OKLAHOMA INSURANCE DEPARTMENT RATE AND FORM … · oklahoma insurance department rate and form...
Transcript of OKLAHOMA INSURANCE DEPARTMENT RATE AND FORM … · oklahoma insurance department rate and form...
OKLAHOMA INSURANCE DEPARTMENT RATE AND FORM COMPLIANCE DIVISION PROPERTY AND CASUALTY
FILING ACTIVITY REPORT
FILING ACTIVITY FOR 11–01–2012 THROUGH 11–30–2012
Title 36, Section 306 and Title 51, Section 24A.5 - All form filings and other records of the Property and Casualty Division are open to any person for inspection, copying, or mechanical reproduction during normal business hours; this does not apply to confidential records protected by evidentiary privilege (i.e. an assertion of trade secret status for underwriting criteria).
Title 365:15-9-9 Medical practice rate change application is a public record. All parts of a rate change application submitted by an insurer pursuant to 36 O.S. §6821 shall be a public record upon receipt by the Insurance Department. An insurer may not make an assertion of confidentiality for any part of a rate change application.
Title 36 O.S. 987F. A filing and any supporting information required to be filed shall be open to public inspection once the filing becomes effective except information marked confidential, trade secret, or proprietary by the insurer or filer.
NOTICE PC 02-27-09
TO: ALL
FROM: THE OKLAHOMA INSURANCE DEPARTMENT RE: RATE AND FORM COMPLIANCE DIVISION - PROPERTY AND
CASUALTY MONTHLY FILING ACTIVITY REPORT DATE: February 27, 2009 (Revised April 6, 2011) PURPOSE OF THIS NOTICE The Rate and Form Compliance Division of the Oklahoma Insurance Department (“Department”) has developed a monthly report of the filing activities of property and casualty insurers admitted in the state of Oklahoma. The monthly reports may be used to monitor the Oklahoma property and casualty insurance market place. The reports will be posted on the Department’s website on a monthly basis. For your convenience, each document will be in searchable format. The Department will provide copies in electronic format of public documents contained in any filing at a cost of $0.40 per page, plus additional costs as appropriate. The Department will accommodate requests for public documents in other formats as needed. In addition to all other charges, a search fee may be charged when records are requested for commercial purposes or when responding to a request would be excessively disruptive to the essential functions of the Department. Postage costs must also be paid by the requestor. Requests should be e-mailed to [email protected] or [email protected]. The monthly reports currently do not include the SERFF filing number. As such, we strongly suggest that you submit your request well in advance of your deadline to allow sufficient time to locate the requested filing. The request must identify the OID and/or SIRCON number for filings submitted from 2005 through June 2011. Requests for filings submitted after June 2011 must identify the SERFF and/or SIRCON filing number. The SIRCON filing number is identified on the report for each filing. (Example - Filing: 31769). All requests must identify the lead insurance company and the month the filing was posted.
Notice PC 02-27-09 Page 2 Some filings will contain fewer than ten (10) pages while others will contain hundreds. It is the requestor’s responsibility to inform the Department of limitations as to the number of pages for which the requestor is willing to pay. The Department’s SERFF computer may be used by the public to view filings. Although appointments are not required to view filings, it is strongly suggested due to the limited amount of space and equipment. Individuals making appointments will be given priority access to the SERFF computer.
Questions applicable to this notice should be directed to Cuc Nguyen at [email protected] of the Rate and Form Compliance Division of the Oklahoma Insurance Department, Five Corporate Plaza, 3625 NW 56th, Suite 100, Oklahoma City, OK 73112. The Oklahoma Insurance Department encourages readers of this notice to periodically check the Department’s web site http://www.ok.gov/oid/ for news and updates to Bulletins, Orders, and other relevant material.
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 1 of 185Page
1 21st Century Centennial Insurance Company
21st Century Indemnity Insurance Company
21st Century North America Insurance Company
21st Century Assurance Company
21st Century Pacific Insurance Company
The companies are filing revised Amendment of Policy Provisions - Oklahoma AU OK46 0213 and Amendment of Policy Provisions -Oklahoma AU OK46a 0213 for use in the Private Passenger Automobile Program.
AGMK-128731139
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
02/25/2013
11/05/2012
2 ACE American Insurance Company
General Reinsurance Corporation
Liberty Mutual Insurance Company
National Liability & Fire Insurance Company
The companies are filing new rates and rules for the aircraft hull and liability policy; 360 All-Clear and 400 All-Clear Several LiabilityCombination Policy. The filing is exempt from filing or review requirements pursuant to 36 O.S. 997
USAU-128592531
Informational FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
22.0 Aircraft
22.0000 Aircraft
Submission Date: 09/28/2012
Effective Date:
Disposition Date:
11/29/2012
10/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 2 of 185Page
3 ACE American Insurance Company
Company is adding aggregate limits to those already offered in the state in the Allied Health Care Human Services program.
ACEH-128736087
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
11.0 Medical Malpractice - Claims Made/Occurrence
11.0029 Other
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
11/19/2012
11/06/2012
4 ACE American Insurance Company
Indemnity Insurance Company of North America
The companies are filing revisions to the Uninsured Motorists/Underinsured Motorists Coverage Summary for use in the Commercial AutoProgram.
ACEH-128751038
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
03/01/2013
11/07/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 3 of 185Page
5 ACE American Insurance Company
The company is filing a revised Schedule of Removed Storage Tanks Endorsement, PF-31177a, for the ACE TankSafe-Storage Tank LiabilityInsurance Program.
ACEH-128757507
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2011 Environmental Pollution Liability
Submission Date: 11/06/2012
Effective Date:
Disposition Date:
12/07/2012
11/19/2012
6 ACORD Corporation
The ACORD Corporation is filing a revised commercial interline ACORD 63 (2013/01) Fraud Statement.
ACPC-128730209
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/16/2012
Effective Date:
Disposition Date:
11/02/2012
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 4 of 185Page
7 ACORD Corporation
The ACORD Corporation is filing a revised Personal Insurance Application ACORD 88.
ACPC-128732175
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0001 Personal Interline Filings
Submission Date: 10/17/2012
Effective Date:
Disposition Date:
11/02/2012
11/02/2012
8 AGCS Marine Insurance Company
The company is filing revisions to various inland marine policy forms and endorsements for Pet Health Insurance program. The filing hasbeen amended to attach revised Amendatory Endorsement - Dogs and Amendatory Endorsement - Cats.
PERR-128732135
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0004 Pet Insurance Plans
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
03/28/2013
11/13/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 5 of 185Page
9 AIPSO
The advisory organization is filing for the Oklahoma Personal Automobile Insurance Plan to introduce physical damage rates for 2012 through2015 model years.
APST-128745290
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
02/01/2013
11/06/2012
10 AIPSO
The advisory organization is filing an alternative countrywide process for the selection and appointment of servicing carriers that may be usedwhen the total annual countrywide CAIP written premium volume is low for Commercial Auto.
APST-128746405
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0001 Business Auto
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
11/07/2012
11/07/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 6 of 185Page
11 AMERICAN MERCURY INSURANCE COMPANY
The company is filing revised base rates for the Non-Aligned Private Passenger Auto Program. The overall rate effect is +7.0%/+$1,693,826.
MERY-128771307
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 11/14/2012
Effective Date:
Disposition Date:
11/15/2012
11/27/2012
12 AMERISURE MUTUAL INSURANCE COMPANY
AMERISURE INSURANCE COMPANY
AMERISURE PARTNERS INSURANCE COMPANY
The companies are filing revisions to the Eligibility rules for the Liability and Physical Damage Experience and Schedule Rating Plans for usein the Commercial Auto Program.
AMRS-128367318
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 05/22/2012
Effective Date:
Disposition Date:
11/01/2012
05/23/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 7 of 185Page
13 AMT Warranty Corp.
The service warranty corporation is filing five new and revised agreements pursuant to the Service Warranty Act Section 141.1 of Title 15 etal. The forms are guaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.
UNKP-128741187
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
11/29/2012
11/29/2012
14 AXIS Insurance Company
The company is filing 20 initial forms and endorsements for the new Commercial Rental Package Program. The filing is amended to complywith several Oklahoma Statutes.
PERR-128663428
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 09/25/2012
Effective Date:
Disposition Date:
11/09/2012
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 8 of 185Page
15 AXIS Insurance Company
The company is filing initial rates and rules for the new Commercial Rental Package Program. The filing is amended to comply with OklahomaRegulation 365:15-7-3 (b) (10) (F).
PERR-128663427
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 09/25/2012
Effective Date:
Disposition Date:
10/26/2012
11/09/2012
16 AXIS Insurance Company
The company is revising the independent liquor liability manual rules from rates to loss costs. There is no rate effect for this filing.
PERR-128697935
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1014 Liquor Liability
Submission Date: 10/02/2012
Effective Date:
Disposition Date:
11/01/2012
10/18/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 9 of 185Page
17 AXIS Insurance Company
The company is filing the initial forms and endorsements for the Extended Warranty and Limited Extended Warranty to reimburseaccountholders/cardholders of financial institutions or other entities that issue credit/debit cards for the extension of the original U.S.Manufacturers Warranty or Purchase Warranty. The filing has been amended to attach revised forms and Amendatory Endorsements.
PERR-128115373
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0006 Other Personal Inland Marine
Submission Date: 10/08/2012
Effective Date:
Disposition Date:
11/21/2012
11/21/2012
18 AXIS Insurance Company
The company is filing the initial personal inland marine policy rates and rules to reflect the available of coverage, Extended Warranty andLimited Extended Warranty. The filing has been amended to attach Oklahoma Exception page.
PERR-128115372
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0004 Contractual Liability
Submission Date: 10/08/2012
Effective Date:
Disposition Date:
11/07/2012
11/21/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 10 of 185Page
19 AXIS Insurance Company
The company is filing 28 new and revised forms for use in various Professional Liability Insurance Programs.
PERR-128715889
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0019 Professional Errors & Omissions Liability
Submission Date: 10/25/2012
Effective Date:
Disposition Date:
11/24/2012
11/07/2012
20 AXIS Insurance Company
The company is filing two new endorsements for use in the Commercial Excess Rental Package Program.
PERR-128761544
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1020 Commercial Umbrella and Excess
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
12/07/2012
11/19/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 11 of 185Page
21 Acadia Insurance Company
Continental Western Insurance Company
Union Insurance Company
Firemen's Insurance Company of Washington, D.C.
The companies are filing for the Commercial Property Program a revised rating rule manual page and to adopt Insurance Services Officerates and rules contained in filing designations CF-2007-RRU07, CL-2008-OWERU, CF-2009-RGB09, CF-2007-RLC07.
UNON-128244228
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 04/17/2012
Effective Date:
Disposition Date:
11/01/2012
04/20/2012
22 Affiliated FM Insurance Company
The company is filing a revised declarations page for use in the Commercial Property ProVision Program.
FMGL-128770224
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 11/19/2012
Effective Date:
Disposition Date:
01/01/2013
11/28/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 12 of 185Page
23 Allmerica Financial Benefit Insurance Co
The company is filing a workers' compensation rate of $.48 and a minimum premium of $210 for class 8820 Attorney All Employees &Clerical, Messengers, Drivers.
HNVX-G128613938
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
16.0 Workers Compensation
16.0004 Standard WC
Submission Date: 08/13/2012
Effective Date:
Disposition Date:
11/01/2012
08/31/2012
24 Allmerica Financial Benefit Insurance Co
The company is filing initial personal inland marine policy forms and endorsements for Personal Electronic Device Protection with AccidentalDamage product.
HNVX-G128744081
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0006 Other Personal Inland Marine
Submission Date: 10/25/2012
Effective Date:
Disposition Date:
12/25/2012
11/21/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 13 of 185Page
25 Allstate Fire and Casualty Insurance Company
The company is filing for the Private Passenger Automobile Program to revise base rates, rate adjustment factors, household compositionfactors, safe driver factors, auto package factors and deductible factors and introduce the eSmart Discount. The overall rate impact isrevenue neutral.
ALSE-128742311
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
11/12/2012
11/09/2012
26 Allstate Indemnity Company
The company is filing revisions to the base rates and home and auto discount factor for use in the Homeowners Renters Program. Theoverall effect is +9.5%/+$200,037.
ALSE-128648463
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0004 Tenant Homeowners
Submission Date: 08/17/2012
Effective Date:
Disposition Date:
11/12/2012
08/27/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 14 of 185Page
27 Allstate Property and Casualty Insurance Company
The company is filing revisions to the Rate Adjustment Factor (RAF) for use in the Homeowners Program. The overall effect is +10.0%/+$3,816,293.
ALSE-128740327
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0003 Owner Occupied Homeowners
Submission Date: 10/23/2012
Effective Date:
Disposition Date:
11/12/2012
11/19/2012
28 Allstate Vehicle and Property Insurance Company
The company is filing revisions to the Hail Resistant Roof Discount and Rate Adjustment Factors for use in the Homeowners Program. Theoverall effect is +9.7%/+$299,322.
ALSE-128733980
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0003 Owner Occupied Homeowners
Submission Date: 10/18/2012
Effective Date:
Disposition Date:
11/12/2012
10/31/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 15 of 185Page
29 America First Insurance Company
The company is filing two new endorsements for use in the Commercial Umbrella Program.
LBRC-128739787
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0020 Commercial Umbrella and Excess
Submission Date: 11/14/2012
Effective Date:
Disposition Date:
03/01/2013
11/26/2012
30 American Alternative Insurance Corporation
The company is filing rate and rule revisions to the General Liability, Professional Healthcare Liability, Property, Management Liability, andCrime sections of the VFIS Emergency Service Organization Program. The overall effective is +6.1%/+$33,509.
AMLX-G128454690
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0000 CMP Sub-TOI Combinations
Submission Date: 06/13/2012
Effective Date:
Disposition Date:
11/01/2012
06/27/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 16 of 185Page
31 American Alternative Insurance Corporation
The company is filing revised inland marine pet insurance rates and manual rule pages for the Pet Health program. The overall impact is +15.00% and overall increase of $4,070.
AMLX-G128560718
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0004 Pet Insurance Plans
Submission Date: 08/14/2012
Effective Date:
Disposition Date:
11/01/2012
09/12/2012
32 American Alternative Insurance Corporation
American Modern Home Insurance Company
American Family Home Insurance Company
The companies are filing various new workers compensation policy forms and endorsements.
PERR-128742454
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
16.0 Workers Compensation
16.0004 Standard WC
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
01/01/2013
11/08/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 17 of 185Page
33 American Alternative Insurance Corporation
The company is filing a new form to use with the Hospice and Community Care Insurance Services Program; Common Policy ChangeEndorsement, GCO400. The filing has been amended to reflect Interline as the Type of Insurance.
AMLX-G128743654
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0000 Personal/Commercial Interline Filings
Submission Date: 11/05/2012
Effective Date:
Disposition Date:
12/01/2012
11/06/2012
34 American Alternative Insurance Corporation
The company is filing a new Amendatory Endorsement for use in the Commercial Property Program.
AMLX-G128760885
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
01/01/2013
11/13/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 18 of 185Page
35 American Alternative Insurance Corporation
American Family Home Insurance Company
American Southern Home Insurance Company
The companies are filing three new Abuse or Molestation endorsements and one new Security Enforcement Legal Liability endorsement foruse with the commercial general liability policy.
AMLX-G128765923
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/16/2012
Effective Date:
Disposition Date:
01/01/2013
11/21/2012
36 American Association of Insurance Services
The advisory organization is filing revisions to the Homeowners Composite Rating Plan manual and Earthquake Supplement to reflect newand revised rules, factors, and territorial definitions. The filing designation is AAIS-2012-53R.
AMAX-128729904
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
05/01/2013
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 19 of 185Page
37 American Association of Insurance Services
The advisory organization is filing revisions to the Homeowners Composite Rating Plan manual and Earthquake Supplement to reflect newand revised rules loss costs. The filing designation is AAIS-2012-53LC. The overall effect is +20.0%/+$2,204,764.
AMAX-128729939
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Loss Cost
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
05/01/2013
11/02/2012
38 American Auto Shield
The service warranty corporation is filing eight new agreements pursuant to the Service Warranty Act 36 O.S. 6601 et al. The forms areguaranteed by a contractual liability insurance policy issued by American Bankers Insurance Company of Florida. The filing is amended tocomply with several Oklahoma Statutes.
AASI-128740917
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/25/2012
Effective Date:
Disposition Date:
11/09/2012
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 20 of 185Page
39 American Automobile Insurance Company
Associated Indemnity Corporation
Fireman's Fund Insurance Company
National Surety Corporation
The American Insurance Company
The companies are filing three new and five revised commercial general liability forms to use with the Proprietary MultiCover product and toalign with Insurance Services Offices' multistate form revision contained in filing designation GL-2012-OFR12. The filing has been amendedto reflect Type of Insurance as 17.0001.
FFDC-128749514
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
04/01/2013
11/20/2012
40 American Automobile Insurance Company
Associated Indemnity Corporation
Fireman's Fund Insurance Company
National Surety Corporation
The American Insurance Company
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 21 of 185Page
The companies are filing four new endorsements for use in the Commercial Umbrella Program.
FFDC-128748680
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0020 Commercial Umbrella and Excess
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
04/01/2013
11/19/2012
41 American Economy Insurance Company
The company is filing revised base rates for building and contents for use in the Businessowners Program. The overall effect is +8.0%/+$45,265.
LBRC-128635488
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0002 Businessowners
Submission Date: 09/14/2012
Effective Date:
Disposition Date:
11/10/2012
10/12/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 22 of 185Page
42 American Farmers & Ranchers Mutual Insurance Company
The company is filing revisions to the rates and rules for use in the Homeowners Program. Changes include base rates, earthquake bindingauthority language and a new $1,000,000 liability option. The overall effect is +8.4%/+$2,148,143.
AFRI-128672392
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 09/07/2012
Effective Date:
Disposition Date:
11/01/2012
09/13/2012
43 American Farmers & Ranchers Mutual Insurance Company
The company is filing for the Personal Automobile Program to revise base rates and update the product manual by correcting grammaticalerrors and clarifying the intent of several rules. The overall rate effect is +4.7%/+$1,376,135.
AFRI-128699170
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 09/26/2012
Effective Date:
Disposition Date:
11/15/2012
09/28/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 23 of 185Page
44 American Guardian Warranty Services, Inc.
The service warranty corporation is filing two new agreements, USA Travel Care Motor Home and USA Travel Care Non-Motorized pursuantto the Service Warranty Act 36 O.S. 6601 et al. The forms are guaranteed by a contractual liability insurance policy issued by Virginia SuretyCompany.
AMGU-128744930
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/29/2012
Effective Date:
Disposition Date:
11/28/2012
11/06/2012
45 American Home Assurance Company
Granite State Insurance Company
Chartis Property Casualty Company
The companies are filing revised workers' compensation loss cost multiplier factors for Granite State Insurance Company from 1.619 to 2.024,Chartis Property Casualty Company from 1.619 to 1.740, and American Home Assurance Company from 1.619 to 1.498. The overall effectfor this filing is +8.3%/+$408,177.
AGNY-128533899
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
16.0 Workers Compensation
16.0004 Standard WC
Submission Date: 07/02/2012
Effective Date:
Disposition Date:
11/01/2012
07/26/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 24 of 185Page
46 American Home Assurance Company
Commerce and Industry Insurance Company
Granite State Insurance Company
Illinois National Insurance Co.
National Union Fire Insurance Company of Pittsburgh, Pa.
New Hampshire Insurance Company
The Insurance Company of the State of Pennsylvania
Chartis Casualty Company
The companies are filing 7 new forms and 2 revised forms for the Commercial General Liability Program for Airport Owners and Operators.
AGNY-128715615
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
22.0 Aircraft
22.0000 Aircraft
Submission Date: 10/16/2012
Effective Date:
Disposition Date:
11/30/2012
11/30/2012
47 American Home Assurance Company
Commerce and Industry Insurance Company
Granite State Insurance Company
Illinois National Insurance Co.
National Union Fire Insurance Company of Pittsburgh, Pa.
New Hampshire Insurance Company
The Insurance Company of the State of Pennsylvania
Chartis Property Casualty Company
Chartis Casualty Company
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 25 of 185Page
The companies are filing a revised form to be used with the Non-Owned Aircraft Liability and Aviation Premises Liability Program; AdditionalInsured Where Required Under Contract or Agreement, 83644. The filing has been amended to apply to all companies except Granite StateInsurance Company.
AGNY-128731525
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 10/23/2012
Effective Date:
Disposition Date:
11/23/2012
11/06/2012
48 American Home Assurance Company
Commerce and Industry Insurance Company
Granite State Insurance Company
Illinois National Insurance Co.
National Union Fire Insurance Company of Pittsburgh, Pa.
New Hampshire Insurance Company
The Insurance Company of the State of Pennsylvania
Chartis Casualty Company
The companies are filing two new Certificates of Insurance and one revised aviation liability endorsement for the Light Aviation DivisionProgram.
AGNY-128737534
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
22.0 Aircraft
22.0000 Aircraft
Submission Date: 11/09/2012
Effective Date:
Disposition Date:
12/01/2012
11/29/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 26 of 185Page
49 American Modern Home Insurance Company
The company is filing a revised loss cost multiplier for use in the Commercial Property Town & Country Program. The overall effect is +2.6% /+13,951.
AMMH-128583007
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 07/27/2012
Effective Date:
Disposition Date:
11/01/2012
08/13/2012
50 American Modern Home Insurance Company
The Company is revising the commercial general liability loss cost multiplier from 2.032 to 2.085 in the Town & Country Program. The overallrate effect is +2.6% / $1,237.
AMMH-128647382
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 08/17/2012
Effective Date:
Disposition Date:
11/01/2012
08/29/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 27 of 185Page
51 American National Property And Casualty Company
The company is filing three new and revised forms for use in the Businessowners Advantage Program.
FRFA-128742035
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0002 Businessowners
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
06/01/2013
11/02/2012
52 American Pet Insurance Company
The company is filing initial rates and manual rule pages for a new inland marine pet insurance program, PPI Pet Health Insurance.
APII-128582543
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0004 Pet Insurance Plans
Submission Date: 07/20/2012
Effective Date:
Disposition Date:
11/01/2012
08/17/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 28 of 185Page
53 American Reliable Insurance Company
The company is filing revisions to the rates and rules for use in the Manufactured Home Program. The overall effect is +12.4%/+$11,517.
ASPX-G128516035
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0002 Mobile Homeowners
Submission Date: 06/26/2012
Effective Date:
Disposition Date:
11/01/2012
07/12/2012
54 American Reliable Insurance Company
The company is filing for the Dwelling Program to revise base rates, home age factors, protection class factors, construction factors andpolicy fee. The overall rate effect is +19.5%/+$8,653.
ASPX-G128564691
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
30.1 Dwelling Fire/Personal Liability
30.1000 Dwelling Fire/Personal Liability
Submission Date: 07/12/2012
Effective Date:
Disposition Date:
11/01/2012
07/13/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 29 of 185Page
55 American Safety Casualty Insurance Company
The company is filing initial commercial general liability loss costs with rules and rates for the Petroleum Energy Program. The filing has beenamended to attach revised manual pages. The company loss cost multiplier is 1.55.
ASCI-128713537
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Loss Cost With Rule and or Rate
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 10/03/2012
Effective Date:
Disposition Date:
11/02/2012
10/22/2012
56 American Safety Casualty Insurance Company
The company is filing for the Commercial Property Petroleum Energy Program initial rates and rules and to aodpt Insurance Services Office(ISO) loss cost contained in filing designation CF-2011-RLA1. The company will also use currently approved ISO loss costs, rules and ratingplans.
ASCI-128713079
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Loss Cost With Rule and or Rate
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 10/03/2012
Effective Date:
Disposition Date:
11/02/2012
10/16/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 30 of 185Page
57 American Safety Casualty Insurance Company
The company is filing to introduce package modification factors and experience modification factors for the new Commercial PackagePetroleum Energy Program.
ASCI-128712939
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 10/03/2012
Effective Date:
Disposition Date:
11/02/2012
10/30/2012
58 American Safety Casualty Insurance Company
The company is filing an initial adoption of the Insurance Services Office's commercial crime loss cost, filing designation number CR-2011-RLA1 and also filing a loss cost multiplier factor of 1.60 for the Petroleum Energy program.
ASCI-128710693
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Loss Cost With Rule and or Rate
State Type of Insurance:
State Sub-TOI:
26.0 Burglary and Theft
26.0001 Commercial Burglary and Theft
Submission Date: 10/03/2012
Effective Date:
Disposition Date:
11/02/2012
10/04/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 31 of 185Page
59 American Safety Casualty Insurance Company
The company is filing to adopt the Insurance Services Office's commercial auto revised loss costs in filing designation CA-2012-BRLA1 andrules for use in the new Commercial Auto Petroleum Energy Program. The filing is amended to include a revised manual page with expectedloss ratios.
ASCI-128712399
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Loss Cost With Rule and or Rate
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 10/03/2012
Effective Date:
Disposition Date:
11/02/2012
10/15/2012
60 American Safety Casualty Insurance Company
The company is filing a new endorsement for use in the Commercial Umbrella / Excess Petroleum Energy Program.
ASCI-128754979
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0020 Commercial Umbrella and Excess
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
12/02/2012
11/07/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 32 of 185Page
61 American Safety Casualty Insurance Company
The company is filing a new endorsement for use in the Employee Benefits Liability Petroleum Energy Program.
ASCI-128754174
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1008 Employee Benefit Liability
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
12/02/2012
11/07/2012
62 American Safety Casualty Insurance Company
The company is filing a new commercial general liability form to use with the Petroleum Energy Program; Limitation of CoverageEndorsement, Special Endorsement A, ASC-END.02 OK.
ASCI-128754155
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
12/02/2012
11/05/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 33 of 185Page
63 American Select Insurance Company
Westfield National Insurance Company
The companies are filing the initial loss cost multipliers, American Select Insurance 1.463 and Westfield National Insurance Company 1.081.The companies are also filing various manual pages.
WSFG-128573681
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Loss Cost With Rule and or Rate
State Type of Insurance:
State Sub-TOI:
16.0 Workers Compensation
16.0004 Standard WC
Submission Date: 07/23/2012
Effective Date:
Disposition Date:
11/01/2012
08/08/2012
64 American Zurich Insurance Company
American Guarantee and Liability Insurance Company
Zurich American Insurance Company of Illinois
Zurich American Insurance Company
Empire Indemnity Insurance Company
The companies are filing to delay the adoption of AAIS inland marine forms, endorsements, and schedules for the Infrastructure PropertyCoverage until 4/1/2013; the filing designation number is AAIS 2012-52F.
ZURC-128747215
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 10/29/2012
Effective Date:
Disposition Date:
04/01/2013
11/14/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 34 of 185Page
65 Amica Mutual Insurance Company
The company is filing for the Private Passenger Auto Program to revise base rates, base model year for comprehensive and collisioncoverages, eligibility requirements, multi-car discount and territory pages. The overall rate effect is +10.0%/+$97,678.
AMMA-128438360
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
11/01/2012
11/30/2012
66 Arch Insurance Company
The company is filing 40 new and revised forms for use in the Private Company Management Insurance Program(Corporate Canopy Program).
AICO-128725751
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/17/2012
Effective Date:
Disposition Date:
11/07/2012
11/07/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 35 of 185Page
67 Arch Insurance Company
The company is filing 16 new forms for use in the Side A Broad Form Individual Non-Indemnifiable Loss Directors and Officers Program. Thefiling is amended by the company attaching a revised form to the Form Schedule.
AICO-128735154
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0006 Directors & Officers Liability
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
11/05/2012
11/05/2012
68 Arch Insurance Company
The company is filing a Surety Rate Manual Revision - Countrywide. The filing is being withdrawn pursuant to 36 § 997.
AICO-128738764
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
24.0 Surety
24.0000 Surety
Submission Date: 10/23/2012
Effective Date:
Disposition Date:
11/09/2012
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 36 of 185Page
69 Arch Insurance Company
The company is filing 39 initial forms for use in the Arch Essential Directors & Officers Executive and Organization Liability Policy Program.
WESA-128740747
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2006 Directors & Officers Liability
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
11/07/2012
11/07/2012
70 Arch Insurance Company
The company is filing a revised endorsement for use in the Private Company Management Insurance Program (Corporate Canopy Program).
AICO-128769410
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0006 Directors & Officers Liability
Submission Date: 11/13/2012
Effective Date:
Disposition Date:
11/20/2012
11/20/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 37 of 185Page
71 Argonaut Great Central Insurance Company
The company is filing one revised form and two new forms for use in the Argo Insurance Commercial Umbrella Program.
ARGN-128747678
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0020 Commercial Umbrella and Excess
Submission Date: 10/29/2012
Effective Date:
Disposition Date:
03/01/2013
11/09/2012
72 Aspen American Insurance Company
The company is filing four new forms for use in the Commercial Output Program.
AIUS-128691233
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
01/07/2013
11/29/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 38 of 185Page
73 Aspen American Insurance Company
The company is filing eight new forms for use in the Internet Security And Privacy (ISAP) Program. The filing is amended by the companyrevising the declarations page to comply with O.R. 365:15-1-13.
REGU-128742685
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2024 Internet Liability
Submission Date: 10/25/2012
Effective Date:
Disposition Date:
11/09/2012
11/09/2012
74 Aspen American Insurance Company
The company is filing new rates and rules for use in the Internet Security And Privacy (ISAP) Program.
REGU-128742684
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2024 Internet Liability
Submission Date: 10/25/2012
Effective Date:
Disposition Date:
11/01/2012
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 39 of 185Page
75 Aspen American Insurance Company
The company is filing a revised form for use in the Aspen Internet Security And Privacy Program.
REGU-128771927
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2024 Internet Liability
Submission Date: 11/15/2012
Effective Date:
Disposition Date:
11/26/2012
11/26/2012
76 Assurance Company of America
Northern Insurance Company of New York
Maryland Casualty Company
The companies are filing to delay adopt Insurance Services Offices' commercial general liability Increased Limit Factors filing designation GL-2012-IALL1 to be effective 06/01/13. The filing is being withdrawn pursuant to 365:15-1-3(b)(9).
ZURC-128759748
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
11/19/2012
11/19/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 40 of 185Page
77 Assurant Service Protection, Inc.
The service warranty corporation is filing revised agreement pursuant to the Service Warranty Act 36 O.S. 6601 et al. The forms areguaranteed by a contractual liability insurance policy issued by American Bankers Insurance Company.
ASPX-G128744598
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/25/2012
Effective Date:
Disposition Date:
11/25/2012
11/05/2012
78 Assurant Service Protection, Inc.
The service warranty corporation is filing new agreement, CarChex Extended Vehicle Protection pursuant to the Service Warranty Act 36 O.S.6601 et al. The forms are guaranteed by a contractual liability insurance policy issued by American Bankers Insurance Company of Florida.
ASPX-G128750652
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
11/06/2012
11/06/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 41 of 185Page
79 Asurion Warranty Services, Inc.
The service warranty corporation is filing eight new agreements pursuant to the Service Warranty Act Section 141.1 of Title 15 et al. Theforms are guaranteed by a contractual liability insurance policy issued by Liberty Mutual Insurance Company.
ASUR-128747157
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
11/29/2012
11/29/2012
80 Asurion Warranty Services, Inc.
The service warranty corporation is filing new agreement, Service Contract Form 189 v. Rev 11-12 pursuant to the Service Warranty ActSection 141.1 of Title 15 et al. The forms are guaranteed by a contractual liability insurance policy issued by Liberty Insurance UnderwritersInc.
ASUR-128759530
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 11/12/2012
Effective Date:
Disposition Date:
03/15/2013
11/26/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 42 of 185Page
81 Atlantic Specialty Insurance Company
The Employers' Fire Insurance Company
OneBeacon America Insurance Company
The companies are filing a commercial interline usage rule page to reflect the availability of a new endorsement, Notice Of Cancellation ToDesignated Certificate Holder.
BEAC-128595014
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/18/2012
Effective Date:
Disposition Date:
11/15/2012
10/31/2012
82 Automotive Warranty Service of Florida, Inc.
The service warranty corporation is filing new agreement, 3 and 1 Protection Program TC AWS-415 pursuant to the Service Warranty ActSection 141.1 of Title 15 et al. The forms are guaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.
VRGS-128766729
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 11/12/2012
Effective Date:
Disposition Date:
11/30/2012
11/30/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 43 of 185Page
83 Avemco Insurance Company
The company is filing three applications for non-owned aircraft and two coverage endorsements for use with Aviation product. Pursuant to 36§ 3610 and 36 § 3617, the filing is amended to be filed for 'informational' purposes only.
HCCH-128781994
Informational FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
22.0 Aircraft
22.0000 Aircraft
Submission Date: 11/26/2012
Effective Date:
Disposition Date:
01/01/2013
11/29/2012
84 Bankers Standard Insurance Company
The company is filing a revised mass merchandising discount for use in the Homeowners Program.
ACEH-128677707
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 09/12/2012
Effective Date:
Disposition Date:
11/25/2012
09/13/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 44 of 185Page
85 Bankers Standard Insurance Company
The company is filing to add six groups to the Mass Merchandising Discount Rule for use in the Private Passenger Auto Program.
ACEH-128677681
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 09/12/2012
Effective Date:
Disposition Date:
11/25/2012
09/13/2012
86 Beazley Insurance Company, Inc.
The company is filing revised rates and rules for use in the AFB Architects & Engineers Media Tech Liability Insurance Program. The filing isamended by the company removing the side-by-sides from the Rate/Rule Schedule.
BEAZ-128262599
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0019 Professional Errors & Omissions Liability
Submission Date: 08/31/2012
Effective Date:
Disposition Date:
11/01/2012
10/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 45 of 185Page
87 Beazley Insurance Company, Inc.
The company is filing seven new, optional non-premium bearing endorsements and two revised applications for the Lawyers ProfessionalLiability Insurance Program.
BEAZ-128717715
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0019 Professional Errors & Omissions Liability
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
11/09/2012
11/09/2012
88 Beazley Insurance Company, Inc.
The company is filing one revised and several new commercial inland marine endorsements for the Builders Risk coverage.
BEAZ-128716512
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
11/30/2012
11/30/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 46 of 185Page
89 Beazley Insurance Company, Inc.
The company is filing 10 new and revised applications for use in the AFB Architects & Engineers Media Tech Liability Insurance Program.
BEAZ-128712306
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0019 Professional Errors & Omissions Liability
Submission Date: 11/12/2012
Effective Date:
Disposition Date:
11/20/2012
11/20/2012
90 Berkshire Hathaway Homestate Insurance Company
The company is filing various new commercial inland marine coverage forms and endorsements.
CORN-128742663
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0000 Inland Marine Sub-TOI Combinations
Submission Date: 11/06/2012
Effective Date:
Disposition Date:
01/01/2013
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 47 of 185Page
91 Bituminous Casualty Corporation
Bituminous Fire and Marine Insurance Company
The companies are filing a revised commercial interline Policy Jacket.
LDRX-G128744368
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/25/2012
Effective Date:
Disposition Date:
01/01/2013
11/13/2012
92 Bituminous Casualty Corporation
Bituminous Fire and Marine Insurance Company
The companies are filing a revised Workers Compensation and Employers Liability Insurance Policy Jacket.
LDRX-G128752733
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
16.0 Workers Compensation
16.0004 Standard WC
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
01/01/2013
11/14/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 48 of 185Page
93 Bituminous Casualty Corporation
The company is filing a revised policy jacket for use in the Commerical Umbrella Program.
LDRX-G128759231
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1020 Commercial Umbrella and Excess
Submission Date: 11/06/2012
Effective Date:
Disposition Date:
01/01/2013
11/19/2012
94 Bituminous Casualty Corporation
Bituminous Fire and Marine Insurance Company
The companies are filing to update the Chief Executive Officer's signature on the policy jackets regarding the Railroad Protective Policy andthe Owners and Contractors Protective Policy.
LDRX-G128773139
Informational FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 11/15/2012
Effective Date:
Disposition Date:
01/01/2013
11/28/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 49 of 185Page
95 Bristol West Insurance Company
The company is filing additional vehicle symbols for use in the Private Passenger Auto Select 2.5 Program.
BRWS-128767870
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 11/13/2012
Effective Date:
Disposition Date:
11/13/2012
11/13/2012
96 COUNTRY Mutual Insurance Company
COUNTRY Preferred Insurance Company
COUNTRY Casualty Insurance Company
The companies are filing for the Personal Auto Program to revise the Composite Rating Rule to remove the requirement that Multi-PolicyDiscount Form 11041c (00-08/05) must be completed and retained in the agency office when an agreement is made to write a qualifyingproperty policy.
CFPC-128678005
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0000 Personal Auto Combinations
Submission Date: 09/10/2012
Effective Date:
Disposition Date:
11/01/2012
10/08/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 50 of 185Page
97 Capitol Indemnity Corporation
The company is filing various new and revised endorsements to use with the commercial general liability product.
CAPC-128755226
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 11/12/2012
Effective Date:
Disposition Date:
02/01/2013
11/26/2012
98 Capson Physicians Insurance Company
Company is filing new and revised forms for use with the Physicians & Surgeons Professional Liability program.
CAPS-128752045
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
11.2 Med Mal-Claims Made Only
11.2023 Physicians & Surgeons
Submission Date: 11/13/2012
Effective Date:
Disposition Date:
12/01/2012
11/28/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 51 of 185Page
99 Carolina Casualty Insurance Company
The company is filing revised rates and rules for use in the Management Liability Insurance Program.
MNLM-128699766
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2000 Other Liability Sub-TOI Combinations
Submission Date: 10/17/2012
Effective Date:
Disposition Date:
11/19/2012
11/07/2012
100 Carolina Casualty Insurance Company
The company is filing 36 new forms for use in the Management Liability Insurance Program. The filing is amended by the companywithdrawing a form to comply with 36 O.S. 3617.
MNLM-128699767
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2000 Other Liability Sub-TOI Combinations
Submission Date: 10/17/2012
Effective Date:
Disposition Date:
11/05/2012
11/05/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 52 of 185Page
101 Catlin Insurance Company, Inc.
The company is filing a new rating rule manual page to reflect the addition of special hazards and endorsements in the MiscellaneousProfessional Liability Program. The filing is amended by the company withdrawing the forms.
CATL-128755298
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2019 Professional Errors and Omissions Liability
Submission Date: 11/06/2012
Effective Date:
Disposition Date:
11/21/2012
11/26/2012
102 Catlin Insurance Company, Inc.
The company is filing 95 new and revised forms for use in the Miscellaneous Professional Liability Program. The filing is amended by thecompany revising the applications to comply with 36 O.S. 3609.
CATL-128755299
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2019 Professional Errors and Omissions Liability
Submission Date: 11/08/2012
Effective Date:
Disposition Date:
11/26/2012
11/26/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 53 of 185Page
103 Centauri Specialty Insurance Company
The company is filing forms for use in the new Homeowners Program. The filing is amended to include a final printed Declarations.
AGIA-128724398
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 10/15/2012
Effective Date:
Disposition Date:
01/01/2013
11/28/2012
104 Chartis Property Casualty Company
The company is filing for the Private Client Group Private Passenger Automobile Program to revise base rates, tiering, class plan andphysical damage rating and introduce new rating variables. The filing is amended to include a rate capping rule and corrected manual pagesand withdraw a confidentiality request for several rating pages. The overall rate effect is +4.4%/+$17,067.
APCG-128240198
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 04/16/2012
Effective Date:
Disposition Date:
11/01/2012
07/06/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 54 of 185Page
105 Church Mutual Insurance Company
The company is filing for the Independent Church Package Program to delay the adoption of Insurance Services Office's revisions containedin filing designation CF-2012-REWR1 until 1-1-14.
CHMU-128763152
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0000 CMP Sub-TOI Combinations
Submission Date: 11/09/2012
Effective Date:
Disposition Date:
01/01/2013
11/29/2012
106 Columbia Mutual Insurance Company
The company is filing for the AU Personal Auto Policy Program to update the increased limit factors for bodily injury and property damagecoverages and add 2014 model year factors. The overall rate effect is +1.28%/+$59,789.
CLBA-128672259
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 09/13/2012
Effective Date:
Disposition Date:
11/01/2012
09/28/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 55 of 185Page
107 Columbia National Insurance Company
The company is filing revisions to the Multi-Unit Discount Factor rule to clarify coverage for use in the Commercial Auto Program.
CLBA-128488288
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0001 Business Auto
Submission Date: 07/03/2012
Effective Date:
Disposition Date:
11/01/2012
07/12/2012
108 Companion Property and Casualty Company
The company is filing new form, Additional Named Insured SP-OEM-CLIP-1-009-ADDINS-001 for use with the Solar Power WarrantyContractual Liability Program.
CMPX-128731398
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0004 Contractual Liability
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
11/05/2012
11/05/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 56 of 185Page
109 Companion Property and Casualty Company
The company is filing 20 forms for the commercial general liability product. The filing is withdrawn pursuant to Oklahoma Regulation 365:15-1-3(b)(10).
CMPX-128758845
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/06/2012
Effective Date:
Disposition Date:
11/27/2012
11/27/2012
110 Consumer Program Administrator, Inc.
The service warranty corporation is filing new agreement, Penske NSC TC UAC-205 pursuant to the Service Warranty Act Section 141.1 ofTitle 15 et al. The forms are guaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.
VRGS-128759444
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
11/29/2012
11/29/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 57 of 185Page
111 Continental Casualty Company
The company is filing a revised rating rule manual page for use in the Lawyers Professional Liability Policy Program.
CNAC-128705418
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0019 Professional Errors & Omissions Liability
Submission Date: 09/28/2012
Effective Date:
Disposition Date:
11/01/2012
10/09/2012
112 Continental Casualty Company
The company is filing a revised Certificate of Insurance for use in the Life Agent Professional Liability Policy program.
CNAC-128753824
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0019 Professional Errors & Omissions Liability
Submission Date: 11/05/2012
Effective Date:
Disposition Date:
12/01/2012
11/13/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 58 of 185Page
113 Continental Casualty Company
The company is filing 26 new forms for use in the Enterprise Media Solution Policy Program. The filing is amended by the company revising aform and adding a form to comply with 36 O.S. 3609 and 3613.1.
CNAC-128185952
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0019 Professional Errors & Omissions Liability
Submission Date: 11/09/2012
Effective Date:
Disposition Date:
12/15/2012
11/26/2012
114 Continental Casualty Company
The company is filing initial rates and rules for the Enterprise Media Solutions Policy Program.
CNAC-128185951
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0019 Professional Errors & Omissions Liability
Submission Date: 11/12/2012
Effective Date:
Disposition Date:
11/15/2012
11/27/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 59 of 185Page
115 Continental Casualty Company
The company is filing to revise rates for the American Institute of Certified Public Accountants Personal Catastrophe Liability Program by +9%/ +$10,080 for all territories and coverage limits.
CNAB-128146070
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1021 Personal Umbrella and Excess
Submission Date: 03/06/2012
Effective Date:
Disposition Date:
11/01/2012
03/12/2012
116 Continental Insurance Company
American Casualty Company of Reading PA
National Fire Insurance Company of Hartford
Transportation Insurance Company
Valley Forge Insurance Company
Continental Casualty Company
The companies are filing the initial Commercial Burglary and Theft policy forms and endorsements for the CNA Paramount program. The filinghas been amended to withdraw all property forms and endorsements.
CNAB-128726184
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
26.0 Burglary and Theft
26.0001 Commercial Burglary and Theft
Submission Date: 10/12/2012
Effective Date:
Disposition Date:
07/01/2013
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 60 of 185Page
117 Continental Insurance Company
American Casualty Company of Reading PA
National Fire Insurance Company of Hartford
Transportation Insurance Company
Valley Forge Insurance Company
Continental Casualty Company
The companies are filing 137 new forms for use in the Commercial Property Phase 2 -Proprietary Package Program. Ths filing is amended bythe company withdrawing the Crime forms from the filing.
CNAB-128726295
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 10/12/2012
Effective Date:
Disposition Date:
07/01/2013
11/09/2012
118 Continental Insurance Company
American Casualty Company of Reading PA
National Fire Insurance Company of Hartford
Transportation Insurance Company
Valley Forge Insurance Company
Continental Casualty Company
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 61 of 185Page
The companies are filing revised Bodily Injury and Property Damage Arising Out of Specified Activity Endorsement for use in the TechnologyErrors & Omissions Liability Program.
CNAB-128679077
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1019 Professional Errors and Omissions Liability
Submission Date: 10/29/2012
Effective Date:
Disposition Date:
12/01/2012
11/07/2012
119 Continental Insurance Company
American Casualty Company of Reading PA
National Fire Insurance Company of Hartford
Transportation Insurance Company
Valley Forge Insurance Company
Continental Casualty Company
The companies are filing a new, manadatory endorsement for use in the CNA Signature Property Policy Program.
CNAB-128741863
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 10/30/2012
Effective Date:
Disposition Date:
12/01/2012
11/07/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 62 of 185Page
120 Continental Insurance Company
American Casualty Company of Reading PA
National Fire Insurance Company of Hartford
Transportation Insurance Company
Valley Forge Insurance Company
Continental Casualty Company
The companies are filing a new commercial general liability form; Limited Prior Acts Coverage Endorsement, GSL61719XX.
CNAB-128742802
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 11/05/2012
Effective Date:
Disposition Date:
11/30/2012
11/30/2012
121 Continental Insurance Company
American Casualty Company of Reading PA
National Fire Insurance Company of Hartford
Transportation Insurance Company
Valley Forge Insurance Company
Continental Casualty Company
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 63 of 185Page
The companies are filing a new commercial general liability form; Exclusion-New or Acquired Entities, CNA68022XX. The filing has beenwithdrawn pursuant to Oklahoma Regulation 365:15-1-3(b)(10).
CNAB-128756726
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 11/08/2012
Effective Date:
Disposition Date:
11/29/2012
11/29/2012
122 Crum & Forster Indemnity Company
The North River Insurance Company
United States Fire Insurance Company
The companies are filing two new forms to use with the Commercial General Liability product; General Liability Deductible Endorsement(Allocated Loss Adjustment Expense Inside Deductible)-Oklahoma FM 101.0.2859, and General Liability Deductible Endorsement (with Pro-Rata Allocated Loss Adjustment Expense Provision)-Oklahoma FM 101.0.2860. The filing is amended to comply with 36 O.S. § 3639.
CRUM-128676912
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 09/14/2012
Effective Date:
Disposition Date:
11/07/2012
11/07/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 64 of 185Page
123 Crum & Forster Indemnity Company
The North River Insurance Company
United States Fire Insurance Company
The companies are filing commercial general liability rules to correspond with the revised form; Printers Errors and Omissions Endorsement.
CRUM-128701696
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 10/01/2012
Effective Date:
Disposition Date:
11/15/2012
11/06/2012
124 Darwin National Assurance Company
The company is filing a revised application for use in the Professional Liability for Psychologists and Mental Health Professionals Program.
DRWN-128727365
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0000 Other Liability Sub-TOI Combinations
Submission Date: 10/15/2012
Effective Date:
Disposition Date:
11/16/2012
11/16/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 65 of 185Page
125 Dealers Alliance Corporation
The service warranty corporation is filing 11 new agreements pursuant to the Service Warranty Act Section 141.1 of Title 15 et al. The formsare guaranteed by a contractual liability insurance policy issued by Dealers Assurance Company.
DACO-128752226
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
11/28/2012
11/28/2012
126 Dealers Alliance Corporation
The service warranty corporation is filing nine new agreements pursuant to the Service Warranty Act Section 141.1 of Title 15 et al. The formsare guaranteed by a contractual liability insurance policy issued by Dealers Assurance Company.
DACO-128753682
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
11/28/2012
11/28/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 66 of 185Page
127 Dent Zone Companies, Inc
The service warranty corporation was filing new agreement, Dent Guard ADR 5 year pursuant to the Service Warranty Act 36 O.S. 6601 et al.Pursuant to Oklahoma Regulation 365:15-1-3 (b) (10) the filing is withdrawn.
DTZN-128747720
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
11/13/2012
11/13/2012
128 Dent Zone Companies, Inc
The service warranty corporation is filing new agreement, Dent Guard ADR 5 year Consumer Contract pursuant to the Service Warranty Act36 O.S. 6601 et al. The forms are guaranteed by a contractual liability insurance policy issued by Arch Insurance Company.
DTZN-128759440
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 11/06/2012
Effective Date:
Disposition Date:
11/09/2012
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 67 of 185Page
129 EMCASCO Insurance Company
Employers Mutual Casualty Company
Union Insurance Company of Providence
The company is filing revised rules for use in the Commercial Property Program.
EMCC-128670375
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 09/04/2012
Effective Date:
Disposition Date:
11/15/2012
09/13/2012
130 EMCASCO Insurance Company
Employers Mutual Casualty Company
Union Insurance Company of Providence
The companies are filing rates and rules for use with the new Employment Practices Liability endorsement in the Commercial Auto Program.The filing is amended to include revised manual pages with corrections.
EMCC-128674259
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 09/06/2012
Effective Date:
Disposition Date:
11/01/2012
10/16/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 68 of 185Page
131 EMCASCO Insurance Company
Employers Mutual Casualty Company
Union Insurance Company of Providence
The companies are filing new and revised rating rule manual pages to introduce Employment Practices Liability coverage. The filing isamended by the company attaching new and revised manual pages to the Rate/Rule Schedule.
EMCC-128675360
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 09/07/2012
Effective Date:
Disposition Date:
11/01/2012
10/16/2012
132 EMCASCO Insurance Company
Employers Mutual Casualty Company
Union Insurance Company of Providence
The companies are filing revised rates and rules in association with the new Employment Practices Liability endorsement for use in theBusinessowners Program. The filing is amended to comply with several Oklahoma Regulations.
EMCC-128675600
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0002 Businessowners
Submission Date: 09/07/2012
Effective Date:
Disposition Date:
11/01/2012
10/17/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 69 of 185Page
133 EMCASCO Insurance Company
Employers Mutual Casualty Company
The companies are filing a revision the commercial interline endorsement, Earlier Notice Of Cancellation Provided By Us - Designated entity.Endorsement is application for use with additional lines of coverage, commercial umbrella, workers compensation, linebacker public officialsand employment practices liability, garage coverage and motor carrier coverage.
EMCC-128735011
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
01/01/2013
11/01/2012
134 EMCASCO Insurance Company
Employers Mutual Casualty Company
Union Insurance Company of Providence
The companies are filing for the Commercial Property Program to non-adopt Insurance Services Office form revisions contained in filingdesignation CF-2011-OFR11.
EMCC-128753549
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
04/01/2013
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 70 of 185Page
135 EMCASCO Insurance Company
Employers Mutual Casualty Company
Union Insurance Company of Providence
The companies are filing to revise five commercial general liability forms.
EMCC-128759753
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
01/01/2013
11/19/2012
136 EMCASCO Insurance Company
Employers Mutual Casualty Company
Union Insurance Company of Providence
The companies are filing revisions to the Commercial Auto Amendment Schools endorsement to clarify coverage for use in the CommercialAuto Program.
EMCC-128760614
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
01/15/2013
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 71 of 185Page
137 EMCASCO Insurance Company
Employers Mutual Casualty Company
The companies are filing 11 revised forms for use in the Linebacker Public Officials and Employment Practices Liability Program.
EMCC-128770800
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0015 Municipal Liability
Submission Date: 11/14/2012
Effective Date:
Disposition Date:
01/01/2013
11/26/2012
138 Employers Insurance Company of Wausau
Wausau Underwriters Insurance Company
Wausau Business Insurance Company
Liberty Mutual Insurance Company
Liberty Mutual Fire Insurance Company
LM Insurance Corporation
The First Liberty Insurance Corporation
Liberty Insurance Corporation
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 72 of 185Page
The companies are filing revisions to the Pollution Liability rating rules for use in the Commercial Auto Program. The filing is amended toinclude revised manual pages with corrections.
LWCM-128618478
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 08/06/2012
Effective Date:
Disposition Date:
11/01/2012
08/13/2012
139 Employers Insurance Company of Wausau
Wausau Underwriters Insurance Company
Wausau Business Insurance Company
Liberty Mutual Insurance Company
Liberty Mutual Fire Insurance Company
LM Insurance Corporation
The First Liberty Insurance Corporation
Liberty Insurance Corporation
The companies are filing to revise the Estimated Loss Potential loss costs for "Refer to Company" class codes. The filing is being withdrawnpursuant to Oklahoma Regulation 365:15-7-3(b)(9).
LWCM-128721018
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 10/16/2012
Effective Date:
Disposition Date:
11/05/2012
11/05/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 73 of 185Page
140 Employers Insurance Company of Wausau
Wausau Underwriters Insurance Company
Wausau Business Insurance Company
Liberty Mutual Insurance Company
Liberty Mutual Fire Insurance Company
LM Insurance Corporation
The First Liberty Insurance Corporation
Liberty Insurance Corporation
The companies are filing 16 new forms and one revised form for use in the Commercial General Liability Program.
LWCM-128740831
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0000 Other Liability Sub-TOI Combinations
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
02/01/2013
11/30/2012
141 Employers Insurance Company of Wausau
Wausau Underwriters Insurance Company
Wausau Business Insurance Company
Liberty Mutual Insurance Company
Liberty Mutual Fire Insurance Company
LM Insurance Corporation
The First Liberty Insurance Corporation
Liberty Insurance Corporation
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 74 of 185Page
The companies are filing 14 new forms and one revised form for use in the Commercial Excess Liability Program.
LWCM-128741081
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0020 Commercial Umbrella and Excess
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
02/01/2013
11/05/2012
142 Equity Insurance Company
The company is filing for the Private Passenger Auto Program, Personal Auto Policy 23035 (12/12) that has been updated to revise uninsuredmotorist coverage language, clarify the loss payable clause and enhance extended transportation expense coverage and four informationalforms. The filing is amended to further revise the policy to correct grammatical and formatting errors.
HMSG-128641143
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 10/16/2012
Effective Date:
Disposition Date:
12/15/2012
11/28/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 75 of 185Page
143 Essentia Insurance Company
The company is filing for the Classic Auto Program in response to the Oklahoma Supreme Court decision in Mulford v. Neal to revise theNamed Driver Exclusion Endorsement Rule to apply to liability coverage for amounts in excess of the minimum liability required by thefinancial responsibility law of Oklahoma.
BEAC-128680435
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0000 Personal Auto Combinations
Submission Date: 09/12/2012
Effective Date:
Disposition Date:
11/01/2012
09/13/2012
144 Esurance Insurance Company
The company is filing revised base rates for use in the Private Passenger Auto Program. The overall rate effect is +5.0%/+$324,927.
ESUR-128734846
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
10/30/2012
11/16/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 76 of 185Page
145 Everest National Insurance Company
The company is filing new rules for use in the Investment Management Professional Liability Program.
EVST-128638793
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2019 Professional Errors and Omissions Liability
Submission Date: 08/14/2012
Effective Date:
Disposition Date:
11/01/2012
08/28/2012
146 Everest National Insurance Company
The company is filing to revise the commercial general liability composite rating plan rule.
EVST-128652935
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0018 Premises & Operations (OL&T and M&C)
Submission Date: 08/22/2012
Effective Date:
Disposition Date:
11/01/2012
08/23/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 77 of 185Page
147 Executive Risk Indemnity Inc.
Federal Insurance Company
Vigilant Insurance Company
The companies are filing new manual pages to implement 88 new forms and endorsements for use with numerous Commercial Packageproducts.
CHUB-128684789
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 09/13/2012
Effective Date:
Disposition Date:
11/13/2012
09/19/2012
148 Farmers Alliance Mutual Insurance Company
Alliance Indemnity Company
The companies are filing revisions to the base rates and rules for use in the Homeowners Country Home Program. The overall effect is +26.8%/+$383,056. The filing is amended to include revised manual pages with corrections.
FAMI-128456241
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 07/26/2012
Effective Date:
Disposition Date:
11/15/2012
08/08/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 78 of 185Page
149 Farmers Alliance Mutual Insurance Company
Alliance Indemnity Company
The companies are filing revisions to the base rates and rules for use in the Homeowners Program. The overall effect is +24.3%/+$928,256.The filing is amended to include revised manual pages with corrections.
FAMI-128456160
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 07/26/2012
Effective Date:
Disposition Date:
11/15/2012
08/08/2012
150 Farmers Alliance Mutual Insurance Company
The company is filing for the Dwelling Program to adopt Insurance Services Office (ISO) loss costs contained in DL-2011-RLA1 and DP-2009-REQLC, revise loss cost multipliers and premises liability rates and withdraw exceptions to ISO earthquake loss costs, rules and territorydefinitions. The filing is amended to include a corrected manual page. The overall rate effect is +28.5%/+$856,062.
FAMI-128601447
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Loss Cost With Rule and or Rate
State Type of Insurance:
State Sub-TOI:
30.1 Dwelling Fire/Personal Liability
30.1000 Dwelling Fire/Personal Liability
Submission Date: 08/01/2012
Effective Date:
Disposition Date:
11/01/2012
08/15/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 79 of 185Page
151 Farmers Alliance Mutual Insurance Company
Alliance Indemnity Company
The companies are filing a revised personal interline Declarations page.
FAMI-128752921
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0001 Personal Interline Filings
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
02/01/2013
11/07/2012
152 Farmers Insurance Company, Inc.
The company is filing for the Private Passenger Auto FA2 Program to revise base rates and rating factors for driver class, driver record points,violation aging, age tier, points tier, rate matrix, model year, full coverage, territory and length of time with immediate prior carrier. The overallrate effect is +3.7%/+$9,574,733.
FARM-128679217
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 10/09/2012
Effective Date:
Disposition Date:
09/10/2012
11/06/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 80 of 185Page
153 Farmers Insurance Company, Inc.
The company is filing to revise the rules for the Private Passenger Auto FA2 Program to reflect that Graded Death Benefit Whole Life willqualify for the Auto/Life discount and remove underwriting guidelines not related to rating. The filing is amended because of changes to theindex and page numbering to include the entire revised manual.
FARM-128694647
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
10/01/2012
11/26/2012
154 Farmers Insurance Company, Inc.
Mid-Century Insurance Company
The companies are filing revisions to the rules in the Legacy Homeowners Program to reflect that the Farmers Graded Death Benefit WholeLife will qualify for the Home/Life discount.
FARM-128747591
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 10/30/2012
Effective Date:
Disposition Date:
10/01/2012
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 81 of 185Page
155 Farmers Insurance Exchange
Mid-Century Insurance Company
Truck Insurance Exchange
The companies are filing revised manual pages to implement 13 new and revised forms for use in the Habitational Businessowners Program.The filing is amended to include the Wind/Hail Deductibles that were inadvertently deleted from the manual.
FARM-128136881
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0002 Businessowners
Submission Date: 03/07/2012
Effective Date:
Disposition Date:
11/01/2012
04/10/2012
156 Farmers Mutual Fire Insurance Company
The company is filing revised Loss Deductible Endorsement #DED 01/13 for use in the Dwelling Fire Program.
FMFO-128768726
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0002 Personal Property (Fire and Allied Lines)
Submission Date: 11/14/2012
Effective Date:
Disposition Date:
01/01/2013
11/15/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 82 of 185Page
157 Farmland Mutual Insurance Company
Nationwide Agribusiness Insurance Company
The companies are filing three revised forms for use in the CommercialGard Program.
FARL-128614354
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 11/09/2012
Effective Date:
Disposition Date:
11/30/2012
11/30/2012
158 Federal Insurance Company
Great Northern Insurance Company
Pacific Indemnity Company
Vigilant Insurance Company
The companies are filing revised manual pages to implement new form for use in the Commercial Package Customarq Program.
CHUB-128213567
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 05/03/2012
Effective Date:
Disposition Date:
11/01/2012
05/04/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 83 of 185Page
159 Federal Insurance Company
Great Northern Insurance Company
Pacific Indemnity Company
Vigilant Insurance Company
The companies are filing new and revised manual pages to implement new form, Contamination of Stock Premises Coverage Added 80-02-5313 7-11 for use with Commercial Package Customarq products.
CHUB-128168866
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 05/14/2012
Effective Date:
Disposition Date:
11/01/2012
05/22/2012
160 Fidelity National Insurance Company
The company is filing to adopt Insurance Services Offices' personal umbrella forms contained in filing designation number DL-2006-OUPFR.
FDLY-128746454
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1021 Personal Umbrella and Excess
Submission Date: 10/29/2012
Effective Date:
Disposition Date:
02/01/2013
11/05/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 84 of 185Page
161 Fidelity National Insurance Company
The company is filing two revised forms for the Personal Umbrella Program; Special Provisions Endorsement, FN1125 and Personal UmbrellaTable of Contents Form, AA 00 25.
FDLY-128748349
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1021 Personal Umbrella and Excess
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
02/01/2013
11/05/2012
162 Fidelity Warranty Services, Inc.
The service warranty corporation was filing new agreement, Kia Certified Pre-Owned Service Contract pursuant to the Service Warranty Act36 O.S. 6601 et al. Pursuant to Oklahoma Regulation 365:15-1-3 (b) (10) the filing is withdrawn.
FWSI-128752606
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
11/02/2012
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 85 of 185Page
163 First Guard Insurance Company
The company is filing revisions to the rates and rules for use in the Commercial Auto Trucker's Insurance Policy For Lease OperatorsProgram.
FGIC-128735318
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0003 Other
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
11/01/2012
11/02/2012
164 GEICO Casualty Company
The company is filing for the Private Passenger Auto Program to revise the MBI Model Year and Coverage Age Factors rate page to include astatement clarifying how to rate subsequent model years not shown on rate page.
GECC-128703096
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 09/28/2012
Effective Date:
Disposition Date:
11/01/2012
10/15/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 86 of 185Page
165 Garrison Property and Casualty Insurance Company
United Services Automobile Association
USAA Casualty Insurance Company
USAA General Indemnity Company
The companies are filing new overflow Certificates of Insurance for use in the Homeowners Renters Protection Policy Program.
USAA-128746078
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0004 Tenant Homeowners
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
11/02/2012
11/02/2012
166 Garrison Property and Casualty Insurance Company
United Services Automobile Association
USAA Casualty Insurance Company
USAA General Indemnity Company
The companies are filing new Personal Interline Certificates of Insurance.
USAA-128752709
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0001 Personal Interline Filings
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
11/14/2012
11/14/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 87 of 185Page
167 Goodville Mutual Casualty Company
The company is filing for the Farmowners Program a revised Form 1, 2 , 3 and 4 loss cost multiplier of 1.48 for use with American Associationof Insurance Services' loss costs contained in filing designation AAIS-2006-10. The filing is revised to include a corrected loss cost multipliermanual page. The overall rate effect is +9.5%/+$59,951.
GDMT-128651338
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
03.0 Personal Farmowners
03.0000 Personal Farmowners
Submission Date: 08/22/2012
Effective Date:
Disposition Date:
11/01/2012
08/24/2012
168 Grain Dealers Mutual Insurance Company
The company is filing new form, Businessowners Premium Audit Statement BPM AU for use with Main Line Businessowners policies. Thefiling is amended by attaching revised form.
NGMC-128729358
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0002 Businessowners
Submission Date: 10/17/2012
Effective Date:
Disposition Date:
02/15/2013
11/26/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 88 of 185Page
169 Grain Dealers Mutual Insurance Company
The company is filing for the Commercial Property Program to withdraw the Agribusiness coverage forms.
NGMC-128752972
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
01/01/2013
11/15/2012
170 Grain Dealers Mutual Insurance Company
The company is filing a notification of the withdrawal of the Boiler and Machinery Program pursuant to Oklahoma Regulations 365: 15-1-18and 365: 15-7-31.
NGMC-128751555
Informational FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Notice: Discontinue/Reduce Writings/ Withdraw from the Market Place
State Type of Insurance:
State Sub-TOI:
27.0 Boiler & Machinery or Equipment Breakdown
27.0000 Boiler & Machinery or Equipment Breakdown
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
02/15/2013
11/08/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 89 of 185Page
171 Grain Dealers Mutual Insurance Company
The company is filing a notification of the withdrawal of the Farm Program (forms) pursuant to Oklahoma Regulation 365: 15-1-18.
NGMC-128751441
Informational FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Notice: Discontinue/Reduce Writings/ Withdraw from the Market Place
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0006 Commercial Farm and Ranch
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
02/15/2013
11/08/2012
172 Grain Dealers Mutual Insurance Company
The comany is filing to withdraw five forms from the General Liability Employee Benefits Liability Coverage and Agribusiness Coverages.
NGMC-128753901
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
01/01/2013
11/16/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 90 of 185Page
173 Granite State Insurance Company
Illinois National Insurance Co.
New Hampshire Insurance Company
The companies are filing initial commercial general liability forms for the Tenant User's Liability Insurance Policy (TULIP) which willsupplement the company's Special Event Liability Program.
AGNY-128729257
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
01/09/2013
11/27/2012
174 Granite State Insurance Company
Illinois National Insurance Co.
New Hampshire Insurance Company
The companies are filing initial commercial general liability rates and rules for the Tenant User's Liability Insurance Policy (TULIP) which willsupplement the company's Special Event Liability Program. The filing is amended to comply with 36 O.S. 985 and Oklahoma Regulation 365:15-7-32.
AGNY-128729256
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 11/06/2012
Effective Date:
Disposition Date:
11/26/2012
12/03/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 91 of 185Page
175 Granite State Insurance Company
The company is filing a new form to be used with the Non-Owned Aircraft Liability and Aviation Premises Liability Program; Additional InsuredWhere Required Under Contract or Agreement, 83644.
AGNY-128758424
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/06/2012
Effective Date:
Disposition Date:
11/23/2012
11/06/2012
176 Great American Assurance Company
The company is filing revisions to the Trucking Maintenance Endorsement to clarify coverage for use in the Commercial Auto Long HaulTruck Program.
GACX-G128753069
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0004 Truckers
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
01/04/2013
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 92 of 185Page
177 Great American Insurance Company
Great American Assurance Company
Great American Insurance Company of New York
Great American Alliance Insurance Company
The companies are filing revised commercial inland marine forms. The filing is being disapproved pursuant to 365:15-1-3(b).
GACX-G128628522
DisapprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 08/14/2012
Effective Date:
Disposition Date:
11/01/2012
11/01/2012
178 Great American Insurance Company
Great American Assurance Company
Great American Insurance Company of New York
Great American Alliance Insurance Company
The companies are filing to adopt Insurance Services Offices' filing designations GL-2010-BGL1 and GL-2010-OELP1. The overall rate effectof the four companies is -2.4% / $2,156. The filing was amended to comply with 365:15-7-32.
GACX-G128641338
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Loss Cost With Rule and or Rate
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 08/16/2012
Effective Date:
Disposition Date:
11/15/2012
09/18/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 93 of 185Page
179 Great American Insurance Company
The company is filing rates and rules for use in the new Commercial Auto Contingent Liability Program. The filing is amended to includerevised manual pages with corrections.
GACX-G128601092
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0003 Other
Submission Date: 09/12/2012
Effective Date:
Disposition Date:
11/09/2012
09/24/2012
180 Great American Insurance Company
The company is filing new rates for use with the ThinkInformationRisk, ThinkPrivacyRisk and ThinkContentRisk policies.
GRTC-128719247
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2022 Other
Submission Date: 10/16/2012
Effective Date:
Disposition Date:
11/15/2012
10/31/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 94 of 185Page
181 Great American Insurance Company
The company is filing one new form for use in the ExecPro Nonprofit Management Liability Program.
GRTC-128738893
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2006 Directors & Officers Liability
Submission Date: 10/23/2012
Effective Date:
Disposition Date:
11/01/2012
11/01/2012
182 Great American Insurance Company
The company is filing for the Crop-Hail Insurance Program to adopt National Crop Insurance Services' Assignment of Indemnity 2012-NCIS757 Rev. 07-2012 and revised company forms, General Provisions GAI-3B (01-13), Cotton Module Fire Endorsement GAI-1160A (01-13) andPolicy Jacket F.18396A-Automated (6/09).
GACX-G128778662
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
02.1 Crop
02.1001 Crop-Hail Non-Federally Reinsured Only
Submission Date: 11/20/2012
Effective Date:
Disposition Date:
12/24/2012
11/26/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 95 of 185Page
183 Great American Spirit Insurance Company
The company is filing 21 initial endorsements and forms introducing the new Commercial Package Point of Sale Lease Protection Program.The filing is amended to comply with several Oklahoma Statutes.
GACX-G128732332
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0000 CMP Sub-TOI Combinations
Submission Date: 10/18/2012
Effective Date:
Disposition Date:
11/17/2012
11/09/2012
184 Greenwich Insurance Company
The company is filing a new endorsement for use in the Commercial Property Program.
XLAM-128748239
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
11/09/2012
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 96 of 185Page
185 Greenwich Insurance Company
The company is filing 67 new forms for the Pollution Services Program for use with the Professional and Contractor's Pollution Legal Liabilityand Contractor's Pollution Legal Liability Policies.
XLAM-128752480
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0011 Environmental Pollution Liability
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
12/05/2012
11/30/2012
186 Greenwich Insurance Company
XL Insurance America, Inc.
XL Specialty Insurance Company
The companies are filing two new declarations pages for use in the Commercial Property Program.
XLAM-128768996
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 11/15/2012
Effective Date:
Disposition Date:
12/15/2012
11/26/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 97 of 185Page
187 Grinnell Mutual Reinsurance Company
The company is filing revised Auto Plus Endorsement GMIL 5527 04-13 and Uninsured Motorists Coverage GMIL 5545 OK 04-13 for use inthe Auto Flex Private Passenger Auto Program.
GRNX-128749254
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 10/30/2012
Effective Date:
Disposition Date:
04/01/2013
11/15/2012
188 Grinnell Select Insurance Company
The company is filing revised Auto Plus Endorsement GMIL 5527 04-13 and Uninsured Motorists Coverage GMIL 5545 OK 04-13 for use inthe Elite Auto Flex Private Passenger Auto Program.
GRNX-128749396
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 10/30/2012
Effective Date:
Disposition Date:
04/01/2013
11/15/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 98 of 185Page
189 HDI-Gerling America Insurance Company
The company is filing new rates and rules for use in the Commercial Property Program. The filing is amended by the company adding amanual page to comply with O.R. 365:15-7-32.
GRLL-127910734
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 09/20/2012
Effective Date:
Disposition Date:
11/15/2012
10/10/2012
190 HDI-Gerling America Insurance Company
The company is filing new forms for use in the Commercial Auto Program.
GRLL-128734295
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 10/22/2012
Effective Date:
Disposition Date:
11/02/2012
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 99 of 185Page
191 Hartford Casualty Insurance Company
Hartford Insurance Company of the Midwest
Hartford Underwriters Insurance Company
Sentinel Insurance Company Limited
Twin City Fire Insurance Company
Hartford Accident and Indemnity Company
Hartford Fire Insurance Company
The companies are filing revised form, Professional Optical Services Coverage SS 41 05 06 12 for use with Commercial Package policies.The filing is amended to comply with Oklahoma Regulation 365:15-1-3 (b) (9) (E).
HART-128727916
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 10/16/2012
Effective Date:
Disposition Date:
01/19/2013
11/01/2012
192 Hartford Casualty Insurance Company
Hartford Insurance Company of the Midwest
Hartford Underwriters Insurance Company
Sentinel Insurance Company Limited
Twin City Fire Insurance Company
Hartford Accident and Indemnity Company
Hartford Fire Insurance Company
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 100 of 185Page
The companies are filing revised form, Professional Optical Services Coverage SX 24 11 06 12 for use with Commercial PackageProfessional policies.
HART-128733630
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0020 Commercial Umbrella and Excess
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
01/19/2013
11/02/2012
193 Hartford Casualty Insurance Company
Hartford Insurance Company of the Midwest
Hartford Underwriters Insurance Company
Sentinel Insurance Company Limited
Twin City Fire Insurance Company
Hartford Accident and Indemnity Company
Hartford Fire Insurance Company
The companies are filing two new optional forms for use with all Commercial Package Spectrum Programs.
HART-128751260
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
03/09/2013
11/16/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 101 of 185Page
194 Health Care Indemnity, Inc.
Company is filing revised rates and rules for the Hospital Liability program. The overall effect is 1.9% / $7,625.
FRCS-128747590
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
11.0 Medical Malpractice - Claims Made/Occurrence
11.0000 Med Mal Sub-TOI Combinations
Submission Date: 10/30/2012
Effective Date:
Disposition Date:
01/01/2013
11/06/2012
195 Hiscox Insurance Company Inc
The company is filing a new commercial burglary and theft endorsement, Subsidiary Definition Amended CRI E9647 CW.
HISC-128739504
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
26.0 Burglary and Theft
26.0001 Commercial Burglary and Theft
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
11/25/2012
11/08/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 102 of 185Page
196 HomeSure of America, Inc.
The service warranty corporation is filing 61 new and revised home service warranty agreements pursuant to the Service Warranty Act 36 O.S. 6601 et al. The filing is amended to remove incorrect attachments.
HSOA-128733199
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/18/2012
Effective Date:
Disposition Date:
01/01/2013
11/15/2012
197 Housing Authority Property Insurance, A Mutual Company
Housing Enterprise Insurance Company, Inc.
The companies are filing new rules of application in association with two new windstorm and hail exclusion forms for use in the CommercialOutput Program.
HAPP-128138912
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0007 Other CMP
Submission Date: 09/10/2012
Effective Date:
Disposition Date:
11/15/2012
10/04/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 103 of 185Page
198 IDS Property Casualty Insurance Co
The company is filing Declaration adok01a_adgn01b that has been revised to remove the countersignature field for use in the Safety PaysAuto Program.
PRCA-128768717
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 11/14/2012
Effective Date:
Disposition Date:
05/01/2013
11/27/2012
199 IWS ACQUISITION CORPORATION
The service warranty corporation is filing five new agreements and applications pursuant to the Service Warranty Act 36 O.S. 6601 et al. Theforms are guaranteed by a contractual liability insurance policy issued by American Bankers Insurance Company.
ICWS-128746412
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
11/05/2012
11/05/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 104 of 185Page
200 IWS ACQUISITION CORPORATION
The service warranty corporation is filing 13 new agreements and applications pursuant to the Service Warranty Act 36 O.S. 6601 et al. Theforms are guaranteed by a contractual liability insurance policy issued by American Bankers Insurance Company.
ICWS-128746650
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
11/06/2012
11/06/2012
201 IWS ACQUISITION CORPORATION
The service warranty corporation is filing 11 new agreements and applications pursuant to the Service Warranty Act 36 O.S. 6601 et al. Theforms are guaranteed by a contractual liability insurance policy issued by American Bankers Insurance Company.
ICWS-128746764
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
11/06/2012
11/06/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 105 of 185Page
202 Insurance Services Office, Inc.
The Insurance Services Offices is filing the 2012 Commercial Burglary and Theft Multistate Forms Revision which include both introductionand revision to various forms and endorsements. The filing has been amended to attach revised form CR 00 20, CR 20025 and CR 0029 dueto typographical errors. The filing designation number is CR-2012-OFR12.
ISOF-128741820
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
26.0 Burglary and Theft
26.0001 Commercial Burglary and Theft
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
08/01/2013
12/06/2012
203 Insurance Services Office, Inc.
The Insurance Services Offices is filing the 2012 Crime and Fidelity Multistate Forms Revision which include both introduction and revision tovarious forms and endorsements. The filing has been amended to attach revised form CR 00 20, CR 20025 and CR 0029 due totypographical errors. Filing designation number is CR-2012-OFR12 (FID).
ISOF-128751152
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
23.0 Fidelity
23.0000 Fidelity
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
08/01/2013
12/06/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 106 of 185Page
204 Insurance Services Office, Inc.
The Insurance Services Offices' is filing the 2012 Crime and Fidelity Multistate Rules Revision; the filing designation number is CR-2012-RRU12.
ISOF-128742233
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
26.0 Burglary and Theft
26.0001 Commercial Burglary and Theft
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
08/01/2013
11/08/2012
205 Insurance Services Office, Inc.
The Insurance Services Offices' is filing the 2012 Crime and Fidelity Multistate Rules Revision; the filing designation number is CR-2012-RRU12 (FID).
ISOF-128751469
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
23.0 Fidelity
23.0000 Fidelity
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
08/01/2013
11/08/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 107 of 185Page
206 Interstate Administrative Services, Inc.
The service warranty corporation is filing new agreement, Triumph Sports Vehicle Service Contract TBM-904 DAC pursuant to the ServiceWarranty Act 36 O.S. 6601 et al. The forms are guaranteed by a contractual liability insurance policy issued by Dealers Assurance Company.
INDS-128734971
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/22/2012
Effective Date:
Disposition Date:
11/02/2012
11/02/2012
207 Interstate Administrative Services, Inc.
The service warranty corporation is filing two new agreements pursuant to the Service Warranty Act 36 O.S. 6601 et al. The forms areguaranteed by a contractual liability insurance policy issued by Dealers Assurance Company.
INDS-128747223
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/30/2012
Effective Date:
Disposition Date:
11/06/2012
11/06/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 108 of 185Page
208 Interstate Administrative Services, Inc.
The service warranty corporation is filing new motor vehicle service contract agreement pursuant to the Service Warranty Act Section 141.1 ofTitle 15 et al. The forms are guaranteed by a contractual liability insurance policy issued by Dealers Assurance Company.
INDS-128751697
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
11/29/2012
11/29/2012
209 Ironshore Indemnity Inc.
The company is filing to revise four forms, withdraw four forms and submit a new commercial interline endorsement for use with approvedliability programs, including professional liability. The filing has been amended to reflect the correct Type of Insurance (TOI).
IRON-128760045
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
12/15/2012
11/29/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 109 of 185Page
210 Liberty Insurance Corporation
LM Insurance Corporation
The companies are filing revisions to the rule manual pages to address various form changes for use in the LibertyGuard HomeownersProgram.
LBPM-128643288
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 08/16/2012
Effective Date:
Disposition Date:
11/12/2012
08/17/2012
211 Liberty Insurance Corporation
Liberty Mutual Fire Insurance Company
The First Liberty Insurance Corporation
The companies are filing for the LibertyGuard Automobile Program to revise the Age Subclass Factor classification plan to include collegeeducation for policyholders between 40 and 49 years of age.
LBPM-128700891
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0000 Personal Auto Combinations
Submission Date: 09/26/2012
Effective Date:
Disposition Date:
11/12/2012
10/18/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 110 of 185Page
212 Liberty Insurance Underwriters Inc.
The company is filing 12 new forms for use in the Technology Professional Liability, Data Breach and Network Protection Insurance Program.The filing is amended by the company revising and adding forms to comply with 36 O.S. 3609 and O.R.. 365:15-1-13.
LMUG-128616703
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2019 Professional Errors and Omissions Liability
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
01/01/2013
11/19/2012
213 Liberty Insurance Underwriters Inc.
The company is filing to non-adopt the AAIS Commercial Inland Marine - Infrastructure Property Coverage Forms, Schedules &Endorsements; the filing designation number is AAIS-2012-52F.
LMUG-128753205
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
01/01/2013
11/14/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 111 of 185Page
214 Liberty Mutual Fire Insurance Company
The company is filing new and revised rating rule manual pages for use in the Commercial Property Program. The filing is amended by thecompany reattaching the manual pages to the Rate/Rule Schecule.
LMPP-128621433
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 08/10/2012
Effective Date:
Disposition Date:
11/01/2012
08/22/2012
215 Liberty Mutual Fire Insurance Company
The First Liberty Insurance Corporation
The companies are filing revisions to the rule manual pages to address various form changes for use in the LibertyGuard HomeownersProgram.
LBPM-128643243
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 08/16/2012
Effective Date:
Disposition Date:
11/12/2012
08/17/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 112 of 185Page
216 Liberty Mutual Fire Insurance Company
The company is filing a revised declarations page for use in the Commercial Property Program. The filing is amended by the company addinga form to the Form Schedule.
LMPP-128756976
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 11/06/2012
Effective Date:
Disposition Date:
01/01/2013
11/19/2012
217 Lyndon Property Insurance Company
The company is filing a new contractual liability policy for use with designated contracts for the GAP Waiver Program. The filing was amendedto comply with Oklahoma Bulletin PC 2010-05.
PRTB-128725158
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1004 Contractual Liability
Submission Date: 10/15/2012
Effective Date:
Disposition Date:
11/30/2012
11/30/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 113 of 185Page
218 MIC Property and Casualty Insurance Corporation
The company is filing new contractual liability policy, GAP Contractual Liability Program. The filing is amended to comply with 36 O.S. 3609.
GMAX-G128738568
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1004 Contractual Liability
Submission Date: 10/22/2012
Effective Date:
Disposition Date:
01/01/2013
11/26/2012
219 MSO, Inc.
The advisory organization is filing for the Private Passenger Auto Program to introduce the Auto Location Insight Model with rating plan rulesand factors for use as an alternative auto predictive model for location based territory rating.
MUOF-128763935
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0000 Personal Auto Combinations
Submission Date: 11/09/2012
Effective Date:
Disposition Date:
12/01/2012
11/26/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 114 of 185Page
220 Manufacturers Alliance Insurance Company
Pennsylvania Manufacturers' Association Insurance Company
Pennsylvania Manufacturers Indemnity Company
The companies are filing workers' compensation usage rule page to reflect the availability of a new endorsement, Notice of Cancellation -Other, WC 99 06 99.
STLR-128613628
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
16.0 Workers Compensation
16.0004 Standard WC
Submission Date: 08/15/2012
Effective Date:
Disposition Date:
11/01/2012
08/23/2012
221 Manufacturers Alliance Insurance Company
Pennsylvania Manufacturers' Association Insurance Company
Pennsylvania Manufacturers Indemnity Company
The companies are filing to adopt Insurance Services Offices' revised loss costs in filing designation GL-2012-BGL1 effective 04/01/13. Thecompanies are also filing to revise current loss cost multipliers; Manufacturers Alliance from 1.611 to 1.681, PA Manufacturers Assoc. from1.464 to 1.528, and PA Manufacturers Indemnity from 1.245 to 1.299. The overall rate impact is -8.3% / -$1.00.
STLR-128735168
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
04/01/2013
11/07/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 115 of 185Page
222 Markel American Insurance Company
Markel Insurance Company
The companies are filing rules to correspond with the new proprietary forms for the Data Breach product. The filing is withdrawn pursuant toOklahoma Regulation 365:15-7-3(b)(9).
MRKB-128722931
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0000 Other Liability Sub-TOI Combinations
Submission Date: 10/22/2012
Effective Date:
Disposition Date:
11/13/2012
11/13/2012
223 Markel American Insurance Company
Markel Insurance Company
The companies are filing three new proprietary forms for the Data Breach product. The filing is withdrawn pursuant to Oklahoma Regulation365:15-1-3(b)(10).
MRKB-128722870
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0000 Other Liability Sub-TOI Combinations
Submission Date: 10/22/2012
Effective Date:
Disposition Date:
11/13/2012
11/13/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 116 of 185Page
224 Markel Insurance Company
The company is filing for the Businessowners Program one new form, Businessowners Select Endorsement MBP 2033 and several reviseddeclarations and schedules.
MRKB-128758795
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0002 Businessowners
Submission Date: 11/06/2012
Effective Date:
Disposition Date:
01/01/2013
11/30/2012
225 Metropolitan Group Property and Casualty Insurance Company
The company is filing for the Private Passenger Automobile Program to revise the Mass Merchandising Account Transfer Premium Cappingrule which reduces the policyholder premium disruption that could result from the transfer of large segments of business to the company fromanother insurance company.
METX-G128737201
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 10/23/2012
Effective Date:
Disposition Date:
11/01/2012
10/26/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 117 of 185Page
226 Milwaukee Casualty Insurance Company
Security National Insurance Company
AmTrust Insurance Company of Kansas, Inc.
The companies are filing commercial inland marine manual rules pages for use with Tow Coverage. This filing is submitted for informationalpurposes.
UNKP-128357232
Informational FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 05/14/2012
Effective Date:
Disposition Date:
11/01/2012
05/24/2012
227 Milwaukee Casualty Insurance Company
Security National Insurance Company
AmTrust Insurance Company of Kansas, Inc.
Technology Insurance Company, Inc.
Wesco Insurance Company
The companies initially filed rating rules for several new forms for use in the Commercial Auto Program. The filing is withdrawn pursuant to365:15-7-3(b)(9).
UNKP-128677984
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0001 Business Auto
Submission Date: 09/10/2012
Effective Date:
Disposition Date:
11/01/2012
09/11/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 118 of 185Page
228 Milwaukee Casualty Insurance Company
Security National Insurance Company
AmTrust Insurance Company of Kansas, Inc.
Technology Insurance Company, Inc.
Wesco Insurance Company
The companies are filing rating rules for several new forms for use in the Commercial Auto Program.
UNKP-128697140
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0001 Business Auto
Submission Date: 09/21/2012
Effective Date:
Disposition Date:
11/01/2012
10/02/2012
229 Modern Service Insurance Company
The company is filing for the Managed Farm Protection Program to revise base rates, deductible factors, amount of insurance factors andendorsement pricing and introduce risk surcharges and individual risk premium modification. The filing is amended to withdraw severalmanual pages and comply with Oklahoma Statute 36 O.S. 3639.1 and Oklahoma Regulation 365: 15-7-26. There is no rate effect.
CFPC-128634368
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
03.0 Personal Farmowners
03.0000 Personal Farmowners
Submission Date: 08/23/2012
Effective Date:
Disposition Date:
11/11/2012
10/16/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 119 of 185Page
230 Motorists Commercial Mutual Insurance
The company is filing new Spoilage and Contamination Exclusion endorsement for use in the Commercial Umbrella Program.
MTRS-128776486
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0020 Commercial Umbrella and Excess
Submission Date: 11/19/2012
Effective Date:
Disposition Date:
03/01/2013
11/28/2012
231 NIPPONKOA Insurance Company Ltd.,(U.S.Branch)
The Charter Oak Fire Insurance Company
The Phoenix Insurance Company
The Travelers Indemnity Company
The Travelers Indemnity Company of America
The Travelers Indemnity Company Of Connecticut
Travelers Property Casualty Company of America
The companies are filing revised rates and rules for use in the Deluxe Commercial Property Program.
TRVD-127538296
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 09/08/2011
Effective Date:
Disposition Date:
11/01/2012
09/16/2011
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 120 of 185Page
232 NIPPONKOA Insurance Company Ltd.,(U.S.Branch)
The Charter Oak Fire Insurance Company
The Phoenix Insurance Company
The Travelers Indemnity Company
The Travelers Indemnity Company of America
The Travelers Indemnity Company Of Connecticut
Travelers Property Casualty Company of America
The companies are filing revised rating rule pages for use in the Small Technology Commercial Property Program Manual.
TRVD-128106045
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 02/24/2012
Effective Date:
Disposition Date:
11/01/2012
02/28/2012
233 NIPPONKOA Insurance Company Ltd.,(U.S.Branch)
The Charter Oak Fire Insurance Company
The Phoenix Insurance Company
The Travelers Indemnity Company
The Travelers Indemnity Company of America
The Travelers Indemnity Company Of Connecticut
Travelers Property Casualty Company of America
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 121 of 185Page
The companies are filing a new commercial general liability form; Amendment of Contractual Liability Exclusion-Exception for DamagesAssumed in Certain Insured Contracts Applies Only to Named Insured and Any Designated Additional Insureds, CG D6 60.
TRVD-128757255
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/05/2012
Effective Date:
Disposition Date:
12/05/2012
11/07/2012
234 NIPPONKOA Insurance Company Ltd.,(U.S.Branch)
The Charter Oak Fire Insurance Company
The Phoenix Insurance Company
The Travelers Indemnity Company
The Travelers Indemnity Company of America
The Travelers Indemnity Company Of Connecticut
Travelers Property Casualty Company of America
The companies are filing a new commercial inland marine endorsement, Contractors Equipment Coinsurance and Valuation.
TRVD-128749014
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 11/20/2012
Effective Date:
Disposition Date:
12/20/2012
11/29/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 122 of 185Page
235 NIPPONKOA Insurance Company Ltd.,(U.S.Branch)
The Charter Oak Fire Insurance Company
The Phoenix Insurance Company
The Travelers Indemnity Company
The Travelers Indemnity Company of America
The Travelers Indemnity Company Of Connecticut
Travelers Property Casualty Company of America
The companies are filing the initial commercial inland marine policy forms and endorsements for Solar Pak and Wind Pak Coverage.
TRVD-128778892
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 11/20/2012
Effective Date:
Disposition Date:
12/20/2012
11/28/2012
236 NOVA Casualty Company
The company is filing three basic forms that may be used by an authorized Risk Purchasing Group that designates Nova Casualty Companyas an insurance carrier.
NVAC-128724697
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 10/22/2012
Effective Date:
Disposition Date:
12/22/2012
11/05/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 123 of 185Page
237 NOVA Casualty Company
The company is filing rating rules for Risk Purchasing Groups for use in the Commercial Auto Program.
NVAC-128724581
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 10/23/2012
Effective Date:
Disposition Date:
10/23/2012
11/05/2012
238 NOVA Casualty Company
The company is filing forms applicable to Risk Purchasing Groups for use in the Commercial Auto Program.
NVAC-128724582
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
11/24/2012
11/05/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 124 of 185Page
239 NOVA Casualty Company
The company is filing for the Commercial Umbrella Program four new forms for use with Risk Purchasing Groups.
NVAC-128745958
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0020 Commercial Umbrella and Excess
Submission Date: 11/05/2012
Effective Date:
Disposition Date:
01/05/2013
11/13/2012
240 NOVA Casualty Company
The company is filing five new commercial general liability forms for the initial filing of the Labor Union Target Market product.
NVAC-128756765
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
01/01/2013
11/20/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 125 of 185Page
241 National Casualty Company
The company is filing eight new forms for use in the Commercial Package Business and Management Indemnity Program.
SCTT-128752196
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
11/16/2012
11/16/2012
242 National Casualty Company
The company is filing a new commercial crime endorsement for Sports & Leisure program, Selling Price Valuation (Scout Council).
SCTT-128749421
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
26.0 Burglary and Theft
26.0001 Commercial Burglary and Theft
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
01/01/2013
11/29/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 126 of 185Page
243 National Casualty Company
The company is filing a new form to introduce a program class named Scout Councils of the United States (SCUS), under the existing Sports& Leisure program.
SCTT-128749340
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
01/01/2013
11/13/2012
244 National Casualty Company
The company is filing a new Scout Council Business Auto Coverage Extension Endorsement for use in the Commercial Auto Sports & LeisureProgram.
SCTT-128749418
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
01/01/2013
11/05/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 127 of 185Page
245 National Casualty Company
The company is filing to introduce a new program, Scout Councils of the United States (SCUS), to add to the existing Sports & Leisureproduct. The new coverage form being filed is: Scout Council-Commercial General Liability Broadening Endorsement, KR-GL-138.
SCTT-128749403
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
01/01/2013
11/14/2012
246 National Interstate Insurance Company
The company is filing the initial adoption of the Insurance Services Office's crime and fidelity rules and loss costs, filing designation CR-2011-RLA1 for the Energy Program. The company is also filing a loss cost multiplier of 1.50 along with an exception rule.
GACX-G128678082
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
26.0 Burglary and Theft
26.0001 Commercial Burglary and Theft
Submission Date: 09/14/2012
Effective Date:
Disposition Date:
11/01/2012
10/08/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 128 of 185Page
247 National Interstate Insurance Company
The company is filing a new commercial general liability rule for the Energy Product to correspond with the use of Insurance Services Offices'Employee Benefits Liability Coverage endorsement, CG 04 35. The filing has been amended to reflect the correct Type of Insurance.
GACX-G128685414
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0008 Employee Benefit Liability
Submission Date: 09/14/2012
Effective Date:
Disposition Date:
11/01/2012
10/05/2012
248 National Interstate Insurance Company
The company is filing to adopt Insurance Services Office's revisions contained in Filing Designation ML-2010-RLA1 for use in the CommercialPackage Program.
GACX-G128701521
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 09/26/2012
Effective Date:
Disposition Date:
11/01/2012
10/08/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 129 of 185Page
249 National Interstate Insurance Company
The company is filing for the Employment Practices Liability Program to adopt Insurance Services Office rates, rules and loss costs containedin filing designation EP-2010-RLA2.
NTNL-128697293
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0010 Employment Practices Liability
Submission Date: 09/27/2012
Effective Date:
Disposition Date:
11/01/2012
10/23/2012
250 National Interstate Insurance Company
Triumphe Casualty Company
The companies are filing Policy RV 0001 09 12 that has been revised to provide "Comprehensive" coverage in lieu of "Other Than Collision"coverage and include language to clarify other coverages for use in the Recreation Vehicle Program.
GACX-G128744314
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0003 Recreational Vehicle (RV)
Submission Date: 10/25/2012
Effective Date:
Disposition Date:
01/01/2013
11/06/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 130 of 185Page
251 National Liability & Fire Insurance Company
The company is filing new and revised commercial inland marine coverage forms and endorsements for the cargo coverage. The filing hadbeen amended to attach a new Cargo Coverage Declarations page and a Cargo Coverage: In-Tow Endorsement.
NTIN-128734823
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
01/01/2013
11/05/2012
252 Nationwide Mutual Insurance Company (Harleysville Operations)
The company is filing to non adopt the American Association of Insurance Services initial forms for Infrastructure Property Coverage for use inthe Commercial Inland Marine Program. The filing designation is AAIS-2012-52F.
HRLV-128751527
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
01/01/2013
11/07/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 131 of 185Page
253 Nationwide Mutual Insurance Company (Harleysville Operations)
The company is filing a new Notice of Cancellation and Nonrenewal for Designated Person or Organization for the Commercial PropertyProgram.
HRLV-128758028
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 11/08/2012
Effective Date:
Disposition Date:
01/01/2013
11/14/2012
254 Nationwide Mutual Insurance Company (Harleysville Operations)
The company is filing a revised application for use in the Condominium Association Directors and Officers Liability Program.
HRLV-128776212
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0006 Directors & Officers Liability
Submission Date: 11/20/2012
Effective Date:
Disposition Date:
01/01/2013
11/27/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 132 of 185Page
255 Nationwide Mutual Insurance Company (Harleysville Operations)
The company if filing to revise three Employment Practices Liability Insurance Applications. The filing is being withdrawn pursuant toOklahoma Regulation 365:15-1-3(b)(10).
HRLV-128780197
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Form Self Certification
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0011 Environmental Pollution Liability
Submission Date: 11/29/2012
Effective Date:
Disposition Date:
11/30/2012
11/30/2012
256 Navigators Insurance Company
The company is filing two new endorsements for use in the Commercial Umbrella and Excess Program,
NAVG-128777822
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1020 Commercial Umbrella and Excess
Submission Date: 11/19/2012
Effective Date:
Disposition Date:
11/29/2012
11/29/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 133 of 185Page
257 Navigators Insurance Company
The company is filing one new endorsement for use in the Commercial Umbrella and Excess Program.
NAVG-128772268
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1020 Commercial Umbrella and Excess
Submission Date: 11/19/2012
Effective Date:
Disposition Date:
11/29/2012
11/29/2012
258 Navigators Insurance Company
The company is filing a new commercial crime forms and coverage part to be offered to the Not-For-Profit Directors & Officers Liability productand Directors & Officers SmartPolicy product. The filing has been amended to attach revised endorsements.
PERR-128745078
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
26.0 Burglary and Theft
26.0001 Commercial Burglary and Theft
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
11/30/2012
11/29/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 134 of 185Page
259 Navigators Insurance Company
The company is filing rates and rules for new crime coverage for the Not-For-Profit Directors & Officers Liability product and the Directors &Officers SmartPolicy product. The filing has been amended to attach a revised Oklahoma Exception page.
PERR-128745077
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
26.0 Burglary and Theft
26.0001 Commercial Burglary and Theft
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
11/30/2012
11/29/2012
260 Navigators Insurance Company
The company is filing 13 new endorsements for use in the Directors & Officers Liability NavExcess Policy Program.
PERR-128748610
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2006 Directors & Officers Liability
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
12/02/2012
11/13/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 135 of 185Page
261 New York Marine and General Insurance Company
The company is filing the initial adoption of the AAIS commercial inland marine forms and endorsements. The filing is being disapprovedpursuant to 365:15-1-3(b).
AATX-128659033
DisapprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 08/29/2012
Effective Date:
Disposition Date:
11/01/2012
11/01/2012
262 North American Elite Insurance Company
The company is filing a new commercial inland marine form for the Commercial Weather- Agribusiness Program, Field Cancellation and/orAcreage Reduction Endorsement. Company is also filing to withdraw two obsolete forms, Acreage Reduction Endorsement and FieldCancellation Endorsement.
ERCB-128739229
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 10/23/2012
Effective Date:
Disposition Date:
11/13/2012
11/13/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 136 of 185Page
263 North American Elite Insurance Company
The company is filing a new commercial inland marine coverage, Single Peril Weather Insurance. The filing has been amended to attach anOklahoma Amendatory Endorsement.
ERCB-128681483
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
11/29/2012
11/29/2012
264 North American Specialty Insurance Company
North American Elite Insurance Company
The companies are filing a new commercial interline endorsement, International Trade or Economic Sanctions SP 5 694 1012.
ERCB-128729509
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/23/2012
Effective Date:
Disposition Date:
11/05/2012
11/05/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 137 of 185Page
265 North Pointe Insurance Company
The company is filing revised commercial interline forms, Signature Page QBIL-0170 and various Policy Jackets.
QBEC-128674529
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/29/2012
Effective Date:
Disposition Date:
11/20/2012
11/20/2012
266 Nova Casualty Company
The company is filing 58 commercial general liability forms for the new Motorsports Target Market product. The filing is amended bywithdrawing one of the forms and complying with several Oklahoma Statutes and Regulations.
REGU-128717799
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 10/08/2012
Effective Date:
Disposition Date:
11/01/2012
11/01/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 138 of 185Page
267 Nova Casualty Company
The company is filing a new Motorsports Errors And Omissions Coverage Endorsement.
REGU-128752992
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0019 Professional Errors & Omissions Liability
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
11/09/2012
11/09/2012
268 Oklahoma Farm Bureau Mutual Insurance Company
Ag Security Insurance Company
The companies are filing for use in the Premier Automobile Program, Excluded Driver Endorsement OFB-8333A (11-2012) that replacesExcluded Driver Endorsement OFB-8333A (1-2012) contained in Oklahoma filing number OKFB-127930738.
OKFB-128751565
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
12/01/2012
11/07/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 139 of 185Page
269 Oklahoma Farm Bureau Mutual Insurance Company
The company is filing for use in the Farm Fleet Automobile Program, Excluded Driver Endorsement OFB-8333A (11-2012) that replacesExcluded Driver Endorsement OFB-8333A (1-2012) contained in Oklahoma filing number OKFB-127932725.
OKFB-128751704
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
12/01/2012
11/07/2012
270 Oklahoma Farm Bureau Mutual Insurance Company
The companies are filing for use in the Premier Motorcycle Program, Excluded Driver Endorsement OFB-8333A (11-2012) that replacesExcluded Driver Endorsement OFB-8333A (1-2012) contained in Oklahoma filing number OKFB-127932763.
OKFB-128753524
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0002 Motorcycle
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
12/01/2012
11/07/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 140 of 185Page
271 Old Republic General Insurance Corporation
The company is filing to revise Policy Jacket (J-02) and withdraw Policy Jacket (J-03) for the commercial general liability program.
LDDX-G128759506
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
01/01/2013
11/19/2012
272 Old Republic General Insurance Corporation
The company is filing revisions to the Policy Jacket for use in the Commercial Auto Program. The filing is amended to include attachment ofthe form being withdrawn.
LDDX-G128763576
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0003 Other
Submission Date: 11/08/2012
Effective Date:
Disposition Date:
01/01/2013
12/07/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 141 of 185Page
273 Old Republic Insurance Company
The company is filing new rules for the Large Deductible Rating Plan-Large Risk Alternative Rating Option that correspond with the formsbeing filed; Scheduled Deductible Coverage Endorsement and Changes-Limit(s) of Insurance/Liability and SupplementaryPayments/Allocated Loss Adjustment Expenses Endorsement. The filing was amended to comply with Case No.:06-1835-PRJ.
LDDX-G128707126
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 09/28/2012
Effective Date:
Disposition Date:
11/01/2012
10/19/2012
274 Old Republic Insurance Company
The company is filing six new forms for use in the Excess Directors & Officers Program.
LDDX-G128743033
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2006 Directors & Officers Liability
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
12/15/2012
11/07/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 142 of 185Page
275 Old Republic Insurance Company
The company is filing two commercial general liability forms; Scheduled Deductible Coverage Endorsement CG EN OK 0076 to be used withthe Large Risk Alternative Rating Option Plan, and Deductible Endorsement CG EN OK 0088.
LDDX-G128767307
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/12/2012
Effective Date:
Disposition Date:
01/01/2013
11/26/2012
276 Old Republic Insurance Company
The company is filing to update the officer's signature and logo on the commercial general liability Policy Jacket (J-01).
LDDX-G128775735
Informational FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/16/2012
Effective Date:
Disposition Date:
01/01/2013
11/28/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 143 of 185Page
277 Peerless Indemnity Insurance Company
Peerless Insurance Company
The Netherlands Insurance Company
America First Insurance Company
The companies are filing a revised endorsement for use in the Professional Liability Program.
LBRC-128736391
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0019 Professional Errors & Omissions Liability
Submission Date: 11/14/2012
Effective Date:
Disposition Date:
03/01/2013
11/26/2012
278 Pharmacists Mutual Insurance Company
The company is filing a revision to a workers' compensation endorsement, Mutual Policy Conditions PM 1000.
PHAR-128705041
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
16.0 Workers Compensation
16.0004 Standard WC
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
02/01/2013
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 144 of 185Page
279 Pharmacists Mutual Insurance Company
The company is filing a revision to the commercial interline endorsement, Mutual Policy Conditions PM 1000.
PHAR-128741731
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
02/01/2013
11/09/2012
280 Pharmacists Mutual Insurance Company
The company is filing a revised form for use in the Excess Professional Liability Program.
PHAR-128742025
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0020 Commercial Umbrella and Excess
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
02/01/2013
11/14/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 145 of 185Page
281 Pharmacists Mutual Insurance Company
The company is filing a revision to the personal interline endorsement, Mutual Policy Conditions PM 1000.
PHAR-128742037
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0001 Personal Interline Filings
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
02/01/2013
11/09/2012
282 Pharmacists Mutual Insurance Company
The company is filing a revised form for use in the Commercial Umbrella Program.
PHAR-128768710
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0020 Commercial Umbrella and Excess
Submission Date: 11/16/2012
Effective Date:
Disposition Date:
02/01/2013
11/20/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 146 of 185Page
283 Philadelphia Indemnity Insurance Company
The company is filing new commercial general liability rates and rules for film production risks for use in the Sports and EntertainmentProgram.
PHLX-G128690510
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 09/18/2012
Effective Date:
Disposition Date:
11/25/2012
09/25/2012
284 Philadelphia Indemnity Insurance Company
The company is filing revised commercial general liability rates for the Pest Control product. The overall rate effect is -27.0% / -$37,688.
PHLX-G128715218
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1001 Commercial General Liability
Submission Date: 10/05/2012
Effective Date:
Disposition Date:
11/05/2012
10/11/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 147 of 185Page
285 Philadelphia Indemnity Insurance Company
The company is filing to delay adoption of Insurance Services Offices' commercial general liability forms contained in filing designation GL-2012-OFR12. The company requests the filing be effective 07/01/13.
PHLX-G128749147
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 10/31/2012
Effective Date:
Disposition Date:
07/01/2013
11/06/2012
286 Philadelphia Indemnity Insurance Company
The company is filing new, optional Elite Property Enhancement: Restoration Contractor Services endorsement for use in the CommercialProperty Program.
PHLX-G128745634
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 11/20/2012
Effective Date:
Disposition Date:
01/25/2013
11/29/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 148 of 185Page
287 Philadelphia Indemnity Insurance Company
The company is filing new, optional Elite Property Enhancement: Fuel Dealers endorsement for use in the Commercial Property Program.
PHLX-G128780822
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 11/21/2012
Effective Date:
Disposition Date:
01/28/2013
11/29/2012
288 Praetorian Insurance Company
The company is filing revisions to several forms for use in the Homeowners Tenant Program.
QBEC-128697820
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0004 Tenant Homeowners
Submission Date: 10/22/2012
Effective Date:
Disposition Date:
03/01/2012
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 149 of 185Page
289 Praetorian Insurance Company
The company is filing revised commercial interline forms, Signature Page QBIL-0170 and various Policy Jackets. The filing has beenamended to withdraw the Workers' Compensation Policy Jacket.
QBEC-128674413
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/29/2012
Effective Date:
Disposition Date:
11/20/2012
11/20/2012
290 ProAssurance Indemnity Company, Inc.
Company is filing revised PRA-HCP-505, Voluntary Suspension of Coverage Endorsement for use in the Healthcare Professional LiabilityProgram.
PCWA-128738226
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
11.2 Med Mal-Claims Made Only
11.2000 Med Mal Sub-TOI Combinations
Submission Date: 10/22/2012
Effective Date:
Disposition Date:
12/01/2012
11/01/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 150 of 185Page
291 ProAssurance Indemnity Company, Inc.
Company is filing Emergency Response Coverage Endorsement, PRA-HF-331 for use with the Health Care Facility Liability Program.
PCWA-128739034
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
11.2 Med Mal-Claims Made Only
11.2009 Hospitals
Submission Date: 10/23/2012
Effective Date:
Disposition Date:
11/01/2012
11/01/2012
292 Progressive Direct Insurance Company
Progressive Northern Insurance Company
The companies are filing for the Motorcycle Program, Laminate Insurance Identification Card A024 OK (10/12) and Online Customer PrintedInsurance Identification Card A022 OK (10/12). These forms replace Oklahoma Insurance Identification Card 4951 OK (08/08) which waspreviously approved in SERFF tracking number PRGS-125963820.
PRGS-128719791
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0002 Motorcycle
Submission Date: 11/05/2012
Effective Date:
Disposition Date:
01/23/2013
11/16/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 151 of 185Page
293 Progressive Direct Insurance Company
Progressive Northern Insurance Company
The companies are filing for the Motorhome Program, Laminate Insurance Identification Card A024 OK (10/12) and Online Customer PrintedInsurance Identification Card A022 OK (10/12). These forms replace Oklahoma Insurance Identification Card 4951 OK (08/08) which waspreviously approved in SERFF tracking number PRGS-125963903.
PRGS-128720136
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0003 Recreational Vehicle (RV)
Submission Date: 11/05/2012
Effective Date:
Disposition Date:
01/23/2013
11/26/2012
294 Progressive Direct Insurance Company
The company is filing for use in the Private Passenger Auto Program, Online Customer Printed Insurance Identification Card A022 OK (10/12)which will replace Online Customer Printed Insurance Identification Card A022 OK (03/11) approved in SERFF tracking number PRGS-128310843.
PRGS-128775213
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 11/19/2012
Effective Date:
Disposition Date:
01/23/2013
11/26/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 152 of 185Page
295 Progressive Northern Insurance Company
The company is filing revisions to the Security Verification ID Cards for use in the Commercial Auto Program. The filing is amended to includea revised ID Card with corrections.
PRGS-128756915
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0001 Business Auto
Submission Date: 11/05/2012
Effective Date:
Disposition Date:
01/23/2013
11/19/2012
296 Progressive Northern Insurance Company
The company is filing for use in the Private Passenger Auto Program, Online Customer Printed Insurance Identification Card A022 OK (10/12)which will replace Online Customer Printed Insurance Identification Card A022 OK (03/11) approved in SERFF tracking number PRGS-128308902.
PRGS-128775131
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 11/19/2012
Effective Date:
Disposition Date:
01/23/2013
11/26/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 153 of 185Page
297 QBE Insurance Corporation
The company is filing to revise 83 forms previously submitted for the Aviation Insurance Program and add 2 new forms. The commercialgeneral liability forms included in the company's Aviation Insurance Program are reported under the Aircraft (22.0000) book of business.
QBEC-128740420
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
22.0 Aircraft
22.0000 Aircraft
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
12/24/2012
11/07/2012
298 QBE Insurance Corporation
The company is filing revised commercial interline forms, Signature Page QBIL-0170 and various Policy Jackets.
QBEC-128674724
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/29/2012
Effective Date:
Disposition Date:
11/20/2012
11/20/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 154 of 185Page
299 QBE Insurance Corporation
Praetorian Insurance Company
North Pointe Insurance Company
Regent Insurance Company
General Casualty Company of Wisconsin
Stonington Insurance Company
The companies are filing a new workers' compensation endorsement, Notice of Cancellation to Other Endorsement.
QBEC-128749092
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
16.0 Workers Compensation
16.0004 Standard WC
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
01/01/2013
11/14/2012
300 RLI Insurance Company
The company is filing to adopt the Insurance Services Office's commercial auto Oklahoma Uninsured Motorists Coverage Selection/RejectionForm for use in the Commercial Auto Program.
RLSC-128727791
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 10/30/2012
Effective Date:
Disposition Date:
01/01/2013
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 155 of 185Page
301 Regent Insurance Company
General Casualty Company of Wisconsin
The companies are filing a commercial interline manual rule page, Notice to Others of Cancellation - Additional Rule 55.
QBEC-128496883
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 08/08/2012
Effective Date:
Disposition Date:
11/01/2012
08/14/2012
302 Republic Underwriters Insurance Company
Southern Insurance Company
Republic Fire and Casualty Insurance Company
Southern Underwriters Insurance Company
The companies are filing to delay adoption of the Insurance Services Office's commercial auto revised loss costs in filing designation CA-2012-BRLA1.
TRGR-128583678
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Loss Cost
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 07/18/2012
Effective Date:
Disposition Date:
11/01/2012
07/23/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 156 of 185Page
303 Republic Underwriters Insurance Company
Southern Insurance Company
Republic Fire and Casualty Insurance Company
Southern Underwriters Insurance Company
The companies are filing to adopt the Insurance Services Office's commercial auto revised loss costs in filing designation CA-2012-BRLA1and rules for use in the Commercial Auto Program. The overall effect is +13.1%/+$163,109. The filing is amended to withdraw the manualpage sent in error.
TRGR-128650622
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Loss Cost
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0000 Commercial Auto Combinations
Submission Date: 08/21/2012
Effective Date:
Disposition Date:
11/01/2012
08/27/2012
304 Republic Underwriters Insurance Company
The company is filing revised base rates for fire and extended coverages for use in the Home Protectors Dwelling Program. The overall rateeffect is +15.1%/+$52,539.
TRGR-128699202
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0002 Personal Property (Fire and Allied Lines)
Submission Date: 09/27/2012
Effective Date:
Disposition Date:
11/15/2012
10/23/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 157 of 185Page
305 Republic Underwriters Insurance Company
Southern Insurance Company
Republic Fire and Casualty Insurance Company
Southern Underwriters Insurance Company
The companies are filing a new Coversheet and Signature Page for use in the Veterinarians Professional Liability Program.
TRGR-128766029
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0023 Veterinarian
Submission Date: 11/12/2012
Effective Date:
Disposition Date:
01/01/2013
11/20/2012
306 SPARTA Insurance Company
The company is filing a revised commercial interline Policy Jacket.
REGU-128735513
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
11/02/2012
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 158 of 185Page
307 Safe-Guard Products International, LLC
The service warranty corporation is filing two revised agreements pursuant to the Service Warranty Act 36 O.S. 6601 et al. The forms areguaranteed by a contractual liability insurance policy issued by Virginia Surety Company.
SGPS-128747414
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/29/2012
Effective Date:
Disposition Date:
11/06/2012
11/06/2012
308 Sentry Insurance a Mutual Company
Middlesex Insurance Company
The companies are filing 10 revised forms and adopting Insurance Services Office's revisions contained in filing designations BP-2009-OFR09 and BP-2009-OBPFO for use in the Businessowners Program.
SEPX-G128690992
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0002 Businessowners
Submission Date: 10/12/2012
Effective Date:
Disposition Date:
12/01/2012
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 159 of 185Page
309 Service Saver, Incorporated
The service warranty corporation is filing 35 new agreements pursuant to the Service Warranty Act 36 O.S. 6601 et al. The forms areguaranteed by a contractual liability insurance policy issued by Virginia Surety Company, Inc.
VRGS-128739273
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/24/2012
Effective Date:
Disposition Date:
11/02/2012
11/02/2012
310 Signature Motor Club, Inc.
The motor service club is filing 12 revised motor club membership fulfillment materials pursuant to 36 O.S. 3101 et al.
ALSE-128740271
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
12/01/2012
11/05/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 160 of 185Page
311 Sompo Japan Ins. Co. of America
The company is filing revised Commercial Inland Marine Coverage Part - Commercial Accounts Receivable Supplemental Declarations andthe Schedule of Accounts Receivable endorsement.
SMPJ-128739917
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0000 Inland Marine Sub-TOI Combinations
Submission Date: 10/25/2012
Effective Date:
Disposition Date:
01/01/2013
11/09/2012
312 St. Paul Fire and Marine Insurance Company
St. Paul Guardian Insurance Company
St. Paul Mercury Insurance Company
The companies are filing the second segment in a series of filings to revise the rates and rules for the Entertainment Program Manual. Thefiling introduces a new format, expanding increased limit options and lowering the base rates at the $1M/$1M/$1M level. The overall rateeffect is -1.5% / -$270.
TRVD-128678987
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 09/11/2012
Effective Date:
Disposition Date:
11/01/2012
09/21/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 161 of 185Page
313 Star Insurance Company
The company is filing 93 new forms and one revised form for the Aviation Program which includes the Aviation General Liability Policy,Aircraft Policy, Corporate Aircraft Policy, and the new Aircraft Products/Completed Operations and Grounding Liability Insurance Policy. Thefiling has been amended to comply with various Oklahoma statutes and regulations.
MEAD-128722629
Approved as AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
22.0 Aircraft
22.0000 Aircraft
Submission Date: 10/15/2012
Effective Date:
Disposition Date:
11/07/2012
11/07/2012
314 StarNet Insurance Company
Berkley Regional Insurance Company
Berkley National Insurance Company
The companies are filing a revised common Policy Declarations IL DS 83 00. The filing is being withdrawn pursuant to 365:15-1-3 (b) (10).
PERR-128745846
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
23.0 Fidelity
23.0000 Fidelity
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
11/14/2012
11/14/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 162 of 185Page
315 StarNet Insurance Company
Berkley Regional Insurance Company
Berkley National Insurance Company
The companies are filing a revised commercial interline form, Common Policy Declarations IL DS 83 00.
PERR-128745826
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
02/01/2013
11/14/2012
316 StarNet Insurance Company
Berkley Regional Insurance Company
Berkley National Insurance Company
The companies are filing a revised Common Policy Declarations IL DS 83 00. The filing is being withdrawn pursuant to 365:15-1-3 (b) (10).
PERR-128745805
WithdrawnDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
26.0 Burglary and Theft
26.0001 Commercial Burglary and Theft
Submission Date: 10/26/2012
Effective Date:
Disposition Date:
11/14/2012
11/14/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 163 of 185Page
317 Starr Indemnity & Liability Company
The service warranty corporation is filing new agreement pursuant to the Service Warranty Act 36 O.S. 6601 et al. The forms are guaranteedby a contractual liability insurance policy issued by Starr Indemnity & Liability Company.
SILC-128716964
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/05/2012
Effective Date:
Disposition Date:
11/28/2012
11/28/2012
318 State Farm Fire and Casualty Company
The company is filing revisions to the base rates and rules for use in the Homeowners Program. The overall effect is +10.1%/+$28,199,762.
SFMA-128710502
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 10/02/2012
Effective Date:
Disposition Date:
11/15/2012
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 164 of 185Page
319 State National Insurance Company Inc.
The company is filing for the Collateral Protection Insurance Program to update the Rates and Rules Manual by revising the Mergers andAcquisitions Endorsement form number/edition date from OK.339-0709-50 to OK.339-1112-50.
STNA-128717176
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
28.2 Credit - Personal Property
28.2002 Creditor-Placed Auto
Submission Date: 10/11/2012
Effective Date:
Disposition Date:
11/15/2012
10/11/2012
320 Stonington Insurance Company
The company is filing the initial adoption of the NCCI 1/1/2012 advisory loss costs and rating values with a loss cost multiplier of 0.985. Thefiling has been amended to attach a manual page.
QBEC-128740783
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
16.0 Workers Compensation
16.0004 Standard WC
Submission Date: 10/23/2012
Effective Date:
Disposition Date:
11/01/2012
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 165 of 185Page
321 Stonington Insurance Company
The company is filing revised commercial interline forms, Signature Page QBIL-0170 and the Policy Jacket SICILSPUS
QBEC-128674808
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/29/2012
Effective Date:
Disposition Date:
11/20/2012
11/20/2012
322 Stonington Insurance Company
The company is filing revised personal interline forms, Signature Page QBIL-0170 and Policy Jacket SICILSPUS.
QBEC-128674820
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0001 Personal Interline Filings
Submission Date: 11/07/2012
Effective Date:
Disposition Date:
11/20/2012
11/20/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 166 of 185Page
323 Technology Insurance Company
Wesco Insurance Company
Security National Insurance Company
The companies are filing revision to the Workers Compensation Large Deductible Rating Plan.
SHNF-128719374
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
16.0 Workers Compensation
16.0004 Standard WC
Submission Date: 10/22/2012
Effective Date:
Disposition Date:
11/01/2012
11/05/2012
324 Technology Insurance Company, Inc.
The company is filing personal inland marine rates and rule for new coverage, Mobile Electronics Protection Policy.
UNKP-128678241
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0006 Other Personal Inland Marine
Submission Date: 09/27/2012
Effective Date:
Disposition Date:
11/09/2012
10/29/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 167 of 185Page
325 Technology Insurance Company, Inc.
Wesco Insurance Company
The companies are filing eight initial forms introducing the new Commercial Package Motorcycle Dealer Services Program.
UNKP-128749678
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0007 Other CMP
Submission Date: 10/30/2012
Effective Date:
Disposition Date:
01/01/2013
11/28/2012
326 Technology Insurance Company, Inc.
Wesco Insurance Company
The companies are filing a new commercial general liability form; Broadened Coverage for Contractors, GL9900078.
REGU-128753158
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
11/14/2012
11/14/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 168 of 185Page
327 The Automobile Insurance Company of Hartford, Connecticut
The Standard Fire Insurance Company
The Travelers Indemnity Company of America
The companies are filing revisions to the territory base rates for dwelling, high value homeowner and condominiums in the Homeowners andHigh Value Homeowners Program. The overall effect is +5.0%/+$439,040.
TRVA-128714898
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 10/17/2012
Effective Date:
Disposition Date:
11/18/2012
10/31/2012
328 The Hanover Insurance Company
The Hanover American Insurance Company
Massachusetts Bay Insurance Company
The companies are filing revised base rates for the Avenues Businessowners Program. The overall effect is +5.0%/+$234,544.
HNVX-G128572800
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0002 Businessowners
Submission Date: 07/13/2012
Effective Date:
Disposition Date:
11/01/2012
07/24/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 169 of 185Page
329 The Hanover Insurance Company
Massachusetts Bay Insurance Company
The companies are filing revised base rates and minimum premium for use in the Dwelling Fire Program. The overall rate effect is +10.0%/+$71,201.
HNVX-G128612581
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0002 Personal Property (Fire and Allied Lines)
Submission Date: 08/06/2012
Effective Date:
Disposition Date:
11/03/2012
08/16/2012
330 The Hanover Insurance Company
The company is filing new rates and rules for use in the Professional Liability Program for Temporary and Student Veterinarians. The filing isamended by the company revising a manual page by adding an endorsement that was filed to comply with 36 O.S. 3639.
HNVX-G128725970
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1023 Veterinarian
Submission Date: 10/12/2012
Effective Date:
Disposition Date:
11/12/2012
10/31/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 170 of 185Page
331 The Hanover Insurance Company
The company is filing 54 new forms for use in the Commercial Umbrella and Excess Follow Form Program.
HNVX-G128734312
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0020 Commercial Umbrella and Excess
Submission Date: 10/18/2012
Effective Date:
Disposition Date:
12/20/2012
11/05/2012
332 The Medical Protective Company
Company is filing new and revised rates and rules applicable to the Allied Health Care Providers and Comprehensive Liability Coverage forHealthcare Providers programs. The overall effect is -13.2 % / ($54,829).
MDPC-128703741
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
11.0 Medical Malpractice - Claims Made/Occurrence
11.0000 Med Mal Sub-TOI Combinations
Submission Date: 10/02/2012
Effective Date:
Disposition Date:
03/01/2013
11/28/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 171 of 185Page
333 The Travelers Home and Marine Insurance Company
Travelers Commercial Insurance Company
The companies are filing revisions to the base rates and rules for use in the Quantum Homeowners and High Value Homeowners Program.The overall effect is 11.92%/+$3,493,867.
TRVA-128722781
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
04.0 Homeowners
04.0000 Homeowners Sub-TOI Combinations
Submission Date: 10/17/2012
Effective Date:
Disposition Date:
11/18/2012
11/02/2012
334 Tower Insurance Company of New York
Tower National Insurance Company
The companies are filing a new Commercial Auto Broad Form Endorsement and Glass Repair Deductible Waiver endorsement for use in theCommercial Auto Program.
TWRG-128744272
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0001 Business Auto
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
11/09/2012
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 172 of 185Page
335 Tower Insurance Company of New York
Tower National Insurance Company
The companies are filing rating rules for the Commercial Auto Broad Form Endorsement for use in the Commercial Auto Program. The filingis amended to withdraw manual pages sent in error.
TWRG-128744211
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0001 Business Auto
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
11/09/2012
11/09/2012
336 Transguard Insurance Company of America, Inc.
The company is filing two Notice of Cancelation or Nonrenewal to Specified Persons or Entities Endorsements and a Policy Interest Schedulefor the workers' compensation coverage.
OCCD-128737148
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
16.0 Workers Compensation
16.0004 Standard WC
Submission Date: 10/25/2012
Effective Date:
Disposition Date:
01/01/2013
11/13/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 173 of 185Page
337 Transguard Insurance Company of America, Inc.
The company is filing a new Limitation Of Coverage For Unacceptable Drivers endorsement for use in the Commercial Auto Program.
OCCD-128759372
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
20.0 Commercial Auto
20.0001 Business Auto
Submission Date: 11/06/2012
Effective Date:
Disposition Date:
01/01/2013
11/09/2012
338 Travelers Casualty and Surety Company of America
The company is filing a new commercial general liability form for the Fiduciary Liability Policy; Defense Expenses for Settlor Act ClaimsEndorsement, FRI-19046.
TRVE-128729471
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0000 Other Liability Sub-TOI Combinations
Submission Date: 10/25/2012
Effective Date:
Disposition Date:
11/24/2012
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 174 of 185Page
339 Twin City Fire Insurance Company
The company is filing a revised appendix / rating rule manual page for use in The Hartford Premier Asset Management Protection PolicyProgram.
HART-128679609
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2006 Directors & Officers Liability
Submission Date: 10/10/2012
Effective Date:
Disposition Date:
11/15/2012
10/22/2012
340 USAA Casualty Insurance Company
USAA General Indemnity Company
Garrison Property And Casualty Insurance Company
The companies are filing revised Auto Declarations 5000 C 05-12, Auto Declarations 5000 G 05-12 and Auto Declarations 5000 R 05-12 foruse in the the Personal Auto Program.
PERR-128748757
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 11/06/2012
Effective Date:
Disposition Date:
01/25/2013
11/27/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 175 of 185Page
341 Union Insurance Company of Providence
The company is filing a revision to the commercial interline endorsement, Earlier Notice Of Cancellation Provided By Us Designated entity.Endorsement is application for use with additional lines of coverage, linebacker public officials and employment practices liability, garagecoverage and motor carrier coverage.
EMCC-128735232
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
01/01/2013
11/01/2012
342 United Fire & Casualty Company
The company is filing two new optional forms for use with the Commercial Package Garage Pro Program.
UNFG-128736745
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 10/22/2012
Effective Date:
Disposition Date:
01/01/2013
11/09/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 176 of 185Page
343 United Fire & Casualty Company
The company is filing a revised commercial inland marine coverage form, Contractors Installation, Scheduled Equipment and UnscheduledEquipment Coverage CM 7045.
UNFG-128740877
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
09.0 Inland Marine
09.0005 Other Commercial Inland Marine
Submission Date: 10/28/2012
Effective Date:
Disposition Date:
01/01/2013
11/21/2012
344 United States Auto Club, Motoring Division, Inc.
The motor service club is filing new motor club membership fulfillment materials, Emergency Service USACBRCKREIMB pursuant to 36 O.S.3101 et al.
DAHS-128734757
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0001 Other Personal Lines
Submission Date: 10/18/2012
Effective Date:
Disposition Date:
11/02/2012
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 177 of 185Page
345 United States Liability Insurance Company
The company is filing revised manual pages to implement nine new forms for use in the For-Profit Businessowners Program. The overalleffect is +1.9%/+ $11,370.
USLI-128663860
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0002 Businessowners
Submission Date: 08/29/2012
Effective Date:
Disposition Date:
11/01/2012
09/25/2012
346 United States Liability Insurance Company
The company is filing new mandatory form, Specific Operations, Activities or Events L 757 10-11 for use in the General Package Program.
USLI-128735344
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0003 Commercial Package
Submission Date: 10/19/2012
Effective Date:
Disposition Date:
01/15/2013
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 178 of 185Page
347 United States Liability Insurance Company
The company is filing four new and revised forms for use in the For Profit Businessowners Program.
USLI-128728445
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
05.0 CMP Liability and Non-Liability
05.0002 Businessowners
Submission Date: 10/23/2012
Effective Date:
Disposition Date:
02/15/2013
11/02/2012
348 United States Liability Insurance Company
The company is filing to revise one Allied Healthcare Professional and General Liability Product Application and five supplementalapplications for use in the Allied Healthcare Professional Liability Program.
USLI-128753627
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0022 Other
Submission Date: 11/02/2012
Effective Date:
Disposition Date:
11/13/2012
11/13/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 179 of 185Page
349 United States Liability Insurance Company
The company is filing to revise a personal umbrella/excess form; Coverage Extension-Excess Uninsured/Underinsured Motorist Coverage,PCL 149.
USLI-128758265
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0021 Personal Umbrella and Excess
Submission Date: 11/08/2012
Effective Date:
Disposition Date:
03/15/2013
11/19/2012
350 United States Liability Insurance Company
The company is filing a revised application for use in the Technology Professional Liability Program.
USLI-128756481
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0019 Professional Errors & Omissions Liability
Submission Date: 11/16/2012
Effective Date:
Disposition Date:
03/15/2013
11/26/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 180 of 185Page
351 Universal Underwriters Insurance Company
The company is filing new vehicle service contract rates for the Auto VSC Basic Program.
ZURC-128735580
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rate
State Type of Insurance:
State Sub-TOI:
17.1 Other Liability-Occ Only
17.1004 Contractual Liability
Submission Date: 10/25/2012
Effective Date:
Disposition Date:
11/01/2012
11/16/2012
352 Utica Mutual Insurance Company
The company is filing a commercial interline manual rule page, Uni-Bill Payment Plans - 8-MP-820, to change to service charge of $8.00 peraccount.
UTCX-G128611187
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
35.0 Interline Filings
35.0002 Commercial Interline Filings
Submission Date: 08/01/2012
Effective Date:
Disposition Date:
11/01/2012
08/22/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 181 of 185Page
353 Utica Mutual Insurance Company
The company is filing a revised rule for use in the Professional Errors and Omissions Liability Program.
UTCX-G128615639
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
17.2 Other Liability-Claims Made Only
17.2019 Professional Errors and Omissions Liability
Submission Date: 08/03/2012
Effective Date:
Disposition Date:
11/01/2012
08/15/2012
354 Vanliner Insurance Company
The company is filing to revise commercial general liability endorsement; Additional Insured - Primary and Non-Contributory Coverage, VL CG20 54.
GACX-G128765108
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 11/14/2012
Effective Date:
Disposition Date:
12/15/2012
11/28/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 182 of 185Page
355 Vantage Warranty Inc.
The service warranty corporation is filing two new Vehicle Protection Product agreements pursuant to the Service Warranty Act 36 O.S. 6601et al. The forms are guaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.
VANT-128732913
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/17/2012
Effective Date:
Disposition Date:
11/02/2012
11/02/2012
356 Vantage Warranty Inc.
The service warranty corporation is filing new agreement, Vantage Ultimate Service Contract VUARD-090412 pursuant to the ServiceWarranty Act 36 O.S. 6601 et al. The forms are guaranteed by a contractual liability insurance policy issued by Wesco Insurance Company.
VANT-128736781
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/20/2012
Effective Date:
Disposition Date:
11/02/2012
11/02/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 183 of 185Page
357 Vision Warranty Corporation
The service warranty corporation is filing two new agreements pursuant to the Service Warranty Act 36 O.S. 6601 et al. The forms areguaranteed by a contractual liability insurance policy issued by First Colonial Insurance Company.
VWCO-128734283
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 10/29/2012
Effective Date:
Disposition Date:
11/06/2012
11/06/2012
358 Warranty Support Services, LLC
The service warranty corporation is filing two new agreements pursuant to the Service Warranty Act Section 141.1 of Title 15 et al. The formsare guaranteed by a contractual liability insurance policy issued by Universal Underwriters Insurance Company.
APCO-128746526
ApprovedDisposition Status:
SERFF Tracking Number:
Filing Type: Form
State Type of Insurance:
State Sub-TOI:
33.0 Other Lines of Business
33.0004 Service Contracts
Submission Date: 11/01/2012
Effective Date:
Disposition Date:
11/26/2012
11/26/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 184 of 185Page
359 Western United Insurance Company
The company is filing for the Private Passenger Auto Program for new business only, to revise base rates and multi-car discount, eliminate anunused payment plan and update several rules to clarify coverage. The filing is amended to include revised manual pages with corrections.There is no rate effect.
WSUN-128728249
Filed As AmendedDisposition Status:
SERFF Tracking Number:
Filing Type: Rate/Rule
State Type of Insurance:
State Sub-TOI:
19.0 Personal Auto
19.0001 Private Passenger Auto (PPA)
Submission Date: 10/18/2012
Effective Date:
Disposition Date:
11/12/2012
11/27/2012
360 Westfield Insurance Company
The company is filing new rules for use in the Signature Series Commercial Property Program.
WSFG-128639754
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
01.0 Property
01.0001 Commercial Property (Fire and Allied Lines)
Submission Date: 08/29/2012
Effective Date:
Disposition Date:
11/01/2012
09/11/2012
OKLAHOMA INSURANCE DEPARTMENT Filing Activity Report for 11/01/2012 through 11/29/2012 185 of 185Page
361 Westfield Insurance Company
The company is filing revised commercial general liability rules for the Signature Series business sector coverages; Contractors and RealEstate. The filing corresponds with the filing for new and revised Signature Series forms.
WSFG-128700211
FiledDisposition Status:
SERFF Tracking Number:
Filing Type: Rule
State Type of Insurance:
State Sub-TOI:
17.0 Other Liability-Occ/Claims Made
17.0001 Commercial General Liability
Submission Date: 09/25/2012
Effective Date:
Disposition Date:
11/01/2012
10/02/2012