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7/28/2019 INS 22 Chapter 03 and 04
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EVENT/CLIENT NAME or Confidentiality statement 6/23/2013 7:04 AM New Brand FMT-P2 1
3. Personal Auto Policy
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EVENT/CLIENT NAME or Confidentiality statement 6/23/2013 7:04 AM New Brand FMT-P2 2
PAP
PAP:
o To insure Passenger Autos
o Cars, Vans, Station Wagons, and Sport Utility Vehicles
o Designed primarily for use on Public Roads as well as pick up
Vans
o Can also be used If allowed by state and Insurer
Motor Cycles
Golf Carts
Snow Mobiles
Motor Homes by adding appropriate Endorsement
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Personal Auto Policy Provisions
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PAP Policy
Policy Declarations
An Agreement and Definitions
Six Parts
o Part A - Liability Coverage
o Part B - Medical Payments Coverage
o Part C - Uninsured Motorists Coverageo Part D - Coverage for Damage to your Auto ( Physical Damage or PD)
o Part E - Duties after an Accident or Loss
o Part F - General Provisions
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PAP Declarations
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PAP Agreement and Definitions
Agreement
Legally enforceable offerand acceptance contract between competent Parties(insured and insurer) with consideration
Definitions
o Provides definitions of important terms in the contract
o Removes the ambiguity in the policy language
o Helps both the insured and insurer
o Contains words and phrases that are later referred in the policy
o You and Your, We, us and our, Leased, Bodily Injury,
Business,Family Member, Occupying, Property Damage,
Trailer, Your Covered Auto
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PAP Agreement and Definitions
Your Covered Auto
o Any vehicle shown in the declaration
o A newly acquired auto
o Any trailer you own
o A temporary substitute auto or trailer
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PAP - Part A Liability Coverage
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PAP Liability coverage
Insuring Agreement
Supplementary Payments
Exclusions
Limit of Liability
Out-of-State Coverage
Financial Responsibility
Other Insurance
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PAP Liability coverage
Insuring Agreement
Damages and Defense Costs
o Bodily Injury( BI), Property Damage ( PD)
o Compensatory Damages
Special Damages
General Damages
o Punitive Damages
o Defense Costs Pre Judgement Interest.
o Limits:
Split Limits
Single Limit
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PAP Liability coverage
Insuring Agreement
Persons and Organizations Insured
Named Insured and Family Members
Any person using the named insureds covered auto
Any person or organization legally responsible for the acts of a covered
person while using a covered auto
Any person or organization legally responsible for the named insureds orfamily members use of any auto mobile or trailer
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PAP Liability coverage
Supplementary Payments
Cost of bail bonds ($250)
Premiums on appeal bonds and bonds to release attachment
Interest accruing after a judgement
Loss or earnings because of attandance at trails Other reasonable expenses incurred at insurers request
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PAP Liability coverage
Exclusions
Intentional BI or PD
Damage to Property owned or transported by insured
Property rented to, used by, or in the care of the insured (Exemption RentedHouse)
Bodily Injury to an employee of insured during the course of employment(Exemption Domestic worker)
Garage Business use
Other Business Use City bus or large commercial truck
Public or Livery Conveyance ( except the share-the-expense Car Pools)
Vehicle with fewer than 4 wheels
Vehicle arranged for Regular use
Vehicle used in Racing
Vehicles used in automobile Business
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PAP Liability coverage
Limit of Liability
Split Limits
BI to each person
BI to all persons in each accident
PD in each accident
Single Limit
Out of state coverage
Financial Responsibility
Other Insurance
More than one insurance
Borrowed Vehicle
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PAP- Part B Medical Payments Coverage
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PAP Medical Payments coverage
Insuring Agreement
Insured Persons
o Named Insured and Family Members
o Any Other Person while Occupying Covered Auto
Medical Payments Exclusions
Limit of Liability
o No Duplicate Payments under Coverages A, C
Other Insurance
o On Pro-rata if more than one insurance
o In case of Non-Owned, excess over any Other Collectible Insurance
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Medical Payments Loss of Exposures & Coverage Exclusions
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Medical Payments coverageLoss of Exposures excluded
Fewer than 4 wheels
Public or Livery Conveyance ( but Share-the-expense Car Pools)
Vehicles used as residence or premises
Injury during the course of employment
Regular use
Occupation without Reasonable belief
Vehicles used in Business
Nuclear weapons, war
Racing
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PAP- Part C UI Coverage
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PAP Policy UI coverage
Insuring Agreement
Insured Persons Named Insured and Family, Any other person occupying acovered auto, any person legally entitled to recover damages
Uninsured Motorists Vehicles
No insurance, less insurance, Hit and Run, Insurer Insolvent
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PAP- Part C UI Exclusions
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PAP UI Exclusions
Owned but not insured
Owned vehicle with primary UM coverage in other policy
Claim settlement that prejudices Insurers right of recovery
Public or Livery Conveyance
Vehicle used without reasonable belief of being entitled
Punitive Damages
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PAP UI Exclusions
Limits of Liability (No Stacking and No Overlapping)
Other Insurance (Three examples in page 3.44 and 3.45)
Arbitration
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PAP- Part D Coverage for Damage to your Auto
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PAP- Part D Coverage for Damage to your Auto
Insuring Agreement
Collision coverage
Other than collision coverage
Non Owned Vehicle
Transportation Expenses ( $ 20 per day and total $600)
Collision 24 waiting period
OTC 48 hours waiting period
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PAP- Part D Coverage for Damage to your Auto
Exclusions
Public or livery conveyance
Wear and Tear, Freezing. Breakdown and road damage to tyres
Radioactive contamination or war
Electronic Equipment
Media and Accessories
Government Destruction or Confiscation
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PAP- Part E and F Policy Conditions
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PAP Conditions
Part E- Duties after an Accident
o General Dutieso Additional Duties for UIM
o Additional Duties for Physical Damage Coverage
General Duties
oPrompt Notice
o CooperationoSubmission of legal Papers
o Physical Examination
o Examination under Oath
o Authorization of medical Records
o Proof of Loss
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General Duties after an Accident
Duties under UIM
o Notify Policeo Submit Legal Papers
Duties for Physical Damage
o Prevent further Loss
o Notify Police
o Permit inspection or Appraisal
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PAP General Policy Provisions
Part F General Provisionso Bankruptcy Of Insured
o Changes in the policy (Endorsement, Liberalization Clause)
o Fraud
o Legal action against the Insurer
o Insurers right to recover payment
o Policy Period and Territory
o Termination
o Cancellation
o Non-Renewal
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Personal Auto Policy- Endorsements
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PAP Endorsements
Other Endorsements affecting Multiple Coverageso Named Non-Owner Coverage Endorsement
o Extended Non-Owner Coverage for Named Individual Endorsement
o Limited Mexico Coverage Endorsement
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PAP Endorsements
Endorsements Covering Motor Cycles, Recreation, and Customizingo Miscellaneous Type Vehicle Endorsement
Optional Passenger hazard exclusion
o Trailer/Camper body Coverage Endorsement
o Customizing Equipment Coverage Endorsement
o Snowmobile Endorsement
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PAP Endorsements
UIM Endorsement
Endorsements affecting PD Coverage
o Towing and Labor Costs
o Coverage for excess sound reproducing equipment, audio visual and data
o Electronic Equipment, and tapes, records, disks, and Other Media Endorsement
o Coverage for Damage to your Auto(Maximum Limit of Liability) endorsement
o Auto/Lease Coverage