Coverage description
An Insurance Services Office (ISO) standard form. It makes scheduled members of a limited liability company employees for employee theft coverage and carves them out of the exclusion for acts of members, but pays only the loss above what you owe the member, the member's interest and the deductible.
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.
09 17 edition
Sep 2017, compared with 08 07Amounts you owe the member are now measured as of the date the loss was discovered.
08 07
Not in this edition
09 17
“Any amounts you owe that "member" as of the”
Editions
Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.
| Edition | Filings | Companies | States | Filed |
|---|---|---|---|---|
| 06 22Jun 2022Latest | 29 | 15 | 17 | Feb 2022 to Sep 2026 |
| 09 17Sep 2017 | 14 | 11 | 4 | Nov 2022 to Nov 2024 |
| 08 07Aug 2007 | 7 | 4 | 6 | Feb 2023 to Mar 2024 |
Where filings record what this form replaced, they name earlier edition 08 07. Only some filings record replacements.
What the filings show
- Edition in use: in the past 12 months, 4 companies filed the 06 22 edition.
- CR 20 08 (Convert To An Aggregate Limit Of Insurance) is filed alongside it most often, in 50 of the same filings (100%).
Filed under
Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Sep 2026, excluding withdrawn and rejected filings.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 CR 25 04, out of 19 in total.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| Insurance Services Office, Inc.Advisory Organization | 10 | 10 | 06 22 | May 2, 2024 |
| Amtrust Financial Services Group4 group companies filed it, led by Developers Surety and Indemnity Company and First Nonprofit Insurance Company | 6 | 3 | 09 1706 22 | Jul 9, 2025 |
| WCF Mutual Insurance Company Group2 group companies filed it, led by Associated Indemnity Corporation and WCF National Insurance Company | 6 | 3 | 06 22 | Sep 25, 2026 |
| Church Mutual GroupChurch Mutual Insurance Company, S.I. | 3 | 1 | 09 1706 22 | Jun 4, 2026 |
| Indiana Farmers Mutual GroupIndiana Farmers Indemnity Insurance Company | 3 | 3 | 08 07 | Mar 29, 2024 |
| WR Berkley Corporation Group2 group companies filed it, led by Intrepid Casualty Company and StarNet Insurance Company | 3 | 1 | 09 1708 07 | Oct 16, 2023 |
| ACP Insurance Mgmt LLC GroupAccelerant National Insurance Company | 2 | 1 | 09 17 | Oct 20, 2023 |
| BCBS OF MI Group2 group companies filed it, led by Accident Fund Insurance Company of America and United Wisconsin Insurance Company | 2 | 1 | 06 22 | Jun 11, 2025 |
| Encova Mutual Insurance Group3 group companies filed it, led by Motorists Mutual Insurance Company and Wilson Mutual Insurance Company | 2 | 2 | 09 17 | Jun 25, 2024 |
| Markel Corporation GroupState National Insurance Company, Inc. | 2 | 2 | 08 07 | Mar 2, 2023 |
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States
Number of filings that include CR 25 04 in each state, Oct 2021 to Sep 2026. Darker states have more filings.
Often filed with
Standard-style form numbers that appear in the same filings most often.
- CR 20 08Convert To An Aggregate Limit Of Insurance50 filings
- CR 25 03Include Partners As Employees50 filings
- CR 00 21Commercial Crime Coverage Form (Loss Sustained Form)49 filings
- CR 20 14Loss Payable49 filings
- CR 20 16Provide Notice Of Cancellation Or Termination To Another Entity49 filings
- CR 00 23Commercial Crime Policy (Loss Sustained Form)48 filings
- CR 00 29Commercial Fidelity And Forgery Policy (Loss Sustained Form)48 filings
- CR 20 15Joint Loss Payable48 filings
- CR 20 18Include Joint Venture Or Partnership As Insured(s)48 filings
- CR 00 25Government Crime Coverage Form (Loss Sustained Form)47 filings
Recent filings
Latest filings that include this form number. Filed copies open in FilingFocus.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Sep 25, 2026 | Associated Indemnity Corporation | UT | 06 22 | ADWC-135104118 |
| Aug 19, 2026 | NOVA Casualty Company | CA | 06 22 | HNVR-135058585 |
| Aug 18, 2026 | NOVA Casualty Company | CA | 06 22 | HNVR-G135056921 |
| Jun 4, 2026 | Church Mutual Insurance Company, S.I. | CA | 06 22 | CHMU-134920780 |
| Dec 26, 2025 | Universal North America Insurance Company | SC | 06 22 | UNAC-134780228 |
| Dec 17, 2025 | Universal North America Insurance Company | NV | 06 22 | UNAC-134774841 |
| Jul 9, 2025 | Developers Surety and Indemnity Company | OR | 06 22 | UNKP-134598770 |
| Jun 11, 2025 | Accident Fund Insurance Company of Americaand 1 more | CA | 06 22 | ACCD-G134496426 |
| Jun 11, 2025 | Accident Fund Insurance Company of Americaand 1 more | CA | 06 22 | ACCD-G134496799 |
| May 30, 2025 | Selective Way Insurance Company | MO | 06 22 | SELC-134505229 |
| Apr 11, 2025 | AXIS Insurance Company | CO | 06 22 | AXSS-G134488954 |
| Apr 3, 2025 | Developers Surety and Indemnity Company | IL | 06 22 | UNKP-134483449 |
Most filed ISO CR forms
- CR DS 01 Crime And Fidelity Coverage Part Declarations (Commercial Entities
- CR DS 02 Commercial Crime Policy Declarations
- CR 04 08 Employee Theft – Name Or Position Schedule
- CR 04 01 Employee Theft Of Clients' Property
- CR DS 05 Commercial Fidelity And Forgery Policy Declarations
- CR 20 33 Excess Over Underlying Insurance
- CR 00 21 Commercial Crime Coverage Form (Loss Sustained Form)
- CR DS 04 Government Crime Policy Declarations
- CR 25 09 Include Volunteer Workers As Employees
- CR 20 08 Convert To An Aggregate Limit Of Insurance
- CR 25 41 Include Designated Persons Or Classes Of Persons As Employees
- CR 20 42 Exclude Digital Tokens And Other Electronic Instruments
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