NCCI endorsement · workers compensation

WC 00 03 20 Professional Employer Organization (PEO) Extension Endorsement

Filings
106
latest Sep 16, 2026
Filing companies
68
25 carrier groups
States
11
Latest edition
B
most filed: edition A

Coverage description

A National Council on Compensation Insurance (NCCI) standard form. It extends your workers compensation and employers liability coverage to a named professional employer organization (PEO) as though it were an insured, for injuries to the workers it leases to you in the scheduled state.

Updated

What the form says

Key clauses from edition B, the latest revision, quoted as filed.

“Part One (Workers Compensation Insurance) and Part Two (Employers Liability Insurance) of your policy will apply as though the PEO is an insured.”

WC 00 03 20 B

Who is treated as insured. For injuries to workers the PEO named in the schedule leases to you in the scheduled state, both parts of your policy protect the PEO as well. If a contract or project is entered in the schedule, only that work is covered.

“This endorsement does not apply with respect to bodily injury to workers provided to you on a temporary basis.”

WC 00 03 20 B

Which workers are left out. Temporary workers are outside the endorsement. Revision B defines them as workers furnished for a finite period, for example to replace an absent worker, staff a seasonal workload or a special project, or serve a probationary period.

“You are jointly liable with the PEO for the contributions, premiums, forfeits, or interest”

WC 00 03 20 B · New in this edition

What you owe alongside the PEO. Revision B makes you jointly liable with the PEO for contributions, premiums, forfeits or interest attributable to the wages of the workers it leases to you.

“provide you with a notice regarding the status of your coverage”

WC 00 03 20 B · New in this edition

Who is told about cancellation. The policy can be cancelled under its terms, or for breaking rules for PEO arrangements once the PEO has had a reasonable chance to cure. On cancellation the insurer notifies the PEO and, since revision B, also sends you a notice about the status of your coverage.

How the form has changed

5 changes across 2 revisions, newest first. Each edition is compared with the one before it, using wording from filed copies.

  1. Edition B

    Compared with edition ALatest edition
    • Replaces the labor contractor with a professional employer organization (PEO) throughout and retitles the form. The PEO definition expressly takes in an entity called a labor contractor, employee leasing company or lessor.

      Edition A

      “Labor contractor means the entity furnishing some or all of the workers to another entity.”

      Edition B

      “Without limitation, a PEO may also be referred to as a labor contractor, employee leasing company, lessor, or other similarly administered arrangement.”

    • Rewrites the definition of temporary worker, which decides who falls outside the endorsement: from a substitute for an employee on leave or seasonal or short-term help, to any worker furnished for a finite period, with five listed examples.

      Edition A

      “to substitute for a permanent employee on leave or to meet seasonal or short-term workload conditions”

      Edition B

      “Temporary worker is a worker who is furnished to an entity for a finite period of time”

    • Adds a sentence making you jointly liable with the PEO for contributions, premiums, forfeits or interest attributable to the leased workers' wages.

      Edition A

      Not in this edition

      Edition B

      “You are jointly liable with the PEO for the contributions, premiums, forfeits, or interest”

    • On cancellation the insurer still notifies the PEO and now also sends you a notice about the status of your coverage.

      Edition A

      “we will send notice of such cancelation to the labor contractor.”

      Edition B

      “provide you with a notice regarding the status of your coverage”

  2. Edition A

    Compared with the original edition
    • Adds a second ground for cancellation: violation of the rules for employee leasing operations, once the labor contractor has had a reasonable opportunity to cure the violation.

      Original edition

      “The policy may be canceled according to its terms. If the policy is canceled”

      Edition A

      “for violation of rules applicable to employee leasing operations provided that the labor contractor has been provided a reasonable opportunity to cure the violation”

Editions

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

EditionFilingsCompaniesStatesFiledDocument
BLatest665Apr 2023 to May 2026View PDF
A100655Mar 2022 to Aug 2026View PDF

1 other edition date appears in one or two filings each, often carrier-specific versions: Original.

What the filings show

  • Edition in use: in the past 12 months, 40 companies filed edition A and 3 companies filed edition B.
  • The newer revision, edition B, first appears Apr 11, 2023 and has been filed by 6 companies in 5 states so far.
  • WC 00 03 13 (Waiver of Our Right to Recover From Others Endorsement) is filed alongside it most often, in 101 of the same filings (95%).

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 03 20, out of 25 in total.

CarrierFilingsStatesEditions, most filed firstLast filed
Brookfield Wealth Solutions Group4 group companies filed it, led by Argonaut Insurance Company and Argonaut-Midwest Insurance Company191AJun 4, 2026
Nationwide Corporation Group3 group companies filed it, led by Crestbrook Insurance Company and Nationwide Agribusiness Insurance Company61AJun 30, 2026
Tokio Marine Holdings Incorporated Group2 group companies filed it, led by Safety First Insurance Company and Safety National Casualty Corporation62AMay 14, 2025
AXA Insurance Group5 group companies filed it, led by Greenwich Insurance Company and XL Insurance America, Inc.51AJun 23, 2026
Acuity, A Mutual Insurance Company51AJul 1, 2026
Donegal Group3 group companies filed it, led by Donegal Mutual Insurance Company and Mountain States Indemnity Company51AApr 27, 2026
Intact Financial Group3 group companies filed it, led by Atlantic Specialty Insurance Company and OBI America Insurance Company51AJun 24, 2026
RLI Insurance GroupRLI Insurance Company51AAug 18, 2026
Sompo Group2 group companies filed it, led by Sompo America Fire and Marine Insurance Company and Sompo America Insurance Company51AJun 15, 2026
State Farm GroupState Farm Fire and Casualty Company51AMay 4, 2026

View all 25 carrier groups

States

Number of filings that include WC 00 03 20 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 03 13Waiver of Our Right to Recover From Others Endorsement101 filings
  • WC 00 03 05Joint Venture as Insured Endorsement100 filings
  • WC 00 03 11Voluntary Compensation and Employers Liability Coverage Endorsement100 filings
  • WC 00 03 04Insurance Company as Insured Endorsement99 filings
  • WC 00 03 08Partners, Officers and Others Exclusion Endorsement99 filings
  • WC 00 03 10Sole Proprietors, Partners, Officers and Others Coverage Endorsement99 filings
  • WC 00 03 15Domestic and Agricultural Workers Exclusion Endorsement99 filings
  • WC 00 04 03Experience Rating Modification Factor Endorsement99 filings
  • WC 00 04 06Premium Discount Endorsement99 filings
  • WC 00 04 14Notification of Change in Ownership Endorsement99 filings

Recent filings

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

SubmittedCompanyStateEditionsTracking number
Sep 16, 2026ZNAT Insurance CompanyCTOriginalZICO-135090521
Aug 18, 2026RLI Insurance CompanyCOARLSC-135057018
Jul 1, 2026Acuity, A Mutual Insurance CompanyCOAACUT-134982793
Jun 30, 2026American Casualty Company of Reading, Pennsylvaniaand 5 moreCOACNAB-135003197
Jun 30, 2026Crestbrook Insurance Companyand 1 moreCOANWPP-135003409
Jun 30, 2026National Casualty CompanyCOANWPP-135004216
Jun 24, 2026Atlantic Specialty Insurance Companyand 2 moreCOABEAC-134978198
Jun 23, 2026Allmerica Financial Alliance Insurance Companyand 5 moreCOAHNVX-134968029
Jun 23, 2026AXA XL Insurance Company Americasand 3 moreCOAXLAM-134996276
Jun 15, 2026Sompo America Fire and Marine Insurance Companyand 1 moreCOASMPJ-134970923
Jun 12, 2026All America Insurance Companyand 1 moreCOACEMC-134982050
Jun 4, 2026Argonaut-Midwest Insurance CompanyCOAARGN-134974739

View all 106 filings

Most filed NCCI WC forms

All Workers Compensation (NCCI WC) forms