Can I Customize My NEMT Insurance Policy?

Thomas Baron • November 4, 2025

Why a Standard NEMT Policy Isn't Enough

Non-emergency medical transportation (NEMT) is a vital service, but it's not a one-size-fits-all industry. Your fleet, service area, and contractual obligations are unique. This is why a standard, off-the-shelf insurance policy often falls short. We find that customization is not just an option; it's a necessity for comprehensive protection.

Start With the Core: Commercial Auto Liability


Every NEMT operation begins with Commercial Auto Liability. This is the foundational coverage that protects you from costs related to bodily injury or property damage if one of your vehicles is in an accident. State and federal regulations mandate minimum limits, but your contracts with brokers or facilities may require much higher amounts.

Adding Protection for Your Vehicles


Beyond liability, you need to protect your fleet. This is where Physical Damage coverage (Collision and Comprehensive) comes in. Collision covers repair or replacement costs from an accident, while Comprehensive handles non-collision events like theft, vandalism, or storm damage. Customizing your deductibles and vehicle values here is a key part of policy management.

Don't Forget General Liability


Many NEMT providers overlook General Liability. This policy is crucial as it covers incidents that happen off the road. For example, if a patient is injured while being helped from their home to your vehicle, this is the policy that responds. Customization here involves ensuring the policy doesn't have a "loading and unloading" exclusion.


Tailoring Coverage for Your Unique Operation


True customization goes deeper. Do you need Hired and Non-Owned Auto coverage for vehicles you don't own? Do you have specialized equipment on your vans, like wheelchair lifts, that need to be insured for their full value? We work with you to identify these specific operational risks and add the endorsements to match.

Customizing your NEMT insurance policy is essential to closing dangerous coverage gaps and ensuring your business is resilient. From adjusting liability limits to adding crucial endorsements for your specific services, every detail matters. We at Wright Risk Consultants specialize in building tailored insurance solutions for NEMT providers. Contact us for a full policy review or to explore your options for a customized NEMT insurance plan.

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