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Texas law requires you to have auto liability insurance, and if you still
owe money on your car, your lender requires that you also carry collision and
comprehensive coverage. Auto insurance pays for damages, injuries, and other
losses specifically covered by your policy. Read your policy carefully to
know exactly what it covers. Pay special attention to the exclusions section,
which lists the things your policy doesn´t cover. The front page of your
policy is called the declarations page. It contains useful information such
as the exact name of your insurance company, your policy number, and the
amount of each of your coverages and deductibles.
Texas has an automobile insurance Consumer Bill of Rights. Your company
must send you a copy with your policy or policy renewal. Take time to read it
to fully understand your rights under Texas law.
Texas Requires Proof of Financial Responsibility!
If you drive in Texas, you must show that you can pay for accidents you
cause. Most Texas drivers do this by buying auto liability insurance. Texas
law requires minimum coverage of $20,000 per injured person, up to a total of
$40,000 for everyone hurt in an accident, and $15,000 for property damage. This
basic coverage is called 20/40/15 coverage. However, basic coverage might not
be enough if you are held liable for an accident. You should consider buying
more than the basic limits. When you buy an auto policy, your insurance
company will send you a proof-of-insurance card. You will have to show proof
of insurance when you
- are asked for it by a
law enforcement officer
- have an accident
- register your car or
renew its registration
- obtain or renew your
driver´s license
- get your car
inspected.
Texas law provides severe penalties for violating the state´s financial
responsibility laws. A first conviction will result in a fine between $175
and $350. Subsequent convictions could result in fines of $350 to $1,000,
suspension of your driver´s license, and impoundment of your automobile.
Auto Insurance Coverages
The Texas Personal Automobile Policy offers eight types of coverage. Texas
law requires you to have basic liability coverage. The other coverages are
optional, but if you still owe money on your car, your lender will require
you to have collision and comprehensive coverage. The following describes the
eight types of coverage available in the Texas Personal Automobile Policy.
Auto insurers may offer alternative policies if approved in advance by TDI.
- Liability Coverage
Pays: Other people´s expenses
for accidents caused by drivers covered under your policy, up to your
policy´s dollar limits. These may include the other person´s
- medical and funeral
costs, lost wages, and compensation for pain and suffering
- car repair or
replacement costs
- auto rental while
their car is being repaired
- punitive damages
awarded by a court.
Liability insurance also pays attorney fees if
you are sued and bail up to $250 if you are arrested.
Covers: You, your family
members, and other people driving your car with your permission, even if they
don´t have their own liability insurance and are not named on your policy.
You and your family members also are covered when driving someone else´s
automobile - including a rental car - but not a car that you don´t own but
have regular access to, such as a company car.
Who qualifies as a family member?
Your auto policy covers your spouse, blood
relatives, in-laws, adopted children, wards, and foster children living in
your home, even if not named on the policy. Family members attending school
away from home and a spouse living elsewhere during a marital separation also
are covered.
- Medical Payments
Coverage
Pays: Medical and funeral bills
arising from accidents, including those in which the victim was a pedestrian
or a bicyclist.
Covers: You, your family
members, and passengers in your car, regardless of who caused the accident.
- Personal Injury
Protection (PIP) Coverage
Pays: Same as medical payments
coverage, plus 80 percent of lost income and the cost of hiring a caregiver
for an injured person.
Covers: You, your family
members, and passengers in your car, regardless of who caused the accident.
An insurance company must offer you $2,500 in
PIP, but you can buy more. If you don´t want PIP, you must reject it in
writing.
- Uninsured/Underinsured
Motorist (UM/UIM) Coverage
Pays: Your expenses from an
accident caused by an uninsured motorist or if the other driver did not have
enough insurance to cover your bills, up to your policy´s dollar limits. Also
pays for accidents caused by a hit-and-run driver if you reported the
accident promptly to the police.
- Bodily injury
UM/UIM pays without deductibles for medical bills, lost wages, pain and
suffering, disfigurement, and permanent or partial disability.
- Property damage
UM/UIM pays for auto repairs, a rental car, and damage to items carried
in your car. There is an automatic $250 deductible. This means you must
pay up to $250 of the repairs yourself.
Covers: You, your family
members, passengers in your car, and others driving your car with your
permission.
Insurers must offer UM/UIM coverage, but you can
reject it in writing.
- Collision (Damage to
Your Car) Coverage
Pays: The cost of repairing or
replacing your car after an accident, regardless of who was driving or who
was at fault. Payment is limited to your car´s actual cash value, minus your
deductible. Actual cash value is the market value of a car like yours before
it was damaged.
- Comprehensive
(Physical Damage Other than Collision) Coverage
Pays: The cost of replacing or
repairing your car if it is stolen or damaged by fire, vandalism, hail, or
another cause other than collision. Comprehensive coverage also pays for a
rental car or other temporary transportation if your car is stolen. Your policy
won´t pay for an auto theft unless you report it to the police. Payment is
limited to your car´s actual cash value, minus your deductible.
- Towing and Labor
Coverage
Pays: Towing charges when your
car can´t be driven. Also pays labor charges, such as changing a tire, at the
place where your car broke down.
- Rental Reimbursement
Coverage
Pays: A set daily amount for a
rental car if your car is stolen or is being repaired because of damage
covered by your policy.
Coverage for Stereo Equipment
Your policy won´t pay for tapes, compact discs, cellular phones, citizen
band radios, or stereo equipment not permanently installed in your car.
However, you can buy endorsements to your policy that provide separate
coverage for these items for an additional premium.
Insurance Coverage When Renting a Car
Auto rental agencies offer collision damage waivers as well as liability
policies. The collision damage waiver is not insurance. It is an agreement
that the rental company will waive its right to recover the costs of the
damage to the auto from the renter with certain exceptions, regardless of who
is at fault. If you have an auto liability policy, your policy already covers
damage to a rental car. Your coverage limit, however, might be less than the
value of a rental car. If you rent cars often, it might cost less to raise
the liability limit on your auto policy rather than buying collision damage
waivers each time you rent. The Texas Automobile Rental Liability Policy
provides liability insurance for renters who do not have a personal auto
policy.
If you don´t own a car, but borrow or rent cars often, you can buy a
non-owner liability policy. A non-owner policy pays for damages and injuries
you cause when driving a borrowed or rented car but not for damage to the
auto you are driving.
Coverage When Driving in Other States, Canada, and Mexico
Your Texas policy automatically meets the financial responsibility
requirements of other U.S. states and Canada. Mexico, however, does not
recognize U.S. auto liability policies.
Mexico does not require drivers to have automobile liability insurance.
However, drivers can be held criminally and financially responsible for any
auto accidents they cause. If you´re in an accident that results in an
injury, police in Mexico may detain you until they determine who is at fault.
You will have to show that you either have insurance recognized by the
Mexican government or the financial ability to pay any judgment against you.
You can buy Mexican liability insurance from Texas agents who specialize
in it. Some U.S. companies provide a free endorsement extending your policy´s
coverage to infrequent trips of up to 10 days and as far as 25 miles into
Mexico. You can buy coverage for longer stays, but it is valid only within 25
miles of the border. Telephone books in border towns list insurance agents
that specialize in car insurance for travel in Mexico. Your local agent also
might be able to help you find coverage with a Texas-licensed Mexican
company.
You also may be able to buy a limited Mexico "tourist"
endorsement that extends your Texas liability coverage to pay expenses
exceeding those covered by a Mexican liability policy. This endorsement
covers trips of any distance and any length of time. Ask your agent which
endorsements your insurance company offers.
Coverage of New or Additional Automobiles
If you buy a new or additional car, your policy will automatically cover
it, but there are certain limitations you should be aware of.
An additional car automatically has the same coverage as the car with the
broadest coverage provided by your policy. For example, if you have two cars
- one with liability coverage only and one with liability, collision, and
comprehensive - and you buy a third car, the third car will automatically
have liability, collision, and comprehensive coverage.
A replacement car automatically has the same coverage as the car it
replaced. For example, if you trade in an older car that only had liability
coverage, the new car will automatically have only liability coverage.
Be sure to notify your insurance company as soon as possible that you have
added or replaced a car and which coverages you want. You could lose coverage
on the new car if you wait longer than 30 days.
Shopping for Auto Insurance
Rates vary widely among companies, so it pays to shop around. Following
are some useful tips to help you find the best deal for your money:
- Decide before shopping
what coverages you need.
- Consider choosing a
higher deductible. Your deductible is the amount you must pay yourself
before the insurance company will pay. Higher deductibles will lower
your premium, but remember that you´ll have to pay more out of your own
pocket if you have a claim.
- Because rates vary,
ask several companies and agents for price quotes. Make sure the quotes
you get are for the same coverages.
- When getting a price
quote or applying for insurance, answer questions truthfully. Wrong
information could cause you to get an incorrect price quote or could
lead to a denial or cancellation of coverage.
- Buy from a preferred
company if you can. There are three types of insurance companies -
preferred, standard, and nonstandard. Preferred companies offer the
lowest rates. Standard companies have rates that are somewhat higher.
Nonstandard companies have the highest rates. In Texas, a nonstandard
company is likely to be a county mutual. Nonstandard companies often
sell to drivers with poor driving records or other problems. Many
insurance companies are actually groups of companies. An insurance group
might consist of a preferred company, a standard company, and a
nonstandard company. The insurer will place you in a particular company
in the group based on its assessment of your risk for a claim.
- Consider factors other
than price - including a company´s financial rating and its complaint
index. Financial ratings indicate a company´s financial strength and
stability, while its complaint index indicates a company´s customer
service record. Buy only from licensed companies and agents. You can
find out whether a company or agent is licensed and learn a company´s
financial rating from an independent rating organization and its
complaint index by calling TDI´s Consumer Help Line or
by visiting the TDI website
1-800-252-3439
463-6515 in
Austin
www.tdi.state.tx.us
- Ask your agent whether
you qualify for discounts. Some discounts are required by the state,
while others are optional with companies. County mutuals are not
required to give discounts.
Auto Insurance MAP
Sometimes good drivers pay higher rates than they should because they were
placed in a nonstandard company or in the Texas Automobile Insurance Plan
Association (TAIPA). TAIPA is the state´s assigned risk plan. TDI´s auto
insurance Market Assistance Program (MAP) offers eligible drivers a chance to
save money by helping them find coverage with a standard insurance company.
To be eligible, you must live in a ZIP code designated by TDI as
"underserved" by standard insurance companies. In addition, you and
all other drivers covered by your policy may not have had any at-fault
accidents or tickets for moving violations for the past three years. TDI will
verify your driving record and make your application available to
participating insurance companies. The companies may offer coverage at their
standard or preferred rates to qualifying applicants. To learn if you´re
eligible and to apply for coverage, call
1-888-799-MAPP
(6277)
Understanding Rates
Texas law requires rates for insurance offered in Texas to be reasonable,
adequate, not excessive to the risks for which they apply, and not unfairly
discriminatory. Currently, most auto insurance companies set their own rates,
within a range of 30 percent above or below "benchmark rates"
determined each year by the Texas Commissioner of Insurance.
However, companies called county mutuals set their own rates without
limitations and without regard to the benchmark rates. Most county mutuals
generally charge more than other companies. If your insurance company is a
county mutual, you should shop for coverage with a standard or preferred
company that offers lower rates.
Note: Beginning December 1, 2004, all auto insurers,
including county mutuals, must file their rates with TDI. The companies will
not have to receive prior approval before putting their rates into effect,
but their rates will still be subject to review by TDI. If TDI determines
that a company´s filed rates are excessive, the company can be ordered to
make refunds to consumers who were overcharged.
Factors that Affect Your Premium
Companies may use a number of criteria to establish your individual
premium. These include:
- Your age and,
for younger drivers, your marital status. Male drivers under 25
and unmarried women under 21 have the highest rates. Drivers over 50 may
get discounts.
- Your driving
record and claims history. A good driving record can save you
money. If you have accidents or tickets on your driving record, you´ll
likely be placed in a nonstandard company, which charges higher rates.
In addition, companies can add penalties - called surcharges - to your
premium for major driving offenses and accidents resulting in property
damage of $1,000 or more. Surcharges are mandatory for rate-regulated
companies and stay on your premium for three years.
- The county
where you keep your car. Because urban counties have more
accidents and auto thefts, their rates tend to be higher than those of
rural areas.
- The type of
car you drive. Collision and comprehensive rates are highest
for luxury, high-performance, and sports cars. Rates may also be higher
for cars that damage easily or cost more to repair than others.
- How you use
your car. Rates are higher for cars driven to and from work or
used for business.
- Your credit
score. Companies may consider your credit score when deciding
whether to sell you a policy and what to charge you. However, a company
cannot refuse to sell you a policy or cancel or nonrenew your policy
solely on the basis of your credit. Companies that use credit scoring
must file their models with TDI.
- Whether you
drove uninsured in Texas. Companies can charge more if you drove
uninsured in Texas for more than 30 days in the 12 months before you
applied for insurance. However, a company cannot otherwise charge you a
higher rate for liability coverage because of your prior lack of
coverage.
Companies must file their underwriting guidelines with TDI and update them
each time they make a change.
Discounts and Surcharges
Discounts can help you save money, while surcharges will cause you to pay
more. The following tables list common discounts available in Texas and the
surcharges that will raise your premium:
Discounts
|
|
|
Mandatory
Discounts
|
Amount of
Discount
|
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Defensive driving and driver education courses for young
drivers
|
10 percent off liability, collision, medical payments,
and PIP
|
|
Airbags and other passive restraints
|
15 percent off medical payments and PIP (driver´s side)
30 percent off medical payments and PIP (both sides)
|
|
Two or more cars on a policy
|
20 percent off liability, medical payments, and PIP 15
percent off collision
|
|
Optional
Discounts
|
|
|
Companies may give discounts for:
- your age and annual
mileage driven
- policy renewal,
with a good claims and driving record
- anti-lock brakes
- a parent or family
whose young driver is away at school without a car
- cars with automatic
daytime running lights
- students with good
grades.
|
Amount varies by company
|
Policy
Surcharges
|
|
|
Drivers
in Rate-Regulated companies*
|
TAIPA
Drivers**
|
|
One accident (at-fault) in 36 months
|
15%
|
20%
|
|
Two accidents
|
35%
|
40%
|
|
Three accidents
|
60%
|
60%
|
|
Each moving violation (speeding, etc.)
|
0%
|
15%
|
|
Involuntary manslaughter
|
60%
|
60%
|
|
Driving under the influence
|
60%
|
60%
|
|
Criminally negligent driving
|
60%
|
60%
|
|
No license, or license suspended
|
35%
|
60%
|
* Surcharges for these drivers are percentages of the
lowest benchmark rates in your county for liability, collision, PIP, and
medical payments coverage. Surcharges for drivers in nonrate-regulated
companies vary by company
** TAIPA surcharges are percentages of the drivers´
actual premiums.
Insurance on the Installment Plan
TDI rules require all auto insurers to offer installment plans. Some
companies only offer payment plans through premium finance companies, which
usually charge high interest rates.
Shopping smart for car insurance means you should seek not only low rates
but also low-cost financing. Ask who will provide your installment plan. Look
for insurance companies that offer their own installment arrangements. Ask
about the down payment, the number of installments, interest or service
charges, and the amount of your total monthly payment. Get premium quotes and
installment plan information from several companies before you decide.
Insurers and premium finance companies must give you terms at least as
good as these:
- For a 12-month
policy, a 16.67 percent down payment and 10 equal monthly installments.
If the policy is written through TAIPA, the down payment is 20 percent.
- For a six-month
policy, 33.33 percent down, with four equal monthly payments.
Insurers and premium finance companies may offer even smaller down
payments and more time to pay. An insurance company may add a service charge
to your payment. The basic service charge is $3 per month, but the company
can add 50 cents for every $250 (or fraction) of premium over $500.
Premium Finance Companies
Premium finance companies are specialized lenders that loan consumers
money to pay their insurance premiums, often at high interest rates.
Sometimes the only installment plan offered is through a premium finance
company, which might be owned by the agent selling your policy.
The insurance agent must tell you if your installment plan is with a
premium finance company and must give you the premium finance company´s name.
Note: If you buy insurance through TAIPA, an agent who
offers a premium finance company loan must give you a disclosure form comparing
it with TAIPA´s own installment plan. The form will show a side-by-side
comparison of the premium finance company´s payment plan and the TAIPA
installment plan. The form will show fees, interest payments, and the amount
you will pay under each plan. If you choose the premium finance company, you
must sign this form as proof you made your choice after seeing the
comparison.
If you enter into a premium finance agreement with a premium finance
company, you will pay the down payment to the agent, who forwards it to your
insurance company. Be sure to get a receipt at the time of payment.
The premium finance company pays the balance of your premium directly to
the insurance company and then collects the amount financed, plus interest,
from you in installments.
Your loan agreement assigns your power of attorney to the premium finance
company for payment transactions involving your policy. The premium finance
company can go to the insurer and cancel your policy if you fall behind in
your payments.
If your policy is canceled for any reason, the premium refund goes to the
premium finance company, which uses it to pay off your note. The premium
finance company owes you a refund if any money is left over. The finance
company must send your refund to you within 20 days after receiving it from
the insurance company.
A premium finance company must have a license from TDI. You can verify its
license by calling TDI´s Consumer Help Line. When dealing with a premium
finance company, it´s a good idea to
- Make sure the agent
presents your payment plan separately from the sale of insurance so you
will understand how your premium is being financed.
- Determine the charges
(interest plus fees) the company will use. Compare these to installment
plans offered by insurance companies. Also compare premium finance
company charges to bank or credit card interest rates.
- Never buy or finance a
policy until all the documents are completely filled out and you
understand the charge for each item. Be sure the agreement correctly
identifies the financed policy. The agreement should show the policy or
binder number, effective date of the policy, and the premium amount.
- If there is a premium
finance agreement, be sure to sign and date it before leaving the
agent´s office.
- Insist on getting a
copy of the installment agreement. Federal truth-in-lending laws require
the lender to give you a copy.
- Make your installment
payments only by check or money order payable to the company named on
your premium finance notice. Do not pay in cash. Keep a record. If you
do pay cash, demand a receipt.
- If you or the
insurance company cancels your policy, make sure the premium finance
company pays any refunds you have coming.
Losing Your Insurance
Companies may cancel or nonrenew a policy for a variety of reasons.
Cancellation means the company terminates your policy before it runs out.
Nonrenewal means the company refuses to renew your policy when it expires.
It´s helpful to know your rights regarding cancellation and nonrenewal of
your insurance.
A company must explain in writing its reasons for declining, canceling, or
not renewing your policy. This explanation must include
- the precise incident,
circumstance, or risk factor that violated the company´s underwriting
guidelines
- the insurer´s sources
of information about the incident, circumstances, or risk factor.
An insurance company may not cancel an auto policy that has been in effect
for more than 60 days unless
- you fail to pay your
premium
- you file a fraudulent
claim
- your driver´s license
or motor vehicle tags are suspended or revoked. This also applies to
other drivers who live with you or customarily use your car.
However, during the first 60 days, the company may cancel a policy for any
lawful reason, including a ticket or an accident. If the company cancels your
policy because of an accident, it still must pay for covered damages
resulting from the accident. The company must give you written notice at
least 10 days before canceling your policy.
If either you or the company cancels your policy, the company must refund
any premiums paid in advance that did not buy coverage. This amount is called
the "unearned premium." For example, if you paid a six-month
premium of $600 and you cancel your policy after one month, the company owes
you $500 in unearned premium.
A company cannot refuse to renew your policy unless it has been in effect
for at least 12 months. This means a six-month policy must be renewed to give
you a full 12 months of coverage. The company must give you 30 days´ notice
before not renewing your policy.
In Texas, a company cannot refuse to renew your policy because of
- weather-related
claims, including damage from hail, floods, tornadoes, high winds, and
hurricanes
- damage from colliding
with animals or birds
- damage from gravel
and other flying and falling objects (the company can raise your
deductible, however, if you have three such claims in 36 months)
- towing and labor
claims (the company can refuse to renew your towing and labor coverage,
however, if you have four such claims in 36 months)
- other claims or
accidents that cannot reasonably be blamed on you, unless you have more
than one of these claims in a 12-month period.
Sometimes an insurer will move you to another company in its group. If a
company moves you to another company within its group, it must give you 30
days´ notice that your original policy will not be renewed. If the company
fails to give you 30 days´ notice, TDI can require the company to renew your
policy for another year in your original company.
If you get a nonrenewal or cancellation notice, it´s a good idea to start
shopping for new insurance immediately. You´ll need to make sure that you
keep your liability coverage uninterrupted to satisfy Texas´ financial
responsibility laws. Also, if you still owe money on your car, your lender
will usually require you to maintain collision and comprehensive coverages
without interruption. If you cancel or lose these coverages, your lender will
buy single-interest automobile physical damage coverage and add the cost to
your loan payment. It´s expensive and protects only the lender. You may drop
collision and comprehensive once you have paid off your car loan, but you
should keep the coverages as long as you owe money on your car.
Your Rights Against Unfair Discrimination
An insurance company cannot deny, refuse to renew, limit, or charge more
for coverage because of your race, color, religion, or national origin.
A company also cannot deny, refuse to renew, limit, or charge more for
coverage because of your age, gender, marital status, geographic location,
disability, or partial disability unless the refusal, limitation, or higher
rate is "based on sound underwriting or actuarial principles." This
means the company would have to show valid evidence that you present a greater
risk for a loss than others it is willing to insure. Also, a company cannot
nonrenew your policy because someone in your family has reached driving age.
In addition, a company cannot unfairly discriminate between individuals of
the same rate or risk class in its rates, policy terms, benefits, or in any
other manner unless the refusal, limitation, or higher rate is "based on
sound actuarial principles."
You may sue insurance companies for unfair discrimination, including
denial of insurance. The suit must be filed in an Austin district court.
However, if the court finds the suit groundless, in bad faith, or brought for
the purpose of harassment, you may be ordered to pay the insurance company´s
legal expenses.
Auto Insurance for "High Risk" Drivers
Being labeled "high risk" makes it harder to get car insurance,
particularly at favorable prices. Insurance companies often check motor
vehicle records for your driving history and credit reports for your
financial history before writing or renewing your policy. Owning a car built
for speed also can label you as high risk.
Many companies use the Comprehensive Loss Underwriting Exchange (CLUE®) to
learn an applicant´s insurance claims history. If the company based its
decision to deny, cancel, or nonrenew you even partly on a CLUE® report, you
can get a free copy by calling the ChoicePoint Consumer Center or visiting
its website
1-800-456-6004
www.choicetrust.com/index2.htm
Before calling, get the CLUE® reference number from the company´s denial
letter or from the company. Using the reference number will speed the process
and ensure you request the right report.
Insurance Options for High-Risk Drivers
- Several major insurer
groups include county mutuals for their high-risk business.
- TAIPA is available
for drivers who can´t find basic liability coverage elsewhere. You
qualify for coverage through TAIPA only if two insurance companies
reject you. A licensed insurance agent must sign your application and
send it to TAIPA. TAIPA then assigns you to an insurance company, which
collects your premium and pays your claims. The company will provide
coverage for as long as three years.
- Keep shopping! Each
company has its own underwriting guidelines for deciding whether to
insure people.
If you get auto insurance through TAIPA, your policy will provide basic
liability insurance required by Texas law. You can add $2,500 worth of
Personal Injury Protection and uninsured/underinsured motorist coverage.
TAIPA doesn´t provide collision or comprehensive insurance. Nor does it
offer more liability coverage than the law requires. TAIPA policyholders who
need collision, comprehensive, or more liability coverage should ask an agent
for help finding a policy.
TAIPA coverage costs more than most companies charge, but could be less
than you would pay a county mutual. TAIPA policyholders must pay additional
premiums, called surcharges, for traffic convictions. They also pay higher
surcharges for accidents than other drivers. TDI rules encourage insurance
companies to take policyholders out of TAIPA and insure them at lower rates
after a year without tickets or accidents. The rules also require companies
to offer cheaper "voluntary" policies to their TAIPA policyholders
who have gone three years without tickets or accidents.
To get coverage through TAIPA, apply through a licensed agent who will
forward your application and first payment to TAIPA. You should receive a
proof-of-insurance card by mail within 10 days. Only agents specifically
certified by TAIPA may sell TAIPA policies. An agent who quotes you a premium
higher than TAIPA´s must tell you about TAIPA if you were previously
uninsured and had no more than one accident and one ticket in the past three
years.
For more information about TAIPA, call
1-800-580-TAIP or
512-444-4441
After the Accident... What Now?
Accident Checklist
- Move your car, if
possible, to avoid blocking traffic and to protect it from further loss
or damage.
- Call the police if
somebody is injured or killed, if a vehicle can´t be moved, or if the
accident involved a hit-and-run driver. Your uninsured motorist coverage
pays for a hit-and-run accident only if you report the accident to the
police.
- Get the other
driver´s name, address, telephone number, license plate number, driver´s
license number, and insurance information. Give the other driver the
same information about you.
- Record the insurance
company name and the policy number exactly as shown on the other
driver´s proof-of-insurance card. Similar company names can cause confusion,
so make sure you write down the correct company name.
- Get the names,
addresses, and telephone numbers of any witnesses to the accident.
- Notify your insurance
company as soon as possible. Your company probably has a 1-800 number to
report claims. If not, call your agent. Some agents have authority to
settle small claims. The agent or company will advise you about seeing
an adjuster and getting repair estimates. Also, give your agent or
company the names and addresses of any witnesses and injured persons.
- If you reported your
claim by phone, be sure to follow up in writing as soon as possible to
protect your rights under Texas´ prompt payment of claims laws.
- Send the company
copies of the accident report and any legal papers you receive about the
accident.
- Cooperate with the
company´s investigation. You might have to submit a proof-of-loss form
and undergo a medical examination.
If the other driver refuses to tell you his or her insurance company, get
a copy of the police accident report. The accident report will list the other
driver´s name and insurance company. If the police did not investigate the
accident, you can report the driver´s refusal to the police. This could
result in a report identifying the driver´s insurance company. In addition, the
Department of Public Safety keeps files of forms - called SR-22s - that show
the insurance companies of people convicted of DWI or driving without
insurance. DPS will advise you how to find out if the driver has an SR-22 on
file and the name of his or her insurance company. You may also request the
information by calling
512-424-2600
Accidents Caused by Other Drivers
If you were in an accident caused by another driver, the other driver´s
insurance company should pay the following costs, up to the policy´s limits:
- repair or
replacement of your car
- car rental while
your automobile is being repaired
- your medical and
hospital bills
- wages lost because
of an injury
- compensation for
pain and suffering if anyone is hurt.
If the other driver´s insurance won´t cover all your medical bills, you
should file a claim for the difference against your Personal Injury
Protection (PIP) coverage, if you have it. For amounts over that, you can
claim against your uninsured/underinsured motorists (UM/UIM) coverage or your
health insurance policy.
If the other driver´s policy won´t cover all of your auto repairs, file a
claim against your collision or UM/UIM coverage for the difference (minus
your deductible) between the damage to your car and what the other driver´s
policy will pay.
The other driver´s insurance company may ask you to sign a release to
settle your claim and forgo future claims related to the accident. Don´t sign
a release until you are satisfied with your total settlement. Get a letter
from your doctor estimating the cost and length of your future medical
treatment. You might want to consult an attorney before accepting a
settlement. Under Texas law, you have two years after an accident to either
settle your claim or file a lawsuit.
Texas law prohibits insurance companies from delaying payment on a claim
as a means to pressure you to sign a release. If you believe an insurance
company is delaying payment to you so that you will sign a release, you
should file a formal complaint with TDI.
If the other driver denies fault, his or her insurance company may refuse
to pay the claim. Independent witnesses could make a difference in getting
the company to pay. It´s important to get names, addresses, and telephone
numbers of any witnesses to the accident. Make sure the insurance company
knows about the witnesses. If the company continues to refuse to pay the
claim, you can file a claim against your own insurance or you may have to go
to court to resolve the issue.
Before filing a claim against your own company, it´s a good idea to talk
to your agent or your company´s underwriting department about how a claim
might affect your rates on renewal. A company can raise your premium because
of at-fault accidents. Also, a company cannot refuse to renew your policy
solely because you had one accident that was not your fault in a 12-month
period. However, if the accident affected your Texas Department of Public
Safety driving record, your company may consider that in determining your
rates, whether you made a claim on the accident or not.
Getting Your Car Repaired
Your insurance company will have an adjuster inspect your car and
calculate an estimate for repairs or may ask that you provide repair
estimates from mechanics and auto body shops. The insurance company will pay
for repairs or replacement only up to the car´s actual cash value. Actual
cash value is the amount that your car would have sold for before the
accident. An insurance company cannot require you to use a particular repair
shop. In fact, insurance companies are required to notify you of your
freedom-of-choice rights regarding auto repair shops and parts. On collision
and comprehensive claims, however, your company is obligated to pay only for
parts of "like kind and quality" to those that were damaged.
If the repair estimates are more than your car is worth, the insurance
company will likely "total" your car rather than pay to fix it.
Insurance companies typically value your car by the National Automobile
Dealers Association Used Car Guide or by a "market survey" showing
average prices of various makes and models. The company´s offer might not
recognize your car´s condition, special features, value on the local market,
or may be less than what you owe on your car loan. In these instances, be
prepared to negotiate with the insurance company to get what you believe is a
fair deal. A company is more likely to raise its offer if you can show that
your car would sell for a higher price in your area. Get written price quotes
for a similar automobile from several used car dealers, or look in the
classified section of your local newspaper for used car prices.
Sometimes the insurance company may want to total your car, but you´d
prefer to have it repaired instead. You can keep your car if you are willing
to subtract its salvage value from the insurance settlement. First make sure
the cost to repair the car will not exceed the car´s actual cash value. To
find out the salvage value, contact local salvage yards for estimates. Be
sure to record the yard´s telephone numbers and the names of the people you
spoke with.
If your insurance company totals your car but you can´t reach an agreement
on the amount to be paid, you can demand an appraisal. Appraisal allows you
and the company to hire separate damage appraisers. The two appraisers choose
a third appraiser to act as an umpire. The appraisers then review your claim,
and the umpire rules on any disagreements. The appraisal decision is binding,
but only as to the amount of the loss. If there is a dispute over what is
covered, you can still pursue a settlement of the coverage issue after the
appraisal takes place. You are required to pay for your appraiser and half of
the umpire´s costs.
Appraisal is available only in disputes between you and your insurance
company. It is not available if the other driver was at fault and you
disagree with his or her company´s offer.
Getting a Rental Car
If you have more than basic liability coverage or your accident was caused
by another driver, you should be able to get a rental car while yours is
being repaired:
- If the other driver
was to blame, his or her liability insurance will pay for a rental car.
- If the accident was
hit-and-run or the other driver was uninsured and at fault, your UM/UIM
property damage coverage will pay for a rental car.
- If your car was
stolen and you have comprehensive insurance, your company will provide a
set amount each day, up to your policy´s limit, for a rental car.
- If your car is being
fixed or replaced for some other reason, your insurance company won´t
provide a rental car unless you have rental reimbursement coverage.
Filing a Claim
Once you have filed a claim, Texas law sets these deadlines for the
insurance company to act:
- The company must
respond within 15 days after receiving your claim in writing. It
probably will ask you to document your loss.
- After you submit any
requested documentation, the company has 15 business days to accept or
reject your claim.
- Once the company
agrees to pay your claim, it must send your check or draft within five
business days.
A company that cannot meet these deadlines must send you a notice
explaining why. The company then has 45 days to either approve or reject the
claim.
Note: This law does not apply if another driver´s
insurance company is paying the claim. However, the company is required to
act in good faith and to make a prompt and fair settlement.
If the insurance company rejects your claim, Texas law requires it to
explain the rejection in writing. If the company claims that the loss isn´t
covered by your policy, ask to see the policy language that supports denial
of your claim. A court usually will order the company to pay if the language
is unclear and the policy reasonably could be read your way.
Automobile Insurance for Young Drivers
Young drivers must comply with the state´s financial responsibility laws,
just as older drivers do. Most young drivers, however, have the option of
satisfying their legal requirements by being added to their parents´ auto
policy. Adding a young driver to a parents´ policy can be expensive, but it´s
cheaper than taking out a separate auto policy.
A parents´ policy covers children living at home or away at school, even
when not named on the policy. Even though children are automatically covered
on their parents´ policy, it´s important that they be listed on the policy as
soon as they reach driving age. Insurance companies are required to charge
the correct rate, based on the classifications of the drivers in your family.
If you don´t have all of the drivers in your family listed on your policy and
the company learns about them later - because of an accident claim, for
instance - the company will bill you for the extra premium you should have
paid.
If you have children attending school away from home, tell your insurance
company. Because rates are based on where a car is usually located, the
insurance company may need to adjust your premium. If the school is in
another state, it´s a good idea to check on the financial responsibility laws
in that state to make sure you have the appropriate coverages.
When you add your children to your policy, they may be rated on the most
expensive auto in your household. The rules for this are complex and address
a variety of situations, however. Generally, if a teen-ager is the
"principal driver" of a particular automobile, his or her rate will
be based on that car. If not, the teen-age driver is assigned to the car
(usually the most expensive) that produces the highest rate.
Removing Your Children from Your Policy
You may want to remove your children from your policy when they are no
longer living with you. You´ll probably have to prove to the insurance
company that a young driver no longer lives at home, however. You can use
documents like a driver´s license, lease agreement, or utility receipts to
prove that your child has moved. A remotely possible alternative would be a
named driver exclusion added by mutual agreement between you and the insurer.
It´s probably not a good idea to remove your children from your policy who
have moved because they are attending school away from home. An insurance
company may require you to keep them on your policy, even if you would like
to have them removed. Technically, you could remove your child from your
policy with a "named driver exclusion" endorsement. Few companies
will agree to this, however. Besides, it´s risky to drop coverage when your
teen-ager might occasionally drive at school or when home on visits.
You can sometimes remove a teen-aged driver from your policy by purchasing
a non-owner policy. This usually is a bad idea. A non-owner policy merely
provides additional liability insurance when driving a non-owned vehicle. If
your teen-ager has an accident while driving your car, neither your policy
nor the non-owner policy will pay for your vehicle´s damage. You might also
be unprotected financially if held liable for an accident caused by your
minor child. Finally, if the non-owner policy is rated properly, your
teen-ager´s liability insurance might cost as much as or more than if he or
she was on your policy.
Saving Money on Insurance for Young Drivers
Unfortunately, insuring young drivers is usually expensive. Some young
drivers may qualify for discounts, however. If you are under 18, you must
complete a driver training course approved by DPS to obtain a Texas driver´s
license. Many insurance companies give a 10 percent driver training credit
for teen-agers who complete driver education. Parent-taught drivers are
eligible for the discount if the parent used a DPS-approved course. Some
companies offer discounts to young drivers who make good grades in school or
who belong to certain youth groups. Ask your agent about any discounts for
young drivers.
Getting Help
If you have a problem with your insurance company, first try to resolve
the problem yourself. Often disputes are the result of miscommunication. Talk
to your agent or a company representative. Texas law requires most companies
to have toll-free telephone lines for their policyholders.
If you are unable to resolve the dispute, you can file a complaint with
TDI.
TDI will promptly notify the company of your complaint, ask for a detailed
response, and then send you a copy of the response when it is received. The
insurance specialist assigned to your complaint will send you an explanation
of the outcome. Most complaints are completed in about 45 days.
TDI has limited jurisdiction in some complaints. For instance, we can´t
resolve questions of fact and have no authority over third-party claims.
However, even if we are unable to resolve your complaint, we may be able to
bring about a more thorough review of the matter. In addition, your
complaints and inquiries help TDI assist other Texans by identifying
insurance companies and agents that should be investigated and helping
determine the kinds of help consumers need most.
For More Information
- For printed copies
of free consumer publications, call the 24-hour Publications
Order Line
1-800-599-SHOP (7467)
305-7211 in Austin
- For answers to
general insurance questions call the Consumer Help Line
between 8 a.m. and 5 p.m., Central time, Monday-Friday
1-800-252-3439
463-6515 in Austin
- You may file an
insurance-related complaint with TDI several ways:
Texas Department of Insurance
Consumer Protection (111-1A)
P.O. Box 149091
Austin, TX 78714-9091
The information in this publication is current as of the
revision date. Changes in laws and agency administrative rules made after the
revision date may affect the content. View current information on our website.
TDI distributes this publication for educational purposes only. This
publication is not an endorsement by TDI of any service, product, or company.
For more information, contact: Consumer Protection
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