As I said previously, I love driving in Jamaica. It take me longer to get use to driving back in Canada than it does for me to drive here. I get in my vehicle at home after a long stay here and go to pull out of the driveway and the windshield wipers come on. My wife says, "turning right are we" (the turn signals and wiper blade arms are on opposite sides). As for the insurance, most rental car prices come with insurance, but its really important to check first. Don't rely on the rental insurance attach to your credit card. Most credit cards don't cover 3rd party damage. So if you run into someone, the car you're driving is covered but not the one you hit. That might cost you. I can't say this enough, it real important to check.