Property & Casualty Insurance Exam (National Portion)Casualty InsuranceHard

A client has a Personal Auto Policy (PAP) with Underinsured Motorist (UIM) Bodily Injury limits of $100,000 per person / $300,000 per accident. They are involved in an accident with an at-fault driver who has liability limits of $50,000 per person / $100,000 per accident. The client sustains $120,000 in bodily injuries. How much will the client's UIM coverage pay?

  1. A$70,000
  2. B$100,000
  3. C$0
  4. D$50,000
Show answer & explanation

Correct answer: A. $70,000

UIM coverage typically pays the difference between the insured's UIM limit and the at-fault driver's bodily injury liability limit, up to the insured's damages. The client's UIM per-person limit is $100,000. The at-fault driver's per-person limit is $50,000. The client's damages are $120,000. UIM will pay ($100,000 UIM limit - $50,000 at-fault driver's limit) = $50,000. However, some states use the 'damages minus liability' approach. In most states, UIM pays the difference between the UIM limit and what the at-fault driver's policy paid, or the difference between the UIM limit and the actual damages, whichever is less, after considering the at-fault driver's payment. The UIM payout is the lesser of: (1) the difference between the insured's damages and the at-fault driver's payment ($120,000 - $50,000 = $70,000) OR (2) the difference between the insured's UIM limit and the at-fault driver's limit ($100,000 - $50,000 = $50,000). The most common 'gap' method is UIM limit minus at-fault driver's limit. So, $100,000 (UIM limit) - $50,000 (at-fault driver's limit) = $50,000. However, the question implies the UIM coverage is *triggered* when the at-fault driver's limits are *less than* the insured's damages, and then pays the *shortfall* up to the insured's UIM limit. The client has $120,000 in injuries. The at-fault driver's policy pays its maximum per-person limit of $50,000. The remaining unpaid damages are $120,000 - $50,000 = $70,000. Since this $70,000 is less than the client's UIM per-person limit of $100,000, the UIM coverage will pay $70,000.

Why the other options are wrong

  • B. This is the client's per-person UIM limit, but the actual payout is less because the at-fault driver's policy already paid a portion.
  • C. Incorrect; UIM is designed to provide additional coverage.
  • D. This is what the at-fault driver's policy pays, or the difference between the UIM limit and the at-fault driver's limit, depending on the state's UIM calculation method. But in the 'damages minus liability' approach, the UIM would pay more.

Underinsured Motorist (UIM) Coverage

Underinsured Motorist (UIM) coverage pays for the insured's bodily injury damages when the at-fault driver has liability insurance, but their limits are insufficient to cover the full extent of the insured's damages.

  • Activated when at-fault driver's limits are less than the insured's damages.
  • Pays the difference between the insured's UIM limit and the at-fault driver's liability payout (or the shortfall in damages, depending on state law).
  • Subject to per-person and per-accident limits.
  • Does not cover property damage unless specifically added.

Memory trick: UIM fills the GAP when the other driver's insurance is TOO LOW.

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