Insurance process begins in Connecticut
Published 2:15 pm, Thursday, November 8, 2012
People looking to rebuild their lives after Hurricane Sandy destroyed or damaged their homes may now have another struggle on their hands: Navigating the often-frustrating claims process with their insurance companies.
Sandy's destructive path was much wider than last year's Tropical Storm Irene, which resulted in an eye-popping $240 million in paid claims, and taught policy holders and regulators some valuable lessons that may make life easier this time around:
People won't be paying exorbitant hurricane deductibles for Sandy, which technically hit land as a tropical storm, thanks to a new law enacted last December.
Even though there is a lag between when you file a claim and when you get paid, insurers are required by law to pay in a timely way or face hefty fines.
Residents also should be aware that homeowners insurance does not cover flooding, and that if you don't have flood insurance, you can forget about collecting for flood damage on your homeowners policy.
And people also can expect their premiums to go up.
Jan Morris, whose Hillside Avenue home in Milford is across the street from a row of houses that are no longer habitable, said she felt lucky to survive the storm with only roof damage. The front half of her roof will have to be replaced, but unlike when Irene hit, she isn't facing the hurricane deductible.
More InformationTaking it step-by-step Contact your insurer as soon as possible. Take photos of the damage -- lots of them. Do not make permanent repairs until your insurer has inspected the property. Keep a diary of all contact with your insurer. If the home is habitable, talk with your agent about critical repairs that need to be made. Whether you make the repairs or hire someone, save the receipts for your claim. If you need other lodging, keep all receipts. Homeowners and renter's insurance generally provide limited coverage for expenses such as meals, rent, utility installation and transportation. Your carrier will send an insurance adjuster to survey the damage at no cost to you. Public adjusters may offer the same services, but you would be responsible for any related fees. Check to be sure they are licensed with the Insurance Department. Do not feel rushed or pushed to agree on a settlement. If there are disagreements, try to resolve them with your insurer. If you cannot reach an agreement, the Connecticut Insurance Department can help you decide if arbitration or mediation is an option. Your full claim may come in multiple payments. The first likely will be an emergency advance and may include additional living expenses. The payment for your personal property and any additional living expenses will be made out to you. Payments for the structure may be payable to you and your lien holder if there is a mortgage on your home. Even after settling your claim, if you think of items that were not in your initial loss list, contact your insurance company. Unless the company has paid the entire limit for the coverage of those types of items, it is possible the company will make an additional payment. If your damage exceeds the amount of your coverage, federal agencies occasionally will provide grants or low-interest loans to assist with recovery following major disasters. For free legal advice on claims, the Connecticut Bar Association has set up a hotline for people to call 866-209-5099 or email email@example.com The Federal Emergency Management Agency and SBA are also taking applications for damage and expenses not covered by insurance: Contact www.DisasterAssistance.gov or by mobile device at m.fema.gov. If online or mobile access is unavailable, applicants should call the FEMA toll-free Helpline at 800-621-3362. SOURCE: Connecticut Insurance Department
"I did have a claim for windows in Irene," Morris said. But her deductible was $7,000, so she paid for that out of pocket. "They will be covering the roof this year. Go figure."
Gov. Dannel P. Malloy warned insurers not to charge hurricane deductibles, which often are a percentage of the home's total value and can be quite high.
Now people will be paying only their standard home or flood insurance deductibles for repairs.
"The state moved very swiftly to alert the industry that this storm, although devastating to so many, did not meet the criteria for a hurricane deductible under state law. Homeowners will not have to pay high-cost hurricane deductibles for damage resulting from this storm," Malloy said.
Donna Tommelleo, an Insurance Department spokeswoman, said insurers face fines if they don't pay claims quickly, and that people should contact the department's consumer advocate if they have problems collecting.
But Tommelleo said the insurance industry in Connecticut has a good record for paying out claims.
"For Irene, we got 250 complaints," she said, noting not all were substantiated. "But when you put that in perspective, the industry had 60,000 claims from Irene and paid out almost $240 million."
Ron Kalb, an agent with Siegel Insurance Agency in Danbury, said smaller repairs usually are paid out more quickly. The home or business owner often is told to survey the damage, take photos and then hire a contractor to do the work, with the bill to be submitted later.
But a total rebuild does take longer, not only as the insurer must document the costs, but because the design and construction process also takes more time.
People also should read their policies carefully so they understand what is covered and what isn't.
Standard homeowners insurance does not cover flooding, Kalb said. "If people don't have flood insurance, they're going to be out of luck," Kalb said.
But people without insurance are not totally without help. Federal aid is available to individuals and business owners affected by the storm.
There are disaster loans up to $200,000 available to homeowners to repair or replace damaged or destroyed real estate through the U.S. Small Business Administration. Homeowners and renters are eligible for up to $40,000 to repair or replace personal property.
Businesses and private nonprofit organizations of any size may borrow up to $2 million to repair or replace disaster-damaged or destroyed real estate, machinery and equipment, inventory and other business assets. The SBA may increase a loan up to 20 percent of the total amount of disaster damage to real estate and/or leasehold improvements, as verified by SBA, to make improvements that lessen the risk of property damage by future disasters of the same kind.
Diego Alvarado, a FEMA spokesman, said people should call and register with the agency to get the process going.
As with insurance, it takes time before funds are paid out, he said.
Jennifer Wislocki, a spokeswoman for Travelers in Connecticut, said her company already is receiving claims and has about 5,000 people staffing phones or meeting in person with customers. It has set up five mobile claim offices in affected areas. Other insurers reported taking similar steps.
She said, "We are committed to reaching impacted customers, as soon as it is safe to do so, to help them begin the recovery process as quickly as possible."
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