Health Insurer for PIP Options
	Do you want your health insurer to pay for your injuries?
	I choose the health insurer for PIP option *
	I do not choose the health insurer PIP option and prefer to have my auto policy provide this coverage.
	* At the time of actually applying for an Insurance Policy you will be asked to give the Name, Policy\Group Number of your Health Care Provider. You must maintain your health coverage. If you are in an accident and your coverage is no longer in effect, your auto insurer must pay PIP medical benefits. However, you will be required to pay a $750 additional deductible.