These endorsements have been filed by the Delaware Compensation Rating Bureau, Inc. (DCRB) on behalf of its membership and have been approved by the Delaware Department of Insurance for use. These endorsements can be used by member carriers of the DCRB without further filing requirements with the Department of Insurance.
Delaware Approved Endorsements
Alternate Employer Endorsement | WC 00 03 01A |
Anniversary Rating Date Endorsement (Eliminated 05/01/17) | WC 00 04 02 |
Audit Noncompliance Charge Endorsement | WC 00 04 24 |
Contingent Experience Rating Modification Endorsement | WC 00 04 12 |
Defense Base Act Coverage Endorsement | WC 00 01 01A |
Designated Workplaces Exclusion Endorsement | WC 00 03 02 |
Domestic and Agricultural Workers Exclusion Endorsement | WC 00 03 15 |
Catastrophe (Other than Certified Acts of Terrorism) Premium Endorsement | WC 00 04 21E |
Employers Liability Coverage Endorsement | WC 00 03 03C |
Experience Rating Modification Factor Endorsement | WC 00 04 03 |
Experience Rating Modification Revision Endorsement (Effective 05/01/17) | WC 00 04 25 |
Federal Mine Safety and Health Act Coverage Endorsement | WC 00 01 02B |
Federal Employers Liability Act Coverage Endorsement | WC 00 01 04A |
Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement | WC 00 04 22C |
Insurance Company as Insured Endorsement | WC 00 03 04 |
Joint Venture as Insured Endorsement | WC 00 03 05 |
Longshore & Harbor Workers' Compensation Act Coverage Endorsement | WC 00 01 06A |
Maritime Coverage Endorsement | WC 00 02 01B |
Nonappropriated Fund Instrumentalities Act Coverage Endorsement | WC 00 01 08A |
Outer Continental Shelf Lands Act Coverage Endorsement | WC 00 01 09C |
Partners, Officers and Others Exclusion Endorsement | WC 00 03 08 |
Pending Rate Change Endorsement | WC 00 04 04 |
Policy Information Page Endorsement | WC 89 06 00A |
Policy Period Endorsement | WC 00 04 05 |
Premium Determination Endorsement - Former Self-Insurers | WC 00 04 09 |
Premium Discount Endorsement | WC 00 04 06 |
Premium Due Date Endorsement | WC 00 04 19 |
Rate Change Endorsement | WC 00 04 07 |
Residual Market Limited Other States Insurance Endorsement | WC 00 03 26A |
Rural Electrification Administration Endorsement | WC 00 03 09 |
Sole Proprietors, Partners, Officers and Others Coverage Endorsement | WC 00 03 10 |
Voluntary Compensation and Employers Liability Coverage Endorsement | WC 00 03 11A |
Voluntary Compensation Maritime Coverage Endorsement | WC 00 02 03 |
Waiver of Our Right to Recover from Others Endorsement | WC 00 03 13 |
Delaware Specific Endorsements
Amendatory Endorsement - Farming Operations - Delaware | WC 07 03 03 |
Deductible Endorsement - Delaware | WC 07 04 01 |
Delaware Construction Classifications Premium Adjustment Endorsement | WC 07 04 02 |
Delaware Nonrenewal Endorsement | WC 07 06 01 |
Delaware Merit Rating Plan Endorsement | WC 07 04 08 |
Premium Determination Endorsement - Former Self-Insurers | WC 07 04 09 |