Some would rather back off and miss out on compensation so they can avoid the entire process altogether.
Unfortunately, you can't run away from insurances and insurance-processes (especially if you own an automobile).
Luckily for you, we’re here to help simplify everything so that you no longer have to suffer from the headaches and confusion that many people face when they hear the word “insurance.”
We believe that the first step to understanding automobile insurance is to understand the meaning of the term "no-fault."
What is "No-fault" in insurance?
Most people think that “no-fault” means that no driver was found responsible for causing the accident. No, that’s a misconception."No-fault" basically means that you remain eligible for compensation from your insurer, regardless of whether or not you were found responsible for causing the accident.
Note: Just because your insurer offers “no-fault insurance” doesn’t mean it's claimable for both bodily harm and property damage.
For example, here in Ontario, the “no-fault insurance system” only compensates for bodily injuries and not property damage that came as a result of car accidents.
How was life before the "no-fault insurance"?
We can travel back in time to the 1980s when “no-fault insurance” wasn’t a thing.When an accident happened, both parties had to endure a long and ferocious investigative process to determine who was to “blame” for the accident.
This meant that both parties had to wait for weeks (or longer) to receive their compensation. It’s even worse if there were injured drivers and passengers who depended on their claims for medical care.
The driver found to be responsible would then go ahead and file a claim with his/her insurance company. The insurance company would then go ahead and compensate both parties.
No-fault insurance came and changed all that.
If, unfortunately, an accident were to happen, your insurance company would quickly jump into action and cater to your medical bills and property damage (If applicable in your province).
Note: Your insurance company will only cater to your claim. The other driver will have his/her car accident losses settled by his/her insurance company.
What happens if you’re declared to be at fault after the No-fault Insurance compensation?
If you're declared "guilty" after the no-fault compensations, you'll still have to face the penalties.
For most, this would mean an increase in their insurance premiums.
Is the No-fault Insurance policy applicable to passengers?
Yes. Ideally, the passengers need to have their insurance to protect them from such events.However, there are cases where passengers lack their insurance coverage. In such cases, passengers can get compensation from the drivers' insurance companies.
Read here to learn more about No-fault Insurance Policies.
Fault Determination
Even with No-fault insurance, it's still crucial for you to understand how insurance companies determine who is at fault—The driver responsible for causing the accident. This way, you'll know what to expect going forward.The two insurance companies (of the two drivers) are the parties responsible for analyzing the accident and determining which driver is at fault.
Please note that the insurance companies will always find someone at fault (there is no such thing as a “fault-less” accident).
The fault is gauged in percentage (From zero to a hundred percent).
Also, you need to be aware of the fact that both drivers can share fault.
Yes, you can either be found to be 100% at fault, 0% at fault, or partially at fault. Nevertheless, each result will have an impact on your insurance record.
Why is fault determination so important?
Because almost all accidents that happen will result in damage to property or bodily harm. By the end of the day, someone has to pay for those repair costs and medical bills.
In addition to that, fault determination also ensures the punishment of the driver found to be at fault (He or she has to be 25% more at fault than the other driver).
As mentioned earlier, punishment (penalty) usually takes place in the form of increased insurance premiums.
The insurance companies follow a set of rules decided by the law.
The Insurance Act has specifically issued "The Fault Determination Rules" for application in the fault determination process. These rules ensure that the fault determination process is fair and consistent.
What is so special about The Fault Determination Rules?
These rules have taken into account more than 40 different accident scenarios. They even have diagrams, pictures, and illustrations to help map and check for similarities between the accident scenarios in the photos and the accident scene at hand.It’s also important to note that the rules are applied independently of the weather conditioners at the time of accident, visibility, and interference by roadside pedestrians.
What happens if the accident at hand doesn’t match any of the scenarios illustrated in The Fault Determination Rules?
In such a case, the degree of fault of each driver is determined by the rules of negligence law.
Do police charges/convictions influence fault determination?
Not necessarily.
The police can convict you for an offense, while at the same time, the insurance companies proclaim you "innocent" of any insurance faults.
The opposite is also possible.
Note: Did you know that when you lend out your automobile, you’re also lending out your insurance?
If the temporary driver is involved in a car accident and found at fault, the penalty will be recorded in your insurance books even if you weren't present at the time of the accident.
Can you dispute an unfavorable fault ruling?
Yes, you can follow up on the matter and seek clarification from the claim adjuster.
He or she is responsible for taking you through the fault determination process and explaining how "The Rules of Determination" were used in your case.
However, please note that insurance companies will only revisit a fault ruling if additional information is brought to the table.
In case of any irregularities, contact your company’s complaint handler.
Do police charges/convictions influence fault determination?
Not necessarily.
The police can convict you for an offense, while at the same time, the insurance companies proclaim you "innocent" of any insurance faults.
The opposite is also possible.
Note: Did you know that when you lend out your automobile, you’re also lending out your insurance?
If the temporary driver is involved in a car accident and found at fault, the penalty will be recorded in your insurance books even if you weren't present at the time of the accident.
Can you dispute an unfavorable fault ruling?
Yes, you can follow up on the matter and seek clarification from the claim adjuster.
He or she is responsible for taking you through the fault determination process and explaining how "The Rules of Determination" were used in your case.
However, please note that insurance companies will only revisit a fault ruling if additional information is brought to the table.
In case of any irregularities, contact your company’s complaint handler.
Benefits of No-fault Insurance
Compensation is quickly issued to both drivers before fault determination. This reduces the waiting time on claims. It's a relief for the party that is dependent on his or her compensation for medical bills caused by the accident.Cons of No-Fault Insurance
Some people feel that the No-fault Insurance system protects bad drivers since both parties will have to reimburse the claims paid to them by their insurance companies.They feel that the insurance company of the driver at fault should be fully responsible for paying both claims.
