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The Washington Car Insurance Benefit Many Drivers Forget They Have

Picture a driver getting rear ended on a Tuesday evening. The other driver clearly caused it, the police report says so, and the pain in her neck gets worse by the next morning. Her first thought is the same one most people have: I’ll have to wait until the other insurance company sorts this out. Meanwhile the medical bills are showing up, and nobody has agreed to pay anything.

What she may not realize is that her own auto policy might already have a way to cover those early bills, no matter who was at fault. It’s called personal injury protection, PIP for short, and it’s one of the most overlooked pieces of Washington car insurance.

A coverage you may have bought without noticing

Washington doesn’t require drivers to carry PIP, but insurers must offer it. According to the Office of the Insurance Commissioner’s page on personal injury protection, buying it is your choice, but if you don’t want it you have to reject it in writing. Otherwise your insurer adds it to your policy and charges for it.

That detail surprises people. Many drivers have PIP without remembering that they chose it, and some who think they declined it never signed anything at all. Insurers who can’t produce a signed rejection can find themselves on the hook for the coverage.

What it actually pays

The state’s insurance office lists the basic benefits. PIP pays up to $10,000 in medical and hospital costs for each person injured, and those costs can be claimed for up to three years from the date of the accident. It can also replace some lost income, up to $200 a week with a $10,000 total, for someone who has been disabled for 14 days in a row, with those benefits lasting up to a year. Drivers can add coverage to raise those limits to $35,000 for medical costs and up to $700 a week for wage loss.

There are limits. PIP covers services that are reasonable, necessary, related to the accident, and incurred within the three year window, and the insurer decides, at least initially, what qualifies. It’s also worth knowing that $10,000 disappears quickly. A short hospital stay and a round of imaging can use most of it.

The upside is that PIP generally pays without a fight over fault, and there’s no deductible or copay for the covered care. For someone hurt in a crash, that can mean the first bills get handled while the larger questions are still being sorted out.

Where PIP and the injury claim meet

Here’s where things get complicated. PIP is a separate benefit from a claim against the driver who caused the crash. You can often have both, but they interact. The size of your medical bills, which insurer paid what, and how a settlement is structured can all affect each other, and the rules around reimbursement aren’t always intuitive.

If you’re hurt and not sure how the pieces fit, a conversation with a Bellevue lawyer can help sort out which coverage applies, what to claim first, and whether anything you’re being asked to sign could cause problems later. You don’t have to hire anyone to ask, and many attorneys will talk through the basics at the start. What you want to avoid is signing a release or accepting a settlement before you understand how it affects benefits you might still be owed.

How to find out whether you have it

The quickest check is your policy’s declarations page, which lists your coverages and limits. Look for a line labeled personal injury protection or PIP, along with the limit. If you can’t find it, call your insurer and ask directly. If you believe you never rejected it, ask the company in writing to send you a copy of any signed rejection. If they can’t produce one, say so and ask what that means for your coverage.

It also helps to check who is covered. PIP generally follows the policyholder and household members and extends to passengers, and in some situations it may apply to people hurt outside a car. Ask about your specific case rather than assuming.

A few mistakes that cost people money

Waiting is the big one. Medical bills that go unpaid can end up with collections, and the three year window for incurring covered expenses is longer than it sounds but shorter than a long recovery can run. Another is treating PIP as a favor. It’s coverage you paid for, and you have the right to ask what’s covered and to get an explanation if a claim is denied or reduced.

Keep records. Save every bill, receipt, and explanation of benefits, and keep a simple log of dates, treatments, and missed work. Insurers ask for documentation, and clean records make the process faster.

Finally, be careful with recorded statements and forms. You’re generally required to cooperate with your own insurer, but cooperating doesn’t mean guessing at answers. If you aren’t sure about a question, say so and ask for it in writing.

One more thing

It’s easy to feel like car insurance is something you only think about once a year at renewal, then forget. But the weeks after a crash are exactly when the fine print matters. Take ten minutes this week to pull up your declarations page and see what you actually have. If you’re ever hurt and the picture gets complicated, you’ll already know where you stand, and that’s a better position than learning it from a collections letter.

This article is general information, not legal advice, and reading it does not create an attorney client relationship. Insurance and legal rules change, and every situation is different, so speak with a licensed attorney or your insurer about yours.

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