California Fair Claims Practices for Automobile Total Loss Disputes

The appraisal, adjustment and settlement of automobile insurance claims involving total losses in California requires adherence to strict standards. Evaluating total loss claims involves research into comparable vehicles as well as the utilization of valid comparable automobile values from accepted computerized valuation services. A comparable automobile is one of like kind and quality, made by the same manufacturer, of the same or newer model year, of the same model type, of a similar body type, with options and mileage similar to the insured vehicle. Newer model year automobiles may not be used as comparable automobiles unless there are not sufficient comparable automobiles of the same model year to make a determination. In determining the cost of a comparable automobile, the appraiser may use either the asking price or actual sale price of that automobile. Any differences between the comparable automobile and the insured vehicle shall be permitted if the appraiser fairly adjusts for such differences. A comparable automobile must have been available for retail purchase by the general public in the local market area within ninety calendar days of the final settlement offer. When comparable automobiles are not available or were not available in the local market area in the last 90 days, an appraiser may use the average of two or more quotations from two or more licensed dealers in the local market area. if it is not possible to determine the cost of a comparable automobile by using one of the methods described, the cost of a comparable automobile shall otherwise be supported by documentation and fully explained by the appraiser.

Total Loss Dispute in CaliforniaCar owners should be aware of California’s protections against Unfair Claims Practices by insurance companies. Attempting to settle a claim for less than the amount to which you are entitled by reference to written or printed advertising material accompanying or made part of an application,failing to settle claims promptly, failing to provide promptly a reasonable explanation of the basis relied on in the insurance policy, in relation to the facts or applicable law, for the denial of a claim or for the offer of a compromise settlement. No insurer shall persist in seeking information not reasonably required for or material to the resolution of a claim dispute. No insurer shall attempt to settle a claim by making a settlement offer that is unreasonably low. The Commissioner shall consider any admissible evidence offered  in determining whether or not a settlement offer is unreasonably low.

California Department of Insurance
320 Capitol Mall, Sacramento, CA 95814
800-967-9331
https://www.insurance.ca.gov/01-consumers/101-help/

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