| Contact Person: | Illinois Division of Insurance | 320 West Washington Street |
| Dee Caruso | Review Requirements Checklist | Springfield, IL 62767-0001 |
| 217-782-1790 | ||
| dee.caruso@illinois.gov | Effective as of 1/1/05 |
| Line(s) of | Filing | Line(s) of | Filing |
| Business | Code(s) | Insurance | Code(s) |
| Commercial Auto | 20.0000 | Business Auto | 20.0001 |
| Garage | 20.0002 | ||
| Other | 20.0003 |
| Illinois Insurance Code Link | Illinois Compiled Statutes Online | ||
| Illinois Administrative Code Link | Administrative Regulations Online | ||
| Product Coding Matrix | Product Coding Matrix | ||
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REVIEW REQUIREMENTS |
REFERENCE |
DESCRIPTION OF REVIEW STANDARDS REQUIREMENTS |
LOCATION OF STANDARD IN FILING |
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| NOTE: These brief summaries do not include all requirements of all laws, regulations, bulletins, or requirements, so review actual law, regulation, bulletin, or requirement for details to ensure that forms are fully compliant before filing with the Division of Insurance. | |||
| GENERAL REQUIREMENTS FOR ALL FILINGS | |||
| LINE OF AUTHORITY | |||
| Must have proper Class and Clause authority to conduct this line of business in Illinois. | 215 ILCS 5/4 | To write Commercial auto no-fault (PIP) and other commercial liability
insurance in Illinois, companies must be licensed to write:
To write Commercial auto physical damage insurance in Illinois, companies must be authorized to write:
To write combination commercial auto liability and physical damage coverage in Illinois, companies must be licensed to write:
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| NAIC UNIFORM TRANSMITTAL FORM | |||
| If insurers wish to use the NAIC Uniform Transmittal form, in lieu of cover letters and explanatory memorandums, the Division will accept such form, as long as the information required in Rules 753 and 754 is included. | 50 IL Adm. Code 753 | If insurers wish to use the NAIC Uniform Transmittal form, in lieu of cover letters and explanatory memorandums, the Division will accept such form, as long as the information required in Rules 753 and 754 is included. | |
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NAIC SELF-CERTIFICATION PILOT PROGRAM |
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| Requirements for expediting filing review in accordance with NAIC Self-Certification Pilot Program. | Newsletter Article regarding Division's Participation | The Division began participating in the NAIC Self-Certification Pilot
Program effective September 1, 2003.
If an authorized company officer completes the Self-Certification form, and submits such form with the filing, the Division will expedite review of the filing ahead of all other filings received to date. The Division will track company compliance with the laws, regulations, bulletins, and this checklist and report such information to the NAIC. |
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| GENERAL REQUIREMENTS FOR FORM FILINGS | |||
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COPIES, RETURN ENVELOPES, ETC. |
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| Requirement for duplicate copies and return envelope with adequate postage. | 50 IL Adm. Code 753 | Insurers that desire a stamped returned copy of the filing must submit a duplicate copy of the filing, along with a return envelope large enough and containing enough postage to accommodate the return filing. | |
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COVER LETTER AND EXPLANATORY MEMORANDUM |
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| Two copies of a submission letter are required, and the submission letter
must contain specified information.
"Me too" filings are not allowed. If insurers wish to use the NAIC Uniform Transmittal form, the Division will accept such form, as long as the information required in Rule 753 is included. |
50 IL Adm. Code 753 | All filings must be accompanied by a forms submission letter, in duplicate,
which includes:
1) the name of the advisory organization or company making the filing.
6) effective date of use. Companies under the same ownership or general management are required to make separate individual company filings. Company Group ("Me too") filings are unacceptable. If insurers wish to use the NAIC Uniform Transmittal form, the Division will accept such form, as long as the information required in Rule 753 is included. |
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FILING SUBMISSION |
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| When forms must be filed. | 50 IL Adm. Code 753 | Forms must be received by the Division no later than their effective date of use. | |
| Final printed forms must be filed. | 50 IL Adm. Code 753 | Typed or printer's proof copies may be submitted for review, but must be re-filed in printed form. Statements, provisions, or endorsements may not be typed or superimposed on a policy or endorsement. | |
| Requirements for company FEIN and filing numbers. | Company Bulletin 88-53
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Company must include all Federal Employer Identification Numbers (FEINs)
for companies making the filing.
Companies must assign a filing number which may be alpha, numeric, or both, but may not exceed 15 characters. Each filing number must be unique within a company and may not be repeated on subsequent filings. Please refer to Company Bulletin 88-53 for specific information and guidance. |
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| Forms under one filing number must have common coverage relationship. | Company Bulletin 88-53
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All forms under an assigned filing number must have some common coverage
relationship (e.g. all forms in an auto filing must pertain only to auto,
etc.).
Please refer to Company Bulletin 88-53 for specific information and guidance. |
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NO FILE OR FILING EXEMPTIONS |
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| Commercial auto forms issued to "industrial insureds" are not required
to be filed.
However, such forms must comply with all laws, regulations, bulletins, etc. unless specifically exempted by the law, regulation, bulletin, etc. |
215 ILCS 5/143(2) | Commercial auto forms issued to "industrial insureds," as defined in
Section 121-2.08 are not required to be filed.
Per Section 121-2.08, "industrial insured" is an insured: a) which procures the insurance of any risk or risks other than life and annuity contracts by use of the services of a full time employee acting as an insurance manager or buyer or the services of a regularly and continuously retained qualified insurance consultant; b) whose aggregate annual premiums for insurance on all risks, except for life and accident and health insurance, total at least $100,000; and c) which either (i) has at least 25 full time employees, (ii) has gross assets in excess of $3,000,000, or (iii) has annual gross revenues in excess of $5,000,000. However, Section 143(2) only exempts such forms from filing with the Director of Insurance. Section 143(2) does not exempt such forms from complying with all other Illinois insurance laws, regulations, bulletins, etc. unless specifically exempted by the law, regulation, bulletin, etc. Therefore, unless specifically exempted by the law, regulation, bulletin, etc. forms must comply with all laws, regulations, bulletins, etc. and may be checked for compliance via other regulatory processes such as consumer complaints, market conduct exams, etc. |
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| Manuscript endorsements are not required to be filed. | 215 ILCS 5/143(3) | Insurers are not required to file riders or endorsements prepared to
meet special, unusual, peculiar, or extraordinary conditions applying to
an individual risk.
Because Section 143(3) exempts only riders or endorsements, policy forms applying to an individual risk must still be filed. In addition, because Section 143(3) exempts only endorsements applying to an individual risk, if a company uses the same endorsement on more than one risk, such form no longer qualifies for the filing exemption and must be filed. |
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SIDE BY SIDE COMPARISON |
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| Form changes must be highlighted. | 50 IL Adm. Code 753 | Changes from currently filed forms must be highlighted. | |
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THIRD PARTY FILERS AUTHORITY |
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| Insurer may authorize an advisory organization to make a form filing
on its behalf.
Insurer may change or delay the effective date of an advisory organization form filing by properly notifying the Division. Insurer may authorize attorneys, consulting firms, etc. to submit form filings to the Division, as long as the filing includes proper authorization. |
50 IL Adm. Code 753 | Insurer may authorize an advisory organization, of which it is a member
or subscriber, to file forms on its behalf, as long as the insurer has on
file with the Division a forms authorization letter, in duplicate, which
includes: 1) the name of the authorized advisory organization. 2) the kinds of business for which filings will be made. 3) authorization clause or language. 4) effective date of authorization. Insurer may change or delay the effective date of an advisory organization form filing by notifying the Division. The notice shall include the insurer name, FEIN number, line of insurance, advisory organization name and filing number, and effective date desired. Insurer may authorize attorneys, consulting firms, etc. to submit form filings to the Division, as long as the filing includes a notice, signed by an authorized company officer, giving authority for the entity to act on the insurer's behalf on any issues related to the filing. |
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| FORMS -- POLICY PROVISIONS | |||
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AMBIGUOUS & MISLEADING |
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| The Director may disapprove a form filing if it contains inconsistent, ambiguous, or misleading clauses. | 215 ILCS 5/143(2) | Director may disapprove any form that contains inconsistent, ambiguous, or misleading clauses. | |
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APPLICATIONS |
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| Applications must be filed. | 50 IL Adm. Code 753 | Applications must be filed. | |
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ARBITRATION |
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| Policy must contain arbitration provision for UM and UMPD in accordance
with the law requirements.
Applies only to policies issued for vehicles designed for highway use. |
215 ILCS 5/143a | Policies must contain specific arbitration language with regard to Uninsured
Motorist Bodily Injury liability coverage (UM) and Uninsured Motorist Property
Damage coverage (UMPD). See specific law for details to ensure that forms
comply with all requirements before filing with the Division.
Applies only to policies issued for vehicles designed for highway use. |
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BANKRUPTCY PROVISIONS |
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| Policies that contain liability coverage must include a bankruptcy provision. | 215 ILCS 5/388 | All policies containing liability coverage must include a provision stating that insolvency or bankruptcy of the insured shall not release the company from its duties to pay under the policy. | |
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BLANK ENDORSEMENTS |
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| Blank endorsements are acceptable for filing, with exceptions. | 215 ILCS 5/143(2) | Blank endorsements may be filed, but may not be used to decrease coverage, increase rates or deductibles, or negatively alter any terms or conditions of coverage, unless such change is at the sole request of the insured. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
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CANCELLATION & NON-RENEWAL |
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| May not refuse to issue a policy on sole basis of previous refusal, cancellation or nonrenewal by any insurer. | 215 ILCS 5/143.10 | No company shall refuse to issue a policy on the sole basis that the insured or applicant for such policy was previously refused issuance or renewal of a policy by an insurer, or such insured's policy was cancelled on a prior date by any insurer. | |
| Loss information requested for underwriting. | 215 ILCS 5/143.10a | No prospective insurer shall request the insured to provide more detailed loss information than required by it to underwrite the same line or class of insurance. | |
| Loss information required to be provided. | 215 ILCS 5/143.10a | Insurer shall provide the following loss information to the first named
insured within 30 days of the insured's request, and at the same time as
any notice of cancellation or nonrenewal, except where the policy has been
cancelled for nonpayment of premium, material misrepresentations or fraud
on the part of the insured:
a) on closed claims, date and description of occurrence, and total amounts of payments; b) on open claims, date and description of occurrence, total amount of payments and total reserves, if any; and c) for any occurrence not included in (a) or (b), the date and description of occurrence and total reserves, if any. Insurer shall provide additional loss information, including specific loss reserves, to the first named insured as soon as possible, but in no event later than 20 days of receipt of named insured's mailed or delivered written request for such information at the request of a prospective insurer. Insurer shall automatically extend coverage under the existing policy, at the same terms and conditions by the same number of days it takes the insurer to provide the insured with this additional information. |
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| Policy must contain cancellation provision. | 215 ILCS 5/143.11 | Policy must include a cancellation provision setting out the manner in which the policy may be cancelled. | |
| May not refuse to issue certain policies solely due to hate crimes. | 215 ILCS 5/143.24c | Insurers may not refuse to issue a policy solely on the basis that one
or more claims have been made against any policy during the preceding 60
months, for a loss that is the result of a hate crime, if the insured provides
evidence to the insurer that the act causing the loss is identified as a
hate crime on a police report.
Applies to policies issued to an individual, a religious organization described in Section 170(b)(1)(A)(i) of Title 26 of the United States Code, or an educational organization described in Section 170(b)(1)(A)(ii) of Title 26 of the United States Code, or any other nonprofit organization described in Section 170(b)(1)(A)(vi) of Title 26 of the United States Code that is organized and operated for religious, charitable, or educational purposes. |
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| Rating or underwriting decisions based solely on domestic violence. | 215 ILCS 5/155.22b | No insurer that issues a property and casualty policy may use the fact that an applicant or insured incurred bodily injury as a result of a battery committed against him/her by a spouse or person in the same household as a sole reason for a rating or underwriting decision. | |
| Insurers may not refuse to insure based on identity of prior carrier.
Applies only to policies issued for vehicles designed for highway use. |
215 ILCS 5/155.27 | No insurer may refuse to insure the applicant solely based upon the identity
of the applicant's prior carrier.
Applies only to policies issued for vehicles designed for highway use. |
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Conditional Renewal |
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| Assignment or transfer of policies among or between insurers within an insurance holding company system or insurers under common management or control, or as a result of a merger, acquisition, or restructuring of an insurance company, is not a nonrenewal for purposes of the notification requirements. | 215 ILCS 5/143.11b | Assignment or transfer of policies among or between insurers within an
insurance holding company system or insurers under common management or
control, or as a result of a merger, acquisition, or restructuring of an
insurance company, is not a nonrenewal for purposes of the notification
requirements.
If the increase in the renewal premium is 30% or more, contains a change in deductibles or change in coverage that materially alters the policy, the company must adhere to provisions in Section 143.17a as described below. A company making an assignment or transfer of a policy among or between insurers as stated above, must deliver to the named insured notice of such assignment or transfer at least 60 days prior to the renewal date. An exact and unaltered copy of the notice shall be sent to the insured's producer, if known, and agent of record. |
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| Requirements for advance notice of renewal with changes in deductibles, changes in coverage that materially alters the policy, or increase of 30% or more. | 215 ILCS 5/143.17a | If an insurer offers to renew directly to the named insured with a renewal increase of 30% or more, or with a change in deductible or coverage that materially alters the policy, the insurer must mail or deliver to the named insured, written notice of such premium increase or change at least 60 days prior to the renewal or anniversary date. |
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Notice of Cancellation |
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| Cancellation notice mailing requirements and requirements for canceling premium financed insurance contracts. | 215 ILCS 5/143.14 | Insurer must mail cancellation notice to the named insured and to the
mortgage or lien holder, and send copy of such notice to the insured's broker,
if known, or the agent of record, at the last mailing address known by insurer.
Insurer must maintain proof of mailing on a form acceptable to U.S. Post
Office or other commercial mail delivery service.
Section 143.14 also contains requirements for canceling premium financed insurance contracts and procedures for returning unearned premium. See law for specific details of requirements. |
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| Number of days notice required for cancellation of commercial policies and notice requirements. | 215 ILCS 5/143.16 | Insurer must mail cancellation notice to the named insured at least:
10 days prior to effective date of cancellation for nonpayment of premium;
30 days prior to effective date of cancellation during the first 60 days
of coverage; 60 days prior to effective date of cancellation after coverage
has been effective for 61 days or more.
All notices shall include a specific explanation of the reason(s) for cancellation. |
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| Cancellation notice must advise insured of right to request a hearing. | 215 ILCS 5/143.23 | If an insurer cancels a commercial policy mid-term per Section 143.16a, for any reason except non-payment of premium, the cancellation notice must advise the named insured of the right to appeal and the procedure to follow for such appeal. | |
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Notice of Non-renewal |
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| Number of days notice required for nonrenewing a commercial policy and other notice requirements. | 215 ILCS 5/143.17a | Nonrenewal notice must be mailed to the named insured at least 60 days
in advance of the nonrenewal date.
Insurer must maintain proof of mailing of such notice on a recognized U.S. Post Office form or a form acceptable to the U.S. Post Office or other commercial mail delivery service. If the insurer fails to mail notice of nonrenewal to the named insured at least 60 days in advance of the nonrenewal date, the insurer must extend the policy for an additional year or until the effective date of any similar insurance procured by the insured, whichever is less, on the same terms and conditions as the policy sought to be terminated, unless the insurer has manifested its intention to renew at a different premium that represents an increase not exceeding 30%. An exact and unaltered copy shall be sent to the insured's broker if known, or the agent of record, and to the mortgage or lien holder at the last mailing address known by the company. Nonrenewal notice must provide a specific explanation of the reason(s) for nonrenewal. |
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Permissible Reasons for Cancellation |
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| May not cancel because agent's contract with insurer was terminated. | 215 ILCS 5/141.01 | Insurers may not cancel any policy on the ground that the company's contract with the agent through whom the policy was obtained has been terminated. | |
| May not cancel a policy on sole basis of previous refusal, cancellation or nonrenewal by any insurer. | 215 ILCS 5/143.10 | Insurers may not cancel a policy on the sole basis that the insured or applicant for such policy was previously refused issuance or renewal of a policy by an insurer, or such insured's policy was cancelled on a prior date by any insurer. | |
| Reasons for canceling a commercial policy that has been in effect for 60 days or more. | 215 ILCS 5/143.16a | After a policy has been in effect for 60 days, insurer may only cancel
for the following 6 reasons: (a) non-payment of premium; (b) the policy
was obtained through a material misrepresentation; (c) any insured violated
any terms and conditions of the policy; (d) the risk originally accepted
has measurably increased; (e) the insurer certifies to the Director of the
loss of reinsurance for all or a substantial part of the underlying risk;
or (f) the Director determines that continuation of the policy could place
the insurer in violation of Illinois insurance laws.
Rule 940 outlines requirements for certification of loss of reinsurance. |
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| May not cancel certain policies solely due to hate crimes. | 215 ILCS 5/143.24c | Insurers may not cancel a policy solely on the basis that one or more
claims have been made against any policy during the preceding 60 months,
for a loss that is the result of a hate crime, if the insured provides evidence
to the insurer that the act causing the loss is identified as a hate crime
on a police report.
Applies to policies issued to an individual, a religious organization described in Section 170(b)(1)(A)(i) of Title 26 of the United States Code, or an educational organization described in Section 170(b)(1)(A)(ii) of Title 26 of the United States Code, or any other nonprofit organization described in Section 170(b)(1)(A)(vi) of Title 26 of the United States Code that is organized and operated for religious, charitable, or educational purposes. |
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| Rating or underwriting decisions based solely on domestic violence. | 215 ILCS 5/155.22b | No insurer that issues a property and casualty policy may use the fact that an applicant or insured incurred bodily injury as a result of a battery committed against him/her by a spouse or person in the same household as a sole reason for a rating or underwriting decision. | |
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Permissible Reasons for Non-renewal |
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| May not refuse to renew because agent's contract with insurer was terminated. | 215 ILCS 5/141.01 | Insurers may not refuse to renew any policy on the ground that the company's contract with the agent through whom the policy was obtained has been terminated. | |
| May not refuse to renew a policy on sole basis of previous refusal, cancellation or nonrenewal by any insurer. | 215 ILCS 5/143.10 | Insurers may not refuse to renew a policy on the sole basis that the insured or applicant for such policy was previously refused issuance or renewal of a policy by an insurer, or such insured's policy was cancelled on a prior date by any insurer. | |
| Insurers may nonrenew for almost any reason(s) except those specifically
prohibited in other Illinois insurance laws or regulations.
However, insurers must give a specific explanation of the reason(s) for nonrenewal. |
215 ILCS 5/143.17a | Insurers may nonrenew for almost any reason(s) except those specifically
prohibited in other Illinois insurance laws or regulations.
However, insurers must give a specific explanation of the reason(s) for nonrenewal. |
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| May not refuse to renew certain policies solely due to hate crimes. | 215 ILCS 5/143.24c | Insurers may not refuse to renew a policy solely on the basis that one
or more claims have been made against any policy during the preceding 60
months, for a loss that is the result of a hate crime, if the insured provides
evidence to the insurer that the act causing the loss is identified as a
hate crime on a police report.
Applies to policies issued to an individual, a religious organization described in Section 170(b)(1)(A)(i) of Title 26 of the United States Code, or an educational organization described in Section 170(b)(1)(A)(ii) of Title 26 of the United States Code, or any other nonprofit organization described in Section 170(b)(1)(A)(vi) of Title 26 of the United States Code that is organized and operated for religious, charitable, or educational purposes. |
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| Rating or underwriting decisions based solely on domestic violence. | 215 ILCS 5/155.22b | No insurer that issues a property and casualty policy may use the fact that an applicant or insured incurred bodily injury as a result of a battery committed against him/her by a spouse or person in the same household as a sole reason for a rating or underwriting decision. | |
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CONSUMER INFORMATION |
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| Cancellation notice must advise insured of right to request a hearing. | 215 ILCS 5/143.23 | If an insurer cancels a policy mid-term per Section 143.16a, for any reason except non-payment of premium, the cancellation notice must advise the named insured of the right to request a hearing to appeal such decision, and the procedure to follow for such appeal. | |
| Written notice of company's complaint Division and Division of Insurance Public Service Division. | 215 ILCS 5/143c | No policy may be delivered unless the policyholder or certificate holder
is provided written notice of the address of the complaint Division of the
insurance company, and the address of the Public Service Division of the
Division of Insurance or its successor.
Rule 931 provides more specific guidance that: a) such notice shall accompany any newly issued policy or binder; b) "written notice" shall be satisfied by: any printed notice delivered with a policy or certificate; any adhering label attached to a policy or certificate; any computerized notice issued concurrently with a computer issued policy or certificate; or any other form of individual written notice substantially similar to the above. The address to be used for the Division of Insurance should be: Illinois Division of Insurance, Consumer Division or Public Services Section, Springfield, IL 62767. The address to be used for the company shall be an office that can service all types of complaints. If one office cannot service all types of complaints, then the additional addresses of each appropriate service office must be given. In addition to providing the required addresses, the notification should set forth the minimum amount of information included in the following suggested wording: "This notice is to advise you that should any complaints arise regarding this insurance, you may contact the following." |
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CONTENT OF POLICIES |
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| Reasons for which the Director may disapprove a form filing. | 215 ILCS 5/143(2) | The Director may disapprove any form that (i) violates any provision of the Illinois Insurance Code, (ii) contains inconsistent, ambiguous, or misleading clauses, or (iii) contains exceptions and conditions that will unreasonably or deceptively affect the risks that are purported to be assumed by the policy. | |
| Requirements for form content and readability. | 50 IL Adm. Code 753 | There must be printed at the head of the policy the name of the insurer
or insurers issuing the policy, the location of the Home Office thereof;
a statement of whether the insurer is a stock, mutual, reciprocal, Lloyds,
alien insurer, or an insurer operating under a charter by Special Act of
the Legislature of any state. There may be added thereto such devices, emblems
or designs and dates as are appropriate for the insurer issuing the policy.
All forms must be identified by a descriptive title, form number and edition identification. All forms must be printed in not less than eight-point type. |
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DEFENSE WITHIN LIMITS |
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| Defense costs may not be included in limits of liability. | 215 ILCS 5/143(2) | Defense costs must be paid as supplement to the limits of liability. Defense costs may not be included in the limits of liability. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
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DEFINITIONS |
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| Definition of "renewal" or "to renew." | 215 ILCS 5/143.13(d) | Definition of "renewal" or "to renew." | |
| Definition of "nonpayment of premium." | 215 ILCS 5/143.13(e) | Definition of "nonpayment of premium." | |
| Definition of "policy delivered or issued for delivery in this State." | 215 ILCS 5/143.13(f) | Definition of "policy delivered or issued for delivery in this State." | |
| Definition of "cancellation" or "cancelled." | 215 ILCS 5/143.13(g) | Definition of "cancellation" or "cancelled." | |
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DISCRIMINATION |
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| May not cancel certain policies, or refuse to issue or renew certain policies solely due to hate crimes. | 215 ILCS 5/143.24c | Insurers may not cancel a policy, or refuse to issue or renew a policy
solely on the basis that one or more claims have been made against any policy
during the preceding 60 months, for a loss that is the result of a hate
crime, if the insured provides evidence to the insurer that the act causing
the loss is identified as a hate crime on a police report.
Applies to policies issued to an individual, a religious organization described in Section 170(b)(1)(A)(i) of Title 26 of the United States Code, or an educational organization described in Section 170(b)(1)(A)(ii) of Title 26 of the United States Code, or any other nonprofit organization described in Section 170(b)(1)(A)(vi) of Title 26 of the United States Code that is organized and operated for religious, charitable, or educational purposes. |
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| Redlining -- When geographic location of risk may be grounds for refusing to insure. | 215 ILCS 5/155.22 | Insurer may not refuse to provide insurance solely on the basis of the specific geographic location of the risk unless such refusal is for a business purpose which is not a mere pretext for unfair discrimination. | |
| Rating, claims handling, and underwriting decisions based solely on domestic violence. | 215 ILCS 5/155.22b | No insurer that issues a property and casualty policy may use the fact that an applicant or insured incurred bodily injury as a result of a battery committed against him/her by a spouse or person in the same household as a sole reason for a rating, underwriting, or claims handling decision. | |
| Intentional acts exclusion -- exception for innocent co-insured. | 215 ILCS 5/155.22b | If a policy excludes property damage coverage for intentional acts, the insurers may not deny payment to an innocent co-insured who did not cooperate in or contribute to the creation of the loss if the loss arose out of a pattern of criminal domestic violence and the perpetrator of the loss is criminally prosecuted for the act causing the loss. | |
| Unfair methods of competition or unfair or deceptive acts or practices defined. | 215 ILCS 5/424(3) | It is an unfair method of competition or unfair and deceptive act or practice if a company makes or permits any unfair discrimination between individuals or risks of the same class or of essentially the same hazard and expense element because of the race, color, religion, or national origin of such insurance risks or applicants. | |
| Unfair methods of competition or unfair or deceptive acts or practices defined. | 215 ILCS 5/424(5) | It is an unfair method of competition or unfair and deceptive act or practice if a company makes or charges any rate for insurance against losses arising from the use or ownership of a motor vehicle which requires a higher premium of any person by reason of his physical handicap, race, color, religion, or national origin. | |
| Procedure as to unfair methods of competition or unfair or deceptive acts or practices not defined. | 215 ILCS 5/429 | Outlines the procedures the Director follows when he has reason to believe that a company is engaging in unfair methods of competition or unfair or deceptive acts or practices. | |
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Domestic Abuse |
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| Rating, claims handling, and underwriting decisions based solely on domestic violence. | 215 ILCS 5/155.22b | No insurer that issues a property and casualty policy may use the fact that an applicant or insured incurred bodily injury as a result of a battery committed against him/her by a spouse or person in the same household as a sole reason for a rating, underwriting, or claims handling decision. | |
| Intentional acts exclusion -- exception for innocent co-insured. | 215 ILCS 5/155.22b | If a policy excludes property damage coverage for intentional acts, the insurers may not deny payment to an innocent co-insured who did not cooperate in or contribute to the creation of the loss if the loss arose out of a pattern of criminal domestic violence and the perpetrator of the loss is criminally prosecuted for the act causing the loss. | |
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EXCLUSIONS & LIMITATIONS |
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| Exceptions to exclusions for bodily injury for family members of the insured. | 215 ILCS 5/143.01 | If a form includes an exclusion of coverage for bodily injury for members of the family of the insured, the form must contain a provision that such exclusion shall not be applicable when a third party acquires a right of contribution against a member of the injured person's family, or when any person not in the household of the insured was driving the vehicle of the insured involved in the accident which is the subject of the claim or lawsuit. | |
| Blank endorsements are acceptable for filing, with exceptions. | 215 ILCS 5/143(2) | Blank endorsements may be filed, but may not be used to decrease coverage, increase rates or deductibles, or negatively alter any terms or conditions of coverage, unless such change is at the sole request of the insured. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
Coverage for permissive drivers Applies to private passenger type autos |
(Effective 1/1/08) |
Permissive drivers must have the same limits of bodily injury liability, property damage liability, uninsured and underinsured motorists liability and medical payments as a named insured. | |
| Communicable disease exclusions must be specific. | 215 ILCS 5/143(2) | Form may not exclude broad categories of communicable disease. Form may exclude only specific diseases, such as AIDS, or specific classes of diseases, such as sexually transmitted diseases. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
| Exclusions for unlicensed drivers are prohibited. | 215 ILCS 5/143(2) | Forms may not exclude unlicensed drivers, whether underage or under license suspension or revocation. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
| Exclusions of coverage due to DUI or other traffic offenses are prohibited. | 215 ILCS 5/143(2) | Forms may not exclude coverage because the operator is convicted of a DUI or other traffic offense. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
| Coverage for temporary substitute vehicles is required. | 215 ILCS 5/143(2) | Forms must provide, at a minimum, excess liability and physical damage coverage for temporary substitute vehicles if the form would have covered the out of service vehicle. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
| Requirements for exclusions for racing.
Applies only to forms issued for vehicles designed for highway use. |
215 ILCS 5/143(2) | Forms may not exclude coverage if vehicle was involved in racing, except
if racing event was prearranged or organized. Any forms that contain provisions
to the contrary are deemed to contain exceptions and conditions that unreasonably
or deceptively affect the risks that are purported to be assumed by the
policy, in violation of Section 143(2) and will be disapproved accordingly.
Applies only to forms issued for vehicles designed for highway use. |
|
| Requirements for radius restrictions. | 215 ILCS 5/143(2) | Forms that include a radius restriction may not exclude liability coverage entirely when a vehicle is outside of the radius, but must provide at least the minimum financial responsibility limit as shown on the Certificate of Insurance. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
| Sexual molestation/abuse exclusions must cover vicarious liability. | 215 ILCS 5/143(2) | Vicarious liability must be provided. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
| Named driver exclusions.
Applies only to policies issued for vehicles designed for highway use. |
Illinois court cases | Illinois courts have upheld named-driver exclusions if the form was signed
by the named insured. Any forms that contain provisions to the contrary
are deemed to contain exceptions and conditions that unreasonably or deceptively
affect the risks that are purported to be assumed by the policy, in violation
of Section 143(2) and will be disapproved accordingly.
Applies only to policies issued for vehicles designed for highway use. |
|
| Diminution In Value (Property Damage - 3rd Party Liability) | 215 ILCS 5/143(2) | Diminution in Value language is prohibited in third party liability coverage. The proper measure of damages is according to general tort law. In Illinois the body of law controlling the measure of damages in tort cases is set forth in the Illinois Pattern Jury Instructions. In general, the measure of damages in cases of property damage is the reasonable value of necessary repairs and/or the difference between the property's fair market value immediately before and after the event causing the damage. If after the repairs are performed to the real property there is still a decrease in the fair market value of the property then the plaintiff is also entitled to the diminution in market value of the property. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
| Intentional acts exclusion -- exception for innocent co-insured. | 215 ILCS 5/155.22b | If a policy excludes property coverage for intentional acts, the insurer may not deny payment to an innocent co-insured who did not cooperate in or contribute to the creation of the loss if the loss arose out of a pattern of criminal domestic violence and the perpetrator of the loss is criminally prosecuted for the act causing the loss. | |
| Exception for excluding class of persons. | 50 IL Adm. Code 921 | Policy may not exclude a class of persons solely as a consideration of the rate class applied thereto, nor shall such a provision be included in any automobile insurance policy unless the insured, because of unusual hazards or exposures, would not otherwise meet the company's normal underwriting standards for acceptance. | |
| Exclusions for certain kinds of vehicle equipment are prohibited.
Applies only to vehicles that are of the private passenger or station wagon type. |
50 IL Adm. Code 924 | Policy may not exclude standard or optional equipment available from
the manufacturer of the auto named in the policy for that make, model, and
model year unless the company issues an endorsement signed by the named
insured.
Any such endorsement must contain the following information: a) The named insured's signature. This prohibition does not apply to: a) loss of or damage to any device or instrument designed for the recording,
reproduction, receiving, or transmittal of sound, radio waves, microwaves
or television signals unless such device or instrument is permanently
installed in the dash or console opening specified by the manufacturer
of the motor vehicle for the installation of such equipment. Applies only to vehicles that are of the private passenger or station wagon type. |
|
| Liability coverage for stated drivers only is prohibited. | 625 ILCS 5/7-317(b) 2 | The Financial Responsibility Act requires that all vehicle owners' policies insure every named insured and any other person using the vehicle with the express or implied permission of the named insured. Stated or named driver forms are prohibited. | |
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Mold |
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| Filing procedures and requirements for exclusions and limitations related to mold. | Company Bulletin 2002-07
|
Please refer to Company Bulletin 2002-07 for specific information and guidance. | |
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Terrorism |
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Terrorism Risk Insurance Program Reauthorization Act of 2007 and Filing Procedures and Requirements for Terrorism-Related Forms, Rules and Rates |
Company Bulletin 2008-01
|
Please refer to Company Bulletin 2008-01 for specific information and guidance. |
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GROUP POLICIES |
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| Group vehicle insurance defined.
Group vehicle policies may provide coverage for physical damage, liability or both. A group physical damage policy and certificate incidental thereto does not meet IL mandatory insurance requirements and must contain a warning to that effect. |
215 ILCS 5/388a | Group vehicle insurance is vehicle insurance covering not less than 10
employees, members or employees of members, written under a master policy
issued to any governmental corporation, unit, agency or Division thereof,
or to any corporation, co-partnership, individual employer, or to any association
upon application of an executive officer or trustee of such association
having a constitution or by-laws and formed in good faith for purposes other
than that of obtaining insurance, where officers, members, employees, employees
of members or classes or Division thereof, may be insured for their individual
benefit.
In addition, a group vehicle policy may be written to insure any group which may be insured under a group life insurance policy. The term "employees" shall include the officers, managers and employees of subsidiary or affiliated corporations, and the individual proprietors, partners and employees of affiliated individuals and firms, when the business of such subsidiary or affiliated corporations, firms or individuals, is controlled by a common employer through stock ownership, contract or otherwise. Group vehicle insurance policies may provide physical damage coverage, liability coverage, or a combination of physical damage and liability. A group physical damage policy and a certificate incidental to that policy, issued in accordance with this Section, does not meet the mandatory insurance requirements under the IL Vehicle Code and must contain a warning to the consumer that the policy does not comply with those requirements. |
|
| Group vehicle insurance authorized.
Insurers with Class 2(b) and/or Class 3(e) authority may write group vehicle. Such policies must be filed in accordance with Section 143. Such policies must comply with Section 7-317 of the IL Vehicle Code. |
215 ILCS 5/388b | Any insurer authorized to write Class 2(b) and/or Class 3(e) of Section
4 of the Code may issue group vehicle policies.
Such policies must be filed per Section 143 and shall include provisions required by Sections 388c-388f. A group vehicle insurance policy that provides liability coverage must comply with the requirements of Section 7-317 of the IL Vehicle Code. |
|
| "Entire contract" specified. | 215 ILCS 5/388c | Group vehicle insurance policies shall provide that the policy, the application of the employer, or executive officer or trustee of any association, and the individual applications, if any, of the employees, members, or employees of members insured shall constitute the entire contract between the parties, and that all statements made by the employer, or the executive officer or trustee, or by the individual employees, members, or employees of members shall, in the absence of fraud, be deemed representations and not warranties, and that no such statement shall be used in defense to a claim under the policy, unless it is contained in a written application. | |
| Certificates required. | 215 ILCS 5/388d | Each group vehicle insurance policy shall provide that the insurer will issue to the employer, or to the executive officer or trustee of the association, for delivery to the employee, member, or employee of a member, who is insured under such policy, an individual certificate setting forth a statement as to the insurance protection to which he is entitled and to whom payable and, at the request of any participating member or employee that has liability insurance coverage, will issue a certificate of his vehicle insurance to the Secretary of State as proof of the insured's financial responsibility in compliance with the IL Vehicle Code. | |
| New members of group. | 215 ILCS 5/388e | Each group vehicle policy shall provide that, to the group or class thereof originally insured, shall be added from time to time all new employees of the employer, members of the association, or employees of members eligible to and applying for insurance in such group or class, but participation in the group plan shall not be required as a condition of employment, nor shall any member not participating in the plan be coerced or discriminated against. | |
| Conversion rights. | 215 ILCS 5/388f | Each group vehicle insurance policy shall provide that any member of the group shall have the right to convert his group policy to an individual standard policy of insurance in the same company as offered by the insurer to the non-group insureds upon termination of his connection with the group extending him the same limits of coverage. | |
| Cancellation restricted. | 215 ILCS 5/388g | Insurer may not cancel the insurance of an individual member of a group covered by a group vehicle insurance policy, except for the non-payment of premium by such member, or unless the insurance for the entire group is cancelled. In such cases, notice of cancellation as provided in like-non-group policies shall be given to each member and, when appropriate, to the Secretary of State. | |
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LIMITS |
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| Minimum limits for Bodily Injury Liability and Property Damage Liability | 625 ILCS 5/7-203 | Minimum Bodily Injury liability limits are $20,000 per person and $40,000
per accident.
Minimum Property Damage liability limits are $15,000 per accident. |
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LOSS SETTLEMENTS |
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Action Against Company |
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| Requirements for forms that contain provisions that limit time for bringing suit against the company for Underinsured Motorists Bodily Injury (UIM) coverage. | 215 ILCS 5/143(2) | If the form contains a provision that limits time for bringing suit against the company under the Underinsured Motorists Bodily Injury (UIM) coverage, the language must state that time for bringing suit shall begin after a judgment is rendered rather than after the accident, so as not to conflict with the exhaustion clause. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
| Periods of limitation tolled. | 215 ILCS 5/143.1 | If the form contains a provision limiting the period of time within which the insured may bring suit, the provision must state that the running of such period is tolled from the date proof of loss is filed until the date the claim is denied in whole or in part. | |
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Arbitration |
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| Policy must contain arbitration provision for UM in accordance with the
law requirements.
Applies only to policies issued for vehicles designed for highway use. |
215 ILCS 5/143a | Policies must contain specific arbitration language with regard to Uninsured
Motorist Bodily Injury liability coverage (UM) and Uninsured Motorist Property
Damage coverage (UMPD). See specific law for details to ensure that forms
comply with all requirements before filing with the Division.
Applies only to policies issued for vehicles designed for highway use. |
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Defense Costs |
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| Defense costs may not be included in limits of liability. | 215 ILCS 5/143(2) | Defense costs must be paid as supplement to the limits of liability. Defense costs may not be included in the limits of liability. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
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Payment of Loss Time Period |
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| If a form states when a claim will be paid, the language must conform to this Rule. | 50 IL Adm. Code 919.50 | If a form contains a provision stating when a claim shall be paid, the provision must comply with this Rule that states that the insurer shall affirm or deny liability on claims within a reasonable time and shall offer payment within 30 days of affirmation of liability if the amount of the claim is determined and not in dispute. For those portions of the claim which are not in dispute and the payee is known, the insurer shall tender payment within said 30 days. | |
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MINIMUM STANDARDS FOR CONTENT (POLICIES AND STANDARD FORMS) |
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| Coverage for temporary substitute vehicles is required. | 215 ILCS 5/143(2) | Forms must provide, at a minimum, excess liability and physical damage coverage for temporary substitute vehicles if the form would have covered the out of service vehicle. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
| Self-insured retention endorsements. | 625 ILCS 5/7-502 | Policies with self-insured retentions for liability coverage may only be issued to those persons with more than 25 motor vehicles registered in their name and who have obtained a certificate of self-insurance issued by the Director. | |
| Liability deductible endorsements. | 625 ILCS 5/7-317
|
All liability deductible endorsements shall provide first dollar payment by stating that the company will pay the deductible to settle any claim. The company may then seek reimbursement for the deductible amount from the insured. Failure to reimburse a deductible may not be construed as nonpayment of premium for cancellation of the policy. | |
| Garage customer liability. | 625 ILCS 5/5-101,102 | If a new or used vehicle dealer or an employee of such dealer provides a vehicle to a customer as a permissive user while the user's auto is being repaired or evaluated, and such user has auto liability coverage providing limits of at least $100,000/300,000 bodily injury (BI) and $50,000 property damage (PD), the permissive user's coverage shall be primary and the dealer's liability coverage shall be secondary. However, if the permissive user does not have liability coverage, or has liability limits less than $100,000/300,000 BI and $50,000 PD, then the dealer's liability coverage shall be primary and the permissive user's liability coverage shall be secondary. If a customer is test-driving a dealer's vehicle, then the dealer's policy shall be primary. | |
| Liability coverage for stated drivers only is prohibited. | 625 ILCS 5/7-317(b) 2 | The Financial Responsibility Act requires that all vehicle owners' policies insure every named insured and any other person using the vehicle with the express or implied permission of the named insured. Stated or named driver forms are prohibited. | |
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NOTICE REQUIREMENTS |
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| Cancellation notice must advise insured of right to request a hearing. | 215 ILCS 5/143.23 | If an insurer cancels a policy mid-term per Section 143.16a, for any reason except non-payment of premium, the cancellation notice must advise the named insured of the right to request a hearing to appeal such decision, and the procedure to follow for such appeal. | |
| Written notice of company's complaint Division and Division of Insurance Public Service Division. | 215 ILCS 5/143c | No policy may be delivered unless the policyholder or certificate holder
is provided written notice of the address of the complaint Division of the
insurance company, and the address of the Public Service Division of the
Division of Insurance or its successor.
Rule 931 provides more specific guidance that: a) such notice shall accompany any newly issued policy or binder; b) "written notice" shall be satisfied by: any printed notice delivered with a policy or certificate; any adhering label attached to a policy or certificate; any computerized notice issued concurrently with a computer issued policy or certificate; or any other form of individual written notice substantially similar to the above. The address to be used for the Division of Insurance should be: Illinois Division of Insurance, Consumer Division or Public Services Section, Springfield, IL 62767. The address to be used for the company shall be an office that can service all types of complaints. If one office cannot service all types of complaints, then the additional addresses of each appropriate service office must be given. In addition to providing the required addresses, the notification should set forth the minimum amount of information included in the following suggested wording: "This notice is to advise you that should any complaints arise regarding this insurance, you may contact the following." |
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OTHER INSURANCE |
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| Requirements for "Other Insurance" provisions. | 215 ILCS 5/143(2) | "Other Insurance" provisions must state that coverage under the policy will share proportionately with other similar coverages. However, coverage for non-owned autos may state that coverage is excess. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
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PUNITIVE DAMAGES |
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| Punitive damages | An insurer may not reimburse an insured for punitive damages assessed as a result of the insured's own misconduct. If form excludes coverage for punitive damages, the form must state that it provides a defense for claims involving both compensatory and punitive damages. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | ||
| READABILITY | |||
| Requirements for form content and readability. | 50 IL Adm. Code 753 | There must be printed at the head of the policy the name of the insurer
or insurers issuing the policy, the location of the Home Office thereof;
a statement of whether the insurer is a stock, mutual, reciprocal, Lloyds,
alien insurer, or an insurer operating under a charter by Special Act of
the Legislature of any state. There may be added thereto such devices, emblems
or designs and dates as are appropriate for the insurer issuing the policy.
All forms must be identified by a descriptive title, form number and edition identification. All forms must be printed in not less than eight-point type. |
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REBATES |
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| Payments or acceptance of rebates prohibited.
Rebates -- penalties |
215 ILCS 5/151 | No insurer, agent or broker shall offer, give, etc., any rebate of premium,
agent's commission, profits, dividends, or any special advantage in date
of policy or age of issue, or any other valuable consideration or inducement,
upon issuance or renewal, which is not specified in the policy contract
of insurance.
However, insurers may pay a bonus to policyholders or abate their premiums, in whole or in part, out of surplus accumulated from nonparticipating insurance. Insurers may also offer a child passenger restraint system, or a discount from the purchase price of a child passenger restraining system to policyholders, when the purpose of such system is the safety of a child and compliance with the "Child Passenger Protection Act." No insured or applicant shall directly or indirectly receive or accept any rebate of premium or agent's or broker's commission, or any favor or advantage, or any valuable consideration or inducement, other than such as is specified in the policy. Any company or person violating any provision of Section 151 shall be guilty of a Class B misdemeanor. |
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UNINSURED/UNDERINSURED MOTORISTS |
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| Requirements for Minimum Uninsured Motorist Bodily Injury (UM) and Uninsured
Motorist Property Damage (UMPD) Limits.
Applies only to policies issued for vehicles designed for highway use. |
215 ILCS 5/143a | Forms that include coverage for bodily injury liability must also include
coverage for Uninsured Motorist Bodily Injury (UM) in amounts equal to the
Illinois financial responsibility limits (currently $20,000 per person and
$40,000 per accident).
Forms that include coverage for property damage liability must also include coverage for Uninsured Motorist Property Damage (UMPD) in amounts equal to the Actual Cash Value (ACV) of the vehicle, or $15,000, whichever is less, subject to a $250 deductible. Such coverage must be offered for all private passenger type vehicles not covered by collision. Although UMPD must be offered, no written rejection is necessary. Also includes other requirements. See specific law for details to ensure that all forms comply with requirements. Applies only to policies issued for vehicles designed for highway use. |
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| Requirements for Increased Limits of Uninsured Motorist Bodily Injury
(UM) Coverage and Additional Underinsured Motorist Bodily Injury (UIM) Coverage.
Applies only to policies issued for vehicles designed for highway use. |
215 ILCS 5/143a-2 | Forms that include bodily injury limits greater than the minimum financial
responsibility limits (currently $20,000 per person and $40,000 per accident)
must include Uninsured Motorists Bodily Injury (UM) coverage equal to the
insured's BI limits, unless specifically rejected by the insured. Applications
must include space for insured's rejection of additional UM limits.
Forms that include coverage for additional UM liability limits must include Underinsured Motorists Bodily Injury (UIM) coverage equal to the insured's UM bodily injury limits. See specific law for details to ensure that all forms comply with requirements. Applies only to policies issued for vehicles designed for highway use. |
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| Social Security benefits may not be deducted from Underinsured Motorist Bodily Injury (UIM) limit. | Roberts v. Northland
Illinois Supreme Court Case |
IL Supreme Court decision. Social Security disability benefits may not be deducted from Underinsured Motorist Bodily Injury (UIM) limit. | |
Coverage for permissive drivers Applies to private passenger type autos |
(Effective 1/1/08) |
Permissive drivers must have the same limits of bodily injury liability, property damage liability, uninsured and underinsured motorists liability and medical payments as a named insured. | |
| Requirements for forms that contain provisions that limit time for bringing suit against the company for UIM coverage. | 215 ILCS 5/143(2) | If the form contains a provision that limits time for bringing suit against the company under the UIM coverage, the language must state that time for bringing suit shall begin after a judgment is rendered rather than after the accident, so as not to conflict with the exhaustion clause. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
| VICARIOUS LIABILITY | |||
| Sexual molestation/abuse exclusions must cover vicarious liability. | 215 ILCS 5/143(2) | Vicarious liability must be provided. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
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VOIDANCE |
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| Requirements to rescind a policy for misrepresentation or false warranty. | 215 ILCS 5/154 | A policy may not be rescinded, defeated or avoided unless the misrepresentation is stated in the policy, endorsement or rider attached thereto, or in the written application therefore, and was made with the actual intent to deceive, or materially affected either the acceptance of the risk or the hazard assumed by the company. | |
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OTHER |
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| Prejudgment interest. | 215 ILCS 5/143(2) | Illinois courts do not award prejudgment interest. However, if a form references payment of prejudgment interest, then such payment must be a supplementary coverage and not paid within the policy limits. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
| Post-judgment interest. | 215 ILCS 5/143(2) | If a form references payment of post-judgment interest, then such payment must be a supplementary coverage and not paid within the policy limits. Any forms that contain provisions to the contrary are deemed to contain exceptions and conditions that unreasonably or deceptively affect the risks that are purported to be assumed by the policy, in violation of Section 143(2) and will be disapproved accordingly. | |
| Endorsements that amend another endorsement are prohibited. | 215 ILCS 5/143(2) | An endorsement cannot be used to amend another endorsement. Such endorsements are deemed to result in inconsistent, ambiguous, or misleading clauses, in violation of Section 143(2) and will be disapproved accordingly. | |
| Requirements for termination of line of business. | 215 ILCS 5/143.11a | Insurers must notify the Director of the termination of a line of insurance, as well as the reasons for the action, 90 days before termination of any policy is effective. | |
| Negative response roll-ons are prohibited. | 215 ILCS 5/429 | Form changes that are optional may not be applied "automatically unless the insured rejects." Insureds must be offered the option and must respond affirmatively for the change to apply. To apply the option automatically unless rejected is to engage in an unfair or deceptive act or practice. | |
| RATE, RULE, RATING PLAN, CLASSIFICATION, AND TERRITORY FILING REQUIREMENTS | |||
| Taxicab rates and
rules must be filed no later than 10 days after the stated
effective date.
Form RF-3 Summary Sheet must be filed for all rate level changes. "Me too" filings are not allowed. Advisory organizations no longer make rate and rule filings in Illinois, so the sections dealing with third party filers for rates and rules do not apply. |
50 IL Adm. Code 754 | Taxicab rate and rule
filings are use and file. Such rate and rule filings must
be received by the Division no later than 10 days after their stated effective
dates, and must be accompanied by a self-addressed envelope including enough
postage for return copy of the filing if desired.
Companies under the same ownership or general management are required to make separate individual filings. Company group ("Me too") filings are unacceptable. Insurers must maintain documentary data for rate changes in its files so that it will be available for review by the Division's Property & Casualty Evaluation Section. For every filing, two copies of a rate submission letter must be attached, which includes: a) name of the company making the filing; b) identification of the kinds of insurance to which the filing applies; c) notification of whether the filing is new or supersedes a present filing. Identification of all changes in superseding filings, as well as identification of all superseded filings is required; d) effective date of use. Two copies of Form RF-3 Summary Sheet must be filed for all rate level changes. The form must indicate whether the information is "exact" or "estimated." A company must maintain documentary data for rate level changes so that it will be available for review by the Division's Property & Casualty Evaluation Section. Insurers are prohibited from continuing to use the new rate level if the rates and rules and Form RF-3 have not been received by the Division within 10 days of the effective date. NOTE: Advisory organizations no longer file rates and rules in Illinois. Therefore, each company must file its own rates and rules. |
|
| For all other lines
of commercial automobile insurance listed on page 1 of this checklist, rates
and rules are not required to be filed in Illinois.
However, Form RF-3 is still required to be filed for all commercial auto rate level changes, within 10 days of the stated effective date. |
Form RF-3 Summary Sheet | For all other lines
of commercial auto insurance listed on page 1 of this checklist, rates and
rules are not required to be filed in Illinois.
However, even though the rates and rules themselves are not required to be filed, insurers must still file two copies of Form RF-3 (Summary Sheet) for all commercial auto rate level changes. The form must indicate whether the information is "exact" or "estimated." A company must maintain documentary data for rate level changes so that it will be available for review by the Division's Property & Casualty Evaluation Section. RF-3s must be received by the Division's Property & Casualty Evaluation Section no later than 10 days after the stated effective date of the rate level change. Insurers are prohibited from continuing to use the new rate level if the Form RF-3 has not been received by the Division within 10 days of the effective date. |
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INDIVIDUAL RISK RATING |
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| Individual risks. | 50 IL Adm. Code 754 | Insurers are not required to file rates or RF-3s for individual Illinois
risks which cannot be rated in the normal course of business rating because
of special or unusual characteristics and must be rated on the basis of
underwriting judgment.
Insurers must maintain documentary information regarding such individual risk rates for review by the Division's Property & Casualty Evaluation Section. Insurers are not required to file rates on individual risks where the development of the rate for the individual risk is dependent on an inspection of improvements on real property and an application of a schedule, the elements of which include loss ratio, hazard analysis, risk analysis and classification of municipal fire defenses. However the company must maintain documentary information and records in its offices, which will be available for review by the Division's Property & Casualty Evaluation Section. |
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DISCOUNTS |
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| Defensive driving discount requirements. | 215 ILCS 5/143.29 | Auto liability policies must include rate/premium reductions for insureds
over age 55 who successfully complete a defensive driving course.
Also includes specific time frames for how long the reduction must remain in effect. Requirement does not apply to fleet policies or commercial unless there is a regularly assigned principal operator. See specific law for details. |
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PRICING |
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Other Fees |
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| Insurers may not surcharge or charge a fee for making a Financial filing.
Applies only to policies issued for vehicles designed for highway use. |
625 ILCS 5/7-317(l) | Insurers may not surcharge or impose fee for having to file a Financial
Responsibility Certificate.
This section contains other requirements for financial responsibility filings -- see law for specific information and guidance. Applies only to policies issued for vehicles designed for highway use. |
|
| OTHER | |||
| Bodily injury liability base rates. | 215 ILCS 5/155.17 | The base rate for bodily injury liability must be the same for all territories within a city with a population of 2,000,000 or more. Currently in Illinois, this applies only to the city of Chicago. | |
| Rating decisions based solely on domestic violence. | 215 ILCS 5/155.22b | No insurer may that issues a property and casualty policy may use the fact that an applicant or insured incurred bodily injury as a result of a battery committed against him/her by a spouse or person in the same household as a sole reason for a rating decision. | |
| Unfair methods of competition or unfair or deceptive acts or practices defined. | 215 ILCS 5/424(3) | It is an unfair method of competition or unfair and deceptive act or practice if a company makes or permits any unfair discrimination between individuals or risks of the same class or of essentially the same hazard and expense element because of the race, color, religion, or national origin of such insurance risks or applicants. | |
| Unfair methods of competition or unfair or deceptive acts or practices defined. | 215 ILCS 5/424(5) | It is an unfair method of competition or unfair and deceptive act or practice if a company makes or charges any rate for insurance against losses arising from the use or ownership of a motor vehicle which requires a higher premium of any person by reason of his physical handicap, race, color, religion, or national origin. | |
| Procedure as to unfair methods of competition or unfair or deceptive acts or practices not defined. | 215 ILCS 5/429 | Outlines the procedures the Director follows when he has reason to believe that a company is engaging in unfair methods of competition or unfair or deceptive acts or practices. |