Coverage description
An Insurance Services Office (ISO) standard form. It waives the insurer's right to recover payments under the product withdrawal coverage part from the persons or organizations named in the schedule, to the extent you waived your rights against them before the loss.
Editions
Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.
| Edition | Filings | Companies | States | Filed |
|---|---|---|---|---|
| 12 19Dec 2019Latest | 81 | 44 | 22 | Jan 2022 to Oct 2026 |
1 other edition date appears in one or two filings each, often carrier-specific versions: 10/1/2020.
What the filings show
- Edition in use: in the past 12 months, 14 companies filed the 12 19 edition.
- CG 24 54 (Automatic Insured Status for Newly Acquired or Formed Limited Liability Companies) is filed alongside it most often, in 82 of the same filings (100%).
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Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Oct 2026, excluding withdrawn and rejected filings.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 34 17, out of 28 in total.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| WCF Mutual Insurance Company GroupAssociated Indemnity Corporation | 16 | 16 | 12 19 | Jan 15, 2026 |
| Tokio Marine Holdings Incorporated Group4 group companies filed it, led by Safety National Casualty Corporation and TNUS Insurance Company | 8 | 2 | 12 19 | Feb 17, 2026 |
| Sompo GroupSompo America Insurance Company | 7 | 2 | 12 19 | Jun 18, 2026 |
| Grange Mutual CAS Group3 group companies filed it, led by Grange Indemnity Insurance Company and Grange Insurance Company | 6 | 6 | 12 19 | Mar 28, 2024 |
| Markel Corporation GroupState National Insurance Company, Inc. | 6 | 4 | 12 19 | Oct 22, 2026 |
| Siriuspoint GroupSiriusPoint America Insurance Company | 6 | 2 | 12 19 | Jun 15, 2026 |
| Starr Group2 group companies filed it, led by Starr Indemnity and Liability Company and Starr Specialty Insurance Company | 5 | 2 | 12 1910/1/2020 | Jun 25, 2025 |
| ACP Insurance Mgmt LLC GroupAccelerant National Insurance Company | 3 | 1 | 12 19 | Dec 8, 2025 |
| Amtrust Financial Services Group3 group companies filed it, led by First Nonprofit Insurance Company and Republic Fire and Casualty Insurance Company | 2 | 1 | 12 19 | Feb 8, 2023 |
| Ascot Insurance US Group4 group companies filed it, led by Ascot Insurance Company and AmFed Advantage Insurance Company | 2 | 2 | 12 19 | Oct 13, 2023 |
How the largest insurers handle CG 34 17
Groups among the largest commercial general liability insurers that filed CG 34 17 or their own version in the past five years.
- Chubb Limited GroupFiles its own version: CB CG 240037 Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation) (35 states)
- Berkshire Hathaway GroupUses CG 34 17 in 1 filing
- WR Berkley Corporation GroupFiles its own version: L605 Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation) (1 state)
- Fairfax Financial GroupUses CG 34 17 in 1 filing
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States
Number of filings that include CG 34 17 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 24 54Automatic Insured Status for Newly Acquired or Formed Limited Liability Companies82 filings
- CG 34 18Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation) - Automatic82 filings
- CG 20 42Additional Insured - Automatic Status for Designated Operations81 filings
- CG 34 36Automatic Insured Status for Newly Acquired or Formed Limited Liability Companies81 filings
- CG 34 45Exclusion - Cross Suits Liability81 filings
- CG 20 41Additional Insured - Owners, Lessees or Contractors - Completed Operations Subject to the General Aggregate80 filings
- CG 21 41Exclusion - Intercompany Products Suits80 filings
- CG 22 36Exclusion - Limited Products and Professional Services - Pharmacists80 filings
- CG 22 69Pharmacists80 filings
- CG 23 02Exclusion - Professional Services - Pharmacists80 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 | 12 19 | STNA-135128706 |
| Jun 24, 2026 | Southern Trust Insurance Company | GA | 12 19 | STTR-134864949 |
| Jun 18, 2026 | Sompo America Insurance Company | CO | 12 19 | SMPJ-134985965 |
| Jun 17, 2026 | Atlantic Specialty Insurance Company | NM | 12 19 | BEAC-134983795 |
| Jun 15, 2026 | SiriusPoint America Insurance Company | CO | 12 19 | MRTN-134978899 |
| Jun 15, 2026 | SiriusPoint America Insurance Company | CO | 12 19 | MRTN-134978902 |
| Feb 17, 2026 | Safety National Casualty Corporation | CO | 12 19 | SFCC-134814522 |
| Feb 6, 2026 | Crum and Forster Indemnity Company | CA | 12 19 | CRUM-134831877 |
| Jan 23, 2026 | Everest Denali Insurance Companyand 2 more | CA | 12 19 | EVST-134799731 |
| Jan 15, 2026 | Associated Indemnity Corporation | WI | 12 19 | ADWC-134802679 |
| Dec 22, 2025 | Associated Indemnity Corporation | VA | 12 19 | ADWC-134768154 |
| Dec 22, 2025 | Associated Indemnity Corporation | OK | 12 19 | ADWC-134780132 |
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
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