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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:        Beazley Insurance Company, Inc. – NAIC#: 37540
    Link No.:          S5552
    Description:     Submitted 65 endorsements/forms for use with its Beazley Specified Professions Professional Liability Program
    Approved:        October 7, 2014

  2. Company:        United States Liability Insurance Company – NAIC#: 25895
    Link No.:          S8775
    Description:     Submitted the following for use with its Directors and Officers Liability Program:
    CD 100 08-14 – Common Policy Terms and Conditions
    CD 101 08-14 – Coverage Part A. Corporate Directors and Officers Liability
    Approved:        October 7, 2014

  3. Company:        Westport Insurance Corporation – NAIC#: 39845
    Link No.:          S9453
    Description:     Submitted SP 7 169 1214 – Determination of Workforce Exclusion, for use with its Open Brokerage Coverage Unit for Professional Program
    Approved:        October 7, 2014

  4. Company:        United States Liability Insurance Company – NAIC#: 25895
    Link No.:          S9589
    Description:     Submitted IAE 238 (08-14) – Increased Limits of Liability Pending or Prior Litigation Date Endorsement, for use with its Insurance Agents and Brokers Professional Liability
    Approved:        October 7, 2014

  5. Company:        ACE Fire Underwriters Insurance Company – NAIC#: 20702
    ACE Property and Casualty Insurance Company – NAIC#: 20699
    Pacific Employers Insurance Company – NAIC#: 22748
    Link No.:          S9668
    Description:     Submitted 15 forms for use with their The Companies’ Community Association Directors & Officers and Employment Practices Liability Product
    Approved:        October 7, 2014

  6. Company:        Great American Insurance Company – NAIC#: 16691
    Link No.:          S9812
    Description:     Submitted the following for use with its ExecPro Nonprofit Solution Insurance Program:
    D2631-3 07/14 – Elite Coverage
    D23631-3 07/14 – Elite Coverage
    D2712-186 07/14 – Class Certification Event Study Expenses Endorsement
    D23712-186 07/14 – Class Certification Event Study Expenses Endorsement
    Approved:        October 7, 2014

    ____________________________

  7. Company:        Beazley Insurance Company, Inc. – NAIC#: 37540
    Link No.:          S9331
    Description:     Submitted the following for use with its Podiatrist Professional Liability Program:
    E06203 082014 ed. – Schedule of Forms and Endorsements
    Approved:        October 14, 2014

    ____________________________

  8. Company:        Pharmacists Mutual Insurance Company – NAIC#: 13714
    Link No.:          S7752
    Description:     Submitted the following for use with its Independent Pharmacy Professional Liability Program:
    PM 1162P 0814 - Sexual Or Physical Abuse Liability
    PM 507 0814 - Sexual Or Physical Abuse Liability
    PM 1166 0614 - Cross Liability Exclusion
    PM 1167 0614 - Deposit Premium Amended
    Approved:        October 21, 2014

  9. Company:        Philadelphia Indemnity Insurance Company – NAIC#: 18058
    Link No.:          S9406
    Description:     Submitted the following for use with its Excess Insurance Policy Program:
    PI-XL-013 (7/14) – Prior Acts Exclusion
    Approved:        October 21, 2014

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Workers' Compensation

  1. Company:        Federated Mutual Insurance Company – NAIC#: 13935
    Federated Service Insurance Company – NAIC#: 28304
    Link No.:          S9070
    Description:     Submitted WC 99 42 02 09-14 – Texas Benefits Deductible and Reimbursement (By State) – Plan I Endorsement, for use with their workers’ compensation policies
    Approved:        October 7, 2014

  2. Company:        AIU Insurance Company – NAIC#: 19399
    Link No.:          S9516
    Description:     Submitted the following for use with its workers’ compensation policy:
    WC 99 00 56 4/11 – Limited Advice of Cancellation Provided Via E-Mail to Entities Other Than The Named Insured (Workers’ Compensation Only)
    WC 99 00 57 04/11 – Limited Advice of Cancellation To Entities Other Than The Named Insured (Workers’ Compensation Only)
    WC 99 00 58 04/11 – Limited Advice of Cancellation To Scheduled Entities (Workers’ Compensation Only)
    Approved:        October 7, 2014

  3. Company:        Employers Insurance Company of Wausau – NAIC#: 21458
    Wausau Underwriters Insurance Company – NAIC#: 26042
    Wausau Business Insurance Company – NAIC#: 26069
    Liberty Mutual Insurance Company – NAIC#: 23043
    Liberty Mutual Fire Insurance Company – NAIC#: 23035
    LM Insurance Company – NAIC#: 33600
    The First Liberty Insurance Corporation – NAIC#: 33588
    Liberty Insurance Corporation – NAIC#: 42404
    Link No.:          S9678
    Description:     Submitted WC 00 00 00 C Ed. 1/1/2015 - Workers Compensation and Employers Liability Insurance Policy, for use with their workers' compensation coverage
    Approved:        October 7, 2014

  4. Company:        Starr Indemnity & Liability Company – NAIC#: 38313
    Link No.:          S9692
    Description:     Submitted WC 99 06 16 (Ed. 7-14) – Maritime (with Gulf of Mexico Extension) Coverage Endorsement, for use with its workers’ compensation policy
    Approved:        October 7, 2014

  5. Company:        The Gray Insurance Company – NAIC#: 36307
    Link No.:          S9838
    Description:     Submitted GIC 03 03 56 08 14 – Texas Negotiated Deductible Endorsement, for use with its workers’ compensation policy
    Approved:        October 7, 2014

  6. Company:        Accident Fund General Insurance Company – NAIC#: 12304
    Accident Fund Insurance Company of America – NAIC#: 10166
    Accident Fund National Insurance Company – NAIC#: 12305
    United Wisconsin Insurance Company – NAIC#: 29157
    Link No.:          S9928
    Description:     Submitted the following forms for use with their workers’ compensation coverage:
    WC 00 00 00 C (Ed. 1-15) Workers Compensation and Employers Liability Insurance Policy (AFICA)
    WC 00 00 00 C (Ed. 1-15) Workers Compensation and Employers Liability Insurance Policy (AFG)
    WC 00 00 00 C (Ed. 1-15) Workers Compensation and Employers Liability Insurance Policy (AFN)
    WC 00 00 00 C (Ed. 1-15) Workers Compensation and Employers Liability Insurance Policy (UWIC)
    Approved:        October 7, 2014

  7. 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.:          S10160
    Description:     Submitted P-15124-A42 – Dividend Provision – Participating Companies Endorsement, for use with their workers’ compensation policies
    Approved:        October 7, 2014

  8. Company:        Technology Insurance Company – NAIC#: 42376
    Link No.:          S10162
    Description:     Submitted the following forms for use with its workers’ compensation policy:
    WC 99 00 01 B TIC Declarations Page
    WC 99 00 00 A TIC Signatures Page
    Approved:        October 7, 2014

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Last updated: 10/22/2014

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