North America Insurance Program (NAIP) Manual Insurance Quote Request

Please enter the Vehicle Identification Number (VIN) for your motorcycle*

Year*

Make*

Model*

Engine CC's*

What country is your motorcycle registered in?

Which of the following best describes your motorcycle?*

First Name*

Last Name*

Date of Birth (Please type American Style MM/DD/YYYY*

(Please type MM/DD/YYYY)

Driver's gender*

Driver's marital status*

Please provide your mailing address.*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you need a Canadian Card? The USA ID Card will be printable in your package, but your Canadian ID card will be express mailed to you.*

Please provide your Passport Number(Include all letters and numbers)*

Please provide the Country the Passport was issued in:*

By clicking Save & Continue, I expressly agree that National General Insurance Group can contact me at the number and email I provided regarding auto, home, health and life insurance products or services they offer, which may include use of pre-recorded messages and/or an automated telephone dialing system. I understand I don’t have to agree to this in order to make a purchase, and I can revoke my consent at any time.

Email*

example@example.com

Phone Number*

Please enter your Country Code and Phone Number

Please also review our Privacy Policy. By proceeding, you consent to our obtaining information about you and our other Terms and Conditions.

When would you like to start your policy?*

Date must be within the next 120 days.

Select a policy term length:

Is the motorcycle owned by you?*

YesNo

Is the motorcycle used for business?*

YesNo

Is the motorcycle modified?*

YesNo

Liability Property Damage, Uninsured Motorist Bodily Injury, Underinsured Motorist Bodily Injury:*

Medical Payments of $2000*

Purchase Physical Damage Package?*

TOTAL LOSS SETTLMENT ACTUAL CASH VALUE

COMPREHENSIVE $1000.00 DEDUCTIBLE (OPTIONAL)

(Comprehensive and Collision Coverage (Comp/Coll) - ACV

Physical damage insurance is a type of insurance that covers physical damage to your motorcycle.
Physical Damage Only policies are not acceptable, Liability Coverage is required.
Salvage vehicles are not acceptable.
Comprehensive and Collision coverages are required on any motorcycle with a loss payee.
NAIP offered deductible is $1,000 for both Comp/Coll.)

COLLISION $1,000.00 DEDUCTIBLE (OPTIONAL REQUIRES COMP TO BE PURCHASED)

(Collision -Pays for loss to your covered vehicle when it collides with another object or overturns, subject to the deductible amount selected. If a street motorcycle $3,000 and if an off-road vehicle $1,000, of permanently attached custom parts and equipment coverage is included.)

CUSTOM PARTS & EQUIPMENT STREET MOTORCYCLES $3,000 (INCLUDED AT NO CHARGE WITH COMP/COLL PURCHASE)

CUSTOM PARTS & EQUIPMENT OFF-ROAD MOTORCYCLES $1,000 (INCLUDED AT NO CHARGE WITH COMP/COLL PURCHASE)

SAFETY APPAREL & HELMET $400 (INCLUDED AT NO CHARGE WITH COMP/COLL PURCHASE)

TRIP INTERRUPTION $400.00 (OPTIONAL REQUIRES COMP/COLL)

(Trip Interruption - This coverage provides daily maximums for lodging, transportation expenses, and food while the covered vehicle is being repaired (from mechanical breakdowns and a covered loss), up to $400 per occurrence.
The disablement from mechanical breakdown or covered loss must have occurred more than 100 miles from insured's primary residence for Trip Interruption coverage to apply.
Trip Interruption coverage must be purchased with Towing and Labor coverage.)

TOWING AND LABOR $150.00 (OPTIONAL REQUIRES COMP/COLL)

(Towing - Coverage provides towing to the nearest qualified repair facility and necessary labor at the time and place of disablement when the motorcycle or vehicle towing them is disabled within 100 feet of the roadway due to: mechanical or electrical breakdown, battery failure, insufficient supply of fuel, oil, water, or other fluids, flat tire, lockout, or entrapment in snow, mud, water, or sand.)

I hereby agree to the Terms and Conditions Applicable to the coverage provided.

This policy is Non-Renewable, and the term of the policy is based on the term of travel you have selected. If you find your travels in the United States need to be extended, you will be required to purchase a new policy, just as you have done here. In the event that you should have a loss during your term of travel in the United States, you should contact our claims department at NAIP@motorcycleexpress.com or 1-800-468-3466. In the event of a loss causing damage to your motorcycle during your term of travel, we will not pay for loss to your motorcycle if the motorcycle is not available in the United States for us to inspect and determine damages and cost of repairs.

North America Insurance Program (NAIP) Insurance Manual Quote Request