From Bobbie Sage,
Your Guide to Personal Insurance.
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A. That depends on the state you live in. Most states have stringent laws about having car insurance and if you don't choose to follow these laws by not purchasing car insurance, there can be tough penalties and fines. You can probably for sure count on loosing your drivers license and getting your car impounded but then you will be charged with breaking the law and that will be on your police record. Also, if you cause an accident, on top of the above mentioned things you will still have to pay for the damage to the other vehicle and people who may have been hurt, which can easily run into thousands of dollars.