CA FAIR PLAN: FAIR CLAIMS SETTLEMENT PRACTICES
Note: You may watch the video below or read the text to complete this lesson.
Individuals involved in handling claims in California are required to complete training on the fair claims settlement practices regulations or submit a sworn statement attesting to having read and understood the regulations by September 1 each year, and have a copy with them at all times when handling California claims.
This short presentation highlights the most pertinent provisions in the regulations and provides a copy of Title 10, Chapter 5, Subchapter 7.5 Section 2695. Throughout the presentation you’ll have an opportunity to complete short knowledge assessments before proceeding to the next lesson. At the end, you’ll sign the certification that the regulations have been read and understood.
Table of Contents
- Preamble §2695.1. – Purpose & Scope of the Regulations
- Definitions §2695.2. – Definitions of Key Terms in the Regulations
- File Documentation §2695.3. – Highlights Primary File Documentation Requirements
- Representation of Policy Benefits §2695.4. – Reviews Requirements to Disclose Policy Provisions and Benefits to Claimants
- Duties Upon Receipt of Communications §2695.5. – Reviews Obligations of a Licensee When Various Communications are Received
- Standards for Prompt, Fair & Equitable Settlements §2695.7. – Reviews Requirements for Acceptance or Rejection of Claims, Payment, Suspected Fraud, etc.
- Additional Standards Applicable to Auto Insurance §2695.8. – Reviews Additional Requirements Related to Auto Repairs, Betterment, etc.
- Additional Standards Applicable to Property Insurance §2695.9. – Reviews Additional Requirements Related to Property Repairs, Betterment, etc.
- Insurance Code 790.03