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DjB2 (Pennsylvania)
Posts: 49
Posted:
Our 32 Unit development and our Bylaws, are both 33 years old. The HOA has always run our development on a "walls in - walls out" basis of responsibility. That is, if there was any damage to the inside of the unit, it was the responsibility of the Unit owner and/or their personal insurance coverage to take care of it themselves. If there was any damage to the outside of a Unit, it was the responsibility of the HOA and their insurance to take care of it. It has worked that way just fine for 33 years, without ever a complaint.

But last year one of our Unit owners went away on a two week vacation, and while they were away, their water feed line that goes from their interior wall to the bottom of their toilet tank, broke and flooded all three interior floors of their unit. Subsequently, for the first time ever in our 33 year history, their insurance adjuster filed their claim against the HOA, claiming that based on the Pennsylvania Uniform Condominium Act (PA-UCA), that the HOA was responsible for their entire interior rebuild, excluding the cost of any of their improvements or betterments.

Since the HOA had never experienced such a claim before, and because we disagreed with the adjuster, we objected to the claim being against the HOA (as opposed to the Unit owner), and began communicating our way up the insurance company's chain of command; with numerous of their employees and representatives along the way telling us that we were correct, and that the adjuster was wrong. After five months of talking to the insurance company about this claim, we finally spoke with a very high-ranking officer of the company, who finally told us "that the statements that had been made to us by various employees of the company (in the HOA's favor), were not worth the paper that they were not printed on!" I kid you not.

During this period we even hired an attorney (for the first time ever) to analyze the situation and make recommendations to the HOA. In the end that attorney took the side of the insurance company against our HOA. We paid the attorney hundreds of dollars for his time, and terminated his services.

What came out of this experience is that the insurance adjuster, and the HOA's insurance agent, both told us that we should update our 33 year old Bylaws to reflect changes that the PA-UCA had made upon them. This same attorney was tasked with this project and told us that it would cost approximately $1,500. We never completed that project, and were never charged, because after waiting many months for his proposed update, upon review, he told us that the only changes that our Bylaws required were (1) that the name used in our Bylaws, versus the name as recorded in County documents are very very slightly different, and (2) that there was no plot plan attached to our Bylaws (which has since been found and attached).

I asked the entire HOA what we should do about all of this going forward. They suggested that we should leave the Bylaws as they are, and that in the future we should simply continue on a simple "walls in - walls out" basis. We talked to a realtor who told us, that of the 35 or so HOA's in our town, that they are ALL run on a simple "walls in - walls out" basis; and that he has NEVER heard of such a claim against an HOA here before.

So should we even attempt updating our Bylaws? And what is your opinion of all of this. Have you had any similar experiences with either catastrophic insurance claims or updating Bylaws? (And thank you for reading this long missive, and for your response. BTW, I'm the HOA President (for the last 9 years as no one else will volunteer), and a brand new member of HOATalk.com.)
TimB4 (Tennessee)
Posts: 21,062
Posted:
Dj,

First, if the pipe (that was in the wall) was to be maintained by the Association, then the Association was responsible for the damage caused by the broken pipe. That's the way these things work. Just as if the owner had left his faucet running, it backed up and damaged the downstairs unit, that owner would have been responsible.

Question, when you say walls in/out which wall are you referring to? Typically, from my understanding of condominiums, the owner is responsible from the drywall in and the Association from the drywall out (owners responsible for the drywall itself). The pipe was behind the drywall - this would have been the Associations responsibility.

In my opinion, you should ignore the membership advice and get a competent legal opinion. If your bylaws are in conflict with existing State or local laws (and it appears that they are per you posting), then the State laws are what must be complied with.

The order of precedence is:

Federal Law
Federal Regulations
State Law
State Regulations
County Codes
County Regulations
City Ordinances
Deed Restrictions (your CC&Rs - Covenants, Conditions and Restrictions)
Articles of Incorporation (if any)
Bylaws
Resolutions (formalized decisions made by the Board).

If any lower precedent document is in conflict with a higher precedent document, the higher document is the one that must be followed as it "controls" the issue. However, there are situations where the higher document will defer control to the lower document. Therefore, be sure to fully read the documents and laws.
LarryB13 (Arizona)
Posts: 4,099
Posted:
DjB,

So, there's water damage and the owner of the unit attempted to file a claim against his own insurance. His insurance adjuster advised him that under state law the association is responsible. You disagreed with the adjuster and disputed his word as high up as you could go in his company only to be told in the end that the owner's insurance would not cover it. I do not recall reading in your post anything about your association making a claim with your own insurance. Did I miss something? What happened with regard to the claim? If the unit has been repaired, who paid for it?

Interesting that you discounted the advice of the adjuster, you discounted the advice of "a very high-ranking officer of the [unit owner's insurance] company," you discounted the advice of your own attorney, but you did accept the word of a real estate agent. Of those four individuals, who would be the least credible source of insurance information?

JeffT2 (Iowa)
Posts: 880
Posted:
Yes, I have been through a number of these claims.

It is easy enough to look up the law. The PA UCA (3312) says your association must have insurance on "the common elements and units exclusive of improvements and betterments installed in units". So you need to have insurance coverage of the units, just as you found out (regardless what the realtor told you). State law takes precedence over your bylaws (in case your bylaws do not require it).

The UCA also says that your insurance must be "primary". This means that your insurance pays even if the unit owner has insurance covering the same thing. This seems to fit the claim you described.

Did you make an insurance claim on your insurance? Insurance policies should follow the law, so you may already be covered and not know it.

I would contact your insurance company for a careful read of your policy. If you don't have coverage for the units and the other requirements of the law, then you need to get it. You have already seen the need for it, and it is required by the law, and you would not be doing your fiduciary responsibility to not have it.
JohnC46 (South Carolina)
Posts: 14,265
Posted:
Interesting that you discounted the advice of the adjuster, you discounted the advice of "a very high-ranking officer of the [unit owner's insurance] company," you discounted the advice of your own attorney, but you did accept the word of a real estate agent. Of those four individuals, who would be the least credible source of insurance information?

Is that a trick question?
DjB2 (Pennsylvania)
Posts: 49
Posted:
Being brand new to HOATalk - this was one of my first posts - so I do appreciate all of the feedback and recommendations that I received. Apparently I did not fully explain the source of the insurance claim to begin with. The flexible water feed line that burst and flooded the Unit was NOT inside the wall of the Unit - it was fully within the inside of the bathroom, inside of the inside bathroom wall. That is why our HOA objected to the claim being filed against the HOA. Because the flood was caused by an interior defect ONLY, inside of the finished interior wall. The adjuster claimed it was inside the wall between the drywall and the exterior of the Unit so that the HOA was liable - and it simply was not a defect within the wall - and he knew that. Everybody on both sides knew that. (Even the HOA's insurance agent as well as the district claims supervisor both told the HOA that the claim had been filed against the HOA in error, that it NEVER should have been filed against the HOA, and that they would withdraw the claim against the HOA, and place it fully against the Unit owner's coverage -- but they never did.) In the end our HOA conceded the issue and accepted the claim. A claim was filed against the HOA for the basic clean up, dry out, and rebuild. About $50,000 worth. The Unit owner filed a claim against his personal coverage for the cost of replacing his improvements, betterments, and his furnishings - about $35,000 worth. As a side note, recently we received a letter from the insurance company (the same one for the HOA coverage and the individual Unit owner's coverage - purely a coincidence) stating that they were going to sue the manufacturer of the burst feed line for full recovery of the $85,000 - but they cautioned us that recovery would be tenuous at best, and could take many years before a successful recovery could occur at any rate.
JeffT2 (Iowa)
Posts: 880
Posted:
So, the law requires you to have insurance on the units, and your insurance paid, so where is the problem?
BobD4 (up north)
Posts: 1,002
Posted:
DjB2 (Pennsylvania)

1- You did not mention any property management professional. I assume your 32 unit condo corporation is self-managed or almost so.

2 - Boards may spend years blissfully defying or, very respectfully, unaware of how their legislature has decided they should respond, including as to the corporation's insurance coverage & deductible treatment.

You indicated that : "The HOA has always run our development on a "walls in - walls out" basis of responsibility. That is, if there was any damage to the inside of the unit, it was the responsibility of the Unit owner and/or their personal insurance coverage to take care of it themselves. If there was any damage to the outside of a Unit, it was the responsibility of the HOA and their insurance to take care of it. It has worked that way just fine for 33 years, without ever a complaint."

That, respectfully, attempts to confuse "insurable loss" with "obligations to repair after failure or deterioration".

Respectfully, because of what JeffT (Iowa) pointed out above, please let that idea burst into flames. It is irrelevant to an insurable loss scenario, how your Declaration & governance documents may address "owner vs corporation normal repair duties".

Jeff pointed out section 3312 Insurance of Penn Title 68 part 2 Real Property subpart B condominiums ( association shall insure UNITs among others less upgrades )
http://www.legis.state.pa.us/cfdocs/legis/LI/consCheck.cfm?txtType=HTM&ttl=68

Note that unlike other sections section 3312 does NOT contain a provision allowing override by site specific governance documents.

Unless your condo corp has valid by-laws like below and such can withstand legal challenges, any insurable unit damage is a condo corp's Master Insurance Policy claim with the deductible a common expense to be sucked up by ALL owners ( unless Pennsylvania courts have ruled otherwise ) without possible subrogation nor slope-shouldering back upon the unit owner.

3 - How can by-laws validly alter that scenario ? Your lawyer needs to be consulted again about both an Insurance Deductible and possible a Unit Boundary Redefining by-law aka 'Standard Unit" By-law .

With master policy deductibles hitting $40 K or $50 K per event, many ( multi-storey ) condo corporations have used what ours and other jurisdictions MAY now specifically allow by condo act changes :

A- a Deductible By-law to totally download the Master Policy deductible onto the unit owner, including even for totally blameless damage and for damage spread to other units !

B a Standard Unit by-law to shrink the definition of the basic unit/ maximize the owner-insured upgrades.

I am not comfortable with that approach, it has not been tested by the courts here, and I doubt the original lawyers' claims that the sum of individual owners premiums becomes less than the Master Policy premium.

But I personally saw and heard those outcomes blissfully chosen by a half-dozen Boards after our jurisdiction's condo law was changed to make them possible.

4- In conclusion, next time there may be a large corporation deductible, or a unit owner beating hell out of the condo corporation if it persists with trying to flog the "walls in - walls out" formula as to insurable loss and contrary to your state's law.

I explained that similar issue a dozen times to a condo Director online at another site, even deconstructing how our common jurisdiction's Act would have to instead read in order to legalize their approach.

( They had for years been refusing to make Master Policy insurance claims without wrongfully extorted confessions of blameworthiness, thus triggering the unit owner to suck up the corporation's entire deductible under our condo law ). Recently I heard that the stubborn Board continued to ignore and have been cut to ribbons for it in two court judgments.

Good luck with getting your fellow Directors onside and/or the by-laws above.

3
TimB4 (Tennessee)
Posts: 21,062
Posted:
Quote:
Posted By DjB2 on 05/23/2015 5:38 PM

(Even the HOA's insurance agent as well as the district claims supervisor both told the HOA that the claim had been filed against the HOA in error, that it NEVER should have been filed against the HOA, and that they would withdraw the claim against the HOA, and place it fully against the Unit owner's coverage -- but they never did.) In the end our HOA conceded the issue and accepted the claim.

If everyone said that the claim was in error and should be withdrawn, why then did the Association concede?
BobD4 (up north)
Posts: 1,002
Posted:
Tim's point above is a good one and hopefully gets an answer.

The Director in my example above was ADAMANT for several years ( dozens of postings at the condo Forum ) that their corporation's longtime buckshee/voodoo interpretation was the legal one. ( eg "My spouse & I also got treated that way after our unit was damaged before I joined the Board, so our Board's way must be right ! Why can't lawyers & others understand that ? We have done it that way for over 30 years ! " ).

In that Director's case above, the flat out illegality was less dramatic until legislative changes in 1998, but it had been still illegal beforehand.

Condo laws probably reflect legislatures' fear that there will not be enough insurance coverage ( nor even any at all ) after residences are substantially damaged by insurable loss. That fear might be seen in making 'insurable loss master policy outcomes' prevail over the widespread condo scenario of 'owner pays for repairs after breakdowns or deterioration", plus legislated insurance trustee rqeuirements.

Pennsylvania's Title 68 section 3312 (c) even bars the Master Policy from containing a provision allowing the corporation's insurer from 'circularly' recovering payouts from individual unit owners ( Master Policy is legislated to waive subrogation. My own jurisdiction's condo law contains NO such provision, but the 'circularity' danger is real enough - that indirectly it could destroy unit owners without their own insurance - that the industry's policies are believed to always contain such. )

Old habits can be tough to change.
DjB2 (Pennsylvania)
Posts: 49
Posted:
Hello Bob and TimB4, and thank you for all of your feedback and analysis. You asked why our HOA conceded. Well first of all, everyone in the insurance company (it is the same company providing both the HOA Master Policy as well as the Unit owners coverage) told us that the claim should not have been filed against the HOA, that it should have been withdrawn, and filed exclusively against the Unit owner -- that is, everyone except for the adjuster. He refused to change the claim filing; and the only possibility we were left with was a long, drawn out, expensive court battle - which in hindsight we would not have won anyway. We do not have deep pockets or a huge reserve fund, and the insurance company has both, as well as corporate attorneys - so we conceded.
BobD4 (up north)
Posts: 1,002
Posted:
You're welcome.

It is unfortunate if - IF - your insurance jurisdiction does not have some sort of ombudsperson with enough condo competence & credibility to fill in what are sometimes gaps in legal understanding and/or even in the 'factuals'. Periodically even (non-elected )civil judges in my own jurisdiction are viciously mugged by our condominium legislation. So maybe condo insurance claims should get lots of respect & patience.

Or if such disputants could find a competent A.D.R. professional, maybe similar enlightening process too. ( I have a horse in that race, but way too far away to benefit from any of the commenters at this site). Good luck.

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