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-1- About the Roadmap to Recovery™ Program: The Roadmap to Recovery™ program improves disaster recovery through tips, tools and guidance from previous disaster survivors and from experts on insurance claims, repairs and rebuilding and legal matters. It operates through United Policyholders (UP, www.UPHELP.org), a non-profit organization that has been educating and advocating for disaster victims since 1991. Roadmap to Recovery services include educational workshops and long-term recovery work in regions impacted by disasters (subject to funding and community support). UP is dedicated to helping insurance consumers. The Roadmap to Recovery program is funded by grants, donations and book sales – not insurance companies. © 2017 United Policyholders, All rights reserved.

About the Roadmap to Recovery™ Program€¦ · Recovery services include educational workshops and long-term recovery work in regions impacted by disasters (subject to funding and

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Page 1: About the Roadmap to Recovery™ Program€¦ · Recovery services include educational workshops and long-term recovery work in regions impacted by disasters (subject to funding and

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AbouttheRoadmaptoRecovery™Program:TheRoadmaptoRecovery™programimprovesdisasterrecoverythroughtips,toolsandguidancefrompreviousdisastersurvivorsandfromexpertsoninsuranceclaims,repairsandrebuildingandlegalmatters.ItoperatesthroughUnitedPolicyholders(UP,www.UPHELP.org),anon-profitorganizationthathasbeeneducatingandadvocatingfordisastervictimssince1991.RoadmaptoRecoveryservicesincludeeducationalworkshopsandlong-termrecoveryworkinregionsimpactedbydisasters(subjecttofundingandcommunitysupport).UPisdedicatedtohelpinginsuranceconsumers.TheRoadmaptoRecoveryprogramisfundedbygrants,donationsandbooksales–notinsurancecompanies.

©2017UnitedPolicyholders,Allrightsreserved.

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DearFriends,Howdoyoubegintherecoveryprocesswhenyourhomehasbeendamagedordestroyedinadisaster?Thatisadifficultquestiontoanswer,andifyouarereadingthis,Iamsorryitisoneyouarefacing.Thekeywordtofocusonisprocess,andyoubeginitonestepatatime.Ourhomeandallmyfamily’spossessionsburnedtothegroundinthelargestwildfireinCaliforniahistory.OneofthefewpositiveaspectsoftheexperienceistheknowledgeIgainedintherecoveryprocessandthevolunteerworkInowdoonUP’sRoadmaptoRecoveryteam.Yourinsuranceisavehicletoputyoubackwhereyouwerebeforealoss,butitwon’tdriveitself.UP’sRoadmaptoRecovery(R2R)programoffersresourcestohelpyou.Weofferourservicestoyourcommunityandlookforwardtohelpingyounavigatetowardthelightattheendofthetunnel.Nomatterwhatkindofeventdamagedordestroyedyourhome,youwillfindanswers,tipsandsupportthroughournon-profitorganization.Pleasevisitourwebsite:uphelp.orgWarmregards,KarenReimusSurvivor,2003CedarFire,SanDiego,CAandUPVolunteer

WhenI’mofferingguidancetootherdisastersurvivorsasIdidhereatUP’stableinaFEMADisasterAssistanceCenterafterawildfire,I’msharinglessonslearnedandpayingitforwardtoeasetheirpath.

Whetheraflood,wildfire,earthquake,hurricane,tornado,orexplosiondamagedordestroyedyourhome,UP’sRoadmaptoRecoveryprogramprovidesstep-by-stepguidanceongettingfullvaluefrominsurancepolicies.

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FirstStepsAfteraWildfireThischecklistwillhelpkeepyouontrackduringthisstressfultime.We’rerootingforyou…ü Takecareofyouroryourfamily’simmediateneedsfirst.

ü Findingtemporaryhousingisapriority.Yourinsurancecompanyshouldhelpyoufindaplaceof

similarsize.

ü Startarecoverydiary.Anynotebookwilldo.Takenoteson:whoyoutalkedto,thenumberyoucalled,dateandtime,whatwassaid.Keepyourpaperworkorganized.

ü Askyourinsurancecompanyforcashadvancesfor:o Livingexpenseso Replacingpersonalproperty

ü Keepallreceiptswhileyouaredisplaced.Hotelbills,clothesandpetboardingmaybe

reimbursedbutrequirereceipts.

ü Takephotosofyourpropertybeforeanycleanupordebrisremovalhappens.

ü Donotrushintosigningcontracts.GetcopiesofALLpaperworkyoudosign.

ü Aninsuranceadjusterwilleventuallycomeandinspectyourhome.Iftheymakeyouasettlementofferonthespot,geta2ndopiniononwhatyou’reentitledto.

ü Inventoryingyourdamagedanddestroyedpropertyistime-consumingandunpleasant.UPofferstipsandtoolsforgettingthisdone.Visitwww.uphelp.org/contents

ü Giveyourinsurerachancetodotherightthing,butbepreparedtostandupforyourrightsandgethelpifyou’renotbeingtreatedfairly.

ü Registerwitha“CaseManager”–theycanhelpmakereferralstoresources.

ü RegisterwithFEMA(federallydeclareddisaster)andtheSBA(statedisasterdeclarationsneeded)

ü Formorespecificsandguidanceontheinsuranceclaimprocess,visitwww.uphelp.org/NorthBayFires

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HomeInsuranceFAQsforWildfireSurvivors

1.Ifadisasterdestroysordamagesmyhome,whatdoIneedtoknowaboutinsurance?

Youneedtogetabasicunderstandingofthecategoriesandmaximumamountsofbenefitsthat

areavailabletoyouunderyourhomeinsurancepolicy.Youneedtoapplyallinflationand

otherformulasthatmayincreaseyouravailablecoverage.Yourneedtounderstandthat

collectingfullinsurancebenefitsonalargedollarlossrequiresyoutobepro-activeinvaluing

whatyoulostandassertingyourrightstoareasonablyprompt,fairandfullclaimsettlement.

Getacurrentandcompletecopyofyourinsurancepolicy.Reviewyourhomeinsurance

“declarationspage”toseehowmuchyourDWELLINGisinsuredfor.Checkyourcoveragefor

CONTENTS,ADDITIONALLIVINGEXPENSES,OTHERSTRUCTURES,BUILDINGCODE

COMPLIANCE,DEBRISREMOVAL,TREES,SHRUBSANDLANDSCAPING.

Hereisasampleofadeclarationspage.Yourdeclarationspagemaynotlooklikethis,butit

shouldhavethesamebasiccategoriesandinfo.

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2.Willmytemporary/additionallivingexpensesbecovered?

Mosthomeinsurancepoliciesprovidecoverageforexpensesyouhaveduetolosingtheuseof

yourhome.Somepoliciescallthis“AdditionalLivingExpense”(ALE)coverage.Otherscallthis

“LossofUse”.Sometimesthisisadollaramount(i.e.$50,000)andsometimesitisatimelimit

(i.e.24months).UnderCalifornialaw,ALEbenefitsfordisasterlossesmustbeavailablefora

minimumof24months.

TofigureoutifanexpensequalifiesforALEcoverageaskyourself:IsthisanexpenseIincurred

becauseofthelossevent?Iftheanswerisyes,itisreasonableforyoutoseekreimbursement

underALE/LossofUsecoverage.

Hereisalistoftypicallyreimbursableitemsthatmaybeavailabletoyou:

• Rentfortemporaryhousing• Insurancepolicyoncontentsintemporaryrentalhouse• Creditcheckfeefortemporarylodging• Mileageto/fromatemporaryrentalhouseforrebuild-relatedbusiness• Mileageforincreaseddistancetraveledfromtemporaryrentalhometo:

o Placeofemploymento Adultandchildren’sactivities(school/sports/clubs/lessons)o Yourhouseofworship

• ITfeechargedtoset-upnewcomputersystemattemporaryrentalhome• Sewerfeeattemporaryrentalproperty• Newaccountor“setup”feesforutilitiesattemporaryrentalhome• Photocopiesandmailingexpensesrelatedtoclaim• Costoffencingtosecuredamaged/destroyedhouseand/orpool• Movingcostsincurredtomovefromthetemporaryrentalhomebackintothe

repaired/rebuilthome(movingcompany;boxes;packingpaperandtape)• Reconnectionfeesforsettingupservices(cable/telephone/utility)• Carpetcleaningwhenmovingoutofrentalhome• Petboardingcost• Increasedvetbillsforpetsduetoillness/symptomsresultingfromthelossevent

Ifyourhomeinsurersaysyourdamageisnotcoveredbecauseofanexclusioninthepolicy,

theymostlikelywon’tcoveryourtemporary/additionallivingexpenseseither.

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3.HowcanIgetafairsettlementonatotallydestroyedhome?

Documenteverythingthatwasdestroyed,fileatimelyclaim,learnyourrights,andgethelp

whenyouneedit.Giveyourinsurancecompanyandtheiradjusterachancetodotheright

thing,butdon’tbeapushover.Yoursettlementonatotallossclaimshouldbeatorcloseto

yourpolicylimitsineverycategory.Thebiggestchallengeformosttotallossfiresurvivorsis

documentingwhatitwouldcosttoreplacethedestroyedhomewithoneoflikekindand

quality,andreachingafairandpromptclaimsettlementthat’sascloseaspossibletothat

amount.

Manypeoplefinditimpossibletonavigateasevereortotallossinsuranceclaimontheirown.

Optionsforgettinghelpinclude:

-FilingacomplaintwiththeDepartmentofInsurance(1800927-HELP)

-Hiringalicensedpublicadjusterwithgoodreferences(www.uphelp.org/help-directory)

-Hiringanattorneywithinsuranceexpertise/goodreferences(www.uphelp.org/help-directory)

4.Whoisresponsibleforclearingthedebrisfrommylotandisthatcoveredundermypolicy?

Thehomeownerisresponsibleforclearingdebrisandthecostshouldbecoveredifthelossis

insured.Yourinsurancebenefitsfordebrisremovalwilleitherbeasetdollaramountora

percentageofyourdwelling/structurecoverage.Policiesvary,soreadyourDeclarationsPage

andpolicy.Checkwithyourlocalgovernmentofficialstoseeifthey'recoordinatingadebris

removalprogram.Ifyouhavetheoptionofhavingyourdebrisremovedthroughacoordinated

program,workwithyouradjuster/insurertohaveyourbenefitscoverthecostofparticipating.

5.HowcanIgetafairsettlementformydamagedordestroyedcontents/personalproperty?

Bylistingandvaluingasdetailedaninventoryasyourinsurerrequires.Useoursamples,tools

andsuggestedstrategiesforminimizingthepainandtimeofcreatingyourcontentsinventory.

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6.WherecanIfindmoredetailsandhelpnavigatingafairinsurancesettlement?

VisittheRoadmaptoRecoveryHelpLibraryatwww.uphelp.org/NorthbayFiresand

www.uphelp.orgasoftenasyouneedto.Weareanon-profitwith25yearsofexpertiseand

empathyontheemotional,financial,legalandpracticalchallengesofrecoveringfroma

catastrophicloss.Weoffertips,short-cuts,strategiesandmuchmore:

• DwellingClaimTips:www.uphelp.org/dwelling

• ContentsClaimTips:www.uphelp.org/contents

• SampleLettersandClaimForms:www.uphelp.org/samples

• Informationonresolvingclaimdisputes

• Linkstogovernmentandprofessionalhelp

Ifyouworkfull-time,haveyoungchildren,healthchallenges,orjustcan’tfaceputtinginthe

timeandenergytohandleyourlargeortotallossinsuranceclaim,professionalclaimandlegal

helpisavailableonacontingency/commissionfeebasisinmoststates.

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AdditionalFAQsforPartialLossWildfireSurvivors

1.WhatthingsdoIneedtoknowaboutafirethatdamages(notdestroys)myhome?

Theseclaimsareknownas“partiallosses”becausethehomehasonlybeenpartiallydestroyed.

Thingstowatchoutforwithpartiallossesinclude:

• Hiddendamage(water,smoke,ash,mold,airquality,ducts)

• Inadequateorimpropercleaningandrepairmethods

• Delays:Particularlyafterdisasters,partiallossescanbelowpriorityforoverworked

insuranceadjusters

• Disputesover“matching”andlineofsight:Repairsshouldreturnyourpropertytoa

“uniformandconsistentappearance”evenifthatmeansreplacingundamageditems

suchasrooftilesorcarpeting.

2.Myneighbor’shomeburneddownbutmineseemsundamaged--whatshouldIdo?

Evenifthereisnoobviousdamagetoyourhome,itmayhavebeenimpactedbyextremeheat,

smokeorfireretardant,soyoustillneedtohaveitthoroughlyinspectedbyanexperiencedand

qualifiedprofessional.

Licensed,experiencedprofessionals.ContractorsandStructuralEngineersarequalifiedto

evaluatedamage(andthestructuralintegrityofyourroof/remainingbeams,etc.)andestimate

thecostofrepairs.ACertifiedIndustrialHygienistisqualifiedtotesttheairquality.Itisrarely

enoughtohaveyourhome’sconditionevaluatedonlybyaclaimadjuster.Itisalmostalways

necessarytohavequalifiedprofessionalsinadditiontotheadjuster’sinspection.Ifyour

insurerrefusestoconductorpayforproperinspections,askagaininwriting,politelyremind

themoftheirlegaldutytothoroughlyinvestigatealldamage,includinghiddendamage.Ifa

disputearises,it’sworthfindingandpayingforyourowninspectionbyanindependent

specialist.

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3.Whatdoesa“thoroughinspection”include?

Athoroughinspectionwillcoverthefollowingareas:

• Roof:Yourroofshouldbeinspectedfordamagefromburningembers.Ifheatwas

extreme,theroofstructuremaybecompromised.Woodundertheroofingmaterial

maybewaterstainedandmoldy.Aroofingexpertcanverifydamage.

• StructuralSteel,Iron:Steelandironstructuresmaytransferheatanddestabilizea

foundationorretainingwall.

• Stucco,SidingandConcrete:Stuccomayspallandcrackduetodehydrationandbaking.

Sidingmaymeltafterexposuretoheatandmoldmaybepresentunderneath.Heatmay

alsodamageananchoredfoundationorfootingandmayrequiretestingaswellas

concretecoresampling.Structuralengineersmaydox-raytestingandother

miscellaneousforensicwork.

• Windows:Windowframesmaymelt,blisterordiscolorduetoheat.Glasscan

experiencewarpinganddiscolorationandmaylosesomeofitstransparentclarity.

Warpedwindowscanleadtomoistureproblemsand/oramoldproblem.

• PlumbingandHeatingSystems:Checkpipes,connectorsandductsfordamage.

• InteriorWalls/Framing:Acontractorconductingathoroughinspectionofyourhome’s

interiormayneedtoopenupwallstocheckfordamagetotheframing,ortouncover

potentiallydangerousmold.It’sbettertouncoverdamagesoonerratherthanlater.Be

politelyassertiveinclaimnegotiationstomakesureyourhomeisrestoredtoa“uniform

andconsistent”appearanceasopposedtoa“patchworkquilt”ofunmatchednewand

oldmaterials.Readmoreinformationbelowabout“matching.”

4.Myinsurerdoesnotwanttopaytomatchthenewsidingtotheoldsidingonmyhome’s

exteriorwalls.WhatcanIdo?

Inmoststatesandundermostpolicies,youareentitledtobepaidforthecostofrestoringyour

hometoa“uniformandconsistent”appearance,exteriorandinterior.Ifyouhaveonlyapartial

lossandyourinsurerwon’tpaytomatchpaintcolors,rooftilematerials,carpeting,orany

othervisiblematerials,checktomakesurethereisaclearandunambiguousexclusioninyour

policy(andverifywhetherthatexclusionislegal)beforeyouagreetoacceptlessthanwhatyou

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needtomakeproperrepairs.Gethelpfromyourstateinsurancedepartmentoraqualified

claimorlegalprofessionalbeforeyoutakenoforananswer.

5.Willmyinsurancepolicypayforcleaningsmokeandash?

Smokedamageisacoveredperilinmosthomeowner’spolicies.Itwill(temporarilyor

permanently)damageporousmaterialssuchasfabrics,rugs,curtainsandunfinishedwood.

Someitemscanbecleaned,othersneedtobereplaced.

6.Myyardisamess.Willmyinsurancepayfordamagedplantsandtrees?

Coverageforthecostoflandscapingreplacementistypicallyasetamountorapercentageof

yourdwellingcoverageamount.Makesureyoudoyourownmathtocalculatethemaximum

amountyoucanrecover.Landscaping,treeandshrublossesoftenexceedcoveragelimits–

maturetreescanbevaluedashighas$5,000yetmanypoliciescontaina$500pertreelimit.

Extremeheatandsmokewillkillmostplantsandmaycontaminatesoil,makingreplanting

difficult.Damagedplantsmaynotdierightaway.Keepyourclaimopenforatleastsixmonths

andfilesupplementalclaimsifnecessary.

Ifyouliveonahillside,lossoffoliagefromafirecanleadtolandslidesand/ormudslidesin

rainyconditions.Replantyourpropertywithnativetreesandgrassestostabilizethelandscape.

Sandbagscanprovidetemporarylandscapeprotectionuntilyournewplantshaveachanceto

mature.

7.Idon’thaveenoughinsurancetocoverallthedamage,whatcanIdo?

Approximately2/3ofpeoplewholosehomesincatastrophicdisastersfindthemselves

underinsuredby50%ormore,soifthatstatisticincludesyou–manypeoplehavewalkedin

yourshoesbeforeandcanofferhelpfulstrategies.

Unreimbursedlossescanoffsetyourtaxobligationswhenyouclaimthemasacasualtyloss

deduction.Readaboutyouroptionsinthe“UnderinsuranceHelp”sectionofourClaimTips

Library:www.uphelp.org/underinsurance

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Insurancelingo

ActualCashValue–Theamountawillingbuyerwouldhavepaidawillingsellerforanitemimmediatelybeforeitwasdamagedordestroyed.Alsosometimescalled“FairMarket”or“Depreciated”value.

AdditionalLivingExpense–Oneofthemain“buckets”ofcoverageinahomeorrenterspolicy.Sometimeslabeledas“TemporaryLivingExpenses”or“LossofUse.”Coversadditionalrent,furniturerental,laundry,extragasandotherexpensesyouincurbecauseyou’reoutofyourhome.NFIPpoliciesdonotcontaincoverageforAdditionalLivingExpenses.

Adjuster–Apersontaskedwithinvestigatingandsettlinganinsuranceclaim.Therearethreetypes:Staff,Independent,andPublic.StaffandIndependentadjustersworkonlyforinsurancecompanies.PublicAdjustersworkonlyforpolicyholders/consumers.

Declarations(“Dec”)Page–Usuallythecoverorfirstpageofapolicy.Statesthenamesofthepeople,location,vehicleoritemsinsured,thebasicandextracoverages,limitsanddeductibles,andwhetheralenderorotherentityisnamedonthepolicy.

Deductible-Anamounttheinsurerwilldeductfromitspaymentonaloss.Adeductiblecanbeaflatdollar(e.g.$500)orapercentage(e.g.2%oftheinsuredvalueofthedwelling).Youwillnotcollectinsurancebenefitsonalossthatfallsbelowyourdeductible.

Let’ssayyouchoosea$1,000deductibleforyourhomeinsurance.Apipeburstsandcauses$3,000indamage.Ifyourpolicycoverstheloss,theinsurancecompanydeductsthe$1,000andowesyou$2,000towardtherepairs.Ifthedamageisonly$800,yourecovernobenefits.Apolicywitha$1,000deductiblewillbecheaper–usuallyalotcheaper-thanonewitha$250deductible.

Depreciation–Aprocessthroughwhichthevalueofanitemgetsreducedtoaccountforitsageandcondition.Depreciationisnegotiableandsubjectiveinmostcases.

DifferenceinConditions(“DIC”)-Apolicythatfillsgapscausedbyexclusions.Sometimescalleda“wrap”or“wraparound”policyorrider.

Dwelling–Aresidenceorhome.Alsoreferredtoininsurancelingoasa“Structure.”

Endorsement–Anadd-onorchangeattachedtoyourbasicpolicycontractthateithertakesawayoraddscoverageorotherwisechangesthecontract.Alsoreferredtoasa“rider”ora“floater”.

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ExclusionsandLimitations–Thefineprintlegaleseininsurancepoliciesthatlimitsthecircumstanceswheretheinsurerwillpayaclaimandthetimingandamountsoftheirpayments.

Insured–Thepersonorpersonscoveredbyaninsurancepolicy.

Insurer–Acompanythathasagreedtotakeonriskinexchangeforpaymentofapremium.

Limits–Themostyoucancollectundereachcoveragecategoryinapolicy.Inflationformulasandendorsementsthatchangethebasicpolicycanchangethelimits.Mostpolicieshaveseveraldifferentcategoriesofcoverage,eachwithitsownlimit.

LossofUse–See“AdditionalLivingExpense.”

Policy–Acontractspecifyingtheamounts,limitsandconditionsofinsurancecoverage.

Policyholder–Apersonnamedinaninsurancepolicyastheinsured.

Premiums–Paymentsmadetoaninsurancecompanytokeepapolicyinforce.Premiumscanbepaidupfront,monthly,annuallyoroverthelifeofthepolicy.

ProofofLoss–Anofficialdocumentyousignthatconfirms/certifiesyourloss/claim.

ReplacementValue-Thecosttorepairorreplaceayourhomeorstuffwithoutadeductionfordepreciation.

Rider-Addedorsubtractedcoverageorconditions.See“Endorsement.”

RiskExposure:Therangeofloss/damagepossibilitiesassociatedwithaperson,eventorpropertybasedonthecharacteristicsofthatperson,eventorproperty.Insurancepricingisgenerallybasedonriskexposure(suchaslosshistory,location,age,andforautoinsurance,typeofvehicleandyourdrivingrecord).

Surcharge–Apriceincreaseaddedtoabasicratebecauseofaspecificconditionorchangeinconditionassociatedwithaninsuredrisk.Example:Abrushsurchargeisoftenappliedtohomesinwildfire-proneareas.

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The information presented in this guide is for general informational purposes, and is not asubstitutefor legaladvice. Ifyouhaveaspecific legal issueorproblem,UnitedPolicyholdersrecommendsthatyouconsultwithanattorney. Guidanceonhiringprofessionalhelpcanbefound in the “Find Help” section of www.uphelp.org. United Policyholders does not sellinsuranceorcertify,endorseorwarrantanyoftheinsuranceproducts,vendorsorprofessionalsidentifiedatourwebsite.

Howto“SpeakUP”

Strongaspossible Paperworkorganized Empowered Assertivebutpolite Keepingaclaimdiary Insuranceeducated Networkingwithothers Gettingprofessionalhelpifneeded

Unwillingtobeshort-changed Pro-active

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RoadmaptoRecoveryDiary