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Wintertime Property Claims

It is the Season. Not just for the Holidays but also for winter storm property damage claims.

The volume of commercial and homeowner property claims typically increase during the winter months. This is due in large part to winter weather conditions. The typical types of winter claims include:

Frozen Pipe Claims: Exposed pipes will freeze. These types of claims trigger language in almost all property policies, including coverage and exclusions involving claims arising from the sudden accidental failure of plumbing systems due to freeze conditions. Typically, the policy language requires the building owner to take precautions to drain water lines or prevent against such freezing in order to have coverage.

Storm Drain Backup Claims: Heavy rains or snow melt can lead to storm drain back ups and flooding. These claims are typically covered but may be subject to a specific and lower policy limit.

Wind Driven Rain Claims: Particularly for those who live in the Northwest, we are used to heavy periods of rainfall often accompanied by strong wind conditions. A typical wind-driven rain claim may involve sudden and accidental leakage into a building as well as long-term water and decay damage. In Washington, wind-driven rain claims may be covered in the absence of weather exclusionary language.

Wind Claims: Winter storms usually bring high wind conditions. This can result in the failure of power utilities, downed trees, roof damage, etc. Depending on the policy language, these types of claims are typically covered.

Landslides: Heavy rainfall and wind conditions can contribute to saturated soils. This often results in landslides, particularly in the Northwest. Landslide events are typically excluded from coverage unless landslide coverage is expressly provided for.

Flood Claims: Heavy rainfall and snowmelt can lead to both river and tidal flooding. In addition to river overflow, strong King tides can result in oceanic saltwater flooding from tidal bodies of water. In the absence of express flood coverage, most surface water and floodwater claims are excluded from coverage. If a building owner has flood insurance, that insurance is typically paid by an insurer through the Federal Emergency Management Agency (FEMA) under the National Flood Act. There are severe restrictions on what is allowed to be recovered under the National Flood Insurance Act. For example, in a FEMA flood claim, there is no right to policy appraisal, no right to trial by jury, and no recovery of extra contractual or bad faith claims.

 

Once again, every policy is different. However, those building owners who are confronted with severe winter weather should review their policies and understand what is and what is not covered.

Lether Law Group has handled winter storm-related claims throughout the Northwest. This includes major catastrophes such as the Oso landslide, the Skagit River valley flooding, the Kingston and Perkins Lane landslide losses, and thousands of water intrusion and wind-driven rain type claims. Tom Lether has been directly involved as counsel retained through FEMA to litigate claims involving flood losses under the National Flood Insurance Act.

If you have questions in regard to winter storm damage claims, please feel free to info@letherlaw.com or (206) 467-5444.

 

Business Interruption Claims Resulting from Wildfire Losses: What You Need to Know

As a result of the recent Lahaina wildfires occurring in Maui, Hawaiʻi, the question of what is covered under commercial property policies for business interruption claims has resurfaced.

Under most commercial policies, business interruption coverage is available to an insured whose business is closed as a result of a covered loss. Unfortunately, most policies require there to be direct physical loss or damage resulting in the closure of the business. For example, a fire destroying all or part of the business making it impossible for the business owner to operate.

During the Covid pandemic, hundreds of thousands of businesses around the world were closed due to governmental orders requiring businesses to shut down. As a result, billions of dollars arose from thousands of claims for business interruption coverage associated with these shutdowns.

Obviously, in the Covid context, businesses were shut down not necessarily as a result of direct physical damage, but rather by governmental order. As a result, coverage litigation ensued not only in the United States, but on a global basis in regard to these claims. Specifically, these Covid based lawsuits involved whether business interruption claims are viable as a result of a Covid governmental shutdown order. The vast majority of decisions worldwide found that there was no coverage for such shutdowns. Many insurance policies included business interruption coverage for closures resulting from governmental orders. Once again, however, most decisions from around the United States found that the governmental order had to be based upon a direct physical loss or damage to an adjoining property. Unfortunately, this resulted in there being no coverage. In addition, the final issue involved coverage for a partial suspension opposed to full suspension of the business. Specifically, certain commercial business policies provide coverage for a partial suspension. In other words, if the business is only partially suspended, there may be coverage available.

In regard to the Lahaina wildfires, a significant number of commercial buildings have been damaged or destroyed. In these situations, a business owner should have coverage for their business losses. Specifically, there is likely direct physical damage to the building. If the shutdown of the business is unrelated to a governmental order, the insurers will determine the amount of business interruption coverage owed based upon the income earned by the business and continuing expenses. Such claims are typically ascertainable through a review of a business’s financial records.

A more complicated issue involves how much time an insured may have to recover for business interruption. This is called the period of restoration. In other words, how long should it take for the business to be restored? In some policies, the period of restoration is defined as the shortest time necessary for a business owner to repair or relocate the business. However, there may also be a limitation as to the amount of time a business owner can collect on a business owner merchant claim. This is oftentimes limited to one or two years. In light of the very real possibility that restoration regarding the Lahaina wildfires will take more than two years, there is a significant potential for a number of business owners to find themselves in a situation where they will not have adequate business interruption coverage.

Even if the building has not been destroyed, an insured can still submit a claim for business interruption. For example, there are a number of businesses that have minor damage or that foreclosed as a result of governmental orders restricting access to the burn zone. To the extent there is any minor damage, there is still potential for coverage. By way of example, if there is smoke damage or exposure to hazardous materials, that type of damage may be sufficient to qualify as a direct physical loss or damage.

Moreover, if there is no damage whatsoever, the question will be whether the policy provides coverage for governmental shut down. Typically, in these instances the policy will say the insurer will provide coverage if there is damage to adjoining properties such that a local or state government has restricted access to the insured’s property. For example, if a neighboring building burns down and the insured’s business cannot reopen due to the business’s street being closed, there will be coverage. Accordingly, even though the insured’s building is arguably not damaged, there may still be coverage if the policy does provide coverage for the governmental order.

As a result of the above, here is what a business owner needs to know:

    • How long will my policy pay for business interruption?
    • What type of coverage do I have?
    • Do I have Governmental Order type coverage?

As always, if you have any questions regarding your insurance policy or any of the information provided above, please feel free to reach out to our office. Lether Law Group proudly employs attorneys who are born and raised on the islands of Maui, Oahu, and the Big Island. We are more than happy to provide you with guidance on understanding your specific policy coverages.

 

Hawaiʻi Wildfires: Understanding your Property Insurance Coverage

In light of the recent wildfires that have wreaked havoc across Hawaiʻi, Lether Law Group has received numerous inquiries from individuals seeking basic information on property insurance. The PDF  below will provide you with basic facts regarding homeowners, commercial, and rental insurance policies.

As a service to our Maui Ohana, we are providing this free information without any obligations. We are here to help you. If you do require formal legal assistance, please feel free to contact us.

Hawaiʻi Wildfires and FEMA Assistance: A Guide from Lether Law Group

In light of the recent wildfires that have wreaked havoc across Hawaiʻi, Lether Law Group has received numerous inquiries from individuals, government agencies, and families seeking guidance on accessing/locating support. This guide is designed to address those questions by detailing the process to obtain assistance from the Federal Emergency Management Agency (FEMA). Given the high demand for such aid, it is imperative for applicants to be well-informed about the process and eligibility criteria. Being prepared with the necessary information streamline your application and secure the assistance you need mor efficiently.

What is FEMA?

The Federal Emergency Management Agency, or FEMA, is a vital resource for citizens and emergency personnel across the nation. Its mission is to prepare for, protect against, respond to, recover from, and mitigate all hazards, including wildfires. If you’ve suffered losses that are not covered by your insurance, FEMA may provide reimbursement.

Am I Eligible for FEMA Assistance?

Becoming eligible for FEMA assistance requires satisfying specific criteria:

    • Identity Verification: You must be a United States citizen, non-citizen national, or qualified non-citizen and have a valid Social Security Number.
    • Insurance Examination: It’s essential to understand that FEMA will not cover disaster-related needs if they are already covered by insurance or other programs.
    • Ownership or Occupancy Verification: You must confirm that the disaster-damaged home is your primary residence.

How Do I Apply for FEMA Assistance?

Applying for FEMA assistance is a process that takes approximately 20 minutes. Here’s how to get started:

  1. Prepare your Information: Gather your Social Security Number, annual household income, contact details, insurance information, and bank account details where the financial assistance will be deposited.
  2. Contact your Insurance Company: It’s advisable to speak with your insurance company to confirm your insurer and policy information. For more information on insurance documentation, click here
  3. Begin the Application: Start your application online at DisasterAssistance.gov OR use the FEMA mobile app.  If you need assistance with the application, call FEMA at 800-621-3362 (open 24 hours aday/7 days a week – Multilingual operators are available)
  4. Submit and Track your Claim: Once your claim is submitted, you can follow the provided instructions to track its status.

How Lether Law Can Help

Lether Law Group has specialized in large first-party property losses for over 35 years, including multiple large fire loss and wildfire claims. Thomas Lether is approved as a FEMA Regional Counsel and has experience in significant natural disaster claims.

If you have any additional questions regarding your insurance policy or any of the information provided above, please feel free to reach out to our office. Lether Law Group proudly employs attorneys who are born and raised on the islands of Maui, Oahu, and the Big Island. We are more than happy to provide you with guidance on understanding your specific policy coverages.