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Request a Personal Automotive Insurance Coverage Quote
Request a personal automotive insurance coverage quote from CBIZ. We've partnered with leading insurance companies to bring you a range of choices for your auto insurance coverage. Requesting an insurance coverage quote with our online quote system is fast and easy, and quickly provides you with the best quote for your personal automotive insurance needs. Learn more about the myriad of Request A Quote provided by CBIZ.

CBIZ Automotive Insurance Quote Request

Welcome to CBIZ Online Quotes!

The quick and easy way to get an insurance quote.


Provide Us With Information

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Please enter your full name
 
Please enter your address
 
Please enter your city
 
Please select your state
 
Please enter your zip.
   
Please enter your email address.
   
Please enter a valid phone number.
 
Please enter your work phone number.
 
Please select how you would like to be contacted
 
Please select the option that applies to you

 
Please provide your Current Auto Insurance Company.
 
Please Enter a valid Date (MM/DD/YYYY)
Please enter any additional information

Please attach file, optional

Liability Coverages/Uninsured Motorists/State Specific Options

We will provide you with quotes at different limits of liability so that you may choose the best option that fits your individual needs.

Once you choose to place your insurance through CBIZ with one of the insurance companies we represent, you may be required to sign an application and state specific coverage option forms.

Important Notice - Please Read Carefully

In order to determine what coverage is available to you, and at what price, and to help the insurance company evaluate your personal risk, we will be asking you some questions concerning claim history, driving record, and credit history. Insurance companies offer better pricing for prospective clients with excellent driving records and loss free claim history. In addition, some companies, in some states, offer a better price for persons with acceptable Insurance Scores, which measure the likelihood of an insurance loss based on financial behavior, according to credit report information. By completing this quote request form, you are acknowledging and giving your permission for any or all of the following information or reports to be obtained:

MVR (Motor Vehicle Record): State driving records which may include driver's license information including violations, convictions, revocations and suspension information, as well as personal information such as address and date of birth.

ADDITIONAL DRIVER DISCOVERY (ADD): is a database of all licensed drivers in the household. This report helps determine that all drivers in the household have been disclosed on the quote request or application so that appropriate evaluations and premium charges for all drivers can be made by the insurance company.

CLUE (Comprehensive Loss Underwriting Exchange): is a database of information containing claims history by individual, by driver, by policy, by vehicle, and by location address.

INSURANCE SCORE: This evaluates many aspects of your credit management history, including, but not limited to: number of open accounts, payment history, frequency of recent inquiries into the credit report, etc. In particular the model considers the presence of any major financial blemishes such as bankruptcy, liens, foreclosures, etc. Neither our agency, nor the insurance company actually receives a copy of your credit history or report. We simply receive an Insurance Score of "Acceptable" or "Not Acceptable." If a consumer has been denied insurance in the past sixty days based on information contained in a credit report, the Federal Fair Credit Reporting Act requires the credit bureaus to provide a copy of the credit report to you free of charge. You also have the opportunity to check for any inaccuracies or erroneous information. Disputes should be directed to:

Choicepoint Credit Dispute Center
PO Box 105289
Atlanta, GA 30348

For other information on a clue or credit report, please contact:

Consumer Disclosure Center
PO Box 105108
Atlanta, GA 30348-5102
1-800-456-6004
consumer.center@choicepoint.com

NOTICE OF INFORMATON PRACTICES (PRIVACY)
Privacy Notification: Any information which we have or may obtain about you or other individuals listed as policyholders on your policy will be treated confidentially. However, this information, as well as other personal privileged information subsequently collected, may, under certain circumstances, be disclosed without prior authorization to third parties such as to our affiliated companies for claims handling, servicing, underwriting, and insurance marketing. Personal information also may be disclosed to affiliated and non-affiliated companies for non- insurance marketing purposes, unless you write to us at the address provided with your policy and direct us not to make such disclosure.

You have the right to see personal information collected about you, and you have the right to correct any information which may be wrong.

If you are interested in obtaining a description of our information practices and your rights regarding information we collect, please write us.

FRAUD STATEMENT
Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects the person to criminal and civil penalties.

Information submitted subject to verification. By proceding with the quote request I am acknowledging that I have read and understand the above information, and give my express permission to obtain such information to evaluate my personal insurance. Quotation may vary from coverage requested.

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