MI DIFS Bulletin 2021-43-INS
Six-Month, Prepaid, Noncancelable Automobile Insurance Policy: Standard Certified Statement _________________________________
STATE OF MICHIGAN
DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES
Bulletin 2021-43-INS
In the matter of:
Six-Month, Prepaid, Noncancelable
Automobile Insurance Policy:
Standard Certified Statement
_________________________________/
Issued and entered
this 10th day of December 2021
by Anita G. Fox
Director
This bulletin advises auto insurers that write six-month, prepaid, noncancelable automobile insurance policies
of the availability of the standard certified statement (DIFS form FIS 2377) for use in complying with Section
3101c of the Insurance Code, MCL 500.3101c.
When a court has notified the Secretary of State of a vehicle registration number belonging to an owner who
has failed to secure proof of insurance, the Motor Vehicle Code mandates that the Secretary of State refrain
from renewing, replacing, or transferring the registration plate of the vehicle involved in the violation (or from
allowing the purchase of a new registration plate for the vehicle involved in the violation), until the owner or
an owner’s representative appears at a branch office and does both of the following: (a) shows a certified
statement from an automobile insurer on a standard form, prepared by the Director of the Department of
Insurance and Financial Services, affirming that the vehicle involved in the violation is currently insured under
a prepaid noncancelable policy for a period of not less than 6 months; and (b) pays a fee of $50.00. MCL
257.227a(1).1
Section 3101c of the Insurance Code, MCL 500.3101c, requires automobile insurers offering noncancelable
policies under MCL 257.227a(1)(a) to use a standard certified statement, prescribed by the Director, when
issuing such a policy. After securing the insurance policy, the vehicle owner or the owner's representative
may present a completed certified statement to the Secretary of State as required under MCL 257.227a(1)(a).
The standard certified statement is attached to this Bulletin.
Any questions regarding this bulletin should be directed to:
Department of Insurance and Financial Services
Office of Insurance Rates and Forms
530 W. Allegan Street – 7th Floor
1 The foregoing sections of the Motor Vehicle Code and the Insurance Code do not apply, and neither a certified statement nor the
$50.00 fee is required, when the owner of the vehicle involved in the violation transfers or sells that vehicle to someone other than
the owner’s spouse, mother, father, sister, brother, or child. MCL 257.328(5).
P.O. Box 30220
Lansing, Michigan 48909-7720
Toll Free: (877) 999-6442
/s/
___________________________
Anita G. Fox
Director
FIS 2377 (12/21) Department of Insurance and Financial Services Page 1 of 1
Certification Statement of Prepaid, Noncancelable,
Auto Insurance Policy
Named Insured:
Policy Number:
Insurance Company:
Vehicle Identification Number (VIN):
Effective Date:
Expiration Date:
Agency:
Agency Code:
The automobile insurer specified above certifies that the vehicle specified above is currently
insured under a prepaid noncancelable auto insurance policy for a period of not less than 6
months under chapter 31 of Act No. 218 of the Public Acts of 1956. The vehicle owner or the
owner's representative may present this certification to the Secretary of State as required under
MCL 257.227a(1)(a).