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...if your insurance coverage limit is $50k. Are you responsible for the other $50k?
yes, you are very much responsible for anything above that limit
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What if instead of ruining the $100k, you cause $300k worth of medical expenses?
Property damage and bodily injury have different limits for autos. Let's say you had 100/300 coverage for bodily injury liability. If you cause $300,000 in medical bills for one person, then you would be responsible for the remaining $200,000 because that limit only covers up to $100,000 in coverage per person. However if three people where injured, all with $100,000 in medical bills, all would be covered but no more than $300,000 per accident. That is a very basic explanation.
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That is why they should carry uninsursed/UNDERINSURNED motorist coverage. It is your responsiblity to have insurance for a normal car on the road. You shouldnt have to insured somebodys 100k car, if you did then nowbody would be able to afford insurance.
Your right, everyone should have uninsured/underinsured motorist. Just because their policy pays out, that does not mean their insurance company won’t come after you to reimburse them for their loss. It happens.
As to be honest, the difference between a 20/40/15 policy (the state minimum requirement) and 100/300/100 can be about $15 a month or less. Where the premiums really change is when you are changing the deductibles up and down.
Since it was brought up, a high deductible to me only makes sense. I offer a $500 and a $750 deductible (among others too) and the difference in premium for the typical drive is about $200 a year. So in about 15 months, you have already saved that additional $250 for the deductible and everything after that is pure savings. If you have the $1250 deductible verses the $500, it may take about 18 to 21 months to save the difference but to me, it a no brainer. This is all summing you do not get in an accident during that period however. Even so, it is hard to convince a person used to a $250 deductible to go to anything high regardless of how much it makes sense on paper. Oh well

And to let you know that I practice what I preach, my coverage is 500/500/100 for both liability and uninsured motorist, 10,000 PIP, $120 Road Side, $35 a day Rental Reimb. and $1,250 deductibles for comp and coll. My premium for six month for two vehicles is just under $600.