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Just 15 vehicles qualify for the TOP SAFETY PICK+ award from IIHS after the requirements were strengthened to include good-rated headlights and good or acceptable passenger-side protection in small overlap front crashes. Another 47 vehicles earn the TOP SAFETY PICK award, which now requires acceptable or good headlights. In contrast, headlights weren’t factored in for 2017 TOP SAFETY PICK, and an acceptable headlight rating was enough to bump a 2017 award winner into "plus" territory. The inclusion of a passenger-side crash test is a first for any IIHS award. The Institute developed the passenger-side small overlap front crash test after it became clear that some manufacturers weren't paying sufficient attention to the passenger side as they made improvements to achieve better performance in the driver-side small overlap front test.

Nearly five dozen 2019 models meet stricter criteria to qualify for a 2019 TOP SAFETY PICK+ or TOP SAFETY PICK award from the Insurance Institute for Highway Safety. The 30 first-tier “plus” award winners earn the highest rating for passenger-side protection in a small overlap front crash and have good-rated available headlights, while the 27 winners of the second-tier award qualify with an acceptable or higher rating in the newest IIHS crash test and the nighttime headlight evaluation. All 57 vehicles in this elite group earn good ratings in the Institute’s five other crashworthiness evaluations and have an available automatic emergency braking system that rates advanced or superior for front crash prevention. IIHS now requires a good rating in the passenger-side small overlap front test to earn a 2019 TOP SAFETY PICK+ versus an acceptable or good rating for the 2018 award. An acceptable or good rating in the passenger-side test is a new criterion to earn a 2019 TOP SAFETY PICK. This marks the sixth time that IIHS has raised the bar to earn the TOP SAFETY PICK+ award since introducing it in the 2013 model year to recognize vehicles that offer a superior level of safety. The TOP SAFETY PICK accolade launched in the 2006 model year to help consumers identify vehicles with the highest ratings. Over the years, IIHS has added to and strengthened criteria for both awards to encourage manufacturers to speed up safety advances.