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PERSONAL AUTO POLICY · 5 MIN READ

Medical Payments and Uninsured Motorists Coverage

Part B Medical Payments is first-party, no-fault coverage: it pays reasonable expenses for necessary medical and funeral services caused by an auto accident, regardless of who was at fault. Insureds under Part B are the named insured and family members injured in any auto (or as pedestrians struck by one), plus any other person injured while occupying a covered auto. Typical per-person limits run from $1,000 to $10,000, and services must be incurred within 3 years of the accident. Part B does not pay lost wages or pain and suffering — those are tort damages, or PIP benefits in no-fault states. Part C Uninsured Motorists coverage steps into the shoes of an at-fault driver who has no liability insurance, whose insurer denies or is insolvent, or who cannot be identified. The hit-and-run trigger is important: an unidentified driver can qualify as uninsured, subject to the policy's proof requirements. Underinsured Motorists (UIM) coverage responds when the at-fault driver carries some liability insurance but less than the insured's damages. Most markets build UM/UIM around bodily injury only; Underinsured Motorists Property Damage (UIMPD) exists in a handful of jurisdictions as a rare optional coverage, largely because collision coverage already gives faster first-party recovery for vehicle damage. Stacking — combining UM/UIM limits across multiple vehicles on one policy or across multiple policies in a household — is a state-law question. There is no federal common-law stacking rule: under the McCarran-Ferguson framework, insurance regulation is reserved to the states, so stacking outcomes depend on state statute, court decisions, and the specific anti-stacking language ISO has built into the PAP over successive editions. Households with multiple vehicles and multiple policies also raise cross-coverage questions that the other-insurance and stacking provisions resolve.

Key rules

Part B pays medical and funeral expenses without regard to fault

The insured's own carrier pays reasonable, necessary expenses for injuries from an auto accident, for the named insured and family members in any auto and for occupants of a covered auto.

Why the exam cares: The no-fault character and who qualifies (occupants yes, non-occupant strangers no) are the core tested elements.

Med pay covers services incurred within 3 years, at limits commonly $1,000 to $10,000

The time boundary and modest per-person limits distinguish med pay from both health insurance and liability recovery, and it never pays lost wages or general damages.

Why the exam cares: The 3-year window and the wage exclusion are specific facts that appear verbatim in answer choices.

UM coverage requires an uninsured, insolvent-insurer, or unidentified at-fault driver

The hit-and-run trigger lets a verified unidentified motorist count as uninsured; UM then pays what the insured could have recovered from that driver, up to the UM limit.

Why the exam cares: Hit-and-run scenarios test whether candidates know UM can respond with no identified defendant at all.

UIM fills the gap when the at-fault driver's limits are below the insured's damages

UIM measures the shortfall between the tortfeasor's liability limits and the loss; UIMPD for vehicle damage is rare and optional because collision usually covers the car first.

Why the exam cares: Distinguishing UM (no coverage) from UIM (inadequate coverage) is a definitional question the exam repeats.

Stacking is governed by state statute, case law, and policy language — not federal rule

Whether limits multiply across vehicles or policies depends on the state and on ISO's anti-stacking wording; no federal common-law default exists.

Why the exam cares: The exam tests that candidates resist inventing a national stacking rule where regulation belongs to the states.

Numbers to memorize

  • $1,000 to $10,000 — typical Part B Medical Payments per-person limits
  • 3 years — window after the accident within which medical services must be incurred for Part B

Common traps

  • Confusing med pay with liability coverage — remember Part B is first-party and no-fault, paying the insured's own medical bills rather than a third party's damages.
  • Confusing UM with UIM — remember uninsured means the at-fault driver has NO applicable coverage (or is unidentified), while underinsured means coverage exists but is inadequate.
  • Confusing med pay with PIP — remember Part B pays medical and funeral expenses only, never lost wages; wage replacement belongs to no-fault PIP schemes or tort recovery.
  • Confusing stacking for a universal right — remember stacking availability turns on state statute, court decisions, and anti-stacking policy language, with no federal default.

Answer Part B and Part C questions by first asking who pays whom — med pay and UM/UIM are the insured's OWN coverages, so the claimant is always on the insured's side of the ledger.

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