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CA Public Adjuster - Ch.7
Excerpts of CA Public Insurance Adjusters Act
19
Insurance
Post-Graduate
02/16/2016

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Cards

Term
15002
Definition
The act does not entitle someone to practice law unless they're an active member of the State Bar of CA.
Term
15005
Definition

The commissioner may adopt and enforce rules:

 

-in order to fix qualifications

 

- carry out regulations/conduct of licenses

 

- change the classifications of a license

Term
15007
Definition

Definition of a PA.

 

- A person who acts on behalf of an insured in negotiating or effecting the settlement of a claim for compensation.

Term
15011
Definition

Requirements to apply for a license:

 

  1. 18 y/o
  2. CA resident
  3. Good character
  4. Sufficient experience in the handling of loss competent to a PA
  5. Maintain an office in CA w/public access and regular business hours
  6. Pass an exam
  7. Post a surety bond
  8. Comply with qualifications as req'd by the commissioner.
Term
15012
Definition
The license shall include adjusting claims for fire and allied coverages, burglary, flood, and all ppty claims both real and personal, and loss of income.
Term
15013
Definition

Each applicant must personally take and pass an exam as follows:

 

- Tests the applican't knowledge of basic insurance theory, elements of a contract, knowledge of the Unfair Claims Practices Act, and duties/responsibilities of PAs

 

- In written form

 

- The commissioner transmit the results of the exam to the applicant within 30 days

 

- If applicant fails, commissioner offers re-examination (not to pass 6 months)

 

- Exam times/locations shall be reasonably set by commissioner to fit convenience

Term
Unfair Claims Practices Act
Definition
An act meant to set forth standards for the investigation and disposition of claims
Term
15016
Definition

Commissioner will issue an interim license to all qualified individuals for the purpose of training as long as the individual:

 

- is employed/under the supervision of a licensed person

 

- Meets requirements of 15011 (age, CA resident, etc)

 

- Pay a license fee of $100

 

- Comply with any other qualifications set by the commissioner.

 

AND: Interim license may not be renewed after it expires after 1 year

Term
15021
Definition
The license will be posted in a conspicuous place at the place of business
Term
15022
Definition
Pocket size license will be issued
Term
15025
Definition
An individual shall notify the dept of any change in his/her address within 30 days.
Term
15027
Definition

No licensee shall solicit a client for employment or initiate contact with a policyholder b/w 6pm - 8am.

 

- A licensee shall not contact an insured until 7 days after a disaster

 

- A PA who has a contract with an insured is the agent of the insured

Term
Disaster
Definition
A loss-producing event that dmgs or destroys more than 25 dwellings
Term
15028
Definition

No person licensed as a PA shall:

 

- Misrepresent to solicit a contract to adjust a claim

 

- Solict or accept money from any salvage, repair, or other firm which obtains business in connection with with said claim

 

- Advance $ to a potential client in order to obtain business (bribe)

Term
15028.5
Definition

A PA shall maintain a complete record of each transcation as a PA. Records shall include:

 

- Name of the insured

- DOL, location, amount of loss

- Copy of contract b/w PA and the insured

- Itemized statement of recoveries

-Total compensation

Itemized statement of disbursement made by the PA from recoveries rcvd on behalf of the insured

Term
How many years shall records be maintained for after the termination of the transaction ?
Definition
5 years
Term
What must a PA do once he/she rcvs funds on behalf of an insured towards a claim settlment?
Definition
Deposit the funds in a non-interest-bearing escrow or trust account in a financial institution that is insured by an agency of the federal gov't in the PA's home state or state where the loss occurred
Term
15031
Definition

A licensee shall not conduct business under a ficticious business name.

 

The commisionner will not authorize the use of a similar business name that may confuse/mislead.

Term
15031
Definition
Every advertisment by a licensee shall contain his/her name, address, license #.
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