PST (Personal Auto) - New

Auto Ins. PST - 4

This Auto PST form is used to collect policy change information for the purpose of quoting an endorsement. Do not share with clients, in house use ONLY.

Agency Name*

enter agency prefix

Producer Names*

Requested by:*

Name of Person:*

Contact Email:*

Contact Phone:*

Assigned PST*

Page URL

For Edit Submission

Date*

Date

Time*

:HourMinutesAM/PM Option

LOB*

Name of Insured:

Ezlynx Client ID or Client Link

Simply copy and paste the client link or client ID for Ezlynx

Choose the type of changes to be made on the policy:

Choose the type of policy transaction:

Contact Information to be updated on the policy:

Update Contact Info for*

Contact Info Update*

Updated Email Address*

Updated Phone Number*

Update Contact Info for

Contact Info Update

Updated Email Address

Updated Phone Number

Name of Other Person:*

Updated Email Address:*

Other

Updated Phone Number:*

Other

Mailing or Garaging address changes to be made on the policy:

Source (Origination)*

Address Change Type*

New Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Garaging Address (if different then Mailing)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Does this garaging address apply to all Vehicle on the policy?*

Identify which Vehicle does not apply:*

Vehicle Year- Make - Model

Garaging Address for this Vehicle

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Drivers/Excluded Drivers changes to be made on the policy:

Source (Origination)*

Driver Change (mark all that Apply)*

Add a DriverRemove DriverUpdate Info (Existing Driver)

Add a Driver

Name (Additional Driver 1)*

First & Last Name as Listed on Driver License

Date of Birth*

Date

Relationship to First Named Insured:*

Driver License Number *

License State*

Employment Status*

Occupation/ Job Title*

Self-Employed?*

Nature of work/business

If Self-Employed, describe the exact type of Work/Business the client performs.

Name of Employer*

Work Location:*

Address of Business/Employer*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of School/College*

Address of School/College*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Good Student (Discount)*

Must have 3.0 or better GPA with 12 Units or More

Group Discount*

License Status*

Does Driver have a Suspension in last 3 years*

Does this Driver have a DUI in the last 10 years*

Full Driving Experience licensed from Age 16*

Driving Experience from Actual Date Licensed*

Number of Minor Violations (1 point for each)*

Number of Major Violations (2 point for each)*

# of Non-Fault Accidents (0 points for each):*

# of At-Fault Acc. PD Only (1 point for each)*

# of At-Fault Acc. with BI (2 point for each)*

Are we adding a Spouse/Registered Domestic Partner*

Remove a Driver

Name of Driver you want to remove*

First & Last Name

Household Status*

Note: All persons living in the house must be added or excluded (cannot be simply be removed from Policy).

Update an Existing Driver Information

Name of the Driver you want to Update*

Enter as it appears on the Driver License

Information we need Updated*

New Name*

Enter as it appears on the Driver License

Date of Birth*

Marital Status*

Is the Spouse/Registered Dom. Partner already listed as a driver on Policy.*

Note: A Spouse/Registred Domestic Partner must be added or excluded regardless if they have their own insurance policy.

Employed Status*

Self-Employed?*

Work Location:*

Occupation/ Job Title*

Name of Employer*

Nature of work/business

If Self-Employed, describe the exact type of Work/Business the client performs.

Address of Business/Employer*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of School/College*

Address of School/College*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Driver License Number *

License State*

What group/occupation discount does the client qualify for*

Upload Proof*

Upload Files

Drag & Drop or Browse for File

Do you want to make another driver change?*

Driver Change (mark all that Apply)*

Add a DriverRemove DriverUpdate Info (Existing Driver)

Add a Driver

Name (Additional Driver 2)*

First & Last Name as Listed on Driver License

Date of Birth*

Date

Relationship to First Named Insured:*

Driver License Number *

License State*

Employment Status*

Occupation/ Job Title*

Self-Employed?*

Nature of work/business

If Self-Employed, describe the exact type of Work/Business the client performs.

Name of Employer*

Work Location:*

Address of Business/Employer*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of School/College*

Address of School/College*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Good Student (Discount)*

Must have 3.0 or better GPA with 12 Units or More

Group Discount*

License Status*

Does Driver have a Suspension in last 3 years*

Does this Driver have a DUI in the last 10 years*

Full Driving Experience licensed from Age 16*

Driving Experience from Actual Date Licensed*

Number of Minor Violations (1 point for each)*

Number of Major Violations (2 point for each)*

# of Non-Fault Accidents (0 points for each):*

# of At-Fault Acc. PD Only (1 point for each)*

# of At-Fault Acc. with BI (2 point for each)*

Are we adding a Spouse/Registered Domestic Partner*

Remove a Driver

Name of Driver you want to remove*

First & Last Name

Household Status*

Note: All persons living in the house must be added or excluded (cannot be simply be removed from Policy).

Update an Existing Driver Information

Name of the Driver you want to Update*

Enter as it appears on the Driver License

Information we need Updated*

New Name*

Enter as it appears on the Driver License

Date of Birth*

Marital Status*

Is the Spouse/Registered Dom. Partner already listed as a driver on Policy.*

Note: A Spouse/Registred Domestic Partner must be added or excluded regardless if they have their own insurance policy.

Employed Status*

Self-Employed?*

Work Location:*

Occupation/ Job Title*

Name of Employer*

Nature of work/business

If Self-Employed, describe the exact type of Work/Business the client performs.

Address of Business/Employer*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of School/College*

Address of School/College*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Driver License Number *

License State*

What group/occupation discount does the client qualify for*

Upload Proof*

Upload Files

Drag & Drop or Browse for File

Vehicle changes to be made on the policy:

Source (Origination)*

Type of Vehicle Change 1*

Add a VehicleRemove VehicleChange Coverage on Existing VehicleAdd/Update Lienholder on Existing Vehicle

Add a Vehicle:

1- Add Vehicle-Enter VIN*

(Vehicle Identification Number - 17 digits)

How to Run MVR (Page 15)

A71

VIN Verified Successfully?*

Purchased Date*

Date

Year of Vehicle*

Vehicle Make*

Vehicle Model*

Who is Registered Owner*

Driver Name*

Other Person/Company*

Name of other Driver/Company

Odometer:*

Current odometer on dashboard

Intended Use of Vehicle*

Describe the Exact Nature of Business *

Title of Vehicle*

Salvage Title

C68

Any Existing Damage*

Describe the Damage in Full:*

Coverage for the Additional Vehicle:

C71

To quote Different Limits of Policy Coverage, then go to

the top and select "(Coverage Change - Policy Limits)"

C72

Liability (Bodily Injury)

C73

Liability Limits are per policy and not per vehicle. The current limit on the Policy will be given.

C74

Liability (Property Damage)

C75

Liability Limits are per policy and not per vehicle. The current limit on the Policy will be given.

C76

Uninsured Motorist (Bodily Injury)

C77

UM Limits are per policy and not per vehicle. The current limit on the Policy will be given.

C78

Medical Payments

C79

Medical Pay coverage is per policy and not per vehicle. The current limit on the Policy will Apply.

C80

Roadside Assistance

C81

Roadside assistance is per policy and not per vehicle. The current limit on the Policy will Apply.

C82

Physical Damage Coverage (Full Coverage)

C83

Quote Physical Damage (Full Coverage)*

Comprehensive Coverage

Quote Deductible*

Collision Coverage

Quote Deductible*

Car Rental Coverage

(not offered without Collision)

Quote Car Rental (for 30 days)*

Gap Coverage

(not offered without Collision)

Quote Gap*

Add Additional Interest*

Additional Interest Info*

Name of Company

Street/PO Box

CityState / Province

Postal / Zip Code

Does amendment/pst require the client to see quote:*

Quote Release Approval*

Acceptable/Unacceptable Vehicles

(Identify Above)

C98

Verified Eligibility*

Reason Not Acceptable

Registration/Ownership Acceptability

(Must be Named Insured or Spouse)

D2

Verified Eligibility*

Reason Not Acceptable

Intended Use of Vehicle Acceptability

D5

Verified Eligibility*

Reason Not Acceptable

Title Acceptability

(Salvage Title Verification)

D8

Title Verified*

Amendment Guide (Page 0)

D10

Is the Amendment/PST ready for Approval*

Approved By*

Remove a Vehicle:

Vehicle Year*

Make*

Last 4 of VIN*

Title Verified*

Does amendment/pst require the client to see quote:*

Quote Release Approval*

Amendment Guide (Page 0)

D23

Is the Amendment/PST ready for Approval*

Approved By*

Change Coverage on Existing Vehicle:

Vehicle Year/Make*

Last 4 of VIN*

Comprehensive Coverage

Quote Deductible*

Collision Coverage

Quote Deductible*

Car Rental Coverage

(Not offered without Collision)

Quote Car Rental (for 30 days)*

Gap Coverage

(Not offered without Collision)

Quote Gap*

Does amendment/pst require the client to see quote:*

Quote Release Approval*

Amendment Guide (Page 0)

D42

Is the Amendment/PST ready for Approval*

Approved By*

A. Add/Update Lienholder on Existing Vehicle:

Vehicle Year/Make*

Last 4 of VIN*

Add Additional Interest*

Additional Interest Info*

Name of Company

Street/PO Box

CityState / Province

Postal / Zip Code

Note: If a vehicle is not paid off, then the client is making payments to buy it and that means the finance company that he is making payments to requires that they be listed as a lienholder on the policy so they can make sure he is always insurance the car for comprensive and collision coverage.

For car are not purchased but rather leased, then the company he makes payments to wants to be listed as a lienholder and additional insured since they are still the legal owner want to be protected by the policy and also want the vehicle coverage for any damages.

D52

Does amendment/pst require the client to see quote:*

Quote Release Approval*

How to add an additional interest

D55

Note: When you add the additonal interest then the carrier will automatically

send the copy of the policy. However if we cannot wait and need to do one

right away then we can complete a Binder (How to complete a Binder)

D56

Amendment Guide (Page 0)

D57

Is the Amendment/PST ready for Approval*

Approved By*

Another Vehicle Change?*

Source (Origination)*

Type of Vehicle Change 2*

Add a VehicleRemove VehicleChange Coverage on Existing VehicleAdd/Update Lienholder on Existing Vehicle

Add a Vehicle:

2- Add Vehicle-Enter VIN*

(Vehicle Identification Number - 17 digits)

VIN Verified Successfully?*

Purchased Date*

Date

Year of Vehicle*

Vehicle Make*

Vehicle Model*

Who is Registered Owner*

Driver Name*

Other Person/Company*

Name of other Driver/Company

Odometer:*

Current odometer on dashboard

Intended Use of Vehicle*

Describe the Exact Nature of Business *

Title of Vehicle*

Salvage Title

C68

Any Existing Damage*

Describe the Damage in Full:*

Coverage for the Additional Vehicle:

C71

To quote Different Limits of Policy Coverage, then go to

the top and select "(Coverage Change - Policy Limits)"

C72

Liability (Bodily Injury)

C73

Liability Limits are per policy and not per vehicle. The current limit on the Policy will be given.

C74

Liability (Property Damage)

C75

Liability Limits are per policy and not per vehicle. The current limit on the Policy will be given.

C76

Uninsured Motorist (Bodily Injury)

C77

UM Limits are per policy and not per vehicle. The current limit on the Policy will be given.

C78

Medical Payments

C79

Medical Pay coverage is per policy and not per vehicle. The current limit on the Policy will Apply.

C80

Roadside Assistance

C81

Roadside assistance is per policy and not per vehicle. The current limit on the Policy will Apply.

C82

Physical Damage Coverage (Full Coverage)

C83

Quote Physical Damage (Full Coverage)*

Comprehensive Coverage

Quote Deductible*

Collision Coverage

Quote Deductible*

Car Rental Coverage

(Not offered without Collision)

Quote Car Rental (for 30 days)*

Gap Coverage

(Not offered without Collision)

Quote Gap*

Add Additional Interest*

Additional Interest Info*

Name of Company

Street/PO Box

CityState / Province

Postal / Zip Code

Does amendment/pst require the client to see quote:*

Quote Release Approval*

Acceptable/Unacceptable Vehicles

(Identify Above)

C98

Verified Eligibility*

Reason Not Acceptable

Registration/Ownership Acceptability

(Must be Named Insured or Spouse)

D2

Verified Eligibility*

Reason Not Acceptable

Intended Use of Vehicle Acceptability

D5

Verified Eligibility*

Reason Not Acceptable

Title Acceptability

(Salvage Title Verification)

D8

Title Verified*

Amendment Guide (Page 0)

D10

Is the Amendment/PST ready for Approval*

Approved By*

Remove a Vehicle:

Vehicle Year*

Make*

Last 4 of VIN*

Title Verified*

Does amendment/pst require the client to see quote:*

Quote Release Approval*

Amendment Guide (Page 0)

D23

Is the Amendment/PST ready for Approval*

Approved By*

Change Coverage on Existing Vehicle:

Vehicle Year/Make*

Last 4 of VIN*

Comprehensive Coverage

Quote Deductible*

Collision Coverage

Quote Deductible*

Car Rental Coverage

(Not offered without Collision)

Quote Car Rental (for 30 days)*

Gap Coverage

(Not offered without Collision)

Quote Gap*

Does amendment/pst require the client to see quote:*

Quote Release Approval*

Amendment Guide (Page 0)

D42

Is the Amendment/PST ready for Approval*

Approved By*

B. Add/Update Lienholder on Existing Vehicle:

Vehicle Year/Make*

Last 4 of VIN*

Add Additional Interest*

Additional Interest Info*

Name of Company

Street/PO Box

CityState / Province

Postal / Zip Code

Note: If a vehicle is not paid off, then the client is making payments to buy it and that means the finance company that he is making payments to requires that they be listed as a lienholder on the policy so they can make sure he is always insurance the car for comprensive and collision coverage.

For car are not purchased but rather leased, then the company he makes payments to wants to be listed as a lienholder and additional insured since they are still the legal owner want to be protected by the policy and also want the vehicle coverage for any damages.

E61

Does amendment/pst require the client to see quote:*

Quote Release Approval*

How to add an additional interest

D55

Note: When you add the additonal interest then the carrier will automatically

send the copy of the policy. However if we cannot wait and need to do one

right away then we can complete a Binder (How to complete a Binder)

D56

Amendment Guide (Page 0)

D57

Is the Amendment/PST ready for Approval*

Approved By*

Coverage changes to be made on the policy (Policy Limits Only):

Source (Origination)*

Nationwide offered the following policy limits per policy and not per vehicle.

E70

Liability (Bodily Injury)

Quote BI Limits*

Liability (Property Damage)

Quote PD Limits*

Uninsured Motorist

(Bodily Injury)

Quote UMBI Limits*

Uninsured Motorist

(Property Damage)

Quote UMPD Limits*

Medical Payments

Quote Medical*

Roadside Assistance

Quote Roadside*

Does amendment/pst require the client to see quote:*

Quote Release Approval*

Amendment Guide (Page 0)

E86

Is the Amendment/PST ready for Approval*

Approved By*

AMV (Annual Mileage Verification)

Source (Origination)*

AMV Status as of Today*

Note: Its important to understand what options we have with nationwide when it comes to annual mileage calculations.

Option 1-No smart ride at all. We are required to get 2 points of data such photos of odometer reading, service record, Smog Check docs, etc to either prevent or avoid any increase otherwise all vehicles will be increased to 12,000 miles at renewal. We have to do this every year & client is not excluded from QPC.

Option 2-Smart Ride Self Reporting. We are required to get 2 points of data such photos of odometer reading, service record, Smog Check docs, etc to either prevent or avoid any increase otherwise all vehicles will be increased to 12,000 miles at renewal. The policy does get 5% discount but we have to do this every year & client is excluded from QPC.

Option 3-Smart Ride Device. Device will record mileage for 90 days and then the annual mileage will be calculated and used for rating purposes. We only have to do this once since its for the life of the car. The policy does get 5% discount but we have to do this every year & client is excluded from QPC.

E94

Indicate below what method we are pursuing to address the AMV.

What Method are we presenting/client agreed to:*

Calculate the impact to mileage and premium for vehicle 1:*

A. Year of Vehicle*

Enter the Year of the Vehicle

Make/Model*

Enter the make and model of vehicle

Date of the First Odometer Reading*

Date

First Odometer Reading*

Enter the Mileage

Date of the 2nd Odometer Reading*

Date

2nd Odometer Reading*

Enter the Mileage

Difference in Days*

Difference in Odometer*

Average Miles (per day)

Calculation*

Annual Miles Calculated

Current Annual Miles

Listed on the Policy

Optional*

Difference in Miles

First Odometer Record:*

Upload*

Upload

Drag and Drop Files or Browse Files

2nd Odometer Record:*

Upload*

Upload

Drag and Drop Files or Browse Files

B. AMV on Another Vehicle*

What Method are we presenting/client agreed to:*

Calculate the impact to mileage and premium for vehicle 1:*

Year of Vehicle*

Enter the Year of the Vehicle

Make/Model*

Enter the make and model of vehicle

Date of the First Odometer Reading*

Date

First Odometer Reading*

Enter the Mileage

Date of the 2nd Odometer Reading*

Date

2nd Odometer Reading*

Enter the Mileage

Difference in Days*

Difference in Odometer*

Average Miles (per day)

Calculation*

Annual Miles Calculated

Current Annual Miles

Listed on the Policy

Optional*

Difference in Miles

First Odometer Record:*

Upload*

Upload

Drag and Drop Files or Browse Files

2nd Odometer Record:*

Upload*

Upload

Drag and Drop Files or Browse Files

C. AMV on Another Vehicle*

What Method are we presenting/client agreed to:*

Calculate the impact to mileage and premium for vehicle 1:*

Year of Vehicle*

Enter the Year of the Vehicle

Make/Model*

Enter the make and model of vehicle

Date of the First Odometer Reading*

Date

First Odometer Reading*

Enter the Mileage

Date of the 2nd Odometer Reading*

Date

2nd Odometer Reading*

Enter the Mileage

Difference in Days*

Difference in Odometer*

Average Miles (per day)

Calculation*

Annual Miles Calculated

Current Annual Miles

Listed on the Policy

Optional*

Difference in Miles

First Odometer Record:*

Upload*

Upload

Drag and Drop Files or Browse Files

2nd Odometer Record:*

Upload*

Upload

Drag and Drop Files or Browse Files

D. AMV on Another Vehicle*

What Method are we presenting/client agreed to:*

Calculate the impact to mileage and premium for vehicle 1:*

Year of Vehicle*

Enter the Year of the Vehicle

Make/Model*

Enter the make and model of vehicle

Date of the First Odometer Reading*

Date

First Odometer Reading*

Enter the Mileage

Date of the 2nd Odometer Reading*

Date

2nd Odometer Reading*

Enter the Mileage

Difference in Days*

Difference in Odometer*

Average Miles (per day)

Calculation*

Annual Miles Calculated

Current Annual Miles

Listed on the Policy

Optional*

Difference in Miles

First Odometer Record:*

Upload*

Upload

Drag and Drop Files or Browse Files

2nd Odometer Record:*

Upload*

Upload

Drag and Drop Files or Browse Files

E. AMV on Another Vehicle*

What Method are we presenting/client agreed to:*

Calculate the impact to mileage and premium for vehicle 1:*

Year of Vehicle*

Enter the Year of the Vehicle

Make/Model*

Enter the make and model of vehicle

Date of the First Odometer Reading*

Date

First Odometer Reading*

Enter the Mileage

Date of the 2nd Odometer Reading*

Date

2nd Odometer Reading*

Enter the Mileage

Difference in Days*

Difference in Odometer*

Average Miles (per day)

Calculation*

Annual Miles Calculated

Current Annual Miles

Listed on the Policy

Optional*

Difference in Miles

First Odometer Record:*

Upload*

Upload

Drag and Drop Files or Browse Files

2nd Odometer Record:*

Upload*

Upload

Drag and Drop Files or Browse Files

AMV workflow*

Quote Release Approval*

Doc Vault Access

G7

Enrolled In Smart Ride Self Reporting*

How to Enroll in Smart Ride

G9

Got Confirmation from Underwriter (Mileage will not be Increased)*

Upload Email From Underwriter*

Upload

Drag and Drop Files or Browse Files

BPI (Billing/Payments)

Source (Origination)*

BPI Type*

Setup/Change EFT (Bank Acc.)Removed from EFT (Bank Acc)Change Due Date/Deduction Date

How to take a Mercury Payment

Payment Type*

Form of Payment*

Payment Amount*

Payment Card*

Name on Card*

Name on Credit/Debit Card*

Address Associated with Card*

Address Associated on Credit/Debit Card*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Credit/Debit Card #*

Expiration*

Month/Year

CCV Number*

Code (Back of Card)

Bank Name*

Code (Back of Card)

Bank Account #*

Bank Routing #*

Record of Transaction*

Got Proof of Payment from Carrier SiteSent Proof of Payment to Client/Originator

Upload*

Upload

Drag and Drop Files or Browse Files

How to Setup EFT (Bank Acc)

G33

How to Change/Update EFT (Bank Acc)

G34

1: IF a payment is already past due or coming to be due then it must be first paid via one-time eft payment and then setup for eft payment for next time. You cannot setup EFT and expect a payment to come in the next 3-4 days because it takes 5 business day for the setup to be completed between the banks. If you do not make the payment first then the policy will setup for cancellation.

2: EFT payment refers to automatic monthly payment deducted from a bank checking account. For RCC, automatic payments charged to a credit or debit card must be steup by the client directly by signing uo for online policy management.

G35

Bank Name*

Code (Back of Card)

Bank Account #*

Bank Routing #*

Record of Transaction*

Got Proof of Payment from Carrier SiteSent Proof of Payment to Client/Originator

Upload*

Upload

Drag and Drop Files or Browse Files

How to remove from EFT (Bank Acc)

G42

Upload Proof of Transaction*

Upload

Drag and Drop Files or Browse Files

Reason for Removal of EFT

Change due date / Deduction date

G45

Upload Proof of Transaction*

Upload

Drag and Drop Files or Browse Files

Notes

(Cancellation Request)

Source (Origination)*

Reason for Cancellation

Note:

1 - Policies cannot be cancelled with the clients signature. So we send the client the cancellation request letter thru agency forms in ezlynx and send it via ezlynx e-signature option if the client has an email address. If they call nationwide directly then they will be given the accord Cancellation/LPR form to sign. This is basically the same thing but we create our own agency cancellation request form since its cleaner/less confusing for the client. If the client already wrote a letter and signed it then it will be sufficient.

2 - The client can request a cancellation in the past or in the future. Nationwide will cancel the policy gaoing back up to 30 days without any other documentation. However if the cancellation date will be more then 30 days old then we will need a copy of duplicate coverage (copy of new policy) for it to be honored. Exception, if the client is requesting a cancellation of the policy more then 30 days old and he/she did not buy another insurance policy (duplicate coverage) then client must provide proof of sale documents from DMV for consideration.

G50

Record of Transaction*

Approved By*

Upload Signed Cancellation Form*

Upload

Drag and Drop Files or Browse Files

Notes

(Cancellation due to Underwriting Reasons)

Source (Origination)*

Upload Actual Underwriting Cancel. Notice*

Upload

Drag and Drop Files or Browse Files

Reason for Cancellation*

Information needed for possible household drivers.No signed driver Exclusion form was received.Unacceptable Commercial/Business UseUnacceptable Driving RecordUnacceptable VehicleClient no longer lives in CaliforniaOther Reason

Information needed for possible household drivers:

This must be treate as a PHD, therefore go to the top of the form and choose PHD under policy transaction type.

G60

Unacceptable Commercial/Business Use:

You must give this issue to an account manger who will decide what can be done to save the policy or if it has to be remarketed to another company for the proper coverage.

G61

Unacceptable Driving Record:

You must give this issue to an account manger who will determine what the clients wants to do.

Option 1 - We can exclude the unacceptable driver and save the policy from cancellation.

Option 2 - We can remarket to another carrier that will accept the driving activity.

G62

Unacceptable Vehicle:

You must give this issue to an account manger who will determine what we can do.

Option 1 - We can exclude that vehicle and save the policy from cancellation.

Option 2 - We can remarket to another carrier that will accept the vehicle.

G63

Client no longer lives in California:

You must give this issue to an account manger who will determine what we can do.

Option 1 - If the client vehicle is registered in california then we can write the policy, even if the driver license was issued in another state. The main issue is the registration. If the vehicle is registered in state other then California then the client must buy a policy in that state since our agency is only licensed to do business in California.

G64

This Cancellation of Policy requires you consult with Mo to determine proper course of Action:

G65

Describe the Specific Reasons for cancellation*

What course of Action was decided*

MA Approval Required*

Yes

(Claims Handling)

Source (Origination)*

Note: All claims are handled by Mo in the office. If any client, carrier or 3rd party wishes to discuss an potential claim and or an existing claim then it must be given to Mo for handling.

G74

Clients needs to be Advised*

(EZlynx Policy Entry)

Note: Since all clients are entered by account manager during the new business selling process, then all policies are entered right after the sale is made. But those policies are entered manually that are not available for download from the carrier.

So this ezlynx entry on this PST form is to be used in case the account manager/salesman somehow missed to enter the policy when originially sold.

G80

How to enter a policy manually

G81

(FPR-Full Policy Review)

What triggered the full policy review:*

Note: the following are all the ways a policy can be lowered in premium. Review carefully and see if the client is getting all the discounts/options that he/she can qualify for.

G84

1: Multi-Policy Discount (Client can get a muti-policy discount if they combine the auto with an HO4,HO6, OR HO3 Policy.

The client can also get a muti-policy discount if another member of the household has the other qualifing policy. Example if the father has home insurance with nationwide then when the son also purchase an auto policy then it will get mpd since they are in the same household. Note - MPD is not given if 2 people have only auto policy. It must be a package so auto + HO4-HO3-HO6.

G85

2: Married Discount (Client can get a discount for being married or being a registered domestic partner).

G86

3: Group-Occupation Discount (Client can get a discount for his/her occupation, having a degree or being a busines owner)

G87

4: Good Student Discount (Client can get a discount for his/her occupation, having a degree or being a busines owner)

G88

5: Driver Assignment (Driver assignment can make a huge difference esecially when it comes to your drivers, get help from mo when verifying this)

G89

What Discounts does the policy currently have:

MPD Multi-PolicyMarriedGroup/OccupationGood Student

Note: After reviewing all the discounts,

then it must be discussed with Mo to

determine if this client must be

remarketed or left with nationwide).

G91

What was decided*

What discounts did we add.*

(PHD-Possible Household Drivers)

What triggered the PHD:*

Upload the Underwriting Memo (if any)

Upload

Drag and Drop Files or Browse Files

Driver Exclusion (Carriers required that everyone of driving age is to be disclosed. Therefore anyone with a driver license living in the household must be added as a driver or excluded from the policy.

When carriers find out that there are additional drivers in the household or peoples that have regular access to the clients vehicles then we will get notified by the carrier and expected to add or exclude that person from the policy.

H1

Note: This can be a sensative issue for the clients, so it must be handled carefully by a qualified account manager. This must be discussed with Mo first. If we decide to exclude and client agrees then you must sent the exclusion form for signing, sent via ezlynx agency form for e-signature with client that have email.

H2

How did we decide to move forward.*

Added the driver to the policy (select DRV)Excluded the driver from the policyGave to Account Manager for Remarket

(Rmail-Return Mail)

Source (Origination)*

Upload R-Mail Notice

Upload

Drag and Drop Files or Browse Files

Note: When we get return mail , then there are several reasons why this could happen.

1 - The client could simply have moved to another house.

2 - The client was using seperate mailing address such as his business or po box office that he is no longer using.

3 - The client could claim he is living at this address but in really he is not and therefore the post office is returning it because teh occupants of the property told the mail man he does not live there.

H10

Note: Return mail can be tricky and requires some experience in order to determine best course of action. You must check with Mo to determine how to proceed in handling this issue.

We need to take into consideration the following when determing what is best way to handle it.

1 - See if client has a homeowner policy with us and compare the mailing address on the home and auto policy.

2 - We need to see what other policies the client has with us and check the mailing addresses on those policies.

3 - We need to look up data tree to determine if he the owner of the home or renting. Perhaps he lost the home due to foreclosure or simply sold the home.

H11

How did we decide to move forward.*

Found a Mailing address from Other Policy (will process amendment)Got a new mailing address from client (will process amendment)No Action Mailing Address is correct.No Action (exhausted all ways to find correct mailing address)

(TLV-Total Loss Vehicle)

Source (Origination)*

Upload Total Loss Docs

Upload

Drag and Drop Files or Browse Files

Note: We usually get notified by a carrier that a vehicle on the policy was considered to be a Total Loss. This means the client got into an accident recently and due to the amount of damage to the car, the insurance carrier has decided not to repair the car and consider it a total loss. Insurance carriers usually considered totalled when the value of the damge is close to 75% of the value of the vehicle. The client is given the full market value of the vehicle and the insurance company now takes possession of the car.

The carrier is letting know about the vehicle being totalled because as agent we have to communicate with our clients and remove the vehicle from the policy. In many cases the clients take the money they receive and purchase another vehicle. So we need to determine if we should simply delete the car from the policy or do a transfer of vehicle (delete 1 and add the replacement).

H17

Note: You must consult with MO to determine the best course of action.

H18

How did we decide to move forward.*

MA Approval Required*

Approved By*

(Request for Documents)

Source (Origination)*

Explain: *

Note: Keep in that if we make any policy change of any kind then the client will get an updated declarations in the mail (unless its on paperless policy). The client does automatically get new ID cards unless its at renewal or unless you order the id cards be mailed to him.

H28

Note: Mark All the type of documents the client is requesting or documents you want the client to have.

H29

Type of document to send*

Send ID Cards (from ezlynx only)Send ID Cards (carrier issued ID cards)Send Declarations Page Only (policy summary from ezlynx)Send Declarations Page Only (carrier issued declarations)Send complete policy packet (declarations + policy specimen)

How to send ID Cards from Ezlynx

How to locate ID Cards from carrier

How to locate Declarations Page (policy summary)

How to locate Declarations from carrier

How to order/located complete policy packet

Notes: *

How did we decide to move forward.*

We decided to simply remove the vehicle from the policyWe decided to do a transfer (delete 1, add another)Do nothing at this time, until client get a new vehicle.

Sent ID Cards (from ezlynx only)

How to send ID Cards from Ezlynx

Sent ID Cards (carrier issued ID cards)

How to order/send ID Cards (carrier issued)

Sent Declarations Page Only (policy summary from ezlynx)

How to send/order Declarations Page (policy summary from ezlynx)

Sent Declarations Page Only (carrier issued declarations)

How to send/order Declarations Page (carrier issued declarations)

Sent complete policy packet (declarations + policy specimen)

How to send/order Complete Policy Page (declarations + policy specimen)

(All Other)

Explain the issue *

Quote Release Approval*

MA Approval Required*

Approved By*

Notes:

Attachments: (Optional)

Upload a File

Copy of Policy, Drivers License, ETC

Was there any documentation needed for this Transaction*

Did we get the required information or documentation that we needed and sent it to the carrier.*

Was there any change/amendment that will generate a download to this policy.*

Did the download/confirmation arrive in client file (policy history tab)*

Note: Do not remove this PST Transaction from your gmail inbox. This is PST Form must only be placed in the client file when we have all the required information or docuemntation and we have the download confirmation.