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1. Auto Insurance Coverage Reviews:

A. Liability Coverage
B. Uninsured and underinsured Motorist Coverages
C. Medical coverage
D. Auto Collision coverage
E. Comprehensive Coverage
F. Miscellaneous coverages

2. Valuable Resources

A. Rate Comparisons
B. Complaint Ratio List
C. The State Guarantee Fund
D. When and How to File a Complaint
3. Selecting an insurance company
A. Company Reputation
B. Price, Service and Size
C. 12 Questions to Ask
D. Selecting an Agent
E. Independent Agents Vs. Captive Agents
F. How to Resolve a Problem
G. What Can an Insurance Company Find out About You?
4. Claim process
- Settling a Bodily Injury Liability Claim
Discounts Available from Most Auto Insurance Companies
The Savings Calculator
How to Settle a Claim Fairly Used Car History

The information in this Section is accurate to the best of my knowledge. The
problem encountered in writing this Section is dealing with the fact that claims adjusting varies from state to state. The resulting settlement will vary depending on the verbiage of your policy and the laws that govern insurance in the state where you reside. If you are uncomfortable with any of the advice given in this Section, please do not act upon it until you have had the opportunity to do the proper research.
In the settlement process people often feel the insurance company is out to
give them the short end of the stick. Unfortunately, sometimes that happens. I
strongly believe that the claims process is important and that's why I have chosen to
devote an entire Section to it. In this Section I'll explain to you some of the "ins" and
"outs" of the claims process.

1. Settling a Bodily Injury Liability Claim
If you are involved in an accident and the other party is at fault, you are
entitled to be made whole financially through the other party's insurance company.
If the party at fault doesn't carry auto liability insurance and you carry uninsured
motorist coverage, you would be compensated through your own insurance company.
If the party at fault carried liability insurance, but their coverage limit wasn't enough,
the excess amount would be covered by the underinsured motorist coverage on
your policy, providing that you carry such coverage.

Bodily injury liability, uninsured and underinsured motorist coverages are
designed to pay for the following:
1. Actual medical expenses
2. Actual wages lost as a result of the accident
3. Expenses for mileage to and from the doctor, therapy, trips to the store for
items you require and any other miles driven as a result of the accident.
4. Compensation for any temporary or permanent disability. This could be as
minor as a few days missed from work, to a major disability such as loss of a limb,
loss of hearing, loss of mental capacity, or physical disablement.
5. Compensation for pain and suffering as a result of the accident.

This brings to mind the question, "How do I know the insurance company
is being fair with me in these areas?" I hope by the time you finish this Section
you will have learned enough to adequately handle this type of claim on your own,
without an attorney, and get top dollar in the process! Let's look at these areas one
at a time.

1. Actual Medical Expenses
This is fairly simple. Keep records of your doctor, therapy, drug, hospital and
any other related expenses incurred for medical treatment as a result of the accident.
Most medical practitioners will wait for payment until after you have settled
your claim. This should be worked out in advance of services being rendered. If
they won't wait for you to settle with the insurance company, then you may want to
look for another health provider. The reason for this is when you settle with the
insurance company, you want it to be on your timetable. You don't want to be
pressured into a quick settlement by a doctor wanting his or her payment. There will
be more details on this point later in the Section.

2. Actual Wages Lost as a Result of the Accident
You should keep a log of all hours missed from your employment. Even if you
use your sick or vacation time through your employer, you are still using an asset
that would not be available to you for future use because of the accident. Therefore,
you are entitled to have the auto insurance company reimburse you for lost wages.
This should also include any time which your spouse lost from work on your behalf,
as a result of the accident. In addition, keep a record of any benefits you lost as a
result of being off work, such as sick and vacation time accumulation, employer
contributions to your 401 k and any other work related benefits.

3. Expenses for Mileage to and from the Doctor, Therapy,
Trips to the Store, and Any Extra Miles Driven as a Result
of the Accident

You should keep a log that lists the date of the trip, the purpose for the trip and
of course, the miles driven. You should expect to be reimbursed at the same mileage
rate the Internal Revenue Service uses for business miles driven. An example of this
would be if you drove 350 miles as a result of the accident, you are entitled to
receive 31 cents per mile, which amounts to $108.50 for the total miles driven. Also
remember to include any tolls, parking fees and/or fares paid on public transportation.

4. Compensation for Temporary or Permanent Disability
This is a little tougher to determine, but not as complicated as you may think.
Let's take a short-term disability as an example. You're involved in an accident and
suffer a broken arm. In addition to any actual expenses incurred, you would be
entitled to a monetary compensation for the broken arm. Most insurance companies
use the same method in determining these amounts. Among other things, they use
a chart that tells them what a reasonable settlement would be for a particular injury.
The factors considered in determining these amounts are the severity of the injury,
the age of the injured party and the possibility of partial or total disability. The older
you are the more they may allow for an injury.
Normally you can get a good idea of how much they are willing to pay for a
particular injury by their first offer and how they respond to your request for more.
Most insurance companies will offer 10% to 20% below the maximum they are willing
to pay, while others will offer you top dollar up front. No matter what their offer is,
you should ask for 20% more. If they refuse immediately, wait a while, time is on
your side. If after six to eight weeks they refuse to raise their offer, chances are
they are offering the maximum they will pay. Another possibility is they may offer
more than their initial amount, but not what you are asking for. This gives you a clue
that there is potential for a higher settlement. Bear in mind, they may never give
you the 20% more that you requested, but in the long run you will still come out
a winner by personally negotiating with the insurance company.

The insurance company has to obtain a medical release from each injured party in order to close their file. Usually the longer it takes, the more eager they are
to settle the claim. Please realize this attitude may vary from company to company.
What about permanent or long-term disability? In the event of a permanent or
long-term disability or fatality, you would usually get the policy's liability limits from
the responsible party's liability insurance. In serious cases like this, the guess work
is pretty well taken out of the process. If the "at fault" party has no insurance or
their policy limits are not enough to cover the loss, you would then use the full
limits on your uninsured and/or underinsured motorist coverages. In the case
where a person has a minor permanent disability that doesn't affect their ability to
work, etc., they may not receive policy limits but would still be compensated for the

As I've stated before, the insurance companies have a good idea of the dollar
value of each disability. They know from experience and prior court cases the
amount they can expect to pay for any given disability. They may bend some from
this amount to avoid the high costs of going to court, but they won't write you a blank
check either! I've seen many times when the insurance company will pay policy
limits for a permanent disability that causes loss of income or physical mobility, etc.
An all important question now arises, "How do I find out what the policy limits are of
the "at fault" party?" We will answer this question later in this Section.

5. Pain and Suffering
In addition to the actual expenses discussed above, you are also entitled to
compensation for pain and suffering. A good rule of thumb for calculating pain and
suffering is to take the total of actual medical expenses and multiply that number by
3. For example, if your medical expenses were $3,000, you would ask for $9,000,
$3,000 of which were your actual expenses and $6,000 for your pain and suffering.
This is a widely used formula and the insurance companies expect to pay this

Once your bills are ready to submit to the insurance company, what next?
The last thing you want to do is call an attorney! That's right, the last thing!
Most insurance companies will be fair with you. Involving an attorney will only
reduce your net settlement. The way to deal with the insurance company is to
submit a well documented claim and ask for an amount well above what you expect to receive. In the case of serious injury, disability or a fatality, you would ask for a
much larger amount. One million dollars or somewhere in that area is a good
starting point. The reason you would ask for such a large amount is to find out if the
"at fault" party carries a $1 million umbrella policy. When the insurance company
makes an offer, you will have an idea of the responsible party's liability limit. At this
point, they may even tell you they are offering policy limits, and if so, your work is
done. You now know the maximum amount of coverage available to you. If they
don't mention policy limits, you should ask for an itemization of their offer. In the
itemization, you will see the limits allowed for disability, actual expenses, and pain
and suffering. From this point, you can evaluate what areas, if any, you want to
negotiate. An example would be if they offered X dollars for the injury, X dollars for
actual expenses and X dollars for pain and suffering. You will know if the amount
offered for pain and suffering is fair based on the 3 times medical formula. You
would also know if the actual medical expenses are fair by comparing their offer to
your actual medical expense list. From this point, you can then evaluate whether
you want to ask for more. Usually you can get an additional 10% to settle just
because the insurance company is more anxious to settle than you are. The leverage
you have is the medical release form. The insurance company cannot close out
your file until they have your signature on the release form. Be aware, many times
an insurance company will push to have you sign the release form as soon as
possible, offering you what appears to be a good settlement, but in reality the insurance company will be settling for as little as possible. My advice to you is refuse the initial offer and wait until your medical treatments are over and you have fully recovered.

This could be a matter of several months to several years. Remember, time is on
your side but be sure to check with the state department of insurance to find
out what the statute of limitations is in your state. You don't want to go beyond
that time limit. In many states you have up to two years to settle, but research it for

The last thing you want to say in your negotiations is, "I'll get an attorney."
They hear this all the time and it means nothing to them other than showing them that
you are unsure of what you are doing! If the insurance company thinks you don't
know what you are doing, your settlement amount might not be as high as it would
have been had you not mentioned the idea of an attorney. Confidence is the name
of the game. If the insurance company feels you know what you are doing, you are more likely to get what you want, within reason of course.

6. Avoiding the Attorney's Gold Mine

The question most often asked, "Do I need an attorney?" A simple answer,
no! That is the case 95% of the time. If you do hire an attorney, do it as a last
resort, not first thing! Remember, the attorney will get a sizeable portion of your
net settlement. Even if the attorney gets more money out of the insurance company,
which he or she probably will, your net payment will probably be less. On average,
a small claim handled by an attorney will net you about $2,000 less than a non-
attorney handled claim. You will have an even higher dollar loss on a larger
dollar or policy limits claim!

I don't know about where you live, but I know where I live if it wasn't for
attorneys we would not have daytime television. It seems that just about every
advertisement is for an attorney wanting to protect you from the crooked insurance
companies. They brainwash the public into thinking the insurance companies will
be unfair in settling their claim and therefore, need their services!

Many times I've seen someone retain an attorney before the insurance company
even knows the accident occurred. The public fails to realize that the insurance
company, in most cases, will be fair. You just need to give them an opportunity to
respond to the situation. These ambulance chasing attorneys know this, but are
looking out for a sure dollar that belongs to you. They want their 35% to 50%
cut! I cannot emphasize this point enough! This is your money we are talking
about, not the attorney's. They want a large percentage of it for doing nothing!
In most cases where fault is clear, the attorney sends a letter to the insurance
company informing them that they represent the injured party. Then they wait for
you to settle and the attorney collects his or her check! They know from the beginning
it's a slam-dunk deal, but they see easy money and go after it! They should be
tarred and feathered for such behavior. In my opinion, it's the closest thing to
legal theft!

Here Are Some Common Scenarios

Your vehicle is rear-ended by another vehicle and you sustain some injuries.

This is a classic example of the other party being 100% at fault. You have two
choices. Your first choice is to deal directly with the insurance company representing
the party at fault. If they don't have bodily injury liability coverage, you would then
deal with your own insurance company providing you carry uninsured motorist
coverage. One scenario would be you negotiate a settlement with the insurance
company for $5,000, which based on what we have discussed is a fair settlement.
You get your $5,000 and you're on your way. Same scenario, but this time you
choose to call an attorney immediately following the accident so your rights will not
be violated! The law firm is able to increase the settlement to $7,000. The attorney,
based on a 35% split, receives $2,310. Guess what? You are now left with a net
settlement of $4,690 or a total of $310 less than you would have received without the
help of an attorney! In this case everyone except the attorney loses. You have lost
$310 and the insurance buying public also lost because the additional $2,000 paid
over and above the $5,000 could have been saved had you handled the loss yourself!
The $2,000 the attorney stuck in his or her pocket is recouped by the insurance
company with the next rate adjustment. In cases like the one described above, it is
a no brainer for the attorney. Why else would they advertise their willingness to
come to your hospital room, or call us first, etc. Normally, they don't do anything for
you that you couldn't do for yourself because it is a cut and dry case. Who needs
them? Attorneys know if the insurance company talks to you first, you will
quickly realize that most insurance companies will be fair and that you do not
need an attorney, thereby cutting out the attorneys on the gravy train!

This problem is becoming so widespread that I've even heard of tow truck
drivers at the scene of an accident referring people to an attorney. In some cases,
they have referred people to a chiropractor, who in turn will refer the person to a law
firm that the chiropractor works with. It is amazing how people will listen to anyone
who comes along and worse yet, do what they say! Is a tow truck driver sufficiently
informed to advise you on medical or legal matters? In the example above, guess
who gets a portion of your settlement? You got it; the tow truck driver, the chiropractor, and of course, the attorney! Think about it!

The only time you may want to talk to an attorney is if the insurance company
is being unfair, and that has to be "big time" unfair. Remember, the attorney will get
35% to 50% of your total settlement! Don't call an attorney over a dispute in your
settlement if it's a small dollar amount, or if it's out of pride or principle. It can cost you big dollars for that luxury! Remember, attorneys are to be used sparingly and
as a last resort!

What I Call the "Attorneys' Law"
Depending on where you live, you may encounter another scenario which
indeed, may require an attorney. Some states have a law that may be referred to as
contributory negligence. This law complicates the settlement process and therefore,
increases the need for attorneys, hence, " the attorneys' law." This means both
parties could share in the responsibility for the accident. The idea being that if it
wasn't a clear cut situation and both drivers could have done something to avoid the
accident but didn't, then they both would share in the responsibility for the accident.
An example of this would be a situation in which you are traveling down the
road and as the light turns yellow, you decide to go through the intersection. Before
you enter the intersection the light turns red, and as you pass through the intersection
someone turns left in front of you and your vehicles collide. Who's at fault? You,
because you ran the red light, or the other person for turning left in front of you?
Based on the laws in most states, the person that turned left in front of you would be
found at fault. But in states that have enacted the contributory negligence law, both
of you are considered at fault. A percentage of fault would be assigned to each
driver. Maybe 70% to the driver that turned left and 30% to the driver that ran the red light.

The legal profession has lobbied to have a considerable number of these laws
enacted to confuse the issues and create a need for their services. The insurance
companies have excellent legal departments and can determine the percentage of
fault assigned to each driver, thereby reducing the need for an attorney in most

7. Settling Uninsured and Underinsured Motorist Claims
The procedures for settling uninsured and underinsured motorist claims against
your own insurance company are handled in the same manner as outlined above.
The fact that you are dealing with your own insurance company doesn't matter, theprocedure is the same.

8. How to Settle Property Damage, Collision and
Comprehensive Losses

Property damage, as discussed in this Section, will deal primarily with the
repair of your vehicle. While property damage liability also covers buildings, fences,
etc., it isn't my intention to discuss that area of the coverage at this time but to focus
on the repair of the vehicle. The major issue in repairing the vehicle is getting the job
done right. Hopefully, with the information provided in this portion of the Section,
you will have the tools necessary to do just that, and in addition ensure that your
settlement with the insurance company is fair. These rules apply whether you are
claiming under the other party's property damage liability or under your collision or
comprehensive coverage.

Getting the Job Done Right
When your vehicle has been damaged, you want the repairs to be done
correctly and the vehicle repaired to its condition prior to the accident. The first
thing you want to do is locate a good repair shop to do the work. If you don't know of a good shop, the best way to find one is through your insurance company's claims
department. Most companies will have a list of approved shops that meet their
requirements for repair and service. Your first thought might be that the shop is only
looking out for the interest of the insurance company. In most cases that isn't true,
in fact, it is quite the opposite. The shop receives a great deal of business from the
insurance company and therefore, is interested in doing a good job. If they didn't
repair your vehicle satisfactorily, the insurance company would no longer use their
services and the shop would lose a great deal of business. Many insurance
companies, as well as the repair shops, will guarantee their work if it's done by a
shop on the insurance company's approved list. In conclusion, using the insurance
company's approved shops will generally give you the best repair and service possible.

However, choosing a repair shop is your decision.
If there is a repair shop you want to use other than those on the approved list, you have the freedom to do so. A problem you may encounter is if the work is of
poor quality, you would not have the insurance company's backing to ensure that
the work is done to your satisfaction. Remember, it isn't the insurance company's
responsibility to repair the vehicle, but only to compensate you for the damage.
Several times, on behalf of a customer, I've contacted a shop on the approved list
and told them if the repair wasn't done right I would notify the insurance company
requesting the shop be removed from the approved list. You would be surprised how
fast things got resolved! If the shop had not been on our approved list, there would
have been nothing I could do to help.

Another question frequently asked is, "Why is it when you go into a repair
shop they immediately ask if it is an insurance claim or are you paying for the
repairs yourself?" If it's an insurance claim the price is usually higher. You
would think it shouldn't make a difference, but it does. This is another example of
how you and I, the insurance consumer, are being taken advantage of by the insurance industry. It is my opinion that the insurance industry is to blame because they tolerate, and even in some cases, encourage such activity. In the case of a small
claim, you can get your compensation from the insurance company and then get
the work done for less than if you had told the repair shop it was an insurance claim.
The savings realized by doing this is yours to keep. If the insurance company wants
to overpay you, that's their problem!

If you shop for the work that needs to be done, you will find a substantial
spread between the estimates received from the various repair shops. These estimates
could vary by as much as 30%. What you must do is ask what methods of repair
your estimate is based on. This is the only way to measure which shop is really the
best deal! Examples of the different repair methods would be: the sheet metal could
be replaced or filled, or the paint could be applied only to the damaged area or to the
entire side or section of the vehicle. These issues are very important! You want the
painted area to match because in time it may fade, and you don't want fading on
spots that are obvious thereby revealing the damaged area. Are they using new or
salvaged parts? If they use new parts, are they factory parts or "after market"
parts? These are some of the issues you will face in getting the vehicle repaired. If
all things are equal, the price of the repair should be fairly close from shop to shop.
Whether you choose a shop based on the insurance company's approved
list, or a shop of your preference, the above rules apply! In all my years of experience, there are only a few shops that I can recommend without hesitation because I know they will do the job right. Keep in mind not all repair shops are created equal!

Total Loss Vs. Repairing the Vehicle
You may run into a situation where your vehicle appears to be a total loss, but
the insurance company wants to repair it. The basic premise for repairing the
vehicle is the value of the vehicle versus the cost of repair. If the cost to repair the
vehicle is less than the value of the vehicle, they will repair it. If the cost of repair is
more than the value of the vehicle, they will total it!

Many times I've heard people say, "I don't want the vehicle repaired, it will
never be the same." They might be right, but the insurance company isn't concerned
about that. They are looking strictly at the value of the vehicle versus the cost of
repair. You may wish to sell the car after it's repaired, and that's your decision, but
many times it can be the wrong decision if the repairs were done correctly. A good
shop can repair a vehicle to be of better quality than originally built by the

Most insurance companies authorize the use of salvaged or after market
parts. If this is of concern to you, check with the prospective insurance company
before you purchase the policy. You may have a hard time finding an insurance
company that doesn't use these kinds of parts. In my way of thinking, it's really not
a problem if the part isn't a wear part such as an axle on a four wheel drive or some
other part that can wear out. Sheet metal salvage is preferred over after market
parts because you are getting factory parts that meet factory specifications, even
though the parts are used. What is meant by sheet metal salvage is a door, fender,
quarter panel, etc., from a wrecked vehicle. The only exception to this would be if
the part came from an area of the country that has rust problems, in which case I
would be concerned.

You may also find yourself in a situation where your vehicle has been damaged;
however, it is an older vehicle and in excellent driving condition. You are still entitled
to be compensated for the damage even if you decide not to fix the vehicle and put
the money in your pocket instead.

An example would work this way: You have a vehicle worth $3,000 and it is
damaged in such a way that it doesn't affect its safety or the way it drives. The
damage is estimated at $1,500. It doesn't take much to do that amount of damage at
today's repair costs. If you plan to drive the vehicle for several years, you may want
to save the insurance money and apply it to your next vehicle purchase. If you drive
that vehicle until it's about worn out, that $1,500 damage won't make a great deal of
difference in the price when you sell it. I've seen many times when an insurance
company totaled a vehicle that could be driven safely. If you desire, you can always
purchase your vehicle back from the insurance company for salvage value. For
example, the vehicle was worth $3,000 and you had a $500 deductible. Your final
numbers would look like this. The value of the vehicle is $3,000 minus the $500
deductible minus the salvage value of $300, leaving you with a settlement of $2,200
and your damaged vehicle. You have the option of doing this when you settle on a
total loss, regardless of the value of the vehicle.

Most insurance policies covering collision and comprehensive are written on
an actual cash value at time of loss basis. On new vehicle leases or purchases, you
can usually buy new for old replacement coverage that will replace your vehicle with
a new one of like make and model, rather than allowing used value for the vehicle.
Of course, there is an additional cost for the coverage, but well worth it if you don't
want to take the risk of being "upside down" on your loan or lease. Being "upside
down" means that the vehicle was a total loss and you owe more on the loan or
ease than the vehicle was worth. This is a common occurrence in the first three to
four years after one purchases or leases a new vehicle.

If you don't have replacement cost coverage on your vehicle and it is a total
loss, the compensation will be actual cash value at time of loss. If you don't think it's
a fair settlement, ask them to supply documentation showing how they arrived at the
settlement amount. If you're unhappy with their explanation, ask where you could
purchase a comparable vehicle for the settlement amount offered plus your deductible.

If they are unable to supply you with that information, you could do some shopping
on your own and present your findings to the insurance company. It's a bit of work,
but in my opinion well worth the extra effort. Usually it will increase your settlement
to a fair amount!

I am confident that the information in this Section will be of benefit to you in
the event of a claim, whether it's against your own insurance company or the company of another motorist responsible for causing the accident. Hopefully, you will never
have to use the information in this Section, but if you do, it will prove invaluable!

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