Mold Exclusions: What Your Insurance Carrier Isn’t Telling You

Mold Mayhem

Mold— it’s like that uninvited guest who shows up at your party, eats all the snacks, and leaves you with a mess to clean up. Unlike a party crasher, mold can cause serious damage to your property and health. The real kicker? Your insurance policy may not cover the damage. Surprised? You’re not alone. As storm damage and water woes hit record levels, mold exclusions in insurance policies are catching property owners off guard. Let’s dive into the murky world of mold exclusions and see how to avoid getting stuck with the cleanup bill. 

Mold Exclusions: The Fine Print You Can’t Afford to Ignore

In the grand game of “What Does My Insurance Actually Cover?” Mold exclusions are like the joker card—unexpected and not very funny. These sneaky clauses wormed their way into property owners’ policies after some high-profile lawsuits in the early 2000s. Remember the Ballard v. Farmers Insurance Group case? Neither did we—until it led to a $32 million lawsuit that made insurance carriers nationwide sweat bullets. The insurance industry responded with a collective “Nope!” by slapping mold exclusions on policies and placing caps on the amount of coverage available for mold damage. 

Why Mold and Insurance Don’t Mix

Insurance carriers are the friends who refuse to eat at certain restaurants because of a bad experience years ago. Mold is their bad experience. The problem? Mold is expensive to fix, and health issues linked to mold exposure can linger like a bad odor (pun intended). To avoid footing the bill for moldy messes, insurers decided to cut their losses— literally— by excluding or limiting mold coverage. They figured it’s better to lose a few customers than face another multi-million dollar lawsuit. 

The Creeping Threat: Why Molid Is More of a Problem Than Ever

Mother nature has been throwing a lot at us lately— floods, hurricanes, and windstorms that have turned buildings into waterlogged, mold-friendly environments. While mold might start as a small patch, it can spread faster than gossip at a neighborhood BBQ. The bad news? As severe weather events become more common, the risk of mold damage increases. It gets worse— your insurance policy might not have your back when you need it most. 

How to Protect Your Property

1. Read the Small Print (Yes, All of It)

Read your insurance policy like a thriller novel—every word matters. Look out for red-flag phrases within your policy exclusions like fungus, rot, and moisture damage. 

2. Mold Insurance: Not Just for the Paranoid

You wouldn’t buy a house without a roof, so why settle for insurance that doesn’t cover all your potential risks? Some insurance carriers offer separate coverage or endorsements that cover mold damage more comprehensively. 

3. Maintenance is Your Best Defense

The best offense is a good defense, and that’s true for mold, too. Regular property maintenance is like taking your vitamins— boring but essential. Fix leaks, keep your gutters clean, and don’t ignore that weird, musty smell coming from the basement. The quicker you act, the less chance mold has to settle in and make itself at home. 

4. Insurance Policies are Confusing— Ask a Professional

Don’t worry about having to review insurance policy alone; our team at Premier Claims is here to help. If you’re scratching your head over what’s covered and what’s not, consult with one of our professionals. They can help decode your policy and suggest coverage options to protect your property adequately.

Submit your insurance policy for review today!

Mold might be one of life’s little unpleasantries, but discovering your insurance doesn’t cover it? That’s a nightmare. By staying informed, reviewing your policy, and taking preventative steps, you can avoid the mold trap altogether. After all, the only thing worse than mold is mold and a denial letter from your insurance carrier.

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Hurricane Helene Damage: Wind vs. Water Coverage

Hurricane Helene brought a mix of powerful winds and torrential rain, leaving behind extensive damage. Property owners now face the challenge of filing claims, but many may not fully understand what their policies cover. Things can get murky when it comes to the differences between wind damage, water damage, and concurrent losses. 

Wind Damage vs. Water Damage: What’s Covered?

One of the most significant sources of confusion for property owners after a hurricane is the distinction between wind damage and water damage. Each type of damage is covered differently, so understanding the fine print is critical.

Wind Damage

If Hurricane Helene damaged your property by blowing off shingles, tearing apart windows, or causing structural damage, this is typically covered under standard hurricane or windstorm insurance. Wind-driven rain that enters through an opening caused by the storm is also typically covered.

Water Damage

However, damage caused by storm surges or rising floodwaters often requires a separate flood insurance policy. If your property sustained flood damage and you don’t have flood insurance, it’s unlikely to be covered under your standard policy. The National Flood Insurance Program outlines flood coverage applications and the required documents to prove the loss. 

To protect your property, check your policy for specific wording related to wind-driven rain and flooding. If you’re unsure, a public adjuster can help review your policy and provide clarity.

Concurrent Loss: When Wind and Water Collide

Post-Hurricane Helene, things can be tricky when wind and water team up to cause damage. This is called concurrent loss, and it can impact what your policy covers. Here’s the deal—if wind rips off the top of your roof and rain floods your home, you’ve got a mix of wind-driven and water damage. The problem? Insurance policies often treat them differently. 

Many standard policies cover wind damage but exclude flooding. So, if your damage is caused by both, your insurer might only pay for part of the claim—or worse, none at all—depending on whether you have flood exclusions in your policy. Some policies even include concurrent loss exclusions, meaning coverage can be delayed or denied if the excluded peril, such as flooding, is deemed the primary cause of the damage—even if wind damage, which is normally covered, occurs as a result.

CONCURRENT LOSS EXAMPLE

A commercial retail owner in the bend of Florida likely experienced wind damage during the storm. The wind could have damaged the roof and blown open doors and windows, allowing floodwaters to enter the property. After the storm, it’s often hard to tell whether wind or water caused the damage first. For policyholders without flood coverage but with causation coverage, they may still be covered under a wind loss. If you’ve had a mix of losses, consider having your policy reviewed by professionals to understand your coverage fully. To request a policy review from our team, you can submit a request here: Free Policy Review 

To see just how extensive the damage can be, ABC News gathered aerial footage of the flooding and wind destruction in North Carolina caused by Hurricane Helene. It’s a powerful reminder of the impact of concurrent loss.

 

Our team at Premier Claims knows how to advocate for the insured in instances like this. Having someone who knows the ins and outs of your insurance policy and how to match your damage accordingly can be the difference in the success of your hurricane claim. With the devastation of Hurricane Helene, nothing should be left to chance.

What You Need to Know About Hurricane Deductibles

Another often overlooked aspect of hurricane insurance is the hurricane deductible. Unlike a flat deductible, hurricane deductibles typically take a percentage of your property’s insured value. Some policies won’t specify a hurricane deductible, but will include something specific for wind. This often makes deductibles much higher than expected.

For example, if your property carries $500,000 in coverage and your policy includes a 3% hurricane deductible, you must cover the first $15,000 before insurance kicks in. 

As Ashley Workman, our Senior Paralegal, explains, “Recovery after a storm like Helene is complex, emotionally draining, and can often seem insurmountable, but understanding your policy and how to navigate the claims process can help. Check your policy for mitigation requirements, or requirements to protect your property from further loss. Most policies will outline your duty to take the steps necessary to avoid further damage. It’s important to remember to do the minimum to accomplish that. Keep a record of your expenses to be submitted for reimbursement. Excessive costs for mitigation can exacerbate claim difficulties, as your carrier could refuse to pay those large expenses.” 

Review your policy carefully to understand how your hurricane deductible works and how much you’ll be responsible for if you file a claim.

Take Control of Your Claim

Navigating your insurance policy after Hurricane Helene can feel overwhelming, but understanding key aspects of your coverage—like the difference between wind and water damage, hurricane deductibles, and concurrent losses—can help you take control of your claim. If you need help reviewing your policy or filing your claim, Premier Claims is here to guide you every step of the way. You don’t have to go through this alone; we’re here to help. Contact us today for immediate assistance!

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Does My Property Have Storm Damage?

Don’t Underestimate the Storm: Why Your Property Needs a Damage Assessment

The “It Wasn’t That Bad” Trap

It’s a common reaction: “The storm wasn’t that bad; I don’t think I’ll have much damage.” Many property owners, after experiencing what seems like a minor storm, tend to dismiss the need for a damage assessment. However, this mindset can lead to more significant issues down the line. Ignoring potential damage can turn minor problems into costly repairs. Here’s why you should always consider a professional damage assessment, even if the storm didn’t seem severe. 

The Hidden Dangers of “Minor” Storms

Not all storm damage is immediately visible. While your property might look unscathed, hidden damage can lurk beneath the surface. Small leaks can develop into significant water damage, minor cracks can expand, and what seems like a tiny dent can compromise the structural integrity of your roof. 

Water Damage: The Silent Destroyer

Water damage is one of the most insidious issues that can stem from a storm. A tiny leak might not seem like a big deal, but over time, it can lead to mold growth, rot, and severe structural damage. According to the Insurance Information Institute, water damage claims are among the most common and costly types of property owner insurance claims. 

Structural Compromise

Even a seemingly insignificant storm can weaken your property’s structural integrity. Minor damage to your roof, windows, or foundation can worsen over time, especially with repeated exposure to the elements. It’s essential to address these issues early to prevent more severe damage and higher repair costs. 

The Importance of a Professional Damage Assessment

A professional public adjuster has the expertise to identify a multitude of types of damage, potentially even hidden damage. A public adjuster can obtain a comprehensive assessment of your property’s condition, thereby helping you file a more accurate and timely insurance claim. This proactive approach can save you time, money, and stress in the long run. To learn more about what happens during a damage assessment, watch our full video: What is a Damage Assessment?

Expertise and Experience: Why DIY Isn’t Enough

While it may be tempting to assess the damage yourself, even the most vigilant property owners can overlook critical issues. Public adjusters and professional inspectors bring years of experience to the table, spotting damage that may not be apparent to the untrained eye. They know what to look for, from the most minor signs of water intrusion to subtle structural shifts that could indicate a larger problem. 

Move Forward with Confidence

Opting for a professional damage assessment after any storm, no matter how minor it seems, provides peace of mind. You’ll have a better understanding of your property’s condition, and if there is damage, you’ll be able to address it promptly before it escalates. This proactive step can also simplify the insurance claim process, helping to ensure that you receive the coverage you’re entitled to without any surprises down the line.

The Cost of Complacency

Skipping a damage assessment might save you time and money in the short term, but the long-term costs can be significant. By the time damage becomes apparent, repairs are likely to be much more expensive. Additionally, delayed claims can lead to disputes with your insurance carrier, potentially reducing the payout or extending the claims process. 

Don’t Gamble with Your Property

In the aftermath of a storm, your property’s well-being isn’t something to gamble with. The risks of hidden damage far outweigh the perceived inconvenience or cost of a professional assessment. Protect your investment, and make sure that even the “minor” storms don’t lead to major headaches. 

Schedule Your Damage Assessment Today

Don’t wait for the damage to become a significant problem— or for it to be too late. Schedule a professional damage assessment today and ensure your property is in the clear. Whether it’s a minor storm or a major one, your property deserves the best care possible. 

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Neglected HVAC Maintenance: Costly Consequences

As a commercial property owner, prioritizing seasonal maintenance for your HVAC system is paramount to protecting your investment and the longevity of your business. Neglect can lead to a multitude of costly consequences, impacting not only your bottom line but also the safety and well-being of your occupants. Explore the potential damage that can occur to your property due to neglected HVAC maintenance and why proactive measures are crucial for mitigating risks.

The Impact of Neglected HVAC Maintenance

Reduced Efficiency

Neglected HVAC maintenance causes the system to be inherently less efficient, leading to increased energy consumption and higher utility costs. Dirty filters, worn-out components, and improper calibration may impair system performance. This can cause heating and cooling equipment to have to work harder to maintain the desired temperature. As a result, there maybe uneven heating and cooling throughout the property, diminishing occupant comfort and productivity.

Decreased Indoor Air Quality

Poorly maintained HVAC systems can compromise indoor air quality, exposing occupants to allergens, pollutants, and contaminants. Dust, mold, and bacteria may accumulate within ductwork and ventilation systems. This accumulation may circulate throughout the property and can lead to respiratory issues and allergies for occupants. Inadequate ventilation can also cause the buildup of carbon monoxide and other harmful gasses, posing serious health risks. 

Property Damage

Neglected HVAC systems are vulnerable to a range of damage that can compromise the integrity and safety of commercial properties. Here’s a detailed breakdown of the types of damage that can occur:

Fire Hazards

Clogged air filters obstruct airflow, causing heating equipment to overheat and potentially ignite flammable materials. Accumulated dust, debris, and particulate matter within HVAC systems increase the risk of fire hazards, posing a significant threat to property and occupant safety. 

Water Damage

Refrigerant leaks in cooling systems can result in water damage to the property’s interior. Condensation buildup from malfunctioning HVAC units can lead to moisture infiltration within walls, ceilings, and flooring, promoting mold growth and structural deterioration. Addressing water damage is crucial to prevent further property damage and to mitigate health risks associated with mold contamination. 

Mold Infestations

Moisture buildup from HVAC system malfunctions creates an ideal environment for mold growth within the property. Mold spores can proliferate rapidly in damp, humid conditions, spreading throughout the building and compromising indoor air quality. Mold infestations may not only damage property surfaces but also may pose health risks to occupants. This can trigger respiratory issues and allergic reactions.

Structural Deterioration

Persistent moisture infiltration from HVAC system leaks can weaken building materials and compromise structural integrity over time. Wood rot, corrosion, and decay may occur in affected areas, leading to costly repairs and structural reinforcement efforts. Identifying and addressing structural damage early is essential to prevent further deterioration and ensure the safety of occupants. 

Electrical Damage

Faulty HVAC components and wiring can result in electrical malfunctions and power surges. This poses a risk of electrical fires and equipment damage. Overloaded circuits, short circuits, and wiring defects may occur as a result of neglected maintenance, resulting in the need for repairs and electrical system upgrades to mitigate safety hazards. 

By understanding the various types of property damage associated with neglected HVAC maintenance, commercial property owners can take proactive measures to mitigate risks, protect their investments, and ensure the long-term sustainability of their businesses. Regular HVAC inspections, maintenance,and repairs are essential for preserving property assets and protecting occupant safety.  

Preventing Future Problems

To mitigate the risks associated with neglected HVAC maintenance, commercial property owners can prioritize proactive measures and partner with experienced professionals to implement a maintenance plan. To learn more about how you can prepare your HVAC system for spring, read our blog: Seasonal Transitions- Optimizing HVAC Systems for Spring

Neglecting seasonal HVAC maintenance in commercial property can have severe consequences, causing damage to your property. By investing in regular maintenance and partnering with reputable professionals, property owners can safeguard their investments, protect their occupants, and preserve the long-term success of their business. 

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Smoke Alarms Insight: Revealing the Link Between Water Leaks

When it comes to your property’s safety, smoke alarms serve as vigilant guardians against fire hazards. However, an unexpected scenario unfolds when these guardians sound an alarm not for fire, but for water. Explore the intriguing link between water leaks and smoke alarms as we uncover the silent signals that may indicate potential water damage in your home. 

Smoke Alarms & Water Leak Connection

Understanding the basics of smoke alarms is important when it comes to properly protecting your property. Various mechanisms trigger alarms, each mechanism aims to detect particles linked to events involving fire or water. 

With varying temperatures in winter months, water can be a silent intruder, finding its way through hidden pathways. Melting snow, leaking from the attic or other sources, can trigger smoke alarms by disrupting the alarm’s sensors. 

Signs Your Smoke Alarms Detect Water

Consistent smoke alarms may point to water-related issues. However, there is a difference between occasional false alarms and persistent signaling, emphasizing the need for investigation. 

Identifying irregularities in alarm patterns is key to understanding potential water leaks. Occasional false alarms may result from environmental factors. Learn to recognize when alarms sound without visible smoke, as these anomalies could be indicators of underlying water damage.

Investigating Water Leaks and Smoke Alarms

Checking the Attic

The attic is a common culprit for water leaks. Uncover effective methods to inspect the attic, identifying signs of water intrusion that may trigger smoke alarms. If you’ve encountered substantial snow accumulation accompanied by strong winds, it’s advisable to inspect your attic for any snow buildup that may have infiltrated your structure through the roof ventilation. Ensure the integrity of your property by addressing potential issues caused by severe snowfall and wind conditions in a timely manner.

Tracing Plumbing Issues

Water leaks can stem from plumbing issues. Understand how to trace and address plumbing-related leaks that may be silently activating your alarms. Typically, plumbing problems manifest through visible signs such as water and moisture seeping through walls and ceilings. If you suspect that plumbing issues concealed within the walls are triggering your smoke alarms, it is advisable to shut off your main water line and consult with a professional who can thoroughly investigate and address the underlying problem.

Prevention and Regular Alarm Maintenance

Ensuring your smoke alarms undergo regular maintenance is important for the overall safety of your property. Explore tips to optimize their functionality, hoping to minimize the risk of false alarms triggered by water detection:

Monthly Testing

Conduct a monthly test of each smoke alarm to determine their functionality. Most alarms have a test button- simply press and hold until the alarm sounds.

Battery Replacement

Change the batteries at least once a year, even if they seem functional. Consider an annual routine, like during daylight savings time, to create a consistent schedule. Ensure you have additional batteries readily available to avoid inconvenient situations, especially if they deplete unexpectedly in the middle of the night.

Dust and Debris Removal

Regularly clean your smoke alarms from dust and debris. Use a soft brush or vacuum attachment to gently remove any buildup that could affect sensor sensitivity. 

Functional Testing

Check the functionality of interconnected alarms. If one alarm is triggered, ensure all interconnected units respond simultaneously. 

Alarm Placement

Alarms should be placed strategically in key areas like bedrooms, hallways, and common spaces. Follow manufacturer guidelines for optimal placement. 

Replace Outdated Alarms

Smoke alarms have a lifespan of around 10 years. If your alarms are outdated, consider replacing them with newer models to benefit from enhanced features. 

Professional Inspection

Schedule periodic professional inspections to assess the overall health of your smoke alarm system. Professionals can identify potential issues that might go unnoticed during routine checks. 

Keep Surroundings Clear

Maintain a clear space around smoke alarms. Avoid placing objects close to them to allow for optimal air circulation and sensor performance. 

Preventing Water-Induced Alarms

Implement preventive measures to avoid water-related false alarms. From roof inspections to proactive plumbing checks, these strategies will help maintain a dry and secure home. 

By recognizing signs, investigating potential sources, and implementing preventive measures, property owners empower themselves to safeguard their homes. Stay vigilant, conduct regular checks, and trust Premier Claims for assistance in navigation unexpected scenarios. Your property’s safety depends on your awareness and proactive care, and we are here to guide you along the way.

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Negotiations Lead to a Full Roof Replacement and Warrantied

Edwards Electrical & Mechanical

Indianapolis, Indiana
Hail & Water Damage
January 2022

Facing an insurance carrier that was only willing to approve minor spot repairs and attribute the issues to old damage, our team swung into action. Leveraging detailed evidence from our on-site investigations, along with storm data and policy coverage specifics, we successfully negotiated a complete roof replacement. This victory not only addressed the immediate concerns but also furnished the policyholder with a brand-new, warrantied roof.

Insurance Carrier Offer: $8,990

Premier Claims Settlement: $2,039,000

 

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Meticulous Documentation Leads to a 683% Increase in the Settlement

Elite Transportation Warehouse

Emporia, Kansas
Hail & Water Damage
November 2021

Despite presenting evidence from forensic damage experts that proved water intrusion had caused phenolic insulation to become acidic and cause damage to the steel decking, the insurance carrier remained steadfast with their $139,000 estimate. They also denied coverage for business losses, even though the policy clearly included it. Undeterred, we connected the policyholder with a legal team, sharing all our findings to build a solid case. The outcome? A victory that resulted in a 683% increase in the settlement offer from the insurance carrier.

Insurance Carrier Offer: $139,000

Premier Claims Settlement: $1,088,000

 

 

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Spot Repairs Initially Approved for Historic Building: Restored with $1.3M Settlement

Rivermont Collegiate

Bettendorf, Iowa
Hail & Water Damage
May 2021

Nearly a year after a devastating hail storm, the building began to show alarming signs of water damage through the roof. Although still within the timeframe to file a claim, the insurance carrier was resistant, approving only minimal spot repairs that fell below the deductible amount. To counter this, we enlisted experts from the tile company to provide irrefutable forensic evidence, confirming that the damage occurred within the claim window. Moreover, our team successfully negotiated for a complete roof replacement, ensuring the historic building was restored while preserving its invaluable significance.

Insurance Carrier Offer: Only Spot Repairs

Premier Claims Settlement: $1,264,000

 

 

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