Main Menu

Home
Insurance
Automobile
Homeowners
Personal
Commercial
Companies
Agencies
VA Bureau of Insurance
Insurance Institute for Highway Safety
Insurance Information Institute
Federal Emergency Management Agency
Forms
About Us
Quotes
AUTO QUOTE CUSTOMER INFO | DRIVER INFO | VEHICLE INFO
 
Customer Info
Home Address*
Email     Phone
Married Single
Own      Rent
Yes       No
Policy Coverages
Split Limits - Bodily Injury Liability and Property Damage Liability protects you from financial loss up to your policy limit for injuring pedestrians, passengers, or persons in another car and damage to the property of others that result from an accident for which you are responsible.
  • Maximimum for one individual
  • Maximum for ALL persons injured
  • Maximum covered for property damage
Combined Single Limit ("CSL") - the maximum amount covered by insurance, distributed as needed.

Medical Payments - covers medical expensed for you, members of your family, and guests in your car.

Income Loss - covers lost income for you due to injury from an automobile accident.

Many laws require minimum limits that are inadequate to protect your assets. Be sure to discuss all options with your agent.

$25,000 / $50,000 / $20,000
$50,000 / $100,000 / $50,000
$100,000 / $300,000 / $100,000
$250,000 / $500,000 / $100,000
$300,000 CSL
$500,000 CSL

$0
$1,000
$2,000
$5,000
$10,000

Yes
No

505 Faulconer Drive, Ste 2A | Charlottesville, VA 22903 | 434-296-4144
Copyright 2006- Group Underwriters Insurance Agency. All rights reserved.

Home | Insurance | Companies | Agencies | Forms | About Us | Auto Quotes | Antique Auto Quotes