Section § 12800

Explanation

This section explains several key terms related to motor vehicles and watercraft service contracts in California. A "motor vehicle" includes self-propelled devices like cars and RVs but excludes very heavy vehicles, those designed for many passengers, or those transporting hazardous materials. "Watercraft" refers to vessels and their transport trailers.

"Vehicle service contracts" are agreements where people pay for services related to the repair or maintenance of vehicles due to issues like material defects or normal wear and tear. These contracts may also include extra benefits like towing and rental car reimbursement, provided they're incidental to the main services. "Service contract administrator" handles money and claims for these contracts, but isn't the obligated party ("obligor").

A "purchaser" is anyone buying such a contract; a "seller" can be car dealers or watercraft sellers providing these as a side service. "Road hazards" are things that might damage a vehicle during normal use, like rocks or potholes.

The following definitions apply for purposes of this part:
(a)CA Insurance Code § 12800(a) “Motor vehicle” means a self-propelled device operated solely or primarily upon land and may include both self-propelled motor homes or recreational vehicles, non-self-propelled camping and recreational trailers, off-road vehicles, and trailers designed to transport off-road vehicles. However, “motor vehicle” shall not include a self-propelled vehicle, or a component part of such a vehicle, that has any of the following characteristics:
(1)CA Insurance Code § 12800(a)(1) Has a gross vehicle weight rating of 30,000 pounds or more, and is not a recreational vehicle as defined by Section 18010 of the Health and Safety Code.
(2)CA Insurance Code § 12800(a)(2) Is designed to transport more than 15 passengers, including the driver.
(3)CA Insurance Code § 12800(a)(3) Is used in the transportation of materials considered hazardous pursuant to the Hazardous Materials Transportation Act (49 U.S.C. Sec. 5101 et seq.), as amended.
(b)CA Insurance Code § 12800(b) “Watercraft” means a vessel, as defined in Section 21 of the Harbors and Navigation Code, and may include any non-self-propelled trailer used to transport such watercraft upon land.
(c)Copy CA Insurance Code § 12800(c)
(1)Copy CA Insurance Code § 12800(c)(1) “Vehicle service contract” means a contract or agreement for a separately stated consideration and for a specific duration to repair, replace, or maintain a motor vehicle or watercraft, or to indemnify for the repair, replacement, or maintenance of a motor vehicle or watercraft, necessitated by an operational or structural failure due to a defect in materials or workmanship, or due to normal wear and tear.
(2)Copy CA Insurance Code § 12800(c)(2)
(A)Copy CA Insurance Code § 12800(c)(2)(A) A vehicle service contract may also provide for the incidental payment of indemnity under limited circumstances only in the form of the following additional benefits: coverage for towing, substitute transportation, emergency road service, rental car reimbursement, reimbursement of deductible amounts under a manufacturer’s warranty, and reimbursement for travel, lodging, or meals.
(B)CA Insurance Code § 12800(c)(2)(A)(B) A provider seeking to offer a vehicle service contract, including any of the benefits described in subparagraph (A), shall, when filing a specimen of the contract in accordance with subdivision (a) of Section 12820, certify that the indemnity benefits provided are incidental. For purposes of subparagraph (A) and this certification, indemnity benefits are incidental if the cost to provide them based on historical data, or projected data if historical data is unavailable or insufficient, is substantially less than the cost of providing all the benefits described in paragraphs (1), (3), (4), and (5). The commissioner may request the historical or projected data at any time.
(3)CA Insurance Code § 12800(c)(3) “Vehicle service contract” also includes an agreement of a term of at least one year, for separately stated consideration, that promises routine maintenance.
(4)CA Insurance Code § 12800(c)(4) Notwithstanding Section 116, and paragraphs (1) and (2) of this subdivision, a vehicle service contract also includes one or more of the following:
(A)CA Insurance Code § 12800(c)(4)(A) An agreement that promises the repair or replacement of a tire or wheel necessitated by wear and tear, defect, or damage caused by a road hazard. However, an agreement that promises the repair or replacement of a tire necessitated by wear and tear, defect, or damage caused by a road hazard, in which the obligor is the tire manufacturer, is exempt from the requirements of this part. A warranty provided by a tire or wheel distributor or retailer is exempt from the requirements of this part as long as the warranty covers only defects in the material or workmanship of the tire or wheel.
(B)CA Insurance Code § 12800(c)(4)(B) An agreement that promises the repair or replacement of glass on a vehicle necessitated by wear and tear, defect, or damage caused by a road hazard. However, a warranty provided by a vehicle glass or glass sealant manufacturer is exempt from the requirements of this part. A warranty provided by a vehicle glass distributor or retailer is exempt from the requirements of this part as long as the warranty covers only defects in the material or workmanship of the vehicle glass.
(C)CA Insurance Code § 12800(c)(4)(C) An agreement that promises the removal of a dent, ding, or crease without affecting the existing paint finish using paintless dent repair techniques, and which expressly excludes the replacement of vehicle body panels, sanding, bonding, or painting.
(D)CA Insurance Code § 12800(c)(4)(D) An agreement that promises the replacement of a motor vehicle key or key fob in the event that the key or key fob becomes inoperable or is lost or stolen.
(5)CA Insurance Code § 12800(c)(5) “Vehicle service contract” also includes an agreement covering any of a vehicle’s mechanical components, provided with or without separate consideration, that promises to repair, replace, or maintain a motor vehicle or watercraft, or to indemnify for the repair, replacement, or maintenance of a motor vehicle or watercraft, conditioned upon the use of a specific brand or brands of lubricant, treatment, fluid, or additive.
(d)CA Insurance Code § 12800(d) “Service contract administrator” or “administrator” means any person, other than an obligor, who performs or arranges, directly or indirectly, the collection, maintenance, or disbursement of moneys to compensate any party for claims or repairs pursuant to a vehicle service contract, and who also performs or arranges, directly or indirectly, any of the following activities with respect to vehicle service contracts in which a seller located within this state is the obligor:
(1)CA Insurance Code § 12800(d)(1) Providing sellers with service contract forms.
(2)CA Insurance Code § 12800(d)(2) Participating in the adjustment of claims arising from service contracts.
(e)CA Insurance Code § 12800(e) “Purchaser” means any person who purchases a vehicle service contract from a seller.
(f)CA Insurance Code § 12800(f) “Seller” means either of the following:
(1)CA Insurance Code § 12800(f)(1) With respect to motor vehicles, a dealer or lessor-retailer licensed in one of those capacities by the Department of Motor Vehicles and who sells vehicle service contracts incidental to his or her business of selling or leasing motor vehicles.
(2)CA Insurance Code § 12800(f)(2) With respect to watercraft, a person who sells vehicle service contracts incidental to that person’s business of selling or leasing watercraft vehicles.
(g)CA Insurance Code § 12800(g) “Obligor” means the entity legally obligated under the terms of a service contract.
(h)CA Insurance Code § 12800(h) “Road hazard” means a hazard that is encountered while driving a motor vehicle and that may include, but is not limited to, potholes, rocks, debris, metal parts, glass, plastic, curbs, or composite scraps.

Section § 12805

Explanation

This law outlines specific types of agreements related to watercraft or motor vehicles that are not considered insurance policies. These include vehicle service contracts by manufacturers, distributors, or sellers that cover their own products, and agreements by repair facilities or part manufacturers for repairs or replacements. Employers offering mileage reimbursement or maintenance for personal vehicles used for business are also covered. Certain agreements follow special exemptions, meaning they don't have to adhere to all insurance rules but must still follow specific conditions.

(a)CA Insurance Code § 12805(a) Notwithstanding Sections 103 and 116, the following types of agreements covering watercraft or motor vehicles shall not constitute insurance:
(1)CA Insurance Code § 12805(a)(1) A vehicle service contract that does each of the following:
(A)CA Insurance Code § 12805(a)(1)(A) Names as the obligor a motor vehicle manufacturer or distributor licensed in that capacity by the Department of Motor Vehicles, or a watercraft manufacturer.
(B)CA Insurance Code § 12805(a)(1)(B) Covers only motor vehicles or watercraft manufactured, distributed, or sold by that obligor.
(2)CA Insurance Code § 12805(a)(2) A vehicle service contract in which the obligor is a seller, provided that the obligor complies with all provisions of this part except Section 12815.
(3)CA Insurance Code § 12805(a)(3) A vehicle service contract sold by a seller in which the obligor is a party other than the seller, provided that the obligor complies with all provisions of this part.
(4)CA Insurance Code § 12805(a)(4) An agreement in which the obligor is a motor vehicle or watercraft part manufacturer, distributor, or retailer, that covers no more than the following items:
(A)CA Insurance Code § 12805(a)(4)(A) The repair or replacement of a part manufactured, distributed, or retailed by that obligor.
(B)CA Insurance Code § 12805(a)(4)(B) Consequential and incidental damage resulting from the failure of that part.
(5)CA Insurance Code § 12805(a)(5) An agreement in which the obligor is a repair facility, that is entered into pursuant and subsequent to repair work previously performed by that repair facility, and that is limited in scope to the following:
(A)CA Insurance Code § 12805(a)(5)(A) The repair or replacement of the part that was previously repaired.
(B)CA Insurance Code § 12805(a)(5)(B) Consequential and incidental damage resulting from the failure of that part.
(6)CA Insurance Code § 12805(a)(6) An agreement promising only routine maintenance that does not constitute a vehicle service contract.
(7)CA Insurance Code § 12805(a)(7) An agreement whereby an employer promises, or a third party contracted by the employer and acting on the employer’s behalf provides, mileage reimbursement or routine vehicle maintenance or noncollision repairs, or any combination of these benefits, to the employer’s employees for personal vehicles used in the employer’s business.
(b)CA Insurance Code § 12805(b) The types of agreements described in paragraphs (4) to (7), inclusive, of subdivision (a) are exempt from all provisions of this part.
(c)CA Insurance Code § 12805(c) Vehicle service contracts described in paragraph (1) of subdivision (a) are exempt from the provisions of Sections 12815, 12830, 12835, and 12845.

Section § 12810

Explanation

This law states that only authorized sellers can sell vehicle service contracts. It also prohibits sellers from acting as 'fronting companies,' meaning sellers cannot allow a third party to use their name or business to get around this rule and sell contracts unlawfully.

(a)CA Insurance Code § 12810(a) No person, other than a seller, shall sell or offer for sale a vehicle service contract to a purchaser.
(b)CA Insurance Code § 12810(b) No obligor shall use a seller as a fronting company and no seller shall act as a fronting company. For purposes of this section, a “fronting company” is a seller that authorizes a third-party obligor to use its name or business to evade or circumvent the provisions of subdivision (a).

Section § 12815

Explanation

If you're a person or company offering vehicle service contracts but not selling cars, you need a specific license called a vehicle service contract provider license. This license follows similar rules to property and casualty broker-agent licenses but with some differences.

You don't have to take a prelicensing course or pass a test to get this license. It costs $4,939 to get the license and $847 to renew it. Additionally, if you're managing these service contracts, you must have a property and casualty broker-agent license.

(a)CA Insurance Code § 12815(a) An obligor who is not a seller shall possess a vehicle service contract provider license. A vehicle service contract provider license shall be applied for and maintained, and its holder shall be subject to disciplinary action, as if it were a property broker-agent and casualty broker-agent license, with the following exceptions:
(1)CA Insurance Code § 12815(a)(1) An applicant for a vehicle service contract provider license is exempt from having to satisfy prelicensing and continuing education requirements, and from having to pass a qualifying exam.
(2)CA Insurance Code § 12815(a)(2) The fee to obtain a vehicle service contract provider license shall be four thousand nine hundred thirty-nine dollars ($4,939). The fee to renew a vehicle service contract provider license shall be eight hundred forty-seven dollars ($847).
(b)CA Insurance Code § 12815(b) A service contract administrator shall be licensed as a property broker-agent and casualty broker-agent.

Section § 12820

Explanation

This law states that before offering or providing a vehicle service contract, the provider must first submit the document to the insurance commissioner. The contract can include various benefits as permitted by other sections of the law and must contain specific disclosures depending on compliance with different sections.

Vehicle service contracts must highlight any exclusions or duties for the buyer in clear, bold text. They should also include the company's name, contact information, price details, and compliance with specified Civil Codes. If coverage for preexisting conditions is excluded, this must be clearly noted in 12-point type.

Some benefits included in these contracts are considered insurance, such as coverage for theft or fire, and these must be explicitly stated. This regulation has been effective since January 1, 2017.

(a)CA Insurance Code § 12820(a) Prior to offering a vehicle service contract form to a purchaser or providing a vehicle service contract form to a seller, an obligor shall file with the commissioner a specimen of that vehicle service contract form.
(b)CA Insurance Code § 12820(b) A vehicle service contract form may include any or all of the benefits described in subdivision (c) of Section 12800 and shall comply with all of the following requirements:
(1)Copy CA Insurance Code § 12820(b)(1)
(A)Copy CA Insurance Code § 12820(b)(1)(A) If an obligor has complied with Section 12830, the vehicle service contract shall include a disclosure in substantially the following form: “Performance to you under this contract is guaranteed by a California approved insurance company. You may file a claim with this insurance company if any promise made in the contract has been denied or has not been honored within 60 days after your request. The name and address of the insurance company is: (insert name and address). If you are not satisfied with the insurance company’s response, you may contact the California Department of Insurance at 1-800-927-4357 or access the department’s Internet Web site (www.insurance.ca.gov).”
(B)CA Insurance Code § 12820(b)(1)(A)(B) If an obligor has complied with Section 12836, the vehicle service contract shall include a disclosure in substantially the following form: “If any promise made in the contract has been denied or has not been honored within 60 days after your request, you may contact the California Department of Insurance at 1-800-927-4357 or access the department’s Internet Web site (www.insurance.ca.gov).”
(C)CA Insurance Code § 12820(b)(1)(A)(C) The requirement that a vehicle service contract form include the department’s Internet Web site shall not apply to a form for which the department has issued a “no objection letter” as of December 31, 2016.
(2)CA Insurance Code § 12820(b)(2) All vehicle service contract language that excludes coverage, or imposes duties upon the purchaser, shall be conspicuously printed in boldface type no smaller than the surrounding type.
(3)CA Insurance Code § 12820(b)(3) The vehicle service contract shall do each of the following:
(A)CA Insurance Code § 12820(b)(3)(A) State the obligor’s full corporate name or a fictitious name approved by the commissioner, the obligor’s mailing address, the obligor’s telephone number, and the obligor’s vehicle service contract provider license number.
(B)CA Insurance Code § 12820(b)(3)(B) State the name of the purchaser and the name of the seller.
(C)CA Insurance Code § 12820(b)(3)(C) Conspicuously state the vehicle service contract’s purchase price.
(D)CA Insurance Code § 12820(b)(3)(D) Comply with Sections 1794.4 and 1794.41 of the Civil Code.
(E)CA Insurance Code § 12820(b)(3)(E) Name the administrator, if any, and provide the administrator’s license number.
(4)CA Insurance Code § 12820(b)(4) If the vehicle service contract excludes coverage for preexisting conditions, the contract must disclose this exclusion in 12-point type.
(c)CA Insurance Code § 12820(c) The following benefits constitute insurance, whether offered as part of a vehicle service contract or in a separate agreement:
(1)CA Insurance Code § 12820(c)(1) Indemnification for a loss caused by misplacement, theft, collision, fire, or other peril typically covered in the comprehensive coverage section of an automobile insurance policy, a homeowner’s policy, or a marine or inland marine policy, except as expressly authorized in subdivision (c) of Section 12800.
(2)CA Insurance Code § 12820(c)(2) Locksmith services, unless offered as part of an emergency road service benefit.
(d)CA Insurance Code § 12820(d) This section shall become operative on January 1, 2017.

Section § 12825

Explanation

This law allows a service contract provider (obligor) to cancel the contract within 60 days of sale if they mail a cancellation notice before day 61. The obligor must refund the full price within 30 days unless they've paid any claims, in which case a pro-rata refund is allowed. The contract ends at least five days after the cancellation notice's postmark date, and the notice must state why it's canceled.

The provider can also cancel at any time if the buyer doesn’t pay, has misrepresented information, or committed fraud. They must mail the buyer a cancellation notice, refund any due amounts within 30 days, and mention the specific reason for cancellation. If a claim occurs before the cancellation takes effect, the provider must handle it if the contract covers it. If claims are paid or promised before cancelation, only a partial, adjusted refund is needed.

(a)CA Insurance Code § 12825(a) In addition to any other right of rescission an obligor or purchaser may have, an obligor may include a provision in a service contract that reserves to the obligor the right to cancel the service contract within 60 days under the following conditions:
(1)CA Insurance Code § 12825(a)(1) Notice of cancellation is mailed to the purchaser postmarked before the 61st day after the date the contract was sold by the seller.
(2)CA Insurance Code § 12825(a)(2) The obligor provides the purchaser with a refund equal to the full purchase price stated on the contract within 30 days from the date of cancellation. However, if the obligor has paid a claim, or has advised the purchaser in writing that it will pay a claim, it may provide a pro rata refund, less the amount of any claims paid prior to cancellation.
(3)CA Insurance Code § 12825(a)(3) The service contract ceases to be valid no less than five days after the postmark date of the notice.
(4)CA Insurance Code § 12825(a)(4) The notice states the specific grounds for the cancellation.
(b)CA Insurance Code § 12825(b) An obligor may at any time cancel a service contract for nonpayment by the purchaser, conditioned upon each of the following:
(1)CA Insurance Code § 12825(b)(1) Notice of cancellation is mailed to the purchaser.
(2)CA Insurance Code § 12825(b)(2) If any refund is owed pursuant to Section 1794.41 of the Civil Code, the refund is paid within 30 days of the date of cancellation.
(3)CA Insurance Code § 12825(b)(3) The service contract ceases to be valid no less than five days after the postmark date of the notice.
(4)CA Insurance Code § 12825(b)(4) The notice states the specific grounds for the cancellation.
(c)CA Insurance Code § 12825(c) An obligor may at any time cancel a service contract for material misrepresentation or fraud by the purchaser, conditioned upon each of the following:
(1)CA Insurance Code § 12825(c)(1) Notice of cancellation is mailed to the purchaser
(2)CA Insurance Code § 12825(c)(2) A pro rata refund of the purchase price stated on the contract is paid within 30 days of the date of cancellation.
(3)CA Insurance Code § 12825(c)(3) The notice states the specific nature of the misrepresentation.
(d)CA Insurance Code § 12825(d) An obligor who cancels a contract is liable for any claim reported to a person designated in the contract for the reporting of claims if the claim is reported prior to the effective date of cancellation and is covered by the contract. For the purpose of this subdivision, a purchaser is deemed to have reported a claim if he or she has completed the first step required under the contract for reporting a claim.
(e)CA Insurance Code § 12825(e) An obligor canceling a contract pursuant to subdivision (b), (c), or (d) who pays a claim, or has advised the purchaser in writing that he or she will pay a claim, may provide a prorata rather than full refund, less the amount of any claims paid prior to cancellation.

Section § 12830

Explanation

This law section outlines the insurance requirements for obligors under vehicle service contracts in California. Before obligors can enter into these contracts, they must file an insurance policy with the commissioner. This policy must cover 100 percent of the obligations and be issued by a compliant insurer or risk retention group, meeting specific financial standards (like having at least $15 million in surplus and capital). However, certain exceptions apply, such as affiliates of new motor vehicle distributors, who meet specific sales criteria being exempt from these requirements.

This law also requires the insurance policy to guarantee that insurers will fulfill obligors' obligations if the obligor fails to do so within 60 days, provided certain conditions are met, like failure to satisfy a contract and notice given to the insurer by the purchaser. An insurer's liability isn't reduced by failures in contract reporting or payment remittance. Only one valid insurance policy should be on file with the commissioner at any time, unless exempted. Notices of policy cancellation must be filed in advance, with different timelines for regular and fraud-related cancellations.

(a)CA Insurance Code § 12830(a) Prior to incurring an obligation under a vehicle service contract, an obligor shall file with the commissioner, to the attention of the legal division, and receive the commissioner’s approval to use, a copy of an insurance policy covering 100 percent of the obligor’s vehicle service contract obligations. The policy must be issued by an insurer admitted in this state and authorized by the commissioner to issue that insurance in this state. The policy may also be issued by a risk retention group, as that term is defined in 15 U.S.C. Sec. 3901(a)(4), as long as that risk retention group is in full compliance with the federal Liability Risk Retention Act of 1986 (15 U.S.C. Sec. 3901 and following), is in good standing in its domiciliary jurisdiction, and has registered with the commissioner pursuant to Chapter 1.5 (commencing with Section 125) of Part 1 of Division 1. The insurance required by this subdivision shall be subject to the following:
(1)CA Insurance Code § 12830(a)(1) The insurer or risk retention group shall, at the time the policy is filed with the commissioner, and continuously thereafter, be rated “B++” or better by A. M. Best Company, Inc., maintain surplus as to policyholders and paid-in capital of at least fifteen million dollars ($15,000,000), and annually file audited financial statements with the commissioner.
(2)CA Insurance Code § 12830(a)(2) The commissioner may authorize an insurer or risk retention group that has surplus as to policyholders and paid-in capital of less than fifteen million dollars ($15,000,000) but at least equal to ten million dollars ($10,000,000) to issue the insurance required by this paragraph if the insurer or risk retention group demonstrates to the satisfaction of the commissioner that the company maintains a ratio of direct written premiums, wherever written, to surplus as to policyholders and paid-in capital of not more than 3 to 1.
(3)CA Insurance Code § 12830(a)(3) An obligor required to maintain insurance pursuant to this paragraph who is an affiliate of a distributor of new motor vehicles licensed as such in any state prior to January 1, 2003, and continuously thereafter, is exempt from the requirement that its insurer or risk retention group satisfy the rating, surplus, and paid-in capital requirements of paragraph (1). This exemption shall apply only if the distributor sold or distributed at least 25,000 new motor vehicles to licensed dealers in the preceding five years. For the purpose of this paragraph, “affiliate” has the meaning set forth in subdivision (a) of Section 1215.
(b)CA Insurance Code § 12830(b) An insurance policy filed with the commissioner pursuant to subdivision (a) shall state the name of the obligor. The policy shall provide that all purchasers of vehicle service contracts shall be entitled to satisfaction by the insurer of any and all obligations arising under vehicle service contracts of the named obligor, upon the existence of all of the following conditions and no others:
(1)CA Insurance Code § 12830(b)(1) The service contract obligor refuses or fails to satisfy an obligation arising under the vehicle service contract within 60 days of the date the purchaser submits proof of loss to the obligor.
(2)CA Insurance Code § 12830(b)(2) The purchaser provides written notice to the insurer that the obligor has failed to comply with an obligation under the vehicle service contract.
(3)CA Insurance Code § 12830(b)(3) The purchaser possesses a vehicle service contract sold after the inception and prior to any cancellation of the insurance policy required by subdivision (a), and the vehicle service contract recites the name of the obligor that is insured by the policy as the obligor of the service contract.
(c)CA Insurance Code § 12830(c) An insurer’s liability under a policy filed pursuant to subdivision (a) shall not be negated by any failure of the seller, an administrator, the obligor, or agents of any of these persons, to report the issuance of a vehicle service contract or to remit moneys to another person pursuant to a contractual agreement. The policy must state that the insurer is deemed to have received the premium for the policy upon payment by the purchaser for a vehicle service contract insured by that policy.
(d)CA Insurance Code § 12830(d) In lieu of complying with Section 12836, an obligor shall have on file with the commissioner only one active policy from one insurer at any time. Unless exempt under paragraph (1) of subdivision (a) of Section 12805, an obligor shall comply with either this section or Section 12836, but not both.
(e)CA Insurance Code § 12830(e) No policy cancellation by an insurer shall be valid unless a notice of the intent to cancel the policy was filed with the commissioner 30 days prior to the effective date of the cancellation, or 10 days prior in the event that the cancellation is due to fraud, material misrepresentation, or defalcation by the obligor or its administrator, if any.

Section § 12835

Explanation

If an insurer cancels a policy it has registered with the commissioner, the named party on the policy has two options. First, they can file a new policy with the commissioner before the old one ends, ensuring no gap in coverage. Alternatively, they can stop serving as an obligor as of the policy's end date until a new policy is active and approved by the commissioner.

The law doesn't spare the named party from any obligations under service contracts issued before the policy's end.

(a)CA Insurance Code § 12835(a) In the event an insurer cancels a policy that it has filed with the commissioner pursuant to Section 12830, the obligor named on the policy shall do either of the following:
(1)CA Insurance Code § 12835(a)(1) File a copy of a new policy with the commissioner, before the termination of the prior policy, providing no lapse in coverage following the termination of the prior policy.
(2)CA Insurance Code § 12835(a)(2) Discontinue acting as an obligor as of the termination date of the policy until a new policy becomes effective and has been accepted and acknowledged by the commissioner.
(b)CA Insurance Code § 12835(b) This section shall not relieve an obligor from any obligation incurred under service contracts issued with its name as obligor prior to the date the policy was terminated.

Section § 12836

Explanation

Instead of following Section 12830, a company or its parent company can show that it has a net worth of at least $100 million to satisfy requirements. The company needs to provide documents and affidavits to prove this net worth. These documents might include financial statements and sworn statements from top executives. If the parent company is being used to meet this net worth requirement, it must also agree in writing to back the company's obligations on contracts made in the state.

In lieu of complying with Section 12830, an obligor or its parent company may establish to the commissioner’s satisfaction that it possesses a net worth of one hundred million dollars ($100,000,000). The obligor shall, upon request, provide the commissioner with all documents and affidavits necessary to establish the net worth, including, but not limited to, a copy of the obligor’s financial statements or the obligor’s parent company’s financial statements, and affidavits by the president and chief financial officer attesting to the net worth of the obligor or the obligor’s parent company. If the obligor elects to meet the net worth requirement through the parent company, the parent company shall agree in writing to guarantee the obligations of the obligor relating to contracts of the obligor issued in this state.

Section § 12840

Explanation

This law requires companies that offer service contracts, like warranties, to keep detailed financial and transaction records. They must store these records for at least three years after a contract ends. The records should be available to the insurance commissioner if needed, and must include details like financial ledgers, copies of service contracts, purchaser information, sales locations, and claim files.

Insurers have the right to access these records to meet their obligations, and the commissioner can investigate anyone handling these contracts. Any review costs will be borne by the contract provider or manager. These records must be kept confidential, but the commissioner can use them in legal actions against the provider. Failing to keep records or denying access can result in losing a license or a cease and desist order.

(a)CA Insurance Code § 12840(a) Every obligor or its administrator shall maintain at its principal office complete and accurate accounts, books, and records of all transactions among the obligor, its administrator, if any, sellers, insurers, and purchasers. Records maintained pursuant to this section shall be made available to the commissioner upon reasonable request. Any computerized recordkeeping system must be capable of producing a legible hard copy of all required records. Accounts, books, and records shall include:
(1)CA Insurance Code § 12840(a)(1) A complete set of accounting records, including, but not limited to, a general ledger, cash receipts and disbursements journals, accounts receivable registers, and accounts payable registers.
(2)CA Insurance Code § 12840(a)(2) Copies of each type of service contract sold.
(3)CA Insurance Code § 12840(a)(3) The name and address of each service contract purchaser to the extent that the name and address have been furnished by the service contract purchaser.
(4)CA Insurance Code § 12840(a)(4) A list of the locations where service contracts are marketed, sold, or offered for sale.
(5)CA Insurance Code § 12840(a)(5) Written claims files which shall contain at least the dates and descriptions of claims related to the service contracts.
(b)CA Insurance Code § 12840(b) All required records pertaining to a service contract shall be maintained by the obligor, its administrator, or the insurer underwriting the contract, for at least three years after the expiration of the contract.
(c)CA Insurance Code § 12840(c) Every insurer that has issued a policy to an obligor shall have an ongoing right to access that obligor’s books and records in order to permit the insurer to fulfill all obligations to purchasers.
(d)CA Insurance Code § 12840(d) The commissioner may examine and investigate the affairs of every obligor and any administrator of an obligor. Any examination or investigation shall be at the expense of the obligor or the administrator, in the discretion of the commissioner. Any information contained in the books and records, including, but not limited to, the identity and addresses of sellers and purchasers of service contracts, shall be confidential, except that the commissioner may use the information in any proceeding or investigation instituted against an obligor or an administrator.
(e)CA Insurance Code § 12840(e) An obligor’s failure to keep or maintain the required accounts, books, or records, or to provide the commissioner with full and immediate access to those records, shall be grounds for the immediate suspension or revocation of the obligor’s vehicle service contract provider’s license, and also shall be grounds for the commissioner to issue a cease and desist order pursuant to Section 1065.2.

Section § 12845

Explanation

This law states that any company or person responsible for vehicle service contracts, called an 'obligor' or 'administrator,' who provides these contracts to sellers or buyers, must follow specific rules outlined in other sections (12815, 12830, and 12835). If they don't, they can face jail time, a hefty fine up to $500,000, or both. Also, they will be legally prohibited from further violations. However, this law doesn't apply to sellers who are responsible for the contracts they sell. The insurance commissioner has the authority to stop these companies or people from continuing to violate the rules by issuing a cease-and-desist order if necessary.

Any vehicle service contract obligor or administrator that provides vehicle service contract forms to sellers or purchasers, directly or indirectly, and fails to comply with Sections 12815, 12830 and 12835, is guilty of a public offense punishable by imprisonment pursuant to subdivision (h) of Section 1170 of the Penal Code, or by a fine not exceeding five hundred thousand dollars ($500,000), or both, and shall be enjoined from further violations by a court of competent jurisdiction on petition of the commissioner. This section shall not apply to a seller who is an obligor under vehicle service contracts it sells. The commissioner may issue a cease and desist order pursuant to Section 1065.2 to an obligor or administrator who violates Section 12830 or 12835. The commissioner may issue a cease and desist order pursuant to Section 12921.8 to an obligor or administrator in violation of Section 12815.

Section § 12850

Explanation

This law sets rules for how claims under a service contract are handled. First, it requires that the person responsible for the contract (known as the obligor) must prove if a claim isn't covered or if the settlement amount is correct according to the contract's terms. Second, it prohibits sellers of service contracts from making their pay dependent on reducing the costs of claims, ensuring fair processing of claims without financial incentives to deny them.

(a)CA Insurance Code § 12850(a) An obligor has the burden of proving that a claim is not covered by a service contract. An obligor has the burden of proving that a claim settlement amount is proper under the terms of the contract.
(b)CA Insurance Code § 12850(b) No seller of a service contract who participates in or influences, directly or indirectly, the processing, administration, or adjustment of claims, shall enter into any agreement or understanding the effect of which is to make the amount of the seller’s commission or compensation contingent upon savings effected in the adjustment, settlement, or payment of losses covered by the contract.

Section § 12855

Explanation

This law allows the commissioner to create rules and regulations that help carry out the purposes of this chapter.

The commissioner may adopt regulations necessary or desirable to implement this chapter.

Section § 12860

Explanation

This law states that if any part of this insurance regulation is found to be invalid or unenforceable, the rest of the rules still apply and can be enforced separately. In other words, one invalid part won't nullify the entire regulation.

The provisions of this part are severable. If any provision of this part or its application is held invalid, that invalidity shall not affect other provisions or applications that can be given effect without the invalid provision or application.

Section § 12865

Explanation

This law states that if a company promises to refund part or all of the purchase price of a service contract based on claims made by the purchaser, it is considered insurance unless certain conditions are met, which then classify it as a refund agreement.

For it to be a refund agreement, the promise must be made without separate consideration (extra payment). The company making the promise (promisor) must meet one of the following: be a service contract provider, be a seller using a refund agreement administrator, or be a third party not involved in the sale or service contract provision but complying with further requirements.

A refund agreement administrator, someone who manages the refund logistics, must follow specific legal guidelines and cannot promise any benefits beyond the refund itself. Also, only sellers are allowed to offer these refund agreements directly to buyers.

A promise to refund some or all of the purchase price of a service contract if the purchaser does not file any claims, files a limited number of claims, or files claims the dollar amount of which does not exceed a set amount or percentage, shall constitute insurance, unless subdivisions (a) and (b) are satisfied. If conditions (a) and (b) are satisfied, the promise shall constitute a refund agreement.
(a)CA Insurance Code § 12865(a) The promise is offered without separate consideration, and the promisor complies with subdivisions (a)(1), (a)(2) or (a)(3).
(1)CA Insurance Code § 12865(a)(1) The promisor is a service contract obligor, the promise is contained within a service contract, and the obligor has complied with all provisions of this part.
(2)CA Insurance Code § 12865(a)(2) The promisor is a seller, the refund agreement provides no benefits other than the refund of some or all of the purchase price, and the promisor utilizes a refund agreement administrator.
(3)CA Insurance Code § 12865(a)(3) The promisor is neither a seller nor a service contract obligor. Such a person shall be deemed a refund agreement obligor, and shall comply with subdivisions (c)(1), (c)(2) and (c)(3).
(b)CA Insurance Code § 12865(b) A person other than the seller who performs or arranges, directly or indirectly, the collection, maintenance, or disbursement of moneys to compensate any party under a refund agreement, and who also provides sellers with refund agreement forms and participates in the adjustment of refund agreement claims, shall be deemed a refund agreement administrator, and shall comply with subdivision (b)(2).
(1)CA Insurance Code § 12865(b)(1) The sections enumerated in subdivision (b)(2) shall apply to refund agreements and refund agreement administrators. In applying those sections, the terms vehicle service contract administrator, administrator and obligor shall instead mean refund agreement administrator, the word sold shall instead mean provided and the terms vehicle service contract and service contract shall instead mean refund agreement. The sections enumerated in subdivision (b)(2) shall be construed in accordance with the nature of refund agreement forms, refund agreement administrators, and the refund agreement business.
(2)CA Insurance Code § 12865(b)(2) The following sections shall apply and be interpreted pursuant to subdivision (b)(1): 12815(b); 12820(a), (b)(1), (b)(2), (b)(3)(A), (b)(3)(B), 12830(a), (a)(1), (a)(2), (b), (c), (d), (e); 12835; 12840; 12845; 12850; 12855.
(c)Copy CA Insurance Code § 12865(c)
(1)Copy CA Insurance Code § 12865(c)(1) The sections enumerated in subdivision (c)(2) shall apply to refund agreements and refund agreement obligors. In applying those sections, the terms vehicle service contract obligor and obligor shall instead mean refund agreement obligor, the word sold shall instead mean provided and the terms vehicle service contract and service contract shall instead mean refund agreement. The sections enumerated in subdivision (c)(2) shall be construed in accordance with the nature of refund agreement forms, refund agreement obligors, and the refund agreement business.
(2)CA Insurance Code § 12865(c)(2) The following sections shall apply and be interpreted pursuant to subdivision (c)(1): 12810(b); 12815(a); 12820(a), (b)(1), (b)(2), (3)(A), (3)(B); 12830(a), (a)(1), (a)(2), (b), (c), (d), (e); 12835; 12840; 12845; 12850; 12855.
(3)CA Insurance Code § 12865(c)(3) A refund agreement obligor may not promise any benefit other than a refund of some or all of the purchase price of a service contract if the purchaser does not file any claims, files a limited number of claims, or files claims the dollar amount of which does not exceed a set amount or percentage.
(4)CA Insurance Code § 12865(c)(4) No person other than a seller shall provide or offer to provide a refund agreement to a purchaser.