1. I have reported my claim, now what should I do?
You should take all steps necessary to prevent further damage -- securing
property, temporarily boarding windows and roof, drying out carpets and
personal property, etc. If the insured does not do this and further damage
results, it may not be covered.
You should not undertake any permanent repairs, nor dispose of any damaged
property before an adjuster has been able to see the damage. In the case of
perishable items (i.e., food) that must be disposed of, first take
photographs of that property to substantiate the claim. If you do not comply
with this requirement, some damages may not be covered.
You should retain all receipts for emergency repairs and for items which
might qualify under additional living expenses (such as water, ice, rental
charges at another location if the home is uninhabitable, etc.).
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3. What if my home is so damaged I can't stay in it?
Under most homeowners and dwelling forms, coverage is provided for Additional
Living Expenses. If the home is uninhabitable due to a covered peril and you
must temporarily relocate, most policies will reimburse for the reasonable
expenses incurred over and above your normal living costs. For example, it
would probably cover all reasonable housing expenses since you will be paying
a mortgage payment, but would only cover food expenses over and above what
the policyholder normally would pay for food.
It is imperative that you retain all receipts for these expenses in order for
them to be considered as a part of the loss. The expenses must be in line
with normal living costs and must be a necessary and direct result of the
loss.
Most policies limit recovery under Additional Living Expenses to a percentage
of the amount of coverage on the home itself.
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7. The adjuster was here last week and I still haven't gotten my check. How long is this going to take?
After the adjuster has visited the insured, he must complete detailed
paperwork on the loss which is subsequently submitted to the carrier for
review. After everything has been checked, the carrier will issue the claims
draft to the insured. If the adjuster is carrying a heavy claim load, there
is often quite a delay in completing the paperwork by the adjuster, since
they generally must do this at night, as well as the delay at the company as
it deals with thousands of claims to review at one time. Often, an insurance
agent can check with the adjuster to find out exactly when the paperwork was
submitted to the carrier. If the papers have been sent in, the company may
also be able to provide a status report.
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9. What is the difference between Actual Cash Value and Replacement Cost
Coverage?
If the policy indicates that settlement will be on a replacement cost basis,
then payment will be made for the actual cost to repair or replace at today's
prices, limited only by the total amount of coverage that was purchased.
If the adjustment basis is actual cash value, settlement will be made by
determining the replacement cost at today's prices and subtracting from that
amount a reasonable amount for depreciation, age or obsolescence. Some
policies provide coverage for the home on a "Guaranteed Replacement Cost"
basis. In this situation, the carrier will pay whatever it costs to repair or
rebuild the home, regardless of policy limits.
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10. I have a flood policy. What does it cover?
This policy covers only one peril -- damage from flooding (including rising
waters, mud slides and certain damages from erosion). Not all flood policies
cover both building and contents. Additionally, all flood policies carry a
deductible that applies separately to both building and contents losses.
There are many types of property that are not covered under a flood policy,
including property in the open, certain property in basements, trees, plants
and shrubs, driveways, foundations, piers, sidewalks, docks, etc. Also, there
are other types of property for which coverage is provided for only a very
limited amount (for example, $250 for jewelry, furs, silver, gold, fine arts
and similar items). Reimbursement for additional living expenses are not
provided under the flood policy.
Replacement coverage is provided under the flood policy for dwellings only if
the home is the primary residence of the insured and is insured for at least
80% of its replacement cost (or the maximum available under the program). All
other losses are adjusted on an actual cash value basis, including losses to
contents, and losses to other items such as carpeting, antennas, awnings,
appliances and miscellaneous outdoor equipment.
Unfortunately, many people discover they are not eligible for replacement
coverage on their building due to under-insurance. Quite often, they only
purchase this coverage at the time they are closing on a home because the
lender requires it. Generally, they purchase only enough coverage to satisfy
the mortgagee, rarely update this amount and often don't purchase coverage
for their contents.
Founded in 1931, PIA is a national trade association which represents more
than 180,000 member insurance agents and their employees who sell and service
all kinds of insurance, but specialize in coverage of automobiles, homes and
businesses.
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SOURCE: National Association of Professional Insurance Agents