§431:9-105 - Definitions. - Hawaii Statutes

     §431:9-105  Definitions.  As used in this article, unless the context otherwise requires:

     "Adjuster":

     (1)  Means any individual who:

         (A)  Acts solely on behalf of either the insurer or the insured, as an independent contractor or as an employee of an independent contractor; and

         (B)  Investigates for, reports to, or adjusts for the individual's principal relative to claims arising under insurance contracts; but

     (2)  Does not include an individual who is:

         (A)  An attorney at law who adjusts insurance losses from time to time incidental to the practice of the attorney's profession;

         (B)  An adjuster of marine losses;

         (C)  A salaried employee of an insurer or salaried employee of an adjusting corporation or an association owned or controlled by an insurer; or

         (D)  An individual who acts for a self-insurer or for an insured that administers its own group insurance contract.

     "Independent adjuster" means an adjuster representing the interests of the insurer.

     "Independent bill reviewer":

     (1)  Means any individual who:

         (A)  Acts solely on behalf of either the insurer as an independent contractor or as an employee of an independent contractor; and

         (B)  Reviews or audits billings for medical services; but

     (2)  Does not include an individual who is:

         (A)  A salaried employee of an insurer or salaried employee of an adjusting corporation or an association owned or controlled by an insurer; or

         (B)  A database provider for the insurer.

     "Public adjuster" means an adjuster employed by and solely representing the financial interests of the insured named in the policy.  [L 1987, c 347, pt of §2; am L 1997, c 83, §2; am L 2000, c 182, §8; am L 2002, c 155, §21; am L 2006, c 154, §14]