Coverage Forms & Endorsements

WC 00 00 00 A - Workers Compensation and Employers Liability Insurance Policy
WC 00 01 02 - Federal Coal Mine Health and Safety Act Coverage Endorsement
WC 00 01 13 - Terrorism Risk Insurance Extension Act Endorsement
WC 00 03 08 - Partners, Officers and Others Exclusion Endorsemement
WC 00 04 01 A - Aircraft Premium Endorsement
WC 00 04 21 A - Domestic Terrorism, Earthquakes, And Catastrophic Industrial Accidents Premium Endorsement
WC 00 04 22 - Foreign Terrorism Premium Endorsement
WC 47 06 01 - West Virginia Cancelation Endorsement
WC 47 06 02 - West Virginia How This Insurance Applies Endorsement(Withdrawn 07/01/2006)
WC 99 03 01 - Employee Leasing Exclusion Endorsement
WC 99 03 02 - Employee Leasing Endorsement
WC 99 03 03 - Employee Leasing Client Provisions and Exclusion Endorsement
WC 99 03 04 - West Virginia Broad Form Employers Liability Endorsement
WC 99 03 05 - West Virginia Limited Other States Insurance Endorsement
WC 99 03 06 - West Virginia Intentional Injury Exclusion Endorsement
WC 99 03 07 - Employers Liability Exclusion Endorsement
WC 99 04 01 - Loggers Safety Initiative Premium Credit Endorsement(Withdrawn 07/01/2006)
WC 99 04 02 - West Virginia Return to Work Premium Credit Endorsement(Withdrawn 07/01/2006)
WC 99 04 03 - West Virginia Drug Free Workplace Premium Credit Endorsement(Withdrawn 07/01/2006)
WC 99 06 01 - West Virginia Amendatory Endorsement (Withdrawn effective 07/01/2007)
WC 99 06 02 - West Virginia Benefits Deductible Endorsement



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