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Chapter 5 Part 1: Auto Insurance

NJ Mandatory Coverage, Policy Options, and State Programs

Auto Insurance in New Jersey

Auto insurance is mandatory in New Jersey. However, the type of insurance may vary depending on the option selected by the insured. The Automobile Insurance Cost Reduction Act mandated that both a Basic Policy and a Standard Policy be available to all drivers.

Exam Alert!

Know the difference between Standard (25/50/25) and Basic ($5,000 PD only) policies. This is one of the most tested NJ-specific topics!

1. Requirements - Bodily Injury & Property Damage

Standard Automobile Liability Policy

Must include at least the following coverage limits:

$25,000

Per person BI

Injury/death to ONE person

$50,000

Per accident BI

Injury/death to ALL persons

$25,000

Property Damage

Excludes first $500

Higher Limits Available:

Up to $250,000 per person, $500,000 per accident, and $100,000 property damage.

Example: 25/50/25 in Action

You cause an accident injuring 3 people with claims of $30K, $20K, and $15K ($65K total). Your policy pays:

  • • Person 1: $25,000 (capped at per-person limit, not full $30K)
  • • Person 2: $20,000 (under limit)
  • • Remaining: $5,000 to Person 3 (hit the $50K per-accident cap)
  • You owe $10,000 out of pocket for Person 3's remaining claim

Basic Automobile Policy

NO Bodily Injury Liability

Optional: $10,000 for all persons may be purchased

$5,000 Property Damage

Per accident liability

Who Should Consider Basic?

Those with few family responsibilities and few real assets. Good for younger drivers just starting work who need basic, minimum protection when they can least afford more comprehensive coverage.

Warning: Basic Policy Risk

You cause an accident - someone breaks their leg ($50K medical bills). With Basic policy:

  • • BI Coverage: $0 (or $10K if you bought optional)
  • You're personally liable for $40K-$50K!
  • • They can sue you and take your assets

Producer Protection:

New Jersey law exempts producers from liability on account of selling insurance with the minimum required coverage. You can't be sued for selling someone a Basic policy if that's what they chose.

Side-by-Side: Same Accident, Different Policies

The Accident:

You run a red light and T-bone another car. The other driver has $35,000 in medical bills. Their car ($18,000 value) is totaled.

Total damages: $53,000

With Standard Policy (25/50/25)

Their medical bills ($35K): $25,000 paid
Their car ($18K): $18,000 paid

Insurance pays: $43,000
You owe out of pocket: $10,000

With Basic Policy ($5K PD only)

Their medical bills ($35K): $0 paid
Their car ($18K): $5,000 paid

Insurance pays: $5,000
You owe out of pocket: $48,000!

Exam Point: The Basic policy saves money on premiums, but one serious accident could cost you your savings, your car, and even your house if you're sued!

Uninsured and Underinsured Motorists (UM/UIM)

NJ motorists are required to purchase UM/UIM coverage. Limits may not be less than the insured's liability limits (25/50/25).

Higher Limits Available:

  • • Up to $250,000 each person / $500,000 each accident for BI
  • • Up to $100,000 each accident for PD (or $500,000 single limit)
  • • Subject to $500 exclusion for property damage per accident

NO STACKING Allowed!

In NJ, UM/UIM coverage may NOT be increased by stacking limits of multiple vehicles on the same policy or other policies available to the insured.

Example: You have 3 cars insured with $50K UM each. You can't combine them to get $150K coverage. You get $50K max.

Example: When UM/UIM Kicks In

Uninsured (UM):

Driver with no insurance hits you. Your UM coverage pays your medical bills.

Underinsured (UIM):

Driver has $25K coverage, your injuries are $75K. Their insurance pays $25K, your UIM pays remaining $50K.

Evidence of Insurance & ID Cards

Insurance ID Cards

When you purchase auto insurance, you receive:

  • • Your insurance policy
  • • Identification card for you
  • • Cards for licensed household members

Non-Driver ID Cards

NJ residents 17 years or older who cannot or choose not to drive may apply for:

  • Non-driver photo ID - For identification only, NOT a license to drive
  • Non-driver handicapped ID - For ID only, cannot be used to drive or park in handicapped spaces

2. Personal Injury Protection (PIP) - No-Fault Coverage

PIP is "no-fault" coverage because benefits are paid regardless of who caused the accident. It covers the insured and family members who sustain bodily injury in an auto accident.

PIP Benefits Include:

$250,000

Medical expenses per person, per accident

Lost Income Benefits

Max $100/week, lifetime max $5,200

Essential Services

Max $12/day, lifetime max $4,380

Services for care/maintenance of family

Death Benefits

Funeral/burial/cremation up to $1,000

$75,000 Threshold

If PIP benefits exceed $75,000 for any one person in any one accident, the excess is paid by the insurer in consultation with the Unsatisfied Claims and Judgment Fund Board.

Medical Expense Deductible Options

NJ must offer several deductible options for collision and comprehensive:

$500 $1,000 $2,000 $2,500

Primacy of Coverage

The named insured's PIP is primary for the named insured and resident relatives who aren't named insureds on their own policy.

No person may recover PIP benefits under more than 1 auto policy for injuries in any accident.

60-Day Rule

Insurer may require written notice ASAP after an accident. After 60 days, any unpaid PIP coverages are considered overdue.

Real-World Scenario: How PIP Works

The Setup: Sarah is driving her kids to school when another driver runs a stop sign and hits her car. Sarah breaks her arm, and she's a self-employed hairdresser who can't work for 6 weeks.

What PIP Covers:

  • - Emergency room visit: $4,500 (covered)
  • - Surgery and hospital stay: $28,000 (covered)
  • - Physical therapy (12 weeks): $3,600 (covered)
  • - Lost income: $100/week x 6 weeks = $600 (covered)
  • - Essential services (help with kids): $12/day x 42 days = $504 (covered)

Total PIP pays: $37,204

Key Point: Sarah's PIP pays all this regardless of who caused the accident. She doesn't have to prove the other driver was at fault. That's why it's called "no-fault" coverage!

What About Pain & Suffering? If Sarah chose "No Limitation on Lawsuit," she can ALSO sue the at-fault driver for additional damages. If she chose "Limitation on Lawsuit," she gets PIP benefits but likely can't sue for pain and suffering.

PIP Exclusions - When Benefits May Be Denied

Criminal Activity: Injury while committing a high misdemeanor or felony, or fleeing from police

Intentional Injury: Acting with specific intent to cause injury to yourself

Uninsured Owner: Owner of a NJ-registered vehicle operating without PIP coverage

No Permission: Occupying/operating a vehicle without the owner's permission

Tort Options - Lawsuit Rights

The named insured must elect one of two tort options to maintain PIP coverage:

LOWER PREMIUM

Limitation on Lawsuit

You give up the right to sue for noneconomic loss (pain and suffering) in most cases.

Example: You're injured, have $10K medical bills and suffer pain. You get PIP for medical bills but CAN'T sue for pain and suffering unless injuries are severe.

HIGHER PREMIUM

No Limitation on Lawsuit

You keep the full right to sue for noneconomic loss (pain and suffering).

Example: Same injury - you get PIP for medical bills AND can sue the at-fault driver for pain and suffering damages.

Election must be in writing and signed by the named insured. The form must state the percentage difference in premium rates or dollar savings between options.

Applies to household: The option selected applies to the named insured AND family members residing in the same household who aren't named insureds on their own policy.

Default Rule: If the named insured fails to elect a tort option in writing, the Limitation on Lawsuit option is deemed selected.

3. NJ Automobile Residual Market - Personal Automobile Insurance Plan (PAIP)

Purpose

The Commissioner can establish a plan for applicants who are in good faith entitled to coverage but cannot obtain it through ordinary methods. Every authorized insurer must participate.

PAIP is administered by the NJ Automobile Full Insurance Underwriting Association.

Example: A driver with multiple DUIs can't get any regular insurer to cover them. PAIP provides a way for them to get legally required insurance, though at higher rates.

Territorial Base Rates - How Location Affects Your Premium

New Jersey is divided into rating territories - geographic zones with different base rates based on local risk factors like accident frequency, theft rates, and traffic density.

Real-World Example: Same Driver, Different Locations

The Setup: Two 30-year-old drivers with identical clean records, same car (2022 Honda Accord), same coverage (25/50/25).

Driver A: Newark

High traffic, high theft, more accidents

~$2,800/year

Driver B: Sussex County

Rural, low theft, fewer accidents

~$1,400/year

The Result: Same driver profile, but the Newark driver pays roughly double because their territorial base rate is higher. Your ZIP code is the starting point for your premium calculation.

How it works: Insurer starts with your territory's base rate, then adjusts up or down based on your personal factors (age, driving record, vehicle type, etc.).

Rate Adjustments (Added to Base Rate)

Rates are adjusted upward from territorial base rates for insureds with:

  • • One or more moving violations
  • • 4 or more points
  • • An at-fault accident within preceding 3 years

Servicing Carrier Eligibility

Minimum assets of $10,000,000

In insurance business at least 5 years

3+ years insurance-related experience

Capacity to service 100,000+ policies

Available Coverages

$500,000 bodily injury
$100,000 property damage
Medical payment $500,000 ($250K/person)
Comprehensive and Collision
UM/UIM coverage
Personal Injury Protection

Urban Enterprise Zone (UEZ) Program

Established to increase insurance availability in urban areas. The Commissioner offers incentives to encourage qualified insurers to write auto insurance in UEZ areas.

Insurers must file plans for increasing access, assist UEZ agents, monitor impact, provide consumer education materials, and set goals for in-force exposures.

4. Commercial Automobile Insurance Plan (CAIP)

Two Main Purposes:

  1. Provides coverages for all motor vehicles other than those subject to PAIP
  2. Establishes procedure for sharing premiums, losses, and expenses for eligible risks

Eligible Applicants Must:

  • Be domiciled in New Jersey
  • Be owner of an automobile registered or to be registered within 60 days
  • Principal driver must hold a valid NJ driver's license

Basic Combined Single Limit

$35,000

Required from servicing carrier

UM/UIM Optional

Up to $500,000 single limit, subject to $500 PD exclusion

Physical Damage Coverage Available For:

• Private passenger vehicles
• Motorcycles
• Light trucks
• Recreational trailers (not residences)
• Social services vehicles

NOT Entitled to Physical Damage Coverage If:

  • • Vehicle is 25+ years old (antique)
  • • Vehicle value exceeds $30,000
  • • Vehicle is a motorized bicycle or moped
  • • Registration plate not issued for a specific auto

Real-World Scenario: When CAIP Is Needed

The Setup: Maria owns a small landscaping business with 3 work trucks. She has multiple speeding tickets and one at-fault accident. Every regular insurance company has declined to cover her commercial vehicles.

What Happens: Maria applies to CAIP through a licensed producer. Because she's domiciled in NJ, owns registered vehicles, and has a valid NJ license, she qualifies.

The Result: CAIP provides her with the required $35,000 combined single limit liability coverage. She pays higher premiums due to her driving record, but she can legally operate her business. Without CAIP, she'd have to shut down or drive illegally.

5. Basic Auto Insurance Policy

The Automobile Insurance Cost Reduction Act mandates that a basic auto insurance policy be available to all drivers. It offers less protection but at a lower cost than the standard policy.

Bodily Injury

$0

($10K optional for all persons)

Property Damage

$5,000

Per accident

PIP

$15,000

Up to $250K for permanent injury

Producer Protection Reminder:

NJ law exempts producers from liability for selling insurance with minimum required coverage mandated by NJ law.

6. Special Auto Insurance Policy (SAIP)

An initiative to help make limited auto insurance coverage available to drivers who may go uninsured due to limited financial resources. Only available to those currently enrolled in Medicaid with hospitalization.

Cost

$360

Per year (single payment)

Or $365 if paid in 2 payments

Coverage Provides

  • $250,000 emergency care after accident
  • Treatment for serious brain and spinal cord injuries
  • $10,000 death benefit

SAIP Excludes:

  • • Outpatient treatments (covered by Medicaid)
  • • Damage you cause to other people or property (NO LIABILITY)
  • • Damage to your own car (NO COLLISION/COMP)

Key Point: SAIP addresses the chief cost an uninsured driver places on the system - the cost of emergency care after an accident.

Real-World Scenario: SAIP in Action

The Setup: James is on Medicaid with hospitalization. He works part-time and needs a car to get to work, but can't afford regular auto insurance ($1,500+/year). Without any insurance, he'd drive illegally or lose his job.

What Happens: James qualifies for SAIP and pays $360 for the year. Two months later, he's in a serious accident and suffers a spinal cord injury.

The Result:

  • + Emergency room and surgery: Covered by SAIP (up to $250K)
  • + Ongoing outpatient rehab: Covered by his Medicaid
  • + Damage to the other driver's car: NOT covered - James is personally liable
  • + Damage to James's own car: NOT covered - no collision coverage

The Tradeoff: SAIP keeps James legal and covers catastrophic medical costs, but he has zero liability protection. If he injures someone else, he could be sued personally.

Quick Reference: Auto Insurance Numbers

25/50/25

Standard limits

$5,000

Basic PD

$250,000

PIP Medical max

$100/wk

PIP lost income

$5,200

PIP income lifetime

$12/day

Essential services

$1,000

Funeral benefit

$360

SAIP annual