Coverage description
An Insurance Services Office (ISO) standard form. It covers an insured's computer equipment against direct physical loss under Coverage C, subject to listed exclusions such as freezing, mold, wear and tear and some theft and vandalism losses, without increasing the Coverage C limit.
How the form has changed
3 changes across 2 revisions, newest first. Each edition is compared with the one before it, using wording from filed copies.
02 17 edition
Feb 2017, compared with 05 11Latest editionTheft and vandalism losses arising from home-sharing host activities are excluded unless the Broadened Home-sharing Host Activities Coverage Endorsement is attached.
05 11
Not in this edition
02 17
“If the Broadened Home-sharing Host Activities Coverage Endorsement is not made a part of this Policy”
05 11 edition
May 2011, compared with 10 00A new exclusion removes coverage for loss caused by nesting or infestation of animals or their waste products or secretions.
10 00
Not in this edition
05 11
“Nesting or infestation, or discharge or release of waste products or secretions”
The insuring wording changes from risk of direct physical loss to direct physical loss.
10 00
“against risk of direct physical loss”
05 11
Removed
Editions
Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.
| Edition | Filings | Companies | States | Filed |
|---|---|---|---|---|
| 02 17Feb 2017Latest | 27 | 14 | 19 | Jan 2022 to Sep 2026 |
| 05 11May 2011 | 6 | 5 | 5 | Jul 2022 to Aug 2026 |
| 10 00Oct 2000 | 3 | 12 | 3 | Mar 2022 to Jan 2025 |
| 04 91Apr 1991 | 28 | 9 | 22 | Nov 2021 to Jan 2025 |
3 other edition dates appear in one or two filings each, often carrier-specific versions: 06 23, 01 17, 09 95.
Where filings record what this form replaced, they name other forms HD0259, ML170WM. Only some filings record replacements.
What the filings show
- Edition in use: in the past 12 months, 2 companies filed the 02 17 edition and 2 companies filed 05 11.
- The newer 02 17 edition first appears Jan 18, 2022 and has been filed by 14 companies in 19 states so far.
- HO 04 10 (Additional Interests - Residence Premises) is filed alongside it most often, in 60 of the same filings (92%).
Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Sep 2026, excluding withdrawn and rejected filings.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 HO 04 14, out of 21 in total.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| Armed Forces Insurance Exchange | 29 | 29 | 04 9102 1701 17 | Aug 27, 2026 |
| Encova Mutual Insurance Group4 group companies filed it, led by Motorists Mutual Insurance Company and Iowa Mutual Insurance Company | 7 | 7 | 02 17 | Apr 24, 2023 |
| Insurance Services Office, Inc.Advisory Organization | 6 | 6 | 02 1705 11 | Aug 16, 2024 |
| American Family Insurance Group4 group companies filed it, led by Grain Dealers Mutual Insurance Company and Homesite Insurance Company of the Midwest | 3 | 3 | 04 9102 1710 00 | Jan 17, 2025 |
| Hartford Fire & CAS Group9 group companies filed it, led by Hartford Accident and Indemnity Company and Hartford Casualty Insurance Company | 2 | 2 | 02 1710 00 | Mar 29, 2024 |
| Midwest Family GroupMidwest Family Mutual Insurance Company | 2 | 2 | 05 11 | Jul 25, 2022 |
| Munich RE GroupAmerican Modern Select Insurance Company | 2 | 2 | 02 17 | Sep 14, 2026 |
| ACP Insurance Mgmt LLC GroupAccelerant National Insurance Company | 1 | 1 | 05 11 | Apr 7, 2026 |
| Allied Trust Insurance Company | 1 | 1 | 02 17 | Jan 25, 2023 |
| Amica Mutual GroupAmica Mutual Insurance Company | 1 | 1 | 06 2309 95 | Jun 28, 2023 |
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States
Number of filings that include HO 04 14 in each state, Oct 2021 to Sep 2026. Darker states have more filings.
Often filed with
Standard-style form numbers that appear in the same filings most often.
- HO 04 10Additional Interests - Residence Premises60 filings
- HO 24 71Designated Business Pursuits Liability Coverage58 filings
- HO 00 03Homeowners 3 - Special Form57 filings
- HO 04 12Increased Limits on Business Property57 filings
- HO 04 35Supplemental Loss Assessment Coverage57 filings
- HO 04 50Increased Amount of Insurance for Personal Property at Other Residences57 filings
- HO 04 48Other Structures on the Residence Premises - Increased Limits56 filings
- HO 04 53Credit Card, Electronic Fund Transfer Card or Access Device, Forgery & Counterfeit Money Coverage - Increased Limit56 filings
- HO 04 65Coverage C Increased Special Limits of Liability56 filings
- HO 04 41Additional Insured - Residence Premises55 filings
Recent filings
Latest filings that include this form number. Filed copies open in FilingFocus.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Sep 14, 2026 | American Modern Select Insurance Company | CA | 02 17 | TRUW-135088756 |
| Aug 27, 2026 | Armed Forces Insurance Exchange | CA | 02 17 | ARMD-134961669 |
| Aug 14, 2026 | Builder Reciprocal Insurance Exchange | NM | 05 11 | BRIE-135052376 |
| May 14, 2026 | Armed Forces Insurance Exchange | MO | 02 17 | ARMD-134865546 |
| Apr 7, 2026 | Accelerant National Insurance Company | WA | 05 11 | SPRO-G134894244 |
| Mar 23, 2026 | Armed Forces Insurance Exchange | AR | 02 17 | ARMD-134879857 |
| Feb 27, 2026 | Armed Forces Insurance Exchange | NE | 02 17 | ARMD-134795835 |
| Dec 5, 2025 | American Modern Select Insurance Company | OH | 02 17 | TRUW-134709092 |
| Feb 24, 2025 | Wayne Mutual Insurance Company | IN | 05 11 | WMIN-134429496 |
| Jan 17, 2025 | Grain Dealers Mutual Insurance Companyand 2 more | NH | 10 0004 91 | NGMC-134384684 |
| Oct 11, 2024 | Armed Forces Insurance Exchange | CT | 04 91 | ARMD-134242640 |
| Sep 16, 2024 | Armed Forces Insurance Exchange | VT | 04 91 | ARMD-134197778 |
Most filed ISO HO forms
- HO 00 03 Homeowners 3 Special Form
- HO 04 90 Personal Property Replacement Cost Loss Settlement
- HO 04 10 Additional Interests - Residence Premises
- HO 04 41 Additional Insured - Residence Premises
- HO 04 48 Other Structures on the Residence Premises - Increased Limits
- HO 04 16 Premises Alarm Water Leak Detection or Fire Protection System
- HO 04 98 Refrigerated Property Coverage
- HO 04 35 Supplemental Loss Assessment Coverage
- HO 04 77 Ordinance or Law Increased Amount of Coverage
- HO 00 06 Homeowners 6 - Unit- Owners Form
- HO 24 13 Incidental Low Power Recreational Motor Vehicle Liability Coverage Endorsement
- HO 04 40 Structures Rented to Others - Residence Premises
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