Who Is an Insured Under Washington Auto Insurance?
“Insured” does not mean the same thing for every automobile coverage. Liability, underinsured motorist coverage and Personal Injury Protection can protect different people under different circumstances. Washington coverage analysis therefore begins by identifying the person, the vehicle, the coverage involved and the exact policy definition that applies.
There is no single universal definition of “insured”
Automobile insurance contains several separate coverages. A person can qualify as an insured for one coverage while failing to qualify for another.
Who is protected from claims?
Liability coverage generally focuses on persons or organizations insured against legal responsibility arising from use of a covered vehicle.
Who receives first-party protection?
UIM can protect named insureds and household family members more broadly than people who qualify only because they occupy a covered vehicle.
Washington supplies a statutory definition
Chapter 48.22 RCW expressly defines categories of persons who can qualify as insureds for Washington PIP purposes.
The named insured usually occupies the strongest coverage position
The declarations page identifies the named insured. That designation can affect liability coverage, UIM, PIP, policy rights, cancellation notices, rejection rights and other contractual protections.
RCW 48.22.005 provides a statutory definition for chapter 48.22: “named insured” means the individual named in the declarations and includes that person's spouse when the spouse resides in the same household.
Liability insured status commonly follows ownership, permission and policy definitions
A standard automobile liability policy generally protects the named insured and may extend coverage to additional people using a covered vehicle with permission.
Washington's Financial Responsibility Act expressly illustrates this structure for certified owner's policies. RCW 46.29.490 requires such policies to insure:
- the person named in the policy; and
- another person using the covered vehicle with the named insured's express or implied permission.
Modern policies may also extend liability insured status to:
- resident family members;
- permissive users;
- organizations legally responsible for a covered insured's conduct;
- employees using qualifying covered autos;
- users of temporary substitute vehicles; and
- persons using qualifying nonowned vehicles.
The specific policy controls subject to Washington statutory and public-policy limitations.
Permission can determine whether another driver becomes an insured
Washington cases have long analyzed express and implied permission under automobile liability omnibus clauses.
Direct authorization
The owner or named insured expressly allows the person to use the vehicle.
Permission inferred from conduct
Permission may sometimes be established by conduct, practice, relationship and the surrounding circumstances rather than explicit words.
Washington held that coverage under an omnibus clause required the driver's use to be within express or implied permission attributable to the named insured.
The Washington Supreme Court rejected the proposition that permission to one user automatically permits that person to delegate use to another driver. The policy and facts surrounding the secondary user's permission matter.
Washington UIM distinguishes between broad insured status and vehicle-based insured status
RCW 48.22.030 requires UIM protection for “persons insured” under the automobile policy, subject to statutory exceptions and permitted written rejection.
Washington Supreme Court decisions commonly distinguish two important categories of UIM insureds.
Named insureds and qualifying family members
These insureds typically receive personal UIM protection that is not limited merely to occupying the vehicle listed on the policy.
Other occupants of the covered vehicle
These persons may qualify for UIM because they occupy a covered vehicle but generally do not receive the same portable status as a named insured.
Explains the important distinction between named-insured/family-member UIM coverage and coverage extended to other persons because they are occupying a covered vehicle.
Reinforces that named insureds and family members occupy a materially different UIM coverage position from persons covered only as vehicle occupants.
A specifically named insured could receive UIM protection even though she was not occupying the insured vehicle at the time of injury.
Washington generally ties the UIM insured class to the policy's liability insured class
Washington decisions recognize that RCW 48.22.030 protects persons insured under the automobile liability policy. The insurer may define the class of insureds, but it ordinarily cannot define a narrower UIM class than the insured class contemplated by the liability coverage and governing statute merely to defeat the statutory protection.
Washington Supreme Court authority recognizing that the statutory UIM/UM protection must be made available to a class of insureds at least as broad as the class insured under the primary liability coverage.
Washington expressly defines who is insured for PIP
RCW 48.22.005 applies definitions throughout chapter 48.22 unless the context requires otherwise.
For PIP purposes, the statutory insured class includes two principal groups.
Named insured and qualifying household members
The named insured and household residents related by blood, marriage or adoption, along with a ward, foster child or stepchild of the named insured.
Occupants, users and pedestrians
A person injured while occupying or using the insured automobile with permission, or a pedestrian accidentally struck by the insured automobile.
The statute also defines “named insured” to include the individual named in the declarations and that person's spouse when the spouse resides in the same household.
Household status can materially change coverage
Automobile policies frequently extend important coverages to a named insured's spouse and qualifying resident relatives. Whether a person is a resident of the household can therefore determine access to UIM, PIP and other coverage.
Relevant facts can include:
- where the person regularly sleeps;
- where personal belongings are kept;
- mailing and driver's-license addresses;
- financial dependence;
- family relationships;
- temporary absence for college, military service or work;
- the person's intent concerning residence; and
- the wording of the particular policy definition.
A vehicle occupant may be insured under one policy and not another
A passenger injured in a Washington crash might potentially qualify under:
- UIM coverage on the occupied vehicle;
- PIP coverage on the occupied vehicle;
- the passenger's own automobile policy;
- a resident household member's policy;
- commercial or rideshare insurance applicable to the vehicle; or
- some combination of these sources.
Business auto policies require special attention to who the named insured is
A commercial automobile policy may name a corporation, limited liability company, partnership, governmental entity or other organization rather than an individual.
That can materially change insured-status analysis.
The Washington Supreme Court examined UIM insured status under a commercial policy in which the named insured was a business rather than the injured individual. The employee did not receive the same status as an individually named insured merely because of his relationship to the business.
Commercial policies may define insured status according to:
- ownership of the covered auto;
- employee status;
- permission;
- scope of employment;
- listed auto symbols;
- hired and nonowned auto endorsements;
- executive officer status; and
- special UIM endorsements.
Exclusions can affect insured status but are not automatically controlling
Insurers may rely on exclusions concerning vehicle ownership, regular use, household status, excluded drivers, commercial use or other risks.
Washington courts generally enforce valid policy limitations unless they conflict with a statute, recognized public policy or controlling insurance law.
The Washington Supreme Court invalidated a household liability exclusion that eliminated protection for a class of innocent victims, emphasizing Washington's public policy favoring compensation of automobile-accident victims.
Citizen workflow for determining Washington insured status
Bottom line
Washington automobile insurance does not have one universal class of insureds. Liability coverage may depend on ownership and permission. UIM gives named insureds and qualifying family members broader personal protection than people insured only because they occupy a covered vehicle. PIP has its own statutory insured categories, including household members, permissive users and occupants, and pedestrians struck by the insured automobile. Identify the coverage, read the complete policy, determine the person's relationship to the named insured and vehicle, and repeat that analysis for every potentially applicable policy.