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Property & Casualty Insurance License Ohio
Chapters 6
34
Insurance
Professional
01/20/2014

Additional Insurance Flashcards

 


 

Cards

Term
Personal Auto Policy Parts
Definition

A-Liability Coverage

B-Medical Payments

C-Uninsured Motorist

D-Coverage for damage to YOUR auto

E-duties after an accident

F-General Provisions

Term
A private passenger auto includes a leased vehicle as long as the lease contract is continuous for how many months duration?
Definition
6
Term
Private Passenger Auto
Definition
Shall be deemed to be owned by a person if the auto is owned or leased under contract for a continuous period of at least 6 months.
Term
Your Covered Auto
Definition
  • shown in the Declarations
  • A newly acquired auto.
  • Any trailer that the insured owns
  • a temporary substitute
Term
temporary substitute
Definition
  • Any auto or “trailer” the named insured doesn’t own while being used.
  • is NOT a “your covered auto” under Part D
Term
Newly Acquired Auto
Definition
  • vehicles for which the insured becomes the owner during the policy period
  • For all coverages EXCEPT Part D coverage begins on the date the named insured becomes the owner
  • additional vehicle = 14 days to report

 

Term
Under Part D, Within how many days must an insured report the purchase of a new vehicle that is replacing an existing vehicle covered by collision coverage?
Definition
14
Term

Part A Liability

(Insuring agreement)

Definition
  • Pay damages for bodily injury or property damage
  • Settle/defend and claim/siut
  • Pay all defense costs, in addition to the liability limits

Exclusions:

  • Named inured or family member
  • Any person using the covered auto with permission

 

Term

Part-A Liability

(Supplementary Payments)

Definition
  • Bail bonds up to 250
  • Pay premiums on appeal bond
  • Any interest that accumulates
  • $200 a day for loss of earnings  due to trial
  • reasonable expenses

NOT included -Traffic fines

Term
Part A Exclusions
Definition
  • Intentionally causes damage
  • damage to property he or she owns or is transporting
  • causing bodily injury to an employee of that insured
  • vehicle while it’s being used as public or livery conveyance
  • employed or engaged in the business of selling, repairing, servicing, storing, road testing or parking motor vehicles
  • Use of vehicle while engaged in business
  • Using without entitlement
  • Less than 4 wheels
  • Inside racing area
Term

Part A – Liability Coverage

(Limit of Liability)

Definition
  • maximum limit paid under Part A is shown on the policy’s Declarations

Limit shown is the most the insurer will pay regardless of:

Insureds

  • Claims made
  • Vehicles or premiums shown in the Declarations
  • Vehicles involved in the accident
Term

Part A

Split Limit

Definition
  • amounts of coverage for bodily injury and property damage are separate
  • a bodily injury (BI) limit per person, a bodily injury (BI) limit per accident, and a separate limit for property damage (PD) per accident
Term

Part A

Combined Single Limit

Definition

The limit of the policy may be applied to bodily injury (BI) and/or property damage (PD).

  • has a maximum aggregate per accident
Term

Part B - Medical Payments Coverage

(Insuring Agreement)

Definition
  • insurer will pay reasonable expenses
  • incurred within 3 years of the accident
  • NOT required to be responsible for causing injuries

Covers:

  • named insured or any family member occupying any auto or as a pedestrian when struck
  • vehicles do NOT have to be owned by the insured
  • Any Person occupying insured auto
Term
A Medical Payments claim will be paid by the insurer within how many months from the date of the occurrence?
Definition
36months(3years)
Term

Part B

Exclusions

Definition
  • Less than 4 wheels
  • Occupying a vehicle used as public trans
  • occupying vehicle that is located for use as a residence
  • During course of employment
  • struck by a vehicle owned by a family member that is not a “your covered auto”
  • Without beliefe he/she is entitled
  • war or nuclear hazard or action
  • inside a racing facility
Term

Part C - Uninsured Motorists Coverage

(Insuring Agreement)

Definition
  • provides insurance to insured persons injured in accidents that are caused by another party.
  • other party must be legally responsible for bodily injury to an insured
  • other party is NOT legally responsible (or not at-fault), NO COVERAGE

will pay damages that an insured is legally entitled to recover from the owner or operator of an uninsured motor vehicle

  • only applies to bodily injury damages.
Term
Uninsured motor vehicle is one that:
Definition
  • Has no insurance/bond during accident
  • Has insurance but limits less than owed
  • Hit and Run
  • Their insurance denies claim/becomes insolvent
Term

Part C

(Exclusions)

Definition
  • Insired struck by their vehicle NOT on a policy
  • being used as a public or livery conveyance
  • using a vehicle without a belief of entitlment
  • While insured by workers’ compensation or disability insurance
  • If the insured is legally responsible for punitive
Term
Underinsured Motorists Coverage
Definition
  • protects the insured against drivers who do have auto liability insurance, but whose coverage limits are inadequate or insufficient

 

Term

Part D – Coverage for Damage to Your Auto

(Insuring Agreement)

Definition
  • pays for direct and accidental damage, regardless of fault
  • Deductible amount shown on Dec page for Collision coverage and Other Than Collision coverage
Term

Collision

Part D

Definition
The upset of the covered vehicle or a non-owned auto, or its impact with another vehicle or object
Term

Part D

Other Than Collision (OTC, Comprehensive)

Definition
  • Provides coverage on an open perils basis
  • Acts of nature (Thift, Animals, fires, Falling objects)
Term

Comprehensive covers all of the following losses, except:

  • Falling objects
  • Theft
  • Contact with a deer
  • Rollover
Definition
Rollover
Term

Part D

(Transportation Expenses)

Definition
  • No deductible
  • maximum of $20 per day up to $600

Theft: 48hours

Other Peril: 24 hours

Term
Part D Exclusions
Definition
  •  being used as a public or livery conveyance
  • maintenance issues
  • war or nuclear hazard
  • Electronic equipment, unless it’s permanently installed
  • Gov destruction
  • Loss to radar and laser detection
  • (Only liabilty = NO rentals covered)
Term

The insurer’s limit of liability for a vehicle damaged by a comprehensive or collision loss is the least of the following, except:

 
  • Actual cash value
  • Replacement value
  • Amount to repair
  • Totaled value
Definition

Totaled value

If the vehicle is beyond repair, or totaled, the value of the vehicle is adjusted by depreciation and the condition of the vehicle.

Term
Part E - Duties After an Accident or Loss
Definition
  • how, when, and where the accident or loss occurred (Names/Addresses also)
  • Cooperate with investigation
  • Send insurer notices/legal papers
  • Physical exam if required
  • Authorize the insurer to obtain reports/records

Calling the police is only a duty when seeking uninsured motorist coverage.

Term
Part F – General Provisions
Definition

General Provisions of the personal auto policy apply to all sections of the policy. Spell out the obligations

  • Bankruptcy
  • Changes
  • Fraud
  • Legal Action Against the insurer
  • Right to Recover Payment
  • Termination
  • Transfer of your Interest in polict
  • 2+ Auto Policies
Term

Part F – General Provisions

Termination

Cancellation

Definition

Cancellation

 first 60 days of a new policy - insurer can canel for ANY reason

10 days- Required for cancel due to NON-PAYMENT

20 days- All other reason


After 60 days cancellation:

-Non payment

-Policy obtained by fraud

-Suspension on license

Term

Part F – General Provisions

Termination

Non-renewal

Definition

-insurer may elect to non-renew a policy

-20 days advance written notice must be provided

Term

Part F – General Provisions

Termination

Automatic Termination

Definition

policy automatically terminates if the insured fails to accept or pay for a renewal or continuation of the policy

 

OR

secures other auto insurance

Term

Endorsment

Excess Electronic Equipment Coverage

Definition
  • Coverage increases the policy limit from $1,000 to the amount shown on the endorsement
  •  $200 for media
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