MD Insurance Bulletin 16-29
Senate Bill 0748/House Bill 0900 (Chapter 425/426, Acts of 2016)/PIP Forms MAIF
Bulletin 16-29
Date:
September 16, 2016
To:
All Property & Casualty Producers that Write Insurance Policies for the Maryland Automobile
Insurance Fund (MAIF)
Re:
Senate Bill 0784/House Bill 0900 (Chapter 425/426, Acts of 2016)/PIP Forms
*************************************************************************************
This Bulletin provides important information for Property & Casualty producers that write insurance
policies for the Maryland Automobile Insurance Fund (MAIF) with respect to the passage of Senate Bill
0784/House Bill 0900 (Chapters 425 and 426, Acts of 2016) - Motor Vehicle Insurance - Personal Injury
Protection - Rejection of Coverage. This legislation creates new §19-506.1 of the Insurance Article,
which allows qualified applicants to elect a full rejection of Personal Injury Protection ("PIP") benefits.
As of October 1, 2016, all producers that write new minimum-limits insurance policies for MAIF shall
use
the
Maryland
Automobile
Insurance
Fund
New
Application
–
Minimal
Limits
($30,000/$60,000/$15,000) Notice and Acceptance for Full, Waiver or Rejection of Personal Injury
Protection (PIP) Coverage Form. This form will be available on the Maryland Insurance Administration’s
website at http://insurance.maryland.gov/Consumer/Documents/publicnew/MAIF-PIP-Form.pdf.
All producers renewing insurance policies for MAIF or writing MAIF policies with higher than minimum
limits shall continue to use the current PIP form, which will remain available on our website at:
http://insurance.maryland.gov/Insurer/Documents/bulletins/2011pcforms-pipwaiverfinal.pdf.
Please direct any questions regarding this Bulletin to: Robert Baron, Director, Property & Casualty
Complaints, 410-468-2353 (Robert.Baron@Maryland.gov).
Al Redmer, Jr.
Commissioner
By:
Joy Y. Hatchette, Associate Commissioner,
Consumer Education & Advocacy
AL REDMER, JR.
Commissioner
NANCY GRODIN
Deputy Commissioner
LARRY HOGAN
Governor
BOYD K. RUTHERFORD
Lt. Governor
200 St. Paul Place, Suite 2700, Baltimore, Maryland 21202
1-800-492-6116 TTY: 1-800-735-2258
www.insurance.maryland.gov
signature on original
Notice and Acceptance for Full, Waiver or Rejection of PIP
Effective 10/1/16
Maryland Automobile Insurance Fund
New Application – Minimal Limits ($30,000/$60,000/$15,000)
Notice and Acceptance for Full, Waiver or Rejection of Personal Injury
Protection (PIP) Coverage
Notice Concerning the Acceptance for Full,
Waiver or Rejection of Personal Injury Protection
(PIP) Coverage in Maryland (Private Passenger
Automobile Liability Insurance)
You have the choice of purchasing certain Personal
Injury Protection (PIP) Coverages:
1. Obtain Full PIP Coverage – Insurance Article –
§19-505
2. Waive PIP Coverage – Insurance Article –
§19-506
3. Reject PIP Coverage – Insurance Article –
§19-506.1
Before deciding whether to purchase, waive or reject
this coverage, please read the following carefully.
I.
Full PIP – Insurance Article – §19-505
Full PIP coverage provides the following
protection, without regard to fault:
1. It covers you and members of your family residing
with you who are injured in any motor vehicle
accident; anyone injured while in your vehicle; and
pedestrians injured by your vehicle.
2. The minimum coverage is $2,500 and may be used
to cover:
a. All reasonable and necessary medical
expenses incurred within 3 years of injury; and
b. 85 percent of actually incurred lost wages;
or
c. If the injured person is not employed at the time
of injury, any reasonable and necessary expenses
to provide for essential services which that person
would have provided for the care and maintenance
of his or her family or household.
If you do not sign the waiver or rejection, you will
automatically receive the full PIP protection
described above. Your full PIP premium will be
$
(annually).
II.
Waiver – Insurance Article – §19-506
You may only waive PIP coverage for:
1. The named insured (you);
2. All listed drivers on the policy; and
3. Members of your family who are 16 years of age or
older and reside with you in your household.
The waiver prevents the named insured (you) from
collecting PIP benefits under any motor vehicle liability
insurance policy issued in the State of Maryland or
another form of security authorized to be used in place
of a motor vehicle liability insurance policy.
The waiver prevents individuals described in category
2 or 3 above from collecting PIP benefits under your
policy. In addition, if these individuals are involved in a
motor vehicle accident, the waiver prevents these
individuals from collecting PIP benefits under any
other policy of motor vehicle liability insurance issued
in the state of Maryland or another form of security
authorized to be used in place of a motor vehicle
liability insurance policy unless the individual:
- Is the first named insured under the other
policy;
- Has not waived PIP benefits under the other
policy; and
- Is not a named insured under any policy of
motor vehicle liability insurance where a waiver
of PIP benefits is in effect.
The waiver does not impair the rights of other
individuals such as pedestrians or minor children from
collecting PIP under your policy.
If you decide to sign the waiver, your PIP premium will
be
percent of the full PIP
coverage. The total premium will be $
(annually).
If you decide not to sign the waiver, Maryland
Automobile Insurance Fund may not refuse to write
your insurance coverage.
Notice and Acceptance for Full, Waiver or Rejection of PIP
Effective 10/1/16
III.
Rejection – Insurance Article – §19-506.1
The first named insured/applicant is not required to
obtain coverage for the benefits described in §§19-505
(Full) and 19-506 (Waived) under a motor vehicle liability
insurance policy that:
1. Provides coverage that does not exceed the minimum
liability coverage of Bodily Injury arising from an accident
of up to $30,000/$60,000 and Property Damage of up to
$15,000; and
2. Is issued, sold, or delivered by the Maryland
Automobile Insurance Fund.
The Maryland Automobile Insurance Fund is required to
offer a First Named Insured, at the time of application,
the option to reject all PIP coverage for the benefits
described in §§19-505 and 19-506 if, prior to the
application, the applicant has not been insured
continuously by the Maryland Automobile Insurance
Fund for at least 1 year.
If you reject PIP, this rejection is effective for everyone
seeking PIP coverage under this policy, including the
following:
1. The named insured;
2. All listed drivers;
3. Members of your family who reside with you in
your household;
4. Passengers other than listed drivers or family
members;
5. Pedestrians;
6. Permissive drivers.
The rejection of PIP prevents the named insured (you),
all listed drivers, and members of your family who reside
with you in your household from collecting PIP benefits
under any motor vehicle liability insurance policy issued
in the State of Maryland or another form of security
authorized to be used in place of a motor vehicle liability
insurance policy.
The rejection precludes the collection of PIP benefits
under your policy by other individuals such as
passengers, pedestrians or permissive drivers, but does
not impair such other individuals from collecting PIP from
another motor vehicle liability policy.
If you decide to sign the rejection, your PIP premium will
be zero. (annually)
If you decide not to sign the rejection, your insurance
company may not refuse to write your insurance
coverage.
At the time of application for policy, the first named
insured shall elect in writing to:
1. Obtain Full PIP Coverage – Insurance Article – §19-
505
2. Waive PIP Coverage – Insurance Article –
§19-506
3. Reject PIP Coverage – Insurance Article –
§19-506.1
A rejection of PIP coverage for all of the benefits
described in §§19-505 and 19-506 is effective until the
end of the policy’s term unless the First Named Insured:
1. Withdraws the rejection of coverage in writing;
2. Obtains a motor vehicle liability Insurance policy for
the motor vehicle from another Insurer; or
3. Increases any coverage under the policy to an amount
that exceeds the minimum liability coverage (bodily
Injury arising from an accident of up to $30,000/$60,000
and property damage of up to $15,000).
On renewal of the policy, unless the First Named Insured
notifies that insurer in writing that the First Named
Insured wishes to obtain coverage for the benefits
described in §19-505 (full PIP coverage), the Insurer
shall provide the coverage described in §19-506 (waived
PIP coverage).
Notice and Acceptance for Full, Waiver or Rejection of PIP
Effective 10/1/16
Acceptance for Full, Waiver or Rejection of
Personal Injury Protection (PIP) Coverage
I, the first named insured/applicant hereby acknowledge
that I have fully read, understood and agree to the terms
of this document: (check one of the following)
request full PIP coverage required by Section
19-505 of the Insurance Article (PIP) be applicable
to the policy or binder of insurance described below, on
all future renewals of the policy and on all replacement
policies unless I notify the company in writing to the
contrary, with the effective date of such change being no
earlier than the receipt date by the company of my written
notification.
affirmatively waive the benefits required by
Section 19-506 of the Insurance Article (PIP).
I understand and agree that this waiver of coverage
shall be applicable to the policy or binder of insurance
described below, on all future renewals of the policy and
on all replacement policies unless I notify the company
in writing to the contrary, with the effective date of such
change being no earlier than the receipt date by the
company of my written notification.
reject PIP coverage as required by Section 19-506.1
of the Insurance Article. I understand and agree that
this refusal to accept (reject) PIP coverage shall be
applicable to the policy or binder of insurance described
below unless I notify the company in writing to the
contrary, with the effective date of such change being no
earlier than the receipt date by the company of my
written notification.
____________________________________
First Named Insured/Applicant
_____________________________________
Signature of First Named Insured/Applicant
_____________________________________
Date
Policy/Binder #
MARYLAND AUTOMOBILE INSURANCE FUND
Insurer
_______________________________________
Producer Name
Producer Code