California Fair Claims Settlement Practices Regulations


Table of Contents:

Introduction; PART ONE - Summary of Fair Claims Settlement Practices Regulations; Introduction; Claims Handling Duties; Acceptance or Rejection of Claims; Settlement Offers and Payment of Accepted Settlements; Adoption of Standards, Training, and Certification; Settlement Standards for Specialty Coverages; Penalties; Compliance Date; Chart for Time Limits/Diarying Requirements; PART TWO - Surety; Introduction; Claims Handling and Settlement Duties of Sureties; Commissioner’s Determination of Unfair Claims Practices by Surety; Chart for Time Limits/Diarying Requirements; PART THREE - Fair Claims Handling Investigations and Subsequent Proceedings; Investigation and Prosecution of Unfair Claims Practices; Contesting Orders Issued by the Commissioner; Use of Commissioner Determinations in Subsequent Civil Litigation; APPENDICES; and About Sedgwick.

Introduction -

Sedgwick LLP’s Insurance and Surety Practices Groups are comprised of attorneys who analyze and litigate insurance, surety, and fidelity matters. This handbook is for claims, underwriting, and agency personnel who may be affected by the California Fair Claims Settlement Practices Regulations. Partners Marilyn Klinger, head of Sedgwick’s Construction Practices Group, and Bruce Celebrezze, chair of Sedgwick’s Insurance Practices Group, are co-editors of this handbook. Both are available to answer questions or provide additional information upon request.

Please see full handbook below for more information.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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