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USAA Casualty Insurance Company

CLAIMS COVERAGE
DECISION

NANCY MC GUIRE
40 NAUVOO SCHOOL RD
DYERSBURG TN 38024-6308

November 21, 2022

Dear Ms. Mc Guire,

Thank you for giving us the opportunity to evaluate your claim for possible coverage. As discussed, we've determined
your loss isn’t covered by your HO-9R(02) 07-08 homeowners policy.

USAA policyholder: Nancy Mc Guire


Claim number: 020604824–002
Date of loss: June 13, 2022
Loss location: Dyersburg, Tennessee

Reason for Denial


Your claim for the repair and/or replacement of the cracks in the perimeter exterior walls, separations and gaps within
the interior of the crawlspace and basement, and mold in the crawl space isn’t covered because your policy does not
cover damage caused directly or indirectly by settling or cracking of walls. Your policy further does not cover damage
resulting from faulty, negligent, inadequate or defective ground grading or compaction. Your policy further does not
cover damage resulting from water or water-borne material below the surface of the ground that seeps or leaks through
a building or foundation. Additionally, your policy does not cover damage from weather conditions which include but not
limited to humidity.

Policy Provisions
The specific policy language, which is the basis for the denial, is located on:

· Pages 16, Section 1, LOSSES WE DO NOT COVER, LOSSES WE DO NOT COVER UNDER DWELLING
PROTECTION AND OTHER STRUCTURES PROTECTIO, 1.k..
· Pages 17-18, Section 1, LOSSES WE DO NOT COVER, LOSSES WE DO NOT COVER UNDER DWELLING
PROTECTION, OTHER STRUCTURES PROTECTION AND PERSONAL PROPERTY PROTECTION, 1.c.(4),
2.a.,2.c.(2).

Policy Language
The policy states:

SECTION I - LOSSES WE DO NOT COVER

LOSSES WE DO NOT COVER UNDER DWELLING PROTECTION AND OTHER STRUCTURES PROTECTION
1. k. Settling, cracking, shrinking, bulging or expansion of pavements, patios, foundations, walls, floors, roofs or ceilings;
pg

LOSSES WE DO NOT COVER UNDER DWELLING PROTECTION, OTHER STRUCTURES PROTECTION AND PERSONAL

020604824 - 002 - 7381 - 23 60912-1122

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PROPERTY PROTECTION:
1. c. Water Damage arising from, caused by or resulting from human or animal forces, any act of nature, or any other
source. Water damage means damage caused by or consisting of:
(4) Water or water-borne material below the surface of the ground, including water which exerts pressure on or seeps
through a building, sidewalk, driveway, foundation, swimming pool or other structure;

2. a. Weather Conditions which includes but is not limited to heat, cold, humidity, rain, ice, snow, sleet, wind, hail or
drought. However, this exclusion only applies if weather conditions contribute in any way with a cause or event
excluded in LOSSES WE DO NOT COVER UNDER DWELLING PROTECTION AND OTHER STRUCTURES PROTECTION,
item 1. above to produce the loss.

2. c. Faulty, negligent, inadequate or defective:


(2) Design, specifications, workmanship, repair, construction, renovation, remodeling, grading, compaction;

By providing you the specific reasons for our decision, we don't intend to waive:

· Any other applicable terms or conditions of the policy, or


· Any other rights provided by the policy or law.

How to Contact Us
Please send any correspondence or questions to us using one of the following options and include the claim number on
each page mailed or faxed:

usaa.com or our mobile app: Upload documents or post a secure message to your claim file
through the Claim Communication Center.

Email: Send an email or attachments to your claim file at


523vw8bzj2b8@claims.usaa.com. Don't send private
information via this channel.

Address: USAA Claims Department


P.O. Box 33490
San Antonio, TX 78265

Fax: 1-800-531-8669

Phone: 1-800-531-8722 Ext. 71466

Important Legal Information


Your policy's Suit Against Us Provision prohibits you from taking any action against us unless you have given us notice of
the loss, complied with all policy provisions, and started legal action within two (2) years from the date of loss.

If you believe this claim has been wrongfully declined or rejected, in whole, or that there is a dispute as to liability or
damages, you have the right for the matter to be reviewed by the Tennessee Department of Insurance. Direct all
correspondence to:

Address: Consumer Insurance Services


500 James Robertson Parkway
Nashville, TN 37243
Phone: 800-342-4029
Online: https://tn.gov/commerce/topic/commerce-file-a-complaint

We appreciate your membership and look forward to serving you in the future.

020604824 - 002 - 7381 - 23 60912-1122

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Sincerely,

Jamie
Specialty Team
USAA Casualty Insurance Company
Use of the term “member” or “membership” refers to membership in USAA Membership Services and does not convey any legal or ownership rights in
USAA. Restrictions apply and are subject to change.

020604824 - 002 - 7381 - 23 60912-1122

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