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Filing 07-19877

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					      Filing: 07-19877




Florida Department of Financial Services
                                           United Automobile Insurance Company
                                                                   PO BOX 601637
                                                             North Miami Beach, FL 33160
                                                      Phone (305) 940-5022 ◊ Fax (305) 940-8492




                        Named Insured and Address                                  Agent’s Name and Address
                  Bob Smith                                                Agency Code: 123456
                  102 Main Street                                          Argus               Phone: (305) 555 - 4563
                  Norcross, GA 30092                                       112 Main Street
                                                                           North Miami Beach, FL 33160

                 Policy Number: UAU 1000671                                                     Invoice Date: XX/XX/XXXX
                 Policy Period: 12/02/2006 to 12/02/2007                                        EFT Date: XX/XX/XXXX

                 Notice of Policy Renewal
                 NO PAYMENT IS REQUIRED WITH THIS NOTICE. YOUR EFT POLICY
                 ENTITLES YOU TO AUTOMATIC POLICY RENEWAL. ID CARD IS VALID
                 UPON RECEIPT. Contact your agent for any changes to your policy.
                 Your installment premium is $230.00, and your full premium amount is $1205.00.

                            NOTE: This amount is contingent on final EFT payment on your current policy

                                                            Important Information
                 We are required by Florida Law to notify you of all options available regarding Uninsured Motorists coverage.
                       1. You are entitled to Uninsured Motorists coverage in an amount equal to your limits of Bodily Injury Liability
                            coverage.
                       2. You may reject Uninsured Motorists coverage or select limits as low as $10,000.00 per person and $20,000.00
                            each accident.
                 We are also required by Florida Law to notify you of all options available regarding Personal Injury Protection.
                            Deductible Options: None      $250.00     $500.00      $1000.00
                                 Deductibles may be selected to apply to the named insured only or named insured and resident relatives.
                            Other options: Work Loss Exclusion
                                 Selection of any of these Personal Work Loss Injury Protection options reduces your full coverage
                                 premium.
                 Florida Law requires us to report to the Department of Highway Safety and Motor Vehicles (DHSMV) any policy that is
                 cancelled or non-renewed. You must maintain Personal Injury protection and Property damage liability insurance on your
                 vehicle or you will lose your vehicle registration and driving privileges. If your registration and drivers license are
                 suspended the following fee will be charged by the DHSMV for reinstatement:
                                1st Reinstatement = $150.00
                                2nd Reinstatement = $250.00
                                Each subsequent reinstatement during the 3 years following the first reinstatement = $500.00

-------------------------------------------------------------------------------------------------------------------------------------------------------
                 Notice of Installment Due
                                                                                           Due Date Policy Number Amount Due
                                                                                          12/02/2007         UAU 1000671              $ 230.00
                 (DO NOT SEND A PAYMENT WITH THIS NOTICE)

                                                                                      Change of Address:
                 United Automobile Insurance Company                                  _____________________________
                 PO BOX 601637                                                        ________________________________
                 North Miami Beach, FL 33160                                          ________________________________




                 UAIC FL EFT REN (10/07)
                      United Automobile Insurance Company

                                     Phone: (305) 940-5022 / FAX: (305) 940-8492



       Named Insured/Bank Account Name and Address                         Agent’s Name and Address
                                                                      Agency Code:




  Policy Number:                                                              EFT Date:
  Policy Period:

                                             EFT REVOCATION NOTICE

       YOUR MONTHLY EFT DEDUCTION FROM BANK ACCOUNT
       HAS BEEN DISCONTINUED FOR ONE OF THE FOLLOWING REASONS:

            Your Electronic Funds Transfer (EFT) deduction has been discontinued because of the cancellation of your
       policy.
             Your Electronic Funds Transfer (EFT) deduction has been discontinued because of insufficient funds/stop
       payment or money could not be collected from your bank account. An NSF fee has been added for $xx.xx.
            Your Electronic Funds Transfer (EFT) deduction has been revoked due to a maximum number of NSF
       transactions against your bank account. You will not be eligible for EFT payment until after one year from the
       date on this notice.
           Your Electronic Funds Transfer (EFT) deduction has been discontinued because of an invalid routing
       number and/or account number. Please call your agent with the correct information. You will receive a
       conventional invoice for payment on this policy
                                      INSURED REQUEST TO CANCEL EFT
       I am canceling the automatic deduction from my checking or savings account that is used to pay for my auto
       insurance with United Automobile Insurance Company (UAIC). I understand that in doing this, UAIC will no
       longer make automatic withdrawals and therefore, I must make manual payments in the future to continue my
       auto insurance policy with UAIC.
       I understand that I may cancel this authorization at any time by faxing or mailing a written request to the
       insurance company within 15 days prior to the EFT payment due date. If the company receives
       notification after the 15 days, the EFT will be stopped prior to next payment due date. To cancel EFT
       immediately, I must contact my agent.
               Insured request to discontinue EFT. PLEASE NOTE: This request does not apply to the current billing
       term.
       Name of Insured: _______________________________________ Date: ___________________________
UAIC FL EFT REV (10/07)
                              United Automobile Insurance Company
                                                   Phone (305) 394-5022 / FAX (305) 940-8492



           Named Insured and Address                                                                 Agent’s Name and Address
                                                                                               Agency Code:




    Policy Number:                                                                                       EFT Date:
    Policy Period:

                                  ELECTRONIC FUNDS TRANSFER (EFT) AUTHORIZATION FORM
                                  ____ New _____ Change Bank Information _____Change Deduction Date
Name of person on the account: _________________________________________________________________________________
                                                     First        Middle Initial         Last
Insured Financial Institution Name:                                                Account Type:     Checking                 Savings
                                                                                   Routing Number (9 digits):
                                                                                   Account Number:




                     Place Insured Voided Check or Savings deposit slip with name and account number here.
                                             Do NOT sign the check!




•    I understand that it is my responsibility to make sure that funds are available. Failure to do so will result in cancellation of my policy and EFT privileges.
•    I understand that I may cancel this authorization at any time by faxing or mailing a written request to the insurance company within 15 days prior to the
     EFT payment due date. If the company receives notification after the 15 days, the EFT will be stopped prior to next payment due date. To cancel EFT
     immediately, I must contact my agent.
•    I understand that a new authorization form must be completed in order to designate a change in bank account information or date of deduction.
•    I understand that if I have a balance owing on my policy after the expiration or cancellation date, the amount due to earned premium or applicable NSF fees will
     be drafted from my account.
I hereby authorize United Automobile Insurance Company for the initiation of a deduction from my account and the financial institution named above to debit such
account as requested, and for any changes of premium resulting from an endorsement or underwriting discovery will automatically adjust EFT to the revised payment
amount.
Please FAX copy of this form to company and maintain original in your file. 305-940-8492
Signature: ________________________________________                                   Date: ________________
UAIC FL EFT AUTH (10/07)
                          United Automobile Insurance Company
                           3909 N.E. 163rd Street North Miami Beach, Fl 33160
                                          Phone (305) 394-5022 / FAX (305) 940-8492




                      THIS                                 DAY



                     THIS IS TO CERTIFY THAT ____________________________________________ IS ONLY A

                     CO-SIGNER FOR THE ____________________________ VIN # ________________________

                     _________________________.            HE/SHE DOES NOT RESIDE IN MY HOUSEHOLD AND

                     DRIVE THE VEHICLE.       I AM AWARE THAT IN THE EVENT HE/SHE WAS TO DRIVE THE

                     VEHICLE, THERE WOULD BE NO COVERAGE UNDER POLICY ___________________________.




                                                               ________________________________________
                                                                             NAMED INSURED




                     SWORN TO AND SUBSCRIBED BEFORE THIS _________ DAY OF ____________________



                     ______________________________________________
                              NOTARY PUBLIC

                     ______________________________________________
                            My Commission Expires




                                                      1-800-551-2110




UAIC FL FR (10/07)
                             Explanatory Memorandum
Private Passenger Automobile Insurance Program

I am submitting a form filing for your review for use with our private passenger automobile
program. The majority of the forms that I am filing are for use with our NEW Electronic Funds
Transfer (EFT) Payment Plan that we will be offering our insureds. The forms are listed below
along with explanations for the use or function of these forms.

       Notice of Policy Renewal, Form # UAIC FL EFT REN (10/07), this is an EFT renewal
       notice and installment form. For our EFT program, if an insured has an EFT policy, the
       policy will automatically renew unless the insured sends us a notice to cancel the policy.
       Also attached to the bottom of the notice is an invoice which notifies the insured’s first
       renewal installment to be deducted.

       EFT Bill, Form # UAIC FL EFT INV (10/07), this is an EFT invoice which will be sent
       to the insured for account summary.

       EFT Additional Premium Due Notice, Form # UAIC EFT AP FL (10/07), this form will
       be used if there is an addendum to the insured’s policy which requires the insured to pay
       an additional premium. This offers the insured three alternatives to correct the deficiency
       on the account caused by the addendum.

       EFT Revocation Notice, Form # UAIC FL EFT REV (10/07), this form will be sent to the
       insured when the EFT payment is rejected by the bank or the insured for one of the four
       listed reasons on the form. The form will also be used as an EFT installment cancellation
       form.

       EFT Authorization Form, Form # UAIC FL EFT AUTH (10/07), this is the Authorization
       form that the insured must complete in order to sign up for this payment plan. The form
       will also be used to change the bank account or deduction amount from the insured’s
       account.

Finally, we have a few other forms that we will be submitting for approval with this filing. The
forms are as follows:

       Financial Purpose Statement Form, Form # UAIC FL FR (10/07), this form is a financial
       purpose statement form which releases the co-signer from coverage afforded under the
       policy. This form is for use when the co-signer does not live in the insured’s household
       but is friend/relative of the insured and has co-signed the insured’s auto loan. It also
       restricts the co-signer, if not a resident of the insured’s household, from obtaining any
       coverage afforded by the insured’s policy.

       Non-Business Use Statement, Form # UAIC 407 10/07, we revised this form to add the
       verbiage from our private passenger automobile application. This revision was made due
       to various underwriting reasons and is highlighted on the form for you review. The prior
       approved form was filed under filing # 04-04832.
Filing Details
Work Unit Number:                     W07-378969
Filing Purpose:                       Forms Only
Product:                              PPA / Private Passenger Types (Autos Only)
Date Created:                         10/31/2007 01:23:59 PM
Filing Name:                          EFT Forms


Company Details
Company Name                                                                       FEIN         NAIC CC   NAIC GC

UNITED AUTOMOBILE INSURANCE COMPANY                                                650145688    35319     1235


Filing Originator Information
Company E-Mail:                                                        smartin@uaig.net



Contact Name:                                                          Mr. Shawn Martin
Contact Title:                                                         Compliance Supervisor
Professional Designation:
Contact E-mail:                                                        smartin@uaig.net



Street Address:                                                        3909 NE 163rd Street
Suite/Room #:
P.O. Box Mailing Address:
Department:                                                            Compliance
City:                                                                  North Miami Beach
State:                                                                 FL
Zip Code:                                                              33160
Country:
Non US Postal Code:



Phone Number:                                                          800-551-2110 Ext 32513
Fax Number:
Toll Free Number:                                                      Ext
Non US Phone Number:
Company Contact Information
Company E-Mail:                                                                         smartin@uaig.net



Contact Name:                                                                           Mr. Shawn Martin
Contact Title:                                                                          Compliance Supervisor
Professional Designation:
Contact E-mail:                                                                         smartin@uaig.net



Street Address:                                                                         3909 NE 163rd Street
Suite/Room #:
P.O. Box Mailing Address:
Department:                                                                             Compliance
City:                                                                                   North Miami Beach
State:                                                                                  FL
Zip Code:                                                                               33160
Country:
Non US Postal Code:



Phone Number:                                                                           800-551-2110 Ext 32513
Fax Number:
Toll Free Number:                                                                       Ext
Non US Phone Number:


General Information
Company Filing Number

New Business Effective Date
                                                                     1     /   1   /   2007
Renewal Business Effective Date
                                                                     1     /   1   /   2007
Product:                                                             PPA / Private Passenger Types (Autos Only)
Are you writing new business in Florida for this line of business?   No


Filing Content Information
This is a Forms Only filing.
This filing contains:
            Form(s) & Endorsement(s)

Type of Coverage:
            Private Passenger Only
File Usage:
            PRIOR APPROVAL
Uploaded Documents
Document Type                                   Filenet Number                Form Number                                     Title

Cover Letter                                    0                                                                             Cover Letter

Forms                                           0                             UAIC FL EFT REN (10/07)                         Notice of Policy Renewal

Forms                                           0                             UAIC FL EFT INV (10/07)                         EFT Billing Invoice

Forms                                           0                             UAIC EFT AP FL (10/07)                          EFT Additional Premium Due Notice

Forms                                           0                             UAIC FL EFT REV (10/07)                         EFT Revocation Notice

Forms                                           0                             UAIC FL EFT AUTH (10/07)                        EFT Authorization Form

Forms                                           0                             UAIC FL FR (10/07)                              Financial Purpose Statement Form

Forms                                           0                             UAIC 407 10/07                                  Non-Business Use Statement

Explanatory Memorandum                          0                                                                             Explanatory Memorandum


Forms to Be Reviewed
Form Number                        Form Title                                   Previous Filing Number           Previous Form Number               Previous Form Effective Date

UAIC FL EFT REN (10/07)            Notice of Policy Renewal

UAIC FL EFT INV (10/07)            EFT Billing Invoice

UAIC EFT AP FL (10/07)             EFT Additional Premium Due Notice

UAIC FL EFT REV (10/07)            EFT Revocation Notice

UAIC FL EFT AUTH (10/07)           EFT Authorization Form

UAIC FL FR (10/07)                 Financial Purpose Statement Form

UAIC 407 10/07                     Non-Business Use Statement                   04-04832                         UAIC 407 (05/04)                   5/1/2004


Filing Certification
         I certify that I am authorized to make this Forms or Rate/Rule filing on behalf of the company(s) referenced herein. I further certify that the information contained in related
         transmittals and the filing is true, complete, correct and, to the best of my knowledge, in compliance with all applicable Florida laws and administrative rules including
         applicable policy readability standards.
Name: Shawn Martin
Title:   Compliance Supervisor
Filing Details
Work Unit Number:                               W07-378969
Filing Purpose:                                 Forms Only
Product:                                        PPA / Private Passenger Types (Autos Only)
Date Created:                                   10/31/2007 01:23:59 PM
Filing Name:                                    EFT Forms


Interrogatories

1.   Are you someone other than an employee of the company who is making this filing on behalf of the company?                    Yes No

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2.   Are you simultaneously making a form filing for any other line(s) of business? (Is so, provide the description of the line   Yes No
     (s).)
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December 11, 2007


Mr. Kevin McCarty
Commissioner, Office of Insurance Regulation
Bureau of Property and Casualty Forms and Rates
200 East Gaines Street
Tallahassee, FL 32399-0330

I have amended the below cover letter due to the incorrect date being posted for Effective Dates. Please note
that the effective date has been revised to 1/1/08.

RE:     United Automobile Insurance Company
        Private Passenger Automobile Program
        Form Filing (Prior Approval)
        Effective 1/1/08 for both New & Renewal Business

Dear Mr. McCarty:

I am respectfully submitting a form filing for your approval for use with our private passenger automobile program.
The majority of these forms are for use with our NEW EFT Payment Plan that we will be offering the insured. I will
be submitting the necessary rule updates to our underwriting manual for your approval shortly. The functions of
these various forms are explained in the attached Explanatory Memorandum.

We are filing this filing as a Prior Approval filing effective 1/1/08 for both New & Renewal Business. Please
contact me at 800-551-2110 ext. 32513 if you have any questions.

Sincerely,



Shawn Martin
Compliance Supervisor




United Automobile Insurance Group                                        CORPORATE HEADQUARTERS
                                                                                                  rd
United Automobile Insurance Co.                                                  3909 N.E. 163 Street
Argus Fire & Casualty Insurance Co.                                              N. Miami Beach, FL 33160
United Premium Finance Co.                                                       305-940-7299 Ext. 32513
                                                                                 800-551-2110 Ext. 32513
                                                                                 Fax 305-421-6479
From: Linda Lynn
Sent: Tuesday, December 11, 2007 11:28 AM
To: PCFREDMS
Subject: 07-19877

Attachments: Add Info 12-11-07.doc


From: Shawn Martin [mailto:smartin@uaig.net]
Sent: Tuesday, December 11, 2007 11:25 AM
To: Linda Lynn
Subject: 07-19877



Ms. Lynn,

Please review the revised cover letter that I have attached regarding this filing.

<<Add Info 12-11-07.doc>>

Regards,




Shawn Martin

Compliance Supervisor




United Automobile Insurance Group

3909 NE 163rd Street

North Miami Beach, FL 33160



Phone: 800-551-2110 Ext. 32513

Fax: 305-421-6479

Cell: 786-556-9927



This email is confidential and it is intended solely for the use of the individual or entity to which it is addressed. If you are not the named
addressee, you should not disseminate, distribute or copy this email. If you have received this email in error, please notify the sender by a
Reply.

If this email is addressed to or sent by an attorney, this email is either an attorney-client privileged communication or a work-product
privileged communication, or both. The United Automobile Insurance Company as well as the sender and intended recipient of this email
expressly reserve any and all rights to assert the aforesaid privileges, and do not waive any such rights thereto by virtue of an erroneous
email transmission. This statement shall not hereafter be construed as limiting the assertion of any additional and further legal rights that
the parties may have to limit or prohibit any further dissemination, distribution, copying or use of this email.
From: Linda Lynn
Sent: Thursday, December 13, 2007 1:08 PM
To: PCFREDMS
Subject: 07-19877


From: Shawn Martin [mailto:smartin@uaig.net]
Sent: Thursday, December 13, 2007 1:07 PM
To: Shawn Martin; Linda Lynn
Subject: RE: OIR File # 07-19877



Linda,

Per our conversation today, I would also like to waive the deemer for the OIR Filing # 07-19877. In addition, please contact
me when you reach your decision regarding our other filing’s UM Form.

Regards,




Shawn Martin

Compliance Supervisor




United Automobile Insurance Group

3909 NE 163rd Street

North Miami Beach, FL 33160



Phone: 800-551-2110 Ext. 32513

Fax: 305-421-6479

Cell: 786-556-9927



_____________________________________________
From: Shawn Martin
Sent: Wednesday, December 12, 2007 12:51 PM
To: Linda.Lynn@fldfs.com
Subject: OIR File # 07-19877

Ms. Lynn,

Per our conversation today regarding OIR File # 07-19877 regarding our Private Passenger Automobile Program, I have
amended our Direct Bill Notice of Policy Renewal. I removed the sections that we discussed regarding Uninsured Motorist
Rejection/Selection and the DMV verbiage.
Please let me know if you require any additional information.

<< File: FL DB EFT Renewal Notice No Logo 10-22-07.doc >>

Regards,



Shawn Martin

Compliance Supervisor




United Automobile Insurance Group

3909 NE 163rd Street

North Miami Beach, FL 33160



Phone: 800-551-2110 Ext. 32513

Fax: 305-421-6479

Cell: 786-556-9927



This email is confidential and it is intended solely for the use of the individual or entity to which it is addressed. If you are not the named
addressee, you should not disseminate, distribute or copy this email. If you have received this email in error, please notify the sender by a
Reply.

If this email is addressed to or sent by an attorney, this email is either an attorney-client privileged communication or a work-product
privileged communication, or both. The United Automobile Insurance Company as well as the sender and intended recipient of this email
expressly reserve any and all rights to assert the aforesaid privileges, and do not waive any such rights thereto by virtue of an erroneous
email transmission. This statement shall not hereafter be construed as limiting the assertion of any additional and further legal rights that
the parties may have to limit or prohibit any further dissemination, distribution, copying or use of this email.
January 29, 2008

Linda Lynn
Bureau of Property and Casualty Forms and Rates
200 East Gaines Street
Tallahassee, FL 32399-0330

RE:     United Automobile Insurance Company
        Private Passenger Automobile Program
        OIR File Number: FCP 07-19877


Dear Ms. Lynn:

Per your letter dated January 23, 2008 and our latest conversation, we have complied and corrected most of the
forms as we also discussed in our prior conversation for our private passenger automobile program. My comments
are listed below each of your items from your clarification letter:

Regarding form # UAIC FL FR:
     a) An exception must be made in order to provide Personal Injury Protection and Property Damage Liability.
     b) The word “certify” must be changed to “verify” or another suitable term.
     c) The endorsement must be amended to indicate that Bodily Injury Liability coverage is provided in the
        event the policy is used as an SR-22 filing.
     d) Remove the words “and drive the vehicle”.
We concurred and amended this form to include all of the changes that were requested above.

Regarding form # UAIC EFT AP FL:
      a) The language of Section 324.0221(1)(b) F.S. regarding notification to the Department of Highway Safety
         and Motor Vehicles of the cancellation must be in the notice.
      b) The reinstatement fees given in Section 324.0221(1)(b), F.S. must be in the notice.
      c) The language of Section 324.0221(1)(b), F.S. regarding the failure to maintain PIP and PD Liability when
         required by law must be on the notice.
      d) All premium and fee amounts need to be removed.
This form was not amended as per our discussion as it is not the actual notice of cancellation. We have a stamped
approved notice that will follow the above form and it complies with all of the above listed items. The only
revisions made were excluding the premium dollars from the form and I have attached a copy for your review.




United Automobile Insurance Group                               CORPORATE HEADQUARTERS
                                                                                                  rd
United Automobile Insurance Co.                                                  3909 N.E. 163 Street
Argus Fire & Casualty Insurance Co.                                              N. Miami Beach, FL 33160
United Premium Finance Co.                                                       305-940-7299 Ext. 32513
                                                                                 800-551-2110 Ext. 32513
                                                                                 Fax 305-421-6479
Regarding form # UAIC FL EFT REN:
     a) Please remove all premium amounts.
     b) Since this is not a nonrenewal notice, please remove the DHSMV statement and reinstatement fee amounts.
     c) Under the Uninsured Motorist Section, on renewal, the company must offer equal to, less than and reject
        options in stacked and non-stacked.

     We concurred and amended this form.

Please contact me at 800-551-2110 ext. 32513 if you have any questions.

Sincerely,



Shawn Martin
Compliance Supervisor




United Automobile Insurance Group                              CORPORATE HEADQUARTERS
                                                                                               rd
United Automobile Insurance Co.                                               3909 N.E. 163 Street
Argus Fire & Casualty Insurance Co.                                           N. Miami Beach, FL 33160
United Premium Finance Co.                                                    305-940-7299 Ext. 32513
                                                                              800-551-2110 Ext. 32513
                                                                              Fax 305-421-6479
                       United Automobile Insurance Company
                        3909 N.E. 163rd Street North Miami Beach, Fl 33160
                                      Phone (305) 394-5022 / FAX (305) 940-8492



                            CO-SIGNER FINANCIAL VERIFICATON STATEMENT



      THIS                                   DAY



    THIS IS TO VERIFY THAT ____________________________________________ IS ONLY A

    CO-SIGNER FOR THE ____________________________ VIN # ________________________

    _________________________.       HE/SHE DOES NOT RESIDE IN MY HOUSEHOLD.      I AM
    AWARE THAT IN THE EVENT HE/SHE WAS TO DRIVE THE VEHICLE; THERE WOULD BE NO COVERAGE

    EXCEPT PERSONAL INJURY PROTECTION AND PROPERTY DAMAGE COVERAGE UNDER POLICY

    ___________________________.



                                    ________________________________________
                                                   NAMED INSURED

              WARNING: Do not use the Bodily Injury Liability Rejection on any application with SR22 filing.




                 SWORN TO AND SUBSCRIBED BEFORE THIS _________ DAY OF ____________________



                ______________________________________________
                         NOTARY PUBLIC

                ______________________________________________
                       My Commission Expires




                                                   1-800-551-2110




UAIC FL FR (10/07)
Filing Details
Work Unit Number:                     W08-396679
Filing Purpose:                       Forms Only
Product:                              PPA / Private Passenger Types (Autos Only)
Date Created:                         1/29/2008 01:09:27 PM
Filing Name:                          EFT Forms


Company Details
Company Name                                                                       FEIN        NAIC CC   NAIC GC

UNITED AUTOMOBILE INSURANCE COMPANY                                                650145688   35319     1235
Uploaded Documents
Document Type             Filenet Number                  Form Number                              Title

Cover Letter              0                                                                        Cover Letter

Forms                     0                               UAIC FL EFT REN (10/07)                  EFT Renewal Form

Forms                     0                               UAIC EFT AP FL (10/07)                   EFT 3 Option Notice

Forms                     0                               UAIC FL FR (10/07)                       Co-Signer Financial Verification Statement


Forms to Be Reviewed
Form Number               Form Title                                      Previous Filing Number      Previous Form Number            Previous Form Effective Date

UAIC FL EFT REN (10/07)   EFT Renewal Form

UAIC EFT AP FL (10/07)    EFT 3 Option Notice

UAIC FL FR (10/07)        Co-Signer Financial Verification Statement
Filing Details
Work Unit Number:                     W08-397706
Filing Purpose:                       Forms Only
Product:                              PPA / Private Passenger Types (Autos Only)
Date Created:                         2/1/2008 03:50:46 PM
Filing Name:                          EFT Forms


Company Details
Company Name                                                                       FEIN        NAIC CC   NAIC GC

UNITED AUTOMOBILE INSURANCE COMPANY                                                650145688   35319     1235
Uploaded Documents
Document Type                Filenet Number                   Form Number                       Title

Forms                        0                                UAIC FL FR (10/07)                Co-Signer Financial Verification Statement


Forms to Be Reviewed
Form Number          Form Title                                        Previous Filing Number           Previous Form Number         Previous Form Effective Date

UAIC FL FR (10/07)   Co-Signer Financial Verification Statement
                                                                                                                   FINANCIAL SERVICES
                                                                                                                       COMMISSION

                                                                                                                 CHARLIE CRIST
                                                                                                                 GOVERNOR

                                                                                                                 ALEX SINK
                                                                                                                 CHIEF FINANCIAL OFFICER
                              OFFICE OF INSURANCE REGULATION
                                                                                                                 BILL MCCOLLUM
                                                                                                                 ATTORNEY GENERAL

                                                                                                                 CHARLES BRONSON
KEVIN M. MCCARTY                                                                                                 COMMISSIONER OF
COMMISSIONER                                                                                                     AGRICULTURE

  January 23, 2008


  Mr. Shawn Martin
  Compliance Supervisor
  United Automobile Insurance Company
  3909 Ne 163rd Street
  North Miami Beach, FL 33160

  RE:     United Automobile Insurance Company
          PPA / Private Passenger Types (Autos Only)
          Company File Number:
          OIR File Number: FCP 07-19877

  Dear Mr. Martin:

  Thank you for your recent form filing. We have completed our review of the filing received on
  10/31/2007 and need additional information in order to continue our review. Further consideration of the
  filing cannot be given unless a response to the following items is received:

  The following EFT forms are not subject to review:
  UAIC FL EFT REV
  UAIC FL EFT AUTH

  Regarding form # UAIC FL FR:
      a) An exception must be made in order to provide Personal Injury Protection and Property Damage
         Liability.
      b) The word “certify” must be changed to “verify” or another suitable term.
      c) The endorsement must be amended to indicate that Bodily Injury Liability coverage is provided
         in the event the policy is used as an SR-22 filing.
      d) Remove the words “and drive the vehicle”.

  Regarding form # UAIC EFT AP FL:
      a) The language of Section 324.0221(1)(b) F.S. regarding notification to the Department of
         Highway Safety and Motor Vehicles of the cancellation must be in the notice.
      b) The reinstatement fees given in Section 324.0221(1)(b), F.S. must be in the notice.
      c) The language of Section 324.0221(1)(b), F.S. regarding the failure to maintain PIP and PD
         Liability when required by law must be on the notice.
      d) All premium and fee amounts need to be removed.


                                                             • • •
                         LINDA LYNN • INSURANCE ANALYST II • PROPERTY & CASUALTY PRODUCT REVIEW
                200 EAST GAINES STREET • TALLAHASSEE, FLORIDA 32399-0330 • (850) 413-3146 • FAX (850) 922-3865
                                        website: www.floir.com • Linda.Lynn@fldfs.com

                                           Affirmative Action / Equal Opportunity Employer
Martin, Shawn
FCP 07-19877
January 23, 2008
Page 2

Regarding form # UAIC FL EFT REN:
    a) Please remove all premium amounts.
    b) Since this is not a nonrenewal notice, please remove the DHSMV statement and reinstatement fee
       amounts.
    c) Under the Uninsured Motorist Section, on renewal, the company must offer equal to, less than
       and reject options in stacked and non-stacked.

     Please respond using the “Add to a Submitted Filing” feature of our I-File system.

If we do not receive a complete response to this letter by 1/30/2008, the filing will be affirmatively
disapproved. Alternatively, you may choose to withdraw the filing without prejudice and resubmit it at a
later date when the filing is complete.

If you have any questions regarding this filing, please contact me at the telephone number listed below.

Sincerely,


Linda Lynn
Insurance Analyst II
Linda.Lynn@fldfs.com
(850) 413-5278
                                                                                                                     FINANCIAL SERVICES
                                                                                                                         COMMISSION

                                                                                                                   CHARLIE CRIST
                                                                                                                   GOVERNOR

                                                                                                                   ALEX SINK
                                                                                                                   CHIEF FINANCIAL OFFICER
                                OFFICE OF INSURANCE REGULATION
                                                                                                                   BILL MCCOLLUM
                                                                                                                   ATTORNEY GENERAL

                                                                                                                   CHARLES BRONSON
KEVIN M. MCCARTY                                                                                                   COMMISSIONER OF
COMMISSIONER                                                                                                       AGRICULTURE

  February 4, 2008


  Mr. Shawn Martin
  Compliance Supervisor
  United Automobile Insurance Company
  3909 NE 163rd Street
  North Miami Beach, FL 33160

  RE:       United Automobile Insurance Company
            PPA / Private Passenger Types (Autos Only)
            OIR File Number: FCP 07-19877

  Dear Mr. Martin:

  The Office has completed its review of the above-referenced filing dated 10/31/2007 and received by the
  Office on 10/31/2007. The forms submitted in this filing are APPROVED.

        •   Although your effective date is noted, this approval is only applicable to the stamped approved
            forms as of the date stamped. However, as applicable and in accordance with the effective dates
            established by law, it may be necessary that any statutorily required offers and/or any effectuation
            of the statutory amendments be made on a retroactive basis.

        •   Please note that forms # UAIC FL EFT REV and UAIC FL EFT AUTH are not subject to review
            or approval.

  This approval is applicable only to the stamped approved form(s) contained herein. Any corresponding
  rate or rule filing must be submitted as a separate filing. This approval is conditioned upon and subject to
  the filing and approval of the respective rates and rules.

  Please do not hesitate to contact me if you have any questions.

  Sincerely,


  Linda Lynn
  Insurance Analyst II
  Linda.Lynn@fldfs.com
  (850) 413-5278


                                                               • • •
                           LINDA LYNN • INSURANCE ANALYST II • PROPERTY & CASUALTY PRODUCT REVIEW
                  200 EAST GAINES STREET • TALLAHASSEE, FLORIDA 32399-0330 • (850) 413-3146 • FAX (850) 922-3865
                                          website: www.floir.com • Linda.Lynn@fldfs.com

                                             Affirmative Action / Equal Opportunity Employer
Martin, Shawn
FCP 07-19877
February 4, 2008
Page 2
      To:                smartin@uaig.net                                    Sent: 1/23/2008 2:37:48 PM
      From:              Linda.Lynn@fldfs.com
      Cc:
      Bcc:
      Subject:           Florida Office of Insurance Regulation [RE: Filing Number 07-19877]
      Attachment(s):     07-19877-Clarification-Letter-radBC3DF-.rtf

Attached, you will find a clarification letter for this filing. You must use the 'Add to a Submitted Filing' feature of I-
FILE https://iportal.fldfs.com/ifile/default.asp to send your response and any applicable attachments. Please note
the date requirement for your response. If you have any questions, please do not hesitate to contact me.

Sincerely,

Linda Lynn
Insurance Analyst II
(850) 413-5278
      To:               smartin@uaig.net                                Sent: 2/4/2008 8:32:22 AM
      From:             Linda.Lynn@fldfs.com
      Cc:
      Bcc:
      Subject:          Florida Office of Insurance Regulation [RE: Filing Number 07-19877]
      Attachment(s):    07-19877-Approval-Letter-radDFB29-.rtf


Click the link below to view the documents for this filing:
http://www.fldfs.com/edms/docs.asp?FN=07-19877

Please see the attached letter. A signed copy of the letter will not be faxed or mailed. Electronic copies of the
stamped documents may be viewed using the link provided. If you have any questions, please do not hesitate to
contact me.

Sincerely,

Linda Lynn
Insurance Analyst II
(850) 413-5278

				
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