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Filing a Claim in “No Fault Insurance” States
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What is no fault insurance?
No fault insurance, also commonly referred to as personal injury protection (PIP), is a form of auto insurance used in certain states that covers the policy owner’s medical expenses and lost wages after a collision. With no fault insurance, drivers must file a claim with their own insurance companies to receive a payout for medical bills, no matter who was responsible for the collision. Even if the other driver was completely at fault, those living in a no fault state are not permitted to file a claim for medical expenses with the other party’s insurance company.
However, that doesn’t mean that the at fault driver won’t have to pay any damages. Even in no fault states, the at-fault driver’s insurance is required to pay for any property damage the other person’s vehicle sustained.
Which states require no fault insurance?
12 states use the no fault system and require drivers to enroll in PIP coverage:
- Florida
- Hawaii
- Kansas
- Kentucky*
- Massachusetts
- Michigan
- Minnesota
- New Jersey*
- New York
- North Dakota
- Pennsylvania*
- Utah
*These states use the no fault system by default, but drivers have the option to choose between an at fault or a no fault PIP insurance plan.
Which other states include a personal injury protection plan?
And in these at fault states, drivers are able to add PIP benefits to their insurance plans. These benefits are optional for all but three of the states listed below.
- Arkansas
- Delaware*
- District of Columbia**
- Maryland*
- New Hampshire
- Oregon*
- South Dakota
- Texas
- Virginia
- Washington
*In these at fault states, drivers are still required to enroll in personal injury protection (PIP) coverage.
**If you bought PIP in Washington, D.C., you have 60 days after the accident to either file a claim against the other driver or choose no fault coverage.
Can I sue the other driver if I live in a no fault state?
It’s much harder to sue the other driver in a no fault state rather than an at fault state, but it can still be done in certain circumstances. Plaintiffs who win a case in a no fault state are entitled to both general and special damages, including medical expenses, lost wages, pain and suffering, and other forms of compensation.
In a no-fault state, the only way a driver can sue following an accident is by sustaining a “serious injury.” Most no fault states have implemented an injury severity threshold, and, in those states, drivers whose injuries are considered “serious” by state law will be able to file a lawsuit against the other driver. The level of severity required to meet the threshold somewhat varies in each no fault state, though a “serious injury” can be generally (but not always) defined to include one or more of these symptoms:
- Significant or permanent loss of a major bodily function
- Permanent disfigurement or scarring
- Significant bone fractures
- Loss of a body part
- Loss of a fetus or unborn child
- An injury exceeding the “serious injury” threshold (varies by state)
- Death (a loved one would file the lawsuit on the driver’s behalf)
File an auto accident lawsuit
If you or a close family member got hurt in a car accident, you may be eligible to file a claim against the other driver and get compensated for your injuries.
Ready to file a claim ?
See if you’re eligible for an auto injury lawsuit.
Referenced Articles
- Arkansas Insurance Department. (n.d.). Consumers FAQ. Retrieved from https://insurance.arkansas.gov/consumer-services/consumer-services/consumers-faq/
- Delaware.gov. (n.d.). Vehicle Services Registration. Retrieved from https://www.flhsmv.gov/insurance/
View more sources
DC.gov. (n.d.) Vehicle Insurance. Retrieved from https://dmv.dc.gov/service/vehicle-insurance
Florida Highway Safety and Motor Vehicles. (2021, April). Florida Insurance Requirements. Retrieved from https://www.flhsmv.gov/insurance/
Hawaii Department of Commerce and Consumer Affairs. (n.d.). Motor Vehicle Insurance Information. Retrieved from https://cca.hawaii.gov/ins/consumers/mvi/
Kansas Insurance Department. (2023, June.) Auto Insurance. Retrieved from https://insurance.kansas.gov/auto-insurance/#:~:text=Kansas%20law%20mandates%20that%20every%20automobile%20insurance%20policy,for%20in-home%20services%20…%203%20Uninsured%2FUnderinsured%20%2425%2C000%2Fperson%20%2450%2C000%2Faccident
Kentucky.gov. (n.d.) Mandatory Insurance. Retrieved from https://drive.ky.gov/Vehicles/Pages/Mandatory-Insurance.aspx
Maryland.gov. (2019). Insurance Requirements for Maryland Vehicles. Retrieved from https://mva.maryland.gov/vehicles/Pages/insurance-requirements.aspx
Mass.gov (n.d.). Basics of Auto Insurance. Retrieved from https://www.mass.gov/info-details/basics-of-auto-insurance
Michigan.gov (n.d.). Frequently Asked Questions. Retrieved from https://www.michigan.gov/autoinsurance/frequently-asked-questions
Minnesota Department of Commerce. (2023, January 10). Auto Insurance Basics. Retrieved from https://mn.gov/commerce/insurance/auto/basics/
WalletHub. (2021, April 8). Is personal injury protection required in New Hampshire? Retrieved from https://wallethub.com/answers/ci/is-personal-injury-protection-required-in-new-hampshire-2140703166/
State of New Jersey Department of Banking & Insurance. (n.d.). New Jersey’s Basic Auto Insurance Policy. Retrieved from https://www.nj.gov/dobi/division_consumers/insurance/basicpolicy.shtml
New York State. (2022, February 10). New York State Insurance Requirements. Retrieved from https://dmv.ny.gov/insurance/insurance-requirements
North Dakota Insurance Department. (n.d.). Auto. Retrieved from https://www.insurance.nd.gov/consumers/insurance/auto
Oregon.gov. (2024). Minimum Insurance Requirements. Retrieved from https://www.oregon.gov/ODOT/DMV/pages/driverid/insurance.aspx
Lawsuit restriction and opportunity for arbitration under optional insurance. D.C. Code § 31-2405 (2023). Retrieved from https://code.dccouncil.gov/us/dc/council/code/sections/31-2405