Welcome to the Mercury family!

Welcome to the Mercury family!

YOUR POLICY NUMBER: 8958-94-8578-54278

Dear {Fname},
Your policy information has been received and your down payment has been processed.
As a valued customer, we have assigned a dedicated agent to your account. An agency representative from POLISEEK AIS INSURANCE SOLUTIONS, INC. will contact you shortly in order to go over your new policy and answer any questions you might have. Your dedicated agent can also take care of your future needs, including changes to your policy.

You can also manage your account online.
REGISTER NOW
to enjoy the benefits below and more!

  • Quick, convenient bill pay
  • View your policy information
  • Print ID cards or download to your smartphone
  • Access digital copies of oyur policy documents and bills
  • Receive billing notifications by e-mail
  • Contact your agent with one touch
  • Request policy changes
  • View your claims and payment history
Manage your account on your computer or mobile device
Agency Name
Phone: (000) 000-0000
Fax: (000) 000-0000
Hours:
M-F 7:00AM to 5:00PM
Payment Confirmation
Named Insured
Joe Bloggs
Payment Amount
$183.21
Confirmation Code
JK23gr000023krks
Transaction Time
10/31/2010 09:23 AM PT
Policy Information
Policy Number
8958-94-8578-54278
Premium (six months)

$913.23
Effective Date
10/23/2010
Expiration Date
10/23/2011
 
Monthly Premium Total excludes applicable fees
Payment Schedule
Payment Plan Selected:
Automatic Monthly
Payments
Down Payment (Paid):
$183.21
Future Payments
Due 2/15/2011 $151.67
Due 3/15/2011 $151.67
Due 4/15/2011 $151.67
Due 5/15/2011 $151.67
Due 6/15/2011 $151.67
Policy Details
Drivers
Joe Bloggs Veronica Bloggs
Vehicles
2003 Ford Explorer XLT
VIN 1234567890ABCDEFG
2007 Toyota Matrix
VIN 1234567890ABCDEFG
Coverage Limits
Bodily Injury $100,000/$300,000
Property Damage $50,000
Medical Coverage $1,000
Rental (Loss of Use) $40/day for 30 days
Coverage Premium Details
2003 Ford Explorer
Bodily Injury $26.00
Property Damage $26.00
Medical Coverage $41.00
Rental (Loss of Use) $12.00
Uninsured Motorist Bodily Injury $4.00
Uninsured Motorist Property Damage $4.00
Uninsured Motorist Property Damage Deductible $7.00
Comprehensive Deductible $500.00
Collision Deductible (includes Roadside Assistance) $70.00
Special Equipment
- Description #1 $1,000.00
- Description #2 $500.00
2007 Toyota Matrix
Bodily Injury $26.00
Property Damage $26.00
Medical Coverage $41.00
Rental (Loss of Use) $12.00
Uninsured Motorist Bodily Injury $4.00
Uninsured Motorist Property Damage $4.00
Uninsured Motorist Property Damage Deductible $7.00
Comprehensive Deductible $500.00
Collision Deductible (includes Roadside Assistance) $70.00
Special Equipment
- Description #1 $1,000.00
- Description #2 $500.00
Monthly Premium Total excludes applicable fees
Mercury Insurance Group

Mercury Insurance Group, 4484 Wilshire Blvd A, Los Angeles, CA 90010

ADDITIONAL LEGAL INFO AND OPT-OUT LINKS