CALIFORNIA DEPARTMENT OF INSURANCE / 1

Size: px
Start display at page:

Download "CALIFORNIA DEPARTMENT OF INSURANCE / 1"

Transcription

1 Changes for 2015 Chris Shultz, Deputy Commissioner Community Programs & Policy Initiatives November 7, 2015 VISION: Insurance Protection for all Californians. MISSION: We act to ensure vibrant markets where insurers keep their promises and the health and economic security of individuals, families, and businesses are protected. CALIFORNIA DEPARTMENT OF INSURANCE / 1

2 CLCA: 25 million vehicles 3-4 million uninsured cars CALIFORNIA DEPARTMENT OF INSURANCE / 2

3 Assembly Bill million undocumented immigrants will obtain driver licenses beginning January 1. Potential customers. CALIFORNIA DEPARTMENT OF INSURANCE / 3

4 2014 CLCA Program Eligibility 19 years of age Continually licensed for 3 years Vehicle valued less than $20,000 Good driving record Insure all cars in the household Income eligibility: 1 person $29, people $59,625 Cost $338/year - Los Angeles and Orange $276/year - Bay Area and Sacramento $226/year - Fresno CALIFORNIA DEPARTMENT OF INSURANCE / 4

5 2015 CLCA Program 2015 changes: New 30% surcharge for those without a 3-year driving history (AB 60 + others). Increase commission to $50 (from $35). Increase vehicle value to $25K (from $20K). CALIFORNIA DEPARTMENT OF INSURANCE / 5

6 How to sign up with CAARP/Low Cost https://www.aipso.com/ca/ Lisa Simone Western Regional Manager AIPSO 150 California St. #200 (800) CALIFORNIA DEPARTMENT OF INSURANCE / 6

7 How To Become A Certified Producer with CAARP/Low Cost Log on to or Scroll down to forms, follow instructions and complete the Producer Certification Application Form For individual producers, complete form and provide a current copy of fire and casualty license For an agency, complete form and provide a current of fire and casualty license An employee producer working on behalf of the agency must also complete the certification application form and attach their individual license You may fax (415) or the completed forms CALIFORNIA DEPARTMENT OF INSURANCE / 7

8 CALIFORNIA AUTOMOBILE ASSIGNED RISK PLAN (CAARP) CALIFORNIA LOW COST AUTOMOBILE INSURANCE PROGRAM (LCA) REQUIREMENTS FOR PRODUCER CERTIFICATION To be eligible to submit applications to the California Automobile Assigned Risk Plan and/or to the California Low Cost Automobile Insurance Program, you must hold a current Fire & Casualty agent/broker's license or Personal Lines license with the California Department of Insurance. Per the requirements of the California Insurance Code ( ) all certified producers must assist any individual who wishes to purchase a Low Cost Policy. THIS INCLUDES ALL PRODUCERS WHO ONLY WRITE COMMERCIAL BUSINESS. IF A PRODUCER CHOOSES TO BECOME CERTIFIED WITH CAARP, THEY MUST COMPLY WITH If a producer submits their own deposit checks on behalf of the applicant, they must have either their own agency fiduciary trust account or work for an agency that does. This is required per Section 20.A.E. Applicants are allowed to submit their own personal checks or money orders when applying for CAARP or LCA. It does not have to be the producer's check. You must complete and mail, fax or to CAARP a Producer Certification Application and provide a copy of your current F & C or Personal Lines license. You must complete within four months of your certification the four online producer courses available via LunchtimeCE at Four hours of Department of Insurance CE credits will be given after completion. In order to remain certified with CAARP you must: Complete the producer course requirement at least once every four years. Failure to complete the producer course requirement every four years will result in a lapse of your certification and affect your ability to submit applications. Provide CAARP with a copy of your renewal license. Failure to do so in a timely manner will result in a lapse in your certification status and affect your ability to submit applications. Renewal licenses can be faxed to (415) or ed to You must have access to the current CAARP Manual, which includes the rules and rates of both CAARP and the Low Cost Program. The online manual is available free of charge to aipso.com registered users after logging into and accessing the Plan Sites link. Only certified producers may submit applications to CAARP or the Low Cost Program. Only certified producers will have access to the Electronic Effective Date Procedure (EASi). Only certified producers will receive commission and are allowed to order supplies, such as applications and manuals. (For additional information regarding Producer Certification, refer to Sections 19 and 20 of the CAARP Manual.) There is no fee to become certified with CAARP. Contact CAARP at (800) or for more information on how to become certified. All applications and other forms are available in electronic format to aipso.com registered users. They may be printed after logging into www. aipso.com and accessing the Plan Sites link. Scroll down to FORMS. CALIFORNIA DEPARTMENT OF INSURANCE / 8

9 Sample of Producer Certification Application CALIFORNIA AUTOMOBILE ASSIGNED RISK PLAN PRODUCER CERTIFICATION APPLICATION MAIL WITH COPY OF LICENSE TO: CAARP PO Box 6530 Providence, RI OR: FAX OR WITH COPY OF LICENSE FAX: (415) FOR PLAN USE ONLY RECEIVED PROCESSED BY AND DATE CERTIFICATION NUMBER CASUALTY INSURANCE AGENT/BROKER LICENSE NUMBER EXPIRATION DATE TAX ID OR SOCIAL SECURITY # LAST NAME OR AGENCY NAME (AS IT APPEARS ON LICENSE) FIRST NAME MI DBA NAME (AS IT APPEARS ON LICENSE) ADDRESS BUSINESS STREET ADDRESS (REQUIRED) CITY STATE ZIP CODE BUSINESS MAILING ADDRESS (INDICATE IF SAME AS ABOVE) CITY STATE ZIP CODE TELEPHONE NUMBER (INCLUDING AREA CODE) FAX NUMBER (INCLUDING AREA CODE) IF AN INDIVIDUAL, NAME OF AGENCY/BROKERAGE ASSOCIATED WITH* AGENCY LICENSE NUMBER DO YOU CONDUCT BUSINESS AT ANY OTHER LOCATION BESIDES THE ONE ABOVE? NO YES IF YES, PLEASE INCLUDE A LIST INDICATING EACH LOCATION COMPLETE WITH ADDRESS, TELEPHONE/FAX NUMBERS. DO YOU OR YOUR AGENCY HAVE AN INSURANCE FIDUCIARY TRUST ACCOUNT AS REQUIRED BY CA INS CODE 1734? NO YES *NOTE: If Your Agency is Not Certified, Please Complete And Include An Application For Agency Certification. FAILURE TO INCLUDE A COPY OF YOUR LICENSE WILL RESULT IN THE DELAY OF YOUR CERTIFICATION. IF ADDITIONAL COPIES OF THIS APPLICATION FORM ARE NEEDED, THIS FORM MAY BE PHOTOCOPIED. APPLICANT DECLARATION The applicant named above, or their representative, declares that in the event of certification as a producer of the California Automobile Assigned Risk Plan (CAARP) business, the applicant will comply with all Plan and Program rules and regulations. The applicant also declares that they possess or have access to a CAARP manual or that they will obtain one in a timely manner in order to facilitate their understanding of the rules and regulations. Additionally, they certify that all information on this application is true and correct and the copy of the license is as issued by the Department of Insurance. Any misrepresentation of material information or alteration of the license will result in their certification being declared invalid. The applicant also declares that they will complete CAARP's required producer course requirements. By signing below the applicant understands that if they fail to complete the producer course requirements, CAARP will no longer consider them a certified producer and that they will not be able to submit CAARP or Low Cost applications, utilize the EASi system nor receive commission on any new business. The applicant also certifies that they will comply with all provisions of the California Insurance code. PRINT NAME DATE SIGNATURE OF APPLICANT OR AUTHORIZED REPRESENTATIVE AIP1249 CA PRODUCER CERTIFICATION APPLICATION (Rev 7/14) - Page 1 IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT CAARP AT (800) OR CALIFORNIA DEPARTMENT OF INSURANCE / 9

10 Introducing EASi EASi - Electronic Application Submission Interface is a simple, cost effective way for producers certified by the CAARP to complete and submit automobile application data electronically to the Plan via the Internet. The resulting electronic version of the completed application can be printed, signed, and mailed to CAARP together with the premium deposit payment and any other supporting documentation and/or forms required by the Plan or Program. EASi 2.0 is available for both the CAARP private passenger and the CA Low Cost Automobile Insurance Program English version application. Only producers certified by the California Automobile Assigned Risk Plan can submit application information to the Plan via EASi. CAARP will issue to individually certified producers and agencies a unique EASi user identification name and password. How does it work? It s EASi! To submit application data to CAARP through EASi 2.0 go to the website, https://easi.aipso.com and log-in with your EASi username and password. Choose which application you want to use - CA Private Passenger or CA Low Cost. Electronic Payments (E-Pay) E-PAY provides both producers and applicants with the option to send deposit premiums electronically to CAARP or the Low Cost Program from their authorized account. Insurance companies will then accept deposit premiums electronically for all assignments received trough EASi 2.0. There will be different methods for the new E-PAY process: a sweep of the producer s authorized trust account, payment with an applicant s E-check or payment using credit/debit card. Please note that submitting an electronic payment will be optional for the producer/applicant. The current process of submitting deposits with a paper check, money order or finance draft (CA Private Passenger only) is still accepted. If E-PAY option is chosen through EASi, producers must fax in all required documents to CAARP along with the EASi E-PAY application instead of sending through the regular mail. Using E-PAY wil expedite the entire assignment process. CA Private Passenger has Rating! If you choose the CA Private Passenger application you will be brought to the main screen where you can choose the following options: Create New Quote or Application View Previous Quotes or Applications Whether you are creating a new application or getting a Quick Quote, you will be prompted to enter whether the policy type is Private Passenger or Named Non-Owner. You will then be asked to enter additional information, including: Date of Birth, Gender, Marital Status Custody of child resident in household Relationship to Applicant Vehicle Usage Code, Penalty Points Financial Responsibility Filing Required Zip Code, Mature Driver Improvement Course A zip code to rating band conversion will automatically give you the proper rate for the applicant s rating band. Commercial applications can be submitted from the EASi 1.0 site which can also be accessed from the following website. https://easi.aipso.com There is NO rating for commercial. Next you will then be asked to enter the vehicle identification number (VIN) and indicate the coverages needed. A VIN validation feature will give you the year, make and model of the vehicle to be insured. The Quick Quote feature will give you the EASi Rate Summary and allow you to either SAVE it for later or PRINT it for your client. Note, with the Quick Quote feature it will be an ESTIMATED policy premium for your risk as the company of assignment will run its own motor vehicle report for final premium determination. At each step of the way you will be able to Add, Edit or Delete information. When all information has been entered you can SUBMIT the application. EASi will prompt you that if you hit submit, the application cannot be modified. Once submitted all rating information will be pre-filled into the applicable information fields on the application. You can then print the application. Pre-Screen Low Cost Applicants Sample of EASi Brochure CALIFORNIA DEPARTMENT OF INSURANCE / 10

11 Pre-Screen Low Cost Applicants cont. The producer will be directed to another series of screens requesting additional information on the applicant and all residents in the household. Any licensed driver in the household will also be prescreened by running their motor vehicle report (MVR) in real time. EASi will tell you whether they are a good driver per the requirements of the Program. If it states that a driver in the household is not eligible, you will be allowed to continue with the EASi application, however the driver will be automatically excluded from coverage. OR Need your EASi Username & Password? A User Guide California Low Cost Automobile Insurance Program The producer will also be asked to enter the vehicle information. A VIN validation feature will give the year, make and model of the vehicle to be insured. Questions will be asked regarding the applicant s accident & convictions and their insurance history. The producer will then enter the applicant s payment choice and payment amount information. 2014CAARP REV 1/2014 Once all information is entered, the producer can hit SUBMIT. The producer will be asked to check that all necessary information has been provided and that all required documents are ready before final submission. When the producer confirms all information is correct, the application will be officially submitted. All information will be pre-filled into the applicable information fields on the Low Cost application. Application PDF Forms Once you are done entering all information and hit the Submit button, a (PDF) application form, with all the data filled in, will be transmitted back to your computer. This form will include a unique EASi reference number, and the date and time of the transaction. Producer would then: Print the completed application and a temporary identification card valid for 30 days. Make sure that a certified producer and the applicant both sign the printed application. Attach the deposit premium check, plus any required documentation and/or forms, to the application. Mail the application to CAARP within 2 working days. (USPS postmark only) us at: CALIFORNIA AUTOMOBILE ASSIGNED RISK PLAN Using EASi WILL NOT guarantee an effective date. Producers will still have to comply with all of the mailing provisions of the Plan in order to receive their proposed EASi effective date. IF USING E-PAY, APPLICATIONS CAN BE FAXED IN TO THE PLAN IN LIEU OF MAILING. For EASi technical questions contact EASi Customer Service by clicking on the link at the bottom of every EASi page: Contact Web Support For all other questions, contact: CALIFORNIA AUTOMOBILE ASSIGNED RISK PLAN California Low Cost Automobile Insurance Program P.O. Box 6530 Providence, RI (800) fax (415) Electronic Application Submission Interface Sample of EASi Brochure CALIFORNIA DEPARTMENT OF INSURANCE / 11

12 Licensing Issues New exam sites in Laguna Hills, Riverside, LA Complete continuing education 60 days before license renewal Agent and broker license suspension/revocations should take less than a year CALIFORNIA DEPARTMENT OF INSURANCE / 12

13 Questions? CHRIS SHULTZ Deputy Commissioner Community Programs & Policy Initiatives California Department of Insurance (916) office / (916) mobile CALIFORNIA DEPARTMENT OF INSURANCE / 13

Producer Last Name/Agency Name Producer First Name MI. Mailing Address Ste./Apt. # City State Zip Code. Last Name First Name MI Producer License #

Producer Last Name/Agency Name Producer First Name MI. Mailing Address Ste./Apt. # City State Zip Code. Last Name First Name MI Producer License # CALIFORNIA LOW COST AUTOMOBILE INSURANCE PROGRAM APPLICATION FOR INSURANCE Language discrepancies arising from the translation of the English version of the instructions portion of this application shall

More information

SECTION 4.a: View Policy Info. Policy Search Auto

SECTION 4.a: View Policy Info. Policy Search Auto SECTION 4.a: View Policy Info. Policy Search Auto The View Policy Information options can be found via the View Policy Info. button off of the Arrowhead Exchange Main Menu. View Policy Information: VPI

More information

Web Quoting Guide. Non-Owned Auto policy

Web Quoting Guide. Non-Owned Auto policy 1D2207728 LLLL Web Quoting Guide Quick Reference Manual- Non-Owned auto can be found under Section 6-3, Rule 70 in our 2015 Underwriting Manual. The other non-owned auto sections of the manual which you

More information

1-800-927-4357. www.insurance.ca.gov. Automobile. Insurance. California Department of Insurance

1-800-927-4357. www.insurance.ca.gov. Automobile. Insurance. California Department of Insurance 1-800-927-4357 www.insurance.ca.gov Automobile Insurance California Department of Insurance Table of Contents Page 2 Introduction to Auto Insurance 4 Auto Insurance Costs 6 Liability Coverage and California

More information

3. Is this personal umbrella available monoline over other acceptable carrier underlying coverages? Yes.

3. Is this personal umbrella available monoline over other acceptable carrier underlying coverages? Yes. Program Questions 1. Who is the carrier being offered and what is their rating? Hudson Specialty, which has an AM Best rating of A Excellent XV and is a member of the Odyssey Re Group. 2. Is this personal

More information

BUSINESS AUTO ONLINE

BUSINESS AUTO ONLINE AMERICAN SERVICE INSURANCE COMPANY COMMERCIAL BUSINESS UNIT BUSINESS AUTO ONLINE TRAINING GUIDE WEBSITE: http://atlas-fin.com For your convenience, here is our Contact Information: PHONE #: (847) 472-6700

More information

WELCOME. Thank you for your interest in representing A-One Commercial Insurance Risk Retention Group, Inc. (A-One).

WELCOME. Thank you for your interest in representing A-One Commercial Insurance Risk Retention Group, Inc. (A-One). WELCOME Thank you for your interest in representing A-One Commercial Insurance Risk Retention Group, Inc. (A-One). Attached you will find the necessary paperwork needed for your appointment. A brief checklist

More information

COMMERCIAL AUTO TRUCKING APPLICATION

COMMERCIAL AUTO TRUCKING APPLICATION COMMERCIAL AUTO TRUCKING APPLICATION A. GENERAL INFORMATION Proposed Effective Date: Business Name: (DBA) Applicant s Name: Applicant s Mailing Address: City: : Zip: E-Mail: County: Business Telephone

More information

CALIFORNIA PRODUCER APPOINTMENT PACKAGE

CALIFORNIA PRODUCER APPOINTMENT PACKAGE CALIFORNIA PRODUCER APPOINTMENT PACKAGE Please complete the attached application in its entirety and submit it Multi-State Insurance Services, Inc. via one of the options listed below: Mail: E-Mail: Multi-State

More information

Check Acceptance Policy

Check Acceptance Policy Check Acceptance Policy COPART, INC. Member A/R 4610 Westamerica Drive Fairfield, CA 94534 Why Cashier s Checks or Money Orders are required Members are required to pay by Cashier s Check or Money Order

More information

ARIZONA AUTO INSURANCE APPLICATION. Nevada General Insurance Company UNDERWRITTEN BY NEVADA GENERAL INSURANCE COMPANY Transmittal Date/Time:

ARIZONA AUTO INSURANCE APPLICATION. Nevada General Insurance Company UNDERWRITTEN BY NEVADA GENERAL INSURANCE COMPANY Transmittal Date/Time: ARIZONA AUTO INSURANCE APPLICATION Nevada General Insurance Company Transmittal Date/Time: Policy Number: Program: Valu APPLICATION INFORMATION Named Insured and Mailing Address PRODUCER Producer Code

More information

Gerber Life Guaranteed Life Product/Sales Training

Gerber Life Guaranteed Life Product/Sales Training Gerber Life Guaranteed Life Product/Sales Training Guaranteed Life Insurance Addressing important funeral and final expenses for adults ages 50 to 80 Copyright 2012 Gerber Life Insurance Company, White

More information

SDI Online Tutorial: Claimant Registration, Online Access, and Claim Filing

SDI Online Tutorial: Claimant Registration, Online Access, and Claim Filing SDI Online Tutorial: Claimant Registration, Online Access, and Claim Filing SDI Online Tutorial: Registration 2 To create an SDI Online account, visit www.edd.ca.gov/disability. On the State Disability

More information

TNCs Autonomous Vehicles (AVs) & California's Low Cost Auto Insurance Program

TNCs Autonomous Vehicles (AVs) & California's Low Cost Auto Insurance Program TNCs Autonomous Vehicles (AVs) & California's Low Cost Auto Insurance Program Chris Shultz, Deputy Commissioner CA Department of Insurance VISION: Insurance Protection for all Californians. MISSION: We

More information

How to File a Protest of an Auto Insurance Cancellation or Surcharge

How to File a Protest of an Auto Insurance Cancellation or Surcharge How to File a Protest of an Auto Insurance Cancellation or Surcharge A protest is a formal objection to a change that your insurance company has made on your personal automobile policy. Protests cannot

More information

MEMORANDUM. All Eligible Surplus lines Brokers Transacting Business in the State of South Carolina and All Eligible Surplus Lines Insurers

MEMORANDUM. All Eligible Surplus lines Brokers Transacting Business in the State of South Carolina and All Eligible Surplus Lines Insurers MEMORANDUM TO: FROM: SUBJECT: All Eligible Surplus lines Brokers Transacting Business in the State of South Carolina and All Eligible Surplus Lines Insurers South Carolina Department of Insurance, Taxation

More information

A Quick Guide to Using CommonHelp

A Quick Guide to Using CommonHelp A Quick Guide to Using CommonHelp Introduction CommonHelp is the Commonwealth of Virginia s fast and easy way to apply online for many Virginia social services assistance programs. Through a single online

More information

FLORIDA AUTOMOBILE JOINT UNDERWRITING ASSOCIATION (FAJUA)

FLORIDA AUTOMOBILE JOINT UNDERWRITING ASSOCIATION (FAJUA) FLORIDA AUTOMOBILE JOINT UNDERWRITING ASSOCIATION (FAJUA) SERVICED BY: DOVETAIL INSURANCE APPLICATION APPLIES TO: PERSONAL AUTO NAMED NON OWNER MOTOR HOME MOTORCYCLE POLICY Autos with a Manufacturers Suggested

More information

PRODUCER GUIDE MICHIGAN AUTOMOBILE INSURANCE PLACEMENT FACILITY. 17456 Laurel Park Drive N, Suite 130 E Livonia, Michigan 48152-2690

PRODUCER GUIDE MICHIGAN AUTOMOBILE INSURANCE PLACEMENT FACILITY. 17456 Laurel Park Drive N, Suite 130 E Livonia, Michigan 48152-2690 PRODUCER GUIDE MICHIGAN AUTOMOBILE INSURANCE PLACEMENT FACILITY 17456 Laurel Park Drive N, Suite 130 E Livonia, Michigan 48152-2690 (734) 464-1100 Voice (734) 464-0009 Fax E-Mail: info@maipf.org Web Address:

More information

Ontario Application for Automobile Insurance

Ontario Application for Automobile Insurance Ontario Application for Automobile Insurance Driver's Form (O.A.F. 2) Notice to Applicant This is your Application for Automobile Insurance. Check it carefully and notify your Broker/Agent of any errors

More information

The most advanced online program in the marketplace!

The most advanced online program in the marketplace! The most advanced online program in the marketplace! Agenda Online Enrollment - Broker - Employer - Employee Underwriting Life Events Website BROKER Register Online New brokers register at www.calchoice.com

More information

Harco National Insurance Company

Harco National Insurance Company P.O. Box 5185, Fullerton, CA 92838-5185 (714) 738-1383 (213) 383-5590 * Fax (714) 738-1806 or (714) 992-2094 RMISmga.com Harco National Insurance Company Private Passenger Auto Program - General Rules

More information

Commonwealth Schools of Insurance, Inc.

Commonwealth Schools of Insurance, Inc. Commonwealth Schools of Insurance P.O. Box 22414, Louisville, KY 40252-0414 502.425.5987 FAX 502.429.0755 E-mail: info@commonwealthschools.com INSTRUCTIONS TO COMPLETE THE CONTINUING EDUCATION COURSE Thank

More information

STATE OF CALIFORNIA DEPARTMENT OF INSURANCE 45 Fremont Street, 21 st Floor San Francisco, California 94105

STATE OF CALIFORNIA DEPARTMENT OF INSURANCE 45 Fremont Street, 21 st Floor San Francisco, California 94105 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE 45 Fremont Street, 21 st Floor San Francisco, California 94105 Proposed Amendments to Title 10, California Code of Regulations, Chapter 5, Subchapter 4.7, Section

More information

American Amicable Group

American Amicable Group American Amicable Group Mobile Application Training Tutorial Mobile Application Overview Ensures applications are in good order Eliminate incomplete applications and missing forms Reduce processing delays

More information

Spring 2015 University Bar Study Loan

Spring 2015 University Bar Study Loan Spring 2015 University Bar Study Loan Students graduating in May 2015 may take out a University Bar Study Loan from Berkeley Law. These loans are to cover bar exam costs and living expenses while preparing

More information

Georgia Bulk Requestor Re-certification Package Must Include:

Georgia Bulk Requestor Re-certification Package Must Include: Georgia Bulk Requestor Re-certification Package Must Include: Georgia Department of Driver Services Application for Motor Vehicle Records (1 page) Facilitator Addendum to the Bulk Requestor Agreement (1

More information

DOH 329 Registry Physician Initiated Application

DOH 329 Registry Physician Initiated Application DOH 329 Registry Physician Initiated Application Detailed Instructions For Certifying Physicians 11/12/2015 Physician Initiated Application Instructions 1 Background On January 1, 2015, the Department

More information

Online Account Management Broker s User Guide

Online Account Management Broker s User Guide Online Account Management Broker s User Guide TABLE OF CONTENTS BROKER SINGLE SIGN-ON ACTIVATION ------------------------------------------------------------------- 3 BROKER SINGLE SIGN-ON REQUEST FORM

More information

MICHIGAN APPLICATION FOR WORKERS COMPENSATION INSURANCE MICHIGAN WORKERS COMPENSATION PLACEMENT FACILITY

MICHIGAN APPLICATION FOR WORKERS COMPENSATION INSURANCE MICHIGAN WORKERS COMPENSATION PLACEMENT FACILITY MICHIGAN WORKERS COMPENSATION PLACEMENT FACILITY MAIL: P.O. Box 3337, Livonia, MI 48151-3337 EXPRESS MAIL AND VISITORS: 17197 N. Laurel Park Dr., Suite 311, Livonia, MI 48152-2686 734-462-9600 IMPORTANT:

More information

Instructions for Applying for AB-540 California Nonresident Tuition Exemption

Instructions for Applying for AB-540 California Nonresident Tuition Exemption Admissions Office P.O. Box 6900, Fullerton, CA 92834-6900 / T (657)-278-2300 / F (657)-278-7699 AB-540 Instructions for Applying for AB-540 Nonresident Tuition Exemption To apply for exemption from paying

More information

HumanaOne Dental & Vision Paper Application Checklist

HumanaOne Dental & Vision Paper Application Checklist HumanaOne Dental & Vision Paper Application Checklist TO ENSURE PROCESSING PLEASE USE THIS CHECKLIST Did you fill out the application completely? Include your effective date. The effective date should

More information

Broker Registration Guide for TrustFunds Authentication A- B- C Registration Steps 1-2- 3-4

Broker Registration Guide for TrustFunds Authentication A- B- C Registration Steps 1-2- 3-4 Broker Registration Guide for TrustFunds Authentication A- B- C Registration Steps 1-2- 3-4 Broker Authentication 1. From the TrustFunds website homepage, click Get Started Now to begin your Authentication

More information

DC DMV WEBSITE ACCESS REQUEST AND APPROVAL

DC DMV WEBSITE ACCESS REQUEST AND APPROVAL DC DMV WEBSITE ACCESS REQUEST AND APPROVAL Insurance companies who choose to report via District Of Columbia Department of Motor Vehicles (DC DMV) website must request a Company ID, User ID and Password.

More information

Please contact your agent with any questions regarding a GFB Brokerage policy.

Please contact your agent with any questions regarding a GFB Brokerage policy. FAQ Policy Related Questions General Insurance Questions What insurance products are available through my agent? Our Agents can sell and service the following insurance products: personal automobile, business

More information

Canal Truck Insurance Application

Canal Truck Insurance Application Insurance Indemnity Sections 1 through 6 must be completed for a quote indication. Sections 7 through 9 must be completed in order to bind. 1. General Information Applicant Legal Name Company Name (DBA)

More information

COLORADO BUSINESS AUTO PROGRAM

COLORADO BUSINESS AUTO PROGRAM AMERICAN SERVICE INSURANCE COMPANY COMMERCIAL BUSINESS UNIT COLORADO BUSINESS AUTO PROGRAM TRAINING GUIDE WEBSITE: www.atlas-fin.com For your convenience, here is our contact information: Phone: 847.472.6700

More information

Key Discriminatory Practices by Mercury Discussed in the CDI Documents

Key Discriminatory Practices by Mercury Discussed in the CDI Documents Key Discriminatory Practices by Mercury Discussed in the CDI Documents Introduction The California Department of Insurance (CDI or Department) polices the marketplace by periodically undertaking examinations

More information

457 Plan Unforeseeable Emergency Withdrawal Request

457 Plan Unforeseeable Emergency Withdrawal Request 457 Plan Unforeseeable Emergency Withdrawal Request Fax: 1-888-310-6019 www.copera.org COLORADO PERA 457Plan After you have read all of the following information, complete the 457 Plan Unforeseeable Emergency

More information

FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES

FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES ADAM H. PUTNAM COMMISSIONER HOUSEHOLD MOVING SERVICES REGISTRATION APPLICATION Chapter 507, Florida Statutes Rule 5J15.001, Florida Administrative

More information

mf online Quote Process

mf online Quote Process mf online Quote Process Brokers Corner In order to log into our system, user needs to first open up our Internet website www.mf.co.za and scroll down to the screen below. Click on the Broker Login under

More information

COMMON COMMERCIAL PROGRAM AND SYSTEM QUESITONS

COMMON COMMERCIAL PROGRAM AND SYSTEM QUESITONS COMMON COMMERCIAL PROGRAM AND SYSTEM QUESITONS This information we hope will be of help when quoting and issuing policies In the InsurPas system. The list is far from all inclusive. We are always trying

More information

California Public Utilities Commission

California Public Utilities Commission California Public Utilities Commission Consumer Protection and Safety Division License Section Electronic Insurance Filing User Guide Table of Contents (Use Ctrl+Click to follow links.) Logging In... 5

More information

PER CAPITA DISTRIBUTION (PCD) OF SETTLEMENT FUNDS APPLICATION INSTRUCTIONS

PER CAPITA DISTRIBUTION (PCD) OF SETTLEMENT FUNDS APPLICATION INSTRUCTIONS PER CAPITA DISTRIBUTION (PCD) OF SETTLEMENT FUNDS APPLICATION INSTRUCTIONS GENERAL INFORMATION AND INSTRUCTIONS The term applicant means a member of the Listuguj Band who is applying for a one-time lump

More information

Office of Fleet and Asset Management (OFAM) www.dgs.ca.gov/ofam (Reserve a State Vehicle) Online Vehicle Reservation Instructions

Office of Fleet and Asset Management (OFAM) www.dgs.ca.gov/ofam (Reserve a State Vehicle) Online Vehicle Reservation Instructions Office of Fleet and Asset Management (OFAM) www.dgs.ca.gov/ofam (Reserve a State Vehicle) Online Vehicle Reservation Instructions Revised March 2, 2012 1 You must be an active California State Employee

More information

FL QuickQuote Real Time Rating. General Release 02/26/2009

FL QuickQuote Real Time Rating. General Release 02/26/2009 FL QuickQuote Real Time Rating General Release 02/26/2009 FL QuickQuote Real Time Rating Overview Real Time Rating is a term used when the comparative rates are no longer manufactured or programmed. Instead

More information

CHECKLIST. SIS Insurance Services 3250 Grey Hawk Ct. Carlsbad, CA 92010

CHECKLIST. SIS Insurance Services 3250 Grey Hawk Ct. Carlsbad, CA 92010 Dear Producer: SafeBuilt Insurance Services, Inc. (SIS), DBA: Structural Insurance Services (SIS) looks forward to doing business with your agency and beginning a good working relationship. CHECKLIST Legible

More information

Insurance Brokers - from initial registration to ongoing submittal, retrieval, and editing of new or existing certificates of insurance.

Insurance Brokers - from initial registration to ongoing submittal, retrieval, and editing of new or existing certificates of insurance. Welcome to Track4LA 2.1 Our insurance and bonds compliance system has been designed to make the experience around submitting and retrieving insurance information quick and easy. For those brokers who have

More information

Real Estate Salesperson Application

Real Estate Salesperson Application New York State DEPARTMENT OF STATE Division of Licensing Services Customer Service: (518) 474-4429 P.O. Box 22001 Fax: (518) 402-4559 Albany, NY 12201-2001 Website: www.dos.state.ny.us Real Estate Salesperson

More information

Instructions for Completing the Seller of Travel Registration Application

Instructions for Completing the Seller of Travel Registration Application JUS 8771 (Rev. 12/2011) PAGE 1 OF 9 Instructions for Completing the Seller of Travel Registration Application If you need more space to answer a question, you may attach additional pages marked with the

More information

September 15, 2009. <> <> <
> <>, <> <> SUBJECT: CALPERS RETIREE HEALTH INSURANCE

September 15, 2009. <<First>> <<Last>> <<Address>> <<City>>, <<State>> <<Zip>> SUBJECT: CALPERS RETIREE HEALTH INSURANCE C Office of Employer and Member Health Services P.O. Box 942714 Sacramento, CA 94229-2714 (888) CalPERS 225-7377 Telecommunications Device for the Deaf - 916-795-3240 FAX 916-795-1277 September 15, 2009

More information

Introduction to the Agency Portal

Introduction to the Agency Portal Introduction to the Agency Portal This document will guide you through Loudoun Mutual s Agency Portal, the replacement system for Web Inquiry. The old buttons for First Notice of Loss, Pay Premium by Credit

More information

eexcess Application Reference Guide

eexcess Application Reference Guide eexcess Application Reference Guide 1 The eexcess Internet Address Online quoting and binding from any internet capable computer. The URL: Type www.chartisinsurance.com/eexcess at the browser address line

More information

SDI Online Tutorial: Claimant Registration, Online Access, and Claim Filing

SDI Online Tutorial: Claimant Registration, Online Access, and Claim Filing SDI Online Tutorial: Claimant Registration, Online Access, and Claim Filing SDI Online Tutorial: Registration 2 To create an SDI Online account, visit www.edd.ca.gov/disability. On the State Disability

More information

MOTOR VEHICLE INSURANCE PROPOSAL FORM

MOTOR VEHICLE INSURANCE PROPOSAL FORM MOTOR VEHICLE INSURANCE PROPOSAL FORM In completing the Proposal Form please ensure that questions are answered fully and accurately and where necessary schedules giving further explanation are provided.

More information

Applicant Instructions

Applicant Instructions KSDE Online Application Instructions Step 1 Register for a Login Applicant Instructions Before you can submit your application, you must request a user name and password. To register, do the following:

More information

Employer Portal User Guide Last Updated: October 2015

Employer Portal User Guide Last Updated: October 2015 Employer Portal User Guide Last Updated: October 2015 San Francisco City Option PO Box 194367 San Francisco, CA 94119-4367 Phone: 1(415) 615-4492 Fax: 1(415) 615-4392 Email: employerservices@sfcityoption.org

More information

FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS FREQUENTLY ASKED QUESTIONS What is TexasSure? GENERAL INFORMATION TexasSure is a new vehicle insurance verification system that will ultimately allow law enforcement and county tax officials to confirm

More information

HDA Insurance Brokerage 10727 White Oak Avenue, Suite 115 Granada Hills, CA 91344-4646 877-931-3368 Fax 818-831-1268

HDA Insurance Brokerage 10727 White Oak Avenue, Suite 115 Granada Hills, CA 91344-4646 877-931-3368 Fax 818-831-1268 HDA Insurance Brokerage 10727 White Oak Avenue, Suite 115 Granada Hills, CA 91344-4646 877-931-3368 Fax 818-831-1268 COMMERCIAL AUTO General Information Proposed Effective Date: Applicant s Name: Applicant

More information

Covered California JOB AID: SHOP Agent Certification E&E Process SHOP Agent Certification Process

Covered California JOB AID: SHOP Agent Certification E&E Process SHOP Agent Certification Process SHOP Agent Certification Process 1 of 40 V1 You went to class, completed the online training, passed the exam Now what? 1 Dear Agent, Congratulations on your recent completion of the Covered California

More information

California State Disbursement Unit (SDU) Functions: Collection Processing Disbursement Processing Set-up Electronic Payments

California State Disbursement Unit (SDU) Functions: Collection Processing Disbursement Processing Set-up Electronic Payments 1 California State Disbursement Unit (SDU) Functions: Collection Processing Disbursement Processing Set-up Electronic s State (DCSS) and County (LCSA) Functions: Case Management Financial Management Customer

More information

ACCIDENTAL DEATH -NEW BUSINESS MEMO WHOLE LIFE PROTECTOR APPLICATION

ACCIDENTAL DEATH -NEW BUSINESS MEMO WHOLE LIFE PROTECTOR APPLICATION Telephone: 800-428-3001 ACCIDENTAL DEATH -NEW BUSINESS MEMO WHOLE LIFE PROTECTOR APPLICATION Regular Mail: Overnight Mail: P.O. Box 7192 225 South East St Indianapolis, IN 46207-7192 Indianapolis, IN 46202

More information

Individual LLC Partnership Corporation Joint Venture Trust Principal or Majority Owner (please include all principals)

Individual LLC Partnership Corporation Joint Venture Trust Principal or Majority Owner (please include all principals) Canal Truck Insurance Application Insurance Indemnity Sections 1 through 6 must be completed for a quote indication. Sections 7 through 9 must be completed in order to bind. 1. General Information Applicant

More information

Education and Licensing Frequently Asked Questions

Education and Licensing Frequently Asked Questions Education and Licensing Frequently Asked Questions Education: Q. I am a sales agent who applied for a real estate license on September 1, 2012 and am renewing my license for the first time. What education

More information

STATE OF CALIFORNIA DEPARTMENT OF INSURANCE 45 Fremont Street, 21 st Floor San Francisco, California 94105

STATE OF CALIFORNIA DEPARTMENT OF INSURANCE 45 Fremont Street, 21 st Floor San Francisco, California 94105 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE 45 Fremont Street, 21 st Floor San Francisco, California 94105 Amendments to Title 10, California Code of Regulations, Chapter 5, Subchapter 4.7, Section 2632.5

More information

Availity s Streamlined Registration Approval Process for Providers in All Regions

Availity s Streamlined Registration Approval Process for Providers in All Regions Availity s Streamlined Registration Approval Process for Providers in All Regions Overview The Availity registration process includes four distinct paths customized by organization type: Provider Physician

More information

Broker Online User Guide

Broker Online User Guide Broker Online User Guide Index 1 What is Broker Online?...3 1.1 Overview...3 1.2 Products Available...3 1.3 Glossary of Terms...3 1.4 Advantages of using Broker Online...4 2 Log in Processes...5 2.1 Broker

More information

INDIVIDUAL POLICY CHANGE APPLICATION

INDIVIDUAL POLICY CHANGE APPLICATION INDIVIDUAL POLICY CHANGE APPLICATION Instructions: Please complete all applicable areas of this application. Please print using black ink. WPS/Delta Dental of Wisconsin/WPS Health Plan, Inc. d/b/a Arise

More information

LOAN APPLICATION (VISA SELECT AND VISA PLATINUM)

LOAN APPLICATION (VISA SELECT AND VISA PLATINUM) LOAN APPLICATION (VISA SELECT AND VISA PLATINUM) Loan Type (e.g. vehicle, Visa, Agency Secured, etc.) Requested Loan Amount $ Variable Rate MARRIED APPLICANTS MAY APPLY FOR AN INDIVIDUAL ACCOUNT. Check

More information

Kentucky Transportation Cabinet Department of Vehicle Regulation Division of Motor Carriers Transportation Network Company Authority Application

Kentucky Transportation Cabinet Department of Vehicle Regulation Division of Motor Carriers Transportation Network Company Authority Application Page 1 of 10 MAIL TO: PO BOX 2007, Frankfort, KY 40602 2007 Phone: (502) 564 1257 Fax: (502) 564 4138 Walk ins: 8:00 am 4:00 pm EST http://transportation.ky.gov/motor carriers Application for New Authority

More information

NEW HAMPSHIRE PERSONAL AUTO APPLICATION

NEW HAMPSHIRE PERSONAL AUTO APPLICATION AGENCY NEW HAMPSHIRE PERSONAL AUTO APPLICATION APPLICANT'S NAME AND MAILING ADDRESS (Include county & ZIP+4) TELEPHONE NUMBER (MMDDYYYY) CONTACT NAME: PHONE (AC, No, Ext): FAX (AC, No): E-MAIL ADDRESS:

More information

ACCIDENT AND VIOLATION RATING PLAN

ACCIDENT AND VIOLATION RATING PLAN Minnesota Surcharge Disclosure Statement Thank you for the opportunity to provide this important insurance protection. As your insurance provider, we like to keep you informed of factors affecting your

More information

Vendor Registration. Rev. 3/26/2013 Vendor Registration Page 1

Vendor Registration. Rev. 3/26/2013 Vendor Registration Page 1 Thank you for your interest in becoming a vendor to the State of Louisiana. It is crucial that we avoid duplicate registrations to facilitate correct award and payment processing. 1. Please go to https://lagoverpvendor.doa.louisiana.gov/irj/portal/anonymous?guest_user=self_reg

More information

Becoming a. Licensed Adjuster in Louisiana. Louisiana Department of Insurance James J. Donelon, Commissioner

Becoming a. Licensed Adjuster in Louisiana. Louisiana Department of Insurance James J. Donelon, Commissioner Becoming a Licensed Adjuster in Louisiana Louisiana Department of Insurance James J. Donelon, Commissioner A Message from Commissioner of Insurance Jim Donelon It is now a requirement that all adjusters

More information

What s New at the Idaho Real Estate Commission. Vol. 30 No. 1 October 2009 Special Online Services Issue!

What s New at the Idaho Real Estate Commission. Vol. 30 No. 1 October 2009 Special Online Services Issue! What s New at the The Real Estatement Vol. 30 No. 1 October 2009 Special Online Services Issue! IREC continues to update and improve its website to provide licensees the ability to manage many licensing

More information

TEAL and ECOS Access Instructions for Educators

TEAL and ECOS Access Instructions for Educators TEAL (TEA Login) is the security gateway to TEA web resources. To access your Educator Account, you will need a TEAL profile that is set up with access to your profile in the Educator Certification Online

More information

BBC Pitch. Production Company Guide

BBC Pitch. Production Company Guide BBC Pitch Production Company Guide Contents 1. Introduction... 2 2. Registration of your company... 2 3. Logging in... 5 4. Dashboard... 6 Draft Proposals... 7 Submitted Proposals... 8 Withdrawing a proposal...

More information

STEP 1: Did you purchase or lease a vehicle listed below on or before November 2, 2012? YES NO

STEP 1: Did you purchase or lease a vehicle listed below on or before November 2, 2012? YES NO KIA FUEL ECONOMY CLASS ACTION SETTLEMENT CLAIM FORM If you own more than one affected vehicle, you must submit separate claim forms for each vehicle. To make a claim for a Kia vehicle in the HYUNDAI/KIA

More information

Recognition Program Online Application Step-by-step Instructions Guide for Single Site Submission

Recognition Program Online Application Step-by-step Instructions Guide for Single Site Submission Recognition Program Online Application Step-by-step Instructions Guide for Single Site Submission No part of this publication may be reproduced or transmitted in any form or by any means, electronic or

More information

Dealer License Renewal Home Study Study Guide

Dealer License Renewal Home Study Study Guide Dealer License Renewal Home Study Study Guide Please remember if you paid for this course by credit card: LEGAL DISCLAIMER @ View this Disclaimer Online: http://www.gotplates.com/disclaimer.html Standard

More information

Coverage for Other People Using Your Car. Today s Lecture State Farm Car Policy. Other People s Use of Your Car - Example

Coverage for Other People Using Your Car. Today s Lecture State Farm Car Policy. Other People s Use of Your Car - Example Today s Lecture State Farm Car Policy Other people using your car Your using other cars Other people using other cars Coverage for Other People Using Your Car Anybody using your car with permission is

More information

Access your Insurance Agent s web site using the URL the agency has provided you. Click on the Service 24/7 Link.

Access your Insurance Agent s web site using the URL the agency has provided you. Click on the Service 24/7 Link. 1 Access your Insurance Agent s web site using the URL the agency has provided you. Click on the Service 24/7 Link. You will need to enter your Email Address and Password assigned to you by your Agent.

More information

BlackRock CollegeAdvantage 529 Plan Establishing a Payroll Deduction Plan

BlackRock CollegeAdvantage 529 Plan Establishing a Payroll Deduction Plan BlackRock CollegeAdvantage 529 Plan Establishing a Payroll Deduction Plan Employers: Looking to allow your employees to contribute to their 529 accounts using payroll deduction? You can use this form to

More information

Knowles Associates Total Fleet Management Ltd. Website E- Expenses and Greyfleet Registration, Additional Jobs, Expenses and Mileage

Knowles Associates Total Fleet Management Ltd. Website E- Expenses and Greyfleet Registration, Additional Jobs, Expenses and Mileage Knowles Associates Total Fleet Management Ltd Website E- Expenses and Greyfleet Registration, Additional Jobs, Expenses and Mileage Author: Lennon Carrington Approved by: Owner: Knowles Associates Total

More information

Currently Enrolled Providers NCTracks Step by Step Registration

Currently Enrolled Providers NCTracks Step by Step Registration Currently Enrolled Providers NCTracks Step by Step Registration Important Note: In order to have access to the NCTracks Provider portal, each provider (NPI) must complete the NCTracks Registration. This

More information

This process is required in order to start work as a Florida Atlantic University employee.

This process is required in order to start work as a Florida Atlantic University employee. This process is required in order to start work as a Florida Atlantic University employee. Onboarding is completed by the new or returning employee. The employee will receive an email from workday@fau.edu

More information

Frequently Asked Questions Auto Insurance

Frequently Asked Questions Auto Insurance STATE OF WISCONSIN Frequently Asked Questions Auto Insurance OFFICE OF THE COMMISSIONER OF INSURANCE PI-233 (C 03/2015) The Automobile Insurance Policy (page 1) Wisconsin's Financial Responsibility Law

More information

My PHLY Registration Process and User Guide

My PHLY Registration Process and User Guide Create a new My PHLY account: 1. From the PHLY.com home page, and select one of the following methods to begin the registration process: 2. Access the Manage Your Account section and click Register 3.

More information

Automobile Insurance Guide

Automobile Insurance Guide Automobile Insurance Guide Page 1 Simply stated, automobile insurance is a contract between you and your insurance company that protects you against financial loss if you are in an accident. Auto policies

More information

APPOINTMENT PROCEDURES FOR THE STATE OF CALIFORNIA

APPOINTMENT PROCEDURES FOR THE STATE OF CALIFORNIA APPOINTMENT PROCEDURES FOR THE STATE OF CALIFORNIA Nation Motor Club, Inc All Representatives/Producers and Firms/Agencies must be licensed and appointed for Motor Club in the State of California. Representatives/Producers

More information

INSURANCE REGULATION 11 SURPLUS LINE BROKERS. This Regulation is promulgated pursuant to R.I. Gen. Laws 27-3-38 through 27-3-42, 42-14-17 and 42-35-3.

INSURANCE REGULATION 11 SURPLUS LINE BROKERS. This Regulation is promulgated pursuant to R.I. Gen. Laws 27-3-38 through 27-3-42, 42-14-17 and 42-35-3. Table of Contents State of Rhode Island and Providence Plantations DEPARTMENT OF BUSINESS REGULATION Division of Insurance 1511 Pontiac Avenue, Bldg. 69-2 Cranston, RI 02920 INSURANCE REGULATION 11 SURPLUS

More information

AUTO RISK MANAGEMENT KIT

AUTO RISK MANAGEMENT KIT AUTO RISK MANAGEMENT KIT CALSURANCE PIZZA INSURANCE PROGRAM PO Box 7048 ORANGE CA 92863-7048 (800) 411-4144 1 AUTO RISK MANAGEMENT KIT CONTENTS SUMMARY OF COVERAGES DELIVERY DRIVER APPROVAL GUIDELINES

More information

Lead-Related Construction Certification Renewal Forms and Instructions

Lead-Related Construction Certification Renewal Forms and Instructions Lead-Related Construction Certification Renewal Forms and Instructions California Department of Public Health,, Lead-Related Construction Unit Renewing Certificates: Your California Department of Public

More information

PCI Compliance Instructions

PCI Compliance Instructions PCI Compliance Instructions 1. Access our website at www.bridgenb.com and click Bridge Merchant 2. Click the Merchant PCI Compliance Program button, located at the bottom of the page 3. Enter Username

More information

Important Rating Information About Your Maryland Auto Insurance Policy

Important Rating Information About Your Maryland Auto Insurance Policy Important Rating Information About Your Maryland Auto Insurance Policy Your auto policy has been classified based upon the information provided to us by the named insured. Why Your Premium May Be Adjusted

More information

TITLE. IDENTIFICATION SECTION Name And Address Of Insured Enter text: The named insured(s) as it/they will appear on the policy declarations page.

TITLE. IDENTIFICATION SECTION Name And Address Of Insured Enter text: The named insured(s) as it/they will appear on the policy declarations page. The title of the form. ACORD 95 MA, Massachusetts Renewal Form. The state of Massachusetts requires personal automobile, new business and renewals to be submitted on forms prescribed by the Massachusetts

More information

Volunteer Driver Application Form

Volunteer Driver Application Form Road to Recovery Volunteer Driver Application Form Please Print Name: Street Address: City State Zip: Other Address Information/ Email: Home Phone: Work Phone: Date of Birth: Occupation: Emergency Contact

More information

SMALL EMPLOYER GROUP APPLICATION INSTRUCTIONS

SMALL EMPLOYER GROUP APPLICATION INSTRUCTIONS SMALL EMPLOYER GROUP APPLICATION INSTRUCTIONS This form should be completed with the assistance of your authorized Broker or Horizon Healthcare of New York Sales Representative. Please be sure that all

More information

After all your checks and automatic payments have cleared, close your previous checking account.

After all your checks and automatic payments have cleared, close your previous checking account. Make The Switch Moving to Western Bank is Easy. Moving from one bank to another can be intimidating. That s why we have our Switch Kit. In this kit you will find simple, step-by-step instructions for moving

More information