When the Insurer Offers Less Than It Costs to Replace What Smoke Ruined
Replacement cost is the amount it takes to repair, rebuild or replace something, without subtracting for its age or wear. California sets that measure in Insurance Code section 2051.5. Under subdivision (a)(1), for an open policy that requires payment of replacement cost, the measure of indemnity is what it would cost the insured to repair, rebuild or replace the thing lost or injured, without a deduction for physical depreciation, or the policy limit, whichever is less.
Subdivision (a)(2) explains how payment often works in practice. If the policy requires the insured to repair, rebuild or replace the property in order to collect full replacement cost, the insurer pays the actual cash value first, until the work is done. Actual cash value is a lower figure that a separate section, section 2051, defines. Once the property is repaired, rebuilt or replaced, the insurer pays the difference between that first payment and the full replacement cost reasonably paid, up to the policy limits.
The same section sets time limits for collecting the full amount. An insurer may not set a limit shorter than 12 months from the first actual cash value payment, subject to the policy limit. For a loss relating to a state of emergency, the floor is 36 months from that first payment. Insurers may allow more time, and must give one or more six-month extensions for good cause when an insured, acting in good faith and with reasonable diligence, faces delays beyond their control, including permit delays, material shortages and unavailable contractors. For state-of-emergency losses, an insurer may not require proof of loss sooner than 100 days after the loss. Three-month extensions for good cause follow when the insured faces a delay beyond their control, and the statute's examples include insurer delays in acknowledging the claim, the insured's disability, injury or incapacity, and being unable to reach the property because of government action or hazardous materials.
For a smoke-damaged home, ruined drywall, ductwork, carpet, a mattress or a child's stuffed animal may be measured at replacement cost if the policy provides it. The disputes tend to come earlier, over whether an item was damaged at all, whether it can be cleaned instead of replaced, and whether the loss is large enough to exceed the deductible. If you have received a first payment, it may help to know whether it was actual cash value with a balance still to come, and the date it was made, since the time limits above run from that date. Those questions, and how the policy's replacement terms read, are what an attorney can help sort out.