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1 | AN ACT concerning regulation. | |||||||||||||||||||||||||||||
2 | Be it enacted by the People of the State of Illinois, | |||||||||||||||||||||||||||||
3 | represented in the General Assembly: | |||||||||||||||||||||||||||||
4 | Section 5. The Illinois Insurance Code is amended by | |||||||||||||||||||||||||||||
5 | changing Sections 154.6, 155, 397.1, 1570, 1575, and 1590 as | |||||||||||||||||||||||||||||
6 | follows: | |||||||||||||||||||||||||||||
7 | (215 ILCS 5/154.6) (from Ch. 73, par. 766.6) | |||||||||||||||||||||||||||||
8 | Sec. 154.6. Acts constituting improper claims practice. | |||||||||||||||||||||||||||||
9 | (a) Any of the following acts by a company, if committed | |||||||||||||||||||||||||||||
10 | without just cause and in violation of Section 154.5, | |||||||||||||||||||||||||||||
11 | constitutes an improper claims practice: | |||||||||||||||||||||||||||||
12 | (1) (a) Knowingly misrepresenting to claimants and | |||||||||||||||||||||||||||||
13 | insureds relevant facts or policy provisions relating to | |||||||||||||||||||||||||||||
14 | coverages at issue; | |||||||||||||||||||||||||||||
15 | (2) (b) Failing to acknowledge with reasonable | |||||||||||||||||||||||||||||
16 | promptness pertinent communications with respect to claims | |||||||||||||||||||||||||||||
17 | arising under its policies; | |||||||||||||||||||||||||||||
18 | (3) (c) Failing to adopt and implement reasonable | |||||||||||||||||||||||||||||
19 | standards for the prompt investigations and settlement of | |||||||||||||||||||||||||||||
20 | claims arising under its policies; | |||||||||||||||||||||||||||||
21 | (4) (d) Not attempting in good faith to effectuate | |||||||||||||||||||||||||||||
22 | prompt, fair and equitable settlement of claims submitted | |||||||||||||||||||||||||||||
23 | in which liability has become reasonably clear; |
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1 | (5) (e) Compelling policyholders to institute suits to | ||||||
2 | recover amounts due under its policies by offering | ||||||
3 | substantially less than the amounts ultimately recovered | ||||||
4 | in suits brought by them; | ||||||
5 | (6) (f) Engaging in activity which results in a | ||||||
6 | disproportionate number of meritorious complaints against | ||||||
7 | the insurer received by the Insurance Department; | ||||||
8 | (7) (g) Engaging in activity which results in a | ||||||
9 | disproportionate number of lawsuits to be filed against | ||||||
10 | the insurer or its insureds by claimants; | ||||||
11 | (8) (h) Refusing to pay claims without conducting a | ||||||
12 | reasonable investigation based on all available | ||||||
13 | information; | ||||||
14 | (9) (i) Failing to affirm or deny coverage of claims | ||||||
15 | within a reasonable time after proof of loss statements | ||||||
16 | have been completed; | ||||||
17 | (10) (j) Attempting to settle a claim for less than | ||||||
18 | the amount to which a reasonable person would believe the | ||||||
19 | claimant was entitled, by reference to written or printed | ||||||
20 | advertising material accompanying or made part of an | ||||||
21 | application or establishing unreasonable caps or limits on | ||||||
22 | paint or materials when estimating vehicle repairs; | ||||||
23 | (11) (k) Attempting to settle claims on the basis of | ||||||
24 | an application which was altered without notice to, or | ||||||
25 | knowledge or consent of, the insured; | ||||||
26 | (12) (l) Making a claims payment to a policyholder or |
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1 | beneficiary omitting the coverage under which each payment | ||||||
2 | is being made; | ||||||
3 | (13) (m) Delaying the investigation or payment of | ||||||
4 | claims by requiring an insured, a claimant, or the | ||||||
5 | physicians of either to submit a preliminary claim report | ||||||
6 | and then requiring subsequent submission of formal proof | ||||||
7 | of loss forms, resulting in the duplication of | ||||||
8 | verification; | ||||||
9 | (14) (n) Failing in the case of the denial of a claim | ||||||
10 | or the offer of a compromise settlement to promptly | ||||||
11 | provide a reasonable and accurate explanation of the basis | ||||||
12 | in the insurance policy or applicable law for such denial | ||||||
13 | or compromise settlement; | ||||||
14 | (15) (o) Failing to provide forms necessary to present | ||||||
15 | claims within 15 working days of a request with such | ||||||
16 | explanations as are necessary to use them effectively; | ||||||
17 | (16) (p) Failing to adopt and implement reasonable | ||||||
18 | standards to verify that a repairer designated by the | ||||||
19 | insurance company to provide an estimate, perform repairs, | ||||||
20 | or engage in any other service in connection with an | ||||||
21 | insured loss on a vehicle is duly licensed under Section | ||||||
22 | 5-301 of the Illinois Vehicle Code; | ||||||
23 | (17) (q) Failing to provide as a persistent tendency a | ||||||
24 | notification on any written estimate prepared by an | ||||||
25 | insurance company in connection with an insured loss that | ||||||
26 | Illinois law requires that vehicle repairers must be |
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1 | licensed in accordance with Section 5-301 of the Illinois | ||||||
2 | Vehicle Code; | ||||||
3 | (18) (r) Failing to pay the replacement vehicle use or | ||||||
4 | occupation tax, title, and transfer fees required by | ||||||
5 | Section 154.9 of this Code; | ||||||
6 | (19) (s) Engaging in any other acts which are in | ||||||
7 | substance equivalent to any of the foregoing. | ||||||
8 | (b) When the policy provides for the adjustment and | ||||||
9 | settlement of first-party property insurance losses based on | ||||||
10 | replacement cost and when a loss requires repair or | ||||||
11 | replacement of an item or part, any consequential physical | ||||||
12 | damage incurred in making such repair or replacement, not | ||||||
13 | otherwise excluded by the policy, shall be included in the | ||||||
14 | loss. The insured shall not be required to pay for betterment | ||||||
15 | nor any other cost except for the applicable deductible. | ||||||
16 | (c) When a covered loss for real property requires the | ||||||
17 | replacement of an item or items and the replacement item or | ||||||
18 | items do not match adjacent items in quality, color, or size, | ||||||
19 | the insurer shall replace the items with material of like kind | ||||||
20 | and quality so as to conform to a reasonably uniform | ||||||
21 | appearance. This provision applies to interior and exterior | ||||||
22 | covered losses. | ||||||
23 | (Source: P.A. 102-69, eff. 7-1-22 .) | ||||||
24 | (215 ILCS 5/155) (from Ch. 73, par. 767) | ||||||
25 | Sec. 155. Attorney fees. |
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1 | (1) In any action by or against a company wherein there is | ||||||
2 | in issue the liability of a company on a policy or policies of | ||||||
3 | insurance or the amount of the loss payable thereunder, or for | ||||||
4 | an unreasonable delay in settling a claim, and it appears to | ||||||
5 | the court that such action or delay is vexatious and | ||||||
6 | unreasonable, the court may allow as part of the taxable costs | ||||||
7 | in the action reasonable attorney fees, other costs, plus an | ||||||
8 | amount not to exceed any one of the following amounts: | ||||||
9 | (a) 60% of the amount which the court or jury finds | ||||||
10 | such party is entitled to recover against the company, | ||||||
11 | exclusive of all costs; | ||||||
12 | (b) $240,000 $60,000 ; or | ||||||
13 | (c) the excess of the amount which the court or jury | ||||||
14 | finds such party is entitled to recover, exclusive of | ||||||
15 | costs, over the amount, if any, which the company offered | ||||||
16 | to pay in settlement of the claim prior to the action. | ||||||
17 | (2) Where there are several policies insuring the same | ||||||
18 | insured against the same loss whether issued by the same or by | ||||||
19 | different companies, the court may fix the amount of the | ||||||
20 | allowance so that the total attorney fees on account of one | ||||||
21 | loss shall not be increased by reason of the fact that the | ||||||
22 | insured brings separate suits on such policies. | ||||||
23 | (Source: P.A. 93-485, eff. 1-1-04.) | ||||||
24 | (215 ILCS 5/397.1) (from Ch. 73, par. 1009.1) | ||||||
25 | Sec. 397.1. Certificate regarding payment of taxes and |
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1 | expenses on property sustaining loss. | ||||||
2 | (a) It shall be unlawful for any company transacting | ||||||
3 | insurance business in this State to pay a claim of an insured | ||||||
4 | property owner for loss by fire or explosion to a structure | ||||||
5 | located in this State where the amount recoverable for loss to | ||||||
6 | the structure under a policy exceeds $100,000 $25,000 , until | ||||||
7 | the insurance company receives the certificate required by | ||||||
8 | this Section. A notice, to the State's Attorney of the county | ||||||
9 | where the structure is located, of the insurers intent to pay a | ||||||
10 | claim shall include the name of the property owner, the | ||||||
11 | address of the property, its legal description, the permanent | ||||||
12 | real estate index number that identifies the property for | ||||||
13 | purposes of taxation, and the amount of the claim to be paid. | ||||||
14 | (b) For purposes of this Section, the following | ||||||
15 | definitions are applicable: | ||||||
16 | (1) "Insured property owner" is a person named as an | ||||||
17 | insured who is the owner, title-holder or mortgagee of a | ||||||
18 | structure, the holder of an interest secured by the | ||||||
19 | structure, the beneficiary of a land trust owning or | ||||||
20 | holding title to a structure, the lessee of a structure | ||||||
21 | with a contractual obligation for property taxes, or the | ||||||
22 | assignee of any such person. | ||||||
23 | (2) "Amount recoverable" is the dollar amount payable | ||||||
24 | under all insurance policies for loss to the structure. | ||||||
25 | (3) "Proceeds" is the dollar amount payable for loss | ||||||
26 | to the structure under an insurance policy. |
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1 | (4) "Delinquent property taxes" are those property | ||||||
2 | taxes on the property which are delinquent pursuant to | ||||||
3 | Section 21-15, 21-20, or 21-25 of the Property Tax Code, | ||||||
4 | including those delinquent taxes on property forfeited | ||||||
5 | under Section 21-225 of the Property Tax Code, as of the | ||||||
6 | date of loss. | ||||||
7 | In determining delinquent property taxes under this | ||||||
8 | Section, the amount of property taxes for which a | ||||||
9 | certificate of error has been issued pursuant to Section | ||||||
10 | 14-10 or 14-20 of the Property Tax Code shall not be | ||||||
11 | considered delinquent. | ||||||
12 | (5) "Incurred demolition expense" is: a. the cost of | ||||||
13 | demolishing or removing a structure from property by or at | ||||||
14 | the expense of a unit of local government if the | ||||||
15 | demolition or removal occurs on a date preceding the later | ||||||
16 | of (i) the acceptance by the insurance company of a Proof | ||||||
17 | of Loss for an agreed amount of proceeds, or (ii) the date | ||||||
18 | of receipt by the unit of local government of a request for | ||||||
19 | execution of the certificate required by this Section; or | ||||||
20 | b. the amount estimated by the unit of local government | ||||||
21 | when it receives a request to execute the certificate | ||||||
22 | required by this Section; or c. the amount ordered to be | ||||||
23 | withheld by a court within 28 days after a unit of local | ||||||
24 | government receives a request for execution of the | ||||||
25 | certificate required by this Section. The unit of local | ||||||
26 | government must be a party to such proceeding. |
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1 | Incurred demolition expense shall be determined under | ||||||
2 | subparagraph a. whenever possible. In determining the | ||||||
3 | incurred demolition expense under subparagraph b., the | ||||||
4 | unit of local government shall make its estimate and | ||||||
5 | execute the certificate within 30 days after receiving a | ||||||
6 | request for execution. If the unit of local government | ||||||
7 | shall fail within 30 days to execute the certificate, as | ||||||
8 | required by subparagraph a., the company can proceed to | ||||||
9 | make payment of the claim as if the certificate had been | ||||||
10 | received showing no unpaid demolition costs. The request | ||||||
11 | for execution may be served personally, and may be proven | ||||||
12 | by a written receipt signed by the local official as of the | ||||||
13 | date the request was made or by service on the local | ||||||
14 | official by certified mail, return receipt requested. A | ||||||
15 | court order under subparagraph c. shall supersede an | ||||||
16 | estimate under subparagraph b. | ||||||
17 | (6) "Property" is the lot on which the structure is | ||||||
18 | located. | ||||||
19 | (7) "Structure" is a building. | ||||||
20 | (8) "Claim" is the demand by an insured for payment | ||||||
21 | under an insurance policy or policies. | ||||||
22 | (9) "Proof of Loss" is the document on which an | ||||||
23 | insured formally presents his claim to an insurance | ||||||
24 | company. | ||||||
25 | (10) "Certificate" is the executed form prescribed by | ||||||
26 | the Director of Insurance. |
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1 | (11) "Executed" means signed by the appropriate | ||||||
2 | official or unit of government. | ||||||
3 | (c) For any claim to which this Section is applicable, an | ||||||
4 | insured property owner must submit one of the following to the | ||||||
5 | insurance company: | ||||||
6 | (1) a certificate that with respect to the property | ||||||
7 | there are: | ||||||
8 | a. no delinquent property taxes, and | ||||||
9 | b. no unpaid incurred demolition expenses; | ||||||
10 | (2) a certificate setting forth with respect to the | ||||||
11 | property: | ||||||
12 | a. the amount of unpaid delinquent property taxes, | ||||||
13 | b. the amount of unpaid incurred demolition | ||||||
14 | expense, and | ||||||
15 | c. a direction by an insured property owner to the | ||||||
16 | insurance company to pay the unpaid delinquent | ||||||
17 | property taxes and unpaid incurred demolition | ||||||
18 | expenses. | ||||||
19 | (d) (1) Except as provided in paragraph (2) of this | ||||||
20 | subsection (d), if a certificate is submitted pursuant to | ||||||
21 | paragraph (2) of subsection (c) of this Section, the | ||||||
22 | insurance company shall pay the unpaid delinquent property | ||||||
23 | taxes and unpaid incurred demolition expense from the | ||||||
24 | proceeds payable by issuing a draft or check payable to | ||||||
25 | the appropriate tax collector or unit of local government. | ||||||
26 | Any proceeds remaining shall be paid to the insured |
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1 | property owner. | ||||||
2 | (2) In the event incurred demolition expense is | ||||||
3 | determined by estimation under paragraph (5) of subsection | ||||||
4 | (b) of this Section in cities of over 2,000,000, the | ||||||
5 | insurance company shall hold the amount estimated until an | ||||||
6 | amended certificate executed by the appropriate local | ||||||
7 | government official is submitted stating (i) that no | ||||||
8 | demolition expense will be incurred or (ii) the actual | ||||||
9 | unpaid incurred demolition expense. The insurance company | ||||||
10 | shall then issue a draft or check payable to the unit of | ||||||
11 | local government for the actual unpaid incurred demolition | ||||||
12 | expense. Any proceeds remaining shall be paid to the | ||||||
13 | insured property owner. | ||||||
14 | In determining the amount of proceeds remaining under | ||||||
15 | this paragraph, the insured property owner shall receive | ||||||
16 | interest on the amount withheld from the date the | ||||||
17 | certificate is executed as provided in Section 2 of the | ||||||
18 | Interest Act. | ||||||
19 | (e) If, under this Section, the proceeds payable are less | ||||||
20 | than the amount of the unpaid delinquent property taxes and | ||||||
21 | unpaid incurred demolition expense, unpaid property taxes | ||||||
22 | shall be paid first. | ||||||
23 | (f) If incurred demolition expense withheld pursuant to | ||||||
24 | subparagraphs b. or c. of paragraph 5 of subsection (b) of this | ||||||
25 | Section exceeds the ultimate cost of demolition, the excess | ||||||
26 | shall first be applied to unpaid delinquent property taxes. |
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1 | Any amount of proceeds remaining shall be paid to the insured | ||||||
2 | property owner. | ||||||
3 | (g) Nothing in this Section shall be construed as: | ||||||
4 | (1) making an insurance company liable for any amount | ||||||
5 | in excess of the proceeds payable under its insurance | ||||||
6 | policy unless the insurance company shall have made | ||||||
7 | payment to the named insured without satisfying the | ||||||
8 | requirements of this Section; | ||||||
9 | (2) making a unit of local government or tax collector | ||||||
10 | an insured under an insurance policy; or | ||||||
11 | (3) creating an obligation for an insurance company to | ||||||
12 | pay unpaid delinquent property taxes or unpaid incurred | ||||||
13 | demolition expense other than as provided in subsection | ||||||
14 | (d) of this Section. | ||||||
15 | (h) An insurance company making a payment of proceeds | ||||||
16 | under this Section for unpaid delinquent taxes or unpaid | ||||||
17 | incurred demolition expense shall be entitled to the full | ||||||
18 | benefit of such payment, including subrogation rights and | ||||||
19 | other rights of assignment. | ||||||
20 | (i) Unpaid property taxes and unpaid incurred demolition | ||||||
21 | expense for a claim for loss to a structure occurring after the | ||||||
22 | issuance of a tax deed pursuant to Section 22-40 of the | ||||||
23 | Property Tax Code shall not include any unpaid property tax or | ||||||
24 | unpaid demolition expense arising before the issuance of the | ||||||
25 | tax deed. | ||||||
26 | (j) The county collector shall be designated as the local |
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1 | official who shall execute the certificate required by this | ||||||
2 | Section regarding delinquent property taxes. The village clerk | ||||||
3 | or city clerk in incorporated areas and the official in charge | ||||||
4 | of the county building department in unincorporated areas | ||||||
5 | shall be designated as the local official who shall execute | ||||||
6 | the certificate required by this Section regarding demolition | ||||||
7 | expenses. | ||||||
8 | (k) A fee not to exceed $5 may be charged by a unit of | ||||||
9 | local government for execution of the certificate required by | ||||||
10 | this Section. | ||||||
11 | (l) This Section shall retroactively apply to any policy | ||||||
12 | issued or renewed on or after January 1, 1978 for which a claim | ||||||
13 | subject to this Section remains unpaid as of the effective | ||||||
14 | date of this amendatory Act of 1978. | ||||||
15 | (Source: P.A. 87-507; 88-667, eff. 9-16-94; 88-670, eff. | ||||||
16 | 12-2-94.) | ||||||
17 | (215 ILCS 5/1570) | ||||||
18 | Sec. 1570. Public adjuster fees. | ||||||
19 | (a) A public adjuster shall not pay a commission, service | ||||||
20 | fee, or other valuable consideration to a person for | ||||||
21 | investigating or settling claims in this State if that person | ||||||
22 | is required to be licensed under this Article and is not so | ||||||
23 | licensed. | ||||||
24 | (b) A person shall not accept a commission, service fee, | ||||||
25 | or other valuable consideration for investigating or settling |
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1 | claims in this State if that person is required to be licensed | ||||||
2 | under this Article and is not so licensed. | ||||||
3 | (c) A public adjuster may pay or assign commission, | ||||||
4 | service fees, or other valuable consideration to persons who | ||||||
5 | do not investigate or settle claims in this State, unless the | ||||||
6 | payment would violate State law. | ||||||
7 | (d) If the loss giving rise to the claim for which the | ||||||
8 | public adjuster was retained arises from damage to property | ||||||
9 | that is anything but a personal residence, a public adjuster | ||||||
10 | may not charge, agree to, or accept any compensation, payment, | ||||||
11 | commission, fee, or other valuable consideration in excess of | ||||||
12 | 10% of the amount of the insurance settlement claim paid by the | ||||||
13 | insurer on any claim resulting from a catastrophic event, | ||||||
14 | unless approved in writing by the Director. Application for | ||||||
15 | exception to the 10% limit must be made in writing. The request | ||||||
16 | must contain specific reasons as to why the consideration | ||||||
17 | should be in excess of 10% and proof that the policyholder | ||||||
18 | would accept the consideration. The Director must act on any | ||||||
19 | request within 5 business days after receipt of the request. | ||||||
20 | For the purpose of this subsection (d), "catastrophic | ||||||
21 | event" means an occurrence of widespread or severe damage or | ||||||
22 | loss of property producing an overwhelming demand on State and | ||||||
23 | local response resources and mechanisms and a severe long-term | ||||||
24 | effect on general economic activity, and that severely affects | ||||||
25 | State, local, and private sector capabilities to begin to | ||||||
26 | sustain response activities resulting from any catastrophic |
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1 | cause, including, but not limited to, fire, including arson | ||||||
2 | (provided the fire was not caused by the willful action of an | ||||||
3 | owner or resident of the property), flood, earthquake, wind, | ||||||
4 | storm, explosion, or extended periods of severe inclement | ||||||
5 | weather as determined by declaration of a State of disaster by | ||||||
6 | the Governor. This declaration may be made on a | ||||||
7 | county-by-county basis and shall be in effect for 90 days, but | ||||||
8 | may be renewed for 30-day intervals thereafter. | ||||||
9 | (e) If the loss giving rise to the claim for which the | ||||||
10 | public adjuster was retained arises from damage to a personal | ||||||
11 | residence, a public adjuster may not charge, agree to, or | ||||||
12 | accept any compensation, payment, commission, fee, or other | ||||||
13 | valuable consideration in excess of 10% of the amount of the | ||||||
14 | insurance settlement claim paid by the insurer on any claim. | ||||||
15 | Expenses to be reimbursed to the public adjuster are not | ||||||
16 | subject to the 10% cap on a public adjuster's salary, fee, | ||||||
17 | commission, compensation, or consideration. The policies must | ||||||
18 | be individually underwritten for personal, family, or | ||||||
19 | household use. No other type of insurance shall be considered | ||||||
20 | personal insurance. As used in this subsection, "personal | ||||||
21 | residence" means a residence insured under homeowners and | ||||||
22 | non-commercial dwelling fire insurance policies. | ||||||
23 | (Source: P.A. 103-216, eff. 1-1-24 .) | ||||||
24 | (215 ILCS 5/1575) | ||||||
25 | Sec. 1575. Contract between public adjuster and insured. |
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1 | (a) Public adjusters shall ensure that all contracts for | ||||||
2 | their services are in writing and contain the following terms: | ||||||
3 | (1) legible full name of the adjuster signing the | ||||||
4 | contract, as specified in Department records; | ||||||
5 | (2) permanent home state business address, email | ||||||
6 | address, and phone number; | ||||||
7 | (3) license number; | ||||||
8 | (4) title of "Public Adjuster Contract"; | ||||||
9 | (5) the insured's full name, street address, insurance | ||||||
10 | company name, and policy number, if known or upon | ||||||
11 | notification; | ||||||
12 | (6) a description of the loss and its location; | ||||||
13 | (7) description of services to be provided to the | ||||||
14 | insured; | ||||||
15 | (8) signatures of the public adjuster and the insured; | ||||||
16 | (9) date and time the contract was signed by the | ||||||
17 | public adjuster and date and time the contract was signed | ||||||
18 | by the insured; | ||||||
19 | (10) attestation language stating that the public | ||||||
20 | adjuster is fully bonded pursuant to State law; and | ||||||
21 | (11) full salary, fee, commission, compensation, or | ||||||
22 | other considerations the public adjuster is to receive for | ||||||
23 | services, including any applicable cap under Section 1570. | ||||||
24 | (b) The contract may specify that the public adjuster | ||||||
25 | shall be named as a co-payee on an insurer's payment of a | ||||||
26 | claim. |
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1 | (1) If the compensation is based on a share of the | ||||||
2 | insurance settlement, the exact percentage shall be | ||||||
3 | specified. | ||||||
4 | (2) Initial expenses to be reimbursed to the public | ||||||
5 | adjuster from the proceeds of the claim payment shall be | ||||||
6 | specified by type, with dollar estimates set forth in the | ||||||
7 | contract and with any additional expenses first approved | ||||||
8 | by the insured. Expenses to be reimbursed to the public | ||||||
9 | adjuster are not limited to emergency mitigation expenses. | ||||||
10 | Expenses shall be reimbursed to the public adjuster | ||||||
11 | regardless of whether the expense is covered by the | ||||||
12 | applicable insurance policy. | ||||||
13 | (3) Compensation provisions in a public adjuster | ||||||
14 | contract shall not be redacted in any copy of the contract | ||||||
15 | provided to the Director. | ||||||
16 | (c) If the insurer, not later than 5 business days after | ||||||
17 | the date on which the loss is reported to the insurer, either | ||||||
18 | pays or commits in writing to pay to the insured the policy | ||||||
19 | limit of the insurance policy, the public adjuster shall: | ||||||
20 | (1) not receive a commission consisting of a | ||||||
21 | percentage of the total amount paid by an insurer to | ||||||
22 | resolve a claim; | ||||||
23 | (2) inform the insured that loss recovery amount might | ||||||
24 | not be increased by insurer; and | ||||||
25 | (3) be entitled only to reasonable compensation from | ||||||
26 | the insured for services provided by the public adjuster |
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1 | on behalf of the insured, based on the time spent on a | ||||||
2 | claim and expenses incurred by the public adjuster, until | ||||||
3 | the claim is paid or the insured receives a written | ||||||
4 | commitment to pay from the insurer. | ||||||
5 | (d) A public adjuster shall provide the insured a written | ||||||
6 | disclosure concerning any direct or indirect financial | ||||||
7 | interest that the public adjuster has with any other party who | ||||||
8 | is involved in any aspect of the claim, other than the salary, | ||||||
9 | fee, commission, or other consideration established in the | ||||||
10 | written contract with the insured, including, but not limited | ||||||
11 | to, any ownership of or any compensation expected to be | ||||||
12 | received from, any construction firm, salvage firm, building | ||||||
13 | appraisal firm, board-up company, or any other firm that | ||||||
14 | provides estimates for work, or that performs any work, in | ||||||
15 | conjunction with damages caused by the insured loss on which | ||||||
16 | the public adjuster is engaged. The word "firm" shall include | ||||||
17 | any corporation, partnership, association, joint-stock | ||||||
18 | company, or person. | ||||||
19 | (e) A public adjuster contract may not contain any | ||||||
20 | contract term that: | ||||||
21 | (1) allows the public adjuster's percentage fee to be | ||||||
22 | collected when money is due from an insurance company, but | ||||||
23 | not paid, or that allows a public adjuster to collect the | ||||||
24 | entire fee from the first check issued by an insurance | ||||||
25 | company, rather than as a percentage of each check issued | ||||||
26 | by an insurance company; |
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1 | (2) requires the insured to authorize an insurance | ||||||
2 | company to issue a check only in the name of the public | ||||||
3 | adjuster; | ||||||
4 | (3) precludes a public adjuster or an insured from | ||||||
5 | pursuing civil remedies; | ||||||
6 | (4) includes any hold harmless agreement that provides | ||||||
7 | indemnification to the public adjuster by the insured for | ||||||
8 | liability resulting from the public adjuster's negligence; | ||||||
9 | or | ||||||
10 | (5) provides power of attorney by which the public | ||||||
11 | adjuster can act in the place and instead of the insured. | ||||||
12 | (f) The following provisions apply to a contract between a | ||||||
13 | public adjuster and an insured: | ||||||
14 | (1) Prior to the signing of the contract, the public | ||||||
15 | adjuster shall provide the insured with a separate signed | ||||||
16 | and dated disclosure document regarding the claim process | ||||||
17 | that states: | ||||||
18 | "Property insurance policies obligate the insured to | ||||||
19 | present a claim to his or her insurance company for | ||||||
20 | consideration. There are 3 types of adjusters that could | ||||||
21 | be involved in that process. The definitions of the 3 | ||||||
22 | types are as follows: | ||||||
23 | (A) "Company adjuster" means the insurance | ||||||
24 | adjusters who are employees of an insurance company. | ||||||
25 | They represent the interest of the insurance company | ||||||
26 | and are paid by the insurance company. They will not |
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1 | charge you a fee. | ||||||
2 | (B) "Independent adjuster" means the insurance | ||||||
3 | adjusters who are hired on a contract basis by an | ||||||
4 | insurance company to represent the insurance company's | ||||||
5 | interest in the settlement of the claim. They are paid | ||||||
6 | by your insurance company. They will not charge you a | ||||||
7 | fee. | ||||||
8 | (C) "Public adjuster" means the insurance | ||||||
9 | adjusters who do not work for any insurance company. | ||||||
10 | They represent the insured to assist in the | ||||||
11 | preparation, presentation and settlement of the claim. | ||||||
12 | The insured hires them by signing a contract agreeing | ||||||
13 | to pay them a fee or commission based on a percentage | ||||||
14 | of the settlement, or other method of compensation.". | ||||||
15 | (2) The insured is not required to hire a public | ||||||
16 | adjuster to help the insured meet his or her obligations | ||||||
17 | under the policy, but has the right to do so. | ||||||
18 | (3) The public adjuster is not a representative or | ||||||
19 | employee of the insurer or the Department of Insurance. | ||||||
20 | (4) The salary, fee, commission, or other | ||||||
21 | consideration is the obligation of the insured, not the | ||||||
22 | insurer, except when rights have been assigned to the | ||||||
23 | public adjuster by the insured. | ||||||
24 | (g) The contracts shall be executed in duplicate to | ||||||
25 | provide an original contract to the public adjuster, and an | ||||||
26 | original contract to the insured. The public adjuster's |
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1 | original contract shall be available at all times for | ||||||
2 | inspection without notice by the Director. | ||||||
3 | (h) The public adjuster shall provide the insurer or its | ||||||
4 | authorized representative for receiving notice of loss or | ||||||
5 | damage with an exact copy of the contract with the insured by | ||||||
6 | email no later than 5 business days after execution of the | ||||||
7 | contract, authorizing the public adjuster to represent the | ||||||
8 | insured's interest. | ||||||
9 | (i) The public adjuster shall give the insured written | ||||||
10 | notice of the insured's rights as a consumer under the law of | ||||||
11 | this State. | ||||||
12 | (j) A public adjuster shall not provide services, other | ||||||
13 | than emergency services, until a written contract with the | ||||||
14 | insured has been executed, on a form filed with and approved by | ||||||
15 | the Director, and an exact copy of the contract has been | ||||||
16 | provided to the insurer in accordance with subsection (h). At | ||||||
17 | the option of the insured, any such contract shall be voidable | ||||||
18 | for 5 business days after the contract is received by the | ||||||
19 | insurer. The insured may void the contract by notifying the | ||||||
20 | public adjuster in writing by (i) registered or certified | ||||||
21 | mail, return receipt requested, to the address shown on the | ||||||
22 | contract, (ii) personally serving the notice on the public | ||||||
23 | adjuster, or (iii) sending an email to the email address shown | ||||||
24 | on the contract. | ||||||
25 | (k) If the insured exercises the right to rescind the | ||||||
26 | contract, anything of value given by the insured under the |
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1 | contract will be returned to the insured within 15 business | ||||||
2 | days following the receipt by the public adjuster of the | ||||||
3 | cancellation notice. | ||||||
4 | (l) All contracts entered into that are in violation of | ||||||
5 | this Section are void and invalid. | ||||||
6 | (Source: P.A. 103-216, eff. 1-1-24 .) | ||||||
7 | (215 ILCS 5/1590) | ||||||
8 | Sec. 1590. Standards of conduct of public adjuster. | ||||||
9 | (a) A public adjuster is obligated, under his or her | ||||||
10 | license, to serve with objectivity and complete loyalty for | ||||||
11 | the interests of his client alone, and to render to the insured | ||||||
12 | such information, counsel, and service, as within the | ||||||
13 | knowledge, understanding, and opinion in good faith of the | ||||||
14 | licensee, as will best serve the insured's insurance claim | ||||||
15 | needs and interest. | ||||||
16 | (b) A public adjuster may not propose or attempt to | ||||||
17 | propose to any person that the public adjuster represent that | ||||||
18 | person while a loss-producing occurrence is continuing, nor | ||||||
19 | while the fire department or its representatives are engaged | ||||||
20 | at the damaged premises, nor between the hours of 7:00 p.m. and | ||||||
21 | 8:00 a.m. | ||||||
22 | (c) A public adjuster shall not permit an unlicensed | ||||||
23 | employee or representative of the public adjuster to conduct | ||||||
24 | business for which a license is required under this Article. | ||||||
25 | (d) A public adjuster shall not have a direct or indirect |
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1 | financial interest in any aspect of the claim, other than the | ||||||
2 | salary, fee, commission, or other consideration established in | ||||||
3 | the written contract with the insured, unless full written | ||||||
4 | disclosure has been made to the insured as set forth in | ||||||
5 | subsection (d) of Section 1575. | ||||||
6 | (e) A public adjuster shall not acquire any interest in | ||||||
7 | the salvage of property subject to the contract with the | ||||||
8 | insured unless the public adjuster obtains written permission | ||||||
9 | from the insured after settlement of the claim with the | ||||||
10 | insurer as set forth in subsection (d) of Section 1575 of this | ||||||
11 | Article. | ||||||
12 | (f) The public adjuster shall abstain from referring or | ||||||
13 | directing the insured to get needed repairs or services in | ||||||
14 | connection with a loss from any person, unless disclosed to | ||||||
15 | the insured: | ||||||
16 | (1) with whom the public adjuster has a direct or | ||||||
17 | indirect financial interest; or | ||||||
18 | (2) from whom the public adjuster may receive direct | ||||||
19 | or indirect compensation for the referral. | ||||||
20 | (g) The public adjuster shall disclose to an insured if he | ||||||
21 | or she has any interest or will be compensated by any | ||||||
22 | construction firm, salvage firm, building appraisal firm, | ||||||
23 | board-up company, or any other firm that performs any work in | ||||||
24 | conjunction with damages caused by the insured loss. The word | ||||||
25 | "firm" shall include any corporation, partnership, | ||||||
26 | association, joint-stock company or individual as set forth in |
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1 | Section 1575 of this Article. | ||||||
2 | (h) Any compensation or anything of value in connection | ||||||
3 | with an insured's specific loss that will be received by a | ||||||
4 | public adjuster shall be disclosed by the public adjuster to | ||||||
5 | the insured in writing including the source and amount of any | ||||||
6 | such compensation. | ||||||
7 | (i) In all cases where the loss giving rise to the claim | ||||||
8 | for which the public adjuster was retained arise from damage | ||||||
9 | to a personal residence, the insurance proceeds shall be | ||||||
10 | delivered to the named insured or his or her designee , | ||||||
11 | including the named insured's public adjuster and the named | ||||||
12 | insured's attorney . Where proceeds paid by an insurance | ||||||
13 | company are paid jointly to the insured and the public | ||||||
14 | adjuster, the insured shall release such portion of the | ||||||
15 | proceeds that are due the public adjuster within 30 calendar | ||||||
16 | days after the insured's receipt of the insurance company's | ||||||
17 | check, money order, draft, or release of funds. If the | ||||||
18 | proceeds are not so released to the public adjuster within 30 | ||||||
19 | calendar days, the insured shall provide the public adjuster | ||||||
20 | with a written explanation of the reason for the delay. | ||||||
21 | (j) Public adjusters shall adhere to the following general | ||||||
22 | ethical requirements: | ||||||
23 | (1) a public adjuster shall not undertake the | ||||||
24 | adjustment of any claim if the public adjuster is not | ||||||
25 | competent and knowledgeable as to the terms and conditions | ||||||
26 | of the insurance coverage, or which otherwise exceeds the |
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1 | public adjuster's current expertise; | ||||||
2 | (2) a public adjuster shall not knowingly make any | ||||||
3 | oral or written material misrepresentations or statements | ||||||
4 | which are false or maliciously critical and intended to | ||||||
5 | injure any person engaged in the business of insurance to | ||||||
6 | any insured client or potential insured client; | ||||||
7 | (3) no public adjuster, while so licensed by the | ||||||
8 | Department, may represent or act as a company adjuster or | ||||||
9 | independent adjuster on the same claim; | ||||||
10 | (4) the contract shall not be construed to prevent an | ||||||
11 | insured from pursuing any civil remedy after the | ||||||
12 | 5-business day revocation or cancellation period; | ||||||
13 | (5) a public adjuster shall not enter into a contract | ||||||
14 | or accept a power of attorney that vests in the public | ||||||
15 | adjuster the effective authority to choose the persons who | ||||||
16 | shall perform repair work; | ||||||
17 | (6) a public adjuster shall ensure that all contracts | ||||||
18 | for the public adjuster's services are in writing and set | ||||||
19 | forth all terms and conditions of the engagement; and | ||||||
20 | (7) a public adjuster shall not advance money or any | ||||||
21 | valuable consideration, except emergency services to an | ||||||
22 | insured pending adjustment of a claim. | ||||||
23 | (k) A public adjuster may not agree to any loss settlement | ||||||
24 | without the insured's knowledge and consent and shall, upon | ||||||
25 | the insured's request, provide the insured with a document | ||||||
26 | setting forth the scope, amount, and value of the damages |
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1 | prior to request by the insured for authority to settle the | ||||||
2 | loss. | ||||||
3 | (l) A public adjuster shall not provide legal advice or | ||||||
4 | representation to the insured or engage in the unauthorized | ||||||
5 | practice of law. | ||||||
6 | (m) A public adjuster shall not represent that he or she is | ||||||
7 | a representative of an insurance company, a fire department, | ||||||
8 | or the State of Illinois, that he or she is a fire | ||||||
9 | investigator, that his or her services are required for the | ||||||
10 | insured to submit a claim to the insured's insurance company, | ||||||
11 | or that he or she may provide legal advice or representation to | ||||||
12 | the insured. A public adjuster may represent that he or she has | ||||||
13 | been licensed by the State of Illinois. | ||||||
14 | (Source: P.A. 103-216, eff. 1-1-24 .) |