In most states, it is possible to drive a car that is insured under someone else's name as long as you have their permission. However, the decision to insure a driver for a car they do not legally own ultimately lies with the insurance company. Car insurance typically follows the vehicle, so if you get into an accident while driving someone else's car, their insurance policy will typically cover the damages. However, it's important to note that individual car insurance companies may refuse to cover a car that's not registered to the same driver that's purchasing the insurance policy. The one exception to this rule is the state of New York, where the name on the insurance policy must match the name on the registration.