Free Personal Automobile Policy Study Guide

New York Property & Casualty exam — Personal Automobile Policy.

The personal auto policy itself (Parts A through F, insureds, covered autos and exclusions) is covered in the national Personal Auto Policy guide. New York is a no-fault state. Its auto rules come from the Vehicle and Traffic Law (VTL) for minimum limits and cancellation notices, Insurance Law Article 51 for No-Fault, Insurance Law 3420 for uninsured and supplementary motorists coverage, and section 3425 for personal lines cancellation and nonrenewal. This guide covers those rules.

Minimum liability: 25/50/10

Coverage Minimum (VTL 311(4))
Bodily injury, one person $25,000 ($50,000 if the person dies)
Bodily injury, one accident $50,000 ($100,000 for death)
Property damage $10,000
  • Coverage applies in New York and elsewhere in the United States and Canada.
  • Proof of financial security can be an owner's policy, a bond, a deposit or self-insurance (VTL 311(3)).
  • Driving or registering a vehicle without coverage can bring registration and license suspension and fines (VTL 318).
  • Insurers report new policies to the DMV within 7 days and terminations within 30 days (VTL 313(2)).
  • Transportation network company drivers: $1.25 million during a prearranged trip, and 75/150/25 while logged on but not on a trip (VTL 1693). The owner's personal policy may exclude TNC use (Ins. Law 5103(b)(4)).

No-Fault (Insurance Law Article 51)

No-Fault pays the injured person's economic losses regardless of fault (Ins. Law 5103).

Basic economic loss: $50,000 per person (Ins. Law 5102(a)):

  • Medical expenses, without a time limit if within one year it's clear further expenses may be incurred.
  • Lost earnings: 80% of earnings (the statute reduces them by 20%), up to $2,000 a month for three years.
  • Other reasonable expenses up to $25 a day for one year.
  • Basic economic loss is also reduced by workers' compensation, Social Security disability, disability benefits and certain Medicare benefits (5102(b)).

Also:

  • A $2,000 death benefit to the estate (Ins. Law 5103(a)(4)).
  • Optional Basic Economic Loss (OBEL) adds $25,000 (5102(a)(5)). Additional PIP raises benefits further.
  • Insurers must offer No-Fault with no deductible, and may offer a family deductible of up to $200 (5103(c)).
  • Motorcycles aren't "motor vehicles" for No-Fault, and motorcycle occupants aren't covered by mandatory first-party benefits (5102(f), 5103(a)).
  • Benefits may be excluded for injuries while committing a felony, racing, driving intoxicated, operating a vehicle known to be stolen, or using one's own uninsured car (5103(b)).

Claim deadlines (Regulation 68, 11 NYCRR 65-1.1): written notice of claim within 30 days of the accident; medical bills within 45 days of service; lost earnings and other expenses within 90 days.

Serious injury threshold. No-Fault limits lawsuits for pain and suffering to cases of serious injury: death, dismemberment, significant disfigurement, a fracture, loss of a fetus, and listed permanent or significant limitations (Ins. Law 5102(d), 5104). An at-fault plaintiff who was driving their own uninsured vehicle, or was convicted of impaired driving or a felony, can recover no more than $100,000 in noneconomic damages (5104(d)).

Uninsured and supplementary motorists

  • Mandatory UM: every auto liability policy includes UM at 25/50 (50/100 for death), for bodily injury only (Ins. Law 3420(f)(1)). A hit-and-run claim requires physical contact with the insured or the occupied vehicle (3420(f)(3)).
  • SUM (supplementary uninsured/underinsured motorists): on new policies, SUM equals the bodily injury liability limits unless the first named insured signs a waiver choosing lower limits or declining. The waiver carries over to renewals and binds all insureds (Ins. Law 3420(f)(2-a)).
  • SUM applies when the other driver's liability limits are less than the insured's own bodily injury limits. It's reduced by whatever the at-fault driver's insurer pays, and SUM limits can't exceed the insured's liability limits (Ins. Law 3420(f)(2); Regulation 35-D, 11 NYCRR 60-2.1). All other liability coverage must be exhausted first.
  • Supplementary spousal liability (SSL): a liability policy doesn't cover injury to the insured's spouse unless SSL is included. SSL is included when a spouse is listed, unless declined in writing (Ins. Law 3420(g)).
  • MVAIC (Motor Vehicle Accident Indemnification Corporation, Article 52) pays qualified New York residents hurt by uninsured or unidentified drivers who aren't covered by a UM policy. They report to police within 24 hours where possible and file an affidavit of intention to claim within 90 days (Ins. Law 5208).

Residual market: NYAIP

The New York Automobile Insurance Plan (Insurance Law Article 53) is the assigned risk plan. Every auto insurer in New York participates. It offers liability up to 50/100/10, physical damage up to $10,000 actual cash value with at least a $100 deductible, and twice the basic No-Fault benefits. Decisions can be appealed to the Superintendent (Ins. Law 5303, 5304).

Cancellation and nonrenewal

  • Policy period: the required policy period for auto is one year (Ins. Law 3425(a)(8)).
  • First 60 days: a cancellation notice must state the specific reason (3425(b)).
  • After 60 days: cancellation only for nonpayment, suspension or revocation of a driver's license, or fraud or material misrepresentation (3425(c)(1)).
  • Notice: at least 20 days, or 15 days for nonpayment (VTL 313(1)(a)). Payment within 15 days after a nonpayment notice is mailed is timely (3425(a)(10)).
  • Nonrenewal or conditional renewal: 45 to 60 days before expiration (3425(d)(1)).
  • Nonrenewal cap: auto nonrenewals and conditional renewals are limited to 2% of policies in each rating territory, plus an allowance for new voluntary business (3425(f)).
  • A copy of every notice goes to the agent or broker within 7 days (3425(h)(3)).

Physical damage and claims

  • Photo inspection is required before physical damage coverage is issued. It can be deferred 14 days, after which coverage is suspended if the car isn't inspected. New cars from a dealer and cars at least seven model years old may be exempt (Regulation 79, 11 NYCRR 67).
  • An insurer can't require repairs at a particular shop, or recommend one unless asked, and the estimate must say so in 12-point type (Ins. Law 2610).
  • Within 60 days of a claimant's written request, the insurer confirms whether a policy was in force and its limits (Ins. Law 3420(d)(1)).

Common exam traps

  • 25/50/10, with 50/100 for death.
  • No-Fault: $50,000 basic; 80% of wages up to $2,000 a month for 3 years; $25 a day for other expenses; $2,000 death benefit.
  • Serious injury is the threshold for pain-and-suffering suits.
  • SUM equals bodily injury limits unless waived in writing, and it's offset by the other driver's payment.
  • Spousal liability is included when a spouse is listed, unless declined.
  • Auto notice: 20 days, 15 for nonpayment. Nonrenewal 45 to 60 days.

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Practice questions are study aids generated for exam preparation and are not actual exam questions. Content is provided for educational purposes and is not legal advice. Verify current statutes, rules, and exam specifications with the Insurance Department and the exam administrator before relying on it.