Amtrust Financial Services Group: Workers Compensation Forms
| Form | Title | Type | Edition | States |
|---|---|---|---|---|
| XWC990000 | Excess Insurance Policy For Self-Insurer of Workers' Compensation and Employers Liability | Coverage form | 05 26 | 20 |
| WC 99 0098 | Foreign Voluntary Compensation and Employers Liability Coverage Endorsement | Endorsement | 09 25 | 34 |
| WC 99 0000 | PNIC Signature Page | Endorsement | - | 33 |
| WC 99 0000 A | WIC Signature Page | Endorsement | - | 30 |
| XWC990007 | Premium Due Date | Endorsement | 05 26 | 20 |
145 more forms
See more formsAmtrust Financial Services Group workers compensation filing activity
Nov 14, 2025 to Nov 13, 2026. These figures cover only Amtrust Financial Services Group's workers compensation filings. The form inventory above covers the past five years.
- Filings
- 202
- 161 in the previous 365 days
- Change in filings
- +25.5%
- Compared with the previous 365 days
- States
- 47
- With filings in this period
- Companies filing
- 14
- Within this carrier group
- Avg. reported rate impact
- +0.5%
- 26 filings reporting a nonzero impact
Tracked Filing Volume
State Activity
Reported Rate Impact
Reported impacts are filing-level figures, not an individual policyholder's premium change. The average is unweighted and excludes missing and zero values. Withdrawn and rejected filings are excluded. Each SERFF tracking number is counted once.
Workers Compensation product types
Product classifications reported in this period's filings.
| Product type | Filings | States |
|---|---|---|
| Standard WC | 105 | 39 |
| Excess WC | 88 | 22 |
| Employers Liability WC | 8 | 4 |
| WC Sub-TOI Combinations | 1 | 1 |
Companies filing in this period
Workers Compensation submissions by underwriting company.
| Company | Filings | States |
|---|---|---|
| Wesco Insurance Company | 130 | 35 |
| Rochdale Insurance Company | 23 | 15 |
| Southern Insurance Company | 17 | 17 |
| ARI Insurance Company | 6 | 4 |
| Milford Casualty Insurance Company | 4 | 4 |
| Sequoia Insurance Company | 4 | 3 |
| Technology Insurance Company, Inc. | 4 | 3 |
| AmTrust Insurance Company | 3 | 3 |
| Developers Surety and Indemnity Company | 3 | 1 |
| CorePointe Insurance Company | 2 | 2 |
| Park National Insurance Company | 2 | 2 |
| Security National Insurance Company | 2 | 2 |
| Republic Fire and Casualty Insurance Company | 1 | 1 |
| Republic Underwriters Insurance Company | 1 | 1 |
Recent products and programs filed
The 10 most recently filed product/program names, as reported in filings. Names can include internal program codes and do not establish current product availability.
| Filed product/program | Filings | States | Latest filing |
|---|---|---|---|
| Workers Compensation | 28 | 14 | Oct 26, 2026 |
| Workers' Compensation | 68 | 35 | Oct 23, 2026 |
| Excess Work Comp | 28 | 19 | Oct 14, 2026 |
| Occupational Accident | 1 | 1 | Sep 2, 2026 |
| CWWIC XS 26 | 13 | 11 | Aug 11, 2026 |
| Summit Workers Compensation | 1 | 1 | Jul 23, 2026 |
| Excess Work Comp - Revision | 31 | 22 | Jul 10, 2026 |
| Workers' Compensation Dividend Declaration | 3 | 1 | May 15, 2026 |
| Employers Liability | 8 | 4 | Apr 21, 2026 |
| CWWIC XS RR 26 | 8 | 8 | Feb 21, 2026 |
Companies filing
The Amtrust Financial Services Group companies with the most workers compensation filings in the past five years.
- Wesco Insurance Company410 filings · 50 states
- Milford Casualty Insurance Company306 filings · 48 states
- CorePointe Insurance Company301 filings · 48 states
- + 11 more companies
NCCI forms used
The NCCI forms in the most Amtrust Financial Services Group filings.
| Form | Title | Amtrust Financial Services Group filings |
|---|---|---|
| WC 00 00 00 | Workers Compensation and Employers Liability Insurance Policy | 16 |
| WC 00 00 01 | Information Page | 7 |
| WC 00 03 03 | Employers Liability Coverage Endorsement | 6 |
| WC 00 01 16 | Notification Endorsement of Pending Law Change to Terrorism Risk Insurance Program Reauthorization Act of 2019 | 2 |
| WC 00 01 01 | Defense Base Act Coverage Endorsement | 1 |
| WC 00 01 04 | Federal Employers' Liability Act Coverage Endorsement | 1 |
| WC 00 01 06 | Longshore and Harbor Workers' Compensation Act Coverage Endorsement | 1 |
| WC 00 01 08 | Nonappropriated Fund Instrumentalities Act Coverage Endorsement | 1 |
| WC 00 01 09 | Outer Continental Shelf Lands Act Coverage Endorsement | 1 |
| WC 00 02 01 | Maritime Coverage Endorsement | 1 |
+ 20 more NCCI forms
Related insurance research
Filing research
Workers Compensation forms
Form types
Related lines of business
Forms are active forms on Amtrust Financial Services Group workers compensation filings submitted in the past five years, excluding withdrawn and rejected filings, grouped by form number.