2:59 I say sudden and incidental - it is sudden and accidental. Thanks @Robert R for catching this!

If they denied a legit claims what's the purpose of paying for insurance

Policy holders need to take the time to read the policy and ask questions PRIOR to having a claim. Sadly, most do not.

Thank you! I learned a lot with this video.

Many thanks for the clarifications.

Excellent explanations on this.

@ThinkInsurance

2 жыл бұрын

Thank you

You are the best!!! I just wanted to say is that both HO3 and HO5 are open perils, the difference lies in their personal property, which in a HO3 would be named perils, and HO5 would be open perils, I believe...

@ThinkInsurance

3 жыл бұрын

Thank you!! I’m pretty sure the HO3 is a named peril and HO5 is an open peril.

A lot of customers don’t realize they may have actual cash value on their roof or a replacement cost schedule. Then they face the harsh reality of not being able to get full replacement cost on the roof. I agree with you that this may sometimes get glossed over on the wind/hail deducible piece and it’s not until a claim that people are shocked to see their true coverage. Great video, learned a lot about claim consequences. Thanks Mark!

@Davey3

3 жыл бұрын

Hi can you please explain the “shocked to see the true coverage” I take it that mean lot of out of pocket money?

@Moosemansmithy

2 жыл бұрын

@@Davey3 here's an example of shocked to see the true coverage. I'm working for a beach Bungalow in Sarasota Florida on a windstorm claim. Instead of an RCV policy they have an ACV policy. The deductible on almost every one of the buildings was higher than the cost to replace the roof. On top of that they had no ordinance and law and no straps on the inside of their roof for hurricane. I can usually get someone's roof bought on rcv policy for between 2500 $5,000. This customer had to come out of pocket $60,000. They are paying monthly very low premiums but in an area where storms and wind happen a lot it's just a really bad idea.

Thank you for the good video.

@ThinkInsurance

3 жыл бұрын

You're very welcome!

Thank you 🎉

So if you have an old roof where you think you'll get denied for any claims, then best to put the wind haul deductible as high as possible since you will never get anything out of it.

hi, I saw your comment on jade darmawangsas video and decided to pop by. hi!

@ThinkInsurance

4 жыл бұрын

SIDE ADVICE Hello! Thanks for stopping by 😃

Bought my house new Nov. 2004. Had the same policy with Met Life for 20 of those years and my agent retired. He sold or Farmers took over the policy. They raised our rate an additional 1400 dollars per year and tell us we need a new roof before the second year started or we are cancelled. I have no experience in this at all. They made it sound like they would pay but am unsure. We have an open claim from a hail storm too. Our agent is hundreds of miles away. I dont trust insurance companies either. I feel like I need Ann attorney to make sure they dont screw me over.

I’m so confused at how to buy my home insurance ... the roof part is still confusing 😩

Explain the 2nd check which is the deprecation check and why the contractor gets it

Have you heard of the roof workers falling through the roof while fixing it? Of course you have but try this; After such a event a family has been put into a hotel for over 4 months. The roof is fixed though you can walk into the home and see every thing from front door to back of house. Now, they are being asked to move into a rental home although they must pay the utilities.The reason they are told is because they can not find workers to do the job. - Thoughts?

@ThinkInsurance

2 жыл бұрын

That’s a tough one. It’s the adjuster that approves these pieces but I personally wouldn’t be ok with it if it was my claim. 4 months later might be a little more than my patience would allow. I’m not saying that your company is doing it wrong, I don’t know all the details but, getting it fixed even at an accelerated rush or upgraded level is likely approvable if they take the time to realize it’s worth the time save. It’s this was a disaster where tons of houses had the same problem then I would just wait and be angry in the corner lol.

@dianeransom2802

2 жыл бұрын

@@ThinkInsurance Thank you. I spent a while that day trying to find out what may be going on. I know now Massachusetts has what they call Prompt Payment for contractors, public and private. I still do not understand why no contractor is said to of taking up the work. I sent this info such as it is to the party "Living It" and I was thanked. We will see how it works out. I hope to remember to let you know.

@dianeransom2802

2 жыл бұрын

The family I was talking about above is now in a rented house where they pay just the bills and their home is still gutted. I feel something bad is going to happen.

@dianeransom2802

Жыл бұрын

Update: This Nov. 2022 the family I had spoken of just moved back into their home. The home they are very pleased with. The basement I guess has a lot of things in it and is unusable. - I don't know specifics just they are finally home.

My experience is roofing companies tell homeowners they can get new roof from the insurance companies. Insurance companies should not pay full coverage under any condition. 25% for each 10 years older roof should be owners responsibility, including and other damage.

After we got roof damage from large hail, we discovered the deductible was 5%. When I signed up seven years ago, I didn't know this. So it was 19,000. Deductible to fix. This seems high.

@ThinkInsurance

2 ай бұрын

It is very high and any agent that sells it to you without you clearly understanding it should be ashamed of themselves. It’s a way to get your price lower and some agents use it to make them seem more competitive. It’s beneficial for some but can be abused. $1,000 - $2,500 is the more common deductible I see. 2% for wind and hail on the higher end.

As a public adjuster (who only represents the policyholder) with 12 years experience, most of my job is to untangle policy lingo, definitions. The insurance company wants to keep policyholder confused. After a denial or very low settlement that does not cover legitimate repair costs, they understand the low premium is really worth much value. Too late. Get better policy with different insurance company.

@kwanang5524

Жыл бұрын

What are the essential basic lingo a home owner should know.

@marlonestrella8105

Жыл бұрын

@@kwanang5524 all peril is a must, and knowing if your home is situated in a flood zone or tornado zone… these insurance agents will purposefully undersell you on the actual policies you need due to likelihood of “occurrence” unlike a car salesman who will sell you stuff you won’t necessarily need like clear coating etc… their job is to get the insurance to collect money off of you with mitigating the responsibility of ever paying out. Also you better know how to speak English cause one misspoken word like rot, termites, freeze, dents, etc lol YOU gonna be denied with a quickness…. And that will always be in your record for future claims

@marlonestrella8105

Жыл бұрын

@@kwanang5524 also and I can’t stress this enough . If you ever get your roof inspected, best you get a roofer or any rep to be communicative. One that speaks fluent English… I’m not being racist but some folks get denied because their inspections went bad because they can’t convey or they are too silent in the matter… idk if it’s because they are passive aggressive, or they are lazy, or they are just uneducated. Out of 1 of the 3 denials I got the roofer literally stood there as allstate field adjuster used my roofer as a jock strap… the roofer didn’t even defend any resistance thrown at him. Switched insurance and got a well spoken roofer who sounds educated. I got approved on the First try….. For an investment of $22,000 you bet I’m gonna hurt peoples feelings. If you can’t speak English well, sorry but not sorry… you got to move on lol

My issue is that my shingles are English and no longer made. I had a big wind storm that knock down my neighbor's tree. On my roof the insurance company states they can replace my damage shingles with bigger metric shingles and no roofer will do the repair. Tamko wrote me a letter stating it is not recommended to replace with the new bigger metric shingles because of the glue strip location is in the wrong location.

@tiggerfink

9 ай бұрын

@@user-hx3te4ue4r I live in West TN. I had a second inspector came out on Friday and mark over 15 shingles with caulk on all slopes of my roof. The insurance company is fighting me. I guess the insurance company does not know TN law. TN law section: 0780-01-05-.10 states the below. (b) When a loss requires replacement of items and the replaced items do not match in quality, color or size, the insurer shall replace items so as to conform to a reasonably uniform appearance according to the applicable policy provisions. This applies to interior and exterior losses. The insured shall not bear any cost over the applicable deductible, if any.

Wrong. “Sudden and Accidental” in most states. “Incidental” means or typically applies to liability coverage. Per incidence.

@ThinkInsurance

3 жыл бұрын

Great catch! I did mis-speak there!! 😳

Sudden Incidental due to snow & ice /wind insurance company stating ice/snow is not covered??? Ext attached to house/bolted metal roof it collapsed… due to sudden/heavy ice & snow what you think ? Appeal under sudden /Incidental?. We do have in’s on dwelling & other structures 🤔🤷‍♀️

@ThinkInsurance

2 жыл бұрын

It’s up to the adjust but unless it’s specifically stated, heavy snow like an overnight snow storm would typically be covered. In most cases it’s denied because most people don’t clear off their roof in the winter. That’s one of the requirements to prevent a clause. Ice is rarely covered because it’s called Damning which means there is a maintenance issue where water is backing up to a point where ice is forming.

Matching depends on your state regulations. Now if you have damage to your shingles thats deemed storm related and the shingles are discontinued the insurer will request an ITEL report to verify the shingles are no longer in production and allow for a full roof replacement if warranted. If you have a tile roof and the tile is discontinued same thing.

Shingles have been flying of my homes roof , it’s ver windy where I live. roof look beat. Does this constitute me getting it covered by the insurance?

@ThinkInsurance

2 жыл бұрын

If your roof is older than 15 years, it’s likely not covered especially if the shingles are already lifting and if there is precious water damage. It would be worth having a professional inspect it.

Insurance company covers roof knowing the roof is at least 15 years old , (20 year roof) some hail damage , can a future claim be denied for the roof?

@ThinkInsurance

2 жыл бұрын

Not likely if the roof is in good shape. It can always be denied but unless there is lifting or curling on the shingles they don’t restrict you based on the age, even though they want to know how old it is. Each company is different but this is my experience I’ve had in the past 10+ years

If you tell them you have a 30 year roof and it was put on 10 years ago and then you have insurance for 5 years. If you have a claim they will deprecate your claim by 50 percent 10+5+15 years 15/30y 50 percent.

@ThinkInsurance

3 жыл бұрын

It's different with each company but you're talking about ACV (Actual Cash Value) on the roof. I recommend doing Full replacement cost where it doesn't lose value over time. Depending on the year your roof is.

For some reason my insurance company took the 9000 deductible out of the total cost of the settlement, can they do that? Then sent me a check to start the work for 5700 but now after the deductible that has been taken out there is not enough to do the roof, I was told that my deductible was 1000 only to find out that they left out my wind and hail was 5% of the total value of the house there is not enough money to do the job right because the wood needs to be replaced do to spacing I feel like I got swindled, can I at least keep the first check and just forget about it and do other home repairs? it's just strange that they took the 9000 deductible out of the total settlement ...

@ThinkInsurance

3 жыл бұрын

You’ll need to talk to them on your options. If the roof isn’t repaired correctly they can deny a claim if it happens again.

@drmm-barservices2572

2 жыл бұрын

An important note: your insurance company didn’t “take the 9000 deductible out”. They never HAD THE 9000 to begin with. It is basically your co-pay. I. Other words, YOU agreed to pay that amount for the repairs, and they agreed to pay the amount ( approved/covered) over that. As a roofing contractor, it is one of those things that we have to deal with on a regular basis. Customer says “Oh, they already took my deductible out” or “ they kept my deductible”. No, sir, that’s not how it works. I then go on to explain that deductible is like your copay on your medical insurance - you go to the doctor and you pay some and the insurance company pays some.

I'm buying a new home. The home has 2 layers of shingles on the roof. The insurance agent is telling me that the companies they work won't insure the home because of the roof. Is this common?

@ThinkInsurance

3 жыл бұрын

Yes. Typically if there is a second layer that means that someone didn't want to pay the extra cost to remove the old layer which could have issues. Now that there is a second layer on top it can cause worse problems down the road if the top layer leaks. A lot of insurance companies will deny it. You might be able to get approval to do ACV (Actual Cash Value) on the roof if you don't want to replace it again. The downfall is you're only covered for what the roof is valued at over time which diminishes over time. It's a long shot but possible with the right underwriter.

@lemardaley1190

3 жыл бұрын

Thank you

If your insurance paid for a new roof 4 years ago, will they pay for a new one again after damage from a wind event?

@ThinkInsurance

Жыл бұрын

If it’s covered correctly yes. They might non renew you afterwards but I would imagine so

Good video, but avoid the loud sound effects .

@ThinkInsurance

3 жыл бұрын

Thanks. I know, the sound effects got slightly louder than I intended. I've fixed that in future videos. :-)

What if the little particles from the shingles are sliding off into the gutters is that a claim,be going on for a couple years now

@ThinkInsurance

3 жыл бұрын

I would need a lot more info there. I would seek legal advice there but if it was me and the lawyer gave the ok I would document it all and then start fixing it. Whether it’s covered or not won’t change the fact that it needs to be fixed. If you neglect it, you could have more damage and that for sure won’t be covered. Once again, that’s my opinion on what I would do not a recommendation, you need more legal advice.

@RoofingFacts

3 жыл бұрын

It sounds like you mean granules, and in which case, no. Granule loss naturally occurs with any shingle, and is considered "natural wear and tear"

@drmm-barservices2572

2 жыл бұрын

As Colorado noted, you are describing granule loss, which is normal for all asphalt shingles. There are some issues to consider. 1st - and often over looked - is proper roof system ventilation. On a basic home that’s soffit vents for intake and either ridge vent, turbines, low profile vents (turtle vents/box vents), gable end vents, or power vents. There are several others for unique looks or situations. If not properly calculated and installed, poor ventilation is a major cause of “blistering” that is basically rapid deterioration of the shingle. This is often the case with retrofit and poorly installed foam insulation sprayed on the underside of roof decking. BEST ADVICE - choose a roofer who incorporates ventilation evaluations into their installations. On a CLAIMS note - it is well established that significant weather events can cause rapid and serious granular loss - i.e. wind/tornado/hurricane. Several shingle manufacturers, materials engineers, and legal cases have technical documents addressing that issue. Almost universally dismissed during a claim because the adjuster is taught to only accept creased, torn, or missing shingles as “wind-damaged”. I battle them almost every day, and win some of the battles, but it’s probably the toughest thing to fight on a roof claim. Have your roof inspected and maintained annually, to include pictures taken of your gutters or drip line if no gutters. Few granules in gutters in March then piles of granules after the windstorm in June - pretty obvious what happens. That will prove whether or not rapid granular loss occurred during a storm. I always take those pictures and provide to homeowners.

@edmartinez6946

2 жыл бұрын

No. That is wear and tear.

AllSt**** refused to cover my dads roof after an adjuster checked water dmg that had been accumulating for over 3 months of notice. He said the damage looked old, i hope i see him in hell.

What happens if you don't know the age of the roof?, as far as your insurance agency goes?

@ThinkInsurance

Жыл бұрын

If someone changed it, there will be a record on file some where or if you did it, you’ll have to show proof otherwise, inspectors can estimate the age of the roof. The insurance will likely have their inspector go and you can have your own to verify it.

@destincasimiro6984

Жыл бұрын

@@ThinkInsurance Thank you for the info...

@ThinkInsurance

Жыл бұрын

You’re welcome

Why we buy insurance is to help cover these expenses but it becomes a game of jeopardy.

I had a tree fall on my roof and my insurance denied it.

@meganhunt4164

Жыл бұрын

Why didn't they cover it?

@marlonestrella8105

Жыл бұрын

@@meganhunt4164 they probably neglected to cut it down or let it rot… I seen claimed denied because of owners ignorance

condition is not causation

… last comment correction “NOT much value” …

Insurance companies and their agents are generally in the business of taking our money and then make providing assistance to make the situation whole very difficult. DO ANOTHER FUNNY commercial with our money. Insurance is SPAM!!!

Will insurance cover my garage door

@ThinkInsurance

3 жыл бұрын

Sometimes. Depends what happened

@justinockhuis

2 жыл бұрын

@@ThinkInsurance we had excessive rain, now the wooden door to heavy... The remote cant open It have to open it manually

@ThinkInsurance

2 жыл бұрын

Ultimately it’s up to your adjusted if it’s covered but in my experience, I doubt it is because the wood itself should have a water resistant paint to avoid this. Even if it is covered, it wouldn’t be worth filing because the cost of a new garage door and motor would be close to your deductible, assuming yours is the typical $1,000 deductible. On top of that, you’ll see close to a 15-30% or higher rate increase on your renewal. To me it’s not worth it even if it’s covered.

@justinockhuis

2 жыл бұрын

Makes sense, thanks mate🙂

I just replaced my own roof with roof magic roofing spray and let me tell you it gave me a other 25 years to existing shingles 🥳 🍺 🛻