Personal Injury Protection — North Dakota

Personal Injury Protection (PIP) covers your medical bills and lost wages after an accident, regardless of who caused it. North Dakota does not require PIP, but it pays out immediately without waiting for fault determination or the other driver's liability coverage.

Man covering face in distress inside vehicle with police officer holding flashlight in dark scene

Updated July 2026

What Is Personal Injury Protection Insurance?

Personal Injury Protection pays your medical expenses, lost income, and sometimes funeral costs after a car accident, regardless of who caused the crash. It kicks in immediately after the accident without requiring a fault determination or liability claim against another driver. PIP is a no-fault coverage, meaning your own policy pays your bills even if you caused the accident. Coverage limits typically range from $2,500 to $100,000 per person, and you choose your limit when you add the coverage.
  • You lose control on ice and hit a guardrail. You suffer a concussion and miss two weeks of work. Your PIP coverage pays your emergency room bill, follow-up appointments, and replaces your lost wages up to your policy limit. Without PIP, you would pay out of pocket because no other driver is at fault to file a liability claim against.
  • You rear-end another car at a stoplight and injure your neck. The other driver's liability coverage won't pay your bills because you caused the accident. Your PIP coverage pays your medical expenses immediately. If you don't have PIP, you rely on your health insurance, which may have higher deductibles and copays than PIP.
  • Your friend is a passenger when you're hit by another driver. Your PIP coverage pays your friend's medical bills up to your policy limit, even if the other driver's liability coverage also applies. PIP pays first, then the at-fault driver's liability coverage covers remaining costs. This prevents your passenger from waiting months for the other driver's insurer to settle.

Who Needs Personal Injury Protection Insurance?

PIP makes sense if you have a high-deductible health insurance plan, are self-employed with no disability insurance, or frequently drive with passengers who lack health coverage. It also benefits drivers in states where the at-fault driver's liability coverage is slow to pay or where uninsured motorist rates are high, since PIP pays immediately without waiting for fault determination.
Compare your health insurance deductible and out-of-pocket maximum to typical PIP limits. If your health plan requires $5,000 out of pocket before full coverage kicks in, a $10,000 PIP policy costs $150 per year and covers that gap immediately after an accident. If your health plan has a $500 deductible and your employer provides disability insurance, PIP adds less value unless you regularly transport passengers without health coverage.

How Much Does Personal Injury Protection Insurance Cost?

PIP typically adds $8 to $25 per month to your premium, or approximately $96 to $300 per year, depending on your coverage limit and state.
  • Higher PIP coverage limits increase your premium proportionally, with $10,000 limits costing less than $50,000 limits.
  • Your state's PIP requirements and regulations directly affect cost, as mandatory PIP states have higher average premiums than optional states.
  • Your driving record influences PIP pricing, with at-fault accidents in the past three years raising rates by 15 to 30 percent.
  • Urban drivers pay more for PIP than rural drivers due to higher accident frequency and medical costs in metro areas.
  • Choosing a lower deductible for PIP increases your premium but reduces out-of-pocket costs after an accident.
  • Stacking PIP coverage across multiple vehicles on your policy raises premiums but increases total available coverage after a serious accident.

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