AB 2588: Independent insurance adjusters.
- Session Year: 2015-2016
- House: Assembly
- Latest Version Date: 2016-08-31
Existing law, the Insurance Adjuster Act, sets forth various requirements with respect to operation as an insurance adjuster in this state, including, but not limited to, that the person be licensed, licensing qualifications and application requirements, continuing education and reporting requirements, codes of conduct, disciplinary actions, and nonresident and emergency licenses. The act defines the term insurance adjuster to include a person, other than a private investigator, who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business. Any person who knowingly falsifies the fingerprints or photographs submitted as part of the application process is guilty of a felony, and any person who violates any other provision governing insurance adjusters is guilty of a misdemeanor punishable by a fine not to exceed $500, or by imprisonment in the county jail not to exceed one year, or by both that fine and imprisonment. Existing law prescribes a schedule for various insurance adjuster application, license, and license renewal fees.
This bill would revise and recast the above provisions by, among other things, changing the name of the act to the Independent Insurance Adjuster Act and redefining an independent insurance adjuster to mean an individual, a business entity, an independent contractor, or an employee of a contractor who contracts for compensation with insurers, a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than as an employee, and a person who investigates, negotiates, or settles property and casualty claims for insurers. The bill would expand the categories of persons exempt from the act to include, among others, an individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments, and a person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representatives. The bill would impose additional information and educational requirements on applicants and would impose additional administrative and code of conduct requirements on licensees. The bill would require a person who fails to meet continuing education and reporting requirements, and who has not been granted an extension of time by the commissioner to comply, to have his or her license placed on inactive status, as specified, and would prohibit a licensee on inactive status from performing specified activities. The bill would revise the provisions relating to nonresident and emergency licenses with regards to qualifying for those licenses. The bill would also create an apprentice independent insurance adjuster license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster and would set forth the various terms and conditions of the license, including an application fee to be fixed at up to $80. The bill would make an apprentice independent insurance adjuster subject to a felony conviction if he or she knowingly falsifies the fingerprints or photograph submitted as part of his or her application for a license. The bill would impose a 3-year reporting requirement on the Department of Insurance. The bill would also make conforming changes. Because the bill would create a new crime, it would impose a state-mandated local program. The bill would also change various independent insurance adjuster application, license, and renewal fees, as prescribed.
This bill also would incorporate additional changes in Sections 1722 and 1751.5 of the Insurance Code proposed by SB 488, to be operative if SB 488 and this bill are both enacted and become effective on or before January 1, 2017, and this bill is enacted last.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Existing law, the Insurance Adjuster Act, sets forth various requirements with respect to operation as an insurance adjuster in this state, including, but not limited to, that the person be licensed, licensing qualifications and application requirements, continuing education and reporting requirements, codes of conduct, disciplinary actions, and nonresident and emergency licenses. The act defines the term insurance adjuster to include a person, other than a private investigator, who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business. Any person who knowingly falsifies the fingerprints or photographs submitted as part of the application process is guilty of a felony, and any person who violates any other provision governing insurance adjusters is guilty of a misdemeanor punishable by a fine not to exceed $500, or by imprisonment in the county jail not to exceed one year, or by both that fine and imprisonment. Existing law prescribes a schedule for various insurance adjuster application, license, and license renewal fees.
This bill would revise and recast the above provisions by, among other things, changing the name of the act to the Independent Insurance Adjuster Act and redefining an independent insurance adjuster to mean an individual, a business entity, an independent contractor, or an employee of a contractor who contracts for compensation with insurers, a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than as an employee, and a person who investigates, negotiates, or settles property and casualty claims for insurers. The bill would expand the categories of persons exempt from the act to include, among others, an individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments, and a person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative. The bill would impose additional information and educational requirements on applicants and would impose additional administrative and code of conduct requirements on licensees. The bill would require a person who fails to meet continuing education and reporting requirements, and who has not been granted an extension of time by the commissioner to comply, to have his or her license placed on inactive status, as specified, and would prohibit a licensee on inactive status from performing specified activities. The bill would revise the provisions relating to nonresident and emergency licenses with regards to qualifying for those licenses. The bill would also create an apprentice independent insurance adjuster license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster and would set forth the various terms and conditions of the license, including an application fee to be fixed at up to $80. The bill would make an apprentice independent insurance adjuster subject to a felony conviction if he or she knowingly falsifies the fingerprints or photograph submitted as part of his or her application for a license. The bill would impose a 3-year reporting requirement on the Department of Insurance. The bill would also make conforming changes. Because the bill would create a new crime, it would impose a state-mandated local program. The bill would also change various independent insurance adjuster application, license, and renewal fees, as prescribed.
This bill also would incorporate additional changes in Sections 1722 and 1751.5 of the Insurance Code proposed by SB 488, to be operative if SB 488 and this bill are both enacted and become effective on or before January 1, 2017, and this bill is enacted last.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Existing law, the Insurance Adjuster Act, sets forth various requirements with respect to operation as an insurance adjuster in this state, including, but not limited to, that the person be licensed, licensing qualifications and application requirements, continuing education and reporting requirements, codes of conduct, disciplinary actions, and nonresident and emergency licenses. The act defines the term insurance adjuster to include a person, other than a private investigator, who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business. Any person who knowingly falsifies the fingerprints or photographs submitted as part of the application process is guilty of a felony, and any person who violates any other provision governing insurance adjusters is guilty of a misdemeanor punishable by a fine not to exceed $500, or by imprisonment in the county jail not to exceed one year, or by both that fine and imprisonment. Existing law prescribes a schedule for various insurance adjuster application, license, and license renewal fees.
This bill would revise and recast the above provisions by, among other things, changing the name of the act to the Independent Insurance Adjuster Act and redefining an independent insurance adjuster to mean an individual, a business entity, an independent contractor, or an employee of a contractor who contracts for compensation with insurers, a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than as an employee, and a person who investigates, negotiates, or settles property and casualty claims for insurers. The bill would expand the categories of persons exempt from the act to include, among others, an individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments, and a person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative. The bill would impose additional information and educational requirements on applicants and would impose additional administrative and code of conduct requirements on licensees. The bill would require a person who fails to meet continuing education and reporting requirements, and who has not been granted an extension of time by the commissioner to comply, to have his or her license placed on inactive status, as specified, and would prohibit a licensee on inactive status from performing specified activities. The bill would revise the provisions relating to nonresident and emergency licenses with regards to qualifying for those licenses. The bill would also create an apprentice independent insurance adjuster license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster and would set forth the various terms and conditions of the license, including an application fee to be fixed at up to $120. $80. The bill would make an apprentice independent insurance adjuster subject to a felony conviction if he or she knowingly falsifies the fingerprints or photograph submitted as part of his or her application for a license. The bill would impose a 3-year reporting requirement on the Department of Insurance. The bill would also make conforming changes. Because the bill would create a new crime, it would impose a state-mandated local program. The bill would also change various independent insurance adjuster application, license, and renewal fees, as prescribed.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Existing law, the Insurance Adjuster Act, sets forth various requirements with respect to operation as an insurance adjuster in this state, including, but not limited to, that the person be licensed, licensing qualifications and application requirements, continuing education and reporting requirements, codes of conduct, disciplinary actions, and nonresident and emergency licenses. The act defines the term, insurance adjuster, to include a person, other than a private investigator, who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business. Any person who knowingly falsifies the fingerprints or photographs submitted as part of the application process is guilty of a felony, and any person who violates any other provision governing insurance adjusters is guilty of a misdemeanor punishable by a fine not to exceed $500, or by imprisonment in the county jail not to exceed one year, or by both that fine and imprisonment. Existing law prescribes a schedule for various insurance adjuster application, license, and license renewal fees.
This bill would revise and recast the above provisions by, among other things, changing the name of the act to the Independent Insurance Adjuster Act and redefining an independent insurance adjuster to mean an individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers, a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than as an employee, and a person who investigates, negotiates, or settles property and casualty claims for insurers. The bill would expand the categories of persons exempt from the act to include, among others, an individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments, and a person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative. The bill would impose additional information and educational requirements on applicants and would impose additional administrative and code of conduct requirements on licensees. The bill would require a person who fails to meet continuing education and reporting requirements, and who has not been granted an extension of time by the commissioner to comply, to have his or her license placed on inactive status, as specified, and would prohibit a licensee on inactive status from performing specified activities. The bill would revise the provisions relating to nonresident and emergency licenses with regards to qualifying for those licenses. The bill would also create an apprentice independent insurance adjuster license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster and would set forth the various terms and conditions of the license, including an application fee to be fixed at up to $120. The bill would make an apprentice independent insurance adjuster subject to a felony conviction if he or she knowingly falsifies the fingerprints or photograph submitted as part of his or her application for a license. The bill would impose a 3-year reporting requirement on the Department of Insurance. The bill would also make conforming changes. Because the bill would create a new crime, it would impose a state-mandated local program. The bill would also change various independent insurance adjuster application, license, and renewal fees, as prescribed.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Existing law, the Insurance Adjuster Act, sets forth various requirements with respect to operation as an insurance adjuster in this state, including, but not limited to, that the person be licensed, licensing qualifications and application requirements, continuing education and reporting requirements, codes of conduct, disciplinary actions, and nonresident and emergency licenses. The act defines the term, insurance adjuster, to include a person, other than a private investigator, who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business. Any person who knowingly falsifies the fingerprints or photographs submitted as part of the application process is guilty of a felony, and any person who violates any other provision governing insurance adjusters is guilty of a misdemeanor punishable by a fine not to exceed $500, or by imprisonment in the county jail not to exceed one year, or by both that fine and imprisonment. Existing law prescribes a schedule for various insurance adjuster application, license, and license renewal fees.
This bill would revise and recast the above provisions by, among other things, changing the name of the act to the Independent Insurance Adjuster Act and redefining an independent insurance adjuster to mean an individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers, a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than as an employee, and a person who investigates, negotiates, or settles property and casualty claims for insurers. The bill would expand the categories of persons exempt from the act to include, among others, an individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments, and a person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative. The bill would impose additional information and educational requirements on applicants and would impose additional administrative and code of conduct requirements on licensees. The bill would require a person who fails to meet continuing education and reporting requirements, and who has not been granted an extension of time by the commissioner to comply, to have his or her license placed on inactive status, as specified, and would prohibit a licensee on inactive status from performing specified activities. The bill would revise the provisions relating to nonresident and emergency licenses with regards to qualifying for those licenses. The bill would also create an apprentice independent insurance adjuster license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster and would set forth the various terms and conditions of the license, including an application fee to be fixed at up to $170. $120. The bill would make an apprentice independent insurance adjuster subject to a felony conviction if he or she knowingly falsifies the fingerprints or photograph submitted as part of his or her application for a license. The bill would impose a 3-year reporting requirement on the Department of Insurance. The bill would also make conforming changes. Because the bill would create a new crime, it would impose a state-mandated local program. The bill would also change various independent insurance adjuster application, license, and renewal fees, as prescribed.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Existing law, the Insurance Adjuster Act, sets forth various requirements with respect to operation as an insurance adjuster in this state, including, but not limited to, that the person be licensed, licensing qualifications and application requirements, codes of conduct, disciplinary actions, and nonresident and emergency licenses. The act defines the term, insurance adjuster, to include a person, other than a private investigator, who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business. Any person who knowingly falsifies the fingerprints or photographs submitted as part of the application process is guilty of a felony, and any person who violates any other provision governing insurance adjusters is guilty of a misdemeanor punishable by a fine not to exceed $500, or by imprisonment in the county jail not to exceed one year, or by both that fine and imprisonment. Existing law prescribes a schedule for various insurance adjuster application, license, and license renewal fees.
This bill would revise and recast the above provisions by, among other things, changing the name of the act to the Independent Insurance Adjuster Act and redefining an independent insurance adjuster to mean an individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers, a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than as an employee, and a person who investigates, negotiates, or settles property and casualty claims for insurers. The bill would expand the categories of persons exempt from the act to include, among others, an individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments, and a person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative. The bill would impose additional information and educational requirements on applicants and would impose additional administrative and code of conduct requirements on licensees. The bill would revise the provisions relating to nonresident and emergency licenses with regards to qualifying for those licenses. The bill would also create an apprentice independent insurance adjuster license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster and would set forth the various terms and conditions of the license, including an application fee to be fixed at up to $170. The bill would make an apprentice independent insurance adjuster subject to a felony conviction if he or she knowingly falsifies the fingerprints or photograph submitted as part of his or her application for a license. The bill would impose a 3-year reporting requirement on the Department of Insurance. The bill would also make conforming changes. Because the bill would create a new crime, it would impose a state-mandated local program. The bill would also change various independent insurance adjuster application, license, and renewal fees, as prescribed.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Existing law, the Insurance Adjuster Act, sets forth various requirements with respect to operation as an insurance adjuster in this state, including, but not limited to, that the person be licensed, licensing qualifications and application requirements, codes of conduct, disciplinary actions, and nonresident and emergency licenses. The act defines the term, insurance adjuster, to include a person, other than a private investigator, who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business. Any person who knowingly falsifies the fingerprints or photographs submitted as part of the application process is guilty of a felony, and any person who violates any other provision governing insurance adjusters is guilty of a misdemeanor punishable by a fine not to exceed $500, or by imprisonment in the county jail not to exceed one year, or by both that fine and imprisonment. Existing law prescribes a schedule for various insurance adjuster application, license, and license renewal fees.
This bill, beginning January 1, 2018, bill would revise and recast the above provisions by, among other things, changing the name of the act to the Independent Insurance Adjuster Act and redefining an independent insurance adjuster to mean an individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers, a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than as an employee, and a person who investigates, negotiates, or settles property and casualty claims for insurers. The bill would expand the categories of persons exempt from the act to include, among others, an individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments, and a person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative. The bill would impose additional information and educational requirements on applicants and would impose additional administrative and code of conduct requirements on licensees. The bill would revise the provisions relating to nonresident and emergency licenses with regards to qualifying for those licenses. The bill would also create an apprentice independent insurance adjuster license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster and would set forth the various terms and conditions of the license, including an application fee to be fixed at up to $170. The bill would make an apprentice independent insurance adjuster subject to a felony conviction if he or she knowingly falsifies the fingerprints or photograph submitted as part of his or her application for a license. The bill would also make conforming changes. Because the bill would create a new crime, it would impose a state-mandated local program. The bill would also change various independent insurance adjuster application, license, and renewal fees, as prescribed.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Existing law, the Insurance Adjuster Act, sets forth various requirements with respect to operation as an insurance adjuster in this state, including, but not limited to, that the person be licensed, licensing qualifications and application requirements, codes of conduct, disciplinary actions, and nonresident and emergency licenses. The act defines the term, insurance adjuster, to include a person, other than a private investigator, who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business. Any person who knowingly falsifies the fingerprints or photographs submitted as part of the application process is guilty of a felony, and any person who violates any other provision governing insurance adjusters is guilty of a misdemeanor punishable by a fine not to exceed $500, or by imprisonment in the county jail not to exceed one year, or by both that fine and imprisonment. Existing law prescribes a schedule for various insurance adjuster application, license, and license renewal fees.
This bill bill, beginning January 1, 2018, would revise and recast the above provisions by, among other things, changing the name of the act to the Independent Insurance Adjuster Act and redefining an independent insurance adjuster to mean an individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers, a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than as an employee, and a person who investigates, negotiates, or settles property and casualty claims for insurers. The bill would expand the categories of persons exempt from the act to include, among others, an individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments, and a person who solely performs executive, administrative, managerial, administrative or clerical duties duties, or any combination thereof thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative. The bill would impose additional information and educational requirements on applicants and would impose additional code of conduct requirements on licensees. The bill would revise the provisions relating to nonresident and emergency licenses with regards to qualifying for those licenses. The bill would also create an apprentice independent insurance adjuster license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster and would set forth the various terms and conditions of the license, including an application fee to be fixed by the Insurance Commissioner and reasonably related to the actual cost to the Department Of Insurance in performing its duties. at up to $170. The bill would make an apprentice independent insurance adjuster subject to a felony conviction if he or she knowingly falsifies the fingerprints or photograph submitted as part of his or her application for a license. The bill would also make conforming changes. Because the bill would create a new crime, it would impose a state-mandated local program. The bill would also change various independent insurance adjuster application, license, and renewal fees, as prescribed.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Existing law, the Insurance Adjuster Act, sets forth various requirements with respect to operation as an insurance adjuster in this state, including, but not limited to, that the person be licensed, licensing qualifications and application requirements, codes of conduct, disciplinary actions, and nonresident and emergency licenses. The act defines the term, insurance adjuster, to include a person, other than a private investigator, who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business. Any person who knowingly falsifies the fingerprints or photographs submitted as part of the application process is guilty of a felony, and any person who violates any other provision governing insurance adjusters is guilty of a misdemeanor punishable by a fine not to exceed $500, or by imprisonment in the county jail not to exceed one year, or by both that fine and imprisonment.
This bill would revise and recast the above provisions by, among other things, changing the name of the act to the Independent Insurance Adjuster Act and redefining an independent insurance adjuster to mean an individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers, a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than as an employee, and a person who investigates, negotiates, or settles property and casualty claims for insurers. The bill would expand the categories of persons exempt from the act to include, among others, an individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments, and a person who solely performs executive, administrative, managerial, or clerical duties or any combination thereof and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative. The bill would impose additional information and educational requirements on applicants and would impose additional code of conduct requirements on licensees. The bill would revise the provisions relating to nonresident and emergency licenses with regards to qualifying for those licenses. The bill would also create an apprentice independent insurance adjuster license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster and would set forth the various terms and conditions of the license, including an application fee to be fixed by the Insurance Commissioner and reasonably related to the actual cost to the Department Of Insurance in performing its duties. The bill would make an apprentice independent insurance adjuster subject to a felony conviction if he or she knowingly falsifies the fingerprints or photograph submitted as part of his or her application for a license. The bill would also make conforming changes. Because the bill would create a new crime, it would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Existing law requires the State Public Health Officer to establish a statewide system for the collection of information determining the incidence of cancer, as specified. Existing law authorizes the State Department of Public Health to designate any demographic parts of the state as regional cancer incidence reporting areas and establish regional cancer registries to carry out the intent of existing law.
This bill would require the State Department of Public Health to analyze data collected pursuant to this program to assess, measure, and publicly report on the quality of cancer care in the state, as specified. The bill would require the development of a public reporting system on the quality of cancer care in the state. The bill also would require the department to develop a system for routine, automated linkages between data collected pursuant to the program and public and private health insurance payer cancer claims data, and would require the State Public Health Officer to convene a cancer care stakeholder committee to study and make recommendations for developing the automated linkage system.
Existing law requires the State Public Health Officer to establish a statewide system for the collection of information determining the incidence of cancer, as specified. Existing law authorizes the State Department of Public Health to designate any demographic parts of the state as regional cancer incidence reporting areas and establish regional cancer registries to carry out the intent of existing law.
This bill would require the State Department of Public Health to analyze data collected pursuant to this program to assess, measure, and publicly report on the quality of cancer care in the state, as specified. The bill would require the development of a public reporting system on the quality of cancer care in the state. The bill also would require the department to develop a system for routine, automated linkages between data collected pursuant to the program and public and private health insurance payer cancer claims data, and would require the State Public Health Officer to convene a cancer care stakeholder committee to study and make recommendations for developing the automated linkage system.
If a natural person while licensed pursuant to the provisions of this chapter or Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, Part 5 (commencing with Section 12140) of Division 2, or Chapter 1 (commencing with Section 14000) of Division 5 enters the military service of the United States and is in that service at a time prescribed for the filing of a renewal application, the filing of that application is waived, and the license held by that licensee at the time of his or her entry into military service shall remain in force during the period of that military service and until the end of the license year in which he or she is released from that service but not for less than six months after that release. During that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any examination or paying any penalty.
SEC. 1.5.Section 1722 of the Insurance Code is amended to read:1722.If a natural person while licensed pursuant to the provisions of this chapter or Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, Part 5 (commencing with Section 12140) of Division 2, or Chapter 1 (commencing with Section 14000) or Chapter 2 (commencing with Section 15000) of Division 5 enters the military service of the United States and is in that service at a time prescribed for the filing of a renewal application, the filing of that application is waived, and the license held by that licensee at the time of his or her entry into military service shall remain in force during the period of that military service and until the end of the license year in which he or she is released from that service but not for less than six months after that release. During that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking an examination or paying a penalty.
SEC. 2.Section 1751.5 of the Insurance Code is amended to read:1751.5.The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
SEC. 2.5.Section 1751.5 of the Insurance Code is amended to read:1751.5.The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) and Chapter 2 (commencing with Section 15000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
SEC. 3.Section 14000 of the Insurance Code is amended to read:14000.This chapter may be cited as the Independent Insurance Adjuster Act.
SEC. 4.Section 14001 of the Insurance Code is amended to read:14001.As used in this chapter, the following terms have the following meanings:
(a)Catastrophe means an event that results in a large number of deaths or injuries, causes extensive damage or destruction of facilities that provide and sustain human needs, produces an overwhelming demand on state and local response resources and mechanisms, causes a severe long-term effect on general economic activity, or severely affects state, local, and private sector capabilities to begin and sustain response activities.
(b)Commissioner means the Insurance Commissioner.
(c)Department means the Department of Insurance.
(d)Fingerprints means an impression of the lines on the finger taken for the purposes of identification.
(e)Home state means the District of Columbia and any state or territory of the United States in which an independent insurance adjuster maintains his, her, or its principal place of residence or business and is licensed to act as a resident independent insurance adjuster. If the resident state does not license independent insurance adjusters for the line of authority sought, the independent insurance adjuster shall designate as his, her, or its home state either California or any state in which the independent insurance adjuster is licensed following an examination, provided that the independent insurance adjuster is licensed and in good standing in that state.
(f)Individual means a natural person.
(g)Licensee means a person licensed under this chapter.
(h)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(i)Nonresident means a person who is not a resident of California at the time of the performance of the act referred to in Section 14071.
(j)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
SEC. 5.Section 14010 of the Insurance Code is repealed.SEC. 6.Section 14010 is added to the Insurance Code, to read:14010.The commissioner shall administer and enforce the provisions of this chapter.
SEC. 7.Section 14020 of the Insurance Code is amended to read:14020.(a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed as an independent insurance adjuster in accordance with this chapter.
(b)A person shall not falsely represent that he or she is employed by a licensee.
SEC. 8.Section 14021 of the Insurance Code is repealed.SEC. 9.Section 14021 is added to the Insurance Code, to read:14021.An independent insurance adjuster, for purposes of this chapter, is to meet all of the following requirements:
(a)He or she is an individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers.
(b)He or she is a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than an employee, as defined in Section 3121 of Title 26 of the United States Code.
(c)He or she is a person who investigates, negotiates, or settles property and casualty claims for insurers.
SEC. 10.Section 14022 of the Insurance Code is amended to read:14022.This chapter does not apply to any of the following:
(a)A person employed exclusively and regularly by one employer in connection with the affairs of that employer only and where there exists an employer-employee relationship. This subdivision shall become inoperative on January 1, 2018.
(b)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while that officer or employee is engaged in the performance of his or her official duties.
(c)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(d)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(e)An attorney at law admitted to practice in California, when acting in his or her professional capacity as an attorney.
(f)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(g)An officer, director, manager, or employee of an authorized insurer, surplus line insurer, a risk retention group, or an attorney-in-fact of a reciprocal insurer.
(h)A licensed insurance agent or broker or managing general agent of the insurer to whom claim authority has been granted by the insurer.
(i)The legal owner of personal property that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(j)Any bank subject to the jurisdiction of the Commissioner of Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(k)A person employed solely to obtain facts surrounding a claim or to furnish technical assistance to a licensed independent insurance adjuster.
(l)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed independent insurance adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(m)An individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments.
(n)A person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative.
(o)A licensed health care provider or its employees who provide managed care if the services do not include the determination of compensability.
(p)A managed care organization or any of its employees who provide managed care services if the services do not include the determination of compensability.
(q)A person who settles only reinsurance or subrogation claims.
(r)A United States manager of the United States branch of an alien insurer.
(s)An individual employee, under a self-insured arrangement, who adjusts claims on behalf of his or her employer.
(t)An individual or business entity that investigates, negotiates, or settles workers compensation claims.
(u)An individual who, in regards to portable electronics insurance claims, collects claims information from, or furnishes claims information to, insureds or claimants, and who conducts data entry, including entering data into an automated claims adjudication system, provided that the individual is an employee of a licensed independent insurance adjuster or its affiliate where no more than 25 of those persons are under the supervision of one licensed independent insurance adjuster or licensed producer.
SEC. 11.Section 14022.5 of the Insurance Code is amended to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed independent insurance adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed independent insurance adjuster is under the active direction, control, charge, or management of a licensed independent insurance adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within five working days from the date on which the nonlicensed independent insurance adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, means a written letter to the commissioner, submitted by the supervising licensed independent insurance adjuster or admitted insurer, naming the nonlicensed independent insurance adjusters, identifying their independent insurance adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 180 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 180-day extensions as he or she deems appropriate upon written request from the supervising licensed independent insurance adjuster or the admitted insurer.
SEC. 12.Section 14024 of the Insurance Code is amended to read:14024.(a)An individual application shall be verified and shall include all of the following:
(1)The full legal name and business, residence, and mailing addresses of the applicant.
(2)The name under which the applicant intends to do business.
(3)The applicants birth date and social security number.
(4)The application fees set forth in Section 14097.
(5)Identify whether the application is for an independent insurance adjuster license or a crop insurance adjuster license, as set forth in Section 14085.
(6)Two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints submitted with a live scan fingerprinting service provider certified by the Department of Justice.
(7)A verified statement of his or her experience qualifications, unless applying for an apprentice independent insurance adjuster license.
(8)Other information, evidence, statements, or documents as may be required by the commissioner.
(b)A business entity application shall be verified and shall include all of the following:
(1)The full legal name and residence address of each of its partners, officers, and directors, and its manager.
(2)The name under which the applicant intends to do business.
(3)That the applicant paid the fees set forth in Section 14097.
(4)A statement as to the classifications under which the applicant desires to be qualified.
(5)Other information, evidence, statements, or documents as may be required by the commissioner.
SEC. 13.Section 14025 of the Insurance Code is amended to read:14025.Before a license is granted, the applicant shall meet all of the following requirements:
(a)Be at least 18 years of age.
(b)Not have committed acts or crimes constituting grounds for denial of licensure under Sections 1668 and 1669.
(c)Shall have had either of the following:
(1)At least two years of experience in adjusting insurance claims in any state or the equivalent thereof as determined by the commissioner, unless applying for an apprentice independent insurance adjuster license.
(2)One year as a licensed apprentice independent insurance adjuster, which is considered the equivalent of two years of experience in adjusting claims.
(d)Any of the following:
(1)Having completed a 20-hour prelicensing education course of study.
(2)A nonresident applicant currently licensed as a home state independent insurance adjuster in another state who has met that states prelicensing education requirements is exempt from completing the prelicensing education requirement.
(3)A resident applicant currently listed under a licensed independent insurance adjusters license as an unlicensed employee is exempt from completing the prelicensing education requirement. This exemption shall be in effect only until January 1, 2019.
(e)Successfully passed the examination for the independent insurance adjuster license, unless he or she qualifies for an exemption in Section 14026.
(f)Comply with those other qualifications that the commissioner may require by regulation.
SEC. 14.Section 14025.1 is added to the Insurance Code, to read:14025.1.(a)The apprentice independent insurance adjuster license is a license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster.
(b)An individual applying for an apprentice independent insurance adjuster license shall submit an application in a format prescribed by the commissioner and shall declare under penalty of suspension, revocation, or refusal of the license that the statements made in the application are true, correct, and complete to the best of the individuals knowledge and belief. Before approving the application, the commissioner shall determine that the individual meets all of the following:
(1)Is at least 18 years of age.
(2)Is a resident of California or is a resident of another state and has designated California as his or her home state.
(3)Has a business or mailing address in California for the acceptance of service of process.
(4)Has not committed any act that is a ground for suspension, revocation, or denial of licensure as set forth in Sections 1668, 1668.1, and 1669.
(5)Has paid the fees set forth in subdivision (h) of Section 14097.
(c)The apprentice independent insurance adjuster license shall be subject to the following terms and conditions:
(1)The applicant shall submit, with the apprentice independent insurance adjuster application, an attestation from a licensed independent insurance adjuster certifying that the apprentice will be subject to training, direction, and control by the licensed independent insurance adjuster and further certifying that the licensed independent insurance adjuster assumes responsibility for the actions of the apprentice in the apprentices capacity as an apprentice independent insurance adjuster.
(2)The apprentice independent insurance adjuster is only authorized to adjust claims in California.
(3)The apprentice independent insurance adjuster is restricted to participation in the investigation, settlement, and negotiation of claims subject to the review and final determination of the claim by a supervising licensed independent insurance adjuster.
(4)The apprentice independent insurance adjuster shall not be required to take and successfully complete the independent insurance adjuster examination to adjust claims as an apprentice independent insurance adjuster. At any time during the apprenticeship, the apprentice independent insurance adjuster may choose to take the examination. If the individual takes and successfully completes the independent insurance adjuster exam, the apprentice independent insurance adjuster license shall automatically terminate and an independent insurance adjuster license shall be issued to that individual in its place.
(5)The apprentice independent insurance adjuster license is valid for a period not to exceed 12 months and is nonrenewable.
(6)The licensee shall be subject to suspension, revocation, or denial pursuant to Sections 1668, 1668.1, and 1669.
(7)The applicant shall submit two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints submitted with a live scan fingerprinting service provider certified by the Department of Justice.
SEC. 15.Section 14026 of the Insurance Code is repealed.SEC. 16.Section 14026 is added to the Insurance Code, to read:14026.(a)An applicant for an independent insurance adjuster license, unless applying for an apprentice independent insurance adjuster license or crop insurance adjuster license, shall pass a written examination.
(1)The examination shall test the knowledge of the applicant concerning the duties and responsibilities of an independent insurance adjuster and this code.
(2)An applicant applying for an examination shall remit a nonrefundable fee as prescribed by the commissioner in Section 14097.
(b)An individual who applies for an independent insurance adjuster license in California who holds a home state license in another state as an independent insurance adjuster shall not be required to complete the examination if he or she successfully passed an examination as a condition of receiving an independent insurance adjuster license in his or her home state. This exemption applies to individuals who are currently licensed in their home state or if the home state license expired and the application is received by the commissioner within 90 days of expiration.
(c)An individual who applies for an apprentice independent insurance adjuster license pursuant to Section 14025.1, and who adjusts claims in that capacity, shall not be required to take and successfully complete the independent insurance adjuster examination.
SEC. 17.Section 14027 of the Insurance Code is repealed.SEC. 18.Section 14028 of the Insurance Code is amended to read:14028.After a hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not done any of the following:
(a)Been refused a license under this chapter or had a license revoked.
(b)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(c)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(d)Committed any act or crime constituting grounds for denial of licensure under Section 1668.
SEC. 19.Section 14029 of the Insurance Code is amended to read:14029.(a)The business of each licensee shall be operated under the active direction, control, charge, or management of the licensee, if the licensee is qualified, or the person who has qualified to act as the licensees manager, if the licensee is not qualified.
(b)No person shall act as a manager of a licensee until he or she has complied with each of the following:
(1)Demonstrated his or her qualifications by a written or oral examination, or a combination of both, if required by the commissioner.
(2)Made a satisfactory showing to the commissioner that he or she has the qualifications prescribed by Section 14025 and that none of the facts stated in Section 14028 or 14028.5 exist as to him or her.
(c)If the manager, who has qualified as provided in this section, ceases for any reason whatsoever to be connected with the licensee to whom the license is issued, the licensee shall notify the commissioner in writing 30 days from the cessation. If notice is given, the license shall remain in force for a reasonable length of time to be determined by the rules of the commissioner pending the qualifications, as provided in this chapter, of another manager. If the licensee fails to notify the commissioner within the 30-day period, his or her license shall be subject to suspension or revocation and may be reinstated only upon the filing of an application for reinstatement, payment of the reinstatement fee, if any is due, and the qualification of a manager as provided herein.
(d)Every manager shall renew his or her authority by satisfying the requirements of Article 8 (commencing with Section 14090).
(e)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 20.Section 14029 is added to the Insurance Code, to read:14029.(a)Each organization licensed under this chapter shall designate an individual also licensed as an independent insurance adjuster to be responsible for the organizations compliance with state law.
(b)This section shall become operative on January 1, 2018.
SEC. 21.Section 14030 of the Insurance Code is amended to read:14030.(a)Whenever the individual on the basis of whose qualifications a license under this chapter has been obtained ceases to be connected with the licensee for any reason whatever, the business may be carried on for a temporary period and under the terms and conditions as the commissioner shall provide by regulation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 22.Section 14031 of the Insurance Code is amended to read:14031.A hearing held under this chapter to determine whether an application for a license should be granted shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
SEC. 23.Section 14032 of the Insurance Code is amended to read:14032.The form and content of the license shall be determined by the commissioner.
SEC. 24.Section 14037 of the Insurance Code is amended to read:14037.(a)A licensee shall at all times be legally responsible for the good conduct in the business of each of his or her employees or agents, including his or her manager.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 25.Section 14038 of the Insurance Code is amended to read:14038.(a)Any licensee or officer, director, partner, or manager of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense. However, he or she shall not divulge to any other person any information acquired by him or her, except as he or she may be required by law to do so or as is necessary to effectuate or enforce a transaction, except at the direction of the employer or client for whom the information was obtained and only if authorized by the insured.
(b)A licensee or officer, director, partner, manager, or employee of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee, qualifying manager, or a person authorized by one or either of them, and the person submitting the report shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, partner, manager, or employee of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, partner, manager, or employee of a licensee, shall not use a title, wear a uniform, use an insignia, or use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, partner, manager, or employee of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an employee or agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in either the name of and under the control of the licensee or the licensees employer, who is a licensed independent insurance adjuster who meets the bond requirement described in Section 14050.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 26.Section 14038 is added to the Insurance Code, to read:14038.(a)Any licensee or officer, director, or partner of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense. However, he or she shall not divulge to any other person any information acquired by him or her, except as he or she may be required by law to do so or as is necessary to effectuate or enforce a transaction, except at the direction of the employer or client for whom the information was obtained and only if authorized by the insured.
(b)A licensee or officer, director, or partner of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee or his or her designee. The licensee shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, or partner of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, or partner of a licensee shall not use a title, wear a uniform, use an insignia, use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, or partner of a licensee shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an agent in the agents name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in either the name of and under the control of the licensee or the licensees employer, who is a licensed independent insurance adjuster who meets the bond requirement described in Section 14050.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall become operative on January 1, 2018.
SEC. 27.Section 14039 of the Insurance Code is amended to read:14039.A person licensed as an independent insurance adjuster shall not do any of the following:
(a)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(b)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(c)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm that obtains business in connection with any claim that he or she has a contract or agreement to adjust.
SEC. 28.Section 14040 of the Insurance Code is amended to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, partner, manager, or employee of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee and an employee number by which the person may be identified by the licensee.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 29.Section 14040 is added to the Insurance Code, to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, or partner of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of either the licensee or the adjusting firm the licensee represents.
(b)This section shall become operative on January 1, 2018.
SEC. 30.Section 14042 of the Insurance Code is amended to read:14042.(a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
(b)The commissioner shall not authorize the use of a fictitious or other business name that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5.
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of that name.
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for that authorization.
SEC. 31.Section 14050 of the Insurance Code is amended to read:14050.(a)A license shall not be issued under this chapter unless the applicant files with the commissioner a surety bond executed by a surety company authorized to do business in the state in the sum of two thousand dollars ($2,000) conditioned for the faithful and honest conduct of business by that applicant. The bond as to its form, execution, and sufficiency of the sureties shall be approved by the commissioner.
(b)A surety bond is not required for an individual licensed as an independent insurance adjuster who adjusts only in the capacity of an employee of a licensed independent insurance adjuster, provided that the employer meets the bond requirement.
SEC. 32.Section 14061 of the Insurance Code is amended to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 33.Section 14061 is added to the Insurance Code, to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall become operative on January 1, 2018.
SEC. 34.Section 14063 of the Insurance Code is amended to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 35.Section 14063 is added to the Insurance Code, to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, or partners has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)The section shall become operative on January 1, 2018.
SEC. 36.Section 14064 of the Insurance Code is amended to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 37.Section 14064 is added to the Insurance Code, to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of, or in the course of, his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall become operative on January 1, 2018.
SEC. 38.Section 14078 of the Insurance Code is repealed.SEC. 39.Section 14078 is added to the Insurance Code, to read:14078.(a)Unless refused licensure pursuant to Sections 14060 to 14065, inclusive, a nonresident person shall receive a nonresident independent insurance adjuster license if all of the following apply:
(1)The applicant is currently licensed in good standing as an independent insurance adjuster in his, her, or its resident or home state.
(2)The applicant paid the fees required by Section 14097.
(3)The applicant submitted to the commissioner the completed application for licensure.
(4)The applicants home state issues nonresident independent insurance adjuster licenses to residents of California on the same basis.
(b)The commissioner may verify the independent insurance adjusters licensing status through any appropriate database, including the Producer Database maintained by the National Association of Insurance Commissioners, its affiliates or subsidiaries, or may request certification of good standing.
(c)As a condition to the continuation of a nonresident independent insurance adjuster license, the licensee shall maintain a resident independent insurance adjuster license in his, her, or its home state.
(1)The nonresident independent insurance adjuster license issued under this chapter shall terminate and be surrendered immediately to the commissioner if the resident independent insurance adjuster license terminates for any reason, unless the termination is due to the independent insurance adjuster being issued a new resident independent insurance adjuster license in his, her, or its new home state.
(2)The nonresident independent insurance adjuster license shall terminate if the persons home state does not issue nonresident independent insurance adjuster licenses to residents of California on the same basis.
(3)(A)The licensee is required to give notice of resident independent insurance adjuster license termination to any state that issued a nonresident independent insurance adjuster license.
(B)The notice is required to be given within 30 days of the termination date. If the resident independent insurance adjuster license was terminated for change in resident home state, then the notice is required to include both the previous and current addresses.
(4)Maintaining a resident independent insurance adjuster license is required for the nonresident independent insurance adjuster license to remain valid.
SEC. 40.Section 14079 is added to the Insurance Code, to read:14079.(a)An independent insurance adjuster shall be honest and fair in all communications with the insured, the insurer, and the public.
(b)An independent insurance adjuster shall provide policyholders and claimants with prompt and knowledgeable service and courteous, fair, and objective treatment at all times.
(c)An independent insurance adjuster shall not give legal advice and shall not deal directly with any policyholder or claimant who is represented by legal counsel without the consent of the legal counsel involved.
(d)An independent insurance adjuster shall comply with all local, state, and federal privacy and information security laws.
(e)An independent insurance adjuster shall identify himself or herself as an independent insurance adjuster and, if applicable, shall identify his or her employer when dealing with any policyholder or claimant.
(f)An independent insurance adjuster shall not have any financial interest in any adjustment or shall not acquire for himself, herself, or any person any interest or title in salvage, without first receiving written authority from the principal.
SEC. 41.Section 14080 of the Insurance Code is amended to read:14080.Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (6) of subdivision (a) of Section 14024 or paragraph (7) of subdivision (c) of Section 14025.1 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both the fine and imprisonment.
SEC. 42.Section 14090.1 of the Insurance Code is amended to read:14090.1.(a)An individual who holds an independent insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an independent insurance adjuster license and shall report the completion of this coursework to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident independent insurance adjuster license who has met the continuing education requirements of his or her designated home state.
(3)An individual licensed as an independent insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(4)An individual licensed as an apprentice independent insurance adjuster pursuant to Section 14025.1.
SEC. 43.Section 14090.3 is added to the Insurance Code, to read:14090.3.A person who fails to meet the requirements imposed by Section 14090.1, and who has not been granted an extension of time by the commissioner within which to comply, shall have his or her license placed on inactive status until he or she demonstrates to the satisfaction of the commissioner that he or she has complied with all of the requirements of this article and all other applicable laws. A licensee placed on inactive status may not perform the activities described in Section 1631. If a person cannot perform the requirements of this article due to a disability or inactivity due to special circumstances, the commissioner shall provide a procedure for the person to place his or her license on inactive status until the person demonstrates to the satisfaction of the commissioner that he or she has complied with all of the requirements of this article for the period of disability or inactivity.
SEC. 44.Section 14097 of the Insurance Code is amended to read:14097.The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(a)The application fee for the qualifying examination for an original license is fifty dollars ($50).
(b)The application fee for an original branch office certificate is forty-seven dollars ($47).
(c)The fee for an original license application is up to eighty dollars ($80). If the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(d)The renewal fee shall be fixed by the commissioner as follows:
(1)For a license as an independent insurance adjuster, not more than eighty dollars ($80).
(2)For a branch office certificate, not more than fifty-six dollars ($56).
(e)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(f)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration.
(g)The fee for reexamination of an applicant is fifty dollars ($50).
(h)The application fee for an apprentice independent insurance adjuster license shall be up to eighty dollars ($80).
SEC. 45.Section 14097.5 is added to the Insurance Code, to read:14097.5.(a)On or before March 1, 2019, and for a total of three years thereafter, the department shall report annually to the Legislature all of the following:
(1)The number of individuals licensed pursuant to this chapter.
(2)The implementation costs incurred and the revenues received by the department for licensure of independent insurance adjusters.
(3)The annual projected costs and revenues associated with ongoing licensure and enforcement activities pursuant to this chapter.
(b)(1)A report submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
(2)Pursuant to Section 10231.5 of the Government Code, this section is repealed on March 1, 2023.
SEC. 46.Section 14099 of the Insurance Code is amended to read:14099.Application or license fees shall not be refunded pursuant to Section 1751.5.
SEC. 47.(a)Section 1.5 of this bill incorporates amendments to Section 1722 of the Insurance Code proposed by both this bill and Senate Bill 488. It shall only become operative if (1) both bills are enacted and become effective on or before January 1, 2017, (2) each bill amends Section 1722 of the Insurance Code, and (3) this bill is enacted after Senate Bill 488, in which case Section 1 of this bill shall not become operative.
(b)Section 2.5 of this bill incorporates amendments to Section 1751.5 of the Insurance Code proposed by both this bill and Senate Bill 488. It shall only become operative if (1) both bills are enacted and become effective on or before January 1, 2017, (2) each bill amends Section 1751.5 of the Insurance Code, and (3) this bill is enacted after Senate Bill 488, in which case Section 2 of this bill shall not become operative.
SEC. 48.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
If a natural person while licensed pursuant to the provisions of this chapter or Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, Part 5 (commencing with Section 12140) of Division 2, or Chapter 1 (commencing with Section 14000) of Division 5 enters the military service of the United States and is in that service at a time prescribed for the filing of a renewal application, the filing of that application is waived, and the license held by that licensee at the time of his or her entry into military service shall remain in force during the period of that military service and until the end of the license year in which he or she is released from that service but not for less than six months after that release. During that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any examination or paying any penalty.
SEC. 1.5.Section 1722 of the Insurance Code is amended to read:1722.If a natural person while licensed pursuant to the provisions of this chapter or Chapters Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, or Part 5 (commencing with Section 12140) of Division 2 2, or Chapter 1 (commencing with Section 14000) or Chapter 2 (commencing with Section 15000) of Division 5 enters the military service of the United States and is in such that service at a time prescribed for the filing of a renewal application, the filing of such that application is waived, and the license held by such that licensee at the time of his or her entry into military service shall remain in force during the period of such that military service and until the end of the license year in which he or she is released from such that service but not for less than six months after such that release. During such period such that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any an examination or paying any a penalty.
SEC. 2.Section 1751.5 of the Insurance Code is amended to read:1751.5.The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
SEC. 2.5.Section 1751.5 of the Insurance Code is amended to read:1751.5.The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) and Chapter 2 (commencing with Section 15000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
SEC. 3.Section 14000 of the Insurance Code is amended to read:14000.This chapter may be cited as the Independent Insurance Adjuster Act.
SEC. 4.Section 14001 of the Insurance Code is amended to read:14001.As used in this chapter, the following terms have the following meanings:
(a)Catastrophe means an event that results in a large number of deaths or injuries, causes extensive damage or destruction of facilities that provide and sustain human needs, produces an overwhelming demand on state and local response resources and mechanisms, causes a severe long-term effect on general economic activity, or severely affects state, local, and private sector capabilities to begin and sustain response activities.
(b)Commissioner means the Insurance Commissioner.
(c)Department means the Department of Insurance.
(d)Fingerprints means an impression of the lines on the finger taken for the purposes of identification.
(e)Home state means the District of Columbia and any state or territory of the United States in which an independent insurance adjuster maintains his, her, or its principal place of residence or business and is licensed to act as a resident independent insurance adjuster. If the resident state does not license independent insurance adjusters for the line of authority sought, the independent insurance adjuster shall designate as his, her, or its home state either California or any state in which the independent insurance adjuster is licensed following an examination, provided that the independent insurance adjuster is licensed and in good standing in that state.
(f)Individual means a natural person.
(g)Licensee means a person licensed under this chapter.
(h)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(i)Nonresident means a person who is not a resident of California at the time of the performance of the act referred to in Section 14071.
(j)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
SEC. 5.Section 14010 of the Insurance Code is repealed.SEC. 6.Section 14010 is added to the Insurance Code, to read:14010.The commissioner shall administer and enforce the provisions of this chapter.
SEC. 7.Section 14020 of the Insurance Code is amended to read:14020.(a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed as an independent insurance adjuster in accordance with this chapter.
(b)A person shall not falsely represent that he or she is employed by a licensee.
SEC. 8.Section 14021 of the Insurance Code is repealed.SEC. 9.Section 14021 is added to the Insurance Code, to read:14021.An independent insurance adjuster, for purposes of this chapter, is to meet all of the following requirements:
(a)He or she is an individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers.
(b)He or she is a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than an employee, as defined in Section 3121 of Title 26 of the United States Code.
(c)He or she is a person who investigates, negotiates, or settles property and casualty claims for insurers.
SEC. 10.Section 14022 of the Insurance Code is amended to read:14022.This chapter does not apply to any of the following:
(a)A person employed exclusively and regularly by one employer in connection with the affairs of that employer only and where there exists an employer-employee relationship. This subdivision shall become inoperative on January 1, 2018.
(b)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while that officer or employee is engaged in the performance of his or her official duties.
(c)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(d)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(e)An attorney at law admitted to practice in California, when acting in his or her professional capacity as an attorney.
(f)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(g)An officer, director, manager, or employee of an authorized insurer, surplus line insurer, a risk retention group, or an attorney-in-fact of a reciprocal insurer.
(h)A licensed insurance agent or broker or managing general agent of the insurer to whom claim authority has been granted by the insurer.
(i)The legal owner of personal property that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(j)Any bank subject to the jurisdiction of the Commissioner of Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(k)A person employed solely to obtain facts surrounding a claim or to furnish technical assistance to a licensed independent insurance adjuster.
(l)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed independent insurance adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(m)An individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments.
(n)A person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative.
(o)A licensed health care provider or its employees who provide managed care if the services do not include the determination of compensability.
(p)A managed care organization or any of its employees who provide managed care services if the services do not include the determination of compensability.
(q)A person who settles only reinsurance or subrogation claims.
(r)A United States manager of the United States branch of an alien insurer.
(s)An individual employee, under a self-insured arrangement, who adjusts claims on behalf of his or her employer.
(t)An individual or business entity that investigates, negotiates, or settles workers compensation claims.
(u)An individual who, in regards to portable electronics insurance claims, collects claims information from, or furnishes claims information to, insureds or claimants, and who conducts data entry, including entering data into an automated claims adjudication system, provided that the individual is an employee of a licensed independent insurance adjuster or its affiliate where no more than 25 of those persons are under the supervision of one licensed independent insurance adjuster or licensed producer.
SEC. 11.Section 14022.5 of the Insurance Code is amended to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed independent insurance adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed independent insurance adjuster is under the active direction, control, charge, or management of a licensed independent insurance adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within five working days from the date on which the nonlicensed independent insurance adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, means a written letter to the commissioner, submitted by the supervising licensed independent insurance adjuster or admitted insurer, naming the nonlicensed independent insurance adjusters, identifying their independent insurance adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 180 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 180-day extensions as he or she deems appropriate upon written request from the supervising licensed independent insurance adjuster or the admitted insurer.
SEC. 12.Section 14024 of the Insurance Code is amended to read:14024.(a)An individual application shall be verified and shall include all of the following:
(1)The full legal name and business, residence, and mailing addresses of the applicant.
(2)The name under which the applicant intends to do business.
(3)The applicants birth date and social security number.
(4)The application fees set forth in Section 14097.
(5)A statement as to the classifications under which the applicant desires to be qualified.
(5)Identify whether the application is for an independent insurance adjuster license or a crop insurance adjuster license, as set forth in Section 14085.
(6)Two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints submitted with a live scan fingerprinting service provider certified by the Department of Justice.
(7)A verified statement of his or her experience qualifications, unless applying for an apprentice independent insurance adjuster license.
(8)Other information, evidence, statements, or documents as may be required by the commissioner.
(b)A business entity application shall be verified and shall include all of the following:
(1)The full legal name and residence address of each of its partners, officers, and directors, and its manager.
(2)The name under which the applicant intends to do business.
(3)That the applicant paid the fees set forth in Section 14097.
(4)A statement as to the classifications under which the applicant desires to be qualified.
(5)Other information, evidence, statements, or documents as may be required by the commissioner.
SEC. 13.Section 14025 of the Insurance Code is amended to read:14025.Before a license is granted, the applicant shall meet all of the following requirements:
(a)Be at least 18 years of age.
(b)Not have committed acts or crimes constituting grounds for denial of licensure under Sections 1668 and 1669.
(c)Shall have had either of the following:
(1)At least two years of experience in adjusting insurance claims in any state or the equivalent thereof as determined by the commissioner, unless applying for an apprentice independent insurance adjuster license.
(2)One year as a licensed apprentice independent insurance adjuster, which is considered the equivalent of two years of experience in adjusting claims.
(d)(1)Completed a 20-hour prelicensing education course of study.
(d)Any of the following:
(1)Having completed a 20-hour prelicensing education course of study.
(2)A nonresident applicant currently licensed as a home state independent insurance adjuster in another state who has met that states prelicensing education requirements is exempt from completing the prelicensing education requirement.
(3)A resident applicant currently listed under a licensed independent insurance adjusters license as an unlicensed employee is exempt from completing the prelicensing education requirement. This exemption shall be in effect only until January 1, 2019.
(e)Successfully passed the examination for the independent insurance adjuster license, unless he or she qualifies for an exemption in Section 14026.
(f)Comply with those other qualifications that the commissioner may require by regulation.
SEC. 14.Section 14025.1 is added to the Insurance Code, to read:14025.1.(a)The apprentice independent insurance adjuster license is a license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster.
(b)An individual applying for an apprentice independent insurance adjuster license shall submit an application in a format prescribed by the commissioner and shall declare under penalty of suspension, revocation, or refusal of the license that the statements made in the application are true, correct, and complete to the best of the individuals knowledge and belief. Before approving the application, the commissioner shall determine that the individual meets all of the following:
(1)Is at least 18 years of age.
(2)Is a resident of California or is a resident of another state and has designated California as his or her home state.
(3)Has a business or mailing address in California for the acceptance of service of process.
(4)Has not committed any act that is a ground for suspension, revocation, or denial of licensure as set forth in Sections 1668, 1668.1, and 1669.
(5)Has paid the fees set forth in subdivision (h) of Section 14097.
(c)The apprentice independent insurance adjuster license shall be subject to the following terms and conditions:
(1)The applicant shall submit, with the apprentice independent insurance adjuster application, an attestation from a licensed independent insurance adjuster certifying that the apprentice will be subject to training, direction, and control by the licensed independent insurance adjuster and further certifying that the licensed independent insurance adjuster assumes responsibility for the actions of the apprentice in the apprentices capacity as an apprentice independent insurance adjuster.
(2)The apprentice independent insurance adjuster is only authorized to adjust claims in California.
(3)The apprentice independent insurance adjuster is restricted to participation in the investigation, settlement, and negotiation of claims subject to the review and final determination of the claim by a supervising licensed independent insurance adjuster.
(4)The apprentice independent insurance adjuster shall not be required to take and successfully complete the independent insurance adjuster examination to adjust claims as an apprentice independent insurance adjuster. At any time during the apprenticeship, the apprentice independent insurance adjuster may choose to take the examination. If the individual takes and successfully completes the independent insurance adjuster exam, the apprentice independent insurance adjuster license shall automatically terminate and an independent insurance adjuster license shall be issued to that individual in its place.
(5)The apprentice independent insurance adjuster license is valid for a period not to exceed 12 months and is nonrenewable.
(6)The licensee shall be subject to suspension, revocation, or denial pursuant to Sections 1668, 1668.1, and 1669.
(7)The applicant shall submit two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints submitted with a live scan fingerprinting service provider certified by the Department of Justice.
SEC. 15.Section 14026 of the Insurance Code is repealed.SEC. 16.Section 14026 is added to the Insurance Code, to read:14026.(a)An applicant for an independent insurance adjuster license, unless applying for an apprentice independent insurance adjuster license or crop insurance adjuster license, shall pass a written examination.
(1)The examination shall test the knowledge of the applicant concerning the duties and responsibilities of an independent insurance adjuster and this code.
(2)An applicant applying for an examination shall remit a nonrefundable fee as prescribed by the commissioner in Section 14097.
(b)An individual who applies for an independent insurance adjuster license in California who holds a home state license in another state as an independent insurance adjuster shall not be required to complete the examination if he or she successfully passed an examination as a condition of receiving an independent insurance adjuster license in his or her home state. This exemption applies to individuals who are currently licensed in their home state or if the home state license expired and the application is received by the commissioner within 90 days of expiration.
(c)An individual who applies for an apprentice independent insurance adjuster license pursuant to Section 14025.1, and who adjusts claims in that capacity, shall not be required to take and successfully complete the independent insurance adjuster examination.
SEC. 17.Section 14027 of the Insurance Code is repealed.SEC. 18.Section 14028 of the Insurance Code is amended to read:14028.After a hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not done any of the following:
(a)Been refused a license under this chapter or had a license revoked.
(b)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(c)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(d)Committed any act or crime constituting grounds for denial of licensure under Section 1668.
SEC. 19.Section 14029 of the Insurance Code is amended to read:14029.(a)The business of each licensee shall be operated under the active direction, control, charge, or management of the licensee, if the licensee is qualified, or the person who has qualified to act as the licensees manager, if the licensee is not qualified.
(b)No person shall act as a manager of a licensee until he or she has complied with each of the following:
(1)Demonstrated his or her qualifications by a written or oral examination, or a combination of both, if required by the commissioner.
(2)Made a satisfactory showing to the commissioner that he or she has the qualifications prescribed by Section 14025 and that none of the facts stated in Section 14028 or 14028.5 exist as to him or her.
(c)If the manager, who has qualified as provided in this section, ceases for any reason whatsoever to be connected with the licensee to whom the license is issued, the licensee shall notify the commissioner in writing 30 days from the cessation. If notice is given, the license shall remain in force for a reasonable length of time to be determined by the rules of the commissioner pending the qualifications, as provided in this chapter, of another manager. If the licensee fails to notify the commissioner within the 30-day period, his or her license shall be subject to suspension or revocation and may be reinstated only upon the filing of an application for reinstatement, payment of the reinstatement fee, if any is due, and the qualification of a manager as provided herein.
(d)Every manager shall renew his or her authority by satisfying the requirements of Article 8 (commencing with Section 14090).
(e)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 20.Section 14029 is added to the Insurance Code, to read:14029.(a)Each organization licensed under this chapter shall designate an individual also licensed as an independent insurance adjuster to be responsible for the organizations compliance with state law.
(b)This section shall become operative on January 1, 2018.
SEC. 21.Section 14030 of the Insurance Code is amended to read:14030.(a)Whenever the individual on the basis of whose qualifications a license under this chapter has been obtained ceases to be connected with the licensee for any reason whatever, the business may be carried on for a temporary period and under the terms and conditions as the commissioner shall provide by regulation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 22.Section 14031 of the Insurance Code is amended to read:14031.A hearing held under this chapter to determine whether an application for a license should be granted shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
SEC. 23.Section 14032 of the Insurance Code is amended to read:14032.The form and content of the license shall be determined by the commissioner.
SEC. 24.Section 14037 of the Insurance Code is amended to read:14037.(a)A licensee shall at all times be legally responsible for the good conduct in the business of each of his or her employees or agents, including his or her manager.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 25.Section 14038 of the Insurance Code is amended to read:14038.(a)Any licensee or officer, director, partner, or manager of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense. However, he or she shall not divulge to any other person any information acquired by him or her, except as he or she may be required by law to do so or as is necessary to effectuate or enforce a transaction, except at the direction of the employer or client for whom the information was obtained and only if authorized by the insured.
(b)A licensee or officer, director, partner, manager, or employee of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee, qualifying manager, or a person authorized by one or either of them, and the person submitting the report shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, partner, manager, or employee of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, partner, manager, or employee of a licensee, shall not use a title, wear a uniform, use an insignia, or use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, partner, manager, or employee of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an employee or agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in either the name of and under the control of the licensee or the licensees employer, who is a licensed independent insurance adjuster who meets the bond requirement described in Section 14050.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 26.Section 14038 is added to the Insurance Code, to read:14038.(a)Any licensee or officer, director, or partner of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense. However, he or she shall not divulge to any other person any information acquired by him or her, except as he or she may be required by law to do so or as is necessary to effectuate or enforce a transaction, except at the direction of the employer or client for whom the information was obtained and only if authorized by the insured.
(b)A licensee or officer, director, or partner of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee or his or her designee. The licensee shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, or partner of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, or partner of a licensee shall not use a title, wear a uniform, use an insignia, use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, or partner of a licensee shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an agent in his or her own the agents name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in either the name of and under the control of the licensee or the licensees employer, who is a licensed independent insurance adjuster who meets the bond requirement described in Section 14050.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall become operative on January 1, 2018.
SEC. 27.Section 14039 of the Insurance Code is amended to read:14039.A person licensed as an independent insurance adjuster shall not do any of the following:
(a)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(b)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(c)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm that obtains business in connection with any claim that he or she has a contract or agreement to adjust.
SEC. 28.Section 14040 of the Insurance Code is amended to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, partner, manager, or employee of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee and an employee number by which the person may be identified by the licensee.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 29.Section 14040 is added to the Insurance Code, to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, or partner of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of either the licensee or the adjusting firm the licensee represents.
(b)This section shall become operative on January 1, 2018.
SEC. 30.Section 14042 of the Insurance Code is amended to read:14042.(a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
(b)The commissioner shall not authorize the use of a fictitious or other business name that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5.
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of that name.
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for that authorization.
SEC. 31.Section 14050 of the Insurance Code is amended to read:14050.(a)A license shall not be issued under this chapter unless the applicant files with the commissioner a surety bond executed by a surety company authorized to do business in the state in the sum of two thousand dollars ($2,000) conditioned for the faithful and honest conduct of business by that applicant. The bond as to its form, execution, and sufficiency of the sureties shall be approved by the commissioner.
(b)A surety bond is not required for an individual licensed as an independent insurance adjuster who adjusts only on behalf of his or her employer, provided that the employer is another licensed independent insurance adjuster who meets the bond requirement. in the capacity of an employee of a licensed independent insurance adjuster, provided that the employer meets the bond requirement.
SEC. 32.Section 14061 of the Insurance Code is amended to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 33.Section 14061 is added to the Insurance Code, to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall become operative on January 1, 2018.
SEC. 34.Section 14063 of the Insurance Code is amended to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 35.Section 14063 is added to the Insurance Code, to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, or partners has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)The section shall become operative on January 1, 2018.
SEC. 36.Section 14064 of the Insurance Code is amended to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 37.Section 14064 is added to the Insurance Code, to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of, or in the course of, his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall become operative on January 1, 2018.
SEC. 38.Section 14078 of the Insurance Code is repealed.SEC. 39.Section 14078 is added to the Insurance Code, to read:14078.(a)Unless refused licensure pursuant to Sections 14060 to 14065, inclusive, a nonresident person shall receive a nonresident independent insurance adjuster license if all of the following apply:
(1)The applicant is currently licensed in good standing as an independent insurance adjuster in his, her, or its resident or home state.
(2)The applicant paid the fees required by Section 14097.
(3)The applicant submitted to the commissioner the completed application for licensure.
(4)The applicants home state issues nonresident independent insurance adjuster licenses to residents of California on the same basis.
(b)The commissioner may verify the independent insurance adjusters licensing status through any appropriate database, including the Producer Database maintained by the National Association of Insurance Commissioners, its affiliates or subsidiaries, or may request certification of good standing.
(c)As a condition to the continuation of a nonresident independent insurance adjuster license, the licensee shall maintain a resident independent insurance adjuster license in his, her, or its home state.
(1)The nonresident independent insurance adjuster license issued under this chapter shall terminate and be surrendered immediately to the commissioner if the resident independent insurance adjuster license terminates for any reason, unless the termination is due to the independent insurance adjuster being issued a new resident independent insurance adjuster license in his, her, or its new home state.
(2)The nonresident independent insurance adjuster license shall terminate if the persons home state does not issue nonresident independent insurance adjuster licenses to residents of California on the same basis.
(3)(A)The licensee is required to give notice of resident independent insurance adjuster license termination to any state that issued a nonresident independent insurance adjuster license.
(B)The notice is required to be given within 30 days of the termination date. If the resident independent insurance adjuster license was terminated for change in resident home state, then the notice is required to include both the previous and current addresses.
(4)Maintaining a resident independent insurance adjuster license is required for the nonresident independent insurance adjuster license to remain valid.
SEC. 40.Section 14079 is added to the Insurance Code, to read:14079.(a)An independent insurance adjuster shall be honest and fair in all communications with the insured, the insurer, and the public.
(b)An independent insurance adjuster shall provide policyholders and claimants with prompt and knowledgeable service and courteous, fair, and objective treatment at all times.
(c)An independent insurance adjuster shall not give legal advice and shall not deal directly with any policyholder or claimant who is represented by legal counsel without the consent of the legal counsel involved.
(d)An independent insurance adjuster shall comply with all local, state, and federal privacy and information security laws.
(e)An independent insurance adjuster shall identify himself or herself as an independent insurance adjuster and, if applicable, shall identify his or her employer when dealing with any policyholder or claimant.
(f)An independent insurance adjuster shall not have any financial interest in any adjustment or shall not acquire for himself, herself, or any person any interest or title in salvage, without first receiving written authority from the principal.
SEC. 41.Section 14080 of the Insurance Code is amended to read:14080.Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (6) of subdivision (a) of Section 14024 or paragraph (7) of subdivision (c) of Section 14025.1 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both the fine and imprisonment.
SEC. 42.Section 14090.1 of the Insurance Code is amended to read:14090.1.(a)An individual who holds an independent insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an independent insurance adjuster license and shall report the completion of this coursework to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident independent insurance adjuster license who has met the continuing education requirements of his or her designated home state.
(3)An individual licensed as an independent insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(4)An individual licensed as an apprentice independent insurance adjuster pursuant to Section 14025.1.
SEC. 43.Section 14090.3 is added to the Insurance Code, to read:14090.3.A person who fails to meet the requirements imposed by Section 14090.1, and who has not been granted an extension of time by the commissioner within which to comply, shall have his or her license placed on inactive status until he or she demonstrates to the satisfaction of the commissioner that he or she has complied with all of the requirements of this article and all other applicable laws. A licensee placed on inactive status may not perform the activities described in Section 1631. If a person cannot perform the requirements of this article due to a disability or inactivity due to special circumstances, the commissioner shall provide a procedure for the person to place his or her license on inactive status until the person demonstrates to the satisfaction of the commissioner that he or she has complied with all of the requirements of this article for the period of disability or inactivity.
SEC. 44.Section 14097 of the Insurance Code is amended to read:14097.The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(a)The application fee for the qualifying examination for an original license is fifty dollars ($50).
(b)The application fee for an original branch office certificate is forty-seven dollars ($47).
(c)The fee for an original license application is up to eighty dollars ($80). If the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(d)The renewal fee shall be fixed by the commissioner as follows:
(1)For a license as an independent insurance adjuster, not more than eighty dollars ($80).
(2)For a branch office certificate, not more than fifty-six dollars ($56).
(e)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(f)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration.
(g)The fee for reexamination of an applicant is fifty dollars ($50).
(h)The application fee for an apprentice independent insurance adjuster license shall be up to eighty dollars ($80).
SEC. 45.Section 14097.5 is added to the Insurance Code, to read:14097.5.(a)On or before March 1, 2019, and for a total of three years thereafter, the department shall report annually to the Legislature all of the following:
(1)The number of individuals licensed pursuant to this chapter.
(2)The implementation costs incurred and the revenues received by the department for licensure of independent insurance adjusters.
(3)The annual projected costs and revenues associated with ongoing licensure and enforcement activities pursuant to this chapter.
(b)(1)A report submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
(2)Pursuant to Section 10231.5 of the Government Code, this section is repealed on March 1, 2023.
SEC. 46.Section 14099 of the Insurance Code is amended to read:14099.Application or license fees shall not be refunded pursuant to Section 1751.5.
SEC. 47.(a)Section 1.5 of this bill incorporates amendments to Section 1722 of the Insurance Code proposed by both this bill and Senate Bill 488. It shall only become operative if (1) both bills are enacted and become effective on or before January 1, 2017, (2) each bill amends Section 1722 of the Insurance Code, and (3) this bill is enacted after Senate Bill 488, in which case Section 1 of this bill shall not become operative.
(b)Section 2.5 of this bill incorporates amendments to Section 1751.5 of the Insurance Code proposed by both this bill and Senate Bill 488. It shall only become operative if (1) both bills are enacted and become effective on or before January 1, 2017, (2) each bill amends Section 1751.5 of the Insurance Code, and (3) this bill is enacted after Senate Bill 488, in which case Section 2 of this bill shall not become operative.
SEC. 47.SEC. 48.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
If a natural person while licensed pursuant to the provisions of this chapter or Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, Part 5 (commencing with Section 12140) of Division 2, or Chapter 1 (commencing with Section 14000) of Division 5 enters the military service of the United States and is in that service at a time prescribed for the filing of a renewal application, the filing of that application is waived, and the license held by that licensee at the time of his or her entry into military service shall remain in force during the period of that military service and until the end of the license year in which he or she is released from that service but not for less than six months after that release. During that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any examination or paying any penalty.
SEC. 2.Section 1751.5 of the Insurance Code is amended to read:1751.5.The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
SEC. 3.Section 14000 of the Insurance Code is amended to read:14000.This chapter may be cited as the Independent Insurance Adjuster Act.
SEC. 4.Section 14001 of the Insurance Code is amended to read:14001.As used in this chapter, the following terms have the following meanings:
(a)Catastrophe means an event that results in a large number of deaths or injuries, causes extensive damage or destruction of facilities that provide and sustain human needs, produces an overwhelming demand on state and local response resources and mechanisms, causes a severe long-term effect on general economic activity, or severely affects state, local, and private sector capabilities to begin and sustain response activities.
(b)Commissioner means the Insurance Commissioner.
(c)Department means the Department of Insurance.
(d)Fingerprints means an impression of the lines on the finger taken for the purposes of identification.
(e)Home state means the District of Columbia and any state or territory of the United States in which an independent insurance adjuster maintains his, her, or its principal place of residence or business and is licensed to act as a resident independent insurance adjuster. If the resident state does not license independent insurance adjusters for the line of authority sought, the independent insurance adjuster shall designate as his, her, or its home state either California or any state in which the independent insurance adjuster is licensed following an examination, provided that the independent insurance adjuster is licensed and in good standing in that state.
(f)Individual means a natural person.
(g)Licensee means a person licensed under this chapter.
(h)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(i)Nonresident means a person who is not a resident of California at the time of the performance of the act referred to in Section 14071.
(j)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
SEC. 5.Section 14010 of the Insurance Code is repealed.SEC. 6.Section 14010 is added to the Insurance Code, to read:14010.The commissioner shall administer and enforce the provisions of this chapter.
SEC. 7.Section 14020 of the Insurance Code is amended to read:14020.(a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed as an independent insurance adjuster in accordance with this chapter.
(b)A person shall not falsely represent that he or she is employed by a licensee.
SEC. 8.Section 14021 of the Insurance Code is repealed.SEC. 9.Section 14021 is added to the Insurance Code, to read:14021.An independent insurance adjuster, for purposes of this chapter, is all of the following: to meet all of the following requirements:
(a)An He or she is an individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers.
(b)A He or she is a person whose tax treatment by the insurers is consistent with that of an independent contractor rather than an employee, as defined in Section 3121 of Title 26 of the United States Code.
(c)A He or she is a person who investigates, negotiates, or settles property and casualty claims for insurers.
SEC. 10.Section 14022 of the Insurance Code is amended to read:14022.This chapter does not apply to any of the following:
(a)A person employed exclusively and regularly by one employer in connection with the affairs of that employer only and where there exists an employer-employee relationship. This subdivision shall become inoperative on January 1, 2018.
(b)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while that officer or employee is engaged in the performance of his or her official duties.
(c)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(d)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(e)An attorney at law admitted to practice in California, when acting in his or her professional capacity as an attorney.
(f)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(g)An officer, director, manager, or employee of an authorized insurer, surplus line insurer, a risk retention group, or an attorney-in-fact of a reciprocal insurer.
(h)A licensed insurance agent or broker or managing general agent of the insurer to whom claim authority has been granted by the insurer.
(i)The legal owner of personal property that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(j)Any bank subject to the jurisdiction of the Commissioner of Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(k)A person employed solely to obtain facts surrounding a claim or to furnish technical assistance to a licensed independent insurance adjuster.
(l)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed independent insurance adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(m)An individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments.
(n)A person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative.
(o)A licensed health care provider or its employees who provide managed care if the services do not include the determination of compensability.
(p)A managed care organization or any of its employees who provide managed care services if the services do not include the determination of compensability.
(q)A person who settles only reinsurance or subrogation claims.
(r)A United States manager of the United States branch of an alien insurer.
(s)An individual employee, under a self-insured arrangement, who adjusts claims on behalf of his or her employer.
(t)An individual or business entity that investigates, negotiates, or settles workers compensation claims.
(u)An individual who, in regards to portable electronics insurance claims, collects claims information from, or furnishes claims information to, insureds or claimants, and who conducts data entry, including entering data into an automated claims adjudication system, provided that the individual is an employee of a licensed independent insurance adjuster or its affiliate where no more than 25 of those persons are under the supervision of one licensed independent insurance adjuster or licensed producer.
SEC. 11.Section 14022.5 of the Insurance Code is amended to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed independent insurance adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed independent insurance adjuster is under the active direction, control, charge, or management of a licensed independent insurance adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within five working days from the date on which the nonlicensed independent insurance adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, means a written letter to the commissioner, submitted by the supervising licensed independent insurance adjuster or admitted insurer, naming the nonlicensed independent insurance adjusters, identifying their independent insurance adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 180 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 180-day extensions as he or she deems appropriate upon written request from the supervising licensed independent insurance adjuster or the admitted insurer.
SEC. 12.Section 14024 of the Insurance Code is amended to read:14024.(a)An individual application shall be verified and shall include all of the following:
(1)The full legal name and business, residence, and mailing addresses of the applicant.
(2)The name under which the applicant intends to do business.
(3)The applicants birth date and social security number.
(4)The application fees set forth in Section 14097.
(5)A statement as to the classifications under which the applicant desires to be qualified.
(6)Two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints submitted in a manner acceptable to the Department of Insurance. with a live scan fingerprinting service provider certified by the Department of Justice.
(7)A verified statement of his or her experience qualifications, unless applying for an apprentice independent insurance adjuster license.
(8)Other information, evidence, statements, or documents as may be required by the commissioner.
(b)A business entity application shall be verified and shall include all of the following:
(1)The full legal name and residence address of each of its partners, officers, and directors, and its manager.
(2)The name under which the applicant intends to do business.
(3)That the applicant paid the fees set forth in Section 14097.
(4)A statement as to the classifications under which the applicant desires to be qualified.
(5)Other information, evidence, statements, or documents as may be required by the commissioner.
SEC. 13.Section 14025 of the Insurance Code is amended to read:14025.Before a license is granted, the applicant shall meet all of the following requirements:
(a)Be at least 18 years of age.
(b)Not have committed acts or crimes constituting grounds for denial of licensure under Sections 1668 and 1669.
(c)Shall have had either of the following:
(1)At least two years of experience in adjusting insurance claims in any state or the equivalent thereof as determined by the commissioner, unless applying for an apprentice independent insurance adjuster license.
(2)One year as a licensed apprentice independent insurance adjuster, which is considered the equivalent of two years of experience in adjusting claims.
(d)(1)Completed a 20-hour prelicensing education course of study.
(2)A nonresident applicant currently licensed as a home state independent insurance adjuster in another state who has met that states prelicensing education requirements is exempt from completing the prelicensing education requirement.
(3)A resident applicant currently listed under a licensed independent insurance adjusters license as an unlicensed employee is exempt from completing the prelicensing education requirement. This exemption shall be in effect only until January 1, 2019.
(e)Successfully passed the examination for the independent insurance adjuster license, unless he or she qualifies for an exemption in Section 14026.
(f)Comply with those other qualifications that the commissioner may require by regulation.
SEC. 14.Section 14025.1 is added to the Insurance Code, to read:14025.1.(a)The apprentice independent insurance adjuster license is a license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster.
(b)An individual applying for an apprentice independent insurance adjuster license shall submit an application in a format prescribed by the commissioner and shall declare under penalty of suspension, revocation, or refusal of the license that the statements made in the application are true, correct, and complete to the best of the individuals knowledge and belief. Before approving the application, the commissioner shall determine that the individual meets all of the following:
(1)Is at least 18 years of age.
(2)Is a resident of California or is a resident of another state and has designated California as his or her home state.
(3)Has a business or mailing address in California for the acceptance of service of process.
(4)Has not committed any act that is a ground for suspension, revocation, or denial of licensure as set forth in Sections 1668, 1668.1, and 1669.
(5)Has paid the fees set forth in subdivision (h) of Section 14097.
(c)The apprentice independent insurance adjuster license shall be subject to the following terms and conditions:
(1)The applicant shall submit, with the apprentice independent insurance adjuster application, an attestation from a licensed independent insurance adjuster certifying that the apprentice will be subject to training, direction, and control by the licensed independent insurance adjuster and further certifying that the licensed independent insurance adjuster assumes responsibility for the actions of the apprentice in the apprentices capacity as an apprentice independent insurance adjuster.
(2)The apprentice independent insurance adjuster is only authorized to adjust claims in California.
(3)The apprentice independent insurance adjuster is restricted to participation in the investigation, settlement, and negotiation of claims subject to the review and final determination of the claim by a supervising licensed independent insurance adjuster.
(4)The apprentice independent insurance adjuster shall not be required to take and successfully complete the independent insurance adjuster examination to adjust claims as an apprentice independent insurance adjuster. At any time during the apprenticeship, the apprentice independent insurance adjuster may choose to take the examination. If the individual takes and successfully completes the independent insurance adjuster exam, the apprentice independent insurance adjuster license shall automatically terminate and an independent insurance adjuster license shall be issued to that individual in its place.
(5)The apprentice independent insurance adjuster license is valid for a period not to exceed 12 months and is nonrenewable.
(6)The licensee shall be subject to suspension, revocation, or denial pursuant to Sections 1668, 1668.1, and 1669.
(7)The applicant shall submit two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints submitted in a manner acceptable to the Department of Insurance. with a live scan fingerprinting service provider certified by the Department of Justice.
SEC. 15.Section 14026 of the Insurance Code is repealed.SEC. 16.Section 14026 is added to the Insurance Code, to read:14026.(a)An applicant for an independent insurance adjuster license, unless applying for an apprentice independent insurance adjuster license or crop insurance adjuster license, shall pass a written examination.
(1)The examination shall test the knowledge of the applicant concerning the duties and responsibilities of an independent insurance adjuster and this code.
(2)An applicant applying for an examination shall remit a nonrefundable fee as prescribed by the commissioner in Section 14097.
(b)An individual who applies for an independent insurance adjuster license in California who holds a home state license in another state as an independent insurance adjuster shall not be required to complete the examination if he or she successfully passed an examination as a condition of receiving an independent insurance adjuster license in his or her home state. This exemption applies to individuals who are currently licensed in their home state or if the home state license expired and the application is received by the commissioner within 90 days of expiration.
(c)An individual who applies for an apprentice independent insurance adjuster license pursuant to Section 14025.1, and who adjusts claims in that capacity, shall not be required to take and successfully complete the independent insurance adjuster examination.
SEC. 17.Section 14027 of the Insurance Code is repealed.SEC. 18.Section 14028 of the Insurance Code is amended to read:14028.After a hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not done any of the following:
(a)Been refused a license under this chapter or had a license revoked.
(b)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(c)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(d)Committed any act or crime constituting grounds for denial of licensure under Section 1668.
SEC. 19.Section 14029 of the Insurance Code is amended to read:14029.(a)The business of each licensee shall be operated under the active direction, control, charge, or management of the licensee, if the licensee is qualified, or the person who has qualified to act as the licensees manager, if the licensee is not qualified.
(b)No person shall act as a manager of a licensee until he or she has complied with each of the following:
(1)Demonstrated his or her qualifications by a written or oral examination, or a combination of both, if required by the commissioner.
(2)Made a satisfactory showing to the commissioner that he or she has the qualifications prescribed by Section 14025 and that none of the facts stated in Section 14028 or 14028.5 exist as to him or her.
(c)If the manager, who has qualified as provided in this section, ceases for any reason whatsoever to be connected with the licensee to whom the license is issued, the licensee shall notify the commissioner in writing 30 days from the cessation. If notice is given, the license shall remain in force for a reasonable length of time to be determined by the rules of the commissioner pending the qualifications, as provided in this chapter, of another manager. If the licensee fails to notify the commissioner within the 30-day period, his or her license shall be subject to suspension or revocation and may be reinstated only upon the filing of an application for reinstatement, payment of the reinstatement fee, if any is due, and the qualification of a manager as provided herein.
(d)Every manager shall renew his or her authority by satisfying the requirements of Article 8 (commencing with Section 14090).
(e)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 20.Section 14029 is added to the Insurance Code, to read:14029.(a)Each organization licensed under this chapter shall designate an individual also licensed as an independent insurance adjuster to be responsible for the organizations compliance with state law.
(b)This section shall become operative on January 1, 2018.
SEC. 21.Section 14030 of the Insurance Code is amended to read:14030.(a)Whenever the individual on the basis of whose qualifications a license under this chapter has been obtained ceases to be connected with the licensee for any reason whatever, the business may be carried on for a temporary period and under the terms and conditions as the commissioner shall provide by regulation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 22.Section 14031 of the Insurance Code is amended to read:14031.A hearing held under this chapter to determine whether an application for a license should be granted shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
SEC. 23.Section 14032 of the Insurance Code is amended to read:14032.The form and content of the license shall be determined by the commissioner.
SEC. 24.Section 14037 of the Insurance Code is amended to read:14037.(a)A licensee shall at all times be legally responsible for the good conduct in the business of each of his or her employees or agents, including his or her manager.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 25.Section 14038 of the Insurance Code is amended to read:14038.(a)Any licensee or officer, director, partner, or manager of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense. However, he or she shall not divulge to any other person any information acquired by him or her, except as he or she may be required by law to do so or as is necessary to effectuate or enforce a transaction, except at the direction of the employer or client for whom the information was obtained and only if authorized by the insured.
(b)A licensee or officer, director, partner, manager, or employee of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee, qualifying manager, or a person authorized by one or either of them, and the person submitting the report shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, partner, manager, or employee of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, partner, manager, or employee of a licensee, shall not use a title, wear a uniform, use an insignia, or use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, partner, manager, or employee of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an employee or agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in either the name of and under the control of the licensee or the licensees employer, who is a licensed independent insurance adjuster who meets the bond requirement described in Section 14050.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 26.Section 14038 is added to the Insurance Code, to read:14038.(a)Any licensee or officer, director, or partner of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense. However, he or she shall not divulge to any other person any information acquired by him or her, except as he or she may be required by law to do so or as is necessary to effectuate or enforce a transaction, except at the direction of the employer or client for whom the information was obtained and only if authorized by the insured.
(b)A licensee or officer, director, or partner of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee who or his or her designee. The licensee shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, or partner of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, or partner of a licensee shall not use a title, wear a uniform, use an insignia, use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, or partner of a licensee shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in either the name of and under the control of the licensee or the licensees employer, who is a licensed independent insurance adjuster who meets the bond requirement described in Section 14050.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall become operative on January 1, 2018.
SEC. 27.Section 14039 of the Insurance Code is amended to read:14039.A person licensed as an independent insurance adjuster shall not do any of the following:
(a)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(b)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(c)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm that obtains business in connection with any claim that he or she has a contract or agreement to adjust.
SEC. 28.Section 14040 of the Insurance Code is amended to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, partner, manager, or employee of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee and an employee number by which the person may be identified by the licensee.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 29.Section 14040 is added to the Insurance Code, to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, or partner of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of either the licensee or the adjusting firm the licensee represents.
(b)This section shall become operative on January 1, 2018.
SEC. 30.Section 14042 of the Insurance Code is amended to read:14042.(a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
(b)The commissioner shall not authorize the use of a fictitious or other business name that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5.
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of that name.
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for that authorization.
SEC. 31.Section 14050 of the Insurance Code is amended to read:14050.(a)A license shall not be issued under this chapter unless the applicant files with the commissioner a surety bond executed by a surety company authorized to do business in the state in the sum of two thousand dollars ($2,000) conditioned for the faithful and honest conduct of business by that applicant. The bond as to its form, execution, and sufficiency of the sureties shall be approved by the commissioner.
(b)A surety bond is not required for an individual licensed as an independent insurance adjuster who adjusts only on behalf of his or her employer, who is a provided that the employer is another licensed independent insurance adjuster who meets the bond requirement.
SEC. 32.Section 14061 of the Insurance Code is amended to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 33.Section 14061 is added to the Insurance Code, to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall become operative on January 1, 2018.
SEC. 34.Section 14063 of the Insurance Code is amended to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 35.Section 14063 is added to the Insurance Code, to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, or partners has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)The section shall become operative on January 1, 2018.
SEC. 36.Section 14064 of the Insurance Code is amended to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 37.Section 14064 is added to the Insurance Code, to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of, or in the course of, his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall become operative on January 1, 2018.
SEC. 38.Section 14078 of the Insurance Code is repealed.SEC. 39.Section 14078 is added to the Insurance Code, to read:14078.(a)Unless refused licensure pursuant to Sections 14060 to 14065, inclusive, a nonresident person shall receive a nonresident independent insurance adjuster license if all of the following apply:
(1)The applicant is currently licensed in good standing as an independent insurance adjuster in his, her, or its resident or home state.
(2)The applicant paid the fees required by Section 14097.
(3)The applicant submitted to the commissioner the completed application for licensure.
(4)The applicants home state issues nonresident independent insurance adjuster licenses to residents of California on the same basis.
(b)The commissioner may verify the independent insurance adjusters licensing status through any appropriate database, including the Producer Database maintained by the National Association of Insurance Commissioners, its affiliates or subsidiaries, or may request certification of good standing.
(c)As a condition to the continuation of a nonresident independent insurance adjuster license, the licensee shall maintain a resident independent insurance adjuster license in his, her, or its home state.
(1)The nonresident independent insurance adjuster license issued under this chapter shall terminate and be surrendered immediately to the commissioner if the resident independent insurance adjuster license terminates for any reason, unless the termination is due to the independent insurance adjuster being issued a new resident independent insurance adjuster license in his, her, or its new home state.
(2)The nonresident independent insurance adjuster license shall terminate if the persons home state does not issue nonresident independent insurance adjuster licenses to residents of California on the same basis.
(3)(A)The licensee is required to give notice of resident independent insurance adjuster license termination to any state that issued a nonresident independent insurance adjuster license.
(B)The notice is required to be given within 30 days of the termination date. If the resident independent insurance adjuster license was terminated for change in resident home state, then the notice is required to include both the previous and current addresses.
(4)Maintaining a resident independent insurance adjuster license is required for the nonresident independent insurance adjuster license to remain valid.
SEC. 40.Section 14079 is added to the Insurance Code, to read:14079.(a)An independent insurance adjuster shall be honest and fair in all communications with the insured, the insurer, and the public.
(b)An independent insurance adjuster shall provide policyholders and claimants with prompt and knowledgeable service and courteous, fair, and objective treatment at all times.
(c)An independent insurance adjuster shall not give legal advice and shall not deal directly with any policyholder or claimant who is represented by legal counsel without the consent of the legal counsel involved.
(d)An independent insurance adjuster shall comply with all local, state, and federal privacy and information security laws.
(e)An independent insurance adjuster shall identify himself or herself as an independent insurance adjuster and, if applicable, shall identify his or her employer when dealing with any policyholder or claimant.
(f)An independent insurance adjuster shall not have any financial interest in any adjustment or shall not acquire for himself, herself, or any person any interest or title in salvage, without first receiving written authority from the principal.
SEC. 41.Section 14080 of the Insurance Code is amended to read:14080.Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (6) of subdivision (a) of Section 14024 or paragraph (7) of subdivision (c) of Section 14025.1 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both the fine and imprisonment.
SEC. 42.Section 14090.1 of the Insurance Code is amended to read:14090.1.(a)An individual who holds an independent insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an independent insurance adjuster license and shall report the completion of this coursework to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident independent insurance adjuster license who has met the continuing education requirements of his or her designated home state.
(3)An individual licensed as an independent insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(4)An individual licensed as an apprentice independent insurance adjuster pursuant to Section 14025.1.
SEC. 43.Section 14090.3 is added to the Insurance Code, to read:14090.3.A person who fails to meet the requirements imposed by Section 14090.1, and who has not been granted an extension of time by the commissioner within which to comply, shall have his or her license placed on inactive status until he or she demonstrates to the satisfaction of the commissioner that he or she has complied with all of the requirements of this article and all other applicable laws. A licensee placed on inactive status may not perform the activities described in Section 1631. If a person cannot perform the requirements of this article due to a disability or inactivity due to special circumstances, the commissioner shall provide a procedure for the person to place his or her license on inactive status until the person demonstrates to the satisfaction of the commissioner that he or she has complied with all of the requirements of this article for the period of disability or inactivity.
SEC. 44.Section 14097 of the Insurance Code is amended to read:14097.The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(a)The application fee for the qualifying examination for an original license is fifty dollars ($50).
(b)The application fee for an original branch office certificate is forty-seven dollars ($47).
(c)The fee for an original license application is up to one hundred twenty dollars ($120). eighty dollars ($80). If the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(d)The renewal fee shall be fixed by the commissioner as follows:
(1)For a license as an independent insurance adjuster, not more than one hundred twenty dollars ($120). eighty dollars ($80).
(2)For a branch office certificate, not more than fifty-six dollars ($56).
(e)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(f)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration.
(g)The fee for reexamination of an applicant is fifty dollars ($50).
(h)The application fee for an apprentice independent insurance adjuster license shall be up to one hundred twenty dollars ($120). eighty dollars ($80).
SEC. 45.Section 14097.5 is added to the Insurance Code, to read:14097.5.(a)On or before March 1, 2019, and for a total of three years thereafter, the department shall report annually to the Legislature all of the following:
(1)The number of individuals licensed pursuant to this chapter.
(2)The implementation costs incurred and the revenues received by the department for licensure of independent insurance adjusters.
(3)The annual projected costs and revenues associated with ongoing licensure and enforcement activities pursuant to this chapter.
(b)(1)A report submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
(2)Pursuant to Section 10231.5 of the Government Code, this section is repealed on March 1, 2023.
SEC. 46.Section 14099 of the Insurance Code is amended to read:14099.Application or license fees shall not be refunded pursuant to Section 1751.5.
SEC. 47.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
If a natural person while licensed pursuant to the provisions of this chapter or Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, Part 5 (commencing with Section 12140) of Division 2, or Chapter 1 (commencing with Section 14000) of Division 5 enters the military service of the United States and is in that service at a time prescribed for the filing of a renewal application, the filing of that application is waived, and the license held by that licensee at the time of his or her entry into military service shall remain in force during the period of that military service and until the end of the license year in which he or she is released from that service but not for less than six months after that release. During that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any examination or paying any penalty.
SEC. 2.Section 1751.5 of the Insurance Code is amended to read:1751.5.The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
SEC. 3.Section 14000 of the Insurance Code is amended to read:14000.This chapter may be cited as the Independent Insurance Adjuster Act.
SEC. 4.Section 14001 of the Insurance Code is amended to read:14001.As used in this chapter, the following terms have the following meanings:
(a)Catastrophe means an event that results in a large number of deaths or injuries, causes extensive damage or destruction of facilities that provide and sustain human needs, produces an overwhelming demand on state and local response resources and mechanisms, causes a severe long-term effect on general economic activity, or severely affects state, local, and private sector capabilities to begin and sustain response activities.
(b)Commissioner means the Insurance Commissioner.
(c)Department means the Department of Insurance.
(d)Fingerprints means an impression of the lines on the finger taken for the purposes of identification.
(e)Home state means the District of Columbia and any state or territory of the United States in which an independent insurance adjuster maintains his, her, or its principal place of residence or business and is licensed to act as a resident independent insurance adjuster. If the resident state does not license independent insurance adjusters for the line of authority sought, the independent insurance adjuster shall designate as his, her, or its home state either California or any state in which the independent insurance adjuster is licensed following an examination, provided that the independent insurance adjuster is licensed and in good standing in that state.
(f)Individual means a natural person.
(g)Licensee means a person licensed under this chapter.
(h)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(i)Nonresident means a person who is not a resident of California at the time of the performance of the act referred to in Section 14071.
(j)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
SEC. 5.Section 14010 of the Insurance Code is repealed.SEC. 6.Section 14010 is added to the Insurance Code, to read:14010.The commissioner shall administer and enforce the provisions of this chapter.
SEC. 7.Section 14020 of the Insurance Code is amended to read:14020.(a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed as an independent insurance adjuster in accordance with this chapter.
(b)A person shall not falsely represent that he or she is employed by a licensee.
SEC. 8.Section 14021 of the Insurance Code is repealed.SEC. 9.Section 14021 is added to the Insurance Code, to read:14021.An independent insurance adjuster, for purposes of this chapter, is all of the following:
(a)An individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers.
(b)A person whose tax treatment by the insurers is consistent with that of an independent contractor rather than an employee, as defined in Section 3121 of Title 26 of the United States Code.
(c)A person who investigates, negotiates, or settles property and casualty claims for insurers.
SEC. 10.Section 14022 of the Insurance Code is amended to read:14022.This chapter does not apply to any of the following:
(a)A person employed exclusively and regularly by one employer in connection with the affairs of that employer only and where there exists an employer-employee relationship. This subdivision shall become inoperative on January 1, 2018.
(b)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while that officer or employee is engaged in the performance of his or her official duties.
(c)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(d)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(e)An attorney at law admitted to practice in California, when acting in his or her professional capacity as an attorney.
(f)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(g) An officer, director, manager, or employee of an authorized insurer, surplus line insurer, a risk retention group, or an attorney-in-fact of a reciprocal insurer.
(h)A licensed insurance agent or broker or managing general agent of the insurer to whom claim authority has been granted by the insurer.
(i)The legal owner of personal property that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(j)Any bank subject to the jurisdiction of the Commissioner of Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(k)A person employed solely to obtain facts surrounding a claim or to furnish technical assistance to a licensed independent insurance adjuster.
(l)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed independent insurance adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(m)An individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments.
(n)A person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative.
(o)A licensed health care provider or its employees who provide managed care if the services do not include the determination of compensability.
(p)A managed care organization or any of its employees who provide managed care services if the services do not include the determination of compensability.
(q)A person who settles only reinsurance or subrogation claims.
(r)A United States manager of the United States branch of an alien insurer.
(s)An individual employee, under a self-insured arrangement, who adjusts claims on behalf of his or her employer.
(t)An individual or business entity that investigates, negotiates, or settles workers compensation claims.
(u)An individual who, in regards to portable electronics insurance claims, collects claims information from, or furnishes claims information to, insureds or claimants, and who conducts data entry, including entering data into an automated claims adjudication system, provided that the individual is an employee of a licensed independent insurance adjuster or its affiliate where no more than 25 of those persons are under the supervision of one licensed independent insurance adjuster or licensed producer.
SEC. 11.Section 14022.5 of the Insurance Code is amended to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed independent insurance adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed independent insurance adjuster is under the active direction, control, charge, or management of a licensed independent insurance adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within five working days from the date on which the nonlicensed independent insurance adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, means a written letter to the commissioner, submitted by the supervising licensed independent insurance adjuster or admitted insurer, naming the nonlicensed independent insurance adjusters, identifying their independent insurance adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 180 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 180-day extensions as he or she deems appropriate upon written request from the supervising licensed independent insurance adjuster or the admitted insurer.
SEC. 12.Section 14024 of the Insurance Code is amended to read:14024.(a) An individual application shall be verified and shall include all of the following:
(1)The full legal name and business, residence, and mailing addresses of the applicant.
(2)The name under which the applicant intends to do business.
(3)The applicants birth date and social security number.
(4)The application fees set forth in Section 14097.
(5)A statement as to the general nature of the business in which the applicant intends to engage.
(6)
(5)A statement as to the classifications under which the applicant desires to be qualified.
(7)
(6)Two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice. fingerprints submitted in a manner acceptable to the Department of Insurance.
(8)
(7)A verified statement of his or her experience qualifications, unless applying for an apprentice independent insurance adjuster license.
(9)
(8)Other information, evidence, statements, or documents as may be required by the commissioner.
(b)A business entity application shall be verified and shall include all of the following:
(1)The full legal name and residence address of each of its partners, officers, and directors, and its manager.
(2)The name under which the applicant intends to do business.
(3)That the applicant paid the fees set forth in Section 14097.
(4)A statement as to the general nature of the business in which the applicant intends to engage.
(5)
(4)A statement as to the classifications under which the applicant desires to be qualified.
(6)
(5)Other information, evidence, statements, or documents as may be required by the commissioner.
SEC. 13.Section 14025 of the Insurance Code is amended to read:14025.Before a license is granted, the applicant shall meet all of the following requirements:
(a)Be at least 18 years of age.
(b)Not have committed acts or crimes constituting grounds for denial of licensure under Sections 1668 and 1669.
(c)Shall have had either of the following:
(1)At least two years of experience in adjusting insurance claims in any state or the equivalent thereof as determined by the commissioner, unless applying for an apprentice independent insurance adjuster license.
(2)One year as a licensed apprentice independent insurance adjuster, which is considered the equivalent of two years of experience in adjusting claims.
(d)(1)Completed a 20-hour prelicensing education course of study.
(2)A nonresident applicant currently licensed as a home state independent insurance adjuster in another state who has met that states prelicensing education requirements is exempt from completing the prelicensing education requirement.
(3)A resident applicant currently listed under a licensed independent insurance adjusters license as an unlicensed employee is exempt from completing the prelicensing education requirement. This exemption shall be in effect only until January 1, 2019.
(e)Successfully passed the examination for the independent insurance adjuster license, unless he or she qualifies for an exemption in Section 14026.
(f)Comply with those other qualifications that the commissioner may require by regulation.
SEC. 14.Section 14025.1 is added to the Insurance Code, to read:14025.1.(a)The apprentice independent insurance adjuster license is a license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster.
(b)An individual applying for an apprentice independent insurance adjuster license shall submit an application in a format prescribed by the commissioner and shall declare under penalty of suspension, revocation, or refusal of the license that the statements made in the application are true, correct, and complete to the best of the individuals knowledge and belief. Before approving the application, the commissioner shall determine that the individual meets all of the following:
(1)Is at least 18 years of age.
(2)Is a resident of California or is a resident of another state and has designated California as his or her home state.
(3)Has a business or mailing address in California for the acceptance of service of process.
(4)Has not committed any act that is a ground for suspension, revocation, or denial of licensure as set forth in Sections 1668, 1668.1, and 1669.
(5)Has paid the fees set forth in subdivision (h) of Section 14097.
(c)The apprentice independent insurance adjuster license shall be subject to the following terms and conditions:
(1)The applicant shall submit, with the apprentice independent insurance adjuster application, an attestation from a licensed independent insurance adjuster certifying that the apprentice will be subject to training, direction, and control by the licensed independent insurance adjuster and further certifying that the licensed independent insurance adjuster assumes responsibility for the actions of the apprentice in the apprentices capacity as an apprentice independent insurance adjuster.
(2)The apprentice independent insurance adjuster is only authorized to adjust claims in California.
(3)The apprentice independent insurance adjuster is restricted to participation in the investigation, settlement, and negotiation of claims subject to the review and final determination of the claim by a supervising licensed independent insurance adjuster.
(4)The apprentice independent insurance adjuster shall not be required to take and successfully complete the independent insurance adjuster examination to adjust claims as an apprentice independent insurance adjuster. At any time during the apprenticeship, the apprentice independent insurance adjuster may choose to take the examination. If the individual takes and successfully completes the independent insurance adjuster exam, the apprentice independent insurance adjuster license shall automatically terminate and an independent insurance adjuster license shall be issued to that individual in its place.
(5)The apprentice independent insurance adjuster license is valid for a period not to exceed 12 months and is nonrenewable.
(6)The licensee shall be subject to suspension, revocation, or denial pursuant to Sections 1668, 1668.1, and 1669.
(7)The applicant shall submit two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice. fingerprints submitted in a manner acceptable to the Department of Insurance.
SEC. 15.Section 14026 of the Insurance Code is repealed.SEC. 16.Section 14026 is added to the Insurance Code, to read:14026.(a)An applicant for an independent insurance adjuster license, unless applying for an apprentice independent insurance adjuster license or crop insurance adjuster license, shall pass a written examination.
(1)The examination shall test the knowledge of the applicant concerning the duties and responsibilities of an independent insurance adjuster and this code.
(2)An applicant applying for an examination shall remit a nonrefundable fee as prescribed by the commissioner in Section 14097.
(b)An individual who applies for an independent insurance adjuster license in California who holds a home state license in another state as an independent insurance adjuster shall not be required to complete the examination if he or she successfully passed an examination as a condition of receiving an independent insurance adjuster license in his or her home state. This exemption applies to individuals who are currently licensed in their home state or if the home state license expired and the application is received by the commissioner within 90 days of expiration.
(c)An individual who applies for an apprentice independent insurance adjuster license pursuant to Section 14025.1, and who adjusts claims in that capacity, shall not be required to take and successfully complete the independent insurance adjuster examination.
SEC. 17.Section 14027 of the Insurance Code is repealed.SEC. 18.Section 14028 of the Insurance Code is amended to read:14028.After a hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not done any of the following:
(a)Been refused a license under this chapter or had a license revoked.
(b)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(c)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(d)Committed any act or crime constituting grounds for denial of licensure under Section 1668.
SEC. 19.Section 14029 of the Insurance Code is amended to read:14029.(a)The business of each licensee shall be operated under the active direction, control, charge, or management of the licensee, if the licensee is qualified, or the person who has qualified to act as the licensees manager, if the licensee is not qualified.
(b)No person shall act as a manager of a licensee until he or she has complied with each of the following:
(1)Demonstrated his or her qualifications by a written or oral examination, or a combination of both, if required by the commissioner.
(2)Made a satisfactory showing to the commissioner that he or she has the qualifications prescribed by Section 14025 and that none of the facts stated in Section 14028 or 14028.5 exist as to him or her.
(c)If the manager, who has qualified as provided in this section, ceases for any reason whatsoever to be connected with the licensee to whom the license is issued, the licensee shall notify the commissioner in writing 30 days from the cessation. If notice is given, the license shall remain in force for a reasonable length of time to be determined by the rules of the commissioner pending the qualifications, as provided in this chapter, of another manager. If the licensee fails to notify the commissioner within the 30-day period, his or her license shall be subject to suspension or revocation and may be reinstated only upon the filing of an application for reinstatement, payment of the reinstatement fee, if any is due, and the qualification of a manager as provided herein.
(d)Every manager shall renew his or her authority by satisfying the requirements of Article 8 (commencing with Section 14090).
(e)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 20.Section 14029 is added to the Insurance Code, to read:14029.(a)Each organization licensed under this chapter shall designate an individual also licensed as an independent insurance adjuster to be responsible for the organizations compliance with state law.
(b)This section shall become operative on January 1, 2018.
SEC. 21.Section 14030 of the Insurance Code is amended to read:14030.(a)Whenever the individual on the basis of whose qualifications a license under this chapter has been obtained ceases to be connected with the licensee for any reason whatever, the business may be carried on for a temporary period and under the terms and conditions as the commissioner shall provide by regulation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 22.Section 14031 of the Insurance Code is amended to read:14031.A hearing held under this chapter to determine whether an application for a license should be granted shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
SEC. 23.Section 14032 of the Insurance Code is amended to read:14032.The form and content of the license shall be determined by the commissioner.
SEC. 24.Section 14037 of the Insurance Code is amended to read:14037.(a)A licensee shall at all times be legally responsible for the good conduct in the business of each of his or her employees or agents, including his or her manager.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 25.Section 14038 of the Insurance Code is amended to read:14038.(a)Any licensee or officer, director, partner, or manager of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained. offense. However, he or she shall not divulge to any other person any information acquired by him or her, except as he or she may be required by law to do so or as is necessary to effectuate or enforce a transaction, except at the direction of the employer or client for whom the information was obtained and only if authorized by the insured.
(b)A licensee or officer, director, partner, manager, or employee of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee, qualifying manager, or a person authorized by one or either of them, and the person submitting the report shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, partner, manager, or employee of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, partner, manager, or employee of a licensee, shall not use a title, wear a uniform, use an insignia, or use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, partner, manager, or employee of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an employee or agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in either the name of and under the control of the licensee. licensee or the licensees employer, who is a licensed independent insurance adjuster who meets the bond requirement described in Section 14050.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 26.Section 14038 is added to the Insurance Code, to read:14038.(a)Any licensee or officer, director, or partner of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained. offense. However, he or she shall not divulge to any other person any information acquired by him or her, except as he or she may be required by law to do so or as is necessary to effectuate or enforce a transaction, except at the direction of the employer or client for whom the information was obtained and only if authorized by the insured.
(b)A licensee or officer, director, or partner of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee who shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, or partner of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, or partner of a licensee shall not use a title, wear a uniform, use an insignia, use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, or partner of a licensee shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in either the name of and under the control of the licensee. licensee or the licensees employer, who is a licensed independent insurance adjuster who meets the bond requirement described in Section 14050.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall become operative on January 1, 2018.
SEC. 27.Section 14039 of the Insurance Code is amended to read:14039.A person licensed as an independent insurance adjuster shall not do any of the following:
(a)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(b)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(c)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm that obtains business in connection with any claim that he or she has a contract or agreement to adjust.
SEC. 28.Section 14040 of the Insurance Code is amended to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, partner, manager, or employee of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee and an employee number by which the person may be identified by the licensee.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 29.Section 14040 is added to the Insurance Code, to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, or partner of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of either the licensee or the adjusting firm the licensee represents.
(b)This section shall become operative on January 1, 2018.
SEC. 30.Section 14042 of the Insurance Code is amended to read:14042.(a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
(b)The commissioner shall not authorize the use of a fictitious or other business name that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5.
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of that name.
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for that authorization.
SEC. 31.Section 14050 of the Insurance Code is amended to read:14050.No license shall (a)A license shall not be issued under this chapter unless the applicant files with the commissioner a surety bond executed by a surety company authorized to do business in the state in the sum of two thousand dollars ($2,000) conditioned for the faithful and honest conduct of business by such that applicant. Such The bond as to its form, execution, and sufficiency of the sureties shall be approved by the commissioner.
(b)A surety bond is not required for an individual licensed as an independent insurance adjuster who adjusts only on behalf of his or her employer, who is a licensed independent insurance adjuster who meets the bond requirement.
SEC. 31.SEC. 32.Section 14061 of the Insurance Code is amended to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 32.SEC. 33.Section 14061 is added to the Insurance Code, to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall become operative on January 1, 2018.
SEC. 33.SEC. 34.Section 14063 of the Insurance Code is amended to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 34.SEC. 35.Section 14063 is added to the Insurance Code, to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, or partners has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)The section shall become operative on January 1, 2018.
SEC. 35.SEC. 36.Section 14064 of the Insurance Code is amended to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 36.SEC. 37.Section 14064 is added to the Insurance Code, to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of, or in the course of, his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall become operative on January 1, 2018.
SEC. 37.SEC. 38.Section 14078 of the Insurance Code is repealed.SEC. 38.SEC. 39.Section 14078 is added to the Insurance Code, to read:14078.(a)Unless refused licensure pursuant to Sections 14060 to 14065, inclusive, a nonresident person shall receive a nonresident independent insurance adjuster license if all of the following apply:
(1)The applicant is currently licensed in good standing as an independent insurance adjuster in his, her, or its resident or home state.
(2)The applicant paid the fees required by Section 14097.
(3)The applicant submitted to the commissioner the completed application for licensure.
(4)The applicants home state issues nonresident independent insurance adjuster licenses to residents of California on the same basis.
(b)The commissioner may verify the independent insurance adjusters licensing status through any appropriate database, including the Producer Database maintained by the National Association of Insurance Commissioners, its affiliates or subsidiaries, or may request certification of good standing.
(c)As a condition to the continuation of a nonresident independent insurance adjuster license, the licensee shall maintain a resident independent insurance adjuster license in his, her, or its home state.
(1)The nonresident independent insurance adjuster license issued under this chapter shall terminate and be surrendered immediately to the commissioner if the resident independent insurance adjuster license terminates for any reason, unless the termination is due to the independent insurance adjuster being issued a new resident independent insurance adjuster license in his, her, or its new home state.
(2)The nonresident independent insurance adjuster license shall terminate if the persons home state does not issue nonresident independent insurance adjuster licenses to residents of California on the same basis.
(3)(A)The licensee is required to give notice of resident independent insurance adjuster license termination to any state that issued a nonresident independent insurance adjuster license.
(B)The notice is required to be given within 30 days of the termination date. If the resident independent insurance adjuster license was terminated for change in resident home state, then the notice is required to include both the previous and current addresses.
(4)Maintaining a resident independent insurance adjuster license is required for the nonresident independent insurance adjuster license to remain valid.
SEC. 39.SEC. 40.Section 14079 is added to the Insurance Code, to read:14079.(a)An independent insurance adjuster shall be honest and fair in all communications with the insured, the insurer, and the public.
(b)An independent insurance adjuster shall provide policyholders and claimants with prompt and knowledgeable service and courteous, fair, and objective treatment at all times.
(c)An independent insurance adjuster shall not give legal advice and shall not deal directly with any policyholder or claimant who is represented by legal counsel without the consent of the legal counsel involved.
(d)An independent insurance adjuster shall comply with all local, state, and federal privacy and information security laws.
(e)An independent insurance adjuster shall identify himself or herself as an independent insurance adjuster and, if applicable, shall identify his or her employer when dealing with any policyholder or claimant.
(f)An independent insurance adjuster shall not have any financial interest in any adjustment or shall not acquire for himself, herself, or any person any interest or title in salvage, without first receiving written authority from the principal.
SEC. 40.SEC. 41.Section 14080 of the Insurance Code is amended to read:14080.Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (7) (6) of subdivision (a) of Section 14024 or paragraph (7) of subdivision (c) of Section 14025.1 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both the fine and imprisonment.
SEC. 41.SEC. 42.Section 14090.1 of the Insurance Code is amended to read:14090.1.(a)An individual who holds an independent insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an independent insurance adjuster license and shall report the completion of this coursework to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident independent insurance adjuster license who has met the continuing education requirements of his or her designated home state.
(3)An individual licensed as an independent insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(4)An individual licensed as an apprentice independent insurance adjuster pursuant to Section 14025.1.
SEC. 42.SEC. 43.Section 14090.3 is added to the Insurance Code, to read:14090.3.A person who fails to meet the requirements imposed by Section 14090.1, and who has not been granted an extension of time by the commissioner within which to comply, shall have his or her license placed on inactive status until he or she demonstrates to the satisfaction of the commissioner that he or she has complied with all of the requirements of this article and all other applicable laws. A licensee placed on inactive status may not perform the activities described in Section 1631. If a person cannot perform the requirements of this article due to a disability or inactivity due to special circumstances, the commissioner shall provide a procedure for the person to place his or her license on inactive status until the person demonstrates to the satisfaction of the commissioner that he or she has complied with all of the requirements of this article for the period of disability or inactivity.
SEC. 43.SEC. 44.Section 14097 of the Insurance Code is amended to read:14097.The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(a)The application fee for the qualifying examination for an original license is fifty dollars ($50).
(b)The application fee for an original branch office certificate is forty-seven dollars ($47).
(c)The fee for an original license application is up to one hundred twenty dollars ($120). If the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(d)The renewal fee shall be fixed by the commissioner as follows:
(1)For a license as an independent insurance adjuster, not more than one hundred twenty dollars ($120).
(2)For a branch office certificate, not more than fifty-six dollars ($56).
(e)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(f)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration.
(g)The fee for reexamination of an applicant is fifty dollars ($50).
(h)The application fee for an apprentice independent insurance adjuster license shall be up to one hundred twenty dollars ($120).
SEC. 44.SEC. 45.Section 14097.5 is added to the Insurance Code, to read:14097.5.(a)On or before March 1, 2019, and for a total of three years thereafter, the department shall report annually to the Legislature all of the following:
(1)The number of individuals licensed pursuant to this chapter.
(2)The implementation costs incurred and the revenues received by the department for licensure of independent insurance adjusters.
(3)The annual projected costs and revenues associated with ongoing licensure and enforcement activities pursuant to this chapter.
(b)(1)A report submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
(2)Pursuant to Section 10231.5 of the Government Code, this section is repealed on March 1, 2023.
SEC. 45.SEC. 46.Section 14099 of the Insurance Code is amended to read:14099.Application or license fees shall not be refunded pursuant to Section 1751.5.
SEC. 46.SEC. 47.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
If a natural person while licensed pursuant to the provisions of this chapter or Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, Part 5 (commencing with Section 12140) of Division 2, or Chapter 1 (commencing with Section 14000) of Division 5 enters the military service of the United States and is in that service at a time prescribed for the filing of a renewal application, the filing of that application is waived, and the license held by that licensee at the time of his or her entry into military service shall remain in force during the period of that military service and until the end of the license year in which he or she is released from that service but not for less than six months after that release. During that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any examination or paying any penalty.
SEC. 2.Section 1751.5 of the Insurance Code is amended to read:1751.5.The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
SEC. 3.Section 14000 of the Insurance Code is amended to read:14000.This chapter may be cited as the Independent Insurance Adjuster Act.
SEC. 4.Section 14001 of the Insurance Code is amended to read:14001.As used in this chapter, the following terms have the following meanings:
(a)Catastrophe means an event that results in a large number of deaths or injuries, causes extensive damage or destruction of facilities that provide and sustain human needs, produces an overwhelming demand on state and local response resources and mechanisms, causes a severe long-term effect on general economic activity, or severely affects state, local, and private sector capabilities to begin and sustain response activities.
(b)Commissioner means the Insurance Commissioner.
(c)Department means the Department of Insurance.
(d)Fingerprints means an impression of the lines on the finger taken for the purposes of identification.
(e)Home state means the District of Columbia and any state or territory of the United States in which an independent insurance adjuster maintains his, her, or its principal place of residence or business and is licensed to act as a resident independent insurance adjuster. If the resident state does not license independent insurance adjusters for the line of authority sought, the independent insurance adjuster shall designate as his, her, or its home state either California or any state in which the independent insurance adjuster is licensed following an examination, provided that the independent insurance adjuster is licensed and in good standing in that state.
(f)Individual means a natural person.
(g)Licensee means a person licensed under this chapter.
(h)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(i)Nonresident means a person who is not a resident of California at the time of the performance of the act referred to in Section 14071.
(j)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
SEC. 5.Section 14010 of the Insurance Code is repealed.SEC. 6.Section 14010 is added to the Insurance Code, to read:14010.The commissioner shall administer and enforce the provisions of this chapter.
SEC. 7.Section 14020 of the Insurance Code is amended to read:14020.(a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed as an independent insurance adjuster in accordance with this chapter.
(b)A person shall not falsely represent that he or she is employed by a licensee.
SEC. 8.Section 14021 of the Insurance Code is repealed.SEC. 9.Section 14021 is added to the Insurance Code, to read:14021.An independent insurance adjuster, for purposes of this chapter, is all of the following:
(a)An individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers.
(b)A person whose tax treatment by the insurers is consistent with that of an independent contractor rather than an employee, as defined in Section 3121 of Title 26 of the United States Code.
(c)A person who investigates, negotiates, or settles property and casualty claims for insurers.
SEC. 10.Section 14022 of the Insurance Code is amended to read:14022.This chapter does not apply to any of the following:
(a)A person employed exclusively and regularly by one employer in connection with the affairs of that employer only and where there exists an employer-employee relationship. This subdivision shall become inoperative on January 1, 2018.
(b)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while that officer or employee is engaged in the performance of his or her official duties.
(c)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(d)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(e)An attorney at law admitted to practice in California, when acting in his or her professional capacity as an attorney.
(f)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(g) An officer, director, manager, or employee of an authorized insurer, surplus line insurer, a risk retention group, or an attorney-in-fact of a reciprocal insurer.
(h)A licensed insurance agent or broker or managing general agent of the insurer to whom claim authority has been granted by the insurer.
(i)The legal owner of personal property that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(j)Any bank subject to the jurisdiction of the Commissioner of Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(k)A person employed solely to obtain facts surrounding a claim or to furnish technical assistance to a licensed independent insurance adjuster.
(l)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed independent insurance adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(m)An individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments.
(n)A person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative.
(o)A licensed health care provider or its employees who provide managed care if the services do not include the determination of compensability.
(p)A managed care organization or any of its employees who provide managed care services if the services do not include the determination of compensability.
(q)A person who settles only reinsurance or subrogation claims.
(r)A United States manager of the United States branch of an alien insurer.
(s)An individual employee, under a self-insured arrangement, who adjusts claims on behalf of his or her employer.
(t)An individual or business entity that investigates, negotiates, or settles workers compensation claims.
(u)An individual who, in regards to portable electronics insurance claims, collects claims information from, or furnishes claims information to, insureds or claimants, and who conducts data entry, including entering data into an automated claims adjudication system, provided that the individual is an employee of a licensed independent insurance adjuster or its affiliate where no more than 25 of those persons are under the supervision of one licensed independent insurance adjuster or licensed producer.
SEC. 11.Section 14022.5 of the Insurance Code is amended to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed independent insurance adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed independent insurance adjuster is under the active direction, control, charge, or management of a licensed independent insurance adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within five working days from the date on which the nonlicensed independent insurance adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, means a written letter to the commissioner, submitted by the supervising licensed independent insurance adjuster or admitted insurer, naming the nonlicensed independent insurance adjusters, identifying their independent insurance adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 180 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 180-day extensions as he or she deems appropriate upon written request from the supervising licensed independent insurance adjuster or the admitted insurer.
SEC. 12.Section 14024 of the Insurance Code is amended to read:14024.(a) An individual application shall be verified and shall include all of the following:
(1)The full legal name and business, residence, and mailing addresses of the applicant.
(2)The name under which the applicant intends to do business.
(3)The applicants birth date and social security number.
(4)The application fees set forth in Section 14097.
(5)A statement as to the general nature of the business in which the applicant intends to engage.
(6)A statement as to the classifications under which the applicant desires to be qualified.
(7)Two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
(8)A verified statement of his or her experience qualifications, unless applying for an apprentice independent insurance adjuster license.
(9)Other information, evidence, statements, or documents as may be required by the commissioner.
(b)A business entity application shall be verified and shall include all of the following:
(1)The full legal name and residence address of each of its partners, officers, and directors, and its manager.
(2)The name under which the applicant intends to do business.
(3)That the applicant paid the fees set forth in Section 14097.
(4)A statement as to the general nature of the business in which the applicant intends to engage.
(5)A statement as to the classifications under which the applicant desires to be qualified.
(6)Other information, evidence, statements, or documents as may be required by the commissioner.
SEC. 13.Section 14025 of the Insurance Code is amended to read:14025.Before a license is granted, the applicant shall meet all of the following requirements:
(a)Be at least 18 years of age.
(b)Not have committed acts or crimes constituting grounds for denial of licensure under Sections 1668 and 1669.
(c)Shall have had either of the following:
(1)At least two years of experience in adjusting insurance claims or the equivalent thereof as determined by the commissioner, unless applying for an apprentice independent insurance adjuster license.
(2)One year as a licensed apprentice independent insurance adjuster, which is considered the equivalent of two years of experience in adjusting claims.
(d)(1)Completed a 20-hour prelicensing education course of study.
(2)A nonresident applicant currently licensed as a home state independent insurance adjuster in another state who has met that states prelicensing education requirements is exempt from completing the prelicensing education requirement.
(3)A resident applicant currently listed under a licensed independent insurance adjusters license as an unlicensed employee is exempt from completing the prelicensing education requirement. This exemption shall be in effect only until January 1, 2019.
(e)Successfully passed the examination for the independent insurance adjuster license, unless he or she qualifies for an exemption in Section 14026.
(f)Comply with those other qualifications that the commissioner may require by regulation.
SEC. 14.Section 14025.1 is added to the Insurance Code, to read:14025.1.(a)The apprentice independent insurance adjuster license is a license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster.
(b)An individual applying for an apprentice independent insurance adjuster license shall submit an application in a format prescribed by the commissioner and shall declare under penalty of suspension, revocation, or refusal of the license that the statements made in the application are true, correct, and complete to the best of the individuals knowledge and belief. Before approving the application, the commissioner shall determine that the individual meets all of the following:
(1)Is at least 18 years of age.
(2)Is a resident of California or is a resident of another state and has designated California as his or her home state.
(3)Has a business or mailing address in California for the acceptance of service of process.
(4)Has not committed any act that is a ground for suspension, revocation, or denial of licensure as set forth in Sections 1668, 1668.1, and 1669.
(5)Has paid the fees set forth in subdivision (h) of Section 14097.
(c)The apprentice independent insurance adjuster license shall be subject to the following terms and conditions:
(1)The applicant shall submit, with the apprentice independent insurance adjuster application, an attestation from a licensed independent insurance adjuster certifying that the apprentice will be subject to training, direction, and control by the licensed independent insurance adjuster and further certifying that the licensed independent insurance adjuster assumes responsibility for the actions of the apprentice in the apprentices capacity as an apprentice independent insurance adjuster.
(2)The apprentice independent insurance adjuster is only authorized to adjust claims in California.
(3)The apprentice independent insurance adjuster is restricted to participation in the investigation, settlement, and negotiation of claims subject to the review and final determination of the claim by a supervising licensed independent insurance adjuster.
(4)The apprentice independent insurance adjuster shall not be required to take and successfully complete the independent insurance adjuster examination to adjust claims as an apprentice independent insurance adjuster. At any time during the apprenticeship, the apprentice independent insurance adjuster may choose to take the examination. If the individual takes and successfully completes the independent insurance adjuster exam, the apprentice independent insurance adjuster license shall automatically terminate and an independent insurance adjuster license shall be issued to that individual in its place.
(5)The apprentice independent insurance adjuster license is valid for a period not to exceed 12 months and is nonrenewable.
(6)The licensee shall be subject to suspension, revocation, or denial pursuant to Sections 1668, 1668.1, and 1669.
(7)The applicant shall submit two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
SEC. 15.Section 14026 of the Insurance Code is repealed.SEC. 16.Section 14026 is added to the Insurance Code, to read:14026.(a)An applicant for an independent insurance adjuster license, unless applying for an apprentice independent insurance adjuster license or crop insurance adjuster license, shall pass a written examination.
(1)The examination shall test the knowledge of the applicant concerning the duties and responsibilities of an independent insurance adjuster and this code.
(2)An applicant applying for an examination shall remit a nonrefundable fee as prescribed by the commissioner in Section 14097.
(b)An individual who applies for an independent insurance adjuster license in California who holds a home state license in another state as an independent insurance adjuster shall not be required to complete the examination if he or she successfully passed an examination as a condition of receiving an independent insurance adjuster license in his or her home state. This exemption applies to individuals who are currently licensed in their home state or if the home state license expired and the application is received by the commissioner within 90 days of expiration.
(c)An individual who applies for an apprentice independent insurance adjuster license pursuant to Section 14025.1, and who adjusts claims in that capacity, shall not be required to take and successfully complete the independent insurance adjuster examination.
SEC. 17.Section 14027 of the Insurance Code is repealed.SEC. 18.Section 14028 of the Insurance Code is amended to read:14028.After a hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not done any of the following:
(a)Been refused a license under this chapter or had a license revoked.
(b)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(c)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(d)Committed any act or crime constituting grounds for denial of licensure under Section 1668.
SEC. 19.Section 14029 of the Insurance Code is amended to read:14029.(a)The business of each licensee shall be operated under the active direction, control, charge, or management of the licensee, if the licensee is qualified, or the person who has qualified to act as the licensees manager, if the licensee is not qualified.
(b)No person shall act as a manager of a licensee until he or she has complied with each of the following:
(1)Demonstrated his or her qualifications by a written or oral examination, or a combination of both, if required by the commissioner.
(2)Made a satisfactory showing to the commissioner that he or she has the qualifications prescribed by Section 14025 and that none of the facts stated in Section 14028 or 14028.5 exist as to him or her.
(c)If the manager, who has qualified as provided in this section, ceases for any reason whatsoever to be connected with the licensee to whom the license is issued, the licensee shall notify the commissioner in writing 30 days from the cessation. If notice is given, the license shall remain in force for a reasonable length of time to be determined by the rules of the commissioner pending the qualifications, as provided in this chapter, of another manager. If the licensee fails to notify the commissioner within the 30-day period, his or her license shall be subject to suspension or revocation and may be reinstated only upon the filing of an application for reinstatement, payment of the reinstatement fee, if any is due, and the qualification of a manager as provided herein.
(d)Every manager shall renew his or her authority by satisfying the requirements of Article 8 (commencing with Section 14090).
(e)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 20.Section 14029 is added to the Insurance Code, to read:14029.(a)Each organization licensed under this chapter shall designate an individual also licensed as an independent insurance adjuster to be responsible for the organizations compliance with state law.
(b)This section shall become operative on January 1, 2018.
SEC. 21.Section 14030 of the Insurance Code is amended to read:14030.(a)Whenever the individual on the basis of whose qualifications a license under this chapter has been obtained ceases to be connected with the licensee for any reason whatever, the business may be carried on for a temporary period and under the terms and conditions as the commissioner shall provide by regulation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 22.Section 14031 of the Insurance Code is amended to read:14031.A hearing held under this chapter to determine whether an application for a license should be granted shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
SEC. 23.Section 14032 of the Insurance Code is amended to read:14032.The form and content of the license shall be determined by the commissioner.
SEC. 24.Section 14037 of the Insurance Code is amended to read:14037.(a)A licensee shall at all times be legally responsible for the good conduct in the business of each of his or her employees or agents, including his or her manager.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 25.Section 14038 of the Insurance Code is amended to read:14038.(a)Any licensee or officer, director, partner, or manager of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained.
(b)A licensee or officer, director, partner, manager, or employee of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee, qualifying manager, or a person authorized by one or either of them, and the person submitting the report shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, partner, manager, or employee of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, partner, manager, or employee of a licensee, shall not use a title, wear a uniform, use an insignia, or use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, partner, manager, or employee of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an employee or agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in the name of and under the control of the licensee.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 26.Section 14038 is added to the Insurance Code, to read:14038.(a)Any licensee or officer, director, or partner of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained.
(b)A licensee or officer, director, or partner of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee who shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, or partner of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, or partner of a licensee shall not use a title, wear a uniform, use an insignia, use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, or partner of a licensee shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in the name of and under the control of the licensee.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall become operative on January 1, 2018.
SEC. 27.Section 14039 of the Insurance Code is amended to read:14039.A person licensed as an independent insurance adjuster shall not do any of the following:
(a)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(b)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(c)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm that obtains business in connection with any claim that he or she has a contract or agreement to adjust.
SEC. 28.Section 14040 of the Insurance Code is amended to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, partner, manager, or employee of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee and an employee number by which the person may be identified by the licensee.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 29.Section 14040 is added to the Insurance Code, to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, or partner of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of either the licensee or the adjusting firm the licensee represents.
(b)This section shall become operative on January 1, 2018.
SEC. 30.Section 14042 of the Insurance Code is amended to read:14042.(a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
(b)The commissioner shall not authorize the use of a fictitious or other business name that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5.
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of that name.
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for that authorization.
SEC. 31.Section 14061 of the Insurance Code is amended to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 32.Section 14061 is added to the Insurance Code, to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall become operative on January 1, 2018.
SEC. 33.Section 14063 of the Insurance Code is amended to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 34.Section 14063 is added to the Insurance Code, to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, or partners has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)The section shall become operative on January 1, 2018.
SEC. 35.Section 14064 of the Insurance Code is amended to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 36.Section 14064 is added to the Insurance Code, to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of, or in the course of, his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall become operative on January 1, 2018.
SEC. 37.Section 14078 of the Insurance Code is repealed.SEC. 38.Section 14078 is added to the Insurance Code, to read:14078.(a)Unless refused licensure pursuant to Sections 14060 to 14065, inclusive, a nonresident person shall receive a nonresident independent insurance adjuster license if all of the following apply:
(1)The applicant is currently licensed in good standing as an independent insurance adjuster in his, her, or its resident or home state.
(2)The applicant paid the fees required by Section 14097.
(3)The applicant submitted to the commissioner the completed application for licensure.
(4)The applicants home state issues nonresident independent insurance adjuster licenses to residents of California on the same basis.
(b)The commissioner may verify the independent insurance adjusters licensing status through any appropriate database, including the Producer Database maintained by the National Association of Insurance Commissioners, its affiliates or subsidiaries, or may request certification of good standing.
(c)As a condition to the continuation of a nonresident independent insurance adjuster license, the licensee shall maintain a resident independent insurance adjuster license in his, her, or its home state.
(1)The nonresident independent insurance adjuster license issued under this chapter shall terminate and be surrendered immediately to the commissioner if the resident independent insurance adjuster license terminates for any reason, unless the termination is due to the independent insurance adjuster being issued a new resident independent insurance adjuster license in his, her, or its new home state.
(2)The nonresident independent insurance adjuster license shall terminate if the persons home state does not issue nonresident independent insurance adjuster licenses to residents of California on the same basis.
(3)(A)The licensee is required to give notice of resident independent insurance adjuster license termination to any state that issued a nonresident independent insurance adjuster license.
(B)The notice is required to be given within 30 days of the termination date. If the resident independent insurance adjuster license was terminated for change in resident home state, then the notice is required to include both the previous and current addresses.
(4)Maintaining a resident independent insurance adjuster license is required for the nonresident independent insurance adjuster license to remain valid.
SEC. 39.Section 14079 is added to the Insurance Code, to read:14079.(a)An independent insurance adjuster shall be honest and fair in all communications with the insured, the insurer, and the public.
(b)An independent insurance adjuster shall provide policyholders and claimants with prompt and knowledgeable service and courteous, fair, and objective treatment at all times.
(c)An independent insurance adjuster shall not give legal advice and shall not deal directly with any policyholder or claimant who is represented by legal counsel without the consent of the legal counsel involved.
(d)An independent insurance adjuster shall comply with all local, state, and federal privacy and information security laws.
(e)An independent insurance adjuster shall identify himself or herself as an independent insurance adjuster and, if applicable, shall identify his or her employer when dealing with any policyholder or claimant.
(f)An independent insurance adjuster shall not have any financial interest in any adjustment or shall not acquire for himself, herself, or any person any interest or title in salvage, without first receiving written authority from the principal.
SEC. 40.Section 14080 of the Insurance Code is amended to read:14080.Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (7) of subdivision (a) of Section 14024 or paragraph (7) of subdivision (c) of Section 14025.1 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both the fine and imprisonment.
SEC. 41.Section 14090.1 of the Insurance Code is amended to read:14090.1.(a)An individual who holds an independent insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an independent insurance adjuster license and shall report the completion of this coursework to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident independent insurance adjuster license who has met the continuing education requirements of his or her designated home state.
(3)An individual licensed as an independent insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(4)An individual licensed as an apprentice independent insurance adjuster pursuant to Section 14025.1.
SEC. 42.Section 14090.3 is added to the Insurance Code, to read:14090.3.A person who fails to meet the requirements imposed by Section 14090.1, and who has not been granted an extension of time by the commissioner within which to comply, shall have his or her license placed on inactive status until he or she demonstrates to the satisfaction of the commissioner that he or she has complied with all of the requirements of this article and all other applicable laws. A licensee placed on inactive status may not perform the activities described in Section 1631. If a person cannot perform the requirements of this article due to a disability or inactivity due to special circumstances, the commissioner shall provide a procedure for the person to place his or her license on inactive status until the person demonstrates to the satisfaction of the commissioner that he or she has complied with all of the requirements of this article for the period of disability or inactivity.
SEC. 42.SEC. 43.Section 14097 of the Insurance Code is amended to read:14097.The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(a)The application fee for the qualifying examination for an original license is seventy-two dollars ($72). fifty dollars ($50).
(b)The application fee for an original branch office certificate is forty-seven dollars ($47).
(c)The fee for an original license application is up to one hundred seventy dollars ($170). twenty dollars ($120). If the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(d)The renewal fee shall be fixed by the commissioner as follows:
(1)For a license as an independent insurance adjuster, not more than one hundred seventy dollars ($170). twenty dollars ($120).
(2)For a branch office certificate, not more than fifty-six dollars ($56).
(e)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(f)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration.
(g)The fee for reexamination of an applicant is twenty-nine dollars ($29). fifty dollars ($50).
(h)The application fee for an apprentice independent insurance adjuster license shall be up to one hundred seventy dollars ($170). twenty dollars ($120).
SEC. 43.SEC. 44.Section 14097.5 is added to the Insurance Code, to read:14097.5.(a)On or before March 1, 2019, and for a total of three years thereafter, the department shall report annually to the Legislature all of the following:
(1)The number of individuals licensed pursuant to this chapter.
(2)The implementation costs incurred and the revenues received by the department for licensure of independent insurance adjusters.
(3)The annual projected costs and revenues associated with ongoing licensure and enforcement activities pursuant to this chapter.
(b)(1)A report submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
(2)Pursuant to Section 10231.5 of the Government Code, this section is repealed on March 1, 2023.
SEC. 44.SEC. 45.Section 14099 of the Insurance Code is amended to read:14099.Application or license fees shall not be refunded pursuant to Section 1751.5.
SEC. 45.SEC. 46.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
If a natural person while licensed pursuant to the provisions of this chapter or Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, Part 5 (commencing with Section 12140) of Division 2, or Chapter 1 (commencing with Section 14000) of Division 5 enters the military service of the United States and is in that service at a time prescribed for the filing of a renewal application, the filing of that application is waived, and the license held by that licensee at the time of his or her entry into military service shall remain in force during the period of that military service and until the end of the license year in which he or she is released from that service but not for less than six months after that release. During that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any examination or paying any penalty.
SEC. 2.Section 1751.5 of the Insurance Code is amended to read:1751.5.The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
SEC. 3.Section 14000 of the Insurance Code is amended to read:14000.This chapter may be cited as the Independent Insurance Adjuster Act.
SEC. 4.Section 14001 of the Insurance Code is amended to read:14001.As used in this chapter, the following terms have the following meanings:
(a)Catastrophe means an event that results in a large number of deaths or injuries, causes extensive damage or destruction of facilities that provide and sustain human needs, produces an overwhelming demand on state and local response resources and mechanisms, causes a severe long-term effect on general economic activity, or severely affects state, local, and private sector capabilities to begin and sustain response activities.
(b)Commissioner means the Insurance Commissioner.
(c)Department means the Department of Insurance.
(d)Fingerprints means an impression of the lines on the finger taken for the purposes of identification.
(e)Home state means the District of Columbia and any state or territory of the United States in which an independent insurance adjuster maintains his, her, or its principal place of residence or business and is licensed to act as a resident independent insurance adjuster. If the resident state does not license independent insurance adjusters for the line of authority sought, the independent insurance adjuster shall designate as his, her, or its home state either California or any state in which the independent insurance adjuster is licensed following an examination, provided that the independent insurance adjuster is licensed and in good standing in that state.
(f)Individual means a natural person.
(g)Licensee means a person licensed under this chapter.
(h)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(i)Nonresident means a person who is not a resident of California at the time of the performance of the act referred to in Section 14071.
(j)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
SEC. 5.Section 14010 of the Insurance Code is repealed.SEC. 6.Section 14010 is added to the Insurance Code, to read:14010.The commissioner shall administer and enforce the provisions of this chapter.
SEC. 7.Section 14020 of the Insurance Code is amended to read:14020.(a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed as an independent insurance adjuster in accordance with this chapter.
(b)A person shall not falsely represent that he or she is employed by a licensee.
SEC. 8.Section 14021 of the Insurance Code is repealed.SEC. 9.Section 14021 is added to the Insurance Code, to read:14021.An independent insurance adjuster, for purposes of this chapter, is all of the following:
(a)An individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers.
(b)A person whose tax treatment by the insurers is consistent with that of an independent contractor rather than an employee, as defined in Section 3121 of Title 26 of the United States Code.
(c)A person who investigates, negotiates, or settles property and casualty claims for insurers.
SEC. 10.Section 14022 of the Insurance Code is amended to read:14022.This chapter does not apply to any of the following:
(a)A person employed exclusively and regularly by one employer in connection with the affairs of that employer only and where there exists an employer-employee relationship. This subdivision shall become inoperative on January 1, 2018.
(b)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while that officer or employee is engaged in the performance of his or her official duties.
(c)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(d)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(e)An attorney at law admitted to practice in California, when acting in his or her professional capacity as an attorney.
(f)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(g) An officer, director, manager, or employee of an authorized insurer, surplus line insurer, a risk retention group, or an attorney-in-fact of a reciprocal insurer.
(h)A licensed insurance agent or broker or managing general agent of the insurer to whom claim authority has been granted by the insurer.
(i)The legal owner of personal property that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(j)Any bank subject to the jurisdiction of the Commissioner of Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(k)A person employed solely to obtain facts surrounding a claim or to furnish technical assistance to a licensed independent insurance adjuster.
(l)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed independent insurance adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(m)An individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments.
(n)A person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative.
(o)A licensed health care provider or its employees who provide managed care if the services do not include the determination of compensability.
(p)A managed care organization or any of its employees who provide managed care services if the services do not include the determination of compensability.
(q)A person who settles only reinsurance or subrogation claims.
(r)A United States manager of the United States branch of an alien insurer.
(s)An individual employee, under a self-insured arrangement, who adjusts claims on behalf of his or her employer.
(t)An individual or business entity that investigates, negotiates, or settles workers compensation claims.
(u)An individual who, in regards to portable electronics insurance claims, collects claims information from, or furnishes claims information to, insureds or claimants, and who conducts data entry, including entering data into an automated claims adjudication system, provided that the individual is an employee of a licensed independent insurance adjuster or its affiliate where no more than 25 of those persons are under the supervision of one licensed independent insurance adjuster or licensed producer.
SEC. 11.Section 14022.5 of the Insurance Code is amended to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed independent insurance adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed independent insurance adjuster is under the active direction, control, charge, or management of a licensed independent insurance adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within five working days from the date on which the nonlicensed independent insurance adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, means a written letter to the commissioner, submitted by the supervising licensed independent insurance adjuster or admitted insurer, naming the nonlicensed independent insurance adjusters, identifying their independent insurance adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 180 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 180-day extensions as he or she deems appropriate upon written request from the supervising licensed independent insurance adjuster or the admitted insurer.
SEC. 12.Section 14024 of the Insurance Code is amended to read:14024.(a) An individual application shall be verified and shall include all of the following:
(1)The full legal name and business, residence, and mailing addresses of the applicant.
(2)The name under which the applicant intends to do business.
(3)The applicants birth date and social security number.
(4)The application fees set forth in Section 14097.
(5)A statement as to the general nature of the business in which the applicant intends to engage.
(6)A statement as to the classifications under which the applicant desires to be qualified.
(7)Two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
(8)A verified statement of his or her experience qualifications, unless applying for an apprentice independent insurance adjuster license.
(9)Other information, evidence, statement, or document statements, or documents as may be required by the commissioner.
(b)A business entity application shall be verified and shall include all of the following:
(1)The full legal name and residence address of each of its partners, officers, and directors, and its manager.
(2)The name under which the applicant intends to do business.
(3)That the applicant paid the fees set forth in Section 14097.
(4)A statement as to the general nature of the business in which the applicant intends to engage.
(5)A statement as to the classifications under which the applicant desires to be qualified.
(6)Other information, evidence, statements, or documents as may be required by the commissioner.
SEC. 13.Section 14025 of the Insurance Code is amended to read:14025.Before a license is granted, the applicant shall meet all of the following requirements:
(a)Be at least 18 years of age.
(b)Not have committed acts or crimes constituting grounds for denial of licensure under Sections 1668 and 1669.
(c)Shall have had either of the following:
(1)At least two years of experience in adjusting insurance claims or the equivalent thereof as determined by the commissioner, unless applying for an apprentice independent insurance adjuster license.
(2)One year as a licensed apprentice independent insurance adjuster, which is considered the equivalent of two years of experience in adjusting claims.
(d)(1)Completed a 20-hour prelicensing education course of study.
(2)A nonresident applicant currently licensed as a home state independent insurance adjuster in another state who has met that states prelicensing education requirements is exempt from completing the prelicensing education requirement.
(3)A resident applicant currently listed under a licensed independent insurance adjusters license as an unlicensed employee is exempt from completing the prelicensing education requirement. This exemption shall be in effect only until January 1, 2019.
(e)Successfully passed the examination for the independent insurance adjuster license, unless he or she qualifies for an exemption in Section 14026.
(f)Comply with those other qualifications that the commissioner may require by regulation.
SEC. 14.Section 14025.1 is added to the Insurance Code, to read:14025.1.(a)The apprentice independent insurance adjuster license is a license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster.
(b)An individual applying for an apprentice independent insurance adjuster license shall submit an application in a format prescribed by the commissioner and shall declare under penalty of suspension, revocation, or refusal of the license that the statements made in the application are true, correct, and complete to the best of the individuals knowledge and belief. Before approving the application, the commissioner shall determine that the individual meets all of the following:
(1)Is at least 18 years of age.
(2)Is a resident of California or is a resident of another state and has designated California as his or her home state.
(3)Has a business or mailing address in California for the acceptance of service of process.
(4)Has not committed any act that is a ground for suspension, revocation, or denial of licensure as set forth in Sections 1668, 1668.1, and 1669.
(5)Has paid the fees set forth in subdivision (h) of Section 14097.
(c)The apprentice independent insurance adjuster license shall be subject to the following terms and conditions:
(1)The applicant shall submit, with the apprentice independent insurance adjuster application, an attestation from a licensed independent insurance adjuster certifying that the apprentice will be subject to training, direction, and control by the licensed independent insurance adjuster and further certifying that the licensed independent insurance adjuster assumes responsibility for the actions of the apprentice in the apprentices capacity as an apprentice independent insurance adjuster.
(2)The apprentice independent insurance adjuster is only authorized to adjust claims in California.
(3)The apprentice independent insurance adjuster is restricted to participation in the investigation, settlement, and negotiation of claims subject to the review and final determination of the claim by a supervising licensed independent insurance adjuster.
(4)The apprentice independent insurance adjuster shall not be required to take and successfully complete the independent insurance adjuster examination to adjust claims as an apprentice independent insurance adjuster. At any time during the apprenticeship, the apprentice independent insurance adjuster may choose to take the examination. If the individual takes and successfully completes the independent insurance adjuster exam, the apprentice independent insurance adjuster license shall automatically terminate and an independent insurance adjuster license shall be issued to that individual in its place.
(5)The apprentice independent insurance adjuster license is valid for a period not to exceed 12 months and is nonrenewable.
(6)The licensee shall be subject to suspension, revocation, or denial pursuant to Sections 1668, 1668.1, and 1669.
(7)The applicant shall submit two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
SEC. 15.Section 14026 of the Insurance Code is repealed.SEC. 16.Section 14026 is added to the Insurance Code, to read:14026.(a)An applicant for an independent insurance adjuster license, unless applying for an apprentice independent insurance adjuster license or crop insurance adjuster license, shall pass a written examination.
(1)The examination shall test the knowledge of the applicant concerning the duties and responsibilities of an independent insurance adjuster and this code.
(2)An applicant applying for an examination shall remit a nonrefundable fee as prescribed by the commissioner in Section 14097.
(b)An individual who applies for an independent insurance adjuster license in California who holds a home state license in another state as an independent insurance adjuster shall not be required to complete the examination if he or she successfully passed an examination as a condition of receiving an independent insurance adjuster license in his or her home state. This exemption applies to individuals who are currently licensed in their home state or if the home state license expired and the application is received by the commissioner within 90 days of expiration.
(c)An individual who applies for an apprentice independent insurance adjuster license pursuant to Section 14025.1, and who adjusts claims in that capacity, shall not be required to take and successfully complete the independent insurance adjuster examination.
SEC. 17.Section 14027 of the Insurance Code is repealed.SEC. 18.Section 14028 of the Insurance Code is amended to read:14028.After a hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not done any of the following:
(a)Been refused a license under this chapter or had a license revoked.
(b)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(c)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(d)Committed any act or crime constituting grounds for denial of licensure under Section 1668.
SEC. 19.Section 14029 of the Insurance Code is amended to read:14029.(a)The business of each licensee shall be operated under the active direction, control, charge, or management of the licensee, if the licensee is qualified, or the person who has qualified to act as the licensees manager, if the licensee is not qualified.
(b)No person shall act as a manager of a licensee until he or she has complied with each of the following:
(1)Demonstrated his or her qualifications by a written or oral examination, or a combination of both, if required by the commissioner.
(2)Made a satisfactory showing to the commissioner that he or she has the qualifications prescribed by Section 14025 and that none of the facts stated in Section 14028 or 14028.5 exist as to him or her.
(c)If the manager, who has qualified as provided in this section, ceases for any reason whatsoever to be connected with the licensee to whom the license is issued, the licensee shall notify the commissioner in writing 30 days from the cessation. If notice is given, the license shall remain in force for a reasonable length of time to be determined by the rules of the commissioner pending the qualifications, as provided in this chapter, of another manager. If the licensee fails to notify the commissioner within the 30-day period, his or her license shall be subject to suspension or revocation and may be reinstated only upon the filing of an application for reinstatement, payment of the reinstatement fee, if any is due, and the qualification of a manager as provided herein.
(d)Every manager shall renew his or her authority by satisfying the requirements of Article 8 (commencing with Section 14090).
(e)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 20.Section 14029 is added to the Insurance Code, to read:14029.(a)Each organization licensed under this chapter shall designate an individual also licensed as an independent insurance adjuster to be responsible for the organizations compliance with state law.
(b)This section shall become operative on January 1, 2018.
SEC. 21.Section 14030 of the Insurance Code is amended to read:14030.(a)Whenever the individual on the basis of whose qualifications a license under this chapter has been obtained ceases to be connected with the licensee for any reason whatever, the business may be carried on for a temporary period and under the terms and conditions as the commissioner shall provide by regulation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 22.Section 14031 of the Insurance Code is amended to read:14031.A hearing held under this chapter to determine whether an application for a license should be granted shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
SEC. 23.Section 14032 of the Insurance Code is amended to read:14032.The form and content of the license shall be determined by the commissioner.
SEC. 24.Section 14037 of the Insurance Code is amended to read:14037.(a)A licensee shall at all times be legally responsible for the good conduct in the business of each of his or her employees or agents, including his or her manager.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 25.Section 14038 of the Insurance Code is amended to read:14038.(a)Any licensee or officer, director, partner, or manager of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained.
(b)A licensee or officer, director, partner, manager, or employee of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee, qualifying manager, or a person authorized by one or either of them, and the person submitting the report shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, partner, manager, or employee of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, partner, manager, or employee of a licensee, shall not use a title, wear a uniform, use an insignia, or use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, partner, manager, or employee of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an employee or agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in the name of and under the control of the licensee.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 26.Section 14038 is added to the Insurance Code, to read:14038.(a)Any licensee or officer, director, or partner of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained.
(b)A licensee or officer, director, or partner of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee who shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, or partner of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, or partner of a licensee shall not use a title, wear a uniform, use an insignia, use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, or partner of a licensee shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in the name of and under the control of the licensee.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall become operative on January 1, 2018.
SEC. 27.Section 14039 of the Insurance Code is amended to read:14039.A person licensed as an independent insurance adjuster shall not do any of the following:
(a)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(b)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(c)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm that obtains business in connection with any claim that he or she has a contract or agreement to adjust.
SEC. 28.Section 14040 of the Insurance Code is amended to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, partner, manager, or employee of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee and an employee number by which the person may be identified by the licensee.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 29.Section 14040 is added to the Insurance Code, to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, or partner of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of either the licensee or the adjusting firm the licensee represents.
(b)This section shall become operative on January 1, 2018.
SEC. 30.Section 14042 of the Insurance Code is amended to read:14042.(a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
(b)The commissioner shall not authorize the use of a fictitious or other business name that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5.
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of that name.
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for that authorization.
SEC. 31.Section 14061 of the Insurance Code is amended to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 32.Section 14061 is added to the Insurance Code, to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall become operative on January 1, 2018.
SEC. 33.Section 14063 of the Insurance Code is amended to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 34.Section 14063 is added to the Insurance Code, to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, or partners has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)The section shall become operative on January 1, 2018.
SEC. 35.Section 14064 of the Insurance Code is amended to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 36.Section 14064 is added to the Insurance Code, to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of of, or in the course of of, his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall become operative on January 1, 2018.
SEC. 37.Section 14078 of the Insurance Code is repealed.SEC. 38.Section 14078 is added to the Insurance Code, to read:14078.(a)Unless refused licensure pursuant to Sections 14060 to 14065, inclusive, a nonresident person shall receive a nonresident independent insurance adjuster license if all of the following apply:
(1)The applicant is currently licensed in good standing as an independent insurance adjuster in his, her, or its resident or home state.
(2)The applicant paid the fees required by Section 14097.
(3)The applicant submitted to the commissioner the completed application for licensure.
(4)The applicants home state issues nonresident independent insurance adjuster licenses to residents of California on the same basis.
(b)The commissioner may verify the independent insurance adjusters licensing status through any appropriate database, including the Producer Database maintained by the National Association of Insurance Commissioners, its affiliates or subsidiaries, or may request certification of good standing.
(c)As a condition to the continuation of a nonresident independent insurance adjuster license, the licensee shall maintain a resident independent insurance adjuster license in his, her, or its home state.
(1)The nonresident independent insurance adjuster license issued under this chapter shall terminate and be surrendered immediately to the commissioner if the resident independent insurance adjuster license terminates for any reason, unless the termination is due to the independent insurance adjuster being issued a new resident independent insurance adjuster license in his, her, or its new home state.
(2)The nonresident independent insurance adjuster license shall terminate if the persons home state does not issue nonresident independent insurance adjuster licenses to residents of California on the same basis.
(3)(A)The licensee is required to give notice of resident independent insurance adjuster license termination to any state that issued a nonresident independent insurance adjuster license.
(B)The notice is required to be given within 30 days of the termination date. If the resident independent insurance adjuster license was terminated for change in resident home state, then the notice is required to include both the previous and current addresses.
(4)Maintaining a resident independent insurance adjuster license is required for the nonresident independent insurance adjuster license to remain valid.
SEC. 39.Section 14079 is added to the Insurance Code, to read:14079.(a)An independent insurance adjuster shall be honest and fair in all communications with the insured, the insurer, and the public.
(b)An independent insurance adjuster shall provide policyholders and claimants with prompt and knowledgeable service and courteous, fair, and objective treatment at all times.
(c)An independent insurance adjuster shall not give legal advice and shall not deal directly with any policyholder or claimant who is represented by legal counsel without the consent of the legal counsel involved.
(d)An independent insurance adjuster shall comply with all local, state, and federal privacy and information security laws.
(e)An independent insurance adjuster shall identify himself or herself as an independent insurance adjuster and, if applicable, shall identify his or her employer when dealing with any policyholder or claimant.
(f)An independent insurance adjuster shall not have any financial interest in any adjustment or shall not acquire for himself, herself, or any person any interest or title in salvage, without first receiving written authority from the principal.
SEC. 40.Section 14080 of the Insurance Code is amended to read:14080.Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (7) of subdivision (a) of Section 14024 or paragraph (7) of subdivision (c) of Section 14025.1 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both the fine and imprisonment.
SEC. 41.Section 14090.1 of the Insurance Code is amended to read:14090.1.(a)An individual who holds an independent insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an independent insurance adjuster license and shall report the completion of this coursework to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident independent insurance adjuster license who has met the continuing education requirements of his or her designated home state.
(3)An individual licensed as an independent insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(4)An individual licensed as an apprentice independent insurance adjuster pursuant to Section 14025.1.
SEC. 42.Section 14097 of the Insurance Code is amended to read:14097.The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(a)The application fee for the qualifying examination for an original license is seventy-two dollars ($72).
(b)The application fee for an original branch office certificate is forty-seven dollars ($47).
(c)The fee for an original license. license application is up to one hundred seventy dollars ($170). If the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(d)The renewal fee shall be fixed by the commissioner as follows:
(1)For a license as an independent insurance adjuster, not more than one hundred seventy dollars ($170).
(2)For a branch office certificate, not more than fifty-six dollars ($56).
(e)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(f)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration.
(g)The fee for reexamination of an applicant is twenty-nine dollars ($29).
(h)The application fee for an apprentice independent insurance adjuster license shall be up to one hundred seventy dollars ($170).
SEC. 43.Section 14097.5 is added to the Insurance Code, to read:14097.5.(a)On or before March 1, 2019, and for a total of three years thereafter, the department shall report annually to the Legislature all of the following:
(1)The number of individuals licensed pursuant to this chapter.
(2)The implementation costs incurred and the revenues received by the department for licensure of independent insurance adjusters.
(3)The annual projected costs and revenues associated with ongoing licensure and enforcement activities pursuant to this chapter.
(b)(1)A report submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.
(2)Pursuant to Section 10231.5 of the Government Code, this section is repealed on March 1, 2023.
SEC. 43.SEC. 44.Section 14099 of the Insurance Code is amended to read:14099.Application or license fees shall not be refunded pursuant to Section 1751.5.
SEC. 44.SEC. 45.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
If a natural person while licensed pursuant to the provisions of this chapter or Chapters Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, or Part 5 (commencing with Section 12140) of Division 2 2, or Chapter 1 (commencing with Section 14000) of Division 5 enters the military service of the United States and is in such that service at a time prescribed for the filing of a renewal application, the filing of such that application is waived, and the license held by such that licensee at the time of his or her entry into military service shall remain in force during the period of such that military service and until the end of the license year in which he or she is released from such that service but not for less than six months after such that release. During such period such that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any examination or paying any penalty.
SEC. 2.Section 1751.5 of the Insurance Code is amended to read:1751.5.The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
SEC. 3.Section 14000 of the Insurance Code is amended to read:14000.This chapter may be cited as the Independent Insurance Adjuster Act.
SEC. 4.Section 14001 of the Insurance Code is amended to read:14001.As used in this chapter: chapter, the following terms have the following meanings:
(a)Catastrophe means an event that results in a large number of deaths or injuries, causes extensive damage or destruction of facilities that provide and sustain human needs, produces an overwhelming demand on state and local response resources and mechanisms, causes a severe long-term effect on general economic activity, or severely affects state, local, and private sector capabilities to begin and sustain response activities.
(a)
(b)Commissioner means the Insurance Commissioner.
(b)
(c)Department means the Department of Insurance.
(d)Fingerprints means an impression of the lines on the finger taken for the purposes of identification.
(e)Home state means the District of Columbia and any state or territory of the United States in which an independent insurance adjuster maintains his, her, or its principal place of residence or business and is licensed to act as a resident independent insurance adjuster. If the resident state does not license independent insurance adjusters for the line of authority sought, the independent insurance adjuster shall designate as his, her, or its home state either California or any state in which the independent insurance adjuster is licensed following an examination, provided that the independent insurance adjuster is licensed and in good standing in that state.
(f)Individual means a natural person.
(c)
(g)Licensee means a person licensed under this chapter.
(d)
(h)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(i)Nonresident means a person who is not a resident of California at the time of the performance of the act referred to in Section 14071.
(e)
(j)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
SEC. 5.Section 14010 of the Insurance Code is repealed.14010.The department succeeds to and is vested with all the duties, powers, purposes, responsibilities, and jurisdiction previously vested in the Bureau of Collection and Investigative Services with respect to the licensing of insurance adjusters.
Any reference to prior licensing shall be deemed to licensing under the Private Investigator and Adjuster Act.
The commissioner shall administer and enforce the provisions of this chapter.
SEC. 6.Section 14010 is added to the Insurance Code, to read:14010.The commissioner shall administer and enforce the provisions of this chapter.
SEC. 7.Section 14020 of the Insurance Code is amended to read:14020.No (a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed under as an independent insurance adjuster in accordance with this chapter.
No
(b)A person shall not falsely represent that he or she is employed by a licensee.
SEC. 8.Section 14021 of the Insurance Code is repealed.14021.An insurance adjuster within the meaning of this chapter is a person other than a private investigator as defined in Section 7521 of the Business and Professions Code who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business or aids an insurer in any manner with reference to:
Crime or wrongs done or threatened against the United States of America or any state or territory of the United States of America; the identity, habits, conduct, business, occupation, honesty, integrity, credibility, knowledge, trustworthiness, efficiency, loyalty, activity, movement, whereabouts, affiliations, associations, transactions, acts, reputation, or character of any person; the location, disposition, or recovery of lost or stolen property; the cause or responsibility for fires, libels, losses, accidents, or damage or injury to persons or to property; or securing evidence to be used before any court, board, officer, or investigating committee.
Notwithstanding any other provision of law, this section is in no way intended to limit the ability of a duly licensed independent insurance adjuster to perform the duties of an independent insurance adjuster for any other entity.
SEC. 9.Section 14021 is added to the Insurance Code, to read:14021.An independent insurance adjuster, for purposes of this chapter, is all of the following:
(a)An individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers.
(b)A person whose tax treatment by the insurers is consistent with that of an independent contractor rather than an employee, as defined in Section 3121 of Title 26 of the United States Code.
(c)A person who investigates, negotiates, or settles property and casualty claims for insurers.
SEC. 10.Section 14022 of the Insurance Code is amended to read:14022.This chapter does not apply to: to any of the following:
(a)A person employed exclusively and regularly by one employer in connection with the affairs of such that employer only and where there exists an employer- employee employer-employee relationship. This subdivision shall become inoperative on January 1, 2018.
(b)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while such that officer or employee is engaged in the performance of his or her official duties.
(c)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(d)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(e)An attorney at law in performing his or her duties as such attorney at law. admitted to practice in California, when acting in his or her professional capacity as an attorney.
(f)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(g)Admitted insurers and agents and insurance brokers licensed by the state, performing duties in connection with insurance transacted by them.
(g) An officer, director, manager, or employee of an authorized insurer, surplus line insurer, a risk retention group, or an attorney-in-fact of a reciprocal insurer.
(h)
(h)A licensed insurance agent or broker or managing general agent of the insurer to whom claim authority has been granted by the insurer.
(i)The legal owner of personal property which that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(i)
(j)Any bank subject to the jurisdiction of the Commissioner of Financial Institutions of the State of California Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(j)
(k)A person engaged solely in the business of securing information about persons or property from public records. employed solely to obtain facts surrounding a claim or to furnish technical assistance to a licensed independent insurance adjuster.
(k)
(l)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed independent insurance adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(m)An individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments.
(n)A person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative.
(o)A licensed health care provider or its employees who provide managed care if the services do not include the determination of compensability.
(p)A managed care organization or any of its employees who provide managed care services if the services do not include the determination of compensability.
(q)A person who settles only reinsurance or subrogation claims.
(r)A United States manager of the United States branch of an alien insurer.
(s)An individual employee, under a self-insured arrangement, who adjusts claims on behalf of his or her employer.
(t)An individual or business entity that investigates, negotiates, or settles workers compensation claims.
(u)An individual who, in regards to portable electronics insurance claims, collects claims information from, or furnishes claims information to, insureds or claimants, and who conducts data entry, including entering data into an automated claims adjudication system, provided that the individual is an employee of a licensed independent insurance adjuster or its affiliate where no more than 25 of those persons are under the supervision of one licensed independent insurance adjuster or licensed producer.
SEC. 11.Section 14022.5 of the Insurance Code is amended to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed independent insurance adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed independent insurance adjuster is under the active direction, control, charge, or management of a licensed independent insurance adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within 15 five working days from the date on which the nonlicensed independent insurance adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, shall mean means a written letter to the commissioner, submitted by the supervising licensed independent insurance adjuster or admitted insurer, naming the nonlicensed independent insurance adjusters, identifying their independent insurance adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 180 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 180-day extensions as he or she deems appropriate upon written request from the supervising licensed independent insurance adjuster or the admitted insurer.
SEC. 12.Section 14024 of the Insurance Code is amended to read:14024.(a) An individual application shall be verified and shall include: include all of the following:
(a)
(1)The full legal name and business address business, residence, and mailing addresses of the applicant.
(b)
(2)The name under which the applicant intends to do business.
(3)The applicants birth date and social security number.
(4)The application fees set forth in Section 14097.
(c)
(5)A statement as to the general nature of the business in which the applicant intends to engage.
(d)
(6)A statement as to the classification or classifications under which the applicant desires to be qualified.
(e)If the applicant is a person other than an individual, the
(7)Two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
(8)A verified statement of his or her experience qualifications, unless applying for an apprentice independent insurance adjuster license.
(9)Other information, evidence, statement, or document as may be required by the commissioner.
(b)A business entity application shall be verified and shall include all of the following:
(1)The full legal name and residence address of each of its partners, officers, and directors, and its manager.
(f)Two recent photographs of the applicant, of a type prescribed by the commissioner, and two classifiable sets of his or her fingerprints.
(2)The name under which the applicant intends to do business.
(3)That the applicant paid the fees set forth in Section 14097.
(4)A statement as to the general nature of the business in which the applicant intends to engage.
(g)
(5)A verified statement of his or her experience qualifications. statement as to the classifications under which the applicant desires to be qualified.
(h)Such other
(6)Other information, evidence, statements, or documents as may be required by the commissioner.
SEC. 13.Section 14025 of the Insurance Code is amended to read:14025.Before an application for a license is granted, the applicant, or his or her manager, shall meet all of the following: applicant shall meet all of the following requirements:
(a)Be at least 18 years of age.
(b)Not have committed acts or crimes constituting grounds for denial of licensure under Section 480 of the Business and Professions Code. Sections 1668 and 1669.
(c)Shall have had at least two years of experience in adjusting insurance claims or the equivalent thereof as determined by the commissioner.
(c)Shall have had either of the following:
(1)At least two years of experience in adjusting insurance claims or the equivalent thereof as determined by the commissioner, unless applying for an apprentice independent insurance adjuster license.
(2)One year as a licensed apprentice independent insurance adjuster, which is considered the equivalent of two years of experience in adjusting claims.
(d)(1)Completed a 20-hour prelicensing education course of study.
(2)A nonresident applicant currently licensed as a home state independent insurance adjuster in another state who has met that states prelicensing education requirements is exempt from completing the prelicensing education requirement.
(3)A resident applicant currently listed under a licensed independent insurance adjusters license as an unlicensed employee is exempt from completing the prelicensing education requirement. This exemption shall be in effect only until January 1, 2019.
(e)Successfully passed the examination for the independent insurance adjuster license, unless he or she qualifies for an exemption in Section 14026.
(d)
(f)Comply with such those other qualifications as that the commissioner may fix by rule. require by regulation.
SEC. 14.Section 14025.1 is added to the Insurance Code, to read:14025.1.(a)The apprentice independent insurance adjuster license is a license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster.
(b)An individual applying for an apprentice independent insurance adjuster license shall submit an application in a format prescribed by the commissioner and shall declare under penalty of suspension, revocation, or refusal of the license that the statements made in the application are true, correct, and complete to the best of the individuals knowledge and belief. Before approving the application, the commissioner shall determine that the individual meets all of the following:
(1)Is at least 18 years of age.
(2)Is a resident of California or is a resident of another state and has designated California as his or her home state.
(3)Has a business or mailing address in California for the acceptance of service of process.
(4)Has not committed any act that is a ground for suspension, revocation, or denial of licensure as set forth in Sections 1668, 1668.1, and 1669.
(5)Has paid the fees set forth in subdivision (h) of Section 14097.
(c)The apprentice independent insurance adjuster license shall be subject to the following terms and conditions:
(1)The applicant shall submit, with the apprentice independent insurance adjuster application, an attestation from a licensed independent insurance adjuster certifying that the apprentice will be subject to training, direction, and control by the licensed independent insurance adjuster and further certifying that the licensed independent insurance adjuster assumes responsibility for the actions of the apprentice in the apprentices capacity as an apprentice independent insurance adjuster.
(2)The apprentice independent insurance adjuster is only authorized to adjust claims in California.
(3)The apprentice independent insurance adjuster is restricted to participation in the investigation, settlement, and negotiation of claims subject to the review and final determination of the claim by a supervising licensed independent insurance adjuster.
(4)The apprentice independent insurance adjuster shall not be required to take and successfully complete the independent insurance adjuster examination to adjust claims as an apprentice independent insurance adjuster. At any time during the apprenticeship, the apprentice independent insurance adjuster may choose to take the examination. If the individual takes and successfully completes the independent insurance adjuster exam, the apprentice independent insurance adjuster license shall automatically terminate and an independent insurance adjuster license shall be issued to that individual in its place.
(5)The apprentice independent insurance adjuster license is valid for a period not to exceed 12 months and is nonrenewable.
(6)The licensee shall be subject to suspension, revocation, or denial pursuant to Sections 1668, 1668.1, and 1669.
(7)The applicant shall submit two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
SEC. 15.Section 14026 of the Insurance Code is repealed.14026.The commissioner may require an applicant, or his or her manager, to demonstrate his or her qualifications by a written or oral examination, or a combination of both.
SEC. 16.Section 14026 is added to the Insurance Code, to read:14026.(a)An applicant for an independent insurance adjuster license, unless applying for an apprentice independent insurance adjuster license or crop insurance adjuster license, shall pass a written examination.
(1)The examination shall test the knowledge of the applicant concerning the duties and responsibilities of an independent insurance adjuster and this code.
(2)An applicant applying for an examination shall remit a nonrefundable fee as prescribed by the commissioner in Section 14097.
(b)An individual who applies for an independent insurance adjuster license in California who holds a home state license in another state as an independent insurance adjuster shall not be required to complete the examination if he or she successfully passed an examination as a condition of receiving an independent insurance adjuster license in his or her home state. This exemption applies to individuals who are currently licensed in their home state or if the home state license expired and the application is received by the commissioner within 90 days of expiration.
(c)An individual who applies for an apprentice independent insurance adjuster license pursuant to Section 14025.1, and who adjusts claims in that capacity, shall not be required to take and successfully complete the independent insurance adjuster examination.
SEC. 17.Section 14027 of the Insurance Code is repealed.14027.Payment of the application fee prescribed by this chapter entitles an applicant, or his or her manager, to one examination without further charge. If the person fails to pass the examination, he or she shall not be eligible for any subsequent examination except upon payment of the reexamination fee prescribed by this chapter for each such subsequent examination.
SEC. 18.Section 14028 of the Insurance Code is amended to read:14028.After a hearing hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not: not done any of the following:
(a)Committed any acts or crimes constituting grounds for denial of licensure under Section 480 of the Business and Professions Code.
(b)
(a)Been refused a license under this chapter or had a license revoked.
(c)
(b)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(d)
(c)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(e)
(d)Committed any act or crime constituting grounds for denial of license licensure under Section 1668.
SEC. 19.Section 14029 of the Insurance Code is amended to read:14029.(a)The business of each licensee shall be operated under the active direction, control, charge, or management of the licensee, if the licensee is qualified, or the person who has qualified to act as the licensees manager, if the licensee is not qualified.
(b)No person shall act as a manager of a licensee until he or she has complied with each of the following:
(1)Demonstrated his or her qualifications by a written or oral examination, or a combination of both, if required by the commissioner.
(2)Made a satisfactory showing to the commissioner that he or she has the qualifications prescribed by Section 14025 and that none of the facts stated in Section 14028 or 14028.5 exist as to him or her.
(c)If the manager, who has qualified as provided in this section, ceases for any reason whatsoever to be connected with the licensee to whom the license is issued, the licensee shall notify the commissioner in writing 30 days from the cessation. If notice is given, the license shall remain in force for a reasonable length of time to be determined by the rules of the commissioner pending the qualifications, as provided in this chapter, of another manager. If the licensee fails to notify the commissioner within the 30-day period, his or her license shall be subject to suspension or revocation and may be reinstated only upon the filing of an application for reinstatement, payment of the reinstatement fee, if any is due, and the qualification of a manager as provided herein.
(d)Every manager shall renew his or her authority by satisfying the requirements of Article 8 (commencing with Section 14090).
(e)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 20.Section 14029 is added to the Insurance Code, to read:14029.(a)Each organization licensed under this chapter shall designate an individual also licensed as an independent insurance adjuster to be responsible for the organizations compliance with state law.
(b)This section shall become operative on January 1, 2018.
SEC. 21.Section 14030 of the Insurance Code is amended to read:14030.(a)Whenever the individual on the basis of whose qualifications a license under this chapter has been obtained ceases to be connected with the licensee for any reason whatever, the business may be carried on for such a temporary period and under such the terms and conditions as the commissioner shall provide by regulation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 22.Section 14031 of the Insurance Code is amended to read:14031.Whenever a hearing is A hearing held under this chapter to determine whether an application for a license should be granted or to determine the qualifications of a licensees manager, the proceedings shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
SEC. 23.Section 14032 of the Insurance Code is amended to read:14032.The form and content of the license shall be determined by the commissioner in accordance with Section 164 of the Business and Professions Code. commissioner.
SEC. 24.Section 14037 of the Insurance Code is amended to read:14037.(a)A licensee shall at all times be legally responsible for the good conduct in the business of each of his or her employees or agents, including his or her manager.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 25.Section 14038 of the Insurance Code is amended to read:14038.(a)Any licensee or officer, director, partner, or manager of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained.
(b)No A licensee or officer, director, partner, manager, or employee of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)No A written report shall not be submitted to a client except by the licensee, qualifying manager, or a person authorized by one or either of them, and such the person submitting the report shall exercise diligence in ascertaining whether or not the facts and information in such a that report are true and correct.
(d)No licensee, A licensee or officer, director, partner, manager, or employee of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)No licensee, A licensee or officer, director, partner, manager, or employee of a licensee, shall not use a title, or wear a uniform, or use an insignia, or use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)No licensee, A licensee or officer, director, partner, manager, or employee of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)No A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)No A licensee shall not permit an employee or agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in the name of and under the control of the licensee.
(i)No A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 26.Section 14038 is added to the Insurance Code, to read:14038.(a)Any licensee or officer, director, or partner of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained.
(b)A licensee or officer, director, or partner of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee who shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, or partner of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, or partner of a licensee shall not use a title, wear a uniform, use an insignia, use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, or partner of a licensee shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in the name of and under the control of the licensee.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall become operative on January 1, 2018.
SEC. 27.Section 14039 of the Insurance Code is amended to read:14039.No A person licensed as an independent insurance adjuster shall not do any of the following:
(a)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(b)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(c)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm, which firm that obtains business in connection with any claim which that he or she has a contract or agreement to adjust.
SEC. 28.Section 14040 of the Insurance Code is amended to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, partner, manager, or employee of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee and an employee number by which such the person may be identified by the licensee.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 29.Section 14040 is added to the Insurance Code, to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, or partner of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of either the licensee or the adjusting firm the licensee represents.
(b)This section shall become operative on January 1, 2018.
SEC. 30.Section 14042 of the Insurance Code is amended to read:14042.No (a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
The
(b)The commissioner shall not authorize the use of a fictitious or other business name which that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
The
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5 of this code and Chapter 5 (commencing with Section 17900) of Part 3 of Division 7 of the Business and Professions Code. 1724.5.
A
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of each such that name.
The
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for such that authorization.
SEC. 31.Section 14061 of the Insurance Code is amended to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has: manager has done any of the following:
(a)
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(b)
(2)Violated any provisions of this chapter.
(c)
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(d)
(4)Been convicted of any crime substantially related to the qualifications, functions functions, and duties of the holder of the registration or license in question.
(e)
(5)Impersonated, or permitted or aided and abetted an employee to impersonate impersonate, a law enforcement officer or employee of the United States of America, States, or of any state or political subdivision thereof.
(f)
(6)Committed or permitted any employee to commit any act, while the license was expired which that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(g)
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(h)
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(i)
(9)Knowingly violated, violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(j)
(10)Acted as a runner or capper for any attorney.
(k)
(11)Committed any act which that is a ground for denial of an application for license under this chapter.
(l)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this subdivision may be punished by the suspension of a license for a period to be determined by the commissioner.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 32.Section 14061 is added to the Insurance Code, to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall become operative on January 1, 2018.
SEC. 33.Section 14063 of the Insurance Code is amended to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has: manager has done any of the following:
(a)
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(b)
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 34.Section 14063 is added to the Insurance Code, to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, or partners has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)The section shall become operative on January 1, 2018.
SEC. 35.Section 14064 of the Insurance Code is amended to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has committed any act in the course of the licensees business constituting dishonesty or fraud.
Dishonesty
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(a)
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(b)
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(c)
(3)Manufacture of evidence.
(d)
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by such that client or former client.
(e)
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate impersonate, a law enforcement officer or employee of the United States of America, States, or of any state or political subdivision thereof.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 36.Section 14064 is added to the Insurance Code, to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States, or of any state or political subdivision thereof.
(c)This section shall become operative on January 1, 2018.
SEC. 37.Section 14078 of the Insurance Code is repealed.14078.As used in this article, nonresident means a person who is not a resident of this state at the time of the performance of the act referred to in Section 14071.
SEC. 38.Section 14078 is added to the Insurance Code, to read:14078.(a)Unless refused licensure pursuant to Sections 14060 to 14065, inclusive, a nonresident person shall receive a nonresident independent insurance adjuster license if all of the following apply:
(1)The applicant is currently licensed in good standing as an independent insurance adjuster in his, her, or its resident or home state.
(2)The applicant paid the fees required by Section 14097.
(3)The applicant submitted to the commissioner the completed application for licensure.
(4)The applicants home state issues nonresident independent insurance adjuster licenses to residents of California on the same basis.
(b)The commissioner may verify the independent insurance adjusters licensing status through any appropriate database, including the Producer Database maintained by the National Association of Insurance Commissioners, its affiliates or subsidiaries, or may request certification of good standing.
(c)As a condition to the continuation of a nonresident independent insurance adjuster license, the licensee shall maintain a resident independent insurance adjuster license in his, her, or its home state.
(1)The nonresident independent insurance adjuster license issued under this chapter shall terminate and be surrendered immediately to the commissioner if the resident independent insurance adjuster license terminates for any reason, unless the termination is due to the independent insurance adjuster being issued a new resident independent insurance adjuster license in his, her, or its new home state.
(2)The nonresident independent insurance adjuster license shall terminate if the persons home state does not issue nonresident independent insurance adjuster licenses to residents of California on the same basis.
(3)(A)The licensee is required to give notice of resident independent insurance adjuster license termination to any state that issued a nonresident independent insurance adjuster license.
(B)The notice is required to be given within 30 days of the termination date. If the resident independent insurance adjuster license was terminated for change in resident home state, then the notice is required to include both the previous and current addresses.
(4)Maintaining a resident independent insurance adjuster license is required for the nonresident independent insurance adjuster license to remain valid.
SEC. 39.Section 14079 is added to the Insurance Code, to read:14079.(a)An independent insurance adjuster shall be honest and fair in all communications with the insured, the insurer, and the public.
(b)An independent insurance adjuster shall provide policyholders and claimants with prompt and knowledgeable service and courteous, fair, and objective treatment at all times.
(c)An independent insurance adjuster shall not give legal advice and shall not deal directly with any policyholder or claimant who is represented by legal counsel without the consent of the legal counsel involved.
(d)An independent insurance adjuster shall comply with all local, state, and federal privacy and information security laws.
(e)An independent insurance adjuster shall identify himself or herself as an independent insurance adjuster and, if applicable, shall identify his or her employer when dealing with any policyholder or claimant.
(f)An independent insurance adjuster shall not have any financial interest in any adjustment or shall not acquire for himself, herself, or any person any interest or title in salvage, without first receiving written authority from the principal.
SEC. 40.Section 14080 of the Insurance Code is amended to read:14080.Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (7) of subdivision (f) (a) of Section 14024 or paragraph (7) of subdivision (c) of Section 14025.1 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both such the fine and imprisonment.
SEC. 41.Section 14090.1 of the Insurance Code is amended to read:14090.1.(a)An individual who holds an independent insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an independent insurance adjuster license reported and shall report the completion of this coursework to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident independent insurance adjuster license who has met the continuing education requirements of his or her designated resident home state.
(3)An individual licensed as an independent insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(4)An individual licensed as an apprentice independent insurance adjuster pursuant to Section 14025.1.
SEC. 42.Section 14097 of the Insurance Code is amended to read:14097.The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(a)The application fee for the qualifying examination for an original license is twenty-nine dollars ($29). seventy-two dollars ($72).
(b)The application fee for an original branch office certificate is eighteen dollars ($18). forty-seven dollars ($47).
(c)The fee for an original license is an amount equal to the renewal fee in effect on the last regular renewal date before the date on which the license is issued, except that, if. application is up to one hundred seventy dollars ($170). If the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(d)The renewal fee shall be fixed by the commissioner as follows:
(1)For a license as an independent insurance adjuster, not more than one hundred eighteen dollars ($118). one hundred seventy dollars ($170).
(2)For a branch office certificate, not more than twenty-four dollars ($24). fifty-six dollars ($56).
(e)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(f)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration, but not more than twenty-nine dollars ($29). expiration.
(g)The fee for reexamination of an applicant or his manager is twelve dollars ($12). is twenty-nine dollars ($29).
(h)The application fee for an apprentice independent insurance adjuster license shall be up to one hundred seventy dollars ($170).
SEC. 43.Section 14099 of the Insurance Code is amended to read:14099.Application or license fee fees shall not be refunded Section 158 of the Business and Professions Code. pursuant to Section 1751.5.
SEC. 44.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
SECTION 1.Section 1722 of the Insurance Code is amended to read:1722.(a)If a natural person while licensed pursuant to the provisions of this chapter or Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, or Part 5 (commencing with Section 12140) of Division 2 enters the military service of the United States and is in that service at a time prescribed for the filing of a renewal application, the filing of that application is waived, and the license held by that licensee at the time of his or her entry into military service shall remain in force during the period of that military service and until the end of the license year in which he or she is released from that service but not for less than six months after that release. During that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any examination or paying any penalty.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 2.Section 1722 is added to the Insurance Code, to read:1722.(a)If a natural person while licensed pursuant to the provisions of this chapter or Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, Part 5 (commencing with Section 12140) of Division 2, or Chapter 1 (commencing with Section 14000) of Division 5 enters the military service of the United States and is in that service at a time prescribed for the filing of a renewal application, the filing of that application is waived, and the license held by that licensee at the time of his or her entry into military service shall remain in force during the period of that military service and until the end of the license year in which he or she is released from that service but not for less than six months after that release. During that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any examination or paying any penalty.
(b)This section shall become operative on January 1, 2018.
SEC. 3.Section 1751.5 of the Insurance Code is amended to read:1751.5.(a)The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 4.Section 1751.5 is added to the Insurance Code, to read:1751.5.(a)The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
(b)This section shall become operative on January 1, 2018.
SEC. 5.Section 14000 of the Insurance Code is amended to read:14000.(a)This chapter may be cited as the Insurance Adjuster Act.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 6.Section 14000 is added to the Insurance Code, to read:14000.(a)This chapter may be cited as the Independent Insurance Adjuster Act.
(b)This section shall become operative on January 1, 2018.
SEC. 7.Section 14001 of the Insurance Code is amended to read:14001.(a)As used in this chapter, the following terms have the following meanings:
(1)Commissioner means the Insurance Commissioner.
(2)Department means the Department of Insurance.
(3)Licensee means a person licensed under this chapter.
(4)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(5)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 8.Section 14001 is added to the Insurance Code, to read:14001.(a)As used in this chapter, the following terms have the following meanings:
(1)Catastrophe means an event that results in a large number of deaths or injuries, causes extensive damage or destruction of facilities that provide and sustain human needs, produces an overwhelming demand on state and local response resources and mechanisms, causes a severe long-term effect on general economic activity, or severely affects state, local, and private sector capabilities to begin and sustain response activities.
(2)Commissioner means the Insurance Commissioner.
(3)Department means the Department of Insurance.
(4)Fingerprints means an impression of the lines on the finger taken for the purposes of identification.
(5)Home state means the District of Columbia and any state or territory of the United States in which an independent insurance adjuster maintains his, her, or its principal place of residence or business and is licensed to act as a resident independent insurance adjuster. If the resident state does not license independent insurance adjusters for the line of authority sought, the independent insurance adjuster shall designate as his, her, or its home state either California or any state in which the independent insurance adjuster is licensed following an examination, provided that the independent insurance adjuster is licensed and in good standing in that state.
(6)Individual means a natural person.
(7)Licensee means a person licensed under this chapter.
(8)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(9)Nonresident means a person who is not a resident of California at the time of the performance of the act referred to in Section 14071.
(10)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
(b)This section shall become operative on January 1, 2018.
SEC. 9.Section 14010 of the Insurance Code is amended to read:14010.(a)The department succeeds to and is vested with all the duties, powers, purposes, responsibilities, and jurisdiction previously vested in the Bureau of Collection and Investigative Services with respect to the licensing of insurance adjusters.
Any reference to prior licensing shall be deemed to licensing under the Private Investigator and Adjuster Act.
The commissioner shall administer and enforce the provisions of this chapter.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 10.Section 14010 is added to the Insurance Code, to read:14010.(a)The commissioner shall administer and enforce the provisions of this chapter.
(b)This section shall become operative on January 1, 2018.
SEC. 11.Section 14020 of the Insurance Code is amended to read:14020.(a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed under this chapter.
(b)A person shall not falsely represent that he or she is employed by a licensee.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 12.Section 14020 is added to the Insurance Code, to read:14020.(a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed as an independent insurance adjuster in accordance with this chapter.
(b)A person shall not falsely represent that he or she is employed by a licensee.
(c)This section shall become operative on January 1, 2018.
SEC. 13.Section 14021 of the Insurance Code is amended to read:14021.(a)An insurance adjuster within the meaning of this chapter is a person other than a private investigator as defined in Section 7521 of the Business and Professions Code who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business or aids an insurer in any manner with reference to:
Crime or wrongs done or threatened against the United States of America or any state or territory of the United States of America; the identity, habits, conduct, business, occupation, honesty, integrity, credibility, knowledge, trustworthiness, efficiency, loyalty, activity, movement, whereabouts, affiliations, associations, transactions, acts, reputation, or character of any person; the location, disposition, or recovery of lost or stolen property; the cause or responsibility for fires, libels, losses, accidents, or damage or injury to persons or to property; or securing evidence to be used before any court, board, officer, or investigating committee.
(b)Notwithstanding any other law, this section is in no way intended to limit the ability of a duly licensed independent insurance adjuster to perform the duties of an independent insurance adjuster for any other entity.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 14.Section 14021 is added to the Insurance Code, to read:14021.(a)An independent insurance adjuster, for purposes of this chapter, is all of the following:
(1)An individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers.
(2)A person whose tax treatment by the insurers is consistent with that of an independent contractor rather than an employee, as defined in Section 3121 of Title 26 of the United States Code.
(3)A person who investigates, negotiates, or settles property and casualty claims for insurers.
(b)This section shall become operative on January 1, 2018.
SEC. 15.Section 14022 of the Insurance Code is amended to read:14022.(a)This chapter does not apply to any of the following:
(1)A person employed exclusively and regularly by one employer in connection with the affairs of that employer only and where there exists an employer- employee relationship.
(2)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while that officer or employee is engaged in the performance of his or her official duties.
(3)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(4)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(5)An attorney at law in performing his or her duties as an attorney.
(6)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(7)Admitted insurers and agents and insurance brokers licensed by the state, performing duties in connection with insurance transacted by them.
(8)The legal owner of personal property that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(9)Any bank subject to the jurisdiction of the Commissioner of Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(10)A person engaged solely in the business of securing information about persons or property from public records.
(11)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 16.Section 14022 is added to the Insurance Code, to read:14022.(a)This chapter does not apply to any of the following:
(1)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while that officer or employee is engaged in the performance of his or her official duties.
(2)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(3)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(4)An attorney at law admitted to practice in California, when acting in his or her professional capacity as an attorney.
(5)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(6)An officer, director, manager, or employee of an authorized insurer, surplus line insurer, a risk retention group, or an attorney-in-fact of a reciprocal insurer.
(7)A licensed insurance agent or broker or managing general agent of the insurer to whom claim authority has been granted by the insurer.
(8)The legal owner of personal property that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(9)Any bank subject to the jurisdiction of the Commissioner of Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(10)A person employed solely to obtain facts surrounding a claim or to furnish technical assistance to a licensed independent insurance adjuster.
(11)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed independent insurance adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(12)An individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments.
(13)A person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative.
(14)A licensed health care provider or its employees who provides managed care if the services do not include the determination of compensability.
(15)A managed care organization or any of its employees who provide managed care services if the services do not include the determination of compensability.
(16)A person who settles only reinsurance or subrogation claims.
(17)A United States manager of the United States branch of an alien insurer.
(18)An individual employee, under a self-insured arrangement, who adjusts claims on behalf of his or her employer.
(19)An individual or business entity that investigates, negotiates, or settles workers compensation claims.
(b)This section shall become operative on January 1, 2018.
SEC. 17.Section 14022.5 of the Insurance Code is amended to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed adjuster is under the active direction, control, charge, or management of a licensed adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within 15 working days from the date on which the nonlicensed adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, means a written letter to the commissioner, submitted by the supervising licensed adjuster or admitted insurer, naming the nonlicensed adjusters, identifying their adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 180 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 180-day extensions as he or she deems appropriate upon written request from the supervising licensed adjuster or the admitted insurer.
(d)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 18.Section 14022.5 is added to the Insurance Code, to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed independent insurance adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed independent insurance adjuster is under the active direction, control, charge, or management of a licensed independent insurance adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within five working days from the date on which the nonlicensed independent insurance adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, means a written letter to the commissioner, submitted by the supervising licensed independent insurance adjuster or admitted insurer, naming the nonlicensed independent insurance adjusters, identifying their independent insurance adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 180 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 180-day extensions as he or she deems appropriate upon written request from the supervising licensed independent insurance adjuster or the admitted insurer.
(d)This section shall become operative on January 1, 2018.
SEC. 19.Section 14024 of the Insurance Code is amended to read:14024.(a)An application shall be verified and shall include all of the following:
(1)The full name and business address of the applicant.
(2)The name under which the applicant intends to do business.
(3)A statement as to the general nature of the business in which the applicant intends to engage.
(4)A statement as to the classifications under which the applicant desires to be qualified.
(5)If the applicant is a person other than an individual, the full name and residence address of each of its partners, officers, and directors, and its manager.
(6)Two recent photographs of the applicant, of a type prescribed by the commissioner, and two classifiable sets of his or her fingerprints.
(7)A verified statement of his or her experience qualifications.
(8)Other information, evidence, statements, or documents as may be required by the commissioner.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 20.Section 14024 is added to the Insurance Code, to read:14024.(a)An individual application shall be verified and shall include all of the following:
(1)The full legal name and business, residence, and mailing addresses of the applicant.
(2)The name under which the applicant intends to do business.
(3)The applicants birth date and social security number.
(4)The application fees set forth in Section 14097.
(5)A statement as to the general nature of the business in which the applicant intends to engage.
(6)A statement as to the classifications under which the applicant desires to be qualified.
(7)Two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
(8)A verified statement of his or her experience qualifications, unless applying for an apprentice independent insurance adjuster license.
(9)Other information, evidence, statements, or documents as may be required by the commissioner.
(b)A business entity application shall be verified and shall include all of the following:
(1)The full legal name and residence address of each of its partners, officers, and directors, and its manager.
(2)The name under which the applicant intends to do business.
(3)That the applicant paid the fees set forth in Section 14097.
(4)A statement as to the general nature of the business in which the applicant intends to engage.
(5)A statement as to the classifications under which the applicant desires to be qualified.
(6)Other information, evidence, statements, or documents as may be required by the commissioner.
(c)This section shall become operative on January 1, 2018.
SEC. 21.Section 14025 of the Insurance Code is amended to read:14025.(a)Before an application for a license is granted, the applicant, or his or her manager, shall meet all of the following:
(1)Be at least 18 years of age.
(2)Not have committed acts or crimes constituting grounds for denial of licensure under Section 480 of the Business and Professions Code.
(3)Shall have had at least two years of experience in adjusting insurance claims or the equivalent thereof as determined by the commissioner.
(4)Comply with those other qualifications as the commissioner may fix by regulation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 22.Section 14025 is added to the Insurance Code, to read:14025.(a)Before a license is granted, the applicant shall meet all of the following requirements:
(1)Be at least 18 years of age.
(2)Not have committed acts or crimes constituting grounds for denial of licensure under Sections 1668 and 1669.
(3)Have had either of the following:
(A)At least two years of experience in adjusting insurance claims or the equivalent thereof as determined by the commissioner, unless applying for an apprentice independent insurance adjuster license.
(B)One year as a licensed apprentice independent insurance adjuster, which is considered the equivalent of two years of experience in adjusting claims.
(4)If the applicant resides in a state that does not license independent insurance adjusters, he or she is required to be licensed in good standing to designate California as his or her home state.
(5)(A)Completed a 20-hour prelicensing education course of study.
(B)A nonresident applicant currently licensed as a home state independent insurance adjuster in another state who has met that states prelicensing education requirements is exempt from completing the prelicensing education requirement.
(C)A resident applicant currently listed under a licensed independent insurance adjusters license as an unlicensed employee is exempt from completing the prelicensing education requirement. This exemption shall be in effect only until January 1, 2019.
(6)Successfully passed the examination for the independent insurance adjuster license, unless he or she qualifies for an exemption in Section 14026.
(7)Comply with those other qualifications that the commissioner may require by regulation.
(b)This section shall become operative on January 1, 2018.
SEC. 23.Section 14025.1 is added to the Insurance Code, to read:14025.1.(a)The apprentice independent insurance adjuster license is a license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster.
(b)An individual applying for an apprentice independent insurance adjuster license shall submit an application in a format prescribed by the commissioner and shall declare under penalty of suspension, revocation, or refusal of the license that the statements made in the application are true, correct, and complete to the best of the individuals knowledge and belief. Before approving the application, the commissioner shall determine that the individual meets all of the following:
(1)Is at least 18 years of age.
(2)Is a resident of California or is a resident of another state and has designated California as his or her home state.
(3)Has a business or mailing address in California for the acceptance of service of process.
(4)Has not committed any act that is a ground for suspension, revocation, or denial of licensure as set forth in Sections 1668, 1668.1, and 1669.
(5)Has paid the fees set forth in paragraph (8) of subdivision (a) of Section 14097.
(c)The apprentice independent insurance adjuster license shall be subject to the following terms and conditions:
(1)The applicant shall submit, with the apprentice independent insurance adjuster application, an attestation from a licensed independent insurance adjuster certifying that the apprentice will be subject to training, direction, and control by the licensed independent insurance adjuster and further certifying that the licensed independent insurance adjuster assumes responsibility for the actions of the apprentice in the apprentices capacity as an apprentice independent insurance adjuster.
(2)The apprentice independent insurance adjuster is only authorized to adjust claims in California.
(3)The apprentice independent insurance adjuster is restricted to participation in the investigation, settlement, and negotiation of claims subject to the review and final determination of the claim by a supervising licensed independent insurance adjuster.
(4)The apprentice independent insurance adjuster shall not be required to take and successfully complete the independent insurance adjuster examination to adjust claims as an apprentice independent insurance adjuster. At any time during the apprenticeship, the apprentice independent insurance adjuster may choose to take the examination. If the individual takes and successfully completes the independent insurance adjuster exam, the apprentice independent insurance adjuster license shall automatically terminate and an independent insurance adjuster license shall be issued to that individual in its place.
(5)The apprentice independent insurance adjuster license is valid for a period not to exceed 12 months and is nonrenewable.
(6)The licensee shall be subject to suspension, revocation, or denial pursuant to Sections 1668, 1668.1, and 1669.
(7)The applicant shall submit two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
(d)This section shall become operative on January 1, 2018.
SEC. 24.Section 14026 of the Insurance Code is amended to read:14026.(a)The commissioner may require an applicant, or his or her manager, to demonstrate his or her qualifications by a written or oral examination, or a combination of both.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 25.Section 14026 is added to the Insurance Code, to read:14026.(a)An applicant for an independent insurance adjuster license, unless applying for an apprentice independent insurance adjuster license or crop insurance adjuster license, shall pass a written examination.
(1)The examination shall test the knowledge of the applicant concerning the duties and responsibilities of an independent insurance adjuster and this code.
(2)An applicant applying for an examination shall remit a nonrefundable fee as prescribed by the commissioner in Section 14097.
(b)An individual who applies for an independent insurance adjuster license in California who holds a home state license in another state as an independent insurance adjuster shall not be required to complete the examination if he or she successfully passed an examination as a condition of receiving an independent insurance adjuster license in his or her home state. This exemption applies to individuals who are currently licensed in their home state or if the home state license expired and the application is received by the commissioner within 90 days of expiration.
(c)An individual who applies for an apprentice independent insurance adjuster license pursuant to Section 14025.1, and who adjusts claims in that capacity, shall not be required to take and successfully complete the independent insurance adjuster examination.
(d)This section shall become operative on January 1, 2018.
SEC. 26.Section 14027 of the Insurance Code is amended to read:14027.(a)Payment of the application fee prescribed by this chapter entitles an applicant, or his or her manager, to one examination without further charge. If the person fails to pass the examination, he or she shall not be eligible for any subsequent examination except upon payment of the reexamination fee prescribed by this chapter for each subsequent examination.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 27.Section 14028 of the Insurance Code is amended to read:14028.(a)After a hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not done any of the following:
(1)Committed any acts or crimes constituting grounds for denial of licensure under Section 480 of the Business and Professions Code.
(2)Been refused a license under this chapter or had a license revoked.
(3)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(4)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(5)Committed any act or crime constituting grounds for denial of licensure under Section 1668.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 28.Section 14028 is added to the Insurance Code, to read:14028.(a)After a hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not done any of the following:
(1)Been refused a license under this chapter or had a license revoked.
(2)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(3)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(4)Committed any act or crime constituting grounds for denial of licensure under Section 1668.
(b)This section shall become operative on January 1, 2018.
SEC. 29.Section 14029 of the Insurance Code is amended to read:14029.(a)The business of each licensee shall be operated under the active direction, control, charge, or management of the licensee, if the licensee is qualified, or the person who has qualified to act as the licensees manager, if the licensee is not qualified.
(b)No person shall act as a manager of a licensee until he or she has complied with each of the following:
(1)Demonstrated his or her qualifications by a written or oral examination, or a combination of both, if required by the commissioner.
(2)Made a satisfactory showing to the commissioner that he or she has the qualifications prescribed by Section 14025 and that none of the facts stated in Section 14028 or 14028.5 exist as to him or her.
(c)If the manager, who has qualified as provided in this section, ceases for any reason whatsoever to be connected with the licensee to whom the license is issued, the licensee shall notify the commissioner in writing 30 days from the cessation. If notice is given, the license shall remain in force for a reasonable length of time to be determined by the rules of the commissioner pending the qualifications, as provided in this chapter, of another manager. If the licensee fails to notify the commissioner within the 30-day period, his or her license shall be subject to suspension or revocation and may be reinstated only upon the filing of an application for reinstatement, payment of the reinstatement fee, if any is due, and the qualification of a manager as provided herein.
(d)Every manager shall renew his or her authority by satisfying the requirements of Article 8 (commencing with Section 14090).
(e)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 30.Section 14029 is added to the Insurance Code, to read:14029.(a)Each organization licensed under this chapter shall designate an individual also licensed as an independent insurance adjuster to be responsible for the organizations compliance with state law.
(b)This section shall become operative on January 1, 2018.
SEC. 31.Section 14030 of the Insurance Code is amended to read:14030.(a)Whenever the individual on the basis of whose qualifications a license under this chapter has been obtained ceases to be connected with the licensee for any reason whatever, the business may be carried on for a temporary period and under the terms and conditions as the commissioner shall provide by regulation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 32.Section 14031 of the Insurance Code is amended to read:14031.(a)Whenever a hearing is held under this chapter to determine whether an application for a license should be granted or to determine the qualifications of a licensees manager, the proceedings shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 33.Section 14031 is added to the Insurance Code, to read:14031.(a)A hearing held under this chapter to determine whether an application for a license should be granted shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
(b)This section shall be operative on January 1, 2018.
SEC. 34.Section 14032 of the Insurance Code is amended to read:14032.(a)The form and content of the license shall be determined by the commissioner in accordance with Section 164 of the Business and Professions Code.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 35.Section 14032 is added to the Insurance Code, to read:14032.(a)The form and content of the license shall be determined by the commissioner.
(b)This section shall become operative on January 1, 2018.
SEC. 36.Section 14037 of the Insurance Code is amended to read:14037.(a)A licensee shall at all times be legally responsible for the good conduct in the business of each of his or her employees or agents, including his or her manager.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 37.Section 14038 of the Insurance Code is amended to read:14038.(a)Any licensee or officer, director, partner, or manager of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained.
(b)A licensee or officer, director, partner, manager, or employee of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee, qualifying manager, or a person authorized by one or either of them, and the person submitting the report shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, partner, manager, or employee of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, partner, manager, or employee of a licensee, shall not use a title, wear a uniform, use an insignia, or use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, partner, manager, or employee of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an employee or agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in the name of and under the control of the licensee.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 38.Section 14038 is added to the Insurance Code, to read:14038.(a)Any licensee or officer, director, or partner of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained.
(b)A licensee or officer, director, or partner of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee who shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, or partner of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, or partner of a licensee shall not use a title, wear a uniform, use an insignia, use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, or partner of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in the name of and under the control of the licensee.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall become operative on January 1, 2018.
SEC. 39.Section 14039 of the Insurance Code is amended to read:14039.(a)A person licensed as an insurance adjuster shall not do any of the following:
(1)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(2)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(3)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm that obtains business in connection with any claim that he or she has a contract or agreement to adjust.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 40.Section 14039 is added to the Insurance Code, to read:14039.(a)A person licensed as an independent insurance adjuster shall not do any of the following:
(1)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(2)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(3)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm that obtains business in connection with any claim that he or she has a contract or agreement to adjust.
(b)This section shall become operative on January 1, 2018.
SEC. 41.Section 14040 of the Insurance Code is amended to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, partner, manager, or employee of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee and an employee number by which the person may be identified by the licensee.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 42.Section 14040 is added to the Insurance Code, to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, or partner of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee.
(b)This section shall become operative on January 1, 2018.
SEC. 43.Section 14042 of the Insurance Code is amended to read:14042.(a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
(b)The commissioner shall not authorize the use of a fictitious or other business name that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5 of this code and Chapter 5 (commencing with Section 17900) of Part 3 of Division 7 of the Business and Professions Code.
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of that name.
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for that authorization.
(f)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 44.Section 14042 is added to the Insurance Code, to read:14042.(a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
(b)The commissioner shall not authorize the use of a fictitious or other business name that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5.
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of that name.
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for that authorization.
(f)This section shall become operative on January 1, 2018.
SEC. 45.Section 14061 of the Insurance Code is amended to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States of America, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 46.Section 14061 is added to the Insurance Code, to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States of America, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall become operative on January 1, 2018.
SEC. 47.Section 14063 of the Insurance Code is amended to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 48.Section 14063 is added to the Insurance Code, to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, or partners has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)The section shall become operative on January 1, 2018.
SEC. 49.Section 14064 of the Insurance Code is amended to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States of America, or of any state or political subdivision thereof.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 50.Section 14064 is added to the Insurance Code, to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States of America, or of any state or political subdivision thereof.
(c)This section shall become operative on January 1, 2018.
SEC. 51.Section 14078 of the Insurance Code is amended to read:14078.(a)As used in this article, nonresident means a person who is not a resident of this state at the time of the performance of the act referred to in Section 14071.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 52.Section 14078 is added to the Insurance Code, to read:14078.(a)Unless refused licensure pursuant to Sections 14060 to 14065, inclusive, a nonresident person shall receive a nonresident independent insurance adjuster license if all of the following apply:
(1)The applicant is currently licensed in good standing as an independent insurance adjuster in his, her, or its resident or home state.
(2)The applicant paid the fees required by Section 14097.
(3)The applicant submitted to the commissioner the completed application for licensure.
(4)The applicants home state issues nonresident independent insurance adjuster licenses to residents of California on the same basis.
(b)The commissioner may verify the independent insurance adjusters licensing status through any appropriate database, including the Producer Database maintained by the National Association of Insurance Commissioners, its affiliates or subsidiaries, or may request certification of good standing.
(c)As a condition to the continuation of a nonresident independent insurance adjuster license, the licensee shall maintain a resident independent insurance adjuster license in his, her, or its home state.
(1)The nonresident independent insurance adjuster license issued under this chapter shall terminate and be surrendered immediately to the commissioner if the resident independent insurance adjuster license terminates for any reason, unless the termination is due to the independent insurance adjuster being issued a new resident independent insurance adjuster license in his, her, or its new home state.
(2)The nonresident independent insurance adjuster license shall terminate if the persons home state does not issue nonresident independent insurance adjuster licenses to residents of California on the same basis.
(3)(A)The licensee is required to give notice of resident independent insurance adjuster license termination to any state that issued a nonresident independent insurance adjuster license.
(B)The notice is required to be given within 30 days of the termination date. If the resident independent insurance adjuster license was terminated for change in resident home state, then the notice is required to include both the previous and current address.
(4)Maintaining a resident independent insurance adjuster license is required for the nonresident independent insurance adjuster license to remain valid.
(d)This section shall become operative on January 1, 2018.
SEC. 53.Section 14079 is added to the Insurance Code, to read:14079.(a)An independent insurance adjuster shall be honest and fair in all communications with the insured, the insurer, and the public.
(b)An independent insurance adjuster shall provide policyholders and claimants with prompt and knowledgeable service and courteous, fair, and objective treatment at all times.
(c)An independent insurance adjuster shall not give legal advice and shall not deal directly with any policyholder or claimant who is represented by legal counsel without the consent of the legal counsel involved.
(d)An independent insurance adjuster shall comply with all local, state, and federal privacy and information security laws.
(e)An independent insurance adjuster shall identify himself or herself as an independent insurance adjuster and, if applicable, shall identify his or her employer when dealing with any policyholder or claimant.
(f)An independent insurance adjuster shall not have any financial interest in any adjustment or shall not acquire for himself, herself, or any person any interest or title in salvage, without first receiving written authority from the principal.
(g)This section shall become operative on January 1, 2018.
SEC. 54.Section 14080 of the Insurance Code is amended to read:14080.(a)Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (6) of subdivision (a) of Section 14024 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both the fine and imprisonment.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 55.Section 14080 is added to the Insurance Code, to read:14080.(a)Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (7) of subdivision (a) of Section 14024 or paragraph (7) of subdivision (c) of Section 14025.1 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both the fine and imprisonment.
(b)This section shall become operative on January 1, 2018.
SEC. 56.Section 14090.1 of the Insurance Code is amended to read:14090.1.(a)An individual who holds an insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an insurance adjuster license reported to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident insurance adjuster license who has met the continuing education requirements of his or her designated resident state.
(3)An individual licensed as an insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 57.Section 14090.1 is added to the Insurance Code, to read:14090.1.(a)An individual who holds an independent insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an independent insurance adjuster license and shall report the completion of this coursework to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident independent insurance adjuster license who has met the continuing education requirements of his or her designated home state.
(3)An individual licensed as an independent insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(4)An individual licensed as an apprentice independent insurance adjuster pursuant to Section 14025.1.
(c)This section shall become operative on January 1, 2018.
SEC. 58.Section 14097 of the Insurance Code is amended to read:14097.(a)The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(1)The application fee for an original license is twenty-nine dollars ($29).
(2)The application fee for an original branch office certificate is eighteen dollars ($18).
(3)The fee for an original license is an amount equal to the renewal fee in effect on the last regular renewal date before the date on which the license is issued, except that, if the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(4)The renewal fee shall be fixed by the commissioner as follows:
(A)For a license as an insurance adjuster, not more than one hundred eighteen dollars ($118).
(B)For a branch office certificate, not more than twenty-four dollars ($24).
(5)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(6)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration, but not more than twenty-nine dollars ($29).
(7)The fee for reexamination of an applicant or his manager is twelve dollars ($12).
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 59.Section 14097 is added to the Insurance Code, to read:14097.(a)The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(1)The application fee for the qualifying examination for an original license is seventy-two dollars ($72).
(2)The application fee for an original branch office certificate is forty-seven dollars ($47).
(3)The fee for an original license application is up to one hundred seventy dollars ($170). If the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(4)The renewal fee shall be fixed by the commissioner as follows:
(A)For a license as an independent insurance adjuster, not more than one hundred seventy dollars ($170).
(B)For a branch office certificate, not more than fifty-six dollars ($56).
(5)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(6)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration.
(7)The fee for reexamination of an applicant is twenty-nine dollars ($29).
(8)The application fee for an apprentice independent insurance adjuster license shall be fixed at up to one hundred seventy dollars ($170).
(b)This section shall become operative on January 1, 2018.
SEC. 60.Section 14099 of the Insurance Code is amended to read:14099.(a)Application or license fees shall not be refunded except in accordance with Section 158 of the Business and Professions Code.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 61.Section 14099 is added to the Insurance Code, to read:14099.(a)Application or license fees shall not be refunded pursuant to Section 1751.5.
(b)This section shall become operative on January 1, 2018.
SEC. 62.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)If a natural person while licensed pursuant to the provisions of this chapter or Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, or Part 5 (commencing with Section 12140) of Division 2, or Chapter 1 (commencing with Section 14000) of Division 5 2 enters the military service of the United States and is in that service at a time prescribed for the filing of a renewal application, the filing of that application is waived, and the license held by that licensee at the time of his or her entry into military service shall remain in force during the period of that military service and until the end of the license year in which he or she is released from that service but not for less than six months after that release. During that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any examination or paying any penalty.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 2.Section 1722 is added to the Insurance Code, to read:1722.(a)If a natural person while licensed pursuant to the provisions of this chapter or Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), or Chapter 8 (commencing with Section 1831) of this part, Part 5 (commencing with Section 12140) of Division 2, or Chapter 1 (commencing with Section 14000) of Division 5 enters the military service of the United States and is in that service at a time prescribed for the filing of a renewal application, the filing of that application is waived, and the license held by that licensee at the time of his or her entry into military service shall remain in force during the period of that military service and until the end of the license year in which he or she is released from that service but not for less than six months after that release. During that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any examination or paying any penalty.
(b)This section shall become operative on January 1, 2018.
SEC. 2.SEC. 3.Section 1751.5 of the Insurance Code is amended to read:1751.5.(a)The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 4.Section 1751.5 is added to the Insurance Code, to read:1751.5.(a)The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
(b)This section shall become operative on January 1, 2018.
SEC. 3.SEC. 5.Section 14000 of the Insurance Code is amended to read:14000.(a)This chapter may be cited as the Independent Insurance Adjuster Act.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 4.Section 14001 of the Insurance Code is amended to read:14001.As used in this chapter, the following terms have the following meanings:
(a)Catastrophe means an event that results in a large number of deaths or injuries, causes extensive damage or destruction of facilities that provide and sustain human needs, produces an overwhelming demand on state and local response resources and mechanisms, causes a severe long-term effect on general economic activity, or severely affects state, local, and private sector capabilities to begin and sustain response activities.
(b)Commissioner means the Insurance Commissioner.
(c)Department means the Department of Insurance.
(d)Fingerprints means an impression of the lines on the finger taken for the purposes of identification.
(e)Home state means the District of Columbia and any state or territory of the United States in which an independent insurance adjuster maintains his, her, or its principal place of residence or business and is licensed to act as a resident independent insurance adjuster. If the resident state does not license independent insurance adjusters, the independent insurance adjuster may designate California as his, her, or its home state, provided that the independent insurance adjuster is licensed and in good standing.
(f)Individual means a natural person.
(g)Licensee means a person licensed under this chapter.
(h)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(i)Nonresident means a person who is not a resident of California at the time of the performance of the act referred to in Section 14071.
(j)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
SEC. 5.Section 14010 of the Insurance Code is repealed.SEC. 6.Section 14010 is added to the Insurance Code, to read:14010.The commissioner shall administer and enforce the provisions of this chapter.
SEC. 7.Section 14020 of the Insurance Code is amended to read:14020.(a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed as an independent insurance adjuster in accordance with this chapter.
(b)A person shall not falsely represent that he or she is employed by a licensee.
SEC. 8.Section 14021 of the Insurance Code is repealed.SEC. 9.Section 14021 is added to the Insurance Code, to read:14021.An independent insurance adjuster, for purposes of this chapter, is all of the following:
(a)An individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers.
(b)A person whose tax treatment by the insurers is consistent with that of an independent contractor rather than an employee, as defined in Section 3121 of Title 26 of the United States Code.
(c)A person who investigates, negotiates, or settles property and casualty claims for insurers.
SEC. 10.Section 14022 of the Insurance Code is amended to read:14022.This chapter does not apply to any of the following:
(a)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while that officer or employee is engaged in the performance of his or her official duties.
(b)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(c)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(d)An attorney at law admitted to practice in California, when acting in his or her professional capacity as an attorney.
(e)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(f)An officer, director, manager, or employee of an authorized insurer, surplus line insurer, a risk retention group, or an attorney-in-fact of a reciprocal insurer.
(g)A licensed insurance agent or broker, attorney-in-fact of a reciprocal insurer, or managing general agent of the insurer to whom claim authority has been granted by the insurer.
(h)The legal owner of personal property that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(i)Any bank subject to the jurisdiction of the Commissioner of Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(j)A person employed solely to obtain facts surrounding a claim or to furnish technical assistance to a licensed independent insurance adjuster.
(k)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed independent insurance adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(l)An individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments.
(m)A person who solely performs executive, administrative, managerial, or clerical duties or any combination thereof and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative.
(n)A licensed health care provider or its employee who provides managed care if the services do not include the determination of compensability.
(o)A managed care organization or any of its employees who provide managed care services if the services do not include the determination of compensability.
(p)A person who settles only reinsurance or subrogation claims.
(q)A United States manager of the United States branch of an alien insurer.
(r)A person who investigates, negotiates, or settles life, accident and health, annuity, or disability insurance claims.
(s)An individual employee, under a self-insured arrangement, who adjusts claims on behalf of his or her employer.
SEC. 11.Section 14022.5 of the Insurance Code is amended to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed independent insurance adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed independent insurance adjuster is under the active direction, control, charge, or management of a licensed independent insurance adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within five working days from the date on which the nonlicensed independent insurance adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, means a written letter to the commissioner, submitted by the supervising licensed independent insurance adjuster or admitted insurer, naming the nonlicensed independent insurance adjusters, identifying their independent insurance adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 90 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 90-day extensions as he or she deems appropriate upon written request from the supervising licensed independent insurance adjuster or the admitted insurer.
SEC. 12.Section 14024 of the Insurance Code is amended to read:14024.(a)An individual application shall be verified and shall include all of the following:
(1)The full legal name and business, resident, and mailing addresses of the applicant.
(2)The name under which the applicant intends to do business.
(3)The applicants birth date and social security number.
(4)The application fees set forth in Section 14097.
(5)A statement as to the general nature of the business in which the applicant intends to engage.
(6)A statement as to the classifications under which the applicant desires to be qualified.
(7)Two recent photographs of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
(8)A verified statement of his or her experience qualifications, unless applying for an apprentice independent insurance adjuster license.
(9)Other information, evidence, statements, or documents as may be required by the commissioner.
(b)A business entity application shall be verified and shall include all of the following:
(1)The full legal name and residence address of each of its partners, officers, and directors, and its manager.
(2)The name under which the applicant intends to do business.
(3)The name of a licensed independent insurance adjuster who is responsible for the business entities compliance with this chapter.
(4)That the applicant paid the fees set forth in Section 14097.
(5)A statement as to the general nature of the business in which the applicant intends to engage.
(6)A statement as to the classifications under which the applicant desires to be qualified.
(7)Other information, evidence, statements, or documents as may be required by the commissioner.
SEC. 13.Section 14025 of the Insurance Code is amended to read:14025.Before a license is granted, the applicant shall meet all of the following requirements:
(a)Be at least 18 years of age.
(b)Not have committed acts or crimes constituting grounds for denial of licensure under Sections 1668 and 1669.
(c)Shall have had at least two years of experience in adjusting insurance claims or the equivalent thereof as determined by the commissioner, unless applying for an apprentice independent insurance adjuster license.
(d)If the applicant resides in a state that does not license independent insurance adjusters, he or she is required to be licensed in good standing to designate California as his or her home state.
(e)(1)Completed a 20-hour prelicensing education course of study.
(2)A nonresident applicant currently licensed as a home state independent insurance adjuster in another state who has met that states prelicensing education requirements is exempt from completing the prelicensing education requirement.
(f)Successfully passed the examination for the independent insurance adjuster license, unless he or she qualifies for an exemption in Section 14026.
(g)Comply with those other qualifications that the commissioner may require by regulation.
SEC. 14.Section 14025.1 is added to the Insurance Code, to read:14025.1.(a)The apprentice independent insurance adjuster license is a license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster.
(b)An individual applying for an apprentice independent insurance adjuster license shall submit an application in a format prescribed by the commissioner and shall declare under penalty of suspension, revocation, or refusal of the license that the statements made in the application are true, correct, and complete to the best of the individuals knowledge and belief. Before approving the application, the commissioner shall determine that the individual meets all of the following:
(1)Is at least 18 years of age.
(2)Is a resident of California and has designated California as his or her home state.
(3)Has a business or mailing address in California for the acceptance of service of process.
(4)Has not committed any act that is a ground for suspension, revocation, or denial of licensure as set forth in Sections 1668, 1668.1, and 1669.
(5)Is trustworthy, reliable, and of good reputation, evidence of which may be determined by the commissioner.
(6)Has paid the fees set forth in subdivision (h) of Section 14097.
(c)The apprentice independent insurance adjuster license shall be subject to the following terms and conditions:
(1)The applicant shall submit, with the apprentice independent insurance adjuster application, an attestation from a licensed independent insurance adjuster certifying that the apprentice will be subject to training, direction, and control by the licensed independent insurance adjuster and further certifying that the licensed independent insurance adjuster assumes responsibility for the actions of the apprentice in the apprentices capacity as an independent insurance adjuster.
(2)The apprentice independent insurance adjuster is only authorized to adjust claims in California.
(3)The apprentice independent insurance adjuster is restricted to participation in the investigation, settlement, and negotiation of claims subject to the review and final determination of the claim by a supervising licensed independent insurance adjuster.
(4)Compensation of an apprentice independent insurance adjuster shall only be on a salaried or hourly basis.
(5)The apprentice independent insurance adjuster shall not be required to take and successfully complete the independent insurance adjuster examination to adjust claims as an apprentice independent insurance adjuster. At any time during the apprenticeship, the apprentice independent insurance adjuster may choose to take the examination. If the individual takes and successfully completes the independent insurance adjuster exam, the apprentice independent insurance adjuster license shall automatically terminate and an independent insurance adjuster license shall be issued to that individual in its place.
(6)The apprentice independent insurance adjuster license is valid for a period not to exceed 12 months and is nonrenewable.
(7)The licensee shall be subject to suspension, revocation, or denial pursuant to Sections 1668, 1668.1, and 1669.
(8)The applicant shall submit two recent photographs of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
SEC. 15.Section 14026 of the Insurance Code is repealed.SEC. 16.Section 14026 is added to the Insurance Code, to read:14026.(a)An applicant for an independent insurance adjuster license, unless applying for an apprentice independent insurance adjuster license or crop insurance adjuster license, shall pass a written examination.
(1)The examination shall test the knowledge of the applicant concerning the duties and responsibilities of an independent insurance adjuster and this code.
(2)An applicant applying for an examination shall remit a nonrefundable fee as prescribed by the commissioner in Section 14097.
(b)An individual who applies for an independent insurance adjuster license in California who holds a home state license in another state as an independent insurance adjuster shall not be required to complete the examination if he or she successfully passed an examination as a condition of receiving an independent insurance adjuster license in his or her home state. This exemption applies to individuals who are currently licensed in their home state or if the home state license expired and the application is received by the commissioner within 90 days of expiration.
(c)An individual who applies for an apprentice independent insurance adjuster license pursuant to Section 14025.1, and who adjusts claims in that capacity, shall not be required to take and successfully complete the independent insurance adjuster examination.
SEC. 17.Section 14027 of the Insurance Code is repealed.SEC. 18.Section 14028 of the Insurance Code is amended to read:14028.After a hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not done any of the following:
(a)Been refused a license under this chapter or had a license revoked.
(b)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(c)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(d)Committed any act or crime constituting grounds for denial of licensure under Section 1668.
SEC. 19.Section 14029 of the Insurance Code is repealed.SEC. 20.Section 14029 is added to the Insurance Code, to read:14029.Each organization licensed under this chapter shall designate an individual also licensed as an independent insurance adjuster to be responsible for the organizations compliance with state law.
SEC. 21.Section 14030 of the Insurance Code is repealed.SEC. 22.Section 14031 of the Insurance Code is amended to read:14031.A hearing held under this chapter to determine whether an application for a license should be granted shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
SEC. 23.Section 14032 of the Insurance Code is amended to read:14032.The form and content of the license shall be determined by the commissioner.
SEC. 24.Section 14037 of the Insurance Code is repealed.SEC. 25.Section 14038 of the Insurance Code is amended to read:14038.(a)Any licensee or officer, director, or partner of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained.
(b)A licensee or officer, director, or partner of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee who shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, or partner of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, or partner of a licensee shall not use a title, wear a uniform, use an insignia, use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, or partner of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in the name of and under the control of the licensee.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
SEC. 26.Section 14039 of the Insurance Code is amended to read:14039.A person licensed as an independent insurance adjuster shall not do any of the following:
(a)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(b)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(c)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm that obtains business in connection with any claim that he or she has a contract or agreement to adjust.
SEC. 27.Section 14040 of the Insurance Code is amended to read:14040.Any badge or cap insignia worn by a person who is a licensee, officer, director, or partner of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee.
SEC. 28.Section 14042 of the Insurance Code is amended to read:14042.(a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
(b)The commissioner shall not authorize the use of a fictitious or other business name that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5.
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of that name.
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for that authorization.
SEC. 29.Section 14061 of the Insurance Code is amended to read:14061.The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has done any of the following:
(a)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(b)Violated any provisions of this chapter.
(c)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(d)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(e)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States of America, or of any state or political subdivision thereof.
(f)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(g)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(h)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(i)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(j)Acted as a runner or capper for any attorney.
(k)Committed any act that is a ground for denial of an application for license under this chapter.
(l)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this subdivision may be punished by the suspension of a license for a period to be determined by the commissioner.
SEC. 30.Section 14063 of the Insurance Code is amended to read:14063.The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has done any of the following:
(a)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(b)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
SEC. 31.Section 14064 of the Insurance Code is amended to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States of America, or of any state or political subdivision thereof.
SEC. 32.Section 14078 of the Insurance Code is repealed.SEC. 33.Section 14078 is added to the Insurance Code, to read:14078.(a)Unless refused licensure pursuant to Sections 14060 to 14065, inclusive, a nonresident person shall receive a nonresident independent insurance adjuster license if all of the following apply:
(1)The applicant is currently licensed in good standing as an independent insurance adjuster in his, her, or its resident or home state.
(2)The applicant paid the fees required by Section 14097.
(3)The applicant submitted to the commissioner the completed application for licensure.
(4)The applicants home state awards nonresident independent insurance adjuster licenses to residents of California on the same basis.
(b)The commissioner may verify the independent insurance adjusters licensing status through any appropriate database, including the Producer Database maintained by the National Association of Insurance Commissioners, its affiliates or subsidiaries, or may request certification of good standing.
(c)As a condition to the continuation of a nonresident independent insurance adjuster license, the licensee shall maintain a resident independent insurance adjuster license in his, her, or its home state.
(1)The nonresident independent insurance adjuster license issued under this chapter shall terminate and be surrendered immediately to the commissioner if the resident independent insurance adjuster license terminates for any reason, unless the termination is due to the independent insurance adjuster being issued a new resident independent insurance adjuster license in his, her, or its new home state.
(2)The nonresident independent insurance adjuster license shall terminate if the persons home state does not award nonresident independent insurance adjuster licenses to residents of California on the same basis.
(3)(A)The licensee is required to give notice of resident independent insurance adjuster license termination to any state that issued a nonresident independent insurance adjuster license.
(B)The notice is required to be given within 30 days of the termination date. If the resident independent insurance adjuster license was terminated for change in resident home state, then the notice is required to include both the previous and current address.
(4)Maintaining a resident independent insurance adjuster license is required for the nonresident independent insurance adjuster license to remain valid.
SEC. 34.Section 14079 is added to the Insurance Code, to read:14079.(a)An independent insurance adjuster shall be honest and fair in all communications with the insured, the insurer, and the public.
(b)An independent insurance adjuster shall provide policyholders and claimants with prompt and knowledgeable service and courteous, fair, and objective treatment at all times.
(c)An independent insurance adjuster shall not give legal advice and shall not deal directly with any policyholder or claimant who is represented by legal counsel without the consent of the legal counsel involved.
(d)An independent insurance adjuster shall comply with all local, state, and federal privacy and information security laws.
(e)An independent insurance adjuster shall identify himself or herself as an independent insurance adjuster and, if applicable, shall identify his or her employer when dealing with any policyholder or claimant.
(f)An independent insurance adjuster shall not have any financial interest in any adjustment or shall not acquire for himself, herself, or any person any interest or title in salvage, without first receiving written authority from the principal.
SEC. 35.Section 14080 of the Insurance Code is amended to read:14080.Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (7) of subdivision (a) of Section 14024 or paragraph (8) of subdivision (c) of Section 14025.1 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both the fine and imprisonment.
SEC. 36.Section 14090.1 of the Insurance Code is amended to read:14090.1.(a)An individual who holds an independent insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an independent insurance adjuster license and shall report the completion of this coursework to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident independent insurance adjuster license who has met the continuing education requirements of his or her designated home state.
(3)An individual licensed as an independent insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(4)An individual licensed as an apprentice independent insurance adjuster pursuant to Section 14025.1.
SEC. 37.Section 14097 of the Insurance Code is amended to read:14097.The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(a)The application fee for the qualifying examination for an original license is twenty-nine dollars ($29).
(b)The application fee for an original branch office certificate is eighteen dollars ($18).
(c)The fee for an original license application is an amount equal to the renewal fee in effect on the last regular renewal date before the date on which the license is issued, except that, if the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(d)The renewal fee shall be fixed by the commissioner as follows:
(1)For a license as an independent insurance adjuster, not more than one hundred eighteen dollars ($118).
(2)For a branch office certificate, not more than twenty-four dollars ($24).
(e)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(f)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration.
(g)The fee for reexamination of an applicant is twelve dollars ($12).
(h)The application fee for an apprentice independent insurance adjuster license shall be fixed by the commissioner by regulation and shall be reasonably related to the actual cost to the department in performing its duties under this chapter.
SEC. 38.Section 14099 of the Insurance Code is amended to read:14099.Application or license fees shall not be refunded pursuant to Section 1751.5.
SEC. 39.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
SEC. 6.Section 14000 is added to the Insurance Code, to read:14000.(a)This chapter may be cited as the Independent Insurance Adjuster Act.
(b)This section shall become operative on January 1, 2018.
SEC. 7.Section 14001 of the Insurance Code is amended to read:14001.(a)As used in this chapter: chapter, the following terms have the following meanings:
(a)
(1)Commissioner means the Insurance Commissioner.
(b)
(2)Department means the Department of Insurance.
(c)
(3)Licensee means a person licensed under this chapter.
(d)
(4)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(e)
(5)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 8.Section 14001 is added to the Insurance Code, to read:14001.(a)As used in this chapter, the following terms have the following meanings:
(1)Catastrophe means an event that results in a large number of deaths or injuries, causes extensive damage or destruction of facilities that provide and sustain human needs, produces an overwhelming demand on state and local response resources and mechanisms, causes a severe long-term effect on general economic activity, or severely affects state, local, and private sector capabilities to begin and sustain response activities.
(2)Commissioner means the Insurance Commissioner.
(3)Department means the Department of Insurance.
(4)Fingerprints means an impression of the lines on the finger taken for the purposes of identification.
(5)Home state means the District of Columbia and any state or territory of the United States in which an independent insurance adjuster maintains his, her, or its principal place of residence or business and is licensed to act as a resident independent insurance adjuster. If the resident state does not license independent insurance adjusters for the line of authority sought, the independent insurance adjuster shall designate as his, her, or its home state either California or any state in which the independent insurance adjuster is licensed following an examination, provided that the independent insurance adjuster is licensed and in good standing in that state.
(6)Individual means a natural person.
(7)Licensee means a person licensed under this chapter.
(8)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(9)Nonresident means a person who is not a resident of California at the time of the performance of the act referred to in Section 14071.
(10)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
(b)This section shall become operative on January 1, 2018.
SEC. 9.Section 14010 of the Insurance Code is amended to read:14010.(a)The department succeeds to and is vested with all the duties, powers, purposes, responsibilities, and jurisdiction previously vested in the Bureau of Collection and Investigative Services with respect to the licensing of insurance adjusters.
Any reference to prior licensing shall be deemed to licensing under the Private Investigator and Adjuster Act.
The commissioner shall administer and enforce the provisions of this chapter.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 10.Section 14010 is added to the Insurance Code, to read:14010.(a)The commissioner shall administer and enforce the provisions of this chapter.
(b)This section shall become operative on January 1, 2018.
SEC. 11.Section 14020 of the Insurance Code is amended to read:14020.No (a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed under this chapter.
No
(b)A person shall not falsely represent that he or she is employed by a licensee.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 12.Section 14020 is added to the Insurance Code, to read:14020.(a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed as an independent insurance adjuster in accordance with this chapter.
(b)A person shall not falsely represent that he or she is employed by a licensee.
(c)This section shall become operative on January 1, 2018.
SEC. 13.Section 14021 of the Insurance Code is amended to read:14021.(a)An insurance adjuster within the meaning of this chapter is a person other than a private investigator as defined in Section 7521 of the Business and Professions Code who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business or aids an insurer in any manner with reference to:
Crime or wrongs done or threatened against the United States of America or any state or territory of the United States of America; the identity, habits, conduct, business, occupation, honesty, integrity, credibility, knowledge, trustworthiness, efficiency, loyalty, activity, movement, whereabouts, affiliations, associations, transactions, acts, reputation, or character of any person; the location, disposition, or recovery of lost or stolen property; the cause or responsibility for fires, libels, losses, accidents, or damage or injury to persons or to property; or securing evidence to be used before any court, board, officer, or investigating committee.
Notwithstanding
(b)Notwithstanding any other provision of law, this section is in no way intended to limit the ability of a duly licensed independent insurance adjuster to perform the duties of an independent insurance adjuster for any other entity.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 14.Section 14021 is added to the Insurance Code, to read:14021.(a)An independent insurance adjuster, for purposes of this chapter, is all of the following:
(1)An individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers.
(2)A person whose tax treatment by the insurers is consistent with that of an independent contractor rather than an employee, as defined in Section 3121 of Title 26 of the United States Code.
(3)A person who investigates, negotiates, or settles property and casualty claims for insurers.
(b)This section shall become operative on January 1, 2018.
SEC. 15.Section 14022 of the Insurance Code is amended to read:14022.(a)This chapter does not apply to: to any of the following:
(a)
(1)A person employed exclusively and regularly by one employer in connection with the affairs of such that employer only and where there exists an employer- employee relationship.
(b)
(2)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while such that officer or employee is engaged in the performance of his or her official duties.
(c)
(3)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(d)
(4)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(e)
(5)An attorney at law in performing his or her duties as such attorney at law. an attorney.
(f)
(6)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(g)
(7)Admitted insurers and agents and insurance brokers licensed by the state, performing duties in connection with insurance transacted by them.
(h)
(8)The legal owner of personal property which that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(i)
(9)Any bank subject to the jurisdiction of the Commissioner of Financial Institutions of the State of California Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(j)
(10)A person engaged solely in the business of securing information about persons or property from public records.
(k)
(11)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 16.Section 14022 is added to the Insurance Code, to read:14022.(a)This chapter does not apply to any of the following:
(1)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while that officer or employee is engaged in the performance of his or her official duties.
(2)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(3)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(4)An attorney at law admitted to practice in California, when acting in his or her professional capacity as an attorney.
(5)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(6)An officer, director, manager, or employee of an authorized insurer, surplus line insurer, a risk retention group, or an attorney-in-fact of a reciprocal insurer.
(7)A licensed insurance agent or broker or managing general agent of the insurer to whom claim authority has been granted by the insurer.
(8)The legal owner of personal property that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(9)Any bank subject to the jurisdiction of the Commissioner of Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(10)A person employed solely to obtain facts surrounding a claim or to furnish technical assistance to a licensed independent insurance adjuster.
(11)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed independent insurance adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(12)An individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments.
(13)A person who solely performs administrative or clerical duties, or any combination thereof, and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative.
(14)A licensed health care provider or its employees who provides managed care if the services do not include the determination of compensability.
(15)A managed care organization or any of its employees who provide managed care services if the services do not include the determination of compensability.
(16)A person who settles only reinsurance or subrogation claims.
(17)A United States manager of the United States branch of an alien insurer.
(18)An individual employee, under a self-insured arrangement, who adjusts claims on behalf of his or her employer.
(19)An individual or business entity that investigates, negotiates, or settles workers compensation claims.
(b)This section shall become operative on January 1, 2018.
SEC. 17.Section 14022.5 of the Insurance Code is amended to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed adjuster is under the active direction, control, charge, or management of a licensed adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within 15 working days from the date on which the nonlicensed adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, shall mean means a written letter to the commissioner, submitted by the supervising licensed adjuster or admitted insurer, naming the nonlicensed adjusters, identifying their adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 180 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 180-day extensions as he or she deems appropriate upon written request from the supervising licensed adjuster or the admitted insurer.
(d)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 18.Section 14022.5 is added to the Insurance Code, to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed independent insurance adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed independent insurance adjuster is under the active direction, control, charge, or management of a licensed independent insurance adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within five working days from the date on which the nonlicensed independent insurance adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, means a written letter to the commissioner, submitted by the supervising licensed independent insurance adjuster or admitted insurer, naming the nonlicensed independent insurance adjusters, identifying their independent insurance adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 180 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 180-day extensions as he or she deems appropriate upon written request from the supervising licensed independent insurance adjuster or the admitted insurer.
(d)This section shall become operative on January 1, 2018.
SEC. 19.Section 14024 of the Insurance Code is amended to read:14024.(a)An application shall be verified and shall include: include all of the following:
(a)
(1)The full name and business address of the applicant.
(b)
(2)The name under which the applicant intends to do business.
(c)
(3)A statement as to the general nature of the business in which the applicant intends to engage.
(d)
(4)A statement as to the classification or classifications under which the applicant desires to be qualified.
(e)
(5)If the applicant is a person other than an individual, the full name and residence address of each of its partners, officers, and directors, and its manager.
(f)
(6)Two recent photographs of the applicant, of a type prescribed by the commissioner, and two classifiable sets of his or her fingerprints.
(g)
(7)A verified statement of his or her experience qualifications.
(h)Such other
(8)Other information, evidence, statements, or documents as may be required by the commissioner.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 20.Section 14024 is added to the Insurance Code, to read:14024.(a)An individual application shall be verified and shall include all of the following:
(1)The full legal name and business, residence, and mailing addresses of the applicant.
(2)The name under which the applicant intends to do business.
(3)The applicants birth date and social security number.
(4)The application fees set forth in Section 14097.
(5)A statement as to the general nature of the business in which the applicant intends to engage.
(6)A statement as to the classifications under which the applicant desires to be qualified.
(7)Two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
(8)A verified statement of his or her experience qualifications, unless applying for an apprentice independent insurance adjuster license.
(9)Other information, evidence, statements, or documents as may be required by the commissioner.
(b)A business entity application shall be verified and shall include all of the following:
(1)The full legal name and residence address of each of its partners, officers, and directors, and its manager.
(2)The name under which the applicant intends to do business.
(3)That the applicant paid the fees set forth in Section 14097.
(4)A statement as to the general nature of the business in which the applicant intends to engage.
(5)A statement as to the classifications under which the applicant desires to be qualified.
(6)Other information, evidence, statements, or documents as may be required by the commissioner.
(c)This section shall become operative on January 1, 2018.
SEC. 21.Section 14025 of the Insurance Code is amended to read:14025.(a)Before an application for a license is granted, the applicant, or his or her manager, shall meet all of the following:
(a)
(1)Be at least 18 years of age.
(b)
(2)Not have committed acts or crimes constituting grounds for denial of licensure under Section 480 of the Business and Professions Code.
(c)
(3)Shall have had at least two years of experience in adjusting insurance claims or the equivalent thereof as determined by the commissioner.
(d)
(4)Comply with such those other qualifications as the commissioner may fix by rule. regulation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 22.Section 14025 is added to the Insurance Code, to read:14025.(a)Before a license is granted, the applicant shall meet all of the following requirements:
(1)Be at least 18 years of age.
(2)Not have committed acts or crimes constituting grounds for denial of licensure under Sections 1668 and 1669.
(3)Have had either of the following:
(A)At least two years of experience in adjusting insurance claims or the equivalent thereof as determined by the commissioner, unless applying for an apprentice independent insurance adjuster license.
(B)One year as a licensed apprentice independent insurance adjuster, which is considered the equivalent of two years of experience in adjusting claims.
(4)If the applicant resides in a state that does not license independent insurance adjusters, he or she is required to be licensed in good standing to designate California as his or her home state.
(5)(A)Completed a 20-hour prelicensing education course of study.
(B)A nonresident applicant currently licensed as a home state independent insurance adjuster in another state who has met that states prelicensing education requirements is exempt from completing the prelicensing education requirement.
(C)A resident applicant currently listed under a licensed independent insurance adjusters license as an unlicensed employee is exempt from completing the prelicensing education requirement. This exemption shall be in effect only until January 1, 2019.
(6)Successfully passed the examination for the independent insurance adjuster license, unless he or she qualifies for an exemption in Section 14026.
(7)Comply with those other qualifications that the commissioner may require by regulation.
(b)This section shall become operative on January 1, 2018.
SEC. 23.Section 14025.1 is added to the Insurance Code, to read:14025.1.(a)The apprentice independent insurance adjuster license is a license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster.
(b)An individual applying for an apprentice independent insurance adjuster license shall submit an application in a format prescribed by the commissioner and shall declare under penalty of suspension, revocation, or refusal of the license that the statements made in the application are true, correct, and complete to the best of the individuals knowledge and belief. Before approving the application, the commissioner shall determine that the individual meets all of the following:
(1)Is at least 18 years of age.
(2)Is a resident of California or is a resident of another state and has designated California as his or her home state.
(3)Has a business or mailing address in California for the acceptance of service of process.
(4)Has not committed any act that is a ground for suspension, revocation, or denial of licensure as set forth in Sections 1668, 1668.1, and 1669.
(5)Has paid the fees set forth in paragraph (8) of subdivision (a) of Section 14097.
(c)The apprentice independent insurance adjuster license shall be subject to the following terms and conditions:
(1)The applicant shall submit, with the apprentice independent insurance adjuster application, an attestation from a licensed independent insurance adjuster certifying that the apprentice will be subject to training, direction, and control by the licensed independent insurance adjuster and further certifying that the licensed independent insurance adjuster assumes responsibility for the actions of the apprentice in the apprentices capacity as an apprentice independent insurance adjuster.
(2)The apprentice independent insurance adjuster is only authorized to adjust claims in California.
(3)The apprentice independent insurance adjuster is restricted to participation in the investigation, settlement, and negotiation of claims subject to the review and final determination of the claim by a supervising licensed independent insurance adjuster.
(4)The apprentice independent insurance adjuster shall not be required to take and successfully complete the independent insurance adjuster examination to adjust claims as an apprentice independent insurance adjuster. At any time during the apprenticeship, the apprentice independent insurance adjuster may choose to take the examination. If the individual takes and successfully completes the independent insurance adjuster exam, the apprentice independent insurance adjuster license shall automatically terminate and an independent insurance adjuster license shall be issued to that individual in its place.
(5)The apprentice independent insurance adjuster license is valid for a period not to exceed 12 months and is nonrenewable.
(6)The licensee shall be subject to suspension, revocation, or denial pursuant to Sections 1668, 1668.1, and 1669.
(7)The applicant shall submit two photographs, no more than six months old, of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
(d)This section shall become operative on January 1, 2018.
SEC. 24.Section 14026 of the Insurance Code is amended to read:14026.(a)The commissioner may require an applicant, or his or her manager, to demonstrate his or her qualifications by a written or oral examination, or a combination of both.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 25.Section 14026 is added to the Insurance Code, to read:14026.(a)An applicant for an independent insurance adjuster license, unless applying for an apprentice independent insurance adjuster license or crop insurance adjuster license, shall pass a written examination.
(1)The examination shall test the knowledge of the applicant concerning the duties and responsibilities of an independent insurance adjuster and this code.
(2)An applicant applying for an examination shall remit a nonrefundable fee as prescribed by the commissioner in Section 14097.
(b)An individual who applies for an independent insurance adjuster license in California who holds a home state license in another state as an independent insurance adjuster shall not be required to complete the examination if he or she successfully passed an examination as a condition of receiving an independent insurance adjuster license in his or her home state. This exemption applies to individuals who are currently licensed in their home state or if the home state license expired and the application is received by the commissioner within 90 days of expiration.
(c)An individual who applies for an apprentice independent insurance adjuster license pursuant to Section 14025.1, and who adjusts claims in that capacity, shall not be required to take and successfully complete the independent insurance adjuster examination.
(d)This section shall become operative on January 1, 2018.
SEC. 26.Section 14027 of the Insurance Code is amended to read:14027.(a)Payment of the application fee prescribed by this chapter entitles an applicant, or his or her manager, to one examination without further charge. If the person fails to pass the examination, he or she shall not be eligible for any subsequent examination except upon payment of the reexamination fee prescribed by this chapter for each such subsequent examination.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 27.Section 14028 of the Insurance Code is amended to read:14028.(a)After a hearing hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not: not done any of the following:
(a)
(1)Committed any acts or crimes constituting grounds for denial of licensure under Section 480 of the Business and Professions Code.
(b)
(2)Been refused a license under this chapter or had a license revoked.
(c)
(3)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(d)
(4)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(e)
(5)Committed any act or crime constituting grounds for denial of license licensure under Section 1668.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 28.Section 14028 is added to the Insurance Code, to read:14028.(a)After a hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not done any of the following:
(1)Been refused a license under this chapter or had a license revoked.
(2)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(3)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(4)Committed any act or crime constituting grounds for denial of licensure under Section 1668.
(b)This section shall become operative on January 1, 2018.
SEC. 29.Section 14029 of the Insurance Code is amended to read:14029.(a)The business of each licensee shall be operated under the active direction, control, charge, or management of the licensee, if the licensee is qualified, or the person who has qualified to act as the licensees manager, if the licensee is not qualified.
(b)No person shall act as a manager of a licensee until he or she has complied with each of the following:
(1)Demonstrated his or her qualifications by a written or oral examination, or a combination of both, if required by the commissioner.
(2)Made a satisfactory showing to the commissioner that he or she has the qualifications prescribed by Section 14025 and that none of the facts stated in Section 14028 or 14028.5 exist as to him or her.
(c)If the manager, who has qualified as provided in this section, ceases for any reason whatsoever to be connected with the licensee to whom the license is issued, the licensee shall notify the commissioner in writing 30 days from the cessation. If notice is given, the license shall remain in force for a reasonable length of time to be determined by the rules of the commissioner pending the qualifications, as provided in this chapter, of another manager. If the licensee fails to notify the commissioner within the 30-day period, his or her license shall be subject to suspension or revocation and may be reinstated only upon the filing of an application for reinstatement, payment of the reinstatement fee, if any is due, and the qualification of a manager as provided herein.
(d)Every manager shall renew his or her authority by satisfying the requirements of Article 8 (commencing with Section 14090).
(e)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 30.Section 14029 is added to the Insurance Code, to read:14029.(a)Each organization licensed under this chapter shall designate an individual also licensed as an independent insurance adjuster to be responsible for the organizations compliance with state law.
(b)This section shall become operative on January 1, 2018.
SEC. 31.Section 14030 of the Insurance Code is amended to read:14030.(a)Whenever the individual on the basis of whose qualifications a license under this chapter has been obtained ceases to be connected with the licensee for any reason whatever, the business may be carried on for such a temporary period and under such the terms and conditions as the commissioner shall provide by regulation.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 32.Section 14031 of the Insurance Code is amended to read:14031.(a)Whenever a hearing is held under this chapter to determine whether an application for a license should be granted or to determine the qualifications of a licensees manager, the proceedings shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 33.Section 14031 is added to the Insurance Code, to read:14031.(a)A hearing held under this chapter to determine whether an application for a license should be granted shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
(b)This section shall be operative on January 1, 2018.
SEC. 34.Section 14032 of the Insurance Code is amended to read:14032.(a)The form and content of the license shall be determined by the commissioner in accordance with Section 164 of the Business and Professions Code.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 35.Section 14032 is added to the Insurance Code, to read:14032.(a)The form and content of the license shall be determined by the commissioner.
(b)This section shall become operative on January 1, 2018.
SEC. 36.Section 14037 of the Insurance Code is amended to read:14037.(a)A licensee shall at all times be legally responsible for the good conduct in the business of each of his or her employees or agents, including his or her manager.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 37.Section 14038 of the Insurance Code is amended to read:14038.(a)Any licensee or officer, director, partner, or manager of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained.
(b)No A licensee or officer, director, partner, manager, or employee of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)No A written report shall not be submitted to a client except by the licensee, qualifying manager, or a person authorized by one or either of them, and such the person submitting the report shall exercise diligence in ascertaining whether or not the facts and information in such a that report are true and correct.
(d)No licensee, A licensee or officer, director, partner, manager, or employee of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)No licensee, A licensee or officer, director, partner, manager, or employee of a licensee, shall not use a title, or wear a uniform, or use an insignia, or use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)No licensee, A licensee or officer, director, partner, manager, or employee of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)No A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)No A licensee shall not permit an employee or agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in the name of and under the control of the licensee.
(i)No A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 38.Section 14038 is added to the Insurance Code, to read:14038.(a)Any licensee or officer, director, or partner of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained.
(b)A licensee or officer, director, or partner of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)A written report shall not be submitted to a client except by the licensee who shall exercise diligence in ascertaining whether or not the facts and information in that report are true and correct.
(d)A licensee or officer, director, or partner of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)A licensee or officer, director, or partner of a licensee shall not use a title, wear a uniform, use an insignia, use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)A licensee or officer, director, or partner of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)A licensee shall not permit an agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in the name of and under the control of the licensee.
(i)A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
(j)This section shall become operative on January 1, 2018.
SEC. 39.Section 14039 of the Insurance Code is amended to read:14039.No (a)A person licensed as an insurance adjuster shall not do any of the following:
(a)
(1)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(b)
(2)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(c)
(3)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm, which firm that obtains business in connection with any claim which that he or she has a contract or agreement to adjust.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 40.Section 14039 is added to the Insurance Code, to read:14039.(a)A person licensed as an independent insurance adjuster shall not do any of the following:
(1)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(2)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(3)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm that obtains business in connection with any claim that he or she has a contract or agreement to adjust.
(b)This section shall become operative on January 1, 2018.
SEC. 41.Section 14040 of the Insurance Code is amended to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, partner, manager, or employee of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee and an employee number by which such the person may be identified by the licensee.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 42.Section 14040 is added to the Insurance Code, to read:14040.(a)Any badge or cap insignia worn by a person who is a licensee, officer, director, or partner of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee.
(b)This section shall become operative on January 1, 2018.
SEC. 43.Section 14042 of the Insurance Code is amended to read:14042.No (a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
The
(b)The commissioner shall not authorize the use of a fictitious or other business name which that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
The
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5 of this code and Chapter 5 (commencing with Section 17900) of Part 3 of Division 7 of the Business and Professions Code.
A
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of each such that name.
The
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for such that authorization.
(f)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 44.Section 14042 is added to the Insurance Code, to read:14042.(a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
(b)The commissioner shall not authorize the use of a fictitious or other business name that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5.
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of that name.
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for that authorization.
(f)This section shall become operative on January 1, 2018.
SEC. 45.Section 14061 of the Insurance Code is amended to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has: manager has done any of the following:
(a)
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(b)
(2)Violated any provisions of this chapter.
(c)
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(d)
(4)Been convicted of any crime substantially related to the qualifications, functions functions, and duties of the holder of the registration or license in question.
(e)
(5)Impersonated, or permitted or aided and abetted an employee to impersonate impersonate, a law enforcement officer or employee of the United States of America, or of any state or political subdivision thereof.
(f)
(6)Committed or permitted any employee to commit any act, while the license was expired which that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(g)
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(h)
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(i)
(9)Knowingly violated, violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(j)
(10)Acted as a runner or capper for any attorney.
(k)
(11)Committed any act which that is a ground for denial of an application for license under this chapter.
(l)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this subdivision may be punished by the suspension of a license for a period to be determined by the commissioner.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 46.Section 14061 is added to the Insurance Code, to read:14061.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has done any of the following:
(1)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(2)Violated any provisions of this chapter.
(3)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(4)Been convicted of any crime substantially related to the qualifications, functions, and duties of the holder of the registration or license in question.
(5)Impersonated, or permitted or aided and abetted an employee to impersonate, a law enforcement officer or employee of the United States of America, or of any state or political subdivision thereof.
(6)Committed or permitted any employee to commit any act, while the license was expired that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(7)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(8)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(9)Knowingly violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(10)Acted as a runner or capper for any attorney.
(11)Committed any act that is a ground for denial of an application for license under this chapter.
(12)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this paragraph may be punished by the suspension of a license for a period to be determined by the commissioner.
(b)This section shall become operative on January 1, 2018.
SEC. 47.Section 14063 of the Insurance Code is amended to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has: manager has done any of the following:
(a)
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(b)
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 48.Section 14063 is added to the Insurance Code, to read:14063.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, or partners has done any of the following:
(1)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(2)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
(b)The section shall become operative on January 1, 2018.
SEC. 49.Section 14064 of the Insurance Code is amended to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has committed any act in the course of the licensees business constituting dishonesty or fraud.
Dishonesty
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(a)
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(b)
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(c)
(3)Manufacture of evidence.
(d)
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by such that client or former client.
(e)
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate impersonate, a law enforcement officer or employee of the United States of America, or of any state or political subdivision thereof.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 50.Section 14064 is added to the Insurance Code, to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its designated responsible person has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(3)Manufacture of evidence.
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by that client or former client.
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate, a law enforcement officer or employee of the United States of America, or of any state or political subdivision thereof.
(c)This section shall become operative on January 1, 2018.
SEC. 51.Section 14078 of the Insurance Code is amended to read:14078.(a)As used in this article, nonresident means a person who is not a resident of this state at the time of the performance of the act referred to in Section 14071.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 52.Section 14078 is added to the Insurance Code, to read:14078.(a)Unless refused licensure pursuant to Sections 14060 to 14065, inclusive, a nonresident person shall receive a nonresident independent insurance adjuster license if all of the following apply:
(1)The applicant is currently licensed in good standing as an independent insurance adjuster in his, her, or its resident or home state.
(2)The applicant paid the fees required by Section 14097.
(3)The applicant submitted to the commissioner the completed application for licensure.
(4)The applicants home state issues nonresident independent insurance adjuster licenses to residents of California on the same basis.
(b)The commissioner may verify the independent insurance adjusters licensing status through any appropriate database, including the Producer Database maintained by the National Association of Insurance Commissioners, its affiliates or subsidiaries, or may request certification of good standing.
(c)As a condition to the continuation of a nonresident independent insurance adjuster license, the licensee shall maintain a resident independent insurance adjuster license in his, her, or its home state.
(1)The nonresident independent insurance adjuster license issued under this chapter shall terminate and be surrendered immediately to the commissioner if the resident independent insurance adjuster license terminates for any reason, unless the termination is due to the independent insurance adjuster being issued a new resident independent insurance adjuster license in his, her, or its new home state.
(2)The nonresident independent insurance adjuster license shall terminate if the persons home state does not issue nonresident independent insurance adjuster licenses to residents of California on the same basis.
(3)(A)The licensee is required to give notice of resident independent insurance adjuster license termination to any state that issued a nonresident independent insurance adjuster license.
(B)The notice is required to be given within 30 days of the termination date. If the resident independent insurance adjuster license was terminated for change in resident home state, then the notice is required to include both the previous and current address.
(4)Maintaining a resident independent insurance adjuster license is required for the nonresident independent insurance adjuster license to remain valid.
(d)This section shall become operative on January 1, 2018.
SEC. 53.Section 14079 is added to the Insurance Code, to read:14079.(a)An independent insurance adjuster shall be honest and fair in all communications with the insured, the insurer, and the public.
(b)An independent insurance adjuster shall provide policyholders and claimants with prompt and knowledgeable service and courteous, fair, and objective treatment at all times.
(c)An independent insurance adjuster shall not give legal advice and shall not deal directly with any policyholder or claimant who is represented by legal counsel without the consent of the legal counsel involved.
(d)An independent insurance adjuster shall comply with all local, state, and federal privacy and information security laws.
(e)An independent insurance adjuster shall identify himself or herself as an independent insurance adjuster and, if applicable, shall identify his or her employer when dealing with any policyholder or claimant.
(f)An independent insurance adjuster shall not have any financial interest in any adjustment or shall not acquire for himself, herself, or any person any interest or title in salvage, without first receiving written authority from the principal.
(g)This section shall become operative on January 1, 2018.
SEC. 54.Section 14080 of the Insurance Code is amended to read:14080.(a)Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (6) of subdivision (f) (a) of Section 14024 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both such the fine and imprisonment.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 55.Section 14080 is added to the Insurance Code, to read:14080.(a)Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (7) of subdivision (a) of Section 14024 or paragraph (7) of subdivision (c) of Section 14025.1 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both the fine and imprisonment.
(b)This section shall become operative on January 1, 2018.
SEC. 56.Section 14090.1 of the Insurance Code is amended to read:14090.1.(a)An individual who holds an insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an insurance adjuster license reported to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident insurance adjuster license who has met the continuing education requirements of his or her designated resident state.
(3)An individual licensed as an insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(c)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 57.Section 14090.1 is added to the Insurance Code, to read:14090.1.(a)An individual who holds an independent insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an independent insurance adjuster license and shall report the completion of this coursework to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident independent insurance adjuster license who has met the continuing education requirements of his or her designated home state.
(3)An individual licensed as an independent insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(4)An individual licensed as an apprentice independent insurance adjuster pursuant to Section 14025.1.
(c)This section shall become operative on January 1, 2018.
SEC. 58.Section 14097 of the Insurance Code is amended to read:14097.(a)The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(a)
(1)The application fee for an original license is twenty-nine dollars ($29).
(b)
(2)The application fee for an original branch office certificate is eighteen dollars ($18).
(c)
(3)The fee for an original license is an amount equal to the renewal fee in effect on the last regular renewal date before the date on which the license is issued, except that, if the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(d)
(4)The renewal fee shall be fixed by the commissioner as follows:
(1)
(A)For a license as an insurance adjuster, not more than one hundred eighteen dollars ($118).
(2)
(B)For a branch office certificate, not more than twenty-four dollars ($24).
(e)
(5)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(f)
(6)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration, but not more than twenty-nine dollars ($29).
(g)
(7)The fee for reexamination of an applicant or his manager is twelve dollars ($12).
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 59.Section 14097 is added to the Insurance Code, to read:14097.(a)The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(1)The application fee for the qualifying examination for an original license is seventy-two dollars ($72).
(2)The application fee for an original branch office certificate is forty-seven dollars ($47).
(3)The fee for an original license application is up to one hundred seventy dollars ($170). If the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(4)The renewal fee shall be fixed by the commissioner as follows:
(A)For a license as an independent insurance adjuster, not more than one hundred seventy dollars ($170).
(B)For a branch office certificate, not more than fifty-six dollars ($56).
(5)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(6)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration.
(7)The fee for reexamination of an applicant is twenty-nine dollars ($29).
(8)The application fee for an apprentice independent insurance adjuster license shall be fixed at up to one hundred seventy dollars ($170).
(b)This section shall become operative on January 1, 2018.
SEC. 60.Section 14099 of the Insurance Code is amended to read:14099.(a)Application or license fee fees shall not be refunded except in accordance with Section 158 of the Business and Professions Code.
(b)This section shall remain in effect only until January 1, 2018, and as of that date is repealed, unless a later enacted statute, that is enacted before January 1, 2018, deletes or extends that date.
SEC. 61.Section 14099 is added to the Insurance Code, to read:14099.(a)Application or license fees shall not be refunded pursuant to Section 1751.5.
(b)This section shall become operative on January 1, 2018.
SEC. 62.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
If a natural person while licensed pursuant to the provisions of this chapter or Chapters Chapter 6 (commencing with Section 1760), 7 (commencing with Section 1800), or 8 (commencing with Section 1831) of this part, or Part 5 (commencing with Section 12140) of Division 2 2, or Chapter 1 (commencing with Section 14000) of Division 5 enters the military service of the United States and is in such that service at a time prescribed for the filing of a renewal application, the filing of such that application is waived, and the license held by such that licensee at the time of his or her entry into military service shall remain in force during the period of such that military service and until the end of the license year in which he or she is released from such that service but not for less than six months after such that release. During such period such that period, that person may secure a license of the type held by him or her on his or her entry into military service upon the filing of an application and paying the fee therefor without the necessity of taking any examination or paying any penalty.
SEC. 2.Section 1751.5 of the Insurance Code is amended to read:1751.5.The fees required by this chapter and by Chapter 6 (commencing with Section 1760), Chapter 7 (commencing with Section 1800), and Chapter 8 (commencing with Section 1831) of this part and by Chapter 1 (commencing with Section 14000) of Division 5 are filing fees, no portion of which shall be refunded whether or not the application is acted upon or the examination is taken.
SEC. 3.Section 14000 of the Insurance Code is amended to read:14000.This chapter may be cited as the Independent Insurance Adjuster Act.
SEC. 4.Section 14001 of the Insurance Code is amended to read:14001.As used in this chapter: chapter, the following terms have the following meanings:
(a)Catastrophe means an event that results in a large number of deaths or injuries, causes extensive damage or destruction of facilities that provide and sustain human needs, produces an overwhelming demand on state and local response resources and mechanisms, causes a severe long-term effect on general economic activity, or severely affects state, local, and private sector capabilities to begin and sustain response activities.
(a)
(b)Commissioner means the Insurance Commissioner.
(b)
(c)Department means the Department of Insurance.
(d)Fingerprints means an impression of the lines on the finger taken for the purposes of identification.
(e)Home state means the District of Columbia and any state or territory of the United States in which an independent insurance adjuster maintains his, her, or its principal place of residence or business and is licensed to act as a resident independent insurance adjuster. If the resident state does not license independent insurance adjusters, the independent insurance adjuster may designate California as his, her, or its home state, provided that the independent insurance adjuster is licensed and in good standing.
(f)Individual means a natural person.
(c)
(g)Licensee means a person licensed under this chapter.
(d)
(h)Manager means the individual under whose direction, control, charge, or management the business of a licensee is operated.
(i)Nonresident means a person who is not a resident of California at the time of the performance of the act referred to in Section 14071.
(e)
(j)Person includes any individual, firm, company, association, organization, partnership, limited liability company, and corporation.
SEC. 5.Section 14010 of the Insurance Code is repealed.14010.The department succeeds to and is vested with all the duties, powers, purposes, responsibilities, and jurisdiction previously vested in the Bureau of Collection and Investigative Services with respect to the licensing of insurance adjusters.
Any reference to prior licensing shall be deemed to licensing under the Private Investigator and Adjuster Act.
The commissioner shall administer and enforce the provisions of this chapter.
SEC. 6.Section 14010 is added to the Insurance Code, to read:14010.The commissioner shall administer and enforce the provisions of this chapter.
SEC. 7.Section 14020 of the Insurance Code is amended to read:14020.No
(a)A person shall not engage in a business regulated by this chapter, or act or assume to act as, or represent himself or herself to be, a licensee unless he or she is licensed under as an independent insurance adjuster in accordance with this chapter.
No
(b)A person shall not falsely represent that he or she is employed by a licensee.
SEC. 8.Section 14021 of the Insurance Code is repealed.14021.An insurance adjuster within the meaning of this chapter is a person other than a private investigator as defined in Section 7521 of the Business and Professions Code who, for any consideration whatsoever, engages in business or accepts employment to furnish, or agrees to make, or makes, any investigation for the purpose of obtaining, information in the course of adjusting or otherwise participating in the disposal of, any claim under or in connection with a policy of insurance on behalf of an insurer or engages in soliciting insurance adjustment business or aids an insurer in any manner with reference to:
Crime or wrongs done or threatened against the United States of America or any state or territory of the United States of America; the identity, habits, conduct, business, occupation, honesty, integrity, credibility, knowledge, trustworthiness, efficiency, loyalty, activity, movement, whereabouts, affiliations, associations, transactions, acts, reputation, or character of any person; the location, disposition, or recovery of lost or stolen property; the cause or responsibility for fires, libels, losses, accidents, or damage or injury to persons or to property; or securing evidence to be used before any court, board, officer, or investigating committee.
Notwithstanding any other provision of law, this section is in no way intended to limit the ability of a duly licensed independent insurance adjuster to perform the duties of an independent insurance adjuster for any other entity.
SEC. 9.Section 14021 is added to the Insurance Code, to read:14021.An independent insurance adjuster, for purposes of this chapter, is all of the following:
(a)An individual, a business entity, an independent contractor, or an employee of a contractor, who contracts for compensation with insurers.
(b)A person whose tax treatment by the insurers is consistent with that of an independent contractor rather than an employee, as defined in Section 3121 of Title 26 of the United States Code.
(c)A person who investigates, negotiates, or settles property and casualty claims for insurers.
SEC. 10.Section 14022 of the Insurance Code is amended to read:14022.This chapter does not apply to: to any of the following:
(a)A person employed exclusively and regularly by one employer in connection with the affairs of such employer only and where there exists an employer- employee relationship.
(b)
(a)An officer or employee of the United States of America, or of this state or a political subdivision thereof, while such that officer or employee is engaged in the performance of his or her official duties.
(c)
(b)A person engaged exclusively in the business of obtaining and furnishing information as to the financial rating of persons.
(d)
(c)A charitable philanthropic society or association duly incorporated under the laws of this state, which is organized and maintained for the public good and not for private profit.
(e)
(d)An attorney at law admitted to practice in performing California, when acting in his or her duties professional capacity as such attorney at law. an attorney.
(f)
(e)A licensed collection agency or an employee thereof while acting within the scope of his or her employment, while making an investigation incidental to the business of the agency, including an investigation of the location of a debtor or his or her property where the contract with an assignor creditor is for the collection of claims owed or due or asserted to be owed or due or the equivalent thereof.
(f)An officer, director, manager, or employee of an authorized insurer, surplus line insurer, a risk retention group, or an attorney-in-fact of a reciprocal insurer.
(g)Admitted insurers and agents and A licensed insurance brokers licensed by the state, performing duties in connection with insurance transacted by them. agent or broker, attorney-in-fact of a reciprocal insurer, or managing general agent of the insurer to whom claim authority has been granted by the insurer.
(h)The legal owner of personal property which that has been sold under a conditional sales agreement or a mortgagee under the terms of a chattel mortgage.
(i)Any bank subject to the jurisdiction of the Commissioner of Financial Institutions of the State of California Business Oversight under Division 1 (commencing with Section 99) of the Financial Code or the Comptroller of the Currency of the United States.
(j)A person engaged employed solely in the business of securing information about persons to obtain facts surrounding a claim or property from public records. to furnish technical assistance to a licensed independent insurance adjuster.
(k)Any building contractor, engineer, technical expert, or other person who is engaged by an insurer or licensed independent insurance adjuster to provide an expert or professional evaluation of the extent, cause, or origin of damage to the insured property, but who does not otherwise participate in the process of adjusting claims.
(l)An individual who is employed to investigate suspected fraudulent insurance claims but who does not adjust losses or determine claims payments.
(m)A person who solely performs executive, administrative, managerial, or clerical duties or any combination thereof and who does not investigate, negotiate, or settle claims with policyholders, claimants, or their legal representative.
(n)A licensed health care provider or its employee who provides managed care if the services do not include the determination of compensability.
(o)A managed care organization or any of its employees who provide managed care services if the services do not include the determination of compensability.
(p)A person who settles only reinsurance or subrogation claims.
(q)A United States manager of the United States branch of an alien insurer.
(r)A person who investigates, negotiates, or settles life, accident and health, annuity, or disability insurance claims.
(s)An individual employee, under a self-insured arrangement, who adjusts claims on behalf of his or her employer.
SEC. 11.Section 14022.5 of the Insurance Code is amended to read:14022.5.(a)In the event of an emergency situation as declared by the commissioner, claims arising out of the emergency, catastrophe, disaster, or other similar occurrence may be adjusted by a nonlicensed independent insurance adjuster upon registration with the commissioner if all of the following requirements are met:
(1)The work performed by the nonlicensed independent insurance adjuster is under the active direction, control, charge, or management of a licensed independent insurance adjuster or an insurer authorized to do business in this state.
(2)Registration with the commissioner is accomplished within 15 five working days from the date on which the nonlicensed independent insurance adjuster commences the claims adjusting activity in connection with the emergency situation.
(b)Registration, within the meaning of this section, shall mean means a written letter to the commissioner, submitted by the supervising licensed independent insurance adjuster or admitted insurer, naming the nonlicensed independent insurance adjusters, identifying their independent insurance adjuster licenses held in other jurisdictions, and stating when their claims adjusting activity commenced.
(c)Registration under this section is valid for a period of 180 90 days from the date of the registration letter. Before the lapse of that period, the commissioner may grant further 180-day 90-day extensions as he or she deems appropriate upon written request from the supervising licensed independent insurance adjuster or the admitted insurer.
SEC. 12.Section 14024 of the Insurance Code is amended to read:14024.(a)An individual application shall be verified and shall include: include all of the following:
(a)
(1)The full legal name and business address business, resident, and mailing addresses of the applicant.
(b)
(2)The name under which the applicant intends to do business.
(3)The applicants birth date and social security number.
(4)The application fees set forth in Section 14097.
(c)
(5)A statement as to the general nature of the business in which the applicant intends to engage.
(d)
(6)A statement as to the classification or classifications under which the applicant desires to be qualified.
(e)If the applicant is a person other than an individual, the
(7)Two recent photographs of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
(8)A verified statement of his or her experience qualifications, unless applying for an apprentice independent insurance adjuster license.
(9)Other information, evidence, statements, or documents as may be required by the commissioner.
(b)A business entity application shall be verified and shall include all of the following:
(1)The full legal name and residence address of each of its partners, officers, and directors, and its manager.
(f)Two recent photographs of the applicant, of a type prescribed by the commissioner, and two classifiable sets of his or her fingerprints.
(2)The name under which the applicant intends to do business.
(3)The name of a licensed independent insurance adjuster who is responsible for the business entities compliance with this chapter.
(4)That the applicant paid the fees set forth in Section 14097.
(5)A statement as to the general nature of the business in which the applicant intends to engage.
(g)
(6)A verified statement of his or her experience qualifications. as to the classifications under which the applicant desires to be qualified.
(h)Such other
(7)Other information, evidence, statements, or documents as may be required by the commissioner.
SEC. 13.Section 14025 of the Insurance Code is amended to read:14025.Before an application for a license is granted, the applicant, or his or her manager, applicant shall meet all of the following: following requirements:
(a)Be at least 18 years of age.
(b)Not have committed acts or crimes constituting grounds for denial of licensure under Section 480 of the Business Sections 1668 and Professions Code. 1669.
(c)Shall have had at least two years of experience in adjusting insurance claims or the equivalent thereof as determined by the commissioner. commissioner, unless applying for an apprentice independent insurance adjuster license.
(d)If the applicant resides in a state that does not license independent insurance adjusters, he or she is required to be licensed in good standing to designate California as his or her home state.
(e)(1)Completed a 20-hour prelicensing education course of study.
(2)A nonresident applicant currently licensed as a home state independent insurance adjuster in another state who has met that states prelicensing education requirements is exempt from completing the prelicensing education requirement.
(f)Successfully passed the examination for the independent insurance adjuster license, unless he or she qualifies for an exemption in Section 14026.
(d)
(g)Comply with such those other qualifications as that the commissioner may fix require by rule. regulation.
SEC. 14.Section 14025.1 is added to the Insurance Code, to read:14025.1.(a)The apprentice independent insurance adjuster license is a license to facilitate the experience, education, and training necessary to ensure reasonable competency in the responsibilities and duties of an independent insurance adjuster.
(b)An individual applying for an apprentice independent insurance adjuster license shall submit an application in a format prescribed by the commissioner and shall declare under penalty of suspension, revocation, or refusal of the license that the statements made in the application are true, correct, and complete to the best of the individuals knowledge and belief. Before approving the application, the commissioner shall determine that the individual meets all of the following:
(1)Is at least 18 years of age.
(2)Is a resident of California and has designated California as his or her home state.
(3)Has a business or mailing address in California for the acceptance of service of process.
(4)Has not committed any act that is a ground for suspension, revocation, or denial of licensure as set forth in Sections 1668, 1668.1, and 1669.
(5)Is trustworthy, reliable, and of good reputation, evidence of which may be determined by the commissioner.
(6)Has paid the fees set forth in subdivision (h) of Section 14097.
(c)The apprentice independent insurance adjuster license shall be subject to the following terms and conditions:
(1)The applicant shall submit, with the apprentice independent insurance adjuster application, an attestation from a licensed independent insurance adjuster certifying that the apprentice will be subject to training, direction, and control by the licensed independent insurance adjuster and further certifying that the licensed independent insurance adjuster assumes responsibility for the actions of the apprentice in the apprentices capacity as an independent insurance adjuster.
(2)The apprentice independent insurance adjuster is only authorized to adjust claims in California.
(3)The apprentice independent insurance adjuster is restricted to participation in the investigation, settlement, and negotiation of claims subject to the review and final determination of the claim by a supervising licensed independent insurance adjuster.
(4)Compensation of an apprentice independent insurance adjuster shall only be on a salaried or hourly basis.
(5)The apprentice independent insurance adjuster shall not be required to take and successfully complete the independent insurance adjuster examination to adjust claims as an apprentice independent insurance adjuster. At any time during the apprenticeship, the apprentice independent insurance adjuster may choose to take the examination. If the individual takes and successfully completes the independent insurance adjuster exam, the apprentice independent insurance adjuster license shall automatically terminate and an independent insurance adjuster license shall be issued to that individual in its place.
(6)The apprentice independent insurance adjuster license is valid for a period not to exceed 12 months and is nonrenewable.
(7)The licensee shall be subject to suspension, revocation, or denial pursuant to Sections 1668, 1668.1, and 1669.
(8)The applicant shall submit two recent photographs of the applicant, of a type prescribed by the commissioner, and one classifiable set of his or her fingerprints, to be sent to a live scan fingerprint provider as directed by the department, if fingerprints are not submitted in person with a live scan fingerprinting service provider certified by the Department of Justice.
SEC. 15.Section 14026 of the Insurance Code is repealed.14026.The commissioner may require an applicant, or his or her manager, to demonstrate his or her qualifications by a written or oral examination, or a combination of both.
SEC. 16.Section 14026 is added to the Insurance Code, to read:14026.(a)An applicant for an independent insurance adjuster license, unless applying for an apprentice independent insurance adjuster license or crop insurance adjuster license, shall pass a written examination.
(1)The examination shall test the knowledge of the applicant concerning the duties and responsibilities of an independent insurance adjuster and this code.
(2)An applicant applying for an examination shall remit a nonrefundable fee as prescribed by the commissioner in Section 14097.
(b)An individual who applies for an independent insurance adjuster license in California who holds a home state license in another state as an independent insurance adjuster shall not be required to complete the examination if he or she successfully passed an examination as a condition of receiving an independent insurance adjuster license in his or her home state. This exemption applies to individuals who are currently licensed in their home state or if the home state license expired and the application is received by the commissioner within 90 days of expiration.
(c)An individual who applies for an apprentice independent insurance adjuster license pursuant to Section 14025.1, and who adjusts claims in that capacity, shall not be required to take and successfully complete the independent insurance adjuster examination.
SEC. 17.Section 14027 of the Insurance Code is repealed.14027.Payment of the application fee prescribed by this chapter entitles an applicant, or his or her manager, to one examination without further charge. If the person fails to pass the examination, he or she shall not be eligible for any subsequent examination except upon payment of the reexamination fee prescribed by this chapter for each such subsequent examination.
SEC. 18.Section 14028 of the Insurance Code is amended to read:14028.After a hearing hearing, the commissioner may deny a license unless the application makes a showing satisfactory to the commissioner that the applicant, if an individual, has not, or if the applicant is a person other than an individual, that its manager and each of its officers and partners have not: not done any of the following:
(a)Committed any acts or crimes constituting grounds for denial of licensure under Section 480 of the Business and Professions Code.
(b)
(a)Been refused a license under this chapter or had a license revoked.
(c)
(b)Been an officer, partner, or manager of any person who has been refused a license under this chapter or whose license has been revoked.
(d)
(c)While unlicensed committed, or aided and abetted the commission of, any act for which a license is required by this chapter.
(e)
(d)Committed any act or crime constituting grounds for denial of license licensure under Section 1668.
SEC. 19.Section 14029 of the Insurance Code is repealed.14029.(a)The business of each licensee shall be operated under the active direction, control, charge, or management of the licensee, if the licensee is qualified, or the person who has qualified to act as the licensees manager, if the licensee is not qualified.
(b)No person shall act as a manager of a licensee until he or she has complied with each of the following:
(1)Demonstrated his or her qualifications by a written or oral examination, or a combination of both, if required by the commissioner.
(2)Made a satisfactory showing to the commissioner that he or she has the qualifications prescribed by Section 14025 and that none of the facts stated in Section 14028 or 14028.5 exist as to him or her.
(c)If the manager, who has qualified as provided in this section, ceases for any reason whatsoever to be connected with the licensee to whom the license is issued, the licensee shall notify the commissioner in writing 30 days from the cessation. If notice is given, the license shall remain in force for a reasonable length of time to be determined by the rules of the commissioner pending the qualifications, as provided in this chapter, of another manager. If the licensee fails to notify the commissioner within the 30-day period, his or her license shall be subject to suspension or revocation and may be reinstated only upon the filing of an application for reinstatement, payment of the reinstatement fee, if any is due, and the qualification of a manager as provided herein.
(d)Every manager shall renew his or her authority by satisfying the requirements of Article 8 (commencing with Section 14090).
SEC. 20.Section 14029 is added to the Insurance Code, to read:14029.Each organization licensed under this chapter shall designate an individual also licensed as an independent insurance adjuster to be responsible for the organizations compliance with state law.
SEC. 21.Section 14030 of the Insurance Code is repealed.14030.Whenever the individual on the basis of whose qualifications a license under this chapter has been obtained ceases to be connected with the licensee for any reason whatever, the business may be carried on for such temporary period and under such terms and conditions as the commissioner shall provide by regulation.
SEC. 22.Section 14031 of the Insurance Code is amended to read:14031.Whenever a A hearing is held under this chapter to determine whether an application for a license should be granted or to determine the qualifications of a licensees manager, the proceedings shall be conducted in accordance with Chapter 5 (commencing with Section 11501) of Part 1 of Division 3 of Title 2 of the Government Code, and the commissioner shall have all of the powers granted therein.
SEC. 23.Section 14032 of the Insurance Code is amended to read:14032.The form and content of the license shall be determined by the commissioner in accordance with Section 164 of the Business and Professions Code. commissioner.
SEC. 24.Section 14037 of the Insurance Code is repealed.14037.A licensee shall at all times be legally responsible for the good conduct in the business of each of his or her employees or agents, including his or her manager.
SEC. 25.Section 14038 of the Insurance Code is amended to read:14038.(a)Any licensee or officer, director, partner, or manager director, or partner of a licensee may divulge to any law enforcement officer or district attorney, or to his or her representative, any information he or she may acquire as to any criminal offense, but he or she shall not divulge to any other person, except as he or she may be required by law to do so, any information acquired by him or her except at the direction of the employer or client for whom the information was obtained.
(b)No A licensee or officer, director, partner, manager, or employee director, or partner of a licensee shall not knowingly make any false report to his or her employer or client for whom information was being obtained.
(c)No A written report shall not be submitted to a client except by the licensee, qualifying manager, or a person authorized by one or either of them, and such person submitting the report licensee who shall exercise diligence in ascertaining whether or not the facts and information in such a that report are true and correct.
(d)No licensee, A licensee or officer, director, partner, manager, or employee director, or partner of a licensee shall not use a badge in connection with the official activities of the licensees business.
(e)No licensee, A licensee or officer, director, partner, manager, or of a licensee, director, or partner of a licensee shall not use a title, or wear a uniform, or use an insignia, or use an identification card, or make any statement with the intent to give an impression that he or she is connected in any way with the federal government, a state government, or any political subdivision of a state government.
(f)No licensee, A licensee or officer, director, partner, manager, or employee director, or partner of a licensee, shall not enter any private building or portion thereof without the consent of the owner or of the person in legal possession thereof.
(g)No A licensee shall not appear as an assignee party in any proceeding involving claim and delivery, replevin, or other possessory action, action to foreclose a chattel mortgage, mechanics lien, materialmans lien, or any other lien.
(h)No A licensee shall not permit an employee or agent in his or her own name to advertise, engage clients, furnish reports, or present bills to clients, or in any manner whatever to conduct business for which a license is required under this chapter. All business of the licensee shall be conducted in the name of and under the control of the licensee.
(i)No A licensee acting as an independent automobile damage appraiser or adjuster or as an automobile insurance claims adjuster, appraiser appraiser, or representative shall not receive any financial benefit from an automobile repair facility. Financial benefit means the receiving of any commission or gratuity, discount on repair costs, free repairs, employment by a repair facility, or possession of more than 3 percent direct ownership in an automobile repair facility located in this state.
SEC. 26.Section 14039 of the Insurance Code is amended to read:14039.No A person licensed as an independent insurance adjuster shall not do any of the following:
(a)Fail to disclose his or her full financial interest in a contract or agreement executed by him or her for the adjustment of a claim prior to the execution thereof.
(b)Use any misrepresentation to solicit a contract or agreement to adjust a claim.
(c)Solicit or accept remuneration from, or have a financial interest exceeding 3 percent in, any salvage, repair, or other firm, which firm that obtains business in connection with any claim which that he or she has a contract or agreement to adjust.
SEC. 27.Section 14040 of the Insurance Code is amended to read:14040.Any badge or cap insignia worn by a person who is a licensee, officer, director, partner, manager, or employee director, or partner of a licensee shall be of a design approved by the commissioner, and shall bear on its face a distinctive word indicating the name of the licensee and an employee number by which such person may be identified by the licensee.
SEC. 28.Section 14042 of the Insurance Code is amended to read:14042.No
(a)A licensee shall not conduct a business under a fictitious or other business name unless and until he or she has obtained the written authorization of the commissioner to do so.
(b)The commissioner shall not authorize the use of a fictitious or other business name which that is so similar to that of a public officer or agency or of that used by another licensee that the public may be confused or misled thereby.
(c)The authorization shall require, as a condition precedent to the use of any fictitious name, that the licensee comply with Section 1724.5 of this code and Chapter 5 (commencing with Section 17900) of Part 3 of Division 7 of the Business and Professions Code. 1724.5.
(d)A licensee desiring to conduct his or her business under more than one fictitious business name shall obtain the authorization of the commissioner in the manner prescribed in this section for the use of each such that name.
(e)The licensee shall pay a fee of ten dollars ($10) for each authorization to use an additional fictitious business name and for each change in the use of a fictitious business name. If the original license is issued in a nonfictitious name and authorization is requested to have the license reissued in a fictitious business name, the licensee shall pay a fee of twelve dollars ($12) for such that authorization.
SEC. 29.Section 14061 of the Insurance Code is amended to read:14061.The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if he or she determines that the licensee, or his or her manager, if an individual, or if licensee or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has: designated responsible person has done any of the following:
(a)Made any false statement or given any false information in connection with an application for a license or a renewal or reinstatement of a license.
(b)Violated any provisions of this chapter.
(c)Violated any rule of the commissioner adopted pursuant to the authority contained in this chapter.
(d)Been convicted of any crime substantially related to the qualifications, functions functions, and duties of the holder of the registration or license in question.
(e)Impersonated, or permitted or aided and abetted an employee to impersonate impersonate, a law enforcement officer or employee of the United States of America, or of any state or political subdivision thereof.
(f)Committed or permitted any employee to commit any act, while the license was expired which that would be cause for the suspension or revocation of a license, or grounds for the denial of an application for a license.
(g)Willfully failed or refused to render to a client services or a report as agreed between the parties and for which compensation has been paid or tendered in accordance with the agreement of the parties.
(h)Committed assault, battery, or kidnapping, or used force or violence on any person, without proper justification.
(i)Knowingly violated, violated or advised, encouraged, or assisted the violation of any court order or injunction in the course of business as a licensee.
(j)Acted as a runner or capper for any attorney.
(k)Committed any act which that is a ground for denial of an application for license under this chapter.
(l)Purchased, possessed, or transported any tear gas weapon except as authorized by law. A violation of this subdivision may be punished by the suspension of a license for a period to be determined by the commissioner.
SEC. 30.Section 14063 of the Insurance Code is amended to read:14063.The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, has: designated responsible person has done any of the following:
(a)Used any letterhead, advertisement, or other printed matter, or in any matter whatever represented that he or she is an instrumentality of the federal government, or of a state or any political subdivision thereof.
(b)Used a name different from that under which he or she is currently licensed in any advertisement, solicitation, or contract for business.
SEC. 31.Section 14064 of the Insurance Code is amended to read:14064.(a)The commissioner may suspend or revoke a license issued under this chapter or may issue a restricted license in accordance with Section 14026.5 if the commissioner determines that the licensee, or his or her manager, if an individual, or if the licensee is a person other than an individual, that any of its officers, directors, partners, or its manager, designated responsible person has committed any act in the course of the licensees business constituting dishonesty or fraud.
(b)Dishonesty or fraud as used in this section includes, in addition to other acts not specifically enumerated herein, all of the following:
(a)
(1)Knowingly making a false statement relating to evidence or information obtained in the course of employment, or knowingly publishing a slander or a libel in the course of business.
(b)
(2)Using illegal means in the collection or attempted collection of a debt or obligation.
(c)
(3)Manufacture of evidence.
(d)
(4)Acceptance of employment adverse to a client or former client relating to a matter with respect to which the licensee has obtained confidential information by reason of or in the course of his or her employment by such that client or former client.
(e)
(5)Impersonating, or permitting or aiding and abetting an employee to impersonate impersonate, a law enforcement officer or employee of the United States of America, or of any state or political subdivision thereof.
SEC. 32.Section 14078 of the Insurance Code is repealed.14078.As used in this article, nonresident means a person who is not a resident of this state at the time of the performance of the act referred to in Section 14071.
SEC. 33.Section 14078 is added to the Insurance Code, to read:14078.(a)Unless refused licensure pursuant to Sections 14060 to 14065, inclusive, a nonresident person shall receive a nonresident independent insurance adjuster license if all of the following apply:
(1)The applicant is currently licensed in good standing as an independent insurance adjuster in his, her, or its resident or home state.
(2)The applicant paid the fees required by Section 14097.
(3)The applicant submitted to the commissioner the completed application for licensure.
(4)The applicants home state awards nonresident independent insurance adjuster licenses to residents of California on the same basis.
(b)The commissioner may verify the independent insurance adjusters licensing status through any appropriate database, including the Producer Database maintained by the National Association of Insurance Commissioners, its affiliates or subsidiaries, or may request certification of good standing.
(c)As a condition to the continuation of a nonresident independent insurance adjuster license, the licensee shall maintain a resident independent insurance adjuster license in his, her, or its home state.
(1)The nonresident independent insurance adjuster license issued under this chapter shall terminate and be surrendered immediately to the commissioner if the resident independent insurance adjuster license terminates for any reason, unless the termination is due to the independent insurance adjuster being issued a new resident independent insurance adjuster license in his, her, or its new home state.
(2)The nonresident independent insurance adjuster license shall terminate if the persons home state does not award nonresident independent insurance adjuster licenses to residents of California on the same basis.
(3)(A)The licensee is required to give notice of resident independent insurance adjuster license termination to any state that issued a nonresident independent insurance adjuster license.
(B)The notice is required to be given within 30 days of the termination date. If the resident independent insurance adjuster license was terminated for change in resident home state, then the notice is required to include both the previous and current address.
(4)Maintaining a resident independent insurance adjuster license is required for the nonresident independent insurance adjuster license to remain valid.
SEC. 34.Section 14079 is added to the Insurance Code, to read:14079.(a)An independent insurance adjuster shall be honest and fair in all communications with the insured, the insurer, and the public.
(b)An independent insurance adjuster shall provide policyholders and claimants with prompt and knowledgeable service and courteous, fair, and objective treatment at all times.
(c)An independent insurance adjuster shall not give legal advice and shall not deal directly with any policyholder or claimant who is represented by legal counsel without the consent of the legal counsel involved.
(d)An independent insurance adjuster shall comply with all local, state, and federal privacy and information security laws.
(e)An independent insurance adjuster shall identify himself or herself as an independent insurance adjuster and, if applicable, shall identify his or her employer when dealing with any policyholder or claimant.
(f)An independent insurance adjuster shall not have any financial interest in any adjustment or shall not acquire for himself, herself, or any person any interest or title in salvage, without first receiving written authority from the principal.
SEC. 35.Section 14080 of the Insurance Code is amended to read:14080.Any person who knowingly falsifies the fingerprints or photographs submitted under paragraph (7) of subdivision (f) (a) of Section 14024 or paragraph (8) of subdivision (c) of Section 14025.1 is guilty of a felony. Any person who violates any of the other provisions of this chapter is guilty of a misdemeanor punishable by fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed one year, or by both such the fine and imprisonment.
SEC. 36.Section 14090.1 of the Insurance Code is amended to read:14090.1.(a)An individual who holds an independent insurance adjuster license and who is not exempt under subdivision (b) shall satisfactorily complete a minimum of 24 hours, of which three hours are to be in ethics, of continuing education courses pertinent to the duties and responsibilities of an independent insurance adjuster license reported and shall report the completion of this coursework to the insurance commissioner on a biennial basis in conjunction with his or her license renewal cycle.
(b)This section does not apply to any of the following:
(1)A licensee not licensed for one full year prior to the end of the applicable continuing education biennium.
(2)A licensee holding a nonresident independent insurance adjuster license who has met the continuing education requirements of his or her designated resident home state.
(3)An individual licensed as an independent insurance adjuster and as a property or casualty broker-agent, pursuant to Section 1625, who has met the continuing education requirements specified in Section 1749.3.
(4)An individual licensed as an apprentice independent insurance adjuster pursuant to Section 14025.1.
SEC. 37.Section 14097 of the Insurance Code is amended to read:14097.The amount of fees prescribed by this chapter, unless otherwise fixed, is that fixed in the following schedule:
(a)The application fee for the qualifying examination for an original license is twenty-nine dollars ($29).
(b)The application fee for an original branch office certificate is eighteen dollars ($18).
(c)The fee for an original license application is an amount equal to the renewal fee in effect on the last regular renewal date before the date on which the license is issued, except that, if the license will expire less than one year after its issuance, then the fee is an amount equal to 50 percent of the renewal fee in effect on the last regular renewal date before the date on which the license is issued. The commissioner may, by appropriate regulation, provide for the waiver or refund of the initial license fee where the license is issued less than 45 days before the date on which it will expire.
(d)The renewal fee shall be fixed by the commissioner as follows:
(1)For a license as an independent insurance adjuster, not more than one hundred eighteen dollars ($118).
(2)For a branch office certificate, not more than twenty-four dollars ($24).
(e)The application and license fee for classifications prescribed by the commissioner, in addition to those provided for in this chapter, and the application and license fees for a change in the type of business organization of a licensee, shall be in the amount prescribed by rule and regulation of the commissioner.
(f)The delinquency fee shall be 50 percent of the renewal fee in effect on the date of expiration, but not more than twenty-nine dollars ($29). expiration.
(g)The fee for reexamination of an applicant or his manager is twelve dollars ($12).
(h)The application fee for an apprentice independent insurance adjuster license shall be fixed by the commissioner by regulation and shall be reasonably related to the actual cost to the department in performing its duties under this chapter.
SEC. 38.Section 14099 of the Insurance Code is amended to read:14099.Application or license fee fees shall not be refunded Section 158 of the Business and Professions Code. pursuant to Section 1751.5.
SEC. 39.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
SECTION 1.Section 103875 of the Health and Safety Code is amended to read:103875.(a)The department shall conduct a program of epidemiological assessments of the incidence of cancer. The program shall encompass all areas of the state for which cancer incidence data are available. The program shall include the monitoring of cancers associated with suspected carcinogens encountered by the general public both in occupational locations and in the environment generally.
(b)The program shall be under the direction of the State Public Health Officer, who may enter into contracts as are necessary for the conduct of the program and may accept, on behalf of the state, grants of public or private funds for the program. The department shall analyze available incidence data and prepare reports and perform studies as necessary to identify cancer hazards to the public health and their remedies.
(c)The department shall analyze data collected pursuant to the program to assess, measure, and publicly report on the quality of cancer care in the state. In assessing and measuring the quality of cancer care in the state, the department shall define and identify oncology providers. In publicly reporting on the quality of cancer care in the state, the department shall identify oncology providers, but not individual cancer patients. The department may contract with an entity to assess, measure, and publicly report on the quality of cancer care in the state.
(d)The department shall develop a system for routine, automated linkages between data collected pursuant to the program and public and private health insurance payer cancer claims data. The State Public Health Officer shall convene a cancer care stakeholder committee, including public and private payer representatives and persons with appropriate technical experience, to study and make recommendations for developing the automated linkage system. The State Public Health Officer may contract with entities or persons to provide the committee with appropriate technical expertise.
(e)It is the intent of the Legislature that an appropriation be included in each Budget Act in an amount sufficient to provide for the annual cost of the program. It is further the intent of the Legislature that the cancer care quality measures be available for the public to use to improve health care and population health as it relates to the prevention and treatment of cancer, including the cancer patients themselves.
SEC. 2.Section 103885 of the Health and Safety Code is amended to read:103885.(a)The department shall establish a statewide system for the collection of information determining the incidence of cancer, using population-based cancer registries modeled after the Cancer Surveillance Program of Orange County. The department shall also identify and include in the statewide system, cancer care quality measures for use in public reporting. As of the effective date of this section the department shall begin phasing in the statewide cancer reporting system. By July 1, 1988, all county or regional registries shall be implemented or initiated. By July 1, 1990, the statewide cancer reporting system shall be fully operational. Within 60 days of the effective date of this section, the State Public Health Officer shall submit an implementation and funding schedule to the Legislature.
(b)The department may designate any demographic parts of the state as regional cancer incidence reporting areas and may establish regional cancer registries, with the responsibility and authority to carry out the intent of this section in designated areas. Designated regional registries shall provide, on a timely basis, cancer incidence data, as required by the department. The department may establish a competitive process to receive applications for, and issue, the award of a contract, grant, or allocation of funds, including, but not limited to, a cooperative agreement, subvention agreement, or any other agreement allowed by law, to an agency, including, but not limited to, a health systems agency, single county health department, multicounty health department grouping, or nonprofit professional association to operate the statewide cancer reporting system and to enter into contracts, or issue grants or funding allocations to other agencies representing a designated cancer reporting region for the purposes of collecting and collating cancer incidence data. The award of these contracts, grants, or funding allocations shall be exempt from Part 2 (commencing with Section 10100) of Division 2 of the Public Contract Code. The department shall include appropriate terms and conditions in a contract, grant, or funding allocation to ensure the proper use of state funds, including provision for reimbursement of allowable costs, financial reporting, program performance reporting, monitoring of subgrants, subcontracts, or suballocations to an agency representing a designated cancer reporting region, retention and access requirements for records, data use and management, independent auditing, termination, and disposition of assets acquired under the contract, grant, or funding allocation.
(c)The State Public Health Officer shall designate cancer as a disease required to be reported in the state or any demographic parts of the state in which cancer information is collected under this section. All cancers diagnosed or treated in the reporting area shall thereafter be reported to the representative of the department authorized to compile the cancer data, or any individual, agency, or organization designated to cooperate with that representative.
(d)(1)A hospital or other facility providing therapy to cancer patients within an area designated as a cancer reporting area shall report each case of cancer to the department or the authorized representative of the department in a format prescribed by the department. If the hospital or other facility fails to report in a format prescribed by the department, the departments authorized representative may access the information from the hospital or the facility and report it in the appropriate format. In these cases, the hospital or other health facility shall reimburse the department or the authorized representative for its cost to access and report the information.
(2)A physician and surgeon, dentist, podiatrist, or other health care practitioner diagnosing or providing treatment for cancer patients shall report each cancer case to the department or the authorized representative of the department except for those cases directly referred to a treatment facility or those previously admitted to a treatment facility for diagnosis or treatment of that instance of cancer.
(e)A hospital or other facility that is required to reimburse the department or its authorized representative for the cost to access and report the information pursuant to subdivision (d) shall provide payment to the department or its authorized representative within 60 days of the date this payment is demanded. In the event a hospital or other facility fails to make the payment to the department or its authorized representative within 60 days of the date the payment is demanded, the department or its authorized representative may, at its discretion, assess a late fee not to exceed 11/2 percent per month of the outstanding balance. Further, in the event that the department or its authorized representative takes a legal action to recover its costs and any associated fees, and the department or its authorized representative receives a judgment in its favor, the hospital or other facility shall also reimburse the department or its authorized representative for any additional costs it incurred to pursue the legal action. Late fees and payments made to the department by hospitals or other facilities pursuant to this subdivision shall be considered as reimbursements of the additional costs incurred by the department.
(f)All physicians and surgeons, hospitals, outpatient clinics, nursing homes and all other facilities, individuals, or agencies providing diagnostic or treatment services to patients with cancer shall grant to the department or the authorized representative access to all records that would identify cases of cancer or would establish characteristics of the cancer, treatment of the cancer, or medical status of any identified cancer patient. Willful failure to grant access to those records shall be punishable by a fine of up to five hundred dollars ($500) each day access is refused. Fines collected pursuant to this subdivision shall be deposited in the General Fund.
(g)(1)Except as otherwise provided in this section, all information collected pursuant to this section shall be confidential. For purposes of this section, this information shall be referred to as confidential information.
(2)The department and any regional cancer registry designated by the department shall use the information to determine the sources of malignant neoplasms and evaluate measures designed to eliminate, alleviate, or ameliorate their effect, and assess and publicly report on the quality of cancer care in the state.
(3)The following persons who meet qualifications determined by the department and who agree, in writing, to maintain confidentiality, may be authorized access to confidential information:
(A)A person with a valid scientific background who is engaged in demographic, epidemiologic, quality of care assessment or improvement, or other similar studies related to health.
(B)A person engaged in the dissemination of data to the public as it relates to the prevention and treatment of cancer.
(C)A person engaged in improving health care and population health as it relates to the treatment and prevention of cancer, including cancer patients themselves.
(4)The department and any regional cancer registry designated by the department may enter into agreements to furnish confidential information to other states cancer registries, federal cancer control agencies, local health officers, or health researchers for the purposes of determining the sources of cancer and evaluating measures designed to eliminate, alleviate, or ameliorate their effect, and assessing and publicly reporting on the quality of cancer care in the state. Before confidential information is disclosed to those agencies, officers, researchers, or out-of-state registries, the requesting entity shall agree in writing to maintain the confidentiality of the information, and in the case of researchers, shall also do both of the following:
(A)Obtain approval of their committee for the protection of human subjects established in accordance with Part 46 (commencing with Section 46.101) of Title 45 of the Code of Federal Regulations.
(B)Provide documentation to the department that demonstrates to the departments satisfaction that the entity has established the procedures and ability to maintain the confidentiality of the information.
(5)Notwithstanding any other law, disclosure authorized by this section shall include only the information necessary for the stated purpose of the requested disclosure, used for the approved purpose, and not be further disclosed.
(6)The furnishing of confidential information to the department or its authorized representative in accordance with this section shall not expose any person, agency, or entity furnishing information to liability, and shall not be considered a waiver of any privilege or a violation of a confidential relationship.
(7)The department shall maintain an accurate record of all persons who are given access to confidential information. The record shall include: the name of the person authorizing access; name, title, address, and organizational affiliation of persons given access; dates of access; and the specific purpose for which information is to be used. The record of access shall be open to public inspection during normal operating hours of the department.
(8)Notwithstanding any other law, no part of the confidential information shall be available for subpoena, nor shall it be disclosed, discoverable, or compelled to be produced in a civil, criminal, administrative, or other proceeding, nor shall this information be deemed admissible as evidence in a civil, criminal, administrative, or other tribunal or court for any reason.
(9)Nothing in this subdivision shall prohibit the publication by the department of reports and statistical compilations that do not in any way identify individual cases or individual sources of information.
(10)Notwithstanding the restrictions in this subdivision, the individual to whom the information pertains shall have access to his or her own information in accordance with Chapter 1 (commencing with Section 1798) of Title 1.8 of the Civil Code.
(h)For the purpose of this section, cancer means either of the following:
(1)All malignant neoplasms, regardless of the tissue of origin, including malignant lymphoma, Hodgkins disease, and leukemia, but excluding basal cell and squamous cell carcinoma of the skin.
(2)All primary intracranial and central nervous system (CNS) tumors occurring in the following sites, irrespective of histologic type: brain, meninges, spinal cord, caudae equina, cranial nerves and other parts of the CNS, pituitary gland, pineal gland, and craniopharyngeal duct.
(i)Nothing in this section shall preempt the authority of facilities or individuals providing diagnostic or treatment services to patients with cancer to maintain their own facility-based cancer registries.
(j)It is the intent of the Legislature that the department, in establishing a system pursuant to this section, maximize the use of available federal funds.
(a)The department shall conduct a program of epidemiological assessments of the incidence of cancer. The program shall encompass all areas of the state for which cancer incidence data are available. The program shall include the monitoring of cancers associated with suspected carcinogens encountered by the general public both in occupational locations and in the environment generally.
(b)The program shall be under the direction of the director State Public Health Officer, who may enter into contracts as are necessary for the conduct of the program and may accept, on behalf of the state, grants of public or private funds for the program. The director department shall analyze available incidence data and prepare reports and perform studies as necessary to identify cancer hazards to the public health and their remedies.
(c)The department shall analyze data collected pursuant to the program to assess, measure, and publicly report on the quality of cancer care in the state. In assessing and measuring the quality of cancer care in the state, the department shall define and identify oncology providers. In publicly reporting on the quality of cancer care in the state, the department shall identify oncology providers, but not individual cancer patients. The department may contract with an entity to assess, measure, and publicly report on the quality of cancer care in the state.
(d)The department shall develop a system for routine, automated linkages between data collected pursuant to the program and public and private health insurance payer cancer claims data. The State Public Health Officer shall convene a cancer care stakeholder committee, including public and private payer representatives and persons with appropriate technical experience, to study and make recommendations for developing the automated linkage system. The State Public Health Officer may contract with entities or persons to provide the committee with appropriate technical expertise.
(c)
(e)It is the intent of the Legislature that an appropriation be included in each Budget Act in an amount sufficient to provide for the annual cost of the program. It is further the intent of the Legislature that the cancer care quality measures be available for the public to use to improve health care and population health as it relates to the prevention and treatment of cancer, including the cancer patients themselves.
SEC. 2.Section 103885 of the Health and Safety Code is amended to read:103885.(a)The director department shall establish a statewide system for the collection of information determining the incidence of cancer, using population-based cancer registries modeled after the Cancer Surveillance Program of Orange County. The department shall also identify and include in the statewide system, cancer care quality measures for use in public reporting. As of the effective date of this section the director department shall begin phasing in the statewide cancer reporting system. By July 1, 1988, all county or regional registries shall be implemented or initiated. By July 1, 1990, the statewide cancer reporting system shall be fully operational. Within 60 days of the effective date of this section, the director State Public Health Officer shall submit an implementation and funding schedule to the Legislature.
(b)The department may designate any demographic parts of the state as regional cancer incidence reporting areas and may establish regional cancer registries, with the responsibility and authority to carry out the intent of this section in designated areas. Designated regional registries shall provide, on a timely basis, cancer incidence data data, as designated required by the state department to the department. The department may establish a competitive process to receive applications for, and issue, the award of a contract, grant, or allocation of funds, including, but not limited to, a cooperative agreement, subvention agreement, or any other agreement allowed by law, to an agency, including, but not limited to, a health systems agency, single county health department, multicounty health department grouping, or nonprofit professional association to operate the statewide cancer reporting system and to enter into contracts, or issue grants or funding allocations to other agencies representing a designated cancer reporting region for the purposes of collecting and collating cancer incidence data. The award of these contracts, grants, or funding allocations shall be exempt from Part 2 (commencing with Section 10100) of Division 2 of the Public Contract Code. The department shall include appropriate terms and conditions in a contract, grant, or funding allocation to ensure the proper use of state funds, including provision for reimbursement of allowable costs, financial reporting, program performance reporting, monitoring of subgrants, subcontracts, or suballocations to an agency representing a designated cancer reporting region, retention and access requirements for records, data use and management, independent auditing, termination, and disposition of assets acquired under the contract, grant, or funding allocation.
(c)The director State Public Health Officer shall designate cancer as a disease required to be reported in the state or any demographic parts of the state in which cancer information is collected under this section. All cancers diagnosed or treated in the reporting area shall thereafter be reported to the representative of the department authorized to compile the cancer data, or any individual, agency, or organization designated to cooperate with that representative.
(d)(1)Any A hospital or other facility providing therapy to cancer patients within an area designated as a cancer reporting area shall report each case of cancer to the department or the authorized representative of the department in a format prescribed by the department. If the hospital or other facility fails to report in a format prescribed by the department, the departments authorized representative may access the information from the hospital or the facility and report it in the appropriate format. In these cases, the hospital or other health facility shall reimburse the state department or the authorized representative for its cost to access and report the information.
(2)Any A physician and surgeon, dentist, podiatrist, or other health care practitioner diagnosing or providing treatment for cancer patients shall report each cancer case to the department or the authorized representative of the department except for those cases directly referred to a treatment facility or those previously admitted to a treatment facility for diagnosis or treatment of that instance of cancer.
(e)Any A hospital or other facility that is required to reimburse the department or its authorized representative for the cost to access and report the information pursuant to subdivision (d) shall provide payment to the department or its authorized representative within 60 days of the date this payment is demanded. In the event any a hospital or other facility fails to make the payment to the department or its authorized representative within 60 days of the date the payment is demanded, the department or its authorized representative may, at its discretion, assess a late fee not to exceed 11/2 percent per month of the outstanding balance. Further, in the event that the department or its authorized representative takes a legal action to recover its costs and any associated fees, and the department or its authorized representative receives a judgment in its favor, the hospital or other facility shall also reimburse the department or its authorized representative for any additional costs it incurred to pursue the legal action. Late fees and payments made to the department by hospitals or other facilities pursuant to this subdivision shall be considered as reimbursements of the additional costs incurred by the department.
(f)All physicians and surgeons, hospitals, outpatient clinics, nursing homes and all other facilities, individuals, or agencies providing diagnostic or treatment services to patients with cancer shall grant to the department or the authorized representative access to all records that would identify cases of cancer or would establish characteristics of the cancer, treatment of the cancer, or medical status of any identified cancer patient. Willful failure to grant access to those records shall be punishable by a fine of up to five hundred dollars ($500) each day access is refused. Any fines Fines collected pursuant to this subdivision shall be deposited in the General Fund.
(g)(1)Except as otherwise provided in this section, all information collected pursuant to this section shall be confidential. For purposes of this section, this information shall be referred to as confidential information.
(2)The department and any regional cancer registry designated by the department shall use the information to determine the sources of malignant neoplasms and evaluate measures designed to eliminate, alleviate, or ameliorate their effect. effect, and assess and publicly report on the quality of cancer care in the state.
(3)Persons with a valid scientific interest who are engaged in demographic, epidemiological, or other similar studies related to health who meet qualifications as determined by the department, and who agree, in writing, to maintain confidentiality, may be authorized access to confidential information.
(3)The following persons who meet qualifications determined by the department and who agree, in writing, to maintain confidentiality, may be authorized access to confidential information:
(A)A person with a valid scientific background who is engaged in demographic, epidemiologic, quality of care assessment or improvement, or other similar studies related to health.
(B)A person engaged in the dissemination of data to the public as it relates to the prevention and treatment of cancer.
(C)A person engaged in improving health care and population health as it relates to the treatment and prevention of cancer, including cancer patients themselves.
(4)The department and any regional cancer registry designated by the department may enter into agreements to furnish confidential information to other states cancer registries, federal cancer control agencies, local health officers, or health researchers for the purposes of determining the sources of cancer and evaluating measures designed to eliminate, alleviate, or ameliorate their effect. effect, and assessing and publicly reporting on the quality of cancer care in the state. Before confidential information is disclosed to those agencies, officers, researchers, or out-of-state registries, the requesting entity shall agree in writing to maintain the confidentiality of the information, and in the case of researchers, shall also do both of the following:
(A)Obtain approval of their committee for the protection of human subjects established in accordance with Part 46 (commencing with Section 46.101) of Title 45 of the Code of Federal Regulations.
(B)Provide documentation to the department that demonstrates to the departments satisfaction that the entity has established the procedures and ability to maintain the confidentiality of the information.
(5)Notwithstanding any other provision of law, any disclosure authorized by this section shall include only the information necessary for the stated purpose of the requested disclosure, used for the approved purpose, and not be further disclosed.
(6)The furnishing of confidential information to the department or its authorized representative in accordance with this section shall not expose any person, agency, or entity furnishing information to liability, and shall not be considered a waiver of any privilege or a violation of a confidential relationship.
(7)The department shall maintain an accurate record of all persons who are given access to confidential information. The record shall include: the name of the person authorizing access; name, title, address, and organizational affiliation of persons given access; dates of access; and the specific purpose for which information is to be used. The record of access shall be open to public inspection during normal operating hours of the department.
(8)Notwithstanding any other provision of law, no part of the confidential information shall be available for subpoena, nor shall it be disclosed, discoverable, or compelled to be produced in any a civil, criminal, administrative, or other proceeding, nor shall this information be deemed admissible as evidence in any a civil, criminal, administrative, or other tribunal or court for any reason.
(9)Nothing in this subdivision shall prohibit the publication by the department of reports and statistical compilations that do not in any way identify individual cases or individual sources of information.
(10)Notwithstanding the restrictions in this subdivision, the individual to whom the information pertains shall have access to his or her own information in accordance with Chapter 1 (commencing with Section 1798) of Title 1.8 of the Civil Code.
(h)For the purpose of this section, cancer means either of the following:
(1)All malignant neoplasms, regardless of the tissue of origin, including malignant lymphoma, Hodgkins disease, and leukemia, but excluding basal cell and squamous cell carcinoma of the skin.
(2)All primary intracranial and central nervous system (CNS) tumors occurring in the following sites, irrespective of histologic type: brain, meninges, spinal cord, caudae equina, cranial nerves and other parts of the CNS, pituitary gland, pineal gland, and craniopharyngeal duct.
(i)Nothing in this section shall preempt the authority of facilities or individuals providing diagnostic or treatment services to patients with cancer to maintain their own facility-based cancer registries.
(j)It is the intent of the Legislature that the department, in establishing a system pursuant to this section, maximize the use of available federal funds.
|
Date
|
Status
|
|---|---|
| Aug 15, 2016 | Read second time and amended. Ordered to third reading. |
| Jun 2, 2016 | Read third time. Passed. Ordered to the Senate. (Ayes 50. Noes 29.) |
| Jun 6, 2016 | In Senate. Read first time. To Com. on RLS. for assignment. |
| Jun 9, 2016 | Referred to Com. on INS. |
| Jun 13, 2016 | From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on INS. |
| Jun 23, 2016 | From committee: Do pass and re-refer to Com. on APPR. (Ayes 5. Noes 2.) (June 22). Re-referred to Com. on APPR. |
| Aug 1, 2016 | From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on APPR. |
| Aug 1, 2016 | In committee: Referred to APPR. suspense file. |
| Aug 11, 2016 | From committee: Amend, and do pass as amended. (Ayes 5. Noes 2.) (August 11). |
| Jun 2, 2016 | Read third time. Passed. Ordered to the Senate. (Ayes 50. Noes 29. Page 5199.) |
| Aug 19, 2016 | Read third time and amended. Ordered to second reading. |
| Aug 22, 2016 | Read second time. Ordered to third reading. |
| Aug 23, 2016 | Read third time. Passed. Ordered to the Assembly. |
| Aug 23, 2016 | Read third time. Passed. Ordered to the Assembly. (Ayes 25. Noes 13. Page 5275.). |
| Aug 24, 2016 | In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 26 pursuant to Assembly Rule 77. |
| Aug 29, 2016 | Senate amendments concurred in. To Engrossing and Enrolling. |
| Aug 29, 2016 | Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 50. Noes 29. Page 6382.). |
| Sep 7, 2016 | Enrolled and presented to the Governor at 12 p.m. |
| Apr 19, 2016 | Re-referred to Com. on INS. |
| Feb 21, 2016 | From printer. May be heard in committee March 22. |
| Feb 22, 2016 | Read first time. |
| Mar 10, 2016 | Referred to Com. on HEALTH. |
| Mar 30, 2016 | From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended. |
| Mar 31, 2016 | Re-referred to Com. on HEALTH. |
| Apr 7, 2016 | Re-referred to Com. on RLS. pursuant to Assembly Rule 96. |
| Apr 11, 2016 | From committee: Be re-referred to Com. on INS. Re-referred. (Ayes 9. Noes 0.) (April 11). Re-referred to Com. on INS. |
| Apr 18, 2016 | From committee chair, with author's amendments: Amend, and re-refer to Com. on INS. Read second time and amended. |
| Feb 19, 2016 | Introduced. To print. |
| Apr 20, 2016 | From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 4.) (April 20). Re-referred to Com. on APPR. |
| May 9, 2016 | From committee chair, with author's amendments: Amend, and re-refer to Com. on APPR. Read second time and amended. |
| May 10, 2016 | Re-referred to Com. on APPR. |
| May 18, 2016 | In committee: Set, first hearing. Referred to APPR. suspense file. |
| May 27, 2016 | From committee: Amend, and do pass as amended. (Ayes 14. Noes 6.) (May 27). |
| May 31, 2016 | Read second time and amended. Ordered returned to second reading. |
| Jun 1, 2016 | Read second time. Ordered to third reading. |
| Jun 2, 2016 | Read third time. Passed. Ordered to the Senate. |
|
Date
|
Description
|
Location
|
Votes
|
|
|---|---|---|---|---|
| Aug 29, 2016 | AB 2588 CHU Concurrence in Senate Amendments | Assembly Floor |
Passed |
|
| Aug 23, 2016 | Assembly 3rd Reading AB2588 Chu By Block | Senate Floor |
Passed |
|
| Aug 11, 2016 | Do pass as amended | Senate Standing Committee on Appropriations |
Passed |
|
| Aug 1, 2016 | Placed on suspense file | Senate Standing Committee on Appropriations |
Passed |
|
| Jun 22, 2016 | Do pass, but first be re-referred to the Committee on [Appropriations] | Senate Standing Committee on Insurance |
Passed |
|
| Jun 2, 2016 | AB 2588 CHU Assembly Third Reading | Assembly Floor |
Passed |
|
| May 27, 2016 | Do pass as amended. | Assembly Standing Committee on Appropriations |
Passed |
|
| Apr 20, 2016 | Do pass and be re-referred to the Committee on [Appropriations] | Assembly Standing Committee on Insurance |
Passed |
|
| Apr 11, 2016 | Be re-referred to the Committee on [Insurance] | Assembly Standing Committee on Rules |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
|
Organization
|
Position
|
Date
|
|---|---|---|
| American Association Of Independent Claims Professionals | ** Against | Aug 23, 2016 |
| California Department of Insurance | ** Support | Aug 23, 2016 |
| INS. | ** Against | Jun 2, 2016 |
| United Policyholders | ** Support | Aug 23, 2016 |
GOVERNOR'S VETO
GV Bill Id:AB 2588
Author:(Chu)
As Enrolled Ver:September 7, 2016
2/3 vote
ASSEMBLY: | 50-29 | (June 2, 2016) | SENATE: | 25-13 | (August 23, 2016) |
ASSEMBLY: | 50-29 | (August 29, 2016) |
Original Committee Reference: INS.
SUMMARY: Creates new individual licensing programs for independent property/casualty insurance adjusters (adjuster) and apprentice independent property/casualty insurance adjusters (apprentice).
The Senate amendments:
- Eliminate the requirement for adjusters to maintain a $2,000 performance bond if the adjuster is working for a licensed firm that meets the bonding requirement.
- Establish an inactive license category for adjusters.
- Reduces the fee for issuing or renewing an adjuster license from $120 to $80.
- Resolve chaptering out conflicts with SB 488 (Block), Chapter 833, Statutes of 2016.
EXISTING LAW:
- Requires business entities providing insurance adjusting services to be licensed by the Department of Insurance (DOI).
- Requires a business entity to designate a qualified individual to be responsible for the operation of the business entity's adjusting functions. That individual must have at least two years of experience adjusting claims and pass an examination.
- Exempts individuals working for an insurer or a business entity that adjusts claims for an insurer from being licensed.
FISCAL EFFECT: According to the Senate Appropriations Committee, the bill has estimated ongoing costs to the DOI of $700,000 to $800,000 per year for the added licensing and enforcement costs for the new licensees. The new program will generate estimated revenue of $1.5–2.5 million per year from fees from the new license requirements. Estimated costs to the Department of Justice of $400,000 in fiscal year 2017-18, $480,000 in fiscal year 2018-19, and $160,000 ongoing thereafter for processing live scan fingerprints submitted with applications.
COMMENTS:
- Purpose. According to the author, this bill will improve the caliber of independent insurance adjusters in California by requiring anyone who is not employed by an insurer (including self-insured entities) who adjusts property/casualty insurance claims to be licensed. To become licensed, individuals will have to complete pre-licensing education, pass a qualifying examination, and pass a fingerprint-based background check. In addition licensees must complete 24 hours of continuing education every two years. Furthermore, the bill creates the apprentice independent insurance adjuster license for those seeking to become licensed. This bill will also allow California and other states with similar licensing laws (34 other states license individual adjusters) to license non-residents on a reciprocal basis. These changes will streamline the process for non-residents to obtain an adjuster license as currently these applicants must pass California's examination which is substantively similar to the examination passed in their resident states.
- Claims Adjusters. Claims adjusters are central to the operation of an insurer. They investigate and evaluate insurance claims, decide whether an insurance company must pay a claim, and, if so, how much the insurance company must pay to satisfy the claim. This frequently requires on-site physical inspection in a property damage claim (commonly a home, business location, or automobile) which brings them into regular contact with the insured and with other members of the public. This bill is proposing new, broader licensing requirements for property/casualty adjusters.
- NAIC Guideline. The National Association of Insurance Commissioners (NAIC) is composed of the insurance commissioners for each state and has a number of functions. Among those is promoting consistency in insurance law by developing model laws and guidelines for the states. Adopting some NAIC model laws related to the financial solvency of insurers is required for a state to maintain its accreditation status with NAIC. Accreditation is crucial to the effective functioning of the oversight of financial solvency and states effectively have to adopt NAIC model laws that are part of the accreditation standards. NAIC model laws and guidelines that are not part of the accreditation standards are strictly advisory and states are under no obligation to enact them. This bill is based on a guideline developed by the NAIC that is not an accreditation standard. The DOI reports that 35 states license adjusters in varying forms and this bill closely follows the NAIC guideline, including the creation of the apprentice license which is noted as an option in the guideline.
- Contractor vs. Employee. This bill only applies the new individual license requirement to individuals who adjust claims for an insurer or self-insured entity on a contract basis while exempting individuals who are employees of an insurer or self-insured entity. This is analytically troublesome. Adjusters perform the same service and present the same risk regardless of their status as an employee or a contractor. The argument that individual adjusters must be licensed to ensure their competence and protect the public applies equally to both employees and contractors who are adjusting claims. Tax filing status seems a poor proxy for determining the necessity of a license.
- DOI Workload. The DOI has a working estimate of 40,000 new licenses being issued over a two-year period if this bill is enacted. This working estimate is based the assumption that the number of independent adjusters in California would be similar to other large states, such as Florida. It is often difficult to estimate the number applicants when establishing a new licensing program because the affected population is typically unknown, and it can be hard to predict how businesses may alter their practices based on new licensing requirements.
- Impact of Expanding Licensing Requirements. There has been some attention paid recently to the expanding number of occupations that require a license. Most notably a study co-authored by the United States (US) Treasury Department, Council of Economic Advisors, and the US Department of Labor found that occupational licensing requirements have a measurable economic impact. The study found that:
"…by making it harder to enter a profession, licensing can also reduce employment opportunities and lower wages for excluded workers, and increase costs for consumers.
- Research shows that by imposing additional requirements on people seeking to enter licensed professions, licensing can reduce total employment in the licensed professions.
- Estimates find that unlicensed workers earn 10% to 15% lower wages than licensed workers with similar levels of education, training, and experience.
"Licensing laws also lead to higher prices for goods and services, with research showing effects on prices of between 3% and 16%. Moreover, in a number of other studies, licensing did not increase the quality of goods and services, suggesting that consumers are sometimes paying higher prices without getting improved goods or services."
I am returning Assembly Bill 2588 without my signature.
This bill requires unlicensed individuals employed by entities with a "company license" to obtain their own separate independent insurance adjuster licenses.
I am not convinced that an overhaul of the current licensing system is warranted. If a need can be demonstrated that individual licensure of these individuals is necessary, I would be willing to consider such an approach.
Analysis Prepared by: Paul Riches / INS. / (916) 319-2086 FN: 0005133
CONCURRENCE IN SENATE AMENDMENTS
CSA1 Bill Id:AB 2588
Author:(Chu)
As Amended Ver:August 19, 2016
Majority vote
ASSEMBLY: | 50-29 | (June 2, 2016) | SENATE: | 25-13 | (August 23, 2016) |
Original Committee Reference: INS.
SUMMARY: Creates new individual licensing programs for independent property/casualty insurance adjusters (adjuster) and apprentice independent property/casualty insurance adjusters (apprentice).
The Senate amendments:
- Eliminate the requirement for adjusters to maintain a $2,000 performance bond if the adjuster is working for a licensed firm that meets the bonding requirement.
- Establish an inactive license category for adjusters.
- Reduces the fee for issuing or renewing an adjuster license from $120 to $80.
- Resolve chaptering out conflicts with SB 488 (Block) of the current legislative session.
EXISTING LAW:
- Requires business entities providing insurance adjusting services to be licensed by the Department of Insurance (DOI).
- Requires a business entity to designate a qualified individual to be responsible for the operation of the business entity's adjusting functions. That individual must have at least two years of experience adjusting claims and pass an examination.
- Exempts individuals working for an insurer or a business entity that adjusts claims for an insurer from being licensed.
FISCAL EFFECT: According to the Senate Appropriations Committee, the bill has estimated ongoing costs to the DOI of $700,000–$800,000 per year for the added licensing and enforcement costs for the new licensees. The new program will generate estimated revenue of $1.5–2.5 million per year from fees from the new license requirements. Estimated costs to the Department of Justice of $400,000 in fiscal year 2017-18, $480,000 in fiscal year 2018-19, and $160,000 ongoing thereafter for processing live scan fingerprints submitted with applications.
COMMENTS:
- Purpose. According to the author, this bill will improve the caliber of independent insurance adjusters in California by requiring anyone who is not employed by an insurer (including self-insured entities) who adjusts property/casualty insurance claims to be licensed. To become licensed, individuals will have to complete pre-licensing education, pass a qualifying examination, and pass a fingerprint-based background check. In addition licensees must complete 24 hours of continuing education every two years. Furthermore, the bill creates the apprentice independent insurance adjuster license for those seeking to become licensed. This bill will also allow California and other states with similar licensing laws (34 other states license individual adjusters) to license non-residents on a reciprocal basis. These changes will streamline the process for non-residents to obtain an adjuster license as currently these applicants must pass California's examination which is substantively similar to the examination passed in their resident states.
- Claims Adjusters. Claims adjusters are central to the operation of an insurer. They investigate and evaluate insurance claims, decide whether an insurance company must pay a claim, and, if so, how much the insurance company must pay to satisfy the claim. This frequently requires on-site physical inspection in a property damage claim (commonly a home, business location, or automobile) which brings them into regular contact with the insured and with other members of the public. This bill is proposing new, broader licensing requirements for property/casualty adjusters.
- NAIC Guideline. The National Association of Insurance Commissioners (NAIC) is composed of the insurance commissioners for each state and has a number of functions. Among those is promoting consistency in insurance law by developing model laws and guidelines for the states. Adopting some NAIC model laws related to the financial solvency of insurers is required for a state to maintain its accreditation status with NAIC. Accreditation is crucial to the effective functioning of the oversight of financial solvency and states effectively have to adopt NAIC model laws that are part of the accreditation standards. NAIC model laws and guidelines that are not part of the accreditation standards are strictly advisory and states are under no obligation to enact them. This bill is based on a guideline developed by the NAIC that is not an accreditation standard. The DOI reports that 35 states license adjusters in varying forms and this bill closely follows the NAIC guideline, including the creation of the apprentice license which is noted as an option in the guideline.
- Contractor vs. Employee. This bill only applies the new individual license requirement to individuals who adjust claims for an insurer or self-insured entity on a contract basis while exempting individuals who are employees of an insurer or self-insured entity. This is analytically troublesome. Adjusters perform the same service and present the same risk regardless of their status as an employee or a contractor. The argument that individual adjusters must be licensed to ensure their competence and protect the public applies equally to both employees and contractors who are adjusting claims. Tax filing status seems a poor proxy for determining the necessity of a license.
- DOI Workload. The DOI has a working estimate of 40,000 new licenses being issued over a two-year period if this bill is enacted. This working estimate is based the assumption that the number of independent adjusters in California would be similar to other large states, such as Florida. It is often difficult to estimate the number applicants when establishing a new licensing program because the affected population is typically unknown, and it can be hard to predict how businesses may alter their practices based on new licensing requirements.
- Impact of Expanding Licensing Requirements. There has been some attention paid recently to the expanding number of occupations that require a license. Most notably a study co-authored by the United States (US) Treasury Department, Council of Economic Advisors, and the US Department of Labor found that occupational licensing requirements have a measurable economic impact. The study found that:
"…by making it harder to enter a profession, licensing can also reduce employment opportunities and lower wages for excluded workers, and increase costs for consumers.
- Research shows that by imposing additional requirements on people seeking to enter licensed professions, licensing can reduce total employment in the licensed professions.
- Estimates find that unlicensed workers earn 10% to 15% lower wages than licensed workers with similar levels of education, training, and experience.
"Licensing laws also lead to higher prices for goods and services, with research showing effects on prices of between 3% and 16%. Moreover, in a number of other studies, licensing did not increase the quality of goods and services, suggesting that consumers are sometimes paying higher prices without getting improved goods or services."
Analysis Prepared by: Paul Riches / INS. / (916) 319-2086 FN: 0004817
Office of Senate Floor Analyses (916) 651-1520 Fax: (916) 327-4478 | AB 2588 |
THIRD READING
Bill No: AB 2588
Amended: 8/19/16 in Senate
SENATE INSURANCE COMMITTEE: 5-2, 6/22/16
AYES: Roth, Glazer, Hall, Mitchell, Wieckowski
NOES: Gaines, Berryhill
NO VOTE RECORDED: Hernandez, Liu
SENATE APPROPRIATIONS COMMITTEE: 5-2, 8/11/16
AYES: Lara, Beall, Hill, McGuire, Mendoza
NOES: Bates, Nielsen
ASSEMBLY FLOOR: 50-29, 6/2/16 - See last page for vote
SUBJECT: Independent insurance adjusters
SOURCE: California Department of Insurance
DIGEST: This bill makes comprehensive revisions to the Insurance Adjuster Act and the qualifications for an independent insurance adjusters (IA) license.
Senate Floor Amendments of 8/19/16 (1) make clarifying and technical changes to various provisions related to an application for a license as an IA and (2) add double-jointing language that coordinates with SB 488 (Block) in order to avoid a “chaptering-out” problem if both bills go into effect.
Existing law:
- Titles the collective laws relating to an independent insurance adjuster (IA) the “Insurance Adjuster Act” (“the Act”)
- Requires an individual or business entity that investigates, negotiates, or settles property and casualty claims for an insurer to be licensed by the Department of Insurance (CDI) as an adjuster.
- Exempts individuals working for an insurer or a business entity that adjusts claims for an insurer from the license requirement (permitting employees to work under single licenses is sometimes referred to as a “company license”).
- Exempts specified categories of persons such as attorneys, collection agencies, banks, etc.
- Permits unlicensed individuals to adjust claims in an emergency, as specified, if they register with the Insurance Commissioner (IC) within 15 working days of starting to adjust claims.
- Requires an individual license applicant to pass an exam, have at least two years of experience, pay a fee, and not have committed certain acts or crimes.
- Requires a business entity licensee to designate a qualified individual to be responsible for the operation of the business entity's adjusting functions and requires that the individual must have at least two years of experience adjusting claims and pass an examination.
- Sets various license fees in statute and provides that the IC may set some fees by regulation.
- Requires license applicants to post a $2,000 surety bond.
- Permits certain types of licensees that are actively serving in the military to defer license renewal.
This bill:
- Retitles the Act as the “Independent Insurance Adjuster Act.”
- Redefines an IA as an individual, business entity, independent contractor, or employee of a contractor, who contracts for compensation with insurers; is treated as an independent contractor by insurers for federal tax purposes; and who investigates, negotiates, or settles property and casualty claims for insurers.
- Requires unlicensed individuals adjusting claims during emergency, disaster, or catastrophe to register with CDI within five working days of commencing to adjust claims in California and defines “catastrophe” to mean an event that causes a large number of deaths or injuries, extensive damage to infrastructure, overwhelming demand on first responders, or severe long-term impact on economic activity.
- Eliminates, as of January 1, 2018, the company license and requires all individuals employed by an IA that adjusts claims to be licensed as well.
- Revises some of the exemptions and adds new categories of exempted persons including employees of an insurer, fraud investigators, individual employees who adjusts claims on behalf of his or her employer, and individuals collecting information related to portable electronic insurance claims.
- Creates an apprentice IA license and requires apprentices to be supervised by a fully licensed IA.
- Requires an individual applicant to submit fingerprints for a background check; complete either two years in adjusting insurance claims or one year as a licensed apprentice IA; complete 20 hours of pre-licensing education (this requirement is deferred until January 1, 2019, for applicants currently listed as an employee of a licensee); pass an examination; and pay a fee.
- Exempts from the bond requirement those individual licensees who adjusts solely on behalf of another licensee who meets the bond requirement.
- Requires business entity applicants to provide certain documents and information, and, starting January 1, 2018, to designate a licensed individual to be responsible for the organization’s compliance with state law.
- Establishes “reciprocity” with states with similar licensing requirements by creating a nonresident license and exempts nonresident licensees from examination, education, and other requirements so long as the applicant is licensed and in good standing in the home state, pays the applicable fees, and the licensees home state issues non-resident IA licenses to California applicants on the same basis.
- Enacts a "code of conduct" which generally requires IAs to treat consumers fairly, to not engage in the unauthorized practice of law, comply with applicable laws, and be free of financial conflicts of interest.
- Authorizes the IC to place a licensee on inactive status for failing to complete the necessary continuing education coursework.
- Adds or adjusts various fees.
- Requires CDI to annually report to the Legislature, on or before March 1, 2019, and for a total of three years thereafter, the number of individuals licensed; the implementation costs and the revenues received; and the annual projected costs and revenues associated with licensure and enforcement activities.
- Permits IAs actively serving in the military to defer license renewal.
Background
Claims adjusters are central to the operation of an insurer. They investigate and evaluate insurance claims, decide whether an insurance company must pay a claim, and, if so, how much the insurance company must pay to satisfy the claim. Company adjusters are directly employed by insurers; IAs are independent contractors. Thirty-five states license IAs, but of those, only California permits employees of a licensed IA to work under a company license. The remaining 34 states have adopted laws similar to the Independent Adjuster Licensing Guideline adopted by National Association of Insurance Commissioners (NAIC) and require all individuals that adjust claims to be licensed if they adjust claims as independent contractors rather than employees. This bill adopts the NAIC Guideline and eliminates the exemption for employees working under a company license.
This bill also establishes reciprocity with other states that have adopted the NAIC Guideline giving non-resident licensees the authority to work in California after the bill goes into effect (any person from another state can work as an employee of a licensee now) and the ability of resident licensees to work in other states.
Claims investigations sometimes require on-site physical inspection of a home, or automobile which may bring an IA into contact with insureds and other members of the public. This bill will require IAs to go through a background check.
The new licensing requirement would not apply to adjusters processing portable electronic insurance claims. These contracts cover small electronic devices, such as cell phones, and related services, when they are lost or broken. Claims usually do not involve controversial facts and are generally handled in a rote matter, unless they involve some form of fraud.
FISCAL EFFECT: Appropriation: No Fiscal Com.: Yes Local: Yes
According to the Senate Appropriations Committee, this bill results in estimated ongoing costs to CDI of $700,000–$800,000 per year (Insurance Fund) for the added licensing and enforcement costs for the new licensees and estimated costs to the Department of Justice of $400,000 in fiscal year 2017-18, $480,000 in fiscal year 2018-19, and $160,000 ongoing thereafter (GF/Fingerprint Fees Account) for processing live scan fingerprints submitted with applications. The bill also results in estimated revenue of $1.5–2.5 million per year (Insurance Fund) from fees generated from these new licenses.
California Department of Insurance (source)
United Policyholders
OPPOSITION: (Verified 8/22/16)
American Association of Independent Claims Professionals
ARGUMENTS IN SUPPORT: CDI supports the bill because, taken together, these changes will enhance consumer protection and conform to national licensing and reciprocity standards.
ARGUMENTS IN OPPOSITION: The American Association of Independent Claims Professionals states that CDI has not offered any evidence of any flaw or failure in the existing system.
ASSEMBLY FLOOR: 50-29, 6/2/16
AYES: Alejo, Arambula, Atkins, Bloom, Bonilla, Bonta, Brown, Burke, Calderon, Campos, Chau, Chiu, Chu, Cooley, Cooper, Dababneh, Daly, Dodd, Eggman, Frazier, Cristina Garcia, Eduardo Garcia, Gatto, Gipson, Gomez, Gonzalez, Gordon, Roger Hernández, Holden, Irwin, Jones-Sawyer, Levine, Lopez, Low, McCarty, Medina, Mullin, Nazarian, O'Donnell, Ridley-Thomas, Rodriguez, Salas, Santiago, Mark Stone, Thurmond, Ting, Weber, Williams, Wood, Rendon
NOES: Achadjian, Travis Allen, Baker, Bigelow, Brough, Chang, Chávez, Dahle, Beth Gaines, Gallagher, Gray, Grove, Hadley, Harper, Jones, Kim, Lackey, Linder, Maienschein, Mathis, Mayes, Melendez, Obernolte, Olsen, Patterson, Steinorth, Wagner, Waldron, Wilk
NO VOTE RECORDED: Quirk
Prepared by: Hugh Slayden / INS. / (916) 651-4110
8/22/16 22:42:35
**** END ****
Office of Senate Floor Analyses (916) 651-1520 Fax: (916) 327-4478 | AB |
THIRD READING
Bill No: AB 2588
:
SENATE INSURANCE COMMITTEE: 5-2, 6/22/16
AYES: Roth, Glazer, Hall, Mitchell, Wieckowski
NOES: Gaines, Berryhill
NO VOTE RECORDED: Hernandez, Liu
SENATE APPROPRIATIONS COMMITTEE: 5-2, 8/11/16
AYES: Lara, Beall, Hill, McGuire, Mendoza
NOES: Bates, Nielsen
ASSEMBLY FLOOR: 50-29, 6/2/16 - See last page for vote
SOURCE: California Department of Insurance
DIGEST: This bill makes comprehensive revisions to the Insurance Adjuster Act relative to qualifications for an independent insurance adjusters (IA) license.
Existing law:
- Titles the collective laws relating to an independent insurance adjuster (IA) the “Insurance Adjuster Act” (“the Act”)
- Requires an individual or business entity that investigates, negotiates, or settles property and casualty claims for an insurer to be licensed by the Department of Insurance (CDI) as an adjuster.
- Exempts individuals working for an insurer or a business entity that adjusts claims for an insurer from the license requirement (permitting employees to work under single licenses is sometimes referred to as a “company license”).
- Exempts specified categories of persons such as attorneys, collection agencies, banks, etc.
- Permits unlicensed individuals to adjust claims in an emergency, as specified, if they register with the Insurance Commissioner (IC) within 15 working days of starting to adjust claims.
- Requires an individual license applicant to pass an exam, have at least two years of experience, pay a fee, and not have committed certain acts or crimes.
- Requires a business entity licensee to designate a qualified individual to be responsible for the operation of the business entity's adjusting functions and requires that the individual must have at least two years of experience adjusting claims and pass an examination.
- Sets various license fees in statute and provides that the IC may set some fees by regulation.
- Requires license applicants to post a $2,000 surety bond.
- Permits certain types of licensees that are actively serving in the military to defer license renewal.
This bill:
- Retitles the Act as the “Independent Insurance Adjuster Act.”
- Redefines an IA as an individual, business entity, independent contractor, or employee of a contractor, who contracts for compensation with insurers; is treated as an independent contractor for federal tax purposes; and who investigates, negotiates, or settles property and casualty claims for insurers.
- Requires unlicensed individuals adjusting claims during emergency, disaster, or catastrophe to register with CDI within five working days of commencing to adjust claims in California and defines “catastrophe” to mean an event that causes a large number of deaths or injuries, extensive damage to infrastructure, overwhelming demand on first responders, or severe long-term impact on economic activity.
- Eliminates, as of January 1, 2018, the company license and requires all individuals employed by an IA that adjusts claims to be licensed as well.
- Revises some of the other exemptions and adds new categories of exempted persons including employees of an insurer, fraud investigators, individuals employed by an employer who self-insures property and casualty risks; and individuals collecting information related to portable electronic insurance claims.
- Creates an apprentice IA license and requires apprentices to be supervised by a fully licensed IA.
- Requires an individual applicant to submit fingerprints for a background check; complete either two years in adjusting insurance claims or one year as a licensed apprentice IA; complete 20 hours of pre-licensing education (this requirement is deferred until January 1, 2019, for applicants currently listed as an employee of a licensee); pass an examination; and pay a fee.
- Exempts from the bond requirement those individual licensees who adjusts solely on behalf of another licensee who meets the bond requirement.
- Requires business entity applicants to provide certain documents and information, and, starting January 1, 2018, to designate a licensed individual to be responsible for the organization’s compliance with state law.
- Establishes “reciprocity” with states with similar licensing requirements by creating a nonresident license and exempts nonresident licensees from examination, education, and other requirements so long as the applicant is licensed and in good standing in the home state, pays the applicable fees, and the licensees home state issues non-resident IA licenses to California applicants on the same basis.
- Enacts a "code of conduct" which generally requires IAs to treat consumers fairly, to not engage in the unauthorized practice of law, comply with applicable laws, and be free of financial conflicts of interest.
- Authorizes the IC to place a licensee on inactive status for failing to complete the necessary continuing education coursework.
- Adds or adjusts various fees.
- Requires CDI to annually report to the Legislature, on or before March 1, 2019, and for a total of three years thereafter, the number of individuals licensed; the implementation costs and the revenues received; and the annual projected costs and revenues associated with licensure and enforcement activities.
- Permits IAs actively serving in the military to defer license renewal.
Background
Claims adjusters are central to the operation of an insurer. They investigate and evaluate insurance claims, decide whether an insurance company must pay a claim, and, if so, how much the insurance company must pay to satisfy the claim. Company adjusters are directly employed by insurers; IAs are independent contractors. Thirty-five states license IAs, but of those, only California permits employees of a licensed IA to work under a company license. The remaining 34 states have adopted laws similar to the Independent Adjuster Licensing Guideline adopted by National Association of Insurance Commissioners (NAIC) and require all individuals that adjust claims to be licensed if they adjust claims as independent contractors rather than employees. This bill adopts the NAIC Guideline and eliminates the exemption for employees working under a company license.
This bill also establishes reciprocity with other states that have adopted the NAIC Guideline giving non-resident licensees the authority to work in California after the bill goes into effect (any person from another state can work as an employee of a licensee now) and the ability of resident licensees to work in other states.
Claims investigations sometimes require on-site physical inspection of a home, or automobile which may bring an IA into contact with insureds and other members of the public. This bill will require IAs to go through a background check.
The new licensing requirement would not apply to adjusters processing portable electronic insurance claims. These contracts cover small electronic devices, such as cell phones, and related services, when they are lost or broken. Claims usually do not involve controversial facts and are generally handled in a rote matter, unless they involve some form of fraud.
FISCAL EFFECT: Appropriation: Fiscal Com.: Local:
According to the Senate Appropriations Committee, this bill results in estimated ongoing costs to CDI of $700,000–$800,000 per year (Insurance Fund) for the added licensing and enforcement costs for the new licensees and estimated costs to the Department of Justice of $400,000 in fiscal year 2017-18, $480,000 in fiscal year 2018-19, and $160,000 ongoing thereafter (GF/Fingerprint Fees Account) for processing live scan fingerprints submitted with applications. The bill also results in estimated revenue of $1.5–2.5 million per year (Insurance Fund) from fees generated from these new licenses.
California Department of Insurance (source)
OPPOSITION: (Verified 8/12/16)
American Association of Independent Claims Professionals
ARGUMENTS IN SUPPORT: The California Department of Insurance supports the bill because, taken together, these changes will enhance consumer protection and conform to national licensing and reciprocity standards.
ARGUMENTS IN OPPOSITION: The American Association of Independent Claims Professionals primarily opposes this bill because it believes that CDI has not offered any evidence of any flaw or failure in the existing system.
ASSEMBLY FLOOR: 50-29, 6/2/16
AYES: Alejo, Arambula, Atkins, Bloom, Bonilla, Bonta, Brown, Burke, Calderon, Campos, Chau, Chiu, Chu, Cooley, Cooper, Dababneh, Daly, Dodd, Eggman, Frazier, Cristina Garcia, Eduardo Garcia, Gatto, Gipson, Gomez, Gonzalez, Gordon, Roger Hernández, Holden, Irwin, Jones-Sawyer, Levine, Lopez, Low, McCarty, Medina, Mullin, Nazarian, O'Donnell, Ridley-Thomas, Rodriguez, Salas, Santiago, Mark Stone, Thurmond, Ting, Weber, Williams, Wood, Rendon
NOES: Achadjian, Travis Allen, Baker, Bigelow, Brough, Chang, Chávez, Dahle, Beth Gaines, Gallagher, Gray, Grove, Hadley, Harper, Jones, Kim, Lackey, Linder, Maienschein, Mathis, Mayes, Melendez, Obernolte, Olsen, Patterson, Steinorth, Wagner, Waldron, Wilk
NO VOTE RECORDED: Quirk
8/15/16 20:33:31
**** END ****
SENATE COMMITTEE ON APPROPRIATIONS
Senator Ricardo Lara, Chair
2015 - 2016 Regular Session
AB 2588 (Chu) - Independent insurance adjusters
Version: August 1, 2016 | Policy Vote: INS. 5 - 2 |
Urgency: No | Mandate: Yes |
Hearing Date: August 11, 2016 | Consultant: Debra Cooper |
*********** ANALYSIS ADDENDUM – SUSPENSE FILE ***********
The following information is revised to reflect amendments
adopted by the committee on August 11, 2016
Bill Summary:
AB 2588 would make changes to the Insurance Adjuster Act relative to qualifications for an independent insurance adjusters (IA) license.
Fiscal Impact:
- Estimated ongoing costs to the Department of Insurance (CDI) of $700,000–$800,000 per year for the added licensing and enforcement costs for the new licensees. (Insurance Fund)
- Estimated revenue of $1.5–2.5 million per year from fees generated from these new licenses. (Insurance Fund)
- Estimated costs to the Department of Justice of $400,000 in fiscal year 2017-18, $480,000 in fiscal year 2018-19, and $160,000 ongoing thereafter for processing live scan fingerprints submitted with applications. (GF/Fingerprint Fees Account)
Author Amendments:
- Requires that applicants submit a set of fingerprints submitted with a live scan fingerprinting service provider certified by the Department of Justice instead of fingerprints submitted in a manner acceptable to the Department of Insurance.
- Reduces the application fee for new and renewed licenses from $120 to $80 per two-year period.
-- END --
SENATE COMMITTEE ON
Senator Ricardo Lara, Chair
2015 - 2016 Regular Session
AB 2588 (Chu) - Independent insurance adjusters
Version: | Policy Vote: |
Urgency: | Mandate: |
Hearing Date: | Consultant: |
This bill meets the criteria for referral to the Suspense File.
Bill Summary:
AB 2588 would make changes to the Insurance Adjuster Act relative to qualifications for an independent insurance adjusters (IA) license.
Fiscal Impact:
- Estimated ongoing costs to the Department of Insurance (CDI) of $700,000–$800,000 per year for the added licensing and enforcement costs for the new licensees. (Insurance Fund)
- Estimated revenue of $2–3 million per year from fees generated from these new licenses.
Background:
Insurance adjusters investigate and evaluate insurance claims, negotiate, and settle property and casualty claims for insurers. The National Association of Insurance Commissioners (NAIC) publishes a model law for states to adopt at their option. This bill is similar to the NAIC model law.
Unlike many other states, existing California law allows unlicensed individuals to adjust claims on behalf of his or her independent adjuster employer without having to obtain a license; only the employers are required to obtain a license. Claims adjusters, therefore, have not been required to pass a fingerprint-based background check, complete a pre-licensing educations course, prove their competency in adjusting claims by passing a qualifying examination, or complete continuing education courses.
Proposed Law:
This bill would:
- Redefine an IA as an individual, business entity, independent contractor, or employee of a contractor who contracts for compensation with insurers, a person whose tax treatment by the insurers is consistent with that of an independent contractor, and a person who investigates, negotiates, or settles property and casualty claims for insurers.
- Require an unlicensed individual adjusting claims during an emergency, disaster, or catastrophe to register with CDI within five working days of commencing to adjust claims in California.
- Eliminate, as of January 1, 2018 the company license and require all individuals employed by an IA that adjusts claims to be licensed as well.
- Revise exemptions and add new categories of exempted persons.
- Create an apprentice IA license and require apprentices to be supervised by a fully licensed IA.
- Specify the requirements an applicant must complete in order for a license to be granted.
- Establish “reciprocity” with states with similar licensing requirements.
- Authorize the Insurance Commissioner to place a licensee on inactive status for failing to complete the necessary continuing education coursework.
- Exempt a licensed IA who adjusts on behalf of his or her employer from the requirement to file a surety bond with the Insurance Commissioner.
- Add or adjust various fees.
- Require CDI to report to the Legislature annually on or before March 1, 2019 and for a total of three years thereafter, on the number of individuals licensed, the implementation costs and revenues received, and the annual projected costs and revenues associated with licensure and enforcement activities.
Staff Comments:
There is some difficulty in estimating costs, workload, and revenue for a new licensure program. CDI estimates approximately 30,000 new licenses being issued over a two-year period if this bill is enacted. If the maximum licensee fee of $120 is charged, plus the new applicant fee of $50, CDI would expect to receive nearly $3 million per year in added revenue, which exceeds the estimated cost of administering and enforcing the licensing program.
-- END --
SENATE COMMITTEE ON
Senator Richard Roth, Chair
2015 - 2016 Regular
Bill No: Hearing Date: June 22, 2016
Author: | |||
Version: | Amended | ||
Urgency: | Fiscal: | ||
Consultant: | |||
Subject:
SUMMARY
Makes comprehensive revisions to the Insurance Adjuster Act relative to qualifications for an independent insurance adjusters (IA) license.
DIGEST
Existing law
- Titles the collective laws relating to an independent insurance adjuster (IA) the “Insurance Adjuster Act” (“the Act”)
- Requires an individual or business entity that investigates, negotiates, or settles property and casualty claims for an insurer to be licensed by the Department of Insurance (CDI) as an adjuster.
- Exempts individuals working for an insurer or a business entity that adjusts claims for an insurer from the license requirement (permitting employees to work under single licenses is sometimes referred to as a “company license”).
- Exempts specified certain categories of persons such as attorneys, collection agencies, banks, etc.
- Permits unlicensed individuals to adjust claims in an emergency, as specified, if they register with the insurance commissioner (IC) within 15 working days of starting to adjust claims.
- Requires an individual license applicant to pass an exam, have at least two-years of experience, pay a fee, and not have committed certain acts or crimes.
- Requires a business entity licensee to designate a qualified individual to be responsible for the operation of the business entity's adjusting functions and requires that the individual must have at least two years of experience adjusting claims and pass an examination.
- Sets various license fees in statute and provides that the IC may set some fees by regulation.
- Requires license applicants to post a $2,000 surety bond.
- Permits certain types of licensees that are actively serving in the military to defer license renewal.
This bill
- Retitles the Act as the “Independent Insurance Adjuster Act.”
- Redefines IA as an individual, business entity, independent contractor, or employee of a contractor, who contracts for compensation with insurers; is treated as an independent contractor for federal tax purposes; and who investigates, negotiates, or settles property and casualty claims for insurers.
- Requires unlicensed individuals adjusting claims during emergency, disaster, or catastrophe to register with CDI within 5 working days of commencing to adjust claims in California and defines “catastrophe” to mean an event that causes a large number of deaths or injuries, extensive damage to infrastructure, overwhelming demand on first responders, or severe long-term impact on economic activity.
- Eliminates, as of January 1, 2018, the company license and requires all individuals employed by an IA that adjusts claims to be licensed as well.
- Revises some of the other exemptions and adds new categories of exempted persons including employees of an insurer, fraud investigators, individuals employed by an employer who self-insures property and casualty risks; and individuals collecting information related to portable electronic insurance claims.
- Creates an apprentice IA license and requires apprentices to be supervised by a fully licensed IA.
- Requires an individual applicant to submit fingerprints for a background check; complete either two years in adjusting insurance claims or one year as a licensed apprentice IA; and complete 20 hours of pre-licensing education (this requirement is deferred until January 1, 2019, for applicants currently listed as an employee of a licensee); pass an examination; and pay a fee.
- Requires business entity applicants to provide certain documents and information, and, starting January 1, 2018, to designate a licensed individual to be responsible for the organization’s compliance with state law.
- Establishes “reciprocity” with states with similar licensing requirements by creating a nonresident license and exempts nonresident licensees from examination, education, and other requirements so long as the applicant is licensed and in good standing in the home state, pays the applicable fees, and the licensees home state issues non-resident IA licenses to California applicants on the same basis.
- Enacts a "code of conduct" which generally requires IAs to treat consumers fairly, not engage in the practice of law, comply with applicable laws, and be free of financial conflicts of interest.
- Authorizes the IC to place a licensee on inactive status for failing to complete the necessary continuing education coursework.
- Adds or adjusts various fees.
- Requires CDI to annually report to the Legislature, on or before March 1, 2019, and for a total of three years thereafter, the number of individuals licensed; the implementation costs and the revenues received; and the annual projected costs and revenues associated with licensure and enforcement activities.
- Permits IAs that actively serving in the military to defer license renewal.
COMMENTS
- Purpose of the bill Claims adjusters are central to the operation of an insurer. They investigate and evaluate insurance claims, decide whether an insurance company must pay a claim, and, if so, how much the insurance company must pay to satisfy the claim. Company adjusters are directly employed by insurers; IAs are independent contractors. Thirty-five states license IAs, but of those, only California permits employees of a licensed IA to work under a company license. The remaining 34 states have adopted laws similar to the Independent Adjuster Licensing Guideline adopted by National Association of Insurance Commissioners (NAIC) and require all individuals that adjust claims to be licensed if they adjust claims as independent contractors rather than employees. This bill would adopt the NAIC Guideline.
According to the author, unlicensed employees of IA’s are not subjected to exam, fingerprint, education and background review requirements. Since IAs work as contractors for insurance companies, complaints submitted to CDI from consumers about claims adjusting practices usually come in the form of complaints against the insurance companies, not IAs. Consumers typically have no idea whether the adjuster handling their claim on behalf of the insurance company is an independent or employee adjuster.
Further, whereas NAIC's Guideline provides for reciprocity between states for issuing licenses to non-resident independent adjusters, California does not provide reciprocity with other states' licensing of independent adjustors. Specifically, California law currently requires non-residents to pass the California exam, which is substantively similar to the exam offered in their resident state. California law also does not allow residents of fifteen states that do not license independent adjusters to designate California as their "Home State."
California seeks to join these 34 other states by requiring that anyone acting as an IA be licensed, including employees of licensed IAs who currently are not licensed. Taken together, these proposed changes will enhance consumer protection and conform to national licensing reciprocity and uniformity standards.
- Background California first began licensing some insurance adjusters in 1980. In 1985, adjusting licenses were split into two classes, IA and public adjusters. California chose to offer a company license for property and casualty insurance. In 2008, the NAIC took a different approach and did not adopt the company license. But, since it requires all individual IAs to be licensed, it also establishes apprenticeship licenses and reciprocity. (Reciprocity permits licensees to practice in several states without having to repeat individual licensing requirements, which may be particularly helpful in smaller states.)
This bill would follow the NAIC Guideline and eliminate California’s company license. Proponents argue that this bill would help to create uniformity and consistency with national standards, enhance public safety, and establish reciprocity.
Adopting some NAIC model laws can be critical to the interstate regulation of insurers and may even be blessed by federal law. NAIC accreditation means insurers primarily overseen by an accredited state are subject to minimum standards. In order to receive and retain NAIC accreditation, a state must adopt NAIC specific model laws that are part of the accreditation standards. Other NAIC model laws and guidelines not part of the accreditation standards are strictly advisory. This bill is based on a guideline, not an accreditation standard, but it does facilitate reciprocity among adopting states. Notably, the underlying substantive law related to claims practices, the Unfair Claims Settlement Practices Act and the Fair Claims Settlement Practices Regulations, significantly deviate from the NAIC models and non-resident adjusters may have to apply substantially different standards in California than those of their home state.
Claims investigations sometimes require on-site physical inspection (commonly a home, business location, or automobile) which brings some IA’s into regular contact with insureds and with other members of the public. Existing law does not require background checks for IAs or company adjusters. This bill will require IAs to go through a background check. However, concerns have been raised that CDI has offered no evidence of a public safety problem.
Establishing reciprocity will give non-residents licensees the authority to work in California (any person from another state can work as an employee of a licensee now). Reciprocity will primarily benefit non-resident licensees and California licensees who wish to work in other states.
Portable Electronics Exemption. This bill would add an exception to portable electronic insurance. These contracts cover small electronic devices, such as cell phones, and related services, when they are lost or broken. Claims usually do not involve controversial facts and are generally handled in a rote matter, unless they involve some form of fraud.
- Support Insurance Commissioner Dave Jones supports the bill because, taken together, these changes will enhance consumer protection and conform to national licensing and reciprocity standards.
- Opposition The American Association of Independent Claims Professionals (AAICP) primarily opposes this bill because it believes that CDI has not offered any evidence of any flaw or failure in the existing system and that AB 2588 moves in the wrong direction. Moreover, they are concerned that the bill lacks a grandfathering provision and would require many highly experienced adjusters to go through the licensing process.
AAICP notes that the NAIC Guideline applicable to third-party administrators and California law permit business entity licensing for life and health insurance adjusters without each individual adjuster having to be licensed. Other states, such as Utah and Montana, similarly permit company-level licensure.
According to AAICP, there are hundreds, if not thousands, of adjusters residing in states that do not provide a home state license, and that are doing business in California today that have already chosen a state other than California as their “designated home state.” This bill would require them to change their home state to California. These adjusters cannot change that designation and shift their designated home state to California without having to change every license they hold (and the typical adjuster holds between 8-12 licenses).
This bill is not intended to cover workers’ compensation, which may be considered a line of casualty insurance. AAICP believes that this bill could apply to workers’ compensation insurance and requests that the bill be clarified accordingly.
- Questions A study co-authored by the US Treasury Department, Council of Economic Advisors, and the US Department of Labor found that occupational licensing requirements have a measurable economic impact. The study found that "by making it harder to enter a profession, licensing can also reduce employment opportunities and lower wages for excluded workers, and increase costs for consumers.” Does the evidence presented by the bill’s proponent justify the potentially negative impact on consumers (in terms of higher insurance premium), employees of IAs who will be subject to the licensing laws, and potential exclusionary impact of disadvantaged applicants?
- Prior and Related Legislation
AB 1636 (McAlister), Chapter 1202, Statutes of 1985, established the licensing requirement for and regulation of public insurance adjusters separate from the Insurance Adjuster Act.
AB 1190 (Moore), Chapter 1190, Statutes of 1980, transferred the licensing of insurance adjusters from the Bureau of Collection and Investigative Services to the CDI and reenacted licensing regulations in the Insurance Code.
POSITIONS
Support
California Department of Insurance (sponsor)
Oppose
American Association of Independent Claims Professionals
-- END --
ASSEMBLY THIRD READING
ATR Bill Id:
Author:(Chu)
As Amended Ver:May 31, 2016
Majority vote
Committee | Votes | Ayes | Noes |
Insurance | 9-4 | Daly, Calderon, Chu, Cooley, Cooper, Dababneh, Frazier, Gatto, Rodriguez | Melendez, Travis Allen, Bigelow, Dahle |
Appropriations | 14-6 | Gonzalez, Bloom, Bonilla, Bonta, Calderon, Daly, Eggman, Eduardo Garcia, Roger Hernández, Holden, Quirk, Santiago, Weber, Wood | Bigelow, Chang, Gallagher, Jones, Obernolte, Wagner |
SUMMARY: Creates new individual licensing programs for independent property/casualty insurance adjusters (adjuster) and apprentice independent property/casualty insurance adjusters (apprentice). Specifically, this bill:
- Adds adjusters to an existing statute that defers license renewal for insurance licensees who are actively serving in the military.
- Provides that fees collected under the adjuster licensing law are earned fees and cannot be refunded.
- Defines "catastrophe" for the purpose of the insurance adjuster law to mean an event that causes a large number of deaths or injuries, extensive damage to infrastructure, overwhelming demand on first responders, or severe long-term impact on economic activity.
- Requires an individual or business entity that investigates, negotiates, or settles property and casualty claims for an insurer to be licensed by the Department of Insurance (DOI) as an adjuster.
- Exempts the following from the adjuster licensing requirement:
- An officer, manager, director, or employee of an insurer, surplus line insurer, risk retention group, managing general agent, or the attorney-in-fact of a reciprocal insurer.
- An individual employed solely to obtain facts related to a claim or furnish technical assistance to a licensed adjuster.
- Fraud investigators.
- Health care providers and their employees.
- Managed care organizations and their employees.
- Individuals employed by an employer who self-insures for property/casualty risks.
- Individuals who adjust workers' compensation claims.
- Individuals who adjust portable electronic device insurance claims if no more than 25 individuals adjust claims under the supervision of a licensed independent claims adjuster.
- Requires an individual or business entity seeking a license as an adjuster to submit fingerprints, the completed application, and required fees.
- Requires applicants for an adjuster license to:
- Have either two years of experience adjusting claims or worked for one year as an apprentice.
- Complete a 20 hour pre-license course of study.
- Pass a written examination.
- Requires an individual applying for a non-resident license and resides in a state that does not license adjusters to become licensed in California or in another state that individually licenses independent adjuster and maintain that license in good standing.
- Exempts individuals licensed as an adjuster and in good standing in another state from the pre-license education requirement.
- Establishes the apprentice license to gain the experience required to become an adjuster. A licensed adjuster must agree to provide training, direction and control of the apprentice.
- Establishes a non-resident adjuster license for applicants who meet the following criteria:
- Is licensed in good standing as an adjuster in their state.
- The applicant's home state issues non-resident adjuster licenses to California applicants on the same basis that California issues non-resident licenses.
- Enacts an adjuster "code of conduct" which generally requires adjusters to treat consumers fairly, not engage in the practice of law, comply with applicable laws, and be free of financial conflicts of interest.
- Requires adjusters to complete 24 hours of continuing education in each two-year licensing cycle.
- Requires the fee for an apprentice license to be set by the commissioner and be reasonably related to the cost of licensing.
- Delays implementation of the new licensing requirement until January 1, 2018.
- Requires the DOI to report to the Legislature annually for three years, beginning on March 1, 2019, on the number of licenses issued, the revenues collected, and expenditures related to licensing and regulating independent adjusters.
EXISTING LAW:
- Requires business entities providing insurance adjusting services to be licensed by the DOI.
- Requires a business entity to designate a qualified individual to be responsible for the operation of the business entity's adjusting functions. That individual must have at least two years of experience adjusting claims and pass an examination.
- Exempts individuals working for an insurer or a business entity that adjusts claims for an insurer from being licensed.
FISCAL EFFECT: According to the Assembly Appropriations Committee:
- Estimated costs of $400,000-$500,000 to CDI annually for licensing and enforcement (Insurance Fund).
- Revenue estimates based on current fees are $1.7-2.6 million ongoing, exceeding expected ongoing costs by a significant margin. These estimates are subject to considerable uncertainty and depend on the number of licenses sought.
- Significant costs over the first one to two years of licensure, and minor ongoing costs to Department of Justice for additional background checks, reimbursed by the individuals being screened (Fingerprint Fees Account).
COMMENTS:
- Purpose. According to the author, this bill will improve the caliber of independent insurance adjusters in California by requiring anyone who is not employed by an insurer (including self-insured entities) who adjusts property/casualty insurance claims to be licensed. To become licensed, individuals will have to complete pre-licensing education, pass a qualifying examination, and pass a fingerprint-based background check. In addition licensees must complete 24 hours of continuing education every two years. Furthermore, the bill creates the apprentice independent insurance adjuster license for those seeking to become licensed. This bill will also allow California and other states with similar licensing laws (34 other states license individual adjusters) to license non-residents on a reciprocal basis. These changes will streamline the process for non-residents to obtain an adjuster license as currently these applicants must pass California's examination which is substantively similar to the examination passed in their resident states.
- Claims Adjusters. Claims adjusters are central to the operation of an insurer. They investigate and evaluate insurance claims, decide whether an insurance company must pay a claim, and, if so, how much the insurance company must pay to satisfy the claim. This frequently requires on-site physical inspection in a property damage claim (commonly a home, business location, or automobile) which brings them into regular contact with the insured and with other members of the public. This bill is proposing new, broader licensing requirements for property/casualty adjusters.
- NAIC Guideline. The National Association of Insurance Commissioners (NAIC) is composed of the insurance commissioners for each state and has a number of functions. Among those is promoting consistency in insurance law by developing model laws and guidelines for the states. Adopting some NAIC model laws related to the financial solvency of insurers is required for a state to maintain its accreditation status with NAIC. Accreditation is crucial to the effective functioning of the oversight of financial solvency and states effectively have to adopt NAIC model laws that are part of the accreditation standards. NAIC model laws and guidelines that are not part of the accreditation standards are strictly advisory and states are under no obligation to enact them. This bill is based on a guideline developed by the NAIC that is not an accreditation standard. The DOI reports that 35 states license adjusters in varying forms and this bill closely follows the NAIC guideline, including the creation of the apprentice license which is noted as an option in the guideline.
- Contractor vs. Employee. The bill only applies the new individual license requirement to individuals who adjust claims for an insurer or self-insured entity on a contract basis while exempting individuals who are employees of an insurer or self-insured entity. This is analytically troublesome. Adjusters perform the same service and present the same risk regardless of their status as an employee or a contractor. The argument that individual adjusters must be licensed to ensure their competence and protect the public applies equally to both employees and contractors who are adjusting claims. Tax filing status seems a poor proxy for determining the necessity of a license.
- DOI Workload. The DOI has a working estimate of 40,000 new licenses being issued over a two-year period if this bill is enacted. This working estimate is based the assumption that the number of independent adjusters in California would be similar to other large states, such as Florida. It is often difficult to estimate the number applicants when establishing a new licensing program because the affected population is typically unknown, and it can be hard to predict how businesses may alter their practices based on new licensing requirements. This in turn frustrates any attempt to set fees and budgets at an appropriate level. The bill allows for a fee of up to $170 for each license which is valid for two years, and requires a license renewal fee of up to $170 every two-years. First time applicants would also pay an exam fee of $50. The DOI estimates that the added licensing and enforcement costs for these new licensees would be $400,000 - $500,000 per year. If the volume of applications is near the DOI estimate and the maximum $170 license fee is charged, the DOI would expect to receive roughly $4 million per year in added revenue which far exceeds the estimated cost of the licensing program. Assuming costs are at the high end of DOI estimates and the application volume estimate is accurate, a license fee of $12.50 would cover the costs incurred by DOI. Given the broad disparity between the estimated costs and the maximum possible revenue, DOI will have to refine its estimates before establishing the fee and implementing the license requirement.
- Impact of Expanding Licensing Requirements. There has been some attention paid recently to the expanding number of occupations that require a license. Most notably a study co-authored by the United States (US) Treasury Department, Council of Economic Advisors, and the US Department of Labor found that occupational licensing requirements have a measurable economic impact. The study found that:
"…by making it harder to enter a profession, licensing can also reduce employment opportunities and lower wages for excluded workers, and increase costs for consumers.
- Research shows that by imposing additional requirements on people seeking to enter licensed professions, licensing can reduce total employment in the licensed professions.
- Estimates find that unlicensed workers earn 10% to 15% lower wages than licensed workers with similar levels of education, training, and experience.
"Licensing laws also lead to higher prices for goods and services, with research showing effects on prices of between 3% and 16%. Moreover, in a number of other studies, licensing did not increase the quality of goods and services, suggesting that consumers are sometimes paying higher prices without getting improved goods or services."
Analysis Prepared by: Paul Riches / INS. / (916) 319-2086 FN: 0003392
Date of Hearing: May 18, 2016
ASSEMBLY COMMITTEE ON APPROPRIATIONS
Lorena Gonzalez, Chair
ABPCA Bill Id:AB 2588
Author:(Chu) – As Amended Ver:May 9, 2016
Policy Committee: | Insurance | Vote: | 9 - 4 |
Urgency: No State Mandated Local Program: Yes Reimbursable: No
SUMMARY:
This bill creates new individual licensing programs for independent property/casualty insurance adjusters (adjusters) and apprentice independent property/casualty insurance adjusters (apprentices), overseen by the California Department of Insurance (CDI).
To become licensed, individuals will have to complete pre-licensing education, pass a qualifying examination, and pass a fingerprint-based background check. In addition, licensees must complete 24 hours of continuing education every two years.
FISCAL EFFECT:
- Estimated costs of $400,000-$500,000 to CDI annually for licensing and enforcement (Insurance Fund).
- Revenue associated with licensure fees is estimated are $2-4 million. These estimates are subject to considerable uncertainty and depend on the number of licenses sought.
- Significant costs over the first one to two years of licensure, and minor ongoing costs to Department of Justice for additional background checks, reimbursed by the individuals being screened (Fingerprint Fees Account).
COMMENTS:
- Purpose. According to the author, this bill will improve the caliber of independent insurance adjusters in California by requiring anyone who is not employed by an insurer to be licensed. This bill will also allow California and other states with similar licensing laws to license non-residents on a reciprocal basis.
- Background. Insurance adjusters investigate, negotiate, and settle property and casualty claims for insurers. 34 other states require licensure of independent adjusters, and the National Association of Insurance Commissioners (NAIC) publishes a model law for states to adopt at their option. This bill is similar to the NAIC model law. Unlike some other model laws produced by NAIC, however, the model law for insurance adjuster licensure is a guideline, not a recommendation or an accreditation requirement for state insurance departments.
According to CDI, California’s independent insurance adjuster licensing laws are the least stringent of any of the states that require this license. Unlike the other states, California law allows unlicensed individuals to adjust claims on behalf of their independent adjuster employer without having to obtain a license. Current state law only requires licensure of the employers. Consequently, CDI notes, the claims adjusters have never had to: 1) pass a fingerprint-based background review, which would reveal any criminal arrests and convictions such as felony convictions involving dishonesty and breach of trust; 2) complete a pre-licensing education course; 3) prove their competency in adjusting claims by passing a qualifying license examination; and finally: 4) complete continuing education courses that would ensure ongoing competency.
- Support and Opposition. This bill is sponsored by CDI, and opposed by the American Association of Independent Claims Professionals, a group that represents the adjusters required to be licensed under this bill.
- Staff Comments. There is some inherent difficulty in estimating costs, workload, and revenue for a new licensure program. CDI estimates 20,000 to 40,000 new licensees. The bill allows for a fee of up to $170 for each license which is valid for two years, and requires a license renewal fee of up to $170 every two-years. First time applicants would also pay an exam fee of $50. The CDI estimates that the added licensing and enforcement costs for these new licensees would be $400,000 - $500,000 per year. If the volume of applications is near the CDI estimate and the maximum $170 license fee is charged, the DOI would expect to receive roughly $4 million per year in added revenue which far exceeds the estimated cost of the licensing program. Given the broad disparity between the estimated costs and the maximum possible revenue, DOI will have to refine its estimates before establishing the fee and implementing the license requirement. This bill could also be amended to provide additional legislative oversight and to require CDI to report on fee revenue, number of new licenses, and the associated ongoing workload costs.
Analysis Prepared by: Lisa Murawski / APPR. / (916) 319-2081
Date of Hearing: April 20, 2016
ASSEMBLY COMMITTEE ON INSURANCE
Tom Daly, Chair
ABPCA Bill Id:AB 2588 (
Author:Chu) – As Amended Ver:April 18, 2016
SUBJECT: Independent insurance adjusters
SUMMARY: Creates new individual licensing programs for independent property/casualty insurance adjusters (adjuster) and apprentice independent property/casualty insurance adjusters (apprentice). Specifically, this bill:
- Adds adjusters to an existing statute that defers license renewal for insurance licensees who are actively serving in the military.
- Provides that fees collected under the adjuster licensing law are earned fees and cannot be refunded.
- Defines "catastrophe" for the purpose of the insurance adjuster law to mean an event that causes a large number of deaths or injuries, extensive damage to infrastructure, overwhelming demand on first responders, or severe long-term impact on economic activity.
- Requires an individual or business entity that investigates, negotiates, or settles property and casualty claims for an insurer to be licensed by the Department of Insurance (DOI) as an adjuster.
- Exempts the following from the adjuster licensing requirement:
- An officer, manager, director, or employee of an insurer, surplus line insurer, risk retention group, managing general agent, or the attorney-in-fact of a reciprocal insurer.
- An individual employed solely to obtain facts related to a claim or furnish technical assistance to a licensed adjuster.
- Fraud investigators.
- Health care providers and their employees.
- Managed care organizations and their employees.
- Individuals employed by an employer who self-insures for property/casualty risks.
- Individuals who adjust workers' compensation claims.
- Requires an individual or business entity seeking a license as an adjuster to submit fingerprints, the completed application, and required fees.
- Requires applicants for an adjuster license to:
- Have either two years of experience adjusting claims or worked for one year as an apprentice.
- Complete a 20 hour pre-license course of study.
- Pass a written examination.
- Requires an individual who resides in a state that does not license adjusters to become licensed in California.
- Exempts individuals licensed as an adjuster and in good standing in another state from the pre-license education requirement.
- Establishes the apprentice license to gain the experience required to become an adjuster. A licensed adjuster must agree to provide training, direction and control of the apprentice.
- Establishes a non-resident adjuster license for applicants who meet the following criteria:
- Is licensed in good standing as an adjuster in their state.
- The applicant's home state issues non-resident adjuster licenses to California applicants on the same basis that California issues non-resident licenses.
- Enacts an adjuster "code of conduct" which generally requires adjusters to treat consumers fairly, not engage in the practice of law, comply with applicable laws, and be free of financial conflicts of interest.
- Requires adjusters to complete 24 hours of continuing education in each two-year licensing cycle.
- Requires the fee for an apprentice license to be set by the commissioner and be reasonably related to the cost of licensing.
- Delays implementation of these changes until January 1, 2018.
EXISTING LAW:
- Requires business entities providing insurance adjusting services to be licensed by the DOI.
- Requires a business entity to designate a qualified individual to be responsible for the operation of the business entity's adjusting functions. That individual must have at least two years of experience adjusting claims and pass an examination.
- Exempts individuals working for an insurer or a business entity that adjusts claims for an insurer from being licensed.
FISCAL EFFECT: Undetermined.
COMMENTS:
- Purpose. According to the author, this bill will improve the caliber of independent insurance adjusters in California by requiring anyone who is not employed by an insurer (including self-insured entities) who adjusts property/casualty insurance claims to be licensed. To become licensed, individuals will have to complete pre-licensing education, pass a qualifying examination, and pass a fingerprint-based background check. In addition licensees must complete 24 hours of continuing education every two years. Furthermore, the bill creates the apprentice independent insurance adjuster license for those seeking to become licensed. This bill will also allow California and other states with similar licensing laws (34 other states license individual adjusters) to license non-residents on a reciprocal basis. These changes will streamline the process for non-residents to obtain an adjuster license as currently these applicants must pass California’s examination which is substantively similar to the examination passed in their resident states.
- Claims Adjusters. Claims adjusters are central to the operation of an insurer. They investigate and evaluate insurance claims, decide whether an insurance company must pay a claim, and, if so, how much the insurance company must pay to satisfy the claim. This frequently requires on-site physical inspection in a property damage claim (commonly a home, business location, or automobile) which brings them into regular contact with the insured and with other members of the public. This bill is proposing new, broader licensing requirements for property/casualty adjusters.
- NAIC Guideline. The National Association of Insurance Commissioners (NAIC) is composed of the insurance commissioners for each state and has a number of functions. Among those is promoting consistency in insurance law by developing model laws and guidelines for the states. Adopting some NAIC model laws related to the financial solvency of insurers is required for a state to maintain its accreditation status with NAIC. Accreditation is crucial to the effective functioning of the oversight of financial solvency and states effectively have to adopt NAIC model laws that are part of the accreditation standards. NAIC model laws and guidelines that are not part of the accreditation standards are strictly advisory and states are under no obligation to enact them. This bill is based on a guideline developed by the NAIC that is not an accreditation standard. The DOI reports that 35 states license adjusters in varying forms and this bill closely follows the NAIC guideline, including the creation of the apprentice license which is noted as an option in the guideline.
- Contractor vs. Employee. The bill only applies the new individual license requirement to individuals who adjust claims for an insurer or self-insured entity on a contract basis while exempting individuals who are employees of an insurer or self-insured entity. This is analytically troublesome. Adjusters perform the same service and present the same risk regardless of their status as an employee or a contractor. The argument that individual adjusters must be licensed to ensure their competence and protect the public applies equally to both employees and contractors who are adjusting claims. Tax filing status seems a poor proxy for determining the necessity of a license.
- DOI Workload. The DOI has a working estimate of 40,000 new licenses being issued over a two-year period if this bill is enacted. This working estimate is based the assumption that the number of independent adjusters in California would be similar to other large states, such as Florida. It is often difficult to estimate the number applicants when establishing a new licensing program because the affected population is typically unknown, and it can be hard to predict how businesses may alter their practices based on new licensing requirements. This in turn frustrates any attempt to set fees and budgets at an appropriate level. The bill allows for a fee of up to $170 for each license which is valid for two years, and requires a license renewal fee of up to $170 every two-years. First time applicants would also pay an exam fee of $50. The DOI estimates that the added licensing and enforcement costs for these new licensees would be $400,000 - $500,000 per year. If the volume of applications is near the DOI estimate and the maximum $170 license fee is charged, the DOI would expect to receive roughly $4 million per year in added revenue which far exceeds the estimated cost of the licensing program. Assuming costs are at the high end of DOI estimates and the application volume estimate is accurate, a license fee of $12.50 would cover the costs incurred by DOI. Given the broad disparity between the estimated costs and the maximum possible revenue, DOI will have to refine its estimates before establishing the fee and implementing the license requirement.
- Impact of Expanding Licensing Requirements. There has been some attention paid recently to the expanding number of occupations that require a license. Most notably a study co-authored by the US Treasury Department, Council of Economic Advisors, and the US Department of Labor found that occupational licensing requirements have a measurable economic impact. The study found that:
"…by making it harder to enter a profession, licensing can also reduce employment opportunities and lower wages for excluded workers, and increase costs for consumers.
- Research shows that by imposing additional requirements on people seeking to enter licensed professions, licensing can reduce total employment in the licensed professions.
- Estimates find that unlicensed workers earn 10 to 15 percent lower wages than licensed workers with similar levels of education, training, and experience.
- Licensing laws also lead to higher prices for goods and services, with research showing effects on prices of between 3 and 16 percent. Moreover, in a number of other studies, licensing did not increase the quality of goods and services, suggesting that consumers are sometimes paying higher prices without getting improved goods or services."
REGISTERED SUPPORT / OPPOSITION:
Support
Department of Insurance (sponsor)
Opposition
American Association of Independent Claims Professionals
Analysis Prepared by: Paul Riches / INS. / (916) 319-2086
Discussed in Hearing
Assembly Floor
Senate Floor
Senate Standing Committee on Insurance
Assembly Floor
Bill Author
Bill Co-Author(s):