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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:        PLICO, Inc. – NAIC#: 39594
    Link No.:          S8586
    Description:     Submitted 56 forms, applications, endorsements and declarations for the Company’s Physicians program
    Approved:        February 5, 2015

  2. Company:        Federal Insurance Company – NAIC#: 20281
    Link No.:          S8730
    Description:     Submitted 115 forms for use in four Coverage Parts offered in the Chubb Professional Portfolio product
    Approved:        February 5, 2015

  3. Company:        Allied World Insurance Company – NAIC#: 22730
    Link No.:          S9142
    Description:     Submitted 100 forms for its Professional Liability D & O Program
    Approved:        February 5, 2015

  4. Company:        QBE Insurance Corporation – NAIC#: 39217
    Link No.:          S10432
    Description:     Submitted 159 forms for its D & O program, The Solution for Management Liability
    Approved:        February 5, 2015

  5. Company:        The Charter Oak Fire Insurance Company – NAIC#: 25615
    The Phoenix Insurance Company – NAIC#: 25623
    The Travelers Indemnity Company – NAIC#: 25658
    The Travelers Indemnity Company of America – NAIC#: 25666
    The Travelers Indemnity Company of Connecticut – NACI#: 25682
    Travelers Casualty Insurance Company of America – NAIC#: 19046
    Travelers Property Casualty Company of America – NAIC#: 25674
    Link No.:          S13912
    Description:     Submitted the following for use with their CyberFirst Essentials Program:
    PR T4 49 03 15 - Crisis Management Service Expenses Coverage
    PR T4 97 03 15 - Breach Essentials Endorsement
    PR T5 01 03 15 - Breach Essentials Endorsement - Technology
    PR T5 21 03 15 - Coverage For Financial Interest In Foreign Insured Organizations - CyberFirst Essentials
    Approved:        February 5, 2015

  6. Company:        The Charter Oak Fire Insurance Company – NAIC#: 25615
    The Phoenix Insurance Company – NAIC#: 25623
    The Travelers Indemnity Company – NAIC#: 25658
    The Travelers Indemnity Company of America – NAIC#: 25666
    The Travelers Indemnity Company of Connecticut – NACI#: 25682
    Travelers Property Casualty Company of America – NAIC#: 25674
    Link No.:          S13914
    Description:     Submitted the following for use with their CyberFirst Program:
    PR T5 20 03 15 – Amendment Of Conditions And Coverage For Financial Interest In Foreign Insured Organizations – CyberFirst
    PR T5 22 03 15 – Amendment Of Conditions And Coverage For Financial Interest In Foreign Insured Organizations – Manufacturers Errors And Omissions
    Approved:        February 5, 2015

  7. Company:        Beazley Insurance Company Incorporated – NAIC#: 37540
    Link No.:          S14999
    Description:     Submitted the following for use with its Beazley One Management Liability Insurance Program:
    E06669 012015 ed.- Governmental Funding Claim Exclusion
    Approved:        February 5, 2015

    __________________________

  8. Company:        National Union Fire Insurance Company of Pittsburgh, Pa. – NAIC#: 19445
    Link No.:          S15655
    Description:     Submitted the following for its Pension Trust Liability Program:
    117188 (2-14) – Affordable Care Act Coverage
    111446 (8-12) – Guaranteed Renewal Endorsement
    113478 (2-13) - Subrogation and Waiver of Recourse Amended Endorsement
    111342 (6-12) – Settlor Capacity Amendatory (Wrongful Act Definition Amended)
    101975 (7-09) – Wrongful Act Definition Amended (Cobra Notices)
    Approved:        February 10, 2015

  9. Company:        United States Liability Insurance Company – NAIC#: 25895
    Link No.:          S15675
    Description:     Submitted MSP 273 (01-15) – Defense Costs Within The Limit of Liability Endorsement, for use with its Miscellaneous Professional Liability product
    Approved:        February 10, 2015

    __________________________

  10. Company:        NORCAL Mutual Insurance Company – NAIC#: 33200
    Link No.:          S7619
    Description:     Submitted 58 forms for its Physicians and Surgeons Professional Liability Program
    Approved:        February 18, 2015

  11. Company:        Hiscox Insurance Company – NAIC#: 10200
    Link No.:          S10549
    Description:     Submitted 230 forms for its Hiscox Pro™ Program for various professional fields
    Approved:        February 18, 2015

  12. Company:        QBE Insurance Corporation – NAIC#: 39217
    Link No.:          S11018
    Description:     Submitted 182 forms and endorsements for use with it’s the Solution for Errors & Omissions and Privacy & Network Security Liability
    Approved:        February 18, 2015

  13. 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
    Universal Underwriters of Texas Insurance Company – NAIC#: 40843
    Universal Underwriters Insurance Company – NAIC#: 41181
    Empire Fire and Marine Insurance Company – NAIC#: 21326
    Link No.:          S13667
    Description:     Submitted U-GU-1191-A CW (03/15) – Sanctions Exclusion Endorsement for use with their Emergency Medical Technicians Ambulance Program
    Approved:        February 18, 2015

  14. Company:        The Hanover Insurance Company – NAIC#: 22292
    Link No.:          S15103
    Description:     Submitted the following for use with its Technology E&O customers:
    912-0158 01 15 – Data Breach Coverage Form
    912-0164 01 15 – Texas Changes – Data Breach Coverage Form
    Approved:        February 18, 2015

  15. Company:        ACE American Insurance Company – NAIC#: 22667
    Link No.:          S15134
    Description:     Submitted the following for use with its 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:        February 18, 2015

  16. Company:        The Cincinnati Casualty Company – NAIC#: 28665
    The Cincinnati Indemnity Company – NAIC#: 23280
    The Cincinnati Insurance Company – NAIC#: 10677
    Link No.:          S15911
    Description:     Submitted IA 4448 09 14 – Broad Form Named Insured Endorsement when issued either on a monoline basis or as part of a multi-peril package
    Approved:        February 18, 2015

    __________________________

  17. Company:        Fair American Insurance and Reinsurance Company – NAIC#: 35157
    Link No.:          S14709
    Description:     Submitted 46 forms for its Psychiatrists’ Professional Liability Program
    Approved:        February 24, 2015

  18. Company:        Atlantic Specialty Insurance Company – NAIC#: 27154
    Link No.:          S15360
    Description:     Submitted 48 endorsements for its Technology Professional Liability product
    Approved:        February 24, 2015

  19. Company:        The Cincinnati Casualty Company – NAIC#: 28665
    The Cincinnati Indemnity Company – NAIC#: 23280
    The Cincinnati Insurance Company – NAIC#: 10677
    Link No.:          S15940
    Description:     Submitted the following for use with their professional liability policies:
    IA 4448 09 14 – Broad Form Named Insured Endorsement
    Approved:        February 24, 2015

  20. Company:        Executive Risk Indemnity, Inc. – NAIC#: 35181
    Federal Insurance Company – NAIC#: 20281
    Link No.:          S15981
    Description:     Submitted the following for use with their Executive Protection Portfolio program, a program of D&O insurance:
    14-02-21385 12/2014 – Loss Payee Endorsement
    Approved:        February 24, 2015

  21. Company:        Federal Insurance Company – NAIC#: 20281
    Link No.:          S16088
    Description:     Submitted the following for use with its Chubb Primary Product:
    14-02-21413 (02/2015) – Amend Section XXIX Definition of Loss Endorsement
    Approved:        February 24, 2015

Return to Index

Workers' Compensation

  1. Company:        American Interstate Insurance Company – NAIC#: 31895
    American Interstate Insurance Company of Texas – NAIC#: 12228
    Link No.:          S15667
    Description:     Submitted the following revisions to their workers’ compensation policy jackets:
    AIIC-WC-J 04/2015 – American Interstate Insurance Company Workers Compensation Policy Jacket
    AIIC-TX-WC-J 04/2015 – American Interstate Insurance Company of Texas Workers Compensation Policy Jacket
    Approved:        February 10, 2015

    __________________________

  2. Company:        Atlantic Specialty Insurance Company – NAIC#: 27154
    OBI National Insurance Company – NAIC#: 14190
    Link No.:          S15308
    Description:     Submitted WC 99 06 17 (11 14) – Increased Notice of Cancelation Endorsement for use with their workers’ compensation policies
    Approved:        February 18, 2015

  3. Company:        Arch Indemnity Insurance Company – NAIC#: 30830
    Link No.:          S15467
    Description:     Submitted the following for use with its workers’ compensation policy:
    00 WC0001 44 02 15 - Workers Compensation and Employers Liability Insurance Policy Negotiated Deductible Endorsement
    00 WC004 00 11 03 - Earlier Notice of Cancellation Provided by Us Endorsement
    WC 99 06 02 06 02 - Extension of Form WC 89 06 00 B
    WC-99-06-03 (05/04) - Foreign Coverage Endorsement
    00 ML0012 00 01 03 - Schedule of Forms and Endorsements
    09 ML0002 00 12 14 - Signature Page
    Approved:        February 18, 2015

    __________________________

  4. Company:        American Automobile Insurance Company – NAIC#: 21849
    Associated Indemnity Corporation – NAIC#: 21865
    Fireman’s Fund insurance Company – NAIC#: 21873
    National Surety Corporation – NAIC#: 21881
    The American Insurance Company – NAIC#: 21857
    Link No.:          S16039
    Description:     Submitted the following for use with their workers’ compensation policies:
    WC990682 04-15 – Workers Compensation and Employers Liability Insurance Policy Economic or Trade Sanctions Compliance
    Approved:        February 24, 2015

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Last updated: 02/26/2015

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