In the “What I would do today” module
of wasyourcartotaledorstolen.com,
I told you that,
if I had not yet agreed
to a valuation amount
for my total-loss vehicle,
then I would write a letter
to the automobile insurance company.
In that letter:
I would find fault
with the valuation methodology
that the automobile insurance company’s
valuation-services vendor
used to produce their valuation
of my total-loss vehicle.
If the automobile insurance company
sent me a deeply flawed
market valuation report
like the CCC market valuation report
that Travelers sent to me
or like the CCC market valuation report
that Maria’s insurance company
sent to her, then I might argue
that the valuation services vendor
had motive, means, and opportunity
to generate an unfair, inaccurate,
low valuation for my total-loss vehicle.
I would reject
the automobile insurance company’s
valuation offer.
I would propose
that the automobile insurance company
value my total-loss vehicle
at my total-loss vehicle’s
J.D. Power Buy from Dealer price.
I would argue
that the J.D. Power Buy from Dealer price
for my total-loss vehicle
is a fair and unbiased calculation
of my total-loss vehicle’s
actual cash value.
Some parts of my letter would be different
depending on whether my total-loss claim
was a first-party claim or a third-party claim.
Then, in the “Let’s get to work” module,
I offered you
polite and muscular model letters
in docx format that,
if you wish to do so,
you can use as the starting point
for your letter
to the automobile insurance company
if you have not yet settled
your total-loss claim.
I suggested that you edit your draft letter
to make your letter consistent
with your total-loss vehicle’s
J.D. Power valuation,
make your letter consistent
with the CCC market valuation report
or other market valuation report
that you received
from the automobile insurance company,
and, if your total-loss claim
is a first-party claim,
make your letter consistent
with what your automobile insurance policy says.
Now I take you through another way
in which you may wish
to edit your draft letter.
The laws that regulate
how automobile insurance companies
are required to value total-loss vehicles
and settle total-loss claims
are different in different states.
Hence, if you are using
my model letters
as the starting point for your letter
to the automobile insurance company,
then you or the attorney with whom you meet
will need to vet your draft letter
against the laws of your state.
You or the attorney
will need to edit your draft letter
to make it fully consistent
with the laws of your state.
To make it possible for you
to vet and edit your draft letter
against the laws of your state,
I have copied and pasted below
what I believe to be
the most relevant and useful provisions
of the laws of Utah
that regulate
how automobile insurance companies
that do business in Utah
are required to value total-loss vehicles
and settle total-loss claims.
If you read through the excerpts
of the laws below,
you may be able to make
some of the required changes,
modifications, and deletions
to your draft letter yourself.
Where you are not sure what changes,
modifications, or deletions to make
to your draft letter,
you may want to leave them
for the attorney to make
when you meet with her or him.
If you have not done so already
(and you wish to do so),
download one of my starter documents.
If your total-loss claim is a first-party claim, download
Marlow_First_party_Not_yet_settled_letter.docx.
If your total-loss claim is a third-party claim, download
Marlow_Third_party_Not_yet_settled_letter.docx.
If you have not done so already,
in your word-processing software,
use “Find and replace” ➞ “Replace all”
to replace the specifics
of my fictitious total-loss claim
with the specifics
of your total-loss claim.
Print the draft document.
Your draft docucment
will be easier to work with
if you print it on only one side
of the paper.
Follow the instructions
that I embedded in the draft document.
Depending on whether your total-loss claim
is a first-party claim
or a third-party claim
and depending on whether you choose
to work with my polite model letter,
to work with my muscular model letter,
or to blend the two model letters;
you need to know or need to find
or need to ask an attorney
the answers to one
of the following sets of questions:
Questions for a first-party claim.
Questions for a third-party claim.
vet_your_draft_letter_against_your_state_s_lawsChapter
In my polite model letter
and in my muscular model letter,
I suggest that you add, leave in,
or take out certain sentences
depending on what your state’s laws
say about a particular aspect of the law.
To decide what to do
if you are using either of my model letters
as the starting point for your letter,
here are the questions
that you need to know or need to find
or need to ask an attorney
the answers to.
FIRST-PARTY total-loss claim.
I’ve included these questions
in the docx model letters
just before each letter.
In your printout of the docx document,
underneath each question,
you will find Yes ( ) No ( ) check offs.
FIRST-PARTY total-loss claim.
When, in a section of the law,
you find the answer to a question,
you may wish to download a PDF
of that section of the law.
To do so,
at the end of that section of the law,
click “Verify statute or Download PDF.”
You may wish to print those PDFs.
On each printout,
next to the paragraph of the law
that answers a question,
you may wish to write down
the question that the paragraph answers.
(Do not write down
just the question number because,
when you edit your starter document,
the question numbers will adjust
to your changes.)
If you follow this procedure,
then those marked-up PDF printouts
may facilitate your conversation
with the attorney with whom you meet.
FIRST-PARTY total-loss claim.
questions_of_law_for_first_party_total_loss_claimsChapter
If your state’s laws mention N.A.D.A. Guides
as an approved source
of valuations of total-loss vehicles,
then, most likely,
your state’s commissioner of insurance
has approved J.D. Power
as an authorized source of valuations
for total-loss vehicles.
In 2015, J.D. Power acquired
NADA’s Used Car Guide
and www.nadaguides.com.
The company has rebranded
NADA Guides as J.D. Power
and rebranded www.nadaguides.com
as www.jdpower.com.
Whether your state’s laws
mention N.A.D.A. Guides or not,
to be sure of the correct answer
to this question,
ask the attorney with whom you meet.
Does your state’s
commissioner of insurance
approve J.D. Power
as an authorized source
of valuations for total-loss vehicles?
FIRST-PARTY total-loss claim.
questions_of_law_for_first_party_polite_letterSubchapter
In many states, state law says that,
for a comp vehicle to qualify
as substantailly similar
to a total-loss vehicle,
the comp vehicle must be
the same make, same model,
same model year, same trim level,
same major options,
and have similar mileage.
In some states, state law goes on
to limit the mileage difference
between a comp vehicle
and a total-loss vehicle.
For example, the New Jersey
administrative code that governs
automobile physical damage claims
says:
“ ‘Substantially similar vehicle’ means
a vehicle of the same make, model, year
and condition, including all major options
of the insured vehicle. Mileage
must not exceed that of the insured vehicle
by more than 4,000 miles.”
Do your state’s laws say that,
for a comp vehicle to qualify
as substantially similar or comparable
to a total-loss vehicle,
the comp vehicle’s mileage
must be similar
to the total-loss vehicle’s mileage?
Do your state’s laws go on
to limit the mileage differences
between total-loss vehicles
and substantially similar
or comparable vehicles?
FIRST-PARTY total-loss claim.
In most states,
courts have decided that the state’s
automobile insurance regulations
take away
a first-party claimant’s right to sue
his or her automobile insurance company
for punitive damages
(also called exemplary damages)
if his or her automobile insurance company
not only acts in breach of contract
but also engages
in reprehensible bad-faith misconduct.
These court decisions typically argue
that only the state’s
commissioner of insurance
can fine or otherwise punish
an automobile insurance company
for engaging
in unfair claim settlement practices
and in reprehensible misconduct.
In a few states, however,
the laws that regulate
how automobile insurance companies
that do business in the state
are required to value total-loss vehicles
and settle total-loss claims
explicitly give total-loss claimants
the right to sue
his or her automobile insurance company
for punitive or exemplary damages
if his or her automobile insurance company
not only acts in breach of contract
but also engages
in reprehensible bad-faith misconduct.
Do court decisions in your state
take away your right to sue
your automobile insurance company
for punitive or exemplary damages
if your automobile insurance company
not only acts in breach of contract
but also engages
in reprehensible bad-faith misconduct?
Most likely, you will need
to pose this question
to the attorney with whom you meet
because the answer to this questions
depends on court decisions.
Or do the regulatory laws of your state
explicitly give you the right to sue
your automobile insurance company
for punitive or exemplary damages
if your automobile insurance company
not only acts in breach of contract
but also engages
in reprehensible bad-faith misconduct?
You may be able to find
the answer to this question
in your state’s laws below.
FIRST-PARTY total-loss claim.
In many states, court decisions say
that an automobile insurance company
is not responsible for the validity
of valuation opinions
that it buys
from other corporations.
The regulatory laws of a few states
say that an automobile insurance company
is responsible
for the validity of valuations
that it uses
to value claimants’ total-loss vehicles.
Do the regulatory laws of your state
hold your automobile insurance company
responsible for the validity
of its valuation of your total loss vehicle?
FIRST-PARTY total-loss claim.
(The discussion and question that follow
are the same as for question 1. above
for the polite model letter.)
If your state’s laws mention N.A.D.A. Guides
as an approved source
of valuations of total-loss vehicles,
then, most likely,
your state’s commissioner of insurance
has approved J.D. Power
as an authorized source of valuations
for total-loss vehicles.
In 2015, J.D. Power acquired
NADA’s Used Car Guide
and www.nadaguides.com.
The company has rebranded
NADA Guides as J.D. Power
and rebranded www.nadaguides.com
as www.jdpower.com.
Whether your state’s laws
mention N.A.D.A. Guides or not,
to be sure of the correct answer
to this question,
ask the attorney with whom you meet.
Does your state’s
commissioner of insurance
approve J.D. Power
as an authorized source
of valuations for total-loss vehicles?
FIRST-PARTY total-loss claim.
questions_of_law_for_first_party_muscular_letterSubchapter
While you are looking for the answers
to the previous questions
for your first-party total-loss claim,
you may wish to keep an eye out
for answers to a few questions
that are outside the scope
of your letter
to your automobile insurance company.
The answers to these questions
may prove useful to you
if your automobile insurance company
does not agree to the valuation amount
that you propose in your letter.
For each of these questions too,
you may wish
to download, print, and mark up
a PDF of the section of the law
that answers the question.
FIRST-PARTY total-loss claim.
If you dispute the valuation amount
that your automobile insurance company
proposes for your total-loss vehicle,
the laws of your state may require
your automobile insurance company
to go ahead and pay you
the amount of money
that is not in dispute.
The amount of money
that is not in dispute
includes the valuation amount
for your total-loss vehicle
that your automobile insurance company
proposed.
To require
your automobile insurance company
to go ahead and pay you
the valuation amount
that is not in dispute,
the laws of your state
may say something like this:
If an insurer and the insured
or third-party claimant are unable to agree
on the value of the automobile,
an insurer shall pay the insured
or third-party claimant
the amount of the automobile’s value
that is not in dispute
as provided in section 3,
chapter 65, Oregon Laws 2009.
An insurer is not obligated
to pay the undisputed amount
until the insured
or third-party owner of the automobile:
(a) Agrees to execute documents
sufficient to transfer ownership
of the automobile
to the insurer; and
(b) Authorizes the insurer,
at the insurer’s expense,
to move the automobile
to a disclosed location
selected by the insurer,
where the automobile
will remain available
for inspection and evaluation
for not fewer than 14 calendar days.
After the expiration of the 14-day period,
the insurer may proceed
with the salvage sale of the automobile.
If you dispute the valuation amount
that your automobile insurance company proposes for your total-loss vehicle,
do the laws of your state require
your automobile insurance company
to go ahead and pay you
the amount of money
that is not in dispute?
FIRST-PARTY total-loss claim.
In the laws below,
you may find that your state legislators
have given you a right of recourse.
If you have a right of recourse
and your automobile insurance company
refuses to value your total-loss vehicle
at its actual cash value,
then you may be able
to get additional money
from your automobile insurance company
if you exercise your right of recourse.
FIRST-PARTY total-loss claim.
If your state’s legislators
have given you a right of recourse,
they may also have given
your automobile insurance company
dubious ways to preclude or satisfy
your exercise of your right of recourse.
Your automobile insurance company
may be able to preclude your exercise
of your right of recourse if,
when they send you a settlement check,
they identify
an allegedly substantially similar vehicle
for sale at a local automobile dealership
that you allegedly can buy
for their valuation amount.
Likewise,
your automobile insurance company
may be able to satisfy your exercise
of your right of recourse if,
after you exercise your right of recourse,
they identify
an allegedly substantially similar vehicle
for sale at a local automobile dealership
that you allegedly can buy
for their valuation amount.
FIRST-PARTY total-loss claim.
If either of these possibilities come to pass,
you likely will want to inspect
your automobile insurance company’s
candidate right-of-recourse vehicle
to determine if that vehicle
is, in fact, substantially similar
to your total-loss vehicle—
same make, same model, same model year,
same major options, similar mileage,
and same or better condition.
You likely will want to verify
that your automobile insurance company’s
candidate right-of-recourse vehicle
is for sale at the automobile dealership
that your automobile insurance company
alleges at the price that
your automobile insurance company alleges.
FIRST-PARTY total-loss claim.
If the laws of your state
give you a right of recourse,
counting from the day
that your automobile insurance company
puts the initial settlement check in the mail,
you likely have only so many days
in which to exercise your right of recourse
or you lose your right of recourse.
FIRST-PARTY total-loss claim.
Do the laws of your state
give you a right of recourse?
If you have a right of recourse,
do the laws of your state allow
an automobile insurance company
to preclude your exercise
of your right of recourse if,
when they send you a settlement check,
they identify
a substantially similar vehicle
for sale at a local automobile dealership
that you can buy
for their valuation amount?
If you have a right of recourse,
do the laws of your state allow
your automobile insurance company
to satisfy your exercise
of your right of recourse if,
after you exercise your right of recourse,
they identify
a substantially similar vehicle
for sale at a local automobile dealership
that you can buy
for their valuation amount?
If you have a right of recourse,
how many days
after your automobile insurance company
sends you a settlement check
do you have to exercise
your right of recourse
before you lose it?
FIRST-PARTY total-loss claim.
In some states, the law allows
an automobile insurance company
to take away
a first-party claimant’s right of recourse
if the automobile insurance company
invokes the appraisal clause
in the claimant’s automobile insurance policy.
In your state,
do you lose your right of recourse
if your automobile insurance company
invokes the appraisal clause
in your automobile insurance policy?
FIRST-PARTY total-loss claim.
The laws of some states prohibit
an automobile insurance company
from saying that,
if you cash or deposit a settlement check,
then, thereby, you agree to the settlement.
Such a prohibition may use such language
as this:
“No insurer shall issue a check or draft
in payment of a claim that contains
any language or provision that implies
or states that acceptance of the check or draft
constitutes a final settlement or release
of any or all future obligations
arising out of the loss.”
Do the laws of your state prohibit
an automobile insurance company
from saying that, if you cash or deposit
a settlement check, then, thereby,
you agree to the settlement?
FIRST-PARTY total-loss claim.
questions_of_law_in_case_first_party_letter_failsSubchapter
At least one state
has a consumer-protection law that says
an automobile insurance company
cannot require a first-party total-loss claimant
to resolve a claim-settlement dispute
through private arbitration unless
the claimant’s automobile insurance policy
allows the claimant to resolve the dispute
through a small-claims lawsuit instead.
Do your state’s consumer-protection laws
give first-party total-loss claimants
the right to have a dispute resolved
through a small-claims lawsuit
in lieu of having that dispute resolved
through private arbitration?
FIRST-PARTY total-loss claim.
In a few states,
if a party to a written contract
not only breaches the terms of the contract
but also acts in bad faith,
the laws of the state
regard that act of bad faith
as a tort against the non-breaching party
to the contract.
In your state,
if your automobile insurance company
not only breaches the terms
of your automobile insurance policy
but also acts in bad faith,
does their bad-faith misconduct
give you a cause of action
against them under tort law?
If the answer
to the previous question is yes,
then is your cause of action under tort law
exempt from your automobile insurance policy’s arbitration clause?
FIRST-PARTY total-loss claim.
To skip over questions
for a third-party claim, click here.
FIRST-PARTY total-loss claim.
questions_of_first_party_consumer_protection_lawsSubchapter
In my polite model letter
and in my muscular model letter,
I suggest that you add, leave in,
or take out certain sentences
depending on what your state’s laws
say about a particular aspect of the law.
To decide what to do
if you are using either of my model letters
as the starting point for your letter,
here are the questions
that you need to know or need to find
or need to ask an attorney
the answers to.
THIRD-PARTY total-loss claim.
I’ve included these questions
in the docx model letters
just before each letter.
In your printout of the docx document,
underneath each question,
you will find Yes ( ) No ( ) check offs.
THIRD-PARTY total-loss claim.
When, in a section of the law,
you find the answer to a question,
you may wish to download a PDF
of that section of the law.
To do so,
at the end of that section of the law,
click “Verify statute or Download PDF.”
You may wish to print those PDFs.
On each printout,
next to the paragraph of the law
that answers a question,
you may wish to write down
the question that the paragraph answers.
(Do not write down
just the question number because,
when you edit your starter document,
the question numbers will adjust
to your changes.)
If you follow this procedure,
then those marked-up PDF printouts
may facilitate your conversation
with the attorney with whom you meet.
THIRD-PARTY total-loss claim.
questions_of_law_for_third_party_total_loss_claimsChapter
If your state’s laws mention N.A.D.A. Guides
as an approved source
of valuations of total-loss vehicles,
then, most likely,
your state’s commissioner of insurance
has approved J.D. Power
as an authorized source of valuations
for total-loss vehicles.
In 2015, J.D. Power acquired
NADA’s Used Car Guide
and www.nadaguides.com.
The company has rebranded
NADA Guides as J.D. Power
and rebranded www.nadaguides.com
as www.jdpower.com.
Whether your state’s laws
mention N.A.D.A. Guides or not,
to be sure of the correct answer
to this question,
ask the attorney with whom you meet.
Does your state’s
commissioner of insurance
approve J.D. Power
as an authorized source
of valuations for total-loss vehicles?
THIRD-PARTY total-loss claim.
questions_of_law_for_third_party_polite_letterSubchapter
In many states, state law says that,
for a comp vehicle to qualify
as substantailly similar
to a total-loss vehicle,
the comp vehicle must be
the same make, same model,
same model year, same trim level,
same major options,
and have similar mileage.
In some states, state law goes on
to limit the mileage difference
between a comp vehicle
and a total-loss vehicle.
For example, the New Jersey
administrative code that governs
automobile physical damage claims
says:
“ ‘Substantially similar vehicle’ means
a vehicle of the same make, model, year
and condition, including all major options
of the insured vehicle. Mileage
must not exceed that of the insured vehicle
by more than 4,000 miles.”
Do your state’s laws say that,
for a comp vehicle to qualify
as substantially similar or comparable
to a total-loss vehicle,
the comp vehicle’s mileage
must be similar
to the total-loss vehicle’s mileage?
Do your state’s laws go on
to limit the mileage differences
between total-loss vehicles
and substantially similar
or comparable vehicles?
THIRD-PARTY total-loss claim.
(The discussion and question that follow
are the same as for question 1. above
for the polite model letter.)
If your state’s laws mention N.A.D.A. Guides
as an approved source
of valuations of total-loss vehicles,
then, most likely,
your state’s commissioner of insurance
has approved J.D. Power
as an authorized source of valuations
for total-loss vehicles.
In 2015, J.D. Power acquired
NADA’s Used Car Guide
and www.nadaguides.com.
The company has rebranded
NADA Guides as J.D. Power
and rebranded www.nadaguides.com
as www.jdpower.com.
Whether your state’s laws
mention N.A.D.A. Guides or not,
to be sure of the correct answer
to this question,
ask the attorney with whom you meet.
Does your state’s
commissioner of insurance
approve J.D. Power
as an authorized source
of valuations for total-loss vehicles?
THIRD-PARTY total-loss claim.
questions_of_law_for_third_party_muscular_letterSubchapter
While you are looking for the answers
to the previous questions
for your third-party total-loss claim,
you may wish to keep an eye out
for answers to a few questions
that are outside the scope
of your letter
to the automobile insurance company.
The answers to these questions
may prove useful to you
if the automobile insurance company
does not agree to the valuation amount
that you propose in your letter.
For each of these questions too,
you may wish
to download, print, and mark up
a PDF of the section of the law
that answers the question.
THIRD-PARTY total-loss claim.
In some states, the laws that regulate
how automobile insurance companies
are required to value total-loss vehicles
and settle total-loss claims say
that those laws apply
only to first-party claims.
In some states, those laws say
that the laws apply to first-party claims
and to third-party claims.
In some states, those laws say
that all the laws apply to first-party claims
and only some of the laws
apply to third-party claims.
Ordinarily, in most states,
you have much stronger rights
in the settlement of a third-party claim
than you do
in the settlement of a first-party claim.
The automobile insurance company
that you’re dealing with
on your third-party claim
may think and act like
they can treat you
the same way
that they treat their policyholders
on those policyholders’ first-party claims.
The automobile insurance company
that you’re dealing with
on your third-party claim
may even try to trick you
into conforming
with claim-settlement regulations
that apply only to first-party claims.
Don’t let them!
To be savvy enough
to keep the automobile insurance company
that you’re dealing with
from treating you
like you’re a first-party claimant,
familiarize yourself
with which of your state’s
automobile insurance
claim-settlement laws—
if any—
apply to you and your claim.
If your state’s laws
consistently talk about “the insured,”
and never say that the laws
also apply to third-party claimants,
then that language strongly suggests
that those laws do not apply to you
or to your third-party claim.
You are not the insured.
The at-fault-driver policyholder
is the insured.
Do the laws of your state that regulate
how automobile insurance companies
are required to value total-loss vehicles
and settle total-loss claims
apply only to first-party claims?
Or do all those laws
apply to both first-party claims
and third-party claims?
Or do all the laws
apply to first-party claims
and only some of the laws
also apply to third-party claims?
THIRD-PARTY total-loss claim.
If you dispute the valuation amount
that the automobile insurance company
proposes for your total-loss vehicle,
the laws of your state may require
the automobile insurance company
to go ahead and pay you
the amount of money
that is not in dispute.
The amount of money
that is not in dispute
includes the valuation amount
for your total-loss vehicle
that the automobile insurance company
proposed.
To require
the automobile insurance company
to go ahead and pay you
the valuation amount
that is not in dispute,
the laws of your state
may say something like this:
If an insurer and the insured
or third-party claimant are unable to agree
on the value of the automobile,
an insurer shall pay the insured
or third-party claimant
the amount of the automobile’s value
that is not in dispute
as provided in section 3,
chapter 65, Oregon Laws 2009.
An insurer is not obligated
to pay the undisputed amount
until the insured
or third-party owner of the automobile:
(a) Agrees to execute documents
sufficient to transfer ownership
of the automobile
to the insurer; and
(b) Authorizes the insurer,
at the insurer’s expense,
to move the automobile
to a disclosed location
selected by the insurer,
where the automobile
will remain available
for inspection and evaluation
for not fewer than 14 calendar days.
After the expiration of the 14-day period,
the insurer may proceed
with the salvage sale of the automobile.
If you dispute the valuation amount
that the automobile insurance company proposes for your total-loss vehicle,
do the laws of your state require
the automobile insurance company
to go ahead and pay you
the amount of money
that is not in dispute?
THIRD-PARTY total-loss claim.
The laws of some states
give third-party total-loss claimants
a right of recourse.
If you have a right of recourse
and the automobile insurance company
refuses to value your total-loss vehicle
at its actual cash value,
then you may be able
to get additional money
from the automobile insurance company
if you exercise your right of recourse.
THIRD-PARTY total-loss claim.
If your state’s legislators
have given you a right of recourse,
they may also have given
the automobile insurance company
dubious ways to preclude or satisfy
your exercise of your right of recourse.
The automobile insurance company
may be able to preclude your exercise
of your right of recourse if,
when they send you a settlement check,
they identify
an allegedly substantially similar vehicle
for sale at a local automobile dealership
that you allegedly can buy
for their valuation amount.
Likewise, the automobile insurance company
may be able to satisfy your exercise
of your right of recourse if,
after you exercise your right of recourse,
they identify
an allegedly substantially similar vehicle
for sale at a local automobile dealership
that you allegedly can buy
for their valuation amount.
THIRD-PARTY total-loss claim.
If either of these possibilities come to pass,
then you likely will want to inspect
the automobile insurance company’s
candidate right-of-recourse vehicle
to determine if that vehicle
is, in fact, substantially similar
to your total-loss vehicle—
same make, same model, same model year,
same major options, similar mileage,
and same or better condition.
You likely will want to verify
that the automobile insurance company’s
candidate right-of-recourse vehicle
is for sale at the automobile dealership
that the automobile insurance company
alleges at the price that
the automobile insurance company alleges.
THIRD-PARTY total-loss claim.
If the laws of your state
give you a right of recourse,
counting from the day
that the automobile insurance company
puts the initial settlement check in the mail,
you likely have only so many days
in which to exercise your right of recourse
or you lose your right of recourse.
THIRD-PARTY total-loss claim.
Do the laws of your state
give you a right of recourse?
If you have a right of recourse,
do the laws of your state allow
an automobile insurance company
to preclude your exercise
of your right of recourse if,
when they send you a settlement check,
they identify
a substantially similar vehicle
for sale at a local automobile dealership
that you can buy
for their valuation amount?
If you have a right of recourse,
do the laws of your state allow
the automobile insurance company
to satisfy your exercise
of your right of recourse if,
after you exercise your right of recourse,
they identify
a substantially similar vehicle
for sale at a local automobile dealership
that you can buy
for their valuation amount?
If you have a right of recourse,
how many days
after the automobile insurance company
sends you a settlement check
do you have to exercise
your right of recourse
before you lose it?
THIRD-PARTY total-loss claim.
The laws of some states prohibit
an automobile insurance company
from saying that,
if you cash or deposit a settlement check,
then, thereby, you agree to the settlement.
Such a prohibition may use such language
as this:
“No insurer shall issue a check or draft
in payment of a claim that contains
any language or provision that implies
or states that acceptance of the check or draft
constitutes a final settlement or release
of any or all future obligations
arising out of the loss.”
Do the laws of your state prohibit
an automobile insurance company
from saying that,
if you cash or deposit
a settlement check, then, thereby,
you agree to the settlement?
THIRD-PARTY total-loss claim.
questions_of_law_in_case_third_party_letter_failsSubchapter
The laws of some states
specify multiple sources
that an automobile insurance company
may use to come up
with an initial valuation offer
for a claimant’s total loss vehicle.
The laws then go on to say
that the automobile insurance company’s
initial valuation offer
cannot be lower
than the lowest valuation amount
from one of these approved sources.
The laws of some states say
that an automobile insurance company
may use as its initial valuation offer
a valuation generated by a valuation source
that uses a computerized data base
that is approved
by the state’s commissioner of insurance.
A state’s commissioner of insurance
may approve valuation sources
such as CCC Information Services
a.k.a. CCC Intelligent Solutions.
CCC Information Services
a.k.a. CCC Intelligent Solutions
produced the garbage-in-garbage-out
CCC market valuation report
for my total-loss vehicle
and produced
the GIGO CCC market-valuation report
for Maria’s total-loss vehicle.
Valuation sources that produce valuations
only for automobile insurance companies
and that use a computerized data base
to produce those valuations
likely produce the lowest valuations
of any of the approved sources.
Such valuation sources may have
motive, means, and opportunity
to undervalue your total-loss vehicle.
Do the laws of your state
specify multiple sources
that an automobile insurance company
may use to come up
with an initial valuation offer
for your total-loss vehicle?
Do the laws of your state say
that the automobile insurance company’s
initial valuation offer
for your total-loss vehicle
cannot be lower
than the lowest valuation amount
from one of the approved sources?
Do the laws of your state
allow an automobile insurance company
to use a valuation
generated by a valuation service
that uses a computerized data base?
THIRD-PARTY total-loss claim.
The laws of some states say
that an automobile insurance company
shall value a total-loss vehicle
at its actual cash value.
The laws of some states
define actual cash value.
Do the laws of your state say
that an automobile insurance company
shall value a total-loss vehicle
at its actual cash value?
Do the laws of your state
define actual cash value?
THIRD-PARTY total-loss claim.
The laws of some states defnine
substantially similar vehicle
or comparable vehicle.
Do the laws of your state define substantially similar vehicle
or comparable vehicle?
Regardless of what the statutory laws
of your state say,
keep in mind
that the fundamental principle
of the law of negligence torts
is this:
When one person,
through an act of negligence,
harms another person;
the negligent person
(or his or her insurance company)
is obligated to pay
the victim of the negligent act
enough money
to make the victim whole
for his or her loss.
That is, the negligent person
(or his or her insurance company)
is obligated to pay
the victim of the negligent act
enough money
to make the victim as well off financially
as he or she was before the negligent act.
If you cannot negotiate
a fair valuation of your total-loss vehicle
with the automobile insurance company,
then you can refuse to agree
to the automobile insurance company’s
valuation of your total-loss vehicle.
You can dispute their valuation.
You can sue the at-fault driver
for the amount of money
that his or her
automobile insurance company
cheated you out of.
THIRD-PARTY total-loss claim.
questions_of_third_party_consumer_protection_lawsSubchapter
I’m a do-it-yourself kind of person.
You may not be.
Or you may be too busy
with the rest of your life
to spend a lot of time
working on your total-loss claim.
If, for whatever reason,
you prefer not to vet and edit
a draft letter against your state’s laws,
don’t do it.
You will be sufficiently well prepared
to meet with an attorney
about your total-loss claim
so long as you provide him or her
with copies of:
The market valuation report
that you received
from the automobile insurance company
for your total-loss vehicle,
The Monroney Label window sticker
for your total-loss vehicle,
Your total-loss vehicle’s
J.D. Power Buy from Dealer price,
The specs that the J.D. Power calculator
used to value your total-loss vehicle,
Your draft letter
at whatever stage of development
it happens to be in,
The police report on your vehicle’s
collision or theft, and
If your claim is a first-party claim,
your automobile insurance policy.
If you provide the attorney
with these ingredients,
then he or she can turn the work
that you have done
into an effective letter and package.
skip_this_step_if_you_want_toChapter
Today I’m having to ask you
to do a lot more work
than I would like to.
I’m having to ask you
to vet and edit your draft letter
against the laws of your state
that I copied and pasted below.
As I continue to develop
wasyourcartotaledorstolen.com,
I hope to offer total-loss claimants
starter letters
for first-party total-loss claims
and starter letters
for third-party total-loss claims
that are tailored to the laws
of each and every state.
“Jesus, Jerry!
“That sounds like a helluva lot of work!”
Yeah, I know!
Shows you how much I hate seeing
giant, powerful, unethical corporations
rip off everyday Americans.
With starter letters that are tailored
to the laws of each and every state,
future total-loss claimants
who come to wasyourcartotaledorstolen.com
will have a lot less work to do.
They will be able to create draft letters
that require less of a local attorney’s time
to review, vet, tweak, and strengthen.
I’m itching to do the work.
In the left-hand column
next to each state’s laws,
I hope to give total-loss claimants
a guided tour of the laws that,
in their state, regulate
how automobile insurance companies
are required to value total-loss vehicles
and settle total-loss claims.
On that guided tour,
I plan to explain and comment on
the important provisions
of each state’s laws.
On that guided tour,
I plan to point out
the answers to questions
that, today, I have to ask you
to search for yourself.
On that guided tour,
I plan to point out which paragraphs
of each state’s laws read like
they were written
by a lobbyist who works
for automobile insurance companies.
Total-loss claimants
also will want to know
the answers to other questions
about the laws of their state
that do not appear in the state’s
automobile insurance regulatory laws.
Over time, as I continue my research
and as I receive more and more
pro bono publico guidance
(guidance for the public good)
from attorneys in each state;
I hope to post more and more answers
to these questions.
If I am able to achieve these goals,
then, over time, total-loss claimants
who come to wasyourcartotaledorstolen.com
will be able to gain a fuller,
more accurate, more precise,
and more powerful understanding
of the rights
that their state legislators
have given them
and of the rights
that their state legislators
have taken away from them.
Everyday Americans will be able
to have more knowledgeable
and more productive conversations
with local attorneys.
If everyday Americans
who are fed up
with automobile insurance companies
cheating them and ripping them off
will support my work;
then I may be able to build
my one-person efforts
into an organization.
With an organization,
we may be able to persuade
our state legislators
(and perhaps our national legislators)
to rewrite some of the laws
that make it so easy
for automobile insurance companies
to screw us all.
If you would like to help me
teach everyday Americans
how to get fair valuations
of their total-loss vehicles,
then, at the top right of your screen,
Send me a few dollars.
With your help, I’m just getting started.
help_me_create_letters_tailored_to_laws_of_every_stateChapter
The regulations that govern
how insurance companies
that operate in Utah
are required to value total‑loss vehicles
and settle total‑loss claims
are part of the
Utah Administrative Code.
Current through Bulletin 2022-19, October 1, 2022
To help you zero in
on the most relevant and useful paragraphs
of your state’s
automobile insurance regulations,
here’s how I have color coded
your state’s laws:
What I believe to be
the most relevant and useful paragraphs
of your state’s law appear in red.
Relevant and potentially useful paragraphs
appear in black.
Paragraphs unlikely to be relevant or useful
appear in grey.
Just in case you landed here
looking for information
about how automobile insurance companies
are supposed to settle claims
in which your vehicle can be repaired
(partial-loss claims),
paragraphs of the law
that deal with repairs
appear in blue.
To make sure that a section
of the law has not changed
since I copied it and pasted it here,
at the end of that section,
click: Verify statute or Download PDF.
If you discover
that a section of a law has changed
or is no longer accessible
through casetext.com,
please send me an email
and let me know
so I can update the law
or update the verify link here.
Thomson Reuters Westlaw
recently acquired Casetext.
I do not know if Thomson Reuters Westlaw
will continue to make these state laws
available to everyday Americans for free.
Section R590-190-1 - Authority
This rule is promulgated pursuant to Subsections 31A-2-201(1) and 31A-2-201(3)(a) in which the commissioner is empowered to administer and enforce this title and to make rules to implement the provisions of this title. Further authority to provide for timely payment of claims is provided by Subsection 31A-26-301(1). Matters relating to proof and notice of loss are promulgated pursuant to Section 31A-26-301 and Subsection 31A-21-312(5). Authority to promulgate rules defining unfair claims settlement practices or acts is provided in Subsection 31A-26-303(4). The authority to require a timely response to the Insurance Department is provided in Section 31A-2-202(4).
Citation:
Utah Admin. Code R590-190-1
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With your support, more comments to come.
Section R590-190-2 - Purpose
This rule sets forth minimum standards for the investigation and disposition of property, liability, and title claims arising under contracts or certificates issued to residents of the State of Utah. It is not intended to cover bail bonds. These standards include fair and rapid settlement of claims, protection for claimants under insurance policies from unfair claims adjustment practices and promotion of professional competence of those engaged in claim adjusting. This rule defines procedures and practices which constitute unfair claim practices. This rule is regulatory in nature and is not intended to create any private right of action.
Citation:
Utah Admin. Code R590-190-2
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With your support, more comments to come.
Section R590-190-3 - Definitions
For the purpose of this rule the commissioner adopts the definitions as set forth in 31A-1-301, and the following:
(1) “Claim file” means any record either in its original form or as recorded by any process which can accurately and reliably reproduce the original material regarding the claim, its investigation, adjustment and settlement.
(2) “Claimant” means either a first party claimant, a third party claimant, or both and includes such claimant’s designated legal representative and includes a member of the claimant’s immediate family designated by the claimant.
(3) “Claim representative” means any individual, corporation; association, organization, partnership, or other legal entity authorized to represent an insurer with respect to a claim, whether or not licensed within the State of Utah to do so.
(4) “Days” means calendar days.
(5) “Documentation” includes, but is not limited to, any pertinent communications, transactions, notes, work papers, claim forms, bills, and explanation of benefits forms relative to the claim.
(6) “First party claimant” means an individual, corporation, association, partnership or other legal entity asserting a right to a benefit or a payment under an insurance policy or insurance contract arising out of the occurrence of the contingency or loss covered by such policy or contract and includes such claimant’s designated legal representative and includes a member of the claimant’s immediate family designated by the claimant.
(7) “General business practice” means a pattern of conduct.
(8) “Investigation” means all activities of an insurer directly or indirectly related to the determination of liabilities under coverages afforded by an insurance policy or insurance contract.
(9) “Notice of claim or loss” means any notification, whether in writing or other means acceptable under the terms of an insurance policy or insurance contract, to an insurer or its agent, by a claimant, which reasonably apprizes the insurer of the facts pertinent to a claim.
(10) “Proof of loss” shall mean reasonable documentation by the insured in accordance with policy provisions and insurer practices as to the facts of the loss and the amount of the claim.
(11) “Specific disclosure” shall mean notice to the insured by means of policy provisions in boldface type or a separate written notice mailed or delivered to the insured.
(12) “Third party claimant” means any person asserting a claim against any person under a policy or certificate of an insurer.
Citation:
Utah Admin. Code R590-190-3
Verify statute or Download PDF
If verify link fails, Google:
casetext.com, the citation.
With your support, more comments to come.
Section R590-190-4 - File and Record Documentation
Each insurer’s claim files for policies or certificates are subject to examination by the commissioner of insurance or by the commissioner’s duly appointed designees. To aid in such examination:
(1) the insurer shall maintain claim data that is accessible and retrievable for examination; and
(2) detailed documentation shall be contained in each claim file to permit reconstruction of the insurer’s activities relative to the claim.
Citation:
Utah Admin. Code R590-190-4
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With your support, more comments to come.
Section R590-190-5 - Misrepresentation of Policy Provisions
(1) The insurer and its representatives shall fully disclose to first party claimants all pertinent benefits, coverages or other provisions of an insurance policy or insurance contract under which a claim is presented, including loss of use and household services.
(2) The insurer is prohibited from denying a claim based upon a first party claimant’s failure to exhibit the property unless there is documentation of a breach of the policy provision in the claim file.
Citation:
Utah Admin. Code R590-190-5
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With your support, more comments to come.
Section R590-190-6 - Failure to Acknowledge Pertinent Communications
Within 15-days every insurer shall:
(1) upon receiving notification of a claim, acknowledge the receipt of such notice unless payment is made within such period of time, or unless the insurer has a reason acceptable to the Insurance Department as to why such acknowledgment cannot be made within the time specified. Notice given to an agent of an insurer is notice to the insurer;
(2) provide a substantive response to a claimant whenever a response has been requested; and
(3) upon receiving notification of a claim, provide all necessary claim forms, instructions, and reasonable assistance so that first party claimants can comply with the policy conditions and the insurer’s reasonable requirements.
Citation:
Utah Admin. Code R590-190-6
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With your support, more comments to come.
Section R590-190-7 - Notice of Claim or Loss
(1) Notice of Claim or Loss to an insurer, if required, shall be considered timely if made according to the terms of the policy, subject to the definitions and provisions of this rule, and the provisions of Section 31A-21-312.
(2) Notice of Claim or Loss may be given by an insured to any appointed agent, authorized adjuster, or other authorized claim representative of an insurer unless the insurer clearly directs otherwise by means of Specific Disclosure as defined herein.
(3) The general practice of the insurer when accepting a notice of loss or notice of claim shall be consistent for all policyholders in accordance with the terms of the policy.
Citation:
Utah Admin. Code R590-190-7
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Section R590-190-8 - Proof of Loss
Proof of loss to an insurer, if required, shall be considered timely if made according to the terms of the policy, subject to the definitions and provisions of this rule and the requirements of Section 31A-21-312.
Citation:
Utah Admin. Code R590-190-8
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Section R590-190-9 - Unfair Methods, Deceptive Acts and Practices Defined
The commissioner, pursuant to Section 31A-26-303(4), hereby finds the following acts, or the failure to perform required acts, to be misleading, deceptive, unfairly discriminatory or overreaching in the settlement of claims:
(1) denying or threatening the denial of the payment of claims or rescinding, canceling or threatening the recission or cancellation of coverage under a policy for any reason which is not clearly described in the policy as a reason for such denial, cancellation or rescission;
(2) failing to provide the insured or beneficiary with a written explanation of the evidence of any investigation or file materials giving rise to the denial of a claim based on misrepresentation or fraud on an insurance application, when such misrepresentation is the basis for the denial;
(3) compensation by an insurer of its employees, agents or contractors of any amounts which are based on savings to the insurer as a result of denying the payment of claims;
(4) failing to deliver a copy of the insurer’s guidelines, which could include the department’s statutes, rules and bulletins, for prompt investigation of claims to the Insurance Department when requested to do so;
(5) refusing to pay claims without conducting a reasonable investigation;
(6) offering first party claimants substantially less than the reasonable value of the claim. Such value may be established by one or more independent sources;
(7) making claim payments to insureds or beneficiaries not accompanied by a statement or explanation of benefits setting forth the coverage under which the payments are being made and how the payment amount was calculated;
(8) failing to pay claims within 30-days of properly executed proof of loss when liability is reasonably clear under one coverage in order to influence settlements under other portions of the insurance policy coverage or under other policies of insurance;
(9) refusing payment of a claim solely on the basis of an insured’s request to do so unless:
(a) the insured claims sovereign, eleemosynary, diplomatic, military service, or other immunity from suit or liability with respect to such claim; or
(b) the insured is granted the right under the policy of insurance to consent to settlement of claims.
(10) advising a claimant not to obtain the services of an attorney or suggesting the claimant will receive less money if an attorney is used to pursue or advise on the merits of a claim;
(11) misleading a claimant as to the applicable statute of limitations;
(12) requiring an insured to sign a release that extends beyond the occurrence or cause of action that gave rise to the claims payment;
(13) deducting from a loss or claim payment made under one policy those premiums owed by the insured on another policy, unless the insured consents;
(14) failing to settle a first party claim on the basis that responsibility for payment of the claim should be assumed by others, except as may otherwise be provided by policy provisions;
(15) issuing checks or drafts in partial settlement of a loss or a claim under a specified coverage when such check or draft contains language which purports to release the insurer or its insured from total liability;
(16) refusing to provide a written basis for the denial of a claim upon demand of the insured;
(17) denying a claim for medical treatment after preauthorization has been given, except in cases where the insurer obtains and provides to the claimant documentation of the pre-existence of the condition for which the preauthorization has been given or if the claimant is not eligible for coverage;
(18) refusing to pay reasonably incurred expenses to an insured when such expenses resulted from a delay, as prohibited by these rules, in claims settlement or claims payment;
(19) when an automobile insurer represents both a tort feasor and a claimant:
(a) failing to advise a claimant under any coverage that the same insurance company represents both the tort feasor and the claimant as soon as such information becomes known to the insurer; and
(b) allocating medical payments to the tort feasor’s liability coverage before exhausting a claimant’s personal injury protection coverage.
(20) failing to pay interest at the legal rate, as provided in Title 15, Utah Code, upon amounts that are overdue under these rules. This does not apply to insurers who fail to pay Personal Injury Protection expenses when due. These expenses shall bear interest as provided in 31A-22-309(5)(c).
Citation:
Utah Admin. Code R590-190-9
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Section R590-190-10 - Minimum Standards for Prompt, Fair and Equitable Settlements
(1) The insurer shall provide to the claimant a statement of the time and manner in which any claim must be made and the type of proof of loss required by the insurer.
(2) Within 30-days after receipt by the insurer of a properly executed proof of loss, the insurer shall complete its investigation of the claim and the first party claimant shall be advised of the acceptance or denial of the claim by the insurer unless the investigation cannot be reasonably completed within that time. If the insurer needs more time to determine whether a first party claim should be accepted or denied, it shall so notify the first party claimant within 30-days after receipt of the proofs of loss, giving the reasons more time is needed. If the investigation remains incomplete, the insurer shall, within 45-days after sending the initial notification and within every 45-days thereafter, send to the first party claimant a letter setting forth the reasons additional time is needed for the investigation, unless the first party claimant is represented by legal counsel or public adjuster. Any basis for the denial of a claim shall be noted in the insurers claim file and must be communicated promptly and in writing to the first party claimant. Insurers are prohibited from denying a claim on the grounds of a specific provision, condition, or exclusion unless reference to such provision, condition or exclusion is included in the denial.
(3) Unless otherwise provided by law, an insurer shall promptly pay every valid insurance claim. A claim shall be overdue if not paid within 30-days after the insurer is furnished written proof of the fact of a covered loss and of the amount of the loss. Payment shall mean actual delivery or mailing of the amount owed. If such written proof is not furnished to the insurer as to the entire claim, any partial amount supported by written proof or investigation is overdue if not paid within 30-days. Payments are not deemed overdue when the insurer has reasonable evidence to establish that the insurer is not responsible for the payment, notwithstanding that written proof has been furnished to the insurer.
(4) If negotiations are continuing for settlement of a claim with a claimant, who is not represented by legal counsel or public adjuster, notice of expiration of the statute of limitation or contract time limit shall be given to the claimant at least 60 days before the date on which such time limit may expire.
(5) Insurers are prohibited from making statements which indicate that the rights of a third party claimant may be impaired if a form or release is not completed within a given period of time unless the statement is given for the purpose of notifying the third party claimant of the provision of a statute of limitations.
(6) Upon receipt of an inquiry from the insurance department regarding a claim, every licensee shall furnish a substantive response to the insurance department within the time period specified in the inquiry.
Citation:
Utah Admin. Code R590-190-10
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Section R590-190-11 - Standards for Prompt, Fair and Equitable Settlements Applicable to Automobile Insurance
(1) When the insurance policy provides for the adjustments and settlement of automobile total losses for first party claimants on the basis of actual cash value or replacement with another of like kind and quality, one of the following methods must apply:
(a) the insurer may elect to offer a replacement automobile which is a specific comparable automobile available to the insured, with all applicable taxes, license fees and other fees incident to transfer of evidence of ownership of the automobile paid, at no cost other than any deductible provided in the policy. The offer and any rejection thereof must be documented in the claim file;
(b) the insurer may elect a cash settlement based upon the actual cost, less any deductible provided in the policy, to purchase a comparable automobile including all applicable taxes, license fees and other fees incident to transfer of evidence of ownership of a comparable automobile. Such cost may be determined by using:
(i) the cost of two or more comparable automobiles in the local market area when a comparable automobile is available or was available within the last 90-days to consumers in the local market area;
(ii) the cost of two or more comparable automobiles in areas proximate to the local market area, including the closest major metropolitan areas within or without the state, that are available or were available within the last 90-days to consumers when comparable automobiles are not available in the local market area pursuant to Subsection R590-190-11.(1)(b)(i);
(iii) one of two or more quotations obtained by the insurer from two or more qualified dealers located within the local market area when a comparable automobile is not available in the local market area; or
(iv) any source of determining statistically valid fair market values that meet all of the following criteria:
(A) the source shall give primary consideration to the values of vehicles in the local market area and may consider data on vehicles outside the area;
(B) the source’s database shall produce values for at least 85% of the makes and models for the last 15 model years, taking into account the values of all major options for such vehicles; and
(C) the source shall produce fair market values based on current data available from the area surrounding the location where the insured vehicle was principally garaged or a necessary expansion of parameters, such as time and area, to assure statistical validity.
(v) if the insurer is notified within 30-days of the receipt of the claim draft that the first party claimant cannot purchase a comparable vehicle for such market value, the company shall reopen its claim file and the following procedure(s) shall apply:
(A) the company may locate a comparable vehicle by the same manufacturer, same year, similar body style and similar options and price range for the insured for the market value determined by the company at the time of settlement. Any such vehicle must be available through licensed dealers or private sellers;
(B) the company shall either pay the difference between market value before applicable deductions and the cost of the comparable vehicle of like kind and quality which the insured has located, or negotiate and effect the purchase of this vehicle for the insured;
(C) the company may elect to offer a replacement in accordance with the provisions set forth in Subsection R590-190-11.(1)(a); or
(D) the company may conclude the loss settlement as provided for under the appraisal section of the insurance contract in force at the time of the loss. The company is not required to take action under this subsection if its documentation to the first party claimant, at the time of settlement, included written notification of the availability and location of a specified and comparable vehicle of the same manufacturer, same year, similar body style and similar options in as good or better condition as the total loss vehicle which could be purchased for the market value determined by the company before applicable deductions.
(c) when a first party claimant automobile total loss is settled on a basis which deviates from the methods described in Subsections R590-190-11.(1)(a) and (b), the deviation must be supported by documentation giving particulars of the automobile condition. Any deductions from such cost, including deductions for salvage, must be measurable, itemized and specified as to dollar amount and shall be appropriate in amount. The basis for such settlement shall be fully explained to the first party claimant.
(2) Total loss settlements with a third party claimant shall be on the basis of the market value or actual cost of a comparable automobile at the time of loss. Settlement procedures shall be in accordance with Subsection R590-190-11.(1)(b) and (c), except (b)(v) shall not apply.
(3) Where liability and damages are reasonably clear, insurers are prohibited from recommending that third party claimants make a claim under their own policies solely to avoid paying claims under such insurer’s insurance policy or insurance contract.
(4) Insurers are prohibited from requiring a claimant to travel an unreasonable distance to inspect a replacement automobile, to obtain a repair estimate or to have the automobile repaired at a specific repair shop.
(5) Insurers shall include the first party claimant’s deductible, if any, in subrogation demands initiated by the insurer. Subrogation recoveries may be shared on a proportionate basis with the first party claimant when an agreement is reached for less than the full amount of the loss, unless the deductible amount has been otherwise recovered. The recovery shall be applied first to reimburse the first party claimant for the amount or share of the deductible when the full amount or share of the deductible has been recovered. No deduction for expenses can be made from the deductible recovery unless an outside attorney is retained to collect such recovery. The deduction may then be for only a pro rata share of the allocated loss adjustment expense. If subrogation is initiated but discontinued, the insured shall be advised.
(6) If an insurer prepares or approves an estimate of the cost of automobile repairs, such estimate shall be in an amount for which it may be reasonably expected the damage can be satisfactorily repaired. If the insurer prepares an estimate, it shall give a copy of the estimate to the claimant and may furnish to the claimant the names of one or more conveniently located repair shops.
(7) When the amount claimed is reduced because of betterment or depreciation, all information for such reduction shall be contained in the claim file. Such deductions shall be itemized and specified as to dollar amount and shall be appropriate for the amount of deductions. The insurer shall provide a written explanation of these deductions to the claimant upon request.
(8) When the insurer elects to repair and designates a specific repair shop for automobile repairs, the insurer shall cause the damaged automobile to be restored to its condition prior to the loss at no additional cost to the claimant other than as stated in the policy and within a reasonable period of time.
(9) Where coverage exists, loss of use payment shall be made to a claimant for the reasonably incurred cost of transportation, or for the reasonably incurred rental cost of a substitute vehicle, including collision damage waiver, unless the claimant has physical damage coverage available, during the period the automobile is necessarily withdrawn from service to obtain parts or effect repair, or, in the event the automobile is a total loss and the claim has been timely made, during the period from the date of loss until a reasonable settlement offer has been made by the insurer. The insurer is prohibited from refusing to pay for loss of use for the period that the insurer is examining the claim or making other determinations as to the payability of the loss, unless such delay reveals that the insurer is not liable to pay the claim. Loss of use payments shall be an amount in addition to the payment for the value of the automobile.
(10) Subject to Subsections R590-190-11.(1) and (2), an insurer shall fairly, equitably and in good faith attempt to compensate a claimant for all losses incurred under collision or comprehensive coverages. Such compensation shall be based at least, but not exclusively, upon the following standards:
(a) an offer of settlement may not be made exclusively on the basis of useful life of the part or vehicle damaged;
(b) an estimate of the amount of compensation for the claimant shall include the actual wear and tear, or lack thereof, of the damaged part or vehicle;
(c) actual cash value, which shall take into account the cost of replacement of the vehicle and/or the part for which compensation is claimed;
(d) an actual estimate of the true useful life remaining in the part or vehicle shall be taken into account in establishing the amount of compensation of a claim; and
(e) actual cash value, which shall include taxes and other fees which shall be incurred by a claimant in replacing the part or vehicle or in compensating the claimant for the loss incurred.
(11) Insurers are prohibited from demanding reimbursement of personal injury protection payments from a first-party insured of payments received by that party from a settlement or judgement against a third party, except as provided by law.
(12) The insurer shall provide reasonable written notice to a claimant prior to termination of payment for automobile storage charges and documentation of the denial as required by Section R590-190-4. Such insurer shall provide reasonable time for the claimant to remove the vehicle from storage prior to the termination of payment.
Citation:
Utah Admin. Code R590-190-11
Verify statute or Download PDF
If verify link fails, Google:
casetext.com, the citation.
With your support, more comments to come.
Section R590-190-12 - Unfair Claims Settlement Practices Applicable to Automobile Insurance
The commissioner, pursuant to Section 31A-26-303(4), hereby finds the following acts, or the failure to perform required acts, to be misleading, deceptive, unfairly discriminatory or overreaching in the settlement of claims:
(1) using as a basis for cash settlement with a claimant an amount which is less than the amount which the insurer would be charged if repairs were made, unless such amount is agreed to by the claimant or provided for by the insurance policy;
(2) refusing to settle a claim based solely upon the issuance of, or failure to, issue a traffic citation by a police agency;
(3) failing to disclose all coverages for which an application for benefits is required by the insurer;
(4) failing in good faith to disclose all coverages, including loss of use, household services, and any other coverages available to the claimant;
(5) requiring a claimant to use only the insurer’s claim service in order to perfect a claim;
(6) failing to furnish the claimant, when requested, with the name and address of the salvage dealer who has provided a salvage quote for the amount deducted by the insurer in a total loss settlement;
(7) refusing to disclose policy limits when requested to do so by a claimant or claimant’s attorney;
(8) using a release on the back of a check or draft which requires a claimant to release the company from obligation on further claims in order to process a current claim when the company knows or reasonably should know that there will be future liability on the part of the insurer;
(9) refusing to use a separate release of a claim document rather than one on the back of a check or draft when requested to do so by a claimant;
(10) intentionally offering less money to a first party claimant than the claim is reasonably worth, a practice referred to as “low-balling;”
(11) refusing to offer to pay claims based upon the Doctrine of Comparative Negligence without a reasonable basis for doing so; and
(12) imputing the negligence of a permissive user of a vehicle to the owner of the vehicle in a bailment situation.
Citation:
Utah Admin. Code R590-190-12
Verify statute or Download PDF
If verify link fails, Google:
casetext.com, the citation.
“Jerry, I skimmed through the laws
of half a dozen or so different states.
“Looks to me like the legislators
of some states aren’t just making it easy
for automobile insurance companies
to have their way with us.
“Looks to me like they’re pimping us out
to the automobile insurance companies.”
If that’s the conclusion that you come to,
my friend, I cannot necessarily say
that I would disagree with you.
“Our state legislators are pimping out
to automobile insurance companies
the very voters
who voted those legislators
into office?
“How can that be?”
In a word, money!
Every year, in the USA,
automobile insurance companies
collect hundreds of billions of dollars
in automobile insurance premiums.
Money of that magnitude
translates into political power.
Automobile insurance companies
have many ways
in which they can reward
whoever helps them maximize their profits.
Then too, there’s a revolving door
between insurance companies
and state regulatory departments.
Some employees of insurance companies
go on to become
state commissioners of insurance.
Some state commissioners of insurance
go on to become highly-paid employees
of insurance companies
or go on to become
fabulously compensated lobbyists
for insurance companies.
One way for a man or woman
to maximize his or her career income
in the insurance industry
is to help insurance companies
maximize their profits
before he or she becomes
a state commissioner of insurance
and to help insurance companies
maximize their profits
after he or she becomes
a state commissioner of insurance.
“Is there anything we can do?”
In principle, yes.
The Affordable Care Act
limits the percentage
of health-insurance premium dollars
that health insurance companies
can keep for themselves
and their shareholders.
But I have yet to run across a law
that limits the percentage
of automobile insurance premium dollars
that automobile insurance companies
can keep for themselves
and their shareholders.
I’d like to see
our state legislators enact such laws
or our federal legislators enact such a law.
“Until that happens,
we’re goinng to keep getting pimped out
to the automobile insurance companies?”
You read your state’s laws.
You’ve witnessed up close the conduct
of the automobile insurance company
that you’re dealing with
under your state’s laws.
I’ll leave it to you
to reach your own conclusions.
I’m doing what I can to teach folks
how to fight back against rapacious
automobile insurance companies.
From my questions
about your state’s laws,
you learned that the legislators
of some states
give total-loss claimants
rights that legislators
of other states take away.
I would like to see
the legislators of states
that have taken away rights
restore those rights.
I would like to see state legislators
give total-loss claimants
rights that would make it easy
for total-loss claimants
to get fair valuations
of their total-loss vehicles.
I’d like to build an organization
that can try to persuade our legislators
to change some of the laws
that make it so easy
for automobile insurance companies
to have their way with you.
If you would like to help me,
then, at the top right of your screen,
Send me a few dollars.
Looks_to_me_like_legisators_of_some_states_are_pimping_us_outChapter
When I imagine you meeting with an attorney,
I see your attorney sitting at a computer.
The attorney has your draft letter
up on a computer screen
that you can see.
If someone other than you
did your word processing,
he or she is with you.
The two or three of you also have printouts
of your draft letter and other documents.
The attorney reads through your draft letter.
The attorney comments on
what is good in your draft letter
and on what needs to be fixed,
improved, deleted, or changed.
She or he asks you questions.
To answer some of the questions,
you pull out the document or the page
wherein the answer to that question
is to be found.
At the computer keyboard,
the attorney edits, fixes,
and strengthens your draft letter.
If you will imagine your meeting
with the attorney,
then doing so may help you
shape up and organize your draft letter
and other documents for that meeting.
When you are deciding
what to delete and what to keep,
imagine the workflow
that you want to accomplish
in the hour or so that you will spend
with the attorney.
Imagine how your conversation
with the attorney is likely to flow.
Shape up your draft letter accordingly.
Doing so may mean little more
than putting hard page breaks in places
that will organize the document
into meaningful sections.
Preserve the section of your draft document
where you used
“Find and replace” ➞ “Replace all”
to replace the specifics
of my fictitious total-loss claim
with the specifics of your total-loss claim.
This list of specifics
will give your attorney
the specifics of your total-loss claim
all in one place.
If some of what is in your draft letter
will have no role in the finished document
or in your conversation with the attorney,
then, probably, you can safely delete it.
Keep in mind that you’re not trying to create
a perfectly polished, legally pristine letter.
You’re putting together information
and supporting documents
that an attorney can vet, edit, and shape
into a powerful package.
You’re preparing yourself
for a fast-paced, efficient,
and productive conversation
with an attorney
about how to craft a letter
that will get you a fair valuation
for your total-loss vehicle.
When you’ve developed
your draft letter
as far as you wish to,
find an attorney
who knows how to deal
with automobile insurance companies
on total-loss property damage claims.
Get_your_draft_document_into_shapeChapter
Attorneys have many different specializations.
To help you get a fair valuation
of your total-loss vehicle,
you likely will want to find an attorney
who is knowledgeable
about automobile insurance
total-loss property damage claims.
If an attorney in your county
or in a nearby county
advertises his or her expertise
on wasyourcartotaledorstolen.com,
then he or she is likely knowledgeable
about automobile insurance
total-loss property damage claims.
He or she is likely
primed and prepared
to have with you
the kind of conversation
that I’ve prepared you for.
He or she may even
have already created a model letter
that picks up where mine leaves off.
If a local attorney
has already created
a model letter that picks up
where mine leaves off,
then his or her letter
will already be tailored
to the laws of your state.
To see if an attorney in your county
advertises his or services
here at wasyourcartotaledorstolen.com,
at the top of your screen,
click the image
of four attorneys standing together.
Then click your county.
Find_a_knowledgeable_attorneyChapter
However you find an attorney
who is well qualified
to help you get a fair valuation
of your total-loss vehicle,
make an appointment
for an hour of his or her time.
If you want the attorney
to have your draft letter
up on a computer screen
during your meeting,
then email your draft letter
and its supporting documents
to the attorney
before your meeting.
If you are going to email your draft letter
and its supporting documents
to the attorney, then you need to write
an email for that purpose.
At the end of your draft document,
I have included as an example
the email that I would write
for that purpose.
If you wish to do so,
you may use my example email
as the starting point for your email.
If, earlier, you used
“Find and replace” ➞ “Replace all”
to change the specifics
of my fictitious total-loss claim
to the specifics
of your total-loss claim,
then those changes
will have rippled through
to my example email.
Make_an_appointment_with_an_attorneyChapter
Meet with the attorney.
If you have a co-pilot,
take him or her with you.
Ask your attorney to:
Review your draft letter
against the CCC market valuation report
or other market valuation report
that you received
from the automobile insurance company;
Review your draft letter against
the J.D. Power Buy from Dealer price
for your total-loss vehicle;
Review your draft letter against
your state’s laws; and
If your total-loss claim
is a first-party claim,
review your draft letter against
your automobile insurance policy.
Ask your attorney, to edit, tweak,
and strengthen your draft letter
as he or she thinks best.
Or, if your attorney wants you
to make the changes to your draft letter,
take good notes of what
your attorney tells you to change.
If you have time enough to do so,
ask the attorney what steps
he or she thinks you should take
if the automobile insurance company
does not agree to the valuation amount
that you propose.
If you don’t accomplish everything
that you wish to in one hour,
make a follow-up appointment.
Do not let
the automobile insurance company
rush you into a settlement
that is not fair to you.
Meet_with_the_attorneyChapter
If your attorney asked you and your co-pilot
to make the changes to your draft letter,
then make those changes.
Pretty your letter up.
When you’re satisfied with
how your letter looks and reads,
email your letter
and its supporting documents
to the automobile insurance company
that you’re dealing with.
Email_your_letter_and_documents_to_the_automobile_insurance_companyChapter
If you’ve made in this far
into wasyourcartotaledorstolen.com,
then you’ve done a lot of work!
You and perhaps a co-pilot
have spent a lot of hours
getting savvy to ways
in which automobile insurance companies
try to cheat people
out of fair settlemets
of their total-loss claims.
If you have succeeded
in getting a fair valuation
of your total-loss vehilce,
then, as we say down South,
I’m proud fer ya!
Your hard work has paid off!
High fives!
God bless you!
If you would like to share
your success story
with other total-loss claimants
in Utah, email me your story.
I’ll create a web page
here in the Utah arena
of wasyourcartotaledorstolen.com
where you and other folks
who live in Utah
can share your stories
with one another.
(I may edit your story a little bit
to keep you and me
from getting into trouble.)
If you would like to help me
help others achieve
what you have achieved,
then, at the top right of your screen,
Send me a few dollars.
Congratulations!
And thank you!
If_your_letter_gets_you_a_fair_valuation_high_fivesChapter
By now, you should know
whether or not your state laws
give you a right of recourse.
You should know how many days
after the automobile insurance company
mails you the settlement check
you have to exercise
your right of recourse
before it expires.
To learn how I would go about
exercising my right of recourse,
at the top of your screen,
click the photo
of the young woman
who is determined
If_your_letter_did_not_get_you_a_fair_valuation_exercise_your_right_of_recourseChapter
To get a fair valuation
of my total-loss vehicle,
I sued the at-fault driver
in a small-claims lawsuit
for the amount of money
that her automobile insurance company,
Travelers, cheated me out of.
I got an additional $5,920 from Travelers.
If your total-loss claim
is a third-party claim
and the automobile insurance company
refused to negotiate
a fair valuation of your total-loss vehicle,
then you can sue the at-fault driver
for the amount of money
that his or her
automobile insurance company
cheated you out of.
If your total-loss claim
is a first-party claim,
then things are much more complicated.
Your automobile insurance policy
may contain an appraisal clause,
may contain an arbitration clause,
or may contain both.
Your state’s legislators
may have taken away rights
that you would otherwise have
under the law of contracts.
Hence, if your total-loss claim
is a first-party claim,
then I suggest that you
ask an attorney in your county
whether or not it makes sense
for you to invoke the appraisal clause
in your automobile insurance policy,
invoke the arbitration clause
in your automobile insurance policy,
or initiate a lawsuit
against your automobile insurance company.
To learn how,
in a third-party total-loss claim,
I would initiate a small-claims lawsuit
and perhaps a large-claims lawsuit,
at the top of your screen,
click the photo of the total-loss claimant
and the attorney
for the automobile insurance company
arguing their case
If_your_right_of_recourse_does_not_get_you_a_fair_valuation_you_may_want_to_sueChapter
Nota bene
Jerry Marlow is not an attorney. Neither information nor opinions published on this site constitute legal advice. This site is not a lawyer referral service. No attorney‑client or confidential relationship is or will be formed by use of this site. Any attorney listings on this site are paid attorney advertising. In some states, the information on this website may be considered a lawyer referral service.
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