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The Case of the Missing Engineering Report
August 29, 2006 11:02 PM
According to State Farm, it was a case of a satisfied customer mistakenly portrayed by ABC News.
In its statement in response to our 20/20 report on allegations that the company had wrongly denied homeowners' claims, State Farm says that one claim we highlighted "belongs to a Biloxi, Miss., policyholder who, despite ABC's and two external independent claims adjusters' assertions, did receive payment and has declared that he is satisfied with his payment and the way his claims were handled by State Farm."
What State Farm did not reveal is that the homeowner's statement was in reaction to a second, rewritten engineering report shown to him by a company lawyer. That report, dated Oct. 20, 2005, concluded that despite some wind damage, the "damage to the first floor walls and floors appears to be predominately caused by rising water from the storm surge and waves." Wind damage is covered by State Farm, but water damage is not -- so the homeowner was only able to collect a limited amount for his claim.
However, the homeowner says State Farm had never shown him the first engineering report about his property damage, dated Oct. 12, 2005. The report, prepared by the same independent engineering firm, contained no mention of water damage, and concluded that "the interior damage of the structure is primarily the result of the failure of the windows, walls and doors due to wind."
The homeowner reached his resolution with State Farm and signed a letter declaring his satisfaction with the result without ever seeing or knowing of the first report. He first learned of it last week when ABC News sent him a copy of the report. The homeowner, who asked not to be identified, told ABC News that he is now not a satisfied customer and that the statement he had given to State Farm was based solely on his reaction to the later report, without knowing of the first.
As we reported, the copy of the first report obtained by ABC News included the image of an attached note stating, "Put in wind file - do not pay bill - do not discuss." The whereabouts of the original report is a mystery; State Farm has confirmed to ABC News that, despite an extensive check of its files, it only has possession of the second report.
As of Tuesday, Aug. 29, 2006, evening...
At State Farm's request, ABC News has faxed a copy of the first engineering report to the company. A State Farm official says the company will investigate why the original of the document is missing from its files.
August 29, 2006 | Permalink | User Comments (8)
When there is a declared hurricane, why isn't "hurricane coverage" used by the insurance companies?
I think a flood is something that happens when there is not a hurricane happening.
Posted by: Lisa Newell | Aug 29, 2006 12:58:06 PM
We lost our home to hurricane ivan and we are among over 250 families in Escambia and Santa Rosa county still enduring this TWO YEARS after the storm. We have been denied our wind coverage as well and are now suing - but our carrier is promising to appeal and drag us through court for years. A hurricane without wind? Let's just think how they are ranked hurricanes and classified -- by wind speed...
Posted by: Victoria | Aug 29, 2006 2:20:46 PM
Thoreau wrote a book about it, Self Reliance. Maybe those of you who pay these idiots over years and years should understand you would be better served in investments and managing your own money so that when the need arised you wouldnt have to wait on them to classify your damage for you.
Everything in this country is the illusion of security. Right down to insurance policies
Posted by: Napolean | Aug 29, 2006 3:23:03 PM
State Farm makes money by taking in premiums and not paying claims. I believe they cheat to keep money and the Republicans let them.
Posted by: Tom | Aug 31, 2006 2:44:38 PM
Oh, I got it...insurance carriers never get away with these shenanigans when democrats are in power, right? Thanks for the education on it, Tom.
Posted by: Piet | Sep 1, 2006 11:07:40 AM
State Farm pays out more money paying their hired guns to prepare bogus reports than it would cost to fairly settle the claim.
Posted by: Connie | Sep 2, 2006 11:04:11 AM
Remember... Insurance is nothing more than a bet that something will go wrong, and that the amount you are betting is less than how much you will recover after the catastrophe happens.
Try getting that local bookie to pay off when you hit the longshot... insurance is about the same.
Posted by: Drew | Sep 5, 2006 11:12:23 AM
Republicans... of course... it was the Republicans. They caused the hurricane, they wrote the insurance policies, they are refusing to pay. Republicans are alwas stickin' it to the little guy!
Posted by: Rusty | Nov 29, 2006 5:06:09 PM
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