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NAUTILUS INSURANCE COMPANY 7233 EAST BUTCHERS DRIVE SCOTTSDALE, AZ 82560 A stock insurance company, herein called the Company PURCHASE/REJECTION OF EXCESS UNINSURED/UNINSURED MOTORIST COVERAGE Please
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UM-UIM Election Form is a document that allows insured individuals to make decisions about Uninsured Motorist (UM) and Underinsured Motorist (UIM) coverage on their auto insurance policy.
All insured individuals who have auto insurance policies are required to file the UM-UIM Election Form to make a decision about UM and UIM coverage.
To fill out the UM-UIM Election Form, insured individuals must review the options for UM and UIM coverage, choose whether to accept or reject the coverage, and sign the form to indicate their decision.
The purpose of the UM-UIM Election Form is to give insured individuals the opportunity to decide whether they want to purchase additional coverage for situations where they are hit by an uninsured or underinsured motorist.
The UM-UIM Election Form must include the insured individual's name, policy number, signature, decision on UM and UIM coverage, and date of submission.
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