- AUTO INSURANCE - Auto Insurance Quote Form Fill out the following form as completely as possible. Once you have completed the form, click Submit to send your information to Insurance Discounters of Ohio. We will handle your request shortly. Please enable JavaScript in your browser to complete this form.Coverage Options *Bodily Injury Liability$10,000/$20,000$20,000/$40,000$40,000/$50,000$50,000/$60,000$60,000/$100,000$100,000/$300,000$300,000/$500,000Property Damage Liability *$10,000$15,000$25,000$50,000$100,000$250,000$300,000Uninsured Motorist Bodily InjuryBodily Injury Liability$10,000/$20,000$20,000/$40,000$40,000/$50,000$50,000/$60,000$60,000/$100,000$100,000/$300,000$300,000/$500,000Uninsured Motorist Property Damage$10,000$15,000$25,000$50,000$100,000$250,000$300,000Underinsured Motorist Bodily Injury$10,000$15,000$50,000$100,000$250,000Medical Pay / PIPNone$10,000$15,000$25,000Next