Personal Injury Protection

Personal Injury Protection (PIP)

• PIP is an extension of car insurance available in some U.S. states.
• It covers medical expenses and, in some cases, lost wages and other damages.
• PIP is sometimes referred to as no-fault coverage.
• It is designed to be paid without regard to fault or legal liability.
• PIP claims can be made by the insured driver or persons injured in an accident.

Coverage and Variations of PIP

• PIP is mandatory in some states.
• Coverage varies from state to state in terms of what is covered and what treatments are considered medically necessary.
• In Texas, PIP covers medical expenses, 80% of lost wages, and caregiver services.
• Some states allow PIP claims even if a workers compensation claim exists.
• PIP is the insurance of first resort for medical bills in some states.

Subrogation and Financial Position

• In some states, PIP is subrogatable, meaning the insurance carrier pays for the loss and recovers it from the liable party’s insurance carrier.
• Claimants benefit financially as their medical bills are paid, regardless of liability.
• PIP covers the insured’s own injuries, passengers in their vehicle, and pedestrians struck by any vehicle.
• States without PIP may have auto medical payments (AMP) coverage.
• PIP and AMP limits range from $1,000 to $250,000 depending on the injury and state.

Submitting Insurance Information and Settlements

• Claimants should submit their own insurance information to medical providers.
• Third-party carriers are not legally obligated to pay claimants’ medical bills.
• Third-party carriers only pay after a judgment against them.
• Settling a claim with a third-party carrier is considered a voluntary payment.
• Rejection of PIP coverage remains unless requested to be added or a new policy is started.

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