chapter six - personal auto policy Flashcards

1
Q

Part A

A

Liability Coverages

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2
Q

Part B

A

Medical Payments

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3
Q

Part C

A

Uninsured Motorist (UM)

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4
Q

Part D

A

Coverage for Damage to your Auto

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5
Q

Part E

A

Duties After an Accident or Loss

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6
Q

Part F

A

General Provisions

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7
Q

Physical injury to, destruction of, or loss of use of tangible property

A

Property Damage.

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8
Q

Bodily harm, sickness, or disease, including death that results.

A

Bodily injury

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9
Q

A private passenger auto includes a leased vehicle as long as the lease contract is continuous for how many months duration?

9

3

6

12

A

6.

(A lease for less than 6 months is not considered private passenger auto eligible for coverage under the Personal Auto Policy)

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10
Q

A ____________vehicle is a covered vehicle when Your Covered Auto is being repaired due to a covered loss.

Conditional

Temporary substitute

Substitute

Replacement

A

Temporary Substitute

(A temporary substitute is also covered if the vehicle is out of normal use due to breakdown, servicing, loss, or destruction)

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11
Q

If newly acquired auto is an additional vehicle, the insured must report to the insurer with _____ days.

A

14

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12
Q

Under Part D, Coverage for Damage to your Auto automatic coverage begins on the date the named insured _______

A

Becomes the legal owner of the vehicle.

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13
Q

For all coverages EXCEPT Part D Coverage for Damage to your Auto, coverage begins on the date the named insured ______

A

Becomes the owner.

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14
Q

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?

14

5

15

4

A

14.

(If a vehicle covered by Part D coverages is replaced by a new car with the same coverage, the policy will automatically extend coverage for 14 days)

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15
Q

Each of the following is a Part A – Liability Coverage Supplementary payment, except:

Premiums on appeal bonds

$200 a day for loss of earnings due to an insurer request to assist in the trial

$250 for the cost of a bail bond

Payment for all defense costs

A

Payment for all defense costs.

(Payments for all defense costs is part of the Part A - Liability Coverage Insuring Agreement, which also includes payment for bodily injury or property damage for which the insured is legally responsible)

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16
Q

The limit of liability is the most paid by the insurer regardless of all of the following, except:

Amount of surcharges to be applied to policy

Number of vehicles involved

Premiums shown

Number of insureds

A

Amount of surcharges to be applied to policy.

The amount of surcharge to be applied to the policy is not linked to the limit of liability

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17
Q

A Medical Payments claim will be paid by the insurer within how many months from the date of the occurrence?

24

36

60

18

A

36.

(A Medical Payments claim will be paid within 3 years for reasonable expenses for medical and funeral expenses regardless of fault)

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18
Q

Which of the following uses of a vehicle is not excluded under the Medical Payments coverage?

A neighbor uses the insured’s car without permission

An insured rides a motorcycle

Insured uses a truck for incidental purposes

An insured drives a company car

A

Insured uses a truck for incidental purposes.

(Bodily injury sustained by an insured isn’t covered if the insured is using a vehicle while engaged in business. However, a coverage giveback applies to private passenger autos, pickups, vans, and owned trailers used with such vehicles. This exclusion applies to the business use of trucks and other commercial vehicles.)

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19
Q

Which of the following is covered under Part C – Uninsured Motorist Coverage?

Accident was caused by a hit-and-run driver

The insured is also covered by Workers’ Compensation

Punitive damages awarded for the insured

A family member is struck by an insured vehicle

A

Accident was caused by a hit-and-run driver.

A hit and run vehicle can’t be identified and is therefore considered uninsured

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20
Q

An uninsured motor vehicle is any of the following, except:

A vehicle with liability limits less than the state requirement

A company car

A vehicle that does not have insurance

A vehicle insured by an insolvent insurance company

A

A company car.

(Besides a company car, a vehicle owned by the insured or a family member, or a vehicle furnished or available for the regular use of the named insured or a family member, is not considered an uninsured vehicle.)

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21
Q

Protects the insured against drivers who do have auto liability insurance, but whose coverage limits are inadequate or insufficient to respond to claims.

A

Underinsured Motorists Coverage.

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22
Q

Comprehensive covers all of the following losses, except:

Contact with a deer

Falling objects

Theft

Rollover

A

Rollover

Rollover and hitting another vehicle or object are covered by collision coverage

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23
Q

The insurer’s limit of liability for a vehicle damaged by a loss under Part D is which of the following?

Replacement value

Actual cash value

The greater of actual cash value and replacement value

The lesser of actual cash value and replacement value

A

The lesser of actual cash value and replacement value.

(The insurer’s limit of liability for loss is the lesser of the actual cash value (ACV) of the vehicle and the amount necessary to repair or replace the vehicle with another of like kind and quality)

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24
Q

Which of the following is not a duty of the insured if the insured’s vehicle is damaged when it hit a tree?

Submit to a physical exam

Promptly notify the insurance company

Submit a proof of loss

Call the police

A

Call the police.

Calling the policy is only a duty when seeking uninsured motorist coverage

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25
Q

If an insurer non-renews an insured’s policy for underwriting reasons, what is the minimum number of days’ notice to the insured?

20

30

45

60

A

20 days.

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26
Q

After an automobile policy has been in effect for 60 days, the insurer may cancel the policy for any of the following reasons, except:

Suspension of the driver’s license of the named insured’s or household resident

Material misrepresentation of information on the application by the insured

Submission of four or more claims during a single policy period

Non-payment of premium

A

Submission of four or more claims during a single policy period.

(Generally, claims history is a valid reason for an insurer to nonrenew a policy, but it is NOT a valid reason to cancel a policy)

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27
Q

Which Part …

Covers reasonable medical and funeral services, regardless of liability, incurred within 3 years?

A

Part B - Medical Payments

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28
Q

Which Part …

Provides insurance to the insured in the event that an uninsured motorist collides with them.

A

Part C - Uninsured Motorist (UM)

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29
Q

Which Part …
Spells out the obligations of the named insured and insurer in the case of bankruptcy, fraud, and other general provisions.

A

Part F - General Provisions

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30
Q

Which Part …

Coverage for damages on the insured’s vehicle, also known as physical damage coverage.

A

Part D - Coverage for Damage to your Auto

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31
Q

Which part …
If an an insured, or anyone else, wishes to keep coverage under the Personal Auto Policy, they must comply with certain duties.

A

Part E - Duties After an Accident or Loss

32
Q

Which Part …
Covers damages for bodily injury and property damage for which the insured is legally liable. The insurer must defend any claim and cover defense costs.

A

Part A - Liability Coverages

33
Q

What is the purpose of the Extended Non-Owned Coverage for a Named Individual endorsement?

Extends coverage for a leased vehicle

Covers non-owned vehicles furnished for the insured’s regular use

Coverage is extended 25 miles into Mexico

Covers an individual who does not own a car

A

Covers non-owned vehicles furnishes for the insured’s regular use.

(this endorsement provides excess coverage over the primary coverage insuring the non-owned vehicle)

34
Q

Policyholder J hit a deer with his Honda. J has collision coverage with a $250 deductible and Other Than Collision coverage with a $50 deductible. The damage to J’s car was $450. How much will the policy pay?

Nothing

$400

$150

$200

A

400.

Collision with a bird or animal is covered by Other Than Collision coverage. The $50 deductible would apply.

35
Q

Under the PAP, which of the following is not considered occupying an automobile?

Jumping off the hood

Standing by the car exchanging insurance information

Slamming fingers in a closing door

Getting out of the car

A

Standing by the car exchanging insurance information.

Occupying means in or on a vehicle, which includes getting in, getting out, and jumping off

36
Q

Under a PAP, liability resulting from the insured’s use of a non-owned auto is:

Not covered because of the Care, Custody and Control Clause

Provided on an excess basis

Shared pro rata between the insured’s policy and the policy on the vehicle

Provided on a primary basis

A

Provided on an excess basis.

The owner’s coverage is primary and the driver’s coverage is excess

37
Q

Uninsured Motorist Coverage under a Personal Auto Policy covers which of the following vehicles?

Any vehicle being used to carry property or persons for a fee

A vehicle owned by the named insured

A vehicle being driven without permission

A vehicle used primarily for use off public roads

A

A vehicle owned by the named insured.

Coverage does not apply to non-covered vehicles, nor when a person is using the vehicle without permission

38
Q

If a bird hits a windshield and breaks it, which Personal Auto Policy coverage would pay the loss?

Supplementary payments

Other Than Collision coverage

Collision coverage

Uninsured motorist coverage

A

Other than Collision Coverage

Coverage for striking a bird or animal is included under Other Than Collision coverage

39
Q

The Personal Auto Policy would not provide coverage for which of the following?

A non-owned golf cart

A 5,000-pound pickup truck

A vehicle used in a share-the-expense carpool

A vehicle with fewer than four wheels

A

A vehicle with fewer than four wheels.

(The PAP does not provide liability coverage for vehicles with less than four wheels or designed for off-road use, except under certain circumstances)

40
Q

Policyholder B has a PAP with limits of 100/300/50. In an accident for which B was liable, there were BI claims in the amounts of $80,000; $100,000; and $125,000; and PD claims of $20,000 and $35,000. How much will his policy pay?

$300,000 BI and $50,000 PD

$305,000 BI and $50,000 PD

$280,000 BI and $50,000 PD

$305,000 BI and $55,000 PD

A

$280,000 BI and $50,000 PD

(The Bodily Injury claims of $80,000 and $100,000 will be paid in full. The $125,000 claim exceeds the per person limit and will only be paid up to $100,000 resulting in total BI payments of $280,000. The Property Damage payments will be capped at the policy limit of $50,000 per accident)

(Per person BI/Per accident BI/Per accident PD)

41
Q

Which of the following is a duty required of the insured in the event of a loss under the PAP?

Give notice of the accident to the insurer within 5 days

Immediately initiate repairs to the vehicle to protect it from further damage

If the vehicle was stolen, contact the insurer for permission to report the theft to the police

Allow an inspection and appraisal of the damage before an auto is repaired

A

Allow an inspection and appraisal of the damage before an auto is repaired.

(Under Part E - Duties After a Coverage D Loss, the insured must allow an inspection and appraisal before the damage is repaired and promptly notify the police if the car was stolen)

42
Q

Physical damage to the insured auto that is not covered under collision, and is not otherwise excluded, would be covered under:

Comprehensive

Named perils

Transportation Expenses

Property Damage Liability

A

Comprehensive

(The Other than Collision coverage, also known as Comprehensive, provides coverage for damages not caused by collision and not excluded in the exclusions)

43
Q

Which of the following vehicles IS covered under Part B - Medical Payments of the PAP?

A car used to carpool with colleagues

A van used as a residence

A company car issued to a family member

3-wheel vehicle used off-road

A

A car used to carpool with colleagues.

(A share-the-expense vehicle is not considered a public or livery conveyance, and is therefore not excluded under the policy)

44
Q

Which of the following Part D claims would be denied under the Personal Auto Policy?

Loss to electronic ignition equipment of the covered auto

Loss to the covered auto caused by road damage to tires

Earthquake damage to the covered auto

Loss to permanently installed sound reproduction equipment of the covered auto

A

Loss to the covered auto caused by road damage to tires.

(While the insuring agreement of Part D is very broad, many perils are excluded, including wear and tear, freezing, mechanical or electric breakdown, or road damage to tires)

45
Q

Which of the following is not true about medical payments under the Personal Auto Policy?

The coverage limit applies per person, per accident

Medical expenses of the insured and family members are covered

Coverage applies only for medical expenses incurred within one year of the accident

Medical expenses of all persons occupying the insured auto are covered

A

Coverage applies only for medical expenses incurred within one year of the accident.

(Medical Payments coverage includes medical expenses incurred within 3 years from the accident)

46
Q

Choose the true statement regarding Out of State Coverage in the Personal Auto Policy.

The insured should be sure that the liability limits of the policy equal or exceed the minimum limits of the compulsory insurance or financial responsibility laws of any other state where the vehicle might travel

The liability limits of the policy will be the lesser of home state coverage or the minimum liability requirement of the state in which the vehicle is being used

The limit of liability will be the same as the coverage provided in the home state or the minimum liability requirements in the state where the covered auto is being used, whichever is greater

When being used in any state other than the one in which the vehicle is licensed, the liability limits are automatically the minimum financial responsibility limits of the state in which the vehicle is licensed

A

The limit of liability will be the same as the coverage provided in the home state or the minimum liability requirements in the state where the covered auto is being used, whichever is greater.

(When the covered auto is operated in a state other than that in which it is licensed, the limits of the policy are not less than the contracted amounts or the minimum required by the state in which the vehicle is being used.)

47
Q

The limit of liability of Coverage D, Damage to Your Auto, under the Personal Auto Policy states that:

The limit of liability is the lesser of the actual cash value (ACV) of the vehicle or the amount necessary to repair or replace the vehicle with another of like kind and quality

The limit of liability is reduced by an amount equal to losses paid during the policy term

The limit of liability is reduced by an amount equal to losses paid on the covered auto

The limit of liability is equal to the limit of liability of Coverage A

A

The limit of liability is the lesser of the actual cash value of the vehicle or the amount necessary to repair or replace the vehicle with another of like kind and quality.

(Generally, the maximum limit of liability is equal to the actual cash value of the vehicle or vehicles insured. If the damage can be repaired, then the limit of liability is equal to the amount necessary to repair the vehicle or vehicles)

48
Q

If Policyholder J has no added endorsements, under which of the following scenarios will Policyholder J’s injuries be covered by her Personal Auto Policy under Medical Payments Coverage?

J broke her leg during an accident that occurred during a demolition derby

J slid into a tree while driving her company car on a personal errand

J was driving her own car from the Post Office after retrieving her employer’s mail

J was using her car as a taxi when the vehicle overturned

A

J was driving her own car from the Post Office after retrieving her employer’s mail.

(Business use of a private passenger car is NOT excluded under Medical Payments Coverage)

49
Q

Which statement is false regarding uninsured motorist coverage under a Personal Auto Policy?

Coverage does not apply to a vehicle used primarily for use off public roads

Covered persons include the named insured, family members and any other person occupying the covered auto

Coverage does not apply to any vehicle being used to carry property or persons for a fee

Coverage includes injuries suffered by someone using a covered vehicle without permission

A

Coverage includes injuries suffered by someone using a covered vehicle without permission.

(Coverage does not apply when a person is using the vehicle without permission)

50
Q

Which of the following damages would be covered under the Liability Coverage of the Personal Auto policy?

Damage to a rental car rented to the insured

Damage to a neighbor’s riding lawn mower in the care of the insured

Damage to property being transported by the insured

Damage caused to a rented garage by the insured auto

A

Damage caused to a rented garage by the insured auto.

(Liability coverage for property rented to, or in the care, custody, or control of the insured is very limited. Damage to a rental car would be covered by either collision or comprehensive coverage as applicable)

51
Q

Of the following, which is covered under Part D - Coverage for Damage to Your Auto?

Radar and laser detection devices

Road damage to tires

A newly acquired vehicle added to the policy within 14 days

Custom painting on a van

A

A newly acquired vehicle added to the policy within 14 days.

52
Q

Under Part F of the Personal Auto Policy, the Legal Action Against Us provision states that:

Legal action may not be brought against the insurer until the insured has complied with all the terms of the policy

Legal action against the insurer is permitted only when arbitration is unsuccessful

Legal action brought against the insurer must be brought within 180 days of the loss

Legal action brought against the insurer must be brought within 90 days of the loss

A

Legal action may not be brought against the insurer until the insured has complied with all the terms of the policy.

(No legal action may be taken against the insurance company by anyone unless he/she has complied fully with the policy. In addition, no one may sue the insurance company until it agrees in writing that the insured has a legal obligation to pay for damages.)

53
Q

Transportation expenses resulting from a collision or OTC loss will be paid up to what amount under Part D of the PAP?

$500

$600

$1,000

$200

A

$600.

A maximum of $20 per day, up to $600, will be paid for transportation expenses

54
Q

Which of the following claims would be insured under Uninsured Motorists Coverage?

The insured’s resident son suffered severe injuries after being rear-ended by an uninsured driver

The insured was driving his uninsured car at the time of the accident

An insured is sued and the other party is awarded an injury settlement and punitive damages

A thief stole the insured’s car and was paralyzed after being struck by a drunk driver

A

The insured’s resident son suffered severe injuries after being rear-ended by an uninsured driver

(Resident family members are covered by Part C if they are injured by an uninsured driver who is legally responsible for an accident.)

55
Q

Under Part D - Coverage for Damage to Your Auto of the Personal Auto Policy, vehicle upset would be covered under:

Comprehensive

Transportation Expenses

Collision

Other than Collision

A

Collision.

(As defined in the policy, Collision means the upset of the covered auto or a non-owned auto or their impact with another vehicle or object)

56
Q

The Personal Auto Policy Collision Coverage applies to which of the following?

Your car, regardless of liability

Your car and the car you run into

Your car only if you are legally liable

The car you run into, regardless of liability

A

Your car, regardless of liability.

Collision only applies to a vehicle of the insured and is applied regardless of fault

57
Q

Under the PAP, after a collision the insured is entitled to Transportation expenses up to:

$500

$600

$200

$1,000

A

$600.

58
Q

Policyholder G wants her PAP to insure her sedan, primarily used for sales calls, her husband’s SUV for car-pooling, the station wagon that their daughter uses to drive to school, and the van their son uses part-time to deliver dry-cleaning. Which of the following cars will G’s agent tell her is not eligible?

The sedan

The SUV

The station wagon

The van

A

The van.

(While car-pooling and sales calls are acceptable business uses under the personal auto policy, business deliveries are not)

59
Q

Claimant A has bodily injuries in the amount of $49,500; claimant B, $19,500; and claimant C $14,000 arising out of a 4-car accident caused by the insured, whose PAP carries limits of 25/50/10. What will the insurer pay?

$50,000

$14,000

$83,000

$49,500

A

$50,000

60
Q

A Personal Auto Policy is designed to cover:

Only the non-business use of a personal automobile

The use, by an individual and/or spouse only, of a personal automobile

An individual’s or family’s personal use of an auto

Personal and commercial autos that are owned by an individual or family

A

An individual’s or family’s personal use of an auto.

(The PAP is designed for insuring individuals and families. A private passenger automobile used for business purposes is eligible, but commercial automobiles are not eligible)

61
Q

Which of the following vehicles is covered by Liability coverage under the Personal Auto Policy?

Uninsured owned vehicle

Company car

Motorcycle

Non-owned golf cart

A

Non-owned golf cart.

(Non-owned golf carts are exempted from the exclusion on off-road vehicles and liability arising from their use would be covered under the policy)

62
Q

Transportation Expenses Coverage under Part D of the Personal Auto Policy begins how long after the covered auto has been stolen?

72 hours

24 hours

Immediately

48 hours

A

48 hours.

(Transportation Expenses coverage pays $20 per day up to $600, for transportation expenses incurred due to loss of the covered auto. Coverage begins 48 hours after a theft)

63
Q

The Personal Auto Policy applies:

Only in the U.S. and its territories

Anywhere in the world

Only in the U.S., its territories, Canada, and Puerto Rico

Only in the U.S., its territories, Canada, Puerto Rico, and Mexico

A

Only in the US, its territories, Canada, and Puerto Rico.

64
Q

Which of the following is correct regarding Other Insurance under Part A of the Personal Auto Policy?

If there is other liability coverage applicable to the insured auto, the policy will share the loss with the other policy on an excess basis

If there is other liability coverage applicable to the insured auto, the policy will pay the proportion that the limit of liability bears to the total of all limits

The Personal Auto Policy is the primary policy in all cases of duplicate coverage

There is no coverage for non-owned vehicles if there is other coverage applicable to such vehicles

A

If there is other liability coverage applicable to the insured auto, the policy will pay the proportion that the limit of liability bears to the total of all limits.

65
Q

All of the following are excluded under Part A of the Personal Auto Policy, except:

A vehicle driven by an unlicensed driver

Damage caused by a vehicle designed mainly for off road use

Use of a non-owned vehicle without permission

Intentional damage caused by the insured

A

A vehicle driven by an unlicensed driver.

(If a covered driver is using the covered auto with permission, the driver is still covered even if not property licensed._

66
Q

Which of these statements is not true about Uninsured Motorist coverage?

A driver is considered uninsured when his/her insurer denies a claim

A hit-and-run driver is considered uninsured

Bodily injury must be caused by another person who is legally responsible

Coverage is automatically provided for the damage to the insured vehicle

A

Coverage is automatically provided for the damage to the insured vehicle.

(UIM insurance provides coverage for bodily injury only. Property damage would be covered by Part D of the owner’s policy, or by Uninsured Motorist Property Damage, which is optionally available)

67
Q

Company A’s per person Limit of Liability is $100,000 and Company B’s is $200,000 for the same insured. How much will Company B have to pay for a covered $6,000 loss caused by the insured?

Zero

$4,000

$2,000

$6,000

A

$4,000.

(If other auto liability insurance applies, each policy will pay its proportionate share of the loss. Company B’s limit is 2/3 of the total coverage by both policies. 2/3 of the loss of $6,000 is $4,000.)

68
Q

Choose the false statement about a newly acquired additional vehicle under the PAP:

Coverage will be as broad as the broadest coverage on any insured vehicle in the household

It must be reported to the insurer within a specified period

It may be used on a farm

It may be used to transport goods for hire if receipts are less than $10,000

A

It may be used to transport goods for hire if receipts are less than $10,000.

(Vehicles used to carry goods for hire cannot be insured under a Personal Auto Policy)

69
Q

The Extended Non-Owned Coverage endorsement to the Personal Auto Policy should be added by an insured who is:

Being furnished a company car

Renting a motorcycle

Travelling to Mexico and will be renting a car there

Towing a rented snowmobile

A

Being furnished a company car.

The endorsement covers non-owned autos furnished or available for the insured’s regular use

70
Q

Which of the following is covered under Part D of the Personal Auto Policy?

Water or flood damage to a convertible when the top is left down

Damage to a van used as a livery

Theft loss to a portable CD player

Damage to a radar detector

A

Water or flood damage to a convertible when the top is left down.

(Water or flood damage is covered under Other Than Collision coverage. Damage to audio electronics and radar detection equipment is excluded)

71
Q

Which of the following is true about the Insuring Agreement of Part D under the Personal Auto Policy?

It states that Comprehensive coverage includes upset of a covered vehicle

It states that the policy will pay for direct and accidental physical loss to the covered auto regardless of fault

It sets forth the coverage of transportation expenses

It outlines the insured’s duties after a loss or accident

A

It states that the policy will pay for direct and accidental physical loss to the covered auto regardless of fault.

(the insuring Agreement of Part D states that the insurer will pay for loss to the covered auto, including its equipment, minus any applicable deductible)

72
Q

Which of the following vehicles is not considered an uninsured vehicle?

A vehicle that disappears after it hits and runs

A vehicle owned by the government

A vehicle whose coverage is denied by its insurer

A vehicle insured for less than the state’s minimum required coverage

A

A vehicle owned by the government.

73
Q

Under a Personal Auto Policy, which of the following is true of liability for bodily injury resulting from the insured’s use of a non-owned auto?

Coverage is shared pro rata between the insured’s policy and the policy on the vehicle

Coverage is provided on an excess basis

It is not covered because of the care, custody and control clause

Coverage is provided under Part C

A

Coverage is provided on an excess basis.

The owner’s coverage is primary and the driver’s coverage is excess

74
Q

Which of the following vehicles would be excluded under the Personal Auto Policy?

A motorcycle

A pickup

A station wagon

An SUV

A

A motorcycle.

A motorcycle would not be covered unless added by endorsement

75
Q

Which of the following claims would be covered by Collision Coverage under Part D of the Personal Auto Policy?

Damage to the auto caused by objects blown into it during a severe windstorm or tornado

Damage to the insured auto’s bumper when the auto crashed into a tree

Damage to the auto caused by collision with an animal on the roadway

Breakage of the windshield caused by collision with a stone or other missile

A

Damage to the insured’s auto’s bumper when the auto crashed into a tree.

(Part D of the policy specifically stipulates certain causes of loss that are not considered collisions. They include missiles or falling objects, fire, theft, explosion, windstorm, contact with a bird or animal, among others)

76
Q

M and C both have Personal Auto policies with liability limits of 20/30/10. If M borrows C’s car and injures a pedestrian, causing injuries that will cost $5,000 to treat, which policy will provide coverage for the injured party?

M’s policy

Neither policy, since C’s car was not on M’s policy

Both policies will share the loss pro-rata

C’s policy

A

C’s policy

The owner’s coverage is primary (insurance follows the car not the driver). Coverage for a non-owned vehicle is excess