Ensure all details are verified and correct before submission. Submit the completed form to OLD UNITED CASUALTY CO., P.O. Box 795, Shawnee Mission, Kansas 66201, or call 1-800-866-6090. Additionally, you can contact MPP CO., INC., P.O. Box 634, Shawnee Mission, Kansas 66201, or call 1-800-747-4400. Online submissions can be made through their respective websites if available. Always keep a copy for your records.

Ensure to submit the form before the expiry date mentioned in your specific agreement. Expiration dates vary and are clearly listed within the document.

The purpose of the Mechanical Protection Plan Agreement is to provide extended coverage for your vehicle's mechanical components beyond the manufacturer's warranty. This agreement outlines the specific terms, conditions, and coverage levels, ensuring that you are financially protected from unexpected repairs. It also helps maintain the value and operability of your vehicle by covering essential repairs and parts replacements. The Agreement is structured to cover various parts under different coverage levels: BRONZE, SILVER, and GOLD. Each level specifies the internal and external parts covered, ensuring that you have a comprehensive understanding of what is protected under your plan. Additionally, the Agreement includes rental coverage, towing, and labor cost provisions to minimize inconvenience during repairs. By purchasing this Agreement, you secure peace of mind knowing that your vehicle is protected against common mechanical failures. It is crucial to review the document thoroughly, verify all entered information, and contact the administrator with any questions. Keeping this Agreement up to date ensures that you benefit fully from the coverage provided.

• 1. Agreement Holder: The name and address of the person who holds the agreement.
• 2. Agreement Number: A unique identifier for the specific agreement.
• 3. Covered Vehicle VIN: The Vehicle Identification Number for the vehicle covered under the agreement.
• 4. Coverage Level: Indicates whether the coverage is BRONZE, SILVER, or GOLD.
• 5. Expiration Date and Mileage: The date and mileage at which the coverage expires.
• 6. Key Terms: Definitions of terms such as FAILURE, COST, DEDUCTIBLE, and AUTHORIZED.
• 7. Covered Parts: Lists the specific parts and components covered under each coverage level.
• 8. Rental Coverage: Details on rental reimbursement if the covered vehicle is inoperable.
• 9. Towing and Labor Costs: Information on what tow and labor costs are covered during a FAILURE.
• 10. Exclusions: Details on conditions and failures that are not covered by the agreement.

Failing to submit this form may result in covered repairs not being authorized and additional out-of-pocket costs.

• Uncovered Repairs: Without a valid agreement, you may need to pay for repairs yourself.
• Loss of Coverage: Failure to submit may mean a loss of valuable protections provided.
• Invalid Agreement: Incomplete or incorrect submission will render the agreement void.

• 1. New Vehicle Purchase: When buying a new vehicle that requires an extended protection plan.
• 2. Used Vehicle Purchase: For used vehicles needing additional mechanical protection.
• 3. Updating Existing Agreement: To update or renew an existing Mechanical Protection Plan Agreement.
• 4. Claim Filing: To file a claim for covered repairs under the agreement.
• 5. Coverage Verification: To verify existing coverage details with a dealer or repair center.