Policy Change Request: Auto Home

Step 1: Privacy Disclosure

At WEA Trust Member Benefits, maintaining your trust and confidence is a high priority. We believe that maintaining confidentiality and respecting your privacy are our fundamental responsibilities. This notice explains how we protect your privacy when we collect and use nonpublic personal financial information about you.

WEA TRUST MEMBER BENEFITS NOTICE ABOUT NONPUBLIC PERSONAL FINANCIAL INFORMATION

Collecting information about you
To provide essential insurance benefits and financial services to you, we collect, retain, and use certain nonpublic financial information about you. We may collect information about you from these sources:

  • The forms that we, or our affiliates, need to enroll you and your family members in our plans that contain information such as names, addresses, dates of birth, social security numbers, home and vehicle information, and driving and claims history.
  • Information about your transactions with us, our affiliates, or others, such as the policies you maintain or have maintained, dates of coverage, and policy termination information.
  • Information we receive from other agencies to process your requests for participation, such as the Department of Motor Vehicle or consumer reporting agencies.

To whom we may disclose this information
We limit access to your personal financial information to our employees that need to know this information to provide benefits and services to you. We do not sell this personal information to anyone. We do not disclose information about you to affiliated or nonaffiliated third parties except as permitted by law. We may disclose name and address information we collect to companies that perform mailing services on our behalf.

How we protect the confidentiality and security of your nonpublic personal financial information
We maintain physical, electronic, and procedural safeguards that comply with applicable federal regulations designed to protect your nonpublic personal financial information.

Privacy is important
Maintaining the confidentiality and security of your personal financial information has always been very important at WEA Trust Member Benefits. This notice is intended to summarize our policies on protecting your privacy.

If you have any questions regarding this notice, or if you would like to request another copy, you may call us at 1-800-279-4010, or write to us at WEA Trust Member Benefits, P.O. Box 7893, Madison, WI 53707-7893.

Step 2: General Information

Please provide us with the following information regarding name, address, contact info, and your policy number.

First name*
First name is required.

Middle initial

Last name*
Last name is required.

Address*
Address is required.

City*
City is required.

State*
State is required.

Zip*
Please enter a valid 5 digit zip.

Preferred E-mail Address
Please enter a valid E-mail.

Preferred phone*
Please enter a phone number with the format xxx-xxx-xxxx.

Alternate phone
Please enter a phone number with the format xxx-xxx-xxxx.

Best time(s) to contact you?
7:30am-9:00am
9:00am-10:00am
10:00am-11:00am
11:00am-12:00pm
12:00pm-1:00pm
1:00pm-2:00pm
2:00pm-3:00pm
3:00pm-4:00pm
4:00pm-5:00pm

Policy number
Policy number is required.

When should your requested changes become effective?*
Effective date is required.

* Required field.

Need Help? Call 1-800-279-4010
to speak with a member service consultant.

Step 3: Change Info

Change name, address, and/or lienholder info.

Change name

Name as it currently appears on policy

New name

Change address/phone

Current address

New address

Add lienholder

Vehicle related to lien

Lienholder information

Remove lienholder

Vehicle related to lien

Lienholder information

* Required field.

Need Help? Call 1-800-279-4010
to speak with a member service consultant.

Step 4: Cars/Drivers

Add/Remove vehicles and drivers.

Add Vehicle 1

Vehicle information

Year*
Vehicle year is required.

Make*
Vehicle make is required.

Model*
Vehicle model is required.

Vehicle ID Number* (VIN)
VIN is required.

Purchase Price (Motorhome only)
Purchase price is required.
Is this vehicle title to the named insured(s)?*
This information is required.

Is this vehicle used for business purposes?*
This information is required.

If yes, what is the nature of the business?
This information is required.

Coverage
Please make a coverage selection.

Coverages shared across vehicles

Bodily Injury*
This information is required.


Property Damage*
This information is required.


Medical*
This information is required.


Uninsured/Underinsured Motorist*
This information is required.


Coverages unique to this vehicle

Comprehensive Deductible*
This information is required.


Collision Deductible*
This information is required.


Rental Reimbursement*
This information is required.


Emergency Road Service*
This information is required.


Add Vehicle 2

Year*
Vehicle year is required.

Make*
Vehicle make is required.

Model*
Vehicle model is required.

Vehicle ID Number* (VIN)
VIN is required.

Purchase Price (Motorhome only)
Purchase price is required.
Is this vehicle title to the named insured(s)?*
This information is required.

Is this vehicle used for business purposes?*
This information is required.

If yes, what is the nature of the business?
This information is required.

Coverage
Please make a coverage selection.

Coverages shared across vehicles

Bodily Injury*
This information is required.


Property Damage*
This information is required.


Medical*
This information is required.


Uninsured/Underinsured Motorist*
This information is required.


Coverages unique to this vehicle

Comprehensive Deductible*
This information is required.


Collision Deductible*
This information is required.


Rental Reimbursement*
This information is required.


Emergency Road Service*
This information is required.


Remove vehicle(s)

Vehicle 1

Vehicle 2

Add Driver: 1

First Name*
First name is required.

M.I.*
Middle initial is required.

Last Name*
Last name is required.

Gender*
Gender is required.


Marital status*
Martial status is required.


D.O.B.*
Please enter a valid date in MM/DD/YYYY format.

Driver's license #*
Drivers license is required.

Miles one way to work (one-way)*
Miles to work is required.

Annual miles*
Miles driven annually is required.

Good Student* (Minimum 3.0 GPA last semester, full-time student, 12 credits, under age 25)
Please indicate if this driver qualifies for the good student discount.

Is this driver a student away at school more than 100 miles with no car?*
This field is required.

Describe any/all accident(s) or violation(s) (include dates) in the past five years.
This field is required.


Add Driver: 2

First Name*
First name is required.

M.I.*
Middle initial is required.

Last Name*
Last name is required.

Gender*
Gender is required.


Marital status*
Martial status is required.


D.O.B.*
Please enter a valid date in MM/DD/YYYY format.

Driver's license #*
Drivers license is required.

Miles one way to work (one-way)
Miles to work is required.

Annual miles*
Miles driven annually is required.

Good Student* (Minimum 3.0 GPA last semester, full-time student, 12 credits, under age 25)
Please indicate if this driver qualifies for the good student discount.

Is this driver a student away at school more than 100 miles with no car?*
This field is required.

Describe any/all accident(s) or violation(s) (include dates) in the past five years.
This field is required.


Remove Driver(s)

Driver 1

First name*
Last name*
D.O.B.

Reason for removal
First name is required.
Last name is required.
Please enter a valid date in MM/DD/YYYY format.
Please provide a reason for removal.

Driver 2

First name
Last name
D.O.B.

Reason for removal
First name is required.
Last name is required.
Please enter a valid date in MM/DD/YYYY format.
Please provide a reason for removal.

* Required field.

Need Help? Call 1-800-279-4010
to speak with a member service consultant.

Step 5: Finish

You're almost done! Please answer a couple of quick survey questions, then submit your quote request.


Was this online service useful such that you would use it again?


Comments about your experience or how to improve this form.

Submit your change request
Click the "Submit Change Request" button below to send us your request.

  1. A member service consultant will review your policy change request.
  2. The consultant will make every attempt to call you during your preferred contact time to verify the change. We try to respond to all requests within two business days.
  3. You may be asked for additional infomation to ensure the proper coverages are put in place.
  4. Please note that submitting this form does not implement the requested change(s). The change(s) will not be implemented until you have spoken to a member service consultant.

Need Help? Call 1-800-279-4010
to speak with a member service consultant.