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Would this choosing this policy option only affect payments to you the policy holder for an incident where you were at fault? Trying how understand how this works, since your insurance company usually represents you when trying to obtain compensation from others, or compensates others for damage you do.

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I think most people have the same thought as you: They don't see how an agreement with their own insurer could stop them from suing someone else (or their insurer), but that's how Limited Tort works. You sign away your right to sue someone else if they injure you in an accident unless those injuries are extremely severe (loss of limb, death, permanent disability, etc.).

You can look up info on "piercing the tort threshold" if you're curious about specific injuries that are severe enough.

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