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| Dan Baldyga's Auto Insurance
Advice |
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Motor Vehicle Accident
Insurance Claim Guide
By: Dan Baldyga
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Your “Motor Vehicle” can be
a car, truck, motorcycle - - you name it! If
it’s powered by a motor and has one, two, three,
four (or even more) wheels this “Guide” is for
you.
The information below is a bare-bones “Guide” for those
who have had such a motor vehicle accident. It
details the basics of how one should with their
property damage and/or personal injury claim.
AFTER IMPACT CHECKLIST
We heartily suggest you make a copy of this "Impact
Checklist" to be kept handy within the confines
of your motor vehicle. A “Guide” to refer to so
you’ll be certain, should an accident take
place, that you’ve covered everything.
Other than the fact that one must obtain from the other
operator, both their drivers license and motor
vehicle registration information, you should
also proceed to do the following:
IMMEDIATELY MAKE SPECIAL NOTE OF: Names and addresses
of eye witnesses. And later the investigating
police officers name and badge number. WEATHER
CONDITIONS: Snow, rain, fog, mist, sleet, etc.
ROAD SURFACE: Dry, wet, slippery, icy, etc.
IMPACT AREA: City, suburban, business, wooded,
etc. VISIBILITY: Sunny, cloudy, dusk, night,
moonlight, etc. (Was the sun in the other
driver’s face)? TRAFFIC CONTROLS: Were there
overhead lights? Posted speed limit signs? Stop
or warning signs? Hospital or school zone signs?
CREATE A DIAGRAM: Driving area: Flat, crowned,
straight, curved, macadam, asphalt, concrete,
cobblestone, dirt, etc. Indicate the width of
street. Show the location of impact, gouge
and/or skid marks. CONDITION OF MOTOR VEHICLE
THAT STRUCK YOU: Age and general overall
condition. Is their state inspection sticker
displayed and up to date? Were chains or snow
tires needed? AS SOON AS POSSIBLE RETURN TO THE
SCENE AND SNAP PHOTOGRAPHS: It’s most important
to take pictures of: Skid or gouge mark’s on the
road surface plus the damage to both vehicles.
PHOTOS OF YOUR BODILY INJURIES: It's crucial to
the ultimate value of your claim to snap a
multitude of colored photos (up close and from
different angles) of your bodily injuries - -
especially all black and blue marks or bruises.
INSIGHTS INTO HANDLING YOUR CLAIM (There Are Seven
Areas You Must Be Familiar With) 1.
Out-Of-Pocket Expenses 2. Lost Time From Work -
Lost Wages 3. Property Damage Losses 4. What
Your Medical Doctor And/Or Chiropractor Reports
Should State 5. Medical Payments Coverage 6.
What To Do If An Adjuster Refuses To Cooperate
You Should Go Into Detail Regarding These (Below
Listed) Six Areas:
(1) OUT-OF-POCKET EXPENSES: These are expenses that can
be measured in definite sums of money. They are
the foundation of the calculations used to award
damages (including that often great and extra
amount paid to you for your “Pain and
Suffering”) regarding any financial loss flowing
directly from the injury you may have sustained.
MEDICAL EXPENSES: Obtain all bills and services
rendered. (Prior to their being sent out, you
have ever right to ask for and read the crucial
Final Reports regarding your physical condition
from your Doctor, Chiropractor, “Medical
Specialist” and/or Dentist). Medical Expenses
Typically Include: Ambulance ~ Emergency Room ~
Hospital or Clinic ~ Laboratory Fees and
Services ~ Diagnostic Tests: (X-rays and/or CT
Scan) ~ Registered or Practical Nurse Fees ~
Medicine and/or Prescription Medications ~
Prosthetic Appliances or Surgical Apparatus
(Canes & crutch, etc.) ~ Physical Therapy ~ Ace
Bandages, Gauze & Tape ~ Heating Pads ~ Creams,
Ointments, Balms & Salves. As you read them make
sure these Medical Reports include the length of
time of your “Total Disability” and/or your
“Partial Disability”. These are of enormous
value because they justify the often HUGE, extra
payment made for your “Pain and Suffering” .
(Plus this information will also prove your
claim for Lost Wages).
NON-MEDICAL DAMAGE EXPENSES. These include: Lost Wages
and Earnings ~ Lost Vacation Time and/or Sick
Leave ~ Travel Expenses: (Transportation costs
incurred getting to and from The Doctor and/or
Hospital, etc.) ~ Household Help During
Disability ~ Child Care During Recuperation.
(2) LOST TIME FROM WORK - - LOST WAGES - - YOUR "LOSS
EARNING CAPACITY": The weeks, hours and/or days
you were unable to work (thus the money you may
have lost) is added up and documented on company
letterhead. You’re often entitled to
compensation for “Lost Time and Earnings” even
if you have no actual loss of money ! Such as,
for example, if your salary is paid by some
other insurance coverage you may have or by
taking sick leave or some other similar
arrangement. It doesn’t matter if you're
employed full time, part time, self-employed,
own your own business, retired, unemployed, or a
housewife not employed outside the home, you
should keep a written record of all household
help and/or child care needed during your
disability period.
All of these constitute an element of your “SPECIAL
DAMAGES” mainly "Lost Wages". Insurance
companies usually don't view your time away from
work (because of an injury) as “Lost Time And
Earnings” but as “Lost Earning Capacity”. In
most states one is entitled to compensation for
lost time and earnings even if they have no loss
of money. For example, when your salary is paid
for by another insurance coverage you have or by
taking sick leave and/or some other similar type
of arrangement. There are specific situations to
be considered and called to the forefront when
it comes to being employed either full-time or
part-time. More detailed information (regarding
these above stated area’s of your loss) are
found in CHAPTER FOUR “Damages” within the book
AUTO ACCIDENT PERSONAL INJURY INSURANCE CLAIM.
(3) PROPERTY DAMAGE LOSSES: “AGREED COST TO REPAIR”:
This figure has been negotiated between your
damage repair person and the insurance adjuster.
Be sure you know (and possess a written copy of)
exactly what that figure is. COLLISION: There's
usually a deductible. Read your policy. (If
you’re not at fault you should eventually be
able to get this money back). PROPERTY DAMAGE
LIABILITY: Protects you for damages you do to
the property of another (i.e. his or her trees,
lawn, shrubs, mailbox, etc.) EXCLUSIONS: These
are stated in your policy. A good rule of thumb
is, “If it’s not excluded, it’s covered”. Read
your policy closely to discover your exclusions
and how they apply. TOTAL LOSS: A “Total Loss”
is when the motor vehicle damage exceeds the
value of the vehicle, as stated within all of
the up-to-date and “Official” Property Damage
books and/or documents. OTHER PROPERTY DAMAGE
LOSSES: Clothing, jewelry, watches, eye or
sunglasses, etc. You can also collect for your
(or any other individuals) personal property
which happened to be in the car and was damaged.
(Be sure to have written proof of the cost of
each item damaged plus the date it was
purchased). Never forget: You’re entitled to be
reimbursed for any charges you may have incurred
for towing, storage and/or substitute motor
vehicle rental, or for that matter - - any other
alternate transportation.
The above is a very brief review. For more in-depth
information read CHAPTER FIVE: PROPERTY DAMAGE
found in AUTO ACCIDENT PERSONAL INJURY INSURANCE
CLAIM.
(4) WHAT YOUR MEDICAL DOCTOR AND/OR CHIROPRACTOR REPORT
SHOULD STATE: Each “Injury Evaluation Factor”
should be clearly stated within each of your
final Medical Reports. For example: That your
disability is solely the result of the accident.
If there were any pre-existing conditions
aggravated by your injuries? What treatments
were administered and for what duration? What
medications were prescribed, in what amounts and
for how long? What symptoms or medical problems
were such medications meant to relieve? Were
there any adverse reactions demonstrated? Ask to
read them before they're sent to the adjuster so
you're sure it explains the nature, plus the
extent and frequency of the pain that an injury,
such as yours, will likely cause.
PROGNOSIS: This is the clearly stated information
(regarding your personal injury progress) and
should include: The part played by a
pre-existing condition, if any? Their prediction
of any possible future temporary
disability/impairments? Does the individual
attending you anticipate any further or future
treatments? LENGTH OF YOUR “TOTAL” DISABILITY:
Why? Because it's so important (when it comes
time to settle) this is clearly stated in weeks
and days. LENGTH OF YOUR “PARTIAL” DISABILITY:
Again (and for the same reason as above) this
too should be clearly stated in weeks and days.
(Specific details, regarding both “Partial” and
“Total” Disability , and the incredible value it
provides for you in your claim, are found in
CHAPTER SIX: YOUR BODILY INJURY).
(5) MEDICAL PAYMENTS COVERAGE: If you have this
coverage in your motor vehicle policy, it will
pay (up to the limits stated) for all medical
bills arising out of the accident - - regardless
of who’s at fault! (You must read your policy
carefully because the “Who”, “Why” and/or “How”
of this often differs).
A WORD ABOUT HEALTH INSURANCE PLANS: In certain
instances, it may be possible to have your
medical bills paid and yet avoid any repayment
by tapping into your health insurance coverage,
or some other plan you may have. (Yes, this
means, under certain circumstances, you may be
able to collect twice for the same medical
bills)!
(6) WHAT TO DO IF THE ADJUSTER REFUSES TO COOPERATE?
These Are Your Usual And Routine Choices: a.
Threaten that you're going to obtain the
services of a lawyer to represent you. b. Go
over the adjuster’s head. c. Resolve your loss
in Small Claims Court. d. Contact the proper
people (working through the State Department of
Insurance) implementing the time honored
principle of “Good Faith” vs. “Bad Faith”.
All the information necessary for you to deal with and
handle the above issues are spelled out within
the contents of AUTO ACCIDENT PERSONAL INJURY
INSURANCE CLAIM (How To Evaluate And Settle Your
Loss) found on the internet at
http://www.autoaccidentclaims.com or
http://www.caraccidentclaims.com. This book
also contains BASE (The Baldyga Auto Accident
Settlement Formula). THE BASE FORMULA will tell
you exactly how many dollars the "Pain and
Suffering" you endured are worth.
DISCLAIMER: The
only purpose of this claim tip is to help people
understand the motor vehicle accident claim
process. Neither Dan Baldyga nor Automotive
Trends make any guarantee of any kind
whatsoever; NOR to substitute for a lawyer, an
insurance adjuster, or claims consultant, or the
like. Where such professional help is desired it
is the INDIVIDUAL’S RESPONSIBILITY to obtain
said services.
Dan Baldyga's latest book AUTO ACCIDENT PERSONAL
INJURY INSURANCE CLAIM (How To Evaluate And
Settle Your Loss) can be found on the internet
at his web site
http://www.autoaccidentclaims.com. This book
reveals "How To" successfully handle your motor
vehicle accident claim, so you won't be taken
advantage of. It also goes into detail regarding
the revolutionary BASE (The Baldyga Auto
Accident Settlement Evaluation Formula). BASE
will explain how to determine the value of the
"Pain and Suffering" you endured, because of
your personal injury.
Copyright (c) 2004 by Daniel G. Baldyga. All
Rights Reserved
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