Roof damage is the most common type of hurricane insurance claim we see after a hurricane, wind storm or hail event.  Wind from hurricanes and tropical storms can cause substantial roof damage – whether just a few loose shingles or the total destruction of the entire roof structure.  Even worse, any opening in your roof can cause water to enter your home and devastate your belongings.  Hail can also cause severe damage and greatly reduce the functional life of your roof.

After a roof damage loss, it is crucial to get your roof repaired or replaced as soon as possible.  The longer you wait, the more time there is for additional damage to be caused by water loss.  On the other hand, if full repairs are not completed and only a quick patch job is performed, you may be asking for an even greater problem down the road.

The question whether to repair or replace a damaged roof is hotly debated by insurance companies and their policy holders.  During this epic struggle, you will most likely hear terms and phrases such as the “25% Rule”, the brittle shingle test, asphalt granular shingle loss and shingle bruising.  In order to help better understand your insurance claim, we’ve provided a quick summary of these terms below.

The 25% Roof Replacement Rule of the Florida Building Code

The most commonly referenced roof damage term is the 25% Rule.  The 25% Rule arises out of Section 708.1.1 of the Florida Building Code.  The pertinent portion of this Code Section states as follows:

Not more than 25 percent of the total roof area or roof section of any existing building or structure shall be repaired, replaced or recovered in any 12 month period unless the entire roofing system or roof section conforms to requirements of this code.

There are a couple of important points to keep in mind with this Code Section.  First, if a more than 25% of your roof is damaged – either from a fallen tree, high winds, or otherwise – then the entire roof must be replaced.  If less than 25% of any portion of your roof is damaged, then (at least pursuant to this Code Section) the roof can just be repaired or patched.  Secondly, the 25% can be measured by any given section of the roof.  If more than 25% of any given section of the roof is damaged, then that section must be replaced and not merely repaired.  Thirdly, there is a 12 month time frame over which this 25% is calculated.  For example, if the initial damage does not reach the 25% threshold for replacement, but then over the next 12 months, additional repairs are required that cause the damage to go beyond the 25% threshold, then the entire roof section must then be replaced.

The Brittle Shingle Test

The brittle shingle test is a super scientific testing method whereby an inquisitive person picks up a shingle, tries to fold or bend the shingle up to a 90 degree angle, and then checks to see if the shingle breaks or bends.  If the shingle breaks, then the shingle is brittle and the roof probably needs to be replaced.  If, on the other hand, the shingle is still pliable and bends, then the roof is not a candidate for replacement (or so the insurance representative would say).  This testing method is clearly subject to many variables (temperature of shingle being tested, etc.), but is often used by insurance companies as “proof” that the roof shingles are still functional.

Shingle Granular Loss

Asphalt granular shingle loss is generally calculated to occur at about a 3% rate per year.  Unfortunately, damage from wind or bruising by hail can accelerate this loss by anywhere from 15% to 40%.  Even if the damage doesn’t totally destroy the shingle or make an opening all the way to the matting, the artificially accelerated “aging” of your roof may be a covered loss under your insurance policy.  The theory is that prior to the storm you had a roof with (hypothetically) 15 years of remaining life, but now after the storm damage, you left with a roof with only 5 years of useful life left.

Shingle Bruising

Shingle bruising is usually caused by hail damage.  When hail strikes an asphalt shingle, it can cause a localized loss of granules, usually circular in shape, to the shingle and a fracture in the mat beneath the shingle.  The damage to the mat is usually referred to as a bruise and can be indicative of damage to the functional ability of the roof.  Bruising and hail damage to a roof can cause a diminution of the water shedding ability of the shingle and a reduction in the functional life of the roof.  Bruised shingles need to be replaced as such damaged shingles are no longer able to keep water and other elements from entering the structure.

Get Experienced Help for your Hurricane Insurance Claim

Please know that many of these determinations are very subjective and, unless you have a working knowledge of building construction and a mastery of the coverages available under your insurance policy, you may not be best equipped to handle your property damage claim by yourself, and may want to discuss your claim with an experienced property insurance claim attorney.  Should you have any questions whatsoever, please contact our office and we will help guide you through whatever issues you may have with your insurance damage claim.

 

After a hurricane, storm or other disaster, you hoped that your property insurance company would honor your claim and pay for your damages.  After all, you purchased homeowners insurance with the expectation that, if a catastrophic loss ever occurred, your insurance company would provide for the repair of your property back to its pre-loss condition.  Unfortunately, as many homeowners are now experiencing after Hurricane Irma, property insurance companies do not always live up to policyholders’ expectations.

During the initial inspection, the insurance company’s adjuster may have even indicated to you that your damages would be covered and that the insurance company would “take care of everything”.  Then, after not hearing from the adjuster for a few weeks, you received a check in the mail for not only substantially less than you hoped for, but nowhere near enough to repair all of your damages.  What happened?

Denying Claims Based On Pre-Existing Damage Defense Or Other Exclusions

The insurance company’s first weapon to underpay your claim is the denial of all or a large portion of your damages.  This denial could be a claim that your damage pre-existed the insurance policy period, that your damage was not the result of the subject weather event, that your damage is specifically excluded under the policy, or any other reason manufactured by the insurance company.

Limiting Scope of Repairs and Undervaluing Value of Damages

If the insurance company cannot find a way to deny your claim, they will then try to underpay or undervalue the cost of repairing your damage.  The insurance company will attempt to limit the scope of your repairs (the actual items to be repaired) and/or limit the actual cost allowed for such repairs.  Insurance companies have created quite a cottage industry for contractors, adjusters, and other “experts” who are retained specifically for the purpose of minimizing the valuation of your damage claim.

Aggressively Depreciating the Value of Your Property

The insurance company’s next weapon is the application of depreciation.  Pursuant to Florida law, the insurance company only has to pay the Actual Cash Value of your damages after a loss.  In short, Actual Cash Value (ACV) is the “garage sale value” of your items, and not the current cost to repair or replace same.  It is only after you totally repair or replace the damaged items that the insurance company has the obligation to pay the Replacement Cost Value (RCV) of your damaged items.  The insurance company takes the Replacement Cost Value of your damaged property, and then subtracts an estimated “depreciation” amount in order to get the Actual Cash Value which it pays to you.  As you can imagine, this process is replete with subjective calculations (who says what the current value of my two year old TV is?  How is my roof depreciated by 40% in four years?) and the subject of many disputes.

Applying High Hurricane Deductibles

Perhaps the biggest – or at least, the most apparent – slap in the face by the insurance company is the application of a deductible to your loss payment.  If your loss is not the result of a hurricane or named storm, the deductible may only be $1,000.00 or so, but if your damage is the result of a hurricane or named storm, then your deductible may be substantially higher.  We have written about the application of hurricane deductibles in a previous post, so we will ease the pain by not repeating that narrative here.  Needless to say, these deductibles can come as quite a shock – especially when the insurance company’s calculation of your damages somehow “magically” comes in at just below the amount of your deductible.

The presentation of an insurance claim for property damage from a hurricane or other type of loss can be a minefield.  Without the help of an experienced lawyer or other professional, you run the risk of having your property claim severely underpaid or even outright denied.  If you believe you are not being treated fairly by your insurance company, or if you just have questions regarding the process, please feel free to contact our office and we will do our best to assist you.

 

When dealing with a hurricane or tropical storm, surviving the weather event is often only the beginning of the battle.  The insurance company’s constant nit-picking of your claimed losses can drive you bonkers – especially while you are trying to put the rest of your life back together.  Then, just when you think you may have worked out a reasonable resolution of your claim, the insurance representative says, “Oh, and by the way, we are going to apply a hurricane deductible to your loss amount.”

The Named Storm Deductible or Hurricane Deductible can take a huge bite out of your ultimate insurance claim recovery.  Although some policies may vary, most homeowner insurance policies in Florida provide for a 10% deductible for hurricane or named storm claims.  The real kicker though, is that this deductible is calculated as 10% of your POLICY amount, not of your claim amount.  For example, let’s say you have a $500,000 policy of homeowner’s insurance, and then have the misfortune of incurring a $75,000 hurricane damage loss.  After the application of the $50,000 deductible (10% of $500,000), the insurance company would only be obligated to pay you $25,000 for your loss.  Good thing everybody always keeps a spare $50k around for just this type of emergency – right?

Dealing with the application of a hurricane deductible is another reason why you should never try to handle a catastrophic insurance loss without professional assistance.  Whether you choose an insurance claim attorney or a public adjuster, either professional would handle the property insurance claim on a contingency fee basis and would only get paid if they bettered your recovery.  Should you have any sort of questions whatsoever about either your insurance policy or the claims process, please feel free to contact our office anytime.

Even as the internet is full of Hurricane Harvey damage pictures, another storm is quickly approaching Florida from the eastern Atlantic.  Tropical Storm Irma – soon to be Hurricane Irma – is projected to be a major storm and may make landfall along Florida’s coastline.  The time is now to stop looking at flood pictures in Texas and realize that we could be in the same situation – or worse – if a major storm hit our shores.

Please take a moment to review my previous post on the crucial steps you need to take in order to protect your family during the storm.  Also, you can click here to download a detailed Hurricane Supply Checklist.  Make sure you obtain all or as many of these items as possible, because you may have to fend for yourself and your family for an extended period after the storm.

If you don’t already have adequate property insurance coverage, then it is mostly likely too late for you.  Sorry, but it is not like we didn’t warn you.  If you do have a solid policy of homeowners insurance, then at least you know that you will be able to seek recovery from your insurance carrier for any property loss you may incur.

If you have any questions regarding your property insurance coverage or need help with your claim, please either contact us online or call our office at (888) 898-5297.

Flooded.HouseAfter a flood or other substantial water event, flood insurance policy holders are often surprised to learn what is covered by their flood policy – and more surprisingly, what is NOT covered under their flood insurance policy.  As I have written about before, flood insurance is totally separate from homeowners insurance, and both provide separate coverage for different types of loss.  Specifically, homeowners insurance does not cover water damage from flood.

In order to qualify for coverage under your flood insurance policy, there must have been a “flood” in your area.  A “flood” condition occurs when water covers at least two acres of land that is normally dry, or if the water condition has damaged two or more properties in your area.  Additionally, this water has to come from either (1) overflowing or inland tidal waters, (2) unusual, rapid accumulation or runoff of surface waters from any source, or (3) mud flow (defined as mud that is carried by a flow of water, thereby creating a river of mud).  Depending on the circumstances, there may also be coverage for waterfront land that collapses or sinks as the result of water that is above anticipated cyclical levels.  Importantly, damage caused by water that overflows out of sinks, toilets, sewers, or similar sources does not qualify for flood insurance coverage, but should instead be covered by your homeowners insurance policy.

The maximum available coverage limit for flood insurance is currently $250,000.00 for your principal dwelling and $100,000.00 for personal property.  Unlike the coverage available under your homeowner’s insurance policy, the building coverage provided under your flood insurance policy is very specific as to what it covers – and what it doesn’t cover.  In order to avoid a lot of heartache later, you may want to review your policy before a loss in order to better understand the limited coverage that flood insurance actually provides.  You can click HERE to see a listing by FEMA as to the specific items that are currently covered under the standard National Flood Insurance Program policy.

The coverage for personal property loss under flood insurance is even more limited – especially for personal items in a basement.  In general, the only personal property covered below the “lowest elevated floor” would be your laundry equipment, freezer (but not refrigerator!), and portable air conditioner.  There is no coverage for any flooring, drywall, window treatments, or any other type of personal property (furniture, electronics, etc.) stored in your basement or below the lowest elevated floor.  As an additional jab, your flood insurance policy only covers your personal property on an “actual cash value basis”, as opposed to what you actually paid for the items or what it would take to replace them.

There is no flood insurance coverage for any loss of use, additional living expenses, or temporary housing while your home is being repaired.  There is also no coverage for any loss of business income.

As you can imagine, the flood insurance policies issued by the National Flood Insurance Program are not overly consumer friendly and really only provide the most basic of coverage.  Should you ever have questions regarding the coverage available under your insurance policy or the manner by which to submit a claim, please feel free to contact our office and we will do our best to answer any questions you may have.

 

do-i-really-need-flood-insuranceMost people believe that when they buy homeowner’s or commercial property insurance that they will be covered for any damage that may occur to their property.  Unfortunately, as many people have painfully learned during recent flooding events, the normal policy of homeowner’s property insurance does NOT provide coverage for damage caused by “rising water” or flood.  This realization often comes too late for property owners and only after catastrophic damage has occurred to their property due to a flooding event.

The usual policy of homeowner’s insurance will only cover storm related water damage if it is caused by “wind blown” water, as opposed to “rising” water.  A good example of “wind blown” water would be water that comes through a broken window or a roof opening caused by the storm.  On the other hand, damage caused by the buildup of rain water which eventually enters the structure and causes flooding-type damage would not be covered under the standard policy of homeowner’s insurance.

As can be easily imagined, disputes often arise between property owners and their insurance companies over whether damage was caused by “rising” water as opposed to “wind blown” water.  The property insurance company, obviously, would like to prove that the damage is from a flood event – and thereby not covered under its insurance policy – whereas the property owner would advocate that the damage was the result of water entering through an opening in the structure and thereby covered under the policy.

The best and safest course of action is for all property owners to obtain both property insurance and flood insurance – regardless of whether or not their structure is located in a flood zone.  If you ever find yourself in a dispute with your property insurance company as to whether your damage is covered under your insurance policy, it is best to seek the advice of an attorney who specializes in property insurance claim matters.

capture87As Tropical Storm Erika was quickly approaching landfall a few weeks ago, Floridians were correctly focused on preparing for the high winds and water that could have caused an unknown amount of damage.  As important as pre-storm preparation is, the steps you take immediately after the storm are also crucial with regard to your ability to adequately present a claim with your insurance company for the damage to your property.

Your first priority after the storm needs to be the safety of your family.  After the safety of your family is assured, you need to thoroughly document the damage to your property.  With the advent of cell phone cameras and other video devices, it is easier than ever to memorialize the damage caused by the storm and to easily provide same to your insurance carrier.  Hopefully, you also have pictures and other documentation from before the storm so that you can demonstrate to the insurance company the nature of your property and the condition of same prior to the damage.

As soon as communications allow, you should also immediately place your insurance company on notice of your loss.  Many insurance policies are now written to specifically mandate “immediate” notice of a loss, and insurance companies will often spend lots of money defending against the payment of your claim based upon an alleged “late notice” defense.  After notification of your claim, the insurance company will send an adjuster to your property to inspect the damage.  It is crucially important that you point out any and all damage to your property so that the damage can be documented.

Remember, even though the adjuster may be friendly and professional, he or she is not an advocate for the full payment of your loss.  The adjuster is employed solely by the insurance company and, whether consciously or unconsciously, his goal will be to provide the least amount of coverage for your damage.   If you are not satisfied with the treatment, coverage or payment provided to you by your insurance company, it is advisable to contact an attorney or other professional who has experience with handling property insurance claims.  Most of these professionals work on a contingency fee basis and offer a free initial consultation, so there are no out of pocket costs to obtain help with your storm damage insurance claim.

 

Hurricane WindsAs we watch Hurricane Danny approach the Gulf, it is hard to believe that 10 years have passed since Hurricane Charlie and three other storms caused massive damage and property insurance claims throughout Central Florida.  Although the passage of time makes it easy to think that such storm damage is unlikely to happen again, we are not immune from further visits from Mother Nature.

It is important to prepare for the eventuality of a hurricane strike now, instead of waiting until the winds begin to blow before getting your family and property ready for the storm.  First, make sure to map our your evacuation route so that if you are ordered to leave (or just want to), you already know where to go and how to get there.  Whether or not you plan to evaluate, it is crucial that you stock up on water, non-perishable foods, and power sources (batteries).  It is also important to have a reliable radio so that you can stay informed as to the storm’s progress and any evacuation instructions.  Don’t forget about your pet either, as many shelters do not allow animals and leaving Fido in the back yard is not a very good option.

Hopefully, long before the arrival of a hurricane or storm, you reviewed your policy of property insurance to verify the coverages that exist for damage caused by high winds and water.  Be aware that certain rules, exclusions and deductibles apply for damage caused by a hurricane or storm, so if you have any questions, it is advisable to seek the advice of a professional with experience handling such issues.

Lightning StrikesAlthough it doesn’t get the same attention as Florida’s other natural disasters, lightning damage led to more than 10,000 insurance claims in Florida over the past year.  Florida ranks first in the nation for both injuries caused by lightning strikes and insurance claims caused by lightning related damage. The estimated total property damage caused by lightning over the past year in Florida was nearly 74 million dollars.

Although it is impossible to predict when and where lightning will strike, it is possible to reduce the risk of lightning damage.  By installing a lightning protection system, you can essentially “ground” your property and thereby allow the damaging lightning to dissipate into the ground.  Although such systems are not perfectly reliable, they do lessen the risk of damage to your property by keeping the electricity away from the building materials which can’t handle the full force of the lightning.  Many experts also recommend the installation of lightning rods and the use of surge protectors on any electronics.

Even with such precautions, it only takes one direct lightning strike for your entire structure to go up in flames.  As always, it is important to verify that you have the appropriate property insurance coverage to protect you in case Mother Nature decides to pay your house a visit.  Should you have questions regarding what coverage may be available under your property insurance policy, contact an experienced insurance claims attorney and discuss what options are available to you under your insurance policy.

 

 

The  severe weather that recently swept through the area left many property owners with damage to their roofs from the storms and high winds.  When massive storm damage appears, the environment is ripe for an illegal activity that often plagues Florida – roofing scams.

The usual manner by which these roofing scams play out is that an alleged “roofer” contacts a property owner and claims that the roofer can act as an insurance adjuster to help the property owner with the insurance claim.  The crooked roofer will promise the world to the property owner in order to get the property owner to hire the roofer to “handle” the claim, and may also request that the property owner assign to the roofer all rights to any of the proceeds of the insurance claim.  The roofer will then perform substandard repairs to the property and submit an inflated bill for these services to the insurance company.  The roofer will often times, as an “additional service” to the property owner, attempt to trick the insurance company into paying for other (non-roof) portions of the property by hiding/misnaming such costs in his bill for roofing repairs.  Many of these crooked roofers are fly-by-night operators that merely swing into town after a storm event and then, once the work dries up, move on to the next town – with no intention of standing behind their roofing repairs or providing any sort of warranty.

This activity is not only unethical, but illegal as well.  Before you hire a roofing contractor, make sure you research the contractor’s track record with the Better Business Bureau and make sure the contractor provides accurate contact information in case there is an issue with their work.  Lastly, if you ever have a dispute with your insurance company, it doesn’t make sense to hire a roofing company to advocate your claim – hire either a licensed public adjuster or an attorney with experience handling insurance claim disputes.