Insurance policies

Insurance policies can be a bit complicated, especially in their use of market terminology.  To understand who is covered under your homeowner’s policy, the first thing is to know what they cover.

Most traditional homeowner’s policies cover three areas: the physical structure of your home and other buildings on the property; personal belongings; liability from physical injury endured by others as a result of your property.  Usually more than just the owner of the house is protected, but not everyone is covered in all of these various areas.

Understanding what is covered, should be followed by the best practice of doing a thorough reading of your insurance policy to ensure what you have purchased will meet your needs, and to also develop a better understanding of who is insured under your homeowner’s insurance.

Unfortunately, it’s quite easy to get lost in the insurance jargon we often find in our policies and this can lead to some major issues when we need to make a claim.  If you are having problems with your insurance company as a result of bad faith policies and are facing anxiety, as well as expense issues, then contact Millin & Millin Attorneys who can even the playing field against your insurance provider. They may not always act in your best interests, but Millin & Millin Attorneys will.

Here are some of the individuals that should be insured under a “common” policy.

Name Insured (“You”)

Every policy will list a named insured, “You”, which is policy-wide term; if the house is owned jointly, both names should be listed.  This individual is the primary insured and benefits from the most coverage that includes the three areas mentioned above - property, personal property, and liability.  The name insured tends to be the same person listed on the house deed, and whenever there is damage to the house, will be the one to make the claim.

Spouse

Even if they are not specifically identified in the policy, as long as your spouse resides in the house, they are under the personal property and liability coverage.

Residents

Any individual who lives in the residency are covered by personal and liability insurance including: children; an aging parent; resident non-relatives under the care of “You” and who are under 21 years of age; student enrolled full time who was a resident prior to attending school and is under age of 24 if related to “You”; children who have returned back after graduating college even if over the age of 21.  Check with your insurance agent for a more detailed list of who would be considered a resident.

Employees & Guests

Any individuals who are employed by the owner of the house, such as a housekeeper, are only covered by the personal property provision.  Options, such as the employment practices liability insurance (EPLI), can provide protection against a variety of risks such as wage/hour defense, harassment/discrimination, or wrongful termination.

Guests and invited visitors are only covered for personal property insurance if that coverage is requested at the time you purchase the policy.

Tenants

Renters are generally NOT covered by your insurance policy.  In most cases, tenants will need to purchase their own renter’s insurance to protect their belongings in case your property is damaged or vandalized.  This policy can also provide protection from being liable in case of an injury or property damage.

You may be interested in purchasing specifically designed rental property as standard homeowner’s insurance may not adequately cover liabilities.

These rules and policies are set in place to protect you and your loved ones from the financial burden of accidents and catastrophes that can strike at any moment.  Sadly, insurance companies don’t always seek to treat you fairly.  That’s why Millin & Millin Attorneys is here help.

Our track record of successful litigation against the disreputable actions of insurance companies is one of the reasons we continue to grow.  Find out how we can secure you fair compensation on your insurance policies by scheduling an appointment with us today.

What You Need to Know About Insurance Claims

Making an insurance claim on a motor vehicle accident, construction issue, or personal injury incident, can be outright confusing; especially if it’s your first time going through the process.

Don’t worry though.  Millin & Millin PLLC are more than capable of advocating for you and helping you find the peace and justice you deserve.  When you choose Millin & Millin PLLC, you are never alone in the process.

In fact, here are some tips and information that will help to ease the stress of going through the various steps of the claim.

The first thing we advise you to do is to read through your insurance policy thoroughly to see whether you are covered and what exactly you are covered for.  Bare in mind, you may be covered for the same loss under more than one policy.  However, you cannot claim under more than one policy for any loss, so carefully consider which policy to claim against.

If you need to set up an insurance claim, call your insurance adjuster and provide them with exact and concise details of the claim.  Also, make sure to request a claim form if they have not offered to give you one.

Depending on the specific type of claim, your insurance adjuster will give you advice on what to do next.

For example, if your home has been damaged, they may suggest you get some emergency repairs done. Always check that your insurance will cover the cost of any repairs. For larger claims with extensive damage to the home, it may be best to hire an experienced professional to thoroughly inspect the area.

By working with a 3rd party inspector, you’ll have a professional working on your behalf (rather than for the insurance company), and they may even help to negotiate with your insurance company to settle your claim.  By utilizing an expert, insurance companies are much more liable to provide you with the proper compensation for the damage to your home.

However, keep in mind that the inspector will not be covered by the insurance, and you will have to pay for their fees out of pocket.

Another aspect to take into consideration is the “size” of the claim.  If the total amount is relatively insignificant, then you might want to hold back on making that claim.

If you do decide to make a claim, regardless of its monetary value, you may lose your no-claims discount with certain insurance companies.  A no-claims discount takes into consideration the number of years in which you have not made a claim on your insurance policy and its worth varies from insurer to insurer.

Additionally, you may find it more difficult to shop around for certain types of coverage the next time you renew your policy.

Furthermore, insurance companies are required by law to have a written procedure in place for dealing with claims and should assist you in the process.  You should also consistently receive information about new developments and about changes within the process that can affect the outcome of your claim.

You should know the decision on your claim within 10 business days of when the insurance company makes the final decision.

When a claim is not settled in your favor, you should receive the reasons why in writing, and be provided with details on how you can appeal the decision. There is no definite length of time to settle an insurance claim and it simply depends on the type of claim being made.  Complicated or larger claims may require expert analysis or the input of several knowledgeable professionals before the claim can be decided.

Though your insurance company will be the party that decides whether your policy covers the costs and damages, ultimately it is your choice whether or not to accept the settlement.  If you are dissatisfied with their offer then you have the legal right to attempt to negotiate.  If the statute of limitations has not passed, then you are allowed to seek legal advice, and have an attorney review your case to help you determine if are being compensated appropriately.

Make sure to always give accurate information whenever you are applying for an insurance policy. Be aware that any claim you make could be negatively affected if you give inaccurate or incomplete information when you initially apply.

If you have a claim against you by another party, insurance companies are not obligated to inform you of the outcome of such a claim and can agree upon a settlement without your knowledge or consent.

Always keep in contact with your insurance company and know the name of the insurance adjuster who is appointed to your case.  If you disagree with the outcome of claim against you or have any issues throughout the process, you have the right to let your insurance adjuster know, and can speak with a representative from the customer service department at the insurance agency.

If you were involved in an auto accident, or perhaps affected by hail, and need repairs made to your car, you might want to make a claim on your policy to cover the cost.

Your insurance company will likely have a list of approved auto repair shops that are permitted to work on your vehicle.  There is also the possibility that you may be given the option to use an auto repair shop of your choice.

The largest report of hail this year near McAllen was 1.75 inches. Don’t wait around for hail to damage your home and vehicle. Prepare ahead of time and protect your property. It is imperative that a homeowner knows what to do in the event that their home is damaged by hail.

Hail can cause a wide range of damage to a home and vehicle. Insurance companies don’t always make it easy to file a hail damage claim and some claims are not always accepted. Homeowners find themselves having difficulty with claims and compensation for payments that have already been towards any damages to the home. Hail damage is often unseen when looking at the roof from below, at which point it is necessary to bring in an experienced professional to inspect the area. The inspector must be licensed and insured to be credible and to securely work on the damaged area.

Hail storms can cause extensive damage to homes, especially to the property’s roof. Leaks in the ceiling, insulation failure and electrical issues are just a few of the problems that can occur if a roof is not repaired after a hail storm. It is highly important that these repairs be made as quickly as possible so that any further damage may be prevented. When obtaining a professional to inspect the damages to your property consider that some insurance companies have a tendency to refute many justifiable claims. It is best to hire an external inspector to verify and document all of the damages to the house and roof; the inspector’s report may reveal more damage than the insurance adjuster’s originally discovered. Even the most minuscule holes that are found can lead to long term damage and deterioration of the home and roof. There may even be cracks in the walls from water pressure; it is important to get a full and detailed report of all damages to the home. Even if the cracks and holes seem insignificant, a claim to your insurance company for hail damage is still valid.

Homeowners, check your insurance policy before having the roof inspected. Not all policies cover hail damage and without being covered for hail, a claim cannot be filed. However, if hail damage is included in the policy then the policyholder should contact their insurance company immediately. The policyholder will be asked a series of questions by an insurance company representative in reference to the damage to the home and any other relevant information. After the claim has been initiated, the insurance company will send an adjuster to inspect the roof and any other affected areas of the home. If the homeowner decides to hire an external professional then both the professional and the adjuster may review the damages and compare notes. After the damages have been reviewed an estimate will be made. Unfortunately, there are instances where the adjuster does not find any damages to the home and the inspector disagrees. The inspector will have to provide additional information to justify the claim.

Homeowners may have to pay the deductible to the hired inspector. However, if the claim is approved, the insurance company may pay the remaining balance to the inspector or to the policyholder who in return must pay the inspector what is rightfully owed.

Homeowners please be cautious and carefully read and comprehend your insurance policy. Claims can be denied if the required documentation is unavailable at which point a once valid claim will be revoked and the insurance company can claim any damage that is discovered to be prior to the existing situation. Also if a policy has been recently renewed or opened within a short period of time of the damage, the insurance company can claim that the damage or any other issues to the home will not be covered under the policy.

Once the damage to your home is proven to be valid and you have been in contact with your insurance company, you may need an attorney. An attorney can ensure that the insurance company pays for the damages. Although you may not have to go to court, an attorney can assist with the claim in order to make certain that it is properly covered by the homeowners insurance.

At Millin & Millin, we are dedicated to cover the holes and the cracks that are affecting your quality of living. We will ensure that your homeowners insurance company pay out what is owed to you and that damages to your home be repaired as quickly as possible. Let us help you protect your property.

It’s no secret that insurance companies tend to react slowly, especially when it comes to claims.  And in all likelihood, if you’re having to submit an insurance claim, then you’re probably going through a horrid situation.  Having to fight for your what’s rightfully owed to you shouldn’t even be an issue, but if that’s the case, here are a few tips to help you during those dire days.

Use That Tech

The first step you want to take before submitting a claim is to utilize technological resources to your advantage.  That means using insurers’ apps, Web tools, smart-phones, and various tools to help you prepare the evidence for your claim.  By being proactive, you should hopefully be able to take a few measures towards securing your monies, or at the very least, helping yourself build a meaningful “offensive” strategy should the insurance company initially deny you.

Understand Your Policy

The devil is in the details and it’s no different with insurance policies.  Your understanding of the fine print will be advantageous in providing you the best insight into what your claim requirements will be.  It will be necessary for you to know exactly what your policy covers, the claim process, how quickly you can submit, and the manner by which damage estimation is calculated.

Knowing your rights is also essential when disputing a denial.  This information should be explicitly detailed in a policy or during discussions with an agent or with an experienced insurance attorney like Gina Millin.

In fact, it’s highly recommended to have an attorney assist you through the disputing process so that all legalities and specifics are properly explained for you.  Legal support can also mean depositions are less emotionally taxing, which is vital when providing details about an accident or values of possessions - especially when large sums are on the line.

Keep Track of Those Records

Often it seems like insurance firms are eager to receive that monthly premium, but not as willing to provide that same level of promptness during the claims processes.  That’s why it is exceedingly vital that you maintain immaculate records to provide yourself with meaningful reinforcement for those evasive insurance agents.

Make sure you maintain records of who you spoke with, as well the dates and times of these interactions.  You should also write down specifics of what was discussed.

Last, but not least, you should also consider doing a video-tour of your home to record all the valuables you have insured.  When completed, you should safeguard this video in a deposit safebox.

Don’t Give Up

The reality is that most disputes are efficiently and ethically handled by insurance companies.  But there are times that claims can go awry and situations can get a bit out of hand - it can be very frustrating.  However, it’s your responsibility to keep contact and save records of the entire process.

If you’re dealing with health insurance policies the delay may simply be a matter of providing some additional paperwork to prove the validity of the claim.

If it’s house insurance issues, every state has an insurance department that provides free services to ensure you’re getting what you are legally entitled to under your policy.

When dealing with auto policies, there’s always the ability to make a case as to why your vehicle is worth more than the appraiser estimates.

Regardless of the particular situation you may be in, you can always fight for what is rightfully yours and Millin and Millin is here to help. We want to be sure that your rights aren’t being ignored.  We’ve represented hundreds of individuals against the illegal tactics of major corporations and have helped secure the rightful benefits of individuals from a variety of situations.

So if you’re unsure of where to turn to next, contact Millin & Millin at 956.631.5600 for the guidance you need.

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