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How does car insurance work?

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Person looking up car insurance on their mobile phone
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Ethan Vaade headshot
Assistant Vice President—Personal Lines Pricing & Analytics
April 8, 2026|

0 min. read

Car insurance is meant to help protect you financially when something unexpected happens. At its core, the goal is to make things a little easier when life doesn’t go as planned. But understanding how car insurance works isn’t always simple. The details—like premiums, coverage limits, and exclusions—can be confusing. We understand. That’s why this guide helps make sense of car insurance and what those details mean in practice.

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Knowing how car insurance works makes exploring options easier.

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How car insurance works: a simple overview

At a basic level, car insurance works by helping manage the cost of accidents. To start, you’ll likely get a policy quote from an insurer based on the coverages and limits you’d like for your vehicle. Once you choose a policy, you pay a rate, called a premium, to your insurance company—often monthly or once every six to twelve months. In exchange, your insurer agrees to help pay for medical and property damage costs if you’re involved in a covered incident.

After a covered accident, you file a claim with your insurance company—that’s how you ask for help. Your insurer will review the details of the accident and your policy to determine how your claim will be resolved, including whether a payment will be made based on your coverage and policy limits. Together, these steps form the basic structure of how car insurance works.

Insurance after a car accident

After a car accident, the drivers involved typically file claims with their respective insurance companies. Regardless of who may be at fault in the accident, here are some important steps to take following the accident—once it’s safe to do so:

  • Exchange insurance information with any other drivers involved

  • Report the car accident to the police

  • Take pictures of the accident scene, including any related damage

Once the insurance company receives this information, they’ll review and process the claim. They may contact you or the other driver if they need additional information. Depending on the outcome of the claim, you or the other party could receive payment or reimbursement for damages or other expenses related to the accident.

How fault affects your claim and coverage

Fault helps determine which insurance company will ultimately be responsible for paying damages. If you’re found at fault, your insurance company may help pay for damages. If the other driver is at fault, their insurance company may help pay instead.

When you’re at fault

When you’re at fault for a car accident, several types of insurance coverages apply. Your auto liability coverage can help pay for damage you cause to other vehicles and for other people’s medical expenses. Collision coverage can help cover damage to your own vehicle.

How no-fault car insurance works

No-fault car insurance—also known as Personal Injury Protection (PIP)—can help cover medical expenses for you and your passengers after an accident, regardless of who was at fault. This coverage may also help reimburse lost wages and other related costs.

Some states require drivers to carry PIP, while others don’t offer it at all. In states where PIP is available, you’ll choose a coverage limit when adding it to a policy. That limit is the maximum amount the insurance company may pay after an accident. If covered expenses exceed that limit, you may need to cover remaining costs.

Types of car insurance coverage

Various kinds of car insurance coverages help protect against the risks associated with driving a vehicle:

Liability insurance

Liability insurance coverages help pay for the damage and injuries you cause to others. Coverage limits typically apply on a per-person and per-accident basis.

The two most common types of auto liability insurance coverages are:

Comprehensive insurance

Comprehensive insurance is a coverage that can help pay for repairs if you have a damaged vehicle from something unrelated to a collision, such as:

  • Theft

  • Vandalism

  • Animals—for example, hitting a deer

  • Weather-related damage

The limit on this coverage usually caps at the actual cash value of your vehicle, and a deductible will likely apply

Uninsured and underinsured motorist coverages

Uninsured motorist (UM) and underinsured motorist (UIM) coverages may help cover losses from accidents where another driver is at fault and doesn’t have enough liability coverage—or doesn’t have any at all.

Without this coverage, expenses from an accident involving an uninsured or underinsured driver may need to be paid out of pocket. UM and UIM coverage may also provide a more direct way to recover certain losses than pursuing legal claims in court.

Other coverages

There are other coverages that are less common and are often offered as optional additions, depending on the provider, policy, and location.

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PIP and medical payments:

Personal injury protection (PIP) and medical payments (MedPay) coverage both relate to medical costs after an accident—but they work a bit differently.

  • PIP coverage may help cover medical expenses, lost income, and other related costs after a covered accident. It’s required in some states and optional in others.

  • MedPay coverage is more limited and typically helps cover medical expenses related to a covered accident. It may be offered on its own or alongside PIP, depending on where you live.

Coverage options and availability can vary by state and policy.

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Rental reimbursement:

Rental reimbursement coverage may help pay for a rental vehicle while your car is being repaired after a covered incident.

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Lienholder requirements:

If you’re leasing a vehicle or financing a purchase, a lender may require certain types of coverage. These can help address situations where a vehicle is totaled before it’s fully paid off.

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Special equipment:

If a vehicle has aftermarket customizations, special equipment coverage may help pay to repair or replace those items after an accident.

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Roadside assistance:

Roadside assistance coverage may help with common roadside issues, such as a dead battery, flat tire, running out of gas, or being locked out of a vehicle.

What doesn’t car insurance cover?

While there are insurance coverages available to help cover most costs related to incidents while driving, auto insurance policies often don’t cover certain items such as:

  • Costs for standard maintenance to your vehicle, like oil changes and new tires

  • Damage from normal wear and tear on your vehicle

  • Intentional damage you cause

  • Theft of personal property in your car (usually homeowner’s or renter’s insurance covers this)

It’s helpful to review the terms of your policy to confirm insurance coverage exclusions.

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How is car insurance priced?

Once you’ve reviewed the different types of car insurance coverage, the next question is cost.

Car insurance pricing depends on a variety of factors, including:

  • Driving history: Insurance providers usually consider prior traffic violations, past accidents, and other insurance claims when setting rates. A cleaner driving history is often associated with more favorable rates.

  • Vehicle type: The type of vehicle you drive may affect insurance costs, since more expensive vehicles can cost more to repair or replace. A vehicle’s size and safety features can also influence pricing.

  • Location: Populated areas can create a greater risk of accidents and theft, which may impact insurance costs.

  • Coverage and limit selection: The types of coverage you select, along with policy limits, deductibles, and optional add-ons, will influence your overall premium.

Together, these factors help determine how much you pay for car insurance. For a more detailed look at pricing, you can explore our guide to car insurance costs.

Continue exploring your car insurance options

From here, reviewing policy details or exploring policy options can be a helpful next step. Dairyland®, a brand of the Sentry Insurance Group, offers affordable auto insurance designed to support a wide range of drivers. If questions come up, the Dairyland team is available to help.

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Coverage that’s ready when you need it.

Frequently asked questions (FAQs)

Is car insurance required in my state?

Each state sets its own rules for the types and amounts of coverage a driver is required to carry, as well as minimum limits. Work with your insurance agent or check out Dairyland’s state requirements page to determine the legal insurance requirements in your state.

How does a car insurance deductible work?

Car insurance deductibles usually apply on a per-claim basis, depending on the coverage. This means you pay the deductible toward a covered claim before insurance helps pay the remaining costs, up to the coverage limit. Deductibles commonly range from a few hundred dollars to a few thousand, and choosing a higher deductible may lower your premium.

How does submitting a car insurance claim work?

Car insurance claims usually begin when a driver reports an accident to an insurance company. A claim adjuster will then evaluate the claim and determine what payment may apply.

In many states, you may choose the repair facility that fixes the damage to your covered vehicle. However, since rules vary by state, it is best to review the specific process outlined in your insurance policy. If you have questions, contact your insurance company for more information.

Does auto insurance apply to rental cars?

If you have comprehensive and collision insurance, that coverage may extend to a rental vehicle. Whether it makes sense to add rental car coverage to your policy can depend on the details of your policy and the coverage already in place, so it’s worth reviewing your policy or speaking with your insurer for clarification.

Should I get car insurance if I don’t own a car?

Car ownership isn't a prerequisite to buying car insurance, and policies exist to help protect you if you occasionally get behind the wheel of cars you don't own.

For example, non-owner car insurance can help cover injuries and damage to other people's vehicles or property if you cause an accident while driving a vehicle you don’t own. It can also supplement any coverage that might exist with the car's primary insurance.

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*Data accuracy is subject to this article’s publication date.

The general information in this blog is for informational or entertainment purposes only. View our blog disclaimer.