Policy Exclusions: What They Are & Why They Matter

If you’ve ever filed a property damage claim only to be told your loss isn’t covered, you’ve likely run headfirst into the infamous world of insurance exclusions. The fine print that makes your blood boil and your wallet ache. 

And while we’ll be the first to say some exclusions are just plain absurd, they’re not always meant to scam you. It’s important to know why exclusions exist and how they could affect you.

Exclusions can expose you to unexpected costs, and that’s where understanding your policy (and having the right team in your corner) matters more than ever.

“You can get a cheaper policy by not adding endorsements or carrying less coverage, but what you save in premiums, you may pay later in uncovered losses.”

Chantal M. Roberts, CPCU, AIC, RPA

Why Exclusions Exist (Even If They Don’t Seem Fair)

Insurance carriers don’t just wing it when they price policies. Premiums are calculated based on risk; if all policies covered everything, many people wouldn’t be able to afford their coverage. Is it fair? No, but it’s our current reality. 

So exclusions carve out high-risk, high-cost, or hard-to-quantify perils. Things like:

These exclusions help carriers limit exposure, lower baseline premiums, and define what they’ll actually insure. Coverage decisions happen on paper; your losses happen in real life. 

Insurance logic might make sense in a boardroom or an actuarial spreadsheet, but when a storm floods your basement or your roof starts leaking, exclusions feel less like “smart risk management” and more like a loophole designed to avoid paying you. 

Common (Dare I Say Absurd) Exclusions We’re Seeing in 2025

We get it, exclusions are part of the game, but some of the new exclusions popping up over the last few years? Downright ridiculous. Here are a few exclusions our team has seen time and time again:

The fine print is getting finer and more costly. We review policies with a microscope and flag the traps before they become financial sinkholes. 

Endorsements: The (Often Overlooked) Solution

Here’s the part insurance carriers don’t exactly advertise: Many exclusions can be bought back through endorsements

Endorsements are add-ons to your policy providing coverage for specific excluded risks, such as the exclusions we listed above. 

The catch? You have to know to ask about them. 

To learn more about endorsements, read our blog: New Endorsements May Impact the Claims Process for Property Owners

What Can You Do Right Now?

1. Get a Free Policy Review

Premier Claims regularly reviews policies to identify gaps in coverage. We help property owners understand their coverage risks and weigh the cost of an endorsement. You don’t have to wait for disaster to strike to have your policy reviewed! Reviewing your policy before a loss happens can help you build a solid foundation for potential future claims. 

2. Evaluate Your Risk

Do you live in a flood zone? Do you have an older roof? Do you live in a wildfire area? Factors like these can influence your coverage strategy, not just your carrier’s. 

3. Work with a Trusted Public Adjuster

Having a trusted and licensed public adjuster on your team can make all the difference in your policy understanding and potential claim outcomes. To learn more about finding a trusted public adjuster near you, read our full blog: Choose a Trustworthy Public Adjuster.

Exclusions Protect the System, Not the Property Owner

Policy exclusions are, in theory, designed to protect the system. But in practice, they often leave property owners with surprise expenses, unclear guidance, and denied claims they could’ve avoided. 

At Premier Claims, we don’t just review policies, we interpret them. We challenge unfair claim denials, uncover missed coverage, and fight to make the policy work the way it should. 

When you work with us, you’re not navigating exclusions alone. 

Submit your policy for a free review today!

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Insurance Coverage for Collapse

You just bought your dream property— investing time, effort, and resources into making it a reality. Yet, amidst the joys of ownership lies the uncertainty of potential structural disasters. Enter collapse coverage, a policy feature often overlooked, but essential in shielding your investment. Learn about the depths of this coverage type, demystifying its significance, and empowering you to navigate your policy with confidence.

Do I Need Collapse Coverage?

Collapse coverage protects policyholders from financial losses resulting from the sudden and unexpected collapse of a building or a part of the property. This collapse could be due to various reasons, including structural defects, hidden decay, or other covered perils. Collapse coverage typically comes in two forms: broad and narrow.

Broad Collapse Coverage

Broad collapse coverage offers protection against a wide array of causes, including hidden decay, insect or vermin damage, and weight of contents. This comprehensive coverage ensures that policyholders protect their property from a broad range of potential risks.

Narrow Collapse Coverage

Narrow collapse coverage requires proof of a specific cause, such as fire, explosion, or perils explicitly listed in the policy. This type of coverage is more specific in its requirements, but still offers essential financial protection in the event of a collapse.  

What Does This Look Like in Your Policy?

One fundamental aspect to consider is how your insurance policy defines collapse. Definitions can vary significantly depending on the policy and carrier. While some policies define collapse as an abrupt falling down or caving in of a structure, others may include substantial impairment of structural integrity. Understanding how collapse is defined in your insurance policy is key when it comes to protecting your property.

Covered Causes

We recommend policyholders review the events or perils covered in their insurance policy to assess their level of protection comprehensively. Covered causes may encompass structural defects, insect or vermin damage, the weight of ice, snow, or sleet, and specific natural disasters, among others. By understanding these covered causes, policyholders can better anticipate and mitigate potential risk to their property.

Exclusions

Similar to other insurance coverages, collapse coverage has a set of exclusions that can limit what it will cover. Common exclusions include gradual deterioration, wear and tear, settling, and maintenance related issues. These exclusions highlight the importance of routinely maintaining your property. Being aware of these exclusions allows you to understand the extent of the coverage provided by the policy and any potential gaps that may exist.

Why Your Property Needs Structural Protection

Collapse coverage provides policyholders with financial protection against unforeseen structural failures that could result in significant repair costs. Property owners may face substantial expenses to repair or rebuild damaged structures without this coverage type.

Review Your Policy

To ensure adequate protection, we recommend policyholders carefully review their insurance policies and understand the terms and conditions of their coverage. They should also consider consulting with a qualified insurance professional to assess their coverage needs and make informed decisions. To have your policy thoroughly reviewed by our team of licensed professionals, submit your policy here: https://premier-claims.com/policy-review/

Collapse coverage is a vital component of property insurance, offering protection against unexpected structural failures. By understanding what their insurance policy entails and ensuring they are adequate coverage, policyholders can protect their properties accordingly. Knowing that you’re financially protected in the event of a collapse, is the peace of mind every property owner deserves.