Is this Really “Flood” Damage?

I have previously written on what is and is not “flood” damage.  Now, another chapter in that same story.

My client’s home was inundated with water when the fire hydrant at the front of his property literally blew off.  The ensuing deluge undermined the foundation of his house, and penetrated his frame walls, and soaked his garage.

He submitted the claim to his homeowners insurer which promptly denied the claim based on exclusions for “flood,” and/or water which “backs up from a sewer, drain or sump.”  Absurd.  Neither of these exclusions apply.

“Flood” damage is not synonymous with water damage.  Flood damage when read in the context of most homeowners policies means rising water from a pond, lake, river or ocean, or tidal surge from any of these.  These cannot be extrapolated to include a defective fire hydrant.  Nor, is this loss caused by a “back up” from a sewer, drain or sump.  This isn’t a “back-up,” and a fire hydrant is not a sewer, drain or sump. 

Most homeowners policies are “all-risk” policies, which means that they cover all losses – however caused – unless they are specifically excluded.  Because this loss is not specifically excluded, it is covered.

As with most of my insurance cases, my client owes me nothing out-of-pocket.  If I win, the insurance company must typically pay my fees and costs, and if I lose, I’ll work for free. 

Tags: Damage   Posted in Insurance Quotes

Lawsuit Filed Against Homeowners Insurer for Denying Collapse Damage

My client notice water staining on his first floor ceiling.  His home was a two story house.  He is a building contractor and opened up the ceiling and found significant damage to the wood member and floor joists supporting the second story.  All of this wood damage was hidden from sight before he opened up the ceiling. 

He reported the claim to his homeowners carrier.  The insurance carrier paid only $10,000 under a ”mold and fungi” limitation endorsement.  The amount of the damage is significantly more than $10,000.  I believe that the damage is so significant that it should qualify under another coverage – collapse.  Collapse is an often overlooked coverage that can often trump limitations such as we have in this case. 

As with almost all of my insurance cases, my client doesn’t pay me anything.  If I win, the insurance company has to pay my fees and costs, and if I lose, I’ll work for free. 

Tags: Damage   Posted in Insurance Quotes