P.R. Laws tit. 26, § 8057

2019-02-20 00:00:00+00
§ 8057. Investigation, adjustment and resolution of claims

(a) The Joint Underwriting Association shall establish an initial liability determination system that shall facilitate, expedite, and uniform the payment of claims. Said system shall provide a reasonable term to make the liability determination. This system shall not impair the right of claimants to resort to the courts when the initial liability determination system thus allows or when any of the parties involved in a claim intend to obtain a compensation in addition to that paid by virtue of said system.

(b) The initial liability determination system originally drafted shall be reviewed or amended by the Joint Underwriting Association or its Board of Directors. The review or amendments shall be submitted to the consideration of the Commissioner. The amended determination system shall take effect immediately after its adoption by the Commissioner.

(c) The Commissioner may amend the initial liability determination system through the establishment of a taskforce composed of two (2) representatives from the Office of the Insurance Commissioner selected by the Commissioner, two (2) representatives from the Joint Underwriting Association selected by its Board of Directors, and one (1) member independently selected by mutual agreement of the Commissioner and the Joint Underwriting Association.

History —Dec. 27, 1995, No. 253, § 8; Dec. 26, 1997, No. 201, § 4; Dec. 29, 2009, No. 201, § 6.