On Property Insurance Claim Tips Blog

Policyholder Question – How does an insurer define physical loss to property?

Policyholder Question – How does an insurer define physical loss to property?

Q. Our insurer rejected our mold claim, even though we have additional coverage for mold, as well as for, "Sudden and accidental tearing apart, cracking, burning or bulging of a steam or hot water heating system, an air conditioning or automatic fire protective sprinkler system, or an appliance for heating water". The a/c repair man as well as the claims adjuster and the engineer who investigated the claim (both hired by our insurer) attributed, in writing, the cause of our mold to tearing of the attic duct work tape. The insurer claimed they would not cover our Section C loss from mold because, "the claimed loss and damage and the mold was the result of humidity and condensation. There was no physical damage; therefore the mold is not a result of a covered cause of loss." Can you please explain why they are rejecting our claim? 

Read More

Would you like a little mold with that insurance claim?

Would you like a little mold with that insurance claim?

Many of the calls we get from policyholders lately, regarding their Hurricane Irma insurance claim goes a little like this:  “Roof damage caused bedroom flood, water running down the wall, water came in the front door, sheet rock and crown molding are ruined, now mold growing causing health concern.” Most homeowners will have a limit on their mold coverage in their policy.  But remember there would be no mold but for water and water loss is not limited. I am making this statement despite the fact that we have seen some insurance companies actually try to limit water loss coverage.

Read More

Dealing with Mold Insurance Claims after Hurricane Irma

Dealing with Mold Insurance Claims after Hurricane Irma

Policyholders who experienced any type of water intrusion from Hurricane Irma may experience mold infiltration. When claims are delayed and repairs put on hold, it can become a real problem because mold can grow unseen for months and create a serious health hazard. Many of those who contact our firm report mold issues. To get more insight about mold: Read our Frequently Asked Questions about Mold Claims.

Read More

Hurricane Season and a Special Concern for Condominium Community Claims

Hurricane Season and a Special Concern for Condominium Community Claims

Florida’s condominium community, it’s heads up time up for this year’s hurricane season and the escalating threat as we approach the most active time for tropical storm development. A few new releases from some of the weather pundits raised the possibility of more tropical storms this year. This is the second time this year the threat level has been raised for an increase in tropical storms in 2017. One respected weather guru who publishes a daily blog is sharing his concerns about all the weather waves moving off of Africa. So as they say, game on! 

Read More

Is Your Hurricane Matthew Mold Insurance Claim Covered?

Is Your Hurricane Matthew Mold Insurance Claim Covered?
Those who experienced any type of water intrusion from Hurricane Matthew rain and flooding may experience mold infiltration. When claims are delayed and repairs put on hold, it can become a real problem as mold can grow unseen for months and create a serious health hazard. In the past, mold damage claims were covered under most property insurance policies when it resulted from a covered peril, such as a sudden plumbing leak, fire control, storm or other cause covered under your policy. However, some insurance carriers have been removing or scaling back mold coverage from their policy forms regardless if it results from a covered peril. In some instances, the insurance companies offer limited coverage for mold and fungus for an additional premium payment. Read More

Panhandle Property Owners - Beware of Mold – Is it Covered?

Those in the Pensacola, Destin, Gulf Breeze and Ft. Walton Beach area who experienced any type of water intrusion from the severe flooding that hit the Panhandle, Florida areas may experience mold infiltration. It can grow unseen for months and create a serious health hazard. In the past, mold damage claims were covered under most property insurance when it resulted from a covered peril, such as a sudden plumbing leak, fire control, storm or other cause covered by your property insurance policy. Insurance carriers have been removing such coverage from their policy forms regardless if it results from a covered peril. In some instances, the insurance companies offer a limited coverage for mold/fungus for an additional premium.

Read More

Policyholder Question about Mold in Apartment due to Air Conditioning

Q. My tenant reported mold in a house that is 6 years old. We had a company test and they said the mold was caused by the a/c, due to a low refrigerant level, which caused high humidity levels in the house. At first, the insurance company said we were covered. But when the tenants request reimbursement for a medical x-ray, which showed a spot on the lung, the insurance said we were not covered. They said it was not a covered peril. They said that the a/c caused the 70% humidity which caused the mold. The remediation estimates are in excess of $30k and it appears there will be a medical claim. There were 69 days involved from the time the tenants first noticed the mold until they vacated the house. Also, the tenants’ personal items are supposed to be discarded. Am I responsible for that? The lease required them to have renters insurance but this is the second year of the lease and they did not renew it after the first year. Also, I have seen web ads for a mold bomb fogger that is supposed to be approved by the EPA. It is from Biocide Labs. Has anyone ever used it?

Read More