Member Insurance Solutions offers incredible rates and group savings on auto, home and personal umbrella insurance. We also insure boats, motorcycles, vacation homes and other recreational assets. Request your auto / home quick quote today and receive a $10 gift card!

**Must obtain a quote to be eligible for gift card. Limit one per household**


The above information is required. Please complete as much of the remaining information as possible...we can help you with the rest!


Membership Affiliations mean DISCOUNTS! Please mark your affiliations below:

Home Information:

Auto / Motorcycle / ATV Information:

Vehicle 1

Vehicle 2

Vehicle 3


Principal Driver's Name:

Driver's date of birth:

Comp Coverage Deductible:

Collision Coverage Deductible:

Bodily Injury / Property Damage amt:

Tickets or accidents in last 36 mos:

Towing Coverage?

Rental Reimbursement?

Current auto insurance company:

Questions? Call Jeni Drummond at 800.878.6765, ext. 462 or Beth Jackson, ext. 443
Member Insurance Solutions | 3657 Okemos Road, Suite 100 |
Okemos, MI 48864
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This is not an offer to sell insurance. Insurance coverage cannot be bound or changed via submission of this online form. Note that any proposal of insurance we may present to you will be based upon the values developed and exposures to loss disclosed to us on this online form and/or in communications with us. All coverage is subject to the terms, conditions and exclusions of the actual policy issued.