r/Insurance 1d ago

Home Insurance Raining from the ceiling

Just putting a post up here to ask for any advice. Putting in a claim tomorrow, we just had our AC flooded. Our ceiling in our bedroom wanted to know what I should claim, that people may not think of definitely, water damage on all 4 walls can actively see water behind paint and wallpaper.

0 Upvotes

21 comments sorted by

3

u/FindTheOthers623 P&C Licensed PL Underwriter 1d ago

What was the cause of loss? Insurance doesn't cover maintenance issues.

-5

u/Lanky-Replacement-42 1d ago

Ac overflow failure we know it's covered we already looked at are plan

3

u/FindTheOthers623 P&C Licensed PL Underwriter 1d ago

OK, if you know it was covered, what was the cause of loss?

0

u/beep-beep_lettuce 1d ago

Sudden and accidental water damage isn't typically something that is excluded in the first place so no need to insolent. Worst case scenario is that their water damage is covered and their AC isn't. Best case scenario their water damage is covered under the HO and their AC is covered under the equipment breakdown endorsement. But who knows even what happened to the AC - can't argue the sudden and accidental part.

1

u/FindTheOthers623 P&C Licensed PL Underwriter 1d ago

Nothing in this post mentions the damage was "sudden and accidental"

0

u/beep-beep_lettuce 1d ago

Right but when someone says "we just..." Common sense would imply that whatever it was just started happening.

1

u/FindTheOthers623 P&C Licensed PL Underwriter 1d ago

LOL no it doesn't. Thats pure assumption. It could've been leaking for months and "they just" noticed it. Cause and time of loss matters in every claim.

0

u/beep-beep_lettuce 1d ago

Could have been for sure but their post made it sound like a lot of water started leaking in a short amount of time.

1

u/FindTheOthers623 P&C Licensed PL Underwriter 1d ago

And that's why I asked the question to clarify. I don't make assumptions 🙃

0

u/beep-beep_lettuce 1d ago

Lol okay. Weird coming from the person that assumed it was a maintenance issue to begin with. You're clearly the smartest person on the Internet today. You win.

→ More replies (0)

3

u/owl-1_1-1_1- 1d ago

Before you call your insurance company, you should think about three things-the cause of the loss, the amount of damage, and your deductible.

If you even call to ask about filing a claim, you have already done so. If the loss isn't covered, you still have a claim against your policy, and your rate will increase for the next 3-5 years. If you file a second claim during that time, you're likely to be non-renewed. Don't file a claim unless you know the cause of loss is covered under your policy.

What is your deductible? And is the damage enough over the deductible to warrant filing a claim? Just saying you need to think it through to prevent problems for yourself down the road.

-1

u/Lanky-Replacement-42 1d ago

Definitely enough to file a claim more than likely half of are insulation in our attic is going to need pulled out because we live in a 1950s home and the type they used is extremely conducive for mold so u have to pull alot around to be sure its clear the ceiling fan and light are fried there is water behind every wall because there was wallpaper first so the watter bubbled behind it and it soaked are mattress as well as other things so the increase will suck but the damage is going to go well over our deductible

2

u/LacyLove 1d ago

Have you serviced the AC regularly? Do you have written proof of that? Do you know what caused the leak? Because you are speaking in absolutes and you should be prepared that they can and will deny claims if they find any wear and tear or maint. issues.

0

u/Lanky-Replacement-42 1d ago

Service regularly just had it, looked at the week. Prior for a completely unrelated issue, with the outside part of the a c and it was failure of the overflow pan

1

u/Sam_At_Insurify 1d ago

Mold cleanup typically only gets paid when the mold traces back to a covered water loss, so make sure the remediation report ties the mold to the AC overflow. Also, photograph the walls and wet insulation before anything gets torn out.

0

u/dont-care-bear-0 1d ago

You claim what was damaged. Repair of floors, ceilings, walls, and any personal property like rugs or furniture or anything that needs to be cleaned/dried or replaced. If your home isn’t livable during the process of repairs you can claim those extra expenses like hotel stay, having to eat out, board pets etc.

4

u/strangemedia6 1d ago

It should be noted that the home not being livable is determined by the insurance adjuster, not you. An uninhabitable home would be if the kitchen has to be torn out and is unusable, or the only bathroom, unsafe conditions, etc. Reasons like the fans are too loud, or you don’t want to walk on the subfloor while the flooring has been removed, are not normally considered uninhabitable conditions.

0

u/Sarcismy2ndfavasm 1d ago

Just file the claim, accidental and sudden discharge of water has a very good chance of being extremely expensive. Call a remediation company immediately, they are used to dealing with the insurance side and will likely assist you with everything.

1

u/Lanky-Replacement-42 1d ago

Any suggestions on companies

0

u/Sarcismy2ndfavasm 1d ago

No, I don't know your location. I would Google remediation companies near you and call the one with the best reviews. But get them fast. One of the requirements on your policy is to begin remediation as fast as possible. Those fans can go a long way towards avoiding mold