§431:9-105 - Definitions.
§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]