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(Revised June 2002)
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Homeowners insurance protects you from losses caused by
storms, fire, theft, and other events outlined in your policy.
It is important to know what's in your policy. This publication
gives you general information about homeowners insurance,
but it is not a substitute for the policy itself. Make sure
you read your policy carefully and understand your specific
coverages. It's also important to know your rights. Texas
has a Consumer Bill of Rights for homeowners and renters insurance.
Your company must send the Bill of Rights with your policy
or renewal.
Don't wait until you have a claim to review your policy and
to know your rights.
You can buy a dwelling policy that covers only the structure
of your house. Or, like most Texans who own their homes, you
can buy a homeowners policy, which combines five different
types of coverage:
Dwelling - pays for damage to your house
and any outbuildings, such as detached garages and storage
sheds.
Personal property - pays when household
items, including furniture, clothing and appliances, are damaged,
stolen, or destroyed.
Liability - protects you against financial
loss if you are found legally responsible for someone else's
injury or property damage. A homeowners policy automatically
provides $25,000 in coverage. You can buy up to $1 million
in coverage for an extra premium.
Medical payments - pays medical bills for
people hurt while on your property. It also pays for some
injuries that happen away from your home, such as your dog
biting someone. A basic homeowners policy pays $500 in medical
bills. You can pay extra and get up to $5,000 in medical payments
coverage.
Loss of use - pays living expenses if your
home is too damaged to live in during repairs. The most common
policy pays up to 20 percent of the amount for which your
house is insured.
Types of Homeowners Insurance Coverages
Companies can sell several types of policies in Texas, each
with a different level of coverage.
- HO-A policies provide extremely limited
actual cash value coverage of your home and its contents.
Only the types of damage specifically listed in the policy
are covered.
- HO-A amended policies provide more extensive
coverage than the base HO-A policy but less coverage than
an HO-B.
- HO-B policies provide replacement cost
coverage for most types of damage, except those specifically
excluded in the policy.
- HO-C policies provide the most extensive
coverage, but are more expensive than other types of policies.
- National policies are policies of national
insurance organizations or large national companies that
the Commissioner of Insurance has approved for sale in Texas.
Coverage provided by these policies may differ considerably
from one another and from the coverage provided in standard
Texas homeowners policies.
Generally, HO-B policies provide the most coverage for the
price, but some companies may not offer the HO-B policy.
| Most Policies Cover Losses Caused by |
Most Policies Do Not Cover Losses Caused
by |
| Fire and lightning |
Flooding |
| Damage by aircraft & vehicles |
Earthquakes |
| Vandalism and malicious mischief |
Termite damage |
| Theft |
Damage by insects, rats, or mice |
| Explosion |
Freezing pipes while your house is unoccupied
(unless you turned off the water or heated the building) |
| Riot and civil commotion |
Wind or hail damage to trees and shrubs |
| Smoke damage |
Losses if your house is vacant for 60 days
or more |
| Windstorm, hurricane, and hail |
Wear and tear or maintenance |
Companies may exclude coverage for certain losses. For example,
if you live on the Gulf Coast, you might receive an endorsement
that excludes coverage for wind and hail damage. In some areas
with a history of hail storms, some companies provide only
actual cash value coverage for roofs instead of full replacement
cost. Actual cash value pays for damage minus depreciation
on the roof, depending on its age and condition.
Most policies will not cover mold remediation beyond that
necessary to repair or replace property damaged by a water
loss otherwise covered by the policy. The HO-A policy offers
no coverage for mold remediation or for damage caused by sudden
and accidental water leaks, although some companies may offer
that coverage as an endorsement to the base HO-A policy. If
you have an HO-B policy, you will be able to buy additional
coverage in increments of 25 percent, 50 percent, and 100
percent of your policy's limits to cover mold remediation.
If you have questions or concerns about how a mold claim is
being handled, or you need information about how to minimize
mold losses, ask your insurance company for a set of guidelines
regarding mold claims. If your company cannot provide you
with a set of guidelines, review TDI's publication, Effectively
Handling Water-Damage and Mold Claims. The publication
includes recommended guidelines for companies and homeowners
to ensure timely and efficient handling of mold claims. These
guidelines are only recommended, however. Your company may
have different guidelines and procedures.
Note: If you have an HO-B policy that was
bought or renewed before January 1, 2002, your policy may
cover mold remediation up to your policy limits without an
added endorsement. Ask your agent or company whether your
policy covers mold remediation.
In addition to the Texas homeowners policy, there are other
types of policies to protect you from losses to your residence.
- Renters: A landlord's insurance does
not cover a renter's personal property. Renters insurance
covers your belongings, provides liability protection, and
pays extra living expenses if a fire or other disaster forces
you to move temporarily from your rented home.
- Condominiums: Condominium insurance matches
the benefits of renters insurance, and also covers damage
to improvements, additions, and alterations to the condominium
unit.
- Townhouses: Townhouses may be insured
by either an individual homeowners policy or an association
master policy. If a townhouse is owner-occupied and the
townhouse association does not have a master policy on the
building, you can purchase a homeowners policy on your individual
unit. If the association has a master policy, you should
get a Texas tenant homeowners policy to insure your personal
property.
- Mobile homes: Mobile homes without wheels
and resting on blocks or a permanent foundation qualify
for a homeowners policy. However, most mobile homes are
insured by a mobile owners policy. A mobile owners policy is
an auto policy that covers mobile homes used as residences.
Mobile owners policies offer extremely limited coverage.
- Farm and ranch owners: Farm and ranch
owners policies insure homes outside city limits on land
used for farming and raising livestock. You can pay extra
and get coverage for certain farm equipment and outbuildings.
Buy enough coverage to avoid a major financial loss if you
have a fire or other loss. This means keeping a realistic
dollar amount of coverage on your house.
Texas standard HO-B and HO-C policies provide replacement
cost coverage for your house, up to your policy's dollar limits.
Replacement cost is what you would pay to rebuild or repair
your home, based on current construction costs. Replacement
cost is different from market value. It does not include the
value of your land. If you are not sure of the amount it would
cost to rebuild your home, your company or agent usually has
construction cost tables to help you figure the cost.
To receive full payment (minus your deductible) for a partial
loss, such as a hail-damaged roof, you must insure your house
for at least 80 percent of its replacement cost. If you insure
your house for less than 80 percent of the full replacement
cost, the insurance company will pay only part of the expense
of a partial loss.
Unless you buy an endorsement increasing your coverage,
HO-A policies only provide actual cash value coverage. Actual
cash value is the replacement cost of your property minus
depreciation.
If you insure your house for $100,000, that's the most you
will get if it is destroyed, even if it would cost more to
replace it. The Declarations Page on the front of your policy
shows how much coverage you have. Talk with your agent or
company representative if you have any questions about your
insurance limits. If a fire destroys your home, Texas law
requires the insurance company to pay the full amount of the
policy - even if this amount is more than the replacement
cost.
Don't wait until you have a claim to learn your policy's
limit.
Homeowners policies automatically cover household contents
- furniture, clothes, appliances, etc. - up to 40 percent
of the amount your house is insured for. This means if you
insure your house for $100,000, its contents are insured for
up to $40,000. You can get more coverage by paying a higher
premium. This automatic coverage pays only the actual cash
value of damaged, stolen, or destroyed household goods. Actual
cash value is an items replacement cost, minus depreciation.
You may be able to pay extra and buy replacement cost coverage
that ignores depreciation and pays for a new item like the
one you lost.
Replacement cost coverage gives you more protection than
actual cash value coverage. The following example illustrates
why: A burglar steals your six-year-old television set. With
actual cash value coverage, you get only what you would expect
to pay for a six-year-old television set. With replacement
cost coverage, the insurance company pays to replace your
TV with a new set similar to the stolen one.
Companies generally want proof you replaced an item before
paying your claim in full. However, if you have an HO-B policy,
the company must advance you the first $1,500, plus the depreciated
value of any other damaged property, without requiring proof
of replacement. After that, the company must pay you within
five business days after receiving proof you replaced, restored,
or repaired the property. A company can offer to replace the
items instead of paying cash, but the choice is yours.
Many people learn after a fire or storm that they didn't
have enough personal property coverage. Making an inventory
will help you decide how much insurance you need. It also
will simplify claims.
Your inventory should list each item, its value, and serial
number. Photograph or videotape each room, including closets,
open drawers, storage buildings, and your garage. Keep receipts
for major items in a fireproof place.
Homeowners insurance on certain items like jewelry and furs
is limited. You may be able to buy more coverage for an extra
premium.
Texas ranks at or near the top of the nation in weather-related
property damage each year. A large portion of this damage
is due to flooding.
Homeowners policies do not cover flood damage. However,
the National Flood Insurance Program (NFIP) offers flood coverage
in many areas. Local insurance agents sell NFIP flood policies
and can tell you about the program in your area.
For more information, call NFIP at 1-800-427-4661
If a lender determines that a property is in a special flood
hazard area, the borrower is required to purchase flood insurance.
A special flood hazard area has a 1 percent chance of being
inundated by flood.
The Texas Windstorm Insurance Association (TWIA) is the
state's insurer of last resort for wind and hail coverage
in the 14 coastal counties and parts of Harris County on Galveston
Bay. TWIA provides wind and hail coverage when insurance companies
exclude it from homeowners and other property policies sold
to coastal residents. You can buy TWIA coverage through local
insurance agents if you need it.
When a hurricane enters the Gulf of Mexico (80 degrees longitude
and 20 degrees latitude), you can no longer change or purchase
new Windstorm coverage.
If you plan to build, add to, or renovate a home or other
structure and want TWIA coverage, you or your builder should
request an inspection by a TDI windstorm inspector or a Texas
licensed professional engineer appointed by TDI. Your agent
can tell you how to get an inspection.
If you are concerned about earthquakes, you can get coverage
with a separate policy. The cost is relatively low because
earthquakes are rare in Texas.
You might want more coverage for certain items than your
policy provides. For an extra premium, you may be able to
buy endorsements that expand or increase the coverage on these
items. Some of the most common endorsements expand or increase
coverage for jewelry, fine arts, camera equipment, coin or
stamp collections, computer equipment, and radio and television
satellite dishes and antennas.
If you want more liability coverage than a homeowners policy
provides, you can buy a separate umbrella policy. Because
policies vary, make sure the agent or company fully explains
the coverage.
Most homeowners policies are sold by companies that set
their own rates, and their rates are not regulated by the
state. Rate-regulated companies, however, base their rates
according to a benchmark established each year by the Commissioner
of Insurance. These companies can raise or lower their rates
without prior approval, as long as the new rate is within
30 percent above or below the benchmark. If your insurance
company is not rate-regulated, there is no limit to the premium
increase that can be charged at renewal.
A company can change your individual premium only at your
policy renewal time.
Before you buy a policy, shop around. Rates vary widely
from company to company, and coverages vary by policy. Call
several companies to get quotes. TDI publishes a homeowners
rate guide that can help you shop. The rate guides list companies
and their annual premiums for policies with $100,000 coverage
on the house, $40,000 on its contents, and a 1 percent ($1,000)
deductible. The guides also include complaint indexes, indicating
companies? customer service records, and financial ratings
from A.M. Best Co., an independent financial rating organization.
Financial ratings indicate a company's financial strength
and stability.
Companies offer premium discounts if you take steps to reduce
the chances of a loss from burglary, hail, or fire. Some discounts
are mandatory, while others are optional. Find out if you're
eligible for any discounts your insurance company offers.
The following discounts are mandatory for all homeowners
insurance companies. However, the percentage of the discounts
may vary for non rate-regulated companies such as Lloyd's
and reciprocal exchange companies.
Home security: You can get a 5 percent
premium discount if your house meets these minimum-security
standards for doors and windows:
- Outside doors must be solid core doors that are 1 3/8
inches thick and secured by deadbolt locks.
- Metal doors must be secured by deadbolt locks.
- Double doors must meet the standards for outside doors.
The inactive door must be secured by header and threshold
bolts that go into metal strike plates. If door glass is
within 40 inches of the header and threshold bolts, the
bolts must be flush-mounted in the edge of the door.
- Dutch doors must have concealed flush-bolt locking devices
to interlock the upper and lower halves and must be secured
by deadbolt locks.
- Garage doors must be equipped with key-operated locking
devices.
- Windows must have auxiliary locking devices.
- Sliding glass doors must be secured by secondary locking
devices to prevent lifting and prying.
Burglar alarm: You can reduce your insurance
premium by 15 percent if you have an electronic burglar alarm
system that meets these requirements:
- The system must cover all doors, windows, and other exterior
openings, such as skylights.
- You must have both an interior and an exterior siren.
- The system must be listed by Underwriters Laboratory and
monitored by a UL-listed central station.
- Sales, service, installation, and monitoring of the system
must comply with the Texas Private Investigators and Private
Security Agencies Act.
Contact the crime prevention unit of your local police department
or sheriff's office to get an inspection to qualify for the
mandatory burglar alarm and home security discounts.
Sprinkler system: You can save 8 percent
on your homeowners premium if your home has an approved fire
protection sprinkler system. Sprinklers provide a 12 percent
discount on the fire insurance premium of dwelling and farm
and ranch policies. A licensed inspector must certify that
the system meets National Fire Protection Association standards.
You will receive a certificate to qualify for the discount.
For information on registered fire protection sprinkler system
contractors, call the Texas Commission on Fire Protection
at 512-918-7100
Impact-resistant roofs: Companies may offer
up to a 35 percent discount on homeowners insurance for impact
resistant roofs. These roofs are made of materials that experience
less damage from hail. The actual discount amount depends
on where you live and the type of roof installed. Insurance
companies must give discounts for all impact-resistant roofs
tested by a qualified, approved laboratory. Some companies
require you to give up coverage for cosmetic damage to your
roof to get the discount.
Optional Discounts
Companies also may give optional discounts. Check with your
company to see if you qualify for any of the following discounts.
The amounts listed are maximum discounts:
- Age of house (companies set own standards) = 15 percent
- Noncombustible roof = 2 percent
- Premises in good condition (companies set own standards)
= 2 percent
- Good claims experience for three consecutive years = 5
percent
- Other policies with same company or group = 5 percent
- House insured to full replacement cost = 5 percent
- Senior citizens discount = 5 percent
- Burglar, fire, and smoke alarm systems that do not qualify
for the mandatory electronic -- security discount may qualify
for an optional discount:
- Central station = 12 percent
- Remote alarm = 10 percent
- Local alarm = 2 percent
- Combination fire, smoke, and burglar alarm system
= 15 percent
- Automatic sprinkler systems that do not qualify for the
mandatory discount = 8 percent
- Fire extinguishers = 2 percent
- Home security devices = 5 percent
- Stovetop fire suppression devices = 1.5 to 6 percent
Sometimes, finding adequate and affordable insurance can
be difficult. If you are having difficulty finding a homeowners
policy, you should:
- Remove Potential Risks
You can make your home more insurable by changing things
that insurance companies and agents interpret as signs of
potential risk. Look around your home for problems that
could cause damage or injury, such as a heavy tree limb
hanging over your roof, loose porch railings, or cracks
in your walkways.
- Watch Out for Crime
Since theft is a common cause of homeowners claims, some
insurers may not be willing to insure homes that seem vulnerable
to crime. While you cannot stamp out crime by yourself,
you can take a few steps to make yourself less vulnerable.
These precautions could also lower your insurance premiums.
- Call the crime prevention officers of your local
police force. They can inspect your home and give you
specific advice on protecting it.
- Install dead bolts or other security devices on doors
and windows.
- Work with your neighbors to start a Neighborhood Watch
Program. Your local police department has helpful information.
- Install a burglar alarm that alerts the police or
a security company.
- Keep trees and shrubs trimmed, especially around windows
and entryways. Overgrown shrubbery can provide hiding
places for would-be burglars. Avoid parking cars on
the street. Cars parked on the street are tempting targets
for thieves and vandals and, like overgrown shrubs,
can provide handy hiding places.
- Keep the area around your home well-lit.
- Maintain Your House and Yard
Your home's appearance is important when you're looking
for insurance. Since companies want to avoid losses from
injuries or accidents, agents look for signs of poor maintenance.
Agents might assume that a cluttered yard and faded paint
suggest an unsafe home. The outside of your home will be
inspected when you apply for insurance, often when you are
not at home. Insurance companies have the right to cancel
a policy within the first 90 days for any reason, and some
may reject new customers because an inspection revealed
a home in need of repair.
- Fix any obvious signs of damage, such as rotting boards,
sagging screens, or a loose front door.
- Remove anything from your property that could easily
cause an accident.
- If your roof leaks, you should fix or replace it.
Water stains on a ceiling tell an agent inspecting the
inside of your home that you might have a future claim
for water-damaged property.
- Keep your yard clean and trim.
- If your paint is peeling or faded, consider repainting.
Knowing your rights can help you overcome setbacks when
you are rejected for homeowners insurance or lose your coverage.
If you request it, a company must explain in writing its reason
for declining, canceling, or not renewing your policy. If
a company denies you because of your credit history, it must
tell you why. You may file a complaint with TDI if you believe
the company improperly denied you insurance.
CLUE®
Many companies use the Comprehensive Loss Underwriting Exchange
(CLUE) to review an applicant's claims history. CLUE lists
the property insurance claims history of houses-regardless
of ownership-and individuals for the preceding three years.
Federal law gives you the right to challenge wrong information.
If an insurance company based part of its decision to deny
you coverage on a CLUE report, you can get a free copy of
the report by calling the Equifax Insurance Consumer
Center at 1-800-456-6004
Before calling, get the CLUE reference number from the
company's
denial letter or from the company. Using the reference number
will speed the process by making sure you are requesting the
right report.
CLUE is a registered trademark of Equifax Inc.
Cancellation means either you or the insurance company stops
coverage before your policy's normal expiration date. When
a policy is canceled, the company must refund your premium,
minus the portion paid for coverage actually received.
Non-renewal means a company refuses to renew your policy
when it expires. A company must give you written notice at
least 30 days before your policy's expiration date. If the
company does not notify you in writing in the required time,
it must renew the policy at your request.
Note: A company cannot non-renew or raise
your premium because of a claim you filed that was not paid
or was not payable under your policy.
Cancellation & Non-renewal Summary for Homeowners, Renters,
Condominium, Dwelling, and Farm and Ranch Owners Policies
| Notice Required |
Company May |
Company May Not |
| Cancellation |
| 10 days (30 days notice is required if
policy is cancelled within the first 90 days) |
Company may cancel your policy for any
reason within the first 90 days |
Company may not cancel your policy after
90 days, except for fraud, increased risk, or nonpayment
of premium |
| Non-renewal |
| 30 days |
Company may non-renew your policy for three
or more non-weather related claims*
Company may also non-renew for deterioration of your property |
Company may not non-renew your policy for
weather-related claims
A company may not non-renew your policy or raise your premium
because of a claim you filed that was not paid or payable
under your policy. |
*Exceptions:
- If the company fails to notify you after a second non-weather
claim, it cannot refuse to renew your policy because of
a third claim.
- Instead of non-renewal, the company can charge an added
premium called a surcharge.
- A company can add a surcharge for filing two or more non-weather
claims the previous policy year.
An insurance company cannot deny, refuse to renew, limit,
or charge more for coverage because of your race, color, religion,
or national origin.
A company also cannot deny, refuse to renew, limit, or charge
more for coverage because of your age, gender, marital status,
geographic location, disability or partial disability - unless
the refusal, limitation, or higher rate is "based on
sound underwriting or actuarial principles." Sound underwriting
or actuarial principles means the company would have to show
valid statistical evidence that your home presents a greater
risk for a loss than other homes it is willing to insure.
A company cannot unfairly discriminate between individuals
of the same rate class and with essentially the same risk
in its rates, policy terms, and benefits, or in any other
manner unless the refusal, limitation, or higher rate is "based
on sound actuarial principles."
In addition, a company cannot refuse to insure a home based
solely on its age or low value. Companies can offer discounts
for newer homes and require updates to the wiring, plumbing,
and heating systems before agreeing to insure an older home.
If you live in an older home that has been updated, you may
be placed in a higher -- priced company.
If you have a claim, the company must start investigating
your claim within 15 days after receiving written notice.
However, the company may ask you for more information. Once
you send the information, the company has 15 business days
to accept or reject your claim. If the company agrees to pay,
it must do so within five business days. If the company rejects
your claim, it must say why in writing.
- A company that needs more time can take 45 days to make
a decision if it sends you a notice explaining the delay.
- A company that suspects arson has 30 days after receiving
the required paperwork to either accept or reject a claim.
- TDI can give companies an extra 15 days after a major
natural disaster.
- Surplus lines carriers have 20 days to pay your claim
after agreeing to do so.
A company that takes too long to pay is liable for your
reasonable attorney fees plus damages equal to 18 percent
of your claim if you sue and win. In an insurance claim lawsuit,
the insurance company has the burden of proving it was not
obligated to pay. If you are financing your home, your insurance
company may require your lender to sign or approve your claim
check. When this happens, the lender must act within 14 business
days after receiving the request. Failure to act within this
time period could result in a $500 civil penalty. Complaints
about lenders failing to process claim payments should be
directed to the Texas Attorney General's Office
at 1-800-252-8011
To make the claim process run smoothly and to protect your
rights, follow these steps:
- Know your coverage. Your policy's dollar limits and benefits
appear on your policy's Declarations page. If you need help,
ask your agent or company representative.
- If you have a loss, notify your agent or insurance company
immediately. Report losses involving theft or crime to the
police.
- Make a list of your damaged property. If possible, photograph
or videotape the damage before making any repairs.
- Make only temporary repairs to protect your house and
belongings. The insurance company may deny your claim if
you make permanent repairs before it inspects the damage.
If you are not sure whether a repair is considered permanent,
contact the insurance company before beginning repairs.
The cost of these repairs and for storing personal belongings
is covered by your policy. It is important to make only
temporary repairs.
- Keep receipts. For personal property claims, you must
provide evidence that you bought the replacement items.
If you bought materials for temporary repairs, receipts
will help you get reimbursed quickly.
- Try to be there when the insurance company's adjuster
inspects your home. You may have your own contractor or
builder represent you. In times of major disasters, it might
not be possible to meet with the adjuster.
- If you have to move because of a disaster, make sure your
address is visible. Leave a sign with your temporary address,
phone number, and the name of your insurance company.
- If you use a public adjuster, make sure you know the fee.
Public adjusters help consumers with their homeowners claims.
They generally charge a percentage of your claim settlement.
In most cases, you probably don't need a public adjuster.
Proof of loss. Within 15 days after you
report your loss, the company may request a signed, notarized
proof-of-loss form. In most cases, the company will ask you
to estimate the replacement cost of the household items you
lost and the cost of repairing your home. Contractors, catalogs,
and retailers are good sources of current price information.
- Include sales tax in your cost estimates.
- Ask whether you should use exact costs, or if you can
round numbers to the nearest dollar.
- Don't forget to include small items such as kitchen utensils
or clothing accessories.
The company will use the form to decide the value of your
claim, so make your list as complete and as detailed as possible.
Include photos and receipts. Be sure to keep copies for your
records.
Final estimate. The adjuster will prepare
an estimate of the cost to repair or replace your home and
any personal belongings. The insurance company's offer is
based on this estimate.
Disputes. If you disagree with the
adjuster's
estimate, tell the company why. The company may have overlooked
something and may make adjustments. If you still disagree,
you can use a process called appraisal.
The appraisal process governs only disputes over the amount
to be paid. It is not for settling disputes about coverage
or the cause of a loss.
You and the company each hire an appraiser. The two appraisers
then choose a third one as umpire. Your appraiser and the
company's appraiser make their own estimates of your loss.
If they differ, the umpire makes the final decision, which
is binding on both you and the company. You are responsible
for the expenses of your appraiser and for half of the umpire's
expenses.
Payment. Once the company agrees to pay
all or part of your claim, it must do so within five business
days. If you don't get your check within five days, contact
your agent or company. If you believe that the company is
delaying payment intentionally, contact TDI for help.
Note: Most companies pay homeowners claims
with two checks. The first, issued after the adjuster reviews
your loss, is for the estimated cost of repairs, minus depreciation
and your deductible. The company issues the second check for
the balance of your claim after receiving the contractor's
bill for the finished job, as long as the repairs or replacements
are completed within 365 days of the date of loss. You may
submit a written request for an additional 180 days extension.
Companies are subject to penalties if they fail to settle
claims promptly and fairly.
If you believe an insurance company has treated you unfairly,
you should file a complaint with the Texas Department of Insurance.
Before you contact TDI, contact your company. Most companies
operating in Texas are required to have a toll-free telephone
line to provide customer assistance. The number should be
listed in your policy.
Q: What if Licensed Companies Won't Insure My
Home?
A: If you can't find a licensed company willing
to cover your home, contact TDI for information regarding
the state's Market Assistance Program (MAP). MAP links homeowners
in designated "underserved" areas who have been
unable to find insurance for their homes with participating
insurance companies.
If you're unable to find insurance through the MAP program,
your last resort might be to obtain insurance from a surplus
lines carrier. Surplus lines carriers are out-of-state companies
not licensed in Texas, but legally eligible to sell insurance
on a surplus lines basis. Surplus lines carriers generally
charge more than licensed companies and often offer less coverage.
Surplus lines carriers are not members of a guaranty association.
This means that your claims might go unpaid if the surplus
lines carrier becomes unable to pay its claims.
Before you buy from a surplus lines carrier, make sure there
are no other options. Agents must make a "diligent effort"
to find coverage with a licensed company before offering you
a surplus lines carrier. Ask which licensed companies turned
you down, and why. Companies must justify rejections.
Q: My insurance company refused to renew my
homeowners policy because I filed a claim. Can it do that?
A: It depends on the type and number of claims
you have filed. A company cannot refuse to renew your policy
because of weather-related claims. It can decline to renew
a policy, however, if you have three or more non-weather related
claims in a three-year period.
Q: My homeowners policy is coming up for renewal
but the company says it will drop me if I don't replace my
leaky roof. Is this legal?
A: Yes. An insurance company may refuse to
renew a policy because of a home's condition. This can include
a worn -- out roof. The company must give you at least 30
days' written notice before not renewing your policy, but
some companies give you six months to a year to make repairs.
If your roof needs replacement because of a storm or other
covered loss, the company must pay for the work (minus your
deductible). If the roof is just worn out, you are responsible
for paying to replace it.
Q: I recently moved out of my home. Can the
company cancel my homeowners policy? Do I currently have coverage
on my home?
A: The company may not cancel your policy
because your house is vacant. However, the policy itself automatically
suspends coverage for damage to your house if the house is
vacant for 60 days or longer. The policy's liability coverages
will continue. However, the vacancy could cause the company
to refuse to renew the policy when it expires.
Q: I shopped carefully before picking a new
homeowners insurance company. Two months later, I received
a cancellation notice. Can the company do this?
A: Yes. A company will evaluate an application
to determine if it qualifies under its guidelines for new
business. During the first 90 days after a policy takes effect,
the company may cancel it for almost any reason, provided
the consumer receives 30 days' written notice. If the company
cancels the policy, it must refund your premium, minus the
portion paid for coverage actually received.
- TDI offers a variety of insurance-related publications
and services. Publications are available in alternate
languages and formats and on our Web site.
- For printed copies of free consumer publications, call
the 24-hour Publications Order Line
1-800-599-SHOP (7467)
305-7211 in Austin
- For answers to general insurance questions call the Consumer
Help Line between 8 a.m. and 5 p.m., Central time,
Monday-Friday
1-800-252-3439
463-6515 in Austin
- You may file an insurance-related complaint with TDI several
ways:
- For recorded information on TDI jobs, call our 24-hour
Job Line
1-800-952-7099
The information in this publication is current as of
the revision date. Changes in laws and agency administrative
rules made after the revision date may affect the content.
View current information on our Web site. TDI distributes
this publication for educational purposes only. This publication
is not an endorsement by TDI of any service, product, or company. |