(MoneyWatch) As residents affected by superstorm Sandy head back to their homes, many are likely to face an unpleasant reality: Homeowners insurance does not cover flooding.
Only people with flood insurance are covered against the kind of storm surges that cascaded through New York and New Jersey. Those with homeowners insurance alone are likely to be compensated for their losses only when the damage was caused by wind or water pouring in from the sky, rather than from ground level.
Sandy damage estimated $10 to $20 billion
"We issue a lot of news releases, and [the Federal Emergency Management Agency] spends a lot of time and money trying to inform people about flood insurance, but even still it comes as a surprise to some people that they're not covered through their homeowners policy," said Jeanne Salvatore, spokeswoman for the Insurance Information Institute.
Indeed, those affected by the hurricane may find their insurance coverage befuddling. That's because whether you're covered, and exactly what is covered, varies dramatically based on what caused the loss and what was damaged.
For instance, your car is covered mirrors to wheels no matter whether it was washed away in a flood or crushed by a tree. That's because "comprehensive" coverage on your car is just that -- comprehensive. In most cases, damage to a car will be the simplest claim, with insurers paying the current market value for a complete loss, minus your deductible. (See Will insurance pay for storm damage to your car?)
When it comes to your home, however, coverage depends on what insurance you have and the type of damage that was suffered. Here's what's covered by homeowners vs. flood insurance.
Homeowners coverage
Breezy Point, Queens goes up in flames
Fire: Ironically, the people in Breezy Point in the Queens borough of New York whose homes were consumed by fire during the storm are likely to have the easiest time making insurance claims. Fire losses are unequivocally covered by homeowners' policies to the limits of the policy. That means the insurer will pay up to the limits on your structure coverage, coverage for a home's contents, and for its loss of use, such as the cost of putting you up in a hotel or rental apartment while your residence is repaired. In most cases, insurance companies are willing to advance partial payments for current living expenses.
Wind damage: If your roof blows off, windows are smashed or a tree blows over and crushes your home, you're covered by your homeowners policy. In addition, you're covered for the rain that comes into the house from the sky.
Water damage: If your damage is solely from rain, you're covered under your homeowners policy. However, if the damage came from a "rising tide of water," like the storm surges that swamped many coastal cities in New York and New Jersey, you are only covered for that portion of the loss only if you bought flood coverage. Flood coverage is completely separate from your homeowners insurance and is subject to different limitations (see below).
Loss of use: If your house became uninhabitable because of storm damage -- not flood -- the "loss of use" coverage on your policy would be triggered and your insurer will compensate you to live in a rental until the house is repaired, or until a set number of months has passed, depending on the details of your policy. Loss of use coverage typically lasts for 12 to 24 months after a natural disaster.
Miscellaneous: A typical homeowners policy will also have numerous other types of coverage, such as for separate structures and clean-up. But it will also have some limitations on how much the company will pay for specific types of losses, such as a loss of electronics, art work or jewelry. The best advice is to read your policy carefully.
Flood coverage
Sandy floods Cuyahoga River in Ohio
Flood insurance is provided through a federal program that's administered by the Federal Emergency Management Agency, better known as FEMA.
The silver lining of last year's Hurricane Irene is that it was a wake-up call for many homeowners to buy flood coverage, said Robert Hartwig, president of the Insurance Information Institute. As a result, many homeowners in the coastal New Jersey and New York cities that suffered the most damage are likely to have purchased flood coverage and find that at least a portion of their losses are insured.
Structure and contents: The bad news is that flood coverage has significant limitations. The maximum flood insurance policy covers up to $250,000 of losses to the structure of a home and pays up to $100,000 for a home's contents. There is no coverage for loss of use under the federal flood program.
Cash value: In addition, the flood program only provides for the "cash value" of your possessions -- not the replacement cost. So if you had a 5-year-old sofa that's destroyed, unless you buy another used sofa you will likely get only a portion of the cost to replace it.
Flood insurance does provide replacement costs for the structure of the home, but only to the policy limits. In many of the neighborhoods where large, two-story homes were washed out during Sandy, that's likely to prove inadequate, leaving even heavily insured homeowners with substantial losses.
Combination coverage
However, if you are covered by both flood and homeowners coverage, make sure you pay attention to which damages are being assessed to which coverage, advised J. Robert Hunter, director of insurance for the Consumer Federation of America.
It may be tempting for insurers to push losses to the federal flood program, when the actual cause of the loss could be ambiguous or was caused by wind and rain. That not only subjects the loss to the more restrictive limits of the flood program, it shifts the cost to taxpayers rather than private insurers.
"Consumers must be the first line of defense against insures shifting costs for wind losses" to the FEMA program, Hunter said. Many insurers act honorably and pay claims without a hitch. But Hunter urged consumers to be vigilant, or risk getting short-changed.
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My heartfelt Prayers to ALL the families at this time of DIRE NEED.
In 1968, Congress created the National Flood Insurance Program (NFIP) to help provide a means for property owners to financially protect themselves.
The NFIP offers flood insurance to homeowners, renters, and business owners if their community participates in the NFIP. Participating communities agree to adopt and enforce ordinances that meet or exceed FEMA requirements to reduce the risk of flooding.
FLOOD INS = SAME RESULT w MEDICAL CARE
Finding ways to avoid paying out is their goal. Sad but apparently true.
For years after getting the thick book about what my insurance would not cover I ask for the book that states what it will cover. Six years and counting never have gotten that book more likely a pamphlet.
Insurance is a gamble that we seem to take for granted.
You bet youll have an accident they cover they bet they can find a way around it.
Aflac works for me though I have to participate as an active player. They pay out promptly,appropriately and with few questions
Many times Ins. Co. are hard pressed to help out or in some cases refuse to honor a claim. Unfortunatly many can't afford legal help if and when they need it to deal with the headaches of dealing with trivial to in this case Traumatic.
Where do you or anyone turn for help? My journey is to help people if I can, this may be useful erickmanncom. They are good at taking your stress and handeling it for you. God bless you.
Their fees are less. From experience a Public Adjuster is more knowledge in handling insurance claims as well. The lawyers hire these adjuster for their clients. So you pay double for a lawyer right away because they have to pay the Public Adjuster.
Our home in Florida was destroyed in Tropical Storm Debby and our insurance company DENIED our claim. We had suffered a loss of $105,000 not to mention homeless with 2 kids under age of 5.
We too never heard of a Public Insurance Adjuster, a friend recommended we hire one. They recovered more then that for us. We were able to rebuild our home vs being homeless.
www.publicadjuster.com
This website is a great reference tool for simple answers you are faced with in your claims process. EDUCATE yourself, don't let your insurance company screw you!
I will say that when you file a claim and they don't or Won't honor the claim because of, what they feel is not covered (basement below ground) you can have Legal Specific assistance at your beck and call. erickmann.com is a good recommendation for assistance.
I will say that when you file a claim and they don't or Won't honor the claim because of, what they feel is not covered (basement below ground) you can have Legal Specific assistance at your beck and call. erickmann.com is a good recommendation for assistance.
I'm embarrassed to say that I apparently just got caught in this web where the hurricane damaged deductible is a percentage of the policy face value rather than the tradition straight deductible. Despite extensive damage to about 300 feet of stockade fence on my property, I'm not covered because of that nasty deductible clause. My wife doesn't recall that being told us by the GEICO agent. Also, GEICO apparently isn't the insurer, just a marketer, in this case the policy was insured by a small company with a history in Rhode Island (where it's based) of complaints that resulted in an insurance commission investigation. Geico better keep it's gecko lizard out of New Jersey. I always wondered why a lizard as a company avatar. I guess it's because the gecko lizard is a cold-blooded creature with no human feelings of caring.
I will say that when you file a claim and they don't or Won't honor the claim because of, what they feel is not covered (basement below ground) you can have Legal Specific assistance at your beck and call. erickmann.com is a good recommendation for assistance.
Their fees are less. From experience a Public Adjuster is more knowledge in handling insurance claims as well. The lawyers hire these adjuster for their clients. So you pay double for a lawyer right away because they have to pay the Public Adjuster.
Our home in Florida was destroyed in Tropical Storm Debby and our insurance company denied our claim. We had suffered a loss of $105,000!! We too never heard of a Public Insurance Adjuster, a friend recommended we hire one. They recovered more then that for us. We were able to rebuild our home vs being homeless.
www.publicadjuster.com
This website is a great reference tool for simple answers you are faced with in your claims process. EDUCATE yourself, don't let your insurance company screw you!