11 NCAC 04 .0418 TOTAL LOSSES ON MOTOR VEHICLES
The commissioner shall consider as prima facie violative of G.S.
58-63-15(11) the failure by an insurer to adhere to
the following procedures concerning settlement of covered "total
loss" motor vehicle claims when such failure is so
frequent as to indicate a general business practice:
(1) If the insurer and the claimant are initially unable to reach
an agreement as to the value of the vehicle,
the insurer shall base any further settlement offer not only on published
regional average values of
similar vehicles, but also on the value of the vehicle in the local
market. Local market value shall be
determined by using either the local market price of a comparable
vehicle or, if no comparable
vehicle can be found, quotations from at least two qualified dealers
within the local market area.
Additionally, if the claimant represents that the vehicle actually
owned by him was in better than
average condition, the insurer shall give due consideration to the
condition of the claimant's vehicle
prior to the accident.
(2) Where the insurer has the right to elect to replace the vehicle
and does so elect, the replacement
vehicle shall be available without delay, similar to the lost vehicle,
and paid for by the insurer, subject
only to the deductible and to the value of any enhancements acceptable
to the insured.
(3) If the insurer makes a deduction for the salvage value of a "total
loss" vehicle retained by the
claimant, the insurer, if so requested by the claimant, shall furnish
the claimant with the name and
address of a salvage dealer who will purchase the salvage for the
amount deducted.
(4) If a written statement is requested by the claimant, a total
loss payment by an insurer shall be
accompanied by a written statement listing the estimates, evaluations
and deductions used in
calculating the payment, if any, and the source of these values.
(5) When a motor vehicle is damaged in an amount which, inclusive of
original and supplemental c l a i m s ,
equals or exceeds 75 percent of the preaccident actual cash value,
as such value is determined in
accordance with this Rule, an insurance carrier shall "total loss" the
automobile by paying the
claimant the preaccident value, and in return, receiving possession
of the legal title of the salvage of
said automobile. At the election of the claimant, or in those circumstances
where the insurance
carrier will be unable to obtain an unencumbered title to the damaged
vehicle then the insurance
carrier shall have the right to deduct the value of the salvage of
the total loss from the actual value of
the vehicle and leave such salvage with the claimant subject to the
insurance carrier abiding by
Subparagraphs (3) and (6) of this Rule. No insurer, adjuster, appraiser,
agent, or any other person
shall enter into any oral or written agreement(s), by and between themselves,
to limit any original or
supplemental claim(s) so as to artificially keep the repair cost of
a damaged vehicle below 75% of its
preaccident value, if in fact such original and any supplemental claim(s)
exceed or would exceed
75% of the vehicle's preaccident value.
(6) The insurer shall be responsible for all reasonable towing and
storage charges until three days after
the owner and storage facility are notified in writing that the insurer
will no longer reimburse the
owner or storage facility for storage charges. Notification to the
owner shall include the name,
address, and telephone number of the facility where the vehicle is
being stored. Notification to the
storage facility shall include the name, address, and, if available,
telephone number of the owner. No
insurer shall abandon the salvage of a motor vehicle to a towing or
storage service without the
consent of the service involved. In instances where the towing and
storage charges are paid to the
owner, the check or draft for the amount of such service shall be payable
jointly to the owner and
the towing or storage service.
History Note: Authority G.S. 58-2-40; 58-63-65;
Eff. December 15, 1979;
Amended Eff. April 1, 1993; April 1, 1989; July 1, 1986.
|