Compulsory
Insurance
(Continued)
2. You, or anyone living in your household, if injured while occupying
an auto which does not have Compulsory Insurance or if struck by an
auto which does not have Compulsory Insurance.
3. Any pedestrian, including you, if struck by your auto in
Massachusetts or any Massachusetts resident who, while a
pedestrian, is struck by your auto outside of Massachusetts.
Benefits are paid only for expenses or losses incurred within two years
after the accident.
If the accident is in Massachusetts, or if it is outside Massachusetts and
the injured person does not sue for damages, we will pay benefits
within a reasonable time – usually thirty days. If the accident is outside
Massachusetts and the injured person does sue, then we can wait for a
settlement or judgment before paying benefits.
Some people have a wage continuation program at work. If so, we will
pay them only the difference between the total we would ordinarily pay
under this Part and the amount of the program payments. We will,
however, reimburse the program if it allows benefits to be converted
into cash or additional retirement credit. Sometimes program benefits
are reduced or used up because of payments to the person injured in
an accident. In that case, we will pay for lost wages resulting from any
other illness or injury that person has within one year of our last
payment. The exact amount of our payments under this paragraph will
be determined by Massachusetts law.
Some people have a policy of health, sickness, or disability insurance
or a contract or agreement with a group, organization, partnership or
corporation to provide, pay for, or reimburse the cost of medical
expenses (“health plan”). If so, we will pay up to $2,000 of medical
expenses for any injured person. We will also pay medical expenses in
excess of $2,000 for such injured person which will not be paid by a
health plan. Medical expenses must be submitted to the health plan to
determine what the health plan will pay before we pay benefits in
excess of $2,000 under this Part. We will not pay for medical expenses
in excess of $2,000 that the health plan would have paid had the
injured person sought treatment in accordance with the requirements of
the health plan. In any case, our total payment for medical expenses,
lost wages and replacement services will not exceed $8,000.
Within two years after an accident, we may pay the cost of renewing or
continuing in force a policy of health, sickness or disability insurance for
anyone covered under this Part who is unwilling or unable to pay such
cost. Our payment will not exceed the cost of renewing or continuing
such policy for a period of two years after the accident. Our payment
will not reduce the benefits otherwise payable under this Part.
PA300MA (12/17)