Coverage description
An Insurance Services Office (ISO) standard form. For the premises or classifications in the schedule, it removes Medical Payments coverage and instead pays, as a supplementary payment, first aid expenses the insured incurs for others at the time of an accident.
Editions
Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.
| Edition | Filings | Companies | States | Filed |
|---|---|---|---|---|
| 10 01Oct 2001Latest | 157 | 81 | 35 | Nov 2021 to Oct 2026 |
What the filings show
- Edition in use: in the past 12 months, 25 companies filed the 10 01 edition.
- CG 21 45 (Exclusion - Damage to Premises Rented to You) is filed alongside it most often, in 145 of the same filings (92%).
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Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Oct 2026, excluding withdrawn and rejected filings.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 CG 21 35, out of 48 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 | 17 | 17 | 10 01 | Jan 4, 2023 |
| WCF Mutual Insurance Company GroupAssociated Indemnity Corporation | 16 | 16 | 10 01 | Jan 15, 2026 |
| Nationwide Corporation Group8 group companies filed it, led by Allied Insurance Company of America and Nationwide Agribusiness Insurance Company | 10 | 3 | 10 01 | Feb 12, 2025 |
| Markel Corporation Group2 group companies filed it, led by State National Insurance Company, Inc. and Markel Insurance Company | 9 | 5 | 10 01 | Oct 22, 2026 |
| Siriuspoint GroupSiriusPoint America Insurance Company | 7 | 3 | 10 01 | Jun 15, 2026 |
| Trisura GroupTrisura Insurance Company | 7 | 5 | 10 01 | Jul 10, 2026 |
| Church Mutual GroupChurch Mutual Insurance Company, S.I. | 5 | 2 | 10 01 | Jun 26, 2026 |
| Randall & Quilter Investment GroupAccredited Surety and Casualty Company, Inc. | 5 | 5 | 10 01 | Jun 9, 2026 |
| Sompo GroupSompo America Insurance Company | 5 | 1 | 10 01 | Jun 18, 2026 |
| Tokio Marine Holdings Incorporated GroupSafety National Casualty Corporation | 5 | 1 | 10 01 | Feb 17, 2026 |
How the largest insurers handle CG 21 35
Groups among the largest commercial general liability insurers that filed CG 21 35 or their own version in the past five years.
- Chubb Limited GroupFiles its own version: CB CG 210005 Exclusion - Coverage C - Medical Payments (4 states)
- Berkshire Hathaway GroupUses CG 21 35 in 1 filing
- WR Berkley Corporation GroupUses CG 21 35 in 1 filing
- Fairfax Financial GroupUses CG 21 35 in 2 filings
See more forms
Search related forms, compare editions, and research carrier filings with FilingFocus.
States
Number of filings that include CG 21 35 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.
- CG 21 45Exclusion - Damage to Premises Rented to You145 filings
- CG 21 47Employment- Related Practices Exclusion143 filings
- CG 21 39Contractual Liability Limitation (for Use with Cgl and Products Policies)140 filings
- CG 21 49Total Pollution Exclusion Endorsement135 filings
- CG 21 53Exclusion - Designated Ongoing Operations131 filings
- CG 00 01Commercial General Liability Coverage Form130 filings
- CG 03 00Deductible Liability Insurance (for Use with Cgl and Products Policies)130 filings
- CG 21 42Exclusion - Explosion, Collapse, and Underground Property Damage Hazard (Specified Operations)130 filings
- CG 21 66Exclusion – Volunteer Workers as Insureds130 filings
- CG 20 11Additional Insured - Managers or Lessors of Premises129 filings
Recent filings
Latest filings that include this form number. Filed copies open in FilingFocus.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Oct 22, 2026 | State National Insurance Company, Inc. | CO | 10 01 | STNA-135128706 |
| Oct 6, 2026 | American Casualty Company of Reading, Pennsylvaniaand 5 more | CA | 10 01 | CNAB-135091690 |
| Sep 25, 2026 | Spinnaker Insurance Company | CA | 10 01 | WOOD-135083681 |
| Aug 17, 2026 | Mississippi Farm Bureau Casualty Insurance Company | MS | 10 01 | SFBC-135017175 |
| Jul 10, 2026 | Southern Farm Bureau Casualty Insurance Company | LA | 10 01 | SFBC-135013358 |
| Jul 10, 2026 | Trisura Insurance Company | WA | 10 01 | SHNF-134976660 |
| Jun 30, 2026 | Trisura Insurance Company | IL | 10 01 | SHNF-134983369 |
| Jun 26, 2026 | Church Mutual Insurance Company, S.I. | CO | 10 01 | CHMU-134947220 |
| Jun 18, 2026 | Sompo America Insurance Company | CO | 10 01 | SMPJ-134985965 |
| Jun 17, 2026 | Atlantic Specialty Insurance Company | NM | 10 01 | BEAC-134983795 |
| Jun 15, 2026 | SiriusPoint America Insurance Company | CO | 10 01 | MRTN-134978899 |
| Jun 15, 2026 | SiriusPoint America Insurance Company | CO | 10 01 | MRTN-134978902 |
Most filed ISO CG forms
- CG 40 32 Exclusion - Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS)
- CG 21 06 Exclusion - Access Or Disclosure Of Confidential Or Personal Material Or Information
- CG 20 10 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Endorsement
- CG DS 01 Commercial General Liability Declarations
- CG 20 26 Additional Insured - Designated Person or Organization Endorsement
- CG 00 01 Commercial General Liability Coverage Form
- CG 20 37 Additional Insured - Owners, Lessees or Contractors - Completed Operations Endorsement
- CG 40 28 Broad Abuse or Molestation Exclusion
- CG 20 28 Additional Insured - Lessor of Leased Equipment
- CG 20 11 Additional Insured - Managers or Lessors of Premises
- CG 21 47 Employment-Related Practices Exclusion
- CG 04 35 Employee Benefits Liability Coverage
See more carrier forms
Search forms by carrier, line of business, state, and wording with FilingFocus.