Service Area
We are pleased to be able to write policies in the following states:

Illinois
Iowa
Kansas
Minnesota
Missouri
Nebraska
North Dakota
South Dakota
WIsconsin


Julie Rust, CISR


Bruce Mosier, CIC

PERSONAL AUTO QUICK QUOTE
We realize that not every situation fits into a computer form.  If you would prefer to talk personally with a customer service representative -- please call us at 1-800-831-8545.

Please provide the information below & we will contact you shortly with a quote.

Name:
Address:
City:
State:
Zip:
Phone Number:
Email:
I prefer to be contacted:

Current Insurance Company:
Policy Expiration Date:
Do You Own Your Home?
   
Driver Information*
1.
Driver Name:
Date of Birth:
Years of Experience:
Number of tickets in the past 5 years:
2.
Driver Name:
Date of Birth:
Years of Experience:
Number of tickets in the past 5 years:
3.
Driver Name:
Date of Birth:
Years of Experience:
Number of tickets in the past 5 years:
4.
Driver Name:
Date of Birth:
Years of Experience:
Number of tickets in the past 5 years:
5.
Driver Name:
Date of Birth:
Years of Experience:
Number of tickets in the past 5 years:
   
Vehicle Information*
1.
Year:
Make:
Model:
Miles Driven/Year:
VIN#:
Ownership:
Comprehensive Deductible:
Collision Deductible:
2.
Year:
Make:
Model:
Miles Driven/Year:
VIN#:
Ownership:
Comprehensive Deductible:
Collision Deductible:
3.
Year:
Make:
Model:
Miles Driven/Year:
VIN#:
Ownership:
Comprehensive Deductible:
Collision Deductible:
4.
Year:
Make:
Model:
Miles Driven/Year:
VIN#:
Ownership:
Comprehensive Deductible:
Collision Deductible:
5.
Year:
Make:
Model:
Miles Driven/Year:
VIN#:
Ownership:
Comprehensive Deductible:
Collision Deductible:
 
Preferred Coverage Level
Lower than Average
  • 50,000 / 100,000 Bodily Injury
  • 25,000 Property Damage
  • 50,000 / 100,000 Un/Underinsured Motorist Bodily Injury
  • 100,000 / 300,000 Bodily Injury
  • 50,000 Property Damage
  • 100,000 / 300,000 Un/Underinsured Motorist Bodily Injury
  • 250,000 / 500,000 Bodily Injury
  • 100,000 Property Damage
  • 250,000 / 500,000 Un/Underinsured Motorist Bodily Injury