Minnesota Administrative Rules
Agency 120 - Commerce Department
Chapter 2770 - AUTOMOBILE INSURANCE
SURCHARGE PLANS AND DISCLOSURE
Part 2770.1900 - SURCHARGE PLAN FORMATS
Universal Citation: MN Rules 2770.1900
Current through Register Vol. 49, No. 13, September 23, 2024
The formats contained in this part must be used, but additional information may be included.
A. One vehicle insured.
| Coverage | Premium with no accidents | Premium including surcharge for one chargeable accident | Premium including surcharge for two chargeable accidents |
| Bodily injury, property damage | $ 80 | $_____ | $_____ |
| Uninsured motorist | $ 5 | $_____ | $_____ |
| Personal injury protection | $ 40 | $_____ | $_____ |
| Comprehensive | $ 25 | $_____ | $_____ |
| Collision | $ 50 | $_____ | $_____ |
| Total Premium | $200 | $ | $ |
B. Two vehicles insured. Accidents chargeable to the principal operator of vehicle number one, while operating vehicle number one.
(1) Vehicle number one.
| Coverage | Premium with no accidents | Premium including surcharge for one chargeable accident | Premium including surcharge for two chargeable accidents |
| Bodily injury, property damage | $ 80 | $_____ | $_____ |
| Uninsured motorist | $ 5 | $_____ | $_____ |
| Personal injury protection | $ 40 | $_____ | $_____ |
| Comprehensive | $ 25 | $_____ | $_____ |
| Collision | $ 50 | $_____ | $_____ |
| Total Premium | $200 | $ | $ |
(2)
Vehicle number two.
| Coverage | Premium with no accidents | Premium including surcharge for one chargeable accident | Premium including surcharge for two chargeable accidents |
| Bodily injury, property damage | $120 | $_____ | $_____ |
| Uninsured motorist | $ 5 | $_____ | $_____ |
| Personal injury protection | $ 60 | $_____ | $_____ |
| Comprehensive | $ 40 | $_____ | $_____ |
| Collision | $ 75 | $_____ | $_____ |
| Total Premium | $300 | $ | $ |
Statutory Authority: MS s 65B.133
Disclaimer: These regulations may not be the most recent version. Minnesota may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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