ACORD 65NY Instructions

ACORD 65 NY (2003/01) – New York Auto Supplement – Supplementary Spousal Liability Coverage – Mandatory Offer of Insurance

Under a new New York state law effective January 1, 2003, it is mandatory to offer Supplemental Spousal Liability Coverage. Supplemental Spousal Liability Insurance (SSL) provides bodily injuryliability coverage under a motor vehicle insurance policy to cover the liability of an insured spouse because of the death of or injury to his or her spouse, even where the injured spouse must prove the culpable conduct of the insured spouse.

1. The additional premium for SSL coverage must be indicated on the form.

2. The applicant / insured must elect to request or reject SSL coverage.

3. The applicant / insured must sign the form.