Life Changes Simple Survey

Your Name(Required)
Has Your Mailing Address Changed(Required)
Have You Had Any Life Changes Since Your Last Renewal(Required)
Please let us know about life changes such as: * New child * Employment change * New driver/ teen driver in the household * Acquired or sold any vehicles (including RV, trailer, boat, motorcycle) * Purchased or sold real estate * Created a living trust
Has Your Marital Status Changed(Required)
Do You Own a Business(Required)
Have You Earned a Degree or Certification Since Your Last Renewal(Required)
Have Your Driving Habits Changed(Required)
If you were commuting to work, but now work from home you could receive an additional discount. Are you using your car for work (Uber driver, contractor going from site to site, realtor, etc) and/or are you advertising for your business on your vehicle? These factors could have extra exposure and coverage concerns that we would want to advise you on to ensure you are properly protected.
Would You Like to Save up to 40% by Bundling your Home and Auto?(Required)
Bundling your Home & Auto can save you up to 40%. Simply select Yes to see how much money you can save.
Would You Like a Quote for Flood Insurance(Required)
Flood is EXCLUDED on all home insurance policies. 25% of flood losses happen in low risk flood areas.
Have You Completed Any Home Improvements to Your Home(Required)
New roof, kitchen/bathroom upgrades, electrical upgrades, additional square footage, etc...
Do You Have Any Special Personal Property or Items of High Value(Required)
Items such as jewelry, weapons, fine arts, fur coats, musical equipment, fine china, high-end bicycles may require special coverage to protect you against theft, breakage or mysterious disappearance. Would you like a quote to provide coverage for special personal property? Most homeowner policies limit coverage on these categories to $1,500 - $2,500 TOTAL per category.
Would You Like a Quote For an Umbrella Policy (Additional Personal Liability Coverage)(Required)
Personal Umbrella Liability Coverage is sometimes referred to as lawsuit coverage and helps to protect your assets in the event that someone tries to sue you for bodily injury, property damage and even personal injury. $1M of Personal Umbrella protection can cost as little as $250/year. Our agency HIGHLY RECOMMENDS that you consider this important and inexpensive coverage.
Are You Interested In Receiving An Affordable Life Insurance Quote(Required)
Do you have Life Insurance outside of your employer? Many times this Life Insurance does not follow you if you leave the job. This small and simple action can leave a lasting legacy and financial protection for your family when you pass away.
Are you interested in reviewing Health Insurance Options(Required)
Even if you're currently insured, its worth having a review of your current coverages/costs We can help with Individual Major Medical Medicare Short Term Injury Dental/Vision Group Health Sharing Ministries Limited Medical
Additional Items to Insure(Required)
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