Home Technology Medical technology How UM and UIM Coverage Works ...
Medical Technology
CIO Bulletin
28 January, 2026
Insurance does not always work the way people expect it to work. Sometimes the other driver does not have insurance at all. Sometimes they do have insurance, but it is not enough to fix the damage they caused. That is where UM and UIM coverage comes in, even though many people do not really understand it until it is too late.
And also, it helps to understand underinsured vs. uninsured coverage, because those two ideas sound similar but behave a little differently when money and injuries are involved.
UM means uninsured motorist coverage. That is used when the driver who caused the crash has no insurance at all. Zero. Nothing to pay anyone with.
UIM means underinsured motorist coverage. That is used when the driver does have insurance, but the amount is too small to cover the damage they caused.
Both of these coverages are part of your own car insurance policy. That sounds strange to many people at first. It feels backwards, like paying your own insurance for someone else’s mistake.
But this coverage exists because the world is not fair, and roads are full of drivers who do not follow rules or buy enough insurance.
When a crash happens, insurance usually starts with the driver who caused it. That driver’s insurance is supposed to pay for injuries, pain, and damage they caused to others.
But here is the problem. Many states only require drivers to carry very small insurance limits. A serious crash can cause hospital stays, surgeries, months of recovery, and time away from work. Medical bills alone can reach hundreds of thousands of dollars. That does not even include pain, stress, scars, or injuries that never fully heal.
If the driver who caused the crash only has a small policy, their insurance will stop paying once it hits that limit. When the money stops, the bills do not.
This is where UM and UIM coverage step in.
UM and UIM coverage acts like a safety net under the other driver’s insurance. They do not replace it. They fill the gap when the other coverage runs out or never existed.

Imagine a crash where someone is badly hurt. The other driver caused it, but their insurance only covers $30,000 for injuries. That money sounds helpful, but it disappears fast once hospitals get involved.
If the injured person has UIM coverage on their own policy, that coverage can be used after the other driver’s insurance is paid out.
For example, if someone gets hurt and the other driver caused it, that driver’s insurance pays first. But sometimes it is only a little bit, like thirty thousand dollars, and that money goes away really fast once hospitals start sending bills. If the hurt person has their own UIM insurance, they can then use that after the first money is gone.
So if their UIM limit is three hundred thousand dollars, their insurance can help pay the rest of the costs, up to that amount, instead of the person being stuck with all the bills themselves.
This extra coverage can pay for medical bills, missed paychecks, pain, long recovery, and injuries that do not go away.
Without UIM coverage, that extra money simply does not exist.
Sometimes the driver who caused the crash has no insurance at all. This happens more often than people expect. About one out of every eight drivers on the road has no insurance.
When that happens, there is no first insurance company to pay anything. The injured person cannot collect from the other driver’s policy because there is no policy.
UM coverage is used in this situation. If the injured person has UM coverage, their own insurance company steps in and treats the situation like the other driver had insurance, up to the UM limit on the policy.
If the UM limit is $300,000, then that is the amount available to help cover injuries and losses. If the limit is higher, more protection is available.
Without UM coverage, there is usually no realistic way to recover those costs.
Insurance does not always fix everything after a crash, especially when the other driver has no insurance or not enough money.
UM and UIM are part of your own car insurance.
UM means the other driver had no insurance at all, so your own insurance has to step in and help.
UIM means the other driver had some insurance, but it ran out fast, and the bills kept coming anyway.
When the other driver’s insurance stops paying, UM or UIM can fill the gap so the bills do not land on you.
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