Property & Casualty Insurance Exam (National Portion)Casualty InsuranceHard

An insured has two auto policies: Policy A with a bodily injury liability limit of $50,000 and Policy B with a bodily injury liability limit of $100,000. Both policies cover the same vehicle involved in an accident where the insured is at fault, causing $75,000 in bodily injury to a third party. If both policies have a 'pro-rata' Other Insurance clause, how much would Policy A pay?

  1. A$75,000
  2. B$50,000
  3. C$37,500
  4. D$25,000
Show answer & explanation

Correct answer: D. $25,000

With pro-rata clauses, each policy pays a proportion of the loss based on its share of the total available coverage. Total coverage is $50,000 (Policy A) + $100,000 (Policy B) = $150,000. Policy A's share is $50,000 / $150,000 = 1/3. Therefore, Policy A pays 1/3 of the $75,000 loss, which is $25,000.

Why the other options are wrong

  • A. This is the total loss, which would not be paid by Policy A alone given the 'other insurance' clause.
  • B. This would be the case if Policy A's limit was the only factor considered, or if it was primary and the loss didn't exceed its limit.
  • C. This would be if the policies split it evenly, which is not what 'pro-rata' means in this context.

Pro-Rata Other Insurance Clause

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

  • Applies when two or more policies cover the same loss.
  • Prevents an insured from collecting more than 100% of the loss.
  • Calculated by (Policy A Limit / Total Limits) * Loss Amount.
  • Commonly found in property and liability policies.

Memory trick: Pro-Rata: Proportional Payouts for Shared Risk.

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