Insurance claim case — Case Study: Hit by an Uninsured Driver — a UM Claim

When the at-fault driver has no insurance, the only realistic route to payment is your own uninsured motorist coverage. This case shows how a UM claim is documented, why the police report is decisive, and where the coverage stops.

The facts

A 34-year-old driver with a non-owner policy including $50,000 UM was struck at an intersection by a driver who ran a red light and fled on foot after the collision. The police report identified the other driver, who had no policy in force.

The insured driver suffered a cervical disc injury requiring an epidural injection and six weeks of physiotherapy. Medical costs: $46,000. Lost wages: $7,800.

Filing against your own policy

The UM claim was filed with the insured’s own carrier, supported by the police report, the other driver’s licence and registration, and a statement that no insurance was in force. The carrier verified the absence of coverage with the state DMV before accepting the claim.

Because UM is a first-party coverage, the insurer investigated and paid rather than defending. Settlement came at $48,500, covering medical costs and most lost wages, within the $50,000 limit.

Item Amount Covered
Medical costs $46,000 Yes, within UM limit
Lost wages $7,800 Partially
UM limit $50,000 Paid $48,500
Uncovered balance $3,800 Health insurance + savings
Subrogation recovery $2,400 Returned to carrier

Where the limit bit

The combined medical and wage loss was $53,800. The UM limit of $50,000 left $3,800 uncovered, absorbed by the driver’s health insurance and savings.

Had the policy carried UM at 100/300 — matching the liability limits — the entire loss would have been covered.

The subrogation outcome

The carrier pursued the uninsured driver and recovered $2,400 over 14 months through a payment plan. Recoveries in UM subrogation are typically under 10% of the payout.

Documentation that decided the claim

Three items carried the file: the police report naming the other driver, the DMV confirmation of no coverage, and continuous medical records linking treatment to the crash date. A gap in treatment of more than three weeks is the most common reason a UM claim gets reduced.

  • UM claims are filed with your own insurer, not the at-fault driver’s.
  • A police report identifying the other driver is essential.
  • UM limits should match liability limits.
  • Continuous treatment documentation prevents claim reduction.
A hit-and-run still needs a police report

Insurers require evidence that another vehicle was involved. Without a police report naming or describing the other vehicle, a hit-and-run claim is treated as a single-vehicle collision — which a non-owner policy does not cover at all.

Key takeaways

  • Uninsured motorist coverage is the only recovery route against an uninsured driver.
  • Documentation and continuity of treatment drive the payout.
  • UM limits that match BI limits avoid out-of-pocket gaps.
  • Subrogation recoveries are small and slow.

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Non-Owner Car Insurance Coverage, Cost & Eligibility editorial team

Research-driven coverage of policy wording, pricing and claims. Every guide is reviewed against current insurer filings before publication.