Archive for the ‘Condo’ Category

Water Damage Claims: What You Should Know   Leave a comment

Water Damage Claims: What You Should Know

water damage

Did you know that over 50 percent of claims involve water damage? Some examples include pipe, supply line, and appliance failures, as well as roof or window leaks. It is very important that any damage caused by water is addressed and remediated early on during the life cycle of the claims process.
It is recommended that homeowners do not attempt to deal with the water damage themselves. A better solution is to hire a certified water restoration professional. Most insurance companies and agencies maintain a database of certified water extraction vendors that must meet strict guidelines to ensure superior customer service. As an added value to the policyholder, our knowledgeable Customer Service Representatives can put the policyholder directly in touch with one of our preferred water extraction vendors while on the line. This practice guarantees our policyholders have a trained professional in their home to assist in the drying process.
Prompt response to drying out the home is crucial in preventing further damages. Experiencing a water loss to your home can be extremely stressful, so let us help you by recommending a preferred vendor that in trained and meets rigid standards. If you have any questions, feel free to ask one of our staff at (239) 656-5551

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Citizens Homeowner Policy Coverage Gaps   Leave a comment

Citizens Homeowner Policy Coverage Gaps

In making a decision to use Citizens (either voluntarily or involuntarily), the customer needs to understand the differences between a Citizens policy and a standard Insurance Service Office (ISO) policy. This article summarizes some of the more significant differences, yet is not a complete “line by line” analysis of the policies in question.

Note: Our comparison uses the standard ISO HO-3 policy with an edition date of 04/91, the policy used by Citizens. Many carriers have filed modified ISO coverage forms, others filed “me too” type policies matching Citizens, and still others have their own unique forms; so, you must be diligent in your comparisons with each client who requests to move to Citizens. Remember, too, some carriers use the ISO “HO-2000” program forms now; ISO has even rolled out a 2011 revision to the homeowners program that is likely not being used yet by many carriers. Additionally, the coverage provided by some standard companies provides even more “bells and whistles” than the basic ISO policy. Comparing a Citizens policy to one from companies who provide “upscale” coverage would reveal even more dramatic differences.

Additional exclusions and coverage reductions are planned with Citizens. Those future changes are also addressed here.

Current Gaps 

Assessments 

No discussion about a Citizens policy is complete without a reminder (and warning) of the huge potential assessment faced by Citizens’ policyholders in the event that Citizens does not have adequate funds to pay for losses, as much as 45 percent of the premium of the policy. Policyholders should carefully review the assessment potential as outlined by the Citizens’ article available by clicking here. As one agent said, “I tell my customer that the cheapest choice today may be the most expensive choice after the loss.”

Coverage D: Loss of Use 

Citizens: 

Coverage D is ten percent of Coverage A and is limited to 24 months.

ISO: 

Coverage D is twenty percent of Coverage A and does not have a limit of 24 months.

Coverages B & C and Catastrophic Ground Cover Collapse 

Citizens: 

“Catastrophic” coverage applies only to the “principle building.” Damage to other structures is not covered. Personal property in an other structure is not covered for this peril either.

ISO: 

No such limitation.

Coverage C: Food in Refrigerators and Freezers 

Citizens: 

Limited to $500. No coverage for food in refrigerators and freezers off premises.

ISO: 

No such limitations.

Coverage C: Theft Peril 

Citizens: Theft on premises is covered. Theft coverage applies off premises only if the property was stolen from a public warehouse, bank, or safe depository company.

ISO: 

No such limitation.

Coverage A: Constant or Repeated Seepage or Leakage 

Citizens: 

Excluded is damage caused by constant or repeated seepage or leakage of water or steam, or the presence or condensation of humidity, moisture or vapor; which occurs over a period of time, whether hidden or not and results in damage such as wet or dry rot, “fungi,” deterioration, rust, decay or other corrosion.

ISO:  

No such exclusion. This exclusion was removed from the ISO policy in 1991. Losses such as a slow leak from a water line or HVAC unit are typical claims under this peril.

Fungus 

Citizens: 

Limitation of $10,000 for damage caused by fungus, wet or dry rot, yeast, or bacteria.

ISO: 

No such limitation, although many carriers impose a limit.

Section I: Vacancy Limitations 

Citizens: 

If the dwelling has been vacant for more than 30 consecutive days prior to a loss, there is no coverage for damage caused by vandalism, sprinkler leakage, glass breakage, water damage, theft, or attempted theft. Payment for damage caused by any other peril is reduced by 15 percent.

ISO: 

The limitation applies only to damage caused by vandalism. The more restrictive Citizens language closely tracks the wording found in ISO’s commercial property program.

Animal Liability 

Citizens: 

There is no coverage under Coverage E, Personal Liability for bodily injury caused by an animal owned by or in the care of the insured, whether on or off premises.

Coverage F, Medical Payments to Others provides coverage for such claims only if the occurrence takes place off of an “insured location.”

ISO: 

No such exclusion, although many carriers have similar exclusions.

Liability and Medical Payments Limits 

Citizens: 

Maximum Coverage E limit available is $300,000. Maximum Coverage F limit available is $2,000. (See discussion below about further reductions to $100,000 maximum below.)

ISO: 

Limits of $500,000 and $5,000 are available. Some carriers offer even higher limits.

Section II: Lead Paint 

Citizens: 

There is no coverage for bodily injury or property damage resulting from the ingestion or inhalation of paint that has lead or lead compounds in it.

ISO: 

No such exclusion.

Section II: Radon 

Citizens: 

There is no coverage for bodily injury or property damage resulting from radon or any substance that emits radon.

ISO: 

No such exclusion.

Endorsements and Coverages Not Available (Current Gaps) 

While not all inclusive, the list below details some of the common coverages and endorsements not available under a Citizens policy.

  • Personal property limited to 50 percent of Coverage A with no option to increase above that limit.
  • “Special” property coverage (HO-15 or HO-5) not available.
  • Water/sewer back coverage not available.
  • Increased loss assessment above $3,000 not available.
  • Scheduled property (floaters) coverage not available.
  • Increased special limits of personal property (jewelry, furs, etc.) not available.
  •  
  • Watercraft liability endorsement not available.
  • Inability to schedule other structures off premises.
  • Liability coverage cannot be extended to other locations (rental property or vacation home)
  • Business pursuits liability not available.
  • Personal injury liability not available.

Changes Effective 1/1/12  

New and Renewal Policies 

Coverage A: Property Not Covered 

Citizens: 

The following property is not covered and there is no buy-back option:

  • Any structure enclosed by screens on more than one side, constructed to be open to the weather, and not constructed of and covered by the same or substantially the same materials as that of the primary dwelling.
  • Carports, open sided porches that have a roof covering, and patios that have a roof covering, not constructed of and covered by the same or substantially the same materials as that of the primary dwelling.
  • Any structure or attachment where that structure’s roof coverings or exterior wall coverings are of thatch, lattice, slats, or similar material.
  • Slat houses, chickees, tiki huts, gazebos, cabanas, canopies, pergolas, or similar structures, constructed to be open to the weather.
  • Awnings, aluminum carports, and aluminum framed screened enclosures.

ISO: 

No such exclusions.

Coverage B: Property Not Covered 

Citizens: 

The following property is not covered and there is no buy-back option:

  • Any structure enclosed by screens on more than one side, constructed to be open to the weather, and not constructed of and covered by the same or substantially the same materials as that of the primary dwelling.
  • Carports, open sided porches that have a roof covering, and patios that have a roof covering, not constructed of and covered by the same or substantially the same materials as that of the primary dwelling.
  • Any structure or attachment where that structure’s roof coverings or exterior wall coverings are of thatch, lattice, slats, or similar material.
  • Slat houses, chickees, tiki huts, gazebos, cabanas, canopies, pergolas, or similar structures, constructed to be open to the weather.
  • Awnings, aluminum carports, and aluminum framed screened enclosures.

ISO: 

No such exclusions.

Cosmetic or Aesthetic Damage to Floors 

Citizens: 

The total limit of liability for Coverages A, B, and D combined is $10,000 per policy period for cosmetic or aesthetic damages to floors.

ISO: 

No such limitation.

Future Coverage Reductions 

The Office of Insurance Regulation has approved a rather lengthy list of coverage reductions under all Citizens’ policies, including personal lines and commercial lines. Those reductions will be phased in starting in March 2012 and will not all appear all at once. Those pertaining to the homeowners policy are below.

Effective 5/1/12 for new business and 6/1/12 for renewal policies: 

  • Reduce default Coverage B from ten percent to two percent. (Option to buy back up to ten percent.)
  • Eliminate option to schedule individual Coverage B items.
  • Eliminate option to buy back coverage for other structures rented to others.
  • Eliminate option to buy back coverage for other structures used for business purposes.
  • Reduce default Coverage C from 50 percent of Coverage A to 25 percent. (Option to buy back to 50 percent.)
  • Eliminate increased loss assessment coverage. Provide only $1,000 in the HO-3 and HO-4, and the statutorily mandated $2,000 in the HO-6.
  • Implement mandatory ten percent sinkhole deductible.
  • Reduce personal liability coverage from $300,000 to $100,000. (Medical Payments to Others Coverage remains at 2,000).
  • Expand sinkhole inspection program to an additional 12 counties.
  • Eliminate increased mold limit options of $25,000 and $50,000.

Date to be determined: 

  • Eliminate liability coverage for incidental exposures related to motor vehicle, watercraft, animal, home business, and premises liability. The result will be a total exclusion of coverage for all such claims. Newly excluded examples in this category would be the use of a non-owned golf cart, use of a non-owned ATV, use of a non-owned outboard watercraft, use of an owned outboard boat under 25 horsepower, use of a sailboat under 26 feet, the occasional rental of the dwelling, and the rental of the dwelling in part, such as renting out a bedroom to a college student.
  • Implement a sublimit for items such as jewelry, furs, silver, and firearms for all perils. Currently the limitations apply only to the peril of theft.
  • Eliminate coverage for dropped objects.
  • Revise contract to reduce coverage for water losses.
  • Expand vacancy penalty.
  • Implement loss history surcharge program.
  • Restrict ordinance & law coverage to apply only to Coverage A.

This is a summary only. Please refer to the policy for specific coverage interpretations.

“Our blogs are for general education and information only and may not represent your unique needs. Coverages will vary. Please contact your insurance agent to verify your specific policy terms and conditions.”

Posted September 11, 2012 by leecountyinsurance in Condo, General Info, Homeowners, Specialty

Why Should I Buy Flood Insurance   Leave a comment

Sandbags will not protect your home and they will not replace or repair the damage. You need Flood Insurance in addition to homeowners insurance

Most homeowners policies don’t cover flood damage.  This type of loss is different from others and it needs special underwriting and rating.  Because flood damage is usually more severe and affects more than one home at a time, it’s difficult for the private market to bear that burden.

For that reason, flood coverage is provided by the federal government under a program called NFIP. However, your local independent insurance agent can write the coverage for you, and administration of the policy, including claims paperwork, is usually done by a private carrier. The NFIP collects most of the premium, though, and it’s their checkbook that pays the claims.

If you even suspect you are in a flood plain, ask an independent agent to check it out for you. Foundation washout is a common problem with flooding, so even if you are a condo dweller on the 10th floor you might need the overage.  With hurricane Hugo in South Carolina, twenty story high condos came down due to the washout of the foundation, and standard policies didn’t cover the losses.

Technically, all homes are at risk of flood, but obviously the risk is much greater in states like Florida, for example. Some problems that flood insurance covers, like sewer back-up, have nothing to do with the weather.

Don’t take the risk of being without this valuable coverage. Ask your agent today about flood insurance.

“Our blogs are for general education and information only and may not represent your unique needs. Coverages will vary. Please contact your insurance agent to verify your specific policy terms and conditions.”

Posted September 4, 2012 by leecountyinsurance in Condo, Flood, Homeowners

Condo   Leave a comment

Condo

Posted September 4, 2012 by leecountyinsurance in Condo