0% found this document useful (0 votes)
44 views5 pages

Notice

The document provides an insurance notice for Michael R Kiser, detailing the use of driving and claims history to determine premiums, including specific claims made by the driver. It also outlines the privacy policy regarding the collection and sharing of personal information, and how individuals can review and correct their information. Additionally, it includes information on accessing the policy contract booklet and the provider network program for medical treatment after an accident.

Uploaded by

Micheal Kiser
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
44 views5 pages

Notice

The document provides an insurance notice for Michael R Kiser, detailing the use of driving and claims history to determine premiums, including specific claims made by the driver. It also outlines the privacy policy regarding the collection and sharing of personal information, and how individuals can review and correct their information. Additionally, it includes information on accessing the policy contract booklet and the provider network program for medical treatment after an accident.

Uploaded by

Micheal Kiser
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

997954847 N IC94576 INS NOTICE E POLWHITEFONT CFBZ7P5IGH7OEXKTVRRV4NJR4G0003 RPUID BDF_AA

Policy Number: 997954847


Michael R Kiser
Form_SCTNID_CTGRY.XX10216481_NOTICE
Page 1 of 2

Driving history
Progressive uses driving and claims history to determine your premium. Driving and claims history may include events
such as motor vehicle violations, at-fault accidents, not-at-fault accidents and comprehensive claims. If there are events
listed with the same date, only one was used for rating.
We obtain driving and claims history from one or more of the following sources:
• Your application (APP)
• Progressive claims history (PROG)
• Motor Vehicle Reports and/or court data (MVR) - provided by a consumer reporting agency
• Comprehensive Loss Underwriting Exchange (CLUE) - provided by a consumer reporting agency
We considered the following events:
………………………………………………………………………………………………………………………………………………………..
Driver:
Michael R Kiser
Description: comprehensive coverage claim greater than $1,000
Date: Aug 26, 2023
Source/Consumer reporting agency: APP, CLUE/LexisNexis
………………………………………………………………………………………………………………………………………………………..
Driver: Michael R Kiser
Description: comprehensive coverage claim greater than $1,000
Date: Dec 28, 2022
Source/Consumer reporting agency: CLUE/LexisNexis
Where applicable, driving history and claim information provided by the following consumer reporting agencies:
LexisNexis Risk Solutions
P.O. Box 105108
Atlanta, GA 30348-5108
1-800-456-6004
www.consumerdisclosure.com

What should I do if I have a question?


If you have a question about the information in your driving or claims history, please contact the consumer reporting
agency who provided the information as shown above. You may obtain a free copy of your motor vehicle report, which
contains driving history information, for 60 days after you receive this notice. You may also dispute the report's accuracy or
completeness with the agency who provided the information. If your question concerns our use of information in your
driving history or if you need assistance with obtaining the report, please call us.
Form_SCTNID_CTGRY.XX0421A318_NOTICE
Form 6481 (10/21)

Address history
Progressive uses the number of addresses (in the last 10 years) listed in your credit report to determine your premium.
We identified the following address(es):
621 MCALPIN AVE APT 304
CINCINNATI, OH 45220-1559
If you had multiple addresses due to active military status, please call us. We may request proof.
If you have any questions, please call Customer Service.
Form_SCTNID_CTGRY.XX0424A405_NOTICE
Form A318 (04/21)

4
Continued
997954847 N IC94576 INS NOTICE E POLWHITEFONT CFBZ7P5IGH7OEXKTVRRV4NJR4G0003 RPUID BDF_AA

Policy Number: 997954847


Michael R Kiser
Page 2 of 2

Your Policy Contract booklet is now available online


Access the Policy Contract booklet that applies to your state and policy type by visiting
https://www.progressive.com/support/legal/policy-contracts/ and choose the contract you would like to review. Please
review your enclosed Insurance Coverage Summary (Declarations Page) for your Policy Contract number, and any forms
that may modify your contract. Keep in mind this contract won't include your personal information, or details specific to
your policy like the coverages, limits, and deductibles you selected. You'll have the option to review and print the policy
contract you selected.
Or, you may access your policy contract by logging into your account.
If you'd like to request a mailed copy of your Policy Contract booklet at no charge, please call customer service.
If you have any questions, please contact us anytime. We’re here to help.
Form_SCTNID_CTGRY.XX0112Z271_NOTICE
Form A405 (04/24)

Provider Network Program


If you’re hurt in an accident that’s covered by your Progressive policy, you may have access to a network of medical
providers in your area who can treat you. These providers may offer reduced rates through the network that could allow
you to get more treatment if necessary.
Visit progressive.com/providernetworks anytime to find out what provider networks are available in your area. The claim
representative handling your medical claim will also be able to provide this information if you’re in an accident.
You are under no obligation to use any network referenced above. You’re free to see a medical service
provider of your choice. Using a provider within the network doesn’t necessarily mean that we’ll cover the cost of their
services. If you’re in an accident, always check with the claim representative handling your medical claim to confirm
what’s covered.
Form Z271 (01/12)
Form_SCTNID_CTGRY.XX11236488_NOTICE

997954847 N IC94576 INS NOTICE E POLWHITEFONT CFBZ7P5IGH7OEXKTVRRV4NJR4G0004 RPUID TRACWHITEFONT BDF_AA

Policy Number: 997954847


Michael R Kiser
May 26, 2025
Page 1 of 3

Privacy Policy/Opt-Out
About this notice
We are committed to protecting your privacy and earning your trust. This Privacy Policy ("notice") describes the
information we collect about you and how we use and protect it. It applies to our current and former customers and others
who live in your state. It replaces earlier versions that we may have given to you.
Summary
This section summarizes our privacy practices. For more detail, please read the entire notice.
• We gather information from you, your transactions with us, and outside sources.
• We use your information only to provide insurance to you and otherwise conduct our business.
• We will share your information with your selected agent or broker and companies that provide certain products or
services you request through us.
• We will not share your Nonpublic Personal Information with other companies for their independent marketing
purposes without your consent.
• You can limit our use of some of this information for marketing purposes.
• We limit access to your information and use safeguards to help protect it.
• You may review and correct your information.

What information do you collect about me?


We collect information about you to create or obtain a quote for and to service your insurance policy and to process any
insurance claims you make to us. This is called "Nonpublic Personal Information" or "NPI" if it identifies you and is not
available to the public. We may collect it from some or all of the following sources. We have provided a few examples for
each source, but not all may apply to you.

• Application information: You provide this on your application, through your agent or broker, by phone, or
online. We may also obtain it from directories and other outside sources. It includes your name, street and
e-mail addresses, phone number, driver's license number, Social Security number, date of birth, gender, marital
status, and type of vehicle. It also includes information about other drivers.

• Consumer reports: We obtain these from consumer reporting agencies. Reports include your driving record, claims
history with other insurers, and credit report information. The information is kept by the consumer reporting agencies and
disclosed by them to others as permitted by law.

• Health information: If you seek life insurance from us or have an accident involving injuries, we obtain this from you,
police reports, people involved in the accident, and health care providers. It includes facts about injuries and treatment,
your physical or mental condition, medical history or medical claims history.

• Transaction information: This is information about your transactions with or through us. It includes your insurance
coverages, limits and rates, and payment and claims history. It also includes information we need for billing and payment.

We also may collect "Site Information" about you. This relates to Internet activity. It may include how you linked to our
website or mobile application. (We refer to websites and applications together in this notice as "Sites".) It also may
include your IP address and information about your device, time of visit, and what areas you visit on our Site. When you
visit our Sites, we use cookies, web beacons, and other technology to collect information about you and your activities on
our Sites. We do this to provide services to you, enhance your online experience, and advertise our products and services.
Some of our Sites contain more information about our internet privacy practices. Please read it when using the Sites.

4
Continued
997954847 N IC94576 INS NOTICE E POLWHITEFONT CFBZ7P5IGH7OEXKTVRRV4NJR4G0004 RPUID TRACWHITEFONT BDF_AA

Policy Number: 997954847


Michael R Kiser
May 26, 2025
Page 2 of 3
Who might get information about me from you?
We will share nonpublic, personally identifiable information about you only if not prohibited by law. We will disclose NPI
regulated under the Gramm-Leach-Bliley Act or your state’s financial privacy law or regulation for insurance only as
permitted by that law or regulation. We will do the same for commercial insurance products not subject to such law or
regulation.
Examples of disclosures include those that we feel are required to provide insurance claims or customer service, prevent
fraud, perform research, market our products or services, or comply with law. Recipients include, for example, other
companies within our family of companies, claims representatives, service providers, consumer reporting agencies,
insurance agents and brokers, law enforcement, courts and government agencies. They may disclose the information to
others as permitted by law. For example, consumer reporting agencies may disclose Transaction Information received from
us to other insurance companies with which you do business.
We may also disclose Application or Transaction Information to service providers that help us market our products. These
service providers may include financial institutions with which we have joint marketing agreements.
Some products or services obtained through us will be provided by other companies. We may share your information with
these companies. They will use the information per their privacy policies. These companies may share with us information
about you and your transactions with them.
Can I limit use of my information for marketing?
We may share your NPI among our family of companies so they may offer products and services to you. You may limit the
recipients' use of some of this NPI for their marketing purposes by calling us at 1-844-582-5040. Your choice will apply to
all people listed on your policy. Your request to limit marketing use of NPI will apply indefinitely. If you previously
informed us that you were exercising this right to limit marketing use of NPI, you do not need to act again to exercise that
right.
We will not share your NPI with other companies for their independent marketing purposes without your consent. There is
no need to "opt out" or tell us not to do this.
How do you protect my information?
We restrict access to your information to our employees and others whom we feel must use it to provide our products and
services or otherwise run our business. Their use of the information is limited by law, our employee code of conduct, and
written agreements where appropriate. We also use physical, electronic and procedural safeguards to protect your
information.
How can I review and correct information you have about me?
To review information we have about you, send a written request to Customer Service, P.O. Box 31260, Tampa, FL 33631.
You must describe the kind of information you want to review and state that your request is in response to this notice.
Include your full name, mailing address, and policy number (if applicable). Within 30 business days, we will describe what
is available and how you may request corrections. We will also name anyone we show as having received the information
within two years prior to your request. Finally, we will identify the companies that have provided Consumer Reports about
you.
You may review the information at our offices or receive a copy of it for a fee to cover our costs. We will not provide
information that we feel is privileged, such as information about insurance claims or lawsuits.
To correct information about you, send a written request as described above, explaining your desired correction. Within 30
business days, we will either make the requested correction or tell you why we will not. We cannot correct Consumer
Report information. To do this, you must contact the consumer reporting agency that provided it.
If we make your requested correction, we will notify you in writing. We will also notify anyone you name who may have
received the information within the previous two years. If required by law, we will also notify others who may have given
it to or received it from us. If we refuse to make the requested correction, you may file with us a concise written statement
about why you object. That statement should include the information you think is correct. We will include your statement
in your file. We will send it to the same persons to whom we would send a copy of any correction or change.

4
Continued
997954847 N IC94576 INS NOTICE E POLWHITEFONT CFBZ7P5IGH7OEXKTVRRV4NJR4G0004 RPUID TRACWHITEFONT BDF_AA

Policy Number: 997954847


Michael R Kiser
May 26, 2025
Page 3 of 3
Our family of companies
This notice is from our family of companies. As of the date of this notice, this includes: Artisan and Truckers Casualty
Company, Blue Hill Specialty Insurance Company, Drive New Jersey Insurance Company, Mountain Laurel Assurance
Company, National Continental Insurance Company, Progny Agency, Inc., Progressive Adjusting Company, Inc.,
Progressive Advanced Insurance Company, Progressive Advantage Agency, Inc., Progressive American Insurance
Company, Progressive Auto Pro Insurance Agency, Inc., Progressive Bayside Insurance Company, Progressive Casualty
Insurance Company, Progressive Choice Insurance Company, Progressive Classic Insurance Company, Progressive
Commercial Advantage Agency, Inc., Progressive Commercial Casualty Company, Progressive County Mutual Insurance
Company, Progressive Direct Insurance Company, Progressive Express Insurance Company, Progressive Freedom Insurance
Company, Progressive Garden State Insurance Company, Progressive Gulf Insurance Company, Progressive Hawaii
Insurance Corp., Progressive Life Insurance Company, Progressive Marathon Insurance Company, Progressive Max
Insurance Company, Progressive Michigan Insurance Company, Progressive Mountain Insurance Company, Progressive
Next Inc., Progressive Northern Insurance Company, Progressive Northwestern Insurance Company, Progressive Paloverde
Insurance Company, Progressive Preferred Insurance Company, Progressive Premier Insurance Company of Illinois,
Progressive Security Insurance Company, Progressive Select Insurance Company, Progressive Southeastern Insurance
Company, Progressive Specialty Insurance Company, Progressive Universal Insurance Company, United Financial Casualty
Company, and 358 Ventures, Inc. See hellostretch.com for the privacy policy applicable to the product that Progressive
Next Inc. offers at that site. See callcastle.com for the privacy policy applicable to the product that 358 Ventures, Inc. offers
at that site. Progressive Next and 358 Ventures may create new websites with their own privacy policies from
time-to-time. See progressive.com/copyright/#underwriting for any updates to the preceding list of companies or to the
list of Progressive Next and 358 Ventures websites. Our family of companies also includes:

• American Strategic Insurance Corp., ASI Assurance Corp., ASI Preferred Insurance Corp., ASI Select Insurance Corp.,
Progressive Property Insurance Company, ASI Select Auto Insurance Corp., ASI Lloyds, Inc., ASI Lloyds, ASI Services,
Inc., ASI Home Insurance Corp., Sunshine Security Insurance Agency, Inc., ASI Underwriters, Corp., and ASI
Underwriters of Texas Inc. These companies follow the privacy policy on americanstrategic.com.
• Protective Insurance Corporation, Protective Insurance Company, Sagamore Insurance Company, Protective Specialty
Insurance Company, B&L Brokerage Services, B&L Insurance, Ltd. (Bermuda), B&L Management, Inc., and Transport
Specialty Insurance Agency, Inc. They follow the privacy policy on protectiveinsurance.com.
• Drive Insurance Company. It follows the privacy policy on driveinsurance.com.
Form 6488 (11/23)

You might also like