What can I do if the other driver's insurance company refuses to pay because both drivers got tickets? — Durham, NC
Short Answer
You can ask the insurer to explain its denial in writing, gather evidence that shows why the other driver caused the crash, and have the claim reviewed under North Carolina law. A ticket by itself does not always decide fault, but in North Carolina, contributory negligence can create serious problems if the insurer can prove your own negligence helped cause the collision. Preserve the crash report, photos, witness information, repair records, and any medical documentation before assuming the denial is final.
A Ticket Does Not Automatically End a North Carolina Accident Claim
When an insurance adjuster says, “both drivers got tickets, so we are not paying,” that is usually a fault position, not a court ruling. The company may be arguing that your citation proves you contributed to the crash. That argument matters in North Carolina, but it still depends on the facts.
For a Durham car accident claim, the important question is not only whether someone received a ticket. The question is what each driver did, whether that conduct caused the crash, and whether the evidence supports the insurer’s position. A citation may point to an issue the insurer will use, but it does not replace a full liability analysis.
North Carolina also has a strict contributory negligence rule. Under N.C. Gen. Stat. § 1-139, the party raising contributory negligence generally has the burden of proving that defense. In plain English, the insurance company should be able to explain what it believes you did wrong and how that conduct helped cause the wreck.
What to Ask the Insurance Company for After a Denial
If the other driver’s insurer refuses to pay because both drivers were cited, ask for a clear written explanation. You do not need to argue on the phone or accept a vague statement that “liability is denied.” Useful questions include:
- What specific facts does the insurer believe show you were at fault?
- Is the denial based only on the ticket, or on witness statements, photos, vehicle damage, or the police report?
- Does the insurer claim you stopped improperly, failed to signal, followed a traffic control device incorrectly, or did something else?
- Will the insurer reconsider if the citation is dismissed, reduced, or explained?
- What documents does the insurer rely on for its decision?
Keep copies of letters, emails, claim numbers, adjuster names, and recorded-message requests. If an adjuster asks for a recorded statement, be careful. A statement about where you stopped, what the flagger did, when you saw the other vehicle, or how your symptoms developed may later be used to argue fault or causation.
Evidence That Can Matter When Both Drivers Got Tickets
A rear-end crash after a stop for a construction flagger at a stop sign can involve several important details. The insurer may focus on your citation, but your evidence should focus on the full picture of the crash.
Try to preserve or gather:
- The North Carolina crash report and any supplemental report.
- Photos of the vehicles, road layout, stop sign, construction zone, lane markings, cones, and traffic-control setup.
- The name of the construction company or work crew, if known.
- Information for the flagger and any independent witnesses.
- Dash camera footage, nearby business video, or neighborhood camera footage if available.
- Repair estimates, towing records, storage bills, and photos of property damage.
- Insurance letters denying the claim or blaming you.
- Medical records, bills, visit summaries, and notes about symptoms if you seek care.
- Documents showing what happened with your citation, such as court dates, dismissals, or reductions.
North Carolina law requires law enforcement to investigate certain reportable crashes and prepare a written report. N.C. Gen. Stat. § 20-166.1 addresses crash reporting and officer reports. The report can be useful, but insurers may still dispute fault even when a report favors one driver.
Why Contributory Negligence Makes the Insurer’s Position Important
In many states, an injured person may still recover part of a claim even if they share some fault. North Carolina is different. If contributory negligence is proven, it can create a major obstacle to a personal injury claim.
That is why the facts behind the tickets matter. For example, there is a difference between a driver who safely stops because a flagger and stop sign require it, and a driver who makes an unexpected or unlawful stop without reason. The same is true for the driver behind you. A rear driver may have duties to keep a safe lookout, maintain a safe following distance, and react to traffic conditions. The insurance company should not treat “both drivers got tickets” as the end of the analysis if other evidence shows the rear driver’s conduct caused the collision.
Evidence should address both sides of the issue: what the other driver did wrong and why your own actions were reasonable under the circumstances. In a construction area, that may include the flagger’s instructions, the stop sign, traffic flow, road conditions, and where the vehicles came to rest.
Property Damage and Injury Claims May Be Handled Differently
The insurer’s refusal to pay for car damage does not always answer every injury question. Property damage and bodily injury are related, but they can involve different documentation and negotiations.
For the vehicle, you may need repair estimates, photos, towing records, rental information, title information, and proof of loss. You may also consider notifying your own insurer if you have collision coverage, but whether your policy applies depends on the policy language, facts, deductibles, and claim handling. This article does not interpret any specific insurance policy.
For back pain or other symptoms, the key issue is documentation. Not going by ambulance or to the emergency room does not automatically defeat a claim. However, a delay in medical evaluation can give an insurer an argument that the symptoms were not caused by the crash, were not serious, or were caused by something else. If you believe you need medical attention, seek it and follow the instructions of your medical providers. Keep records of visits, bills, work notes, and how symptoms affect daily activities.
Do Not Let Insurance Discussions Cause You to Miss a Deadline
Even if the insurance company is still reviewing the claim, lawsuit deadlines can continue to run. In many North Carolina personal injury and property damage cases, N.C. Gen. Stat. § 1-52 provides a three-year deadline for certain injury and property damage claims. There can be exceptions or different deadlines depending on the claim, so timing should be reviewed promptly.
Claim discussions, repair negotiations, or repeated calls with an adjuster do not automatically extend the time to file a lawsuit. If the insurer denies liability early because of the tickets, waiting too long can make it harder to gather construction-zone evidence, locate witnesses, or preserve video.
How This Applies to the Stated Durham Accident Facts
Based on the facts provided, the crash involved a stop for a construction flagger at a stop sign, a rear-end impact, police response, citations to both drivers, a property damage denial, and reported back pain without ambulance transport, emergency-room care, or follow-up treatment.
The practical next step is to separate the issues. First, determine exactly why you were cited and whether the citation truly relates to the crash. Second, gather evidence showing that stopping was required or reasonable because of the flagger, stop sign, and construction conditions. Third, obtain the crash report and any available witness or flagger information. Fourth, document the vehicle damage and any injury-related records if you seek care.
If the other driver’s insurer is relying only on the fact that both drivers received tickets, that may be an incomplete analysis. If the insurer has additional evidence, you need to know what it is before deciding how to respond.
For more background on a closely related issue, Wallace Pierce Law has information about what may happen when an insurer says you were partially at fault. If the main dispute is how a rear-end crash is evaluated, this article on how insurance companies look at fault in rear-end accidents may also be helpful.
When Wallace Pierce Law May Be Able to Help
Wallace Pierce Law may be able to help review the denial, identify what evidence is missing, and evaluate how North Carolina contributory negligence may affect the claim. That review can include the crash report, traffic citations, property damage photos, repair documents, medical documentation, and communications with the adjuster.
The firm can also help organize a response to the insurer that focuses on the facts that matter: why the stop occurred, what the other driver should have seen, what evidence supports your position, and what documentation is needed for any injury claim. No attorney can promise that an insurer will change its decision, but a careful review can help you understand your options before you make important claim decisions.
Talk to a Personal Injury Attorney in Durham
If your question involves injuries, insurance, fault, medical documentation, settlement paperwork, or a possible deadline, speaking with a licensed North Carolina attorney can help clarify your options. Call 919-313-2737 to discuss what happened and what steps may make sense next.
Disclaimer: This article provides general information about North Carolina personal injury law based on the single question stated above. It is not legal advice and does not create an attorney-client relationship. It is not medical advice, tax advice, or insurance policy interpretation. Laws, procedures, and local practice can change and may vary by county. If there may be a deadline, act promptly and speak with a licensed North Carolina attorney.