California Uninsured Motorists Coverage Selection/Rejection LinkedInThis field is for validation purposes and should be left unchanged.CALIFORNIA UNINSURED MOTORISTS COVERAGE SELECTION/REJECTIONApplicant/Named InsuredCompanyCalifornia law permits you to make certain decisions regarding Uninsured Motorists Coverage. This document describes this coverage and the options available. You should read this document carefully and contact us or your agent if you have any questions regarding Uninsured Motorists Coverage and your options with respect to this coverage. This document includes general descriptions of coverage. However, no coverage is provided by this document. You should read your policy and review your Declarations Page(s) and/or Schedule(s) for complete information on the coverages you are provided. A. Mandatory Offer Of Bodily Injury Uninsured Motorists Coverage Please indicate your choices by initialing next to the appropriate item(s) below. 1. Selection Of Bodily Injury Uninsured Motorists CoverageI select Bodily Injury Uninsured Motorists Coverage at limits equal to the limits of my Bodily Injury Liability Coverage (split limits) or Combined Single Limit for Liability Coverage2. Rejection Of Bodily Injury Uninsured Motorists Coverage The California Insurance Code requires that we provide you with the following information: "The California Insurance Code requires an insurer to provide uninsured motorists coverage in each bodily injury liability insurance policy it issues covering liability arising out of the ownership, maintenance, or use of a motor vehicle. Those provisions also permit the insurer and the applicant to delete the coverage completely or to delete the coverage when a motor vehicle is operated by a natural person or persons designated by name. Uninsured motorists coverage insures the insured, his or her heirs, or legal representatives for all sums within the limits established by law, which the person or persons are legally entitled to recover as damages for bodily injury, including any resulting sickness, disease, or death, to the insured from the owner or operator of an uninsured motor vehicle not owned or operated by the insured or a resident of the same household. An uninsured motor vehicle includes an underinsured motor vehicle as defined in subdivision (p) of Section 11580.2 of the Insurance Code".I reject Bodily Injury Uninsured Motorists Coverage entirely. I delete Bodily Injury Uninsured Motorists Coverage only with respect to the followingIndividualsName of Excluded Driver(s)3. Lower Limit(s) For Bodily Injury Uninsured Motorists Coverage The California Insurance Code requires that we provide you with the following information: "The California Insurance Code requires an insurer to provide uninsured motorists coverage in each bodily injury liability insurance policy it issues covering liability arising out of the ownership, maintenance, or use of a motor vehicle. Those provisions also permit the insurer and the applicant to agree to provide the coverage in an amount less than that required by subdivision (m) of Section 11580.2 of the Insurance Code but not less than the financial responsibility requirements. Uninsured motorists coverage insures the insured, his or her heirs, or legal representatives for all sums within the limits established by law, which the person or persons are legally entitled to recover as damages for bodily injury, including any resulting sickness, disease, or death, to the insured from the owner or operator of an uninsured motor vehicle not owned or operated by the insured or a resident of the same household. An uninsured motor vehicle includes an underinsured motor vehicle as defined in subdivision (p) of Section 11580.2 of the Insurance Code". I reject Bodily Injury Uninsured Motorists Coverage at limits equal to my Bodily Injury Liability Coverage (split limits) or Combined Single Limit for Liability Coverage and I select the following lower limits.Choose one Split Limits $ 15,000/30,000 Combined Single Limit $ 30,000 Split Limits $ 20,000/40,000 Combined Single Limit $ 40,000 Split Limits $ 25,000/50,000 Combined Single Limit $ 50,000 Split Limits $ 30,000/60,000 Combined Single Limit $ 60,000 Split Limits $ 50,000/100,000 Combined Single Limit $ 100,000 Split Limits $ 100,000/300,000 Combined Single Limit $ 250,000 Split Limits $ 250,000/500,000 Combined Single Limit $ 300,000 Split Limits $ 500,000/1,000,000 Combined Single Limit $ 500,000 B. Mandatory Offer Of Property Damage Uninsured Motorists Coverage Uninsured Motorists Coverage may also include Property Damage Uninsured Motorists Coverage. Property Damage Uninsured Motorists Coverage provides insurance protection to an insured for compensatory damages for injury to or destruction of a covered auto caused by an automobile accident which an insured is legally entitled to recover from the owner or operator of certain types of uninsured motor vehicles. However, Property Damage Uninsured Motorists Coverage is available only: 1. If you have not rejected Bodily Injury Uninsured Motorists Coverage; and 2. For autos for which you have not purchased Collision Coverage. Please indicate your choices by initialing next to the appropriate item(s) below. I select Property Damage Uninsured Motorists Coverage at a limit of $3,500 for each accident for the following vehicle(s):Specify Year/Make/ModelI reject Property Damage Uninsured Motorists Coverage entirely. I delete Property Damage Uninsured Motorists Coverage only with respect to the following individualsName of Excluded Driver(s)Applicant's/Named Insured's SignatureYour NameYour NameYour NameYour NameDate