Water damage is one of the most common reasons people make claims on their insurance policy. Frozen pipes, broken pipes, leaky appliances, roof leaks, drain backups and rain water often lead people to discover the details of their insurance policies.
Water damage and homeowners policies can be a tricky issue. You really have to sit down and talk to your insurance agent and make sure you have coverage for basic issues. In my experience, insurance companies will not cover the cause of the problem but they will pay for any resulting damages. For example, if you had a malfunction of your water heater which flooded your home/office, they usually will not pay to for the actual repair of the damaged water heater. But they will cover any cost from the damage to the structure that the water caused.
This does not cover a freeze-up situation. If you the water damage was a result of the frozen pipe, if it was caused by unforeseen problem insurance covers repairs to both the frozen pipe and the resulting damages.
Again, please speak with your insurance agent if you have an issue. They are your friend. By talking to him it does not mean you are putting in a claim. Whereas if you call your insurance company and ask questions, they automatically log the call as a filed claim.
Here are common water-damage scenarios and possible coverages.
1: Its the middle of winter. You go away on vacation. The temperature drops to 5 below zero, causing your water pipes to freeze and burst. Your neighbor calls you why you are away to tell you that your house is a block of ice .
Are you covered?
Yes, you're covered for water damage from burst pipes, but most policies won't cover you if you've left the house unoccupied and without heat. If that's the case, your claim could be denied because you've failed to perform your "Due Diligence" that would have prevented that accident.
2: Your pool cracks and floods your lawn and into your basement.
Are you covered?
The damage to your basement and your personal property are covered, but not the damage to your lawn. But again, ask your insurance agent and check your policy. According to a sample policy, "We do not cover land, including land on which the dwelling is located." However, your lawn is covered if it's damaged by certain "named perils." These include fire, explosion, riot, aircraft, vehicles not owned by you and vandalism. The amount of coverage for lawns and plants is small — usually only up to $500. Swimming-pool leaks are not a named peril. But if your leak was caused by a tree falling on the pool, it would be covered.
3: Your washing machine overflows, flooding the basement.
Are you covered?
Yes. But it depends on your home insurer's view of the problem: Did you fail to maintain the washer properly or did sudden, accidental damage cause the flood?
"Most of the time, if an appliance breaks and water goes all over, insurance covers it. In the case of a washing machine, you might need to purchase replacement parts out of your own pocket because they were not maintained correctly, but the damage to your basement is covered," says Griffin.
4: A sewer backs up, flooding your basement.
Are you covered?
No. Standard home insurance policies don't cover sewer backups, and many specifically exclude damage from sewer back-ups. Special endorsements are available, at added cost, for sewers and drains. Call your insurance agent to find out if you have the endorsement. It is not a fun job to cleanup. Trust me.
5: Water seeps from the ground into your basement, damaging your foundation and interior.
Are you covered?
No. Seepage is considered a maintenance problem, not "sudden and accidental" damage, and is excluded from home insurance coverage. Rainwater falls into this category.
6: During a heavy rainstorm, water leaks through your roof. The roof is damaged, as is furniture.
Are you covered?
Somewhat. You're unlikely to be reimbursed for roof repairs because that's a house-maintenance issue. If if it turns out that wind has damaged the roof you might be covered. Call your insurance agent to find out if have an issue. But the water damage to your home is covered. Damage to your furniture is also likely covered if you have a standard H0-3 homeowners policy, but not if you have a generic HO-1 policy (which many insurers don't even sell anymore).
If your neighbor's tree falls on your roof, the damage to your roof, home and belongings is covered. Your policy also reimburses you up to a certain amount, usually around $500, for the cost of removing the tree.
7: A nearby lake or river overflows its banks, causing a flash flood in your living room.
Are you covered?
No. Flood damage is not covered by home insurance. You must purchase flood insurance for that. You can purchase flood insurance as long as your community participates in the National Flood Insurance Program. But flood insurance does not kick in for any property below the front door. Which mean if you get flooded and you walk into the damages area and have to step down to get to it, they do not cover anything below grade.
Tips
I touched on this earlier in this post. But I can't stress this enough. Don't shoot yourself in the foot by reporting damage to your home insurance company that's not covered by your policy. Your damage report may still go on your insurance record and look like a claim when you shop for new insurance in the future. Call your insurance agent. They are your friends. It will not cost you anything to ask them questions. And they will answer it honestly and openly because your are their client. their job is to serve you. Whereas the insurance company will be looking out for the insurance company.
Be careful how you report damage to your insurance company. While you should be truthful, make sure you explain the situation using the most accurate language — or you could find your claim denied.
"What you say initially can affect the outcome of your claim. Many people believe their house is flooded because it's full of water — but it's not a 'flood' by the insurance definition," says Allan Sabel of Sabel & Associates, a Bridgeport, Conn.-based adjusting firm.
This may seem like a minor distinction, but your insurer has a very narrow definition of a "flood," which is not covered by home insurance. To an insurance company, flooding means that the water came from an overflow of a lake, stream, river or other body of water. If it didn't, don't even say the word "flood," says Sabel. If your basement is filled with water due to a burst pipe, it's not a flood — even if its depth is knee-high.
"You just have to be careful," Sabel says. "Know exactly what is in your policy, what's covered, what's not covered, and report your claim accurately."
Read how one five-minute call to your insurance company can dog you for seven years.
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