By

Kathy Kristof /

MoneyWatch/ October 31, 2012, 1:55 PM

Does homeowner's insurance cover floods?

(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.

"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

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).

10 Photos

Before-and-after views of Sandy destruction

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

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.

© 2012 CBS Interactive Inc.. All Rights Reserved.
18 Comments Add a Comment
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vlefton says:
Another problem with the NFIP is that even if you would like to use the services of a PA or Public Adjuster. The NFIP does not recognize public adjusters. Unlike private insurance companies who will recognize and work with your public adjuster to get you back into your home. But like people have commented before the government took away flood coverage from private insurance company and forced homeowners to have the NFIP for flood coverage.


http://bulldogadjusters.com/
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globalcloud says:
Katy in this video feed you say to "Locate your Policy, look over your insurancy police". In MANY cases they are GONE in the wind! Nice suggsetion though. These home owners are going to need LEGAL HELP! Right now they and possibly you are hurting for NOWHERE to rest their head even for a night since their homes were washed away or destroyed.

My heartfelt Prayers to ALL the families at this time of DIRE NEED.
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Percheron1100 says:
Most private insurers do not insure against the peril of flood due to the prevalence of adverse selection, which is the purchase of insurance by persons most affected by the specific peril of flood. In traditional insurance, insurers use the economic law of large numbers to charge a relatively small fee to large numbers of people in order to pay the claims of the small numbers of claimants who have suffered a loss. Unfortunately, in flood insurance, the numbers of claimants is larger than the available number of persons interested in protecting their property from the peril, which means that most private insurers view the probability of generating a profit from providing flood insurance as being remote. However, there are insurers such as Chubb, AIG/Chartis, Fireman's Fund that do provide privately written primary flood insurance for high value homes and The Natural Catastrophe Insurance Program underwritten by Certain Underwriters at Lloyd's which provides private primary flood insurance on both low value and high value buildings.

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.
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LoriCoe replies:
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Does your Chartis/AIG policy cover Loss of Use/Additional Living Expense?
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glenn crooks says:
FLOOD INSURANCE was taken over by GOVT , just like OBAMACARE takes over private medical. That drove PRIVATE COVERAGE to bankruptcy. And now you only HAVE GOVT INS which isn't worth a flip.

FLOOD INS = SAME RESULT w MEDICAL CARE
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kate#2 says:
Insurance is a business with allegience to the shareholders.
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
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globalcloud replies:
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Kate my prayers to you and ALL the families going through this extremely rough time.
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.
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CharlesB413 says:
Many are recommending a lawyer, yet has anyone heard of a Public Insurance Adjuster??
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!
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globalcloud replies:
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Charles yes a lawyer would be needed and recommended, but I'm not a lawyer and a Public Adjuster is going to ask for 10 to 15% you'll have to get the actual particulars.
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.
globalcloud replies:
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Charles yes a lawyer would be needed and recommended, but I'm not a lawyer and a Public Adjuster is going to ask for 10 to 15% you'll have to get the actual particulars.
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.
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LarryMoniz says:
Suggest no one trust the GEICO Gecko.

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.
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globalcloud replies:
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Hi Larry yes a lawyer would be needed and recommended, but I'm not a lawyer and a Public Adjuster is going to ask for 10 to 15% you'll have to get the actual particulars.
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.
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voicefortexas says:
The only person who will advise you to hire a lawyer is another lawyer. You will find insurance companies setting up shop in all of the affected areas. They won't be putting up billboards saying, Call me and let's sue. The adjusters are already on the ground reaching out to affected policyholders. They are there to help people put their homes back in order as soon as possible. Don't knock 'em until you've talked with them.
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CharlesB413 replies:
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Many are recommending a lawyer, yet has anyone heard of a Public Insurance Adjuster??
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!
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OldandWise1 says:
The biggest problem with floods is that NO insurance exists to cover the damages to basements or "below ground level" areas. Fed flood covers appliances but that's it! NOTHING covers the gap between Fed Flood and Homeowner's. Now the folks in the East will find out just how significant that gap is. If they have a finished lower area, or possibly bedrooms in the basement, it is not even challenging to spend $75K tearing everything out, cleaning and rebuilding just those areas---none of it covered by insurance. FED FLOOD is a joke!
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OldandWise1 replies:
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ChuckT is not correct. Fed Flood only covers certain appliances in a basement or below ground level area, i.e. furnace, water heater, etc. It does not cover any thing else, including carpeting, walls,rewiring or decontaminating. You can find the specifics in the very back of their coverage booklet, printed in the smallest typeface yet known to man. To my knowledge, there is NO insurance company that covers the gap between Honeowner's and Fed Flood.
glenn crooks replies:
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There is no PRIVATE FLOOD INS thanks to GOVT INTERVENTION
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