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Coverage

What water damage is covered, and what usually is not

The rule of thumb is sudden and accidental versus gradual and preventable. Here is how that plays out for the losses Puget Sound homes actually have.

Water dripping from a failed pipe joint
A failed joint. Supply lines and fittings are the most common Puget Sound water loss.

Standard Washington homeowners policies are written on forms used across the country, and they treat water in a consistent way: they cover damage that is sudden and accidental, and they exclude damage that is gradual, expected or comes from certain sources. The table below sorts the common Puget Sound scenarios. Your policy and your adjuster decide; this is the pattern.

Scenario Usually covered? Why
Pipe bursts, including from freezing while the home is heated Yes Sudden and accidental discharge from plumbing
Supply line or hose fails on a dishwasher, washer, fridge or toilet Yes Sudden discharge; the appliance itself usually is not covered
Water heater tank fails Yes, the damage; no, the heater Sudden damage is covered; the tank is wear and tear
Roof damaged by wind or a tree, water comes in Yes Storm damage is a covered peril
Old roof or flashing finally leaks Usually no Maintenance and wear; interior damage is sometimes still covered
Slow leak under a sink or behind a wall for months Usually no Gradual, considered preventable
Groundwater through the foundation or slab No Excluded; this is seepage
Surface water or a rising creek enters the home No Flood; needs a separate flood policy
Sewer or drain backs up into the home Only with an endorsement Water backup coverage, bought separately
Sump pump fails and the basement floods Only with an endorsement Sump overflow coverage, bought separately
Frozen pipe while the home was unheated and unoccupied Usually no Most policies require heat to be maintained
Mold after a covered water loss Often, with a sublimit Limited mold coverage tied to a covered cause

Sudden versus gradual

Adjusters look for a discrete event. A hose that split on Tuesday is sudden. A fitting that dripped for six months and rotted the subfloor is gradual, even if you only noticed it on Tuesday. The evidence that separates them is physical: fresh water and clean materials point to sudden, while staining, corrosion, deteriorated wood and established mold point to gradual. This is one reason to call as soon as you find water: the earlier the inspection, the clearer the picture.

The endorsements worth having here

Two inexpensive additions matter in this region more than most. Water backup coverage pays for sewer and drain backups and sump pump overflows, which are common in older Seattle, Tacoma and Everett neighborhoods and in any home with a basement. Service line coverage pays to repair the water and sewer lines between the street and the house, which are the homeowner's responsibility and fail regularly in neighborhoods with sixty-year-old clay pipe. If you have a basement or a crawl space, ask your agent about both. If you are in a mapped floodplain along the Cedar, Green, Snohomish, Puyallup or Skagit rivers, flood insurance is a separate conversation worth having.

Contents, living expenses and code upgrades

A covered claim usually has three parts beyond the structure. Contents coverage pays for furniture, rugs, electronics and belongings damaged by the water, at replacement cost or actual cash value depending on your policy. Additional living expense pays for a hotel and meals if the house is uninhabitable during drying or rebuild. Ordinance or law coverage pays the extra cost of bringing repaired areas up to current code, which matters in older homes where opening a wall triggers electrical or plumbing upgrades. Check your declarations page for each.

What the restoration contractor does with all this

The crew does not decide coverage; the adjuster does. What the crew does is document the cause and the damage accurately and promptly, write the scope in Xactimate so the adjuster can price it, and keep drying on schedule so a covered water loss does not become an excluded mold loss. On covered work, the contractor bills the insurer directly and you are responsible for your deductible and anything the policy does not pay. When something looks like it will not be covered, the dispatcher and crew say so before work starts, so you can make the call with real numbers.

FAQ

Questions homeowners ask us

What is the difference between water damage and flood damage?

To an insurer, flood means water from outside the home that rises or flows across the ground: overflowing rivers and creeks, storm surge, surface runoff, or groundwater seeping in. That is excluded from standard homeowners policies and covered only by a separate flood policy through the National Flood Insurance Program or a private insurer. Water damage from inside the home, such as a pipe or appliance, is a different peril and usually covered.

Is mold covered?

Mold that results directly from a covered water loss is often covered, but usually with a sublimit, commonly in the range of a few thousand to ten thousand dollars, and only if the water was dealt with promptly. Mold from long-term moisture, humidity or neglect is typically excluded. This is one more reason drying starts on day one and is documented with readings.

What about water damage in a condo?

Condo policies split responsibility between the association's master policy and your own HO-6 policy, usually at the drywall or the finished surfaces depending on the association's documents. Water from your unit that damages a neighbor's can involve your liability coverage. Report to both the association and your own insurer, mitigate immediately, and let the carriers sort out who pays what.

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