new mexico required documents checklist umbrella required on policies at time of ... central station...

ConditionProduct

Type

When is it

requiredAcceptable Documentation Where Can I Get it?

Who Can

Sign?

Consequence

of Non-

Submission

Affinity Discount

(Business and

Professional

Groups Discount)

Farmers

Smart Plan

Home,

Farmers

Smart Plan

Auto, Non-

Farmers Auto

2.0, Farmers

Auto 2.0, and

Next Gen

Home

Required when

Affinity Discount

is selected.

Affinity Eligibility and Document Guidelines Customer needs to supply

appropriate documentation

validating membership in

selected Affinity group

Not

applicable

Discount

Removed

Application/Memor

andum of

Insurance

Farmers

Smart Plan

Home,

Farmers

Smart Plan

Auto, Non-

Farmers Auto

2.0, Farmers

Auto 2.0,

Non-Next

Gen Home,

and

Next Gen

Home

Required on

policies at time of

new business or

reinstatement over

60 days.

Pre-filled form only Pending – Required document

list (Express) and Print Center

Named

insured or

spouse

New Mexico Required Documents Checklist

NM - 02/11/2017 of 22

https://eagent.farmersinsurance.com/PLA/eAgent/Ade/adedynamic.dynamicPage.ade?req_page=dynamicPage&documentID=eligibilityGuidelines

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Application of

Insurance

Umbrella Required on

policies at time of

new business or

reinstatement over

60 days.



Named

insured or

spouse

Auto/Home,

Auto/Renter,

Auto/Mobile Home

Farmers

Smart Plan

Auto, Non-

Farmers Auto

2.0 and

Farmers Auto

2.0

Required when

Auto/Home,

Auto/Renter or

Auto/Mobile

Home Discount is

selected.

Not applicable System will check E-Home

system after 30 days to see if

appropriate Homeowners,

Renters or Foremost Mobile

Home policy is in force

Not

applicable

Discount

Removed

Auto/Broker

Discount

Farmers

Smart Plan

Auto

When requesting

the discount for

customers writing

their primary

homeowner policy

through the Kraft

Lake brokerage

System will check Express after 45 days to see

if appropriate Kraft Lake policy is in force.

Appropriate Kraft Lake policies include the

following product types:

Homeowners

Dwelling Fire

Farm/Ranch (when the primary dwelling is

insured)

Not Applicable Not

applicable

Discount will be

removed

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Auto/Business

Discount

Farmers

Smart Plan

Auto

When requesting

the discount for a

customer also

writing their

Farmers

Commercial policy


if appropriate Commercial policy is in force

(Workers Comp is not eligible)

Not Applicable Not

applicable

Discount will be

removed

Auto/Umbrella Farmers

Smart Plan

Auto

When requesting

the discount for

customers writing

their Umbrella

policy with

Farmers


if appropriate Umbrella policy is in force

Not Applicable Not

applicable

Discount will be

removed

Auto/Homeowners

Discount for home

only

Farmers

Smart Plan

Home, Next

Gen Home

Required when

multi-line

discount is

selected for

Farmers, Bristol-

West, or

21st Century

supporting

Auto.

Not applicable System will check Express

after 30 days to see if

appropriate auto policy is in

force

Not

applicable

Discount

Removed

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Bristol West Non-

Driver

Non-Farmers

Auto 2.0

Required when a

driver is

shown with a

Bristol West

non-driver reason

code.

Revalidation

required at

renewal.

Not applicable System will check the Bristol

West policy for the status of

the driver at the expiration of

the diary period

Not

applicable

Driver Rated on

Policy

Central Station

Burglar Alarm

Discount/Document

ation

Next Gen

Home,

Farmers

Smart Plan

Home

Required when

Central Station

Burglar Alarm

Discount is

selected.

A copy of the current month burglar alarm bill Customer must provide

acceptable documentation

validating alarm is currently

active

Not

applicable

Discount

Removed

Central Station Fire

Alarm Discount

Next Gen

Home

Required when

Central Station

Fire Alarm

Discount

is selected.

A copy of the current month fire alarm bill Customer must provide


validating alarm is currently

active

Not

applicable

Discount

Removed

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Critical Named

Driver Exclusion

Farmers

Smart Plan

Auto

Required when a

driver is excluded

from coverage on

the policy because

the driver has at

least one Bodily

Injury (BI) point

and/or an invalid

license status

Pre-filled form only Pending- Required document

list (Express)

Named

insured or

spouse

Policy

Cancellation

Dog Bite Exclusion

(New Business)

Farmers

Smart Plan

Home, Non-

Next Gen

Home and

Next Gen

Home

Required when

input of policy

shows that the

insured owns a

potentially

dangerous dog.



Named

insured or

spouse

Policy

Cancelled

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Electrical System

Replacement

Discount

Documentation

Farmers

Smart Plan

Home

Renovation-

Electric and

Heating

Discounts:

Required when the

electrical systems

have been fully

replaced

3rd party documentation verifying the following

systems were replaced

Electrical – all wiring, switches, plugs, breakers

and electrical fixtures must be replaced.

It should also include date completed and

property location. Along with proof that work

was completed to code which can be verified by

contractor license number or permit.

Licensed contractor receipts

showing systems replaced,

invoices, letters from licensed

contractors detailing the work

completed or permits that

reflect complete replacement

Not

applicable

Discount

removed

FACET Customer

Consent Form

Farmers

Smart Plan

Home,

Farmers

Smart Plan

Auto, Non-

Farmers Auto

2.0, Farmers

Auto 2.0, non-

Next Gen

Home,

Next Gen

Home

Required when a

customer requests

to be rerated.

Request to Rerate based on Current Score Personal Lines MenuClick the

FACET FARA/FPRA link

then Search for "Facet"

Credit

Client

No change

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Farmers Specialty

Discount

Farmers

Smart Plan

Auto,

Farmers Auto

2.0

Required when

Farmers

Specialty Discount

is

selected.

Not applicable System will check Foremost

system after 30 days to see if

appropriate Motorcycle,

Family Boat and Personal

Watercraft, Motor Home and

Travel Trailer, or Off Road

policy is in force

Not

applicable

Discount

Removed

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Good Student

Discount

Farmers

Smart Plan

Auto, Non-

Farmers Auto

2.0 and

Farmers Auto

2.0

Required when

Good Student

Discount is

selected.

Copy of grade report from the immediately

preceding school semester or quarter showing

enrollment as a full-time student in an accredited

high school, college, university or academic

home study program and:

- A cumulative grade point average of at least

3.0 or higher. Progress reports are unacceptable,

unless they show a cumulative GPA.

- GPA of at least a “B” (or equivalent) or 3.0 or

higher on a 4.0 system for all subjects

- Ranked in the upper 20% of academic standing

of class or ranked in upper 20% of nationally

recognized achievement test taken within the

past 12 months

- Named to “Dean’s List” or “Honor Roll” or

other comparable designation

- Web based transcripts are acceptable.

Transcript MUST show the student’s full name,

the school’s name and the school’s web address.

OR Completed Good Student Qualification

Form

Grade Report or Good Student

Qualification Form (SNR-25-

7680) – Available on the

Agency Dashboard

Not

applicable

Discount

Removed

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Heating,

Ventilation & Air

Conditioning

(HVAC) System

Replacement/Renov

ation Discount

Documentation

Farmers

Smart Plan

Home

Required when the

heating/AC

systems have been

fully replaced



Heating/AC – the heating and air-conditioning

systems must be replaced (includes replacement

of the burners and compressors).











Not

applicable

Discount

removed

Home/Business

Discount

Farmers

Smart Plan

Home

When requesting

the discount for a

customer also

writing their

Farmers

Commercial policy

System will check Express daily to see if

appropriate Commercial policy is in force

(Workers Comp is not eligible)

Not Applicable Not

applicable

Discount will be

removed

Home / Farmers

Specialty

(Boat/Watercraft)

Discount

Farmers

Smart Plan

Home

Required when

Farmers Specialty

(Boat/Watercraft)

Discount is

selected

System will check Foremost system daily to see

if appropriate Family Boat and Personal

Watercraft policy is in force

Not applicable Not

applicable

Discount

removed

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Home / Farmers

Specialty - Motor

Home and Tvl Tr

Discount

Farmers

Smart Plan

Home

Required when

Farmers Specialty -

Motor Home and

Tvl Tr Discount is

selected


if appropriate Motor Home and Travel Trailer

policy is in force

Not applicable Not

applicable

Discount

removed

Home / Farmers

Specialty - Off

Road & Other

Discount

Farmers

Smart Plan

Home

Required when

Farmers Specialty -

Off Road & Other

Discount is

selected


if appropriate Off Road policy is in force

Not applicable Not

applicable

Discount

removed

Home Safety

Discount

Next Gen

Home

Required when the

dwelling is

equipped with one

of the following

features: Energy

Star/EPA Certified

Home, LEED

Certified Home,

Fortified Home,

Whole House

Water Leak

Detection

Proof of Energy Star/EPA certification;

Fortified Home certification; LEED

certification; Proof of whole house water leak

system installed at the home.

Appropriate certifying agency,

home purchase or installation

documents reflecting the type

or source of heating and/or

electrical system for the home.

Not

applicable

Discount

removed

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Home Protection

and Loss

Prevention

Discount

Documentation

Farmers

Smart Plan

Home

Required when the

dwelling is

equipped with one

of the following

features: Energy

Star/EPA Certified

Home, LEED

Certified Home,

Fortified Home,

Whole House

Water Leak

Detection

Proof of Energy Star/EPA certification;

Fortified Home certification; LEED

certification; Proof of whole house water leak

system installed at the home.

Appropriate certifying agency,

home purchase or installation

documents reflecting the type

or source of heating and/or

electrical system for the home.

Not

applicable

Discount

removed

Home/Umbrella

Discount

Farmers

Smart Plan

Home

When requesting

the discount for

customers writing

their Umbrella

policy with

Farmers

System will check Express daily to see if

appropriate Umbrella policy is in force

Not Applicable Not

applicable

Discount will be

removed

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Homeownership

Discount

Farmers

Smart Plan

Auto

When the Named

Insured/Spouse

owns and lives in a

home, townhouse

or condominium

(see the FSPA

Reference Guide

for additional

eligibility criteria)

System will attempt to verify discount eligibility

based on third party reports.

If unable to validate automatically, proof of

homeownership must be submitted.

See the FSPA Reference Guide for eligible

documentation.

Must be obtained from the

customer if automatic

validation is not available

Not

applicable

Discount will be

removed

Local Burglar

Alarm Declaration

Farmers

Smart Plan

Home

Required when

Local Burglar

Alarm Discount is

selected.



Named

insured and

agent

Discount will be

removed

Mandatory

Exclusion

Farmers

Smart Plan

Auto, Non-

Farmers Auto

2.0 and

Farmers Auto

2.0

Required when a

driver is excluded

from coverage on

the policy due to a

revoked license or

50 or more points.

Pre-filled Form Only Pending – Required document


Each Named

Insured

Policy

Cancellation

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Mature Driver

Discount

Farmers

Smart Plan

Auto

When requesting

the discount for

drivers 55 years of

age and older who

have completed a

state approved

Safe Driver

Program in the

past three years

Certificate of completion Must be obtained from the

customer; the customer should

receive this document upon

successful completion of the

program

Not

applicable

Discount will be

removed

Named Driver

Exclusion

Farmers

Smart Plan

Auto, Non-

Farmers Auto

2.0 and

Farmers Auto

2.0

Required when a

driver is excluded

from coverage on

the policy

Pre-filled form only

Refer to BNB 13-0193

Pending – Required document


At least one

named

insured

Driver Rated on

Policy

NM - 02/11/2017 of 22

https://eagent.farmersinsurance.com/PLA/eAgent/Ade/cap/documentRepository/farmers/all/13-0193.pdf




ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


New Roof

Documentation

Farmers

Smart Plan

Home, Next

Gen Home

Required when the

roof year is less

than the age of the

home

- Contractor receipts showing a roof

replacement

- Permits showing a roof replacement

- Escrow documents showing completion of roof

replacement as a condition of sale

- Inspection report for home purchases showing

the roof in new condition, or the estimated year

of replacement

- Contracts, estimates, or proposals for a total

roof replacement with a proof of payment for

the work done.

- Receipts or invoices for materials purchased

for a total roof replacement, reflecting not less

than10 squares of shingle materials or $3,500 of

roofing materials

Customer needs to supply

appropriate documentation to

validate the roof year.

Not

applicable

Roof year

reverted back

prior to change.

Discount

removed if

found ineligible.

Payment

Authorization

Form - New

Business Only

All Required when a

billing account is

placed on

recurring

payments



Account

holder

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Photos - Inspection

/ New Business

Farmers

Smart Plan

Home

Required when a

home is

considered a high

risk

If agent deems the home acceptable, take

minimum of five (5) photos: Front, Back, and

each Side of the house, Plus one roof photo.

Additional photos of any/all separate structures

are also required.

Otherwise, if unacceptable stop application

process and submit to Foremost or Kraft Lake.

Agent home inspection Not

applicable

Policy cannot be

bound

Plumbing System

Replacement

Discount

Documentation

Farmers

Smart Plan

Home

Required when the

plumbing system

has been fully

replaced.



Plumbing – all water lines (supply and drain)

both in and under the structure and all plumbing

fixtures must be replaced.











Not

applicable

Discount

removed

Premium

Determination /

Antique /

Restricted Use

Farmers

Smart Plan

Auto, Non-

Farmers Auto

2.0 and

Farmers Auto

2.0

J6282/J6482

E1151/Normal Use

E1252/Restricted Use



Named

insured or

spouse

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Prior Insurance -

Standard Carrier

Farmers Auto

2.0

Required when the

Transfer Discount

is applied to the

policy and there is

a discrepancy

between customer

provided prior

carrier information

and the prior

insurance vendor

report.

Documentation should demonstrate 6 months of

continuous coverage from an eligible carrier as

identified on the "Preferred Carrier List".

A company issued Letter of Experience is

required to dispute a lapse in coverage.

Acceptable documentation can

be provided by the most recent

carrier and may inlcude a

Declaration page, Letter of

Experience, or Evidence of

Insurance card from current

insurance carrier.

Not

applicable

Discount

Removed

Prior Insurance

(FNA)

Farmers

Smart Plan

Auto,

Farmers Auto

2.0

Required when

there is a

discrepancy

between customer

provided prior

carrier coverage

history and/or limit

information and

the prior

insurance vendor

report.


continuous coverage with no more than a 30 day

lapse in coverage prior to Farmers effective

date, and display coverage limits carried.


required to dispute a lapse in coverage.

For “Innocent No Prior” please refer to the

Product Guide







insurance carrier.

Not

applicable

Premium

increased

from quoted

amount

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Proof of Prior

Insurance

Farmers

Smart Plan

Auto,

Farmers Auto

2.0

Required when

there is a

discrepancy

between customer

provided prior

carrier coverage

history and the

prior insurance

vendor report.




date, and display coverage limits carried.


required to dispute a lapse in coverage if the

prior carrier contributes to the Current Carrier

Database (CCDB).

For “Innocent No Prior” please refer to the

Product Guide







insurance carrier.

Not

applicable

Policy

Cancellation

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Proof of Prior and

Prior BI Limits

Farmers

Smart Plan

Auto

Required when

there is a

discrepancy

between customer

provided prior

carrier coverage

history and the

prior insurance

vendor report.




date, and display coverage limits carried above

state minimums.


required to dispute a lapse in coverage if the

prior carrier contributes to the Current Carrier

Database (CCDB).



carrier and may include a

Letter of Experience showing

continuous coverage and prior

BI limits, or Letter of

Experience showing

continuous coverage and a

Declaration page showing

prior BI limit. If prior carrier

does not contribute to CCDB,

Declaration page showing

continuous coverage and prior

BI limit is acceptable.

Not

applicable

Policy

Cancellation

Prior BI Limits Farmers

Smart Plan

Auto

Required when

there is a

discrepancy

between customer

provided prior

carrier coverage

history and the

prior insurance

vendor report.

Documentation should display coverage limits

carried above state minimums.



carrier and may include a

Letter of Experience showing

prior BI limits, or Declaration

page showing prior BI limit.

Not

applicable

Policy

Cancellation

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Product Rewrite Farmers

Smart Plan

Home,

Farmers

Smart Plan

Auto

When rewriting an

existing policy to a

Smart Plan

product type

Company form (Policyholder Rewrite

Agreement)

Print Center Named

Insured

Rewrite not

permitted

Renovation -

Electrical and

Heating Discount

Next Gen

Home

Renovation-

Electric

and Heating

Discounts:

Required when the

electrical and

heating/AC

systems have been

fully

replaced.



Electrical – all wiring, switches, plugs, breakers

and electrical fixtures must be replaced.

Heating/AC – the heating and air-conditioning

systems must be replaced (includes replacement

of the burners and compressors).











Not

applicable

Discount

Removed

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Renovation -

Plumbing Discount

Next Gen

Home

Renovation-

Plumbing

discount: Required

when the plumbing

system has been

fully replaced.



Plumbing – all water lines (supply and drain)

both in and under the structure and all plumbing

fixtures must be replaced.











Not

applicable

Discount

removed

NM - 02/11/2017 of 22

ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


Fully Executed Subscription Agreement

To review the required information, refer to

BNB 16-0866.

For additional information, refer to the

Subscription Agreement Landing page.

UL Approved Roof

Rating Discount

Next Gen

Home,

Farmers

Smart Plan

Home

Required when

Roof Surfacing

Discount is

selected.

A copy of the building permit or contractors

billing showing the roofing materials installed at

the property location have an impact rating of

UL3 or UL4. A manufacturer warranty

brochure is not acceptable

Customer must provide


validating roofing materials

installed on the insured

dwelling meet the UL3 or UL4

rating

Not

applicable

Discount

Removed

UM/UIM

Agreement

Farmers

Smart Plan

Auto, Non-

Farmers Auto

2.0 and

Farmers Auto

2.0

Required when

UM/UIM limits

are selected that

are lower than the

BIPD limits on the

policy or coverage

has been rejected.



Named

insured or

spouse

Limits changed

Subscription

Agreement

Any

Exchange

Policy

Required when an

Exchange Policy is

written



Named

insured or

spouse can

sign if

secondary

named

insured

Policy

Cancellation

NM - 02/11/2017 of 22






https://eagent.farmersinsurance.com/PLA/eAgent/Ade/ade?req_page=dynamic&tsPath=templatedata/Left_Nav_Pages/Operations/data/subAgreements_landing_EMP.html



ConditionProduct

Type

When is it


Who Can

Sign?

Consequence

of Non-

Submission


UM/UIM BI

Stacking Waiver

Farmers

Smart Plan

Auto,

Farmers Auto

2.0

Required when the

customer selects

nonstacking

UM/UIM BI

limits.



Named

insured or

spouse

UM/UIM BI

Coverage

changed to

stacked

NM - 02/11/2017 of 22