Step 2: Reporting the Loss to Your Insurer and What That Step Sets in Motion
Reporting the loss opens the insurance claim. The insurer assigns a claim number, and every later payment, inspection and letter usually runs under that number.
California sets special rules for living-expense coverage after a wildfire. Under California Insurance Code § 2060, when an insured makes a claim for additional living expenses under a homeowners' policy, the insurer must provide a list of items it believes may be covered. That list may say it covers only commonly claimed items.
For a covered loss relating to a state of emergency, as defined in section 8558 of the Government Code, the same section provides:
- Living-expense coverage lasts no less than 24 months from the inception of the loss, subject to other policy provisions.
- The insurer must grant an extension of up to 12 more months, for a total of 36, if an insured acting in good faith and with reasonable diligence meets reconstruction delays caused by circumstances beyond the insured's control. The statute's examples include, without being limited to them, unavoidable permit delays, lack of construction materials and lack of available contractors.
- Additional six-month extensions are provided for good cause.
- The insurer may instead provide a reasonable alternative remedy that addresses the condition keeping the home from being reasonably habitable.
- The coverage does not include a utility public safety power shut-off event.
Where a state of emergency comes with a civil-authority order restricting access to the home and related to a covered peril, and the loss is not otherwise covered by those provisions, section 2060 provides living-expense coverage for at least two weeks, with two-week extensions for good cause, subject to other policy provisions. These amendments are operative on July 1, 2021.
California Insurance Code § 2061(a)(1) adds an advance. After a covered loss relating to a state of emergency, if the insured has claimed additional living expenses related to a total loss, the insurer must, on the insured's request, pay an advance of no less than four months of living expenses. Further payments follow on proper proof after the advance period. Section 2061 applies to claims arising on or after January 1, 2021.
The California Department of Insurance, at insurance.ca.gov, is the state's insurance regulator. After reporting, people usually keep the claim number, the adjuster's name and contact details, and a dated log of every call, email and letter. That log can show what was asked for and when.