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NCCI endorsement · workers compensation

WC 00 03 13 Waiver of Our Right to Recover From Others Endorsement

Filings
199
latest Nov 2, 2026
Filing companies
112
42 carrier groups
States
31
Latest edition
Original
View PDFs

Coverage description

A National Council on Compensation Insurance (NCCI) standard form. It gives up the insurer's right to recover its workers compensation payments from the persons or organizations named in its schedule, but only where the insured's written contract requires that waiver.

Updated

What the form says

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

“We will not enforce our right against the person or organization named in the Schedule”

WC 00 03 13

Who the insurer gives up recovery against. The waiver reaches only the people or organizations entered in the schedule. Anyone else liable for a covered injury can still be pursued for what the insurer paid.

“applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us”

WC 00 03 13

Only contract-required waivers count. The waiver covers work done under a written contract that calls for it. Work for the same party outside that contract stays open to recovery.

“This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule”

WC 00 03 13

No benefit to anyone unnamed. Parties missing from the schedule, such as other contractors on the same job, cannot rely on the waiver.

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
OriginalLatest19711130Dec 2021 to Nov 2026View PDF

2 other edition dates appear in one or two filings each, often carrier-specific versions: B, A.

What the filings show

  • Edition in use: in the past 12 months, 63 companies filed the original edition.
  • WC 00 03 08 (Partners, Officers and Others Exclusion Endorsement) is filed alongside it most often, in 158 of the same filings (79%).

Filed under

Standard WC 168WC 26Employers Liability WC 5

Data from admitted P&C filings with state insurance departments, submitted Nov 2021 to Nov 2026, excluding withdrawn and rejected filings.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 13, out of 42 in total.

CarrierFilingsStatesEditions, most filed firstLast filed
Copperpoint Group4 group companies filed it, led by Alaska National Insurance Company and Pacific Compensation Insurance Company3413OriginalMay 27, 2026
Brookfield Wealth Solutions Group5 group companies filed it, led by Argonaut Insurance Company and Argonaut-Midwest Insurance Company212OriginalJun 25, 2026
Nationwide Corporation Group9 group companies filed it, led by AMCO Insurance Company and Crestbrook Insurance Company201OriginalJun 30, 2026
United Fire & CAS GroupUnited Fire and Casualty Company1512OriginalMay 4, 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
AXA Insurance Group5 group companies filed it, led by Greenwich Insurance Company and XL Insurance America, Inc.51OriginalJun 23, 2026
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

View all 42 carrier groups

How the largest insurers handle WC 00 03 13

Groups among the largest workers compensation insurers that filed WC 00 03 13 or their own version in the past five years.

States

Number of filings that include WC 00 03 13 in each state, Nov 2021 to Nov 2026. Darker states have more filings.

Tennessee: 1 filingTN1Alabama: 1 filingAL1Florida: 0 filingsFLGeorgia: 3 filingsGA3Oklahoma: 2 filingsOK2South Carolina: 4 filingsSC4Arkansas: 0 filingsARMissouri: 5 filingsMO5Indiana: 1 filingIN1Louisiana: 3 filingsLA3Ohio: 1 filingOH1Wisconsin: 0 filingsWITexas: 0 filingsTXKentucky: 1 filingKY1Iowa: 0 filingsIAKansas: 3 filingsKS3Mississippi: 1 filingMS1North Carolina: 0 filingsNCNebraska: 0 filingsNESouth Dakota: 1 filingSD1Montana: 4 filingsMT4New Hampshire: 0 filingsNHVirginia: 0 filingsVAArizona: 2 filingsAZ2Pennsylvania: 1 filingPA1Rhode Island: 0 filingsRIMichigan: 4 filingsMI4Alaska: 4 filingsAK4District of Columbia: 0 filingsDCIdaho: 3 filingsID3Maryland: 0 filingsMDWest Virginia: 0 filingsWVUtah: 2 filingsUT2Wyoming: 4 filingsWY4Delaware: 0 filingsDENew Mexico: 3 filingsNM3Colorado: 118 filingsCO118Connecticut: 2 filingsCT2Maine: 0 filingsMENorth Dakota: 2 filingsND2Illinois: 3 filingsIL3Minnesota: 0 filingsMNNew Jersey: 0 filingsNJNew York: 0 filingsNYMassachusetts: 1 filingMA1Washington: 6 filingsWA6Oregon: 3 filingsOR3Vermont: 0 filingsVTCalifornia: 0 filingsCANevada: 3 filingsNV3Hawaii: 7 filingsHI7
FewerMore filingsNone

Often filed with

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

  • WC 00 03 08Partners, Officers and Others Exclusion Endorsement158 filings
  • WC 00 04 21Catastrophe (Other Than Certified Acts of Terrorism) Premium Endorsement157 filings
  • WC 00 04 22Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement157 filings
  • WC 00 00 00Workers Compensation and Employers Liability Insurance Policy156 filings
  • WC 00 03 10Sole Proprietors, Partners, Officers and Others Coverage Endorsement155 filings
  • WC 00 04 03Experience Rating Modification Factor Endorsement155 filings
  • WC 00 04 06Premium Discount Endorsement154 filings
  • WC 00 03 05Joint Venture as Insured Endorsement150 filings
  • WC 00 03 01Alternate Employer Endorsement149 filings
  • WC 00 03 02Designated Workplaces Exclusion Endorsement149 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 199 filings

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