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Housekeeping:
  Childcare for R2R Meetings
RSVP by Wednesday prior to meeting
RSVP to 487-0811, extension 263
Childcare only with RSVP
  Must present child(ren) by 7:15 pm
Invitation to Supper at RBCPC
 Fire Survivors, Supporters, UPC Mentors

RSVP Needed
March 27th, 5:30 – 7 pm
RSVP to 487-0811, extension 211
  Leave request for childcare at same time
Additional Presentations

Saturday, March 29th: 10 am – noon; Income Tax Overview for Fire Survivors

Non-R2R Presentation: Sierra Club: Thursday April 2nd , 7 – 9 pm
                      Living with Wildfire
Allstate Insurance Group Interviews

 CBS story on under-insurance today
 Interviewed the Allstate Group earlier
 this afternoon
 Have asked to gather footage of this
 evening’s program
SoCal 2007 Wildfire
SoCal 2007 Wildfire
Roadmap to Recovery
Roadmap to Recovery
Meeting #9, March 13, 2008
Meeting #9, March 13, 2008
When Litigation is Necessary… Strategic Use
When Litigation is Necessary… Strategic Use
of Legal Services & Scopes of Loss
of Legal Services & Scopes of Loss
Rancho Bernardo Community Presbyterian Church
Rancho Bernardo Community Presbyterian Church


      Karen Reimus
     reimus1@aol.com
Fine print:
 The information provided in this program is intended for
 general educational purposes only. It should not be
 construed as legal advice.

 The speakers at today’s program are volunteering their
 time as educators.

 Neither United Policyholders nor the Rancho Bernardo
 Community Presbyterian Church endorse or warrant the
 quality or services of any volunteer speakers.
Our heartfelt thanks to:
 The Rancho Bernardo Community
 Presbyterian Church
   Jann Hoff (audio-visual in the back)

 All our UP Mentors and Sponsors

 The speakers at tonight’s meeting
When Litigation is Necessary…
Strategic Use of Legal Services

              Mike Bidart, Esq.

                    www.sbd-law.com
Managing partner of Shernoff Bidart Darras, a law firm
specializing in bad faith prosecution

Mr. Bidart was named a Super Lawyer of 2004 by Law & Politics Magazine
and Los Angeles Magazine. He has been profiled in the National Law Journal,
The American Lawyer and California Lawyer Magazine.

Supporting 2003 Cedar Fire Survivors
Mike Bidart, Esq.

 He has helped win > $300 million for
 victims of the 1994 Northridge earthquake

 His firm is one of the few to have won an
 underinsurance case stemming from the
 2003 Cedar Fire
Refresher: Create a paper trail,
even if it’s not your normal “m.o.”
It is important to confirm representations and agreements in writing –
even though it seems time-consuming and yet another hassle.

Use your insurance CLAIM DIARY to create a record of everything that’s
happened between you and the insurance company.

Write short and to the point letters to your adjuster that outline issues that
need to be resolved and problems that are delaying settlement of your
claim.

Always put reasonable deadlines in your letters that tell the insurance
company when you expect a reply. (i.e., “Please respond no later than
fourteen business days from the date on this letter).

Refer to the CA. Fair Claim Settlement Practice regulations as often as
they apply.
Go up the chain of command:
 Write letters to your adjusters’ supervisors, their
 supervisors, and even the President or CEO of
 the insurance company.
 Follow up with phone calls.
 Take the time to read the wording of the specific
 exclusions or limitations that the insurance
 company is relying on. Read the whole policy
 and whatever brochures or sales materials you
 can get your hands on. You may find words that
 show they promised or owe more benefits than
 they’re offering.
Pace yourself and resist being
    rushed or pressured
Insurers frequently extend policy deadlines and relax requirements
for proofs of loss

By law you have up to 24 months of ALE benefits

The CDI may help you get time extensions if your insurer
unreasonably refuses

You may feel frustrated and powerless at times, but you are NOT.
The laws that protect you give you power

A catastrophic insurance claim can take two years or more to get
fully and fairly settled.
Your policy is a legal contract
 It gives you and your insurance company rights
 and responsibilities

 Cooperation, documentation, investigation

 Do not do any of the following without first
 checking with an attorney who has experience
 representing policyholders:
 1)   Sign "releases" or waivers
 2)   Give a recorded statement
 3)   Submit to an Examination Under Oath
Your goal is to be effective in claim
settlement negotiations.
 Insurance policies are contracts written by
 insurance company lawyers.

 Legal arguments can strengthen your negotiating
 position. Read the CA. Fair Claims Regulations
 and/or consult with a lawyer to develop a strategy

 Use his or her advice and arguments to convince
 your insurance company to change its position
 without getting involved in a lawsuit.
Did you know?
 Under CA. law, your insurance company cannot require
 you to use a specific professional to repair/replace your
 property? Reg. 2695.9

 Under CA. law your insurance company must give you
 copies of estimates and other documents in your claim
 file? Ins. Code sec. 2071 and Reg. 2695.9 (d)

 Under CA. law your insurance company must respond
 to your calls and letters within 15 days? Reg. 2695.5
Legal Issues: Underinsurance 101
 If the dollar limits in your policy are not enough to
 cover the cost of putting you back where you
 were before a loss, you are underinsured.

 As many as 90% of those who lost homes in the
 recent wildfires in Southern California may be
 underinsured in one or more categories
 (dwelling, contents, ALE, other structures, etc.)

 Review all prior policies to determine reductions
 or eliminations of coverage.
Six basic steps if you suspect or
know that you're underinsured:
 Step One: Calculate the total scope and amount of your losses in each major category: (Dwelling,
 Contents, ALE, Other Structures, and Debris Removal). If your insurer sold you a “replacement
 cost” policy, your total losses are what your coverage limits should have been.

 Step Two: Remember and reconstruct as best you can the history of how your limits were set.

 Step Three: Consult with previous disaster survivors and at least one experienced policyholder
 attorney with the goal of getting a realistic assessment of your chances of convincing your insurer
 to pay more than your stated policy limits.

 Step Four: Choose your words carefully. Consult with an experienced policyholder attorney
 before allowing your insurer to interview you, take your recorded statement or examine you under
 oath. Your own words can unintentionally harm your chances of getting paid in full. Go to "Find
 Help" at www.unitedpolicyholders.org as a starting point to find the right lawyer.

 Step Five: Make a clear, written demand that your insurance company honor the promises it
 made to put you back where you were before a loss.

 Step Six: Go on record. File a complaint with the California Department of Insurance. Keep your
 complaint simple and general. Don't go into specifics about your dealings with the
 agent/broker/insurance company. Identify your company and the approximate amount of the
 shortfall.
Scope of Loss:
WHAT: Defines, describes, details “as it was” dwelling loss
WHY: A foundation for settling dwelling claim
HOW: Should be independent/objective

-   A scope of loss is not the same as an estimate
-   A scope of loss should allow estimates to be prepared
    and compared “apples to apples”
-   A scope of loss is the basis for an independent, credible
    repair/replacement estimate
Get independent estimates and
opinions on repairs
 If insurance company adjusters or contractors
 offer to settle based on computer-generated or
 “lowball” estimates, get independent estimates
 from qualified local builders or construction
 professionals and read our FAQs.

 Aim for estimates that can be compared side by
 side with your insurers’ estimates.
Contractor scams are very
   common after disasters
Before you hire a contractor, check their
customer references and their license
status online with the Contractors State
Licensing Board www.cslb.ca.gov
or call: 1-800-321-CSLB (2752)
Strategic Use of Legal Services

      Mike Bidart, Esq.
         www.sbd-law.com
Refresher:
What is a Scope of Loss?




             Bob Rettig
     Bob Rettig Construction and Consulting
What is a Scope?
Describes in detail the building components
and finishes of your home (Coverage A) and
on your property (Coverage B).

Addresses costs to meet current building
code standards.

It is based upon the information you
provide.

Therefore, IT IS ONLY AS ACCURATE AS
THE INPUT WE RECEIVE FROM YOU.


                                           BRCC
Why Do You Need One?

•Without a Scope of Loss, you have no
 way to determine if what your
 insurance carrier is offering is fair.

•You have no leverage in negotiations.

                                          BRCC
Why Can’t You Get One
 From Your Contractor?

•Contractors don’t usually provide
 enough detail.

•Perceived conflict of interest.
How Do We Develop
   Your Scope?
The BRCC Homeowner Questionnaire

Site Visit

Interview
Other Homeowner Input:
      Plans
      Drawings
      Photos
      Videos
      Reports
      Receipts
Making Your Preliminary Scope
           Final
Preliminary Scope   Feedback
Things to
Keep in Mind
PRELIMINARY
   means
      PRELIMINARY
Your neighbor’s home
is not your home.
Marshall and Swift and similar
softwares are not detailed
estimates from which to build
your home.
Bob Rettig Construction
      and Consulting
       CA Contractor’s License 748100
        BRettig@RettigConsults.com




www.RettigConsults.com
Additional Presentations

Saturday, March 29th: 10 am – noon; Income Tax Overview for Fire Survivors

Non-R2R Presentation: Sierra Club: Thursday April 2nd , 7 – 9 pm
                      Living with Wildfire
Invitation to Supper at RBCPC
 Fire Survivor Community, Supporters, UPC Mentors

RSVP Needed by March 24th
March 27th, 5:30 – 7 pm
  Fellowship Hall
RSVP to 487-0811, extension XXX
Break Out Sessions
      for Fire Survivors
 Open to 9:30 pm: Firm Stop time
 Upstairs:
   State Farm : Dormer West
   Farmers : Skylight West
   Allstate : Upper Courtside East
   USAA: Small room off lobby

   Other Companies: Sanctuary

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Childcare and Supper RSVPs for Fire Survivors Meetings

  • 1.
  • 2. Housekeeping: Childcare for R2R Meetings RSVP by Wednesday prior to meeting RSVP to 487-0811, extension 263 Childcare only with RSVP Must present child(ren) by 7:15 pm
  • 3. Invitation to Supper at RBCPC Fire Survivors, Supporters, UPC Mentors RSVP Needed March 27th, 5:30 – 7 pm RSVP to 487-0811, extension 211 Leave request for childcare at same time
  • 4. Additional Presentations Saturday, March 29th: 10 am – noon; Income Tax Overview for Fire Survivors Non-R2R Presentation: Sierra Club: Thursday April 2nd , 7 – 9 pm Living with Wildfire
  • 5. Allstate Insurance Group Interviews CBS story on under-insurance today Interviewed the Allstate Group earlier this afternoon Have asked to gather footage of this evening’s program
  • 6. SoCal 2007 Wildfire SoCal 2007 Wildfire Roadmap to Recovery Roadmap to Recovery Meeting #9, March 13, 2008 Meeting #9, March 13, 2008 When Litigation is Necessary… Strategic Use When Litigation is Necessary… Strategic Use of Legal Services & Scopes of Loss of Legal Services & Scopes of Loss Rancho Bernardo Community Presbyterian Church Rancho Bernardo Community Presbyterian Church Karen Reimus reimus1@aol.com
  • 7. Fine print: The information provided in this program is intended for general educational purposes only. It should not be construed as legal advice. The speakers at today’s program are volunteering their time as educators. Neither United Policyholders nor the Rancho Bernardo Community Presbyterian Church endorse or warrant the quality or services of any volunteer speakers.
  • 8. Our heartfelt thanks to: The Rancho Bernardo Community Presbyterian Church Jann Hoff (audio-visual in the back) All our UP Mentors and Sponsors The speakers at tonight’s meeting
  • 9. When Litigation is Necessary… Strategic Use of Legal Services Mike Bidart, Esq. www.sbd-law.com Managing partner of Shernoff Bidart Darras, a law firm specializing in bad faith prosecution Mr. Bidart was named a Super Lawyer of 2004 by Law & Politics Magazine and Los Angeles Magazine. He has been profiled in the National Law Journal, The American Lawyer and California Lawyer Magazine. Supporting 2003 Cedar Fire Survivors
  • 10. Mike Bidart, Esq. He has helped win > $300 million for victims of the 1994 Northridge earthquake His firm is one of the few to have won an underinsurance case stemming from the 2003 Cedar Fire
  • 11. Refresher: Create a paper trail, even if it’s not your normal “m.o.” It is important to confirm representations and agreements in writing – even though it seems time-consuming and yet another hassle. Use your insurance CLAIM DIARY to create a record of everything that’s happened between you and the insurance company. Write short and to the point letters to your adjuster that outline issues that need to be resolved and problems that are delaying settlement of your claim. Always put reasonable deadlines in your letters that tell the insurance company when you expect a reply. (i.e., “Please respond no later than fourteen business days from the date on this letter). Refer to the CA. Fair Claim Settlement Practice regulations as often as they apply.
  • 12. Go up the chain of command: Write letters to your adjusters’ supervisors, their supervisors, and even the President or CEO of the insurance company. Follow up with phone calls. Take the time to read the wording of the specific exclusions or limitations that the insurance company is relying on. Read the whole policy and whatever brochures or sales materials you can get your hands on. You may find words that show they promised or owe more benefits than they’re offering.
  • 13. Pace yourself and resist being rushed or pressured Insurers frequently extend policy deadlines and relax requirements for proofs of loss By law you have up to 24 months of ALE benefits The CDI may help you get time extensions if your insurer unreasonably refuses You may feel frustrated and powerless at times, but you are NOT. The laws that protect you give you power A catastrophic insurance claim can take two years or more to get fully and fairly settled.
  • 14. Your policy is a legal contract It gives you and your insurance company rights and responsibilities Cooperation, documentation, investigation Do not do any of the following without first checking with an attorney who has experience representing policyholders: 1) Sign "releases" or waivers 2) Give a recorded statement 3) Submit to an Examination Under Oath
  • 15. Your goal is to be effective in claim settlement negotiations. Insurance policies are contracts written by insurance company lawyers. Legal arguments can strengthen your negotiating position. Read the CA. Fair Claims Regulations and/or consult with a lawyer to develop a strategy Use his or her advice and arguments to convince your insurance company to change its position without getting involved in a lawsuit.
  • 16. Did you know? Under CA. law, your insurance company cannot require you to use a specific professional to repair/replace your property? Reg. 2695.9 Under CA. law your insurance company must give you copies of estimates and other documents in your claim file? Ins. Code sec. 2071 and Reg. 2695.9 (d) Under CA. law your insurance company must respond to your calls and letters within 15 days? Reg. 2695.5
  • 17. Legal Issues: Underinsurance 101 If the dollar limits in your policy are not enough to cover the cost of putting you back where you were before a loss, you are underinsured. As many as 90% of those who lost homes in the recent wildfires in Southern California may be underinsured in one or more categories (dwelling, contents, ALE, other structures, etc.) Review all prior policies to determine reductions or eliminations of coverage.
  • 18. Six basic steps if you suspect or know that you're underinsured: Step One: Calculate the total scope and amount of your losses in each major category: (Dwelling, Contents, ALE, Other Structures, and Debris Removal). If your insurer sold you a “replacement cost” policy, your total losses are what your coverage limits should have been. Step Two: Remember and reconstruct as best you can the history of how your limits were set. Step Three: Consult with previous disaster survivors and at least one experienced policyholder attorney with the goal of getting a realistic assessment of your chances of convincing your insurer to pay more than your stated policy limits. Step Four: Choose your words carefully. Consult with an experienced policyholder attorney before allowing your insurer to interview you, take your recorded statement or examine you under oath. Your own words can unintentionally harm your chances of getting paid in full. Go to "Find Help" at www.unitedpolicyholders.org as a starting point to find the right lawyer. Step Five: Make a clear, written demand that your insurance company honor the promises it made to put you back where you were before a loss. Step Six: Go on record. File a complaint with the California Department of Insurance. Keep your complaint simple and general. Don't go into specifics about your dealings with the agent/broker/insurance company. Identify your company and the approximate amount of the shortfall.
  • 19. Scope of Loss: WHAT: Defines, describes, details “as it was” dwelling loss WHY: A foundation for settling dwelling claim HOW: Should be independent/objective - A scope of loss is not the same as an estimate - A scope of loss should allow estimates to be prepared and compared “apples to apples” - A scope of loss is the basis for an independent, credible repair/replacement estimate
  • 20. Get independent estimates and opinions on repairs If insurance company adjusters or contractors offer to settle based on computer-generated or “lowball” estimates, get independent estimates from qualified local builders or construction professionals and read our FAQs. Aim for estimates that can be compared side by side with your insurers’ estimates.
  • 21. Contractor scams are very common after disasters Before you hire a contractor, check their customer references and their license status online with the Contractors State Licensing Board www.cslb.ca.gov or call: 1-800-321-CSLB (2752)
  • 22. Strategic Use of Legal Services Mike Bidart, Esq. www.sbd-law.com
  • 23. Refresher: What is a Scope of Loss? Bob Rettig Bob Rettig Construction and Consulting
  • 24. What is a Scope? Describes in detail the building components and finishes of your home (Coverage A) and on your property (Coverage B). Addresses costs to meet current building code standards. It is based upon the information you provide. Therefore, IT IS ONLY AS ACCURATE AS THE INPUT WE RECEIVE FROM YOU. BRCC
  • 25. Why Do You Need One? •Without a Scope of Loss, you have no way to determine if what your insurance carrier is offering is fair. •You have no leverage in negotiations. BRCC
  • 26. Why Can’t You Get One From Your Contractor? •Contractors don’t usually provide enough detail. •Perceived conflict of interest.
  • 27. How Do We Develop Your Scope?
  • 28. The BRCC Homeowner Questionnaire Site Visit Interview
  • 29. Other Homeowner Input: Plans Drawings Photos Videos Reports Receipts
  • 30. Making Your Preliminary Scope Final
  • 31. Preliminary Scope Feedback
  • 33. PRELIMINARY means PRELIMINARY
  • 34. Your neighbor’s home is not your home.
  • 35. Marshall and Swift and similar softwares are not detailed estimates from which to build your home.
  • 36. Bob Rettig Construction and Consulting CA Contractor’s License 748100 BRettig@RettigConsults.com www.RettigConsults.com
  • 37.
  • 38. Additional Presentations Saturday, March 29th: 10 am – noon; Income Tax Overview for Fire Survivors Non-R2R Presentation: Sierra Club: Thursday April 2nd , 7 – 9 pm Living with Wildfire
  • 39. Invitation to Supper at RBCPC Fire Survivor Community, Supporters, UPC Mentors RSVP Needed by March 24th March 27th, 5:30 – 7 pm Fellowship Hall RSVP to 487-0811, extension XXX
  • 40. Break Out Sessions for Fire Survivors Open to 9:30 pm: Firm Stop time Upstairs: State Farm : Dormer West Farmers : Skylight West Allstate : Upper Courtside East USAA: Small room off lobby Other Companies: Sanctuary