| Home  >  Consumer Information - Insurance > Ombudsman's Office > Auto Comparative Negligence Settlement FAQs | 
  
    | Auto Comparative Negligence Settlement - Frequently Asked Questions | 
  
    | Glossary of Insurance Terms | 
  
    | 1. What is Comparative Negligence?
 2. Does New Jersey have a law governing Comparative Negligence?
 
 3. What is permitted under the law?
 
 4. How does an insurer determine the degree of  negligence?
 
 5. Can I collect from the other driver’s insurance  company for my damages if my fault is greater than the other driver’s?
 
 6. What if I am not happy with the percentage of negligence assigned to me  in the settlement of my claim?
 
 7. What happens if my Internal Appeal is denied and your office is unable  to resolve the matter?
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    | 1. What is Comparative Negligence? | 
  
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      In automobile  insurance, comparative negligence is a term used to indicate the degree of  fault each individual involved in an accident contributes  to the cause of the accident. In New Jersey the insurance  company investigates the accident and determines how much each individual or  vehicle involved contributed to the accident occurring. If you are seeking reimbursement from your  own insurance company under your collision coverage, comparative negligence  does not apply. However, if you are pursuing a claim against the other driver,  his or her insurance company will determine whether and to what extent that  driver is at fault for the accident. | 
  
    | 2. Does New Jersey have a law governing Comparative Negligence? | 
  
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      Yes. The statutory cite is New Jersey Statutes  Annotated (NJSA) 2A:15-5.2.  Most states  have similar laws, but there may be differences in how much or how little a  person can be at fault and still collect all or a portion of the damages. New Jersey’s law does  not provide specific guidelines or dictate procedures for assessing fault and  responsibility. The amount of fault is determined  on a case by case basis depending on the circumstances surrounding the incident.  | 
  
    | 3. What is permitted under the law? | 
  
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      The Comparative Negligence Act permits insurance companies to determine responsibility  for an accident in proportion to fault of the involved parties. The insurer will review the facts and  investigate then assign a percentage of liability to the parties involved in  the accident based on contributing factors. Examples of these factors include such things as, failing to observe and  avoid the other vehicle, failing to sound the horn, apply brakes or swerve and/or  driver inattention.  
 Some  terms you may come across when discussing negligence issues with the insurance  company are: proximate cause of the collision, meaning the primary reason the  accident occurred such as a driver not stopping at a stop sign; greater duty of  care, such as a person pulling out of a stop sign having the responsibility to  be certain no cars are coming before pulling out; last clear chance to avoid  the collision, meaning the person who could have done something to avoid the  accident occurring and evasive action, meaning the actions a driver can take to  avoid the accident.
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    | 4. How does an insurer determine the degree of  negligence? | 
  
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      After  reviewing the facts relating to the accident, the claims adjuster will  determine the degree of negligence of their insured as compared to the person  making the claim. The degree of  negligence is stated in terms of a percentage of fault, such as 80% or 50% at  fault for the accident.   Documentation that the insurer may consider includes the police report,  driver and witness statements, if available, applicable motor vehicle laws and a  scene investigation showing the design and configuration of the roadway where  the collision occurred.  | 
  
    | 5. Can I collect from the other driver’s insurance  company for my damages if my fault is greater than the other driver’s? | 
  
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      No. Under New Jersey’s Comparative Negligence law, an  individual’s fault for the accident cannot be more than the individual from  whom damages are sought. Therefore,  recovery of damages is permitted when each person in a 2 car accident is 50% at  fault, but not if you are more at fault than the other person. The amount of damages paid to you is reduced  by the percentage you are considered at fault. In other words, if you were considered 50% at fault for the accident,  and had $1,000 in damage to your car, you would be paid $500, or 50% by the  other person's insurance company.  If in  the same accident you were only considered 10% at fault, you would receive $900  from the other person's insurance company. Also, be aware that your percentage of fault  will also be considered when reimbursing you for other accident related costs,  such as rental car charges.   | 
  
    | 6. What if I am not happy with the percentage of negligence assigned to me  in the settlement of my claim? | 
  
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      Although any  concerns regarding the settlement of your claim should first be taken up with  the claims adjuster and/or that person's supervisor, all auto insurers must  have an Internal Appeal Process in place for the review of disputed claims. Notification of an individual’s right to file  an Internal Appeal must be provided by the insurer at some point during the  claims process, including information as to where such an appeal may be sent.   In the event that  you continue to be dissatisfied with the claim settlement after filing an  Internal Appeal, the company must inform you of your right to contact the  Office of the Insurance Ombudsman to request a review of the claim and the appeal  determination.  | 
  
    | 7. What happens if my Internal Appeal is denied and your office is unable  to resolve the matter? | 
  
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      Our office  makes every effort to thoroughly review disputed claims and to be sure the  insurance company has conducted a complete investigation and reasonable  determination when deciding who is at fault for an accident. Unfortunately,  sometimes such cases involve a dispute between the drivers involved as to how  the accident occurred or differing opinions about who is more at fault or how  much fault each driver should be assigned. Issues which are ultimately disputes  about facts surrounding the accident or determining whose statement is accurate  are issues for the courts to determine if there is an ongoing dispute that we  can not resolve. Even if you file an internal appeal and a request for our  office to provide assistance, you retain the right to file suit against the other  individual in the appropriate court of law to resolve the claim dispute. Your County Court Clerk can provide you with  information on the appropriate court given the dollar amount of damages you are  seeking, where you live or where the accident happened. | 
  
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    | If you have any further questions or would like additional  information, you can contact the Department of Banking and Insurance either  through the Office of the Insurance Claims Ombudsman at 1-800-446-7467 or the Consumer Inquiry and Response Center (CIRC) at 609-292-7272. |