Broad Coverage under Auto Med Pay Endorsement

July 2, 2014

The attachment of an auto medical payments coverage endorsement (CA 99 03 03 06) to a standard ISO business auto policy (CA 00 01 10 13) would seem to provide expansive (and unintended) med pay coverage for the insured and family members. I am hoping for clarification as to my understanding.

In section B of the endorsement (Who Is An Insured), it states that if the insured is an individual, he/she and his/her family members are covered under the endorsement while pedestrians if struck by any auto.
This would seem to suggest that the named insured and family members have unlimited med pay coverage for ANY auto accident in which they may be injured. That scope of coverage would seem to be far broader than any circumstances related to the scope of intended business operations. For example, if the 8 year-old child of the insured were to be injured (as a pedestrian) by an auto while walking through a parking lot at a grocery store on the weekend, it would appear that the endorsement would provide coverage.
That scope of coverage would not seem to be intended, but I see no wording that would preclude such coverage.

Illinois Subscriber

Your reading of the endorsement is somewhat correct. There is not unlimited coverage in the sense that the endorsement does have exclusions, and there is a limit of liability listed in the declarations, and the exclusions on the BAP apply unless modified by the endorsement. So, the insurer can limit the med pay coverage to a degree, but as you note, the scope of coverage for family members is otherwise very broad.

 

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