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NCCI exclusion · workers compensation

WC 00 03 08 Partners, Officers and Others Exclusion Endorsement

Filings
175
latest Nov 2, 2026
Filing companies
106
41 carrier groups
States
28
Latest edition
Original
View PDFs

Coverage description

A National Council on Compensation Insurance (NCCI) standard form. It removes the partners, officers and others listed in its schedule from the policy: their injuries are not covered, their pay is left out of the premium basis, and the employer repays any benefits the insurer is made to pay them.

Updated

What the form says

Key clauses from the original edition, which has not been revised, quoted as filed.

“The policy does not cover bodily injury to any person described in the Schedule.”

WC 00 03 08

Who is excluded. Only the partners, officers and others entered in the schedule lose coverage. Every other employee stays covered.

“The premium basis for the policy does not include the remuneration of such persons.”

WC 00 03 08

Excluded pay drops out of the premium. The payroll of the excluded persons is not charged, which is the premium side of the exclusion.

“You will reimburse us for any payment we must make because of bodily injury to such persons.”

WC 00 03 08

The employer repays forced payments. If the insurer still has to pay benefits to an excluded person, for example under state law, the employer must pay the insurer back.

How the form has changed

Filed copies carry the 4-84 edition, and there is no lettered NCCI revision of this endorsement to compare.

Editions

Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.

EditionFilingsCompaniesStatesFiledDocument
OriginalLatest17510628Jan 2022 to Nov 2026View PDF

What the filings show

  • Edition in use: in the past 12 months, 62 companies filed the original edition.
  • WC 00 04 22 (Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement) is filed alongside it most often, in 164 of the same filings (94%).

Filed under

Standard WC 144WC 24Employers Liability 4Employers Liability WC 3

Data from admitted P&C filings with state insurance departments, submitted Nov 2021 to Nov 2026, excluding withdrawn and rejected filings.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 03 08, out of 41 in total.

CarrierFilingsStatesEditions, most filed firstLast filed
Nationwide Corporation Group11 group companies filed it, led by Crestbrook Insurance Company and Nationwide Agribusiness Insurance Company275OriginalJun 30, 2026
Brookfield Wealth Solutions Group5 group companies filed it, led by Argonaut Insurance Company and Argonaut-Midwest Insurance Company212OriginalJun 25, 2026
United Fire & CAS GroupUnited Fire and Casualty Company1512OriginalMay 4, 2026
AXA Insurance Group5 group companies filed it, led by Greenwich Insurance Company and XL Insurance America, Inc.62OriginalJun 23, 2026
Acuity, A Mutual Insurance Company62OriginalJul 1, 2026
Tokio Marine Holdings Incorporated Group2 group companies filed it, led by Safety First Insurance Company and Safety National Casualty Corporation62OriginalMay 14, 2025
Donegal Group3 group companies filed it, led by Donegal Mutual Insurance Company and Mountain States Indemnity Company51OriginalApr 27, 2026
Intact Financial Group3 group companies filed it, led by Atlantic Specialty Insurance Company and OBI America Insurance Company51OriginalJun 24, 2026
Mutual Capital Group Incorporated GroupIllinois Casualty Company55OriginalNov 2, 2026
RLI Insurance GroupRLI Insurance Company51OriginalAug 18, 2026

View all 41 carrier groups

How the largest insurers handle WC 00 03 08

Groups among the largest workers compensation insurers that filed WC 00 03 08 or their own version in the past five years.

States

Number of filings that include WC 00 03 08 in each state, Nov 2021 to Nov 2026. Darker states have more filings.

Tennessee: 1 filingTN1Alabama: 1 filingAL1Florida: 0 filingsFLGeorgia: 4 filingsGA4Oklahoma: 2 filingsOK2South Carolina: 5 filingsSC5Arkansas: 0 filingsARMissouri: 1 filingMO1Indiana: 1 filingIN1Louisiana: 2 filingsLA2Ohio: 4 filingsOH4Wisconsin: 0 filingsWITexas: 0 filingsTXKentucky: 2 filingsKY2Iowa: 0 filingsIAKansas: 1 filingKS1Mississippi: 1 filingMS1North Carolina: 0 filingsNCNebraska: 0 filingsNESouth Dakota: 1 filingSD1Montana: 2 filingsMT2New Hampshire: 0 filingsNHVirginia: 0 filingsVAArizona: 2 filingsAZ2Pennsylvania: 0 filingsPARhode Island: 0 filingsRIMichigan: 4 filingsMI4Alaska: 0 filingsAKDistrict of Columbia: 0 filingsDCIdaho: 1 filingID1Maryland: 0 filingsMDWest Virginia: 0 filingsWVUtah: 2 filingsUT2Wyoming: 5 filingsWY5Delaware: 0 filingsDENew Mexico: 2 filingsNM2Colorado: 114 filingsCO114Connecticut: 1 filingCT1Maine: 0 filingsMENorth Dakota: 3 filingsND3Illinois: 2 filingsIL2Minnesota: 0 filingsMNNew Jersey: 0 filingsNJNew York: 0 filingsNYMassachusetts: 0 filingsMAWashington: 6 filingsWA6Oregon: 1 filingOR1Vermont: 0 filingsVTCalifornia: 0 filingsCANevada: 1 filingNV1Hawaii: 3 filingsHI3
FewerMore filingsNone

Often filed with

Standard-style form numbers that appear in the same filings most often.

  • WC 00 04 22Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement164 filings
  • WC 00 00 00Workers Compensation and Employers Liability Insurance Policy161 filings
  • WC 00 03 10Sole Proprietors, Partners, Officers and Others Coverage Endorsement159 filings
  • WC 00 04 06Premium Discount Endorsement159 filings
  • WC 00 03 13Waiver of Our Right to Recover From Others Endorsement158 filings
  • WC 00 04 03Experience Rating Modification Factor Endorsement156 filings
  • WC 00 03 11Voluntary Compensation and Employers Liability Coverage Endorsement155 filings
  • WC 00 04 21Catastrophe (Other Than Certified Acts of Terrorism) Premium Endorsement155 filings
  • WC 00 03 05Joint Venture as Insured Endorsement153 filings
  • WC 00 03 01Alternate Employer Endorsement152 filings

Recent filings

Latest filings that include this form number. Filed copies open in FilingFocus.

SubmittedCompanyStateEditionsTracking number
Nov 2, 2026Illinois Casualty CompanyOROriginalILCC-135079829
Sep 16, 2026ZNAT Insurance CompanyCTOriginalZICO-135090521
Aug 18, 2026RLI Insurance CompanyCOOriginalRLSC-135057018
Jul 1, 2026Acuity, A Mutual Insurance CompanyCOOriginalACUT-134982793
Jun 30, 2026American Casualty Company of Reading, Pennsylvaniaand 5 moreCOOriginalCNAB-135003197
Jun 30, 2026Crestbrook Insurance Companyand 1 moreCOOriginalNWPP-135003409
Jun 30, 2026National Casualty CompanyCOOriginalNWPP-135004216
Jun 25, 2026American National Property And Casualty CompanyCOOriginalANPC-134996042
Jun 24, 2026Atlantic Specialty Insurance Companyand 2 moreCOOriginalBEAC-134978198
Jun 23, 2026Allmerica Financial Alliance Insurance Companyand 5 moreCOOriginalHNVX-134968029
Jun 23, 2026AXA XL Insurance Company Americasand 3 moreCOOriginalXLAM-134996276
Jun 15, 2026Sompo America Fire and Marine Insurance Companyand 1 moreCOOriginalSMPJ-134970923

View all 175 filings

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