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L SECURITY # ZIP CODE COUNTRY SEX/Sexo (CIRCLE ONE) CITY/Ciudad STATE MARITAL STATUS SPOUSE'S NAME SPOUSE'S WORK NO F/T STUDENT ALLERGIES M HOME PHONE NO /Telephono WORK PHONE NO ( ( ) S ) M W D PATIENT EMPLOYER/Patron Del Paciente' SP ( Y EMPLOYER'S ADDRESS/Direccion Del Patron RELATIONSHIP TO PATIENT ) N CITY/Ciudad EMERGENCY CONTACT PERSON/Contacto De Emergencia F EXT ZIP CODE STATE/Estado CONTACT'S HOME PHONE NO CONTACT'S WORK PHONE ( ( ) REFERRING MD.
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EMERGENCIA FAQ
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Even though the Florida legislature passed an auto insurance overhaul bill that would have done away with the State's No-fault insurance system, Florida motorists are not currently required to obtain new insurance policies since the bill was not passed.
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Florida is one of the few states in the United States that operates under a no-fault auto insurance system. This means that drivers are required to carry personal injury protection (PIP) insurance, which covers medical expenses and lost wages regardless of who is at fault for a car accident.
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Section 627.747 - Named driver exclusion (1) A private passenger motor vehicle policy may exclude the following coverages for all claims or suits resulting from the operation of a motor vehicle by an identified individual who is not a named insured, provided the identified individual is named on the declarations page ...
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No-fault insurance is designed to cover your medical expenses and/or loss of income when you're involved in a car accident, regardless of who was at fault. Some states require drivers to carry no-fault auto insurance, while others make this coverage optional.
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In Florida no fault insurance is mandatory for every owner of a motor vehicle. This doesn't cover motorcycles that aren't required to have this coverage. Even non-resident vehicle owners have to pay if their vehicle was situated in Florida for longer than 90 days out of a year.
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No fault means that recovery for damages in an accident no longer depends on who was at fault in causing it. A motorist will file a claim to recover his actual damages (medical expenses, income loss) directly from his own insurer.
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The no-fault workers' compensation system is based on the principle that injured employees are entitled to receive compensation for their injuries without proving fault against the opposite party.
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Due to Florida's no-fault laws, your insurance will pay for your auto repair after an accident you did not cause in Florida. However, if the costs of damages exceed your policy limits, you may qualify to recover additional compensation elsewhere.
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