
On May 9, 2020, Michigan's House of Representatives passed a bill to reform the state's auto insurance law. The new law introduces a tiered system for Personal Injury Protection (PIP) coverage, allowing individuals to opt out or purchase varying levels of coverage. The previous law, passed in 1973, required drivers to carry unlimited No-Fault medical coverage, which proved too expensive for many Michigan families. The new law lowers premiums while offering coverage options, including unlimited lifetime PIP medical benefits. The reform also includes changes to attendant care limits, a fee schedule, and increased bodily injury liability coverage.
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What You'll Learn

Michigan's No-Fault Insurance Law
The most notable change is the introduction of PIP choice, allowing drivers to choose from one of the four coverage levels mentioned above. This change was implemented to address the high cost of mandatory unlimited PIP medical benefits, which proved too expensive for many Michigan families, resulting in some drivers opting to drive uninsured. Now, drivers can reduce their premiums for the medical portion of PIP by relying on their health insurance for medical bills.
Another significant change is the ability to opt out of No-Fault medical coverage. Drivers with Medicare can choose to waive No-Fault PIP medical benefits, but they will not receive any accident-related medical bill coverage from No-Fault if they are injured in a car accident. Additionally, the new law mandates premium reductions for each coverage level, ranging from an average of 10% to 45% or greater per vehicle. However, these reductions only apply to the PIP portion of the insurance premium, and other portions may increase.
The Michigan Department of Insurance and Financial Services (DIFS) now has the responsibility to review and approve every rate filing before it is available for consumers to purchase. DIFS has engaged outside actuaries to ensure that insurers meet or exceed the new rate reduction requirements. These reforms are intended to provide financial security and protect drivers and their families in the event of a car accident. It is essential for drivers to understand how these changes may impact their legal rights and their ability to recover No-Fault PIP benefits after a crash.
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PIP Choice
Michigan's new auto insurance law has brought about significant changes to the state's No-Fault law, including the introduction of PIP Choice. This change allows Michigan drivers to choose from different No-Fault PIP medical benefits coverage levels, offering more flexibility and affordability.
Previously, Michigan required all drivers to carry "unlimited" No-Fault medical coverage, which proved too expensive for many families. The new law replaces this with a tiered system, giving drivers the option to opt out of PIP medical coverage or select a coverage level that suits their needs and budget.
The four No-Fault PIP medical benefits coverage levels available are:
- $50,000 for drivers enrolled in Medicaid: This option is specifically designed for drivers on Medicaid and their household members with other insurance coverage.
- $250,000: This option provides coverage for up to $250,000 in medical expenses for the injured person's care, recovery, and rehabilitation.
- $500,000: This option offers coverage for up to $500,000 in medical expenses and also includes premium reductions.
- Unlimited or No Limit: This option provides comprehensive coverage without any limits on medical expenses.
It is important to note that these changes apply to policies issued or renewed after July 1, 2020. Drivers should carefully consider their needs and discuss their PIP options with their insurance company or agent to make informed decisions about their coverage. The Michigan auto insurance reform aims to provide more affordable options while ensuring that drivers have access to the necessary protection in case of accidents.
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Opt-outs
Opting out of Personal Injury Protection (PIP) medical coverage is possible under certain circumstances in Michigan. The Michigan No-Fault Insurance law allows drivers with Medicare to opt out of PIP medical benefits entirely. This means that if they are injured in a car accident, No-Fault will not pay for any accident-related medical bills, and they will instead turn to Medicare for coverage. This opt-out option is available for policies issued or renewed after July 1, 2020.
It is important to note that not all drivers are eligible to opt out of PIP medical coverage. For instance, those who receive their healthcare through the U.S. Department of Veterans Affairs (VA) are not able to opt out. This is because VA benefits do not qualify as "qualified health coverage" under Michigan's auto insurance law, as they do not cover all injuries related to motor vehicle accidents.
Additionally, drivers who do not have health insurance may not want to opt out of PIP medical coverage, as they may be personally responsible for any medical costs that exceed their PIP coverage limit if they are injured in a crash.
The opt-out option is a result of the Michigan Auto Insurance Reform, which has brought significant changes to the state's No-Fault law. These changes include giving drivers a choice of different PIP coverage levels and allowing them to opt out of No-Fault medical coverage under certain circumstances. The reform aims to save drivers money on their No-Fault car insurance bills and reduce Michigan's high auto insurance premiums.
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Attendant care limits
In Michigan, attendant care is included in Personal Injury Protection (PIP) coverage. This covers services that assist an injured person with tasks they would normally do for themselves, such as eating, bathing, dressing, grooming, and medication administration.
The 2019 No-Fault reforms introduced a 56-hour-per-week limitation on in-home, family-provided attendant care services. This limitation applies to caregivers who are related to the injured person, live in the same household, or had a business or social relationship with the injured person before their injury. The limitation came into effect on July 1, 2021, and does not apply to services provided before this date.
The 2019 reforms also require insurance companies to offer a rider that provides additional coverage for attendant care that exceeds the insured person's PIP medical coverage limit. This rider must be offered to anyone choosing a policy with PIP medical limits of $50,000, $250,000, or $500,000. Additionally, insurers may choose to contract with family members or caregivers to provide attendant care that exceeds the 56-hour limit.
In the case of Smejkal v. Beck, the Michigan Court of Appeals held that when an insured selected "unlimited" medical benefits, they were entitled to unlimited attendant care benefits rather than the statutory 56 hours per week. This decision highlighted the importance of clear policy language regarding the inclusion or exclusion of attendant care hours in "unlimited coverage."
It is important to note that the specific details of insurance policies and coverage limits can vary, and individuals should consult with a licensed insurance agent or company to understand their specific coverage and options.
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Premium reductions
Michigan's new auto insurance law has brought about significant changes to the state's No-Fault law, including the introduction of a tiered system for Personal Injury Protection (PIP) coverage. This new system allows individuals to opt out or choose from different coverage levels, ranging from $50,000 to $500,000, or unlimited/no limit. The selected level of PIP coverage will impact the premium reductions offered.
Under the new law, insurance companies are mandated to reduce their statewide average premium charges by a certain percentage, depending on the chosen coverage level. For the $250,000 coverage level, the law mandates a premium reduction of "an average of 35% or greater per vehicle." For the $500,000 coverage level, the mandated reduction increases to "an average of 20% or greater per vehicle." It's important to note that these reductions only apply to the PIP portion of the insurance premium, and other portions may increase. Additionally, these premium reductions are not guaranteed for each policyholder.
The $50,000 PIP coverage option is specifically for individuals enrolled in Medicaid, and the law mandates a premium reduction of "an average of 45% or greater per vehicle" for this option. This reduction also applies specifically to the PIP portion of the premium. Similarly, for those who opt for unlimited/no-limit PIP coverage, the law mandates a premium reduction of "an average of 10% or greater per vehicle," which again, pertains only to the PIP portion.
It's worth mentioning that these premium reductions are not guaranteed and may not apply to every policyholder. Insurance companies can also apply for exemptions. The Michigan Department of Insurance and Financial Services (DIFS) is responsible for reviewing and approving rate filings to ensure insurers comply with the new rate reduction requirements. The new law also allows individuals to coordinate their PIP coverage with their health insurance, which can help decrease their auto insurance premiums.
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Frequently asked questions
The Michigan No-Fault Insurance Law was passed in 1973 and is designed to help people injured in car accidents. It ensures that car accident victims receive prompt assistance, regardless of who is at fault. This means that if you are injured in a car accident, your auto insurance company will cover the costs of your recovery and lost wages.
The Michigan Auto Insurance Reform has brought about significant changes to the No-Fault Law, including:
- PIP Choice: Drivers now have a choice of four No-Fault PIP medical benefits coverage levels ($50,000 for those on Medicaid, $250,000, $500,000, and unlimited/no limit).
- Opt-outs: Drivers with Medicare can choose to opt out of No-Fault PIP medical benefits.
- Attendant care limits: Insurance companies are only required to pay for 56 hours per week of family-provided in-home care.
- A fee schedule: A schedule of fees that insurance companies must reimburse for various treatments and services.
- Increased bodily injury liability coverage.
The Michigan No-Fault Reform was enacted in Public Acts 21 and 22 of 2019, which took effect on June 11, 2019. The new No-Fault medical coverage choices became available in policies issued or renewed after July 1, 2020.


















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