Third-party claims occur with less frequency in no-fault car insurance states, where you first look to your own insurance company to recover, regardless of who is actually at fault for an accident or injury. Generally, no-fault states have mandatory minimum insurance requirements, meaning that every driver carries a statutorily dictated minimum amount of insurance. If, after you’ve made the appropriate claims to your own insurance company, your claim meets your state's monetary threshold or "serious injury" threshold for stepping outside of no-fault, you may be able to initiate a third-party claim.
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In third-party car accident claims where fault is in dispute, lengthy investigations can be the norm. Insurance adjusters will investigate the claim thoroughly, often hiring outside parties to conduct interviews, take statement and review any and all records (medical or otherwise) pertaining to the case. You may even need to attend an independent medical examination. The adjuster will then make his or her own determination as to fault and the settlement value of the case.
Comprehensive car insurance covers damages from an "act of God," or events that are not caused by a car driving into something else. An "act of God" can include things like damage from a heavy tree branch falling on your car. Since you have no control over when or why a tree branch would fall on your car, this kind of accident would be covered under your comprehensive policy.
If you live in an area prone to car theft and vandalism, you'll probably sleep easier with comprehensive coverage at your side. Though car theft numbers have steadily decreased over the last several years in the U.S. — actually dipping below 700,000 reported cases in 2013 for the first time since 1967, and remaining at those levels the years following — the odds are still less than encouraging.
Detail how the accident occurred, the injuries or damages you’ve sustained and (if applicable) the dollar amount you are claiming. Gather relevant records related to the car accident, be they medical bills, repair estimates, or police reports. Give the insurance adjuster all the reasons in the world to pay out on your claim. You may wish to retain an attorney to assist you with making the claim if you are uncomfortable doing it yourself, or if things get particularly contentious.
It is the rare occasion where you hit something while driving and it is not counted against you as a responsible accident. Most states and insurance companies will not consider this kind of claim a responsible accident. Contact your insurance company to find out how they view this and make sure that there would not be charges associated with a comprehensive claim.
There are some characteristics of a third-party car accident claim that are universal. First and foremost, a third-party claim does not involve a contractual obligation between the injured party and the insurance company. This sounds more complicated than it really is. Simply put, a third-party claim is the legal name for making a claim on another’s auto insurance policy. Exactly how and when such claims can be made vary based upon the presence (or lack thereof) of no-fault laws, but the overriding principle remains constant.
Susan was driving home from Thanksgiving dinner at her family cottage when suddenly she hit a deer. Thankfully she was okay, but her car was destroyed. She called the police to make an accident report, then called her insurance worried that this might not be fully covered. Her insurance representative reassured her, she has comprehensive insurance, so the damage would be covered under her policy.
The cost of a comprehensive cover is several times that of a stand-alone third-party cover, since damage claims are more frequent than third-party claims. Until now, the premium for motor third-party insurance was calculated on the basis of a schedule of rates provided by the Tariff Advisory Committee, an arm of IRDA, the insurance regulator. But IRDA has done away with the motor tariff. The compensation to the victim is largely decided by the earning capacity of the accident victim.
Definition: Motor third-party insurance or third-party liability cover, which is sometimes also referred to as the 'act only' cover, is a statutory requirement under the Motor Vehicles Act. It is referred to as a 'third-party' cover since the beneficiary of the policy is someone other than the two parties involved in the contract (the car owner and the insurance company). The policy does not provide any benefit to the insured. However, it covers the insured's legal liability for death/disability of third-party loss or damage to the third-party property.
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Comprehensive insurance is a coverage that helps pay to replace or repair your vehicle if it's stolen or damaged in an incident that's not a collision. Comprehensive typically covers damage from fire, vandalism or falling objects (like a tree or hail). If you're financing or leasing your car, your lender likely requires comprehensive coverage. If you own your vehicle outright, it's an optional coverage on your car insurance policy.