Coverage description
An Insurance Services Office (ISO) standard form. It removes premium and losses from your exposure under the listed aviation classifications from the retrospective rating agreement.
Editions
Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.
| Edition | Filings | Companies | States | Filed |
|---|---|---|---|---|
| 04 84Apr 1984Latest | 79 | 57 | 10 | Nov 2021 to Oct 2026 |
What the filings show
- Edition in use: in the past 12 months, 14 companies filed the 04 84 edition.
- IL 09 21 (Retrospective Premium Endorsement - Short Form) is filed alongside it most often, in 79 of the same filings (100%).
Filed under
Commercial General Liability 58Other Liability 7Commercial Package 4Commercial Auto Combinations 3Other other liability 3Commercial Interline Filings 1
Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Oct 2026, excluding withdrawn and rejected filings.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 IL 09 22, out of 33 in total.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| Siriuspoint GroupSiriusPoint America Insurance Company | 8 | 3 | 04 84 | Jun 15, 2026 |
| Nationwide Corporation Group7 group companies filed it, led by Allied Insurance Company of America and Nationwide Agribusiness Insurance Company | 6 | 3 | 04 84 | Feb 12, 2025 |
| Markel Corporation Group2 group companies filed it, led by State National Insurance Company, Inc. and City National Insurance Company | 5 | 3 | 04 84 | Oct 22, 2026 |
| Sompo GroupSompo America Insurance Company | 5 | 1 | 04 84 | Jun 18, 2026 |
| Tokio Marine Holdings Incorporated GroupSafety National Casualty Corporation | 5 | 1 | 04 84 | Feb 17, 2026 |
| American International Group3 group companies filed it, led by Granite State Insurance Company and Illinois National Insurance Co. | 4 | 2 | 04 84 | Sep 15, 2023 |
| CNA Insurance Group6 group companies filed it, led by American Casualty Company of Reading, Pennsylvania and Continental Casualty Company | 4 | 4 | 04 84 | Oct 6, 2026 |
| AU Holding Company GroupContinental Indemnity Company | 3 | 3 | 04 84 | May 3, 2024 |
| Ascot Insurance US Group4 group companies filed it, led by Ascot Insurance Company and AmFed Advantage Insurance Company | 3 | 3 | 04 84 | Oct 13, 2023 |
| Church Mutual GroupChurch Mutual Insurance Company, S.I. | 3 | 1 | 04 84 | Dec 22, 2022 |
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States
Number of filings that include IL 09 22 in each state, Oct 2021 to Oct 2026. Darker states have more filings.
Often filed with
Standard-style form numbers that appear in the same filings most often.
- IL 09 21Retrospective Premium Endorsement - Short Form79 filings
- IL 09 23Retrospective Premium Endorsement - Exclusion of Retrospective Development Factors79 filings
- IL 09 11Supplement to Retrospective Premium Endorsement (Final Premium Computation)78 filings
- IL 09 18Retrospective Premium Endorsement - One Year Plan - Multiple Lines76 filings
- IL 09 19Retrospective Premium Endorsement - Three Year Plan - Multiple Lines76 filings
- IL 09 20Retrospective Premium Endorsement - Long Term Construction Project - Multiple Lines73 filings
- CG 20 02Additional Insured - Club Members72 filings
- CG 20 25Additional Insured - Elective or Appointive Executive Officers of Public Corporations71 filings
- CG 22 29Exclusion - Property Entrusted71 filings
- CG 22 47Exclusion - Saline Substances Contamination71 filings
Recent filings
Latest filings that include this form number. Filed copies open in FilingFocus.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Oct 22, 2026 | State National Insurance Company, Inc. | CO | 04 84 | STNA-135128706 |
| Oct 6, 2026 | American Casualty Company of Reading, Pennsylvaniaand 5 more | CA | 04 84 | CNAB-135091690 |
| Jun 18, 2026 | Sompo America Insurance Company | CO | 04 84 | SMPJ-134985965 |
| Jun 17, 2026 | Atlantic Specialty Insurance Company | NM | 04 84 | BEAC-134983795 |
| Jun 17, 2026 | Atlantic Specialty Insurance Company | SC | 04 84 | BEAC-134983796 |
| Jun 15, 2026 | SiriusPoint America Insurance Company | CO | 04 84 | MRTN-134978899 |
| Jun 15, 2026 | SiriusPoint America Insurance Company | CO | 04 84 | MRTN-134978902 |
| Mar 24, 2026 | American Casualty Company of Reading, Pennsylvaniaand 5 more | TX | 04 84 | CNAB-134846595 |
| Mar 20, 2026 | American Casualty Company of Reading, Pennsylvaniaand 5 more | CO | 04 84 | CNAB-134872676 |
| Feb 24, 2026 | American Casualty Company of Reading, Pennsylvaniaand 5 more | SC | 04 84 | CNAB-134851008 |
| Feb 17, 2026 | Safety National Casualty Corporation | CO | 04 84 | SFCC-134814522 |
| Feb 6, 2026 | Crum and Forster Indemnity Company | CA | 04 84 | CRUM-134831877 |
Most filed ISO IL forms
- IL 00 17 Common Policy Conditions
- IL 12 01 Policy Changes
- IL 00 21 Nuclear Energy Liability Exclusion Endorsement (Broad Form)
- IL DS 00 Common Policy Declarations
- IL 09 85 Disclosure Pursuant to Terrorism Risk Insurance Act
- IL 00 03 Calculation of Premium
- IL 09 52 Cap On Losses From Certified Acts Of Terrorism
- IL 09 53 Exclusion of Certified Acts of Terrorism
- IL 09 98 Disclosure of Premium Through End of Year For Certified Acts of Terrorism Coverage (Pursuant to Terrorism Risk Insurance Act)
- IL 09 35 Exclusion of Certain Computer-Related Losses
- IL 09 99 Disclosure of Premium and Estimated Premium for Certified Acts of Terrorism Coverage (Pursuant to Terrorism Risk Insurance Act)
- IL 09 17 Resident Agent Countersignature Endorsement
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