What Do You Need To Know About Supplementing Insurance? (2024)

What Do You Need To Know About Supplementing Insurance? (1)

Supplemental insurance claims are change orders and additional charges on an insurance claim based on discovered, underpaid, or overlooked items while restoring your Central Ohio home. Since you probably do not file claim after claim after claim, you may be unfamiliar with the insurance claim process — including supplementing — after a storm or other event that damages your property.

Insurance Claims

When your siding, roof, or gutters are seriously damaged, and you file an insurance claim, you begin a process including many professionals:

  1. Your local insurance agent
  2. An insurance adjuster for processing the claim and arranging a payment
  3. A contractor or several contractors for repairs

Once the claim is filed, your primary task is to move information between these professionals, arrange inspections of your damaged property, sign off on work performed, and pay your deductible. You may also be the intermediary between adjuster and contractors; sometimes, the contractor will work directly with the adjuster, sometimes not.

If in doubt, always ask your contractor since most home contractors deal with insurance claims day in and day out.

Supplementing

The selection of a roofing, siding, or gutter contractorto restore your home after it sustains damage is entirely up to you. An insurance company’s adjuster may recommend this roofer or that contractor, but you decide. Many homeowners overlook the step where they make certain a roofer can handle supplemental claims.

Supplementing means the orderly addition of charges to an insurance claim. This can happen for several reasons:

  • The estimate for replacement materials was below the actual outlay due to fluctuating commodities prices or other causes.
  • The adjuster overlooked a damaged area during the inspection and estimate.
  • During restoration, additional damage is revealed, as when shingles are removed, and the underlayment and sheathing are inadequate.

Supplementing the claim is done by a Work Change Order, which requires sign-off by the contractor and the homeowner. Often the Change Order is done by meeting with the adjuster on-site, demonstrating the reasons for the supplement with photographs or video, and filling out paperwork. The adjuster is the final arbiter of a Change Order or supplements on-site, and in most cases, this is routine, if tedious, paperwork.

Good Choice!

Even with the pressure of getting repairs done quickly, you still want flexibility and the maximum insurance benefits. This is why you should work with a roofing contractor familiar with supplementing the claim.

Some homeowners may have a (false) notion the contractor deliberately underestimates the damage just to tack on charges insurance will cover. This is not the case since the administrative burden brought by supplementing the claim is enormous. Many roofers will not agree to any changes in the Scope of Work and estimate to avoid the paperwork problems of supplementing the claim.

With a roofer, siding, or gutter contractor familiar with (and willing to handle) supplements to the insurance claim, you win in two ways:

  1. Better quality work is performed on your home — The adjuster settles on a price, and the contractor begins, then discovers the need for supplementing, leaving the contractor with one of four choices:
    1. Perform the necessary work hoping to get reimbursed by the insurer for the work
    2. Perform the needed work and bill the homeowner
    3. Ignore the needed extra repair work and perform only what is in the original Scope of Work
    4. Cut corners to stretch the original insurance claim’s value to cover as much of the discovered problems as possible

If, however, the insurer and roofer work with supplemental insurance as a possibility, the work can move ahead as a more thorough, longer-lasting repair.

  1. Your insurance benefits are maximized — A roofer or other contractor knowledgeable about supplementing a claim will leave no money behind. The roofer will take time to thoroughly inspect the damage, including crawling into attics to get a view of the underside of your roof. The roofer will systematically evaluate all the interlocking parts of a roofing system:
    1. Ridge vents
    2. Field shingles or metal panels
    3. Starter course
    4. Flashing
    5. Underlayment
    6. Water and ice shield
    7. Drip edge
    8. Gutters
    9. Soffit vents and gable vents
    10. Rubber boots around roof piercings
    11. Skylights and other major roof elements

Bad Choice!

Some skeptical homeowners may sniff at supplementing insurance, wary of insurance fraud. Rest assured, a quality roofer will work to get the greatest possible legal benefit from your insurance claim without randomly adding on specious charges. Good roofers and good building contractors know better than to risk insurance fraud. Wise homeownersknow to work with ethical contractors, too.

Please contact us todayat Allstate Exteriors & Restoration in Central Ohio. We have long experience working with insurance companies. We are an ethical, respected business familiar with insurance supplementing, changes to Work Orders, and providing highly accurate initial estimates.

What Do You Need To Know About Supplementing Insurance? (2024)

FAQs

What is insurance supplementing? ›

Supplementing means the orderly addition of charges to an insurance claim. This can happen for several reasons: The estimate for replacement materials was below the actual outlay due to fluctuating commodities prices or other causes. The adjuster overlooked a damaged area during the inspection and estimate.

What is the purpose of supplement insurance? ›

An additional insurance plan that helps pay for health care costs that are not covered by a person's regular health insurance plan. These costs include copayments, coinsurance, and deductibles.

What are the most important things to know about insurance? ›

Make sure that your insurance company can cover you for all of the risks you are exposed to: General Liability, Bonding, Property Coverage, Officers Liability, and Accident Medical insurance. Education is key. Many PTAs buy an insurance policy without actually knowing what's covered.

How do you answer insurance claim questions? ›

Below are some best practices to consider:
  1. Contact a lawyer. ...
  2. Keep in mind that despite the friendliness of the person taking your statement, that person is not your friend. ...
  3. Ask specifically that your statement not be recorded. ...
  4. Give brief answers. ...
  5. Don't volunteer information. ...
  6. Answer only the question asked.

What does supplementary mean in insurance? ›

Supplementary insurance is insurance coverage that is purchased in addition to an insurance policy to provide additional benefits or coverage. Beyond this base benefit, individuals can elect to purchase supplementary insurance to cover services not included in the package.

What is an example of a supplemental insurance? ›

Some insurers consider dental and vision coverage to be supplemental coverage. Dental coverage can come in a number of different types of plans. You may have options to get dental insurance coverage that emphasizes preventive or routine care.

Why are supplemental benefits important? ›

Supplemental benefits help protect Americans' financial health by paying for things not covered by major medical insurance like copays and deductibles associated with accidents or illness.

What type of insurance is supplemental? ›

Supplemental life insurance is an extra policy designed to fill gaps in your primary life insurance coverage. It's often offered by employers to enhance their basic group life insurance. Supplemental coverage is typically employee-paid, meaning you cover the premium costs.

What is typically covered by supplemental plans? ›

Some supplemental health insurance plans cover specific services, such as cancer treatments. Others may help reduce the financial burden of a major illness or accident by providing a lump-sum of money that you can use for medical treatments or household expenses.

What are the 7 important principles of insurance? ›

In insurance, there are 7 basic principles that should be upheld, ie Insurable interest, Utmost good faith, proximate cause, indemnity, subrogation, contribution and loss of minimization.

What are the 3 most important insurance? ›

As you hit certain life milestones, some policies, including health insurance and auto insurance, are virtually required, while others like life insurance and disability insurance are strongly encouraged.

What are the 3 typical requirements in an insurance policy? ›

The Conditions

Common conditions in a policy include the requirement to file a proof of loss with the company, to protect property after a loss, and to cooperate during the company's investigation or defense of a liability lawsuit.

What not to say when talking to an insurance adjuster? ›

When describing an accident to an insurance adjuster, do not say anything beyond what you experienced directly. You do not want to speculate about what happened because you could accidentally blame yourself. The insurance company could then have a good excuse to reduce your compensation.

What is insurance best answer? ›

Insurance is a contract (policy) in which an insurer indemnifies another against losses from specific contingencies or perils. There are many types of insurance policies. Life, health, homeowners, and auto are among the most common forms of insurance.

What is the difference between basic and supplemental insurance? ›

In short, basic group life insurance is an affordable or free policy offered through an employer's benefits program, while supplemental life insurance lets you to add to that coverage by paying an additional premium. Many employers offer a basic group life insurance policy to employees for free or a minimal premium.

What is supplementing roofing? ›

What are Roofing Supplements? A roofing supplement or contractor supplement is when a contractor asks for additional materials, labor, or trades to be added to the insurance claim. An adjuster may not include enough shingles, ice and water shield, siding, etc. on the scope of loss to get the job done correctly.

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