|
QuickServe State Laws |
![]() |
1. Unfair Claims Practices Act
2. Unfair Trade Practices Act
3. Imitation Crash Parts Regulations - no law we have found yet.
4. Anti-Steering Regulations
5. Timely Notification
6. Timely Payment
7. False & Misleading Advertising
8. False Use of Insurer’s Name
9. Total Losses
10. Consumer Sales Practices Acts
11. Consumer Auto Repair Practices Acts - no law we have found yet.
12. Telemarketing laws
13. Home Sales Act
14. Licensing Adjusters
15. Diminished Value - no law we have found yet.
Unfair Claims Practices Act
more>> http://data.opi.state.mt.us/bills/mca/33/18/33-18-201.htm
Unfair Trade Practices Act
33-18-202. Misrepresentation and false advertising of policies prohibited.
No person shall make, issue, circulate, or cause to be made, issued, or
circulated any estimate, illustration, circular, sales presentation, omission,
comparison, or statement which:
(1) misrepresents the benefits, advantages, conditions, or terms of any
insurance policy;
(2) misrepresents the dividends or share of the surplus to be received on
any insurance policy;
(3) makes any false or misleading statement as to the dividends or share
of surplus previously paid on any insurance policy;
(4) is misleading or is a misrepresentation as to the financial condition
of any person or as to the legal reserve system upon which any life insurer
operates;
(5) uses any name or title of any insurance policy or class of insurance
policies misrepresenting the true nature thereof;
(6) is a misrepresentation for the purpose of effecting a pledge or
assignment of or effecting a loan against any insurance policy; or
(7) misrepresents any insurance policy as being shares of stock.
more>> http://data.opi.state.mt.us/bills/mca/33/18/33-18-202.htm
33-18-206. Unfair discrimination prohibited -- life insurance, annuities,
and disability insurance. (1) No person shall make or permit any unfair
discrimination between individuals of the same class and equal expectation of
life in the rates charged for any contract of life insurance or of life annuity
or in the dividends or other benefits payable thereon or in any other of the
terms and conditions of such contract.
(2) No person shall make or permit any unfair discrimination between
individuals of the same class and of essentially the same hazard in the amount
of premium, policy fees, or rates charged for any policy or contract of
disability insurance or in the benefits payable thereunder or in any of the
terms or conditions of such contract or in any other manner whatever.
(3) An insurer may not refuse to consider an application for life or
disability insurance on the basis of a genetic condition, developmental delay,
or developmental disability.
(4) The rejection of an application or the determining of rates, terms, or
conditions of a life or disability insurance contract on the basis of genetic
condition, developmental delay, or developmental disability constitutes unfair
discrimination unless the applicant's medical condition and history and either
claims experience or actuarial projections establish that substantial
differences in claims are likely to result from the genetic condition,
developmental delay, or developmental disability.
(5) As used in this section, the following definitions apply:
(a) "Developmental delay" means a delay of at least 1 1/2 standard
deviations from the norm.
(b) "Developmental disability" means the singular of developmental
disabilities as defined in
53-20-202.
(c) "Genetic condition" means a specific chromosomal or single-gene
genetic condition.
more>> http://data.opi.state.mt.us/bills/mca/33/18/33-18-206.htm or for whole table of contents of the unfair trade practices chapter: http://data.opi.state.mt.us/bills/mca_toc/33_18_2.htm
Imitation Crash Parts Regulations
We have not found any law yet.
Anti-Steering Regulations
33-18-221. Designation of specific repair shops prohibited -- lists allowed.
(1) An insurance company, including its producers and adjusters, that issues or
renews a policy of insurance in this state covering, in whole or part, a motor
vehicle may not:
(a) require that a person insured under the policy use a particular
company or location for providing automobile glass replacement, glass repair
services, or glass products insured in whole or part by the policy; or
(b) engage in any act or practice of intimidation, coercion, or threat for
or against an insured person to use a particular company or location to provide
automobile glass replacement, glass repair services, or glass products insured,
in whole or in part, under the terms of an insurance policy.
more>>
http://data.opi.state.mt.us/bills/mca/33/18/33-18-221.htm
33-18-224. Designation of specific automobile body repair shops prohibited.
(1) An insurance company, including its producers and adjusters, that issues or
renews a policy of insurance in this state covering, in whole or in part, a
motor vehicle may not:
(a) require that a person insured under the policy use a particular
automobile repair business or location; or
(b) engage in any act or practice that intimidates, coerces, or threatens
an insured person or that provides an incentive or inducement for an insured
person to use a particular automobile repair business or location.
(2) For the purposes of this section, an incentive or inducement does not
include:
(a) providing an insured person or a customer with a list of all
established automobile repair businesses or locations reasonably close to the
insured person or customer that offer a warranty for the automobile repair
services provided by the businesses or locations;
more>>
http://data.opi.state.mt.us/bills/mca/33/18/33-18-224.htm
33-18-223. Prohibited activities -- glass broker defined. (1) It is
unlawful for an insurance company, individually or with others, to directly or
indirectly:
(a) establish an agreement with any person to act as a glass broker for
the insurance company under which the glass broker sets a price that must be
met by a glass repair shop as a condition for doing glass replacement or glass
repair work for the insurance company;
(b) establish an agreement with a glass broker that requires a glass
repair shop to bill through that glass broker as a condition of doing glass
replacement or glass repair work; or
(c) establish a price that must be met by a glass repair shop as a
condition for doing glass replacement or glass repair work that is below the
lowest prevailing market price as provided in
33-18-222.
(2) As used in this section, "glass broker" means an automobile glass
company that acts as a third-party agent for the insurer whenever the glass
broker enters into agreements with other automobile glass dealers to perform
glass replacement or glass repair work.
more>> http://data.opi.state.mt.us/bills/mca/33/18/33-18-223.htm
Timely Notification
No person may, with such frequency as to indicate a general business practice, do any of the following:
(2) fail to acknowledge and act reasonably promptly upon communications with
respect to claims arising under insurance policies;
(3) fail to adopt and implement reasonable standards for the prompt
investigation of claims arising under insurance policies;
more>> http://data.opi.state.mt.us/bills/mca/33/18/33-18-201.htm
Timely Payment
No person may, with such frequency as to indicate a general business practice, do any of the following:
(4) refuse to pay claims without conducting a reasonable investigation based
upon all available information;
(5) fail to affirm or deny coverage of claims within a reasonable time after
proof of loss statements have been completed;
(6) neglect to attempt in good faith to effectuate prompt, fair, and equitable
settlements of claims in which liability has become reasonably clear;
updates>> http://data.opi.state.mt.us/bills/mca/33/18/33-18-201.htm
33-18-232. Time for payment of claims. (1) If within 30 days after receipt
of a proof of loss, the insurer has not paid the claim for benefits provided in
the policy or contract or notified the insured or the insured's assignee of the
reasons for failure to pay the claim in full and has not requested additional
information or documents, the insured or the assignee may report the delay to
the commissioner, who may then investigate to determine if the insurer has
failed to pay the claim within 30 days of its receipt without good reason and,
if so, whether such delay is a general course of business practice of the
insurer.
(2) Upon the commissioner's determination that the delay is a general
course of business practice and for a year thereafter unless earlier rescinded
by the commissioner, all claims for benefits not paid by that insurer within 30
working days after receipt by the insurer, without good reason as determined by
the commissioner, shall obligate the insurer to pay interest at 18% a year from
the date the commissioner determines that the delay became unreasonable.
more>> http://data.opi.state.mt.us/bills/mca/33/18/33-18-232.htm
False & Misleading Advertising
33-18-203. False or deceptive advertising prohibited. No person shall make, publish, disseminate, circulate, or place before the public, or cause, directly or indirectly, to be made, published, disseminated, circulated, or placed before the public, in a newspaper, magazine, or other publication or in the form of a notice, circular, pamphlet, letter, or poster or over any radio or television station or in any other way, an advertisement, announcement, or statement containing any assertion, representation, or statement with respect to the business of insurance or with respect to any person in the conduct of his insurance business, which is untrue, deceptive, or misleading.
more>> http://data.opi.state.mt.us/bills/mca/33/18/33-18-203.htm
False Use of Insurer’s Name
No person shall make, issue, circulate, or cause to be made, issued, or circulated any estimate, illustration, circular, sales presentation, omission, comparison, or statement which:
(5) uses any name or title of any insurance policy or class of insurance policies misrepresenting the true nature thereof;
more>> http://data.opi.state.mt.us/bills/mca/33/18/33-18-202.htm
Total Losses
33-23-202. Reimbursement for total loss of motor vehicle based on actual replacement value. Each motor vehicle insurance policy issued to residents of this state that provides that reimbursement for total loss of a motor vehicle be based on a "book" value rather than on the actual replacement value is void as to that provision, and reimbursement must be made for actual replacement value except as provided in 27-1-306.
more>> http://data.opi.state.mt.us/bills/mca/33/23/33-23-202.htm
27-1-306. When replacement value to be allowed.
The measure of damages in a case in which the cost of repairing a motor vehicle
exceeds its value is the actual replacement value of the motor vehicle rather
than its "book" value unless, after the damages arise, the parties agree to use
the "book" value. "Book" value must be determined by referring to the most
recent volume of the Mountain States Edition of the National Automobile Dealers
Association (N.A.D.A.) Official Used Car Guide, the National Edition of N.A.D.A.
Appraisal Guides Official Older Used Car Guide, or another nationally published
used vehicle or appraisal guide approved by the department of revenue. Actual
replacement value is the actual cash value of the motor vehicle immediately
prior to the damage. "Book" value may be used to assist in determining the
actual replacement value of the motor vehicle.
update>> http://data.opi.state.mt.us/bills/mca/27/1/27-1-306.htm
Consumer Sales Practices Acts
30-2-201. Formal requirements -- statute of frauds.
(1) Except as otherwise provided in this section a contract for the sale of
goods for the price of $500 or more is not enforceable by way of action or
defense unless there is some writing sufficient to indicate that a contract for
sale has been made between the parties and signed by the party against whom
enforcement is sought or by his authorized agent or broker. A writing is not
insufficient because it omits or incorrectly states a term agreed upon but the
contract is not enforceable under this paragraph beyond the quantity of goods
shown in such writing.
(2) Between merchants if within a reasonable time a writing in
confirmation of the contract and sufficient against the sender is received and
the party receiving it has reason to know its contents, it satisfies the
requirements of subsection (1) against such party unless written notice of
objection to its contents is given within 10 days after it is received.
(3) A contract which does not satisfy the requirements of subsection (1)
but which is valid in other respects is enforceable:
(a) if the goods are to be specially manufactured for the buyer and are
not suitable for sale to others in the ordinary course of the seller's business
and the seller, before notice of repudiation is received and under
circumstances which reasonably indicate that the goods are for the buyer, has
made either a substantial beginning of their manufacture or commitments for
their procurement; or
(b) if the party against whom enforcement is sought admits in his
pleading, testimony or otherwise in court that a contract for sale was made,
but the contract is not enforceable under this provision beyond the quantity of
goods admitted; or
(c) with respect to goods for which payment has been made and accepted or
which have been received and accepted (30-2-606).
update>> http://data.opi.state.mt.us/bills/mca/30/2/30-2-201.htm
30-2-206. Offer and acceptance in formation of
contract. (1) Unless otherwise unambiguously indicated by the language
or circumstances:
(a) an offer to make a contract shall be construed as inviting acceptance
in any manner and by any medium reasonable in the circumstances;
(b) an order or other offer to buy goods for prompt or current shipment
shall be construed as inviting acceptance either by a prompt promise to ship or
by the prompt or current shipment of conforming or nonconforming goods, but
such a shipment of nonconforming goods does not constitute an acceptance if the
seller seasonably notifies the buyer that the shipment is offered only as an
accommodation to the buyer.
(2) Where the beginning of a requested performance is a reasonable mode of
acceptance an offeror who is not notified of acceptance within a reasonable
time may treat the offer as having lapsed before acceptance.
update>> http://data.opi.state.mt.us/bills/mca/30/2/30-2-206.htm or table of contents for chapter http://data.opi.state.mt.us/bills/mca_toc/30_2.htm
Consumer Auto Repair Practices Acts
We have not found any law yet.
Telemarketing laws
30-14-1404. Registration of sellers or telemarketers.
(1) (a) Unless exempt under
30-14-1405,
a person may not act as a seller or telemarketer without first having
registered with the department.
(b) The initial application for registration must be approved by the
department prior to a seller or telemarketer offering or offering for sale
consumer goods or services through any medium.
(c) A registered seller or telemarketer shall submit an application for
renewal of registration annually to the department.
(d) The application for a certificate of registration or renewal must
include but is not limited to the following information:
(i) the true name, current address, telephone number, and location of the
seller or telemarketer, including each name under which the seller or
telemarketer intends to engage in telemarketing;
(ii) each occupation or business that the seller's or telemarketer's
principal owner has engaged in for the 2 years immediately preceding the date
of the application;
(iii) whether any principal or manager has been convicted or pleaded
guilty to or is being prosecuted by indictment for racketeering, violations of
state or federal securities laws, or a theft offense;
(iv) whether there has been entered against any principal or manager an
injunction, a temporary restraining order, or a final judgment in any civil or
administrative action involving fraud, theft, racketeering, embezzlement,
fraudulent conversion, misappropriation of property, or violation of any
federal or state consumer protection law. The information must include any
pending litigation against the applicant.
(v) whether the seller, at any time during the previous 7 years, has filed
for bankruptcy, been adjudged bankrupt, or been reorganized because of
insolvency;
(vi) the true name, current home address, date of birth, social security
number, and all other names of the following:
(A) each telemarketer or other person to be employed by the seller;
(B) each person participating in or responsible for the management of the
seller's business; and
(C) each person, office manager, or supervisor principally responsible for
the management of the seller's business;
(vii) the name, address, and account number of every institution where
banking or any other monetary transactions are conducted by the seller; and
(viii) a copy of all scripts, outlines, or presentation material that the
seller will require a telemarketer to use when soliciting, as well as all sales
information to be provided by the seller to a purchaser in connection with any
solicitation.
(2) (a) The application for registration or renewal must be accompanied by
a surety bond in the amount of $50,000. The bond must provide for
indemnification to the state of Montana for any person suffering a loss as the
result of violation of this part.
(b) The surety may for any cause cancel the bond upon giving a 60-day
written notice by certified mail to the applicant and to the department. Unless
the bond is replaced by that of another surety before the expiration of the
60-day notice of cancellation, the registration of the seller or telemarketer
must be treated as lapsed.
(c) The surety bond must remain in effect for 1 year from the period the
telemarketing business ceases to operate in this state.
(d) (i) Any business required under this part to file a bond with a
registration application may file, in lieu of the bond, a certificate of
deposit, cash, or a government bond in the amount of $50,000.
(ii) The department shall hold the cash, certificate of deposit, or
government bond for 1 year from the period the telemarketing business ceases to
operate in this state or registration lapses in order to pay claims made
against the telemarketing business for its activities during its period of
operation in this state.
(iii) For the purposes of this section, "government bond" means any United
States bond, treasury note, or other public debt obligation of the United
States that is unconditionally guaranteed as to both interest and principal by
the United States.
(e) The registration of a telemarketing business must be treated as lapsed
if at any time the amount of the bond, cash, certificate of deposit, or
government bond falls below the amount required by this section.
(f) The aggregate liability of the surety company to the state of Montana
for all persons injured by a seller's or telemarketer's violations may not
exceed the amount of the bond.
(3) The following constitute a violation of this part:
(a) failure to register, maintain, or renew a registration if required;
(b) failure to meet the surety bond requirement if required to provide a
bond;
(c) including any false or misleading information on a registration
application; and
(d) misrepresenting that a seller or telemarketer is registered.
(4) A violation of subsection (3) of this section also constitutes a
violation of
30-14-103
and is subject to the penalty provisions of
30-14-1414
and the Montana Unfair Trade Practices and Consumer Protection Act of 1973.
update>> http://data.opi.state.mt.us/bills/mca/30/14/30-14-1404.htm
30-14-1411. Prohibited acts and practices. (1)
It is a violation of this part for a seller or telemarketer, purposely or
knowingly, to engage in the following conduct:
(a) advertise or represent that registration as a seller or telemarketer
equals an endorsement or approval by the state or any political subdivision of
the state;
(b) assist, support, or provide substantial assistance to any telemarketer
when the seller knew or should have known that the telemarketer was engaged in
any act or practice violating
30-14-1408
or this section;
(c) request a fee in advance to remove derogatory information from or
improve a person's credit history or credit record;
(d) request or receive payment in advance from a person to recover or
otherwise aid in the return of money or any other item lost by the person in a
prior telemarketing transaction; however, this subsection does not apply to
services rendered to a person by a licensed attorney;
(e) obtain or submit for payment a check, draft, or other form of
negotiable paper drawn on a person's checking, savings, bond, or other account
without the person's express written authorization; or
(f) procure the services of any professional delivery, courier, or other
pickup service to obtain immediate receipt or possession of a person's payment
unless the goods are delivered with the opportunity to inspect them before any
payment is collected.
(2) Failure to comply with the provisions of subsection (1) constitutes a
violation of
30-14-103
and is subject to the penalty provisions of
30-14-1414
and the Montana Unfair Trade Practices and Consumer Protection Act of 1973.
update>> http://data.opi.state.mt.us/bills/mca/30/14/30-14-1411.htm
30-14-1412. Abusive acts and practices. (1) It is
an abusive telemarketing act or practice and a violation of this part for any
seller or telemarketer to engage in the following conduct:
(a) use threatening, intimidating, or profane or obscene language;
(b) engage any person repeatedly or continuously with behavior a
reasonable person would consider annoying, abusive, or harassing;
(c) initiate a telemarketing call to a person who has stated previously,
in compliance with 16 CFR 310 and 47 CFR 64.1200, that the person does not wish
to receive solicitation calls from that seller or telemarketer;
(d) engage in telemarketing to a person's residence at any time other than
between 8 a.m. and 9 p.m. local time at the called person's location;
(e) engage in any other conduct that would be considered abusive to any
reasonable consumer; or
(f) intentionally block a person using caller identification or "*69" from
accessing the seller's or telemarketer's phone number. It is not a violation of
this subsection (1)(f) to provide a reasonable substitute name and number that
accurately identify the entity causing the call to be made and a working
telephone number at which the entity's personnel can be contacted.
(2) The department or the attorney general may seek injunctive or
declaratory relief or any other remedy provided in Title 30, chapter 14, part
1, for any violations of this section.
update>> http://data.opi.state.mt.us/bills/mca/30/14/30-14-1412.htm or table of contents of chapter http://data.opi.state.mt.us/bills/mca_toc/30_14_14.htm
Home Sales Act
30-14-502. Definitions. As used in this part,
the following definitions apply:
(1) "Buyer" means anyone who gives a consideration for the purchase or use
of goods or services.
(2) "Personal solicitation" means any attempt by a seller who regularly
engages in transactions of the same kind to sell goods or services which are
primarily for personal, family, or household purposes, when either the seller
or a person acting for him contacts the buyer by telephone or in person other
than at the place of business of the seller, except:
(a) an attempted sale in which the buyer personally knows the identity of
the seller, the name of the business, firm, or organization he represents, and
the identity or kinds of goods or services offered for sale;
(b) an attempted sale in which the buyer has initiated the contact with
the seller;
(c) an attempted sale of a newspaper subscription in which the seller is a
minor engaged in both the delivery and the sale of the newspaper; or
(d) an attempted sale of an insurance policy.
(3) "Personal solicitation sale" means the purchase, lease, or rental of
any goods or services following a personal solicitation by the seller or a
person acting for him, provided the buyer is required to give consideration in
excess of $25 in cash or credit therefor.
(4) "Seller" means a lessor, renter, or anyone offering goods or services
for consideration, including assignee of a seller.
update>> http://data.opi.state.mt.us/bills/mca/30/14/30-14-502.htm
30-14-503. Disclosure obligation. Before any personal solicitation each seller shall, at the time of initial contact or communication with the potential buyer, clearly and expressly disclose the individual seller's name, the name of the business, firm, or organization he represents, the identity or kinds of goods or services he wishes to demonstrate or sell, and that he wishes to demonstrate or sell the identified goods or services. When the initial contact is made in person, the seller shall also show the potential buyer an identification card which clearly states the seller's name and the name of the business or organization he represents. The disclosures required by this section shall be made before asking any questions or making any statements except an initial greeting. Nonprofit organizations are exempt from the requirements of this section.
update>> http://data.opi.state.mt.us/bills/mca/30/14/30-14-503.htm
30-14-504. Buyer's right to cancel -- time allowed --
notice -- return of goods. (1) Except as provided in subsection (5), in
addition to any right otherwise to revoke an offer, the buyer or any other
person obligated for any part of the purchase price may cancel a personal
solicitation sale until midnight of the third business day after the day on
which the buyer has signed an agreement or offer to purchase relating to such
sale, provided that in the case of a personal solicitation sale made by
telephone, the buyer may cancel at any time prior to his signing of an
agreement or offer to purchase relating to such sale.
(2) Cancellation occurs when written notice of cancellation is given to
the seller.
(3) Notice of cancellation, if given by mail, is considered given when
deposited in a mailbox properly addressed and postage prepaid.
(4) Notice of cancellation need not take the form prescribed and shall be
sufficient if it indicates the intention of the buyer not to be bound.
(5) A personal solicitation sale may not be canceled if, in the case of
goods, the goods cannot be returned to the seller in substantially the same
condition as when received by the buyer.
update>> http://data.opi.state.mt.us/bills/mca/30/14/30-14-504.htm
30-14-505. Notice of right to cancel. (1) The
seller shall furnish the buyer a notice which contains the statement set forth
in subsection (1)(a) or a statement as prescribed by federal trade commission
rule governing door-to-door sales and printed in capital and lowercase letters
of not less than 10-point boldfaced type with the seller's name and business
address and the statement set forth in subsection (1)(b):
(a) YOU MAY CANCEL THIS SALE WITHIN THREE BUSINESS DAYS.
If you decide within 3 days that you want to cancel the sale, tear off and
mail the bottom of this card. To cancel, the card must be mailed BY CERTIFIED
MAIL within 3 days after you sign the contract.
r (date)
(b) CONTRACT CANCELED
I hereby cancel this sale.
r (Buyer's signature)
(2) Until the seller has complied with this section, the buyer or any
other person obligated for any part of the purchase price may cancel the
personal solicitation sale by notifying the seller in any manner and by any
means of his intention to cancel; provided, however, that failure to mail the
cancellation by certified mail does not nullify the cancellation as long as the
cancellation is mailed within the prescribed time period. The period prescribed
by
30-14-504 shall begin to run from the time the seller complies with this
section.
update>> http://data.opi.state.mt.us/bills/mca/30/14/30-14-505.htm
30-14-506. Repayment to buyer -- retention of goods by
buyer. (1) Except as provided in this section, within 10 days after a
personal solicitation sale has been canceled or an offer to purchase revoked,
the seller shall tender to the buyer any payments made by the buyer and any
note or other evidence of indebtedness.
(2) If the down payment includes goods traded in, the goods shall be
tendered in substantially as good condition as when received by the seller. If
the seller fails to tender the goods as provided by this section, the buyer may
elect to recover an amount equal to the trade-in allowance stated in the
agreement.
(3) If the seller refuses within the period prescribed by subsection (1)
to return the cash down payment or goods tendered as down payment, he shall be
liable to the buyer for the entire down payment, and if the buyer is successful
in his action therefor, the court shall also award him $100 plus reasonable
attorneys' fees and costs.
(4) Until the seller has complied with this section, the buyer may retain
possession of goods delivered to him by the seller and shall have a lien on the
goods in his possession or control for any recovery to which he may be
entitled.
update>> http://data.opi.state.mt.us/bills/mca/30/14/30-14-506.htm
30-14-507. Redelivery of goods. (1) Except as
provided by
30-14-506(4), within a reasonable time after a personal solicitation sale
has been canceled or an offer to purchase revoked, the buyer upon demand shall
tender to the seller any goods delivered by the seller pursuant to the sale but
need not tender at any place other than his residence. If the seller fails to
demand possession of such goods within a reasonable time after cancellation or
revocation, the goods shall become the property of the buyer without obligation
to pay for them. For the purpose of this section, 40 days shall be presumed to
be a reasonable time.
(2) The buyer shall take reasonable care of the goods in his possession
both before cancellation or revocation and for a reasonable time thereafter,
during which time the goods are otherwise at the seller's risk, and such goods
must be returned in substantially the same condition as received.
update>> http://data.opi.state.mt.us/bills/mca/30/14/30-14-507.htm
Licensing Adjusters
33-2-1601. Licensure of managing general agent.
(1) A person, firm, association, or corporation may not act in the capacity of
a managing general agent with respect to risks located in this state for an
insurer licensed in this state unless the person is a licensed producer in this
state.
(2) A person, firm, association, or corporation may not act in the
capacity of a managing general agent representing an insurer domiciled in this
state with respect to risks located outside this state unless the person is
licensed as a resident or nonresident producer in this state pursuant to the
provisions of this part.
(3) The commissioner may require a bond in an amount acceptable to the
commissioner for the protection of the insurer.
(4) The commissioner may require the managing general agent to maintain a
policy on errors and omissions.
update>> http://data.opi.state.mt.us/bills/mca/33/2/33-2-1601.htm
33-2-1602. Managing general agent -- required contract
provisions. A person acting in the capacity of a managing general agent
may not place business with an insurer unless there is in force a written
contract between the parties that sets forth the responsibilities of each
party. Whenever both parties share responsibility for a particular function,
the written contract must specify the division of responsibilities. The
contract must provide at least the following:
(1) The insurer may terminate the contract for cause upon written notice
to the managing general agent. The insurer may suspend the underwriting
authority of the managing general agent during the pendency of any dispute
regarding the cause for termination.
(2) The managing general agent shall render accounts to the insurer,
detailing all transactions, and shall remit all funds due under the contract to
the insurer on not less than a monthly basis.
(3) All funds collected for the account of an insurer must be held by the
managing general agent in a fiduciary capacity in a bank that is a member of
the federal reserve system. This account must be used for all payments on
behalf of the insurer. The managing general agent may not retain more than 3
months' estimated claims payments and allocated loss adjustment expenses.
(4) Separate records of business written by the managing general agent
must be maintained. The insurer has access to and may copy all accounts and
records that are related to its business, in a form usable by the insurer. The
commissioner has access to all books, bank accounts, and records of the
managing general agent in a form usable to the commissioner. The records must
be retained pursuant to
33-3-401.
(5) The contract may not be assigned in whole or in part by the managing
general agent.
(6) The contract must contain appropriate underwriting guidelines,
including:
(a) the maximum annual premium volume;
(b) the basis of the rates to be charged;
(c) the types of risks that may be written;
(d) maximum limits of liability;
(e) any applicable exclusions;
(f) the territorial limitations;
(g) policy cancellation provisions; and
(h) the maximum policy period.
(7) The insurer may cancel or decline to renew any policy of insurance, as
provided by law.
(8) If the contract permits the managing general agent to settle claims on
behalf of the insurer:
(a) all claims must be reported to the company in a timely manner;
(b) a copy of the claims file must be sent to the insurer at its request
or as soon as it becomes known that the claim:
(i) has the potential to exceed an amount determined by the commissioner
or actually exceeds the limit set by the company, whichever is less;
(ii) involves a coverage dispute;
(iii) may exceed the managing general agent's claims settlement authority;
(iv) is open for more than 6 months; or
(v) is closed by payment of an amount set by the commissioner or an amount
set by the company, whichever is less;
(c) all claims files are the joint property of the insurer and managing
general agent. However, upon an order of liquidation of the insurer, the files
become the sole property of the insurer or its estate. The managing general
agent has reasonable access to and may copy the files on a timely basis.
(d) any settlement authority granted to the managing general agent may be
terminated for cause upon the insurer's written notice to the managing general
agent or upon the termination of the contract. The insurer may suspend the
settlement authority during the pendency of any dispute regarding the cause for
termination.
(9) When electronic claims files are in existence, the contract must
address the timely transmission of the data.
(10) If the contract provides for a sharing of interim profits by the
managing general agent and the managing general agent has the authority to
determine the amount of the interim profits, whether by establishing loss
reserves or controlling claim payments or in any other manner, interim profits
may not be paid to the managing general agent until:
(a) 1 year after they are earned for property insurance business;
(b) 5 years after they are earned on casualty business; and
(c) the profits have been verified.
(11) The managing general agent may not:
(a) bind reinsurance or retrocessions on behalf of the insurer, except
that the managing general agent may bind facultative reinsurance contracts
pursuant to obligatory facultative agreements if the contract with the insurer
contains reinsurance underwriting guidelines, including for reinsurance assumed
and ceded:
(i) a list of reinsurers with which automatic agreements are in effect;
(ii) the coverages and amounts or percentages that may be reinsured; and
(iii) commission schedules;
(b) commit the insurer to participate in insurance or reinsurance
syndicates;
(c) appoint any producer without ensuring that the producer is lawfully
licensed to transact the type of insurance for which the producer is appointed;
(d) without prior approval of the insurer, pay or commit the insurer to
pay a claim over a specified amount, net of reinsurance, which may not exceed
1% of the insurer's policyholder's surplus as of December 31 of the last
completed calendar year;
(e) collect any payment from a reinsurer or commit the insurer to any
claim settlement with a reinsurer without the prior approval of the insurer. If
prior approval is given, a report must be promptly forwarded to the insurer.
(f) permit its subproducer to serve on the insurer's board of directors;
(g) jointly employ an individual who is employed with the insurer; or
(h) appoint a submanaging general agent.
update>> http://data.opi.state.mt.us/bills/mca/33/2/33-2-1602.htm
33-2-1603. Duties of insurers. (1) The insurer
must have on file an independent financial examination, in a form acceptable to
the commissioner, of each managing general agent with which it has done
business.
(2) If a managing general agent establishes loss reserves, the insurer
shall annually obtain the opinion of an actuary attesting to the adequacy of
loss reserves established for losses incurred and outstanding on business
produced by the managing general agent. This is in addition to any other
required loss reserve certification.
(3) At least semiannually, the insurer shall conduct an onsite review of
the underwriting and claims processing operations of the managing general
agent.
(4) Binding authority for all reinsurance contracts or participation in
insurance or reinsurance syndicates rests with an officer of the insurer who is
not affiliated with the managing general agent.
(5) Within 30 days of entering into or termination of a contract with a
managing general agent, the insurer shall provide the commissioner with written
notification of the appointment or termination. Notices of appointment of a
managing general agent must include a statement of duties that the applicant is
expected to perform on behalf of the insurer, the lines of insurance for which
the applicant is to be authorized to act, and any other information the
commissioner may request.
(6) An insurer shall review its books and records each quarter to
determine if any producer has become a managing general agent. If the insurer
determines that a producer has become a managing general agent, the insurer
shall promptly notify the producer and the commissioner of the determination
and the insurer and the producer shall comply with this part within 30 days.
(7) An insurer may not appoint to its board of directors an officer,
director, employee, subproducer, or controlling shareholder of its managing
general agent. This subsection does not apply to relationships governed by
Title 33, chapter 2, part 11, or
33-2-1509
through
33-2-1514.
update>> http://data.opi.state.mt.us/bills/mca/33/2/33-2-1603.htm
33-17-301. Adjuster license -- qualifications --
catastrophe adjustments -- public adjuster. (1) A person may not act as
or purport to be an adjuster in this state unless licensed as an adjuster under
this chapter. A person shall apply for an adjuster license to the commissioner
according to forms that the commissioner prescribes and furnishes. The
commissioner shall issue the adjuster license to individuals qualified to be
licensed as an adjuster.
(2) To be licensed as an adjuster, the applicant:
(a) must be an individual 18 years of age or more;
(b) must be a resident of Montana or resident of another state that will
permit residents of Montana regularly to act as adjusters in the other state;
(c) must be a full-time salaried employee of a licensed adjuster or a
graduate of a recognized law school or have had experience or special education
or training as to the handling of loss claims under insurance contracts of
sufficient duration and extent reasonably to make the applicant competent to
fulfill the responsibilities of an adjuster;
(d) must be trustworthy and of good character and reputation; and
(e) must have and shall maintain in this state an office accessible to the
public and shall keep in the office for not less than 5 years the usual and
customary records pertaining to transactions under the license. This provision
does not prohibit maintenance of the office in the home of the licensee.
(3) A partnership or corporation, whether or not organized under the laws
of this state, may be licensed as an adjuster if each individual who is to
exercise the adjuster license powers is separately licensed or is named in the
partnership or corporation adjuster license and is qualified for an individual
adjuster license.
(4) An adjuster license or qualifications are not required for an adjuster
who is sent into this state by and on behalf of an insurer or adjusting
partnership or corporation for the purpose of investigating or making
adjustments of a particular loss under an insurance policy or for the
adjustment of a series of losses resulting from a catastrophe common to all
losses.
(5) An adjuster license continues in force until expired, suspended,
revoked, or terminated. The license is subject to renewal upon written request
to the commissioner.
(6) The commissioner may adopt rules providing for the examination,
licensure, bonding, and regulation of public adjusters.
update>> http://data.opi.state.mt.us/bills/mca/33/17/33-17-301.htm
Diminished Value
We have not found any law yet.
State Departments of Insurance
This article may be downloaded for use by a single individual.
It may not be copied or faxed or mailed to others. It may be reprinted only with
written permission from Beyond Parts & Equipment. Published in Beyond Parts &
Equipment, 2002 , © 2002, Millennium Publications, Inc. Other use or publication
of this version is strictly prohibited.