BILL ANALYSIS SENATE COMMITTEE ON BANKING, FINANCE, AND INSURANCE Senator Jackie Speier, Chair AB 303 (Calderon) Hearing Date: July 13, 2005 As Amended:July 1, 2005 Fiscal Yes Urgency: No VOTES: Sen. B., P. & ED.(6/27/05):5-1/ Pass based on new language Asm. Floor (4/28/05):77-0/ bill gutted and amended Asm. Appr. (4/20/05):18-0/ bill gutted and amended Asm. B. & P. (4/12/05): 10-0/ bill gutted and amended SUMMARY Would allow a vehicle owner to authorize his/her insurer to act on his/her behalf to arrange repair of the owner's motor vehicle, as specified DIGEST Existing law 1. Requires the Bureau of Automotive Repair (BAR) to regulate auto body shops and authorizes BAR to inspect vehicle repairs; 2. Prohibits an insurer from requiring that a vehicle be repaired at a specific repair shop or from otherwise using methods to steer a policyholder either away from or to a specific shop; 3. Notwithstanding the aforementioned prohibition (Number 2 above), allows an insurer to suggest or recommend that an automobile be repaired at a specific automotive repair dealer if a referral is expressly requested by the claimant or the claimant is informed in writing of his/her right to select the automotive repair dealer; 4. Prohibits an insurer from lowering the rate of payment for the reasonable cost of repairing a vehicle to a rate AB 303 (Calderon), Page 2 charged by a shop chosen by the insurer if the policyholder selects a different repair shop than one recommended by the insurer; 5. Allows, but does not require, an insurer to conduct an auto body repair labor rate survey to determine and set a specified prevailing auto body rate in a specific geographic area and requires any insurer that conducts such a survey to report the results of that survey to the Department of Insurance (DOI); 6. Prohibits an insurer from requiring an auto body repair shop to pay for the cost of an insured's rental vehicle or to pay for the towing charges of the insured with respect to an accident as a condition of participating in the insurer's direct repair program; 7. Pursuant to the Automotive Repair Act (Business and Professions Code Section 9880 et seq.), defines "customer" as the person presenting a motor vehicle for repair and authorizing the repairs to that motor vehicle, and explicitly states that customer does not mean an insurer involved in a claim that includes the motor vehicle being repaired. This bill 1. Would provide that, notwithstanding Business and Professions Code Section 9880.1(j), nothing precludes a person, upon filing a claim to initiate repair of a damaged vehicle, from authorizing an insurer to act on his or her behalf to arrange the repairs; 2. Would require the following of any insurer so authorized: a. The insurer would be required to advise the motor vehicle owner at the time he or she files the claim, of his or her right to choose his or her repair dealer, as set forth in Section 758.5 of the Insurance Code; b. The insurer would be required to provide a rental vehicle while the corrective repairs are being completed, if coverage of that type is provided under the insurance policy; c. The owner would have to be provided an opportunity AB 303 (Calderon), Page 3 to inspect and approve the repairs upon their completion; d. The insurer would be required to provide a written warranty that the insurer would, at no cost to the owner, arrange for the correction of any repair that fails to meet generally accepted industry standards as to form, fit, finish, durability, and functionality, as commonly recognized in the automobile repair industry at the time the repairs are made, for as long as the owner owns the repaired vehicle; 3. Would provide that the insured's option to designate his or her insurer to arrange for motor vehicle repairs need not be made at the inception of the insurance policy, and would only need to be made at the time the repairs are needed; 4. Would state that the insured's option to designate the insurer to arrange repairs does not result in the waiver of any other rights the insured may have by law. COMMENTS 1. Purpose of the bill . To remove a provision in existing law that prevents an insurer from acting on behalf of a motor vehicle owner to arrange for the repair of the owner's motor vehicle and, in doing so, to allow Progressive Insurance Companies to offer its Concierge program in California and to allow other insurance companies the option of offering similar types of programs in the state. 2. Background . When a car is damaged in an accident, a vehicle owner currently has two choices. The consumer may either go directly to a body shop of his or her choosing, obtain an estimate, present the estimate to his or her insurance company, and proceed to have the work done; or, the consumer may elect to have repairs done at a shop recommended by his/her insurer. Agreements between auto body shops and insurers are known as direct repair programs (DRPs). Under a DRP, the auto body shop agrees to certain conditions (typically a labor rate AB 303 (Calderon), Page 4 below that which the shop usually charges and a promise to guarantee the work performed) in exchange for being placed on a list of shops to which the insurer will refer customers in the event that the policyholder's vehicle needs auto body work. This bill would authorize a third option by allowing a vehicle owner to delegate the responsibility for having his/her car repaired to his/her insurer. Under this third option, a vehicle owner would take his/her car to a designated drop-off location, leave his/her car to be fixed, receive keys to a rental car, and return to pick up his/her repaired car at a later date. All communications involving the vehicle's repair would be handled between the insurer and the body shop. The third option is currently prohibited in California, pursuant to AB 1079 (Bermudez), Chapter 874, Statutes of 2004. Prior Committee Hearings. In October and November 1999, the Senate Insurance Committee held oversight hearings on auto body repair issues and on abuses that had been reported within the auto body repair industry. Auto body fraud usually involves billing for work that is not done or is done but is not required. Some fraud is due to incompetence and a willingness to cheat. During the hearings, some auto body shops argued that insurers cut costs by demanding that shops work for low labor rates and agree to other concessions in trade for having the insurer refer insureds to do business with favored shops. Insurers said that DRPs keep insurance rates low, while some shops claim that DRPs foster an environment of favoritism and fraud, in which invoices are padded by shops to make up for lower labor rates paid by insurers to DRP shops. Shops argued that there would be less fraud and better service if they competed for customers based on work performance, rather than on connections with insurers. The committee's summary report on the hearings, issued in February 2000 and entitled "Fraud on Wheels," served as the basis for SB 1988 (Speier), Chapter 867, Statutes of 2000. SB 1988, the Anti-Auto Theft and Insurance Fraud Act of 2000, implemented many of the recommendations contained in "Fraud on Wheels." Among its provisions, the bill required BAR to undertake a pilot program to inspect auto bodywork on insured vehicles, determine whether fraud was being AB 303 (Calderon), Page 5 committed, and prepare a report for the Legislature in which it recommended measures to prevent auto body fraud. The bill also prohibited insurers from requiring auto body shops to pay for an insured's rental or towing charges and required DOI to maintain a record of auto body shop reports of denial by insurers to participate in DRPs. In September 2003, BAR issued the report required by SB 1988. In its report, BAR stated that, of the vehicles it inspected, 42% had parts or labor listed on the invoice that were not actually supplied or performed. The average dollar amount of overbilling was $811.93. The report stated that insureds benefited from BAR's efforts to mediate complaints filed during the pilot program. BAR was successful in securing offers of more than $500,000 in direct refunds, rework of the vehicle, or adjustments to the bill by auto body repair facilities on behalf of consumers. The Senate Insurance Committee held another auto body repair hearing in October 2002, during which the issue of insurers trying to steer policyholders to favored shops arose. The 2002 hearing led to SB 551 (Speier), Chapter 791, Statutes of 2003. SB 551 prohibited insurers from requiring that an automobile be repaired at a specific automotive repair dealer and prohibited insurers from suggesting or recommending that an automobile be repaired at a specific automotive repair dealer unless the claimant requested the referral or the claimant was informed, in writing, of his or her rights. If the claimant chose an automotive repair dealer suggested or recommended by the insurer, SB 551 prohibited the insurer from limiting or discounting the reasonable repair costs. Despite enactment of SB 551, disputes between insurers and shops continued throughout 2004. On October 6, 2004, DOI issued a letter to insurers and the California Autobody Association seeking to clarify how DOI was interpreting the mandates of SB 1988 and SB 551. The letter from Tony Cignarale, Chief, Consumer Services Division, stated that when an insurer and a policyholder-selected shop disagree on a repair cost, the insurer, if it chooses to reasonably adjust the written estimate, must demonstrate that the work estimate is unreasonable. The letter goes on to state that an insurer cannot prove unreasonableness if a labor rate survey has not been conducted. DOI is currently in the process of updating its regulations regarding to labor rate AB 303 (Calderon), Page 6 surveys in order to better specify how labor market surveys may be conducted. Helping the "Mechanically Challenged." Many of those in favor of this bill characterize it as a no-hassle way of getting a car fixed. Many of those in opposition assert that consumers will be relinquishing important control over the repairs made to their vehicles by delegating the responsibility for interacting with repair shops to their insurance companies. Although none of the letters received on this bill addressed vehicle owners' knowledge about their cars or vehicle repairs, the sophistication of vehicle owners about the repairs being made to their vehicles lies at the crux of this bill. People who know very little about cars and repairs may, arguably, be more likely to choose an option such as the one offered by AB 303 because they may be intimidated by the prospect of selecting an auto body repair shop, don't know what questions to ask, not have the time to shop for a good repair shop, etc. Those who assert that the option offered by this bill prevents vehicle owners from interacting with auto body shops may also be overlooking the value that is offered to those who will choose the option because these consumers may not want to interact with auto body shops. In sum, a key public policy issue posed by this bill is whether the service that it would authorize protects consumers who are "mechanically challenged" or whether it sets up a dynamic in which these consumers may be more easily subjected to fraudulent practices. While arguments against this bill concern a diminution of the right of consumers to choose a repair shop, a deeper concern may arguably be the removal of the consumer from details of the repairs, particularly work that involves installation of safety equipment (bumpers, hoods, etc.). Some insurers may require that safety parts be factory-made (Original Equipment of the Manufacturer), while others may not. Without the interface between the consumer and the repair shop, a consumer may not know any details related to key safety equipment and may not even be aware that there are choices. 3. Support. Progressive Insurance Companies asserts that, "AB 303 is necessary to provide California insureds with a AB 303 (Calderon), Page 7 more timely and convenient option for repair of a motor vehicle damaged as a result of an automobile accident or collision. This important option has always been available to California policyholders until the ability to implement such a program was made illegal in California last session?Progressive Insurance Companies has pioneered a consumer oriented program which resolves the many hassles related to having an automobile repaired after an accident or collision. As a result of this program, consumers no longer are required to have three estimates for repairs, arrange for a rental vehicle?Instead, under Progressive's Concierge program the insured, at his or her sole option, drops the car off at Progressive claims center, reviews the damage with a claims representative, and is handed the keys to a rental vehicle. When repairs are complete, the insured returns the rental vehicle to the same location, inspects and approves the repair work, and receives a guaranty for all repair work for as long as they own the vehicle." According to the Personal Insurance Federation of California (PIFC), "AB 303 would simply allow insurers whose customers choose not to deal with the hassles of auto repair a convenient service to repair their vehicles." PIFC also refers to BAR's September 2003 report to the Legislature, in which BAR recommended, "?exploring specific methods and strategies to reduce unfair and illegal practices in the auto collision repair industry." PIFC asserts that AB 303 would allow insurers to help combat and shield their customers from these practices. PIFC also questions why the process of identifying a high quality repairer has to rest solely on the shoulders of the customer. "In the era of increased, high quality service, why should the insurance industry be prohibited from offering its customers the most convenient options available? The sale of auto insurance is an extremely competitive industry. At the end of the day, as long as the auto insurance industry has enough players to remain a competitive market, then insurers will have a vested interesting delivering a higher quality experience from a repair shop in which there is an affiliation." 4. Opposition . Those in opposition (see numerous opponents in AB 303 (Calderon), Page 8 "opposition," below) to this bill assert that it takes away consumer rights and limits the consumer's decision-making process. Many of the comments may be summarized as follows: "All repair decisions on the vehicle will be based upon the best interest of the insurance company, not the insured. This is a clear conflict of interest." The California Motor Car Dealers Association and the Alliance of Automobile Manufacturers believe that AB 303 will give insurance companies the authority to usurp consumers' rights and decision-making authority, thereby granting insurers the authority to make all critical repair decisions. "The insurer that pays the auto repair bill will be the same entity that approves any repair. The financial incentive for insurers to cut corners, install cheap or inferior parts and to rush repairs may prove irresistible." Both trade organizations believe the bill creates the potential for major conflicts of interest. The Consumer Attorneys of California believes that maintaining current law is crucial to ensuring that an insured's interests are adequately protected from possible collusive and unethical insurance practices. Insurance Commissioner John Garamendi is opposed because the insurer would be permitted to have complete control over what shop to repair the vehicle in, what type of parts are acceptable (original equipment manufacturer, aftermarket, used), and would also decide whether the price charged by the shop is appropriate. "This could result in less choice for consumers and may lead to more problems with repairs and repair complaints, as insurers would have a financial incentive to have the vehicle repaired for less money than might reasonably be required to repair the vehicle to its pre-loss condition." Consumers for Auto Reliability and Safety echo the Commissioner's concerns. AB 303, "?would allow insurers, who have an inherent conflict of interest, to take too much control over the auto repair process away from consumers. While we understand the desire to consumers to have more convenience in auto repair, this is a fundamentally flawed approach." Attorney General (AG) Lockyer is opposed to the bill, unless it is amended. The AG believes that the proposed warranty AB 303 (Calderon), Page 9 provision has practical problems that may make the warranty more illusory than an actual remedy for consumers. "The problem inherent in this type of warranty is showing that the initial work was substandard and that the warranty should be honored." The AG also believes that the warranty should include diminution in value. "This issue will arise when an inspection performed in the future by a prospective buyer of the used vehicle reveals that shoddy repairs were performed and undesirable replacement parts were used." Two of the AG's other concerns - that the word "safety" should be included in subdivision (4) along with the terms "form, fit, finish, durability and functionality" and that the insurer provide the vehicle owner a copy of the final repair order, a summary of all the work that was done on the vehicle, a listing of parts used to repair the vehicle, and the name, address, and phone number of the shop that worked on the vehicle - are included below in the "Suggested Amendments" section. Additional language is also proposed by staff within that proposed amendment. 5. Questions . a. Should the State of California prevent its residents from voluntarily contracting for the type of service described by this bill? b. Can consumers protect their interests-- do they even need the help of the State of California--- in these types of transactions? c. Would most consumers recognize if they had been cheated? For example, should the bill be amended as follows: i. Add safety to the list of items the insurer must warranty? ii. Clarify whether used or refurbished parts may be ordered by the insurer on behalf of the consumer, without the consumer being aware of it? iii. Clarify when an insurer may order after-market parts or when the insurer is required to use original manufacturer specified parts? AB 303 (Calderon), Page 10 iv. Require that insurers inform vehicle owners of the name, address, and phone number of the shop that worked on their vehicle and give owners a copy of the final repair order, including a list of everything that was found wrong with the vehicle, a summary of all of the work that was done on the vehicle, and a list of the parts that were used to repair their vehicle? 6. Suggested Amendments . a. The language of this bill strictly mentions insurers and never mentions auto repair dealers. The bill is written within the Business and Professions Code because the bill that this legislation seeks to amend was written within that code. The Senate Business and Professions Committee advised this committee's staff that remedies under the proposed statute would rest with the Bureau of Automotive Repair (BAR) and would likely be administrative in nature. However, the BAR does not regulate insurance companies . It appeared to staff of the Senate Judiciary Committee that the remedy for violations of this proposed statute could also be through a Business and Professions Code Section 17200 suit, assuming that stricter standing and harm requirements of Prop. 64 can be met. That cause of action would rely upon some showing of harm to an individual that the individual would seek an attorney to deal with the insurer, and perhaps a class action. Staff of the Banking, Finance and Insurance Committee recommend that the language of this bill be made clearly enforceable through the traditional regulatory mechanism of a DOI market conduct examination . This can be accomplished by first making an amendment to the Business and Professions Code, and then to the Insurance Code, as follows: Amend Business and Professions Code Section 9880.1 (j) as follows: (j) "Customer" means the person presenting a motor vehicle for repair and authorizing the repairs to that motor AB 303 (Calderon), Page 11 vehicle. "Customer" shall not mean the automotive repair dealer providing the repair services or an insurer involved in a claim that includes the motor vehicle being repaired or an employee or agent or a person acting on behalf of the dealer or insurer. Notwithstanding this definition of "customer," an insurer may act in the manner prescribed in Insurance Code Section 758.5 (f). Amend Section 758.5 (the law governing insurers and direct repair programs) as follows: 758.5 - Same language as in current law for subdivisions a - e, and then append the language of this bill as subdivision (f). Existing subdivision (f) should be renumbered as (g). Existing subdivision (f) (newly renumbered as (g) through the proposed amendment) makes violations of the law on direct repair programs by insurers a regulatory matter under the Unfair Claims Practices Act. Thus, after amended as suggested by staff, AB 303 would become enforceable by the DOI through its normal market conduct examinations process. b. On page 2 at line 16, amend (3) as follows: (3) The owner shall be given the name, address, and phone number of the shop that works on his/her vehicle before work commences on the vehicle, a copy of the initial estimate, and the option to decline the use of used or non-original equipment manufacturer parts if the insurer intends them for use, the final repair order, including a list of everything that was found wrong with the vehicle whether or not repaired, a summary of all of the work that was done on the vehicle, a list of the parts that were used to repair the vehicle, and an opportunity for inspection and approval of the repairs upon completion. This amendment is proposed in order for the consumer to have as much knowledge as possible about the repair so that defective, shoddy, used or non-original manufacture parts can be avoided by the consumer. Under this bill, AB 303 (Calderon), Page 12 the normal interface between an auto repair dealer and the consumer is being replaced by the interface between the insurer and the shop. The interface is when questions arise about the types of parts and about whether safety is being compromised by the choice of parts. Given the history of repairs that were subsequently found by BAR to involve fraud (see "Background," above), ignorance of the details of a repair is not necessarily bliss. c. The bill in its current form has the following language on page 3 starting on line 6: The insured's option to designate the insurer to arrange repairs to an insured motor vehicle does not waive any other rights the insured may have by law. The intent appears to be to ensure that "Concierge service" or its look-alikes does not come at the expense of a right otherwise provided in law. According to Senate Judiciary Committee staff, statutory and common law rights can be signed away by the consumer, unless public policy prohibits the waiver. This bill would not prohibit such waivers. Banking, Finance and Insurance Committee staff note that consumers may not understand what rights they sign away, including the right to sue the insurer for bad work by the body shop. This committee's staff therefore recommends that the bill be amended by substituting for the language that currently appears in the bill, the following: "It shall be a violation pursuant to subdivision (staff note: f of Section 758.5 of existing law) for an insurer to request or require that an insured change, alter or waive any legal rights the insured may have under applicable law, or that an insured sign an indemnification agreement that affects the legal rights of the insured." This amendment would clarify that the insurer could not require that a consumer, for example, sue only the auto repair dealer and not the insurer. Such a requirement would become a violation of the Unfair Claims Practices Act (referenced as subdivision (g)), and the DOI could therefore prohibit such an act by an insurer through the market conduct examination process. AB 303 (Calderon), Page 13 d. On page 2 at line 21, after the word "to" insert "safety,". Staff recommends that, as a matter of public policy, turning over your vehicle to someone else to supervise the repairs should mean that the other person is obligated to provide a warranty that the car is safe when returned to you, not merely that it looks nice. Prior legislation a. SB 1988 (Speier), Chapter 867, Statutes of 2000. SB 1988, the Anti-Auto Theft and Insurance Fraud Act of 2000, required BAR to undertake a pilot program to inspect auto bodywork on insured vehicles, determine whether fraud was being committed, and prepare a report for the Legislature in which it recommended measures to prevent auto body fraud. The bill also prohibited insurers from requiring auto body shops to pay for an insured's rental or towing charges and required DOI to maintain a record of auto body shop reports of denial by insurers to participate in direct referral programs. b. SB 551 (Speier), Chapter 791, Statutes of 2003. SB 551 prohibited insurers from requiring that an automobile be repaired at a specific automotive repair dealer and prohibited insurers from suggesting or recommending that an automobile be repaired at a specific automotive repair dealer unless the claimant requested the referral or the claimant was informed, in writing, of his or her rights. If the claimant chose an automotive repair dealer suggested or recommended by the insurer, SB 551 prohibited the insurer from limiting or discounting the reasonable repair costs. c. AB 1079 (Bermudez), Chapter 874, Statutes of 2004. Amended the definition of a "customer" in Business and Professions Code Section 9880.1 to specifically exclude an insurer acting on behalf of a motor vehicle owner. AB 1079 had the effect of prohibiting insurers from offering programs such as the Concierge program offered by Progressive Insurance Companies. d. SB 98 (Murray). Would allow a policyholder to receive a reduced auto insurance premium if the policyholder agrees to have his or her insured vehicle repaired at one of at least three auto body shops that AB 303 (Calderon), Page 14 are within 25 miles of the insured's home or the accident scene and that are recommended by the insurer. POSITIONS Support Progressive Insurance Companies Personal Insurance Federation of California Association of California Insurance Companies Nine letters from individual independent insurance brokers Oppose Alliance of Automobile Manufacturers Consumer Attorneys of California Insurance Commissioner John Garamendi Consumers for Auto Reliability and Safety Department of Justice California Motor Car Dealers Association Advanced Auto Body Center Amato's Auto Body Bellwood Auto Body Services, Inc. Bertolli's Auto Body Shop, Inc. Bostrom's Auto Body California Autobody Association Carmat Collision Center Chico Collision Center, Inc. Critical Car Care and Auto Body, Inc. Elite Autobody & Collision Center Excel Auto Body & Paint Fallbrook Auto Body & Paint FCC Collision Centers Francis Collision Centre Greenwald's Autobody & Frameworks Guanella Auto Body Henry's Collision Auto Body & Paint Inc. Hiller Auto Body & Frame Hugh Piper's Body Shop J & M Auto Body Jim Burke Ford Collision Care Center Jones Collision Center Kraft's Body Shop, Inc. Little Red's Auto Collision & Glass Marco's Auto Body of Monterey Park Montclair Auto Body, Inc. AB 303 (Calderon), Page 15 Moreno Valley Auto Mall Collision Center Norwalk Toyota Palm Springs Classic Auto Body Pan American Body Shop, Inc. Pettinato's Inc. Phil's Auto Body Premier Auto Body Royalty Auto Body, Inc. San Francisco Auto Body & Frame Repair Santa Clara Auto Body Simpkins Auto Body, Inc. Skill Craft Body Shop, Inc. Spectrum Body & Paint Sturken Auto Body Repairs, Inc. Sunroad Collision Center Sutter City Auto Body Yucca Auto Body Fifty three letters from individuals Consultant: Eileen Roush & Brian Perkins (916) 651-4102