Auto Accidents
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Arbitration (which is sometimes referred to as a type of Alternative Dispute Resolution, or ADR) is a procedure in which the parties to a dispute, for example, parties who disagree about some aspect of a motor vehicle insurance policy, voluntarily submit the issues they are unable to agree upon to the judgment of one or more disinterested persons, called arbitrators, and agree to abide by the judgment of the arbitrators, which is called an award. One significant thing to note about arbitration is that it takes place outside the court system and so can be conducted less formally and with less expense than a traditional judicial proceeding.
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An automobile insurance company has the right to choose whom it will insure. If an applicant for automobile insurance is deemed to be a bad risk, the insurance company can refuse to issue an insurance policy. Ordinarily, the insurance company does not have to give the applicant a reason for refusing to insure him or her. However, insurance companies must act in good faith in their dealings with insureds and applicants. Although an insurance company can refuse to insure someone, they cannot refuse to insure a person for an improper reason. The same applies to the cancellation of an insurance policy.
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When an insured has suffered a loss and wants to prove coverage under an automobile insurance policy, the insured must show the issuance and delivery of the policy, payment of the premium, a loss caused by a risk insured against, and notice and proof of loss to the insurance company. The proof of loss must give the insurance company adequate data from which it can determine its liability under the policy. The proof of loss must be in writing and set forth the injuries or damage sustained. A valuation of the loss should also be provided.
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If an insurance policy covers accidents of travel, it must be shown that a death or disability resulted from such a risk before benefits can be paid. A death caused by the collision of automobiles is clearly within the ordinary interpretation of accidental means. This result is not prevented by any negligence of the insured. Courts feel that clauses of this nature must be given a reasonable construction. If the insurance terms are not expressly limited, some courts will extend coverage to situations where the use of an automobile was not an important factor or where the particular loss was fairly removed from an event that involved the use of an automobile. Other decisions, however, are not as generous. Some courts will not trace back an injury to an automobile or extend benefits to a particular loss or expense.
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Automobile insurance policies may have a clause that requires an insured to disclosure information to his or her insurance company that would allow the insurance company to determine if there is a valid defense to a claim against the insured. This disclosure obligation, which could be part of an insurance policy's cooperation and assistance provision, requires the insured to make a truthful disclosure of all information reasonably requested by the insurance company.
