Let’s hope the FL legislators take a hard look at the sloppy claims practices and delay tactics that are hindering Hurricane Ian recovery during the special session on insurance reform next week. Insurance carriers and their claims departments should be put under the same scrutiny as Public Adjusters and Attorneys. Maybe if the carriers start getting fined they will treat their policyholders more fairly rather than trying to save a buck. Unfortunately, this is not an isolated case based on our experience. https://www.abcactionnews.com/news/state/hurricane-ian-victims-struggling-with-insurance-claim-payouts-seek-help-from-public-adjusters

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It’s been about 1 month since Winter Storm Uri unleashed a frozen fury leaving millions of Texans in the dark to survive deadly frigid temperatures and up to $130 Billion in estimated damages. The record cold triggered mass power outages crippling The Lone Star State’s largest cities from Houston, San Antonio, Dallas, Fort Worth, Arlington, Austin, El Paso and down to Corpus Christi. Despite the frenzy of news media covering the Texas grid crisis, power company executive resignations, bankruptcy filings and lawsuits, little coverage has been given to property owners still suffering from water damage caused by the plumbing freezes, water pipe bursts, or the administrative delays processing property damage insurance claims. Many consumers are just now turning to their insurance agents to file new claims or express frustration about the slow claims process. The single biggest question many are asking is, will insurance cover their claims? 

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In 2011, investigative reporter, Ms. Paige St. John of the Sarasota Herald-Tribune won a Pulitzer Prize for her investigative reporting that produced multiple news articles examining Florida’s murky property insurance system vital to Florida’s property owners.  Ms. St. John provided helpful data for consumers to evaluate their insurance company’s (and the industry) reliability, sustainability, and ultimately uncovered how State regulators and insurance company lobbyists oftentimes put the best interests of Florida’s insurance consumers at risk, while at the same time “big insurance” continues to roll the dice and gamble to cash in.  This is a recurring theme that takes place at the same time each year as politicians report to Tallahassee, FL to fulfill their promises while seemingly ignoring their obligations.

 

This year, the mayhem began on January 7, 2020 when Florida’s Senate Banking and Insurance Committee introduced legislation via House Bill (HB 1137) that is “all about consumer protection.”  The proposed language written in the Bill is being championed by Florida CFO, Mr. Jimmy Patronis who is a native Floridian born and raised in Panama City where Hurricane Michael roared ashore in October 2018.

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Not surprisingly, CFO Jimmy Patronis’s statement to the press has caused a lot of interest especially from the media, some of whom were in attendance when his comments were made. Following both print and internet articles of the CFO’s opinion, I have gotten a number of calls from various media folks across the state asking me to respond. As I explained to one reporter, I do not know where the CFO got his facts to support this pronouncement. But given the gravity of his words, I think he should have enlightened folks with some credible facts and figures. The comments I have read and heard is that the press and the public is not buying what he had to say including the reporters I spoke with who share my confusion about where the data (or anecdotal evidence) is coming from.

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The Tampa Bay Times published an article in their editorial page this past week titled, “Stop Giving Hurricane Victims the Run Around” which in my humble opinion is well worth the time to read. For the most part I could not agree more with this commentary as we have seen this “run around” for years.  Clearly history has shown us that when mass catastrophic events occur, one’s expectations are that significant confusion and chaos in the early weeks, especially when first responders are mobilizing to respond to life, health, and safety issues will be the rule.

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Many people might be surprised that having an adjuster look at your claim is only the beginning of the insurance claim process. Remember, the field adjuster that inspected your property may not be an employee of the insurance company. They are typically independent adjusters on contract and typically are paid a set fee or percentage for each claim they handle. This is especially true during disaster situations when there are so many claims to adjust. 

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The following is an insurance claim question we answered for a policyholder through the United Policyholders Ask an Expert Forum

Q. I live in Florida and have had an extensive water damage/mold claim that I hired a public adjuster to handle. The insurance company invoked appraisal and the out-of-state umpire determined that mold was accountable for $15,000 of damage although our mold remediation bill totaled $9,500 (we have a mold cap of $10,000 per claim). Secondly, the bathroom tile floor was damaged during remediation and was included as part of the umpire's award. However, the insurance company is refusing to pay the $4,300 floor tile repair portion of the award stating that I must abrogate against the mold remediation company to recoup that loss. Third, my public adjuster is holding the check issued by the insurance company hostage, insisting that I pay his fee prior to endorsing it over to the mortgage company. Please help!.....click to see answer.

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Those who experienced any type of water intrusion from the recent Tampa Bay 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 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. However, some insurance carriers have been removing or scaling back the 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 and fungus for an additional premium. 
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Q. How can we make sure our insurance company is moving ahead with our repairs, etc?  Right now, everything seems to be on hold until they can get a joint inspection with our contractor's insurance company. Our house has been sitting for over a week with no heat, no electricity, etc., while we wait for this joint subrogation inspection.

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