Kentucky car accident victims often have the question as to whether or not they’re going to be paid for the time they are unable to work as a result of the injuries they sustain in an automobile accident. That is whether or not they can collect their lost wages.  If the accident wasn’t their fault, the answer is yes, but that is a qualified yes. This would be the same answer even if the accident was their fault.

The first item I look at is what you can qualify for automatically. I will assume that you don’t have any disability benefits that you qualify for.  Under the Kentucky PIP law, you can collect 80 percent of your lost wages up to a maximum of $200.00 per week. This is what is called Basic Reparation Benefits.  I know $200.00 a week isn’t a lot of money.  It’s not going to pay for your mortgage.  It’s not going to pay for your car payment.  It’s not going to put groceries and food in your family’s mouths, but unfortunately that is what the law is in Kentucky if you have Basic Reparations Benefits. 

The remainder of your lost wages will be paid for at the end of the case by the at-fault insurance company. This is when your Kentucky car accident case is settled. Anything that is not paid by PIP will be paid or reimbursed at the end of the case. Unfortunately, this doesn’t do you a lot of good while you’re trying to pay your bills. 

The best advice that I can give you is if you have not been in an accident. This is preventative. There is nothing that can be done to change your insurance coverage after you have been in the accident to increase your benefits. Talk to your insurance agent and purchase what is called Added Reparations Benefits.  You may be able to raise that weekly lost-wage payment up to $1,000.00 a week with very little additional premium. 

You should also talk to your employer or an independent insurance agent about getting a disability policy that will pay for lost wages no matter how you’re injured; whether you’re in an automobile accident or injured falling at home. 

The Kentucky No-Fault Statute was not enacted as a disability policy for Kentucky automobile accident victims. It was only put in place to supplement your wage loss. The At-Fault party is responsible when the case is settled, but this can be years after the accident. Take matters into your own hands now so you are not wondering how you are going to pay your bills should you be injured in a car accident.

In Kentucky if you are a pedestrian or a bicyclist that has been hit by a car or a truck you may be wondering whether or not your medical treatment will be paid for and by whom.  This is a good questions for bicycle accident victims, as well as pedestrian accident victims. As a personal injury attorney, I can tell you that in almost every circumstance your treatment for injuries sustained in a motor vehicle accident will be paid for by an insurance company.  The question is what insurance company? Is it your health insurance? Is it your car insurance? Is it the car insurance for the car that hit you?

The first place that we look is to the car that hit you, the car that caused the bicycle accident or the pedestrian accident. If the car had auto insurance their PIP benefits will pay for your first $10,000.00 of medical treatment, no questions asked, as long as the treatment is related to the accident. 

If for some reason the car that caused the accident did not have insurance we then turn to your own personal car insurance company if you owned a car.  You might think this is the last place that you should look. After all you weren’t in your car at the time of this accident. Under almost all car insurance policies your car insurance is required to pay your medical treatment from injuries sustained in an accident between a car and you if you were a pedestrian or riding a bicycle. No matter how the accident occurred your car insurance will pay as long as it was a motor vehicle accident of some sort. 

Now if the other car did not have insurance and you do not own a car you will be eligible for benefits under what is called the Kentucky Assigned Claims Plan.  This is a state run program that requires insurance companies to, on rotation, pay for medical treatment for people that did not have insurance or no insurance available to them in a particular accident.

After the PIP benefits are exhausted you will then look to your personal health insurance, Medicare or Kentucky Passport. This insurance is secondary and is not used until the $10,000.00 in No-Fault Benefits are exhausted. Your health insurance will pay under the terms of your policy for any medical bills over the $10,000.00. Your health insurance company, Medicare or Passport may be entitled to repayment under federal law called ERISA or the terms of the policy from your personal injury recovery. You should check with an attorney to determine if subrogation is required.

After the PIP benefits are exhausted you will then look to your personal health insurance, Medicare or Kentucky Passport. This insurance is secondary and is not used until the $10,000.00 in No-Fault Benefits are exhausted. Your health insurance will pay under the terms of your policy for any medical bills over the $10,000.00. Your health insurance company, Medicare or Passport may be entitled to repayment under federal law called ERISA or the terms of the policy from your personal injury recovery. You should check with an attorney to determine if subrogation is required.

The bottom line is if you’ve been in a pedestrian accident or a bicycle accident where you’ve been hit by a car you are entitled to have your medical bills paid.  So don’t hold off on getting the treatment you need to recover from your injuries.  Get the doctor and find out what’s wrong with you and get better. This will enable you to achieve the best result possible in your bicycle accident or pedestrian accident case. 

         Bicycle accidents and pedestrian accidents that happen in Kentucky pose different questions and different answers for the accident victims. Bicycle accident victims and pedestrian accident victims come into my office after being hit by a car and have suffered serious injuries. They wonder if they have a case. They’ve been hurt and they want to recover for their injuries.

        What happens if the car that hit them did not have insurance? Can the bicyclist or pedestrian be compensated for injuries they suffered in the accident through no fault of their own? There can be a recovery even if that person didn’t have insurance or they don’t have assets sufficient to pay for the injuries that they caused by their negligent actions.

As a personal injury attorney, I will look at the insurance policy of the person on the bicycle or the pedestrian to see if they have what is called your uninsured motorist coverage (UIM). This is coverage on your own car. UIM will pay for your pain and suffering in a pedestrian or bicycle accident if for some reason the car that hit you did not have insurance. Most people have no idea that their own car insurance will give those benefits under this situation.

You need to make sure that you have this coverage on your own car insurance policy, make sure that if you are hurt in an accident like this that you will be covered!

Your PIP will also pay for the first $10,000.00 of your medical bills. This happens even though you were no where close to your car.

I had a client a few years ago that was on a moped and on her way to work. She was injured by a car that ran her off the road and then took off. We never found the car and have no idea who the person was that hit her. She had very serious injuries. Her leg was broke and required two surgeries, pins and rods were inserted. There was a year of recovery. We were able to get a recovery for her by looking to the UIM on her car. This was from her own car insurance company, even though she was not driving that car at the time and she was on a moped.

You need to look seriously toward your insurance company in these situations. Give your personal injury attorney something to work with. If you are not sure if you have this coverage call your insurance agent and ask. For more information on Uninsured Motorist Coverage follow this link to get a free copy of my book “What You Don’t Know About Buying Car Insurance Can Hurt You.”

Kentucky car accident victims always want to know how their medical bills are going to be paid.  They have been in an accident, they’re injured, and they’re not able to work.  Many people nowadays don’t have health insurance. The assumption that is made is “If I don’t have health insurance I will have to pay the medical bills for treatment from a car accident out of my own pocket”.

In Kentucky your own insurance company will pay those medical bills.  You have what is called PIP benefits. This is short for Personal Injury Protection. You may also hear these benefits referred to as No-Fault Benefits or Basic Reparations Benefits. It’s something you pay for under your automobile insurance policy. The first $10,000.00 of your medical treatment will be paid for by your insurance company.  You fill out a PIP application  that is sent to you by your insurance company. This triggers the payment to your doctor automatically from that point on until those $10,000.00 of benefits are exhausted. 

Once the PIP Benefits are exhausted you will send your medical bills to your health insurance company. Any additional treatment will be paid by your health insurance carrier. You are personally responsible for any co-pays or deductibles. Any money you pay out of your pocket should be reimbursed by the at-fault party’s insurance company at the time your personal injury case is settled. 

You might be concerned that hey, why should my car insurance company pay for this if the accident wasn’t my fault?  This is done so that you can immediately go to the doctor of your choice. Well at the end of the case they will get reimbursed by the at-fault party’s insurance company minus a $1,000.00 inner company deductible, so your insurance company will not be on the hook for those benefits.

Many Kentucky accident victims have suffered serious and life changing injuries from an automobile accidents, truck accidents or motorcycle accident. They come into my office looking for answers. They are concerned about the fact that they only have $10,000.00 in medical benefits available to them from their PIP Benefits (Personal Injury Protection) in their car insurance policy.  If you’ve been in an accident and have a serious injury and are in need of surgery this may not be enough to cover the medical bills for treatment you receive for injuries suffered in the accident. It’s a real concern if you don’t have health insurance. 

         After an accident your options are limited if you don’t have health insurance. Unfortunately you can’t go back in time. You are forced to go to a free clinic or find a doctor who will agree to treat you or perform surgery on a promise to pay later. This just doesn’t happen very often.

You really must take action right now before you are even in a serious automobile accident in Kentucky. You must do something long before you even think about contacting a car accident attorney. One thing that you must do is ask your insurance agent to increase your PIP benefits.  These additional benefits are called Added Reparations Benefits.  You can increase your benefits to $20,000.00 per accident, $40,000.00 per accident, $50,000.00 and even more with many insurance companies. 

You might think, well if I’m getting five times the benefits, I don’t want to pay five times the amount, but in many circumstances your premium will go up a relatively insignificant amount compared to the increased benefits you are getting.  One of the most important things you can do right now to protect yourself and your family is contact your insurance agent and request additional medical benefits on your auto insurance policy.  I would suggest that you call your insurance agent today to ask him how to go about this.  You’ll be amazed at how little it will really cost you and the peace of mind you will have knowing you have protected your family should you be in a serous car accident.

There is nothing worse then being injured in a Kentucky car accident. You are in pain. You look for a lawyer to guide you and help you deal with the insurance company. You want to get a fair settlement and the best legal advice. Your lawyer sends you to a doctor for treatment. They even arrange for you to fly to another state for surgery. You settle your case and get your settlement money, after your attorney and doctors are paid. This is the way it suppose to go, isn’t it? I would say yes unless you are Sharon Langford.         

We have all seen the billboards and the television commercials about the “aggressive attorneys” formally “Winters, Yonkers and Rousselle” now “Winters and Yonkers”.  Whether you are a fan of this type of legal advertising or not, you have to admit that it works because everyone in Louisville, Kentucky knows the name of this Florida based law firm.  The firm has recently been sued in Jefferson Circuit Court by a former client, Sharon Langford.

            Ms. Langford was injured in a car accident in June of 2008.  She alleges that she was not told that her personal health insurance would potentially pay for her medical bills after her PIP benefits were exhausted. PIP benefits are also known as No-Fault Benefits or Personal Injury Protection. She was referred to a medical care clinic called First Physicians Rehabilitation Inc. by the law firm according to the lawsuit. She was told they would take care of injuries suffered in a car accident.  It is reported that the medical facility did not accept health insurance only PIP car insurance. 

Later when Langford needed surgery the firm flew her to another clinic in Florida.  In the lawsuit Langford states that she discovered later that both clinics were owned by Gary Kompothecras, a chiropractor, who also owns the Hepley advertisement referral service 1?800?ASK?GARY.  Langford also alleges in her lawsuit that the relationship between the law firm and the clinic cost her money.  Her attorney, Sam Carl, states that medical bills paid after PIP totaled over $64,000.00.  Health insurance would have paid a portion of this leaving additional money to Langford after settlement of the lawsuit. You can read the courier journal article that I linked above with further details. 

The question that comes to mind is whether or not the referrals to and between the medical clinic and the law office should be disclosed to clients.  It is alleged that this is a requirement.  I would argue that a client should be referred to the best doctor available and not a doctor that is only referring business to the law firm.  I often refer clients to doctors. Those clients would otherwise have no idea where to go.  I give them the name of several doctors based on their needs.  Many family doctors do not want to handle lawsuits or auto accident suits nor do they understand how to bill car insurance for payment for their medical services. 

The question always comes down to what is best for the client.  Any relationship between a doctor and a lawyer should be disclosed to the client. I will watch with interest Sam Carl’s case to see what direction it does go.  It’s safe to say it should be educational for Kentucky auto accident victims and give them the knowledge they need to ask questions of their attorneys as to the relationship between the attorney and the doctor.

One of the worst things an accident victim can do is fake an injury or exaggerate the injuries they did receive.  Unfortunately this is a practice many do in hopes of getting a better settlement.  Because of these practices the insurance industry has long resorted to video surveillance to catch these culprits.  Some critics feel that these practices have gone too far when the insurance video tapes truly disabled people and using the videos against them. The sad part is these “scam artists” make the process a nightmare for those Kentucky accident victims that were truly injured in an auto accident.

I recently read about a case in point, Jack “Rocky” Whitten. Mr. Whitten suffers from several residual symptoms as a result of a broken neck from a fall.  He has vision problems, memory issues and is often in excruciating pain.  Mr. Whitten fortunately had purchased disability insurance ten years ago that would pay him 60 % of his salary if he ever became disabled. After his fall three doctors declared him permanently disabled and he began receiving benefits in 2003.

Last year a representative from Hartford Insurance Company visited Mr. Whitten and his wife and questioned his limitations. The claims adjuster then pulled out a video that showed Mr. Whitten getting out of a van, looking at a magazine, and eating chips and salsa.  Maybe you are reacting like I did and are saying “So what?” Shortly after this visit the Whitten’s received a letter from Hartford explaining that his benefits would be cut off based on the video and a report from a doctor hired by Hartford –who had never examined Mr. Whitten- that claimed he, was able to work based on the video. After a phone call from national television show Good Morning America Mr. Whitten’s benefits were restored. Hartford believes this claim has been handled fairly and strongly.

This process a doctor looking at records and not examining the patient is called a “Peer Review”. It is a common practice in cases and is frequently used in Kentucky car accident cases to review medical payments submitted under PIP. The medical care is often found to be unnecessary or unrelated to the car wreck by the peer review doctor. The insurance company will deny payment based on this “paper review’. This forces the accident victim to litigate their case against the car that caused the accident and their own insurance company. The process is very frustrating to those accident victims who have legitimate injuries. Many times those unrepresented by an attorney will stop treating which is detrimental to their claim and recovery.

Insurance companies have been using video surveillance tactics for years. I have seen this in Kentucky cases. I have watched videos of accident victims painting houses and dancing. In our new internet world insurance companies have also become cybersleuths. The internet has an abundance of information that is available to them by looking at Facebook, Myspace, YouTube, etc. Don’t give them  a reason to deny your claim. Be careful. As we can see from Mr. Whitten, even the most innocent action will be misinterpreted.

Kentucky is a PIP state for automobile accidents. PIP is short for Personal Injury Protection. You may also hear these benefits referred to as Basic Reparation Benefits or No-Fault Benefits. I am not going into great details hear as to how these benefits work. Here is the nut shell. You have $10,000.00 of benefits that will pay your first $10,000.00 of medical bills and or lost wages.

Those of you that know me have heard me say that this is simply not enough for most accidents. I urge everyone to I run into (just figuratively) to purchase additional benefits called Added Reparation Benefits. For a small increase in your premium you can dramatically increase the coverage that is available to you.

With all of the talk about health care reform I have been looking at what is going on north of the border in Canada. In Ontario government is making plans to reduce their medical rehabilitation benefit from $100,000.00 to $50,000.00 for non- catastrophically injured people.  This is part their no-fault benefits. While I am urging people to increase their benefits in Kentucky the Canadian government is forcing everyone to take a reduction in these benefits. This will significantly alter the quality of care victims of automobile accidents will receive.

Interestingly enough it will increase the attorney fee collected. I am sure that most Personal Injury lawyers in Ontario don’t care about this change because of this.

I ran across an interview done by Brenda Hollingsworth, an Ottawa personal injury attorney, which was a breath of fresh air. Brenda is speaking out against the decrease in medical rehabilitation benefits that will be available to seriously injured car accident victims starting in the summer of 2010. In the video, Brenda talked about how injured car accident victims will run out of their Ontario rehabilitation funds long before the ten-years they are supposed to last. The 50% reductions in benefits will have catastrophic affects on many families.  

Brenda believes this change will increase the number of lawsuits required because injured people will have to sue the drivers who hit them to ensure they can pay for physiotherapy, medication and other medical needs.

I salute Brenda for standing up for the victims of auto accidents. In Kentucky we already have a low amount of PIP benefits that is required. Do yourself a favor and call your insurance agent and raise your coverage today!

Last weekend I was helping the Bon Air Neighborhood Association plant trees along the Bardstown Road Corridor between the Showcase Cinema and Hikes Lane. The purpose of this project is to raise awareness of the perils of pedestrians and bicyclists as they travel Bardstown Road.  The tree planting was in memory of a friend of the Bon Air Neighborhood Association, Jen Futrell. Jen was riding her bicycle home from work last year when she was struck by a van and killed.

While I was digging holes and planting trees there was two automobile accidents that occurred within fifty yards of me.  The first accident was a rear-end collision.  A car did not stop and plowed into the back end of another car.  The front hood was crushed and the bumper was torn off the car that was hit.  It was a hard impact.  Other than looking over and watching the cars and the police arrive, I did not pay much attention to this accident.  Everything seemed to run its course.

After at-fault car in the first accident left the scene, he pulled to the left to make a left-hand turn. He was apparently reading something while driving (which goes to a completely different point) and rear-ended another car.  Yes you heard me right, the same car that was in the first accident had just been involved in a second accident within minutes of the police leaving the accident scene.  The damage to the car in the second accident was minimal.  The impact pushed the bumper in. It then popped back out. Only a slight crack that was visible.

What grabbed my attention in this accident is that the driver of the impact vehicle got out of his car and was very animated.  The woman from the car that had been hit also got out of her car. I heard the voices get louder and louder. He was begging her not to call the police, not to call the insurance company, as there was no damage to the car.  There was a young boy in the back seat so I decided to go over to make sure everybody was okay.  I immediately noticed that the woman was visibly upset. She wanted to call the police but was afraid to. She was being intimidated by the animations of the first man. I could tell that she was scared and didn’t know what to do.

This got me thinking that many, many people do not know what to do if they are in a Kentucky automobile accident.  I advised the woman to get back into her car so that she could sit with her son, calm him down and to call the police.  The driver of the car that hit her became angry with me for getting involved. This was an obvious clue he was up to no good.  I asked him to provide his insurance card so that they could exchange information. It was at that time I noticed that he had a no insurance citation, which was obviously from the first accident.  He did not have insurance and although this was a minor accident, I  know from my experience that minor accidents have the possibility of leading to serious injuries. The woman’s boyfriend showed up and I left because I felt things were under control.

Now for the reason I am telling you this story. When you are involved in an accident there are several things that you need to remember. Failure to take these steps may make it difficult to proceed with a claim at a later time.

• Stop! The law requires anyone to stop that has been involved in an accident.  If you do not stop, you could be charged with leaving the scene of the accident, which is a criminal charge.  If possible and the accident is minor always pull over to the road get out of traffic so that you are safe.

• You should always assist anybody that is injured and call 911.  Do not move anybody that is seriously injured.

• Everyone should always report the accident.  Call the police department.  This is something that this woman almost did not do.  If she woke up the next morning with neck or back pain, it would be much more difficult to file a claim and get a satisfactory settlement.

• You should always exchange information.  You want to make sure that the other driver has insurance.  Get his driver’s license number, his address, the vehicle license plate number, make, model, year and VIN number of the car.  Do not count on the other person to give this to you as they may not give you the correct information.

• No matter how minor the accident you should see a doctor and get checked out to make sure that there are no hidden injuries.  Many times, you are so upset from the accident your adrenaline is flowing that you do not know you are hurt.  Get checked out just to make sure.  Your PIP insurance will pay for this.

• Watch what you say.  Always tell the truth but do not be too quick to assume what happened.  Just tell the facts to the police.

• If you don’t know what your options are talk to a lawyer so that he/she can advise you.

I hope these tips help.  If you need any additional information I provide a free down loadable pamphlet on what to do if you are in an automobile accident.  Alternatively, you may email me at mike@mikeschaferlaw.com and I will mail you a copy of the pamphlet. I hope you are never in a car accident and have to use this information, but if you are you will now know what to do.

I received a phone call yesterday from a potential client that I just shook my head after I hung up the phone. I was asked this question:

How do I get my $10,000.00? I was in a car wreck yesterday
and I need my money.

This question disturbed me so I inquired further and asked how the accident happened and what the injuries were. The reply was that there was no injury they just wanted their car wreck money.    I get a similar question from someone just about every week. The motive is usually not as clearly for money. It is usually just a lack of understanding of the Kentucky PIP statute and how it actually applies to a Kentucky car accident.

There are bus ads and television commercials you see everyday telling you that if you have been in a car accident you are entitled to $10,000.00. These ads are not lies but they do not tell you the whole truth. They make you believe that there is this magical pot of money waiting for you if you have been involved in a Kentucky car accident.

There is $10,000.00 of benefits available but it is not just because you have been in a car accident. They are there if you have been hurt! Not just because you were in a wreck. A car accident is not hitting the lottery. It is not a way to pay off your bills and put your kids through college. There is not a client I represent who wouldn’t give the money back if they could only be the way they were before the accident.

There are several names for this $10,000.00. It is called:

• PIP Benefits

• No-Fault Benefits

• Basic Reparation Benefits

• Added Reparation Benefits (If you are lucky and have a good insurance agent that has advised you of the availability of these in Kentucky)

The Kentucky No-Fault Statute was enacted by our legislature to make sure that motor vehicle accident victims would receive the medical care they need without being hassled by the insurance company of the car that hit them. I will not go into all of the different benefits here, as I  have written many blogs and a book that thoroughly covers this subject. Basically you are entitled to have your first $10,000.00 of medical bills and or loss wages paid(at a maximum of $200.00 per week). This is money to ensure you get the treatment and care that you need paid by your own insurance company. It doesn’t matter whether the accident was your fault or not. You can still go to the doctor. It is not a windfall, it is a method to ensure accident victims get the treatment and medical care they need.

The next time you see one of the commercials offering $10,000.00 for your car accident you can say I know what that money is really for. There is no give away or lottery. This is money to make sure the injured accident victim gets the medical treatment they need.