NO HASSLE, COMPARISON QUOTES
-We shop for you!-
Currently, auto insurance quotes are available only for Michigan
-stay tuned for more states-
Presented by The Abbott & Fillmore Agency, Inc.
We Compare Several Top Companies For You Including:
Auto-Owners, Allstate, Progressive, Titan, and More!!!
If you have a problem with alignment of form boxes, try reducing your viewing font!
Please Note: If you prefer not to complete this form, you may obtain a quote by faxing your current automobile declaration page to FAX= 517-851-7861.
After submitting the requested information, The Abbott & Fillmore Agency, Inc. will calculate quotes from up to 5 competing insurance companies. Of course, no coverage is bound and any quote is subject to company approval and underwriting criteria. Companies quoted will include AUTO-OWNERS, PROGRESSIVE, TITAN, MAIPF, and More. Special Note: It is best to have us look at both home/renters AND auto concurrently so as to compare special insurance package discounts! When done, go to homeowners quote, too. When you get the quote, if you are interested and ask us, we can take care of all the paperwork--including that necessary to cancel your existing policy so you can get a refund if applicable. This is our "No Hassle" service.
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Please enter the following information (Be sure you have your existing policy in front of you):
Set your viewing font (Under Options, Gen'l Preferences) to 12 if you don't want to be confused!
READ THIS! This quote service is intented only for someone who has insurance presently and has their existing policy in front of them. An existing policy number and vehicle id numbers for EVERY car MUST be provided for a response. If you don't have current insurance or if you are just checking the cost of insurance on a car you don't currently have insured, you can still call us at 1-800-243-6296 for a phone quote. There will be no response to this online quote request if your current policy number and vehicle id numbers are not included. Therefore, YOU MUST HAVE YOUR EXISTING POLICY IN FRONT OF YOU WHEN YOU COMPLETE THIS! This helps us make sure we give you "apples-to-apples".
HOUSEHOLD INFO:
Your full name:
Your occupation & employer
Spouse occupation/employer:
Your email address:
Your home phone number:
Your work phone number:
Your home street address:
Your city:
Your State: (IF NOT MICHIGAN, STOP HERE! READ ABOVE)
Your ZIP Code:
Number of People in House:
Choose One: Own Mobile Home<10 yrs old; Own Home; Rent; Live w Parents; Other
What company insures your home/personal property?
We can likely save you the most money by packaging your auto insurance with either a homeowners policy or a renters policy with our special "Multi-Policy" discounts!! When you are done here, grab that policy and go to our homeowners quote page. There is a link at the end of this input.
Medical Ins. Company or NONE:
Disability Ins. Company or NONE: If you have a disability plan through work that would pay your lost income if you couldn't work due to auto accident injuries.
Do you have Auto Ins in force now? IF NOT, STOP HERE AND CALL US FOR QUOTE.
If so, Current Auto Ins. Co.:
Policy Number: There will be no response to your request if not included.
Expiration Date:
Current 6 mo premium
Are you being cancelled by your current company? If so, WHY?
Are you a member of a group (a college Alumni Assoc, AARP, MEA, Mi Assoc Comm Bankers, etc.) Which?
HOUSEHOLD INFO: List info on ALL household members including yourself(even if they don't drive) AND any other drivers
Household Member # 1 (Full name including full middle name--even if you already put it above)
Name
Birthdate
Social Security Number Note: Some companies give a discount that depends on credit rating. Thus, a credit report will be ordered to determine if you are eligible for a discount. We do not ever see the credit report. The company's computer looks it ups and we are told whether or not you qualify for the discount without any other information on your credit report. If you are adamant about NOT wanting to have a credit report search, then please state so in the comments at the end of this form prior to submitting. You will not be eligible for the discount in this case and your quote may be higher than otherwise:
Has this driver had any ticket/accident in last 5 years? (Y or N)
Household Member # 2 (Full name including full middle name)
Name
Birthdate
Had any ticket/accident in last 5 years? (Y or N)
Household Member # 3 (Full name including full middle name)
Name
Birthdate
Had any ticket/accident in last 5 years? (Y or N)
Household Member # 4 (Full name including full middle name)
Name
Birthdate
Had any ticket/accident in last 5 years? (Y or N)
Household Member # 5 (Full name including full middle name)
Name
Birthdate
Had any ticket/accident in last 5 years? (Y or N)
Are there any more household members? Yes; No If so, please list their info at the end in "Other Comments".
*
TICKETS AND/OR ACCIDENTS IN LAST 5 YEARS FOR ALL HOUSEHOLD MEMBERS AND DRIVERS; PLEASE LIST DETAILS
Please give all details on any tickets or accidents for all members of the household during the last 5 years. Be sure to include 1) name of driver, 2) date of occurance, 3) description of occurance, and 4) amount of claim if applicable. If there have been absolutely none, please state "None"
..
CLAIM DETAILS IN LAST 5 YEARS. Please describe all claims you have had in the last 5 years including deer, windshield, theft, accidents(including "not at fault"), etc.. Provide details, dates, and amounts paid for the claim. If there have been absolutely none, please state "None"
(You can keep typing past the end of the box)
AUTO INFORMATION
Car1
Year
Make
Model
VIN # You will receive NO response if this is not provided on all cars
Anti-lock brakes?
Air Bags (0,1, or 2)
Alarm System?
Driver Name
Use (Work, School, Business or Pleasure)
Distance one way
Car titled in the name of:
Note: If car is driven to work/school less than 5 days/ week; please describe circumstances in "Extra Comments"
Car 2
Year
Make
Model
VIN #
Anti-lock brakes?
Air Bags (0,1, or 2)
Alarm System?
Driver Name
Use (Work, School, Business or Pleasure)
Distance one way
Car titled in the name of:
Note: If car is driven to work/school less than 5 days/ week; please describe circumstances in "Extra Comments"
Car 3
Year
Make
Model
VIN #
Anti-lock brakes?
Air Bags (0,1, or 2)
Alarm System?
Driver Name
Use (Work, School, Business or Pleasure)
Distance one way
Car titled in the name of:
Note: If car is driven to work/school less than 5 days/ week; please describe circumstances in "Extra Comments"
Car 4
Year
Make
Model
VIN #
Anti-lock brakes?
Air Bags (0,1, or 2)
Alarm System?
Driver Name
Use (Work, School, Business or Pleasure)
Distance one way:
Car titled in the name of:
Note: If car is driven to work/school less than 5 days/ week; please describe circumstances in "Extra Comments"
COVERAGES
Bodily Injury Liability Limits
Please choose a liability limit from the limits listed below. Limits are per person/per occurance. Limits will be the same for all vehicles. This covers you if you injure someone and they sue you. With law suits the way they are today, we recommend the highest limits possible and we also recommend that you obtain an umbrella policy to "blanket" over your home and auto insurance. Ask us about it.
Property Damage Liability Limits:
Please choose a property damage liability limit from the list below. Limits will be the same for all vehicles. This covers you if you damage someone's property outside of Michigan (ie parked car, house, etc.) and they sue you. If you damage property IN Michigan, coverage is automatically up to $1,000,000 as part of Michigan's no-fault insurance laws.
Personal Injury Protection-Medical - Enter whether you want
"Coordinated/Excess" or "Full" Medical
If you don't have medical insurance, or if your medical insurance excludes auto accidents, then you should have "Full". You should only choose Excess if you have medical insurance and it doesn't exclude auto accidents. If you are on Medicare or Medicaid, you need "Full" because they don't pay for auto accident related medical bills. With Excess, your medical pays first, and then your auto insurance "kicks" in after a $300 deductible. There is no deductible with "Full". Excess is less expensive than Full.
Enter your Medical choice
.
Personal Injury Protection-Wage Loss - Enter whether your want
"Coordinated/Excess", or "Full" wage loss
If you don't have disability insurance to pay your lost income from work, you should have "Full". You should only choose Excess if you have disability insurance over and above worker's comp. With excess, your disability insurance pays first, and then your auto insurance "kicks" in after a $300 deductible. There is no deductible with "Full"..
Enter your Wage Loss choice
.
Specific Car Coverages:
Car1
Comprehensive-Choose One
Collision-Choose One
Collision Type: "Broad" collision is the best (and most expensive). With "Broad" you do NOT pay the deductible if the OTHER person is "at fault". With "Regular" you pay the deductible no matter what;
Choose which type you want.
Road Service/Towing?
Car Rental Coverage?
This car's current 6 mo premium:
Car2 (skip if no car entered)
Comprehensive-Choose One
Collision-Choose One
Collision Type: "Broad" collision is the best (and most expensive). With "Broad" you do NOT pay the deductible if the OTHER person is "at fault". With "Regular" you pay the deductible no matter what;
Choose which type you want.
Road Service/Towing?
Car Rental Coverage?
This car's current 6 mo premium:
Car3 (skip if no car entered)
Comprehensive-Choose One
Collision-Choose One
Collision Type: "Broad" collision is the best (and most expensive). With "Broad" you do NOT pay the deductible if the OTHER person is "at fault". With "Regular" you pay the deductible no matter what;
Choose which type you want.
Road Service/Towing?
Car Rental Coverage?
This car's current 6 mo premium:
Car # 4 and others - For coverage on car 4 and others, enter the same information in the "Extra Comments" section at the end.
.
Good Student Discount Note: If any of the drivers is a full time student and on the honor roll/dean's list, please let us know in the extra comments section. You may be eligible for a "Good Student Discount"
Extra comments; enter additional household member info, additional autos, good student info, etc.:
Did you fill in all the information? Did you have your existing policy in front of you to ensure "apples-to-apples"?
How did you find our site?
If "Other search engine" or "Other" or "Friend", Please list friend or which engine?
Did you find our quote form easy to use? Put any ideas for improvements here:
Thank you for completing our online quote form. Please let us know how you would like us to send you the quote:
Phone Call Fax
If you entered "phone call" and we call at night, how late can we call you?
If you entered "Fax", what is your fax number:
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