Like Walt said, the owner is responsible for the deductible (though many sitters feel responsible and end up paying it).
I've never had to use it, thankfully. But, I print out copies of information sheet on Rover's insurance and bring it to every M&G, giving one copy to the owners. I let them know our process if a dog needs a vet, that they'll be notified immediately, etc. Then I explain what the insurance covers/doesn't cover/ and who pays what.
For stays of more than a day or two, I ask that owners notify their vet that their dog is in the care of a sitter and authorize electronic payment from their account if needed.