Steven Wilson was the passenger of a Jeep Grand Cherokee and was insured by State Farm.  The car was involved in an injury car accident on August 29, 2009. Unfortunately, the driver of the other vehicle who was at fault was uninsured.  Wilson had significant medical bills due to the accident. Some of these medical bills were paid by the Medicare (This is the practice in Kentucky after the PIP benefits are exhausted. The payment creates a statutory lien requiring the recipient of the Medicare benefits to repay Medicare. This is called a super lien because the attorney and the insurance company are also liable if payment is not made). The State Farm insurance policy available to Wilson was an uninsured motorist policy. The policy limits were only $50,000.

State Farm asked permission to discuss the lien with the Medicare. This was refused by Wilson.  Wilson then demanded the insurance settlement be deposited in an attorney escrow account.  State Farm suggested including Medicare as a payee on the settlement check which was also rejected by Wilson.  Eventually, State Farm issued separate checks to Medicare and Wilson while waiting for Medicare’s determination of the value of its lien.

Dealing with Medicare is frustrating for accident victims as well as their personal injury attorney. They are typically slow in responding to lien amounts which will hold up finalizing a personal injury settlement.  Unfortunately, there is nothing that can be done to speed up the process. Patience is the key.

In Wilson v. State Farm Mutual Automobile Insurance Company Co, Steven Wilson claims State Farm acted in bad faith by delaying payment of the policy limits more than 30 days.  According to the Courts opinion State Farm learned the value of the Medicare lien after two months when they paid both the Medicare and Wilson.

Judge John G. Heyburn, II signed a Memorandum Opinion and Order on June 14, 2011 granting State Farm’s motion for summary judgment and dismissing the complaint with prejudice.  Wilson’s motion for summary judgment was also denied.  The Court concluded that delay or withholding of payment until a determination is made with respect to Medicare’s conditional payment amount alone does not constitute bad faith.  State Farm had the willingness to settle its accounts. The fact that they attempted to determine the amount to be paid to Medicare was considered a reasonable precaution to protect itself from overpayment.

Under Kentucky law in order to withhold payment on an insurance claim the insurance company must:

1. Have an obligation to pay the claim;
2. Not have a reasonable basis for failing to pay the claim; and
3. Know that it lacked a reasonable basis to delay payment or act in a reckless disregard to the existence of the basis.

Although I understand the Court’s ruling, I see this opinion being used to delay payments in accident cases. This will allow the insurance company to hold onto the settlement amount and earn interest while the injured accident victim struggles to make ends meet. Surely there is a better way.

Are you insured?  If you are, you know its importance!  If you aren’t insured, what is your problem?  You definitely need to.  Everyone knows the importance of having Kentucky car insurance.  Why don’t all Kentucky drivers have insurance? The economy, recession and no jobs are all excuses.  Car Insurance is neglected by some drivers, meaning an increased number of uninsured motorists in Kentucky. According to the Insurance Research Council, the estimated number of uninsured drivers is as high as 25% in some states.

In Jefferson Country, Louisville, Kentucky a program allowing uninsured drivers to avoid a huge fine has been stopped because court officials found it impossible to monitor the high number of participants. It ended May 6, 2011.  Jefferson District Court judges determined that the Insurance Diversion Program wasn’t managed properly and was unsuccessful. Chief District Judge Sean Delahanty said that the court system lacks manpower, technology and resources to deal with the program.

There are about 7,000 participants in the No Insurance Diversion Program.  The people are living pay check to pay check.  They make choices on how to spend their money. Often food and clothes wins over car insurance.  The financial penalty for getting caught with no insurance makes it harder to pay for insurance and comply with the law. The current participants will be the last unless the judges and state Administrative Office of the Courts officials figure out a way to run it effectively.

Under the program, participants who were referred by prosecutors, would plead guilty and show proof of insurance. Then court workers would call the participants’ insurance companies every month to ensure they kept the insurance policies hadn’t been canceled. At the end of the two years, the charge was dismissed and could be taken off their record.

This was an effective way of helping to keep insured vehicles on the road.  Unfortunately, as a Kentucky personal injury attorney, I see accident victims who have been injured by careless drivers who have no insurance routinely.  With so many uninsured drivers on the road I strongly urge you to check your auto insurance policy and make sure you have uninsured motorist coverage.  The cost is usually less than $50.00 a month.  This could make the difference in being compensated if you are in an auto accident with an uninsured Kentucky driver.

In a slowing economy, not everyone behind the wheel has an auto insurance. In fact, the rate of uninsured drivers in United Stated has shot up to nearly one in five. Insurance Industry Analysts have recently revealed correlation between the slowing economy and insurance rates of recent years. Unemployment rate increases coincide to the increase in uninsured motorists. Based on data from Insurance Research Council, every percentage point increase in unemployment rates, results in of 0.75 percent increase in the rate of uninsured drivers. 

What if you are driving and you are involved in an accident with a driver with no liability coverage? As a responsible driver and vehicle owner, the best solution is to buy Uninsured/Underinsured Motorist Coverage. Under the Kentucky law, all drivers are required to have automobile liability insurance coverage. This is supposed to protect drivers from harm and expenses that are caused by automobile accidents. Kentucky drivers are required by law to carry a minimum of $25,000 of bodily injury coverage with a maximum of $50,000 per accident and a minimum of $10,000 in property damage liability coverage for every owned vehicle. As a personal injury attorney I suggest much more. You will be surmised at how little the additional coverage will cost you. 

The continuous economic downswing affects many families in Kentucky. Some families would rather save their money and use it for their basic needs rather than having an automobile liability. This may save their money but I think it is not a good choice because it may cost you more in the long run. 

To find out how you can protect your family in the event of a serious automobile accident get a complimentary copy of my book “What You Don’t Know About Buying Car Insurance Can Hurt You”.

You call your insurance agent and want to purchase Kentucky car insurance.  You tell your insurance agent that you would like full coverage because you want to be protected if you are in a Kentucky car accident. 

• Is there really such a thing as full car insurance coverage? 
• Do you know what the insurance agent is going to give you when you ask for full coverage? 
• Does the price that is quoted always include everything? 
• Is the agent giving you the best coverage or the cheapest coverage?

Unfortunately, full car insurance coverage means something different to different insurance companies.  From my perspective, as a personal injury and accident attorney, I believe full car insurance coverage should be exactly that, full coverage. But what you, the consumer who is purchasing insurance, are quoted usually does not contain uninsured motorist coverage and underinsured motorist coverage (UIM/UM).  These are usually considered add?ons by the insurance company. 

It is very important that you ask what coverages are included in the cost of any policy to make sure that you and your family are protected should you be in a serious Kentucky automobile accident.  You MUST have uninsured motorist coverage and underinsured motorist coverage, especially in this day and age.  Why?  More and more people are driving with the minimum insurance in Kentucky, which is only $25,000.00. Others have elected to violate the law and have no insurance at all.

Let’s look at a situation that happens frequently. You are in a Kentucky car wreck. You are seriously injured. The other car does not have insurance. They have no assets you can collect from. What do you do?  Sure you can file a lawsuit, get a judgment and hope they win the lottery. Your only option is your uninsured motorist coverage, if you have it.  If you don’t have any, you will not collect anything for your injuries.  I would suggest at least $100,000.00 in coverage, but you should go higher if you can afford it. 

For more information on this, go to www.KyInsuranceBook.com to get a complimentary copy of  “What You Don’t Know About Buying Car Insurance Can Hurt You.” 

How much automobile insurance coverage should you have on your family’s car insurance in Kentucky?  What is enough to protect your family should you be involved in a serious Kentucky car accident? These are questions I am asked when people find out I am a personal injury attorney. I try to give the best advice I can.  Most people do not have enough car insurance. They assume that if a car hits them and causes an automobile accident that the at-fault car will pay for all of the damage. This may not be the case.  

This is a follow-up to my last blog where I outlined the available Kentucky insurance coverage.  Here are my recommendations for your family’s Kentucky car insurance. I strongly recommend that you purchase at a minimum the following for your policy of insurance: 

·         Bodily injury liability:  $300,000.00 per person, $500,000.00 per accident

·         Property damage liability:  $50,000.00 per accident

·         Collision:  $50,000.00 per accident

·         No-fault or PIP benefits:  I recommend add a reparation benefits of $30,000.00.  This is especially true if you do not have health insurance.

·         Uninsured motorist coverage:  $300,000.00/$500,000.00 per accident

·         Underinsured motorist $300,000.00/$500,000.00 per accident

            These are minimum recommendations. It is important to note that the increase in your premium for this increased coverage is very inexpensive as compared to cost of the basic policy.  Check the rates with your car insurance agent and see what happens. For a sample of the increase in your rates for increasing your policy limits see the appendix of my book What You Don’t Know about Buying Car Insurance Can Hurt You. 

Don’t let your insurance agent tell you that you don’t need to purchase the additional insurance coverage and limits as I’ve listed above.  Especially uninsured motorist and/or underinsured motorist coverage. These are must have coverages to protect your family in case of a car accident.  

There are many reasons they may not tell you about these coverages.  Some insurance agents are given bonuses if there are no third-party claims made or a minimum number of third-party claims made on policies they have sold.  Third-party claims are those that are made under uninsured and underinsured motorist coverage.  You are eating into their Christmas bonus if you make a claim under this. 

Let’s give you an example of what could happen.

Bob was in a Kentucky automobile accident. He walked away from the auto accident without a scratch, but his twelve-year-old son, Chris, was severely injured. A drunk driver ran a red light and crashed into their car. Bob’s car was totaled. His son, Chris, was taken by ambulance to the emergency room. He had a broken arm, a back strain and glass in his face. Chris had surgery and pins were inserted in his arm. Chris should be okay, but he will have to endure several months of physical therapy.

The drunk driver did not have Kentucky car insurance. Bob doesn’t have health insurance. He has questions. How will he pay the $22,000.00 of medical bills Chris will incur?  How does his car get repaired? Will he get paid for the time he misses from work to take his son to his doctors and physical therapy? Can he sue the drunk driver?

Bob thinks he has full coverage on his car. I take a look at his policy. Bob has the Kentucky minimum insurance. He has $25,000.00 per person in liability coverage and $10,000.00 in PIP coverage. He does not have collision coverage on his car and he has waived his Uninsured Motorist and Underinsured Motorist Coverage (Bob had no idea what he was doing when he signed the insurance agreement doing this but it saved him $20.00 on his premium). The few dollars Bob saved on his premium is now going to cost him thousands and thousands of dollars. Unfortunately for Bob, there is no way around this horrible outcome.

What does this mean? Since the drunk driver had no insurance and no assets our next step is to look to Bob’s insurance company to pay his son’s medical bills and to compensate Chris for the pain and suffering he has gone through from the ride in the ambulance while strapped to a back board unable to move to the tears in his eyes while he goes through physical therapy, and for the pain he will endure for the rest of his life. 

Unfortunately, Bob only had minimum coverage, which is what the Commonwealth of Kentucky says is the lowest amount of insurance you can have on your car and legally drive. The Lowest limits are 25,000/50,000/10,000. The $25,000.00 is per person or the most available to a single person. The $50,000.00 is for the entire accident no matter how many people are injured. Finally the $10,000.00 is for the property damage.

Even worse, the Uninsured/Underinsured Motorist Coverage Bob waived to save a few dollars on his insurance premium would have protected him and his son in the event that the at-fault person in this Kentucky car accident (in Bob’s case the drunk driver) did not have insurance.  Since this protection was waived there is absolutely no insurance money to compensate Chris for his pain and suffering. The only recourse for Bob against the drunk driver that hit his son is to sue him in Civil Court. Unfortunately, it will be next to impossible to collect any money from the drunk driver since it is likely that he has no assets and will be a candidate for bankruptcy.

To make matters worse, Bob didn’t have Collision Coverage so he had to pay to replace his car out of his own pocket. This is not a situation you want to be in. It gets worse.

What about Chris’s medical bills? Well Bob did have PIP coverage. This will pay the first $10,000.00 in medical bills for Chris. Bob will have to pay the additional $12,000.00 of his son’s medical bills (Bob didn’t have health insurance). So, not only did Chris get nothing for his pain and suffering, Bob has to pay $12,000.00 and buy a new car.

Since the drunk driver had no assets that could be attached, Bob’s son cannot get anything for pain and suffering, Bob has to repair his car and pay out of his pocket for any other expenses he has. If only Bob had been better informed he would have purchased the right insurance and this situation would have been avoided.

This is example shows you why you need to be proactive and know what your insurance coverage is. Talk to your agent today so that your family is protected should you be in a Kentucky auto accident.

I am a Kentucky personal injury attorney.  I represent the victims of car accidents, truck accidents, fatal accidents, motorcycle accidents, bicycle accident and pedestrian accidents. When I speak with an accident victim I am concerned about the type of insurance coverage that the potential client has.  This insurance coverage often makes a huge difference on what I am able to do for a Kentucky accident victim on any particular case. This is especially true if the injuries are serious or fatal and the at-fault car did not have insurance coverage. 

One of the first questions I ask as I am getting to know a new client is “What type of car insurance coverage do you have?”  The answer that I get 90 percent of the time is, “I have full coverage.” I have learned that this means vastly different things to different people. So I ask the follow up question “What do you mean by full coverage?”  The answers I get vary. They are rarely the same. The potential client is almost never correct. Unfortunately, when someone becomes an auto accident victim it is the first time they really look at their own car insurance policy. 

I ask for a copy of the insurance policy declarations page to make sure I am getting accurate information.  The declarations page is a sheet or bill that you receive from your car insurance company that shows the different types of insurance coverage you have purchased , the limits, the amount that you pay for each coverage, and the cars or vehicles that are covered on your policy.

Now here’s the kicker.  Full coverage is a term that people hear all the time. I use it. I am sure you have used it. Guess what? There is no real definition for it.  You cannot ask your insurance agent for full coverage. This is not an all inclusive term. This makes it extremely important to know the different types of insurance that are available. This will enable you to purchase the best car insurance for you. In other words what full coverage is for you.  The different coverages available to you in Kentucky are:

• Bodily Injury Liability- Mandatory insurance that covers the injuries you cause to other people if you are in an automobile accident that is your fault.
• Property Damage Liability- Optional coverage that pays for damage done that is your fault to other vehicles or property.
• Collision- Covers property damage done to your own automobile by an actual collision and nothing more.
• PIP, Personal Injury Protection, or Basic Reparations Benefits- Mandatory coverage that is also known as No?Fault insurance. This insurance pays for your medical bills and lost wages up to $10,000.00 should you be in a car accident regardless of fault. 
• Added Reparations Benefits- Optional benefits that you can purchase in addition to your PIP for medical coverage and lost wages above $10,000.00. 
• Uninsured Motorist Coverage- Pays you for your pain and suffering and your out of-pocket expenses if you’re in an automobile accident and injured by a driver of a car that does not have insurance.
• Underinsured Motorist Coverage- Covers you for injuries you have sustained in an automobile accident that was not your fault when those injuries are greater than the insurance coverage of the car that hit you. 
• Miscellaneous coverage such as towing      
• Comprehensive- Covers damage to your car caused by something other than a collision, such as crack in your windshield.
• Umbrella Policy- Additional insurance you can purchase in case you have liability that is in excess of the limits of your other insurance. You may also purchase coverage for additional under insured motorist coverage under some umbrella policies.          

You can tell by this list that the only mandatory insurance coverage required by the State of Kentucky is bodily injury liability coverage, property damage liability coverage, and no?fault or PIP benefits.  The minimum amount of coverage is $25,000.00 50 for liability coverage.  As you can tell, this will not even be a drop in the bucket should there be a serious accident.  The minimum for PIP is $10,000.00.

For more information on Kentucky car insurance request a free copy of my first book “What You Don’t Know About Buying Car Insurance Can Hurt You.”

Make yourself an informed consumer when you buy car insurance and make sure you protect your family in case you are the victim of a Kentucky automobile accident.

            There is a call that no parent ever wants to receive.  Unfortunately, I did receive that call a couple weeks ago. 

I was in a deposition with a client on their Kentucky car accident case when my cell phone vibrated.  I recognized the number. It was my 16?year-old daughter who had just got her Kentucky driver’s license a month and a half before.  I let the call go to voice mail, but she immediately called me back.  This is our signal that it is an emergency and she HAS to speak with me immediately.  

I asked to take a break from the deposition so I could return my daughter’s call.  On the other side of the line I heard in half understandable words, “Dad I’ve just been in a wreck.”  I said, “Calm down.  Are you all right?”  She responded “The car, the car, the car.” I told her “I don’t care about the car.  Are you all right?” 

As I deciphered my daughter’s words in between the sobs I discovered that her neck was hurting from the automobile accident. She was driving to study for finals with three of her friends. She stopped at a light. Friend #1 stopped behind her. Friend #2 stopped behind Friend #1.  At that point in time Friend #2 was rear-ended by a blue minivan.  This set off a chain reaction that ended up with my daughter getting hit in the rear; the car in the middle was sandwiched and got the worst impact in this car accident. 

Then here’s what happened that made it all the worse.  The van took off.  It was a hit-and-run accident.  None of the girls thought quick enough to even try to get the license plate or a good description.  After all they are 16 and new to driving. The police responded to the scene and did an investigation but there was little they could do with no information. 

Luckily my daughter was okay and her friends appear to have no medical issues after a few weeks of treatment. You have to be extremely careful what you write about your Kentucky personal injury case, whether it is in a blog or on Facebook. That allows me to talk about it at this time and make my point. You should always be alert and try to keep your head after an accident.  Document as much as you can at the automobile accident scene. Take pictures of everything at the scene, including cars and skid marks. Give all information that you can to the police. 

Uninsured drivers are everywhere. If my daughter would have been seriously injured, we have Uninsured Motorist Coverage which would have paid for any pain and suffering.  Thankfully we also had PIP insurance which will pay for any and all medical bills. In fact was have Added Reparations Benefits which will pay medical bills up to $50,000.00. 

I hope none of you ever receive this call but if you do, the most important thing is to make sure that your child stays calm in this traumatic situation.  If anyone reading this would like a copy of the free brochure I offer, “What to do if You’re in an Automobile Accident”, please go to my website. You can download a copy there or if you send me an email I will be more than happy to mail you a copy free of charge.

         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 accident victims have a serious problem that I am seeing over and over again in my office. Unfortunately the frequency has increased. The problem is not with the accident victim but with the person that caused the accident. The at-fault party has been charged criminally with a variety of charges that include “Operating on a Suspended License” and “No Insurance”. I believe this has a lot to do with the economy and the “R” word. People are forced to make a choice between keeping their car insurance paid up, renewing the registration on their car and even paying speeding tickets as opposed to going to the grocery. The grocery is winning out.

How does all of this affect the Kentucky accident victim? There are a variety of reasons that Kentucky driving privileges are suspended for. It can be as a result of a Drunk Driving conviction or for habitual speeding. Those with suspended drivers licenses are dangerous drivers that keep driving. Unfortunately, they often cause serious automobile accidents. What is even worse, many car insurance policies will not cover the accident because the driver is in violation of the law, and thus the terms of the policy.

Other times the at-fault party doesn’t have car insurance to cover an accident. The coverage was not available because they have not paid their premium. As I said I am seeing this more and more frequently. What can be done?

There is new technology on the horizon, which may beat the low tech solution of simply impounding the offending party’s car (which is a short term fix at best). I read about a potential option on TheTennesseeAutoAccidentAttorney blog that is in the development stage called the Electronic Drivers License (EDLs). What is an EDL? It is similar to a bank card or a “smart card” that works together with an ignition interlock system (these are used to prevent habitual drunk drivers from getting behind the wheel). It is an on board computer that would verify the drivers identity in order to authorize the operation of the car. Along with verifying the identity of the driver the EDL system will have the ability of providing travel information such as time of day and speed prior to an impact. This is similar to a black box that we often hear about in airplanes. This is also standard equipment on many luxury automobiles and is referred to as an Event Data Recorder. I believe they will be required equipment on all cars in the near future.

This sounds great and will prevent some serious automobile accidents, but how will we know that the person behind the wheel is not using someone else’s card? There will need to be some sort of authorization system, such as voice recognition, finger print identification or maybe a Home Incarceration style of bracelet. Another option would be a system similar to the Owner Compliance Key that blocks cell phone usage within a three foot radius of the driver. I will be following the development of EDLs and keep you posted.

But what can you do to protect yourself from these uninsured drivers? You must make sure that you have uninsured and underinsured motorist coverage on your own car insurance policy. This is not an option anymore. Never ever waive uninsured and underinsured motorist coverage. If you are injured in an automobile accident in Kentucky and the person that hit you does not have insurance you will not be compensated unless YOU have this coverage on your policy. There will be no compensation for loss of power to labor and earn money. There will be no compensation for medical bills. There will be non compensation for pain and suffering. That is unless you have uninsured motorist coverage. Call your insurance agent today and ask if you have this coverage. If the answer is yes and you do have this coverage; raise the limits. If the answer is no; add it immediately!

Should you have any questions about insurance check out my book: “What You Don’t Know About Buying Car Insurance Can Hurt You”, Kentucky’s Ultimate Guide To Buying Car Insurance”. Go to my website and I will send you your book valued at $14.95 free of charge. Protect yourself and make sure you have the right coverage.

Don’t put yourself in a situation where you are injured in an accident and the at-fault party doesn’t have insurance. I don’t want to be the attorney that has to tell there is nothing I can do for you because you don’t have uninsured motorist coverage.

It is spring time and bicycles, scooters and walkers are everywhere. Unfortunately there are going to be accidents. One of the questions that people have is who is going to pay for my medical bills and injuries if I am in an accident where I am hit by a car while on a bike, scooter or walking down the street. There are several insurance policies to look toward for payment.

First, let’s look at payment of medical bills. Personal Injury Protection or PIP applies. You first look to the insurance of the car that hit you for PIP benefits that insurance will pay for up to $10,000.00 of medical bills and loss wages. If the car that hit you does not have insurance you would look to your personal car insurance policy. I know you weren’t driving your car, but the PIP Benefits will still apply and pay your medical bills. It is secondary to the at-fault car. Your insurance company will attempt to collect the money they pay for medical bills back from the person that hit you if they choose. If you do not own a car and do not have car insurance you will submit your bills to your health insurance. If you do not have health insurance you may be eligible for the Kentucky Assigned Claims Plan.

Now what about pain and suffering? Do you have a case for personal injuries if you are hit while on a bike, scooter or walking? YES! You will sue the person that hit you. If they have insurance you will deal with their insurance company. If they do not have insurance you would look to their personal assets. Should they have no assets do not give up. You should look to your own car insurance and your uninsured motorist coverage. Even though you were not in your car this coverage may be available to you and pay you for your pain and suffering for your injuries. You need to contact an attorney who is familiar with these claims so he can take a look at your policy. Depending on the policy language you may still be able to recover damages. The point is, don’t give up. Look at all available coverage to make sure you are compensated.