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.
Edition B
Compared with edition ALatest editionReplaces 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”
Edition A
Compared with the original editionAdds 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.
| Edition | Filings | Companies | States | Filed | Document |
|---|---|---|---|---|---|
| BLatest | 6 | 6 | 5 | Apr 2023 to May 2026 | View PDF |
| A | 100 | 65 | 5 | Mar 2022 to Aug 2026 | View 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%).
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 03 20, out of 25 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 | A | Jun 4, 2026 |
| Nationwide Corporation Group3 group companies filed it, led by Crestbrook Insurance Company and Nationwide Agribusiness Insurance Company | 6 | 1 | A | Jun 30, 2026 |
| Tokio Marine Holdings Incorporated Group2 group companies filed it, led by Safety First Insurance Company and Safety National Casualty Corporation | 6 | 2 | A | May 14, 2025 |
| AXA Insurance Group5 group companies filed it, led by Greenwich Insurance Company and XL Insurance America, Inc. | 5 | 1 | A | Jun 23, 2026 |
| Acuity, A Mutual Insurance Company | 5 | 1 | A | Jul 1, 2026 |
| Donegal Group3 group companies filed it, led by Donegal Mutual Insurance Company and Mountain States Indemnity Company | 5 | 1 | A | Apr 27, 2026 |
| Intact Financial Group3 group companies filed it, led by Atlantic Specialty Insurance Company and OBI America Insurance Company | 5 | 1 | A | Jun 24, 2026 |
| RLI Insurance GroupRLI Insurance Company | 5 | 1 | A | 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 | A | Jun 15, 2026 |
| State Farm GroupState Farm Fire and Casualty Company | 5 | 1 | A | May 4, 2026 |
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.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Sep 16, 2026 | ZNAT Insurance Company | CT | Original | ZICO-135090521 |
| Aug 18, 2026 | RLI Insurance Company | CO | A | RLSC-135057018 |
| Jul 1, 2026 | Acuity, A Mutual Insurance Company | CO | A | ACUT-134982793 |
| Jun 30, 2026 | American Casualty Company of Reading, Pennsylvaniaand 5 more | CO | A | CNAB-135003197 |
| Jun 30, 2026 | Crestbrook Insurance Companyand 1 more | CO | A | NWPP-135003409 |
| Jun 30, 2026 | National Casualty Company | CO | A | NWPP-135004216 |
| Jun 24, 2026 | Atlantic Specialty Insurance Companyand 2 more | CO | A | BEAC-134978198 |
| Jun 23, 2026 | Allmerica Financial Alliance Insurance Companyand 5 more | CO | A | HNVX-134968029 |
| Jun 23, 2026 | AXA XL Insurance Company Americasand 3 more | CO | A | XLAM-134996276 |
| Jun 15, 2026 | Sompo America Fire and Marine Insurance Companyand 1 more | CO | A | SMPJ-134970923 |
| Jun 12, 2026 | All America Insurance Companyand 1 more | CO | A | CEMC-134982050 |
| Jun 4, 2026 | Argonaut-Midwest Insurance Company | CO | A | 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