Endorsement Name History
WC 00 00 00 C Workers Compensation and Employers Liability Insurance Policy
WC 00 00 01 A Information Page
WC 00 00 01 E Information Page Notes
WC 00 01 01 A Defense Base Act Coverage Endorsement
WC 00 01 04 A Federal Employers' Liability Act Coverage Endorsement
WC 00 01 06 A Longshore and Harbor Workers' Compensation Act Coverage Endorsement
WC 00 01 08 A Nonappropriated Fund Instrumentalities Act Coverage Endorsement
WC 00 01 09 C Outer Continental Shelf Lands Act Coverage Endorsement
WC 00 01 14 Notification Endorsement of Pending Law Change to Terrorism Risk Insurance Program Reauthorization Act of 2007
WC 00 01 15 Notification Endorsement of Pending Law Change to Terrorism Risk Insurance Program Reauthorization Act of 2015
WC 00 02 01 B Maritime Coverage Endorsement
WC 00 02 03 Voluntary Compensation Maritime Coverage Endorsement
WC 00 03 01 A Alternate Employer Endorsement
WC 00 03 02 Designated Workplaces Exclusion Endorsement
WC 00 03 03 C Employers Liability Coverage Endorsement
WC 00 03 04 Insurance Company as Insured Endorsement
WC 00 03 05 Joint Venture as Insured Endorsement
WC 00 03 09 B Rural Utilities Service Endorsement
WC 00 03 11 A Voluntary Compensation and Employers Liability Coverage Endorsement
WC 00 03 13 Waiver of Our Right to Recover from Others Endorsement
WC 00 04 01 A Aircraft Premium Endorsement . . . (*Withdrawn)
WC 00 04 02 Anniversary Rating Date Endorsement... (*Withdrawn)
WC 00 04 03 Experience Rating Modification Factor Endorsement
WC 00 04 04 Pending Rate Change Endorsement
WC 00 04 05 Policy Period Endorsement
WC 00 04 06 Premium Discount Endorsement
WC 00 04 07 Rate Change Endorsement
WC 00 04 14 Notification of Change in Ownership Endorsement
WC 00 04 14 A 90-Day Reporting Requirement – Notification of Change in Ownership Endorsement
WC 00 04 19 Premium Due Date Endorsement
WC 00 04 21 E Catastrophe (Other Than Certified Acts of Terrorism) Premium Endorsement
WC 00 04 22 C Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement
WC 00 04 25 Experience Rating Modification Factor Revision Endorsement
WC 31 00 00 B Volunteer Firefighters’ Benefit Law Policy
WC 31 00 01 B Volunteer Firefighter’s Benefit Policy Information Page
WC 31 00 02 B Volunteer Ambulance Workers’ Benefit Law Policy
WC 31 00 03 B Volunteer Ambulance Workers’ Benefit Policy Information Page
WC 31 03 01 A New York Coverage for Elected or Appointed Officers of Municipal Corporations or Other Political Subdivisions Endorsement
WC 31 03 02 A New York Designated Workplace Cancelation Endorsement and Notice of Partial Cancelation
WC 31 03 03 A New York Excess Medical Coverage Endorsement
WC 31 03 04 New York Executive Officers Exclusion Endorsement
WC 31 03 05 B New York Exclusion of Executive Officer Endorsement
WC 31 03 06 A New York Inclusion of Executive Officer Endorsement
WC 31 03 07 New York Liability of Municipalities to Police Officers or Paid Firefighter - Exclusion Endorsement
WC 31 03 08 New York Limit of Liability Endorsement
WC 31 03 10 New York Medical Benefits Reimbursement Endorsement
WC 31 03 11 New York Non-Subject Employees Exclusion Endorsement
WC 31 03 12 New York Non-Subject Executive Officers Coverage Endorsement
WC 31 03 13 C New York Sole Proprietors, Partners and Members of LLC’s, PSLC’s and RLLP’s Coverage Endorsement
WC 31 03 14 A New York Inclusion of Auxiliary Police Endorsement
WC 31 03 15 A New York Benefits Deductible Endorsement
WC 31 03 16 C New York Sole Proprietors, Partners and Members of LLC’s PSLC’s, RLLP’s, Etc. Exclusion Endorsement
WC 31 03 17 A New York Labor Contractor Endorsement
WC 31 03 18 A New York Labor Contractor Exclusion Endorsement
WC 31 03 19 J New York Construction Classification Premium Adjustment Program Explanatory Endorsement
WC 31 03 20 A New York Optional Labor Contractor Endorsement
WC 31 03 21 A New York Optional Labor Contractor Exclusion Endorsement
WC 31 03 22 A New York Optional Client Exclusion Endorsement
WC 31 04 01 New York Construction Classification Premium Adjustment Factor Endorsement
WC 31 04 02 New York Merit Rating Endorsement
WC 31 04 03 A New York Preferred Provider Organization Premium Endorsement
WC 31 04 04 B New York Pending Payroll Limitation and Premium Differential Endorsement
WC 31 04 05 A NEW YORK SAFE PATIENT HANDLING ACT PROGRAM EXPLANATORY ENDORSEMENT
WC 31 04 06 A New York Safe Patient Handling Act Program Explanatory Endorsement
WC 31 04 07 New York Merit Rating Revision Endorsement
WC 31 06 01 A New York Domestic Workers Restricted Endorsement
WC 31 06 02 New York Exclusion For Designated Officers and Employees of Fire Districts Endorsement
WC 31 06 03 New York Executive Officers Hold Harmless Endorsement
WC 31 06 04 A New York Fire District Liability Exclusion Endorsement for County or Town Policies
WC 31 06 05 A New York Volunteer Firefighters' Benefit Law Group Insurance Endorsement
WC 31 06 06 A New York Volunteer Firefighters' Premium Discount Endorsement
WC 31 06 07 A New York Volunteer Firefighters' Benefit Law - Extension of Employers Liability Insurance Endorsement
WC 31 06 08 A New York Volunteer Ambulance Workers' Premium Discount Endorsement
WC 31 06 09 A New York Ambulance District Liability Exclusion Endorsement for County or Town Policies
WC 31 06 10 A New York Volunteer Ambulance Workers' Benefit Law Group Insurance Endorsement
WC 31 06 11 A New York Exclusion For Designated Officers and Employees of Ambulance Districts Endorsement
WC 31 06 12 New York Ambulance and Fire District Liability Exclusion Endorsement for County or Town Policies
WC 31 06 13 New York Volunteer Ambulance Workers' Benefit Law - Extension of Employers Liability Insurance Endorsement
WC 31 06 16 A New York Preferred Provider Organization Endorsement
WC 31 06 17 B New York Foreign Voluntary Compensation and Employers Liability Coverage Endorsement
WC 31 06 18 A New York Workers Compensation Policyholder Notice of Right to Appeal