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UNITEL – Ancillary Benefits Request Form

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        Locations

        1128 Lincoln Mall, Suite 200
        Lincoln, NE 68508

        ____

        12120 Port Grace Blvd, Suite 102
        La Vista, NE 68128

        ____

        2457 33rd Avenue
        Columbus, NE 68601

        ____

        1317 W Pasewalk Ave #200
        Norfolk, NE 68701

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        Eligible Risks

         

        Acceptable MVR’s

        • No more than 3 moving violations in 3 years
        • No more than 1 accident and 3 moving violations in 3 years
        • No more than 2 accidents and 1 moving violation in 3 years
        • No major violations

        Unacceptable MVRs

        Drivers with any of these violations in the past three years

        • Hit and Run Conviction
        • Fleeing or Eluding Police
        • Manslaughter or Negligent Homicide
        • DUI or DWI
        • Any Felony Conviction
        • Racing
        • Driving Under a Suspended License
        • Reckless Driving

         

        Eligible Trucks

        • OTR Tractor (Class 7 or higher)

        Ineligible Vehicles

        • Tow trucks or wreckers
        • Private passenger vehicles or mobile homes
        • Commercial mini, cargo or cube vans
        • Antique vehicles
        • Emergency vehicles
        • Vehicles garaged in AK, HI or MA (Call 402-625-7246 to discuss coverage options)