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

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

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:        Great Divide Insurance Company – NAIC#: 10801
    Link No.:          S9620
    Description:     Submitted 78 forms for its new Dentists Professional Liability Insurance program
    Approved:        August 5, 2015

  2. Company:        Federal Insurance Company – NAIC#: 20281
    Link No.:          S22220
    Description:     Submitted 14-02-21431 (02/2015) – Amended Exclusions and Definitions Endorsement for use with its Protection for Community Association Leaders product
    Approved:        August 5, 2015

  3. Company:        Travelers Casualty and Surety Company of America – NAIC#: 31194
    Link No.:          S22273
    Description:     Submitted 17 forms and endorsements for use with its Wrap+ Health Care program
    Approved:        August 5, 2015

  4. Company:        Everest National Insurance Company – NAIC#: 10120
    Link No.:          S22763
    Description:     Submitted the following for use with its Directors and Officers Excess DIC Side A Coverage product:
    EDEC 400 06 15 – Directors and Officers Excess DIC Side A Coverage Form Declarations
    ESU 00 400 06 15 – Directors and Officers Excess DIC Side A Coverage Form
    Approved:        August 5, 2015

  5. Company:        Illinois National Insurance Company – NAIC#: 23817
    National Union Fire Insurance Company of Pittsburgh, PA. – NAIC#: 19445
    Link No.:          S22842
    Description:     Submitted 40 endorsements for use with its Executive Edge and D & O 2-2000 Programs
    Approved:        August 5, 2015

  6. Company:        The Medical Protective Company – NAIC#: 11843
    Link No.:          S23171
    Description:     Submitted the following for use with its Dentists program:
    T-9-15 9-15 – Occurrence Policy
    1080 01/15 – Texas Claims Notice
    Approved:        August 5, 2015

  7. Company:        Travelers Casualty and Surety Company of America – NAIC#: 31194
    Link No.:          S23219
    Description:     Submitted the following for use with its modular program when issued on either a monoline basis or as part of a multi-peril package:
    LIA-19106 Ed. 03-15 – Successor In Interest Coverage Extension Endorsement
    LIA-19109 Ed. 04-15 – Amend Change of Control and Extended Reporting Period Conditions Endorsement
    Approved:        August 5, 2015

  8. Company:        United States Liability Insurance Company – NAIC#: 25895
    Link No.:          S609970
    Description:     Submitted MSP 268 (06-15) – Scheduled Insured Endorsement for use with its Micro Pro Professional Liability Coverage Form
    Approved:        August 5, 2015

  9. Company:        Texas Hospital Insurance Exchange – NAIC#: 32514
    Link No.:          S610678
    Description:     Submitted the following for use with its Hospital Professional Liability program:
    PL 40 04 09 15 – Additional Named Insured
    PL 40 02 09 15 - AI - Lessor of Leased Equipment
    PL 40 03 09 15 - AI - Designated Persons or Organizations
    Approved:        August 5, 2015

  10. Company:        Beazley Insurance Company, Inc. – NAIC#: 37540
    Link No.:          S610753
    Description:     Submitted the following for use with its AFB Media Tech® product:
    E07284 062015 ed. – Delete Insuring Agreement F. Multimedia and Advertising Liability Coverage
    E07285 062015 ed. – Delete Insuring Agreements C., D., E., and G.
    Approved:        August 5, 2015

  11. Company:        American Guarantee and Liability Insurance Company – NAIC#: 26247
    Link No.:          S610776
    Description:     Submitted 10 forms for use with its new Unicover Employment Practices Liability Insurance program
    Approved:        August 5, 2015

  12. Company:        Executive Risk Indemnity, Inc. – NAIC#: 35181
    Federal Insurance Company – NAIC#: 20281
    Vigilant Insurance Company – NAIC#: 20397
    Link No.:          S610867
    Description:     Submitted the following for use with their Chubb Pro E&O product:
    14-02-17641TX (07/2015) – Conditions Enhancement Endorsement
    14-02-21837 (06/2015) – Amend Extended Reporting Period Endorsement
    Approved:        August 5, 2015

    __________________________

  13. Company:        United States Liability Insurance Company – NAIC#: 25895
    Link No.:          S23085
    Description:     Submitted PO 211 (05-15) – Specified Person or Entity Exclusion Endorsement for use with its professional liability program
    Approved:        August 18, 2015

  14. Company:        Executive Risk Indemnity, Inc. – NAIC#: 35181
    Federal Insurance Company – NAIC#: 20281
    Vigilant Insurance Company – NAIC#: 20397
    Link No.:          S22903
    Description:     Submitted 14-02-17407 (05/2015) – Specific Entity Exclusion Endorsement for use with its Chubb Pro E & O product
    Approved:        August 18, 2015

  15. Company:        Great American Insurance Company – NAIC#: 16691
    Link No.:          S22963
    Description:     Submitted the following for use with its ExecPro Non Profit Solution product:
    D 16716-1 (02/11) - Amendment to Section VI.
    D 16712-4 (04/15) - Separate Limit of Liability for Costs of Defense Incurred by Insurer Endorsement
    D 16719-4 (02/11) - Amendment to Section IX. Additional A Side Limit of Liability
    Approved:        August 18, 2015

  16. Company:        Philadelphia Indemnity Insurance Company – NAIC#: 18058
    Link No.:          S23066
    Description:     Submitted PI-VS-006 (11/14) – Additional Insured-Designated Organization for use with its academic or vocational school exposures
    Approved:        August 18, 2015

  17. Company:        Executive Risk Indemnity, Inc. – NAIC#: 35181
    Federal Insurance Company – NAIC#: 20281
    Link No.:          S22327
    Description:     Submitted the following use with their Venture Capital Asset Protection product:
    14-02-21784 (04/2015) - Amend Termination of Policy Endorsement
    14-02-21788 (04/2015) - Amend VCAP Endorsement
    14-02-21789 (04/2015) - VCAP Gateway Supplemental Endorsement
    Approved:        August 18, 2015

  18. Company:        Beazley Insurance Company, Inc. – NAIC#: 37540
    Link No.:          S22885
    Description:     Submitted the following for use with its Beazley One Management Liability Insurance program:
    E06124 072014 ed. – Amend Definition of Executive Officer
    E06125 072014 ed. – Carveback to Bodily Injury/Property Damage Exclusion for Provider Selection
    Approved:        August 18, 2015

  19. Company:        Argonaut-Midwest Insurance Company – NAIC#: 19828
    Link No.:          S611927
    Description:     Submitted the following for use with its PIAPRO Agent’s Errors & Omissions product:
    FRAUD-0615 - General Fraud Statement
    PIAAPP-0615 - PIAPRO Insurance Professionals Application
    PIARNAPP-0615 - PIAPRO Insurance Professionals Renewal Application
    PIAVIC-0615 - Vicarious Liability Endorsement
    Approved:        August 18, 2015

  20. Company:        The Hanover Insurance Company – NAIC#: 22292
    Link No.:          S611981
    Description:     Submitted 912-0164 01 15 – Texas Changes – Data Breach Coverage Form for use with its Technology program
    Approved:        August 18, 2015

  21. Company:        Illinois National Insurance Company – NAIC#: 23817
    National Union Fire Insurance Company of Pittsburgh, PA. – NAIC#: 19445
    Link No.:          S23123
    Description:     Submitted 40 endorsements to be used with their Executive Edge Program
    Approved:        August 18, 2015

  22. Company:        Aspen American Insurance Company – NAIC#: 43460
    Link No.:          S610750
    Description:     Submitted 12 new endorsements for use with its Excess Management Liability (Follow Form) Program
    Approved:        August 18, 2015

  23. Company:        Zurich American Insurance Company – NAIC#: 16535
    Link No.:          S611260
    Description:     Submitted seven forms that will be used to write technology errors and omissions coverage
    Approved:        August 18, 2015

  24. Company:        Peerless Indemnity Insurance Company – NAIC#: 18333
    Peerless Insurance Company – NAIC#: 24198
    The Netherlands Insurance Company – NAIC#: 24171
    America First Insurance Company – NAIC#: 12696
    America First Lloyd’s Insurance Company - NAIC#: 11526
    Link No.:          S611537
    Description:     Submitted the following in response to the Terrorism Risk Insurance Program Reauthorization Act of 2015 that will be used to write miscellaneous professional liability monoline or multi-peril policies:
    17-357 (01/15) – Cap on Losses from Certified Acts of Terrorism
    17-360 (01/15) – Exclusion of Certified Acts of Terrorism
    17-363 (01/15) – Exclusion of Punitive Damages Related to a Certified Act of Terrorism
    Approved:        August 18, 2015

    __________________________

  25. Company:        QBE Insurance Corporation – NAIC#: 39217
    Link No.:          S12994
    Description:     Submitted 46 forms for its new D&O program, The Solution for Asset Managers and Family Office Liability Policy
    Approved:        August 25, 2015

  26. Company:        Everest National Insurance Company – NAIC#: 10120
    Link No.:          S21677
    Description:     Submitted 39 forms and endorsements for use with its new Cyber Cover program
    Approved:        August 25, 2015

  27. Company:        AXIS Insurance Company – NAIC#: 37273
    Link No.:          S21999
    Description:     Submitted 104 forms to introduce its Investment Management Liability program
    Approved:        August 25, 2015

  28. Company:        Wesco Insurance Company – NAIC#: 25011
    Link No.:          S609808
    Description:     Submitted 144 forms for its new Euclid Management Liability program
    Approved:        August 25, 2015

  29. Company:        Federal Insurance Company – NAIC#: 20281
    Link No.:          S609819
    Description:     Submitted the following for use with The Chubb Primary product:
    14-02-19187 (03/2015) - Run-Off Endorsement (Successor Language)
    14-02-21768 (03/2015) - Amend Section VII Advancement of Defense Costs Endorsement
    14-02-21769 (03/2015) - Amend Section XXIX Interview Endorsement
    Approved:        August 25, 2015

  30. Company:        St. Paul Mercury Insurance Company – NAIC#: 24791
    Link No.:          S609903
    Description:     Submitted IV900 Rev. 07-15 – Global Coverage Compliance Endorsement revised for use with its Professional Liability - Investment Advisor Professional Liability; Directors and Officers Liability; Employment Practices Liability; Fiduciary Liability Policy - Non Institutional; and Financial Institution Professional Liability coverage
    Approved:        August 25, 2015

  31. Company:        United States Liability Insurance Company – NAIC#: 25895
    Link No.:          S610166
    Description:     Submitted IAE 218 (06-15) – Specified Person or Entity Exclusion Endorsement for use with its Insurance Agents and Brokers Professional Liability product
    Approved:        August 25, 2015

  32. Company:        Navigators Insurance Company – NAIC#: 42307
    Link No.:          S610464
    Description:     Submitted 25 forms for its new Public Entity Liability program
    Approved:        August 25, 2015

  33. Company:        Professional Solutions Insurance Company – NAIC#: 11127
    Link No.:          S611433
    Description:     Submitted PSIC-DDS-18 (TX) 07/15 – Network Security & Privacy Proceeding Endorsement to revise its Dental Professional Liability Program
    Approved:        August 25, 2015

  34. Company:        Beazley Insurance Company, Inc. – NAIC#: 37540
    Link No.:          S611693
    Description:     Submitted 41 forms that will be used to write directors & officers liability Insurance
    Approved:        August 25, 2015

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Workers' Compensation

  1. Company:        Transguard Insurance Company of America, Inc. – NAIC#: 28886
    Link No.:          S611816
    Description:     Submitted WC 89 06 01 B 06 15 – Policy Jacket for use with its Workers Compensation and Employers Liability Insurance policy
    Approved:        August 18, 2015

  2. Company:        Republic Indemnity Company of America – NAIC#: 22179
    Republic Indemnity Company of California – NAIC#: 43753
    Link No.:          S611219
    Description:     Submitted the following for use with their Workers’ Compensation Insurance Policy:
    WC703A (Ed. 09-15) – Experience Rating Endorsement – Republic Indemnity Company of America
    WC703A (Ed. 09-15) - Experience Rating Endorsement – Republic Indemnity Company of California
    Approved:        August 18, 2015

  3. Company:        Berkshire Hathaway Homestate Insurance Company – NAIC#: 20044
    Redwood Fire and Casualty Insurance Company – NAIC#: 11673
    Oak River Insurance Company – NAIC#: 34630
    Link No.:          S611088
    Description:     Submitted WC 99 06 11 D (Ed. 8-15) – Large Risk Deductible Endorsement for use with their Workers’ Compensation Insurance Policy
    Approved:        August 18, 2015

  4. Company:        Nova Casualty Company – NAIC#: 42552
    Link No.:          S612057
    Description:     Submitted five new forms for use with their Workers’ Compensation Insurance Policy
    Approved:        August 18, 2015

  5. Company:        ACE American Insurance Company – NAIC#: 22667
    ACE Fire Underwriters Insurance Company – NAIC#: 20702
    ACE Property and Casualty Insurance Company – NAIC#: 20699
    Bankers Standard Fire & Marine Company – NAIC#: 20591
    Bankers Standard Insurance Company – NAIC#: 18279
    Indemnity Insurance Company of North America – NAIC#: 43575
    Insurance Company of North America – NAIC#: 22713
    Pacific Employers Insurance Company – NAIC#: 22748
    Westchester Fire Insurance Company – NAIC#: 10030
    Link No.:          S612146
    Description:     Submitted WC 99 03 61A (01/15) - Extended Foreign Voluntary Compensation Endorsement for use with their Workers’ Compensation Insurance Policy
    Approved:        August 18, 2015

    __________________________

  6. Company:        American Zurich Insurance Company – NAIC#: 40142
    American Guarantee and Liability Insurance Company – NAIC#: 26247
    Colonial American Casualty & Surety Company – NAIC#: 34347
    Fidelity and Deposit Company of Maryland – NAIC#: 39306
    Zurich American Insurance Company of Illinois – NAIC#: 27855
    Zurich American Insurance Company – NAIC#: 16535
    Link No.:          S612419
    Description:     Submitted WC 99 00 01 A (Ed. 04/10) – Workers Compensation and Employers Liability Insurance Policy for use with their Workers Compensation Insurance Policy
    Approved:        August 25, 2015

  7. Company:        Old Republic Insurance Company – NAIC#: 24147
    Link No.:          S612476
    Description:     Submitted WC 99 06 42 (01/16) – Policy Jacket for use with its Workers Compensation Insurance Policy
    Approved:        August 25, 2015

  8. Company:        Old Republic General Insurance Corporation – NAIC#: 24139
    Link No.:          S612672
    Description:     Submitted the following for use with their Workers Compensation Insurance Policy:
    WC 99 03 97 (01-16) Economic and Trade Sanctions Condition Endorsement
    WC 99 06 43 (01-16) Policy Jacket
    Approved:        August 25, 2015

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Last updated: 08/27/2015

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