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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:        Twin City Fire Insurance Company – NAIC#: 29459
    Link No.:          S9901
    Description:     Submitted 21 endorsements and applications for its Hartford Professional Liability Program
    Approved:        January 6, 2015

  2. Company:        Everest National Insurance Company – NAIC#: 10120
    Link No.:          S12662
    Description:     Submitted the following for use with its Directors and Officers Liability Program:
    EEO 40 988 (10 14) – Broad Form Company Liability Modification Insolvency Exclusion
    EEO 40 989 (10 14) – Bankers Professional Liability Modification Insolvency Exclusion
    EEO 40 996 (10 14) – Broad Form Bankers Professional Liability Modification Insolvency Exclusion
    Approved:        January 6, 2015

  3. Company:        Twin City Fire Insurance Company – NAIC#: 29459
    Link No.:          S12687
    Description:     Submitted IA 00 H173 00 1114 – Premier Asset Management Protection Plus Endorsement for use with its Hartford Premier Asset Management Protection Policy Program
    Approved:        January 6, 2015

    ____________________________

  4. Company:        Endurance American Insurance Company – NAIC#: 10641
    Link No.:          S10123
    Description:     Submitted 42 forms for use with its Primary Management Liability Program
    Approved:        January 13, 2015

  5. Company:        Continental Insurance Company – NAIC#: 35289
    American Casualty Company of Reading PA – NAIC#: 20427
    National Fire Insurance Company of Hartford – NAIC#: 20478
    Transportation Insurance Company – NAIC#: 20494
    Valley Forge Insurance Company – NAIC#: 20508
    Continental Casualty Company – NAIC#: 20443
    Link No.:          S11626
    Description:     Submitted 38 forms and endorsements for use with their technology liability errors and omissions coverage for CNA’s Paramount Program
    Approved:        January 13, 2015

  6. Company:        Starr Indemnity & Liability Company NAIC#: 38318
    Link No.:          S11639
    Description:     Submitted the following for use with its Deductible Liability Protection Insurance Program:
    SIDL-008 TX (1014) – Texas Absolute Abuse or Molestation Exclusion
    PNSI 007 TX (1014) – Texas Policyholder Notice Abuse or Molestation Exclusion
    Approved:        January 13, 2015

  7. Company:        AXIS Insurance Company – NAIC#: 37273
    Link No.:          S12811
    Description:     Submitted the following for use with its miscellaneous professional liability program:
    MPL-031A (10-13) - Additional Insured Endorsement
    MPL-112 (09-14) - Extended Reporting Period Option Change Endorsement
    MPL-122D (06-14) - Freight Forwarder Change Endorsement Without BIPD/PD Carveback
    MPL-192A (10-13) - Additional Insured (As Required By Contract) Change Endorsement
    Approved:        January 13, 2015

  8. Company:        Executive Risk Indemnity Inc. – NAIC#: 35181
    Federal Insurance Company – NAIC#: 20281
    Link No.:          S13206
    Description:     Submitted the following for use with their Executive Protection Portfolio program:
    14-02-19855XTX 11/2014 – Fiduciary Liability Coverage Enhancements Endorsement (EP Portfolio)
    Approved:        January 13, 2015

  9. Company:        The Cincinnati Casualty Company – NAIC#: 28665
    The Cincinnati Indemnity Company- NAIC#: 23280
    The Cincinnati Insurance Company – NAIC#: 10677
    Link No.:          S13310
    Description:     Submitted the following for use with their professional liability program:
    GA 116 10 14 – Employment Practices Liability Coverage Form
    GLAQ 519 10 14 – Claims Made Employment Practices Liability Coverage Form Declarations
    Approved:        January 13, 2015

  10. Company:        Great American Insurance Company – NAIC#: 16691
    Link No.:          S13410
    Description:     Submitted the following for use on ExecPro Nonprofit Solution program:
    D16712-3 10-14 – Elite Coverage Endorsement
    Approved:        January 13, 2015

  11. Company:        Old Republic Insurance Company – NAIC#: 24147
    Link No.:          S13415
    Description:     Submitted the following for use with its Non-Profit Directors & Officers Program:
    ORNP-148 (10/2014) – Amend Definition of Insured Person(s) to Include Property Manager
    Approved:        January 13, 2015

    ____________________________

  12. Company:        ACE American Insurance Company – NAIC#: 22667
    Link No.:          S7523
    Description:     Submitted 25 endorsements for use with Excess Directors & Officers Coverage
    Approved:        January 21, 2015

  13. Company:        Old Republic Insurance Company – NAIC#: 24147
    Link No.:          S9754
    Description:     Submitted 39 forms for a new program, A Side for use with its new Non-Identifiable Directors & Officers liability policy
    Approved:        January 21, 2015

  14. Company:        National Union Fire Insurance Company of Pittsburgh, PA. – NAIC#: 19445
    Link No.:          S10278
    Description:     Submitted 27 forms for its Healthcare Facilities Professional Liability Program
    Approved:        January 21, 2015

  15. Company:        Western Surety Company – NAIC#: 13188
    Link No.:          S10797
    Description:     Submitted F10947 – Notary Public Errors and Omissions Policy for use with its Notary Public Errors and Omissions Program
    Approved:        January 21, 2015

  16. Company:        The Cincinnati Casualty Company – NAIC#: 28665
    The Cincinnati Indemnity Company – NAIC#: 23280
    The Cincinnati Insurance Company – NAIC#: 10677
    Link No.:          S13275
    Description:     Submitted the following for use with their Fitness Professional Liability Program:
    PA 136 TX 06 14 – Texas – Fitness Professional Liability Coverage Form
    PA 230 06 14 – Expanded Professional Liability Coverage
    Approved:        January 21, 2015

  17. Company:        ACE American Insurance Company – NAIC#: 22667
    Link No.:          S13362
    Description:     Submitted the an optional endorsement used with the ACE Health Care and Allied Professional and Supplemental Liability Policy:
    MS-35183 (12/14) – Transfer of Rights Of Recovery Against Others To US Condition Amendment Endorsement
    Approved:        January 21, 2015

  18. Company:        The Cincinnati Casualty Company – NAIC#: 28665
    The Cincinnati Indemnity Company – NAIC#: 23280
    The Cincinnati Insurance Company – NAIC#: 10677
    Link No.:          S13367
    Description:     Submitted 10 endorsements for use with their professional liability program
    Approved:        January 21, 2015

  19. Company:        Professional Solutions Insurance Company – NAIC#: 11127
    Link No.:          S13819
    Description:     Submitted PSIC-DDS-06 12/14 – Extended Reporting Endorsement for use with its Dental Professional Liability Program
    Approved:        January 21, 2015

  20. Company:        Hiscox Insurance Company – NAIC#: 10200
    Link No.:          S13846
    Description:     Submitted 27 forms for its Excess Management Liability Program
    Approved:        January 21, 2015

    ____________________________

  21. Company:        Arch Insurance Company – NAIC#: 11150
    Link No.:          S13473
    Description:     Submitted the following for use with its Primary Directors and Officers Program:
    00 DOP021000 08 13 – Add General Partner and Defined Partnership
    00 DOP022000 09 12 – Prior Acts Exclusion
    00 DOP026500 06 13 – Directors, Officers and Corporation Liability Insurance Policy Professional Services Exclusion
    00 DOP010500 08 13 – Specific Litigation/Proceeding Exclusion
    00 DOP026700 02 14 – Extended Reporting Period Election/Runoff Coverage
    Approved:        January 27, 2015

  22. Company:        Beazley Insurance Company, Inc. – NAIC#: 37540
    Link No.:          S13634
    Description:     Submitted E06594 122104 ed. – Amend Item 6. of the Declarations, for use with its Excess Liability Program
    Approved:        January 27, 2015

  23. Company:        RSUI Indemnity Company – NAIC#: 22314
    Link No.:          S14321
    Description:     Submitted the following for use with its Directors and Officers Liability Program:
    RSG 244018 1214 – Absolute Contractual Exclusion
    RSG 204181 1214 – Class Action Retention
    RSG 212060 1214 – Texas-Coverage Extension-Educational Institution
    RSG 242019 1214 – Texas-Coverage Extension-Educational Institution
    RSG 206051 1214 – Exclusion – Builder/Developer
    RSG 244019 1214 – Modified Insured vs. Insured Exclusion
    Approved:        January 27, 2015

  24. Company:        Federal Insurance Company – NAIC#: 20281
    Link No.:          S14816
    Description:     Submitted the following for its Chubb Primary Product:
    14-02-21376TX 12/2014 – The Chubb Primary Side A Enhancement Endorsement
    Approved:        January 27, 2015

  25. Company:        Federal Insurance Company – NAIC#: 20281
    Link No.:          S14835
    Description:     Submitted the following for its Chubb Primary Product:
    14-02-21413 (01/2015) – Amend Section XXIX Definition of Loss Endorsement
    Approved:        January 27, 2015

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Workers' Compensation

  1. Company:        Starr Indemnity & Liability Company – NAIC#: 38318
    Link No.:          S2170
    Description:     Submitted the following form reference for use with its workers’ compensation program:
    NCCI form WC 42 01 01 in TDI File Number 9212557779
    Approved:        January 6, 2015

  2. Company:        BITCO General Insurance Corporation – NAIC#: 20095
    BITCO National Insurance Company – NAIC#: 20109
    Link No.:          S13402
    Description:     Submitted the following forms and endorsements for use with their workers’ compensation policies:
    WC-4314 (09/14) – Cancellation/Reinstatement Information
    GU-4857 (10/14) – Dividend Provision Endorsement
    PE-4816 (09/14) – Dividend Provision Endorsement
    Approved:        January 6, 2015

  3. Company:        Arch Insurance Company – NAIC#: 11150
    Link No.:          S13489
    Description:     Submitted 05 ML0002 00 12 14 – Signature Page for use with its workers’ compensation policy
    Approved:        January 6, 2015

  4. Company:        BITCO General Insurance Corporation – NAIC#: 20095
    BITCO National Insurance Company – NAIC#: 20109
    Link No.:          S13527
    Description:     Submitted the following for use with their workers’ compensation policies:
    GU-4843 (09/14) – BITCO General Insurance Corporation
    GU-4844 (09/14) – BITCO National Insurance Company
    GU-4846 (09/14) – Policy Jacket – Back Cover
    GU-4835 (09/14) – Name Change Endorsement
    GU-4836 (09/14) – Name Change Endorsement
    Approved:        January 6, 2015

  5. Company:        Oak River Insurance Company – NAIC#: 34630
    Link No.:          S13700
    Description:     Submitted WC 99 06 12 9-13 – Foreign Voluntary Compensation and Employers Liability Coverage Endorsement for use with its workers’ compensation policy
    Approved:        January 6, 2015

    ____________________________

  6. Company:        The Hanover Insurance Company- NAIC#: 22292
    The Hanover American Insurance Company – NAIC#: 36064
    Massachusetts Bay Insurance Company – NAIC#: 22306
    Hanover Lloyds Insurance Company - NAIC#: 41602
    Allmerica Financial Benefit Insurance Company – NAIC#: 41840
    Link No.:          S14042
    Description:     Submitted the following to be used in conjunction with previously approved workers’ compensation dividend endorsements:
    WC 99 03 03 07 14 – Workers’ Compensation Participating Endorsement
    Approved:        January 21, 2015

  7. Company:        Mitsui Sumitomo Insurance Company of America – NAIC#: 20362
    Mitsui Sumitomo Insurance USA Inc. – NAIC#: 22511
    Link No.:          S14137
    Description:     Submitted the following for use with their workers’ compensation policies:
    WC 99 06 04 (Ed. 04 14) – Extension of Information Page Item 4 Workers Compensation – Classification Schedule
    WC 99 06 05 (Ed. 04 14) – Schedule of Forms and Endorsements
    WC 99 06 06 (Ed. 04 14) – Schedule of Named Insureds
    WC 99 06 07 (Ed. 04 14) – Company Signature Page
    WC 99 06 08 A (Ed. 04 14) – Policy Changes Endorsement
    Approved:        January 21, 2015

  8. Company:        MEMIC Indemnity Company – NAIC#: 11030
    Link No.:          S14147
    Description:     Submitted WC 99 06 61 1-15 – Texas Participating Endorsement, Sliding Scale Dividend Plan – SC3 for use with its workers’ compensation policy
    Approved:        January 21, 2015

  9. Company:        Old Republic Insurance Company – NAIC#: 24147
    Old Republic General Insurance Corporation – NAIC#: 24139
    Link No.:          S14365
    Description:     Submitted WC 99 03 04 A (04/15) – Foreign Voluntary Compensation and Employers Liability Coverage Endorsement for use with their workers’ compensation policies
    Approved:        January 21, 2015

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Last updated: 01/28/2015

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