INSURANCE COVERAGE FOR FLOOD HURRICANE AND OTHER CONDITIONS

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FREE CONSULTATION ON WIND OR FLOOD DAMAGE CLAIMS

1. Windstorm Damage

Some insurance policies provide for damage as a result of a windstorm. The question then become whether the damage was caused by wind and how that should be determined.  Some courts have determined that the wind need not be the only cause of the loss for the loss. Many require that the windstorm be the efficient or dominant cause. A number of courts have taken the position that the phrase "direct loss" by windstorm means damage due to the strength or force of the wind.  What constitutes "direct loss" under windstorm insurance coverage.  65 A.L.R.3d 1128

2. National Flood Insurance

Other cases deal with the scope and coverage of national fire insurance. The National Flood Insurance Program was established under the National Flood Insurance Act of 1968, 42 U.S.C.A. §§ 4001 et seq., to make flood insurance available to those who needed it but were able to obtain it only at unaffordable rates, if at all, through private insurers. The program, which is administered solely by the Director of the Federal Emergency Management Agency, was intended to complement and encourage preventive and protective measures which would eventually allow it to be phased out as private insurers became able to offer flood insurance at affordable rates. See National flood insurance risks and coverage, 81 A.L.R. Fed. 416.

Thus, when the insureds suffered direct physical loss within standard flood insurance policy when the floor structure was compromised causing building to list noticeably and rendering it unsafe to use. Gallup v. Omaha Property and Cas. Ins. Co., 282 Fed. Appx. 317 (5th Cir. 2008).

3. Flood Exclusion

Other cases have dealt with the nature and scope of flood exclusions in insurance policies. Courts have enforced the plain language of the clauses rejecting the contention that defective levees or other causes contributed to what occurred.  In re Katrina Canal Breaches Litigation, 495 F. 3d 191 (5th Cir 2007).  The language of the clause is obviously important.  Homeowners were unable to dispute this clause

we do not insure for loss caused directly or indirectly by any of the following.  Such loss is excluded regardless of any other cause or event contributing   concurrently or in any sequence to the loss.. . . Water Damage, meaning, Flood, surface water, waves, tidal water, overflow of a body of water, or spray from any of these, whether or not driven by wind

4. Construction and Interpretation

Frequently the court will construe the policy in favor of the policyholder and resolve ambiguities in his favor.  However, courts will generally not disturb the plain language of insurance clauses.  

5. Flood Definition

Under the Code of Federal Regulations 44 CFR, 59.1, "flood" or "flooding" is defined as:

(a) A general and temporary condition of partial or complete inundation of normally dry land areas from:

(1) The overflow of inland or tidal waters.

(2) The unusual and rapid accumulation or runoff of surface waters from any source.

National flood insurance risks and coverage, 81 A.L.R. Fed. 416

6. Water Damage and Hurricane Coverage

One case involves an exclusion for water damage, but the insured purchased hurricane coverage.  The court first noted that the water damage exclusion would generally be enforced. The exclusions found in the policy for water damage and for damages attributable to flooding are valid and enforceable policy provisions. Indeed, similar policy terms have been enforced with respect to damage caused by high water associated with hurricanes in many reported decisions.  Buente v. Allstate Insurance Company, 422 F. Supp. 2d 690 (D. Miss. 2006).   However, there the insured specifically purchased hurricane insurance and was told additional flood insurance would not be needed. 

Because this policy carries a specific "Hurricane Deductible Endorsement," it is apparent to me that it was intended to cover damages sustained in a hurricane because of the effects of rain, hurricane winds, and objects that might be carried by those winds, whether or not there was also damage caused by high water. Thus, to the extent Allstate contends that the hurricane itself, i.e. the hurricane winds and rain, would constitute a weather condition that would relieve them of liability for damage to insured property (under Exclusion 21 in Coverages A and B and/or Exclusion 13 in Coverage C), I find that the policy is ambiguous and its weather exclusion therefore unenforceable in the context of losses attributable to wind and rain that occur during a hurricane.  Buente v. Allstate Insurance Company

QUALIFICATIONS AND EXPERIENCE OF THIS LAW OFFICE

Howard A. Gutman has successfully handled over 500 lemon law and breach of warranty cases and  is the author of the  also wrote the Year 2000 Legal Handbook, a book dealing with computer warranties, and is considered a leading authority on all types of warranties. 

HOW DO I CONTACT YOU

Law Offices of Howard A. Gutman,
230 Route 206, Flanders, New Jersey 07054
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