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