IN Bulletin 272
Public Adjuster Contracts
Indiana Department of lnsurance
December 6, 2023
Bulletin 272
PUBLIC ADJUSTER CONTRACTS
This bulletin is directed towards all public adjusters holding a certificate of authority to
act as a public adjuster in the state of Indiana pursuant to IC 27-1-27. The purpose of this bulletin
is to clarify the new contract form review and approval process under Public Law 226-2023
(HEA 1329).
The Indiana General Assembly passed Pub. L. 226-2023 during the 2023 Legislative
Session. Effective July 1, 2023, a contract between a public adjuster and an insured (1) must be
in writing; and (2) must be prepared on a form filed with and approved by the insurance
commissioner; and (3) must be executed in duplicate pursuant to IC 27-1-27-13(b). Additional
requirements regarding disclosures and contract provisions are described in IC 27-1-27.
In order to comply with these new requirements, public adjusters are required to file all
contract forms with the Department for review and approval prior to use. Public adjusters must
submit the below completed checklist along with a contract form. When completing the
checklist, the public adjuster is expected to address each checklist item and provide the specific
location(s) in the document addressing the requirement. Any public adjuster using a contract
form not filed with and approved by the Department will be in violation of IC 27-1-27-13.
New contracts in effect as of July 1, 2023 and before issuance date of Bulletin 272
New public adjuster contract forms in use as of July 1, 2023 and before the issuance date
of Bulletin 272 are required to be filed with and approved by the Department by January 30,
2024. The Department shall have thirty (30) days from the date the contract form was received to
review and approve these contracts. Contracts already in effect prior to July 1, 2023, are not
subject to review and approval by the Department.
Contracts in effect after issuance date of Bulletin 272
Public adjuster contract forms to be used after the issuance date of this bulletin are
required to be filed with and approved by the Department prior to use. The Department shall
have thirty (30) days to review and approve these contract forms.
Please submit public adjuster contract forms and checklists for Department review to
PublicAdjusterContracts@idoi.in.gov.
Questions regarding this bulletin should be directed to compliance@idoi.in.gov.
INDIANA DEPARTMENT OF INSURANCE
Amy L. Beard
Insurance Commissioner
Indiana Department of Insurance
Public Adjuster Contract Checklist
This checklist must be submitted along with any Public Adjuster contracts.
Please attach this completed checklist as a PDF to your contract submission.
Public Adjuster _________________________ License Number ___________________
Insured ________________________________
Filing Date _______________________
Instructions:
This document is intended to provide a checklist for public adjuster contracts required to be filed
with and approved by the Indiana Department of Insurance under IC 27-1-27-13. The checklist
contains specific requirements or provisions to be included in the contract. When providing the
completed checklist, the public adjuster is expected to address each checklist line item in the
column labeled “Response” and provide the specific location(s) in the document which address
the requirement.
All checklist line items require a response. Failure to provide a fully completed checklist may
result in a delay of regulatory approval.
Statute
Requirement
Response
FOR IDOI USE
ONLY
Yes/No/Comments
A. Required
Provisions
IC 27-1-27
16(a)(1)
The legible full name of the public
adjuster entering into the contract,
as specified in the records of the
department.
IC 27-1-27
16(a)(2)
The permanent home state business
address, electronic mail address,
and phone number of the public
adjuster.
IC 27-1-27
16(a)(3)
The number of the certificate of
authority issued to the public
adjuster.
IC 27-1-27
16(a)(4)
The title “Public Adjuster
Contract” printed prominently at
the top of the first page of the
contract.
IC 27-1-27
16(a)(5)(A)
The full name and street address of
the insured.
1
IC 27-1-27
The name of the insurance
16(a)(5)(B)
company by which the insured is
covered and the policy number of
the policy under which the insured
is covered, if known.
IC 27-1-27
16(a)(6)
A description of the loss and the
location of the loss, if applicable.
IC 27-1-27
16(a)(7)
A description of services to be
provided by the public adjuster to
the insured under the contract.
IC 27-1-27
16(a)(8)(A)
The signature of the public adjuster
or the public adjuster’s
representative.
IC 27-1-27
16(a)(8)(B)
The signature of the insured.
IC 27-1-27
The date and time when the
16(a)(9)
contract was signed by the public
adjuster and the date and time
when the contract was signed by
the insured.
IC 27-1-27
16(a)(10)
Attestation language stating that
the public adjuster is fully bonded
under Indiana law.
IC 27-1-27
A statement of the full salary, fee,
16(a)(11)
commission, or other consideration
the public adjuster is to receive for
services to be provided under the
contract.
IC 27-1-27-16(c)
The exact percentage of the total
amount paid by the insurer that is
the public adjuster’s share, if the
public adjuster’s compensation
under the contract is to be based on
a share of the total amount paid by
the insurer to resolve the claim
IC 27-1-27
The public adjuster’s expenses that
16(d)(1)
are to be reimbursed, setting forth
each type of expense to be
reimbursed and dollar estimates of
the amount to be reimbursed, if the
public adjuster’s expenses are to be
reimbursed from proceeds of the
claim payment
IC 27-1-27
16(d)(2)
A statement the public adjuster will
not be reimbursed for any expenses
other than those specified in
2
subdivision (1) unless those
expenses are first approved by the
insured
By signing below, I am certifying that the public adjuster contract submitted with this
checklist meets all of the applicable requirements of Indiana law. I understand and
acknowledge that the Indiana Department of Insurance is relying on this certification in
making its determination whether to approve this public adjuster contract. If any provision
of this public adjuster contract is not in compliance with Indiana law, the Indiana
Department of Insurance may take regulatory action.
Signature _____________________________
Printed Name __________________________
License Number ________________________
Date __________________________________
3
SIGN