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Message
Underinsured property
Posted on 3/11/19 at 10:53 am
Posted on 3/11/19 at 10:53 am
Put in a claim for some water damage in my building and was told that I was underinsured and my insurance company will only pay about 75% of the claim after the $1,000 deductible. WTF? My agent never mentioned that the new policy had this clause for being underinsured and I did not bother to read the 42 page policy. Is this buyer beware or my agent's fault for not pointing out the new restriction. Received the policy in the mail about a month after paying the policy premium at the agent's office.
Posted on 3/11/19 at 11:11 am to Sal Minio
Commercial property? Coinsurance is standard in commerical insurance.
Posted on 3/11/19 at 11:48 am to wickowick
Yes,commerical property. Insurance company is saying we are underinsured but THEY are determining the value of the property. We had a similar water issue with this same insurance company 2 years ago.
The claim was much greater and they paid everything but the deductible.
The claim was much greater and they paid everything but the deductible.
Posted on 3/11/19 at 12:13 pm to Sal Minio
One must maintain coverage to match their coinsurance percentage or claim will be penalized. example: if you own a propery that is worth $200,000 and your coinsurance is .8 or 80%, you must carry $160,000 worth of coverage to receive full payout.
Posted on 3/11/19 at 12:22 pm to Sal Minio
quote:
or my agent's fault for not pointing out the new restriction.
I would ask your agent what happened in a well documented email....
Posted on 3/11/19 at 12:25 pm to 3morereps
quote:
you must carry $160,000 worth of coverage to receive full payout.
Well you would receive the full $160,000 that was carried. not the $200,000. You avoid the penalty but dont get a free $40,000
Posted on 3/11/19 at 1:31 pm to Sal Minio
it is not the agent's responsibility to determine your proper valuation of coverage.
Posted on 3/11/19 at 2:04 pm to Chad504boy
Insurance is state specific. But every insurance underwriting company has a cost rater. And possession/use of that rater makes the insurance writer the expert. And the fiduciary obligation of an agent means that they must professionally consult with the insured about appropriate limits.
1) was an insurance quote prepared in writing?
2) did it include an analysis of reconstruction costs?
3) the same questions apply to your insurance application.
If it was disclosed and not accepted, then that is on you the insured.
1) was an insurance quote prepared in writing?
2) did it include an analysis of reconstruction costs?
3) the same questions apply to your insurance application.
If it was disclosed and not accepted, then that is on you the insured.
Posted on 3/11/19 at 2:29 pm to Chad504boy
quote:
it is not the agent's responsibility to determine your proper valuation of coverage
Correct, but the agent should have explained the coinsurance penalty.
Posted on 3/11/19 at 5:43 pm to Sal Minio
So explain this to me, let's say your property appreciates 10% one year from $200k to $220k and then you have a minor claim. So you guys are saying that if you didn't up your insurance to $220k then they will only pay 90% of your costs?
I always assumed this was only for a major claim, not every minor claim.
I always assumed this was only for a major claim, not every minor claim.
Posted on 3/11/19 at 8:00 pm to baldona
quote:
I always assumed this was only for a major claim, not every minor claim.
There is no coinsurance penalty in Louisiana for a total loss.
Posted on 3/11/19 at 9:17 pm to baldona
quote:
So explain this to me, let's say your property appreciates 10% one year from $200k to $220k and then you have a minor claim. So you guys are saying that if you didn't up your insurance to $220k then they will only pay 90% of your costs?
You are using the wrong words.
Costs don't appreciate (you are thinking of market value). Costs inflate.
Typically, insurance companies include an inflation protection on structures (the insurance company automatically increases the coverage annually for you).
Your responsibility is to advise of any improvements that you make.
Posted on 3/11/19 at 10:51 pm to baldona
A lot of policies have an automatic inflation guard built in to bump coverage slightly each renewal.
In LA the co-insurance penalty comes into play when you’re below 80% of reconstruction cost. So if you’re insured 90% to RC then you’re only out of pocket the deductible. If you’re insured 70% of RC, then you have a 30% co-insurance penalty plus the deductible
In LA the co-insurance penalty comes into play when you’re below 80% of reconstruction cost. So if you’re insured 90% to RC then you’re only out of pocket the deductible. If you’re insured 70% of RC, then you have a 30% co-insurance penalty plus the deductible
Posted on 3/11/19 at 11:28 pm to Tiger Prawn
Thank you all. I am delighted that I did not bring this to the OT lounge.
Will probably have more questions tomorrow. Long day of work today.
Will probably have more questions tomorrow. Long day of work today.
Posted on 3/12/19 at 3:46 pm to Chad504boy
quote:
it is not the agent's responsibility to determine your proper valuation of coverage
While correct, valuation should be a concern of a commercial agent. Not setting the values is fine but making sure they are at least close enough to cover coinsurance issues.
If the insured doesn't know or understand coinsurance, that is where a good agent can show value or end up with a pissed insured. I'd personally be a little upset if this wasn't explained correctly or at all.
Posted on 3/21/19 at 10:50 am to stevengtiger
people are idiots. See OP.
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