33-18-233. Administrative penalty for failure to pay promptly. (1) The commissioner may, after a hearing, impose an administrative fine as provided in 33-1-317 on an insurer if the commissioner finds that the insurer as a general course of business practice in this state fails to:
(a) use due diligence in processing all claims;
(b) pay claims in a timely manner;
(c) provide proper notice, when required, with respect to the reasons for the insurer's failure to make claim payments when due;
(d) pay, without just cause, proper claims arising under coverage provided by its policies, whether the claims are in favor of an insured, in favor of a third person with respect to the liability of an insured to the third person, or in favor of any other person entitled to the benefits of a policy; or
(e) pay interest pursuant to 33-18-232(2).
(2) If an insurer can demonstrate that it has consistently paid 90% of the total dollar amount outstanding in claims to each claimant within 20 working days and all of the amount within 30 working days of receipt of claims during the 6-month period immediately preceding the hearing date, the insurer is not subject to the fine described in subsection (1).
History: En. Sec. 3, Ch. 300, L. 1983; amd. Sec. 3, Ch. 378, L. 2003.
Structure Montana Code Annotated
Title 33. Insurance and Insurance Companies
Chapter 18. Unfair Trade Practices
Part 2. Insurer's Relations With Insured and Claimant
33-18-201. Unfair claim settlement practices prohibited
33-18-202. Misrepresentation and false advertising of policies prohibited
33-18-203. False or deceptive advertising prohibited
33-18-204. Twisting prohibited
33-18-205. Filing or publishing false financial statements or making false entries prohibited
33-18-206. Unfair discrimination prohibited -- life insurance, annuities, and disability insurance
33-18-209. Exceptions to discrimination and rebates provision
33-18-211. Stock operations and advisory board contracts
33-18-212. Illegal dealing in premiums -- improper charges for insurance
33-18-213. Extension of credit to policyholder
33-18-215. Postclaim underwriting prohibited -- condition
33-18-216. Unfair discrimination against victims of abuse prohibited
33-18-218. through 33-18-220 reserved
33-18-221. Designation of specific repair shops prohibited -- lists allowed
33-18-223. Prohibited activities -- glass broker defined
33-18-224. Designation of specific automobile body repair businesses prohibited
33-18-225. Designation of specific car rental business prohibited
33-18-226. through 33-18-230 reserved
33-18-231. State administrative process to provide timely payment of medical benefits -- definitions
33-18-232. Time for payment of claims
33-18-233. Administrative penalty for failure to pay promptly
33-18-234. Right of privacy guaranteed
33-18-235. Rulemaking authority
33-18-236. through 33-18-240 reserved
33-18-242. Independent cause of action -- burden of proof
33-18-243. and 33-18-244 reserved