SERFF Tracking #: ZURC State Tracking #: ZURC Company Tracking #: CW CA 33939, CW CA 34393, CW CA 36570

Size: px
Start display at page:

Download "SERFF Tracking #: ZURC State Tracking #: ZURC Company Tracking #: CW CA 33939, CW CA 34393, CW CA 36570"

Transcription

1 SERFF Tracking #: ZURC State Tracking #: ZURC Company Tracking #: CW CA 33939, CW CA 34393, CW CA Project Name/Number: /CW CA 33939, CW CA 34393, CW CA Filing at a Glance Companies: State: TOI: Sub-TOI: Filing Type: American Zurich Insurance Company American Guarantee and Liability Insurance Company Colonial American Casualty & Surety Company Fidelity and Deposit Company of Maryland Zurich American Insurance Company of Illinois Zurich American Insurance Company Illinois 20.0 Commercial Auto Date Submitted: 09/24/2013 SERFF Tr Num: SERFF Status: State Tr Num: State Status: Business Auto ORG-Advisory or Rating Org Adoption ZURC Closed-Received ZURC Co Tr Num: CW CA 33939, CW CA 34393, CW CA Effective Date Requested (New): Effective Date Requested (Renewal): Author(s): Reviewer(s): 04/01/ /01/2014 Jennifer Farris Dee Caruso (primary) Disposition Date: 09/26/2013 Disposition Status: Received Effective Date (New): 04/01/2014 Effective Date (Renewal):

2 SERFF Tracking #: ZURC State Tracking #: ZURC Company Tracking #: CW CA 33939, CW CA 34393, CW CA Project Name/Number: /CW CA 33939, CW CA 34393, CW CA General Information Project Name: Multistate Commercial Auto Adoption of ISO's Rules and Loss Costs Revisions Status of Filing in Domicile: Not Filed Project Number: CW CA 33939, CW CA 34393, CW CA Domicile Status Comments: Reference Organization: ISO Reference Title: Filing Status Changed: 09/26/2013 State Status Changed: Created By: Jennifer Farris Corresponding Filing Tracking Number: ZURC Filing Description: Reference Number: CA-2012-RADRU, CA-2012-RADLC Advisory Org. Circular: Deemer Date: Submitted By: Jennifer Farris In accordance with the filing requirements of your state, we hereby submit this filing to adopt the revisions as outlined in the following ISO filing designations: - CA-2012-RADRU - Multistate Commercial Automobile 2013 Rules Revision - CA-2012-RADLC - Multistate Commercial Automobile 2013 Loss Costs Revision In response to ISO's Commercial Automobile Multistate Form, Rule and Rate Revisions, we have also revised Rule 12. ISO's effective date for these revisions is October 1, However, we respectfully request that this filing becomes effective on April 1, Company and Contact Filing Contact Information Jennifer Farris, Regulatory Services Analyst jennifer.farris@zurichna.com 1400 American Lane Schaumburg, IL [Phone]

3 SERFF Tracking #: ZURC State Tracking #: ZURC Company Tracking #: CW CA 33939, CW CA 34393, CW CA Project Name/Number: /CW CA 33939, CW CA 34393, CW CA Filing Company Information American Zurich Insurance Company 1400 American Lane Schaumburg, IL (847) ext. [Phone] CoCode: Group Code: 212 Group Name: FEIN Number: State of Domicile: Illinois Company Type: State ID Number: American Guarantee and Liability Insurance Company 1400 American Lane Schaumburg, IL (847) ext. [Phone] CoCode: Group Code: 212 Group Name: FEIN Number: State of Domicile: New York Company Type: State ID Number: Colonial American Casualty & Surety Company 1400 American Lane Schaumburg, IL (847) ext. [Phone] CoCode: Group Code: 212 Group Name: FEIN Number: State of Domicile: Maryland Company Type: State ID Number: Fidelity and Deposit Company of Maryland 1400 American Lane Schaumburg, IL (847) ext. [Phone] CoCode: Group Code: 212 Group Name: FEIN Number: State of Domicile: Maryland Company Type: State ID Number: Zurich American Insurance Company of Illinois 1400 American Lane Schaumburg, IL (847) ext. [Phone] CoCode: Group Code: 212 Group Name: FEIN Number: State of Domicile: Illinois Company Type: State ID Number: Zurich American Insurance Company 1400 American Lane Schaumburg, IL (847) ext. [Phone] CoCode: Group Code: 212 Group Name: FEIN Number: State of Domicile: New York Company Type: State ID Number: Filing Fees Fee Required? Retaliatory? Fee Explanation: No No

4 SERFF Tracking #: ZURC State Tracking #: ZURC Company Tracking #: CW CA 33939, CW CA 34393, CW CA Project Name/Number: /CW CA 33939, CW CA 34393, CW CA State Specific Refer to our checklists prior to submitting filing ( Acknowledged Refer to our updated (04/06/2007) SERFF General Instructions prior to submitting filing. They have been updated to clarify what rates and rules are required to be filed as well as what rates and rules are not required to be filed. Also, the "Product Name" is the Filing Title and not the Project Number.: Acknowledged NO RATES and/or RULES ARE REQUIRED TO BE FILED FOR LINES OF COVERAGE SUCH AS COMMERCIAL AUTO (except taxicabs), BURGLARY AND THEFT, GLASS, FIDELITY, SURETY, COMMERCIAL GENERAL LIABLITY, CROP HAIL, COMMERCIAL PROPERTY, DIRECTORS AND OFFICERS, ERRORS AND OMMISSIONS, COMMERCIAL MULTI PERIL just to mention a few. However, a Summary Sheet (RF-3) is required to be filed. Please refer to the State Specific Field below for what rates/rules are required to be filed and to our checklists for specific statutes, regulations, etc. : ISO Adoption filing submitted because we are using a different effective date than ISO's. Medical Malpractice rates/rules may now be submitted using SERFF effective January 1, 2012.: Acknowledged The only rates and/or rules that are required to be filed are Homeowners, Mobile Homeowners, Dwelling Fire and Allied Lines, Workers' Compensation, Liquor Liability, Private Passenger Automobiles, Taxicabs, Motorcycles and Group Inland Marine Insurance which only applies to insurance involving personal property owned by, being purchased by or pledged as collateral by individuals, and not used in any business, trade or profession per Regulation Part 2302 which says in part, "each company shall file with the Director of Insurance each rate, rule and minimum premium before it is used in the State of Illinois.": Acknowledged When selecting a form filing type for a multiple form filing, use the dominant type from these choices: APP - application; CER - certificate; COF - coverage form; DPS - declaration page; END - endorsement; POJ - policy jacket; ORG - Companies adopting an Advisory or Rating Organization's filing. Example: If you are submitting a policy as well as endorsements, a declaration page and an application, you would select "POL" for policy.: N/A

5 SERFF Tracking #: ZURC State Tracking #: ZURC Company Tracking #: CW CA 33939, CW CA 34393, CW CA Project Name/Number: /CW CA 33939, CW CA 34393, CW CA Correspondence Summary Dispositions Status Created By Created On Date Submitted Received Dee Caruso 09/26/ /26/2013

6 SERFF Tracking #: ZURC State Tracking #: ZURC Company Tracking #: CW CA 33939, CW CA 34393, CW CA Project Name/Number: /CW CA 33939, CW CA 34393, CW CA Disposition Disposition Date: 09/26/2013 Effective Date (New): 04/01/2014 Effective Date (Renewal): Status: Received Comment: filing not required. Rate data does NOT apply to filing. Overall Rate Information for Multiple Company Filings Overall Percentage Rate Indicated For This Filing 0.000% Overall Percentage Rate Impact For This Filing 0.000% Effect of Rate Filing-Written Premium Change For This Program $0 Effect of Rate Filing - Number of Policyholders Affected 0 Schedule Schedule Item Schedule Item Status Public Access Supporting Document Request to Maintain Data as Trade Secret Information Yes Supporting Document Explanatory Memorandum Yes Supporting Document Marked Up Rule Yes Rate Coverage Extension Endorsement - Liability Only - U-CA- 428 Yes Rate Coverage Extension Endorsement U-CA-424 Yes

7 SERFF Tracking #: ZURC State Tracking #: ZURC Company Tracking #: CW CA 33939, CW CA 34393, CW CA Project Name/Number: /CW CA 33939, CW CA 34393, CW CA Rate/Rule Schedule Item Schedule Item Previous State No. Status Exhibit Name Rule # or Page # Rate Action Filing Number Attachments 1 Coverage Extension 12 New Cov Ext End Liab Only Rule Endorsement - Liability Only - A Rate.pdf U-CA Coverage Extension Endorsement U-CA Replacement ZURC Cov Ext End Rule A Rate.pdf

8 SECTION I GENERAL RULES COMMERCIAL LINES MANUAL DIVISION ONE - COMMERCIAL AUTOMOBILE EXCEPTION PAGE COUNTRYWIDE RULE 12. FORMS PORTFOLIO REFERENCE Coverage Extension Endorsement - Liability Only U-CA-428 A. Application To provide a collection of extensions, enhancements to coverage and reporting duties use Coverage Extension endorsement, U-CA-428. Included are: 1. Amended Who Is An Insured. Extends Insured status to Employees, Volunteers and where required by written contract or written agreement; 2. Amendment Supplementary Payments. Increased supplementary payment amount for cost of bail bonds required because of a covered accident; 3. Fellow Employee. Broadened coverage to make fellow employee exclusion inapplicable; 4. Driver Safety Program Liability. Deletes racing exclusion to provide coverage in a driver safety program event such as auto or truck rodeos; 5. Amended Duties In The Event Of Accident, Claim, Suit or Loss. Broadened coverage to prevent the forfeiture of coverage for failure to provide notice of the accident unless such notice is provided by specifically titled persons; 6. Waiver Of Transfer Of Rights Of Recovery Against Others To Us. Not applicable if written contract executed prior to any accident or loss requires waiver provided accident or loss arises out of operations contemplated by the contract; 7. Unintentional Failure to Disclose Hazards. Broadened coverage in the event of unintentional failure to disclose hazards or unintentional error, omission, or improper description of autos or other statement of information; 8. Hired Auto Worldwide Coverage. Extended to 60 days; 9. Bodily Injury Redefined. Includes mental anguish if it arises from bodily injury, sickness or disease sustained by a person in an accident or loss; 10. Expected or Intended Injury. Includes bodily injury or property damage from use of reasonable force to protect persons or property. B. Premium Development This endorsement is used on a Refer to Company basis. Suggested guide (a) pricing for the use of the endorsement is subject to the Underwriter's determination of final pricing based on overall assessment of exposures of their individual risk as respects the additional coverage on a risk-by-risk basis. The Underwriting file will contain all details of the factors used in determining the rate or classification for a particular risk. Rates shall not be inadequate, excessive, or unfairly discriminatory.

9 SECTION I GENERAL RULES COMMERCIAL LINES MANUAL DIVISION ONE - COMMERCIAL AUTOMOBILE EXCEPTION PAGE COUNTRYWIDE RULE 12. FORMS PORTFOLIO REFERENCE Coverage Extension Endorsement U-CA-424 A. Application To provide a collection of extensions, enhancements to coverage and reporting duties use Coverage Extension endorsement, U-CA-424. Included are: 1. Amended Who Is An Insured. Extends Insured status to Employees, Volunteers and where required by written contract or written agreement; 2. Amendment Supplementary Payments. Increased supplementary payment amount for cost of bail bonds required because of a covered accident; 3. Fellow Employee. Broadened coverage to make fellow employee exclusion inapplicable; 4. Driver Safety Program Liability. Deletes racing exclusion to provide coverage in a driver safety program event such as auto or truck rodeos; 5. Loan/Lease Gap Coverage. Expanded coverage to include payment for any difference between the actual cash value and outstanding balance of a leased auto contract or auto loan when a total loss has occurred and lessor/lender is named as a loss payee for a covered auto; 6. Towing and Labor. Pays up to $75 for towing and labor costs when a private passenger type auto is disabled (for labor performed at place of disablement); 7. Extended Glass Coverage. Waives deductible if glass can be repaired; 8. Hired Car Loss of Use Physical Damage. Pays for loss of use of hired auto if insured becomes legally responsible under a written contract or written agreement to $100 a day, $3000 maximum; 9. Personal Effects Coverage. Pays up to $750 for personal effects owned by an insured and are in or on a covered auto in the event of a total theft; 10. Tapes, Records, and Discs Coverage. Pays up to $500 for tapes, records, and discs owned by an insured and in a covered auto at time of loss; 11. Airbag Coverage. Broadened coverage due to removal of exclusion for mechanical breakdown if caused by accidental discharge of airbag; 12. Two or More Deductibles. Broadened coverage to waive or reduce applicable deductible under Business Auto Coverage Form when an accident is covered under two policies issued by a Zurich Financial Services Group company; 13. Physical Damage Comprehensive Coverage Deductible. Regardless of the number of autos damaged or stolen, the maximum deductible for all loss from one cause is capped at $5000; 14. Temporary Substitute Autos Physical Damage. Any auto not owned by an insured but used with the permission of its owner is covered for Physical Damage; 15. Amended Duties in the Event of Accident, Claim, Suit, or Loss. Broadened coverage to prevent the forfeiture of coverage for failure to provide notice of the accident unless such notice is provided by specifically titled persons; 16. Waiver Of Transfer Of Rights Of Recovery Against Others To Us. Not applicable if written contract executed prior to any accident or loss requires waiver provided accident or loss arises out of operations contemplated by the contract; 17. Employee Hired Autos Physical Damage. Autos rented by employees for business purposes covered for physical damage; 18. Unintentional Failure to Disclose Hazards. Broadened coverage in the event of

10 unintentional failure to disclose hazards or unintentional error, omission, or improper description of autos or other statement of information; 19. Hired Auto Worldwide Coverage. Extended to 60 days; 20. Bodily Injury Redefined. Includes mental anguish if it arises from bodily injury, sickness or disease sustained by a person in an accident or loss. 21. Expected or Intended Injury. Includes bodily injury or property damage from use of reasonable force to protect persons or property; 22. Physical Damage Additional Temporary Transportation Expense Coverage. Broadened Coverage to pay up to $50 per day to a maximum of $1,000 for temporary transportation expenses because of total theft of a covered auto of the private passenger type; 23. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto. Broadened coverage in the event of a total loss of a covered auto of the private passenger type to pay an additional 10% of the cost of the replacement auto, up to a maximum of $2500, if the covered auto is replaced by a hybrid or alternative fuel source auto; 24. Return of Stolen Automobile. Broadened coverage to pay the cost of transport to return a covered auto that had been stolen and recovered provided that auto had Comprehensive or Specified Causes of Loss Coverage. B. Premium Development This endorsement is used on a Refer to Company basis. Suggested guide (a) pricing for the use of the endorsement is subject to the Underwriter's determination of final pricing based on overall assessment of exposures of their individual risk as respects the additional coverage on a risk-by-risk basis. The Underwriting file will contain all details of the factors used in determining the rate or classification for a particular risk. Rates shall not be inadequate, excessive, or unfairly discriminatory.

11 SERFF Tracking #: ZURC State Tracking #: ZURC Company Tracking #: CW CA 33939, CW CA 34393, CW CA Project Name/Number: /CW CA 33939, CW CA 34393, CW CA Supporting Document Schedules Bypassed - Item: Bypass Reason: Attachment(s): Item Status: Status Date: Satisfied - Item: Comments: Attachment(s): Item Status: Status Date: Satisfied - Item: Comments: Attachment(s): Item Status: Status Date: Request to Maintain Data as Trade Secret Information This requirement is not applicable for this ISO adoption filing. Explanatory Memorandum Commercial Automobile Explanatory Memo - Rules Only - CW.pdf Marked Up Rule Coverage Extension Endorsement Rule for A Rate StatesMark up.pdf

12 ZURICH NORTH AMERICA COMMERCIAL AUTO RULES EXPLANATORY MEMORANDUM In accordance with the filing requirements of your state, please note that we are submitting the following revised and new rules: We have revised Rule 12. Coverage Extension Endorsement by adding items 21. through 24 as follows: 24. Expected or Intended Injury. Includes bodily injury or property damage from use of reasonable force to protect persons or property; 22. Physical Damage Additional Temporary Transportation Expense Coverage. Broadened Coverage to pay up to $50 per day to a maximum of $1,000 for temporary transportation expenses because of total theft of a covered auto of the private passenger type; 23. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto. Broadened coverage in the event of a total loss of a covered auto of the private passenger type to pay an additional 10% of the cost of the replacement auto, up to a maximum of $2500, if the covered auto is replaced by a hybrid or alternative fuel source auto; 24. Return of Stolen Automobile. Broadened coverage to pay the cost of transport to return a covered auto that had been stolen and recovered, provided that auto had Comprehensive or Specified Causes of Loss Coverage. We have created Rule 12. Coverage Extension Endorsement Liability Only a usage rule for new form U-CA-428-A, Coverage Extension Endorsement Liability Only.

13 SECTION I GENERAL RULES COMMERCIAL LINES MANUAL DIVISION ONE - COMMERCIAL AUTOMOBILE EXCEPTION PAGE COUNTRYWIDE RULE 12. FORMS PORTFOLIO REFERENCE Coverage Extension Endorsement U-CA-424 A. Application To provide a collection of extensions, enhancements to coverage and reporting duties use Coverage Extension endorsement, U-CA-424. Included are: 1. Amended Who Is An Insured. Extends Insured status to Employees, Volunteers and where required by written contract or written agreement; 2. Amendment Supplementary Payments. Increased supplementary payment amount for cost of bail bonds required because of a covered accident; 3. Fellow Employee. Broadened coverage to make fellow employee exclusion inapplicable; 4. Driver Safety Program Liability. Deletes racing exclusion to provide coverage in a driver safety program event such as auto or truck rodeos; 5. Loan/Lease Gap Coverage. Expanded coverage to include payment for any difference between the actual cash value and outstanding balance of a leased auto contract or auto loan when a total loss has occurred and lessor/lender is named as a loss payee for a covered auto; 6. Towing and Labor. Pays up to $75 for towing and labor costs when a private passenger type auto is disabled (for labor performed at place of disablement); 7. Extended Glass Coverage. Waives deductible if glass can be repaired; 8. Hired Car Loss of Use Physical Damage. Pays for loss of use of hired auto if insured becomes legally responsible under a written contract or written agreement to $100 a day, $3000 maximum; 9. Personal Effects Coverage. Pays up to $750 for personal effects owned by an insured and are in or on a covered auto in the event of a total theft; 10. Tapes, Records, and Discs Coverage. Pays up to $500 for tapes, records, and discs owned by an insured and in a covered auto at time of loss; 11. Airbag Coverage. Broadened coverage due to removal of exclusion for mechanical breakdown if caused by accidental discharge of airbag; 12. Two or More Deductibles. Broadened coverage to waive or reduce applicable deductible under Business Auto Coverage Form when an accident is covered under two policies issued by a Zurich Financial Services Group company; 13. Physical Damage Comprehensive Coverage Deductible. Regardless of the number of autos damaged or stolen, the maximum deductible for all loss from one cause is capped at $5000; 14. Temporary Substitute Autos Physical Damage. Any auto not owned by an insured but used with the permission of its owner is covered for Physical Damage; 15. Amended Duties in the Event of Accident, Claim, Suit, or Loss. Broadened coverage to prevent the forfeiture of coverage for failure to provide notice of the accident unless such notice is provided by specifically titled persons; 16. Waiver Of Transfer Of Rights Of Recovery Against Others To Us. Not applicable if written contract executed prior to any accident or loss requires waiver provided accident or loss arises out of operations contemplated by the contract; 17. Employee Hired Autos Physical Damage. Autos rented by employees for business purposes covered for physical damage; 18. Unintentional Failure to Disclose Hazards. Broadened coverage in the event of

14 unintentional failure to disclose hazards or unintentional error, omission, or improper description of autos or other statement of information; 19. Hired Auto Worldwide Coverage. Extended to 60 days; 20. Bodily Injury Redefined. Includes mental anguish if it arises from bodily injury, sickness or disease sustained by a person in an accident or loss. 21. Expected or Intended Injury. Includes bodily injury or property damage from use of reasonable force to protect persons or property; 22. Physical Damage Additional Temporary Transportation Expense Coverage. Broadened Coverage to pay up to $50 per day to a maximum of $1,000 for temporary transportation expenses because of total theft of a covered auto of the private passenger type; 23. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto. Broadened coverage in the event of a total loss of a covered auto of the private passenger type to pay an additional 10% of the cost of the replacement auto, up to a maximum of $2500, if the covered auto is replaced by a hybrid or alternative fuel source auto; 24. Return of Stolen Automobile. Broadened coverage to pay the cost of transport to return a covered auto that had been stolen and recovered, provided that auto had Comprehensive or Specified Causes of Loss Coverage. B. Premium Development This endorsement is used on a Refer to Company basis. Suggested guide (a) pricing for the use of the endorsement is subject to the Underwriter's determination of final pricing based on overall assessment of exposures of their individual risk as respects the additional coverage on a risk-by-risk basis. The Underwriting file will contain all details of the factors used in determining the rate or classification for a particular risk. Rates shall not be inadequate, excessive, or unfairly discriminatory.

TOI: 16.0 Workers Compensation Sub-TOI: Standard WC

TOI: 16.0 Workers Compensation Sub-TOI: Standard WC Adoption of NYCIRB Bulletins/ Filing at a Glance Companies: Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., NIPPONKOA Insurance Company Ltd.,(U.S.Branch),

More information

SERFF Tracking Number: QBEC State: Oregon First Filing Company: QBE Insurance Corporation,... State Tracking Number: QBEC

SERFF Tracking Number: QBEC State: Oregon First Filing Company: QBE Insurance Corporation,... State Tracking Number: QBEC Filing at a Glance Companies: QBE Insurance Corporation, Praetorian Insurance Company, North Pointe Insurance Company ISO Market Segments - Hotels, SERFF Tr Num: QBEC-128112702 State: Oregon Motels and

More information

TOI: 20.0 Commercial Auto Sub-TOI: Commercial Auto Combinations

TOI: 20.0 Commercial Auto Sub-TOI: Commercial Auto Combinations SERFF Tracking Number: ISOF-127298462 State: Maine Filing Company: Insurance Services Office, Inc. State Tracking Number: Company Tracking Number: CA-2011-BRLA1 TOI: 20.0 Commercial Auto Sub-TOI: 20.0000

More information

Created by SERFF on :56 PM

Created by SERFF on :56 PM Created by SERFF on 04-16-2007 02:56 PM Filing at a Glance Company: Graphic Arts Mutual Insurance Company Product Name: Homeowners SERFF Tr Num: UTCX-125150909 State: North CarolinaPC TOI: 04.0 Homeowners

More information

TOI: 16.0 Workers Compensation Sub-TOI: Standard WC

TOI: 16.0 Workers Compensation Sub-TOI: Standard WC SERFF Tracking Number: ACCD-127782031 State: First Filing Company: Accident Fund General Insurance Company,... State Tracking Number: Company Tracking Number: NHR-2012-PRP TOI: 16.0 Workers Compensation

More information

VENDOR INSURANCE REQUIREMENTS

VENDOR INSURANCE REQUIREMENTS VENDOR INSURANCE REQUIREMENTS California State University, Northridge Foundation is a recognized auxiliary of the California State University, Northridge. Doing business with the CSUN Foundation requires

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE UMBRELLA LIAB OCCUR CERTIFICATE OF LIABILITY INSURANCE ECESS LIAB CLAIMS-MADE DED RETENTION 10,000 CUP8E78327A 7/15/2016 7/15/2017 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EECUTIVE

More information

State: Kentucky Filing Company: State Farm Mutual Automobile Insurance 19.0 Personal Auto/ Private Passenger Auto (PPA)

State: Kentucky Filing Company: State Farm Mutual Automobile Insurance 19.0 Personal Auto/ Private Passenger Auto (PPA) SERFF Tracking #: SFMA-128991186 State Tracking #: Company Tracking #: PV-29973 State: Kentucky Filing Company: State Farm Mutual Automobile Insurance TOI/Sub-TOI: 19.0 Personal Auto/19.0001 Private Passenger

More information

SERFF Tracking #: LBRC State Tracking #: Company Tracking #: TN-CA-E-R

SERFF Tracking #: LBRC State Tracking #: Company Tracking #: TN-CA-E-R SERFF Tracking #: LBRC-129420893 State Tracking #: 140684 Company Tracking #: 2014-1-TN-CA-E-R State: Tennessee First Filing Company: American Fire and Casualty Company,... TOI/Sub-TOI: 20.0 Commercial

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under

More information

State: North Carolina First Filing Company: Fidelity Fire & Casualty Company, Homeowners/ Homeowners Sub-TOI Combinations

State: North Carolina First Filing Company: Fidelity Fire & Casualty Company, Homeowners/ Homeowners Sub-TOI Combinations SERFF Tracking #: FIMI-129367258 State Tracking #: Company Tracking #: State: North Carolina First Filing Company: Fidelity Fire & Casualty Company,... TOI/Sub-TOI: 04.0 Homeowners/04.0000 Homeowners Sub-TOI

More information

SERFF Tracking #: UPCI State Tracking #: Company Tracking #: UPC WATERCRAFT LIABILITY

SERFF Tracking #: UPCI State Tracking #: Company Tracking #: UPC WATERCRAFT LIABILITY SERFF Tracking #: UPCI-128521718 State Tracking #: Company Tracking #: UPC - 003-01- WATERCRAFT LIABILITY State: Rhode Island Filing Company: United Property & Casualty Insurance Co TOI/Sub-TOI: Product

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/26/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

Filing at a Glance. General Information. Company and Contact

Filing at a Glance. General Information. Company and Contact SERFF Tracking Number: NWPP-126233554 State: Pennsylvania First Filing Company: Allied Property and Casualty Insurance State Tracking Number: B24178001 Company,... Company Tracking Number: TOI: 19.0 Personal

More information

Companies: State Farm Fire and Casualty Company, State Farm Mutual Automobile Insurance

Companies: State Farm Fire and Casualty Company, State Farm Mutual Automobile Insurance / Filing at a Glance Companies: State Farm Fire and Casualty Company, State Farm Mutual Automobile Insurance SERFF Tr Num: SFMA-127152794 State: Iowa TOI: 19.0 Personal Auto SERFF Status: Closed-Approved

More information

TOI: 17.0 Other Liability-Occ/Claims Made Sub-TOI: Commercial General Liability

TOI: 17.0 Other Liability-Occ/Claims Made Sub-TOI: Commercial General Liability SERFF Tracking Number: LWCM-128153293 State: Vermont First Filing Company: Employers Insurance Company of Wausau,... State Tracking Number: 59112 Company Tracking Number: CM-GLF-CW-005-12/CM-GLR-CW-015-12

More information

We re On The Road With You

We re On The Road With You We re On The Road With You Product Marketing Guide We re On The Road With You We re On The Road With You Underwriting Appetite Trucking with a radius of up to 1,500 miles between terminals Target Classes

More information

TOI: 19.0 Personal Auto Sub-TOI: Personal Auto Combinations

TOI: 19.0 Personal Auto Sub-TOI: Personal Auto Combinations SERFF Tracking Number: PKNS-126978583 State: Iowa First Filing Company: The Farmers Automobile Insurance Association, State Tracking Number:... Company Tracking Number: P-11-7 IA & F-11-3 IA TOI: 19.0

More information

SERFF Tracking #: CNNA State Tracking #: 018 Company Tracking #: C-IRF-14-C2514-VA

SERFF Tracking #: CNNA State Tracking #: 018 Company Tracking #: C-IRF-14-C2514-VA SERFF Tracking #: CNNA-129567958 State Tracking #: 018 Company Tracking #: C-IRF-14-C2514-VA State: Virginia Filing Company: The Cincinnati Insurance Company TOI/Sub-TOI: 20.0 Commercial Auto/20.0001 Business

More information

Sub-TOI: Businessowners Co Tr Num: State Status: Closed-Placed On

Sub-TOI: Businessowners Co Tr Num: State Status: Closed-Placed On SERFF Tracking Number: NGMC-128239552 State: Massachusetts Filing Company: Main Street America Assurance Company State Tracking Number: Company Tracking Number: TOI: 05.0 CMP Liability and Non-Liability

More information

TOI: 19.0 Personal Auto Sub-TOI: Private Passenger Auto (PPA)

TOI: 19.0 Personal Auto Sub-TOI: Private Passenger Auto (PPA) SERFF Tracking Number: GRAN-127375707 State: Ohio Filing Company: Grange Property & Casualty Insurance State Tracking Number: GRAN-127375707 Company Company Tracking Number: PS-GPCIC-09-2011 TOI: 19.0

More information

Chapter 1: The Business Auto Coverage Form... 1 ISO Rules...1 The Declarations Form...2

Chapter 1: The Business Auto Coverage Form... 1 ISO Rules...1 The Declarations Form...2 Table of Contents Chapter 1: The Business Auto Coverage Form... 1 ISO Rules...1 The Declarations Form...2 Chapter 2: Covered Auto Designations... 5 Coverage Symbols...5 Owned Autos Acquired after Policy

More information

SERFF Tracking #: WSRB State Tracking #: Company Tracking #: DP-2015-OTEFO

SERFF Tracking #: WSRB State Tracking #: Company Tracking #: DP-2015-OTEFO Publication Date: Thursday, February 26, 2015 DWELLING PROGRAM TRIA FORMS AND RULES CHANGES Circular DP-2015-02 The purpose of these filings is to introduce changes necessary to bring WSRB's forms and

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE PRODUCER INSURED CONTACT NAME: PHONE (A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : FAX (A/C, No): A UMBRELLA LIAB OCCUR N N 793001413 6/30/2016

More information

Safety Insurance Company Safety Indemnity Insurance Company Safety Property and Casualty Insurance Company

Safety Insurance Company Safety Indemnity Insurance Company Safety Property and Casualty Insurance Company Safety Insurance Company Safety Indemnity Insurance Company Safety Property and Casualty Insurance Company Massachusetts Private Passenger Auto THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

More information

SERFF Tracking #: OHMG State Tracking #: 07/17/2013 FJC Company Tracking #: 2013 AMSNH FORMS

SERFF Tracking #: OHMG State Tracking #: 07/17/2013 FJC Company Tracking #: 2013 AMSNH FORMS SERFF Tracking #: OHMG-129069328 State Tracking #: 07/17/2013 FJC Company Tracking #: 2013 AMSNH 0916 - FORMS State: New Hampshire Filing Company: United Ohio Insurance Company TOI/Sub-TOI: 19.0 Personal

More information

State: Ohio First Filing Company: Progressive Direct Insurance Company, Personal Auto/ Private Passenger Auto (PPA)

State: Ohio First Filing Company: Progressive Direct Insurance Company, Personal Auto/ Private Passenger Auto (PPA) Product Name: OH PSIC/PDIC Rule Update Filing at a Glance Companies: Product Name: State: TOI: Sub-TOI: Filing Type: Progressive Direct Insurance Company Progressive Specialty Insurance Company OH PSIC/PDIC

More information

SERFF Tracking #: GRAN State Tracking #: GRAN Company Tracking #: OH-PA-LT

SERFF Tracking #: GRAN State Tracking #: GRAN Company Tracking #: OH-PA-LT Product Name: Filing at a Glance Companies: Product Name: State: TOI: Sub-TOI: Filing Type: Grange Indemnity Insurance Company Trustgard Insurance Company Grange Mutual Casualty Company Grange Property

More information

SERFF Tracking #: AGIA State Tracking #: Company Tracking #: UNAIC-NC-HO3-FF 1213

SERFF Tracking #: AGIA State Tracking #: Company Tracking #: UNAIC-NC-HO3-FF 1213 SERFF Tracking #: AGIA-129343072 State Tracking #: Company Tracking #: UNAIC-NC-HO3-FF 1213 State: North Carolina Filing Company: Universal North America Insurance Company TOI/Sub-TOI: 04.0 Homeowners/04.0000

More information

BULLETIN OREGON MUTUAL INSURANCE COMPANY TO: February 23, California Regional Office. Commercial Auto Changes. All OMI California Agents

BULLETIN OREGON MUTUAL INSURANCE COMPANY TO: February 23, California Regional Office. Commercial Auto Changes. All OMI California Agents DEPT: SUBJECT: DATE: BULLETIN NO: 1855 February 23, 2004 California Regional Office TO: All OMI California Agents Commercial Auto Changes Early in 2003 we began writing Commercial Auto coverage in California

More information

Transmittal Header USPH-6KHRMQ423/00-00/00-00/00. Transmittal Header

Transmittal Header USPH-6KHRMQ423/00-00/00-00/00. Transmittal Header Transmittal Header USPH-6KHRMQ423/00-00/00-00/00 Transmittal Header USPH-6KHRMQ423/00-00/00-00/00 Sent: 12/28/2005 02:20:21 PM CST Created by: Carolyn M Honza Other Authors: None Assigned To: Helen Best

More information

TOI: 04.0 Homeowners Sub-TOI: Homeowners Sub-TOI Combinations Rate & Rule Rev, Adopt ISO water excl rule/forms

TOI: 04.0 Homeowners Sub-TOI: Homeowners Sub-TOI Combinations Rate & Rule Rev, Adopt ISO water excl rule/forms SERFF Tracking Number: EMCC-126192677 State: Rhode Island First Filing Company: Employers Mutual Casualty Company,... State Tracking Number: Company Tracking Number: RI-HO-2009-01 TOI: 04.0 Homeowners

More information

WE NOW OFFER NATIONWIDE ACTUARIAL & COMPLIANCE SERVICES SERVICES INCLUDE CIRCULAR CF CIRCULAR CF

WE NOW OFFER NATIONWIDE ACTUARIAL & COMPLIANCE SERVICES SERVICES INCLUDE CIRCULAR CF CIRCULAR CF CIRCULAR CF-2013-08 Friday, May 31, 2013 COMMERCIAL FIRE WASHINGTON CLM DIVISION 5 JURISDICTION DEFINITION REVISION This circular is intended exclusively for the Washington Surveying and Rating Bureau

More information

SERFF Tracking #: WSRB State Tracking #: Company Tracking #: ML-2015-RLA1

SERFF Tracking #: WSRB State Tracking #: Company Tracking #: ML-2015-RLA1 Publication Date: Thursday, September 3, 2015 PACKAGE MODIFICATION FACTOR REVISION CHANGES Circular ML-2015-09 We have revised the Package Modification Factors (PMFs) in Washington. These revisions result

More information

SERFF Tracking #: AOIC State Tracking #: Company Tracking #: BOP-MN-99-05/15/

SERFF Tracking #: AOIC State Tracking #: Company Tracking #: BOP-MN-99-05/15/ Filing at a Glance Companies: Auto-Owners Insurance Company Owners Insurance Company State: TOI: Sub-TOI: Filing Type: Minnesota 05.0 CMP Liability and Non-Liability 05.0002 Businessowners Rate Date Submitted:

More information

SERFF Tracking #: LBPM State Tracking #: Company Tracking #: 14-RI-P-AO-RR-LEG-ASR

SERFF Tracking #: LBPM State Tracking #: Company Tracking #: 14-RI-P-AO-RR-LEG-ASR SERFF Tracking #: LBPM-129249842 State Tracking #: Company Tracking #: 14-RI-P-AO-RR-LEG-ASR State: Rhode Island First Filing Company: Liberty Insurance Corporation,... TOI/Sub-TOI: 19.0 Personal Auto/19.0000

More information

Commercial Auto Coverage

Commercial Auto Coverage 10 Commercial Auto Coverage LEARNING OBJECTIVES Upon the completion of this chapter, you will be able to: 1. Identify the role of the Commercial Auto Coverage Part 2. Recognize the usage of the Business

More information

AAA Member Package Endorsement

AAA Member Package Endorsement The Commerce Insurance Company 211 Main Street, Webster, MA 01570 AAA Member Package Endorsement The additional benefits and enhancements provided by this endorsement are available only to policies issued

More information

Sub-TOI: Commercial General Liability Co Tr Num: GL ROUND 2 State Status: Closed-Placed On File

Sub-TOI: Commercial General Liability Co Tr Num: GL ROUND 2 State Status: Closed-Placed On File SERFF Tracking Number: HRLV-127391976 State: Massachusetts First Filing Company: Harleysville Insurance Company,... State Tracking Number: Company Tracking Number: GL ROUND 2 TOI: 17.1 Other Liability-Occ

More information

State: Missouri Filing Company: Foremost Insurance Company Grand Rapids, Michigan

State: Missouri Filing Company: Foremost Insurance Company Grand Rapids, Michigan SERFF Tracking #: FORE-128897688 State Tracking #: Company Tracking #: S-324 State: Missouri Filing Company: Foremost Insurance Company Grand Rapids, Michigan TOI/Sub-TOI: Product Name: Project Name/Number:

More information

SERFF Tracking #: STNA State Tracking #: Company Tracking #: NSIC-CA-HITECH-CMP-0417FR

SERFF Tracking #: STNA State Tracking #: Company Tracking #: NSIC-CA-HITECH-CMP-0417FR SERFF Tracking #: STNA-131014839 State Tracking #: 17-3130 Company Tracking #: NSIC-CA-HITECH-CMP-0417FR State: California Filing Company: National Specialty Insurance Company TOI/Sub-TOI: 05.0 CMP Liability

More information

1. For this coverage to apply, at the time of the loss, the at-fault operator must: a. be an experienced operator (licensed at least six years); and

1. For this coverage to apply, at the time of the loss, the at-fault operator must: a. be an experienced operator (licensed at least six years); and QUINCY MUTUAL GROUP MERIT RATING POINTS/ACCIDENT FORGIVENESS ENDORSEMENT QMAF 06 12 This endorsement provides forgiveness of the additional premium generated by merit rating points associated with at-fault

More information

Attention: Joseph Torti III, Deputy Director & Superintendent of Insurance Regulation Division

Attention: Joseph Torti III, Deputy Director & Superintendent of Insurance Regulation Division SERFF Tracking Number: HRMN-127177073 State: Rhode Island First Filing Company: Horace Mann Insurance Company,... State Tracking Number: Company Tracking Number: RI H101511 TOI: 04.0 Homeowners Sub-TOI:

More information

SERFF Tracking #: CEMC State Tracking #: Company Tracking #: NC-HO2013-2

SERFF Tracking #: CEMC State Tracking #: Company Tracking #: NC-HO2013-2 SERFF Tracking #: CEMC-129028057 State Tracking #: Company Tracking #: NC-HO2013-2 State: North Carolina Filing Company: Central Mutual Insurance Company TOI/Sub-TOI: 04.0 Homeowners/04.0000 Homeowners

More information

TOI: Property & Casualty Sub-TOI: Private Passenger Auto. TOI: Property & Casualty SERFF Status: Closed-Filed State Tr Num:

TOI: Property & Casualty Sub-TOI: Private Passenger Auto. TOI: Property & Casualty SERFF Status: Closed-Filed State Tr Num: SERFF Tracking Number: PKNS-126743964 State: ndiana First Filing Company: The Farmers Automobile nsurance Association, State Tracking Number:... Company Tracking Number: F-10-79 N & P-10-189 N TO: Property

More information

Transmittal Header SERT 65FFR2015/00 00/00 00/00. Transmittal Header

Transmittal Header SERT 65FFR2015/00 00/00 00/00. Transmittal Header Transmittal Header SERT 65FFR2015/00 00/00 00/00 Transmittal Header SERT 65FFR2015/00 00/00 00/00 Created by Joyce Driscoll on 10/04/2004 Assigned To: Nelson Whitley, [Receiver] Company List: Hartford

More information

SERFF Tracking #: MRTN State Tracking #: Company Tracking #: EQU-01-FRR-17

SERFF Tracking #: MRTN State Tracking #: Company Tracking #: EQU-01-FRR-17 SERFF Tracking #: MRTN-131179882 State Tracking #: 17-6409 Company Tracking #: EQU-01-FRR-17 State: California Filing Company: Liberty Mutual Insurance Company TOI/Sub-TOI: 09.0 Inland Marine/09.0001 Animal

More information

MASSACHUSETTS PRIVATE PASSENGER AUTOMOBILE INSURANCE MANUAL

MASSACHUSETTS PRIVATE PASSENGER AUTOMOBILE INSURANCE MANUAL G. Advanced Driver Training Reserved H. Group Marketing Discount A discount applies to all coverages except rental and towing if the named insured and/or named insured s spouse is an active employee of

More information

CIRCULAR BP CIRCULAR BP Businessowners Loss Cost Revision. September 1, 2014 BUSINESSOWNERS LOSS COST REVISION CHANGES:

CIRCULAR BP CIRCULAR BP Businessowners Loss Cost Revision. September 1, 2014 BUSINESSOWNERS LOSS COST REVISION CHANGES: CIRCULAR BP-2014-02 June 2, 2014 LOSS COST REVISION This circular is intended exclusively for the Washington Surveying and Rating Bureau Subscribers for their information and advanced planning. CIRCULAR

More information

SERFF Tracking #: NWPP State Tracking #: Company Tracking #: APF

SERFF Tracking #: NWPP State Tracking #: Company Tracking #: APF SERFF Tracking #: NWPP-128975620 State Tracking #: Company Tracking #: 002-26-APF-13-059 State: Missouri Filing Company: AMCO Insurance Company TOI/Sub-TOI: 19.0 Personal Auto/19.0001 Private Passenger

More information

The Norfolk & Dedham Mutual Fire Insurance Company

The Norfolk & Dedham Mutual Fire Insurance Company The Norfolk & Dedham Mutual Fire Insurance Company MASSACHUSETTS ENDORSEMENT ND-0001-S PersonalPak Auto With respect to the additional coverages provided by this endorsement, the terms of the policy apply

More information

OREGON MUTUAL INSURANCE COMPANY AUTOMOBILE POLICY CREDITS AND OPTIONS

OREGON MUTUAL INSURANCE COMPANY AUTOMOBILE POLICY CREDITS AND OPTIONS ACCIDENT PREVENTION COURSE CREDIT Discount for drivers 55 years or older A credit applies to drivers age 55 or older who have successfully completed a traffic safety course approved by the Department of

More information

EXPLANATORY MEMORANDUM STATE OF MASSACHUSETTS AIG PRIVATE CLIENT GROUP PERSONAL AUTOMOBILE PROGRAM AMERICAN INTERNATIONAL INSURANCE COMPANY

EXPLANATORY MEMORANDUM STATE OF MASSACHUSETTS AIG PRIVATE CLIENT GROUP PERSONAL AUTOMOBILE PROGRAM AMERICAN INTERNATIONAL INSURANCE COMPANY EXPLANATORY MEMORANDUM STATE OF MASSACHUSETTS AIG PRIVATE CLIENT GROUP PERSONAL AUTOMOBILE PROGRAM AMERICAN INTERNATIONAL INSURANCE COMPANY AIG Private Client Group (PCG) offers personal lines products

More information

Company Name Rate Change Discounts Bells & Whistles

Company Name Rate Change Discounts Bells & Whistles Amica Overall -7.9% Multi-Car 10% (1,2,4,5,7,8,9) Anti-Theft 5 35% (9) Annual Mileage 5 10% (1-8,12) Arbella Overall -7.7% Multi-Car 5% (1,2,4,5,7 8,9) Advanced Driver Training 5% (1,2,4,5,7) Commerce

More information

COMMERCIAL AUTO TABLE OF CONTENTS

COMMERCIAL AUTO TABLE OF CONTENTS COMMERCIAL AUTO TABLE OF CONTENTS ITEM CA PAGE Additional and Return Premium Changes... 3 Antique Autos... 9 Application Procedure... 1 Audio, Visual and Data Electronic Equipment Added Limits... 17 Auto

More information

LOUISIANA DEPARTMENT OF INSURANCE JAMES J. DONELON, COMMISSIONER P.O. BOX BATON ROUGE, LOUISIANA

LOUISIANA DEPARTMENT OF INSURANCE JAMES J. DONELON, COMMISSIONER P.O. BOX BATON ROUGE, LOUISIANA Page 1 of 16 LOUISIANA DEPARTMENT OF INSURANCE JAMES J. DONELON, COMMISSIONER P.O. BOX 94214 BATON ROUGE, LOUISIANA 70804-9214 OFFICE OF PROPERTY AND CASUALTY/INSURANCE RATING DIVISION RATE AND RULE FILINGS

More information

INSURANCE AND INDEMNIFICATION MANUAL. Supplement to Policy 560 i

INSURANCE AND INDEMNIFICATION MANUAL. Supplement to Policy 560 i INSURANCE AND INDEMNIFICATION MANUAL Supplement to Policy 560 Table of Contents.1 INTRODUCTION... 1.2 EXHIBIT I INSURANCE AND INDEMNITY REQUIREMENTS FOR CONSTRUCTION AND SERVICE CONTRACTS... 1 2.1 INDEMNIFICATION/HOLD

More information

Minnesota Property and Casualty Insurance Producer Cross Reference Study Guide

Minnesota Property and Casualty Insurance Producer Cross Reference Study Guide Minnesota Property and Casualty Insurance Producer Cross Reference Study Guide This cross reference provides you with the exam outline for your state insurance exam and a reference code where the specific

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS-MADE GEN'L AGGREGATE LIMIT APPLIES PER: PRO- X POLICY JECT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS UMBRELLA LIAB EXCESS LIAB CERTIFICATE OF LIABILITY

More information

Safety Insurance Company Safety Indemnity Insurance Company Safety Property and Casualty Insurance Company MEDICAL PAYMENTS ENDORSEMENT

Safety Insurance Company Safety Indemnity Insurance Company Safety Property and Casualty Insurance Company MEDICAL PAYMENTS ENDORSEMENT Massachusetts Private Passenger Auto Safety Insurance Company Safety Indemnity Insurance Company Safety Property and Casualty Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

More information

SERFF Tracking #: INCR State Tracking #: Company Tracking #: 1/1/2016 RATES

SERFF Tracking #: INCR State Tracking #: Company Tracking #: 1/1/2016 RATES SERFF Tracking #: INCR-130253641 State Tracking #: Company Tracking #: 1/1/2016 RATES State: Indiana Filing Company: Indiana Compensation Rating Bureau TOI/Sub-TOI: 16.0 Workers Compensation/16.0004 Standard

More information

Transmittal Header SERT 6D7JF5762/00 00/00 00/00. Transmittal Header

Transmittal Header SERT 6D7JF5762/00 00/00 00/00. Transmittal Header Transmittal Header SERT 6D7JF5762/00 00/00 00/00 Transmittal Header SERT 6D7JF5762/00 00/00 00/00 Created by Ellen Ryan on 06/09/2005 Assigned To: Nelson Whitley, [Receiver] Company List: National Grange

More information

MANUFACTURERS AND WHOLESALERS XTEND ENDORSEMENT

MANUFACTURERS AND WHOLESALERS XTEND ENDORSEMENT Page 1 of 7 CG D1 87 11 03 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MANUFACTURERS AND WHOLESALERS XTEND ENDORSEMENT This endorsement modifies insurance provided under the following:

More information

STATE OF CALIFORNIA DEPARTMENT OF INSURANCE 45 Fremont Street, 21 st Floor San Francisco, CA 94105

STATE OF CALIFORNIA DEPARTMENT OF INSURANCE 45 Fremont Street, 21 st Floor San Francisco, CA 94105 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE 45 Fremont Street, 21 st Floor San Francisco, CA 94105 June 5, 2002 File No. RH01018851 NOTICE OF WORKSHOP AND GENERIC DETERMINATIONS HEARING The Insurance Commissioner

More information

SERFF Tracking #: INCR State Tracking #: Company Tracking #: 1/1/2018 RATES

SERFF Tracking #: INCR State Tracking #: Company Tracking #: 1/1/2018 RATES SERFF Tracking #: INCR-131200706 State Tracking #: Company Tracking #: 1/1/2018 RATES State: Indiana Filing Company: Indiana Compensation Rating Bureau TOI/Sub-TOI: 16.0 Workers Compensation/16.0004 Standard

More information

CA Policy Comparisons

CA Policy Comparisons CA 00 01 Policy Comparisons CA 00 01 10 01 Form # CA 00 01 03 06 October 2001 Form Date March 2006 Occurrence Policy Type Occurrence Various provisions in this policy restrict coverage. Read the entire

More information

SERFF Tracking #: LBPM State Tracking #: Company Tracking #: 14-KY-S-AO-RR-SNAP-AOPS

SERFF Tracking #: LBPM State Tracking #: Company Tracking #: 14-KY-S-AO-RR-SNAP-AOPS SERFF Tracking #: LBPM-129495846 State Tracking #: Company Tracking #: 14-KY-S-AO-RR-SNAP-AOPS State: Kentucky Filing Company: Safeco Insurance Company of Illinois TOI/Sub-TOI: 19.0 Personal Auto/19.0000

More information

Physical Damage Factor No operator licensed less than 5 years Operator licensed less than 5 years not owner or principal operator

Physical Damage Factor No operator licensed less than 5 years Operator licensed less than 5 years not owner or principal operator 1. APPLICATION OF THIS DIVISION The following is added to Paragraph D.3. Loss Cost Conversion: To convert the loss costs shown in this division to Oregon Mutual Insurance Company rates, multiply by the

More information

Personal Lines Automobile Manual. Aviva Insurance Company of Canada

Personal Lines Automobile Manual. Aviva Insurance Company of Canada SASKATCHEWAN Personal Lines Automobile Manual Aviva Insurance Company of Canada www.avivacanada.com PRIVATE PASSENGER SPECIAL PROGRAMS Driver assistance that revolves around you SATELLITE PROGRAM Satellite

More information

ORDER PUBLISHING OPTIONAL UNDERWRITING PROFIT AND CONTINGENCY FACTORS CALCULATED IN ACCORDANCE WITH RULE , FLORIDA ADMINISTRATIVE CODE

ORDER PUBLISHING OPTIONAL UNDERWRITING PROFIT AND CONTINGENCY FACTORS CALCULATED IN ACCORDANCE WITH RULE , FLORIDA ADMINISTRATIVE CODE FILED JUN 0 2 2016 OFFICE OF INSURANCE REGULATION Docketed by: ~ DAVID ALTMAIER COMMISSIONER IN THE MATTER OF: 2015 Profit and Contingency Factors ~~~~~~~~~~~..! CASE NO.: 191997-16 ORDER PUBLISHING OPTIONAL

More information

SUB-SECTION 1 ENDORSEMENTS APPLICABLE TO POL 1 (OWNER S POLICY)

SUB-SECTION 1 ENDORSEMENTS APPLICABLE TO POL 1 (OWNER S POLICY) FACILITY ASSOCIATION Section S - s Notes: 1. No endorsements, no special wordings and no changes to standard forms are permissible except as approved by or on behalf of the Superintendent(s) of Insurance.

More information

EXHIBIT B. Insurance Requirements for Construction Contracts

EXHIBIT B. Insurance Requirements for Construction Contracts EXHIBIT B Insurance Requirements for Construction Contracts Contractor shall procure and maintain for the duration of the contract, and for 3 years thereafter, insurance against claims for injuries to

More information

Connections DriveSmart Advantage - Massachusetts

Connections DriveSmart Advantage - Massachusetts Connections DriveSmart Advantage - Massachusetts For an increased premium, coverage is changed to that as shown below. Ultimate Towing and Labor When the Roadside Assistance Coverage endorsement is on

More information

COMMERCIAL AUTO TABLE OF CONTENTS

COMMERCIAL AUTO TABLE OF CONTENTS COMMERCIAL AUTO TABLE OF CONTENTS ITEM CA PAGE Additional and Return Premium Changes... 3 Antique Autos... 8 Application Procedure... 1 Audio, Visual and Data Electronic Equipment Added Limits... 14 Auto

More information

Purpose. Statutory Authority - Insurance Law, 201, 301 and 3420 and Laws of 2017, Chapter 59, Part AAA Definitions.

Purpose. Statutory Authority - Insurance Law, 201, 301 and 3420 and Laws of 2017, Chapter 59, Part AAA Definitions. RULES AND REGULATIONS OF THE STATE OF NEW YORK TITLE 11. INSURANCE DEPARTMENT Chapter III POLICY AND CERTIFICATE PROVISIONS Subchapter B. Property and Casualty Insurance Part 60. Minimum Provisions for

More information

MASSACHUSETTS ENDORSEMENT - M-0108-S. Personal Vehicle Sharing Exclusion

MASSACHUSETTS ENDORSEMENT - M-0108-S. Personal Vehicle Sharing Exclusion MASSACHUSETTS ENDORSEMENT - M-0108-S Personal Vehicle Sharing Exclusion We will not pay any claim for injury or property damage under the policy, while your auto is being used in a personal vehicle sharing

More information

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF POLICY PROVISIONS NEW HAMPSHIRE

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF POLICY PROVISIONS NEW HAMPSHIRE PERSONAL AUTO PP 01 76 01 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT OF POLICY PROVISIONS NEW HAMPSHIRE This endorsement amends your policy to make it the equivalent of

More information

APPLICATION FOR ACCREDITED REINSURER

APPLICATION FOR ACCREDITED REINSURER Office of Insurance Regulation Company Admissions APPLICATION FOR ACCREDITED REINSURER The Office receives applications electronically. Please submit your application at http://www.floir.com/iportal, using

More information

private client group Automobile Insurance Enjoy the ride

private client group Automobile Insurance Enjoy the ride private client group Automobile Insurance Enjoy the ride Shift your perception of automobile insurance It took a lot more than a license to get into your vehicles. At Chartis, we understand the success

More information

INSURANCE EXPENSE EXHIBIT

INSURANCE EXPENSE EXHIBIT INSURANCE EXPENSE EXHIBIT FOR THE YEAR ENDED DECEMBER 31, 2011 (To Be Filed by April 1) Of The (Name) ADDRESS (City, State and Zip Code) NAIC Group Code NAIC Company Code Employer's Identification Number

More information

COMMERCIAL AUTO TABLE OF CONTENTS

COMMERCIAL AUTO TABLE OF CONTENTS COMMERCIAL AUTO TABLE OF CONTENTS ITEM CA PAGE Additional and Return Premium Changes... 3 Antique Autos... 8 Application Procedure... 1 Audio, Visual and Data Electronic Equipment Added Limits... 15 Auto

More information

South Carolina Property, Casualty, Surety and Marine Insurance Adjuster Series questions 2 hour time limit 1.0 Insurance Regulation 10%

South Carolina Property, Casualty, Surety and Marine Insurance Adjuster Series questions 2 hour time limit 1.0 Insurance Regulation 10% South Carolina Property, Casualty, Surety and Marine Insurance Adjuster Series 19-11 100 questions 2 hour time limit 1.0 Insurance Regulation 10% 1.1 Director's general duties and powers (38-3-60, 110)

More information

COMMERCIAL AUTO TABLE OF CONTENTS

COMMERCIAL AUTO TABLE OF CONTENTS COMMERCIAL AUTO TABLE OF CONTENTS ITEM CA PAGE Additional and Return Premium Changes... 3 Antique Autos... 8 Application Procedure... 1 Audio, Visual and Data Electronic Equipment Added Limits... 14 Auto

More information

COMBINED ANNUAL STATEMENT

COMBINED ANNUAL STATEMENT COMBINED ANNUAL STATEMENT OF THE LIBERTY MUTUAL INSURANCE COMPANY and its affiliated property and casualty insurers of TO THE Insurance Department OF THE FOR THE YEAR ENDED December 31, 2014 PROPERTY AND

More information

Rail Owner Controlled Insurance Program Manual

Rail Owner Controlled Insurance Program Manual Rail Owner Controlled Insurance Program Manual Addendum No. 4 to June 2013 Edition (Updated 08-21-17) Update to Section 5 Enrolled and Excluded Contractor Required Coverage for Package P Contract Section

More information

82'"'"'"'"'"'li'""'""'

82''''''li''' ACORD3.. - I CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 10/30/2015 THIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE

More information

Private Passenger Auto Rate Filings & Rate Collection System Getting Filings Off To A Good Start. June 14, 2012

Private Passenger Auto Rate Filings & Rate Collection System Getting Filings Off To A Good Start. June 14, 2012 Private Passenger Auto Rate Filings & Rate Collection System Getting Filings Off To A Good Start June 14, 2012 Howard Eagelfeld, FCAS Cyndi Cooper, ACAS I-File System Filing Purpose A correct filing purpose

More information

APPLICATION FOR MASSACHUSETTS MOTOR VEHICLE INSURANCE PRODUCER CODE: APPLICANT'S NAME, RESIDENTIAL ADDRESS AND ZIP PHONE:

APPLICATION FOR MASSACHUSETTS MOTOR VEHICLE INSURANCE PRODUCER CODE: APPLICANT'S NAME, RESIDENTIAL ADDRESS AND ZIP PHONE: APPLICATION FOR MASSACHUSETTS MOTOR VEHICLE INSURANCE PRODUCER CODE: APPLICANT'S NAME, RESIDENTIAL ADDRESS AND ZIP PHONE: BINDER/POLICY #: EFFECTIVE DATE EXPIRATION DATE MAIL ADDRESS (IF DIFFERENT) [COMPANY

More information

Anthem Health Plans, Inc dba Anthem Blue Cross and Blue Shield of Connecticut Individual Premier, SmartSense, & Lumenos Plus

Anthem Health Plans, Inc dba Anthem Blue Cross and Blue Shield of Connecticut Individual Premier, SmartSense, & Lumenos Plus SERFF Tracking #: AWLP-128376018 State Tracking #: 201289450 Company Tracking #: State: Connecticut Filing Company: Anthem Health Plans, Inc dba Anthem Blue Cross and Blue Shield of Connecticut TOI/Sub-TOI:

More information

Application for Rental Autos & Trucks Short Term

Application for Rental Autos & Trucks Short Term Application for Rental Autos & Trucks Short Term (Hour, Day or Week) COLUMBIA INSURANCE COMPANY NATIONAL FIRE & MARINE INSURANCE COMPANY NATIONAL INDEMNITY COMPANY NATIONAL INDEMNITY COMPANY OF MID-AMERICA

More information

FSLSO DILIGENT EFFORT/DISCLOSURE MATRIX

FSLSO DILIGENT EFFORT/DISCLOSURE MATRIX The FSLSO Diligent Effort/ Matrix was developed by the Florida Surplus Lines Service Office for the purpose of providing Commercial Property Coverage Type Description Diligent Effort () or Commercial Property

More information

AAA Select & Choice Key Product Differences

AAA Select & Choice Key Product Differences Permissive Use Permissive Use Coverage Non-owned Vehicle Enhanced/Standard Transportation Expense (Select) / Rental Car Reimbursement (Choice) Any person using an insured vehicle, with permission from

More information

TOI: H16I Individual Health - Major Medical Sub-TOI: H16I.005A Individual - Preferred Provider (PPO) Anthem 2012 Direct Pay Rate Filing

TOI: H16I Individual Health - Major Medical Sub-TOI: H16I.005A Individual - Preferred Provider (PPO) Anthem 2012 Direct Pay Rate Filing SERFF Tracking Number: AWLP-127389254 State: Connecticut Filing Company: Company Tracking Number: Anthem Health Plans, Inc dba Anthem Blue Cross and Blue Shield of Connecticut State Tracking Number: 201183855

More information

VERMONT MUTUAL MASSACHUSETTS PERSONAL AUTOMOBILE MANUAL. The types of coverages available in the Massachusetts Automobile Insurance Policy are:

VERMONT MUTUAL MASSACHUSETTS PERSONAL AUTOMOBILE MANUAL. The types of coverages available in the Massachusetts Automobile Insurance Policy are: VERMONT MUTUAL MASSACHUSETTS PERSONAL AUTOMOBILE MANUAL RULE 2. COVERAGES AND LIMITS The types of coverages available in the Massachusetts Automobile Insurance Policy are: Compulsory Insurance Coverages

More information

10AR 1273 (Ed. 08/14) Page 1 of 1

10AR 1273 (Ed. 08/14) Page 1 of 1 Accident Forgiveness This endorsement provides forgiveness of SDIP premium costs relating to one at-fault accident caused by an Experienced Operator. SDIP points usually do not affect premium until the

More information

GLJL ; GLJL ; CLJL & GLJL Authors: Eileen Fisher, Tina Disposition Date: 08/24/2011

GLJL ; GLJL ; CLJL & GLJL Authors: Eileen Fisher, Tina Disposition Date: 08/24/2011 SERFF Tracking Number: HRLV-127285397 State: Massachusetts First Filing Company: Harleysville Insurance Company,... State Tracking Number: Company Tracking Number: GLJL120610-1; GLJL062710-1; CLJL011111-1

More information

6. Add the rate associated with the Auto Elite Program under Rule 2, if applicable, to the total vehicle premium developed.

6. Add the rate associated with the Auto Elite Program under Rule 2, if applicable, to the total vehicle premium developed. Parts 1 through 9 and Part 12 may be subject to more than one discount. In such case, the order of discounts shall be (1) annual mileage, (2) multi-car, (3) passive restraint, (4) anti-theft, (5) continuous

More information

TECHNOLOGY XTEND ENDORSEMENT

TECHNOLOGY XTEND ENDORSEMENT Page 1 of 7 CG D4 17 07 08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TECHNOLOGY XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL

More information

Automobile Insurers Bureau

Automobile Insurers Bureau Automobile Insurers Bureau Massachusetts Automobile Insurance Policy Please read your policy. Part of the policy is a page marked Coverage Selections. It shows the types and amounts of coverage you have

More information

Each submission must be made on an individual basis. Combined or consolidated reports will not be accepted.

Each submission must be made on an individual basis. Combined or consolidated reports will not be accepted. Florida Office of Insurance Regulation General Emergency Assessment Reporting (GEAR) Data Collection Form Number: OIR-DO-1688, (rev. 10/2007) If you have any questions during your submission process, please

More information