Property & Casualty Insurance Exam (National Portion)Casualty InsuranceHard

A client has two Personal Auto Policies (PAPs). Policy A has a bodily injury liability limit of $50,000 per person / $100,000 per accident. Policy B has a bodily injury liability limit of $25,000 per person / $50,000 per accident. Both policies contain a Pro-Rata Other Insurance clause. If the client causes an accident resulting in $60,000 in bodily injuries to one person, how much will Policy B pay?

  1. A$0
  2. B$25,000
  3. C$40,000
  4. D$20,000
Show answer & explanation

Correct answer: D. $20,000

The total coverage available is $50,000 (Policy A) + $25,000 (Policy B) = $75,000 per person. However, the claim is $60,000, and each policy's pro-rata share is based on its proportion of the total available *applicable* coverage. Policy A pays (50k/75k) * $60,000 = $40,000. Policy B pays (25k/75k) * $60,000 = $20,000. This is within Policy B's per-person limit of $25,000.

Why the other options are wrong

  • A. Pro-rata implies both policies will contribute.
  • B. This would be Policy B's maximum per-person payout if it were primary, but pro-rata distributes the loss.
  • C. This is Policy A's share, not Policy B's.

Pro-Rata Other Insurance Clause

A clause in an insurance policy that stipulates that when multiple policies cover the same loss, each policy will pay a proportion of the loss equal to the ratio of its limit of liability to the total limits of all applicable policies.

  • Prevents over-indemnification.
  • Each policy contributes proportionally.
  • Applies up to each policy's individual limit for the specific loss.

Memory trick: Pro-Rata means 'proportionally shared' – like dividing a pie based on how big each slice was intended to be.

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