Safety Insurance Company Safety Indemnity Insurance Company Safety Property and Casualty Insurance Company MEDICAL PAYMENTS ENDORSEMENT
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1 Massachusetts Private Passenger Auto Safety Insurance Company Safety Indemnity Insurance Company Safety Property and Casualty Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MEDICAL PAYMENTS ENDORSEMENT Optional Insurance, 6. Medical Payments Under Part 6, Medical Payments, the following sentence is added at the end of the third paragraph, which appears on Page 15 after the numbered items: No payments will be made under this Part that duplicate payments made for the same bodily injuries under Part 1, Part 2, Part 3, Part 5, or Part 12 of this Policy. In addition, no payments will be made under this Part that duplicate payments made for the same bodily injuries under any other automobile insurance policy or under a health insurance policy covering the injured person. General Provisions and Exclusions, 5. Our Right To Be Repaid The final paragraph of General Provision 5, Our Right To Be Repaid, which appears on Page 26, is deleted. SMP Includes copyrighted material of Automobile Insurers Bureau of Massachusetts., with its permission. Page 1 of 1
2 Safety Insurance Company Safety Indemnity Insurance Company Safety Property and Casualty Insurance Company ADVISORY NOTICE TO POLICYHOLDER RESTRICTIONS AND/OR REDUCTION OF COVERAGE THIS NOTICE DOES NOT PROVIDE COVERAGE NOR DOES THIS NOTICE REPLACE ANY PROVISIONS OF YOUR POLICY. YOU SHOULD CAREFULLY READ YOUR POLICY AND REVIEW YOUR DECLARATIONS PAGE FOR COMPLETE INFORMATION ON THE COVERAGES YOU ARE PROVIDED WITH. IF THERE IS ANY CONFLICT BETWEEN THE POLICY AND THIS NOTICE, THE PROVISIONS OF THE POLICY SHALL PREVAIL. The following endorsements have been amended as follows: SVE Personal Vehicle Sharing Exclusion Massachusetts Endorsement We will not pay any claim for injury or property damage under the policy, while your auto is being used in a personal vehicle sharing program. Note: Coverage for losses under Personal Injury Protection ( PIP ) is not excluded by the personal vehicle sharing endorsement. SMP MEDICAL PAYMENTS ENDORSEMENT No payments will be made under this Part that duplicate payments made for the same bodily injuries under Part 1, Part 2, Part 3, Part 5, or Part 12 of this Policy. In addition, no payments will be made under this Part that duplicate payments made for the same bodily injuries under any other automobile insurance policy or under a health insurance policy covering the injured person. For specific questions regarding this coverage, we urge you to contact your agent. PHN
3 SAFETY INSURANCE GROUP MASSACHUSETTS PERSONAL AUTO MANUAL ADDITIONAL ITEMS PRIVATE PASSENGER ENDORSEMENTS ALPHABETICAL INDEX TITLE FORM NO. $100 Glass Deductible MPY-0039-S (Ed ) Agreed Amount Coverage - Comprehensive MPY-0034-S (Ed ) Antique Auto M-0047-S (Ed ) Commonwealth of Massachusetts Employees Using Autos They M-0069-S (Ed ) Do Not Own In the Course of Their Employment Coverage for Anyone Renting an Auto to You M-0070-S (Ed ) Coverage for Customized Vans and Pickups MPY-0037-S (Ed ) Excess Electronic Equipment Coverage MPY-0041-S (Ed ) Federal Employees Using Autos They Do Not Own M-0049-S (Ed ) In the Course of Their Employment Guest Occupants Exclusion Motorcycles M-0002-S (Ed ) Massachusetts Mandatory Endorsement M-0099-S (Ed ) Medical Payments Endorsement SMP 002 (Ed ) Mobile Home Endorsement MPY-0002 (Ed ) Non-Renewal of Policy - Motorcycles, Recreational M-0103-S (Ed ) Vehicles and Trailers Operator Exclusion Form M-0106-S (Ed ) Personal Vehicle Sharing Exclusion Massachusetts Endorsement SVE 001 (Ed ) Restriction for Personal Injury Protection for Employers Subject to The Massachusetts Workers Compensation Act M-0063-S Stated Amount Coverage MPY-0027-S (Ed ) Suspension of Coverage - Reduction of Limits MPY-0032-S (Ed ) Transportation of Fellow Employees, Students or Others M-0004-S (Ed ) Trust Endorsement M-0107-S (Ed ) Use of Other Autos - Vehicles Furnished or Available for Regular Use M-0051-S (Ed ) Use of Other Autos - Vehicles Furnished or Available for Use M-0052-S (Ed ) As Public or Livery Conveyances Waiver of Deductible MPY-0016-S (Ed ) Includes copyrighted material of Automobile Insurers Bureau Effective 07/01/14 66
4 Text Comparison Documents Compared 72_pdfsam_Safety_PPA_Main_Eff_12_01_13.pdf - Adobe Acrobat Professional 72_pdfsam_Safety_PPA_Main_Eff_05_01_14.pdf - Adobe Acrobat Professional Summary 12 word(s) added 3 word(s) deleted 327 word(s) matched 3 block(s) matched
5 72_pdfsam_Safety_PPA_Main_Eff_12_01_13.pdf - Adobe Acrobat Professional SAFETY INSURANCE GROUP MASSACHUSETTS PERSONAL AUTO MANUAL ADDITIONAL ITEMS PRIVATE PASSENGER ENDORSEMENTS ALPHABETICAL INDEX TITLE FORM NO. $100 Glass Deductible MPY-0039-S (Ed ) Agreed Amount Coverage - Comprehensive MPY-0034-S (Ed ) Antique Auto M-0047-S (Ed ) Commonwealth of Massachusetts Employees Using Autos They M-0069-S (Ed ) Do Not Own In the Course of Their Employment Coverage for Anyone Renting an Auto to You M-0070-S (Ed ) Coverage for Customized Vans and Pickups MPY-0037-S (Ed ) Excess Electronic Equipment Coverage MPY-0041-S (Ed ) Federal Employees Using Autos They Do Not Own M-0049-S (Ed ) In the Course of Their Employment Guest Occupants Exclusion Motorcycles M-0002-S (Ed ) Massachusetts Mandatory Endorsement M-0099-S (Ed ) Mobile Home Endorsement MPY-0002 (Ed ) Non-Renewal of Policy - Motorcycles, Recreational M-0103-S (Ed ) Vehicles and Trailers Operator Exclusion Form M-0106-S (Ed ) Personal Vehicle Sharing Exclusion Massachusetts Endorsement SVE 001 (Ed ) Restriction for Personal Injury Protection for Employers Subject to The Massachusetts Workers Compensation Act M-0063-S Stated Amount Coverage MPY-0027-S (Ed ) Suspension of Coverage - Reduction of Limits MPY-0032-S (Ed ) Transportation of Fellow Employees, Students or Others M-0004-S (Ed ) Trust Endorsement M-0107-S (Ed ) Use of Other Autos - Vehicles Furnished or Available for Regular Use M-0051-S (Ed ) Use of Other Autos - Vehicles Furnished or Available for Use M-0052-S (Ed ) As Public or Livery Conveyances Waiver of Deductible MPY-0016-S (Ed ) Includes copyrighted material of Automobile Insurers Bureau Effective 12/01/13 66
6 72_pdfsam_Safety_PPA_Main_Eff_05_01_14.pdf - Adobe Acrobat Professional SAFETY INSURANCE GROUP MASSACHUSETTS PERSONAL AUTO MANUAL ADDITIONAL ITEMS PRIVATE PASSENGER ENDORSEMENTS ALPHABETICAL INDEX TITLE FORM NO. $100 Glass Deductible MPY-0039-S (Ed ) Agreed Amount Coverage - Comprehensive MPY-0034-S (Ed ) Antique Auto M-0047-S (Ed ) Commonwealth of Massachusetts Employees Using Autos They M-0069-S (Ed ) Do Not Own In the Course of Their Employment Coverage for Anyone Renting an Auto to You M-0070-S (Ed ) Coverage for Customized Vans and Pickups MPY-0037-S (Ed ) Excess Electronic Equipment Coverage MPY-0041-S (Ed ) Federal Employees Using Autos They Do Not Own M-0049-S (Ed ) In the Course of Their Employment Guest Occupants Exclusion Motorcycles M-0002-S (Ed ) Massachusetts Mandatory Endorsement M-0099-S (Ed ) Medical Payments Endorsement SMP 002 (Ed ) Mobile Home Endorsement MPY-0002 (Ed ) Non-Renewal of Policy - Motorcycles, Recreational M-0103-S (Ed ) Vehicles and Trailers Operator Exclusion Form M-0106-S (Ed ) Personal Vehicle Sharing Exclusion Massachusetts Endorsement SVE 001 (Ed ) Restriction for Personal Injury Protection for Employers Subject to The Massachusetts Workers Compensation Act M-0063-S Stated Amount Coverage MPY-0027-S (Ed ) Suspension of Coverage - Reduction of Limits MPY-0032-S (Ed ) Transportation of Fellow Employees, Students or Others M-0004-S (Ed ) Trust Endorsement M-0107-S (Ed ) Use of Other Autos - Vehicles Furnished or Available for Regular Use M-0051-S (Ed ) Use of Other Autos - Vehicles Furnished or Available for Use M-0052-S (Ed ) As Public or Livery Conveyances Waiver of Deductible MPY-0016-S (Ed ) Includes copyrighted material of Automobile Insurers Bureau Effective 05/01/14 66
7 SAFETY INSURANCE GROUP MASSACHUSETTS PERSONAL AUTO MANUAL ADDITIONAL ITEMS PRIVATE PASSENGER ENDORSEMENTS ALPHABETICAL INDEX TITLE FORM NO. $100 Glass Deductible MPY-0039-S (Ed ) Agreed Amount Coverage - Comprehensive MPY-0034-S (Ed ) Antique Auto M-0047-S (Ed ) Commonwealth of Massachusetts Employees Using Autos They M-0069-S (Ed ) Do Not Own In the Course of Their Employment Coverage for Anyone Renting an Auto to You M-0070-S (Ed ) Coverage for Customized Vans and Pickups MPY-0037-S (Ed ) Excess Electronic Equipment Coverage MPY-0041-S (Ed ) Federal Employees Using Autos They Do Not Own M-0049-S (Ed ) In the Course of Their Employment Guest Occupants Exclusion Motorcycles M-0002-S (Ed ) Massachusetts Mandatory Endorsement M-0099-S (Ed ) Medical Payments Endorsement SMP 002 (Ed ) Mobile Home Endorsement MPY-0002 (Ed ) Non-Renewal of Policy - Motorcycles, Recreational M-0103-S (Ed ) Vehicles and Trailers Operator Exclusion Form M-0106-S (Ed ) Personal Vehicle Sharing Exclusion Massachusetts Endorsement SVE 001 (Ed ) Restriction for Personal Injury Protection for Employers Subject to The Massachusetts Workers Compensation Act M-0063-S Stated Amount Coverage MPY-0027-S (Ed ) Suspension of Coverage - Reduction of Limits MPY-0032-S (Ed ) Transportation of Fellow Employees, Students or Others M-0004-S (Ed ) Trust Endorsement M-0107-S (Ed ) Use of Other Autos - Vehicles Furnished or Available for Regular Use M-0051-S (Ed ) Use of Other Autos - Vehicles Furnished or Available for Use M-0052-S (Ed ) As Public or Livery Conveyances Waiver of Deductible MPY-0016-S (Ed ) Includes copyrighted material of Automobile Insurers Bureau Effective 05/01/14 66
8 Massachusetts Private Passenger Auto Safety Insurance Company Safety Indemnity Insurance Company Safety Property and Casualty Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MEDICAL PAYMENTS ENDORSEMENT Optional Insurance, 6. Medical Payments Under Part 6, Medical Payments, the following sentence is added at the end of the third paragraph, which appears on Page 15 after the numbered items: No payments will be made under this Part that duplicate payments made for the same bodily injuries under Part 1, Part 2, Part 3, Part 5, or Part 12 of this Policy. In addition, no payments will be made under this Part that duplicate payments made for the same bodily injuries under any other automobile insurance policy or under a health insurance policy covering the injured person. General Provisions and Exclusions, 5. Our Right To Be Repaid The final paragraph of General Provision 5, Our Right To Be Repaid, which appears on Page 26, is deleted. SMP Includes copyrighted material of Automobile Insurers Bureau of Massachusetts., with its permission. Page 1 of 1
9 Safety Insurance Company Safety Indemnity Insurance Company Safety Property and Casualty Insurance Company ADVISORY NOTICE TO POLICYHOLDER RESTRICTIONS AND/OR REDUCTION OF COVERAGE THIS NOTICE DOES NOT PROVIDE COVERAGE NOR DOES THIS NOTICE REPLACE ANY PROVISIONS OF YOUR POLICY. YOU SHOULD CAREFULLY READ YOUR POLICY AND REVIEW YOUR DECLARATIONS PAGE FOR COMPLETE INFORMATION ON THE COVERAGES YOU ARE PROVIDED WITH. IF THERE IS ANY CONFLICT BETWEEN THE POLICY AND THIS NOTICE, THE PROVISIONS OF THE POLICY SHALL PREVAIL. The following endorsements amend your policy as follows: SVE Personal Vehicle Sharing Exclusion Massachusetts Endorsement We will not pay any claim for injury or property damage under the policy, while your auto is being used in a personal vehicle sharing program. SMP MEDICAL PAYMENTS ENDORSEMENT No payments will be made under this Part that duplicate payments made for the same bodily injuries under Part 1, Part 2, Part 3, Part 5, or Part 12 of this Policy. In addition, no payments will be made under this Part that duplicate payments made for the same bodily injuries under any other automobile insurance policy or under a health insurance policy covering the injured person. For specific questions regarding this coverage, we urge you to contact your agent. PHN Page 1 of 1
10AR 1273 (Ed. 08/14) Page 1 of 1
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