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
- Company: Executive Risk Indemnity, Inc.
Link No.: 126948
Description: Submitted the following endorsement for use with its Directors and Officers Liability Program:
14-02-19756 (01/2013) – Privacy and Data Breach Exclusion Endorsement
Approved: May 8, 2013
- Company: RLI Insurance Company
Link No.: 125537
Description: Submitted 85 forms for Technology Errors & Omissions
Approved: May 8, 2013
- Company: Everest National Insurance Company
Link No.: 127198
Description: Submitted the following endorsement for Directors and Officers Liability:
EEO 40 993 (02 13) – Modification to Section V Exclusion Violation of Lending Law Exclusion Applicable to All Insuring Agreements
Approved: May 8, 2013
- Company: Everest National Insurance Company
Link No.: 127195
Description: Submitted the following endorsement for use with its Employment Practices Liability Program:
EEO 40 993 (02 13) – Modification to Section V Exclusion Violation of Lending Law Exclusion Applicable to All Insuring Agreements
Approved: May 8, 2013
- Company: BCS Insurance Company
Link No.: 127089
Description: Submitted the following form for its previously approved Professional Insurance Agent’s E & O policy:
92.523 0413 – Limited Personal Lines Property and Casualty Agent Coverage Endorsement
Approved: May 8, 2013
_____________________________ - Company: Travelers Casualty and Surety Company of America
Link No.: 126319
Description: Submitted the following to be used with the Fiduciary Liability Policy that is a part of the Modular Program:
FRI-19005 Ed. 02-14 Amend Retention Condition – Advancement of Retention Amount to Insured Persons Endorsement
FRI-19006 Ed. 02-14 Amend Merger of Plans Condition by Adding “Prior To” Language Endorsement
FRI-19007 Ed. 02-14 Amend Acquisition of Employee Benefit Plan Condition by Deleting “Wholly” and Requirement for Application Endorsement
FRI-19008 Ed. 02-14 Replace Section V.D. Sale of Plan – Delete Subpart 3 Endorsement
FRI-19009 Ed. 02-14 Delete Workplace Misconduct Exclusion Endorsement
FRI-19010 Ed. 02-14 Amend Claim Definition Endorsement
Approved: May 15, 2013
- Company: Everest National Insurance Company
Link No.: 127131
Description: Submitted the following endorsements for use with its American bankers Association Program:
EEO 40 987 02 13 – Modification to Section V Exclusions Funds Transfer Fraud Exclusion
EEO 40 988 02 13 – Broad Form Company Liability Modification Insolvency Exclusion
EEO 40 989 02 13 – Bankers Professional Liability Modification Insolvency Exclusion
EEO 40 990 02 13 – Broad Form Company Liability Modification Intellectual Property/Unfair Competition Exclusion
EEO 40 991 02 13 – Broad Form Company Liability Modification Intellectual Property Exclusion
EEO 40 993 02 13 – Modification to Section V Exclusions Violation Of Lending Law Exclusion Applicable To All Insuring Agreements
Approved: May 15, 2013
- Company: Great American Insurance Company
Link No.: 127154
Description: Submitted the following endorsement for use with its ExecPro Community Association Solution Insurance Policy Program:
D 26718-1 (01/11) – Amendment to Section VIII – Coverage Extension Former Directors and Officers
Approved: May 15, 2013
- Company: Atlantic Specialty Insurance Company
Link No.: 127048
Description: Submitted 12 forms for use with the currently approved Professional Liability components of its Banking Program – Management & Professional Liability and Cyber Liability
Approved: May 15, 2013
- Company: Executive Risk Indemnity Inc.
Link No.: 127090
Description: Submitted the following for their previously approved Protection for Community Association Leaders Insurance Program:
14-02-19683TX 05/2013 – Conversion Endorsement
14-02-19751 01/2013 – Amend Exclusion III. (B) Endorsement
Approved: May 15, 2013
_____________________________ -
Company: Travelers Casualty and Surety Company of America
Link No.: 127477
Description: Submitted the following for use with its Modular Program
MPL-19005 Ed. 04-13 – Cost of Corrections Expenses Endorsement
MPL-19006 Ed. 04-13 – Increased Limit of Liability for Specified Entities – Prior and Pending Proceeding, Continuity, and Retroactive Dates Endorsement
Approved: May 22, 2013 -
Company: Preferred Professional Insurance Company
Link No.: 127612
Description: Submitted the following certificates of Insurance:
MP-MPCERT (09/10) – Certificate of Insurance
PP-PPCERT (09/10) – Certificate of Insurance
PZ-PZCERT (09/10) – Certificate of Insurance
GPCERT (09/10) - Certificate of Insurance
Approved: May 22, 2013 -
Company: Twin City Fire Insurance Company
Link No.: 127606
Description: Submitted the following endorsement to be used with coverage approved for Twin City Fire on November 7, 2007 in TDI Link 90711:
EP 00 H090 00 0812 – Employers Premier Choice Plus Endorsement
Approved: May 22, 2013 -
Company: Hartford Fire Insurance Company
Link No.: 127120
Description: Submitted 45 endorsements for its FailSafe GIGA Technology Liability and FailSafe TERA Technology Liability policies currently on file with TDI
Approved: May 22, 2013 -
Company: Travelers Casualty and Surety Company of America
Link No.: 126674
Description: Submitted the following forms for its Modular Program, CyberRisk Coverage, currently on file with TDI:
Cyb-19004 Ed. 03-13 - Fines And Penalties And Consumer Redress Funds Endorsement
Cyb-19005 Ed. 03-13 - Fines And Penalties/Consumer Redress Funds/Payment Card Expenses Insuring Agreement Endorsement – Including Chargebacks
Cyb-19006 Ed. 03-13 - Fines And Penalties/Consumer Redress Funds/Payment Card Contract Penalties/Software And Hardware Upgrade And Scanning Services Expenses Endorsement
Cyb-19008 Ed. 03-13 - Amend Exclusion III. A. 4 Endorsement
Cyb-19010 Ed. 03-13 - Amend Definition Of Identity Information Endorsement
Cyb-19011 Ed. 03-13 - Amend Definition Of Insured Person Endorsement
Approved: May 22, 2013
Workers' Compensation
- Company: Berkley Regional Insurance Company, et al.
Link No.: 127077
Description: Submitted the following endorsements:
WC 99 00 01 (12 11) – Foreign Voluntary Coverage
WC 99 00 03 TX 05 13 – Large Deductible Endorsement - Texas
WC 99 00 06 (03 11) – Endorsement – Earlier notice of Cancellation Provided by Us
WC 99 00 07 TX (03 11) – Schedule of Operations
WC 99 00 08 (03 11) – Name and Location Schedule
WC 99 06 04 (05 13) – Named Insured Extension
WC 99 09 01 FS (12 11) – Schedule of Forms and Endorsements
WC 00 04 22 A (Ed. 09-08) – Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement
Approved: May 8, 2013
- Company: Stonewood National Insurance Company
Link No.: 127055
Description: Submitted CPJ 00 01 00 10 12 – Signature Page
Approved: May 8, 2013
_____________________________ - Company: Nova Casualty Company
Link No.: 127467
Description: Submitted the following NCCI retro Rating Endorsements:
WC 42 05 03 A (Ed. 06-11) Texas Retrospective Rating Plan Premium Endorsement One-Year Plan
WC 42 05 04 A (Ed. 06-11) Texas Retrospective Rating Plan Premium Endorsement Three-Year Plan
WC 42 05 05 (Ed. 06-11) Texas Retrospective Rating Plan Premium Endorsement Long-Term Construction Project
WC 00 05 08 (Ed. 4-84) Retrospective Premium Endorsement Aviation Exclusion
WC 00 05 09 A (Ed. 4-87) Retrospective Premium Endorsement Changes
WC 42 05 10 (Ed 06-11) Texas Retrospective Rating Plan Premium Endorsement Nonratable Catastrophe Element or Surcharge
WC 42 05 11 (Ed. 06-11) Texas Retrospective Premium Endorsement Short Form
WC 42 05 12 A (Ed. 06-11) Texas Retrospective Rating Plan Premium Endorsement One-Year Plan - Multiple Lines
WC 42 05 13 A (Ed. 06-11) Texas Retrospective Rating Plan Premium Endorsement Three-Year Plan - Multiple Lines
WC 42 05 14 (Ed. 06-11) Texas Retrospective Rating Plan Premium Endorsement Long-Term Construction Project-Multiple Lines
WC 00 05 15 A (Ed. 01-10) Retrospective Rating Plan Premium Endorsement - Flexibility Options
WC 00 05 16 (Ed. 01-10) Retrospective Rating Plan Premium Endorsement - Large Risk Alternative Rating Option (LRARO)
Approved: May 15, 2013
- Company: Markel Insurance Company
Link No.: 127275
Description: Submitted MJWC 1000 08 12 – Signature Page
Approved: May 15, 2013
For more information contact:
Last updated: 05/22/2013
