Total-loss offer too low in California? What the insurer has to show you

General information, not legal advice. This site is not a law firm and does not provide legal services. Laws change and every claim is different. Check the official sources linked below, and talk to a licensed professional about your situation.

The short version

The rule that sets the number

California's Fair Claims Settlement Practices Regulations have a section just for car claims, 10 CCR §2695.8. For a total loss, an insurer that pays cash must base the settlement "upon the actual cost of a 'comparable automobile' less any deductible provided in the policy" (§2695.8(b)(1)).

A comparable automobile is "one of like kind and quality, made by the same manufacturer, of the same or newer model year, of the same model type, of a similar body type, with options and mileage similar to the insured vehicle" (§2695.8(b)(2)). A newer model year can be used only when there aren't enough same-year cars to work with.

Source: 10 CCR §2695.8 text (Cornell LII) · Fair Claims regulations index, CA Dept. of Insurance

The four ways the cost can be figured

Under §2695.8(b)(4), the insurer sets the cost of a comparable car in one of these ways:

  1. The average of two or more comparable cars available in the local market area now or in the last 90 days.
  2. If none were available, the average of two or more quotes from licensed dealers in the local market area.
  3. A computerized valuation service that produces "statistically valid fair market values within the local market area."
  4. If none of those work, another method that is supported by documentation and fully explained to you.

Whichever method it uses, the cost "shall be fully itemized and explained in writing for the claimant at the time the settlement offer is made." The insurer also has to take reasonable steps to make sure the number is "accurate and representative of the market value of a comparable automobile in the local market area."

What should be in the check

Item What §2695.8(b)(1) says
Cost of a comparable car The base of the settlement, figured as above
Your deductible Subtracted, on a claim under your own policy
Sales tax and one-time transfer fees Included, for transferring ownership of a comparable car
License and other annual fees Included, based on the time left on your current registration
Applies even if you don't buy a replacement Yes: "whether or not a replacement automobile is purchased"

Missing tax and fees are one of the easiest things to check. Look for them as separate lines on the valuation.

If you keep the car

If you keep the totaled car, the insurer may subtract its salvage value, set by what a salvage pool, licensed salvage dealer, wholesale auction or dismantler will pay for it. If you ask, it has to give you the name, address and phone number of that buyer. It also has to tell you in writing that keeping the salvage must be reported to the DMV, that this "may affect the loss vehicle's future resale and/or insured value," and that you can ask the DMV for a refund of unused license fees (§2695.8(b)(1)(A)).

How to check the insurer's comparables

Ask for the full valuation report if you don't have it. Then go line by line:

What helps your side

The regulation lets the insurer use asking prices or actual sale prices. If you send asking-price listings, expect the insurer to point out that asking isn't selling, so focus on cars that really match yours.

The 35-day reopen rule (your own policy)

This is the part most people miss. On a first-party total loss, the insurer has to tell you, when it pays or makes its final offer, that if you notify it within 35 calendar days after you receive the payment or final offer that you can't buy a comparable car for the gross settlement amount, it will reopen the claim (§2695.8(c)).

If you do, the insurer must do one of these:

  1. Find a comparable car in the local market area for the gross settlement amount and give you its details, or offer you a replacement car.
  2. Pay you the difference between the gross settlement and the cost of the comparable car you found, or negotiate and buy that car for you.
  3. Invoke the appraisal provision of your policy.

There's one exception: the insurer doesn't have to do any of this if, with its final offer, it already gave you a specific comparable car that was available for that amount, with the seller's phone number or address and the VIN, stock number or plate (§2695.8(c)(4)).

Put your notice in writing, keep a copy, and note the date you got the payment or offer so you know when the 35 days run out.

When it's the other driver's insurer

If someone else caused the crash, you can claim against their liability insurer instead. Two things to know:

While your car is being replaced, you may also be owed loss of use, the reasonable cost of a similar rental for the time reasonably needed to replace it. See loss of use: getting paid for the days without your car.

Also, when liability and damages are reasonably clear, the other driver's insurer may not tell you to claim under your own policy just to avoid paying (§2695.8(d)).

Deadlines the insurer has to meet

Source: 10 CCR §2695.7 text (Cornell LII)

If you still think the offer is too low

  1. Write back with the specific problems: wrong trim, missing options, comparables that aren't local or aren't the same year, unsupported deductions, missing taxes and fees. Attach your own comparables.
  2. Ask for any refusal in writing, with the reason.
  3. On your own policy, check your policy for an appraisal clause and use the 35-day reopen rule if it applies.
  4. Contact the California Department of Insurance if you think the claim is being mishandled. Its consumer line is 1-800-927-4357. CDI, Getting Help
  5. Small claims court against the at-fault driver, for up to $12,500 if you're an individual. The court expects you to ask for the money first. California Courts, Small claims · Ask for the money

The general deadline to sue over damage to a car is 3 years: CCP §338(c)(1).

Common questions

How do insurers value a totaled car in California?

Under 10 CCR 2695.8(b), a cash settlement is based on the actual cost of a comparable automobile, meaning the same make, the same or newer model year, the same model type, a similar body type, and similar options and mileage, available in the local market area within 90 days of the final offer. The cost must be fully itemized and explained in writing when the offer is made.

Does a California total-loss settlement include sales tax and fees?

Yes. 10 CCR 2695.8(b)(1) says the cash settlement must include all applicable taxes and one-time fees to transfer ownership of a comparable car, plus license and other annual fees based on the time left on your current registration. That applies whether or not you buy a replacement.

What if I can't find a comparable car for what my own insurer paid?

For a claim on your own policy, 10 CCR 2695.8(c) says that if you tell the insurer within 35 calendar days after you receive the payment or final offer that you can't buy a comparable car for the gross settlement amount, it must reopen the claim. It then has to find you a comparable car for that amount, pay the difference on one you found (or buy it for you), or invoke the policy's appraisal provision. This doesn't apply if the original offer already named a specific comparable car available for that amount.

Can the insurer deduct for my car's condition?

Only if the documented condition is below average for that year, make and model. Prior or unrelated damage can still be deducted. Every adjustment must be discernible, measurable, itemized and supported, under 10 CCR 2695.8(b)(2).

Do these rules apply when the other driver's insurer totals my car?

10 CCR 2695.8(b)(6) says the valuation standards apply to evaluating third-party total-loss claims too, but don't change existing law about what the insurer owes a third party. Against the at-fault driver, California's jury instruction measures a destroyed car by its fair market value just before the crash (CACI No. 3903K).

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Sources

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