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A new law, signifying a significant development for policyholders in Louisiana, has passed, forbidding property insurance policies from containing provisions that deny an insured individual’s right to hire a public adjuster. Before the introduction of this new law, insurance policies with anti-public adjuster clauses prevented policyholders from hiring a public adjuster. The legislation aims to provide all policyholders and businesses with greater control and expertise in navigating insurance claims.

On June 12, 2023, Louisiana Governor John Bel Edwards signed into law a bill from Sen. Royce Duplessis, D-New Orleans, and Rep. Ray Garafalo, R-Chalmette, that prohibits insurance carriers from inserting anti-public adjuster clauses into property insurance policies. The new law (SB156) in Louisiana will take effect on August 1, 2023, and allow all policyholders to hire public adjusters.

Benefits for Policyholders:

Removing the anti-public adjuster clauses is a significant win for policyholders in Louisiana. Here are some key benefits that policyholders can expect:

Expertise and Representation:

Licensed professionals with in-depth knowledge of insurance policies and claims processes, public adjusters actively operate. They can assess the full extent of damages, and strive for fair compensation per the policy.

Time & Stress Reduction:

Navigating an insurance claim can be a complex and time-consuming process. By engaging a public adjuster, policyholders can offload the burden of handling paperwork, documentation, and negotiations. This allows them to focus on other important aspects of recovery, such as restoring their property or business.

Maximizing Claim Settlements:

Public adjusters skillfully value losses accurately and ensure fair compensation for policyholders. They can help policyholders avoid potential underpayments or claim denials, leading to maximized settlements.

Rules and Regulations for Public Adjusters in Louisiana:

While the new law in Louisiana enables policyholders to hire public adjusters, it’s important to understand the existing rules and regulations governing their operations. Here are some key points to note:

Licensing:

Public adjusters in Louisiana are required to obtain a license from the Louisiana Department of Insurance (LDI). Additionally, the licensing process involves meeting certain criteria, including background checks and the successful completion of an examination.

Fee Limitations:

Public adjusters charge fees for their services, typically calculated as a percentage of the insurance claim settlement. In Louisiana, these fees are regulated and should conform to state guidelines. Policyholders should discuss fee arrangements with the public adjuster before signing any contract.

Contractual Agreements:

Public adjusters must provide written contracts to policyholders, outlining the terms and conditions of their services. The contract must clearly state the fees, scope of work, and any additional expenses that policyholders may incur during the claims process.

Prohibited Activities:

Public adjusters are prohibited from participating in any deceptive or fraudulent practices. Furthermore, they have a fiduciary responsibility, must act ethically and in the best interests of the policyholders they represent. Violations of these regulations can lead to disciplinary actions by the LDI.

Louisiana’s new law granting policyholders the ability to hire public adjusters is a significant step toward empowering individuals and businesses when dealing with insurance claims. With the expertise and representation provided by public adjusters, policyholders can expect a smoother and more favorable claims experience. By leveraging this new legislation, policyholders can navigate the complexities of the insurance world with confidence, knowing they have dedicated professionals on their side.

Premier Claims Louisiana #765044

Confidential Condo Association

Cape Coral, Florida
Hurricane Ian
September 2022

In the wake of Hurricane Ian, this five-building complex suffered from both roof damage and first-floor flooding. Despite the insurance carrier’s attempts to stall the process by repeatedly reassigning the claim, our team remained steadfast. We put together irrefutable estimates that clearly demonstrated that the policy limits had been met. Taking into account the widespread damage, we guided residents through their individual claims and managed the inspections and repairs for each unit. In the end, we achieved full coverage up to the policy limits for every building in the association and extended free consultation services to residents to aid in their recovery.

Insurance Carrier Offer: N/A

Premier Claims Settlement: $1,077,000

Hurricanes are among the most destructive natural disasters, bringing devastatingly high winds, heavy rainfall, and storm surges that can cause widespread damage and loss of life. These powerful storms can strike coastal areas and inland regions with little warning, and leaving residents with only a short amount of time to prepare. In this blog, we’ll explore the dangers & tips for a hurricane so that you can weather the storm.

Dangers

Understanding some of the most severe dangers posed will better prepare you for anything the storm throws your way.

- Devastating Winds: A hurricane can be accompanied by strong winds up to 200 miles per hour. These winds can cause significant damage to buildings or completely destroy them. Vehicles, infrastructure, power lines, and trees are all susceptible to immense damage and can become airborne, which poses its own dangers.

- Heavy Rainfall: Alongside devastating winds, hurricanes bring flood-inducing rains potentially causing landslides. Rising sea levels have provided hurricanes with an ample supply of water to produce monstrous storm surges.

- Storm Surges: When water level rises dramatically at abnormally high levels storm surges occur and they have the ability to travel several miles inland. Storm surges wreak havoc and leave destruction for miles.

In the aftermath of Hurricane Ian, Governor DeSantis of Florida surveys the destruction that spread across Fort Myers. In an interview with BBC, DeSantis comments, “To see a house just sitting in the middle of Estero Bay, literally must have gotten picked up, flown because of the massive wind speed and the storm surge and depositing in a body of water.”

Tips

It’s clear hurricanes are forces to be reckoned with, destructive, dangerous, and downright terrifying. For your safety, it is important to properly prepare and have plans in place.

- Evacuate: If local authorities have given the order to evacuate, listen and follow the prescribed protocols. Don’t wait.
- Supplies: Stock up! The time to prepare is before the storm (previous post link). This is important whether you evacuate or stay, but it’s all the more crucial if you weather the storm. You need several days, to weeks, of supplies to be prepared.
- Secure your Property: If you haven’t read our Day 3 Post for Hurricane Preparedness Week, Review Your Policy– We discuss the importance of reviewing your policy and why it’s important to not only protect your property from potential damage, but document it.
- Stay Informed: Always have access to current weather information from your local authorities and the National Hurricane Center. FloridaDisaster.org recommends an NOAA Weather Radio that is battery operated or hand cranked. For a downloadable checklist, click here!
- Stay Indoors: The volatility of a hurricane poses too high a risk to venture outdoors once the hurricane hits. Avoid windows and doors.

Be informed and prepared to endure the devastatingly high winds, heavy rainfall, and storm surges hurricanes bring. Widespread damage will be imminent. However, employing these tips and knowledge about this destructive natural disaster gives you the best chance at safety and security. For more information on the dangers & tips for a hurricane, please visit Prepare before the storm.

To protect yourself in the event of a future hurricane, one of the most important ways you can prepare is by reviewing your policy coverage. For Hurricane Preparedness Week, we will outline a few of the key aspects to consider in your policy: deductible, building coverage, and the importance of inspecting your property with photo documentation.

Deductible

Hurricane coverage deductibles are either be a fixed dollar amount or a percentage of the insured value. Percentage deductibles are more common as they will not increase premiums as much as a fixed dollar amount deductible. However, if you’re located in a hurricane prone area, it is crucial to know what type of deductible is in your policy and the financial responsibility you would have if a hurricane damaged your property.

For instance, say you have $400,000 in coverage to your building and your policy has a 2% deductible. After a hurricane, your insurance claim is settled at $50,000 for property damage, but you receive a check for $42,000 — You’re responsible for paying the percentage deductible of $8,000 out-of-pocket to restore your building.

Reviewing Policy (1)

Building Coverage

Building coverage is an essential part of any policyholder’s insurance policy. It provides protection for the structure of your home, including the roof, walls, foundation, and other structures such as a garage or shed. In the event of a hurricane, this coverage will help you repair or rebuild your home if it is damaged.

The amount of building coverage you need will depend on a variety of factors, including the size of your home, the materials it is made of, and the cost of construction in your area. As a general rule, you should have enough coverage to rebuild your home from the ground up if it is completely destroyed. An Actual Cash Value policy pays what your property is worth today, whereas a Replacement Cost Value policy will pay the cost to repair or replace your property without deducting for depreciation. To learn more, visit our blog “What is Recoverable Depreciation?”

Flood Damage Insurance

Another factor to consider when purchasing building coverage is whether your policy includes coverage for flood damage. Flooding is a common occurrence during hurricanes, and it can cause significant damage to your home. If you live in a flood-prone area, you may want to consider purchasing a separate flood insurance policy to ensure that you are fully protected.

Coverage Limits and Exclusions

When purchasing building coverage, it’s important to read your policy carefully and understand the coverage limits, and exclusions. For instance, a roof exclusion could specify that the insurance carrier will not pay for damages to the roof as a result of wind or other events, such as a hurricane. A cosmetic exclusion could put you at risk of having to justify the necessity for repairs or replacement if the insurance carrier classifies the damage as cosmetic.

Policy Requirements

You should also be aware of any requirements your insurance company may have for hurricane preparations, such as installing storm shutters or reinforcing your roof. Failure to do any hurricane preparations can put you at risk for a denied or underpaid claim. Read more in yesterday’s blog, “Prepare before the storm”

Property Current Condition

One of the most important steps that is often overlooked by policyholders is to get their property inspected and take pictures before a hurricane hits. Doing so can provide solid evidence of the condition of their property before the hurricane and make it easier to assess the damage caused by the hurricane.

Here are a few reasons why it is essential to get your property inspected and take pictures before a hurricane:

Documentation of property condition: By getting your property inspected and taking pictures, you can document the condition of your property before the hurricane. This can be helpful when filing a claim with your insurance carrier, as it provides clear evidence of the state of your property before the storm hit. This includes documenting and taking pictures of personal property that is included in your policy.
Evidence of damage: By having pictures of your property before the hurricane, you can provide solid evidence of the damage caused by the hurricane. This evidence can help expedite the process and ensure that you receive the compensation you deserve.
Accurate assessments: By having pictures of your property before the hurricane, you can ensure that inspectors and adjusters have an accurate picture of the extent of the damage caused by the hurricane. This is critical when negotiating estimates and showing every aspect of the structure that needs to be repaired or replaced per your policy.

The Good News

Our team provides free policy reviews and property inspections. If you have concerns over your current insurance policy, our team of legal experts will complete a thorough review and outline potential gaps in coverage or risks. Our inspection & adjusting team will gather the necessary documentation and pictures required prior to any hurricane damage. In addition, we will continue to monitor your property, and in the event you experience severe damage, we begin the claim process on your behalf immediately to get you paid faster. Contact us today to get your free policy review and inspection!

Being Hurricane Preparedness Week and with hurricane season quickly approaching, it is important you and your family are prepared by planning ahead. To prepare before the storm, we suggest focusing on four areas: Hurricane information & evacuation plan, strengthening your home & business, updating & reviewing your insurance policy, and stocking your supplies.

Hurricane Information & Evacuation Plan

If you live in a hurricane prone area, it is critical that you have a list of ways you can get trusted hurricane information readily available. We suggest bookmarking National Weather Service, Ready and national news outlets on your mobile devices for immediate access to information. In addition, social media can be a great source of real time updates — Join the latest Facebook group for the named Hurricane to receive multiple updates from various sources.

For your safety, planning a general evacuation plan and knowing alternative routes can save you time and stress when a hurricane strikes. When a hurricane is approaching, make sure you communicate your evacuation plan with someone else outside of the storm’s path.

Corner business with windows boarded up

Strengthen Your Home & Business

Take a walk around your home and your business and look at areas that may be vulnerable in the event of a hurricane. Trimming trees regularly can help prevent excessive broken branches that can cause damage. Minimizing the number of outside loose items, such as patio furniture & recreational equipment, will reduce the amount of time you need to properly secure the items prior to the storm hitting. In advance, we recommend having the necessary materials to board up any windows to protect them from flying debris.

If you have not had your roof or property inspected in the past 12 months, we recommend having a contractor or public adjuster confirm the structural integrity of your roof and home. The inspection will include photos and documentation of the current condition of your home. Should your home experience damage during a hurricane, the inspection documentation will be crucial evidence in getting your home back to its prior condition. We offer free home inspections — Give us a call today to schedule!

Update & Review Your Insurance Policy

We recommend having your insurance policy reviewed by a third party for a detailed review of coverage. Flooding is the leading cause of damage from hurricanes and many policyholders in hurricane prone areas are not required to have this coverage. In addition, your insurance policy may outline specific preparation steps that are required in order to ensure damages are covered. Our team of legal experts provide free policy reviews and will outline any gaps in your current coverage, and what steps must be taken prior to the storm hitting per your policy. If you’d like to have your policy reviewed — Contact us or send your policy to info@premier-claims.com.

Prepare before the storm Hurricane Preparation Checklist

Stock Your Supplies

Waiting until the hurricane is announced to stock your supplies could put you at risk of being unable to obtain the emergency supplies you need. According to Chuck Duncan, a Florida Ace Hardware employee in a local interview with CBS 4 News, says it is normal for residents to wait until the announcement before they head to the stores for supplies: “Usually within a few days after it comes out that it [the hurricane] is coming this way, they start coming in.”

During and after a hurricane, you may need supplies to keep your family safe and healthy. However, once a hurricane is announced, there is a mass surge of people going to stores and supplies are limited. We recommend gathering supplies early in the season in May or June prior to a potential hurricane hitting land. You can be prepared by including the following:

Emergency supply of food & water
Emergency first aid kit & medicine supply
Emergency power sources, such as flashlights, batteries, charges, etc.
Safety & personal items
Important documents, such as medical documents, passports, policy documents, etc.
Tools & equipment for safety, such as fire extinguisher, pocket knife, etc.

For a full list of items you may need, you can find a checklist here: Download Checklist

Hurricanes are costly and can cause damage hundreds of miles from the shore. Being prepared ahead of time can be critical for your safety and recovery after the hurricane. Continue to follow us this week for more information and resources to prepare for this upcoming hurricane season!

Additional Resources

Florida Disaster
CDC Preparing for a Hurricane
National Weather Service Hurricane Plan

May 1st through the 7th is National Hurricane Preparedness Week. If you don’t live in an area prone to hurricanes, you probably haven’t given them much thought. However, if you live in Florida or the surrounding area, chances are hurricanes have impacted your life in one way or another.

How did Hurricane Preparedness Week start?

Prior to 2004, Hurricane Preparedness Week had been known as Hurricane Awareness Week. The first Hurricane Warning Service originated in Cuba and was adopted by the United States Weather Bureau during the 1870s. On June 1, 1956 the National Hurricane Center was founded in Miami, Florida.

The change from Awareness to Preparedness was an initiative to encourage communities to be prepared prior to a hurricane hitting land. Costing billions of dollars in damages every year just in the United States alone, hurricanes are considered one of Mother Nature’s most destructive events worldwide.

Outside of the United States, hurricanes are often referred to as typhoons or tropical cyclones. Other countries, such as China, experience the same destructive forces and are reported to have the most typhoons annually than any other country in the world.

With continual changes in weather patterns and rising sea levels, hurricanes will continue to be destructive storms hitting our coast. As a community, we hope we can use this week to educate our neighbors on preparing before the hurricane, how to stay safe during the storm and what to expect following a devastating hurricane.

Follow us this week as we continue to cover different topics and provide resources to prepare for this upcoming hurricane season. If you’re still battling your insurance claims from prior hurricanes, please reach out to our team members to help get you the support you need: click here.

Additional resources:

National Today Hurricane Preparedness Week,

National Weather Service Hurricane Preparedness Week

NOAA: National Hurricane Preparedness

Welcome to Premier Claims, your trusted source for comprehensive insurance insights. Today, we’re unraveling the complexities surrounding condominium insurance by shedding light on the distinctions between individual condo insurance policies and master insurance policies.

Individual Condo Insurance Policies

When residing in a condominium, it’s essential to have a clear grasp of individual condo insurance. Imagine your condo unit as a private oasis within a larger community. While the condominium association takes care of common areas and the building’s structure, individual condo insurance, also known as HO-6 insurance, safeguard your personal space.

This type of policy covers your personal belongings, interior fixtures, and liability within your unit. Should unfortunate events like theft, fire, or vandalism occur, your individual condo insurance steps in to provide assistance. Not only does it protect your cherished possessions, but it also offers financial security if accidents happen within your unit.

Master Insurance Policy

The dynamics between individual and master insurance policies add another layer to the condo insurance landscape. The condominium association, comprising all condo unit owners, holds the responsibility for maintaining shared spaces and the building’s structural elements. This is where the master insurance policy, often referred to as the master policy, comes into play.

The master insurance policy typically comes in three main variants:

All-Inclusive

An all-in policy offers broader coverage, extending to fixtures within your unit, such as plumbing and wiring. This comprehensive coverage typically includes common areas, shared facilities, external walls, and even elements within your walls such as plumbing, electrical systems, and cabinetry.

When the master policy is all-inclusive, it harmoniously covers the collective and individual elements that make up the condominium environment. In the event of unforeseen damage, whether originating in a shared space or within your unit, the all-inclusive master policy steps in, orchestrating the restoration process.

Bare Walls

Imagine it as the foundational structure that provides stability and protection to the entire building. However, this coverage differs in scope from the all-inclusive version. Bare Walls policy covers the core of the building – the walls, roof, and foundation – without extending to the interior elements.

In the realm of condominium insurance, the responsibility for protecting your unit’s interior fixtures and personal belongings shifts to your individual condo insurance when the master policy is bare walls. Think of it as the building’s outer shell, providing a strong foundation while leaving the interior customization to the unit owners.

Single Entity Coverage

Single Entity overage is often utilized in older condominium complexes or mixed-use buildings. This coverage type extends to cover not just shared spaces and structural elements but also some interior components of individual units.

Visualize the Single Entity coverage as a bridge between All-Inclusive and Bare Walls policies. It offers a unique blend of protection, encompassing more than bare walls while stopping short of all-inclusive coverage. For example, “while it covers appliances and fixtures, it does not cover the owners’ improvements or renovations,” as stated by Voss Law Firm. This approach is designed to adapt to the specific needs and structures of certain condominium communities, fostering a cohesive and balanced insurance arrangement.

Harmonizing the Policies

Visualize the interaction between these policies as a well-choreographed dance. The master policy takes the lead by protecting the building’s core and exterior, while your individual condo insurance follows, safeguarding your private space. In the event of a covered incident affecting your unit, the coordination between these policies ensures a comprehensive approach – the master policy addressing structural repairs, and your individual policy assisting with interior repairs and personal property replacement.

As we uncover the differences between individual condo insurance and master insurance policies, keep in mind that these policies work in tandem to provide you with peace of mind. Premier Claims is committed to providing information, support, and guidance, ensuring that you’re well-prepared to handle any situation.

For more information, connect with Premier Claims. Our priority is to foster your understanding, empowering you to navigate your insurance policy with confidence.

Sanoh America Distribution Facility

Archbold, Ohio
Hail & Wind Damage | May 2022

The expansive 223,000 square-foot distribution facility experienced significant hail and wind damage, resulting in a small portion collapse. The insurance carrier enlisted an engineer to refute the more extensive hail damage, dismissing it as merely cosmetic and initially only approved repairs for the collapsed section. At this time, our team was brought on and we began to gather evidence from comprehensive on-site investigations, demonstrating the long-term repercussions of neglecting the full extent of the damage. Within six months, these efforts resulted in a reversal of decision to a full roof replacement. In addition, we were able to show historical storm activity that had impacted the building within the policy terms for more accurate dates of loss, as well as reimbursement for business interruption and loss of contents. Thanks to our diligent efforts, we successfully secured an additional $3.9 million in claim settlements.

Insurance Carrier Offer: $1,985,000

Premier Claims Settlement: $5,893,000

In the world of insurance claims, the concept of deductibles is a crucial aspect that policyholders often encounter. These deductibles are designed to discourage unnecessary claims, yet their implications can have a significant impact on the policyholder’s financial burden of damage to their property.

Flat-Rate Deductibles vs Percentage-Based Deductibles

When exploring the realm of deductibles, policyholders encounter two main variations: flat-rate deductibles and percentage-based deductibles. Flat-rate deductibles entail a fixed dollar amount that the policyholder must pay before their insurance coverage kicks in. On the other hand, percentage-based deductibles involve a percentage of the total insured value (TIV) of the property, which the policyholder must cover out-of-pocket. While flat-rate deductibles are straightforward and easy to understand, percentage-based deductibles can lead to varying commitments depending on the property’s value.

Perils

One significant aspect of deductibles is the concept of “all other perils” (AOP) deductibles. These encompass a wide array of perils that may affect your property such as Wind, Hail, Hurricanes, Sinkholes, Collapses, and Floods. As you might anticipate, more severe perils tend to carry higher deductibles. While opting for a lower deductible may seem appealing, it can inflate your premium significantly. Insurance agents often suggest higher deductibles as a strategy to reduce premium costs, which can be a tempting proposition for policyholders.

Things to Consider

Imagine you reside in a condominium complex consisting of eight buildings, each with varying liability limits. Let’s say your property carries a 5% Hurricane deductible. In this case, the total insured value (TIV) is multiplied by the deductible percentage to determine the out-of-pocket expense in the event of a claim. For instance:

You own a condo where there are 8 buildings ranging liability limits of $1,684,874 and $2,026,302, and you have a 5% Hurricane deductible. The total TIV (Toal Insured Value) is multiplied by the deductible percentage, 5%.

Building A: TIV $2,000,000= Deductible $100,000

Building B: TIV $1,500,000= Deductible $75,000

Considering all eight buildings:

Total TIV: $14,000,000

Total Deductible: $700,000

Now, if a 1% deductible were in place instead:

Total Deductible: $140,000

The Implications and Beyond

While the calculations above solely focus on the deductible, other provisions can significantly impact coverage and claim outcomes. A high deductible might seem insignificant initially, but it can prove pivotal in determining the success of your claim. This hold especially true if you reside in an area prone to natural disasters, such as hurricanes.

In conclusion, comprehending the nuances of insurance deductibles is crucial for policyholders seeking to safeguard their assets effectively. Empower yourself with knowledge on the complexities of insurance claims and your policy. By making informed decisions about your deductible, you can not only manage your premium costs but also ensure that your claim process is smooth and financially viable in times of distress. Connect with us today to explore how Premier Claims can assist you on your journey to comprehensive coverage and peace of mind.

Louisiana New Law: Allows for Public Adjusters