Coverage description
A National Council on Compensation Insurance (NCCI) standard form. It tells policyholders that the federal terrorism program under TRIPRA 2019 is scheduled to expire on December 31, 2027 unless Congress acts, that terrorism losses stay covered, and that the terrorism premium could change if the program lapses.
Updated
What the form says
Key clauses from the original edition, which has not been revised, quoted as filed.
“TRIPRA 2019 is scheduled to expire on December 31, 2027.”
WC 00 01 16
What law change the notice warns about. TRIPRA 2019 continues the federal program, begun by the Terrorism Risk Insurance Act of 2002, under which the government shares in insured losses from certain acts of terrorism. The notice says the program ends on that date unless Congress extends or reauthorizes it.
“Your policy provides coverage for workers compensation losses caused by acts of terrorism”
WC 00 01 16
Whether terrorism losses stay covered. The notice states that the policy covers terrorism losses, including workers compensation benefit obligations set by state law, subject to the policy's terms. The stated exception is Pennsylvania, which excludes injuries or deaths from certain war-related activities.
“This amount may continue or change for new, renewal, and in-force policies in effect on or after December 31, 2027”
WC 00 01 16
What could happen to the terrorism premium. The terrorism premium shown in Item 4 of the Information Page or on the WC 00 04 22 C schedule could stay the same or change if the program expires, subject to state regulatory review. No action is required of the policyholder now.
“This endorsement does not replace the separate Terrorism Risk Insurance Program Reauthorization Act Disclosure”
WC 00 01 16
How it relates to WC 00 04 22 C. The terrorism disclosure endorsement WC 00 04 22 C stays on the policy and remains in effect. This notice is attached alongside it.
How the form has changed
Filed copies carry the original 01-2027 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 | 85 | 75 | 39 | Jun 2026 to Nov 2026 | View PDF |
Where filings record what this form replaced, they name other forms WC000115. Only some filings record replacements.
What the filings show
- Edition in use: in the past 12 months, 75 companies filed the original edition.
Filed under
Data from admitted P&C filings with state insurance departments, submitted Nov 2021 to Nov 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 16, out of 27 in total.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| National Council on Compensation Insurance, Inc.Advisory Organization | 25 | 25 | Original | Jul 21, 2026 |
| Acuity, A Mutual Insurance Company | 16 | 16 | Original | Nov 6, 2026 |
| American Financial Group8 group companies filed it, led by Great American Alliance Insurance Company and Great American Assurance Company | 6 | 5 | Original | Sep 14, 2026 |
| American Contractors Insurance GroupACIG Insurance Company | 4 | 4 | Original | Oct 6, 2026 |
| United Fire & CAS Group2 group companies filed it, led by United Fire and Casualty Company and Addison Insurance Company | 4 | 4 | Original | Jul 27, 2026 |
| Liberty Mutual Group6 group companies filed it, led by Employers Insurance Company of Wausau and LM Insurance Corporation | 3 | 3 | Original | Aug 25, 2026 |
| Midwest Family Group2 group companies filed it, led by Midwest Family Advantage Insurance Company and Midwest Family Mutual Insurance Company | 3 | 3 | Original | Sep 1, 2026 |
| Amtrust Financial Services Group11 group companies filed it, led by AmTrust Insurance Company and CorePointe Insurance Company | 2 | 1 | Original | Sep 18, 2026 |
| Church Mutual GroupChurch Mutual Insurance Company, S.I. | 2 | 2 | Original | Oct 15, 2026 |
| Core Specialty Insurance Holdings GroupStarStone National Insurance Company | 2 | 2 | Original | Sep 17, 2026 |
How the largest insurers handle WC 00 01 16
Groups among the largest workers compensation insurers that filed WC 00 01 16 or their own version in the past five years.
- Hartford Fire & CAS GroupUses WC 00 01 16 in 1 filing
- Amtrust Financial Services GroupUses WC 00 01 16 in 2 filings
States
Number of filings that include WC 00 01 16 in each state, Nov 2021 to Nov 2026. Darker states have more filings.
Recent filings
Latest filings that include this form number. Filed copies open in FilingFocus.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Nov 6, 2026 | Acuity, A Mutual Insurance Company | ID | Original | ACUT-135125864 |
| Nov 5, 2026 | Acuity, A Mutual Insurance Company | IL | Original | ACUT-135125865 |
| Nov 5, 2026 | Acuity, A Mutual Insurance Company | KS | Original | ACUT-135125867 |
| Nov 5, 2026 | Acuity, A Mutual Insurance Company | PA | Original | ACUT-135125878 |
| Nov 5, 2026 | Acuity, A Mutual Insurance Company | TN | Original | ACUT-135125880 |
| Nov 5, 2026 | Atlantic Specialty Insurance Companyand 2 more | PA | Original | BEAC-135153139 |
| Nov 4, 2026 | Acuity, A Mutual Insurance Company | AL | Original | ACUT-135125860 |
| Nov 4, 2026 | Acuity, A Mutual Insurance Company | AR | Original | ACUT-135125861 |
| Nov 4, 2026 | Acuity, A Mutual Insurance Company | NE | Original | ACUT-135125872 |
| Nov 4, 2026 | Acuity, A Mutual Insurance Company | NV | Original | ACUT-135125873 |
| Nov 4, 2026 | Acuity, A Mutual Insurance Company | OK | Original | ACUT-135125877 |
| Nov 4, 2026 | Acuity, A Mutual Insurance Company | SD | Original | ACUT-135125879 |
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