Integrated Motor Assist (IMA) battery failures are not uncommon. The IMA battery will require replacement when it fails.
Problems for specific Honda Insight years:
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Most reported 2001 Honda Insight problems
The automatic transmission (CVT) can have a "shudder" due to a worn start clutch. Replacing the start clutch should correct this type of shudder condition.
The Check Engine Light may illuminate due to an evaporative emission control solenoid failure. This is more common in areas of the country where salt is used on the roads during the winter.