Utah Adjuster Regulations
A visual breakdown of the Utah rules an adjuster is tested on — including the exemption that turns on two words, the passing score the state has never published, the claim clocks that live in a rule rather than the statute, and the 2026 act that rewrote public adjusting.
Utah licenses two adjusters — independent and public — and deliberately exempts a third. The company adjuster is defined at § 31A-26-102(1) and never licensed. But the exemption at § 31A-26-201(2)(a) turns on words most summaries drop: it covers a “regular salaried employee of, and not an independent contractor for, an insurer.” It is about employment status, not exclusivity — so a contracted staff adjuster working one carrier's Utah claims full time is not exempt at all.
Two things make Utah unusual on the exam. There is no prelicensing education requirement, and no official source publishes a passing score: the Prometric bulletin reports a “numerical percentage of questions answered correctly” and states no threshold against it, and the word scaled appears nowhere. The circulating 70 percent traces to commercial test-prep sites.
On the job the pattern repeats — the answer is rarely where the question points. § 31A-26-303 splits the general business practice element by subsection, so a single knowing misrepresentation violates while a single slow acknowledgment does not, and § 303(5) then forecloses any private cause of action. § 31A-26-301 contains no deadline at all; every clock lives in R590-190, in calendar days. First-party bad faith sounds in contract, not tort, under Beck — restated by the Court of Appeals in June 2026 — so there are no punitive damages on it. And Chapter 45 of the 2026 General Session rebuilt the entire public adjuster part on 6 May 2026, capping fees at 10 and 20 percent, while also reaching outside the adjuster chapter into the PIP statute and the guaranty association.
The chapter is Title 31A, Chapter 26. § 31A-26-203(1) lets the commissioner license an independent adjuster or a public adjuster — and nothing else. The company adjuster is defined at § 31A-26-102(1) and never licensed.
⚠ The producer exemption at (d) is taught as blanket and is not. It applies only as to (i) a class of insurance the producer is licensed for under § 31A-23a-106 AND (ii) a claim adjusted on the request of an insurer for which the producer is a producer. Fail either limb and the exemption is gone.
Exemption (g) is a list of job titles: photographer, estimator, appraiser, marine surveyor, private detective, engineer, handwriting expert. They are exempt because they gather facts. The moment one negotiates the settlement, the exemption stops.
| Classification — § 31A-26-204 | Exam | Note |
|---|---|---|
| Accident and health | 17-12 | Includes ch. 7 nonprofit health service and ch. 8 HMOs and limited health plans |
| Property and casualty | 17-11 | Includes a surety or other bond |
| Crop | 17-26 | ⚠ Waivable by a national crop program or the FCIC/USDA RMA curriculum |
| Workers’ compensation | 17-27 | A classification, not a separate credential — and P&C does not cover it |
| Title | — | ⚠ Not in § 204’s list. Exists by rule via the Title and Escrow Commission — yet § 206 imposes CE on it |
Utah requires no prelicensing education for any insurance license. And neither the Prometric bulletin nor the Department’s exam page states a cut score. The word “scaled” appears in neither.
| Exam | Questions | Time |
|---|---|---|
| 17-11 Adjuster’s Property and Casualty | 100 | 2 hours |
| 17-12 Adjuster’s Accident and Health | 100 | 2 hours |
| 17-26 Adjuster’s Crop | 60 | 1 hour |
| 17-27 Adjuster’s Workers Compensation | 60 | 1 hour |
Fingerprinting is a COST PASS-THROUGH, which is why three official sources disagree. § 31A-26-203(3)(e) directs the Department to charge “a fee equal to the aggregate” of the state and federal costs. Schedule: $15.00 BCI + $13.25 FBI. Prometric bulletin: $12 FBI / $20 BCI plus a $6 processing fee. Budget $28–$38.
§ 31A-26-202(4) waives the license fee entirely for a service member stationed in Utah, and for the spouse of a service member or of a DOD civilian, on a current out-of-state license in good standing.
§ 31A-26-303 has not been amended since 1987. § 31A-26-301 contains no numbers at all. Every operative deadline is in R590-190, and every one of them is in calendar days.
The private remedy in Utah is the common-law bad faith claim — a different claim, from a different source, on a different standard.
| R590-190 clock | Days | What it requires |
|---|---|---|
| Acknowledge notice of loss | 15 | Excused if payment is made in 15 days, or the failure is reasonably explained |
| Substantive response to a claimant | 15 | R590-190-6 |
| Forms and instructions | 15 | Supplied on receiving notice of loss |
| Accept or deny | 30 | After a COMPLETE proof of loss — unless the investigation cannot reasonably be completed |
| Extension notice | 30 | “giving the reasons more time is needed” |
| Continuing updates | 45 | And every 45 thereafter — excused if the claimant has counsel or a PUBLIC ADJUSTER |
| Limitations notice | 60 | ⚠ Before expiry, to unrepresented FIRST AND THIRD PARTY claimants |
| Pay a first party claim | 30 | From proof of loss where liability is reasonably clear |
| Deliver the amount owed | 30 | First or third party |
| Auto total loss reopen | 30 | If the claimant cannot buy a comparable vehicle at the settlement amount |
Read it with the rest of R590-190-9, which makes it an unfair practice to mislead a claimant about the limitations period and to “advise a claimant not to obtain the services of an attorney.” ⚠ And the first-party clock runs from the INCEPTION OF THE LOSS — so on a late-reported claim the 60-day trigger may already be close.
R590-190-12 (auto): no refusing to disclose policy limits on request, and no releases printed on the back of a check.
This is the inversion a national course gets wrong. Beck v. Farmers Insurance Exchange, Docket 18926 (Utah, 12 June 1985) — and it was restated by the Court of Appeals on 19 June 2026.
No punitive damages. Consequential damages yes, where within the parties’ contemplation. Damages not capped at policy limits. Emotional distress only “in unusual cases”.
A fiduciary-style standard, justified by the insurer’s control of the defense and the settlement decision. The exposure is the excess judgment against the insured.
The three Beck duties: diligently investigate the facts · fairly evaluate the claim · act promptly and reasonably in rejecting or settling it.
The defense is FAIRLY DEBATABLE: “when a claim is fairly debatable, the insurer is entitled to debate it, whether the debate concerns a matter of fact or law.” The debate must be real — and the file is what shows it.
⚠ And citation fields fail here too. One national database prints a 2001 Utah Supreme Court opinion under a 1989 reporter volume — impossible on its face. Cite docket number, court and decision date.
Against: Beck makes the first-party duty contractual, and the adjuster is not a party to the contract. § 303(5) removes any statutory hook. § 31A-26-312(3) channels adjuster misconduct into administrative penalties.
For: § 31A-26-312 opens “an independent adjuster or public adjuster may not” — Utah regulates the individual directly, and Part 4 does the same. A plaintiff would argue an independent misrepresentation duty survives.
The absence of a holding is not protection. It means the question is decided on the file.
| § 31A-21-313 — time to sue | Period | The catch |
|---|---|---|
| First party, written policy | 3 years | ⚠ From the INCEPTION OF THE LOSS — not from denial, not from breach |
| Personal injury protection | 4 years | An outlier, at § 31A-22-307(7)(a) — in the motor vehicle chapter, not here |
| Fidelity bond | 3 years | Inception runs from the first denial |
| Shortening by policy | VOID | A policy may not shorten it, may not fix venue, may not bar suit |
| During appraisal or arbitration | TOLLED | § 313(5) — the clock stops |
| Before proof of loss + 60 days | PREMATURE | No suit until the earliest of 60 days after proof, waiver, or denial of full payment |
⚠ BUT § 31A-26-312(2): subsection (1)(c) “may not be construed to prohibit an independent adjuster or public adjuster from recommending a specific attorney to an insured.” The recommendation is protected. The consideration is not.
Effective 6 May 2026. It rewrote §§ 31A-26-401 to -407, amended § 31A-26-301, and also amended the PIP statute § 31A-22-309 and the guaranty association definition at § 31A-28-203. A sweep scoped to the adjuster chapter would have missed the last two.
| § 31A-26-402 — public adjuster fees | Cap | Note |
|---|---|---|
| Catastrophic claim settlement | 10% | Both sources agree |
| Non-catastrophic claim settlement | 20% | ⚠ The Department’s own 2026 summary page says 15% — that is the bill as introduced |
| Insurer pays limits within 72 hours | NO % | Time-and-expense compensation only — a fee forfeiture keyed to insurer speed |
| Before settlement of the claim | $0 | No fee, retainer, compensation, deposit or thing of value |
The contract must be on a form filed with the department, executed in duplicate, with a signed copy to the insured at the time of signing — and the compensation provision may not be redacted from the filed form. The INSURER must then verify the adjuster’s license and document the claim file.
⚠ And the right dies early: it “does not apply if prior to the rescission the public adjuster has effected an acceptable settlement of the claim.” A fast-settling adjuster extinguishes it.
§ 31A-26-401 (2026): on rescission the adjuster returns anything of value within 15 BUSINESS days.
Enacted forty years apart. Never harmonized. Count each on its own terms.
⚠ It never says how long to keep any of it. A caption is not operative text.
| Elsewhere in ch. 45 and around it | Figure | Where |
|---|---|---|
| PIP reimbursement return | 15 business days | ⚠ The notice clause says 15 days, the operative clause says 15 BUSINESS days — same act |
| Guaranty per-claim cap | $300,000 | § 31A-28-207(1)(b) — unchanged by ch. 45 |
| Guaranty claimant deductible | NONE | ⚠ Utah dropped the model act’s $100 — it survives only as a floor on unearned premium, capped at $10,000 |
| Guaranty aggregate | $10,000,000 | Per insured and affiliates |
| Net worth exclusion | >$25,000,000 | Amended by ch. 45 — § 31A-28-203(4)(b)(iv) |
| Fraud reporting | 90 days | By INSURERS, not adjusters personally — through NICB, NAIC or department email |
| Fraud warning statement | NOT REQUIRED | ⚠ §§ 31A-31-101 to -112 enumerated — no legend anywhere |
| Fraud civil penalty | 3× | The value improperly sought — and no criminal action is required first |
2. NO PRELICENSING, AND NO PUBLISHED PASSING SCORE. Utah reports a percentage, not a scaled score, and states no threshold.
3. EMERGENCY LICENSE: APPLY WITHIN A WEEK OF BEGINNING. 90 days, extendable by 90 — before expiry.
4. § 303(2) NEEDS NO GENERAL BUSINESS PRACTICE; § 303(3) DOES. Name the subsection.
5. § 303(5) — NO PRIVATE CAUSE OF ACTION. The remedy is Beck, not the statute.
6. FIRST PARTY = CONTRACT. THIRD PARTY = TORT. No punitives on the first-party claim.
7. THREE YEARS FROM THE INCEPTION OF THE LOSS, and a policy may not shorten it.
8. ALL R590-190 CLOCKS ARE CALENDAR DAYS. 15 / 30 / 45 / 60.
9. THE 50% BAR — combined fault must EXCEED the plaintiff’s, so 50/50 recovers nothing.
10. NO SALVAGE PERCENTAGE, NO STANDARD FIRE POLICY, NO VALUED POLICY LAW, NO FRAUD WARNING. Four negatives, all proved by enumeration.
Ten situations drawn from the places Utah answers a national assumption backwards, hides a duty in a rule rather than the statute, or moved a number in 2026 that most published material has not caught up with. Each explanation names the trap and says why the plausible wrong answer is wrong.
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