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Published byMelissa Nash Modified over 9 years ago
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Personal Auto – Understanding the Definitions and Endorsements
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Part 1 – Understanding the Definitions
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Topics In this section we will cover three main topics: 1.Definitions related to coverage 2.Definitions related to who is insured 3.Definitions related to the auto
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Definitions Related to Coverage
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Policy Agreement Opens with agreements and definitions Insurer side Insured pays Definitions section
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Insuring Agreement – Liability Coverage Pay damages for bodily injury and/or property damage related to auto accidents Bodily injury Property damage Insured must be legally responsible
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Insuring Agreement – Liability Coverage Insurer must be legally responsible Damage must be caused by accident
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Insuring Agreement – Liability Coverage Duty to defend Right to settle as appropriate Defense costs
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Minimum Limits Defined at state level Example
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Definitions Related to Who is Insured
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“You” and “Your” Person named in declarations and resident spouse Who is a spouse? Changes in Insured Status
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Family Member How are they related? Stepchildren and place of residence
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Class Discussion Point Impact of step-children
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Any Person Using Covered Auto Defining “your covered auto” “Just about anyone” Examples
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Businesses and Organizations Business Organization Any person or organization Example
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Definitions Related to the Auto
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Defining “Auto” Your covered auto Four types of autos Trailer and newly acquired auto vs. temporary substitute
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Types of Autos Owned vs. leased Trailers Pulled by ‘private’ auto Not self propelled
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Types of Autos Temporary substitutes PAP description
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Types of Autos Newly acquired auto Automatic coverage GVWR Incidental to insured’s business
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Use of Auto Not defined Paragraph B exclusions
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Class Discussion Point Use of auto
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Occupying Coverage can hinge on whether person was “occupying” the vehicle
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Class Discussion Point “Occupying” the vehicle
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We will now take a short break before proceeding to Part 2 on Endorsements.
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Part 2: Understanding the PAP Endorsements
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Topics In this section we will review endorsements as they relate to: 1.Coverage 2.Who is insured 3.The “Auto”
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Endorsements Related to Coverage
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Single Liability Limit Split limit Single limit of liability
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Underinsured Motorists Coverage Mandate to offer coverage Automatic definition of uninsured
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Liability Coverage Exclusion Endorsement Intra-family exclusion Added back
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Auto Loan/Lease Coverage Upside-down lease What vehicles are covered? Five things not covered 1.Overdue payments 2.Penalties 3.Security deposits 4.Costs for extended warranties, insurance 5.Carry-over loan balances
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Damage to your Auto Loss Settlement Amendment Insured doesn’t get damage repaired
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Trip Interruption Coverage Vehicle damage away from home Other expenses Coverage limitations
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Optional Limits Transportation Expenses Transportation expenses Ability to purchase extra coverage Insurer agreements
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Loss Payable Clause Rights gained by the loss payee when a loss occurs
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Towing and Labor Costs Coverage Pays an amount for a tow Base limit $25 Viewed as nuisance coverage Alternatives
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Endorsements Related to the Insured
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Additional Insured-Lessor Auto leasing Lessor as an additional insured Who owns the vehicle? Who is liable? Damage caused by others Limits of liability and deductibles
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Named Non-owner Coverage Who uses Named Non-owner Coverage? Other uses Insured’s child Coverage for insured without a car ISO rules
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Named Non-owner Coverage Named Non-owner Coverage vs. Extended Non-owned Coverage for Vehicles furnished or Available for Regular Use
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Endorsements Related to the “Auto”
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Miscellaneous Type Vehicle Endorsement Endorsement form Warning to the insured Re-definition of PAP terms Expansion of “your covered auto”
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Miscellaneous Type Vehicle Endorsement Expanded definition of “newly acquired auto” Temporary substitute coverage
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Miscellaneous Type Vehicle Endorsement Liability coverage Intra-family liability exclusion Section D of the PAP
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Miscellaneous Type Vehicle Endorsement Other exclusions PP 03 23 under the standard PAP Motor home Added third provision
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Motor Homes ISO rules manual Business related motor home ISO symbol manual PP 03 23 and PP 03 28 Premium increases
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Trailer/Camper Body Coverage When to utilize this endorsement Physical damage coverage Covers facilities and equipment Endorsement’s exclusions Loss settlement is based on smallest of three amounts Not a substitute for homeowners or mobile home insurance
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Snowmobile Endorsement Specific snowmobile endorsement How snowmobile is defined Items meeting the definition
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Snowmobile Endorsement: Who is covered Covers the following as insureds: named insured and family members Any person using covered snowmobile Anyone responsible for the acts of an insured Anyone legally responsible for acts of the named insured
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Snowmobile Endorsement: Liability & Medical Liability coverage & medical payments Who has coverage?
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Non-Owned Coverage: Available for Regular Use Covered Persons Excluded Autos Liability Coverage Medical Payments Coverage Rating
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PP 03 06: Business Use Business Use Employee negligence
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Customizing Equipment Coverage Customized equipment PP 03 18 compared to PP 13 06 Amount for each item
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