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When It Comes to Filing A Home Insurance Claim, Are There Any Exceptions Made For Homes That Weren't Maintained?

Although home insurance aims to guard against unanticipated damage, it also expects consumers to keep their houses in good shape. Ignoring maintenance might cause claims to be refused; however, in some complex cases, exceptions might apply.

Importance of Appropriate Residential Maintenance

To reduce risk, insurance companies demand that homeowners maintain their houses in good shape. Usually not covered are issues resulting from neglect, such as a leaking roof or untreated plumbing issues. For instance, the claim may be refused should a pipe burst from freezing and the homeowner neglect to adequately insulate it.

If a homeowner shows, however, that the problem persisted despite acceptable upkeep, some insurers might review the claim case-by-case.

Circumstances Where Exceptions May Apply

Sudden and Unforeseeable Events:

If damage occurs suddenly and isn't preventable, the insurer may still cover it. For example, a well-maintained roof that collapses unexpectedly with excessive snow load might be covered even if routine snow removal was not performed.

Documented Attempts to Repair:

Homeowners who can provide proof of recent efforts to maintain or repair their property may be given some leniency. For instance, showing receipts for roof repairs or heating system servicing could strengthen a claim.

Natural Disasters:

In cases of natural disasters like hurricanes or earthquakes, insurers are more likely to focus on the event rather than the home's maintenance history.

Situations Likely to Be Denied

Long-Term Neglect:

Claims involving damages that developed over time due to neglect, like mold or termite infestations, are usually excluded.

Failure to Address Known Issues:

If an insurer discovers that the homeowner was aware of a problem (e.g., a crack in the foundation) but didn't take action, the claim will likely be denied.

How to Protect Your Claim

Regular maintenance and documentation are key. Keep records of repairs, inspections, and upgrades to your home. Additionally, thoroughly read your policy to understand coverage limitations. If a claim is denied, consult an insurance expert or attorney to explore possible exceptions.

By maintaining your property and understanding your policy, you reduce the risk of disputes when filing a claim.