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Make a Policy Change

Make a Change Request through your Agent: You can find your agents phone number and address on your most recent Invoice or Policy Declarations page.

 

You may also call 800-369-0369 during our business hours and we will try to assist you.

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or by phone 1-866-207-9392


make a claim

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Policy Forms

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TIC-30 (2019-03)

TIC-30-OK (2019-03)

TIC-30-OK (2020-06)

TIC-30-KS (2019-03)

TIC-30-AR (2019-03)

TIC-30-MO (2019-05)

TIC-30-MO (2020-06)

TIC-30-IN (2020-08)

TIC-ROAD-ALL (2019-03)

TIC-TOW-ALL (2019-03)

TIC-SE-ALL (2020-01)


Customer Forms:

Driver Exclusion Endorsment

Medical Statement

Rental Reimbursement

Towing and Labor

24 Hour Roadside

Vehicle Inspection Form

Property Damage Statement


Arkansas:

TIC-AR-10 (03-2006)

TIC-AR-20 (03-2006)

Rental Reimbursement

Arkansas Optional Coverage Rejection Form


Kansas:

TIC-10 KS (2006-10)

TIC-20 KS (08/2006)

TIC-30 KS HL (03/2021)

TIC-30 KS ML (03/2021)

TIC-30 UM KS (03/2021)

Automobile Accidental Death Benefit Coverage TR24AADB (2005-09-20)

Kansas Exclusion Form


Missouri:

TIC-10 (2005-07-12)

Policy Amendatory Endorsements TIC-10-MO (2005-11-16)

Amendatory Endorsements TIC-10-MO (2005-08)

Amendatory Endorsement TIC-10-MO (2005-02-24)

TIC-20 (2005-07-12)

Amendatory Endorsements TIC-20-MO (2005-02-18)

Amendatory Endorsements TIC-20-MO (2005-08)

Amendatory Endorsements TIC-20-MO (2005-11-16)

Automobile Accidental Death Benefit Coverage TR24AADB (2005-09-20)


Oklahoma:

Policy Form TIC-10 (2005-07-12)

Amendatory Endorsement TIC-10-OK (2005-08)

Policy Form TIC-20 (2005-07-12)

Amendatory Endorsement TIC-20-OK (2005-08)

Automobile Accidental Death Benefit Coverage TR24AADB (2005-09-20)

Oklahoma Uninsured Motorist Rejection Form


Indiana:

TIC-30-IN (2020-08)

TIC-EXCL-IN (2020-01)

TIC-REJ-IN (2020-01)