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By Ben Berkowitz and Michelle Conlin and Jonathan Allen

Nov 23 (Reuters) – After another day of pumping out their

swampy, moldy houses, neighbors in Breezy Point in New York City

huddled at the quaint generator-powered firehouse Wednesday

night, stamping their feet to stay warm. Neighbors picked at

food from tin cans and sipped soups from Styrofoam cups as they

lamented the growing holes in a safety net they thought they

had: homeowner’s insurance.

“They’re covering five shingles and a piece of gutter, and

that’s it,” says Kathleen Valentine, a fire alarm dispatcher who

spent the night of Superstorm Sandy working while her house

filled with water and dead fish. Her insurance agent from

Narragansett Bay Insurance Company said her policy would pay

only for wind damage. She is still waiting for someone from the

federal flood insurance program to show up.

Narragansett Bay spokesman John Houle would not comment on

specific cases but said the firm is working around the clock.

The company has received 90,000 phone calls and is processing

17,000 Sandy-related claims.

It’s been three weeks since Sandy destroyed homes, caused

fires in others, created torrents that turned thousands of

basements into biohazards and smashed up sedans as they were

swept down the street. Since then, as many as 40,000 New

York-area residents have been living without power, heat and, in

some cases, water.

Now, many people in the worst-hit communities in New York

and New Jersey are starting to realize that the real hardship

may yet be ahead of them, as they confront the second-largest

losses from a storm in American history, behind Hurricane

Katrina in 2005.

It’s hardly what people anticipated the day they signed up

for policies in exchange for peace of mind.

The trouble is, many homeowners don’t read those policies

closely enough to realize that most don’t cover flooding. They

don’t always get both homeowner’s insurance, usually provided by

a private company, and flood insurance provided through the U.S.

government’s National Flood Insurance Program.

Only 14 percent of homeowners in the Northeast hold flood

insurance policies, according to the Insurance Information

Institute.

Federal law requires flood insurance to mortgage any home in

a designated high-risk floodplain. But once the initial policy,

usually for a year term, expires, no law says you have to renew

it, and many people don’t because banks don’t make them.

In New Jersey, only 231,000 of the homes in the 20 coastal

counties had flood insurance, according to FEMA.

Karen Clark & Co, a disaster modeling company, estimates

insurers will likely receive more than 1 million claims for

residential or commercial damage from Sandy, compared with 1.4

million for Katrina.

“I kind of thought my policy protected my home, my

belongings, my family,” says retired New York police officer Joe

McMahon, of Rockaway Beach, who has three children, including

one with special needs, and who had homeowner’s insurance with

Travelers.

So far, the only thing McMahon says Travelers will cover is

spoiled food. They wrote him a check for $500. Travelers says it

doesn’t comment on the cases of specific policyholders.

Spokesman Matt Bordonaro says the company works “closely with

our customers throughout the claims process.”

The government’s flood damage policy can also be limited in

what it will pay out. For example, there is only limited

coverage for basements, usually for things like boilers and

water heaters, but not for other improvements or contents.

Those limits are affecting Mary Clemente, 55. Three weeks

ago she had the wardrobe of a movie star, multiple fur coats and

a 1983 Mercedes SL convertible in the garage. The luxury goods

have since been carted away in garbage bags and her car is a

sodden mess. Clemente, who lives in Manhattan Beach, had insured

it to the hilt for 30 years. Or so she thought.

Sitting in her darkened kitchen, surrounded by dead

appliances and her black cat, she says the insurance adjuster

was at her house only five minutes before saying Narragansett

Bay would cover nothing because the damage was from a flood.

Clemente, who owns the public relations firm M3 The Image

Group, has put $32,000 of repairs on her credit cards. Her

federal flood insurance policy has said it will advance her

$20,000 to help cover the costs, which included new electrical

wiring and a new boiler. She hasn’t received the check yet.

If a house is washed away, litigation can last for years.

Mike Nelson, chairman of the insurance-focused law firm Nelson

Levine de Luca & Hamilton, recalls one case where lawyers argued

that a house must have been obliterated by water and not wind

because there was flood debris on top of a tree, and the tree

was taller than the house had been.

In Rockaway Park, New York City, John Lenihan, 53, lost an

argument with an insurance adjuster at Allstate Corp

over his destroyed basement apartment that had been filled to

the ceiling with water. He argued that at least some of his

broken windows were caused by wind, not water. No luck.

Because he had not bothered with flood insurance, all he was

able to recoup was $2,600 for repairs to the roof of the rental

property he owns next door.

“In the 30 years I’ve had this house, I’ve never put a claim

in,” he said. “I thought I would get more. New boilers alone

cost $8,500.”

Allstate says it is doing everything it can. “Our goal is to

settle each claim fairly and quickly,” an Allstate spokeswoman

said in a statement.

The Federal Emergency Management Agency offers help for some

uninsured losses, but homeowners must first file a claim and

wait for word from their insurer. FEMA assistance includes

temporary housing and housing repairs, as well as grants to help

cover the replacement costs of personal property, cars and

medical expenses. But, according to its website, FEMA’s programs

“are intended to meet only essential needs and are not intended

to cover all losses.”

LAWSUITS AND RAPID RESPONSE

Many homeowners end up filing lawsuits to get payouts from

their insurers.

“Historically after a major event like this, there is a lot

of litigation,” said Deloitte’s Mills.

In Louisiana, the state’s insurer of last resort is just

now, more than seven years after the storm wrecked New Orleans

and other parts of the state, preparing to pay plaintiffs in a

class action over Katrina related to tardy claims adjustments.

The state’s insurance commissioner, Jim Donelon, said he

empathized with people in the Northeast. “People should be

prepared to deal with it on a not-short-term basis,” he said.

The insurance industry says that much has changed since

Katrina, and that insurers are better about responding to storms

wherever they happen, i n part because of the lessons they’ve

learned from the increasing number of severe storms in recent

years.

Allstate had thousands of employees staged in strategic

locations in the days before Sandy so they could begin adjusting

claims the moment the storm passed.

“If there are hundreds of thousands of claims over a broad

geographic area, will there be some disputes? Yes, but by and

large this process is proceeding smoothly,” said Robert Hartwig,

the president of the Insurance Information Institute, an

industry communications body.

Some customers are satisfied so far. Lenihan’s next-door

neighbor Marge O’Hanlon had flood insurance as a condition of a

bank loan. She called her insurer, Liberty Mutual, and within a

few days an adjuster came out and told her to submit estimates

for repairs to her basement, damage she expects to reach $25,000

or so. She felt cautiously hopeful she would not have to pay

much out of pocket.

“I don’t know,” she said. “I haven’t got my settlement yet.”

FIGHT OVER MONEY

Even after homes renovated or rebuilt, homeowners are apt to

suffer another shock, specially those on the Northeast

shoreline.

Insurers are expected to raise rates and seek to drop

coverage of some places entirely to cover storm-related payouts

and as they change their assumptions about the likelihood of

violent weather hitting the region.

“There have been rate increases particularly in homeowners

and in commercial property for over a year. This definitely

broadly helps those increases persist,” said Matt Carletti, an

analyst covering insurers at JMP Securities.

One thing helping homeowners is the insistence from state

governors and federal lawmakers, such as New York Senator

Charles Schumer, that insurance companies not be able to get the

storm declared a hurricane as it reached land. Most homeowner

policies set a $500 to $2,000 deductible for regular claims of

all kinds, but hurricane deductibles could be a flat fee triple

or quadruple that or upwards of 5 percent or more of a claim,

depending on the policy.

Schumer has asked the National Weather Service, whose

determinations are usually the key to such things, not to change

its classification of the storm despite lobbying of weather

authorities from the insurance industry.

Politicians may also compel the insurers not to raise rates,

especially with gubernatorial elections coming in 2013 in New

Jersey and in 2014 in New York.

“I would not at all be surprised to see the governor and the

superintendent send a message to the industry … (that) this is

not the time to raise rates on people,” Deloitte’s Mills said.

None of that matters much right now to people along the

Rockaway Peninsula, on Staten Island, or in other hard-hit areas

between the New Jersey shore and Long Island in New York. Many

face still-daunting cleanup and demolition, and weeks more

without power and heat. When the insurance adjuster arrives,

it’s just another blow to absorb.

Said Clemente of Manhattan Beach, “There’s no such thing as

insurance anymore.”