Claims
History Haunts Homes
By
The Wall Street Journal
It's
not you, it's your house. That's the harsh
message being delivered by insurers to a
growing number of homeowners.
The
insurance industry has been cracking down on
individuals who file too many claims. Now
companies from State
Farm to
Nationwide are focusing on the
houses themselves. Even if you have a
squeaky-clean insurance record, the home you
own - or the home you want to buy - may be
tough to insure because it has had too many
claims in the past.
For
consumers, it is the latest development from
an increasingly hostile insurance industry. Insurers
were hit with $8.9 billion in home-related
underwriting losses last year, and they are
taking aggressive steps to make sure they
don't get hit again.
The
change has broad implications for how homes
are bought and sold. Getting insurance is
almost always a prerequisite to buying a home
and securing a mortgage, but some buyers are
having trouble doing so for homes with
repeated claims. Homes that have been hit by
water damage, storm damage and burglaries are
particularly vulnerable to rejection.
In
some areas, a home is "automatically
rejected" if it has two or three claims
of any sort in the past three years, says
Sharon Emek, an independent insurance agent in
New York.
This
year, Michael DeLuke, a 31-year-old Dallas
consultant, offered to buy a 1960s ranch home
for $225,000. He called Nationwide Insurance,
which had carried his car and renters policies
for years, and was quoted an annual premium of
about $1,900. However, when he informed
Nationwide a week later that the deal was a
go, an agent quickly called back to say the
company wouldn't write the policy.
DeLuke
says his own record was clean, but the home
had several claims for water damage, including
an $18,000 payout in February 2001 for leaky
plumbing in the kitchen and master bath.
"I was aghast and frustrated,"
DeLuke says. "I knew I had a perfect
claims history."
Nationwide
declined to comment.
At
the heart of the problem is a little-known
industry database called CLUE. The
Comprehensive Loss Underwriting Exchange is a
shared industry repository containing 90
percent of the insurance claims made in the
United States. Though insurers have used CLUE
for years to assess the risk of individuals,
the big change is that they are now subjecting
homes to extensive background checks.
Owners
have the right to request the CLUE report on
their property, but it can take weeks to get
them. Starting this fall, however, they will
be able to access the CLUE reports instantly
over the Internet for $10 to $15.
Buyers
don't have the legal right to view the CLUE
report until they close the purchase. But they
can request that the owner provide them with
the report before they agree to buy the house.
Few homeowners do this today. But Realtors and
insurers say CLUE reports may soon become
nearly as common in a real estate transaction
as appraisals.
State
Farm, the nation's largest home insurer, with
policies covering about one in five
homeowners, routinely checks CLUE reports on
houses as well as homeowners as part of its
underwriting process. Nationwide Insurance
implemented a similar policy in certain
markets.
"We
do not want to bring into our pool of premiums
a known risk, something we know we're going to
have to pay down the road because of lingering
water damage," a State Farm spokesman
says. (At some point, a house's claims history
is no longer considered. The CLUE system
generally tracks claims going back five
years.)
The
insurance industry paid out hundreds of
millions of dollars in mold claims last year,
and that is why insurers are particularly
leery of water-damage claims.
"Every
company we represent is requiring us to pull
reports on customers and properties,"
says James Armitage, an independent insurance
agent in South Pasadena. "If you see a
water claim on it, forget it."
When
Connie and Vince Lambres went to sell their
Truckee home in January, the paperwork was all
but finished when the buyer encountered a
problem.
His
insurer wouldn't issue a policy on the house.
It had a water-damage claim on record. But the
Lambreses never received a dime in insurance
money.
In
February 2000, Connie Lambres had called her
insurer, State Farm, after noticing water
bubbling up near her driveway, the result of a
water-line break when a city work crew nicked
a pipe while doing some digging. The city
corrected the problem, which caused no damage
to the house, so State Farm had no claim to
settle.
Yet,
with the house all but sold, she discovered
her phone call was a permanent part of her
State Farm claims record.
The
potential buyer wound up going with another
insurer, and Lambres dumped State Farm.
"It was a hassle," she says. A State
Farm spokesman said the company doesn't
comment on specific policyholders.
Rejected
homeowners often have to seek coverage from a
nonstandard carrier, such as Lloyd's
of London, or in high-risk pools
that serve as insurers of last resort. Either
way, the premium is going to be much higher -
double or triple the amount of a regular
policy.
DeLuke,
of Dallas, had to go with a high-risk carrier
when Nationwide and other insurers refused to
write a policy on the house he wanted to buy.
His premium is $2,044 a year, and his coverage
is barebones. It excludes water damage and has
a deductible that requires him to front as
much as $6,000, depending on the type of
claim.
Also,
instead of replacing lost items at full value,
he will get only their depreciated value in
the event of damage.
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