Automobile Insurance Quote Worksheet
This checklist shows some of the more common car insurance coverage amounts.
Bodily Injury (BI) Liability
Per Person/Per Accident
$15,000/$30,000*
$25,000/$50,000
$50,000/$100,000
$100,000/$300,000
$250,000/$500,000
Other
Property Damage (PD) Liability
$5,000*
$10,000
$25,000
$50,000
$100,000
Uninsured / Underinsured Motorist Bodily Injury (UMBI)
Minimum Limits to be offered:
$15,000/$30,000 Per Person/ Per Accident - Bodily Injury
Increased limits - Company option
Uninsured Motorist Property Damage (UMPD)
$3,500 - Property Damage (to your vehicle)
Medical Payments
$500
$1,000
$2,500
$5,000
$10,000
$25,000
$50,000
$75,000
$100,000
Comprehensive Physical Damage Other Than Collision (most common deductibles)
$0
$50
$100
$200
$500
Collision (most common deductibles)
$200
$250
$500
Towing & Labor included
yes
no
Rental Reimbursement included
yes
no
Special Equipment Indicate:
Cost:
Waivers
Exclusions
*Minimum liability coverage required in California. This might not be enough if you are held liable for
an accident. With rising medical costs and automobile prices, you should consider buying more than
the minimum limits (This does not apply to California Low Cost Automobile Insurance Program).