LICENSING
STATUTES
Many
states have statutes which require those individuals investigating the
origin and cause of fires to pass a written examination and to meet other
requirements in order to be licensed and authorized to do business in
the state. The same is true for professional engineers who determine the
cause of fire from an engineering perspective. The statutes vary as to
requirements in order to take the licensure exam, as well as with respect
to the application of statutory exemptions.
WHAT
IMPACT ON THE INSURANCE INDUSTRY?
While
the licensing statutes generally have the laudable purpose of requiring
consistency in the quality of investigations, they do not necessarily
accomplish this purpose. First, in Illinois, for example, fire investigator
licensing is grouped within detective act licensing, with the result that
the testing for fire investigators has little to do with fire investigations.
Second, a high degree of difficulty in format for the state exam may result
in a low percentage passage rate - a good fire investigator with intuitive
skills is not necessarily a good test taker. Finally, without application
and approval for reciprocity (right to use license from one state in another
state), independent investigators may have to test in each state.
Therefore,
insurance companies desiring to work with highly talented independent
fire investigators for use in very large and/or specialized losses may
be hamstrung by licensure statutes. Furthermore, if the licensing requirements
are not understood or heeded, a criminal or civil action can be lost as
the result of court sanctions.
ORIGIN
AND CAUSE OR PROFESSIONAL ENGINEER?
There
may at times be an overlap in the areas of "expertise" of origin and cause
investigators and professional engineers. This overlap must be reconciled
with the prohibitions which may occur by statute, limiting the role of
each to their expertise, or to otherwise face sanctions.
For
example, the Illinois Department of Professional Regulation, which regulates
private detective and professional engineering licensure, has recently
indicated through its prosecution arm that it will strictly prohibit professional
engineers from going beyond their expertise into areas of origin and cause
investigators, and vice versa with respect to origin and cause investigators
testifying as to engineering principles. However, although there are grey
areas in subject matter which might overlap between the two professions,
no specific guidance has been provided by the Illinois Department of Professional
Regulation, or by the Illinois Courts.
This
issue was highlighted in an Ohio court decision, which considered the
issue of whether to allow professional engineers to testify as to the
cause of a fire, in a subrogation action, where the engineers were not
licensed private investigators.3 The plaintiff insurance company's
two professional engineers sought to testify that the fire was caused
by faulty electrical wire installation. The Appellate Court upheld the
barring of one of the engineers because he was not a State of Ohio licensed
professional engineer. However, the court reversed the trial court's barring
of the second expert, who was a licensed professional engineer in Ohio.
In
straining to do so, the Ohio court found that the expert could testify,
reasoning that although he did not fall into the detective act insurance
"employee" exemption, he also did not conduct a personal investigation
of the fire scene, but rather relied upon the reports and observations
of others in forming his opinion as to the cause. The court went on to
warn that unless specifically exempted, professional engineers are required
to have a private investigator's license to investigate the cause of fires.
Perhaps in response to this opinion, the Ohio detective licensing statute
has since been amended to exempt professional engineers retained by insurance
companies.
EXEMPTIONS
UNDER THE LICENSING STATUTES
In
Tennessee, for example, the statute regulating private investigators exempts
insurance companies duly licensed to do business in Tennessee, insurance
agents licensed in Tennessee, and independent adjusters investigating
matters pertaining to an insurance transaction.4 Further, the
exempted investigator must be acting within the scope of his employment
with respect to the investigation. Interestingly, Tennessee has no exemption
for professional engineers under the private investigator statute.
The
Ohio statute states that "public insurance adjusters" who are certified
pursuant to the Ohio statute are exempted when investigating the cause
of a fire with respect to insurance claims.5 Ohio also exempts
professional engineers who are registered pursuant to the code.6
The
Illinois Private Detective Act contains exemptions for insurance adjusters
legally employed or under contract as adjusters who investigate matters
directly connected to the adjustment of claims.7 The Illinois
Detective Act also exempts the practice of professional engineering, as
defined by the Illinois Code.8 Similarly, the Louisiana private
investigator’s act also exempts from licensure requirements, licensed
engineers who investigate the cause of fires.9
Under
the Florida private investigators statute, insurance investigators and
licensed adjusters are exempt from licensing requirements when providing
services within the scope of their license.10 The Florida statute
also exempts "any person who holds a professional license under the
laws of this state when such person is providing services or expert advice
in the profession . . . in which that person is so licensed."11
Seemingly, professional engineers investigating the cause of a fire would
be exempt from private investigator licensing requirements under this
section. The engineering licensure statute must also be examined though.
Texas’
private investigators act similarly exempts from licensure requirements,
registered professional engineers who do not install or service detection
devices or conduct non-engineering investigations, while they are performing
forensic engineering studies.12
Conviction
Of Arsonist Reversed!
An
Illinois state Appellate Court decision in the (southern) 5th District
of Illinois recently reversed the arson conviction of a criminal defendant
because the prosecution's origin and cause expert witness was not a licensed
private investigator in the state, and was therefore held not to be qualified
to investigate the cause of the fire (People v. West13).
The out of state (Indiana) independent investigator had credentials which
apparently otherwise qualified him to testify. The court warned that experts
who investigate fires in violation of the statute are guilty of a Class
4 felony, and may be the subject of contempt of court proceedings for
continued violations.
Interestingly,
the appellate briefs and the opinion in People v. West do not appear
to specifically address the issue as to whether the prosecution's independent
insurance investigator was exempted from licensure. The following exemption
language was applicable at that time: "Insurance adjusters legally
employed as such and who engage in no other investigative activities
other than those connected with adjustment of claims against an insurance
company by whom they are employed." (emphasis provided)
This statutory exemption language has since been amended and clarified
as follows: "legally employed or under contract" (emphasis provided).
While no case law has yet interpreted this new exemption language, or
otherwise discussed it relative to People v. West, it can be argued
that the new exemption language would allow the opposite result
under the factual circumstances in People v. West. In fact, the
Illinois Department of Professional Regulation recently issued a verbal
opinion through its prosecution arm consistent with this argument, as
long as the origin and cause investigator does not testify in the domain
of the professional engineer (same requirement for licensed detectives/investigators).
However, this opinion is not binding on a trial court having a particular
interest in following the spirit of People v. West. This insurance
exemption issue might therefore still be considered to be unsettled in
Illinois.
Another
related issue in Illinois is whether the new exemption language is retroactive,
and therefore applicable to pending cases involving fire investigations
prior to the new language. The retroactivity argument, and a further argument
that the new language simply clarifies the legislature's original intent
to exempt independent investigators retained by insurance companies, are
each compelling.
We
also note with interest that in People v. West, the issue was not
raised as to whether defendant's electrical expert was a licensed
professional engineer in Illinois. Information received from the Illinois
Department of Professional Regulation indicates he was not, but the issue
was not preserved for appeal by the prosecution.
The
West court nevertheless chose to state as follows: "We are not
prohibiting witnesses from testifying...if...not engaged as 'private detectives'
and simply were conducting tests within their field of expertise that
may be used in trials. We see nothing to indicate that the legislature
intended for all chemists...that do lab work on items...involved in fires,
accidents, or injuries to real or personal property, to be licensed as
private detectives before they would be allowed to examine, test, and
testify about the design, structure, and composition of the items...The
problem in the instant case is that the expert was actually practicing
or conducting the primary investigation."
This
may be true, but it should be noted that even though the court in West
did not so state, professional engineers determining the cause of a fire
are regulated by their own licensing act. The Illinois Professional Engineering
Act has no exemption for out of state and/or unregistered professional
engineers retained by insurance companies.14
It
is also interesting to note that the Illinois Detective Act, incorporating
the regulation of origin and cause investigation since at least 1972,
was apparently not consistently enforced prior to People v. West.
Following
the 1994 reversal of the arson conviction, the case was re-tried in 1995.
At the second trial, the defendant was again convicted of arson.15
The defendant appealed his second conviction to the same 5th
District appellate court which had reversed his first guilty verdict.
The defendant argued that crime scene photographs were erroneously admitted
into evidence, and that the evidence did not support a finding of guilty.
However, the second time around, the appellate court upheld the defendant’s
conviction.
Notably,
one appellate court Justice dissented from the majority’s decision. The
dissenting justice opined that the second conviction should be reversed
because the State failed to establish that the fire was intentionally
set using gasoline as the incendiary agent, and failed to establish that
the defendant set the fire. The dissenting Justice also lambasted the
prosecution for the "inadequate investigative technique" exhibited
by its origin and cause expert. In the second trial, the prosecution had
presented an arson investigator from the Office of the Illinois State
Fire Marshal as its origin and cause expert.
Most
recently, the Illinois Supreme Court declined the defendant’s request
to hear his case. It is not known whether the defendant will seek a writ
of certiorari to the U.S. Supreme Court.
Unlicensed
Expert Can Testify!
In
recent civil cases in Ohio, Tennessee and New York, parties have objected
to expert testimony on the origin and cause of fires where experts were
not properly licensed investigators.16 While the courts in
those cases permitted the testimony, they acknowledged that the experts
were probably in violation of the licensure requirements.17
An
Ohio appellate court recently upheld a trial court decision to permit
an electrical expert to testify as to the cause of a fire, even though
the expert was not licensed as a private detective in Ohio at the time
of his investigation.18 In this case, the defendant retained
an electrical expert at the time of the loss. The expert was at the scene
to investigate the cause of the loss two days after the fire occurred.
However, the expert did not become a licensed private investigator until
approximately two years after the date of loss.
The
Ohio appellate court noted that the private investigator statute "forbids
the gathering of any evidence of the cause . . .
for
a fire for use . . . in any legal, administrative or judicial proceeding
by an unlicensed person." The appellate court found a way around
the foregoing statutory provision which would seemingly bar an unlicensed
expert. The court held that because the expert was retained for the company’s
own investigation into the cause of the fire, with no apparent
intention to secure evidence for a judicial proceeding, the expert
did not gather evidence in violation of the statute.
An unlicensed expert was also permitted to testify in a Federal District
case from Louisiana.19 In this case, the plaintiffs sought
to bar the testimony of defendant’s origin and cause expert on the basis
that the expert was not licensed in Louisiana as a private investigator.
The District Court held that "a license is not a prerequisite to
expert testimony under the Federal Rules." Rather, the court held
that in federal court, state licensing requirements do not automatically
bar an expert’s testimony, but whether the expert is licensed does weigh
in on the issue of the weight to be given to the expert’s testimony.
RECIPROCITY?
Professional
engineers must take a national examination to obtain reciprocity in more
than one state. However, detective acts may vary in their reciprocity
provisions.
The
Illinois Detective Act, for example, has a provision for reciprocity (another
state's license accepted in Illinois). It provides for "licensure...without
examination, on payment of a required fee...if the requirements for the
registration in the jurisdiction in which the application was licensed
were...substantially equal..."20
Louisiana
and Ohio, for example, also have similar provisions. 21
Therefore,
detective act reciprocity is a potential option in certain states. It
would appear, however, that consideration by states of applications for
reciprocity would be based upon subjective determinations which might
take place over unknown time frames.
A
compromise alternative might be the development by the states of partial
detective act reciprocity, allowing for a limited number of investigations
based upon submission of a certificate of licensure from another state.
(Similar to pro hac vice licensing of attorneys who are already
licensed in another state, on a case by case basis.)
CONCLUSIONS
The
nature and applicability of licensure of origin and cause investigators
and professional engineers varies from state to state. It is therefore
important for the insurance industry to protect its interests accordingly:
1) Legal
counsel should analyze licensure requirements applicable to origin and
cause investigators and professional engineers for each state in which
losses may occur before losses occur. Consider not only statutory
law but also any case law interpreting it. Also gain a practical understanding
as to the level of enforcement in each state. Understand:
a) Statutory
definitions of origin and cause investigators and professional engineers,
which define the scope of their permitted activity.
b) The
nature and scope of any available statutory exemptions; and
c) Potential
reciprocity available under statute.
2) Identify
each governing body in each state that interprets and enforces the licensing
statutes. Consider meeting with the governing body if possible to learn
of trends in enforcement and non-enforcement. Consider gaining clarifying
written opinions, if possible.
3) Make
sure your investigation team, including your in-house adjusters and/or
investigators, attorneys, independent origin and cause investigators and
professional engineers all understand the intricacies (and vagaries) of
the licensure requirements and exemptions in each state, preferably before
there is a loss.
4) Consider
coordinating the testing of reciprocity provisions in licensure statutes,
so that investigators hired by insurance companies who are licensed in
one state might possibly avoid similar or identical testing in another
state. Also consider lobbying for partial reciprocity with respect to
detective statutes.
ENDNOTES
3. Pennsylvania
Lumbermens Insurance Corp. v. Landmark Electric, (Ohio) 1993 WL
541644 (Ohio App.2d 1993).
4. Tennessee
Code Annotated 62-26-223 (4) (1998).
5. Ohio
Revised Code Annotated 4749.01 (H)(4) (1998).
6. Ohio
Revised Code Annotated 4749.01 (H)(11) (1998).
7. Illinois
Revised Statutes 225 ILCS 446/30 (4) (1998).
8. Illinois
Revised Statutes 225 ILCS 446/30 (11) (1998).
9. Louisiana
Revised Statutes 37:3503 (1998).
10. Florida
Statutes Sec. 493.6102(2) (1998).
11. Florida
Statutes Sec. 493.6102(8) (1998).
12. Texas
Revised Civil Statutes art. 4413(29bb)sec.(3)(a)(12) (1999).
13. People
v. West (Illinois) 264 Ill.App.3d 176, 636 N.E.2d 1239 (5th Dist.1994);appeal
denied, 642 N.E.2d 1300 (1994); app’l after remand, 691 N.E.2d 177
(5th Dist. 1998) reh’g den’d (1998); app’l den’d 179 Ill.2d
614, 1998.
14. Illinois
Revised Statutes, 225 ILCS 325/1-325/49 (1998) (inclusive).
15. People
v. West, (Illinois), 294 Ill.App.3d 939, 691 N.E.2d 177, (5th
Dist. 1998), reh’g denied, and appeal denied 179 Ill.2d 614, 1998.
16. American
States Insurance Co. v. Caputo, (Ohio),No. 72245 Lexis 489 (Ct.
App. 1998)Doochin v. United States Fidelity & Guaranty Co.
(Tennessee) 854 S.W.2d 109 (1993), Eagle Pet Service Co. v. Pacific
Employers Insurance Co. (New York) 175 A.D.2d 471, 572 N.Y.S.2d
623 (1991).
17. American
States Insurance Co. v. Caputo, (Ohio), No. 72245 Lexis 489 (Ct.
App. 1998); Doochin v. United States Fidelity & Guaranty Co.
(Tennessee) 854 S.W.2d 109 (1993), Eagle Pet Service Co. v. Pacific
Employers Insurance Co. (New York) 175 A.D.2d 471, 572 N.Y.S.2d
623 (1991).
18. American
States Insurance Co. v. Caputo, (Ohio), No. 72245 Lexis 489 (Ct.
App. 1998).
19. Malbrough
v. State Farm Fire and Casualty Co., (Louisiana), No. 95-3340
Lexis 14552 (U.S. Dist.E.D. La. 1996).
20. Illinois
Revised Statutes 225 ILCS 446/100 (1998).
21. Louisiana
Revised Statutes 37:3503 (1998); Ohio Revised Code Annotated
4749.12 (1998).
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