490.1
OVERVIEW OF
THE NATIONAL FLOOD INSURANCE PROGRAM
(November, 2006)
Private insurers are poorly
equipped to handle catastrophes. The financial resources need to handle a
catastrophic source of loss, such as flooding, doesn't exist. A single loss
event may affect hundreds and even thousands of homes and businesses at the
same time. Further, the amount of damages suffered by each property owner is
severe. Where private industry is poorly equipped to handle an insurance need,
the task is often taken up by a public entity. In this case, the entity is the
federal government. In 1968, the National Flood Insurance Act was passed. The
purpose of the Act was twofold:
·
To provide insurance coverage to certain persons whose
property has been substantially damaged by flooding
·
To encourage communities to practice building and land
use methods that help mitigate (ideally eliminate) damage from flood
COVERAGE
The Standard Flood Insurance
Policy is designed to cover one- to four-family residences as well as their
contents from flood damage. The policy will also protect tenants’ personal
property and residential condominium unit-owners. In the latter instance, the
policy can be used to insure a unit-owner's individual interest in the
structure and in the building's common elements (areas that are commonly owned
by all unit-owners). The policy must be written in the name of the insured and
the association, as their interests may appear. The Residential Condominium
Building Association Policy is available to insure the condominium
association’s residential condominium building. A Flood Insurance Policy for
General Property is available for non-residential structures and their
contents, including commercial and manufacturing properties. The NFIP Program
also has a Preferred Risk Policy that is available to one- to four-family
residential buildings that are located in flood zones B, C or X. The Preferred
Risk Policy is not available for condominiums. For more information on flood
zones, please refer to PF&M Section 490.1-4, National Flood Insurance
Program Flood Zone Explanations.
LOSS SETTLEMENT BASIS
While most flood losses are
settled on an actual cash value basis, replacement cost coverage is a
settlement option that is available to a single family principal residence, but
not to either multi-family dwellings or “general property.''
WHAT IS COVERED?
This insurance covers direct
physical loss to insured property by flood. It also covers the reasonable
expenses for sandbags, construction materials and even the human labor in
handling the materials that are used to minimize flood damage. The
reimbursement for labor uses the prevailing federal minimum wage. The maximum
amount payable is the minimum building deductible amount applicable.
Note: To qualify for such coverage, the insured property must
actually be in imminent danger of sustaining flood damage.
WAITING PERIOD
The NFIP uses a 30-day waiting
period to control persons from arranging for flood insurance when disaster is
imminent. However, there is no waiting period when either new coverage is
sought during the initial 30 days of a community entering the NFIP or when a
new owner applies and pays for coverage before the closing of a mortgage loan.
FLOOD DEFINED
The NFIP defines “flood'' as a
general and temporary inundation of normally dry land from the overflow of
inland or tidal waters, the rapid accumulation or runoff of surface waters, or
mudslides (mudflows) which are caused by flood and collapse.
EXCLUSIONS
The policy excludes losses
caused by:
·
theft, loss of profits, fire, windstorm, wind,
explosion, earthquake, land sinkage, land subsidence, landslide, land movement
resulting from subsurface water accumulation, gradual erosion, or any other
earth movement, except such mudslides or erosion as are covered under the peril
of flood,
·
rain, snow, sleet, hail or water spray; or by freezing,
thawing, the pressure or weight of ice or water, sewer backup or seepage of
water unless the insured property has first been damaged by flood,
·
water, moisture or mudslide damage created by a
condition confined to the insured building or that is within the insured's
control,
·
a flood which is already in progress as of 12:01 A.M.
of the first day of the policy term,
·
a flood which is confined to the insured premises unless
the flood is displaced over two acres,
·
modification to the insured property which materially
increases the risk of flooding,
·
intentional actions by the insured or a member of the
household,
·
power, heating or cooling failure (unless the system
was directly damaged by a flood),
·
flooding of property leased from the federal government
when the flooding is caused by the federal government.
DWELLING COVERAGE
The insurance applies to the
described residential building and includes building additions, building
equipment, fixtures and outdoor equipment while within an enclosed structure on
the premises; also, construction materials and supplies.
Up to 10% of the dwelling
insurance limit may be applied to detached garages and carports at the
described premises, unless the structures are rented or used for business
purposes. Applying the policy limit in this manner does reduce the available
coverage for the residence.
CONTENTS COVERAGE
Contents coverage applies to all
household and personal property which belongs to an insured while it is
contained within a building at the property address. The insured may elect to
have the policy coverage extend to the property of a servant or guest of the
insured.
Up to 10% of the contents
insurance limit may be applied to cover improvements and betterments.
A condo unit-owner may apply up
to 10% of the contents insurance limit to cover the interior walls, floors, and
ceilings IF they are not covered by a condo association policy.
A maximum of $2,500 (per
occurrence) is available to cover fine arts, jewelry and fur items.
Note: Only $2,500 is made
available for ALL losses to property in these classes.
Example: Cameron Driptrue’s home just suffered a serious flood
loss. His Standard Flood policy has the following limits:
Dwelling
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$94,000
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Contents
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$30,000
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The flood occurred in a flash,
so Cameron was only able to move a carload of personal belongings as he and his
family escaped the danger. Cameron’s claim for losses included $19,000 for contents
with nearly $5,000 of that amount consisting of his collection of modern
artwork, his wife’s full-length ermine coat and some valuable statuettes made
of expensive woods. Unfortunately, Cameron is only able to collect a total of
$2,500 for the latter, very high-valued property.
DEBRIS REMOVAL COVERAGE
The policy covers expenses for
removing debris of or on the covered building or contents covered. But this
coverage is provided as part of the policy’s insurance limits and is NOT
additional coverage.
PROPERTY NOT COVERED
A Standard Flood Insurance
Policy is designed to provide basic protection to contents. Therefore, similar
to other types of policies that protect buildings and property, it has a
laundry list of items that do not qualify for coverage. Specifically, the
Standard Flood Insurance Policy does not cover:
·
currency, bills, accounts or similar valuable papers or
records,
·
contents used with or for any business purpose,
·
newly constructed or substantially improved buildings
located seaward of mean high tide, or entirely in, on, or over water,
·
fences, retaining walls, seawalls, swimming pools,
bulkheads, wharves, piers, bridges, docks; other open structures located on or
over water, including boat houses or other similarly used structures,
·
personal property in the open,
·
land values, lawn, trees, shrubs, plants, growing
crops, or livestock,
·
underground structures and equipment including wells,
septic tanks/systems and portions of walks, driveways and other surfaces that
are outside the foundation walls of the building,
·
animals, birds, fish; aircraft, any self-propelled
vehicle or machine and motor vehicles (except those that service the premises,
including their parts),
·
trailers on wheels, recreational vehicles and
watercraft including their furnishings and equipment; and business property,
·
enclosures, contents, machinery, building components,
equipment and fixtures located below the lowest elevated floor of an elevated
building; however there is coverage for sump pumps, well-water tanks, oil
tanks, furnaces, hot water heaters, clothes washers and dryers, food freezers,
air conditioners, heat pumps and electrical junction and circuit breaker boxes
that are located in basements of buildings built or altered before October 1,
1983,
·
buildings and their contents, where more than 49
percent of the actual cash value of such buildings is below ground (with
exceptions for earth being used as insulation that is in compliance with FEMA
rules),
·
mobile home located within a Special Flood Hazard Area
(SFHA) that is not anchored according to FEMA requirements,
·
containers such as gas and liquid tanks,
·
mobile homes (or contents) located within a coastal
high hazard area (Zones V1-V30) which are not in a mobile home park or
subdivision established before June 1, 1982, or
·
buildings which were built or altered after October 1,
1983 and are located in an undeveloped coastal barrier that was established by
the Coastal Barrier Resources Act.
DEDUCTIBLES
A loss deductible applies
separately to each building loss and personal property loss. The minimum policy
deductible is $500 for each loss to building and contents. Under the NFIP
Emergency Program, a minimum $750 deductible applies to each building loss and
personal property loss.
IMPORTANT CLAUSES AND PERMITS
If there is any change to the
National Flood Insurance Act that results in a NON-PREMIUM BEARING change that
broadens or extends coverage under the flood policy; that benefit is granted to
a covered building that is being altered, built or repaired during the policy
period or up to 45 days before the inception date of the current policy period.
MORTGAGEE INTEREST
If the flood policy is canceled
for non-payment of premium (the only grounds for company cancellation),
coverage will stay in force for 30 days after the cancel date in order to
protect the insurable interest of the mortgagee (or trustee). The mortgagee (or
trustee) also has the right to submit a proof of loss when it is notified that
the insured has failed to do so. The other applicable policy obligations and
provisions then apply to the mortgagee.
OTHER INSURANCE
The company is not liable for a
greater proportion of any loss, less the amount of deductible, from the peril
of flood other than the amount of insurance the policy bears to the whole amount
of (primary) flood insurance covering the property regardless whether the
insurance is collectible. If the total amount of primary flood insurance on a
covered property exceeds what is allowed under the National Flood Insurance
Act, the company’s proportion of coverage is based on the TOTAL amount of
insurance allowed. In certain instances, the insured may request a partial
refund of coverage.
IN EVENT OF LOSS
Payment of any loss under a
flood Insurance policy does not reduce the insurance applicable to another
separate loss during the policy term. Losses from a continuous or protracted
occurrence are considered to be single occurrence.
Loss of an article which is part
of a pair or set will be settled in proportion of the total value of the pair
or set, giving consideration to the importance of the article, but will not
automatically be considered as a total loss of the pair or set.
The insured must give written
notice, as soon as practicable, to the company, of any loss; protect the
property from further damage; separate the damaged and undamaged property and
put it in the best possible order. Within 60 days after the loss, the insured
must send the company a proof of loss.
The company has the option to
take all or any part of the property at the agreed or appraised value, and also
to repair, rebuild or replace the property destroyed or damaged with other of
like kind and quality. The company must tell the insured what it plans to do
within 30 days after receiving the proof of loss.
The amount of loss for which the
company is liable is payable 60 days the company has BOTH received a proof of
loss and has determined the amount to be paid.
An insured under a flood policy
can’t file a legal action against the company while complying with every
applicable policy provision. If a suit is filed, it has to be done within 12
months of the day after being notified that all or part of a claim has been
rejected.
CANCELLATION PROVISIONS
A flood insurance policy may be
canceled at any time at the request of the insured. However, the premium paid
for the remaining policy term is fully earned if the insured retains an
interest in the covered property. Considering the premium to be fully earned
removes an incentive for persons to just carry coverage during parts of the year
that are storm or flood prone. The NFIP uses a form for companies to use that
lists valid, company-requested cancellations. For more information, please
refer to PF&M Section 490.7-2, Flood Insurance ACORD Form Considerations.
OTHER ASPECTS OF THE NFIP
WRITE YOUR OWN (WYO)
The
Write Your Own (WYO) Program is a cooperative effort between the insurance
industry and the Federal Insurance Administration. WYO
allows participating insurance companies to write and service the Standard
Flood Insurance Policy in their own names; but is still subject to all of the
NFIP’s rules and regulations. Participants receive an expense allowance for
policies written and claims processed while the Federal government retains
responsibility for underwriting losses. An insurance producer has the options
of placing flood insurance directly with the NFIP Servicing Agent, or with one
or more WYO
companies. Each WYO
Company determines its own procedures for developing and compensating its
agents.
COMMUNITY RATING SYSTEM
The Community Rating System was
created by the FIA to provide insurance rate credits for voluntary flood
mitigation projects that exceed the NFIP's minimum requirements for floodplain
management. Under the CRS program, qualifying projects can include future flood
reduction measures for existing structures, construction of new buildings, and
campaigns to increase community awareness about flood insurance.
MORTGAGE PORTFOLIO PROTECTION PROGRAM
The Mortgage Portfolio
Protection Program helps mortgage lenders review their loan portfolios and
identify properties in special flood hazard areas (SFHA). The homeowner is
notified and then required to buy a flood insurance policy. If the owner buys
insurance, the lender is permitted to place flood insurance on the property.
Force placing flood coverage is to be done as a last resort. Note that a
mortgagor must disclose the need for insurance to the borrower, the Flood
Disaster Act of ‘73, information on the necessary amount of insurance and the
property’s flood zone.
REPETITIVE LOSS STRUCTURES
Repetitive Loss Structures are
properties that the NFIP has identified to have suffered substantial, repeated
flood losses. Consisting of roughly 11,000 properties nation wide, the risks
have been separated from participation in the regular flood program. They are
written and maintained under a Special Direct Facility. While in the SDF,
additional losses will be closely monitored and every effort will be made to
alter such risks in order to mitigate future losses.
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