Professional Documents
Culture Documents
CLAIMS COVERAGE
DECISION
NANCY MC GUIRE
40 NAUVOO SCHOOL RD
DYERSBURG TN 38024-6308
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.
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:
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
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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.
By providing you the specific reasons for our decision, we don't intend to waive:
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.
Fax: 1-800-531-8669
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:
We appreciate your membership and look forward to serving you in the future.
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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.
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