Don't file an insurance claim until you read this (2024)

Don't file an insurance claim until you read this (1)Our daughter Jaime called to tell us, through angry tears, that she learned from her mortgage company that her homeowner’s insurance policy had been cancelled.

Evidently, when the mortgage holder tried to make a payment from Jaime’s escrow account, the insurance company couldn’t accept it because Jaime was no longer insured. After cooling down and gaining her composure, she contacted her insurance company who affirmed the cancellation. The reason? She had filed three claims over a nine-year period.

“Why,”she asked, “didn’t anyone caution me that I was about to be dropped? And, pray tell, why didn’t you tell me when you dropped me?”

“We sent you a cancellation letter before the policy was dropped. It was returned to us as ‘non-deliverable,’”the agent stated coolly. “That is all we are required to do. If you didn’t get it, it is not our fault.” (Note from Joe: This makes no sense because Jaime still lives in the same “insured” house she had been paying premiums on all those years.)

With her mortgage holder breathing down her neck, Jaime contacted several insurance firms before finding one who agreed to a policy which cost twice as much as her previous one. She feels betrayed by her former company and unwilling to trust her new one.

So, what can we learn from this nightmare? Should you even file an insurance claim?

“Of course!” is the logical answer. “Why should I pay for insurance if I am not going to use it?” Yes, that is good logic, but who says insurance companies are logical? The stark truth is that you may be better off paying the claim yourself.

Here are some guidelines . . . .

When toFile the Insurance Claim

1.File ifit’s a Big One

When the size of the claim is small enough that you can handle it out of pocket, you probably should. However, when the big ones come, go ahead and file. This is why you bought the insurance. Tricky challenge: Define what “big” is for you.

2. File ifYou Have a First-TimeForgiveness Policy

Some policies offer a one-time freebie, meaning that you will not be penalized by filing that claim. In many cases, this provision only applies if you have been accident-free for a number of years.

3. File ifYou Haven’t Had Any Recent Claims

This is similar to the first-time forgiveness policy, but it is a good idea to communicate with your agent before filing the claim. At this point, you need to be coy about the incident. Why? Because some agents are required to note in your file that you have had an incident even if you don’t file a claim. Ask hypothetically, as in “if I were to have an accident, would filing a claim raise my future premiums?”

4. File if Someone Was Injured

If there is a chance that someone was injured in the accident, go ahead and file in order to protect yourself from a possible injury lawsuit.

When Not to File the Insurance Claim

1. Don’t FileIf the Claim Amount is Close to Your Deductible Amount

There is no need to get flagged by your insurance carrier if you are going to be paying most or all of your loss out-of-pocket anyway.

2. Don’t Fileif You Have Had Moving Violations

Some auto insurers consider your driving violations as good cause to raise your premiums or drop you. Adding a claim to these violations will likely kick off some punitive action.

3. Don’t Fileif You Have Had Other Claims

Filing several claims in a short time frame is asking for trouble. You will certainly get your premiums bumped up and you may get canceled (although, as previously noted, my daughter’s three claims were spread over a long period).

Helpful Insurance Tips

1. LearnAhead of Time

Talk to your agent now, while there are no claims pending, to learn the company’s policy on raising premiums and canceling policies. Ask your agent to explain the surcharge schedule, which shows how much rates will increase after a claim. The agent is more likely to be forthcoming when no money is at stake.

Am I saying that agents may misrepresent those policies when there ismoney on the line? Yes.

2. Consider Raising Your Deductibles

The larger deductible you can afford, the lower your premiums will be and the less likelihood you will file a “minor” claim, triggering a rate hike or cancellation.

Hint: Make sure you have a big enough emergency fund to cover those deductibles. Consider $1,000 on auto and $2,500 on homeowners.

3. Get a C.L.U.E.

What is C.L.U.E.? Comprehensive Loss Underwriting Exchange. This quote from their website explains their services:

The C.L.U.E. Personal Property report provides a seven year history of losses associated with an individual and his/her personal property. The following data will be identified for each loss: date of loss, loss type, and amount paid along with general information such as policy number, claim number and insurance company name.

The C.L.U.E. Auto report provides a seven year history of automobile insurance losses associated with an individual. The following data will be identified for each loss: date of loss, loss type, and amount paid along with general information such as policy number, claim number and insurance company name.

Simply put, you have free access to the same accident and claim history your insurance carrier has. Knowledge is power, so get that knowledge.

Final Thoughts

Insurance is aptly defined as a transferring of risk. Because most of us don’t have the bankroll to finance our own risks, we need insurance. But the best plan for the long run is to maintain a big enough emergency fund to allow you to raise those deductibles, keep premiums down, and file only big claims.

Have you ever had your insurance policy canceled? Were you properly notified ahead of time? What kind of hassle did you incur getting new insurance? Did you end up changing insurance companies? Leave a comment!

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Don't file an insurance claim until you read this (2024)

FAQs

Is it better to not file an insurance claim? ›

It's crucial to file a claim for major property damage and bodily injuries. A claim might not be worth it for one-car accidents when nobody is hurt. A bad driving record could increase your auto insurance premiums for three years.

What is the downside of filing an insurance claim? ›

It could increase your premiums

The higher your perceived risk, the more likely you are to pay more in premiums. Your claims history tends to play a direct role. If you've filed homeowners insurance claims in the past, your insurer may see it as a red flag that you'll continue to do so in the future.

What happens if you don't tell your insurance about a claim? ›

Your claims could be rejected. Claims made against you might not be paid out. You could face additional charges. You might have to tell future insurance companies about your non-disclosure.

What not to say when filing a homeowners insurance claim? ›

What Not to Say to An Insurance Adjuster
  1. Don't Admit Fault. What should you not say in a claim? ...
  2. Don't Downplay Damages. Victims who downplay their damages give insurance adjusters a chance to downplay the settlement offers they make. ...
  3. Don't Give a Recorded Statement. ...
  4. Don't Accept the Initial Settlement Offer.
Mar 22, 2023

At what point is it worth claiming on insurance? ›

If the damage costs more to repair than the value of your premium, it may be worth making a claim. This is simply because it will save you money on the repairs, especially if the damage is substantial anyway.

Does your insurance go up after a claim that is not your fault? ›

Under California law, an insurer cannot increase your premiums when you aren't at fault.

Do insurance companies like claims? ›

While insurance companies go to great lengths to tout their trustworthiness, the sad fact is that they only pay claims because they legally have to—not because they want to. They will do whatever they can to pay as little as possible.

Are insurance claims worth it? ›

Key takeaways. Filing a home insurance claim might make the most sense when the loss estimate is more than your deductible. Any claim, even a minor one, might lead to an increase in your home insurance premium. Having frequent or repeat claims could cause a property insurer to nonrenew your policy.

Why are most insurance claims denied? ›

Insurance claims are often denied if there is a dispute as to fault or liability. Companies will only agree to pay you if there's clear evidence to show that their policyholder is to blame for your injuries. If there is any indication that their policyholder isn't responsible the insurer will deny your claim.

How much does insurance increase after a claim? ›

That said, you'll usually be looking at an increase of 20%-50%. Unless it's protected, you should also expect to lose any no-claims discount you've built up. Even if it's protected you could still see your premiums rise – this is because a no-claims discount is a reduction from a baseline car insurance premium.

Do I have to pay my excess if someone hits me? ›

You pay the excess in the event of any claim made on your insurance policy regardless of who is to blame. However, if it's proved the accident was the other person's fault and the full cost is recovered from their insurer, you may be able to recover this amount.

Will an insurance claim affect my insurance? ›

Will comprehensive claims increase my rate? Yes, a comprehensive claim might increase your rate, but maybe not as much as an at-fault accident would. Comprehensive claims include non-collision events like car theft, car vandalism, car fire, chipped/cracked windshield, hitting an animal, and acts of nature.

Can homeowners insurance drop you because of a claim? ›

Frequent claims: Can an insurance company drop you after a claim? In some cases, yes. Filing home insurance claims often could cause your home insurance premium to increase and if you've filed multiple claims within the past few years, it's possible that your home insurance company might cancel your policy altogether.

How do I argue with my home insurance adjuster? ›

How to dispute a denied homeowners insurance claim
  1. Review your claim and coverage. ...
  2. File an appeal. ...
  3. Get another professional opinion. ...
  4. File a complaint with your state's insurance department. ...
  5. Hire an attorney.
Apr 24, 2024

What are some examples of damage that would not typically be covered under homeowners insurance? ›

Common homeowners insurance exclusions due to negligence:
  • Termites, bedbugs and other infestations.
  • Water damage or mold.
  • Sewer backup.
  • Normal wear and tear.
Apr 26, 2024

When to not claim insurance? ›

Example of when not to file an auto insurance claim:
  1. It's a minor self-accident.
  2. No one is injured.
  3. No one else's property is damaged.
  4. Repair costs are less than your deductible.

Does making a claim affect my insurance? ›

Arguably the most important factor that dictates how much your insurance costs will increase is whether you are making an at-fault or non-fault claim. At-fault claims will have the biggest impact on your car insurance premium, as you will be labelled a higher-risk driver.

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