Homeowners Insurance Claim Victory Exceeds Policy Limits

Weather Service Report Links Roof Damage to Hailstorm That Insurance Company Claims Never Happened

Paying a high premium on an insurance policy can be a burden most people are familiar with. At some point in everyone’s life, you will need insurance. Whether that’s to pilot a boat, drive a car, or own a home, insurance is meant to financially compensate the policyholder if their property is lost, damaged, or stolen. Insurance companies make their bread and butter off their policyholders and in turn, those policyholders expect a reasonable investigation and fair compensation when they are required to file a claim because their property is damaged or made unusable.

On the night of April 18th, 2020, Montgomery County experienced a powerful wind and hail storm that blanketed the area in 1.2-inch size hail and wind gusts powerful enough to knock down several trees and powerlines throughout the county. Our client’s home endured the storm that evening. The hail damaged portions of our client’s roof and a storage building. The damage to the roof was severe enough that water had penetrated the roof and made its way inside through the ceiling of a utility room near the rear of the home. The hail also damaged gutters and drainage downspouts on the home.

Due to some unforeseen circumstances, some time passed before the claim was reported in March 2021. The insurance company received the claim—as it would any other—and began investigating the incident. As it would turn out, our client had canceled his policy with the insurance company in December 2020, prior to reporting the claim. The policy was canceled because our client ended up going with a different insurance company.

After its investigation, the insurance company denied our client’s claim. The alleged late reporting of the claim and the fact that the client had canceled his policy prior to reporting the claim likely factored into the insurance company’s decision.

Once the case came into our hands, we filed a lawsuit and pressed the insurance company immediately during discovery. During that process, we learned that the insurance company was using a third-party weather data source to pull aggregated data, which showed that the most recent date for sizable hail at our client’s home was 1-inch or larger hail which fell on September 19th, 2019. It seemed clear that the adjuster for the insurance company did not look at any other weather data. As a result of the tunnel vision that this report created, the insurance company then used this date as the actual date of loss.

Conveniently for the insurance company, there was a provision in the insurance policy stating that if the property damage is reported one year or 365 days after the date of loss, the insurance company can deny the claim.

In other words, with this claim the insurance company used favorable weather data from its preferred third-party vendor—apparently without checking other sources—as an excuse to move the date of loss to an earlier date. It then retroactively relied on the late reporting provision in the policy to deny the claim.

Our own investigation into the claim using other weather data sources—including the Severe Weather Data Inventory database provided by the National Oceanic and Atmospheric Association, or NOAA—uncovered severe hail in the immediate area of our client’s home on April 18, 2020. This date was within the policy period prior to cancellation and within one year of when the claim was reported, meaning that the late reporting provision did not apply.

When confronted with conflicting data, the insurance company initially stood its ground, believing its weather data as gospel. But our negotiating position had been improved and we were able to steer the case into mediation quickly. In mediation, we were able to get the insurance company to agree to a settlement that was favorable for our client and would allow him to complete the repairs to his home.

We are proud to say this case ended in a good recovery for our client and righted a wrong by the insurance company.

Many disputed wind and hail claims depend heavily on documenting and proving that severe weather impacted an insured’s property on a particular date. Insurance companies will use their own preferred third-party vendors to obtain data as part of their investigation, sometimes even consulting multiple services but only providing the insured with the data that supports the insurance company’s position. Our firm is very familiar with this tactic and frequently resolves cases where these issues are involved.

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If your home or business was damaged by a wind or hailstorm and your insurance claim has been denied, delayed, or underpaid, call the expert property litigation attorneys at the Chad T. Wilson Law Firm today. Maximize your settlement and make the insurance company pay.

Victory: Texas Jury Awards Damages To State Farm Policyholder Over Unfair And Deceptive Practices

Linda Veach first called her insurance company, State Farm, the day after a big and loud storm passed through Irving, Texas on June 6 of 2018. When she called to report her concerns, she was told that nobody from State Farm was going to come out and look at her house and that they did not think any damage was done. Trusting her insurance company, she accepted what she was told. When the damage to her seven-year-old roof was later pointed out to her by a neighbor, she looked for herself. She found the “dents” that were caused by hail. Linda called State Farm again, explained what she saw, and let them know that she really wanted them to look at her hail-damaged roof.

State Farm sent their adjuster. He spent about an hour going over the roof and inside of the home only to tell Linda that there was some damage to a flat part of the roof and a few other parts of the home. He left a few handwritten notices and a check for $549.95. Days later his actual estimate and partial denial letter came in the mail. The estimate did not match what was told by the adjuster. It included coverage for some hail-damaged items on the outside of the house and a few interior repairs. Not included in the estimate was any of the hail-damaged roof, not even the flat roof that Linda was told had hail damage.

Linda tried to handle things on her own, asking State Farm to take a better look, and even unsuccessfully trying to invoke the appraisal clause in her State Farm policy. Throughout the process, State Farm and its representatives played “gotcha” with her claim, raised technicalities against her, and refused to do the right thing. So, Linda hired the Chad T. Wilson Law Firm and a suit was filed against State Farm. 

Chad Wilson and Robert House of the Chad T. Wilson Law Firm fought to get answers and to protect Linda from these games. Along the way, they tried to get State Farm to resolve the case through negotiations and mediation. State Farm actively failed to do right by its policyholder at every step along the way. State Farm hired biased experts who said that there was no hail damage done to Linda’s roof, but instead what looked like hail damage was a product defect on the shingles. State Farm even tried to keep their full expert reports and other materials from their policyholder.

Through the four-day trial in United States District Court, it became clear that State Farm had all the information they needed to take the correct action on the date of the very first inspection. On August 26, 2021 the jury returned its verdict finding that State Farm failed to comply with its insurance policy, awarding all costs required for Ms. Veach’s repairs, and that State Farm engaged in unfair or deceptive acts or practices that caused damages to the plaintiff, awarding a little more than two times the costs for the repairs for those damages. Separate from the jury’s findings, the court will be asked to assess attorney fees and other costs against State Farm.

The jury told State Farm that it could not take advantage of its policyholders and hope they will go away silently and thanks to the Chad T. Wilson Law Firm, Linda Veach will be able to get the repairs done to her home and fix all the damage caused by the hailstorm.

In March this year, the Texas Supreme Court published its landmark opinion on another Chad T. Wilson Law Firm case – again, a client insured by State Farm, Luis Hinijos.  This was a huge win for all policyholders in Texas because it stopped all insurance companies from utilizing a carrier-created loophole to circumvent Texas law.  Here’s the typical scenario. An insured has a covered loss and notifies their insurance company.  The company would accept the claim and pay pennies on the dollar of the damages. The insured would complain but the carrier would not budge far from its initial position. The insured would then sue and the carrier, State Farm being the worst culprit, would run up litigation expenses. Appraisal of the damages would be invoked to set the cost to repair; the carrier would send a check for the appraisal award less the depreciation less the deductible less prior payments if any. The carrier would run back to the court and ask for summary judgment claiming “no harm, no foul judge” – and they were getting away with it. This left insureds economically upside down on their cases. The Chad T. Wilson Law Firm took Mr. Hinojos’s case to the Texas Supreme Court to stop this trend in its tracks. The Court agreed stating that an insurer is not absolved of its statutory liability when it pays only part of a claim within the statutory deadline set forth in the statute. An insurer that fails to pay all amounts that “must be paid” under the applicable policy will be liable for interest and attorney’s fees. On the street, this means if an appraisal award comes back higher than the insurance company’s initial estimate of damages, they owe the difference plus interest plus attorney fees and they are still on the hook for damages for violations of the Texas Insurance Code and Texas Deceptive Trade Practices Act. 

The Chad T. Wilson Law Firm handles insurance property disputes and takes on tough, serious cases against some of the largest corporations in America.