Frequently asked
questions on Michigan No-fault law.
Michigan’s No-fault law, adopted in
1973, can be confusing. It is a “no-fault” system, which means that
certain benefits are paid by your own insurance company even if the
other person was at fault . It also means that you are entitled to
certain benefits even if you are at fault for the crash.
If you have been injured in an accident involving a car, truck, bus or
other motorized vehicle, the insurance company that pays for your
benefits depends on a variety of factors. However, the benefits
themselves are the same regardless of which company pays.
Even if someone else is at fault for your injuries, your major focus
should be on getting better and following the recommendations of your
doctors and therapists. Do not under any circumstances refuse to follow
medical advice because “it might help a lawsuit”. That is the worst
thing you could do. Your full recovery and rehabilitation should be
your primary goal after you are injured in an accident. You should get
written medical restrictions from your treating doctor and follow those
completely. You should also get pictures of your injuries (lacerations,
casts, bruises, etc).
“I was injured in an accident
involving a car, truck or bus. Am I covered under No-fault?”
Yes, generally. There are very few
circumstances in which you would not be covered for No-fault Benefits.
The term “No-fault Benefits” is also sometimes referred to as
“First-party Benefits” since you make a claim to and receive these
benefits from your own insurance company, regardless of who was
“at-fault” for the motor vehicle accident. You should consult an
attorney if your application for benefits to your no-fault insurance
carrier is denied. However, if you were the owner of an uninsured
vehicle and operating that vehicle when involved in an accident, you
would not be eligible for benefits.
“How do I get these benefits?”
You fill out a simple one-page
application that your insurance company will send you upon request. The
form is a notice to the insurance company about the accident. You
provide your name, address, details about the accident, and the nature
of your injuries. It also includes permission for the insurance company
to investigate your claim. You have one year from the date of the
accident to make an “application for benefits” with your insurance
company.
“What insurance company must pay my
bills?”
If you own a car or truck that is
insured under Michigan law, your own insurance company will pay your
benefits (medical bills and wage loss) under most circumstances. It
does not matter if you were the driver, a passenger, a bicyclist, or a
pedestrian. Injuries from motorcycles crashes are one of the rare
exceptions to this rule and are treated differently.
“What if I do not have insurance?”
If you were injured while in a motor
vehicle and you do not have auto insurance on a vehicle you own, you
would collect your benefits from the insurance company that covered any
vehicle owned by a relative you live with. If no one you live with is
covered by auto insurance, you would collect your benefits from the
insurance company covering the car (or driver) in which you were riding
(driving) or if that car is uninsured, from the no-fault insurer of the
other car (or driver).
Remember, if you knowingly own and
drive an uninsured car or truck, you are probably not eligible for
No-fault benefits.
“What if I am riding in a
taxi-cab, bus or other commercial vehicle?”
This is one of the rare exceptions
under the No-fault laws. You would collect benefits from the insurance
carrier for the commercial vehicle in which you were a paying customer.
“What if I am not covered by any
insurance company and neither is the other car or driver?”
Under these circumstances, Michigan
has the “Assigned Claims Facility.” The State of Michigan will assign
an insurance company to provide your benefits. You would file the
application for benefits form with the Assigned Claims Facility:
Assigned Claims Facility
7064 Crowner Drive
Lansing, MI 48917
“What No-Fault Benefits am I entitled
to receive?”
In summary, your rights consist of payment of reasonable and necessary
medical bills, including medical services, accommodations and
rehabilitation for the rest of your life for injuries suffered in the
accident. Your benefits also include wage loss . You must have written
medical restrictions from your doctor to qualify for wage loss
benefits. These wage loss benefits from your insurance carrier are
subject to monthly maximums and are paid only for the first three (3)
years from the date of the crash.
Your insurance company will also pay up to twenty dollars ($20.00) per
day for services you used to provide for yourself or your family
(dishwashing, snow removal, lawn mowing, etc.) that you are medically
restricted from doing and must hire someone else to perform. These are
called “replacement services” and may be paid by your insurance carrier
for services done within three years from the date of the crash.
Additional benefits include mileage to and from medical and physical
therapy appointments and payment to people who provide medical
assistance to you at home, even if they are your relatives.
Long-term benefits for seriously injured people (spinal cord injury,
brain injury, amputation, etc.) are perhaps the most complex area of
No-fault law. These may include extended rehabilitation benefits as
prescribed by your doctor. These also may include payment for the daily
specialized care given to an injured individual, even if that care is
provided by a family member. Your treating doctor should provide you
with a script for these long-term benefits. It is beneficial to consult
with an experienced attorney to discuss the full range of benefits that
are available under Michigan law.
Benefits are also available to
survivors of someone who has died as a result of an automobile accident
. Children and spouses of a person who has died in a car crash may be
entitled to a burial expense benefit and survivor loss benefits for a
period of three years from the date of the crash. This complex area
includes probate law issues and may require the assistance of an
experienced attorney.
“What if I have health insurance?”
Under some No-fault policies, your
health insurance company pays the medical benefits it provides and your
No-fault carrier pays the rest. These will be identified as “excess” or
“coordinated” medical benefits in the insurance policy itself. Other
No-fault policies are not “coordinated” and those policies pay your
entire medical bills even if you have health insurance . The
declaration page (first page) from your No-fault insurance policy must
state clearly whether your medical benefits in that policy are
“coordinated” or “excess”.
In some situations, your general
health insurance provided by an employer may not cover injuries related
to automobile accidents and shifts primary responsibility for your
medical benefits to your No-fault carrier. This will be stated in your
benefits handbook from your employer. Your No-fault insurance carrier
may then become primarily responsible for your medical bills. If you
have a “coordinated” or “excess” No-fault policy and you do not have
health insurance, you will probably have to pay a “deductible”, but
your No-Fault carrier will be responsible for these bills after the
deductible is paid.
“What if I get benefits form someone other than a health insurance
company such as workers’ compensation, Medicaid, or Social Security
disability?”
Your No-fault carrier has the right to subtract from the wage loss
benefits it pays to you all workers’ compensation and Social Security
payments you receive as a result of the injury from the crash. Medical
benefits you may be entitled to through Medicaid or the Federal
Medicare programs are always “secondary” to any medical benefits a
No-fault insurance carrier is required to pay. You must make sure your
health care provider (doctor or hospital) sends the bills to the
No-fault insurance carrier for payment.
“What about pain, suffering,
scarring, and other injuries that are not money losses?”
The Michigan law permits you to make a claim against the at-fault
driver for these “human losses” (or non-economic losses) under limited
circumstances. First, you must have been seriously injured. The law
defines serious injury as “death” or the “serious impairment of an
important body function” that affects a person’s “ability to lead
his/her normal life” or “permanent serious disfigurement.” You cannot
be more than fifty percent (50%) at fault in the accident. The extent
of the physical limitations caused by your injury and the duration you
will suffer with these limitations are important factors in deciding if
your injury qualifies as a “serious impairment of a body function”
under the No-fault statute. This is a complex determination that looks
at how an injured person’s life has changed as result of the injuries
from a crash. The extent to which the physical limitations have
affected your life should be documented by your health care providers
through written medical restrictions.
The law in this area is constantly
changing. If you have suffered “serious injuries” and another person is
50% or more at fault in the crash, then you should seek the help of an
attorney experienced in Michigan No-fault law. This is the only way
your rights will be protected. Attorney Richard J. Stolcenberg has been
protecting the rights of people seriously injured in auto crashes and
their families for more than twenty years.
“Who decides if I have a serious
impairment?”
If there is a dispute over the
seriousness of your injury, most likely a Judge will make the decision
on this issue. The Judge will decide this using the definitions created
by the Michigan Supreme Court. In some limited circumstances, a Jury
may be allowed to make the decision.
Wage Loss
“Who pays my lost wages and for
how long?”
Your own No-fault insurance carrier
pays your wage loss while you are unable to work because of your
injuries. This is for a maximum of three (3) years from the date of the
accident. This is paid to you even if you were at fault for the
accident or were a passenger in the car or a pedestrian. You must get
written medical restrictions from your doctor to qualify for wage loss
benefits. You will get your No-fault benefits from one of the no-fault
insurance carriers in the following order of priority:
1. Your No-fault carrier.
2. If you do not have coverage, then the No-fault carrier of your
spouse or other relative living with you who owns an insured motor
vehicle .
3. If no one in your household has No-fault coverage, then from the
owner/driver of the car in which you were a passenger.
4. If the car in which you were a passenger does not have No-fault
coverage and another car was involved in the accident, the other
driver’s/owner’s insurance carrier.
5. If none of the vehicles involved in the accident are insured, then
from the Assigned Claims Facility.
Remember, if you were the owner and the driver of an
uninsured vehicle, you may not be eligible to recover wage loss
benefits, even if the other driver was at fault.
“How much wage loss will I
receive?”
85% of your average gross wages
(based upon the previous six months earnings), including overtime and
any wage increases and bonuses you would have received had you been
working. Wage loss benefits are tax-free, which is the reason you
receive only 85%. Self-employed people are paid based on the adjusted
gross income reported on their prior year’s tax returns.
Maximum wage loss benefits are set by
law, based on of the date the crash occurred. For example, for an
accident occurring between October 1, 2003 and September 30, 2004, the
maximum wage loss benefit is limited to $4,156 per month, or $49,872
per year.
“How do I prove my average gross
wage?”
The authorization form you sign for
your insurance company will permit your employer to release your
employment records to your insurance company. Your treating doctor must
provide you with written medical restrictions to qualify for No-fault
work loss benefits. You should always keep a copy for your records of
these restrictions and all documents sent to your insurance carrier.
“What if my wage loss exceeds three
years or the maximum amount allowed by law?”
This is a limited situation where you
are permitted to make a claim against the at-fault driver (and owner of
the car) and their insurance carrier, for an economic loss not covered
by your No-fault insurance carrier. You may make this claim even though
you may not have suffered a serious injury. To make this claim you need
to prove you are restricted from the physical requirements of your
employment by written medical restrictions from your doctor and that
those restrictions will result in lost work beyond the three year
No-fault benefit. October 1, 2003 through September 30, 2004--$4,156
per month October 1, 2004 through September 30, 2005--$4,293 per month
“What if I was unemployed at the time
of the accident?"
If you were between jobs and would
have returned to work, the insurance company will use the average gross
wages from your normal job to calculate your work loss benefits. If you
were receiving unemployment compensation at the time of the accident,
those benefits will stop because you are no longer available for and
seeking employment.If you were about to begin a higher paying job but
could not start that job because of your injuries, with appropriate
proof, the insurance company will use the wages you would have received
to calculate your wage loss benefits. You should get written medical
restrictions from your treating doctor listing your physical
limitations.
If you were not employed and not
actively looking for work, you may not be entitled to work loss
benefits from your No-fault carrier. You should still have your
treating doctor provide you with a list of physical limitations caused
by your injury.
“How do I prove my average gross
wage?”
The authorization form you sign for your insurance company will permit
your employer to release your employment records to your insurance
company.
“What if my wage loss exceeds three
years or the maximum amount allowed by law?”
This is a limited circumstance permitting you to sue the at-fault
driver (and owner of the car) for losses not covered by No-fault,
without showing serious injury.
“What if I was unemployed at the time
of the accident?"
If you were between jobs and would have returned to work, the insurance
company will use the average gross wages from your normal job to
calculate your work loss benefits. If you were receiving unemployment
compensation at the time of the accident, those benefits will stop
because you are no longer available for and seeking employment.
If you were about to begin a higher paying job but could not start that
job because of your injuries, with appropriate proof, the insurance
company will use the wages you would have received to calculate your
wage loss benefits.
Medical Expenses
“Who pays my medical benefits
and for how long?”
Your medical expense benefits are paid by your
own No-fault insurance carrier, regardless of who was at fault. If you
do not have No-fault coverage of your own, the rules regarding which
insurance company pays are the same as those for wage loss benefits.
Your insurance company will pay all “reasonable and necessary” your
medical expenses required because of your injury for your entire life .
You and , so long as your treating doctor must prove the medical
expenses were for injuries you suffered in the accident. You must make
a claim for No-fault benefits from your insurance carrier within one
year from the date of the crash in which you were injured. Once you
have made an “application for benefits” with your insurance carrier,
you must then give your no-fault carrier the bill for any medical
expenses you have because of your injury within one year from the day
you were treated by that health care provider. Make and keep copies for
your records of all letters, prescriptions, work restrictions, and
medical bills sent to your insurance carrier and write the date you
sent then to the insurance company on your copies.
Medical Benefits Include:
Doctors, hospitals, ambulances, home
health care, occupational and physical therapy, nursing homes,
rehabilitation, etc.
Medical and other equipment necessary for your care, recovery and
rehabilitation.
Mileage to and from the doctor, hospital, or clinic, such as physical
therapy.
Rehabilitation: Vocational, and if necessary, educational.
Doctors, hospitals, ambulances, home
health care, occupational and physical therapy, nursing homes,
rehabilitation, etc.
Medical and other equipment prescribed by your doctor as necessary for
your care, recovery and rehabilitation.
Mileage to and from the doctor, hospital, or clinic, and physical
therapy appointments.
Rehabilitation: Vocational, and if necessary, educational.
If you were the owner of an
uninsured car, and you were injured in an accident in that car, you may
not be entitled to No-fault Benefits.
“Is there a limit on how much my
insurance company must pay for medical expense benefits?”
No. The insurance company is
responsible for all expenses that are determined as “reasonable and
necessary” for your care, recovery and rehabilitation. The insurance
company is not responsible for expenses that are “unnecessary” or
“unreasonable” (such as a private room unless medically necessary, or
fees that are improperly high.) To avoid problems with payment of
medical expenses, get a script from your treating doctor for the
services or equipment “necessary” for your care, recovery, or
rehabilitation. Always keep a copy of these and other script(s) for
your records.
The No-fault insurance company is
responsible for working out any disputes with your health care
providers (doctors, hospitals, etc.) the insurance company claims
charged an “unreasonable” amount for their services. The insurance
company may also try to claim some medical procedures or equipment are
not “necessary” for your treatment or recovery. It is up to your doctor
to provide support for the services or procedures required to treat
your injuries.
“What if my injuries require
that my home or car be modified?”
Your No-fault insurance company is
responsible for expenses required to modify your home or car to
accommodate your injuries. These modifications must be “reasonable and
necessary” for your care, recovery and rehabilitation. The insurance
company will work closely with your health care providers such as
rehabilitation doctors, physical or occupational therapists to
determine the extent of your needs.
Replacement Services
Your No-fault insurance company will pay
up to twenty ($20.00) dollars per day to have someone perform services
for you or your family that you would have provided but cannot because
of your injuries. These include such things as household chores, meal
preparation, babysitting for minor children, transportation, and yard
work. This benefit may be paid to anyone who performs these services
for you, including family members. The $20 is a daily rate. For
example, you cannot hire someone for $40 one day and nothing the next.
Replacement service benefits are payable for up to three years from the
date of the accident. You have one year from the date the service was
performed for you to make the claim to your No-fault insurance company
for reimbursement for these services.
Survivors' Benefits
“What are survivor’s benefits?”
If a person who is covered by
No-fault insurance dies because of injuries suffered in an auto
accident, the insurance company must pay to that person’s dependents,
spouse or minor children, lost contributions of “tangible things of
economic value”. These benefits are limited to three years from the
date of the crash. The maximum amount the No-fault carrier pays is
limited by law to a “statutory cap” which increases slightly each year.
For example, for an accident occurring between October 1, 2004 and
September 30, 2005, the maximum amount is $4,293 per month. Social
Security benefits or Workers’ compensation benefits payable to the
deceased individual’s survivors are subtracted from the monthly maximum
paid by the No-fault insurance carrier.
“What are ‘tangible things of
economic value’?”
Generally, tangible things of
economic value include any amount the person would have provided to the
dependents in actual wages, other income, and fringe benefits had the
person not died in the crash.
“What about medical expenses before death?”
The insurance company will pay all
medical expenses before death so long as they were reasonably necessary
for the person’s medical care as a result of the crash. The No-fault
carrier will not pay for such procedures as harvesting organs for
transplant to another individual.
“What about funeral and burial
expenses?”
The insurance company will pay at
least $1,750.00 for funeral and burial expenses. Some policies provide
more coverage up to $5,000.00. You must provide the No-Fault carrier
with a copy of the funeral bill to recover this benefit.
“What about the loss of the
person that are not money losses?”
This is another of the rare
times when you can make a claim against the “at-fault” driver and the
owner of the “at-fault” vehicle (and their insurance carrier) for the
“human loss” caused by the death of a husband, wife, child, father,
mother, sister or brother in an automobile crash. You can only make
this claim if the other driver is fifty percent (50%) or more
responsible for the crash and the vehicle your loved one was driving
was covered by an automobile insurance policy. If your loved one was a
passenger of a vehicle involved in a crash and died from injuries from
that crash, then there is a claim for the loss of that person. You will
need the support of an attorney experienced in helping families faced
with this loss. This claim may involve probate issues and must be
“filed” in Court within two (2) years of the death of the injured
person. Attorney Richard J. Stolcenberg has effectively represented
many individuals and families who have lost a loved one in a Michigan
motor vehicle crash.
Property Damage
“Who pays for damage to my car or
truck?”
Because Michigan uses a No-Fault
insurance system for motor vehicle crashes and the damage to your
vehicle is considered an “ economic loss”, the “other driver” rarely
pays for the damage to your vehicle . Regardless of fault, you or your
own insurance carrier pays the expenses to repair or replace the damage
to your car or truck. Your insurance carrier will be responsible only
if you bought (and were charged for) “collision” coverage of your
vehicle. “PL and PD” insurance coverage does not include this type of
coverage for motor vehicle damage. Generally, the insurance company may
require a certain amount be paid by you first as a “deductible” before
it will pay for property damage.
“Can I get my deductible back from
the at-fault driver or for damage costing less than my deductible?”
Yes. If you were not more than 50%
at-fault for the accident, you can recover up to $500 from the at-fault
driver for the deductible you must pay or the property damage to your
car. This type of recovery would be from either the at-fault driver or
from the at-fault driver’s insurance company. You may need to file a
claim with the Small Claims Court if the at-fault driver is not willing
to pay. You should be prepared to show the judge pictures of the damage
to your vehicle and an estimate of repair or a statement “totaling”
your vehicle from a licensed body shop at this hearing. It may also be
necessary to prove the fault of the other driver with the police report
or witnesses that the Court will subpoena for you upon request. Some
No-fault policies agree to recover this amount from the at-fault driver
for you.
“What if my personal property, such
as clothes and glasses, was damaged or destroyed?”
Your No-fault carrier will not
reimburse you for damaged or destroyed personal property, such as
clothing, jewelry and glasses that are considered “contents” of the
vehicle unless you bought special additional coverage. If you did not
buy this coverage, but have homeowners (or renter’s) insurance, that
may cover your loss.
Motorcycles
“What if I was on a motorcycle at the
time of the collision?”
Special rules apply under the No-fault law if you were injured while
operating or riding as a passenger on a motorcycle that was involved in
an accident. Please see Motorcycle Accidents in Michigan at
www.rjs-law.com.
“What type of insurance is a
motorcycle required to carry?”
The owner of a motorcycle is required
only to carry liability insurance, which does not cover wage loss,
medical expenses or replacement services. Liability insurance only
protects the owner and operator in the event they are sued by another
person because of the accident.
“What if the motorcycle accident
involved a car, truck or bus?”
If the accident involved a car, truck
or bus, the injured motorcycle operator and rider can collect wage
loss, medical and replacement service benefits from the No-fault
insurance carrier of the car, truck or bus involved in the crash,
regardless of who was at fault.
“What if there wasn’t any liability insurance on the motorcycle?”
If you were the owner of the
motorcycle and did not insure it for liability as required by law, you
cannot recover your wage loss, medical or replacement service benefits
from the insurer of the car, truck or bus involved in the accident.
However, if you were not the owner or registrant of the motorcycle, you
will be permitted to make a claim for these types of economic losses if
a car, truck or bus was also involved in the accident.
“What if the motorcycle collision did
not involve a motor vehicle?”
If a car, truck or bus was not
involved in the collision, you may not have insurance coverage for work
loss, medical benefits or replacement services unless you or the owner
of the motorcycle bought special motorcycle No-fault insurance
coverage. The No-fault insurance carrier for your own car or truck is
generally not responsible for these benefits if you were injured while
operating or riding on a motorcycle.
Other Types of Coverage
“What if I have Uninsured Coverage?”
You may have been fortunate enough to
have purchased your No-Fault insurance from an agent or an insurance
carrier who provided you with Uninsured insurance coverage. Once a
required provision of all automobile insurance policies issued in the
State of Michigan, this is designed to provide you with a recovery for
“human losses” or lost wages beyond three years, if you (or a resident
relative) die or suffer a serious injury (serious impairment of an
important body function) in an accident with a driver or vehicle that
did not have automobile insurance. For a relatively small price you can
add this coverage to protect you and your family. Michigan Law requires
all owners and registrants of cars or trucks driven in this state to
carry liability insurance, which protects them from a lawsuit if they
are at fault in an accident and someone is seriously injured.
Unfortunately, many drivers ignore the Law and do not carry insurance.
Sometimes the at-fault driver may even leave the scene of the accident
and never be caught. If the at-fault vehicle/owner is not covered by
insurance (or is unknown), you may file an “uninsured motorist” claim
with your own insurance company if you have this coverage and your
injury otherwise qualifies. It will pay for what you would have
collected from the at- fault driver/owner if that person had liability
insurance coverage. Your claim will be limited by the nature of your
injury and amount of uninsured coverage you purchased from your
insurance company.
Be careful, the Michigan Supreme
Court has decided that the wording of the insurance policy itself
controls when and how soon after the accident you must make your claim
for these benefits. It most likely will not be the three years you
would have to file your claim against an insured at-fault driver or
owner. You may also be required by your insurance contract to go
through an arbitration procedure for this claim. You should have the
help of an experienced attorney to properly protect your rights and
make these types of claims. Attorney Richard J. Stolcenberg has
represented many people and their families with this type of claim.
“What if I have Underinsurance
Coverage?”
Michigan Law requires all automobile
insurance policies have residual “liability coverage” at a minimum
amount. This is designed to protect a person and pay if someone dies or
is seriously injured because that person (or a person driving their
car) caused an accident. The minimum residual liability coverage in
Michigan is Twenty Thousand ($20,000.00) Dollars per victim and Forty
Thousand ($40,000.00) Dollars per incident. Many driver/owners carry
only the minimum amount of liability insurance. This amount will not be
enough if you or a loved one dies or are seriously injured in a crash.
More often than not, the at-fault driver/owner is unable to pay you
beyond their insurance liability limits. In these situations, the
at-fault driver is “underinsured.”
Some No-fault insurance companies offer additional coverage called
“underinsurance coverage.” If you bought “underinsurance” coverage in
an amount that is more than the “at-fault” driver/owner’s liability
coverage, and you or a loved one die or suffer a serious injury in a
crash, you may file a claim with your own insurance carrier to make up
the difference between the amount paid by the other driver’s insurance
and the value of your losses or injuries. Your claim will be limited by
the amount of “underinsurance” coverage you carry. For a relatively
small amount of money, you can protect yourself and your family in
amount that would more sufficiently address your (their) losses.
There are usually strict requirements for making underinsurance claims.
If those procedures are not followed, you may be prevented from
recovering anything from this part of your policy. Your No-fault
carrier will require proof of the seriousness of your injuries and the
inadequacy of the at-fault driver/owner’s liability insurance. Your
insurance carrier must also consent to settlement with the at-fault
party and generally receives a “credit” for all money you obtained from
the at-fault driver/owner of the other vehicle. The provision may also
not allow you to settle with the insurance carrier for the underinsured
at-fault driver/owner unless your insurance carrier agrees or consents
to the settlement.
Although you are dealing with your own No-fault insurance carrier in
making an “underinsurance” claim, these are often difficult and complex
claims. You should have help from an experienced attorney in making and
supporting these types of claims.
Michigan No-Fault Law Highlights
“How long do I have to notify my
insurance company of my accident?”
You must notify your insurance
company within one year of your accident or you may lose your right to
No-fault benefits. Your insurance company is not required to pay for
any wage loss, medical or replacement service benefits that are older
than one year. To avoid losing benefits, send written proof of all
expenses and losses to your insurance carrier as soon as you have them.
Keep a copy for yourself and write the date and the address you sent
them to on each item. The insurance company has 30 days after receiving
written notice of the claim to make payment, request additional
information or deny the claim.
All insurance companies are different. A few insurance companies try to
pay all of the benefits to which you are entitled. Some insurance
companies will not inform you of all of the No-fault benefits you may
have coming to you or your family. Take pictures of your injuries and
the damage to the vehicles in the crash. Keep the originals and give
your insurance carrier copies if you are asked for them. Always get
written medical restrictions from your treating doctor stating the
limitations caused by your injuries. You may want to consult with an
attorney to see if your company is paying you all of the benefits you
are entitled to receive under Michigan Law. Often there is no charge
for this service.
“Who can I make a claim with?”
There are several categories of
possible claims you may make and defendants to legal actions involving
motor vehicle accidents. The most obvious defendant is the at-fault
driver.
Owner of the At-Fault Vehicle:
Claims against the owner/driver of the
vehicle that caused the accident if there was a death, serious
impairment of an important body function or permanent serious
disfigurement.
Your Own No-fault Insurance Carrier:
No-fault benefits for “reasonable and
necessary” medical treatment, services, accommodations and mileage from
all medical appointments. Wage loss benefits and replacement service
benefits for the first three years from the date of the crash.
Dramshop Claims if alcohol was
involved:
Claims against liquor stores, bars, or
restaurants that served alcohol to a visibly intoxicated person or a
minor, who later caused an accident.
Some other types of claims that may be
brought under some circumstances where a motor vehicle accident occurs
causing death or serious injury include:
Product Liability Claims:
Claims against manufacturers/sellers of
a defective product if it caused or contributed to the accident and
your injuries. Examples include defective seat belts, improperly
designed fuel systems, defective tires and vehicle rollover
susceptibility.
Highway and Road safety claims:
Claims against a government agency that
is responsible for the maintenance of the traveled portion of the road
or highway.
These are only a few of the
types of claims/lawsuits that may be brought. Each type of claim has
specific legal requirements. You may wish to consult an attorney to
investigate whether you have such a claim.
“Will my conduct in the accident
affect my right to file a lawsuit or recover for my injuries?”
Yes. There are several laws that may
limit or prevent you from recovering for your injuries.
No Insurance: A person
who drives his own car and does not have insurance is not entitled to
recover.
Comparative Fault: Your damages will be reduced by your percentage of
fault for the crash and your injuries. For example, if the other driver
is 80% at fault and you were 20% at fault, you would recover only 80%
of your damages.
Limits on your Recovery: If you were drinking or not wearing a seatbelt, your
recovery may also be severely limited by percentages set by law.
No Recovery: If you were more than 50% at fault, you generally
cannot recover for your injuries.
“Are there time limits to bring
claims for death or serious injuries?”
Yes. All lawsuits have “Statutes of
Limitation” or time periods within which a claim must be brought. If
the lawsuit is not filed within the time set by law, even if only one
day late, you will forever lose your right to make a claim. Many claims
are subject to a three (3) year Statute of Limitations, but there are
shorter time periods in some cases, such as two (2) years in cases of
wrongful death. Also, in some claims against government agencies,
notice must be given within 60 to 120 days of the accident. Dramshop
notices must be given to the bar or tavern within 120 days of retaining
an attorney and a lawsuit filed within two (2) years. You should always
investigate the possibility of a lawsuit as soon as possible after the
accident.
“What about attorney fees?”
There are many options. First, you
can hire a lawyer to represent you on an hourly basis. Second, you can
hire a lawyer on a “contingency fee.” This means that the lawyer will
not charge you per hour but will take a fee based on the amount of
money you receive. Most personal injury lawyers accept cases on a
contingency fee of one-third (1/3) of the recovery. If there is no
recovery, you will not owe the attorney any fee for his/her services,
but may be required to reimburse for expenses.
All contracts with an attorney should be in writing and fully explained
to you. You should not sign a contract unless you fully understand it.
Other things you should know:
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Wrongful Death:
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There are procedures that must be
followed to bring and settle a Wrongful Death claim.
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Workers’ Compensation:
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If you received Workers’
Compensation benefits for your injury those benefits will be reimbursed
from your settlement or lawsuit for things not covered by No-fault.
Generally, you do not have to pay your No-fault carrier back for
benefits it pays to you.
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Mental Incapacity:
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If a person is rendered mentally
incapacitated because of an accident, a Guardian/Conservator/Personal
Representative may need to be appointed by the Court.
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Evidence
Preservation:
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Because additional claims may
exist, all evidence, such as the car and seatbelts, should be preserved.
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Photographs:
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Photographs should always be
taken of your injuries (casts, lacerations, bruises, etc.) to show the
extent of the injuries. Pictures should also be taken of the damage to
the vehicle and where the crash took place. You should take pictures to
safeguard this information even if you do not think you want to make a
claim or pursue an action.
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“What if I still have questions?”
If you have been injured and wish to
be advised about the “serious impairment of an important body function”
requirement, or discuss whether you have a legitimate claim, a free
consultation will be provided.
No-fault tip: Examine the declarations page of your no-fault
policy. If your policy says that you have coordinated or excess
medical coverage, you may be at risk for an extreme hassle if you are
injured in an automobile accident. Coordinated coverage means
that you must first look to your health insurer for coverage for your
injuries. Your auto insurance carrier will only cover auto
related medical expenses that your health insurer will not cover.
This creates a problem with who is required to provide what
coverage. The result: a myriad of paperwork and requests to
resubmit medical bills. Generally, you are better off have
non-coordinated or full medical in your no-fault policy and the cost to
change your policy to this type of “primary” coverage is minimum.
Disclaimer
The information supplied on this
web site is general in nature and should not be relied upon to make
legal or medical decisions. For every rule cited, there are always
exceptions. This web site is an advertisement for legal services.
Nothing presented on this site establishes or should be construed as
establishing an attorney-client relationship between you and Mr.
Stolcenberg. No attorney-client relationship exists between you and Mr.
Stolcenberg until Mr. Stolcenberg has been formally retained, or has
acknowledged an attorney-client relationship in writing. Interacting
with e-mail on this page or using the submit your case and contact
forms does not constitute the creation of an attorney/client
relationship. You should not send any confidential information to Mr.
Stolcenberg until you have received written acceptance from the firm of
any legal services you may request. The content of any correspondence
that you send via the Internet will not be considered confidential
unless you have received such written confirmation.
Mr. Stolcenberg does not seek
clients from outside of the state of Michigan. If you require legal
advice, please contact an attorney licensed to practice in your state.
We will be happy to assist you, if possible.
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