Blog

What Should Victims Know About No-Fault Benefits in Car Accidents?

New York requires that every auto policy include Personal Injury Protection (PIP). After a motor vehicle accident, your own insurer pays you for certain economic losses regardless of who was at fault. Keep reading as a New York metro area accident attorney breaks down what it all means practically.

From a New York Metro Area Accident Attorney: What to Know About No-Fault Benefits

Basic PIP coverage in New York is $50,000 per person. That covers medical care of all types, and healthcare providers must accept the state's no-fault fee schedules as payment in full. Your coverage pays 80% of your lost earnings during this time, with a limit of $2,000 a month. Those payments are reduced if you're getting any New York disability, workers' compensation, or Social Security disability benefits. You can also make claims for up to $25 a day for a year for related necessary expenses, like transportation to get medical treatment.

Who Is Covered?

The coverage for your PIP will include you as the named insured, any relatives living in your home, anyone you gave permission to drive the car, and any passengers in the car. The coverage also applies to any pedestrians that were injured by the vehicle. Motorcyclists and their passengers are excluded from the system, however, and can bring a personal injury claim in any accident situation where someone else was at fault.

When Might Coverage Be Denied?

This will depend on the specifics of the policy, but generally benefits are only denied if:
  • The driver was drunk or drug-impaired, and that condition contributed to the accident
  • The injury was intentionally caused
  • The driver was committing a felony at the time of the accident
  • The vehicle was stolen

How Quickly Do Benefits Pay Out?

The insurer must send the Application for Benefits (NF-2) within five business days of receiving notice of your application, and, after that, the faster you return it, the faster you can expect benefits to kick in. Medical bills are usually paid within 45 days of service and lost wages within 90 days of the time you submit proof of your losses.

What Happens When It's Used Up?

If your injuries cause you greater loss than the PIP coverage, your medical bills would normally go to your health insurer at that point. If the injury is bad enough, the law allows you to step outside the no-fault system and pursue a personal injury claim.

When a Personal Injury Claim Is Possible

If you have an injury that qualifies as "serious," you (or the family in the event of death) can bring a lawsuit. The law defines "serious" as an injury that causes:
  • Death 
  • Dismemberment
  • Significant disfigurement
  • Bone fracture
  • Loss of an unborn child
  • Permanent loss of the use of an organ or limb, bodily function, or bodily system
  • Permanent consequential limitation of an organ or limb, or significant limitation of a bodily function or system. 
If you've been injured, and especially if your injuries are serious, you may be able to step outside the no-fault system. Contact us now at Miller, Montiel & Strano in Garden City, NY for help throughout the New York metro area. 

Recommended Posts

What Should You Expect During the Probate Process?

When a loved one dies, there's a court process that transfers their assets to their beneficiaries and settles their debts. A probate attorney here in the El Paso metro area can guide you through each step and preserve the assets to the fullest possible extent. The Probate Process in the El Paso Metro Area Filing Everything begins when you locate the original will, if one exists, and get certified copies of the death certificate. The will must be filed with the probate court in the county where the deceased lived, and you as a family member (or the person named as executor) must file an application that asks the court to admit the will and appoint a personal representative. If no will exists, the court determines heirs under state law and appoints an administrator. Public Notice After the application is filed, the court clerk posts a public notice for at least ten days. This is to allow any interested person to object to the will or the proposed executor/administrator of the estate. Initial Hearing Once the public notice period is over, a hearing is scheduled, and a judge reviews the will and appoints the executor or administrator of the estate. The court then issues letters testamentary or letters of administration to give that person legal authority to act for the estate. Inventory and Valuation The administrator must then gather and protect every asset that belongs to the estate. Within ninety days, they have to file an inventory that lists those assets and their fair-market values as of the date of death. Some estates qualify for an affidavit in lieu of a full inventory. The administrator will also identify what's community property and what's separate property if the deceased was married. Creditors and Taxes All known creditors have to be notified by mail, and there must also be a notice published in a local newspaper. Creditors then have four months to present claims. The administrator reviews each claim, accepts the valid ones, and pays them from estate funds. During this time, the administrator will also file the deceased person's final income tax return and any required federal estate tax returns (Texas has no state estate tax). Funeral expenses, administration costs, and taxes get priority over all other debts. The administrator may need to sell property to pay debts or to prepare for distribution. Disbursment Once debts and taxes are settled, the remaining assets are distributed according to the will or according to the intestacy statutes if there was no will. The beneficiaries are to get a formal notice of the will's admission within sixty days. Closing the Estate After distribution, the administrator prepares a final accounting and then asks the court to close the estate. Get Help From an Experienced Probate Attorney You can keep many of your assets out of probate with the right choices made now. Whether you're planning for your family's future or dealing with probate now, contact Townsend Allala Coulter & Kludt in El Paso. We're the recognized leaders in elder law and estate planning in the El Paso metro area and Southern New Mexico.

How Can Families Prepare for the Future Effectively?

To prepare your family for the future, it's important to think through your assets, debts, and what you want for your loved ones. Then, an El Paso, TX estate planning lawyer can help you create an estate plan that keeps control in your hands and makes things easy for your loved ones when you pass away. How an Estate Planning Lawyer in El Paso, TX Helps Families Build Good Plans By Understanding Your True Situation You'd be surprised how many people don't really know their true, full financial situation. Your lawyer will sit down with you to discover every single asset you have: home, bank accounts, retirement savings, vehicles, life insurance, and any personal items that carry meaning for your family. Then you'll get a realistic understanding of your debts, too: mortgages, loans, credit cards, student debts, etc. This inventory is the only way to make good decisions, and without it, even well-intentioned plans can fall apart in the moment of truth. By Helping You Create Your Foundational Document Your last will and testament is always the core document. It names an executor to carry out your instructions, states who receives your property, and, if you have minor children, names a guardian for them. Only 24% of Americans currently have a will, according to a 2025 national survey, which means over three-quarters of households are relying on state intestacy rules, which may not match your situation or your goals. By Setting Up Trusts Trusts are a great layer of protection for some families. A revocable living trust can keep assets out of probate, maintain privacy, and set rules for how and when your heirs will receive your property. Special needs trusts are very useful when you have a family member who relies on public benefits. The trust can provide them with some extra support without cutting off their eligibility for those benefits. By Protecting Your Assets Against Long-Term Care Needs Nursing home costs in Texas average roughly $65,700 for a semi-private room per year and $85,000 for a private room. Those numbers are from the 2024 Genworth/CareScout survey, and while there's been no definitive survey for 2025, recent data shows these costs are only continuing to increase. Medicaid can cover those costs once you qualify, but the program includes a five-year look-back period. They'll look back five years to see what assets you transferred during that time, and if they think you were trying to offload property just to make yourself Medicaid eligible, you'll have an extended period of ineligibility. It takes careful planning to protect your home and other assets while still meeting the eligibility rules. By Setting Up Protection for Your Minor Children Guardianship planning for minors or for adults who may later need court-appointed decision-makers is also important. Naming your preferred guardian in advance keeps the court from making that choice without your input. Talk to Us Today About Your Plan When you're ready to put these steps into practice, schedule a consultation with Townsend Allala Coulter & Kludt in El Paso. We can help you turn good intentions into documents that actually work when they are needed. We also serve families in Truth or Consequence, NM.

When Should You Start Planning Your Estate?

If you live in El Paso, TX and keep putting off conversations about what happens to your home, savings, or kids if life takes an unexpected turn, a Medicaid lawyer can help you move from worry and concern to a concrete plan that will take this off your plate and leave you peace of mind, instead. Life Events That Signal It Is Time to Talk to an El Paso, TX Lawyer The National Council on Aging points out that the best time to start estate planning is always today. Anyone with assets or people who depend on them will benefit from having things planned and dealt with before problems arise. But if you're still not convinced, here's a few situations that absolutely should induce you to get started on a plan: A Big Change In Life Circumstances Marriage, the birth or adoption of a child, or buying your first home can change all your priorities, and in ways you may not expect right away. These moments create new people or property that help and protection if you can no longer speak for yourself. A simple will or power of attorney can name who steps in and how your wishes are followed. A Big Change in Finances Starting a business or receiving a significant inheritance also changes the picture. Suddenly you have more to protect and possibly more people or causes you want to support after you are gone. Without a plan in place, the state default rules will take over if you are incapacitated or pass away, and those may divide things in ways that do not reflect your relationships or intentions. A New Prognosis Health needs often arrive without much warning, and planning ahead lets you choose the person who will handle your day-to-day financial decisions and medical choices according to your values rather than leaving it to a judge or forcing your family to go to court to get a guardianship put in place. Long-term care is another important consideration. Federal rules require a review of all asset transfers made in the five years before you make a Medicaid application for long-term services and supports, and much of that can be clawed back. Giving yourself time to plan it all before you experience any health decline means you can explore all the legal steps that fit within those guidelines and protect your estate. Consulting a Medicaid Lawyer The sooner you begin, the more strategies remain open for protecting what you have built. Rushing decisions during a crisis often leads to choices that create bigger problems for your family later on. There are options, and we're here to help. We combine estate planning and elder law expertise under one roof so families can get everything they need. Our depth of experience in both Texas and New Mexico law allows us to handle the full picture from our offices in El Paso, TX or Truth or Consequences, NM. Contact Townsend Allala Coulter & Kludt online today or call us at 915-533-0007 to set up a consultation.