Guam § 15904 - Exceptions to License Requirement.

§ 15904. Exceptions to License Requirement.

The definition of adjuster shall not be deemed to include, and

a license as an adjuster shall not be required of the following:

(a) attorneys-at-law admitted to practice on Guam,

when acting in their professional capacity as an attorney;

(b) a person employed solely to obtain facts surrounding

a claim or to furnish technical assistance to a licensed

adjuster;

(c) an individual who is employed to investigate

suspected fraudulent insurance claims but who does not

adjust losses or determine claims payments;

(d) a person who solely performs executive,

administrative, managerial or clerical duties, or any

combination thereof, and who does not investigate, negotiate

or settle claims with policyholders, claimants or their legal

representative;

(e) a licensed health care provider or any of its

employees who provides managed care services so long as

the services do not include the determination of

compensability;

(f) a managed care organization or any of its employees

or an employee of any organization providing managed care

services so long as the services do not include the

determination of compensability;

(g) a person who settles only reinsurance or subrogation

claims;

(h) an officer, director, manager, or employee of an

authorized insurer, surplus lines insurer, a risk retention

group, or an attorney-in-fact of a reciprocal insurer;

(i) a U.S. Manager of the United States branch of an

alien insurer;

(j) an employee who coordinates with a licensed

adjusting firm acting as a Third-Party Administrator (TPA)

for a self-insured arrangement, and who does not engage in

the direct adjustment of claims;

(k) a licensed insurance producer, attorney-in-fact of a

reciprocal insurer, or a managing general agent of the insurer

to whom claim authority has been granted by the insurer; or

(l) an “appraiser” who is employed by an insurer

specifically for the purpose of valuing damage resulting from

claims related to a declared “catastrophe” to alleviate the

immediate and substantial workload placed on the licensed

adjusting staff due to the effects of a catastrophe.