Some Things Still Aren't Covered
Having an auto insurance policy is a good thing. It shows
that you're a responsible driver and it likely fulfills your state's requirements
concerning the legality of your sharing the road with other drivers.
However, even if you have auto insurance, there are a number of instances
where your automobile policy won't provide coverage. Such instances are called
EXCLUSIONS. Why should exclusions exist in an insurance contract? Actually there
are quite a few different reasons. Some fundamental reasons are that exclusions:
- help maintain the expense of providing insurance;
- prevent coverage under one policy when it should be covered elsewhere; and
- prohibit coverage for losses that are against public policy.
Let's look at these reasons a bit more closely and provide
some examples.
Help maintain the expense of providing
insurance
If an individual's auto policy could be counted on to respond
to every imaginable loss, it would also have an unimaginable premium. Auto insurance
premiums are affordable only if insurance companies can exert some control over
the losses their policies can be expected to cover. Therefore, automobile policies
generally contain exclusions similar to the following example.
This automobile policy does not provide coverage for accidents which involve:
- injuries caused directly or indirectly by a nuclear weapon, reaction radiation
or contamination; or by war, civil war, insurrection, rebellion or revolution.
- injuries involving any vehicle inside a facility designed for racing while
preparing for ,or competing in, a race.
The first instance involves losses that are beyond any insurance
company's ability to control and such losses would likely be far beyond the ability
of most insurance company's to pay.
The second instance involves losses that are strictly under an individual's
control. Insurance companies certainly want to avoid situations where their
customers choose to put themselves and their cars in an excessively dangerous
position.
Prevent coverage under one policy
when it should be covered elsewhere
Most automobile policies won't provide coverage for a
loss or injury which:
- happens while being in a vehicle that has fewer than four wheels
- occurs while the vehicle is being used to transport persons or property
for profit
- happens while the vehicle is in place and being used as a premise or residence
- occurs while on the job, and workers compensation coverage is either available
or required for the bodily injury
- happens while an insured is occupying, or is hit by, a vehicle that is owned
or is regularly available to an insured, but the vehicle is not listed on
the automobile policy.
- occurs while in a vehicle that's being used in an insured's "business."
Coverage still applies if the insured is in a private-passenger auto, an owned
pickup or van, or a trailer being used with such vehicles.
These limitations are fair. Their purpose is to make sure
that coverage which you purchase for your own car, van or truck listed on your
policy does not also provide coverage in situations which are better covered
by:
- another person's policy
- worker's compensation or a business policy
- specialty coverage (such as racing events coverage)
other types of policies such as mobile home, recreational
vehicle, motorcycle or business coverage.
Prohibit coverage
for losses that are against public policy
Some examples of this reason are when coverage is denied for
losses:
- occurring when the injured person is occupying a vehicle knowing that she
or he does not have the vehicle owner's permission
- that were fraudulently staged by the vehicle's owner in order to collect
insurance for "phantom" injuries.
Insurance would quickly be impossible to buy if policies were
expected to pay for injuries to car thieves or people who fake accidents and injuries.
So remember, without reasonable exclusions, you or I would not be able to
enjoy the protection and security that is offered by automobile insurance. If
you have questions about exactly what is excluded by your policy, talk to your
insurance agent..
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COPYRIGHT: Insurance Publishing Plus, Inc. 1998
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