Chapter 11 the personal auto policy pap
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Slides for Chapter 11 - PowerPoint PPT Presentation

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Chapter 11: The Personal Auto Policy (PAP). ISO FORM. Policy Layout. Part A : Liability. Pays if you are sued. Part B : Medical Payments. Pays you if injured. Pays if you are hit by negligent driver. Part C : Uninsured Motorists. Part D : Physical Damage. Pays for damage to your car.

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Chapter 11 the personal auto policy pap l.jpg

Chapter 11:The Personal Auto Policy(PAP)


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Policy Layout

Part A: Liability

Pays if you are sued

Part B: Medical Payments

Pays you if injured

Pays if you are hit by negligent driver

Part C: Uninsured Motorists

Part D: Physical Damage

Pays for damage to your car


Other Than Collision

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PAP Is Different From HO Contract

  • A policy owner may generally pick and choose the coverage wanted

  • Coverage applies only if declaration page indicates the coverage has been purchased

  • Each insuring agreement can generally stand by itself

  • Some definitions change depending on the insuring agreement

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  • “You” = named insured & spouse if resident

  • Family member must be a resident

  • “Your Covered Auto”

    • Shown in declarations

    • Private passenger auto, small pickup, or van

    • Newly acquired autos

    • Trailer

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Part A -- Liability

  • Pays legal judgments on your behalf resulting from an auto accident

    • Includes owned and non-owned vehicles

    • Coverage on the car is primary

  • Single versus split-limits

  • Any person using your covered auto

  • Any organization whose liability arises from your negligence while using auto

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Part A -- Exclusions

  • Intentional injury

  • Damage to own property

  • Damage caused while using your car as a taxi or delivery vehicle

  • Using vehicles without belief you had permission

  • Damage caused if driver is using the care while in the automobile business

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Part A -- Exclusions

  • Damage caused while using a motorcycle (less than 4 wheels)

  • Other owned vehicles not listed in Declarations

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Part B -- Medical Payments

  • Caused by an accident & sustained by an insured

  • Additionally you are covered if struck as a “pedestrian”

  • Includes occupants of car, but not people you hit

  • Exclusions are similar to Part A

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Part C -- Uninsured Motorists

  • Pays damages insured is legally entitled to recover from a negligent driver

  • Uninsured motor vehicle means

    • No policy applies at the time of the accident

    • Hit-and-Run vehicle

    • Tort-feasor insured by insolvent insurer

  • Exclusions similar to Part A

  • Arbitration clause applies

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Part D -- Physical Damage

  • Pays for direct and accidental loss to covered auto if premium shown on the declaration page showing coverage for:

    • Collision

    • Other than collision

  • Specified losses NOT collision

  • Some indirect loss coverage

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Part D -- Physical Damage

  • Exclusions similar to Part A, plus

    • Wear and tear

    • Electronic equipment

  • Recovery is based on actual cash value

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Loss Settlement

  • When cost of repair generally exceeds the market value of the auto before the loss, the vehicle is “totaled” and the insurer pays the ACV of the loss.

  • The limit of the amount payable is the amount not to exceed what it would repair or replace with “like kind and quality” allowing the repair facility to use after-market parts that meet or exceed OEM standards.