Travelers Group: Workers Compensation Forms
| Form | Title | Type | Edition | States |
|---|---|---|---|---|
| XC 99 0000 ( A) | Excess Workers Compensation and Employers Liability Policy | Coverage form | (Ed 7/2025) | 37 |
| XC 99 0032 (00) | Prohibited Coverage - Trade or Economic Sanctions Endorsement | Endorsement | - | 41 |
| XC 99 0002 (00) | Longshore and Harbor Workers’ Compensation Act Coverage Endorsement | Endorsement | (Ed 7/2025) | 40 |
| XC 99 0003 (00) | Outer Continental Shelf Lands Act Coverage Endorsement | Endorsement | (Ed 7/2025) | 40 |
| XC 99 0004 (00) | Defense Base Act Coverage Endorsement | Endorsement | (Ed 7/2025) | 40 |
191 more forms
See more formsTravelers Group workers compensation filing activity
Nov 14, 2025 to Nov 13, 2026. These figures cover only Travelers Group's workers compensation filings. The form inventory above covers the past five years.
- Filings
- 210
- 265 in the previous 365 days
- Change in filings
- -20.8%
- Compared with the previous 365 days
- States
- 49
- With filings in this period
- Companies filing
- 11
- Within this carrier group
- Avg. reported rate impact
- -2.8%
- 15 filings reporting a nonzero impact
flow
Tracked Filing Volume
where filings move
State Activity
rate impact
Reported Rate Impact
Filings
15
Companies
6
Avg Impact
-2.8%
Max Increase
+11.5%
Max Decrease
-10.5%
Reported rate impact by state
-10.5% to -4.5%-4.5% to -4.2%-4.2% to -0.7%-0.7% to +11.5%
Rate impact filingsShowing up to 15 filings
07/24/26Travelers Property Casualty Company of AmericaPAWorkers CompensationRate/Rule+11.5%+14.3%
06/02/26Travelers Property Casualty Company of AmericaCAWorkers CompensationRate/Rule+3.0%+29.1%
06/09/26Travelers Property Casualty Company of AmericaNVWorkers Compensation and Employers LiabilityRate/Rule+0.2%-
10/28/26Travelers Property Casualty Company of AmericaIDWorkers Compensation and Employers LiabilityRate/Rule-0.7%+11.0%
09/03/26The Travelers Indemnity Company of AmericaMDWorkers CompensationRate/Rule-1.6%+24.8%
02/13/26Travelers Property Casualty Company of AmericaSCWorkers Compensation and Employers LiabilityRate/Rule-1.6%+15.4%
05/11/26The Phoenix Insurance CompanyRIWorkers Compensation and Employers LiabilityRate/Rule-4.0%+12.3%
04/06/26Travelers Casualty and Surety CompanyTXWorkers CompensationRate/Rule-4.2%+18.3%
11/25/25Travelers Casualty Insurance Company of AmericaHIWorkers' Compensation and Employers LiabilityForm/Rate/Rule-4.2%-
09/11/26Travelers Property Casualty Company of AmericaNHWorkers CompensationRate/Rule-4.3%-
02/06/26Travelers Property Casualty Company of AmericaPAWorkers CompensationRate/Rule-4.3%+9.1%
12/18/25The Phoenix Insurance CompanyMOWorkers Compensation and Employers LiabilityRate/Rule-4.5%-4.5%
03/05/26Travelers Commercial Casualty CompanyMTWorkers CompensationRate/Rule-8.6%+10.6%
03/31/26Travelers Property Casualty Company of AmericaARWorkers Compensation and Employers LiabilityRate/Rule-8.9%-
12/17/25Travelers Commercial Casualty CompanyGAWorkers Compensation and Employers LiabilityRate/Rule-10.5%+6.6%
Reported impacts are filing-level figures, not an individual policyholder's premium change. The average is unweighted and excludes missing and zero values. Withdrawn and rejected filings are excluded. Each SERFF tracking number is counted once.
Workers Compensation product types
Product classifications reported in this period's filings.
| Product type | Filings | States |
|---|---|---|
| Excess WC | 80 | 38 |
| Standard WC | 74 | 43 |
| Alternative WC | 49 | 3 |
| WC Sub-TOI Combinations | 4 | 2 |
| Employers Liability WC | 3 | 3 |
Companies filing in this period
Workers Compensation submissions by underwriting company.
| Company | Filings | States |
|---|---|---|
| Travelers Property Casualty Company of America | 146 | 45 |
| Travelers Casualty Insurance Company of America | 22 | 2 |
| St. Paul Mercury Insurance Company | 12 | 1 |
| The Phoenix Insurance Company | 8 | 4 |
| The Travelers Indemnity Company of America | 6 | 4 |
| Travelers Casualty and Surety Company | 5 | 5 |
| Travelers Commercial Casualty Company | 3 | 3 |
| The Charter Oak Fire Insurance Company | 2 | 1 |
| The Standard Fire Insurance Company | 2 | 2 |
| The Travelers Indemnity Company | 2 | 1 |
| Travelers Casualty Company of Connecticut | 2 | 1 |
Recent products and programs filed
The 10 most recently filed product/program names, as reported in filings. Names can include internal program codes and do not establish current product availability.
| Filed product/program | Filings | States | Latest filing |
|---|---|---|---|
| Workers Compensation | 54 | 15 | Nov 5, 2026 |
| Workers Compensation and Employers Liability | 61 | 42 | Oct 28, 2026 |
| Workers' Compensation | 20 | 6 | Oct 26, 2026 |
| Excess Workers Compensation | 73 | 39 | Aug 26, 2026 |
| Annual Certification/Listing of Workers' Compensation Forms | 1 | 1 | Jun 30, 2026 |
| Workers' Compensation and Employers Liability | 1 | 1 | Nov 25, 2025 |
Companies filing
The Travelers Group companies with the most workers compensation filings in the past five years.
- Travelers Property Casualty Company of America780 filings · 48 states
- The Charter Oak Fire Insurance Company488 filings · 44 states
- The Phoenix Insurance Company477 filings · 43 states
- + 10 more companies
NCCI forms used
The NCCI forms in the most Travelers Group filings.
| Form | Title | Travelers Group filings |
|---|---|---|
| WC 00 00 00 | Workers Compensation and Employers Liability Insurance Policy | 1 |
| WC 00 00 01 | Information Page | 1 |
| WC 00 04 21 | Catastrophe (Other Than Certified Acts of Terrorism) Premium Endorsement | 1 |
Related insurance research
Workers Compensation forms
Form types
Related lines of business
Forms are active forms on Travelers Group workers compensation filings submitted in the past five years, excluding withdrawn and rejected filings, grouped by form number.