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You are here: www.tdi.texas.gov . commercial . pcapwc

Approved/Disapproved Property & Casualty Filings (7 of 8)

List of filings approved or disapproved for Professional Liability and Workers' Compensation

Please check index for a complete list of filings.

Professional Liability

  1. Company:        Professional Solutions Insurance Company – NAIC#: 11127
    Link No.:          S10072
    Description:     Submitted PSIC-DDS-18 (TX) 9/14 – Network Security & Privacy Proceeding Endorsement for use with its Dental Professional Liability Program
    Approved:        November 5, 2014

  2. Company:        Federal Insurance Company – NAIC#: 20281
    Link No.:          S10649
    Description:     Submitted the following for use with its Chubb Primary Product:
    14-02-21301 9/2014 – Class Certification Event Study Cost Endorsement
    14-02-21299 9/2104 – Class Certification Event Study Cost Endorsement
    Approved:        November 5, 2014

  3. Company:        Twin City Fire Insurance Company – NAIC#: 29459
    Hartford Fire Insurance Company – NAIC#: 19682
    Link No.:          S10804
    Description:     Submitted the following for use with their Hartford D&O Premier Defense Program:
    DD 00 H092 00 0914 – Class Certification Event Study Costs with Zero Retention
    DD 00 H093 00 0914 – Class Certification Event Study Costs with Zero Retention – 20% Post Denial of Class Certification Retention Reduction
    Approved:        November 5, 2014

  4. Company:        Federal Insurance Company – NAIC#: 20281
    Link No.:          S10868
    Description:     Submitted the following for use with its Chubb Primary Product:
    14-02-19212 09/2014 – Amend Item 5 of the Declarations Extended Reporting Period Endorsement
    14-02-21253 09/2014 – Select Securities Claim Panel Counsel Endorsement
    14-02-21285 09/2014 – Amend Section XXIX Insured Person Endorsement (Employee as Co-Defendant)
    14-02-21304 09/2014 – Amend Item 2 of the Declarations Policy Period Endorsement
    14-02-21317 09/2014 – Amend Section XXIX Definitions Organization as a Nominal Defendant Endorsement
    Approved:        November 5, 2014

  5. Company:        Beazley Insurance Company, Incorporated – NAIC#: 37540
    Link No.:          S10951
    Description:     Submitted E06360 102014 ed. – Amend Outside Entity to Include Scheduled Entity(ies) for use as an optional endorsement for its Beazley One Management Liability Insurance Program
    Approved:        November 5, 2014

  6. Company:        Illinois National Insurance Company – NAIC#: 23817
    National Union Fire Insurance Company of Pittsburgh – NAIC#: 19445
    Link No.:          S11124
    Description:     Submitted their annual Employment Practices Maintenance Filing to revise and update their Employment Edge Program:
    113427 (2/13) – Definition of Claim Amended to Exclude EEOC
    109155 (7/11) – Willis On-Line Amendatory Endorsement (For EPL 4/97)
    112747 (9/14) – Definition of Loss Amended – Most Favorable Law for Matters Deemed Uninsurable
    112758 (9/14) – Exclusion 5 Amended: ERISA Exclusion: Include CARVEBACK for Retaliation
    114594 (9/14) – Clause 4 Retention Amended for California Claims
    Approved:        November 5, 2014

  7. Company:        Liberty Insurance Underwriters, Inc. – NAIC#: 19917
    Link No.:          S11144
    Description:     Submitted the following for use with its Community Association/Executive Liability Not For Profit D&O Program:
    LIUI00DO381330914 09/14 – Enhancement Endorsement for Community Association Risks
    LIUI00DO381340914 9/14 – Enhancement Endorsement for Nonprofit Risks
    Approved:        November 5, 2014

  8. Company:        Federal Insurance Company – NAIC#: 20281
    Link No.:          S11326
    Description:     Submitted the following for use with its Chubb Primary Product:
    Q14-716 (06/2014) – The Chubb Primary Side-A Endorsement
    Q14-812 (07/2014) - Parent Exclusion
    Q14-819 (07/2014) – Miscellaneous Side A Only Definitions Endorsement
    Q14-960 (08/2014) – Amend Section XXIX Securities Claim and Add Contract
    Approved:        November 5, 2014

  9. Company:        Federal Insurance Company – NAIC#: 20281
    Link No.:          S11330
    Description:     Submitted the following for use with its Executive Elite product:
    Q11-339 (02/2014) - Executive Elite Coverage Enhancements Endorsement
    Q14-232 (02/2014) - Amend Definition Of Outside Entity Endorsement
    Q14-282 (02/2014) - Ashford Hospitality Trust Inc. Endorsement
    Q14-673 (02/2014) - Executive Elite Coverage Enhancements Endorsement
    Approved:        November 5, 2014

  10. Company:        Federal Insurance Company – NAIC#: 20281
    Link No.:          S10195
    Description:     Submitted the following for use with its Executive Elite Program:
    14-02-20100 – Executive Elite Broad Form Endorsement
    14-02-20101 – Executive Elite Broad Form Enhancement Endorsement
    Approved:        November 5, 2014

  11. Company:        North American Specialty Insurance Company – NAIC#: 29874
    Link No.:          S10469
    Description:     Submitted SP 5 632A 0712 – Exclusion of Other Than Certified Acts of Terrorism for use with its Technology Program
    Approved:        November 5, 2014

  12. Company:        Federal Insurance Company – NAIC#: 20281
    Vigilant Insurance Company – NAIC#: 20397
    Link No.:          S9979
    Description:     Submitted the following for use with its Chubb Excess Program:
    14-02-10458 (08/2014) – Not Follow Form Endorsement
    14-02-17084 (08/2014) – Excess Policy Amendments Endorsement
    Approved:        November 5, 2014

  13. Company:        Atlantic Specialty Insurance Company – NAIC#: 27154
    Link No.:          S11448
    Description:     Submitted eight new and revised endorsements for its Managed Care Errors and Omissions program
    Approved:        November 5, 2014

  14. Company:        North American Specialty Insurance Company – NAIC#: 29874
    Link No.:          S10470
    Description:     Submitted SP 5 632A 0712 – Exclusion of Other Than Certified Acts of Terrorism for use with its Construction Program
    Approved:        November 5, 2014

    _____________________________

  15. Company:        ACE Fire Underwriters Insurance Company – NAIC#: 20702
    ACE Property and Casualty Insurance Company – NAIC#: 20699
    Pacific Employers Insurance Company – NAIC#: 22748
    Link No.:          S7347
    Description:     Submitted 97 forms for use with their Non-Profit Directors & Officers and Employment Practices Liability Product
    Approved:  November 12, 2014

  16. Company:        Berkley National Insurance Company – NAIC#: 38911
    Berkley Regional Insurance Company – NAIC#: 29580
    StarNet Insurance Company – NAIC#: 40045
    Link No.:          S10532
    Description:     Submitted the following for use with their General Risk Program:
    IL 83 27 12 14 – Notice of Cancellation to Third Parties
    IL 83 40 TX 12 14 – Policy Change Endorsement – Texas
    IL 83 42 12 14 – Designated Activities or Events Exclusion
    IL 83 43 12 14 – Knowledge of Occurrence – Scheduled Individuals
    Approved:  November 12, 2014

    _____________________________

  17. Company:        Great American Insurance Company – NAIC#: 16691
    Link No.:          S8193
    Description:     Submitted the following for use with its ExecPro Directors’, Officers’, Insured Entity and Employment Practices Liability Insurance Policy:
    D2705-13 (08/14) - Addition to Section IV. Exclusions Professional Services Exclusion
    D2710-4 (11/04) - Amendment to Section VII. Costs of Defense and Settlements Duty to Defend
    D2713-15 (01/06) - Amendment to Section IX. General Conditions
    D2813-1 (02/06) Order of Payments
    Approved:        November 18, 2014

  18. Company:        Federal Insurance Company – NAIC#: 20281
    Link No.:          S10130
    Description:     Submitted the following for use with its Chubb Primary Product:
    14-02-19902TX (11/2014) - Amend Section XII, Other Insurance and Indemnity Endorsement
    14-02-21283 (08/2014) - Amend Section XXIX Securityholder Derivative Demand Investigation Definition Endorsement
    14-02-21284 (08/2014) - Amend Section XXIX Definition of Enforcement Unit Endorsement
    14-02-21285 (09/2014) - Amend Section XXIX, Insured Person Endorsement (Employee as Co-Defendant)
    14-02-21289 (08/2014) - Amend Section XXIX Financial Impairment Endorsement
    Approved:        November 18, 2014

  19. Company:        Everest National Insurance Company – NAIC#: 10120
    Link No.:          S11526
    Description:     Submitted the following mandatory proprietary endorsements for its Public D&O/Excess DIC Side A Program:
    ESU 00 305 10 14 - Exclusion Of Terrorism
    ESU 00 306 10 14 - Exclusion Of Terrorism
    Approved:        November 18, 2014

  20. Company:        Beazley Insurance Company, Incorporated – NAIC#: 37540
    Link No.:          S11652
    Description:     Submitted E06373 102014 ed. – Pre-Initial Public Offering Coverage for use with its Beazley One Management Liability Insurance Program
    Approved:        November 18, 2014

  21. Company:        Travelers Casualty and Surety Company of America – NAIC#: 31194
    Link No.:          S11686
    Description:     Submitted BFP-19040 Rev. 09-14 – Public Offering Exclusion Endorsement for its Broad Form PLUS+ Directors and Officers Liability program
    Approved:        November 18, 2014

  22. Company:        ACE American Insurance Company – NAIC#: 22667
    Westchester Fire Insurance Company – NAIC#: 10030
    Link No.:          S11709
    Description:     Submitted PF-43477 (10/14) – Additional Premium Endorsement for use by a particular policy with its Allied Healthcare – Human Services Professional Liability program
    Approved:        November 18, 2014

  23. Company:        Texas Hospital Insurance Exchange – NAIC#: 32514
    Link No.:          S12010
    Description:     Submitted THIE Cyber 1-1-2015 – Medical Professional Liability – Claims Made Cyber Insurance Endorsement to add cyber liability to its Hospital Professional Liability program
    Approved:        November 18, 2014

  24. Company:        Beazley Insurance Company, Inc. NAIC#: 37540
    Link No.:          S12189
    Description:     Submitted E06460 112014 ed. – Follow Form of Endorsement to the Underlying Policy, for use with its Excess Liability program
    Approved:        November 18, 2014

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Workers' Compensation

  1. Company:        Stonewood National Insurance Company – NAIC#: 31925
    Link No.:          S8497
    Description:     Submitted SNIC NC TX 10 14 – Company Name Change Endorsement for use with its workers’ compensation policy
    Approved:        November 5, 2014

  2. Company:        Texas Mutual Insurance Company – NAIC#: 22945
    Link No.:          S10743
    Description:     Submitted WC 99 02 01 – Texas Maritime Coverage Endorsement for use with its workers’ compensation policy
    Approved:        November 5, 2014

  3. Company:        Service Lloyds Insurance Company – NAIC#: 43389
    Link No.:          S11304
    Description:     Submitted WC 98 98 ND – Negotiated Deductible Endorsement for use with its workers’ compensation policy
    Approved:        November 5, 2014

  4. Company:        Falls Lake National Insurance Company – NAIC#: 31925
    Link No.:          S11534
    Description:     Submitted WC 99 06 00 08 14 – Cover Page for use with its workers’ compensation policy to reflect the name change of the company from Stonewood National Insurance Company to Falls Lake National Insurance Company
    Approved:        November 5, 2014

  5. Company:        Texas Mutual Insurance Company – NAIC#: 22945
    Link No.:          S11624
    Description:     Submitted WC 99 06 03 (ed. 10-14) – Maximum Deductible Reimbursement Endorsement for use with its workers’ compensation policy
    Approved:        November 5, 2014

    _____________________________

  6. Company:        Star Insurance Company – NAIC#: 18023
    Williamsburg National Insurance Company – NAIC#: 25780
    Ameritrust Insurance Company – NAIC#: 10665
    Link No.:          S11548
    Description:     Submitted the following to revise their workers’ compensation information pages:
    WC 000001 1204 - Information Page - Star
    WC 000001 0707 - Information Page - Ameritrust
    WC 000001 WB 09 07 - Information Page – Williamsburg
    Approved:  November 12, 2014

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Last updated: 11/24/2014

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