Coverage Verifier Underwriting. Make better risk selection decisions with Coverage Verifier Underwriting Reports

Size: px
Start display at page:

Download "Coverage Verifier Underwriting. Make better risk selection decisions with Coverage Verifier Underwriting Reports"

Transcription

1 Coverage Verifier Underwriting Make better risk selection decisions with Coverage Verifier Underwriting Reports SM

2 Improve your auto underwriting with the most complete history of risk available in the industry. Has a policy expired? Is there a gap in coverage? Are there teenage drivers in the household? What coverages have been in force and for how long? Those are the types of questions that can potentially raise red flags for underwriters. Coverage Verifier SM can answer those questions and more with the detail you need like no other system on the market. Insurance underwriting is all about the quality of completeness, timeliness, and accuracy. The more policy-level you have, the better you can rate and price risk. And with auto insurance, numerous variables go into the underwriting decision. Coverage Verifier Underwriting Reports include many of the key criteria that underwriters use when making decisions. The reports give you a detailed transactional history of your applicants current and previous policies for the past five years you need to verify coverage statements. You ll know when your potential insured added drivers or vehicles, had a lapse in coverage, canceled coverage, or changed insurers. And you ll get a look at factors such as policyholder age, residency and garaging addresses, and type of vehicle that influence whether you should underwrite the policy and, if so, how you should set premiums. The reports The Coverage Verifier database is the engine behind the reports. Insurers submit data, allowing them to access a wealth of policy-level. Every time you search the database, Coverage Verifier will supply on all insureds listed on the policy. You ll get a Summary Report with associated Coverage Lapse Detail. And for each listed policy, you ll get a Detail Report and Change History Report. Take a closer look at the following reports and see how they can work for you. Our comprehensive reports help you make risk selection decisions, confirm pricing tiers and discounts, and increase productivity. And when you get our reports at the point of sale, you ll reduce processing time, improve customer service, and increase sales-close ratios.

3 Summary Report The Summary Report provides a quick overview of an applicant s coverage history for the look-back period set by the insurer ordering the report. The report includes carrier, policy status, number of cancellations and renewals, and policy term effective and expiration dates. For each listed policy, you get a corresponding Detail Report and Change History Report. Individual searched: In this case, John Q. Public Insurance company ordering the report Time span covered by the report (i.e., look-back period ): Can be 6 60 months and is determined by the company (not by the individual user) Inception date of the policy for John Q. Public Date the policy transaction is posted to the Coverage Verifier database Policy status Policy term beginning and end dates Number of cancellations and renewals over the policy lifetime ORDER DATE: 03/15/2013 SEARCH CRITERIA Name: Address: JOHN Q. PUBLIC 565 MCCLAY ST HARRISBURG, PA CUSTOMER ORDERING INFORMATION Company: Order Date: 03/15/2013 Look-Back Period: SEARCH RESULTS POLICIES FOUND Target Search Person MULTI-STATE INDEMNITY AUTO INSURANCE CO 60 MONTHS A UNITED INDEMNITY JOHN Q. PUBLIC 03/21/2012 IN FORCE /22/ /21/ /21/2013 B DEPENDABLE INS JOHN Q. PUBLIC 03/31/2010 CANCELED /26/ /31/ /31/2012 T STANDARD INS JOHN Q. PUBLIC 03/31/2009 EXPIRED /09/ /31/ /31/2010 Z PROTECTABLE INS JOHN PUBLIC 03/31/2008 EXPIRED /21/ /31/ /31/2009

4 Coverage Lapse Detail Coverage Lapse Detail provides a chronological history with an exact count of days in force and days lapsed of each company that insured the applicant. SEARCH RESULTS COVERAGE LAPSE SUMMARY ORDER DATE: 03/15/2013 Name Possible Coverage Lapse? Coverage In Force Today? Person 1: JOHN Q. PUBLIC Y Y SEARCH RESULTS COVERAGE LAPSE DETAIL Person 1: JOHN Q. PUBLIC Company A.M. Best # From Date To Date Cvg Days Lapse Lapse Days UNITED INDEMNITY /21/ /21/ Y DEPENDABLE INS /31/ /25/ N STANDARD INS /31/ /31/ N PROTECTABLE INS /31/ /31/ N Y indicates the presence of one or more coverage lapses The in-force period for each policy The report shows a 25-day lapse in coverage between the end of the Dependable Insurance policy and the start of the United Indemnity policy Number of days John Q. Public is covered under this particular policy Convenient delivery Coverage Verifier Underwriting Reports are available through a variety of convenient delivery methods. You can access reports through our secure web-based platform, choosing online reports, transactional system-to-system delivery, or batch processing. You can also choose web-service delivery at point of sale through QuickFill. QuickFill is Verisk s prefill tool that helps complete an insurance quote quickly and easily. You can integrate QuickFill into any of your sales channels, including agent point-of-sale applications, call centers, and online quote systems.

5 Detail Report The Detail Report provides about a particular policy, including the insurer; covered drivers and vehicles; garage locations; and coverage types, limits, and deductibles. You see exactly how each policy looked as it was last reported to the database. CARRIER INFORMATION Contributing Carrier Name A.M. Best # NAIC # Insurance company DEPENDABLE INS POLICY INFORMATION Policy Number Inception Date Policy Type Term Eff Date Term Exp Date Cancel Date Cancel Reason Phone Policy canceled for nonpayment B /31/2010 AUTO 03/31/ /31/ /25/2012 NON-PAY (469) Policyholder Policy Status Risk Class Prem Pmt Plan Method of Pmt Policy Prem Policy Form JOHN Q. PUBLIC CANCELED NONSTANDARD OTHER CHECK $1,925 PP MAILING ADDRESS INFORMATION Address City State ZIP From To 565 MCCLAY ST HARRISBURG PA /31/ /25/2012 LIABILITY COVERAGE INFORMATION Coverage Type Limits From To BODILY INJURY $25,000/$50,000 03/31/ /25/2012 PROPERTY DAMAGE $10,000 03/31/ /25/2012 UNDERINSURED MOTORIST (BI) $25,000/$50,000 03/31/ /25/2012 UNDERINSURED MOTORIST (PD) $10,000 03/31/ /25/2012 VEHICLE INFORMATION Year Make Model Class Code VIN Bus. Use 2011 FORD F FTBF17W8X N Terr. Code A/T Device Coll Ded Comp Ded From To 01 $500 $250 01/10/ /25/2012 Year Make Model Class Code VIN Bus. Use 2008 CHEV MALIBU CTHV18R N Terr. Code A/T Device Coll Ded Comp Ded From To Types and amounts of coverages* Insured vehicle Every line item shows the in-force period (Vehicle added to policy 1/10/12 and continued in force until cancellation) 01 $500 $250 03/31/ /25/2012 GARAGE LOCATIONS VIN Address City State ZIP From To Vehicle garaging 1FTBF17W8X MCCLAY ST HARRISBURG PA /10/ /25/2012 2CTHV18R MCCLAY ST HARRISBURG PA /31/ /25/2012 DRIVER/RELATED SUBJECT INFORMATION First Name Last Name Date of Birth SSN Sex Relation DL State/Number From To Policy driver JOHN PUBLIC 09/10/1954 XXX-XX-1589 M INSURED PA/P /31/ /25/2012 JANE CITIZEN 05/28/1957 XXX-XX-9913 F SPOUSE PA/C /31/ /25/2012 REBECCA PUBLIC 11/14/1995 XXX-XX-2810 F CHILD PA/P /31/ /25/2012 LIENHOLDER INFORMATION VIN Lienholder Address City State ZIP From To 1FTBF17W8X FORD MOTOR CREDIT 4309 ELM ST DEARBORN MI /10/ /25/2012 Vehicle lienholder * The report displays all coverages reported by the carrier, including bodily injury, medical payments, property damage, personal injury, uninsured motorist, and underinsured motorist.

6 Change History Report The Change History Report provides about the history of changes to a policy, including the addition, deletion, or change of drivers, vehicles, or coverages. The sample shows that the policyholder added a son for a period of time before dropping him from the policy. CARRIER INFORMATION Contributing Carrier Name A.M. Best # NAIC # DEPENDABLE INS POLICY INFORMATION Policy Number Risk Class Policy Type Policyholder From To B NONSTANDARD AUTO JOHN Q. PUBLIC 03/31/ /25/2012 Transaction history of the policy TRANSACTION INFORMATION Transaction Type Effective Date NEW BUSINESS 03/31/2010 RENEWAL 03/31/2011 ENDORSEMENT 12/04/2011 ENDORSEMENT 01/10/2012 CANCELLATION: NON-PAY 02/25/2012 MAILING ADDRESS INFORMATION LIABILITY COVERAGE INFORMATION VEHICLE INFORMATION GARAGE LOCATIONS DRIVER/RELATED SUBJECT INFORMATION Thomas Public, a 20-year-old driver, listed as a driver on the policy for a period of time but then dropped First Name Last Name Date of Birth SSN Sex Relation DL State/Number From To THOMAS PUBLIC 06/25/1993 XXX-XX-8917 M CHILD PA/P /31/ /04/2011 LIENHOLDER INFORMATION For more about Coverage Verifier Contact Verisk Customer Support at or [email protected]. Insurance Services Office, Inc., ISO, the ISO logo, and QuickFill are registered trademarks and Verisk, Verisk Insurance Solutions, and the Verisk Insurance Solutions logo are trademarks of Insurance Services Office, Inc. Coverage Verifier is a service mark of ISO Services, Inc. AIR Worldwide and the AIR Worldwide logo are registered trademarks of AIR Worldwide Corporation. Xactware is a registered trademark of Xactware Solutions, Inc. All other product or corporate names are trademarks or registered trademarks of their respective companies. z12159 (7/13)

SOUTH CAROLINA AUTO SUPPLEMENT

SOUTH CAROLINA AUTO SUPPLEMENT AGENCY AGENCY CUSTOMER ID: SOUTH CAROLINA AUTO SUPPLEMENT APPLICANT/NAMED INSURED POLICY NUMBER CARRIER NAIC CODE. OFFER OF ADDITIONAL UNINSURED MOTORIST COVERAGE AND OPTIONAL UNDERINSURED MOTORIST COVERAGE

More information

WASHINGTON PERSONAL AUTO APPLICATION

WASHINGTON PERSONAL AUTO APPLICATION AGENCY WASHINGTON PERSONAL AUTO APPLICATION APPLICANT'S NAME AND MAILING ADDRESS (Include county & ZIP+4) TELEPHONE NUMBER (MM/DD/YYYY) CONTACT NAME: PHONE (A/C, No, Ext): FAX (A/C, No): E-MAIL ADDRESS:

More information

Catalog of Auto Underwriting Products

Catalog of Auto Underwriting Products Catalog of Auto Underwriting Products Introduction Verisk Insurance Solutions offers a full range of products and services to help you make superior automobile underwriting decisions. This catalog provides

More information

How To Get A Car Insurance Policy From Nevada General Insurance Company

How To Get A Car Insurance Policy From Nevada General Insurance Company 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

Solutions at Quote How to Read the Report - Agent December 2012

Solutions at Quote How to Read the Report - Agent December 2012 Solutions at Quote How to Read the Report - Agent December 2012 Table of Contents ALL NAMES IN THE TEXT OR ON THE SAMPLE REPORTS SHOWN IN THIS DOCUMENT ARE OF FICTITIOUS PERSONS AND ENTITIES. ANY SIMILARITY

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

NORTH CAROLINA PERSONAL AUTO APPLICATION

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

More information

Automobile Insurance in Pennsylvania a supplement to the Automobile Insurance Guide

Automobile Insurance in Pennsylvania a supplement to the Automobile Insurance Guide and answers about Automobile Insurance in Pennsylvania a supplement to the Automobile Insurance Guide My automobile policy was canceled because I did not pay my premium on time. Is this legal? Yes. If

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

MANAGED COMPETITION NEW BUSINESS PROCESSING

MANAGED COMPETITION NEW BUSINESS PROCESSING MANAGED COMPETITION NGM Insurance Company utilizes the Automobile Insurers Bureau of Massachusetts (AIB) advisory rule manual effective April 1, 2009 as its base manual. NGM files company specific rates

More information

McM CORPORATION COMPANIES

McM CORPORATION COMPANIES McM CORPORATION COMPANIES Commonwealth Underwriters Ltd Occidental Fire & Casualty Co. of North Carolina P O Box 5441 Wilshire Insurance Co. Richmond, VA 23220 FAX 804-359-4568 www.commund.com APPLICATION

More information

SOUTH CAROLINA OFFER OF ADDITIONAL UNINSURED MOTORISTS COVERAGE AND OPTIONAL UNDERINSURED MOTORISTS COVERAGE

SOUTH CAROLINA OFFER OF ADDITIONAL UNINSURED MOTORISTS COVERAGE AND OPTIONAL UNDERINSURED MOTORISTS COVERAGE IL U 007 01 07 SOUTH CAROLINA OFFER OF ADDITIONAL UNINSURED MOTISTS COVERAGE AND OPTIONAL UNDERINSURED MOTISTS COVERAGE Policy Number: Policy Effective Date: Company: Producer: Applicant/Named Insured:

More information

New Mobile App. Virtual Inspector revolutionizes vehicle inspections

New Mobile App. Virtual Inspector revolutionizes vehicle inspections New Mobile App Virtual Inspector revolutionizes vehicle inspections Vehicle inspections don t have to be timeconsuming and costly. New technologies and analytics are making them easy and inexpensive. Underwriters

More information

SUBJECT: Effective October 15, 2005 for new and renewal business OMI is making a number of changes to our Commercial Auto Program.

SUBJECT: Effective October 15, 2005 for new and renewal business OMI is making a number of changes to our Commercial Auto Program. OREGON MUTUAL INSURANCE COMPANY DEPT: SUBJECT: DATE: BULLETIN NO: 1966 September 14, 2005 California Regional Office TO: All OMI California Agents Commercial Auto Changes Effective October 15, 2005 for

More information

NAIC Consumer Shopping Tool for Auto Insurance

NAIC Consumer Shopping Tool for Auto Insurance NAIC Consumer Shopping Tool for Auto Insurance Need Auto Insurance? Here is What You Need to Know. Whether you are buying auto insurance for the first time, or shopping to be sure you are getting the best

More information

TITLE 18 INSURANCE DELAWARE ADMINISTRATIVE CODE

TITLE 18 INSURANCE DELAWARE ADMINISTRATIVE CODE 600 Automobile Insurance 1 606 Proof of Automobile Insurance 1.0 Authority This regulation is adopted under the authority of 18 Del.C. 314 and 2741; 21 Del.C. 2118(o), and adopted in cooperation with the

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

New Jersey Pre Signature Series to Signature Series Changes

New Jersey Pre Signature Series to Signature Series Changes Pre Signature Series Signature Series Key Differences AAA Loyal Member AAA Membership This discount is calculated based on the membership tenure of the policyholder provided they are an active member of

More information

STRATFORD INSURANCE COMPANY OFFER OF OPTIONAL ADDITIONAL UNINSURED MOTORISTS COVERAGE AND OPTIONAL UNDERINSURED MOTORIST COVERAGE

STRATFORD INSURANCE COMPANY OFFER OF OPTIONAL ADDITIONAL UNINSURED MOTORISTS COVERAGE AND OPTIONAL UNDERINSURED MOTORIST COVERAGE STRATFORD INSURANCE COMPANY OFFER OF OPTIONAL ADDITIONAL UNINSURED MOTORISTS COVERAGE AND OPTIONAL UNDERINSURED MOTORIST COVERAGE Automobile liability insurance coverage pays other motor vehicle drivers

More information

CORPORATE ID: 1760-818 19-527 WILLIAM PENN HOUSE 515 E CAPITOL ST SE WASHINGTON DC 20003

CORPORATE ID: 1760-818 19-527 WILLIAM PENN HOUSE 515 E CAPITOL ST SE WASHINGTON DC 20003 CORPORATE ID: 001213544 1760-818 19-527 WILLIAM PENN HOUSE 515 E CAPITOL ST SE WASHINGTON DC 20003 A N N U A L R E N E W A L C E R T I F I C A T E POLICY NUMBER 1760-818 - ARC FIRST NAMED INSURED PRODUCER

More information

MISSISSIPPI GARAGE DEALER / NON - DEALER APPLICATION

MISSISSIPPI GARAGE DEALER / NON - DEALER APPLICATION MISSISSIPPI GARAGE DEALER / NON - DEALER APPLICATION CANAL INSURANCE COMPANY CANAL INDEMNITY COMPANY Quotation No. New Policy No. Renewal /Rewrite No. Bound by SGA? Yes No Policy Period From AM/PM on /

More information

External Data* Data Prefill Must Dos

External Data* Data Prefill Must Dos We are pleased to announce updates to SelectPLUS auto and personal umbrella new business processing. In certain circumstances, SelectPLUS will now automatically provide you with driver, vehicle and prior

More information

Arkansas. Insurance Department AUTOMOBILE INSURANCE. Mike Beebe Governor. Jay Bradford Commissioner

Arkansas. Insurance Department AUTOMOBILE INSURANCE. Mike Beebe Governor. Jay Bradford Commissioner Arkansas Insurance Department AUTOMOBILE INSURANCE Mike Beebe Governor Jay Bradford Commissioner A Message From The Commissioner The Arkansas Insurance Department takes very seriously its mission of consumer

More information

STATE OF CONNECTICUT

STATE OF CONNECTICUT STATE OF CONNECTICUT INSURANCE DEPARTMENT Bulletin PC-68 September 21,2010 To: Subject: ALL INSURANCE COMPANIES AUTHORIZED FOR AUTOMOBILE LIABILITY INSURANCE IN CONNECTICUT PERSONAL AUTOMOBILE INSURANCE

More information

Your Guide to Auto Insurance Premiums

Your Guide to Auto Insurance Premiums INSURANCE FACTS for Pennsylvania Consumers Your Guide to Auto Insurance Premiums 1-877-881-6388 Toll-free Automated Consumer Line www.insurance.state.pa.us Pennsylvnaia Insurance Department Website Required

More information

Table of Contents. Overview...2. Target Classes...2. Limits Available...3. Filings Available...3. Additional Coverages Available...

Table of Contents. Overview...2. Target Classes...2. Limits Available...3. Filings Available...3. Additional Coverages Available... Table of Contents Overview...................................2 Target Classes...............................2 Limits Available...............................3 Filings Available..............................3

More information

Introducing the all new Quantum Auto 2.0. Experience the smoother ride!

Introducing the all new Quantum Auto 2.0. Experience the smoother ride! Quantum Auto 2.0 Introducing the all new Quantum Auto 2.0. Experience the smoother ride! REFERENCE GUIDE Introducing the all new Quantum Auto 2.0. We did not just re-design the chassis. We re-engineered

More information

STATE OF SOUTH CAROLINA DEPARTMENT OF INSURANCE SCDOI FORM NUMBER 2006 [REVISED JANUARY 1, 2007]

STATE OF SOUTH CAROLINA DEPARTMENT OF INSURANCE SCDOI FORM NUMBER 2006 [REVISED JANUARY 1, 2007] STATE OF SOUTH CAROLINA DEPARTMENT OF INSURANCE SCDOI FORM NUMBER 2006 [REVISED JANUARY 1, 2007] OFFER OF ADDITIONAL UNINSURED MOTORIST COVERAGE AND OPTIONAL UNDERINSURED MOTORIST COVERAGE Automobile liability

More information

MARYLAND PERSONAL AUTO SUPPLEMENT

MARYLAND PERSONAL AUTO SUPPLEMENT MARYLAND PERSONAL AUTO SUPPLEMENT AGENCY NAMED INSURED(S) POLICY NUMBER EFFECTIVE DATE CARRIER NAIC CODE Mandatory Offer of Increased Liability Coverage for Claims of Family Members at an Additional Premium

More information

For Payment Submission

For Payment Submission VIRGINIA Private Passenger Automobile PROCEDURAL MANUAL GENERAL INFORMATION West Virginia National Auto Insurance Company s Private Passenger Auto Program is designed to provide competitively priced insurance

More information

2015 Annual Private Passenger Automobile & Homeowners Insurance Comparison Tables

2015 Annual Private Passenger Automobile & Homeowners Insurance Comparison Tables 2015 As required by law, the Utah Insurance Department has prepared this guide to auto and homeowners insurance. This annual guide provides general information about auto and homeowners insurance, and

More information

CHOICES: Insurance Rate Comparison Search Systems. Auto Insurance. Instructions/User Guide

CHOICES: Insurance Rate Comparison Search Systems. Auto Insurance. Instructions/User Guide CHOICES: Insurance Rate Comparison Search Systems Auto Insurance Instructions/User Guide April 2014 Table of Contents Step 1 Select an Example... 3 Step 2 Select by County or Company... 4 By County...

More information

A Shopping Tool for. Automobile Insurance. Mississippi Insurance Department

A Shopping Tool for. Automobile Insurance. Mississippi Insurance Department Automobile Insurance Mississippi Insurance Department 1 2014 National Association of Insurance Commissioners All rights reserved. National Association of Insurance Commissioners Insurance Products & Services

More information

304.20-040 Cancellation, nonrenewal, or termination of automobile insurance -- Definitions -- Scope -- Penalties. (1) As used in this section: (a)

304.20-040 Cancellation, nonrenewal, or termination of automobile insurance -- Definitions -- Scope -- Penalties. (1) As used in this section: (a) 304.20-040 Cancellation, nonrenewal, or termination of automobile insurance -- Definitions -- Scope -- Penalties. (1) As used in this section: (a) "Policy" means an automobile liability insurance policy,

More information

Contingent Liability Application (Bobtail & Deadhead)

Contingent Liability Application (Bobtail & Deadhead) Contingent Liability Application (Bobtail & Deadhead) COLUMBIA INSURANCE COMPANY NATIONAL FIRE & MARINE INSURANCE COMPANY NATIONAL INDEMNITY COMPANY NATIONAL INDEMNITY COMPANY OF MID-AMERICA NATIONAL INDEMNITY

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

BUSINESS AUTO DECLARATIONS

BUSINESS AUTO DECLARATIONS COMMERCIAL AUTO B CA DS 03 01 12 Issuing Company: Tri-State Insurance Company of Minnesota Policy No.: Previous Policy No.: BUSINESS AUTO DECLARATIONS ITEM ONE NAMED INSURED AND ADDRESS AGENCY NAME AND

More information

All About Auto Insurance

All About Auto Insurance All About Auto Insurance The legal responsibility involved when you are in a car accident is extraordinary. Basically, if you hurt someone else while driving, there s no limit to the amount he or she can

More information

A Shopping Tool for. Automobile Insurance. Mississippi Insurance Department

A Shopping Tool for. Automobile Insurance. Mississippi Insurance Department A Shopping Tool for Automobile Insurance Mississippi Insurance Department 1 A Shopping Tool for 2014 National Association of Insurance Commissioners All rights reserved. National Association of Insurance

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

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: [email protected] INSTRUCTIONS TO COMPLETE THE CONTINUING EDUCATION COURSE Thank

More information

GEORGIA (To be completed and signed by Named Insured) IMPORTANT NOTICE GEORGIA UNINSURED MOTORISTS COVERAGE PLEASE READ THIS NOTICE CAREFULLY.

GEORGIA (To be completed and signed by Named Insured) IMPORTANT NOTICE GEORGIA UNINSURED MOTORISTS COVERAGE PLEASE READ THIS NOTICE CAREFULLY. SUPPLEMENTARY COMMERCIAL AUTOMOBILE APPLICATION GEORGIA (To be completed and signed by Named Insured) Name Address IMPORTANT NOTICE GEORGIA UNINSURED MOTORISTS COVERAGE PLEASE READ THIS NOTICE CAREFULLY.

More information

GEORGIA COMMERCIAL AUTO

GEORGIA COMMERCIAL AUTO AGENCY GEORGIA COMMERCIAL / LIMITS SECTION NAMED INSURED(S) (MM/DD/YYYY) POLICY NUMBER EFFECTIVE CARRIER NAIC CODE BUSINESS SECTION SYMBOLS LIMITS 1 9 EA SYMBOLS LIMITS TRADITIONAL (REDUCED) NEW (AD ON)

More information

AMERICAN SOUTHERN HOME INSURANCE COMPANY (080) FLORIDA MOTOR HOME APPLICATION

AMERICAN SOUTHERN HOME INSURANCE COMPANY (080) FLORIDA MOTOR HOME APPLICATION AMERICAN SOUTHERN HOME INSURANCE COMPANY (080) FLORIDA MOTOR HOME APPLICATION DRIVER INFORMATION Quote/Binder # Policy Number Renewal of Policy # SUBPRODUCER CODE AGENCY CODE 0 3 2 6 8 5 SUBPRODUCER: AGENCY

More information

PUBLIC AUTO INSURANCE APPLICATION- PENNSYLVANIA

PUBLIC AUTO INSURANCE APPLICATION- PENNSYLVANIA A. GENERAL STRATFORD INSURANCE COMPANY WESTERN WORLD INSURANCE COMPANY PUBLIC AUTO INSURANCE APPLICATION- PENNSYLVANIA Applicant's Name: Phone #: Contact Person: Address: Garaging Location(s) if different:

More information

Educational Guide to Automobile Insurance

Educational Guide to Automobile Insurance Educational Guide to Automobile Insurance Who needs auto insurance? Suppose you have an auto accident and you hurt or kill someone, damage someone else s property or damage your own car. If you are found

More information

/1234512345/ The Added Benefits Program for Alcatel-Lucent Employees. With Comparative Rater, auto insurance comparison shopping

/1234512345/ The Added Benefits Program for Alcatel-Lucent Employees. With Comparative Rater, auto insurance comparison shopping AME247-EMP /1234512345/ John Q. Sample Address Line 1 Address Line 2 Anytown, USA 12345-0000 With Comparative Rater, auto insurance comparison shopping and potential savings are just a click away. 99 Park

More information

Plugging Premium Leakage

Plugging Premium Leakage Plugging Premium Leakage Using Analytics to Prevent Underwriting Fraud WHITE PAPER SAS White Paper Table of Contents Introduction.... 1 Types of Underwriting Fraud... 1 Application Fraud/Rate Manipulation....

More information

DEPARTMENT OF INSURANCE Statutory Authority: 18 Delaware Code, Sections 314 and 2741 (18 Del.C. 314 & 2741) 18 DE Admin. Code 606

DEPARTMENT OF INSURANCE Statutory Authority: 18 Delaware Code, Sections 314 and 2741 (18 Del.C. 314 & 2741) 18 DE Admin. Code 606 DEPARTMENT OF INSURANCE Statutory Authority: 18 Delaware Code, Sections 314 and 2741 (18 Del.C. 314 & 2741) 18 DE Admin. Code 606 ORDER Docket No. 2007-526 606 Proof of Automobile Insurance [Formerly Regulation

More information

Information for Independent Agents About the GM Auto Program

Information for Independent Agents About the GM Auto Program Information for Independent Agents About the GM Auto Program Introduction We value our relationships with, and have a long-standing commitment to, our independent agent force. We appreciate that you are

More information

COVERAGE SELECTION FORM - STANDARD POLICY

COVERAGE SELECTION FORM - STANDARD POLICY Policy Number: COVERAGE SELECTION FORM - STANDARD POLICY This Coverage Selection Form is for a STANDARD POLICY, see Buyer s Guide, page 5. A BASIC POLICY with the minimum of required coverages is also

More information

AUTO INSURANCE PROTECTION WHILE YOU RE ON THE ROAD

AUTO INSURANCE PROTECTION WHILE YOU RE ON THE ROAD AUTO INSURANCE PROTECTION WHILE YOU RE ON THE ROAD PROTECTION WHILE YOU ARE ON THE ROAD TO YOUR DREAMS LIABILITY COVERAGE What is Auto Insurance Coverage? An auto insurance policy is a package of several

More information

Auto Insurance Buyers Guide

Auto Insurance Buyers Guide Auto Insurance Buyers Guide Table of Contents Understand Your Rights as a Consumer...1 Introduction...... 2 Why You Need Auto Insurance...... 3 When to Shop for a New Auto Insurance Policy.. 4 How to Shop

More information

AUTO INSURANCE A RATE COMPARISON GUIDE NEBRASKA DEPARTMENT OF INSURANCE 941 O STREET, SUITE 400 PO BOX 82089 LINCOLN, NEBRASKA 68501-2089

AUTO INSURANCE A RATE COMPARISON GUIDE NEBRASKA DEPARTMENT OF INSURANCE 941 O STREET, SUITE 400 PO BOX 82089 LINCOLN, NEBRASKA 68501-2089 A RATE COMPARISON GUIDE 2015 RATES AUTO INSURANCE COMPILED BY DEPARTMENT OF INSURANCE 941 O STREET, SUITE 400 PO BOX 82089 LINCOLN, 68501-2089 402-471-2201 TOLL-FREE: 1-877-564-7323 TDD: 1-800-833-7352

More information

PHYSICAL DAMAGE Medical Combined Single. Maximum Bodily Injury Property Damage Payments Limit BI & PD

PHYSICAL DAMAGE Medical Combined Single. Maximum Bodily Injury Property Damage Payments Limit BI & PD Drive-Away Application COLUMBIA INSURANCE COMPANY NATIONAL FIRE & MARINE INSURANCE COMPANY NATIONAL INDEMNITY COMPANY NATIONAL INDEMNITY COMPANY OF MID-AMERICA NATIONAL INDEMNITY COMPANY OF THE SOUTH NATIONAL

More information

2. Complete the appropriate sections of the Auto/Home Quote form. 4. Return all materials to Paul Goebel Group. or your local Citizens Agent.

2. Complete the appropriate sections of the Auto/Home Quote form. 4. Return all materials to Paul Goebel Group. or your local Citizens Agent. Instructions 1. Print off all necessary forms 2. Complete the appropriate sections of the Auto/Home Quote form. If you have any questions while completing this form please call Alice at 1-800-632-4591.

More information

BUSINESS INSURANCE FAQ

BUSINESS INSURANCE FAQ BUSINESS INSURANCE FAQ Q: What is Business Insurance? A: We strive to understand your risk tolerance and financial ability to withstand the spectrum of potential losses and develop insurance programs to

More information

A Personal Auto Policy shall be used to afford coverage to private passenger autos and motor vehicles considered as private passenger autos, if:

A Personal Auto Policy shall be used to afford coverage to private passenger autos and motor vehicles considered as private passenger autos, if: UNDERWRITING Definition Of Private Passenger Auto A. A private passenger auto is a motor vehicle: 1. not used as a public or livery conveyance for passengers, and 2. not rented to others, and 3. that,

More information

South Carolina Department of Insurance 300 Arbor Lake Drive, Suite 1200 Columbia, South Carolina 29223

South Carolina Department of Insurance 300 Arbor Lake Drive, Suite 1200 Columbia, South Carolina 29223 South Carolina Department of Insurance 300 Arbor Lake Drive, Suite 1200 Columbia, South Carolina 29223 Mailing Address: P.O. Box 100105, Columbia, S.C. 29202-3105 Telephone: (803) 737-6223 MARK SANFORD

More information

INSURANCE. Automobile GUIDE

INSURANCE. Automobile GUIDE Automobile INSURANCE GUIDE The Pennsylvania Insurance Department is here to help you understand automobile insurance. In the next few pages you will learn about auto insurance, types of coverage available,

More information

Truck Application DESCRIPTION OF OPERATIONS. LIABILITY COVERAGE Complete for desired coverages by indicating limits of insurance.

Truck Application DESCRIPTION OF OPERATIONS. LIABILITY COVERAGE Complete for desired coverages by indicating limits of insurance. Truck Application 1. Name (and "dba") Individual/Proprietorship Partnership Corporation Other Policy Term From: To Business Phone Number 2. Mailing Address City State Zip 3. Premises Address City State

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

How To Get Car Insurance In New Hampshire

How To Get Car Insurance In New Hampshire New Hampshire Personal Automobile Insurance Premiums Territories Location Zip Code All examples include the following unless otherwise noted: Berlin 03570 Coverages Concord 03301 Bodily Injury Liability:

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

AMERICAN INDEPENDENT INSURANCE COMPANY

AMERICAN INDEPENDENT INSURANCE COMPANY AMERICAN INDEPENDENT INSURANCE COMPANY American Independent Insurance Company (AIICO) has been providing a wide array of quality insurance products and services since 1938. Since the passage of Act 6 in

More information

Group Personal Excess Liability Insurance for Brown & Brown Employees from Chubb

Group Personal Excess Liability Insurance for Brown & Brown Employees from Chubb Group Personal Excess Liability Insurance for Brown & Brown Employees from Chubb Policy Highlights Chubb Group Personal Excess Liability Insurance provides additional liability coverage up to $50 million

More information

CAROLINA CASUALTY INSURANCE COMPANY P.O. BOX 2575 JACKSONVILLE, FLORIDA 32203 (904) 363-0900 (800) 874-8053 FAX (904) 363-8093

CAROLINA CASUALTY INSURANCE COMPANY P.O. BOX 2575 JACKSONVILLE, FLORIDA 32203 (904) 363-0900 (800) 874-8053 FAX (904) 363-8093 CAROLINA CASUALTY INSURANCE COMPANY P.O. BOX 2575 JACKSONVILLE, FLORIDA 32203 (904) 363-0900 (800) 874-8053 FAX (904) 363-8093 MISCELLANEOUS PUBLIC AUTO PROGRAM APPLICATION A. GENERAL INFORMATION PROPOSED

More information

CALIFORNIA AUTO UNDERWRITING AND RATING GUIDE

CALIFORNIA AUTO UNDERWRITING AND RATING GUIDE CALIFORNIA AUTO UNDERWRITING AND RATING GUIDE EFFECTIVE AUGUST 1, 2013 CONTENTS General Rules and Procedures...2 Policy Terms and Payment Plans...4 Private Passenger Underwriting...5 Rating Rules... 6

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

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

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

domicile, including but not limited to Personal Injury Protection (PIP) and Personal Property insurance (PPI), must be carried.

domicile, including but not limited to Personal Injury Protection (PIP) and Personal Property insurance (PPI), must be carried. Independent Contractor Insurance Requirements Sample provided by Paul Hanson Partners Specialty Insurance Solutions This document should be reviewed with your broker and attorney and modifications for

More information

WASHINGTON UNDERINSURED MOTORISTS COVERAGE SELECTION/REJECTION

WASHINGTON UNDERINSURED MOTORISTS COVERAGE SELECTION/REJECTION IL U 008 04 06 WASHINGTON UNDERINSURED MOTORISTS COVERAGE SELECTION/REJECTION Policy Number: Policy Effective : Company: Producer: Applicant/Named Insured: Washington law permits you to make certain decisions

More information

PACIFIC SPECIALTY INSURANCE COMPANY STATE OF CALIFORNIA. Non-Franchised Auto Dealers Program Underwriting and Rate Guide

PACIFIC SPECIALTY INSURANCE COMPANY STATE OF CALIFORNIA. Non-Franchised Auto Dealers Program Underwriting and Rate Guide PACIFIC SPECIALTY INSURANCE COMPANY STATE OF CALIFORNIA Non-Franchised Auto Dealers Program Underwriting and Rate Guide General Information 1. A fully completed and signed application is required on all

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

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

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

Policy Tracking. SmartOffice v3.0 Policy Tracking Revised: 01-13-04

Policy Tracking. SmartOffice v3.0 Policy Tracking Revised: 01-13-04 Policy Tracking Copyright 1998-2004, E-Z Data, Inc. All Rights Reserved No part of this documentation may be copied, reproduced, or translated in any form without the prior written consent of E-Z Data,

More information

APPLYING FOR AUTO INSURANCE. What do I need to know to fill out an automobile insurance application?

APPLYING FOR AUTO INSURANCE. What do I need to know to fill out an automobile insurance application? APPLYING FOR AUTO INSURANCE What do I need to know to fill out an automobile insurance application? Here is some of the information you ll need to provide on an automobile insurance application: 1. Vehicle

More information