Florida’s New Personal Injury Protection Law
April 19, 2012
Florida’s Governor Rick Scott made changing Florida’s Personal Injury Protection insurance laws a top priority. He claimed staged accidents and insurance fraud was costing Floridians “a billion dollars a year” by paying higher insurance premiums.
The Florida House and Senate narrowly passed major changes to the law that Governor Scott will happily sign. The sweeping changes to PIP will take affect on January 1, 2013. Below are highlights of the new law and how it will affect you and your loved ones.
PIP is the mandatory insurance all Florida auto owners are required to carry. It was designed to ensure anyone injured in a Florida car crash receive medical care and reimbursement for lost wages. Typically Florida PIP insurance paid 80 percent of an injured person’s medical bills and 60 percent of lost wages up to $10,000 regardless of fault.
The new law forces the injured to seek medical attention within fourteen days of the crash. In those fourteen days, if the injured seeks medical care anywhere but a hospital, the PIP benefits are reduced to $2,500. This included chiropractic care. After the two week window closes, no bills will be paid by PIP.
In other words, for an injured individual to be eligible to receive the full $10,000 PIP benefits, he or she must be seen and receive medical care from a medical doctor, osteopathic physician, dentist, physician’s assistant or advanced registered nurse practitioner who diagnoses the patient with an “emergency medical condition”. The new PIP law defines an “emergency medical condition” as an injury that is so acute and serious that if the injured did not receive treatment it would put the person’s health, bodily functions, body organs or parts in “serious jeopardy”. If not seriously hurt as defined, PIP insurance benefits are now limited to $2,500. Massage and acupuncture are no longer reimbursed expenses.
To further discourage anyone from seeking treatment, the new law allows insurance companies to take Examinations Under Oath (EUO) of their own insureds BEFORE any benefits will be paid. An EUO is essentially a deposition by an insurance company fraud investigator. If you are involved in an a car accident and your insurance company requests an EUO, contact a lawyer IMMEDIATELY and DO NOT attend the EUO without the benefit of counsel.
The new PIP law serves to create a huge hurdle to those seeking medical care after a vehicular accident. In fact, it forces the injured to seek hospital care, which is more expensive, or risk not being eligible for the full $10K PIP benefit. It also subjects the injured to interrogation by their insurance companies before benefits will be extended.
As citizens of the state of Florida, you deserve to see a return of the untouched premiums enjoyed by insurance companies. After all, that was the intent of the Governor in passing the new law.
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