Assigned Claims Plan (General Laws Chapter 90, section 34N)

The Assigned Claims Plan was created by statute to provide Personal Injury Protection (PIP) benefits to Massachusetts residents who are injured while occupying or struck by an auto not insured under the Massachusetts compulsory insurance law and PIP benefits are otherwise unavailable. Note that the claimant cannot be a member of a household in which another member or members own an automobile.

To receive an Application For Benefits Form, a written request must be sent by a claimant, or an attorney representing that claimant, to the Assigned Claims Plan. The request must include the following:

• name of claimant, date of accident, and a brief summary of the circumstances surrounding the accident;

• a police report or accident report; and

• proof of cancellation of any policy covering the vehicle the claimant was occupying or struck by.

Note: A claim cannot be considered for assignment without the required information and all requests for an Application must be received within two years of the date of the accident.

If the claimant is deemed eligible for benefits from the Assigned Claims Plan, that claimant or the attorney representing that claimant will be informed of the name, address and contact person of the insurance company which will handle the claim. The insurance company will have the same rights under PIP as if it had issued a policy which provides PIP.

Please send requests for Application For Benefits Forms by mail to:

Automobile Insurers Bureau of Massachusetts
101 Arch Street
Boston, MA 02110
Attn: Assigned Claims Plan