Glossary · Insurance

Policy Limits

also called: Policy maximum, Coverage limits, Per-person limit / per-occurrence limit

Policy limits are the maximum dollar amounts an insurance policy will pay for a covered claim, usually stated as a per-person limit and a per-occurrence (or per-accident) limit. The available policy limits are typically the realistic ceiling on settlement value, because most at-fault drivers do not have meaningful personal assets to pursue beyond their insurance.

Verified 2026-05-25

What it is

Auto liability policies are usually stated as a split-limit structure: a per-person bodily injury limit (e.g., $25,000), a per-occurrence bodily injury limit covering all injured persons in one accident (e.g., $50,000), and a property damage limit (e.g., $25,000). The common shorthand is "25/50/25." States set minimum required limits that vary widely — California minimum is $30,000/$60,000/$15,000 for accidents after January 1, 2025; many states still have $25,000/$50,000/$25,000 minimums; a handful require even less. Higher-income drivers and commercial policies routinely carry $100,000, $250,000, $500,000, or $1,000,000+ in liability limits, plus umbrella policies that extend coverage further. The per-person limit caps what any single claimant can recover from that policy; the per-occurrence limit caps the total across all claimants in one accident. A claim that exceeds the policy limits requires the claimant to look elsewhere — UIM coverage, the defendant's personal assets, or related defendants (employer for vicarious liability, dram-shop defendant in DUI cases).

How it works in practice

Once the claimant or their attorney obtains the at-fault driver's policy declarations page (the "dec sheet"), the available limits become a key strategic input. A policy-limits demand is a formal written demand for the full available limits, typically sent when damages clearly exceed those limits. The demand triggers the insurer's duty to act in good faith — to settle within limits when liability is clear and damages exceed limits — because failure to do so exposes the INSURER to liability for the full excess judgment if the case goes to trial and the verdict exceeds limits. This dynamic, known as "bad faith failure to settle," is the most powerful leverage point in any high-damages, low-limits case. Multiple claimants in a single accident must share the per-occurrence limit; if total damages exceed the per-occurrence limit, the insurer typically interpleads the funds into court and lets the claimants and the court allocate them. In multi-defendant cases, each defendant's individual policy applies separately.

How Policy Limits affects your settlement

Policy limits are the most underestimated single factor in personal injury settlement value, and they cut both ways. For below-limits cases (damages less than available coverage), policy limits are largely irrelevant — the negotiation is about case value. For above-limits cases, policy limits often ARE the case value, regardless of how strong the damages claim is, because the at-fault driver typically has no recoverable personal assets. A claimant with $200,000 in damages struck by a driver with $25,000 in liability coverage and no UIM is realistically looking at a $25,000 recovery, not $200,000. This is where UIM, bad-faith, and policy-limits demands become decisive. A timely, well-documented policy-limits demand triggers the insurer's duty to settle within limits; if the insurer refuses despite clear liability and damages, and the case proceeds to a verdict above the limits, the insurer (not the at-fault driver) becomes liable for the entire excess. This is the lever that converts a $25,000-limit case into a much larger recovery. Conversely, a botched policy-limits demand (missing required elements, missing the response deadline, ambiguous terms) can squander the leverage and leave the claimant capped at the limits with no recourse. Practical takeaways: (1) ALWAYS get the declarations page early in any serious-injury case, (2) when damages exceed limits, send a properly structured policy-limits demand with a hard response deadline, (3) understand that the at-fault driver's policy limits are the ceiling unless UIM or excess assets are available.

Related SetCalc guides

Related glossary terms

Informational only and not legal advice. Settlement-dollar implications described here reflect typical patterns and may differ in any specific case. Confirm the analysis for your situation with a licensed attorney.

FAQ: Policy Limits

How do I find out the at-fault driver's policy limits?

You ask. The other driver's insurer is required by law in most states to disclose policy limits on written request from the claimant. Some states require the request to be in a specific form; some require the claimant to make a formal demand first. An attorney can usually obtain the declarations page within days of being retained.

What is a "policy-limits demand"?

A policy-limits demand is a formal written demand for the full available policy limits, sent to the at-fault driver's insurer when damages clearly exceed those limits. The demand triggers the insurer's duty to settle within limits if liability is reasonably clear; failure to accept (when acceptance would have resolved the claim) opens the insurer to bad-faith liability for any excess judgment.

Can I recover more than the at-fault driver's policy limits?

Sometimes, through these mechanisms: (1) your own UM/UIM coverage; (2) the at-fault driver's personal assets (rare; most are judgment-proof); (3) an employer's vicarious liability if the driver was acting in the course of employment; (4) dram-shop liability against a bar or restaurant that over-served a drunk driver; (5) a bad-faith claim against the at-fault driver's insurer for failure to settle within limits when they should have.

What is "stacking" of policy limits?

Stacking combines policy limits across multiple covered vehicles or policies. Stacking is allowed in about half of U.S. states for UM/UIM coverage; less common for third-party liability. Whether your specific policy permits stacking depends on state law and the exact policy wording.

See all glossary terms

DISCLAIMER: SetCalc is for informational purposes only. We do not provide legal advice, medical advice, or legal representation. We recommend consulting an attorney regarding your case.

ATTORNEY ADVERTISING: setcalc.com is not a law firm or an attorney referral service. The information provided on this site, or any affiliated postings such as videos, blogs, social media, or elsewhere, is not legal advice. No attorney-client or confidential relationship is, or will be, formed by usage of the site. This site is a pooled attorney advertisement. Participating attorneys and law firms who contact Requestors based on form submissions have paid an advertising fee. In CA, this is paid advertising for The Law Offices of Larry H. Parker; Los Angeles, CA. Do not rely on our service or statements from our service when deciding which attorney to hire. All settlement calculations are estimates only and should not be the basis of important legal decisions. Attorney review of estimate is subject to availability and may not be available for some case types, locations, or for those already represented by counsel. If unavailable, we will send estimate by email without attorney review. By submitting your contact info you agree an advertising attorney may contact you using any form of communication, including calls, emails, auto-dial, pre-recorded messages, and text messages. You understand consent is not a condition of purchase. Your use of this website constitutes acceptance of our Terms & Conditions and Privacy Policy.