HB4287 - 104th General Assembly
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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 1510 and 1575 as follows: | |||||||||||||||||||||
| 6 | (215 ILCS 5/1510) | |||||||||||||||||||||
| 7 | Sec. 1510. Definitions. In this Article: | |||||||||||||||||||||
| 8 | "Adjusting a claim for loss or damage covered by an | |||||||||||||||||||||
| 9 | insurance contract" means negotiating values, damages, or | |||||||||||||||||||||
| 10 | depreciation or applying the loss circumstances to insurance | |||||||||||||||||||||
| 11 | policy provisions. | |||||||||||||||||||||
| 12 | "Adjusting insurance claims" means representing an insured | |||||||||||||||||||||
| 13 | with an insurer for compensation and, while representing that | |||||||||||||||||||||
| 14 | insured, either negotiating values, damages, or depreciation | |||||||||||||||||||||
| 15 | or applying the loss circumstances to insurance policy | |||||||||||||||||||||
| 16 | provisions. | |||||||||||||||||||||
| 17 | "Business entity" means a corporation, association, | |||||||||||||||||||||
| 18 | partnership, limited liability company, limited liability | |||||||||||||||||||||
| 19 | partnership, or other legal entity. | |||||||||||||||||||||
| 20 | "Compensation" includes, but is not limited to, the | |||||||||||||||||||||
| 21 | following: | |||||||||||||||||||||
| 22 | (1) any assignment of insurance proceeds or a | |||||||||||||||||||||
| 23 | percentage of the insurance proceeds; | |||||||||||||||||||||
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| 1 | (2) any agreement to make repairs for the amount of | ||||||
| 2 | the insurance proceeds payable; or | ||||||
| 3 | (3) assertion of any lien against insurance proceeds | ||||||
| 4 | payable. | ||||||
| 5 | "Department" means the Department of Insurance. | ||||||
| 6 | "Director" means the Director of Insurance. | ||||||
| 7 | "Fingerprints" means an impression of the lines on the | ||||||
| 8 | finger taken for the purpose of identification. The impression | ||||||
| 9 | may be electronic or in ink converted to electronic format. | ||||||
| 10 | "Home state" means the District of Columbia and any state | ||||||
| 11 | or territory of the United States where the public adjuster's | ||||||
| 12 | principal place of residence or principal place of business is | ||||||
| 13 | located. If neither the state in which the public adjuster | ||||||
| 14 | maintains the principal place of residence nor the state in | ||||||
| 15 | which the public adjuster maintains the principal place of | ||||||
| 16 | business has a substantially similar law governing public | ||||||
| 17 | adjusters, the public adjuster may declare another state in | ||||||
| 18 | which it becomes licensed and acts as a public adjuster to be | ||||||
| 19 | the home state. | ||||||
| 20 | "Individual" means a natural person. | ||||||
| 21 | "Person" means an individual or a business entity. | ||||||
| 22 | "Public adjuster" means any person who, for compensation | ||||||
| 23 | or any other thing of value on behalf of the insured: | ||||||
| 24 | (i) acts, aids, or represents the insured solely in | ||||||
| 25 | relation to first party claims arising under insurance | ||||||
| 26 | contracts that insure the real or personal property of the | ||||||
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| 1 | insured, in adjusting an insurance a claim for loss or | ||||||
| 2 | damage covered by an insurance contract; | ||||||
| 3 | (ii) advertises for employment as a public adjuster of | ||||||
| 4 | insurance claims or solicits business or represents | ||||||
| 5 | himself or herself to the public as a public adjuster of | ||||||
| 6 | first party insurance claims for losses or damages arising | ||||||
| 7 | out of policies of insurance that insure real or personal | ||||||
| 8 | property; or | ||||||
| 9 | (iii) directly or indirectly solicits business, | ||||||
| 10 | investigates or adjusts losses, or advises an insured | ||||||
| 11 | about first party claims for losses or damages arising out | ||||||
| 12 | of policies of insurance that insure real or personal | ||||||
| 13 | property for another person engaged in the business of | ||||||
| 14 | adjusting losses or damages covered by an insurance policy | ||||||
| 15 | for the insured. | ||||||
| 16 | "Uniform individual application" means the current version | ||||||
| 17 | of the National Association of Directors (NAIC) Uniform | ||||||
| 18 | Individual Application for resident and nonresident | ||||||
| 19 | individuals. | ||||||
| 20 | "Uniform business entity application" means the current | ||||||
| 21 | version of the National Association of Insurance Commissioners | ||||||
| 22 | (NAIC) Uniform Business Entity Application for resident and | ||||||
| 23 | nonresident business entities. | ||||||
| 24 | "Webinar" means an online educational presentation during | ||||||
| 25 | which a live and participating instructor and participating | ||||||
| 26 | viewers, whose attendance is periodically verified throughout | ||||||
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| 1 | the presentation, actively engage in discussion and in the | ||||||
| 2 | submission and answering of questions. | ||||||
| 3 | (Source: P.A. 102-135, eff. 7-23-21; 103-216, eff. 1-1-24.) | ||||||
| 4 | (215 ILCS 5/1575) | ||||||
| 5 | Sec. 1575. Contract between public adjuster and insured. | ||||||
| 6 | (a) Public adjusters shall ensure that all contracts for | ||||||
| 7 | their services are in writing and contain the following terms: | ||||||
| 8 | (1) legible full name of the adjuster signing the | ||||||
| 9 | contract, as specified in Department records; | ||||||
| 10 | (2) permanent home state business address, email | ||||||
| 11 | address, and phone number; | ||||||
| 12 | (3) license number; | ||||||
| 13 | (4) title of "Public Adjuster Contract"; | ||||||
| 14 | (5) the insured's full name, street address, insurance | ||||||
| 15 | company name, and policy number, if known or upon | ||||||
| 16 | notification; | ||||||
| 17 | (6) a description of the loss and its location; | ||||||
| 18 | (7) description of services to be provided to the | ||||||
| 19 | insured; | ||||||
| 20 | (8) signatures of the public adjuster and the insured; | ||||||
| 21 | (9) date and time the contract was signed by the | ||||||
| 22 | public adjuster and date and time the contract was signed | ||||||
| 23 | by the insured; | ||||||
| 24 | (10) attestation language stating that the public | ||||||
| 25 | adjuster is fully bonded pursuant to State law; and | ||||||
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| 1 | (11) full salary, fee, commission, compensation, or | ||||||
| 2 | other considerations the public adjuster is to receive for | ||||||
| 3 | services, including any applicable cap under Section 1570. | ||||||
| 4 | (b) The contract may specify that the public adjuster | ||||||
| 5 | shall be named as a co-payee on an insurer's payment of a | ||||||
| 6 | claim. | ||||||
| 7 | (1) If the compensation is based on a share of the | ||||||
| 8 | insurance settlement, the exact percentage shall be | ||||||
| 9 | specified. | ||||||
| 10 | (2) Initial expenses to be reimbursed to the public | ||||||
| 11 | adjuster from the proceeds of the claim payment shall be | ||||||
| 12 | specified by type, with dollar estimates set forth in the | ||||||
| 13 | contract and with any additional expenses first approved | ||||||
| 14 | by the insured. | ||||||
| 15 | (3) Compensation provisions in a public adjuster | ||||||
| 16 | contract shall not be redacted in any copy of the contract | ||||||
| 17 | provided to the Director. | ||||||
| 18 | (c) If the insurer, not later than 5 business days after | ||||||
| 19 | the date on which the loss is reported to the insurer, either | ||||||
| 20 | pays or commits in writing to pay to the insured the policy | ||||||
| 21 | limit of the insurance policy, the public adjuster shall: | ||||||
| 22 | (1) not receive a commission consisting of a | ||||||
| 23 | percentage of the total amount paid by an insurer to | ||||||
| 24 | resolve a claim; | ||||||
| 25 | (2) inform the insured that loss recovery amount might | ||||||
| 26 | not be increased by insurer; and | ||||||
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| 1 | (3) be entitled only to reasonable compensation from | ||||||
| 2 | the insured for services provided by the public adjuster | ||||||
| 3 | on behalf of the insured, based on the time spent on a | ||||||
| 4 | claim and expenses incurred by the public adjuster, until | ||||||
| 5 | the claim is paid or the insured receives a written | ||||||
| 6 | commitment to pay from the insurer. | ||||||
| 7 | (d) A public adjuster shall provide the insured a written | ||||||
| 8 | disclosure concerning any direct or indirect financial | ||||||
| 9 | interest that the public adjuster has with any other party who | ||||||
| 10 | is involved in any aspect of the claim, other than the salary, | ||||||
| 11 | fee, commission, or other consideration established in the | ||||||
| 12 | written contract with the insured, including, but not limited | ||||||
| 13 | to, any ownership of or any compensation expected to be | ||||||
| 14 | received from, any construction firm, salvage firm, building | ||||||
| 15 | appraisal firm, board-up company, or any other firm that | ||||||
| 16 | provides estimates for work, or that performs any work, in | ||||||
| 17 | conjunction with damages caused by the insured loss on which | ||||||
| 18 | the public adjuster is engaged. The word "firm" shall include | ||||||
| 19 | any corporation, partnership, association, joint-stock | ||||||
| 20 | company, or person. | ||||||
| 21 | (e) A public adjuster contract may not contain any | ||||||
| 22 | contract term that: | ||||||
| 23 | (1) allows the public adjuster's percentage fee to be | ||||||
| 24 | collected when money is due from an insurance company, but | ||||||
| 25 | not paid, or that allows a public adjuster to collect the | ||||||
| 26 | entire fee from the first check issued by an insurance | ||||||
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| 1 | company, rather than as a percentage of each check issued | ||||||
| 2 | by an insurance company; | ||||||
| 3 | (2) requires the insured to authorize an insurance | ||||||
| 4 | company to issue a check only in the name of the public | ||||||
| 5 | adjuster; | ||||||
| 6 | (3) precludes a public adjuster or an insured from | ||||||
| 7 | pursuing civil remedies; | ||||||
| 8 | (4) includes any hold harmless agreement that provides | ||||||
| 9 | indemnification to the public adjuster by the insured for | ||||||
| 10 | liability resulting from the public adjuster's negligence; | ||||||
| 11 | or | ||||||
| 12 | (5) provides power of attorney by which the public | ||||||
| 13 | adjuster can act in the place and instead of the insured. | ||||||
| 14 | (f) The following provisions apply to a contract between a | ||||||
| 15 | public adjuster and an insured: | ||||||
| 16 | (1) Prior to the signing of the contract, the public | ||||||
| 17 | adjuster shall provide the insured with a separate signed | ||||||
| 18 | and dated disclosure document regarding the claim process | ||||||
| 19 | that states: | ||||||
| 20 | "Property insurance policies obligate the insured to | ||||||
| 21 | present a claim to his or her insurance company for | ||||||
| 22 | consideration. There are 3 types of adjusters that could | ||||||
| 23 | be involved in that process. The definitions of the 3 | ||||||
| 24 | types are as follows: | ||||||
| 25 | (A) "Company adjuster" means the insurance | ||||||
| 26 | adjusters who are employees of an insurance company. | ||||||
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| 1 | They represent the interest of the insurance company | ||||||
| 2 | and are paid by the insurance company. They will not | ||||||
| 3 | charge you a fee. | ||||||
| 4 | (B) "Independent adjuster" means the insurance | ||||||
| 5 | adjusters who are hired on a contract basis by an | ||||||
| 6 | insurance company to represent the insurance company's | ||||||
| 7 | interest in the settlement of the claim. They are paid | ||||||
| 8 | by your insurance company. They will not charge you a | ||||||
| 9 | fee. | ||||||
| 10 | (C) "Public adjuster" means the insurance | ||||||
| 11 | adjusters who do not work for any insurance company. | ||||||
| 12 | They represent the insured to assist in the | ||||||
| 13 | preparation, presentation, and settlement of the | ||||||
| 14 | claim. The insured hires them by signing a contract | ||||||
| 15 | agreeing to pay them a fee or commission based on a | ||||||
| 16 | percentage of the settlement, or other method of | ||||||
| 17 | compensation.". | ||||||
| 18 | (2) The insured is not required to hire a public | ||||||
| 19 | adjuster to help the insured meet his or her obligations | ||||||
| 20 | under the policy, but has the right to do so. | ||||||
| 21 | (3) The public adjuster is not a representative or | ||||||
| 22 | employee of the insurer or the Department of Insurance. | ||||||
| 23 | (4) The salary, fee, commission, or other | ||||||
| 24 | consideration is the obligation of the insured, not the | ||||||
| 25 | insurer, except when rights have been assigned to the | ||||||
| 26 | public adjuster by the insured. | ||||||
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| 1 | (g) The contracts shall be executed in duplicate to | ||||||
| 2 | provide an original contract to the public adjuster, and an | ||||||
| 3 | original contract to the insured. The public adjuster's | ||||||
| 4 | original contract shall be available at all times for | ||||||
| 5 | inspection without notice by the Director. | ||||||
| 6 | (h) The public adjuster shall provide the insurer or its | ||||||
| 7 | authorized representative for receiving notice of loss or | ||||||
| 8 | damage with an exact copy of the contract with the insured by | ||||||
| 9 | email no later than 5 business days after execution of the | ||||||
| 10 | contract, authorizing the public adjuster to represent the | ||||||
| 11 | insured's interest. | ||||||
| 12 | (i) The public adjuster shall give the insured written | ||||||
| 13 | notice of the insured's rights as a consumer under the law of | ||||||
| 14 | this State. | ||||||
| 15 | (j) A public adjuster shall not provide services, other | ||||||
| 16 | than emergency services, until a written contract with the | ||||||
| 17 | insured has been executed, on a form filed with and approved by | ||||||
| 18 | the Director, and an exact copy of the contract has been | ||||||
| 19 | provided to the insurer or its authorized representative for | ||||||
| 20 | receiving notice of loss or damage in accordance with | ||||||
| 21 | subsection (h). At the option of the insured, any such | ||||||
| 22 | contract shall be voidable for 5 business days after the | ||||||
| 23 | contract is received by the insurer. The insured may void the | ||||||
| 24 | contract by notifying the public adjuster in writing by (i) | ||||||
| 25 | registered or certified mail, return receipt requested, to the | ||||||
| 26 | address shown on the contract, (ii) personally serving the | ||||||
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| 1 | notice on the public adjuster, or (iii) sending an email to the | ||||||
| 2 | email address shown on the contract. | ||||||
| 3 | (k) If the insured exercises the right to rescind the | ||||||
| 4 | contract, anything of value given by the insured under the | ||||||
| 5 | contract will be returned to the insured within 15 business | ||||||
| 6 | days following the receipt by the public adjuster of the | ||||||
| 7 | cancellation notice. | ||||||
| 8 | (l) All contracts entered into that are in violation of | ||||||
| 9 | this Section are void and invalid. | ||||||
| 10 | (Source: P.A. 103-216, eff. 1-1-24.) | ||||||
| 11 | Section 99. Effective date. This Act takes effect upon | ||||||
| 12 | becoming law. | ||||||
