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Association Insurance Claim Checklist: Running a Property Claim from Notice Through Payment

Running an association property insurance claim in Florida: the notice deadlines that bar a claim, adjuster and deductible rules, and the records that support it.

A property insurance claim is a deadline-driven process that the association runs, not the carrier and not the contractor. Two dates decide most of it: one year from the date of loss to give notice of the claim, and eighteen months for a supplemental claim. Miss them and the coverage question never gets reached. This checklist covers the claim from the first notice through the records you keep afterward.

Download the PDFThe PDF is a designed, printable copy for the board packet, the bulletin board or your meeting portfolio. On screen, you can tick the boxes below; nothing you tick is saved or sent anywhere.

The deadlines below are the statutory outer limits. Your policy almost certainly requires notice sooner than the statute does, and the policy controls whichever is shorter. Give notice immediately and treat the statute as a backstop, not a plan.

Where an item cites a chapter, the rule differs by association type. For background on the coverage split see condominium insurance responsibilities and the board resource on claim documentation.

Notice, and the deadlines that bar a claim

  • For hurricanes, tornadoes, windstorms, severe rain and other weather-related events, the date of loss is the date the hurricane made landfall or the event is verified by NOAA. § 627.70132(3)
  • A claim or reopened claim is barred unless notice was given in accordance with the policy within 1 year after the date of loss. § 627.70132(2)
  • A supplemental claim is barred unless notice was given within 18 months after the date of loss. § 627.70132(2)
  • A reopened claim is one the insurer previously closed, reopened for additional costs for loss already disclosed. A supplemental claim is a claim for additional loss or damage from the same peril that the insurer already adjusted, or for costs incurred while completing repairs under an open, timely-noticed claim.§ 627.70132(1)(a) and (1)(b)
  • The eighteen-month supplemental deadline runs from the date of loss, not from the date the additional damage was discovered. This is the deadline associations miss.
  • The insurer must review and acknowledge receipt of a claim communication within 7 calendar days, begin the investigation within 7 days of receiving proof-of-loss statements, conduct any physical inspection within 30 days of receiving them, send a copy of any detailed estimate within 7 days after it is generated, and pay or deny the claim within 60 days after notice. § 627.70131(1)(a), (3)(a), (3)(b), (3)(e), (7)(a)
  • § 627.70131

The policy package to pull

  • A commercial residential policy may apply the hurricane deductible on an annual basis across the calendar year or separately as to each hurricane. The calendar-year rule personal lines policies receive is not automatic here. Read the form.§ 627.701(5)(a); § 627.701(5)(b)

Documenting the loss

  • Claim files become litigation files. The minutes are where an adjuster or a court sees that the board acted reasonably and promptly.
  • § 718.111(12); § 719.104(2); § 720.303(4)

Your adjuster, and the public adjuster rules

  • Compensation may not exceed 10 percent of claim payments or settlements for claims based on events that are the subject of a declaration of a state of emergency by the Governor, applied to claims made in the year after the declaration; 20 percent for claims not based on such events. § 626.854(11)(b)1. and 2.
  • The contract must be in writing in at least 12-point type, titled "Public Adjuster Contract," and state the percentage of compensation in minimum 18-point bold type before the signature space; a contract that does not comply is invalid and unenforceable. § 626.8796(1), (2), (7)
  • The insured may cancel without penalty or obligation within 10 days after execution, or for an event that is the subject of a declared state of emergency within 30 days after the date of loss or 10 days after execution, whichever is longer. § 626.854(7)
  • A public adjuster may not accept referrals of business from a person with whom the adjuster has any form of agreement to compensate that person for the referral. § 626.854
  • Solicitation is permitted only Monday through Saturday between 8 a.m. and 8 p.m. § 626.854(5)

Assignment of benefits: the answer is no

  • A policyholder may not assign, in whole or in part, any post-loss insurance benefit under a residential or commercial property insurance policy issued on or after January 1, 2023; the attempt is void, invalid and unenforceable. § 627.7152(13)
  • For a pre-2023 policy the assignment is not automatically void, but the statutory requirements and the notice, estimate and rescission machinery in the rest of § 627.7152 apply.

Deductible allocation, and who bears what

  • Where damage occurs from an insurable event, the association or the unit owners are responsible for reconstruction, repair or replacement as determined by the maintenance provisions of the declaration or bylaws. § 718.111(11)(j)
  • § 718.111(11)(c)
  • § 718.111(11)(f)
  • § 718.1265(1)(l)-(m); § 719.128(1)(l)-(m); § 720.316(1)(j)-(k)

Owners' claims, repairs and the dispute process

  • Appraisal is a creature of the policy, not the statute. Read what your form requires, how the umpire is selected, and what appraisal decides and does not decide.
  • Supplemental and reopened claims and construction defect claims are built from that file years later. See records retention checklist.

Statutes and authorities referenced

Contact Hamilton Mikes

Hamilton Mikes represents Southwest Florida associations in property insurance claims, from the first notice through appraisal and coverage litigation, and reviews public adjuster and restoration contracts before a board signs them. Call 239-594-7227 or visit our Insurance page.

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