ISO exclusion

CX 21 04 Total Pollution Exclusion With A Building Heating, Cooling and Dehumidifying Equipment Exception and a Hostile Fire Exception

Filings
91
latest Aug 12, 2026
Filing companies
26
21 carrier groups
States
35
Latest edition
04 13
Apr 2013

Coverage description

An Insurance Services Office (ISO) standard form. It replaces the excess liability pollution exclusion with a total pollution exclusion, keeping exceptions for injury inside a building from heating, cooling or dehumidifying equipment and for heat, smoke or fumes from a hostile fire.

Editions

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

EditionFilingsCompaniesStatesFiled
04 13Apr 2013Latest912635Dec 2021 to Aug 2026

What the filings show

  • Edition in use: in the past 12 months, 4 companies filed the 04 13 edition.
  • CX 00 01 (Commercial Excess Liability Coverage Form) is filed alongside it most often, in 39 of the same filings (43%).

Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Aug 2026, excluding withdrawn and rejected filings.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

CarrierFilingsStatesEditions, most filed firstLast filed
Core Specialty Insurance Holdings GroupStarStone National Insurance Company523204 13Feb 1, 2024
Sompo GroupSompo America Insurance Company5104 13Jun 15, 2026
Tokio Marine Holdings Incorporated GroupSafety National Casualty Corporation5104 13Feb 17, 2026
ACP Insurance Mgmt LLC GroupAccelerant National Insurance Company4304 13May 13, 2024
OLD Republic GroupOld Republic Insurance Company4104 13Jun 30, 2025
AU Holding Company GroupContinental Indemnity Company2204 13May 3, 2024
Church Mutual GroupChurch Mutual Insurance Company, S.I.2104 13Jun 15, 2023
LIO Holdings Company GroupLIO Insurance Company2204 13Jul 27, 2023
Markel Corporation GroupState National Insurance Company, Inc.2204 13Nov 27, 2024
Randall & Quilter Investment GroupAccredited Surety and Casualty Company, Inc.2104 13Mar 24, 2023

How the largest insurers handle CX 21 04

Groups among the largest commercial umbrella and excess insurers that filed CX 21 04 or their own version in the past five years.

  • Chubb Limited GroupFiles its own version: XS-382355.2 Total Pollution Exclusion with a Building Heating, Cooling and Dehumidifying Equipment Exception and a Hostile Fire Exception (1 state)
  • WR Berkley Corporation GroupFiles its own version: CL CU 2317 Total Pollution Exclusion with a Building Heating, Cooling and Dehumidifying Equipment Exception and a Hostile Fire Exception (19 states)

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States

Number of filings that include CX 21 04 in each state, Oct 2021 to Aug 2026. Darker states have more filings.

Tennessee: 2 filingsTN2Alabama: 1 filingAL1Florida: 0 filingsFLGeorgia: 2 filingsGA2Oklahoma: 2 filingsOK2South Carolina: 6 filingsSC6Arkansas: 0 filingsARMissouri: 2 filingsMO2Indiana: 3 filingsIN3Louisiana: 2 filingsLA2Ohio: 1 filingOH1Wisconsin: 3 filingsWI3Texas: 0 filingsTXKentucky: 2 filingsKY2Iowa: 1 filingIA1Kansas: 1 filingKS1Mississippi: 2 filingsMS2North Carolina: 1 filingNC1Nebraska: 0 filingsNESouth Dakota: 2 filingsSD2Montana: 1 filingMT1New Hampshire: 2 filingsNH2Virginia: 0 filingsVAArizona: 0 filingsAZPennsylvania: 0 filingsPARhode Island: 0 filingsRIMichigan: 0 filingsMIAlaska: 0 filingsAKDistrict of Columbia: 0 filingsDCIdaho: 1 filingID1Maryland: 2 filingsMD2West Virginia: 1 filingWV1Utah: 2 filingsUT2Wyoming: 0 filingsWYDelaware: 1 filingDE1New Mexico: 2 filingsNM2Colorado: 15 filingsCO15Connecticut: 0 filingsCTMaine: 2 filingsME2North Dakota: 1 filingND1Illinois: 1 filingIL1Minnesota: 0 filingsMNNew Jersey: 0 filingsNJNew York: 0 filingsNYMassachusetts: 2 filingsMA2Washington: 2 filingsWA2Oregon: 1 filingOR1Vermont: 2 filingsVT2California: 17 filingsCA17Nevada: 2 filingsNV2Hawaii: 1 filingHI1
FewerMore filingsNone

Often filed with

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

  • CX 00 01Commercial Excess Liability Coverage Form39 filings
  • CX 21 02Total Pollution Exclusion39 filings
  • CX 21 06Exclusion – Products- Completed Operations Hazard39 filings
  • CX 21 07Exclusion – Designated Work38 filings
  • CX 21 08Exclusion – Explosion, Collapse and Underground Property Damage Hazard (Specified Operations)38 filings
  • CX 21 20Exclusion - Professional Services38 filings
  • CX 24 33Noncontributory - Other Insurance Condition38 filings
  • CX 21 01Nuclear Energy Liability Exclusion Endorsement37 filings
  • CX 21 03Total Pollution Exclusion with a Hostile Fire Exception37 filings
  • CX 21 05Exclusion – All Hazards in Connection with Designated Premises37 filings

Recent filings

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

SubmittedCompanyStateEditionsTracking number
Aug 12, 2026Colonial Surety CompanySC04 13MRTN-134978915
Jun 15, 2026Sompo America Insurance CompanyCO04 13SMPJ-134971280
Mar 13, 2026Great American Assurance CompanyCA04 13GACX-134873090
Feb 17, 2026Safety National Casualty CorporationCO04 13SFCC-134815068
Jun 30, 2025Old Republic Insurance CompanyCO04 13LDDX-134589971
Jun 27, 2025Next Insurance US CompanyCA04 13NXUS-134584662
Jun 26, 2025Sompo America Insurance CompanyCO04 13SMPJ-134585643
Jun 24, 2025Explorer Insurance Companyand 2 moreCA04 13ICWG-134580186
May 14, 2025Safety National Casualty CorporationCO04 13SFCC-134510598
Dec 3, 2024Garrison Property and Casualty Insurance CompanyCA04 13PERR-134284759
Nov 27, 2024State National Insurance Company, Inc.SC04 13STNA-134326253
Aug 14, 2024Benchmark Insurance CompanyCA04 13MRTN-134175127

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