Roof Claim Answers

Can an insurance company deny coverage on your home or roof?

Short answer. Yes, in three different ways: an insurer can say a particular loss falls outside the policy's coverage, it can decline to write or renew a policy (often because of roof age or condition), and it can limit roof coverage with endorsements like actual cash value or a roof payment schedule. Each one has different remedies.

1. Denying coverage for a loss

This is a coverage position: the insurer says your policy does not cover what happened and cites an exclusion such as wear and tear, mold, flood or long-term leakage. You can challenge it with evidence that a covered peril caused the damage and with the exact policy wording. See wear and tear vs hail damage.

2. Refusing to insure or renew

Insurers choose which risks to accept. Older roofs, visible deterioration, past claims and aerial imagery findings commonly lead to a declined application or a non-renewal. Georgia requires advance written notice before a non-renewal takes effect, and the notice states the date, so read it as soon as it arrives. Your options include repairing the listed items, replacing the roof, sending a roofer's condition report, or shopping other carriers through an independent agent.

3. Limiting roof coverage

Instead of refusing, an insurer may cover the roof only at actual cash value, apply a roof payment schedule that pays a shrinking percentage as the roof ages, exclude cosmetic hail damage, or add a percentage wind and hail deductible. These changes are often made at renewal and are easy to miss. See roof age and insurance.

What to do

In depth

How does the appraisal clause work on a roof insurance claim?How roof claim appraisal works: each side's appraiser, the umpire, what you pay, how long it takes, and what aHow do adjusters tell wear and tear from hail damage on a shingle roof?Blisters, thermal cracks, aging granule loss and defects versus true hail bruises: how to tell them apart on aIf only part of my roof is damaged, does insurance have to pay to match the rest?Georgia has no roof matching statute or regulation. Here is what controls instead: policy wording, discontinue

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