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The act does not entitle someone to practice law unless they're an active member of the State Bar of CA. |
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The commissioner may adopt and enforce rules:
-in order to fix qualifications
- carry out regulations/conduct of licenses
- change the classifications of a license |
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Definition of a PA.
- A person who acts on behalf of an insured in negotiating or effecting the settlement of a claim for compensation. |
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Requirements to apply for a license:
- 18 y/o
- CA resident
- Good character
- Sufficient experience in the handling of loss competent to a PA
- Maintain an office in CA w/public access and regular business hours
- Pass an exam
- Post a surety bond
- Comply with qualifications as req'd by the commissioner.
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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. |
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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 |
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Unfair Claims Practices Act |
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An act meant to set forth standards for the investigation and disposition of claims |
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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 |
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The license will be posted in a conspicuous place at the place of business |
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Pocket size license will be issued |
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An individual shall notify the dept of any change in his/her address within 30 days. |
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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 |
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A loss-producing event that dmgs or destroys more than 25 dwellings |
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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) |
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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 |
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How many years shall records be maintained for after the termination of the transaction ? |
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What must a PA do once he/she rcvs funds on behalf of an insured towards a claim settlment? |
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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 |
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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. |
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Every advertisment by a licensee shall contain his/her name, address, license #. |
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