One purpose of the coverage is to quickly pay an injured party's medical expenses from a covered accident in order to minimize the chance of a claim or a lawsuit. A second reason for the coverage is related to the first. If an insured's customer or client is injured, the insured will want to provide immediate aid. The action could result in retaining the customer/client's future business and goodwill.
Consider this situation. Fred’s Flavorfill Pizzeria is covered by a standard commercial automobile policy. One day Jenny, an assistant manager, jumps in a Flavorfill sedan to make a delivery. Patty, Jenny's sister who is visiting her, accompanies her. Jenny starts the car and, as she starts out of the Flavorfill lot, she has to swerve the car to avoid a customer who makes a fast, wide turn into the lot. Jenny hits the pizzeria's sign support and, in the collision, Patty's head is violently slammed against the passenger side window.
Scenario One–The pizzeria’s commercial auto policy does not have medical payments coverage. A couple of weeks after the accident, Fred is notified that Patty is filing a lawsuit.
Scenario Two–The pizzeria’s commercial auto policy is endorsed with a CA 99 03, so it does have medical payments coverage. Fred is able to tell Patty that his insurer will take care of the ambulance and treatment costs. A couple of weeks after the accident, Fred gets a note from the happily recovered Patty, thanking Fred for handling the emergency medical costs.
Another situation that would benefit from auto medical payments coverage is for businesses that rent vehicles for business operations. Medical payments coverage would also extend to passengers injured while occupying rented cars or trucks.
Auto medical payments, added as an optional coverage (for additional premium) must change the way the policy to which it’s attached works. It does so by expanding what persons qualify as covered persons. For example, if the policy is written to cover a sole-proprietorship, the covered persons are expanded to apply to the business owner’s family. It also expands protection to apply to persons who are occupying or similar incidences of auto use (rather than restricting coverage to vehicle drivers). Further, medical payments coverage applies to injuries related to a loss involving a vehicle that is a temporary substitute for a vehicle that is listed as owned by the covered business.
A number of situations don’t qualify for auto medical payments coverage such as:
- Injury that occurs when a car or truck is being used as a premises.
- Injury that is experienced by a covered person while operating or occupying a car that he or she owns, but which is not listed on their commercial auto policy
- Injury suffered by an employee of a covered person when the loss also involves their job (such protection is usually provided by workers compensation insurance).