Auto No-Fault Intentional Injuries Exclusion – You Don’t Have to Prove Innocence

To understand the intentional injuries exclusion, you must first familiarize yourself with the basics of Michigan’s auto no‑fault law. While oftentimes shrouded in mystery, Michigan’s no-fault law, at its core, provides every resident injured in auto-related accidents certain financial and medical insurance benefits with very limited exception. Intentional injuries are one of the exceptions insurance providers attempt to exempt injured parties from obtaining benefits. These benefits pay for accident-related medical care and certain financial losses resulting from a collision. No-fault ...

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No-Fault Reform – Beware the Shiny Objects in 2019

No-fault reform was a hot topic in 2018. Despite falling short in last year’s lame duck session, the debate isn’t going anywhere in 2019. Tom Sinas, Grand Rapids car accident attorney and auto no-fault thought leader, recently penned an op-ed for the Grand Rapids Business Journal. In it, he warns consumers – be alert and informed, and remain on the lookout for shiny objects insurance lobbyists will surely throw out this year. Here’s a brief rundown of ...

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Steve Sinas Argues Out-of-State No-Fault Case at Michigan Supreme Court

On November 19, 2018, Stephen Sinas argued an out-of-state no-fault case at Michigan Supreme Court. Sinas Dramis appellate attorney, Joel Finnell, took the leading role on the appellate briefing.

The issue in the case was whether our clients, who are Michigan residents, could recover no-fault insurance benefits when they were injured in a motor vehicle crash that occurred in Florida. Furthermore, they occupied a vehicle purchased and used exclusively in Florida at the time of the accident. This vehicle was insured ...

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Stephen Sinas Leads Michigan No-Fault Insurance Webinar

Lansing auto accident attorney Stephen H. Sinas discussed the history, purpose and future of Michigan no-fault insurance, during a live webinar presented by Michigan Lawyers Weekly on July 25, 2017.

The program titled, “The State of No-Fault Insurance in Michigan,” was the first webinar that Michigan Lawyers Weekly has hosted, and Stephen was honored to be invited as the featured speaker.

Stephen is known as a leading authority on Michigan no-fault law. He is recognized across the state ...

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Car Accident In Another State: Does Michigan No-Fault Insurance Apply?

Summer is almost here, and many Michigan families will be driving the nation’s highways to reach their vacation destinations, and to visit family and friends. During their travels, some of these motorists will unfortunately be involved in a car accident in another state. The question then becomes: does their Michigan no-fault insurance cover the out-of-state crash?

In general, the answer to this question is “yes” — Michigan no-fault coverage does typically apply to a car accident in another state.

However, ...

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Extending Michigan’s “One-Year-Back Rule” Will Help Reduce No-Fault Litigation

By Stephen H. Sinas

As the Legislature debates revising the Auto No-Fault Insurance Act, there is one simple change that will vastly improve the no-fault system: extending Michigan’s “one-year-back rule.” If people have more time to resolve payment disputes with their auto insurance companies, it will help reduce unnecessary no-fault litigation.

The one-year-back rule in MCL 500.3145 says that, for any medical expense unpaid by a no-fault insurance company, if a lawsuit is not filed against the insurance company ...

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Can Victims Of Michigan Semi-Truck Crashes Get No-Fault Benefits?

Persons involved in a Michigan semi-truck accident frequently have catastrophic injuries and require lifetime care, resulting in mounting medical bills. Given this, does auto no-fault apply to Michigan semi-truck crashes?

Semi-truck crashes are some of the deadliest accidents on the roadways. In 2016, nearly 12,000 heavy trucks and buses were in collisions on Michigan highways. Nationwide, studies show that 98 percent of semi-truck crashes result in at least one fatality — and about 86 percent of ...

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Coordinated No-Fault Benefits: No More Payment Delays For Medical Providers

By Dan James, Katie Tucker & Dan Zick

During the past year, medical providers have been operating under the notion that, when a patient has coordinated no-fault benefits, they had to first appeal the denial of the patient’s health insurance coverage before seeking payment for their services under Michigan’s No-Fault Act.

When it comes to coordinated no-fault benefits where health coverage is denied, an appeal of that denial can take months. This means that many medical providers have been under ...

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What Is “Reasonable Proof” Under The Michigan No-Fault Act?

Since being enacted more than 40 years ago, the Michigan No-Fault Act has been rather difficult to understand and apply. But despite the Act’s overall complexities, there are some no-fault concepts that have retained their elegant simplicity — and one of these is “reasonable proof.”

Under the Michigan No-Fault Act, an insurance company is required to pay personal protection insurance (PIP) claims within 30 days of receiving “reasonable proof of the fact and of the amount of loss sustained.” ...

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Letting Drivers Choose Their Michigan No-Fault Medical Benefits Is A Healthcare Gamble

A proposal to let drivers choose their Michigan no-fault medical benefits when they buy their auto insurance is nothing short of a healthcare gamble, and would end up leaving many car crash victims without enough coverage.

House Bill 5951, introduced by Rep. Jason Sheppard (R-Temperance), seeks to change Michigan’s auto no-fault system and the guarantee of unlimited lifetime medical benefits for those who are catastrophically injured in car accidents. The legislation proposes that four levels of medical coverage be ...

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