Automobile Insurance 15% Flashcards

1
Q

Michigan Minimum Insurance Requirements

A

● Personal Injury Protection (PIP)
● Property Protection (PPI)
● Residual Bodily Injury and Property Damage Liability (BI/PD) coverage

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2
Q

Minimum liability limits

A

Split limits of 50/100/10
● $50,000 per accident for one person injured or killed
● $100,000 per accident for two or more people injured or killed
● $10,000 per accident for property damage to others

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3
Q

limits differ for drivers who work for a transportation network company (TNC)

A

● Single limit of $1,000,000 while picking up and transporting passenger
● Split limits of 50/100/25 while waiting for passenger’s ride request

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4
Q

Proof of Insurance

A

● Must include the names of people on the policy
● Must be kept in car or on a device, available to be viewed upon request

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5
Q

Presenting false information for proof of insurance is a

A

misdemeanor
○ up to 1 year in prison, and/or
○ $1,000 fine

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6
Q

Failing to provide proof of insurance is a

A

civil infraction
○ appear before court, and/or
○ license suspension

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7
Q

Michigan Automobile Insurance Placement Facility (500.3301)

A

● Residual market for MI auto insurance
● Provides insurance for high-risk individuals
● Encourages private insurance for policyholders who can qualify for it

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8
Q

No-Fault Automobile Coverage (500.3101)

Michigan law requires all owners of motor vehicles registered in the state to carry

A

no-fault insurance. This includes three primary coverages:

  • Personal Injury Protection (PIP)
  • Property protection insurance (PPI)
  • Residual Liability Insurance (Bodily injury and property damage - BI/PD)
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9
Q

(PIP)

A

Personal Injury Protection

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10
Q

(PPI)

A

Property Protection Insurance

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11
Q

(Bodily Injury and Property Damage - BI/PD)

A

Residual Liability Insurance

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12
Q

Personal Injury Protection (PIP)

A

Covers medical expenses and certain other costs related to injuries sustained in an accident.

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13
Q

Before:
PIP coverage was unlimited in Michigan. PIP also paid for:

A

● Funeral expenses between $1,750 and $5,000 (depending on the policy)
● 85%of lost income for up to 3 years
○ these benefits expire if the injured person dies before the 3 years are up
○ note: if the insured is over 60, and would not be eligible for work loss benefits, he may waive this coverage in exchange for a lower premium
● Up to $20 per day (for up to 3 years) for the reasonable cost of miscellaneous services that the injured person would have done himself, for no pay, but which he can no longer perform because of the injury (e.g. cooking meals, cleaning,
running errands, etc.

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14
Q

After:
Michigan policyholders can choose from the following coverage options:

A

● Unlimited PIP coverage (this is the default option, and provides the same coverage that a policy issued before July 2020 would have provided; but policyholders can choose a lower limit)
● $500,000 limit
● $250,000 limit
● $50,000 limit (only available for drivers who are on Medicaid)
● Opt-out of PIP coverage (only for people who have qualified health insurance
for themselves and all relatives who live with them)

Funeral benefits remain the same, except for those who opt out of PIP.

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15
Q

Property Protection Insurance (PPI)

A

is a mandatory component of Michigan’s no-fault auto insurance system. It provides coverage for property damage caused by a motor vehicle, with specific limitations and conditions.

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16
Q

PPI covers up to

A

$1 million per accident for damages your vehicle causes to another person’s stationary property.

Examples include:
Buildings (e.g., homes, garages).
Fences.
Poles.
Parked vehicles.

Government Property:

Includes damages to public property such as roads, bridges, traffic signs, and other infrastructure.

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17
Q

PPI does not cover

A

damage to other moving vehicles. For example:
In a collision between two moving vehicles, your PPI coverage does not apply.
Damage to your own vehicle is covered under optional collision/comprehensive coverage, not PPI.

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18
Q

Residual Liability Coverage

In general, no-fault insurance protects the policyholder from being sued when he causes damage. However, there are certain cases where an injured person is allowed to sue the insured. This can happen if the insured:

A

● Causes an accident in which someone is killed or seriously injured

● Is involved in an accident in a different state or with someone who lives in a different state

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19
Q

Before:
A driver’s residual liability coverage must have limits of at least

A

20/40/10:
● $20,000 for bodily injury or death to one person per accident
● $40,000 for bodily injury or death to two or more persons in one accident
● $10,000 for damage or destruction of property of others per accident

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20
Q

After:
Drivers must have coverage of at least

A

50/100/10:
● $50,000 for bodily injury or death to one person per accident
● $100,000 for bodily injury or death to two or more persons in one accident
● $10,000 for damage or destruction of property of others per accident
Drivers will automatically be offered coverage of $250,000/$500,000, but can choose
lower limits if they sign a form.

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21
Q

What is Uninsured/Underinsured Motorist (Reg 500.1502) in Michigan?

A

optional insurance coverages that protect you if you are involved in an accident with a driver who either lacks adequate insurance or has no insurance at all.

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22
Q

Uninsured/Underinsured Motorist – pays for

A

injuries to an insured person caused by someone who does not have the liability coverage to pay for them

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23
Q

Collision – pays for

A

damages to your vehicle after a collision with another vehicle or an inanimate object

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24
Q

Comprehensive – pays for

A

damages to your vehicle that are caused by
something other than a car accident, such as fire, vandalism, animals, theft,
etc.

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25
Q

Note: since most injuries in MI fall under no-fault coverage,

A

UM/UIM would only kick in
in extreme cases, when a person’s no-fault coverage is not enough

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26
Q

Stacking

A

if you have UM/UIM coverage for more than one car, or on
more than one policy, stacking would allow you to combine those available coverages to cover losses, if needed.

Policy holders may NOT stack UM/UIM coverage in MI.

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27
Q

After market Parts

A

On a repair estimate, the insurer must clearly list any replacement parts not made by original manufacturer

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28
Q

Cancellation

A

Insurer must notify insured of cancellation:
● 10 days in advance for nonpayment of
premiums
● 30 days in advance for any other reason

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29
Q

(PAP)

A

Personal Auto Policy

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30
Q

The Personal Auto Policy (PAP)

A

A policy that combines liability insurance with other optional coverages

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31
Q

PAP policies can cover:

A

● Individuals and residing family members
● People driving car with owner’s permission
● Four-wheeled vehicles under 10,000 lb

Remember: insurable interest is required (i.e. auto owners, lessors, or lenders).

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32
Q

What is covered? (PAP)

A

● Property damage
● Bodily injury
● Legal defense

Insurer must defend policyholder against liability claims, in or out of court.

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33
Q

PAPs will not pay

A

punitive damages.

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34
Q

PAP Example

A

If Junior takes the family car out for a joyride, hits the mayor’s car, and is sued, your PAP will cover the car repairs and any injuries the mayor may have, but it will not pay any punitive damages a judge might assign to teach him a lesson.

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35
Q

PAP Sections

A

● Declarations Page
● Six Sections:
1.Part A Liability
2.Part B Medical Payments
3. Part C Uninsured Motorist
4. Part D Coverage for Damage to Your Auto
5. Part E Duties After an Accident or Loss
6. Part F General Provisions
● Endorsements

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36
Q
  1. Part A
A

Liability

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37
Q
  1. Part B
A

Medical Payments

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38
Q
  1. Part C
A

Uninsured Motorist

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39
Q
  1. Part D
A

Coverage for Damage to Your Auto

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40
Q
  1. Part E
A

Duties After an Accident or Loss

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41
Q
  1. Part F
A

General Provisions

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42
Q

Declarations Page

A

● Named insured’s name and address
● Policy period
● Applicable insurance coverages and their limits
● Deductible
● “Loss payees” (all parties to be indemnified when losses occur)
● Make, model, and VIN of insured automobiles
● Endorsements added to the policy

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43
Q

If Eduardo buys a car with the help of an auto loan, the bank that financed his loan
may require that he add it as a loss payee on his auto policy. This ensures that the

A

bank can recover its investment in the vehicle if Eduardo wrecks it

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44
Q

Auto Insurance Deductibles:

A

● Fixed: one specific, predetermined amount
● Per Claim Basis: insured is responsible for paying this amount on every claim

Note: Deductibles typically only apply to Collision and Comprehensive coverages, not Liability.

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45
Q

Owned

A

A car that the insured owns or has leased for 6 months

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46
Q

The Use Of

A

Any activity involving the car

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47
Q

Occupying

A

Being in or on a vehicle, getting in or out, getting on or off, sitting on, or leaning
against the vehicle

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48
Q

Bodily Injury

A

Bodily harm, sickness, or disease, or the resulting death
● Does not include mental distress or psychological trauma

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49
Q

Property Damage

A

Destruction of, or physical damage to, tangible property
● Includes the loss of use of damaged property

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50
Q

Your Covered Auto:

A
  1. The car specified on declarations page
  2. A newly acquired auto
  3. A trailer that the insured owns
  4. A temporary substitute for car or trailer listed on dec page, due to:
    a. breakdown
    b. repair
    c. servicing
    d. loss
    e. destruction
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51
Q

Newly Acquired Auto

A

Any new or used vehicle that the insured gets during the current policy period

● Must weigh less than 10,000 lbs
● May not be covered under another insurance policy.
● May not be used for the transport of goods and materials (with some
exceptions)
● Automatically gets the broadest coverage provided to any one car listed in
policy

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52
Q

Adding Newly Acquired Autos

A

Insured has 14 days to report newly acquired auto

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53
Q

However: most states and insurers actually require that you report any new auto
within

A

10 to 30 days.
Comprehensive and Collision coverage:
● Can be added within 4 days of getting new car
● Automatically applies for first 4 days with $500 deductible
Note: These grace periods can vary by insurer

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54
Q

Part A– Liability Coverage

A

● Not for insured’s own injuries or damages
● Covers the insured’s liability for the injuries or property damage of others
● Defense in court is included, if necessary

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55
Q

Insuring Agreement

A

Establishes what the insurer will do for the insured if the insured becomes liable for losses

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56
Q

Insuring Agreement, If the insured becomes liable will cover:

A

● Pay liability costs, up to policy limits
● Covers injury or damage caused by “your covered auto” or any car the insured drives with permission
● Settle or defend liability lawsuits
● Insurer reserves the right to settle liability cases out of court

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57
Q

Covered Person:

A
  1. The named insured and family members living in the same household
  2. Someone using covered auto with permission
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58
Q

Most auto mobile insurance policies describe the amount of liability coverage in a series of three numbers called

A

Split Limits

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59
Q

Combined Single Limit

A

● Maximum per-occurrence limit
● Includes bodily injury AND property damage

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60
Q

Coverage is “primary” if it involves a car

A

the insured owns

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61
Q

Coverage is “secondary” if it involves a car

A

the insured does not own

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62
Q

For example…
Say Nancy borrows Micah’s car and then gets into an accident with it. Micah’s insurance will pay first, not Nancy’s.

A

Since it was Micah’s car, his coverage is primary, and Nancy’s coverage is secondary.
Nancy’s insurance will pay any damages that Micah’s policy does not pay.

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63
Q

Out of State Provision

A

If you meet your home state’s requirements, it is assumed you meet the requirements of any other state.

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64
Q

Part A (liability) – Supplementary Payments

A

● Assist policyholder with a variety of accident-related expenses
● Not subject to liability limits

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65
Q

Part A– Supplementary Payments May include:

A

● Lost wages (due to court hearings): up to $250/day
● Expenses due to insurer’s request such as retrieving accident reports or
records, copy fees
● Bail bonds: up to $250
● Accrued interest after a judgment is entered
● Premiums on appeal bonds and attachment bonds

Assist policy holder with a variety of accident-related expenses

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66
Q

Auto Liability coverage does NOT include:

A

● Intentional damage or injuries (e.g. vehicular assault)
● Property owned or being transported by the insured
● Damages incurred under the scope of employment, except domestic employees ineligible for workers’ comp

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67
Q

For example…
Imagine Emily gets into an accident while returning her friend’s laptop, and the laptop is destroyed in the collision. Emily’s liability coverage will

A

not cover the laptop, even
though someone else owns it.

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68
Q

Auto Liability coverage also excludes:

A

● Properties rented to or used by the insured (not including rented dwellings or
private garages)
● Hired vehicles transporting people or goods (i.e. taxis)
● Company-owned business vehicles
● Damagesor injuries caused while repairing, servicing, parking, or storing
vehicles (i.e. mechanics, valets, vehicles released to storage facility)
● Vehicles taken without permission

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69
Q

No-Fault Insurance

A

● Designed to indemnify the insured for his own injuries, regardless of fault
● Covers bodily injury only (usually not property damage)
● Mandatory in some states

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70
Q

For example…
So, if Megan rear-ends Bob and causes him a severe neck injury, Bob will have to file a claim with his

A

own insurer for his injury, even though it was Megan’s fault!

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71
Q

Part B- Medical Payments

A

● Provides coverage for the insured
● Pays medical expenses of the insured et al, no matter who caused them
● Applies when anyone considered an insured under the policy is occupying or
struck by auto or trailer designed for public roads
● Includes vehicle-pedestrian accidents

is a form of no-fault insurance

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72
Q

The Part B insuring agreement:

A

● Says the insurer will pay for medical and funeral costs when an insured (i.e.
anyone considered insured under the policy) is injured in an auto accident
● Covers eligible medical payments for up to three years
● Applies a single limit for each person per incident
Common limits: $500, 1,000, $2,000, $5,000, etc.

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73
Q

“Insured” covered person

A
  1. The named insured or a family member
  2. Any person occupying “your covered auto”
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74
Q

Common Exclusions to Medical Payments:

A

● Accidents where an insured is occupying a vehicle with fewer than four wheels
● Autos rented or leased for hire
● Autos used without permission (or reasonable belief of permission)
● Commercial vehicles covered by a Business Auto Policy (BAP)
● Vehicles located for use as a residence
● Injuries sustained under scope of employment (if covered by Workers’ Comp)

Medical payments begin only after Personal Injury Protection (PIP) coverage is fully exhausted.

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75
Q

Medical payments begin only after ________ ______ __________ (___) coverage is fully exhausted.

A

Personal Injury Protection (PIP)

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76
Q

Part C– Uninsured/Underinsured Motorist Coverage

A

● Covers bodily injuries caused by people with insufficient or no insurance
● Coverage for physical damage can be added by endorsement

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77
Q

Uninsured Motorist (UM):

A
  1. Driver with no liability insurance
  2. Driver whose insurer won’t pay
  3. Hit-and-run driver
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78
Q

Underinsured Motorist (UIM):

A

Driver who does not have enough insurance to pay for all damages

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79
Q

Part C Insuring Agreement:

A

Insurer agrees to pay for an “insured’s” injuries or damages caused by driver of an
uninsured vehicle.
“Insured”:
● The named insured or a family member
● Anyone in a “covered auto” with permission

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80
Q

Exclusions to UM/UIM Coverage:

A

● The insured’s own auto that is not listed in the policy
● Government vehicles
● Off-road vehicles (but only while not on public roads)
● Vehicles used as a premises
● Covered autos that are rented or used for hire (although the interpretation of
this phrase varies)
● Cars used without reasonable belief that permission was granted

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81
Q

Part D– Physical Damage, Damage to your Auto

A

● Protects the insured’s financial interest in her car
● Two types: Collision and Other Than Collision
● Often required by finance companies

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82
Q

Part D– Collision Coverage

A

● Pays for damage to insured’s vehicle caused by collision or rollover
○ a car that has been tipped or rolled over is known as an “upset vehicle”
● Applies even when insured is at-fault
● Includes “your covered auto” and any “non-owned” car the insured is driving
(unless the insured borrows it frequently: then it is not covered)

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83
Q

Payment After a Collision Total damage: insurer pays

A

ACV of the car at the time of collision

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84
Q

Payment After a Collision Partial damage: insurer pays

A

to repair the car with similar materials

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85
Q

Payment After a Collision Transportation (car rental) expenses:

A

$30/day, up to $900 (previous versions of
the policy offered lower amounts: $20/day, up to $600)

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86
Q

Part D– Other Than Collision also called

A

Comprehensive Coverage

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87
Q

Part D– Other Than Collision (comprehensive coverage)

A

● Covers damages not caused by collision or overturn
● Essentially “open-peril” coverage, minus exclusions

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88
Q

Comprehensive Coverage Covered perils:

A

● Theft
● Hail, water, or flood
● Windstorm
● Fire
● Vandalism
● Explosion
● Earthquake
● Riot/Civil unrest
● Missiles or falling objects
● Contact with birds or animals

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89
Q

Payment After a Loss Same as Collision Coverage:

A

● Total damage: insurer pays ACV of the car at the time of collision
● Partial damage: insurer pays to repair the car with similar materials
● Transportation (car rental) expenses: $30/day, up to $900

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90
Q

Exclusions for Damage to Your Auto

A

● Normal wear and tear
● Freezing
● Mechanical or electrical breakdown
● Tire damage
● Government or civil confiscation
● Losses to non-owned autos taken without permission
● Losses involving any racing or speed event or facility
● Stereo equipment and electronics (unless permanently installed, then subject
to limits)
● War and nuclear events

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91
Q

Personal Injury Protection (PIP)

A

Covers injuries to the insured et al. caused by an accident, no matter who was at
fault.

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92
Q

Advantages of No-Fault PIP:

A

● Fewer lawsuits
● Helps contain rising automobile insurance costs
● First party rather than third party claims
● Quicker reimbursements
● Pays up to the policy limit without recourse

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93
Q

PIP pays for the bodily injuries of:

A

● The insured and members of household, whether in the insured’s or another
vehicle
● Children of the insured while on a school bus
● Certain passengers without their own PIP
● Licensed drivers who drive the insured’s vehicle with permission

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94
Q

After a covered accident, PIP will pay:

A

● Medical costs, sometimes up to a set percentage
● Lost wages (percentage of wages before injury)
● Medical transportation expenses
● In-home caregivers
● Death benefits

95
Q

PIP is _______ coverage

A

primary

96
Q

Medical Payments is _________ it pays after PIP is exhausted

A

secondary

97
Q

PIP ________ insured’s right to go to court

A

restricts

98
Q

Part E: Duties After an Accident or Loss

A

● Report all accidents
● Cooperate with insurer’s investigation, settlement, and any court proceedings
● Promptly send the insurer copies of all pertinent legal papers
● Submit to a physical examination if insurer requests
● Submit to examination under oath (EUO) and verify that your statements are
true and accurate
● Authorize the insurer to obtain medical reports
● Authorize the insurer to obtain other pertinent records
● Provide proof of loss if insurer requests

99
Q

The insured has additional duties if policy includes:

A

● Part C–Uninsured/Underinsured Motorist
● Part D–Damage to Your Auto

100
Q

Additional Duties for UM/UIM Claims

A
  1. Notify the police in the event of hit-and-run
  2. If filing a lawsuit, forward legal documents to the insurer
101
Q

Additional Duties for Collision or Comprehensive Claims

A
  1. Protect covered vehicles from further loss
  2. Promptly notify the police in the event of theft
  3. Allow insurer to inspect and appraise damaged vehicles
102
Q

PAP coverage only applies to accidents and losses that occur:

A

● During the policy period
● Within the United States, its territories and possessions, and Canada
○ Territories and possessions include Guam, Puerto Rico, military bases,
embassies, etc.
○ Mexico is not part of the policy territory
● During shipment between ports in the policy territory

103
Q

Policy cannot be changed or waived without a

A

written and signed endorsement.

104
Q

Insurer may increase premiums immediately for:

A

● Changes to the number, type, or use of automobiles
● Changes in coverage, deductibles, or limits
● Address changes
● Changes in covered persons

For policies spanning more than one year, insurers may annually review the premium
rate for the following year.

105
Q

Insurer’s Rights to Recover Payment

A

● Enforces subrogation
● If insured is paid by both the insurer and at-fault party, excess funds must be
paid back to the insurer

Subrogation does not apply to Part D Physical Damage.

106
Q

Popular PAP Endorsements

Suspension of Insurance

A

Lets the insured suspend coverage and premium payments for a specified period of
time.

107
Q

Towing and Labor

A

● Pays for towing expenses, plus labor charges from the scene of the damage
● Per occurrence limit

108
Q

Extended Non-Owned Coverage

A

● Liability and medical payments coverage for non-owned vehicles
● Covers non-owned vehicles carrying people or property for a fee
● Coverage only applies to the named insured

109
Q

Customized Equipment

A

Provides extra coverage for valuable equipment that is not covered in standard policy

110
Q

Miscellaneous Vehicle Coverage

A

Lets the policyholder add specialized vehicles to the policy, such as motorcycles,
motorhomes, mopeds, etc

111
Q

Non-Owner Coverage

A

Provides liability, medical payments, and UM/UIM insurance for people who have no car, but who often borrow other people’s vehicles

112
Q

Personal Injury Protection Coverage - Michigan (500.3108)

A

Survivors’ Benefits

113
Q

Eligibility for Survivors’ Benefits:

A

If a person is killed in a motor vehicle accident, their dependents (such as spouse, children, or others who were financially dependent on the deceased) can receive benefits.

114
Q

Survivors’ Benefits, Types of Benefits Provided:

A

Income Replacement:

Survivors are eligible for 85% of the deceased person’s lost income from the time of the accident. This is the same as the income replacement benefit provided to injured persons under PIP.
This benefit is paid for up to 3 years following the accident.

Replacement Services:

If the deceased was providing household services (e.g., childcare, cleaning, maintenance), survivors are entitled to replacement services of up to $20 per day.
This benefit is also available for up to 3 years following the accident.

No Fault Requirement:

As with other PIP benefits, the survivor’s claim is not dependent on who was at fault in the accident. If the individual was injured or killed in a motor vehicle accident, survivors are entitled to the benefits regardless of fault.

115
Q

Lessor– Additional Insured and Loss Payee (endorsements)

A

This endorsement adds a lessor to the definition of “insured” on the schedule of the endorsement, allowing the lessor to receive benefits under
the Business Auto Policy.

116
Q

Extended Non-owned Coverage– Vehicles Furnished or
Available for Regular Use– Michigan

A

This endorsement adds residual liability coverage for a car the insured drives regularly but does not own, such as a company car. Note that it does not include the other required coverages in Michigan—PIP and PPI—but only residual liability. Coverage only applies to the insured and his or her spouse.

117
Q

Amendment of Policy Provisions– Michigan

A

applies the state’s laws and regulations that may be slightly different from what is on the standard ISO auto policy form. This endorsement is typically attached to every personal auto policy sold in Michigan, so make sure you read the policy carefully before working on the claim.

118
Q

All Michigan drivers must carry:
● Personal Injury Protection (PIP)
● Property Protection (PPI)
● Residual Bodily Injury and Property Damage Liability (BI/PD) coverage

A

Michigan Minimum Insurance Requirements

119
Q

Split limits of 50/100/10
● $50,000 per accident for one person injured or killed
● $100,000 per accident for two or more people injured or killed
● $10,000 per accident for property damage to others

A

Minimum liability limits

120
Q

● Single limit of $1,000,000 while picking up and transporting passenger
● Split limits of 50/100/25 while waiting for passenger’s ride request

A

limits differ for drivers who work for a transportation network company (TNC)

121
Q

● Must include the names of people on the policy
● Must be kept in car or on a device, available to be viewed upon request

A

Proof of Insurance

122
Q

misdemeanor
○ up to 1 year in prison, and/or
○ $1,000 fine

A

Presenting false information for proof of insurance is a

123
Q

civil infraction
○ appear before court, and/or
○ license suspension

A

Failing to provide proof of insurance is a

124
Q

● Residual market for MI auto insurance
● Provides insurance for high-risk individuals
● Encourages private insurance for policyholders who can qualify for it

A

Michigan Automobile Insurance Placement Facility (500.3301)

125
Q

no-fault insurance. This includes three primary coverages:

  • Personal Injury Protection (PIP)
  • Property protection insurance (PPI)
  • Residual Liability Insurance (Bodily injury and property damage - BI/PD)
A

No-Fault Automobile Coverage (500.3101)

Michigan law requires all owners of motor vehicles registered in the state to carry

126
Q

Personal Injury Protection

A

(PIP)

127
Q

Property Protection Insurance

A

(PPI)

128
Q

Residual Liability Insurance

A

(Bodily Injury and Property Damage - BI/PD)

129
Q

Covers medical expenses and certain other costs related to injuries sustained in an accident.

A

Personal Injury Protection (PIP)

130
Q

● Funeral expenses between $1,750 and $5,000 (depending on the policy)
● 85%of lost income for up to 3 years
○ these benefits expire if the injured person dies before the 3 years are up
○ note: if the insured is over 60, and would not be eligible for work loss
benefits, he may waive this coverage in exchange for a lower premium
● Up to $20 per day (for up to 3 years) for the reasonable cost of miscellaneous
services that the injured person would have done himself, for no pay, but which
he can no longer perform because of the injury (e.g. cooking meals, cleaning,
running errands, etc.

A

Before:
PIP coverage was unlimited in Michigan. PIP also paid for:

131
Q

● Unlimited PIP coverage (this is the default option, and provides the same
coverage that a policy issued before July 2020 would have provided; but
policyholders can choose a lower limit)
● $500,000 limit
● $250,000 limit
● $50,000 limit (only available for drivers who are on Medicaid)
● Opt-out of PIP coverage (only for people who have qualified health insurance
for themselves and all relatives who live with them)

Funeral benefits remain the same, except for those who opt out of PIP.

A

After:
Michigan policyholders can choose from the following coverage options:

132
Q

is a mandatory component of Michigan’s no-fault auto insurance system. It provides coverage for property damage caused by a motor vehicle, with specific limitations and conditions.

A

Property Protection Insurance (PPI)

133
Q

$1 million per accident for damages your vehicle causes to another person’s stationary property.

Examples include:
Buildings (e.g., homes, garages).
Fences.
Poles.
Parked vehicles.

Government Property:

Includes damages to public property such as roads, bridges, traffic signs, and other infrastructure.

A

PPI covers up to

134
Q

damage to other moving vehicles. For example:
In a collision between two moving vehicles, your PPI coverage does not apply.
Damage to your own vehicle is covered under optional collision/comprehensive coverage, not PPI.

A

PPI does not cover

135
Q

In general, no-fault insurance protects the policyholder from being sued
when he causes damage. However, there are certain cases where an
injured person is allowed to sue the insured. This can happen if the
insured:
● Causes an accident in which someone is killed or seriously injured

● Is involved in an accident in a different state or with someone who
lives in a different state

A

Residual Liability Coverage

136
Q

20/40/10:
● $20,000 for bodily injury or death to one person per accident
● $40,000 for bodily injury or death to two or more persons in one accident
● $10,000 for damage or destruction of property of others per accident

A

Before:
A driver’s residual liability coverage must have limits of at least

137
Q

50/100/10:
● $50,000 for bodily injury or death to one person per accident
● $100,000 for bodily injury or death to two or more persons in one accident
● $10,000 for damage or destruction of property of others per accident
Drivers will automatically be offered coverage of $250,000/$500,000, but can choose
lower limits if they sign a form.

A

After:
Drivers must have coverage of at least

138
Q

optional insurance coverages that protect you if you are involved in an accident with a driver who either lacks adequate insurance or has no insurance at all.

A

What is Uninsured/Underinsured Motorist (Reg 500.1502) in Michigan?

139
Q

injuries to an insured person
caused by someone who does not have the liability coverage to pay for them

A

Uninsured/Underinsured Motorist – pays for

140
Q

damages to your vehicle after a collision with another vehicle or an inanimate object

A

Collision – pays for

141
Q

damages to your vehicle that are caused by
something other than a car accident, such as fire, vandalism, animals, theft,
etc.

A

Comprehensive – pays for

142
Q

UM/UIM would only kick in
in extreme cases, when a person’s no-fault coverage is not enough

A

Note: since most injuries in MI fall under no-fault coverage,

143
Q

if you have UM/UIM coverage for more than one car, or on
more than one policy, stacking would allow you to combine those available
coverages to cover losses, if needed.

Policy holders may NOT stack UM/UIM coverage in MI.

A

Stacking

144
Q

On a repair estimate, the insurer must clearly list any replacement parts not made by original manufacturer

A

After market Parts

145
Q

Insurer must notify insured of cancellation:
● 10 days in advance for nonpayment of
premiums
● 30 days in advance for any other reason

A

Cancellation

146
Q

Personal Auto Policy

A

(PAP)

147
Q

A policy that combines liability insurance with other optional coverages

A

The Personal Auto Policy (PAP)

148
Q

● Individuals and residing family members
● People driving car with owner’s permission
● Four-wheeled vehicles under 10,000 lb

Remember: insurable interest is required (i.e. auto owners, lessors, or lenders).

A

PAP policies can cover:

149
Q

● Property damage
● Bodily injury
● Legal defense

Insurer must defend policyholder against liability claims, in or out of court.

A

What is covered? (PAP)

150
Q

punitive damages.

A

PAPs will not pay

151
Q

If Junior takes the family car out for a joyride, hits the mayor’s car, and is sued, your PAP will cover the car repairs and any injuries the mayor may have, but it will not pay any punitive damages a judge might assign to teach him a lesson.

A

PAP Example

152
Q

● Declarations Page
● Six Sections:
1.Part A Liability
2.Part B Medical Payments
3. Part C Uninsured Motorist
4. Part D Coverage for Damage to Your Auto
5. Part E Duties After an Accident or Loss
6. Part F General Provisions
● Endorsements

A

PAP Sections

153
Q

Liability

A
  1. Part A
154
Q

Medical Payments

A
  1. Part B
155
Q

Uninsured Motorist

A
  1. Part C
156
Q

Coverage for Damage to Your Auto

A
  1. Part D
157
Q

Duties After an Accident or Loss

A
  1. Part E
158
Q

General Provisions

A
  1. Part F
159
Q

● Named insured’s name and address
● Policy period
● Applicable insurance coverages and their limits
● Deductible
● “Loss payees” (all parties to be indemnified when losses occur)
● Make, model, and VIN of insured automobiles
● Endorsements added to the policy

A

Declarations Page

160
Q

bank can recover its investment in the vehicle if Eduardo wrecks it

A

If Eduardo buys a car with the help of an auto loan, the bank that financed his loan
may require that he add it as a loss payee on his auto policy. This ensures that the

161
Q

● Fixed: one specific, predetermined amount
● Per Claim Basis: insured is responsible for paying this amount on every claim

Note: Deductibles typically only apply to Collision and Comprehensive coverages, not Liability.

A

Auto Insurance Deductibles:

162
Q

A car that the insured owns or has leased for 6 months

A

Owned

163
Q

Any activity involving the car

A

The Use Of

164
Q

Being in or on a vehicle, getting in or out, getting on or off, sitting on, or leaning
against the vehicle

A

Occupying

165
Q

Bodily harm, sickness, or disease, or the resulting death
● Does not include mental distress or psychological trauma

A

Bodily Injury

166
Q

Destruction of, or physical damage to, tangible property
● Includes the loss of use of damaged property

A

Property Damage

167
Q
  1. The car specified on declarations page
  2. A newly acquired auto
  3. A trailer that the insured owns
  4. A temporary substitute for car or trailer listed on dec page, due to:
    a. breakdown
    b. repair
    c. servicing
    d. loss
    e. destruction
A

Your Covered Auto:

168
Q

Any new or used vehicle that the insured gets during the current policy period

● Must weigh less than 10,000 lbs
● May not be covered under another insurance policy.
● May not be used for the transport of goods and materials (with some
exceptions)
● Automatically gets the broadest coverage provided to any one car listed in
policy

A

Newly Acquired Auto

169
Q

Insured has 14 days to report newly acquired auto

A

Adding Newly Acquired Autos

170
Q

10 to 30 days.
Comprehensive and Collision coverage:
● Can be added within 4 days of getting new car
● Automatically applies for first 4 days with $500 deductible
Note: These grace periods can vary by insurer

A

However: most states and insurers actually require that you report any new auto
within

171
Q

● Not for insured’s own injuries or damages
● Covers the insured’s liability for the injuries or property damage of others
● Defense in court is included, if necessary

A

Part A– Liability Coverage

172
Q

Establishes what the insurer will do for the insured if the insured becomes liable for
losses

A

Insuring Agreement

173
Q

● Pay liability costs, up to policy limits
● Covers injury or damage caused by “your covered auto” or any car the insured
drives with permission
● Settle or defend liability lawsuits
● Insurer reserves the right to settle liability cases out of court

A

Insuring Agreement, If the insured becomes liable will cover:

174
Q
  1. The named insured and family members living in the same household
  2. Someone using covered auto with permission
A

Covered Person:

175
Q

Split Limits

A

Most auto mobile insurance policies describe the amount of liability coverage in a series of three numbers called

176
Q

● Maximum per-occurrence limit
● Includes bodily injury AND property damage

A

Combined Single Limit

177
Q

the insured owns

A

Coverage is “primary” if it involves a car

178
Q

the insured does not own

A

Coverage is “secondary” if it involves a car

179
Q

Since it was Micah’s car, his coverage is primary, and Nancy’s coverage is secondary.
Nancy’s insurance will pay any damages that Micah’s policy does not pay.

A

For example…
Say Nancy borrows Micah’s car and then gets into an accident with it. Micah’s
insurance will pay first, not Nancy’s.

180
Q

If you meet your home state’s requirements, it is assumed you meet the requirements of any other state.

A

Out of State Provision

181
Q

● Assist policyholder with a variety of accident-related expenses
● Not subject to liability limits

A

Part A (liability) – Supplementary Payments

182
Q

● Lost wages (due to court hearings): up to $250/day
● Expenses due to insurer’s request such as retrieving accident reports or
records, copy fees
● Bail bonds: up to $250
● Accrued interest after a judgment is entered
● Premiums on appeal bonds and attachment bonds

Assist policy holder with a variety of accident-related expenses

A

Part A– Supplementary Payments May include:

183
Q

● Intentional damage or injuries (e.g. vehicular assault)
● Property owned or being transported by the insured
● Damages incurred under the scope of employment, except domestic employees ineligible for workers’ comp

A

Auto Liability coverage does NOT include:

184
Q

not cover the laptop, even
though someone else owns it.

A

For example…
Imagine Emily gets into an accident while returning her friend’s laptop, and the laptop is destroyed in the collision. Emily’s liability coverage will

185
Q

● Properties rented to or used by the insured (not including rented dwellings or
private garages)
● Hired vehicles transporting people or goods (i.e. taxis)
● Company-owned business vehicles
● Damagesor injuries caused while repairing, servicing, parking, or storing
vehicles (i.e. mechanics, valets, vehicles released to storage facility)
● Vehicles taken without permission

A

Auto Liability coverage also excludes:

186
Q

● Designed to indemnify the insured for his own injuries, regardless of fault
● Covers bodily injury only (usually not property damage)
● Mandatory in some states

A

No-Fault Insurance

187
Q

own insurer for his injury, even though it was Megan’s fault!

A

For example…
So, if Megan rear-ends Bob and causes him a severe neck injury, Bob will have to file a claim with his

188
Q

● Provides coverage for the insured
● Pays medical expenses of the insured et al, no matter who caused them
● Applies when anyone considered an insured under the policy is occupying or
struck by auto or trailer designed for public roads
● Includes vehicle-pedestrian accidents

is a form of no-fault insurance

A

Part B- Medical Payments

189
Q

● Says the insurer will pay for medical and funeral costs when an insured (i.e.
anyone considered insured under the policy) is injured in an auto accident
● Covers eligible medical payments for up to three years
● Applies a single limit for each person per incident
Common limits: $500, 1,000, $2,000, $5,000, etc.

A

The Part B insuring agreement:

190
Q
  1. The named insured or a family member
  2. Any person occupying “your covered auto”
A

“Insured” covered person

191
Q

● Accidents where an insured is occupying a vehicle with fewer than four wheels
● Autos rented or leased for hire
● Autos used without permission (or reasonable belief of permission)
● Commercial vehicles covered by a Business Auto Policy (BAP)
● Vehicles located for use as a residence
● Injuries sustained under scope of employment (if covered by Workers’ Comp)

Medical payments begin only after Personal Injury Protection (PIP) coverage is fully exhausted.

A

Common Exclusions to Medical Payments:

192
Q

Personal Injury Protection (PIP)

A

Medical payments begin only after ________ ______ __________ (___) coverage is fully exhausted.

193
Q

● Covers bodily injuries caused by people with insufficient or no insurance
● Coverage for physical damage can be added by endorsement

A

Part C– Uninsured/Underinsured Motorist Coverage

194
Q
  1. Driver with no liability insurance
  2. Driver whose insurer won’t pay
  3. Hit-and-run driver
A

Uninsured Motorist (UM):

195
Q

Driver who does not have enough insurance to pay for all damages

A

Underinsured Motorist (UIM):

196
Q

Insurer agrees to pay for an “insured’s” injuries or damages caused by driver of an
uninsured vehicle.
“Insured”:
● The named insured or a family member
● Anyone in a “covered auto” with permission

A

Part C Insuring Agreement:

197
Q

● The insured’s own auto that is not listed in the policy
● Government vehicles
● Off-road vehicles (but only while not on public roads)
● Vehicles used as a premises
● Covered autos that are rented or used for hire (although the interpretation of
this phrase varies)
● Cars used without reasonable belief that permission was granted

A

Exclusions to UM/UIM Coverage:

198
Q

● Protects the insured’s financial interest in her car
● Two types: Collision and Other Than Collision
● Often required by finance companies

A

Part D– Physical Damage, Damage to your Auto

199
Q

● Pays for damage to insured’s vehicle caused by collision or rollover
○ a car that has been tipped or rolled over is known as an “upset vehicle”
● Applies even when insured is at-fault
● Includes “your covered auto” and any “non-owned” car the insured is driving
(unless the insured borrows it frequently: then it is not covered)

A

Part D– Collision Coverage

200
Q

ACV of the car at the time of collision

A

Payment After a Collision Total damage: insurer pays

201
Q

to repair the car with similar materials

A

Payment After a Collision Partial damage: insurer pays

202
Q

$30/day, up to $900 (previous versions of
the policy offered lower amounts: $20/day, up to $600)

A

Payment After a Collision Transportation (car rental) expenses:

203
Q

Comprehensive Coverage

A

Part D– Other Than Collision also called

204
Q

● Covers damages not caused by collision or overturn
● Essentially “open-peril” coverage, minus exclusions

A

Part D– Other Than Collision (comprehensive coverage)

205
Q

● Theft
● Hail, water, or flood
● Windstorm
● Fire
● Vandalism
● Explosion
● Earthquake
● Riot/Civil unrest
● Missiles or falling objects
● Contact with birds or animals

A

Comprehensive Coverage Covered perils:

206
Q

● Total damage: insurer pays ACV of the car at the time of collision
● Partial damage: insurer pays to repair the car with similar materials
● Transportation (car rental) expenses: $30/day, up to $900

A

Payment After a Loss Same as Collision Coverage:

207
Q

● Normal wear and tear
● Freezing
● Mechanical or electrical breakdown
● Tire damage
● Government or civil confiscation
● Losses to non-owned autos taken without permission
● Losses involving any racing or speed event or facility
● Stereo equipment and electronics (unless permanently installed, then subject
to limits)
● War and nuclear events

A

Exclusions for Damage to Your Auto

208
Q

Covers injuries to the insured et al. caused by an accident, no matter who was at
fault.

A

Personal Injury Protection (PIP)

209
Q

● Fewer lawsuits
● Helps contain rising automobile insurance costs
● First party rather than third party claims
● Quicker reimbursements
● Pays up to the policy limit without recourse

A

Advantages of No-Fault PIP:

210
Q

● The insured and members of household, whether in the insured’s or another
vehicle
● Children of the insured while on a school bus
● Certain passengers without their own PIP
● Licensed drivers who drive the insured’s vehicle with permission

A

PIP pays for the bodily injuries of:

211
Q

● Medical costs, sometimes up to a set percentage
● Lost wages (percentage of wages before injury)
● Medical transportation expenses
● In-home caregivers
● Death benefits

A

After a covered accident, PIP will pay:

212
Q

primary

A

PIP is _______ coverage

213
Q

secondary

A

Medical Payments is _________ it pays after PIP is exhausted

214
Q

restricts

A

PIP ________ insured’s right to go to court

215
Q

● Report all accidents
● Cooperate with insurer’s investigation, settlement, and any court proceedings
● Promptly send the insurer copies of all pertinent legal papers
● Submit to a physical examination if insurer requests
● Submit to examination under oath (EUO) and verify that your statements are
true and accurate
● Authorize the insurer to obtain medical reports
● Authorize the insurer to obtain other pertinent records
● Provide proof of loss if insurer requests

A

Part E: Duties After an Accident or Loss

216
Q

● Part C–Uninsured/Underinsured Motorist
● Part D–Damage to Your Auto

A

The insured has additional duties if policy includes:

217
Q
  1. Notify the police in the event of hit-and-run
  2. If filing a lawsuit, forward legal documents to the insurer
A

Additional Duties for UM/UIM Claims

218
Q
  1. Protect covered vehicles from further loss
  2. Promptly notify the police in the event of theft
  3. Allow insurer to inspect and appraise damaged vehicles
A

Additional Duties for Collision or Comprehensive Claims

219
Q

● During the policy period
● Within the United States, its territories and possessions, and Canada
○ Territories and possessions include Guam, Puerto Rico, military bases,
embassies, etc.
○ Mexico is not part of the policy territory
● During shipment between ports in the policy territory

A

PAP coverage only applies to accidents and losses that occur:

220
Q

written and signed endorsement.

A

Policy cannot be changed or waived without a

221
Q

● Changes to the number, type, or use of automobiles
● Changes in coverage, deductibles, or limits
● Address changes
● Changes in covered persons

For policies spanning more than one year, insurers may annually review the premium
rate for the following year.

A

Insurer may increase premiums immediately for:

222
Q

● Enforces subrogation
● If insured is paid by both the insurer and at-fault party, excess funds must be
paid back to the insurer

Subrogation does not apply to Part D Physical Damage.

A

Insurer’s Rights to Recover Payment

223
Q

Lets the insured suspend coverage and premium payments for a specified period of
time.

A

Popular PAP Endorsements

Suspension of Insurance

224
Q

● Pays for towing expenses, plus labor charges from the scene of the damage
● Per occurrence limit

A

Towing and Labor

225
Q

● Liability and medical payments coverage for non-owned vehicles
● Covers non-owned vehicles carrying people or property for a fee
● Coverage only applies to the named insured

A

Extended Non-Owned Coverage

226
Q

Provides extra coverage for valuable equipment that is not covered in standard policy

A

Customized Equipment

227
Q

Lets the policyholder add specialized vehicles to the policy, such as motorcycles,
motorhomes, mopeds, etc

A

Miscellaneous Vehicle Coverage

228
Q

Provides liability, medical payments, and UM/UIM insurance for people who have no car, but who often borrow other people’s vehicles

A

Non-Owner Coverage

229
Q

Survivors’ Benefits

A

Personal Injury Protection Coverage - Michigan (500.3108)

230
Q

If a person is killed in a motor vehicle accident, their dependents (such as spouse, children, or others who were financially dependent on the deceased) can receive benefits.

A

Eligibility for Survivors’ Benefits:

231
Q

Income Replacement:

Survivors are eligible for 85% of the deceased person’s lost income from the time of the accident. This is the same as the income replacement benefit provided to injured persons under PIP.
This benefit is paid for up to 3 years following the accident.

Replacement Services:

If the deceased was providing household services (e.g., childcare, cleaning, maintenance), survivors are entitled to replacement services of up to $20 per day.
This benefit is also available for up to 3 years following the accident.

No Fault Requirement:

As with other PIP benefits, the survivor’s claim is not dependent on who was at fault in the accident. If the individual was injured or killed in a motor vehicle accident, survivors are entitled to the benefits regardless of fault.

A

Survivors’ Benefits, Types of Benefits Provided:

232
Q

This endorsement adds a lessor to the definition of “insured” on the schedule of the endorsement, allowing the lessor to receive benefits under
the Business Auto Policy.

A

Lessor– Additional Insured and Loss Payee (endorsements)

233
Q

This endorsement adds residual liability coverage for a car the insured drives regularly but does not own, such as a company car. Note that it does not include the other required coverages in Michigan—PIP and PPI—but only residual liability. Coverage only applies to the insured and his or her spouse.

A

Extended Non-owned Coverage– Vehicles Furnished or
Available for Regular Use– Michigan

234
Q

applies the state’s laws and regulations that may be slightly different from what is on the standard ISO auto policy form. This endorsement is typically attached to every personal auto policy sold in Michigan, so make sure you read the policy carefully before working on the claim.

A

Amendment of Policy Provisions– Michigan