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FIGMAN's Blog

by FIGMAN from Viburnum, Missouri

Last Post 40 days, 5 hours Ago


The purpose of this blog is to help everyone become more informed as insurance buying consumers. It is my plan to post something new every couple weeks. Some of this will be very basic and some in more detail. The information will be based on Missouri but most will apply to Illinois as well. I entertain your questions on the blog and if you want to ask something in private you can email me.

This version was a requested topic...

Homeowners water damage - covered or not? 

Remember, I am an agent in Missouri and I am referring to policy contracts in Missouri even though others should be near the same but each state has specific contracts. I am also referring to the "Special Form" policy which is the typeof policy most of us would have but there are exceptions to that as well.  If you bought your policy or updated it in the last 10 years you "should" have the Special Form policy.   A water damage loss in your home is one of the most misunderstood coverage anyone has on their home policy.

First let me provide some very general concepts. Generally if the source of the water originates outside of the walls of your home, there is no intended coverage from your insurance policy unless you have purchased an endorsement on your home policy known as Sewer and Drain Coverage or a Flood policy if that is warranted. Also note most policies will not cover any water damage whereby the water enters your home due to a defect or poor workmanship of the home construction. 

Some examples;  

 Example #1

It rains and rains and snows and the ground is saturated with water around your home. You notice you have water in your basement and it is determined there is a crack in your basement wall and it is obvious that is the source of the water leak. There is no coverage for the water damage in my opinion no matter what type of policy or endorsement. It is not covered because the water came in through the defected basement wall.  

 Example #2

 The same exact thing occurs above except there is no crack in the wall and the water goes to the least path of resistance, a floor drain in your basement utility room. It is considered a water backup and "if" you purchase the Water Sewer and Drain coverage as an endorsement on your home policy, this should be a covered loss up to the limit of coverage you buy and your deductible applies.  

Example #3

 You come home to a basement full of water and you have no idea what happened and you find out there was a main line clog in your cities system and there is no issue at your home that caused the backup. There are four possible scenarios here. #1 -The city does the right thing and pays for all damages. #2 - The city decides it is not going to pay and you make a claim to your insurance and you did not buy the Sewer and Drain backup coverage, you are not covered. #3- You sue the city either in civil or small claims court depending on the amount of the damage and in my opinion if you prove the city is responsible for your damages, you win, if not you lose. #4 - You purchased the Water Sewer and Drain Backup coverage. Your insurance company will pay the claim up to the limit you purchased and your deductible will apply.

Example #4

You hear a loud noise in the basement and you find that the water heater has blown a water line and the basement is flooded. Your standard home policy would cover the water damage caused by the sudden direct loss. 

Example #5

You buy a house near a dry creek bed and after a heavy snowy winter and a spring filled rainy season, you come home to find your house has water surrounding it and there is water in your basement. No matter what type of home policy you have and no matter what type of endorsement you bought, the water damage is not covered by your home policy. You would have to own a "Flood" policy to have your loss covered. 

My recommendations -You should buy the Sewer and Drain coverage endorsement as this coverage and your Special Form home policy will provide you with the broadest coverage possible. If you live in an area where there is even a hint of flood water, you should find out if a Flood policy is warranted.    

20 Comments |  Add a Comment

Member Comments Total Comments: 20
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cabowabostl read my blog view my photos
Feb 24, 2008 | 2:35 PM

Thank you! WE have lived in MO for years and hope to move back(I do). In IL we have the sewer and drain coverage and that is what I was really interested in but funny(not really) one of your scenarios ---we had a 3 year old water heater explode down the side last week. The builder in O Fallon, IL refuses to do anything and the plumbing CO in Collinsville nothing--but the plumber who came to our rescue from Collinsville area said you don't have a water expansion tank and the thermostat was defective. Well we have had 3 defective sinks and our toliets something or other replaced 3x times each already at our expense --hard to believe so much defective stuff that no one wants to take responsibility for. I would LOVE to give the builders name since we have ongoing issues (from day one)that they just ignore-said get a lawyer! So anyhoo I didn't want that plumbing co touching anything else anyway.

FIGMAN read my blog view my photos
Feb 24, 2008 | 2:51 PM

Depending on the dollar amount of these issues you may be better off going to small claims court. Otherwise an attorney may be the answer given all the issues you have. So, did you have an insurance claim?

mr_wildflower read my blog view my photos
Feb 24, 2008 | 3:07 PM

cabowabostl....If your water heater exploded down the side and you have had other plumbing issues I am tending to beloeve that you might have a water pressure problem.... I would have a plumber check your water pressure.... A faulty pressure valve might be a major player.....

LadyCardFan read my blog view my photos
Feb 24, 2008 | 3:31 PM

So what you're saying is if you get water in your basement make sure your line is ruptured so it is covered, lol. Just kidding figman. We had a crack appear in our basement wall less than a year after the home was built. We were watering the side yard and happened to notice water spewing out the wall. The builder fixed it, but then they fixed so many things that were wrong that their rep told us one day that we were just "unhappy people". Our reply was, "You're right and we'll remain that way until everything is repaired that is wrong."

FIGMAN read my blog view my photos
Feb 24, 2008 | 3:38 PM

LCF - I would be just like you..unhappy with the errors. If they thought you were just unhappy why would they pay for the errors they made? Also if you ever see a house floating down one of those flooded rivers and the house is on fire...those folks fully understand their insurance policy....!

rosie read my blog view my photos
Feb 24, 2008 | 7:26 PM

i have coverage that dosent cover anything i dont think...

FIGMAN read my blog view my photos
Feb 24, 2008 | 7:29 PM

Rosie - If you are serious I can help you understand better if you like...I could explain things as you cut my hair....!

cabowabostl read my blog view my photos
Feb 24, 2008 | 7:41 PM

Mr Wild --my thoughts exactly! The new plumber has checked our pressure twice and assures me it is ok. Since the new water heater and water expansion tank hhas been installed I have noticed the pressure is way down when you first turn o the faucets but I still think a ghost or burial ground is under this farmland!?

kurkel read my blog view my photos
Feb 24, 2008 | 7:59 PM

figgy you are so smart!....I will have to check into the sewer thing....dont know if I have that coverage or not!

FIGMAN read my blog view my photos
Feb 24, 2008 | 8:07 PM

Kurkel - just doing what I do...Do The Right Thing..!

kurkel read my blog view my photos
Feb 24, 2008 | 8:22 PM

yep that would be you...{{HUG}}

LadyCardFan read my blog view my photos
Feb 25, 2008 | 8:40 AM

Too funny figman.

You know, we just relocated the center last October/November. We had our insurance agency come out to evaluate our coverage, thinking it would really raise our rates. Imagine our surprise when I got the call that stated we got increased coverage for the same amount of money. Seems the "better" building with the security system and more modern features had a great impact that allowed us to expand our coverage.

I will definately have to check our policy though for the sewer coverage. The owner told me the basement has never flooded, but we have our food pantry down there and if it floods we will have one heck of a loss and a mess to boot.

FIGMAN read my blog view my photos
Feb 25, 2008 | 8:51 AM

LCF - Most people don't realize the newer and more updated the structure the more credits you get. That is both in a home and a business.

One of the biggest issues with water is the mold that can grow so fast. It is best if you ever get water in your house not to wait on anyone to clean and dry it out. You should start the process yourself if possible but report the claim immediately. Mold is nothing to mess around with and if you clean and dry quick it won't have time to grow.

miamiman read my blog
Feb 25, 2008 | 12:52 PM

read about the term concurrent causation meaning one event lead to another event to happen meaning flood starts to was your house away and it catches fire there could be no payment for the fire that the flood had started in which flood is an excluded peril under a homeowners policy most of the time.

FIGMAN read my blog view my photos
Feb 25, 2008 | 2:00 PM

miamiman - This has been challenged many times and its about a 50/50 decision depending on the exact specific situation. Most companies with a good reputation will give the customer the benefit of the doubt. Companies that are not known well in the market or those doing business via 800 numbers and Internet are the ones that will take this position. Although one very well known and large company got their hands slapped in Mississippi last year over the same issue. If you have a quality company and an agent that will fight on your behalf then you are better off in my opinion unless you have experience in these types of battles and you are comfortable in taking on the insurance company.

miamiman read my blog
Feb 25, 2008 | 2:19 PM

maybe you can start a blog about earthquake deductibles

FIGMAN read my blog view my photos
Feb 25, 2008 | 2:33 PM

Oh boy....that is a subject filled with a grand scale of unknowns...I'll consider it but I am sure many are already tired of insurance blogging...!

LadyCardFan read my blog view my photos
Feb 25, 2008 | 5:59 PM

We turned off the outside hose and the water soon stopped spewing into the basement. Called them the following day and it was repaired within a few days of that. We took video to prove the leak and did clean it up right away. We had just begun finishing the basement and did not want a problem.

rosie read my blog view my photos
Feb 25, 2008 | 6:03 PM

lol fig, looks to me that u would get the bald mans special... 8 dollars

FIGMAN read my blog view my photos
Feb 25, 2008 | 6:10 PM

Rosie - my barber says he should charge me more than the going rate...he says my haircut is a lot like brain surgery....a little error really shows up...he may have a point...!

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FIGMAN

I live in the middle of the Mark Twain National Forest in a tiny town called Viburnum. I enjoy watching the news and keeping up with the events from local to around the world. I own businesses that consist of Farmers Insurance, AT&T Wireless, License Office, Just Like Home Laundry and Tropical Iceberg. My hobbies include golf and being involved in the community. My wife is the best teacher in the state and I have 3 great kids. www.farmersagent.com/lmay
field

Member Since: 9/15/2006