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Public Act 096-1332 | ||||
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois, | ||||
represented in the General Assembly:
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Section 5. The Illinois Insurance Code is amended by adding | ||||
Article XLV as follows: | ||||
(215 ILCS 5/Art. XLV heading new)
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ARTICLE XLV. PUBLIC ADJUSTERS | ||||
(215 ILCS 5/1501 new)
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Sec. 1501. Short title. This Article may be cited as the | ||||
Public Adjusters Law. | ||||
(215 ILCS 5/1505 new)
| ||||
Sec. 1505. Purpose and scope. This Article governs the | ||||
qualifications and procedures for the licensing of public | ||||
adjusters. It specifies the duties of and restrictions on | ||||
public adjusters, which include limiting their licensure to | ||||
assisting insureds in first party claims. | ||||
(215 ILCS 5/1510 new)
| ||||
Sec. 1510. Definitions. In this Article: | ||||
"Adjusting a claim for loss or damage covered by an | ||||
insurance contract" means negotiating values, damages, or |
depreciation or applying the loss circumstances to insurance | ||
policy provisions. | ||
"Business entity" means a corporation, association, | ||
partnership, limited liability company, limited liability | ||
partnership, or other legal entity. | ||
"Department" means the Department of Insurance. | ||
"Director" means the Director of Insurance. | ||
"Fingerprints" means an impression of the lines on the | ||
finger taken for the purpose of identification. The impression | ||
may be electronic or in ink converted to electronic format. | ||
"Home state" means the District of Columbia and any state | ||
or territory of the United States where the public adjuster's | ||
principal place of residence or principal place of business is | ||
located. If neither the state in which the public adjuster | ||
maintains the principal place of residence nor the state in | ||
which the public adjuster maintains the principal place of | ||
business has a substantially similar law governing public | ||
adjusters, the public adjuster may declare another state in | ||
which it becomes licensed and acts as a public adjuster to be | ||
the home state. | ||
"Individual" means a natural person. | ||
"Person" means an individual or a business entity. | ||
"Public adjuster" means any person who, for compensation or | ||
any other thing of value on behalf of the insured: | ||
(i) 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 adjusting a claim for loss or damage covered by | ||
an insurance contract; | ||
(ii) 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; or | ||
(iii) directly or indirectly solicits business, | ||
investigates or adjusts losses, or advises an insured about | ||
first party claims for losses or damages arising out of | ||
policies of insurance that insure real or personal property | ||
for another person engaged in the business of adjusting | ||
losses or damages covered by an insurance policy for the | ||
insured. | ||
"Uniform individual application" means the current version | ||
of the National Association of Directors (NAIC) Uniform | ||
Individual Application for resident and nonresident | ||
individuals. | ||
"Uniform business entity application" means the current | ||
version of the National Association of Insurance Commissioners | ||
(NAIC) Uniform Business Entity Application for resident and | ||
nonresident business entities. | ||
(215 ILCS 5/1515 new)
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Sec. 1515. License required. | ||
(a) A person shall not act, advertise, solicit, or hold | ||
himself out as a public adjuster or to be in the business of | ||
adjusting insurance claims in this State, nor attempt to obtain | ||
a contract for public adjusting services, unless the person is | ||
licensed as a public adjuster in accordance with this Article. | ||
(b) A person licensed as a public adjuster shall not | ||
misrepresent to a claimant that he or she is an adjuster | ||
representing an insurer in any capacity, including acting as an | ||
employee of the insurer or acting as an independent adjuster | ||
unless so appointed by an insurer in writing to act on the | ||
insurer's behalf for that specific claim or purpose. A licensed | ||
public adjuster is prohibited from charging that specific | ||
claimant a fee when appointed by the insurer and the | ||
appointment is accepted by the public adjuster. | ||
(c) A business entity acting as a public adjuster is | ||
required to obtain a public adjuster license. Application shall | ||
be made using the Uniform Business Entity Application. Before | ||
approving the application, the Director shall find that: | ||
(1) the business entity has paid the required fees to | ||
be registered as a business entity in this State; and | ||
(2) all officers, shareholders, and persons with | ||
ownership interests in the business entity are licensed | ||
public adjusters responsible for the business entity's | ||
compliance with the insurance laws, rules, and regulations | ||
of this State. |
(d) Notwithstanding subsections (a) through (c) of this | ||
Section, a license as a public adjuster shall not be required | ||
of the following: | ||
(1) an attorney admitted to practice in this State, | ||
when acting in his or her professional capacity as an | ||
attorney; | ||
(2) a person who negotiates or settles claims arising | ||
under a life or health insurance policy or an annuity | ||
contract; | ||
(3) a person employed only for the purpose of obtaining | ||
facts surrounding a loss or furnishing technical | ||
assistance to a licensed public adjuster, including | ||
photographers, estimators, private investigators, | ||
engineers, and handwriting experts; | ||
(4) a licensed health care provider, or employee of a | ||
licensed health care provider, who prepares or files a | ||
health claim form on behalf of a patient; or | ||
(5) a person who settles subrogation claims between | ||
insurers. | ||
(215 ILCS 5/1520 new)
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Sec. 1520. Application for license. | ||
(a) A person applying for a public adjuster license shall | ||
make application to the Director on the appropriate uniform | ||
application or other application prescribed by the Director. | ||
(b) The applicant shall declare under penalty of perjury |
and under penalty of refusal, suspension, or revocation of the | ||
license that the statements made in the application are true, | ||
correct, and complete to the best of the applicant's knowledge | ||
and belief. | ||
(c) In order to make a determination of license | ||
eligibility, the Director is authorized to require | ||
fingerprints of applicants and submit such fingerprints and the | ||
fee required to perform the criminal history record checks to | ||
the Illinois State Police and the Federal Bureau of | ||
Investigation (FBI) for State and national criminal history | ||
record checks. | ||
(d) The Director may adopt rules to establish procedures | ||
necessary to carry out the requirements of subsection (c) of | ||
this Section. | ||
(e) The Director is authorized to submit electronic | ||
fingerprint records and necessary identifying information to | ||
the NAIC, its affiliates, or subsidiaries for permanent | ||
retention in a centralized repository. The purpose of such a | ||
centralized repository is to provide Directors with access to | ||
fingerprint records in order to perform criminal history record | ||
checks. | ||
(f) Until such time as the Director can obtain and receive | ||
national criminal history records, the applicant shall obtain a | ||
copy of his or her fingerprints and complete criminal history | ||
record from the FBI Criminal Justice Information Services | ||
Division and the Illinois State Police and provide such |
information to the Department of Insurance. | ||
(215 ILCS 5/1525 new)
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Sec. 1525. Resident license. | ||
(a) Before issuing a public adjuster license to an | ||
applicant under this Section, the Director shall find that the | ||
applicant: | ||
(1) is eligible to designate this State as his or her | ||
home state or is a nonresident who is not eligible for a | ||
license under Section 1540; | ||
(2) has not committed any act that is a ground for | ||
denial, suspension, or revocation of a license as set forth | ||
in Section 1555; | ||
(3) is trustworthy, reliable, competent, and of good | ||
reputation, evidence of which may be determined by the | ||
Director; | ||
(4) is financially responsible to exercise the license | ||
and has provided proof of financial responsibility as | ||
required in Section 1560 of this Article; and | ||
(5) maintains an office in the home state of residence | ||
with public access by reasonable appointment or regular | ||
business hours. This includes a designated office within a | ||
home state of residence. | ||
(b) In addition to satisfying the requirements of | ||
subsection (a) of this Section, an individual shall: | ||
(1) be at least 18 years of age; |
(2) have successfully passed the public adjuster | ||
examination; | ||
(3) designate a licensed individual public adjuster | ||
responsible for the business entity's compliance with the | ||
insurance laws, rules, and regulations of this State; and | ||
(4) designate only licensed individual public | ||
adjusters to exercise the business entity's license. | ||
(c) The Director may require any documents reasonably | ||
necessary to verify the information contained in the | ||
application. | ||
(215 ILCS 5/1530 new)
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Sec. 1530. Examination. | ||
(a) An individual applying for a public adjuster license | ||
under this Article must pass a written examination unless he or | ||
she is exempt pursuant to Section 1535 of this Article. The | ||
examination shall test the knowledge of the individual | ||
concerning the duties and responsibilities of a public adjuster | ||
and the insurance laws and regulations of this State. | ||
Examinations required by this Section shall be developed and | ||
conducted under rules and regulations prescribed by the | ||
Director. | ||
(b) The Director may make arrangements, including | ||
contracting with an outside testing service, for administering | ||
examinations and collecting the nonrefundable fee. Each | ||
individual applying for an examination shall remit a |
nonrefundable fee as prescribed by the Director. An individual | ||
who fails to appear for the examination as scheduled or fails | ||
to pass the examination shall reapply for an examination and | ||
remit all required fees and forms before being rescheduled for | ||
another examination. An individual who fails to pass the | ||
examination must wait 90 days prior to rescheduling an | ||
examination. | ||
(215 ILCS 5/1535 new)
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Sec. 1535. Exemptions from examination. | ||
(a) An individual who applies for a public adjuster license | ||
in this State who was previously licensed as a public adjuster | ||
in another state based on a public adjuster examination shall | ||
not be required to complete any prelicensing education. This | ||
exemption is only available if (i) the person is currently | ||
licensed in that state or if the application is received within | ||
12 months of the cancellation of the applicant's previous | ||
license; and (ii) if the prior state issues a certification | ||
that, at the time of cancellation, the applicant was in good | ||
standing in that state or the state's producer database records | ||
or records maintained by the NAIC, its affiliates, or | ||
subsidiaries, indicate that the public adjuster is or was | ||
licensed in good standing. | ||
(b) A person licensed as a public adjuster in another state | ||
based on a public adjuster examination who moves to this State | ||
shall submit an application within 90 days of establishing |
legal residence to become a resident licensee pursuant to | ||
Section 1525 of this Article. No prelicensing examination shall | ||
be required of that person to obtain a public adjuster license. | ||
(c) An individual who applies for a public adjuster license | ||
in this State who was previously licensed as a public adjuster | ||
in this State shall not be required to complete any | ||
prelicensing examination. This exemption is only available if | ||
the application is received within 12 months of the | ||
cancellation of the applicant's previous license in this State | ||
and if, at the time of cancellation, the applicant was in good | ||
standing in this State. | ||
(215 ILCS 5/1540 new)
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Sec. 1540. Nonresident license reciprocity. | ||
(a) Unless denied licensure pursuant to Section 1555 of | ||
this Article, a nonresident person shall receive a nonresident | ||
public adjuster license if: | ||
(1) the person is currently licensed as a resident | ||
public adjuster and in good standing in his or her home | ||
state; | ||
(2) the person has submitted the proper request for | ||
licensure and has provided proof of financial | ||
responsibility as required in Section 1560 of this Article; | ||
(3) the person has submitted or transmitted to the | ||
Director the appropriate completed application for | ||
licensure; and |
(4) the person's home state awards nonresident public | ||
adjuster licenses to residents of this State on the same | ||
basis. | ||
(b) The Director may verify the public adjuster's licensing | ||
status through the producer database maintained by the NAIC, | ||
its affiliates, or subsidiaries. | ||
(c) As a condition to continuation of a public adjuster | ||
license issued under this Section, the licensee shall maintain | ||
a resident public adjuster license in his or her home state. | ||
The nonresident public adjuster license issued under this | ||
Section shall terminate and be surrendered immediately to the | ||
Director if the home state public adjuster license terminates | ||
for any reason, unless the public adjuster has been issued a | ||
license as a resident public adjuster in his or her new home | ||
state. Notification to the state or states where the | ||
nonresident license is issued must be made as soon as possible, | ||
yet no later that 30 days of change in new state resident | ||
license. The licensee shall include his or her new and old | ||
address on the notification. A new state resident license is | ||
required for nonresident licenses to remain valid. The new | ||
state resident license must have reciprocity with the licensing | ||
nonresident state or states for the nonresident license not to | ||
terminate. | ||
(215 ILCS 5/1545 new)
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Sec. 1545. License. |
(a) Unless denied licensure under this Article, persons who | ||
have met the requirements of this Article shall be issued a | ||
public adjuster license. | ||
(b) A public adjuster license shall remain in effect unless | ||
revoked, terminated, or suspended as long as the requirements | ||
for license renewal are met by the due date. | ||
(c) The licensee shall inform the Director by any means | ||
acceptable to the Director of a change of address, change of | ||
legal name, or change of information submitted on the | ||
application within 30 days of the change. | ||
(d) A licensed public adjuster shall be subject to Article | ||
XXVI of this Code. | ||
(e) A public adjuster who allows his or her license to | ||
lapse may, within 12 months from the due date of the renewal, | ||
be issued a new public adjuster license without necessity of | ||
passing a written examination. However, a penalty in the amount | ||
of double the unpaid renewal fee shall be required for the | ||
issue of the new public adjuster license. | ||
(f) A licensed public adjuster that is unable to comply | ||
with license renewal procedures due to military service or a | ||
long-term medical disability may request a waiver of the | ||
procedures in subsection (e) of this Section. The public | ||
adjuster may also request a waiver of any examination | ||
requirement, fine, or other sanction imposed for failure to | ||
comply with renewal procedures. | ||
(g) The license shall contain the licensee's name, city and |
state of business address, personal identification number, the | ||
date of issuance, the expiration date, and any other | ||
information the Director deems necessary. | ||
(h) In order to assist in the performance of the Director's | ||
duties, the Director may contract with non-governmental | ||
entities, including the NAIC or any affiliates or subsidiaries | ||
that the NAIC oversees, to perform any ministerial functions, | ||
including the collection of fees and data, related to licensing | ||
that the Director may deem appropriate. | ||
(215 ILCS 5/1555 new)
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Sec. 1555. License denial, nonrenewal, or revocation. | ||
(a) The Director may place on probation, suspend, revoke, | ||
deny, or refuse to issue or renew a public adjuster's license | ||
or may levy a civil penalty or any combination of actions, for | ||
any one or more of the following causes: | ||
(1) providing incorrect, misleading, incomplete, or | ||
materially untrue information in the license application; | ||
(2) violating any insurance laws, or violating any | ||
regulation, subpoena, or order of the Director or of | ||
another state's Director; | ||
(3) obtaining or attempting to obtain a license through | ||
misrepresentation or fraud; | ||
(4) improperly withholding, misappropriating, or | ||
converting any monies or properties received in the course | ||
of doing insurance business; |
(5) intentionally misrepresenting the terms of an | ||
actual or proposed insurance contract or application for | ||
insurance; | ||
(6) having been convicted of a felony or misdemeanor | ||
involving dishonesty or fraud, unless the individual | ||
demonstrates to the Director sufficient rehabilitation to | ||
warrant the public trust; | ||
(7) having admitted or been found to have committed any | ||
insurance unfair trade practice or insurance fraud; | ||
(8) using fraudulent, coercive, or dishonest | ||
practices; or demonstrating incompetence, | ||
untrustworthiness, or financial irresponsibility in the | ||
conduct of business in this State or elsewhere; | ||
(9) having an insurance license or public adjuster | ||
license or its equivalent, denied, suspended, or revoked in | ||
any other state, province, district, or territory; | ||
(10) forging another's name to an application for | ||
insurance or to any document related to an insurance | ||
transaction; | ||
(11) cheating, including improperly using notes or any | ||
other reference material, to complete an examination for an | ||
insurance license or public adjuster license; | ||
(12) knowingly accepting insurance business from or | ||
transacting business with an individual who is not licensed | ||
but who is required to be licensed by the Director; | ||
(13) failing to comply with an administrative or court |
order imposing a child support obligation; | ||
(14) failing to pay State income tax or comply with any | ||
administrative or court order directing payment of State | ||
income tax; | ||
(15) failing to comply with or having violated any of | ||
the standards set forth in Section 1590 of this Law; or | ||
(16) failing to maintain the records required by | ||
Section 1585 of this Law. | ||
(b) If the action by the Director is to nonrenew, suspend, | ||
or revoke a license or to deny an application for a license, | ||
the Director shall notify the applicant or licensee and advise, | ||
in writing, the applicant or licensee of the reason for the | ||
suspension, revocation, denial, or nonrenewal of the | ||
applicant's or licensee's license. The applicant or licensee | ||
may make written demand upon the Director within 30 days after | ||
the date of mailing for a hearing before the Director to | ||
determine the reasonableness of the Director's action. The | ||
hearing must be held within not fewer than 20 days nor more | ||
than 30 days after the mailing of the notice of hearing and | ||
shall be held pursuant to 50 Ill. Adm. Code 2402. | ||
(c) The license of a business entity may be suspended, | ||
revoked, or refused if the Director finds, after hearing, that | ||
an individual licensee's violation was known or should have | ||
been known by one or more of the partners, officers, or | ||
managers acting on behalf of the business entity and the | ||
violation was neither reported to the Director, nor corrective |
action taken. | ||
(d) In addition to or in lieu of any applicable denial, | ||
suspension or revocation of a license, a person may, after | ||
hearing, be subject to a civil penalty. In addition to or | ||
instead of any applicable denial, suspension, or revocation of | ||
a license, a person may, after hearing, be subject to a civil | ||
penalty of up to $10,000 for each cause for denial, suspension, | ||
or revocation, however, the civil penalty may total no more | ||
than $100,000. | ||
(e) The Director shall retain the authority to enforce the | ||
provisions of and impose any penalty or remedy authorized by | ||
this Article against any person who is under investigation for | ||
or charged with a violation of this Article even if the | ||
person's license or registration has been surrendered or has | ||
lapsed by operation of law. | ||
(f) Any individual whose public adjuster's license is | ||
revoked or whose application is denied pursuant to this Section | ||
shall be ineligible to apply for a public adjuster's license | ||
for 5 years. A suspension pursuant to this Section may be for | ||
any period of time up to 5 years. | ||
(215 ILCS 5/1560 new)
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Sec. 1560. Bond or letter of credit. | ||
(a) Prior to the issuance of a license as a public adjuster | ||
and for the duration of the license, the applicant shall secure | ||
evidence of financial responsibility in a format prescribed by |
the Director through a surety bond or irrevocable letter of | ||
credit, subject to all of the following requirements: | ||
(1) A surety bond executed and issued by an insurer | ||
authorized to issue surety bonds in this State, which bond: | ||
(A) shall be in the minimum amount of $20,000; | ||
(B) shall be in favor of this State and shall | ||
specifically authorize recovery by the Director on | ||
behalf of any person in this State who sustained | ||
damages as the result of erroneous acts, failure to | ||
act, conviction of fraud, or conviction of unfair | ||
practices in his or her capacity as a public adjuster; | ||
and | ||
(C) shall not be terminated unless at least 30 | ||
days' prior written notice will have been filed with | ||
the Director and given to the licensee; and | ||
(2) An irrevocable letter of credit issued by a | ||
qualified financial institution, which letter of credit: | ||
(A) shall be in the minimum amount of $20,000; | ||
(B) shall be to an account to the Director and | ||
subject to lawful levy of execution on behalf of any | ||
person to whom the public adjuster has been found to be | ||
legally liable as the result of erroneous acts, failure | ||
to act, fraudulent acts, or unfair practices in his or | ||
her capacity as a public adjuster; and | ||
(C) shall not be terminated unless at least 30 | ||
days' prior written notice will have been filed with |
the and given to the licensee. | ||
(b) The issuer of the evidence of financial responsibility | ||
shall notify the Director upon termination of the bond or | ||
letter of credit, unless otherwise directed by the Director. | ||
(c) The Director may ask for the evidence of financial | ||
responsibility at any time he or she deems relevant. | ||
(d) The authority to act as a public adjuster shall | ||
automatically terminate if the evidence of financial | ||
responsibility terminates or becomes impaired. | ||
(215 ILCS 5/1563 new)
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Sec. 1563. Fees. | ||
(a) The fees required by this Article
are as follows: | ||
(1) Public adjuster license fee of $250, payable once | ||
every 2 years. | ||
(2) Business entity license fee of $250, payable once | ||
every 2 years. | ||
(3) Application fee of $50 for processing each request | ||
to take the written examination for a public adjuster | ||
license. | ||
(215 ILCS 5/1565 new)
| ||
Sec. 1565. Continuing education. | ||
(a) An individual who holds a public adjuster license and | ||
who is not exempt under subsection (b) of this Section shall | ||
satisfactorily complete a minimum of 24 hours of continuing |
education courses, including 3 hours of classroom ethics | ||
instruction, reported on a biennial basis in conjunction with | ||
the license renewal cycle. | ||
The Director may not approve a course of study unless the | ||
course provides for
classroom, seminar, or self-study | ||
instruction methods. A course
given in a combination | ||
instruction method of classroom or seminar
and self-study shall | ||
be deemed to be a self-study course unless the
classroom or | ||
seminar certified hours meets or exceeds two-thirds of
the | ||
total hours certified for the course. The self-study material | ||
used
in the combination course must be directly related to and | ||
complement
the classroom portion of the course in order to be | ||
considered for
credit. An instruction method other than | ||
classroom or seminar shall
be considered as self-study | ||
methodology. Self-study credit hours
require the successful | ||
completion of an examination covering the
self-study material. | ||
The examination may not be self-evaluated.
However, if the | ||
self-study material is completed through the use of
an approved | ||
computerized interactive format whereby the computer
validates | ||
the successful completion of the self-study material, no
| ||
additional examination is required. The self-study credit | ||
hours
contained in a certified course shall be considered | ||
classroom hours
when at least two-thirds of the hours are given | ||
as classroom or
seminar instruction. | ||
The public adjuster must complete the course in advance of | ||
the renewal date to
allow the education provider time to report |
the credit to the
Department. | ||
(b) This Section shall not apply to: | ||
(1) licensees not licensed for one full year prior to | ||
the end of the applicable continuing education biennium; or | ||
(2) licensees holding nonresident public adjuster | ||
licenses who have met the continuing education | ||
requirements of their home state and whose home state gives | ||
credit to residents of this State on the same basis. | ||
(c) Only continuing education courses approved by the | ||
Director shall be used to satisfy the continuing education | ||
requirement of subsection (a) of this Section. | ||
(215 ILCS 5/1570 new)
| ||
Sec. 1570. Public adjuster fees. | ||
(a) A public adjuster shall not pay a commission, service | ||
fee, or other valuable consideration to a person for | ||
investigating or settling claims in this State if that person | ||
is required to be licensed under this Article and is not so | ||
licensed. | ||
(b) A person shall not accept a commission, service fee, or | ||
other valuable consideration for investigating or settling | ||
claims in this State if that person is required to be licensed | ||
under this Article and is not so licensed. | ||
(c) A public adjuster may pay or assign commission, service | ||
fees, or other valuable consideration to persons who do not | ||
investigate or settle claims in this State, unless the payment |
would violate State law. | ||
(215 ILCS 5/1575 new)
| ||
Sec. 1575. Contract between public adjuster and insured. | ||
(a) Public adjusters shall ensure that all contracts for | ||
their services are in writing and contain the following terms: | ||
(1) legible full name of the adjuster signing the | ||
contract, as specified in Department records; | ||
(2) permanent home state business address and phone | ||
number; | ||
(3) license number; | ||
(4) title of "Public Adjuster Contract"; | ||
(5) the insured's full name, street address, insurance | ||
company name, and policy number, if known or upon | ||
notification; | ||
(6) a description of the loss and its location, if | ||
applicable; | ||
(7) description of services to be provided to the | ||
insured; | ||
(8) signatures of the public adjuster and the insured; | ||
(9) date and time the contract was signed by the public | ||
adjuster and date and time the contract was signed by the | ||
insured; | ||
(10) attestation language stating that the public | ||
adjuster is fully bonded pursuant to State law; and | ||
(11) full salary, fee, commission, compensation, or |
other considerations the public adjuster is to receive for | ||
services. | ||
(b) The contract may specify that the public adjuster shall | ||
be named as a co-payee on an insurer's payment of a claim. | ||
(1) If the compensation is based on a share of the | ||
insurance settlement, the exact percentage shall be | ||
specified. | ||
(2) Initial expenses to be reimbursed to the public | ||
adjuster from the proceeds of the claim payment shall be | ||
specified by type, with dollar estimates set forth in the | ||
contract and with any additional expenses first approved by | ||
the insured. | ||
(3) Compensation provisions in a public adjusting | ||
contract shall not be redacted in any copy of the contract | ||
provided to the Director. | ||
(c) If the insurer, not later than 5 business days after | ||
the date on which the loss is reported to the insurer, either | ||
pays or commits in writing to pay to the insured the policy | ||
limit of the insurance policy, the public adjuster shall: | ||
(1) not receive a commission consisting of a percentage | ||
of the total amount paid by an insurer to resolve a claim; | ||
(2) inform the insured that loss recovery amount might | ||
not be increased by insurer; and | ||
(3) be entitled only to reasonable compensation from | ||
the insured for services provided by the public adjuster on | ||
behalf of the insured, based on the time spent on a claim |
and expenses incurred by the public adjuster, until the | ||
claim is paid or the insured receives a written commitment | ||
to pay from the insurer. | ||
(d) A public adjuster shall provide the insured a written | ||
disclosure concerning any direct or indirect financial | ||
interest that the public adjuster has with any other party who | ||
is involved in any aspect of the claim, other than the salary, | ||
fee, commission, or other consideration established in the | ||
written contract with the insured, including, but not limited | ||
to, any ownership of or any compensation expected to be | ||
received from, any construction firm, salvage firm, building | ||
appraisal firm, board-up company, or any other firm that | ||
provides estimates for work, or that performs any work, in | ||
conjunction with damages caused by the insured loss on which | ||
the public adjuster is engaged. The word "firm" shall include | ||
any corporation, partnership, association, joint-stock | ||
company, or person. | ||
(e) A public adjuster contract may not contain any contract | ||
term that: | ||
(1) allows the public adjuster's percentage fee to be | ||
collected when money is due from an insurance company, but | ||
not paid, or that allows a public adjuster to collect the | ||
entire fee from the first check issued by an insurance | ||
company, rather than as a percentage of each check issued | ||
by an insurance company; | ||
(2) requires the insured to authorize an insurance |
company to issue a check only in the name of the public | ||
adjuster; | ||
(3) precludes a public adjuster or an insured from | ||
pursuing civil remedies; | ||
(4) includes any hold harmless agreement that provides | ||
indemnification to the public adjuster by the insured for | ||
liability resulting from the public adjuster's negligence; | ||
or | ||
(5) provides power of attorney by which the public | ||
adjuster can act in the place and instead of the insured. | ||
(f) The following provisions apply to a contract between a | ||
public adjuster and an insured: | ||
(1) Prior to the signing of the contract, the public | ||
adjuster shall provide the insured with a separate signed | ||
and dated disclosure document regarding the claim process | ||
that states: | ||
"Property insurance policies obligate the insured to | ||
present a claim to his or her insurance company for | ||
consideration. There are 3 types of adjusters that could be | ||
involved in that process. The definitions of the 3 types | ||
are as follows: | ||
(A) "Company adjuster" means the insurance | ||
adjusters who are employees of an insurance company. | ||
They represent the interest of the insurance company | ||
and are paid by the insurance company. They will not | ||
charge you a fee. |
(B) "Independent adjuster" means the insurance | ||
adjusters who are hired on a contract basis by an | ||
insurance company to represent the insurance company's | ||
interest in the settlement of the claim. They are paid | ||
by your insurance company. They will not charge you a | ||
fee. | ||
(C) "Public adjuster" means the insurance | ||
adjusters who do not work for any insurance company. | ||
They work for the insured to assist in the preparation, | ||
presentation and settlement of the claim. The insured | ||
hires them by signing a contract agreeing to pay them a | ||
fee or commission based on a percentage of the | ||
settlement, or other method of compensation.". | ||
(2) The insured is not required to hire a public | ||
adjuster to help the insured meet his or her obligations | ||
under the policy, but has the right to do so. | ||
(3) The public adjuster is not a representative or | ||
employee of the insurer. | ||
(4) The salary, fee, commission, or other | ||
consideration is the obligation of the insured, not the | ||
insurer, except when rights have been assigned to the | ||
public adjuster by the insured. | ||
(g) The contracts shall be executed in duplicate to provide | ||
an original contract to the public adjuster, and an original | ||
contract to the insured. The public adjuster's original | ||
contract shall be available at all times for inspection without |
notice by the Director. | ||
(h) The public adjuster shall provide the insurer with an | ||
exact copy of the contract by the insured, authorizing the | ||
public adjuster to represent the insured's interest. | ||
(i) The public adjuster shall give the insured written | ||
notice of the insured's rights as a consumer under the law of | ||
this State. | ||
(j) A public adjuster shall not provide services until a | ||
written contract with the insured has been executed, on a form | ||
filed with and approved by the Director. At the option of the | ||
insured, any such contract shall be voidable for 5 business | ||
days after execution. The insured may void the contract by | ||
notifying the public adjuster in writing by (i) registered or | ||
certified mail, return receipt requested, to the address shown | ||
on the contract or (ii) personally serving the notice on the | ||
public adjuster. | ||
(k) If the insured exercises the right to rescind the | ||
contract, anything of value given by the insured under the | ||
contract will be returned to the insured within 15 business | ||
days following the receipt by the public adjuster of the | ||
cancellation notice. | ||
(215 ILCS 5/1580 new)
| ||
Sec. 1580. Escrow or trust accounts.
A public adjuster who | ||
receives, accepts, or holds any funds on behalf of an insured | ||
towards the settlement of a claim for loss or damage shall |
deposit the funds in a non-interest bearing escrow or trust | ||
account in a financial institution that is insured by an agency | ||
of the federal government in the public adjuster's home state | ||
or where the loss occurred. | ||
(215 ILCS 5/1585 new)
| ||
Sec. 1585. Record retention. | ||
(a) A public adjuster shall maintain a complete record of | ||
each transaction as a public adjuster. The records required by | ||
this Section shall include the following: | ||
(1) name of the insured; | ||
(2) date, location and amount of the loss; | ||
(3) a copy of the contract between the public adjuster | ||
and insured and a copy of the separate disclosure document; | ||
(4) name of the insurer, amount, expiration date and | ||
number of each policy carried with respect to the loss; | ||
(5) itemized statement of the insured's recoveries; | ||
(6) itemized statement of all compensation received by | ||
the public adjuster, from any source whatsoever, in | ||
connection with the loss; | ||
(7) a register of all monies received, deposited, | ||
disbursed, or withdrawn in connection with a transaction | ||
with an insured, including fees transfers and | ||
disbursements from a trust account and all transactions | ||
concerning all interest bearing accounts; | ||
(8) name of public adjuster who executed the contract; |
(9) name of the attorney representing the insured, if | ||
applicable, and the name of the claims representatives of | ||
the insurance company; and | ||
(10) evidence of financial responsibility in a format | ||
prescribed by the Director. | ||
(b) Records shall be maintained for at least 7 years after | ||
the termination of the transaction with an insured and shall be | ||
open to examination by the Director at all times. | ||
(c) Records submitted to the Director in accordance with | ||
this Section that contain information identified in writing as | ||
proprietary by the public adjuster shall be treated as | ||
confidential by the Director and shall not be subject to the | ||
Freedom of Information Act. | ||
(215 ILCS 5/1590 new)
| ||
Sec. 1590. Standards of conduct of public adjuster. | ||
(a) A public adjuster is obligated, under his or her | ||
license, to serve with objectivity and complete loyalty for the | ||
interests of his client alone, and to render to the insured | ||
such information, counsel, and service, as within the | ||
knowledge, understanding, and opinion in good faith of the | ||
licensee, as will best serve the insured's insurance claim | ||
needs and interest. | ||
(b) A public adjuster may not propose or attempt to propose | ||
to any person that the public adjuster represent that person | ||
while a loss-producing occurrence is continuing, nor while the |
fire department or its representatives are engaged at the | ||
damaged premises, nor between the hours of 7:00 p.m. and 8:00 | ||
a.m. | ||
(c) A public adjuster shall not permit an unlicensed | ||
employee or representative of the public adjuster to conduct | ||
business for which a license is required under this Article. | ||
(d) A public adjuster shall not have a direct or indirect | ||
financial interest in any aspect of the claim, other than the | ||
salary, fee, commission, or other consideration established in | ||
the written contract with the insured, unless full written | ||
disclosure has been made to the insured as set forth in | ||
subsection (g) of Section 1575. | ||
(e) A public adjuster shall not acquire any interest in the | ||
salvage of property subject to the contract with the insured | ||
unless the public adjuster obtains written permission from the | ||
insured after settlement of the claim with the insurer as set | ||
forth in subsection (g) of Section 1575 of this Article. | ||
(f) The public adjuster shall abstain from referring or | ||
directing the insured to get needed repairs or services in | ||
connection with a loss from any person, unless disclosed to the | ||
insured: | ||
(1) with whom the public adjuster has a financial | ||
interest; or | ||
(2) from whom the public adjuster may receive direct or | ||
indirect compensation for the referral. | ||
(g) The public adjuster shall disclose to an insured if he |
or she has any interest or will be compensated by any | ||
construction firm, salvage firm, building appraisal firm, | ||
board-up company, or any other firm that performs any work in | ||
conjunction with damages caused by the insured loss. The word | ||
"firm" shall include any corporation, partnership, | ||
association, joint-stock company or individual as set forth in | ||
Section 1575 of this Article. | ||
(h) Any compensation or anything of value in connection | ||
with an insured's specific loss that will be received by a | ||
public adjuster shall be disclosed by the public adjuster to | ||
the insured in writing including the source and amount of any | ||
such compensation. | ||
(i) In all cases where the loss giving rise to the claim | ||
for which the public adjuster was retained arise from damage to | ||
a personal residence, the insurance proceeds shall be delivered | ||
to the named insured or his or her designee. Where proceeds | ||
paid by an insurance company are paid jointly to the insured | ||
and the public adjuster, the insured shall release such portion | ||
of the proceeds that are due the public adjuster within 30 | ||
calendar days after the insured's receipt of the insurance | ||
company's check, money order, draft, or release of funds. If | ||
the proceeds are not so released to the public adjuster within | ||
30 calendar days, the insured shall provide the public adjuster | ||
with a written explanation of the reason for the delay. | ||
(j) Public adjusters shall adhere to the following general | ||
ethical requirements: |
(1) a public adjuster shall not undertake the | ||
adjustment of any claim if the public adjuster is not | ||
competent and knowledgeable as to the terms and conditions | ||
of the insurance coverage, or which otherwise exceeds the | ||
public adjuster's current expertise; | ||
(2) a public adjuster shall not knowingly make any oral | ||
or written material misrepresentations or statements which | ||
are false or maliciously critical and intended to injure | ||
any person engaged in the business of insurance to any | ||
insured client or potential insured client; | ||
(3) no public adjuster, while so licensed by the | ||
Department, may represent or act as a company adjuster or | ||
independent adjuster on the same claim; | ||
(4) the contract shall not be construed to prevent an | ||
insured from pursuing any civil remedy after the 5-business | ||
day revocation or cancellation period; | ||
(5) a public adjuster shall not enter into a contract | ||
or accept a power of attorney that vests in the public | ||
adjuster the effective authority to choose the persons who | ||
shall perform repair work; | ||
(6) a public adjuster shall ensure that all contracts | ||
for the public adjuster's services are in writing and set | ||
forth all terms and conditions of the engagement; and | ||
(7) a public adjuster shall not advance money or any | ||
valuable consideration, except emergency services to an | ||
insured pending adjustment of a claim. |
(k) A public adjuster may not agree to any loss settlement | ||
without the insured's knowledge and consent and shall, upon the | ||
insured's request, provide the insured with a document setting | ||
forth the scope, amount, and value of the damages prior to | ||
request by the insured for authority to settle the loss. | ||
(l) A public adjuster shall not provide legal advice or | ||
representation to the insured or engage in the unauthorized | ||
practice of law. | ||
(m) A public adjuster shall not represent that he or she is | ||
a representative of an insurance company, a fire department, or | ||
the State of Illinois, that he or she is a fire investigator, | ||
that his or her services are required for the insured to submit | ||
a claim to the insured's insurance company, or that he or she | ||
may provide legal advice or representation to the insured. A | ||
public adjuster may represent that he or she has been licensed | ||
by the State of Illinois. | ||
(215 ILCS 5/1595 new)
| ||
Sec. 1595. Reporting of actions. | ||
(a) The public adjuster shall report to the Director any | ||
administrative action taken against the public adjuster in | ||
another jurisdiction or by another governmental agency in this | ||
State within 30 days of the final disposition of the matter. | ||
This report shall include a copy of the order, consent to | ||
order, or other relevant legal documents. | ||
(b) Within 30 days of the initial pretrial hearing date, |
the public adjuster shall report to the Director any criminal | ||
prosecution of the public adjuster taken in any jurisdiction. | ||
The report shall include a copy of the initial complaint filed, | ||
the order resulting from the hearing, and any other relevant | ||
legal documents. | ||
(215 ILCS 5/1600 new)
| ||
Sec. 1600. Examinations. | ||
(a) The Director shall have the power to examine any | ||
applicant or any person licensed or registered pursuant to this | ||
Article. | ||
(b) Every person being examined and its officers, | ||
directors, and members must provide to the Director convenient | ||
and free access, at all reasonable hours, to all books, | ||
records, documents, and other papers relating to its public | ||
adjusting affairs. The officers, directors, members, and | ||
employees must facilitate and aid in such examinations so far | ||
as it is in their power to do so. | ||
(c) Examiners may be designated by the Director. Such | ||
examiners shall make their reports to the Director pursuant to | ||
this Section. Any report alleging substantive violations shall | ||
be in writing and shall be based upon the facts ascertained | ||
from the books, records, documents, papers, and other evidence | ||
obtained by the examiners or ascertained from the testimony of | ||
the officers, directors, members, or other individuals | ||
examined under oath or ascertained by notarized affidavits |
received by the examiners. The reports shall be verified by the | ||
examiners. | ||
(215 ILCS 5/1605 new)
| ||
Sec. 1605. Injunctive relief. Any person who acts as or | ||
holds himself out to be a public adjuster without holding a | ||
valid and current license to do so is hereby declared to be | ||
inimical to the public welfare and to constitute a public | ||
nuisance. The Director may report such practice to the Attorney | ||
General of the State of Illinois whose duty it is to apply | ||
forthwith by complaint on relation of the Director in the name | ||
of the people of the State of Illinois, as plaintiff, for | ||
injunctive relief in the circuit court of the county where such | ||
practice occurred to enjoin the person from engaging in such | ||
practice; and upon the filing of a verified petition in such | ||
court, the court, if satisfied by affidavit or otherwise that | ||
the person has been engaged in such practice without a valid | ||
and current license to do so, may enter a temporary restraining | ||
order without notice or bond enjoining the defendant from such | ||
further practice. A copy of the verified complaint shall be | ||
served upon the defendant and the proceedings shall thereafter | ||
be conducted as in other civil cases. If it is established that | ||
the defendant has been or is engaged in such unlawful practice, | ||
then the court may enter an order or judgment perpetually | ||
enjoining the defendant from such further practice. In all | ||
proceedings hereunder, the court, in its discretion, may |
apportion the costs among the parties interested in the action, | ||
including the costs of filing the complaint, service of | ||
process, witness fees and expenses, court reporter charges, and | ||
reasonable attorney fees. In case of violation of any | ||
injunctive order entered under the provisions of this Section, | ||
the court may try and punish the offender for contempt of | ||
court. Such injunction proceedings shall be in addition to, and | ||
not in lieu of, all penalties and other remedies. | ||
(215 ILCS 5/1610 new)
| ||
Sec. 1610. Additional penalties.
In addition to any other | ||
penalty set forth in this Article, any person violating Section | ||
1605 of this Code shall be guilty of a Class A misdemeanor and | ||
any person misappropriating or converting any monies collected | ||
as a public adjuster, whether licensed or not, shall be guilty | ||
of a Class 4 felony. | ||
(215 ILCS 5/1615 new)
| ||
Sec. 1615. Rules.
The Director shall promulgate reasonable | ||
rules as are necessary or proper to carry out the purposes of | ||
this Article.
| ||
(215 ILCS 5/500-75 rep.) | ||
Section 910. The Illinois Insurance Code is amended by | ||
repealing Section 500-75.
|
Section 997. Severability. The provisions of this Act are | ||
severable under Section 1.31 of the Statute on Statutes.
|