Midvale Indemnity Filings

The following are the filings made by Midvale Indemnity (Formerly Lumberman's).

As of July 2019

Filing Identification No./Overall Impact Materials Included Effective Date
HMSS131906769

Form:

Added Agent Contact Information

  • Policy Change – UFM 80 00 06 19
  • Insurance Policy [Renewal] Declarations – PVM 80 26 06 19
  • Insurance Policy Application – UFM 00 11 06 19

Markup of Changes

06/17/19 New/Renew
HMSS131824514

Form:

  • Massachusetts Statement of Variability

Markup of Changes

04/16/19 New/Renew 
HMSS131691223

Rule:

  • D-17. Connect Partners Discount

Markup of Changes

04/01/19 New 
HMSS131797351

Rule:

  • D-17. Connect Partner Discount

Markup of Changes

03/28/19 New/Renew 
HMSS131755750

Form:

  • Massachusetts Statement of Variability – Declarations Page
02/23/19 New/Renew 
HMSS131689567

Rate/Rule:

Rule:

  • D-18. Connect Group Marketing Discount

Rate:

  • Connect Group Marketing Discount Factors

Markup of Changes

12/24/18 New 
HMSS131642119

Form:

  • Massachusetts Automobile Insurance Policy Declarations – PVM 80 26 05 18
  • Massachusetts Automobile Insurance Policy Application – UFM 00 11 05 18
  • Policy Change – UFM 80 00 05 18

Markup of Changes

11/13/1/8 New 
AMFC131323364

Form/Rate/Rule

Family Car Program offered through direct online distribution.

Forms:

  • MA Auto Policy – PVM 81 92 05 18
  • Waiver of Deductible – Collision – PVM 86 30 05 18
  • $100 Glass Deductible – Comprehensive – PVM 86 31 05 18
  • Agreed Amount Coverage – Comprehensive – PVM 88 40 05 18
  • Additional Insured Coverage – Massachusetts – PVM 86 32 05 18
  • Additional Interest Coverage – Massachusetts – PVM 86 33 05 18
  • New Car Replacement Coverage – Massachusetts – PVM 86 34 05 18
  • Loan or Lease Assistance Coverage – Massachusetts – PVM 86 35 05 18
  • Road Drip Accident Accommodations Coverage – Massachusetts – PVM 86 36 05 18
  • Additional Insured – Lessor Coverage – Massachusetts – PVM 86 37 05 18
  • Massachusetts Automobile Insurance Policy Declarations Page – PVM 80 26 05 18
  • Policy Change – UFM 80 00 05 18
  • Massachusetts Automobile Insurance Policy Application – UFM 00 11 05 18

Rules:

Section G – General Rating Information

  • G-1. Coverage Information
  • G-2. Cancellation of Policies
  • G-3. Coverage Increases
  • G-4. Coverage Reductions
  • G-5. Policy Administration Constant
  • G-6. Rounding Specifications
  • G-7. Financial Responsibility Fee
  • G-8. Premium  Stabilization
  • G-9. Book Transfer Premium  Stabilization
  • G-10. Basic Coverage Package Premium Threshold

Section C. Classification

  • C-1. Class Factors
  • C-2. Loss and Violation Score (LVS) Factors
  • C-3. Vehicle Age Factors
  • C-4. Model Year Factors
  • C-5. Vehicle Symbol Factors
  • C-6. Mileage Factors
  • C-7. Vehicle Use Factors
  • C-8. Prior Insurance Score (PINS) Factors
  • C-9. Length of Residency Factors
  • C-10. Household Composition Factors
  • C-11. Cancel Letters Premium Adjustment
  • C-12. Lapse Premium Adjustment
  • C-13. Territory Factors
  • C-14. Limit Factors
  • C-15. Deductible Factors
  • C-16. International License Premium Adjustment
  • C-17. Financial Responsibility Filing Premium Adjustment

Section D. Discounts

  • D-1. Early Bird Discount
  • D-2. Steer Into Savings Discount
  • D-3. Reserved for Future Use
  • D-4. Good Student Discount
  • D-5. Away at School Discount
  • D-6. Reserved for Future Use
  • D-7. Reserved for Future Use
  • D-8. AutoPay Discount
  • D-9. Reserved for Future Use
  • D-10. Paperless Discount
  • D-11. Loyalty Discount
  • D-12. connect Multi-Product Discount
  • D-13. Multi-Vehicle Discount
  • D-14. Auto Safety Equipment Discount
  • D-15. Customer Full Pay Discount
  • D-16. Senior Driver Discount
  • D-17. Connect Partner Discount

Section E. Endorsements

  • E-1. Loan or Lease Assistance Coverage
  • E-2. New Car Replacement Coverage
  • E-3. Agreed Amount Coverage
  • E-4. $100 Glass Deductible
  • E-5. Waiver of Deductible
  • E-6. Road Trip Accident Accommodations Coverage
  • E-7. Additional Insured Coverage
  • E-8. Additional Interest Coverage
  • E-9. Additional Insured – Lessor Coverage
  • E-10. Endorsements & Forms

Rating Algorithm

Rating (Car and Light Truck):

  • Base Rates
  • PINS Factors
  • Territory Factors
  • Limit Factors
  • Deductible Factors
  • Rental Reimbursement
  • Model Year Factors
  • Vehicle Age Factors
  • Vehicle Symbol Factors
  • Length of Residency Factors
  • Household Composition Factors
  • LVS Factors
  • Non-Excess Class Factors
  • Excess Class Factors
  • Mileage Factors
  • Vehicle Use Factors – Car/Light Truck
  • Away at School Discount Factors
  • Senior Driver Discount Factors
  • Connect Multi-Product Discount Factors
  • Multi-Vehicle Discount Factors
  • Paperless Discount Factors
  • Good Student Discount Factors
  • Customer Full Pay Discount Factors
  • Auto Safety Equipment Discount Factors
  • Autopay Discount Factors
  • Loyalty Discount Factors
  • Steer Into Savings Discount Factors
  • Early Bird Discount Factors
  • Connect Partner Discount Factors
  • International License Premium Adjustment
  • Financial Responsibility Filing Premium Adjustment
  • Loan or Lease Assistance Coverage Factors
  • New Car Replacement Coverage Factors
  • Cancel Letters Adjustment
  • Lapse Adjustment
  • Policy Administration Constant
  • PAC Adjustment Factors
  • Premium Stability Factors
  • Book Transfer Premium Stability Factors

Billing and Payments

Appendix I – Car/Light Truck Vehicle Symbol TOC

Massachusetts Forms Endorsements Letters List

11/13/18 New

Contact MAIA

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