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S1196Senate2019-2020 SessionSame asA1916

Stop Adjuster Cost Manipulation

Official title

“Relates to artificially deflating or otherwise lowering cost data used for adjusted claims”

Sponsor Neil D. BreslinSD-44Affects Finance
Status
Signed by Governor
Impact
4/10
Low
Outcome
Signed into law

Bill progress

Signed into law

What's happening

This bill removes the requirement that out-of-state insurance adjusters use regional cost data when appraising property damage claims in New York after emergencies.

Why it matters

  1. May impact claim payouts and repair costs. By removing the requirement for out-of-state adjusters to use local or regional cost data, insurance claim settlements could be based on potentially lower (or higher) non-local estimates, which might affect how much policyholders receive for repairs after disasters.

  2. Could speed up the claims process. Without the mandate to source and apply regional cost data, out-of-state adjusters may process claims more quickly, potentially allowing disaster victims to receive settlements and begin recovery sooner.

  3. Raises concerns about fairness to New Yorkers. Local contractors and property owners might find that insurance payouts no longer reflect the actual costs of repairs in New York, leading to possible shortfalls that policyholders would have to cover out-of-pocket.

  4. Changes oversight and consistency in disaster response. The amendment reduces regulatory control over the methods adjusters use, possibly resulting in greater variability in claim assessments and less uniformity in how disaster claims are handled across the state.

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Who cares

Headline styles

Stop Adjuster Cost Manipulation

Plain English, a few words. Used as the page title.

Sponsors

Primary sponsor
Neil D. Breslin

Senator · Senate District 44

Chair, Insurance

No co-sponsors yet.

History

  1. Signed chap.197
  2. Delivered to governor
  3. Returned to senate
  4. Passed assembly
  5. Ordered to third reading cal.57
  6. Substituted for A1916
  7. Referred to insurance
  8. Delivered to assembly
  9. Passed senateVote 61–0
  10. Ordered to third reading cal.16
  11. Referred to rules

Companion bill

The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.

A1916Assembly

Stop Adjuster Rate Underpayments

Assembly Floor Calendar · Sponsor N. Nick Perry

Impact 4 · Low0% to pass

Full text

2 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗

STATE OF NEW YORK

1196

2019-2020 Regular Sessions

IN SENATE

January 11, 2019

Introduced by Sen. BRESLIN -- read twice and ordered printed, and when printed to be committed to the Committee on Rules

AN ACT to amend the insurance law, in relation to requiring out-of-state insurance adjusters employed to appraise in-state property damages arising from emergency situations to employ established rates used for appraisal by in-state insurance adjusters

The People of the State of New York, represented in Senate and Assembly, do enact as follows:

Section 1. Subsection (n) of section 2108 of the insurance law, as amended by a chapter of the laws of 2018 amending the insurance law relating to requiring out-of-state insurance adjusters employed to appraise in-state property damages arising from emergency situations to employ established rates used for appraisal by in-state insurance adjusters, as proposed in legislative bills numbers S. 2746 and A. 808, is amended to read as follows:

(n) Notwithstanding the provisions of this section, the superintendent, in order to facilitate the settlement of claims under insurance contracts involving widespread property losses arising out of a conflagration or catastrophe common to all such losses, may issue a temporary permit for a term not exceeding one hundred twenty days to any person, whether he be a resident of this state or a non-resident, to act as an independent adjuster on behalf of an authorized insurer or insurers, provided any such insurer shall execute and file in the office of the superintendent a written application for the permit in the form prescribed by the superintendent, which application shall contain such information as he may require and shall certify that the person named therein to be designated in the temporary permit is qualified by experience and training to adjust claims arising under insurance contracts issued by any insurer [and that such person shall adjust claims using cost data appropriate for the region of the state where such person is adjusting claims]. The superintendent may in his discretion renew such

EXPLANATION--Matter in italics (underscored) is new; matter in brackets

[ ] is old law to be omitted.

LBD07030-01-9

S. 1196 2

permit for an additional term or terms as may be necessary to adjust such claims. [A person issued a temporary permit pursuant to this subsection shall utilize cost data that is appropriate for the region of the state where such person is adjusting claims.]

§ 2. This act shall take effect on the same date and in the same manner as a chapter of the laws of 2018 amending the insurance law relating to requiring out-of-state insurance adjusters employed to appraise in-state property damages arising from emergency situations to employ established rates used for appraisal by in-state insurance adjusters, as proposed in legislative bills numbers S. 2746 and A. 808, takes effect.

Reflowed for reading: line numbers and page breaks removed. Cite the official text.

Sponsor's memo

Title of bill

An act to amend the insurance law, in relation to requiring out-of-state insurance adjusters employed to appraise in-state property damages aris- ing from emergency situations to employ established rates used for appraisal by in-state insurance adjusters

Title of bill

An act to amend the insurance law, in relation to requiring out-of-state insurance adjusters employed to appraise in-state property damages aris- ing from emergency situations to employ established rates used for appraisal by in-state insurance adjusters

Purpose

This is a chapter amendment that makes changes to provisions of L.2018, c.458, to clarify provisions relating to cost data in insurance claims adjusting.

Summary of provisions

Section 1 of the chapter amendment deletes language specifying that an out-of-state insurance adjuster operating pursuant to a temporary permit must adjust claims using cost data appropriate for the region.

Existing law

Section 2108 of the Insurance Law addresses the licensing and duties of insurance claims adjusters. Chapter 458 of the laws of 2018 specifies that out-of-state claims adjusters operating pursuant to a temporary permit must use cost data that is appropriate for the region of the state where such person is adjusting claims.

Justification

Concern was raised that the original bill's language was vague, in not defining "region" for purposes of requiring adjusters to adjust claims using region-specific cost data. Concern was also raised that the region-specific language was not necessary, given that insurers are already required to offer covered claimants amounts that are "fair and reasonable," which the Department of Financial Services has interpreted to require insurers to use cost data for the region in New York where the property is located (if the loss pertains to real property).

Legislative history

Chapter amendment to Chapter 458 of the Laws of 2018. S.2746 and A.808 passed both the Senate and Assembly in June of 2018.

Fiscal implications

Unknown

Effective date

This act shall take effect on the same date and in the same manner as a chapter of the laws of 2018 amending the insurance law relating to requiring out-of-state insurance adjusters employed to appraise in-state property damages arising from emergency situations to employ established rates used for appraisal by in-state insurance adjusters, as proposed in legislative bills numbers S. 2746 and A. 808, takes effect.

Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.