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Auto Policy Contract

INSURING AGREEMENT territory of the United States or


In return for your premium payment we any other country.
agree to insure you for each of the 4. If your spouse or partner defined
coverages listed on the Declarations Page above is no longer a resident in the
subject to all the terms, limits and conditions same household during the policy
of the policy. Your policy consists of the period, the spouse or partner will be
policy contract and all of its endorsements, considered insured by this policy until
your application and the Declarations Page. the earlier of:
a. The date the divorce decree is
DEFINITIONS USED THROUGHOUT THIS signed;
POLICY b. The effective date of another
policy listing your spouse or
partner as a named insured; or
A. Certain words and phrases are defined in
c. Cancellation of this policy.
this policy. Defined words and phrases
appear in boldface type and have special
D. Definitions
meaning. Refer to the definition sections
1. Additional car means any of the
for the meanings. The defined terms
following types of vehicles you
have the same meaning whether in the
become the owner of, or enter into a
singular, plural, or any other form of the
lease for a term of six months or
same term.
more for, during the policy period:
B. We, us and our mean the Company a. A private passenger car:
b. A pickup, utility vehicle, or van
named on the Declarations Page that
with a gross vehicle weight of
provides this insurance.
25,000 pounds or less that is not
used for the delivery or
C. You and your mean:
transportation of goods,
1. The named insured shown on the
materials, or supplies, other than
Declarations Page; and
samples, unless:
2. Their spouse:
(1) The delivery of the goods,
a. If they are a listed driver and a
materials, or supplies is not
resident of your household; or
the primary use for which the
b. That is not residing in your
vehicle is employed; or
household, during a period of
(2) The vehicle is used for farming
separation in contemplation of
or ranching.
divorce
c. An additional car will have the
3. Your spouse includes a domestic
broadest coverage we provide for
partner, civil union or similar union
any car shown on the
under applicable state law:
Declarations Page.
a. If the person is a resident of the
same household with you during
d. Coverage does not continue after
the policy period, and
thirty (30) days of the date you
b. If the civil union or partnership
become the owner, or enter into a
was validly entered into under the
lease for a term of six months or
laws of any state, municipality, or

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Auto Policy Contract
more, for the additional car, if you fail c. property is in or upon your insured
to notify us of the additional car. car or the car used for this request;
and
2. Bodily injury means sustained bodily d. between the property being
harm to an individual including any unloaded from your insured car or
resulting illness, disease or death. the car and the driver is logged out
of a commercial delivery
3. Business means any full or part-time application or network.
profession, occupation, trade or
commercial enterprise. 7. Commercial Ridesharing Program
means an arrangement or activity
4. Business day means a day other than a through which persons are transported
Saturday, Sunday or holiday for compensation, regardless of the
recognized by this state. amount or form of compensation
charged or paid and includes the time:
5. Car means a private passenger car of a. commencing when a driver of
not less than four-wheels of the your insured car or a car is logged
coupe, sedan, station wagon, pick-up into a commercial rideshare
truck, van or sport utility type, with application or network to accept
gross vehicle weight rating of 14,000 transportation requests for
pounds or less, and used only upon passengers for compensation;
public highways. It does not include a b. between the driver accepting a
motorhome, a step van, parcel transportation request and the
delivery van, cargo cutaway van, or passengers entering into your
other van with the cab separate from insured car or the car used for this
the cargo area. request;
c. passengers in your insured car or
6. Commercial Delivery Program means the car used for this request; and
an arrangement or activity through d. between the passengers exiting
which property is transported for from your insured car or the car
compensation, regardless of the and the driver is logged out of a
amount or form of compensation commercial rideshare or application
charged or paid and includes the time: or network.
a. commencing when a driver of your
insured car or a car is logged into a 8. Damages mean compensation in the
commercial delivery application or form of compensatory damages that
network to accept transportation can be recovered by those who suffer
requests for property for bodily injury or property damage as a
compensation; result of an accident. Damages do not
b. between the driver accepting a mean punitive or exemplary damages
transportation request and the or any restitution required to be paid
property being loaded upon your as the result of any civil or criminal
insured car or the car used for this proceedings brought against any
request; person, unless the amounts required
to be paid would otherwise be

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Auto Policy Contract
covered in the absence of an order of entities are engaged in the business of
restitution. facilitating the sharing of cars for
temporary use by individuals.
9. Declarations Page means the
document from us listing: 16. Prearranged Delivery means a period
a. The type of coverages you have of time that begins when a driver
elected; accepts a transportation request
b. The limit for each coverage; through a digital network or similar
c. The premium for each coverage; connection and continues while the
d. The cars insured by this policy; driver transports the property in your
e. The named insured; and insured car or a car, and ends when
f. Other policy information. the property is unloaded from your
insured car or a car.
10. Family member means a person who
resides with you and who is related to 17. Prearranged Ride means a period of
you by blood, marriage or adoption, time that begins when a driver accepts
including a ward or foster child. This a transportation request through a
also includes a minor in the custody of digital network or similar connection
you or of a person related to you who and continues while the driver
resides with you. transports the rider in a car, and ends
when the rider departs from the car.
11. Listed driver means a driver expressly
rated on this policy and listed on the 18. Property damage means physical
Declarations Page. injury to or destruction of tangible
property, including loss of its use.
12. Named insured means the person or
persons listed on the Declarations 19. Rental car means any car or a utility
Page as the named insured. trailer that is rented by you or a listed
driver on a daily or weekly basis not to
13. Non-owned car means any car or exceed thirty (30) consecutive days,
utility trailer, other than your insured provided that this car or utility trailer
car, which is not owned by, furnished is not owned by, furnished or available
or available for regular use by you, a for regular use by you, a family
family member, or a listed driver that member, or a listed driver.
resides in your household, while in the
custody of or being operated by you, a 20.Replacement car means any of the
family member or a listed driver. following types of vehicles you
become the owner of, or enter into a
14. Occupying means: lease for a term of six months or more
a. In; for, during the policy period:
b. On; a. A private passenger car; or
c. Getting into; or b. A pickup, utility vehicle, or van
d. Getting out of. with a gross vehicle weight of
25,000 pounds or less that is not
15. Personal Car Sharing Program means used for the delivery or
a business in which persons or legal transportation of goods, materials,

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Auto Policy Contract
or supplies, other than samples, c. Operated by or in the possession
unless: of the insured or family member of
(1) The delivery of the goods, the insured until the vehicle is
materials, or supplies is not the returned to the repair facility.
primary use for which the
vehicle is employed; or 22. Undisclosed driver means:
(2) The vehicle is used for farming a. a resident physically residing in
or ranching. your household, including any
c. For any coverage provided in this unmarried dependent children
policy, except Part IV, a while temporarily away from
replacement car will have the home; or
same coverage as your insured car b. a guest temporarily staying in your
that it replaces. home in excess of ninety (90)
d. Coverage for damage to the days; or
replacement car under Part IV – c. any person who operates your
Damage to Your Car does not insured car more than thirty (30)
continue after thirty (30) days if days per year who is not listed on
you fail to notify us of the your Declarations Page.
replacement car within thirty (30) Undisclosed driver does not mean:
days of the date you become the a. your dependent child, who initially
owner, or enter into a lease for a obtained their driver's license no
term of six months or more for the more than ninety (90) days prior to
replacement car. the accident; or
e. If you would like to add Part IV – b. a person who became a resident of
Damage to Your Car coverage, you your home no more than ninety
must ask us to add the coverage (90) days prior to the accident; or
within (30) days of the date you c. a guest temporarily staying in your
become the owner, or enter into a home no more than ninety (90)
lease for a term of six months or days prior to the accident; or
more for the replacement car. d. any person who at the time of an
accident, was listed as an insured
21. Temporary vehicle includes a vehicle or operator under another
that is loaned or provided to an automobile policy for their use of
insured by an automobile repair facility your insured car.
for the insured’s use while the
insured’s vehicle is at the facility for 23. Utility trailer means a non-motorized
service, repair, maintenance, or vehicle that is designed to be towed
damage or to obtain an estimate and by your insured car and it includes a
is: farm wagon, farm implement, travel
a. In the lawful possession of the trailer or camper trailer while towed by
insured or family member of the a car on public roads. Utility trailer
insured; does not mean:
b. Not owned by the insured, any a. A trailer used as an office, store,
family member of the insured, or display or any other business for
any other person residing in the commercial purposes;
insured’s household; and b. A passenger trailer; or

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Auto Policy Contract
c. A trailer used as a primary 2. Up to $300 for the cost of bail bonds
residence. required because of an accident or
traffic law violation arising out of the
24. Your insured car means: use of your insured car; however, we
a. Any car listed on the Declarations are not obligated to apply for, furnish,
Page of this policy; or provide collateral or security for any
b. A replacement car; bonds. We are not required to
c. A temporary vehicle; purchase a bond in an amount greater
d. A rental car; than our limit of liability.
e. An additional car; and
f. Any utility trailer: 3. Actual loss of wages or salary up to
(1) that you own, or $200 a day, but not other income,
(2) if not owned by you, while when we ask an insured person to
attached to your insured car. attend a trial or hearing.

PART I – LIABILITY COVERAGE 4. Post judgment interest that accrues on


BODILY INJURY LIABILITY any damages awarded in any suit we
PROPERTY DAMAGE LIABILITY defend, which interest has accrued
A. Insuring Agreement – Bodily Injury and after judgment is entered and before
Property Damage Coverage we have paid, offered to pay, or
We will pay damages for bodily injury or deposited with the court that portion
property damage that any insured person of the judgment that is not in excess
is legally liable to pay as a result of an of our limit of liability. We will not
accident to which this coverage applies. pay post judgment interest on any
We will defend an insured person against portion of the judgment that exceeds
any covered suit or settle any claim or our limits of liability.
lawsuit as we deem appropriate. Subject
to the limits of liability, damages we pay 5. All costs we incur in settling any claim
will include prejudgment interest awarded or defending any lawsuit.
in a judgment against an insured person.
Our duty to defend or settle any suit will 6. Other reasonable expenses, if incurred
end after we have exhausted the limits of at our request.
liability through payment of judgments or
settlements. C. Additional Definitions Used In This Part
B. Additional Payments Only
We will also pay the following benefits Insured person in Part I means:
for an insured person: 1. You, a family member, or any listed
1. Premiums on appeal bonds and bonds driver with respect to an accident
to release attachments in any suit we arising out of the ownership,
defend; however, we are not maintenance or use of your insured
obligated to apply for, furnish, or car or a non-owned car;
provide collateral or security for 2. Any person using your insured car
bonds. We are not required to with your permission; or
purchase a bond in an amount greater 3. Any other person or organization with
than our limit of liability. respect only to legal liability for acts or
omissions of:

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Auto Policy Contract
a. Any person insured under Part I
while using your insured car, or 2. We do not insure bodily injury or
b. You or any listed driver insured property damage caused intentionally
under Part I while using any car, by or at the direction of any insured
other than your insured car, if not person.
owned or hired by that person or
organization. 3. We do not insure bodily injury or
Insured person does not mean: property damage with respect to
1. The United States of America or any which any person is insured under a
of its agencies; nuclear energy insurance policy. This
2. Any person for bodily injury or exclusion applies even if the limits of
property damage arising from the that policy are exhausted.
operation of a vehicle by that person
as an employee of the United States 4. We do not insure bodily injury to an
Government when the provisions of employee of an insured person arising
the Federal Tort Claims Act apply; in the course of employment. This
3. Municipal or state governments; or exclusion does not apply to bodily
4. Any named excluded driver while injury to a domestic employee except
operating a vehicle. when workers' compensation
benefits are required or available for
D. Exclusions - What Is Not Insured In Part I that domestic employee.
1. We do not insure bodily injury or
property damage arising out of the 5. We do not insure bodily injury or
ownership, maintenance or operation property damage resulting from an
of your insured car or a car while it is insured person's employment in the
being used to carry persons or business or occupation of:
property for compensation or a fee, a. transporting,
including but not limited to the pick up b. selling,
or delivery or return from a pick up or c. repairing,
delivery of: d. servicing,
a. Products; e. storing, or
b. Documents; f. parking
c. Newspapers; or cars. This exclusion includes road
d. Food. testing and delivery of the cars.
This exclusion does not apply to a This exclusion does not apply to the
share-the-expense car pool or to a ownership, maintenance, or use of
temporary vehicle that is: your insured car by:
a. A private passenger automobile; a. You;
b. A pickup, utility vehicle, or van b. Any family member or listed
with a gross vehicle weight rating driver; or
of 14,000 pounds or less that is c. Any partner, agent or employee of
not primarily used for the delivery you, any family member or listed
or transportation of goods, driver.
materials, or supplies, other than
samples; or 6. We do not insure bodily injury or
c. Used in farming or ranching. property damage resulting from the

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Auto Policy Contract
use of a car by an insured person in an ownership, maintenance or use of a
emergency occupation on a full-time, vehicle other than your insured car
part-time, or volunteer basis. Such that is owned by, furnished or
occupations include, but are not available for regular use by a listed
limited to, fire-fighting, police or driver, by that listed driver.
ambulance activities. However, this
exclusion does not apply to a car listed 11. We do not insure bodily injury to an
on the Declarations Page or any insured person whenever the payment
replacement car or additional car. of damages for the bodily injury
With respect to a vehicle the title of would benefit, directly or indirectly, an
which is held in the name of a insured person. This exclusion only
volunteer fire department, this applies to the damages that are in
exclusion only applies to the damages excess of the minimum limits of
that are in excess of the minimum liability required by the Texas financial
limits of liability required by the Texas responsibility law.
financial responsibility law.
12. We do not insure bodily injury or
7. We do not insure property damage to property damage resulting from
property: liability assumed under any contract or
a. owned by; agreement. This exclusion does not
b. being transported by; apply to a temporary vehicle.
c. rented to; or
d. in the charge of 13. We do not insure bodily injury or
an insured person. This exclusion property damage resulting from an
does not apply to property damage to insured person using your insured car
a residence or private garage rented or any car in any racing, speed,
by that person or to a temporary demolition, stunt or performance
vehicle. driving contest, demonstration, high
performance driver education,
8. We do not insure bodily injury or instruction or activity, or in practice or
property damage arising out of the preparation for any such activity.
ownership, maintenance or use of any This exclusion does not apply to
motorized vehicle with less than four drivers education instruction.
wheels.
14. We do not insure bodily injury or
9. We do not insure bodily injury or property damage for any insured
property damage arising out of the person who is using a vehicle without
ownership, maintenance or use of any a reasonable belief the insured person
vehicle, other than your insured car, is entitled to do so. This exclusion
which is owned by, furnished or does not apply to a listed driver using
available for regular use by you, a your insured car that is owned by you.
family member, or a listed driver that
resides in your household. 15. We do not insure bodily injury or
property damage due to theft or
10. We do not insure bodily injury or conversion of your insured car, a non-
property damage arising out of the owned car, or utility trailer:

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Auto Policy Contract
a. By you, a family member, a listed network as a driver or while using your
driver or any resident of your insured car or any car, as a driver
household; during a prearranged ride, that is part
b. Prior to its delivery to you or a of a Commercial Ridesharing
family member, a listed driver; or Program.
c. While in the care, custody, or
control of anyone engaged in the 19. We do not insure bodily injury or
business of selling the car or utility property damage for any accident that
trailer. occurs while an insured person is
However, b. does not apply to your using or driving your insured car or
additional car or replacement car. any car, as a driver, that is part of a
Personal Car Sharing Program during
16. We do not insure bodily injury or the car sharing period.
property damage:
a. Caused by, or reasonably expected 20.We do not insure property damage to
to result from, a criminal act or a temporary vehicle if:
criminal omission of an insured a. You are convicted in a case
person. For purposes of this brought against you under the
exclusion, criminal acts or criminal Texas controlled Substances Act or
omissions do not include traffic the federal Controlled Substances
violations, or charges or Act; and
convictions for driving under the b. The vehicle is seized by federal or
influence; state law enforcement officers as
b. Arising out of the use or operation evidence in such case.
by an insured person of any car
while it is being used to flee a law E. Limits of Liability
enforcement agent or crime scene. The limits of liability shown on your
Declarations Page apply subject to the
17. We do not insure bodily injury or following:
property damage for any accident that 1. The bodily injury liability limit for
occurs while an insured person is "Each Person" is the maximum for
using or driving your insured car or bodily injury sustained by one person
any car, and is logged into a in one accident. All claims of others
commercial delivery application or derived from such bodily injury,
network as a driver or while using your including but not limited to, emotional
insured car or any car, as a driver injury, mental anguish, loss of society,
during a prearranged delivery, that is loss of companionship, loss of
part of a Commercial Delivery services, loss of consortium and
Program. wrongful death are included in the
“Each Person” limit.
18. We do not insure bodily injury or
property damage for any accident that 2. Subject to the bodily injury liability
occurs while an insured person is limit for "Each Person", the bodily
using or driving your insured car or injury liability limit for “Each Accident”
any car, and is logged into a is the maximum combined amount for
commercial rideshare application or

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Auto Policy Contract
bodily injury sustained by two or more b. the amount of that obligation has
persons in one accident. been finally determined by
judgment after trial.
3. The property damage liability limit for 2. No person or organization has any
“Each Accident” is the maximum for all right under this policy to bring us into
property damage sustained to all any action brought to determine the
property in any one accident. liability of an insured person.

4. The limits of liability shown on the


Declarations Page for bodily injury G. Conformity with Financial Responsibility
and property damage are the most we Laws
will pay regardless of the number of: When we certify this policy as proof
a. Claims made; under any financial responsibility law, it
b. Your insured cars; will comply with the law to the extent of
c. Insured persons; the coverage required by law.
d. Lawsuits brought;
e. Cars involved in the accident; or H. Out of State Coverage
f. Premiums paid. 1. If an accident to which this policy
5. No person is entitled to duplicate applies occurs in any state or province
payments for the same elements of other than the one in which your
damages from this policy or any other insured car is principally garaged, and
policy. Any amount payable to a if a statute of that accident state or
person for liability coverage shall be province that is applicable to us deems
reduced by all sums paid or payable to out-of-state vehicle liability policies
that person or for their benefit under issued by us to provide particular
any uninsured or underinsured forms or limits of coverage not
motorist coverage, personal injury provided for in this policy when your
protection coverage, or physical insured car is involved in an accident in
damage coverage. that state, then for purposes of that
accident only, we will interpret your
6. If this policy and any other auto policy as providing the additional
insurance policy issued to you by us minimum coverage(s) deemed to be
apply to the same accident, the provided, at the minimum amounts
maximum limit of our liability under all permitted by law, and subject to the
the policies shall not exceed the exclusions set forth in this policy.
highest applicable limit of liability
under one policy. 2. Our obligation to pay such coverage
shall be reduced by all other available
F. Legal Action Against Us insurance issued to you by us, to the
1. Under Part I - Liability Coverage, no extent permitted by the law of the
legal action may be brought against us other state.
until:
a. we agree in writing that the 3. Nothing contained herein constitutes a
insured person has an obligation to choice of law provision or consents to
pay; or the application of the law of any
particular state or province.

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Auto Policy Contract
1. Subject to the limit for this coverage
I. Other Insurance shown on your Declarations Page, we
1. Any insurance we provide under this will pay damages an insured person is
Part I for a temporary vehicle will be legally entitled to recover from the
primary. owner or operator of an uninsured
2. Any insurance we provide under this motor vehicle because of bodily injury
Part I for other than a temporary sustained by an insured person,
vehicle shall be excess over any other caused by an accident, and arising out
applicable liability insurance that also of the ownership, maintenance or use
provides coverage for the same of an uninsured motor vehicle.
accident or loss under this policy. If 2. We will pay under this coverage only
more than one liability insurance policy after the limits of bodily injury liability
or bond applies on an excess basis, we coverage under all liability policies
will pay only our share of the loss. applicable to an uninsured motor
3. Our share is determined as follows. vehicle have been exhausted by
When we have issued a single auto payment of judgments or settlements.
liability policy to you that applies to the
accident, our share is the proportion B. Insuring Agreement – Uninsured
that our limits of liability bear to the Motorist Property Damage Coverage
total of all applicable limits. When we 1. Subject to the limit for this coverage
have issued more than one auto shown on your Declarations Page, we
liability policy to you that applies to the will pay damages an insured person is
same accident, we will first calculate legally entitled to recover from the
our maximum limit of liability. Our owner or operator of an uninsured
maximum limit of liability shall not motor vehicle because of property
exceed the highest applicable limit of damage to your insured car caused by
liability under one policy we have an accident and arising out of the
issued. Our share is the proportion ownership, maintenance or use of an
that our maximum limits of liability uninsured motor vehicle.
bears to the total of all applicable 2. We will pay under this coverage only
limits. after the limits of property damage
4. However, if there is no other liability coverage under all liability
applicable auto liability insurance, then policies applicable to an uninsured
any coverage we provide under this motor vehicle have been exhausted by
Part I for the accident will be primary payment of judgments or settlements.
and not excess coverage.
C. Additional Definitions Used In This Part
Only
PART II - UNINSURED MOTORIST 1. Insured person in Part II means:
COVERAGE a. You, any family member, or any
UNINSURED MOTORIST BODILY INJURY listed driver;
UNINSURED MOTORIST PROPERTY b. Any person while occupying your
DAMAGE insured car with your permission;
A. Insuring Agreement - Uninsured or
Motorist Bodily Injury Coverage c. Any person who is entitled to
recover damages covered by Part II

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Auto Policy Contract
because of bodily injury sustained applicable limits of liability under all
by a person described in a or b valid and collectible bonds, policies
above. and securities:
(1) Is less than the full amount the
2. Property damage in Part II means insured person is legally
physical damage to, destruction of, or entitled to recover as damages;
loss of use of: or
a. Your insured car. (2) Has been reduced by payments
b. Any property owned by a person of claims arising from the same
listed in 1a or 1b while contained in accident to an amount less than
your insured car. the full amount the insured
c. Any property owned by an insured person is legally entitled to
person while contained in any car recover as damages.
not owned, but being operated by
an insured person. An uninsured motor vehicle does not
mean any vehicle:
3. Uninsured motor vehicle means a a. Owned by, furnished to, or
motor vehicle of any type: available for regular use by you or
a. To which no liability bond or policy any family member;
applies at the time of the accident; b. That is insured under Part I of this
b. To which a liability bond or policy policy;
applies at the time of the accident, c. Owned or operated by a self-
but the bonding or insuring insurer under any applicable motor
company: vehicle law;
(1) denies coverage, or d. Owned by a governmental body
(2) is or becomes insolvent or unless:
otherwise unable to pay motor (1) The operator of the motor
vehicle liability insurance vehicle is uninsured; and
claims; (2) There is no statute imposing
c. Which is a hit-and-run vehicle, liability for damage because of
whose owner or operator cannot bodily injury or property
be identified and which hits: damage on the governmental
(1) You, any family member, or body for an amount not less
any listed driver; than the limit of liability for this
(2) A car which you, any family coverage;
member, or any listed driver e. Operated on rails or crawler treads;
are occupying; or f. That is a farm-type tractor or
(3) Your insured car; and causes equipment designed principally for
an accident resulting in bodily use off public roads, except while
injury or property damage; or being used upon public roads; or
d. Which is an underinsured motor g. While located for use as a
vehicle. An underinsured motor residence or premises.
vehicle is one to which a bodily If we and you do not agree as to
injury liability bond, policy or whether or not a vehicle is actually
security applies at the time of the uninsured, the burden of proof as to
accident, but the sum of all that issue shall be on us.

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liability insurance policy but for its
D. Exclusions – What Is Not Insured In Part termination upon exhaustion of its
II limit of liability.
We do not provide uninsured motorist
coverage to any insured person for: 6. Bodily injury or property damage
1. The direct or indirect benefit of any resulting from an insured person using
insurer or self-insurer under any of the your insured car or any car in any
following or similar laws or funds: racing, speed, demolition, stunt or
a. Workers’ compensation law; or performance driving contest,
b. Disability benefits law. demonstration, high performance
driver education, instruction or
2. Bodily injury sustained by an insured activity, or in practice or preparation
person while using, occupying or for any such activity.
when struck by a car of any type that
is designed to be operated on the This exclusion does not apply to
public roads and that is owned by you drivers education instruction.
or a family member or furnished for or
available for regular use, if that car is 7. Bodily injury or property damage
uninsured for this coverage. resulting from the intentional acts of
that person.
3. Bodily injury arising out of the
ownership, maintenance or operation 8. Bodily injury or property damage for
of your insured car while it is being any accident that occurs while an
used to carry persons or property for insured person is using or driving your
compensation or a fee, including but insured car or any car, and is logged
not limited to the pick up or delivery or into a commercial delivery application
return from a pick up or delivery of: or network as a driver, or while using
a. Products; your insured car or any car, as a driver
b. Documents; during a prearranged delivery, that is
c. Newspapers; or part of a Commercial Delivery
d. Food. Program.
This exclusion does not apply to a
share-the-expense car pool. 9. Bodily injury or property damage for
any accident that occurs while an
4. Bodily injury when an insured person insured person is using or driving your
is using a car without a reasonable insured car or any car, and is logged
belief that the person is entitled to do into a commercial rideshare application
so. This exclusion does not apply to a or network as a driver, or while using
listed driver using your insured car your insured car or any car, as a driver
that is owned by you. during a prearranged ride, that is part
of a Commercial Ridesharing
5. Bodily injury or property damage for Program.
your insured car for which insurance is
afforded under a nuclear energy 10. Bodily injury or property damage for
liability insurance policy or would be any accident that occurs while an
afforded under a nuclear energy insured person is using or driving your

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Auto Policy Contract
insured car or any car, as a driver, that b. Had a reasonable opportunity to
is part of a Personal Car Sharing protect our interests in the suit.
Program during the car sharing period.
6. When the insured person informs us
11. Attorney’s fees or litigation expenses of a settlement offer, if any, proposed
including those that result from any by or on behalf of the owner or driver
lawsuit where punitive or exemplary of the uninsured motor vehicle, the
damages were awarded. This insured person must request our
exclusion only applies after final written consent to accept such
judgment is entered finding the settlement offer.
uninsured/underinsured motorist a. If we consent in writing, then the
legally liable to pay damages covered insured person may accept such
under this Part II. settlement offer.
b. If we inform the insured person in
12. The first $250 of the amount of writing that we do not consent,
damage to the property of that person then the insured person may not
as the result of any one accident. accept such settlement offer and:
(1) We will make payment to the
E. Additional Duties for Part II – Uninsured insured person in an amount
Motorist Coverage equal to such settlement offer.
An insured person must comply with the This payment is considered a
following provisions: payment made by or on behalf
1. Promptly notify the police if a hit and of the owner or driver of the
run driver is involved. uninsured motor vehicle; and
(2) Any recovery from or on behalf
2. Promptly send us copies of the legal of the owner or driver of the
papers if a suit is brought. uninsured motor vehicle shall
first be used to repay us.
3. Take reasonable steps after loss, at
our expense, to protect damaged 7. An insured person must take all
property from further loss. necessary steps to protect our right of
subrogation, which may include the
4. Permit us to inspect and appraise the filing of a suit against an uninsured
damaged property before its repair or motorist. Any suit filed by an insured
disposal. person must be filed within the
applicable statute of limitations. If we
5. Any judgment or settlement for make a payment and the insured
damages against an owner or operator person recovers from another party,
of an uninsured motor vehicle that the insured person shall hold the
arises out of a lawsuit brought without proceeds in trust for us and pay us
our written consent is not binding on back the amount we have paid.
us unless we:
a. Received from the insured person 8. A person seeking Uninsured Motorist
reasonable notice of the suit that Coverage under this policy must also
resulted in the judgment; and submit to physical examinations at our

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Auto Policy Contract
expense by doctors we select as often (5) Motor vehicles involved in the
as we may reasonably require. accident; or
(6) Premiums paid.
9. Any action brought against us
pursuant to this coverage must be 2. We will not pay more than the limit of
brought in the county in which the liability shown on the Declarations
person seeking benefits resides or in Page for Uninsured Motorist Coverage
the United States District Court serving for all property damage in one
that county. accident.

F. Limits of Liability 3. Subject to the Limits of Liability set


1. If your Declarations Page shows a forth in 1. and 2. above, our limits of
“split limit” for Uninsured Motorist liability will be the lesser of:
Bodily Injury Coverage: a. The difference between the
a. The amount shown for "Each amount of an insured person's
Person" is the most we will pay for damages for bodily injury or
all damages due to bodily injury to property damage and the amount
an insured person. paid or payable to that insured
b. All claims of others derived from person for such damages by or on
such bodily injury, including, but behalf of persons or organizations
not limited to: who may be legally responsible;
(1) Emotional injury; and
(2) Mental anguish; b. The applicable limit of liability for
(3) Loss of society; this coverage.
(4) Loss of companionship;
(5) Loss of services; 4. No one will be entitled to duplicate
(6) Loss of consortium; and payments for the same elements of
(7) Wrongful death damages:
are included in the “Each Person” a. For which payment has been made
limit. by or on behalf of persons or
c. Subject to the "Each Person” limit, organizations that may be legally
the amount shown for "Each responsible;
Accident" is the most we will pay b. Under Part I – Liability Coverage;
for all damages due to bodily c. Under Part III – Personal Injury
injury sustained by two or more Protection Coverage;
insured persons in any one d. If an insured person is entitled to
accident. receive payment as a result of
d. The limits of liability shown on the bodily injury under any workers'
Declarations Page for Uninsured compensation law, disability
Motorist Bodily Injury Coverage are benefits law or any similar law.
the most we will pay regardless of
the number of: 5. Any amount payable under Part II for
(1) Claims made; property damage shall be subject to
(2) Insured cars; the deductible shown on the
(3) Insured persons; Declarations Page.
(4) Lawsuits brought;

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Auto Policy Contract
6. If multiple auto policies issued by us 4. For any property damage to which the
are in effect for you, we will pay no coverage for Part IV - Damage to
more than the highest limit of liability Your Car of this policy (or similar
for this coverage available under any coverage from another policy) and this
one policy. coverage both apply, you may choose
the coverage from which damages will
G. Other Insurance be paid. You may recover under both
1. If there is other applicable insurance coverages, but only if:
available under one or more policies or a. Neither one by itself is sufficient to
provisions of coverage that is similar to cover the loss;
the insurance being provided under b. You pay the higher deductible
Part II of this policy, we will pay only amount (but you do not have to
our share. Our share is the proportion pay both deductibles); and
that our limits of liability bear to the c. You will not recover more than the
total of all applicable limits. actual damages.

2. Any insurance we provide with respect PART III – PERSONAL INJURY


to a non-owned motor vehicle shall be PROTECTION COVERAGE
excess over any other collectible A. Insuring Agreement - Personal Injury
insurance providing coverage on a Protection Coverage
primary basis.
1. We will pay Personal Injury Protection
benefits because of bodily injury:
3. If the coverage under this policy is
provided: a. resulting from a motor vehicle
a. On a primary basis, subject to the accident; and
Limits of Liability under Part II, we b. sustained by an insured person.
will pay only our share of the Our payment will only be for losses or
damages that must be paid under expenses incurred within three years
insurance providing coverage on a from the date of accident.
primary basis. Our share is the
proportion that our limit of liability 2. Personal Injury Protection benefits
bears to the total of all applicable consist of:
limits of liability for coverage
a. Reasonable expenses incurred for
provided on a primary basis.
necessary medical and funeral
b. On an excess basis, subject to the
services.
Limits of Liability under Part II, we
will pay only our share of the b. Eighty percent of the
damages that must be paid under insured person's loss of
insurance providing coverage on an income from employment.
excess basis. Our share is the These benefits apply only
proportion that our limit of liability if, at the time of the
bears to the total of all applicable accident, the insured
limits of liability for coverage person;
provided on an excess basis. (1) was an income producer; and
(2) was in an occupational status.
These benefits do not apply to any

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Auto Policy Contract
loss after the insured person dies. (2) when struck by;
c. Loss of income is the difference a motor vehicle designed for use
between: mainly on public roads or a trailer
(1) income which would have of any type.
been earned had the insured b. Any other person while occupying
person not been injured; and your insured car with your
(2) the amount of income permission.
actually received from 2. Necessary medical services mean
employment during the prescribed medical services which are
disability. reasonable and necessary for
d. If the income being earned as of treatment of the bodily injury,
the date of accident is a salary or including the number and duration of
fixed remuneration, it shall be treatments in the region in which
used in determining the amount those services are provided. The
of income which would have services are limited to medical,
been earned. Otherwise, the surgical, dental, x-ray, ambulance,
average monthly income earned hospital and professional nursing, and
during the period (not more than funeral services; and include the cost
12 months) preceding the of pharmaceuticals, orthopedic and
accident shall be used. prosthetic devices, eyeglasses, and
hearing aids .
3. Reasonable expenses incurred for Necessary medical services do not
obtaining services. These services mean:
must replace those an insured person a. Treatment, services, products, or
would normally have performed: procedures that are:
a. without pay; (1) Experimental in nature, for
b. during a period of disability; and research, or not primarily
c. for the care and maintenance of designed to serve a medical
the family household. purpose, or
These benefits apply only if, at the (2) Not commonly and customarily
time of the accident, the insured recognized throughout the
person: medical profession and within
a. was not an income producer; and the United States as
b. was not in an occupational status. appropriate for the treatment
of bodily injury; or
These benefits do not apply to any
loss after the insured person dies. b. The use of:
(1) Thermography or other related
B. Additional Definitions Used in This procedures of a similar nature;
Part Only or
1. Insured person, in Part III, (2) Acupuncture or other related
means: procedures of a similar nature;
a. You, any family member, or any or
listed driver: c. Purchase, rental
(1) while occupying; or cost, or use of:

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Auto Policy Contract
(1) Hot tubs, spas, water beds,
(2) Exercise equipment, D. Additional duties for Part III –
(3) Heating or vibrating devices, Personal Injury Protection
(4) Furniture or equipment not Coverage
primarily designed to serve a In addition to the terms and conditions of
medical purpose, this policy and in addition to compliance
(5) Memberships in health clubs, with Part V - Duties After an Accident
or and General Conditions, an insured
(6) Medical reports unless person seeking coverage under Part III of
requested by us. this policy must also comply with the
following provisions:

C. Exclusions – What is Not Insured 1. Authorize us to obtain, when pertinent


in Part III and reasonably related to the accident:
a. Medical records or reports;
We do not provide Personal Injury
b. Any documents we indicate are
Protection Coverage for any person for
necessary to investigate and
bodily injury sustained:
process the claim; and
1. In an accident caused intentionally by
that person. c. Event data recorders and/or
sensing and diagnostic modules or
2. By that person while in the commission
any other recording device for the
of a felony.
purpose of retrieving data
3. By that person while attempting to
following an accident.
elude arrest by a law enforcement
2. Submit, as often as we reasonably
official.
require, to a request for production of
4. While occupying, or when struck by,
pertinent documents reasonably
any motor vehicle (other than your
related to the accident at the time of
insured car) which is owned by you.
an examination under oath and any
5. By a family member or listed driver other time, and allow the copying of
while occupying, or when struck by any of these documents we or our
any motor vehicle (other than your designated representative requests.
insured car) which is owned by a This includes, but is not limited to, all
family member or listed driver. documents concerning your income
6. While an insured person is driving (payroll records, profit and loss
your insured car or any car, and is statements, etc.), finances, credit, and
logged into a commercial rideshare any other pertinent documents
application or network as a driver, or reasonably related to the accident
while using your insured car or any needed to investigate and process
car, as a driver during a prearranged your claim. Such documents must be
ride, that is part of a Commercial provided to us or our designated
Ridesharing Program. representative in a timely manner, and
7. While an insured person is using or if requested, prior to an examination
driving your insured car or any car, as under oath.
a driver, that is part of a Personal Car 3. As required by the law of the state in
Sharing Program during the car which this policy was issued, submit
sharing period. to physical examinations at our

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Auto Policy Contract
expense by doctors we select as written assignment signed by the Named
often as we may reasonably require. Insured to whom such benefits are
Any expense, if reasonable and payable .
incurred by an insured person at our
request, will be paid by us. H. Other Conditions
1. Loss Payments. Benefits are payable:
E. Limits of Liability a. Not more frequently than every
1. The limit of liability for the coverage two weeks; and
provided by Part III to any one insured b. Within thirty (30) days after
person is the limit shown for this satisfactory proof of claim is
coverage on the Declarations Page. received.
2. We will pay no more than the limit of 2. Modification. The General Provision
liability shown for this coverage on the part of this policy entitled "Our Right
Declarations Page for any insured to Recover Payment" does not apply
person(s) injured in any one accident to this coverage.
regardless of the number of:
a. Cars insured; PART IV – DAMAGE TO YOUR CAR
b. Insured person(s); COMPREHENSIVE
c. Claims COLLISION
made; TOWING AND ROAD SERVICE
d. Applicable policies; or A. Insuring Agreement
1. Comprehensive Coverage
e. Premiums shown on your
Subject to the limits of liability, we will
Declarations Page.
pay for a loss to your insured car, its
3. No one will be entitled to receive additional equipment and any non-
duplicate payments under this owned car caused by any direct means
coverage for any element of loss for other than collision, less any applicable
which payment was received under deductibles, if Comprehensive
any Personal Injury Protection Coverage is shown on your
Coverage. Declarations Page. Any deductible
amount will apply separately to each
F. Other Insurance loss. If loss to more than one your
If there is other Personal Injury Protection insured car or non-owned car results
insurance, we will pay only our share. Our from the same insured loss, only the
share is the proportion that our limit of lowest applicable deductible will apply.
liability bears to the total of all applicable
limits. However, any insurance we provide If breakage of glass results, you may
with respect to a vehicle you do not own elect to have it treated as loss caused
shall be excess over any other collectible by collision.
Personal Injury Protection insurance.
2. Collision Coverage
G. Assignment of Benefits Subject to the limits of liability, we will
Payments for medical expenses will be pay for loss to your insured car, its
paid directly to a physician or other additional equipment and any non-
health care provider if we receive a owned car caused by any direct,

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Auto Policy Contract
sudden and accidental collision, less c. Towing and Road Service Coverage
any applicable deductibles, if Collision does not apply to:
Coverage is shown on your (1) recreational vehicles,
Declarations Page. Any deductible (2) motorhomes,
amount will apply separately to each (3) towed cars,
loss. (4) motorcycles, or
(5) stored cars
In addition, we will pay, without even if the car is considered to be
applying the deductible, the your insured car. Towing and Road
reasonable cost to replace any child Service Coverage is limited to no
safety seat damaged in an accident to more than three covered
which this coverage applies. disablements for any single your
insured car in a six month period.
3. Towing and Road Service Coverage Additionally, if your insured car is
a. If your Declarations Page shows a towed anywhere than the closest
premium for Towing and Road qualified repair shop, you will be
Service Coverage, then subject to liable for any additional charges.
the Service Call Conditions and d. Use of Other Than Designated
exceptions in this Insuring Service Providers
Agreement, if your insured car If Towing and Road Services are
becomes disabled and you need rendered by a provider other than
help, we are providing you access one of our designated service
to 24-hour toll-free assistance. providers, we will pay only those
Towing and Road Service Coverage charges we deem reasonable.
includes the reasonable and
necessary towing and labor costs B. Additional Definitions Used in This Part
related to a mechanical Only
disablement for: 1. Actual Cash Value means the fair and
(1) Towing; reasonable cash price for which
(2) Jump starts; property can be repaired or replaced in
(3) Tire changes; and the marketplace at the time of loss.
(4) Lock-out service. The price includes an allowance for
b. Service Call Conditions are as depreciation, physical deterioration
follows: and obsolescence.
(1) Towing to dislodge the car
from its place of disablement 2. Additional equipment means any
must be within 100 feet of a equipment, devices, accessories,
public street or highway; enhancements and changes, other
(2) Labor must be performed at than those that are offered as either
the place of mechanical standard or optional equipment by the
disablement; and original manufacturer for your insured
(3) We do not pay for the cost for car, or that are installed by the
tires, fuel, belts, keys, parts or dealership as part of the original sale
tools associated with the of a new car that are permanently
service or labor being attached to your insured car and
performed. common to its use, but is not the car's

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Auto Policy Contract
factory available furnishing or 1. Arising out of the ownership,
equipment. maintenance or operation of your
insured car or non-owned car while it
3. Collision means the upset of your is being used to carry persons or
insured car or non-owned car or its property for compensation or a fee,
impact with another car or object. including but not limited to the pick up
Collision does not mean loss caused or delivery or return from a pick up or
by or due to: delivery of:
a. Missiles; a. Products;
b. Falling objects; b. Documents;
c. Fire; c. Newspapers; or
d. Theft or larceny; d. Food.
e. Explosion; This exclusion does not apply to a
f. Earthquake; share-the-expense car pool.
g. Windstorm;
h. Hail, water or flood; 2. Caused by:
i. Malicious mischief or vandalism; a. war (declared or undeclared);
j. Riot or civil commotion; b. civil war;
k. Colliding with a bird or animal; or c. insurrection;
l. Breakage of glass. d. rebellion;
e. revolution;
4. Diminution in value means the actual f. nuclear radiation exposure or
or perceived loss in market or resale contamination;
value that results from a sudden, g. radioactive contamination or
direct and accidental loss. exposure;
h. biological contamination, exposure
5. Equipment means equipment or attack; or
permanently attached to your insured any consequence of any of these.
car and common to its use.
3. Caused by theft to equipment
6. Like kind and quality parts means designed for the reproduction of
parts similar in type and quality to sound, or any radio receiving or radio
those parts made for or by the original receiving and transmitting equipment.
car manufacturer. These parts may be This exclusion does not apply to that
made for or by the original car equipment which is permanently
manufacturer or may come from other installed in your insured car.
sources such as manufacturers or
suppliers of rebuilt parts, quality 4. Consisting of the theft of tapes,
recycled (used) parts suppliers and records, reels, cassettes, cartridges,
non-original equipment discs, carrying cases or other devices
manufacturers. for use with equipment designed for
the reproduction of sound.
C. Exclusions - What Is Not Insured In Part
IV 5. To a utility trailer owned by you, a
We do not insure loss: family member or a listed driver.

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Auto Policy Contract
6. Due and confined to: cars. This includes the road testing
a. wear and tear; and delivery of any non-owned car.
b. freezing; or This exclusion does not apply to the
c. mechanical or electrical breakdown ownership, maintenance or use of
or failure. your insured car by:
This exclusion does not apply if (1) You;
damage results from the total theft of (2) Any listed driver that does not
your insured car or the burning of reside in your household; or
wiring. (3) Any partner, agent, or employee of
you or any listed driver that does
7. To permanently attached or not reside in your household.
detachable camper body, slide-on
camper, or a camper shell. 11. Resulting from an insured person
using your insured car or non-owned
8. To your insured car or non-owned car in any racing, speed, demolition,
car due to increased cost of repair or stunt or performance driving contest,
replacement of the following demonstration, high performance
furnishings or equipment: driving education, instruction or
a. Special carpeting, insulation, wall activity, or in practice or preparation
paneling, furniture or bars; for any such activity.
b. Dining, kitchen and sleeping
facilities including enclosures or This exclusion does not apply to
bathroom facilities; drivers education instruction.
c. Height-extending roofs;
d. Murals, special paint and/or 12. Caused by or consisting of mold, fungi
methods of painting, decals or or bacteria regardless of the factors
graphics. causing or contributing to its growth.
This exclusion does not apply to
9. Due and confined to lack of routine ensuring mold, fungi or bacteria
maintenance including but not limited damage arising from a covered loss.
to lack of lubricant, coolant, or loss
resulting from seepage of water. This 13. Due to theft or conversion of your
exclusion does not apply to Towing insured car:
and Road Service Coverage (Part IV – a. By you, a family member, or a
Damage to Your Car, A3.) listed driver or any resident of your
household;
10. To any non-owned car being b. Prior to its delivery to you, a family
maintained or used by any person member or a listed driver; or
while employed or otherwise engaged c. While in the care, custody or
in the business of: control of anyone engaged in the
a. selling, business of selling cars.
b. repairing, However, b. does not apply to your
c. servicing, additional car or replacement car.
d. storing, or However, this does not apply to the
e. parking legal interest of the named insured, if
the named insured:

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Auto Policy Contract
a. Did not consent to, direct, c. Filed a family violence complaint
contribute to, or participate in the against the person who caused the
theft or conversion; violence resulting in the loss.
b. Files and signs a complaint with a
law enforcement agency that your 17. Due to destruction or confiscation by
insured car was stolen or governmental or civil authorities.
converted; and
c. Fully cooperates in any 18. To any non-owned car with less than
investigation by us, and four wheels.
investigation and/or prosecution
by a law enforcement agency, 19. To car parts and equipment that are
relating to the theft or conversion. illegal. There is also no coverage for
parts and equipment that are installed
14. From theft or unlawful conversion by at a location on the insured car that
any person after custody of your would make the use of such parts or
insured car has been entrusted to equipment illegal. However, we will
another party for the purpose of pay for the legal version of such parts
selling or leasing your insured car. or equipment if they are necessary for
the safe operation of the insured car.
15. To tires, unless caused by fire,
malicious mischief, vandalism, theft, 20.To your insured car or any car while a
or unless the damage occurs at the driver of that vehicle is logged into a
same time and from the same cause commercial delivery application or
as other covered damage. network as a driver, or while using
your insured car or any car, as a driver
16. Caused intentionally by, or at the during a prearranged delivery, that is
direction of, an insured person, part of a Commercial Delivery
whether or not such person intended Program.
to cause damage of any nature.
However, this exclusion does not 21. To your insured car or any car arising
apply to a loss to your insured car to out of the ownership or operation of
the extent of the legal interest of you that vehicle while the driver is logged
or a family member who: into a commercial rideshare application
a. Sustains the loss as the result of or network as a driver, or while using
family violence by: your insured car or any car, as a driver
(1) You, during a prearranged ride, that is part
(2) A family member, of a Commercial Ridesharing
(3) A former spouse or person Program.
who entered into a civil union
with the named insured, or 22. To your insured car or any car arising
(4) Any person who resides in or out of the ownership or operation of
has resided in your household; that vehicle by an insured person, as a
b. Did not direct, participate in, or driver, that is part of a Personal Car
consent to the intentional act Sharing Program during the car
causing the loss; and sharing period.

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Auto Policy Contract
23. To your insured car due to diminution E. Payment of Loss
in value. 1. We will pay the loss in money, or
repair or replace damaged or stolen
24. To your insured car while it is leased property.
or rented to others. This exclusion a. We may, at any time before the
does not apply if you, a family loss is paid or the property is
member, or a listed driver lends your replaced, return, at our expense,
insured car to another person for any stolen property either to you or
reimbursement of operating expenses to the address shown on the
only. Declarations Page with payment
for the resulting damage.
25. Loss due to or as a consequence of a b. We may keep all or part of the
seizure of your insured car by a federal property at the agreed or
or state law enforcement officers as appraised value.
evidence in a case against you by the c. If we pay for loss in money, our
Texas Controlled Substances Act or payment will include the applicable
the federal Controlled Substances Act sales tax and fees for the damaged
if you are convicted in such case. or stolen property.
2. We may settle any loss with you, the
26. To your insured car or any car that is owner, and the lienholder of the
owned by, furnished or available for property shown on the Declarations
regular use by a listed driver that does Page.
not reside in your household, while
being used or operated by that listed F. Limits of Liability
driver. 1. Our limits of liability for an insured loss
to your insured car, non-owned car or
its equipment will not exceed the cost
D. Additional Duties for Part IV – Damage that is necessary to repair or replace
to Your Car the damaged or stolen property or
In addition to the terms and conditions of parts with like kind and quality parts.
this policy a person seeking coverage The limits are also subject to all other
under Part IV of this policy must also adjustments set forth in this section.
comply with the following provisions:
1. Take reasonable steps after loss to 2. The cost to repair or replace will be
protect your insured car, or any non- calculated based on the lowest of:
owned car, and its equipment from a. The Actual Cash Value of the
further loss. We will pay reasonable stolen or damaged property at the
expenses incurred to do this. time of the loss, reduced by the
2. Notify the police within 24 hours or as applicable deductible; or
soon as practicable if your insured car b. The amount necessary to repair or
or any non-owned car is stolen. replace the stolen or damaged
3. Permit us to inspect and appraise the property, reduced by the
damaged property before it is repaired applicable deductible.
or disposed of.
3. The most we will pay for:

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Auto Policy Contract
a. Loss to a utility trailer not owned
by you, a family member or a H. No Benefit to Bailee
listed driver is $500; This coverage shall not directly or
b. Loss to additional equipment is a indirectly benefit any carrier or other
total of $1,000 for repair or bailee for hire.
replacement for any one loss.
Multiple items of additional I. Legal Action Against Us
equipment lost or damaged in the No legal action related to this policy or the
same event are considered to be claims that you have presented may be
one loss. brought against us under Part IV unless
filed within two (2) years and one (1) day
4. We will pay reasonable and necessary from the date the cause of action accrues.
storage costs for your insured car, its
equipment and additional equipment J. Other Insurance
following an insured loss. If other insurance also insures the loss, we
will pay only our share of the loss. Our
5. If a loss to auto safety glass is repaired share is the proportion that our limit of
rather than replaced, the deductible liability bears to the total of all applicable
applying to this coverage is waived. If insurance, self-insurance, and/or
the auto safety glass is replaced, the protection limits or amounts regardless of
deductible applying to this coverage source. However, any insurance we
will remain in force. provide with respect to a rental car, non-
owned car, temporary vehicle, or non-
6. Any payment we make, when we owned utility trailer shall be excess over
deem the car to be a total loss, will be any other collectible insurance, self-
reduced by the value of the salvage insurance, and any other source of
when you or the owner of the car recovery applicable to the loss.
retains the salvage.
For any loss to which
7. No one will be entitled to duplicate Uninsured/Underinsured Motorists
payments for the same elements of coverage (from this or any other policy)
loss. and this coverage both apply, you may
choose the coverage from which
8. A car and attached utility trailer for damages will be paid.
which coverage is provided under this
Part are considered one your insured You may recover under both coverages,
car, and for any insured loss to such but only if:
car you will only pay one applicable 1. Neither one by itself is sufficient to
deductible. cover the loss;
2. You pay the higher deductible amount
G. Preservation of Salvage (but you do not have to pay both
If we retain the salvage after a loss, we deductibles); and
have no duty to preserve or otherwise 3. You will not recover more than the
retain the salvage for any purpose, actual damages.
including evidence for any civil or criminal
proceeding.

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Auto Policy Contract
K. Appraisal
If we and you do not agree on the amount 4. As soon as reasonably practicable,
of loss, then we and you may agree to an inform us of any accident or loss and
appraisal of the loss. If we and you agree of all known details, including the date
to an appraisal, each party will select a and time it occurred, the location
competent appraiser and notify the other where it occurred, the facts and
party in writing of the appraiser’s identity circumstances of the accident, the
within thirty (30) days of the request for identity of persons involved, the
appraisal. The two appraisers will select license plate information of the cars
an umpire. The appraisers will state involved, and injury and witness
separately the amount of loss. If they fail information. If we show that your
to agree, they will submit their differences failure to provide notice prejudices our
to the umpire. A written decision agreed defense, there is no liability coverage
to by any two will be binding. under the policy.

Each party will: 5. Take reasonable steps after loss to


1. Pay its chosen appraiser; and protect your insured car from further
2. Bear the expenses of the appraisal and loss. We will pay reasonable
umpire equally. expenses to guard against further loss.
If your insured car is not reasonably
We and you do not waive any of our rights protected, further loss is not covered.
under this policy by agreeing to an appraisal
6. Cooperate with us and assist us in the
PART V – DUTIES AFTER AN ACCIDENT investigation and settlement of any
AND GENERAL CONDITIONS claim or defense of any claim or
A. Duties After an Accident lawsuit. If we ask, that insured person
In addition to the terms and conditions of must also help us obtain payment
this policy, an insured person claiming any from anyone who may be jointly
coverage under any Part of this policy responsible for the accident.
must:
1. Upon our request at any time before 7. Allow us to inspect and appraise the
or during the policy term, make any damaged property before it is
car, or utility trailer that you insure or repaired, destroyed or discarded.
intend to insure available for
inspection by us to the extent 8. Allow us, with your consent, to move
permitted by law. your insured car, at our expense, to a
storage facility of our choice. If you
2. Refrain from voluntarily making any do not give us your consent, we will
payment, assuming any obligation, or pay only the storage costs which
incurring any expenses except for bail would have resulted if we had moved
bonds and first aid expenses for your insured car to a storage facility of
others. our choice.

3. Report all theft losses to the police 9. Submit to statements and or


within 24 hours or as soon as examinations under oath as often as
reasonably practicable. we reasonably require, separately and

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Auto Policy Contract
apart from others, and to sign the
transcript. Minors examined under 13. Send or provide us, as soon as
oath may have a parent or guardian reasonably practicable, copies of all
present. legal papers you receive relating to any
claim or suit.
10. Provide us with copies of any pertinent
documents that are reasonably related B. General Conditions
to the accident, that we require at the 1. Policy Period and Territory
time of the examination under oath This policy applies only to accidents
and any other time, and allow the occurring during the policy period
copying of any documents we or our shown on the Declarations Page if the
designated representative requests. accidents occur within the United
This includes producing any pertinent States, its territories or possession,
documents that we identify as being Puerto Rico and Canada, or while your
reasonably related to the accident and insured car is being shipped between
necessary to investigate and process their ports.
your claims. Such documents must be
provided to us or our designated 2. Your Duty To Report Changed
representative in a timely manner, and Circumstances
if requested, prior to an examination a. Your policy was issued in reliance
under oath. on the information you provided us
at time of application, including
11. Authorize us to obtain, when pertinent information concerning any cars
and reasonably related to the accident: and persons insured by the policy.
a. Medical reports and records; You agree to cooperate with us in
b. Any documents we indicate are determining if the information you
necessary to investigate and provided and upon which we relied
process your claim; and to issue this policy is correct and
c. Event data recorders and/or complete. You agree by
sensing and diagnostic modules or acceptance of this policy that all
any other recording device for the information shown on the
purpose of retrieving data Declarations Page of your policy
following an accident or loss. and on the Application is accurate.
We may only require an insured b. You agree that if any information
person to produce their federal tax changes, is incorrect or
returns if: incomplete, you will notify us
a. The insured person is ordered to within 30 days to change it. If we
produce the tax returns by a court; or determine any information is
b. The claim involves: incorrect or incomplete, we may
(1) a fire loss; or change it. Based upon any new
(2) a loss of profits or income. information you report we may
adjust your coverage and premium
12. Provide any written sworn proofs of accordingly during the policy
loss we require, including all details we period. If we discover new
may need to determine the amounts information then we will adjust
payable. your coverage and premium at

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Auto Policy Contract
your next renewal. Any brought to determine the liability of an
recalculation by us of your insured person.
premium, or any changes we make
to your coverage, based on new 5. Transfer Of Your Interest
information acquired, will be made Interest in this policy may not be
using the rules, rates and forms assigned without our written consent.
used in your state as of the date of But, if the named insured on the
the change. Declarations Page dies, the policy will
c. Some of the types of information insure, until the end of the policy
you must notify us about include period:
but are not limited to: a. Any listed driver;
(1) A change of your mailing b. The legal representative of the
address or the principal deceased named insured while
garaging of any your insured acting within the scope of duties of
car; a legal representative; or
(2) New drivers residing in your c. Any person having proper custody
household; of your insured car until a legal
(3) Any persons who become new representative is appointed.
regular users of your insured Note: Refer to Part III Personal Injury
car(s); Protection Coverages for Assignment
(4) You or any family member or of Benefits.
any listed driver obtains a
driver's license or operator's 6. Receipt of Notice of Claim
permit; a. Within fifteen (15) days after we
(5) Changes in the use of your receive your written notice of
insured cars; or claim, we must:
(6) Changes in your discount (1) Acknowledge receipt of the
eligibility. claim.
If our acknowledgment of the
3. Coverage Changes claim is not in writing, we will keep
When we broaden coverage during a record of the date, method and
the policy period without charge, the content of our acknowledgment.
policy will automatically provide the (2) Begin any investigation of the
broadened coverage when effective in claim.
your state. We may make other (3) Specify the information you
changes or replace this policy, to must provide in accordance
conform to coverage currently in use with A. Duties After an
at the next policy period. Accident.
We may request more
4. Legal Action Against Us information, if during the
No legal action may be brought investigation of the claim such
against us until there has been full additional information is necessary.
compliance with all the terms and
conditions of this policy. No person or 7. Notice of Acceptance of Rejection of
organization has any right under this Claim
policy to bring us into any action

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Auto Policy Contract
a. After we receive the information 10. Notice of Settlement of Liability Claim
we request, we must notify you in a. We will notify you in writing of
writing whether the claim will be any initial offer to compromise or
paid or has been denied or settle a claim against you under the
whether more information is liability section of this policy. We
needed: will give you notice within ten (10)
(1) Within fifteen (15) business days after the date the offer is
days made.
(2) Within thirty (30) days if we b. We will notify you in writing of
have reason to believe the loss any settlement of a claim against
resulted from arson. you under the liability section of
b. If we do not approve payment of this policy. We will give you notice
your claim or require more time for within thirty (30) days after the
processing your claim, we must: date of the settlement.
(1) Give the reasons for denying
your claim, or 11. Our Right to Recover Payment
(2) Give the reasons we require a. If we make a payment under this
more time to process your policy and the person to or for
claim. whom payment was made has a
But, we must either approve or right to recover damages from
deny your claim within forty-five another we shall be subrogated to
(45) days after our requesting that right. That person shall do:
more time. (1) whatever is necessary to enable
us to exercise our rights, and
8. Extension of Deadlines (2) nothing after loss to prejudice
In the event of a weather-related our rights.
catastrophe or major natural disaster, A release of the insurer of an
as defined by the Texas Department underinsured motor vehicle does
of Insurance, the claim-handling not prejudice our rights.
deadlines as stated above are However, our rights in this
extended for an additional fifteen (15) paragraph do not apply under Part
days. IV, against any person using your
insured car with a reasonable
9. Payment of Claim belief that the person is entitled to
a. If we notify you that we will pay do so.
your claim, or part of your claim, b. If we make a payment under this
we must pay within five (5) policy and the person to or for
business days after we notify you. whom payment is made recovers
b. If payment of your claim or part of damages from another, that
your claim requires the person shall:
performance of an act by you, we (1) hold in trust for us the
must pay within five (5) business proceeds of the recovery; and
days after the date you perform (2) reimburse us to the extent of
the act. our payment.

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Auto Policy Contract
However, we may not claim the (a) For nonpayment of
amount recovered from an insurer premium; or
of any underinsured motor vehicle. (b) If your driver’s license or
c. If we exercise our right to recovery motor vehicle registration of
against another, we will also that of:
attempt to recover any deductible (1) Any driver who lives
incurred by an insured person with you; or
under this policy. We reserve the (2) Any driver who
right to compromise or settle the customarily uses your
deductible and property damage insured car has been
claims against the responsible suspended or revoked.
parties for less than the full However, we will not
amount. We reserve the right to cancel if you consent to
reduce reimbursement of the the attachment of an
deductible by the proportion that endorsement eliminating
the amount we recover bears to coverage when your
the total amount of our subrogated insured car is being
claim. We will not recover the operated by the driver
deductible if you instruct us not to. whose license has been
suspended or revoked.
12. Bankruptcy (c) If you submit a fraudulent
We are not relieved of any obligation claim.
under this policy because of the (4) We may not cancel this policy
bankruptcy or insolvency of any based solely on the fact that
insured person. you are an elected official.
Cancellation takes place ten (10)
13. Termination days after we notify you.
a. Cancellation
This policy may be cancelled b. Nonrenewal
during the policy period as follows: If we decide not to renew or
(1) The named insured shown on continue this policy, we will
your Declarations Page may provide notice to you. Notice will
cancel this policy at any time by be provided at least thirty (30)
letting us know the date on days before the end of the policy
which cancellation is to take period. If the policy period is other
effect. than 1 year, we will have the right
(2) We may cancel this policy for not to renew or continue it only at
any reason if the notice is each anniversary of its original
mailed within the first fifty- effective date.
nine (59) days of the initial Notwithstanding the above, we
policy period. will not renew this policy if an
(3) After this policy is in effect for insured person fails to cooperate
sixty (60) days, or if this is a with us in the investigation,
renewal or continuation policy, settlement, or defense of a claim
we may cancel only: following or action or we are unable to
reasons:

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Auto Policy Contract
contact the insured person for such To the extent of any possible
purposes using reasonable efforts. conflict between this notice and
Non-Renewals for Not-At-Fault the Texas Administrative Code (28
Accident or Claims (28 TAC TAC § 5.7016), the latter will be
§5.7016) controlling.
We will not use any of the
following types of accidents or c. Automatic Termination
claims as the only reason for (1) If we offer to renew or
refusing to renew your personal continue this policy and you or
auto policy: your representatives do not
(1) a claim involving damage from accept, this policy will
a weather-related incident that automatically terminate at the
does not involve a collision end of the current policy
(some examples being hail, period.
flood, tornado, winds or (2) Failure to pay the required
hurricanes); renewal or continuation
(2) an accident or claim involving premium when due will mean
damage by contact with an that you have not accepted our
animal or a fowl; offer.
(3) an accident or claim involving (3) If you obtain other insurance on
damage caused by flying your insured car, any similar
gravel, missiles or falling insurance provided by this
objects; however, if you have policy will terminate as to your
three of these losses in any 36- insured car on the effective
month period, we may increase date of the other insurance.
your deductible to the higher of (4) If your insured car is sold or
$250 or the next available transferred to someone other
deductible increment higher than you or a family member,
than your present deductible any insurance provided by this
amount, at your renewal date; policy will terminate as to that
(4) a claim under Towing and your insured car on the
Labor Coverage; however, if effective date of the sale or
you have four claims of this transfer. If you sell your insured
type in any 36-month period, car and there are no other
we have the option of vehicles listed on your policy,
eliminating this coverage from the policy will remain in effect
your policy; as to you, any family members
(5) any other not-at-fault accident or listed drivers.
or claim unless there are two or
more of these accidents or d. Other Termination Provisions
claims in any 12-month period. (1) The effective date and time of
"Refusal to renew" means our cancellation stated in the notice
refusal to renew your personal shall become the end of the
auto policy in the same company policy period.
which originally issued the policy. (2) Any cancellation will be
effective for all coverages for

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Auto Policy Contract
all persons and cars insured which this policy became
under this policy. due and payable.
(3) If this policy is cancelled, you The determination of these
may be entitled to a premium findings is a question of fact.
refund. c. We may void this policy, in
(4) This policy is subject to a accordance with Texas Insurance
minimum earned premium. If Code Section 705 Subchapter A, or
there is any refund of premium deny coverage for an accident if
due, we will tender it within the you or any insured person have
fifteenth (15th) business day concealed, omitted or
after the effective date of misrepresented any material fact or
cancellation. circumstance, or engaged in
(5) Our making or offering to make fraudulent conduct, in connection
a refund is not a condition of with the presentation or settlement
cancellation. of a claim, which misled us and
caused us to waive or lose a valid
14. Misrepresentation or Fraud defense to the policy.
a. This policy was issued in reliance d. We may void this policy for fraud
on the information provided on or material misrepresentation even
your insurance application, after the occurrence of an
including, but not limited to accident. This means that we will
information regarding the license not be liable for any claims or
and driving history of you, family damages that would otherwise be
members, or listed drivers; all covered.
persons of driving age residing in e. If we void this policy, it will be void
your household; the description of from its inception (void ab initio),
the cars to be insured; the location and no coverage will be provided
of the principal place of garaging; whatsoever. However, this
and your place of residence. provision does not apply to an
b. We may void this policy, in otherwise covered accident or
accordance with Texas Insurance injury that precedes the material
Code Section 705 Subchapter A, if misrepresentation or fraudulent
you or any insured person has: activity giving rise to our right to
(1) engaged in fraudulent conduct, void this policy.
or f. To the extent that we make
(2) concealed, omitted, or payments to you under this policy
misrepresented any fact or and our subsequent investigation
circumstance concerning the reveals your involvement in fraud
application, issuance, renewal or material misrepresentation in
or continuation of this policy the presentation of a claim, you
that: must indemnify us for all payments
(a) was material to the risk made.
hereby insured, or
(b) contributed to the 15. Terms Conformed to Statutes
contingency or event on a. This policy shall be deemed
amended to conform to the

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Auto Policy Contract
statutes of the state listed in your services, or discounts, nor are we
application if any provision fails to obligated to expand or continue to
conform to such statutes. Any make any of them available. Not all
dispute as to coverages or the additional benefits, services, or
provisions of this policy shall be discounts will be available in all states.
determined and governed by the
law of the state listed in your 18. Policy Notices
application as your residence. Unless prohibited by law, and subject
b. Policy terms, which conflict with to your consent, policy notices will be
the laws of the state in which this electronically transmitted to you via
policy issued, are hereby amended mobile app and to the email address
to conform to such laws. shown on the Declarations Page. If
you withdraw your consent to
16. Proof of Mailing electronic delivery of documents or
We may deliver any notice instead of state law does not allow electronic
mailing it. Proof of mailing or transmission, policy notices may be
electronic transmission of any notice delivered to you or mailed to you at
shall be sufficient proof of notice. the mailing address you specify for
receipt of such notices. Proof of
17. Additional Benefits and Services mailing or electronic transmission will
We may work with independent be sufficient proof of notice. We will
merchants in providing enhanced value also deliver a copy of the notice to any
for replacement of your property. We Additional Interest shown on the
may also work with independent Declarations Page
merchants who provide other benefits,
services, or discounts. We may 19. Payment
introduce you to these merchants and At the policy's inception, if you make a
if you are interested in any of the premium payment using a
benefits, services, or discounts that nonnegotiable instrument, the policy is
they may offer, you may have to null and void and is not subject to the
engage directly with them. Cancellation provisions of the policy. If
At our discretion, we, or a third party, you make a premium payment for a
may: renewal of your policy using a
a. provide you with benefits such as nonnegotiable instrument, our offer of
airline miles, memberships, policy renewal is deemed rejected by
merchandise, points, rewards, you and the policy terminated without
special offers, services, or other renewal.
items of value; or
b. make charitable contributions, 20.Joint and Individual Interests
donations, or gifts on your behalf. If there is more than one named
You do not have to accept or use any insured on this policy, any named
benefits, services, or discounts that insured may cancel or change this
may be offered to you. We do not policy. The action of one named
make any representations or insured will be binding on all persons
warranties, and do not accept any provided coverage under this policy.
liability, regarding any such benefits,

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Auto Policy Contract
21. Loss Payable Provisions d. We reserve the right to cancel this
a. It is agreed that at our option, we policy at any time as provided by
may pay for repairs to the its terms.
damaged car, or, in the event of a (1) In case of cancellation or lapse
total loss, pay for damage to the we will give notice to the
car listed in this policy, such lienholder.
payment to be paid as interest may (2) Cancellation will terminate the
appear to the named insured and policy and this agreement as to
the lienholder shown on the any interest of the lienholder.
Declarations Page.
(1) When we provide payment to 22. Car Sharing
the lienholder following a total You must disclose in writing to us
loss, the payment will be the your participation as either a driver or
lowest of the actual cash value car owner, in any Personal Car Sharing
of your insured car or the Program, Commercial Ridesharing
existing loan balance, Program or other similar arrangement.
whichever is less. Failure to do so may result in the
(2) Any change in title or nonrenewal of your policy or the
ownership of the car, or error rescission of your policy in accordance
in its description shall not void with Texas Insurance Code Section
coverage afforded to the 705 Subchapter A. This duty does not
lienholder. apply to a share-the-expense car
b. The policy does not insure you or pool.
any lienholder for damages due to:
(1) conversion; 23. Provisions Applicable to Farmers
(2) embezzlement; Texas County Mutual Insurance
(3) secretion; Company
(4) fraudulent acts; The Farmers Texas County Mutual
(5) material misrepresentation or Insurance Company is licensed to
omission; or operate under Chapter 912 of the
(6) intentional damages Texas Insurance Code, as
by you, any listed driver or anyone amended, and such statutes shall
acting under the direction of any of apply to and form a part of this
you. policy the same as if written or
c. When a payment is made to the printed upon, attached or appended
lienholder, we are entitled to all the hereto . This policy is issued subject
rights of the lienholder to the to the constitution and by-laws and
extent of such payment. all amendments thereto of the
(1) The lienholder shall do Company, which shall form a part
whatever is necessary to secure of this policy .
such rights.
(2) No subrogation shall impair the
24. Mutuals-Membership and Voting
right of the lienholder to
Notice
recover the full amount of its
claim. The insured is notified that by virtue
of this policy, he is a member of the
Farmers Texas County Mutual

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Auto Policy Contract
Insurance Company of Austin, Texas,
and is entitled to vote either in person
or by proxy at any and all meetings of
said Company . The Annual Meetings
are held in its Home Office at Austin,
Texas, on the second Tuesday of
February, in each year, at two o'clock
p .m .

25. Mutuals-Participating Clause


Without Contingent Liability
No Contingent Liability: This policy is
non-assessable . The policyholder is a
member of the Company and shall
participate, to the extent and upon
the conditions fixed and determined
by the Board of Directors in
accordance with the provisions of
law, in the distribution of dividends
so fixed and determined .

SPECIAL PROVISIONS
The Company named on the Declarations
Page has caused this policy to be signed
by the officers shown below.

AUTHORIZED SIGNATURE

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Undisclosed Driver Endorsement - Texas
This Endorsement amends your Personal Auto Policy. Please read it carefully.

Part I – Liability This endorsement is a part of the policy. It


Under Part I – Liability Coverage, E. Limits of changes the policy so please read it carefully. All
Liability, the following Limit is added: other terms and conditions of the policy continue
7. If this policy provides bodily injury and to apply.
property damage liability limits in excess
of the minimum limits mandated by the
motor vehicle financial responsibility law
of Texas, then the amount of coverage in
excess of those limits shall not apply to
the operation or use of any car by an
undisclosed driver.

Part II– Uninsured Motorist Coverage


Under Part II – Uninsured Motorist Coverage,
F. Limits of Liability, the following Limit is
added:
7. If this policy provides uninsured motorist
coverage for bodily injury in excess of
$30,000 per person and $60,000 per
accident or property damage in excess
of $25,000 per accident, then the
amount of coverage in excess of those
limits shall not apply to the operation or
use of any car by an undisclosed driver.

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CONSUMER BILL OF RIGHTS
Personal Automobile Insurance

What is the Bill of Rights?


It is a basic outline of important rights you have under Texas law. Insurance companies must give
you this Bill of Rights with your policy. It is important to read and understand your policy.

The Bill of Rights is not:


 A complete list of all your rights,
 Part of your policy, or
 A list of everything that you are responsible for.

Questions about these rights?


 If you are not sure about anything in your policy, ask your agent or insurance company.
 If you have questions or a complaint, contact the Texas Department of Insurance (TDI):
Call with a question: 1-800-252-3439
Email with a question: ConsumerProtection@tdi.texas.gov
File a complaint through the website:
www.tdi.texas.gov//consumer/get-help-with-an-insurance-complaint.html
File a complaint by mail:
Consumer Protection MC 111-1A
P.O. Box 12030
Austin, TX 78711-2030

 To learn more about insurance, visit www.opic.texas.gov or call the Office of Public Insurance
Counsel (OPIC) at 1-877-611-6742.

AVISO: Este documento es un resumen de sus derechos como asegurado. Tiene derecho a
llamar a su compañía de seguros y obtener una copia de estos derechos en español. Además,
puede ser que su compañía de seguros tenga disponible una versión de su póliza en español.

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Table of Contents

Where to Get Information ........................................................................... 3


1. Your insurance company ................................................................................................. 3
2. Your declarations page ................................................................................................... 3
3. The Texas Department of Insurance (TDI) ......................................................................... 3
4. Resources for shopping for insurance ............................................................................... 3

What You Should Know When You File a Claim ............................................. 3


5. Choice of repair shop and replacement parts .................................................................... 3
6. Auto repair notice requirements ...................................................................................... 3
7. Deadlines for processing claims and payments .................................................................. 3
8. Written explanation of claim denial ................................................................................. 4
9. Information not required for processing your claim ........................................................... 4
10. Reasonable investigation ................................................................................................ 4
11. Deductible recovery....................................................................................................... 4
12. Notice of liability claim settlement .................................................................................. 4

Who to Contact for Claim Disagreements .....................................................4


13. Claim disagreements ..................................................................................................... 4

What You Should Know about Renewal, Cancellation, and Nonrenewal ............ 5
14. Offer of uninsured/underinsured motorist and personal injury protection coverages ............. 5
15. Insurance company cancellation of personal automobile policies ......................................... 5
16. Notice of cancellation ..................................................................................................... 5
17. Your right to cancel ........................................................................................................ 5
18. Refund of premium ........................................................................................................ 5
19. Limits on using claims history to change premium .............................................................6
20. Timing of nonrenewal .....................................................................................................6
21. Notice of nonrenewal .....................................................................................................6
22. Not-at-fault claims ........................................................................................................6
23. Limit on using credit information to nonrenew your policy. ................................................6
24. Limit on using age to nonrenew your policy ......................................................................6
25. Protections from discrimination .......................................................................................6
26. Right to ask questions ..................................................................................................... 7
27. Notice of a “material change” to your policy...................................................................... 7
28. Written explanation of cancellation or nonrenewal ............................................................ 7

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Where to Get Information
1. Your insurance company. When you get a copy of your policy you will also get an “Important
Notice” from the company. The notice explains how to contact your company and how to file
a complaint. You may request a complete copy of your policy from your company at any time.

2. Your declarations page. The declarations page, also called the “dec page,” shows: (a) the name
and address of your insurance company, (b) the dates your policy is in effect, (c) the insured
vehicles and drivers, (d) any excluded drivers, (e) the amounts and types of coverage, and (f)
your deductibles.

3. The Texas Department of Insurance (TDI). You have the right to call TDI for free at 1-800-
252-3439 for information and help with a complaint against an insurer. You can also find
information on the TDI website at www.tdi.texas.gov.

4. Resources for shopping for insurance. The Office of Public Insurance Counsel (OPIC) and TDI
developed www.HelpInsure.com to help you compare rates and coverages for different
insurance companies. OPIC also has an online tool to help you compare policies. You can find
this policy comparison tool at www.opic.texas.gov.

What You Should Know When You File a Claim


5. Choice of repair shop and replacement parts. You have the right to choose the repair shop
and parts for your vehicle. An insurance company may not specify the brand, type, kind, age,
vendor, supplier, or condition of parts or products used to repair your auto, but they are not
required to pay more than a reasonable amount.

6. Auto repair notice requirements. The insurance company must provide you a document about
your rights regarding auto repairs as follows:
 Claims submitted by telephone: Written notice within 3 business days or verbal notice
during the call, followed by written notice within 15 business days;
 Claims submitted in person: Written notice at the time you present your vehicle to an
insurer, an insurance adjuster, or other person in connection with a claim for repair; or
 Claims submitted in writing (including email and fax): Written notice must be provided
within 3 business days of the insurance company receiving notice of the claim.

7. Deadlines for processing claims and payments. When you file a claim on your own policy, the
insurance company must meet these deadlines:
 Within 15 days after you file a claim: The company must let you know they received your
claim. The company must also start their investigation and ask you for any other
information they need.
 Within 15 business days after they get all the information they need: The company must
approve or deny your claim in writing. They can extend this deadline up to 45 days from
the date they: (a) let you know they need more time and (b) tell you why.

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 Within 5 business days after they let you know your claim is approved: The company
must pay the claim.

Note: TDI can extend these deadlines by 15 more days if there is a weather-related
catastrophe.

If your company fails to meet these deadlines, you may be able to collect the claim amount,
interest, and attorney’s fees.

8. Written explanation of claim denial. Your insurance company must tell you in writing why
your claim or part of your claim was denied.

9. Information not required for processing your claim. Your insurance company can only ask for
information reasonably needed for their claim investigation. However, they cannot ask for
your federal income tax returns unless: (a) they get a court order or (b) your claim involves a
fire loss, loss of profits, or lost income.

10. Reasonable investigation. Your insurance company cannot refuse to pay your claim without a
reasonable investigation of the claim. You should keep records of all claim communications
(including notes from phone calls) and other claim documentation (including damage estimates
and receipts).

11. Deductible recovery. If another person may be liable for the damage to your auto and you (a)
filed a claim, and (b) paid or owe a deductible on your own policy, then your insurance
company must:
 Take action to recover your deductible no later than 1 year from when your claim is paid;
or
 Refund your deductible; or
 Notify you that they will not take action and allow you to try to collect your money (a)
within 1 year from that date your claim is paid, or (b) at least 90 days before the statute of
limitations expires (whichever date comes first).

12. Notice of liability claim settlement. Liability means you are responsible for other people’s
injuries or damage to their property. Your insurance company must let you know in writing:
 About the first offer to settle a claim against you within 10 days after the offer is made.
 About any claim settled against you within 30 days after the date of the settlement.

Who to Contact for Claim Disagreements


13. Claim disagreements. You can dispute the amount of your claim payment or what is covered
under your policy. You can:
 Contact your insurance company.
 Contact the repair person or shop.
 Contact an attorney to advise you of your rights under the law. The State Bar of Texas can
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help you find an attorney.
 Pay a qualified appraiser to examine the damage to your property.
 File a complaint with TDI.

What You Should Know about Renewal, Cancellation, and Nonrenewal


Renewal means that your insurance company is extending your policy for another term.
Cancellation means that, before the end of the policy period, the insurance company:
 Terminates the policy;
 Gives you less coverage or limits your coverage; or
 Refuses to give additional coverage that you are entitled to under the policy.

“Refusal to renew” and “nonrenewal” are terms that mean your coverage ends at the end of the
policy period. The policy period is shown on the declarations page of your policy.

14. Offer of uninsured/underinsured motorist and personal injury protection coverages.


Insurance companies must offer you Uninsured/Underinsured Motorist (UM/UIM) and
Personal Injury Protection (PIP) coverage on a new policy. If you decline them, it must be in
writing. The company is not required to reoffer these coverages upon renewal, but you may
request them at any time.

15. Insurance company cancellation of personal automobile policies. If your policy has been in
effect for 60 days or more, your company can only cancel your policy if:
 You don’t pay your premium when it is due;
 You file a fraudulent claim;
 TDI decides that keeping the policy violates the law;
 Your driver’s license or vehicle registration is suspended or revoked (unless you agree to
exclude coverage for yourself as a driver under the policy); or
 Any driver who lives with you, or who usually drives a vehicle covered by the policy, has
their driver’s license or vehicle registration suspended or revoked (unless you agree to
exclude coverage for that person as a driver under the policy).

16. Notice of cancellation. If your insurance company cancels your policy, they must let you know
by mail at least 10 days before the effective date of the cancellation. Check your policy
because your company may give you more than 10 days' notice.

17. Your right to cancel. You can cancel your policy at any time and get a refund of the unused
premium.

18. Refund of premium. If you or your insurance company cancel your policy, the company must
refund any unused premium within 15 business days from:
 the date the company receives notice of the cancellation or
 the date of cancellation, whichever is later.

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You must let your company know you want the refund sent to you. If not, they may refund
the remaining premium by giving you a premium credit on the same policy.

19. Limits on using claims history to change premium. Your insurance company can’t change your
premium solely because of a claim you file that is not paid or payable under your policy.

20. Timing of nonrenewal. Your insurance company must renew your policy until it has been in
effect for 1 year. If your policy is renewed, your company must continue to renew your policy
until the yearly anniversary of the original effective date.

For example, if your six-month policy was originally effective on January 1, 2050, your
company must renew your policy until January 1, 2051. After that, your company may only
refuse to renew your policy on the original effective date (in this example, January 1) of any
future year.

21. Notice of nonrenewal. Your insurance company must send you a notice that they are not
renewing your policy. They must let you know at least 30 days before your policy expires, or
you can require them to renew your policy.

22. Not-at-fault claims. Your insurance company cannot refuse to renew your policy solely
because of any one of the following:
 Claims involving damage from a weather-related incident that do not involve a collision,
like damage from hail, wind, or flood.
 Accidents or claims involving damage by contact with animals.
 Accidents or claims involving damage caused by flying gravel, missiles, or other flying
objects. However, if you have 3 of these claims in a three-year period, the company may
increase your deductible on your next annual renewal date.
 Towing and labor claims. However, once you have made 4 of these claims in a three-year
period, the company may remove this coverage from your policy on your next annual
renewal date.
 Any other accident or claim that cannot reasonably be considered your fault, unless you
have 2 of these claims or accidents in a one-year period.

23. Limit on using credit information to nonrenew your policy. An insurance company cannot
refuse to renew your policy solely because of your credit.

24. Limit on using age to nonrenew your policy. An insurance company cannot refuse to renew
your policy based solely on the age of any person covered by the policy. Your company also
cannot require you to exclude a family member from coverage solely because they reached
driving age.

25. Protections from discrimination. An insurance company cannot refuse to insure you; limit the
coverage you buy; refuse to renew your policy; or charge you a different rate based on your
race, color, creed, country of origin, or religion.

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26. Right to ask questions. You can ask your insurance company a question about your policy.
They cannot use your questions to deny, nonrenew, or cancel your coverage. Your questions
also cannot be used to determine your premium.
For example, you may ask:
 General questions about your policy;
 Questions about the company’s claims filing process; and
 Questions about whether the policy will cover a loss, unless the question is about damage:
(a) that occurred and (b) that results in an investigation or claim.

27. Notice of a “material change” to your policy. If your insurance company does not want to
cancel or nonrenew your policy, but wants to make certain material changes, then they must
explain the changes in writing at least 30 days before the annual renewal date. Material
changes include:
 Giving you less coverage;
 Changing a condition of coverage; or
 Changing what you are required to do.

Instead of a notice of “material change” a company may choose to not renew your existing
policy. If so, the company has to send a nonrenewal letter, but may still offer you a different
policy.
Note: A company cannot reduce coverage during the policy period unless you ask for the
change. If you ask for the change, the company does not have to send you a notice.

28. Written explanation of cancellation or nonrenewal. You can ask your insurance company to
tell you in writing the reasons for their decision to cancel or not renew your policy. The
company must explain in detail why they cancelled or nonrenewed your policy.

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