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Causes of Homeowners Insurance Losses

Homeowners insurance provides personal property and liability protection. A policy typically protects your home, garage and other structures on the property, and the contents of your home, against perils outlined in the policy. Liability protection covers accidental harm to others while on your property. The policy also provides reimbursement for living expenses if the damage caused by an insured peril such as a fire or tornado requires you to live elsewhere during repair or rebuilding (click here for more information on homeowners insurance).

Causes of homeowners insurance losses

Incurred homeowners losses for 2002 from all perils totaled $25.6 billion, down from $26.8 billion in 2001.

The Insurance Services Office, Inc. (ISO) collects data on the types of insured losses that are filed by home owners. Table 1 provides this information for 1998–2002 for Ohio and US.

Mold-related losses

Receiving notable attention in recent years has been the extent of claims associated with mold. The cost of mold claims has been the focus in many states, especially in southern and western states where hot, humid and damp conditions provide ample opportunity for mold to spread quickly.

According to reinsurance intermediary Guy Carpenter, there were at least 10,000 “toxic” mold cases filed in the US and Canada in 2001, about half of which were filed against insurance companies for bad faith.

Because most insurers include mold claims under “water damage” losses, costs related to mold claims has been difficult to assess. According to the Insurance Information Institute (III), US insurers paid out at least $3 billion in mold-related claims in 2002, more than double the $1.3 billion in 2001.

Texas has been widely recognized as the state where mold coverage issues began. The Insurance Council of Texas reports that the state’s mold claims grew from $420 million in 2000 to $2.2 billion in 2002 (for 227,000 claims).

Click here for the chart "Causes of Insured Homeowners Insurance Losses in US and Ohio 1998-2002."

Mold coverage by insurers

Many insurance companies include language in their homeowners policies to clarify mold coverage, its limits and exclusions.

If mold is the result of a covered peril (i.e. a burst pipe), some insurers cover mold damage up to a stated limit or up to the limits of homeowners insurance coverage purchased by the policyholder. Some companies are excluding all mold claims due to extensive loss experience.

ISO filed and received approval of its mold coverage endorsement in most states. The endorsement provides limited coverage up to $10,000. Some companies also offer higher optional coverage limits of $25,000 and $50,000. ISO's mold coverage endorsement for homeowners has been approved in 42 jurisdictions as of September 2003: AL, AK, AZ, CO, CT, DE, Washington DC, FL, Guam, ID, IL, IN, IA, KS, KY, ME, MA, MD, MI, MS, MO, MT, NE, NV, NH, NJ, NM, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, W.Va., WI and WY. The program in Texas is not identical to those adopted in other parts of the country.

Mold coverage in Ohio

20 insurance companies participated in a mold coverage survey conducted by the Ohio Insurance Institute in January 2003. The participants represent 77.6% of state's homeowners market share based on 2001 homeowners premiums.

Results of the study show:

  • Companies representing over half of the Ohio homeowners market continue to offer coverage for mold-related claims. Coverage is typically in the $5,000–$10,000 range. 27% of the homeowners market exclude coverage for mold. Coverage by 23% of Ohio’s homeowners market share is unknown.
  • About 24% (based on market share) of those companies offering mold coverage also offer endorsements for higher limits of coverage.
  • Insurers representing 48% of the market adopted a mold endorsement in the past year or plan to this year (ISO/similar endorsements/company hybrid).

Frequency and severity of homeowners claims

Another way to view losses is by frequency and severity of claims. Table 2 shows the average number of claims filed per 100 homeowners insurance policies (frequency) and by average amount paid for each claim (severity) for water damage and freezing compared to total homeowners losses for 1998–2002.

The frequency data for water damage and freezing show the effect of catastrophic events such as blizzards and hurricanes, which in 2000 generated a high number of claims.

Average loss data on water damage and freezing claims from 1998 to 2002 show a steady increase in the average amount paid for such claims. Average losses are affected by the extent of the damage and the cost of labor and materials needed to repair it.

(Portions excerpted from Insurance Information Institute)


1 For homeowners multiple peril policies. Excludes tenants and condominium policies.
2 Claims per 100 house years (policies)
3 Accident year incurred losses, excluding loss adjustment expenses, i.e., indemnity costs per accident year incurred claims
4 Weighted average

Source: Insurance Services Office, Inc. (ISO), from Insurance Information Institute

The Insurance Research Council reports that 11.5% of all homeowners file a claim annually.

 

 

 

 
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