Current through Register 2024 Notice Reg. No. 52, December 27, 2024
(a) Purpose.
This section implements and interprets Insurance Code
Section
1874.6.
(b) Automobile Theft and Loss Reporting.
All insurers issuing private passenger automobile insurance
in California shall report, either directly or through an authorized
representative, to the National Insurance Crime Bureau (NICB), formerly the
National Automobile Theft Bureau, all private passenger automobiles involving
in total losses as follows:
1. All
total thefts of a private passenger automobile, having a wholesale value in
excess of $2000.00, shall be reported within five (5) working days from the
receipt of sufficient information from the insured.
2. All total losses involving private
passenger automobile salvage where the vehicle is of the current model year or
the four immediately preceding model years, however sustained, including
claimant, shall be reported to the NICB within five (5) working days after he
sale of salvage; or, if the insured, or third party claimant, is permitted to
retain salvage, within five (5) working days after the date of loss
payment.
3. The information
reported to the NICB shall include the vehicle's Vehicle Identification Number
(VIN), the vehicle's make, model, model year and any other information, as
required by the NICB. Where possible, this information shall be obtained from
the Automobile Inspection Report completed pursuant to Section
2191 of this
Article.
(c) Theft Loss
Verification Procedures.
Notwithstanding any provision of the Unfair Practices Act
(Insurance Code Sections
790 et
seq.) and Regulations to the contrary:
1. No insurer shall pay a claim filed by an
insured, or a third party claimant, under comprehensive or other coverage for
the total theft of a private passenger automobile with a wholesale market value
in excess of $2000.00, unless the claim has first been reported to and either
acknowledged by the NICB or no information indicating unresolved questionable
circumstances about the claim has been received from the NICB within 10 working
days from the date the insurer transmitted the report to the NICB.
2. Notwithstanding any provision of the
Unfair Practices Act (Insurance Code Sections
790 et
seq.) and Regulations to the contrary, an insurer may defer payment of a total
theft loss claim filed under comprehensive or other coverage in accordance with
the following:
(A) An insurer may defer the
payment of such a claim for five (5) calendar days following receipt of an
acknowledgement from the NICB of the Insurer's report. If no further
communication is received from the NICB during this five (5) day period
indicating unresolved questionable circumstances, the insurer shall continue
with the processing of the claim in accordance with the provisions of this
section and other provisions of the Unfair Practices Act (Insurance Code
section
790 et
seq.) and Regulations.
(B) If the
NICB indicates in its acknowledgement or response to the insurer that coverage
is in effect by more than one insurer for the same private passenger automobile
or that the private passenger automobile has been previously reported as stolen
and unrecovered, or that previous claims on the automobile have been reported,
the insurer shall promptly investigate, attempt to resolve any discrepancy and
report to the Fraud Division of the Department of Insurance, as required by
Section
1872.4 of
the Insurance Code.
(C) If the NICB
discovers an erroneous vehicle identification number (VIN) and the NICB is
unable to resolve the discrepancy internally, the NICB shall send a
standardized inquiry to the insurer. A response to the inquiry shall be
returned within five (5) working days by the insurer and the insurer shall
notify the Fraud Division as required by Section
1872.4 of
the Insurance Code. If the NICB and the insurer are unsuccessful, after due
diligence in resolving the VIN error after a thirty-day (30-day) period from
the date of the receipt by the insurer of sufficient information from the
insured, the insurer shall proceed with the final processing of the
claim.
(D) If the NICB indicates in
its response to the insurer its belief, or if the insurer believes, that a
fraudulent claim is being made by any claimant, the insurer shall report this
information to the Fraud Division of the Department of Insurance as required by
Section
1872.4 of
the Insurance Code, suspend the processing of the claim and promptly begin an
investigation. The insurer shall promptly provide such information to the NICB
and shall cooperate fully with the NICB and the Department of Insurance in any
investigation of potentially criminal or fraudulent
acts.
(d)
Definitions.
1. As used in this section,
"private passenger automobile" means a motor vehicle of the private passenger
or station wagon type, any four-wheel vehicle with a load capacity of 1,500
pounds or less, or a motorcycle.
2.
As used in this section, and as provided in Section
544 of the
Vehicle Code, "total salvage loss" means a private passenger automobile which
has been wrecked, destroyed, or damaged, to such an extent that the owner,
leasing company, financial institution, or the insurance company which has
insured the vehicle, considers it uneconomical to repair the vehicle and
because of this, the vehicle is not repaired by or for the person who owned the
vehicle at the time of the event resulting in the damage.
3. As used in this section, "total theft"
means the theft of a private passenger automobile.
1. New
section filed 4-1-93; operative 5-1-93 (Register 93, No.
14).
Note: Authority cited: Section
1874.6,
Insurance Code. Reference: Section
1874.6,
Insurance Code.