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.
| Edition | Filings | Companies | States | Filed |
|---|---|---|---|---|
| 04 13Apr 2013Latest | 91 | 26 | 35 | Dec 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%).
Filed under
Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Aug 2026, excluding withdrawn and rejected filings.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.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| Core Specialty Insurance Holdings GroupStarStone National Insurance Company | 52 | 32 | 04 13 | Feb 1, 2024 |
| Sompo GroupSompo America Insurance Company | 5 | 1 | 04 13 | Jun 15, 2026 |
| Tokio Marine Holdings Incorporated GroupSafety National Casualty Corporation | 5 | 1 | 04 13 | Feb 17, 2026 |
| ACP Insurance Mgmt LLC GroupAccelerant National Insurance Company | 4 | 3 | 04 13 | May 13, 2024 |
| OLD Republic GroupOld Republic Insurance Company | 4 | 1 | 04 13 | Jun 30, 2025 |
| AU Holding Company GroupContinental Indemnity Company | 2 | 2 | 04 13 | May 3, 2024 |
| Church Mutual GroupChurch Mutual Insurance Company, S.I. | 2 | 1 | 04 13 | Jun 15, 2023 |
| LIO Holdings Company GroupLIO Insurance Company | 2 | 2 | 04 13 | Jul 27, 2023 |
| Markel Corporation GroupState National Insurance Company, Inc. | 2 | 2 | 04 13 | Nov 27, 2024 |
| Randall & Quilter Investment GroupAccredited Surety and Casualty Company, Inc. | 2 | 1 | 04 13 | Mar 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.
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.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Aug 12, 2026 | Colonial Surety Company | SC | 04 13 | MRTN-134978915 |
| Jun 15, 2026 | Sompo America Insurance Company | CO | 04 13 | SMPJ-134971280 |
| Mar 13, 2026 | Great American Assurance Company | CA | 04 13 | GACX-134873090 |
| Feb 17, 2026 | Safety National Casualty Corporation | CO | 04 13 | SFCC-134815068 |
| Jun 30, 2025 | Old Republic Insurance Company | CO | 04 13 | LDDX-134589971 |
| Jun 27, 2025 | Next Insurance US Company | CA | 04 13 | NXUS-134584662 |
| Jun 26, 2025 | Sompo America Insurance Company | CO | 04 13 | SMPJ-134585643 |
| Jun 24, 2025 | Explorer Insurance Companyand 2 more | CA | 04 13 | ICWG-134580186 |
| May 14, 2025 | Safety National Casualty Corporation | CO | 04 13 | SFCC-134510598 |
| Dec 3, 2024 | Garrison Property and Casualty Insurance Company | CA | 04 13 | PERR-134284759 |
| Nov 27, 2024 | State National Insurance Company, Inc. | SC | 04 13 | STNA-134326253 |
| Aug 14, 2024 | Benchmark Insurance Company | CA | 04 13 | MRTN-134175127 |
Most filed ISO CX forms
- CX DS 01 Commercial Excess Liability Declarations
- CX 21 43 Exclusion - Access Or Disclosure Of Confidential Or Personal Material Or Information
- CX 00 01 Commercial Excess Liability Coverage Form
- CX 21 93 Broad Abuse Or Molestation Exclusion
- CX 21 94 Sexual Abuse Or Sexual Molestation Exclusion
- CX 21 97 Exclusion - Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS)
- CX 21 10 Limitation Of Coverage To Designated Premises, Project Or Operation
- CX 21 79 Cannabis Exclusion
- CX 21 80 Cannabis Exclusion With Hemp Exception
- CX 21 81 Cannabis Exclusion With Hemp And Lessors Risk Exceptions
- CX 21 11 Exclusion – Abuse Or Molestation
- CX 21 18 Exclusion – Abuse Or Molestation – Specified Professional Services
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