Intro to Automobile Insurance Flashcards
what does SPF stand for?
standard policy form
SPF No.1 is always issued to…..
whoever owns the vehicle
SPF No 1. is always rated for….
the most primary driver
the best/newest vehicle always gets rated for…
the worst driver
which sections of SPF No 1 are MANDATORY for drivers in Alberta?
sections A and B
under section C, a driver is only covered for…
what they pay premiums for
what are the 4 optional sections for coverage under section C?
-Section 1 : All Perils
-Section 2: Collison
-Section 3: Comprehensive
-Section 4: Specified Perils
describe the Priority of Payment rule:
80-95% of the minimum limit required to be carried for 3rd party liability (Section A) is reserved for bodily injury claims, then any remaining limit can be shifted to property damage claims
what is Section A of SPF No 1?
Third Party Liability
what is Section B of SPF no 1?
Accident Benefits
under the Additional Agreements of Section A of SPF No 1, what is true of the relationship between insurer and attorney?
the insurer becomes irrevocable attorney
under the Additional Agreements of Section A of SPF No 1, what does the insured agree to do if have been paid out for a claim in error?
they agree to reimburse the insurer
define ‘dependent relative’?
a person:
-under 18 who is legally liable to be supported by the head of the household/their spouse OR
-18 years of age and older who lives in same dwelling premises as the head of the household and is physically/mentally infirm
define head of the household?
the member of the household with the largest income in the year preceding the accident
what happens if the head of the household dies?
any amount payable goes to their surviving spouse
under Section A of SPF no 1, who is insured?
-the named insured, and,
anyone who, WITH CONSENT:
- drives the vehicle
-operates any part of the vehicle (doors, etc)
….causing bodily injury to a 3rd party, property damage to a 3rd party, or death as a result of either
what are the exclusions listed under Section A of SPF no 1?
-workers comp
-garage personnel
-property in or on vehicle
-
under Section A of SPF no 1, the insurer is only liable up to…
the limit the insured purchased,
PLUS expenditures listed in the additional agreements section
what are the expenditures listed in the additional agreements section of Section A of SPF no 1?
-investigation, negotiation and settlement costs
-defense costs (legal fees) in civil court
-interest accumulating in civil action (bc could take a while to get to court)
-liable up to minimum limit in Canada where driving
-not deny a claim that is legal where you are driving in Canada
which 2 points of the additional agreements section in Section A of SPF no 1 can be summed up by ‘the law of the land will rule’?
-liable up to minimum limit in Canada where driving (ex: if this limit is lower in SK than in AB you would be liable up to the SK limit if driving in SK even if have AB license)
-not deny a claim that is legal where you are driving in Canada
what is Absolute Liability?
the obligation of an insurer to indemnify an innocent third party who was injured by our insured, while the insured was in violation of the insurance policy ($200k)
ex: insured was driving impaired and struck a pedestrian
how will claims made under Section A of SPF no 1 affect the insured’s premium?
-will increase premium
claims made under Section B of SPF no 1 are paid out on a ______ _______ ________
no fault basis, meaning will not increase premium
who is insured under Section B of SPF No 1?
-named insured/their spouse
-all occupants of the vehicle
-pedestrians
-dependent relative in the household
what is subsection 1 of Section B of SPF No 1?
-medical payments
what is subsection 2 of Section B of SPF No 1?
death, grief counselling, funeral, disability benefits
what is subsection 3 of Section B of SPF No 1?
uninsured motorist cover
2 insureds are covered for how long after the date of the accident?
2 years
under subsection 1 of section B of SPF no 1, how many doctors are provided?
2, insured’s own doctor and one provided by insurance company to give a second opinion/confirm
under subsection 1 of section B of SPF no 1, how much is provided per person for all reasonable medical expenses?
$50,000
what are the available limits for chiropractic, acupuncture, and massage under subsection 1 of Section B of SPF No 1, respectively?
-chiro $1,000
-acupuncture $350
-massage $350
in what order are medical payments under subsection 1 of Section B of SPF no 1 paid out?
-first is 21 diagnostic doctors visits that do not contribute to any limit
-then 50,000 per injured person
-then limits for chiro, acupunc, massage
what is the funeral benefit per deceased person under subsection 2 of section B of SPF no1?
$6150 per person
what is the benefit available for grief counselling under part 2 of subsection 2 of section B of SPF No 1?
$500 per family for death of any ONE person
for the insured to receive total disability benefit under part 2 of subsection 2 of section B of SPF No 1, what requirement must be met?
they must have been employed at the date of the accident
what qualifies an insured to receive total disability benefit under part 2 of subsection 2 of section B of SPF No 1?
an insured is ‘totally disabled’ if, within 60 days of the accident, their injury prevents them from performing ANY and EVERY normal work duty
when do total disability benefits kick in?
after 7 days
for how long are total disability benefits paid under part 2 of subsection 2 of section B of SPF No 1?
104 weeks
what is the total disability benefit?
-the LESSER of
$600 a week OR
80% of average gross weekly earnings
what are the total disability benefits for a ‘homemaker’?
-$200 a week for no more than 104 weeks
what qualifies an insured as ‘employed’ in order to receive total disability benefit?
actively employed for wage at the date of the accident, OR
-if 18 or over, so engaged for any 6 months for the 12 months leading up to the accident (ie: part time workers, 6 months do not have to be consecutive)
what is the name of the provincial program that provides benefit for uninsured motorist cover?
Alberta Motor Vehicles Victims’ Indemnity Fund
what is the payment limited to for the Alberta Motor Vehicles Victims Indemnity Fund?
compulsory $200,000 minimum
what is the definition of an unidentified automobile under subsection 3 of section B of SPF No 1?
-driver or owner cannot be ascertained
-accident must be reported to police within 24 hours
-statement must be filed within 30 days
-insured’s vehicle must be available for inspection
what are the exclusions to Section B of SPF no 1?
-suicide or attempt within the vehicle
-WCB
-race or speed test
-sickness/disease
-explosive
-nuclear
-radioactivity
how do claims filed under Section C of SPF no 1 affect the insured’s premium?
increase the premium
what is covered under ‘All Perils’ (Section C)?
-everything except specified exclusions or items with limits
-is basically comprehensive and collision but with one deductible
-theft by a household member or employee
what is covered under ‘Collision’ (Section C)?
impact with:
-another vehicle
-the surface of the ground
-anything on the surface of the ground
-upset (ie: rollover)
what is covered under ‘Comprehensive’ (Section C)?
-anything else besides collison
what is excluded under ‘Comprehensive’ (Section C)?
theft by a household member or employee
what is covered under ‘Specified Perils’ (Section C)?
only listed perils:
-fire
-lightning
-theft
-attempted theft
-windstorm
-earthquake
-hail
-explosion
-riot
-civil commotion
-falling or forced landing of aircraft or its’ parts
-the stranding, sinking, burning, derailment or collision of any conveyance in or upon with the auto is being transported on land or on water