Mississippi Couple Sues USAA for Katrina Insurance Dispute

A Mississippi couple is suing USAA for refusing to pay out their $1 million homeowners claim. USAA argues the family's home was damaged by water rather than wind, which is not covered in their policy.

The home of Margaret and Magruder Corban was damaged during Hurricane Katrina in 2005. Upon filing their insurance claim, they found that USAA was only willing to pay them $40,000 for wind damage and $40,000 in other coverage. The Corban's insist their home was destroyed by wind before the storm surge came through and USAA should, therefore, pay out their entire $1 million claim.

Hurricane Damage - Wind or Water?Many insurance companies maintain that their homeowners policies cover wind damage from a hurricane, but not the rising water that often comes with it. They also use overly general language like "anti-concurrent cause" to explain that damage from both wind and water are not covered by the policy.

While a Mississippi District Judge ruled this clause "ambiguous" and unenforceable in an earlier case, a New Orleans court of appeals reversed the ruling. Lawyers for USAA say the court should follow precedent and deny coverage for combined wind and water damage. The Corban's lawyer, on the other hand, says the precedent is not upheld in Mississippi due to the earlier decision and ultimate appeal outside of Mississippi.

Many insurance disputes arise from the extreme damage done to homes during hurricanes. When a home is reduced to a slab, who's to say what caused the damage, wind or water? In the Corban's case, USAA maintains the damage done to the first floor of their property was caused by water. Unfortunately, there may be no way to tell what the actual cause was for the damage.

Sidestepping Insurers

Many insurance companies use ambiguous language, technicalities, or any tactic available to free themselves from the financial responsibility they have to their policy holders. While it seems USAA may have attempted to meet the Corban's half way by paying for damage to the second story of their house, which they agree was caused by wind, the Corban's could very well deserve to be paid out for the entire house.

Aside from figuring out how to decide whether wind or water damaged a home during a hurricane, maybe insurers should be more clear in their policies about what qualifies as wind and water damage. Some insurance dispute attorneys would even argue that insurers not be allowed to specify wind damage as the only hurricane damage covered in a policy. We all know that with hurricane winds comes water, and separating the two often seems like an unfair safety net for insurers.

 
 

 

 
 

Former Justice Sues AllState for Breach of Contract, Denying Homeowner's Insurance Policy Claim

It is not just the ordinary American who needs insurance attorneys to help deal with disputes with insurance companies. A former Wisconsin Supreme Court Justice filed a lawsuit against AllState for its refusal to pay out a homeowner's policy claim.

Former Justice, William Bablitch, and his wife are suing the company for its refusal to pay $65,000 to cover damage to their Hawaii vacation home. According to the lawsuit, the home suffered water damage last year. AllState Insurance DisputeWhen the Bablitches approached AllState to claim their policy benefits, they were denied their claims. The lawsuit alleges the company breached the contract in refusing to pay out the claim and is acting in bad faith. The company denies those charges and says it is acting reasonably in the claim.

What is an Insurance Policy?

An insurance policy is basically a contract between the customer, who is the insured party, and the insurer or insurance company. This contract defines the obligations of both parties. When either party fails in their duty to fulfill the obligations, they are said to be in breach of contract. When the insurer does not fulfill their obligations as specified under the contract, the insured party can file a lawsuit against the company for breach of contract.

Any policy holder who seeks to recover damages for breach of contract must prove that:

  • The contract was in force at the time of the damage.
  • They were fully in compliance with the terms of the contract.
  • The insurance company breached the terms.

The policy holder here may be able to recover not only the policy benefits, but also any consequential damages that result from the breach of contract, including costs of the lawsuit. Attorneys frequently represent people who have been denied claims by their insurance company.

Hurricane Season is Here

With hurricane season in full swing and insurance companies still recovering from what has been one of the busiest and most disastrous hurricane eras in recent history, you can bet many insurers will delay and deny as many claims as they can get away with. The fact remains, if you submit a legitimate claim for damages caused to your home in a hurricane, it is your insurers responsibility to uphold their end of the agreement and pay out your claim.

 

 

 

Jefferson County Man Sues Blake Borel Insurance and Chase Home Finance

After Hurricane Rita caused $80,000 of damage to his home, Christopher Whiddon called Blake Borel Insurance to make a claim, only to find out he was no longer covered.

When Whiddon bought his home in May 2004 he financed the purchase through Bank One, which is now Chase Home Finance, and bought windstorm and fire insurance from Texas Select Lloyds Insurance Company via his insurer Blake Borel Insurance. Whiddon was under the impression that the payments for the windstorm and fire insurance would be escrowed.

According to the complaint, however, Whiddon's insurance expired in December of 2004 and was not renewed. He trusted Chase would maintain the coverage agreed upon and, because they did not, he was forced to pay for the repairs himself. This caused loss of and damage to Whiddon's credit and credit reputation. According to The Southeast Texas Record, "He also incurred interest and finance charges, experienced a diminished or reduced market value of his home, paid for repairs and remediation, incurred engineering and consulting fees and paid for temporary housing..."

Chase and Blake Borel have been accused of:

  • violating the Texas Deceptive Trade Practices
  • acting unconscionably
  • breaking the Texas Business and Commerce Code
  • unfair claim settlement practices
  • misrepresenting an insurance policy
  • unfair and deceptive acts
  • common law fraud
  • negligence
  • breach of contract

With hurricane season here, it is important to make sure you have the coverage you need to protect your home and family. In the unfortunate case that your home is damaged in a windstorm, being able to depend on your insurer is essential in recovering from those damages. Unfortunately, there are cases in which the entities you thought were protecting you are taking advantage of you or simply falling down on the job. In this instance, an insurance attorney can help you understand your rights and make sure your claim is rightfully paid out.

 

 

 

Florida's Hurricane Insurance Situation Looks Dismal

In the midst of an era of high hurricane activity, large insurance companies have pulled out of Florida, leaving small and "last resort" companies to insure all of highly hurricane-susceptible Florida. Many of these entities are severely underfunded, putting Florida in a dreadful financial situation as hurricane season approaches.

Florida's state mandated "last resort insurer", Citizens Property Insurance Corp., and its catastrophe funds are starved, and any small insurance company may not have the funds to payout if even one hurricane hits the Florida coast.

Hurricane Damage - Insurance DisputesThe Florida Hurricane Catastrophe Fund (CAT) which reinsures insurers, is also desperately underfunded. According to a CAT official, "The state was potentially on the hook for $28 billion last hurricane season but had access to only about $13 billion to reimburse insurers...The shortfall could be even bigger this year, up to $18 billion."

How will the Florida insurance mess unfold?

Ultimately, there is a good chance that after this hurricane season there will be many home owners that do not get paid in a timely manner, if they get paid at all.

Situations like these are part of the reason insurance companies dodge paying claims. With the risk of going into billions of dollars of debt, it is easier for insurers to delay or deny claims than to follow protocol and simply pay out legitimate claims.

With hurricane season well on its way, be sure you have the coverage you need. In the case that you must file a claim, hope that your insurer has the ability and is willing to get you the help you are entitled to. If that is not the case and your claim is denied or unreasonably delayed, be prepared to contact an insurance attorney who can assist you in obtaining your claims.

 

 

 

Court Rules in Insurance Lawsuit, Insurer Must Disclose Surcharges

A California court ruled Safeco Insurance Company must disclose previously unapproved surcharges the company charged its customers. Safeco charged its policyholders hundreds of dollars more for auto insurance in alleged violation of Proposition 103.  The law prohibits insurance companies from charging customers if they did not previously possess insurance.

A Los Angeles Superior Court Judge ordered the company to furnish a list of policyholders who were levied these additional surcharges. The decision allowed policy holders to take part in litigation. The company appealed, and now, the California Court of Appeal in Los Angeles has backed the judgment. Harvey Rosenfield, the author of Proposition 103, called the decision an “important victory" for policyholders because the company knowingly broke the law and hid its lawbreaking from customers and state regulators."

Court Rules Against Safeco InsuranceFor a policyholder, it may not be immediately obvious that he is being overcharged by the insurer. When an insurer's desire for profit at any cost causes a situation where a customer is charged and ends up paying more than is lawful, it is necessary he consult with an insurance attorney to protect his rights.

Insurance disputes are not only related to policy denials or delays. They can also occur when a policy holder is charged a higher premium than he was promised. Disputes can also arise due to missed or late payments by the policy holder or the amount of coverage provided after a claim has been made, compared to the coverage promised by the insurer. For a policyholder, it may seem like he has no chance of justice against a major insurer, but an insurance attorney can help explain and enforce consumer rights.

 

 

 

Deadline Set for Filing Hurricane Ike Insurance Lawsuits

The amount of Hurricane Ike insurance lawsuits continues to snowball as insurance companies deny and delay claims to storm victims. The deadline for filing has been set for June 8th.

Last week alone, 14 insurance lawsuits were filed in Jefferson County against insurance companies who, victims say, are forcing people to struggle for relief. The week before that, six lawsuits were filed. According to one report, an Orange County couple was shocked when their insurance company denied their Ike claims. Their home was severely damaged, including a cracked foundation and holes in the roof, making it unsafe to live in. Hurricane Insurance DisputesThat is only one of the many cases. Across southeast Texas, victims whose homes were damaged when Ike hit were forced to hire insurance attorneys to recover the claims they are rightfully entitled to. The Federal Emergency Management Agency set the deadline for insurance lawsuits to be filed for June 8th.

Meanwhile, it appears houses of God have not been spared claims denials either. Seven churches filed insurance lawsuits in Galveston accusing Texas Windstorm Insurance Association of not paying the full amount of their individual claims. The churches include Jerusalem Baptist Church, Live Oak Missionary, Macedonia Missionary, Mt. Calvary, Progressive Missionary, St. John Missionary, and St. Luke Missionary. The churches, who all filed separate lawsuits, are included in more than 50 such lawsuits that were filed in State District Court in Galveston. Since Ike struck in September, there have been 160 hurricane lawsuits filed in Texas.

Insurance attorneys often see the numbers of frustrated policyholders rise a few months after a hurricane hits, and people begin to get anxious about their payouts. Unfortunately, for many insurers, delaying or denying claims is business as usual, and concerned policyholders pay the price in physical discomfort, mental anguish, and financial burden.

 

 

 

 

Nationwide Mutual Settles Insurance Lawsuit Regarding Overcharging

Nationwide Mutual Insurance Company settled for $6 million in a class action lawsuit over an accusation that, in some cases, the company charged its customers more than the maximum policy premiums.

The insurance lawsuit accused the Columbus-based insurer of charging some people excessively for certain term life insurance policies. As many as 200,000 people are believed to have been over charged for the policies they bought between 1990 and 2006. Details of the settlement are being kept confidential, although, the lawsuit itself claimed damages of $9.3 Million.

Nationwide Insurance LawsuitMeanwhile, Nationwide is also being sued by a Washington woman who signed up for group insurance with the company and was denied a pay out on her $135,000 medical bill.

It is very important to read the fine print when signing up for a policy with an insurer. Companies can cloak loopholes in the fine print of the policy, allowing them to get away with paying you less than you deserve, denying claims altogether, and giving them a way out when they are locked in an insurance dispute.

Methods used by insurers to rack up profits and deny or delay claims, include:

  • Overcharging premiums
  • Breach of contract
  • Misrepresentation
  • Failure to disclose

For a person facing a devastating life situation, the knowledge that his insurance company will not pay out the claim owed to him can be distressing. Reviewing your policies to look for loopholes you could have misunderstood, can be a daunting task. The contractual details are covered in legalese that can be difficult to decode. An experienced insurance attorney can help you decode the fine print and understand your rights.

Insurance Attorneys

If you've been mislead by an insurance company, an insurance attorney can help you get the compensation you deserve, in addition to helping you understand your rights and what exactly your policy covers.

Contact an insurance attorney, at Arnold & Itkin LLP for a free evaluation of your case.

 

 

 

Texas Supreme Court Says Insurer must Pay Family's Truck Accident Injury Claim

The family of a little boy, who was seriously injured in a truck accident involving a driver fleeing from the police, won their fight with Nationwide Mutual Fire Insurance Company.

Last week, the Texas Supreme Court ruled that the insurer must pay the family's claim. Greg and Mirabel Tanner filed a lawsuit against Nationwide after their child was seriously injured in a truck accident as the driver fled from police. The truck accident left all 4 members of the Tanner family with injuries, but 7-year-old Roney sustained severe head, shoulder, and arm injuries. He remained in a coma-like state for many days.

His parents sued the truck driver, Richard Gibbons, and hoped his policy would cover the cost of Roney’s medical expenses. Nationwide, however, refused to pay out, claiming Gibbons violated the terms of his insurance policy when he led police on a high speed chase. Insurance DisputeAt the time of the accident, he was traveling at 100 mph. An earlier jury ruled in the favor of the family, but the verdict was overturned by a judge and an appeals court.

At the core of the insurance dispute, was whether Gibbons' actions in fleeing from the police constituted an “intentional act”. An "intentional act" clause voids the policy, if the policy holder is found to have intentionally indulged in reckless behavior, causing an accident. Fortunately for the Tanners, Gibbons purchased his policy in Ohio, which has a much broader definition of "intentional act" than Texas, where the accident occurred.

In another fortunately turn of events for the Tanners, the Supreme Court sided with them. According to the ruling, Nationwide was unable to prove that Gibbons believed his reckless behavior was “substantially certain to cause Injury.”

Insurance Disputes

An insurance company can often make use of technicalities to avoid paying out policies. For many of these companies, the priority is to pay out as little as possible or delay a claim for as long as possible. That is why having an experienced insurance attorney on your side can mean the difference between losing out on what is rightfully yours and receiving the payout you deserve.

If an insurance company is holding out on payments that are rightfully yours, an insurance attorney can help you collect the money you deserve.

Contact an insurance attorney, at Arnold & Itkin LLP for a free evaluation of your case.

 

 

 

State Farm Petitions Florida Insurance Commission About Conditions for Leaving State

State Farm Florida, which announced in January that it was dropping 1.2 million property insurance policy holders in the state, has asked the Florida Insurance Commission for a hearing to counter the commission’s conditions for allowing it to leave Florida.

In January, the insurer claimed it would no longer cover properties including renters, home owners, and contractors in the Sunshine State. In its petition to the Office of Insurance Regulation this week, the company included the main points of dispute between it and the state, including its certificate of authority, as well as its intention of dropping property policies that have the highest exposure to “potentially devastating hurricanes.” The Florida Insurance Commissioner's office, which last month rejected State Farm's request for a hearing, announced that it will make a decision about State Farm agents selling policies for other insurers and other points in the petition, within 15 days.

Insurance ClaimsSome of State Farm's arguments against the state’s conditions are almost laughable. For instance, the company does not want its agents to directly sell policies for other insurers because that would dilute its reputation as a “reliable company”. With 1.2 million policy holders in Florida who now have to look for other insurers, State Farms "reliable" reputation is in tatters regardless.

State Farm's decision to leave the property insurance market in Florida has raised concerns among policy holders as the hurricane season draws near. The Florida legislature is now trying to lure back the company by introducing a bill that will allow large private insurers to sell residential property insurance with minimal state regulation. In doing so, law makers could actually be placing Florida policyholders at risk because deregulation of rates tends to lead to rate increases by companies.

By announcing that it is closing shop in Florida, State Farm has put policy holders in a bad situation. With hurricane season drawing closer, these policy holders have a choice between only the state-backed insurer, Citizens, or smaller private insurers who may not be able to pay out quickly in the event a hurricane. It is just another example of the kind of irresponsibility that many insurers display.

Insurance Lawsuits

Pursuing an insurance lawsuit against a big insurer can be a long and complex process. The insurance attorneys at Arnold & Itkin LLP have successfully represented clients in disputes against major insurers and helped them recover their claims.

If you are involved in an insurance dispute with an insurance company, contact an insurance attorney at Arnold & Itkin LLP for a free consultation.

 

 

 

State Farm Cancels All Property Insurance Policies in Florida

State Farm Mutual Automobile Insurance Co. has announced it will drop out of Florida's property insurance market. The company has already sent letters to roughly 1.2 million policyholders in the state, announcing its decision not to renew policies and to stop sales of new policies to Florida residents.

The decision comes after an administrative law judge refused the company permission to introduce a 47 percent increase in home owner policies. According to President Jim Thompson, the company has been faced with a steady drop in revenues as a result of the disastrous hurricane season from 2004 and 2005. That means policyholders in the state have to look for new insurers. The company will no longer cover home owners, renters, contractors or owners of condo units, this includes rentals and ownership condo units. The company plans to continue to offer auto insurance and other polices, but it looks like angry residents are in no mood to employ the company. In any case, Florida insurance laws do not allow companies to offer only auto insurance if they offer home as well as auto insurance in other states.

Florida's anger at State Farm has been building and spilling over into the legislature. Florida lawmakers, including Senator Mike Fasano, R-New Port Richey, have slammed the company for its actions. The legislator has confirmed that he plans to introduce a new bill in the Florida legislature, when it reconvenes in March, that would prevent State Farm from offering any other kind of insurance in the state, or "cherry picking" as he calls it.  State Farm still has to go through all the normal procedures before it can begin to refuse renewal of policies. Once the company's plan has been reviewed and approved, it must give policyholders notice of 180 days before it can begin refusing renewals or denying new policies.

Insurance Disputes

Close to 1.2 million policyholders in Florida are likely to be scrambling for alternative insurers when their State Farm policies are cancelled. The company insists that its revenues will not allow it to continue coverage, but it appears that its inability to wrangle a whopping 47 percent increase in home owner policy premiums has caused the company to punish home owners.

Often, policyholders are held at ransom by irresponsible insurance companies willing to let customer lives be shattered as long as their bottom lines remain healthy. Litigating claims against these large companies can be a long, complex process, requiring the expertise of an experienced insurance attorney.

If you have been refused or denied claims or have any other kind of dispute with your insurance company, contact an insurance attorney at Arnold & Itkin LLP for a free consultation.

 

 

 

Arnold & Itkin LLP represent a California Businessman in Insurance Case Concerning a Fire at a Houston Apartment Complex

Arnold & Itkin LLP attorneys Kurt Arnold and Jeff Seely filed an action in an insurance dispute over the wrongful denial of insurance coverage concerning a local apartment fire.  That insurer and the lender failed to send proper notice to the plaintiff, and, consequently, wrongfully terminated the policy.  The case was filed in Texas state court in Harris County.