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Storm Leaves Many Facing Tricky Insurance Process

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Storm Leaves Many Facing Tricky Insurance Process

Storm Leaves Many Facing Tricky Insurance Process

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  • <iframe src="" width="100%" height="290" frameborder="0" scrolling="no" title="NPR embedded audio player">
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The expected price tag for Hurricane Sandy continues to climb. Some estimates say it could run as high as $50 billion. As home and business owners deal with this storm damage, they're also dealing with insurance companies.

And as NPR's Steve Henn reports, figuring out what's covered and what's not is complicated.

STEVE HENN, BYLINE: This is a far too familiar sound right now across much of the northeast. Mario Veas runs a tree service in Willow Grove, Pennsylvania. He spent Monday night hunkered down with his family, but he's been running ever since.


MARIO VEAS: Now the phone making me crazy.

HENN: Earlier this week, Veas was clearing an enormous tree branch from Preethy Edamala's patio.

PREETHY EDAMALA: It pretty much just landed on our roof and tipped over and some of the branches went over into our patio, too, about three hours after our power went out. My husband called and said it sounds like elephants climbing the roof.


CHARLES EDAMALA: It was a huge rumble. And it felt like the house was going to come down.

HENN: But the roof held up, and the day after the storm, Charles Edamala was taking pictures and trying to get through to his insurance company.

EDAMALA: They've been backed up, the insurance people have been backed up. I mean, I was on hold for about an hour and a half and couldn't get through to anyone.

HENN: Jeanne Salvatore at the Insurance Information Institute says so far the Edamalas are doing everything right.

JEANNE SALVATORE: If anybody does have damage, what they should do right now is get in touch with their insurance company and take steps, you know, to substantiate that loss.

HENN: But filing a claim might be the easy part. Actually getting paid could prove more difficult. Robert Hunter tracks the insurance industry for the Consumer Federation of America. In recent years, he says, many insurance companies have added so-called hurricane deductibles to their homeowners policies. These deductibles are based on the value of your house.

ROBERT HUNTER: If you have a $400,000 insured house your deductible, if it's 5 percent, would be $20,000.

HENN: But these higher deductibles apply only in hurricanes. In the past two days the governors of New York, New Jersey, Pennsylvania and Connecticut have all said hurricane deductibles shouldn't apply in this case because Sandy wasn't officially a hurricane when it came ashore. But Hunter expects this issue will end up in court. And for homes and businesses damaged by flooding, it doesn't matter whether Sandy was a hurricane or not.

SALVATORE: Since Sandy was a big, big flood event, you need to have purchased flood insurance.

HENN: Jeanne Salvatore at the Insurance Information Institute says conventional homeowners policies don't cover flooding. Banks are supposed to require homeowners and businesses to buy federally backed flood insurance if they're in flood-prone areas, but Robert Hunter says that doesn't always happen.

HUNTER: So a lot of people who are supposed to have it don't.

HENN: Only about 20 percent of Americans actually have flood coverage. And if you don't have it and you flood, you're out of luck.

HUNTER: Well a lot of companies have added into the policy something called the anti-concurrent causation clause.

HENN: Wait. What?

HUNTER: Anti-concurrent causation clause. If you have two events occurring at your house at the same time, they say, and one event is covered, like wind, but one isn't, like flood, we don't pay either.

HENN: In previous disasters, the anti-concurrent causation clause has been challenged in the courts. But Hunter says there are no nationally binding precedents about whether or not clauses like it are valid. So he expects that some in Sandy's path may have to wait awhile before they find out if they're covered by their insurance or not.

Steve Henn, NPR News.




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