Latest Assault on Katrina Victims
When is a storm not a storm? When it causes "flood" damage, according to a federal judge in Mississippi. A family whose policy protected them against storms, but not floods, was denied compensation by their insurer from damage caused by Hurricane Katrina, a decision that U. S. District Court Judge L. T. Senter, Jr. upheld today. The clause that Nationwide Insurance used to deny family's claim the judge admitted was ambiguous, but he nevertheless ruled that the policy the plaintiffs purchased against storms did not cover "wind-driven water damage." The ruling will likely affect, at minimum, hundreds of similar cases along the Gulf Coast, particularly since it is Judge Senter who oversees all Katrina-related insurance claims in the state of Mississippi.The relevant clause in the Nationwide storm policy is below, asserting that the policy does not cover:
Water or damage caused by water-borne material. Loss resulting from water or water-borne material damage described below is not covered even if other perils contributed, directly or indirectly to cause the loss. Water and water-borne material meansA "storm," then, according to the judge's interpretation of Nationwide's policy, is wind, and ceases to be a storm as soon as it is accompanied by water. When water is involved, "whether or not driven the wind," then you've got a flood on your hands. No flood insurance? Sorry, no money.
1) flood, surface water, waves, tidal waves, overflow of a body of water, spray from these, whether or not driven by the wind.
Further, the insurance agent who sold the policy is admitted by the judge to have a pattern of discouraging the purchase of flood insurance, which presumably would be covered under Hurricane Katrina, while simultaneously maintaining to his customers (according to the plaintiffs) that the storm policy covered any storm-related eventuality, including water damage. Unsurprisingly, in light of the verdict, the judge accepted the insurance agent's recollected version of his sales pitch over the plaintiffs'.
The families affected by this ruling, many of whom are unemployed, with no savings, and surrounded by a community support structure in shambles, will now have to pay up to the entire cost of rebuilding their homes and replacing their property on their own. And while any undergraduate in economics could tell you how much more difficult Judge Senter's ruling will make it for these small, rural economies in Mississippi and Louisiana to grow again, Joseph Annotti of the Property Casualty Insurers Association of America disagrees:
From our perspective, it lifts a very large cloud of uncertainty that has been hanging over the insurance market of the Gulf Coast. A healthy insurance market is absolutely key to a rejuvenated economy down there.And no, he was not joking.
8 Comments:
At 10:28 pm,
Anonymous said…
Flood damage is covered by flood insurance, purchased separately. If you want to save $200 to $300 per year ("I'm insurance poor") then you do so and take the risk.
Flood exclusion is an industry wide exclusion, hence the Federal Flood Insurance program, underwritten by the same insurance companies that write homeowner policies.
Also, no one can look at a homeowner insurance policy and not see the FLOOD EXCLUSION. You can't even settle on a house without your lender and title company both certifying that your house is either in a flood plain (like all of New Orleans for example) and you have Flood Insurance, or is not in a flood plain.
Most homeowners in areas that are prone to flooding will have their losses covered because they didn't decide to save a few hundred a year, or more to the point, because their lender didn't allow them to take the chance.
Insurance covers risks that you pay premiums to cover. To expect an insurance company to cover risks that the homeowner declined to pay for is ridiculous.
Also, the notion that an insurance agent discouraged his clients from purchasing flood insurance is counter-intuitive. What salesman wants to write one but not two policies, especially when the second policy has a higher premium (flood insurance is relatively expensive and covers less risk than regular homeowners)?
At 3:47 pm,
Anonymous said…
"So, mikem, how does your work in the insurance lobby pay?"
Of course. As it is, I was an insurance agent many years ago (for 9 years). I sold property insurance and thousands of homeowners policies, as well as a few hundred Flood Insurance Program policies. But what do I know, right?
"The insurance companies didn't offer them flood insurance and you know it; that was FEMA's job, and they apparently had more pressing engagements."
Do you have any respect for the facts? Or is this just a propaganda blog?
Any insurance company and any agent/broker who sells homeowners insurance is required by law to handle flood insurance through the Flood Insurance Program. And it pays commissions. It takes an additional few minutes to fill out the very simple application and the agent makes an additional 30 - 40 dollars. And FEMA, who you cite as the marketing agent for the Flood Program, is not an agent of the flood Program.
The problem is that any time you tell people that they should buy insurance that the government or lienholder doesn't absolutely require, they think you are trying to sell them something they don't need. They think I am being greedy, because if they needed it, the nanny state would require them to buy it.
"In light of the scale of the suffering involved in this matter, I find your comments nothing short of repugnant."
I sold hundreds of policies through the Flood Insurance Program (I live in Maryland), you on the other hand encourage people to believe that their insurance agent is not the person to call for flood insurance, but instead to call FEMA. I'm proud of having sold flood insurance. And I'm proud of telling people how to avoid tragedy, instead of telling them to blame someone else for their decisions.
At 4:00 pm,
Anonymous said…
"From the Flood Insurance Program FAQ page:
How can I get flood insurance?
If you live in a community that participates in the National Flood Insurance Program (NFIP), you are eligible to purchase flood insurance. Over 20,000 communities participate, and it's likely that yours is one of them. See a list of participating NFIP communities and learn more about NFIP in your community.
To buy a flood insurance policy, call your insurance agent or company, or find an agent serving your area."
And you spent a great deal of space calling me a liar. Is an apology in order, Jacob?
At 4:10 pm,
DavidB said…
Dear Mikem,
I'd like to jump into this conversation and respond to both of your original points. When you point out that the original storm policy contained a flood exclusion clause, you are correct. That is undisputed. What is in dispute is the ambiguous clause in the storm policy the plaintiffs purchased, which, according to Judge Senter, defined "storm" in such a way that disallowed "water-borne wind damage" by defining such damage as "flooding." I contend that calling water damage caused by Hurricane Katrina "flood damage" is ridiculous, and a transparent give-away to the insurance industry.
As to your second point, it would seem quite rational for insurance companies to direct their agents to discourage the purchase of those policies for which they would be forced to pay out later. The additional commission for agents notwithstanding, I'm sure there are many ways that Nationwide can incentivize the sale of policies which limit their future liability. That is certainly the prerogative of any business in a free society. The problem here is that the courts are supposed crack down on such chicanery, and in this case the system failed.
-David
At 4:38 pm,
Anonymous said…
Dave, thanks for the sober reply.
"...it would seem quite rational for insurance companies to direct their agents to discourage the purchase of those policies for which they would be forced to pay out later."
For one, that would include all insurance policies. They all require the insurance company to pay out later. That is what risk pooling requires.
Two, it was our (as agents) understanding that our company marketed the policies and not that the insurance company paid claims. In other words, for the convenience of insureds and the Flood Program, we marketed the policy, collected premiums and forwarded them to the Flood Program. For sure, we did not forward paperwork or premiums to our insurance company.
The Flood Program just utilized the already densely placed insurance agent/broker system to market it. The reason it was required by law is that most major insurance companies (Sate Farm, Nationwide etc.) require their agents to be exclusive (you can't sell both State Farm and Nationwide) so they made it mandatory that all property insurance agents be "agents" of the Flood Insurance Program (or a state run high risk auto program, like MAIF in Maryland).
Believe me, insurance companies would love for their agents to successfully sell Flood Insurance to ALL their Homeowner policyholders, for exactly the type of disaster that has happened. But you can't force people to buy it if their loan is paid off, or if they inherited the house. And agents are not reluctant to make extra money for little extra work.
At 5:17 pm,
Anonymous said…
Dave,
One more point:
"I contend that calling water damage caused by Hurricane Katrina "flood damage" is ridiculous."
Then what IS flood damage? A flood is "rising waters". That used to be how we described it. And Dave, I notice that what you called flood earlier is now "water". Also, everyone keeps calling this a "storm policy". Is that true? 'Cause I never heard of a storm policy. I bet they purchased a Homeowners Policy that listed risks covered and had a very obvious "FLOOD EXCLUSION". Correct me if I'm wrong.
Also, my sister, a Nationwide agent informs me that Nationwide created its own Flood Insurance policy several years ago. So why does an insurance company create a policy, where it had none before and then discourage its agents from selling it???
At 5:43 pm,
DavidB said…
Hi Mikem,
It does sound reasonable to question why an agent would discourage the purchase of a product he was selling, but in this particular suit, Judge Senter affirmed the plaintiffs' assertion that not only did their agent discourage the purchase of flood insurance, but that he had a pattern of doing so (FindLaw link to the judge's decision is in my original post). So as far as our discussion is concerned, whether or not the companies have an incentive or not to discourage the purchase of flood insurance is a moot point, because it's stipulated that a representative of Nationwide did.
When you counter by saying that "[f]or one, that would include all insurance policies," you're right. The insurance industry, including health insurers, have a recognized and well-documented pattern of selling policies which they have no intention of reimbursing, usually via carefully crafted language (such as in the case of this Nationwide policy. To any reasonable person, (such as the people who purchased this Nationwide policy) "flooding" is what happens when it rains for days on end and bodies of water like rivers and reservoirs rise, and storm damage is what happens when a storm happens. Like, say, Hurricane Katrina. There's a reason we didn't call it "Flood Katrina."
Honestly, I just don't understand why you're defending these people.
-David
At 6:15 pm,
Anonymous said…
From what I read, the agent denied that he discouraged the policyholders. If a judge decides to believe the claimants story, then he can do so. As someone who has actually dealt with agents and policyholders, I find the idea of turning down business to be nonsensical.
As far as a storm surge not being included in the definition of a flood, and simply because "storm" appears in the description, is also nonsensical. A flood is a flood, even ones caused by (who'ld of thunk!) a storm. Now I see why so many are trying to call this a storm policy, instead of what it is.
I'm defending "these people" because people who don't pay into the pool should not expect the people who do (these people) to pay for their decisions. That is what charities are for, and that I do support.
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