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K L Sanchez Law Office

What is Uninsured Motorist Coverage?

Posted on May 14, 2025

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In 2022, it is estimated that about one in seven drivers, or 14% of motorists, were uninsured. Getting into an accident with an uninsured motorist can be a great cause for concern, especially as to where one can secure funds to compensate for the losses after the accident. Uninsured motorist coverage is designed to protect you in these unfortunate scenarios, providing a safety net to ensure you aren’t left with significant financial burdens. In a bustling state like New York, where the roads are always busy, the likelihood of encountering uninsured drivers is notable, making this coverage even more essential for peace of mind.

If you’ve been in an accident with an uninsured driver in New York, you don’t have to face this challenging situation alone. Consulting with an experienced Queens car accident lawyer can help you understand your rights and options. At K L Sanchez Law Office, our team can assist you in filing a claim and ensure you receive the compensation you deserve. Don’t hesitate to reach out to one of our skilled attorneys to protect your financial future and secure the support you need during this difficult time. Contact us today at (646) 701-7990 to schedule a consultation.

What is Uninsured Motorist Coverage in New York?

Uninsured motorist (UM) coverage is an essential part of auto insurance policies in New York State. It provides protection for you, your family members, and any occupants of your vehicle if you are involved in an accident caused by an uninsured driver or a hit-and-run motorist. This mandatory coverage is designed to ensure that you can recover damages for bodily injuries even if the at-fault driver lacks insurance. 

With a significant number of drivers operating vehicles without insurance, the risk of being involved in an accident with an uninsured driver is not negligible. UM coverage is a critical safeguard that ensures you and your passengers will not face financial peril following such an accident. It provides a necessary buffer against the potentially high costs of medical care and other losses, particularly in severe accidents that can lead to long-term disability or significant time away from work.

  • Primary and Secondary Layers of Coverage: When an accident occurs, the first line of financial protection typically comes from Personal Injury Protection (PIP) coverage. This type of insurance pays for medical expenses and other associated costs regardless of who is at fault. However, PIP coverage often has limits that may not fully cover all expenses resulting from a severe accident. Once these limits are reached, the injured party would typically seek compensation from the at-fault driver’s insurance.
  • Gaps in Coverage: In New York, like in many places, drivers are required to carry a minimum amount of liability insurance, $25,000 per accident for bodily injury. Unfortunately, this amount may not be sufficient in more serious accidents. Additionally, some drivers illegally operate vehicles without any insurance. Here, UM coverage becomes essential. It provides financial relief by covering the shortfall when the at-fault driver’s insurance is nonexistent or inadequate.
  • How UM Coverage Works: Uninsured Motorist Coverage steps in to fill the gap between what is covered by a policyholder’s PIP and what should be compensated by the at-fault driver’s insurance. For instance, if a driver incurs $100,000 in total damages from an accident, and after exhausting $50,000 from PIP and receiving $25,000 from the other driver’s insurance, UM coverage would potentially cover the remaining $25,000, depending on the policy limits. This coverage ensures that the injured party does not suffer financially due to the irresponsibility or inadequacy of the other driver’s insurance.

UM coverage thus acts as a safeguard, ensuring that individuals are not left financially vulnerable after an accident caused by an uninsured or inadequately insured driver. This coverage not only protects individuals from bearing the full cost of medical expenses and other losses but also underscores the importance of carrying proper car insurance as a legal and ethical responsibility.

Benefits of Uninsured Motorist Coverage

Uninsured motorist (UM) coverage is a crucial component of your auto insurance policy, providing significant financial protection and peace of mind. Here are some of the key benefits of having UM coverage:

Financial Protection in Accidents with Uninsured Drivers

One of the primary benefits of uninsured motorist coverage is the financial protection it offers when you are involved in an accident with a driver who does not have insurance. Without this coverage, you may find yourself responsible for covering medical expenses, vehicle repairs, and other costs out of pocket. This situation can be financially devastating, as the uninsured driver typically lacks the means to pay for your losses. 

Coverage for Hit-and-Run Accidents

Hit-and-run accidents are particularly challenging because the at-fault driver cannot be identified to cover the damages. In such cases, uninsured motorist coverage becomes indispensable. UM coverage provides the financial protection you need to cover your medical expenses and other damages resulting from a hit-and-run incident. This extension of coverage is vital in ensuring that you are not left to bear the financial burden of an accident caused by an unknown driver.

Protection for Passengers and Family Members

Uninsured motorist coverage also extends its protection to your passengers and family members. If they are injured while riding in your vehicle or even as pedestrians hit by an uninsured or hit-and-run driver, your UM coverage will help cover their medical expenses. This comprehensive protection ensures that your loved ones receive the necessary medical care without incurring significant out-of-pocket expenses. The coverage is especially valuable in a bustling and busy state like New York, where the likelihood of encountering uninsured drivers is significant.

Coverage Beyond Minimum Requirements

While New York law mandates a minimum level of uninsured motorist coverage, opting for higher coverage limits can provide greater financial security. The minimum required coverage may not be sufficient to cover all expenses in a severe accident. By choosing to purchase additional UM coverage, you can enhance your protection and ensure that you are adequately covered in the event of a major accident. This proactive approach can safeguard your financial stability and provide peace of mind knowing that you are well-protected against the risks posed by uninsured drivers.

Comprehensive Protection

Uninsured motorist coverage offers comprehensive protection that goes beyond just financial reimbursement. It ensures that you and your family are safeguarded against the unpredictability of the road. Whether dealing with uninsured drivers or hit-and-run incidents, UM coverage helps you recover both financially and physically from the aftermath of an accident. This coverage is an essential part of a robust auto insurance policy, particularly in states like New York, where traffic density and accident rates are high.

Requirements for Pursuing Uninsured Motorist Claims

Pursuing uninsured motorist (UM) claims can often be a complicated process due to several stringent requirements that need to be met. Below are the key prerequisites for filing such claims:

Timely Notice and Forwarding of Suit Papers

The claimant must provide prompt notification to their insurance company about the accident and the potential UM claim. This notification should typically be made within 30 days of the accident. Additionally, any legal documents or suit papers related to the case must also be forwarded to the insurer. This ensures the insurance company is fully informed and can prepare an appropriate response or defense.

Obtaining a Policy Limit Offer

A claimant must receive an offer from the tortfeasor’s (at-fault driver’s) insurance company that represents the maximum policy limits available under that driver’s insurance. This establishes that the at-fault driver’s coverage is insufficient relative to the damages, thereby justifying the pursuit of a UM claim.

Exceeding Bodily Injury Limits

For a UM claim to be valid, the bodily injury damages suffered by the plaintiff (claimant) must exceed the bodily injury limits of the tortfeasor’s insurance. This requirement underscores the need for the claimant’s damages to be significant enough to surpass the at-fault party’s coverage capacity, highlighting the inadequacy of the available insurance in covering the total damages.

Qualifying as an “Insured”

The claimant must qualify as an “insured” under the terms of the UM policy. This typically means that the claimant must be the policyholder, a resident relative of the policyholder, or someone driving the insured vehicle with permission. Ensuring that the claimant meets these criteria is essential for the legitimacy of the claim.

Loss Arising from an “Accident”

Finally, it must be established that the loss for which compensation is sought arose directly from an “accident” as defined under the insurance policy. This involves proving that the incident was unintentional and occurred during the use of an automobile in a manner consistent with the policy terms.

How Much Can I Get From an Uninsured Motorist Claim?

In New York, pursuing compensation through an uninsured motorist (UM) claim involves several key factors that can significantly influence the amount of compensation one can receive. Understanding these factors is crucial for anyone involved in an accident with an underinsured driver. Here’s how each factor plays a role:

Policy Coverage

The limits of your UM coverage are perhaps the most direct factor affecting how much you can receive from a UM claim. Every insurance policy has a maximum limit on what it will pay out, which can significantly affect the total compensation available in an uninsured motorist claim. New York law requires minimum coverage limits, but individuals can opt for higher limits, which is advisable given the high costs associated with serious injuries.

If your damages exceed the policy limits of the at-fault driver’s insurance, your UM coverage can make up the difference, up to your own UM policy limits. For instance, if you have $100,000 in UM coverage and the at-fault driver has $25,000 in liability coverage, you can potentially receive additional compensation from your UM insurance if your damages exceed $25,000, up to a total of $100,000.

Liability

New York follows a “comparative fault” rule, meaning that the compensation you can receive will be reduced by a percentage equivalent to your share of fault in the accident. For instance, if you are found to be 30% at fault in an accident, your recoverable damages from the UM policy will be reduced by 30%.

Successfully claiming UM benefits often hinges on proving that the other driver was at fault. This involves gathering evidence such as police reports, witness statements, and possibly accident reconstruction reports. The clearer it is that the other driver was predominantly at fault, the stronger your claim for UM benefits.

Severity and Nature of Injuries

The extent and type of injuries sustained in the accident are primary determinants of compensation in uninsured motorist claims. New York’s no-fault insurance system typically covers medical expenses and lost earnings, but the coverage limits can be quickly exhausted with severe injuries. In cases involving serious or permanent injuries, uninsured motorist coverage becomes crucial. Compensation amounts will reflect the immediate and long-term medical costs, the necessity for rehabilitation, and any specialized medical equipment required. The more severe the injury, the higher the potential compensation, reflecting the increased costs and care needs.

Compensation

The amount you can claim under UM coverage also depends on the types of damages you have incurred. These can include medical expenses, lost wages, pain and suffering, and other out-of-pocket expenses. The extent and documentation of these damages will heavily influence the compensation amount.

The severity of your injuries and the thoroughness of your medical documentation can significantly impact your UM claim. Detailed medical records and expert testimonies can substantiate the extent of your injuries and justify the need for higher compensation but still within the limits of UM coverage.

Insurers may have specific conditions and procedures for filing UM claims, including time limits for notifying the insurer about a potential UM claim. Failing to adhere to these conditions can jeopardize the amount you can recover.

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How to File an Uninsured Motorist Claim in New York

Filing an uninsured motorist (UM) claim and dealing with potential claim denials in New York can be complex due to the state’s specific insurance laws and the intricacies of each case. Here’s a deeper look into the process and your options if a claim is denied:

  • Immediate Notification: As soon as possible following an accident, and typically within 30 days, notify your insurance provider about the incident. This timely notification is crucial as it forms the basis of your UM claim.
  • Documentation: Gather all necessary documentation that supports your claim. This includes:
  • Police Report: A police report is essential as it provides an official account of the accident and can indicate whether the other driver was uninsured.
  • Eyewitness Accounts: Statements from witnesses can corroborate your version of events and strengthen your claim.
  • Medical Records: Detailed records of your injuries, treatments, and related expenses are critical. They not only establish the extent of your injuries but also link them directly to the accident.
  • Photographs of the Accident Scene: If available, these can help illustrate the circumstances of the crash.
  • Submission of the Claim: Submit your claim along with the gathered evidence to your insurance company. Ensure all forms are filled out correctly and all required documentation is included.
  • Follow-Up: Stay in communication with your insurance company to track the progress of your claim. Be prepared to provide additional information or clarification as needed.

If the Insurance Company Denies Your Claim

If your UM claim is denied, you have several options:

  • Review the Denial: Understand the reason for the denial. Insurers are required to provide a clear explanation for why a claim is rejected. Review the denial letter carefully to see if there might have been a misunderstanding or missing information.
  • Appeal the Decision: If you believe the decision was incorrect, you can file an appeal with your insurance company. This typically involves submitting a formal letter of appeal along with any additional evidence that may support your case.
  • Legal Consultation: Consulting with an attorney experienced in auto insurance and personal injury law can be crucial. They can offer advice on the viability of your appeal and the strength of your case. They can also represent you in further proceedings if necessary.
  • Initiate Legal Action: If appealing directly to the insurance company does not resolve the issue, you may consider filing a lawsuit against the insurer. Legal action can compel the insurance company to fulfill its obligations under your policy, provided your claim is valid and well-supported.
  • External Review: In some cases, you might also consider contacting the New York State Department of Financial Services or another regulatory body that oversees insurance operations in the state. They can provide guidance and, in some cases, intervene on your behalf.
Role Description
Gathering Evidence An attorney can help collect and preserve critical evidence, such as police reports, medical records, and witness statements, to build a strong case.
Understanding Legal Requirements Attorneys understand the legal requirements and procedural steps necessary to file a claim properly, ensuring compliance with all relevant regulations.
Communicating with Insurers Lawyers handle all communications with your insurance company, presenting your case in the best possible light and countering any attempts to undervalue or deny your claim.
Negotiating Settlements Attorneys are skilled negotiators who advocate on your behalf to secure a fair settlement that covers your medical expenses, lost wages, and other damages.

Understanding the importance of uninsured motorist coverage is crucial for every driver in New York. This coverage provides a vital safety net, ensuring that you and your loved ones are protected financially in the event of an accident with an uninsured or hit-and-run driver. By being informed and prepared, you can tackle these situations with greater confidence and security.

If you find yourself dealing with the aftermath of such an accident, remember that you don’t have to face it alone. Seeking the assistance of a knowledgeable New York car accident lawyer can make all the difference in securing the compensation you need and deserve. Don’t wait until it’s too late—contact K L Sanchez Law Office today at (646) 701-7990 to discuss your case and take the necessary steps to protect your rights and your future.

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