New York Personal Injury & No-Fault FAQ

Every personal injury claim is different and there are(FAQ) will help you to understand when and how
no guarantees. Below are rough answers to someNo-Fault pays, what it pays for, and what you have
questions we hear frequently about personal injury.to do.
Further below is a specific FAQ on No-Fault in NewQ: Am I eligible for No-Fault benefits?
York.A: You are eligible to receive No-Fault benefits in New
Personal Injury FAQYork State if:
Q: How much do lawyers charge?1. You are injured in an automobile accident;
A: For most personal injury claims, there is no fee2. You are a pedestrian struck by a car or
unless you collect. Most lawyers in New York chargemotorcycle;
a one-third contingency fee. When the claim is3. You are hurt during the use, operation or
resolved, the lawyer gets reimbursed for expensesmaintenance of a motor vehicle unless you are
out of the award. Next the lawyer takes theinjured in the course of the business of repairing or
one-third fee. For example, if a claim settles formaintaining a vehicle.
$35,000, and the lawyer has $2000 in expenses, the*** Motorcycle drivers and their passengers are not
fee is $11,000 (1/3 of $33,000). The client would geteligible for No-Fault benefits.
$22,000.Q: What do I do first?
Q: Does the lawyer always pay the expenses upA: Submit your medical expenses and lost wages.
front?Forms for No-Fault and New York State Disability
A: Usually, but not always. There are two majorincome benefits are provided by the No-Fault carrier
situations where we don't. First, some personal injury(the insurance company that insured the car you
claims are not very strong, but we might still bewere in or struck by at the time of the accident). To
willing to work on a contingency fee basis. In suchbegin the process, you have to submit paperwork to
claims, we will tell the client that they will have to paythat carrier. Failure to file in a timely manner may
the expenses. The other situation is when there is aresult in a denial of benefits. We recommend
good offer and the client refuses to accept it againstsubmitting this information as quickly as possible, and
our advice. In these lawsuits we require the client towe can help with the process.
cover all future expenses.Q: What information will I need to submit?
Q: What are typical expenses in a personal injuryA: You will be asked to list all medical providers and
lawsuit?facilities that are treating you. The No-Fault carrier will
A: In New York personal injury lawsuits, filing feessend forms to your doctors. Most will submit their bills
usually total less than $500. Deposition transcripts alsodirectly to the carrier. You should also list your
usually total less than $500. The biggest expense isemployer(s), and any other related expenses.
when a lawsuit goes to trial and we have to payQ: What if I go to a new doctor for treatment?
doctors and other experts to testify. We have paidA: Give the new doctor the name and address of
anywhere from $300 to $7500 for a doctor'sthe No-Fault carrier so that they too can submit their
testimony, and some doctors charge as much asbills for payment by the carrier. Once your application
$5000. Other expenses include process servers,has been filed, the No-Fault carrier assumes
investigations, medical records, and meals. In someresponsibility for the medical bills resulting from the
cases you may need other experts. In one big caseaccident.
we spent about $10K on an accidentYou must also list your employer on the application
reconstructionist. The other side spent about $40Kfor No-Fault benefits so that any lost wages you
on theirs.incur as a result of the accident can be recovered.
Q: What is the process?Q: What if my child is hurt in an accident?
A: First most lawyers negotiate with the insuranceA: In New York State, if a minor (someone under the
company. If negotiations are unproductive, theage of eighteen) receives medical treatment as a
lawyer files a lawsuit. For a few months the lawyersresult of an automobile accident, the parent or
exchange paperwork with the insurance companyguardian is legally responsible for those medical bills.
attorneys. Next come depositions, where theyThus, the parent or guardian must forward the
question the plaintiff client and the plaintiff lawyerminor's medical bills to the No-Fault insurance carrier,
questions theirs. Then the insurance company mightjust as they would their own. Again, the No-Fault
have the plaintiff examined by their doctor in what'sapplication must be timely filed, or benefits may be
known as an IME - Independent Medical Examination.denied.
Plaintiff lawyers prefer to call this a Defense MedicalQ: Besides medical bills, what other costs can I
Examination. Last is trial. A lawsuit might settle at anyrecover through No-Fault?
point along the way, even while the jury isA: In New York State, you may be reimbursed by
deliberating.the No-Fault carrier for the cost of lost wages,
After a trial the losing side can appeal. Sometimesprescriptions, travel expenses for medical treatment,
even the winner can appeal. Cases sometimes settleand household help while you are recovering from
during the appeal process.your injuries - including costs of child care while you
No-Fault FAQvisit medical providers. To get reimbursed for these
When you are hurt in an automobile accident in Newexpenses, you must submit them to No-Fault. We
York State, No-Fault insurance can help with many ofrecommend submitting expenses immediately.
your costs. The following frequently asked questions