50 Ill. Adm. Code 919.EXHIBIT
A Total Loss Automobile Claims
Section 919
Section 919.EXHIBIT A Total
Loss Automobile Claims
1) Total Loss Claims
When you are
involved in an automobile accident, one of the first things you may have to do
is file a claim for damages to your vehicle. If your car is a total loss, this
procedure can sometimes be confusing.
Your automobile
insurance policy requires both you and your insurance company to follow certain
steps after a loss occurs. This publication summarizes those requirements and
outlines your rights.
The Illinois
Department of Insurance has established regulations to protect you when you
file an insurance claim. It is also important that you read your policy
carefully so that you clearly understand your responsibilities.
If you still
have questions, you can contact our Consumer Services Section by phone at (866)
445-5364 or at one of the following locations:
320 West
Washington Street
Springfield,
Illinois 62767
OR
115 S. LaSalle Street, 13
th
Floor
Chicago, Illinois 60603
2) Your Duties
1. You must immediately report all losses directly to your
insurance producer or company.
2. If you suspect theft or vandalism, you must also report it
immediately to the police. If you fail to do so, your company may deny your
claim.
3. You must protect your automobile from further damage. For
example, if you fail to cover a broken windshield and the upholstery is damaged
by rain, your company can refuse to repair the seat.
4. Most insurance policies require that, within 91 days after the
loss, you must submit a sworn proof of loss. A sworn proof of loss usually
states the date of loss, how it happened, and for what purpose the automobile
was being used. If you fail to submit a proof of loss your company may deny
your claim.
5. You must cooperate with the insurance company, submit to
examination under oath, if so requested, and show them the damaged property.
If you fail to cooperate your company may deny your claim.
6. You should review the Conditions section of your policy for
other possible requirements.
3) Your Insurance Company's Duties
When you file
an automobile insurance claim, your insurance company has three options:
1) Replace the damaged or stolen property;
2) Repair the damaged property; or
3) Pay for the loss in cash.
Insurance
Department regulations require the company to follow certain standards for each
option.
4) Replacement
If the
insurance company elects to replace your vehicle, the replacement must be a
specific make and model comparable to your totalled vehicle, and it must be
available in as good or better overall condition than your totalled vehicle.
Replacement
vehicles must be purchased through licensed dealers. Vehicles that are no more
than three years old must be warranted.
If you reject a
replacement vehicle, the insurance company must pay only the amount it would
have otherwise paid for the replacement vehicle including applicable taxes,
transfer and title fees. The company must offer you the replacement vehicle
and you must reject the offer.
If you desire a
replacement vehicle of similar value, this replacement method is also
permitted.
5) Cash Settlement
If the
insurance company elects to make a cash settlement for your totalled vehicle,
they must first determine its retail value. Companies normally use guide books
or computerized data marketed by various sources.
If your vehicle
is not listed in one of these sources, the company can use written dealer
quotes. Ordinarily, however, newspaper advertisements are not acceptable
sources of market value.
6) Payment of Sales Tax
If within 30
days of a cash settlement, you can prove that you have purchased another
vehicle, the company must pay the applicable sales tax, transfer and title fees
in an amount equivalent to the value of the total loss vehicle. If you
purchase a vehicle with a market value less than the amount previously settled
upon, the company must pay you only the amount of sales tax that you actually
incurred and include transfer and title fees.
Your insurance
company must give you written notice of this procedure.
7) Betterment Deductions
The insurance
company is allowed to make deductions from the retail value if your automobile
has old, unrepaired collision damages. There is no limit to the amount of the
deduction.
The insurance
company can also make deductions for wear and tear, missing parts and rust, but
the maximum deduction may not exceed $500.00.
All deductions
must be itemized and specified as to dollar amount.
8) Retaining Your Totalled Vehicle
In an effort to
minimize automobile "chop shop" crime, the Illinois Vehicle Code does
not permit you the right to retain the salvage once your automobile has been
deemed a total loss by your insurance company. The insurance company must take
possession of the vehicle, if the vehicle is eight model years or newer.
9) Right of Recourse
If you cannot
locate a replacement vehicle within 30 days of receiving a cash settlement, you
may have some additional rights under your insurance contract.
If you cannot
purchase a substantially similar vehicle for the market value determined by the
company, but you have located a substantially similar vehicle that costs more,
the following procedures shall apply.
1) The company shall either pay you the difference between the
original settlement and the amount of the substantially similar vehicle which
you have located or attempt to purchase this vehicle for you; or
2) The company shall locate a comparable vehicle for you at the
market value determined by the company at the time of settlement; or
3) The company shall conclude the loss settlement as provided
under the appraisal section of the insurance policy.
Your insurance
company must give you written notice of this procedure once your vehicle has
been determined a total loss.
This chart
should assist you in determining the retail value of your automobile.
Value
Make of Automobile
Model
Engine Size
Type Transmission (Auto/Standard)
Power Steering
Power Brakes
Power Windows
Air Conditioner
Vinyl Roof
Cruise Control
Tilt Wheel/Telescope Wheel
Power Locks
Power Seats
AM/FM Radio
Stereo/Tape
Rear Defog
Mileage: Low/High
Subtotal
Minus Deductible
Total
The above figure represents an
average automobile. Your automobile may be worth more or less than the above
figure because of options on the automobile which are not listed in a guide
book or because of the excessive wear and tear or old unrepaired damage to the
automobile.