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Setoffs and Uninsured Motorist Insurance Policies

Some state statutes allow uninsured motorist insurance companies to setoff amounts that an insured received from workers compensation, Social Security, and settlements with a liability insurance company. Therefore, if an insured were injured in a car accident while driving in the course of his or her employment, the insurance company could offset the uninsured motorist benefits in the full amount of the insured's workers compensation judgment.

Insurer's Duty to Defend

Under an insurance policy, an insurance company has two principal obligations. One of those obligations is the insurance company's duty to defend the insured in the event of a claim within the policy's coverage. The insurance company's duty to defend is triggered when the insured gives the insurance company notice of the claim or lawsuit against the insured. The duty to defend an insured is controlled by statute and common law.

Personal Injury Automobile Accident Cases

If an insurance policy covers accidents of travel, it must be shown that a death or disability resulted from such a risk before benefits can be paid. A death caused by the collision of automobiles is clearly within the ordinary interpretation of accidental means. This result is not prevented by any negligence of the insured. Courts feel that clauses of this nature must be given a reasonable construction. If the insurance terms are not expressly limited, some courts will extend coverage to situations where the use of an automobile was not an important factor or where the particular loss was fairly removed from an event that involved the use of an automobile. Other decisions, however, are not as generous. Some courts will not trace back an injury to an automobile or extend benefits to a particular loss or expense.

No-fault Coverage

No-fault insurance coverage essentially provides a less expansive insurance coverage than that of the traditional system, limiting the right of parties to bring traditional fault-based legal actions and the availability of certain types of damages that cannot be directly measured in economic terms, such as damages for what the law terms "pain and suffering," which often make up the bulk of the damages awarded in a traditional court action. In return, the no-fault system attempts to indemnify persons who have suffered personal injury or property damage in an auto accident more quickly and efficiently than can be accomplished by traditional methods, and also to reduce costs for all the participants in the insurance system. No-fault insurance laws often contain exceptions to their limitations on coverage and allow the bringing of traditional court actions in cases where serious injuries are involved.

Conflict of Laws Issues in Motor Vehicle Insurance Disputes

Motor vehicles, by the nature of their mobility, freely move among the states. Accidents can occur in an insured's home state or another state. The laws of the states can differ on how they interpret the terms of an insurance policy. Which law should be applied is the subject of rules for conflict-of-laws or choice-of-laws decisions.