Amended in Assembly May 1, 2013

Amended in Assembly April 11, 2013

California Legislature—2013–14 Regular Session

Assembly BillNo. 862


Introduced by Assembly Member Wieckowski

February 21, 2013


An act to amend Section 11580.2 of the Insurance Code, relating to automobile insurance.

LEGISLATIVE COUNSEL’S DIGEST

AB 862, as amended, Wieckowski. Automobile insurance: underinsured motorist coverage.

Existing law prohibits a policy of bodily injury liability insurance covering liability arising out of the ownership, maintenance, or use of any motor vehicle from being issued or delivered in this state to the owner or operator of a motor vehicle, or from being issued or delivered by any insurer licensed in this state upon any motor vehicle then principally used or principally garaged in this state, unless the policy contains, or has added to it by endorsement, a provision with specified coverage limits insuring the insured, the insured’s heirs, or legal representative for all sums within the limits that he, she, or they are legally entitled to recover as damages for bodily injury or wrongful death from the owner or operator of an uninsured motor vehicle, except as otherwise provided. Uninsured motorist coverage includes underinsured motorist coverage. Existing law prohibits the maximum liability of an insurer providing underinsured motorist coverage for bodily injury to the insured caused by one or more vehicles from exceeding the insured’s underinsured motorist coverage limits, less the amount paid to the insured by or for any person or organization that may be held legally liable for the injury.

This bill would authorize an insurer to offer a separately rated underinsured motorist policy where the maximum liability to the insurer is the underinsured motorist coverage limit. The bill would require, if an insurer elects to offer this policy to its insureds, the insurer to notify its insureds of this fact at the time it begins offering thebegin delete policy and every other year thereafter upon renewal of an insured’send delete policy, as specified.

Vote: majority. Appropriation: no. Fiscal committee: no. State-mandated local program: no.

The people of the State of California do enact as follows:

P2    1

SECTION 1.  

Section 11580.2 of the Insurance Code is
2amended to read:

3

11580.2.  

(a) (1) No policy of bodily injury liability insurance
4covering liability arising out of the ownership, maintenance, or
5use of any motor vehicle, except for policies that provide insurance
6in the Republic of Mexico issued or delivered in this state by
7nonadmitted Mexican insurers, shall be issued or delivered in this
8state to the owner or operator of a motor vehicle, or shall be issued
9or delivered by any insurer licensed in this state upon any motor
10vehicle then principally used or principally garaged in this state,
11unless the policy contains, or has added to it by endorsement, a
12provision with coverage limits at least equal to the limits specified
13in subdivision (m) and in no case less than the financial
14responsibility requirements specified in Section 16056 of the
15Vehicle Code insuring the insured, the insured’s heirs or legal
16representative for all sums within the limits that he, she, or they,
17as the case may be, shall be legally entitled to recover as damages
18for bodily injury or wrongful death from the owner or operator of
19an uninsured motor vehicle. The insurer and any named insured,
20prior to or subsequent to the issuance or renewal of a policy, may,
21by agreement in writing, in the form specified in paragraph (2) or
22paragraph (3), (1) delete the provision covering damage caused
23by an uninsured motor vehicle completely, or (2) delete the
24coverage when a motor vehicle is operated by a natural person or
25persons designated by name, or (3) agree to provide the coverage
26in an amount less than that required by subdivision (m) but not
27less than the financial responsibility requirements specified in
P3    1Section 16056 of the Vehicle Code. Any of these agreements by
2any named insured or agreement for the amount of coverage shall
3be binding upon every insured to whom the policy or endorsement
4provisions apply while the policy is in force, and shall continue to
5be so binding with respect to any continuation or renewal of the
6policy or with respect to any other policy that extends, changes,
7supersedes, or replaces the policy issued to the named insured by
8the same insurer, or with respect to reinstatement of the policy
9within 30 days of any lapse thereof. A policy shall be excluded
10from the application of this section if the automobile liability
11coverage is provided only on an excess or umbrella basis. Nothing
12in this section shall require that uninsured motorist coverage be
13offered or provided in any homeowner policy, personal and
14residents’ liability policy, comprehensive personal liability policy,
15manufacturers’ and contractors’ policy, premises liability policy,
16special multiperil policy, or any other policy or endorsement where
17automobile liability coverage is offered as incidental to some other
18basic coverage, notwithstanding that the policy may provide
19automobile or motor vehicle liability coverage on insured premises
20or the ways immediately adjoining.

21(2) The agreement specified in paragraph (1) to delete the
22provision covering damage caused by an uninsured motor vehicle
23completely or delete the coverage when a motor vehicle is operated
24by a natural person or persons designated by name shall be in the
25following form:

26“The California Insurance Code requires an insurer to provide
27uninsured motorists coverage in each bodily injury liability
28insurance policy it issues covering liability arising out of the
29ownership, maintenance, or use of a motor vehicle. Those
30provisions also permit the insurer and the applicant to delete the
31coverage completely or to delete the coverage when a motor vehicle
32is operated by a natural person or persons designated by name.
33Uninsured motorists coverage insures the insured, his or her heirs,
34or legal representatives for all sums within the limits established
35by law, that the person or persons are legally entitled to recover
36as damages for bodily injury, including any resulting sickness,
37disease, or death, to the insured from the owner or operator of an
38uninsured motor vehicle not owned or operated by the insured or
39a resident of the same household. An uninsured motor vehicle
P4    1includes an underinsured motor vehicle as defined in subdivision
2(p) of Section 11580.2 of the Insurance Code.”

3The agreement may contain additional statements not in
4derogation of or in conflict with the foregoing. The execution of
5the agreement shall relieve the insurer of liability under this section
6while the agreement remains in effect.

7(3) The agreement specified in paragraph (1) to provide coverage
8in an amount less than that required by subdivision (m) shall be
9in the following form:

10“The California Insurance Code requires an insurer to provide
11uninsured motorists coverage in each bodily injury liability
12insurance policy it issues covering liability arising out of the
13ownership, maintenance, or use of a motor vehicle. Those
14provisions also permit the insurer and the applicant to agree to
15provide the coverage in an amount less than that required by
16subdivision (m) of Section 11580.2 of the Insurance Code but not
17less than the financial responsibility requirements. Uninsured
18motorists coverage insures the insured, his or her heirs, or legal
19representatives for all sums within the limits established by law,
20that the person or persons are legally entitled to recover as damages
21for bodily injury, including any resulting sickness, disease, or
22death, to the insured from the owner or operator of an uninsured
23motor vehicle not owned or operated by the insured or a resident
24of the same household. An uninsured motor vehicle includes an
25underinsured motor vehicle as defined in subdivision (p) of Section
2611580.2 of the Insurance Code.”

27The agreement may contain additional statements not in
28derogation of or in conflict with this paragraph. However, it shall
29be presumed that an application for a policy of bodily injury
30liability insurance containing uninsured motorist coverage in an
31amount less than that required by subdivision (m), signed by the
32named insured and approved by the insurer, with a policy effective
33date after January 1, 1985, shall be a valid agreement as to the
34amount of uninsured motorist coverage to be provided.

35(b) As used in subdivision (a), “bodily injury” includes sickness
36or disease, including death, resulting therefrom; “named insured”
37means only the individual or organization named in the declarations
38of the policy of motor vehicle bodily injury liability insurance
39referred to in subdivision (a); as used in subdivision (a) if the
40named insured is an individual “insured” means the named insured
P5    1 and the spouse of the named insured and, while residents of the
2same household, relatives of either while occupants of a motor
3vehicle or otherwise, heirs and any other person while in or upon
4or entering into or alighting from an insured motor vehicle and
5any person with respect to damages he or she is entitled to recover
6for care or loss of services because of bodily injury to which the
7policy provisions or endorsement apply; as used in subdivision
8(a), if the named insured is an entity other than an individual,
9“insured” means any person while in or upon or entering into or
10alighting from an insured motor vehicle and any person with
11respect to damages he or she is entitled to recover for care or loss
12of services because of bodily injury to which the policy provisions
13or endorsement apply. As used in this subdivision, “individual”
14shall not include persons doing business as corporations,
15partnerships, or associations. As used in this subdivision, “insured
16motor vehicle” means the motor vehicle described in the underlying
17insurance policy of which the uninsured motorist endorsement or
18coverage is a part, a temporary substitute automobile for which
19liability coverage is provided in the policy or a newly acquired
20automobile for which liability coverage is provided in the policy
21if the motor vehicle is used by the named insured or with his or
22her permission or consent, express or implied, and any other
23automobile not owned by or furnished for the regular use of the
24named insured or any resident of the same household, or by a
25natural person or persons for whom coverage has been deleted in
26accordance with subdivision (a) while being operated by the named
27insured or his or her spouse if a resident of the same household,
28but “insured motor vehicle” shall not include any automobile while
29used as a public or livery conveyance. As used in this section,
30“uninsured motor vehicle” means a motor vehicle with respect to
31the ownership, maintenance or use of which there is no bodily
32injury liability insurance or bond applicable at the time of the
33accident, or there is the applicable insurance or bond but the
34company writing the insurance or bond denies coverage thereunder
35or refuses to admit coverage thereunder except conditionally or
36with reservation, or an “underinsured motor vehicle” as defined
37in subdivision (p), or a motor vehicle used without the permission
38of the owner thereof if there is no bodily injury liability insurance
39or bond applicable at the time of the accident with respect to the
40owner or operator thereof, or the owner or operator thereof be
P5    1unknown, provided that, with respect to an “uninsured motor
2vehicle” whose owner or operator is unknown:

3(1) The bodily injury has arisen out of physical contact of the
4automobile with the insured or with an automobile that the insured
5is occupying.

6(2) The insured or someone on his or her behalf has reported
7the accident within 24 hours to the police department of the city
8where the accident occurred or, if the accident occurred in
9unincorporated territory then either to the sheriff of the county
10where the accident occurred or to the local headquarters of the
11California Highway Patrol, and has filed with the insurer within
1230 days thereafter a statement under oath that the insured or his
13or her legal representative has or the insured’s heirs have a cause
14of action arising out of the accident for damages against a person
15or persons whose identity is unascertainable and set forth facts in
16support thereof. As used in this section, “uninsured motor vehicle”
17shall not include a motor vehicle owned or operated by the named
18insured or any resident of the same household or self-insured within
19the meaning of the Financial Responsibility Law of the state in
20which the motor vehicle is registered or that is owned by the United
21States of America, Canada, a state or political subdivision of any
22of those governments or an agency of any of the foregoing, or a
23 land motor vehicle or trailer while located for use as a residence
24or premises and not as a vehicle, or any equipment or vehicle
25designed or modified for use primarily off public roads, except
26while actually upon public roads.

27As used in this section, “uninsured motor vehicle” also means
28an insured motor vehicle where the liability insurer thereof is
29unable to make payment with respect to the legal liability of its
30insured within the limits specified therein because of insolvency.
31An insurer’s solvency protection shall be applicable only to
32accidents occurring during a policy period in which its insured’s
33motor vehicle coverage is in effect where the liability insurer of
34the tortfeasor becomes insolvent within one year of the accident.
35In the event of payment to any person under the coverage required
36by this section and subject to the terms and conditions of the
37coverage, the insurer making the payment, shall to the extent
38thereof, be entitled to any proceeds that may be recoverable from
39the assets of the insolvent insurer through any settlement or
40judgment of the person against the insolvent insurer.

P7    1Nothing in this section is intended to exclude from the definition
2of an uninsured motor vehicle any motorcycle or private
3passenger-type four-wheel drive motor vehicle if that vehicle was
4subject to and failed to comply with the Financial Responsibility
5Law of this state.

6(c) The insurance coverage provided for in this section does not
7apply either as primary or as excess coverage:

8(1) To property damage sustained by the insured.

9(2) To bodily injury of the insured while in or upon or while
10entering into or alighting from a motor vehicle other than the
11described motor vehicle if the owner thereof has insurance similar
12to that provided in this section.

13(3) To bodily injury of the insured with respect to which the
14insured or his or her representative shall, without the written
15consent of the insurer, make any settlement with or prosecute to
16judgment any action against any person who may be legally liable
17therefor.

18(4) In any instance where it would inure directly or indirectly
19to the benefit of any workers’ compensation carrier or to any person
20qualified as a self-insurer under any workers’ compensation law,
21or directly to the benefit of the United States, or any state or any
22political subdivision thereof.

23(5) To establish proof of financial responsibility as provided in
24Section 16054 of the Vehicle Code.

25(6) To bodily injury of the insured while occupying a motor
26vehicle owned by an insured or leased to an insured under a written
27contract for a period of six months or longer, unless the occupied
28vehicle is an insured motor vehicle. “Motor vehicle” as used in
29this paragraph means any self-propelled vehicle.

30(7) To bodily injury of the insured when struck by a vehicle
31owned by an insured, except when the injured insured’s vehicle
32is being operated, or caused to be operated, by a person without
33the injured insured’s consent in connection with criminal activity
34that has been documented in a police report and that the injured
35insured is not a party to.

36(8) To bodily injury of the insured while occupying a motor
37vehicle rented or leased to the insured for public or livery purposes.

38(d) Subject to paragraph (2) of subdivision (c), the policy or
39endorsement may provide that if the insured has insurance available
40to the insured under more than one uninsured motorist coverage
P8    1provision, any damages shall not be deemed to exceed the higher
2of the applicable limits of the respective coverages, and the
3damages shall be prorated between the applicable coverages as
4the limits of each coverage bear to the total of the limits.

5(e) The policy or endorsement added thereto may provide that
6if the insured has valid and collectible automobile medical payment
7insurance available to him or her, the damages that the insured
8shall be entitled to recover from the owner or operator of an
9uninsured motor vehicle shall be reduced for purposes of uninsured
10motorist coverage by the amounts paid or due to be paid under the
11automobile medical payment insurance.

12(f) The policy or an endorsement added thereto shall provide
13that the determination as to whether the insured shall be legally
14entitled to recover damages, and if so entitled, the amount thereof,
15shall be made by agreement between the insured and the insurer
16or, in the event of disagreement, by arbitration. The arbitration
17shall be conducted by a single neutral arbitrator. An award or a
18judgment confirming an award shall not be conclusive on any party
19in any action or proceeding between (i) the insured, his or her
20insurer, his or her legal representative, or his or her heirs and (ii)
21the uninsured motorist to recover damages arising out of the
22accident upon which the award is based. If the insured has or may
23have rights to benefits, other than nonoccupational disability
24benefits, under any workers’ compensation law, the arbitrator shall
25not proceed with the arbitration until the insured’s physical
26condition is stationary and ratable. In those cases in which the
27insured claims a permanent disability, the claims shall, unless good
28cause be shown, be adjudicated by award or settled by compromise
29and release before the arbitration may proceed. Any demand or
30petition for arbitration shall contain a declaration, under penalty
31of perjury, stating whether (i) the insured has a workers’
32compensation claim; (ii) the claim has proceeded to findings and
33award or settlement on all issues reasonably contemplated to be
34determined in that claim; and (iii) if not, what reasons amounting
35to good cause are grounds for the arbitration to proceed
36immediately. The arbitration shall be deemed to be a proceeding
37and the hearing before the arbitrator shall be deemed to be the trial
38of an issue therein for purposes of issuance of a subpoena by an
39attorney of a party to the arbitration under Section 1985 of the
40Code of Civil Procedure. Title 4 (commencing with Section
P9    12016.010) of Part 4 of the Code of Civil Procedure shall be
2applicable to these determinations, and all rights, remedies,
3obligations, liabilities and procedures set forth in Title 4
4(commencing with Section 2016.010) of Part 4 of the Code of
5Civil Procedure shall be available to both the insured and the
6 insurer at any time after the accident, both before and after the
7commencement of arbitration, if any, with the following
8limitations:

9(1) Whenever in Title 4 (commencing with Section 2016.010)
10of Part 4 of the Code of Civil Procedure, reference is made to the
11court in which the action is pending, or provision is made for
12application to the court or obtaining leave of court or approval by
13the court, the court that shall have jurisdiction for the purposes of
14this section shall be the superior court of the State of California,
15in and for any county that is a proper county for the filing of a suit
16for bodily injury arising out of the accident, against the uninsured
17motorist, or any county specified in the policy or an endorsement
18added thereto as a proper county for arbitration or action thereon.

19(2) Any proper court to which application is first made by either
20the insured or the insurer under Title 4 (commencing with Section
212016.010) of Part 4 of the Code of Civil Procedure for any
22discovery or other relief or remedy, shall thereafter be the only
23court to which either of the parties shall make any applications
24under Title 4 (commencing with Section 2016.010) of Part 4 of
25the Code of Civil Procedure with respect to the same accident,
26subject, however, to the right of the court to grant a change of
27venue after a hearing upon notice, upon any of the grounds upon
28which change of venue might be granted in an action filed in the
29superior court.

30(3) A deposition pursuant to Chapter 9 (commencing with
31Section 2025.010) of Title 4 of Part 4 of the Code of Civil
32Procedure may be taken without leave of court, except that leave
33of court, granted with or without notice and for good cause shown,
34must be obtained if the notice of the taking of the deposition is
35served by either party within 20 days after the accident.

36(4) Subdivision (a) of Section 2025.280 of the Code of Civil
37Procedure is not applicable to discovery under this section.

38(5) For the purposes of discovery under this section, the insured
39and the insurer shall each be deemed to be “a party to the action,”
P10   1where that phrase is used in Section 2025.260 of the Code of Civil
2Procedure.

3(6) Interrogatories under Chapter 13 (commencing with Section
42030.010) of Title 4 of Part 4 of the Code of Civil Procedure and
5requests for admission under Chapter 16 (commencing with Section
62033.010) of Title 4 of Part 4 of the Code of Civil Procedure may
7be served by either the insured or the insurer upon the other at any
8time more than 20 days after the accident without leave of court.

9(7) Nothing in this section limits the rights of any party to
10discovery in any action pending or that may hereafter be pending
11in any court.

12(g) The insurer paying a claim under an uninsured motorist
13endorsement or coverage shall be entitled to be subrogated to the
14rights of the insured to whom the claim was paid against any person
15legally liable for the injury or death to the extent that payment was
16made. The action may be brought within three years from the date
17that payment was made hereunder.

18(h) An insured entitled to recovery under the uninsured motorist
19endorsement or coverage shall be reimbursed within the conditions
20stated herein without being required to sign any release or waiver
21of rights to which he or she may be entitled under any other
22insurance coverage applicable; nor shall payment under this section
23to the insured be delayed or made contingent upon the decisions
24as to liability or distribution of loss costs under other bodily injury
25liability insurance or any bond applicable to the accident. Any loss
26payable under the terms of the uninsured motorist endorsement or
27coverage to or for any person may be reduced:

28(1) By the amount paid and the present value of all amounts
29payable to him or her, his or her executor, administrator, heirs, or
30legal representative under any workers’ compensation law,
31exclusive of nonoccupational disability benefits.

32(2) By the amount the insured is entitled to recover from any
33other person insured under the underlying liability insurance policy
34of which the uninsured motorist endorsement or coverage is a part,
35including any amounts tendered to the insured as advance payment
36on behalf of the other person by the insurer providing the
37underlying liability insurance.

38(i) (1) No cause of action shall accrue to the insured under any
39policy or endorsement provision issued pursuant to this section
P11   1unless one of the following actions have been taken within two
2years from the date of the accident:

3(A) Suit for bodily injury has been filed against the uninsured
4motorist, in a court of competent jurisdiction.

5(B) Agreement as to the amount due under the policy has been
6concluded.

7(C) The insured has formally instituted arbitration proceedings
8by notifying the insurer in writing sent by certified mail, return
9receipt requested. Notice shall be sent to the insurer or to the agent
10for process designated by the insurer filed with the department.

11(2) Any arbitration instituted pursuant to this section shall be
12concluded either:

13(A) Within five years from the institution of the arbitration
14proceeding.

15(B) If the insured has a workers’ compensation claim arising
16from the same accident, within three years of the date the claim is
17concluded, or within the five-year period set forth in subparagraph
18(A), whichever occurs later.

19(3) The doctrines of estoppel, waiver, impossibility,
20impracticality, and futility apply to excuse a party’s noncompliance
21with the statutory timeframe, as determined by the court.

22(4) Parties to the insurance contract may stipulate in writing to
23extending the time to conclude arbitration.

24(j) Notwithstanding subdivisions (b) and (i), in the event the
25accident occurs in any other state or foreign jurisdiction to which
26coverage is extended under the policy and the insurer of the
27tortfeasor becomes insolvent, any action authorized pursuant to
28this section may be maintained within three months of the
29insolvency of the tortfeasor’s insurer, but in no event later than
30the pertinent period of limitation of the jurisdiction in which the
31accident occurred.

32(k) Notwithstanding subdivision (i), any insurer whose insured
33has made a claim under his or her uninsured motorist coverage,
34and the claim is pending, shall, at least 30 days before the
35expiration of the applicable statute of limitation, notify its insured
36in writing of the statute of limitation applicable to the injury or
37death. Failure of the insurer to provide the written notice shall
38operate to toll any applicable statute of limitation or other time
39limitation for a period of 30 days from the date the written notice
P12   1is actually given. The notice shall not be required if the insurer
2has received notice that the insured is represented by an attorney.

3(l) As used in subdivision (b), “public or livery conveyance,”
4or terms of similar import, shall not include the operation or use
5of a motor vehicle by the named insured in the performance of
6volunteer services for a nonprofit charitable organization or
7governmental agency by providing social service transportation
8as defined in subdivision (f) of Section 11580.1. This subdivision
9shall apply only to policies of insurance issued, amended, or
10renewed on or after January 1, 1976.

11(m) Coverage provided under an uninsured motorist
12endorsement or coverage shall be offered with coverage limits
13equal to the limits of liability for bodily injury in the underlying
14policy of insurance, but shall not be required to be offered with
15limits in excess of the following amounts:

16(1) A limit of thirty thousand dollars ($30,000) because of bodily
17injury to or death of one person in any one accident.

18(2) Subject to the limit for one person set forth in paragraph (1),
19a limit of sixty thousand dollars ($60,000) because of bodily injury
20to or death of two or more persons in any one accident.

21(n) Underinsured motorist coverage shall be offered with limits
22equal to the limits of liability for the insured’s uninsured motorist
23limits in the underlying policy, and may be offered with limits in
24excess of the uninsured motorist coverage. For the purposes of
25this section, uninsured and underinsured motorist coverage shall
26be offered as a single coverage. However, an insurer may offer
27coverage for damages for bodily injury or wrongful death from
28the owner or operator of an underinsured motor vehicle at greater
29limits than an uninsured motor vehicle.

30(o) If an insured has failed to provide an insurer with wage loss
31information or medical treatment record releases within 15 days
32of the insurer’s request or has failed to submit to a medical
33examination arranged by the insurer within 20 days of the insurer’s
34request, the insurer may, at any time prior to 30 days before the
35actual arbitration proceedings commence, request, and the insured
36shall furnish, wage loss information or medical treatment record
37releases, and the insurer may require the insured, except during
38periods of hospitalization, to make himself or herself available for
39a medical examination. The wage loss information or medical
40treatment record releases shall be submitted by the insured within
P13   110 days of request and the medical examination shall be arranged
2by the insurer no sooner than 10 days after request, unless the
3insured agrees to an earlier examination date, and not later than
420 days after the request. If the insured fails to comply with the
5requirements of this subdivision, the actual arbitration proceedings
6shall be stayed for at least 30 days following compliance by the
7insured. The proceedings shall be scheduled as soon as practicable
8following expiration of the 30-day period.

9(p) This subdivision applies only when bodily injury, as defined
10in subdivision (b), is caused by an underinsured motor vehicle. If
11the provisions of this subdivision conflict with subdivisions (a)
12through (o), the provisions of this subdivision shall prevail.

13(1) As used in this subdivision, “an insured motor vehicle” is
14one that is insured under a motor vehicle liability policy, or
15automobile liability insurance policy, self-insured, or for which a
16cash deposit or bond has been posted to satisfy a financial
17responsibility law.

18(2) “Underinsured motor vehicle” means a motor vehicle that
19is an insured motor vehicle but insured for an amount that is less
20than the uninsured motorist limits carried on the motor vehicle of
21the injured person.

22(3) This coverage does not apply to any bodily injury until the
23limits of bodily injury liability policies applicable to all insured
24motor vehicles causing the injury have been exhausted by payment
25of judgments or settlements, and proof of the payment is submitted
26to the insurer providing the underinsured motorist coverage.

27(4) (A) When bodily injury is caused by one or more motor
28vehicles, whether insured, underinsured, or uninsured, the
29maximum liability of the insurer providing the underinsured
30motorist coverage shall not exceed the insured’s underinsured
31motorist coverage limits, less the amount paid to the insured by
32or for any person or organization that may be held legally liable
33for the injury. A policy for which the maximum liability of the
34insurer is calculated in this manner shall hereafter be referred to
35as a setoff policy.

36(B) begin insert(i)end insertbegin insertend insert Notwithstanding subparagraph (A) and subdivision (q),
37an insurer may offer a separately rated, nonsetoff underinsured
38 motorist policy, subject to all other provisions of this subdivision,
39for which the maximum liability of the insurer providing the
40underinsured motorist coverage is the insured’s underinsured
P14   1motorist coverage limit without subtracting the amount paid to the
2insured by or for any person or organization that may be held
3legally liable for the injury.begin insert However, the insured’s recovery from
4the insured’s uninsured motorist coverage and the amount paid
5to the insured by or for any person or organization that may be
6held legally liable for the injury shall not exceed the sum of all of
7the end insert
begin inserteconomic and noneconomic losses sustained by the insured.end insert
8 If an insurer elects to offer a nonsetoff policy, the insurer shall
9notify its insureds of this fact at the time the insurer begins offering
10begin delete it and every other year thereafter, upon the renewal of an insured’s
11policy.end delete
begin insert the policy.end insert The notification shall be in begin delete writing and shall
12contain a clear and concise, plain-language explanation of the
13benefit to the insured of obtaining a nonsetoff underinsured
14motorist policy and of any additional costs the insured will incur
15by purchasing that policy. In enacting this subparagraph, the
16Legislature finds and declares that it is in the public interest that
17consumers have additional options available when purchasing
18automobile liability insurance.end delete
begin insert writing, in the form specified in
19clause (ii).end insert

begin insert

20(ii) The notice specified in clause (i) shall be in the following
21form:

end insert
begin insert

22“The California Insurance Code requires an insurer to provide
23uninsured motorists coverage in each bodily injury liability
24insurance policy it issues covering liability arising out of the
25ownership, maintenance, or use of a motor vehicle. Those
26provisions also permit an insurer to sell two kinds of underinsured
27motorist coverage: a “setoff” policy and a “nonsetoff” policy.
28Not all insurers offer both types of underinsured motorist coverage;
29some will offer only “setoff” policies. You are receiving this notice
30because your insurer has elected to offer a “nonsetoff” policy in
31addition to offering a “setoff” policy.

end insert
begin insert

32If you are covered by a “setoff” policy, the stated policy limit
33reflects the total coverage available to you when the insurance
34policy limit of the other driver, who was at fault, is added to your
35insurer’s contribution. For example, if the other driver, who was
36at fault, has a $25,000 insurance policy limit, and your “setoff”
37policy has a $100,000 limit, your insurer would be liable for up
38to $75,000. If the other driver, who was at fault, has a $50,000
39insurance policy limit, your insurer would be liable for up to
40$50,000. In each example, the total available for your damages is
P15   1$100,000, the policy limit of your underinsured motorist coverage,
2and the amount your insurer potentially has to pay varies
3depending on the amount of coverage the other driver has, even
4if your actual damages exceeded $100,000.

end insert
begin insert

5If you are covered by a “nonsetoff” policy, however, the stated
6policy limit reflects the amount of coverage available to you in
7addition to the insurance policy limit of the other driver, who was
8at fault. For example, if the other driver, who was at fault, has a
9$25,000 insurance policy, and your “nonsetoff” policy has a
10$100,000 limit, you would potentially be entitled to recover $25,000
11from the insurance policy of the other driver, who was at fault,
12and $100,000 from your insurer under your “nonsetoff” policy.
13If the other driver, who was at fault, has a $50,000 insurance
14policy limit, you would potentially be entitled to recover $50,000
15from the insurance policy of the other driver, who was at fault,
16and $100,000 from your insurer under your “nonsetoff” policy.
17In each example, you can potentially recover up to $100,000 from
18your insurer, and the total available for your damages will vary
19depending on the amount of coverage the other driver has. You
20are still subject to the $100,000 limit, but none of the $100,000
21would be “offset” by the other driver’s insurance.

end insert
begin insert

22To find out more about the difference in cost between a “setoff”
23and “nonsetoff” underinsured motorist coverage policy, please
24contact your insurer, agent, or broker, who will provide you more
25information on the premium associated with each of these coverage
26options.”

end insert
begin insert

27(iii) Nothing in this subparagraph is intended to alter or
28otherwise affect insurer and agent liability.

end insert
begin insert

29(iv) In enacting this subparagraph, the Legislature finds and
30declares that it is in the public interest that consumers have
31additional options available when purchasing automobile liability
32insurance.

end insert

33(5) The insurer paying a claim under this subdivision shall, to
34the extent of the payment, be entitled to reimbursement or credit
35in the amount received by the insured from the owner or operator
36of the underinsured motor vehicle or the insurer of the owner or
37operator.

38(6) If the insured brings an action against the owner or operator
39of an underinsured motor vehicle, he or she shall forthwith give
40to the insurer providing the underinsured motorist coverage a copy
P16   1of the complaint by personal service or certified mail. All pleadings
2and depositions shall be made available for copying or copies
3furnished the insurer, at the insurer’s expense, within a reasonable
4time.

5(7) Underinsured motorist coverage shall be included in all
6policies of bodily injury liability insurance providing uninsured
7motorist coverage issued or renewed on or after July 1, 1985.
8Notwithstanding this section, an agreement to delete uninsured
9motorist coverage completely, or with respect to a person or
10persons designated by name, executed prior to July 1, 1985, shall
11remain in full force and effect.

12(q) Regardless of the number of vehicles involved whether
13insured or not, persons covered, claims made, premiums paid or
14the number of premiums shown on the policy, in no event shall
15the limit of liability for two or more motor vehicles or two or more
16policies be added together, combined, or stacked to determine the
17limit of insurance coverage available to injured persons.



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