CA 99 10–DRIVE OTHER CAR COVERAGE–BROADENED COVERAGE FOR NAMED INDIVIDUALS
(July 2010)
INTRODUCTION
There is cause for
concern when the only vehicle available for a family's use is supplied or owned
by a business. Business auto coverage is intended for commercial vehicles and
not for personal use. In cases like this, the question is how the entire family
gains the complete coverage offered by a personal auto policy. There are
numerous ways to address this situation, including adding all family members to
the commercial policy as named insureds. However, a simpler way is to attach CA
99 10–Drive Other Car Coverage–Broadened Coverage For Named Individuals.
Note: The 03 10 edition
has a cleaner schedule and separates the physical damage coverage. This way
coverage can be selected for comprehensive and/or collision instead of the
previous edition that required coverage for both.
GAPS IN COVERAGE
Individuals or families
in the situation above may face several serious gaps in coverage.
1. Liability coverage does
not apply to operating a hired or non-owned auto. The individual is
covered only while driving the company owned vehicle.
Example: Marvin does not have a personal auto policy since his
employer, Felix's Shoe Factory, supplies the car he drives. A friend stops by
one day and asks Marvin to drive him home using the friend's car. He is
dizzy, feels nauseous, and doesn't think he can get home safely. Marvin
agrees to help out. On the way, Marvin takes his eyes off the road when his
friend passes out, runs a stop sign, and collides with a minivan. Marvin's
friend had only minimum limits on his policy and Marvin was left with no
insurance coverage for the damages and injury he caused.
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2. There is no Medical Payments or Uninsured/Underinsured
Motorists coverage for the individual's spouse or other family members.
Example: Becky and her parents drive her dad's company-owned auto
and don't have a personal auto policy. Becky's friend, Karen, invites her to
ride with her to the mall. On their way back home, a pick-up strikes Karen's
car and Becky is seriously injured. The other driver was uninsured and
Karen's policy provides only minimum uninsured motorists limits. Becky's
family is responsible for the expenses that exceed Karen's Uninsured
Motorists coverage limits.
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3. There is no
coverage for physical damage loss to any hired or non-owned auto.
Example: Freda was
test-driving Jake's bright red convertible to help her decide whether or not
to buy it. She was bored and inconvenienced by having to drive her husband's
company car, which was the only one in the household. Jake let the insurance
coverage lapse because he couldn't afford both the vehicle and the insurance
payments. While test-driving the car Freda took a sharp turn too fast, ran
off the road, and struck a tree. Luckily, the airbags deployed properly but
Jake's car was demolished. Freda still had to buy the car but without
financial assistance from her husband's commercial auto coverage.
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COVERAGE
CA 99 10 allows the named
insured to designate the individuals who can be insured by the broadened
coverage but it does not make such coverage available on a blanket basis.
Anyone can be scheduled, even persons who are not employees or who do not have
any relationship to the business. The coverage section indicates automatic
extensions beyond the scheduled individuals.
This endorsement provides
six coverages but coverage applies only if entries appear in the premium space
for a specific coverage and for a specific individual.
The coverages available
are:
- Auto Medical Payments
- Comprehensive (03 10 edition change)
- Collision (03 10 edition change)
- Uninsured Motorists
- Underinsured Motorists
Note:
Underinsured Motorists coverage is automatically included if the named
insured purchases uninsured motorist coverage with limits higher than basic
limits. However, if underinsured motorists coverage is purchased separately, a
premium and limit must be in the appropriate space on the endorsement schedule.
This endorsement is
flexible. It can be structured and arranged to meet various needs because
coverage is scheduled for each individual.
1. Liability coverage extends to non-owned or hired autos.
This coverage extension
applies only to the named individual and a spouse residing in the same
household. It does not apply to family members unless they are scheduled.
Liability coverage applies to any auto that is hired or that is not owned by
the individual while being used by the individual or spouse. However, this is
subject to two exceptions:
- Neither the individual nor any member of the household can own
the vehicle.
- The vehicle cannot be one that the individual or spouse is
working on in the course of operating a business as an auto dealer, repair
operation or parking lot.
Example: Let's revisit Marvin who hit a minivan when he ran a
stop sign. Marvin would have been covered up to the limits on the endorsement
schedule if CA 99 10 had been attached to his company's business auto
coverage and it would have applied to the damage and injury he caused.
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2. Auto Medical Payments coverage and Uninsured and Underinsured Motorists
Coverage extends to non-owned or hired autos.
This modified coverage
applies to the individual scheduled and all family members. Family members
include any person related to the scheduled individual by blood, marriage or
adoption, provided they reside in the same household. This includes wards and
foster children.
Auto medical payments,
uninsured motorists and underinsured motorists coverages apply only if they are
scheduled for the individual. Limits must be selected. If there is no
underinsured motorists limit and the uninsured motorists limit is higher than
the minimum required, the underinsured motorists limit is the same as the
uninsured motorists limit.
CA 99 10 provides this
coverage by changing the definition of "Who Is An Insured." The named
individual and all family members who reside in the same household are insureds
under the Business Auto Coverage Form but only for coverages for which a
premium charge is made and only while the individual or a family member travels
in an auto not owned by the insured, by the individual listed, or by any of
family member.
Example: Remember Becky who was injured as a passenger while
returning home from a shopping trip? Under the modified coverage, Becky has underinsured
motorists coverage up to the limit on the endorsement schedule.
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3. Physical damage
coverage for non-owned or hired autos is amended.
This coverage extends to
only the scheduled individual and his or her spouse residing in the same
household. There is no coverage for family members. It broadens the definition
of covered auto to include a private passenger auto under the scheduled
individual and spouse's control. The auto cannot be owned by the individual or
any family member and cannot be used by the individual or spouse in a business
operation involving auto repair, auto sales or parking.
Example: Refer to the example above involving Freda and Jake's
red convertible. While the same accident occurs during the test drive, this
time CA 99 10 is attached to the business auto coverage form. Freda's
insurance pays Jake for the damage to his vehicle and she is free to use her
own money to buy the car of her dreams.
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UNDERWRITING CONSIDERATIONS
Little or no additional underwriting
is required if the individual who drives the business auto is the only person
that gains additional coverage because the insurance company has already
evaluated that individual as a driver of a company auto. However, if the
individual's spouse and/or family members are involved, their driving records
should also be reviewed as part of the underwriting process.
PREMIUM DETERMINATION
Premium charges that
apply to each coverage provided for each individual are prescribed in the
Business Auto Division of the Insurance Services Office (ISO) Commercial Lines
Manual (CLM).