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    Additional reading material to help further familiarity when submitting a claim.

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Returning to your home after a wildfire: A post-evacuation checklist

8/23/2021

 
  • You can claim reimbursement from your insurance company for Additional Living Expenses (“ALE”) you incurred due to the loss of use of your home because of a mandatory evacuation order or damage that makes it uninhabitable.  Check the “Loss of Use” section of your policy. Common wording that covers evacuation costs is “prohibited use due to civil authority.”  A deductible may or may not apply to your ALE claim, depending on your policy’s wording.  If your expenses are modest, you may be better off paying them out of pocket to avoid filing a claim that can impact your premiums.
  • Heavy smoke, nearby flames and extreme heat can cause visible or hidden damage, impact a home’s air quality and/or create health hazards you may not be able to see or smell.
  • Indoor air quality and home environment health standards vary and there is not one official, clear and established set of guidelines for smoke, soot and ash contamination and proper cleaning methods.
  • If there are members of your household who have chemical sensitivities, a history of respiratory illness, or are immunosuppressed, notify your insurer and consult with a physician before moving back in.
  • Unless an insurance company adjuster has special training and conducts appropriate testing, he/she is not qualified to determine whether there are harmful particulates or hydrocarbons in your home or whether your home is habitable.
  • A reputable and qualified Certified Industrial Hygienist (CIH) can inspect and test the air, surfaces and “soft goods” (furniture, rugs, curtains, etc.) in your home.  If you are hiring one yourself, check qualifications and references carefully. If you are reviewing a report prepared by an expert hired by your insurer, do the same. Visit:  American Board of Industrial Hygiene and National Registry of Environmental Professionals.
  • Communicate with your insurer in writing if you believe your home is not safe to live in and provide them with supporting documentation.  Request that they cover the cost of appropriate inspection, testing and remediation and ALE. Be prepared to enforce your rights if an adjuster or insurer rejects your request to cover necessary costs.
Bottom line:  Protect your property and the health of your household members by being cautious about moving back in, and by taking steps to have your home properly inspected and cleaned, repaired, or restored.
The information presented in this publication is for general informational purposes, and is not a substitute for legal advice.
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A Simplified Guide to Your Homeowners Policy

8/23/2021

 
Insurance policies are usually divided into four or five main sections or categories by what is covered and the maximum amounts the insurer will pay in the event of a loss.  Typically there’s Coverage A, (Structure), B (Other structures; garages, outbuildings), C (Contents) and D (Loss of Use/Additional Living Expenses).  Here’s a basic summary of the main types of coverage in a typical homeowner’s policy.

Your declaration page (often called a “dec” page) states your name and address, policy number, dollar amounts of coverages and “endorsement” codes. You can think of your dec page as the body of a car. The wording inside is the engine, the parts, the wheels, etc. Your dec page states the dollar amounts/limits for your main coverage categories, but what you see is not always what you’ve got. There are extensions, limits and exclusions for certain items. For example, many policies contain a “sub-limit” for valuable papers, computer equipment and jewelry.

​You’ll need to do some math and piecing together to figure out what your policy limits actually are. Don’t rely solely on your insurer’s calculations.
Use our tips and the sample declaration page in this PDF to figure out what’s in your policy and how to collect what you’re owed.
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Special note for California: There is a Residential Property Insurance Disclosure law that requires insurers to provide every customer with a form that alerts you to the specific types of coverage you have bought, plus the ones you could have bought.
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Top 10 Insurance Claim Tips

8/23/2021

 
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  1. Be pro-active in the claim process and keep good notes. Make sure you maintain a paper trail.
  2. Focus on calculating the total value of your damaged or destroyed property and understanding the maximum insurance benefits that are available to you.
  3. Think of your insurance claim as a business negotiation—you’re dealing with a profit-oriented company and your goal is to restore your assets.
  4. Give your insurance company a chance to do the right thing, but don’t mistake a friendly representative for a friend and don’t be a pushover.
  5. Document and support your claim with proof, details and estimates.
  6. Present clear requests in writing that explain what you need, when you need it, and why you’re entitled to it.
  7. Don’t pad or exaggerate your claim.
  8. Don’t sign legal documents without consulting with a qualified attorney.
  9. Try to resolve problems informally but complain in writing. Go up the chain of command and/or use government agency help when necessary.
  10. Get specialized professional help when you need it.(like us 😉)
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First Steps After a Wildfire

8/23/2021

 
  • Take care of your family’s immediate needs first.
  • Finding temporary housing is a priority. Your insurance company should help you find a place of similar size.
  • Start a recovery diary.  Any notebook will do. Take notes on who you talked to, the number you called, date and time, what was said.  Keep your paperwork organized.
  • Ask your insurance company for cash advances for:
    • Living expenses (click for additional info)
    • Replacing personal property
  • Keep all receipts while you are displaced. Hotel bills, clothes, and pet boarding may be reimbursed but require receipts.
  • Take photos of your property before any cleanup or debris removal happens.
  • Do not rush into signing contracts. Get copies of ALL paperwork you do sign.
  • An insurance adjuster will eventually come and inspect your home.  If they make you a settlement offer on the spot, get a 2nd opinion on what you’re entitled to.
  • Inventorying your damaged and destroyed property is time-consuming and unpleasant.  
  • Give your insurer a chance to do the right thing, but be prepared to stand up for your rights and get help if you’re not being treated fairly.
  • Register with a “Case Manager” – they can help make referrals to resources.
  • Register with FEMA (federally declared disaster) and the SBA (state disaster declarations needed)
  • For more specifics and guidance on the insurance claim process, visit the Claim Guidance Library.(click for additional info)
Appended from United Policy Holders: First Steps After a Wildfire - United Policyholders (uphelp.org)
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