June 2011 Archives

June 30, 2011

Governor Nixon Extends Executive Order Protecting insurance Policyholders in Joplin

Governor Jay Nixon has extended his executive order providing emergency protections for the insurance coverage of Joplin- area residents. Under this new executive order these provisions will stay in effect:
• Insurance companies must provide copies of policies at no charge to consumers who request them;
• Public adjusters must show their state license to prospective clients;
• Public adjusters may not charge customers to pay a fee in advance; and
• After signing a contract with a public adjuster, consumers have 14 days to cancel.
John M. Huff, director of the Department of Insurance says consumers should work with their insurance companies themselves to settle claims first. If a consumer reaches a point where they cannot work with their insurance company then a consumer complaint should be filed with the department. Consumers also have the option of hiring a public adjuster to represent them.

June 9, 2011

Tips for Handling Your Insurance Claims From Storm Damage

Many Missourians have experienced devastating losses as a result of the storms that have ravaged the southern portion of the state in recent weeks. Thousands of people will be filing insurance claims and we want to help make sure those claims are handled properly by explaining a few situations that could happen with your insurance claims. Here are just a few things to take into consideration:

1. Many insurance companies use a property damage estimating software program called Xactimate. Prices in the program are updated on a quarterly basis. When a large storm strikes it is not uncommon for labor and materials prices in the area of the storm to increase, sometimes rapidly. As a result the prices in the Xactimate program may be outdated at the time of the storm because of the sudden increase in prices. Check with your insurer who uses this or similar programs to determine if they have updated their prices to reflect the increase in the prices immediately following the storm. If not, ask that they do so; otherwise your repair estimate may not accurately reflect the exact cost of repairs.

2. Standard homeowner policies provide that you are entitled to the full replacement cost for the repairs to your home. However, the insurer is only required to pay you the actual cash value of your repairs until you replace or repair your property, and then when that is done you can collect the difference between the replacement cost and the actual cash value. This difference is called the hold back. The hold back is determined by subtracting depreciation from the replacement cost estimate for your repairs. Therefore, if your repairs are estimated at $10,000 for replacement cost value, and the insurer determines that $1,000 depreciation should be subtracted from the replacement cost repair estimate, the insurer will then pay you initially only $9,000 (less your deductible). The $9,000 payment is called the actual cash value payment. Depreciation is determined by considering several factors, such as the wear and tear, age and obsolescence of the item being repaired or replaced. Insurers use a variety of schedules to determine what should be depreciated and for how much. Ask your insurance adjuster how they arrived at the depreciation rate for each item depreciated and what the depreciation rate is based upon to make sure that the appropriate depreciation rate is being applied. Make sure the adjuster is aware of the age of items to be repaired or replaced so that the proper depreciation rate can be applied. For example, the expected age of interior paint may be ten years. If you painted the inside of your house only two years ago, then the depreciation rate that should be applied to the paint job should only be 20%. If the insurer charges a higher rate you should question their depreciation reduction. Also, several items should not be subject to depreciation, such as pure labor items (i.e., remove and replace light fixture to paint room, etc.) or other items (i.e., profit, overhead, and sales tax, etc.) because these items are not subject to wear, tear and obsolescence. Read the insurer's estimate carefully to make sure that such items are not being depreciated.

3. For large losses (anything over $10,000) always get your own estimate from a local licensed general contractor who will commit to doing the work for the amount of his estimate. It is preferable that your contractor prepare an estimate on the same kind of estimating program that the insurer uses so that the two estimates can be easily compared. If there are differences between the insurer's estimate and your contractor's estimate have your contractor meet with the insurer's representative at the house to discuss the differences and have the insurer's representative explain why there are differences. Regardless, once the insurer determines what the repairs are, the insurer must pay you that amount, even though there may still be a disagreement between you and the insurer over any additional amounts that can be owed.


4. If there is a dispute between you and the insurer over the amount of the repairs consider taking advantage of the appraisal provision in the policy which is there to resolve disputes over the amount of the loss. In appraisal, you select a qualified appraiser that you pay, the insurer selects their own appraiser, which they pay, and the two appraisers select an umpire, and you and the insurance company share the cost of the umpire. The appraisal panel then determines the amount of the loss which the insurer must pay. Appraisal has some advantages, in that it can be quicker and less expensive than litigation where there is a dispute over the amount of the loss. Nonetheless, you should be careful in selecting your appraiser, and you should consider getting advice from qualified and experienced attorney on your selection as well as to how best proceed with the appraisal.

June 7, 2011

Missouri's Second Injury Fund Stops Financial Assistance Payments

Government officials have been warning for some time that the Second Injury Fund for injured workers was running out of funds to pay claims. With nearly 30,000 outstanding claims and 700 new claims being filed each month, this is a big problem for the attorney general. See this recent news story from the Belleville News Democrat.

June 5, 2011

States Loosen Insurance Rules in an Attempt to Draw Business

A handful of U.S. states are revamping their insurance rules to become more attractive to insurance companies. Vermont, Utah, South Carolina, Delaware and Hawaii are attempting to become destinations of choice for special insurance subsidiaries called captives. See this NY Times article to read more about this unsettling development in insurance laws and regulations.

June 3, 2011

How To Help Joplin

If you would like to assist the victims of the Joplin tornadoes there is now a safe website available for you to do that. This website will ensure that your donations get to Joplin and not elsewhere. Below is a letter from local Congressmen describing the website and how it works:


Dear Friends,

In Joplin, we have felt your thoughts and prayers. Thank you for your compassion, your contributions and your willingness to help.

A Bright Futures team from Joplin has launched a website called RebuildJoplin.org. This website is a comprehensive resource for people affected by the storm AND for those who wish to help.
If you are able to help, please consider going to the website and get connected with verified agencies.

Also, please help us spread the word that RebuildJoplin.org is the primary website for sending help to Joplin. It's by Joplin, for Joplin.

These agencies and resources are screened and verified. RebuildJoplin.org is endorsed by the City of Joplin, Joplin Schools, Joplin Area Chamber of Commerce and United Way 2-1-1.

RebuildJoplin.org, an initiative launched by Bright Futures, will adjust to the changing needs of community relief efforts. Joplin Schools created Bright Futures as a grass roots, community based program that creates partnerships and utilizes community resources for the common goal of helping our kids and strengthening our families and community. In the wake of the destruction, Bright Futures is adapting a successful program to meet the needs of those impacted by the tornado.

Friends, I ask that you please disseminate this information to your contact list so we can spread the word as quickly as possible, as far as possible. Together we can rebuild Joplin.

A local contact person with Rebuildjoplin.org is Garen McMillian 417-483-5136

With all our thanks,

Senator Ron Richard
Representative Tom Flanigan
Representative Charlie Davis
Representative Mike Kelley
Representative Bill Lant
Representative Bill Reiboldt
Representative Bill White