BRABANT & HUYNH LLP Attorneys at Law

Many times situations surprise us where we think we are without recourse or will fall into financial straits when injuries occur, but in cases where someone is injured in an auto accident by another driver who did not have insurance or the insurance is insufficient to cover the injuries, if you have your own auto policy or are covered as a household member, you will want to find out how much Uninsured or Underinsured motorist coverage (aka UIM) you have available to you.  Looking to this UIM coverage is key in many situations.

WHAT IF THE OTHER DRIVER DOES NOT HAVE INSURANCE?

For example, where someone is involved in a hit and run and can’t catch the plate of the other driver, or where the other driver is operating without the permission of the owner and the insurance denies your claim for non consensual use: these are all situations where it is critical that you are aware of how much uninsured motorist coverage you have available to you, because there may be no Bodily Insurance (BI) insurance available to you or as I like to call it “at fault insurance” where the at fault party’s insurance company pays for medical bills and pain and suffering.

The mandatory minimum limits for UIM coverage in Massachusetts are $20,000 per person $40,000 per accident pursuant to G.L. c. 175, §113C; G.L. c. 175, §113L. It is important to note that this is the same as the mandatory minimum of Bodily Injury (“BI”) in Massachusetts. BI insurance is the part of the policy of the at fault party, which pays for non at fault person’s injuries.  This is to say that if you are injured through someone else’s fault, and for one of the previous reasons, or other reasons, there is no Bodily Injury coverage available to you through that person’s policy, then you will turn to your Uninsured Motorist coverage.

HOW TO MAKE AN UNINSURED-UNDERINSURED CLAIM

To successfully recover on an uninsured-underinsured motorist claim, you must prove 1) you are an insured, 2) that the at fault driver is an uninsured-underinsured motorist, and 3) that the uninsured-underinsured was negligent, insomuch that the you are legally entitled to recover from him or her.

WHAT IF THERE IS BODILY INJURY COVERAGE BUT IT IS NOT ENOUGH

And if you are injured through someone else’s fault and they do have $20,000 in BI but that is not enough to cover your medical bills and pain and suffering that is where Under Insurance comes into play.  Every dollar you have over their BI limit can be added to cover you but it cannot be stacked.

CAN I ADD OR ‘STACK’ MY UNDER INSURANCE ON TOP OF THE BODILY INJURY MONEY

There is no adding or ‘stacking’ of uninsured or underinsured motorist coverage under any Massachusetts automobile insurance policy issued on or after January 1, 1989. G.L. c. 175, §113L(5); Arbella Mut. Ins. Co. v. Hughes, 36 Mass.App.Ct. 926 (1994). This means an injured party may only recover up to a maximum of one uninsured-underinsured policy limit.

For example, if you only have the minimum of $20,000 in Under Insurance and the at fault party only has the BI minimum of $20,000, you cannot add or stack your $20,000 of Under Insurance on top of the $20,000 of BI.  In fact, you will get nothing extra over the $20,000 from the at fault party’s policy.

But if you had $50,000 in Under Insured benefits you would add $30,000 to the $20,000 from the BI policy to obtain a total of $50,000.

WHAT IF THE AMOUNT FOR UIM IS DISPUTED?

Disputed claims for uninsurance and underinsurance benefits are brought against the insurer in arbitration. The arbiter decides the questions of liability and damages. Lawsuits regarding to uninsured-underinsured claims are only lodged against the insurer to resolve a coverage question and to enforce arbitration of the claim pursuant to the insurance policy.

HOW LONG DO I HAVE TO SUE ON A UNINSURED-UNDERINSURED CLAIM?

Uninsured-underinsured claims are subject to a six-year statute of limitations. Goodman v. American Cas. Co., 419 Mass. 138 (1994). The statute of limitations period starts when the insurer either refuses to submit to arbitration or denies the claim. Peerless Ins. Co. v. Boyle, 422 Mass. 1011 (1996); Berkshire Mut. Ins. Co. v. Burbank, 422 Mass. 659 (1996).

As we can see, these situations are not simple and the help of an attorney can greatly ease the stress of dealing with such personal injury issues and increase your chances of obtaining a higher recovery amount for your accident.  If you need help with this or any other accident related issues please call Brabant & Huynh LLPat 617-934-0913 your personal injury attorneys and we will be glad to help you evaluate your case and ease the burden of going through the process.

When someone gets into an auto accident, or is hit by an automobile as a pedestrian, one of the first things they will want to make sure of is that there is “Personal Injury Insurance” (aka PIP) which is $8,000 dollars of protection that will cover you no matter whose fault the accident was, which is why it is called “no-fault insurance”.  This insurance is mandatory in Massachusetts if you own a vehicle.  But, because $8,000 dollars is hardly enough to cover many peoples injuries, the policy holder can elect to purchase Medical Payments under that provision of their policy which will for a small fee, protect them against extra exposure as they can choose how much in Med Pay they want to buy over the $8,000 dollars.

Another benefit of Med Pay comes to us as from the Massachusetts Supreme Judicial Court decision of Metropolitan Property and Casualty Ins. Co. v. Blue Cross and Blue Shield of Mass., Inc. where they upheld that Medpay has to be exhausted before the health insurer is required to pay.  Which is especially useful if you have private health insurance like Blue Cross, Harvard Pilgrim, Aetna, Cigna Etc. because then PIP will only pay $2,000 dollars and Med Pay will cover the rest up to its limit which means your health insurance won’t have to pay for your medical bills if they are less than your Medpay limit.

You might say, PIP, Med Pay, Health Insurance, what’s the difference if my bills get paid?  Well, Med Pay in “non-subrogatable” which is a legal word that means your insurance company cannot recover that Med Pay money they used to pay your medical bills from the at fault party’s insurance company when it comes time to settle. This ultimately means you will get a bigger settlement. This is because when someone receives a settlement for injuries the offer is always minus what PIP and the health insurance paid out, but not Med Pay.

For example, if your settlement or judgment was $16,000 and your PIP paid $8,000 in medical bills, you would only net $8,000.  But if you had Med Pay and health insurance, PIP would only pay out $2,000 and Med Pay would cover the rest if you bought $6,000 dollars of Med Pay.   So if you received a settlement or judgment of $16,000 like the example above, but had Med Pay with health insurance, you would obtain a net of $14,000 dollars: a difference of $6,000.

This is because PIP could only recover or “subrogate” the $2,000.00 from the at fault insurance when you settle or get a judgment.  Med Pay could not do this which is why you would net a larger amount from your settlement or judgment.

As we can see, these situations are not simple and the help of an attorney can greatly ease the stress of dealing with such issues and increase your chances of obtaining a higher recovery amount for your accident.  If you need help with this or any other accident related issues please call your car accident attorneys Brabant & Huynh LLP at 617-934-0913 in Quincy and Dorchester and we will be glad to help you evaluate your case and ease the burden of going through the process.