|
Insurance brokers and
agents could be required to verify odometer
readings for new and renewal automobile
insurance policies under amendments the
California Department of Insurance (CDI) has
proposed to its personal automobile rating
factor regulations.
CDI has proposed
amending Section 2632.5, of the California
Code of Regulations, to specify how insurers
may-and may not-verify estimated annual
mileage. Under Prop. 103, annual mileage is
second in importance only to driving safety
record in the weight insurers may assign in
establishing personal auto insurance rates.
Under the CDI proposal, new applicants
would be required to estimate their annual
mileage and provide insurers "reasonable
information necessary to support the
estimate." "Reasonable information" would be
defined to mean, "the location of the
applicant's workplace if the vehicle is used
for commute purposes, the number of days per
week the vehicle is used for commuting, an
estimate of the number of miles driven for
pleasure or other purposes, the approximate
total number of miles driven the previous
year, and the reason for any differences in
the estimate for the upcoming year and the
miles driven the previous year."
Insurers would be permitted to require
applicants to provide their current odometer
reading, or to obtain the last odometer
reading from the California Department of
Motor Vehicles smog certification program.
The proposed regulation further states,
however, that "If an insurer markets using an
independent or captive agency system, and an
applicant meets with an agent in connection
with the insurance application, the insurer
may require the agent to verify the odometer
reading of the vehicle to be insured under the
policy, and the applicant shall allow the
agent to do so."
If an applicant fails to provide or permit
an agent to verify the odometer reading, if
the insurer has no other means reasonably to
estimate annual mileage, and if the insurer
has clearly indicated the consequences of not
providing that information, the insurer may
issue the policy using a "default annual
mileage figure, which has been filed with and
approved by the Commissioner."
Insurers would be prohibited from changing
the mileage estimate provided without
notifying the applicant of that change and
providing at least 15 days from mailing that
notice, to challenge the insurer's
determination under the proposed regulations.
Insurers could request, but not require, an
applicant to provide prior documentation, such
as prior vehicle maintenance records or prior
smog certificates. Insurers could not require
an applicant to provide information from a
prior insurer to confirm mileage estimated or
driven.
A conference call workshop was held May 25,
in which insurers argued for greater
flexibility in deciding whether and how
frequently to request documentation for
mileage estimates. IBA West will be providing
testimony on the proposal at a public hearing,
June 13, at CDI offices in San Francisco at 45
Fremont Street.
A copy of the proposed regulations appears
below:
STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE
45 Fremont Street, 21st Floor
San Francisco, CA 94105
RH06091489 April 14, 2006
PROPOSED REGULATION TEXT1
Mileage Verification
Section 2632.5 Rating Factors.
(c) An insurer's class plan, and all rates
and premiums determined in accordance
therewith, shall utilize the following rating
factors (the "Mandatory Factors") for bodily
injury liability, property damage liability,
medical payments, uninsured motorist,
collision, and comprehensive coverages:
(1) ....
(2) "Second Mandatory Factor" as used in
Subchapter 4.7, is the number of miles he or
she drives annually, per California Insurance
Code Section 1861.02(a)(2). This factor means
the estimated annual mileage for the insured
vehicle during the 12 month period following
the inception of the policy. Insurers may not
retroactively adjust premiums based on actual
miles driven unless notice is provided to the
policy holder prior to the effective date of
the policy. Estimated annual mileage shall be
determined only as follows:
(A) For new business:
(i) At the inception of a policy, an insurer
shall require an applicant to provide the
miles he or she expects to drive the insured
vehicle during the 12 month period following
policy inception, and reasonable information
necessary to support the estimate. "Reasonable
information" consists of the location of the
applicant's workplace if the vehicle is used
for commute purposes, the number of days per
week the vehicle is used for commuting, an
estimate of the number of miles driven for
pleasure or other purposes, the approximate
total number of miles driven the previous
year, and the reason for any differences in
the estimate for the upcoming year and the
miles driven the previous year. Except as
otherwise set forth in this section, an
insurer shall use the applicant's estimated
annual mileage;
(ii) To substantiate the estimated annual
mileage, an insurer may require all applicants
to provide, at policy inception, the current
odometer reading of the vehicle to be insured
or the insurer may obtain the odometer reading
from the California Department of Motor
Vehicles smog certification program;
(iii) If an insurer markets using an
independent or captive agency system, and an
applicant meets with an agent in connection
with the insurance application, the insurer
may require the agent to verify the odometer
reading of the vehicle to be insured under the
policy, and the applicant shall allow the
agent to do so;
(iv) If an applicant does not provide the
information set forth in (i) and (ii) above,
and the insurer has no other means reasonably
to estimate the miles to be driven during the
12 month period following inception of the
policy, and the insurer has clearly indicated
the consequences of not providing that
information, the insurer may issue the policy
using a default annual mileage figure, which
has been filed with and approved by the
Commissioner. Upon receipt of the information
set forth in (i) and (ii) above, the policy
shall be rated using that information. The
insurer may choose to re-rate all policies as
of the date it receives the information, or as
of policy inception. However, an insurer shall
apply the same method for every policy.
(v) All mileage rating rules that direct the
selection of a mileage rating relativity shall
be filed with and approved by the
Commissioner. This includes use of multiple
mileage rating bands and use of default and/or
average mileage rating relativities.
(vi) In no event shall an insurer rate a
policy unilaterally changing the mileage
estimate provided without notifying the
applicant of that change and providing the
applicant a reasonable opportunity, no less
than fifteen days from the date of mailing of
that notice, to challenge the insurer's
determination.
(vii) An insurer may request but shall not
require an applicant to provide prior
documentation, such as prior vehicle
maintenance records or prior smog
certificates, in order to confirm mileage
driven because, for a variety of reasons,
applicants may not have access to this
documentation.
(viii) In no event shall an insurer require an
applicant to provide information from a prior
insurer to confirm mileage estimated or
driven.
(B) For renewal business:
(i) Prior to policy renewal, an insurer shall
require a policyholder to provide the miles he
or she expects to drive the insured vehicle
during the 12 month period following policy
inception, and reasonable information
necessary to support the estimate. "Reasonable
information" consists of the location of the
applicant's workplace if the vehicle is used
for commute purposes, the number of days per
week the vehicle is used for commuting, an
estimate of the number of miles driven for
pleasure or other purposes, the approximate
total number of miles driven the previous
year, and the reason for any differences in
the estimate for the upcoming year and the
miles driven the previous year. Except as
otherwise set forth in this section, an
insurer shall use the policyholder's estimated
annual mileage;
(ii) To substantiate the estimated annual
mileage, an insurer may require all
policyholders to provide, at policy renewal,
the current odometer reading of the vehicle to
be insured or the insurer may obtain the
odometer reading from the California
Department of Motor Vehicles smog
certification program;
(iii) If an insurer markets using an
independent or captive agency system, and a
policyholder meets with an agent in connection
with policy renewal, the insurer may require
the agent to verify the odometer reading of
the vehicle insured under the policy, and the
policyholder shall allow the agent to do so;
(iv) If a policyholder does not provide the
information set forth in (i) and (ii) above
and the insurer has no other means reasonably
to estimate the miles to be driven during the
12 month period following renewal of the
policy, and the insurer has clearly indicated
the consequences of not providing that
information, the insurer may renew the policy
using a default annual mileage figure, which
has been filed with and approved by the
Commissioner. Upon receipt of the information
set forth in (i) and (ii) above, the policy
shall be rated using that information. The
insurer may choose to re-rate all policies as
of the date it receives the information, or as
of policy inception. However, an insurer shall
apply the same method for every policy.
(v) All mileage rating rules that direct the
selection of a mileage rating relativity shall
be filed with and approved by the
Commissioner. This includes use of multiple
mileage rating bands and use of default and/or
average mileage rating relativities.
(vi) In no event shall an insurer rate a
policy unilaterally changing the mileage
estimate provided without notifying the
policyholder of that change and providing the
policyholder a reasonable opportunity, no less
than fifteen days from the date of mailing of
that notice, to challenge the insurer's
determination.
(vii) An insurer may request but shall not
require a policyholder to provide prior
documentation, such as prior vehicle
maintenance records or prior smog
certificates, in order to confirm mileage
driven because, for a variety of reasons,
policyholders may not have access to this
documentation.
(viii) In no event shall an insurer require a
policyholder to provide information from a
prior insurer to confirm mileage estimated or
driven.
Authority cited: Section 1861.02, Insurance
Code; and CalFarm Insurance Company v.
Deukmejian (1989) 48 Cal.3d 805. Reference:
Sections 1861.02, 1861.05, 11628 and 11628.3,
Insurance Code.
Source: IBA West
(article from
www.insurancejournal.com)
|