INS 22 Chapter 03 and 04

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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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    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