The Intra-family exclusion is a clause stating the insurance company won't pay for a family member's death if you cause the accident, if they are a blood relative and member of your household.
Most insurance companies with the intra-family exclusion argue that they won't pay because health insurance and medpay should cover those costs.
Kids and spouses in the car have no control over the driver's actions, even if it is a trusted family member. There is no reason a person's kids can't get their medical bills paid in excess of the medpay just because the parent made a mistake. Most people buy "full coverage" thinking that they are getting "full" coverage, until something bad happens and the costs aren't covered.
Companies who DO NOT have the exclusion (good companies), based on surveys performed by Charles E. Boyk Law Offices, LLC: Nationwide, State Farm, Travelers, Grange.
Companies who DO have the exclusion (bad): Progressive, Allstate, American Family, Geico, AIG, and now Liberty Mutual.
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