Another option is
www.insurance4carhire.com if you don't want to sign up for another card. This is a UK insurance policy but maybe non UK residents can apply also?
I had this policy for a year but now have the Amex Platinum Chargecard (note car insurance is NOT included with the credit card, just chargecard). If you have a small incident then the rental company charge the repair to your card and you claim it back from Amex. If it is a larger claim, such as a write off, theft etc then you submit a claim to Amex and they liase with the rental company and no charges will be applied to your card.
Does that mean that even if you haven't yet paid for the car, as you will be paying at the end of the rental, if you have an accident Natwest Black will cover you?