AB773: Bill Text

Timely payment of claims

This bill changes the interest rate that an insurer must pay for overdue insurance claims from 12 percent to the Federal Reserve Board's bank prime loan rate on January 1 of the year in which the insurer is furnished written notice of the fact of a covered loss plus 1 percent. Current law requires an insurer to promptly pay every insurance claim and, generally, a claim is considered overdue if the claim is not paid within 30 days after the insurer has written notice of the fact and amount of a covered loss.

For further information see the state fiscal estimate, which will be printed as an appendix to this bill.

The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:

AB773,1 Section 1. 100.56 of the statutes is created to read:

AB773,4,2 100.56 Consumer lawsuit lending. (1) In this section:

AB773,4,4 (a) “Consumer" means an individual who is or may become a plaintiff or claimant or demandant in any dispute.

AB773,4,6 (b) “Consumer lawsuit lender" means any person that engages in consumer lawsuit lending.

AB773,4,7 (c) “Consumer lawsuit lending" means any of the following:

AB773,4,11 1. Providing money to any consumer, for the consumer to use for any purpose other than prosecuting the consumer's dispute, with repayment of the money conditioned on and derived from the consumer's proceeds of the dispute, regardless of whether these proceeds result from a judgment, settlement, or other source.

AB773,4,14 2. Purchasing from any consumer a contingent right to receive a share of the potential proceeds of the consumer's dispute, regardless of whether these proceeds result from a judgment, settlement, or other source.

AB773,4,15 (d) “Dispute" means any of the following:

AB773,5,1 1. Any civil action.

AB773,5,2 2. Any alternative dispute resolution proceeding.

AB773,5,4 3. Any administrative proceeding before any agency or instrumentality of the state.

AB773,5,6 (2) (a) A consumer lawsuit lender may charge or contract for interest in a consumer lawsuit lending transaction at a rate not exceeding 18 percent per year.

AB773,5,10 (b) A consumer lawsuit lending transaction may be prepaid by the consumer at any time in whole or in part. Upon prepayment of the consumer lawsuit lending transaction in full by cash, renewal, or refinancing, the consumer is entitled to a refund of unearned interest charged, which shall be determined as follows:

AB773,5,18 1. On a consumer lawsuit lending transaction that is repayable in substantially equal, successive installments at approximately equal intervals of time and the face amount of which includes predetermined interest charges, the amount of the refund shall be as great a proportion of the total interest charged as the sum of the balances scheduled to be outstanding during the full installment periods commencing with the installment date nearest the date of prepayment bears to the sum of the balances scheduled to be outstanding for all installment periods of the consumer lawsuit lending transaction.

AB773,5,23 2. On any consumer lawsuit lending transaction other than one under subd. 1., the amount of the refund shall not be less than the difference between the interest charged and interest, at the rate contracted for, computed upon the unpaid principal balances of the consumer lawsuit lending transaction from time to time outstanding prior to prepayment in full.

AB773,5,25 (3) (a) The term of a consumer lawsuit lending transaction may not exceed 36 months.

AB773,6,3 (b) The maximum total annual fee charged by a consumer lawsuit lender in a consumer lawsuit lending transaction, including any underwriting fee, organization fee, or other fee or charge, may not exceed $360 per year.

AB773,6,6 (4) (a) A consumer lawsuit lender may not enter into a consumer lawsuit lending transaction unless there is a written agreement between the consumer lawsuit lender and the consumer that includes all of the following:

AB773,6,8 1. The rate of interest agreed upon in terms either of simple interest computed on the declining principal balance or of the actual interest cost in money.

AB773,6,11 2. A statement that the consumer lawsuit lending transaction may be prepaid in full or in part and that, if the consumer lawsuit lending transaction is prepaid in full, the consumer may receive a refund of interest charged.

AB773,6,16 3. On the front page of the agreement, a disclosure of the amount of money to be provided to the consumer and the total amount of money to be assigned by the consumer to the consumer lawsuit lender, described in 6-month intervals for a total period of 36 months, along with an itemization of all one-time fees to be charged to the consumer.

AB773,6,21 4. A provision that the consumer may cancel the agreement, without penalty or further obligation, within 5 business days after entering into the consumer lawsuit lending transaction if, during this period, the consumer returns to the consumer lawsuit lender either the lender's unnegotiated check or all money provided to the consumer as well as notice of cancellation.

AB773,6,25 5. A provision that the consumer lawsuit lender has no right to, and will not, make any decisions with respect to the conduct of the dispute or any settlement or resolution of the dispute and that those decisions remain solely with the consumer and the consumer's attorney.

AB773,7,3 6. A provision that the consumer lawsuit lender has no right to participate in the prosecution of the dispute or to obtain documents or evidence connected with the dispute.

AB773,7,8 7. A provision that the consumer lawsuit lender accepts only an assignment of an amount of the potential proceeds from the dispute and does not accept an assignment of the consumer's legal claim. This provision shall also specify that the consumer lawsuit lender has no right to pursue the consumer's legal claim on behalf of or in lieu of the consumer.

AB773,7,16 8. A provision that the consumer lawsuit lender may be paid only from the consumer's proceeds of the dispute. This provision shall also specify that the consumer does not owe the consumer lawsuit lender anything if there is no recovery by the consumer in the dispute unless the consumer violates the terms of the agreement. This provision shall also specify that, if there are insufficient proceeds to pay the consumer lawsuit lender in full, the consumer lawsuit lender may be paid only to the extent that there are available proceeds from the dispute, unless the consumer violates the terms of the agreement.

AB773,7,19 9. A provision that, if the consumer is represented by an attorney, any proceeds from the dispute paid to the consumer lawsuit lender may be paid only from the trust account of the consumer's attorney.

AB773,7,22 (b) Each provision or disclosure required under this subsection shall be in boldface type and of a type size no smaller than 12-point, except that the provision under par. (a) 8. shall be of a type size no smaller than 15-point.

AB773,7,25 (5) (a) In this subsection, “health care provider" has the meaning given in s. 146.81 (1), but also includes any individual licensed or certified in another state for the same or equivalent profession.

AB773,8,4 (b) A consumer lawsuit lender may not pay or offer to pay commissions or referral fees to any attorney or employee of a law firm, or to any health care provider or employee of a health care provider, for referring a consumer to the consumer lawsuit lender.

AB773,8,7 (6) (a) Except as provided in par. (b), any consumer lawsuit lender that violates this section is subject to a forfeiture of not less than $25 nor more than $5,000 for each violation.

AB773,8,11 (b) It is a defense to a violation of this section if the consumer lawsuit lender establishes that the violation was the result of an unintentional good faith error and, at the time of the violation, the consumer lawsuit lender had in place policies or procedures designed to achieve compliance with this section.

AB773,2 Section 2. 138.04 of the statutes is amended to read:

AB773,8,18 138.04 Legal rate. The rate of interest upon the loan or forbearance of any money, goods, or things in action shall be $5 upon the $100 for one year and according to that rate for a greater or less sum or for a longer or a shorter time; but parties may contract for the payment and receipt of a rate of interest not exceeding the rate allowed in ss. 100.56 (2) (a), 138.041 to 138.056, 138.09 to 138.14, 218.0101 to 218.0163, or 422.201, in which case such rate shall be clearly expressed in writing.

AB773,3 Section 3. 177.30 (6) of the statutes is created to read:

AB773,8,24 177.30 (6) The administrator may not enter into a contract or other agreement to allow any person to engage in an audit on a contingent fee basis of another person's documents or records as part of an effort to administer this chapter or to purchase information or documents arising from the audit, except that this subsection does not apply to information received from the federal government.

AB773,4 Section 4. 218.0125 (7) of the statutes is amended to read:

AB773,9,14 218.0125 (7) A claim made by a franchised motor vehicle dealer for compensation under this section shall be either approved or disapproved within 30 days after the claim is submitted to the manufacturer, importer or distributor in the manner and on the forms the manufacturer, importer or distributor reasonably prescribes. An approved claim shall be paid within 30 days after its approval. If a claim is not specifically disapproved in writing or by electronic transmission within 30 days after the date on which the manufacturer, importer or distributor receives it, the claim shall be considered to be approved and payment shall follow within 30 days. A manufacturer, importer or distributor retains the right to audit claims for a period of one year after the date on which the claim is paid and to charge back any amounts paid on claims that are false or unsubstantiated. If there is evidence of fraud, this subsection does not limit the right of the manufacturer to audit for longer periods and charge back for any fraudulent claim, subject to the limitations period under s. 893.93 (1) (1m) (b).

AB773,5 Section 5. 218.0126 of the statutes is amended to read:

AB773,9,25 218.0126 Promotional allowances. A claim made by a franchised motor vehicle dealer for promotional allowances or other incentive payments shall be either approved or disapproved within 30 days after the claim is submitted to the manufacturer, importer or distributor in the manner and on the forms the manufacturer, importer or distributor reasonably prescribes. An approved claim shall be paid within 30 days after its approval. If a claim is not specifically disapproved in writing or by electronic transmission within 30 days after the date on which the manufacturer, importer or distributor receives it, the claim shall be considered to be approved and payment shall follow within 30 days after approval. A manufacturer, importer or distributor retains the right to audit a claim for a period of 2 years after the date on which the claim is paid and to charge back any amounts paid on claims that are false or unsubstantiated. If there is evidence of fraud, this section does not limit the right of the manufacturer to audit for longer periods and charge back for any fraudulent claim, subject to the limitations period under s. 893.93 (1) (1m) (b).

AB773,6 Section 6. 426.110 (4m) of the statutes is created to read:

AB773,10,8 426.110 (4m) Actions commended under this section shall be conducted in accordance with the procedures set forth in s. 803.08.

AB773,7 Section 7. 426.110 (5) to (13) of the statutes are repealed.

AB773,8 Section 8. 426.110 (16) of the statutes is amended to read:

AB773,10,13 426.110 (16) The administrator, whether or not a party to an action, shall bear the costs of notice except that the administrator may recover such costs from the defendant as provided in sub. (11).

AB773,9 Section 9. 628.46 (1) of the statutes is amended to read:

AB773,11,7 628.46 (1) Unless otherwise provided by law, an insurer shall promptly pay every insurance claim. A claim shall be overdue if not paid within 30 days after the insurer is furnished written notice of the fact of a covered loss and of the amount of the loss. If such written notice is not furnished to the insurer as to the entire claim, any partial amount supported by written notice is overdue if not paid within 30 days after such written notice is furnished to the insurer. Any part or all of the remainder of the claim that is subsequently supported by written notice is overdue if not paid within 30 days after written notice is furnished to the insurer. Any payment shall not be deemed overdue when the insurer has reasonable proof to establish that the insurer is not responsible for the payment, notwithstanding that written notice has been furnished to the insurer. For the purpose of calculating the extent to which any claim is overdue, payment shall be treated as being made on the date a draft or other valid instrument which is equivalent to payment was placed in the U.S. mail in a properly addressed, postpaid envelope, or, if not so posted, on the date of delivery. All overdue payments shall bear simple interest at the annual bank prime loan rate of 12 percent per year as reported by the federal reserve board in federal reserve statistical release H. 15 in effect on January 1 of the year in which the insurer is furnished written notice of the fact of a covered loss, plus 1 percent.

AB773,10 Section 10. 801.01 (2) of the statutes is amended to read:

AB773,11,14 801.01 (2) Scope. Chapters 801 to 847 govern procedure and practice in circuit courts of this state in all civil actions and special proceedings whether cognizable as cases at law, in equity or of statutory origin except where different procedure is prescribed by statute or rule. Chapters 801 to 847 shall be construed , administered, and employed by the court and the parties to secure the just, speedy and inexpensive determination of every action and proceeding.

AB773,11 Section 11. 802.06 (1) of the statutes is renumbered 802.06 (1) (a).

AB773,12 Section 12. 802.06 (1) (b) of the statutes is created to read:

AB773,11,21 802.06 (1) (b) Upon the filing of a motion to dismiss under sub. (2) (a) 6., a motion for judgment on the pleadings under sub. (3), or a motion for more definite statement under sub. (5), all discovery and other proceedings shall be stayed during the pendency of the motion unless the court finds good cause upon the motion of any party that particularized discovery is necessary.

AB773,13 Section 13. 803.08 (1) of the statutes, as affected by Supreme Court Order 15-06, is renumbered 803.08 (1) (intro.) and amended to read:

AB773,12,6 803.08 (1) Class actions may be maintained action prerequisites . (intro.) When the question before the court is one of a common or general interest of many persons or when the parties are very numerous and it may be impracticable to bring them all before the court, one One or more members of a class may sue or defend for the benefit of the whole, except that no claim may be maintained against the state or any other party under this section if the relief sought includes the refund of or damages associated with a tax administered by the state. be sued as representative parties on behalf of all members only if all of the following apply:

AB773,14 Section 14. 803.08 (1) (a) to (e) of the statutes are created to read:

AB773,12,9 803.08 (1) (a) The class is so numerous that joinder of all members is impracticable.

AB773,12,10 (b) There are questions of law or fact common to the class.

AB773,12,12 (c) The claims or defenses and type and scope of injury of the representative parties are typical of the claims or defenses and type and scope of injury of the class.

AB773,12,14 (d) The representative parties will fairly and adequately protect the interests of the class.

AB773,12,17 (e) The members of the class are objectively verifiable by reliable and feasible means without individual testimony from putative class members and without substantial administrative burden.

AB773,15 Section 15. 803.08 (2) of the statutes, as created by Supreme Court Order 15-06, is renumbered 803.08 (11).

AB773,16 Section 16. 803.08 (3) to (10) of the statutes are created to read:

AB773,12,22 803.08 (3) Types of class actions. A class action may be maintained if sub. (1) is satisfied and if the court finds that any of the following applies:

AB773,12,24 (a) Prosecuting separate actions by or against individual class members would create a risk of one of the following:

AB773,13,3 1. Inconsistent or varying adjudications with respect to individual class members that would establish incompatible standards of conduct for the party opposing the class.

AB773,13,7 2. Adjudications with respect to individual class members that, as a practical matter, would be dispositive of the interests of the other members who were not a party to the individual adjudications or would substantially impair or impede another member's ability to protect his or her interests.

AB773,13,10 (b) The party opposing the class has acted or refused to act on grounds that apply generally to the class, so that final injunctive relief or corresponding declaratory relief is appropriate respecting the class as a whole.

AB773,13,15 (c) The court finds that the questions of law or fact common to class members predominate over any questions affecting only individual members, and that a class action is superior to other available methods for fairly and efficiently adjudicating the controversy. In making this determination, the court shall consider all of the following factors:

AB773,13,17 1. The class members' interests in individually controlling the prosecution or defense of separate actions.

AB773,13,19 2. The extent and nature of any litigation concerning the controversy already begun by or against class members.

AB773,13,21 3. The desirability of concentrating the litigation of the claims in the particular forum.

AB773,13,22 4. The likely difficulties in managing a class action.

AB773,13,25 (4) Certification order. (a) Time to issue. At an early practicable time after a person sues or is sued as a class representative, the court shall determine by order whether to certify the action as a class action.

AB773,14,3 (b) Defining the class; appointing class counsel. An order granting class certification shall define the class, shall identify the class claims, issues, or defenses, and shall appoint class counsel under sub. (13).

AB773,14,5 (c) Altering or amending the order. The order granting or denying class certification may be altered or amended before final judgment.

AB773,14,7 (5) Notice. (a) For any class certified under sub. (3) (a) or (b), the court may direct appropriate notice to the class.

AB773,14,12 (b) For any class certified under sub. (3) (c), the court shall direct to class members the best notice that is practicable under the circumstances, including individual notice to all members who can be identified through reasonable effort. The notice shall state clearly and concisely in plain, easily understood language, all of the following:

AB773,14,13 1. The nature of the action.

AB773,14,14 2. The definition of the class certified.

AB773,14,15 3. The class claims, issues, or defenses.

AB773,14,17 4. That a class member may enter an appearance through an attorney if the member so desires.

AB773,14,19 5. That the court will exclude from the class any member who requests exclusion.

AB773,14,20 6. The time and manner for requesting exclusion from the class.