Coverage description
An Insurance Services Office (ISO) standard form. It applies the deductible checked in its schedule ($100 or $250) to comprehensive, collision, or fire and theft coverage on the autos it applies to, so each loss is paid only above that deductible.
Editions
Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.
| Edition | Filings | Companies | States | Filed |
|---|---|---|---|---|
| 04 80Apr 1980Latest | 132 | 70 | 11 | Nov 2021 to Aug 2026 |
1 other edition date appears in one or two filings each, often carrier-specific versions: 04 08.
What the filings show
- Edition in use: in the past 12 months, 26 companies filed the 04 80 edition.
- CA 99 27 (Split Liability Limits) is filed alongside it most often, in 130 of the same filings (97%).
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Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Aug 2026, excluding withdrawn and rejected filings.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 CA 26 05, out of 42 in total.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| Arch Insurance Group3 group companies filed it, led by Arch Indemnity Insurance Company and Arch Insurance Company | 12 | 1 | 04 80 | Apr 8, 2026 |
| Scor GroupGeneral Security National Insurance Company | 10 | 1 | 04 80 | Jun 9, 2026 |
| OLD Republic Group2 group companies filed it, led by Old Republic General Insurance Corporation and Old Republic Insurance Company | 8 | 1 | 04 80 | Jun 30, 2025 |
| Markel Corporation Group3 group companies filed it, led by State National Insurance Company, Inc. and Markel Insurance Company | 7 | 4 | 04 80 | Jun 24, 2024 |
| Tokio Marine Holdings Incorporated Group2 group companies filed it, led by Safety National Casualty Corporation and Philadelphia Indemnity Insurance Company | 7 | 3 | 04 80 | Aug 27, 2026 |
| Clear Blue Financial Group2 group companies filed it, led by Clear Blue Insurance Company and Rock Ridge Insurance Company | 6 | 3 | 04 80 | Oct 29, 2025 |
| Alliance Insurance GroupFarmers Alliance Mutual Insurance Company | 5 | 1 | 04 80 | May 19, 2026 |
| Ambac Financial GroupEverspan Insurance Company | 5 | 4 | 04 80 | Apr 28, 2025 |
| Group 1001 Insurance Holdings GroupCLEAR SPRING PROPERTY AND CASUALTY COMPANY | 5 | 2 | 04 80 | Mar 18, 2026 |
| Liberty Mutual GroupState Automobile Mutual Insurance Company | 5 | 1 | 04 80 | Jun 17, 2026 |
See more forms
Search related forms, compare editions, and research carrier filings with FilingFocus.
States
Number of filings that include CA 26 05 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.
- CA 99 27Split Liability Limits130 filings
- CA 99 15Governmental Bodies Amendatory Endorsement126 filings
- CA 02 38Reinstatement of Insurance125 filings
- CA 20 27Registration Plates Not Issued for a Specific Auto125 filings
- CA 23 97Amphibious Vehicles125 filings
- CA 99 16Hired Autos Specified as Covered Autos You Own125 filings
- CA 99 23Rental Reimbursement Coverage125 filings
- CA 99 44Loss Payable Clause125 filings
- CA 99 47Employee as Lessor125 filings
- CA 02 40Suspension of Insurance124 filings
Recent filings
Latest filings that include this form number. Filed copies open in FilingFocus.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Aug 27, 2026 | Philadelphia Indemnity Insurance Company | NM | 04 80 | PHLX-135063316 |
| Jun 25, 2026 | Selective Insurance Company of Americaand 3 more | CO | 04 80 | SELC-134998854 |
| Jun 24, 2026 | Great American Alliance Insurance Companyand 3 more | CO | 04 80 | GACX-134993563 |
| Jun 19, 2026 | Addison Insurance Companyand 1 more | CO | 04 80 | UNFG-134905846 |
| Jun 18, 2026 | Sompo America Fire and Marine Insurance Companyand 1 more | CO | 04 80 | SMPJ-134972831 |
| Jun 17, 2026 | State Automobile Mutual Insurance Company | CO | 04 80 | STAT-134983865 |
| Jun 9, 2026 | General Security National Insurance Company | CO | 04 80 | PERR-134978283 |
| Jun 9, 2026 | General Security National Insurance Company | CO | 04 80 | PERR-134978297 |
| Jun 5, 2026 | Incline Casualty Company | SC | 04 80 | MRTN-134969595 |
| May 21, 2026 | Jet Insurance Company | NM | 04 08 | MRTN-134878221 |
| May 19, 2026 | Farmers Alliance Mutual Insurance Company | CO | 04 80 | FAMI-134934257 |
| Apr 30, 2026 | Trisura Insurance Company | CA | 04 80 | SHNF-134890981 |
Most filed ISO CA forms
- CA DS 03 Business Auto Declarations
- CA DS 21 Motor Carrier Declarations
- CA 00 01 Business Auto Coverage Form
- CA 28 03 Abuse Or Molestation Exclusion For Covered Autos Liability Exposure
- CA 23 17 Truckers - Uniform Intermodal Interchange Endorsement Form UIIE - 1
- CA 04 43 Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of Subrogation) - Automatic When Required By Written Contract Or Agreement
- CA 04 44 Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of Subrogation)
- CA 04 49 Primary and Noncontributory - Other Insurance Condition
- CA 20 01 Lessor - Additional Insured And Loss Payee
- CA 20 48 Designated Insured For Covered Autos Liability Coverage
- CA 00 20 Motor Carrier Coverage Form
- CA 20 71 Auto Loan/Lease Gap Coverage
See more carrier forms
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