Condominium Property Insurance Claims

Settling a condominium property
insurance claim is a complex
business transaction

Condominium Association and
Community Association Property Insurance Claims

When a disaster results in damage to a condominium or community association property, the association’s manager and board of directors are responsible for filing insurance claims. For those who are new to condominium association responsibilities or for those who undertake the responsibilities as a volunteer, it may seem a daunting task. Common ownership is defined by state statute, deed or association declarations and association bylaws.  These instruments define the coverages required and apportion responsibility between the community association and individual owners. Filing a property insurance claim for association property is easiest when the task is broken down into clear and manageable steps.

Determine the Insureds and the Applicable Policies of Insurance

When a loss occurs the association must first determine where the damage occurred—is the damage contained within association property or does it extend into any individual condo unit, or has the structure suffered damage as well. The location and extent of damage will determine the coverage, insureds, and the applicable policy or policies of insurance. In most states that have enacted condominium or community association laws, associations are required to insure every common building and structure to some extent, including the portions deeded as individual unit owner property when the individual units are separated by horizontal boundaries. The extent of coverage, both the property and the type of coverage required, varies among states and associations.

Verify Insurance Coverage

Once the association determines the cause of a loss, extent of the loss, and the respective responsibilities of the association and unit owners under state statute and the association’s governing documents, the next step is to review the applicable policies of insurance, including: primacy of any association and individual owner insurance policies, the terms of insurance coverage, limits of insurance coverage, deductibles, exclusions, limitations, endorsements, and coinsurance provisions. The specific terms of one policy may fill coverage gaps in the other or provide insurance coverage to meet the other policy’s deductible. It may be helpful to prepare a chart to define and compare the coverages, exclusions, endorsements and limitations in each insurance policy.

Investigation

The association should recognize and document the damage, coverage issues, the scope of the loss, and the scope of the claims under each applicable policy. The benefits may be payable to the association or a trustee charged with supervising repairs.

Settlement and Recovery

Settlement and recovery under and association policy will necessarily involve the association board members and directors. The association, not the individual unit owner, will likely be the loss payee may have the authority to accept or reject proposed repairs and offers to settle the claim.  If your insurance claim has been denied, delayed or underpaid contact Merlin Law Group today for a free case review.

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