvage, repair or other firm which obtains business
15in connection with any claim he or she has a contract or agreement
16to adjust.
17(c) Advance moneys to any potential client or insured in order
18to obtain business.
19(d) Offer to pay a fee, commission, or other valuable
20consideration, exceeding one hundred dollars
($100), to a person
21for referring a loss unless he or she employs that person to so act
22for him or her and that person is licensed to act as an adjuster under
23the provisions of this chapter.
24(e) Permit an employee or agent, in his or her own name, to
25advertise, engage clients, furnish reports, present bills to clients,
26or in any manner conduct business for which a license is required
27pursuant to this chapter.
Section 15031 of the Insurance Code is amended to
30read:
(a) A licensee shall not conduct a business under a
32fictitious or other business name unless and until he or she has
33obtained the written authorization of the commissioner to do so.
34(b) The commissioner shall not authorize the use of a fictitious
35or other business name that is so similar to that of a public officer
36or agency or that is used by another licensee that the public may
37be confused or misled thereby.
38(c) The authorization shall require, as a condition precedent to
39the use of a fictitious name, that the licensee comply with Section
401724.5.
P38 1(d) A licensee desiring to conduct his or her
business under
2more than one fictitious name shall obtain the authorization of the
3commissioner in a manner prescribed in this section for the use of
4additional fictitious names.
5(e) The licensee shall pay a fee of ten dollars ($10) for each
6authorization to use an additional fictitious name and for each
7change in the use of a fictitious business name. If the original
8license is issued in a nonfictitious name and authorization is
9requested to have the license reissued in a fictitious business name,
10the licensee shall pay a fee of ten dollars ($10) for that
11authorization.
Section 15036 of the Insurance Code is amended to
13read:
In lieu of the surety bond required by this chapter there
15may be deposited with the State of California the sum of twenty
16thousand dollars ($20,000) in cash, or evidence of deposit of the
17sum of twenty thousand dollars ($20,000) in banks authorized to
18do business in this state and insured by the Federal Deposit
19Insurance Corporation, or investment certificates or share accounts
20in the amount of twenty thousand dollars ($20,000) issued by a
21savings association doing business in this state and insured by the
22Federal Deposit Insurance Corporation, or evidence of a certificate
23of funds or share account of the sum of twenty thousand dollars
24($20,000) in a credit union as defined in Section 14002 of the
25Financial Code whose share
deposits are guaranteed by the
26National Credit Union Administration or guaranteed by any other
27agency approved by the Department of Business Oversight.
begin insertSection 15036 of the end insertbegin insertInsurance Codeend insertbegin insert is amended to
29read:end insert
In lieu of the surety bond required by this chapter there
31may be deposited with the State of California the sum of twenty
32thousand dollars ($20,000) in cash, or evidence of deposit of the
33sum of twenty thousand dollars ($20,000) in banks authorized to
34do business in this state and insured by the Federal Deposit
35Insurance Corporation, or investment certificates or share accounts
36in the amount of twenty thousand dollars ($20,000) issued by a
37savings association doing business in this state and insured by the
38Federal Deposit Insurance Corporation, or evidence of a certificate
39of funds or share account of the sum of twenty thousand dollars
40($20,000) in a credit union as defined in Sectionbegin delete 14000end deletebegin insert
14002end insert of
P39 1the Financial Code whose share deposits are guaranteed by the
2National Credit Union Administration or guaranteed by any other
3agency approved by the Department of Business Oversight.
Section 15053 of the Insurance Code is amended to
6read:
begin deleteAny end deletebegin insertA end insertperson who knowingly falsifies the fingerprints
8or photographs submitted under subdivision (f) of Section 15010
9or paragraph (12) of subdivision (b) of Section 15016 is guilty of
10a felony.begin delete Anyend deletebegin insert Aend insert person who violates any of the other provisions
11of this chapter is guilty of a misdemeanor punishable bybegin insert aend insert
fine not
12to exceed five hundred dollars ($500) or by imprisonment inbegin delete theend delete
13begin insert aend insert county jail not to exceed one year, or by both that fine and
14imprisonment.
Section 15056 of the Insurance Code is amended to
17read:
(a) Except as otherwise provided in this article, an
19expired license or branch office certificate may be renewed at any
20time within one year after its expiration on the filing of an
21application for renewal on a form prescribed by the commissioner,
22and the payment of a renewal fee in effect on the actual renewal
23date. If the license or certificate is renewed after its expiration, the
24licensee, as a condition precedent to renewal, shall also pay the
25delinquency fee prescribed by this chapter. Renewal under this
26section shall be effective on the date on which the application is
27filed, on the date on which the renewal fee is paid, or on the date
28on which the delinquency fee, if any, is paid, whichever occurs
29last. If so renewed, the license or certificate shall continue in effect
30through the
date provided in Section 15054 that next occurs after
31the effective date of the renewal, when it shall expire if it is not
32again renewed.
33(b) Renewal of a license or certificate does not prohibit the
34bringing of disciplinary proceedings for an act committed before
35the effective date of the renewal.
Section 15060 of the Insurance Code is amended to
38read:
The amount of fees prescribed by this chapter, unless
40otherwise fixed, is that fixed in the following schedule:
P40 1(a) The application fee for the qualifying examination for an
2original license is twenty-five dollars ($25).
3(b) The application fee for an original branch office certificate
4is fifteen dollars ($15).
5(c) The fee for an original license application in the amount
6equal to the renewal fee in effect on the last regular renewal date
7before the date on which the license is issued, except that, if the
8license will expire less than one year after its issuance, then the
9fee is an amount equal to 50 percent of the
renewal fee in effect
10on the last regular renewal date before the date on which the license
11is issued.
12(d) The renewal fee shall be fixed by the commissioner as
13follows:
14(1) For a license as a public insurance adjuster, not more than
15one hundred dollars ($100).
16(2) For a branch office certificate, not more than twenty dollars
17($20).
18(e) The application and license fee for applications prescribed
19by the commissioner, in addition to those in this chapter, and the
20application and license fee for a change in the type of business
21organization of the licensee, shall be in the amount prescribed by
22rule and regulation of the commissioner.
23(f) The delinquency fee shall be 50 percent of the renewal
fee
24in effect on the date of expiration.
25(g) The fee for reexamination of an applicant is ten dollars ($10).
Section 15062 of the Insurance Code is amended to
28read:
Application or license fees shall not be refunded
30pursuant to Section 1751.5.
No reimbursement is required by this act pursuant to
33Section 6 of Article XIII B of the California Constitution because
34the only costs that may be incurred by a local agency or school
35district will be incurred because this act creates a new crime or
36infraction, eliminates a crime or infraction, or changes the penalty
37for a crime or infraction, within the meaning of Section 17556 of
38the Government Code, or changes the definition of a crime within
P41 1the meaning of Section 6 of Article XIII B of the California
2Constitution.
O
98