Indiana UM and UIM Selection/Rejection Form - ProducerPointers.com 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your Policy Number, Policy Effective Date, Company, Producer, and Applicant/Named Insured at the top of the form.
  3. In Section I, choose your Uninsured Motorists Coverage option by initialing next to either A (Selection), B (Rejection of Property Damage), or C (Rejection of both). Follow the prompts for Split Limits or Combined Single Limit as applicable.
  4. For each selected option, ensure you sign and date where indicated to confirm your choices.
  5. Proceed to Section II and indicate your choice for Underinsured Motorists Coverage by initialing next to either A (Selection) or B (Rejection). Again, sign and date as required.

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You have the right to reject stacked limits of Uninsured and/or Underinsured Motorist Coverage. If you reject stacked limits, then each vehicle insured under the policy will have its own limits of Uninsured and/or Underinsured Motorist Coverage. Rejecting stacked limits will reduce your auto insurance premium.
Yes, good idea to remove uninsured repair/property damage coverage. Your collision will already cover you in an accident with an uninsured motorist. The uninsured coverage would mean you pay a smaller or no deductible, but thats a pretty small loss. If you can tolerate that risk, feel free to cancel.
The main advantage of an unstacked policy over a stacked one is that it can reduce your premium. However, due to the lower bodily injury coverage limits, you may have to cover your medical costs out of your own pocket if you are injured in a car accident with an uninsured at-fault driver.
When you purchase auto insurance, you have the option to either accept or reject this coverage. The insurance selection rejection form allows you to make an informed choice about whether to include or exclude UM/UIM coverage from your policy.
Stacked car insurance allows policyholders to combine the UM/UIM coverage limits for multiple vehicles on the same policy, providing potentially higher coverage limits. Instead, unstacked car insurance does not aggregate limits across vehicles on the policy and will potentially have lower premiums.

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Each newly written Indiana auto liability policy must include uninsured and underinsured motorists coverage unless you reject this in writing.

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