Coverage description
An Insurance Services Office (ISO) standard form. It limits businessowners liability and medical payments to injury or damage occurring on the scheduled premises or arising out of the scheduled project or operation, and to offenses arising out of your business on those premises or for that project.
How the form has changed
3 changes across 1 revision, newest first. Each edition is compared with the one before it, using wording from filed copies.
04 17 edition
Apr 2017, compared with 01 06Latest editionFor premises, injury or damage must occur on the scheduled premises or their grounds and structures, rather than arise out of their ownership, maintenance or use and incidental operations.
01 06
“operations necessary or incidental to those premises”
04 17
“Occurs on the premises shown in the Schedule or the grounds and structures appurtenant to those premises”
Coverage can apply to a scheduled operation as well as a scheduled project.
01 06
“The project shown in the Schedule.”
04 17
“Arises out of the project or operation shown in the Schedule”
Personal and advertising injury offenses such as false arrest or wrongful eviction tied to the premises must be committed on the scheduled premises or their grounds and structures.
01 06
Not in this edition
04 17
“must have been committed on the premises shown in the Schedule”
Editions
Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.
| Edition | Filings | Companies | States | Filed |
|---|---|---|---|---|
| 04 17Apr 2017Latest | 49 | 28 | 22 | Jul 2022 to Aug 2026 |
| 01 06Jan 2006 | 6 | 4 | 5 | Jan 2022 to Mar 2025 |
Where filings record what this form replaced, they name earlier edition 01 06 and other forms N/A, VP 04 12. Only some filings record replacements.
What the filings show
- Edition in use: in the past 12 months, 5 companies filed the 04 17 edition.
- BP 00 03 (Businessowners Coverage Form) is filed alongside it most often, in 42 of the same filings (76%).
Filed under
Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Aug 2026, excluding withdrawn and rejected filings. One filing can cover several affiliated companies.
Carriers filing this form
The 10 carrier groups with the most filings that include BP 04 12, out of 23 in total.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| Grange Mutual CAS Group2 group companies filed it, led by Grange Insurance Company and Integrity Insurance Company | 8 | 8 | 04 17 | Apr 9, 2024 |
| Midwest Family GroupMidwest Family Mutual Insurance Company | 7 | 7 | 04 17 | Feb 19, 2025 |
| Mutual OF Enumclaw GroupMutual of Enumclaw Insurance Company | 5 | 5 | 04 17 | Mar 30, 2023 |
| Berkshire Hathaway Group4 group companies filed it, led by United States Liability Insurance Company and AmGUARD Insurance Company | 4 | 4 | 04 1701 06 | Jul 4, 2026 |
| Indiana Farmers Mutual GroupIndiana Farmers Indemnity Insurance Company | 3 | 3 | 01 06 | Dec 6, 2024 |
| Jewelers Mutual GroupJewelers Mutual Insurance Company | 3 | 3 | 04 17 | Aug 28, 2026 |
| Pharmacists Mutual Group2 group companies filed it, led by Pharmacists Mutual Insurance Company and Chiron Insurance Company | 3 | 2 | 04 17 | Feb 26, 2025 |
| CM Select Insurance Company | 2 | 2 | 04 17 | Apr 17, 2025 |
| Donegal Group2 group companies filed it, led by Donegal Mutual Insurance Company and Southern Insurance Company of Virginia | 2 | 1 | 04 17 | May 10, 2023 |
| Encova Mutual Insurance Group3 group companies filed it, led by Motorists Mutual Insurance Company and Wilson Mutual Insurance Company | 2 | 2 | 04 17 | Jun 25, 2024 |
How the largest insurers handle BP 04 12
Groups among the largest businessowners insurers that filed BP 04 12 or their own version in the past five years.
- Tokio Marine Holdings Incorporated GroupUses BP 04 12 in 3 filings
See more forms
Search related forms, compare editions, and research carrier filings with FilingFocus.
States
Number of filings that include BP 04 12 in each state, Oct 2021 to Aug 2026. Darker states have more filings.
Often filed with
Standard-style form numbers that appear in the same filings most often.
- BP 00 03Businessowners Coverage Form42 filings
- BP 04 02Additional Insured - Managers or Lessors of Premises42 filings
- BP 04 06Additional Insured - Controlling Interest42 filings
- BP 04 09Additional Insured - Mortgagee, Assignee or Receiver42 filings
- BP 04 16Additional Insured - Lessor of Leased Equipment42 filings
- BP 04 48Additional Insured - Designated Person or Organization42 filings
- BP 04 07Additional Insured - State or Governmental Agency or Subdivision or Political Subdivision - Permits or Authorizations Relating to Premises41 filings
- BP 04 10Additional Insured - Owners or Other Interests from Whom Land Has Been Leased41 filings
- BP 04 11Additional Insured - Co- Owner of Insured Premises41 filings
- BP 14 05Additional Insured - Grantor of Franchise40 filings
Recent filings
Latest filings that include this form number. Filed copies open in FilingFocus.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Aug 28, 2026 | Jewelers Mutual Insurance Company | CA | 04 17 | JMIC-135046937 |
| Jul 28, 2026 | Philadelphia Indemnity Insurance Company | NY | 04 17 | PHLX-134877701 |
| Jul 21, 2026 | Jewelers Mutual Insurance Company | NM | 04 17 | JMIC-134988770 |
| Jul 21, 2026 | Jewelers Mutual Insurance Company | IL | 04 17 | JMIC-135013506 |
| Jul 4, 2026 | The Medical Protective Companyand 1 more | IL | 04 17 | MDPC-135004347 |
| Jun 26, 2026 | Philadelphia Indemnity Insurance Company | SC | 04 17 | PHLX-134889110 |
| Mar 30, 2026 | Western Community Insurance Company | WA | 04 17 | FMID-134893255 |
| Sep 23, 2025 | Illinois EMCASCO Insurance Company | WA | 04 17 | EMCC-134680599 |
| Aug 20, 2025 | Response Indemnity Company of California | CA | 04 17 | PERR-134645602 |
| Jun 30, 2025 | Universal North America Insurance Company | GA | 04 17 | UNAC-134570222 |
| Jun 3, 2025 | Farm Family Casualty Insurance Company | VA | 04 17 | ANPC-134556520 |
| Apr 17, 2025 | CM Select Insurance Company | CA | 04 17 | PERR-134450300 |
Most filed ISO BP forms
- BP 15 91 Exclusion – Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS)
- BP 18 04 Exclusion – Violation of Law Addressing Data Privacy
- BP 15 04 Exclusion – Access or Disclosure of Confidential or Personal Material or Information
- BP 14 07 Business Income And Extra Expense - Revised Period of Indemnity
- BP 04 07 Additional Insured – State Or Governmental Agency Or Subdivision Or Political Subdivision – Permits Or Authorizations Relating To Premises
- BP 18 03 Cyber Incident Liability Exclusion
- BP 05 47 Computer Fraud and Funds Transfer Fraud
- BP 00 03 Businessowners Coverage Form
- BP 04 16 Additional Insured – Lessor Of Leased Equipment
- BP 04 48 Additional Insured – Designated Person Or Organization
- BP 05 95 Electronic Data Liability – Limited Coverage Subject To Cyber Incident Exclusion
- BP 04 02 Additional Insured – Managers Or Lessors Of Premises
See more carrier forms
Search forms by carrier, line of business, state, and wording with FilingFocus.