© 2024 Jerry Marlow

To make your draft letter
to the automobile insurance company
more consistent
with the laws of New Jersey,
vet and edit your draft letter
against the laws of New Jersey
that I copied and pasted below.

In the “What I would do today” module
of wasyourcartotaledorstolen.com,
I told you that,
if I had not yet agreed
to a valuation amount
for my total-loss vehicle,
then I would write a letter
to the automobile insurance company.

In that letter:

  • I would find fault
    with the valuation methodology
    that the automobile insurance company’s
    valuation-services vendor
    used to produce their valuation
    of my total-loss vehicle.

  • If the automobile insurance company
    sent me a deeply flawed
    market valuation report
    like the CCC market valuation report
    that Travelers sent to me
    or like the CCC market valuation report
    that Maria’s insurance company
    sent to her, then I might argue
    that the valuation services vendor
    had motive, means, and opportunity
    to generate an unfair, inaccurate,
    low valuation for my total-loss vehicle.

  • I would reject
    the automobile insurance company’s
    valuation offer.

  • I would propose
    that the automobile insurance company
    value my total-loss vehicle
    at my total-loss vehicle’s
    J.D. Power Buy from Dealer price.

  • I would argue
    that the J.D. Power Buy from Dealer price
    for my total-loss vehicle
    is a fair and unbiased calculation
    of my total-loss vehicle’s
    actual cash value.

Some parts of my letter would be different
depending on whether my total-loss claim
was a first-party claim or a third-party claim.


Then, in the “Let’s get to work” module,
I offered you
polite and muscular model letters
in docx format that,
if you wish to do so,
you can use as the starting point
for your letter
to the automobile insurance company
if you have not yet settled
your total-loss claim.

I suggested that you edit your draft letter
to make your letter consistent
with your total-loss vehicle’s
J.D. Power valuation,
make your letter consistent
with the CCC market valuation report
or other market valuation report
that you received
from the automobile insurance company,
and, if your total-loss claim
is a first-party claim,
make your letter consistent
with what your automobile insurance policy says.


Now I take you through another way
in which you may wish
to edit your draft letter.


The laws that regulate
how automobile insurance companies
are required to value total-loss vehicles
and settle total-loss claims
are different in different states.

Hence, if you are using
my model letters
as the starting point for your letter
to the automobile insurance company,
then you or the attorney with whom you meet
will need to vet your draft letter
against the laws of your state.

You or the attorney
will need to edit your draft letter
to make it fully consistent
with the laws of your state.


To make it possible for you
to vet and edit your draft letter
against the laws of your state,
I have copied and pasted below
what I believe to be
the most relevant and useful provisions
of the laws of New Jersey
that regulate
how automobile insurance companies
that do business in New Jersey
are required to value total-loss vehicles
and settle total-loss claims.


If you read through the excerpts
of the laws below,
you may be able to make
some of the required changes,
modifications, and deletions
to your draft letter yourself.

Where you are not sure what changes,
modifications, or deletions to make
to your draft letter,
you may want to leave them
for the attorney to make
when you meet with her or him.


If you have not done so already
(and you wish to do so),
download one of my starter documents.

If your total-loss claim is a first-party claim, download
Marlow_First_party_Not_yet_settled_letter.docx.

If your total-loss claim is a third-party claim, download
Marlow_Third_party_Not_yet_settled_letter.docx.


If you have not done so already,
in your word-processing software,
use “Find and replace” ➞ “Replace all”
to replace the specifics
of my fictitious total-loss claim
with the specifics
of your total-loss claim.


Print the draft document.

Your draft docucment
will be easier to work with
if you print it on only one side
of the paper.


Follow the instructions
that I embedded in the draft document.


Depending on whether your total-loss claim
is a first-party claim
or a third-party claim
and depending on whether you choose
to work with my polite model letter,
to work with my muscular model letter,
or to blend the two model letters;
you need to know or need to find
or need to ask an attorney
the answers to one
of the following sets of questions:

Questions for a first-party claim.

Questions for a third-party claim.


vet_your_draft_letter_against_your_state_s_lawsChapter

If your total-loss claim
is a first-party claim,
then, to adapt
my first-party model letters
to the laws of your state,
you need to know or need to find
or need to ask an attorney
the answers to these sets of questions.

In my polite model letter
and in my muscular model letter,
I suggest that you add, leave in,
or take out certain sentences
depending on what your state’s laws
say about a particular aspect of the law.

To decide what to do
if you are using either of my model letters
as the starting point for your letter,
here are the questions
that you need to know or need to find
or need to ask an attorney
the answers to.


        FIRST-PARTY total-loss claim.

I’ve included these questions
in the docx model letters
just before each letter.

In your printout of the docx document,
underneath each question,
you will find  Yes (    )    No (    ) check offs.


        FIRST-PARTY total-loss claim.

When, in a section of the law,
you find the answer to a question,
you may wish to download a PDF
of that section of the law.

To do so,
at the end of that section of the law,
click “Verify statute or Download PDF.”

You may wish to print those PDFs.

On each printout,
next to the paragraph of the law
that answers a question,
you may wish to write down
the question that the paragraph answers.

(Do not write down
just the question number because,
when you edit your starter document,
the question numbers will adjust
to your changes.)

If you follow this procedure,
then those marked-up PDF printouts
may facilitate your conversation
with the attorney with whom you meet.


        FIRST-PARTY total-loss claim.

questions_of_law_for_first_party_total_loss_claimsChapter

To adapt
my polite first‑party model letter
to the laws of your state,
you need to know or need to find
or need to ask an attorney
the answer to this question.

If your state’s laws mention N.A.D.A. Guides
as an approved source
of valuations of total-loss vehicles,
then, most likely,
your state’s commissioner of insurance
has approved J.D. Power
as an authorized source of valuations
for total-loss vehicles.

In 2015, J.D. Power acquired
NADA’s Used Car Guide
and www.nadaguides.com.

The company has rebranded
NADA Guides as J.D. Power
and rebranded www.nadaguides.com
as www.jdpower.com.

Whether your state’s laws
mention N.A.D.A. Guides or not,
to be sure of the correct answer
to this question,
ask the attorney with whom you meet.

  1. Does your state’s
    commissioner of insurance
    approve J.D. Power
    as an authorized source
    of valuations for total-loss vehicles?


        FIRST-PARTY total-loss claim.

questions_of_law_for_first_party_polite_letterSubchapter

To adapt
my muscular first‑party model letter
to the laws of your state,
you need to know or need to find
or need to ask an attorney
the answers to these questions.

In many states, state law says that,
for a comp vehicle to qualify
as substantailly similar
to a total-loss vehicle,
the comp vehicle must be
the same make, same model,
same model year, same trim level,
same major options,
and have similar mileage.

In some states, state law goes on
to limit the mileage difference
between a comp vehicle
and a total-loss vehicle.

For example, the New Jersey
administrative code that governs
automobile physical damage claims
says:

“ ‘Substantially similar vehicle’ means
a vehicle of the same make, model, year
and condition, including all major options
of the insured vehicle. Mileage
must not exceed that of the insured vehicle
by more than 4,000 miles.”

  1. Do your state’s laws say that,
    for a comp vehicle to qualify
    as substantially similar or comparable
    to a total-loss vehicle,
    the comp vehicle’s mileage
    must be similar
    to the total-loss vehicle’s mileage?

  2. Do your state’s laws go on
    to limit the mileage differences
    between total-loss vehicles
    and substantially similar
    or comparable vehicles?


        FIRST-PARTY total-loss claim.

In most states,
courts have decided that the state’s
automobile insurance regulations
take away
a first-party claimant’s right to sue
his or her automobile insurance company
for punitive damages
(also called exemplary damages)
if his or her automobile insurance company
not only acts in breach of contract
but also engages
in reprehensible bad-faith misconduct.

These court decisions typically argue
that only the state’s
commissioner of insurance
can fine or otherwise punish
an automobile insurance company
for engaging
in unfair claim settlement practices
and in reprehensible misconduct.

In a few states, however,
the laws that regulate
how automobile insurance companies
that do business in the state
are required to value total-loss vehicles
and settle total-loss claims
explicitly give total-loss claimants
the right to sue
his or her automobile insurance company
for punitive or exemplary damages
if his or her automobile insurance company
not only acts in breach of contract
but also engages
in reprehensible bad-faith misconduct.

  1. Do court decisions in your state
    take away your right to sue
    your automobile insurance company
    for punitive or exemplary damages
    if your automobile insurance company
    not only acts in breach of contract
    but also engages
    in reprehensible bad-faith misconduct?

Most likely, you will need
to pose this question
to the attorney with whom you meet
because the answer to this questions
depends on court decisions.

  1. Or do the regulatory laws of your state
    explicitly give you the right to sue
    your automobile insurance company
    for punitive or exemplary damages
    if your automobile insurance company
    not only acts in breach of contract
    but also engages
    in reprehensible bad-faith misconduct?

You may be able to find
the answer to this question
in your state’s laws below.


        FIRST-PARTY total-loss claim.

In many states, court decisions say
that an automobile insurance company
is not responsible for the validity
of valuation opinions
that it buys
from other corporations.

The regulatory laws of a few states
say that an automobile insurance company
is responsible
for the validity of valuations
that it uses
to value claimants’ total-loss vehicles.

  1. Do the regulatory laws of your state
    hold your automobile insurance company
    responsible for the validity
    of its valuation of your total loss vehicle?


        FIRST-PARTY total-loss claim.

(The discussion and question that follow
are the same as for question 1. above
for the polite model letter.)

If your state’s laws mention N.A.D.A. Guides
as an approved source
of valuations of total-loss vehicles,
then, most likely,
your state’s commissioner of insurance
has approved J.D. Power
as an authorized source of valuations
for total-loss vehicles.

In 2015, J.D. Power acquired
NADA’s Used Car Guide
and www.nadaguides.com.

The company has rebranded
NADA Guides as J.D. Power
and rebranded www.nadaguides.com
as www.jdpower.com.

Whether your state’s laws
mention N.A.D.A. Guides or not,
to be sure of the correct answer
to this question,
ask the attorney with whom you meet.

  1. Does your state’s
    commissioner of insurance
    approve J.D. Power
    as an authorized source
    of valuations for total-loss vehicles?


        FIRST-PARTY total-loss claim.

questions_of_law_for_first_party_muscular_letterSubchapter

Keep an eye out
for paragraphs of the law
that may prove useful to you
if your automobile insurance company
does not agree to the valuation amount
for your total-loss vehicle
that you propose in your letter.

While you are looking for the answers
to the previous questions
for your first-party total-loss claim,
you may wish to keep an eye out
for answers to a few questions
that are outside the scope
of your letter
to your automobile insurance company.

The answers to these questions
may prove useful to you
if your automobile insurance company
does not agree to the valuation amount
that you propose in your letter.

For each of these questions too,
you may wish
to download, print, and mark up
a PDF of the section of the law
that answers the question.


        FIRST-PARTY total-loss claim.

If you dispute the valuation amount
that your automobile insurance company
proposes for your total-loss vehicle,
the laws of your state may require
your automobile insurance company
to go ahead and pay you
the amount of money
that is not in dispute.

The amount of money
that is not in dispute
includes the valuation amount
for your total-loss vehicle
that your automobile insurance company
proposed.

To require
your automobile insurance company
to go ahead and pay you
the valuation amount
that is not in dispute,
the laws of your state
may say something like this:

If an insurer and the insured
or third-party claimant are unable to agree
on the value of the automobile,
an insurer shall pay the insured
or third-party claimant
the amount of the automobile’s value
that is not in dispute
as provided in section 3,
chapter 65, Oregon Laws 2009.

An insurer is not obligated
to pay the undisputed amount
until the insured
or third-party owner of the automobile:

  • (a) Agrees to execute documents
    sufficient to transfer ownership
    of the automobile
    to the insurer; and

  • (b) Authorizes the insurer,
    at the insurer’s expense,
    to move the automobile
    to a disclosed location
    selected by the insurer,
    where the automobile
    will remain available
    for inspection and evaluation
    for not fewer than 14 calendar days.
    After the expiration of the 14-day period,
    the insurer may proceed
    with the salvage sale of the automobile.

  1. If you dispute the valuation amount
    that your automobile insurance company proposes for your total-loss vehicle,
    do the laws of your state require
    your automobile insurance company
    to go ahead and pay you
    the amount of money
    that is not in dispute?


        FIRST-PARTY total-loss claim.

In the laws below,
you may find that your state legislators
have given you a right of recourse.

If you have a right of recourse
and your automobile insurance company
refuses to value your total-loss vehicle
at its actual cash value,
then you may be able
to get additional money
from your automobile insurance company
if you exercise your right of recourse.


        FIRST-PARTY total-loss claim.

If your state’s legislators
have given you a right of recourse,
they may also have given
your automobile insurance company
dubious ways to preclude or satisfy
your exercise of your right of recourse.

Your automobile insurance company
may be able to preclude your exercise
of your right of recourse if,
when they send you a settlement check,
they identify
an allegedly substantially similar vehicle
for sale at a local automobile dealership
that you allegedly can buy
for their valuation amount.

Likewise,
your automobile insurance company
may be able to satisfy your exercise
of your right of recourse if,
after you exercise your right of recourse,
they identify
an allegedly substantially similar vehicle
for sale at a local automobile dealership
that you allegedly can buy
for their valuation amount.


        FIRST-PARTY total-loss claim.

If either of these possibilities come to pass,
you likely will want to inspect
your automobile insurance company’s
candidate right-of-recourse vehicle
to determine if that vehicle
is, in fact, substantially similar
to your total-loss vehicle—
same make, same model, same model year,
same major options, similar mileage,
and same or better condition.

You likely will want to verify
that your automobile insurance company’s
candidate right-of-recourse vehicle
is for sale at the automobile dealership
that your automobile insurance company
alleges at the price that
your automobile insurance company alleges.


        FIRST-PARTY total-loss claim.

If the laws of your state
give you a right of recourse,
counting from the day
that your automobile insurance company
puts the initial settlement check in the mail,
you likely have only so many days
in which to exercise your right of recourse
or you lose your right of recourse.


        FIRST-PARTY total-loss claim.

  1. Do the laws of your state
    give you a right of recourse?

  2. If you have a right of recourse,
    do the laws of your state allow
    an automobile insurance company
    to preclude your exercise
    of your right of recourse if,
    when they send you a settlement check,
    they identify
    a substantially similar vehicle
    for sale at a local automobile dealership
    that you can buy
    for their valuation amount?

  3. If you have a right of recourse,
    do the laws of your state allow
    your automobile insurance company
    to satisfy your exercise
    of your right of recourse if,
    after you exercise your right of recourse,
    they identify
    a substantially similar vehicle
    for sale at a local automobile dealership
    that you can buy
    for their valuation amount?

  4. If you have a right of recourse,
    how many days
    after your automobile insurance company
    sends you a settlement check
    do you have to exercise
    your right of recourse
    before you lose it?


        FIRST-PARTY total-loss claim.

In some states, the law allows
an automobile insurance company
to take away
a first-party claimant’s right of recourse
if the automobile insurance company
invokes the appraisal clause
in the claimant’s automobile insurance policy.

  1. In your state,
    do you lose your right of recourse
    if your automobile insurance company
    invokes the appraisal clause
    in your automobile insurance policy?


        FIRST-PARTY total-loss claim.

The laws of some states prohibit
an automobile insurance company
from saying that,
if you cash or deposit a settlement check,
then, thereby, you agree to the settlement.

Such a prohibition may use such language
as this:

“No insurer shall issue a check or draft
in payment of a claim that contains
any language or provision that implies
or states that acceptance of the check or draft
constitutes a final settlement or release
of any or all future obligations
arising out of the loss.”

  1. Do the laws of your state prohibit
    an automobile insurance company
    from saying that, if you cash or deposit
    a settlement check, then, thereby,
    you agree to the settlement?


        FIRST-PARTY total-loss claim.

questions_of_law_in_case_first_party_letter_failsSubchapter

The legislators of a few states
give rights to first-party claimants
that legislators of other states
take away from first-party claimants.

Are your state legislators right givers?

Or right takers?

At least one state
has a consumer-protection law that says
an automobile insurance company
cannot require a first-party total-loss claimant
to resolve a claim-settlement dispute
through private arbitration unless
the claimant’s automobile insurance policy
allows the claimant to resolve the dispute
through a small-claims lawsuit instead.

  1. Do your state’s consumer-protection laws
    give first-party total-loss claimants
    the right to have a dispute resolved
    through a small-claims lawsuit
    in lieu of having that dispute resolved
    through private arbitration?


        FIRST-PARTY total-loss claim.

In a few states,
if a party to a written contract
not only breaches the terms of the contract
but also acts in bad faith,
the laws of the state
regard that act of bad faith
as a tort against the non-breaching party
to the contract.

  1. In your state,
    if your automobile insurance company
    not only breaches the terms
    of your automobile insurance policy
    but also acts in bad faith,
    does their bad-faith misconduct
    give you a cause of action
    against them under tort law?

  2. If the answer
    to the previous question is yes,
    then is your cause of action under tort law
    exempt from your automobile insurance policy’s arbitration clause?


        FIRST-PARTY total-loss claim.

To skip over questions
for a third-party claim, click here.


        FIRST-PARTY total-loss claim.

questions_of_first_party_consumer_protection_lawsSubchapter

If your total-loss claim
is a third-party claim,
then, to adapt
my third-party model letters
to the laws of your state,
you need to know or need to find
or need to ask an attorney
the answers to these sets of questions.

In my polite model letter
and in my muscular model letter,
I suggest that you add, leave in,
or take out certain sentences
depending on what your state’s laws
say about a particular aspect of the law.

To decide what to do
if you are using either of my model letters
as the starting point for your letter,
here are the questions
that you need to know or need to find
or need to ask an attorney
the answers to.


        THIRD-PARTY total-loss claim.

I’ve included these questions
in the docx model letters
just before each letter.

In your printout of the docx document,
underneath each question,
you will find  Yes (    )    No (    ) check offs.


        THIRD-PARTY total-loss claim.

When, in a section of the law,
you find the answer to a question,
you may wish to download a PDF
of that section of the law.

To do so,
at the end of that section of the law,
click “Verify statute or Download PDF.”

You may wish to print those PDFs.

On each printout,
next to the paragraph of the law
that answers a question,
you may wish to write down
the question that the paragraph answers.

(Do not write down
just the question number because,
when you edit your starter document,
the question numbers will adjust
to your changes.)

If you follow this procedure,
then those marked-up PDF printouts
may facilitate your conversation
with the attorney with whom you meet.


        THIRD-PARTY total-loss claim.

questions_of_law_for_third_party_total_loss_claimsChapter

To adapt
my polite third‑party model letter
to the laws of your state,
you need to know or need to find
or need to ask an attorney
the answer to this question.

If your state’s laws mention N.A.D.A. Guides
as an approved source
of valuations of total-loss vehicles,
then, most likely,
your state’s commissioner of insurance
has approved J.D. Power
as an authorized source of valuations
for total-loss vehicles.

In 2015, J.D. Power acquired
NADA’s Used Car Guide
and www.nadaguides.com.

The company has rebranded
NADA Guides as J.D. Power
and rebranded www.nadaguides.com
as www.jdpower.com.

Whether your state’s laws
mention N.A.D.A. Guides or not,
to be sure of the correct answer
to this question,
ask the attorney with whom you meet.

  1. Does your state’s
    commissioner of insurance
    approve J.D. Power
    as an authorized source
    of valuations for total-loss vehicles?


        THIRD-PARTY total-loss claim.

questions_of_law_for_third_party_polite_letterSubchapter

To adapt
my muscular third‑party model letter
to the laws of your state,
you need to know or need to find
or need to ask an attorney
the answers to these questions.

In many states, state law says that,
for a comp vehicle to qualify
as substantailly similar
to a total-loss vehicle,
the comp vehicle must be
the same make, same model,
same model year, same trim level,
same major options,
and have similar mileage.

In some states, state law goes on
to limit the mileage difference
between a comp vehicle
and a total-loss vehicle.

For example, the New Jersey
administrative code that governs
automobile physical damage claims
says:

“ ‘Substantially similar vehicle’ means
a vehicle of the same make, model, year
and condition, including all major options
of the insured vehicle. Mileage
must not exceed that of the insured vehicle
by more than 4,000 miles.”

  1. Do your state’s laws say that,
    for a comp vehicle to qualify
    as substantially similar or comparable
    to a total-loss vehicle,
    the comp vehicle’s mileage
    must be similar
    to the total-loss vehicle’s mileage?

  2. Do your state’s laws go on
    to limit the mileage differences
    between total-loss vehicles
    and substantially similar
    or comparable vehicles?


        THIRD-PARTY total-loss claim.

(The discussion and question that follow
are the same as for question 1. above
for the polite model letter.)

If your state’s laws mention N.A.D.A. Guides
as an approved source
of valuations of total-loss vehicles,
then, most likely,
your state’s commissioner of insurance
has approved J.D. Power
as an authorized source of valuations
for total-loss vehicles.

In 2015, J.D. Power acquired
NADA’s Used Car Guide
and www.nadaguides.com.

The company has rebranded
NADA Guides as J.D. Power
and rebranded www.nadaguides.com
as www.jdpower.com.

Whether your state’s laws
mention N.A.D.A. Guides or not,
to be sure of the correct answer
to this question,
ask the attorney with whom you meet.

  1. Does your state’s
    commissioner of insurance
    approve J.D. Power
    as an authorized source
    of valuations for total-loss vehicles?


        THIRD-PARTY total-loss claim.

questions_of_law_for_third_party_muscular_letterSubchapter

Keep an eye out
for paragraphs of the law
that may prove useful to you
if the automobile insurance company
does not agree to the valuation amount
that you propose in your letter
for your total-loss vehicle.

While you are looking for the answers
to the previous questions
for your third-party total-loss claim,
you may wish to keep an eye out
for answers to a few questions
that are outside the scope
of your letter
to the automobile insurance company.

The answers to these questions
may prove useful to you
if the automobile insurance company
does not agree to the valuation amount
that you propose in your letter.

For each of these questions too,
you may wish
to download, print, and mark up
a PDF of the section of the law
that answers the question.


        THIRD-PARTY total-loss claim.

In some states, the laws that regulate
how automobile insurance companies
are required to value total-loss vehicles
and settle total-loss claims say
that those laws apply
only to first-party claims.

In some states, those laws say
that the laws apply to first-party claims
and to third-party claims.

In some states, those laws say
that all the laws apply to first-party claims
and only some of the laws
apply to third-party claims.


Ordinarily, in most states,
you have much stronger rights
in the settlement of a third-party claim
than you do
in the settlement of a first-party claim.

The automobile insurance company
that you’re dealing with
on your third-party claim
may think and act like
they can treat you
the same way
that they treat their policyholders
on those policyholders’ first-party claims.

The automobile insurance company
that you’re dealing with
on your third-party claim
may even try to trick you
into conforming
with claim-settlement regulations
that apply only to first-party claims.

Don’t let them!

To be savvy enough
to keep the automobile insurance company
that you’re dealing with
from treating you
like you’re a first-party claimant,
familiarize yourself
with which of your state’s
automobile insurance
claim-settlement laws—
if any—
apply to you and your claim.


If your state’s laws
consistently talk about “the insured,”
and never say that the laws
also apply to third-party claimants,
then that language strongly suggests
that those laws do not apply to you
or to your third-party claim.

You are not the insured.

The at-fault-driver policyholder
is the insured.


  1. Do the laws of your state that regulate
    how automobile insurance companies
    are required to value total-loss vehicles
    and settle total-loss claims
    apply only to first-party claims?

  2. Or do all those laws
    apply to both first-party claims
    and third-party claims?

  3. Or do all the laws
    apply to first-party claims
    and only some of the laws
    also apply to third-party claims?


        THIRD-PARTY total-loss claim.

If you dispute the valuation amount
that the automobile insurance company
proposes for your total-loss vehicle,
the laws of your state may require
the automobile insurance company
to go ahead and pay you
the amount of money
that is not in dispute.

The amount of money
that is not in dispute
includes the valuation amount
for your total-loss vehicle
that the automobile insurance company
proposed.

To require
the automobile insurance company
to go ahead and pay you
the valuation amount
that is not in dispute,
the laws of your state
may say something like this:

If an insurer and the insured
or third-party claimant are unable to agree
on the value of the automobile,
an insurer shall pay the insured
or third-party claimant
the amount of the automobile’s value
that is not in dispute
as provided in section 3,
chapter 65, Oregon Laws 2009.

An insurer is not obligated
to pay the undisputed amount
until the insured
or third-party owner of the automobile:

  • (a) Agrees to execute documents
    sufficient to transfer ownership
    of the automobile
    to the insurer; and

  • (b) Authorizes the insurer,
    at the insurer’s expense,
    to move the automobile
    to a disclosed location
    selected by the insurer,
    where the automobile
    will remain available
    for inspection and evaluation
    for not fewer than 14 calendar days.
    After the expiration of the 14-day period,
    the insurer may proceed
    with the salvage sale of the automobile.

  1. If you dispute the valuation amount
    that the automobile insurance company proposes for your total-loss vehicle,
    do the laws of your state require
    the automobile insurance company
    to go ahead and pay you
    the amount of money
    that is not in dispute?


        THIRD-PARTY total-loss claim.

The laws of some states
give third-party total-loss claimants
a right of recourse.

If you have a right of recourse
and the automobile insurance company
refuses to value your total-loss vehicle
at its actual cash value,
then you may be able
to get additional money
from the automobile insurance company
if you exercise your right of recourse.


        THIRD-PARTY total-loss claim.

If your state’s legislators
have given you a right of recourse,
they may also have given
the automobile insurance company
dubious ways to preclude or satisfy
your exercise of your right of recourse.

The automobile insurance company
may be able to preclude your exercise
of your right of recourse if,
when they send you a settlement check,
they identify
an allegedly substantially similar vehicle
for sale at a local automobile dealership
that you allegedly can buy
for their valuation amount.

Likewise, the automobile insurance company
may be able to satisfy your exercise
of your right of recourse if,
after you exercise your right of recourse,
they identify
an allegedly substantially similar vehicle
for sale at a local automobile dealership
that you allegedly can buy
for their valuation amount.


        THIRD-PARTY total-loss claim.

If either of these possibilities come to pass,
then you likely will want to inspect
the automobile insurance company’s
candidate right-of-recourse vehicle
to determine if that vehicle
is, in fact, substantially similar
to your total-loss vehicle—
same make, same model, same model year,
same major options, similar mileage,
and same or better condition.

You likely will want to verify
that the automobile insurance company’s
candidate right-of-recourse vehicle
is for sale at the automobile dealership
that the automobile insurance company
alleges at the price that
the automobile insurance company alleges.


        THIRD-PARTY total-loss claim.

If the laws of your state
give you a right of recourse,
counting from the day
that the automobile insurance company
puts the initial settlement check in the mail,
you likely have only so many days
in which to exercise your right of recourse
or you lose your right of recourse.


        THIRD-PARTY total-loss claim.

  1. Do the laws of your state
    give you a right of recourse?

  2. If you have a right of recourse,
    do the laws of your state allow
    an automobile insurance company
    to preclude your exercise
    of your right of recourse if,
    when they send you a settlement check,
    they identify
    a substantially similar vehicle
    for sale at a local automobile dealership
    that you can buy
    for their valuation amount?

  3. If you have a right of recourse,
    do the laws of your state allow
    the automobile insurance company
    to satisfy your exercise
    of your right of recourse if,
    after you exercise your right of recourse,
    they identify
    a substantially similar vehicle
    for sale at a local automobile dealership
    that you can buy
    for their valuation amount?

  4. If you have a right of recourse,
    how many days
    after the automobile insurance company
    sends you a settlement check
    do you have to exercise
    your right of recourse
    before you lose it?


        THIRD-PARTY total-loss claim.

The laws of some states prohibit
an automobile insurance company
from saying that,
if you cash or deposit a settlement check,
then, thereby, you agree to the settlement.

Such a prohibition may use such language
as this:

“No insurer shall issue a check or draft
in payment of a claim that contains
any language or provision that implies
or states that acceptance of the check or draft
constitutes a final settlement or release
of any or all future obligations
arising out of the loss.”

  1. Do the laws of your state prohibit
    an automobile insurance company
    from saying that,
    if you cash or deposit
    a settlement check, then, thereby,
    you agree to the settlement?


        THIRD-PARTY total-loss claim.

questions_of_law_in_case_third_party_letter_failsSubchapter

Questions about the laws of your state
to which the answers
may prove useful to you
if you end up suing
the at-fault driver and his or her
automobile insurance company
for the money
that the at-fault driver’s
automobile insurance company
cheated you out of.

The laws of some states
specify multiple sources
that an automobile insurance company
may use to come up
with an initial valuation offer
for a claimant’s total loss vehicle.

The laws then go on to say
that the automobile insurance company’s
initial valuation offer
cannot be lower
than the lowest valuation amount
from one of these approved sources.

The laws of some states say
that an automobile insurance company
may use as its initial valuation offer
a valuation generated by a valuation source
that uses a computerized data base
that is approved
by the state’s commissioner of insurance.

A state’s commissioner of insurance
may approve valuation sources
such as CCC Information Services
a.k.a. CCC Intelligent Solutions.

CCC Information Services
a.k.a. CCC Intelligent Solutions
produced the garbage-in-garbage-out
CCC market valuation report
for my total-loss vehicle
and produced
the GIGO CCC market-valuation report
for Maria’s total-loss vehicle.

Valuation sources that produce valuations
only for automobile insurance companies
and that use a computerized data base
to produce those valuations
likely produce the lowest valuations
of any of the approved sources.

Such valuation sources may have
motive, means, and opportunity
to undervalue your total-loss vehicle.

  1. Do the laws of your state
    specify multiple sources
    that an automobile insurance company
    may use to come up
    with an initial valuation offer
    for your total-loss vehicle?

  2. Do the laws of your state say
    that the automobile insurance company’s
    initial valuation offer
    for your total-loss vehicle
    cannot be lower
    than the lowest valuation amount
    from one of the approved sources?

  3. Do the laws of your state
    allow an automobile insurance company
    to use a valuation
    generated by a valuation service
    that uses a computerized data base?


        THIRD-PARTY total-loss claim.

The laws of some states say
that an automobile insurance company
shall value a total-loss vehicle
at its actual cash value.

The laws of some states
define actual cash value.

  1. Do the laws of your state say
    that an automobile insurance company
    shall value a total-loss vehicle
    at its actual cash value?

  2. Do the laws of your state
    define actual cash value?


        THIRD-PARTY total-loss claim.

The laws of some states defnine
substantially similar vehicle
or comparable vehicle.

  1. Do the laws of your state define substantially similar vehicle
    or comparable vehicle?


Regardless of what the statutory laws
of your state say,
keep in mind
that the fundamental principle
of the law of negligence torts
is this:

When one person,
through an act of negligence,
harms another person;
the negligent person
(or his or her insurance company)
is obligated to pay
the victim of the negligent act
enough money
to make the victim whole
for his or her loss.

That is, the negligent person
(or his or her insurance company)
is obligated to pay
the victim of the negligent act
enough money
to make the victim as well off financially
as he or she was before the negligent act.


If you cannot negotiate
a fair valuation of your total-loss vehicle
with the automobile insurance company,
then you can refuse to agree
to the automobile insurance company’s
valuation of your total-loss vehicle.

You can dispute their valuation.

You can sue the at-fault driver
for the amount of money
that his or her
automobile insurance company
cheated you out of.


        THIRD-PARTY total-loss claim.

questions_of_third_party_consumer_protection_lawsSubchapter

If it’s more work
than you wish to do
to vet and edit your draft letter
against New Jersey’s laws,
then let the attorney
with whom you meet
vet and edit the letter for you.

I’m a do-it-yourself kind of person.

You may not be.

Or you may be too busy
with the rest of your life
to spend a lot of time
working on your total-loss claim.

If, for whatever reason,
you prefer not to vet and edit
a draft letter against your state’s laws,
don’t do it.


You will be sufficiently well prepared
to meet with an attorney
about your total-loss claim
so long as you provide him or her
with copies of:

  1. The market valuation report
    that you received
    from the automobile insurance company
    for your total-loss vehicle,

  2. The Monroney Label window sticker
    for your total-loss vehicle,

  3. Your total-loss vehicle’s
    J.D. Power Buy from Dealer price,

  4. The specs that the J.D. Power calculator
    used to value your total-loss vehicle,

  5. Your draft letter
    at whatever stage of development
    it happens to be in,

  6. The police report on your vehicle’s
    collision or theft, and

  7. If your claim is a first-party claim,
    your automobile insurance policy.


If you provide the attorney
with these ingredients,
then he or she can turn the work
that you have done
into an effective letter and package.


skip_this_step_if_you_want_toChapter

Help me create model letters
tailored to the laws of every state.

Send me a few dollars.

Today I’m having to ask you
to do a lot more work
than I would like to.

I’m having to ask you
to vet and edit your draft letter
against the laws of your state
that I copied and pasted below.

As I continue to develop
wasyourcartotaledorstolen.com,
I hope to offer total-loss claimants
starter letters
for first-party total-loss claims
and starter letters
for third-party total-loss claims
that are tailored to the laws
of each and every state.

“Jesus, Jerry!

“That sounds like a helluva lot of work!”

Yeah, I know!

Shows you how much I hate seeing
giant, powerful, unethical corporations
rip off everyday Americans.

With starter letters that are tailored
to the laws of each and every state,
future total-loss claimants
who come to wasyourcartotaledorstolen.com
will have a lot less work to do.

They will be able to create draft letters
that require less of a local attorney’s time
to review, vet, tweak, and strengthen.


I’m itching to do the work.


In the left-hand column
next to each state’s laws,
I hope to give total-loss claimants
a guided tour of the laws that,
in their state, regulate
how automobile insurance companies
are required to value total-loss vehicles
and settle total-loss claims.

On that guided tour,
I plan to explain and comment on
the important provisions
of each state’s laws.

On that guided tour,
I plan to point out
the answers to questions
that, today, I have to ask you
to search for yourself.

On that guided tour,
I plan to point out which paragraphs
of each state’s laws read like
they were written
by a lobbyist who works
for automobile insurance companies.


Total-loss claimants
also will want to know
the answers to other questions
about the laws of their state
that do not appear in the state’s
automobile insurance regulatory laws.

Over time, as I continue my research
and as I receive more and more
pro bono publico guidance
(guidance for the public good)
from attorneys in each state;
I hope to post more and more answers
to these questions.


If I am able to achieve these goals,
then, over time, total-loss claimants
who come to wasyourcartotaledorstolen.com
will be able to gain a fuller,
more accurate, more precise,
and more powerful understanding
of the rights
that their state legislators
have given them
and of the rights
that their state legislators
have taken away from them.

Everyday Americans will be able
to have more knowledgeable
and more productive conversations
with local attorneys.


If everyday Americans
who are fed up
with automobile insurance companies
cheating them and ripping them off
will support my work;
then I may be able to build
my one-person efforts
into an organization.

With an organization,
we may be able to persuade
our state legislators
(and perhaps our national legislators)
to rewrite some of the laws
that make it so easy
for automobile insurance companies
to screw us all.


If you would like to help me
teach everyday Americans
how to get fair valuations
of their total-loss vehicles,
then, at the top right of your screen,

click this image:                                      Donate

Send me a few dollars.


With your help, I’m just getting started.


help_me_create_letters_tailored_to_laws_of_every_stateChapter

The laws of New Jersey that regulate
how automobile insurance companies
that do business in New Jersey
are required
to value total-loss vehicles
and settle total-loss claims.

My Comments

New Jersey Regulations

The regulations that govern
how insurance companies
that operate in NewJersey
are required
to value total‑loss vehicles
and settle total‑loss claims
are part
of the NewJersey Administrative Code.

New Jersey Administrative Code

Title 11 - INSURANCE

Chapter 3 - AUTOMOBILE INSURANCE

Subchapter 10 - AUTO PHYSICAL DAMAGE CLAIMS

Current through Register Vol. 54, No. 18, September 19, 2022

To help you zero in
on the most relevant and useful paragraphs
of your state’s
automobile insurance regulations,
here’s how I have color coded
your state’s laws:

What I believe to be
the most relevant and useful paragraphs
of your state’s law appear in red.

Relevant and potentially useful paragraphs
appear in black.

Paragraphs unlikely to be relevant or useful
appear in grey.

Just in case you landed here
looking for information
about how automobile insurance companies
are supposed to settle claims
in which your vehicle can be repaired
(partial-loss claims),
paragraphs of the law
that deal with repairs
appear in blue.

To make sure that a section
of the law has not changed
since I copied it and pasted it here,
at the end of that section,
click: Verify statute or Download PDF.

If you discover
that a section of a law has changed
or is no longer accessible
through casetext.com,
please send me an email
and let me know
so I can update the law
or update the verify link here.

Thomson Reuters Westlaw
recently acquired Casetext.
I do not know if Thomson Reuters Westlaw
will continue to make these state laws
available to everyday Americans for free.


Section 11:3-10.1 - Scope


This subchapter applies to claims arising under motor vehicle collision and comprehensive coverages.

Citation:
N.J. Admin. Code § 11:3-10.1

Verify statute or Download PDF

If verify link fails, Google:
casetext.com, the citation.

With your support, more comments to come.


Section 11:3-10.2 - Definitions


The following words and terms, when used in this subchapter, shall have the following meanings unless the context clearly indicates otherwise:

“Actual cash value”, unless otherwise specifically defined by law or policy, means the lesser of the amounts for which the insured or the designated representative can reasonably be expected to:

1. Repair the motor vehicle to its condition immediately prior to the loss; or

2. Replace the motor vehicle with a substantially similar vehicle. The amount shall include all moneys paid or payable as sales taxes on the motor vehicle repaired or replaced. This paragraph shall not be construed to prevent an insurer from issuing a policy where the amount of damages to be paid in the event of a total loss is a specified dollar amount.

“Agreed price” or “figure” means the amount agreed to by the insurer and the insured, or their representatives, as the reasonable cost to replace the motor vehicle or to repair damages to the motor vehicle resulting from the loss, without considering any deductible or deductions.

“Designated representative” means a person designated by the insured to represent the insured in negotiations with the insurer in an attempt to settle the claim. The designated representative may be any person authorized by the insured who may act legally in his or her behalf.

“Motor vehicle” shall have the meaning ascribed in 39:1-1.

“Substantially similar vehicle” means a vehicle of the same make, model, year and condition, including all major options of the insured vehicle. Mileage must not exceed that of the insured vehicle by more than 4,000 miles. Mileage differences of more than 4,000 miles may, at the option of the insured, be exchanged for the presence or absence of options or a cash adjustment.

Citation:
N.J. Admin. Code § 11:3-10.2

Verify statute or Download PDF

If verify link fails, Google:
casetext.com, the citation.

With your support, more comments to come.


Section 11:3-10.3 - Adjustment of partial losses


  • (a) If the insurer intends to exercise its right to inspect, or cause to be inspected by an independent appraiser, damages prior to repair, the insurer shall have seven working days following receipt of notice of loss to inspect the insured’s damaged vehicle, which is available for inspection, at a place and time reasonably convenient to the insured; commence negotiations; and make a good faith offer of settlement.

  • (b) Negotiations must be conducted in good faith, with the basic goal of promptly arriving at an agreed price. Early in negotiations, the insurer must inform and confirm in writing to the insured or the insured’s designated representative all deductions that will be made from the agreed price, including the amount of applicable deductible.

  • (c) If the insurer inspects the damaged vehicle or causes it to be inspected, the insurer shall promptly upon completing the inspection furnish the insured or the designated representative of the insured with a detailed written estimate of the cost of repairing the damage resulting from the loss, specifying all appropriate deductions.

  • (d) No insurer shall negotiate the settlement of any physical damage claim involving an automobile as defined at N.J.S.A. 39:13-1b with an unlicensed auto body repair facility or in any manner utilize an unlicensed facility in the adjustment, negotiation or settlement of such a claim. It shall be the responsibility of the insurer to make a reasonable and diligent effort to determine whether the facility is properly licensed.

  • (e) Subject to the requirements of (d) above, the insured may use any repair facility of his or her own choice. With respect to automobile damage claims, the insurer shall notify in writing any insured who elects to use his or her own repair facility that, pursuant to law, any entity engaged in the business of auto body repairs must be duly licensed. The notice shall further advise the insured that the insurer is prohibited by law from negotiating, adjusting or settling an automobile damage claim with an unlicensed facility. The written notice shall be furnished at the time of acknowledgement of the claim as provided in 11:2-17.6 or upon the furnishing of its written estimate, as specified in (c) above, whichever is sooner. The insurer shall make all reasonable efforts to obtain an agreed price with the facility selected by the insured. The insurer may recommend, and if the insureds requests, shall recommend a qualified repair facility at a location reasonably convenient to the insured motor vehicle who will repair the damaged motor vehicle at the insurer’s estimated cost of repairs, but in either event the provisions of (g) below apply.

  • (f) All estimates, including revisions and adjustments, prepared by any repair facility, estimator or appraiser must be included in each claim file.

  • (g) If the insured’s vehicle is repaired at a repair facility whose name is furnished by the insurer under (e) above for a sum estimated by the insurer as the reasonable cost to repair the vehicle, the insurer:

    • 1. Shall select a repair facility that issues written guarantees that any work performed in repairing damaged vehicles meets generally accepted standards for safe and proper repairs;

    • 2. Shall cause the damaged vehicle to be restored to the condition it was in prior to the loss, at no additional cost to the insured and within a reasonable time, if the repair facility does not repair the damaged vehicle in accordance with generally accepted standards for a safe and proper repair.

  • (h) Whenever an insurer elects to repair its insured’s vehicle, that is, physically take the vehicle and have it repaired, the election must be in writing addressed to the insured and contain a reasonable estimate of the time period within which the vehicle will be repaired. The insurer shall guarantee, in writing, that the work performed meets generally accepted standards for safe and proper repairs.

  • (i) Deductions for betterment and depreciation are permitted only for parts normally subject to repair and replacement during the useful life of the insured motor vehicle. Deductions for betterment and depreciation shall be limited to the lesser of an amount equal to the proportion that the expired life of the part to be repaired or replaced bears to the normal useful life of that part, or the amount by which the resale value of the vehicle is increased by the repair or replacement. Calculations for betterment, depreciation and normal useful life must be included in the insurer’s claim file.

  • (j) Deductions for previous damage or prior condition of the vehicle must be measurable, discernible, itemized and specific as to the dollar amount, and those deductions must be included in the insurer’s claim file. The deductions shall be limited to the amount by which the resale value of the motor vehicle is increased by the estimation of the previous damage or the correction of the prior condition.

  • (k) The insurer must mail or hand deliver to the insured or the designated representative its proof of loss or payment within five working days after the insured has accepted the insurer’s offer.

  • (l) The insured shall have the right to receive the proceeds of any settlement. The insurer may not insist on making settlement proceeds jointly payable to the insured and the repair facility, or payable to the repair facility only.

  • (m) The insured may elect to have the insurer pay the repair facility directly in order to expedite recovery of the motor vehicle. The insured must make this election in writing.

Citation:
N.J. Admin. Code § 11:3-10.3

Verify statute or Download PDF

If verify link fails, Google:
casetext.com, the citation.

With your support, more comments to come.


Section 11:3-10.4 - Adjustment of total losses


  • (a) If the insurer elects to make a cash settlement, it must bear in mind at all times that the insured’s position is that of a retail consumer and the settlement value arrived at must be reasonable and fair for a person in that position. Written, itemized valuations showing all options and deductions shall be included in the insurer’s claim file and presented to the insured no later than the date of payment. If the insurer elects to make a cash settlement, its offer, subject to applicable additions or deductions, must be one of the following plus applicable sales tax:

    • 1. The average of the retail values for substantially similar motor vehicles as listed in the editions current for the date of loss of two valuation manuals approved by the Commissioner.

      • i. The average figure arrived at may be reduced or increased by considering all factors, including, but not limited to, mileage tables and the presence or absence of extras.

      • ii. If the destroyed vehicle included an option which is listed in one manual but not in the other, the value of the option shall not be averaged. The insured shall receive full value for the option by carrying over the amount listed to the other manual. The option carryover shall apply only in those instances where the option has not been considered by the used vehicle guide either as a separate item or included in the vehicle’s base value.

      • iii. If a manual is submitted for approval by the Commissioner its accuracy must meet objective criteria for the values of substantially similar vehicles of at least 85 percent of all makes and models for the last 15 years and shall include all major options. A sufficient number of vehicles shall be used for each year, make and model to represent a cross-section sufficient to determine fair market values. At the time of request for approval, the source of the manual’s data must be revealed to the Commissioner in a manner that can be verified by the Department. Manuals approved for use on or after January 1, 1976 are “Automobile Red Book” and “Older Car/Truck Red Book” published by Maclean Hunter Market Reports, Inc. and the “N.A.D.A. Official Used Car Guide” and “N.A.D.A. Official Older Car Guide” published by the National Automobile Dealers Used Car Guide Company.

    • 2. A quotation obtained by the insurer for a substantially similar motor vehicle from a dealer located within a reasonable distance from the principal place of garagement of the insured vehicle. Unless otherwise agreed by the insured, a reasonable distance shall not exceed 25 miles from the principal place of garagement. The vehicle must be available for purchase by the insured and the insured must be able to purchase it for the insurer’s cash offer plus applicable deductions. The insurer shall maintain in its claim file proof of the vehicle’s availability and the name and location of the dealer, stock number, vehicle identification number and description of the substantially similar vehicle.

    • 3. The fair market value of the insured vehicle, determined by using a source including a computerized database approved by the Commissioner that meets all of the following minimum criteria:

      • i. The source must give primary consideration to the values of vehicles in the local market area, but if necessary to obtain a reasonable cross-section of the market, may consider vehicles in the next closest area.

      • ii. The source shall produce fair market values of substantially similar vehicles for at least 85 percent of all makes and models for the last 15 years and shall include all major options. A sufficient number of vehicles must be used for each year, make, and model to represent a cross-section of the market sufficient to determine fair market value.

      • iii. If the database uses several price ranges for the same model vehicle depending on the condition of the vehicle, it must clearly indicate what condition the vehicle is being valued at and define in detail the difference between such rating categories. Documentation of the condition of the insured vehicle must be made a part of the written valuation.

      • iv. At the time of request for approval the source of the database shall be revealed to the Commissioner in a manner that can be verified by the Department.

    • 4. If it is not possible to value the insured vehicle by using the method set forth in (a)1, 2 and 3, the insurer shall determine the retail value of the vehicle by using the best available method and shall fully explain in writing to the insured how its offer was calculated.

  • (b) If the insurer is notified in writing within 30 calendar days of the receipt of the claim draft that the insured cannot purchase a comparable vehicle at the market value established by the insurer, the insurer shall reopen its claim file and the following procedures will apply:

    • 1. The insurer may locate a substantially similar vehicle by the same manufacturer of the same year, make and model, with similar options, mileage, and condition as the destroyed vehicle from a licensed dealer. Such vehicle must be within a reasonable distance not to exceed 25 miles from the insured’s principal place of garaging;

    • 2. The insurer shall either pay the difference between the market value before applicable deductions and the cost or the market value as determined by (a)2 above of a substantially similar vehicle located by the insured or negotiate and effect purchase of this vehicle for the insured;

    • 3. The insurer may elect to offer a replacement vehicle in accordance with the provisions as in (e) below; or

    • 4. The insurer or insured may conclude the loss settlement as provided for under the appraisal section of the insurance contract in force at the time of loss. This appraisal shall be considered as binding against both parties, but shall not preclude or waive any other rights either party has under the insurance contract or under law.

  • (c) The insurer shall advise the insured in writing of the rights of recourse at the time the settlement draft is issued and retain a copy of the notice in its claim file.

  • (d) An insurer shall use the same source of settlement for all claims unless it is documented that the primary settlement source is not available in the case of a particular vehicle. At the request of the Commissioner, the insurer shall provide the Department with its primary source of valuation for vehicles.

  • (e) If the insurer elects to replace the vehicle, the replacement vehicle must be an immediately available, substantially similar vehicle that is both furnished and paid for by the insurer, subject to the deductible, if any, and including applicable sales tax.

  • (f) If the insured vehicle is a private passenger automobile of the current model year, meaning that the vehicle has not been superseded in the market place by an officially introduced succeeding model, the insurer shall utilize one of the following methods in the settlement of the loss, unless the utilization of (a) or (b) above is more favorable to the consumer.

    • 1. Either the insurer shall pay the insured an amount equal to the reasonable purchase price on the date of the loss of a new identical vehicle, less any applicable deductible and an allowance for depreciation in accordance with the schedule below; or

    • 2. The insurer shall provide the insured with a new identical replacement vehicle charging the insured for any applicable deductible and for depreciation in accordance with the schedule below:

      Purchase Price

      Depreciation per mile

      Up to $6,500

      $0.10

      $6,501-$8,000

      0.12

      8,001- 10,000

      0.15

      10,001- 12,000

      0.18

      12,001- 15,000

      0.21

      15,001- 20,000

      0.25

      More than $20,000

      0.29

  •  

  • (g) In the event of a total loss, any parts of the insured vehicle included in its valuation which are removed by the insured or the designated representative shall have their value deducted from the final settlement figure. This section shall not be construed to grant a right of removal.

  • (h) The following provisions of 11:3-10.3 also shall apply to the adjustment of total losses, except that the insurer shall have a total of 14 working days to comply with the requirements of subsections (a), (b), (c), (h), (i), (j) and (k) of 11:3-10.3.

  • (i) This section does not prohibit an insurer from issuing a stated value policy insuring against physical damage where the amount of damages to be paid in the event of a total loss is a specified dollar amount.

  • (j) If the vehicle is a total loss, the insurer may require that the insured transfer ownership of the vehicle to recoup salvage as a condition of settlement.

    • 1. If the insurer does not require transfer of title to recoup salvage and deducts the salvage value from the settlement, the salvage value deduction must be limited to the amount the insured would be able to obtain from a salvage facility within a reasonable distance to the insured’s principal place of garaging or the location where the vehicle is stored when totaled.

    • 2. If the insurer is notified in writing by the insured within 30 calendar days of the loss settlement that the salvage cannot be sold for the amount of the deduction, and the salvage has not significantly deteriorated or been altered between the time of the loss settlement and the time of the notice to the insurer by the insured, the insurer shall either pay the difference between the greatest amount the insured has documented he can readily receive for the vehicle and the amount the insurer deducted or provide the insured with the name and contact information for a salvage facility that will purchase the vehicle for the amount of the salvage deduction.

    • 3. If the insurer is deducting salvage from the settlement, notification of the insured’s rights as set forth in (j)2 above must be provided to the insured in writing at the time the offer of settlement is made and a copy retained by the insurer in the claim file.

Citation:
N.J. Admin. Code § 11:3-10.4

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Section 11:3-10.5 - Unreasonable delay


  • (a) Unless a clear justification exists, physical damage claims will have a maximum payment period of 30 calendar days. A payment period is the period between the date of the receipt of the notice of loss by the insurer, and:

    • 1. The date the settlement check is mailed; or

    • 2. The date on which the damaged vehicle is returned to use when the insurer elects to repair or have repaired the insured vehicle; or

    • 3. The date on which the damaged vehicle is replaced by the insurer.

  • (b) If any element of a physical damage claim remains unresolved more than 30 calendar days from the date of receipt of notice of loss by the insurer, the insurer shall provide the insured with a written explanation of the specific reasons for delay in the claim settlement. An updated letter of explanation shall be sent again every 30 calendar days thereafter until all elements of claim are either honored or rejected.

  • (c) Any letter of explanation, rejection or acceptance of any element of a claim shall contain in the upper right hand corner the date of receipt of notice of loss by the insurer and be identified as such. The letter shall also contain the identity and claim processing address of the insurer, and the insured’s policy number and claim number.

Citation:
N.J. Admin. Code § 11:3-10.5

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Section 11:3-10.6 - Loss of use


In the event of the theft of the entire vehicle the insurer at the time of notification shall advise the insured of his or her right under the policy to be reimbursed for transportation expenses. The notification must be confirmed in writing immediately after receipt of notice of theft. All conditions and benefits related to this coverage as stated in the policy must be contained in the notification to the insured.

Citation:
N.J. Admin. Code § 11:3-10.6

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Section 11:3-10.7 - Subrogation agreements


  • (a) If an insured has received payment under his or her physical damage coverage that is subject to a deductible, the insured shall share, pro rata, with the insurer any net recovery received by the insurer from third parties.

  • (b) Net recovery shall be the total recovery less the insurer’s allocated loss adjustment expenses attributable to such recovery. The formula for computing net recovery and the insured’s share of recovery of the deductible may be stated as follows:

    Data in image

    Math formula

     

  • (c) Unless the insurer returns its insured’s full deductible the insured shall attempt to effect full recovery in clear liability cases and shall not enter into any intercompany agreements that provide for the acceptance of lesser amounts on a formula basis.

  • (d) If an insurer has paid a physical damage claim that is subject to a deductible and it elects not to pursue its subrogation claim where the probability of recovery exists, the insurer shall so notify its insured in writing within 60 calendar days after it has paid the claim, except that the notification shall be given at least 30 days prior to the running of any applicable statute of limitations or period required for notice of claim. If an insurer does not notify its insured within the time periods prescribed above and the statute of limitations or period required for notice or claim has expired, the insurer shall forthwith remit to its insured the full amount of the insured’s deductible.

Citation:
N.J. Admin. Code § 11:3-10.7

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Section 11:3-10.8 - Repair estimates


If the insurer requires that its insured obtain more than one estimate of motor vehicle damage, the reasonable cost of such additional estimates, if any, shall be borne by the insurer unless the estimator does the work.

Citation:
N.J. Admin. Code § 11:3-10.8

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Section 11:3-10.9 - Referral of insured to the at-fault party


There shall be no attempt to discourage an insured from filing a physical damage claim, nor shall an insurer encourage its insured to assert a claim against a third party in lieu of filing a physical damage claim under the insured’s policy.

Citation:
N.J. Admin. Code § 11:3-10.9

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Section 11:3-10.10 - Examinations by the New Jersey Department of Banking and Insurance


To ensure compliance with this rule, the Department of Banking and Insurance personnel will investigate the market performance of insurers. To enable Department personnel to reconstruct an insurer’s activities pursuant to the provisions of this rule, each insurer must maintain a complete file on each claim settled pursuant to this rule. The claim file shall contain all communications, transactions, notes and work papers relating to the claim. With respect to automobile damage claims, the file also shall include the name, address, telephone number and license number of any auto body repair facility that has been utilized by the insurer in the adjustment of the loss or repair of the automobile. All papers in the file must be accurately dated by the insurer.

Citation:
N.J. Admin. Code § 11:3-10.10

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“Jerry, looks to me like
the legislators of some states
are pimping us out
to automobile insurance companies.”

“Jerry, I skimmed through the laws
of half a dozen or so different states.

“Looks to me like the legislators
of some states aren’t just making it easy
for automobile insurance companies
to have their way with us.

“Looks to me like they’re pimping us out
to the automobile insurance companies.”

If that’s the conclusion that you come to,
my friend, I cannot necessarily say
that I would disagree with you.

“Our state legislators are pimping out
to automobile insurance companies
the very voters
who voted those legislators
into office?

“How can that be?”


In a word, money!

Every year, in the USA,
automobile insurance companies
collect hundreds of billions of dollars
in automobile insurance premiums.

Money of that magnitude
translates into political power.

Automobile insurance companies
have many ways
in which they can reward
whoever helps them maximize their profits.


Then too, there’s a revolving door
between insurance companies
and state regulatory departments.

Some employees of insurance companies
go on to become
state commissioners of insurance.

Some state commissioners of insurance
go on to become highly-paid employees
of insurance companies
or go on to become
fabulously compensated lobbyists
for insurance companies.


One way for a man or woman
to maximize his or her career income
in the insurance industry
is to help insurance companies
maximize their profits
before he or she becomes
a state commissioner of insurance
and to help insurance companies
maximize their profits
after he or she becomes
a state commissioner of insurance.


“Is there anything we can do?”

In principle, yes.

The Affordable Care Act
limits the percentage
of health-insurance premium dollars
that health insurance companies
can keep for themselves
and their shareholders.

But I have yet to run across a law
that limits the percentage
of automobile insurance premium dollars
that automobile insurance companies
can keep for themselves
and their shareholders.

I’d like to see
our state legislators enact such laws
or our federal legislators enact such a law.


“Until that happens,
we’re goinng to keep getting pimped out
to the automobile insurance companies?”

You read your state’s laws.

You’ve witnessed up close the conduct
of the automobile insurance company
that you’re dealing with
under your state’s laws.

I’ll leave it to you
to reach your own conclusions.


I’m doing what I can to teach folks
how to fight back against rapacious
automobile insurance companies.

From my questions
about your state’s laws,
you learned that the legislators
of some states
give total-loss claimants
rights that legislators
of other states take away.

I would like to see
the legislators of states
that have taken away rights
restore those rights.

I would like to see state legislators
give total-loss claimants
rights that would make it easy
for total-loss claimants
to get fair valuations
of their total-loss vehicles.

I’d like to build an organization
that can try to persuade our legislators
to change some of the laws
that make it so easy
for automobile insurance companies
to have their way with you.

If you would like to help me,
then, at the top right of your screen,

click this image:                                      Donate

Send me a few dollars.


Looks_to_me_like_legisators_of_some_states_are_pimping_us_outChapter

Get your draft document into shape
for an attorney to review it.

When I imagine you meeting with an attorney,
I see your attorney sitting at a computer.

The attorney has your draft letter
up on a computer screen
that you can see.

If someone other than you
did your word processing,
he or she is with you.

The two or three of you also have printouts
of your draft letter and other documents.


The attorney reads through your draft letter.

The attorney comments on
what is good in your draft letter
and on what needs to be fixed,
improved, deleted, or changed.

She or he asks you questions.

To answer some of the questions,
you pull out the document or the page
wherein the answer to that question
is to be found.

At the computer keyboard,
the attorney edits, fixes,
and strengthens your draft letter.


If you will imagine your meeting
with the attorney,
then doing so may help you
shape up and organize your draft letter
and other documents for that meeting.


When you are deciding
what to delete and what to keep,
imagine the workflow
that you want to accomplish
in the hour or so that you will spend
with the attorney.

Imagine how your conversation
with the attorney is likely to flow.

Shape up your draft letter accordingly.

Doing so may mean little more
than putting hard page breaks in places
that will organize the document
into meaningful sections.


Preserve the section of your draft document
where you used
“Find and replace” ➞ “Replace all”
to replace the specifics
of my fictitious total-loss claim
with the specifics of your total-loss claim.

This list of specifics
will give your attorney
the specifics of your total-loss claim
all in one place.


If some of what is in your draft letter
will have no role in the finished document
or in your conversation with the attorney,
then, probably, you can safely delete it.


Keep in mind that you’re not trying to create
a perfectly polished, legally pristine letter.

You’re putting together information
and supporting documents
that an attorney can vet, edit, and shape
into a powerful package.

You’re preparing yourself
for a fast-paced, efficient,
and productive conversation
with an attorney
about how to craft a letter
that will get you a fair valuation
for your total-loss vehicle.

When you’ve developed
your draft letter
as far as you wish to,
find an attorney
who knows how to deal
with automobile insurance companies
on total-loss property damage claims.


Get_your_draft_document_into_shapeChapter

Find an attorney
who is knowledgeable
about automobile insurance
total-loss property damage claims.

See if an attorney in your county
advertises his or her expertise here
on wasyourcartotaledorstolen.com.

Attorneys have many different specializations.

To help you get a fair valuation
of your total-loss vehicle,
you likely will want to find an attorney
who is knowledgeable
about automobile insurance
total-loss property damage claims.

If an attorney in your county
or in a nearby county
advertises his or her expertise
on wasyourcartotaledorstolen.com,
then he or she is likely knowledgeable
about automobile insurance
total-loss property damage claims.

He or she is likely
primed and prepared
to have with you
the kind of conversation
that I’ve prepared you for.

He or she may even
have already created a model letter
that picks up where mine leaves off.

If a local attorney
has already created
a model letter that picks up
where mine leaves off,
then his or her letter
will already be tailored
to the laws of your state.


To see if an attorney in your county
advertises his or services
here at wasyourcartotaledorstolen.com,
at the top of your screen,
click the image

of four attorneys standing together.     Professionals

Then click your county.


Find_a_knowledgeable_attorneyChapter

Make an appointment with the attorney.

Email your draft letter
and supporting documents
to the attorney.

However you find an attorney
who is well qualified
to help you get a fair valuation
of your total-loss vehicle,
make an appointment
for an hour of his or her time.

If you want the attorney
to have your draft letter
up on a computer screen
during your meeting,
then email your draft letter
and its supporting documents
to the attorney
before your meeting.


If you are going to email your draft letter
and its supporting documents
to the attorney, then you need to write
an email for that purpose.

At the end of your draft document,
I have included as an example
the email that I would write
for that purpose.

If you wish to do so,
you may use my example email
as the starting point for your email.

If, earlier, you used
“Find and replace” ➞ “Replace all”
to change the specifics
of my fictitious total-loss claim
to the specifics
of your total-loss claim,
then those changes
will have rippled through
to my example email.


Make_an_appointment_with_an_attorneyChapter

Meet with the attorney.

Meet with the attorney.

If you have a co-pilot,
take him or her with you.

Ask your attorney to:

  • Review your draft letter
    against the CCC market valuation report
    or other market valuation report
    that you received
    from the automobile insurance company;

  • Review your draft letter against
    the J.D. Power Buy from Dealer price
    for your total-loss vehicle;

  • Review your draft letter against
    your state’s laws; and

  • If your total-loss claim
    is a first-party claim,
    review your draft letter against
    your automobile insurance policy.

Ask your attorney, to edit, tweak,
and strengthen your draft letter
as he or she thinks best.

Or, if your attorney wants you
to make the changes to your draft letter,
take good notes of what
your attorney tells you to change.


If you have time enough to do so,
ask the attorney what steps
he or she thinks you should take
if the automobile insurance company
does not agree to the valuation amount
that you propose.


If you don’t accomplish everything
that you wish to in one hour,
make a follow-up appointment.

Do not let
the automobile insurance company
rush you into a settlement
that is not fair to you.


Meet_with_the_attorneyChapter

Email your letter
and its supporting documents
to the automobile insurance company.

If your attorney asked you and your co-pilot
to make the changes to your draft letter,
then make those changes.

Pretty your letter up.


When you’re satisfied with
how your letter looks and reads,
email your letter
and its supporting documents
to the automobile insurance company
that you’re dealing with.


Email_your_letter_and_documents_to_the_automobile_insurance_companyChapter

If your letter and supporting documents
get you a fair valuation
of your total-loss vehicle,
then great!

Congratulations!

High fives!

You rule!

If you’ve made in this far
into wasyourcartotaledorstolen.com,
then you’ve done a lot of work!

You and perhaps a co-pilot
have spent a lot of hours
getting savvy to ways
in which automobile insurance companies
try to cheat people
out of fair settlemets
of their total-loss claims.

If you have succeeded
in getting a fair valuation
of your total-loss vehilce,
then, as we say down South,
I’m proud fer ya!

Your hard work has paid off!

High fives!

God bless you!


If you would like to share
your success story
with other total-loss claimants
in New Jersey, email me your story.

I’ll create a web page
here in the New Jersey arena
of wasyourcartotaledorstolen.com
where you and other folks
who live in New Jersey
can share your stories
with one another.

(I may edit your story a little bit
to keep you and me
from getting into trouble.)


If you would like to help me
help others achieve
what you have achieved,
then, at the top right of your screen,

click this image:                                      Donate

Send me a few dollars.


Congratulations!

And thank you!


If_your_letter_gets_you_a_fair_valuation_high_fivesChapter

If your letter did not get you
a fair valuation
of your total-loss vehicle, then,
if you have a right of recourse,
exercise your right of recourse.

By now, you should know
whether or not your state laws
give you a right of recourse.

You should know how many days
after the automobile insurance company
mails you the settlement check
you have to exercise
your right of recourse
before it expires.

To learn how I would go about
exercising my right of recourse,
at the top of your screen,
click the photo
of the young woman
who is determined

to exercise her rights:                    Right of recourse


If_your_letter_did_not_get_you_a_fair_valuation_exercise_your_right_of_recourseChapter

If you do not have a right of recourse
or if exercising your right of recourse
did not get you a fair valuation
of your total-loss vehicle,
then you may want to initiate
a small-claims lawsuit
or even a large-claims lawsuit.

To get a fair valuation
of my total-loss vehicle,
I sued the at-fault driver
in a small-claims lawsuit
for the amount of money
that her automobile insurance company,
Travelers, cheated me out of.

I got an additional $5,920 from Travelers.


If your total-loss claim
is a third-party claim
and the automobile insurance company
refused to negotiate
a fair valuation of your total-loss vehicle,
then you can sue the at-fault driver
for the amount of money
that his or her
automobile insurance company
cheated you out of.


If your total-loss claim
is a first-party claim,
then things are much more complicated.

Your automobile insurance policy
may contain an appraisal clause,
may contain an arbitration clause,
or may contain both.

Your state’s legislators
may have taken away rights
that you would otherwise have
under the law of contracts.

Hence, if your total-loss claim
is a first-party claim,
then I suggest that you
ask an attorney in your county
whether or not it makes sense
for you to invoke the appraisal clause
in your automobile insurance policy,
invoke the arbitration clause
in your automobile insurance policy,
or initiate a lawsuit
against your automobile insurance company.


To learn how,
in a third-party total-loss claim,
I would initiate a small-claims lawsuit
and perhaps a large-claims lawsuit,
at the top of your screen,
click the photo of the total-loss claimant
and the attorney
for the automobile insurance company
arguing their case

in front of a judge.                    Right of recourse


If_your_right_of_recourse_does_not_get_you_a_fair_valuation_you_may_want_to_sueChapter

Nota bene

Jerry Marlow is not an attorney. Neither information nor opinions published on this site constitute legal advice. This site is not a lawyer referral service. No attorney‑client or confidential relationship is or will be formed by use of this site. Any attorney listings on this site are paid attorney advertising. In some states, the information on this website may be considered a lawyer referral service.


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