Reliable Policy Management South Carolina Product Listing, Forms and Documentation

The following products are available:

• Prime AD and Family Plan Accidental Death & Dismemberment (AD&D)
• Hospital Indemnity Travel Plan
• Motor Club Membership
• Travel Trailer Insurance

Forms and Documentation:
     The date following the product is the last update.

• Life of the South Insurance Company (Prime AD):

• Prime AD - Agent Guidelines Edition 10-(1/10)
• Agency/Agent Licensing Forms Package (8/08)
• Agency Fact Sheet (8/08)
• Cancellation Request Form (8/08)
• Claim Form (8/08)
• Endorsement Form (8/08)
• Forms Package - all SC Prime AD forms (8/08)
• Supply Order Form (8/08)

• Lyndon Southern Insurance Company (Family Plan):

• Family Plan- Agent Guidelines Edition 10-(1/10)
• Agency/Agent Licensing Forms Package (8/08)
• Agency Fact Sheet (8/08)
• Cancellation Request Form (8/08)
• Claim Form (8/08)
• Endorsement Form (8/08)
• Forms Package - all SC Family Plan forms (10/08)
• Supply Order Form (8/08)

• Nation Safe Drivers (HITP):

• Nation Safe Drivers (HITP) Agent Guidelines Edition 6-(1/10)
• Agency/Agent Licensing Forms Package (8/08)
• Agency Fact Sheet (8/08)
• Cancellation Request Form (8/08)
• Endorsement Form (8/08)
• Forms Package - all NSD-HITP forms (8/08)
• Forms to Order from Nation Safe Drivers (8/08)
• Supply Order Form (8/08)

• Claims:

HITP claim forms - Call 1-800-338-2680, ext. 1, then select option #1

• SC Roadmaster (Motor Club) - underwritten by Nation Safe Drivers:

• Motor Club Guidelines Edition 2-(8/08)
• Agency/Agent Licensing Forms Package (8/08)
• Agency Fact Sheet (8/08)
• Agent Application
• Agent Appointment Cancellation Form
• Cancellation Request Form (8/08)
• Claim Form
• Forms Package - all SC Roadmaster forms (8/08)
• Member Address Change Form (8/08)
• SC Motor Club Service Act
• Supply Order Form (8/08)
• Transmittal Form
• W-9 Form 

Note: Adobe Reader version 6.0 or later is required to view and print  these forms.