|
Public Act 102-0069 |
SB0061 Enrolled | LRB102 05100 BMS 15120 b |
|
|
AN ACT concerning regulation.
|
Be it enacted by the People of the State of Illinois,
|
represented in the General Assembly:
|
Section 5. The Illinois Insurance Code is amended by |
changing Section 154.6 and by adding Section 154.9 as follows:
|
(215 ILCS 5/154.6) (from Ch. 73, par. 766.6)
|
Sec. 154.6. Acts constituting improper claims practice. |
Any of the
following acts by a company, if committed without |
just cause and in
violation of Section 154.5, constitutes an |
improper claims practice:
|
(a) Knowingly misrepresenting to claimants and insureds |
relevant
facts or policy provisions relating to coverages at |
issue;
|
(b) Failing to acknowledge with reasonable promptness |
pertinent
communications with respect to claims arising under |
its policies;
|
(c) Failing to adopt and implement reasonable standards |
for the
prompt investigations and settlement of claims arising |
under its policies;
|
(d) Not attempting in good faith to effectuate prompt, |
fair and
equitable settlement of claims submitted in which |
liability has become
reasonably clear;
|
(e) Compelling policyholders to institute suits to recover |
|
amounts
due under its policies by offering substantially less |
than the amounts
ultimately recovered in suits brought by |
them;
|
(f) Engaging in activity which results in a |
disproportionate number
of meritorious complaints against the |
insurer received by the Insurance
Department;
|
(g) Engaging in activity which results in a |
disproportionate number
of lawsuits to be filed against the |
insurer or its insureds by
claimants;
|
(h) Refusing to pay claims without conducting a reasonable
|
investigation based on all available information;
|
(i) Failing to affirm or deny coverage of claims within a |
reasonable
time after proof of loss statements have been |
completed;
|
(j) Attempting to settle a claim for less than the amount |
to which a
reasonable person would believe the claimant was |
entitled, by reference
to written or printed advertising |
material accompanying or made part of
an application or |
establishing unreasonable caps or limits on paint
or materials
|
when estimating vehicle repairs;
|
(k) Attempting to settle claims on the basis of an |
application which
was altered without notice to, or knowledge |
or consent of, the insured;
|
(l) Making a claims payment to a policyholder or |
beneficiary
omitting the coverage under which each payment is |
being made;
|
|
(m) Delaying the investigation or payment of claims by |
requiring an
insured, a claimant, or the physicians of either |
to submit a preliminary
claim report and then requiring |
subsequent submission of formal proof of
loss forms, resulting |
in the duplication of verification;
|
(n) Failing in the case of the denial of a claim or the |
offer of a
compromise settlement to promptly provide a |
reasonable and accurate
explanation of the basis in the |
insurance policy or applicable law for
such denial or |
compromise settlement;
|
(o) Failing to provide forms necessary to present claims |
within 15
working days of a request with such explanations as |
are necessary to use
them effectively;
|
(p) Failing to adopt and implement reasonable standards to |
verify that
a repairer designated by the insurance company to |
provide an estimate,
perform repairs, or engage in any other |
service in connection with an
insured loss on a vehicle is duly |
licensed under Section 5-301 of the
Illinois Vehicle Code;
|
(q) Failing to provide as a persistent tendency a |
notification on any
written estimate prepared by an insurance |
company in connection with an
insured loss that Illinois law |
requires that vehicle repairers must be
licensed in accordance |
with Section 5-301 of the Illinois Vehicle Code;
|
(r) Failing to pay the replacement vehicle use or |
occupation tax, title, and transfer fees required by Section |
154.9 of this Code; |
|
(s) (r) Engaging in any other acts which are in substance |
equivalent to
any of the foregoing.
|
(Source: P.A. 90-340, eff. 8-8-97.)
|
(215 ILCS 5/154.9 new) |
Sec. 154.9. Payment of applicable use or occupation tax, |
title, and transfer fees on a private passenger total loss |
claim. |
(a) When an insurer determines that an insured's or |
third-party claimant's private passenger automobile is a total |
loss that is covered under the terms of a personal automobile |
policy issued or renewed on or after July 1, 2022 by the |
insurer, the insurer shall pay any use or occupation tax |
imposed by the State or a unit of local government and title |
and transfer fees as provided for in this Section. As used in |
this Section, "private passenger vehicle" means a private |
passenger motor vehicle, station wagon, or any other 4-wheeled |
motor vehicle with a load capacity of 1,500 pounds or less that |
is not used in the occupation, profession, or business of the |
insured or third-party claimant, not used as a public or |
livery conveyance for passengers, nor rented to others. |
(b) If the insurer elects to replace the insured vehicle, |
the insurer shall pay any use or occupation tax imposed by the |
State or a unit of local government tax and title and transfer |
fees on the replacement vehicle. |
(c) If a cash settlement is provided for the total loss |
|
private passenger vehicle, the insurer shall reimburse the |
insured or third-party claimant for any use or occupation tax |
imposed by the State or a unit of local government and title |
and transfer fees if the replacement vehicle is purchased or |
leased within 30 days after the receipt of the cash settlement |
by the insured or third-party claimant and the insured or |
third-party claimant substantiates such purchase and the |
payment of such taxes and fees by submission of appropriate |
documentation to the insurer within 33 days after the receipt |
of the settlement or receipt of the required reimbursement |
form from the insurer, whichever is later. |
(1) With respect to leased vehicles, use or occupation |
taxes and title and transfer fees shall be deemed to be |
incurred by the insured or the third-party claimant at the |
time the lease is entered into, but only if such use or |
occupation taxes and title and transfer fees are included |
in the cost of the lease or are paid directly by the |
insured or third-party claimant. |
(2) The insurer is not required to reimburse the |
insured or third-party claimant for any use or occupation |
taxes and title or transfer fees in excess of the amount |
payable based on the value of the total loss vehicle at the |
time of the loss or for taxes and title or transfer fees |
not actually paid by the insured or third-party claimant. |
(3) In lieu of this reimbursement procedure, the |
insurer may directly pay the required amount of any use or |
|
occupation taxes and title and transfer fees to the |
claimant at the time of settlement. |
(4) If an insurer requires a particular form be used |
to apply for reimbursement of any use or occupation taxes |
and title or transfer fees, the form must be delivered to |
the insured or third-party claimant at or before the time |
of settlement. |
(d) The Department may adopt rules establishing uniform |
standards for implementation of this Section, including, but |
not limited to, prescribing the method of determining the |
market value of the insured's or third-party claimant's |
vehicle.
|
Section 99. Effective date. This Act takes effect July 1, |
2022.
|