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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 Section 154.6 and by adding Section 155.29a 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 | Any of the following acts by a company, if committed without | |||||||||||||||||||||
| 10 | just cause and in violation of Section 154.5, constitutes an | |||||||||||||||||||||
| 11 | improper claims practice: | |||||||||||||||||||||
| 12 | (a) Knowingly misrepresenting to claimants and insureds | |||||||||||||||||||||
| 13 | relevant facts or policy provisions relating to coverages at | |||||||||||||||||||||
| 14 | issue; | |||||||||||||||||||||
| 15 | (b) Failing to acknowledge with reasonable promptness | |||||||||||||||||||||
| 16 | pertinent communications with respect to claims arising under | |||||||||||||||||||||
| 17 | its policies; | |||||||||||||||||||||
| 18 | (c) Failing to adopt and implement reasonable standards | |||||||||||||||||||||
| 19 | for the prompt investigations and settlement of claims arising | |||||||||||||||||||||
| 20 | under its policies; | |||||||||||||||||||||
| 21 | (d) Not attempting in good faith to effectuate prompt, | |||||||||||||||||||||
| 22 | fair and equitable settlement of claims submitted in which | |||||||||||||||||||||
| 23 | liability has become reasonably clear; | |||||||||||||||||||||
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| 1 | (e) Compelling policyholders to institute suits to recover | ||||||
| 2 | amounts due under its policies by offering substantially less | ||||||
| 3 | than the amounts ultimately recovered in suits brought by | ||||||
| 4 | them; | ||||||
| 5 | (f) Engaging in activity which results in a | ||||||
| 6 | disproportionate number of meritorious complaints against the | ||||||
| 7 | insurer received by the Insurance Department; | ||||||
| 8 | (g) Engaging in activity which results in a | ||||||
| 9 | disproportionate number of lawsuits to be filed against the | ||||||
| 10 | insurer or its insureds by claimants; | ||||||
| 11 | (h) Refusing to pay claims without conducting a reasonable | ||||||
| 12 | investigation based on all available information; | ||||||
| 13 | (i) Failing to affirm or deny coverage of claims within a | ||||||
| 14 | reasonable time after proof of loss statements have been | ||||||
| 15 | completed; | ||||||
| 16 | (j) Attempting to settle a claim for less than the amount | ||||||
| 17 | to which a reasonable person would believe the claimant was | ||||||
| 18 | entitled, by reference to written or printed advertising | ||||||
| 19 | material accompanying or made part of an application or | ||||||
| 20 | establishing unreasonable caps or limits on paint or materials | ||||||
| 21 | when estimating vehicle repairs; | ||||||
| 22 | (k) Attempting to settle claims on the basis of an | ||||||
| 23 | application which was altered without notice to, or knowledge | ||||||
| 24 | or consent of, the insured; | ||||||
| 25 | (l) Making a claims payment to a policyholder or | ||||||
| 26 | beneficiary omitting the coverage under which each payment is | ||||||
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| 1 | being made; | ||||||
| 2 | (m) Delaying the investigation or payment of claims by | ||||||
| 3 | requiring an insured, a claimant, or the physicians of either | ||||||
| 4 | to submit a preliminary claim report and then requiring | ||||||
| 5 | subsequent submission of formal proof of loss forms, resulting | ||||||
| 6 | in the duplication of verification; | ||||||
| 7 | (n) Failing in the case of the denial of a claim or the | ||||||
| 8 | offer of a compromise settlement to promptly provide a | ||||||
| 9 | reasonable and accurate explanation of the basis in the | ||||||
| 10 | insurance policy or applicable law for such denial or | ||||||
| 11 | compromise settlement; | ||||||
| 12 | (o) Failing to provide forms necessary to present claims | ||||||
| 13 | within 15 working days of a request with such explanations as | ||||||
| 14 | are necessary to use them effectively; | ||||||
| 15 | (p) Failing to adopt and implement reasonable standards to | ||||||
| 16 | verify that a repairer designated by the insurance company to | ||||||
| 17 | provide an estimate, perform repairs, or engage in any other | ||||||
| 18 | service in connection with an insured loss on a vehicle is duly | ||||||
| 19 | licensed under Section 5-301 of the Illinois Vehicle Code; | ||||||
| 20 | (q) Failing to provide as a persistent tendency a | ||||||
| 21 | notification on any written estimate prepared by an insurance | ||||||
| 22 | company in connection with an insured loss that Illinois law | ||||||
| 23 | requires that vehicle repairers must be licensed in accordance | ||||||
| 24 | with Section 5-301 of the Illinois Vehicle Code; | ||||||
| 25 | (q-5) Violating subsection (e) of Section 155.29a; | ||||||
| 26 | (r) Failing to pay the replacement vehicle use or | ||||||
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| 1 | occupation tax, title, and transfer fees required by Section | ||||||
| 2 | 154.9 of this Code; | ||||||
| 3 | (s) Engaging in any other acts which are in substance | ||||||
| 4 | equivalent to any of the foregoing. | ||||||
| 5 | (Source: P.A. 102-69, eff. 7-1-22.) | ||||||
| 6 | (215 ILCS 5/155.29a new) | ||||||
| 7 | Sec. 155.29a. Motor vehicle insurance; body parts used in | ||||||
| 8 | the repair of a motor vehicle. | ||||||
| 9 | (a) As used in this Section: | ||||||
| 10 | "Body part" means a replacement for any of the | ||||||
| 11 | nonmechanical sheet metal or plastic parts that generally | ||||||
| 12 | constitute the exterior of a motor vehicle. "Body part" | ||||||
| 13 | includes the inner and outer panels of the body of a motor | ||||||
| 14 | vehicle. | ||||||
| 15 | "Body shop" means a business that repairs damage to the | ||||||
| 16 | exterior of motor vehicles. | ||||||
| 17 | "Insured" means a person who is entitled to the coverage | ||||||
| 18 | provided by an insurance policy. | ||||||
| 19 | "Insurer" means a company, firm, partnership, association, | ||||||
| 20 | order, society, or system that is obligated to pay at least | ||||||
| 21 | part of the cost of repairing the exterior of an insured's | ||||||
| 22 | motor vehicle under an insurance policy issued by the company, | ||||||
| 23 | firm, partnership, association, order, society, or system. | ||||||
| 24 | "Insurer" includes associations operating as Lloyds, | ||||||
| 25 | reciprocal or inter-insurers, and individual underwriters. | ||||||
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| 1 | "Motor vehicle" means a vehicle that is self-propelled. | ||||||
| 2 | "Motor vehicle" does not include a farm tractor, an implement | ||||||
| 3 | of agriculture designed to be operated primarily in a farm | ||||||
| 4 | field or on farm premises, an electric bicycle, an electric | ||||||
| 5 | foot scooter, or an electric personal assistive mobility | ||||||
| 6 | device. | ||||||
| 7 | "New body part" means a body part that has not previously | ||||||
| 8 | been attached to a motor vehicle. | ||||||
| 9 | "Used body part" means a body part that has previously | ||||||
| 10 | been attached to a motor vehicle. | ||||||
| 11 | (b) An insurer may not direct a body shop to repair an | ||||||
| 12 | insured's motor vehicle until the insurer or its agent has | ||||||
| 13 | given the insured written notice that meets the requirements | ||||||
| 14 | set forth in subsection (c). | ||||||
| 15 | (c) An insurer or its agent shall give an insured written | ||||||
| 16 | notice that complies with the following: | ||||||
| 17 | (1) the written notice informs the insured that the | ||||||
| 18 | insured has a right to approve the type of body parts used | ||||||
| 19 | in the repair of the motor vehicle; and | ||||||
| 20 | (2) the written notice gives the insured an | ||||||
| 21 | opportunity, in approving the type of body parts used in | ||||||
| 22 | the repair of the motor vehicle, to select from the | ||||||
| 23 | following categories: | ||||||
| 24 | (A) new body parts manufactured by or for the | ||||||
| 25 | manufacturer of the motor vehicle; | ||||||
| 26 | (B) new body parts that were not manufactured by | ||||||
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| 1 | or for the manufacturer of the motor vehicle; and | ||||||
| 2 | (C) used body parts. | ||||||
| 3 | (d) An insurer or its agent shall give an insured an | ||||||
| 4 | opportunity to indicate in writing the type of body parts that | ||||||
| 5 | the insured approves for use in the repair of the insured's | ||||||
| 6 | motor vehicle. | ||||||
| 7 | (e) An insurer who does any of the following actions | ||||||
| 8 | commits an improper claims practice under Section 154.6: | ||||||
| 9 | (1) the insurer or its agent does not give an insured | ||||||
| 10 | written notice and directs a body shop to repair the | ||||||
| 11 | insured's motor vehicle; | ||||||
| 12 | (2) the insurer or its agent does not meet the | ||||||
| 13 | requirements set forth in subsection (c) or (d) and | ||||||
| 14 | directs a body shop to repair the insured's motor vehicle; | ||||||
| 15 | (3) the insurer or its agent gives an insured an | ||||||
| 16 | opportunity to indicate in writing the type of body parts | ||||||
| 17 | that the insured approves for use in the repair of the | ||||||
| 18 | insured's motor vehicle and directs a body shop to repair | ||||||
| 19 | the motor vehicle using a type of body part that is | ||||||
| 20 | different from the type of body part that the insured | ||||||
| 21 | approved; or | ||||||
| 22 | (4) the insurer or its agent gives an insured an | ||||||
| 23 | opportunity to indicate in writing the type of body parts | ||||||
| 24 | that the insured approves for use in the repair of the | ||||||
| 25 | insured's motor vehicle and refuses to pay for the type of | ||||||
| 26 | body parts that the insured approved or refuses to direct | ||||||
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| 1 | a body shop to use the type of body parts that the insured | ||||||
| 2 | approved in the repair of the motor vehicle. | ||||||
| 3 | (f) The requirements of this Section apply only for 5 | ||||||
| 4 | years after the model year of the applicable motor vehicle. | ||||||
| 5 | (g) The requirements of this Section may be fulfilled on | ||||||
| 6 | behalf of an insurer by the body shop that is directed by the | ||||||
| 7 | insurer to repair the applicable motor vehicle. | ||||||