SENATE JUDICIARY COMMITTEE SUBSTITUTE FOR
SENATE BILL 88
53rd legislature - STATE OF NEW MEXICO - first session, 2017
AN ACT
RELATING TO INSURANCE; DEFINING "PUBLIC ADJUSTER" AND CERTAIN OTHER TERMS; REMOVING REFERENCES TO TEMPORARY LICENSES; ELIMINATING THE ISSUANCE OF TEMPORARY ADJUSTER LICENSES; ALLOWING INSURERS AND PUBLIC ADJUSTERS TO REQUEST PERMISSION IN AN EMERGENCY TO USE ADJUSTERS LICENSED IN ANOTHER STATE; PERMITTING THE SUPERINTENDENT OF INSURANCE TO ALLOW ADJUSTERS TO OBTAIN CONTINUING EDUCATION THROUGH INSTRUCTION PROVIDED ONLINE OR THROUGH THE MAIL REGARDLESS OF WHERE THE ADJUSTER IS LOCATED; PROHIBITING ADJUSTERS WHO ARE CONTRACTORS FROM ADJUSTING CLAIMS; PROVIDING STANDARDS OF CONDUCT FOR PUBLIC ADJUSTERS; IMPOSING REQUIREMENTS ON CONTRACTS BETWEEN PUBLIC ADJUSTERS AND INSUREDS; REQUIRING PUBLIC ADJUSTERS TO DEPOSIT FUNDS RECEIVED FOR INSUREDS IN ESCROW OR TRUST ACCOUNTS; IMPOSING REQUIREMENTS ON THE RECORDS THAT PUBLIC ADJUSTERS MUST MAINTAIN; ALLOWING THE SUPERINTENDENT OF INSURANCE TO REVIEW REPORTS OF INSURANCE FRAUD SUBMITTED BY PUBLIC ADJUSTERS.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
SECTION 1. Section 59A-13-2 NMSA 1978 (being Laws 1984, Chapter 127, Section 230, as amended) is amended to read:
"59A-13-2. DEFINITIONS.--
A. For the purposes of [the Insurance Code] Chapter 59A, Article 13 NMSA 1978:
(1) "adjuster" means a person that:
(a) investigates, negotiates, settles or adjusts a loss or claim arising under an insurance contract on behalf of an insurer, insured or self-insurer, for a fee, commission or other compensation; however, an adjuster acting on behalf of an insured shall not investigate, negotiate, settle or adjust a claim involving personal injury to the insured; and
(b) advises the insured of the insured's rights to settlement and the insured's rights to settle, arbitrate and litigate the dispute;
(2) "automated claims adjudication system" means a preprogrammed computer system designed for the collection, data entry, calculation and final resolution of portable electronics insurance claims that shall:
(a) only be used by a licensed independent adjuster, licensed agent or supervised individuals operating pursuant to Subsection C of Section 59A-13-3 NMSA 1978;
(b) comply with all claims payment requirements of the Insurance Code; and
(c) be certified as compliant with the Portable Electronics Insurance Act by a licensed independent adjuster who is an officer of a licensed business entity pursuant to the Insurance Code;
[(3) "staff adjuster" means an adjuster individual who is a salaried employee of an insurer or affiliates of the employer insurer, representing and adjusting claims solely under policies of the employer insurer;]
(3) "business entity" means a corporation, association, partnership, limited liability company, limited liability partnership or other legal entity;
(4) "home state" means the District of Columbia and any state or territory of the United States in which the adjuster's principal place of residence or principal place of business is located. If neither the state in which the adjuster maintains the principal place of residence nor the state in which the adjuster maintains the principal place of business has substantially similar laws governing adjusters, the adjuster may declare another state in which it becomes licensed and acts as an adjuster to be the home state;
[(4)] (5) "independent adjuster" means an adjuster who is not a staff adjuster or a public adjuster and includes a representative and an employee of an independent adjuster; [and]
(6) "public adjuster" means an adjuster who acts or aids, solely in relation to first-party claims arising under insurance contracts that insure the real or personal property of the insured, on behalf of an insured in negotiating for, or effecting the settlement of, a claim for loss or damage covered by an insurance contract;
[(5)] (7) "resident adjuster" means an adjuster who resides principally in New Mexico and who conducts business primarily in New Mexico; and
(8) "staff adjuster" means an adjuster individual who is a salaried employee of an insurer or affiliate of the employer insurer, representing and adjusting claims solely under the authority of the employer insurer.
B. Except as otherwise provided, "adjuster" does not include:
(1) an attorney-at-law who adjusts insurance losses or claims from time to time incidental to practice of law and who does not advertise or represent as an adjuster;
(2) a licensed agent or general agent of an authorized insurer or an employee of an agent or general agent who adjusts claims or losses under specific authority from the insurer and solely under policies issued by the insurer;
(3) an agent or employee of a life or health insurer who adjusts claims or losses under the insurer's policies or contracts to administer policies or benefits of that type;
(4) a salaried or part-time claims agent or investigator employed by a self-insured person; [or]
(5) an individual who, for purposes of portable electronics insurance claims, collects claim information from, or furnishes claim information to, insureds or claimants, and who conducts data entry, including entering data into an automated claims adjudication system; provided that the individual is an employee of a licensed independent adjuster or its affiliate where no more than twenty-five such persons are under the supervision of one licensed independent adjuster or licensed agent who is exempt from licensure pursuant to Paragraph (2) of this subsection;
(6) a property damage appraiser or other individual who is employed by an insurer, third-party administrator, independent adjuster or self-insurer who inspects and provides monetary estimates of damages sustained by an insured or third party and does not investigate, negotiate, settle or adjust claims;
(7) a person who is employed solely for the purpose of obtaining facts surrounding a loss or furnishing technical assistance to an adjuster, such as a photographer, estimator, private investigator, engineer or handwriting expert;
(8) a licensed health care provider or employee of a licensed health care provider who prepares or files a health claim on behalf of a patient;
(9) a person who settles subrogation claims between insurers;
(10) a person who is employed to investigate suspected fraudulent insurance claims but does not adjust losses or determine claim payments; or
(11) an employee of an insurer who receives loss reports from insureds and who may advise an insured regarding the claim process or coverage available to the insured but who does not act as an adjuster on the claim."
SECTION 2. Section 59A-13-3.1 NMSA 1978 (being Laws 2016, Chapter 89, Section 55) is amended to read:
"59A-13-3.1. EXAMINATION FOR LICENSE.--
A. [A resident] An individual applying for a license as an adjuster shall, prior to issuance of a license, personally take and pass a written examination. The examination shall test the knowledge of the individual concerning the duties and responsibilities of an adjuster and the insurance laws and rules of this state. Examinations required by this section shall be developed and conducted under rules prescribed by the superintendent.
B. The superintendent may contract with an outside testing service for administering examinations and collecting the nonrefundable fee set forth in Section 59A-6-1 NMSA 1978.
C. Each individual applying for an examination shall remit a nonrefundable fee as prescribed by the superintendent as set forth in Section 59A-6-1 NMSA 1978.
D. An individual who fails to appear for an examination as scheduled or fails to pass the examination shall reapply for an examination and remit all required fees and forms before being rescheduled for another examination.
E. No examination shall be required:
(1) for renewal or continuation of an existing license, except as provided in Subsection D of Section 59A-11-10 NMSA 1978; or
[(2) of applicants for a temporary license as provided in Section 59A-13-6 NMSA 1978; or
(3)] (2) if the applicant took and passed a similar examination in a state in which the applicant is already licensed, subject to Section 59A-5-33 NMSA 1978."
SECTION 3. Section 59A-13-4 NMSA 1978 (being Laws 1984, Chapter 127, Section 232, as amended) is amended to read:
"59A-13-4. QUALIFICATIONS FOR LICENSE AS ADJUSTER.--
A. The superintendent shall license as an adjuster only an individual who is otherwise in compliance with Chapter 59A, Articles 11 and 13 NMSA 1978 and who has furnished evidence satisfactory to the superintendent that the applicant for license:
(1) is not less than eighteen years of age;
(2) is a bona fide resident of this state, or of a state or country that permits residents of this state to act as adjusters therein, except that under circumstances of necessity the superintendent may waive the requirement of reciprocity;
(3) can demonstrate a good business reputation, and intends to engage in a bona fide manner in the business of adjusting insurance claims;
[(4) except as to temporary license provided for under Section 59A-13-6 NMSA 1978, has had at least one year's experience or special education or training in handling of losses or claims under insurance contracts, such experience, education and training to be of such nature and extent as to demonstrate the applicant's competence to fulfill the responsibilities of an adjuster;
(5)] (4) has passed any examination required for licensing; and
[(6)] (5) has filed the bond required under Section 59A-13-5 NMSA 1978.
B. Paragraphs (2) and [(6)] (5) of Subsection A of this section shall not apply as to staff adjusters.
C. Individuals holding licenses as adjusters on the effective date of the Insurance Code shall be deemed to meet the qualifications for the license except as provided in Chapter 59A, Articles 11 and 13 NMSA 1978.
D. A business entity applying for an independent adjuster license for the purposes of portable electronics insurance in New Mexico shall submit the names, addresses, social security numbers, criminal and administrative histories, background checks, biographical statements and fingerprints of all executive officers and directors of the applicant and of all executive officers and directors of entities owning and any individuals owning, directly or indirectly, fifty-one percent or more of the outstanding voting securities of the applicant. Any nonresident business entity applicant whose resident state has enacted into law provisions that are substantively duplicative of the provisions of this subsection shall not be required to submit criminal histories, background checks, biographical statements and fingerprints for its executive officers, directors and owners of outstanding voting securities."
SECTION 4. Section 59A-13-5 NMSA 1978 (being Laws 1984, Chapter 127, Section 233) is amended to read:
"59A-13-5. BOND.--
A. With application for license [temporary or otherwise] as an adjuster other than as staff adjuster, the applicant shall file with the superintendent a surety bond in favor of the superintendent in aggregate amount of not less than ten thousand dollars ($10,000), conditioned to pay actual damages resulting to the state of New Mexico or any member of the public in New Mexico from violation of law by the licensee while acting as an adjuster. The bond shall be one executed by an authorized surety insurer.
B. The bond shall remain in effect for the duration of the license, or until the surety is released from liability by the superintendent, or until [cancelled] canceled by the surety. Without prejudice to any liability accrued prior to cancellation, the surety may cancel a bond by giving written notice to the superintendent at least thirty [(30)] days prior to effective date of cancellation.
C. The applicant or licensee may file with the superintendent a cash bond in like amount, in lieu of surety bond."
SECTION 5. Section 59A-13-6 NMSA 1978 (being Laws 1984, Chapter 127, Section 234) is amended to read:
"59A-13-6. [TEMPORARY LICENSE] EMERGENCY ADJUSTERS.--
[A. Upon application by an applicant meeting all qualifications for license except as to experience, education or training referred to in Section 232 of this article, the superintendent may issue a temporary license as adjuster under which an individual employed by a licensed adjuster and undergoing education or training as an adjuster under direction and supervision of such licensed adjuster, may act as an adjuster. Application for the license must be made, and the applicant registered with the superintendent, at beginning of the training period, and the license may be in force for a period not to exceed twelve (12) months, without right of renewal or continuation.
B. The superintendent may issue a temporary license as adjuster to an individual employed by a licensed adjuster or an authorized insurer due to a catastrophe or emergency requiring immediate expansion of adjuster services in this state. Application for the license must be made through such licensed adjuster or insurer. Responsibility for the conduct of a temporary licensee rests jointly on the licensee and the employer adjuster or insurer. The temporary license may be in force for a period not to exceed three (3) months, without right of renewel or continuation. In considering the application for temporary license the superintendent may waive such of the qualifications for license stated in Section 232 of this article as the superintendent deems advisable.]
A. In the event of an emergency requiring the immediate expansion of adjuster services in New Mexico, an insurer or a public adjuster licensed in New Mexico may request authority from the superintendent to employ adjusters to assist with the emergency who are not licensed in New Mexico but who have fulfilled all licensing requirements in their home state and are in good standing in their home state. An insurer or public adjuster requesting such authority shall provide the superintendent with the following information:
(1) the nature of the emergency and the affected region of the state;
(2) a list of the adjusters that the insurer or public adjuster shall use that are not licensed in New Mexico. This list shall include each adjuster's name, home address, last four digits of social security number, national producer number, home state and the effective date of the contract between the adjuster and the insurer or public adjuster;
(3) the name, contact information, national producer number and New Mexico license number for the individual designated by the insurer or public adjuster who will be responsible for the conduct of these adjusters; and
(4) any other information that the superintendent may require.
B. The adjustment of claims by the adjusters listed in Paragraph (2) of Subsection A of this section shall be limited to claims arising from the emergency.
C. Use of the listed adjusters shall be limited to the ninety days immediately following the emergency, unless an extension of time is requested by the insurer or public adjuster and granted by the superintendent.
D. A request by an insurer or public adjuster to employ adjusters to assist with an emergency who are not licensed in New Mexico but who are currently licensed and in good standing in their home state shall be deemed approved if such a request is not disapproved by the superintendent within three business days of its submission to the superintendent.
E. An insurer or public adjuster that requests authorization pursuant to this section may commence employing the adjusters listed in Paragraph (2) of Subsection A of this section while awaiting the superintendent's decision on their request."
SECTION 6. Section 59A-13-12 NMSA 1978 (being Laws 2016, Chapter 89, Section 56) is amended to read:
"59A-13-12. CONTINUING EDUCATION.--
A. The superintendent shall require as a condition to continuation of an adjuster license that during the twenty-four months next preceding expiration of the current license period, the licensee has attended the minimum number of hours of formal class instruction, lectures or seminars required and approved by the superintendent.
B. Instruction shall be designed to refresh the licensee's understanding of basic principles and coverages involved, recent and prospective changes, applicable laws and rules of the superintendent, proper conduct of the licensee's business and duties and responsibilities of the licensee.
C. The superintendent may permit licensees [who, because of remoteness of residence or business, cannot with reasonable convenience attend formal instruction sessions] to successfully complete an equivalent course of study and instruction online or by mail.
D. The superintendent may impose a penalty not to exceed fifty dollars ($50.00) for a licensee's failure to timely report continuing education credits.
E. The superintendent shall charge, at the time of certifying each licensee's continuing education credits as a condition of continuation of license, a fee of one dollar ($1.00) per credit hour of continuing education; provided that the superintendent may contract with an independent agency to receive and review a continuing education compliance report, and in such a case, the fee shall be a reasonable amount fixed by the superintendent and payable to the contracting agency."
SECTION 7. A new section of Chapter 59A, Article 13 NMSA 1978 is enacted to read:
"[NEW MATERIAL] PROHIBITED CONDUCT REGARDING THE ADJUSTMENT AND REPAIR OF PROPERTY DAMAGE.--
A. An adjuster may not adjust a loss related to physical damage of a property on which the adjuster is also a contractor, acts as a contractor or is employed as a contractor, including a roofing contractor, building contractor or plumbing contractor, or otherwise provides building repairs or products, including building or plumbing repairs or products, for compensation or is a controlling person in a business relating to such contracting.
B. A contractor or a roofing contractor may not act as an adjuster or advertise to adjust claims for any property for which the contractor is providing or may provide roofing, building, plumbing or other contractor services, regardless of whether the contractor is a licensed adjuster.
C. In those instances in which an adjuster who is also a contractor is performing either as an adjuster or as a contractor on behalf of an insured, the adjuster shall provide the insured with a disclaimer, on a form promulgated by the superintendent and signed by the adjuster, indicating in which of these two capacities the adjuster is serving the insured and affirming that the adjuster is not serving the insured in the other capacity. The adjuster shall retain copies of such signed disclaimers and make them available to the superintendent upon the superintendent's request."
SECTION 8. A new section of Chapter 59A, Article 13 NMSA 1978 is enacted to read:
"[NEW MATERIAL] STANDARDS OF CONDUCT.--
A. All adjusters shall adhere to the following standards of conduct:
(1) an adjuster shall not permit an unlicensed employee or representative of the adjuster to conduct business for which a license is required pursuant to the Insurance Code;
(2) an adjuster shall not pay a commission, service fee or other valuable consideration to a person for investigating or settling claims in New Mexico if that person is required to be licensed pursuant to the Insurance Code and is not so licensed;
(3) an adjuster shall not undertake the adjustment of any claim if the adjuster is not competent and knowledgeable as to the terms and conditions of the insurance coverage, or which otherwise exceeds the adjuster's current experience;
(4) an adjuster shall not have a direct or indirect financial interest in any aspect of the claim, other than the salary, fee, commission or other consideration established in a written contract; unless, in the case of a public adjuster, full written disclosure has been made to the insured as set forth in Subsection G of Section 9 of this 2017 act;
(5) an adjuster shall not acquire any interest in salvage of property subject to adjustment; unless, in the case of a public adjuster, written permission is obtained from the insured; and
(6) an adjuster shall disclose to an insured if the adjuster has any interest or will be compensated by any construction firm, salvage firm, building appraisal firm, motor vehicle repair shop or any other business entity that performs any work in conjunction with damages caused by the insured loss.
B. Public adjusters shall also adhere to the following standards of conduct:
(1) a public adjuster is obligated, under the public adjuster's license, to serve with objectivity and complete loyalty in the interest of the public adjuster's client alone and to render to the insured such information, counsel and service, as within the knowledge, understanding and opinion in good faith of the public adjuster, as will best serve the insured's insurance claim needs and interest;
(2) a public adjuster shall not solicit, or attempt to solicit, an insured during the progress of a loss-producing occurrence, as defined in the insured's insurance contract;
(3) the public adjuster shall abstain from referring or directing the insured to get needed repairs or services in connection with a loss from any person, unless disclosed to the insured:
(a) with whom the public adjuster has a financial interest; or
(b) from whom the public adjuster may receive direct or indirect compensation for the referral;
(4) any compensation or anything of value in connection with an insured's specific loss that will be received by a public adjuster shall be disclosed by the public adjuster to the insured in writing, including the source and amount of any such compensation;
(5) a public adjuster shall not agree to any settlement without the insured's knowledge and consent;
(6) no public adjuster, while so licensed by the superintendent, shall represent or act as a staff adjuster or an independent adjuster;
(7) the contract shall not be construed to prevent an insured from pursuing any civil remedy after the three-business day revocation or cancellation period; and
(8) a public adjuster shall ensure that all contracts for the public adjuster's services are in writing and set forth all terms and conditions of the engagement.
C. A person shall not accept a commission, service fee or other valuable consideration for investigating or settling claims in New Mexico if that person is required to be licensed under the Insurance Code and is not so licensed."
SECTION 9. A new section of Chapter 59A, Article 13 NMSA 1978 is enacted to read:
"[NEW MATERIAL] CONTRACT BETWEEN PUBLIC ADJUSTER AND INSURED.--
A. Public adjusters shall ensure that all contracts for their service are in writing and contain the following terms:
(1) legible full name of the adjuster signing the contract, as specified in the office of superintendent of insurance records;
(2) permanent home state business name and phone number;
(3) office of superintendent of insurance license number;
(4) title of "Public Adjuster Contract";
(5) the insured's full name, street address, insurance company name and policy number, if known or upon notification;
(6) description of the loss and its location, if applicable;
(7) description of services to be provided to the insured;
(8) signatures of the public adjuster and the insured;
(9) date the contract was signed by the public adjuster and date the contract was signed by the insured;
(10) attestation language stating that the public adjuster is fully bonded; and
(11) full salary, fee, commission, compensation or other considerations the public adjuster is to receive for services.
B. The contract may specify that the public adjuster shall be named as a co-payee on an insurer's payment of a claim.
C. If the compensation is based on a share of the insurance settlement, the exact percentage shall be specified.
D. Initial expenses to be reimbursed to the public adjuster from the proceeds of the claim payment shall be specified by type, with dollar estimates set forth in the contract and with any additional expenses first approved by the insured.
E. Compensation provisions in the public adjusting contract shall not be redacted in any copy of the contract provided to the superintendent.
F. If the insurer, not later than seventy-two hours after the date on which the loss is reported to the insurer, either pays or commits in writing to pay to the insured the policy limit of the insurance policy, the public adjuster shall:
(1) inform the insured that, due to the insurer's payment or commitment to pay the policy limit, the loss recovery amount might not be increased by the insurer;
(2) not receive a commission consisting of a percentage of the total amount paid by an insurer to resolve the claim; and
(3) be entitled only to reasonable compensation from the insured for the time spent and expenses incurred on the claim by the public adjuster, until the claim is paid or the insured receives a written commitment to pay from the insurer.
G. A public adjuster shall provide the insured a written disclosure concerning any direct or indirect financial interest that the public adjuster has with any party that is involved in any aspect of the claim, other than the salary, fee, commission or other consideration established in the written contract with the insured, including any ownership of, other than as a minority stockholder, or any compensation expected to be received from, any construction firm, salvage firm, building appraisal firm, motor vehicle repair shop or any other business entity that provides estimates for work, or that performs any work, in conjunction with damages caused by the insured loss on which the public adjuster is engaged.
H. A public adjuster contract may not contain any contract term that:
(1) allows the public adjuster's percentage fee to be collected when money is due from but not yet paid by an insurance company;
(2) allows a public adjuster to collect the entire fee from the first check issued by an insurance company, rather than as percentage of each check issued by an insurance company;
(3) requires the insured to authorize an insurance company to issue a check only in the name of the public adjuster;
(4) imposes collection costs or late fees; or
(5) precludes a public adjuster from pursuing civil remedies.
I. Prior to the signing of the contract, the public adjuster shall provide the insured with a separate disclosure document regarding the claim process that states the following:
"(1) Your public adjuster is forbidden by law from acting as your contractor on this claim.
(2) You must notify your insurance company of your loss and submit a claim. The insurance company will assign an adjuster to handle your claim. You may allow their adjuster to handle your claim or you may hire a public adjuster at your own expense.
(3) Public adjusters do not work for insurance companies. They work for you to assist you in the preparation, presentation and settlement of your claim. You hire them by signing a contract agreeing to pay them a fee or commission. Their compensation is often based on a percentage of the settlement.
(4) You are not required to hire a public adjuster, but you have the right to do so.
(5) You have the right to contact your attorney, your insurance company, your insurance company's adjuster or attorney, or any other person regarding the settlement of your claim.
(6) The public adjuster does not work for your insurance company and is not paid by your insurance company. You are solely responsible for paying the public adjuster.".
J. Subsection I of this section shall not apply to a public adjuster providing public adjuster services on behalf of a financial institution, a mortgage company or other default servicer.
K. The contract shall be executed in duplicate to provide an original contract to the public adjuster and an original contract to the insured. The public adjuster's original contract shall be available at all times for inspection without notice by the superintendent.
L. The public adjuster shall provide the insurer with a notification letter, which has been signed by the insured, authorizing the public adjuster to represent the insured's interest.
M. The insured has the right to rescind the contract within three business days after the date the contract was signed. The recession shall be in writing and mailed or delivered to the public adjuster at the address in the contract within the three-business-day period.
N. If the insured exercises the right to rescind the contract, anything of value given by the insured under the contract will be returned to the insured within fifteen business days following the receipt by the public adjuster of the cancellation notice."
SECTION 10. A new section of Chapter 59A, Article 13 NMSA 1978 is enacted to read:
"[NEW MATERIAL] ESCROW OR TRUST ACCOUNTS.--A public adjuster who receives, accepts or holds any funds on behalf of an insured toward the settlement of a claim for loss or damage shall deposit the funds in a non-interest-bearing escrow or trust account in a financial institution that is insured by an agency of the federal government in the public adjuster's home state or where the loss occurred."
SECTION 11. A new section of Chapter 59A, Article 13 NMSA 1978 is enacted to read:
"[NEW MATERIAL] RECORDS OF PUBLIC ADJUSTER.--
A. A public adjuster shall maintain a complete record of each transaction as a public adjuster. The records required by this section shall include the following:
(1) the name of the insured;
(2) the date, location and amount of the loss;
(3) a copy of the contract between the public adjuster and the insured;
(4) the name of the insurer, amount, expiration date and number of each policy carried with respect to the loss;
(5) an itemized statement of the insured's recoveries;
(6) an itemized statement of all of the compensation received by the public adjuster, from any source whatsoever, in connection with the loss;
(7) a register of all of the money received, deposited, disbursed or withdrawn in connection with a transaction with an insured, including fees, transfers and disbursements from a trust account and all transactions concerning all interest-bearing accounts;
(8) the name of the public adjuster who executed the contract; and
(9) the name of the attorney representing the insured, if applicable, and the name of the claims representatives of the insurance company.
B. Records shall be maintained for at least five years after the termination of the transaction with an insured and shall be open to examination by the superintendent at all times.
C. Records submitted to the superintendent pursuant to this section that contain information identified in writing as proprietary by the public adjuster and accepted as confidential by the superintendent shall be treated as confidential by the superintendent, shall not be subject to the Inspection of Public Records Act, shall not be subject to subpoena and shall not be subject to discovery or admissible as evidence in any private civil action."
SECTION 12. Section 59A-16C-4 NMSA 1978 (being Laws 1998, Chapter 115, Section 4) is amended to read:
"59A-16C-4. SUPERINTENDENT'S DUTIES.--The superintendent shall:
A. initiate inquiries and conduct investigations when the superintendent has reason to believe that insurance fraud may have been or is being committed;
B. respond to notifications or complaints of suspected insurance fraud generated by state and local police or other law enforcement authorities and governmental units, including the federal government and any other person;
C. review notices and reports of insurance fraud submitted by authorized insurers, their employees, agents or producers or by public adjusters and select those incidents of alleged fraud that, in [his] the superintendent's judgment, require further investigation and conduct the investigations;
D. conduct independent investigations and examinations of insurance transactions and alleged insurance fraud, conduct studies to determine the extent of insurance fraud, deceit or intentional misrepresentation of any kind in the insurance process and publish information and reports on [its] the office of superintendent of insurance's examinations and studies;
E. report incidents of alleged insurance fraud supported by investigations and examinations to the appropriate district attorney and any other appropriate law enforcement, administrative, regulatory or licensing agency and assemble evidence, prepare charges and otherwise assist any prosecutorial authority having jurisdiction over insurance fraud enforcement;
F. assist any official or agency of this state, any other state or the federal government that requests assistance in investigating insurance fraud;
G. maintain records and information in order to produce an annual report of [his] the superintendent's activities undertaken in connection with carrying out the provisions of the Insurance Fraud Act; and
H. conduct, in cooperation with the attorney general and the department of public safety, public outreach and awareness programs on the costs of insurance fraud to the public and how members of the public can assist themselves, the superintendent and law enforcement officials in preventing and prosecuting insurance fraud."
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