Contact Person: Illinois Department of Insurance 320 West Washington Street
Gayle Neuman Review Requirements Checklist Springfield, IL 62767-0001
217-524-6497  
gayle.neuman@illinois.gov   Effective as of 9/1/03

Line(s) of Filing Line(s) of Filing
Business Code(s) Insurance Code(s)
Property 1.0000 Personal 1.0002
Earthquake 12.0000* Personal 12.0002*
Flood 2.3000* Personal 2.3002*

* This checklist applies to earthquake and flood when written as endorsements to a personal property or dwelling fire policy.

Illinois Insurance Code Link Illinois Compiled Statutes Online    
Illinois Administrative Code Link Administrative Regulations Online    
Product Coding Matrix Product Coding Matrix    

REVIEW REQUIREMENTS

REFERENCE

DESCRIPTION OF REVIEW STANDARDS REQUIREMENTS

LOCATION OF STANDARD IN FILING

    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 Department 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

List of Classes/Clauses

To write fire and allied lines insurance in Illinois, companies must be licensed to write:
  1. Class 3, Clauses (a) and (b)
 

NAIC UNIFORM TRANSMITTAL FORM

     
If insurers wish to use the NAIC Uniform Transmittal form, in lieu of cover letters and explanatory memorandums, the Department will accept such form, as long as the information required in Rules 753 and 754 is included. 50 IL Adm. Code 753

50 IL Adm. Code 754

NAIC Uniform Transmittal Form

If insurers wish to use the NAIC Uniform Transmittal form, in lieu of cover letters and explanatory memorandums, the Department will accept such form, as long as the information required in Rules 753 and 754 is included.  

NAIC SELF-CERTIFICATION PILOT PROGRAM

     
Requirements for expediting filing review in accordance with NAIC Self-Certification Pilot Program. Newsletter Article regarding Department’s Participation

Self-Certification form

The Department 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 Department will expedite review of the filing ahead of all other filings received to date.

The Department will track company compliance with the laws, regulations, bulletins, and this checklist and report such information to the NAIC.

 
GENERAL REQUIREMENTS FOR FORM FILINGS      

COPIES, RETURN ENVELOPES, ETC.

     
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.  

COVER LETTER AND EXPLANATORY MEMORANDUM

     
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 Department will accept such form, as long as the information required in Rule 753 is included.

50 IL Adm. Code 753

NAIC Uniform Transmittal Form

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.
2) title, form number, and edition identification of the forms.
3) information as to what Class and Clause coverage is written under.
4) identification of all applicable endorsements and applications as to the policy forms for which the endorsements and applications are used.
5) notification as to whether the filing is new or supersedes a present filing.  Identification of all changes in all superseding filings as well as identification of all superseded forms is required.

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 Department will accept such form, as long as the information required in Rule 753 is included.

 

FILING SUBMISSION

     
When forms must be filed. 50 IL Adm. Code 753 Forms must be received by the Department 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

 

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.

 
Forms under one filing number must have common coverage relationship. Company Bulletin 88-53

 

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.

 

NO FILE OR FILING EXEMPTIONS

     
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.

 

SIDE BY SIDE COMPARISON

     
Form changes must be highlighted. 50 IL Adm. Code 753 Changes from currently filed forms must be highlighted.  

THIRD PARTY FILERS AUTHORITY

     
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 Department.

Insurer may authorize attorneys, consulting firms, etc. to submit form filings to the Department, 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 Department 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 Department. 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 Department, 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.

 

FORMS¾POLICY PROVISIONS

     

AMBIGUOUS & MISLEADING

     
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.  

APPLICATIONS

     
Applications must be filed. 50 IL Adm. Code 753 Applications must be filed.  

APPRAISALS

     
Requirements for appraisal provisions. 215 ILCS 5/397

50 IL Adm. Code 753

215 ILCS 5/397.05

215 ILCS 5/143(2)

215 ILCS 5/143.13(b)

Policy must contain an appraisal provision to conform to the Standard Fire Policy. Any forms that contain provisions to the contrary conflict with the Standard Fire Policy minimum language, and 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.

When an insured requests an appraisal under a policy of fire and extended coverage insurance as defined in Section 143.13(b), and the insured’s full amount of appraised loss is upheld by agreement of the appraisers or the umpire, then the insured’s appraisal fee and umpire’s appraisal fee must be paid by the insurer.

 

ARBITRATION

     
Requirements for arbitration provisions. 215 ILCS 5/397

50 IL Adm. Code 2301

710 ILCS 5/1

215 ILCS 5/143(2)

Any controversy or claim arising out of or relating to the contract, or the breach thereof, may be settled within a reasonable time limit by arbitration administered by the American Arbitration Association in accordance with the Uniform Arbitration Act 710 ILCS 5/1.

The arbitration may be binding on both parties, or non-binding upon the insured, but in all instances must be entered into on a voluntary basis, as the insured must have the option of filing a lawsuit per Lines 157-161 of the Standard Fire Policy. Any forms that contain provisions to the contrary conflict with the Standard Fire Policy minimum language, and 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.

 

BANKRUPTCY PROVISIONS

     
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.  

BLANK ENDORSEMENTS

     
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.  

CANCELLATION & NON-RENEWAL

     
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.  
May not refuse to issue a policy because of space heaters. 215 ILCS 5/143.10c Insurers may not refuse to issue a policy solely because a space heater is being used inside the dwelling.  
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

Title 26 U.S.C. Sections 170(b)(1)(A)(i), (ii), and (vi).

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.

 
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.  
Requirements for use of credit information in connection with personal lines policies - effective October 1, 2003.

215 ILCS 157/

Company Bulletin 2003-03

215 ILCS 157/22

Public Act 93-0114 regarding use of credit information for personal lines insurance became effective October 1, 2003.

Please see the specific Public Act for details. In addition, please refer to Company Bulletin 2003-03 for specific information and guidance.

215 ILCS 157/22 requires insurers to review/consider an exception to the risk score based upon extraordinary life events after receiving a written and signed notification from the applicant or insured explaining how the applicant or insured believes the extraordinary life event adversely impacts the applicant's or insured's insurance risk score. (Effective July 1, 2006)

 

Conditional Renewal

     
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.

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.

 
60 days advance notice of renewal with changes in deductibles or coverages applicable to an entire line of business. 215 ILCS 5/143.17 If, at renewal, the insurer is imposing changes in deductibles or coverage for any policy forms applicable to an entire line of business, then written notice of the changes must be mailed 60 days prior to the renewal or anniversary date.

An exact and unaltered copy of the notice shall also be sent to the insured’s broker if known, or the agent of record.

 
Requirements for use of credit information in connection with personal lines policies - effective October 1, 2003.

215 ILCS 157/

Company Bulletin 2003-03

215 ILCS 157/22

Public Act 93-0114 regarding use of credit information for personal lines insurance became effective October 1, 2003.

Please see the specific Public Act for details. In addition, please refer to Company Bulletin 2003-03 for specific information and guidance.

215 ILCS 157/22 requires insurers to review/consider an exception to the risk score based upon extraordinary life events after receiving a written and signed notification from the applicant or insured explaining how the applicant or insured believes the extraordinary life event adversely impacts the applicant's or insured's insurance risk score. (Effective July 1, 2006)

 

Minimum Retained Premium

     
Minimum earned premium provisions are prohibited. 215 ILCS 5/397

215 ILCS 5/143(2)

The Standard Fire Policy provides for pro rata return of premium if the insurer cancels the policy. Any forms that contain provisions to the contrary conflict with the Standard Fire Policy minimum language, and 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.  

Notice of Cancellation

     
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.

 
Number of days notice required for cancellation of policies and notice requirements. 215 ILCS 5/143.15 Insurers must mail cancellation notice to the named insured and to the mortgagee or lien holder, if known, at the last known mailing address, at least: 10 days prior to the effective date of cancellation for non-payment of premium; and at least 30 days prior to the effective date of cancellation for any other reason.

All notices shall include a specific explanation of the reason(s) for cancellation.

 
Insurer must advise insured of eligibility for the Illinois FAIR Plan Association. 215 ILCS 5/143.22 When a policy is cancelled, other than for nonpayment of premium or evidence of incendiarism, and if the location of the insured property is within the State of Illinois, insurers must notify named insureds of their eligibility for the FAIR Plan and explain the procedure to make application. Such notice must accompany or be included in the cancellation notice.  
Cancellation notice must advise insured of right to request a hearing. 215 ILCS 5/143.23 If an insurer cancels a policy mid-term, 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.  
Requirements for use of credit information in connection with personal lines policies - effective October 1, 2003.

215 ILCS 157/

Company Bulletin 2003-03

215 ILCS 157/22

Public Act 93-0114 regarding use of credit information for personal lines insurance became effective October 1, 2003.

Please see the specific Public Act for details. In addition, please refer to Company Bulletin 2003-03 for specific information and guidance.

215 ILCS 157/22 requires insurers to review/consider an exception to the risk score based upon extraordinary life events after receiving a written and signed notification from the applicant or insured explaining how the applicant or insured believes the extraordinary life event adversely impacts the applicant's or insured's insurance risk score. (Effective July 1, 2006)

 

Notice of Non-renewal

     
Requirements for nonrenewal of a policy. 215 ILCS 5/143.17 Insurers must mail nonrenewal notice to the named insured at least 30 days in advance of the effective date. Insurer shall maintain proof of mailing on a recognized U.S. Post office form or other commercial mail delivery service. The notice of nonrenewal and proof of mailing shall be effected on the same date.

An exact and unaltered copy shall also be sent to the insured’s broker, if known, or the agent of record, and to the mortgagee or lien holder at the last mailing address known by the insurer.

All notices shall provide a specific explanation of the reason(s) for nonrenewal.

 
Insurer must advise insured of eligibility for the Illinois FAIR Plan Association. 215 ILCS 5/143.22 When a policy is nonrenewed, other than for evidence of incendiarism, and if the location of the insured property is within the State of Illinois, insurers must notify named insureds of their eligibility for the FAIR Plan and explain the procedure to make application. Such notice must accompany or be included in the cancellation notice.  
Nonrenewal notice must advise insured of right to request a hearing. 215 ILCS 5/143.23 If an insurer nonrenews a policy, the nonrenewal 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.  
Requirements for use of credit information in connection with personal lines policies - effective October 1, 2003.

215 ILCS 157/

Company Bulletin 2003-03

215 ILCS 157/22

Public Act 93-0114 regarding use of credit information for personal lines insurance became effective October 1, 2003.

Please see the specific Public Act for details. In addition, please refer to Company Bulletin 2003-03 for specific information and guidance.

215 ILCS 157/22 requires insurers to review/consider an exception to the risk score based upon extraordinary life events after receiving a written and signed notification from the applicant or insured explaining how the applicant or insured believes the extraordinary life event adversely impacts the applicant's or insured's insurance risk score. (Effective July 1, 2006)

 

Permissible Reasons for Cancellation

     
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.  
Permissible reasons for cancellation after policy has been effective for 60 days or is a renewal policy. 215 ILCS 5/143.21 After a policy has been in effect for 60 days, or if a policy is a renewal policy, insurers may only cancel for one or more of the following reasons: a) nonpayment of premium; b) if a policy was obtained by misrepresentation or fraud; or c) for any act which measurably increases the risk originally accepted.
Payment of claim is not grounds for cancellation. 215 ILCS 5/143.21b Insurers may not cancel a policy when the sole basis for such cancellation is the payment by the insurance company of a claim or claims against such policy.  
May not cancel certain policies solely due to hate crimes. 215 ILCS 5/143.24c

Title 26 U.S.C. Sections 170(b)(1)(A)(i), (ii), and (vi).

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.

 
Named insured must be given reasonable time to repair defects. 215 ILCS 5/143.27 Insurers may not cancel property which is capable of being rehabilitated, without allowing a reasonable period of time (not to exceed 90 days) in which to repair defects in the insured property.  
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.  
May not cancel solely because of licensed day care homes or group day cares. 215 ILCS 5/155.31 Insurers may not cancel an insurance policy on a day care home or group day care home solely on the basis that an insured operates a duly licensed day care home or group day care home on the insured premises.  
Requirements for use of credit information in connection with personal lines policies - effective October 1, 2003.

215 ILCS 157/

Company Bulletin 2003-03

215 ILCS 157/22

Public Act 93-0114 regarding use of credit information for personal lines insurance became effective October 1, 2003.

Please see the specific Public Act for details. In addition, please refer to Company Bulletin 2003-03 for specific information and guidance.

215 ILCS 157/22 requires insurers to review/consider an exception to the risk score based upon extraordinary life events after receiving a written and signed notification from the applicant or insured explaining how the applicant or insured believes the extraordinary life event adversely impacts the applicant's or insured's insurance risk score. (Effective July 1, 2006)

 

Permissible Reasons for Non-renewal

     
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.  
May not refuse to renew a policy because of space heaters. 215 ILCS 5/143.10c Insurers may not refuse to renew a policy solely because a space heater is being used inside the dwelling.  
Requirements for nonrenewal of a policy that has been effective for over 5 years. 215 ILCS 5/143.21.1 After a policy has been effective for over 5 years, insurers may nonrenew the policy only if : a) the policy was obtained by misrepresentation or fraud; b) the risk originally accepted has measurably increased; or c) the insured was given 60 days notice of nonrenewal.  
Prohibited reasons for nonrenewal. 215ILCS 5/143.21a Insurers may not nonrenew a policy for any of the following reasons: a) age of property, b) location of property, c) age, sex, race, color, ancestry, marital status or occupation of occupants.  
May not refuse to renew certain policies solely due to hate crimes. 215 ILCS 5/143.24c

Title 26 U.S.C. Sections 170(b)(1)(A)(i), (ii), and (vi).

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.

 
Named insured must be given reasonable time to repair defects. 215 ILCS 5/143.27 Insurers may not nonrenew property which is capable of being rehabilitated, without allowing a reasonable period of time (not to exceed 90 days) in which to repair defects in the insured property.  
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.  
May not nonrenew solely because of licensed day care homes or group day cares. 215 ILCS 5/155.31 Insurers may not nonrenew an insurance policy on a day care home or group day care home solely on the basis that an insured operates a duly licensed day care home or group day care home on the insured premises.  
Requirements for use of credit information in connection with personal lines policies - effective October 1, 2003.

215 ILCS 157/

Company Bulletin 2003-03

215 ILCS 157/22

Public Act 93-0114 regarding use of credit information for personal lines insurance became effective October 1, 2003.

Please see the specific Public Act for details. In addition, please refer to Company Bulletin 2003-03 for specific information and guidance.

215 ILCS 157/22 requires insurers to review/consider an exception to the risk score based upon extraordinary life events after receiving a written and signed notification from the applicant or insured explaining how the applicant or insured believes the extraordinary life event adversely impacts the applicant's or insured's insurance risk score. (Effective July 1, 2006)

 

CONSUMER INFORMATION

     
Earthquake coverage – notice of availability. 215 ILCS 5/143.21c

215 ILCS 5/143.13(b)

In response to all applications for fire and extended coverage insurance as defined in Section 143.13(b), for any property located in the New Madrid Seismic Zone susceptible to Modified Mercalli Intensity VII or greater damage, insurers shall provide information to the applicant regarding availability of earthquake insurance.  
Insurer must advise insured of eligibility for the Illinois FAIR Plan Association. 215 ILCS 5/143.22 When a policy is cancelled, other than for nonpayment of premium or evidence of incendiarism, or nonrenewed, and if the location of the insured property is within the State of Illinois, insurers must notify named insureds of their eligibility for the FAIR Plan and explain the procedure to make application. Such notice must accompany or be included in the cancellation or nonrenewal notice.  
Cancellation or nonrenewal notice must advise insured of right to request a hearing. 215 ILCS 5/143.23 If an insurer cancels a policy mid-term, for any reason except non-payment of premium, or nonrenews a policy, the cancellation or nonrenewal 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 Department and Department of Insurance Public Service Department. 215 ILCS 5/143c

50 IL Adm. Code 931

No policy may be delivered unless the policyholder or certificate holder is provided written notice of the address of the complaint Department of the insurance company, and the address of the Public Service Department of the Department 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 Department of Insurance should be: Illinois Department of Insurance, Consumer Department 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.”

 
Credit Scoring Notice      
Requirements for use of credit information in connection with personal lines policies - effective October 1, 2003.

215 ILCS 157/

Company Bulletin 2003-03

215 ILCS 157/22

Public Act 93-0114 regarding use of credit information for personal lines insurance became effective October 1, 2003.

Please see the specific Public Act for details. In addition, please refer to Company Bulletin 2003-03 for specific information and guidance.

215 ILCS 157/22 requires insurers to review/consider an exception to the risk score based upon extraordinary life events after receiving a written and signed notification from the applicant or insured explaining how the applicant or insured believes the extraordinary life event adversely impacts the applicant's or insured's insurance risk score. (Effective July 1, 2006)

 

CONTENT OF POLICIES

     
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.  
Other language provision. 215 ILCS 5/155.32

215 ILCS 5/143.13(b)

Insurers may provide insurance policies, endorsements, riders, and any explanatory or advertising material in a language other than English. In the event of a dispute or complaint, the English language version shall control the resolution.

Applies to policies of fire and extended coverage as defined in Section 143.13(b).

 
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.

 

DEFENSE WITHIN LIMITS

     
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.  

DEFINITIONS

     
Definition of “policy of fire and extended coverage insurance.” 215 ILCS 5/143.13(b) Definition of “policy of fire and extended coverage insurance” – means a policy that includes but is not limited to, the perils of fire and extended coverage, and covers real property used principally for residential purposes up to and including a 4 family dwelling or any household or personal property that is usual or incidental to the occupancy to any premises used for residential purposes.  
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.”  
Definitions included in requirements for use of credit information in connection with personal lines policies - effective October 1, 2003.

215 ILCS 157/

Company Bulletin 2003-03

215 ILCS 157/22

Public Act 93-0114 regarding use of credit information for personal lines insurance became effective October 1, 2003.

Please see the specific Public Act for details. In addition, please refer to Company Bulletin 2003-03 for specific information and guidance.

215 ILCS 157/22 requires insurers to review/consider an exception to the risk score based upon extraordinary life events after receiving a written and signed notification from the applicant or insured explaining how the applicant or insured believes the extraordinary life event adversely impacts the applicant's or insured's insurance risk score. (Effective July 1, 2006)

 

DISCRIMINATION

     
May not cancel certain policies, or refuse to issue or renew certain policies solely due to hate crimes. 215 ILCS 5/143.24c

Title 26 U.S.C. Sections 170(b)(1)(A)(i), (ii), and (vi).

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.

 
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 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, 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.  
Requirements for use of credit information in connection with personal lines policies - effective October 1, 2003.

215 ILCS 157/

Company Bulletin 2003-03

215 ILCS 157/22

Public Act 93-0114 regarding use of credit information for personal lines insurance became effective October 1, 2003.

Please see the specific Public Act for details. In addition, please refer to Company Bulletin 2003-03 for specific information and guidance.

215 ILCS 157/22 requires insurers to review/consider an exception to the risk score based upon extraordinary life events after receiving a written and signed notification from the applicant or insured explaining how the applicant or insured believes the extraordinary life event adversely impacts the applicant's or insured's insurance risk score. (Effective July 1, 2006)

 
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.  
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.  

Domestic Abuse

     
Rating, claims handling, and underwriting 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, 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.  

EXCLUSIONS & LIMITATIONS

     
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 coverages, 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.  
Certain restrictive endorsements must be signed and dated by insured. 215 ILCS 5/143(2) Animal bite exclusions, roof exclusions, shed exclusions, and trampoline exclusions will be acceptable for filing only if they contain a provision for the insured to sign and date the endorsement, indicating acknowledgement and acceptance that there is no coverage 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.  
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.  
Electromagnetic exclusions are prohibited. 215 ILCS 5/143(2) Electromagnetic exclusions are prohibited. 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.  
Host liquor liability exclusions are prohibited. 215 ILCS 5/143(2) Insurers may not exclude coverage for Host Liquor 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.  
Intoxicant or narcotic exclusions are prohibited unless specific language is included. 215 ILCS 5/143(2) Intoxicant or narcotic exclusions are prohibited unless they include the following: 1) a standard set forth with regard to what is considered an intoxicant or narcotic; 2) a standard set forth as to what levels of consumption defines intoxication; 3) a standard of proof set forth; and 4) language that distinguishes the intent or motivation. 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.  
Pollution exclusion requirements. 215 ILCS 5/143(2) Pollution exclusions may not apply to damage caused by heat, smoke or fumes from a hostile fire, and excluded items may not include ordinary products found in the household, which are used for the cleaning and maintenance of the premises. 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.  
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.  
Vandalism and Malicious Mischief provisions must conform to the Standard Fire Policy. 215 ILCS 5/397

50 IL Adm. Code 2301

215 ILCS 5/143(2)

David and Kathryn Lundquist v. Allstate Insurance Company

Vandalism and Malicious Mischief exclusions should reflect the provision found in the Standard Fire Policy regarding vacant or unoccupied buildings. Specifically, ensuing loss to a described building, as a result of fire, that is vacant or unoccupied must be covered until the building is vacant or unoccupied for 60 consecutive days. Any forms that contain provisions to the contrary conflict with the Standard Fire Policy minimum language, and 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.  

Mold

     
Filing procedures and requirements for exclusions and limitations related to mold. Company Bulletin 2002-07

 

Please refer to Company Bulletin 2002-7 for specific information and guidance.  

Terrorism

     
Personal Lines Terrorism Exclusions and Limitations are not allowed in Illinois except on a case-by-case basis. Department adoption of NAIC position on personal lines terrorism exclusions and limitations. The Department has adopted the NAIC position regarding personal lines terrorism exclusions.

The Department will not accept terrorism exclusions or limitations on personal lines forms unless the company proves the possibility of hazardous financial solvency concerns if the Department does not allow such exclusions or limitations.

 

GROUP POLICIES

     
Group personal property and dwelling fire policies are not specifically allowed by statute. 50 IL Adm. Code 906

215 ILCS 5/388

215 ILCS 5/393a

215 ILCS 5/400.1

IL Adm. Code 2302

215 ILCS 5/900-906

Per Regulation 906, there are no enabling statutes in IL which authorize the writing of group fire, casualty, inland marine, or surety insurance. The effect is to require that all fire, casualty, inland marine, or surety insureds of the same class shall be treated alike. This regulation is not applicable where the Illinois Insurance Code specifically authorizes the grouping of risks.

Therefore, personal property and dwelling fire insurance coverage may not be written on a group basis in Illinois. Per the referenced statutes and rules, the only lines of business that may be written on a group basis in Illinois are: a) group vehicle; b) group professional liability; c) group inland marine; d) group legal.

 

LOSS SETTLEMENTS

     

Action Against Company

     
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.  
Insured must commence suit or action against the company within 12 months after inception of the loss. 215 ILCS 5/397

215 ILCS 5/143(2)

Per the Standard Fire Policy, no suit or action for the recovery of any claim shall be sustainable in any court of law or equity unless the all the requirements of the policy have been complied with, and unless commenced within 12 months after inception of the loss. Any forms that contain provisions that provide less than 12 months conflict with the Standard Fire Policy minimum language, and 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.  

Appraisal

     
Requirements for appraisal provisions. 215 ILCS 5/397

50 IL Adm. Code 753

215 ILCS 5/397.05

215 ILCS 5/143(2)

215 ILCS 5/143.13(b)

Policy must contain an appraisal provision to conform to the Standard Fire Policy. Any forms that contain provisions to the contrary conflict with the Standard Fire Policy minimum language, and 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.

When an insured requests an appraisal under a policy of fire and extended coverage insurance as defined in Section 143.13(b), and the insured’s full amount of appraised loss is upheld by agreement of the appraisers or the umpire, then the insured’s appraisal fee and umpire’s appraisal fee must be paid by the insurer.

 

Arbitration

     
Requirements for arbitration provisions. 215 ILCS 5/397

50 IL Adm. Code 2301

710 ILCS 5/1

215 ILCS 5/143(2)

Any controversy or claim arising out of or relating to the contract, or the breach thereof, may be settled within a reasonable time limit by arbitration administered by the American Arbitration Association in accordance with the Uniform Arbitration Act 710 ILCS 5/1.

The arbitration may be binding on both parties, or non-binding upon the insured, but in all instances must be entered into on a voluntary basis, as the insured must have the option of filing a lawsuit per Lines 157-161 of the Standard Fire Policy. Any forms that contain provisions to the contrary conflict with the Standard Fire Policy minimum language, and 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.

 

Defense Costs

     
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.  

Payment of Loss Time Period

     
If a form states when a claim will be paid, the language must conform to this Rule. 50 IL Adm. Code 919.50 If the form contains a provision stating when a claim shall be paid, the provision must comply with this Rule that states that the company 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 company shall tender payment within said 30 days.  
MINIMUM STANDARDS FOR CONTENT (POLICIES AND STANDARD FORMS)      
Coverage must conform to Standard Fire Policy. 215 ILCS 5/397

215 ILCS 5/397.05

50 IL Adm. Code 2301

Standard Fire Policy Form

All policies or contracts covering fire and lightning issued or delivered by an insurer subject to the provisions of the Illinois Insurance Code, or by any agent or representative thereof on any property in this State must conform to the Standard Fire Policy, and no provision shall be more restrictive than those contained in the Standard Fire Policy.  

NOTICE REQUIREMENTS 

     
Earthquake coverage – notice of availability. 215 ILCS 5/143.21c

215 ILCS 5/143.13(b)

In response to all applications for fire and extended coverage insurance as defined in Section 143.13(b), for any property located in the New Madrid Seismic Zone susceptible to Modified Mercalli Intensity VII or greater damage, insurers shall provide information to the applicant regarding availability of earthquake insurance.  
Insurer must advise insured of eligibility for the Illinois FAIR Plan Association. 215 ILCS 5/143.22 When a policy is cancelled, other than for nonpayment of premium or evidence of incendiarism, or nonrenewed, and if the location of the insured property is within the State of Illinois, insurers must notify named insureds of their eligibility for the FAIR Plan and explain the procedure to make application. Such notice must accompany or be included in the cancellation or nonrenewal notice.  
Cancellation or nonrenewal notice must advise insured of right to request a hearing. 215 ILCS 5/143.23 If an insurer cancels a policy mid-term, for any reason except non-payment of premium, or nonrenews a policy, the cancellation or nonrenewal 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 Department and Department of Insurance Public Service Department. 215 ILCS 5/143c

50 IL Adm. Code 931

No policy may be delivered unless the policyholder or certificate holder is provided written notice of the address of the complaint Department of the insurance company, and the address of the Public Service Department of the Department 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 Department of Insurance should be: Illinois Department of Insurance, Consumer Department 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.”

 
Requirements for use of credit information in connection with personal lines policies - effective October 1, 2003.

215 ILCS 157/

Company Bulletin 2003-03

215 ILCS 157/22

Public Act 93-0114 regarding use of credit information for personal lines insurance became effective October 1, 2003.

Please see the specific Public Act for details. In addition, please refer to Company Bulletin 2003-03 for specific information and guidance.

215 ILCS 157/22 requires insurers to review/consider an exception to the risk score based upon extraordinary life events after receiving a written and signed notification from the applicant or insured explaining how the applicant or insured believes the extraordinary life event adversely impacts the applicant's or insured's insurance risk score. (Effective July 1, 2006)

 

OTHER INSURANCE

     
Requirements for “Other Insurance” provisions. 215 ILCS 5/397

215 ILCS 5/143(2)

“Other Insurance” provisions must state that coverage under the policy will share proportionately with other similar coverages the insured may have. Any forms that contain provisions to the contrary conflict with the Standard Fire Policy minimum language, and 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.  

PREMIUM REFUND

     
Minimum earned premium provisions are prohibited. 215 ILCS 5/397

215 ILCS 5/143(2)

The Standard Fire Policy provides for pro rata return of premium if the insurer cancels the policy. Any forms that contain provisions to the contrary conflict with the Standard Fire Policy minimum language, and 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.  

PUNITIVE DAMAGES

     
Punitive damages.

95 IL. App. 34 3d 1122

215 ILCS 5/143(2)

An insurer may not reimburse an insured for punitive damages assessed as a result of the insured's own misconduct. If a 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.

 
Other language provision. 215 ILCS 5/155.32

215 ILCS 5/143.13(b)

Insurers may provide insurance policies, endorsements, riders, and any explanatory or advertising material in a language other than English. In the event of a dispute or complaint, the English language version shall control the resolution.

Applies to policies of fire and extended coverage as defined in Section 143.13(b).

 

REBATES

     
Payments or acceptance of rebates prohibited.

Rebates – penalties

215 ILCS 5/151

215 ILCS 5/152

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.

 

STANDARD FIRE POLICY

     
Coverage must conform to Standard Fire Policy. 215 ILCS 5/397

215 ILCS 5/397.05

50 IL Adm. Code 2301

Standard Fire Policy Form

All policies or contracts covering fire and lightning issued or delivered by an insurer subject to the provisions of the Illinois Insurance Code, or by any agent or representative thereof on any property in this State must conform to the Standard Fire Policy, and no provision shall be more restrictive than those contained in the Standard Fire Policy.  
VALUED POLICIES      
Valued policies are not allowed in Illinois. 215 ILCS 5/397 Valued policies are not allowed in Illinois. The minimum contents requirement is the Standard Fire Policy, which requires, at minimum, Actual Cash Value coverage.  

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.  

VOIDANCE

     
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 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.

No personal lines policy may be rescinded after the policy has been in effect for one year, or one policy period, whichever is less.

 

OTHER

     
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 may not 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.  
Mine subsidence coverage must be automatically included on policies in 34 Illinois counties. In all other counties, insurers must provide mine subsidence coverage if the insured requests it. 215 ILCS 5/805.1

215 ILCS 5/807.1

List of 34 counties

In the 34 Illinois counties that have been determined to have a significant mine subsidence exposure, every policy issued or renewed insuring a residential or commercial building on a direct basis shall include, at a separately stated premium, commercial mine subsidence coverage unless waived in writing by the insured.

In all other Illinois counties, insurers must provide mine subsidence insurance coverage if the insured requests it.

 

RATE, RULE, RATING PLAN, CLASSIFICATION, AND TERRITORY FILING REQUIREMENTS

     
Dwelling Fire rates and rules are required to be filed in Illinois.

Form RF-3 is required to be filed for all rate level changes for all personal property lines, regardless of whether the actual rates and rules are filed.

“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.

Insurers may authorize attorneys, consulting firms, etc. to submit rate filings to the Department, as long as the filing includes proper authorization.

50 IL Adm. Code 754

Form RF-3 Summary Sheet

Rate and rule filings are use and file. Such rate and rule filings must be received by the Department 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.

Insurer must maintain documentary data for rate changes in its files so that it will be available for review by the Department’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 Department’s Property & Casualty Evaluation Section.

Form RF-3 must be received by the Department no later than 10 days after the effective date of such rate level change.

Insurers are prohibited from continuing to use the new rate or rule, or rate level if the rate/rule and Form RF-3 have not been received by the Department within 10 days after the effective dates of use.

NOTE: Advisory organizations no longer file rates and rules in Illinois. Therefore, each company must file its own rates and rules.

Insurers may authorize attorneys, consulting firms, etc. to submit rate filings to the Department, 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.

 

INDIVIDUAL RISK RATING

     
Rates and RF3s are not required to be filed for individual risks. However, insurers must maintain documentary information for review by the Department. 50 IL Adm. Code 754 A company is 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.

Company must maintain documentary information regarding such individual risk rates for review by the Department’s Property & Casualty Evaluation Section.

A company is 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 Department’s Property & Casualty Evaluation Section.

 
CREDIT SCORING AND REPORTS      
Requirements for use of credit information in connection with personal lines policies - effective October 1, 2003.

215 ILCS 157/

Company Bulletin 2003-03

215 ILCS 157/22

Public Act 93-0114 regarding use of credit information for personal lines insurance became effective October 1, 2003.

Please see the specific Public Act for details. In addition, please refer to Company Bulletin 2003-03 for specific information and guidance.

215 ILCS 157/22 requires insurers to review/consider an exception to the risk score based upon extraordinary life events after receiving a written and signed notification from the applicant or insured explaining how the applicant or insured believes the extraordinary life event adversely impacts the applicant's or insured's insurance risk score. (Effective July 1, 2006)

 
OTHER      
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.  
Rating requirements for child placed in the household by the IL Dept of Children & Family Services or private welfare agency. 215 ILCS 5/155.30 For purposes of determining premium rates for personal multi-peril property insurance policies covering real property used principally for residential purposes or any household or personal property that is usual or incidental to the occupancy of any premises used for residential purposes, an insurer shall not treat a child placed in the household by the IL Dept of Children and Family Services or a private child welfare agency differently from a natural or adopted child of the policy owner. Insurers shall not consider a policy owner’s acceptance of the placement of a foster child in his/her household as a use of the family dwelling for a business purpose.  
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.  
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.