Home / Chapter 3 / Part B: PAP / Part C: UM/UIM

PAP Part C: Uninsured/Underinsured Motorist

Protection When the OTHER Driver Has No/Low Insurance

What Is UM/UIM Coverage?

Your Safety Net When Others Don't Have Insurance

UM/UIM coverage protects you when someone else causes an accident but doesn't have insurance (or doesn't have enough). Your policy steps in to pay what the at-fault driver should have paid.

Uninsured Motorist (UM)

Covers you when the at-fault driver has NO insurance at all.

Example: An uninsured driver runs a red light and hits you. Your UM coverage pays for your injuries.

Underinsured Motorist (UIM)

Covers you when the at-fault driver has insurance, but not enough to cover your damages.

Example: Driver has $25K in coverage but your injuries cost $75K. Their insurance pays $25K first, then your UIM pays the difference up to your limit.

UM vs UIM: Know the Difference

Uninsured Motorist (UM)

The at-fault driver has NO insurance at all.

Complete Example:

The Setup: You're stopped at a red light. An uninsured driver rear-ends you at high speed.

Your Injuries: $80,000 in medical bills, lost wages, and pain/suffering

Your UM Coverage: $100,000

What Happens: Your UM coverage pays up to $80,000 (your full damages)

Underinsured Motorist (UIM)

The at-fault driver has insurance, but NOT ENOUGH to cover your damages.

Complete Example:

The Setup: At-fault driver T-bones you at an intersection

Your Injuries: $75,000 in total damages

Their Insurance: Only $25,000 liability limit

Your UIM Coverage: $100,000

Payment Order:

  1. Their insurance pays their full limit: $25,000
  2. Your UIM pays the difference: $50,000
  3. Total you receive: $75,000
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EXAM TRAP: UIM Trigger Rule

UIM only kicks in AFTER the at-fault driver's insurance pays their full limit first! If they have any insurance available, they must exhaust their coverage before your UIM applies.

What Qualifies as an "Uninsured Motor Vehicle"?

1

No Liability Policy

A motor vehicle with no bodily injury liability bond or policy in effect at the time of the accident

2

Hit-and-Run Vehicle

The driver flees the scene - their identity and insurance status are unknown

3

Insurer Denies Coverage

The at-fault vehicle has insurance, but the insurer denies coverage for the loss

4

Insurer is Insolvent

The at-fault driver's insurance company goes bankrupt and can't pay claims

Hit-and-Run Coverage Note

For hit-and-run claims, you typically must report the accident to police within a specified time period (often 24 hours) and may need to prove physical contact occurred.

How UM/UIM Coordinates with Medical Payments (Med Pay)

Two Different Coverages That May Apply

Medical Payments (Part B) and UM/UIM (Part C) are separate coverages that can both respond to the same accident, but they work differently.

Medical Payments (Part B)

  • No-fault coverage - pays regardless of who caused the accident
  • Quick payment - no need to determine liability
  • Limited amount - typically $1,000 to $10,000
  • Medical bills only - doesn't cover lost wages or pain/suffering

UM/UIM Coverage (Part C)

  • Fault-based coverage - only pays if other driver is at fault
  • Slower payment - requires establishing liability
  • Higher limits - typically matches your liability limits
  • Full compensatory damages - medical bills, lost wages, pain/suffering

Complete Coordination Example

The Setup:

An uninsured driver hits you. You suffer serious injuries.

Your Coverage:

  • $5,000 Medical Payments (Part B)
  • $50,000 Uninsured Motorist (Part C)

Your Total Damages:

  • Medical bills: $40,000
  • Lost wages: $15,000
  • Pain and suffering: $5,000
  • Total: $60,000

How Payments Work:

  1. Med Pay pays first: $5,000 (immediately, no-fault)
  2. UM coverage then evaluates: You have $60,000 in damages
  3. UM payment depends on policy offset provisions:
    • Option A - With Offset: UM pays $45,000 ($50,000 limit minus $5,000 Med Pay already paid)
    • Option B - Without Offset: UM pays full $50,000 (Med Pay is separate benefit)

Total Recovery:

  • With offset policy: $50,000 total ($5,000 Med Pay + $45,000 UM)
  • Without offset policy: $55,000 total ($5,000 Med Pay + $50,000 UM)

Note: Most policies include an offset provision to prevent double recovery for the same expenses.

Who Is an Insured Under Part C?

1. You and Family Members

Covered while occupying or when struck as pedestrians

2. Any Other Person

While occupying your covered auto

3. Any Person Entitled to Recover

Anyone legally entitled to recover damages because of bodily injury to an insured (such as a spouse's loss of consortium claim)

What UM/UIM Coverage Pays For

Compensatory Damages

Pays damages the insured is legally entitled to recover from the owner or operator of an uninsured motor vehicle because of bodily injury.

Covered:

  • + Medical expenses
  • + Lost wages
  • + Pain and suffering
  • + Other compensatory damages

NOT Covered:

  • - Punitive damages
  • - Exemplary damages
  • - Property damage (in most states)

Property Damage Note

Standard UM/UIM coverage is for bodily injury only. Property damage from uninsured motorists is typically covered under Collision (Part D) with your deductible.

UM/UIM Exclusions

UM/UIM Coverage Does NOT Apply To:

Settlement Without Consent

Any claim settled without the insurer's consent (they lose their subrogation rights)

Vehicle Owned by You/Family

Injuries caused by an uninsured vehicle owned by you or a family member

Vehicle Available for Regular Use

Vehicle furnished or available for regular use (not listed on declarations)

Public/Livery Conveyance

While using covered auto as public or livery conveyance

Workers Compensation

Claims covered under workers comp or similar law

Punitive/Exemplary Damages

UM/UIM doesn't pay punitive or exemplary damages

Stacking: Combining Limits for More Protection

What Is Stacking?

Stacking allows you to combine (or "stack") UM/UIM limits from multiple vehicles on your policy to increase your available coverage. Not all states allow stacking, and it typically costs more.

Stacked Coverage

You CAN combine limits from all vehicles on your policy.

Example:

You have:

  • Car #1: $50,000 UM/UIM
  • Car #2: $50,000 UM/UIM
  • Car #3: $50,000 UM/UIM

An uninsured driver hits you:

Your damages: $120,000

With Stacking: You can stack all three limits = $150,000 total coverage

Your UM pays: $120,000 (full damages covered)

Unstacked Coverage

You CANNOT combine limits - only the limit of the vehicle involved applies.

Same Example:

You have:

  • Car #1: $50,000 UM/UIM
  • Car #2: $50,000 UM/UIM
  • Car #3: $50,000 UM/UIM

An uninsured driver hits you:

Your damages: $120,000

Without Stacking: Only the limit for Car #1 applies = $50,000 total coverage

Your UM pays: $50,000 (you're underinsured by $70,000)

Key Points About Stacking:

  • Costs more: Stacked coverage has higher premiums
  • State-dependent: Not all states allow stacking
  • Policy choice: You must elect stacked coverage when you buy the policy
  • All vehicles count: Stacking applies to all vehicles on the same policy

Limits & Dispute Resolution

Limits of Liability

UM/UIM limits work like liability limits:

  • Per person limit for each person injured
  • Per accident limit for all injuries in one accident
  • Often "stacked" or "unstacked" options available

Arbitration

If you and your insurer can't agree on:

  • Whether you're entitled to damages
  • The amount of damages

The dispute may be resolved through arbitration.

No Double Recovery

The insurer won't pay more than its share if other insurance or coverage applies. No duplicate payments for the same loss.

Other Insurance & Coordination

Pro Rata Sharing:

If other collectible insurance applies, the insurer pays its proportionate share based on limits.

For Nonowned Vehicles:

UM/UIM coverage is EXCESS over any other collectible insurance.

Exam Trap Alerts

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UIM trigger rule: UIM only kicks in AFTER the at-fault driver's insurance pays their full limit first!

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Med Pay coordination: Most policies offset Med Pay payments from UM/UIM to prevent double recovery for the same expenses.

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Stacking availability: Not all states allow stacking. When available, it increases premiums but provides more coverage.

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Hit-and-run = uninsured: A phantom vehicle that flees is treated as uninsured.

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Insolvent insurer = uninsured: If the at-fault driver's insurer goes bankrupt, that vehicle is considered uninsured.

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Bodily injury only: Standard UM/UIM covers injuries, NOT property damage.

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No punitive damages: UM/UIM only pays compensatory damages.

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Settlement without consent: If you settle with the at-fault party without your insurer's OK, you lose UM/UIM coverage.

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Arbitration: Disputes about coverage or amounts can go to arbitration.