Auto Insurance Quote — Metropolitan Insurance

1

Applicant

The main person who will be on this policy.

Prefix

e.g. Mr., Mrs.

First Name *

Legal first name.

Middle Initial

One letter, if any.

Last Name *

Legal last name.

Suffix

e.g. Jr., Sr.

Maiden Name

Only if it applies.

Nickname

What they usually go by.

DOB *

Date of birth — used to verify age.

SSN

Optional — helps get an accurate price.

Gender *

As shown on the license.

Marital Status *

Married drivers often pay less.

Address State *

State where the car is kept.

Postal Code *

5-digit ZIP code.

Co-Applicant

Turn this on to add a spouse or partner who shares the policy.

2

Primary Address

Where the applicant lives and where the vehicles are usually parked overnight.

Address Type

Usually "Home".

Address *

House number and street name.

Unit

Apartment or unit number, if any.

Address Line 2

Building, floor, etc. (optional)

City *

County *

The county this address is in.

State *

Postal Code *

Postal Code Suffix

Last 4 digits (optional).

Years At Address *

How long they've lived here.

Months At Address

Months on top of the years above.

Phone

At least one way to reach the applicant.

Email

We'll send the quote here.

3

Prior or Current Policy Information

Tell us about any car insurance the applicant has now or had recently. This helps us find loyalty and continuous-coverage discounts.

Prior Carrier *

Who they're insured with now (or "None").

Prior Policy Expiration Date *

When the current policy ends.

Prior Liability Limits *

Coverage amounts on the current policy.

Prior Policy Term *

Is the current policy 6 or 12 months?

Years with Prior Carrier *

Years with this carrier.

Month *

Extra months with this carrier.

Years with Continuous Coverage *

Years insured without a gap.

Month *

Extra months of continuous coverage.

Prior Policy Premium

What they pay now (optional).

Credit Check and Other Underwriting Reports Authorized *

Permission to check credit for pricing.

New Policy Term *

How long the new policy should run.

Quote as Package *

Quote together with a home policy?

Effective Date (New Policy) *

When the new coverage should begin.

4

Drivers

List everyone who will drive these vehicles. The first driver is the main applicant. Use "Add driver" for a spouse, teen, or anyone else in the household.

5

Vehicles

Add every car, truck, or SUV you want to insure. Use "Add vehicle" for each one.

6

Vehicle Assignment

For each vehicle, enter how much of the time each driver uses it. Each vehicle's column should add up to 100%.

7

Coverages

Pick how much protection you want. If you're not sure, the defaults are a good starting point and your agent can adjust them.

General Coverage

Bodily Injury *

Pays others' medical bills if you cause an accident.

Uninsured Motorist *

Protects you if the other driver has no insurance.

Underinsured Motorist *

Protects you if the other driver doesn't have enough.

Property Damage *

Pays to repair others' property you damage.

Medical Payments *

Pays your own passengers' medical bills.

State Specific Coverage

Uninsured Motorist Property Damage *

Repairs your car if an uninsured driver hits it.

Credits

Residence is *

Owning a home can lower the price.

Tick any that apply to qualify for extra discounts:

Multipolicy Discount

Retirement Community

AAA Membership Discount

Applicant has a company car insured elsewhere

Apply Coverage to all Vehicles

Leave this off to set deductibles separately for each car.

Vehicle Quote Application