Large Deductibles on Property Loss Claims: Understand Your Policy (2024)

Learn about the three types of deductibles that commonly appear in commercial property policies, and how they apply to you.

The property insurance market continues to harden in response to more frequent and severe catastrophes. Not surprisingly, insurance carriers have responded to the new normal of more intense storm seasons and increased building costs by increasing premiums and moving toward larger deductibles.

Large Deductibles on Property Loss Claims: Understand Your Policy (1)

While most property policies have a reasonable deductible for more frequent and less severe losses, we have observed in the last couple of years insurance carriers moving toward larger deductibles for catastrophic events such as floods, named windstorms, and earth movement. Insurers are moving to a percentage or large deductible for property losses and using the average daily value (ADV) as a measurement tool for business income/extra expense losses.

Clients with limited claims histories are sometimes surprised by a large and unexpected deductible. Understanding policy deductibles can help you prepare for catastrophic larger losses, and having the funds to pay for large deductibles is critical to your business's sustainability.

Interpreting these deductibles can be complicated. Here, we'll explain the types of property insurance deductibles and provide some examples and explanations of actual policy deductibles.

3 Types of Property Insurance Deductibles

Three types of deductibles commonly appear in commercial property policies.

Flat Deductible

Most commercial property policies include a flat (or straight) deductible. A flat deductible is a specified dollar amount that applies to each loss. It is subtracted from the amount of a covered loss, and the amount remaining is paid by the insurer.

Percentage Deductible

A percentage deductible often applies to perils that can cause catastrophic losses, such as an earthquake. When an earthquake is a covered peril and a loss occurs, the loss is typically reduced by a deductible that applies on a percentage basis. The deductible may be a percentage of the limit or the reported value of the damaged property.

Time Element Deductible

Most business income policy forms don't use a separate deductible for the property damage and business interruption/time element loss. However, we are starting to see a trend toward having a BI/time element "deductible” in addition to the property deductible on the same loss. The time element deductible can be a flat dollar amount, a percentage, a “waiting period” deductible, or be based on the ADV value (more on that below).

The insurer may also require that a “waiting period” must first be met for some causes of loss. This waiting period is the amount of time that must elapse before business interruption coverage begins. Depending on the policy, the first 24, 48, or 72 hours are not covered, while anything beyond that period may be a covered loss. Alternatively, coverage may extend retroactively to the initial time of loss, including the waiting period for some perils. For some policies, the “waiting period” does not apply for extra expense, so it’s important to review the definitions of policy terms.

Reading the policy clauses and interpreting them is tricky, and clients should collaborate with their claim consultant to understand their coverage.

Learn more about property exposures, limits, and deductibles. Watch

Water Loss and Flood Deductibles

Global warming and climate change have brought severe rainstorms and atmospheric rivers into the rain season in the past few years. These storms can result in both water damage claims and flood events. The cause of damage or loss may determine the deductible that is applied.

If a storm causes rainwater to enter through a hole in a roof or through a leaking or open window, the policy may provide coverage if it's not excluded. The deductible for this water damage claim, as an example, might be $2,500, as shown in the example policy below.

However, if the water damage is a result of heavy downpours that flood roads and streets, overwhelming storm drains and causing the water to enter through doorways, walls, and from the ground, this would be considered a flood and subject to a much higher deductible. In the example below, the policyholder would have a $100,000 flood deductible applied to the claim settlement.

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Windstorm Deductibles

The last few years have continued to produce tornadoes, hurricanes, and strong windstorms. Major hurricanes are by far the world’s costliest natural weather disasters, in some cases causing well over $100 billion in damage. There’s now evidence that human-caused global warming is already making hurricanes stronger and more destructive. The latest research shows the trend is likely to continue if the climate continues to warm.

A windstorm that causes significant damage to a building and business property may result in percentage deductibles or a large deductible. The main factor driving deductible values for windstorms is location. Although wind and hail damage is a standard part of commercial property insurance coverage for much of the country, it's often excluded in coastal areas that are prone to hurricanes. In these areas, insurers may add a separate, higher deductible for wind and hail damage to compensate for the increased risk.

Below is an example of a large flat deductible. Note there is a much lower deductible for buildings with a lower replacement cost—deductibles may be structured this way to differentiate between offices and manufacturing sites.

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Percentage deductibles usually end up causing the insured to retain more of the loss. Whether your policy has a percentage or large flat deductible depends on how your policy is written as well as your carrier and loss history. Below is an example of a percentage deductible, showing the deductible is 2% or 5% of property loss cost per location (based on zoning), plus 2% or 5% for business interruption cost (time element) per location.

Large Deductibles on Property Loss Claims: Understand Your Policy (4)

Earthquake/Earth Movement Deductibles

There has been more seismic activity in recent years causing property damage. Earthquake deductibles are normally higher than other policy deductibles due to the severity and catastrophic damages—insurers must account for higher damage costs. The deductible clause can include a few elements: a dollar amount, a percentage of total insurable value at the locations involved in loss or damage, and ADV for time element claims, with or without a waiting period.

ADV is the business income that would have been earned during the period of interruption if no loss had occurred. To get the ADV, divide the total loss amount by the number of working days in that period of restoration.

Below is an example of a flat deductible for an earthquake policy, showing a much higher deductible for production sites than office locations and other non-production sites.

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The percentage deductible can vary based on location. In the example below, states and territories that have higher rates of earthquakes (California, Hawaii, Alaska, and Puerto Rico) have a higher deductible percentage.

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The time element deductible example below shows that the insured is responsible for 30 times the ADV (business income earned had no loss taken place). Larger companies with adequate funds may choose the higher 30X ADV to control premium costs.

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Deductible Calculation Example: An Earthquake in California

Let's consider the following scenario and calculate the deductible using the policy example above.

A magnitude 6.2 earthquake occurs on the Mendocino Coast in California, affecting an insured business. Building damages amounts to $1.2 million, and operations shut down for two months due to loss of electricity, resulting in $650,000 in lost revenue.

Here's how we would determine the deductible using the earthquake policy examples above:

  • Building/property damages: The deductible for a loss/occurrence is 5% of the insurable value (because it's in California) at each location, with a minimum of $500,000 . With a policy value of $30 million, the deductible is $1.5 million.
  • Business interruption: The time element deductible is 30 times the ADV. Take the gross profits for the period of interruption and divide it by the number of days of interruption to arrive at ADV. In this case, the ADV is $10,833. Multiply this by 30 to get the total time element deductible of $325,000.

The occurrence deductible for the loss to the building/property damage is $1.5 million, and the time element deductible for the loss is $325,000, for a total sum deductible/retention by the insured of $1,825,000.

Note that these are general calculations, and the final calculations would need to be done by an accountant.

Review Your Property Insurance Deductibles

Work with your Woodruff Sawyer claim consultant to fully understand your policy. The examples above are specific ones, and ADVs and deductibles vary depending on the policy wording.

Contact your account team at least three months prior to a renewal to review deductibles and if necessary, make any changes needed. When you receive your new or renewal property policies, review the information with your account team and claims consultant. Talk through different scenarios so you understand how the policy may apply deductibles and how the out-of-pocket costs will impact your business.

We also suggest you prepare a business continuity plan. Review the plan yearly with your organization and with your Woodruff Sawyer account team. Being prepared for any of these larger or catastrophic losses will position your business to respond and continue operations while the claim is being investigated and evaluated for settlement.

In the event of a claim, your claim consultant will help you determine the best possible outcome based on your policy.

Large Deductibles on Property Loss Claims: Understand Your Policy (2024)

FAQs

What is a large deductible on an insurance policy? ›

While these plan structures are similar, in that the insured business takes on most, if not all, financial responsibility of a loss, the fundamental difference is this: With a large deductible plan, you are still technically insured but you reimburse the insurance company for losses within your deductible.

How does the deductible work for property insurance? ›

Simply put, a home insurance deductible is the amount that a homeowner must pay before their insurance steps in to cover the remaining expenses on a claim. The deductible is expressed as a fixed dollar amount – usually $500 to $2,000, but it can be higher – or as a percentage of the home's insured value.

How do you understand insurance deductibles? ›

The amount you pay for covered health care services before your insurance plan starts to pay. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself. A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible.

What does a higher a deductible amount in an insurance policy usually mean? ›

If you're enrolled in a plan with a higher deductible, preventive care services (like annual checkups and screenings) are typically covered without you having to pay the deductible first. And a higher deductible also means you pay lower monthly premiums.

Will a large deductible make premium payments? ›

Policies with lower deductibles typically have higher premiums, meaning you'll pay more each month for your insurance coverage. However, if you have a higher deductible, you may be able to save money on your premiums but may be responsible for paying more out of pocket if you need to file a claim.

Will a larger deductible less your insurance payment will be? ›

The higher a deductible, the lower the annual, biannual or monthly insurance premiums may be because the consumer is assuming a portion of the total cost of a claim.

How does an insurance claim work with a deductible? ›

Example:You have a $500 deductible and $3,000 in damage from a covered accident. Your insurer will pay $2,500 to repair your car, and you'll be responsible for the remaining $500. Comprehensive and collision are the two most common car insurance coverages that include deductibles.

What is the highest deductible for homeowners insurance? ›

Typical homeowners insurance deductibles range from $500 to $2,000, though lower and higher amounts may also be available. However, not all home insurance deductibles are flat dollar amounts. Instead, some are percentages of your home's insured value, such as 1% or 2%.

What is the main disadvantage of choosing a high deductible on an insurance policy? ›

The main drawback to choosing an HDHP is having potentially high out-of-pocket expenses when you receive covered services during the year.

Is it better to have a higher or lower deductible? ›

Key takeaways. Low deductibles are best when an illness or injury requires extensive medical care. High-deductible plans offer more manageable premiums and access to HSAs. HSAs offer a trio of tax benefits and can be a source of retirement income.

In what circ*mstances would a property insurance claim be rejected? ›

Insurance companies expect policyholders to take reasonable care of their property. If damages occur due to negligence or lack of maintenance, the claim may be rejected. It is essential to keep your property in good condition, address maintenance issues promptly, and take necessary precautions to prevent damages.

How does a high deductible insurance work? ›

A plan with a higher deductible than a traditional insurance plan. The monthly premium is usually lower, but you pay more health care costs yourself before the insurance company starts to pay its share (also called your deductible).

What if my insurance deductible is too high? ›

Negotiate payment plans with healthcare providers: If you have a high deductible, it can be overwhelming to pay for medical services in a lump sum. Don't be afraid to negotiate payment plans with your healthcare providers. They often have options available to help spread out the costs over a longer period of time.

Does a higher deductible make insurance cheaper? ›

If you increase your deductible, you'll pay less on a monthly basis for coverage because you will end up paying more out of pocket if you file a claim. Choosing your deductible is about balancing your budget and the amount of risk you can tolerate.

What is a good comprehensive deductible? ›

» MORE: How much car insurance do you need? However, let's say you want extra coverage for your car, so you sign up for comprehensive insurance. The average auto insurance deductible is $500, but you could also select amounts like $250, $1,000 or $2,000; this will also affect your policy's premium.

What is considered high deductible? ›

Per IRS guidelines in 2024, an HDHP is a health insurance plan with a deductible of at least $1,600 if you have an individual plan or a deductible of at least $3,200 if you have a family plan.

Is a 5000 deductible high? ›

For families, the deductible has to be at least $2,700, with a $13,500 max out-of-pocket. Many high deductible plans actually have a much higher deductible ($5,000-$7,000).

Is it better to have a $500 deductible or $1000? ›

If you're more likely to get into an accident, you won't want to pay out a higher deductible. However, if you're generally a safer driver, your car insurance premiums will be lower with a $1,000 deductible.

What is a maximum deductible? ›

In a health insurance plan, your deductible is the amount of money you need to spend out of pocket before your insurance starts paying some of your health care expenses. The out-of-pocket maximum, on the other hand, is the most you'll ever spend out of pocket in a given calendar year.

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