Collision
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
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
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
P1 & P6 are the PIP symbols for this PIP option.
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)
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
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
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
If we have received partial documentation required for Option 4 the case should be routed to this sign-on.
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)
This is the Collision deductible amount when the policy is reissued for No Fault Collision Authorization not being received.
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
T/F
Comprehensive only policies require a BIPD form.
All Named Insured(s) must have Medicare A&B for this PIP Option.
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
This is the symbol for Limited Collision.
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
T/F
300/300 or 500 CSL is considered to be lower than 250/500.
What is True?
https://collab.sfcollab.org/sites/WSS001873/Learning_Path_AutoSuppDoc_PROD/Job_Aids/MI_Supporting_Doc_job_aid.pdf Note on top of page 2
A relative of either you or your spouse who lives in the same household.
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
The Regular Collision Symbol.
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
_____ can request BI coverage with limits other than $250,000/$500,000.
What is "any named insured"?
All Named Insured(s) must have Medicaid.
What is PIP Option 5 Named Insured qualifications?
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.