A Texas homeowners policy generally responds to sudden hail and wind damage to a roof, and it generally excludes wear, neglect and damage that builds up over time. Which damage a particular policy covers, and what it pays, depends on the policy and on the insurer. The Texas Department of Insurance is the state agency that handles consumer complaints about insurers, and this guide does not say what any policy will pay.
Key takeaways
- A homeowners policy generally covers sudden damage from hail and wind, and generally excludes wear, neglect and gradual deterioration.
- The policy and the insurer decide what is covered and how much is paid. A general guide cannot say what a particular policy will pay.
- A dated inspection with photographs of each slope, the metal parts and the attic is the record a claim is built on.
- Emergency steps to prevent further damage, such as a tarp, are generally expected of the homeowner, and they should be recorded.
- Complaints about how a claim is handled can go to the Texas Department of Insurance at tdi.texas.gov.
What does a homeowners policy generally cover for a roof?
A homeowners policy generally covers the dwelling against sudden and accidental losses, and a hail or wind storm is usually such a loss. The policy's own wording sets the coverage, and some perils are named while others are excluded.
The dwelling part of a homeowners policy usually covers the house, including the roof, against losses from a list of causes. Storm damage such as hail and wind is commonly among those causes, but the policy wording governs how it is covered and under what conditions.
Exclusions are the other half of the picture. Wear and tear, gradual deterioration, neglect and poor maintenance are generally excluded, and so are damages that build up slowly over time. An insurer that denies a roof claim usually points to one of those exclusions, and the policy wording shows which applies.
How does the difference between sudden damage and wear matter?
A claim generally turns on whether the damage came from a sudden event such as a hailstorm or a windstorm, or from age and neglect. Telling the two apart is what the inspection record is for.
A hail bruise on a shingle is generally treated as a sudden event, while a roof that has dried out and cracked over many summers is generally treated as wear. Some roofs show both, and the record must separate the two so that the claim is about the storm and not about the age of the roof.
The insurer will ask when the damage happened, and the storm record for the address helps answer that. A roof with damage that cannot be dated to a storm is harder to claim, and the report should say plainly where the dating is uncertain.
A roof that was patched several times before the storm can make the question harder. The record should note those earlier repairs, so the insurer and the homeowner can tell which parts of the roof were already in repair and which were damaged in the storm.
What are the common endorsements and separate coverages?
Some policies carry endorsements or separate coverages that change how roof damage is treated, such as roof surfaces with their own limits, or endorsements for wind and hail. Whether any of them apply is a question for the insurer and the policy.
Endorsements are added to a policy to change its coverage. A homeowner who has a rider or an endorsement for roof surfaces, wind or hail should read it, because it can change how the roof is valued and paid. The text of the endorsement is what decides the result.
Because the wording differs between insurers and between policies, this guide does not describe any specific endorsement or limit. The homeowner should ask the insurer directly and get the answer in writing.
What should you photograph and keep after a storm?
Photograph the damage from the ground with the date, keep the original files, and keep the inspection report, the repair invoice and any receipt for temporary protection. Those are the documents an insurer will ask for first.
Take photographs of the whole house, each side, the gutters, the vents, the fence and any window or screen that was struck. Close shots of each dent or split help the adjuster match the damage to the storm, and the phone's date should be on.
An inspection record is the next layer. It counts the hits by slope, records the attic findings and notes the metal parts. Keep it with the photographs and the storm reference, and give a copy to the insurer if a claim is opened.
Dates matter in this part of the record. The date of the storm, the date of the inspection and the date the homeowner first noticed the damage should each be written down. Where they differ, the record says why, so a reader is not left to guess the sequence.
Do you have to protect the roof after a storm?
Most policies expect the homeowner to take reasonable steps to prevent further damage after a loss, such as a tarp over an open section. The steps should be recorded, and the receipt kept, because the insurer may ask for them.
A tarp or a temporary seal is one of the most common steps. It keeps the next rain out while the permanent repair is planned, and it is a reasonable measure that most policies expect. The policy sets the exact terms, and this guide does not say what the policy requires.
A temporary repair is not the permanent one. The inspection report should say what was covered temporarily, when it was done and what still needs repair. That record protects the homeowner if the insurer asks what was done and when.
A homeowner who wants to be present for the adjuster's visit should arrange the time in advance and ask the adjuster to walk the same slopes that the record covers. Writing down the adjuster's name, the visit time and the areas walked makes it easier to match the findings to the record later.
What does the insurer's adjuster usually do?
An insurer usually sends an adjuster to inspect the damage and estimate the cost of the repair. The adjuster's findings and the insurer's decision are separate from the homeowner's record, and the two can differ.
The adjuster walks the roof or the property, takes photographs and writes an estimate. The homeowner can be present, can point out the damage in the record and can ask about anything the adjuster does not mention. Notes of the visit and the adjuster's name should be kept.
If the adjuster's findings differ from the homeowner's record, the difference should be raised in writing. A short letter that lists the items in dispute, with the photographs, is a clear way to ask the insurer to review them.
What if a claim is denied or the payment seems low?
Ask the insurer for the reasons in writing, check them against the policy, and provide any missing evidence. If the answer is still unsatisfactory, a complaint can be made to the Texas Department of Insurance.
The denial letter should name the reasons and the policy provisions the insurer relied on. Read those provisions, and compare them with the record. A missing photograph or an unclear storm date is often the reason a claim is disputed, and the record can fill the gap.
The Texas Department of Insurance handles consumer complaints about insurers. Its website at tdi.texas.gov explains how to file a complaint and what it can do. Keep copies of every letter, the policy and the record, and write down the names of anyone you speak to and when.
What should you know about who pays for the repair?
The homeowner pays the policy's deductible and any costs the policy does not cover, and the insurer pays what the policy provides for covered damage. Who pays each part depends on the policy, and the policy is the document to read.
A deductible is the amount the homeowner bears before the policy pays, and it is set by the policy. Some policies have separate deductibles for storms, and the policy states them. This guide does not state any amount or any waiver, because those depend on the policy.
Costs the policy does not cover, such as wear or upgrades to a newer material, are usually the homeowner's to bear. The repair estimate should separate covered work from upgrades, so the homeowner can see what the insurer is being asked to pay for.
How should a homeowner work with the technician and the insurer together?
Keep the technician's record and the insurer's file separate but consistent. Share the record with the insurer, and give the technician the adjuster's findings, so the repair matches what the claim describes.
The technician works for the homeowner's repair, and the insurer's adjuster works for the insurer. Both are looking at the same roof, and the record helps each see what the other has seen. The homeowner is the link between them.
Ask the technician to note the work performed in a form that matches the claim, such as the slopes repaired and the items replaced. That record makes the claim easier to close, and it shows the repair followed the damage.
Frequently asked questions
Does a homeowners policy always cover hail damage?
Not always. Hail damage is commonly covered as a sudden loss, but the policy wording and the insurer decide what is covered. Read the policy and ask the insurer for the terms in writing.
Will wear and tear be paid?
Wear and tear is generally excluded, and gradual deterioration is generally not paid as a sudden loss. The inspection record should show what is storm damage and what is wear.
Do I need to file a claim right away?
Notify the insurer as soon as practical after a storm, and keep the record of when you did so. The policy sets its own conditions, and this guide does not state any deadline.
Can an inspection record be used in a claim?
Yes. A dated record with photographs of each slope and the attic supports a claim. It does not decide the claim, which the insurer and the policy decide.
Who do I contact if I think my claim was handled unfairly?
The Texas Department of Insurance takes consumer complaints about insurers. Its website at tdi.texas.gov explains how to file. Keep the claim letters and the record ready.
Can a technician tell me what my policy will pay?
No. The technician records the roof and sets out the repair. The policy and the insurer decide what is covered and what is paid, and the homeowner should ask the insurer for that answer in writing.
What if my roof was damaged by a storm but I had already planned a replacement?
The planned work and the storm damage are separate facts, and the record should show both. The insurer decides what the policy covers, and a clear note of the earlier plan and its date helps the reader understand the sequence.
Sources
- Texas Department of Insurance, consumer information and complaints
- National Weather Service, Austin/San Antonio office
- NOAA National Centers for Environmental Information, Storm Events Database
This guide is general information for Travis County homeowners, not a substitute for an on-site inspection. Prices are estimates. See our disclaimer.