Compliance and safety
Excluded Driver: When Your Insurer Bars One of Your Drivers
Overview
An excluded driver is a person your auto insurance policy names, in a provision or endorsement, as not covered when they drive. If an excluded driver crashes one of your NEMT vans, the policy may pay nothing, and your company can owe the whole loss. Keep that person off every vehicle the policy covers and off your dispatch schedule as a driver.
- A named driver exclusion takes one person, by name, out of your auto coverage, while others who drive with your permission stay covered.
- In Michigan, when a named excluded person drives, all liability coverage is void and the owner stays personally liable.
- New York does not let an owner's liability policy that meets the state minimum exclude a named driver, and Illinois bars policies that cover only listed drivers.
- Broker contracts such as MTM Health's require coverage on every vehicle used for their trips, so an excluded driver must never carry a rider.
- Block the driver in dispatch the day the exclusion starts, update each broker's roster, and file the endorsement in the driver's file.
What an excluded driver is
The Texas Department of Insurance defines a named driver exclusion as a provision or endorsement that takes drivers out of a policy’s coverage by name. The person named is the excluded driver. Everyone else who drives your covered vehicles with permission stays covered under the policy’s usual terms. Only that person’s driving is carved out.
Exclusions start with the insurer’s view of a driver’s risk. The Maryland Insurance Administration warns business owners that the risk your employees present can exceed an insurer’s underwriting guidelines and keep you from getting coverage with the insurer you want (business owners guide, July 2024). An insurer may then offer to write or renew the policy only if one driver is excluded. In a case New York’s insurance department reviewed in 2002, the insurer told a company it would not renew its commercial auto policy unless certain drivers were excluded.
An insurance exclusion is not the same as a federal exclusion. A person on the OIG exclusion list may not do any work Medicaid pays for, in any role. An excluded driver may still work for you, just not behind the wheel of a covered vehicle. It is also separate from your broker’s own driving record limits, which are in motor vehicle record check.
What happens if an excluded driver crashes
Michigan’s law spells out the result. An insurer may exclude a named person only if the insured authorizes it, and only if a set warning appears on the policy or its declarations page and on the certificate of insurance. In substance, it says that when a named excluded person operates a vehicle, all liability coverage is void and no one is insured, and that the owners and others legally responsible for that person remain fully and personally liable (MCL 500.3009(2)). The excluded driver also cannot collect no-fault personal protection benefits for a crash while driving that vehicle (MCL 500.3113(d)). Both sections were last amended effective October 17, 2025.
Here is what that means on a schedule. Say your insurer excludes a driver after a second at-fault crash shows on her record. She is still on Monday’s board for a 6:00 a.m. dialysis pickup, and no one catches it. She rear-ends a car on the way. Under Michigan’s rule, no one is insured under the policy’s liability coverage for that crash, and your company and the driver stay personally liable for the harm it caused.
Your broker contracts add a second problem. MTM Health’s standard agreement (January 1, 2023 version) requires commercial auto liability of at least $500,000 combined single limit for any and all vehicles used on its trips, and says failing to keep insurance in force ends the agreement at once. It also bars any driver from its trips until fully credentialed. Texas Medicaid health plans and their brokers must make sure each transportation provider and its drivers carry the required insurance, including $750,000 combined single limit business auto coverage for owned, hired, and non-owned vehicles (Uniform Managed Care Manual 16.4, version 2.0.1). See NEMT insurance requirements for each broker’s limits.
Where states limit driver exclusions
States split on whether a commercial auto policy may exclude a named driver at all:
- Michigan allows it, with the insured’s authorization and the exact warning described above.
- New York does not allow it on an owner’s liability policy that meets the state’s minimum insurance law, commercial or not. In informal opinions from its Office of General Counsel, the state’s insurance department said its Regulation 35-A lists the only people such a policy may leave out, such as people working at auto repair shops and parking garages, and a named driver is not one of them (May 15, 2001). When an insurer attached a driver exclusion anyway, the department said the policy still covered crashes by that driver while driving with the named insured’s permission (April 15, 2002). An exclusion is allowed only on an excess policy that is not used to meet the state minimum.
- Illinois allows it when signed. The Department of Insurance’s commercial auto review checklist says Illinois courts have upheld named driver exclusions signed by the named insured. The same checklist bars the opposite kind of policy, one that covers only listed drivers, because state law requires coverage for anyone driving with the named insured’s permission (625 ILCS 5/7-317).
Rules in other states differ, and California’s rule is covered under negligent entrustment. Before you sign an exclusion, ask your agent for the endorsement in writing and, if anything is unclear, call your state insurance department. If no insurer will cover a driver at all, see NEMT insurance denied.
How to keep an excluded driver off your trips
- Get the endorsement. Ask for the signed exclusion with the driver’s name, the coverages it removes, and the start date. Check that it shows on your next declarations page. In Michigan, the warning must also be on the certificate of insurance.
- Block the driver in dispatch the same day. Mark the person as not able to drive in your schedule, and move every assigned trip, both legs of round trips included, to an approved driver.
- Take back vehicle keys and fuel cards. A short move across the lot is still driving.
- Update each broker. Texas health plans and their brokers keep a current roster of each provider’s drivers, with license number, hire date, and termination date (Uniform Managed Care Manual 16.4), so tell them when a driver stops driving.
- Document it. In the driver file, keep the endorsement, the reason the insurer gave, a notice the driver signed saying they may not drive company vehicles, and the date you blocked them in dispatch.
- Ask what would end it. Ask your agent, in writing, what the insurer needs to remove the exclusion, such as a cleaner record after violations age off, and set a reminder to ask again at renewal.
Before your next hire, compare each applicant’s record with both your broker’s limits and your insurer’s driver guidelines. How to hire NEMT drivers shows where that check fits in screening, and NEMT insurance cost explains how driving and claims history affect your price.
Frequently asked questions
Can an excluded driver still work for my NEMT company?
Yes, in a job that does not involve driving a covered vehicle, such as dispatch or office work, as long as the person meets your broker's rules for that role. The exclusion is about driving. Never let them move a covered vehicle, even across your lot: Michigan's required warning, for one, voids all liability coverage whenever the named person operates the vehicle.
Is an excluded driver the same as someone on the OIG exclusion list?
No. An insurance exclusion is between you and your insurer and covers driving only. The OIG exclusion list is a federal list of people barred from Medicare and Medicaid work, and Medicaid will not pay for any service such a person provides, from driving to billing. Check that list for every worker every month.
Can my insurer exclude a driver without my signature?
Rules differ by state. Michigan allows the exclusion only if the insured authorizes it, Illinois courts have upheld exclusions the named insured signed, and New York does not allow one on an owner's policy that meets the state minimum. If your insurer insists, ask for the endorsement in writing and call your state insurance department about how its rules apply.