Coverage description
A National Council on Compensation Insurance (NCCI) standard form. It lifts the policy's employers liability exclusion for damages under the Migrant and Seasonal Agricultural Worker Protection Act and covers those damages for the described work, treated as work in a state listed in Item 3.A. of the Information Page.
Updated
What the form says
Key clauses from the original edition, which has not been revised, quoted as filed.
“exclusion 12, does not apply to work subject to the Migrant and Seasonal Agricultural Worker Protection Act.”
WC 00 01 11
Which exclusion it removes. The policy's employers liability part excludes damages payable under the act in its exclusion 12. The endorsement lifts that exclusion for work subject to the act.
“applies only to the work described in Item 4 of the Information Page or in the Schedule”
WC 00 01 11
Which work the endorsement reaches. Only work described on the Information Page or in the endorsement's schedule as subject to the act is affected, and the policy treats it as work in a state listed in Item 3.A.
“This policy will cover damages payable under the Migrant and Seasonal Agricultural Worker Protection Act”
WC 00 01 11
What the policy will pay. The coverage is for damages owed under the act, not workers compensation benefits, and it follows any amendment to the act in effect during the policy period.
How the form has changed
Filed copies carry the original 7-92 edition, with no revision letter.
Editions
Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.
| Edition | Filings | Companies | States | Filed | Document |
|---|---|---|---|---|---|
| OriginalLatest | 104 | 63 | 8 | Jan 2022 to Sep 2026 | View PDF |
What the filings show
- Edition in use: in the past 12 months, 35 companies filed the original edition.
- WC 00 01 06 (Longshoremen's and Harbor Workers' Compensation Act Coverage Endorsement) is filed alongside it most often, in 104 of the same filings (100%).
Filed under
Data from admitted P&C filings with state insurance departments, submitted Nov 2021 to Sep 2026, excluding withdrawn and rejected filings. One filing can cover several affiliated companies.
Carriers filing this form
The 10 carrier groups with the most filings that include WC 00 01 11, out of 22 in total.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| Brookfield Wealth Solutions Group4 group companies filed it, led by Argonaut Insurance Company and Argonaut-Midwest Insurance Company | 19 | 1 | Original | Jun 4, 2026 |
| Nationwide Corporation Group3 group companies filed it, led by Crestbrook Insurance Company and National Casualty Company | 10 | 1 | Original | Jun 30, 2026 |
| AXA Insurance Group5 group companies filed it, led by Greenwich Insurance Company and XL Insurance America, Inc. | 6 | 2 | Original | Jun 23, 2026 |
| Acuity, A Mutual Insurance Company | 6 | 2 | Original | Jul 1, 2026 |
| Tokio Marine Holdings Incorporated Group2 group companies filed it, led by Safety First Insurance Company and Safety National Casualty Corporation | 6 | 2 | Original | May 14, 2025 |
| Intact Financial Group3 group companies filed it, led by Atlantic Specialty Insurance Company and OBI America Insurance Company | 5 | 1 | Original | Jun 24, 2026 |
| RLI Insurance GroupRLI Insurance Company | 5 | 1 | Original | Aug 18, 2026 |
| Sompo Group2 group companies filed it, led by Sompo America Fire and Marine Insurance Company and Sompo America Insurance Company | 5 | 1 | Original | Jun 15, 2026 |
| State Farm GroupState Farm Fire and Casualty Company | 5 | 1 | Original | May 4, 2026 |
| THE Hanover Insurance Group6 group companies filed it, led by Allmerica Financial Alliance Insurance Company and Allmerica Financial Benefit Insurance Company | 5 | 1 | Original | Jun 23, 2026 |
States
Number of filings that include WC 00 01 11 in each state, Nov 2021 to Sep 2026. Darker states have more filings.
Often filed with
Standard-style form numbers that appear in the same filings most often.
- WC 00 01 06Longshoremen's and Harbor Workers' Compensation Act Coverage Endorsement104 filings
- WC 00 04 22Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement103 filings
- WC 00 04 19Premium Due Date Endorsement102 filings
- WC 00 04 21Catastrophe (Other Than Certified Acts of Terrorism) Premium Endorsement102 filings
- WC 00 03 04Insurance Company as Insured Endorsement101 filings
- WC 00 03 05Joint Venture as Insured Endorsement101 filings
- WC 00 03 13Waiver of Our Right to Recover From Others Endorsement101 filings
- WC 00 03 15Domestic and Agricultural Workers Exclusion Endorsement101 filings
- WC 00 03 11Voluntary Compensation and Employers Liability Coverage Endorsement100 filings
- WC 00 03 01Alternate Employer Endorsement99 filings
Recent filings
Latest filings that include this form number. Filed copies open in FilingFocus.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Sep 16, 2026 | ZNAT Insurance Company | CT | Original | ZICO-135090521 |
| Aug 18, 2026 | RLI Insurance Company | CO | Original | RLSC-135057018 |
| Jul 1, 2026 | Acuity, A Mutual Insurance Company | CO | Original | ACUT-134982793 |
| Jun 30, 2026 | American Casualty Company of Reading, Pennsylvaniaand 5 more | CO | Original | CNAB-135003197 |
| Jun 30, 2026 | Crestbrook Insurance Companyand 1 more | CO | Original | NWPP-135003409 |
| Jun 30, 2026 | National Casualty Company | CO | Original | NWPP-135004216 |
| Jun 24, 2026 | Atlantic Specialty Insurance Companyand 2 more | CO | Original | BEAC-134978198 |
| Jun 23, 2026 | Allmerica Financial Alliance Insurance Companyand 5 more | CO | Original | HNVX-134968029 |
| Jun 23, 2026 | AXA XL Insurance Company Americasand 3 more | CO | Original | XLAM-134996276 |
| Jun 15, 2026 | Sompo America Fire and Marine Insurance Companyand 1 more | CO | Original | SMPJ-134970923 |
| Jun 12, 2026 | All America Insurance Companyand 1 more | CO | Original | CEMC-134982050 |
| Jun 4, 2026 | Argonaut-Midwest Insurance Company | CO | Original | ARGN-134974739 |
Most filed NCCI WC forms
- WC 00 00 01 Information Page
- WC 00 04 19 Part Five, Premium Amendatory Endorsement
- WC 00 00 00 Workers Compensation and Employers Liability Insurance Policy
- WC 00 04 21 Catastrophe (Other Than Certified Acts of Terrorism) Premium Endorsement
- WC 00 04 06 Premium Discount Endorsement
- WC 00 03 13 Waiver of Our Right to Recover From Others Endorsement
- WC 00 04 22 Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement
- WC 00 03 08 Partners, Officers and Others Exclusion Endorsement
- WC 00 03 03 Employers Liability Coverage Endorsement
- WC 00 03 11 Voluntary Compensation and Employers Liability Coverage Endorsement
- WC 00 04 03 Experience Rating Modification Factor Endorsement
- WC 00 04 04 Pending Rate Change Endorsement