As many of us know, insurance carriers are most profitable when they collect premiums and resist paying claims. Some of our clients consult us when they have a legitimate insurance claim that is not being paid, so that we can interpret their insurance policy and pursue the insurance company to properly manage the claim. There may be a casualty event in a cooperative or condominium building where it is not clear whether the building’s or individual owner’s insurance carrier is responsible for the claim. This post will address the legal issues that arise with respect to insurance claims pertaining to real estate.
Our attorneys recommend to individuals purchasing apartment units that they procure their own insurance policies, whether or not the building requires same. Otherwise, damages within the walls of the apartment unit need to be paid out-of-pocket by the unit owner. When a unit owner has her own insurance, such policy will cover damage within the unit, such as water damage to interior finishes and painting and wallpaper that are not covered by the building’s insurance. Further, our firm recommends that contractors engaging in apartment renovations to common areas of the building or to individual units demonstrate adequate insurance coverage for damages that may occur during the renovation.
The following is a typical scenario involving the cooperative and condominium boards or individual unit owners that we represent. A casualty event such as a severe ice and snow storm causes ice dams to appear in the gutters of the building. Such ice dams eventually melt, causing mold within the walls between apartment units and water leaks within specific units. How do the applicable insurance policies manage the resulting insurance claims? The entire building will most likely have insurance coverage. However, most buildings in their proprietary leases or bylaws provide that building insurance only covers common areas and damages within the walls of the building between units. As a general guideline, if the repair necessitates the removal of the wall in order to make the repair, then it is the responsibility of the building, rather than the unit owner. Therefore, the building’s insurance should pay the claim.