For your convenience, we provide online access to state specific documents, which can be found below. These documents review and define agreements outlined in your personal car policy such as liability, medical payments, and car damage.
If you are unsure which policy contract applies to you, you can locate the form number in the lower left corner of your Insurance Declarations Page.
For more information about your coverage, click on the FAQ tab under the About Us link.
Alabama
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Policies effective until 12/2/2018 (new business) and 1/5/2019 (renewal business)
Click here for AL Policy Contract Form 05-AL (09/2016)
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Policies effective on or after 12/3/2018 (new business) and 1/6/2019 (renewal business)
Click here for AL Policy Contract Form 05-AL (11/18)
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InsureMax Program
Click here for AL Policy Contract Form 06-AL (06/19)
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InsureMax Renters Policies effective on or after 6/5/2023
Click here for AL Renters Policy Contract Form IM RENT AL POL (06/23)
Arizona
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Policies effective until 12/31/2016 (new business) and 1/19/2017 (renewal business)
Click here for AZ Policy Contract Form 05-AZ (06/2011) w AZ15
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Policies effective on or after 1/1/2017 (new business) and 1/20/2017 (renewal business), until 12/2/2021
Click here for AZ Policy Contract Form 05-AZ (01/2017)
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Policies effective on or after 12/3/2021 (new business) and 1/22/2022 (renewal business)
Click here for AZ Policy Contract Form 05-AZ (12/2021)
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InsureMax Program
Click here for AZ Policy Contract Form 06-AZ (02/23)
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InsureMax Renters Policies effective on or after 7/31/2023
Click here for AZ Renters Policy Contract Form IM RENT AZ POL (07/23)
Florida
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AssuranceAmerica Elite policies effective until 5/23/2021 (new business) and 7/23/2021 (renewal business)
Click here for FL Policy Contract Form 05-FL (08/17)
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AssuranceAmerica Elite policies effective on or after 5/24/2021 (new business) and 7/24/2021 (renewal business)
Click here for FL Policy Contract Form 05-FL (05/21)
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AssuranceAmerica Economy policies effective until 5/01/2022 (new business) and 6/04/2022 (renewal business)
Click here for FL Policy Contract Form 06-FL (05/21)
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AssuranceAmerica Economy policies effective on or after 5/02/2022 (new business) and 6/05/2022 (renewal business)
Click here for FL Policy Contract Form 06-FL (05/22)
Georgia
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Policies effective until 1/17/2018 (new business) and 2/14/2018 (renewal business)
Click here for GA Policy Contract Form 05-GA (06/2010)
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Policies effective on or after 1/18/2018 (new business) and 2/15/2018 (renewal business), until 12/31/2020
Click here for GA Policy Contract Form 05-GA (11/17)
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Policies effective on or after 1/1/2021
Click here for GA Policy Contract Form 05-GA (01/21)
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InsureMax Program policies effective until 12/31/2020
Click here for GA Policy Contract Form 06-GA (02/19)
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InsureMax Program policies effective on or after 1/1/2021
Click here for GA Policy Contract Form 06-GA (01/21)
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InsureMax Renters Policies effective on or after 10/1/2022
Click here for GA Renters Policy Contract Form IM RENT GA POL (09/22)
Indiana
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New and renewal policies effective prior to 4/17/2015
Click here for IN Policy Contract Form 05-IN (06/2011)
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New and renewal policies effective 4/17/2015 and after
Click here for IN Policy Contract Form 05-IN (04/2015)
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New and renewal policies effective 7/25/2019 and after
Click here for IN Policy Contract Form 05-IN (05/2019)
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InsureMax new and renewal policies effective 8/26/2021 and after
Click here for IN Policy Contract Form 06-IN (08/21)
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InsureMax Renters Policies effective on or after 12/1/2023
Click here for IN Renters Policy Contract Form IM RENT IN POL (12/23)
Missouri
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Policies effective until 4/28/2017 (new business) and 5/17/2017 (renewal business)
Click here for MO Policy Contract Form 05-MO (07/2011)
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Policies effective on or after 4/29/2017 (new business) and 5/18/2017 (renewal business)
Click here for MO Policy Contract Form 05-MO (4/17)
Nebraska
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Nebraska program
Click here for NE Policy Contract Form 05-NE (11/18)
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InsureMax Renters Policies effective on or after 11/1/2023
Click here for NE Renters Policy Contract Form IM RENT NE POL (11/23)
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InsureMax program
Click here for NE Policy Contract Form 06-NE (11/23)
South Carolina
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AssuranceAmerica program
Click here for SC Policy Contract Form 05-SC (05/2017)
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InsureMax program
Click here for SC Policy Contract Form 06-SC (02/2019)
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InsureMax Renters Policies effective on or after 12/1/2023
Click here for SC Renters Policy Contract Form IM RENT SC POL (05/23)
Texas
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Policies effective until 11/17/21 (new business) and 12/17/21 (renewal business)
Click here for TX Policy Contract Form TXPOL2 (04/20)
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Policies effective on or after 11/18/21 (new business) and 12/18/21 (renewal business)
Click here for TX Policy Contract Form TXPOL2 (10/21)
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Consumer Bill of Rights
English Version
Spanish Version
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InsureMax program
Click here for TX Policy Contract Form TXIM POL (01/24)
Virginia
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New and renewal policies effective 1/1/2021, until 12/31/2021
Click here for VA Policy Contract 05-VA (01/2021)
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New and renewal policies effective 1/1/2022, until 6/30/2023
Click here for VA Policy Contract 05-VA (01/2022)
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New and renewal policies effective 7/1/2023, until 9/29/2023
Click here for VA Policy Contract 05-VA (07/2023)
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New and renewal policies effective 9/30/2023, and after
Click here for VA Policy Contract 05-VA (09/2023)
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InsureMax Program policies effective 10/26/2023, and after
Click here for VA Policy Contract Form 06-VA (09/2023)