Collision
EOI
BIPD
PIP and POM
Random
100

Do we need a NFCA form for this set of coverages:

A 50/100/100 

P51 N        

H            

U 50/100     

Y            

W 50/100     


What is Yes? 

If GJ (broadened) is not selected, then form is required. This is the state minimum.

*PG_922-C03-MI-Collision_Options.pdf (statefarm.org) page 1

*MI_Supporting_Doc_job_aid.pdf (sfcollab.org) page 4

100

T/F

Self-Certification Forms are required on Raw New, Reinstatement, and Added Car applications effective January 01, 2022 or later.

What is False?

Self-Certs are only required on Raw New and Reinstatement apps (Not Added Car)

*MI_1_1_2022_EOI_Processing_JA_PLAA.pdf (sfcollab.org) Page 1

100

Do we need a liability form for the following coverages:

A 50/100/50

P0 N       

H          

U 50/100   

W 50/100   


What is yes? 

BIPD form required when bodily injury coverage limits are less than 250/500 (not required on comp only policies)

*MI_Supporting_Doc_job_aid.pdf (sfcollab.org) page 1

100

P1 & P6 coverage type

What is Option 1?

100

This is the most accurate resource for locating the Territory in MI.

What is AM922-297-03 MI Auto Reform-Territory Definition Changes?

*AM 922-297-03-MI Auto Reform Territory Definition Changes (statefarm.org

200

T/F

No Fault Collision Authorization forms are required on motorcycle. 

What is False?

*MI_Supporting_Doc_job_aid.pdf (sfcollab.org) Note on page 4

200

T/F

Comp (CP) only policies do not meet mandatory requirement and need a self-cert form. 

What is True?

*MI_1_1_2022_EOI_Processing_JA_PLAA.pdf (sfcollab.org) page 1 Note

200

This is the C.A.R. Code for Bodily Injury Liability Coverage forms.

What is 30? 

*CM 500-09 - C.A.R. Codes (statefarm.org) page 3

200

If we have received partial documentation required for Option 4 is routed to this signon.

What is !!UN?

200

This is the transaction used to update the RMC code for valid EOI received on an issued application. 

What is UIC?

*MI_1_1_2022_EOI_Processing_JA_PLAA.pdf (sfcollab.org) page 4

*Risk_Management_Codes.pdf (sfcollab.org

300

The Collision deductible amount if policy reissued for No Fault Collision Authorization not received.

300

The Self-Cert form is received but initial cancel has been set up, this is the next step.

What is set same day 31 pend to UN for review of Self-Cert? 

*MI_1_1_2022_EOI_Processing_JA_PLAA.pdf (sfcollab.org) page 4

300

All Named Insured(s) must have Medicare A&B*

What is P0 PIP Named Insured Qualification?

300

On a motorcycle, these BIPD limits are required to avoid needing a form. 

What is 250/500 or higher?

*MI_Supporting_Doc_job_aid.pdf (sfcollab.org) page 6

400

Limited Collision Symbol.

What is J?

400

You receive an ER39O with ADV message related to "No Prior Insurance" and there has been no Self-Cert received. However, there is 6 months of coverage located on the PIR for the same vehicle (VIN matches). This is your next step. 

What is F24 or no additional action?

*MI_1_1_2022_EOI_Processing_JA_PLAA.pdf (sfcollab.org) page 4

400

T/F

300/300 or 500 CSL is considered to be lower than 250/500.

400

A relative of either you or your spouse who lives in the same household.

What is Resident Relative?

400

Captures all sides of the form.

All form pages are photographed & submitted for multiple page forms

All information is filled out & visible

The photo is high enough quality and legible

What are the requirements of acceptable photo of selection/rejection form?

https://intranet.opr.statefarm.org/syspasauto/manuals/processguide/Pg140/PG_140-S03-Signature.pdf

500

Regular Collision Symbol.

What is G?

500

You have received an invalid self-cert form and there is not 6 months of coverage on the PIR. These are the two variable options available when sending the A-1608. 

What is Incomplete or Wrong Car?

• Incomplete: <@SC NOT COMPLETE/INACCURATE> 

• Wrong Car: <@SC WRONG CAR/INACCURATE>

*MI_1_1_2022_EOI_Processing_JA_PLAA.pdf (sfcollab.org) page 4

500

This coverage pays for damages due to bodily injury and property damage to others for which you are responsible.

What is Bodily Injury and Property Damage Liability?

500

All Named Insured(s) must have Medicaid.

What is PIP Option 5 Named Insured qualifications?

500

PIP coverage premium, when it includes personal injury protection insuring a person(s) 60 years of age or older who resides in the household, shall be reduced when such person(s) certifies that he or she is not eligible for work loss benefits.

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