ISO endorsement · commercial umbrella

CU 04 03 Employee Benefits Liability Coverage

Filings
94
latest Aug 11, 2026
Filing companies
46
21 carrier groups
States
27
Latest edition
06 26
most filed: 12 19

Coverage description

An Insurance Services Office (ISO) standard form. It adds claims-made umbrella coverage for negligent acts, errors or omissions in administering your employee benefit programs, above a scheduled retained limit and subject to a retroactive date.

How the form has changed

2 changes across 2 revisions, newest first. Each edition is compared with the one before it, using wording from filed copies.

  1. 06 26 edition

    Jun 2026, compared with 12 19Latest edition
    • The catch-all part of the employee benefit program definition now covers any other employee benefits program rather than only other similar benefits.

      12 19

      “Any other similar benefits:”

      06 26

      “Any other employee benefits program:”

  2. 12 19 edition

    Dec 2019, compared with 12 07
    • Benefits specified under any underlying insurance policy now count as part of your employee benefit program.

      12 07

      “Any other similar benefits designated in the”

      12 19

      “Specified under any policy of "underlying insurance".”

Editions

Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.

EditionFilingsCompaniesStatesFiled
06 26Jun 2026Latest23222Sep 2025 to Feb 2026
12 19Dec 2019583610May 2022 to Aug 2026
12 07Dec 200711104May 2022 to Jun 2026

2 other edition dates appear in one or two filings each, often carrier-specific versions: 02 19, 09 14.

What the filings show

  • Edition in use: in the past 12 months, 27 companies filed the 12 19 edition and 1 company filed 06 26.
  • CU 04 12 (Condominiums, Co-ops, Associations – Directors and Officers Liability Coverage) is filed alongside it most often, in 67 of the same filings (71%).

Filed under

Commercial Umbrella & Excess 81Other Liability 10Other other liability 2CMP 1

Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Aug 2026, excluding withdrawn and rejected filings.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 CU 04 03, out of 21 in total.

CarrierFilingsStatesEditions, most filed firstLast filed
Insurance Services Office, Inc.Advisory Organization232306 2612 07Sep 30, 2025
Liberty Mutual GroupState Automobile Mutual Insurance Company13312 1912 07Jun 17, 2026
WR Berkley Corporation Group14 group companies filed it, led by Acadia Insurance Company and Continental Western Insurance Company9112 19Jun 19, 2026
Nationwide Corporation Group3 group companies filed it, led by Nationwide Agribusiness Insurance Company and Crestbrook Insurance Company7212 1912 07Jun 30, 2026
Tokio Marine Holdings Incorporated Group2 group companies filed it, led by Safety National Casualty Corporation and Philadelphia Indemnity Insurance Company7312 1906 26Aug 11, 2026
Grange Mutual CAS GroupGrange Insurance Company6612 19Mar 26, 2024
Church Mutual GroupChurch Mutual Insurance Company, S.I.5212 19Jun 26, 2026
Pharmacists Mutual Group2 group companies filed it, led by Pharmacists Mutual Insurance Company and Chiron Insurance Company5212 19Jun 18, 2026
Sompo GroupSompo America Insurance Company5112 19Jun 15, 2026
Berkshire Hathaway GroupAmGUARD Insurance Company2112 19Jun 10, 2026

How the largest insurers handle CU 04 03

Groups among the largest commercial umbrella and excess insurers that filed CU 04 03 or their own version in the past five years.

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States

Number of filings that include CU 04 03 in each state, Oct 2021 to Aug 2026. Darker states have more filings.

Tennessee: 1 filingTN1Alabama: 0 filingsALFlorida: 0 filingsFLGeorgia: 2 filingsGA2Oklahoma: 1 filingOK1South Carolina: 2 filingsSC2Arkansas: 0 filingsARMissouri: 0 filingsMOIndiana: 1 filingIN1Louisiana: 1 filingLA1Ohio: 1 filingOH1Wisconsin: 1 filingWI1Texas: 0 filingsTXKentucky: 2 filingsKY2Iowa: 0 filingsIAKansas: 1 filingKS1Mississippi: 0 filingsMSNorth Carolina: 0 filingsNCNebraska: 1 filingNE1South Dakota: 0 filingsSDMontana: 1 filingMT1New Hampshire: 0 filingsNHVirginia: 0 filingsVAArizona: 1 filingAZ1Pennsylvania: 0 filingsPARhode Island: 0 filingsRIMichigan: 0 filingsMIAlaska: 0 filingsAKDistrict of Columbia: 0 filingsDCIdaho: 1 filingID1Maryland: 1 filingMD1West Virginia: 1 filingWV1Utah: 0 filingsUTWyoming: 1 filingWY1Delaware: 0 filingsDENew Mexico: 0 filingsNMColorado: 49 filingsCO49Connecticut: 0 filingsCTMaine: 1 filingME1North Dakota: 1 filingND1Illinois: 7 filingsIL7Minnesota: 0 filingsMNNew Jersey: 0 filingsNJNew York: 0 filingsNYMassachusetts: 1 filingMA1Washington: 1 filingWA1Oregon: 1 filingOR1Vermont: 1 filingVT1California: 11 filingsCA11Nevada: 1 filingNV1Hawaii: 0 filingsHI
FewerMore filingsNone

Often filed with

Standard-style form numbers that appear in the same filings most often.

  • CU 04 12Condominiums, Co-ops, Associations – Directors and Officers Liability Coverage67 filings
  • CU 22 20Pharmacists – Limited Professional Services Coverage (formerly titled Pharmacists)59 filings
  • CU 22 63Pharmacists – Broadened Professional Services Coverage (formerly titled Pharmacists – Broadened Coverage)59 filings
  • CU 27 10Extended Reporting Period Endorsement For Employee Benefits Liability Coverage58 filings
  • CU 00 01Commercial Liability Umbrella Coverage Form57 filings
  • CU 24 30Amendment of Insured Contract Definition56 filings
  • CU 04 54Loss Of Electronic Data Resulting From Physical Injury To Tangible Property Liability Coverage – Deletion Of Bodily Injury Exception (formerly titled Loss Of Electronic Data Resulting From Physical Injury To Tangible Property Liability Coverage – Subject To Cyber Incident Exclusion – Deletion Of Bodily Injury Exception)55 filings
  • CU 34 22Cannabis Exclusion55 filings
  • CU 34 23Cannabis Exclusion With Hemp Exception55 filings
  • CU 22 94Professional Liability Exclusion – Computer, Telecommunication, Electronic Data Or Internet Services (formerly titled Professional Liability Exclusion – Electronic Data Processing Services And Computer Consulting Or Programming Services)54 filings

Recent filings

Latest filings that include this form number. Filed copies open in FilingFocus.

SubmittedCompanyStateEditionsTracking number
Aug 11, 2026Philadelphia Indemnity Insurance CompanySC12 19PHLX-135041545
Jun 30, 2026Crestbrook Insurance Companyand 1 moreCO12 19NWPP-135003098
Jun 26, 2026Church Mutual Insurance Company, S.I.CO12 19CHMU-134995025
Jun 19, 2026Acadia Insurance Companyand 4 moreCO12 19BNIC-134992811
Jun 19, 2026Berkley Casualty Companyand 8 moreCO12 19BNIC-134992815
Jun 19, 2026Addison Insurance Companyand 1 moreCO12 19UNFG-134979875
Jun 18, 2026Chiron Insurance Companyand 1 moreCO12 19PHAR-134991608
Jun 17, 2026State Automobile Mutual Insurance CompanyCO12 19STAT-134983370
Jun 17, 2026State Automobile Mutual Insurance CompanyCO12 07STAT-134984544
Jun 15, 2026Sompo America Insurance CompanyCO12 19SMPJ-134971280
Jun 12, 2026WCF National Insurance CompanyCO12 19ADWC-134983294
Jun 12, 2026WCF National Insurance CompanyCO12 19ADWC-134983840

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