Zurich Insurance Group: Workers Compensation Forms
| Form | Title | Type | Edition | States |
|---|---|---|---|---|
| U-EW-1022-A CW | Designated Workplaces Exclusion - Scheduled | Exclusion | 06 22 | 38 |
| U-EW-1027-A CW | State-Specific Self-Insured Retention | Endorsement | 11 22 | 35 |
| U-EW-1030-A CW | Premium Determination Amended – Construction Value | Endorsement | 11 22 | 35 |
| U-EW-1028-B CW | Self-Insured Retention Amended – Combined Workers Compensation and Employers Liability Self-Insured Retention (Claim Expenses Combined for Workers Compensation and Employers Liability) | Endorsement | 03 23 | 35 |
| U-EW-1013-A CW | Knowledge of Injury - Scheduled | Endorsement | 06 22 | 34 |
85 more forms
See more formsZurich Insurance Group workers compensation filing activity
Nov 14, 2025 to Nov 13, 2026. These figures cover only Zurich Insurance Group's workers compensation filings. The form inventory above covers the past five years.
- Filings
- 427
- 315 in the previous 365 days
- Change in filings
- +35.6%
- Compared with the previous 365 days
- States
- 50
- With filings in this period
- Companies filing
- 6
- Within this carrier group
- Avg. reported rate impact
- -4.3%
- 48 filings reporting a nonzero impact
Tracked Filing Volume
State Activity
Reported Rate Impact
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 Withdrawn and rejected filings are excluded.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 |
|---|---|---|
| Alternative WC | 275 | 2 |
| Standard WC | 114 | 49 |
| Excess WC | 31 | 30 |
| WC Sub-TOI Combinations | 7 | 7 |
Companies filing in this period
Workers Compensation submissions by underwriting company.
| Company | Filings | States |
|---|---|---|
| American Zurich Insurance Company | 284 | 37 |
| Zurich American Insurance Company of Illinois | 100 | 45 |
| Zurich American Insurance Company | 34 | 7 |
| Colonial American Casualty and Surety Company | 5 | 4 |
| Fidelity and Deposit Company of Maryland | 3 | 3 |
| American Guarantee and Liability Insurance Company | 1 | 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 |
|---|---|---|---|
| Excess Workers Comp Filing - TRIA Reauthorization 2027 Disclosure Endt KS Refile | 1 | 1 | Nov 4, 2026 |
| Excess Workers Comp Filing - TRIA Reauthorization 2027 Disclosure Endt R | 1 | 1 | Nov 4, 2026 |
| MN Large Risk Rate Filing | 86 | 1 | Nov 3, 2026 |
| MO WC Large Ded Individual Risk Filing | 189 | 1 | Oct 29, 2026 |
| California Workers Compensation Adoption of WCIRB's Rate Filing To be Effective September 1, 2026 (CDI File No. REG-2026-00002) | 1 | 1 | Oct 21, 2026 |
| Countrywide Workers Compensation Adoption of NCCI Rule And Form Revision (Item B-1454) | 1 | 1 | Oct 21, 2026 |
| Excess Workers Comp Filing - TRIA Reauthorization 2027 Disclosure Endt | 29 | 29 | Oct 16, 2026 |
| Workers' Compensation Filing Request (WC990001BMU) - 6 Forms - Minnesota Only | 1 | 1 | Oct 2, 2026 |
| Countrywide Workers Compensation Adoption of NCCI Rule Revision (Item B-1453) | 3 | 3 | Sep 18, 2026 |
| Tennessee Workers Compensation Loss Costs Revision | 2 | 1 | Sep 15, 2026 |
Companies filing
The Zurich Insurance Group companies with the most workers compensation filings in the past five years.
- American Zurich Insurance Company1,495 filings · 50 states
- Zurich American Insurance Company643 filings · 50 states
- American Guarantee and Liability Insurance Company365 filings · 50 states
- + 6 more companies
NCCI forms used
The NCCI forms in the most Zurich Insurance Group filings.
| Form | Title | Zurich Insurance Group filings |
|---|---|---|
| WC 00 01 02 | Federal Mine Safety and Health Act Coverage Endorsement | 2 |
| WC 00 03 01 | Alternate Employer Endorsement | 2 |
| WC 00 03 02 | Designated Workplaces Exclusion Endorsement | 2 |
| WC 00 03 11 | Voluntary Compensation and Employers Liability Coverage Endorsement | 1 |
Related insurance research
Filing research
Workers Compensation forms
Form types
Related lines of business
Forms are active forms on Zurich Insurance Group workers compensation filings submitted in the past five years, excluding withdrawn and rejected filings, grouped by form number.