Using a Public Adjuster for Your Insurance Claim?

OPPAGA Report Finds that Insureds Received Larger Insurance Settlements when Public Adjuster Involved in Claim.  Florida Legislature Considers Additional Regulations Governing Solicitation by Public Adjusters. 

 The number of public adjusters in Florida increased by more than 300% over the last six (6) years - no doubt as a direct result of the catastrophic damages caused by hurricanes in 2004 and 2005.  As the deadline to file Hurricane Wilma claims becomes closer and closer, more homeowners, association leaders and building managers are being solicited to re-open old claims.  In the aftermath of Hurricane Wilma many distraught association leaders readily 'signed on the dotted line' after being told 'not to worry' about the association's insurance claim or repairs to the property. 

Did the use of a public adjuster make a difference?  The report issued by the Office of Program Policy Analysis & Government Accountability (OPPAGA) finds that claims took longer but payouts were higher when a public adjuster represented the insured.  In fact, Citizens Property Insurance Corporation paid insureds represented by public adjusters at least five time (5x) more than it paid insureds handling claims by themselves.

While Section 626.8795, Florida Statutes specifically prohibits the public adjuster from having anything to do with the repair or reconstruction of the damaged property, contractors and public adjusters often seemed interchangeable to association leaders.  The Department of Financial Services recently stepped-up enforcement efforts against contractors - including United Roofing Systems.    Moreover, solicitations became so intrusive that the Florida laws were amended in both 2008 and 2009 to impose restrictions:

  • limiting hours of solicitation (in person or by telephone) from Monday through Saturday between 8:00 a.m. and 8:00 p.m.;
  • prohibiting contact with policyholders until at least 48 hours after an event; and
  • limiting fees to 10% of the claims related to declared emergencies and 20% for all other new claims.

 SB 2264, filed by Senator Bennett seeks to control solicitation by public adjusters even more and according to the Sun-Sentinel, industry groups are all for it, claiming that public adjusters lead to higher premiums.  Among other things the bill seeks to:

  • prohibit solicitation in person or by phone (unless the insured is someone they know or a family member);
  • require written communications to include the word 'ADVERTISEMENT' in red ink and be sent via regular mail (not certified or registered);
  • prohibit mailers until 30 days after the insurable event takes place; and importantly
  • cap fees at the 10%/20% limits for re-opened claims.

Contracts between insureds and public adjusters often result in disputes leading to expensive and protracted litigation.  It is therefore extremely important to consult with counsel before entering into any contract with a public adjuster or contractor after a casualty occurs.  For more information on disaster planning and recovery, please go to www.hurricane-recovery.com.

 

Hurricane Preparedness & Insurance Claims Recovery Webinar

Members of Becker & Poliakoff's Hurricane Preparedness and Claims Recovery Team presented "Hurricane Season 2009: Are You Ready to Weather the Storm?"   

Shareholders Ken Direktor and Herb Brock explained the importance of developing a disaster plan that includes safeguarding documents by making digital backups, advising residents of local shelters and identifying and coordinating with the Local Emergency Management Coordinator.

Participants learned about the emergency powers granted by the legislature in Section 718.1265, Florida Statutes and what they, as community leaders and managers, need to do to prepare for a substantial casualty.  

Participants were reminded to review insurance policies and create a spreadsheet showing the types of policies, the carriers, policy numbers and contact information for the agent.  The speakers encouraged community association leaders to make arrangements with landscapers or other contractors in advance, so they are "first in line" to receive debris removal and other emergency services.

If you would like to view/listen to the recorded webinar, click on the link below.

http://events.vcall.com/VCall/ReplayLogin.aspx?room=2146003661

Becker & Poliakoff, P.A. maintains an extensive library of disaster recovery resources for community associations, including a 12-point preparedness checklist, videocasts and numerous articles on its hurricane recovery website.  Click here to review those materials.

 

What Happens when the Hot Water Heater Bursts?

This is a question I am asked seemingly on a daily basis. It has some variations in format; perhaps involving a burst pipe, toilet/shower leak, or air-conditioner drip pan overflow but the theme is always the same. That is, something involving the unexpected flow of water happens within a unit which causes damage to other units, typically the unit(s) located directly below the water event, and to the common elements. Who is responsible to repair the damage? Who is responsible to pay for the repairs? 

 Water intrusion events like these are usually considered casualties. A casualty is something that happens unexpectedly, through no fault of anybody. Hurricanes, tornadoes, strong storms and other Acts of God are easy examples of casualty events. A burst pipe within the ceiling, floor or wall is also, most often than not, a casualty because no one can accurately predict when a pipe will fail. Of course, this will change where, for example, a unit owner or the association is aware of an existing pipe leak and does nothing to fix it. Similarly, where a condominium association has a rule requiring owners to replace their hot water heaters at least once every 10 years, the 11 year-old hot water heater that bursts will probably not be a casualty event.

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