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ACORD Form 137 Commercial Auto Instructions

  

Commercial Auto 137

 

 

Alabama Commercial Auto, Coverages/Limits Section ACORD 137 AL (6/2001)

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

Alaska Commercial Auto, Coverages/Limits Section ACORD 137 AK (6/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132 Truckers/Motor Carrier Section.

 

This following are the specific differences in this state:

  • Personal Injury Protection coverage does not apply; this is not a "no-fault" state.
  • A required statement has been added to the back of the form with respect to the offer of Rental Vehicle Damage coverage if Comprehensive and/or Collision coverage has been rejected by the applicant.

 

Arizona Commercial Auto, Coverages/Limits Section ACORD 137 AZ (7/2001)

Use this form to collect the coverage, limits and premium information necessary to write

Business Auto, Truckers or Motor Carrier insurance in this state.

 

Use this form with ACORD 127, Business Auto Section or ACORD 132, Truckers /Motor

Carrier Section.

 

The following are the specific differences in this state:

  • Personal Injury Protection coverage is not available; this is not a "no-fault"
  • state. 
  • Uninsured and Underinsured Motorists Property Damage coverages are not
  • available. 
  • Statement added to the back of the form, referencing the Arizona Supplement,
  • ACORD 61 AZ, which must be signed by the applicant.

 

 

Arkansas Commercial Auto, Coverages/Limits Section ACORD 137 AR (10/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. The following are the specific differences in this state.

 

 Personal Injury Protection coverages are revised to reflect unique Arkansas coverages and options. Refer to your state manual.

  Provision made for Uninsured Motorists Property Damage deductible; Underinsured Motorist Property Damage is not available.

  An additional statement is added, referencing the Arkansas Supplement, ACORD 61 AR, which must be used if the applicant chooses Uninsured or Underinsured Motorists Bodily Injury coverages less than the limits of the policy's basic Bodily Injury Liability limits.

 

A statement is added to the back of the form allowing the applicant to reflect any or all of the Personal Injury Protection coverages.

 

California Commercial Auto, Coverages/Limits Section ACORD 137 CA (6/2001)

Use this form to collect the coverage, limits and premium information necessary to write

Business Auto, Truckers or Motor Carrier insurance in this state.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor

Carrier Section.

 

The following are the specific differences in this state.

Personal Injury Protection coverage does not apply. This is not a "no-fault"

state. 

  • Underinsured Motorists coverage is included in Uninsured Motorists coverage. 
  • Reference to "Waiver of Collision Deductible" is added. 
  • Statement added referring to the offer of Uninsured Motorists coverage up to
  • the Bodily Injury Liability coverage in the policy, and the applicant's right to
  • select lower limits, reject coverage for certain drivers, or reject UM coverage
  • entirely. If the applicant chooses any option other than limits equal to the
  • policy's BI limits, the California Auto Supplement, ACORD 61 CA, must be
  • signed. 
  • Statement added referring to the offering of a Waiver of the Collision deductible. 
  • The fraud statement is revised to comply with California law. 
  • A statement is added to the back of the form as required by California law,
  • advising the applicant of his or her rights with respect to "good driver" policies.

 

 

Colorado Commercial Auto, Coverages/Limits Section ACORD 137 CO (6/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. 

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section. 

 

The following are the specific differences in this state. 

  • Personal Injury Protection coverages are replaced with Colorado's unique coverages and options. Refer to your state manual. 
  • Underinsured Motorists coverage is included in Uninsured Motorists coverage. 
  • The fraud warning is specific to the state. 
  • Statement added referring to the explanation and offer to the applicant of Uninsured Motorists coverage, and the right of the applicant to select/reject coverage. If Uninsured Motorists Bodily Injury coverage is rejected entirely, the applicant must initial the statement.

 

Connecticut Commercial Auto, Coverages/Limits Section ACORD 137 CT (6/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. 

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section. 

 

The following are the specific differences in this state. 

  • Personal Injury Protection coverages reflects the optional coverages available. 
  • Uninsured Motorists and Underinsured Motorists coverages are combined. 
  • Uninsured Motorists Conversion coverage is added. This coverage can be purchased instead of Uninsured/Underinsured Motorists coverage.

 

Delaware Commercial Auto, Coverages/Limits Section ACORD 137 DE (6/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance inthis state.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

Following are the specific differences in this state. 

  • Personal Injury Protection coverages are revised to reflect Delaware's unique coverages and options. Refer to your state manual.
  • Underinsured Motorists Bodily Injury coverage is included in Uninsured Motorists coverage; Property Damage coverage is not available.
  • Statement added to the back of the form, referencing the auto supplement, ACORD 61 DE, which must be used whenever the applicant chooses Uninsured Motorists Bodily Injury coverage less than the limits of the policy's basic Bodily Injury Liability limits, or rejects
  • coverage entirely.

 

District of Columbia Commercial Auto, Coverages/Limits Section ACORD 137 DC (9/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.  The following are the specific differences in this state.

 

  Personal Injury Protection coverages reflect Delaware's unique coverages and options. Refer to your state manual.

  Statement added referencing the offer of Uninsured and Underinsured Motorists coverages, and the applicant's right to select coverage limits, and reject Underinsured Motorists coverage.

  Statement added allowing the applicant to reject Personal Injury Protection coverages. Applicant must signify rejection by initialing the form.

  Fraud warning specific to DC.

 

Florida Commercial Auto, Coverages/Limits Section ACORD 137 FL (7/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  The following are the specific differences in this state.  Personal Injury Protection coverages reflect Florida's unique coverages and options. Refer to your state manual.  Underinsured Motorists /Bodily Injury coverage is included in Uninsured Motorists/Bodily Injury coverage; Uninsured and Underinsured Motorists Property Damage coverages are not available.  Statement added to the back of the form referencing the various Uninsured Motorists coverage options, and the use of the state supplement, ACORD 61 FL, if Uninsured Motorists, or non-stacked coverage, is rejected.

 

Georgia Commercial Auto, Coverages/Limits Section ACORD 137 GA (2/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state.

  • Personal Injury Protection coverage does not apply; this is not a "not-fault" state.
  • Uninsured Motorists coverage includes Underinsured Motorists coverage; provision is made for per-accident deductibles under Uninsured Motorists coverage.
  • A required statement has been added to the back of the form referring to the state supplement containing explanation and selection options for Uninsured Motorists. 

 

Hawaii Commercial Auto, Coverages/Limits Section ACORD 137 HI (2/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. 

  •  
  • Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state.

  • Uniques Personal Injury Protection and Additional Personal Injury Protection items are provided. 
  • The applicant can select "stacked" or "non-stacked" Uninsured and
  • Underinsured Motorists BI coverage; however, there is no UM or UIM PD coverage available.
  • A state-specific fraud warning is included on the back of the form.

 

Idaho Commercial Auto, Coverages/Limits Section ACORD 137 ID (6/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state: 

  • Personal Injury Protection coverages are not available; this is not a "no-fault" state. 
  • Uninsured and Underinsured Motorist Property Damage coverages are not available. 
  • Statement added to the back of the form, referencing the offer of Uninsured and Underinsured Motorists Bodily Injury coverages up to the policy's basic Bodily Injury Liability limits, and the applicant's right to select other limits, or to reject coverage entirely.

 

Illinois Commercial Auto, Coverages/Limits Section ACORD 137 IL (6/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state. 

  • Personal Injury Protection coverages are not available; this is not a (no-fault) state.
  • Uninsured and Underinsured Motorist Bodily injury coverages are combined; Underinsured Motorists Property Damage coverage does not apply; Uninsured Motorists Property Damage coverage is shown separately.
  • Statement added referring to the state supplement, ACORD 61 IL, with respect to the selection of Uninsured/Underinsured Motorists Bodily Injury Liability coverage lower than the Bodily Injury Liability coverage in the policy, or the selection of Uninsured Motorists Property Damage coverage for vehicles not covered by collision insurance.

 

Indiana Commercial Auto, Coverages/Limits Section ACORD 137 IN (8/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.  The following are the specific differences in this state.

 

  Personal Injury Protection coverages are not available; this is not a "no-fault" state.

  Statement added to the back of the form, referencing the offer of Uninsured and Underinsured Motorists Bodily Injury and Property Damage coverages.

  The applicant must initial the statement if any coverage is rejected.

 

Iowa Commercial Auto, Coverages/Limits Section ACORD 137 IA (6/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/ Motor Carrier Section.

 

The following are the specific differences in this state.

 

Personal Injury Protection coverages are not available; this is not a "no-fault" state.

 

Uninsured Motorists and Underinsured Motorists coverage sections include reference to "stacked" and "non-stacked" coverages; Uninsured and underinsured Motorists Property Damage coverages are not available.

 

Statement added to the back of the form, referencing the state supplement, ACORD 61 IA, the offer of various Uninsured and Underinsured Motorists Bodily Injury coverage options, and the applicant's right to select or to reject coverage entirely. If the insured decides to select "stacked" UM or UIM, or to reject either UM or UIM coverage, the state supplement must be signed.

 

A state-specific privacy notice is added.

 

Kansas Commercial Auto, Coverages/Limits Section ACORD 137 KS (9/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.  The following are the specific differences in this state.

 

  Personal Injury Protection coverages have been revised to allow for Kansas options. Refer to your state manual.

  Uninsured Motorists coverage includes Underinsured Motorists coverage; however, there is no property damage coverage available.

  A required statement has been added to the back of the form, advising the applicant that auto liability insurance may be available through the Kansas Automobile Insurance Plan.

 

In addition, a statement has been added to the back of the form requiring the applicant to acknowledge available Uninsured Motorists coverage options, including the option of rejecting UM limits higher than the mandatory minimum limits.

 

Kentucky Commercial Auto, Coverages/Limits Section ACORD 137 KY (9/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.  The following are the specific differences in this state.  Provision is made to report the "Tax Territory", as required by Kentucky law.  Personal Injury Protection coverages are revised to reflect Kentucky's unique coverages and options. Refer to you state manual.  Uninsured and Underinsured Motorists Property Damage coverage are not available.  Added section to the back of the form to allow descriptions of motorcycles, and named individuals to be covered, as required under PIP options.  Provided statement referencing the explanation to the applicant of Uninsured and Underinsured Motorists coverages and available options; provided space to allow the applicant to reject UM and/or UIM.  The fraud statement on the back of the form is revised to reflect Kentucky law.

 

Louisiana Commercial Auto, Coverages/Limits Section ACORD 137 LA (6/98)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.  The following are the specific differences in this state.  Personal Injury Protection coverages are not available; this is not a "no-fault" state.  Underinsured Motorists coverage is included in Uninsured Motorist coverage.  Statement added to the back of the form, referencing the offer of Uninsured Motorists coverages up to the policy's basic Liability limits, and the applicant's right to select lower limits, or to reject coverage entirely. The applicant must initial the option(s) selected.

 

Maine Commercial Auto, Coverages/Limits Section ACORD 137 ME (9/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Required disclosure and coverage acceptance or rejection information is also included.  The following are the specific differences in this state.

 

  Personal Injury Protection coverages are not available; this is not a "no-fault" state.

  Uninsured and Underinsured Motorists Bodily Injury coverages are combined.

  Uninsured and Underinsured Motorists Property Damage coverages are not available.

  Statement added to the back of the form, referencing the offer of Uninsured/Underinsured Motorists Bodily Injury coverages up to the policy's basic Bodily Injury Liability limits and the applicant's right to select lower limits, or to reject coverage entirely.

  A state-specific fraud warning is added to the back of the form. 

 

Maryland Commercial Auto, Coverages/Limits Section ACORD 137 MD (6/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state:

  • Personal Injury Protection coverages are revised to reflect Maryland's unique coverages and options. Refer to your state manual.
  • Underinsured Motorists coverage is included in Uninsured Motorists coverage.
  • Statement added to the back of the form, referencing the state supplement, ACORD 62 MD, which must be given to the applicant if Personal Injury Protection coverage is rejected, or if Uninsured Motorists' Bodily Injury coverage less than the limits of the policy's Bodily Injury Liability limits is selected.

 

Michigan Commercial Auto, Coverages/Limits Section ACORD 137 MI (9/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  The following are the specific differences in this state.

 

  Additional Property Damage Liability coverage in the amount of $400.00 is a basic liability coverage option.

  Personal Injury Protection coverages have been revised to allow for unique Michigan coverages and options. Refer to your state manual.

  No property damage coverage is available under Uninsured or Underinsured Motorists.

  Several collision options are shown. Refer to your state manual.

  Provision is made to allow individuals covered under the policy who are 60 years of age or older, and who have no expectation of actual income loss in the event of an accident, to reject coverage for work loss under Personal Injury Protection coverage. Each individual eligible must the application.

  A statement is added referencing the Michigan Collision Insurance Options Notice (ACORD 62 MI) which must be given to every applicant for auto insurance in Michigan.

  A statement is added that provides the address and phone number of the Michigan Insurance Bureau.

 

Minnesota Commercial Auto, Coverages/Limits Section ACORD 137 MN (9/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  The following are the specific differences in this state.  The Personal Injury Protection items revised to reflect Minnesota's unique coverages.  A statement is added requiring the applicant to acknowledge receipt of a copy of the Minnesota Guaranty Association Notice ( ACORD 65 MN).  A statement is added requiring the applicant to acknowledge the offering of Uninsured/Underinsured Motorists coverage up to the limits of BI Liability.  A statement is added referencing the company's right to cancel coverage during the forty-nine days following the issuance of coverage, for any reason not prohibited by law.  The fraud statement on the back of the form is revised to reflect a new Minnesota law.

 

Mississippi Commercial Auto, Coverages/Limits Section ACORD 137 MS (1/96)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.  Personal Injury Protection coverages are not available; this is not a "no-fault" state.  Uninsured and Underinsured Motorists coverages are combined.  Statement added to the back of the form, referencing the offer of Uninsured/Underinsured Motorists coverages up to the limits of the policy's Liability limits, and the applicant's right to select lower limits, or to reject coverage entirely. The applicant must initial the option selected.

 

Missouri Commercial Auto, Coverages/Limits Section ACORD 137 MO (1/96)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.  Personal Injury Protection coverage does not apply; this is not a "no-fault" state.  Uninsured and Underinsured Motorist Property Damage coverages are not available.  A required statement has been added to the back of the form, indicating that the premium quoted is an estimate only, and that premium charged will be in accordance with the company's filed rates.  A statement has been added to the back of the form, referencing the offer of Uninsured and Underinsured Motorists coverage.

 

Montana Commercial Auto, Coverages/Limits Section ACORD 137 MT (8/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state.

 

Personal Injury Protection coverage is not available; this is not a "no-fault" state.

 

Uninsured Motorist Property Damage and Underinsured Motorists Property Damage coverages are not available.

 

A statement has been added to the back of the form, referencing the offering of Uninsured Motorists coverage up to the limits of Bodily Injury liability coverage, and the applicants right to reject coverage.

 

A state-specific privacy notice is added.

 

Nebraska Commercial Auto, Coverages/Limits Section ACORD 137 NE (8/97)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

 

  Personal Injury Protection coverage is not available; this is not a "no-fault" state.

  Uninsured and Underinsured Motorists Property Damage coverages are not available.

  The Fraud statement is removed.

 

Statement added to the back of the form, referencing the offer of Uninsured and Underinsured Motorists Bodily Injury coverages up to the limits of the policy's Bodily injury Liability Limits and the applicant's right to select lower limits or reject coverage entirely.

 

Nevada Commercial Auto, Coverages/Limits Section ACORD 137 NV (1/96)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

 

  Provision is made in the "Applicant" box at the top of the front of the form to record the applicant's Federal Employer ID Number (FEIN), as required by Nevada statutes and regulations.

  Personal Injury Protection coverages are not available; this is not a "no-fault" state.

  Uninsured Motorists Bodily Injury coverage is included in Uninsured Motorists Bodily injury coverage.

  Uninsured and Underinsured Motorists Property Damage coverages are not available.

 

Statement added to the back of the form, referencing the state supplement, ACORD 61 NV, which must be given to the applicant to explain the available

options under Medical Payments and Uninsured Motorists coverage.

 

New Hampshire Commercial Auto, Coverages/Limits Section ACORD 137 NH (1/96)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

 

  Personal Injury Protection coverages are not available; this is not a "no-fault" state.

  Underinsured Motorists coverage is included in Uninsured Motorists coverage.

 

New Jersey Commercial Auto, Coverages/Limits Section ACORD 137 NJ (9/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

 

  Personal Injury Protection coverages have been revised to provide for unique New Jersey coverages. Refer to your state Manual.

  Uninsured and Underinsured Motorists coverages are combined.

  Comprehensive is changed to "other than collision coverage".

  The fraud statement on the back of the form is revised to comply with New Jersey law.

 

A statement has been added referencing the offer of Uninsured/Underinsured Motorists coverage up to the policy's BI limits.

 

New Mexico Commercial Auto, Coverages/Limits Section ACORD 137 NM (1/96)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

 

  Personal Injury Protection coverages are not available; this is not a "no-fault" state.

  Underinsured Motorists coverage is included in Uninsured Motorists coverage.

  Statement added to the back of the form, referencing the offer of Uninsured Motorists Bodily Injury and Property Damage coverages up to the limits of the policy's Liability limits and the applicants right to select lower limits, or to reject coverage entirely. The applicant must initial the option selected.

 

New York Commercial Auto, Coverages/Limits Section ACORD 137 NY (4/98)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

Personal Injury Protection coverages are revised to reflect New York's unique coverages and options. Refer to your state Manual.  Uninsured and Underinsured Motorists coverages are replaced by "Statutory UM" and "Supplemental UM (SUM)". Refer to your state Manual.  Fraud statement is replaced with New York's Fraud Statement language.  Statement added to the back of the form referencing the availability of Statutory Uninsured Motorists and Supplementary Uninsured Motorists coverages and options.  

 

North Carolina Commercial Auto, Coverages/Limits Section ACORD 137 NC (5/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state:

  • A box relating to "facility Code" is added to the front of the form, to provide information relating to the re-insurance facility.
  • Personal injury Protection coverage is not available; this is not a "no-fault" state.
  • Provision is made for combined Uninsured/Underinsured Motorists Bodily Injury coverage, and separately for Uninsured Motorists coverage. Underinsured Motorists Bodily Injury coverage is not available by itself.
  • An instruction is added requiring the fire district name and code number if fire or comprehensive coverage is provided.
  • Statement added to the back of the form to allow the applicant to select or reject the various Uninsured and Underinsured Motorists coverage options. The applicant must initial the selection(s).

 

North Dakota Commercial Auto, Coverages/Limits Section ACORD 137 ND (7/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.  Personal Injury Protection coverages revised to reflect North Dakota's unique coverages and options. Refer to your state Manual.  Uninsured and Underinsured Motorists Bodily Injury coverages are combined; Uninsured/Underinsured Motorists Property Damage coverages are not available.  Statement is added to the back of the form to allow the applicant to reject Additional Personal Injury protection coverage. The applicant must initial the form.  

 

Ohio Commercial Auto, Coverages/Limits Section ACORD 137 OH (4/98)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state:

  • Personal Injury Protection is not available. This is not a "no-fault" state
  • Underinsured Motorists coverage is included in Uninsured Motorists coverage
  • Provision is made for Uninsured Motorists Property Damage coverage
  • The Fraud Statement is revised to comply with Ohio law
  • A statement has been added to the back of the form referring to the Uninsured Motorists coverage state supplement.

 

Oklahoma Commercial Auto, Coverages/Limits Section ACORD 137 OK (1/96)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

 

  Personal Injury Protection coverage is not available; this is not a "no-fault" state.

  Underinsured Motorists BI coverage is included in Uninsured Motorists coverage; Property Damage coverage is not available.

  The fraud statement is revised to comply with Oklahoma law.

 

Oregon Commercial Auto, Coverages/Limits Section ACORD 137 OR (7/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

 

  Personal Injury Protection coverages are revised to reflect Oregon's unique coverages and options. Refer to your state Manual.

  Underinsured Motorists coverage is included in Uninsured Motorists coverage.

  Statement added to the back of the form, referring to the state supplement, ACORD 61 OR, which must be given to the applicant to explain Uninsured Motorists coverage, and the options available.

 

Pennsylvania Commercial Auto, Coverages/Limits Section ACORD 137 PA (1/96)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

 

  Personal Injury Protection coverage sections have been revised in accordance with unique Pennsylvania coverages and options. Refer to your State Manual.

  Provided for the selection of "stacked" or "non-stacked" coverage under Uninsured and Underinsured Motorists BI coverages. Property Damage coverage is not available.

 

The Fraud Statement is revised to comply with Pennsylvania law.

 

Rhode Island Commercial Auto, Coverages/Limits Section ACORD 137 RI (3/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

  • The following are the specific differences in this state:
  • Personal Injury Protection coverages are not available; this is not a "no-fault" state. Uninsured and Underinsured Motorist coverages are combined.
  • Statements are added to the back of the form that:

1. Allow the applicant to acknowledge the offer of Medical Payments coverage, and the options selected;

2. Reference the state supplement, ACORD 61 RI, which must be signed by the applicant if Uninsured/Underinsured Motorists Bodily Injury coverage is rejected;

3. Allow the applicant to acknowledge the offer of Uninsured/Underinsured Motorists Property Damage coverage, and the options selected.

  • The applicant must initial the options selected.

 

South Carolina Commercial Auto, Coverages/Limits Section ACORD 137 SC (4/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state.

  • A box relating to "Facility Code" is added to the front of the form, to provide information relating to the re-insurance facility. 
  • Medical Payments coverage is deleted; Medical expenses are included under Personal Injury Protection coverage.

 

South Dakota Commercial Auto, Coverages/Limits Section ACORD 137 SD (2/97)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this State.  Required disclosure and coverage acceptance or rejection information is also included.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

 

  Personal Injury Protection coverages are revised to reflect South Dakota's unique coverages and options.

  Refer to your State Manual.

  Uninsured and Underinsured Motorists Property Damage coverages are not available.

  Statement added to the back of the form to allow the applicant to select or reject supplemental auto coverage. The applicant must initial the form.

 

Tennessee Commercial Auto, Coverages/Limits Section ACORD 137 TN (11/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state.

  • Personal Injury Protection coverages are not available; this is not a "no-fault" state.
  • Underinsured Motorists coverage is included in Uninsured Motorists coverage.
  • Statement added to the back of the form, referencing the offer of Uninsured Motorists Bodily Injury and Property Damage coverages up to the limits of the policy's Liability limits and the applicant's right to select lower limits, or to reject coverage entirely. The applicant must initial the option(s) selected.

 

Texas Commercial Auto, Coverages/Limits Section ACORD 137 TX (8/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Required disclosure and coverage acceptance or rejection information is also included.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

 

  Personal Injury Protection coverages are revised to provide for various Texas coverages and options. Refer to your State Manual.

  Uninsured and Underinsured Motorists coverages are combined. The Property Damage deductible is $250.00.

  Statements are added to the back of the form requiring the applicant to acknowledge the explanation of Uninsured/Underinsured Motorists coverage and Personal Injury Protection, and to acknowledge selection/rejection decisions by initialing the statements.

 

Utah Commercial Auto, Coverages/Limits Section ACORD 137 UT (1/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state:

  • Personal Injury Protection coverages reflect the unique coverages available in this state. 
  • Underinsured Motorists Property Damage coverage is not available. 
  • A statement is added to the back of the form explaining arbitration as an alternative to court action. This statement is required by Utah law.

 

Vermont Commercial Auto, Coverages/Limits Section ACORD 137 VT (1/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state:

  • Personal Injury Protection coverage is not available; this is not a "no-fault" state. 
  • Underinsured Motorists coverage is included in Uninsured Motorists coverage. 
  • The Fair Credit Reporting Act Statement is replaced with Vermont's Fair Credit law requirements.
  • A statement is added to the back of the form, referencing the explanation of Uninsured Motorists coverage to the applicant, and the applicant's selection of coverage.
  • The fraud warning complies with VT law.

 

Virginia Commercial Auto, Coverages/Limits Section ACORD 137 VA (8/2001)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.

 

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

 

The following are the specific differences in this state:

  • Personal Injury Protection coverage is revised to reflect the coverages and options available in Virginia. Refer to your state Manual.
  • Underinsured Motorists coverage is included in Uninsured Motorists coverage.
  • A required statement is added referring to the Company's right to cancel the policy for any reason within the first 60 days it is in effect, and thereafter for reason stated in the policy.
  • A statement is added referencing the offering of Uninsured Motorists coverage.
  • Dual lines are provided for the initials of more than one named insured at the end of the statement on the back of the form relating to Uninsured Motorists coverage selection. A recent court decision determined that each named insured must acknowledge the offer of UM coverage.
  • A state-specific fraud warning and privacy notice are added.

 

Washington Commercial Auto, Coverages/Limits Section ACORD 137 WA (8/2000)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.  Personal Injury Protection coverage is revised to reflect Washington's unique coverages and options. Refer to your state Manual.  Added "Auto Loan" coverage in the Coverages/Premium section.  Statement added to the back of the form referring to the options available under Underinsured Motorists and Personal Injury Protection coverages and the applicant's right to reject these coverages.

 

West Virginia Commercial Auto, Coverages/Limits Section ACORD 137 WV (1/96)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

 

  Personal Injury Protection coverages are not available; this is not a "no-fault" state.

  Statement added to the back of the form, referencing the state supplements, ACORD 60 WV, 61 WV, and 62 WV, with respect to the offering and selection of Uninsured and Underinsured Motorists coverages.

 

Wisconsin Commercial Auto, Coverages/Limits Section ACORD 137 WI (3/96)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Required disclosure and coverage acceptance or rejection information is also included.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.  Personal Injury Protection coverages are not available; this is not a "no-fault" state.  Uninsured and Underinsured Motorists Property Damage coverages are not available.  Statements added to the back of the form:

 

1. Acknowledging the offer of Medical Payments coverage, and allowing the applicant to reject this coverage; the applicant must initial the form of coverage that is rejected.

2. Acknowledging the offer of Uninsured and Underinsured Motorists Bodily Injury coverage, and the options available.

 

Wyoming Commercial Auto, Coverages/Limits Section ACORD 137 WY (1/96)

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state.  Required disclosure and coverage acceptance or rejection information is also included.  Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.  The following are the specific differences in this state.

 

  Personal Injury Protection coverages are not available; this is not a "no-fault" state.

  Uninsured and Underinsured Motorists Property Damage coverage is not available.

  A statement is added to the back of the form referencing the offering of Uninsured and Underinsured Motorists coverage.

  A statement is added advising the applicant that, if a loss occurs to an insured vehicle and the insured is paid for that loss but doesn't actually repair the vehicle, any subsequent losses will be paid with the cost of the damage associated with prior losses being deducted.

 


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