Coverage description
An Insurance Services Office (ISO) standard form. It covers losses from theft or unauthorized use of credit cards and electronic fund transfer cards or access devices, check forgery and counterfeit currency, up to the limit in the Schedule, with defense of related suits.
How the form has changed
3 changes across 1 revision, 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 endorsement now states the full coverage and pays up to the Schedule amount, instead of only increasing the limit of the policy's built-in coverage.
10 00
“The limit of liability for this coverage is increased as note”
03 22
“We will pay up to the amount shown in the Schedule for:”
No deductible applies to this coverage.
10 00
Not in this edition
03 22
“No deductible applies”
New duties after loss require notifying the card company and sending a sworn proof of loss within 60 days of the insurer's request.
10 00
Not in this edition
03 22
“In case of a loss to covered property, we have no duty to”
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 | 30 | 14 | 21 | May 2022 to Jul 2026 |
| 10 00Oct 2000 | 27 | 28 | 19 | Jan 2022 to Aug 2026 |
| 04 91Apr 1991 | 29 | 10 | 25 | Nov 2021 to Sep 2025 |
Filed by one company only: 08 15 (Westfield Group, 7 filings).
1 other edition date appears in one or two filings each, often carrier-specific versions: 08/01/15.
Where filings record what this form replaced, they name other forms SF-353. 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 4 companies filed 10 00.
- The 08 15 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 10 (Additional Interests - Residence Premises) is filed alongside it most often, in 94 of the same filings (100%).
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Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Aug 2026, excluding withdrawn and rejected filings.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 HO 04 53, out of 26 in total.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| Armed Forces Insurance Exchange | 29 | 29 | 04 9110 00 | Aug 27, 2026 |
| Insurance Services Office, Inc.Advisory Organization | 9 | 9 | 03 22 | Dec 4, 2024 |
| Westfield GroupOld Guard Insurance Company | 9 | 9 | 08 1508/01/15 | May 29, 2026 |
| Acuity, A Mutual Insurance Company | 8 | 8 | 03 22 | Jul 2, 2026 |
| Encova Mutual Insurance Group3 group companies filed it, led by Motorists Mutual Insurance Company and MICO | 6 | 6 | 10 00 | Apr 24, 2023 |
| American Family Insurance Group5 group companies filed it, led by Grain Dealers Mutual Insurance Company and NGM Insurance Company | 5 | 2 | 03 2204 9110 00 | Jan 17, 2025 |
| 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 |
| Hartford Fire & CAS Group9 group companies filed it, led by Hartford Accident and Indemnity Company and Hartford Casualty Insurance Company | 2 | 2 | 10 00 | Mar 29, 2024 |
| Midwest Family GroupMidwest Family Mutual Insurance Company | 2 | 2 | 10 00 | Jul 25, 2022 |
How the largest insurers handle HO 04 53
Groups among the largest homeowners insurers that filed HO 04 53 or their own version in the past five years.
- Allstate Insurance GroupFiles its own version: AVP643 Credit Card, Electronic Fund Transfer Card or Access Device, Forgery and Counterfeit Money Coverage (1 state)
See more forms
Search related forms, compare editions, and research carrier filings with FilingFocus.
States
Number of filings that include HO 04 53 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 10Additional Interests - Residence Premises94 filings
- HO 24 71Designated Business Pursuits Liability Coverage86 filings
- HO 04 41Additional Insured - Residence Premises84 filings
- HO 04 48Other Structures on the Residence Premises - Increased Limits84 filings
- HO 04 40Structures Rented to Others - Residence Premises83 filings
- HO 24 70Additional Residence Rented to Others 1,2,3 or 4 Families83 filings
- HO 00 03Homeowners 3 - Special Form82 filings
- HO 00 06Unit-Owners 6 - Broad Form80 filings
- HO 04 12Increased Limits on Business Property80 filings
- HO 04 92Specific Structures Away From the Residence Premises - Actual Cash Value Loss Settlement79 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 | 10 00 | ARMD-134961669 |
| Aug 14, 2026 | Builder Reciprocal Insurance Exchange | NM | 10 00 | BRIE-135052376 |
| Jul 2, 2026 | Acuity, A Mutual Insurance Company | IL | 03 22 | ACUT-134943551 |
| Jun 24, 2026 | Acuity, A Mutual Insurance Company | IN | 03 22 | ACUT-134949931 |
| Jun 10, 2026 | Acuity, A Mutual Insurance Company | AZ | 03 22 | ACUT-134943550 |
| Jun 10, 2026 | Acuity, A Mutual Insurance Company | WI | 03 22 | ACUT-134943553 |
| Jun 9, 2026 | Acuity, A Mutual Insurance Company | IA | 03 22 | ACUT-134943552 |
| Jun 9, 2026 | Acuity, A Mutual Insurance Company | KS | 03 22 | ACUT-134949932 |
| Jun 9, 2026 | Acuity, A Mutual Insurance Company | MO | 03 22 | ACUT-134949934 |
| Jun 3, 2026 | Acuity, A Mutual Insurance Company | TN | 03 22 | ACUT-134949935 |
| May 29, 2026 | Old Guard Insurance Company | MI | 08 15 | WSFG-G134947110 |
| May 14, 2026 | Armed Forces Insurance Exchange | MO | 10 00 | ARMD-134865546 |
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
See more carrier forms
Search forms by carrier, line of business, state, and wording with FilingFocus.