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Juniper Publishers| Relaparotomy : Analysis of 50 Cases And Review of Literature

Journal of Surgery

JuniperPublishers

Abstract

Introduction: Reoperative Abdominal Surgery (Relaparotomy) means an unplanned reintervention carried out during the immediate postoperative period after laparotomy and causally related to first operation.

Method: The study had been carried out in upgraded department of General Surgery in SMS Medical College and Hospital. The cases comprises of operated in SMS Hospital and those referred from other surgical centers.

Results: Maximum patients 70% needs relaparotomy only one time which had minimum mortality (11.4%). Four patients (8%) were needed relaparotomy 3 times in which 2 patient were expired. Mean while mortality rate of 3rd relaparotomy was 50%. Relaparotomy were done mainly for adhesion obstruction and anastomotic leakage. Adhesion obstruction superwanes anastomotic leakage (40% v/s 28%). 4% patients in which foreign body (sponge in peritoneal cavity at the time of previous surgery) were found both cases operated for caesarian section. 68% patients were refered from some other institution

Conclusion: Decision to perform relaparotomy as per patients condition, if taken in time it can improv overall survival and have a positive impact on decrease length of hospital stay, overall cost of treatment and morbidity as well as mortality.

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Introduction

Reoperative Abdominal Surgery (Relaparotomy) means an unplanned reintervention carried out during the immediate postoperative period after laparotomy and causally related to first operation. In practice laparotomy and relaparotomy as thus defined are performed with few exceptions during the same stay in hospital [1-13]. Relaparotomy is carried out for wide range of indications. The highest incidence is seen in gastrointestinal surgery and the lowest in vascular surgery. Main Indications are:

Haemorrhage

Ileus

Paritonitis

Disruption of anastomoses and infection.

Residual intra peritoneal abscess

Fistulae

Acute postoperative adhesion obstruction

Multiple system failure

Miscellaneous Indications

Relaparotomy carries very high morbidity and mortality. Mortality range varies from 40 to 45 % as mentioned in various studies [4,11]. Relaparotomy for dehiscence and obstruction carried minimal risk; for bleeding and infection entailed moderate risks; and for anastomotic leak have highest mortality rate. The mortality rate increased in older age groups, multiple system and organ failure and multiple relaparotomies. Timely relaparotomy is valuable in the identification and treatment of complications following abdominal surgery.

The literature on relaparotomy is confusing. The incidence and mortality rates are greately affected by the type of surgery reported. There also a difference between recent and older studies with regard to definitions and indications for relaparotomy, rendering comparisions of these studies rather useless [11]. With the advent of newer antibiotics, better management of fluid and electrolyte imbalance and latest investigations particularly contrast CT Scan abdomen and MRI, surgeons are able to diagnose the problem after first laparotomy in most cases which helps to better management of these cases. Whether these antibiotic, investigations and other things have improved the morbidity and mortality in patients undergoing relaparotomy will also be studied.

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Aims and Objectives

Analysis of cases of relaparotomy regarding indications, the organ of primary operations, age of patients to analyse incidence, morbidity and mortality and other factors.

To study the importance of technique and other error at primary operation and benefits gain from relaparotomy.

To know whether timing of relaparotomy has effect on morbidity and mortality.

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Materials and Methods

The study had been carried out in upgraded department of General Surgery in SMS Medical College and Hospital. The cases comprise of operated in SMS Hospital and those referred from other surgical centers. Detailed history and examination were recorded in performs with special note on original operation or procedure attempted previously. Presentation of patient in immediate postoperative period or delayed postoperative period were noted. A battery of investigations including various routine and special blood investigation, USG and other radiological investigations were done. CT Scan, MRI were undertaken as per requirement. The detailed finding of relaparotomy was noted. Patient were monitored postoperatively and progress of patient were assessed and any immediate or delayed postoperative complications were recorded.

Inclusion Criteria

Patients more than 12 years of age who underwent laparotomy for various indications and needed reexploration for dealing the complications.

Exclusion Criteria

Patients below 12 years of age.

Patients operated for Hernia.

Patients who required minor surgical procedures and operations on abdominal wall.

Cases of abdominal wound dehiscence.

Stoma closure i.e. Ileostomy and Colostomy

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Results

As given in Table 1, In our study most of cases (52%) were in the age group 31-50yrs. 16 cases (32%) were adults in forth decade.

Age range

lowest-12yrs

highest-75yrs

Mean age - 41

Mean deviation = 2.02

Maximum cases (52%) were re-explored within 2-7 days.

Most of the patient in this category were anastomotic leakage, heamorrhage, perforation repair in which anastomotic leakage was outnumbered.

Mean time gap= 11.27

Maximum patients 70% needs relaparotomy only one time which had minimum mortality (11.4%). Four patients (8%) were needed relaparotomy 3 times in which 2 patient were expired. Mean while mortality rate of 3rd relaparotomy was 50%.

Relaparotomy were done mainly for adhesion obstruction and anastomotic leakage. Adhesion obstruction superwanes anastomotic leakage (40% v/s 28%). 4% patients in which foreign body (sponge in peritoneal cavity at the time of previous surgery) were found both cases operated for caesarian section. 68% patients were refered from some other institution.

A. Referred case :

Mean - 4.8

Mean deviation - 3.55

Standard deviation - 4.22

B. Our Institution case :

Mean - 2.29

Mean deviation - 2.12

Standard deviation - 2.49

Mean - 10.7

Mean deviation - 4.81

Standard deviation - 5.33

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Discussion and Conclusion

In our study most of cases (52%) were in the age group 31-50yrs. 16 cases (32%) were adults in forth decade. Maximum cases (52%) were re-explored within 2-7 days. Most of the patient in this category were anastomotic leakage, heamorrhage, perforation repair in which anastomotic leakage was outnumbered. Mean time gap was 11.27 days. Maximum patients 70% needs relaparotomy only one time which had minimum mortality (11.4%). Four patients (8%) were needed relaparotomy 3 times in which 2 patient were expired. Mean while mortality rate of 3rd relaparotomy was 50%. Relaparotomy were done mainly for adhesion obstruction and anastomotic leakage. Adhesion obstruction superwanes anastomotic leakage (40% v/s 28%). 4% patients in which foreign body (sponge in peritoneal cavity at the time of previous surgery) were found both cases operated for caesarian section. 68% patients were refered from some other institution.

In 40% cases adhesionolysis were done with or without associated ileostomy or feeding jejunostomy. 10% patients need exteriorization of loop in such circumstances where resection anastomosis was not possible. Multiple adhesions were outnumbered as compared to single band adhesion. The ratio of multiple verses single band adhesion was 4 : 1 (16/4 cases). In 54% cases there was no apparent error found that was responsible for cause of relaparotomy (Tables 2-8). We found technical error in approx 12% cases and in 34% cases presumptive error was found. As a complication of relaparotomy maximum case having wound infection was observed (44%) approximately half of them proceeds into wound dehiscence or burst abdomen. 10 patients or relaparotomies were expired, thus morality rate observed in our studies was 20%.4 cases (40%) were expired due to sepsis and septicaemic shock.

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Review of Literature

Harry Tera Curt Aberg, Sweden [14]. Relaparotomy is a serious reality for every abdominal surgeon. Elderly patients are at greater risk and have a grave prognosis. Complications that carried out high mortality are namely wound rupture after colon surgery and suture breakdown with peritonitis following gastric surgery. These facts should be kept in mind throughout every routine laparotomy and at every stage of operation surgeon should remain wide awake to the risk of complication that may require relaparotomy [12]. Michael Zer, Shlomo Dux [15]. did a study regarding timing of laparotomy and its influence on prognosis. Lorenc and Driver favour early reoperation and state that such patients have far more to gain than to lose by reexploration [13]. Lorenc admitted that fear of an unfavourable outcome led to undue postponement of reintervention in many cases of postoperative complications and he recommended that early re intervention be adopted as a policy of choice.

James GH Bernard MJ, New York (1983), did a study and concluded that most common finding during relaparotomy was intra-abdominal abscess, other finding included anastomotic leak, necrotic bowel, evidence of technical errors and acalculous cholecystitis. The most common clinical finding were localised tenderness, fever and absent bowel sound. CT Scan and contrast radiography were most accurate. Harbrecht PJ, Garrison RN Fry DE [4]. Intervals from laparotomy to relaparotomy varied widely with the indications. These were relatively brief intervals from laparotomy to relaparotomy for bleeding and long intervals to relaparotomy for obstructions. Relaparotomy for infections with intact organs caused the most complex problems.

Rudolph Krause [12]. Factors that appear to correlate with mortality are age over more than 50 years peritonisis at initial procedures and multiple system failure. Criteria leading to relaparotomy are usually clinical (tenderness, fever, and absence of bowel sounds) and to a minor extent depending onn radiological procedures of which computed tomographics scanning has the highest accuracy (97%), multiple system failure carries the highest mortality rate (80%, if treated) and presents the greatest number of negative laparotomies [11]. RM Kirk [10]. Royal Free Hospital, London (1988) The decision to reoperate was based on clinical findings in 97.8% although investigations were often helpful in localizing the site of the complicating lesion. Leaks and bleeding were most frequent and carried a high mertality.

Makela J and Kairaluoma M I [14]. Relaparotomy for postoperative intra-abdominal sepsis in jaundiced patients.. Postoperative sepsis was caused by intra-abdominal abscess in 16 cases (53 per cent), by suture line leakage in 9 cases (30 per cent) and by technical error in 5 cases (17 per cent). Abscesses occurred most commonly in the subphrenic space (6 cases), in the subhepatic space (6 cases) and in the lesser sac (5 cases). Sepsis was associated with single organ failure in 20 cases and with multiple organ failure in 10 cases. The overall mortality rate was 50 per cent (15/30).

Pickleman J, Lee RM [8]. Non operative management should be tried in every patients with suspected early postoperative small bowel obstruction unless clear signs of bowel ischemia are present. A nasogastric tube will provide adequate decompression and total parenteral nutrition should be instituted. If the patient remain stable, this treatment should be continued for 2 weeks [14-39]. After this time further improvement is unlikely and reexploration should be performed unless there are clinical or radiological signs of relenting obstruction. D I KrivitskiÄV A ShuliarenkoI A Babin [9]. 10,446 patients were operated on. There were the following indications for relaparotomy: diffuse and circumscribed peritonitis (78 patients), ileus (46), eventration (11), hemorrhage (12), others (5). Diagnosis of postoperative complications requiring relaparotomy is difficult. The postoperative was 26%.

AR Mossa, David M, Bruce S [1]. They did a study regarding iatrogenic bile duct injuries and mention factors contributing it namely. Dangerous disease (convalescence from acute cholecystitis or with portal hypertension) Dangerous anatomy (anomalies in 10-15% cases). Dangerous surgery (Most common cause) [1]. Zavernyi LG, Poida, Me AI VM, Bondarenko ND, Tarasov AA, et al. [13]. The analysis and processing with the use of a special method of 54 direct observations and 342 case records of the patients with early postoperative intraabdominal complications were carried out. A method for syndrome prediction of the outcomes of relaparotomy has been developed [40-43]. The syndromes of the most significant predictive value have been revealed: those of intoxication, respiratory and hepatorenal failure, impaired hemodynamics and electrolytic metabolism, hemocoagulation. Use in clinical practice of the method mentioned as well as the methods promoting timely detection of the intraabdominal complications permitted to reduce lethality after relaparotomy from 21.4 to 15.3%.

Haut Ohmann, Wolmeshauser, Wacha, Qun yang wittmann, H Dellinger e, et al. [43]. Planned relaparotomy was defined as at least one relaparotomy decided on at the time of the first surgical intervention ; RD, relaparotomy indicated by clinical findings. There was no significant difference in mortality between patients treated with PR (21%) or RD (13%). Postoperative multiple organ failure as defined by a Goris score of more than 5 was more frequent in the group of patients undergoing PR (50%), compared with the group undergoing RD (24%) (P=.01), as were infectious complications (68% vs 39% [P=.01]). Infectious complications were due to more frequent suture leaks (16% vs 0% [P=.05]), recurrent intra-abdominal sepsis (16% vs 0% [P=.05]), and septecemia (45% vs 18% [P=.05]) in the PR vs the RD groups. They Concluded that until larger prospective studies are available, the indication for PR should be evaluated with caution (Tables 9 & 10).

Koerna T, Schulz F [18]. Relaparotomy in peritonitis,prognosis and treatment of patients with persisting intraabdominal infection.some patients are prone to persisting intraabdominal infection regardless of initial eradication of the source of infection. There was no significant difference in the postoperative mortality rate between “planned relaparotomy” and “relaparotomy on demand”(54.5% versus 50.6%).Timely relaparotomy provides the only surgical option that significantly improves outcome. To improve overall survival the decision to perform a relaparotomy on demand after an initially successful eradication of the source of ,infection must be made within 48hr,at least before MODS emerges.

Lamme B, Boermeester MA, Reitsma J B, Mahler CW, Obertop H, Gouma DJ [32]. The combined results of observational studies showed a statistically non-significant reduction in mortality for the on-demand relaparotomy strategy compared with the planned relaparotomy strategy. However, owing to the nonrandomised nature of the studies, the limited number of patients per study and the heterogeneity between studies, the overall results were inconclusive. VJ verwaal, Academisch Ziekenhuis, St Radboud, Nijmegen, The Netherlands [33]. 46 patients with abdominal sepsis were treated. The diagnosis of abdominal sepsis was defined as meeting the Bone criteria for sepsis before operation, in combination with infection of the abdomen proven by laparotomy. After the first laparotomy there were 41 relaparotomies in these 46 patients. From 2 days before to 3 days after the relaparotomy, data were collected to compile the Acute Physiology and Chronic Health Evaluation (APACHE) III and Multiple Organ Failure (MOF) scores. The scores were compared before and after relaparotomy, and were also compared between patients who had a recurrent infection in the abdomen and those who did not.

During 41 relaparotomies, 16 patients were found to have a pus collection. Of these clinical infections only 11 had a positive culture. In patients with clinical infection there was also no difference pre and post operative. The same applied for patients with and without positive intraabdominal cultures. Relaparotomy in patients with abdominal sepsis did not have a negative effect on prognosis within a few days after reoperation.

The authors did not find any reason to use APACHE III or MOF scoring as an indication for relaparotomy (Table 11).

Exposito EM, Argon PF, Curbelo PR, Perez AJ [34]. The group of AA remained constituted of 25 patients with an average age of 46 years and with an APACHE II score of 20.63 ± 3.24. The group of the programmed relaparotomies (RP) was conformed of 35 patients whose average age was 52 years and APACHE II score, 22.85 ± 5.68. Intestinal fistula was observed in three patients (12%) of the AA group and the abdominal compartment syndrome in two patient (5.7%) of the RP group. Five (20%) abdominal wall hernias were found in patients of the AA group, while only one patient in the RP group (2.8%) had a hernia [44- 50]. They found significant differences between both groups utilizing mortality as variable of grouping. We think that early diagnosis of intraabdominal sepsis continues as the fundamental beginning to diminish mortality of the patients with acute peritonitis independent of the surgical technique utilized, the capacity of the administered antibiotics, and the solvency of support care.

Hilzheimer RG, Gathof B [17]. Relaparotomy for complicated secondary peritonitis-how to identify patients at risk for persistent sepsis. N Hiki, Y Takeshita, K Kubota, E Tsuji, H Yamaguchi, et al. [38]. Postoperative small bowel obstruction following abdominal procedures is more common in patients who have undergone laparotomy The typical winter weather in Tokyo is characterised by low temperatures, low humidity and moderate air pressure. These winter climate conditions could be correlated with an increased incidence of postoperative small bowel obstruction in during our observation period.

Jonas Dauderys,Donatas Venskutonis [45]. Relaparotomy must be motivated, timely, and must certainly remove cause of the complication. Formalion of feeding microjejunostomy should be a component of the relaparotomy. In case of diffuse peritonitis a repeated programmed relaparotomies nowdays are not advisable. Hutchins RR,Gunning MP,Lucas DN [19]. Relaparotomy may be beneficial in patients developing intraperitoneal sepsis after abdominal procedures.They also assessed the effect of patient age &sex, disease presentation and severity, interval to relaparotomy, and the number of relaparotomies on survival after relaparotomy. Patient age and multiorgan failure prior to relaparotomy-but not urgency of initial laparotomy or the acute physiology and chronic health evaluation (APACHE ll) score prior to relaparotomy, interval to relaparotomy,or number of relaparotomies-affected the outcome. The identification of intraperitoneal sepsis and performance of relaparotomy earlier after the initial abdominal surgery might reduce the high rrate (60%) of multiorgan failure prior to relaparotomy and improve survival after it.

Elie oussltouzoglou, pillippe bacheliar, Jean marc bigourden, Hiroshi nakano [39]. The overall relaparotomy rate was significantly lower in the PG group (4.7%) than in the PJ group(18%; P = .001). The rate of relaparotomy required to treat complications of PF after PD was 52.9% (9/17) in the PJ group. In the PG group, none of the 4 patients who developed PF required relaparotomy. Martínez-Ordaz JL, Suárez-Moreno RM, Felipez- Aguilar OJ, Blanco-Benavides R [27]. To assess the mortality related factors of patients after relaparotomy on demand. In some patients, a relaparotomy after a primary laparotomy is necessary, most due to acute complications. The relaparotomy can be planned or on demand based on the evolution of the patient.Of 51 relaparotomies, 98% were positive. Nineteen of the 33 patients died, resulting in a mortality rate of 58%. The factors associated with mortality were development of an intestinal fistula (p <0.02), wound infection (p <0.03), generalized peritonitis in the primary surgery (p <<0.001), urgent primary laparotomy (p <0.003), development of multiple organ failure (p<0.005), and respiratory insufficiency (p <0.01). Conclusions: Laparotomy on demand is useful in the treatment of patients with abdominal sepsis; however, the mortality is still very high.

Unalp HR, Kamer E, Kar H, Bal A,Peskersoy M [22]. Treatment of a number of complications that occur after abdominal surgeries may require that urgent abdominal Re-explorations (UAR) ,the life saving and obligatory operations are performed. UARs that are perfomed following complicated abdominal have high mortality rates. In particular, UARs have higher mortality rates following GIS surgeries or when infectious complications occur.The possibility of efficiently lowering these high rates depends on the success of the first operations that the patient had received. Neil Hyman, Thomas LM, Turner O [7]. More than half of leaks can be managed without fecal diversion. Anastomotic disruption is perhaps the most dreaded complication after intestinal surgery.

Ruler, van o,Lamme B, Gouma DJ, Reitsma JB, Boermeester [26]. The decision whether and when to perform a relaparotomy in secondary peritonitis is largely subjective and based on professional experience. No exiting scoring system aids in this decisional process.One preoperative predictor and five postoperative predictors significantly increased the need of relaparotomy.

Younger age

Decreased hemoglobin levels,

Temperature>39 degrees C

Lower Pao(2)/Fio2 ratio,

Increased heart rate

Increased sodium levels.

Causes of secondary peritonitis and finding at emergency laparotomy for peritonitis are poor indicators for whether patients will need a relaparotomy. Factors indicative of progressive or persistent organ failure during arly postoperative follow-up are the best indicators for ongoing infection and associated positive findings at relaparotomy.

Jean-Jacques Duron, Nathalie Jourdan-Da Silva, Sophie Tezenas du Montcel, Anne Berger, Fabrice Muscari, et al. [35]. Postoperative intraperitoneal adhesions, or bands, resulting from any type of abdominal surgery, are the main cause of adhesive postoperative small bowel obstructions, which represent a life-long issue. Recurrences after operated adhesive postoperative SBO are a threatening potentiality for patients and a difficult problem facing any surgeon. Operated adhesive postoperative SBO is a clinical entity with a high recurrence rate and specific risk factors of recurrences. Thus, the patients operated on for adhesive postoperative SBO may be candidates for the preventive use of anti-adhesion agents, particularly when a risk factor of recurrence is present.

Opening the peritoneal cavity, in whatever type of surgery, leads to the formation of potentially obstructive structures (adhesions or bands) in almost 95% of patients. Today, with the increased incidence of abdominal surgery, these structures are the most frequent cause of small bowel obstruction (SBO). Since 1990, it has been reported that adhesive SBO occurs in 3% of all laparotomies, 1% during the first postoperative year. After operated adhesive postoperative SBO, a risk of recurrence remains and the literature reported a wide ranging rate of overall recurrence (range, 8.7%-53%) at 3 years and more. These variations may be due to the retrospective type of the studies.

Today, operated adhesive postoperative SBO proves to be a clinical entity with high incidence and specific risk factors of recurrence: age <40 years, presence of adhesion or matted adhesion, and postoperative surgical complications. These results render patients undergoing operated adhesive postoperative SBO candidates for the preventive use of antiadhesion agents, particularly when a risk factor of recurrence is present. JBC Vander wal, J Jeekel [6]. Postoperative adhesion formation is the most frequent complication of surgery. With the incidence of 55 to 100% in all abdominal operations adhesions are responsible for and increased risk of small bowel obstraction, chronic abdominal pain and infertility. Statins may play a role in postoperative adhesion prevention.

Acute adhesive obstruction of the small intestine is a surgical Emergency In which there is risk of intestinal strangulation. By delaying diagnosis and institution of appropriate treatment for strangulated obstruction, morbidity and mortality from sepsis are greatly increased in comparison to simple obstruction. Postoperatively most common cause of SBO is peritoneal adhesions.In particular colorectal, surgery is noted of the largest offeders, especially after proctocolectomy and ileal pouch anal aastomosis. Pelvic or lower abdominal procedures are blamed for adhesion formation more commonly than upper abdominal proceduresare, although any abdominal operation can be responsible. They result in an inflammatory cascade involving the activation of complement and coagulation. Fibrinogen is produced during this response and converted to fibrin by thrombin. If fibrin persists,it adheres to injured surfaces and initiates the formation of a matrix of collagen and fibroblasts,thereby forming fibrous adhesions from fibrinous adhesions.

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Prevention

Technical efforts much as gentle tissue handling ,minimal use of foreign materials, careful haemostatic measures, and prevention of infection,ischemia, and desication.

Substences including amniotic fluid, bovine cecum, shark peritoneum, fish bladder, vitreous of calfs eye, lubricants ,gels,polymers, and various physical barriers.

Sodium hyaluronate-based bioresorbable membrane,seprafilm, which persists in the abdomen for 5 to 7days [6].

Doeksen A, Tanis PJ, Vrouenraets BC, Lanschot van JJ, Tets van WF [25]. An intervening weekend and negative diagnostic imaging reports may contribute to a delay in diagnosis and relaparotomy for anastomotic leakage. That delay was more than two days in two-thirds of the patients. Oddeke vR,cecilia WM, Kimberly RB [20]. In patients with severe secondary peritonitis, there are 2 surgical treatment strategies following an initial emergency laparotomy; planned relaparotomy and relaparotomy only when the patients condition demands it.The on demand strategy may reduce mortality, morbidity,health care utilization, and costs.But not have a significantly lower rate of death or major peritonitis -related morbidity.

Seal SL,Kamilya G,Bhattacharyya SK,Mukherji J,Bhattacharyya AR [31]. Repeat laparotomy within 6 weeks of cesarean delivery was required following 1 in 300 cases done in an Indian teaching hospital. The majority of these were preventable and could have been avoided if adequate attention had been paid at the time of the primary surgery. Christian Nordqvist [48]. Rather than carrying out repeat surgery for patients with severe intraabdominal inflammation or infection (peritonitis) routinely, it might be better to just have the repeat surgery when clinical improvement is lacking. Secondary peritonitis has a death rate of between 20%-60%, patients stay in hospital for a long time and also are much more likely to experience illness due to the development of sepsis with multiple organ failure.

About 12%-16% of patients who choose to undergo abdominal surgery develop post-operative peritonitis. Health care utilization due to secondary peritonitis is extensive, with operations to eliminate the source of infection (laparotomy [surgery involving the intra-abdominal contents]) and multidisciplinary care in the intensive care unit setting.” The writers also point out that after the initial laparotomy, relaparotomy may be needed to eliminate persistent peritonitis or new infections. “There are 2 widely used relaparotomy strategies: relaparotomy when the patient’s condition demands it (‘on-demand’) and planned relaparotomy. In the planned strategy, a relaparotomy is performed every 36 to 48 hours for inspection, drainage, and peritoneal lavage [flushing out] of the abdominal cavity until findings are negative for ongoing peritonitis. Judith Groch, Robert Jasmer [41]. In severe peritonitis, repeat laparotomy done only when the patient’s condition demands it cuts down on the number of procedures and on medical costs, researchers found.

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Action Points

Explain to interested patients that doing a repeat laparotomy after emergency surgery for severe peritonitis is common.

Explain that sometimes it’s done on a preplanned schedule - every 36 to 48 hours - and sometimes it’s done only when the patient’s condition demands it.

Note that both strategies have about the same morbidity and mortality, but that the “on demand” tactic may reduce the number of repeat procedures and the medical costs.

On-demand relaparotomy did not reduce mortality or morbidity. Patients had severe secondary peritonitis and an Acute Physiology and Chronic Health Evaluation (APACHEII) score of 11 or greater. A key challenge for an on-demand strategy is to adequately select patients for relaparotomy and to prevent potential harmful delay in reintervention by adequate and frequent patient monitoring, the researchers suggested. One of the difficulties in research on secondary peritonitis is the heterogeneity of the study population, regarding severity of disease, etiology, and localization of the infectious focus. These factors make it difficult to extrapolate study results to individual patients in clinical practice. For this reason, the researchers said, they excluded disease entities, such as pancreatitis, with a substantially different prognosis and requiring different treatment strategies, they wrote [41,42].

Lombardovaillant,TomásAriel; FernandezExposito,Wilfredo Y Casamayor Jaime, Zuleika [49]. Relaparotomy on demand is a proper procedure for peritonitis of moderate intensity, whereas the scheduled procedure is adequate for patients with severe peritonitis and uncertain intestinal viability. The first postoperative week had the highest incidence on adverse events and required more surveillance. Alexander R Novotny, Klaus Emmanuel, Norbert Hueser, Carolin Knebel, Monika Kriner, et al. [46]. On-demand relaparotomy has been associated with a slightly decreased mortality compared to planned relaparotomy in the surgical treatment of secondary peritonitis. On-demand relaparotomy must be performed without delay to detect progressing sepsis early, before the onset of multiorgan failure. The PCT ratio appears to be a valuable aid in deciding if further relaparotomies are necessary after initial operative treatment of an intraabdominal septic focus.

Brain A Nobie [36]. A small-bowel obstruction (SBO) is caused by a variety of pathologic processes. The leading causeof SBO in developed countries is postoperative adhesions (60%) followed by malignancy, Crohn’s disease, and hernias, although some studies have reported Crohn disease as a greater etiologic factor than neoplasia. Surgeries most closely associated with SBO are appendectomy, colorectal surgery, and gynecologic and upper gastrointestinal (GI) procedures. One study from Canada reported a higher frequency of SBO after colorectal surgery, followed by gynecologic surgery, hernia repair, and appendectomy. Lower abdominal and pelvic surgeries lead to obstruction more often than upper GI surgeries.

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Causes

The most common cause of SBO is postsurgical adhesions.

Postoperative adhesions can be the cause of acute obstruction within 4 weeks of surgery or of chronic obstruction decades later.

The incidence of SBO parallels the increasing number of laparotomies performed in developing countries.

The second most common identified cause of SBO is an incarcerated groin hernia.

Other etiologies of SBO include malignant tumor (20%), hernia (10%), inflammatory bowel disease (5%), volvulus (3%), and miscellaneous causes (2%).

The causes of SBO in pediatric patients include congenital atresia, pyloric stenosis, and intussusception [36].

Martinez-Casas I, Sancho JJ, Nve E, Pons MJ, Membrilla E, Grande L [50]. Advanced age, the presence of either fever or hypothermia, and the need of mechanical ventilation are preoperative risk factors associated with mortality after relaparotomy and should be considered when planning reintervention. Karen Brasel, MD, Morad Hameed, MD, Michael Sarr [30]. Patients in the on-demand group did not have significantly lower mortality or major peritonitis-related morbidity than those in the planned relaparotomy group, but did have fewer relaparotomies and a substantial reduction in health care utilization and medical costs.

Diaa M El-Mowafi , Michael P Diamond [37]. Adhesions, usually secondary to previous surgical procedures, are the most common cause of intestinal obstructions in the United States, and are responsible for 49% to 74% of small bowel obstruction in industrial countries. As adhesion formation remains an unavoidable event, so the need for adjuvants for its prevention was called for. A multitude of agents with different mechanism of action have been developed, investigated and tried. Unfortunately, none of them proved its absolute effectiveness in prevention of postsurgical adhesions or getting a universal acceptance from surgeons. Classes of Adhesion-reduction adjuvants and their proposed mechanism of action

I. Fibrinolytic agents (fibrinolysis, stimulation of plasminogen activators)

Fibrinolysin

Streptokinase

Urokinase

Hyaluronidase

Chymotrypsin

Trypsin

Pepsin

Plasminogen activators

II. Anticoagulants (prevention of clot and fibrin formation)

Heparin

Citrates

Oxalates

III. Anti-inflammatory Agents (reduce vascular permeability, reduce histamine release, stabilize lysozomes)

Corticosteroids

Nonsteroidal anti-inflammatory agents

Anti-histamines

Progesterone

Calcium channel blockers

Colchicine

IV. Antibiotics (prevent infection)

Tetracyclines

Cephalosporins

V. Mechanical Separation (surface separation, hydroflotation)

Intra-abdominal instillates:

Crystalloid solutions

Dextran

Mineral oil

Silicone

Vaseline

Carboxymethylcllulose

Hyaloronic acid

Chelated hyaluronic acid

Barriers:

Endogenous tissues:

Omental grafts

Peritoneal grafts

Bladder strips

Fetal membranes

Exogenous materials:

Fibrin glue

Polytetrafluoroethylene

Oxidized cellulose

Oxidized regenerated cellulose

Gelatin

Rubber sheets

Metal foils

Plastic hoods

Modified hyaluronic acid & CMC

Poloxamer 407

aa. Repel

The most commonly investigated and used agents are fibrinolytics, anticoagulants, anti-inflammatory agents, antibiotics, and mechanical separating agents. Fibrinolytic agents act directly by reducing the fibrinous mass and indirectly by stimulating plasminogen activator activity.81 These agents were promising in some animal studies.82.83 and frustrating in others,84 while it was even associated with hemorrhagic complication85 and impairment of wound healing86 in another reports. Heparin is the most widely investigated anticoagulant for the purpose of prevention of adhesions.

Anti-inflammatory agents were used to reduce the initial inflammartory response to tissue injury and hence, subsequent adhesion formation. Most of the animal studies showed the effectiveness of non-steroidal anti-inflammatory drugs (NSAIDs) in prevention of adhesions. In spite of that, other studies failed to prove any beneficial effect of intramuscular or intraperitoneal administration of ibuprofen in reduction of preitoneal adhesions in rat and rabbit models.94,95 Unfortunately, no clinical trials with NSAIDs have been published up until now, although, several have been conducted.

The rationale behind the use of antibiotics is prophylaxis against infection, and hence the inflammatory response, that leads to adhesion development. Cephalosporines and tetracyclin98 were among the widely used drugs for this purpose. Unfortunately, there are no well-designed clinical trial supporting this. Postoperative adhesions are among the commonest causes of intestinal obstruction. The latter is a very serious condition, potentially exposing the patient to bowel perforation, peritonitis, and death within few hours in a considerable percentage of cases. Early diagnosis and treatment of these patients is the key to saving their life. Meticulous adherence to the surgical principles for adhesion reduction, as well as the use of adjuvants created for this purpose can be of great help to decrease the incidence of subsequent postsurgical adhesions, and hopefully bowel obstruction [37].

Brent CO, Kimberly RB, Van R, Johannes BR [23]. The reduction in societal costs renders the on-demand strategy amore efficient relaparotomy tsrategr in patients with sever peritonitis.these differences were found across the full range of health -care resources as well as across patients with different courses of disease. Planned relaparotomy consistently generated more costs across the whole range of different courses of disease.

Katherine Mandell and Saman Arbabi [29]. The role of relaparotomy in the management of intra-abdominal infection remains controversial. Two strategies have been used: Planned re-laparotomy or laparotomy on demand . Although in the past, planned re-laparotomy made sense for ensuring source control, improvements in imaging, intensive care therapy, and percutaneous interventions may have shifted the balance toward the laparotomy-on-demand strategy. Regardless of strategy, the rate of negative laparotomy remains high (>30%). Randomized trials are not available to provide definitive evidence, and clinical judgment continues to be the basis for decision making. Further work to develop more specific clinical tools and criteria to improve the accuracy of diagnosis may lead to use of the laparotomy-on-demand strategy rather than planned relaparotomy. At this time, there is no good clinical evidence to support one strategy over the other from a mortality standpoint.

Ospedale S. Giovanni Bosco [40]. Laparotomy performed for both emergency of elective surgery may by complicated by intrabdominal collection, anastomotic leakage, infarction and others. This conditions are able to induce peritoneal inflammation. Inflamed peritoneum are able to produce excess of lactate that we can measure by collecting fluid from peritoneal drainage. Drainage were left in abdomen for monitoring intrabdominal condition until the passage of stool or flatus. Minimum drainage of serum is present daily also in uncomplicated post operative period.

Serum lactate relates with increased systemic anaerobic metabolism such as SIRS, sepsis and systemic hypoperfusion and it is easy to measure with a blood gas analysis. The decision whether and when to perform a relaparotomy in secondary peritonitis is largely subjective and based on professional experience. Actually no existing scoring system aids in this decision. Post operative intraabdominal sepsis due to surgical complications is associated with an important mortality and morbidity. Early diagnosis is crucial to improve outcome. Relaparotomy could be necessary to eradicate the intraabdominal focus of sepsis or hypoperfusion. The relaparotomy must be performed early after the diagnosis of surgical complications before the onset of multi organ failure Park CE, Sung JE, Kyung MS, Cho Y, Ro ES [47].

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Conclusion

In most cases, bleeding controls for intractable bleeding after postpartum hysterectomy were successful during and after relaparotomy in spite of development of dilutional coagulopthy due to massive transfusion, and resulted in rapid recovery and good prognosis. Even though dilutional coagulopthy was developed because of massive transfusion, relaparotomy was safe and effective procedure for management of intractable hemorrhage after emergency postpartum hysterectomy with clotting factor replacement. If personnel and adequate clotting factor replacement are available, relaparotomy should not be delayed for management of intractable hemorrhage and unstable vital sign after emergency postpartum hysterectomy.

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Milwaukee Wisconsin Cheap car insurance quotes zip 53214

"Milwaukee Wisconsin Cheap car insurance quotes zip 53214

Milwaukee Wisconsin Cheap car insurance quotes zip 53214

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I'm 37, and I have degenerative joint disease of both hips (related to a childhood hip disorder). My hips ache, but I also suffer chronic back pain/strain from the effects of a car accident in '04. I have no health insurance, and I don't earn much money. I am forced to live with parents. Needless to say, my life is not very bright. I also suffer severe depression brought upon by my life situation. I returned to college last year, and I am working towards finishing my degree (English/ethnic studies). I need help, both medical/financial help, but I'm not sure where to turn. The job I have is an independent contractor job (I'm not a salaried employee); therefore, I have no benefits. I just drive around to local police stations, pick-up arrest records, transcribe them, and send them in to company. Very basic! My life feels like a living hell; the only thing that makes me feel better is that I am an active student (CSULB) who is about one year away from my degree (better late than never). But I have extreme difficulty functioning day-to-day because of my chronic pain issues and depression. Living with my parents at my age makes my depression worse. I would appreciate any advice. The last full-time job I had was when I worked for the city of Los Angeles (up to 2007), but I had to give that up because of my hip/pain problems. It was a civil service job, so we didn't pay into social security. I'm not sure what I qualify for, and trying to search around on the internet is exhausting. I'm basically in this position: little money - chronic/daily pain - ho health insurance - difficulty working a regular job Thank you to anyone who might offer some guidance or recommendations. I live in Southern California.""

Where can I find the cheapest car insurance?

I'm living in Arkansas (working in Texas and in Arkansas). I'm an 18 year old male. I need to obtain FULL coverage on a 2000 Mazda Protege. The cheapest quote I had found (through Geico I believe) is $585/month for full coverage.. that's over $7000 a year... I have two tickets on my record. That quote was done without listing any tickets at all. I work 65 hours a week, so the only place I really drive is to my jobs and back. Unfortunately, I need a car in a hurry.. which means I'm going to finance one, which means full coverage is required. Any recommendations on places to get quotes from aside from geico and progressive?""

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Did you have any drama with insurance coverage or any insurance problems when you were pregnant? If so, what happened?""

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I had Gastric Bypass in May of this year. I am on unemployment and wanted to pay out of pocket for insurance because I have had complications. I applied but was denied because of the surgery in the past. I have searched for a job and nothing. Ive been with my Boyfriend for the past 4 months, but his insurance says something about domestic partnership but only after 12 months of living together. How can I get around this, I need health insurance. Anyone else have the same issues? Let me know I am confused here.""

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How much might my car insurance be?

I want to know how much would my car insurance be if im sixteen and im driving a 94 dodge stealth. I am also a guy. I know sports cars cost more to insure so could you please include the price of insurance for a normal car as well??? Located in Tampa, Florida Thanks for any help you can offer, -Kyle""

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can someone give me some sites to provide me with information? i have to do a problem-solution speech on economic change. sites with statistics are definitely desired.

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Milwaukee Wisconsin Cheap car insurance quotes zip 53214

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I'm 15 and I turn 16 on dec 27 and I already have a car and I've seen a lot of car insurance companies commercials but I don't know which one is best. They say they offer great stuff but I don't know which one to go with. Please help me because I want to have my car protected I just don't know which car insurance company is the best one out there. Thanks for helping <{ *__*}>

How to find a dead relative's life insurance company without papers? Read details please?

Here is my situation My mother just died and I don't have the money to pay for a funeral right now. My mother has life insurance but I don't know where the papers with the information is. I don't know what the company's name is and I don't know how to contact them to report the death. Is there a way for me, her child, to get that information without the documents?""

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Would financing your first car make your insurance go up?

would financing your first car make your insurance go up? As in, a payment plan for a used car.""

I need cheaper car insurance.?

Alright, so right now, I have progressive car insurance and I pay about $190 a month. I'm 19, 20 in August. Have had my license for one year. no tickets, no accidents. old cheap car. I just want PLPD insurance that isn't so expensive. I've been told I'm paying too much. I've tried getting quotes from many insurance companies online. The insurace I have now is the cheapest I can find. I have my own policy.I 'm all on my own. Does anyone know where I could get cheaper insurance?""

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I recently had a car accident with my brand new 4WD vehicle. The front part were badly damaged and is now in the manufacturer's garage. Good thing I didn't get any physical injury as the vehicle's air bag went off just on time and my comprehensive insurance will cover for the agency repairs. My question is, assuming that I'll never encounter another major accident for the next 11 months, how much(more or less) would I pay for the vehicle's insurance renewal next year after it has been assessed by a qualified individual. As early as now, I want to have an idea how the insurance company will compute for my insurance renewal and what are other factors do they consider say I paid them around $1,300 for this year's fee. I hope someone could give me an idea re insurance renewal and other pertinent info re this matter.""

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I'm looking for some car insurance but only need it for the weekends but every weekend. I was wondering if a) there is at all anyway that this is possible, and if so where I could do this? It is for an under 21 year old as well Thanks""

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ok so i am going to get my drivers license tommorrow, and my mom brought up the whole insurance thing. my question is, i dont have a car of my own yet so i would have to drive my mom's in her words (IF i let you drive at all)--how stupid is that?!? anyways. would she have to change anything about her insirance if im driving her car and have been since ive had my permit, or can she leave everything as it already is???""

What is the cheapest car insurance you can get for young drivers?

Are these the ways to reduce my Car Insurance?

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It will raise the crap outta my rates and since every licensed driver is insured and the insurance follows the car, not the driver, is there a reason? My young learner is 15 and has a learners permit. Right now the lessons have just been in the country, so no worries yet, but shes getting better and will be ready to get out among the other idiots on the road soon. Thanks""

Insurance company won't give me enough money to fix my car or get a new one-- what do I do?!?

I got into a car accident a week ago, a truck driver backed into me while I was just stopped at a stop sign. He admitted it was his fault, I had witnesses that supported my story, and his insurance is willing to pay me, BUT since my car is a 1996 Corrolla with almost 200,000 miles on it, the cost of repairing the hood and fenders and everything exceeded the amount my car is worth. Their estimator said the amount of damage is about $2500, so they consider it totaled. Now the choices they are giving me are that they'll take the car and give me $1700 (which won't be enough to get another car), or let me keep the car and give me $1200 (which won't be enough to repair it). I think this is really unfair since the accident wasn't my fault at all and now I'm being told I'm going to have to pay to either get a new car or fix my old one out of my own pocket, but I've tried arguing with them to raise the amount they're going to give me and they say they're not legally required to give me any more money than what my car was worth. Is there ANYTHING I can do? I'm a poor college student and really have no money to be spending on something that I couldn't help :(""

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I'm 21 years old I own an rs turbo that is 23 years old. I know you used to be able to get classic car insurance through Adrian flux but they've just changed there terms so you have to be over 25, but there must be a another insurance company that will take under 25's.""

Do I have to list all additional drivers for auto insurance in Ontario?

I am shopping for auto insurance and noticed that if I include my wife and son in the quote, the insurance jumps from $1600 a year to $3100. That's almost double and none of them have any accidents or anything. If I don't include them as secondary drivers, can they still drive the vehicle and be insured? And if not, does that mean that every family in Ontario must list all family members that MIGHT drive the vehicle? Answers are MUCH appreciated.""

Will my car insurance cover this? and its no joke this seriously happened please answers!!!!?

ok i JUST got me a new car and i have insurance on it and everything and well i had some friends with me and they were in the back seat and they had a lighter and they decided to try and light their farts on fire and im being very serious here and well he got down and and farted on the flame of the lighter and it actually shot out and caught the back seat of my car on fire and burnt up part of the back seat and this really isnt a joke i didnt even know he was doing that and i walked over there right as he did it and sure enough it actually shot out and caught it on fire so will my insurance cover that? im to embarrassed to call and ask because they probably wont believe me!!!

""I was caught driving with no insurance and in court they required me to have car insurance for 1 year,?""

ive been paying for car insurance for the past 6 monthsm, but I recently sold my car, and was wondering if I stil have to pay insurance when I have no car. what should i do?""

How does a car qualify to be eligble for classic car insurance in the UK?

Are there specific companies that deal in this? Is it generally cheaper due to restrictions on the use of the car?

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how do insurance company's find out you have multiple life insurance policies if you say you don't have any

What is car insurance rates?

uhm im doing report, and i need to write bout 3 ways that how teenage car accidents rising affect us. One of my answer is car insurance rate would go up; &yet i dont know wht that means. some one help?""

Auto Insurance in 2 States?

Folks I am dealing with an issue that involves 3 cars 3 drivers ( my wife, my son and I) and 2 different states (my son away at college) the insurance companies are thiefs trying to stick it to me. Even though my son is at college more than 1250 miles away from home the insurance company still charge me for him, I bough him a car and since he is in another state my insurance premium is almost triple. Any ideas? remember 3 cars 3 drivers and 2 states my son at college with a new car. Will it be cheaper if he gets his own insurance? Help is needed and much appreciated""

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https://www.linkedin.com/pulse/where-would-i-get-cheep-car-insurance-ireland-bruce-bradley/"

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Fort Worth Texas Cheap car insurance quotes zip 76112

"Fort Worth Texas Cheap car insurance quotes zip 76112

Fort Worth Texas Cheap car insurance quotes zip 76112

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Ok. So I'm about to be 18 and have about $1,400 saved up towards a car, should be getting a few hundred more after graduation and from a few other things, so I expect to have around $2,000 in the summer. This is what I was planning on spending on a down payment on a cheap used car. For the monthly note and insurance, my parents said that they'll help at least some until I get a job. The thing is, it's seriously impossible to get a job in my town. I've been trying for a couple years and just nothing. Most other people I know - not just teenagers - are having the same problem. Because of this, my parents are worried that having to pay for so much and me pay for basically just the down payment would be too much on them. They're struggling very hard financially and haven't bought a car themselves in 13 years. So I was looking at some car websites the other day and noticed that some of them had really appealing lease deals. The ones that most caught my attention were $0 down, and then a monthly payment of around $200 or less per month for three years. What really interested me about that deal is the no down payment, because if there's no down payment and they pay for the monthly note, then that's the only thing they have to pay, at least for quite a while. That leaves me with around $2,000 still in pocket to spend over time on insurance, gas, various maintenance costs, etc., plus if there are too many hidden fees, etc. in the lease. (My dad got me an insurance quote and it was a lot lower than I expected btw, about $560/yr.) That seems so much better than having to start back at $0 after buying the car having paid all the rest on the down payment. I just don't wanna spend that much down because then I'm left with nothing, if I can't get a job then I have no way to pay for everything, again my parents don't think they can pay too much. If they only have to pay the monthly note, then I still have quite a while to get a job and start making money before that couple thousand runs out and if I do eventually get a job (hopefully it'll be easier in another city, but I need a car in order to move), I can even help them with the monthly payments or pay all of them. But all they can say is, Why lease a car when you can buy one, you'll just be stuck in the same spot in three years. But this is completely missing the point. The problem here is that if I spend everything down, then I have nothing left to maintain the car with, and therefore can't have a car at all. I have no steady source of income and can't make a steady source of income without a car. But if I can afford to maintain a car for at least several months with money I already had and can later get a job in a bigger city, I at least have some car, regardless of whether not I own it or it's the best and wisest financial decision in the long run. Once I have a car I can move to a bigger city and hopefully go to college and then get a better job, I'm sure I can get another car later. So basically, if I want a car now (which I need one in order to advance my life and go to college and such) the only possible way is if I lease instead of buy, unless I suddenly come into a bunch of money or can find a car for sale with no down payment. I need to just do whatever I have to do to have a car and get by at the moment, but my parents won't let me. They're so stuck in their stubborn ways that leasing cars is always a waste of money (I agree that it'a a waste of money, but again that's not the point here, the point is that I need a car) when in this situation it would work much better for me. But they refuse to let me.""

Estimate for Auto Insurance on a 18 year old Living in GA driving a Mitsubishi Lancer GTS 20k?

In Janurary of 08 i am going to get a New Mitsubishi Lancer GTS. I already know how much my monthlly payments are going to be the car is 20 grand. I Live in GA and was wanting to know around how much would insurance be if im 18 years old driving a new car. It would have to be full coverage and right now my family has Allstate. Can anyone give me a reasonable Estimate? Thank You.

Insurance for my mom & me?

so say if my mom goes to get her permit could she get a insurance policy then list me as the main driver on it ? i have my licenses but i am only 17 and i can take out my own policy so could this happen ? i live in ny and since i am not 18 could this work for my mom to get her permit & get car insurance policy since she is old ?

Question about delaying the individual mandate portion of the Affordable Healthcare act.?

Since the Affordable Healthcare Act is based primarily on the individual mandate, if the mandate is delayed by 1 year, what happens to those who have already lost their current health ...show more""

How much was your insurance co-pay for your hospital stay to deliver a baby?

...assuming you have good health insurance.

How much did your car AND insurance cost?!?

I need to do an independent survey for my maths GCSE and i need to know how much your car cost and how much it cost to insure it. Need aout 50 answers overall. 30 at least. Please answer, thankyou!""

How does a wrecked car loan payoff (by insurance company) affect credit score?

I have a car that I have a loan on that has been wrecked. Since the bank owns the car, I have full coverage & insurance is writing it off. They are going to cut a check to the bank for the balance due on the car. I have so far paid this loan on time; it has been rebuilding my credit. When the loan is paid off by insurance, will I get more points to my score since the loan was technically paid off early? Or will I only gain based on my status as paid ontime at this point?""

I have already asked if i can get car insurance without license someone said put it in my name is that the car

put car in my name or insurance in my name?

How much do you think my car insurance would be/added on to my mother's insurance?

I'm 18 and just now getting my license. My car is a 2001 Ford Focus ZX5 that I bought for $2500. My mom is going to add me to her insurance which is $50 per month (I know that is outrageously cheap I'm so jealous lol). I just want a loose loose estimate because I'm also in college so I'm only working 15 hours a week at minimum wage.

How much would yearly insurance cost for a 16 year-old dirver with a mitsubishi eclipse?

Republicans: If your wife or mother died of breast cancer due to Blue Cross terminating her insurance on a?

flimsy excuse, how would you react? This is exactly what happened in California and several women died due to lack of treatment. As a Republican, would you Glad Hand the exectutive responsible for increasing profits, just take the court settlement and start your life over, or would you hunt down the exectutive responsible for her death and avenge it?""

Can you recommend a cheap insurance company?

I'm seventeen and currently learning to drive. (I'll hopefully be getting a Peugeot 206 or Renault Clio etc) Can anyone recommend somewhere that has CHEAP car insurance? Most places are quoting me 2000!!!! AHHHH On a price comparison site the cheapest quote was from Quinn Direct (700-800). Is this a good company or can you suggest other companys. (PS I live in N Ireland so local places please) Thanks in advance for answering :)

How much does insurance cost for Top gear?

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Anyone in pennsylvania know of an affordable dental plan that covers everything?

Does anyone have good dental insurance for a fair monthly price? I need something that covers crowns root canals check ups fillings and xrays. I don't really know where to start. ...show more

The best insurance company to work for?

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I got a no insurance ticket so I bought insurance less then an hour after.?

The date on the ticket is the same date my insurance started. Anybody know what the outcome might be?

Car insurance for a 16 year old?

I am getting my g2 (I'm in Ontario) soon, and would like to purchase my own car. I can go through my parents insurance, but I couldn't be a secondary driver as there would be 3 cars in the house. Could I put it under my grandfathers name and be a secondary driver? Or just get insurance by myself? How much should I expect to pay? I have done drivers ed if that helps. Thanks !""

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Fort Worth Texas Cheap car insurance quotes zip 76112

Ok I don't udersrtand why for car insurance!?

I add my own details on car insurance, no accidemts etc and my quote is 190. i add my partner as an extra driver with a speeding fine and it goes down to 152""

Health insurance for a pregnant college student?

Okay, so my baby is due in August, and that will be in between semesters. so the only way that my parents insurance will cover me is if I am still considered a full time student, which means I'd have to be enrolled in the next fall semester. By then my baby would only be a month old, and my university is 4 hours away from my mom. so my question is: what other ways could i get health insurance? is there a good online school that i could do, and would i be considered a full time student if i took online classes? and/or what companies offer health insurance benefits and what do you have to do to be eligible? thanks!""

""Insurance,if I buy a car and get my dad to registered keeper and owner and he insures it wi me as main driver?""

Is this legal their is a space on go compare ask n who the main driver would be ive got dr10 ins10 twice lc20 All from 2008 so cheapest quote is 5k. My dad also has his car too with 8 yrs no claims so idea is to insure my car registered in his name with the 8 yrs no claim s wi me as main driver and insure his car without no claims bonus got a quote on go compare 1000 for my car wr dad as registered keeper me as main driver and he would have to pay on his own car with no claims bonus not on should still b cheaper than , ,5k help!""

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Ticket for no proof of insurance?

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Car Insurance Calculator?

Im looking for a car insurance calculator so i can see how much this car would cost to insure should i end up getting it. Im only 17 so calling a car insurance company i would rather stay away from and idk what company my parents are even with But is there a calculator that doesnt require a ton of steps and just lets me put in what car i have and some basic questions about stuff that affects a 17 year old. Calculators i have been looking at ask for like house payments and monthly income ect and im 17. I dont have any of that. So any good and easy calculators to see if this car is too expensive to buy?

Will my disbalitiy insurance through medicaid get shut off if i get married?

Do you pay insurance on a lease car in the UK?

im 18 and looking to get my first car would a lease car be a cheaper option for me as i have been told in unsureness that its all included in the price but would i still have to pay separate insurance on the car? if so what would be the cheapest option? a lease car or buying a cheap car? thanks

Where can i get the cheapest car insurance in marion ohio?

How much is auto insurance ?

i live in Edmonton Alberta and i am getting my license in 5 weeks and my car in 6 so i was just wondering how much is average auto insurance

How can i insure my car for 1?

just read somewhere on this site that you can insure a car for 1 surely this is a load of uncle tom cobbler? would be very impressed if someone can answer this question... seeing as my car is only worth 500 why should i be expected to pay almost that in insurance? it would get written off any way should i ever claim. cos being an olde banger insurance cost for parts and availability not as easy and quick to get.

How much should we expect from her insurance?

a friend and i had an accident on Thursday, we were going on two different motorcycles and a woman never saw us and she cut our way and we ended up hitting her pretty bad, the motorcycles are totaled. one of us had a dislocated shoulder and a strained knee, the other one was hospitalized for three days, he ended up having a broken rip, blood in the skull, and damaged spine. this accident was the woman's fault so my question is how much should each of us expect from her insurance? should we hire a lawyer?""

How much would insurance be for sports car?

ill be 17 soon so im looking for a car and i loveeee this purple sports car but i heard it makes your insurance even higher... about how much do you think it would it be?

Can I cancel my auto insurance because I am leaving the country for 3 months?

I am leaving the USA for 3 months so I was wondering if it would be possible to cancel my auto insurance for these months and not pay the monthly premium. I will not be driving the ...show more

""Hi, this is my first time getting contact lenses, i just wanna know where can I find an affordable price?""

I have called a few optometry clinics already but the price is just not satisfying; it was around $350.00 for a year (including eye exam). I would like to know if there is any other place that would do it for cheaper. By the way, I live around San Gabriel, CA. Please recommend optometry clinics located around me(less than 20mins drive), I would appreciate it.""

How much is car insurance for a first time teenage driver?

Whe will liberals admit the affordable health care act has made health care and health insurance?

More expensive already?

Does anyone know the cost of insurance on a classic beetle? 1972 for an 18 year old girl.?

Im 18, ive got a 1972 1303 Classic Beetle Does anyone know how much it would be for me to get insured on it as a legal driver? Im a girl btw, or would it be cheaper on my dads insurance? or would i not be fully comp??""

""California Life and Health Insurance, How can i Lower my Insurance rates?""

California Life and Health Insurance, How can i Lower my Insurance rates?""

""When it comes to your car insurance, when is it cheaper to let your kids get their licences?

is it smarter to wait until they are 18; if they get their licence before they are 18 do your rates go up higher or lower then if they waited until they're 18.

What is mortgage insurance?

When having somebody co-sign for a morgage with no $$$ down, how does mortgage insurance work? 1) Is it required? 2) Is it permanent? 3) Is it like a car insurance policy - where the money is paid, and if the insurance is never 'claimed' then the money is gone? 3.5) Does a mortgage insurance payment go towards the principle price of the house?""

Affordable insurance for children in Texas?

Does any one know of any insurance for children living in Texas? I had medicaid for my children; but, got disqualified because of a vehicle that we recently purchased. Our income really stinks. But, we never thought that it would affect us. But the resources count against us.""

Do i need car insurance?

i am turning 16 soon and i am wanting to buy a cheap truck that's about $1500. I wont be able to afford insurance since i will have to be on my own insurance plan and it would be about $200 a month. since i wont care about the truck if it gets damaged and since its so cheap i didn't know if their is a way i could just get like liability or something? also I live in missouri. Thanks

Help me about my car insurance please?

I havnt paid my car insurance for 4 months but I have enough money to pay it in a few days. I just got the letter that they cancelled myinsurance . I'm wondering if I pay the remaining balance, could i stay at the car insurance company?""

I heard of Homeowners insurance being called...?

fire insurance and hazard insurance. are they the same?? or how are they different?

Fort Worth Texas Cheap car insurance quotes zip 76112

https://www.linkedin.com/pulse/how-much-would-insurance-2012-porsche-carrera-4s-anthony-sweet/"

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Hi, I have just passed my driving test. I am a 17 year old male living in a stable suburb. My mum owns a 2002 Mini Cooper and my dad has just ordered a new Audi A7. Obviously I cannot drive the Audi when it comes haha. I am looking to drive the Mini. What is the cheapest insurance company to be a NAMED DRIVER on my mum's car insurance. THIS IS NOT FRONTING. I will hardly drive, my mum uses the car most/all of the time. I have got very high quotes and the best yet is 2000 from Admiral. Any other suggestions please?""

Cheap car insurance for 18 year old female in uk?

Please suggest companies that you have used or know off that are cheap for this age group. The cheapest quote I've found so far was approx. 1780 but I need it to be cheaper. You help will honestly be appreciated

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Cheap Car insurance for young and new drivers?

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How much roughly would it cost to be on provisional insurance on my sisters corsa?

Good auto insurance providers?

I am 21 and just getting first car and looking for some good insurance companies with affordable rates?

Help! I dented a car and need an idea on how much it will cost without going through insurance...?

I have a picture of the damage. I am still shaking so worried, it is my first year of driving so am looking to deal with it privately, luckily my car wasn't damaged, however it was my fault so I am going to have to do the paying! <a href= http://s7.photobucket.com/albums/y298/Gothixpixie/?action=view&current=Photo-0107.jpg target= _blank ><img src= http://i7.photobucket.com/albums/y298/Gothixpixie/Photo-0107.jpg border= 0 alt= Photobucket ></a> http://s7.photobucket.com/albums/y298/Gothixpixie/?action=view&current=Photo-0107.jpg Not sure if these hyperlinks will work! Any help would be great!""

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I just moved to Gresham, OR from the Dallas, TX area. I am a 19 year old female who has been driving for over 2 years and has never gotten in a wreck. In Texas I had auto insurance for $88 a month from a local independently owned company. All the quotes I am getting from popular companies here are unbelievably high. Does anyone know of any cheap independently owned companies in the Gresham/Portland Oregon area. I'm trying to shoot for my insurance to be under $100 a month. Please let me know, thanks.""

Anybody know the cheapest way to get car insurance?

Im 18/ female and this will be my first car , first time driving...prices are soo high it's hard to get cheap insurance at my age being a new driver. Does anyone know a loophole or just a way to get it real cheap?""

Life Insurance?

I had a child in 2007.. is it necessary for me to get life insurance? Why.. and what is the best carrier (in your opinion) to use? Also, what rules do I need to know before I opt to get it? Thanks.""

Do you hav to hav insurance to drive a car?

well i might buy a cheap old car (one that i dont have to worry about scratching or dinting) but do i HAVE to get insurance? and what other stuff do i HAVE to get like tax and what not and how much does all that cost?

Affordable Health Insuance that includes maternity coverage?

My husband just started a new job that offers NO benefits until he moves up in the company which could take over a year to happen or even longer, and I only work part time. I am ...show more""

Is car insurance somewhat ridiculous?

ok i may be a little ranting cuz i was at fault for causing my first accident a long time ago, so my rates would go up. this got me thinking, the car was under someone else in my family's name, and the basic idea ive come to question is: after decades of paying for insurance with no accidents, it would probably be more than enough to cover the car repair damages instead of paying for all those years in addition the first accident i got into causing the rates go up? so i mean, isn't car insurance somewhat like a scam since obviously theres not as many accidents as there are people driving without any incidents?""

Convicted of drunk driving! Cheap car insurance UK?

Anyone know of a company that does fairly cheap car insurance for sum1 who is 23 thanks

Isn't a lack of affordable health insurance merely a very late term abortion for Blue collar workers?

Alright, I'm being overly dramatic but what if, as head of household such an individual, without insurance, is treated to a very costly procedure and dies anyway? Why does it become necessary to bankrupt the remaining family as it often is? Why then, if Welfare is so frowned upon by the same opposition group to affordable health care (often referred as Universal health care by way of diversion)why is the mother, if she is unable to provide for her children often left homeless and left to wander the streets while they are given up for adoption? Why is this oft repeated scenario accepted by Christian voter or even wealthy atheists (ordinary ones, even) for whom there never may be enough money? This is a worst case scenario and actually happens in some cases. How does one address this issue? I've heard all of standard insults but I'd really appreciate an honest answer and I'm not at all in favor of universal health care for the indolent or the F--k 'em and forget 'em fathers everywhere or, for that matter, the largest group of Welfare recipients, save their unfortunate offspring.""

Do insurance companies raise rates if they know you are dyslexic?

If you're had an evaluation and it comes out as positive. Would insurance companies be likely to charge you higher rates?

help me find cheap car insurance

Car insurance 17 year old?

I just passed my test afew days ago and have been looking at insurance. Most insurers won't give me a quote and if they do it's 19k. But i was looking into classic car insurance for a mini and got a quote from adrianflux for 3500 but i was i told i was to young for classic car insurance. I tryed a 1000cc yaris and they would not even quote me. I checked my details twice and there all right. I asked over the phone why there is such a change im price when they have the same size engine and he just said there cheaper to repair n that . and just so it's clear the minii quote was not classic car insurance. So any one know the logic behind this? + any other suggestions about insurance will help.

What Auto insurance company's police number start with NIC? (NIC000435X)?

""What is the best, cheapest car insurance I can have for a 28 year old female?""

What is the best, cheapest car insurance I can have for a 28 year old female?""

What are some cheap but nice older cars to insure?

I am 16 and I am looking to get an older car, i am hoping for a 79 Firebird, mustang or a camaro, but i am just looking for something relatively cheap in all categories. I don't have to worry about repairs, as i can do all the work at my school. PS would it be expensive to insure a car from the late 60s? like a charger?""

I am looking for free healthcare insurance in the state of delaware?

Car insurance in another state?

i was wondering if your car is register in one state can you get insurance on it in another state w/o registering it in that state?

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Please tell me - do i need to have insurance when i don't use a car? I'm buying car next week but after that i'm going abroad for a month and nobody will use this car. I would like to know if i can keep car in garage for this time without insurance and buy when i go back? Maybe its comuplsory to have insurance for all time when i'm cars owner?

Cheapest health insurance in ca.?

Where can I get the cheapest car insurance in Ontario?

I'm looking to purchase a used car, probably 6-7 years old, and I am a 29 year old male living in Toronto. I want the most basic insurance available required by law, as the vehicle will be less than $4k, so I will take the hit if something happens to the car. I've seen really good quotes from Johnson insurance, but can anyone recommend any other insurance companies which offer cheap insurance for basic coverage? Thanks in advance, Joe""

Car insurance?

my car is not insured, my friend wants to borrow it and has own insurance for their car, she allowed to drive any car with the owners consent, will her insurance be valid as i have no insurance, i belive that it wont be but they telling me differant, can someone please help me and settle this argument once and for all thank you""

How much rental car insurance do I actually need?

I don't have stateside auto insurance. We are military living overseas. Renting a car in Hawaii and don't want to spend a fortune in rental car insurance but want to be covered.

Car insurance price ?

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Does anyone actually know if AIG/21st Century Insurance has been sold to Zurich?

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I just got pulled over for a minor issue. My tags were expired, but I had the new sticker and I just forgot to put it on. I got a fix it ticket and I was just curious if it would affect my insurance. I live in California.""

Has anyone had a negative experience with Progressive Insurance Company?

How much will i get from insurance company?

I got into an accident last weekend, and i just met with the apprasial guy from Nationwide(the guy who hit me insurance company). He said he is going to mail me a check and the amount is going to be his estimate..So im just wondering how much the check is going to be...There is about 8-9 scratches on my front bumper, and he said the garage is going to take off the bumper, repair it, repaint it, and then put it back on. So based on that, how much do you think the check will be? Car Details: Honda Accord EX 2000 Black Front bumper. Thanks in advance!""

Why is my car insurance so expensive? Give me a GOOD reason why.?

I have my driving test tomorrow, looking forward to it, but car insurance for a car which is worth 200, the car insurance comes from 2500 - 4000. Why on earth does it come to this??!! Insurance companies are all sharks. No wonder so many people are uninsured.""

Mobile home insurance?

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Is my insurance company liable?

My insurance company offered me a policy to cover a de restricted scooter which I agreed to take out, but in order for this policy to take effect I had to give up 4 months of cover totalling around 160 and pay a 80 deposit on the new policy. Last week I was sent a letter notifying me that my insurance was cancelled so I called them and was told that I had to return a copy of my CBT certificate. I rang on Sunday and was told a completely different story and that was that the company they placed me with had decided that they were not going to cover me even though the whole point of changing them was because they specificity dealt with my type of vehicle . They have now offered another policy for 515 pounds with is 100 pounds more than my previous and I am not willing to pay this as they lied to me and told me that I was insured to ride around even though they knew that I was not covered. I have copies of the insurance certificate to prove that they sold me the policy and all other relating documents. Please advise on what I can do.""

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there are so many to choose from, terms conditions insurance etc anyone use them a lot and know the best to use""

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Me and my fiance are starting to get estimates for major bills we'll know will be high (rent,car insurance, etc) What's the best car insurance for a young couple (20 year & 19 year old) for just basic coverage Im in the process of getting just a plain normal 4 door car like ford Taurus (1998-2000).. He has a ford 86' truck without 4wheel drive Neither of us have tickets, nor pricy sport cars But I've almost 20 and only been drving for 2 years (due yo bein homeschool, it was hard to get into drivers ed_) He's 19 and been driving less than year (cause hes school schule didnt allow for extra class like drivers ed)""

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he jus got his license a few days ago?

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How much would insurance on a 1987 Chevy Z28 Camaro for a 16 year old ? just need an estimate, thanks""

How much is anual car insurance aprox.?

car type walksvagen polo for young drivers around 25 who has not passed the test yet

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I will be out of the country for almost 6 months, what can I do with my car insurance? No one else will be driving my car, and I don't want to pay for my insurance if I am not using my car. What can I do?""

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They're old life insurance just ended and are now charging $299/month for both of them...they only give $100,000 policy each. Mom is 61 years old and Dad is 65 y/o.....lives in California.""

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I am 16 years old- male and i am thinking about purchasing a 2002 black mustang( convertible) and i have already spoke to the man selling and all i have to do is go pick it up so i was wondering what would be the cheapest way to go on car insurance. My parents have state farm, and if have my own insurance i would only be paying for liability. Does anyone know how much that would cost monthly or whats the cheapest way to do this?""

What is the cheapest car insurance company?

im 21 and just passed my test i have a 1.4 clio does any1 know around how much it is t insure and also i would like to know how much road tax is? x :-)

""I'm 18, just got my first car and looking for affordable car insurance?

- I live in New York - I can't go under on neither of my parents policy.

Insurance company would not like to insure me a sole proprietorship?

I am a film major, a student and very involved in different projects. I decided to open my own film company a sole proprietorship, meaning I DBA (Do Business As). I am looking for liability insurance for my business for wedding and events. They asked me if I was doing any other type of work currently. My reponse was that yes I am involved in being cameraman for one project and editor for another. I have not signed a contract or getting paid for any of these projects, simply volunteer. They came back stating that if they were to insurance me, I as an invidividual would no longer be able to be part of any project or post anything of my personal stuff on youtube. I understand that they are trying to protect themselves and that they are insuring me personally I guess since its a DBA. Has anyone else come upon this problem? I see many videographer put their stuff up on vimeo, youtube etc.""

Best New York Health Insurance?

i got married 2 months ago, I m waiting to start the process for green card! at this time I wanted to get a good health insurance, my husband doesn t know aythin about it so please help me!!!""

Help with car insurance........................

i am 16 but when i turn 17 i want to pass my driving tests. my worry is car insurance. i want to buy a little car like Peugeot 206 1.4 or something similar but i have checked insurance companies and their quotes are ridiculous so my dad said that if i give him the money to buy the car he can then insure it on his insurance and add me as an additional driver so i can sometimes drive it to my mates or whatever. i have heard of something called fronting and i was just wondering if then we would be doing that or would everything be legal. thanks in advance Matt

Can someone answer my health insurance question?

I currently am paying for COBRA. I am 61 years old, female. I am on long term disability & disability social security. I am able to get medicare when I am 62. I have a pre existing condition, COPD. Looks like no one will accept me, except Blue Cross. I need a medical supplement PLUS an exceptional prescription plan. I am on many meds, including oxygen 24/7. I make too much money to qualify for medicaid or any other help. ANY of you insurance agents have any ideas? I will be 62 on April 5th. Any help is much appreciated. I have searched & looked on the internet & most of them I do not trust. I have heard too many bad stories about them. I am paying $490.00 a month plus co pays now & it is killing me.""

My landlord requires that my dog be covered by insurance - Suggestions?

I'm renting for a year so I figure I should look into some sort of renters insurance that includes dog liability. My dog is a one year old golden retriever. There are so many ...show more

Would a 2-door car be more expensive to insure than a 4-door?

I believe 2-door cars are usually considered sports cars, in turn, making them riskier to drive and costing more to insure them. But what if it was a 4-door car that was a sports car? Specifically the Dodge SRT-4. It's a 4-door car, but it's made to be fast. Would this cost the same, or less than the 2-door? This is all assuming the cars are of the same year and everything. 2-door = Dodge Neon coupe 4-door = Dodge SRT-4""

What are some health insurance that is affordable?

I am a 17 year old female and i want to know what are some affordable insurance that include dental, eyes, and a regular doctor.""

Car insurance $6000!?!?!?

I'm 18 years old, have a clean driving record, and i drive a 2007 honda civic coupe. My name is insured on my parents honda pilot and lexus 350(suv). For some reason my insurance (for myself only not including famly) is around 6000. is this right? i'm under AAA and they said its going to be this expensive with any insurance company. I have 2 way coverage and and $250 deductable. Can someone name some other company that charges significantly less with coverage and a deductable just as good. Links and sources would be appreciated also""

Should you get insurance on a rental car?

I'm taking a trip later this month and will rent a car for a couple of days. Should I choose insurance, the minimal cost is around $8 per day, so it's not too much or anything. I was wondering if most people got the insurance just in case something happens. Normally I would, but I always hear people say that getting insurance for these kinds of things is stupid.""

Does anyone know any affordable health insurance for a college student?

Question about car insurance?

k so im 16 and im about 2 get my license but im not getting my car yet but i heard that my mother would have to put me under her insurance in order for me to drive her car since im a minor or something like that is it true

Can you get motorcycle insurance in NY with just a learners permit?

Car insurance ?

ok heres my problem. i am 18 and i just finished a drivers ed program i want to get my license but i cant because in order to take the road test to get my full license (not a learners) i need a car on which i am insured but i cannot buy a car because in order to even buy a car you need to have some one in the house which you live in who has car insurance and no one in my family drives so they dont have insurance as you can see im in a cycle that i cant get out of... what do i do?

Best insurance company for a jewelry store?

I need and insurance company to insure my jewelry store. So far I found jewelers mutual but they're expensive.

help me find cheap car insurance

https://www.linkedin.com/pulse/car-insurance-robert-ryan/"

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fancycollectionfury-blog1 · 7 years ago

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cheap liability car insurance idaho

"cheap liability car insurance idaho

cheap liability car insurance idaho

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I am planning on buying a 150cc scooter in the Spring. In Michigan, my home state, these are considered motorcycles. Also, in Michigan, they must be insured. My questions are: (1) If I am only riding my scooter for three months out of the year, will I still have to pay for insurance during the fall and winter? (2) What is the cheapest motorcycle insurance out there, and typically, how much would I be paying per month? I am a new cycle rider, but have driven a car for 5 years without an accident.""

""I need individual health insurance, im 16?""

Hello everyone, im looking for individual health insurance. I am 16 needing surgery on my right knee which has a Torn Miniscus. i need it immediately with a decent pay rate. Thanks in advance""

Do Car Insurance Companies Verify Marraige?

My girlfriend and I have the same last name, a baby, and we live together. For all intents and purposes, we are married, just not legally. If I apply for car insurance, do I have to give proof that we are married?""

""Whats cheaper, paying for gas or car insurance?""

Im getting my lisence soon, and my mom said i can have her car. Its a 2001 chevy malibu, she said if i pay for gas she'll pay for car insurance. Well with gas prices rising what would actually be easier for me to pay?""

""Your credit rating can affect how much you pay for renters insurance,if so explain thoroughly.?""

Your credit rating can affect how much you pay for renters insurance,if so explain thoroughly.?""

What are the pros and cons of opening up a car Insurance business in California?

#NAME?

Need cheap & affordable Health Insurance?

I have a friend, Yes a Friend, She and her husband are paying $160 a month for Health insurance & its, Medi-cal, Which is Welfare, So I told her that there has to be a GOOD Insurance out there that is cheaper, She needs help, Can she find anything thats better then $160 month.""

Affordable kids health insurance in Florida?

I recently got a new job, and my income combined with my husbands will be *just* over 200% of the Federal Poverty Level, making us ineligible for the $20/month payment for Medikids. It would cost $160 for each of our 2 children to continue this full coverage/no co-pay insurance. We cannot afford this. What are some other options? We definitely cannot afford insurance for the whole family.""

For a first time driver who is 28 who is good for cheap car insurance?

In the uk

What is a good company to get affordable E&O insurance?

Which camera insurance?

Ive recently aquired a Nikon D90 camera with an 18-105 VR lens however i want to get specialist camera insurance in the case of an incident. I have looked at photoguard however the reviews have put me off for life! I am now looking at 'Glover and Howe' amateur photography insurance which will insure my kit against accidental damage, accidental loss and theft for just 28 a year! has anyone had any experience with 'Glover and Howe' or can recommend any cheap but good camera insurers? Cheers for any help :)""

Car Insurance For 16 Year Old Female?

How much would monthly car insurance cost for a 16 year old female living in Louisiana approximately?

About car insurance?

i got a used car,mitsubishi sports car,1999....im a first time driver..they say i have to pay like $150 but then it would increase if its a sports car..how much do u think will it add up?do u think it will add up only a couple of dollars or way higher?thanks!""

Is a 2004 used infiniti g35 a good and affordable car?

i am saving up about 2000 to put down on it. and how much would the monthly payments be. including insurance? i gross about 700-900 a month. thanks.

1000 Car Insurance for an International Student?

Does anyone know a cheap car insurance company for a young driver (21 YO) who will be driving with an international license for 1 year? I have tried Clements but they don't do insurance for students. Can anyone please help? The major online companies are so expensive

cheap liability car insurance idaho

What kind of car insurance do i need?

hello there,i'm a plumber,i have 7 year no cliam on my vans insurance,till now coz i was goin every where with my van i didn't needed a car,now with new baby we won't be able to go every where with my van so i had to buy a new car,because i won't have any no claim on my car the insurance is sky high....i'm sure i'm missing something in here,i can't drive my van and my car at the same time so why i can't use my no claim on my car too,surely i'm the driver didn't have the accident on these7 years not the cars so why my insurance got to be so high....any idea what can i do about it? thank you so much for your time...take care and all the best""

Will it save money to take driving lessons at 17 but not get insurance until 21/22?

I'm nearly 18 now, I've left driving a little late... my family asked me if I wanted to learn to drive at 17 and for some reason I didn't want to, but now I've got uni coming up in September (June now for future readers) I'm wondering if it's worth doing it now. I'd heard from someone that if I start learning at 21 or 22, insurance costs more than if I learn now and have a license for a few years before getting insurance and a car at 22 years, for arguments' sake. Has anyone else found or heard something similar to this? Thanks if you can help!""

What is the best health insurance company?

How much would an 1996 Acura Integra GSR 2door insurance cost for me?

Im 19 years old, in college living in Los Angeles and i want to buy a GSR Integra. And i want to know Approximately how much Insurance would cost for me? ...Thanks.""

18 year old and car insurance...help please?

I've been saving up the past 3 years to buy myself a car. I've saved about 18K for a new car, so my price range is from about 18-24K for a car, new or used. Some cars that I'm interested in are: In Order: 1. 2004 BMW 530i 2. 2004 Infiniti G35 3. 2005 Mercedes C230 4. 2004 Acura TL or RSX 5. 2005 BMW 325i My problem isn't whether I can afford the car and the maintenance fees, its the insurance. I would be under my fathers insurance. He's 55, no accidents or tickets, been driving since 16. He would be the primary and I would be the secondary. I go to college, have a 3.8 GPA, work part-time, have been driving since 16, no accidents or tickets, and the car would be parked in a garage. I also wouldn't be driving much, just to and from school (less than 7500 miles a year). How much would basic insurance be? I hate getting online quotes because its time consuming and I hate getting spam emails and phone calls. I'm thinking of buying the car soon, so please help. THANKS!""

DMV proof of insurance?

ok so im 16 and i live in california the dmv wants proof of insurance for my drivers test, my dad added me to his policy but the insurance card says his name on it but im included in his policy so can i just show them the card with his name on it?""

Does anyone have any idea which insurance company is the cheapest for learner drivers?

How does car insurance work if someone lends you their car?

I'm 16,licensed. No car at the moment,but I'm insured on my moms car.(mom and dad are seperated). My dad says he'll let me take his car out when I'm over but I'm not on his insurance. Would it cover me since I won't be driving it regularly?or would it not. And if I wrecked would it affect my license? (Tennessee)""

HElp With A PROJECT on CAR INSURANCE!?

ok so i have a project and all the car insurance places are closed and i can't finish it! so umm can anyone help?? this is all the information i have, i just need an estimate for a monthly payment 1996 eagle talon married couple 25 years old driver low milage on car car is paid for, goood driving history car is used for job too for dilivering pizza live in florida umm if you need any more information let me kno please helpp worth 20% of final grade in class!!!!""

How can i get cheap car insurance?

cheap car insurance

Does anyone have a moped and pay insurance for it?

I would like to get a moped when I get my driver's liscence in a few months or so. Does anyone own a moped and pay insurance for it? I've heard it's much higher than car insurance. And also, would the insurance rate be higher for a new driver, rather than one who has had a liscence for a few years?""

""Cheap dental work without insurance in Oregon, Gresham?""

Cheap dental work without insurance in Oregon, Gresham?""

Can the auto insurance company pay me directly for my medical expenses or do they have to pay the doctor?

I was in an auto accident and I have medical insurance. My medical insurance covered my medical expenses; however, I wanted to know if the auto insurance is still liable for those expenses? It seems as if my having medical insurance should benefit me and not the liable party's auto insurance company. If I did not have medical insurance the auto insurance company would still have to pay for those expenses. So shouldn't they still have to pay for those expenses and I get what ever is left that my medical insurance company did not pay? Are there any laws statures that back this up in Georgia? I am trying to settle this claim without getting an attorney and I need all the help I can get. Any advice would be helpful. I am in the process of writing a demand letter. Thanks for all the help.""

Medical insurance questions?

I've been considering on going to a psychologist, however I do not want my parents to find out. I still live with them and I am going to be 22 soon. I am still under their insurance. I have the means to go out on my own and I can pay the copay on my own. I am not sure how it works when you use insurance. Will my parents be able to find out through my insurance? (For example, will insurance alert them in any way?)""

Can hospitals deny someone without insurance?

Can hospitals deny someone without insurance? I know of someone that died recently at a hospital waiting area who was denied help because he did not have insurance. He was 17. Can hospitals deny someone who really in a urgent situation between life and death because of no insurance?

How much did your car insurance drop once you turned 25 yrs old?

Did you save 50%? 25%? Less? I noticed a significant drop when I turned 21 and saved about 40% then. What can I expect next year when I turn 25? Obviously it varies and will depend on if my driving record remains clean....just wanted to get some idea

At 19 i got my health insurance removed.. what should i do now?

Well my sisters and i had medical. they still do their younger than me. When i turned 19 they removed me. I have been using the one i get through my job. But now their an opening for a job i really want thats with the city animal shelter. it doesnt offer healthcare im upset. what options are there for me if i do get the job and actually decide to go. are there places i can go for health insurance maybe low income i cant afford anyhting expensive. I feel stuck in my job it has healthcare but ive been doing the same thing for 3 years there hasnt been openings for a higher position where i work, im just tired. I need some feedback thank you. I live in California so if anyone knows something about this let me know thank you :)""

What kind of insurance company do I go through to insure a rock show?

Setting up a concert through a venue and they require me to have insurance, in case something happens like someone gets hurt or the venue breaks apart. What kind of insurance am I supposed to go through? Who should I call?""

Lost health insurance and am 37 weeks pregnant?

I just found out I was dropped from my previous health insurance plan from COBRA because I was late making a payment. I thought I was ahead a month so didn't pay in March and found out I wasn't ahead. I tried explaining this to the health insurance company but they said it was too late to do anything about it. I've called multiple health insurance companies to see if they'd cover me but of course being 3 weeks from my due date no one will take me. I also tried to contact my hospital that I will be giving birth at to see if I could go through a financial assistance program but my husband and I make to much. Same issue with Medicaid. I live in IN, is there anything/any health insurance company that someone can suggest??? Thanks!""

What would be a good affordable car for a first time driver ?

What would be a good affordable first car, i'm 19 and how much would the insurance be for a first time driver ?""

What is the bare minimum for full coverage auto insurance?

I live in Idaho. I have not yet payed off the auto loan so I'm required to have full coverage insurance. According to some people I am paying too much (about 700 for 6 months), as they are paying far less. I have geico, but from time to time I look around and get quotes, and it is always slightly higher than what I have now. However, that might be because I am opting for coverage I might not need. So the question boils down to, what is the bare minimum requirements for full coverage auto insurance in Idaho?""

How expensive is car insurance under my own name rather than my Mom's name?

My mom's car insurance covers me...but they are threatening to take me off her insurance over something stupid. Does anybody have any idea of how much more expensive it is if I get my own car insurance under my name instead? I'm 23, male, in Ontario, Canada.""

DO YOU NEED AUTO INSURANCE TO DRIVE YOUR CAR?

I'm planning on getting myself a new car- a 2012 Dodge Challenger RT model. I'm on a tight budget and I only have enough money for a down payment and monthly payments on the Challenger, (if I decide to purchase it). My problem is I don't have enough money for auto insurance and I am not joining with anyone in my family to be placed on auto insurance. I want auto insurance for myself and signed to my name only. Since I do not enough money for auto insurance, can I still get a car without auto insurance? And can I still drive the Dodge Challenger without auto insurance if I decide to purchase the car? Can someone answer this for me? Thank you! I really appreciate it.""

Car Accident Gap Insurance...HELP!?

I justgot in a car accident. My back of my car is smashed. It was completely NOT MY FAULT. I am unsure if i have Gap insurance or not. Whose Gap Insurance pays off your loan if the car is totalled ?

""Where do i get cheap car insurance after passing my test at 17yrs old, thanks?""

Where do i get cheap car insurance after passing my test at 17yrs old, thanks?""

cheap liability car insurance idaho

Should i get life insurance for my child?

my child gets ssi money every month and we really do depend on that money and our child has a health condition that she could die with in a year or so or she could get better with a miracle and life a happy life i dont know is i should get life insurance for my child or not who is any a year old. if so please say where i should go to get one?

If I'm on someone else car insurance am I liable?

My old boy friend put me on his car insurance so I could drive his car. We are no longer together. If he gets in an accident could I get sued? He has nothing, but I do.""

""Can i take out a life insurance policy on my mother, shes in her late 40s, and what kind of insurance do i get""

im in the millitary and my father and mother just spend to much money and are going to leave it all to me what kind of insurance and how much does it cost

Can I get cheaper car insurance if my mums with the NHS?

I'm turning 17 soon, and I know someone who's mum work with the NHS and they're getting 10 a month insurance on a new mini 1.6L. I just don't know where to look for the insurance, however I am looking at cheap, used corsas (obviously the cheapest with the cheapest insurance). Anyone help?""

How much money will I save if I go on my parents' insurance plan?

Ok, so I did hear that if I go under my parents' insurance plan that it would be a lot cheaper. If it is cheaper, how much cheaper? How much would I be paying a month or every 6 months, for example. I did request a quote from progressive and what they came up with is..... $485.19 every month , $613 a month with travelers. How much will I be saving if i go under my parents' insurance? Thank you all in advance!""

Proof of Insurance for Driver's Test?

My Dad bought me a car about three days ago and the dealership said they will insure the car for 14 days while my dad gets insurance through his company. I might take my driver's test tomorrow and I want to use this car for it. If I show the dmv the insurance papers the dealership gave me, will that count as proof of insurance for my road test? Thank you.""

Health insurance for someone with a preexisting condition?

I have heard about plans that are available through association memberships with limited benefits. Is this a legitimate method of obtaining coverage for someone who is otherwise ineligible for insurance? Any other suggestions? The high-risk pool insurance in California is not affordable.

Car insurance canceled my policy?

hi, my car insurance cancelled my policy one month before its due for renewal and half way threw a claim (car was stolen). they voided the policy from the date i took the insurance out 11 months ago, the reason they gave is that i am not the registered keeper and i didn't disclose this to them but i am the registered keeper because the name on the policy does not match the log book, this is a mistake i faild to notice. the mistake is on the log book my middle (second) name is in place of my surname so i sent them prove of my full name but they still cancelled my policy. is there anything i can do? i will be grateful for any advice. thanks.""

How to stop the direct debit car insurance and switch to another?

I want to stop my current policy with RAC.. and switch to another car insurance which is cheaper. How do I go about doing this? I pay monthy.

Car insurance goes down after you turn 25?

I recently turned 25 and got my renewal for my car insurance. I know it goes down after you turn 25. I got a ticket last November. Of course, it went up. But was my car insurance suppose to go down after I turned 25? Even though I got a ticket.""

Average cost of insurance and registration in Utah?

My husband and I are looking into getting two different vehicles and I am just trying to get an estimate on how much its going to cost to register them and how much I may need up front for insurance. I am 24 years old, my husband is 23 and a former truck driver. The two cars are a 1996 grand caravan (red if needed) and a 1980 Chevette (black if needed). I do not know mileage yet for either one.""

Auto insurance ????????

Is it cheap being on my dads auto insurance vs me buying my own. I thinking about getting rid of full coverage.

17 Year Old Motorbike Insurance?

What would you estimate the insurance costs are for a 17 year old riding a C.P.I Sprint 125CC?

Temporary car insurance?

Car insurance for travelers

20 and a Marine but auto insurance companie's want to charge me 500$ a month??? HELP?

I just got my license a couple months back i am in the marines and joined when i was 17 and in california it cost 350$ to get your license before you are 18 and i could not afford it. i am a very busy guy and it took time before i could get it. i make 600 every 2 weeks and i am about to get a car i am stationed at camp lejeune NC. for the auto loan i will be paying about 350 to 400 a month. its not that bad i am paying 5 % interest on the loan for 11,500 not that bad for not having any credit. but the insurance companies want to charge me anywhere from 450 to 700 a month i have only looked at a couple companies but it takes forever to fill out the info and some of them do not read my address because i am on a military base so i have to call them and you all no how that goes. so my question is what is a auto insurance companie that will be cheap. i have to get full coverage because of the loan. please only serious answerer's and from personal experience. sorry if i spelled things wrong i am not in a prestige college i am a Marine. but think you for your help and have a great day.""

Flipping Cars - Insurance?

A few friends and I are looking into flipping cars while we're in college to make a little extra money. I'm not sure where to turn as far as insurance goes. We're not driving the vehicles ourselves - just parking them until they sell. What kind of coverage would we need and where can we find the best rates for our situation? We would only drive it from the auction house and with potential buyers on test drives. Thanks for the help!

Teenager's auto insurance?

i'm 17 and will soon be recieving a car from my aunt. it's a '92 poniac bonneville se. i want to figure out some insurance rates but some of the information they are asking for i'm not comfortable putting on the internet (like my soc. number). are there any teen drivers or parents of teen drivers would would be willing to share their rates and companies with me?

Mustang GT car insurance?

Hey in 16 and im looking at buying a 1994-2005 Mustang GT. I like working on cars and this car seems to me an awesome car to work on. I just wanted to know how much people pay for insurance with a mustang GT. Also how much more would it cost because i am 16.

How much will it cost to get the affordable health care ?

people dont like it when they are forced to get this health care,but how much does it cost to get it in the first place?""

Is it expensive to insure a honda civic for a new teen driver?

I am 16, male, 3.8 gpa, took drivers ed. Would it cost alot if the civic was new? What if I am on my parents policy?""

Wat is a website that helps to find the cheapest auto insurance possible?

""Friend driving car got into accident in my car in ohio, insurance question?""

I wasn't in the car. I let them go pick up a friend, they were on a semi busy street. My friend was walking up the street and my friend driving the car pulled over with the hazards on to let him in. 10 seconds after getting in the car and closing the door someone slams into the back of my car going between 40-60 mph in a 35mph zone. Totaled other driver's car. My rear end is completely crumpled, but still drivable. I haven't got it checked yet, waiting for the police to contact me in a couple days. Looks like it crumpled all the way to the rear of the frame so it may be bent or busted, so they might say it's totaled. If the other driver was at fault it should be her insurance's responsibility correct? She had full insurance coverage. My friend driving my car has full insurance coverage. I have insurance that only covers bodily injury/property damage liability and medical payments. Who's insurance should cover this?""

If Medicaid is meant to be health insurance for low-income people.... then?

why do a lot of people have difficulty getting health insurance in America? Sincere question, please. I want to learn more about the health care system in my country.""

Affordable health insurance plans?

The company where I work has just informed me that they will be canceling our medical benefits at the end of this month. What are some decent plans that I can get on my own that arent too expensive. I was paying $100.00 per month thru my job and would like to keep my premium around the same. I live in Wisconsin. Thanks for any advice.

""My girlfriend lost her job, and our baby has no more health insurance?""

My girlfriend and I do not live together yet. I work full time. She worked fulltime at starbucks. They fired her today. Our 3 month old son was under her insurance, and my open enrollment just passed so I cant put him on mine until next year. I live in the state of California. I do not live with her. She lives with ehr parents... and I room with my brother and his girl. This economy is really jacked up. I want to get a place with her, but how in the world will we get insurance for baby boy until I can put him on mine?""

cheap liability car insurance idaho

https://www.linkedin.com/pulse/abbeville-georgia-cheap-car-insurance-quotes-zip-31001-valerie-bruce/"

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briefbouquetcreatorlove-blog · 7 years ago

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Car insurance cost for expat?

"Car insurance cost for expat?

Hi I am a 37y old male married moving to London from india soon. I checked som online quotes and it seems to be very expensive even if I buy a 10 yr old vw golf. I intend to get a uk license when I arrive, but will I be considered a new driver even though I have held a license in the us and India and have driven for close to 15 yrs

BEST ANSWER: Try this site where you can compare quotes: : http://averageinsurancecost.xyz/index.html?src=tumblr

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I'm 17 getting insured on my mums yaris 1.0, don't mind if it's got one of them box things that measures speed etc. Just wondering If anyone can recommend anyone they have used and have got a good quote from thanks Ed""

How much will insurance go up for a 17 yr old female with 6 months driving experience in an accident?

Accident was her fault. She rear ended a truck. The truck wasnt hurt at all but the car was totaled pretty much. Ticket was failure to reduce speed to avoid an accident. What is a rough estimate of how much insurance will go up for her?

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This is my first speeding ticket and the cop claims I sped 15 mi over the 25 mph limit. If I plead guilty and pay the fine and attend traffic school, will this still be reported to my auto insurance company?""

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I've been searching the web and I can't seem to find the answer.

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Im 20 years old. Just wondering when i should buy life insurance. ? I have a bf live at home with my parents. I have a car loan out for 18,000. Have a full time job. Just wondering if its better to purchase when your younger. My bf and I have been together for 6 years.""

Car Insurance problem?

Yesterday my dad was in a car crash but thankfully no injury. The victim who crashed into our car had escaped and dashed off bout 6miles. The point of this story? The victim had stolen a car from a rental place and had been driving really fast probably. Figuring that this guy has no money and insurance, can not pay for the damage of my car. (I had bought it about a year ago, and used car) It seems Like we would have to pay 1mill yen (Japan) for this whole crap. Obviously this does not seem right at all, and should not be paying anything at all! Our insurance covers the accidents we get into, but not the damage of our car. So that means, our insurance doesn't cover it, the victims or the company (toyota) might not be covering it either. This case is rare supposedly and we're still figuring it out. And their on a hunt for this guy so hopefully we'll see what he has. Can you hear me out on this one? Can you give me things that might question this case? thnx a lot""

How do i get car insurance if i dont have a car???

i want to finance a car but i cant do that without insurance, how do i get insurance without a car?""

""Motorcycle questions? Good old, cheap and cool bike? Insurance?""

Im looking at buying a motorcycle! :) I dont need one that is too quick, I just learned how to drive one and I loved it. I want to get one for the summer. I dont want to pay over 1500, and it doesnt need to be too fast. (what is the 2002 honda civic of motorcycles?) I just want it to be kind of cool looking. I saw a 1985 honda (with the wing on it?) that looked really cool. Im 17, and I want to get one that will only be insured for the summer. For one with a small engine, what is the insurance cost? I know it varies, but does anyone have any ideas? Thanks Matt""

How much does Auto insurance cost in Mass?

I am moving to Mass, and am curious if someone can give me an idea about how much it would cost to insure a 97 Acura CL 4 cylinder car. I am having a hard time finding quotes online. Round about numbers would help.""

Do i need to have insurance on a car im not driving?

I am turning 16 the very next April and i was planning on getting my license next year. Anyways i was looking online for cheap used cars that are suitable for teens because im paying from my own money. So i found this great honda civic for only $1,250 and there is only a few days left before the owner closes the sale and i really really want that car. So i was thinking buying it now and my dad drives it home and when i get my license he gives me the keys. But i was wondering do i need insurance even if i'm not driving the car? just keeping it in the garage?? because i do not think i will be able to handle the monthly insurance plans. as i said before im paying from my own money THANKS FOR THE HELP!!""

Car insurance?

Ok, cheap me has been trying to find a second hand car (Opel corsa). Found one I might like at about 29k with a mileage of 167k on Carfind. Tried to get an eQuote from First for women - (I'm still waiting). Anyone could suggest any other reasonable insurance companies I could try? Or do any of you know how much I would be paying for insurance, just an estimate. Would also love some help with any other cars (preferably Opel corsa) at reasonable rates. Looking between 20-35k and no more than R800p/m. If anyone has info please contact me by email. Thank you PS: I'm in Johannesburg (Northen Suburbs)""

How much will two speeding tickets increase my insurance?

I got a speeding ticket last year around the same time for 15 mph over and just received another (in a different state) for going 18 mph over. Also, I have another ticket from 3 years ago (will be 3 years in a couple weeks), so that shouldn't effect my insurance after that. I called my insurance company and asked them how much my insurance would increase with this new ticket. They said $11 over six months, so that equates to less than $2 a month, which is fine, but I'm just not sure how honest they are being with me. Another person from the insurance company told me my premiums would go up by atleast $10/month without calculating anything, which seems excessive. Do you think it will be closer to $2/mo or $10/mo increase?""

Can anyone recommend a good car insurance company?

I'm just looking for some quotes at the moment. To narrow it down: I've been driving for 4 yrs. No accidents. Gieco, State Farm, and All State are not available in my area. Anyone have any experience with any other good car insurance agency?""

Pulled over and had no car insurance?

I'm in the state of IL and I just moved here so I don't know their laws too well. I got pulled over a few days ago which really pissed me off because I make sure to do absolutely nothing wrong so I don't have to deal with cops. Well I got pulled over because my front license plate was in my front window instead of screwed to the front of my car (it won't fit there on my vehicle and where I come from you don't even need a front one). Pretty much the cop just wanted to waste time because he was bored....this is why i really dislike cops because I did nothing wrong and someone ran a stop sign right in front of me! lol Well anyway I had no insurance on the car unfortunately. I don't need a lecture because I know I have to have insurance. So he kept my drivers license and set up a court date for me. I'm getting car insurance this Friday. I've heard 2 different things. One is that as long as I get insurance before my court date nothing at all will probably happen. Another person and the cop said that I had to prove I had insurance the day I got pulled over or I could be fined or whatever. Does anyone know what penalties I face if I have insurance when I show up to court? Can my license be taken away? The car isn't even in my name if that matters.

I often drive a friend's car. What companies offer Non-car owner auto insurance?

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Car insurance for LHD car ?

Hi there, I want to buy 2001-2004 year freelander (left hand drive), then drive to my country and insure it. I need insurance what would cover for two months on UK roads. Do you know any insurance company what would offer as cheap as possible and the possibility to cancel my insurance after 2 months ? Regards, Ed""

What are insurance points?

I got 2 tickets today in NJ.One was for no seatbelt and one was for speeding.It was for going 5 miles over limit!The speeding is 2 points.But my driver record is perfect,except for this speeding ticket. I know it gets reported to motor vehicles,but what about insurance points?How does that work?Will my insurance go up?""

Why did health insurance prices double in the last 5 years and not car insurance?

family health insurance plans went from 9,000/yr to 18,000/yr during Bush's administration. Health insurance is quickly becoming the average American's #1 cost, soon to exceed rent.""

Is my car insurance company lying to me?

I am insured by Farmers, they told me that I can not have a choice of the estimator who will decide the value of the damage to my car. They told me that only their estimator can decide the value of the damage. Are they lying?""

""Car insurance rate, Toronto, 18 year old?""

How much for a MALE 18 year old, 20 year old, and 25 year old would car insurance cost if you got your License when you were 16. In Toronto.""

Cheap auto insurance safe to have?

I'm going to buy auto insurance and the rates I'm getting are pretty low, $72.00 per month (Progressive) and $92.00 (Geico). But I picked the state's lowest minimum coverage that was available, and I was wondering if it's safe/okay to do that? Thanks :)""

How do I cancel my Kaiser Permanente insurance?

A wise person once said you have to be the change you seek in the world. I am a fit young man that is fed up with the current health insurance scheme in the United States and want something like the system that Singapore has. My plan is to cancel my health insurance, save the money in a high yield savings account for emergencies and actually take a nice vacation every now and then. A vacation to a nice country would increase my overall health way more than health insurance. I will also take out catastrophic insurance for just in case I get into something my medical fund can't cover. It makes no sense for me to pay thousands of dollars every year into medical insurance when I haven't been to the doctor in over 2 years. Can I get my money back? My health is fantastic and I try very hard to keep it that way. I hate going to the doctor. The problem is my company is saying I am only allowed to make insurance changes once a year--in June! I think they have some sort of special deal with Kaiser. Is there anything I can do? I love my job and don't want to quit on principle.""

Car insurance cost for expat?

Will my car insurance go up?

I got my first driving ticket for going 75 in a 65 and didnt use my blinker and it was a 170 dollar ticket. Will that make my insurance go up? if so how much?

Can my car insurance company take my car without my Authorization?

MY car was stolen out of my driveway after i got home from late at night from dancing at a club. I was was very tired and accidentally left my keys in my car. I awoke up the next morning with my car gone. made a report it was stolen, a few days after police contacted me stating my car was found and it was smashed up un-driveable. they put it in a towing company. asked me several questions and went into investigation. insurance called me and did their own investigation and asked me several questions like the police did before. I got a letter in the mail a week later from my insurance stating they will not give me any monies for my car because they don't believe my story. but failed to give me proof of me lying. understand my car is paid off its a 1998 BMW. it was in great condition.I am still paying insurance on it, I found out today that my car is not at the towing place that an agent from my insurance company came and had my car towed away. I was never informed, i did not i sign any papers releasing my car. I have the title. the towing place said they needed the car for investigation. can they take my car without my consent?""

Who's car insurance pays for an accident?

I lent my grandson my car one day while his car was in the shop and he had an accident. Who's insurance covers it

My name is spelt incorrectly on auto insurance paperwork...?

I am on my parents' auto insurance and my father decided to remove my name from the insurance plan because it got too pricey. However after having finished signing the paperwork and thinking we were done with the process we realized that my name was not spelt correctly on the paperwork to remove me from the insurance. Could I drive the car and if something happens argue to the insurance people that they never actually removed me from the insurance since MY name was not actually in the paperwork to be removed? I live in California if that helps. I'm not planning on actually driving, I'm just curious about what would happen if I absolutely needed to.""

Buying a car and using a friends insurance to practice?

Can I buy a car and drive it with a provisional license with a friend who has a full license and insurance for their own car with me? I asking because I don't know how insurance works, but I know someone who has a full license, insurance and own car can let you drive it if you have a provisional license. I'm in the UK btw.""

How can a full time college student over age 26 get health insurance?

What are our options?

Is full comp' car insurance worth having ?

Apart from paying lower premiums and having to pay for repairs to ones own vehicle are there any disadvantages to just having third party fire and theft insurance ? I've had full comp for years, my car (10 years old ) was walloped by an unknown driver reversing in my driveway which caused broken lights and superficial bodywork damage, I've since been told by my insurance company that it's not economically viable to repair it - they would write it off less a 150 excess fee. Apparently, according to my garage this is common practise on any car over five years old. Yet at no time did the insurance company advise me of this so essentially I was paying extra for nothing. So, do you know of any other reason why I should keep the full comp' or just change to third party ?""

""My husband and I want to get Life Insurance, help!?""

We have NO idea how this works. We have NO kids, we are in our mid 30's and relatively healthy. We prefer the NON hassle of no medical exam, etc. Can someone give us a hassle free/low cost, name of a company to use and explain how Life Insurance works? (I know the basics, that if one of us dies, we get benefits yada yada)""

Whats the insurance for a drink drive offence (uk only)?

My partner stupidly got in his car drunk a few years ago , he bought it while on a provisional license,and had it insured,he got a 20 month ban and a fine. He now has to pay something like 200 for a medical. I personaly think hes foolish thinking he can get back on the road as the insurance would be through the roof! he thinks it wont be,that he'l get cheap insurance somewhere.. What do yous think? I think hes way wrong. No negative feedback please, I dont condone drink drivers in any way ,took me a long time to forgive him.""

Expired car insurance ticket?

So I got pulled over in may and had expired car insurance of about 10 months. I had presented my expired car insurance document and the cop had my car towed to a nearby car shop, where i got it back a few days later. The cop called another cop to drive me back to my university since my car was towed. I was talking to the cop who drove me back and asked what I can do and he told me to just plead not guilty on my ticket and get new insurance and bring it to the court. I don't understand, how can I plead not guilty? It was his advice and he knew my insurance expired. How can getting new insurance do anything for my cause? Any help appreciated, thanks.""

""What is the lowest, best Liability auto Insurance in California ?

I just got a Pt Cruiser that car dealership if offering 70.00 to insure the car however I do need liability insurance any one know of a good web site were I can compare some quotes instead of calling around or talking to a pushy insurance agent ?

Got a Speeding Ticket in NJ. Will my Insurance Rate go Up?

Got a speeding ticket in NJ, and the cop said I was going 66 in a 45 zone (which is untrue, but that's besides the point). 1. Does this put points on my license? If yes, how many? 2. Willl my Geico Insurance go up? If yes, by how much? 3. Will a defensive driving course help at all? I'm 20 years old, this is my first offense ever, and and I own the car and insurance.""

How do you get health insurance?

im 16 and i dont have any health insurance. i wanna try out for the wrestling team this year but i dont think the school will let me because i have no health insurance. how do you apply for it and how long does it take to get it?

Car and car insurance for a 16 year old?

What is the best company for a 16 year old to get car insurance from? (needs to be fairly cheap but also, very reliable) Also, what would be the best car to get? (also needs to be fairly cheap and very reliable) Thank you for your time and give as much advice as you can!""

Teens do any of you have any kind of insurance?

I ask this because im bored and I realized that there are so many kinds of insurance Automobile Insurance Commercial vehicle Insurance (busses and trucks) Homeowners Insurance Renters Insurance Disability insurance Cell Phone Insurance Life Insurance Travel Insurance Troll Insurance There are so many different kinds of insurance AM I RIGHT?

After getting health insurance how long to wait before getting pregnant?

My husband and I have been married a little over a year now and we are trying to find a good health insurance plan for the two of us to be on. We would like to start a family as soon as we can, but I have been told not to tell insurance companies that because they will not cover us. I am wondering how long after we get insurance do we have to wait before we start trying to have a baby. I am also wondering if anyone knows of any good insurance companies for young couples looking to start a family. Thank you.""

Health Insurance for a newly married healthy couple ?

Amongst the following companies which offers Good and Hassle free Health Insurance for a newly married healthy couple sum assured around 5 lakhs per annum. Apollo DKV Bajaj Allianz Cholamandalam HDFC Ergo ICICI Lambord Iffco-Tokio National Insurance New India Insurance Oriental Insurance Reliance Health Royal Sundaram Star Health Tata AIG United India Insurance. Reply with confidance with suitable reason why you suggest this company. Reply immediately.

If I finance a new motorcycle do I need full coverage?

I live in Texas, 19 years old. I am going to buy a new 2011 ninja 250. I have the cash to pay for it. But I'd rather have payments. Does Insurance in the state of Texas REQUIRE you to have full vehicle coverage on a FINANCED vehicle? Thank you!""

""Does anyone know an insurance company that insures parts of the body i.e. hands, legs, etc?""

I've always said that people that use certain parts of their body to make a living should get that part insured. I've been looking for companies that do that but can't seem to find any. I know celebrities do it, but commoners should be able to also.""

Car bill of sale/insurance?

Im 18 with no licence Im actually in the process of trying to get my licence well my question Is can a family member Put me under there car insurance so i can Register my car since the Bill of sale Is under my name? Im not planning on driving the car until i have my licence

Dollar general insurance rates. are we getting screwed?

how much would a manager at dollar general have to pay for comany insurance? 3 children covered, no heath probems. living in missouri i think my fiance is getting screwd by his ex wife and i think he is paying for her on the insurance with the boys. he pays an extra 300 a month suposedly just for the boys insurance. please help!""

Infinity insurance reviews?

Me and my husband are looking to change insurance companies for our cars. We currently use Geico, but it just got really expensive. We got a quote from a broker of a company called Infinity but I've never heard from them, I was wondering if anyone has had any experience with this company or could give me some reviews about it! Thanks a lot!!""

Best pregnancy insurance in PA?

I live in Philadelphia I currently have no insurance. Looking for best private insurer -any info or feed back would be great I am currently 9weeks pregnant

""Insurance rates for a 1996 Ford Crown Victoria in Chattanooga, Tennessee?""

My next car, just need to know the insurance. Asking you guys might prevent me a whole lot of hassle and harassment from the insurance companies.""

At fault driver's car insurance won't pay for my damages!?

Hey guys and gals, My wife was in a car accident on 10/8 driving our truck with liability only insurance (IE: not full coverage because the truck is only worth ~$3000 and it's paid for). She was turning right and had slowed down to turn (with her turn signal on) when a speeding truck slammed into the van behind her, ramming the van in to our truck. The police filed a report, in which the driver of the speeding truck (an 18 year old kid, that had just left his house less than 1/4 mile away) was determined to be at fault. It is worth note that this happened in front of two different auto body shops, and within sight of the house the at fault driver had just left. Their insurance company, state farm, finally contacted us on 11/8 after not returning our phone calls for nearly two weeks saying they had determined he was in fact at fault and would send an adjuster the following Monday. He came, inspected the truck, determined it was repairable, then said we would hear from their office later that day. When they called they told us the damage was more than 75% of the vehicles worth so it was considered total and they would send the required paperwork to my email address to begin payment. Within 3 hours, the claim agent we had talked to the previous Friday said an owner of one of the auto shops had came forward (all of a sudden, no mention of a witness before) and that he had a notarized statement saying the van struck our vehicle before the truck struck the van. The insurance company now will not pay us for the damages. We tried to call the witness and get a copy of his report because State Farm would not give us the copy. Then we called the other auto body shop and both the owner and one of his employees both seen the accident and say that the truck was at fault, and the owner overheard the driver say specifically that it was his fault. When we bring this to the agents attention, she claims this is not evidence because they know the at fault driver. We found out that the first witness also knows the driver, but can't prove it. Ours is a small town, you don't have neighbors that you don't know or speak to. It seems we are at an impasse, and I have been without a truck for nearly 6 weeks. What should I do in this instance? Get an attorney? Our insurance agency is adamant about not intervening since we did not have full coverage insurance. It may be worth noting that my wife has had back and neck pain since the accident and went to the hospital the day of the accident, the family doctor twice since, and has an appointment with a chiropractor next week (all of which our insurance has paid for.)""

Car insurance cost for expat?

""Affordable health insurance, where can my family get it?""

Me, my girlfriend, and my two sons need health insurance. We dont qualify for medical here in CA. I work full time at subway and my girlfriend works part time. We avg about 2400 dollars a month. But with rent, food, utilities, etc. where can I get affordable health insurance? plz help me!""

Can you get insurance on a vehicle if your license is suspend?

Cost to insure brand new Range Rover Sport at 17 years old?

To start off, money is not a problem in this situation for me so dont tell start saying - Its unreliable - It'll be too expensive etc... Anyway! just wondering what a brand new range rover sport would cost to insure as a new driver with a full UK license as a named driver whilst im 17 years old? Thanks""

Insurance costs for a 1999 ford mustang gt?

I am just wondering what the insurance cost would be for a 1999 ford mustang gt would be for a 17 year old male. I get a's and b's on my report cards. Also, would the insurance costs for a 1999 ish Ford Mustang base(not gt or cobra) be lower? Thanks, Alec""

Trampoline and home insurance question?

I would like to purchase a large trampoline. However, my boyfriend said he would have to pay more home insurance if there is one on his property. Is that true? Wouldn't that only be required if people outside of the home get injured on it? I would be the one using it mostly, the kids would too. They're young teens.""

Wanting cheap car insurance?

wanting cheap car insurance that dont want a deposit hepl peeps xx

Why has car insurance more than doubled?

I'm 34, have 9 years no claims and a clean licence but my car insurance has gone from 328 last year to over 800 this year. tried all the different company's and cheapest i can get is over 600 by putting my excess up to 500. Know car insurance has risen this year by about 12%(which i could handle) but these figures are through the roof. Can anyone put some light on why it might have risen so high when it is same car and address as last year?""

If I get car insurance will my parents' rates go up?

If I get my own car insurance with my own policy from a completely different insurance company than my parents', but use the same address, would that cause my parents' rates to go up?""

What is the best Home Insurance?

What is the best Home Insurance company? How much should I expect to pay each month for Home Insurance for a $300,000 brand new home? Are there things that I should include in my Home Insurance policy that is not mentioned to me? The home is in Fresno California.""

How much is car ins. per month for teens?

For full coverage, which includes, uninsured, underinsured, rental car and a low deductible, etc. . I am wondering if my teen is paying too much for car insurance? How much do you pay and what company is it through? I am curious to see if we're paying too much!! Thanks!""

What is the difference between whole and term life insurance? what is a unit?

How much per month would insurance be at 18y.o.?

I'll be in the military soon, so I'll need a car and transportation (in the instance that I'm not shipped to the sandbox). I've tried looking up quotes on progessive and a few other instant quote people online. But the confusing part is they all seem incredibly high. I put in the car as a 2010 mazda 3(which I hope to have), and age at 18, and all the other info. It had me at 800/mo with no collateral or collision coverage. What the f? I tried all different car combinations but they all were high or in the general extreme area. Can someone let me know what I'm doing wrong?""

What the average price for insurance on a Lancer Oz?

Lets say for someone under age 25 with a clean driving record living in Minnesota

Are SUVs more expensive to insure?

I know you can't tell me for sure whether or not one will be more expensive. But, generally speaking is a small SUV such as a Ford Escape more expensive to insure than say a midsized car like a Honda Accord.""

IF YOU GET PULLED OVER WITHOUT CAR INSURANCE?

IF YOU GET PULLED OVER AND YOU Have no insUraNce on your car how much is tHE fine???

Does anybody have or had insurance thru esurance?

they are by far the cheapest i found for full coverage for me. i know cheaper isnt always better but i just need insurance because my car is financed. esurance isnt a very big name and i dont know anyone who actually has insurance thru them. anybody know how they are compaired to other companies?

Should I notify my car insurance company if I paid for the fix myself?

I had a minor car accident in a Costco parking lot last weekend. I was backing out my parking lot; the other guy was also backing out. Unfortunately, we didn't see each other... Anyway, this seems to be a 50-50 accident. The damage to the cars are moderate and we agreed on just fixing ourselves. So no personal information was exchanged. I got an estimate today. The cost for fixing my car is not cheap but still lower than the minimal requirement for accident reporting in California. It is also lower than my insurance deductible. So I plan neither to report to DMV nor to file a claim. But one friend of mine suggested that in this case, I should still notify (but not to file a claim to) my insurance company. His argument is that the other party can still come back and sue me (if he is a freak). While we didn't exchange information, the other party may have remembered my license plate number so theoretically he could find out all other information about me. But I am not sure if notifying the insurance company will affect my premiums. What do you think?""

What is a cheap car insurance for me...i am 16 years old?

need the cheapest one

Insurance on a Pontiac Trans Am?

Hello. I was just wondering what would the insurance cost you on a 1998-2002 Ws6 Pontiac Trans Am For a 17 Year old living in Orlando, Florida???? Thank You.""

Car Insurance Help?

Where can I find Car Insurance with no license needed answer ASAP??

Police get cheaper car insurance?

I went on a compare site and the only thing i change was the job to police officer and the insurance was cheaper? This may be due to the fact that they are less likely to commit crime.

Car insurance?

how much would insurance for a 16 year old female cost for a 2000 Plymouth Neon Highline

How much would the insurance be for this car?

Im a 16 year old boy that has not had any law trouble and is a first time driver with really good grades. I take my road test at the first of november. I am looking at purchasing a 2002 Volkswagen Passat GLS and i was wondering how much the insurance would cost on average?

Insurance and leasing for teens?

if a teenager (16) wants to lease a car I'd he allowed to or do his parents have to lease it for him?and what is the cost for insurancev insurance

Health insurance costs...what do you pay?

My husband is in the military and is thinking about getting out. Our health insurance is totally covered right now but in the civilian world we have no idea what the cost will be if he doesn't get a job that offers benifits. I'm looking for any info about what people pay monthly, and co-pays for health insurance for a family with 1-2 children. Thank you so mcuh!!!""

Car insurance cost for expat?

I hit a dog last night with my car what should i tell my insurance company now that its the next day?

I don't care about paying a deductible just need it fixed asap so I can get back on the road damages will cost to much to pay on my on

How much would insurance be on a 1986 honda civic si hatchback?

I need to know asap how much estimated it would be to add this car to insurance. (state farm) I just bought it for 800 bucks and i need to know also how much in total it would be to get on the road.. register, title switch , tags all that good stuff...im un VIRGINIA btw.. need any more info ask..""

USAA vs Navy Fed for banking & car insurance?

i actually have a few questions. Being new in the Marine Corps, im trying to find the best deals. So far ive heard that USAA and Navy Fed are the best for both banking (loans, general banking), and also car insurance. So which one is better in your opinion? Have you dealt with both or know the ups and downs of both? Should i go to USAA/Navy Fed for both, or do a mix of the two for my needs?""

How much of my 18 yr. old son's paycheck should I take from him?

My son got his first job at McDonalds. He is living at home. I want to take a percentage of his pay and put it aside for his car insurance, etc.. I can't see him just blowing his whole paycheck on junk. What percentage do you think is fair?""

How could I get my mom on my health insurance?

She is suffering from cancer and is thinking about filing for disability. When she leaves her job she will be dropped from her insurance. Also, she has blue cross and so do I. Please help.""

Would teen car insurance be expensive for a 2007 honda civic hybrid?

I am a new driver with good grades and took drivers ed. Will the year of the car affect my insurance rates? Would another car be cheaper? Would being on my parents policy be less as opposed to having my own?

How much for motorcycle insurance?

I am a 17 year old male and interested in getting my motorcycle license and am wondering if anyone has a rough estimate for insurance cost. I plan to get something small for my first bike, such as a honda rebel 250 or a suzuki tu250. I will use it for leisurely driving in a rural town. I have a valid NYS license and currently have not been in any accidents.""

How much will my car insurance cost monthly?

I'm 20 years old, female, college student, never been in an accident, 0 tickets, i've had my license since i was 18, my occupation: customer service. i'm self supporting, my insurance will not be under parents. it will be under my name. i'm looking to just get basic liability coverage. the car i'm considering to get is a white 2003 toyota celica gt coupe. with about 95kmiles. what insurance do you recommend and how much do you think it will cost for me monthly?""

What are cars that don't cost much for insurance?

Im turning 16 soon and a lot of cars I've wanted are vintage so they don't cost much, like the chevy vega but of course the insurance for them would be ridiculous, so my dad is suggesting junker cars but of course i don't want a junker (im paying for the car) what are some cars that are affordable without having to spend a fortune on insurance?""

How much does Adderall cost?

Per pill? per prescription bottle ?

How much would insurance cost for a motorcycle?

I'm 16 and I live in va. I was wondering how much insurance would cost for a 600cc and a 250cc. A sportbike. Like the ninja 250. But I'm trying for a 600cc, either yamaha r6 or a ninja 650r. Thanks""

How can i get cheap car insurance in the UK?

hey people, i have tried getting cheap car insurance for a while n i have had no joy. the cheapest i have got it is about 2,897 that is ridiculas for a 18 year old male at college who hasn't got a penny spear! i got a car givin to me a 1998 ford fiesta 1.25 zetec and i need help pritty bad. please help me!!!!!!!!!!""

What kind of car insurance should I get?

I ust got my liscence, and I don't have a car yet, but before I buy one, I want to look into what it costs to ensure one. I'm 18, and in college, so i cant afford to spend alot on car insurance. Does anyone know of good car insurance for first time drivers, and how do I go about getting it? I live in New Jesey.....""

How is the mandate to buy car insurance different than the mandate to buy health insurance?

This seems to be a popular talking point among liberals. It saddens me that liberals are so partisan that they are blinded to the obviousness of the differences. So for the record, what are the two differences between the requirement to have car insurance and the requirement to have health insurance? 10 points goes to the most simplistic and straight to the point answer.""

What are we paying for when we buy car Insurance?

Does any one notice that we shell out thousands of dollars from our income for car insurance, and the insurance company gives us nothing back? Sure, if we get into a car accident, they cover the costs, but then they raise your rate. And you are paying far more than the cost of the accident anyway. And then if you don't get into an accident, what is all that money for? They don't give it back. I just think its odd that we are required by law to pay for nothing, after we already have paid for the car. And then if you don't, you are penalized and punished, so you are given no choice. But really, you're paying all this money and getting nothing back. WTF""

Does my Company car insurance cover me to drive other insured cars 3rd Party?

im insured fully comp to drive my company car, so because i am fully comp does this mean that i am insured to drive 3rd Party any other car that is also insured Fully Comp?(not in the company)""

Why should the government force us to buy car insurance?

If its wrong for the government to force us to buy health insurance, is it also wrong for the government to force us to buy car insurance? I mean.... in both cases, if you don't have insurance and something goes wrong somebody else is going to have to pay for it.""

What modifications can increase car insurance?

Hi, Can just cosmetically changing the car increase car insurance for instance- alloy wheels and a minor body kit? I understand that performance modifications can for example- exhaust, sports air filters etc. Can anyone help me here? Query.""

Where can I buy afforadbale individual dental insurance?

Where and how much? For one.

Can the car insurance company make me pay the higher amount?

I bought new car insurance for $1000/yr a few weeks ago. I filled out all the paper work and have to make my first payment for the next three months in a week. Yesterday they told me they made a mistake and that they will be charging me $2000/yr instead. Do I have to pay the higher amount amount for the time while I was insured by them (about 2 weeks) before they told me they made a mistake (and the mistake was entirely their fault)? I'd think they would need to renew the contract at the new price if I actually wanted to stay with them. I plan on switching companies since it's a horrible rate, but would like to know if I can do anything if they do take the higher rate out of my account (I'm set up for direct withdrawals and I agreed to pay the next 3 months when the rate was $1000)? They probably won't answer my email til monday, so I'm hoping someone here can help me out sooner. Thanks.""

""If you have Mercury Insurance in the state of Florida, how much will the insurance cost for new 2014 Kia Forte?""

It's the base car no extra things in, just the LX""

What CAR INSURANCE should i use?

whats the cheapest? its just me im almost 19 (2 door 95 celica GT). I live in Arizona i need full coverage

Car insurance address when at university?

I am a university 20 year old student and I will be insuring my first car next month. I was just wondering if I would be able to use my home address for the insurance details ro whether I would have to put my term time address. i ask this because I come from Wiltshire (low risk) and I go to uni in Birmingham (high risk). I mean my car will be with me at uni but the cost is sooo much lower if I use my home address. Is this ok and legal? Cheers

How much less will my car insurance be when I turn 25?

I know you're considered in a lower-risk age bracket so your car insurance will be less but how do insurance companies calculate this reduction?

Whats the price for transfering insurance?

Wanted to switch my insurance from my truck thats not running to one that is

Car insurance cost for expat?

https://www.linkedin.com/pulse/car-insurance-20-average-cleofa-escobedo"

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