Matlock & Partners
March 14, 2026 · 10 min read

Car Accident with an Uninsured Driver: What Are Your Options?

Hit by a driver with no insurance? Learn about uninsured motorist coverage, state insurance requirements, how to recover compensation, and what to do when the at-fault driver can't pay.

You did everything right — carried insurance, drove safely, followed the rules. Then someone else ran a red light, rear-ended you, or drifted into your lane, and when you exchanged information, the worst-case scenario materialized: they have no insurance.

According to the Insurance Research Council, approximately 12.6% of drivers nationwide are uninsured — that's roughly one in eight. In some states, the rate is dramatically higher: Mississippi leads the nation at around 29%, followed by Michigan, Tennessee, New Mexico, and Washington, all exceeding 17%. Even in states with the lowest uninsured rates, like Maine and Massachusetts (around 4% to 5%), the risk is far from zero.

Being hit by an uninsured driver is frighteningly common, and it doesn't have to mean you're left paying for someone else's mistake out of your own pocket. Here's what you need to know.

Understanding the Uninsured Driver Problem

Why Are So Many Drivers Uninsured?

Despite the fact that 49 out of 50 states (all except New Hampshire) require drivers to carry auto insurance, millions don't comply. Common reasons include:

  • Cost — insurance premiums are unaffordable for many low-income drivers, particularly those with poor driving records or who live in high-rate urban areas
  • Lapsed coverage — some drivers let their policies lapse between renewals due to financial hardship, creating gaps
  • Licensing issues — unlicensed drivers often can't obtain insurance
  • Intentional noncompliance — some drivers simply choose to violate the law

States with the Highest Uninsured Rates

| State | Estimated Uninsured Rate | |-------|--------------------------| | Mississippi | ~29% | | Michigan | ~25% | | Tennessee | ~24% | | New Mexico | ~22% | | Washington | ~22% | | Florida | ~20% | | Alabama | ~20% | | Oklahoma | ~19% | | Arkansas | ~19% | | D.C. | ~18% |

If you live or drive in these states, the odds of being hit by an uninsured driver are significantly elevated.

Your First Line of Defense: Uninsured Motorist Coverage

Uninsured Motorist (UM) coverage is a provision in your own auto insurance policy that pays for your injuries and damages when the at-fault driver has no insurance. It's the single most important coverage for protecting yourself against uninsured drivers.

How UM Coverage Works

When you're hit by an uninsured driver, you file a UM claim with your own insurance company. Your insurer steps into the shoes of the at-fault driver's insurer and pays your claim up to your policy limits. You're essentially collecting from your own policy for damages caused by someone else.

UM coverage typically includes:

  • Bodily injury — medical expenses, lost wages, pain and suffering
  • Property damage (in some states) — repair or replacement of your vehicle
  • Hit-and-run accidents — when the at-fault driver flees and can't be identified

Is UM Coverage Required?

States vary widely in whether they require UM coverage:

Mandatory UM states — these states require insurance companies to include UM coverage in every auto policy (though some allow you to reject it in writing):

  • Illinois, Maine, Maryland, Massachusetts, Minnesota, Missouri, New Hampshire, New York, North Carolina, North Dakota, Oregon, South Carolina, South Dakota, Vermont, Virginia, West Virginia, Wisconsin, and others

Optional UM states — these states offer UM coverage but don't require it:

  • Alabama, Alaska, Arizona, California (offered but can be rejected), Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Michigan, Montana, Nevada, Ohio, Oklahoma, Pennsylvania, Texas, Wyoming

Important: In states where UM is optional, many drivers don't carry it — often because they don't understand what it is or because their agent didn't emphasize its importance. If you're reading this and don't have UM coverage on your policy, strongly consider adding it. The cost is typically modest ($50 to $200 per year for $100,000 to $300,000 in coverage), and it could be the most valuable coverage you carry.

Underinsured Motorist (UIM) Coverage

Closely related to UM coverage is Underinsured Motorist (UIM) coverage, which applies when the at-fault driver has insurance but not enough to cover your damages. For example, if your damages are $150,000 but the at-fault driver only carries the state minimum of $25,000, UIM coverage can make up the difference (up to your UIM policy limits).

Some states combine UM and UIM into a single coverage; others treat them separately. Check your policy to understand what you have.

What If You Don't Have UM Coverage?

If you don't carry UM coverage and an uninsured driver hits you, your options narrow — but they don't disappear:

1. Your Own Medical Payments (MedPay) Coverage

MedPay is a no-fault coverage that pays your medical bills regardless of who caused the accident. It won't cover lost wages or pain and suffering, but it can cover immediate medical costs up to your policy limits (commonly $5,000 to $25,000).

2. Personal Injury Protection (PIP)

In no-fault states (Florida, Michigan, New York, New Jersey, Pennsylvania, Hawaii, Kansas, Kentucky, Massachusetts, Minnesota, North Dakota, Utah), your PIP coverage pays for your medical bills and a portion of lost wages regardless of who was at fault. PIP benefits vary by state but typically cover:

  • Medical expenses up to a set limit ($10,000 in Florida, unlimited in Michigan prior to 2020 reforms)
  • A percentage of lost wages (typically 60% to 80%)
  • Replacement services (household tasks you can't perform)
  • Funeral expenses in some states

3. Health Insurance

Your regular health insurance will cover accident-related medical treatment, subject to your normal deductibles and copays. Your health insurer may assert a subrogation right — a claim against any recovery you later obtain from the at-fault driver.

4. Suing the Uninsured Driver Directly

You can file a lawsuit against the uninsured driver personally. If you win, you obtain a judgment — a court order that the driver owes you money. The practical challenge is collection: an uninsured driver who can't afford insurance often has limited assets from which to satisfy a judgment.

However, a judgment is not worthless:

  • Judgments are typically valid for 10 to 20 years and can be renewed
  • You can garnish the driver's wages (in most states, up to 25% of disposable earnings)
  • You can place liens on any property the driver owns or later acquires
  • The driver cannot discharge the judgment in bankruptcy if the accident involved intoxication or willful misconduct in most states

5. Collision Coverage

Your collision coverage pays to repair or replace your vehicle regardless of fault, minus your deductible. It doesn't cover your injuries, but it gets your car fixed.

State-Specific Programs and Rules

Financial Responsibility Laws

All states except New Hampshire require drivers to carry minimum liability insurance. State minimums vary dramatically:

| State | Per Person / Per Accident / Property | |-------|--------------------------------------| | California | $15,000 / $30,000 / $5,000 | | Florida | $10,000 PIP / $10,000 property (no BI required) | | Georgia | $25,000 / $50,000 / $25,000 | | New York | $25,000 / $50,000 / $10,000 | | Texas | $30,000 / $60,000 / $25,000 | | Michigan | $250,000 / $500,000 / $200,000 | | Alaska | $50,000 / $100,000 / $25,000 |

Note that several states' minimums — particularly California's $15,000 and Florida's lack of a bodily injury requirement — are woefully inadequate for any serious accident. Even drivers who carry insurance at these minimums are effectively underinsured.

Uninsured Motorist Funds

A few states maintain special funds for victims of uninsured drivers:

  • New Jersey — the Unsatisfied Claim and Judgment Fund provides compensation to qualified victims of uninsured drivers, subject to specific limitations and a $15,000 deductible
  • Michigan — the Michigan Assigned Claims Plan allows uninsured accident victims to obtain PIP benefits through an assigned insurer
  • Maryland — the Maryland Automobile Insurance Fund provides coverage for victims of uninsured drivers

Penalties for Driving Without Insurance

States impose various penalties on uninsured drivers, which can affect your claim:

  • License suspension
  • Vehicle registration suspension or impoundment
  • Fines ranging from $150 to $5,000+
  • Criminal charges (misdemeanor in some states)
  • SR-22/FR-44 certificate requirements for future insurance

These penalties provide leverage: an uninsured driver facing criminal charges or license suspension may be more motivated to cooperate with your claim.

Hit-and-Run Accidents

Hit-and-run accidents are a specific subset of the uninsured driver problem — the at-fault driver flees the scene and may never be identified. Nationally, roughly 11% of all reported crashes involve a hit-and-run.

Your UM coverage typically covers hit-and-run accidents, but some states impose additional requirements:

  • Physical contact requirement — some states require that the hit-and-run vehicle actually made contact with your vehicle (not just caused you to swerve). This "phantom vehicle" exclusion can deny coverage for accidents where the hit-and-run driver forced you off the road without touching your car. States are increasingly moving away from this requirement, but check your state's law
  • Reporting requirements — most UM policies require you to report a hit-and-run to police within 24 to 72 hours
  • Diligence in identifying the driver — your insurer may require you to demonstrate that you made reasonable efforts to identify the fleeing driver

Steps to Take After Being Hit by an Uninsured Driver

  1. Call the police — file an official report. Officers may cite the uninsured driver, and the report documents the accident and the driver's lack of insurance
  2. Get the driver's information — even without insurance, get their name, address, phone number, driver's license number, and vehicle information
  3. Document everything — photograph the scene, damage, and injuries; get witness names and numbers
  4. Seek medical attention — don't delay, even if injuries seem minor
  5. Notify your own insurance company — file a UM claim if you have coverage; they need prompt notification
  6. Don't accept blame — the uninsured driver's status doesn't affect fault determination; don't concede any fault
  7. Consult an attorney — UM claims are technically first-party insurance claims, but your own insurer may not offer top dollar without legal pressure

Protecting Yourself Before an Accident Happens

The best time to prepare for an uninsured driver accident is before it happens:

  • Carry UM/UIM coverage at the highest limits you can afford — matching your liability limits is ideal
  • Add MedPay or PIP (depending on your state) for immediate medical expense coverage
  • Carry collision coverage if your vehicle is worth protecting
  • Stack your UM coverage if your state allows it — stacking lets you combine UM limits across multiple vehicles on your policy, effectively doubling or tripling your coverage
  • Review your health insurance — understand your deductibles and coverage for accident-related injuries

Key Takeaways

  • Roughly 1 in 8 drivers nationwide is uninsured — in some states, it's closer to 1 in 4
  • Uninsured Motorist (UM) coverage on your own policy is your best protection — it pays for your injuries when the at-fault driver has no insurance
  • If you don't have UM coverage, options include MedPay, PIP, health insurance, and suing the driver directly
  • Hit-and-run accidents are typically covered by UM policies, but check your state's specific requirements
  • State programs exist in a few states to help victims of uninsured drivers
  • The best time to protect yourself is before an accident — add UM/UIM coverage now if you don't have it

Hit by an uninsured driver? Get a free AI-powered case evaluation in minutes — no obligation, completely confidential.