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09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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| public adjusters, which include limiting their licensure to |
2 |
| assisting insureds in first party claims. |
3 |
| (215 ILCS 5/1510 new)
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4 |
| Sec. 1510. Definitions. In this Article: |
5 |
| "Business entity" means a corporation, association, |
6 |
| partnership, limited liability company, limited liability |
7 |
| partnership, or other legal entity. |
8 |
| "Director" means the Director of the Division of Insurance |
9 |
| of the Department of Financial and Professional Regulation. |
10 |
| "Division" means the Division of Insurance of the |
11 |
| Department of Financial and Professional Regulation. |
12 |
| "Fingerprints" means an impression of the lines on the |
13 |
| finger taken for the purpose of identification. The impression |
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| may be electronic or in ink converted to electronic format. |
15 |
| "Home state" means the District of Columbia and any state |
16 |
| or territory of the United States where the public adjuster's |
17 |
| principal place of residence or principal place of business is |
18 |
| located. If neither the state in which the public adjuster |
19 |
| maintains the principal place of residence nor the state in |
20 |
| which the public adjuster maintains the principal place of |
21 |
| business has a substantially similar law governing public |
22 |
| adjusters, the public adjuster may declare another state in |
23 |
| which it becomes licensed and acts as a public adjuster to be |
24 |
| the home state. |
25 |
| "Individual" means a natural person. |
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09600HB0274ham001 |
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| "Person" means an individual or a business entity. |
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| "Public adjuster" means any person who, for compensation or |
3 |
| any other thing of value on behalf of the insured: |
4 |
| (i) acts or aids, solely in relation to first party |
5 |
| claims arising under insurance contracts that insure the |
6 |
| real or personal property of the insured, on behalf of an |
7 |
| insured in negotiating for, or effecting the settlement of, |
8 |
| a claim for loss or damage covered by an insurance |
9 |
| contract; |
10 |
| (ii) advertises for employment as an public adjuster of |
11 |
| insurance claims or solicits business or represents |
12 |
| himself or herself to the public as an public adjuster of |
13 |
| first party insurance claims for losses or damages arising |
14 |
| out of policies of insurance that insure real or personal |
15 |
| property; or |
16 |
| (iii) directly or indirectly solicits business, |
17 |
| investigates or adjusts losses, consults, or advises an |
18 |
| insured about first party claims for losses or damages |
19 |
| arising out of policies of insurance that insure real or |
20 |
| personal property for another person engaged in the |
21 |
| business of adjusting losses or damages covered by an |
22 |
| insurance policy for the insured. |
23 |
| "Uniform individual application" means the current version |
24 |
| of the National Association of Directors (NAIC) Uniform |
25 |
| Individual Application for resident and nonresident |
26 |
| individuals. |
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09600HB0274ham001 |
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| "Uniform business entity application" means the current |
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| version of the National Association of Insurance Commissioners |
3 |
| (NAIC) Uniform Business Entity Application for resident and |
4 |
| nonresident business entities. |
5 |
| (215 ILCS 5/1515 new)
|
6 |
| Sec. 1515. License required. |
7 |
| (a) A person shall not act or hold himself out as a public |
8 |
| adjuster in this State unless the person is licensed as a |
9 |
| public adjuster in accordance with this Article. |
10 |
| (b) A person licensed as a public adjuster shall not |
11 |
| misrepresent to a claimant that he or she is an adjuster |
12 |
| representing an insurer in any capacity, including acting as an |
13 |
| employee of the insurer or acting as an independent adjuster |
14 |
| unless so appointed by an insurer in writing to act on the |
15 |
| insurer's behalf for that specific claim or purpose. A licensed |
16 |
| public adjuster is prohibited from charging that specific |
17 |
| claimant a fee when appointed by the insurer and the |
18 |
| appointment is accepted by the public adjuster. |
19 |
| (c) A business entity acting as a public adjuster is |
20 |
| required to obtain a public adjuster license. Application shall |
21 |
| be made using the Uniform Business Entity Application. Before |
22 |
| approving the application, the Director shall find that: |
23 |
| (1) the business entity has paid the required fees to |
24 |
| be registered as a business entity in this State; and |
25 |
| (2) all officers, shareholders, and persons with |
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09600HB0274ham001 |
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| ownership interests in the business entity are licensed |
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| public adjusters responsible for the business entity's |
3 |
| compliance with the insurance laws, rules, and regulations |
4 |
| of this State. |
5 |
| (d) Notwithstanding subsections (a) through (c) of this |
6 |
| Section, a license as a public adjuster shall not be required |
7 |
| of the following: |
8 |
| (1) an attorney admitted to practice in this State, |
9 |
| when acting in his or her professional capacity as an |
10 |
| attorney; |
11 |
| (2) a person who negotiates or settles claims arising |
12 |
| under a life or health insurance policy or an annuity |
13 |
| contract; |
14 |
| (3) a person employed only for the purpose of obtaining |
15 |
| facts surrounding a loss or furnishing technical |
16 |
| assistance to a licensed public adjuster, including |
17 |
| photographers, estimators, private investigators, |
18 |
| engineers, and handwriting experts; |
19 |
| (4) a licensed health care provider, or employee of a |
20 |
| licensed health care provider, who prepares or files a |
21 |
| health claim form on behalf of a patient; or |
22 |
| (5) a person who settles subrogation claims between |
23 |
| insurers. |
24 |
| (215 ILCS 5/1520 new)
|
25 |
| Sec. 1520. Application for license. |
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09600HB0274ham001 |
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| (a) A person applying for a public adjuster license shall |
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| make application to the Director on the appropriate uniform |
3 |
| application or other application prescribed by the Director. |
4 |
| (b) The applicant shall declare under penalty of perjury |
5 |
| and under penalty of refusal, suspension, or revocation of the |
6 |
| license that the statements made in the application are true, |
7 |
| correct, and complete to the best of the applicant's knowledge |
8 |
| and belief. |
9 |
| (c) In order to make a determination of license |
10 |
| eligibility, the Director is authorized to require |
11 |
| fingerprints of applicants and submit such fingerprints and the |
12 |
| fee required to perform the criminal history record checks to |
13 |
| the Illinois State Police and the Federal Bureau of |
14 |
| Investigation (FBI) for State and national criminal history |
15 |
| record checks. |
16 |
| (d) The Director may adopt rules to establish procedures |
17 |
| necessary to carry out the requirements of subsection (c) of |
18 |
| this Section. |
19 |
| (e) The Director is authorized to submit electronic |
20 |
| fingerprint records and necessary identifying information to |
21 |
| the NAIC, its affiliates, or subsidiaries for permanent |
22 |
| retention in a centralized repository. The purpose of such a |
23 |
| centralized repository is to provide Directors with access to |
24 |
| fingerprint records in order to perform criminal history record |
25 |
| checks. |
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09600HB0274ham001 |
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| (215 ILCS 5/1525 new)
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2 |
| Sec. 1525. Resident license. |
3 |
| (a) Before issuing a public adjuster license to an |
4 |
| applicant under this Section, the Director shall find that the |
5 |
| applicant: |
6 |
| (1) is eligible to designate this State as his or her |
7 |
| home state or is a nonresident who is not eligible for a |
8 |
| license under Section 1540; |
9 |
| (2) has not committed any act that is a ground for |
10 |
| denial, suspension, or revocation of a license as set forth |
11 |
| in Section 1555; |
12 |
| (3) is trustworthy, reliable, competent, and of good |
13 |
| reputation, evidence of which may be determined by the |
14 |
| Director; |
15 |
| (4) is financially responsible to exercise the license |
16 |
| and has provided proof of financial responsibility as |
17 |
| required in Section 1560 of this Article; and |
18 |
| (5) maintains an office in the home state of residence |
19 |
| with public access by reasonable appointment or regular |
20 |
| business hours. This includes a designated office within a |
21 |
| home state of residence. |
22 |
| (b) In addition to satisfying the requirements of |
23 |
| subsection (a) of this Section, an individual shall |
24 |
| (1) be at least 18 years of age; |
25 |
| (2) have successfully passed the public adjuster |
26 |
| examination; |
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09600HB0274ham001 |
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| (3) designate a licensed individual public adjuster |
2 |
| responsible for the business entity's compliance with the |
3 |
| insurance laws, rules, and regulations of this State; and |
4 |
| (4) designate only licensed individual public |
5 |
| adjusters to exercise the business entity's license. |
6 |
| (c) The Director may require any documents reasonably |
7 |
| necessary to verify the information contained in the |
8 |
| application. |
9 |
| (215 ILCS 5/1530 new)
|
10 |
| Sec. 1530. Examination. |
11 |
| (a) An individual applying for a public adjuster license |
12 |
| under this Article must pass a written examination unless he or |
13 |
| she is exempt pursuant to Section 1535 of this Article. The |
14 |
| examination shall test the knowledge of the individual |
15 |
| concerning the duties and responsibilities of a public adjuster |
16 |
| and the insurance laws and regulations of this State. |
17 |
| Examinations required by this Section shall be developed and |
18 |
| conducted under rules and regulations prescribed by the |
19 |
| Director. |
20 |
| (b) The Director may make arrangements, including |
21 |
| contracting with an outside testing service, for administering |
22 |
| examinations and collecting the nonrefundable fee. Each |
23 |
| individual applying for an examination shall remit a |
24 |
| non-refundable fee as prescribed by the Director. An individual |
25 |
| who fails to appear for the examination as scheduled or fails |
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09600HB0274ham001 |
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| to pass the examination shall reapply for an examination and |
2 |
| remit all required fees and forms before being rescheduled for |
3 |
| another examination. An individual who fails to pass the |
4 |
| examination must wait 90 days prior to rescheduling an |
5 |
| examination. |
6 |
| (215 ILCS 5/1535 new)
|
7 |
| Sec. 1535. Exemptions from examination. |
8 |
| (a) An individual who applies for a public adjuster license |
9 |
| in this State who was previously licensed as a public adjuster |
10 |
| in another state based on an public adjuster examination shall |
11 |
| not be required to complete any prelicensing education. This |
12 |
| exemption is only available if (i) the person is currently |
13 |
| licensed in that state or if the application is received within |
14 |
| 12 months of the cancellation of the applicant's previous |
15 |
| license; and (ii) if the prior state issues a certification |
16 |
| that, at the time of cancellation, the applicant was in good |
17 |
| standing in that state or the state's producer database records |
18 |
| or records maintained by the NAIC, its affiliates, or |
19 |
| subsidiaries, indicate that the public adjuster is or was |
20 |
| licensed in good standing. |
21 |
| (b) A person licensed as a public adjuster in another state |
22 |
| based on a public adjuster examination who moves to this State |
23 |
| shall submit an application within 90 days of establishing |
24 |
| legal residence to become a resident licensee pursuant to |
25 |
| Section 1525 of this Article. No prelicensing examination shall |
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09600HB0274ham001 |
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| be required of that person to obtain a public adjuster license. |
2 |
| (c) An individual who applies for a public adjuster license |
3 |
| in this State who was previously licensed as a public adjuster |
4 |
| in this State shall not be required to complete any |
5 |
| prelicensing examination. This exemption is only available if |
6 |
| the application is received within 12 months of the |
7 |
| cancellation of the applicant's previous license in this State |
8 |
| and if, at the time of cancellation, the applicant was in good |
9 |
| standing in this State. |
10 |
| (215 ILCS 5/1540 new)
|
11 |
| Sec. 1540. Nonresident license reciprocity. |
12 |
| (a) Unless denied licensure pursuant to Section 1555 of |
13 |
| this Article, a nonresident person shall receive a nonresident |
14 |
| public adjuster license if: |
15 |
| (1) the person is currently licensed as a resident |
16 |
| public adjuster and in good standing in his or her home |
17 |
| state; |
18 |
| (2) the person has submitted the proper request for |
19 |
| licensure and has provided proof of financial |
20 |
| responsibility as required in Section 1560 of this Article; |
21 |
| (3) the person has submitted or transmitted to the |
22 |
| Director the appropriate completed application for |
23 |
| licensure; and |
24 |
| (4) the person's home state awards non-resident public |
25 |
| adjuster licenses to residents of this State on the same |
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09600HB0274ham001 |
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| basis. |
2 |
| (b) The Director may verify the public adjuster's licensing |
3 |
| status through the producer database maintained by the NAIC, |
4 |
| its affiliates, or subsidiaries. |
5 |
| (c) As a condition to continuation of a public adjuster |
6 |
| license issued under this Section, the licensee shall maintain |
7 |
| a resident public adjuster license in his or her home state. |
8 |
| The non-resident public adjuster license issued under this |
9 |
| Section shall terminate and be surrendered immediately to the |
10 |
| Director if the home state public adjuster license terminates |
11 |
| for any reason, unless the public adjuster has been issued a |
12 |
| license as a resident public adjuster in his or her new home |
13 |
| state. Notification to the state or states where the |
14 |
| non-resident license is issued must be made as soon as |
15 |
| possible, yet no later that 30 days of change in new state |
16 |
| resident license. The licensee shall include his or her new and |
17 |
| old address on the notification. A new state resident license |
18 |
| is required for non-resident licenses to remain valid. The new |
19 |
| state resident license must have reciprocity with the licensing |
20 |
| non-resident state or states for the non-resident license not |
21 |
| to terminate. |
22 |
| (215 ILCS 5/1545 new)
|
23 |
| Sec. 1545. License. |
24 |
| (a) Unless denied licensure under this Article, persons who |
25 |
| have met the requirements of this Article shall be issued a |
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09600HB0274ham001 |
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| public adjuster license. |
2 |
| (b) A public adjuster license shall remain in effect unless |
3 |
| revoked, terminated, or suspended as long as the requirements |
4 |
| for license renewal are met by the due date. |
5 |
| (c) The licensee shall inform the Director by any means |
6 |
| acceptable to the Director of a change of address, change of |
7 |
| legal name, or change of information submitted on the |
8 |
| application within 30 days of the change. |
9 |
| (d) A licensed public adjuster shall be subject to Article |
10 |
| XXVI of this Code. |
11 |
| (e) A public adjuster who allows his or her license to |
12 |
| lapse may, within 12 months from the due date of the renewal, |
13 |
| be issued a new public adjuster license without necessity of |
14 |
| passing a written examination. However, a penalty in the amount |
15 |
| of double the unpaid renewal fee shall be required for the |
16 |
| issue of the new public adjuster license. |
17 |
| (f) A licensed public adjuster that is unable to comply |
18 |
| with license renewal procedures due to military service or a |
19 |
| long-term medical disability may request a waiver of the |
20 |
| procedures in subsection (e) of this Section. The public |
21 |
| adjuster may also request a waiver of any examination |
22 |
| requirement, fine, or other sanction imposed for failure to |
23 |
| comply with renewal procedures. |
24 |
| (g) The license shall contain the licensee's name, city and |
25 |
| state of business address, personal identification number, the |
26 |
| date of issuance, the expiration date, and any other |
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09600HB0274ham001 |
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| information the Director deems necessary. |
2 |
| (h) In order to assist in the performance of the Director's |
3 |
| duties, the Director may contract with non-governmental |
4 |
| entities, including the NAIC or any affiliates or subsidiaries |
5 |
| that the NAIC oversees, to perform any ministerial functions, |
6 |
| including the collection of fees and data, related to licensing |
7 |
| that the Director may deem appropriate. |
8 |
| (215 ILCS 5/1555 new)
|
9 |
| Sec. 1555. License denial, non-renewal, or revocation |
10 |
| (a) The Director may place on probation, suspend, revoke, |
11 |
| deny, or refuse to issue or renew a public adjuster's license |
12 |
| or may levy a civil penalty or any combination of actions, for |
13 |
| any one or more of the following causes: |
14 |
| (1) providing incorrect, misleading, incomplete, or |
15 |
| materially untrue information in the license application; |
16 |
| (2) violating any insurance laws, or violating any |
17 |
| regulation, subpoena, or order of the Director or of |
18 |
| another state's Director; |
19 |
| (3) obtaining or attempting to obtain a license through |
20 |
| misrepresentation or fraud; |
21 |
| (4) improperly withholding, misappropriating, or |
22 |
| converting any monies or properties received in the course |
23 |
| of doing insurance business; |
24 |
| (5) intentionally misrepresenting the terms of an |
25 |
| actual or proposed insurance contract or application for |
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09600HB0274ham001 |
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| insurance; |
2 |
| (6) having been convicted of a felony; |
3 |
| (7) having admitted or been found to have committed any |
4 |
| insurance unfair trade practice or insurance fraud; |
5 |
| (8) using fraudulent, coercive, or dishonest |
6 |
| practices; or demonstrating incompetence, |
7 |
| untrustworthiness, or financial irresponsibility in the |
8 |
| conduct of business in this State or elsewhere; |
9 |
| (9) having an insurance license or public adjuster |
10 |
| license or its equivalent, denied, suspended, or revoked in |
11 |
| any other state, province, district, or territory; |
12 |
| (10) forging another's name to an application for |
13 |
| insurance or to any document related to an insurance |
14 |
| transaction; |
15 |
| (11) cheating, including improperly using notes or any |
16 |
| other reference material, to complete an examination for an |
17 |
| insurance license or public adjuster license; |
18 |
| (12) knowingly accepting insurance business from or |
19 |
| transacting business with an individual who is not licensed |
20 |
| but who is required to be licensed by the Director; |
21 |
| (13) failing to comply with an administrative or court |
22 |
| order imposing a child support obligation; |
23 |
| (14) failing to pay State income tax or comply with any |
24 |
| administrative or court order directing payment of State |
25 |
| income tax; |
26 |
| (15) failing to comply with or having violated any of |
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|
09600HB0274ham001 |
- 15 - |
LRB096 04478 RPM 22582 a |
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| the standards set forth in Section 1590 of this Law; or |
2 |
| (16) failing to maintain the records required by |
3 |
| Section 1585 of this Law. |
4 |
| (b) If the action by the Director is to nonrenew, suspend, |
5 |
| or revoke a license or to deny an application for a license, |
6 |
| the Director shall notify the applicant or licensee and advise, |
7 |
| in writing, the applicant or licensee of the reason for the |
8 |
| suspension, revocation, denial, or nonrenewal of the |
9 |
| applicant's or licensee's license. The applicant or licensee |
10 |
| may make written demand upon the Director within 30 days after |
11 |
| the date of mailing for a hearing before the Director to |
12 |
| determine the reasonableness of the Director's action. The |
13 |
| hearing must be held within not fewer than 20 days nor more |
14 |
| than 30 days after the mailing of the notice of hearing and |
15 |
| shall be held pursuant to 50 Ill. Adm. Code 2402. |
16 |
| (c) The license of a business entity may be suspended, |
17 |
| revoked, or refused if the Director finds, after hearing, that |
18 |
| an individual licensee's violation was known or should have |
19 |
| been known by one or more of the partners, officers, or |
20 |
| managers acting on behalf of the business entity and the |
21 |
| violation was neither reported to the Director, nor corrective |
22 |
| action taken. |
23 |
| (d) In addition to or in lieu of any applicable denial, |
24 |
| suspension or revocation of a license, a person may, after |
25 |
| hearing, be subject to a civil penalty. In addition to or |
26 |
| instead of any applicable denial, suspension, or revocation of |
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|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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| a license, a person may, after hearing, be subject to a civil |
2 |
| penalty of up to $10,000 for each cause for denial, suspension, |
3 |
| or revocation, however, the civil penalty may total no more |
4 |
| than $100,000. |
5 |
| (e) The Director shall retain the authority to enforce the |
6 |
| provisions of and impose any penalty or remedy authorized by |
7 |
| this Article against any person who is under investigation for |
8 |
| or charged with a violation of this Article even if the |
9 |
| person's license or registration has been surrendered or has |
10 |
| lapsed by operation of law. |
11 |
| (f) Any individual whose public adjuster's license is |
12 |
| revoked or whose application is denied pursuant to this Section |
13 |
| shall be ineligible to apply for a public adjuster's license |
14 |
| for 5 years. A suspension pursuant to this Section may be for |
15 |
| any period of time up to 5 years. |
16 |
| (215 ILCS 5/1560 new)
|
17 |
| Sec. 1560. Bond or letter of credit. |
18 |
| (a) Prior to the issuance of a license as a public adjuster |
19 |
| and for the duration of the license, the applicant shall secure |
20 |
| evidence of financial responsibility in a format prescribed by |
21 |
| the Director through a surety bond or irrevocable letter of |
22 |
| credit, subject to all of the following requirements: |
23 |
| (1) A surety bond executed and issued by an insurer |
24 |
| authorized to issue surety bonds in this State, which bond: |
25 |
| (A) shall be in the minimum amount of $20,000; |
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09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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| (B) shall be in favor of this State and shall |
2 |
| specifically authorize recovery by the Director on |
3 |
| behalf of any person in this State who sustained |
4 |
| damages as the result of erroneous acts, failure to |
5 |
| act, conviction of fraud, or conviction of unfair |
6 |
| practices in his or her capacity as a public adjuster; |
7 |
| and |
8 |
| (C) shall not be terminated unless at least 30 |
9 |
| days' prior written notice will have been filed with |
10 |
| the Director and given to the licensee; and |
11 |
| (2) An irrevocable letter of credit issued by a |
12 |
| qualified financial institution, which letter of credit |
13 |
| (A) shall be in the minimum amount of $20,000; |
14 |
| (B) shall be to an account to the Director and |
15 |
| subject to lawful levy of execution on behalf of any |
16 |
| person to whom the public adjuster has been found to be |
17 |
| legally liable as the result of erroneous acts, failure |
18 |
| to act, fraudulent acts, or unfair practices in his or |
19 |
| her capacity as a public adjuster; and |
20 |
| (C) shall not be terminated unless at least 30 |
21 |
| days' prior written notice will have been filed with |
22 |
| the and given to the licensee. |
23 |
| (b) The issuer of the evidence of financial responsibility |
24 |
| shall notify the Director upon termination of the bond or |
25 |
| letter of credit, unless otherwise directed by the Director. |
26 |
| (c) The Director may ask for the evidence of financial |
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|
|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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|
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| responsibility at any time he or she deems relevant. |
2 |
| (d) The authority to act as a public adjuster shall |
3 |
| automatically terminate if the evidence of financial |
4 |
| responsibility terminates or becomes impaired. |
5 |
| (215 ILCS 5/1565 new)
|
6 |
| Sec. 1565. Continuing education. |
7 |
| (a) An individual who holds a public adjuster license and |
8 |
| who is not exempt under subsection (b) of this Section shall |
9 |
| satisfactorily complete a minimum of 24 hours of continuing |
10 |
| education courses, including 3 hours of classroom ethics |
11 |
| instruction, reported on a biennial basis in conjunction with |
12 |
| the license renewal cycle. |
13 |
| The Director may not approve a course of study unless the |
14 |
| course provides for
classroom, seminar, or self-study |
15 |
| instruction methods. A course
given in a combination |
16 |
| instruction method of classroom or seminar
and self-study shall |
17 |
| be deemed to be a self-study course unless the
classroom or |
18 |
| seminar certified hours meets or exceeds two-thirds of
the |
19 |
| total hours certified for the course. The self-study material |
20 |
| used
in the combination course must be directly related to and |
21 |
| complement
the classroom portion of the course in order to be |
22 |
| considered for
credit. An instruction method other than |
23 |
| classroom or seminar shall
be considered as self-study |
24 |
| methodology. Self-study credit hours
require the successful |
25 |
| completion of an examination covering the
self-study material. |
|
|
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09600HB0274ham001 |
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| The examination may not be self-evaluated.
However, if the |
2 |
| self-study material is completed through the use of
an approved |
3 |
| computerized interactive format whereby the computer
validates |
4 |
| the successful completion of the self-study material, no
|
5 |
| additional examination is required. The self-study credit |
6 |
| hours
contained in a certified course shall be considered |
7 |
| classroom hours
when at least two-thirds of the hours are given |
8 |
| as classroom or
seminar instruction. |
9 |
| The public adjuster must complete the course in advance of |
10 |
| the renewal date to
allow the education provider time to report |
11 |
| the credit to the
Department. |
12 |
| (b) This Section shall not apply to: |
13 |
| (1) licensees not licensed for one full year prior to |
14 |
| the end of the applicable continuing education biennium; or |
15 |
| (2) licensees holding nonresident public adjuster |
16 |
| licenses who have met the continuing education |
17 |
| requirements of their home state and whose home state gives |
18 |
| credit to residents of this State on the same basis. |
19 |
| (c) Only continuing education courses approved by the |
20 |
| Director shall be used to satisfy the continuing education |
21 |
| requirement of subsection (a) of this Section. |
22 |
| (215 ILCS 5/1570 new)
|
23 |
| Sec. 1570. Public adjuster fees. |
24 |
| (a) A public adjuster shall not pay a commission, service |
25 |
| fee, or other valuable consideration to a person for |
|
|
|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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|
1 |
| investigating or settling claims in this State if that person |
2 |
| is required to be licensed under this Article and is not so |
3 |
| licensed. |
4 |
| (b) A person shall not accept a commission, service fee, or |
5 |
| other valuable consideration for investigating or settling |
6 |
| claims in this State if that person is required to be licensed |
7 |
| under this Article and is not so licensed. |
8 |
| (c) A public adjuster may pay or assign commission, service |
9 |
| fees, or other valuable consideration to persons who do not |
10 |
| investigate or settle claims in this State, unless the payment |
11 |
| would violate State law. |
12 |
| (215 ILCS 5/1575 new)
|
13 |
| Sec. 1575. Contract between public adjuster and insured. |
14 |
| (a) Public adjusters shall ensure that all contracts for |
15 |
| their services are in writing and contain the following terms: |
16 |
| (1) legible full name of the adjuster signing the |
17 |
| contract, as specified in Department records; |
18 |
| (2) permanent home state business address and phone |
19 |
| number; |
20 |
| (3) license number; |
21 |
| (4) title of "Public Adjuster Contract"; |
22 |
| (5) the insured's full name, street address, insurance |
23 |
| company name, and policy number, if known or upon |
24 |
| notification; |
25 |
| (6) a description of the loss and its location, if |
|
|
|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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| applicable; |
2 |
| (7) description of services to be provided to the |
3 |
| insured; |
4 |
| (8) signatures of the public adjuster and the insured; |
5 |
| (9) date contract was signed by the public adjuster and |
6 |
| date the contract was signed by the insured; |
7 |
| (10) attestation language stating that the public |
8 |
| adjuster is fully bonded pursuant to State law; and |
9 |
| (11) full salary, fee, commission, compensation, or |
10 |
| other considerations the public adjuster is to receive for |
11 |
| services. |
12 |
| (b) The contract may specify that the public adjuster shall |
13 |
| be named as a co-payee on an insurer's payment of a claim. |
14 |
| (1) If the compensation is based on a share of the |
15 |
| insurance settlement, the exact percentage shall be |
16 |
| specified. |
17 |
| (2) Initial expenses to be reimbursed to the public |
18 |
| adjuster from the proceeds of the claim payment shall be |
19 |
| specified by type, with dollar estimates set forth in the |
20 |
| contract and with any additional expenses first approved by |
21 |
| the insured. |
22 |
| (3) Compensation provisions in a public adjusting |
23 |
| contract shall not be redacted in any copy of the contract |
24 |
| provided to the Director. |
25 |
| (c) If the insurer, not later than 5 business days after |
26 |
| the date on which the loss is reported to the insurer, either |
|
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|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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|
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| pays or commits in writing to pay to the insured the policy |
2 |
| limit of the insurance policy, the public adjuster shall: |
3 |
| (1) not receive a commission consisting of a percentage |
4 |
| of the total amount paid by an insurer to resolve a claim; |
5 |
| (2) inform the insured that loss recovery amount might |
6 |
| not be increased by insurer; and |
7 |
| (3) be entitled only to reasonable compensation from |
8 |
| the insured for services provided by the public adjuster on |
9 |
| behalf of the insured, based on the time spent on a claim |
10 |
| and expenses incurred by the public adjuster, until the |
11 |
| claim is paid or the insured receives a written commitment |
12 |
| to pay from the insurer. |
13 |
| (d) A public adjuster shall provide the insured a written |
14 |
| disclosure concerning any direct or indirect financial |
15 |
| interest that the public adjuster has with any other party who |
16 |
| is involved in any aspect of the claim, other than the salary, |
17 |
| fee, commission, or other consideration established in the |
18 |
| written contract with the insured, including, but not limited |
19 |
| to, any ownership of or any compensation expected to be |
20 |
| received from, any construction firm, salvage firm, building |
21 |
| appraisal firm, motor vehicle repair shop, or any other firm |
22 |
| which that provides estimates for work, or that performs any |
23 |
| work, in conjunction with damages caused by the insured loss on |
24 |
| which the public adjuster is engaged. The word "firm" shall |
25 |
| include any corporation, partnership, association, joint-stock |
26 |
| company, or person. |
|
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09600HB0274ham001 |
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| (e) A public adjuster contract may not contain any contract |
2 |
| term that: |
3 |
| (1) allows the public adjuster's percentage fee to be |
4 |
| collected when money is due from an insurance company, but |
5 |
| not paid, or that allows a public adjuster to collect the |
6 |
| entire fee from the first check issued by an insurance |
7 |
| company, rather than as percentage of each check issued by |
8 |
| an insurance company; |
9 |
| (2) requires the insured to authorize an insurance |
10 |
| company to issue a check only in the name of the public |
11 |
| adjuster; or |
12 |
| (3) precludes a public adjuster or an insured from |
13 |
| pursuing civil remedies. |
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 be |
23 |
| involved in that process. The definitions of the 3 types |
24 |
| are as follows: |
25 |
| (A) "Company adjuster" means the insurance |
26 |
| adjusters who are employees of an insurance company. |
|
|
|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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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 work for the insured to assist in the preparation, |
13 |
| presentation and settlement of the claim. The insured |
14 |
| hires them by signing a contract agreeing to pay them a |
15 |
| fee or commission based on a percentage of the |
16 |
| settlement, or other method of compensation.". |
17 |
| (2) The insured is not required to hire a public |
18 |
| adjuster to help the insured meet his or her obligations |
19 |
| under the policy, but has the right to do so. |
20 |
| (3) The insured has the right to initiate direct |
21 |
| communications with the insured's attorney, the insurer, |
22 |
| the insurer's adjuster, and the insurer's attorney, or any |
23 |
| other person regarding the settlement of the insured's |
24 |
| claim. Once a public adjuster has been retained, the |
25 |
| company adjuster or other insurance representative may not |
26 |
| communicate directly with the insured without the |
|
|
|
09600HB0274ham001 |
- 25 - |
LRB096 04478 RPM 22582 a |
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|
1 |
| permission or consent of the public adjuster or the |
2 |
| insured's legal counsel. |
3 |
| (4) The public adjuster is not a representative or |
4 |
| employee of the insurer. |
5 |
| (5) The salary, fee, commission, or other |
6 |
| consideration is the obligation of the insured, not the |
7 |
| insurer, except when rights have been assigned to the |
8 |
| public adjuster by the insured. |
9 |
| (g) The contracts shall be executed in duplicate to provide |
10 |
| an original contract to the public adjuster, and an original |
11 |
| contract to the insured. The public adjuster's original |
12 |
| contract shall be available at all times for inspection without |
13 |
| notice by the Director. |
14 |
| (h) The public adjuster shall provide the insurer with an |
15 |
| exact copy of the contract by the insured, authorizing the |
16 |
| public adjuster to represent the insured's interest. |
17 |
| (i) The public adjuster shall give the insured written |
18 |
| notice of the insured's rights as a consumer under the law of |
19 |
| this State. |
20 |
| (j) A public adjuster shall not provide services until a |
21 |
| written contract with the insured has been executed, on a form |
22 |
| filed with and approved by the Director. At the option of the |
23 |
| insured, any such contract that is executed within 5 business |
24 |
| days after conclusion of the loss producing occurrence shall be |
25 |
| voidable for 10 days after execution. The insured may void the |
26 |
| contract by notifying the public adjuster in writing by (i) |
|
|
|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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|
1 |
| registered or certified mail, return receipt requested, to the |
2 |
| address shown on the contract or (ii) personally serving the |
3 |
| notice on the public adjuster. |
4 |
| (k) If the insured exercises the right to rescind the |
5 |
| contract, anything of value given by the insured under the |
6 |
| contract will be returned to the insured within 15 business |
7 |
| days following the receipt by the public adjuster of the |
8 |
| cancellation notice. |
9 |
| (215 ILCS 5/1580 new)
|
10 |
| Sec. 1580. Escrow or trust accounts.
A public adjuster who |
11 |
| receives, accepts, or holds any funds on behalf of an insured |
12 |
| towards the settlement of a claim for loss or damage shall |
13 |
| deposit the funds in a non-interest bearing escrow or trust |
14 |
| account in a financial institution that is insured by an agency |
15 |
| of the federal government in the public adjuster's home state |
16 |
| or where the loss occurred. |
17 |
| (215 ILCS 5/1585 new)
|
18 |
| Sec. 1585. Record retention. |
19 |
| (a) A public adjuster shall maintain a complete record of |
20 |
| each transaction as a public adjuster. The records required by |
21 |
| this Section shall include the following: |
22 |
| (1) name of the insured; |
23 |
| (2) date, location and amount of the loss; |
24 |
| (3) a copy of the contract between the public adjuster |
|
|
|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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|
1 |
| and insured and a copy of the separate disclosure document; |
2 |
| (4) name of the insurer, amount, expiration date and |
3 |
| number of each policy carried with respect to the loss; |
4 |
| (5) itemized statement of the insured's recoveries; |
5 |
| (6) itemized statement of all compensation received by |
6 |
| the public adjuster, from any source whatsoever, in |
7 |
| connection with the loss; |
8 |
| (7) a register of all monies received, deposited, |
9 |
| disbursed, or withdrawn in connection with a transaction |
10 |
| with an insured, including fees transfers and |
11 |
| disbursements from a trust account and all transactions |
12 |
| concerning all interest bearing accounts; |
13 |
| (8) name of public adjuster who executed the contract; |
14 |
| (9) name of the attorney representing the insured, if |
15 |
| applicable, and the name of the claims representatives of |
16 |
| the insurance company; and |
17 |
| (10) evidence of financial responsibility in a format |
18 |
| prescribed by the Director. |
19 |
| (b) Records shall be maintained for at least 7 years after |
20 |
| the termination of the transaction with an insured and shall be |
21 |
| open to examination by the Director at all times. |
22 |
| (c) Records submitted to the Director in accordance with |
23 |
| this Section that contain information identified in writing as |
24 |
| proprietary by the public adjuster shall be treated as |
25 |
| confidential by the Director and shall not be subject Freedom |
26 |
| of Information Act. |
|
|
|
09600HB0274ham001 |
- 28 - |
LRB096 04478 RPM 22582 a |
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|
1 |
| (215 ILCS 5/1590 new)
|
2 |
| Sec. 1590. Standards of conduct of public adjuster. |
3 |
| (a) A public adjuster is obligated, under his or her |
4 |
| license, to serve with objectivity and complete loyalty for the |
5 |
| interests of his client alone, and to render to the insured |
6 |
| such information, counsel, and service, as within the |
7 |
| knowledge, understanding, and opinion in good faith of the |
8 |
| licensee, as will best serve the insured's insurance claim |
9 |
| needs and interest. |
10 |
| (b) A public adjuster may not propose or attempt to propose |
11 |
| to any person that the public adjuster represent that person |
12 |
| while a loss-producing occurrence is continuing, nor while the |
13 |
| fire department or its representatives are engaged at the |
14 |
| damaged premises, nor between the hours of 7:00 p.m. and 8:00 |
15 |
| a.m. |
16 |
| (c) A public adjuster shall not permit an unlicensed |
17 |
| employee or representative of the public adjuster to conduct |
18 |
| business for which a license is required under this Article. |
19 |
| (d) A public adjuster shall not have a direct or indirect |
20 |
| financial interest in any aspect of the claim, other than the |
21 |
| salary, fee, commission, or other consideration established in |
22 |
| the written contract with the insured, unless full written |
23 |
| disclosure has been made to the insured as set forth in |
24 |
| subsection (g) of Section 1575. |
25 |
| (e) A public adjuster shall not acquire any interest in the |
|
|
|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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|
1 |
| salvage of property subject to the contract with the insured |
2 |
| unless the public adjuster obtains written permission from the |
3 |
| insured after settlement of the claim with the insurer as set |
4 |
| forth in subsection (g) of Section 1575 of this Article. |
5 |
| (f) The public adjuster shall abstain from referring or |
6 |
| directing the insured to get needed repairs or services in |
7 |
| connection with a loss from any person, unless disclosed to the |
8 |
| insured: |
9 |
| (1) with whom the public adjuster has a financial |
10 |
| interest; or |
11 |
| (2) from whom the public adjuster may receive direct or |
12 |
| indirect compensation for the referral. |
13 |
| (g) The public adjuster shall disclose to an insured if he |
14 |
| or she has any interest or will be compensated by any |
15 |
| construction firm, salvage firm, building appraisal firm, |
16 |
| motor vehicle repair shop, or any other firm that performs any |
17 |
| work in conjunction with damages caused by the insured loss. |
18 |
| The word "firm" shall include any corporation, partnership, |
19 |
| association, joint-stock company or individual as set forth in |
20 |
| Section 1575 of this Article. |
21 |
| (h) Any compensation or anything of value in connection |
22 |
| with an insured's specific loss that will be received by a |
23 |
| public adjuster shall be disclosed by the public adjuster to |
24 |
| the insured in writing including the source and amount of any |
25 |
| such compensation. |
26 |
| (i) In all cases where the loss giving rise to the claim |
|
|
|
09600HB0274ham001 |
- 30 - |
LRB096 04478 RPM 22582 a |
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|
1 |
| for which the public adjuster was retained arise from damage to |
2 |
| a personal residence, the insurance proceeds shall be delivered |
3 |
| in person to the named insured or his or her designee. Where |
4 |
| proceeds paid by an insurance company are paid jointly to the |
5 |
| insured and the public adjuster, the insured shall release such |
6 |
| portion of the proceeds that are due the public adjuster within |
7 |
| 30 calendar days after the insured's receipt of the insurance |
8 |
| company's check, money order, draft, or release of funds. If |
9 |
| the proceeds are not so released to the insured within 30 |
10 |
| calendar days, the insured shall provide the public adjuster |
11 |
| with a written explanation of the reason for the delay. |
12 |
| (j) Public adjusters shall adhere to the following general |
13 |
| ethical requirements: |
14 |
| (1) a public adjuster shall not undertake the |
15 |
| adjustment of any claim if the public adjuster is not |
16 |
| competent and knowledgeable as to the terms and conditions |
17 |
| of the insurance coverage, or which otherwise exceeds the |
18 |
| public adjuster's current expertise; |
19 |
| (2) a public adjuster shall not knowingly make any oral |
20 |
| or written material misrepresentations or statements which |
21 |
| are false or maliciously critical and intended to injure |
22 |
| any person engaged in the business of insurance to any |
23 |
| insured client or potential insured client; |
24 |
| (3) no public adjuster, while so licensed by the |
25 |
| Department, may represent or act as a company adjuster or |
26 |
| independent adjuster on the same claim; |
|
|
|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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|
1 |
| (4) the contract shall not be construed to prevent an |
2 |
| insured from pursuing any civil remedy after the 3-business |
3 |
| day revocation or cancellation period; |
4 |
| (5) a public adjuster shall not enter into a contract |
5 |
| or accept a power of attorney that vests in the public |
6 |
| adjuster the effective authority to choose the persons who |
7 |
| shall perform repair work; |
8 |
| (6) a public adjuster shall ensure that all contracts |
9 |
| for the public adjuster's services are in writing and set |
10 |
| forth all terms and conditions of the engagement; and |
11 |
| (7) a public adjuster, shall not advance money or any |
12 |
| valuable consideration, except emergency services to an |
13 |
| insured pending adjustment of a claim. |
14 |
| (k) A public adjuster may not agree to any loss settlement |
15 |
| without the insured's knowledge and consent. |
16 |
| (215 ILCS 5/1595 new)
|
17 |
| Sec. 1595. Reporting of actions. |
18 |
| (a) The public adjuster shall report to the Director any |
19 |
| administrative action taken against the public adjuster in |
20 |
| another jurisdiction or by another governmental agency in this |
21 |
| State within 30 days of the final disposition of the matter. |
22 |
| This report shall include a copy of the order, consent to |
23 |
| order, or other relevant legal documents. |
24 |
| (b) Within 30 days of the initial pretrial hearing date, |
25 |
| the public adjuster shall report to the Director any criminal |
|
|
|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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|
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| prosecution of the public adjuster taken in any jurisdiction. |
2 |
| The report shall include a copy of the initial complaint filed, |
3 |
| the order resulting from the hearing, and any other relevant |
4 |
| legal documents. |
5 |
| (215 ILCS 5/1600 new)
|
6 |
| Sec. 1600. Examinations. |
7 |
| (a) The Director shall have the power to examine any |
8 |
| applicant or any person licensed or registered pursuant to this |
9 |
| Article. |
10 |
| (b) Every person being examined and its officers, |
11 |
| directors, and members must provide to the Director convenient |
12 |
| and free access, at all reasonable hours, to all books, |
13 |
| records, documents, and other papers relating to its public |
14 |
| adjusting affairs. The officers, directors, members, and |
15 |
| employees must facilitate and aid in such examinations so far |
16 |
| as it is in their power to do so. |
17 |
| (c) Examiners may be designated by the Director. Such |
18 |
| examiners shall make their reports to the Director pursuant to |
19 |
| this Section. Any report alleging substantive violations shall |
20 |
| be in writing and shall be based upon the facts ascertained |
21 |
| from the books, records, documents, papers, and other evidence |
22 |
| obtained by the examiners or ascertained from the testimony of |
23 |
| the officers, directors, members, or other individuals |
24 |
| examined under oath or ascertained by notarized affidavits |
25 |
| received by the examiners. The reports shall be verified by the |
|
|
|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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|
1 |
| examiners. |
2 |
| (215 ILCS 5/1605 new)
|
3 |
| Sec. 1605. Injunctive relief. Any person who acts as or |
4 |
| holds himself out to be a public adjuster without holding a |
5 |
| valid and current license to do so is hereby declared to be |
6 |
| inimical to the public welfare and to constitute a public |
7 |
| nuisance. The Director may report such practice to the Attorney |
8 |
| General of the State of Illinois whose duty it is to apply |
9 |
| forthwith by complaint on relation of the Director in the name |
10 |
| of the people of the State of Illinois, as plaintiff, for |
11 |
| injunctive relief in the circuit court of the county where such |
12 |
| practice occurred to enjoin the person from engaging in such |
13 |
| practice; and upon the filing of a verified petition in such |
14 |
| court, the court, if satisfied by affidavit or otherwise that |
15 |
| the person has been engaged in such practice without a valid |
16 |
| and current license to do so, may enter a temporary restraining |
17 |
| order without notice or bond enjoining the defendant from such |
18 |
| further practice. A copy of the verified complaint shall be |
19 |
| served upon the defendant and the proceedings shall thereafter |
20 |
| be conducted as in other civil cases. If it is established that |
21 |
| the defendant has been or is engaged in such unlawful practice, |
22 |
| then the court may enter an order or judgment perpetually |
23 |
| enjoining the defendant from such further practice. In all |
24 |
| proceedings hereunder, the court, in its discretion, may |
25 |
| apportion the costs among the parties interested in the action, |
|
|
|
09600HB0274ham001 |
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LRB096 04478 RPM 22582 a |
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| including the costs of filing the complaint, service of |
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| process, witness fees and expenses, court reporter charges, and |
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| reasonable attorney fees. In case of violation of any |
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| injunctive order entered under the provisions of this Section, |
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| the court may try and punish the offender for contempt of |
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| court. Such injunction proceedings shall be in addition to, and |
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| not in lieu of, all penalties and other remedies. |
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| (215 ILCS 5/1610 new)
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| Sec. 1610. Additional penalties.
In addition to any other |
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| penalty set forth in this Article, any person violating Section |
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| 1605 of this Code shall be guilty of a Class A misdemeanor and |
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| any person misappropriating or converting any monies collected |
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| as a public adjuster, whether licensed or not, shall be guilty |
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| of a Class 4 felony. |
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| (215 ILCS 5/1615 new)
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| Sec. 1615. Rules.
The Director shall promulgate reasonable |
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| rules as are necessary or proper to carry out the purposes of |
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| this Article.
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| (215 ILCS 5/Art. XXXI.75 rep.)
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| Section 910. The Illinois Insurance Code is amended by |
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| repealing Article XXXI.75.
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| Section 997. Severability. The provisions of this Act are |