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1 | AN ACT concerning regulation.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Insurance Code is amended by | |||||||||||||||||||||
5 | changing Section 154.6 and by adding Section 154.9 as follows:
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6 | (215 ILCS 5/154.6) (from Ch. 73, par. 766.6)
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7 | Sec. 154.6. Acts constituting improper claims practice. | |||||||||||||||||||||
8 | Any of the
following acts by a company, if committed without | |||||||||||||||||||||
9 | just cause and in
violation of Section 154.5, constitutes an | |||||||||||||||||||||
10 | improper claims practice:
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11 | (a) Knowingly misrepresenting to claimants and insureds | |||||||||||||||||||||
12 | relevant
facts or policy provisions relating to coverages at | |||||||||||||||||||||
13 | issue;
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14 | (b) Failing to acknowledge with reasonable promptness | |||||||||||||||||||||
15 | pertinent
communications with respect to claims arising under | |||||||||||||||||||||
16 | its policies;
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17 | (c) Failing to adopt and implement reasonable standards | |||||||||||||||||||||
18 | for the
prompt investigations and settlement of claims arising | |||||||||||||||||||||
19 | under its policies;
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20 | (d) Not attempting in good faith to effectuate prompt, | |||||||||||||||||||||
21 | fair and
equitable settlement of claims submitted in which | |||||||||||||||||||||
22 | liability has become
reasonably clear;
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23 | (e) Compelling policyholders to institute suits to recover |
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1 | amounts
due under its policies by offering substantially less | ||||||
2 | than the amounts
ultimately recovered in suits brought by | ||||||
3 | them;
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4 | (f) Engaging in activity which results in a | ||||||
5 | disproportionate number
of meritorious complaints against the | ||||||
6 | insurer received by the Insurance
Department;
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7 | (g) Engaging in activity which results in a | ||||||
8 | disproportionate number
of lawsuits to be filed against the | ||||||
9 | insurer or its insureds by
claimants;
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10 | (h) Refusing to pay claims without conducting a reasonable
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11 | investigation based on all available information;
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12 | (i) Failing to affirm or deny coverage of claims within a | ||||||
13 | reasonable
time after proof of loss statements have been | ||||||
14 | completed;
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15 | (j) Attempting to settle a claim for less than the amount | ||||||
16 | to which a
reasonable person would believe the claimant was | ||||||
17 | entitled, by reference
to written or printed advertising | ||||||
18 | material accompanying or made part of
an application or | ||||||
19 | establishing unreasonable caps or limits on paint
or materials
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20 | when estimating vehicle repairs;
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21 | (k) Attempting to settle claims on the basis of an | ||||||
22 | application which
was altered without notice to, or knowledge | ||||||
23 | or consent of, the insured;
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24 | (l) Making a claims payment to a policyholder or | ||||||
25 | beneficiary
omitting the coverage under which each payment is | ||||||
26 | being made;
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1 | (m) Delaying the investigation or payment of claims by | ||||||
2 | requiring an
insured, a claimant, or the physicians of either | ||||||
3 | to submit a preliminary
claim report and then requiring | ||||||
4 | subsequent submission of formal proof of
loss forms, resulting | ||||||
5 | in the duplication of verification;
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6 | (n) Failing in the case of the denial of a claim or the | ||||||
7 | offer of a
compromise settlement to promptly provide a | ||||||
8 | reasonable and accurate
explanation of the basis in the | ||||||
9 | insurance policy or applicable law for
such denial or | ||||||
10 | compromise settlement;
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11 | (o) Failing to provide forms necessary to present claims | ||||||
12 | within 15
working days of a request with such explanations as | ||||||
13 | are necessary to use
them effectively;
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14 | (p) Failing to adopt and implement reasonable standards to | ||||||
15 | verify that
a repairer designated by the insurance company to | ||||||
16 | provide an estimate,
perform repairs, or engage in any other | ||||||
17 | service in connection with an
insured loss on a vehicle is duly | ||||||
18 | licensed under Section 5-301 of the
Illinois Vehicle Code;
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19 | (q) Failing to provide as a persistent tendency a | ||||||
20 | notification on any
written estimate prepared by an insurance | ||||||
21 | company in connection with an
insured loss that Illinois law | ||||||
22 | requires that vehicle repairers must be
licensed in accordance | ||||||
23 | with Section 5-301 of the Illinois Vehicle Code;
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24 | (r) Failing to pay the replacement vehicle use or | ||||||
25 | occupation tax, title, and transfer fees required by Section | ||||||
26 | 154.9 of this Code; |
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1 | (s) (r) Engaging in any other acts which are in substance | ||||||
2 | equivalent to
any of the foregoing.
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3 | (Source: P.A. 90-340, eff. 8-8-97.)
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4 | (215 ILCS 5/154.9 new) | ||||||
5 | Sec. 154.9. Payment of applicable use or occupation tax, | ||||||
6 | title, and transfer fees on a private passenger total loss | ||||||
7 | claim. | ||||||
8 | (a) When an insurer determines that an insured's or | ||||||
9 | third-party claimant's private passenger automobile is a total | ||||||
10 | loss that is covered under the terms of a personal automobile | ||||||
11 | policy issued by the insurer, the insurer shall pay any use or | ||||||
12 | occupation tax imposed by the State or a unit of local | ||||||
13 | government and title and transfer fees as provided for in this | ||||||
14 | Section. As used in this Section, "private passenger vehicle" | ||||||
15 | means a private passenger motor vehicle, station wagon, or any | ||||||
16 | other 4-wheeled motor vehicle with a load capacity of 1,500 | ||||||
17 | pounds or less that is not used in the occupation, profession, | ||||||
18 | or business of the insured or third-party claimant, not used | ||||||
19 | as a public or livery conveyance for passengers, nor rented to | ||||||
20 | others. | ||||||
21 | (b) If the insurer elects to replace the insured vehicle, | ||||||
22 | the insurer shall pay any use or occupation tax imposed by the | ||||||
23 | State or a unit of local government tax and title and transfer | ||||||
24 | fees on the replacement vehicle. | ||||||
25 | (c) If a cash settlement is provided for the total loss |
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1 | private passenger vehicle, the insurer shall reimburse the | ||||||
2 | insured or third-party claimant for any use or occupation tax | ||||||
3 | imposed by the State or a unit of local government and title | ||||||
4 | and transfer fees if the replacement vehicle is purchased or | ||||||
5 | leased within 30 days after the receipt of the cash settlement | ||||||
6 | by the insured or third-party claimant and the insured or | ||||||
7 | third-party claimant substantiates such purchase and the | ||||||
8 | payment of such taxes and fees by submission of appropriate | ||||||
9 | documentation to the insurer within 33 days after the receipt | ||||||
10 | of the settlement or receipt of the required reimbursement | ||||||
11 | form from the insurer, whichever is later. | ||||||
12 | (1) With respect to leased vehicles, use or occupation | ||||||
13 | taxes and title and transfer fees shall be deemed to be | ||||||
14 | incurred by the insured or the third-party claimant at the | ||||||
15 | time the lease is entered into, but only if such use or | ||||||
16 | occupation taxes and title and transfer fees are included | ||||||
17 | in the cost of the lease or are paid directly by the | ||||||
18 | insured or third-party claimant. | ||||||
19 | (2) The insurer is not required to reimburse the | ||||||
20 | insured or third-party claimant for any use or occupation | ||||||
21 | taxes and title or transfer fees in excess of the amount | ||||||
22 | payable based on the value of the total loss vehicle at the | ||||||
23 | time of the loss or for taxes and title or transfer fees | ||||||
24 | not actually paid by the insured or third-party claimant. | ||||||
25 | (3) In lieu of this reimbursement procedure, the | ||||||
26 | insurer may directly pay the required amount of any use or |
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1 | occupation taxes and title and transfer fees to the | ||||||
2 | claimant at the time of settlement. | ||||||
3 | (4) If an insurer requires a particular form be used | ||||||
4 | to apply for reimbursement of any use or occupation taxes | ||||||
5 | and title or transfer fees, the form must be delivered to | ||||||
6 | the insured or third-party claimant at or before the time | ||||||
7 | of settlement. | ||||||
8 | (d) The Department may adopt rules establishing uniform | ||||||
9 | standards for implementation of this Section, including, but | ||||||
10 | not limited to, prescribing the method of determining the | ||||||
11 | market value of the insured's or third-party claimant's | ||||||
12 | vehicle.
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13 | Section 99. Effective date. This Act takes effect January | ||||||
14 | 1, 2022. |