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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.: S4406
    Description: Submitted the following, for use with its Beazley One Management Liability Insurance Program:
    E05882 052014 ed. – Property Owners and Vicarious Liability
    Approved: August 5, 2014

  2. Company: Philadelphia Indemnity Insurance Company – NAIC#: 18058
    Link No.: S4681
    Description: Submitted the following, for use with its Social Services program:
    PI-HS-019 (04/14) – Exclusion – Athletic or Sports Participants
    Approved: August 5, 2014

  3. Company: Beazley Insurance Company, Inc. – NAIC#: 37540
    Link No.: S6951
    Description: Submitted E05306 122013 ed. – Amend Definition of Insured Person(s), for use with its Beazley One Management Liability Insurance Program
    Approved: August 5, 2014

  4. Company: The Hanover Insurance Company – NAIC#: 22292
    Link No.: S4849
    Description: Submitted three hundred ninety-seven forms for its Advantage Portfolio program
    Approved: August 5, 2014

  5. Company: Twin City Fire Insurance Company – NAIC#: 29459
    Link No.: S7048
    Description: Submitted NA 00 H074 00 0614 – Multiple Discovery Period Options
    Approved: August 5, 2014

  6. Company: Carolina Casualty Insurance Company – NAIC#: 10510
    Link No.: S6125
    Description: Submitted twenty-six endorsements for use with its Non Profit Management Liability program
    Approved: August 5, 2014

  7. Company: United States Liability Insurance Company - NAIC#: 25895
    Link No.: S5958
    Description: Submitted the following endorsement for use with its Non Profit Directors and Officers Liability program:
    DO 294 TX (07-14) – Amended Notice/Claim and Circumstance Reporting Provisions
    Approved: August 5, 2014

  8. Company: Executive Risk Indemnity Inc. – NAIC#: 35181
    Federal Insurance Company – NAIC#: 20281
    Vigilant Insurance Company – NAIC#: 20397
    Link No.: S6525
    Description: Submitted the following for use with their Chubb Pro E&O policy
    D29695 01/2014 – Amend Retention Endorsement
    D21855 01/2014 – Amendment Of Declarations Endorsement
    Approved: August 5, 2014

  9. Company: Travelers Casualty and Surety Company of America – NAIC#: 31194
    Link No.: S5734
    Description: Submitted the following for use with its Modular program:
    FRI-19088 – Ed. 05-14 – ERISA Section 510 Exclusion Endorsement
    Approved: August 5, 2014

    _____________________________
  10. Company: United States Liability Insurance Company – NAIC#: 25895
    Link No.: S5081
    Description: Submitted Fourteen endorsements, for use with its Residential Property Managers Program
    Approved: August 13, 2014

  11. Company: Hiscox Insurance Company Inc. – NAIC#: 10200
    Link No.: S4655
    Description: Submitted the following, for use with its Not-For-Profit Management Liability Program:
    NFP E3248 CW 05-14 – Hospital/Education Organization Coverage
    NFP E3249 CW 05-14 – Hospital/Education Organization Coverage (Antitrust)
    NFP E3236 CW 04-14 – Enhanced Educators Legal Liability Extension
    NFP E3441 CW 05-13 – Cooperation Clause
    NFP E3444 CW 04-14 – Address Amended – Add Mailing Address
    NFP E3445 CW 05-14 – Network Security And Privacy Endorsement (Non-Profit Educational Institution)
    NFP E3447 CW 05-14 – Bodily Injury/Property Damage Exclusion (Absolute) – EPLI Carveback
    Approved: August 13, 2014

  12. Company: Tri-State Insurance Company of Minnesota – NAIC#: 31003
    Link No.: S6581
    Description: Submitted the following, for use with its Employment Practices Liability program:
    B EP DS 04 03 12 - Employment-Related Practices Liability Declarations
    CL EP 00 01 03 12 - Employment-Related Practices Liability Coverage Part
    CL EP 01 01 03 12 - Supplemental Extended Reporting Period Endorsement
    CL IL 00 06E 03 12 - Declarations Extension Endorsement
    CL IL 00 10 10 09 – Important Notice
    CL IL FS 01 09 08 - Schedule of Forms and Endorsements
    B IL DS 00 09 07 - Commercial Lines Policy Common Policy Declarations
    CL EP 00 03 03 12 – Employment-Related Practices Liability Coverage Part
    CL PN 03 19 03 12 – Notice To Policyholder Employment-Related Practices Liability Coverage Part
    Approved: August 13, 2014

  13. Company: Great American Insurance Company – NAIC#: 16691
    Link No.: S6637
    Description: Submitted the following, for use with its ExecPro Nonprofit Solution Insurance program:
    D16712-2 07/14 – Co-Defendant Coverage Endorsement
    Approved: August 13, 2014

  14. Company: NCMIC Insurance Company – NAIC#: 15865
    Link No.: S6693
    Description: Submitted the following, for use with its Chiropractic Liability program:
    06-2034 07/14 – Cancellation of Supplemental Legal Defense Endorsement
    06-2035 07/14 – Supplementary Payments Amendatory Endorsement
    Approved: August 13, 2014

  15. Company: Travelers Casualty and Surety Company of America – NAIC#: 31194
    Link No.: S7050
    Description: Submitted the following, for use with its Fiduciary Liability Coverage and Designated Benefit Plan Fiduciary Liability Coverage programs:
    DBP-19080 Ed. 07-14 – PPACA Civil Money Penalties Endorsement
    FRI-19090 Ed. 07-14 – PPACA, Section 502 (C), Section 507, and Section 4975 Civil Money Penalties Endorsement
    Approved: August 13, 2014

  16. Company: Executive Risk Indemnity Inc. – NAIC#: 35181
    Link No.: S7083
    Description: Submitted the following, for use with its Health Care – D&O program:
    14-02-21170 05/2014 – Side A HIPAA Endorsement
    Approved: August 13, 2014

  17. Company: Executive Risk Indemnity Inc. - NAIC#: 35181
    Federal Insurance Company – NAIC#: 20281
    Vigilant Insurance Company – NAIC#: 20397
    Link No.: S7273
    Description: Submitted the following, for use with their ProE&O program:
    14-02-19967 06/2014 – Amend Definition of Insured Person Endorsement
    Approved: August 13, 2014

  18. Company: Pharmacists Mutual Insurance Company – NAIC#: 13714
    Link No.: S7317
    Description: Submitted the following, for use with its Pharmacy Professional Liability Program:
    PM 1165 0614 – Sexual or Physical Abuse Liability
    Approved: August 13, 2014

  19. Company: Utica Mutual Insurance Company – NAIC#: 25976
    Graphic Arts Mutual Insurance Company – NAIC#: 25984
    Republic-Franklin Insurance Company – NAIC#: 12475
    Utica National Insurance Company of Texas – NAIC#: 43478
    Utica Lloyds of Texas – NAIC#: 10990
    Link No.: S7532
    Description: Submitted the following, for use with its Agents E&O and E&O Protector
    Policies:
    14-E-1115 Ed. 06-2014 – Exclusion - Insolvency
    Approved: August 13, 2014

  20. Company: Illinois National Insurance Company – NAIC#: 23817
    National Union Fire Insurance Company of Pittsburgh, Pa – NAIC#:19445
    Link No.: S7591
    Description: Submitted the following, for use with their Executive Edge Program:
    117960 (6/14) – Class Certification Event Study Expenses
    117999 (7-14) – Class Certification Event Study Expenses
    Approved: August 13, 2014

  21. Company: Beazley Insurance Company – NAIC#: 37540
    Link No.: S7845
    Description: Submitted the following, for use with its One Management Liability Insurance Program:
    E06159 082014 ed. – Tenant Discrimination Extension
    Approved: August 13, 2014

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Workers' Compensation   

  1. Company: Great American Insurance Company – NAIC#: 16691
    Great American Assurance Company – NAIC#: 26344
    Great American Insurance Company of New York – NAIC#: 22136
    Great American Alliance Insurance Company – NAIC#: 26832
    Link No.: S6881
    Description: Submitted WC 98 06 41 (Ed. 03/13) – Texas Large Risk Deductible Plan Endorsement
    Approved: August 5, 2014

  2. Company: Georgia Casualty & Surety Company – NAIC#: 11258
    Association Casualty Insurance Company – NAIC#: 35629
    Link No.: S6561
    Description: Submitted IPJ-305 (7-14) – Policy Jacket
    Approved: August 5, 2014

  3. Company: Imperium Insurance Company – NAIC#: 35408
    Link No.: S3009
    Description: Submitted WC 99 06 05 TX – Policy Loss Reimbursement Endorsement Texas
    Approved: August 5, 2014

  4. Company: MEMIC Indemnity Company – NAIC#: 11030
    Link No.: S5944
    Description: Submitted WC 99 03 38 07-14 – Large Deductible Endorsement
    Approved: August 5, 2014

    _____________________________
  5. Company: Greenwich Insurance Company – NAIC#: 22322
    XL Insurance America, Inc. – NAIC#: 24554
    XL Specialty Insurance Company – NAIC#: 37885
    Link No.: S6894
    Description: Submitted the following:
    WC 99 06 12D Ed. 0314 – In Witness – Greenwich Insurance Company
    WC 99 06 02E Ed. 0314 – In Witness – XL Insurance America, Inc.
    WC 99 06 07E Ed. 0314 – In Witness – XL Specialty Insurance Company
    Approved: August 13, 2014

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Last updated: 08/15/2014



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