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FREQUENTLY
ASKED QUESTIONS ABOUT PREMISES LIABILITY
CLAIMS
DISCLOSURE
STATEMENT:
The
following should not be considered
legal advice on your personal injury
claim. For questions about your specific
claim, you should consult with an
attorney. The following information
is based on the current premises liability
laws for the State of Texas. Premises
liability laws vary from state to
state and are subject to change. You
need to consult with an attorney licensed
in the state where your accident happened
for advice and information regarding
your claim.
1.
What is a premises liability claim?
A
premises liability claim involves
an injury on someone's property. These
cases are often referred to as "slip
and fall" claims. These cases
include persons injured inside department
stores, speciality stores, restaurants,
grocery stores, banks, hospitals,
and other buildings open to the public.
These claims also include injuries
that happen outside a building such
as a sidewalk, parking lot, common
area, stairs, elevator, or on the
grounds of the building or property.
2.
If I am injured on someone's property
is the property owner responsible
for my injuries and damages?
Whether
a property owner, landlord, or tenant
is responsible for your injuries or
damages will depend on whether the
owner or occupier (i.e., tenant) was
negligent. Negligence occurs when
the owner or occupier of the property
breaches a duty owed to the person
on their property. This duty varies
depending on what the injured person's
status was at the time of the injury.
If you were injured in a store or
business open to the public during
business hours, then you are considered
an "invitee". If you are
an invitee, the property owner is
negligent if they knew or should have
known that a dangerous hazard and/or
condition existed on their property
and failed to warn you or failed to
remove the hazard and/or condition
in a timely manner. You need to consult
with an attorney to determine your
exact status on the property and the
duty owed to you.
3.
Who will pay for my medical expenses?
The
property owner or occupier is responsible
for all reasonable and necessary medical
expenses incurred as a direct result
of your injury. This obligation is
usually triggered when the owner or
occupier of the property was negligent
or otherwise liable for your injury.
These claims are suppose to be paid
under the owner's or occupier's liability
policy with their insurance company.
Some stores and business, however,
are self-insured. This means that
the store or business does not have
traditional insurance but rather pays
for claims out of their own funds.
PLEASE NOTE THAT UNDER TEXAS LAW YOU
CAN ONLY RECOVER THE AMOUNT OF MEDICAL
BILLS INCURRED OR PAID BY YOU OR ON
YOUR BEHALF.
4. If the store is not liable or
negligent, then how do I pay for my
medical bills?
Some
businesses and property owners carry
Med-Pay coverage. This is no-fault
insurance that will pay for medical
expenses only when someone is injured
on the property regardless of fault.
This means the insurance company for
the owner or occupier of the property
will pay your medical expenses even
if there is no proof the property
owner or occupier was negligent or
otherwise liable for your injury.
Please note that in the event that
you have a liability claim, the insurance
company will get a credit (reduction)
for any amount it paid under Med-Pay.
The policy limits for Med-Pay coverage
vary. Most policies are less than
$10,000.00. You will need to ask the
adjuster handling your claim whether
or not there is Med-Pay coverage and
what the policy limits are. If there
is no Med-Pay and if you are unable
to prove that the property owner or
occupier was negligent for your injury,
then you will be solely responsible
for your medical expenses.
5.
If I was injured but I do not have
any insurance or any other means to
pay for medical treatment, then how
do I get the treatment I need?
Most
attorneys can assist you in getting
medical care for most types of treatment,
testing, etc., under what is called
a letter of protection (LOP). This
is a letter from the attorney essentially
promising to pay the medical provider
from any settlement or verdict, assuming
there is a sufficient recovery in
your case. This LOP may allow you
to get the medical treatment you desperately
need while your claim is pending.
Please note that unexplained gaps
in treatment could adversely affect
your claim. If you have no other alternative,
you can always treat at a county hospital
and/or clinic in the county where
you reside, e.g., Parkland in Dallas
County and John Peter Smith in Tarrant
County. These county hospitals are
specifically intended to treat persons
who do not have any means to pay for
medical treatment. Your failure to
seek treatment can adversely affect
your case and more importantly your
health.
6.
I have reported my injury to the store,
is there anything else I should do?
Most people assume that since they
were injured in the store or on the
property that the owner or occupier
will pay for their injuries and damages.
Unfortunately this is not true. Unless
there is Med-Pay coverage, the insurance
company will only pay your claim if
the property owner or occupier was
negligent. In order to prove negligence,
you will need to prove that the owner
or occupier knew or should have known
about the hazard. For example, if
you slip on something on the floor
of a store, then you will have to
prove either that the store knew it
was on the floor before you fell or
you will have to prove what you slipped
on and how long it was there before
you fell. You need to get the name
and telephone number of any and all
witnesses including other customers
and employees. Most people are so
embarrassed when they fall or they
are in so much pain or shock that
they do not ask witnesses for their
names and telephone numbers. If this
happens to you, then you may want
to go back to the store and look for
the customer or employee and get their
name and telephone number. Time is
of the essence in these claims. Insurance
companies routinely instruct employees
of stores, etc., not to cooperate
or give statements. This means you
only have a few days or possibly a
few weeks to get witness statements
from employees before the insurance
company gets involved. You should
consult with an attorney as soon as
possible if you need help getting
witness statements.
Please
feel free to call me at 1-800-275-6720
(in Texas only) or 214-739-3800, to
schedule a free consultation to discuss
your claim.
See the "Contact
Us" section for more information
about contacting our office.
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