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Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement (Effective 01/01/2021)
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WC 00 04 22 C
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Catastrophe (Other Than Certified Acts of Terrorism) Premium Endorsement (Effective 01/01/2021)
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WC 00 04 21 E
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Workers Compensation and Employers Liability Insurance Policy
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WC 00 00 00 C
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Retrospective Rating Plan Premium Endorsement - Wrap-Up Construction Project
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WC 00 05 05 D
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Retrospective Rating Plan Premium Endorsement - Three Year Plan
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WC 00 05 04 D
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Retrospective Rating Plan Premium Endorsement - One Year Plan
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WC 00 05 03 D
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Information Page
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WC 00 00 01 A
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Defense Base Act Coverage Endorsement
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WC 00 01 01 A
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Federal Employers Liability Act Coverage Endorsement
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WC 00 01 04 A
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Longshore and Harbor Workers Compensation Act Coverage Endorsement
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WC 00 01 06 A
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Outer Continental Shelf Lands Act Coverage Endorsement
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WC 00 01 09 C
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Maritime Coverage Endorsement
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WC 00 02 01 B
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Voluntary Compensation Maritime Coverage Endorsement
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WC 00 02 03
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Alternate Employer Endorsement
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WC 00 03 01 A
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Designated Workplaces Endorsement
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WC 00 03 02
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Insurance Company as Insured Endorsement
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WC 00 03 04
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Joint Venture as Insured Endorsement
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WC 00 03 05
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Rural Utilities Service Endorsement
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WC 00 03 09 B
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Experience Rating Modification Factor Endorsement
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WC 00 04 03
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Pending Rate Change Endorsement
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WC 00 04 04
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Policy Period Endorsement
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WC 00 04 05
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Rate Change Endorsement
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WC 00 04 07
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Premium Due Date Endorsement
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WC 00 04 19
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Audit Noncompliance Charge Endorsement
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WC 00 04 24
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Experience Rating Modification Factor Revision Endorsement
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WC 00 04 25
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Retrospective Premium Endorsement Aviation Exclusion
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WC 00 05 08
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Retrospective Premium Endorsement Changes
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WC 00 05 09 A
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Retrospective Rating Plan Premium Endorsement Non-Ratable Catastrophe Element or Surcharge
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WC 00 05 10 B
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Retrospective Premium Endorsement Short Form
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WC 00 05 11
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Retrospective Rating Plan Premium Endorsement Flexibility Options
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WC 00 05 15 A
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Retrospective Rating Plan Premium Endorsement Large Risk Alternative Rating Option (LRARO)
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WC 00 05 16
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New Jersey Voluntary Compensation Federal Employers Liability Act Coverage Endorsement
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WC 29 01 01
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New Jersey Workers Compensation and Employers Liability Coverage for Residence Employees Endorsement
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WC 29 03 02 B
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New Jersey Employee Leasing Labor Contractor Endorsement
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WC 29 03 03
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New Jersey Employee Leasing Client Exclusion Endorsement
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WC 29 03 04 A
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New Jersey Employee Leasing Labor Contractor Exclusion Endorsement
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WC 29 03 05 A
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New Jersey Part Two Employers Liability Endorsement
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WC 29 03 06 B
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New Jersey Sole Proprietors and Partners Coverage Endorsement
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WC 29 03 07
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New Jersey Limited Other States Insurance Endorsement
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WC 29 03 09 A
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New Jersey Workers Compensation Insurance Plan Eligibility Endorsement
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WC 29 03 10
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New Jersey Employee Leasing Client Endorsement
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WC 29 03 11
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New Jersey Notice of Cancellation or Material Coverage Change to Designated Governmental Entity Endorsement
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WC 29 03 12
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New Jersey Approved Managed Care Program Endorsement
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WC 29 04 09 A
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New Jersey Construction Classification Premium Adjustment Endorsement
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WC 29 04 10
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New Jersey Retrospective Premium Endorsement Part Two-Employers Liability Insurance Excess Exclusion
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WC 29 05 09 C
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New Jersey Large Risk - Large Deductible Endorsement
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WC 29 06 01 A
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New Jersey Large Risk - Large Deductible Retrospective Adjustment Endorsement
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WC 29 06 02 B
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New Jersey Participating Provision Endorsement
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WC 29 06 03
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New Jersey Large Risk - Large Deductible Aggregate Limit Endorsement
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WC 29 06 04 A
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New Jersey Large Risk - Large Deductible Endorsement Per Person Basis
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WC 29 06 05
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Policy Information Page Endorsement
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WC 89 06 00 B
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Premium Discount Endorsement
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WC 00 04 06 A
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Notification Endorsement of Pending Law Change to Terrorism Risk Insurance Program Reauthorization Act of 2015
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WC 00 01 15
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