Coverage description
An Insurance Services Office (ISO) standard form. It covers a business you describe that is conducted at the residence premises, raising the business property special limit, covering a described other structure used for it at its own limit, and allowing liability coverage for the business use.
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.
03 22 edition
Mar 2022, compared with 10 00Latest editionThe special limit for business property on the residence premises, other than the described business's property, rises from $2,500 to $3,000.
10 00
“$2,500 on property, on the "residence premises"”
03 22
“$3,000 on property, on the "residence premises"”
10 00 edition
Oct 2000, compared with 04 91The business property special limit now applies to property used primarily for business, instead of property used at any time or in any manner for business.
04 91
“used at any time or in any manner for any "business" purpose”
10 00
“used primarily for "business" purposes”
The exclusion for bodily injury to a pupil from corporal punishment is removed.
04 91
“Any pupil arising out of corporal punishment”
10 00
Removed
Editions
Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.
| Edition | Filings | Companies | States | Filed |
|---|---|---|---|---|
| 03 22Mar 2022Latest | 48 | 9 | 37 | Jan 2022 to Aug 2026 |
| 10 00Oct 2000 | 19 | 26 | 16 | Jan 2022 to Aug 2026 |
| 04 91Apr 1991 | 6 | 9 | 6 | Nov 2021 to Aug 2025 |
Filed by one company only: 12 19 (Westfield Group, 7 filings).
2 other edition dates appear in one or two filings each, often carrier-specific versions: 03 26, 12/01/19.
Where filings record what this form replaced, they name other forms F20007., ML-326. Only some filings record replacements.
What the filings show
- Edition in use: in the past 12 months, 4 companies filed the 03 22 edition and 3 companies filed 10 00.
- The 12 19 edition appears only in filings from Westfield Group (7 filings in 7 states since Oct 23, 2023), which suggests a carrier-specific version.
- HO 04 40 (Structures Rented to Others - Residence Premises) is filed alongside it most often, in 78 of the same filings (96%).
Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Aug 2026, excluding withdrawn and rejected filings.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 HO 04 42, out of 23 in total.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| Armed Forces Insurance Exchange | 32 | 32 | 03 2204 91 | Aug 27, 2026 |
| Westfield GroupOld Guard Insurance Company | 9 | 9 | 12 1912/01/19 | May 29, 2026 |
| Insurance Services Office, Inc.Advisory Organization | 8 | 8 | 03 22 | Aug 16, 2024 |
| Encova Mutual Insurance Group3 group companies filed it, led by Motorists Mutual Insurance Company and MICO | 6 | 6 | 10 00 | Apr 24, 2023 |
| Liberty Mutual Group6 group companies filed it, led by American Fire and Casualty Company and Liberty Mutual Fire Insurance Company | 3 | 2 | 04 9110 00 | Aug 26, 2025 |
| NEW London Cnty Group3 group companies filed it, led by New London County Mutual Insurance Co. and Danbury Insurance Company | 3 | 3 | 03 22 | Apr 17, 2026 |
| Midwest Family GroupMidwest Family Mutual Insurance Company | 2 | 2 | 10 00 | Jul 25, 2022 |
| THE Hanover Insurance Group2 group companies filed it, led by Citizens Insurance Company of America and Massachusetts Bay Insurance Company | 2 | 2 | 10 00 | Feb 3, 2026 |
| Utica GroupUtica Mutual Insurance Company | 2 | 2 | 03 22 | Dec 5, 2023 |
| American Coastal Insurance Corporation GroupInterboro Insurance Company | 1 | 1 | 10 00 | Mar 20, 2026 |
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States
Number of filings that include HO 04 42 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.
- HO 04 40Structures Rented to Others - Residence Premises78 filings
- HO 04 41Additional Insured - Residence Premises78 filings
- HO 04 10Additional Interests - Residence Premises77 filings
- HO 04 48Other Structures on the Residence Premises - Increased Limits77 filings
- HO 00 03Homeowners 3 - Special Form76 filings
- HO 04 77Ordinance or Law Increased Amount of Coverage76 filings
- HO 04 92Specific Structures Away From the Residence Premises - Actual Cash Value Loss Settlement76 filings
- HO 24 70Additional Residence Rented to Others 1,2,3 or 4 Families76 filings
- HO 24 71Designated Business Pursuits Liability Coverage76 filings
- HO 04 65Coverage C Increased Special Limits of Liability74 filings
Recent filings
Latest filings that include this form number. Filed copies open in FilingFocus.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Aug 27, 2026 | Armed Forces Insurance Exchange | CA | 03 22 | ARMD-134961669 |
| Aug 14, 2026 | Builder Reciprocal Insurance Exchange | NM | 10 00 | BRIE-135052376 |
| May 29, 2026 | Old Guard Insurance Company | MI | 12 19 | WSFG-G134947110 |
| May 14, 2026 | Armed Forces Insurance Exchange | MO | 03 22 | ARMD-134865546 |
| Apr 17, 2026 | New London County Mutual Insurance Co. | RI | 03 22 | NLCC-134891646 |
| Mar 23, 2026 | Armed Forces Insurance Exchange | AR | 03 22 | ARMD-134879857 |
| Mar 20, 2026 | Interboro Insurance Company | SC | 10 00 | SAGE-134882886 |
| Mar 17, 2026 | Danbury Insurance Companyand 1 more | MA | 03 22 | NLCC-134869733 |
| Feb 27, 2026 | Armed Forces Insurance Exchange | NE | 03 22 | ARMD-134795835 |
| Feb 3, 2026 | Massachusetts Bay Insurance Company | ME | 10 00 | HNVR-G134821698 |
| Dec 11, 2025 | Pioneer State Mutual Insurance Company | MI | 03 26 | PSMI-134688520 |
| Nov 14, 2025 | New London County Mutual Insurance Co. | CT | 03 22 | NLCC-134739293 |
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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