Coverage description
An Insurance Services Office (ISO) standard form. It pays reasonable medical and funeral expenses, incurred within three years of an accident, for you, your family members and occupants of a covered auto who are injured in an auto accident, subject to listed exclusions and a per-person limit.
How the form has changed
1 change across 1 revision, newest first. Each edition is compared with the one before it, using wording from filed copies.
03 06 edition
Mar 2006, compared with 07 97The war exclusion was broadened to cover injury arising directly or indirectly from war, warlike action by a military force, insurrection, rebellion, revolution or usurped power.
07 97
“"Bodily injury" caused by declared or undeclared war or insurrection”
03 06
“Warlike action by a military force”
Editions
Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.
| Edition | Filings | Companies | States | Filed |
|---|---|---|---|---|
| 10 13Oct 2013Latest | 106 | 69 | 36 | Nov 2021 to Oct 2026 |
| 03 06Mar 2006 | 13 | 7 | 4 | May 2022 to Jun 2026 |
| 07 97Jul 1997 | 3 | 4 | 3 | Dec 2022 to Dec 2023 |
| 12 93Dec 1993 | 4 | 2 | 2 | Jun 2022 to Jun 2024 |
1 other edition date appears in one or two filings each, often carrier-specific versions: 02 14.
Where filings record what this form replaced, they name other forms CA 98 04. Only some filings record replacements.
What the filings show
- Edition in use: in the past 12 months, 21 companies filed the 10 13 edition and 6 companies filed 03 06.
- CA 99 44 (Loss Payable Clause) is filed alongside it most often, in 102 of the same filings (82%).
Filed under
Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Oct 2026, excluding withdrawn and rejected filings.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 99 03, out of 44 in total.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| Cincinnati Financial Group3 group companies filed it, led by The Cincinnati Casualty Company and The Cincinnati Indemnity Company | 16 | 13 | 10 1307 97 | Jul 12, 2024 |
| Berkshire Hathaway Group7 group companies filed it, led by Berkshire Hathaway Direct Insurance Company and National Liability and Fire Insurance Company | 14 | 12 | 10 13 | Jul 9, 2026 |
| Tokio Marine Holdings Incorporated Group2 group companies filed it, led by U.S. Specialty Insurance Company and Safety National Casualty Corporation | 13 | 13 | 10 13 | Jun 30, 2023 |
| Liberty Mutual Group4 group companies filed it, led by State Automobile Mutual Insurance Company and Milbank Insurance Company | 11 | 2 | 10 1303 06 | Jun 17, 2026 |
| Nationwide Corporation Group8 group companies filed it, led by Nationwide Mutual Insurance Company and Allied Insurance Company of America | 6 | 4 | 10 13 | Mar 24, 2025 |
| Grange Insurance GroupGrange Insurance Association | 5 | 1 | 10 1312 93 | Jun 26, 2026 |
| Arch Insurance GroupArch Insurance Company | 4 | 1 | 03 06 | Apr 8, 2026 |
| MS & AD Insurance Group2 group companies filed it, led by Transverse Insurance Company and Mitsui Sumitomo Insurance Company of America | 4 | 3 | 10 13 | Aug 27, 2025 |
| The American Road Insurance Company | 3 | 3 | 10 13 | Aug 8, 2024 |
| WCF Mutual Insurance Company GroupWCF National Insurance Company | 3 | 3 | 10 13 | Oct 26, 2022 |
How the largest insurers handle CA 99 03
Groups among the largest commercial auto insurers that filed CA 99 03 or their own version in the past five years.
- Progressive GroupUses CA 99 03 in 1 filing
- Travelers GroupUses CA 99 03 in 52 filings
- Berkshire Hathaway GroupUses CA 99 03 in 11 filings
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States
Number of filings that include CA 99 03 in each state, Oct 2021 to Oct 2026. Darker states have more filings.
Often filed with
Standard-style form numbers that appear in the same filings most often.
- CA 99 44Loss Payable Clause102 filings
- CA 00 01Business Auto Coverage Form99 filings
- CA 99 10Drive Other Car Coverage - Broadened Coverage for Named Individuals91 filings
- CA 20 01Lessor - Additional Insured and Loss Payee90 filings
- CA 20 48Designated Insured for Covered Autos Liability Coverage90 filings
- CA 99 33Employees as Insureds86 filings
- CA 20 15Mobile Equipment85 filings
- CA 99 23Rental Reimbursement Coverage85 filings
- CA 99 47Employee as Lessor80 filings
- CA 99 17Individual Named Insured79 filings
Recent filings
Latest filings that include this form number. Filed copies open in FilingFocus.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Oct 14, 2026 | Century-National Insurance Company | GA | 10 13 | GMMX-135119885 |
| Sep 4, 2026 | Incline Casualty Company | SC | 10 13 | AIAD-135047572 |
| Sep 1, 2026 | MIC General Insurance Corporation | NV | 10 13 | GMMX-135075522 |
| Jul 9, 2026 | GEICO County Mutual Insurance Company | TX | 10 13 | GECC-135011334 |
| Jun 30, 2026 | PENN MILLERS INSURANCE COMPANY | IL | 10 13 | ACEH-135005056 |
| Jun 26, 2026 | Grange Insurance Association | CO | 10 13 | GRIA-135000193 |
| Jun 17, 2026 | State Automobile Mutual Insurance Company | CO | 10 13 | STAT-134983292 |
| Jun 17, 2026 | Milbank Insurance Companyand 2 more | CO | 03 06 | STAT-134983846 |
| Jun 2, 2026 | GEICO General Insurance Companyand 1 more | GA | 10 13 | GECC-134959269 |
| May 21, 2026 | Jet Insurance Company | NM | 10 13 | MRTN-134878221 |
| Apr 8, 2026 | Arch Insurance Company | CO | 03 06 | AICO-G134902561 |
| Apr 8, 2026 | Arch Insurance Company | CO | 03 06 | AICO-G134902666 |
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
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