| "PAGE 1 |
| USAA 00872 11 26 7107 |
|
|
| a |
|
|
| & |
| 5, |
|
|
| 05/30/24 |
|
|
| GREGORY H CARTER |
| 2004 HEADWATER LN |
| AUSTIN TX 78746-7839 |
|
|
| 00872 11 26 |
|
|
| TXMP(01) 12-18 134227-0119__01 |
| PAGE 2 |
|
|
| THIS PAGE INTENTIONALLY LEFT BLANK |
| a |
|
|
| & |
| E, |
|
|
| Where you can get information |
| or make a complaint |
|
|
| If you have a problem with a claim or your |
| premium, call your insurance company or HMO |
| first. If you can’t work out the issue, the Texas |
| Department of Insurance may be able to help. |
|
|
| United Services Automobile Association |
|
|
| To get information or"
|
| "file a complaint with your |
| insurance company: |
| Call: 210-531-USAA (8722) |
| Toll-free: 1-800-531-USAA (8722) |
| Online: usaa.ccom |
| Mail: 9800 Fredericksburg Road, |
| San Antonio, Texas 78288 |
|
|
| The Texas Department of Insurance |
|
|
| To get help with an insurance question, learn |
| about your rights, or file a complaint with the |
| state: |
|
|
| Call: 1-800-252-3439 |
| Online: www.tdi.texas.gov |
| E-mail: ConsumerProtection@tdi.texas.gov |
| Mail: Consumer Protection MC: CO-CP, |
| Texas Department of Insurance, |
| PO Box 12030, Austin, TX"
|
| "78711-2030 |
|
|
| To compare policies and prices |
|
|
| Visit HelpInsure.com to compare prices and |
| coverages on home and auto insurance policies. |
| The website is a service of the Texas |
| Department of Insurance and the Office of |
| Public Insurance Counsel. |
|
|
| AQ250U(03) 09-23 |
|
|
| PAGE 3 |
| USAA 00872 11 26 7107 |
|
|
| Donde puede obtener informacion |
| o presentar una queja |
|
|
| Si tiene una pregunta o un problema con una |
| reclamaci6n o con su prima de_ seguro, |
| comuniquese primero con su compania de seguros. |
| Usted también puede obtener"
|
| "informacién o |
| presentar una queja ante el Departamento de |
| Seguros de Texas (Texas Department of Insurance, |
| por sunombre en inglés). |
|
|
| United Services Automobile Association |
|
|
| Para obtener informacién o para presentar una |
| queja ante su compania de seguros: |
|
|
| Llame: 210-531-USAA (8722) |
|
|
| Tel 'efono gratuito: 1-800-531-USAA (8722) |
|
|
| En linea: usaa.com |
| Direccidn postal: 9800 Fredericksburg Road |
| San Antonio, TX 78288 |
|
|
| El Departamento de Seguros de Texas |
|
|
| Para obtener ayuda con una pregunta relacionada"
|
| "con los seguros, para conocer sus derechos 0 para |
| presentar una queja ante el estado: |
|
|
| Llame: 1-800-252-3439 |
| En linea: www.tdi.texas.gov |
| Correo electrénico: |
| ConsumerProtection@tdi.texas.gov |
| Direccién postal: Consumer Protection MC: |
| CO-CP, Texas Department of |
| Insurance, |
| PO Box 12030, Austin, |
| TX 78711-2030 |
|
|
| Para comparar polizas y precios |
|
|
| Visite HelpInsure.com para comparar precios y |
| coberturas en podlizas de seguro para el hogar y |
| automovil. El sitio web es un _ servicio del |
| Departamento de"
|
| "Seguros de Texas y de la Oficina |
| del Asesor Publico de Seguros (Office of Public |
| Insurance Counsel, por su nombre en inglés). |
|
|
| 131714-0723_01 |
| Page 1 of 1 |
| y |
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|
| 5 |
| S |
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|
| ar |
|
|
| PAGE |
| MAIL MCH-M-I |
| 7987 Y1392 |
| MAY 30, 2024 |
|
|
| AUTOMOBILE POLICY PACKET |
|
|
| GREGORY H CARTER |
| 2004 HEADWATER LN |
| AUSTIN TX 78746-7839 |
|
|
| USAA 00872 11267107 4 |
|
|
| POLICY PERIOD: EFFECTIVE JUL 29 2024 TO JAN 29 2025 |
|
|
| Refer to your Declarations Page and endorsements to verify that coverages, limits, deductibles and other |
| policy details are correct and"
|
| "meet your insurance needs. Required information forms are also enclosed |
|
|
| IMPORTANT MESSAGES |
|
|
| for your review. |
|
|
| ACS1 |
|
|
| Check your vehicle for a safety recall today! Visit www.usaa.com/autorecall |
| to learn more. |
|
|
| Your Uninsured Motorists/Underinsured Motorists Coverage (UM/UIM) and |
| Uninsured Motorists Property Damage (UMPD) selection/rejection remains in |
| effect. You may quote different coverage limits and make changes at any |
| time to your policy on usaa.ccom. Or you may call us at |
|
|
| 1-800-531—-USAA "
|
| "8722). |
|
|
| Your Personal Injury Protection (PIP) selection/rejection remains in |
| effect. You may quote different coverage limits and make changes at any |
| time to your policy on usaa.ccom. Or you may call us at |
| 1-800-531-USAA (8722). |
|
|
| The cost of your attached policy may include an assessment charge to |
| reimburse USAA for funds paid to the Texas Volunteer Fire Department |
| Assistance Fund. This assessment is imposed on USAA and other insurers in |
| Texas to help volunteer fire departments with equipment and"
|
| "training |
| expenses. The assessment charge is applied regardless of your location and |
| whether your responding station is a paid or volunteer department. If |
| applicable the assessment charge is shown on your Declarations page. |
|
|
| Your safety matters to USAA. Visit http: |
| latest auto insurance and driving safety tips. |
|
|
| This is not a bill. Any premium charge or change for this policy will be reflected on your |
| next regular monthly statement. Your current billing statement"
|
| "should still be paid by |
| the due date indicated. |
|
|
| To receive this document and others electronically, or manage your Auto Policy online, |
| go to usaa.com. |
|
|
| For U.S. calls: Policy Service (800) 531-8111. Claims (800) 531-8222. |
|
|
| 4 |
|
|
| 49708-0406 |
| THIS PAGE INTENTIONALLY LEFT BLANK |
|
|
| PAGE |
|
|
| 5 |
| PAGE 6 |
| USAA 00872 11 26 7107 4 |
|
|
| AUTOMOBILE POLICY PACKET CONTINUED |
|
|
| Your policy includes Ride Share Gap Protection. Safety is a top priority |
| for USAA, and we encourage our members to avoid driving while distracted,"
|
| "including while engaging in ride sharing activities. |
|
|
| Your credit—based insurance score, or insurance score, was one of several |
| factors used in determining your auto policy premium. We order your |
| credit—based insurance score at issue and you have the right to request, |
| once annually, for USAA to obtain and use your most updated credit |
| information if such use reduces your premium. |
|
|
| USAA considers many factors when determining your premium. Maintaining |
| safe driving habits is one of the most important"
|
| "steps you can take in |
| keeping your premium as low as possible. A history of claim or driving |
| activity and your USAA payment history may affect your policy premium. |
|
|
| We have provided your ID cards in this packet. You can use the cards |
| to show proof of insurance, if necessary. |
|
|
| ACS2 |
| TEXAS LIABILITY INSURANCE CARD |
|
|
| Name and Address of Insured |
|
|
| GREGCRY H CARTER |
| 2004 HEADWATER LN |
| AUSTIN TX 78746-7839 |
|
|
| GREGCRY H CARTER |
| MEGAN L HALEY |
| HARRISON HALEY CARTER |
| CARSON LEIGH CARTER |
|
|
| o- one |
|
|
| Insurance Company"
|
| "UNITED SERVICES AUTOMOBILE ASSN |
|
|
| Policy Number Effective Date |
|
|
| 00872 11 2U 7107 4 07/29/24 |
|
|
| Vehicle Make/Model/Vehicle Identification Number Year |
| FIT SW JHMGE88289S056529 2009 |
|
|
| This policy provides at least the minimum amounts of liability insurance |
| required by the Texas Motor Vehicle Safety Responsibility Act for the |
| specified vehicle and named insureds and may provide coverage for other |
| persons and other vehicles as provided by the insurance policy. |
|
|
| Expiration Date |
| 01/29/25 |
|
|
| Texas Liability"
|
| "Insurance Card |
| Keep this card. |
|
|
| IMPORTANT: This card or a copy of your insurance |
| policy must be shown when you apply for or renew your: |
|
|
| motor vehicle registration |
| driver's license |
| motor vehicle safety inspection sticker. |
|
|
| You also may be asked to show this card or your policy if |
| you have an accident or if a peace officer asks to see it. |
|
|
| All drivers in Texas must carry liability insurance on their |
| vehicles or otherwise meet legal requirements for financial |
| responsibility. Failure to do so could"
|
| "result in fines up to |
| $1,000, suspension of your driver's license and motor |
| vehicle registration, and impoundment of your vehicle for up |
| to 180 days (at a cost of $15 per day). |
|
|
| Additional copies available at usaa.com. |
|
|
| CONTACT US: 210-531-USAA(8722) |
| OR 800-531-USAA |
|
|
| Automobile Insurance Identification Cards |
|
|
| We've issued two identification cards as evidence of liability insurance for your vehicle(s). These cards are valid only as long |
| as liability insurance remains in force. Keep a copy of the ID"
|
| "card in your vehicle at all times. |
|
|
| You may be required to produce your identification card at vehicle registration or inspection, when applying for a driver's |
| license, following an accident, or upon a law enforcement officer's request. |
|
|
| 53TX1 Rev. 06-13 05/30/24 |
|
|
| TEXAS LIABILITY INSURANCE CARD |
|
|
| Name and Address of Insured |
|
|
| GREGCRY H CARTER |
| 2004 HEADWATER LN |
| AUSTIN TX 78746-7839 |
|
|
| GREGCRY H CARTER |
| MEGAN L HALEY |
| HARRISON HALEY CARTER |
| CARSON LEIGH CARTER |
|
|
| Insurance Company |
| UNITED SERVICES"
|
| "AUTOMOBILE ASSN |
|
|
| Policy Number Effective Date Expiration Date |
| 07/29/24 01/29/25 |
|
|
| 00872 11 2U§ 7107 4 |
| Vehicle Make/Model/Vehicle Identification Number Year |
| JHMGE88289S056529 2009 |
|
|
| a-om |
|
|
| HONDA FIT SW |
|
|
| This policy provides at least the minimum amounts of liability insurance |
| required by the Texas Motor Vehicle Safety Responsibility Act for the |
| specified vehicle and named insureds and may provide coverage for other |
| persons and other vehicles as provided by the insurance policy. | |
|
|
| 62882-0513__02 |
|
|
| Texas"
|
| "Liability Insurance Card |
| Keep this card. |
|
|
| IMPORTANT: This card or a copy of your insurance |
| policy must be shown when you apply for or renew your: |
|
|
| motor vehicle registration |
| driver's license |
| motor vehicle safety inspection sticker. |
|
|
| You also may be asked to show this card or your policy if |
| you have an accident or if a peace officer asks to see it. |
|
|
| All drivers in Texas must carry liability insurance on their |
| vehicles or otherwise meet legal requirements for financial |
| responsibility. Failure to do so"
|
| "could result in fines up to |
| $1,000, suspension of your driver's license and motor |
| vehicle registration, and impoundment of your vehicle for up |
| to 180 days (at a cost of $15 per day). |
|
|
| Additional copies available at usaa.com. |
|
|
| CONTACT US: 210-531-USAA(8722) |
| OR 800-531-USAA |
| TEXAS LIABILITY INSURANCE CARD |
|
|
| Name and Address of Insured |
|
|
| GREGCRY H CARTER |
| 2004 HEADWATER LN |
| AUSTIN TX 78746-7839 |
|
|
| GREGCRY H CARTER |
| MEGAN L HALEY |
| HARRISON HALEY CARTER |
| CARSON LEIGH CARTER |
|
|
| o- one |
|
|
| Insurance Company |
| UNITED"
|
| "SERVICES AUTOMOBILE ASSN |
|
|
| Policy Number Effective Date |
|
|
| 00872 11 2U 7107 4 07/29/24 |
|
|
| Vehicle Make/Model/Vehicle Identification Number Year |
| TOYOTA SIENNA 5TDJZ3DC5HS 179225 2017 |
|
|
| This policy provides at least the minimum amounts of liability insurance |
| required by the Texas Motor Vehicle Safety Responsibility Act for the |
| specified vehicle and named insureds and may provide coverage for other |
| persons and other vehicles as provided by the insurance policy. |
|
|
| Expiration Date |
| 01/29/25 |
|
|
| Texas Liability"
|
| "Insurance Card |
| Keep this card. |
|
|
| IMPORTANT: This card or a copy of your insurance |
| policy must be shown when you apply for or renew your: |
|
|
| - motor vehicle registration |
| - driver's license |
| - motor vehicle safety inspection sticker. |
|
|
| You also may be asked to show this card or your policy if |
| you have an accident or if a peace officer asks to see it. |
|
|
| All drivers in Texas must carry liability insurance on their |
| vehicles or otherwise meet legal requirements for financial |
| responsibility. Failure to do so"
|
| "could result in fines up to |
| $1,000, suspension of your driver's license and motor |
| vehicle registration, and impoundment of your vehicle for up |
| to 180 days (at a cost of $15 per day). |
|
|
| Additional copies available at usaa.com. |
|
|
| CONTACT US: 210-531-USAA(8722) |
| OR 800-531-USAA |
|
|
| Automobile Insurance Identification Cards |
|
|
| We've issued two identification cards as evidence of liability insurance for your vehicle(s). These cards are valid only as long |
| as liability insurance remains in force. Keep a copy of"
|
| "the ID card in your vehicle at all times. |
|
|
| You may be required to produce your identification card at vehicle registration or inspection, when applying for a driver's |
| license, following an accident, or upon a law enforcement officer's request. |
|
|
| 53TX2 Rev. 06-13 05/30/24 |
|
|
| TEXAS LIABILITY INSURANCE CARD |
|
|
| Name and Address of Insured |
|
|
| GREGCRY H CARTER |
| 2004 HEADWATER LN |
| AUSTIN TX 78746-7839 |
|
|
| GREGCRY H CARTER |
| MEGAN L HALEY |
| HARRISON HALEY CARTER |
| CARSON LEIGH CARTER |
|
|
| Insurance Company |
| UNITED SERVICES"
|
| "AUTOMOBILE ASSN |
|
|
| Policy Number Effective Date Expiration Date |
| 07/29/24 01/29/25 |
|
|
| 00872 11 2U§ 7107 4 |
| Year |
|
|
| Vehicle Make/Model/Vehicle Identification Number |
| TOYOTA SIENNA 5TDJZ3DC5HS 179225 2017 |
|
|
| This policy provides at least the minimum amounts of liability insurance |
| required by the Texas Motor Vehicle Safety Responsibility Act for the |
| specified vehicle and named insureds and may provide coverage for other |
| persons and other vehicles as provided by the insurance policy. | |
|
|
| a-om |
|
|
| 62882-0513__02 |
| "
|
| "Texas Liability Insurance Card |
| Keep this card. |
|
|
| IMPORTANT: This card or a copy of your insurance |
| policy must be shown when you apply for or renew your: |
|
|
| - motor vehicle registration |
| - driver's license |
| - motor vehicle safety inspection sticker. |
|
|
| You also may be asked to show this card or your policy if |
| you have an accident or if a peace officer asks to see it. |
|
|
| All drivers in Texas must carry liability insurance on their |
| vehicles or otherwise meet legal requirements for financial |
| responsibility."
|
| "Failure to do so could result in fines up to |
| $1,000, suspension of your driver's license and motor |
| vehicle registration, and impoundment of your vehicle for up |
| to 180 days (at a cost of $15 per day). |
|
|
| Additional copies available at usaa.com. |
|
|
| CONTACT US: 210-531-USAA(8722) |
| OR 800-531-USAA |
| TEXAS LIABILITY INSURANCE CARD |
| Name and Address of Insured |
|
|
| GREGCRY H CARTER |
| MEGAN L HALEY |
|
|
| 2004 HEADWATER LN |
| AUSTIN TX 78746-7839 |
|
|
| GREGCRY H CARTER |
| MEGAN L HALEY |
| HARRISON HALEY CARTER |
| CARSON LEIGH CARTER |
|
|
| o- one |
| "
|
| "Insurance Company |
| UNITED SERVICES AUTOMOBILE ASSN |
|
|
| Policy Number Effective Date |
|
|
| 00872 11 2U 7107 4 07/29/24 |
|
|
| Vehicle Make/Model/Vehicle Identification Number Year |
| KIA NIRO KNDCD@LD3N5536517 2022 |
|
|
| This policy provides at least the minimum amounts of liability insurance |
| required by the Texas Motor Vehicle Safety Responsibility Act for the |
| specified vehicle and named insureds and may provide coverage for other |
| persons and other vehicles as provided by the insurance policy. |
|
|
| Expiration Date |
| 01/29"
|
| "25 |
|
|
| Texas Liability Insurance Card |
| Keep this card. |
|
|
| IMPORTANT: This card or a copy of your insurance |
| policy must be shown when you apply for or renew your: |
|
|
| - motor vehicle registration |
| - driver's license |
| - motor vehicle safety inspection sticker. |
|
|
| You also may be asked to show this card or your policy if |
| you have an accident or if a peace officer asks to see it. |
|
|
| All drivers in Texas must carry liability insurance on their |
| vehicles or otherwise meet legal requirements for financial"
|
| "responsibility. Failure to do so could result in fines up to |
| $1,000, suspension of your driver's license and motor |
| vehicle registration, and impoundment of your vehicle for up |
| to 180 days (at a cost of $15 per day). |
|
|
| Additional copies available at usaa.com. |
|
|
| CONTACT US: 210-531-USAA(8722) |
| OR 800-531-USAA |
|
|
| Automobile Insurance Identification Cards |
|
|
| We've issued two identification cards as evidence of liability insurance for your vehicle(s). These cards are valid only as long |
| as liability insurance remains in"
|
| "force. Keep a copy of the ID card in your vehicle at all times. |
|
|
| You may be required to produce your identification card at vehicle registration or inspection, when applying for a driver's |
| license, following an accident, or upon a law enforcement officer's request. |
|
|
| 53TX3 Rev. 06-13 05/30/24 |
|
|
| TEXAS LIABILITY INSURANCE CARD |
|
|
| Name and Address of Insured |
|
|
| GREGCRY H CARTER |
| MEGAN L HALEY |
|
|
| 2004 HEADWATER LN |
| AUSTIN TX 78746-7839 |
|
|
| GREGCRY H CARTER |
| MEGAN L HALEY |
| HARRISON HALEY CARTER |
| CARSON LEIGH CARTER"
|
| " |
| Insurance Company |
|
|
| UNITED SERVICES AUTOMOBILE ASSN |
| Policy Number Effective Date Expiration Date |
| Vehicle Make/Model/Vehicle Identification Number Year |
| 2022 |
|
|
| a-om |
|
|
| KIA NIRO KNDCDBLD3N5536517 |
|
|
| This policy provides at least the minimum amounts of liability insurance |
| required by the Texas Motor Vehicle Safety Responsibility Act for the |
| specified vehicle and named insureds and may provide coverage for other |
| persons and other vehicles as provided by the insurance policy. |
|
|
| 62882-0513__02 |
|
|
| Texas"
|
| "Liability Insurance Card |
| Keep this card. |
|
|
| IMPORTANT: This card or a copy of your insurance |
| policy must be shown when you apply for or renew your: |
|
|
| - motor vehicle registration |
| - driver's license |
| - motor vehicle safety inspection sticker. |
|
|
| You also may be asked to show this card or your policy if |
| you have an accident or if a peace officer asks to see it. |
|
|
| All drivers in Texas must carry liability insurance on their |
| vehicles or otherwise meet legal requirements for financial |
| responsibility. Failure to"
|
| "do so could result in fines up to |
| $1,000, suspension of your driver's license and motor |
| vehicle registration, and impoundment of your vehicle for up |
| to 180 days (at a cost of $15 per day). |
|
|
| Additional copies available at usaa.com. |
|
|
| CONTACT US: 210-531-USAA(8722) |
| OR 800-531-USAA |
| TEXAS LIABILITY INSURANCE CARD |
|
|
| Name and Address of Insured |
|
|
| GREGCRY H CARTER |
| 2004 HEADWATER LN |
| AUSTIN TX 78746-7839 |
|
|
| GREGCRY H CARTER |
| MEGAN L HALEY |
| HARRISON HALEY CARTER |
| CARSON LEIGH CARTER |
|
|
| o- one |
|
|
| Insurance Company"
|
| "UNITED SERVICES AUTOMOBILE ASSN |
|
|
| Policy Number Effective Date |
|
|
| 00872 11 2U 7107 4 07/29/24 |
|
|
| Vehicle Make/Model/Vehicle Identification Number Year |
| TOYOTA 5YFBU4EEXCP069944 2012 |
|
|
| This policy provides at least the minimum amounts of liability insurance |
| required by the Texas Motor Vehicle Safety Responsibility Act for the |
| specified vehicle and named insureds and may provide coverage for other |
| persons and other vehicles as provided by the insurance policy. |
|
|
| Expiration Date |
| 01/29/25 |
|
|
| Texas Liability"
|
| "Insurance Card |
| Keep this card. |
|
|
| IMPORTANT: This card or a copy of your insurance |
| policy must be shown when you apply for or renew your: |
|
|
| - motor vehicle registration |
| - driver's license |
| - motor vehicle safety inspection sticker. |
|
|
| You also may be asked to show this card or your policy if |
| you have an accident or if a peace officer asks to see it. |
|
|
| All drivers in Texas must carry liability insurance on their |
| vehicles or otherwise meet legal requirements for financial |
| responsibility. Failure to do so"
|
| "could result in fines up to |
| $1,000, suspension of your driver's license and motor |
| vehicle registration, and impoundment of your vehicle for up |
| to 180 days (at a cost of $15 per day). |
|
|
| Additional copies available at usaa.com. |
|
|
| CONTACT US: 210-531-USAA(8722) |
| OR 800-531-USAA |
|
|
| Automobile Insurance Identification Cards |
|
|
| We've issued two identification cards as evidence of liability insurance for your vehicle(s). These cards are valid only as long |
| as liability insurance remains in force. Keep a copy of"
|
| "the ID card in your vehicle at all times. |
|
|
| You may be required to produce your identification card at vehicle registration or inspection, when applying for a driver's |
| license, following an accident, or upon a law enforcement officer's request. |
|
|
| 53TX4 Rev. 06-13 05/30/24 |
|
|
| TEXAS LIABILITY INSURANCE CARD |
|
|
| Name and Address of Insured |
|
|
| GREGCRY H CARTER |
| 2004 HEADWATER LN |
| AUSTIN TX 78746-7839 |
|
|
| GREGCRY H CARTER |
| MEGAN L HALEY |
| HARRISON HALEY CARTER |
| CARSON LEIGH CARTER |
|
|
| Insurance Company |
| UNITED SERVICES"
|
| "AUTOMOBILE ASSN |
|
|
| Policy Number Effective Date Expiration Date |
| 07/29/24 01/29/25 |
|
|
| 00872 11 2U§ 7107 4 |
| Year |
|
|
| Vehicle Make/Model/Vehicle Identification Number |
| TOYOTA COROLLA 5YFBU4EEXCP069944 2012 |
|
|
| This policy provides at least the minimum amounts of liability insurance |
| required by the Texas Motor Vehicle Safety Responsibility Act for the |
| specified vehicle and named insureds and may provide coverage for other |
| persons and other vehicles as provided by the insurance policy. |
|
|
| a-om |
|
|
| 62882-0513__02 |
|
|
| Texas"
|
| "Liability Insurance Card |
| Keep this card. |
|
|
| IMPORTANT: This card or a copy of your insurance |
| policy must be shown when you apply for or renew your: |
|
|
| - motor vehicle registration |
| - driver's license |
| - motor vehicle safety inspection sticker. |
|
|
| You also may be asked to show this card or your policy if |
| you have an accident or if a peace officer asks to see it. |
|
|
| All drivers in Texas must carry liability insurance on their |
| vehicles or otherwise meet legal requirements for financial |
| responsibility. Failure"
|
| "to do so could result in fines up to |
| $1,000, suspension of your driver's license and motor |
| vehicle registration, and impoundment of your vehicle for up |
| to 180 days (at a cost of $15 per day). |
|
|
| Additional copies available at usaa.com. |
|
|
| CONTACT US: 210-531-USAA(8722) |
| OR 800-531-USAA |
| PAGE 11 |
| ADDL INFO ON NEXT PAGE MAIL MCH-M-| |
| RENEWAL OF |
|
|
| Statel(06 07 08 09 , ven POLICY NUMBER |
| TX 1684[684|684|684 ter] 00872 11 26U 7107 4 |
|
|
| POLICY PERIOD: (12:01 A.M. standard time |
| EFFECTIVE JUL 29 2024 TO JAN 29"
|
| "2025 |
|
|
| OPERATORS |
| 01 GREGORY H CARTER |
|
|
| 02 MEGAN L HALEY |
|
|
| 03 HARRISON HALEY CARTER |
| 04 CARSON LEIGH CARTER |
|
|
| UNITED SERVICES AUTOMOBILE ASSOCIATION |
|
|
| (ARECIPROCAL INTERINSURANCE EXCHANGE) |
| ® 9800 Fredericksburg Road - San Antonio, Texas 78288 |
| TEXAS PERSONAL AUTO POLICY |
| RENEWAL DECLARATIONS |
| ATTACH TO PREVIOUS POLICY |
| Named Insured and Address |
|
|
| a |
|
|
| é |
|
|
| GREGORY H CARTER |
| 2004 HEADWATER LN |
| AUSTIN TX 78746-7839 |
|
|
| Description of Vehicle(s) WORKECHOOL |
|
|
| iles |
| | VEH| YEAR| TRADE NAME MODEL BODY TYPE eS |W |
| SW"
|
| "JHMGE88289S056529 |
| 5TDJZ3DC5HS179225 |
| KNDCD3LD3N5536517 |
| 5 YFBU4EEXCP069944 |
|
|
| VEH 06 AUSTIN TX 78746-7839 VEH 08 |
|
|
| VEH 07 AUSTIN TX 78746-7839 VEH 09 AUSTIN TX 78746-7839 |
|
|
| is policy provides ONLY those coverages where a premium is shown below. e limits shown |
|
|
| may be réduced by policy provisions dnd may not be combined regardless of the number of |
| vehicles for which a premium is listed unless specifically authorized elsewhere in this policy. |
|
|
| COVERAGES LIMITS OF LIABILITY |
|
|
| (""ACV"" MEANS ACTUAL CASH VALUE) |
|
|
| PART A"
|
| "— LIABILITY |
| BODILY INJURY EA PER $ 300,000 |
| EA ACC $_ 500,000 |
| PROPERTY DAMAGE EA ACC S$_ 100,000 |
| PART B2-PERSONAL INJURY PROTECTION |
| (OPTIONAL) EA PERSON $_ 5,000 |
| PART C - UM/UIM |
| BODILY INJURY EA PER $ 300,000 |
| EA ACC $_ 500,000 |
| PROPERTY DAMAGE EFA ACC S$ 100,000D 250 |
| PART D - PHYSICAL DAMAGE COVERAGE |
| COMPREHENSIVE LOSS ACV LESS |D 200} 115.97D 200] 165.74D 200 |
| COLLISION LOSS ACV LESS |D 250} 275.31/D 250] 247.94D 250 |
| TOWING AND LABOR |
|
|
| 187.73D 200} 184.36 |
| 296.47D 250) 298.73 |
|
|
| EHICLE TOTAL PREMIUM"
|
| "1063.5 818.664 834.7 |
|
|
| 6 MONTH PREMIUM $ 3968.79 |
| PREMIUM DUE AT INCEPTION. THIS I§ NOT A BILL, STATEMENT TO FOLLOW. | |
|
|
| EARNED ACCIDENT FORGIVENESS APPLIES WITH FIVE YEARS CLEAN DRIVING WITH USAA. |
|
|
| ADDITIONAL MESSAGE(S) - SEE FOLLOWING PAGE (S) |
|
|
| ENDORSEMENTS: ADDED 07-29-24 - A200TX(03) |
|
|
| REMAIN IN EFFECT(REFER TO PREVIOUS POLICY)- A402TX(02) RSGPTX(01) 5100TX(03) |
| INFORMATION FORMS: AO250U(03 40TX(01 999TX(33 CDTXAN (01 |
| E4 1 |
|
|
| 06] RSFISPOOMOTIII 11 Ep7] RMF59p00D0] ""p8] RMM54)0000 Dol"
|
| "RSM20poopollllIll |
|
|
| In WITNESS WHEREOF, the Subscribers at UNITED SERVICES AUTOMOBILE ASSOCIATION have caused these presents to be signed by |
| their Attorney-in-Fact on thisdate MAY 30, 2024 |
|
|
| Wayne Peacock |
| President, USAA Reciprocal Attorney-in-Fact, Inc. |
|
|
| 8500 U_O7-11 |
| 52801-07-11 |
| PAGE 12 |
|
|
| MAIL MCH-M-I |
| UNITED SERVICES AUTOMOBILE ASSOCIATION RENEWAL OF |
| SS y (ARECIPROCAL INTERINSURANCE EXCHANGE) POLICY NUMBER |
| USAA® 9800 Fredericksburg Road - San Antonio, Texas 78288 Tx | of |] I tert 00872 11 26U 7107 4 |
| TEXAS"
|
| "PERSONAL AUTO POLICY POLICY PERIOD: (12:01 A.M. standard time) |
| RENEWAL DECLARATIONS EFFECTIVE JUL 29 2024 TO JAN 29 2025 |
|
|
| ATTACH TO PREVIOUS POLICY |
| Named Insured and Address |
|
|
| GREGORY H CARTER |
| 2004 HEADWATER LN |
| AUSTIN TX 78746-7839 |
|
|
| Description of Vehicle(s |
|
|
| |VEH|YEAR TRADENAME | === MOD =| BODYTYPE Wes IDENTIFICATION NUMBER |
|
|
| The Vehicle(s) described herein is principally garaged at the above address unless otherwise stated.|_ WC=WorWSchool, B=Business; F=Farm; P=Pleasure |
|
|
| This policy provides ONLY"
|
| "those coverages where a premium is shown below. The limits shown |
| may be réduced by policy provisions and may not be combined regardless of the umber of |
| vehicles for which a premium is listed unless specifically “authorized elséwhere in this policy. |
|
|
| VEH VEH VEH VEH |
| COVERAGES LIMITS OF LIABILITY |
|
|
| (""ACV"" MEANS ACTUAL CASH VALUE) D=DED | PREMIUM | D=DED ] PREMIUM | D=DED | PREMIUM |D=DED | PREMIUM |
| AMOUNT $ AMOUNT] _ $ AMOUNT|__ $ AMOUNT $ |
|
|
| S$ 332.66 HAS BEEN WAIVED DUE TO |ACCIDENT FORGIVENESS. |
|
|
| S$"
|
| "108.61 INCLUDED IN PREMIUM FOR VEH (09 FOR JRIDE BHARE GAP PROTECTION. |
| MVCPA FEE 2.50 2.50 2.50 2.50 |
|
|
| NOTICE: YOUR PAYMENT INCLUDES A $5.]00 FEIE PER VEHICLE EACH /YEAR. |
| THIS FEE HELPS FUND: (1) AUTO BURGLARY, [HEFT AND FRAUD PREVENTIDPN, |
| (2) CRIMINAL JUSTICE EFFORTS, (3) TIRAUMA) CARE AND EMERGENCY MEDICAL |
| SERVICES FOR VICTIMS OF ACCIDENTS DUE TO) TRAFFIC OFFENSES, |AND (#4) |
| THE DETECTION AND PREVENTION OF CATALYTIC CONVHRTER [THEFTS.| BY LAW, |
| THIS FEE FUNDS THE MOTOR VEHICLE CRIME PREVENTION"
|
| "AUIHORITY (MVCIPA). |
|
|
| NOTICE: AN ASSESSMENT OF $ 1.88 IS PAYABLE IN ADDITION TO THE PREMIUM DUE |
| UNDER THIS POLICY. THIS ASSESSMENT |WAS CREATED |BY THE TEXAS LEGISLATURH |
| TO FUND THE RURAL VOLUNTEER FIRE DHPARTMENT ASSESSMENT PROGRAM. |
|
|
| THE FOLLOWING COVERAGE(S) DEFINED IIN THI§ POLIGY ARE! NOT PROVIDED FOR: |
| VEH 06 - RENTAL REIMBURSEMENT |
| VEH 07 - RENTAL REIMBURSEMENT | | |
| VEH 08 - RENTAL REIMBURSEMENT |
| VEH 09 - RENTAL REIMBURSEMENT |
|
|
| v v y y |
| E |
| H |
|
|
| In WITNESS WHEREOF, the Subscribers at ay ND SERYICES"
|
| "AUTOMOBILE ASSOCIATION have caused these presents to be signed by |
| their Attorney-in-Fact on this date Ys J |
| gong Tieng |
|
|
| 07-11 Wayne Peacock |
|
|
| OO SOL. 7- 11 President, USAA Reciprocal Attorney-in-Fact, Inc. |
| PAGE 13 |
| USAA 00872 11 26 7107 |
|
|
| SUPPLEMENTAL INFORMATION |
| EFFECTIVE JUL 29 2024 TO JAN 29 2025 |
|
|
| The following approximate premium discounts or credits have already been applied to reduce your policy |
| premium costs. |
|
|
| NOTE: Age or senior citizen status, if allowed by your state/location, was taken into"
|
| "consideration when |
| your rates were set and your premiums have already been adjusted. |
|
|
| VEHICLE 06 |
| ANNUAL MILEAGE DISCOUNT -S$ 10.10 |
| AUTOMATIC PAYMENT PLAN DISCOUNT -S$ 30.89 |
| DAYTIME RUNNING LIGHTS DISCOUNT -S$ 7.86 |
| DRIVER TRAINING DISCOUNT -S$ 46.23 |
| OPERATOR 04 |
| GOOD STUDENT DISCOUNT -S$ 66.13 |
| OPERATOR 04 |
| MULTI-CAR DISCOUNT -S 157.61 |
| PASSIVE RESTRAINT DISCOUNT -S$ 3.83 |
| VEHICLE 07 |
| AUTOMATIC PAYMENT PLAN DISCOUNT -S$ 23.31 |
| DAYTIME RUNNING LIGHTS DISCOUNT -S$ 7.02 |
| MULTI-CAR DISCOUNT -S 105.59 |
| PASSIVE"
|
| "RESTRAINT DISCOUNT -S$ 2.02 |
| VEHICLE 08 |
| ANNUAL MILEAGE DISCOUNT -S$ 40.52 |
| AUTOMATIC PAYMENT PLAN DISCOUNT -S$ 23.82 |
| DAYTIME RUNNING LIGHTS DISCOUNT -S$ 8.52 |
| MULTI-CAR DISCOUNT -S 104.56 |
| NEW VEHICLE DISCOUNT -S$ 27.27 |
| PASSIVE RESTRAINT DISCOUNT -S$ 2.08 |
| VEHICLE 09 |
| ANNUAL MILEAGE DISCOUNT -S$ 10.90 |
| AUTOMATIC PAYMENT PLAN DISCOUNT -S$ 33.35 |
| DAYTIME RUNNING LIGHTS DISCOUNT -S$ 8.59 |
| DRIVER TRAINING DISCOUNT -S$ 50.43 |
| OPERATOR 03 |
| MULTI-CAR DISCOUNT -S 159.59 |
| PASSIVE RESTRAINT DISCOUNT -S$ 3.25 |
| "
|
| "SUPDECCW Rev. 7-95 MAY 30, 2024 |
| PAGE 14 |
| USAA 00872 11 26 7107 |
|
|
| AMENDMENT OF POLICY PROVISIONS - TEXAS |
|
|
| This Amendment forms a part of the auto policy to which it is attached, and it modifies that policy as |
| follows: |
|
|
| DEFINITIONS |
|
|
| The following definition is deleted in its entirety and replaced by the following: |
|
|
| K. ""Newly acquired vehicle."" |
|
|
| 1. ""Newly acquired vehicle"" means a vehicle that is acquired by you or any family member |
| during the policy period and is: |
|
|
| a A private passenger auto, pickup,"
|
| "trailer, or van; |
| b. A miscellaneous vehicle that is not used in any business or occupation; or |
| c. A motorcycle, but only if a motorcycle is shown on the current Declarations. |
|
|
| 2. We will automatically provide for the newly acquired vehicle the broadest coverages as are |
| provided for any vehicle shown on the Declarations. If your policy does not provide |
| Comprehensive Coverage or Collision Coverage, we will automatically provide these coverages |
| for the newly acquired vehicle subject to a $500"
|
| "deductible for each loss. |
|
|
| 3. Any automatic provision of coverage under K.2. will apply for up to 30 days after the date |
| you or afamily member becomes the owner of the newly acquired vehicle. If you wish to |
| continue coverage for the newly acquired vehicle beyond this 30-day period, you must |
| request it during this 30-day period. If you request coverage after this 30-day period, any |
| coverage that we agree to provide will be effective at the date and time of your request |
| unless we agree to an earlier date. |
| "
|
| "The following definitions are added: |
|
|
| Q. ""Repair facility"" means a person or entity that rebuilds, repairs, or services a motor vehicle for |
| consideration or under a warranty, service, or maintenance contract. |
|
|
| R. ""Temporary vehicle."" |
| 1. ""Temporary vehicle"" includes a vehicle that is loaned or provided to an insured by an |
| automobile repair facility for use while your covered auto is at the repair facility for |
| service, repair, maintenance, or damage or to obtain an estimate and is: |
|
|
| a. In the"
|
| "lawful possession of the insured or any family member; |
|
|
| b. Not owned by you, any family member, or any other person residing in your household; |
| and |
|
|
| c. Operated by or in the possession of the insured or any family member until the vehicle is |
| returned to the repair facility. |
|
|
| 135407-1223_ 01 |
| A200TX(03) 12-23 Page 1 of 4 |
| PAGE 15 |
| USAA 00872 11 26 7107 |
|
|
| PART A - LIABILITY COVERAGE |
|
|
| DEFINITIONS |
| The definition of ""Covered person"" is deleted in its entirety and replaced by the following: |
| ""Covered person"""
|
| "as used in this Part means: |
| 1. You or any family member for the ownership, maintenance, or use of any auto or trailer. |
| 2. Any person using your covered auto. |
|
|
| 3. Any other person or organization, but only with respect to legal liability imposed on them for |
| the acts or omissions of a person for whom coverage is afforded in 1. or 2. above. With |
| respect to an auto or trailer other than your covered auto, this provision only applies if the |
| other person or organization does not own or hire the auto"
|
| "or trailer. |
|
|
| 4. You, any family member, or any licensed operator who resides in your household for the |
| maintenance or use of a temporary vehicle. |
|
|
| The following are not covered persons under Part A: |
| 1. The United States of America or any of its agencies. |
|
|
| 2. Any person with respect to BI or PD resulting from the operation of an auto by that person as |
| an employee of the United States Government. This applies only if the provisions of Section |
| 2679 of Title 28, United States Code as amended, require"
|
| "the Attorney General of the United |
| States to defend that person in any civil action which may be brought for the BI or PD. |
| EXCLUSIONS |
|
|
| Exclusion A.3. is deleted in its entirety and replaced by the following: |
|
|
| 3. For PD to property rented to, used by, or in the care of any covered person. This exclusion |
| (A.3.) does not apply to damage to: |
|
|
| a. A residence or garage; or |
| b. A temporary vehicle. |
|
|
| However, this exclusion does apply to a loss due to or as a consequence of a seizure of an |
| auto by"
|
| "federal or state law enforcement officers as evidence in a case against a covered |
| person under the Texas Controlled Substances Act or the federal Controlled Substances Act if |
| the covered person is convicted in such case. |
|
|
| A200TX(03) 12-23 Page 2 of 4 |
| PAGE 16 |
| USAA 00872 11 26 7107 |
|
|
| Exclusion A.7. is deleted in its entirety and replaced by the following: |
| 7. Maintaining or using any vehicle while that person is employed or otherwise engaged in any |
| business or occupation other than the auto business,"
|
| "farming or ranching. This exclusion (A.7.) |
| does not apply: |
|
|
| a. To the maintenance or use of a private passenger auto; a pickup or van owned by you or a |
| family member; or a trailer used with these vehicles; |
|
|
| b. To the maintenance or use of a pickup or van not owned by you or a family member if |
| the vehicle’s owner has valid and collectible primary liability insurance or self-insurance in |
| force at the time of the accident; or |
|
|
| c. To maintenance or use of a temporary vehicle. |
|
|
| Exclusion C.1. is added: |
| "
|
| "1. This exclusion does not apply to a temporary vehicle. |
| OTHER INSURANCE |
| The Other Insurance section is deleted in its entirety and replaced with the following: |
| If there is other applicable liability insurance: |
| 1. Any insurance we provide to a covered person shall be excess over: |
|
|
| a. Any other applicable liability insurance, or |
|
|
| b. Any qualified self-insurance or other permissible means of compliance with a state's financial |
| responsibility law, compulsory liability law, or any similar law. |
|
|
| 2."
|
| "We will pay only our share of the loss that must be paid under insurance providing coverage on an |
|
|
| excess basis. Our share is the proportion that our limit of liability bears to the total of all applicable |
| limits of liability for coverage provided on an excess basis. |
|
|
| 3. However, Our coverage under this Part will be primary for a temporary vehicle, but only if the |
| temporary vehicle is: |
|
|
| a. A private passenger auto; or |
|
|
| b. A pickup, utility vehicle, or van with a gross vehicle weight of 14,000"
|
| "pounds or less that is |
| not used for the delivery or transportation of goods, materials, or supplies, other than samples, |
| unless: |
|
|
| (i) The delivery of the goods, materials, or supplies is not the primary use for which the |
| temporary vehicle is employed; or |
|
|
| (i) The temporary vehicle is used for farming or ranching. |
|
|
| A200TX(03) 12-23 Page 3 of 4 |
| PAGE 17 |
| USAA 00872 11 26 7107 |
|
|
| PART E - GENERAL PROVISIONS |
|
|
| DUTIES AFTER AN ACCIDENT OR LOSS |
|
|
| B.3.b. is deleted and replaced by the following: |
|
|
| b. To"
|
| "examination under oath. The examination must be signed. A minor must have a parent or |
| guardian present. |
|
|
| LEGAL ACTION AGAINST US |
| C. is deleted in its entirety and replaced by the following: |
| C. Under Part C — UM/UIM Coverage: |
|
|
| No action can be brought against us for any claim involving an uninsured motor vehicle unless |
| the action is brought within at least two years and one day from the date the cause of action |
| first accrues. |
|
|
| TERMINATION |
| B.1. is deleted and replaced by the following: |
|
|
| 1. If we decide"
|
| "not to renew this policy, we will send notice to the named insured shown on the |
| Declarations. This cancellation notice may be delivered to the named insured, mailed by postal |
| mail to the most recent address you provided to us or sent electronically if we have your |
| consent and agreement on file to receive documents electronically. In any event, notice will be |
| sent at least 60 days before the end of the policy period. |
|
|
| E. is added: |
| E. Nonrenewal for Failure to Cooperate. |
|
|
| 1. We will notify you if"
|
| "any insured fails or refuses to cooperate with us in the investigation, |
| settlement, or defense of a third-party liability claim or action or if we are unable to contact |
| the insured. |
|
|
| 2. After we notify you, if the insured continues to fail or refuse to cooperate in the third-party |
| liability claim, then we will not renew this policy at the end of the policy period We will not |
| renew this policy regardless of other required notices and even if it is not your policy's |
| anniversary. |
|
|
| Copyright, USAA"
|
| "2023, All rights reserved. |
|
|
| A200TX(03) 12-23 Page 4 of 4 |
| USAA 00872 11 26 |
|
|
| Tarjeta de Seguro de |
| Responsabilidad de Texas |
| Guarde esta tarjeta. |
|
|
| IMPORTANTE: Esta tarjeta o una copia de su poliza de seguro debe ser mostrada cuando usted |
| solicite o renueve su: |
|
|
| registro de vehiculo de motor |
| licencia para conducir |
| etiqueta de inspeccion de seguridad para su vehiculo. |
|
|
| Puede que usted tenga también que mostrar esta tarjeta o su poliza de seguro si tiene un |
| accidente o si un oficial de la paz se la pide."
|
| " |
| Todos los conductores en Texas deben de tener seguro de responsabilidad para sus vehiculos, o |
| de otra manera llenar los requisitos legales de responsabilidad civil. Fallo en llenar este requisito |
| pudiera resultar en multas de hasta $1,000, suspension de su licencia para conducir y su registro |
| de vehiculo de motor, y la retencién de su vehiculo por un periodo de hasta 180 dias (a un costo |
| de $15 por dia). |
|
|
| IMPORTANTE: Si usted quiere una tarjeta oficial escrita en espafol, llame a este numero:"
|
| "1-800-531-8111 |
|
|
| 40TX(01) Rev. 12-98 |
|
|
| PAGE |
| 7107 |
|
|
| 18 |
| PAGE 19 |
| USAA 00872 11 26 7107 |
|
|
| Uninsured Motorists/Underinsured Motorists Coverage in Texas |
|
|
| Below, you will find a brief explanation of Uninsured Motorists/Underinsured Motorists and Uninsured |
| Motorists Property Damage coverages. Please remember that this explanation is only an overview, and |
| it does not replace or supplement any of the provisions of your policy. Please see your policy for |
| details because the policy controls all issues of"
|
| "coverage. |
|
|
| The decisions you make regarding the amount of coverage will affect your insurance premium. If you |
| have questions, please contact Policy Service by calling 210-531-USAA (8722), our mobile shortcut |
| #8722 or 800-531-8722. You may complete this form online at usaacom. |
|
|
| Coverage Description |
| Uninsured Motorists/Underinsured Motorists (UM/UIM) Coverage: |
|
|
| |
| underinsured, or hit-and-run motorist who is"
|
| "at—fault. |
|
|
| e Pays if you or your family are injured by an at—fault motorist whose Bodily Injury (Bl) Liability limits |
| are less than the amount of damages you are legally entitled to recover from the at—fault motorist. |
| The at—fault motorist’s policy pays its BI Liability limits first, then your UM/UIM Coverage pays the |
| lesser of: |
|
|
| |
| |
|
|
| e Must be issued with UM/UIM Coverage limits equal to the minimum coverage limits required by |
| Texas unless you reject UM"
|
| "UIM Coverage or select higher UM/UIM Coverage limits by completing, |
| signing, and returning the Rejection/Selection Form by mail or at usaa.com. |
|
|
| |
| until you request otherwise in writing. |
|
|
| Uninsured Motorists Property Damage (UMPD) Coverage: |
|
|
| ¢ UMPD cannot be carried without UM/UIM; however, you can carry UM/UIM without UMPD by |
| rejecting just the UMPD Coverage. |
|
|
| e Pays for damage to your vehicle that"
|
| "you are legally entitled to recover from an at-fault uninsured |
| or underinsured motorist or hit-and-run motor vehicle because of property damage (including loss |
| of use and your personal property inside the vehicle) sustained in an auto accident. The at-—fault |
| underinsured motorist’s policy pays its PD Liability limits first, then your UMPD coverage pays the |
| lesser of: |
|
|
| |
| ¢ your UMPD limits. |
|
|
| e Must be issued with UMPD Coverage limits equal to the minimum coverage limits"
|
| "required by Texas |
| unless you reject UMPD Coverage or select higher UMPD Coverage limits by completing, signing, |
| and returning the Rejection/Selection Form by mail or at usaa.com. |
|
|
| |
| you request otherwise in writing. |
|
|
| |
|
|
| 52080-0816 |
|
|
| 999TX(33) Rev. 11-16 Page 1 of 4 |
|
|
| PS .008721126.999TX.07107 |
|
|
| PAGE 20 |
| USAA 00872 11 26 7107 |
|
|
| THIS PAGE INTENTIONALLY LEFT BLANK |
| "
|
| "999TX(33) Rev. 11-16 |
| PS .008721126.999TX.07107 |
|
|
| Page 2 of 4 |
|
|
| PAGE 21 |
| USAA 00872 11 26 7107 |
|
|
| If you do not wish to make any changes to your current policy, no action is required. TO |
| MAKE CHANGES TO YOUR POLICY, PLEASE COMPLETE THIS FORM, SIGN, AND RETURN IT TO US. The |
| premiums below reflect the total premium for this coverage for all vehicles insured on this Policy. |
|
|
| Rejection/Selection Form |
|
|
| Uninsured/Underinsured Motorists Coverage (UM/UIM) |
| And Uninsured Motorists Property Damage Coverage "
|
| "UMPD) |
|
|
| Semi-annual premium per policy |
|
|
| | want the UM/UIM and UMPD limits checked below: |
| UM/UIM Premium UMPD Premium |
|
|
| CL] § 30,000/$ 60,000 $ 92.23 CL] § 25,000 $ 109.54 |
| CL] $s 50,000/$ 100,000 $ 137.43 [] $s 50,000 $ 138.03 |
| CL] $ 100,000/s 200,000 $ 200.14 [1] $100,000 $ 161.01 |
| [1] $ 100,000/$ 300,000 $ 229.66 [] $300,000 § 186.22 |
| LJ $ 300,000/$ 500,000 $ 320.97 [] $500,000 §$ 198.26 |
| L] $ 500,000/s 500,000 $ 346.80 |
|
|
| [1 $ 500,000/s1,000,000—s $ 364.32 |
|
|
| L] $1,000,000/$ 1,000,000 $ 407.66 |
|
|
| L] | reject"
|
| "both UM/UIM Coverage and UMPD Coverage for this policy and all subsequent |
|
|
| renewals until | request otherwise in writing. |
| LJ | reject only UMPD Coverage for this policy and all subsequent renewals until | request |
|
|
| otherwise in writing. |
|
|
| DO NOT SIGN UNTIL YOU READ |
| USAA Number |
|
|
| Signature of Named Insured |
|
|
| ( ) ( ) |
| Home Phone Alternate Phone Date |
|
|
| Please complete this form and fax it to 1-800-531-8877 or mail it to USAA, 9800 Fredericksburg |
| Road, San Antonio, Texas 78288; or complete this form on"
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| "usaacom. |
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| If this form is sent by facsimile machine (fax), the sender adopts the document USAA receives as a |
| duplicate original and adopts the signature the receiving fax machine produces as the sender's original |
| signature. |
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| 999TX(33) Rev. 11-16 Page 3 of 4 |
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| PS .008721126.999TX.07107 |
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| PAGE 22 |
| USAA 00872 11 26 7107 |
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| THIS PAGE INTENTIONALLY LEFT BLANK |
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| 999TX(33) Rev. 11-16 |
| PS .008721126.999TX.07107 |
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| Page 4 of 4 |
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| PAGE 23 |
| 00872 11 26 7107 |
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| Use of Credit Information Disclosure |
| Form CD-1 |
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| Insurer's"
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| "Name United Services Automobile Association |
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| SAN ANTONIO, TX 78288 |
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| Telephone Number (toll free if available) 1-800-531-USAA (8722 |
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| WeL] will} will not (choose one) obtain and use credit information on you or any other |
| member(s) of your household as a part of the insurance credit scoring process. |
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| If you have questions regarding this disclosure, contact the insurer at the above address |
| or phone number. For information or other questions, contact the Texas Department of |
| Insurance at 1-800-578-4677"
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| "or P.O. Box 12030, MC - PC-PCL, Austin, Texas 78711-2030. |
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| Section 559.053 of the Texas Insurance Code requires an insurer or its agents to disclose to its |
| customers whether credit information will be obtained on the applicant or insured or on any other |
| member(s) of the applicant's or insured’s household and used as part of the insurance credit scoring |
| process. |
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| If credit information is obtained or used on the applicant or insured, or on any member of the |
| applicant's or insured’s household, the"
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| "insurer shall disclose to the applicant the name of each person |
| on whom credit information was obtained or used and how each person's credit information was used |
| to underwrite or rate the policy. An insurer may provide this information with this disclosure or in a |
| separate notice. |
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| Adverse effect means an action taken by an insurer in connection with the underwriting of insurance |
| for a consumer that results in the denial of coverage, the cancellation or nonrenewal of coverage, or |
| the offer to and"
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| "acceptance by a consumer of a policy form, premium rate, or deductible other than |
| the policy form, premium rate, or deductible for which the consumer specifically applied. |
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| Credit information is any credit related information derived from a credit report itself or provided in |
| an application for personal insurance. The term does not include information that is not credit-related, |
| regardless of whether the information is contained in a credit report or in an application for insurance |
| coverage or"
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| "is used to compute a credit score. |
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| Credit score or insurance score is a number or rating derived from a mathematical formula, computer |
| application, model, or other process that is based on credit information and used to predict the future |
| insurance loss exposure of a consumer. |
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| Summary of consumer protections in Chapter 559 |
| Prohibited use of credit information. An insurer may not: |
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| (1) Use a credit score that is computed using factors that constitute unfair discrimination; |
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| (2) Deny, cancel, or"
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| "nonrenewal a policy of personal insurance solely on the basis of |
| creditinformation without consideration of any other applicable underwriting factor independent |
| of credit information; or |
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| 507421-0823 |
| CDTXAN(01) 08-23 Page 1 of 3 |
| PAGE 24 |
| USAA 00872 11 26 7107 |
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| (3) Take an action that results in an adverse effect against a consumer because the consumerdoes |
| not have a credit card account without consideration of any other applicable factor independent |
| of credit information. |
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| An insurer may not"
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| "consider an absence of credit information or an inability to determine credit |
| information for an applicant for insurance coverage or insured as a factor in underwriting or rating an |
| insurance policy unless the insurer: |
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| (1) Has statistical, actuarial, or reasonable underwriting information that: (A) is reasonably related to |
| actual or anticipated loss experience; and (B) shows that the absence of credit information |
| could result in actual or anticipated loss differences; |
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| (2) Treats the consumer as"
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| "if the applicant for insurance coverage or insured had neutral credit |
| information, as defined by the insurer; or |
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| (3) Excludes the use of credit information as a factor in underwriting and uses only other |
| underwriting criteria |
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| Negative factors. An insurer may not use any of the following as a negative factor in any credit |
| scoring methodology or in reviewing credit information to underwrite or rate a policy of personal |
| insurance: |
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| (1) A credit inquiry that is not initiated by the consumer; |
| (2) An"
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| "inquiry relating to insurance coverage, if so identified on a consumer's credit report; or |
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| (3) A collection account with a medical industry code, if so identified on the consumer’s credit |
| report. |
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| Multiple lender inquiries made within 30 days of a prior inquiry, if coded by the consumer reporting |
| agency on the consumer's credit report as from the home mortgage or motor vehicle lending industry, |
| shall be considered by an insurer as only one inquiry. |
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| Effect of extraordinary events. An insurer"
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| "shall, on written request from an applicant for insurance |
| coverage or an insured, provide reasonable exceptions to the insurer's rates, rating classifications, or |
| underwriting rules for a consumer whose credit information has been directly influenced by a |
| catastrophic illness or injury, by the death of a spouse, child, or parent, by temporary loss of |
| employment, by divorce, or by identity theft. In such a case, the insurer may consider only credit |
| information not affected by the event or shall"
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| "assign a neutral credit score. |
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| An insurer may require reasonable written and independently verifiable documentation of the event and |
| the effect of the event on the person's credit before granting an exception. An insurer is not required |
| to consider repeated events or events the insurer reconsidered previously as an extraordinary event. |
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| An insurer may also consider granting an exception to an applicant for insurance coverage or an |
| insured for an extraordinary event not listed in this section. An"
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| "insurer is not out of compliance with |
| any law or rule relating to underwriting, rating, or rate filing as a result of granting an exception under |
| this article. |
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| Notice of action resulting in adverse effect. If an insurer takes an action resulting in an adverse |
| effect with respect to an applicant for insurance coverage or insured based in whole or in part on |
| information contained in a credit report, the insurer must provide to the applicant or insured within 30 |
| days certain information regarding"
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| "how an applicant or insured may verify and dispute information |
| contained in a credit report. |
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| CDTXAN(01) 08-23 Page 2 of 3 |
| LAST PAGE 25 |
| USAA 00872 11 26 7107 |
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| Dispute resolution; error correction. If it is determined through the dispute resolution process |
| established under Section 61 1(a)(5), Fair Credit Reporting Act (15 U.S.C. Section 16811), as amended, |
| that the credit information of a current insured was inaccurate or incomplete or could not be verified |
| and the insurer receives notice of"
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| "that determination from the consumer reporting agency or from the |
| insured, the insurer shall re-underwrite and re-rate the insured not later than the 30th day after the |
| date of receipt of the notice. |
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| After re-underwriting or re-rating the insured, the insurer shall make any adjustments necessary within |
| 30 days, consistent with the insurer's underwriting and rating guidelines. If an insurer determines that |
| the insured has overpaid premium, the insurer shall credit the amount of overpayment. The"
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| "insurer |
| shall compute the overpayment back to the shorter of the last 12 months of coverage; or the actual |
| policy period. |
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| CDTXAN(01) 08-23 Page 3 of 3 |
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