WILLIAM DONALD SCHAEFER, Governor

(III) A WAIVER MADE UNDER THIS SUBSECTION SHALL
BE BINDING ON ALL NAMED INSUREDS AND OTHER INSUREDS THE FOLLOWING
PERSONS COVERED BY THE POLICY:

1.  ALL NAMED INSUREDS;

2.  ALL LISTED DRIVERS; AND

3.  ALL MEMBERS OF THE FIRST NAMED
INSURED'S FAMILY RESIDING IN THE FIRST NAMED INSURED'S HOUSEHOLD
WHO ARE 16 YEARS OF AGE OR OLDER.

(2) (I) BEFORE A FIRST NAMED INSURED MAKES A WAIVER
UNDER THIS SUBSECTION, THE FIRST NAMED INSURED MUST BE INFORMED
IN WRITING OF THE NATURE AND EXTENT OF THE COVERAGE AND BENEFITS
DESCRIBED UNDER THIS SECTION.

(II)  A WAIVER MADE UNDER THIS SUBSECTION SHALL
BE MADE ON A FORM REQUIRED BY THE COMMISSIONER.

(III)  THE FORM MAY BE PART OF THE CONTRACT OF
INSURANCE.

(IV)  THE FORM SHALL CLEARLY AND CONCISELY
EXPLAIN IN 10 POINT BOLDFACE TYPE;

1.  THE NATURE AND EXTENT, EXTENT, AND
COST OF THE COVERAGE AND BENEFITS THAT WOULD BE PROVIDED UNDER
THE POLICY IF NOT WAIVED BY THE FIRST NAMED INSURED;

2.  THAT, AS TO A POLICY OF PRIVATE
PASSENGER MOTOR VEHICLE LIABILITY INSURANCE, A WAIVER MADE UNDER
THIS SUBSECTION CONSTITUTES A WAIVER OF ALL THE BENEFITS

DESCRIBED UNDER THIS SECTION AND IS BINDING ON ALL NAMED

INSUREDS AND OTHER INSUREDS COVERED BY THE POLICY, WHETHER
PROVIDED UNDER THE FIRST NAMED INSURED'S POLICY OR ANY OTHER
PRIVATE PASSENGER MOTOR VEHICLE LIABILITY POLICY OR COVERAGE
ISSUED IN THIS STATE;

3.  THAT A WAIVER MADE UNDER THIS
SUBSECTION SHALL BE BINDING ON THE FOLLOWING PERSONS COVERED
UNDER THE POLICY:

A.  ALL NAMED INSUREDS;

B.  ALL LISTED DRIVERS; AND

C.  ALL MEMBERS OF THE FIRST NAMED
INSURED'S FAMILY RESIDING IN THE FIRST NAMED INSURED'S HOUSEHOLD
WHO ARE 16 YEARS OF AGE OR OLDER;

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