CISR Personal Auto study materials
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Rosa, the Minimum-Limits Driver, and the Phantom Car

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Rosa, the Minimum-Limits Driver, and the Phantom Car

Rosa Delgado carries 100/300 uninsured/underinsured motorist coverage on a two-vehicle policy. She is a passenger in her friend Tessa's car when a driver runs a red light; that driver carries the state minimum 25/50 and his insurer tenders $25,000. Rosa's medical bills are $58,000, her lost wages are $14,000, and her pain and suffering is fairly valued at $40,000. Tessa had rejected UM/UIM in writing when she bought her policy. Three weeks later, an unidentified driver forces Rosa off the road while she is driving her own car. There was no contact between the vehicles, but a jogger saw the other car and gave police a partial plate. Rosa's own car suffers $6,500 in damage in that second incident, and she carries a $500 collision deductible.

1. What does Rosa's UIM coverage pay for the first accident, and how do her limits interact with the tortfeasor's $25,000?

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Start with total damages: $58,000 in medicals plus $14,000 in wages plus $40,000 in general damages equals $112,000. The tortfeasor is underinsured because his $25,000 limit is far below that figure. The answer then depends on the method the policy and state use. Under the reduction approach, the UIM limit is reduced by the amounts the tortfeasor pays, so $100,000 minus $25,000 leaves $75,000, which is less than the $87,000 gap and is what she recovers. Under the difference-in-limits approach, the carrier pays the damages above the tortfeasor's limit up to the UIM limit, so she recovers the full $87,000 gap. Then check stacking: if the state permits intra-policy stacking of the two listed vehicles, $200,000 of UIM is available and the full gap is paid either way.

2. Does the unidentified driver in the second incident qualify as an uninsured motorist, given there was no contact?

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Probably yes, but the file must be built carefully. UM coverage reaches hit-and-run and unidentified drivers, and many forms and statutes contain a physical-contact requirement for those claims. Where the contact requirement exists, courts often decline to enforce it when independent evidence establishes that another vehicle caused the loss, because the purpose of the requirement is to defeat fabricated claims, not meritorious ones. Here the jogger's eyewitness account, the partial plate, and the police report supply exactly that corroboration, so the claim should be pursued rather than denied at the first notice. Report promptly too: many policies impose a shortened notice period, sometimes 24 hours, for hit-and-run claims, and late notice is the carrier's easiest defense. The damage to her own car is a separate first-party claim under Part D.

3. Tessa rejected UM in writing. How does that affect which policy pays Rosa, and what happens to the $6,500 of vehicle damage?

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The usual priority rule is that UM coverage on the occupied vehicle responds first, and a passenger's own policy sits behind it. Tessa's written rejection removes that first layer, so Rosa looks to her own policy, which insures her as a named insured occupying a non-owned auto. A short-term ride in a friend's car is not the kind of regular availability that triggers the non-owned-auto exclusion, so nothing defeats coverage. The $6,500 is not a UM item: it is a collision loss under Part D, subject to her $500 deductible, and the carrier pays her actual cash value or the cost of repair, whichever is less. Expect the UM carrier, after paying Rosa, to subrogate against the at-fault driver in the first accident, and note that any recovery she makes must be coordinated so she does not collect twice for the same damages.