Impact of Auto Injury Claims

Press Release



MALVERN, Pa., Nov. 30 /PRNewswire/ --



A new study by the InsuranceResearch Council (IRC) finds that claimed losses for auto injuries haveescalated at vastly different rates across four states with no-fault auto insurance regulations. From 1997 to 2002, the average amounts that personal injury protection claimants reported for expenses stemming from their injuries increased 122 percent in Colorado, 60 percent in New York, 37 percent in Florida, and just 2 percent in Michigan. The study finds escalating medical costs are the key factor behind the growth in losses in Colorado, New York,and Florida. Skyrocketing claim costs contributed to the 2003 Colorado decision to end the state's no-fault auto insurance system. The recently released IRC study, Analysis of Auto Injury Insurance Claims in Four No-Fault States, examines detailed information from auto injury claimsthat closed with payment in Colorado, Florida, Michigan, and New York. TheIRC report focuses on auto injury claiming behavior by exploring claimpatterns under two of the principal private passenger auto insurance coveragesin no-fault states: (1) personal injury protection (PIP), which pays benefitsto persons injured in auto accidents without regard to fault, and (2) bodilyinjury liability (BI), which pays for an insured driver's legal liability forinjury caused to someone else. The IRC study reveals different levels of use of certain medicalprofessionals and diagnostic procedures by state, as well as vastly differentcharges for those professionals and diagnostics. The analysis identified thefollowing PIP claim patterns and differences among the four states: -- The type of medical treatment received by claimants varied by state. * More than 33 percent of the PIP claimants in Colorado, Florida, and New York went to a chiropractor compared to 13 percent in Michigan. * Colorado and New York claimants were at least twice as likely to see physical therapists as claimants in Florida or Michigan. * Twenty-two percent of New York PIP claimants went to alternative professionals such as acupuncturists or massage therapists, compared to 18 percent in Colorado, 7 percent in Florida, and 1 percent in Michigan. -- Average charges for certain medical professionals varied drastically among PIP claimants by state. * The average per-visit charges for chiropractors were significantly higher in Florida ($254) and Colorado ($223), compared to Michigan ($125) and New York ($83). * The average total charged per claimant by chiropractors was more than three times as high in Colorado ($4,804) and Florida ($4,837) than in Michigan ($1,522) and New York ($1,549). In summarizing the findings, Elizabeth A. Sprinkel, senior vice presidentof the IRC, said, "PIP claimants appear to be using more medical resources insome no-fault states than in others, even among claimants with similarinjuries. On top of that, the average charges for certain medical treatmentsin some no-fault states are sometimes more than double the cost for similartreatment in other no-fault states. As a result, claimed auto injury losseshave risen much faster in some states than others, ultimately leading togreater increases in auto insurance premiums for drivers in those states." In no-fault states, injury thresholds must be surpassed before an injuredclaimant can file a bodily injury liability claim against an at-fault driver.Injury thresholds varied among these four states from a monetary threshold ofat least $2,500 of medical expenses in Colorado to a strict verbal thresholdin Michigan that restricts BI claims to injuries that lead to permanentserious disfigurement, serious impairment of a bodily function, or death. One of the goals of no-fault auto insurance systems is to alleviatepressure on the court system by reducing tort liability claims for minorinjuries. Reflecting the restrictive tort threshold in Michigan, BI claimantsthere had more serious injuries than claimants from the other three states.In addition to the closed claim data revealing injury levels among BIclaimants, claim frequency data show fewer Michigan BI claims per number ofinsured drivers than the other three no-fault states in this study. "Michigan is an example of a no-fault state where the majority of BIclaims are for severe injuries with disabling consequences," Sprinkelexplained. "Despite the tort thresholds in the other three no-fault statesthat were examined, liability payments often were paid to claimants withrelatively minor injuries."