ACORD 137 KS (2002/07) – Kansas Commercial Auto, Coverages/Limits Section

Use this form to collect the coverage, limits and premium information necessary to write Business Auto, Truckers or Motor Carrier insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.

Use this form with ACORD 127, Business Auto Section, or ACORD 132, Truckers/Motor Carrier Section.

The following are the specific differences in this state.

• Personal Injury Protection coverages have been revised to recognize statutory limits and options. Refer to your state manual.

• Uninsured Motorists coverage includes Underinsured Motorists coverage; however, there is no property damage coverage available.

• A required statement has been added to the back of the form, advising the applicant that auto liability insurance may be available through the Kansas Automobile Insurance Plan.

In addition, a statement has been added to the back of the form requiring the applicant to acknowledge available Uninsured Motorists coverage options, including the option of rejecting UM limits higher than the mandatory minimum limits.

For further instructions refer to the generic ACORD 137 Instruction here.