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Uninsured and Underinsured Motorist Coverage Explained

Uninsured and Underinsured Motorist Coverage Explained

One in eight US drivers has no insurance. Here's how UM/UIM coverage protects you when the other driver can't.

Car Insurance Region: United States Updated June 2026 By the True Motion Auto editorial team
Quick answer

Uninsured motorist (UM) coverage pays your medical bills and vehicle repairs when the at-fault driver has no insurance. Underinsured motorist (UIM) coverage pays the gap when the at-fault driver has insurance but not enough to cover your damages. 22 states plus DC require UM/UIM; it's optional everywhere else — but given that roughly 12–14% of US drivers are uninsured, it's strongly recommended. Match your UM/UIM limits to your liability limits — that's the standard recommendation (e.g., 100/300/100 liability → 100/300 UM/UIM).

UM/UIM coverage: what you need to know

Coverage typeWhat it pays forWhen it appliesRequired in
Uninsured motorist bodily injury (UMBI)Medical bills, lost wages, pain & sufferingAt-fault driver has no insurance22 states + DC
Uninsured motorist property damage (UMPD)Repair/replacement of your vehicleAt-fault driver has no insurance; often excl. hit-and-runSome states
Underinsured motorist bodily injury (UIMBI)Gap between their limits and your damagesAt-fault driver's limits too low to cover losses22 states + DC (often paired with UMBI)
Underinsured motorist property damage (UIMPD)Vehicle damage gapAt-fault driver's property damage limit inadequateFewer states

The problem: millions of uninsured and underinsured drivers

The Insurance Research Council estimates that about 12–14% of US drivers — roughly one in eight — are uninsured at any given time. In some states (Florida, Mississippi, New Mexico) the figure is closer to 20–26%. Even among insured drivers, many carry only state-minimum liability, which — as of 2026 — ranges from as low as 25/50/25 in some states to 50/100/25 in others. State minimums are often exhausted by a single serious injury.

If an uninsured or underinsured driver hits you, their insurance either doesn't exist or doesn't cover your full losses. Without UM/UIM coverage, you either sue them personally (and collect nothing if they have no assets) or absorb the loss yourself.

Uninsured motorist (UM) coverage: the basics

UM coverage steps into the at-fault driver's place when they have no insurance. It covers:

  1. UMBI (bodily injury): your medical expenses, rehabilitation, lost wages and pain-and-suffering damages if you're injured by an uninsured driver.
  2. UMPD (property damage): repair or replacement costs for your vehicle. Not available in all states. Note: many UMPD policies exclude pure hit-and-run (no identified driver) — check your state and policy.

UM coverage applies in your car, in someone else's car (as a passenger), and often as a pedestrian or cyclist hit by an uninsured vehicle.

Underinsured motorist (UIM) coverage: filling the gap

UIM coverage applies when the at-fault driver has insurance — just not enough. Here's how it works in practice:

Say a driver with a $25,000 per-person bodily injury limit causes an accident that results in $80,000 of medical bills and lost wages for you. Their insurer pays its $25,000 limit. Your UIM coverage (if you carry $100,000) pays the remaining $55,000, up to the difference between their limits and yours.

Different states handle UIM differently — some use an 'excess' model (UIM pays only after the at-fault limits are fully exhausted) and others use a 'gap' model (UIM pays the difference between actual damages and the at-fault policy's limit, regardless of how much that policy pays).

Which states require UM/UIM?

UM/UIM coverage is mandatory in 22 states plus Washington, DC: Connecticut, Illinois, Kansas, Maine, Maryland, Massachusetts, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Oregon, South Carolina, South Dakota, Vermont, Virginia, West Virginia, Wisconsin and DC. Virginia increased its required UM/UIM limits to 50/100 in 2025 alongside its liability increase.

Even where it's optional, the cost is low and the protection substantial — adding 100/300 UM/UIM to a policy typically costs $50–$150/year.

How much UM/UIM coverage should you carry?

The standard recommendation: match your UM/UIM limits to your liability limits. If you carry 100/300/100 liability, carry 100/300 UM/UIM. This ensures symmetry — the protection you extend to others is matched by the protection you receive from others.

UM stacking: does your state allow it?

In states that permit 'stacking,' you can multiply your UM/UIM limits by the number of vehicles on your policy. Two cars with 100/300 UM/UIM each becomes an effective 200/600 coverage pool in a stacking state. Non-stacking states prohibit this. Check your state's rules — stacking can significantly increase your protection at no extra premium in some situations.

UM vs collision for vehicle damage

If you have collision coverage, it will also pay for your vehicle damage after an accident regardless of fault — but it carries your collision deductible. UMPD often has a lower deductible ($200–$500) and in some states is more favourable for not-at-fault claims. If you don't have collision coverage, UMPD (where available) is your only route to vehicle repairs after an uninsured driver hits you.

Frequently asked questions

Is uninsured motorist coverage required?
In 22 states plus Washington DC, some form of UM or UM/UIM coverage is required. Everywhere else it's optional but strongly recommended, given that about one in eight drivers is uninsured.
What's the difference between UM and UIM?
Uninsured motorist (UM) coverage applies when the at-fault driver has no insurance at all. Underinsured motorist (UIM) coverage applies when the at-fault driver has insurance but insufficient limits to cover your damages.
Does UM/UIM cover hit-and-run accidents?
UMBI typically covers hit-and-run bodily injuries. UMPD for property damage is more complicated — some states and policies exclude hit-and-run (unknown driver) property damage. Check your specific policy language and state rules.
How much UM/UIM coverage should I buy?
Match your UM/UIM limits to your liability limits. If you carry 100/300/100 liability, carry 100/300 UM/UIM as a minimum. Where your state allows stacking, consider whether it applies to your policy.
If I have health insurance, do I still need UMBI?
Yes, for two reasons. UMBI covers lost wages and pain-and-suffering damages that health insurance doesn't pay. And UMBI kicks in immediately, while health insurance processes slowly. They serve different functions.

Sources & further reading

Figures, prices and policy details were current at the last-updated date above. Automotive pricing, incentives and regulations change frequently — verify time-sensitive details with the linked primary sources. Read our editorial policy and fact-checking standards.