Well, you have two things going on with S.F. PIP the insurance policy says S.F. can ask for an exam under the PIP (and also under the UM/UIM) coverage by a doctor of its choice, at its expense. Under PIP, you do not have to attend, but if you don't you are not cooperating so you get cut off. Damned if you do, damned if you don't. S.F. wants to cut off PIP payments, so it goes out and buys an exam to paper its file to try to say cutting you off on PIP was not bad faith. You don't have to take that. You can give Notice of Intent to Arbitrate the cutting off of the PIP payments. Your doctors and therapists will back you on that. S.F. has to pay for the PIP arb. I have never seen a PIP insured loose a PIP arbitration. UM/UIM. This is the coverage where S.F. steps in to the shoes of the at fault uninsured driver. This pays you for pain, suffering and disability. IF you can't settle with S.F. on the UM/UIM, I always do Notice of Intent to Arbitrate under the UM/UIM. I ask the adjuster to respond to that, in writing. The S.F. adjuster will write you back refusing to arbitrate, citing their policy provision that S.F. must agree to arbitrate under the U and you have to SUE S.F. AND the at-fault driver. We have had to do this many times. Bottom line = you need to get with a lawyer who handles injury cases, because you are getting jerked around big time by S.F. Then, keep in mind, too, that you may have an IF CA (Insurance Fair Conduct Act) / bad faith claim against S.F. YOUR first party insurer who you have been paying premiums to to have this coverage protection for how many years (and this is probably your first claim) S.F. is bound to coverage on this MVA you are talking about. BUT you do not have to continue to be insured by S.F. if you don't want to be. You can now switch to another auto insurer, such as PEMCO or Safeco / Liberty N.W. even before the pending claims with S.F. are concluded. [Do NOT, though, ever under any circumstances allow yourself to be insured by Allstate.
Answered on Aug 02nd, 2013 at 8:06 PM