Welcome to our Public Adjuster!
We are not insurance agents or salespeople. We do not sell
homeowner’s property insurance policies. We are PUBLIC
ADJUSTERS who represent the policyholder in the event they
have a claim for a loss or damages (against the insurance
company). Public Adjusters deal specifically with the
insurance claims process. We have seen all types of
insurance claims; each being different. No two claims are
the same for a variety of reasons. Each insurance carrier is
different. The facts surrounding the claims are different.
We would like to help homeowners better prepare for
unexpected events or losses. One particular provision of
your homeowner’s insurance policy is or may be the “loss
assessment” provision or endorsement.
What is loss assessment and who needs loss assessment coverage? Loss assessment coverage, simply explained, is a policy that works in addition to your homeowner’s association (HOA) policy. It provides protection to homeowners when the common areas and buildings have been involved in a claim. Loss assessment covers the remaining out-of-pocket expenses due to qualifying perils that are not covered under the HOA’s policy.
If you live in a community that requires you to be part of a
homeowner’s association (HOA), you should have loss
assessment protection. Homeowners associations have the
right to levy an assessment on you or your property in the
event the community or homeowner’s association suffers a
loss to property or a liability. Loss assessment insurance
coverage protects the homeowner against losses to the common
areas assessed to you by your HOA. If your home is part of
an HOA, you and other members of the HOA pay dues for shared
services and amenities. If the shared amenities or property
sustain damage or if a guest has an accident in the common
areas, the HOA may be held responsible to pay for damages.
Usually, the HOA has an insurance policy in place to cover
such damages. However, the policy may have a large
deductible, or the payout may demand more than is covered by
the HOA’s insurance policy. In such cases the HOA may levy
an assessment on each member or homeowner of the HOA. Loss
assessment is covered by the dwelling portion of your
property insurance. For instance, perils such as fire,
vandalism, etc. are covered under the dwelling portion of
the insurance policy. Let us say a major hurricane damages
major parts of all your common area buildings such as a gym,
restroom facilities, and/or gathering rooms leaving $2
million necessary in repairs. However, your HOA master
policy only carries $1 million in property damage coverage.
In which case, the HOA may assess the extra $1 million to
the individual homeowners. So, if you have 500 homes or
condos, each home will be assessed $2000. Of course, lot
sizes or size of condos and HOA bylaws may impact the
percentage of the assessment.
In addition, liability issues may be covered under the loss
assessment. For instance, if a guest is injured utilizing a
shared amenity such as a pool. If a guest who suffers a
severe life altering accident in the common area pool
successfully sues the HOA for $1.5 million and the
association only has a liability policy coverage of $1
million, the individual homeowners will be responsible for
the remaining $500,000. Thus, depending on how many homes
are in your HOA, you will be assessed the remaining
$500,000.
How much loss assessment coverage do you need? Well, that
depends on several factors. First how much insurance does
your HOA hold and what is the deductible. How many homes are
in the HOA? What type of alluring attractions such as gyms,
pools, tennis courts, kitchens, bars does your association
share. Keep in mind each HOA is different and you will have
to review your master HOA policy to determine your HOA’s
bylaws. As a member and interested party (homeowner) you
should have access to determine and review what if any
insurance policies your HOA has in effect and the respective
coverage, costs, and deductibles.
As public adjusters we have encountered situations where the
insured did not have enough coverage under their own policy
to pay the assessment the HOA levied on the homeowner. We
suggest your review your insurance policy for loss
assessment coverage. Typically, you will have $1000 loss
assessment coverage. For a few more dollars per year
(anywhere from $15.00 to $47.00) you may be able to increase
your loss assessment coverage to $5,000 depending on your
insurance carrier.
When requesting your insurance carrier or agent to increase
your loss assessment coverage, you may be required to obtain
a letter or confirmation from your HOA stating that there
are no pending, current or outstanding loss assessments for
the Master’s Association (or the proper title of your
HOA).
Below please find a sample of the loss assessment language
in a typically homeowner’s insurance policy:
Loss Assessment. We will pay up to $1000 for your share of
loss assessment charged during the policy period against
you by a corporation or association of property owners,
when the assessment is made as a result of: a. "Bodily
injury" or "property damage" not excluded under Section II
of this policy; or b. Liability for an act of a director,
officer or trustee in the capacity as a director, officer
or trustee, provided: (1) The director, officer or trustee
is elected by the members of a corporation or association
of property owners; and (2) The director, officer or
trustee serves without deriving any income from the
exercise of duties which are solely on behalf of a
corporation or association of property owners. This
coverage applies only to loss assessments charged against
you as owner or tenant of the "residence premises." We do
not cover loss assessments charged against you or a
corporation or association of property owners by any
governmental body. Regardless of the number of
assessments, the limit of $1000 is the most we will pay
for loss arising out of: a. One accident, including
continuous or repeated exposure to substantially the same
general harmful condition; or
b. A covered act of a director, officer or trustee. An act
involving more than one director, officer or trustee is
considered to be a single act. The following do not apply
to this coverage: 1. Section II – Coverage E – Personal
Liability Exclusion 2.a.(1); 2. Condition 1. Policy
Period, under SECTIONS I AND II – CONDITIONS.
HOMEOWNERS HO 04 35 04 91
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT
CAREFULLY.
HO 04 35 04 91 Copyright, Insurance Services Office, Inc.,
1990 Page 1 of 1
LOSS ASSESSMENT COVERAGE
1. Increased Limit – Residence Premises For an additional
premium, the limit of liability for Section I Additional
Coverage 7 and Section II Additional Coverage 4, Loss
Assessment, is increased to: Increase in Limit Total Limit
of Liability* Liability* $ $
SPECIAL LIMIT – We will not pay more than $1,000 of your
assessment that results from a deductible in the policy of
insurance purchased by a corporation or association of
property owners. 2. Additional Locations For an additional
premium, we agree to pay, up to the limit of liability
listed below, your share of covered loss assessments as
described in Section I Additional Coverage 7 and Section
II Additional Coverage 4 of the policy, arising out of the
premises listed below.
Location of Unit* Limit of Liability*
SPECIAL LIMIT – We will not pay more than $1,000 of your
assessment per unit that results from a deductible in the
policy of insurance purchased by a corporation or
association of property owners. Section II – Coverage E –
Personal Liability Exclusion 2.a.(1) does not apply to
this coverage. *Entries may be left blank if shown
elsewhere in this policy for this coverage. All other
provisions of this policy apply.
The increased limit of $5000.00 is displayed on the
declaration’s pages.
D’Orsa and Associates, LLC Public Adjusters will review your current homeowner’s insurance policy free of charge and make suggestions for you to address with your insurance agent. Should you suffer any damages to your home or business, contact our public adjusters at (877) 742-3587 for help with your insurance claim. We will represent you throughout the entire claims process to help you fully recover from your loss.
FOR HELP WITH YOUR INSURANCE CLAIM CALL US!
(877) 742 - 3587
adjuster@dorsaassociates.com