OKLAHOMA INSURANCE DEPARTMENT RATE AND … · oklahoma insurance department rate and form compliance division property and casualty filing activity report filing activity for 06-01-2017

OKLAHOMA INSURANCE DEPARTMENT RATE AND FORM COMPLIANCE DIVISION PROPERTY AND CASUALTY

FILING ACTIVITY REPORT

FILING ACTIVITY FOR 06-01-2017 THROUGH 06-30-2017

Title 36, Section 306 and Title 51, Section 24A.5 - All form filings and other records of the Property and Casualty Division are open to any person for inspection, copying, or mechanical reproduction during normal business hours; this does not apply to confidential records protected by evidentiary privilege (i.e. an assertion of trade secret status for underwriting criteria).

Title 365:15-9-9 Medical practice rate change application is a public record. All parts of a rate change application submitted by an insurer pursuant to 36 O.S. §6821 shall be a public record upon receipt by the Insurance Department. An insurer may not make an assertion of confidentiality for any part of a rate change application.

Title 36 O.S. 987F. A filing and any supporting information required to be filed shall be open to public inspection once the filing becomes effective except information marked confidential, trade secret, or proprietary by the insurer or filer.

BULLETIN NO. PC 02-27-09

TO: ALL FROM: THE OKLAHOMA INSURANCE DEPARTMENT

RE: RATE AND FORM COMPLIANCE DIVISION – PROPERTY AND CASUALTY MONTHLY FILING ACTIVITY REPORT DATE: February 27, 2009 (Revised August 9, 2013) PURPOSE OF THIS BULLETIN The Rate and Form Compliance Division of the Oklahoma Insurance Department (“Department”) has developed a monthly report of the filing activities of property and casualty insurers admitted in the State of Oklahoma. The monthly reports may be used to monitor the Oklahoma property and casualty insurance marketplace. The reports will be posted on the Department’s website on a monthly basis. For your convenience, each document will be in searchable format. The Department will provide copies in electronic format of public documents contained in any filing at a cost of $0.40 per page, plus additional costs as appropriate. The Department will accommodate requests for public documents in other formats as needed. In addition to all other charges, a search fee may be charged when records are requested for commercial purposes or when responding to a request would be excessively disruptive to the essential functions of the Department. Postage costs must also be paid by the requestor. Requests should be emailed to both [email protected] and [email protected] The request must identify the OID and/or Sircon number for filings submitted from 2005 through June 2011. Requests for filings submitted after June 2011 must identify the SERFF and/or Sircon filing number. The SERFF and/or Sircon filing number is identified on the report for each filing. (Example – Filing: ABCD-127123586 and/or 31769). All requests must identify the lead insurance company and the month the filing was posted. Some filings will contain fewer than ten (10) pages while others will contain hundreds. It is the requestor’s responsibility to inform the Department of limitations as to the number of pages for which the requestor is willing to pay. The Department’s SERFF computer may be used by the public to view filings. Although appointments are not required to view filings, it is strongly suggested due to the limited amount of space and equipment. Individuals making appointments will be given priority access to the SERFF computer.

mailto:[email protected]


Bulletin PC 02-27-09 Page Two Questions applicable to this Bulletin should be directed to Cuc Nguyen at [email protected] of the Rate and Form Compliance Division of the Oklahoma Insurance Department, Five Corporate Plaza, 3625 NW 56th Street, Suite 100, Oklahoma City, OK 73112. (The 8/9/13 revision only changes the name and email of the contact person) The Oklahoma Insurance Department encourages readers of this Bulletin to periodically check the Department’s web site www.oid.ok.gov for news and updates to Bulletins, Orders and other relevant material.


http://www.oid.ok.gov/

OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 06/01/2017 through 06/29/2017 1 of 193Page

1 21st Century Centennial Insurance Company

21st Century Indemnity Insurance Company

21st Century North America Insurance Company

21st Century Assurance Company

21st Century Pacific Insurance Company

The companies are filing a notification of the withdrawal of the Private Passenger Automobile Program pursuant to Oklahoma Regulations365: 15-1-18 and 365: 15-7-31.

AGMK-131079486

Informational FiledDisposition Status:SERFF Tracking Number:

Filing Type: Notice: Discontinue/Reduce Writings/ Withdraw from the Market Place

State Type of Insurance:State Sub-TOI:

19.0 Personal Auto

19.0001 Private Passenger Auto (PPA)

Submission Date: 06/14/2017

Effective Date:Disposition Date:

04/01/2016

06/19/2017

2 ACE American Insurance Company

ACE Fire Underwriters Insurance Company

ACE Property and Casualty Insurance Company

Bankers Standard Insurance Company

Indemnity Insurance Company of North America

Insurance Company of North America

Pacific Employers Insurance Company

WESTCHESTER FIRE INSURANCE COMPANY


The companies are filing for the Commercial Property Program to introduce flood coverage rating rules for all risks other than health andsocial service facilities. The filing is amended to eliminate "Refer to Company" as a rating option.

ACEH-130968053

Filed As AmendedDisposition Status:SERFF Tracking Number:

Filing Type: Rate/Rule


01.0 Property

01.0001 Commercial Property (Fire and Allied Lines)



04/02/2017

06/27/2017

3 ACE American Insurance Company

Company is filing PF-48863 (04/17) Hired/Non-Owned Automobile Liability Endorsement Separate Limits for use in the Health Care andAllied Professional and Supplemental Liability Program.

ACEH-131092777

ApprovedDisposition Status:SERFF Tracking Number:

Filing Type: Form


11.0 Med Mal-Claims Made and Occurrence

11.0029 Other



07/26/2017

06/30/2017


4 ACE Property and Casualty Insurance Company

Company is filing one revised and four new forms for use in the Commercial Umbrella Liability product.

ACEH-131059069


Filing Type: Form


17.1 Other Liability-Occ Only

17.1020 Commercial Umbrella and Excess



08/11/2017

06/21/2017

5 AIG Property Casualty Company

The company is filing a new Additional Named Insured - Limited Stadium Box or Suite Coverage Endorsement for use in the Private ClientGroup Homeowners Program.

APCG-131063977


Filing Type: Form


04.0 Homeowners

04.0000 Homeowners Sub-TOI Combinations



06/22/2017

06/22/2017


6 AIG Property Casualty Company

The company is filing one new personal excess liablity form for use with the Private Client Group Personal Excess Liability Program;Additional Named Insured - Limited Stadium Box or Suite Coverage Endorsement, PEL-ADINSTADM.

APCG-131059995


Filing Type: Form


17.0 Other Liability-Occ/Claims Made

17.0021 Personal Umbrella and Excess



06/28/2017

06/28/2017

7 AMERISURE MUTUAL INSURANCE COMPANY

AMERISURE INSURANCE COMPANY

The companies are filing new form, Named Storm Percentage Deductible CP 77 80 01 17 for use with commercial policies.

AMRS-131028473


Filing Type: Form


05.0 CMP Liability and Non-Liability

05.0007 Other CMP



09/01/2017

06/05/2017


8 AMT Warranty Corp.

The service warranty corporation is filing new home service contract SC-IPD2000-AMT-HRM and dec page NATIONALDECPAGE-GBB020117 pursuant to the Home Service Contract Act 36 O.S. 6751.

HUSA-131059552


Filing Type: Form


33.0 Other Lines of Business

33.0004 Service Contracts



06/14/2017

06/14/2017


The service warranty corporation is filing new home service contract SC-WSL2000-AMT-HRM and dec page NATIONALDECPAGE-GBB020117 pursuant to the Home Service Contract Act 36 O.S. 6751.

HUSA-131060634


Filing Type: Form






06/13/2017

06/13/2017



The service warranty corporation is filing new home service contract SC-HVAC2000-AMT-HRM and dec page NATIONALDECPAGE-GBB020117 pursuant to the Home Service Contract Act 36 O.S. 6751.

HUSA-131061428


Filing Type: Form






06/14/2017

06/15/2017


The service warranty corporation is filing new agreement, Cover Financial Service Contract AMT-WCPS-CFI (05-17) pursuant to the ServiceWarranty Act 15 O.S. 141.1 et al. The form is guaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.

UNKP-131063200


Filing Type: Form






06/16/2017

06/16/2017



The service warranty corporation is filing nine revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.

UNKP-131079822


Filing Type: Form






06/26/2017

06/26/2017


The service warranty corporation is filing new home service contract pursuant to the Home Service Contract Act 36 O.S. 6751.

HUSA-131081878


Filing Type: Form






06/29/2017

06/29/2017


14 AXIS Insurance Company

The company is filing a new Policyholder Disclosure Notice of Terrorism Insurance Coverage to be used in conjunction with the InsuranceServices Office's (ISO) TRIA forms and endorsements for the PUI Hospitality Program pursuant to the Terrorism Risk Insurance ProgramReauthorization Act of 2015.

REGU-131048170


Filing Type: Form


35.0 Interline Filings

35.0002 Commercial Interline Filings



06/16/2017

06/16/2017


The company is filing forms for use in the Commercial General Liability portion of the PUI Hospitality Program. The filing is amended towithdraw the commercial package forms.

REGU-131048237

Approved as AmendedDisposition Status:SERFF Tracking Number:

Filing Type: Form



17.0001 Commercial General Liability



06/27/2017

06/27/2017



The company is filing forms for use in the Commercial Crime portion of the PIU Hospitality Program. The filing is amended to withdraw thecommercial package forms.

REGU-131048266


Filing Type: Form


26.0 Burglary and Theft

26.0001 Commercial Burglary and Theft



06/15/2017

06/15/2017


The company initially fi8led rates and rules for use in the Commercial Crime PUI Hospitality Program. The filing is withdrawn pursuant to O.R.365:15-7-3(b).

REGU-131048265

WithdrawnDisposition Status:SERFF Tracking Number:







06/15/2017

06/15/2017



The company is filing new and revised forms for use with the Commercial Follow Form Excess Liability Policy including the standardization ofverbiage used in common provisions and the replacement of the form number prefixes from 'XS' to 'AXIS.' The filing was amended with arevised Declarations Page.

PERR-131016059


Filing Type: Form






07/02/2017

06/14/2017

19 Accident Fund General Insurance Company

Accident Fund Insurance Company of America

Accident Fund National Insurance Company

United Wisconsin Insurance Company

The companies are filing a revision to the Workers' Compensation and Employers Liability Insurance Policy by adopting the National Councilon Compensation Insurance form WC 00 00 00 C along with filing a new Execution Clause Endorsement WC 99 06 60.

ACCD-131052497


Filing Type: Form


16.0 Workers Compensation

16.0004 Standard WC



08/01/2017

06/16/2017


20 Aegis Security Insurance Company

The company is filing revised Policy Execution Endorsement POLEXE (07/17) for use in the Dwelling Fire Program.

AEGS-131087483


Filing Type: Form


30.1 Dwelling Fire/Personal Liability




07/01/2017

06/21/2017

21 All America Insurance Company

Central Mutual Insurance Company

The companies are filing four new endorsements for use with the Professional Liability Insurance Program. The filing has been amended tocomply with 365:15-1-15 and Case No.: 11-0351-PRJ and 36 O.S. 3611.A.2 and A.3.

CEMC-131021715


Filing Type: Form



17.0019 Professional Errors & Omissions Liability



08/01/2017

06/27/2017


22 Allied World Specialty Insurance Company

The company is filing 34 initial forms for use in the new Commercial Package Auto Dealer Program. The filing is amended to comply withseveral statutes.

DRWN-131025113


Filing Type: Form



05.0003 Commercial Package



06/06/2017

06/06/2017


The company is filing seven new and revised forms for use in the Commercial Package Delivery Insurance Program. The filing was amendedto comply with several regulations.

PERR-131025824


Filing Type: Form






07/04/2017

06/16/2017



The company is filing new and revised manual pages for the Commercial Package Delivery Insurance Program. The filing was amended toattach revised manual pages.

PERR-131025823








06/15/2017

06/15/2017


The company is filing initial rates and rules for use in the new Commercial Package Auto Dealer Program.

DRWN-131042738

FiledDisposition Status:SERFF Tracking Number:







06/01/2017

06/06/2017


26 Allstate Insurance Company

The company is filing new Vacancy AP CW 35 01 17 for use in the Commercial Property Program. Pursuant to Oklahoma Regulation 365: 15-1-3(b)(10) the filing is withdrawn.

ALSE-130956167


Filing Type: Form


01.0 Property




06/07/2017

06/07/2017

27 Alpha Warranty Services, Inc.

The service warranty corporation is filing three new agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by American Bankers Insurance Company of Florida.

AWSV-131075914


Filing Type: Form






06/26/2017

06/26/2017


28 AmGUARD Insurance Company

The company is filing initial forms for the Commercial Property Program that are a combination of Insurance Services Office's approved formsand company forms. The filing is amended to comply with Oklahoma Statutes 36 O.S. 3613(B)(2) and Oklahoma Statute 36 O.S. 4803.1 andOklahoma Regulation 365: 15-1-10(b)(1) and (2), withdraw two forms and indicate one form is informational.

REGU-130981220


Filing Type: Form


01.0 Property




06/06/2017

06/06/2017

29 American Alternative Insurance Corporation

Mitsui Sumitomo Insurance Company of America

National Indemnity Company

Tokio Marine America Insurance Company

American Commerce Insurance Company

The companies are filing revised Oklahoma Amendatory Endorsements for each aviation product in the Global Aerospace Underwriters Poolto reflect Tokio Marine America Insurance Company's change of office location and address.

GLBL-131056159


Filing Type: Form


22.0 Aircraft

22.0000 Aircraft



06/13/2017

06/13/2017


30 American Automobile Insurance Company

The company is filing revisions to various forms to clarify coverages for use in the Commercial Auto Program. The filing is amended towithdraw forms sent in error.

FFDC-131003601


Filing Type: Form


20.0 Commercial Auto

20.0001 Business Auto



07/01/2017

06/08/2017

31 American Economy Insurance Company

American States Insurance Company

The companies are filing revised base rates for the FARMPAC® Program. The overall rate effect is +4.0%/+$141,855.

LBRC-130944292


Filing Type: Rate



05.0006 Commercial Farm and Ranch



06/10/2017

03/29/2017


32 American Family Home Insurance Company

The company is filing to withdraw the Land Home HO3 Program from the Oklahoma marketplace. The filing is informational pursuant to O.R.365:15-1- 18 and O.R. 365:15-7-31.

AMMH-131041969




04.0 Homeowners

04.0002 Mobile Homeowners



09/12/2017

06/08/2017

33 American Family Home Insurance Company

The company is filing to withdraw the Manufactured Homeowner Program from the Oklahoma marketplace. The filing is informationalpursuant to O.R. 365:15-1- 18 and O.R. 365:15-7-31.

AMMH-131041857




04.0 Homeowners




09/12/2017

06/08/2017


34 American Farmers & Ranchers Mutual Insurance Company

The company is filing revised manual pages to implement fee reductions for use with the Personal Inland Marine Program.

AFRI-131019725


Filing Type: Rule


09.0 Inland Marine

09.0010 Boatowners/Personal Watercraft



05/01/2017

06/06/2017

35 American Fire and Casualty Company

The Ohio Casualty Insurance Company

Ohio Security Insurance Company

West American Insurance Company

The company is filing a new Mobile Home Parks - Debris Removal endorsement for use with the Commercial Property Program.

LBRC-131044443


Filing Type: Form


01.0 Property




11/01/2017

06/20/2017


36 American Guarantee and Liability Insurance Company

Company is filing new endorsements limiting or adding Pollution coverage to Umbrella, Following Form or Excess Coverage Forms.

ZURC-130994428


Filing Type: Form






06/09/2017

06/09/2017

37 American Guarantee and Liability Insurance Company

Company is filing four revised forms that were previously approved for the Short Form Excess Liability product.

ZURC-131012802


Filing Type: Form






08/06/2017

06/21/2017


38 American Home Assurance Company

Illinois National Insurance Co.

The Insurance Company of the State of Pennsylvania

The companies are filing for the Property Performance Program to introduce 72 forms, revise 51 forms and withdraw 25 forms. The filing isamended to withdraw four terrorism forms, retract the request to withdraw the 25 forms and include an informational policyholder notice.

AGNY-130896710


Filing Type: Form


01.0 Property




06/19/2017

06/19/2017


AIU Insurance Company

Commerce and Industry Insurance Company

Granite State Insurance Company


National Union Fire Insurance Company of Pittsburgh, Pa.

New Hampshire Insurance Company


AIG Assurance Company

AIG Property Casualty Company


The companies are filing a new form for use with the Commercial General Liability Coverages; Deductible Coverage Endorsement - Form A,94356 (10/16).

AGNY-131079014


Filing Type: Form






07/20/2017

06/19/2017


AIU Insurance Company


Granite State Insurance Company






AIG Property Casualty Company


The companies are filing a new Deductible Coverage Endorsement-Form A for use in the Commercial Auto Program.

AGNY-131078917


Filing Type: Form



20.0000 Commercial Auto Combinations



07/20/2017

06/29/2017






The companies are filing a revised form used with the Financial Institution Aircraft Policy Program; Certificate of Insurance, AF130.

AGNY-131086402


Filing Type: Form


22.0 Aircraft

22.0000 Aircraft



07/22/2017

06/21/2017


42 American Home Shield of Oklahoma

The service warranty corporation is filing two home service contract agreements pursuant to the Home Service Contract Act 36 O.S. 6751.

AHSC-131061623


Filing Type: Form






06/19/2017

06/19/2017

43 American Modern Home Insurance Company

The company is filing revisions to the base rates and rules for use in the Specialty Homeowner Program. The overall effect is +8%/+$1,006,918. The filing is amended to include final printed manual pages with corrections.

AMMH-130895426


Filing Type: Rate


04.0 Homeowners

04.0003 Owner Occupied Homeowners



06/06/2017

03/01/2017


44 American Reliable Insurance Company

The company is filing initial forms for the Farm and Equine Program that include Insurance Services Office's forms and company forms. Thefiling is amended to comply with Oklahoma Statute 36 O.S. 4803, withdraw several terrorism coverage forms and exclusions, include anearthquake coverage policyholder advisory notice, indicate one form is informational and include revised forms with corrections.

PENN-130773652


Filing Type: Form






10/15/2017

06/12/2017


The company is filing initial forms for the Agricultural Output Program which are a combination of American Association of Insurance Services'forms and company forms. The filing is amended to withdraw nine terrorism coverage and exclusions forms and to include revised forms withcorrections.

PENN-130954654


Filing Type: Form






10/15/2017

06/28/2017



The company is filing various Terrorism forms and endorsements for use with Farm and Equine Program pursuant to the Terrorism RiskInsurance Program Reauthorization Act of 2015. The filing is being withdrawn pursuant to 365:15-1-3.

PENN-131057879


Filing Type: Form






06/28/2017

06/28/2017


The company is filing to adopt the American Association of Insurance Services (AAIS) various Terrorism Endorsements and a PolicyholderDisclosure Notice for use in Agricultural Output Program pursuant to the Terrorism Risk Insurance Program Reauthorization Act of 2015.

PENN-131090580


Filing Type: Form






05/01/2018

06/29/2017


48 American Security Insurance Company

The company is filing eight new forms for use with the Commercial Inland Marine Core Insurance Protection Program. The filing is amendedto comply with various regulations and statutes.

ASPX-G131040068


Filing Type: Form


09.0 Inland Marine

09.0007 Communication Equipment (Cellular Telephones)



08/01/2017

06/28/2017

49 American Strategic Insurance Corp

The company is filing initial forms and endorsements for the Oklahoma Personal Umbrella Program. The filing has been amended with theremoval of the advisory Personal Umbrella Liability Policy from the Form Schedule tab and an editorial revision to the Insurance Application.

AMSI-131020656


Filing Type: Form






08/01/2017

06/06/2017


50 American Zurich Insurance Company

American Guarantee and Liability Insurance Company

Zurich American Insurance Company of Illinois

Zurich American Insurance Company

The companies are filing 24 new, revised and withdrawn forms for the Aftermarket Express Accounts Business Program. The filing wasamended to attach withdrawn form for approval.

ZURC-130925501


Filing Type: Form






01/15/2018

06/05/2017





The companies are filing new form, Asbestos Exclusion U-AAM-326-A CW (05/17) for use with the Commercial Package Aftermarket ExpressProgram.

ZURC-131036947


Filing Type: Form






07/01/2017

06/05/2017




Colonial American Casualty & Surety Company

Fidelity and Deposit Company of Maryland



Empire Fire and Marine Insurance Company

The companies are filing for the Commercial Property Program to delay adoption of Insurance Services Office's loss cost and rule revisionsuntil January 1, 2018.

ZURC-131048865




01.0 Property




01/01/2018

06/15/2017



Colonial American Casualty & Surety Company

Fidelity and Deposit Company of Maryland



Empire Fire and Marine Insurance Company


The companies are filing for the Commercial Property Program to delay adoption of Insurance Services Office's and endorsements containedin filing designation CF-2016-OFR16 until January 1, 2018.

ZURC-131048866


Filing Type: Form


01.0 Property




01/01/2018

06/15/2017





The companies are filing a new Asbestos Exclusion Endorsement for use with the Auto Dealers Coverage Form in the Commercial AutoProgram.

ZURC-131069337


Filing Type: Form






08/01/2017

06/29/2017






The companies are filing seven revised forms for use in the Commercial Package Property Portfolio Protection (PPP) Program.

ZURC-131078772


Filing Type: Form






08/01/2017

06/28/2017

56 Arch Insurance Company

The company is filing initial rates and rules to offer Technology Services and Products, and Professional Liability Coverages for use with theArch Netsafe® 2.0 Policy. The filing was amended with revised manual pages.

WESA-131011044





17.0024 Internet Liability



06/01/2017

06/09/2017



The company is filing a single Oklahoma Multiple Year Policy Endorsement - Reinstatement Limit of Liability Each Policy Year Endorsementfor use with the Errors and Omissions Architects and Engineers Professional Liability Insurance Policy.

AICO-131008638


Filing Type: Form


17.2 Other Liability-Claims Made Only

17.2019 Professional Errors and Omissions Liability



06/09/2017

06/09/2017


The company is filing revised manual pages including a new multi-year policy option for use with the Errors and Omissions Architects andEngineers Professional Liability Program.

WESA-131027569


Filing Type: Rule






06/15/2017

06/13/2017


59 Argonaut Great Central Insurance Company

Argonaut Insurance Company

The companies are filing two revised Unmanned Aircraft coverage forms for use with the Commercial Package Trident Insurance ServicesProgram.

ARGN-131049386


Filing Type: Form






07/22/2017

06/05/2017

60 Argonaut Insurance Company

Colony Specialty Insurance Company

The companies are filing a revised form used with the Commercial Excess Liability product which will be available to all business units exceptthe self-insured retention business; Exclusion - Subsidence Endorsement, XP29-0517.

ARGN-131078928


Filing Type: Form






08/13/2017

06/30/2017


61 Ashmere Insurance Company

The company is filing a new Participating Endorsement for the Workers' Compensation coverage.

TGUI-131027371


Filing Type: Form



16.0004 Standard WC



06/02/2017

06/02/2017

62 Aspen American Insurance Company

The company is filing eight new endorsements for use with the Management Liability Package Policy for Private Companies and Not - for -Profit Organizations.

AIUS-131056627


Filing Type: Form



17.0000 Other Liability Sub-TOI Combinations



06/27/2017

06/27/2017



The company is filing for the Crop-Hail Insurance Program to revise XS20 cotton rates and the expanded stepladder option factor. There is norate effect as there is no written premium in the program.

AIUS-131064407




02.1 Crop

02.1001 Crop-Hail Non-Federally Reinsured Only



06/01/2017

06/16/2017


The company is filing a revised Declarations for use in the Internet Security And Privacy (ISAP) Program; Internet Security And PrivacyInsurance Policy Declarations, ASPIS001 DEC OK. The filing was amended with a revised side-by-side Declarations, corrected FormNumber reference and filing effective dates.

REGU-131062406


Filing Type: Form






06/08/2017

06/08/2017


65 Association Casualty Insurance Company

The company is filing a new Policy Jacket (IPJ-305 (7-14) for use in the commercial line of business.

CLBA-131055311


Filing Type: Form






08/15/2017

06/16/2017

66 Assurant Service Protection, Inc.

The service warranty corporation is filing two new agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by American Bankers Insurance Company of Florida.

ASPX-G131077900


Filing Type: Form






06/27/2017

06/27/2017


67 Asurion Consumer Solutions, Inc.

The service warranty corporation is filing new agreement, Service Contract 410 (04/17) pursuant to the Service Warranty Act 15 O.S. 141.1 etal. The form is guaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

ASUR-131066306


Filing Type: Form






06/28/2017

06/23/2017

68 Asurion Service Plans, Inc.

The service warranty corporation is filing two new agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Continental Casualty Company.

ASUR-131065242


Filing Type: Form






06/28/2017

06/23/2017


69 Atlantic Specialty Insurance Company

The company is filing fifty new endorsements for use with the Management Liability Program. The filing has been amended to comply with 36O.S. 3611.A.2 and A.3.

BEAC-130977287


Filing Type: Form



17.2022 Other



06/02/2017

06/02/2017


The company is filing various new and revised forms for use with the Commercial General Liability portion of the OneBeacon GovernmentRisk Solutions (GRS) product. The filing has been amended to correct Form Names on the Form Schedule tab.

BEAC-130988468


Filing Type: Form






08/01/2017

06/29/2017



The company is filing thirty-nine new and replaced forms for use with the Errors and Omissions OneBeacon Government Risk Solutions(GRS) Product.

BEAC-130989674


Filing Type: Form






08/01/2017

06/28/2017


The company is filing initial Terrorism endorsements and Policyholder Disclosure Notices for the Information Risk & Recovery Productpursuant to the Terrorism Risk Insurance Program Reauthorization Act of 2015.

BEAC-131044290


Filing Type: Form



17.0028 Cyber Liability



08/01/2017

06/08/2017



The company is filing to revise the cyber liability rates and rules for the Information Risk & Recovery product by removing the OklahomaChanges-Statutory Tort Cap Limits of Insurance Endorsement as a mandatory endorsement.

BEAC-131054369


Filing Type: Rule






06/27/2017

06/27/2017


The company is filing revisions to the Clients' Property-Staffing Services for use in the Commercial Crime Program.

BEAC-131067213


Filing Type: Form






03/01/2018

06/23/2017



The company is filing 12 new internet liability forms for the Information Technology Solutions Complete product.

BEAC-131071996


Filing Type: Form






07/15/2017

06/30/2017

76 Automotive Warranty Services of Florida, Inc.

The service warranty corporation is filing six revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

VRGS-131058845


Filing Type: Form



33.0002 Other Commercial Lines



06/29/2017

06/06/2017



The service warranty corporation is filing three revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

VRGS-131065634


Filing Type: Form






07/01/2017

06/19/2017


The service warranty corporation is filing 14 new agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

VRGS-131069544


Filing Type: Form






07/07/2017

06/20/2017


79 BCS Insurance Company

Company is filing revised Excess Insurance Policy form 99.301.

BCSF-131089401


Filing Type: Form






06/30/2017

06/30/2017

80 Bankers Warranty Group of Oklahoma, Inc.

The service warranty corporation is filing revised agreement, UPSIE-B0517 pursuant to the Service Warranty Act 15 O.S. 141.1 et al. Theform is guaranteed by a contractual liability insurance policy issued by Bankers Insurance Company. The filing was amended to comply withO.R. 365:15-1-3(b)(9)(D).

BKIC-131062720


Filing Type: Form






06/19/2017

06/19/2017


81 Bankers Warranty Group of Oklahoma, Inc.

The company is filing new amendments to be added to previously approved service contract agreement, COMBO 0117.

BKIC-131077630


Filing Type: Form






06/27/2017

06/27/2017

82 Beazley Insurance Company, Inc.

The company is filing replacement rate pages for use with the Architects and Engineers Professional Liability Program. There is no overallrate impact as the increase is only policies with limits not sold in Oklahoma.

BEAZ-130958623


Filing Type: Rate






06/30/2017

05/05/2017


83 Beazley Insurance Company, Inc.

The company is filing seventy-nine new and replaced forms for use with the new Beazley Execuguard Management Liability Product.

BEAZ-130961287


Filing Type: Form






08/01/2017

06/09/2017

84 Berkley Insurance Company

The company is filing revised manual pages for the Errors and Omissions Berkley Design Professional Architects and Engineers Program.The filing has been amended to comply with Oklahoma Statute 36 O.S. 985.

PRFL-130994009








06/01/2017

06/06/2017



The company is filing three revised Amend Insuring Agreement to Remove Career Coverage forms for use with the Errors and OmissionsLawyers Professional Liability Insurance Coverage.

MNLM-131017076


Filing Type: Form






06/07/2017

06/07/2017


The company is filing to adopt the Insurance Services Office's fidelity loss costs in filing designation CR-2015-RLA1 for use in the Crime andFidelity Program. The filing is exempt pursuant to 36 O.S. 997.

BNIC-131024393


Filing Type: Loss Cost With Rule and or Rate


23.0 Fidelity

23.0000 Fidelity



06/15/2017

06/01/2017



The company is filing to adopt the Insurance Services Office's crime loss costs in filing designation CR-2015-RLA1 for use in the new BerkleyCrime Program.

BNIC-131023955








06/15/2017

06/01/2017

88 Berkley National Insurance Company

The company is filing Policyholder disclosure notice of terrorism insurance and two endorsements for use with the LS Prime CorporateSafeguard Policy pursuant to the Terrorism Risk Insurance Program Reauthorization Act of 2015. The filing has been amended to attachrevised endorsements.

BNIC-130989269


Filing Type: Form






06/07/2017

06/07/2017



Berkley Regional Insurance Company

StarNet Insurance Company

The companies are filing to adopt Insurance Services Office's commercial general liability form CG 21 44 in filing designation CL-2016-ODPFR and submit two revised forms for use with the General Risk Program; Total Intellectual Property Exclusion Endorsement, CG 83 17,and General Liability Extension for Technology Companies Endorsement, CG 83 60.

BNIC-131047004


Filing Type: Form






01/01/2018

06/28/2017




The companies are filing to adopt the commercial auto forms in the Insurance Services Office's filing designation CL-2016-OFR1 and filingseveral new forms for use in the General Risk Commercial Auto Program.

BNIC-131039102


Filing Type: Form






10/01/2017

06/15/2017





The companies are filing to revise a commercial general liability form for use with the General Risk Program to update the limit of coverage to$10,000; Supplemental Payments - Administrative Hearings Endorsement, CG 83 99.

BNIC-131043236


Filing Type: Form






06/20/2017

06/20/2017




Companies are filing to adopt Insurance Services Organization filing designation CL-2016-ODPFR, file Total Intellectual Property ExclusionCU 83 94, and withdraw Endorsement - Limited Terrorism Exclusion (Other Than Certified Acts of Terrorism); Certified Act of Terrorism Self-Insured Retention; Cap on Losses from Certified Acts of Terrorism CU 83 57.

BNIC-131065134


Filing Type: Form






01/01/2018

06/12/2017


93 Berkshire Hathaway Specialty Insurance Company

The company is filing eighty-three new forms for use with the Employment Practices Liability Product.

REGU-130995727


Filing Type: Form



17.2010 Employment Practices Liability



06/06/2017

06/06/2017


The company is filing seventy-nine new and replaced forms for use with the new Beazley Execuguard Management Liability Product. Thefiling has been amended to comply with several Oklahoma Statutes and Regulations.

REGU-131026887


Filing Type: Form






06/28/2017

06/28/2017



Company is filing a revised declarations page and new endorsements for use with its Excess Follow Form Policy.

REGU-131070359


Filing Type: Form






06/28/2017

06/28/2017


Company is filing two new rules for the Follow Form Excess policy: a pro-rata rule to address non-annual term policies and a rule to addresssituations where the excess coverage does not follow the underlying coverage. As the filing is exempt from file or review requirementspursuant to 36 O.S. 997, the company is withdrawing the filing.

REGU-131070358


Filing Type: Rule






06/30/2017

06/30/2017


97 Bristol West Insurance Company

The company is filing for the Private Passenger Automobile Select 2.5 Program to revise base rates and include a vehicle use surcharge forrideshare coverage. The filing is amended to include revised manual pages with corrections. The overall rate effect is +3.0%/+$251,105.

BRWS-131002695




19.0 Personal Auto




05/11/2017

06/05/2017

98 CANAL INSURANCE COMPANY

The company is filing four new and four revised endorsements for use with the Commercial Inland Marine Program.

CNLC-131017708


Filing Type: Form


09.0 Inland Marine

09.0005 Other Commercial Inland Marine



08/01/2017

06/12/2017


99 CANAL INSURANCE COMPANY

The company is filing revisions to the Lessor-Additional Insured and Loss Payee endorsement for use in the Commercial Auto Program.

CNLC-131046535


Filing Type: Form






08/01/2017

06/15/2017

100 COPIC Insurance Company

The company is filing a new form for use with the Health Care Facility Umbrella Liability Policy; Amendatory Endorsement, UMB-BE. Thefiling is withdrawn pursuant to O.R. 365: 15-1-3(B)(10).

COIN-131055931


Filing Type: Form






06/08/2017

06/08/2017


101 COPIC Insurance Company

Company is filing revised endorsements, Physicians & Surgeons-Individual Limit of Liability PHYINDLIM and Physicians & Surgeons-SharedLimit of Liability PHYSHARED, for use with the Health Care Facilities Policy.

COIN-131058924


Filing Type: Form


11.2 Med Mal-Claims Made Only

11.2000 Med Mal Sub-TOI Combinations



06/08/2017

06/08/2017

102 COUNTRY Mutual Insurance Company

The company is filing revisions to the base rates, roof type factors and miscellaneous rules for use in the Homeowners Program.

CFPC-130882153




04.0 Homeowners




06/16/2017

03/22/2017


103 CSAA Fire & Casualty Insurance Company

The company is filing a notification of the intent to cease writing new business in the Dwelling Fire Program pursuant to OklahomaRegulations 365: 15-1-18 and 365: 15-7-31.

WSUN-131102189








10/01/2017

06/30/2017

104 CSAA General Insurance Company

The company is filing for the Signature Series Private Passenger Automobile Program to revise base rates, uninsured motorist coverageincreased limit factors, usage rating factors and payments plans. The overall rate effect is +1.0%/+$1,071,809.

WSUN-130965132




19.0 Personal Auto

19.0000 Personal Auto Combinations



06/17/2017

06/21/2017


105 Century Warranty Services, Inc.

The service warranty corporation is filing new agreement, Mechanical Breakdown Service Contract F-CWRP (06/17) pursuant to the ServiceWarranty Act 15 O.S. 141.1 et al. The form is guaranteed by a contractual liability insurance policy issued by Courtesy Insurance Company.

CSWI-131062808


Filing Type: Form






06/19/2017

06/19/2017

106 Church Mutual Insurance Company

The company is filing revised manual pages in association with 11 new and revised forms for use in the Independent Commercial PackageInstitutional Program.

CHMU-130969045








06/15/2017

05/01/2017



The company is filing revised manual pages in association with one new and three revised forms for use in the Independent Church PackageProgram

CHMU-130969781








06/15/2017

04/11/2017


The company is filing four forms for use in the Independent Commercial Package Institutional Program.

CHMU-131045758


Filing Type: Form



05.0000 CMP Sub-TOI Combinations



07/16/2017

06/09/2017



The company is filing revised manual pages in association with four forms for use in the Independent Commercial Package InstitutionalProgram.

CHMU-131045858


Filing Type: Rule






07/16/2017

06/09/2017


The company is filing for the Independent Commercial Package Institutional Program to non-adopt of Insurance Services Offices revisionscontained in filing designation PR-2016-IHPS1.

CHMU-131056368


Filing Type: Rule






08/01/2017

06/05/2017


111 Clear Blue Insurance Company

The company is filing initial commercial general liability rates and rules for the Norman-Spencer Program with adoption of Insurance ServiceOffice's loss costs and rules contained in GL-2016-BGL1 and GL-2016-OEND2 with a loss cost multiplier of 1.625. The filing does not includeapproval of TRIA rules and was amended to comply with 36 O.S. 981 and 985, and the addition of Tier Pricing Rules.

MRTN-130990290








06/07/2017

05/05/2017

112 Colony Specialty Insurance Company

The company is filing a revised form for use with the Commercial Liability Umbrella Coverage; Exclusion-Subsidence Endorsement, UM15-0517.

ARGN-131076985


Filing Type: Form






08/13/2017

06/21/2017


113 Colony Specialty Insurance Company

The company is filing a revised form for use with the Commercial Liability Umbrella Coverage; Exclusion-Subsidence Endorsement, UM15-0617.

ARGN-131097910


Filing Type: Form






08/27/2017

06/28/2017

114 Continental Casualty Company

The company is filing a single Certificate of Insurance - Life Agents Professional Liability/E&O form for use with the Life Agents ProfessionalLiability Program.

CNAC-131009600


Filing Type: Form






06/07/2017

06/07/2017



The company is filing replacemement rule pages for use with the Epack Extra Miscellaneous Professional Liability (MPL) Rate Program. Theoverall rate effect is a decrease of -5.6% / -$4,301.00. The filing has been amended to comply with Oklahoma Administrative Rule 365:15-7-32 and Oklahoma Statute 36 O.S. 985.

CNAC-131039068





17.0022 Other



06/15/2017

06/27/2017


The company is filing a new Extended Reporting Period endorsement for use with the Commercial Property Mortgage Interest PolicyProgram.

CNAC-131052288


Filing Type: Form


01.0 Property




06/23/2017

06/13/2017


117 Continental Insurance Company

American Casualty Company of Reading PA

National Fire Insurance Company of Hartford

Transportation Insurance Company

Valley Forge Insurance Company

Continental Casualty Company

The companies are filing a single Cost of Contract Coverage with Coinsurance Endorsement for use with the CNA Paramount TechnologyErrors & Omissions Liability Coverage.

CNAB-131005811


Filing Type: Form






06/07/2017

06/07/2017








The companies are filing a single Employee Benefits Liability-Amended Definition of Executive Officer Endorsement for use with theEmployee Benefits Liability Coverage Section of the CNA Paramount Program.

CNAB-131006265


Filing Type: Form



17.0008 Employee Benefit Liability



06/07/2017

06/07/2017


Company is filing new form CNA76640XX 04-17, Following Form Excess Liability Policy and endorsements.

CNAB-131042912


Filing Type: Form






06/05/2017

06/05/2017








The companies are filing a new Healthcare Public Or Livery Passenger Conveyance Exclusion Endorsement for use in the Commercial AutoProgram.

CNAB-131039221


Filing Type: Form






07/01/2017

06/15/2017








The companies are filing new and revised forms for use in the Commercial Auto Program.

CNAB-131050763


Filing Type: Form






06/29/2017

06/29/2017

122 Contractors Bonding and Insurance Company

The company is filing to revise the commercial general liability manual rule pages by adding an exception to advisory Rule 24. Bases ofPremium, E.2.m. to have the minimum payroll amount for executive officers match that of individual insureds and co-partners for the ContracPac Program.

RLSC-131051885


Filing Type: Rule






06/01/2017

06/16/2017


123 Cross Country Motor Club, Inc.

The motor service club is filing new membership fulfillment materials, KF800TI and ID Card KF800TI pursuant to 36 O.S. 3101 et al.

CCAU-131051810


Filing Type: Form



33.0002 Other Commercial Lines



06/12/2017

06/12/2017

124 Crum & Forster Indemnity Company

The North River Insurance Company

United States Fire Insurance Company

The companies are filing initial forms for the Agricultural Capital Assets Program which are a combination of Insurance Services Office's formsand company forms. The filing is amended to comply with Oklahoma Statutes 36 O.S. 3613(B)(2) and 36 O.S. 3618 and OklahomaRegulation 365: 15-1-13.

CRUM-130960032


Filing Type: Form


01.0 Property




06/13/2017

06/13/2017


125 Crum & Forster Indemnity Company

The North River Insurance Company

United States Fire Insurance Company

The companies are filing for the initial Agricultural Capital Assets Program to adopt Insurance Services Office's (ISO) loss costs and rulescontained in filing designations OP-2006-RAGLC and OP-2006-OAGRU, company specific loss cost multipliers and company exceptions toISO's rules. The filing is amended to include a manual page with corrections.

CRUM-130960031




01.0 Property




04/19/2017

06/13/2017

126 Dealers Alliance Corporation

The service warranty corporation is filing two new agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Dealers Assurance Company.

DACO-131061212


Filing Type: Form






06/13/2017

06/13/2017


127 Dealers Alliance Corporation

The service warranty corporation is filing nine revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Dealers Assurance Company.

DACO-131071599


Filing Type: Form






06/22/2017

06/22/2017

128 EMCASCO Insurance Company

Employers Mutual Casualty Company

Union Insurance Company of Providence

The companies are filing two new, two revised and withdrawing one form used with the Commercial General Liability Program. The filingincludes the introduction of the Delivery Errors or Omissions Endorsement for all Manufacturing and Wholesaler accounts. The filing wasamended with the attachment of the withdrawn Pollution Liability Schedule.

EMCC-131024309


Filing Type: Form






08/01/2017

06/06/2017


129 Employers Insurance Company of Wausau

Wausau Underwriters Insurance Company

Liberty Mutual Insurance Company

Liberty Mutual Fire Insurance Company

LM Insurance Corporation

The First Liberty Insurance Corporation

Liberty Insurance Corporation

The companies are filing one new and five revised endorsements for use with the Excess Commercial General Liability Coverage Form.

LWCM-131039002


Filing Type: Form






09/01/2017

06/21/2017

130 Employers Insurance Company of Wausau

Wausau Underwriters Insurance Company

Liberty Mutual Insurance Company

Liberty Mutual Fire Insurance Company


The First Liberty Insurance Corporation

Liberty Insurance Corporation


The companies are filing new and revised endorsements for use with the Commercial General Liability Coverage, Liquor Liability Coverage,and Products Completed/Operations Liability Coverage Forms.

LWCM-131038856


Filing Type: Form






09/01/2017

06/21/2017

131 Endurance American Insurance Company

The company is filing 36 new endorsements for use with the Commercial Inland Marine Program.

REGU-131038667


Filing Type: Form


09.0 Inland Marine




06/15/2017

06/15/2017


132 Endurance Assurance Corporation

The company is filing the initial policy forms and endorsements to be used in conjunction with the National Council on CompensationInsurance forms and endorsements for the workers' compensation coverage.

MRTN-131027703


Filing Type: Form



16.0004 Standard WC



09/01/2017

06/12/2017

133 Enterprise Financial Group, Inc.

The service warranty corporation is filing new agreement, SF WP VS 5.17 JS170501 pursuant to the Service Warranty Act 15 O.S. 141.1 etal. The form is guaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

EFGO-131061275


Filing Type: Form






06/13/2017

06/13/2017


134 Ethos Group, Inc.

The service warranty corporation is filing three revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Titian Insurance Company. The filing is amended to comply with 15 O.S.141.21.

ETHO-131065165


Filing Type: Form






06/19/2017

06/19/2017

135 Everest National Insurance Company

The company is filing news and revised endorsements for the Excess Workers' Compensation and Employers' Liability coverage. The filinghas been amended to attach a replacement form ECG 21 830 Oklahoma - Excluded Business Operations (Wrap-up Projects).

EVST-130975713


Filing Type: Form



16.0003 Excess WC



06/30/2017

06/30/2017


136 Express Systems, Inc.

The service warranty corporation was filing new Vehicle Protection Product agreement, E Theft W-THEFT-E-VS-2.5K 11/09 pursuant to theService Warranty Act 36 O.S. 6652. The filing is withdrawn according to Oklahoma Regulation 365:15-1-3 (b) (10).

EXPT-131074361


Filing Type: Form



33.0001 Other Personal Lines



06/23/2017

06/23/2017

137 Falls Lake National Insurance Company

The company is filing for the Commercial Property Program to adopt Insurance Services Office's loss costs contained in filing designation CF-2015-RLA1.

SWNI-130994101


Filing Type: Loss Cost


01.0 Property




04/15/2017

06/23/2017


138 Farmers Insurance Company, Inc.

The company is filing revisions to various zip code factors for the water premium component for use in the Farmers Next GenerationHomeowners Program.

FARM-131046083


Filing Type: Rule


04.0 Homeowners




Not Available

06/08/2017

139 Farmers Mutual Fire Insurance Company

The company is filing three revised endorsements for use with the Farm-Guard policy that is a Personal Comprehensive Farm Liability policywhich provides liability protection for physical conditions of the insured's premises, personal farming operation, and world-wide personal actsof the insureds. The filing has been amended with revised Previous Filing Numbers on the Form Schedule tab.

GMTP-131080066


Filing Type: Form






01/01/2018

06/30/2017


140 Federal Insurance Company

The company is filing a single Cyber Terms and Conditions Amendatory Endorsement for use with the Chubb Professional Portfolio CyberSecurity Program.

ACEH-131003680


Filing Type: Form






06/19/2017

06/19/2017


The company is filing three mandatory forms for use in the Commercial Package ForeFront Portfolio 3.0 Program.

ACEH-131035111


Filing Type: Form






06/12/2017

06/09/2017



The company is filing 10 new forms for use in the Forefront Portfolio 3.0 Program.

ACEH-131056152


Filing Type: Form






08/01/2017

06/23/2017

143 Federated Mutual Insurance Company

Federated Service Insurance Company

Federated Reserve Insurance Company

The companies are filing to non-adopt the Insurance Services Office's crime forms in filing designation CR-2017-OFRSA.

FEMC-131050633


Filing Type: Form






06/12/2017

06/12/2017


144 Federated Mutual Insurance Company

Federated Service Insurance Company

Federated Reserve Insurance Company

The companies are filing a personal umbrella liability form that is being revised for Federated Reserve Insurance Company and will be a newform for Federated Mutual Insurance Company and Federated Services Insurance Company; Oklahoma Amendatory Endorsement -Uninsured/Underinsured Motorists Coverage, 3876 (OK).

FEMC-131076391


Filing Type: Form






08/15/2017

06/13/2017

145 FirstComp Insurance Company

The company is filing a revised workers' compensation policy Jacket. The filing has been amended to attach a revised policy jacket.

MRKB-131028848


Filing Type: Form



16.0004 Standard WC



09/01/2017

06/05/2017


146 GEICO Marine Insurance Company

The company is filing three revised and four new endorsements for use with the Personal Inland Marine BoatU.S. Marine Insurance Program.

SWIC-131012844


Filing Type: Form


09.0 Inland Marine

09.0010 Boatowners/Personal Watercraft



09/01/2017

06/20/2017

147 Granite State Insurance Company



The companies are filing a new Outdoor Trees, Shrubs and Plants with Windstorm or Hail Option Endorsement for use with the CommercialProperty Program. The filing is amended by the company to correct editorial errors.

AGNY-131043389


Filing Type: Form


01.0 Property




07/10/2017

07/10/2017


148 Granite State Insurance Company



The companies are filing corresponding rates and rules for a new Outdoor Trees, Shrubs and Plants with Windstorm or Hail OptionEndorsement for use with the Commercial Property Program.

AGNY-131043388


Filing Type: Rule


01.0 Property




06/20/2017

06/06/2017

149 Great American Assurance Company

The company is filing revisions to the TRUXPRO Coverages Endorsement for use in the Commercial Auto Long Haul Trucking Program.

GACX-G131067243


Filing Type: Form



20.0004 Truckers



08/01/2017

06/29/2017


150 Great American Insurance Company

The company was filing new Terrorism Pricing Rules for use in the Contractual Liability Program. Pursuant to Oklahoma Regulation 365:15-7-3 (b) (9) the filing is withdrawn.

GACX-G131017162


Filing Type: Rule



17.1004 Contractual Liability



06/05/2017

05/24/2017


The company is filing several optional new forms for use with the SFAA Computer Crime Policy in the Fidelity Program.

GACX-G131051322


Filing Type: Form


23.0 Fidelity

23.0000 Fidelity



07/26/2017

06/15/2017



The company is filing a new aviation form for use with the Corporate Aircraft Program; Managed Aircraft Endorsement, AV 42 86.

GACX-G131049235


Filing Type: Form


22.0 Aircraft

22.0000 Aircraft



08/01/2017

06/20/2017


The company is filing revised Policy Jacket F.18396D-Automated (01-18) and Fire Only Coverage Endorsement GAI-1132B (01-18) for use inthe Crop-Hail Insurance Program.

GACX-G131081107


Filing Type: Form Self Certification


02.1 Crop

02.1001 Crop-Hail Non-Federally Reinsured Only



01/01/2018

06/20/2017


154 Great Midwest Insurance Company

The company is filing twelve new and replaced forms for use with the HIIG-Professional Community Bank and Financial Institution BondProgram. The filing has been amended to remove forms complying with Bulletin No. PC 2015-01.

PERR-131025307


Filing Type: Form






07/04/2017

06/22/2017

155 Great Midwest Insurance Company

The company is filing several replaced manual pages for use with the HIIG-Professional Community Bank and Financial Institution BondProgram. The filing has been amended to comply with the Oklahoma Bulletin No. PC 2015-01.

PERR-131025306


Filing Type: Rule






06/04/2017

06/22/2017


156 Great Northern Insurance Company

Pacific Indemnity Company

Vigilant Insurance Company

Federal Insurance Company

The companies are filing six new exclusionary commercial general liability endorsements for use with the Customarq product. The filing hasbeen amended with the withdrawal of the Exclusion-Assault Or Battery, Limited - Exception With Sub-Limit Endorsement.

ACEH-131018111


Filing Type: Form






12/01/2017

06/27/2017

157 Great Northern Insurance Company

Pacific Indemnity Company

Federal Insurance Company

Companies are filing new participants exclusion endorsements for use in the Commercial Excess/Umbrella product.

ACEH-131062141


Filing Type: Form






11/01/2017

06/12/2017


158 Great Northwest Insurance Company

The company is filing revisions to the base rates for use in the Premier Homeowners Program. The overall effect is +4.8%/+$303,495.

GNIC-131037396


Filing Type: Rate


04.0 Homeowners




06/01/2017

06/21/2017

159 Great Northwest Insurance Company

The company is filing a new Dog Breed Liability Exclusion and Overhead And Profit Exclusion endorsement for use in the PremierHomeowners Program.

GNIC-131058856


Filing Type: Form


04.0 Homeowners




11/01/2017

06/22/2017


160 Greenwich Insurance Company

Company is filing three revised and one new Excess Errors and Omission forms.

XLAM-131044891


Filing Type: Form






06/05/2017

06/05/2017

161 Greenwich Insurance Company

XL Insurance America, Inc.

XL Specialty Insurance Company

The companies are filing revisions to the Auto Dealers Declarations for use in the Commercial Auto Program.

XLAM-131053634


Filing Type: Form






06/24/2017

06/15/2017


162 GuideOne America Insurance Company

GuideOne Mutual Insurance Company

GuideOne Specialty Mutual Insurance Company

GuideOne Elite Insurance Company

The companies are filing revisions to the commercial general liability Expense Constant and the basic limit rates for Senior LivingCommunities. Overall rate effect is +13.20%/+$320,106. The filing has been amended with the removal of the Commercial Property manualpages.

GDEA-130991585








06/15/2017

05/16/2017





The companies are filing for the Commercial Property Program to revise the loss cost multiplier and the expense constant. The overall rateeffect is +12.6%/+$1,234,667.

GDEA-130991584




01.0 Property




06/15/2017

06/02/2017






The companies are filing revised manual pages for the Commercial Package Program. The filing was amended to attach revised manualpages.

GDEA-130976698








06/15/2017

05/15/2017

165 HDI Global Insurance Company

The company is filing a new commercial liability umbrella form for use with Oil and Gas Program under the AESC (Association of ServicingCompanies) Risk Purchasing Group; Follow Form Underground Resources And Underground Equipment Endorsement, EN CU AM 4002.The filing has been amended with the addition of the Commercial Umbrella Declarations, CU SU 2001 N.

GUMG-131048564


Filing Type: Form






06/21/2017

06/21/2017


166 HDI Global Insurance Company

The company is filing two new commercial liability umbrella forms for use with the Oil and Gas Program under the Towerstone Energy RiskPurchasing Group; Follow Form Underground Resources And Underground Equipment Endorsement, and Commercial UmbrellaDeclarations. The filing is being withdrawn pursuant to O.A.R. 365:15-1-3 (b)(10) as Towerstone Energy Risk Purchasing Group is not anactive RPG.

GUMG-131089762


Filing Type: Form






06/28/2017

06/28/2017

167 Hallmark Insurance Company

The company is filing to adopt the Insurance Services Office's commercial auto forms and filing independent forms for use in the CommercialAuto Rental Vehicle Program. The filing is amended to include forms omitted in error.

HLMK-131047754


Filing Type: Form






06/21/2017

06/21/2017



The company is filing to adopt the Insurance Services Office's commercial auto loss costs in filing designation CA-2015-BRLA1 and rules andreference filing the rules for Torus National Insurance Corporation for use in the new Commercial Auto Rental Vehicle Program.

HLMK-131047720








06/01/2017

06/21/2017


The company is filing for the Commercial Property Program to adopt Insurance Services Office's rating rules and to file new manual exceptionpages.

HLMK-131042084




01.0 Property




06/01/2017

06/08/2017



The company is filing initial commercial general liability rates and rules for the TRIAD Rental Vehicle Program including the adoption ofInsurance Services Office's loss costs GL-2016-BGL1 and Estimated Loss Potentials (ELPs) and non-adopt the Refer to Company (RTCs)class codes contained in filing designation GL-2016-RELP1. The company Loss Cost Multiplier is 1.67.

HLMK-131047651








06/01/2017

06/21/2017


The company is filing initial commercial general liability forms for the TRIAD Rental Vehicle Program including the adoption of all InsuranceServices Office's forms and endorsements.

HLMK-131049702


Filing Type: Form






06/20/2017

06/20/2017



The company is filing to adopt the Insurance Services Office's commercial crime loss costs in filing designation CR-2015-RLA1 and rules foruse in the new Crime Program.

HLMK-131051571








06/01/2017

06/21/2017

173 Harco National Insurance Company

The company is filing a new Hail Exclusion endorsement for use in the Commercial Auto Dealers Program. The filing is amended to withdrawforms sent in error.

OCCD-131044995


Filing Type: Form






07/01/2017

06/12/2017



The company is filing a revised Motor Truck Cargo Coverage form for use with the Commercial Inland Marine Program.

OCCD-131043894


Filing Type: Form


09.0 Inland Marine




07/01/2017

06/09/2017


The company is filing various endorsements for use with the Dealers Program. The filing is being withdrawn pursuant to 365:15-1-3.

OCCD-131049088


Filing Type: Form






06/23/2017

06/23/2017



The company is filing a new Garagekeepers Limited Primary Coverage endorsement for use in the Commercial Auto Dealers Program.

OCCD-131074811


Filing Type: Form



20.0002 Garage



07/15/2017

06/23/2017

177 Hartford Casualty Insurance Company

Hartford Insurance Company of the Midwest

Hartford Underwriters Insurance Company

Property and Casualty Insurance Company of Hartford

Twin City Fire Insurance Company

Hartford Accident and Indemnity Company

Hartford Fire Insurance Company

The companies are filing revised Commercial General Liability rules to correspond with the new and revised endorsements that will be usedprimarily with Construction related businesses. The filing has been amended with revised rule page GL_S_RUA.4-OK-0317. Pursuant to 36O.S. 997 the filing is being filed as 'Informational.'

HART-130907495


Filing Type: Rule






06/10/2017

02/23/2017









The companies are filing to delay the adoption of Insurance Services Office, Inc.'s rule filing to revise Commercial General Liability statespecific Rules 22., 45., and 48. to correspond with the form filing in response to Oklahoma Admin. Code 365:15-1-25 (Loss runs and claimshistory) to 06/10/17. The filing designation is GL-2016-OEND2.

HART-130933896


Filing Type: Rule






06/10/2017

03/01/2017








The companies are filing two revised and nine new forms for use with the Commercial Inland Marine Program.

HART-131064578


Filing Type: Form


09.0 Inland Marine




09/09/2017

06/27/2017





Sentinel Insurance Company Limited

Trumbull Insurance Company




The companies are filing to non-adopt the Insurance Services Office's homeowners form filing designation HO-2015-ORPFR.

HART-131065757


Filing Type: Form


04.0 Homeowners




06/29/2017

06/29/2017



Company is filing several new optional Umbrella endorsements for use primarily with Energy related businesses.

HART-131079024


Filing Type: Form






08/14/2017

06/29/2017

182 Hartford Fire Insurance Company

The company is filing several new forms for use in the fidelity Crimeshield Advanced Program.

HART-131069457


Filing Type: Form


23.0 Fidelity

23.0000 Fidelity



07/10/2017

06/29/2017


183 Hartford Fire Insurance Company

The company is filing revisions to the Non-Custodial Investment Adviser Employee Dishonesty Coverage For Erisa And Non-Erisa InsuredPlans Multi-Year Endorsement Oklahoma endorsement for use with the Crimeshield Policy.

HART-131079893


Filing Type: Form






07/15/2017

06/30/2017

184 Hiscox Insurance Company Inc

The company is filing a new Security Incident Response Endorsement for use in the Kidnap and Ransom Program. The filing is amended toinclude a revised form with corrections.

HISC-131017834


Filing Type: Form






07/15/2017

06/08/2017


185 Hudson Insurance Company

The company is filing new rate and rule manual to introduce 25 initial endorsements for use in the new commercial multi-peril Moving andStorage Program. The filing was amended to comply with several statutes.

MRTN-130913330








06/12/2017

06/12/2017

186 Imperium Insurance Company

Great Midwest Insurance Company

The companies are filing the rates and rules for use with the new Cyber Liability and Data Breach Response as part of the Insurance Agents& Brokers Professional Liability Errors & Omissions Program. The fling has been amended to comply with Oklahoma Statute 36 O.S. 985.

PERR-131004611


Filing Type: Rule






05/25/2017

06/23/2017




The companies are filing the eight new forms for use with the new Cyber Liability and Data Breach Response as part of the Insurance Agents& Brokers Professional Liability Errors & Omissions Program.

PERR-131004612


Filing Type: Form






06/23/2017

06/23/2017


The company is filing two new Improper Transfer of Funds forms for use with the Errors and Omissions Lawyers Professional LiabilityCoverage Part. The filing has been amended by the company to correct numbering errors.

DLSN-131022367


Filing Type: Form






06/27/2017

06/27/2017




The companies are filing a new Schedule Of Covered Autos You Own form for use in the Commercial Auto Program.

PERR-131061045


Filing Type: Form






07/05/2017

06/23/2017

190 Insurance Services Office, Inc.

The advisory organization is filing revisions to the advisory prospective base class loss costs for the Homeowners Program. The overall effectis -7.9%/-$12,144,227. The filing designation is HO-2017-RLA1.

ISOF-131058195


Filing Type: Loss Cost


04.0 Homeowners




12/01/2017

06/29/2017


191 Intrepid Insurance Company

The company is filing for the Commercial Property Program to non-adopt Insurance Services Office's forms contained in filing designation CF-2016-OFR16.

MRTN-131047411


Filing Type: Form


01.0 Property




09/01/2017

06/02/2017

192 Jefferson Insurance Company

The company is filing replacement manual pages for use with the Personal Inland Marine Retail Travel Insurance Program. There is nooverall rate effect.

WDAS-130905290




09.0 Inland Marine

09.0009 Travel Coverage



06/06/2017

03/20/2017


193 Jewelers Mutual Insurance Company

The company is filing a new commercial interline mandatory Important Notice Oklahoma pursuant to 36 O.S 3613.B.2.

JMIC-131060281


Filing Type: Form






10/13/2017

06/28/2017

194 KnightBrook Insurance Company

The company is filing a new Terms of Protection form for use with the Personal Inland Marine Program. The filing is amended by thecompany to provide an Oklahoma Amendatory endorsement to comply with several statutes and regulations.

MRTN-131010681


Filing Type: Form


09.0 Inland Marine

09.0006 Other Personal Inland Marine



06/05/2017

06/05/2017


195 LM General Insurance Company


The companies are filing for the LibertyGuard Personal Automobile Program to revise base rates, tier factors and rate stabilization factors.The overall rate effect is +8.1%/+$5,094,537.

LBPM-130960776


Filing Type: Rate


19.0 Personal Auto

19.0000 Personal Auto Combinations



03/26/2017

06/12/2017

196 Lancer Insurance Company

The company is filing a new Punitive Damages Exclusion endorsement for use in the Commercial Auto Program.

LNCR-131046578


Filing Type: Form






09/01/2017

06/29/2017


197 Liberty Insurance Corporation


The companies are filing revisions to the dwelling base rates and peril offset factor for use in the LibertyGuard Elements PropertyHomeowners program. The overall effect is +6.5%/+$4,821,158. The filing is amended to include revised manual pages with corrections.

LBPM-131014069


Filing Type: Rate


04.0 Homeowners




06/17/2017

06/30/2017

198 Liberty Mutual Fire Insurance Company

The company is filing various new Terrorism endorsements and a Disclosure Notice for use with the Premier Protectors - Builder's RiskProgram pursuant to the Terrorism Risk Insurance Program Reauthorization Act of 2015.

LWCM-131029075


Filing Type: Form


09.0 Inland Marine




06/02/2017

06/02/2017


199 Lyndon Southern Insurance Company

The company is filing initial Terrorism Policyholder Disclosure Notice of Terrorism Insurance Coverage for the Mortgage Lender SecurityProduct pursuant to the Terrorism Risk Insurance Program Reauthorization Act of 2015.

PERR-131046204


Filing Type: Form



05.0007 Other CMP



06/08/2017

06/08/2017

200 MDOW Insurance Company

The company is filing revised Oklahoma Application MDOW APOK-3 May 2012 for use in the Dwelling Fire Program.

CLIC-131074291


Filing Type: Form


01.0 Property

01.0002 Personal Property (Fire and Allied Lines)



06/16/2017

06/16/2017


201 MDOW Insurance Company

The company is filing revisions to the Application for use in the Homeowners Program.

CLIC-131074059


Filing Type: Form


04.0 Homeowners




06/30/2017

06/30/2017

202 Manufacturers Alliance Insurance Company

Pennsylvania Manufacturers' Association Insurance Company

Pennsylvania Manufacturers Indemnity Company

The companies are filing initial adoption of Insurance Services Offices Agricultural Capital Assets (Output Policy) Program. The filing wasamended to comply with several statutes.

STLR-131014415


Filing Type: Form






06/22/2017

06/22/2017


203 Manufacturers Alliance Insurance Company

Pennsylvania Manufacturers' Association Insurance Company


The companies are filing an initial adoption of Insurance Services Offices Agricultural Capital Assets (Output Policy) Program. The filingwas amended to comply with 36 O.S. 3623.1(D).

STLR-131014414








06/22/2017

06/22/2017

204 Markel American Insurance Company

Markel Insurance Company

The companies are filing new and revised commercial general liability rates and rules to correspond with the form filing for Unmanned Aircraft.The filing has been amended to reflect the changes in the form filing.

MRKB-131030004








06/15/2017

06/14/2017




The companies are filing six new forms addressing Unmanned Aircraft for use with the Commercial General Liability Program. The filing hasbeen amended with the withdrawal of three endorsements pursuant to O.R. 365:15-1-15.

MRKB-131029971


Filing Type: Form






06/15/2017

06/14/2017



The companies are filing a revised Business Income Changes-Communicable Disease and Food Contamination endorsement for use with theCommercial Property Program.

MRKB-131059287




01.0 Property




07/01/2017

06/21/2017



The company is filing revised rates and rules for use with the Personal Inland Marine Pet Health Program. The filing is withdrawn pursuant toO.R. 365: 15-7-3(B)(9).

MRKA-131054019




09.0 Inland Marine

09.0004 Pet Insurance Plans



06/07/2017

06/07/2017

208 Mid Continent Casualty Company

Oklahoma Surety Company

Mid Continent Assurance Company

The companies are filing new rates for use with the Herbicide, Pesticide or Fertilizer Applicators Endorsement. The filing is being withdrawnpursuant to O.A.R. 365:15-7-3 (b)(9).

MDCC-131068755


Filing Type: Rate






06/08/2017

06/08/2017





The companies are filing a new form for use with the Commercial General Liability Program; Herbicide, Pesticide, Or Fertilizer ApplicatorsEndorsement, ML 14 45.

MDCC-131069803


Filing Type: Form






07/15/2017

06/14/2017


Company is filing revised Exclusion - Designated Construction Or Use MU 62 68 for use in the Commercial Umbrella product.

MDCC-131070648


Filing Type: Form






07/15/2017

06/12/2017





The companies are filing one new form and one revised form for use with the Commercial General Liability Program; Exclusion OfUnderground Resources, Underground Equipment, And Blowout Or Cratering Endorsement, ML 14 48, and Pollution, UndergroundResources, Underground Equipment, Blowout Or Cratering Coverage Endorsement, ML 14 07.

MDCC-131072384


Filing Type: Form






08/01/2017

06/14/2017




The companies are filing a revised commercial general liability form for use with the Owners and Contractors Protective Liability CoverageForm; Additional Insured Endorsement, ML 14 43.

MDCC-131077485


Filing Type: Form






07/13/2017

06/14/2017


213 Milwaukee Casualty Insurance Company

Security National Insurance Company

AmTrust Insurance Company of Kansas, Inc.

Technology Insurance Company, Inc.

Wesco Insurance Company

CorePointe Insurance Company

The companies are filing to delay the adoption to 06/15/17 of Insurance Services Office's Commercial General Liability Estimated LossPotentials contained in GL-2016-RELP1. The companies are adopting the Estimated Loss Potentials and non-adopting the 'Refer toCompany' classes.

UNKP-130885718


Filing Type: Rate






06/15/2017

01/31/2017






Republic Underwriters Insurance Company

Republic Fire & Casualty Insurance Company

Southern Underwriters Insurance Company


The companies are filing new endorsements for contractor risks for use with the Commercial General Liability Program. The fling has beenamended with two revised forms.

UNKP-131025446


Filing Type: Form






06/16/2017

06/16/2017






Republic Underwriters Insurance Company

Republic Fire & Casualty Insurance Company


The companies are filing new rates and rules for contractor risks for use with the Commercial General Liability Program. The filing has beenamended with two revised manual pages to reflect corresponding form changes.

UNKP-131025603








06/01/2017

06/16/2017


216 NCCI

The National Council on Compensation Insurance is filing item R-1413 (HG) - 2017 Update to the Retrospective Rating Plan Parameters -Hazard Group Differentials.

NCCI-131076816


Filing Type: Rule



16.0004 Standard WC



01/01/2018

06/29/2017

217 NCCI

The National Council on Compensation Insurance is filing item R-1413 (EL) - 2017 Update to the Retrospective Rating Plan Parameters -Excess Loss Pure Premium Factors and Excess Loss and Allocated Expense Pure Premium Factors.

NCCI-131071369


Filing Type: Rule



16.0004 Standard WC



01/01/2018

06/29/2017


218 NORCAL Mutual Insurance Company

Company is filing three Auditable Premium Endorsements for use with the HCP001 - Insurance Policy for Health Care Professionals : END09-013, Auditable Premium Endorsement, END09-023, Premium Variance Endorsement, and END09-024, Premium Variance Endorsement.

NCMC-131066928


Filing Type: Form


11.2 Med Mal-Claims Made Only




10/01/2017

06/28/2017

219 NWAN, Inc.

The service warranty corporation is filing new agreement, Expert Powersports Extreme Powertrain Limited Warranty Service Contract NIV6041 (6-17) and application, NI V6040 (6-17) pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms are guaranteed by acontractual liability insurance policy issued by American Bankers Insurance Company of Florida.

NAUT-131077426


Filing Type: Form






06/26/2017

06/26/2017


220 NWAN, Inc.

The service warranty corporation is filing new service contract agreement pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The formis guaranteed by a contractual liability insurance policy issued by American Bankers Insurance Company of Florida.

NAUT-131084710


Filing Type: Form






06/27/2017

06/27/2017

221 NWAN, Inc.

The service warranty corporation is filing three new agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by American Bankers Insurance Company of Florida.

NAUT-131085845


Filing Type: Form






06/29/2017

06/29/2017


222 Nation Motor Club, LLC

The service warranty corporation is filing new Vehicle Protection Product agreement, Auto Essentials PVOK0517 pursuant to the ServiceWarranty Act 36 O.S. 6651. The form is guaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.

NSDS-131055842


Filing Type: Form






06/02/2017

06/02/2017


The motor service club is filing new membership fulfillment material, Member Registration CTBO317 pursuant to 36 O.S. 3101 et al. The filingwas amended to comply with 36 O.S. 3104 (C) (3).

NSDS-131053777


Filing Type: Form






06/13/2017

06/13/2017



The service warranty corporation is filing two new agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.

NSDS-131082576


Filing Type: Form






06/27/2017

06/27/2017

225 National Casualty Company

The company is filing a single revised Insurance Agents and Brokers Professional Liability Declarations form for use with the Errors &Omissions Insurance Agents and Brokers Professional Liability Program.

SCTT-131017955


Filing Type: Form






06/09/2017

06/09/2017



The company is filing two replacement declarations pages for use with the Errors and Omissions Architects and Engineers ProfessionalLiability Insurance Program.

SCTT-131024950


Filing Type: Form






06/15/2017

06/15/2017


The company is filing a Common Policy Declarations for use in the Commercial Crime Program.

SCTT-131045656


Filing Type: Form






06/08/2017

06/08/2017



The company is filing a revised Signature Page for the workers' compensation policy.

FARL-131042053


Filing Type: Form



16.0004 Standard WC



10/01/2017

06/15/2017


The company is filing a revised Common Policy Declarations for use with the Commercial Property Program.

SCTT-131056751


Filing Type: Form


01.0 Property




07/25/2017

06/29/2017



The company is filing eight revised forms for use with the Business and Management Liability Program.

SCTT-131061096


Filing Type: Form






06/16/2017

06/16/2017


The company is filing revised form, PE-D-4 1-17 for use in the Commercial Package Public Entity Portfolio Program.

SCTT-131072128


Filing Type: Form






06/21/2017

06/21/2017



Company is filing revised declaration for use with the Public Entity Excess Liability Program.

SCTT-131077333


Filing Type: Form






06/28/2017

06/28/2017

233 National Mortgage Insurance Corporation

The company is filing revised rates for the Mortgage Guaranty Program. Pursuant to Oklahoma Statute 36 O.S 997 the filing is exempt from afiling and review requirement set forth in Oklahoma Statute 36 O.S. 987 and is therefore considered informational.

NMIH-131029340




06.0 Mortgage Guaranty

06.0000 MG Sub-TOI Combinations



06/23/2017

05/08/2017


234 National Specialty Insurance Company

The company is filing two new Cyber Liability endorsements for use with the Commercial General Liability portion of the AutoEdge Program.The filing is withdrawn pursuant to O.R. 365: 15-1-3(B)(10).

STNA-131020025


Filing Type: Form






06/08/2017

06/08/2017


The company is filing new Cyber Liability rates and rules for use with the Commercial General Liability portion of the AutoEdge Program. Thefiling is being withdrawn pursuant to O.A.R. 365:15-7-3 (b)(9).

STNA-131019995








06/08/2017

06/08/2017



The company is filing rating rules for various new Cyber Liability forms for use in the Commercial Auto AutoEdge Program.

STNA-130944503








06/10/2017

06/01/2017


The company is filing three endorsements and a Declarations for use with the new Brazos-Omni General Liability Program (residential tract-housing developers) and adopting all current occurrence Insurance Services Office's commercial general liability forms.

STNA-131031015


Filing Type: Form






07/12/2017

06/21/2017



The company is filing new rates and rules for the Brazos-Omni General Liability Program (residential tract-housing developers) including theadoption of Insurance Services Office's loss costs contained in GL-2016-BGL1 with a loss cost multiplier of 1.720 and to non-adopt theEstimated Loss Potentials contained in GL-2016-RELP1. The filing has been amended with revised manual pages.

STNA-131031014








06/12/2017

06/21/2017


The company is filing a new mandatory commercial liability umbrella coverage form for use with the Oilpatch Program; Exclusion-Blowout orCratering Endorsement, 5937 UM. The filing is withdrawn pursuant to O.R. 365: 15-1-3(B)(10).

STNA-131036353


Filing Type: Form






06/16/2017

06/16/2017



The company is filing revised Commercial Lines Policy Jacket JCL 0003 0217 (NS) for use in the Umbrella Insurance Services Office'sProgram.

STNA-131079804


Filing Type: Form






09/01/2017

06/30/2017

241 Nationwide Mutual Insurance Company (Harleysville Operations)

The company is filing ten revised forms for use with the Commercial Inland Marine Program.

HRLV-131052333




09.0 Inland Marine




07/01/2017

06/14/2017


242 New York Marine and General Insurance Company

The company is filing a new commercial general liability form for use with Motorsport risks in the Entertainment Program; Contractual LiabilityLimitation Endorsement, GL 0501.

PRSS-131075447


Filing Type: Form






07/15/2017

06/13/2017

243 North American Warranty, Inc.

The service warranty corporation is filing new home service contract pursuant to the Home Service Contract Act 36 O.S. 6751.

VRGS-131071809


Filing Type: Form






07/10/2017

06/20/2017


244 NorthCoast Warranty Services, Inc.

The service warranty corporation is filing 21 revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.

UNKP-131077755


Filing Type: Form






06/26/2017

06/26/2017


The service warranty corporation is filing three revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.

UNKP-131079364


Filing Type: Form






06/26/2017

06/26/2017



The service warranty corporation is filing seven revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.

UNKP-131079357


Filing Type: Form






06/27/2017

06/27/2017


The service warranty corporation is filing six revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.

UNKP-131079569


Filing Type: Form






06/27/2017

06/27/2017


248 Oklahoma Farm Bureau Mutual Insurance Company

The company is filing revisions to the rules to reflect conversion of the Homeowners and Preferred Mobile Homeowners Program to be writtenin the new SurePower Innovation System in the Premier Homeowners Program. The filing is amended to include a deductible factor omittedin the initial Premier Homeowners Program.

OKFB-130800769




04.0 Homeowners




06/22/2017

04/14/2017

249 Old Republic General Insurance Corporation

The company is filing a usage rule for the new General Change Schedule for use in the Commercial Auto Program.

LDDX-G130989429


Filing Type: Rule






06/15/2017

04/27/2017


250 Old Republic Insurance Company

The company is filing new and revised aviation forms for the Aerial Applicator Insurance Policy Program. The Program is designed to provideaircraft and hull liability coverage arising from the operation of aircraft in the aerial application industry. The filing has been amended with arevised form to make editorial changes.

LDDX-G131064368


Filing Type: Form


22.0 Aircraft

22.0000 Aircraft



09/01/2017

06/21/2017

251 PDS Warranty Company, Inc.

The service warranty corporation is filing new agreement, Premier Classic AVSC-PCDEC-LEN-PWC (3/17) and Premier Classic BookletAVSC-PCBKL-LEN-PWC (3/17) pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms are guaranteed by a contractual liabilityinsurance policy issued by Arch Insurance Company.

PDSV-131056211


Filing Type: Form






06/02/2017

06/02/2017



The service warranty corporation is filing new agreement and application pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The formsare guaranteed by a contractual liability insurance policy issued by Arch Insurance Company.

PDSV-131066280


Filing Type: Form






06/21/2017

06/21/2017


The service warranty corporation is filing new agreement, Premier Lease Defender AEWT-PDR-PWC (5/17) pursuant to the Service WarrantyAct 15 O.S. 141.1 et al. The form is guaranteed by a contractual liability insurance policy issued by Arch Insurance Company.

PDSV-131072580


Filing Type: Form






06/23/2017

06/23/2017


254 Pacific Employers Insurance Company

The company is filing new optional form, Orchard and Vineyard Crops FA-41591 05 17 for use in the Solutions 2000® for AgribusinessPackage Program.

ACEH-131065920


Filing Type: Form






07/15/2017

06/22/2017

255 Pennsylvania Manufacturers' Association Insurance Company

Manufacturers Alliance Insurance Company


The companies are filing a new Prestige Property Extension endorsement for use with the Commercial Property Program.

OREP-131016527


Filing Type: Form


01.0 Property




06/06/2017

06/06/2017


256 Pennsylvania Manufacturers' Association Insurance Company

Manufacturers Alliance Insurance Company


The companies are filing new rates and rules for a corresponding Prestige Property Extension endorsement for use with the CommercialProperty Program.

OREP-131016526




01.0 Property




06/01/2017

06/06/2017

257 Philadelphia Indemnity Insurance Company

The company is filing for the Ultimate Cover Commercial Property Program to introduce a rating rule used in the application of Ultimate CoverElite Property Enhancement: Homeowner Associations & Planned Unit Developments PI-ULT-188.

PHLX-G130985714


Filing Type: Rule


01.0 Property




06/02/2017

04/03/2017



The company is filing a corresponding rule page for a new endorsement for use with the Commercial Property Program.

PHLX-G131004227


Filing Type: Rule


01.0 Property




06/19/2017

05/02/2017


The company is filing two new Cover-Pro Applications for use with the Errors and Omissions Cover Pro Product. The filing has beenamended to upload forms for review.

PHLX-G131046134


Filing Type: Form






07/17/2017

06/26/2017



The company is filing to revise a commercial general liability form; General Liability Deluxe Endorsement-Schools, PI-GLD-VS.

PHLX-G131075576


Filing Type: Form






08/11/2017

06/28/2017


The company is filing a new commercial general liability form; Bedbug Treatment Warranty Endorsement, PI-PC-012.

PHLX-G131098929


Filing Type: Form






09/01/2017

06/28/2017


262 Privilege Underwriters Reciprocal Exchange

The company is filing three new endorsements and one revised Declarations Page for use with the PURE Personal Excess Liability Program.The filing has been amended with revised forms.

PRIV-130564480


Filing Type: Form






07/08/2017

06/14/2017

263 Privilege Underwriters Reciprocal Exchange

The company is filing a new Home Systems Protection Endorsement along with various coverage changes with respect to hail damage toroofs for use in the PURE High Value Homeowners Program. The filing is amended to withdraw the form sent in error.

PRIV-130796759


Filing Type: Form


04.0 Homeowners




09/16/2017

06/12/2017


264 Progressive Direct Insurance Company

Progressive Northern Insurance Company

The companies are filing for the Recreational Vehicle Program to revise base rates and rate level adjustment factors for motor homes andtravel trailers. The total overall rate effect is +12.78%/+$903,699.

PRGS-130983463


Filing Type: Rate


19.0 Personal Auto

19.0003 Recreational Vehicle (RV)



04/21/2017

06/30/2017



The companies are filing for the Motorcycle Program to revise base rates and rate level adjustment factors. The total overall rate effect is +4.6%/+$574,250.

PRGS-130992041


Filing Type: Rate


19.0 Personal Auto

19.0002 Motorcycle



04/21/2017

06/30/2017




The companies are filing updated auto symbols for use in the Private Passenger Auto Program.

PRGS-131066752


Filing Type: Other


19.0 Personal Auto




06/09/2017

06/05/2017

267 QBE Insurance Corporation

The company is filing revisions to the base rates and rules for use in the Homeowners Program. The overall effect is +5%/+$77,686. Thefiling is amended to include revised manual pages.

QBEC-131013212


Filing Type: Rate


04.0 Homeowners




06/21/2017

05/16/2017



The company is filing 16 new forms for use with the Commercial Inland Marine Builders Risk Non-Liability Program. The filing is amendedwith a revised Oklahoma Amendatory endorsement.

QBEC-131022408


Filing Type: Form


09.0 Inland Marine




06/15/2017

06/08/2017


The company is filing two new endorsements for use with the Commercial Inland Marine Motor Truck Cargo Program; Driver Error Coverageendorsement and Loss of Use endorsement.

QBEC-131075612


Filing Type: Form


09.0 Inland Marine




08/13/2017

06/27/2017


270 RLI Insurance Company

The company is filing new form, Limited Coverage for Designated Unmanned Aircraft PPB 352 04 17 for use in the RLIPack BusinessownersProgram.

RLSC-131074060


Filing Type: Form



05.0002 Businessowners



09/01/2017

06/23/2017

271 Radnor Specialty Insurance Company

The company is filing forty-six new forms for use with the new Executive Viewpoint Management Liability Product. The filing has beenamended to comply with Oklahoma Statute 36 O.S. 3639.

USLI-131035526


Filing Type: Form






07/24/2017

06/28/2017


272 Republic Underwriters Insurance Company

The company is filing three new forms for use with the Standard Personal Umbrella Program; Canine Exclusion Endorsement, RM 20 01,Animal Exclusion Endorsement, RM 20 02, and Personal Umbrella Liability Policy Trust Endorsement, RU 98 08. The filing has beenamended with revisions to two of the endorsements.

TRGR-130904958


Filing Type: Form






08/01/2017

06/09/2017

273 Safe-Guard Products International, LLC

The service warranty corporation is filing new agreement, BMW Protection Package BMCDW 6/17 pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The form is guaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

SGPS-131069591


Filing Type: Form






06/20/2017

06/20/2017


274 SafeRide Motor Club

The motor service club is filing new membership fulfillment material, NI A8068 5/17 pursuant to 36 O.S. 3101 et al.

SRMC-131056567


Filing Type: Form



33.0001 Other Personal Lines



06/12/2017

06/12/2017

275 Safeco Insurance Company of America

The company is filing to introduce a rating rule used in the application of Escape of Water from a Sump, Sump Pump or Drain on theDescribed Location (Building and Contents) P-4166/EP for use in the Landlord Protection Program.

LBPM-130960057




01.0 Property




06/17/2017

04/21/2017


276 Samsung Fire and Marine Insurance Co., Ltd USB

The company is filing a revised commercial interline Signature Page.

PERR-131048695


Filing Type: Form






07/18/2017

06/28/2017

277 Security National Insurance Company




The companies are filing 10 new forms that are being filed to integrate rates/rules/forms from the Republic Companies for the CommercialGeneral Liability Program. The filing has been amended with the revisions of two forms; Exclusion-External Spray Painting and a statespecific Garagekeepers Coverage form.

UNKP-131031690


Filing Type: Form






06/01/2018

06/14/2017


278 Security National Insurance Company





The companies are filing new and revised commercial general liability rules for use with the Feeding America Network-Nonprofit Program.The filing is being withdrawn pursuant to O.A.R. 365:15-7-3 (b)(9).

UNKP-131074637


Filing Type: Rule






06/27/2017

06/27/2017

279 Sentry Insurance a Mutual Company

Middlesex Insurance Company

Sentry Select Insurance Company

The companies are filing for the Commercial Property Program to non-adopt Insurance Services Office's forms contained in filing designationCF-2016-OFR16.

SEPX-G131050496


Filing Type: Form


01.0 Property




09/01/2017

06/13/2017


280 Sentry Select Insurance Company

The company is filing revised Branding Endorsement Platinum Motorcycle Program PL1-1117 for use in the Platinum Motorcycle Program.

VKNG-131066389


Filing Type: Form


19.0 Personal Auto

19.0002 Motorcycle



08/01/2017

06/08/2017

281 Service Saver, Incorporated

The service warranty corporation is filing revised agreement, John Deere Powergard Protection Plan Residential JD-PE-PPPR (04.15) (Rev05.17) pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The form is guaranteed by a contractual liability insurance policy issued byVirginia Surety Company, Inc.

VRGS-131055671


Filing Type: Form






06/26/2017

06/02/2017



The service warranty corporation is filing revised agreement, Vizio Agreement VZ-ALL-EL-EXT (01.11) Rev. (05.17) pursuant to the ServiceWarranty Act 15 O.S. 141.1 et al. The form is guaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

VRGS-131055767


Filing Type: Form






06/26/2017

06/02/2017


The service warranty corporation is filing revised agreement, Moto Care Protection Plan Moto Cell (04-15) (Rev 05-17) pursuant to theService Warranty Act 15 O.S. 141.1 et al. The form is guaranteed by a contractual liability insurance policy issued by Virginia SuretyCompany, Inc.

VRGS-131056400


Filing Type: Form






06/26/2017

06/02/2017



The service warranty corporation is filing revised agreement, Retail Six Appliance GEN-NAT (02-12) (Rev. 05/17) and Declaration page GEN-NAT-APL-DEC (2.12) (Rev. 05/17) pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms are guaranteed by a contractualliability insurance policy issued by Virginia Surety Company, Inc.

VRGS-131056395


Filing Type: Form






06/26/2017

06/02/2017


The service warranty corporation is filing revised agreement, ProtectionPlace.com (02-2015) (Rev 05-2017) pursuant to the Service WarrantyAct 15 O.S. 141.1 et al. The form is guaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

VRGS-131056404


Filing Type: Form






06/26/2017

06/02/2017



The service warranty corporation is filing five revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

VRGS-131056745


Filing Type: Form






06/26/2017

06/06/2017


The service warranty corporation is filing five revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

VRGS-131056769


Filing Type: Form






06/26/2017

06/06/2017



The service warranty corporation is filing three revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

VRGS-131059407


Filing Type: Form






06/29/2017

06/06/2017


The service warranty corporation is filing on revised agreement pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The form isguaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

VRGS-131059729


Filing Type: Form






06/29/2017

06/06/2017



The service warranty corporation is filing two new agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

VRGS-131079676


Filing Type: Form






07/14/2017

06/27/2017

291 Sompo America Fire & Marine Insurance Company

The company is filing an initial adoption of the National Council on Compensation Insurance policy forms and endorsements along with filingvarious independent workers' compensation endorsements. The filing has been amended to withdraw two forms and attach three newendorsements.

SMPJ-131047206


Filing Type: Form



16.0004 Standard WC



11/15/2017

06/29/2017


292 Spinnaker Insurance Company

The company is filing revisions to the base rates for use in the Homeowners 3 Program. The overall effect is +4.8/ +$132,559.

GNIC-131034324


Filing Type: Rate


04.0 Homeowners




06/01/2017

06/21/2017

293 Spinnaker Insurance Company

The company is filing a new Dog Breed Liability Exclusion and Overhead And Profit Exclusion endorsement for use in the Homeowners 3Program.

GNIC-131059551


Filing Type: Form


04.0 Homeowners




11/01/2017

06/22/2017


294 Standard Guaranty Insurance Company

The company is filing revised Declarations FS0002D0517 for use in the First Select Dwelling Program.

ASPX-G131060522


Filing Type: Form


01.0 Property




07/05/2017

06/06/2017

295 Star Insurance Company

The company is filing to withdraw their independent package modification factors for the Oil Patch Program.

MEAD-131059711


Filing Type: Rule






06/15/2017

06/09/2017


296 State Auto Property and Casualty Insurance Company

State Automobile Mutual Insurance Company

The companies are filing new and revised forms for use with the Commercial General Liability Program. The filing has been amended withthe withdrawal of the Terrorism and Professional Liability forms, and the company rescinding the request to withdraw the Primary AndNoncontributory-Other Insurance Condition Endorsement at this time.

SAMM-130936105


Filing Type: Form






08/29/2017

06/09/2017

297 State Auto Property and Casualty Insurance Company

The company is fiing 69 new and revised forms for use in the Businessowners Program. The filing is amended to comply with severalOklahoma Regulations.

SAMM-131031588


Filing Type: Form






10/03/2017

06/23/2017


298 State Farm Fire and Casualty Company

The company is filing a new Suit Against Us (Oklahoma) endorsement for use in the Manufactured Home Program.

SFMA-131033294


Filing Type: Form


04.0 Homeowners




10/01/2017

06/08/2017

299 State Farm Fire and Casualty Company

State Farm Mutual Automobile Insurance Company

The companies are filing Collision Rating Group, Comprehensive Rating Group, Vehicle Safety Discount and Liability Rating Groupdesignations used in determining collision, comprehensive, medical payments and liability coverage premiums for additional 2017 and 2018models for use in the Private Passenger Auto Program.

SFMA-131056317


Filing Type: Rule


19.0 Personal Auto




06/05/2017

06/05/2017


300 State National Insurance Company Inc.

The company is filing new mandatory form, Defense of Contractual Indemnitee 5926 GL 0317 for use in the Commercial Package OilpatchProgram.

STNA-131008579


Filing Type: Form






06/06/2017

06/06/2017

301 State National Insurance Company Inc.

The company is filing new form, Exclusion - Blowout or Cratering 5936 GL for use in the Oilpatch Program.

STNA-131036250


Filing Type: Form






07/01/2017

06/28/2017


302 Stillwater Insurance Company

The company is filing new Limited Water Back-Up and Sump Discharge or Overflow Coverage FN1825 06 15 for use in the Dwelling Fire andPersonal Liability Program.

FDLY-131046016


Filing Type: Form






09/01/2017

06/07/2017

303 TNUS Insurance Company

Trans Pacific Insurance Company


The companies are filing a notice to policyholders for a company address change to use with the Commercial Property Program. The filing iswithdrawn pursuant to O.R. 365: 15-1-3(B)(10).

WESA-131036427


Filing Type: Form


01.0 Property




06/09/2017

06/09/2017





The companies are filing a notice to policyholders for a company address change to use with the Commercial Inland Marine Program. Thefiling is withdrawn pursuant to O.R. 365: 15-1-3(B)(10).

WESA-131036469


Filing Type: Form


09.0 Inland Marine




06/09/2017

06/09/2017




The companies are filing a new form for use with the Commercial General Liability Coverages; Notice To Policyholder - Change In HomeOffice Address, IL9 12 010 06 17. The filing is withdrawn pursuant to O.R. 365: 15-1-3(B)(10).

WESA-131036425


Filing Type: Form






06/08/2017

06/08/2017





The companies initially filed a Company Address Change Endorsement for use in the Fidelity Program. The filing is withdrawn pursuant to O.R. 365:15-1-3(b).

WESA-131036421


Filing Type: Form


23.0 Fidelity

23.0000 Fidelity



06/02/2017

06/02/2017




The companies are filing Notice to Policyholder - Change in Address IL9 12 010 06 17 for use in the Equipment Breakdown Program.Pursuant to Oklahoma Regulation 365: 15-1-3(b)(10) the filing is withdrawn.

WESA-131036423


Filing Type: Form


27.0 Boiler and Machinery or Equipment Breakdown

27.0000 Boiler & Machinery or Equipment Breakdown



06/08/2017

06/08/2017





The companies initially filed a Company Address Change Endorsement for use in the Burglary and Theft Program. The filing is withdrawnpursuant to O.R. 365:15-1-3(b).

WESA-131036420


Filing Type: Form






06/12/2017

06/12/2017




The companies were filing three new address change endorsements for use in the Commercial Output Program. Pursuant to OklahomaRegulation 365:15-1-3 (b) (10) the filing is withdrawn.

WESA-131036419


Filing Type: Form



05.0007 Other CMP



06/12/2017

06/12/2017





The companies are filing a notice to policyholders for a company address change to use with the Commercial Property Program. The filing iswithdrawn pursuant to O.R. 365: 15-1-3(B)(10).

WESA-131036393


Filing Type: Form


01.0 Property




06/09/2017

06/09/2017




The companies were filing three new address change endorsements, pursuant to Oklahoma Regulation 365:15-1-3 (b) (10) the filing iswithdrawn.

WESA-131036390


Filing Type: Form



05.0007 Other CMP



06/12/2017

06/12/2017





The companies are filing a notice to policyholders for a company address change to use with the Commercial Inland Marine Program. Thefiling is withdrawn pursuant to O.R. 365: 15-1-3(B)(10).

WESA-131036388


Filing Type: Form


09.0 Inland Marine

09.0000 Inland Marine Sub-TOI Combinations



06/09/2017

06/09/2017



The companies initially filed a Company Address Change Endorsement for use in the Commercial Auto Program. The filing is withdrawnpursuant to O.R. 365:15-1-3(b).

WESA-131036127


Filing Type: Form






06/12/2017

06/12/2017





The companies are filing a Notice to Policyholder Change in Home Office Address to reflect the Statutory Home Office New address: 1221Avenue of the Americas Ste. 1500, New York, NY 10020.

WESA-131037963


Filing Type: Form



16.0004 Standard WC



06/12/2017

06/12/2017



The companies initially filed a Company Address Change Endorsement for use in the Fidelity Program. The filing is withdrawn pursuant to O.R. 365:15-1-3(b).

WESA-131038891


Filing Type: Form


23.0 Fidelity

23.0000 Fidelity



06/12/2017

06/12/2017





The companies are filing an commercial interline Notice to Policyholder Change in Home Office Address to reflect the Statutory Home OfficeNew address: 1221 Avenue of the Americas Ste. 1500, New York, NY 10020.

WESA-131072447


Filing Type: Form






06/12/2017

06/12/2017

317 TWG Home Warranty Services, Inc.

The service warranty corporation is filing revised home service contract, Cornerstone Service Contract CSHO NAT (01-17) pursuant to theHome Service Contract Act 36 O.S. 6751.

VRGS-131053790


Filing Type: Form






06/26/2017

06/09/2017



The service warranty corporation is filing new agreement, Cornerstone Service Contract AHHO NAT 0317 pursuant to the Service WarrantyAct 15 O.S. 141.1 et al. The form is guaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.

VRGS-131055878


Filing Type: Form






06/26/2017

06/02/2017


The service warranty corporation is filing new home service contract, Pro-Sept Residential Septic System Service Agreement HWSP-LOS01.01.17 pursuant to the Home Service Contract Act 36 O.S. 6751.

VRGS-131077884


Filing Type: Form






07/13/2017

06/27/2017


320 Technology Insurance Company, Inc.



Milwaukee Casualty Insurance Company

Amtrust Insurance Company of Kansas, Inc.

The companies are filing revisions to the miscellaneous values pages to reflect various policy services fees for the workers' compensationcoverage. The filing has been amended to attach revised manual pages.

SHNF-130993660


Filing Type: Rule



16.0004 Standard WC



06/15/2017

06/01/2017

321 Technology Insurance Company, Inc.

The company is filing five new forms for use with the Prepaid Legal Services Programs.

UNKP-131031326


Filing Type: Form



17.1004 Contractual Liability



06/30/2017

06/28/2017


322 The Charter Oak Fire Insurance Company

The Phoenix Insurance Company

The Travelers Indemnity Company

The Travelers Indemnity Company of America

The Travelers Indemnity Company Of Connecticut

Travelers Property Casualty Company of America

The companies are filing for use of 14 new Indian Tribe workers' compensation coverage, information pages, schedule pages, waiver of rightto recover from others, exclusionary, premium discount, and Oklahoma amendatory forms and endorsements. They are also filing threeinformational notice forms. The filing was amended to delete the Large Deductible endorsement WC9903H3 from the filing.

TRVD-126340291


Filing Type: Form






04/01/2010

01/05/2010








The companies are filing one revised and two new exclusionary commercial general liability endorsements for use with the Public SectorServices products.

TRVD-131044111


Filing Type: Form






01/01/2018

06/16/2017







The companies are filing for the Commercial Property Program to non-adopt Insurance Services Office's forms contained in filing designationCF-2016-OFR16.

TRVD-131034143


Filing Type: Form


01.0 Property




09/01/2017

06/13/2017








The companies are filing to revise three cyber liability forms for the CyberFirst Program; Exclusion-Designated Boards, Commissions, OrGovernmental Units Or Departments Endorsement, PR T3 81, Exclusion-Law Enforcement Activities Or Operations Endorsement, PR T3 83and Limited Regulatory Action Coverage Endorsement, PR T5 06.

TRVD-131039644


Filing Type: Form






01/01/2018

06/20/2017








The companies are filing four revised forms and two new mandatory forms for use with the Public Entity Rate Plan (PERP) Program.

TRVD-131047141


Filing Type: Form






01/01/2018

06/22/2017






Travelers Casualty Insurance Company of America


The companies are filing new forms for use in the Commercial Auto Program.

TRVD-131061071


Filing Type: Form






09/01/2017

06/22/2017







Travelers Casualty Insurance Company of America


The companies are filing various new Additional Insured endorsements for use in the Commercial Auto Program.

TRVD-131077582


Filing Type: Form






02/01/2018

06/30/2017

329 The Cincinnati Insurance Company

The company is filing new and revised commercial general liability forms that will provide coverage for eligible enrollees who are members ofthe Wildlife Risk Purchasing Group, Inc. The filing has been amended with revised forms and various other revisions. The filing has also beenrevised to revert back to the statutory prior approval status.

CNNA-131049400








12/01/2017

06/12/2017


330 The Gray Insurance Company

The company is filing new and revised endorsements for use with the Commercial General Liability Program as well as adopting variousInsurance Services Office's form filings. The filing has been amended with revised and withdrawn forms.

GRAY-131075657


Filing Type: Form






06/30/2017

06/30/2017

331 The Hanover Insurance Company

Massachusetts Bay Insurance Company

The Hanover American Insurance Company

The companies are filing eleven forms for the new Product Recall product that will be used with the Commercial General Liability Program.The filing has been amended with the withdrawal of one form and the addition of one form.

HNVX-G131012039


Filing Type: Form






01/01/2018

06/06/2017



The company is filing a single new False Pretenses Exclusion form for use with the Errors and Omissions Miscellaneous Professional LiabilityProduct.

HNVX-G131026871


Filing Type: Form






07/10/2017

06/21/2017


The company is filing ten new forms for use with the Errors and Omissions Accountants Professional Liability Program.

HNVX-G131073815








07/10/2017

06/14/2017


334 The Medical Protective Company

Company is filing three forms the Chiropractor and Podiatrist stand-alone program for Healthcare Professionals & the Multi-SpecialtyHealthcare Professionals Program.

MDPC-131021272


Filing Type: Form






08/15/2017

06/05/2017


The company is filing a single new Economic Sanctions Exclusion Endorsement for use with the Multi-Specialty Healthcare Professionals(MSHP) Program.

MDPC-131038275


Filing Type: Form



17.0010 Employment Practices Liability



08/15/2017

06/26/2017



Company is filing applications for the stand-alone Dentists program and Comprehensive Liability Coverage for Healthcare Providers program.

MDPC-131076655


Filing Type: Form






09/01/2017

06/29/2017

337 The Ohio Casualty Insurance Company

The company is filing three new Terrorism endorsements for use with the Following Form Excess Liability Policy pursuant to the TerrorismRisk Insurance Program Reauthorization Act of 2015.

LBRC-131038990


Filing Type: Form






07/01/2017

06/05/2017


338 The Standard Fire Insurance Company

The company is filing for the Quantum Auto® 2.0 Private Passenger Automobile Program to revise Rule 1: Definitions to define PermissiveUser and Rule 6: Policy Variables to include accidents involving a Permissive User in Incident Determination and Accumulation.

TRVA-131011564


Filing Type: Rule


19.0 Personal Auto




05/21/2017

06/29/2017

339 The Standard Fire Insurance Company

The company is filing to revise the Rate Stabilization factors used in the Quantum Auto® 2.0 Private Passenger Automobile.

TRVA-131040464




19.0 Personal Auto




06/16/2017

06/23/2017


340 The Travelers Indemnity Company


Companies are filing new and revised optional endorsements for use with the Commercial Excess Liability (Umbrella) portfolio. Companiesare also withdrawing Policy Declarations Commercial Excess Liability (Umbrella) Insurance Policy CG U0 13 04 15.

TRVD-131051945


Filing Type: Form






01/01/2018

06/15/2017

341 Tokio Marine America Insurance Company

The company is filing a new form for use with the Commercial Umbrella Coverage; Notice To Policyholder - Change In Home Office Address,IL9 12 010 06 17. The filing is withdrawn pursuant to O.R. 365: 15-1-3(B)(10).

WESA-131036397


Filing Type: Form






06/08/2017

06/08/2017


342 Tokio Marine America Insurance Company

The companies are filing a new form for use with the Excess General Liability Coverages; Notice To Policyholder - Change In Home OfficeAddress, IL9 12 010 06 17. The filing is withdrawn pursuant to O.R. 365: 15-1-3(B)(10).

WESA-131036385


Filing Type: Form






06/09/2017

06/09/2017

343 Traders Insurance Company

The company is filing for the Majestic Private Passenger Automobile Program to revise the collision base rate, model year factors, vehiclesymbol assignments and clarify that a vehicle used with a transportation network company or ridesharing is unacceptable usage. The filing isamended to include a revised manual without highlights. The overall rate effect is +0.04%/+$4,080.

TRIC-131055799




19.0 Personal Auto




05/17/2017

06/08/2017


344 Transguard Insurance Company of America, Inc.

The company is filing two new forms for use with the Commercial General Liability Moving and Storage Program; Asbestos or Lead ExclusionEndorsement, 064055OK and Exclusion-Communicable Disease Endorsement, 064056OK. The filing has been amended with revised formsto make editorial changes.

OCCD-131055712


Filing Type: Form






08/01/2017

06/21/2017


The company is filing new Limitations of Coverage For Unacceptable Drivers and Limitation of Physical Damage Coverage For UnacceptableDrivers endorsements for use in the Commercial Auto Program.

OCCD-131059916


Filing Type: Form






08/01/2017

06/21/2017



Company is filing Primary and Noncontributory Other Insurance Condition 134010 06 17 and three exclusion endorsements for use in theCommercial Liability Umbrella Moving and Storage Program.

OCCD-131056279


Filing Type: Form






08/01/2017

06/08/2017

347 Travelers Casualty and Surety Company of America

Company is filing new forms XPP-19015 Ed. 04-17 Difference in Conditions Coverage for Non-Indemnified Loss Endorsement EnhancedBroad Form Plus+ Coverage and XPP-19016 Ed. 04-17 Difference in Conditions Coverage for Non-Indemnified Loss Endorsement for usewith the Excess Plus policy.

TRVE-131049543


Filing Type: Form






06/18/2017

06/08/2017



The company is filing eleven new forms for use with the Director, Officers, and Organization Liability Coverage as well as the Directors,Officers, and Organization Liability Coverage for Financial Institutions.

TRVE-131052716


Filing Type: Form



17.0006 Directors & Officers Liability



06/27/2017

06/27/2017


The company is filing two new forms for use with the Excess Policy; Difference In Conditions Coverage For Non-Indemnified LossEndorsement, XP-19082, and Difference In Conditions Coverage For Non-Indemnified Loss Endorsement - Enhanced Broad Form Plus+Coverage, XP-19081.

TRVE-131056403


Filing Type: Form






06/30/2017

06/12/2017



The company is filing a new Computer Fraud And Cyber Enhancement Rider for use in the SFAA Bond Program.

TRVE-131069135


Filing Type: Form


23.0 Fidelity

23.0000 Fidelity



09/01/2017

06/29/2017

351 Twin City Fire Insurance Company

The company is filing new and revised manual pages to implement five new Auto Services forms for use in the Spectrum Package Program.

HART-130854107








06/10/2017

01/31/2017



The company is filing revised manual pages to add a $2500 deductible option for the optional Auto Service - Garagekeepers coverageendorsement for use in the Spectrum Package Program.

HART-130923983


Filing Type: Rate






06/10/2017

03/06/2017


The company is filing a single new Deception Fraud & Other Client Fund Fraud Extension form for use with the Errors and Omissions TheAccountants Professional Liability Product.

HART-131011282


Filing Type: Form






06/07/2017

06/07/2017



The company is filing a single new Deception Fraud & Other Client Fund Fraud Extension form for use with the Errors and OmissionsLawyers Professional Liability Insurance Coverage.

HART-131018384


Filing Type: Form






06/21/2017

06/21/2017



The companies are filing a single new Disappearing Retention Endorsement for use with the Errors & Omissions The Hartford HomeInspector's Professional Liability Policy.

HART-131023835


Filing Type: Form






06/09/2017

06/09/2017



The company is filing five new and replaced forms for use with the Real Estate Errors and Omission Liability Policy.

HART-131028432


Filing Type: Form






06/10/2017

06/14/2017


The company is filing a single new Regulatory Compliance Loss Mitigation Services Addendum Endorsement for use with The Hartford AssetManagement Choice Program. The filing has been amended by the company to correct typos.

HART-131035870


Filing Type: Form



17.0022 Other



06/07/2017

06/07/2017



The company is filing a single new manual page to add a new Regulatory Compliance Loss Mitigation Services Addendum Endorsement foruse with The Hartford Asset Management Choice Program.

HART-131035869


Filing Type: Rule



17.0022 Other



06/15/2017

06/16/2017



The companies are filing a single new Private Equity Choice Rule page for use with the Private Equity Choice Policy.

HART-131044042


Filing Type: Rule






06/22/2017

06/28/2017




The companies are filing a single new Regulatory Compliance Loss Mitigation Services Addendum form for use with the Private EquityChoice Policy.

HART-131044043


Filing Type: Form






06/28/2017

06/28/2017

361 United Home Insurance Company

The company is filing to adopt the American Association of Insurance Service's Roof Surfacing Endorsement for use in the HomeownersProgram.

UHIC-131057886


Filing Type: Form


04.0 Homeowners




06/21/2017

06/21/2017


362 United States Liability Insurance Company

The company is filing revised manual pages to implement one new optional form for use in the Non-Profit Businessowners Program. Thefiling was amended to attach revised manual page.

USLI-130942983








06/19/2017

05/04/2017


The company is filing to withdrawal a single Integration Endorsement previously for use with the Real Estate Agents Errors and OmissionsLiability Product.

USLI-131028253


Filing Type: Form






06/26/2017

06/26/2017



The company is filing initial forms and Declarations for the Commercial Umbrella Program. The filing has been amended with various formrevisions and to comply with 36 O.S. 3613.1/O.R. 365:15-1-10 (c) (Fraud).

USLI-131037157


Filing Type: Form






08/21/2017

06/30/2017

365 Vantage Warranty Inc.

The service warranty corporation is filing 25 new agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.

VANT-131051029


Filing Type: Form






06/06/2017

06/06/2017


366 Vantage Warranty Inc.

The service warranty corporation is filing 28 new agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.

VANT-131071686


Filing Type: Form






06/28/2017

06/28/2017

367 Warrantech Automotive of Florida, Inc.

The service warranty corporation is filing 21 revised agreements pursuant to the Service Warranty Act 15 O.S. 141.1 et al. The forms areguaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.

UNKP-131079918


Filing Type: Form






06/29/2017

06/29/2017


368 Warrantech Consumer Product Services, Inc

The service warranty corporation is filing revised agreement, Pep Boys 95PBVL1214 pursuant to the Service Warranty Act 15 O.S. 141.1 etal. The form is guaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.

UNKP-131079731


Filing Type: Form






06/26/2017

06/26/2017

369 Warranty Support Services, LLC

The service warranty corporation is filing new agreement, EasyCare SelectCare w/Key C1033436 (001) 06/17 pursuant to the ServiceWarranty Act 15 O.S. 141.1 et al. The form is guaranteed by a contractual liability insurance policy issued by Arch Insurance Company.

APCO-131071579


Filing Type: Form






06/20/2017

06/20/2017


370 Westport Insurance Corporation

North American Elite Insurance Company

The companies are filing seven revised endorsements for use with the Commercial Property Program.

SWRE-131050126


Filing Type: Form


01.0 Property




06/20/2017

06/20/2017


North American Specialty Insurance Company


The companies are filing one new form for use with the Commercial General Liability Coverage; Offer of Coverage For Certified Acts ofTerrorism and Disclosure Notice, SP 10 883. With respect to the Oklahoma Bulletin No. PC 2015-01 the filing is being withdrawn pursuant toO.A.R. 365:15-1-3 (b)(10).

SWRE-131059463


Filing Type: Form






06/16/2017

06/16/2017



North American Specialty Insurance Company


The companies are filing one new form for use with the Commercial General Liability Coverage; Offer of Coverage For Certified Acts ofTerrorism and Disclosure Notice, SP 10 883. With respect to the Oklahoma Bulletin No. PC 2015-01 the filing is being withdrawn pursuant toO.A.R. 365:15-1-3 (b)(10).

SWRE-131082326


Filing Type: Form






06/16/2017

06/16/2017

373 Zurich American Insurance Company

The company is filing a rating rule for the optional new Staffing Industry Amendatory Endorsement-Non-Owned Autos Only-Physical DamageCoverage for use in the Commercial Auto Staffing Industry Program.

ZURC-130961145








06/02/2017

04/20/2017


374 Zurich American Insurance Company

The company is filing a single new Asbestos Exclusion Endorsement for use with the Travel Agents and Tour Operators Professional LiabilityPolicy. The filing has been amended by the company to correct a typo.

ZURC-131043625


Filing Type: Form






06/20/2017

06/20/2017

Documents

OKLAHOMA INSURANCE DEPARTMENT RATE AND … · oklahoma insurance department rate and form compliance division property and casualty filing activity report filing activity for 06-01-2017