This office clause is a form dealing with compliance with legal requirements and insurance recommendations covering most all of the issues covered.
California Clause Addressing Compliance with Legal Requirements and Insurance Recommendations
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Multi-State
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US-OL13064
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Section 2695.8 - Additional Standards Applicable to Automobile Insurance (a) This section enumerates standards which apply to adjustment and settlement of automobile insurance claims. (1) the words "automobile" and "vehicle" are used synonymously.
Section 2695.3 - File and Record Documentation (a) Every licensee's claim files shall be subject to examination by the Commissioner or by the Commissioner's duly appointed designees.
Section 2695.4 - Representation of Policy Provisions and Benefits (a) Every insurer shall disclose to a first party claimant or beneficiary, all benefits, coverage, time limits or other provisions of any insurance policy issued by that insurer that may apply to the claim presented by the claimant.
Section 2695.7 - Standards for Prompt, Fair and Equitable Settlements (a) No insurer shall discriminate in its claims settlement practices based upon the claimant's age, race, gender, income, religion, language, sexual orientation, ancestry, national origin, or physical disability, or upon the territory of the property ...
10, § 2695.4 - Representation of Policy Provisions and Benefits. (a) Every insurer shall disclose to a first party claimant or beneficiary, all benefits, coverage, time limits or other provisions of any insurance policy issued by that insurer that may apply to the claim presented by the claimant.
Section 2695.1 - Preamble (a) Section 790.03(h) of the California Insurance Code enumerates sixteen claims settlement practices that, when either knowingly committed on a single occasion, or performed with such frequency as to indicate a general business practice, are considered to be unfair claims settlement practices ...
Section 2695.5 - Duties upon Receipt of Communications (a) Upon receiving any written or oral inquiry from the Department of Insurance concerning a claim, every licensee shall immediately, but in no event more than twenty-one (21) calendar days of receipt of that inquiry, furnish the Department of Insurance with a ...
California's Proposition 103 gives California consumers powerful protection against insurance company abuses. It applies to auto insurance, homeowners and renters insurance, business insurance and other forms of liability and property insurance.
