National Flood Insurance Program: Standard Flood Insurance Policy, Homeowner Flood Form, 8282-8327 [2024-02204]
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Federal Register / Vol. 89, No. 25 / Tuesday, February 6, 2024 / Proposed Rules
DEPARTMENT OF HOMELAND
SECURITY
Federal Emergency Management
Agency
44 CFR Part 61
[Docket ID FEMA–2024–0004]
RIN 1660–AB06
National Flood Insurance Program:
Standard Flood Insurance Policy,
Homeowner Flood Form
Federal Emergency
Management Agency, DHS.
ACTION: Notice of proposed rulemaking.
AGENCY:
The National Flood Insurance
Program (NFIP), established pursuant to
the National Flood Insurance Act of
1968, is a voluntary program in which
participating communities adopt and
enforce a set of minimum floodplain
management requirements to reduce
future flood damages. Property owners
within participating communities are
eligible to purchase NFIP flood
insurance. This proposed rule would
revise the Standard Flood Insurance
Policy by adding a new Homeowner
Flood Form and five accompanying
endorsements. The new Homeowner
Flood Form would replace the Dwelling
Form as a source of coverage for
homeowners of one-to-four family
residences. Together, the new
Homeowner Flood Form and
endorsements would more closely align
with property and casualty homeowners
insurance and provide increased
options and coverage in a more userfriendly and comprehensible format.
DATES: Comments must be received on
or before April 8, 2024.
ADDRESSES: You may submit comments,
identified by Docket ID FEMA–2024–
0004, via the Federal eRulemaking
Portal: https://www.regulations.gov.
Follow the instructions for submitting
comments.
FOR FURTHER INFORMATION CONTACT:
Kelly Bronowicz, Product and Policy
Development Division Director, Federal
Insurance Directorate, Resilience, (202)
646–2559, FEMA-NFIP-FederalInsurance-Policy@fema.dhs.gov.
SUPPLEMENTARY INFORMATION:
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SUMMARY:
I. Public Participation
Interested persons are invited to
participate in this rulemaking by
submitting comments and related
materials. We will consider all
comments and material received during
the comment period.
If you submit a comment, include the
Docket ID FEMA–2024–0004, indicate
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the specific section of this document to
which each comment applies, and give
the reason for each comment. All
submissions may be posted, without
change, to the Federal e-Rulemaking
Portal at https://www.regulations.gov,
and will include any personal
information you provide. Therefore,
submitting this information makes it
public. For more information about
privacy and the docket, visit https://
www.regulations.gov/
document?D=DHS-2018-0029-0001.
Viewing comments and documents:
For access to the docket to read
background documents or comments
received, go to the Federal eRulemaking Portal at https://
www.regulations.gov.
II. Executive Summary
The United States is experiencing
increased flooding and flood risk from
climate change.1 In a recent study,
researchers found that changes in
precipitation contributed to one-third of
the flooding financial costs in the
United States over the past three
decades, totaling almost $75 billion of
the estimated $199 billion in flood
damages from 1988 to 2017.2
Intensifying precipitation associated
with climate change, and the associated
increases in precipitation extremes and
flooding, thus presents a significant
financial risk to homeowners.3
There are four main ways to manage
any risk: (1) acceptance; (2) avoidance;
(3) mitigation; and (4) transference.
Flood risk is a reality. No home is
completely safe from potential flooding.
Just one inch of flood water in a home
can cost more than $25,000 in damage.4
Homeowners must accept that the risk
1 Climate change means that flood events are on
the rise. Climate change is increasing flood risk
through (1) more ‘‘extreme’’ rainfall events, caused
by a warmer atmosphere holding more water vapor
and changes in regional precipitation patterns; and
(2) sea-level rise. See Rob Bailey, Claudio Saffioti,
and Sumer Drall, Sunk Costs: The Socioeconomic
Impacts of Flooding 3 and 8, MarshMcLennan
(2021), found at https://www.marshmclennan.com/
content/dam/mmc-web/insights/publications/2021/
june/Sunk-Cost_Socioeconomic-impacts-offlooding_vF.pdf (last accessed Aug. 28, 2023).
2 Frances V. Davenport, Marshall Burke, and
Noah S. Diffenbaugh, Contribution of historical
precipitation change to US flood damages,
Proceedings of the National Academy of Sciences
of the United States of America, Jan. 2021, 118 (4)
e2017524118; DOI: 10.1073/pnas.2017524118,
found at https://www.pnas.org/content/118/4/
e2017524118 (last accessed Aug. 28, 2023).
3 See also Don Jergler, ‘‘Climate Change Could
Push Flood Losses in U.S. to $40B by 2050,’’
Insurance Journal (Feb. 17, 2022), found at https://
www.insurancejournal.com/news/national/2022/
02/17/654831.htm (last accessed Aug. 28, 2023)
(noting annual flood losses forecasted to increase by
26.4% from $32B to $40.6B).
4 See https://www.floodsmart.gov/flood-insurance/
why (last accessed Aug. 28, 2023).
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of flooding is increasing and with it, the
potential for damage to their property.
Homeowners can seek to reduce risk by
building or purchasing homes away
from natural flood hazards and can seek
to mitigate risk by building or modifying
homes to reduce potential damage from
flooding. Homeowners can also transfer
the risk by purchasing flood insurance.5
Congress created the National Flood
Insurance Program (NFIP) in 1968 to
help share the risk of flood losses
through an insurance program to
provide flood insurance coverage to
those who need such protection.6 In the
context of risk, the NFIP helps
communities avoid and mitigate flood
risk through adoption of floodplain
management ordinances and helps
policyholders transfer flood risk to the
Federal Government.
Over the past five decades, the NFIP
has been implemented primarily by
FEMA (the ‘‘Agency’’) to provide
insurance to reduce the economic
impact of floods.7 The Agency seeks to
update the current Standard Flood
Insurance Policy (SFIP) Dwelling Form
to better serve a growing percentage of
the public looking for ways to manage
their risk through insurance, as they are
now threatened by the increased risk of
flooding. Most homeowners do not have
flood insurance. Some homeowners are
required to purchase flood insurance as
a condition of any federal financial
assistance for acquisition or
construction of buildings in the special
flood hazard area (SFHA) (e.g.,
mortgages, flood disaster grants) or as a
condition of a loan secured by property
in the SFHA while some homeowners
choose to purchase it of their own
volition. The decision to purchase flood
insurance is frequently driven by
whether they are subject to the
mandatory purchase requirement rather
than the actual flood risk to the
property. Homeowners generally find it
difficult to understand low probability/
high impact risks such as flood damage
to their property.8 If purchasing flood
5 Flood insurance is one risk management tool.
‘‘Governments tend to spend significantly more on
disaster response than disaster prevention.’’ Rob
Bailey, Claudio Saffioti & Sumer Drall, Sunk Costs:
The Socioeconomic Impacts of Flooding 9,
MarshMcLennan (2021), found at https://
www.marshmclennan.com/content/dam/mmc-web/
insights/publications/2021/june/Sunk-Cost_
Socioeconomic-impacts-of-flooding_vF.pdf (last
accessed Aug. 28, 2023).
6 See 42 U.S.C. 4001(a).
7 From 1968 to 1979, the Department of Housing
and Urban Development housed the Federal
Insurance Administration, which administered the
NFIP until its transfer to FEMA in Executive Order
12127, 44 FR 19367, 3 CFR, 1979 Comp., p. 376.
8 See Peter John Robinson, W.J. Wouter Botzen,
Howard Kunreuther, Shereen J. Chaudhry, Default
Options and Insurance Demand, Journal of
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insurance is not mandatory, then
homeowners may not be convinced that
they should purchase it. Given the cost
of customer acquisition is high, private
insurance companies generally are not
focused on homeowners that are not
required to purchase flood insurance.9
FEMA has not substantively updated
its flood insurance products—the
Dwelling Form, the General Property
Form, and the Residential
Condominium Building Association
Policy (RCBAP)—since 2000. While
these products have performed ably
over two decades of service, they are
overdue for revision. Consistent with
the National Flood Insurance Act
(NFIA) of 1968, FEMA must provide by
regulation the general terms and
conditions of insurability for properties
eligible for flood insurance coverage. 42
U.S.C. 4013(a). Further, Executive Order
13563, ‘‘Improving Regulation and
Regulatory Review,’’ requires agencies
to complete retrospective analyses of
Economic Behavior and Organization at 2 (2020),
found at https://www.sciencedirect.com/science/
article/pii/S0167268120304765 (last accessed Aug.
28, 2023). See also Rachel Cleetus Overwhelming
Risk: Rethinking Flood Insurance in a World of
Rising Seas, found at https://www.ucsusa.org/sites/
default/files/2019-09/Overwhelming-Risk-FullReport.pdf (last accessed Aug. 28, 2023) at 9: ‘‘In
the wake of Sandy, it was estimated that only 15
to 25 percent of at-risk properties in Special Flood
Hazard Areas (SFHAs) in the Northeast were
insured for flood losses. Many coastal property
owners do not carry adequate insurance or are
simply not insured at all. It is estimated that,
nationally, only 18 percent of households in flood
zone areas, which include inland (lakeside and
riverside) and coastal areas, have flood insurance.’’
9 See Rob Bailey, Claudio Saffioti & Sumer Drall,
Sunk Costs: The Socioeconomic Impacts of
Flooding 24, MarshMcLennan (2021), found at
https://www.marshmclennan.com/content/dam/
mmc-web/insights/publications/2021/june/SunkCost_Socioeconomic-impacts-of-flooding_vF.pdf
(last viewed accessed May 2, 2022Aug. 28, 2023).
See also Noelwah R. Netusil, Carolyn Kousky,
Shulav Neupane, Will Daniel & Howard
Kunreuther, The Willingness to Pay for Flood
Insurance at 33. ‘‘Among those who can afford a
policy, they may not feel it provides value—that it
is not ‘worth it’—if they fail to understand the role
of insurance in their recovery, have challenges in
assessing low probability events, or the policy terms
do not meet their need,’’ found at https://
le.uwpress.org/content/wple/97/1/17.full.pdf (last
accessed Aug. 28, 2023). See also Tom Hammond
Lowering Costs of Customer Acquisition found at
https://www.insurancethoughtleadership.com/
customer-experience/lowering-costs-customeracquisition (last accessed Aug. 28, 2023); Becky
Yerak Direct insurers paying less to attract
customers, found at https://
www.chicagotribune.com/business/ct-customeracquisition-costs-0515-biz-20150515-story.html (last
accessed Aug. 28, 2023); How to Lower Customer
Acquisition Cost in the Insurance Industry found at
https://www.amsive.com/2021/09/14/how-to-lowercustomer-acquisition-cost-in-the-insuranceindustry-amsive/ (last accessed Aug. 28, 2023); and
Insurtechs Need to Ace Customer Acquisition Cost
(CAC) Optimization found at https://
rintupatnaik.medium.com/insurtechs-need-to-acecustomer-acquisition-cost-cac-optimizationb695bc45bf7b (last accessed Aug. 28, 2023).
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existing rules and periodically review
existing significant regulations to
determine whether they should be
modified, streamlined, expanded, or
repealed to better achieve the Agency’s
regulatory objective. 76 FR 3821 (Jan.
21, 2011). FEMA seeks to make these
revisions consistent with the
requirements under the NFIA and
Executive Order 13563. The proposed
new Homeowner Flood Form would
update the general terms and conditions
of insurability under the NFIP while
also modifying the existing regulations
and policy to make the program more
effective and less burdensome for
homeowner policyholders as explained
below. Additionally, consistent with
Executive Order 14058, ‘‘Transforming
Federal Customer Experience and
Service Delivery to Rebuild Trust in
Government,’’ 10 FEMA seeks to
improve the homeowner policyholder
experience with the NFIP through the
proposed Homeowner Flood Form, by
simplifying coverage terms, reducing
complexity, and resolving key
challenges faced by homeowner
policyholders.
The proposed new Homeowner Flood
Form provides a more personalized,
customizable product than the NFIP has
ever offered during its more than 50
years in existence. Currently, the
Dwelling Form serves homeowners,
renters, landlords, mobile homeowners,
and condo unit owners all in a single
policy. The Dwelling Form also
includes different coverage terms for
certain buildings constructed, or
substantially damaged or improved, on
or after the effective date of the
community’s initial Flood Insurance
Rate Map (generally referred to as ‘‘postFIRM buildings’’) in an attempt to
capture all possibilities. The current
structure results in confusion for the
homeowner policyholders looking for
the specific coverage that applies
directly to their situation, and imposes
a series of choices onto consumers
without offering an ability to change
them.
The proposed new Homeowner Flood
Form offers more choices to
policyholders who own their own
homes,11 which help inform
policyholders and prospective
policyholders of increased risk of
flooding and flood damage, and how
best to cover their property as a result.
10 86
FR 71357 (Dec. 16, 2021).
proposed Homeowner Flood Form would
be offered to individuals owning a one-to-four
family residential building. FEMA will evaluate any
changes needed to forms for other types of
policyholders (e.g., other residential and
commercial) based on public comment associated
with this rulemaking.
11 The
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The proposed new Homeowner Flood
Form offers enhanced comprehensive
default coverages. For example, while
much of the default coverage proposed
would mirror existing default coverage
in the Dwelling Form, FEMA is
proposing to shift the default loss
settlement from actual cash value to
replacement cost value to help
policyholders more effectively and more
fully recover from loss. These decisions
FEMA made in setting coverage defaults
(1) nudge homeowner policyholders
toward the more appropriate coverage to
insure against their risk, and (2)
represent FEMA’s strategic objective of
positioning individuals to understand
their risk and take well-informed
actions.12 This rulemaking also
proposes new endorsements for
additional coverages that homeowner
policyholders may want in order to
recover from flood events. A
homeowner policyholder may want to
expand their coverage and therefore
increase their policy’s flood risk
exposure (i.e., purchase the basement
coverage endorsement) even if it means
they will pay more for the additional
coverage, or they may wish to reduce
their premium (i.e., purchase the actual
cash value endorsement) even if it
means they stand to receive a smaller
benefit post-loss. Until now,
homeowner policyholders have been
unable to make any personalized
selections. FEMA is introducing choices
consumers can make in several ways,
through the use of endorsements that
modify coverage. These choices will
help homeowner policyholders learn
about their coverages prior to loss.
The proposed new Homeowner Flood
Form does not presuppose that
homeowner policyholders are
knowledgeable about floodplain
management and flood risk. By
changing coverage based on pre- or postFIRM status, and by having certain
terms only apply to certain zones, the
Dwelling Form presupposes a level of
homeowner policyholder floodplain
management and flood risk knowledge.
Unlike in the Dwelling Form, FEMA is
not proposing to change coverage if the
building covered is not a primary or
principal residence, or if it is pre- or
post-FIRM, or for any other reason.
Ultimately, flood insurance coverage
under the proposed new Homeowner
Flood Form is there to help the
homeowner policyholder recover. The
premiums tied to the coverage choices
homeowner policyholders make would
12 FEMA, 2022–2026 FEMA Strategic Plan, found
at https://www.fema.gov/about/strategic-plan (last
accessed Aug. 28, 2023).
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signal the underlying risk and prompt
mitigation efforts.
The proposed new Homeowner Flood
Form adds directly into the policy terms
flexibilities the Agency has had to
implement via bulletin or other means,
such as special procedures during
catastrophic flood events and advance
payments. These changes would help
homeowner policyholders better
understand the options available to
them and learn about special procedures
under the policy up front, rather than
making them wait to find out via a
bulletin after a flood event.
The proposed new Homeowner Flood
Form also allows for a single deductible
rather than multiple deductibles,
reducing unnecessary administrative
burdens for the homeowner
policyholder. Additionally, the
proposed new Homeowner Flood Form
would provide FEMA with greater
flexibility in implementing the flood
insurance program. The proposed new
Homeowner Flood Form removes
unnecessary provisions of the current
Dwelling Form policy, reducing the
reliance on lists and pushing certain
provisions to the declarations page for
clarity. The insurance industry
recognizes that many policyholders will
not read their insurance policy 13 and
has endeavored to put critical
information onto the declarations page
to increase policyholder understanding
of what is and is not covered. In the
context of the NFIP, policyholders with
basements continue to be surprised that
under the current Dwelling Form, the
policy provides limited coverage in a
basement. Under the proposed new
Homeowner Flood Form, the
declarations page would include
language along the lines that ‘‘This
property includes a basement. The
Homeowner Flood Form provides
limited coverage in a basement.’’ This
upfront tailoring of the policy to suit the
homeowner policyholder’s choices and
the placement of critical information on
the declarations page would reduce the
administrative sludge a homeowner
policyholder faces during the claims
process. Homeowner policyholders
would better understand the coverages
they have selected, information would
be easily accessible on their declarations
page, and their claims should reflect a
better understanding of their coverages.
This better understanding of their
coverages should result in fewer
denials, faster claims payments, and an
13 See Louise Castoria, ‘‘Is there a duty to read
insurance contracts?’’ available at https://
www.propertycasualty360.com/2019/11/07/is-therea-duty-to-read-insurance-contracts/ (last accessed
on Aug. 28, 2023).
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improved customer experience during a
difficult time.
By making these changes and
updating coverage, FEMA seeks to
address the increased risk of flooding
from climate change in several ways.
These ways include (1) re-baselining the
market, (2) introducing optionality, (3)
creating market buzz, (4) creating the
opportunity to build back in more
resilient ways to reduce future flood risk
post-loss, and (5) revamping increased
cost of compliance coverage. First, the
proposed rule would reset the market.
Currently the existing and small private
market for flood insurance sets the
Dwelling Form as a baseline level of
coverage. By revising the coverage in the
proposed Homeowner Form, FEMA
would drive the market in the right
direction to ensure that homeowner
policyholders are able to effectively
transfer their flood risk. By increasing
coverage, people are able to recover
faster so that the last flood does not
leave them more vulnerable to the next
flood.14
Second, FEMA has utilized the ‘‘one
size fits all’’ coverage for policyholders
for 50 years. The proposed Homeowner
Form seeks to address specific needs of
specific homeowner policyholders
through the choices being made
available. FEMA proposes to increase
optionality and require homeowners to
assess their own risks, communicating
those risks through coverage options
and the costs associated with them.
Third, FEMA also anticipates that the
changes in the proposed Homeowner
Form would generate more interest in
flood insurance as the last update
occurred over 20 years ago. This interest
could include insurance agents, for
whom it will be easier to learn about
flood insurance coverage. The proposed
Homeowner Form would make flood
insurance align more with other
insurance products and thus more
accessible to agents, who may then seek
to sell more flood insurance as they
better see the value of coverage for their
clients.
Fourth, FEMA proposes to create the
opportunity to build more resiliently by
introducing provisions in its loss
settlement clause that would enable
homeowner policyholders to replace
their damaged building elements with
flood damage resistant materials. In
addition, these same provisions would
enable homeowner policyholders to
14 See Rob Bailey, Claudio Saffioti & Sumer Drall,
Sunk Costs: The Socioeconomic Impacts of
Flooding 3, MarshMcLennan (2021), found at
https://www.marshmclennan.com/content/dam/
mmc-web/insights/publications/2021/june/SunkCost_Socioeconomic-impacts-of-flooding_vF.pdf
(last accessed Aug. 28, 2023).
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elevate flood damaged machinery and
equipment to reduce the likelihood of
future flood damage.
Finally, FEMA proposes to revamp its
increased cost of compliance (ICC)
provision. Previously, ICC appeared in
the Dwelling Form as Coverage D, and
its inclusion there was incongruous
with the other coverages because it set
out an eligibility framework and
specifically listed out all the covered
and uncovered compliance activities.
FEMA proposes to simplify ICC so
homeowner policyholders can better
understand their ICC coverage, adjusters
can more easily advise homeowner
policyholders to consult their local
floodplain management requirements,
and local floodplain managers have
appropriate discretion.
What follows below is an overview of
the major changes in each section in the
proposed Homeowner Flood Form as
well as an analysis of the degree of
change compared to the Dwelling Form.
A detailed description of the changes is
found later in this preamble.
Section I: Insuring Agreement. This
section proposes a low level of change
from the current Dwelling Form. It
would simplify the language and
organization of the global aspects of the
Form, and replace references to Federal
laws (e.g., the Coastal Barrier Resources
Act and section 1316 of the NFIA) with
a broader statement about conflicts with
Federal law.
Section II: Definitions. This section
proposes a moderate to high level of
change from the current Dwelling Form.
It would eliminate definitions for words
only used once within the policy that
are currently defined in the Dwelling
Form; refine definitions for simplicity
and clarity; make substantive changes to
the definitions for ‘‘Basement,’’
‘‘Building,’’ and ‘‘Flood’’; and add
definitions for new concepts such as
‘‘Flood Damage Resistant Materials’’ and
‘‘Replacement Cost Value.’’
Section III: What We Cover. This
section proposes a moderate to high
level of change from the current
Dwelling Form. It would combine
sections III and IV from the Dwelling
Form to present in one place all aspects
of coverage (i.e., what is covered, what
receives limited coverage, and what is
not covered). It would also incorporate
plain language, remove lists, and
rephrase coverage currently phrased in
the negative. In contrast to the Dwelling
Form that offers different coverage
based on flood zone and pre- or postFIRM designation, the proposed
Homeowner’s Form provides uniform
coverage. In addition:
• Coverage A. It would allow
homeowner policyholders to more
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easily determine the existence of a
basement for coverage purposes as
further explained below.
• Coverage B. Similar to homeowners
insurance coverage, Coverage B would
provide coverage to restore certain
other, non-dwelling buildings to a
functional level. The amount of
coverage would be a sublimit of the
amount selected for Coverage A,
without requiring a separate insurance
policy.
• Coverage C. Due to the
recharacterization of Coverage B for
other buildings, and to align with
homeowners coverage, Coverage C
would address contents coverage and
would expand personal property
coverage to contents located anywhere
in the United States. It would also
clarify that coverage for items stored in
digital format (like cryptocurrency) is
excluded given challenges with proving
loss.
Section IV: Exclusions. This section
proposes a low to moderate level of
change from the current Dwelling Form.
It would limit items excluded from
coverage in this section to those items
excluded based on cause of the loss
consistent with industry practice. It
would address earth movement,
pollutants, increase in hazard, and other
excluded losses under the general
heading of ‘‘Excluded Losses,’’
consistent with other lines of property
coverage. It would keep ‘‘Flood in
Progress’’ as a separate provision, and
explicitly exclude coverage for preexisting damage in a standalone
provision.
Section V: Policy Conditions. This
section proposes a moderate to high
level of change from the current
Dwelling Form. It would separate out
the provisions from section VII of the
current Dwelling Form that specifically
apply to how the policy is administered,
the policyholder-facing underwriting
aspects of the policy. It would state in
simple, plain language the reasons a
homeowner policyholder may cancel
the policy in accordance with current
regulation.15 It would give FEMA
discretion to extend the deadline to
submit proof of loss to 365 days from
the date of loss, and the deadline for
policy renewal to 60 days from the
policy’s expiration date (referred to as a
‘‘grace period’’), following a
presidentially-declared flood disaster in
accordance with the Robert T. Stafford
Disaster Relief and Emergency
Assistance Act. FEMA has established a
business practice of issuing proof of loss
extensions for claims following a major
flood event and grace period extensions
15 See
44 CFR 62.5.
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for flood insurance renewals. The
proposed Homeowner Flood Form
would normalize this course of business
and make the provision discretionary,
not mandatory, so that these flexibilities
not found in the current Dwelling Form
can be leveraged where appropriate. It
would also allow insurers to accept and
make payment on the adjuster’s reports
and allow FEMA to issue special terms
for advance payments not currently
provided in the Dwelling Form.
Section VI: Procedures and Duties
When A Loss Occurs. This section
proposes a moderate to high level of
change from the current Dwelling Form.
The current Dwelling Form includes
various provisions under its section VII
(General Conditions) and the proposed
Homeowner Flood Form would separate
out the provisions that specifically
apply to how losses are proven and paid
for the homeowner policyholder in this
section (i.e., claims issues). It would
simplify the options after a loss and
extend the proof of loss deadline from
the current Dwelling Form deadline of
60 days to 90 days. It would allow
insurers to issue a de minimis advance
payment to insureds up to five percent
of the Coverage A limit of liability
(without requiring the mortgage
company to be on the check). The
proposed Homeowner Flood Form
would fold the deductible section from
the Dwelling Form into a larger section
and introduce language that presents the
deductible as a single deductible rather
than separate deductibles. It would also
simplify loss settlement by removing
distinctions between principal and
primary residences, using replacement
cost value as the default rather than the
current Dwelling Form’s actual cash
value default, and removing all special
situations where only actual cash value
applies.
Section VII: General Conditions. This
section proposes a low to moderate level
of change from the current Dwelling
Form. It would reorganize the sections
alphabetically and simplify language,
add language to capture the ability to
have other insurance from a private
flood carrier not in the current Dwelling
Form, and add sections on ‘‘Death,’’
‘‘Headings and Captions,’’ and ‘‘Your
Options After Our Denial.’’ FEMA is
proposing to add a section on death to
address situations where there are
questions regarding the household
residents, and to help alleviate the
challenges associated with claims
involving a deceased homeowner
policyholder for their survivors. Under
the Dwelling Form, FEMA observed
instances where the family of deceased
policyholders would have their claims
denied by insurers participating in the
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NFIP, on grounds that the SFIP
prohibits assignment of claims. FEMA is
therefore proposing to add a section on
death to address and alleviate the
challenges associated with claims
involving a deceased homeowner
policyholder for their survivors. FEMA
proposes the ‘‘Your Options After Our
Denial’’ section to present in one
location the homeowner policyholder’s
options after denial. This proposed
section would reaffirm to homeowner
policyholders that there are additional
administrative options to work with the
insurer to reach a resolution to a claim,
but also incorporate requirements from
the Bunning-Bereuter-Blumenauer
Flood Insurance Reform Act of 2004 16
explaining the appeals process not
currently found in the Dwelling Form.
III. Background
Congress created the National Flood
Insurance Program (NFIP) through
enactment of the National Flood
Insurance Act of 1968 (NFIA) (Title XIII
of Pub. L. 90–448, 82 Stat. 572), found
at 42 U.S.C. 4001 et seq. The NFIP is a
voluntary Federal program enabling
property owners in participating
communities to purchase flood
insurance as a protection against flood
losses. In exchange, participating
communities must enact floodplain
management regulations that
incorporate the NFIP minimum
floodplain management criteria. The
minimum floodplain management
criteria are designed to: (1) constrict the
development of land which is exposed
to flood damage where appropriate; (2)
guide the development of proposed
construction away from locations which
are threatened by flood hazards; (3)
assist in reducing damage caused by
floods; and (4) otherwise improve the
long-range land management and use of
flood-prone areas. 42 U.S.C. 4102(c).
These NFIP requirements apply to areas
known as special flood hazard areas
(SFHA) in participating communities.
FEMA administers the NFIP so that
the provision of insurance and adoption
of minimum floodplain management
criteria are mutually reinforcing. NFIP
flood insurance indemnifies property
owners from flood losses, reducing the
need for Federal disaster assistance.
And NFIP floodplain management
requirements reduce future flood
damages, thus further reducing the need
for Federal disaster assistance.
In addition to providing flood
insurance and reducing flood damages
through floodplain management, the
NFIP identifies and maps the Nation’s
floodplains. FEMA disseminates maps
16 Public
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depicting flood hazard information to
create broad-based awareness of flood
hazards and to identify the areas where
the minimum floodplain management
requirements apply.
Section 102 of the Flood Disaster
Protection Act of 1973 (42 U.S.C. 4012a)
makes flood insurance mandatory for all
federally-backed mortgages of properties
located in special flood hazard areas.
This is commonly referred to as the
‘‘mandatory purchase requirement.’’
Additionally, Federal agencies are
prohibited from providing loans and
grants to any property located in a
special flood hazard area unless the
property is covered by flood insurance.
See 42 U.S.C. 4012a(a).
In general, the NFIP charges premium
rates sufficient to cover the expected
claims payouts and operating expenses.
Such premium rates are commonly
referred to as risk-based or actuarial
rates. See 42 U.S.C. 4014(a)(1), 4015(b).
In general, FEMA offers only actuarial
rates to all buildings constructed, or
substantially damaged or improved, on
or after the effective date of the
community’s initial Flood Insurance
Rate Map (FIRM), generally referred to
as ‘‘post-FIRM buildings.’’ See 42 U.S.C.
4015(c)(1). However, the NFIA makes
available discounted rates for certain
classes of properties. The most common
discount is for certain policies covering
buildings built or substantially
improved prior to the community’s
adoption of its initial FIRM, generally
referred to as ‘‘pre-FIRM buildings.’’ See
42 U.S.C. 4014(a)(2), 42 U.S.C. 4015(a).
FEMA must also provide discounted
rates for properties newly mapped into
a SFHA for the first time. See 42 U.S.C.
4015(i). FEMA gradually phases out
these discounts within the premium
increase caps set by statute. For the
‘‘first policy year,’’ FEMA must provide
homeowner policyholders of newly
mapped-in properties the newly
mapped discount and increase the
premium ‘‘in accordance with’’ the
Act’s annual limitation of premium
increases until the premium reaches its
full-risk rate. Id.; see also 42 U.S.C.
4014(a)(1) (full-risk rates); 42 U.S.C.
4015(e) (annual limitation).
The NFIA limits annual premium
increases to not more than 18 percent
for any property, with limited
exceptions. 42 U.S.C. 4015(e)(1).
However, this premium increase cap
does not apply (1) to certain pre-FIRM
properties for which the NFIA mandates
FEMA to increase premiums by 25
percent a year until they reach full-risk
rates; (2) to properties within a
community which has experienced a
downgrade in the NFIP’s community
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rating system; 17 (3) where the
homeowner policyholder has changed
the amount of coverage or deductible
amounts; and (4) where the property
was misrated.18 19
The NFIA requires FEMA to provide
by regulation the ‘‘general terms and
conditions of insurability . . .
applicable to properties eligible for
flood insurance coverage.’’ 42 U.S.C.
4013(a). To comply with this
requirement, FEMA adopts the Standard
Flood Insurance Policy (SFIP) in
regulation, which sets out the terms and
conditions of insurance. See 44 CFR
part 61, Appendix A. FEMA must use
the SFIP for all flood insurance policies
sold through the NFIP. See 44 CFR
61.13.
The SFIP is a single-peril (flood)
policy that pays for direct physical
damage to insured property. There are
three forms of the SFIP: the Dwelling
Form, the General Property Form, and
the Residential Condominium Building
Association Policy (RCBAP) Form. The
Dwelling Form insures a one-to-four
family residential building or a singlefamily dwelling unit in a condominium
building. See 44 CFR part 61, Appendix
A(1). Policies under the Dwelling Form
offer coverage for building property, up
to $250,000, and personal property up
to $100,000.20 The General Property
Form insures a five-or-more family
residential building or a non-residential
building. See 44 CFR part 61, Appendix
A(2). The General Property Form offers
coverage for building and contents up to
$500,000 each.21 The RCBAP Form
insures residential condominium
association buildings and offers
building coverage up to $250,000
multiplied by the number of units and
contents coverage up to $100,000 per
building. See 44 CFR part 61, Appendix
A(3). RCBAP contents coverage insures
property owned by the insured
condominium association. Individual
17 The Community Rating System (CRS) is a
voluntary program for communities participating in
the NFIP. The CRS offers NFIP policy premium
discounts in communities that develop and execute
extra measures beyond minimum floodplain
management requirements to provide protection
from flooding. See 42 U.S.C. 4022(b).
18 A misrated policy occurs when a policy
premium is incorrect because one or more rating
characteristics are incorrect. Rating characteristics
used to determine premium include items such as:
loss history, building occupancy, building use, and
primary residency status, among others. For more
information, see https://www.fema.gov/sites/
default/files/documents/fema_nfip-flood-insurancemanual-sections-1-6_oct2021.pdf (last accessd Aug.
28, 2023).
19 There are other exceptions, which are seldom
triggered, for properties where the policy has lapsed
(42 U.S.C. 4014(g)(1)) and where the owner has
refused mitigation assistance (42 U.S.C. 4014(g)(2)).
20 See 42 U.S.C. 4013(b).
21 Id.
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unit owners must purchase their own
Dwelling Form policy in order to insure
their own contents.
In addition to coverage for building or
contents losses, most NFIP policies also
include Increased Cost of Compliance
(ICC) coverage.22 ICC coverage applies
when flood damages are so severe that
the local government declares the
building ‘‘substantially damaged,’’ thus
requiring the building owner to bring
the building up to current community
standards. If a community has a
repetitive loss ordinance, ICC coverage
will also cover compliance requirements
for a repetitive loss structure. ICC
coverage provides up to $30,000 of the
cost to elevate, demolish, floodproof, or
relocate an insured building or any
combination thereof.
IV. Discussion of the Proposed Rule
FEMA last substantively revised the
SFIP in 2000. See 65 FR 60758 (Oct. 12,
2000).23 In 2020, FEMA published a
final rule that made non-substantive
clarifying and plain language
improvements to the SFIP. See 85 FR
43946 (July 20, 2020). However, many
policyholders, agents, and adjusters
continue to find the SFIP difficult to
read and interpret compared to other,
more modern, property and casualty
insurance products found in the private
market.24 To achieve Objective 2.2 of
FEMA’s 2022–2026 Strategic Plan of
building a climate resilient nation (i.e.,
22 ICC
is authorized in 42 U.S.C. 4011(b).
adopted another substantive change in
2003 when it increased the limits for ICC coverage
from $20,000 to $30,000. See 68 FR 9895 (Mar. 3,
2003).
24 See, e.g., The Institutes’ Handbook of Insurance
Policies, American Institute for Chartered Property
Casualty Underwriters, 12th ed. (2018) (containing
copies of modern property casualty forms). The
Insurance Services Office (ISO)’s template
homeowners form (‘‘HO–3’’ form) appears on page
5 and demonstrates the simplicity of this policy
compared to the SFIP. The NFIP receives a high
volume of inquiries on the SFIP, further
demonstrating the challenges in reading and
interpreting the SFIP. Policy inquiries generally
make up 43 percent of the total inquiries received
by FEMA’s ‘‘Ask the Experts’’ tracking system
between 2019 and May 2021. See also Barlow,
Christine G., Personal Flood Insurance Coverage
Guide (2018) at 51: ‘‘The historic flooding from
hurricanes in 2017 has only continued to highlight
the issues with the current NFIP program and its
ability to provide coverage for the claims that
continue to occur. Because of this . . . ISO has
developed a personal flood program to provide the
industry with standalone private flood forms.’’ The
Chapter (Chapter 4) goes on to compare the
coverage to standard homeowner coverage and
reference existing endorsements that agents can use
with their flood form. See also id. at chapter 6 (p.
85): ‘‘Because [the private flood form] was
developed by ISO it bears similarities to the ISO
Homeowners Policy, making it easier to dovetail
coverages so that the insured has no gaps in
coverage. Because of this, many sections of the
flood policy are identical or very similar to the
homeowners policy.’’
23 FEMA
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increasing the number of properties
with flood insurance and ensuring
adequate insurance coverage),25 FEMA
consulted with property and casualty
experts over time 26 and received
valuable suggestions on ways to align
the SFIP’s design with industry
standards and practices and improve its
readability. Accordingly, FEMA
incorporated these suggestions into a
new form of the SFIP, the Homeowner
Flood Form, as well as several
accompanying endorsements to that
form.27 FEMA now proposes to adopt
this new Homeowner Flood Form and
its endorsements. FEMA intends that
this new Homeowner Flood Form will
be more user-friendly and
comprehensible and, as a result, will
make it easier for agents to sell flood
insurance and close the insurance gap.
FEMA is committed to building a
culture of preparedness, and such a
culture necessarily includes
individuals, communities, and
businesses managing risks through
proper insurance coverage. One of
FEMA’s roles is to help people
understand their risk and the available
options to best manage those risks.
Flood insurance is an effective tool to
transfer risk and enable rapid recovery.
The proposed Homeowner Flood form
would help build this culture by better
advising homeowners of their flood
risks and options to manage those risks.
Flooding can be an emotionally and
financially devastating event.
Experience has shown repeatedly that
individuals, communities, and
businesses who manage risk through
insurance accelerate their financial
recovery after a disaster.28 If an
individual does not have adequate
savings to repair or replace their
property, flood insurance will help fill
25 FEMA. 2022–2026 FEMA Strategic Plan.
https://www.fema.gov/sites/default/files/
documents/fema_2022-2026-strategic-plan.pdf.
26 FEMA conducted interviews with flood
insurance professionals in its loaned executive
officer program in spring of 2017. FEMA procured
insurance product expertise from Milliman, Stanley
Parsons, and Hinshaw between 2017–2019. FEMA
engaged with and sought feedback from ten Write
Your Own companies in the summer of 2019.
27 An endorsement is a written document
attached to an insurance policy that modifies the
policy by changing the coverage provided by the
policy. Also known as a ‘‘rider,’’ ‘‘addendum,’’ or
‘‘attachment,’’ an endorsement can add coverage for
acts or things not covered by the original policy,
limit or subtract coverage, add or remove exclusions
or conditions, or otherwise modify the policy.
28 In 2017, a costly year due to Hurricanes
Harvey, Irma, and Maria, the NFIP paid an average
claim amount of more than $90,000, while the
average disaster assistance grant was just $9,000.
See FEMA Fact Sheet on Flood Insurance: A Small
Price to Pay for Peace of Mind at: https://
agents.floodsmart.gov/sites/default/files/floodinsurance-small-price-pay-peace-mind_fact-sheet_
jun20.pdf (last accessed Aug. 28, 2023).
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that gap when a flood occurs. Flood
insurance allows homeowners to
recover quicker by providing the funds
needed to repair or replace property
after a disaster. The proposed
Homeowner Flood Form would provide
homeowners with options to more
quickly receive funds to help accelerate
their financial recovery.
With flood insurance, individuals are
able to financially recover faster. While
grants provided under the Robert T.
Stafford Disaster Relief and Emergency
Assistance Act (‘‘Stafford Act’’) 29 may
support survivors in the immediate
aftermath of a presidentially-declared
disaster, this Federal support is only
intended to meet basic needs as a
survivor moves forward with recovery.
Federal disaster assistance typically
comes in two forms to individuals: a
loan, which must be paid back with
interest, or a FEMA disaster grant,
which averages approximately $5,000
per household.30 A disaster grant is not
intended to make survivors whole and
is not a substitute for insurance. The
average flood insurance claim in 2019
was more than $50,000.31 Maintaining
flood insurance is therefore critical to
rebuilding a home and replacing
belongings following a flood.
Moreover, when a flood results in a
presidentially-declared disaster, flood
insurance not only benefits those
directly affected by a flood, it also
reduces the need for Federal disaster
assistance and lowers costs for
taxpayers. Because one of FEMA’s goals
is to close the Nation’s insurance gap,
and because homeowners make up the
majority of NFIP policyholders, FEMA
is working to encourage homeowners to
better understand their risk and
purchase adequate insurance coverage
to reduce their losses from flood.32
FEMA is proposing this new Form for
that purpose.
The new Homeowner Flood Form,
which FEMA proposes to add to its
regulations at 44 CFR 61 Appendix A(4),
would protect property owners in a oneto-four family residence. Upon
adoption, the Homeowner Flood Form
29 Public
Law 93–288; 42 U.S.C. 5121 et seq.
https://www.floodsmart.gov/floodinsurance/requirements (last accessed Aug. 28,
2023).
31 Id. See also https://www.fema.gov/datavisualization/historical-flood-risk-and-costs (last
accessed Aug. 28, 2023).
32 Although the NFIP does not maintain data on
the ownership status of policyholders, FEMA
estimates that a majority of policyholders are
homeowners. This estimation stems from certain
assumptions based on NFIP eligibility rules and
coverage type (for instance, a policyholder with
building coverage must own the building, and a
policyholder with contents coverage only is likely
a renter).
30 See
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would replace the Dwelling Form as a
source of coverage for this class of
residential properties.33 FEMA would
continue to use the Dwelling Form to
insure landlords, renters, and owners of
mobile homes, travel trailers, and
condominium units. (FEMA will
evaluate any changes needed for these
other types of residential policyholders,
as well as commercial policyholders,
based on public comment associated
with this rulemaking). Compared to the
current Dwelling Form, the new
Homeowner Flood Form would clarify
coverage and more clearly highlight
conditions, limitations, and exclusions
in coverage as well as add and modify
coverages and coverage options. FEMA
also proposes adding to its regulations
five endorsements to accompany the
new Form: Increased Cost of
Compliance Coverage, Actual Cash
Value Loss Settlement, Temporary
Housing Expense, Basement Coverage,
and Builder’s Risk. These endorsements,
which FEMA proposes to codify at 44
CFR 61 Appendices A(101)-(105),
respectively, would give homeowner
policyholders the option of amending
the Homeowner Flood Form to modify
coverage with a commensurate
adjustment to premiums charged.34
Together, the Homeowner Flood Form
and accompanying endorsements would
increase options and coverage for
owners of one-to-four family residences.
A. 44 CFR 61.2: Definitions
44 CFR 61.2 provides that the
definitions set forth in 44 CFR part 59
apply to 44 CFR part 61. FEMA
proposes to revise this provision to
clarify that the definitions set forth in
part 59 apply to part 61, including
appendices, but if an appendix defines
a term differently, that definition
controls for the purposes of that
appendix. FEMA proposes this revision
for clarity and accuracy.
B. 44 CFR 61.13: Standard Flood
Insurance Policy
44 CFR 61.13 describes the Standard
Flood Insurance Policy. Section
61.13(a), ‘‘Incorporation of forms,’’
states that each of the SFIP forms
included in Appendix A hereto (General
33 FEMA estimates that roughly 88.4% of current
Dwelling Form policyholders are homeowners and
therefore would use the proposed Homeowner
Flood Form. Homeowners as a percentage of
policyholders was estimated using data from the
PIVOT database from 2010 through 2019. The
PIVOT database is the NFIP’s official system of
record which contains NFIP information.
34 These endorsements would be available to
homeowner policyholders to amend only the
Homeowner Flood Form; they would not be
available to amend the current SFIP forms for other
types of policyholders.
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Property, Dwelling, and Residential
Condominium Building Association)
and incorporated herein shall be
incorporated into the SFIP. FEMA
proposes to remove ‘‘(General Property,
Dwelling, and Residential
Condominium Building Association)’’
so that the provision states simply that
each of the SFIP forms included in
Appendix A hereto and by reference
incorporated herein shall be
incorporated into the SFIP. The removal
of this phrase would allow FEMA to
incorporate the new Homeowner Flood
Form, as well as any additional forms
that FEMA may implement in the
future, without having to revise this
section upon issuance of each new form.
C. Appendix A(4): Homeowner Flood
Form
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As mentioned above, FEMA has not
substantively updated the SFIP since
2000. While the SFIP has performed
ably over the last two decades, FEMA
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recognizes that changes in consumer
expectations, technology, and the
insurance industry over the last 20 years
warrant an update to it. The new
Homeowner Flood Form and its
accompanying endorsements would
provide a more personalized,
customizable product than the NFIP has
offered during its 50 years. In addition
to aligning with property and casualty
homeowners insurance, the result
would increase consumer choice. For
instance, rather than universally
limiting basement coverage, the new
Form allows homeowner policyholders
to choose their coverage based on their
understanding of flood risk and the
coverage they desire. The Form would
also simplify coverage, such as offering
the same coverage on a building
regardless of whether it is a primary
residence or not, or pre- or post-FIRM,
and removing the importance of flood
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zones for purposes of coverage.35
Ultimately, the purpose of coverage is to
help homeowner policyholders recover,
and FEMA anticipates that the
premiums tied to homeowner
policyholders’ coverage choices would
signal the underlying risk and prompt
mitigation efforts.
The following chart illustrates how
homeowner policyholders could
customize their policy at the point of
sale:
BILLING CODE 9111–52–P
35 Although the Form would offer the same
coverage regardless of flood zone, the premiums
charged would continue to differ based on risk. For
instance, owners of riskier buildings, such as preFIRM buildings and buildings with the lowest level
below Base Flood Elevation, would continue to pay
more in premiums for the same level of coverage
compared to a building carrying less risk. This is
because the NFIP will continue charging the most
accurate actuarial rates it can based not just on
flood maps, but other information (such as distance
to water sources and elevations) as improvements
in technology allow, as discussed in greater detail
below.
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Policyholder with Agent: Homeowner Flood Form Point of Sale-Choice Architecture
-AGENT
Do y0u want to cover
your property for tlooi:l?
Yes
AGENT
Is properly eligible
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for NFfP coverage?
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AGENT
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AGENT
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AGENT
AGENT
Do you wantto add
more coverage tor
the basement?
Discuss
No
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AGENT
AGENT
Doyouwantto
reduce your
premium by
agreeing to use
the depreciated
values for any
flOOd-damaged
property ln the
event of a 1-0ss'l
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AGENT
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uninhabitable?
anyef1SCOunts and
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team more about
ddrumheller on DSK120RN23PROD with PROPOSALS2
BILLING CODE 9111–52–C
Simplifying the Policy for Homeowner
Policyholders and Plain Language
Efforts
The Form would provide FEMA with
greater flexibility in administering flood
insurance. Unlike the Dwelling Form,
which is highly prescriptive and
includes long lists of covered items, the
new Form would further incorporate
plain language, remove unnecessary
provisions, reduce reliance on lists, and
highlight certain specifics on the
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*Theagentwoufd feada d/scUSSion about11owa
basement is defined, coverage options available to
fhepof,cyholder,, and the pnc/rig of those options_
Final Premium
Quote
.
.
declarations page. Moreover, the Form
would add in flexibilities, like special
procedures during catastrophic flood
events.36 Altogether, the proposed
36 FEMA
currently provides special procedures
for catastrophic events through bulletins issued on
a catastrophe-by-catastrophe basis. See e.g., Bulletin
W–17030, ‘‘Activation of NFIP Catastrophic Event
Enhanced Claim Payment Process for Hurricane
Harvey,’’ (Sept. 3, 2017), found at https://
nfipservices.floodsmart.gov/sites/default/files/w17030.pdf (last accessed Aug. 28, 2023); Bulletin
W–17031a, ‘‘Guidance for Advance Payments for
Hurricane Harvey,’’ (Sept. 4, 2017), found at https://
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...
products would allow FEMA to provide
homeowners with better, more tailored
coverage.
nfipservices.floodsmart.gov/sites/default/files/w17031a.pdf (last accessed Aug. 28, 2023); Bulletin
W–17035, ‘‘Hurricane Harvey Enhanced Claim
Handling for Prior Loss and Contents Claims under
the Dwelling Form of the SFIP,’’ (Sept. 9, 2017),
found at https://nfipservices.floodsmart.gov/sites/
default/files/w-17035.pdf (last accessed Aug. 28
2023). FEMA proposes to incorporate these special
procedures into the Homeowner Flood Form for
ease of administration and to increase transparency.
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As an insurance contract, the new
Form has to be capable of being read
from start to finish as well as quickly
navigable to find the specific
information in the event of an issue or
a loss. To maintain certain decades-old
foundational concepts, limit
implementation errors, and minimize
disruption to the administration of the
NFIP, FEMA found it necessary to favor
certain flood insurance terminology
and/or terms of art even where the
phrasing may seem stuffy or
overworked. FEMA is proposing several
changes with plain language in mind
and seeks comment on whether the
proposed changes result in the desired
clarity. Specifically, FEMA proposed to
change the organization of the policy,
such that fewer sections are provided in
the overall policy and similar concepts
are grouped together to allow the reader
to know what is and is not covered
without having to review a section and
then have to return to it again for clarity.
FEMA is also proposing to add headers
and captions to guide the reader and
improve comprehension. Insurance
professionals often ‘‘speak by citation,’’
quoting the policy provisions by
location rather than name. The headers
and captions will help non-insurance
professionals quickly understand what
is in those citations. FEMA proposes
italicizing defined terms throughout the
policy as a signal to the reader that this
is one of those defined terms they read
and thus allowing the reader to refer
back to the definitions as appropriate.
FEMA is also proposing to define
specific terms not used elsewhere in the
policy within the clause. For example,
‘‘pollutants’’ is defined in the proposed
III.A.3.d, rather than in the proposed
section II. FEMA is proposing to remove
technical information. The Dwelling
Form makes reference to specific flood
zones, post-FIRM buildings, and defines
numerous terms not relevant to the
policyholder with coverage under the
SFIP. FEMA also seeks comment on
other ways the Form can be revised to
improve the policy’s language and
decrease confusion.
Potential Benefits and Impacts on
Disadvantaged Communities
FEMA believes that the proposed
changes to the Homeowner Flood Form
will reduce burdens on low-income and
other disadvantaged communities
particularly affected by changing
conditions and increased flooding.
FEMA’s current authority requires
actuarial rates, which can impact lowincome and other disadvantaged
communities. By offering choices such
as options for actual cash value or
replacement cost value coverage and
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basement coverage options, FEMA
believes that homeowner policyholders
can make a value judgment regarding
the extent of their coverage.37 FEMA
seeks specific comment on the potential
benefits and impacts of this proposed
rulemaking on various geographic
regions and communities, including
based on income, insurance access, and
affordability.
Premium Rates
The changes proposed in this rule
would generally not impact the NFIP’s
premium structure. A decision to select
more robust coverage, as with all
insurance coverage, would result in
increased premiums.
Homeowner Flood Form
1. Section I: Insuring Agreement
FEMA proposes to consolidate
multiple sections from the Dwelling
Form into one larger section.
Specifically, elements of sections I and
X of the Dwelling Form appear in
proposed section I.A on governing law
to make clear that this is a Federal
policy and is governed by Federal law.38
Proposed section I.A would retain the
language indicating that Federal law
governs all disputes regarding the policy
and claims handling. Standard Flood
Insurance Policies are sold by private
WYO insurance companies and directly
to the public by FEMA’s direct servicing
agent, NFIP Direct. Because the NFIP is
national in scope and accomplishes a
number of programmatic missions in
addition to making affordable flood
insurance generally available to the
public, the SFIP provides that its terms
cannot be altered, varied, or waived
except by the written authority of the
Federal Insurance Administrator.39 The
Administrator intends that the same
benefits should be available to all those
insured wherever the insured property
is located, or whether the policy is
purchased from a WYO insurance
company or from NFIP Direct. There is
a continued need for uniformity in the
interpretation of and standards
37 FEMA believes additional equitable and
affordability solutions require legislative change.
See generally https://www.fema.gov/floodinsurance/rules-legislation/congressionalreauthorization/legislative-proposals (last accessed
Aug. 28, 2023).
38 See generally 42 U.S.C. 4011(a), 4053, 4072; 44
CFR 59.2, 61.5(e), 62.22, 62.23(g).
39 See also Nelson v. Becton, 929 F.2d 1287, 1291
(8th Cir. 1991) (‘‘The purpose of the National Flood
Insurance Program is to provide flood insurance,
which otherwise would not be available, on a
uniform nationwide basis. To apply the varying
reasonable expectations doctrines of the insurance
laws of individual states would ‘frustrate [these]
specific objectives of the Federal program[ ]’ ’’
(citing United States v. Kimbell Foods, 440 U.S.
715, 728 (1979))).
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applicable to the policies and their
administration. FEMA is reiterating the
policy language pertaining to applicable
law to emphasize that matters
pertaining to the SFIP are governed
exclusively by Federal law. Proposed
section I.B on conflicts with Federal law
would eliminate the need to list specific
legal authorities that currently or could
eventually conflict with the policy.40
Listing all potentially applicable laws
here is unnecessary, unwieldly, and
constrains any future flexibility.
Consistent with the goals of updating
the SFIP, this revised section would
increase readability and
comprehensibility.
Like the Dwelling Form at section I.C,
proposed section I.C of the new Form
would detail the terms of the agreement
to pay for direct physical loss by or from
flood and would also state that a
homeowner policyholder would only
receive compensation up to the limits of
liability listed on the declarations page.
This proposed section would continue
to clarify that the ‘‘full amount due’’
includes applicable premiums,
surcharges, and fees to help homeowner
policyholders understand that the full
amount due can be reduced by these
outstanding amounts. Additionally, the
section would require that the
information furnished by the
homeowner policyholder be ‘‘complete’’
and accurate to negate incomplete proof
of loss issues that can delay claims
processing.
Proposed section I.D would move the
policy term (currently in the Dwelling
Form at section VII.E.1) to the front of
the agreement section, separated from
the policy renewal content, to make
clear to the homeowner policyholder at
the top of the form, how long the
agreement lasts. Proposed section I.E
would incorporate the liberalization
clause from the Dwelling Form (article
IX), authorizing FEMA to make changes
that broaden coverage without an
additional premium and making those
changes automatically apply to the
policy as of the date the change is
implemented with certain caveats.
Throughout the policy, FEMA proposes
to modify timeframes to ensure clarity
on how days are calculated under the
policy. For example, proposed section
I.E. would specify a 60 ‘‘calendar’’ day
window prior to or during the policy
term rather than a 60-day window as the
Dwelling Form provides. The NFIP
40 For example, the current Dwelling Form
contains references to other legal authority
throughout, such as in sections IV.15 (referencing
the Coastal Barrier Resources Act, the Coastal
Barrier Improvement Act, and related amendments)
and V.E (discussing leasing land from the Federal
Government).
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currently operates based on calendar
days, and specifying this in the policy
promotes consistency and transparency,
reducing the likelihood that a
homeowner policyholder might wrongly
assume that ‘‘days’’ are ‘‘business’’ days.
Finally, proposed section I.F would
retain the right of review language
currently in section I.D of the Dwelling
Form and incorporate concepts from
section VII.D of that form, including the
right to request additional information
and revising the amounts due from the
homeowner policyholder based on any
information reviewed. These revisions
would ensure the homeowner
policyholder is aware of the key terms
of the agreement at the onset.
3. Section II: Definitions
First, FEMA proposes to retain in
proposed section II.A the upfront
clarification that the pronouns ‘‘you’’
and ‘‘your’’ refer to the insured(s), and
that ‘‘we,’’ ‘‘us,’’ and ‘‘our’’ refer to the
insurer. This clarification concerning
the use of pronouns has been in the
current SFIP forms since 1982,41 and
retaining this clarification comports
with plain language guidelines.42 FEMA
proposes to move the language currently
in section II.A of the Dwelling Form
regarding the policyholder’s spouse and
the language defining ‘‘insured(s)’’ to a
new definition for ‘‘Insured(s).’’ FEMA
also proposes not to retain the statement
that some definitions are complex due
to their presence in statute, regulation,
or case law, because this sentence is
unnecessary.
In section II.B, FEMA proposes to
change the definition of ‘‘flood.’’ FEMA
proposes ‘‘Flood’’ to mean a general and
temporary condition of partial or
complete inundation of normally dry
land from (1) overflow of inland or tidal
waters; (2) unusual and rapid
accumulation or runoff of surface waters
from any source; (3) mudflow, defined
as a river of liquid and flowing mud on
the surface of normally dry land, as
when earth is carried by a current of
water; or (4) sudden erosion or
undermining of land along the shore of
a lake or similar body of water caused
by waves or currents of water exceeding
anticipated cyclical levels that causes
collapse or subsidence of land resulting
in a flood. FEMA proposes not to retain
the language currently in the Dwelling
Form at section II.B.1 limiting flood to
41 Prior to 1982, the forms referred to ‘‘insurer’’
and ‘‘insured’’ throughout. See e.g., 44 CFR 61 App.
A(1) (1981).
42 See ‘‘Federal Plain Language Guidelines,’’ Mar.
2011, at 30, found at https://
www.plainlanguage.gov/media/
FederalPLGuidelines.pdf (last accessed Aug. 28,
2023).
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two or more acres, or two or more
properties, one of which is the
policyholder’s, because it is
unnecessarily restrictive: It deviates
from the definition at 44 CFR 59.1,
which does not include this limitation,
and flood insurance adjusters can
experience issues with finding a second
property to qualify as a flood, or
accessing other properties to investigate
whether flooding occurred. FEMA
proposes to define ‘‘mudflow’’ where it
appears (i.e., within the definition of
flood), rather than later in the
definitions, to save homeowner
policyholders from having to reference
a separate part of the policy for it. This
is a change to the location of the
definition, and not the meaning, as
FEMA would continue to use the
definition of ‘‘mudflow’’ from the
Dwelling Form. FEMA’s proposed subdefinition for ‘‘erosion’’ is substantively
the same as the Dwelling Form’s except
that it specifies that the erosion must be
sudden, making it clear that gradual
erosion would not result in a flood
under the policy. These proposed
changes to the definition of ‘‘Flood’’
would simplify coverage; FEMA does
not intend to broaden or narrow
coverage here, and would continue to
limit coverage where a homeowner
policyholder causes a flood or where the
cause is wind-driven rain (through a
roof or window, etc.) or some other
water source (see proposed section
IV.A.5).
FEMA proposes to relocate and revise
the definition of ‘‘Building’’ and
incorporate a revised definition of
‘‘Basement’’ and add a definition for
‘‘Enclosure’’ within proximity of the
definition of ‘‘Building’’ in section II.C.
This relocation of terms will make it
easier to read the definiition of the
structural elements applicable to
buildings in context of one another.
‘‘Building’’ would be defined as ‘‘a
structure, the construction of which has
been completed, that has a fully secured
roof and solid, vertical, load-bearing
walls and is affixed to a permanent
site.’’ FEMA proposes to replace the
phrase ‘‘two or more outside rigid
walls’’ with ‘‘solid, vertical, loadbearing walls’’ because this description
is more accurate, and specifying a
number is unnecessary as ‘‘walls’’ is
already plural. This proposed definition
would not include the sub-definitions
for mobile homes or travel trailers
because, as mentioned above, owners of
these units would continue to be
covered under the Dwelling Form.43 In
43 The proposed Homeowner Flood Form may
insure some manufactured homes. Guidance
regarding this coverage will be detailed in future
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addition, FEMA proposes to remove
references to gas or liquid storage tanks,
shipping containers, recreational
vehicles, park trailers, or other similar
vehicles—because as these are not
buildings, specifically excluding them
from the definition is unnecessary.
Under the current Dwelling Form at
section II.C.5, a ‘‘Basement’’ is defined
as ‘‘[a]ny area of a building, including
any sunken room or sunken portion of
a room, having its floor below ground
level on all sides.’’ Sometimes this
definition does not align with
homeowner policyholder expectations
that may consider what is defined in the
Dwelling Form as a basement to be the
first floor of their home.44 Under the
current Dwelling Form, coverage is
limited in basements to specific items
and homeowner policyholders cannot
choose to increase coverage if they want
it for areas of their home they may not
otherwise consider to be a ‘‘Basement.’’
The proposed definition for ‘‘Basement’’
would state that a basement is ‘‘any area
of a building having its floor level below
ground level on all sides, regardless of
design or use.’’ The proposed definition
would further clarify that ‘‘An area of a
updates to the underwriting rules used by the
Program.
44 See Donovan Finn and John Travis Marshall,
Superstorm Sandy at Five: Lessons on Law as
Catalyst and Obstacle to Long-Term Recovery
Following Catastrophic Disasters, 48 Envtl. L. Rep.
10494 (2018), found at https://
commons.library.stonybrook.edu/cgi/
viewcontent.cgi?article=1004&context=somas_
articles (last accessed Aug. 28, 2023). ‘‘For instance,
consider flood insurance regulations and the
seemingly simple question: what is a basement? In
many parts of the country that would cause little
confusion; according to the NFIP a basement is
‘[a]ny area of the building having its floor subgrade
(below ground level) on all sides.’ However, this
seemingly straightforward definition became a
source of significant concern for many building
owners after Sandy. In New York City, Hoboken,
Jersey City, and other municipalities in the region,
the NFIP definition of a basement also technically
describes many thousands of housing and retail
units at the lowest level of attached row houses that
are known in the local vernacular as ‘ground floor’
or ‘garden units.’ Such units may be located
anywhere from a few inches to three feet below
grade and, if conforming to stipulations in local
laws, are legal for use as individual apartments,
shops, offices, or fully habitable levels of a singlefamily home. Many buildings containing this kind
of unit actually have an additional cellar or
basement level underneath this ‘ground’ level.
However, while these units may sit above a second
basement, and although they are discrete legal
residences or commercial units according to local
zoning and building codes, these units are classified
by FEMA as basements and are therefore ineligible
for NFIP reimbursement. One infamous case
involved a Hoboken resident whose NFIP claim was
denied because his apartment was determined to be
0.13 inches below grade.’’ See also https://
www.wxyz.com/news/what-does-fema-cover-ifyoure-denied-help-after-floods-here-are-some-otheroptions (last accessed Aug. 28, 2023) and https://
www.wxyz.com/news/why-many-people-are-beingdenied-fema-flood-assistance (last accessed Aug.
28, 2023).
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building is below ground level when the
land touching the exterior of the
building is above its floor level. An area
of a building is presumed to be below
ground level when it is necessary to
walk up steps or a slope to reach the
land surrounding the building. A
professional land survey or report may
rebut this presumption.’’
FEMA proposes this definition to
better explain its application to the area
in the building, to the extent the
definition is not aligned with a
homeowner policyholder’s conception
of a basement. This proposed definition
would better allow homeowner
policyholders and their agents to
identify whether they have a basement
at the point of sale. The Homeowner
Flood Form offers homeowner
policyholders limited coverage for a
basement by default. FEMA seeks
comment on this proposed definition of
basements to better address the needs
and understanding of homeowner
policyholders.
‘‘Enclosure’’ would mean an area that
exists below the dwelling and used in
accordance with local floodplain
management ordinances or law for the
parking of vehicles, building access, or
storage, and is shown on the
declarations page. FEMA proposes this
new definition to more clearly
differentiate enclosures from basements.
FEMA is proposing to relocate the
definitions currently found in section
II.B of the Dwelling Form to section II.D
and is proposing to include or modify
several, but not all, definitions that are
currently in the Dwelling Form, and to
add several others. First, FEMA
proposes to retain, with minimal to no
changes, the definitions for ‘‘Act,’’
‘‘Described Location,’’ ‘‘National Flood
Insurance Program,’’ and ‘‘Policy.’’
‘‘Act’’ would continue to be defined as
the National Flood Insurance Act of
1968 (42 U.S.C. 4001 et seq.).
‘‘Described Location’’ would be defined
as the location of the insured building,
as shown on the declarations page. The
‘‘National Flood Insurance Program’’
would continue to be defined as
FEMA’s program of flood insurance
coverage and floodplain management
administered under the ‘‘Act.’’ Lastly,
the definition for ‘‘Policy’’ would
specify that it is the entire written
contract between the homeowner
policyholder and FEMA to include: (1)
the Homeowner Flood Form; (2) the
completed application for insurance; (3)
the declarations page; (4) any
endorsements issued; and (5) any
addenda FEMA attaches to the Form
upon application or renewal.
FEMA proposes minor, but somewhat
more meaningful changes to the
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definitions for ‘‘Actual Cash Value,’’
‘‘Declarations Page,’’ ‘‘Direct Physical
Loss By or From Flood,’’ and
‘‘Dwelling.’’ The definition for ‘‘Actual
Cash Value’’ would continue to be the
cost to replace an insured item of
property at the time of loss, but FEMA
proposes to replace the phrase ‘‘less the
value of its physical depreciation’’ with
‘‘less depreciation based on its age and
condition.’’ FEMA proposes to specify
that depreciation is based on the
insured item’s age and condition to
explain what ‘‘physical depreciation’’
means. The definition for ‘‘Declarations
Page’’ would state that it is a document
provided to homeowner policyholders
summarizing the coverage limit(s),
premium, insured(s), and other
information about the policy, and that it
is a part of the policy. FEMA proposes
this definition because it is more
modern than the Dwelling Form’s
current definition of a ‘‘computergenerated summary. . . .’’ FEMA
proposes ‘‘Direct Physical Loss By or
From Flood’’ to mean actual physical
loss or damage to the insured property
directly caused by a flood. FEMA chose
not to retain the sentence currently in
the Dwelling Form that ‘‘there must be
evidence of physical changes to the
property.’’ The addition of the words
‘‘actual physical’’ to describe loss or
damage to the insured property obviates
the need for that sentence and makes it
clearer that FEMA may only pay for
physical loss or damage directly caused
by a flood. Lastly, FEMA proposes to
define ‘‘Dwelling’’ as a building in use
as a one-to-four family residence, and
specify that it is not a mobile home,
travel trailer, or condominium unit.
FEMA proposes to specify that mobile
homes, travel trailers, or condominium
units are not ‘‘dwellings’’ under this
Form because FEMA intends that this
Form only cover homeowners of one-tofour family site-built residential
buildings. At this time, the Dwelling
Form would continue to serve as the
Standard Flood Insurance Policy Form
covering mobile homes, travel trailers,
and condominium units, as well as
landlords and tenants.
FEMA proposes to add definitions for
‘‘Administrator,’’ ‘‘Claim,’’ ‘‘Flood
Damage Resistant Materials,’’
‘‘Insured(s),’’ ‘‘Machinery and
Equipment,’’ ‘‘Proof of Loss,’’ and
‘‘Replacement Cost Value.’’ FEMA
proposes to specify that
‘‘Administrator’’ refers to the FEMA
Administrator or designee for clarity.
FEMA proposes to define ‘‘Claim’’ as
the homeowner policyholder’s assertion
that (s)he is entitled to payment for a
covered loss under the terms and
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conditions of the policy and specify that
there is only one claim per flood event.
This definition would complement the
proposed definition for ‘‘Proof of Loss.’’
FEMA proposes to define ‘‘Flood
Damage Resistant Materials’’ as building
materials identified by the
Administrator as resistant to flood
damage to encourage homeowner
policyholders to rebuild smarter. Use of
materials that are resistant to flood
damage reduces the likelihood of
replacement in a future flood, and the
ability to clean and repair items instead
of replacing them would likely result in
net savings to the NFIP and its
policyholders. The definition of
‘‘Insured(s)’’ would include the
homeowner policyholder and (1) any
additional persons identified on the
declarations page; (2) any mortgagee or
loss payee named in the application for
insurance, as well as any other
mortgagee or loss payee determined to
exist at the time of loss; and (3) the
homeowner policyholder’s spouse, if a
resident of the same household. This
definition is substantively the same as
the definition of ‘‘you’’ from the
Dwelling Form in II.A, but includes the
homeowner policyholder’s spouse here,
to simplify and consolidate in one place
the concept of who has an interest
under the policy. FEMA proposes to
specify that ‘‘Machinery and
Equipment,’’ when contained within a
building at the described location,
would include functional electrical,
plumbing, heating, cooling, and safety
elements necessary for the operation of
a building, and elevators. Outside of a
building, ‘‘Machinery and Equipment’’
would include a heating and air
conditioning system’s condenser unit
and heat pump, solar panels, and
permanently installed whole house
standby generators when these units are
connected to and are servicing a
building at the described location.
FEMA proposes this definition to avoid
long lists of items in the coverage
section. The coverage limitations in the
Dwelling Form (at III.A.8) appear in a
list of 17 items. This new definition
would condense these 17 entries into a
single definition. While the new
definition would still call out some
items specifically, it is FEMA’s position
that this more condensed, succinct
approach would be less cumbersome to
homeowner policyholders and give the
Agency increased flexibility in its
implementation of the NFIP.45 FEMA
45 The NFIP Claims Manual currently explains
each of the 17 items listed in section III.A.8.a of the
Dwelling Form, and the explanations of these items
can also include several related items themselves.
See National Flood Insurance Program Claims
Manual (May 1, 2020), found at https://
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also anticipates applying this definition
during loss settlements to encourage
homeowners to move these relatively
costly items from their basements/lower
enclosures to a less risky area of the
property, increasing savings to the NFIP
and its policyholders. FEMA would
define ‘‘Proof of Loss’’ as a signed and
sworn statement by the homeowner
policyholder containing documentary
evidence in support of one’s loss and
the amount one is claiming. FEMA
proposes to define this term to mitigate
confusion over what a proof of loss is,46
further differentiate proof of loss from a
claim, and to facilitate implementation
of proposed V.E, ‘‘Disaster Conditions.’’
Lastly, ‘‘Replacement Cost Value’’
would mean the necessary cost, without
deduction of depreciation, to repair or
replace an item of property at the time
of loss with an item of like kind and
quality. FEMA proposes to add this
definition because the new Homeowner
Flood Form would offer homeowner
policyholders replacement cost value as
the default, rather than actual cash
value as the Dwelling Form does, so
defining the term would assist FEMA in
administering the Form.
Finally, FEMA proposes not to carry
over into the new Homeowner Flood
Form three definitions currently in the
Dwelling Form: ‘‘Base Flood,’’
‘‘Deductible,’’ and ‘‘Principal
Residence.’’ Because ‘‘base flood’’
would not have any impact on the terms
and conditions of insurability in the
new Form, defining it would be
www.fema.gov/sites/default/files/2020-07/fema_
nfip_claims-manual_2020.pdf (last accessed Aug.
28, 2023) (‘‘Claims Manual’’). For instance, the
Claims Manual explains that ‘‘nonflammable
insulation in a basement’’ [III.A.8.a(10)] includes
the nonflammable insulation in walls and ceilings
between joists in the lowest elevated floor and
unfinished protective weather barriers affixed to
floor joists and unattached protective barriers
located in a crawlspace. Id. at 41. In addition, ‘‘well
water tanks and pumps’’ [III.A.8.a(15)] include
pressure switches, pressure valves, and gauges. Id.
at 43. The removal of these lists would provide
FEMA flexibility to the extent that the Agency can
continue to clarify in the Claims Manual terms
defined in the policy.
46 During the aftermath of Superstorm Sandy,
policyholders and their representatives attempted
to submit ‘‘placeholder’’ proofs of loss where they
filled out the coversheet for FEMA’s Proof of Loss
Form (FEMA Form 086–0–9) with ‘‘TBD’’ on every
line. This was not appropriate or within the terms
of the SFIP, creating problems for these
policyholders and for FEMA. (In this case, the
insurance carriers had to deny these claims because
these policyholders failed to meet the requirements
of the SFIP. Many of these policyholders pursued
litigation, creating the need for FEMA’s NFIP
Transformation Task Force established in 2015).
See NFIP Bulletin w–14036, found at https://
nfipservices.floodsmart.gov/sites/default/files/w14036.pdf (last accessed Aug. 28, 2023) and NFIP
Bulletin w–12092a, found at https://
nfipservices.floodsmart.gov/sites/default/files/w12092a.pdf (last accessed Aug. 28, 2023).
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unnecessary. Because ‘‘deductible’’ is a
commonly understood term in the
insurance industry, it is FEMA’s
position that including a definition for
it would be unnecessary. In addition,
because the Homeowner Flood Form
would not vary coverage between
principal and secondary, etc.,
residences, defining the term ‘‘principal
residence’’ would likewise be
unnecessary.
4. Section III: What We Cover
FEMA proposes to incorporate
language currently in the Dwelling Form
with section III to improve the customer
experience by presenting the material in
a more organized manner. The Dwelling
Form addresses property covered
(article III), property not covered (article
IV), and exclusions (article V) in
different sections. In proposed section
III, FEMA addresses in a single section
what the policy covers, where coverage
is limited, any conditional coverage,
and then property that is not covered.47
The proposed changes to Coverages B
and C also generally align with coverage
specifically for homeowners, the focus
of this proposed form. These changes
also remove lists and ‘‘hidden’’ coverage
and simplify policy language to enhance
understanding and functionality of the
policy. Relying on the definitional
concepts instead of specific lists gives
FEMA the opportunity to clarify
coverage and improve readability of the
form while also providing increased
flexibility to implement the policy.
FEMA proposes to rephrase coverage
that is currently phrased in the negative
in the Dwelling Form to ensure a better
understanding of coverage. The
proposed revisions would also remove
all references to flood zones in special
flood hazard areas, and instead provide
universal default coverage that applies
to all buildings regardless of flood zone.
These revisions reduce the complexity
of the policy, as homeowner
policyholders may not immediately
recall what zone they are in. These
revisions also help alleviate concerns
raised in understanding flood risks
through mapping alone and allowing
the premium to inform the homeowner
policyholder about flood risk.
FEMA proposes to remove specific
dollar amounts from the policy, giving
the Agency the ability to increase these
47 FEMA includes ‘‘property not covered’’ in
proposed section III, ‘‘What We Cover,’’ rather than
proposed section IV, ‘‘Exclusions,’’ to conform with
industry standards and address in the same section
those items for which the policyholder has the
burden of proof. The burden of proving that
property is covered falls on the insured, but the
burden of proving that property is excluded falls on
the insurer.
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limits based on statutory changes.
Eliminating these specific dollar
amounts also allows FEMA to offer
different coverage limit choices to
different homeowner policyholders by
placing special limit amounts on the
declarations page of the policy.
FEMA proposes to allow more
consumer choice by allowing
homeowner policyholders to choose
whether they want basement coverage
under Coverage A through the Enhanced
Basement Endorsement Option detailed
below. FEMA has long presumed that
homeowner policyholders would not
want to pay for full coverage in a
basement because it would be too
expensive,48 but in doing so
inadvertently made it more likely that
homeowner policyholders would not
realize the limitations on basement
coverage until they experienced a loss.49
FEMA has offered this restrictive
coverage in basements for four decades
and the proposed new Homeowner
Flood Form would not change that
coverage absent a homeowner
policyholder purchasing an
endorsement. FEMA believes the
limited basement coverage creates
challenges in the flood insurance sales
context for homeowner policyholders
who want more coverage than the
current Dwelling Form and new Form
would allow and in the recovery context
for homeowner policyholders who need
it to more fully recover from a flood
event. Given these challenges, FEMA
considered three approaches to
basement coverage: (1) the current
Dwelling Form approach of retaining
the current restricted coverage, with a
focus on training agents selling flood
insurance to further discuss what
constitutes a basement under the
48 Until 1983, FEMA offered coverage in a
basement. See e.g., 44 CFR 61 App. A(1) Art. IV
(1982). At that time, FEMA determined that it was
paying out $5 for every $1 collected on buildings
with damaged basements. See GAO Report on Flood
Insurance: Federal Emergency Management
Agency’s Basement Coverage Limitations, RCED–
86–10FS (Jan. 31, 1986) found at https://
www.gao.gov/assets/rced-86-10fs.pdf (last accessed
Aug. 28, 2023). In the 1990s, FEMA explored but
abandoned an effort to offer some level of basement
coverage and throughout the entirety of the
Dwelling Form (i.e., the last 20 years), there has
been no option for basement coverage.
49 See Donovan Finn and John Travis Marshall,
Superstorm Sandy at Five: Lessons on Law as
Catalyst and Obstacle to Long-Term Recovery
Following Catastrophic Disasters, 48 Envtl. L. Rep.
10494 (2018), found at https://
commons.library.stonybrook.edu/cgi/
viewcontent.cgi?article=1004&context=somas_
articles (last accessed Aug. 28, 2023). See also
https://www.wxyz.com/news/what-does-femacover-if-youre-denied-help-after-floods-here-aresome-other-options (last accessed Aug. 28, 2023)
and https://www.wxyz.com/news/why-manypeople-are-being-denied-fema-flood-assistance (last
accessed Aug. 28, 2023).
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Homeowner Flood Form and the
restrictions on coverage at the point of
sale to better inform homeowner
policyholders and those seeking to
purchase new homeowner flood
insurance of the coverage restrictions;
(2) FEMA’s preferred approach of
offering an endorsement to the proposed
Homeowner Flood Form that would
allow homeowner policyholders to
purchase, for an additional premium, an
enhanced basement endorsement to
remove the restrictions in basement
coverage (‘‘Enhanced Basement
Coverage Endorsement’’); and (3) a third
approach of offering a basement
endorsement to remove coverage
limitations, for an additional premium,
for (a) homeowners with split-level
homes or sunken room(s) (approach 3.1)
and (b) homeowner policyholders who
need to occupy part of their basement
(approach 3.2). Occupancy means the
basement is being used by the
homeowner as bedrooms, bathrooms,
and kitchens/kitchettes. Each of the
approaches is further detailed in
Appendix A(104): Basement Coverage
Endorsement Option below.
FEMA does not expect the availability
of optional basement coverage
(approaches 2, 3.1, or 3.2 above) to
encourage riskier behavior by
homeowner policyholders. In general,
policyholders do not wish to experience
flood losses. The act of choosing an
option will require the policyholder to
envision their property being damaged
by a flood. Accordingly, rather than
encouraging risky behavior, FEMA
believes the option would help
homeowner policyholders to transfer
their risk to better recover after a flood
while also encouraging homeowner
policyholders with basements to
consider ways to mitigate their risks in
those areas. The current inventory of
housing in the United States contains
homes built with basements. Recent
studies on marginalized communities
show that formerly redlined areas face
higher flood risks, and several of the
cities where this is most prevalent (New
York, Boston, Chicago, Camden, Detroit,
Newark) have older housing stock that
are often built with basements.50 By
offering options to increase basement
coverage, FEMA is proposing to increase
the ability of these homeowners to
better protect their investment from
50 See https://www.redfin.com/news/redliningflood-risk/(last accessed Aug. 28, 2023) and https://
www.njspotlightnews.org/2021/04/redliningatlantic-city-nj-overlooked-underfunded-minorityneighborhoods-back-bay-racist-maps-superstormsandy/(last accessed Aug. 28, 2023). Note that in
these areas, it is common to have a basement
because of the necessity of building below the frost
line, so that pipes do not burst.
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flood risks. FEMA understands that the
additional coverage will result in
additional premiums for policyholders,
but the pricing associated with these
additional premiums will reflect the
reality of the structure above all and
will align with the risk. By offering
choice, FEMA can better educate
homeowner policyholders on their
coverage options, discuss the flood risks
associated with their property (i.e.,
through the price signal provided by
comparing the premium options), and
how they can better protect their
property and mitigate those risks. FEMA
seeks specific comments on the
expansion of basement coverage and the
approaches considered in this proposed
rule as detailed in the basement
coverage endorsement options below.
Proposed section III would not
include ICC as Coverage D for all
homeowner policyholders as the
Dwelling Form does (in section III.D),
but instead would make it an
endorsement required to be purchased
only by those homeowner policyholders
who may be eligible for it. Proposed
section III would also remove buildings
under construction from default
coverage (as is the case under the
Dwelling Form at section III.A.5), as a
Builder’s Risk Endorsement naming the
builder as an additional insured party
(with specific business rules associated
with renewals) would provide
homeowner policyholders the option to
address such coverage. Finally, FEMA
proposes to clarify that the policy would
not cover certain losses to items stored
in a digital format or other intangible
format due to the complexity of
demonstrating proof of loss.51
Throughout the section, FEMA proposes
minor edits to the Form for clarity.
FEMA anticipates the proposed changes
to section III would generally make the
policy easier for agents to sell while also
being more understandable and
desirable for homeowner policyholders
as the changes more closely align with
other insurance policies with which
homeowners are familiar and the
changes generally provide homeowners
with more flexibility by offering more
coverage options.
a. Coverage A—Dwelling
FEMA proposes to label Coverage A
as ‘‘Dwelling’’ (rather than retain the
Dwelling Form’s title of ‘‘Building
Property’’) to differentiate coverage for
the primary building—the dwelling—as
opposed to other buildings that may be
51 Digital storage was not a substantial concern
when the SFIP was drafted in 1999. However,
modern technology (allowing for cryptocurrency,
etc.), renders it sufficiently important to include
here.
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covered. In proposed sections III.A.1.a,
III.A.2.b, III.A.2.c, III.A.3.c(1), and
III.A.4.f, FEMA proposes to update the
language to clarify the coverage detailed
in this section of the policy relates
specifically to the dwelling and to
distinguish between the dwelling and
other buildings that may be covered
under Coverage B. Proposed section
III.A.2, ‘‘Limited Coverage for
Basements and Enclosures,’’ would
remove the differentiation of coverage
based on flood zone type or pre- or postFIRM status found in the Dwelling Form
at section III.A.8. This proposed section
would clarify the limited coverage
provided for basements regardless of
where the property is located. As
explained above, FEMA is proposing to
remove differences in coverage based on
flood zone type or pre- or post-FIRM
status and provide universal default
coverage that applies to all structures
regardless of flood zone.52 Maps
generally create challenges for the
application of policy coverage. In a
flood event, the flood does not simply
stop at the map boundary and a
homeowner policyholder with property
that is mapped in a higher risk zone
could be paying more for less coverage
than their neighbors across the street,
when both are equally impacted by the
flood event. By eliminating these
distinctions in the policy, FEMA
proposes to simplify the explanation of
policy coverage for homeowner
policyholders so that they have a full
understanding of the risks associated
with their property and can protect
52 The Dwelling Form provides different types of
coverage based on FIRM status and zone: basements
receive limited coverage regardless of zone; certain
post-FIRM elevated buildings receive limited
coverage below the lowest elevated floor; and the
remainder do not experience coverage limitations.
The coverage limitations for post-FIRM elevated
buildings are a passive enforcement mechanism for
floodplain management rules concerning use of
these spaces (i.e., 44 CFR 60.3(c)(5), allowing
parking of vehicles, building access, and storage).
In practice, this often means policyholders do not
learn about the coverage restrictions until they
experience a loss. In the proposed Homeowner
Flood Form, the policy would not provide different
types of coverage based on FIRM status and zone.
Basements continue to receive limited coverage
regardless of zone. A building with an enclosure—
meaning it is used in accordance with the
floodplain management regulations—will continue
to receive limited coverage. However, if a
policyholder does not indicate that they have a
basement or an enclosure at the time of application,
they will receive full coverage, but will also pay
additional premium based on the height of the first
floor. The higher premium should also act as a more
timely signal to the policyholder, who may then
choose to not use the space for residential purposes.
In other words, the insurance policy will no longer
passively enforce floodplain management rules at
the time of loss, but will complement those rules
through risk signaling, and floodplain management
officials may still take appropriate action on
unacceptable uses of enclosures.
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themselves against flood peril by
choosing their coverage accordingly.
The proposed changes in section
III.A.2.a eliminate the list of covered
items from current section III.A.8.a as
these items are defined in proposed
section II. Elimination of the list is
intended to make the policy more
readable. Additionally, FEMA proposes
changes in section III.A.2.d to simplify
the understanding of coverage for
unfinished drywall in a basement or
enclosure. The Dwelling Form details
drywall coverage for walls and ceilings
in a basement and the cost to nail it,
unfinished and unfloated and not taped,
to the framing (section III.A.8.a(3)).
FEMA proposes to simplify this by
covering any unfinished drywall in a
basement and removing the restriction
that the drywall must be unfloated and
not taped. FEMA also proposes to
continue coverage for nonflammable
insulation in basements and enclosures.
(See Dwelling Form section
III.A.8.a(10)).
FEMA proposes to add section III.A.3,
‘‘Dwelling Limitations,’’ to summarize
the limitations throughout the policy
and list them in one location. Proposed
section III.A.3.a, ‘‘Limitations on mold
and mildew,’’ would revise Dwelling
Form section V.D.4 to restate coverage
in positive rather than negative terms,
simplifying the explanation that the
policy covers damage to the dwelling
due to mold and mildew caused by a
flood only when it is outside of the
homeowner policyholder’s control, i.e.,
when it is not in the homeowner
policyholder’s control to inspect and
maintain the property after a flood
recedes. FEMA is proposing this change
to help resolve current challenges faced
with claims in this area, as the Agency
has experienced that implementation of
this coverage is more challenging than
it should be. FEMA historically issued
several bulletins to clarify this coverage
and its limitations 53 and believes
making these proposed changes would
reduce complexity and simplify the
process for homeowner policyholders,
insurance adjusters, and companies.
FEMA proposes similar updates in
proposed sections III.A.3.b, ‘‘Limitations
on power, heating, or cooling failure,’’
ddrumheller on DSK120RN23PROD with PROPOSALS2
53 See
W–13009, found at https://
nfipservices.floodsmart.gov/sites/default/files/w13009.pdf, (last accessed Aug. 28, 2023); W–16061,
found at https://nfipservices.floodsmart.gov/sites/
default/files/w-16061.pdf (last accessed Aug. 28,
2023); W–20017, found at https://
nfipservices.floodsmart.gov/sites/default/files/w20017.pdf (last accessed Aug. 28, 2023); W–11062
found at https://nfipservices.floodsmart.gov/sites/
default/files/w-11062.pdf (last accessed Aug. 28,
2023); and W–04020, found at https://
nfipservices.floodsmart.gov/sites/default/files/w04020.pdf (last accessed Aug. 28, 2023).
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III.A.3.c, ‘‘Limitations on flood in the
area,’’ and III.A.3.d, ‘‘Limitations on
pollutants,’’ for simplicity and
readability, and to positively affirm
coverage of specific items rather than
stating coverage in the negative as the
Dwelling Form does in sections V.D.7,
V.D.5–6, and V.F.II.B.22 respectively.
The policy would continue to cover
damage to any covered building
electrical system, such as the building’s
main service or home security system,
or to the HVAC system, when a flood
physically damages equipment installed
at the described location (proposed
section III.A.3.b) as well as pollutant
testing and monitoring after a flood
when required by law or ordinance
(proposed section III.A.3.d). FEMA also
proposes to continue coverage for losses
when there is a flood in the area and the
flood causes a back-up of water or
waterborne material through sewers or
drains, discharge or overflow of a sump
pump or related equipment, or seepage/
leakage on or through the dwelling
(proposed section III.A.3.c(1)) as well as
losses by or from water pressure or
weight (hydrostatic pressure) (proposed
section III.A.3.c(2)). FEMA would also
continue to cover losses to the dwelling
by or from the pressure or weight of
water on or below the land’s surface in
proposed section III.A.3.c(2).
Proposed section III.A.4 addresses the
items not covered under the policy,
moving several provisions from article
IV of the Dwelling Form (Property Not
Covered) to keep all ‘‘coverage’’
elements together. FEMA proposes not
to retain references to the Coastal
Barrier Resources Act and the Coastal
Barrier Improvement Act 54 in this
section because the language in
proposed section I concerning conflicts
with Federal law renders it unnecessary.
FEMA is incorporating into proposed
section III.A.4.a information from the
Dwelling Form at sections V.A.2, V.A.3,
and V.A.5 to confirm that the policy
does not cover loss of use at the
described location, including any living
expenses incurred while the dwelling is
inaccessible or is unhabitable for any
reason. FEMA proposes incorporating
this into one section for simplicity and
readability. In addition, FEMA proposes
including it under this section rather
than Section IV, ‘‘Exclusions,’’ because
the new Form generally restricts
‘‘exclusions’’ to specific causes, and this
language does not speak to causation. In
sections III.A.4.b and III.A.4.c, FEMA
proposes separating land and land
values from lawns, trees, shrubs, plants,
growing crops, and landscaping to
clarify that land and land values are
54 16
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distinct from items that are on the land.
Proposed section III.A.4.d restates the
current requirement in section IV.3 of
the Dwelling Form that no open
structures including but not limited to
those in, on, or over water are covered,
regardless of boat usage. In the proposed
form, FEMA retains in section III.A.4.e
the substance of the language currently
in the Dwelling Form at section IV.2
except to remove the reference to
‘‘personal property’’ because Coverage A
of this Form treats dwellings, not
personal property. In section III.A.4.f,
FEMA proposes to clarify that in
addition to underground structures and
equipment like wells and septic tanks/
systems, which are currently explicitly
listed as not covered in section IV.8 of
the Dwelling Form, sewer, plumbing
supply, waste lines, gas supply lines,
electrical and HVAC system
components (not addressed in the
proposed definition of ‘‘machinery and
equipment’’) that are not located in the
dwelling would also continue to not be
covered. In section III.A.4.g, FEMA
proposes not to retain the phrase ‘‘or the
building in which the insured unit is
located’’ (found in the Dwelling Form at
IV.9) for clarity of coverage as the new
Form would not be available to
condominium unit owners. FEMA is
proposing additional minor changes in
section III.A.4.h for clarity regarding
containers and related equipment.
Proposed sections III.A.4.i detailing
fences, retaining walls, seawalls,
bulkheads, wharves, piers, bridges, and
docks and III.A.4.j detailing hot tubs
and spas as well as swimming pools
would be unchanged from Dwelling
Form sections IV.12 and IV.14,
respectively.
b. Coverage B—Other Buildings
Coverage B would insure buildings
other than the residence located at the
described location.55 This coverage
would contain fewer limitations than in
the Dwelling Form, but with the same
10 percent limit (see Dwelling Form
section III.A.3). FEMA is proposing to
require the homeowner policyholder to
specify the specific sublimits of this
coverage applicable to each of the
55 These proposed changes would restore
coverage for other buildings to the NFIP’s 1970’s
approach. See 24 CFR 1911.4(f)(5) (1970): ‘‘The
insured may apply up to, but not in excess of, 10
percent of the face amount of the policy to
appurtenant structures and outbuildings (such as
carports, garages, and guest houses) if they do not
constitute a separate residence. If they do constitute
a separate residence, or a residential structure still
under construction, they must be insured under a
separate policy.’’ This approach insures what the
homeowner policyholder has and that the modern
consumer expects, an experience customized and
tailored to themselves.
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buildings on the declarations page to
make sure that both the homeowner
policyholder and FEMA share an
understanding of what is on the
property, to spur the conversation
between the homeowner policyholder
and the insurance agent that higher
coverage limits are available by
separately insuring these properties, and
to capture data points for repetitive loss
purposes. The changes proposed to
Coverage B would restore non-dwelling
buildings to a functional level but
would not fully restore these buildings.
A homeowner policyholder seeking
more robust coverage should purchase a
separate policy for these other
buildings. Coverage B is not an
additional coverage, as it would reduce
the liability limit for the main building.
Proposed section III.B.1 would clarify
that FEMA would apply the terms of
Coverage A to other buildings at the
described location except as modified in
proposed section III.B.2. As noted
above, proposed section III.B.1.a would
require the homeowner policyholder to
schedule the buildings on the
declarations page to confirm their
location on the property. In doing so,
FEMA anticipates homeowner
policyholders would have discussions
with agents regarding higher coverage
limits if these buildings are separately
insured. By capturing the information
here, FEMA can also gather data on
buildings that are repeatedly damaged
during flooding. Proposed section
III.B.1.b would replace section III.A.3 of
the Dwelling Form and allow other
buildings—not simply a detached
garage—to receive coverage with fewer
limitations than in the Dwelling Form,
but with the same 10 percent limit.
FEMA proposes to add section III.B.2
to highlight the limitations of coverage
for other buildings. FEMA is proposing
to use Coverage A as a ‘‘base’’ layer of
coverage specifically for the dwelling.
Certain items previously covered under
Coverage A related to other buildings
are instead covered by this proposed
section. Proposed section III.B.2.a
would remind homeowner
policyholders that FEMA would not
cover anything already excluded under
Coverage A. Proposed section III.B.2.b
would state that FEMA would not cover
basements or enclosures for any
building that is not the dwelling. FEMA
is proposing this addition as a public
policy measure to ensure that the
riskiest parts of a building that is not the
property owner’s residence are not
afforded coverage. For example,
homeowner policyholders may have a
building near the beach on a coastal
property containing a bathroom and
storage space, with an outdoor shower
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in an enclosure for convenience. The
proposed policy would allow for
coverage of the building at the
homeowner policyholder’s request, but
would not cover the enclosure given the
enhanced risks associated with the
enclosure. If a homeowner policyholder
wants to invest in these enclosures, a
separate NFIP flood insurance policy
could be purchased to cover the other
building with the enclosure (i.e., under
Coverage A), with restricted coverage
applied to the enclosure. Proposed
section III.B.2.c would provide that
FEMA would not cover other buildings
held or used for commercial purposes.
The purpose of Coverage B is to extend
coverage to other buildings that may
have a residential use, such as a living
space built above a detached garage;
buildings held or used for commercial
purposes are more appropriately suited
for a commercial policy. Proposed
section III.B.2.d would provide that
coverage can only extend to property
the homeowner policyholder owns. This
addition is consistent with the broader
principle of ‘‘insurable interest,’’ which
requires that the insured have a right or
relationship to the item insured such
that the insured can suffer a financial
loss from damage, loss, or destruction to
it. By affirming this requirement, FEMA
seeks to reduce the risk of moral hazard,
whereby a homeowner policyholder
might have a financial incentive to
allow or even cause a loss.
c. Coverage C—Personal Property
FEMA proposes to move personal
property coverage to proposed section
III.C and to further align it with
common industry practices. In contrast
to section III.B.1 of the Dwelling Form
that is conditioned on whether or not
the homeowner policyholder has
purchased contents coverage, FEMA
proposes to change coverage in section
III.C.1 to insure all property inside a
building at the described location with
coverage up to the limits listed on the
declarations page. (Separate coverage for
personal property not at the described
location is detailed in proposed section
III.C.2). Section III.C.1.a would remain
unchanged from section III.B.1.a of the
Dwelling Form. Proposed section
III.C.1.b would provide that FEMA
would insure property owned by nonpaying guests or laborers. By specifying
that the guests be non-paying, FEMA
seeks to specifically exclude the
possibility of short-term rentals, such as
vacation rentals, to clarify the rental
agreement would govern any such
arrangement and ensure there is no
contractual overlay, and also to avoid
the scenario where a renter seeks
payment pursuant to this policy. By
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changing ‘‘servants’’ to ‘‘laborers,’’
FEMA seeks to modernize the language
and include more individuals that may
have personal property in the described
location.
In section III.C.2, FEMA is proposing
to provide some coverage away from the
described location to ensure that the
homeowner policyholder gets an
additional benefit of flood coverage to
protect their personal property.
Homeowner policyholders may
experience flooding while on travel,
may experience a flood loss if they have
personal property at a family member’s
house, or if they keep items in a storage
unit. Under the Dwelling Form at
section III.C.2.b, a homeowner
policyholder may already claim this
type of coverage at another location if
they moved the property because of a
reasonable threat of flood. Expanding
coverage would eliminate the
cumbersome adjudication analysis of
whether the homeowner policyholder
moved the property to safety in advance
of a flood. With a storage unit, a
homeowner policyholder could rent a
storage locker and, following a flood
event, claim that he or she relocated
certain property from the dwelling to
the storage unit for safety. Under the
Dwelling Form, if a flood occurs at the
storage unit, absent a dated photo
showing the property located in the
storage unit, in the same position, the
insurer would be unable to determine
when the property was placed in the
storage unit. The proposed expansion
avoids this complex adjudication by
providing the homeowner policyholder
with coverage in that situation.
Moreover, expanding coverage to
contents that are not at the described
location aligns with industry standards
for homeowners personal property
coverage.
FEMA notes that although
homeowners coverage can extend to
personal property anywhere in the
world, the NFIA only authorizes flood
insurance in the United States.56 Thus,
FEMA proposes limited coverage for
personal property anywhere in the
United States. Under proposed section
III.C.2.a, FEMA would pay no more than
10 percent of the Coverage C limits for
personal property located anywhere in
the United States if the property is in a
building at a location other than the
described location, or in a storage
facility building. FEMA proposes these
changes to reaffirm the requirement that
the personal property be located inside
a ‘‘building’’ (defined as a fully enclosed
structure) for coverage and to align with
other common insurance products.
56 42
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Under proposed section III.C.2.b, the 10
percent coverage limitation would not
apply to personal property moved to a
building reasonably safe from flood, and
not in a basement or enclosure, due to
flooding near the described location.
This provision would not retain the
language in section III.C.2.b(3) of the
Dwelling Form requiring moving
personal property outside of a special
flood hazard area, but would instead
just require a reasonable assurance of
safety to expand coverage beyond the 10
percent limitation. It is difficult for
homeowner policyholders to ascertain
where special flood hazard areas are
located, and an attic in a special flood
hazard area may reasonably be more
secure than a ground floor 57 just outside
of that area. In section III.C.2.b(1),
FEMA proposes language to clarify that
it would cover personal property where
a homeowner policyholder moves it
from his or her home to another location
for protection, but the home ultimately
does not flood. Section III.C.2.b(2)
would affirm coverage when an
evacuation order is issued. Finally, in
section III.C.2.b(3), FEMA proposes to
extend coverage beyond the 10 percent
limitation where the personal property
was moved due to repairs, renovations,
reconstruction, or other conditions
rendering the described location
uninhabitable or unsuitable for property
storage.
In proposed section III.C.3, ‘‘Personal
Property Limitations,’’ subsection 3.a
would provide that in a basement or
enclosure, the policy would only cover
appliances installed in their functioning
locations and, if necessary for operation,
connected to a power source. FEMA
proposes not to retain the references to
flood zones and pre- or post-FIRM status
found in the current Dwelling Form (in
section III.B.5) to conform with other
proposed changes to the policy. FEMA
anticipates that homeowner
policyholders would better understand
the scope of the coverage available
without the additional complicating
language around the property’s flood
zone location and the pre- or post-FIRM
status of the property. Additionally,
rather than listing out specific
appliances, FEMA proposes to
categorize the items listed in section
III.B.4 of the Dwelling Form as
‘‘appliances’’ for simplicity. Proposed
section III.C.3.b would further clarify
the Dwelling Form’s requirement at
section III.B.3 that personal property in
any portion of a building that is not
fully enclosed must be secured to
prevent flotation out of the building.
57 Property must be placed above ground level.
See Dwelling Form section III.C.2.b(3).
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Like section III.B.8 of the Dwelling
Form, proposed section III.C.4 would
provide special limits for specific kinds
of personal property. Rather than
retaining the dollar limit in this section,
FEMA proposes instead to move it to
the declarations page for readability and
ease of understanding. While proposed
sections III.C.4.a, III.C.4.b, III.C.4.c,
III.C.4.d and III.C.4.f mirror existing
provisions in the Dwelling Form for
special limits to personal property
coverage, FEMA proposes to add a new
provision (section III.C.4.e) to
specifically clarify coverage limits for
portable electronic devices. A
homeowner policyholder should be able
to transport such personal property
away from a flood and such property
may also have separate insurance
available. For instance, cell phones
come with an offer of cell phone
insurance; laptops and tablets often
come with offers of insurance as well.
The distinction between whether
something is designed as portable or not
should serve as the bright line rule. For
example, a laptop computer is portable
while a desktop computer is not, and a
Sony PlayStation and a Microsoft Xbox
are not designed as portable whereas a
Nintendo Switch is. Proposed section
III.C.4.f would also clarify that personal
property primarily used ‘‘for any
commercial purposes,’’ rather than the
current ‘‘in any business’’ requirement
in section III.B.6.e of the Dwelling Form,
falls within these special limits. FEMA
proposes to specify that coverage is
limited for ‘‘commercial purposes’’
rather than ‘‘any business’’ to continue
providing coverage for hobbyists who
may occasionally sell what they create,
but who do not operate as a business or
have a Federal Employment
Identification Number for commercial
tax purposes. Finally, FEMA proposes
to add section III.C.4.g to provide
coverage for up to 10 percent of the
special limit on the declarations page
for valued paper, metals, or other
similarly valued objects such as
accounts, bills, coins, currency, deeds,
evidences of debt, medals, money, scrip,
stored value cards, postage stamps,
securities, bullion, or manuscripts.
FEMA proposes this additional coverage
because coverage of these items is the
industry standard. Proposed section
III.C.5 would retain the statement
currently in the Dwelling Form at
section III.B.9 that FEMA would only
pay for the functional value of antiques.
In proposed section III.C.6, FEMA
seeks to consolidate all exclusions
specific to personal property into one
section to enhance readability and
ensure that homeowner policyholders
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and insurance agents make appropriate
decisions regarding how they insure the
property. Proposed section III.C.6.a
would make it clear that FEMA would
not cover anything already excluded
under Coverages A and B. FEMA
proposes to categorically narrow the
coverage for personal property in this
respect to clarify that there can be no
instance where something excluded
from either Coverage A or Coverage B
could be eligible for coverage under
Coverage C. Proposed sections III.C.6.b
and III.C.6.c (excluding coverage for loss
of use of personal property at the
described location, and personal
property not inside a building) remain
unchanged from existing language in the
Dwelling Form. Consistent with
coverage limitations in the current
Dwelling Form, proposed section
III.C.6.d of the Homeowner Flood Form
provides that FEMA would not cover
personal property in a basement or
enclosure, except as stated in III.C.3
which limits coverage to appliances
installed in their functioning locations
consistent with the current Dwelling
Form. FEMA is proposing to make a
change to this section to eliminate
references to flood zones or pre- or postFIRM status of a building, consistent
with other changes throughout the
policy. Similarly, proposed section
III.C.6.e, excluding coverage for
personal property in a building
constructed or substantially improved
after September 30, 1982, that is located
in, on, or over water or seaward of mean
high tide, would include nonsubstantive, grammatical revisions to
conform to other organizational changes
within the policy. Proposed section
III.C.6.f would clarify that personal
property in any open structure that is in,
on, or over water is not covered
regardless of its use. FEMA proposes to
add section III.C.6.g to exclude losses to
items stored in digital or other
intangible formats, consistent with
broader industry standards and other
insurance products. This addition
would have the effect of excluding
cryptocurrency and other such digital
items, given the challenges with proving
such losses. For example, a flood could
cause a server or desktop computer with
valuable information on it to stop
working. The policy would not cover
these losses given the challenges
associated with proof of loss, such as
demonstrating the existence of the
information at the time of loss, the
inability to access or restore the
information through other means, the
valuation of such information, and other
concerns. In proposed section III.C.6.h,
FEMA seeks to add items held in
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violation of state or Federal law to the
list of exclusions to clarify that the
Agency would not pay to indemnify
against inherently illegal activity. FEMA
also proposes to add section III.C.6.i to
exclude coverage for living things,
consistent with current Agency policy,
broader industry standards, and other
insurance products. In section III.C.6.j,
FEMA proposes a minor change to the
exclusion from coverage of any selfpropelled vehicle or machine to prohibit
coverage for those vehicles or machines
capable of transporting people or cargo
while continuing to allow coverage for
vehicles or machines not registered for
use on public roads that are used solely
to service the described location or to
assist people with disabilities when
such property is inside a building at the
described location. FEMA is proposing
this change to clarify that coverage
would not extend to vehicles that do not
service the property or aid those with a
disability, as other insurance is more
appropriate for those items.58
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d. Coverage D—Other Coverages
FEMA proposes organizing section
III.D to align with the policy’s
organizational structure. Section III.D.1,
‘‘Debris Removal,’’ clarifies what debris
is covered and what is not. Specifically,
FEMA proposes in section III.D.1.a to
cover labor and expense to remove
debris from anywhere that comes onto
or into the dwelling or other insured
buildings, and debris of insured
property anywhere. FEMA proposes the
clarification in section III.D.1.a(1) to
emphasize that labor is an element of
the total covered expense. Additionally,
FEMA proposes a slight broadening of
coverage from the current Dwelling
Form in proposed section III.D.1.a(1)(a)
of the Homeowner Flood Form to state
that the removal of any debris inside the
insured buildings is covered. Proposed
section III.D.1.a(2) would clarify that
FEMA would pay the value of any
debris removal work performed by the
homeowner policyholder or a member
of one’s household using the Federal
minimum wage, and that this coverage
does not increase the coverage limit on
the declarations page. Proposed section
III.D.1.b, ‘‘Debris Not Covered,’’ would
provide that the policy does not cover
debris from other locations on the land
58 For example, a separate automobile insurance
policy would be more appropriate for all-terrain
vehicles (ATVs) and golf carts because their use is
not limited to servicing the location or assisting
those with disabilities. By contrast, this policy
would cover farm vehicles not licensed for use on
a public road. See NFIP Claims Manual (June 2023)
at COVERAGE–19, available at https://
www.fema.gov/sites/default/files/documents/fema_
nfip-claims-manual_062023.pdf (last accessed Aug.
28, 2023).
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surrounding the dwelling or other
insured buildings or any non-covered
items of property from the dwelling or
buildings, even if the removal facilitates
covered cleanup or repairs. FEMA
proposes this clarifying language to
ensure that homeowner policyholders
appropriately insure their property and
to avoid duplication of benefits to both
owners of debris and the homeowner
policyholder upon whose land the
debris resides.
FEMA proposes to slightly broaden
coverage in section III.D.2, ‘‘Loss
Prevention.’’ Section III.D.2.a would
provide that FEMA would pay up to the
coverage sublimit specified on the
declarations page for the expenses a
homeowner policyholder incurs to
protect one’s insured property from a
flood or imminent danger of flood.
These expenses would be limited to: (1)
reasonable expenses to buy materials to
use temporary measures to avoid or
reduce the harm from an imminent
flood, including sandbags, fill for
temporary levees, and pumps; and (2)
the value of work, at the Federal
minimum wage, that a homeowner
policyholder or a member of her
household performs to protect the
property. Section III.D.2.b would specify
that this coverage for materials and
labor only applies if damage to the
insured property by or from flood is
imminent and the threat of flood
damage is apparent enough to
reasonably anticipate flood damage, and
only if one of the following occurs: (1)
a general and temporary condition of
flooding in the area near the described
location occurs, even if the flood does
not reach the insured building; or (2) a
legally-authorized official issues an
evacuation order or other civil order for
the community in which the property is
located to preserve life and property
from flood. FEMA proposes this
language for increased clarity and
consistency with other sections in the
Form. For instance, while the Dwelling
Form at section III.C.2.a(1) limits
coverage to $1,000, this proposed
section would remove the dollar limit
from the Form itself, allowing it to be
altered through the declarations page or
other guidance. The proposed language
would also limit the use of lists
(compare with sections III.C.2.a(1)(a)(i)–
(iv) of the Dwelling Form) and allow
coverage where there may be
technological or local variances in what
items are used to prevent losses rather
than restrict it to the specific items in
the policy as is currently the case.
Proposed section III.D.3, ‘‘Property
Removed to Safety,’’ would provide that
FEMA would pay up to the coverage
limit on the declarations page, at the
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Federal minimum wage, for reasonable
expenses and labor a homeowner
policyholder or member of her
household, incurs for moving insured
property to a secure location to protect
it from flood or the imminent danger of
flood. Consistent with other sections in
the Form, this language would simplify
coverage by removing mention of
special flood hazard areas, as well as the
coverage limit, allowing the limit to be
altered through the declarations page or
other guidance. Proposed section III.D.4
would specify that Coverage D does not
increase the limits of Coverages A, B, or
C.
5. Section IV: Exclusions
Proposed section IV would replace
article V of the Dwelling Form. By
continuing to address exclusions
separately from coverage, FEMA seeks
to clearly delineate between the types of
property covered and not covered from
the sources of damage excluded. This is
to conform with industry standards, as
insurance companies generally combine
what is covered and not covered in the
coverage section of their policies, and
address excluded causation in the
exclusions section. As this is a single
peril policy, it is FEMA’s position that
a shorter, simplified exclusions section
would reduce confusion on the part of
the homeowner policyholder. Proposed
section IV is structured to address three
main concepts: excluded losses; flood in
progress; and pre-existing damage.
a. Excluded Losses
For excluded losses, FEMA proposes
to exclude other perils, economic losses
(including loss of business or losses
associated with upgrading to code per
law or ordinance), earth movement,
gradual erosion, several non-flood but
water-related causes of loss, and damage
from defects, rot, or infestation. Many of
the exclusions in the proposed policy
mirror in substance those in the existing
Dwelling Form. In proposed section
IV.A.1, FEMA seeks to simplify the
language to exclude other perils as this
is a single-peril policy. Consistent with
other changes in the policy, FEMA
proposes to condense the list of
economic losses excluded from coverage
currently in sections V.A.1–7 of the
Dwelling Form into section IV.A.2 for
clarity.
The proposed earth movement section
at IV.A.3 would clarify what is and what
is not considered earth movement. In
proposed section IV.A.3.a, FEMA would
retain but revise the list of items in the
corresponding sections of V.C of the
Dwelling Form for clarity; this list
describes what earth movement
includes, even if caused by flood. While
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FEMA would retain earthquake,
landslide, subsidence, and sinkholes on
the list in proposed sections of IV.A.3,
other changes are being proposed for
modest clarifications. For instance,
proposed section IV.A.3.a(5) would not
retain the phrase ‘‘movement of land
that results from accumulation of water
in subsurface land area’’ from section
V.C.5 of the Dwelling Form for clarity.
In addition, FEMA proposes to add
section IV.A.3.a(6) (‘‘Any other
movement such as sinking, rising,
shifting, expanding or contracting of the
earth’’) as a further catch all for any
variety of geological phenomena not
specifically listed in subsections (1)–(5).
In IV.A.3.b, FEMA proposes to
provide further specificity that the earth
movement coverage exclusion does not
include hydrostatic pressures or
hydrodynamic forces, buoyancy, and
frictional force from floodwater moving
along the surface of the ground. These
terms are subsumed in the statutory
definition of a ‘‘flood.’’ 59 These terms
appear in the engineering reports
included in claims files. The ability to
line up an engineering report with the
policy language should help provide
policyholders with additional clarity
regarding what is and is not excluded.
Proposed section IV.A.4 would
exclude coverage for gradual erosion
caused by the normal water action that
wears an area of land away over time
and contains minor clarifying edits for
readability. FEMA proposes similar
clarifying edits in section IV.A.5, ‘‘Other
excluded causes of damage.’’ These
clarifying edits include combining
sections V.D.1 and V.D.2 of the
Dwelling Form into proposed section
IV.A.5.a because the listed items relate
to ice; excluding in section IV.A.5.c
damage from exposure to water of any
form other than flood (as detailed in
sections V.D.4.b(2), V.D.5, and V.D.6 of
the Dwelling Form); and excluding in
section IV.A.5.e actions taken by
homeowner policyholders or any
members of their household that
deliberately cause direct physical loss
by or from flood (see section V.D.9 of
the Dwelling Form). Proposed section
IV.A.5.b would remain unchanged from
section V.D.3 of the Dwelling Form. In
section IV.A.5.d, FEMA proposes to add
other related conditions to clarify that
design, structural, or mechanical
defects; deterioration, rot, or corrosion;
or damage from insects and rodents
would be excluded as these are all preexisting conditions at the time of claims
adjustment. Homeowner policyholders
may not be aware of these conditions
59 See
NFIA sec. 1370(b)–(c) (42 U.S.C. 4121(b)–
(c)).
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prior to experiencing a loss, but these
conditions are generally not attributable
to a single flood event and thus would
not be covered under the policy.
The Dwelling Form currently
excludes coverage for losses that occur
because of an alteration to the insured
property that significantly increases the
risk of flooding at section V.D.10.
Proposed section IV.A.6 would clarify
that this exclusion covers any
homeowner policyholder actions,
whether an alteration to the insured
property or a more general change, that
causes the hazard to increase by any
means within the homeowner
policyholder’s control or with the
homeowner policyholder’s knowledge.
FEMA is proposing this revision to
streamline the policy by stating in one
location rather than the two sections
found in the current Dwelling Form
(sections V.D.10 and VII.F) that FEMA
would not pay for a loss where the
homeowner policyholder took action or
allowed an action to happen that
increased their risk of flooding.
b. Flood in Progress
In section IV.B, ‘‘Flood in Progress,’’
FEMA proposes to define what
constitutes a flood in progress, and to
address concerns where there is a strong
moral hazard. This clarity would help
ensure that policies are not written for
a property while a flood is in progress
at the described location. Further, this
proposed revision ensures that if a
policy is written while a flood is in
progress, the exclusion is well-defined
to help avoid disputes when the
homeowner policyholder attempts to
submit a claim. With this proposed
revision, FEMA seeks to avoid
situations where a homeowner
policyholder purchases flood insurance
as a means of ‘‘buying a claim’’ while
also allowing homeowner policyholders
to perceive their risk and take an
appropriate action. FEMA proposes to
explain in section IV.B.1 that a flood is
in progress when (1) there is a near
certainty of a flood loss at the described
location from a flood control effort such
as opening a spillway, breaching a
levee, or releasing water from a dam, or
(2) there is a flood at the described
location. FEMA proposes to explain in
section IV.B.2 that if the policy becomes
effective in connection with a loan
closing, FEMA would not pay for loss
caused by a flood in progress at the time
of the loan closing. Proposed section
IV.B.3 would provide that in all other
circumstances, FEMA would not pay for
a loss caused by a flood in progress that
existed on or before the day the
homeowner policyholder submitted the
application. While proposed sections
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IV.B.2 and IV.B.3 mirror in substance
the language in section V.B of the
Dwelling Form, the added clarity in
proposed section IV.B.1 would help
ensure that policies are written and
administered consistently.
c. Pre-Existing Damage
FEMA proposes in section IV.C to
explicitly exclude coverage for preexisting damage. This section would
specify that pre-existing damage
includes flood loss or damage that
occurred prior to the date of loss,
whether direct physical loss or not, and
whether paid or unpaid, and damage
attributable to any non-flood peril that
occurred prior to the date of loss. Under
section VII.H.2.e of the Dwelling Form,
when an insurance company suspects
that damage existed prior to the flood
event, it can request evidence that prior
flood damage has been repaired. In
some instances, the property may have
been sold without disclosure of a prior
flood loss.60 In other instances, the
insurer may know that a homeowner
policyholder had a loss from another
peril and was paid for the same items.
More explicitly excluding coverage for
pre-existing damage would make the
exclusion clearer to homeowner
policyholders and help prevent disputes
over unrepaired flood damage or from
unrepaired items from other perils that
often arise when property changes
owners. It would also better align the
policy with traditional insurance
concepts and FEMA’s longstanding
practice of not paying for pre-existing
damage. Lastly, it would reinforce
proposed VI.A.3.g(5) (requiring proof of
repairs for prior losses to ensure
coverage of damages occurring from the
current loss). Note that FEMA is
proposing not to retain in this section
language regarding ICC coverage, as that
would be detailed in the ICC
Endorsement.
6. Section V: Policy Conditions
Proposed section V would combine
provisions from articles VII, ‘‘General
Conditions,’’ and VIII, ‘‘Policy
Nullification, Cancellation, and NonRenewal,’’ of the Dwelling Form that
specifically apply to how FEMA
administers the policy. These provisions
represent homeowner policyholderfacing underwriting aspects of the
policy.
60 State laws govern disclosures of prior losses in
property transfers and the SFIP cannot change state
disclosure laws that apply to prior losses.
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a. Actions and Conditions That Can
Void Your Policy
Proposed section V.A would describe
the actions and conditions that can void
a policy. Section V.A.1, ‘‘NFIP
Ineligibility,’’ would provide scenarios
where the policy is void from inception
and has no legal force due to underlying
ineligibilities. Retaining language from
section VIII.B.1.a of the Dwelling Form,
proposed section V.A.1.a would provide
that the policy is void if the described
location is in a community that was not
participating in the NFIP at the policy’s
inception and did not join or reenter the
NFIP during the policy term and before
loss occurred. Similarly, proposed
section V.A.1.b would retain the
substance of section VIII.B.1.b of the
Dwelling Form and provide that the
policy is void where the described
location or other property is otherwise
not eligible for coverage under the NFIA
or its implementing regulations, for
reasons of noncompliance with local
floodplain ordinances or otherwise.
Subsection A.1.c would provide that the
policy is void where any other Federal
law prevents coverage of property at the
described location. FEMA proposes not
to retain the language in sections
VIII.B.1.c–e and VIII.B.2 of the Dwelling
Form; because these provisions do not
relate to coverage, they are better suited
to guidance.
Section V.A.2, ‘‘Concealment or
Fraud,’’ contains much of the same
language in the Dwelling Form, with
three primary clarifications. Proposed
section V.A.2.a provides that the policy
is void and cannot be renewed if the
insured or agent, at any time before or
after a loss, intentionally concealed or
misrepresented any material fact or
circumstance, engaged in fraudulent
conduct relating to the policy, or
knowingly made false statements
relating to the policy or any other NFIP
insurance at any time. FEMA proposes
to add the word ‘‘intentionally’’ to
clarify that a homeowner policyholder
must intend to conceal or misrepresent
in order for the policy to be void; a
scrivener’s error would not result in
voidance. FEMA proposes to specify
that the fraudulent activity must relate
to the policy, because any fraudulent
activity beyond the scope of the policy
is not a cause for voidance. FEMA also
proposes to specify that any false
statements must have been made
‘‘knowingly’’ to ensure that the policy is
only voided in situations involving
malfeasance on the part of the insured
or agent. Like section VIII.A.3 of the
Dwelling Form, proposed section
V.A.2.b would specify that the policy
would be void as of the date the acts
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described in subsection A.2.a were
committed. Proposed section V.A.2
would not retain the language in section
VIII.A.4 of the Dwelling Form regarding
applicable Federal laws, consistent with
other changes.
b. Policy Renewal
Proposed section V.B, ‘‘Policy
Renewal,’’ would require that FEMA
receive the renewal premium within 30
calendar days of the expiration date of
the prior policy; it would also state the
FEMA would not renew the policy if
Federal law prevents coverage of
property at the described location. This
section is considerably shorter than the
corresponding section in the Dwelling
Form (at section VII.E) and conforms to
modifications elsewhere in the policy.
For instance, this section would no
longer contain the policy term or right
for review, as those would be addressed
in proposed sections I.D and I.F,
respectively. Additionally, the Dwelling
Form explains the consequences when
the insurer fails to mail the renewal
notice or makes a mistake, such as by
mailing the notice to the incorrect
address. There is no analogous
provision in other property insurance
contracts, and FEMA is proposing to
eliminate this language given the rarity
of these situations. Lastly, section V.B.2
would reference ‘‘Federal law’’ for
brevity, as this would include section
1316 and other relevant provisions of
the NFIA, relevant provisions of the
Coastal Barrier Resources Act,61 and any
future statutory changes.
c. Cancellation of the Policy by You
Proposed section V.C, ‘‘Cancellation
of the Policy by You,’’ would provide
that the homeowner policyholder may
cancel the policy when the homeowner
policyholder (1) no longer has an
insurable interest in the property, (2) is
no longer required to maintain flood
insurance pursuant to Federal law or
lender requirements, or (3) has a
duplicate NFIP policy. It would also
provide that if a homeowner
policyholder cancels the policy, he or
she may be entitled to a full or partial
refund of premium for the current
policy term. While the NFIP uses over
a dozen cancellation reason codes, not
all of these are for homeowner
policyholder cancellation. FEMA
isolated the reasons specific to
homeowner policyholder cancellation,
found that they fell into the three broad
categories outlined just above, and now
proposes to highlight those categories in
the policy itself. It is FEMA’s position
that these changes offer increased clarity
61 16
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for the homeowner policyholder
compared to the language in the
Dwelling Form at section VIII.C.
d. Reduction and Reformation of
Coverage
Proposed section V.D, ‘‘Reduction and
Reformation of Coverage,’’ would
explain to homeowner policyholders
what occurs when the premium FEMA
receives is insufficient for the coverage
sought, but in a shorter and easier to
read format compared to the Dwelling
Form (see section VII.D of the Dwelling
Form). Proposed section V.D.1 would
provide that where the premium is not
enough to purchase the requested
amount of coverage, FEMA would issue
the policy, but only for the amount of
coverage that the premium would
purchase for a one-year term. This
section would substantively mirror
section VII.D.2 of the Dwelling Form but
would be more readable. Proposed
section V.D.2 would provide that FEMA
would increase the reduced amount of
coverage to the amount originally
requested without regard to whether a
loss occurred when FEMA bills for the
additional premium, or if necessary to
calculate the additional premium,
requests information (V.D.2.a), and the
homeowner policyholder responds to
the request for additional premium
within 30 calendar days, or responds to
the request for additional information
within 60 calendar days (V.D.2.b).
Proposed section V.D.2.c would provide
that a homeowner policyholder’s failure
to timely respond may result in a
waiting period for additional coverage if
a loss has not occurred within the
policy term, or the settlement of a claim
under the reduced limit if a loss has
occurred within the term. Functionally,
there is no difference between
determining that there is an insufficient
premium before loss or after loss, so
treating these concepts together should
simplify the policy. Altogether, section
V.D.2 would condense sections VII.D.3.a
and b of the Dwelling Form into one
more concise and readable section and
would conform to other changes in the
policy (e.g., specifying ‘‘calendar’’ days).
e. Disaster Conditions
FEMA proposes to add section V.E,
‘‘Disaster Conditions,’’ which would be
a new section. This section would
incorporate existing practices when a
flood reaches such a magnitude that
FEMA anticipates logistical challenges
with adjusting losses and reasonably
expects increased competition for
limited contractor services in the
disaster-effected area, or where
homeowner policyholders may not be in
a position to receive and respond to
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mail regarding the renewal of their flood
insurance policy. In these scenarios,
FEMA has, as a courtesy to homeowner
policyholders, extended both the proof
of loss deadline beyond the 60 days
stated in the policy and the grace period
to renew coverage without experiencing
a lapse. (For example, FEMA extended
the proof of loss and grace period
deadlines for Hurricanes Harvey, Irma,
and Maria in 2017 and Hurricane
Michael in 2018). FEMA has issued
these extensions via bulletin to the
WYO companies, and via public
communications to policyholders who
would otherwise lack awareness of
these extensions and the flexibility they
bring. In the absence of policy language
governing extensions, however,
stakeholders have often requested
longer proof of loss timeframes for
smaller flooding events, or have asked
FEMA to continue to extend deadlines
indefinitely for even longer periods
following major flooding. To provide
clarity and uniformity, therefore,
proposed section V.E.1 would provide
that in the event of a flood associated
with a major disaster or emergency
declared by the President under the
Stafford Act,62 the FEMA Administrator
may, after written notice, extend the
timeframes for proof of loss up to 365
calendar days from the date of loss, and
the timeframes for policy renewal up to
60 calendar days from the policy’s
expiration date. Placing an explicit,
objective trigger in the policy would
allow it to indicate when these
‘‘special’’ provisions might apply to any
homeowner policyholder. In addition,
establishing clear upper limits for proof
of loss and policy renewal extensions
would enhance clarity and reduce
requests for indefinite extensions.
Furthermore, by making the provision
discretionary and not mandatory, FEMA
seeks to continue to offer flexibility.
These flexibilities would allow FEMA to
extend one or both deadlines when
necessary and choose shorter
timeframes when appropriate.
Proposed section V.E.2 would provide
new flexibilities that in the event of a
flood associated with a declared major
disaster or emergency, the
Administrator may, after written notice,
conditionally waive the requirement in
proposed sections VI.A.3 and VI.B.2 that
an insured must sign or swear to a proof
of loss or an adjuster’s report. This
would authorize the insurer to accept
and make payment on the adjuster’s
report. This payment based on the
adjuster’s report is ‘‘undisputed’’ which
allows the insurer to accept that a
62 Public Law 93–288, as amended; 42 U.S.C.
5121 et seq.
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covered loss took place without any
further action needed from the
policyholder. The flexibility provided
here would not stop the homeowner
policyholder from seeking additional
payment through a proof of loss but
would help ensure payment as quickly
and safely as possible to the homeowner
policyholder.
Proposed section V.E.3 would provide
new flexibilities that in the event of a
flood associated with a declared major
disaster or emergency, the
Administrator may, after written notice,
establish special procedures for advance
payments to insured(s) in accordance
with proposed section VI.C.3. (As
discussed below at section III.A.7.c of
this preamble, this section would allow
the insurer to make an advance payment
for up to 5 percent of the Coverage A
limit to a homeowner policyholder
without putting the mortgage company
on the check). Under the current
Dwelling Form, a homeowner
policyholder with Coverage A receives a
check issued to the homeowner
policyholder and any secured interest
(i.e., a mortgage or second mortgage,
etc.) and the homeowner policyholder
may have to negotiate with the secured
interest holder before the check can be
cashed to provide payment to a
contractor for repairs. Some secured
interest holders may be reluctant to
endorse the check until they know the
repairs have been made to protect their
financial position. Doing so, however,
can negatively impact the homeowner
policyholder who is then required to
secure the contractor with out-of-pocket
funds. By allowing for advance
payment, homeowner policyholders
without contents coverage should be
able to secure a contractor without
necessarily utilizing out-of-pocket funds
while not affecting the mortgage
company’s ability to file its own claim.
FEMA understands the proposed 5
percent advance payment would benefit
the homeowner policyholder so they
can rebuild more quickly. FEMA
believes the proposed 5 percent advance
payment is an insurance industry
standard and seeks comment from the
public specifically on whether or not
the 5 percent advance payment is
standard.
Finally, proposed section V.E.4 would
provide new flexibilities that in the
event of a flood associated with a
declared major disaster or emergency,
the Administrator may, after written
notice, settle losses in accordance with
any formula established under Federal
law that allocates covered damages
amongst multiple perils, including
flood. This would add flexibility if a
declared disaster allows the use of the
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COASTAL Formula for settling losses
that allocate damages amongst multiple
perils.63
7. Section VI: Procedures and Duties
When a Loss Occurs
The Dwelling Form includes various
provisions under article VII, ‘‘General
Conditions.’’ FEMA proposes to
combine all provisions relating to how
losses are proven and paid (traditionally
claims issues) in proposed section VI,
‘‘Procedures and Duties When A Loss
Occurs.’’ The organization of this
section would mirror the sequence that
a homeowner policyholder would use
the policy following a loss, first
addressing what the homeowner
policyholder must do, then what insurer
options exist, how the claims
adjustment process works, what
deductible applies, how loss is settled,
and how the appraisal process works
when required. It is FEMA’s position
that organizing this section according to
the logical progression of the process
would aid homeowner policyholders
who experience a loss, helping ensure
that they understand the policy’s terms
and conditions as well as the process.
a. Your Duties After a Loss
In organizing section VI.A, ‘‘Your
Duties After a Loss,’’ FEMA focused
extensively on proof of loss. The proof
of loss is an industry standard concept
and is the foundation of payment of any
claim. In the NFIP, the proof of loss is
a crucial customer service tool, ensuring
that the flood adjuster takes the time to
explain coverage and helps the
homeowner policyholder understand
how to address situations where the
insurance estimate and contractor
estimate (or quote) deviate. Absent the
proof of loss, an adjuster can submit a
report to an examiner and the insurer
can make payment without the
homeowner policyholder ever
understanding what they did or did not
get paid for as part of the claim. In
proposed section VI.A, FEMA seeks to
simplify the language around proof of
loss where possible and address what is
63 Section 1337(b)(1) of the National Flood
Insurance Act of 1968 (NFIA) (42 U.S.C. 4057(b)(1)),
as added by section 100253 of the Consumer Option
for an Alternative System to Allocate Losses Act of
2012 (also referred to as the COASTAL Act of 2012)
(Pub. L. 112–141, div. F, title II), requires FEMA to
‘‘establish by rule a standard formula to determine
and allocate wind losses and flood losses for claims
involving indeterminate losses.’’ This formula is
referred to as the ‘‘COASTAL Formula’’ pursuant to
NFIA sec. 1337(a)(2) (42 U.S.C. 4057(a)(2)). Once
FEMA adopts a COASTAL Formula in regulation,
FEMA may use the formula to oversee the handling
of claims involving indeterminate losses and, for
floods resulting in a Federal disaster declaration,
make claim payments based on the formula. See
NFIA sec. 1337(c) (42 U.S.C. 4057(c)).
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expected of the homeowner
policyholder separately from what
options the insurer has (proposed
section VI.B). These changes align with
other property insurance forms in the
marketplace 64 and make clear that
certain duties exist for both parties to
the insurance transaction.
Proposed section VI.A would provide
that if the described location
experiences a direct physical loss by or
from flood, the homeowner
policyholder must comply with all of
the duties listed in VI.A.1–7. This
would ensure that the homeowner
policyholder knows they must comply
with these duties, and that substantial
compliance would not suffice. Proposed
section VI.A.1 outlines the first duty,
which is to give prompt notice to the
insurer. This would be a change from
the Dwelling Form (see section VII.G)
and allow for a reasonable form of
prompt notice to the insurer when a loss
occurs rather than specifically requiring
a written notice. The critical element of
the notice requirement is timing, not the
form the notice takes. This proposed
revision provides flexibility to the
homeowner policyholder regarding the
ways prompt notification can be given
and reflects current practice, as some
homeowner policyholders provide
prompt notice by calling or emailing
their insurance agents when a loss
occurs. Proposed section VI.A.2 would
require that the homeowner
policyholder separate the damaged and
undamaged property as soon as possible
so that it can be examined and take all
reasonable measures to protect covered
property from any further loss. This
section would not retain the phrase
‘‘best possible order’’ found in section
VII.G.2 of the Dwelling Form because
this language is unnecessary, as FEMA
does not deny claims because there was
a better possible order available. In
addition, the requirement that
homeowner policyholders take
reasonable measures to protect
undamaged property would help avoid
scenarios where avoidable damage or
intervening causes of loss occur, which
could result in denial of coverage. This
additional language reinforces the duty
to mitigate loss and reduce the potential
for intervening causes of loss which
generally result in denial of insurance
claims.
Proposed section VI.A.3 makes a
significant change from the Dwelling
Form (see section VII.G.4) regarding
timing of submission of the proof of
64 The changes align with the Insurance Services
Office’s ‘‘HO–3’’ form, the template behind most
standard homeowners insurance policies. See supra
note 24.
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loss. It would require that within 90
calendar days after the loss, the
homeowner policyholder must send
FEMA a signed and sworn proof of loss
containing the date and time of loss,
how the loss occurred, details of any
other insurance, changes in title or
occupancy of the property during the
policy term, names of mortgagees or
anyone else with a lien, charge, or claim
against the property, a description of all
damages and detailed repair estimates
(if available), and an inventory of the
lost, damaged, or destroyed property.
The inventory must show the quantity,
description, replacement cost value or
actual cash value (whichever is
applicable), amount of loss, evidence
that prior flood damage has been
repaired, any written plans for repair of
the property that the homeowner
policyholder can reasonably make
available, and all funds the homeowner
policyholder spends recovering from the
loss. The homeowner policyholder must
also attach copies of all bills, receipts,
invoices, written estimates, and related
documents.
This proposed section would increase
the timeframe to submit a proof of loss
from 60 to 90 days, and, consistent with
other provisions in the Homeowner
Flood Form, specify that these are
calendar days. FEMA has historically
provided a 60-day window for
providing proof of loss. FEMA
recognizes that 60 days, the industry
standard,65 is normally a sufficient
timeframe for homeowner policyholders
to provide the proof of loss information
in a non-disaster scenario. FEMA
proposes, however, to surpass the
industry standard regarding this
timeframe given the nature of the peril
involved—flooding—the governmental
nature of the NFIP,66 and the fact that
as mentioned previously, FEMA has
often provided homeowner
policyholders with extensions of the 6065 See Nevada Department of Insurance Allstate
Homeowner’s Form, page 12, Section 1 Conditions
3.g (stating that signed, sworn proof of loss
statements must be submitted within 60 days after
the loss), found at https://docs.nv.gov/doi/
documents/home_policies/AllStateForms/
AP783.pdf (last accessed Aug. 28, 2023).
66 As a government program, the NFIP does not
have the variety of flexibilities available to the
private sector regarding post-loss options. If a
policyholder experiences a loss, a private industry
insurer can send over their preferred contractors to
handle everything for the policyholder after the
payment of the deductible. In the NFIP, utilizing
treasury funds and other governmental
requirements generally require a greater degree of
precision and puts an added burden on SFIP
policyholders as compared to their general
homeowners coverage through private insurance.
By providing more time in this proposed revision,
FEMA is offering SFIP customers extra time beyond
the industry standard to help alleviate this added
burden.
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day window in catastrophic
conditions.67 Flooding, often resulting
from severe storms, can require
extended evacuation periods. After a
flood, securing contractors to determine
the full scope of damage to a property
can be challenging given the increased
demand in impacted areas for these
services. Increasing the timeframe to
provide proof of loss should assist
homeowner policyholders by providing
additional time to return to the property
after an evacuation and secure a
contractor. FEMA anticipates that this
increased timeframe would also result
in fewer homeowner policyholder
requests for additional payment that
FEMA currently sees with the 60-day
window. In a catastrophic event,
homeowner policyholders need to
coordinate with contractors to obtain
price quotes which can take time given
the volume of demand after an event.
While the insurance policy would
provide payment based on an adjuster’s
estimate, it is just that—an estimate. An
occasion may arise where an estimate is
insufficient to cover the cost of repairs
that are within the policy’s coverage
that a contractor’s quote would capture.
Additionally, there may be an occasion
where a contractor’s quote may include
repairs that are not covered under the
policy. For example, a garage door is
damaged by flood. The adjuster finds
coverage and identifies the scope of the
67 For example, FEMA extended these deadlines
for Hurricane Maria (see e.g., Bulletin W–17057,
‘‘Activation of NFIP Catastrophic Event Enhanced
Claim Payment Process and Proof of Loss Extension
for Hurricane Maria,’’ (Sept. 28, 2017), found at
https://nfipservices.floodsmart.gov/sites/default/
files/w-17057.pdf (last accessed Aug. 28, 2023)),
Hurricane Irma (see e.g., Bulletin W–17040,
‘‘Activation of NFIP Catastrophic Event Enhanced
Claim Payment Process and Proof of Loss Extension
of Hurricane Irma,’’ (Sept. 17, 2017), found at
https://nfipservices.floodsmart.gov/sites/default/
files/w-17040.pdf (last accessed Aug. 28, 2023)),
and the August 2016 floods in Louisiana (see e.g.,
Bulletin W–16028, ‘‘Notice of the Limited Waiver
of the Standard Flood Insurance Policy (‘‘SFIP’’) to
Extend the Time for Sending Proofs of Loss in the
States of Louisiana and Mississippi for Claims
Related to Severe Winter Storms Commencing on
March 7, 2016 through March 19, 2016,’’ (Apr. 21,
2016), found at https://nfipservices.floodsmart.gov/
sites/default/files/w-16028.pdf (last accessed Aug.
28, 2023)); Bulletin W–16038, ‘‘Notice of the
Limited Waiver of the Standard Flood Insurance
Policy (‘‘SFIP’’) to Extend the Time for Sending
Proofs of Loss in the State of Louisiana for Claims
Related to Severe Spring Storms Commencing on
April 17, 2016 through April 20, 2016,’’ (Jun. 15,
2016), found at https://nfipservices.floodsmart.gov/
sites/default/files/w-16038.pdf (last accessed Aug.
28, 2023)); Bulletin W–16067, ‘‘Notice of the
Limited Waiver of the Standard Flood Insurance
Policy (‘‘SFIP’’) to Extend the Time for Sending
Proofs of Loss in the State of Louisiana for Claims
Related to the Mid-Summer Severe Storms
Commencing on August 9, 2016 through August 31,
2016,’’ (Sept. 9, 2016), found at https://
nfipservices.floodsmart.gov/sites/default/files/w16067.pdf (last accessed Aug. 28, 2023)), among
others.
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covered damage and estimates the value
of the covered damage at $500. The
contractor’s quote may indicate a $1,000
price to replace the garage door. The
additional $500 in the contractor’s quote
may be due to an increase in the price
of the unit following the disaster and
such cost may be covered. The
additional $500 in the contractor’s quote
could be for rewiring to conform to local
building codes and such a code upgrade
would generally not be covered. The
proposed additional time would allow
homeowner policyholders to obtain
contractor services and resolve these
questions in advance, improving the
efficiency of the process overall.
FEMA proposes to retain in proposed
section VI.A.3 the Dwelling Form’s
existing requirements in section VII.G.4
for documenting the proof of loss with
a few minor adjustments. These include
proposed VI.A.3.c’s requirement that the
homeowner policyholder provide
details of any other insurance that may
cover some or all of the loss, as this
would make the insurer aware of the
other insurance regardless of the extent
of coverage it may provide for the loss.
In addition, VI.A.3.f’s requirement that
the homeowner policyholder provide a
description of all damages to the
dwelling and other covered buildings
with detailed repair estimates would
help remind homeowner policyholders
of the requirements to prepare their
claim for Coverages A and B. While
much of the required inventory list
remains the same, FEMA highlights a
few changes here. First, proposed
section VI.A.3.g would require
homeowner policyholders to list not
only damaged property, but also
property that may have been lost or
destroyed, as that property may still be
eligible for coverage. Second, proposed
section VI.A.3.g(3) would add in
replacement cost value, as Coverage C
would be eligible for replacement cost
value loss settlement instead of only
actual cash value. Third, proposed
section VI.A.3.g(7)’s requirement of
information on all funds actually spent
recovering from the loss, including
copies of all bills, receipts, invoices,
written estimates, and related
documents, would enhance the insurer’s
ability to accurately and completely
settle the loss.
FEMA proposes minor clarifying edits
in proposed sections VI.A.4, VI.A.5,
VI.A.6, and VI.A.7. Like section VII.G.5
of the Dwelling Form, proposed section
VI.A.4 would continue requiring
homeowner policyholders to use their
own judgment concerning the amount of
loss and justify that amount before
signing it. Like section VII.G.6 of the
Dwelling Form, proposed section VI.A.5
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would clarify that there may be
additional parties beyond an adjuster
involved in the investigation of a claim.
In proposed section VI.A.6, FEMA
would add an industry standard
provision requiring the homeowner
policyholder make the damaged
property accessible for inspection, to
ensure that the insurer can inspect the
damaged property as appropriate for the
claims review process. FEMA also
proposes conforming changes in section
VI.A.7 (section VII.G.7 of the Dwelling
Form) to the deadline for submission of
proof of loss to 90 calendar days as
reflected in proposed section VI.A.3.
b. Our Options After a Loss
In proposed section VI.B, ‘‘Our
Options After a Loss,’’ FEMA seeks to
simplify and further clarify the insurer’s
options. Section VI.B.1. would provide
that after a loss and at the insurer’s sole
discretion, it may require that the
homeowner policyholder provide it
access to the damaged property, submit
to examination under oath upon request
and sign the transcript from such
examination, and permit the insurer to
examine and make copies of all or any
portion of any policies of property
insurance against loss and the deed
establishing ownership of the insured
property, and all bills, invoices,
receipts, and other records pertaining to
the damaged property (or certified
copies if originals are lost). Section
VI.B.2 would allow the insurer to accept
its adjuster’s report of the loss in lieu of
a proof of loss and require the
homeowner policyholder to sign the
report, and it would also allow the
insurer to require the homeowner
policyholder to swear to the report. This
section does not mirror its counterpart
in the Dwelling Form (at section VII.H)
because the section in the Dwelling
Form includes several concepts that the
Homeowner Flood Form would cover in
other sections (e.g., inventory
requirements, which the Form would
cover in VI.A.g, discussed above).
FEMA proposes to add the requirement
in VI.B.1.a that the homeowner
policyholder provide the insurer access
to the damaged property as this would
formally enable the inspection of
damaged property to better facilitate the
claims review process. FEMA’s
proposed reorganization and
restatement of the requirement to
provide transactional and other records
related to the damaged property in
section VI.B.1.c(2) would increase
clarity for homeowner policyholders
and ensure they understand that
insurers can examine and make copies
of these records. The language in
proposed VI.B.2 is currently in the
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Dwelling Form (at section VII.G.9), but
FEMA proposes not to retain the
language describing what the adjuster’s
report includes (information about the
loss and damages sustained) because
this language is unnecessary. This
section would also not retain the option
currently in section VII.H.3.a of the
Dwelling Form for insurers to make
repairs directly, as it is unnecessary.
This repair option has been a part of the
Dwelling Form for several years, yet
FEMA data show that insurers have not
invoked this option.
c. Loss Payment
Proposed section VI.C, ‘‘Loss
Payment,’’ would retain much of the
current Dwelling Form’s language at
VII.J with minor changes. In section
VI.C.1, ‘‘Adjustment of Claims,’’
paragraph a. would state that the insurer
has not authorized the adjuster to
approve or disapprove any claim. This
language would eliminate the
redundancy currently in the Dwelling
Form and clarify that the adjuster is not
authorized to approve or disapprove any
claim. Paragraph VI.C.1.b would retain
the language in section VII.J.1 of the
Dwelling Form except for the
clarification that the 60 and 90-day
timeframes are calendar days, consistent
with other proposed changes. Proposed
section VI.C.2 would similarly retain the
language in the Dwelling Form at
section VII.J.2, except it would increase
the timeframe a homeowner
policyholder has to file an amended
proof of loss from 60 to 90 calendar days
from the date of loss, and would add
references to the appeal, appraisal, and
litigation sections of the policy to make
clear to homeowner policyholders the
additional rights available to them.
FEMA proposes to add a section on
‘‘Advance Payments’’ at proposed
VI.C.3. Section VI.C.3.a would provide
that the insurer may provide the
homeowner policyholder with an
advance payment prior to the
completion of the claim, and the
homeowner policyholder may request
an advance payment after providing the
notice of loss. It would further provide
that these payments may include
amounts totaling no more than 5 percent
of the Coverage A limit to an insured
without regard to proposed section VII.F
(‘‘Mortgage Clause,’’ discussed below).
Section VI.C.3.b would provide that the
insurer may approve or reject the
request for advance payment, and that
such approval or rejection does not
affect the final adjustment of the claim
and does not change the homeowner
policyholder’s duties or insurer’s
options. Section VI.C.3.c would state
that if the insurer provides an advance
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payment that exceeds the covered loss,
the insurer would send written notice of
the overpayment, and the homeowner
policyholder must repay the excess
amount or dispute the validity of the
overpayment within 30 calendar days. It
would further provide that failure to
repay any overpayment may result in a
debt collection by the Federal
Government. Current guidance requires
the insurer to contact the homeowner
policyholder with a description of the
remedies available to the NFIP upon
failure to repay the amount due by the
deadline.68 Providing this information
in the policy would ensure the
homeowner policyholder is aware of
this option in advance. FEMA proposes
this section to increase flexibility for
insurers and transparency for the
homeowner policyholder, as giving
insurers the option to issue advance
payments comports with industry
practice. The language in VI.C.3.a
permitting up to 5 percent of the
Coverage A limit of liability as an
advance payment would allow the
insurer to issue a de minimis amount of
payment to an insured without having
to include a mortgagee on the check.
Lastly, proposed section VI.C.3.c
explains that an advance payment
cannot provide for a beneficial loss as
this is an indemnity policy. Indemnity
insurance is a contractual agreement in
which the insurer guarantees
compensation for actual losses or
damages sustained and thus, the
homeowner policyholder must repay
any excess amount issued.
buildings under construction in a
separate endorsement. Proposed section
VI.D.2 would provide that in each loss
from flood, a single deductible applies
to losses to the dwelling and all other
insured property. Proposed section
VI.D.3 would clarify that the deductible
does not apply to any loss avoidance
measures specified in proposed sections
III.D.2 or III.D.3. Although offering
separate deductibles for building and
personal property coverage are longtime conditions of the flood insurance
policy,69 it is FEMA’s position that
offering a single deductible for property
and contents aligns with industry
standards and customer expectations. A
single deductible is also permissible
under the NFIP’s statutory authority, as
the NFIA sets the minimum deductible
for buildings,70 but no minimum
deductible for personal property. Most
claims for personal property loss also
contain a building loss claim because
personal property must be inside a
building for coverage and it is unlikely
that personal property would be
damaged without corresponding
building losses. The Biggert-Waters
Flood Insurance Reform Act of 2012
(BW–12) 71 requires policyholders be
paid only for damage to property
covered under their policy and a single
deductible applying to losses from the
dwelling and all other property insured
by the policy comports with this. In
proposed section VI.D.3, FEMA retains
the reference to loss avoidance
measures, but does not retain references
d. Deductible
The Dwelling Form addresses
deductibles in a standalone article (‘‘VI.
Deductibles’’). For the Homeowner
Flood Form, however, FEMA proposes
to place the deductible section within
section VI, ‘‘Procedures and Duties
When a Loss Occurs,’’ as treating it
within the loss context is more logical.
FEMA also proposes to present the
deductible as a single deductible instead
of several deductibles for simplicity.
Proposed section VI.D.1 would retain
language in the Dwelling Form at VI.A,
providing that when a loss is covered
under the policy, the insured would pay
only that part of the loss that exceeds
the homeowner policyholder’s
deductible amount (subject to the
applicable coverage limit), and that the
deductible amount is shown on the
declarations page. This section would
not retain the additional language in the
Dwelling Form at VI.A regarding
buildings under construction, as the
Homeowner Flood Form would treat
69 The National Flood Insurance Act authorizes
FEMA to deliver the NFIP in one of two ways. The
first (Part A), envisions an industry program
supported by the Federal Government whereby
FEMA serves as a backstop for a pool of private
insurers which sell a flood insurance policy
containing terms provided by FEMA. The second
(Part B, under which the NFIP currently operates),
envisions a Government program with industry
support whereby FEMA leads a program where
private insurers agree to sell and service a Federal
flood insurance policy. When the NFIP operated
under Part A, the Department of Housing and Urban
Development (HUD) set certain flood insurance
terms and conditions by regulation that FEMA
continued to utilize even after the switch to
operating under Part B. See generally 24 CFR
1911(f)(3) (1970): ‘‘The policy contains a deductible
clause. Each loss sustained by the insured is subject
to a deductible provision under which the insured
bears a portion of the loss before payment is made
under the policy. The amount of this deductible is
either $100 for each type of loss (that is, $100 on
the structure and $100 on the contents) or 2 percent
of the amount of insurance applicable to the type
of loss, whichever is greater;’’ and 44 CFR
61.5(d)(1980): ‘‘Each loss sustained by the insured
is subject to a deductible provision under which the
insured bears a portion of the loss before payment
is made under the policy. The amount of the
deductible for each loss occurrence is (1) For
structural losses, $200, and (2) for contents losses,
$200.’’
70 42 U.S.C. 4019(b).
71 Public Law 112–141, 126 Stat. 916 (2012).
68 See
Claims Manual at 217.
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to condominium loss assessments or
Increased Cost of Compliance. As
mentioned previously, the Homeowner
Flood Form would not cover
condominium units, and would include
ICC coverage through an endorsement.
e. Loss Settlement
FEMA proposes in section VI.E, ‘‘Loss
Settlement,’’ to simplify the provisions
regarding loss settlement compared to
the Dwelling Form’s section on the same
(see section VII.R). This section would
make it clear that replacement cost
value—the method of valuation using
the amount that it would cost to replace
an asset—rather than actual cash value,
would be the default loss settlement.
(As noted previously, a homeowner
policyholder seeking coverage at actual
cash value may do so by endorsement.)
Section VI.E.1 would explicitly state
that the policy provides both
replacement cost value and actual cash
value as possible methods of settling
losses based on whether property is
insured to value. (1) Section VI.E.1.a
would apply replacement cost value to
the dwelling, if at the time of loss, the
coverage limit that applies to the
dwelling is 80 percent or more of full
replacement cost immediately before the
loss or is the maximum coverage limit
available under the NFIP. It would also
apply replacement cost value to claims
arising under Coverage B or C of the
policy. Extending replacement cost
value loss settlement beyond Coverage
A to Coverage B and C aligns the Form
with customer expectations and
comports with other proposed changes
for consistency across coverages. (2)
Section VI.E.1.b would apply actual
cash value if the dwelling is not eligible
for replacement cost value because it
does not meet the conditions of VI.E.1.a,
(insured to value) or if actual cash value
is specified in an endorsement (allowing
homeowner policyholders to elect
actual cash value loss settlement at the
time of policy inception, with an
appropriately adjusted premium
requirement reflecting the lowered
expected loss).72 Proposed section
VI.E.1 would not retain special loss
settlement, as it is only applicable to
72 Using replacement cost value allows FEMA to
pay a policyholder to replace what he or she had
at the time of loss with new like and kind quality.
Actual cash value allows FEMA to pay a
policyholder to replace what he or she had at the
time of loss while considering the quality of the
item and applying depreciation. For example, if a
floor is damaged by a flood, under replacement cost
value, the policyholder would receive payment for
the type of flooring at the same quality at current
prices. Under actual cash value, the policyholder
would receive payment for the type of flooring at
the same quality less depreciation (wear and tear,
etc.), resulting in a reduced payment.
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certain mobile homes (which would not
be covered under the Form).
Proposed section VI.E.2,
‘‘Replacement Cost Value Settlement,’’
would provide that if the loss is subject
to replacement cost value under
VI.E.1.a, the insurer would pay to repair
or replace the damaged dwelling or
other buildings at the described location
or covered personal property, but not
more than the lesser of (1) the coverage
limit applicable to the loss as shown on
the declarations page; (2) the
replacement cost of the damaged part of
the dwelling using materials of like kind
and quality and for like use; or (3) the
amount necessary to repair or replace
the damaged part of the dwelling for
like use. Proposed section VI.E.2 would
also provide that where the loss is
subject to replacement cost value and
the dwelling is rebuilt at a new location,
the insurer would pay only the cost that
would have been incurred if the
dwelling had been rebuilt at its former
location. Proposed section VI.E.3,
‘‘Actual Cash Value,’’ would provide
that if actual cash value loss settlement
applies, the insurer would pay the lesser
of the actual cash value of the covered
property, or the policy limits stated on
the declarations page. Compared to the
Dwelling Form, these sections contain
conforming edits (such as not retaining
the distinction between primary and
nonprimary residences), and
nonsubstantive edits for readability.
These sections would also not retain the
special situations listed in the Dwelling
Form where only actual cash value
applies, consistent with other proposed
changes.
FEMA proposes a new section VI.E.4,
‘‘Flood Mitigation Expenses,’’ to give
customers and those who have suffered
loss additional options to receive
payment for modest mitigation efforts.73
Section VI.E.4.a would provide that the
insurer would reimburse for post-loss
expenses that mitigate against future
flood events as long as post-loss
expenses do not exceed the policy
limits. Section VI.E.4.b would allow the
homeowner policyholder to choose to
replace any damage under Coverage A
or B with Flood Damage Resistant
Materials; after completing installation
of these materials, the homeowner
policyholder may request
reimbursement. Section VI.E.4.c would
allow the homeowner policyholder to
choose to elevate his or her machinery
and equipment above a basement or
enclosure. Such elevated machinery or
equipment must be elevated to a height
73 Any payment for mitigation efforts must be
within statutory limits and within the context of
repairs of damaged items where applicable.
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reasonably expected to avoid future
direct physical loss by or from flood.
After elevating machinery and
equipment, the homeowner
policyholder may request
reimbursement. The NFIP is not strictly
an insurance program, but rather a
program that combines studying flood
risk, mapping it, creating national
minimum floodplain management
standards, and transferring flood risk.74
Under these revisions, FEMA would not
only pay to repair damaged property to
the status quo ante, it would pay for the
additional higher costs of flood damage
resistant materials or additional labor to
move machinery and equipment. In the
same way that many insurers currently
take efforts to reduce the likelihood or
size of future claim payments pre-loss,75
these revisions would allow FEMA to
pay for similar actions, just after the
loss. Ultimately, the coverage is there to
help the homeowner policyholder
recover; FEMA anticipates that the
premiums tied to the coverage choices
would signal the underlying risk and
promote mitigation efforts.
Lastly, proposed section VI.E.5 would
provide that the Form is not a valued
policy and would explain that a valued
policy is a policy in which the payable
amount in the event of a total loss is
agreed upon by the insured and insurer.
This reference puts the homeowner
policyholder on notice that, in the event
of a total loss, the homeowner
policyholder would not automatically
receive the policy limits. Although the
Dwelling Form also states that it is not
a valued policy, it contains this
statement in the Definitions section.
FEMA proposes to place this in the
Form’s Loss Settlement section (1)
because this is the only location where
it uses the term, and (2) to acknowledge
the frequency with which insurers cite
to the term in denial letters, so that
homeowner policyholders would better
understand the policy’s loss parameters.
74 See 42 U.S.C. 4001 et seq generally. Note that
42 U.S.C. 4001 addresses the intent of Congress to
create a program that is not strictly a flood
insurance program; 42 U.S.C. 4014(a) authorizes the
agency to conduct studies and investigation for
premium rate estimation; 42 U.S.C. 4101b
authorizes the agency to map flood risk; 42 U.S.C.
4102 authorizes the agency to conduct studies and
investigations for land management, floodplain
management, and zoning; 42 U.S.C. 4122 authorizes
the agency to study perils other than flood; and 42
U.S.C. 4127(c) authorizes the agency to utilize
appropriations for studies.
75 E.g., many insurers offer defensive driving
discounts for automobile policies, premium credits
if a policyholder installs a security system in his or
her home, a reduction in premium for a commercial
liability policy if the business has sprinkler systems
installed throughout, etc. In essence, these efforts
‘‘pay’’ for actions pre-loss through reductions in
premium collected.
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f. Appraisal
In section VI.F, ‘‘Appraisal,’’ FEMA
proposes to revise provisions regarding
appraisal to more closely mirror the
NFIP’s guidance issued by bulletin,76 as
appraisal carries a different meaning for
the NFIP than it does for property
insurance under some state laws.77
Under section VI.F, if the homeowner
policyholder and the insurer fail to
agree on the replacement cost value, or
if applicable, actual cash value, and are
thus unable to settle the amount of loss,
either party may demand an appraisal of
the loss. Section VI.F.1 outlines the
conditions before a homeowner
policyholder can request an appraisal.
Before requesting an appraisal, the
homeowner policyholder must agree
with the insurer on a list of damaged
items to be appraised (VI.F.1.a) and
must have complied with proof of loss
requirements (VI.F.1.b). (If the
homeowner policyholder is uncertain
about their loss and has not finalized a
proof of loss claim, the appraisal
process is not appropriate). Section
VI.F.1.c would provide that appraisal is
only available when the dispute
involves the price to be paid for the
covered property. Other disputes, such
as disputes regarding coverage or
causation, or the extent of the loss,
would not be able to be resolved
through the appraisal process. Section
VI.F.2, ‘‘Appraisal Process,’’ retains the
language from section VII.M of the
Dwelling Form with minor conforming
changes regarding actual cash value and
replacement cost value, and clarifying
that the timeframes are in calendar days,
consistent with other proposed changes
in the form. In proposed section VI.F.3,
FEMA seeks to more closely mirror the
guidance set out by previous bulletins to
confirm that appraisals can only be used
when it would result in complete
resolution of the entire claim and
76 See Bulletin W–13029, ‘‘Proper Invocation and
Usage of the Appraisal Clause Provisions in the
Standard Flood Insurance Policy’’ (May 15, 2013),
found at https://nfipservices.floodsmart.gov/sites/
default/files/w-13029.pdf (last accessed Aug. 28,
2023).
77 In traditional claims handling, one first
addresses eligibility (i.e., is there a valid policy,
insurable interest, etc.?), then coverage (i.e., is there
a loss caused by flood?), then the scope of the loss
(i.e., how much damage did floodwater cause?),
then finally pricing (i.e., the value of the loss items).
For the NFIP, appraisal only comes into play when
there is a dispute regarding pricing (i.e., the insurer
and policyholder agree on eligibility, coverage, and
scope, just not on price). Many states, by contrast,
use appraisal in a variety of other ways, such as
determining causation (especially when there are
multiple perils) or other aspects of the claim.
Because each state has specific insurance laws that
govern in the absence of a Federal law on point,
appraisal often serves as a ‘‘catch-all’’ for a range
of dispute resolution programs that exist for
insurance which vary from state-to-state.
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cannot be used to resolve only part of
the claim or to determine the value of
some items and not others.
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8. Section VII: General Conditions
Proposed section VII, ‘‘General
Conditions,’’ would contain items of
general applicability to the policy.
While article VII of the Dwelling Form
contains most of these provisions, the
Homeowner Flood Form would
reorganize them alphabetically to make
it easier for the policyholder to find
relevant information. It would also add
three new provisions (‘‘Death,’’
‘‘Headings and Captions,’’ and ‘‘Your
Options After Our Denial’’) discussed in
further detail below.
In proposed section VII.A,
‘‘Abandonment,’’ FEMA proposes to
add the word ‘‘unilaterally’’ so that the
provision would read that the
policyholder may not unilaterally
abandon to the insurer, damaged or
undamaged property insured under the
policy. This is to ensure an agreement
for salvage, as the policyholder cannot
invoke salvage for the insurer. Proposed
section VII.B, ‘‘Amendments, Waivers,
and Assignment,’’ would break out the
first two sentences of section VII.C of
the Dwelling Form into separate clauses
for readability, and would change the
reference to ‘‘Federal Insurance
Administrator’’ to ‘‘Administrator’’ to
conform with the policy’s proposed
terminology. Although the current
Dwelling Form provides conditions
under which the policyholder may
assign the policy, proposed section
VII.B.3 would prohibit the assignment
of the policy or claim to any other party
in order to avoid claims-related issues
in states that allow assignment of
benefits.78 Because the increased choice
and flexibility of the Homeowner Flood
Form allows homeowner policyholders
to tailor it to their needs, it is FEMA’s
position that it would not be necessary
or desirable for a homeowner
policyholder to assign the policy to
another party.79 This is because the
policy, as tailored by the original
homeowner policyholder, would not
78 FEMA notes that while the Agency does permit
assignment of ICC benefits to a community in the
context of grants, the extent to which the FEMA
will continue to permit assignment of ICC benefits
would be addressed in the ICC Endorsement.
79 For instance, a homeowner policyholder may
want actual cash value while an assignee might
want replacement cost value coverage, a
homeowner policyholder may want additional
living expenses while an assignee might not, or a
policyholder may not want to cover other buildings
under Coverage B, while an assignee might want to
cover one or more. In addition, to the extent that
FEMA permits different values for sublimits (e.g.,
loss avoidance, etc.), this is another choice that may
differ between homeowner policyholders and
assignees.
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necessarily provide adequate insurance
coverage for the assignee. Eliminating
the option to assign should result in
more fulsome discussions between
agents and homeowner policyholders
regarding available options and would
allow each homeowner policyholder to
choose the options that are right for
them, rather than having to accept a
policy tailored to another individual’s
choices.
Proposed section VII.C, ‘‘Death,’’
would be a new provision and would
provide that in the event of the
homeowner policyholder’s death during
the policy term, the coverage under the
policy would continue automatically for
any other insured(s). If no other insured
exists, the policy would insure the
administrator, executor, or other legal
representative of the homeowner
policyholder’s estate as previously
determined by the homeowner
policyholder or the intestacy laws of the
state where the described location is
located, but only for the dwelling,
building(s), and personal property of the
deceased at the time of death. Issues
involving the death of a homeowner
policyholder arise with frequency.
These can include situations where
insurers deny claims by invoking the
assignment clause, questions arise over
whether the spouse was a resident of the
same household, or more simply,
remaining family who are still grieving
the loss become frustrated with the
insurance process. Addressing this
scenario in the policy would align it
with industry practice, as homeowners’
policies include a death clause, and
would reduce complexity for the
remaining insured(s) and/or family of
the deceased.
Proposed section VII.D, ‘‘Duplicate
Policies Not Allowed,’’ would provide
that FEMA would not insure personal
property at the described location under
more than one NFIP policy. It would
further provide that if there is more than
one NFIP policy for buildings at the
described location, FEMA would apply
the NFIP rules concerning duplicate
policies and cancel or nullify one of the
policies, whichever is applicable, which
may result in a refund. Compared to the
Dwelling Form (see sections I.F and
VIII.D.3), the proposed language here
contains updates to capture the ability
to have other insurance from a private
carrier (but not multiple NFIP policies),
to reflect 44 CFR 62.5(e), ‘‘Cancelation
or Nullification of Duplicate NFIP
Policies,’’ as well as other minor and
conforming updates for clarity and
readability.
Proposed section VII.E, ‘‘Headings
and Captions,’’ would be a new
provision and would provide that the
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headings and captions used in the
policy are for convenience of reference
only and shall not affect or control the
meaning or interpretation of any of the
terms, conditions, or provisions of the
policy. FEMA proposes this provision
for clarity and to prevent dependence
on meta-textual information.
In sections VII.F, ‘‘Mortgage Clause,’’
VII.G, ‘‘No Benefit to Bailee,’’ VII.H,
‘‘Other Insurance,’’ and VII.I, ‘‘Pair and
Set Clause,’’ FEMA proposes to retain
the language from the Dwelling Form
with minor edits. Proposed section
VII.F, ‘‘Mortgage Clause,’’ would retain
the language in the Dwelling Form at
VII.N and make minor conforming and
clarifying changes. For example, FEMA
proposes conforming edits to proposed
VII.F.1 to describe coverages of
buildings, and edits to proposed VII.F.4
to extend to mortgagees the same right
to access claim files as that available to
the named insured as they both have
equity in the property and both are
already entitled to receive loss payment.
Proposed section VII.G., ‘‘No Benefit to
Bailee,’’ would retain the language from
the Dwelling Form at section VII.I as
this language is industry standard, with
minor grammatical edits. FEMA
proposes minor conforming edits to
proposed section VII.H, ‘‘Other
Insurance,’’ (such as updating cross
references and not retaining the
language in the Dwelling Form at
section VII.B.2 regarding insurance for
condominium associations, as the
Homeowner Flood Form would only
cover homeowners). Proposed section
VII.I, ‘‘Pair and Set Clause,’’ would
include language from the Dwelling
Form at section VII.A with grammatical
changes, except that it would not retain
the language regarding depreciation as
the loss settlement provision would be
at replacement cost value, not actual
cash value.
Proposed section VII.J, ‘‘Salvage,’’
would retain the language from section
VII.L of the Dwelling Form at proposed
VII.J.2, but would include a new
provision at VII.J.1 stating that after
providing written notice, the insured
may take all or any part of the damaged
property at the value that the parties
agree upon or its appraised value. (This
provision is currently in the Dwelling
Form at VII.H.3.b, ‘‘Our Options After A
Loss’’ [proposed VI.B of the Homeowner
Flood Form], and FEMA proposes to
include this language in proposed
section VII.J instead because it relates to
salvage).
In proposed section VII.K,
‘‘Subrogation,’’ FEMA proposes to
rewrite the provision on subrogation
because the language in the Dwelling
Form at VII.P has been a source of
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confusion to homeowner policyholders.
Section VII.K would define
‘‘subrogation’’ upfront to mean that the
homeowner policyholder’s right to
recover for a loss that was partly or
totally caused by someone else is
automatically transferred to the insurer,
to the extent the insurer has paid for the
loss. It would state that the insurer may
require the homeowner policyholder to
acknowledge the transfer in writing. The
provision would continue by explaining
the subrogation process in more detail,
providing that whenever the insurer
pays for a loss under the policy, the
insurer is subrogated to the homeowner
policyholder’s right to recover for that
loss from any other person. After the
loss, the homeowner policyholder must
deliver all related papers to the insurer,
must cooperate with the insurer, and
may not interfere with or do anything
that would prevent the insurer’s right to
recover this money. If the insurer pays
for a loss under this policy and the
homeowner policyholder: (1) makes a
claim against any person who caused
the loss; and (2) recovers any money
from that person, the homeowner
policyholder must return the insurer’s
payment before keeping the recovered
funds, without regard to any noncovered losses occurring at the
described location.
Finally, FEMA proposes a new
section VII.L, ‘‘Your Options After Our
Denial,’’ to place the options that a
homeowner policyholder has after
denial in a single location within the
General Conditions section. Proposed
section VII.L.1, ‘‘Request Additional
Payment,’’ would provide that the
homeowner policyholder may request
additional payment and amend the
initial proof of loss, and must submit
this request of amended proof of loss as
set forth in proposed VI.A. It would
further provide that a denial letter does
not extend the deadline in proposed
VI.A.3 to submit a proof of loss. This
section would reaffirm to homeowner
policyholders that there are additional
administrative options through which
they can come to a resolution with the
insurer on a claim. Giving homeowner
policyholders options to work with
insurers in order to reach a satisfactory
agreement aligns with industry practice
and should result in fewer appeals or
lawsuits. Proposed section VII.L.2,
‘‘Appeal,’’ would provide that if the
insurer denies a claim, in whole or in
part, the insurer would send the
homeowner policyholder a denial letter.
If the homeowner policyholder wishes
to appeal the denial, he or she must
send an appeal letter explaining his or
her position and a copy of the denial
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letter to FEMA within 60 calendar days
of the date of the insurer’s letter. It
would further provide that filing an
appeal to FEMA does not limit or affect
the homeowner policyholder’s ability to
file suit, or to seek an additional
payment or file an amended proof of
loss with the insurer. Proposed section
VII.L.2 incorporates requirements from
the Flood Insurance Reform Act of
2004 80 on the appeals process and other
conforming changes (i.e., specifying
‘‘calendar’’ days). Proposed section
VII.L.3, ‘‘File a Lawsuit Against Us,’’
would retain the language currently in
the Dwelling Form at VII.F, ‘‘Suit
Against Us,’’ with minor grammatical
changes.
Finally, in the signature section,
FEMA proposes to update the signee
from ‘‘Administrator, Federal Insurance
Administration,’’ toFederal Insurance
Adminstrator, a position set in statute.81
D. Appendix A(101): Increased Cost of
Compliance Coverage Endorsement
As mentioned above, in addition to
the Homeowner Flood Form, FEMA also
proposes to offer five endorsements to
expand or exclude coverage for various
risks. The first of these endorsements is
for Increased Cost of Compliance (ICC)
coverage. Under section III.D of the
Dwelling Form, when an insured
building sustains a flood loss and the
community declares the building
substantially or repetitively damaged,
ICC coverage will pay up to $30,000 for
the cost to elevate, demolish, or relocate
the building. FEMA proposes to offer
this additional coverage for the cost to
comply with State or community
floodplain management laws or
ordinances after a direct loss from flood
not within the Homeowner Flood Form
itself, but as an endorsement to the new
Form.
The ICC Endorsement would modify
the Homeowner Flood Form in six
locations. First, it would add to section
II of the Form definitions for
‘‘Community Official’’ and ‘‘Compliance
Activities.’’ ‘‘Community Official’’
would mean the non-Federal official
enforcing floodplain management
ordinances that meet or exceed the
minimum standards of the NFIP on a
damaged building. ‘‘Compliance
Activities’’ would mean legally required
mitigation activities approved by the
Administrator that reduce or remove the
risk of future flood damage to a building
at the described location. Second, it
would add to section III, ‘‘What We
Cover,’’ a new section E, ‘‘Increased
80 Flood Insurance Reform Act of 2004, Public
Law 108–264 (2004).
81 42 U.S.C. 4129
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Cost of Compliance.’’ Section E would
provide that FEMA would pay up to the
ICC limit for the cost of compliance
activities actually incurred when
required by a community official. It
would specify that use of this coverage
is at the homeowner policyholder’s
option, but the combined payments
from FEMA under Coverage A, Coverage
B, and Coverage E may not exceed the
maximum amount of coverage permitted
by the NFIA. It would also require that
when the building is repaired or rebuilt,
it must be intended for the same
occupancy as the present building
unless otherwise required by current
floodplain management ordinances or
laws. It would also explicitly state that
the Homeowner Flood Form, as
modified by the ICC Endorsement,
would not cover (1) anything already
excluded anywhere in the policy, (2)
costs of compliance activities for either
flood loss pre-dating the current loss, or
for additions or improvements to the
dwelling made after the loss occurred,
and (3) any standard that does not meet
the minimum requirements of the NFIP.
Third, the ICC Endorsement would add
to section IV, ‘‘Exclusions,’’ a sentence
to paragraph IV.A.2. to specify that the
economic loss exclusion would not
apply to any eligible activities described
in added Coverage E. Fourth, it would
amend section V, ‘‘Policy Conditions,’’
by adding to paragraph E.1 that in the
event of a flood associated with a
Presidentially-declared disaster or
emergency, the Administrator may
extend the timeframe for requesting ICC
for a period not to exceed 6 years from
the date of loss. Fifth, it would amend
section VI, ‘‘Procedures and Duties
When A Loss Occurs,’’ by expanding
paragraph D.3 to specify that the
deductible would not apply to ICC
coverage, and adding to paragraph E,
‘‘Loss Settlement,’’ a sixth subparagraph
to specify that FEMA would pay a
homeowner policyholder for eligible
ICC costs when (s)he has completed his
or her compliance activities as soon as
reasonably possible after the loss, not to
exceed 2 years. Finally, the ICC
Endorsement would modify section VII,
‘‘General Conditions,’’ to provide an
exception to the prohibition against
assigning the policy in paragraph B.3 to
allow a homeowner policyholder to
assign a claim under Coverage E to a
state or local government or nonprofit
organization to apply toward the nonFederal cost share of a Federal grant.
FEMA proposes offering ICC coverage
as an endorsement to the new Form
rather than providing it within the Form
(as the Dwelling Form does) to
streamline its implementation. Its
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placement within the text of the current
Dwelling Form has created transactional
difficulties as ICC involves more
stakeholders than the rest of the
insurance contract. While the Dwelling
Form generally involves just the
policyholder and the WYO, ICC
involves the homeowner policyholder,
WYO, and local officials. Moreover,
while the timelines for processing
claims under Coverages A, B, and C
occur relatively quickly under current
practices, the timelines for processing
ICC claims can extend for years. This is
largely because homeowner
policyholders must receive a letter from
the relevant community official,
permits, claims for partial and complete
payments, certificates of occupancy, etc.
Because ICC is a different coverage with
a different process, offering it as an
endorsement would help create a break
between the two tracks and enable the
NFIP to more easily monitor and
analyze information concerning ICC
coverage. For any homeowner
policyholder who could receive ICC
benefits, FEMA would automatically
add the ICC Endorsement to the policy.
(This endorsement is the only one out
of the five proposed endorsements that
would be ‘‘mandatory’’ in this
respect).82 In almost every possible
situation for the Homeowner Flood
Form, the homeowner policyholder will
have ICC coverage but FEMA is still
proposing that ICC coverage be available
through an endorsement to allow for
more flexibility in future flood policy
form revisions.
E. Appendix A(102): Actual Cash Value
Loss Settlement Endorsement
The Dwelling Form uses actual cash
value rather than replacement cost value
as the general default loss settlement.83
Most property owners, however, intend
to insure buildings for replacement cost
or up to the statutory limit of $250,000
for a single-family building in order to
come as close as possible to being made
whole. It is for this reason that FEMA
proposes to offer replacement cost value
as the Homeowner Flood Form’s default
loss settlement. Nevertheless, FEMA
proposes to offer homeowner
82 42
U.S.C. 4011(b).
section VII.R.1.c. The Dwelling Form uses
actual cash value as the default in the following
contexts: when the dwelling is underinsured
(coverage purchased is <80% of replacement cost
value and less than the maximum amount available
under the NFIP); two-to-four family dwellings; units
not used exclusively as single-family dwellings;
detached garages; personal property; appliances,
carpets, carpet pads; outdoor awnings, outdoor
antennas/aerials, or other outdoor equipment; postloss abandoned property that remains at the
described location; and any residence that is not a
principal residence. Art. VII.R.4.
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policyholders the choice of insuring
their building for actual cash value for
a reduced premium.
The Actual Cash Value Loss
Settlement Endorsement would modify
the Homeowner Flood Form to provide
actual cash value as the only available
valuation for settling covered losses. It
would amend subparagraph E.1 (‘‘Loss
Settlement’’) in section VI to provide
that the policy offers actual cash value
loss settlement, and remove from the
Homeowner Flood Form subparagraph
E.2, ‘‘Replacement Cost Value Loss
Settlement.’’
F. Appendix A(103): Temporary
Housing Expense Endorsement
The Dwelling Form expressly
excludes coverage for additional living
expenses incurred while the insured
building is being repaired or is unable
to be occupied for any reason. (See
section V.A.5). The insurance industry,
however, generally offers coverage for
additional living expenses. Accordingly,
FEMA proposes to offer homeowner
policyholders the option of purchasing
additional coverage to receive
compensation in the event they are
displaced from their insured property
due to flood while their home is
undergoing repair. This optional
coverage would align with the NFIA’s
directive to provide coverage ‘‘against
loss resulting from physical damage to
or loss of real property or personal
property,’’ 42 U.S.C. 4011(a), because it
would protect homeowner
policyholders from certain economic
harms directly resulting from physical
damage to their home. Making this
optional coverage available would also
decrease the need for post-disaster
housing assistance through FEMA’s
Individuals and Households Program.
The Temporary Housing Expense
Endorsement would cover temporary
housing expenses actually incurred by
homeowner policyholders up to the
coverage sublimit for an additional
premium when the dwelling is
uninhabitable or the homeowner
policyholder is ordered to evacuate.84
The endorsement would modify
Homeowner Flood Form section III,
paragraph A.4.a to state that the policy
does not cover loss of use of the
described location while the dwelling is
inaccessible, being repaired, or is
uninhabitable for any reason except as
provided in III.D.4 as modified by
endorsement. The endorsement would
also modify section III by redesignating
84 This endorsement would not cover expenses
beyond those directly related to an inhabitable
dwelling, such as tolls for an increased commute or
childcare costs.
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paragraph D.4 as D.5, and adding a new
subparagraph D.4, ‘‘Temporary Housing
Expense.’’ This subparagraph would
provide two scenarios where FEMA
would cover temporary housing
expenses actually incurred by the
homeowner policyholder up to the
coverage sublimit for an additional
premium received. First, FEMA would
provide coverage when the dwelling at
the described location is uninhabitable
due to direct physical loss by or from
flood. Payment in this scenario would
be for the shortest amount of time
required to repair or replace the damage
or, if the homeowner policyholder
permanently relocates, the shortest time
required for his or her household to
settle elsewhere. Second, FEMA would
provide coverage when a legally
authorized official has issued an
evacuation or civil order for the
community in which the dwelling is
located calling for measures to preserve
life and property from the peril of flood.
Payment in this scenario would be for
the shortest time period covered by the
order. This subparagraph would also
provide that the time period for
temporary housing expense coverage is
not limited by the expiration of the
policy term specified in I.D, but in any
case, would not exceed 24 consecutive
months from the date of the covered
flood loss.
G. Appendix A(104): Basement
Coverage Endorsement Approaches
The current Dwelling Form restricts
coverage in a basement. Under the
Dwelling Form, FEMA limits basement
coverage to drywall for walls and
ceilings and the cost to nail it,
unfinished and unfloated and not taped,
to the framing (section III.A.8.a(3));
nonflammable insulation (section
III.A.8.a(10)); foundation elements;
stairways; and certain kinds of
machinery and equipment. In addition,
the Dwelling Form limits personal
property coverage in a basement to
portable or window type air
conditioning units, clothes washers and
dryers, and non-walk-in food freezers
and food in any freezer as long as these
are installed in their functioning
locations and, if necessary for operation,
connected to a power source (section
III.B.3).
As FEMA describes above in sections
III.A.3.a and III.A.3.c of this preamble,
FEMA includes in the proposed
Homeowner Flood Form limited,
simplified coverage for basements.
FEMA recognizes, however, that
homeowners may value their basements,
and contents within, more than the
amount covered by the policy. FEMA
has offered this restrictive coverage for
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four decades and the proposed new
Homeowner Flood Form would not
change that coverage absent an
endorsement. FEMA believes the
limited basement coverage creates
challenges in the flood insurance sales
context for homeowner policyholders
who want more coverage than the
current Dwelling Form allows and in
the recovery context for homeowner
policyholders who need it to more fully
recover from a flood event.
FEMA further believes that expanded
basement coverage would not
significantly impact the financial
soundness of the NFIP. Basements are
not typical in many of the areas that
experience a higher frequency of
hurricanes and catastrophic flooding,
e.g., Florida and Louisiana. In its efforts
to develop this coverage, FEMA
undertook an analysis of the impact of
expanded basement coverage on the
financial soundness of the NFIP. Using
Superstorm Sandy (2012) as a proxy for
catastrophic flooding in an area with a
higher incidence of basements, FEMA
determined that it would have paid an
additional 6 percent in loss payments
(over $500,000,000 in expenses) if every
claim involving a basement opted for
expanded coverage. FEMA notes that it
would have brought in additional
premium to offset this amount, though
it had no means to determine the
specific amounts of premium across all
policies. The relatively low percentage
for the overall cost reflects that NFIP
coverage already pays for multiple highcost items typically located in
basements (e.g., HVAC, water heaters,
etc.). While a low percentage, there is a
corresponding benefit to policyholders
who would no longer have to make up
that difference as they recovered from
the flood event. FEMA believes that
offering better coverage may attract
policyholders in other regions of the
country that do not typically face
catastrophic hurricane risk but where
basements are more prevalent; however
FEMA seeks comment on whether
offering additional basement coverage
would attract policyholders.
Given these factors, FEMA considered
three approaches to basement coverage:
(1) the current approach of retaining the
current restricted coverage, with a focus
on training agents selling flood
insurance to further discuss what
constitutes a basement under the
Homeowner Flood Form and the
restrictions on coverage at the point of
sale to better inform homeowner
policyholders and those seeking to
purchase new homeowner flood
insurance of the coverage restrictions;
(2) FEMA’s preferred approach of
offering an endorsement to the proposed
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Homeowner Flood Form that would
allow homeowner policyholders to
remove the restrictions currently on
basement coverage for an additional
premium (‘‘Basement Coverage
Endorsement’’); and (3) a third approach
of offering an endorsement (a) to allow
homeowners with split-level homes or
sunken room(s) to remove the
restrictions for additional premium,
while also allowing limited building
coverage, for additional premium, and
(b) to homeowner policyholders who
need to occupy (occupancy) part of their
basement to remove the restrictions to
allow limited coverage, for additional
premium. Occupancy would focus
additional coverage on rooms in the
basement such as bedrooms, bathrooms,
and kitchens/kitchettes. Maintaining
current basement coverage restrictions
and providing additional training to
agents under the first approach could
better equip agents to explain the
coverage and identify basements at the
time of application. The potential
benefit of this approach could increase
basement coverage understanding for
insurance agents that could be conveyed
to homeowners during the time of
application. FEMA rejected this
basement coverage alternative approach
because the current restricted basement
coverage fails to adequately meet the
insurance needs of the American
people. FEMA does not expect
additional insurance agent training to
greatly improve homeowner
policyholder coverage understanding
because homeowners only have one
standard flood insurance policy for
selection. This lack of consumer choice
limits policyholder engagement of
coverage details and discussions with
agents at the time of application.
FEMA’s preferred approach is the
approach (approach two) to remove
restrictions, as it would offer
homeowner policyholders a Basement
Coverage Endorsement where they can
purchase coverage up to specified
sublimits for an additional premium.
For approach two, FEMA proposes that
the endorsement to remove restrictions
currently on basement coverage for an
additional premium. (‘‘Basement
Coverage Endorsement’’) would replace
section III.A.2 (‘‘Limited Coverage for
Basements and Enclosures’’) with a new
subparagraph A.2, ‘‘Coverage for
Basements.’’ This subparagraph would
state that for an additional premium
received, FEMA insures up to the
selected Coverage A sublimit against
direct physical loss by or from flood to
the basement. FEMA further proposes
that the endorsement for approach two
would also replace III.C.3.a
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8309
(‘‘Limitations on Property in a Basement
or in an Enclosure’’) with a new
subparagraph C.3.a providing that (1) for
an additional premium, FEMA would
insure up to the selected Coverage C
limit against direct physical loss by or
from flood to personal property in a
basement; and (2) in an enclosure, the
policy would only cover appliances
installed in their functioning locations
and, if necessary for operation,
connected to a power source. The
proposed Homeowner Flood Form
enhanced basement coverage (approach
two) addresses several deficits currently
present in the Dwelling Form and
enhances available coverage for
homeowners. It is aligned with common
industry practice, which standardizes
available coverage to homeowners with
basements, and coverage is clear to the
homeowner policyholder, reducing
asymmetric information. The levels of
coverage and risk of damage would be
appropriately reflected in the premiums,
directly signaling to homeowner
policyholders their level of risk. For
these reasons, FEMA selected the
Homeowner Flood Form (approach 2)
for this proposed rule.
Approach three includes two
potential endorsements (approaches 3.1
and 3.2). First, approach 3.1 would
include an endorsement option for splitlevel and sunken rooms that would
replace the definition of ‘‘Basement’’ in
proposed paragraph C.2 of section II to
define a basement as any area of a
building having its floor level below
ground level on all sides, regardless of
design or use and further clarify that an
area of a building is below ground level
when the land directly touching the
exterior of the building is above its floor
level; and that an area of a building is
presumed to be below ground level
when it is necessary to walk up steps or
a slope to reach the land surrounding
the building. A professional land survey
or report may rebut this presumption.
Further, the ‘‘Basement’’ definition
under approach three would clarify that
a sunken or recessed portion of a room
or area that is otherwise above ground
level is not a basement and that the first
level below the main entrance to the
dwelling, commonly referred to as a
split-level home, is not a basement.
Approach 3.2 would offer an additional
endorsement option for basement
occupancy. This additional
endorsement would amend the
proposed Homeowner Flood Form to
replace paragrah A.2 of section III,
specific to building coverage, on what
FEMA covers with the following
language: ‘‘Basement occupancy. For
additional premium received, we insure
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a bedroom, bathroom, or kitchen in a
basement when required for the
occupancy of the dwelling, where no
other room in another part of the
dwelling meets this need.’’
The Design and Occupancy
approaches (approaches 3.1 and 3.2)
address specific deficits currently
present in the Dwelling Form and
enhances available coverage for certain
homeowners. These approaches
introduces choice and expands coverage
options for homeowners that meet the
Design or Occupancy eligibility. FEMA
considers the Design and Occupancy
alternative approaches a partial
improvement but did not select this
alternative because of the limited
portion of eligible homeowner
policyholders and the complexity of the
approach for FEMA, homeowner
policyholders, and insurance agents.
FEMA seeks comment on the agency’s
current restricted coverage (approach
one), the agency’s preferred approach of
removing the restrictions on current
coverage (approach two) and the
additional approach to basement
coverage considered (approaches 3.1
and 3.2). Specifically, FEMA seeks
comment on whether the Homeowner
Flood Form should either (1) retain the
current restricted coverage, with a focus
on training agents selling flood
insurance to further discuss what
constitutes a basement under the
Homeowner Flood Form and the
restrictions on coverage at the point of
sale to better inform homeowner
policyholders and those seeking to
purchase new homeowner flood
insurance of the coverage restrictions;
(2) offer an endorsement to the proposed
Homeowner Flood Form that would
allow homeowner policyholders to
remove the restrictions currently on
basement coverage for an additional
premium (‘‘Basement Coverage
Endorsement’’); or (3) offer an
endorsement to allow homeowners with
split-level homes or sunken room(s) or
for basement occupancy to remove the
restrictions for additional premium,
while also allowing limited building
coverage, for additional premium.
In drafting this rule, FEMA undertook
a preliminary analysis of its policies in
force for properties with a basement (as
of September 30, 2022) to see how
basement coverage would impact the
cost of insurance for policyholders. The
cost of insurance includes annual
premiums, fees, assessments, and
surcharges. Assuming all other rating
factors remain the same, the analysis of
the proposed rule across all policies
with the default basement coverage, i.e.,
restricted, would result in a total annual
average cost of insurance of $1,827.
Fully expanded basement coverage,
proposed by FEMA as an endorsement,
would result in a total annual average
cost of insurance of $2,756. The
alternative, limited expansion of
basement coverage, would result in a
total annual average cost of insurance of
$2,518.
In total, for all NFIP policyholders
with a basement as of September 30,
2022, those paying a total annual cost of
insurance of $1,000 or less would pay
an average of $648 annually with
restricted basement coverage, $952
annually with fully expanded basement
coverage, and $870 annually with a
limited expansion of basement coverage.
Policyholders who currently pay
between $1,000 to $2,000 annually
would see the total annual cost of
insurance at $1,426, $2,140, and $1,970,
respectively. For policyholders who
currently pay between $2,000 to $3,000
annually, the total annual cost of
insurance would be $2,451, $3,706, and
$3,416, respectively. This is shown
more fully in the chart directly below,
which appears in FEMA’s Regulatory
Impact Analysis (located in the docket)
under the heading ‘‘Table 9.21: Cost of
Insurance Scenarios for Single Family
Home with Basements, 2022$’’:
TABLE 1—COST OF INSURANCE SCENARIOS FOR SINGLE FAMILY HOME WITH BASEMENTS
[2022$]
ddrumheller on DSK120RN23PROD with PROPOSALS2
Current range of cost of insurance
Policyholders
in Force (PIF)
distribution
(%)
Average
Replacement
Cost Value
(RCV)
($)
Average
risk-based
cost of
insurance
with current
basement
coverage
($)
Note 1
Note 2
Note 3
2022$
2022$
Hypothetical average
risk-based cost of insurance
($)
Note 4
Fully
expanded
basement
coverage
($)
Limited
expansion of
basement
coverage
($)
2022$
2022$
$0–$1,000 ........................................................................
$1,000–$2,000 .................................................................
$2,000–$3,000 .................................................................
$3,000–$4,000 .................................................................
$4,000–$5,000 .................................................................
$5,000–$6,000 .................................................................
$6,000–$7,000 .................................................................
$7,000–$8,000 .................................................................
$8,000–$9,000 .................................................................
$9,000–$10,000 ...............................................................
$10,000–$11,000 .............................................................
$11,000–$12,000 .............................................................
$12,000–$13,000 .............................................................
$13,000 ............................................................................
41
29
14
7
4
2
2
<1
<1
<1
<1
<1
<1
<1
$596,319
562,203
567,245
601,448
638,888
657,637
675,366
755,335
827,914
979,791
1,082,634
1,356,362
914,762
3,671,109
$648
1,426
2,451
3,447
4,456
5,444
6,453
7,451
8,452
9,439
10,462
11,508
12,388
13,209
$952
2,140
3,706
5,229
6,772
8,290
9,841
11,377
12,917
14,435
16,008
17,618
18,972
20,235
$870
1,970
3,416
4,793
6,180
7,488
8,837
10,198
11,545
12,894
14,310
15,815
17,075
18,123
Average .....................................................................
........................
592,982
1,827
2,756
2,518
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H. Appendix A(105): Builder’s Risk
Endorsement
FEMA has witnessed issues arise for
homeowner policyholders who are
constructing a building, but who do not
have a building (as defined by the SFIP)
at the time of loss. The Dwelling Form
covers buildings under construction at
section III.A.5. When FEMA provides
coverage for a building under
construction, it typically issues the
policy in the builder’s name. If the
builder fails to assign the policy to the
property owner prior to loss, however,
both the property owner and the builder
would be left without coverage. (The
property owner would lack coverage
because he or she was not listed on the
policy, and the builder would lack
coverage because it would no longer
have an insurable interest in the
property). In some cases, FEMA issues
the policy jointly to the builder and
property owner. If the parties do not
revise the policy to remove the builder’s
name after completion, however, this
could cause considerable delays because
FEMA would have to stop and void the
claim payment, then reissue the
payment once the builder’s name is
removed. To simplify coverage, align
with property and casualty practices,
and eliminate insurable interest issues,
the Homeowner Flood Form would
require that the building has been
constructed, while the Builder’s Risk
Endorsement would cover buildings
under construction.
The Builder’s Risk Endorsement
would name the builder as an additional
insured party and provide business
rules within the endorsement to avoid
automatic renewal billing of the policy
for the builder. Section I of the
endorsement would replace section I.D
of the Homeowner Flood Form with
language that confirms the builder’s
coverage expires on the date the
dwelling is completed and occupied,
the date the endorsement is deleted by
the insurer, and the Homeowner Flood
Form becomes effective in its entirety;
or at 12:01 a.m. on the last day of the
policy term stated on the declarations
page. This change ensures the builder is
not a named party to the policy
following completion of construction. In
addition, this endorsement would
define ‘‘Construction’’ as any new
development of land at the described
location resulting in a building or
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alteration or repair of a building,
including a dwelling at the described
location. This endorsement would also
replace section III of the Form in its
entirety. While generally mirroring the
Form’s language in section III, the
endorsement would offer changes to
clarify the coverage for the builder.
Proposed section III.A.1.a of the
endorsement would clarify that
coverage is for the dwelling under
construction at the described location. It
would further specify that if the
dwelling is not yet walled or roofed as
described in the definition of
‘‘building,’’ then coverage applies (1)
only while construction is in progress,
or (2) if construction is halted only for
a period of 90 consecutive days
thereafter. This is to limit the use of this
endorsement to a building actively
under construction, as FEMA would not
offer coverage for an incomplete
building that has been sitting for several
months. Proposed section III.A.1.b of
the endorsement would remove the
words ‘‘alteration, or repair’’ from the
phrase ‘‘materials and supplies to be
used for construction’’ because these
words are superfluous given that they
are included in this endorsement’s
definition of ‘‘Construction.’’ Proposed
section III.A.2 would make a minor
organizational change. Proposed section
III.C would clarify that unlike the
proposed Homeowner Flood Form,
personal property would not be covered
until the dwelling is completed and
occupied, the endorsement is deleted by
the insurer, and the Homeowner Flood
Form becomes effective in its entirety.
The endorsement would also revise
section V of the Form by adding a
section to V.B to allow only one renewal
for a policy with a Builder’s Risk
Endorsement attached to it. Finally, the
endorsement would add language in
section VII.F of the Form regarding
mortgagees to clarify that a holder of a
construction loan upon which draws
have been paid shall be considered the
‘‘mortgagee’’ under the policy.
V. Regulatory and Economic Analysis
A. Executive Order 12866, Regulatory
Planning and Review, as Amended, and
Executive Order 13563, Improving
Regulation and Regulatory Review
Executive Order 14094 (‘‘Modernizing
Regulatory Review’’) and 13563
(‘‘Improving Regulation and Regulatory
Review’’) direct agencies to assess the
costs and benefits of available regulatory
alternatives and, if regulation is
necessary, to select regulatory
approaches that maximize net benefits
(including potential economic,
environmental, public health and safety
effects, distributive impacts, and
equity). Executive Order 13563
emphasizes the importance of
quantifying both costs and benefits, of
reducing costs, of harmonizing rules,
and of promoting flexibility.
This proposed rule is designated as a
significant regulatory action that is
economically significant under section
3(f)(1) of Executive Order 12866.
Accordingly, OMB has reviewed it. This
Regulatory Impact Analysis (RIA)
provides an assessment of the potential
costs, benefits, and transfer payments
resulting from the National Flood
Insurance Program: Standard Flood
Insurance Policy, Homeowner Flood
Form under the criteria of Executive
Orders 12866 and 13563.
FEMA proposes to amend the
Standard Flood Insurance Policy (SFIP)
at 44 CFR part 61, Appendix A. The
existing Dwelling Form, found at 44
CFR part 61, Appendix A(1), and
proposed Homeowner Flood Form
(Appendix A(4)) are the subjects of this
RIA. Specifically, the proposed
Homeowner Flood Form would replace
the current Dwelling Form for one-tofour family residences, excluding
mobile homes, trailers, condominiums,
and rental properties, which would
continue to use the Dwelling Form. The
Homeowner Flood Form would include
language altering the availability and
limits of flood insurance coverage in
numerous ways. The most substantial of
these are in the areas of coverage for
basements, enclosures, secondary
buildings that are not detached garages,
and replacing Actual Cash Value (ACV)
with Replacement Cost Value (RCV) as
the valuation method for structural
property and contents.
Executive Orders 12866 (‘‘Regulatory
Planning and Review’’), as amended by
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TABLE 2—SUMMARY OF THE IMPACTS OF THE PROPOSED RULE
[2019$]
Category
Summary
Proposed Changes ......
Basement Endorsement: Allows homeowner policyholder to enhanced coverage, introducing choice regarding the level
of coverage.
Enclosures: Reference to flood zone and FIRM status would be removed, which would extend coverage restrictions
currently applicable to post-FIRM buildings in SFHAs to all enclosures, regardless of FIRM status or location.
Other Buildings: Expands the definition of ‘‘other buildings’’ beyond just detached garages to all other buildings at the
insured property.
Property Valuation Method: Formally defines ‘‘replacement cost value’’ and makes it the default method of property
valuation for both structural property and contents, thereby replacing the ‘‘actual cash value’’ valuation method in
most instances.
Loss Mitigation: Covering Flood Damage Resistant Materials; adjusting the limits to imminent loss protection.
Personal Property: Also referred to as ‘‘contents.’’ Availability of coverage changes in basements, enclosures, other
buildings, other locations. Limits on certain items changed.
Death of Homeowner Policyholder: Upon the death of the homeowner policyholder, automatically continues coverage
provided under the policy for any other insured, or for a legal representative of the estate if another insured does not
exist.
Temporary Housing Expense Endorsement: Offers homeowner policyholders the option of purchasing additional coverage to receive compensation in the event they are displaced from their insured property due to flood.
Other: All changes are addressed in the Marginal Analysis Table in Appendix A.
Property owners of one-to-four family residences within the over 22,500 communities participating in NFIP. A total of
2,806,642 distinct policies as of 2019.
Qualitative cost savings by reductions in litigation costs, reductions of fraudulent claims, and time savings.
None.
Annualized implementation and familiarization costs of $706,477 and $651,896 discounted at 3 and 7 percent respectively.
Premiums more reflective of actual risk.
Environmental benefits from loss mitigation.
Extending coverage beyond death of homeowner policyholder improves fairness and human dignity.
Reduces the need for Federal disaster aid.
More closely aligns with property insurance industry standards.
None.
Transfer payments between FEMA and the homeowner policyholder are generally through premiums, claims, and fees
and overhead. FEMA estimates this rule would result in annualized transfer payments of $253,321,497 and
$252,835,214 from homeowner policyholders to FEMA in the form of additional premiums, discounted at 3 percent
and 7 percent respectively; $166,221,455 and $165,902,372 from FEMA to policy holders in the form of claims payments, discounted at 3 and 7 percent; and, $87,100,042 and $86,932,843 from homeowner policyholders to States,
FEMA, and insurance companies in the form of fees and overhead, discounted at 3 and 7 percent respectively.
Affected Population ......
Cost Savings ................
Costs (qualitative) ........
Costs (quantitative) ......
Benefits (qualitative) ....
Benefits (quantitative) ..
Transfers ......................
ddrumheller on DSK120RN23PROD with PROPOSALS2
Need for Regulation
The National Flood Insurance Act of
1968 (NFIA) requires FEMA to provide
by regulation the ‘‘general terms and
conditions of insurability . . .
applicable to properties eligible for
flood insurance coverage.’’ 42 U.S.C.
4013(a). To comply with this
requirement, FEMA adopts the Standard
Flood Insurance Policy (SFIP) in
regulation, which sets out the terms and
conditions of insurance. See 44 CFR
part 61, Appendix A. FEMA must use
the SFIP for all flood insurance policies
sold through the NFIP. See 44 CFR
61.13. The SFIP is a single-peril (flood)
policy that pays for direct physical
damage to insured property. There are
currently three forms of the SFIP: the
Dwelling Form, the General Property
Form, and the Residential
Condominium Building Association
Policy (RCBAP) Form.
The current Dwelling Form is out of
date and no longer aligned with
insurance industry standards for
homeowners of one-to-four family
residences. It is difficult to understand
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and cumbersome for policyholders and
insurance agents alike.85 Keeping the
SFIP modern, unburdensome, and
improving flexibility are key elements to
cultivating and administering an
effective flood insurance program. This
enables FEMA to better meet the needs
of the American people and close the
insurance gap.86 Revising the
85 See, e.g., The Institutes’ Handbook of Insurance
Policies, American Institute for Chartered Property
Casualty Underwriters, 12th ed. (2018) (containing
copies of modern property casualty forms). The
Insurance Services Office’s template homeowners
form (‘‘HO–3’’ form) appears on page 5 and
demonstrates the simplicity of this policy compared
to the SFIP. The NFIP has a high volume of
inquiries on the SFIP, further demonstrating the
challenges in reading and interpreting the SFIP.
Policy inquiries generally make up 43 percent of the
total inquiries received by FEMA’s ‘‘Ask the
Experts’’ tracking system between 2019 and May
2021.
86 NFIP has experienced significant challenges
because FEMA is tasked with two competing
goals—keeping flood insurance affordable and
keeping the program fiscally solvent. Emphasizing
affordability has led to premium rates that in many
cases do not reflect the full risk of loss and produce
insufficient premiums to pay for claims. In turn,
this has transferred some of the financial burden of
flood risk from individual property owners to the
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regulations is necessary to implement
these changes to the SFIP for
homeowners.
Affected Population
The population of affected
homeowner policyholders would be
property owners of one-to-four family
residences who were previously covered
by the Dwelling Form and would now
be covered by the Homeowner Flood
Form. As of 2019, there were 3,174,934
residential policies covered using the
Dwelling Form. Of that number, FEMA
estimates that 88.4%, or 2,806,642
policyholders, were property owners
residing in the insured one-to-four
family residence.87 FEMA would
public at large. https://files.gao.gov/reports/GAO21-119SP/ See ‘‘HIGH-RISK Series:
Dedicated Leadership Needed to Address Limited
Progress in Most High-Risk Areas,’’ found at https://
www.gao.gov/assets/gao-21-383t.pdf#:∼:text=
Dedicated%20agency%20leadership%20is%20
essential%20to%20address%
20the,have%20made%20to%20reduce%20the
%20government%E2%80%99s%20highrisk%20challenges (last accessed Aug. 28, 2023).
87 FEMA used data from the NFIP’s PIVOT
database to determine the number of policies that
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continue to use the Dwelling Form to
insure landlords, renters, and owners of
mobile homes, travel trailers, and
condominium units.
The population of affected Write Your
Own (WYO) companies includes 61
companies as of 2019. Of the 61
companies, 2 had fewer than 10
policies, 15 companies had between 11
and 500 policies, 11 companies had
between 501 and 5,000 policies, 22
companies had between 5,001 and
50,000 policies, 8 companies had
between 50,001 and 250,000 policies, 2
companies had between 250,001 and
500,000 policies, and 1 company had
553,187 policies.
Baseline
Pursuant to OMB Circular A–4, FEMA
assessed the impacts of this proposed
rule against a baseline. The baseline
used for this analysis is the ‘‘no action’’
baseline, or what the world would be
like absent the proposed changes. The
no action baseline is the scenario where
no changes are made to the existing
Dwelling Form and the projections over
the next 10 years assuming the same
climate conditions that exist today, and
accounts for projected housing growth.
It includes the value of claims payments
and premiums estimated over the next
10 years if the current Dwelling Form
were to continue to be used for property
owners of one-to-four family residences.
FEMA recognizes that it cannot
precisely predict or forecast future flood
events over a 10-year period, given their
unpredictable nature and therefore a
future 10-year period of flood insurance
claims could vary drastically from the
2010–2019 period analyzed; however,
these are the best data available to
derive the estimates.
Costs
The policy change would have
implementation and familiarization
costs. FEMA expects that States, WYOs,
and, at the time of renewal,
policyholders would spend time
familiairizing themselves with this rule.
In addition, FEMA anticipates adding
additional training over three years for
SFIP updates to the standard annual
training package provided to insurers.
The cost of the training is borne by
FEMA who is responsible for
developing the content. The annual
training is one that insurance agents are
required to attend each year, with the
training content changing year to year
but the number of training hours
required remaining the same. Since the
training hours required for insurers is
not impacted by the rule, FEMA
assumes companies would neither
8313
expand the number of hours of training
given to agents in response to the policy
changes proposed here and training
costs for agents would not be different
from the baseline. The familiarization
and training cost estimateshave been
adjusted for inflation using Consumer
Price Index (CPI–U) data and reported
in the table below in year 2019
dollars.88 The familiarization cost and
new training content is expected to total
$6.4 million, or $705,963 and $791,133
annualized using a 3 percent and 7
percent discount rate, respectively.
FEMA does not anticipate new costs
for existing homeowner policyholders.
At the time of renewal, existing
homeowner policyholders would have
the choice to engage their agent or not
engage their agent. The policy defaults
will provide similar coverage to what
they currently receive if the homeowner
policyholder chooses to do nothing.
NFIP outreach, whether directly by
FEMA or through the WYOs, would
highlight the availability of choices and
opportunities to customize coverage.
However, agents could also quote new
options at renewal time and give
homeowner policyholders options there,
akin to how agents currently may
suggest additional coverage amounts
when not currently insuring to statutory
limits.
TABLE 3—ESTIMATED COSTS OVER A 10 YEAR PERIOD
[2019$]
FEMA
training costs
Year
Total costs
Discounted
at 3%
Discounted
at 7%
1 .............................................................
2 .............................................................
3 .............................................................
4 .............................................................
5 .............................................................
6 .............................................................
7 .............................................................
8 .............................................................
9 .............................................................
10 ...........................................................
$1,800,000
1,778,064
2,784,767
0
0
0
0
0
0
0
$51,483
0
0
0
0
0
0
0
0
0
$1,851,483
1,778,064
2,784,767
0
0
0
0
0
0
0
$1,797,556
1,675,996
2,548,457
0
0
0
0
0
0
0
$1,730,358
1,553,030
2,273,200
0
0
0
0
0
0
0
Total ................................................
Annualized ...............................
6,362,831
..............................
51,483
..............................
6,414,315
..............................
6,026,394
705,963
5,556,588
791,133
Benefits
ddrumheller on DSK120RN23PROD with PROPOSALS2
State and WYO
familiarization
costs
FEMA was unable to quantify the
benefits of this proposed rule because
data does not explicitly exist for the
types of benefits that would be incurred.
The benefits of this rule would include
a more accurate signaling of risk to
homeowner policyholders through
additional coverage choices and
associated premium increases, thus
incentivizing them to reduce their risks,
environmental benefits of loss
mitigation, reducing moral hazard,
qualitative benefits of extending
coverage beyond the death of a
homeowner policyholder, reducing the
need for Federal assistance, and
collaborating with industry stakeholders
to create a policy that meets the needs
of those involved.
would be affected by this proposed rule. PIVOT is
a web-based system designed to help facilitate and
consolidate in one system the NFIP’s core business
processes including, but not limited to: validation
of insurance policies, claims, and data; complex
modeling; website hosting (including
floodsmart.gov); claims administration; policy
management; claims review; approvals; and status
inquiries. FEMA’s PIVOT database can be found at
https://www.dhs.gov/publication/dhsfemapia-050national-flood-insurance-program-nfip-pivot-system
(last accessed Aug. 28, 2023).
88 Historical Consumer Price Index for All Urban
Consumers (CPI–U): U.S. city average, all items,
index averages. Accessed November 2022. https://
www.bls.gov/cpi/tables/supplemental-files/
historical-cpi-u-202106.pdf.
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The benefits of this rule would also
include increasing fairness through
clearer communication of flood risk,
additional flexibility and choice for
homeowner policyholders, and claims
payments that cover a greater portion of
loss. Additionally, this rule would allow
claims payments when the original
homeowner policyholder is deceased,
causing less stress for surviving family
members.
Transfers
The impacts the proposed rule would
have on transfer payments are reflected
in premiums and associated claims
payments resulting from the proposed
changes in coverage. As these changes
to premiums and claims payments are
monetary payments from homeowner
policyholders to FEMA or FEMA to
homeowner policyholders that do not
affect total resources available to
society, these effects are not a cost but
rather a transfer payment. The main
areas of these proposed changes to
coverage are in basements, enclosures,
other buildings, and property valuation
method. Several additional changes are
less substantial but collectively
impactful and also result in transfer
payments.
The policy changes would generally
result in additional coverage, and
therefore higher expected claims
payments for homeowner policyholders
in aggregate. These higher expected
claims payments would be matched by
higher premiums. Premiums are
calculated by actuarial formulas which
take into account the expected claims
payments and the fees and overhead
associated with administering flood
insurance.89 FEMA estimates this
proposed rule would result in
annualized transfer payments of
$253,321,497 and $252,835,214 from
policyholders to FEMA in the form of
additional premiums, discounted at 3
percent and 7 percent respectively;
$166,221,455 and $165,902,372 from
FEMA to policyholders in the form of
claims payments, discounted at 3 and 7
percent; and $87,100,042 and
$86,932,843 from policyholders to
States, FEMA, and insurance companies
in the form of fees and overhead,
discounted at 3 and 7 percent.
TABLE 4—ESTIMATED TRANSFER PAYMENTS OVER A 10-YEAR PERIOD
[2019$]
A.
Premiums/transfers
from policyholders
to FEMA
Year
C.
Fees and overhead/
transfers from
policyholders to
FEMA, insurance
companies, and states
1 ...................................................................................................
2 ...................................................................................................
3 ...................................................................................................
4 ...................................................................................................
5 ...................................................................................................
6 ...................................................................................................
7 ...................................................................................................
8 ...................................................................................................
9 ...................................................................................................
10 .................................................................................................
$246,705,082
248,234,654
249,773,708
251,322,305
252,880,503
254,448,362
256,025,942
257,613,303
259,210,506
260,817,611
$161,879,976
162,883,631
163,893,510
164,909,649
165,932,089
166,960,868
167,996,026
169,037,601
170,085,634
171,140,164
$84,825,106
85,351,023
85,880,199
86,412,656
86,948,415
87,487,495
88,029,918
88,575,703
89,124,872
89,677,447
Total ......................................................................................
2,537,031,979
1,664,719,146
872,312,832
Premiums/transfers
from policyholders
to FEMA
Year
3% Discount rate
7% Discount rate
1 ...................................................................................................
2 ...................................................................................................
3 ...................................................................................................
4 ...................................................................................................
5 ...................................................................................................
6 ...................................................................................................
7 ...................................................................................................
8 ...................................................................................................
9 ...................................................................................................
10 .................................................................................................
$246,705,082
248,234,654
249,773,708
251,322,305
252,880,503
254,448,362
256,025,942
257,613,303
259,210,506
260,817,611
$239,519,497
233,984,969
228,578,326
223,296,613
218,136,943
213,096,497
208,172,520
203,362,320
198,663,269
194,072,797
$230,565,497
216,817,761
203,889,748
191,732,583
180,300,304
169,549,687
159,440,089
149,933,288
140,993,341
132,586,448
Total ......................................................................................
Annualized .....................................................................
2,537,031,976
........................................
2,160,883,752
253,321,497
1,775,808,745
252,835,214
Expected losses/
transfers from FEMA
to policyholders
Year
ddrumheller on DSK120RN23PROD with PROPOSALS2
B.
Expected losses/
transfers from FEMA
to policyholders
1
2
3
4
5
6
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
...................................................................................................
89 For additional context about potential
policyholder costs, FEMA calculated hypothetical
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$161,879,976
162,883,631
163,893,510
164,909,649
165,932,089
166,960,868
insurance cost scenarios for homeowners with
basements under the proposed endorsement
PO 00000
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3% Discount rate
Fmt 4701
Sfmt 4702
$157,165,025
153,533,444
149,985,779
146,520,087
143,134,478
139,827,098
7% Discount rate
$151,289,697
142,268,872
133,785,924
125,808,782
118,307,286
111,253,076
coverage option located in the RIA document Table
6.16 of this rule.
E:\FR\FM\06FEP2.SGM
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Federal Register / Vol. 89, No. 25 / Tuesday, February 6, 2024 / Proposed Rules
Expected losses/
transfers from FEMA
to policyholders
Year
3% Discount rate
7% Discount rate
7 ...................................................................................................
8 ...................................................................................................
9 ...................................................................................................
10 .................................................................................................
167,996,026
169,037,601
170,085,634
171,140,164
136,596,143
133,439,843
130,356,476
127,344,355
104,619,482
98,381,423
92,515,315
86,998,981
Total ......................................................................................
Annualized .....................................................................
1,664,719,148
........................................
1,417,902,728
166,221,455
1,165,228,838
165,902,372
Fees and overhead/
transfers from
policyholders to FEMA,
insurance companies,
and states
Year
3% Discount rate
7% Discount rate
1 ...................................................................................................
2 ...................................................................................................
3 ...................................................................................................
4 ...................................................................................................
5 ...................................................................................................
6 ...................................................................................................
7 ...................................................................................................
8 ...................................................................................................
9 ...................................................................................................
10 .................................................................................................
$84,825,106
85,351,023
85,880,199
86,412,656
86,948,415
87,487,495
88,029,918
88,575,703
89,124,872
89,677,447
$82,354,472
80,451,525
78,592,548
76,776,526
75,002,467
73,269,400
71,576,379
69,922,478
68,306,793
66,728,443
$79,275,800
74,548,889
70,103,824
65,923,802
61,993,018
58,296,612
54,820,609
51,551,866
48,478,025
45,587,467
Total ......................................................................................
Annualized .....................................................................
872,312,834
........................................
742,981,029
87,100,042
610,579,911
86,932,843
TABLE 5—CIRCULAR A–4 ACCOUNTING STATEMENT, YEARS 1–10
[2019$]
3 Percent
discount rate
Category
7 Percent
discount rate
Source
Benefits
Annualized Monetized ...............................................................
Annualized quantified, but unmonetized benefits ......................
Qualitative (unquantified) benefits .............................................
N/A
N/A
N/A
N/A
I
RIA Section 8.
• Signaling of risk through premiums reflective
of risk.
• Environmental benefits from loss mitigation.
• Social benefit of extending coverage beyond
death of homeowner policyholder.
• Reduces need for Federal assistance.
• Collaborative with industry; unilaterally
addresses needs.
• Increased fairness through clearer
communication of flood risk; additional
flexibility and choices for homeowner
policyholders, and increased claims payments
Costs
Total annualized costs ...............................................................
$705,963
$791,133
RIA Section 8.
166,221,455
165,902,372
RIA Section 8.
253,321,497
252,835,215
RIA Section 8.
ddrumheller on DSK120RN23PROD with PROPOSALS2
Transfers
Annualized Monetized from FEMA to policyholders for claims
payments (claims payments).
Annualized Monetized from policyholders to FEMA and Insurance Companies and States for the expected loss portion
of premiums and the fees, taxes, and overhead portion of
premiums (expected loss, fees and overhead).
Category
Effects
Effects on State, local, and/or Tribal governments ...................
$24,006 in year-1 familiarization costs for 56
States and Territories. $4,827,686 in total
additional annual tax revenue across all States
and Territories due to higher premiums.
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Source
06FEP2
RIA Sections 5, 8.
8316
Federal Register / Vol. 89, No. 25 / Tuesday, February 6, 2024 / Proposed Rules
Category
Effects
Effects on small businesses ......................................................
Effects on wages .......................................................................
Effects on growth .......................................................................
B. Regulatory Flexibility Act
The Regulatory Flexibility Act of 1980
(5 U.S.C. 601 et seq.) requires agency
review of proposed and final rules to
assess their impact on small entities.
When an agency promulgates a notice of
proposed rulemaking under 5 U.S.C.
553, the agency must prepare an Initial
Regulatory Flexibility Analysis (IRFA)
unless it determines and certifies
pursuant to 5 U.S.C. 605(b) that a rule,
if promulgated, will not have a
significant impact on a substantial
number of small entities. FEMA believes
this rule does not have a significant
economic impact on a substantial
number of small entities. In accordance
with the Regulatory Flexibility Act of
1980 (RFA), 5 U.S.C. 601 et seq., as
amended by the Small Business
Regulatory Enforcement Fairness Act of
1996 (Pub. L. 104–121, 110 Stat. 857),
FEMA examined the effects of the
proposed changes to the SFIP
Homeowner Form on small entities. A
small entity may be: A small
independent business, defined as
independently owned and operated, is
organized for profit, and is not
dominant in its field per the Small
Business Act (5 U.S.C. 632); a small
organization, defined as any not-forprofit enterprise which is independently
owned and operated and is not
dominant in its field (5 U.S.C. 601); or
Source
Additional revenue to 12 small WYO
companies. Total annualized revenue:
$1,151,914 discounted at 3 percent and
$1,149,703 discounted at 7 percent. $451 in
year-1 familiarization costs.
None
None
a small governmental jurisdiction
(locality with fewer than 50,000 people)
per 5 U.S.C. 601.
This proposed rule would primarily
impact individuals and households,
which are not considered small entities
under the RFA. However, it would
impact WYO companies, some of which
could be small entities. In 2019, there
were 61 unique WYO companies. WYO
companies serviced 83.6 percent of
policies, while 16.4 percent were
serviced directly by the NFIP. Of the 61
companies, 2 had fewer than 10
policies, 15 companies had between 11
and 500 policies, 11 companies had
between 501 and 5,000 policies, 22
companies had between 5,001 and
50,000 policies, 8 companies had
between 50,001 and 250,000 policies, 2
companies had between 250,001 and
500,000 policies, and 1 company had
553,187 policies. Most company names
imply multiple lines of coverage (fire,
casualty, auto, property, mutual). Of the
61 unique WYO companies,90 12 meet
the SBA size standard for a small entity
(less than $16.5 million in revenue for
Other Direct Insurance (except Life,
Health, and Medical) Carriers, NAICS
524298),91 and 49 of them are large
companies with greater than $16.5
million in revenue. These 12 companies
hold an estimated 1.4 percent of total
flood insurance premiums, or 1.7
Regulatory Flexibility Act Analysis (NPRM).
N/A.
N/A.
percent of premiums held by WYO
companies.92
FEMA estimates that the changes
proposed through the Homeowner
Flood Form would, on net, expand
coverage. This expansion would lead to
increased or higher claims payment in
the aggregate. These higher claims
payments would be matched by higher
premiums. Premiums are calculated by
actuarial formulas which take into
account the expected claims payments
and the fees and overhead associated
with administering flood insurance.
In the RIA, FEMA estimated the fees
and overhead as a percentage of
expected losses (i.e., claims payments):
52.4 percent.93 Of that, 2.9 percentage
points are for State premium taxes.94
Accordingly, FEMA estimates that the
fees and overhead expenses that would
be paid to WYOs as a result of this rule
are 49.5% of the estimated increase in
claims payments.
FEMA estimated the impact of this
proposed rule on small entities by
multiplying the total percentage of
premiums held by the 12 WYO
companies (1.4 percent) by the total
estimated increase in Fees and
Overhead expenses paid to WYOs as a
result of this proposed rule (i.e., 49.5
percent of the estimated increase in
claims payments).
TABLE 6—ADDITIONAL FEES AND OVERHEAD EXPENSES TO INSURANCE COMPANIES 95
Increase in
fees and
overhead
expenses for
all insurance
companies
ddrumheller on DSK120RN23PROD with PROPOSALS2
Year
1
2
3
4
5
6
7
8
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
90 The PIVOT database shows 61 WYOs with
policies within scope of this analysis in 2019.
91 Small Business Administration Size Standards
Matched to North American Industry Classification
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$80,130,587
80,627,398
81,127,287
81,630,276
82,136,384
82,645,630
83,158,033
83,673,613
System Codes, effective May 2, 2022, found at
https://www.sba.gov/document/support-table-sizestandards (last accessed Aug. 28, 2023).
92 Data retrieved from the PIVOT database.
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Increase in
fees and
overhead for
small
companies
$1,121,828
1,128,784
1,135,782
1,142,824
1,149,909
1,157,039
1,164,212
1,171,431
Increase for
small
companies
(discounted
3%)
$1,089,153
1,063,987
1,039,401
1,015,384
991,922
969,002
946,611
924,738
Increase for
small
companies
(discounted
7%)
$1,048,437
985,924
927,136
871,855
819,869
770,984
725,013
681,784
93 For more information about 52.4 percent, see
Section 5.6 of the Regulatory Impact Analysis,
located in the docket.
94 See RIA Table 5.3: Premium Breakout.
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8317
TABLE 6—ADDITIONAL FEES AND OVERHEAD EXPENSES TO INSURANCE COMPANIES 95—Continued
Increase in
fees and
overhead
expenses for
all insurance
companies
ddrumheller on DSK120RN23PROD with PROPOSALS2
Year
Increase in
fees and
overhead for
small
companies
Increase for
small
companies
(discounted
3%)
Increase for
small
companies
(discounted
7%)
9 .....................................................................................................................
10 ...................................................................................................................
84,192,389
84,714,382
1,178,693
1,186,001
903,370
882,496
641,131
602,903
Total ........................................................................................................
824,035,979
11,536,503
9,826,064
8,075,036
Annualized .......................................................................................
..........................
........................
1,151,914
1,149,703
Applying the 1.4 percent share for
small WYO companies, FEMA
estimated an impact to small entities of
$1,151,914 of additional annualized
revenue to the small WYO companies
discounted at 3 percent or $1,149,703
discounted at 7 percent. The 12 small
WYOs had a total revenue of
$949,140,309 in 2019. Applying the
annual increase in transfers for fees and
overhead to these WYOs, FEMA
estimated an increase of 0.12 percent in
payments to WYOs due to the proposed
changes to the SFIP Homeowner Form.
Because these payments are included in
the premiums paid by policyholders to
the WYOs to cover the cost of providing
insurance, FEMA estimates no net
impact to WYOs as a result of the
proposed changes. As previously stated,
the policyholders are not considered
small entities under the RFA.
Additionally, FEMA estimated a onetime familiarization cost of $451 per
company to read and understand the
changes from this proposed rule.96
FEMA believes that this proposed rule
would not place these small entities at
a significant competitive disadvantage,
cause inefficiency, or lead to
insolvency. All companies participating
in the WYO program would be similarly
affected by this proposed rule.
Additionally, WYO companies are
compensated for their participation in
the program. WYOs may also choose to
exit the program and transfer their book
of business citing terms and conditions
in the WYO Arrangement.
Pursuant to 5 U.S.C. 605(b), FEMA
certifies this proposed regulation would
not have a significant economic impact
on a substantial number of small
entities. FEMA invites comments on the
impact this rule would have on small
entities.
95 See RIA Table 8.5: 10-year Transfers
Discounted at 3 and 7 percent.
96 See RIA section 8.3.2.
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C. Unfunded Mandates Reform Act of
1995
Pursuant to section 201 of the
Unfunded Mandates Reform Act of 1995
(Pub. L. 104–4, 2 U.S.C. 1531), each
Federal agency ‘‘shall, unless otherwise
prohibited by law, assess the effects of
Federal regulatory actions on State,
local, and Tribal governments, and the
private sector (other than to the extent
that such regulations incorporate
requirements specifically set forth in
law).’’ Section 202 of the Act (2 U.S.C.
1532) further requires that ‘‘before
promulgating any general notice of
proposed rulemaking that is likely to
result in the promulgation of any rule
that includes any Federal mandate that
may result in expenditure by State,
local, and Tribal governments, in the
aggregate, or by the private sector, of
$100 million or more (adjusted annually
for inflation) in any one year, and before
promulgating any final rule for which a
general notice of proposed rulemaking
was published, the agency shall prepare
a written statement’’ detailing the effect
on State, local, and Tribal governments
and the private sector. The proposed
rule would not result in such an
expenditure, and thus preparation of
such a statement is not required.
D. Paperwork Reduction Act of 1995
Under the Paperwork Reduction Act
of 1995 (PRA), as amended, 44 U.S.C.
3501–3520, an agency may not conduct
or sponsor, and a person is not required
to respond to, a collection of
information unless the agency obtains
approval from the Office of Management
and Budget (OMB) for the collection and
the collection displays a valid OMB
control number. See 44 U.S.C. 3506,
3507. This proposed rulemaking would
call for no new collections of
information under the PRA. This
proposed rule includes information
currently collected by FEMA and
approved in OMB information
collection 1660–0006 (National Flood
Insurance Policy Forms). With respect
to this collection, this proposed
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rulemaking would not impose any
additional burden and would not
require a change to the forms, the
substance of the forms, or the number of
recipients who would submit the forms
to FEMA.
E. Privacy Act/E-Government Act
Under the Privacy Act of 1974, 5
U.S.C. 552a, an agency must determine
whether implementation of a proposed
regulation will result in a system of
records. A ‘‘record’’ is any item,
collection, or grouping of information
about an individual that is maintained
by an agency, including, but not limited
to, his/her education, financial
transactions, medical history, and
criminal or employment history and
that contains his/her name, or the
identifying number, symbol, or other
identifying particular assigned to the
individual, such as a finger or voice
print or a photograph. See 5 U.S.C.
552a(a)(4). A ‘‘system of records’’ is a
group of records under the control of an
agency from which information is
retrieved by the name of the individual
or by some identifying number,
symbols, or other identifying particular
assigned to the individual. An agency
cannot disclose any record that is
contained in a system of records except
by following specific procedures. The EGovernment Act of 2002, 44 U.S.C. 3501
note, also requires specific procedures
when an agency takes action to develop
or procure information technology that
collects, maintains, or disseminates
information that is in an identifiable
form. This Act also applies when an
agency initiates a new collection of
information that will be collected,
maintained, or disseminated using
information technology if it includes
any information in an identifiable form
permitting the physical or online
contacting of a specific individual.
In accordance with DHS policy,
FEMA has completed a Privacy
Threshold Analysis (PTA) for this
proposed rule. DHS/FEMA has
determined that this proposed
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rulemaking does not affect the 1660–
0006 OMB Control Number’s current
compliance with the E-Government Act
of 2002 or the Privacy Act of 1974, as
amended. DHS/FEMA has concluded
that the 1660–0006 OMB Control
Number is already covered by the
following Privacy Impact Assessments
(PIA): DHS/FEMA/PIA–050 National
Flood Insurance Program PIVOT
System—March 2018. Additionally,
DHS/FEMA has decided that the 1660–
0006 OMB Control Number is already
covered by the DHS/FEMA–003
National Flood Insurance Program Files,
79 FR 28747, May 19, 2014, System of
Records Notice (SORN).
agencies must closely examine the
statutory authority supporting any
action that would limit the
policymaking discretion of the States,
and to the extent practicable, must
consult with State and local officials
before implementing any such action.
FEMA has determined that this
proposed rule would not have a
substantial direct effect on the States, on
the relationship between the national
government and the States, or on the
distribution of power and
responsibilities among the various
levels of government, and therefore does
not have federalism implications as
defined by the Executive Order.
F. Executive Order 13175, Consultation
and Coordination With Indian Tribal
Governments
Executive Order 13175, ‘‘Consultation
and Coordination with Indian Tribal
Governments,’’ 65 FR 67249, November
9, 2000, applies to agency regulations
that have Tribal implications, that is,
regulations that have substantial direct
effects on one or more Indian tribes, on
the relationship between the Federal
Government and Indian Tribes, or on
the distribution of power and
responsibilities between the Federal
Government and Indian Tribes. Under
this Executive Order, to the extent
practicable and permitted by law, no
agency shall promulgate any regulation
that has Tribal implications, that
imposes substantial direct compliance
costs on Indian Tribal governments, and
that is not required by statute, unless
funds necessary to pay the direct costs
incurred by the Indian Tribal
government or the Tribe in complying
with the regulation are provided by the
Federal Government, or the agency
consults with Tribal officials.
FEMA has reviewed this proposed
rule under Executive Order 13175 and
has determined that it would not have
a substantial direct effect on one or
more Indian tribes, on the relationship
between the Federal Government and
Indian Tribes, or on the distribution of
power and responsibilities between the
Federal Government and Indian Tribes.
H. National Environmental Policy Act of
1969 (NEPA)
Under the National Environmental
Policy Act of 1969 (NEPA), as amended,
42 U.S.C. 4321 et seq., an agency must
consider impacts of its actions on the
environment and prepare an
environmental assessment or
environmental impact statement for any
rulemaking that has potential to
significantly affect the quality of the
human environment. A categorical
exclusion (CATEX) is a form of NEPA
compliance that applies to actions that
do not need to undergo detailed
environmental analysis because it has
been determined through experience
that they typically do not have a
significant impact on the human
environment. An agency may apply a
CATEX if the project fits within the
identified criteria of the CATEX.
Rulemaking is a major Federal action
subject to NEPA. CATEX M1(d)
included in the list of exclusion
categories in the Department of
Homeland Security Instruction Manual
023–01–001–01, Revision 01,
Implementation of the National
Environmental Policy Act, Appendix A,
issued November 6, 2014, covers
activities in support of FEMA’s
administration of the National Flood
Insurance Program, including revisions
to the Standard Flood Insurance Policy.
This proposed rule for the NFIP meets
CATEX M1(d) and does not require
further analysis under NEPA.
G. Executive Order 13132, Federalism
Executive Order 13132, ‘‘Federalism,’’
64 FR 43255, August 10, 1999, sets forth
principles and criteria that agencies
must adhere to in formulating and
implementing policies that have
federalism implications, that is,
regulations that have ‘‘substantial direct
effects on the States, on the relationship
between the national government and
the States, or on the distribution of
power and responsibilities among the
various levels of government.’’ Federal
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I. Executive Order 11988 Floodplain
Management
Pursuant to Executive Order 11988,
‘‘Floodplain Management,’’ 42 FR 26951
(May 24, 1977), each agency must
provide leadership and take action to
reduce the risk of flood loss; to
minimize the impact of floods on
human safety, health, and welfare; and
to restore and preserve the natural and
beneficial values served by floodplains
in carrying out the agency’s
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responsibilities for (1) acquiring,
managing, and disposing of Federal
lands and facilities; (2) providing
Federally undertaken, financed, or
assisted construction and
improvements; and (3) conducting
Federal activities and programs affecting
land use, including but not limited to
water and related land resources
planning, regulating, and licensing
activities. In carrying out these
responsibilities, each agency must
evaluate the potential effects of any
actions it may take in a floodplain;
ensure that its planning programs and
budget requests reflect consideration of
flood hazards and floodplain
management; and prescribe procedures
to implement the policies and
requirements of the Executive Order.
Before promulgating any regulation,
an agency must determine whether the
proposed regulations will affect a
floodplain(s), and if so, the agency must
consider alternatives to avoid adverse
effects and incompatible development
in the floodplain(s). If the head of the
agency finds that the only practicable
alternative consistent with the law and
with the policy set forth in Executive
Order 11988 is to promulgate a
regulation that affects a floodplain(s),
the agency must, prior to promulgating
the regulation, design or modify the
regulation in order to minimize
potential harm to or within the
floodplain, consistent with the agency’s
floodplain management regulations. It
must also prepare and circulate a notice
containing an explanation of why the
action is proposed to be located in the
floodplain.
The purpose of this proposed rule is
to revise the SFIP by adding a new
Homeowner Flood Form, which would
replace the current Dwelling Form as a
source of coverage for one-to-four family
residences and provide increased
options and coverage. In accordance
with 44 CFR part 9, ‘‘Floodplain
Management and Protection of
Wetlands,’’ FEMA determines that the
changes proposed in this rule would not
have an effect on floodplains.
J. Executive Order 11990 Protection of
Wetlands
Executive Order 11990, ‘‘Protection of
Wetlands,’’ 42 FR 26961 (May 24, 1977)
sets forth that each agency must provide
leadership and take action to minimize
the destruction, loss or degradation of
wetlands, and to preserve and enhance
the natural and beneficial values of
wetlands in carrying out the agency’s
responsibilities. These responsibilities
include (1) acquiring, managing, and
disposing of Federal lands and facilities;
and (2) providing Federally undertaken,
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financed, or assisted construction and
improvements; and (3) conducting
Federal activities and programs affecting
land use, including but not limited to
water and related land resources
planning, regulating, and licensing
activities. Each agency, to the extent
permitted by law, must avoid
undertaking or providing assistance for
new construction located in wetlands
unless the head of the agency finds (1)
that there is no practicable alternative to
such construction, and (2) that the
proposed action includes all practicable
measures to minimize harm to wetlands
which may result from such use. In
making this finding, the head of the
agency may take into account economic,
environmental and other pertinent
factors.
In carrying out the activities described
in Executive Order 11990, each agency
must consider factors relevant to a
proposal’s effect on the survival and
quality of the wetlands. These include
public health, safety, and welfare,
including water supply, quality,
recharge and discharge; pollution; flood
and storm hazards; sediment and
erosion; maintenance of natural
systems, including conservation and
long term productivity of existing flora
and fauna, species and habitat diversity
and stability, hydrologic utility, fish,
wildlife, timber, and food and fiber
resources. They also include other uses
of wetlands in the public interest,
including recreational, scientific, and
cultural uses. The purpose of this
proposed rule is to revise the SFIP by
adding a new Homeowner Flood Form,
which would replace the current
Dwelling Form as a source of coverage
for one-to-four family residences and
provide increased options and coverage.
In accordance with 44 CFR part 9,
‘‘Floodplain Management and
Protection of Wetlands,’’ FEMA
determines that the changes proposed in
this rule would not have an effect on
wetlands.
K. Executive Order 12898 and 14096
Environmental Justice
Under Executive Order 12898,
‘‘Federal Actions to Address
Environmental Justice in Minority
Populations and Low-Income
Populations,’’ 59 FR 7629 (Feb. 16,
1994), as amended by Executive Order
12948, 60 FR 6381, (Feb. 1, 1995),
FEMA incorporates environmental
justice into its policies and programs.
The Executive Order requires each
Federal agency to conduct its programs,
policies, and activities that substantially
affect human health or the environment
in a manner that ensures that those
programs, policies, and activities do not
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have the effect of excluding persons
from participation in programs, denying
persons the benefits of programs, or
subjecting persons to discrimination
because of race, color, or national origin.
Further, Executive Order 14096,
‘‘Revitalizing Our Nation’s Commitment
to Environmental Justice for All,’’ 88 FR
25251 (Apr. 26, 2023), charges Federal
agencies to make achieving
environmental justice part of their
missions, consistent with statutory
authority, by identifying, analyzing, and
addressing the disproportionate and
adverse human health and
environmental effects and hazards of
Federal activities, including those
related to climate change and
cumulative impacts of environmental
and other burdens on communities with
environmental justice concerns.
This rulemaking would not have a
disproportionately high or adverse effect
on human health or the environment,
nor would it exclude persons from
participation in FEMA programs, deny
persons the benefits of FEMA programs,
or subject persons to discrimination
because of race, color, or national origin.
L. Congressional Review of Agency
Rulemaking
Before a rule can take effect, the
Congressional Review of Agency
Rulemaking Act (CRA), 5 U.S.C. 801–
808, requires the Federal agency
promulgating the rule to submit to
Congress and to the Government
Accountability Office (GAO) a copy of
the rule, a concise general statement
relating to the rule, including whether it
is a major rule, and other information.
A ‘‘major’’ rule is one that has an
annual effect on the economy of
$100,000,000 or more; results in a major
increase in costs or prices for
consumers, individual industries,
Federal, State, or local government
agencies, or geographic regions; or has
significant adverse effects on
competition, employment, investment,
productivity, innovation, or on the
ability of United States-based
enterprises to compete with foreignbased enterprises in domestic and
export markets. Pursuant to the CRA,
the Office of Information and Regulatory
Affairs has designated this rule as
‘‘major’’ within the meaning of the CRA
as defined by 5 U.S.C. 804(2), as the
annual effect on the economy will be
over $100,000,000. As such, FEMA will
send this rule to the Congress and to
GAO pursuant to the CRA at least 60
days before the effective date of any
final rule.
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8319
List of Subjects in 44 CFR 61
Flood insurance, Reporting and
recordkeeping requirements.
For the reasons discussed in the
preamble, FEMA proposes to amend 44
CFR part 61 as follows:
PART 61—INSURANCE COVERAGE
AND RATES
1. The authority citation for part 61
continues to read as follows:
■
Authority: 42 U.S.C. 4001 et seq.; 6 U.S.C.
101 et seq.
■
2. Revise § 61.2 to read as follows:
§ 61.2
Definitions
The definitions set forth in part 59 of
this subchapter apply to this part,
including the appendices. If an
appendix defines a term differently, that
definition controls for the purposes of
that appendix.
■ 3. Amend § 61.13 by revising
paragraph (a) to read as follows:
§ 61.13
Standard Flood Insurance Policy
(a) Incorporation of forms. Each of the
Standard Flood Insurance Policy forms
included in appendix ‘‘A’’ hereto and by
reference incorporated herein shall be
incorporated into the Standard Flood
Insurance Policy.
*
*
*
*
*
■ 4. Add Appendix A(4) to Part 61 to
read as follows:
Appendix A(4) to Part 61
Federal Emergency Management Agency,
Federal Insurance and Mitigation
Administration, Standard Flood Insurance
Policy
Homeowner Flood Form
Please read this policy carefully. The flood
insurance provided under this policy is
subject to limitations, conditions, and
exclusions. This policy insures only one
dwelling that is specified on the declarations
page.
Section I: Insuring Agreement
A. Governing Law. The Federal Emergency
Management Agency (‘‘FEMA’’) provides this
flood insurance policy under the terms of the
National Flood Insurance Act of 1968, as
amended (‘‘Act’’), and title 44 of the Code of
Federal Regulations. The Act, applicable
regulations, and federal common law
exclusively govern this policy and all
disputes involving this policy.
B. Conflict With Federal Law. This policy
does not insure any real or personal property
that is not eligible for flood insurance
pursuant to federal law.
C. Agreement. We will pay you for direct
physical loss by or from flood to your insured
property up to the limits stated on the
declarations page if you:
1. Paid the full amount due (including
applicable premiums, surcharges, and fees);
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2. Complied with all terms and conditions
of this policy; and
3. Furnished complete and accurate
information and statements to us.
D. Policy Term. This policy will expire at
12:01 a.m. on the last day of the policy term
stated on the declarations page.
E. Liberalization. If we make a change that
broadens coverage under this edition of our
policy and that does not require an additional
premium charge, that change will
automatically apply to your insurance as of
the date we implement the change, provided
that this implementation date falls within 60
calendar days prior to or during the policy
term stated in the declarations page.
F. Our Right of Review. We may at any time
review the information you give us and
request additional information from you. We
may revise your policy based on such review
or additional information, including revising
the amounts due from you.
Section II: Definitions
A. Use of Pronouns. In this policy:
1. ‘‘You’’ and ‘‘your’’ refer to the insured(s)
shown on the declarations page of this
policy.
2. ‘‘We,’’ ‘‘us,’’ and ‘‘our’’ refer to the
insurer providing coverage under this policy.
B. Flood. In this policy, flood means:
1. A general and temporary condition of
partial or complete inundation of normally
dry land from any of the following:
a. Overflow of inland or tidal waters;
b. Unusual and rapid accumulation or
runoff of surface waters from any source;
c. Mudflow, which is a river of liquid and
flowing mud on the surface of normally dry
land, as when earth is carried by a current
of water; or
d. Sudden erosion or undermining of land
along the shore of a lake or similar body of
water caused by waves or currents of water
exceeding anticipated cyclical levels that
causes collapse or subsidence of land
resulting in a flood.
C. Buildings. In this policy, the following
definitions apply:
1. Building. A structure, the construction of
which has been completed, that has a fully
secured roof and solid, vertical, load-bearing
walls, and is affixed to a permanent site.
2. Basement. Any area of a building having
its floor level below ground level on all sides,
regardless of design or use.
a. An area of a building is below ground
level when the land touching the exterior of
the building is above its floor level.
b. An area of a building is presumed to be
below ground level when it is necessary to
walk up steps or a slope to reach the land
surrounding the building. A professional
land survey or report may rebut this
presumption.
3. Enclosure. An area that exists below the
dwelling and is used in accordance with local
floodplain management ordinances or law for
the parking of vehicles, building access, or
storage. The enclosure is shown on the
declarations page.
D. Other Defined Terms.
1. Act. The National Flood Insurance Act
of 1968, as amended (42 U.S.C. 4001 et seq.).
2. Actual Cash Value. The cost to replace
an insured item of property at the time of
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loss, less depreciation based on its age and
condition.
3. Administrator. The Administrator of the
Federal Emergency Management Agency or
designee.
4. Claim. Your assertion that you are
entitled to payment for a covered loss under
the terms and conditions of this policy. There
is only one claim per flood event.
5. Declarations Page. A document we
provide to you based on information that you
provided to us that summarizes the coverage
limit(s), premium, insured(s), and other
information about your policy. The
declarations page is a part of this policy.
6. Described Location. The location of the
insured building. The described location is
shown on the declarations page.
7. Direct Physical Loss By or From Flood.
Actual physical loss or damage to the insured
property directly caused by a flood.
8. Dwelling. A building in use as a one-tofour family residence. A dwelling is not a
mobile home, travel trailer, or a
condominium unit.
9. Flood Damage Resistant Materials.
Building materials identified by the
Administrator as resistant to flood damage.
10. Insured(s). Includes you and:
a. any additional persons identified on the
declarations page;
b. any mortgagee or loss payee named in
your application for insurance, as well as any
other mortgagee or loss payee determined to
exist at the time of loss; and
c. your spouse, if a resident of the same
household.
11. Machinery and Equipment. Machinery
and equipment includes, only when
contained within a building at the described
location, functional electrical, plumbing,
heating, cooling, and safety elements
necessary for the operation of a building, and
elevators. Outside of a building, machinery
and equipment only includes the condenser
unit for a central air conditioning system,
heat pump unit for heating and air
conditioning systems, solar panels, and
permanently installed whole house standby
generators when such units are connected to
and servicing a building at the described
location.
12. National Flood Insurance Program
(NFIP). The program of flood insurance
coverage and floodplain management
administered under the Act.
13. Policy. The entire written contract
between you and us. It includes:
a. this Homeowner Flood Form;
b. the completed application for insurance;
c. the declarations page;
d. any endorsement(s) issued to you by us;
and
e. any addenda attached to this form by us
at the time of application or renewal.
14. Proof of Loss. The proof of loss is a
signed and sworn statement by you
containing documentary evidence in support
of your loss and the amount you are
claiming.
15. Replacement Cost Value. The necessary
cost, without deduction of depreciation, to
repair or replace an item of property at the
time of loss with an item of like kind and
quality.
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Section III: What We Cover
A. Coverage A—Dwelling
1. We insure up to the coverage limit on
the declarations page at the described
location against direct physical loss by or
from flood to:
a. The dwelling.
b. Materials and supplies to be used for
construction, alteration, or repair of the
dwelling or any other building(s) scheduled
under Coverage B at the described location.
The materials and supplies must be stored in
a building at the time of loss.
2. Limited Coverage for Basements and
Enclosures. We only cover direct physical
loss by or from flood to the interior of all
basements and enclosures as follows:
a. Machinery and equipment installed and,
if necessary for operation, connected to a
power source.
b. Footings, foundations, posts, pilings,
piers, or other foundation walls and
anchorage systems required to support a
dwelling.
c. Stairways and staircases directly
attached to the dwelling.
d. Unfinished drywall and nonflammable
insulation.
3. Dwelling Limitations.
a. Limitations on mold and mildew. We
cover damage to the dwelling due to mold or
mildew caused by a flood only when it is not
within your control to inspect and maintain
the property after a flood recedes.
b. Limitations on power, heating, or
cooling failure. We cover damage caused by
a power, heating, or cooling failure that is the
result of direct physical loss by or from flood
to covered power, heating, or cooling
equipment at the described location.
c. Limitations on flood in the area. We
cover damage to the dwelling when there is
a flood in the area and the flood causes:
(1) water or waterborne material to back up
through sewers or drains; to discharge or
overflow from a sump, sump pump, or
related equipment; or to seep or leak on or
through the dwelling; or
(2) losses to the dwelling by or from the
pressure or weight of standing or resting
water on or below the surface of the land.
d. Limitations on pollutants. We pay for
the testing or monitoring of pollutants after
a flood only when required by law or
ordinance. ‘‘Pollutants’’ refers to any
substances that include, but are not limited
to, any solid, liquid, gaseous, or thermal
irritant or contaminant, including smoke,
vapor, soot, fumes, acids, alkalis, chemicals,
and waste. ‘‘Waste’’ includes, but is not
limited to, materials to be recycled,
reconditioned, or reclaimed.
4. This policy does not cover:
a. Loss of use of the described location
including any living expenses incurred while
the dwelling is inaccessible, being repaired,
or is uninhabitable for any reason;
b. Land and land values;
c. Lawns, trees, shrubs, plants, growing
crops, and landscaping;
d. Any open structures, including but not
limited to a building used as a boathouse,
when located entirely in, on, or over water.
e. Buildings constructed or substantially
improved after September 30, 1982, when (1)
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they are located entirely in, on, or over water
or (2) if they are seaward of mean high tide;
f. Underground structures and equipment
that are not located within the dwelling, such
as wells, septic, sewer, plumbing supply,
waste lines, gas supply lines, and electrical
and HVAC system components;
g. Those portions of walks, walkways,
decks, driveways, patios, and other surfaces,
all whether protected by a roof or not, located
outside the perimeter, exterior walls of the
insured building;
h. Containers and related equipment, such
as tanks containing gases or liquids;
i. Fences, retaining walls, seawalls,
bulkheads, wharves, piers, bridges, and
docks; and
j. Hot tubs and spas that are not bathroom
fixtures, and swimming pools, and their
equipment, such as heaters, filters, pumps,
and pipes, wherever located.
B. Coverage B—Other Buildings
1. We apply the terms of Coverage A to
other buildings at the described location
except as modified in III.B.2.
a. For this Coverage B to apply, the other
buildings must appear on the declarations
page.
b. Use of this coverage is at your option,
but reduces the dwelling coverage limit
provided under Coverage A. The maximum
available coverage limit for other buildings is
10% of Coverage A limits, regardless of how
many buildings are scheduled on the
declarations page.
2. We do not cover:
a. Anything already excluded under the
terms of Coverage A.
b. Basements or enclosures for any building
that is not the dwelling.
c. Any building used or held for use for
commercial purposes, such as agricultural
and business use.
d. Any building(s) at the described location
that is not owned by the insured, such as a
building owned by a homeowners
association.
C. Coverage C—Personal Property
1. We insure up to the coverage limit stated
on the declarations page against direct
physical loss by or from flood to personal
property inside a building at the described
location when:
a. The property is owned by you or your
household family members; or
b. The property is at the described location
and is owned by non-paying guests or
laborers.
2. We insure your personal property
against direct physical loss by or from flood
anywhere in the United States as follows:
a. We will pay no more than 10% of
Coverage C limits for:
(1) Personal property located in a building
at a location other than the described
location; or
(2) Personal property located in a storage
facility building.
b. The 10% coverage limit in III.C.2.a. will
not apply if you have moved the personal
property to a building reasonably safe from
flood and not in a basement or enclosure due
to:
(1) A general and temporary condition of
flooding in the area near the described
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location, even if the flood does not reach the
described location;
(2) An evacuation order or other civil order
from an authorized local official; or
(3) Repairs, renovations, or reconstruction
or other conditions that make the described
location uninhabitable or unsuitable for the
storage of property.
3. Personal Property Limitations.
a. Limitations on Property in a Basement
or in an Enclosure. In a basement or an
enclosure, this policy will only cover
appliances installed in their functioning
locations and, if necessary for operation,
connected to a power source.
b. Limitations on Property in a Building
Without Walls on All Sides. This policy will
only cover personal property in any portion
of a building that is not fully enclosed when
it is secured to prevent flotation out of the
building.
4. Special Limits. We will pay no more
than the coverage sublimit specified on the
declarations page for any claim to one or
more of the following kinds of personal
property:
a. Artwork, photographs, collectibles, or
memorabilia, including but not limited to,
porcelain or other figures, and sports cards;
b. Rare books or autographed items;
c. Jewelry, watches, precious and
semiprecious stones, or articles of gold,
silver, or platinum;
d. Furs or any article containing fur for
which the fur represents its principal value;
e. Portable electronic devices, including
cell phones, smart phones, video game
devices, electronic tablets, and laptop
computers; or
f. Personal property primarily used for any
commercial purposes.
g. No more than 10% of the special limit
shown on the declarations page may be
applied to valued paper, metals, or other
similarly valued objects such as accounts,
bills, coins, currency, deeds, evidences of
debt, medals, money, scrip, stored value
cards, postage stamps, securities, bullion, or
manuscripts.
5. We will only pay for the functional
value of antiques.
6. We do not cover:
a. Anything already excluded under
Coverages A and B;
b. Loss of use of any personal property at
the described location;
c. Personal property not inside a building;
d. Items of personal property in a basement
or an enclosure, except as stated in III.C.3;
e. Personal property in a building
constructed or substantially improved after
September 30, 1982 when the building is (1)
located entirely in, on, or over water or (2)
seaward of mean high tide;
f. Personal property located in an open
structure located in, on, or over water;
g. Losses to items stored in a digital or
other intangible format, whether created,
owned, licensed, or otherwise in your
possession;
h. Items held in violation of state or federal
law;
i. Living things; and
j. Any self-propelled vehicle or machine
capable of transporting a person(s) or cargo,
by land, water, or by air, including any of its
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equipment and parts. However, this
limitation does not apply to personal
property inside a building at the described
location that is not registered for use on
public roads, and:
(1) Used solely to service the described
location; or
(2) Designed and used to assist people with
disabilities.
D. Coverage D—Other Coverages
1. Debris Removal
a. Covered Debris.
(1) We will pay the labor and expense to
remove:
(a) debris from anywhere that comes onto
or into the insured dwelling or other insured
buildings at the described location; and
(b) debris of insured property anywhere.
(2) If you or a member of your household
perform the debris removal work, we will
pay you for the value of this work using the
federal minimum wage. This coverage does
not increase any coverage limit stated on the
declarations page.
b. Debris Not Covered. This policy does not
cover the cost to remove:
(1) debris from other locations on the land
surrounding the dwelling or other building(s)
at the described location, or
(2) any non-covered items of property from
the dwelling or building(s), even if the
removal facilitates covered cleanup or
repairs.
2. Loss Prevention
a. Materials and Labor. We will pay up to
the coverage sublimit specified on the
declarations page for the expenses you incur
to protect your insured property from a flood
or imminent danger of flood. Such expenses
are limited to the following:
(1) Your reasonable expenses to buy
materials reasonably understood to be, or
commonly used as, temporary measures to
avoid or reduce the harm from an imminent
flood, including sandbags, fill for temporary
levees, and pumps; and
(2) The value of work, at the federal
minimum wage, that you or a member of
your household perform to protect your
property.
b. This coverage for materials and labor
only applies if:
(1) Damage to the insured property by or
from flood is imminent; and
(2) The threat of flood damage is apparent
enough to lead a reasonably prudent person
to anticipate flood damage.
(3) In addition, one of the following must
occur:
(i) A general and temporary condition of
flooding in the area near the described
location must occur, even if the flood does
not reach the building; or
(ii) A legally authorized official has issued
an evacuation order or other civil order for
the community in which your insured
property is located calling for measures to
preserve life and property from the peril of
flood.
3. Property Removed to Safety. We will pay
up to the coverage sublimit specified on the
declarations page for the reasonable expenses
you incur to move insured property to a
secure location other than the described
location to protect it from flood or the
imminent danger of flood. Reasonable
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expenses include the value of work, at the
federal minimum wage, performed by you or
a member of your household.
4. This coverage does not increase the
Coverage A, Coverage B, or Coverage C limits.
Section IV: Exclusions
A. Excluded Losses. We do not pay you for
damage from:
1. Other perils;
2. Economic losses, even if caused by
flood, whether direct or indirect, including
losses from a disruption of business, or
complying with any ordinance or law.
3. Earth movement, even if the earth
movement is caused by flood, as follows:
a. Earth movement includes:
(1) Earthquake;
(2) Landslide;
(3) Subsidence;
(4) Sinkholes;
(5) Destabilization; or
(6) Any other movement such as sinking,
rising, shifting, expanding, or contracting of
the earth.
b. This earth movement coverage exclusion
does not include:
(1) Hydrostatic pressure or hydrodynamic
forces;
(2) Buoyancy; or
(3) Frictional force from floodwater moving
along the surface of the ground.
4. Gradual erosion caused by the normal
water action that wears an area of land away
over time.
5. Other excluded causes of damage. We do
not insure for damage caused directly or
indirectly by any of the following:
a. The pressure, weight, freezing, or
thawing of ice;
b. Rain, snow, sleet, hail, or water spray;
c. The exposure to water of any form other
than flood, including failure, stoppage, or
breakage of water or sewer lines, drains,
pumps, fixtures, or equipment;
d. Design, structural, or mechanical
defect(s); deterioration, rot, or corrosion; or
insect or rodent infestation; and
e. Anything you or any member of your
household does or conspire(s) to do to
deliberately cause direct physical loss by or
from flood.
6. Increase in hazard. We will not cover
any loss that occurs due to any hazard that
is increased by you, by any means within
your control, or with your knowledge.
B. Flood in Progress.
1. A flood is in progress when one of the
following is true:
a. There is a near certainty of a flood loss
at the described location from a flood control
effort such as:
(1) Opening of a spillway,
(2) Breaching of a levee, or
(3) Releasing of water from a dam.
b. There is a flood at the described
location.
2. Loan closing. If this policy became
effective in connection with a loan closing,
we will not pay for a loss caused by a flood
in progress at the time of loan closing.
3. No loan closing. In all other
circumstances, we will not pay for a loss
caused by a flood in progress that existed on
or before the day you submitted the
application for coverage under this policy.
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C. Pre-existing Damage. We do not pay you
for pre-existing damage. Pre-existing damage
includes:
1. Flood loss or damage that occurred prior
to the date of the loss, whether direct
physical loss or not, and whether paid or
unpaid on a prior event; and
2. Damage attributable to any non-flood
peril that occurred prior to the date of loss.
Section V: Policy Conditions
A. Actions and Conditions That Can Void
Your Policy.
1. NFIP Ineligibility. This policy is void
from its inception and has no legal force if:
a. The described location is in a
community that was not participating in the
NFIP on the policy’s inception date and did
not join or reenter the NFIP during the policy
term and before the loss occurred;
b. The described location or other property
is otherwise not eligible for coverage under
the Act or regulations of the NFIP, for reasons
of noncompliance with local floodplain
ordinances or otherwise; or
c. Any other federal law prevents coverage
of property at the described location.
2. Concealment or Fraud. With respect to
all insureds under this policy,
a. This policy is void and has no legal force
or effect, and cannot be renewed, if before or
after a loss, you or any other insured or your
agent have at any time:
(1) Intentionally concealed or
misrepresented any material fact or
circumstance;
(2) Engaged in fraudulent conduct relating
to this policy; or
(3) Knowingly made false statements
relating to this policy or any other NFIP
insurance when applying for coverage, when
making a claim, or at any other time.
b. This policy will be void as of the date
acts described in V.A.2.a. were committed.
B. Policy Renewal.
1. We must receive the renewal premium
from you within 30 calendar days of the
expiration date of your prior policy term.
2. We will not renew this policy if federal
law prevents coverage of property at the
described location.
C. Cancellation of the Policy by You.
1. You may cancel this policy when:
a. You no longer have an insurable interest
in the subject property;
b. You are no longer required to maintain
a flood insurance policy pursuant to federal
law or lender requirements; or
c. You have a duplicate NFIP policy.
2. If you cancel this policy, you may be
entitled to a full or partial refund of premium
for the current policy term under the
applicable rules and regulations of the NFIP.
D. Reduction and Reformation of Coverage.
1. If the premium we receive from you is
not enough to purchase the amount(s) of
insurance you requested, we will issue the
policy, but only for the amount of coverage
that the premium will purchase for a oneyear term.
2. We will increase the reduced amount of
coverage described in V.D.1 to the amount
you originally requested without regard to
whether a loss occurred, provided that:
a. We will bill you for the additional
premium or, if necessary to calculate the
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additional premium, request information
from you.
b. You respond to our request for:
(1) Additional premium within 30 calendar
days of the date of our bill; or
(2) Additional information within 60
calendar days of the date of our request.
c. Failure to timely respond may result in
a waiting period for additional coverage if a
loss has not occurred within the policy term,
or the settlement of a claim under reduced
policy limits if a loss has occurred within the
policy term.
E. Disaster Conditions. In the event of a
flood associated with a major disaster or
emergency declared by the President under
the Robert T. Stafford Disaster Relief and
Emergency Assistance Act, the Administrator
may, after written notice:
1. Extend the stated timeframes in the
following sections below:
a. Proof of Loss, VI.A.3, and VI.A.7, for a
period not to exceed 365 calendar days from
the date of loss; and
b. Policy Renewal, V.B.1, for a period not
to exceed 60 calendar days from the
expiration date.
2. Conditionally waive the requirement in
VI.A.3 and VI.B.2 that an insured must sign
or swear to a proof of loss or an adjuster’s
report.
3. In accordance with VI.C.3, establish
special procedures for advance payments to
insured(s).
4. Settle losses in accordance with any
formula established under federal law that
allocates covered damages amongst multiple
perils, including flood.
Section VI: Procedures and Duties When a
Loss Occurs
A. Your Duties After a Loss. If the
described location experiences a direct
physical loss by or from flood, you must
comply with all of the following duties:
1. Give prompt notice to us;
2. As soon as possible, separate the
damaged and undamaged property so that we
may examine it. You must also take all
reasonable measures to protect covered
property from any further loss;
3. Within 90 calendar days after the loss,
send us a proof of loss, signed and sworn to
by you, furnishing us with the following
information:
a. The date and time of loss;
b. A brief explanation of how the loss
happened;
c. Details of any other insurance that may
cover some or all of the loss;
d. Changes in title or occupancy of the
covered property during the term of the
policy;
e. Names of mortgagees or anyone else
having a lien, charge, or claim against the
covered property;
f. A description of all damages to your
dwelling and other covered buildings and
detailed repair estimates (if estimates are
available); and
g. An inventory of the lost, damaged or
destroyed property showing the
(1) Quantity;
(2) Description;
(3) Replacement Cost Value or Actual Cash
Value (whichever is applicable);
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(4) Amount of loss;
(5) Evidence that prior flood damage has
been repaired;
(6) Any written plans and specifications for
repair of the damaged property that you can
reasonably make available to us; and
(7) All funds actually spent by you
recovering from the loss. You must attach to
the inventory copies of all bills, receipts,
invoices, written estimates, and related
documents.
4. In completing the proof of loss, you must
use your own judgment concerning the
amount of loss, justify that amount, and sign
the proof of loss.
5. You must cooperate with our adjuster
and other representative(s) in the
investigation of your claim.
6. You must make the damaged property
accessible for inspection.
7. The insurance adjuster we hire to
investigate your claim may furnish you with
a proof of loss form and may help you
complete it. However, this help is a matter
of courtesy only and you must still send us
a proof of loss within 90 calendar days after
the loss even if the adjuster does not furnish
the form or help you complete it.
B. Our Options After a Loss. After a loss
and at our sole discretion, we may exercise
the following options:
1. At such reasonable times and places that
we may designate:
a. You must provide us access to the
damaged property;
b. If we request, you must submit to
examination under oath, while not in the
presence of another insured, and sign the
transcript from such examination; and
c. Permit us to examine and make copies
of all or any relevant portion of:
(1) Any policies of property insurance
insuring you against loss and the deed
establishing your ownership of the insured
real property; and
(2) All bills, invoices, receipts and other
records pertaining to the damaged property,
or certified copies if the originals are lost.
2. At our option, we may accept our
adjuster’s report of the loss in lieu of a proof
of loss. You must sign the adjuster’s report.
At our option, we may also require you to
swear to the report.
C. Loss Payment.
1. Adjustment of Claims.
a. We have not authorized the adjuster to
approve or disapprove any claim.
b. We will adjust all losses with you. We
will pay you unless some other person or
entity is named in the policy or is legally
entitled to receive payment. Loss will be
payable 60 calendar days after we receive
your proof of loss, or within 90 calendar days
after the insurance adjuster files the
adjuster’s report signed and, if required by
us, sworn to by you in lieu of a proof of loss,
and:
(1) We reach an agreement with you;
(2) There is an entry of a final judgment;
or
(3) There is a filing of an appraisal award
with us, as provided in VI.F. of this policy.
2. If we reject your proof of loss in whole
or in part, you may:
a. Accept our denial of your claim;
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b. File an amended proof of loss (see
VII.L.1) within 90 calendar days of the date
of the loss;
c. Exercise your rights under this policy
including:
(1) Appeal (see VII.L.2)
(2) Appraisal (see VI.F) or
(3) Litigation (see VII.L.3).
3. Advance Payments.
a. At our option, we may provide you with
an advance payment prior to the completion
of your claim. You may request an advance
payment after providing the notice of loss
required in VI.A. Such advance payments
may include amounts totaling no more than
5% of the Coverage A coverage limit to an
insured without regard to VII.F.
b. We may approve or reject your request
for an advance payment at any time. Such
approval or rejection does not affect the final
adjustment of your claim and does not
change your duties or our options under this
policy.
c. If we provide you with an advance
payment that exceeds your covered loss, we
will send you notice in writing of the
overpayment. You must repay any excess
amount to us or dispute the validity of the
overpayment within 30 calendar days of the
date on our letter. Failure to repay any
overpayment from us may result in a debt
collection action by the Federal Government.
D. Deductible.
1. When a loss is covered under this policy,
we will pay only that part of the loss that
exceeds your deductible amount (subject to
the applicable coverage limit). Your
deductible amount is shown on the
declarations page.
2. In each loss from flood, a single
deductible applies to losses to your dwelling
and all other property insured by this policy.
3. The deductible does NOT apply to any
Loss Avoidance Measures specified in III.D.2
or III.D.3.
E. Loss Settlement.
1. This policy provides two possible
methods of settling losses: Replacement Cost
Value and Actual Cash Value.
a. Replacement Cost Value loss settlement,
described in VI.E.2. applies:
(1) To your dwelling, if at the time of loss,
the coverage limit in this policy that applies
to the dwelling is 80% or more of full
replacement cost immediately before the loss
or is the maximum coverage limit available
under the NFIP.
(2) To claims arising under Coverage B or
Coverage C of this policy.
b. Actual Cash Value loss settlement
applies:
(1) If your dwelling is not eligible for
Replacement Cost Value settlement because
it does not meet the conditions under
VI.E.1.a.; or
(2) If Actual Cash Value is specified in an
endorsement.
2. Replacement Cost Value Loss
Settlement. If your loss is subject to
Replacement Cost Value settlement under
VI.E.1.a., the following conditions apply:
a. We will pay to repair or replace the
damaged dwelling or other building(s) at the
described location or personal property
covered under this policy but not more than
the lesser of the following amounts:
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(1) The coverage limit that is applicable to
the loss as shown on your declarations page;
(2) The replacement cost of that part of the
dwelling that is damaged using materials of
like kind and quality and for like use; or
(3) The amount necessary to repair or
replace the damaged part of the dwelling for
like use.
b. If the dwelling is rebuilt at a new
location, we will pay you only the cost that
would have been incurred if the dwelling had
been rebuilt at its former location.
3. Actual Cash Value Loss Settlement. If
actual cash value loss settlement applies, we
will pay the lesser of the following amounts:
a. The actual cash value of the covered
property; or
b. The policy limits stated on the
declarations page.
4. Flood Mitigation Expenses. We will
reimburse you for post-loss expenses that
mitigate against future flood events as
follows:
a. Post-loss expenses may not exceed the
policy limits stated on the declarations page.
b. At your option, you may choose to
replace any damage under Coverage A or
Coverage B with Flood Damage Resistant
Materials. After you complete installation of
the Flood Damage Resistant Materials, you
may then request reimbursement.
c. At your option, you may choose to
elevate your machinery and equipment above
a basement or an enclosure. Such elevated
machinery and equipment must be elevated
to a height reasonably expected to avoid
future direct physical loss by or from flood.
After you complete elevation of the
machinery and equipment, you may then
request reimbursement.
5. This is not a valued policy. A valued
policy is a policy in which the payable
amount in the event of a total loss is agreed
upon by the insured and the insurer.
F. Appraisal. If you and we fail to agree on
the Replacement Cost Value or, if applicable,
Actual Cash Value, of your damaged
property and are thus unable to settle the
amount of loss, then either party may
demand an appraisal of the loss.
1. Conditions Before You Can Request an
Appraisal.
a. You must agree with us on a list of
damaged items to be appraised.
b. You must have complied with the
requirements of the proof of loss (see VI.A.3).
c. Appraisal is only available when the
dispute between parties involves the price to
be paid for the property covered under this
policy. Other disputes, such as disputes
regarding coverage or causation, or the extent
of the loss, cannot be resolved through the
appraisal process.
2. Appraisal Process. If the conditions
under VI.F.1. are satisfied and an appraisal
is properly invoked, you and we will each
choose a competent and impartial appraiser
within 20 calendar days after receiving a
written request to do so from the other. The
two appraisers will choose an umpire. If they
cannot agree upon an umpire within 15
calendar days, you or we may request that
the choice be made by a judge of a court of
record in the State where the covered
property is located. The appraisers will
separately state the Actual Cash Value or the
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Replacement Cost Value (as applicable), and
the amount of loss to each item. If the
appraisers submit a written report of an
agreement to us, the amount agreed upon
will be the amount of loss. If they fail to
agree, they will submit their differences to
the umpire. A decision agreed to by any two
will set the amount of Actual Cash Value and
loss, or if it applies, the Replacement Cost
Value and loss. Each party will:
a. Pay its own appraiser; and
b. Bear the other expenses of the appraisal
and umpire equally.
3. Appraisal can only be used when it will
result in complete resolution of the entire
claim. Appraisal cannot be used to resolve
only part of your claim or to determine the
value of some items and not others.
ddrumheller on DSK120RN23PROD with PROPOSALS2
Section VII: General Conditions
A. Abandonment. You may not unilaterally
abandon to us damaged or undamaged
property insured under this policy.
B. Amendments, Waivers, Assignment.
1. This policy cannot be changed nor can
any of its provisions be waived without the
express written consent of the Administrator.
2. No action we take under the terms of
this policy constitutes a waiver of any of our
rights.
3. You may not assign your policy or your
claim to any other party.
C. Death. In the event of your death during
the policy term, the coverage provided under
this policy continues automatically for any
other insured(s). If no other insured exists,
this policy will insure the administrator,
executor or other legal representative of your
estate as previously determined by you or the
intestacy laws of the state where the
described location is located, but only for the
dwelling, building(s), and personal property
of the deceased at the time of death.
D. Duplicate Policies Not Allowed. We will
not insure your personal property at the
described location under more than one NFIP
policy. If there is more than one NFIP policy
for buildings at the described location, we
will apply the NFIP rules concerning
duplicate policies and cancel or nullify one
of the policies, whichever is applicable,
which may result in a refund.
E. Headings and Captions. The headings
and captions used in this policy are for
convenience of reference only and shall not
affect or control the meaning or
interpretation of any of the terms, conditions
or provisions of this policy.
F. Mortgage Clause. The word ‘‘mortgagee’’
includes trustee.
1. Any loss payable under III.A or III.B of
this policy will be paid to any mortgagee of
whom we have actual notice, as well as any
other mortgagee determined to exist at the
time of loss, including you, as interests
appear. If more than one mortgagee is named,
the order of payment will be the same as the
order of precedence of the mortgages.
2. If we deny your claim, that denial will
not apply to a valid claim of the mortgagee,
if the mortgagee:
a. Notifies us prior to a loss of any change
in the ownership or occupancy, or
substantial change in risk, of which the
mortgagee is aware;
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b. Pays any premium due under this policy
on demand if you have neglected to pay the
premium; and
c. Submits a signed, sworn proof of loss
within 90 calendar days after receiving notice
from us of your failure to do so.
3. All of the terms of this policy apply to
the mortgagee.
4. The mortgagee has the right to access
your claim file and receive loss payment
even if the mortgagee has started foreclosure
or similar action on the property insured
under this policy.
5. If we decide to cancel or not renew this
policy, it will continue in effect only for the
benefit of the mortgagee for 30 calendar days
after we notify the mortgagee of the
cancellation or non-renewal.
6. If we pay the mortgagee for any loss and
deny payment to you, we are subrogated to
all the rights of the mortgagee granted under
the mortgage on the property. Subrogation
will not impair the right of the mortgagee to
recover the full amount of the mortgagee’s
claim.
G. No Benefit to Bailee. No person or
organization having custody of covered
property other than you will benefit from this
insurance.
H. Other Insurance. Subject to the
limitations and restrictions of VII.D., if a loss
covered by this policy is also covered by
other insurance, we will pay no more than
the coverage limit you are entitled to for lost,
damaged, or destroyed property insured
under this policy, subject to the following:
1. We will pay only the proportion of the
loss that this policy’s coverage limit bears to
the total coverage limit covering the loss;
unless VII.H.2. or VII.H.3. applies.
2. If the other policy has a provision stating
that it is excess insurance, this policy will be
primary;
3. This policy will be primary up to the
other policy’s deductible amount. After the
other policy’s deductible amount is reached,
this policy will participate in the same
proportion that this policy’s amount of
insurance bears to the total amount of both
policies for the balance of the loss. This
policy is subject to its own deductible.
I. Pair and Set Clause. In case of loss to an
item of property that is part of a pair or set,
we will have the option to pay you either:
1. The cost to replace only the lost,
damaged, or destroyed item; or
2. The amount that represents the fair
proportion that the lost, damaged or
destroyed item bears to the total value of the
pair or set.
J. Salvage.
1. After we give you written notice, we
may take all or any part of the damaged
property at the value that we agree upon or
its appraised value.
2. We may permit you to keep damaged
property insured under this policy after a
loss, but we will reduce the amount of the
loss proceeds payable to you under the policy
by the value of the salvage.
K. Subrogation. ‘‘Subrogation’’ means that
your right to recover for a loss that was partly
or totally caused by someone else is
automatically transferred to us, to the extent
that we have paid you for the loss. We may
require you to acknowledge this transfer in
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writing. Whenever we pay for a loss under
this policy, we are subrogated to your right
to recover for that loss from any other person.
After the loss, you must deliver all related
papers to us, you must cooperate with us,
and you may not interfere with or do
anything that would prevent our right to
recover this money. If we pay for a loss under
this policy and you (1) make a claim against
any person who caused your loss and (2)
recover any money from that person, you
must return our payment before you may
keep any recovered funds, without regard to
any non-covered losses occurring at the
described location.
L. Your Options After Our Denial.
1. Request Additional Payment. You may
request additional payment and amend your
initial proof of loss. You must submit this
request or amended proof of loss as set forth
in VI.A. A denial letter does not extend the
deadline in VI.A.3 to submit a proof of loss.
2. Appeal. If we deny your claim, in whole
or in part, we will send you a denial letter.
If you wish to appeal our denial, you must
send an appeal letter explaining your
position and a copy of our denial letter to
FEMA within 60 calendar days of the date on
our letter. Filing an appeal to FEMA does not
limit or affect your ability to file suit, or to
seek an additional payment or file an
amended proof of loss with us.
3. File a Lawsuit Against Us. You may not
sue us to recover money under this policy
unless you have complied with all of the
requirements of the policy. If you do sue, you
must file the suit within one year after the
date of the written denial of all or part of
your claim, and you must file the suit in the
United States District Court of the district in
which the covered property or the major part
thereof was located at the time of loss. These
requirements apply to any claim that you
may have under this policy and to any
dispute that you may have arising out of or
resulting from the handling of any claim
under this policy.
In witness whereof, we have signed this
policy below and hereby enter into this
Insurance Agreement.
Federal Insurance and Mitigation
Administration
5. Add Appendix A(101) to Part 61 to
read as follows:
■
Appendix A(101) to Part 61
Increased Cost of Compliance Coverage
Endorsement
The terms of the policy apply to this
increased cost of compliance coverage unless
modified by this endorsement.
Definitions
This endorsement adds the following
definitions to Section II of the policy:
C. Additional Defined Terms.
1. Community Official means the nonfederal official enforcing floodplain
management ordinances that meet or exceed
the minimum standards of the NFIP on a
damaged building.
2. Compliance Activities means legally
required mitigation activities approved by
the Administrator that reduce or remove the
risk of future flood damage to a building at
the described location.
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Federal Register / Vol. 89, No. 25 / Tuesday, February 6, 2024 / Proposed Rules
Coverages
This endorsement adds the following
coverage to Section III of the policy:
E. Increased Cost of Compliance
1. We will pay you up to the Increased Cost
of Compliance coverage limit indicated on
the declarations page for the cost of
compliance activities actually incurred when
required by a community official.
2. Use of this coverage is at your option,
but the combined payments under Coverage
A, Coverage B, and this increased cost of
compliance coverage under Coverage E may
not exceed the maximum amount of coverage
permitted by the Act.
3. Limitation. When the building is
repaired or rebuilt, it must be intended for
the same occupancy as the present building
unless otherwise required by current
floodplain management ordinances or laws.
4. This policy does not cover:
a. Anything already excluded anywhere in
the policy;
b. Costs of any compliance activities:
I. For a flood loss that pre-dates the current
loss; or
II. Necessary for additions or
improvements to the dwelling made after
such loss occurred.
c. Any standard that does not meet the
minimum requirements of the NFIP.
Exclusions
Paragraph A.2 of Section IV, Exclusions, is
replaced with the following:
2. Economic losses, even if caused by
flood, whether direct or indirect, including
losses from a disruption of business, or
complying with any ordinance or law. This
exclusion does not apply to any eligible
activities we describe in Coverage E—
Increased Cost of Compliance.
ddrumheller on DSK120RN23PROD with PROPOSALS2
Policy Conditions
Paragraph E.1 of Section V, Policy
Conditions, is amended by adding the
following:
c. Increased Cost of Compliance, VI.E.6, for
a period not to exceed six years from the date
of loss.
Procedures and Duties When a Loss Occurs
Paragraph D.3 of Section VI, Procedures
and Duties When a Loss Occurs, is replaced
with the following:
3. The deductible does NOT apply to any
Loss Avoidance Measures specified in III.D.2
or III.D.3. or to III.E, Increased Cost of
Compliance coverage.
Paragraph E of Section VI is amended by
adding the following:
6. Increased Cost of Compliance Loss
Settlement. We will pay you for your eligible
increased Cost of Compliance costs when you
have completed your compliance activities as
soon as reasonably possible after the loss, not
to exceed two years.
General Conditions
Paragraph B.3 of Section VII, General
Conditions, is replaced with the following:
3. Assignment.
a. Except as provided in VII.B.3.b, you may
not assign your policy or your claim to any
other party.
b. You may assign a claim under Coverage
E to a state or local government or non-profit
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organization to apply towards the non-federal
cost share of a federal grant.
6. Add Appendix A(102) to Part 61 to
read as follows:
■
Appendix A(102) to Part 61
Actual Cash Value Loss Settlement
Endorsement
Read the endorsement carefully for
changes to the policy.
This endorsement provides Actual Cash
Value as the only available valuation for
settling your covered losses under the policy.
Paragraphs E.1 through E.5 of Section VI,
Procedures and Duties When a Loss Occurs,
are replaced with the following:
1. This policy provides Actual Cash Value
loss settlement.
2. Actual Cash Value Loss Settlement. If
actual cash value loss settlement applies, we
will pay the lesser of the following amounts:
a. The actual cash value of the covered
property; or
b. The policy limits stated on the
declarations page.
3. Flood Mitigation Expenses. We will
reimburse you for post-loss expenses that
mitigate against future flood events as
follows:
a. Post-loss expenses may not exceed the
policy limits stated on the declarations page.
b. At your option, you may choose to
replace any damage under Coverage A or
Coverage B with Flood Damage Resistant
Materials. After you complete installation of
the Flood Damage Resistant Materials, you
may then request reimbursement.
c. At your option, you may choose to
elevate your machinery and equipment above
a basement or an enclosure. Such elevated
machinery and equipment must be elevated
to a height reasonably expected to avoid
future direct physical loss by or from flood.
After you complete elevation of the
machinery and equipment, you may then
request reimbursement.
4. This is not a valued policy. A valued
policy is a policy in which the payable
amount in the event of a total loss is agreed
upon by the insured and the insurer.
7. Add Appendix A(103) to Part 61 to
read as follows:
■
Appendix A(103) to Part 61
Temporary Housing Expense Endorsement
The terms of the policy apply to this
temporary housing expense coverage unless
modified by this endorsement.
What We Cover
Paragraph A.4.a of Section III, What We
Cover, is replaced with the following:
a. Except as provided in III.D.4 as modified
by endorsement, loss of use of the described
location while the dwelling is inaccessible,
being repaired, or is uninhabitable for any
reason;
Paragraph D.4 of Section III, What We
Cover, is replaced with the following:
4. Temporary Housing Expense. For
additional premium received, we will cover
temporary housing expenses actually
incurred by you up to the coverage sublimit
specified on the declarations page when:
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8325
(i) The dwelling at the described location
is uninhabitable due to direct physical loss
by or from flood. Payment will be for the
shortest amount of time required to repair or
replace the damage or, if you permanently
relocate, the shortest time required for your
household to settle elsewhere.
(ii) A legally authorized official has issued
an evacuation or civil order for the
community in which the dwelling is located
calling for measures to preserve life and
property from the peril of flood. Payment
will be for the shortest time period covered
by the order.
(b) The time period for temporary housing
expense coverage is not limited by the
expiration of the policy term specified in I.D
but in any case will not exceed 24
consecutive months from the date of the
covered flood loss.
5. This coverage does not increase the
Coverage A, Coverage B, or Coverage C limits.
8. Add Appendix A(104) to Part 61 to
read as follows:
■
Appendix A(104) to Part 61
Basement Coverage Endorsement
The terms of the policy apply to this
basement coverage endorsement unless
modified by this endorsement.
What We Cover
Paragraph A.2 of Section III, What We
Cover, is replaced with the following:
2. Coverage for Basements. For additional
premium received, we insure up to the
selected Coverage A sublimit on the
declarations page against direct physical loss
by or from flood to the basement.
Paragraph C.3.a of Section III, What We
Cover, is replaced with the following:
a. Limitations on Property in a Basement
or in an Enclosure.
i. For additional premium received, we
insure up to the selected Coverage C sublimit
on the declarations page against direct
physical loss by or from flood to personal
property in a basement.
ii. In an enclosure, this policy will only
cover appliances installed in their
functioning locations and, if necessary for
operation, connected to a power source.
9. Add Appendix A(105) to Part 61 to
read as follows:
■
Appendix A(105) to Part 61
Builder’s Risk Endorsement
This NFIP policy is amended to provide
coverage for a building under construction as
set forth in this endorsement. The terms of
the policy apply to this builder’s risk
endorsement unless modified by this
endorsement.
Insuring Agreement
Paragraph D of Section I, Insuring
Agreement, is replaced with the following:
D. Policy term. This policy will expire at
the earlier of the following two dates:
1. The date your dwelling is completed and
occupied by you, this endorsement is deleted
by us, and the Homeowner Flood Form
becomes effective in its entirety; or
2. 12:01 a.m. on the last day of the policy
term stated on the declarations page.
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Federal Register / Vol. 89, No. 25 / Tuesday, February 6, 2024 / Proposed Rules
Definitions
This endorsement adds the following
definitions to Section II of the policy:
C. Additional Defined Terms.
1. Construction. Construction as used in
this endorsement means any new
development of land at the described
location resulting in a building or alteration
or repair of a building, including a dwelling
at the described location.
ddrumheller on DSK120RN23PROD with PROPOSALS2
What We Cover
Section III, What We Cover, is replaced in
its entirety with the following:
Section III: What We Cover
A. Coverage A—Dwelling
1. We insure up to the coverage limit on
the declarations page at the described
location against direct physical loss by or
from flood to:
a. The dwelling under construction at the
described location. If the dwelling is not yet
walled or roofed as described in the
definition of building, then coverage applies;
(1) Only while construction is in progress;
or
(2) If construction is halted only for a
period of 90 consecutive days thereafter.
b. Materials and supplies to be used for
construction of the dwelling or any other
building(s) scheduled under Coverage B at
the described location. The materials and
supplies must be stored in a building at the
time of loss.
2. Coverage for Basements and Enclosures.
a. Limited coverage. We only cover direct
physical loss by or from flood to the interior
of all basements and enclosures as follows:
(1) Machinery and equipment installed
and, if necessary for operation, connected to
a power source.
(2) Footings, foundations, posts, pilings,
piers, or other foundation walls and
anchorage systems required to support a
dwelling.
(3) Stairways and staircases directly
attached to the dwelling.
(4) Unfinished drywall and nonflammable
insulation.
3. Dwelling Limitations.
a. Limitations on mold and mildew. We
cover damage to the dwelling due to mold or
mildew caused by a flood only when it is not
within your control to inspect and maintain
the property after a flood recedes.
b. Limitations on power, heating, or
cooling failure. We cover damage caused by
a power, heating, or cooling failure that is the
result of direct physical loss by or from flood
to covered power, heating, or cooling
equipment at the described location.
c. Limitations on flood in the area. When
there is a flood in the area and the flood
causes:
(1) water or waterborne material to back up
through sewers or drains; to discharge or
overflow from a sump, sump pump, or
related equipment; or to seep or leak on or
through the dwelling; or
(2) losses to the dwelling by or from the
pressure or weight of standing or resting
water on or below the surface of the land.
d. Limitations on pollutants. We pay for
the testing or monitoring of pollutants after
a flood only when required by law or
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ordinance. ‘‘Pollutants’’ refers to any
substances that include, but are not limited
to, any solid, liquid, gaseous, or thermal
irritant or contaminant, including smoke,
vapor, soot, fumes, acids, alkalis, chemicals,
and waste. ‘‘Waste’’ includes, but is not
limited to, materials to be recycled,
reconditioned, or reclaimed.
4. This policy does not cover:
a. Loss of use of the described location
including any living expenses incurred while
the dwelling is inaccessible, being repaired,
or is uninhabitable for any reason;
b. Land and land values;
c. Lawns, trees, shrubs, plants, growing
crops, and landscaping;
d. Any open structures, including but not
limited to a building used as a boathouse,
when located entirely in, on, or over water.
e. Buildings constructed or substantially
improved after September 30, 1982, when (1)
they are located entirely in, on, or over water
or (2) if they are seaward of mean high tide;
f. Underground structures and equipment
that are not located within the dwelling, such
as wells, septic, sewer, plumbing supply,
waste lines, gas supply lines, electrical and
HVAC system components;
g. Those portions of walks, walkways,
decks, driveways, patios, and other surfaces,
all whether protected by a roof or not, located
outside the perimeter, exterior walls of the
insured building;
h. Containers and related equipment, such
as tanks containing gases or liquids;
i. Fences, retaining walls, seawalls,
bulkheads, wharves, piers, bridges, and
docks; and
j. Hot tubs and spas that are not bathroom
fixtures, and swimming pools, and their
equipment, such as heaters, filters, pumps,
and pipes, wherever located.
B. Coverage B—Other Buildings
1. We apply the terms of Coverage A to
other buildings at the described location
except as modified in III.B.2.
a. For this Coverage B to apply, the other
buildings must appear on the declarations
page.
b. Use of this coverage is at your option,
but reduces the dwelling coverage limit
provided under Coverage A. The maximum
available coverage limit for other buildings is
10% of Coverage A limits, regardless of how
many buildings are scheduled on the
declarations page.
2. We do not cover:
a. Anything already excluded under the
terms of Coverage A.
b. Basements or enclosures for any building
that is not the dwelling.
c. Any building used or held for use for
commercial purposes, such as agricultural
and business use.
d. Any building(s) at the described location
that is not owned by the insured, including
an entity, such as a homeowners association.
C. Coverage C—Personal Property
There is no personal property coverage
under this policy until your dwelling is
completed and occupied by you, this
endorsement is deleted by us, and the
Homeowner Flood Form becomes effective in
its entirety.
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D. Coverage D—Other Coverages
1. Debris Removal
a. Covered Debris.
(1) We will pay the labor and expense to
remove:
(a) debris from anywhere that comes onto
or into the insured dwelling or other insured
buildings at the described location; and
(b) debris of insured property anywhere.
(2) If you or a member of your household
perform the debris removal work, we will
pay you for the value of this work using the
federal minimum wage. This coverage does
not increase any coverage limit stated on the
declarations page.
b. Debris Not Covered. This policy does not
cover the cost to remove:
(1) debris from other locations on the land
surrounding the dwelling or other building(s)
at the described location, or
(2) any non-covered items of property from
the dwelling or building(s), even if the
removal facilitates covered cleanup or
repairs.
2. Loss Prevention
a. Materials and Labor
(1) We will pay up to the coverage sublimit
specified on the declarations page for the
expenses you incur to protect your insured
property from a flood or imminent danger of
flood. Such expenses are limited to the
following:
(a) Your reasonable expenses to buy
materials reasonably understood to be, or
commonly used as, temporary measures to
avoid or reduce the harm from an imminent
flood; including sandbags, fill for temporary
levees, and pumps; and
(b) The value of work, at the federal
minimum wage, that you or a member of
your household perform to protect your
property.
b. This coverage for materials and labor
only applies if damage to the insured
property by or from flood is imminent and
the threat of flood damage is apparent
enough to lead a reasonably prudent person
to anticipate flood damage. In addition, one
of the following must occur:
(1) A general and temporary condition of
flooding in the area near the described
location must occur, even if the flood does
not reach the building; or
(2) A legally authorized official has issued
an evacuation order or other civil order for
the community in which your insured
property is located calling for measures to
preserve life and property from the peril of
flood.
3. Property Removed to Safety. We will pay
up to the coverage sublimit specified on the
declarations page for the reasonable expenses
you incur to move insured property to a
secure location other than the described
location to protect it from flood or the
imminent danger of flood. Reasonable
expenses include the value of work, at the
federal minimum wage, performed by you or
a member of your household.
4. This coverage does not increase the
Coverage A, Coverage B, or Coverage C limits.
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Federal Register / Vol. 89, No. 25 / Tuesday, February 6, 2024 / Proposed Rules
Policy Conditions
The following subsection is added to
paragraph B of Section V, Policy Conditions:
3. Builders Risk. Notwithstanding V.B.1 or
V.B.2, any NFIP policy written with a
builder’s risk endorsement is eligible for only
one renewal.
General Conditions
The following subsection is added to the
beginning of paragraph F of Section VII,
General Conditions:
8327
A holder of a construction loan upon
which draws have been paid shall be
considered the ‘‘mortgagee.’’
Deanne B. Criswell,
Administrator, Federal Emergency
Management Agency.
[FR Doc. 2024–02204 Filed 2–5–24; 8:45 am]
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Agencies
[Federal Register Volume 89, Number 25 (Tuesday, February 6, 2024)]
[Proposed Rules]
[Pages 8282-8327]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-02204]
[[Page 8281]]
Vol. 89
Tuesday,
No. 25
February 6, 2024
Part II
Department of Homeland Security
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Federal Emergency Management Agency
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44 CFR Part 61
National Flood Insurance Program: Standard Flood Insurance Policy,
Homeowner Flood Form; Proposed Rule
Federal Register / Vol. 89 , No. 25 / Tuesday, February 6, 2024 /
Proposed Rules
[[Page 8282]]
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DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
44 CFR Part 61
[Docket ID FEMA-2024-0004]
RIN 1660-AB06
National Flood Insurance Program: Standard Flood Insurance
Policy, Homeowner Flood Form
AGENCY: Federal Emergency Management Agency, DHS.
ACTION: Notice of proposed rulemaking.
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SUMMARY: The National Flood Insurance Program (NFIP), established
pursuant to the National Flood Insurance Act of 1968, is a voluntary
program in which participating communities adopt and enforce a set of
minimum floodplain management requirements to reduce future flood
damages. Property owners within participating communities are eligible
to purchase NFIP flood insurance. This proposed rule would revise the
Standard Flood Insurance Policy by adding a new Homeowner Flood Form
and five accompanying endorsements. The new Homeowner Flood Form would
replace the Dwelling Form as a source of coverage for homeowners of
one-to-four family residences. Together, the new Homeowner Flood Form
and endorsements would more closely align with property and casualty
homeowners insurance and provide increased options and coverage in a
more user-friendly and comprehensible format.
DATES: Comments must be received on or before April 8, 2024.
ADDRESSES: You may submit comments, identified by Docket ID FEMA-2024-
0004, via the Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments.
FOR FURTHER INFORMATION CONTACT: Kelly Bronowicz, Product and Policy
Development Division Director, Federal Insurance Directorate,
Resilience, (202) 646-2559, [email protected].
SUPPLEMENTARY INFORMATION:
I. Public Participation
Interested persons are invited to participate in this rulemaking by
submitting comments and related materials. We will consider all
comments and material received during the comment period.
If you submit a comment, include the Docket ID FEMA-2024-0004,
indicate the specific section of this document to which each comment
applies, and give the reason for each comment. All submissions may be
posted, without change, to the Federal e-Rulemaking Portal at https://www.regulations.gov, and will include any personal information you
provide. Therefore, submitting this information makes it public. For
more information about privacy and the docket, visit https://www.regulations.gov/document?D=DHS-2018-0029-0001.
Viewing comments and documents: For access to the docket to read
background documents or comments received, go to the Federal e-
Rulemaking Portal at https://www.regulations.gov.
II. Executive Summary
The United States is experiencing increased flooding and flood risk
from climate change.\1\ In a recent study, researchers found that
changes in precipitation contributed to one-third of the flooding
financial costs in the United States over the past three decades,
totaling almost $75 billion of the estimated $199 billion in flood
damages from 1988 to 2017.\2\ Intensifying precipitation associated
with climate change, and the associated increases in precipitation
extremes and flooding, thus presents a significant financial risk to
homeowners.\3\
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\1\ Climate change means that flood events are on the rise.
Climate change is increasing flood risk through (1) more ``extreme''
rainfall events, caused by a warmer atmosphere holding more water
vapor and changes in regional precipitation patterns; and (2) sea-
level rise. See Rob Bailey, Claudio Saffioti, and Sumer Drall, Sunk
Costs: The Socioeconomic Impacts of Flooding 3 and 8, MarshMcLennan
(2021), found at https://www.marshmclennan.com/content/dam/mmc-web/insights/publications/2021/june/Sunk-Cost_Socioeconomic-impacts-of-flooding_vF.pdf (last accessed Aug. 28, 2023).
\2\ Frances V. Davenport, Marshall Burke, and Noah S.
Diffenbaugh, Contribution of historical precipitation change to US
flood damages, Proceedings of the National Academy of Sciences of
the United States of America, Jan. 2021, 118 (4) e2017524118; DOI:
10.1073/pnas.2017524118, found at https://www.pnas.org/content/118/4/e2017524118 (last accessed Aug. 28, 2023).
\3\ See also Don Jergler, ``Climate Change Could Push Flood
Losses in U.S. to $40B by 2050,'' Insurance Journal (Feb. 17, 2022),
found at https://www.insurancejournal.com/news/national/2022/02/17/654831.htm (last accessed Aug. 28, 2023) (noting annual flood losses
forecasted to increase by 26.4% from $32B to $40.6B).
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There are four main ways to manage any risk: (1) acceptance; (2)
avoidance; (3) mitigation; and (4) transference. Flood risk is a
reality. No home is completely safe from potential flooding. Just one
inch of flood water in a home can cost more than $25,000 in damage.\4\
Homeowners must accept that the risk of flooding is increasing and with
it, the potential for damage to their property. Homeowners can seek to
reduce risk by building or purchasing homes away from natural flood
hazards and can seek to mitigate risk by building or modifying homes to
reduce potential damage from flooding. Homeowners can also transfer the
risk by purchasing flood insurance.\5\
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\4\ See https://www.floodsmart.gov/flood-insurance/why (last
accessed Aug. 28, 2023).
\5\ Flood insurance is one risk management tool. ``Governments
tend to spend significantly more on disaster response than disaster
prevention.'' Rob Bailey, Claudio Saffioti & Sumer Drall, Sunk
Costs: The Socioeconomic Impacts of Flooding 9, MarshMcLennan
(2021), found at https://www.marshmclennan.com/content/dam/mmc-web/insights/publications/2021/june/Sunk-Cost_Socioeconomic-impacts-of-flooding_vF.pdf (last accessed Aug. 28, 2023).
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Congress created the National Flood Insurance Program (NFIP) in
1968 to help share the risk of flood losses through an insurance
program to provide flood insurance coverage to those who need such
protection.\6\ In the context of risk, the NFIP helps communities avoid
and mitigate flood risk through adoption of floodplain management
ordinances and helps policyholders transfer flood risk to the Federal
Government.
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\6\ See 42 U.S.C. 4001(a).
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Over the past five decades, the NFIP has been implemented primarily
by FEMA (the ``Agency'') to provide insurance to reduce the economic
impact of floods.\7\ The Agency seeks to update the current Standard
Flood Insurance Policy (SFIP) Dwelling Form to better serve a growing
percentage of the public looking for ways to manage their risk through
insurance, as they are now threatened by the increased risk of
flooding. Most homeowners do not have flood insurance. Some homeowners
are required to purchase flood insurance as a condition of any federal
financial assistance for acquisition or construction of buildings in
the special flood hazard area (SFHA) (e.g., mortgages, flood disaster
grants) or as a condition of a loan secured by property in the SFHA
while some homeowners choose to purchase it of their own volition. The
decision to purchase flood insurance is frequently driven by whether
they are subject to the mandatory purchase requirement rather than the
actual flood risk to the property. Homeowners generally find it
difficult to understand low probability/high impact risks such as flood
damage to their property.\8\ If purchasing flood
[[Page 8283]]
insurance is not mandatory, then homeowners may not be convinced that
they should purchase it. Given the cost of customer acquisition is
high, private insurance companies generally are not focused on
homeowners that are not required to purchase flood insurance.\9\
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\7\ From 1968 to 1979, the Department of Housing and Urban
Development housed the Federal Insurance Administration, which
administered the NFIP until its transfer to FEMA in Executive Order
12127, 44 FR 19367, 3 CFR, 1979 Comp., p. 376.
\8\ See Peter John Robinson, W.J. Wouter Botzen, Howard
Kunreuther, Shereen J. Chaudhry, Default Options and Insurance
Demand, Journal of Economic Behavior and Organization at 2 (2020),
found at https://www.sciencedirect.com/science/article/pii/S0167268120304765 (last accessed Aug. 28, 2023). See also Rachel
Cleetus Overwhelming Risk: Rethinking Flood Insurance in a World of
Rising Seas, found at https://www.ucsusa.org/sites/default/files/2019-09/Overwhelming-Risk-Full-Report.pdf (last accessed Aug. 28,
2023) at 9: ``In the wake of Sandy, it was estimated that only 15 to
25 percent of at-risk properties in Special Flood Hazard Areas
(SFHAs) in the Northeast were insured for flood losses. Many coastal
property owners do not carry adequate insurance or are simply not
insured at all. It is estimated that, nationally, only 18 percent of
households in flood zone areas, which include inland (lakeside and
riverside) and coastal areas, have flood insurance.''
\9\ See Rob Bailey, Claudio Saffioti & Sumer Drall, Sunk Costs:
The Socioeconomic Impacts of Flooding 24, MarshMcLennan (2021),
found at https://www.marshmclennan.com/content/dam/mmc-web/insights/publications/2021/june/Sunk-Cost_Socioeconomic-impacts-of-flooding_vF.pdf (last viewed accessed May 2, 2022Aug. 28, 2023). See
also Noelwah R. Netusil, Carolyn Kousky, Shulav Neupane, Will Daniel
& Howard Kunreuther, The Willingness to Pay for Flood Insurance at
33. ``Among those who can afford a policy, they may not feel it
provides value--that it is not `worth it'--if they fail to
understand the role of insurance in their recovery, have challenges
in assessing low probability events, or the policy terms do not meet
their need,'' found at https://le.uwpress.org/content/wple/97/1/17.full.pdf (last accessed Aug. 28, 2023). See also Tom Hammond
Lowering Costs of Customer Acquisition found at https://www.insurancethoughtleadership.com/customer-experience/lowering-costs-customer-acquisition (last accessed Aug. 28, 2023); Becky
Yerak Direct insurers paying less to attract customers, found at
https://www.chicagotribune.com/business/ct-customer-acquisition-costs-0515-biz-20150515-story.html (last accessed Aug. 28, 2023);
How to Lower Customer Acquisition Cost in the Insurance Industry
found at https://www.amsive.com/2021/09/14/how-to-lower-customer-acquisition-cost-in-the-insurance-industry-amsive/ (last accessed
Aug. 28, 2023); and Insurtechs Need to Ace Customer Acquisition Cost
(CAC) Optimization found at https://rintupatnaik.medium.com/insurtechs-need-to-ace-customer-acquisition-cost-cac-optimization-b695bc45bf7b (last accessed Aug. 28, 2023).
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FEMA has not substantively updated its flood insurance products--
the Dwelling Form, the General Property Form, and the Residential
Condominium Building Association Policy (RCBAP)--since 2000. While
these products have performed ably over two decades of service, they
are overdue for revision. Consistent with the National Flood Insurance
Act (NFIA) of 1968, FEMA must provide by regulation the general terms
and conditions of insurability for properties eligible for flood
insurance coverage. 42 U.S.C. 4013(a). Further, Executive Order 13563,
``Improving Regulation and Regulatory Review,'' requires agencies to
complete retrospective analyses of existing rules and periodically
review existing significant regulations to determine whether they
should be modified, streamlined, expanded, or repealed to better
achieve the Agency's regulatory objective. 76 FR 3821 (Jan. 21, 2011).
FEMA seeks to make these revisions consistent with the requirements
under the NFIA and Executive Order 13563. The proposed new Homeowner
Flood Form would update the general terms and conditions of
insurability under the NFIP while also modifying the existing
regulations and policy to make the program more effective and less
burdensome for homeowner policyholders as explained below.
Additionally, consistent with Executive Order 14058, ``Transforming
Federal Customer Experience and Service Delivery to Rebuild Trust in
Government,'' \10\ FEMA seeks to improve the homeowner policyholder
experience with the NFIP through the proposed Homeowner Flood Form, by
simplifying coverage terms, reducing complexity, and resolving key
challenges faced by homeowner policyholders.
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\10\ 86 FR 71357 (Dec. 16, 2021).
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The proposed new Homeowner Flood Form provides a more personalized,
customizable product than the NFIP has ever offered during its more
than 50 years in existence. Currently, the Dwelling Form serves
homeowners, renters, landlords, mobile homeowners, and condo unit
owners all in a single policy. The Dwelling Form also includes
different coverage terms for certain buildings constructed, or
substantially damaged or improved, on or after the effective date of
the community's initial Flood Insurance Rate Map (generally referred to
as ``post-FIRM buildings'') in an attempt to capture all possibilities.
The current structure results in confusion for the homeowner
policyholders looking for the specific coverage that applies directly
to their situation, and imposes a series of choices onto consumers
without offering an ability to change them.
The proposed new Homeowner Flood Form offers more choices to
policyholders who own their own homes,\11\ which help inform
policyholders and prospective policyholders of increased risk of
flooding and flood damage, and how best to cover their property as a
result. The proposed new Homeowner Flood Form offers enhanced
comprehensive default coverages. For example, while much of the default
coverage proposed would mirror existing default coverage in the
Dwelling Form, FEMA is proposing to shift the default loss settlement
from actual cash value to replacement cost value to help policyholders
more effectively and more fully recover from loss. These decisions FEMA
made in setting coverage defaults (1) nudge homeowner policyholders
toward the more appropriate coverage to insure against their risk, and
(2) represent FEMA's strategic objective of positioning individuals to
understand their risk and take well-informed actions.\12\ This
rulemaking also proposes new endorsements for additional coverages that
homeowner policyholders may want in order to recover from flood events.
A homeowner policyholder may want to expand their coverage and
therefore increase their policy's flood risk exposure (i.e., purchase
the basement coverage endorsement) even if it means they will pay more
for the additional coverage, or they may wish to reduce their premium
(i.e., purchase the actual cash value endorsement) even if it means
they stand to receive a smaller benefit post-loss. Until now, homeowner
policyholders have been unable to make any personalized selections.
FEMA is introducing choices consumers can make in several ways, through
the use of endorsements that modify coverage. These choices will help
homeowner policyholders learn about their coverages prior to loss.
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\11\ The proposed Homeowner Flood Form would be offered to
individuals owning a one-to-four family residential building. FEMA
will evaluate any changes needed to forms for other types of
policyholders (e.g., other residential and commercial) based on
public comment associated with this rulemaking.
\12\ FEMA, 2022-2026 FEMA Strategic Plan, found at https://www.fema.gov/about/strategic-plan (last accessed Aug. 28, 2023).
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The proposed new Homeowner Flood Form does not presuppose that
homeowner policyholders are knowledgeable about floodplain management
and flood risk. By changing coverage based on pre- or post-FIRM status,
and by having certain terms only apply to certain zones, the Dwelling
Form presupposes a level of homeowner policyholder floodplain
management and flood risk knowledge. Unlike in the Dwelling Form, FEMA
is not proposing to change coverage if the building covered is not a
primary or principal residence, or if it is pre- or post-FIRM, or for
any other reason. Ultimately, flood insurance coverage under the
proposed new Homeowner Flood Form is there to help the homeowner
policyholder recover. The premiums tied to the coverage choices
homeowner policyholders make would
[[Page 8284]]
signal the underlying risk and prompt mitigation efforts.
The proposed new Homeowner Flood Form adds directly into the policy
terms flexibilities the Agency has had to implement via bulletin or
other means, such as special procedures during catastrophic flood
events and advance payments. These changes would help homeowner
policyholders better understand the options available to them and learn
about special procedures under the policy up front, rather than making
them wait to find out via a bulletin after a flood event.
The proposed new Homeowner Flood Form also allows for a single
deductible rather than multiple deductibles, reducing unnecessary
administrative burdens for the homeowner policyholder. Additionally,
the proposed new Homeowner Flood Form would provide FEMA with greater
flexibility in implementing the flood insurance program. The proposed
new Homeowner Flood Form removes unnecessary provisions of the current
Dwelling Form policy, reducing the reliance on lists and pushing
certain provisions to the declarations page for clarity. The insurance
industry recognizes that many policyholders will not read their
insurance policy \13\ and has endeavored to put critical information
onto the declarations page to increase policyholder understanding of
what is and is not covered. In the context of the NFIP, policyholders
with basements continue to be surprised that under the current Dwelling
Form, the policy provides limited coverage in a basement. Under the
proposed new Homeowner Flood Form, the declarations page would include
language along the lines that ``This property includes a basement. The
Homeowner Flood Form provides limited coverage in a basement.'' This
upfront tailoring of the policy to suit the homeowner policyholder's
choices and the placement of critical information on the declarations
page would reduce the administrative sludge a homeowner policyholder
faces during the claims process. Homeowner policyholders would better
understand the coverages they have selected, information would be
easily accessible on their declarations page, and their claims should
reflect a better understanding of their coverages. This better
understanding of their coverages should result in fewer denials, faster
claims payments, and an improved customer experience during a difficult
time.
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\13\ See Louise Castoria, ``Is there a duty to read insurance
contracts?'' available at https://www.propertycasualty360.com/2019/11/07/is-there-a-duty-to-read-insurance-contracts/ (last accessed on
Aug. 28, 2023).
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By making these changes and updating coverage, FEMA seeks to
address the increased risk of flooding from climate change in several
ways. These ways include (1) re-baselining the market, (2) introducing
optionality, (3) creating market buzz, (4) creating the opportunity to
build back in more resilient ways to reduce future flood risk post-
loss, and (5) revamping increased cost of compliance coverage. First,
the proposed rule would reset the market. Currently the existing and
small private market for flood insurance sets the Dwelling Form as a
baseline level of coverage. By revising the coverage in the proposed
Homeowner Form, FEMA would drive the market in the right direction to
ensure that homeowner policyholders are able to effectively transfer
their flood risk. By increasing coverage, people are able to recover
faster so that the last flood does not leave them more vulnerable to
the next flood.\14\
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\14\ See Rob Bailey, Claudio Saffioti & Sumer Drall, Sunk Costs:
The Socioeconomic Impacts of Flooding 3, MarshMcLennan (2021), found
at https://www.marshmclennan.com/content/dam/mmc-web/insights/publications/2021/june/Sunk-Cost_Socioeconomic-impacts-of-flooding_vF.pdf (last accessed Aug. 28, 2023).
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Second, FEMA has utilized the ``one size fits all'' coverage for
policyholders for 50 years. The proposed Homeowner Form seeks to
address specific needs of specific homeowner policyholders through the
choices being made available. FEMA proposes to increase optionality and
require homeowners to assess their own risks, communicating those risks
through coverage options and the costs associated with them.
Third, FEMA also anticipates that the changes in the proposed
Homeowner Form would generate more interest in flood insurance as the
last update occurred over 20 years ago. This interest could include
insurance agents, for whom it will be easier to learn about flood
insurance coverage. The proposed Homeowner Form would make flood
insurance align more with other insurance products and thus more
accessible to agents, who may then seek to sell more flood insurance as
they better see the value of coverage for their clients.
Fourth, FEMA proposes to create the opportunity to build more
resiliently by introducing provisions in its loss settlement clause
that would enable homeowner policyholders to replace their damaged
building elements with flood damage resistant materials. In addition,
these same provisions would enable homeowner policyholders to elevate
flood damaged machinery and equipment to reduce the likelihood of
future flood damage.
Finally, FEMA proposes to revamp its increased cost of compliance
(ICC) provision. Previously, ICC appeared in the Dwelling Form as
Coverage D, and its inclusion there was incongruous with the other
coverages because it set out an eligibility framework and specifically
listed out all the covered and uncovered compliance activities. FEMA
proposes to simplify ICC so homeowner policyholders can better
understand their ICC coverage, adjusters can more easily advise
homeowner policyholders to consult their local floodplain management
requirements, and local floodplain managers have appropriate
discretion.
What follows below is an overview of the major changes in each
section in the proposed Homeowner Flood Form as well as an analysis of
the degree of change compared to the Dwelling Form. A detailed
description of the changes is found later in this preamble.
Section I: Insuring Agreement. This section proposes a low level of
change from the current Dwelling Form. It would simplify the language
and organization of the global aspects of the Form, and replace
references to Federal laws (e.g., the Coastal Barrier Resources Act and
section 1316 of the NFIA) with a broader statement about conflicts with
Federal law.
Section II: Definitions. This section proposes a moderate to high
level of change from the current Dwelling Form. It would eliminate
definitions for words only used once within the policy that are
currently defined in the Dwelling Form; refine definitions for
simplicity and clarity; make substantive changes to the definitions for
``Basement,'' ``Building,'' and ``Flood''; and add definitions for new
concepts such as ``Flood Damage Resistant Materials'' and ``Replacement
Cost Value.''
Section III: What We Cover. This section proposes a moderate to
high level of change from the current Dwelling Form. It would combine
sections III and IV from the Dwelling Form to present in one place all
aspects of coverage (i.e., what is covered, what receives limited
coverage, and what is not covered). It would also incorporate plain
language, remove lists, and rephrase coverage currently phrased in the
negative. In contrast to the Dwelling Form that offers different
coverage based on flood zone and pre- or post-FIRM designation, the
proposed Homeowner's Form provides uniform coverage. In addition:
Coverage A. It would allow homeowner policyholders to more
[[Page 8285]]
easily determine the existence of a basement for coverage purposes as
further explained below.
Coverage B. Similar to homeowners insurance coverage,
Coverage B would provide coverage to restore certain other, non-
dwelling buildings to a functional level. The amount of coverage would
be a sublimit of the amount selected for Coverage A, without requiring
a separate insurance policy.
Coverage C. Due to the recharacterization of Coverage B
for other buildings, and to align with homeowners coverage, Coverage C
would address contents coverage and would expand personal property
coverage to contents located anywhere in the United States. It would
also clarify that coverage for items stored in digital format (like
cryptocurrency) is excluded given challenges with proving loss.
Section IV: Exclusions. This section proposes a low to moderate
level of change from the current Dwelling Form. It would limit items
excluded from coverage in this section to those items excluded based on
cause of the loss consistent with industry practice. It would address
earth movement, pollutants, increase in hazard, and other excluded
losses under the general heading of ``Excluded Losses,'' consistent
with other lines of property coverage. It would keep ``Flood in
Progress'' as a separate provision, and explicitly exclude coverage for
pre-existing damage in a standalone provision.
Section V: Policy Conditions. This section proposes a moderate to
high level of change from the current Dwelling Form. It would separate
out the provisions from section VII of the current Dwelling Form that
specifically apply to how the policy is administered, the policyholder-
facing underwriting aspects of the policy. It would state in simple,
plain language the reasons a homeowner policyholder may cancel the
policy in accordance with current regulation.\15\ It would give FEMA
discretion to extend the deadline to submit proof of loss to 365 days
from the date of loss, and the deadline for policy renewal to 60 days
from the policy's expiration date (referred to as a ``grace period''),
following a presidentially-declared flood disaster in accordance with
the Robert T. Stafford Disaster Relief and Emergency Assistance Act.
FEMA has established a business practice of issuing proof of loss
extensions for claims following a major flood event and grace period
extensions for flood insurance renewals. The proposed Homeowner Flood
Form would normalize this course of business and make the provision
discretionary, not mandatory, so that these flexibilities not found in
the current Dwelling Form can be leveraged where appropriate. It would
also allow insurers to accept and make payment on the adjuster's
reports and allow FEMA to issue special terms for advance payments not
currently provided in the Dwelling Form.
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\15\ See 44 CFR 62.5.
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Section VI: Procedures and Duties When A Loss Occurs. This section
proposes a moderate to high level of change from the current Dwelling
Form. The current Dwelling Form includes various provisions under its
section VII (General Conditions) and the proposed Homeowner Flood Form
would separate out the provisions that specifically apply to how losses
are proven and paid for the homeowner policyholder in this section
(i.e., claims issues). It would simplify the options after a loss and
extend the proof of loss deadline from the current Dwelling Form
deadline of 60 days to 90 days. It would allow insurers to issue a de
minimis advance payment to insureds up to five percent of the Coverage
A limit of liability (without requiring the mortgage company to be on
the check). The proposed Homeowner Flood Form would fold the deductible
section from the Dwelling Form into a larger section and introduce
language that presents the deductible as a single deductible rather
than separate deductibles. It would also simplify loss settlement by
removing distinctions between principal and primary residences, using
replacement cost value as the default rather than the current Dwelling
Form's actual cash value default, and removing all special situations
where only actual cash value applies.
Section VII: General Conditions. This section proposes a low to
moderate level of change from the current Dwelling Form. It would
reorganize the sections alphabetically and simplify language, add
language to capture the ability to have other insurance from a private
flood carrier not in the current Dwelling Form, and add sections on
``Death,'' ``Headings and Captions,'' and ``Your Options After Our
Denial.'' FEMA is proposing to add a section on death to address
situations where there are questions regarding the household residents,
and to help alleviate the challenges associated with claims involving a
deceased homeowner policyholder for their survivors. Under the Dwelling
Form, FEMA observed instances where the family of deceased
policyholders would have their claims denied by insurers participating
in the NFIP, on grounds that the SFIP prohibits assignment of claims.
FEMA is therefore proposing to add a section on death to address and
alleviate the challenges associated with claims involving a deceased
homeowner policyholder for their survivors. FEMA proposes the ``Your
Options After Our Denial'' section to present in one location the
homeowner policyholder's options after denial. This proposed section
would reaffirm to homeowner policyholders that there are additional
administrative options to work with the insurer to reach a resolution
to a claim, but also incorporate requirements from the Bunning-
Bereuter-Blumenauer Flood Insurance Reform Act of 2004 \16\ explaining
the appeals process not currently found in the Dwelling Form.
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\16\ Public Law 108-264 (June 30, 2004).
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III. Background
Congress created the National Flood Insurance Program (NFIP)
through enactment of the National Flood Insurance Act of 1968 (NFIA)
(Title XIII of Pub. L. 90-448, 82 Stat. 572), found at 42 U.S.C. 4001
et seq. The NFIP is a voluntary Federal program enabling property
owners in participating communities to purchase flood insurance as a
protection against flood losses. In exchange, participating communities
must enact floodplain management regulations that incorporate the NFIP
minimum floodplain management criteria. The minimum floodplain
management criteria are designed to: (1) constrict the development of
land which is exposed to flood damage where appropriate; (2) guide the
development of proposed construction away from locations which are
threatened by flood hazards; (3) assist in reducing damage caused by
floods; and (4) otherwise improve the long-range land management and
use of flood-prone areas. 42 U.S.C. 4102(c). These NFIP requirements
apply to areas known as special flood hazard areas (SFHA) in
participating communities.
FEMA administers the NFIP so that the provision of insurance and
adoption of minimum floodplain management criteria are mutually
reinforcing. NFIP flood insurance indemnifies property owners from
flood losses, reducing the need for Federal disaster assistance. And
NFIP floodplain management requirements reduce future flood damages,
thus further reducing the need for Federal disaster assistance.
In addition to providing flood insurance and reducing flood damages
through floodplain management, the NFIP identifies and maps the
Nation's floodplains. FEMA disseminates maps
[[Page 8286]]
depicting flood hazard information to create broad-based awareness of
flood hazards and to identify the areas where the minimum floodplain
management requirements apply.
Section 102 of the Flood Disaster Protection Act of 1973 (42 U.S.C.
4012a) makes flood insurance mandatory for all federally-backed
mortgages of properties located in special flood hazard areas. This is
commonly referred to as the ``mandatory purchase requirement.''
Additionally, Federal agencies are prohibited from providing loans and
grants to any property located in a special flood hazard area unless
the property is covered by flood insurance. See 42 U.S.C. 4012a(a).
In general, the NFIP charges premium rates sufficient to cover the
expected claims payouts and operating expenses. Such premium rates are
commonly referred to as risk-based or actuarial rates. See 42 U.S.C.
4014(a)(1), 4015(b). In general, FEMA offers only actuarial rates to
all buildings constructed, or substantially damaged or improved, on or
after the effective date of the community's initial Flood Insurance
Rate Map (FIRM), generally referred to as ``post-FIRM buildings.'' See
42 U.S.C. 4015(c)(1). However, the NFIA makes available discounted
rates for certain classes of properties. The most common discount is
for certain policies covering buildings built or substantially improved
prior to the community's adoption of its initial FIRM, generally
referred to as ``pre-FIRM buildings.'' See 42 U.S.C. 4014(a)(2), 42
U.S.C. 4015(a).
FEMA must also provide discounted rates for properties newly mapped
into a SFHA for the first time. See 42 U.S.C. 4015(i). FEMA gradually
phases out these discounts within the premium increase caps set by
statute. For the ``first policy year,'' FEMA must provide homeowner
policyholders of newly mapped-in properties the newly mapped discount
and increase the premium ``in accordance with'' the Act's annual
limitation of premium increases until the premium reaches its full-risk
rate. Id.; see also 42 U.S.C. 4014(a)(1) (full-risk rates); 42 U.S.C.
4015(e) (annual limitation).
The NFIA limits annual premium increases to not more than 18
percent for any property, with limited exceptions. 42 U.S.C.
4015(e)(1). However, this premium increase cap does not apply (1) to
certain pre-FIRM properties for which the NFIA mandates FEMA to
increase premiums by 25 percent a year until they reach full-risk
rates; (2) to properties within a community which has experienced a
downgrade in the NFIP's community rating system; \17\ (3) where the
homeowner policyholder has changed the amount of coverage or deductible
amounts; and (4) where the property was misrated.18 19
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\17\ The Community Rating System (CRS) is a voluntary program
for communities participating in the NFIP. The CRS offers NFIP
policy premium discounts in communities that develop and execute
extra measures beyond minimum floodplain management requirements to
provide protection from flooding. See 42 U.S.C. 4022(b).
\18\ A misrated policy occurs when a policy premium is incorrect
because one or more rating characteristics are incorrect. Rating
characteristics used to determine premium include items such as:
loss history, building occupancy, building use, and primary
residency status, among others. For more information, see https://www.fema.gov/sites/default/files/documents/fema_nfip-flood-insurance-manual-sections-1-6_oct2021.pdf (last accessd Aug. 28,
2023).
\19\ There are other exceptions, which are seldom triggered, for
properties where the policy has lapsed (42 U.S.C. 4014(g)(1)) and
where the owner has refused mitigation assistance (42 U.S.C.
4014(g)(2)).
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The NFIA requires FEMA to provide by regulation the ``general terms
and conditions of insurability . . . applicable to properties eligible
for flood insurance coverage.'' 42 U.S.C. 4013(a). To comply with this
requirement, FEMA adopts the Standard Flood Insurance Policy (SFIP) in
regulation, which sets out the terms and conditions of insurance. See
44 CFR part 61, Appendix A. FEMA must use the SFIP for all flood
insurance policies sold through the NFIP. See 44 CFR 61.13.
The SFIP is a single-peril (flood) policy that pays for direct
physical damage to insured property. There are three forms of the SFIP:
the Dwelling Form, the General Property Form, and the Residential
Condominium Building Association Policy (RCBAP) Form. The Dwelling Form
insures a one-to-four family residential building or a single-family
dwelling unit in a condominium building. See 44 CFR part 61, Appendix
A(1). Policies under the Dwelling Form offer coverage for building
property, up to $250,000, and personal property up to $100,000.\20\ The
General Property Form insures a five-or-more family residential
building or a non-residential building. See 44 CFR part 61, Appendix
A(2). The General Property Form offers coverage for building and
contents up to $500,000 each.\21\ The RCBAP Form insures residential
condominium association buildings and offers building coverage up to
$250,000 multiplied by the number of units and contents coverage up to
$100,000 per building. See 44 CFR part 61, Appendix A(3). RCBAP
contents coverage insures property owned by the insured condominium
association. Individual unit owners must purchase their own Dwelling
Form policy in order to insure their own contents.
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\20\ See 42 U.S.C. 4013(b).
\21\ Id.
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In addition to coverage for building or contents losses, most NFIP
policies also include Increased Cost of Compliance (ICC) coverage.\22\
ICC coverage applies when flood damages are so severe that the local
government declares the building ``substantially damaged,'' thus
requiring the building owner to bring the building up to current
community standards. If a community has a repetitive loss ordinance,
ICC coverage will also cover compliance requirements for a repetitive
loss structure. ICC coverage provides up to $30,000 of the cost to
elevate, demolish, floodproof, or relocate an insured building or any
combination thereof.
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\22\ ICC is authorized in 42 U.S.C. 4011(b).
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IV. Discussion of the Proposed Rule
FEMA last substantively revised the SFIP in 2000. See 65 FR 60758
(Oct. 12, 2000).\23\ In 2020, FEMA published a final rule that made
non-substantive clarifying and plain language improvements to the SFIP.
See 85 FR 43946 (July 20, 2020). However, many policyholders, agents,
and adjusters continue to find the SFIP difficult to read and interpret
compared to other, more modern, property and casualty insurance
products found in the private market.\24\ To achieve Objective 2.2 of
FEMA's 2022-2026 Strategic Plan of building a climate resilient nation
(i.e.,
[[Page 8287]]
increasing the number of properties with flood insurance and ensuring
adequate insurance coverage),\25\ FEMA consulted with property and
casualty experts over time \26\ and received valuable suggestions on
ways to align the SFIP's design with industry standards and practices
and improve its readability. Accordingly, FEMA incorporated these
suggestions into a new form of the SFIP, the Homeowner Flood Form, as
well as several accompanying endorsements to that form.\27\ FEMA now
proposes to adopt this new Homeowner Flood Form and its endorsements.
FEMA intends that this new Homeowner Flood Form will be more user-
friendly and comprehensible and, as a result, will make it easier for
agents to sell flood insurance and close the insurance gap.
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\23\ FEMA adopted another substantive change in 2003 when it
increased the limits for ICC coverage from $20,000 to $30,000. See
68 FR 9895 (Mar. 3, 2003).
\24\ See, e.g., The Institutes' Handbook of Insurance Policies,
American Institute for Chartered Property Casualty Underwriters,
12th ed. (2018) (containing copies of modern property casualty
forms). The Insurance Services Office (ISO)'s template homeowners
form (``HO-3'' form) appears on page 5 and demonstrates the
simplicity of this policy compared to the SFIP. The NFIP receives a
high volume of inquiries on the SFIP, further demonstrating the
challenges in reading and interpreting the SFIP. Policy inquiries
generally make up 43 percent of the total inquiries received by
FEMA's ``Ask the Experts'' tracking system between 2019 and May
2021. See also Barlow, Christine G., Personal Flood Insurance
Coverage Guide (2018) at 51: ``The historic flooding from hurricanes
in 2017 has only continued to highlight the issues with the current
NFIP program and its ability to provide coverage for the claims that
continue to occur. Because of this . . . ISO has developed a
personal flood program to provide the industry with standalone
private flood forms.'' The Chapter (Chapter 4) goes on to compare
the coverage to standard homeowner coverage and reference existing
endorsements that agents can use with their flood form. See also id.
at chapter 6 (p. 85): ``Because [the private flood form] was
developed by ISO it bears similarities to the ISO Homeowners Policy,
making it easier to dovetail coverages so that the insured has no
gaps in coverage. Because of this, many sections of the flood policy
are identical or very similar to the homeowners policy.''
\25\ FEMA. 2022-2026 FEMA Strategic Plan. https://www.fema.gov/sites/default/files/documents/fema_2022-2026-strategic-plan.pdf.
\26\ FEMA conducted interviews with flood insurance
professionals in its loaned executive officer program in spring of
2017. FEMA procured insurance product expertise from Milliman,
Stanley Parsons, and Hinshaw between 2017-2019. FEMA engaged with
and sought feedback from ten Write Your Own companies in the summer
of 2019.
\27\ An endorsement is a written document attached to an
insurance policy that modifies the policy by changing the coverage
provided by the policy. Also known as a ``rider,'' ``addendum,'' or
``attachment,'' an endorsement can add coverage for acts or things
not covered by the original policy, limit or subtract coverage, add
or remove exclusions or conditions, or otherwise modify the policy.
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FEMA is committed to building a culture of preparedness, and such a
culture necessarily includes individuals, communities, and businesses
managing risks through proper insurance coverage. One of FEMA's roles
is to help people understand their risk and the available options to
best manage those risks. Flood insurance is an effective tool to
transfer risk and enable rapid recovery. The proposed Homeowner Flood
form would help build this culture by better advising homeowners of
their flood risks and options to manage those risks.
Flooding can be an emotionally and financially devastating event.
Experience has shown repeatedly that individuals, communities, and
businesses who manage risk through insurance accelerate their financial
recovery after a disaster.\28\ If an individual does not have adequate
savings to repair or replace their property, flood insurance will help
fill that gap when a flood occurs. Flood insurance allows homeowners to
recover quicker by providing the funds needed to repair or replace
property after a disaster. The proposed Homeowner Flood Form would
provide homeowners with options to more quickly receive funds to help
accelerate their financial recovery.
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\28\ In 2017, a costly year due to Hurricanes Harvey, Irma, and
Maria, the NFIP paid an average claim amount of more than $90,000,
while the average disaster assistance grant was just $9,000. See
FEMA Fact Sheet on Flood Insurance: A Small Price to Pay for Peace
of Mind at: https://agents.floodsmart.gov/sites/default/files/flood-insurance-small-price-pay-peace-mind_fact-sheet_jun20.pdf (last
accessed Aug. 28, 2023).
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With flood insurance, individuals are able to financially recover
faster. While grants provided under the Robert T. Stafford Disaster
Relief and Emergency Assistance Act (``Stafford Act'') \29\ may support
survivors in the immediate aftermath of a presidentially-declared
disaster, this Federal support is only intended to meet basic needs as
a survivor moves forward with recovery. Federal disaster assistance
typically comes in two forms to individuals: a loan, which must be paid
back with interest, or a FEMA disaster grant, which averages
approximately $5,000 per household.\30\ A disaster grant is not
intended to make survivors whole and is not a substitute for insurance.
The average flood insurance claim in 2019 was more than $50,000.\31\
Maintaining flood insurance is therefore critical to rebuilding a home
and replacing belongings following a flood.
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\29\ Public Law 93-288; 42 U.S.C. 5121 et seq.
\30\ See https://www.floodsmart.gov/flood-insurance/requirements
(last accessed Aug. 28, 2023).
\31\ Id. See also https://www.fema.gov/data-visualization/historical-flood-risk-and-costs (last accessed Aug. 28, 2023).
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Moreover, when a flood results in a presidentially-declared
disaster, flood insurance not only benefits those directly affected by
a flood, it also reduces the need for Federal disaster assistance and
lowers costs for taxpayers. Because one of FEMA's goals is to close the
Nation's insurance gap, and because homeowners make up the majority of
NFIP policyholders, FEMA is working to encourage homeowners to better
understand their risk and purchase adequate insurance coverage to
reduce their losses from flood.\32\ FEMA is proposing this new Form for
that purpose.
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\32\ Although the NFIP does not maintain data on the ownership
status of policyholders, FEMA estimates that a majority of
policyholders are homeowners. This estimation stems from certain
assumptions based on NFIP eligibility rules and coverage type (for
instance, a policyholder with building coverage must own the
building, and a policyholder with contents coverage only is likely a
renter).
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The new Homeowner Flood Form, which FEMA proposes to add to its
regulations at 44 CFR 61 Appendix A(4), would protect property owners
in a one-to-four family residence. Upon adoption, the Homeowner Flood
Form would replace the Dwelling Form as a source of coverage for this
class of residential properties.\33\ FEMA would continue to use the
Dwelling Form to insure landlords, renters, and owners of mobile homes,
travel trailers, and condominium units. (FEMA will evaluate any changes
needed for these other types of residential policyholders, as well as
commercial policyholders, based on public comment associated with this
rulemaking). Compared to the current Dwelling Form, the new Homeowner
Flood Form would clarify coverage and more clearly highlight
conditions, limitations, and exclusions in coverage as well as add and
modify coverages and coverage options. FEMA also proposes adding to its
regulations five endorsements to accompany the new Form: Increased Cost
of Compliance Coverage, Actual Cash Value Loss Settlement, Temporary
Housing Expense, Basement Coverage, and Builder's Risk. These
endorsements, which FEMA proposes to codify at 44 CFR 61 Appendices
A(101)-(105), respectively, would give homeowner policyholders the
option of amending the Homeowner Flood Form to modify coverage with a
commensurate adjustment to premiums charged.\34\ Together, the
Homeowner Flood Form and accompanying endorsements would increase
options and coverage for owners of one-to-four family residences.
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\33\ FEMA estimates that roughly 88.4% of current Dwelling Form
policyholders are homeowners and therefore would use the proposed
Homeowner Flood Form. Homeowners as a percentage of policyholders
was estimated using data from the PIVOT database from 2010 through
2019. The PIVOT database is the NFIP's official system of record
which contains NFIP information.
\34\ These endorsements would be available to homeowner
policyholders to amend only the Homeowner Flood Form; they would not
be available to amend the current SFIP forms for other types of
policyholders.
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A. 44 CFR 61.2: Definitions
44 CFR 61.2 provides that the definitions set forth in 44 CFR part
59 apply to 44 CFR part 61. FEMA proposes to revise this provision to
clarify that the definitions set forth in part 59 apply to part 61,
including appendices, but if an appendix defines a term differently,
that definition controls for the purposes of that appendix. FEMA
proposes this revision for clarity and accuracy.
B. 44 CFR 61.13: Standard Flood Insurance Policy
44 CFR 61.13 describes the Standard Flood Insurance Policy. Section
61.13(a), ``Incorporation of forms,'' states that each of the SFIP
forms included in Appendix A hereto (General
[[Page 8288]]
Property, Dwelling, and Residential Condominium Building Association)
and incorporated herein shall be incorporated into the SFIP. FEMA
proposes to remove ``(General Property, Dwelling, and Residential
Condominium Building Association)'' so that the provision states simply
that each of the SFIP forms included in Appendix A hereto and by
reference incorporated herein shall be incorporated into the SFIP. The
removal of this phrase would allow FEMA to incorporate the new
Homeowner Flood Form, as well as any additional forms that FEMA may
implement in the future, without having to revise this section upon
issuance of each new form.
C. Appendix A(4): Homeowner Flood Form
As mentioned above, FEMA has not substantively updated the SFIP
since 2000. While the SFIP has performed ably over the last two
decades, FEMA recognizes that changes in consumer expectations,
technology, and the insurance industry over the last 20 years warrant
an update to it. The new Homeowner Flood Form and its accompanying
endorsements would provide a more personalized, customizable product
than the NFIP has offered during its 50 years. In addition to aligning
with property and casualty homeowners insurance, the result would
increase consumer choice. For instance, rather than universally
limiting basement coverage, the new Form allows homeowner policyholders
to choose their coverage based on their understanding of flood risk and
the coverage they desire. The Form would also simplify coverage, such
as offering the same coverage on a building regardless of whether it is
a primary residence or not, or pre- or post-FIRM, and removing the
importance of flood zones for purposes of coverage.\35\ Ultimately, the
purpose of coverage is to help homeowner policyholders recover, and
FEMA anticipates that the premiums tied to homeowner policyholders'
coverage choices would signal the underlying risk and prompt mitigation
efforts.
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\35\ Although the Form would offer the same coverage regardless
of flood zone, the premiums charged would continue to differ based
on risk. For instance, owners of riskier buildings, such as pre-FIRM
buildings and buildings with the lowest level below Base Flood
Elevation, would continue to pay more in premiums for the same level
of coverage compared to a building carrying less risk. This is
because the NFIP will continue charging the most accurate actuarial
rates it can based not just on flood maps, but other information
(such as distance to water sources and elevations) as improvements
in technology allow, as discussed in greater detail below.
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The following chart illustrates how homeowner policyholders could
customize their policy at the point of sale:
BILLING CODE 9111-52-P
[[Page 8289]]
[GRAPHIC] [TIFF OMITTED] TP06FE24.021
BILLING CODE 9111-52-C
Simplifying the Policy for Homeowner Policyholders and Plain Language
Efforts
The Form would provide FEMA with greater flexibility in
administering flood insurance. Unlike the Dwelling Form, which is
highly prescriptive and includes long lists of covered items, the new
Form would further incorporate plain language, remove unnecessary
provisions, reduce reliance on lists, and highlight certain specifics
on the declarations page. Moreover, the Form would add in
flexibilities, like special procedures during catastrophic flood
events.\36\ Altogether, the proposed products would allow FEMA to
provide homeowners with better, more tailored coverage.
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\36\ FEMA currently provides special procedures for catastrophic
events through bulletins issued on a catastrophe-by-catastrophe
basis. See e.g., Bulletin W-17030, ``Activation of NFIP Catastrophic
Event Enhanced Claim Payment Process for Hurricane Harvey,'' (Sept.
3, 2017), found at https://nfipservices.floodsmart.gov/sites/default/files/w-17030.pdf (last accessed Aug. 28, 2023); Bulletin W-
17031a, ``Guidance for Advance Payments for Hurricane Harvey,''
(Sept. 4, 2017), found at https://nfipservices.floodsmart.gov/sites/default/files/w-17031a.pdf (last accessed Aug. 28, 2023); Bulletin
W-17035, ``Hurricane Harvey Enhanced Claim Handling for Prior Loss
and Contents Claims under the Dwelling Form of the SFIP,'' (Sept. 9,
2017), found at https://nfipservices.floodsmart.gov/sites/default/files/w-17035.pdf (last accessed Aug. 28 2023). FEMA proposes to
incorporate these special procedures into the Homeowner Flood Form
for ease of administration and to increase transparency.
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[[Page 8290]]
As an insurance contract, the new Form has to be capable of being
read from start to finish as well as quickly navigable to find the
specific information in the event of an issue or a loss. To maintain
certain decades-old foundational concepts, limit implementation errors,
and minimize disruption to the administration of the NFIP, FEMA found
it necessary to favor certain flood insurance terminology and/or terms
of art even where the phrasing may seem stuffy or overworked. FEMA is
proposing several changes with plain language in mind and seeks comment
on whether the proposed changes result in the desired clarity.
Specifically, FEMA proposed to change the organization of the policy,
such that fewer sections are provided in the overall policy and similar
concepts are grouped together to allow the reader to know what is and
is not covered without having to review a section and then have to
return to it again for clarity. FEMA is also proposing to add headers
and captions to guide the reader and improve comprehension. Insurance
professionals often ``speak by citation,'' quoting the policy
provisions by location rather than name. The headers and captions will
help non-insurance professionals quickly understand what is in those
citations. FEMA proposes italicizing defined terms throughout the
policy as a signal to the reader that this is one of those defined
terms they read and thus allowing the reader to refer back to the
definitions as appropriate. FEMA is also proposing to define specific
terms not used elsewhere in the policy within the clause. For example,
``pollutants'' is defined in the proposed III.A.3.d, rather than in the
proposed section II. FEMA is proposing to remove technical information.
The Dwelling Form makes reference to specific flood zones, post-FIRM
buildings, and defines numerous terms not relevant to the policyholder
with coverage under the SFIP. FEMA also seeks comment on other ways the
Form can be revised to improve the policy's language and decrease
confusion.
Potential Benefits and Impacts on Disadvantaged Communities
FEMA believes that the proposed changes to the Homeowner Flood Form
will reduce burdens on low-income and other disadvantaged communities
particularly affected by changing conditions and increased flooding.
FEMA's current authority requires actuarial rates, which can impact
low-income and other disadvantaged communities. By offering choices
such as options for actual cash value or replacement cost value
coverage and basement coverage options, FEMA believes that homeowner
policyholders can make a value judgment regarding the extent of their
coverage.\37\ FEMA seeks specific comment on the potential benefits and
impacts of this proposed rulemaking on various geographic regions and
communities, including based on income, insurance access, and
affordability.
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\37\ FEMA believes additional equitable and affordability
solutions require legislative change. See generally https://www.fema.gov/flood-insurance/rules-legislation/congressional-reauthorization/legislative-proposals (last accessed Aug. 28, 2023).
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Premium Rates
The changes proposed in this rule would generally not impact the
NFIP's premium structure. A decision to select more robust coverage, as
with all insurance coverage, would result in increased premiums.
Homeowner Flood Form
1. Section I: Insuring Agreement
FEMA proposes to consolidate multiple sections from the Dwelling
Form into one larger section. Specifically, elements of sections I and
X of the Dwelling Form appear in proposed section I.A on governing law
to make clear that this is a Federal policy and is governed by Federal
law.\38\ Proposed section I.A would retain the language indicating that
Federal law governs all disputes regarding the policy and claims
handling. Standard Flood Insurance Policies are sold by private WYO
insurance companies and directly to the public by FEMA's direct
servicing agent, NFIP Direct. Because the NFIP is national in scope and
accomplishes a number of programmatic missions in addition to making
affordable flood insurance generally available to the public, the SFIP
provides that its terms cannot be altered, varied, or waived except by
the written authority of the Federal Insurance Administrator.\39\ The
Administrator intends that the same benefits should be available to all
those insured wherever the insured property is located, or whether the
policy is purchased from a WYO insurance company or from NFIP Direct.
There is a continued need for uniformity in the interpretation of and
standards applicable to the policies and their administration. FEMA is
reiterating the policy language pertaining to applicable law to
emphasize that matters pertaining to the SFIP are governed exclusively
by Federal law. Proposed section I.B on conflicts with Federal law
would eliminate the need to list specific legal authorities that
currently or could eventually conflict with the policy.\40\ Listing all
potentially applicable laws here is unnecessary, unwieldly, and
constrains any future flexibility. Consistent with the goals of
updating the SFIP, this revised section would increase readability and
comprehensibility.
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\38\ See generally 42 U.S.C. 4011(a), 4053, 4072; 44 CFR 59.2,
61.5(e), 62.22, 62.23(g).
\39\ See also Nelson v. Becton, 929 F.2d 1287, 1291 (8th Cir.
1991) (``The purpose of the National Flood Insurance Program is to
provide flood insurance, which otherwise would not be available, on
a uniform nationwide basis. To apply the varying reasonable
expectations doctrines of the insurance laws of individual states
would `frustrate [these] specific objectives of the Federal program[
]' '' (citing United States v. Kimbell Foods, 440 U.S. 715, 728
(1979))).
\40\ For example, the current Dwelling Form contains references
to other legal authority throughout, such as in sections IV.15
(referencing the Coastal Barrier Resources Act, the Coastal Barrier
Improvement Act, and related amendments) and V.E (discussing leasing
land from the Federal Government).
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Like the Dwelling Form at section I.C, proposed section I.C of the
new Form would detail the terms of the agreement to pay for direct
physical loss by or from flood and would also state that a homeowner
policyholder would only receive compensation up to the limits of
liability listed on the declarations page. This proposed section would
continue to clarify that the ``full amount due'' includes applicable
premiums, surcharges, and fees to help homeowner policyholders
understand that the full amount due can be reduced by these outstanding
amounts. Additionally, the section would require that the information
furnished by the homeowner policyholder be ``complete'' and accurate to
negate incomplete proof of loss issues that can delay claims
processing.
Proposed section I.D would move the policy term (currently in the
Dwelling Form at section VII.E.1) to the front of the agreement
section, separated from the policy renewal content, to make clear to
the homeowner policyholder at the top of the form, how long the
agreement lasts. Proposed section I.E would incorporate the
liberalization clause from the Dwelling Form (article IX), authorizing
FEMA to make changes that broaden coverage without an additional
premium and making those changes automatically apply to the policy as
of the date the change is implemented with certain caveats. Throughout
the policy, FEMA proposes to modify timeframes to ensure clarity on how
days are calculated under the policy. For example, proposed section
I.E. would specify a 60 ``calendar'' day window prior to or during the
policy term rather than a 60-day window as the Dwelling Form provides.
The NFIP
[[Page 8291]]
currently operates based on calendar days, and specifying this in the
policy promotes consistency and transparency, reducing the likelihood
that a homeowner policyholder might wrongly assume that ``days'' are
``business'' days. Finally, proposed section I.F would retain the right
of review language currently in section I.D of the Dwelling Form and
incorporate concepts from section VII.D of that form, including the
right to request additional information and revising the amounts due
from the homeowner policyholder based on any information reviewed.
These revisions would ensure the homeowner policyholder is aware of the
key terms of the agreement at the onset.
3. Section II: Definitions
First, FEMA proposes to retain in proposed section II.A the upfront
clarification that the pronouns ``you'' and ``your'' refer to the
insured(s), and that ``we,'' ``us,'' and ``our'' refer to the insurer.
This clarification concerning the use of pronouns has been in the
current SFIP forms since 1982,\41\ and retaining this clarification
comports with plain language guidelines.\42\ FEMA proposes to move the
language currently in section II.A of the Dwelling Form regarding the
policyholder's spouse and the language defining ``insured(s)'' to a new
definition for ``Insured(s).'' FEMA also proposes not to retain the
statement that some definitions are complex due to their presence in
statute, regulation, or case law, because this sentence is unnecessary.
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\41\ Prior to 1982, the forms referred to ``insurer'' and
``insured'' throughout. See e.g., 44 CFR 61 App. A(1) (1981).
\42\ See ``Federal Plain Language Guidelines,'' Mar. 2011, at
30, found at https://www.plainlanguage.gov/media/FederalPLGuidelines.pdf (last accessed Aug. 28, 2023).
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In section II.B, FEMA proposes to change the definition of
``flood.'' FEMA proposes ``Flood'' to mean a general and temporary
condition of partial or complete inundation of normally dry land from
(1) overflow of inland or tidal waters; (2) unusual and rapid
accumulation or runoff of surface waters from any source; (3) mudflow,
defined as a river of liquid and flowing mud on the surface of normally
dry land, as when earth is carried by a current of water; or (4) sudden
erosion or undermining of land along the shore of a lake or similar
body of water caused by waves or currents of water exceeding
anticipated cyclical levels that causes collapse or subsidence of land
resulting in a flood. FEMA proposes not to retain the language
currently in the Dwelling Form at section II.B.1 limiting flood to two
or more acres, or two or more properties, one of which is the
policyholder's, because it is unnecessarily restrictive: It deviates
from the definition at 44 CFR 59.1, which does not include this
limitation, and flood insurance adjusters can experience issues with
finding a second property to qualify as a flood, or accessing other
properties to investigate whether flooding occurred. FEMA proposes to
define ``mudflow'' where it appears (i.e., within the definition of
flood), rather than later in the definitions, to save homeowner
policyholders from having to reference a separate part of the policy
for it. This is a change to the location of the definition, and not the
meaning, as FEMA would continue to use the definition of ``mudflow''
from the Dwelling Form. FEMA's proposed sub-definition for ``erosion''
is substantively the same as the Dwelling Form's except that it
specifies that the erosion must be sudden, making it clear that gradual
erosion would not result in a flood under the policy. These proposed
changes to the definition of ``Flood'' would simplify coverage; FEMA
does not intend to broaden or narrow coverage here, and would continue
to limit coverage where a homeowner policyholder causes a flood or
where the cause is wind-driven rain (through a roof or window, etc.) or
some other water source (see proposed section IV.A.5).
FEMA proposes to relocate and revise the definition of ``Building''
and incorporate a revised definition of ``Basement'' and add a
definition for ``Enclosure'' within proximity of the definition of
``Building'' in section II.C. This relocation of terms will make it
easier to read the definiition of the structural elements applicable to
buildings in context of one another. ``Building'' would be defined as
``a structure, the construction of which has been completed, that has a
fully secured roof and solid, vertical, load-bearing walls and is
affixed to a permanent site.'' FEMA proposes to replace the phrase
``two or more outside rigid walls'' with ``solid, vertical, load-
bearing walls'' because this description is more accurate, and
specifying a number is unnecessary as ``walls'' is already plural. This
proposed definition would not include the sub-definitions for mobile
homes or travel trailers because, as mentioned above, owners of these
units would continue to be covered under the Dwelling Form.\43\ In
addition, FEMA proposes to remove references to gas or liquid storage
tanks, shipping containers, recreational vehicles, park trailers, or
other similar vehicles--because as these are not buildings,
specifically excluding them from the definition is unnecessary.
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\43\ The proposed Homeowner Flood Form may insure some
manufactured homes. Guidance regarding this coverage will be
detailed in future updates to the underwriting rules used by the
Program.
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Under the current Dwelling Form at section II.C.5, a ``Basement''
is defined as ``[a]ny area of a building, including any sunken room or
sunken portion of a room, having its floor below ground level on all
sides.'' Sometimes this definition does not align with homeowner
policyholder expectations that may consider what is defined in the
Dwelling Form as a basement to be the first floor of their home.\44\
Under the current Dwelling Form, coverage is limited in basements to
specific items and homeowner policyholders cannot choose to increase
coverage if they want it for areas of their home they may not otherwise
consider to be a ``Basement.'' The proposed definition for ``Basement''
would state that a basement is ``any area of a building having its
floor level below ground level on all sides, regardless of design or
use.'' The proposed definition would further clarify that ``An area of
a
[[Page 8292]]
building is below ground level when the land touching the exterior of
the building is above its floor level. An area of a building is
presumed to be below ground level when it is necessary to walk up steps
or a slope to reach the land surrounding the building. A professional
land survey or report may rebut this presumption.''
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\44\ See Donovan Finn and John Travis Marshall, Superstorm Sandy
at Five: Lessons on Law as Catalyst and Obstacle to Long-Term
Recovery Following Catastrophic Disasters, 48 Envtl. L. Rep. 10494
(2018), found at https://commons.library.stonybrook.edu/cgi/viewcontent.cgi?article=1004&context=somas_articles (last accessed
Aug. 28, 2023). ``For instance, consider flood insurance regulations
and the seemingly simple question: what is a basement? In many parts
of the country that would cause little confusion; according to the
NFIP a basement is `[a]ny area of the building having its floor
subgrade (below ground level) on all sides.' However, this seemingly
straightforward definition became a source of significant concern
for many building owners after Sandy. In New York City, Hoboken,
Jersey City, and other municipalities in the region, the NFIP
definition of a basement also technically describes many thousands
of housing and retail units at the lowest level of attached row
houses that are known in the local vernacular as `ground floor' or
`garden units.' Such units may be located anywhere from a few inches
to three feet below grade and, if conforming to stipulations in
local laws, are legal for use as individual apartments, shops,
offices, or fully habitable levels of a single-family home. Many
buildings containing this kind of unit actually have an additional
cellar or basement level underneath this `ground' level. However,
while these units may sit above a second basement, and although they
are discrete legal residences or commercial units according to local
zoning and building codes, these units are classified by FEMA as
basements and are therefore ineligible for NFIP reimbursement. One
infamous case involved a Hoboken resident whose NFIP claim was
denied because his apartment was determined to be 0.13 inches below
grade.'' See also https://www.wxyz.com/news/what-does-fema-cover-if-youre-denied-help-after-floods-here-are-some-other-options (last
accessed Aug. 28, 2023) and https://www.wxyz.com/news/why-many-people-are-being-denied-fema-flood-assistance (last accessed Aug.
28, 2023).
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FEMA proposes this definition to better explain its application to
the area in the building, to the extent the definition is not aligned
with a homeowner policyholder's conception of a basement. This proposed
definition would better allow homeowner policyholders and their agents
to identify whether they have a basement at the point of sale. The
Homeowner Flood Form offers homeowner policyholders limited coverage
for a basement by default. FEMA seeks comment on this proposed
definition of basements to better address the needs and understanding
of homeowner policyholders.
``Enclosure'' would mean an area that exists below the dwelling and
used in accordance with local floodplain management ordinances or law
for the parking of vehicles, building access, or storage, and is shown
on the declarations page. FEMA proposes this new definition to more
clearly differentiate enclosures from basements.
FEMA is proposing to relocate the definitions currently found in
section II.B of the Dwelling Form to section II.D and is proposing to
include or modify several, but not all, definitions that are currently
in the Dwelling Form, and to add several others. First, FEMA proposes
to retain, with minimal to no changes, the definitions for ``Act,''
``Described Location,'' ``National Flood Insurance Program,'' and
``Policy.'' ``Act'' would continue to be defined as the National Flood
Insurance Act of 1968 (42 U.S.C. 4001 et seq.). ``Described Location''
would be defined as the location of the insured building, as shown on
the declarations page. The ``National Flood Insurance Program'' would
continue to be defined as FEMA's program of flood insurance coverage
and floodplain management administered under the ``Act.'' Lastly, the
definition for ``Policy'' would specify that it is the entire written
contract between the homeowner policyholder and FEMA to include: (1)
the Homeowner Flood Form; (2) the completed application for insurance;
(3) the declarations page; (4) any endorsements issued; and (5) any
addenda FEMA attaches to the Form upon application or renewal.
FEMA proposes minor, but somewhat more meaningful changes to the
definitions for ``Actual Cash Value,'' ``Declarations Page,'' ``Direct
Physical Loss By or From Flood,'' and ``Dwelling.'' The definition for
``Actual Cash Value'' would continue to be the cost to replace an
insured item of property at the time of loss, but FEMA proposes to
replace the phrase ``less the value of its physical depreciation'' with
``less depreciation based on its age and condition.'' FEMA proposes to
specify that depreciation is based on the insured item's age and
condition to explain what ``physical depreciation'' means. The
definition for ``Declarations Page'' would state that it is a document
provided to homeowner policyholders summarizing the coverage limit(s),
premium, insured(s), and other information about the policy, and that
it is a part of the policy. FEMA proposes this definition because it is
more modern than the Dwelling Form's current definition of a
``computer-generated summary. . . .'' FEMA proposes ``Direct Physical
Loss By or From Flood'' to mean actual physical loss or damage to the
insured property directly caused by a flood. FEMA chose not to retain
the sentence currently in the Dwelling Form that ``there must be
evidence of physical changes to the property.'' The addition of the
words ``actual physical'' to describe loss or damage to the insured
property obviates the need for that sentence and makes it clearer that
FEMA may only pay for physical loss or damage directly caused by a
flood. Lastly, FEMA proposes to define ``Dwelling'' as a building in
use as a one-to-four family residence, and specify that it is not a
mobile home, travel trailer, or condominium unit. FEMA proposes to
specify that mobile homes, travel trailers, or condominium units are
not ``dwellings'' under this Form because FEMA intends that this Form
only cover homeowners of one-to-four family site-built residential
buildings. At this time, the Dwelling Form would continue to serve as
the Standard Flood Insurance Policy Form covering mobile homes, travel
trailers, and condominium units, as well as landlords and tenants.
FEMA proposes to add definitions for ``Administrator,'' ``Claim,''
``Flood Damage Resistant Materials,'' ``Insured(s),'' ``Machinery and
Equipment,'' ``Proof of Loss,'' and ``Replacement Cost Value.'' FEMA
proposes to specify that ``Administrator'' refers to the FEMA
Administrator or designee for clarity. FEMA proposes to define
``Claim'' as the homeowner policyholder's assertion that (s)he is
entitled to payment for a covered loss under the terms and conditions
of the policy and specify that there is only one claim per flood event.
This definition would complement the proposed definition for ``Proof of
Loss.'' FEMA proposes to define ``Flood Damage Resistant Materials'' as
building materials identified by the Administrator as resistant to
flood damage to encourage homeowner policyholders to rebuild smarter.
Use of materials that are resistant to flood damage reduces the
likelihood of replacement in a future flood, and the ability to clean
and repair items instead of replacing them would likely result in net
savings to the NFIP and its policyholders. The definition of
``Insured(s)'' would include the homeowner policyholder and (1) any
additional persons identified on the declarations page; (2) any
mortgagee or loss payee named in the application for insurance, as well
as any other mortgagee or loss payee determined to exist at the time of
loss; and (3) the homeowner policyholder's spouse, if a resident of the
same household. This definition is substantively the same as the
definition of ``you'' from the Dwelling Form in II.A, but includes the
homeowner policyholder's spouse here, to simplify and consolidate in
one place the concept of who has an interest under the policy. FEMA
proposes to specify that ``Machinery and Equipment,'' when contained
within a building at the described location, would include functional
electrical, plumbing, heating, cooling, and safety elements necessary
for the operation of a building, and elevators. Outside of a building,
``Machinery and Equipment'' would include a heating and air
conditioning system's condenser unit and heat pump, solar panels, and
permanently installed whole house standby generators when these units
are connected to and are servicing a building at the described
location. FEMA proposes this definition to avoid long lists of items in
the coverage section. The coverage limitations in the Dwelling Form (at
III.A.8) appear in a list of 17 items. This new definition would
condense these 17 entries into a single definition. While the new
definition would still call out some items specifically, it is FEMA's
position that this more condensed, succinct approach would be less
cumbersome to homeowner policyholders and give the Agency increased
flexibility in its implementation of the NFIP.\45\ FEMA
[[Page 8293]]
also anticipates applying this definition during loss settlements to
encourage homeowners to move these relatively costly items from their
basements/lower enclosures to a less risky area of the property,
increasing savings to the NFIP and its policyholders. FEMA would define
``Proof of Loss'' as a signed and sworn statement by the homeowner
policyholder containing documentary evidence in support of one's loss
and the amount one is claiming. FEMA proposes to define this term to
mitigate confusion over what a proof of loss is,\46\ further
differentiate proof of loss from a claim, and to facilitate
implementation of proposed V.E, ``Disaster Conditions.'' Lastly,
``Replacement Cost Value'' would mean the necessary cost, without
deduction of depreciation, to repair or replace an item of property at
the time of loss with an item of like kind and quality. FEMA proposes
to add this definition because the new Homeowner Flood Form would offer
homeowner policyholders replacement cost value as the default, rather
than actual cash value as the Dwelling Form does, so defining the term
would assist FEMA in administering the Form.
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\45\ The NFIP Claims Manual currently explains each of the 17
items listed in section III.A.8.a of the Dwelling Form, and the
explanations of these items can also include several related items
themselves. See National Flood Insurance Program Claims Manual (May
1, 2020), found at https://www.fema.gov/sites/default/files/2020-07/fema_nfip_claims-manual_2020.pdf (last accessed Aug. 28, 2023)
(``Claims Manual''). For instance, the Claims Manual explains that
``nonflammable insulation in a basement'' [III.A.8.a(10)] includes
the nonflammable insulation in walls and ceilings between joists in
the lowest elevated floor and unfinished protective weather barriers
affixed to floor joists and unattached protective barriers located
in a crawlspace. Id. at 41. In addition, ``well water tanks and
pumps'' [III.A.8.a(15)] include pressure switches, pressure valves,
and gauges. Id. at 43. The removal of these lists would provide FEMA
flexibility to the extent that the Agency can continue to clarify in
the Claims Manual terms defined in the policy.
\46\ During the aftermath of Superstorm Sandy, policyholders and
their representatives attempted to submit ``placeholder'' proofs of
loss where they filled out the coversheet for FEMA's Proof of Loss
Form (FEMA Form 086-0-9) with ``TBD'' on every line. This was not
appropriate or within the terms of the SFIP, creating problems for
these policyholders and for FEMA. (In this case, the insurance
carriers had to deny these claims because these policyholders failed
to meet the requirements of the SFIP. Many of these policyholders
pursued litigation, creating the need for FEMA's NFIP Transformation
Task Force established in 2015). See NFIP Bulletin w-14036, found at
https://nfipservices.floodsmart.gov/sites/default/files/w-14036.pdf
(last accessed Aug. 28, 2023) and NFIP Bulletin w-12092a, found at
https://nfipservices.floodsmart.gov/sites/default/files/w-12092a.pdf
(last accessed Aug. 28, 2023).
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Finally, FEMA proposes not to carry over into the new Homeowner
Flood Form three definitions currently in the Dwelling Form: ``Base
Flood,'' ``Deductible,'' and ``Principal Residence.'' Because ``base
flood'' would not have any impact on the terms and conditions of
insurability in the new Form, defining it would be unnecessary. Because
``deductible'' is a commonly understood term in the insurance industry,
it is FEMA's position that including a definition for it would be
unnecessary. In addition, because the Homeowner Flood Form would not
vary coverage between principal and secondary, etc., residences,
defining the term ``principal residence'' would likewise be
unnecessary.
4. Section III: What We Cover
FEMA proposes to incorporate language currently in the Dwelling
Form with section III to improve the customer experience by presenting
the material in a more organized manner. The Dwelling Form addresses
property covered (article III), property not covered (article IV), and
exclusions (article V) in different sections. In proposed section III,
FEMA addresses in a single section what the policy covers, where
coverage is limited, any conditional coverage, and then property that
is not covered.\47\ The proposed changes to Coverages B and C also
generally align with coverage specifically for homeowners, the focus of
this proposed form. These changes also remove lists and ``hidden''
coverage and simplify policy language to enhance understanding and
functionality of the policy. Relying on the definitional concepts
instead of specific lists gives FEMA the opportunity to clarify
coverage and improve readability of the form while also providing
increased flexibility to implement the policy. FEMA proposes to
rephrase coverage that is currently phrased in the negative in the
Dwelling Form to ensure a better understanding of coverage. The
proposed revisions would also remove all references to flood zones in
special flood hazard areas, and instead provide universal default
coverage that applies to all buildings regardless of flood zone. These
revisions reduce the complexity of the policy, as homeowner
policyholders may not immediately recall what zone they are in. These
revisions also help alleviate concerns raised in understanding flood
risks through mapping alone and allowing the premium to inform the
homeowner policyholder about flood risk.
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\47\ FEMA includes ``property not covered'' in proposed section
III, ``What We Cover,'' rather than proposed section IV,
``Exclusions,'' to conform with industry standards and address in
the same section those items for which the policyholder has the
burden of proof. The burden of proving that property is covered
falls on the insured, but the burden of proving that property is
excluded falls on the insurer.
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FEMA proposes to remove specific dollar amounts from the policy,
giving the Agency the ability to increase these limits based on
statutory changes. Eliminating these specific dollar amounts also
allows FEMA to offer different coverage limit choices to different
homeowner policyholders by placing special limit amounts on the
declarations page of the policy.
FEMA proposes to allow more consumer choice by allowing homeowner
policyholders to choose whether they want basement coverage under
Coverage A through the Enhanced Basement Endorsement Option detailed
below. FEMA has long presumed that homeowner policyholders would not
want to pay for full coverage in a basement because it would be too
expensive,\48\ but in doing so inadvertently made it more likely that
homeowner policyholders would not realize the limitations on basement
coverage until they experienced a loss.\49\ FEMA has offered this
restrictive coverage in basements for four decades and the proposed new
Homeowner Flood Form would not change that coverage absent a homeowner
policyholder purchasing an endorsement. FEMA believes the limited
basement coverage creates challenges in the flood insurance sales
context for homeowner policyholders who want more coverage than the
current Dwelling Form and new Form would allow and in the recovery
context for homeowner policyholders who need it to more fully recover
from a flood event. Given these challenges, FEMA considered three
approaches to basement coverage: (1) the current Dwelling Form approach
of retaining the current restricted coverage, with a focus on training
agents selling flood insurance to further discuss what constitutes a
basement under the
[[Page 8294]]
Homeowner Flood Form and the restrictions on coverage at the point of
sale to better inform homeowner policyholders and those seeking to
purchase new homeowner flood insurance of the coverage restrictions;
(2) FEMA's preferred approach of offering an endorsement to the
proposed Homeowner Flood Form that would allow homeowner policyholders
to purchase, for an additional premium, an enhanced basement
endorsement to remove the restrictions in basement coverage (``Enhanced
Basement Coverage Endorsement''); and (3) a third approach of offering
a basement endorsement to remove coverage limitations, for an
additional premium, for (a) homeowners with split-level homes or sunken
room(s) (approach 3.1) and (b) homeowner policyholders who need to
occupy part of their basement (approach 3.2). Occupancy means the
basement is being used by the homeowner as bedrooms, bathrooms, and
kitchens/kitchettes. Each of the approaches is further detailed in
Appendix A(104): Basement Coverage Endorsement Option below.
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\48\ Until 1983, FEMA offered coverage in a basement. See e.g.,
44 CFR 61 App. A(1) Art. IV (1982). At that time, FEMA determined
that it was paying out $5 for every $1 collected on buildings with
damaged basements. See GAO Report on Flood Insurance: Federal
Emergency Management Agency's Basement Coverage Limitations, RCED-
86-10FS (Jan. 31, 1986) found at https://www.gao.gov/assets/rced-86-10fs.pdf (last accessed Aug. 28, 2023). In the 1990s, FEMA explored
but abandoned an effort to offer some level of basement coverage and
throughout the entirety of the Dwelling Form (i.e., the last 20
years), there has been no option for basement coverage.
\49\ See Donovan Finn and John Travis Marshall, Superstorm Sandy
at Five: Lessons on Law as Catalyst and Obstacle to Long-Term
Recovery Following Catastrophic Disasters, 48 Envtl. L. Rep. 10494
(2018), found at https://commons.library.stonybrook.edu/cgi/viewcontent.cgi?article=1004&context=somas_articles (last accessed
Aug. 28, 2023). See also https://www.wxyz.com/news/what-does-fema-cover-if-youre-denied-help-after-floods-here-are-some-other-options
(last accessed Aug. 28, 2023) and https://www.wxyz.com/news/why-many-people-are-being-denied-fema-flood-assistance (last accessed
Aug. 28, 2023).
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FEMA does not expect the availability of optional basement coverage
(approaches 2, 3.1, or 3.2 above) to encourage riskier behavior by
homeowner policyholders. In general, policyholders do not wish to
experience flood losses. The act of choosing an option will require the
policyholder to envision their property being damaged by a flood.
Accordingly, rather than encouraging risky behavior, FEMA believes the
option would help homeowner policyholders to transfer their risk to
better recover after a flood while also encouraging homeowner
policyholders with basements to consider ways to mitigate their risks
in those areas. The current inventory of housing in the United States
contains homes built with basements. Recent studies on marginalized
communities show that formerly redlined areas face higher flood risks,
and several of the cities where this is most prevalent (New York,
Boston, Chicago, Camden, Detroit, Newark) have older housing stock that
are often built with basements.\50\ By offering options to increase
basement coverage, FEMA is proposing to increase the ability of these
homeowners to better protect their investment from flood risks. FEMA
understands that the additional coverage will result in additional
premiums for policyholders, but the pricing associated with these
additional premiums will reflect the reality of the structure above all
and will align with the risk. By offering choice, FEMA can better
educate homeowner policyholders on their coverage options, discuss the
flood risks associated with their property (i.e., through the price
signal provided by comparing the premium options), and how they can
better protect their property and mitigate those risks. FEMA seeks
specific comments on the expansion of basement coverage and the
approaches considered in this proposed rule as detailed in the basement
coverage endorsement options below.
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\50\ See https://www.redfin.com/news/redlining-flood-risk/(last
accessed Aug. 28, 2023) and https://www.njspotlightnews.org/2021/04/redlining-atlantic-city-nj-overlooked-underfunded-minority-neighborhoods-back-bay-racist-maps-superstorm-sandy/(last accessed
Aug. 28, 2023). Note that in these areas, it is common to have a
basement because of the necessity of building below the frost line,
so that pipes do not burst.
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Proposed section III would not include ICC as Coverage D for all
homeowner policyholders as the Dwelling Form does (in section III.D),
but instead would make it an endorsement required to be purchased only
by those homeowner policyholders who may be eligible for it. Proposed
section III would also remove buildings under construction from default
coverage (as is the case under the Dwelling Form at section III.A.5),
as a Builder's Risk Endorsement naming the builder as an additional
insured party (with specific business rules associated with renewals)
would provide homeowner policyholders the option to address such
coverage. Finally, FEMA proposes to clarify that the policy would not
cover certain losses to items stored in a digital format or other
intangible format due to the complexity of demonstrating proof of
loss.\51\ Throughout the section, FEMA proposes minor edits to the Form
for clarity. FEMA anticipates the proposed changes to section III would
generally make the policy easier for agents to sell while also being
more understandable and desirable for homeowner policyholders as the
changes more closely align with other insurance policies with which
homeowners are familiar and the changes generally provide homeowners
with more flexibility by offering more coverage options.
---------------------------------------------------------------------------
\51\ Digital storage was not a substantial concern when the SFIP
was drafted in 1999. However, modern technology (allowing for
cryptocurrency, etc.), renders it sufficiently important to include
here.
---------------------------------------------------------------------------
a. Coverage A--Dwelling
FEMA proposes to label Coverage A as ``Dwelling'' (rather than
retain the Dwelling Form's title of ``Building Property'') to
differentiate coverage for the primary building--the dwelling--as
opposed to other buildings that may be covered. In proposed sections
III.A.1.a, III.A.2.b, III.A.2.c, III.A.3.c(1), and III.A.4.f, FEMA
proposes to update the language to clarify the coverage detailed in
this section of the policy relates specifically to the dwelling and to
distinguish between the dwelling and other buildings that may be
covered under Coverage B. Proposed section III.A.2, ``Limited Coverage
for Basements and Enclosures,'' would remove the differentiation of
coverage based on flood zone type or pre- or post-FIRM status found in
the Dwelling Form at section III.A.8. This proposed section would
clarify the limited coverage provided for basements regardless of where
the property is located. As explained above, FEMA is proposing to
remove differences in coverage based on flood zone type or pre- or
post-FIRM status and provide universal default coverage that applies to
all structures regardless of flood zone.\52\ Maps generally create
challenges for the application of policy coverage. In a flood event,
the flood does not simply stop at the map boundary and a homeowner
policyholder with property that is mapped in a higher risk zone could
be paying more for less coverage than their neighbors across the
street, when both are equally impacted by the flood event. By
eliminating these distinctions in the policy, FEMA proposes to simplify
the explanation of policy coverage for homeowner policyholders so that
they have a full understanding of the risks associated with their
property and can protect
[[Page 8295]]
themselves against flood peril by choosing their coverage accordingly.
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\52\ The Dwelling Form provides different types of coverage
based on FIRM status and zone: basements receive limited coverage
regardless of zone; certain post-FIRM elevated buildings receive
limited coverage below the lowest elevated floor; and the remainder
do not experience coverage limitations. The coverage limitations for
post-FIRM elevated buildings are a passive enforcement mechanism for
floodplain management rules concerning use of these spaces (i.e., 44
CFR 60.3(c)(5), allowing parking of vehicles, building access, and
storage). In practice, this often means policyholders do not learn
about the coverage restrictions until they experience a loss. In the
proposed Homeowner Flood Form, the policy would not provide
different types of coverage based on FIRM status and zone. Basements
continue to receive limited coverage regardless of zone. A building
with an enclosure--meaning it is used in accordance with the
floodplain management regulations--will continue to receive limited
coverage. However, if a policyholder does not indicate that they
have a basement or an enclosure at the time of application, they
will receive full coverage, but will also pay additional premium
based on the height of the first floor. The higher premium should
also act as a more timely signal to the policyholder, who may then
choose to not use the space for residential purposes. In other
words, the insurance policy will no longer passively enforce
floodplain management rules at the time of loss, but will complement
those rules through risk signaling, and floodplain management
officials may still take appropriate action on unacceptable uses of
enclosures.
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The proposed changes in section III.A.2.a eliminate the list of
covered items from current section III.A.8.a as these items are defined
in proposed section II. Elimination of the list is intended to make the
policy more readable. Additionally, FEMA proposes changes in section
III.A.2.d to simplify the understanding of coverage for unfinished
drywall in a basement or enclosure. The Dwelling Form details drywall
coverage for walls and ceilings in a basement and the cost to nail it,
unfinished and unfloated and not taped, to the framing (section
III.A.8.a(3)). FEMA proposes to simplify this by covering any
unfinished drywall in a basement and removing the restriction that the
drywall must be unfloated and not taped. FEMA also proposes to continue
coverage for nonflammable insulation in basements and enclosures. (See
Dwelling Form section III.A.8.a(10)).
FEMA proposes to add section III.A.3, ``Dwelling Limitations,'' to
summarize the limitations throughout the policy and list them in one
location. Proposed section III.A.3.a, ``Limitations on mold and
mildew,'' would revise Dwelling Form section V.D.4 to restate coverage
in positive rather than negative terms, simplifying the explanation
that the policy covers damage to the dwelling due to mold and mildew
caused by a flood only when it is outside of the homeowner
policyholder's control, i.e., when it is not in the homeowner
policyholder's control to inspect and maintain the property after a
flood recedes. FEMA is proposing this change to help resolve current
challenges faced with claims in this area, as the Agency has
experienced that implementation of this coverage is more challenging
than it should be. FEMA historically issued several bulletins to
clarify this coverage and its limitations \53\ and believes making
these proposed changes would reduce complexity and simplify the process
for homeowner policyholders, insurance adjusters, and companies. FEMA
proposes similar updates in proposed sections III.A.3.b, ``Limitations
on power, heating, or cooling failure,'' III.A.3.c, ``Limitations on
flood in the area,'' and III.A.3.d, ``Limitations on pollutants,'' for
simplicity and readability, and to positively affirm coverage of
specific items rather than stating coverage in the negative as the
Dwelling Form does in sections V.D.7, V.D.5-6, and V.F.II.B.22
respectively. The policy would continue to cover damage to any covered
building electrical system, such as the building's main service or home
security system, or to the HVAC system, when a flood physically damages
equipment installed at the described location (proposed section
III.A.3.b) as well as pollutant testing and monitoring after a flood
when required by law or ordinance (proposed section III.A.3.d). FEMA
also proposes to continue coverage for losses when there is a flood in
the area and the flood causes a back-up of water or waterborne material
through sewers or drains, discharge or overflow of a sump pump or
related equipment, or seepage/leakage on or through the dwelling
(proposed section III.A.3.c(1)) as well as losses by or from water
pressure or weight (hydrostatic pressure) (proposed section
III.A.3.c(2)). FEMA would also continue to cover losses to the dwelling
by or from the pressure or weight of water on or below the land's
surface in proposed section III.A.3.c(2).
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\53\ See W-13009, found at https://nfipservices.floodsmart.gov/sites/default/files/w-13009.pdf, (last accessed Aug. 28, 2023); W-
16061, found at https://nfipservices.floodsmart.gov/sites/default/files/w-16061.pdf (last accessed Aug. 28, 2023); W-20017, found at
https://nfipservices.floodsmart.gov/sites/default/files/w-20017.pdf
(last accessed Aug. 28, 2023); W-11062 found at https://nfipservices.floodsmart.gov/sites/default/files/w-11062.pdf (last
accessed Aug. 28, 2023); and W-04020, found at https://nfipservices.floodsmart.gov/sites/default/files/w-04020.pdf (last
accessed Aug. 28, 2023).
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Proposed section III.A.4 addresses the items not covered under the
policy, moving several provisions from article IV of the Dwelling Form
(Property Not Covered) to keep all ``coverage'' elements together. FEMA
proposes not to retain references to the Coastal Barrier Resources Act
and the Coastal Barrier Improvement Act \54\ in this section because
the language in proposed section I concerning conflicts with Federal
law renders it unnecessary. FEMA is incorporating into proposed section
III.A.4.a information from the Dwelling Form at sections V.A.2, V.A.3,
and V.A.5 to confirm that the policy does not cover loss of use at the
described location, including any living expenses incurred while the
dwelling is inaccessible or is unhabitable for any reason. FEMA
proposes incorporating this into one section for simplicity and
readability. In addition, FEMA proposes including it under this section
rather than Section IV, ``Exclusions,'' because the new Form generally
restricts ``exclusions'' to specific causes, and this language does not
speak to causation. In sections III.A.4.b and III.A.4.c, FEMA proposes
separating land and land values from lawns, trees, shrubs, plants,
growing crops, and landscaping to clarify that land and land values are
distinct from items that are on the land. Proposed section III.A.4.d
restates the current requirement in section IV.3 of the Dwelling Form
that no open structures including but not limited to those in, on, or
over water are covered, regardless of boat usage. In the proposed form,
FEMA retains in section III.A.4.e the substance of the language
currently in the Dwelling Form at section IV.2 except to remove the
reference to ``personal property'' because Coverage A of this Form
treats dwellings, not personal property. In section III.A.4.f, FEMA
proposes to clarify that in addition to underground structures and
equipment like wells and septic tanks/systems, which are currently
explicitly listed as not covered in section IV.8 of the Dwelling Form,
sewer, plumbing supply, waste lines, gas supply lines, electrical and
HVAC system components (not addressed in the proposed definition of
``machinery and equipment'') that are not located in the dwelling would
also continue to not be covered. In section III.A.4.g, FEMA proposes
not to retain the phrase ``or the building in which the insured unit is
located'' (found in the Dwelling Form at IV.9) for clarity of coverage
as the new Form would not be available to condominium unit owners. FEMA
is proposing additional minor changes in section III.A.4.h for clarity
regarding containers and related equipment. Proposed sections III.A.4.i
detailing fences, retaining walls, seawalls, bulkheads, wharves, piers,
bridges, and docks and III.A.4.j detailing hot tubs and spas as well as
swimming pools would be unchanged from Dwelling Form sections IV.12 and
IV.14, respectively.
---------------------------------------------------------------------------
\54\ 16 U.S.C. 3501 et seq.
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b. Coverage B--Other Buildings
Coverage B would insure buildings other than the residence located
at the described location.\55\ This coverage would contain fewer
limitations than in the Dwelling Form, but with the same 10 percent
limit (see Dwelling Form section III.A.3). FEMA is proposing to require
the homeowner policyholder to specify the specific sublimits of this
coverage applicable to each of the
[[Page 8296]]
buildings on the declarations page to make sure that both the homeowner
policyholder and FEMA share an understanding of what is on the
property, to spur the conversation between the homeowner policyholder
and the insurance agent that higher coverage limits are available by
separately insuring these properties, and to capture data points for
repetitive loss purposes. The changes proposed to Coverage B would
restore non-dwelling buildings to a functional level but would not
fully restore these buildings. A homeowner policyholder seeking more
robust coverage should purchase a separate policy for these other
buildings. Coverage B is not an additional coverage, as it would reduce
the liability limit for the main building.
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\55\ These proposed changes would restore coverage for other
buildings to the NFIP's 1970's approach. See 24 CFR 1911.4(f)(5)
(1970): ``The insured may apply up to, but not in excess of, 10
percent of the face amount of the policy to appurtenant structures
and outbuildings (such as carports, garages, and guest houses) if
they do not constitute a separate residence. If they do constitute a
separate residence, or a residential structure still under
construction, they must be insured under a separate policy.'' This
approach insures what the homeowner policyholder has and that the
modern consumer expects, an experience customized and tailored to
themselves.
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Proposed section III.B.1 would clarify that FEMA would apply the
terms of Coverage A to other buildings at the described location except
as modified in proposed section III.B.2. As noted above, proposed
section III.B.1.a would require the homeowner policyholder to schedule
the buildings on the declarations page to confirm their location on the
property. In doing so, FEMA anticipates homeowner policyholders would
have discussions with agents regarding higher coverage limits if these
buildings are separately insured. By capturing the information here,
FEMA can also gather data on buildings that are repeatedly damaged
during flooding. Proposed section III.B.1.b would replace section
III.A.3 of the Dwelling Form and allow other buildings--not simply a
detached garage--to receive coverage with fewer limitations than in the
Dwelling Form, but with the same 10 percent limit.
FEMA proposes to add section III.B.2 to highlight the limitations
of coverage for other buildings. FEMA is proposing to use Coverage A as
a ``base'' layer of coverage specifically for the dwelling. Certain
items previously covered under Coverage A related to other buildings
are instead covered by this proposed section. Proposed section
III.B.2.a would remind homeowner policyholders that FEMA would not
cover anything already excluded under Coverage A. Proposed section
III.B.2.b would state that FEMA would not cover basements or enclosures
for any building that is not the dwelling. FEMA is proposing this
addition as a public policy measure to ensure that the riskiest parts
of a building that is not the property owner's residence are not
afforded coverage. For example, homeowner policyholders may have a
building near the beach on a coastal property containing a bathroom and
storage space, with an outdoor shower in an enclosure for convenience.
The proposed policy would allow for coverage of the building at the
homeowner policyholder's request, but would not cover the enclosure
given the enhanced risks associated with the enclosure. If a homeowner
policyholder wants to invest in these enclosures, a separate NFIP flood
insurance policy could be purchased to cover the other building with
the enclosure (i.e., under Coverage A), with restricted coverage
applied to the enclosure. Proposed section III.B.2.c would provide that
FEMA would not cover other buildings held or used for commercial
purposes. The purpose of Coverage B is to extend coverage to other
buildings that may have a residential use, such as a living space built
above a detached garage; buildings held or used for commercial purposes
are more appropriately suited for a commercial policy. Proposed section
III.B.2.d would provide that coverage can only extend to property the
homeowner policyholder owns. This addition is consistent with the
broader principle of ``insurable interest,'' which requires that the
insured have a right or relationship to the item insured such that the
insured can suffer a financial loss from damage, loss, or destruction
to it. By affirming this requirement, FEMA seeks to reduce the risk of
moral hazard, whereby a homeowner policyholder might have a financial
incentive to allow or even cause a loss.
c. Coverage C--Personal Property
FEMA proposes to move personal property coverage to proposed
section III.C and to further align it with common industry practices.
In contrast to section III.B.1 of the Dwelling Form that is conditioned
on whether or not the homeowner policyholder has purchased contents
coverage, FEMA proposes to change coverage in section III.C.1 to insure
all property inside a building at the described location with coverage
up to the limits listed on the declarations page. (Separate coverage
for personal property not at the described location is detailed in
proposed section III.C.2). Section III.C.1.a would remain unchanged
from section III.B.1.a of the Dwelling Form. Proposed section III.C.1.b
would provide that FEMA would insure property owned by non-paying
guests or laborers. By specifying that the guests be non-paying, FEMA
seeks to specifically exclude the possibility of short-term rentals,
such as vacation rentals, to clarify the rental agreement would govern
any such arrangement and ensure there is no contractual overlay, and
also to avoid the scenario where a renter seeks payment pursuant to
this policy. By changing ``servants'' to ``laborers,'' FEMA seeks to
modernize the language and include more individuals that may have
personal property in the described location.
In section III.C.2, FEMA is proposing to provide some coverage away
from the described location to ensure that the homeowner policyholder
gets an additional benefit of flood coverage to protect their personal
property. Homeowner policyholders may experience flooding while on
travel, may experience a flood loss if they have personal property at a
family member's house, or if they keep items in a storage unit. Under
the Dwelling Form at section III.C.2.b, a homeowner policyholder may
already claim this type of coverage at another location if they moved
the property because of a reasonable threat of flood. Expanding
coverage would eliminate the cumbersome adjudication analysis of
whether the homeowner policyholder moved the property to safety in
advance of a flood. With a storage unit, a homeowner policyholder could
rent a storage locker and, following a flood event, claim that he or
she relocated certain property from the dwelling to the storage unit
for safety. Under the Dwelling Form, if a flood occurs at the storage
unit, absent a dated photo showing the property located in the storage
unit, in the same position, the insurer would be unable to determine
when the property was placed in the storage unit. The proposed
expansion avoids this complex adjudication by providing the homeowner
policyholder with coverage in that situation. Moreover, expanding
coverage to contents that are not at the described location aligns with
industry standards for homeowners personal property coverage.
FEMA notes that although homeowners coverage can extend to personal
property anywhere in the world, the NFIA only authorizes flood
insurance in the United States.\56\ Thus, FEMA proposes limited
coverage for personal property anywhere in the United States. Under
proposed section III.C.2.a, FEMA would pay no more than 10 percent of
the Coverage C limits for personal property located anywhere in the
United States if the property is in a building at a location other than
the described location, or in a storage facility building. FEMA
proposes these changes to reaffirm the requirement that the personal
property be located inside a ``building'' (defined as a fully enclosed
structure) for coverage and to align with other common insurance
products.
[[Page 8297]]
Under proposed section III.C.2.b, the 10 percent coverage limitation
would not apply to personal property moved to a building reasonably
safe from flood, and not in a basement or enclosure, due to flooding
near the described location. This provision would not retain the
language in section III.C.2.b(3) of the Dwelling Form requiring moving
personal property outside of a special flood hazard area, but would
instead just require a reasonable assurance of safety to expand
coverage beyond the 10 percent limitation. It is difficult for
homeowner policyholders to ascertain where special flood hazard areas
are located, and an attic in a special flood hazard area may reasonably
be more secure than a ground floor \57\ just outside of that area. In
section III.C.2.b(1), FEMA proposes language to clarify that it would
cover personal property where a homeowner policyholder moves it from
his or her home to another location for protection, but the home
ultimately does not flood. Section III.C.2.b(2) would affirm coverage
when an evacuation order is issued. Finally, in section III.C.2.b(3),
FEMA proposes to extend coverage beyond the 10 percent limitation where
the personal property was moved due to repairs, renovations,
reconstruction, or other conditions rendering the described location
uninhabitable or unsuitable for property storage.
---------------------------------------------------------------------------
\56\ 42 U.S.C. 4011(a).
\57\ Property must be placed above ground level. See Dwelling
Form section III.C.2.b(3).
---------------------------------------------------------------------------
In proposed section III.C.3, ``Personal Property Limitations,''
subsection 3.a would provide that in a basement or enclosure, the
policy would only cover appliances installed in their functioning
locations and, if necessary for operation, connected to a power source.
FEMA proposes not to retain the references to flood zones and pre- or
post-FIRM status found in the current Dwelling Form (in section
III.B.5) to conform with other proposed changes to the policy. FEMA
anticipates that homeowner policyholders would better understand the
scope of the coverage available without the additional complicating
language around the property's flood zone location and the pre- or
post-FIRM status of the property. Additionally, rather than listing out
specific appliances, FEMA proposes to categorize the items listed in
section III.B.4 of the Dwelling Form as ``appliances'' for simplicity.
Proposed section III.C.3.b would further clarify the Dwelling Form's
requirement at section III.B.3 that personal property in any portion of
a building that is not fully enclosed must be secured to prevent
flotation out of the building.
Like section III.B.8 of the Dwelling Form, proposed section III.C.4
would provide special limits for specific kinds of personal property.
Rather than retaining the dollar limit in this section, FEMA proposes
instead to move it to the declarations page for readability and ease of
understanding. While proposed sections III.C.4.a, III.C.4.b, III.C.4.c,
III.C.4.d and III.C.4.f mirror existing provisions in the Dwelling Form
for special limits to personal property coverage, FEMA proposes to add
a new provision (section III.C.4.e) to specifically clarify coverage
limits for portable electronic devices. A homeowner policyholder should
be able to transport such personal property away from a flood and such
property may also have separate insurance available. For instance, cell
phones come with an offer of cell phone insurance; laptops and tablets
often come with offers of insurance as well. The distinction between
whether something is designed as portable or not should serve as the
bright line rule. For example, a laptop computer is portable while a
desktop computer is not, and a Sony PlayStation and a Microsoft Xbox
are not designed as portable whereas a Nintendo Switch is. Proposed
section III.C.4.f would also clarify that personal property primarily
used ``for any commercial purposes,'' rather than the current ``in any
business'' requirement in section III.B.6.e of the Dwelling Form, falls
within these special limits. FEMA proposes to specify that coverage is
limited for ``commercial purposes'' rather than ``any business'' to
continue providing coverage for hobbyists who may occasionally sell
what they create, but who do not operate as a business or have a
Federal Employment Identification Number for commercial tax purposes.
Finally, FEMA proposes to add section III.C.4.g to provide coverage for
up to 10 percent of the special limit on the declarations page for
valued paper, metals, or other similarly valued objects such as
accounts, bills, coins, currency, deeds, evidences of debt, medals,
money, scrip, stored value cards, postage stamps, securities, bullion,
or manuscripts. FEMA proposes this additional coverage because coverage
of these items is the industry standard. Proposed section III.C.5 would
retain the statement currently in the Dwelling Form at section III.B.9
that FEMA would only pay for the functional value of antiques.
In proposed section III.C.6, FEMA seeks to consolidate all
exclusions specific to personal property into one section to enhance
readability and ensure that homeowner policyholders and insurance
agents make appropriate decisions regarding how they insure the
property. Proposed section III.C.6.a would make it clear that FEMA
would not cover anything already excluded under Coverages A and B. FEMA
proposes to categorically narrow the coverage for personal property in
this respect to clarify that there can be no instance where something
excluded from either Coverage A or Coverage B could be eligible for
coverage under Coverage C. Proposed sections III.C.6.b and III.C.6.c
(excluding coverage for loss of use of personal property at the
described location, and personal property not inside a building) remain
unchanged from existing language in the Dwelling Form. Consistent with
coverage limitations in the current Dwelling Form, proposed section
III.C.6.d of the Homeowner Flood Form provides that FEMA would not
cover personal property in a basement or enclosure, except as stated in
III.C.3 which limits coverage to appliances installed in their
functioning locations consistent with the current Dwelling Form. FEMA
is proposing to make a change to this section to eliminate references
to flood zones or pre- or post-FIRM status of a building, consistent
with other changes throughout the policy. Similarly, proposed section
III.C.6.e, excluding coverage for personal property in a building
constructed or substantially improved after September 30, 1982, that is
located in, on, or over water or seaward of mean high tide, would
include non-substantive, grammatical revisions to conform to other
organizational changes within the policy. Proposed section III.C.6.f
would clarify that personal property in any open structure that is in,
on, or over water is not covered regardless of its use. FEMA proposes
to add section III.C.6.g to exclude losses to items stored in digital
or other intangible formats, consistent with broader industry standards
and other insurance products. This addition would have the effect of
excluding cryptocurrency and other such digital items, given the
challenges with proving such losses. For example, a flood could cause a
server or desktop computer with valuable information on it to stop
working. The policy would not cover these losses given the challenges
associated with proof of loss, such as demonstrating the existence of
the information at the time of loss, the inability to access or restore
the information through other means, the valuation of such information,
and other concerns. In proposed section III.C.6.h, FEMA seeks to add
items held in
[[Page 8298]]
violation of state or Federal law to the list of exclusions to clarify
that the Agency would not pay to indemnify against inherently illegal
activity. FEMA also proposes to add section III.C.6.i to exclude
coverage for living things, consistent with current Agency policy,
broader industry standards, and other insurance products. In section
III.C.6.j, FEMA proposes a minor change to the exclusion from coverage
of any self-propelled vehicle or machine to prohibit coverage for those
vehicles or machines capable of transporting people or cargo while
continuing to allow coverage for vehicles or machines not registered
for use on public roads that are used solely to service the described
location or to assist people with disabilities when such property is
inside a building at the described location. FEMA is proposing this
change to clarify that coverage would not extend to vehicles that do
not service the property or aid those with a disability, as other
insurance is more appropriate for those items.\58\
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\58\ For example, a separate automobile insurance policy would
be more appropriate for all-terrain vehicles (ATVs) and golf carts
because their use is not limited to servicing the location or
assisting those with disabilities. By contrast, this policy would
cover farm vehicles not licensed for use on a public road. See NFIP
Claims Manual (June 2023) at COVERAGE-19, available at https://www.fema.gov/sites/default/files/documents/fema_nfip-claims-manual_062023.pdf (last accessed Aug. 28, 2023).
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d. Coverage D--Other Coverages
FEMA proposes organizing section III.D to align with the policy's
organizational structure. Section III.D.1, ``Debris Removal,''
clarifies what debris is covered and what is not. Specifically, FEMA
proposes in section III.D.1.a to cover labor and expense to remove
debris from anywhere that comes onto or into the dwelling or other
insured buildings, and debris of insured property anywhere. FEMA
proposes the clarification in section III.D.1.a(1) to emphasize that
labor is an element of the total covered expense. Additionally, FEMA
proposes a slight broadening of coverage from the current Dwelling Form
in proposed section III.D.1.a(1)(a) of the Homeowner Flood Form to
state that the removal of any debris inside the insured buildings is
covered. Proposed section III.D.1.a(2) would clarify that FEMA would
pay the value of any debris removal work performed by the homeowner
policyholder or a member of one's household using the Federal minimum
wage, and that this coverage does not increase the coverage limit on
the declarations page. Proposed section III.D.1.b, ``Debris Not
Covered,'' would provide that the policy does not cover debris from
other locations on the land surrounding the dwelling or other insured
buildings or any non-covered items of property from the dwelling or
buildings, even if the removal facilitates covered cleanup or repairs.
FEMA proposes this clarifying language to ensure that homeowner
policyholders appropriately insure their property and to avoid
duplication of benefits to both owners of debris and the homeowner
policyholder upon whose land the debris resides.
FEMA proposes to slightly broaden coverage in section III.D.2,
``Loss Prevention.'' Section III.D.2.a would provide that FEMA would
pay up to the coverage sublimit specified on the declarations page for
the expenses a homeowner policyholder incurs to protect one's insured
property from a flood or imminent danger of flood. These expenses would
be limited to: (1) reasonable expenses to buy materials to use
temporary measures to avoid or reduce the harm from an imminent flood,
including sandbags, fill for temporary levees, and pumps; and (2) the
value of work, at the Federal minimum wage, that a homeowner
policyholder or a member of her household performs to protect the
property. Section III.D.2.b would specify that this coverage for
materials and labor only applies if damage to the insured property by
or from flood is imminent and the threat of flood damage is apparent
enough to reasonably anticipate flood damage, and only if one of the
following occurs: (1) a general and temporary condition of flooding in
the area near the described location occurs, even if the flood does not
reach the insured building; or (2) a legally-authorized official issues
an evacuation order or other civil order for the community in which the
property is located to preserve life and property from flood. FEMA
proposes this language for increased clarity and consistency with other
sections in the Form. For instance, while the Dwelling Form at section
III.C.2.a(1) limits coverage to $1,000, this proposed section would
remove the dollar limit from the Form itself, allowing it to be altered
through the declarations page or other guidance. The proposed language
would also limit the use of lists (compare with sections
III.C.2.a(1)(a)(i)-(iv) of the Dwelling Form) and allow coverage where
there may be technological or local variances in what items are used to
prevent losses rather than restrict it to the specific items in the
policy as is currently the case.
Proposed section III.D.3, ``Property Removed to Safety,'' would
provide that FEMA would pay up to the coverage limit on the
declarations page, at the Federal minimum wage, for reasonable expenses
and labor a homeowner policyholder or member of her household, incurs
for moving insured property to a secure location to protect it from
flood or the imminent danger of flood. Consistent with other sections
in the Form, this language would simplify coverage by removing mention
of special flood hazard areas, as well as the coverage limit, allowing
the limit to be altered through the declarations page or other
guidance. Proposed section III.D.4 would specify that Coverage D does
not increase the limits of Coverages A, B, or C.
5. Section IV: Exclusions
Proposed section IV would replace article V of the Dwelling Form.
By continuing to address exclusions separately from coverage, FEMA
seeks to clearly delineate between the types of property covered and
not covered from the sources of damage excluded. This is to conform
with industry standards, as insurance companies generally combine what
is covered and not covered in the coverage section of their policies,
and address excluded causation in the exclusions section. As this is a
single peril policy, it is FEMA's position that a shorter, simplified
exclusions section would reduce confusion on the part of the homeowner
policyholder. Proposed section IV is structured to address three main
concepts: excluded losses; flood in progress; and pre-existing damage.
a. Excluded Losses
For excluded losses, FEMA proposes to exclude other perils,
economic losses (including loss of business or losses associated with
upgrading to code per law or ordinance), earth movement, gradual
erosion, several non-flood but water-related causes of loss, and damage
from defects, rot, or infestation. Many of the exclusions in the
proposed policy mirror in substance those in the existing Dwelling
Form. In proposed section IV.A.1, FEMA seeks to simplify the language
to exclude other perils as this is a single-peril policy. Consistent
with other changes in the policy, FEMA proposes to condense the list of
economic losses excluded from coverage currently in sections V.A.1-7 of
the Dwelling Form into section IV.A.2 for clarity.
The proposed earth movement section at IV.A.3 would clarify what is
and what is not considered earth movement. In proposed section
IV.A.3.a, FEMA would retain but revise the list of items in the
corresponding sections of V.C of the Dwelling Form for clarity; this
list describes what earth movement includes, even if caused by flood.
While
[[Page 8299]]
FEMA would retain earthquake, landslide, subsidence, and sinkholes on
the list in proposed sections of IV.A.3, other changes are being
proposed for modest clarifications. For instance, proposed section
IV.A.3.a(5) would not retain the phrase ``movement of land that results
from accumulation of water in subsurface land area'' from section V.C.5
of the Dwelling Form for clarity. In addition, FEMA proposes to add
section IV.A.3.a(6) (``Any other movement such as sinking, rising,
shifting, expanding or contracting of the earth'') as a further catch
all for any variety of geological phenomena not specifically listed in
subsections (1)-(5).
In IV.A.3.b, FEMA proposes to provide further specificity that the
earth movement coverage exclusion does not include hydrostatic
pressures or hydrodynamic forces, buoyancy, and frictional force from
floodwater moving along the surface of the ground. These terms are
subsumed in the statutory definition of a ``flood.'' \59\ These terms
appear in the engineering reports included in claims files. The ability
to line up an engineering report with the policy language should help
provide policyholders with additional clarity regarding what is and is
not excluded.
---------------------------------------------------------------------------
\59\ See NFIA sec. 1370(b)-(c) (42 U.S.C. 4121(b)-(c)).
---------------------------------------------------------------------------
Proposed section IV.A.4 would exclude coverage for gradual erosion
caused by the normal water action that wears an area of land away over
time and contains minor clarifying edits for readability. FEMA proposes
similar clarifying edits in section IV.A.5, ``Other excluded causes of
damage.'' These clarifying edits include combining sections V.D.1 and
V.D.2 of the Dwelling Form into proposed section IV.A.5.a because the
listed items relate to ice; excluding in section IV.A.5.c damage from
exposure to water of any form other than flood (as detailed in sections
V.D.4.b(2), V.D.5, and V.D.6 of the Dwelling Form); and excluding in
section IV.A.5.e actions taken by homeowner policyholders or any
members of their household that deliberately cause direct physical loss
by or from flood (see section V.D.9 of the Dwelling Form). Proposed
section IV.A.5.b would remain unchanged from section V.D.3 of the
Dwelling Form. In section IV.A.5.d, FEMA proposes to add other related
conditions to clarify that design, structural, or mechanical defects;
deterioration, rot, or corrosion; or damage from insects and rodents
would be excluded as these are all pre-existing conditions at the time
of claims adjustment. Homeowner policyholders may not be aware of these
conditions prior to experiencing a loss, but these conditions are
generally not attributable to a single flood event and thus would not
be covered under the policy.
The Dwelling Form currently excludes coverage for losses that occur
because of an alteration to the insured property that significantly
increases the risk of flooding at section V.D.10. Proposed section
IV.A.6 would clarify that this exclusion covers any homeowner
policyholder actions, whether an alteration to the insured property or
a more general change, that causes the hazard to increase by any means
within the homeowner policyholder's control or with the homeowner
policyholder's knowledge. FEMA is proposing this revision to streamline
the policy by stating in one location rather than the two sections
found in the current Dwelling Form (sections V.D.10 and VII.F) that
FEMA would not pay for a loss where the homeowner policyholder took
action or allowed an action to happen that increased their risk of
flooding.
b. Flood in Progress
In section IV.B, ``Flood in Progress,'' FEMA proposes to define
what constitutes a flood in progress, and to address concerns where
there is a strong moral hazard. This clarity would help ensure that
policies are not written for a property while a flood is in progress at
the described location. Further, this proposed revision ensures that if
a policy is written while a flood is in progress, the exclusion is
well-defined to help avoid disputes when the homeowner policyholder
attempts to submit a claim. With this proposed revision, FEMA seeks to
avoid situations where a homeowner policyholder purchases flood
insurance as a means of ``buying a claim'' while also allowing
homeowner policyholders to perceive their risk and take an appropriate
action. FEMA proposes to explain in section IV.B.1 that a flood is in
progress when (1) there is a near certainty of a flood loss at the
described location from a flood control effort such as opening a
spillway, breaching a levee, or releasing water from a dam, or (2)
there is a flood at the described location. FEMA proposes to explain in
section IV.B.2 that if the policy becomes effective in connection with
a loan closing, FEMA would not pay for loss caused by a flood in
progress at the time of the loan closing. Proposed section IV.B.3 would
provide that in all other circumstances, FEMA would not pay for a loss
caused by a flood in progress that existed on or before the day the
homeowner policyholder submitted the application. While proposed
sections IV.B.2 and IV.B.3 mirror in substance the language in section
V.B of the Dwelling Form, the added clarity in proposed section IV.B.1
would help ensure that policies are written and administered
consistently.
c. Pre-Existing Damage
FEMA proposes in section IV.C to explicitly exclude coverage for
pre-existing damage. This section would specify that pre-existing
damage includes flood loss or damage that occurred prior to the date of
loss, whether direct physical loss or not, and whether paid or unpaid,
and damage attributable to any non-flood peril that occurred prior to
the date of loss. Under section VII.H.2.e of the Dwelling Form, when an
insurance company suspects that damage existed prior to the flood
event, it can request evidence that prior flood damage has been
repaired. In some instances, the property may have been sold without
disclosure of a prior flood loss.\60\ In other instances, the insurer
may know that a homeowner policyholder had a loss from another peril
and was paid for the same items. More explicitly excluding coverage for
pre-existing damage would make the exclusion clearer to homeowner
policyholders and help prevent disputes over unrepaired flood damage or
from unrepaired items from other perils that often arise when property
changes owners. It would also better align the policy with traditional
insurance concepts and FEMA's longstanding practice of not paying for
pre-existing damage. Lastly, it would reinforce proposed VI.A.3.g(5)
(requiring proof of repairs for prior losses to ensure coverage of
damages occurring from the current loss). Note that FEMA is proposing
not to retain in this section language regarding ICC coverage, as that
would be detailed in the ICC Endorsement.
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\60\ State laws govern disclosures of prior losses in property
transfers and the SFIP cannot change state disclosure laws that
apply to prior losses.
---------------------------------------------------------------------------
6. Section V: Policy Conditions
Proposed section V would combine provisions from articles VII,
``General Conditions,'' and VIII, ``Policy Nullification, Cancellation,
and Non-Renewal,'' of the Dwelling Form that specifically apply to how
FEMA administers the policy. These provisions represent homeowner
policyholder-facing underwriting aspects of the policy.
[[Page 8300]]
a. Actions and Conditions That Can Void Your Policy
Proposed section V.A would describe the actions and conditions that
can void a policy. Section V.A.1, ``NFIP Ineligibility,'' would provide
scenarios where the policy is void from inception and has no legal
force due to underlying ineligibilities. Retaining language from
section VIII.B.1.a of the Dwelling Form, proposed section V.A.1.a would
provide that the policy is void if the described location is in a
community that was not participating in the NFIP at the policy's
inception and did not join or reenter the NFIP during the policy term
and before loss occurred. Similarly, proposed section V.A.1.b would
retain the substance of section VIII.B.1.b of the Dwelling Form and
provide that the policy is void where the described location or other
property is otherwise not eligible for coverage under the NFIA or its
implementing regulations, for reasons of noncompliance with local
floodplain ordinances or otherwise. Subsection A.1.c would provide that
the policy is void where any other Federal law prevents coverage of
property at the described location. FEMA proposes not to retain the
language in sections VIII.B.1.c-e and VIII.B.2 of the Dwelling Form;
because these provisions do not relate to coverage, they are better
suited to guidance.
Section V.A.2, ``Concealment or Fraud,'' contains much of the same
language in the Dwelling Form, with three primary clarifications.
Proposed section V.A.2.a provides that the policy is void and cannot be
renewed if the insured or agent, at any time before or after a loss,
intentionally concealed or misrepresented any material fact or
circumstance, engaged in fraudulent conduct relating to the policy, or
knowingly made false statements relating to the policy or any other
NFIP insurance at any time. FEMA proposes to add the word
``intentionally'' to clarify that a homeowner policyholder must intend
to conceal or misrepresent in order for the policy to be void; a
scrivener's error would not result in voidance. FEMA proposes to
specify that the fraudulent activity must relate to the policy, because
any fraudulent activity beyond the scope of the policy is not a cause
for voidance. FEMA also proposes to specify that any false statements
must have been made ``knowingly'' to ensure that the policy is only
voided in situations involving malfeasance on the part of the insured
or agent. Like section VIII.A.3 of the Dwelling Form, proposed section
V.A.2.b would specify that the policy would be void as of the date the
acts described in subsection A.2.a were committed. Proposed section
V.A.2 would not retain the language in section VIII.A.4 of the Dwelling
Form regarding applicable Federal laws, consistent with other changes.
b. Policy Renewal
Proposed section V.B, ``Policy Renewal,'' would require that FEMA
receive the renewal premium within 30 calendar days of the expiration
date of the prior policy; it would also state the FEMA would not renew
the policy if Federal law prevents coverage of property at the
described location. This section is considerably shorter than the
corresponding section in the Dwelling Form (at section VII.E) and
conforms to modifications elsewhere in the policy. For instance, this
section would no longer contain the policy term or right for review, as
those would be addressed in proposed sections I.D and I.F,
respectively. Additionally, the Dwelling Form explains the consequences
when the insurer fails to mail the renewal notice or makes a mistake,
such as by mailing the notice to the incorrect address. There is no
analogous provision in other property insurance contracts, and FEMA is
proposing to eliminate this language given the rarity of these
situations. Lastly, section V.B.2 would reference ``Federal law'' for
brevity, as this would include section 1316 and other relevant
provisions of the NFIA, relevant provisions of the Coastal Barrier
Resources Act,\61\ and any future statutory changes.
---------------------------------------------------------------------------
\61\ 16 U.S.C. 3501 et seq.
---------------------------------------------------------------------------
c. Cancellation of the Policy by You
Proposed section V.C, ``Cancellation of the Policy by You,'' would
provide that the homeowner policyholder may cancel the policy when the
homeowner policyholder (1) no longer has an insurable interest in the
property, (2) is no longer required to maintain flood insurance
pursuant to Federal law or lender requirements, or (3) has a duplicate
NFIP policy. It would also provide that if a homeowner policyholder
cancels the policy, he or she may be entitled to a full or partial
refund of premium for the current policy term. While the NFIP uses over
a dozen cancellation reason codes, not all of these are for homeowner
policyholder cancellation. FEMA isolated the reasons specific to
homeowner policyholder cancellation, found that they fell into the
three broad categories outlined just above, and now proposes to
highlight those categories in the policy itself. It is FEMA's position
that these changes offer increased clarity for the homeowner
policyholder compared to the language in the Dwelling Form at section
VIII.C.
d. Reduction and Reformation of Coverage
Proposed section V.D, ``Reduction and Reformation of Coverage,''
would explain to homeowner policyholders what occurs when the premium
FEMA receives is insufficient for the coverage sought, but in a shorter
and easier to read format compared to the Dwelling Form (see section
VII.D of the Dwelling Form). Proposed section V.D.1 would provide that
where the premium is not enough to purchase the requested amount of
coverage, FEMA would issue the policy, but only for the amount of
coverage that the premium would purchase for a one-year term. This
section would substantively mirror section VII.D.2 of the Dwelling Form
but would be more readable. Proposed section V.D.2 would provide that
FEMA would increase the reduced amount of coverage to the amount
originally requested without regard to whether a loss occurred when
FEMA bills for the additional premium, or if necessary to calculate the
additional premium, requests information (V.D.2.a), and the homeowner
policyholder responds to the request for additional premium within 30
calendar days, or responds to the request for additional information
within 60 calendar days (V.D.2.b). Proposed section V.D.2.c would
provide that a homeowner policyholder's failure to timely respond may
result in a waiting period for additional coverage if a loss has not
occurred within the policy term, or the settlement of a claim under the
reduced limit if a loss has occurred within the term. Functionally,
there is no difference between determining that there is an
insufficient premium before loss or after loss, so treating these
concepts together should simplify the policy. Altogether, section V.D.2
would condense sections VII.D.3.a and b of the Dwelling Form into one
more concise and readable section and would conform to other changes in
the policy (e.g., specifying ``calendar'' days).
e. Disaster Conditions
FEMA proposes to add section V.E, ``Disaster Conditions,'' which
would be a new section. This section would incorporate existing
practices when a flood reaches such a magnitude that FEMA anticipates
logistical challenges with adjusting losses and reasonably expects
increased competition for limited contractor services in the disaster-
effected area, or where homeowner policyholders may not be in a
position to receive and respond to
[[Page 8301]]
mail regarding the renewal of their flood insurance policy. In these
scenarios, FEMA has, as a courtesy to homeowner policyholders, extended
both the proof of loss deadline beyond the 60 days stated in the policy
and the grace period to renew coverage without experiencing a lapse.
(For example, FEMA extended the proof of loss and grace period
deadlines for Hurricanes Harvey, Irma, and Maria in 2017 and Hurricane
Michael in 2018). FEMA has issued these extensions via bulletin to the
WYO companies, and via public communications to policyholders who would
otherwise lack awareness of these extensions and the flexibility they
bring. In the absence of policy language governing extensions, however,
stakeholders have often requested longer proof of loss timeframes for
smaller flooding events, or have asked FEMA to continue to extend
deadlines indefinitely for even longer periods following major
flooding. To provide clarity and uniformity, therefore, proposed
section V.E.1 would provide that in the event of a flood associated
with a major disaster or emergency declared by the President under the
Stafford Act,\62\ the FEMA Administrator may, after written notice,
extend the timeframes for proof of loss up to 365 calendar days from
the date of loss, and the timeframes for policy renewal up to 60
calendar days from the policy's expiration date. Placing an explicit,
objective trigger in the policy would allow it to indicate when these
``special'' provisions might apply to any homeowner policyholder. In
addition, establishing clear upper limits for proof of loss and policy
renewal extensions would enhance clarity and reduce requests for
indefinite extensions. Furthermore, by making the provision
discretionary and not mandatory, FEMA seeks to continue to offer
flexibility. These flexibilities would allow FEMA to extend one or both
deadlines when necessary and choose shorter timeframes when
appropriate.
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\62\ Public Law 93-288, as amended; 42 U.S.C. 5121 et seq.
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Proposed section V.E.2 would provide new flexibilities that in the
event of a flood associated with a declared major disaster or
emergency, the Administrator may, after written notice, conditionally
waive the requirement in proposed sections VI.A.3 and VI.B.2 that an
insured must sign or swear to a proof of loss or an adjuster's report.
This would authorize the insurer to accept and make payment on the
adjuster's report. This payment based on the adjuster's report is
``undisputed'' which allows the insurer to accept that a covered loss
took place without any further action needed from the policyholder. The
flexibility provided here would not stop the homeowner policyholder
from seeking additional payment through a proof of loss but would help
ensure payment as quickly and safely as possible to the homeowner
policyholder.
Proposed section V.E.3 would provide new flexibilities that in the
event of a flood associated with a declared major disaster or
emergency, the Administrator may, after written notice, establish
special procedures for advance payments to insured(s) in accordance
with proposed section VI.C.3. (As discussed below at section III.A.7.c
of this preamble, this section would allow the insurer to make an
advance payment for up to 5 percent of the Coverage A limit to a
homeowner policyholder without putting the mortgage company on the
check). Under the current Dwelling Form, a homeowner policyholder with
Coverage A receives a check issued to the homeowner policyholder and
any secured interest (i.e., a mortgage or second mortgage, etc.) and
the homeowner policyholder may have to negotiate with the secured
interest holder before the check can be cashed to provide payment to a
contractor for repairs. Some secured interest holders may be reluctant
to endorse the check until they know the repairs have been made to
protect their financial position. Doing so, however, can negatively
impact the homeowner policyholder who is then required to secure the
contractor with out-of-pocket funds. By allowing for advance payment,
homeowner policyholders without contents coverage should be able to
secure a contractor without necessarily utilizing out-of-pocket funds
while not affecting the mortgage company's ability to file its own
claim. FEMA understands the proposed 5 percent advance payment would
benefit the homeowner policyholder so they can rebuild more quickly.
FEMA believes the proposed 5 percent advance payment is an insurance
industry standard and seeks comment from the public specifically on
whether or not the 5 percent advance payment is standard.
Finally, proposed section V.E.4 would provide new flexibilities
that in the event of a flood associated with a declared major disaster
or emergency, the Administrator may, after written notice, settle
losses in accordance with any formula established under Federal law
that allocates covered damages amongst multiple perils, including
flood. This would add flexibility if a declared disaster allows the use
of the COASTAL Formula for settling losses that allocate damages
amongst multiple perils.\63\
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\63\ Section 1337(b)(1) of the National Flood Insurance Act of
1968 (NFIA) (42 U.S.C. 4057(b)(1)), as added by section 100253 of
the Consumer Option for an Alternative System to Allocate Losses Act
of 2012 (also referred to as the COASTAL Act of 2012) (Pub. L. 112-
141, div. F, title II), requires FEMA to ``establish by rule a
standard formula to determine and allocate wind losses and flood
losses for claims involving indeterminate losses.'' This formula is
referred to as the ``COASTAL Formula'' pursuant to NFIA sec.
1337(a)(2) (42 U.S.C. 4057(a)(2)). Once FEMA adopts a COASTAL
Formula in regulation, FEMA may use the formula to oversee the
handling of claims involving indeterminate losses and, for floods
resulting in a Federal disaster declaration, make claim payments
based on the formula. See NFIA sec. 1337(c) (42 U.S.C. 4057(c)).
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7. Section VI: Procedures and Duties When a Loss Occurs
The Dwelling Form includes various provisions under article VII,
``General Conditions.'' FEMA proposes to combine all provisions
relating to how losses are proven and paid (traditionally claims
issues) in proposed section VI, ``Procedures and Duties When A Loss
Occurs.'' The organization of this section would mirror the sequence
that a homeowner policyholder would use the policy following a loss,
first addressing what the homeowner policyholder must do, then what
insurer options exist, how the claims adjustment process works, what
deductible applies, how loss is settled, and how the appraisal process
works when required. It is FEMA's position that organizing this section
according to the logical progression of the process would aid homeowner
policyholders who experience a loss, helping ensure that they
understand the policy's terms and conditions as well as the process.
a. Your Duties After a Loss
In organizing section VI.A, ``Your Duties After a Loss,'' FEMA
focused extensively on proof of loss. The proof of loss is an industry
standard concept and is the foundation of payment of any claim. In the
NFIP, the proof of loss is a crucial customer service tool, ensuring
that the flood adjuster takes the time to explain coverage and helps
the homeowner policyholder understand how to address situations where
the insurance estimate and contractor estimate (or quote) deviate.
Absent the proof of loss, an adjuster can submit a report to an
examiner and the insurer can make payment without the homeowner
policyholder ever understanding what they did or did not get paid for
as part of the claim. In proposed section VI.A, FEMA seeks to simplify
the language around proof of loss where possible and address what is
[[Page 8302]]
expected of the homeowner policyholder separately from what options the
insurer has (proposed section VI.B). These changes align with other
property insurance forms in the marketplace \64\ and make clear that
certain duties exist for both parties to the insurance transaction.
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\64\ The changes align with the Insurance Services Office's
``HO-3'' form, the template behind most standard homeowners
insurance policies. See supra note 24.
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Proposed section VI.A would provide that if the described location
experiences a direct physical loss by or from flood, the homeowner
policyholder must comply with all of the duties listed in VI.A.1-7.
This would ensure that the homeowner policyholder knows they must
comply with these duties, and that substantial compliance would not
suffice. Proposed section VI.A.1 outlines the first duty, which is to
give prompt notice to the insurer. This would be a change from the
Dwelling Form (see section VII.G) and allow for a reasonable form of
prompt notice to the insurer when a loss occurs rather than
specifically requiring a written notice. The critical element of the
notice requirement is timing, not the form the notice takes. This
proposed revision provides flexibility to the homeowner policyholder
regarding the ways prompt notification can be given and reflects
current practice, as some homeowner policyholders provide prompt notice
by calling or emailing their insurance agents when a loss occurs.
Proposed section VI.A.2 would require that the homeowner policyholder
separate the damaged and undamaged property as soon as possible so that
it can be examined and take all reasonable measures to protect covered
property from any further loss. This section would not retain the
phrase ``best possible order'' found in section VII.G.2 of the Dwelling
Form because this language is unnecessary, as FEMA does not deny claims
because there was a better possible order available. In addition, the
requirement that homeowner policyholders take reasonable measures to
protect undamaged property would help avoid scenarios where avoidable
damage or intervening causes of loss occur, which could result in
denial of coverage. This additional language reinforces the duty to
mitigate loss and reduce the potential for intervening causes of loss
which generally result in denial of insurance claims.
Proposed section VI.A.3 makes a significant change from the
Dwelling Form (see section VII.G.4) regarding timing of submission of
the proof of loss. It would require that within 90 calendar days after
the loss, the homeowner policyholder must send FEMA a signed and sworn
proof of loss containing the date and time of loss, how the loss
occurred, details of any other insurance, changes in title or occupancy
of the property during the policy term, names of mortgagees or anyone
else with a lien, charge, or claim against the property, a description
of all damages and detailed repair estimates (if available), and an
inventory of the lost, damaged, or destroyed property. The inventory
must show the quantity, description, replacement cost value or actual
cash value (whichever is applicable), amount of loss, evidence that
prior flood damage has been repaired, any written plans for repair of
the property that the homeowner policyholder can reasonably make
available, and all funds the homeowner policyholder spends recovering
from the loss. The homeowner policyholder must also attach copies of
all bills, receipts, invoices, written estimates, and related
documents.
This proposed section would increase the timeframe to submit a
proof of loss from 60 to 90 days, and, consistent with other provisions
in the Homeowner Flood Form, specify that these are calendar days. FEMA
has historically provided a 60-day window for providing proof of loss.
FEMA recognizes that 60 days, the industry standard,\65\ is normally a
sufficient timeframe for homeowner policyholders to provide the proof
of loss information in a non-disaster scenario. FEMA proposes, however,
to surpass the industry standard regarding this timeframe given the
nature of the peril involved--flooding--the governmental nature of the
NFIP,\66\ and the fact that as mentioned previously, FEMA has often
provided homeowner policyholders with extensions of the 60-day window
in catastrophic conditions.\67\ Flooding, often resulting from severe
storms, can require extended evacuation periods. After a flood,
securing contractors to determine the full scope of damage to a
property can be challenging given the increased demand in impacted
areas for these services. Increasing the timeframe to provide proof of
loss should assist homeowner policyholders by providing additional time
to return to the property after an evacuation and secure a contractor.
FEMA anticipates that this increased timeframe would also result in
fewer homeowner policyholder requests for additional payment that FEMA
currently sees with the 60-day window. In a catastrophic event,
homeowner policyholders need to coordinate with contractors to obtain
price quotes which can take time given the volume of demand after an
event. While the insurance policy would provide payment based on an
adjuster's estimate, it is just that--an estimate. An occasion may
arise where an estimate is insufficient to cover the cost of repairs
that are within the policy's coverage that a contractor's quote would
capture. Additionally, there may be an occasion where a contractor's
quote may include repairs that are not covered under the policy. For
example, a garage door is damaged by flood. The adjuster finds coverage
and identifies the scope of the
[[Page 8303]]
covered damage and estimates the value of the covered damage at $500.
The contractor's quote may indicate a $1,000 price to replace the
garage door. The additional $500 in the contractor's quote may be due
to an increase in the price of the unit following the disaster and such
cost may be covered. The additional $500 in the contractor's quote
could be for rewiring to conform to local building codes and such a
code upgrade would generally not be covered. The proposed additional
time would allow homeowner policyholders to obtain contractor services
and resolve these questions in advance, improving the efficiency of the
process overall.
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\65\ See Nevada Department of Insurance Allstate Homeowner's
Form, page 12, Section 1 Conditions 3.g (stating that signed, sworn
proof of loss statements must be submitted within 60 days after the
loss), found at https://docs.nv.gov/doi/documents/home_policies/AllStateForms/AP783.pdf (last accessed Aug. 28, 2023).
\66\ As a government program, the NFIP does not have the variety
of flexibilities available to the private sector regarding post-loss
options. If a policyholder experiences a loss, a private industry
insurer can send over their preferred contractors to handle
everything for the policyholder after the payment of the deductible.
In the NFIP, utilizing treasury funds and other governmental
requirements generally require a greater degree of precision and
puts an added burden on SFIP policyholders as compared to their
general homeowners coverage through private insurance. By providing
more time in this proposed revision, FEMA is offering SFIP customers
extra time beyond the industry standard to help alleviate this added
burden.
\67\ For example, FEMA extended these deadlines for Hurricane
Maria (see e.g., Bulletin W-17057, ``Activation of NFIP Catastrophic
Event Enhanced Claim Payment Process and Proof of Loss Extension for
Hurricane Maria,'' (Sept. 28, 2017), found at https://nfipservices.floodsmart.gov/sites/default/files/w-17057.pdf (last
accessed Aug. 28, 2023)), Hurricane Irma (see e.g., Bulletin W-
17040, ``Activation of NFIP Catastrophic Event Enhanced Claim
Payment Process and Proof of Loss Extension of Hurricane Irma,''
(Sept. 17, 2017), found at https://nfipservices.floodsmart.gov/sites/default/files/w-17040.pdf (last accessed Aug. 28, 2023)), and
the August 2016 floods in Louisiana (see e.g., Bulletin W-16028,
``Notice of the Limited Waiver of the Standard Flood Insurance
Policy (``SFIP'') to Extend the Time for Sending Proofs of Loss in
the States of Louisiana and Mississippi for Claims Related to Severe
Winter Storms Commencing on March 7, 2016 through March 19, 2016,''
(Apr. 21, 2016), found at https://nfipservices.floodsmart.gov/sites/default/files/w-16028.pdf (last accessed Aug. 28, 2023)); Bulletin
W-16038, ``Notice of the Limited Waiver of the Standard Flood
Insurance Policy (``SFIP'') to Extend the Time for Sending Proofs of
Loss in the State of Louisiana for Claims Related to Severe Spring
Storms Commencing on April 17, 2016 through April 20, 2016,'' (Jun.
15, 2016), found at https://nfipservices.floodsmart.gov/sites/default/files/w-16038.pdf (last accessed Aug. 28, 2023)); Bulletin
W-16067, ``Notice of the Limited Waiver of the Standard Flood
Insurance Policy (``SFIP'') to Extend the Time for Sending Proofs of
Loss in the State of Louisiana for Claims Related to the Mid-Summer
Severe Storms Commencing on August 9, 2016 through August 31,
2016,'' (Sept. 9, 2016), found at https://nfipservices.floodsmart.gov/sites/default/files/w-16067.pdf (last
accessed Aug. 28, 2023)), among others.
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FEMA proposes to retain in proposed section VI.A.3 the Dwelling
Form's existing requirements in section VII.G.4 for documenting the
proof of loss with a few minor adjustments. These include proposed
VI.A.3.c's requirement that the homeowner policyholder provide details
of any other insurance that may cover some or all of the loss, as this
would make the insurer aware of the other insurance regardless of the
extent of coverage it may provide for the loss. In addition, VI.A.3.f's
requirement that the homeowner policyholder provide a description of
all damages to the dwelling and other covered buildings with detailed
repair estimates would help remind homeowner policyholders of the
requirements to prepare their claim for Coverages A and B. While much
of the required inventory list remains the same, FEMA highlights a few
changes here. First, proposed section VI.A.3.g would require homeowner
policyholders to list not only damaged property, but also property that
may have been lost or destroyed, as that property may still be eligible
for coverage. Second, proposed section VI.A.3.g(3) would add in
replacement cost value, as Coverage C would be eligible for replacement
cost value loss settlement instead of only actual cash value. Third,
proposed section VI.A.3.g(7)'s requirement of information on all funds
actually spent recovering from the loss, including copies of all bills,
receipts, invoices, written estimates, and related documents, would
enhance the insurer's ability to accurately and completely settle the
loss.
FEMA proposes minor clarifying edits in proposed sections VI.A.4,
VI.A.5, VI.A.6, and VI.A.7. Like section VII.G.5 of the Dwelling Form,
proposed section VI.A.4 would continue requiring homeowner
policyholders to use their own judgment concerning the amount of loss
and justify that amount before signing it. Like section VII.G.6 of the
Dwelling Form, proposed section VI.A.5 would clarify that there may be
additional parties beyond an adjuster involved in the investigation of
a claim. In proposed section VI.A.6, FEMA would add an industry
standard provision requiring the homeowner policyholder make the
damaged property accessible for inspection, to ensure that the insurer
can inspect the damaged property as appropriate for the claims review
process. FEMA also proposes conforming changes in section VI.A.7
(section VII.G.7 of the Dwelling Form) to the deadline for submission
of proof of loss to 90 calendar days as reflected in proposed section
VI.A.3.
b. Our Options After a Loss
In proposed section VI.B, ``Our Options After a Loss,'' FEMA seeks
to simplify and further clarify the insurer's options. Section VI.B.1.
would provide that after a loss and at the insurer's sole discretion,
it may require that the homeowner policyholder provide it access to the
damaged property, submit to examination under oath upon request and
sign the transcript from such examination, and permit the insurer to
examine and make copies of all or any portion of any policies of
property insurance against loss and the deed establishing ownership of
the insured property, and all bills, invoices, receipts, and other
records pertaining to the damaged property (or certified copies if
originals are lost). Section VI.B.2 would allow the insurer to accept
its adjuster's report of the loss in lieu of a proof of loss and
require the homeowner policyholder to sign the report, and it would
also allow the insurer to require the homeowner policyholder to swear
to the report. This section does not mirror its counterpart in the
Dwelling Form (at section VII.H) because the section in the Dwelling
Form includes several concepts that the Homeowner Flood Form would
cover in other sections (e.g., inventory requirements, which the Form
would cover in VI.A.g, discussed above). FEMA proposes to add the
requirement in VI.B.1.a that the homeowner policyholder provide the
insurer access to the damaged property as this would formally enable
the inspection of damaged property to better facilitate the claims
review process. FEMA's proposed reorganization and restatement of the
requirement to provide transactional and other records related to the
damaged property in section VI.B.1.c(2) would increase clarity for
homeowner policyholders and ensure they understand that insurers can
examine and make copies of these records. The language in proposed
VI.B.2 is currently in the Dwelling Form (at section VII.G.9), but FEMA
proposes not to retain the language describing what the adjuster's
report includes (information about the loss and damages sustained)
because this language is unnecessary. This section would also not
retain the option currently in section VII.H.3.a of the Dwelling Form
for insurers to make repairs directly, as it is unnecessary. This
repair option has been a part of the Dwelling Form for several years,
yet FEMA data show that insurers have not invoked this option.
c. Loss Payment
Proposed section VI.C, ``Loss Payment,'' would retain much of the
current Dwelling Form's language at VII.J with minor changes. In
section VI.C.1, ``Adjustment of Claims,'' paragraph a. would state that
the insurer has not authorized the adjuster to approve or disapprove
any claim. This language would eliminate the redundancy currently in
the Dwelling Form and clarify that the adjuster is not authorized to
approve or disapprove any claim. Paragraph VI.C.1.b would retain the
language in section VII.J.1 of the Dwelling Form except for the
clarification that the 60 and 90-day timeframes are calendar days,
consistent with other proposed changes. Proposed section VI.C.2 would
similarly retain the language in the Dwelling Form at section VII.J.2,
except it would increase the timeframe a homeowner policyholder has to
file an amended proof of loss from 60 to 90 calendar days from the date
of loss, and would add references to the appeal, appraisal, and
litigation sections of the policy to make clear to homeowner
policyholders the additional rights available to them.
FEMA proposes to add a section on ``Advance Payments'' at proposed
VI.C.3. Section VI.C.3.a would provide that the insurer may provide the
homeowner policyholder with an advance payment prior to the completion
of the claim, and the homeowner policyholder may request an advance
payment after providing the notice of loss. It would further provide
that these payments may include amounts totaling no more than 5 percent
of the Coverage A limit to an insured without regard to proposed
section VII.F (``Mortgage Clause,'' discussed below). Section VI.C.3.b
would provide that the insurer may approve or reject the request for
advance payment, and that such approval or rejection does not affect
the final adjustment of the claim and does not change the homeowner
policyholder's duties or insurer's options. Section VI.C.3.c would
state that if the insurer provides an advance
[[Page 8304]]
payment that exceeds the covered loss, the insurer would send written
notice of the overpayment, and the homeowner policyholder must repay
the excess amount or dispute the validity of the overpayment within 30
calendar days. It would further provide that failure to repay any
overpayment may result in a debt collection by the Federal Government.
Current guidance requires the insurer to contact the homeowner
policyholder with a description of the remedies available to the NFIP
upon failure to repay the amount due by the deadline.\68\ Providing
this information in the policy would ensure the homeowner policyholder
is aware of this option in advance. FEMA proposes this section to
increase flexibility for insurers and transparency for the homeowner
policyholder, as giving insurers the option to issue advance payments
comports with industry practice. The language in VI.C.3.a permitting up
to 5 percent of the Coverage A limit of liability as an advance payment
would allow the insurer to issue a de minimis amount of payment to an
insured without having to include a mortgagee on the check. Lastly,
proposed section VI.C.3.c explains that an advance payment cannot
provide for a beneficial loss as this is an indemnity policy. Indemnity
insurance is a contractual agreement in which the insurer guarantees
compensation for actual losses or damages sustained and thus, the
homeowner policyholder must repay any excess amount issued.
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\68\ See Claims Manual at 217.
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d. Deductible
The Dwelling Form addresses deductibles in a standalone article
(``VI. Deductibles''). For the Homeowner Flood Form, however, FEMA
proposes to place the deductible section within section VI,
``Procedures and Duties When a Loss Occurs,'' as treating it within the
loss context is more logical. FEMA also proposes to present the
deductible as a single deductible instead of several deductibles for
simplicity. Proposed section VI.D.1 would retain language in the
Dwelling Form at VI.A, providing that when a loss is covered under the
policy, the insured would pay only that part of the loss that exceeds
the homeowner policyholder's deductible amount (subject to the
applicable coverage limit), and that the deductible amount is shown on
the declarations page. This section would not retain the additional
language in the Dwelling Form at VI.A regarding buildings under
construction, as the Homeowner Flood Form would treat buildings under
construction in a separate endorsement. Proposed section VI.D.2 would
provide that in each loss from flood, a single deductible applies to
losses to the dwelling and all other insured property. Proposed section
VI.D.3 would clarify that the deductible does not apply to any loss
avoidance measures specified in proposed sections III.D.2 or III.D.3.
Although offering separate deductibles for building and personal
property coverage are long-time conditions of the flood insurance
policy,\69\ it is FEMA's position that offering a single deductible for
property and contents aligns with industry standards and customer
expectations. A single deductible is also permissible under the NFIP's
statutory authority, as the NFIA sets the minimum deductible for
buildings,\70\ but no minimum deductible for personal property. Most
claims for personal property loss also contain a building loss claim
because personal property must be inside a building for coverage and it
is unlikely that personal property would be damaged without
corresponding building losses. The Biggert-Waters Flood Insurance
Reform Act of 2012 (BW-12) \71\ requires policyholders be paid only for
damage to property covered under their policy and a single deductible
applying to losses from the dwelling and all other property insured by
the policy comports with this. In proposed section VI.D.3, FEMA retains
the reference to loss avoidance measures, but does not retain
references to condominium loss assessments or Increased Cost of
Compliance. As mentioned previously, the Homeowner Flood Form would not
cover condominium units, and would include ICC coverage through an
endorsement.
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\69\ The National Flood Insurance Act authorizes FEMA to deliver
the NFIP in one of two ways. The first (Part A), envisions an
industry program supported by the Federal Government whereby FEMA
serves as a backstop for a pool of private insurers which sell a
flood insurance policy containing terms provided by FEMA. The second
(Part B, under which the NFIP currently operates), envisions a
Government program with industry support whereby FEMA leads a
program where private insurers agree to sell and service a Federal
flood insurance policy. When the NFIP operated under Part A, the
Department of Housing and Urban Development (HUD) set certain flood
insurance terms and conditions by regulation that FEMA continued to
utilize even after the switch to operating under Part B. See
generally 24 CFR 1911(f)(3) (1970): ``The policy contains a
deductible clause. Each loss sustained by the insured is subject to
a deductible provision under which the insured bears a portion of
the loss before payment is made under the policy. The amount of this
deductible is either $100 for each type of loss (that is, $100 on
the structure and $100 on the contents) or 2 percent of the amount
of insurance applicable to the type of loss, whichever is greater;''
and 44 CFR 61.5(d)(1980): ``Each loss sustained by the insured is
subject to a deductible provision under which the insured bears a
portion of the loss before payment is made under the policy. The
amount of the deductible for each loss occurrence is (1) For
structural losses, $200, and (2) for contents losses, $200.''
\70\ 42 U.S.C. 4019(b).
\71\ Public Law 112-141, 126 Stat. 916 (2012).
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e. Loss Settlement
FEMA proposes in section VI.E, ``Loss Settlement,'' to simplify the
provisions regarding loss settlement compared to the Dwelling Form's
section on the same (see section VII.R). This section would make it
clear that replacement cost value--the method of valuation using the
amount that it would cost to replace an asset--rather than actual cash
value, would be the default loss settlement. (As noted previously, a
homeowner policyholder seeking coverage at actual cash value may do so
by endorsement.) Section VI.E.1 would explicitly state that the policy
provides both replacement cost value and actual cash value as possible
methods of settling losses based on whether property is insured to
value. (1) Section VI.E.1.a would apply replacement cost value to the
dwelling, if at the time of loss, the coverage limit that applies to
the dwelling is 80 percent or more of full replacement cost immediately
before the loss or is the maximum coverage limit available under the
NFIP. It would also apply replacement cost value to claims arising
under Coverage B or C of the policy. Extending replacement cost value
loss settlement beyond Coverage A to Coverage B and C aligns the Form
with customer expectations and comports with other proposed changes for
consistency across coverages. (2) Section VI.E.1.b would apply actual
cash value if the dwelling is not eligible for replacement cost value
because it does not meet the conditions of VI.E.1.a, (insured to value)
or if actual cash value is specified in an endorsement (allowing
homeowner policyholders to elect actual cash value loss settlement at
the time of policy inception, with an appropriately adjusted premium
requirement reflecting the lowered expected loss).\72\ Proposed section
VI.E.1 would not retain special loss settlement, as it is only
applicable to
[[Page 8305]]
certain mobile homes (which would not be covered under the Form).
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\72\ Using replacement cost value allows FEMA to pay a
policyholder to replace what he or she had at the time of loss with
new like and kind quality. Actual cash value allows FEMA to pay a
policyholder to replace what he or she had at the time of loss while
considering the quality of the item and applying depreciation. For
example, if a floor is damaged by a flood, under replacement cost
value, the policyholder would receive payment for the type of
flooring at the same quality at current prices. Under actual cash
value, the policyholder would receive payment for the type of
flooring at the same quality less depreciation (wear and tear,
etc.), resulting in a reduced payment.
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Proposed section VI.E.2, ``Replacement Cost Value Settlement,''
would provide that if the loss is subject to replacement cost value
under VI.E.1.a, the insurer would pay to repair or replace the damaged
dwelling or other buildings at the described location or covered
personal property, but not more than the lesser of (1) the coverage
limit applicable to the loss as shown on the declarations page; (2) the
replacement cost of the damaged part of the dwelling using materials of
like kind and quality and for like use; or (3) the amount necessary to
repair or replace the damaged part of the dwelling for like use.
Proposed section VI.E.2 would also provide that where the loss is
subject to replacement cost value and the dwelling is rebuilt at a new
location, the insurer would pay only the cost that would have been
incurred if the dwelling had been rebuilt at its former location.
Proposed section VI.E.3, ``Actual Cash Value,'' would provide that if
actual cash value loss settlement applies, the insurer would pay the
lesser of the actual cash value of the covered property, or the policy
limits stated on the declarations page. Compared to the Dwelling Form,
these sections contain conforming edits (such as not retaining the
distinction between primary and nonprimary residences), and
nonsubstantive edits for readability. These sections would also not
retain the special situations listed in the Dwelling Form where only
actual cash value applies, consistent with other proposed changes.
FEMA proposes a new section VI.E.4, ``Flood Mitigation Expenses,''
to give customers and those who have suffered loss additional options
to receive payment for modest mitigation efforts.\73\ Section VI.E.4.a
would provide that the insurer would reimburse for post-loss expenses
that mitigate against future flood events as long as post-loss expenses
do not exceed the policy limits. Section VI.E.4.b would allow the
homeowner policyholder to choose to replace any damage under Coverage A
or B with Flood Damage Resistant Materials; after completing
installation of these materials, the homeowner policyholder may request
reimbursement. Section VI.E.4.c would allow the homeowner policyholder
to choose to elevate his or her machinery and equipment above a
basement or enclosure. Such elevated machinery or equipment must be
elevated to a height reasonably expected to avoid future direct
physical loss by or from flood. After elevating machinery and
equipment, the homeowner policyholder may request reimbursement. The
NFIP is not strictly an insurance program, but rather a program that
combines studying flood risk, mapping it, creating national minimum
floodplain management standards, and transferring flood risk.\74\ Under
these revisions, FEMA would not only pay to repair damaged property to
the status quo ante, it would pay for the additional higher costs of
flood damage resistant materials or additional labor to move machinery
and equipment. In the same way that many insurers currently take
efforts to reduce the likelihood or size of future claim payments pre-
loss,\75\ these revisions would allow FEMA to pay for similar actions,
just after the loss. Ultimately, the coverage is there to help the
homeowner policyholder recover; FEMA anticipates that the premiums tied
to the coverage choices would signal the underlying risk and promote
mitigation efforts.
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\73\ Any payment for mitigation efforts must be within statutory
limits and within the context of repairs of damaged items where
applicable.
\74\ See 42 U.S.C. 4001 et seq generally. Note that 42 U.S.C.
4001 addresses the intent of Congress to create a program that is
not strictly a flood insurance program; 42 U.S.C. 4014(a) authorizes
the agency to conduct studies and investigation for premium rate
estimation; 42 U.S.C. 4101b authorizes the agency to map flood risk;
42 U.S.C. 4102 authorizes the agency to conduct studies and
investigations for land management, floodplain management, and
zoning; 42 U.S.C. 4122 authorizes the agency to study perils other
than flood; and 42 U.S.C. 4127(c) authorizes the agency to utilize
appropriations for studies.
\75\ E.g., many insurers offer defensive driving discounts for
automobile policies, premium credits if a policyholder installs a
security system in his or her home, a reduction in premium for a
commercial liability policy if the business has sprinkler systems
installed throughout, etc. In essence, these efforts ``pay'' for
actions pre-loss through reductions in premium collected.
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Lastly, proposed section VI.E.5 would provide that the Form is not
a valued policy and would explain that a valued policy is a policy in
which the payable amount in the event of a total loss is agreed upon by
the insured and insurer. This reference puts the homeowner policyholder
on notice that, in the event of a total loss, the homeowner
policyholder would not automatically receive the policy limits.
Although the Dwelling Form also states that it is not a valued policy,
it contains this statement in the Definitions section. FEMA proposes to
place this in the Form's Loss Settlement section (1) because this is
the only location where it uses the term, and (2) to acknowledge the
frequency with which insurers cite to the term in denial letters, so
that homeowner policyholders would better understand the policy's loss
parameters.
f. Appraisal
In section VI.F, ``Appraisal,'' FEMA proposes to revise provisions
regarding appraisal to more closely mirror the NFIP's guidance issued
by bulletin,\76\ as appraisal carries a different meaning for the NFIP
than it does for property insurance under some state laws.\77\ Under
section VI.F, if the homeowner policyholder and the insurer fail to
agree on the replacement cost value, or if applicable, actual cash
value, and are thus unable to settle the amount of loss, either party
may demand an appraisal of the loss. Section VI.F.1 outlines the
conditions before a homeowner policyholder can request an appraisal.
Before requesting an appraisal, the homeowner policyholder must agree
with the insurer on a list of damaged items to be appraised (VI.F.1.a)
and must have complied with proof of loss requirements (VI.F.1.b). (If
the homeowner policyholder is uncertain about their loss and has not
finalized a proof of loss claim, the appraisal process is not
appropriate). Section VI.F.1.c would provide that appraisal is only
available when the dispute involves the price to be paid for the
covered property. Other disputes, such as disputes regarding coverage
or causation, or the extent of the loss, would not be able to be
resolved through the appraisal process. Section VI.F.2, ``Appraisal
Process,'' retains the language from section VII.M of the Dwelling Form
with minor conforming changes regarding actual cash value and
replacement cost value, and clarifying that the timeframes are in
calendar days, consistent with other proposed changes in the form. In
proposed section VI.F.3, FEMA seeks to more closely mirror the guidance
set out by previous bulletins to confirm that appraisals can only be
used when it would result in complete resolution of the entire claim
and
[[Page 8306]]
cannot be used to resolve only part of the claim or to determine the
value of some items and not others.
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\76\ See Bulletin W-13029, ``Proper Invocation and Usage of the
Appraisal Clause Provisions in the Standard Flood Insurance Policy''
(May 15, 2013), found at https://nfipservices.floodsmart.gov/sites/default/files/w-13029.pdf (last accessed Aug. 28, 2023).
\77\ In traditional claims handling, one first addresses
eligibility (i.e., is there a valid policy, insurable interest,
etc.?), then coverage (i.e., is there a loss caused by flood?), then
the scope of the loss (i.e., how much damage did floodwater cause?),
then finally pricing (i.e., the value of the loss items). For the
NFIP, appraisal only comes into play when there is a dispute
regarding pricing (i.e., the insurer and policyholder agree on
eligibility, coverage, and scope, just not on price). Many states,
by contrast, use appraisal in a variety of other ways, such as
determining causation (especially when there are multiple perils) or
other aspects of the claim. Because each state has specific
insurance laws that govern in the absence of a Federal law on point,
appraisal often serves as a ``catch-all'' for a range of dispute
resolution programs that exist for insurance which vary from state-
to-state.
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8. Section VII: General Conditions
Proposed section VII, ``General Conditions,'' would contain items
of general applicability to the policy. While article VII of the
Dwelling Form contains most of these provisions, the Homeowner Flood
Form would reorganize them alphabetically to make it easier for the
policyholder to find relevant information. It would also add three new
provisions (``Death,'' ``Headings and Captions,'' and ``Your Options
After Our Denial'') discussed in further detail below.
In proposed section VII.A, ``Abandonment,'' FEMA proposes to add
the word ``unilaterally'' so that the provision would read that the
policyholder may not unilaterally abandon to the insurer, damaged or
undamaged property insured under the policy. This is to ensure an
agreement for salvage, as the policyholder cannot invoke salvage for
the insurer. Proposed section VII.B, ``Amendments, Waivers, and
Assignment,'' would break out the first two sentences of section VII.C
of the Dwelling Form into separate clauses for readability, and would
change the reference to ``Federal Insurance Administrator'' to
``Administrator'' to conform with the policy's proposed terminology.
Although the current Dwelling Form provides conditions under which the
policyholder may assign the policy, proposed section VII.B.3 would
prohibit the assignment of the policy or claim to any other party in
order to avoid claims-related issues in states that allow assignment of
benefits.\78\ Because the increased choice and flexibility of the
Homeowner Flood Form allows homeowner policyholders to tailor it to
their needs, it is FEMA's position that it would not be necessary or
desirable for a homeowner policyholder to assign the policy to another
party.\79\ This is because the policy, as tailored by the original
homeowner policyholder, would not necessarily provide adequate
insurance coverage for the assignee. Eliminating the option to assign
should result in more fulsome discussions between agents and homeowner
policyholders regarding available options and would allow each
homeowner policyholder to choose the options that are right for them,
rather than having to accept a policy tailored to another individual's
choices.
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\78\ FEMA notes that while the Agency does permit assignment of
ICC benefits to a community in the context of grants, the extent to
which the FEMA will continue to permit assignment of ICC benefits
would be addressed in the ICC Endorsement.
\79\ For instance, a homeowner policyholder may want actual cash
value while an assignee might want replacement cost value coverage,
a homeowner policyholder may want additional living expenses while
an assignee might not, or a policyholder may not want to cover other
buildings under Coverage B, while an assignee might want to cover
one or more. In addition, to the extent that FEMA permits different
values for sublimits (e.g., loss avoidance, etc.), this is another
choice that may differ between homeowner policyholders and
assignees.
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Proposed section VII.C, ``Death,'' would be a new provision and
would provide that in the event of the homeowner policyholder's death
during the policy term, the coverage under the policy would continue
automatically for any other insured(s). If no other insured exists, the
policy would insure the administrator, executor, or other legal
representative of the homeowner policyholder's estate as previously
determined by the homeowner policyholder or the intestacy laws of the
state where the described location is located, but only for the
dwelling, building(s), and personal property of the deceased at the
time of death. Issues involving the death of a homeowner policyholder
arise with frequency. These can include situations where insurers deny
claims by invoking the assignment clause, questions arise over whether
the spouse was a resident of the same household, or more simply,
remaining family who are still grieving the loss become frustrated with
the insurance process. Addressing this scenario in the policy would
align it with industry practice, as homeowners' policies include a
death clause, and would reduce complexity for the remaining insured(s)
and/or family of the deceased.
Proposed section VII.D, ``Duplicate Policies Not Allowed,'' would
provide that FEMA would not insure personal property at the described
location under more than one NFIP policy. It would further provide that
if there is more than one NFIP policy for buildings at the described
location, FEMA would apply the NFIP rules concerning duplicate policies
and cancel or nullify one of the policies, whichever is applicable,
which may result in a refund. Compared to the Dwelling Form (see
sections I.F and VIII.D.3), the proposed language here contains updates
to capture the ability to have other insurance from a private carrier
(but not multiple NFIP policies), to reflect 44 CFR 62.5(e),
``Cancelation or Nullification of Duplicate NFIP Policies,'' as well as
other minor and conforming updates for clarity and readability.
Proposed section VII.E, ``Headings and Captions,'' would be a new
provision and would provide that the headings and captions used in the
policy are for convenience of reference only and shall not affect or
control the meaning or interpretation of any of the terms, conditions,
or provisions of the policy. FEMA proposes this provision for clarity
and to prevent dependence on meta-textual information.
In sections VII.F, ``Mortgage Clause,'' VII.G, ``No Benefit to
Bailee,'' VII.H, ``Other Insurance,'' and VII.I, ``Pair and Set
Clause,'' FEMA proposes to retain the language from the Dwelling Form
with minor edits. Proposed section VII.F, ``Mortgage Clause,'' would
retain the language in the Dwelling Form at VII.N and make minor
conforming and clarifying changes. For example, FEMA proposes
conforming edits to proposed VII.F.1 to describe coverages of
buildings, and edits to proposed VII.F.4 to extend to mortgagees the
same right to access claim files as that available to the named insured
as they both have equity in the property and both are already entitled
to receive loss payment. Proposed section VII.G., ``No Benefit to
Bailee,'' would retain the language from the Dwelling Form at section
VII.I as this language is industry standard, with minor grammatical
edits. FEMA proposes minor conforming edits to proposed section VII.H,
``Other Insurance,'' (such as updating cross references and not
retaining the language in the Dwelling Form at section VII.B.2
regarding insurance for condominium associations, as the Homeowner
Flood Form would only cover homeowners). Proposed section VII.I, ``Pair
and Set Clause,'' would include language from the Dwelling Form at
section VII.A with grammatical changes, except that it would not retain
the language regarding depreciation as the loss settlement provision
would be at replacement cost value, not actual cash value.
Proposed section VII.J, ``Salvage,'' would retain the language from
section VII.L of the Dwelling Form at proposed VII.J.2, but would
include a new provision at VII.J.1 stating that after providing written
notice, the insured may take all or any part of the damaged property at
the value that the parties agree upon or its appraised value. (This
provision is currently in the Dwelling Form at VII.H.3.b, ``Our Options
After A Loss'' [proposed VI.B of the Homeowner Flood Form], and FEMA
proposes to include this language in proposed section VII.J instead
because it relates to salvage).
In proposed section VII.K, ``Subrogation,'' FEMA proposes to
rewrite the provision on subrogation because the language in the
Dwelling Form at VII.P has been a source of
[[Page 8307]]
confusion to homeowner policyholders. Section VII.K would define
``subrogation'' upfront to mean that the homeowner policyholder's right
to recover for a loss that was partly or totally caused by someone else
is automatically transferred to the insurer, to the extent the insurer
has paid for the loss. It would state that the insurer may require the
homeowner policyholder to acknowledge the transfer in writing. The
provision would continue by explaining the subrogation process in more
detail, providing that whenever the insurer pays for a loss under the
policy, the insurer is subrogated to the homeowner policyholder's right
to recover for that loss from any other person. After the loss, the
homeowner policyholder must deliver all related papers to the insurer,
must cooperate with the insurer, and may not interfere with or do
anything that would prevent the insurer's right to recover this money.
If the insurer pays for a loss under this policy and the homeowner
policyholder: (1) makes a claim against any person who caused the loss;
and (2) recovers any money from that person, the homeowner policyholder
must return the insurer's payment before keeping the recovered funds,
without regard to any non-covered losses occurring at the described
location.
Finally, FEMA proposes a new section VII.L, ``Your Options After
Our Denial,'' to place the options that a homeowner policyholder has
after denial in a single location within the General Conditions
section. Proposed section VII.L.1, ``Request Additional Payment,''
would provide that the homeowner policyholder may request additional
payment and amend the initial proof of loss, and must submit this
request of amended proof of loss as set forth in proposed VI.A. It
would further provide that a denial letter does not extend the deadline
in proposed VI.A.3 to submit a proof of loss. This section would
reaffirm to homeowner policyholders that there are additional
administrative options through which they can come to a resolution with
the insurer on a claim. Giving homeowner policyholders options to work
with insurers in order to reach a satisfactory agreement aligns with
industry practice and should result in fewer appeals or lawsuits.
Proposed section VII.L.2, ``Appeal,'' would provide that if the insurer
denies a claim, in whole or in part, the insurer would send the
homeowner policyholder a denial letter. If the homeowner policyholder
wishes to appeal the denial, he or she must send an appeal letter
explaining his or her position and a copy of the denial letter to FEMA
within 60 calendar days of the date of the insurer's letter. It would
further provide that filing an appeal to FEMA does not limit or affect
the homeowner policyholder's ability to file suit, or to seek an
additional payment or file an amended proof of loss with the insurer.
Proposed section VII.L.2 incorporates requirements from the Flood
Insurance Reform Act of 2004 \80\ on the appeals process and other
conforming changes (i.e., specifying ``calendar'' days). Proposed
section VII.L.3, ``File a Lawsuit Against Us,'' would retain the
language currently in the Dwelling Form at VII.F, ``Suit Against Us,''
with minor grammatical changes.
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\80\ Flood Insurance Reform Act of 2004, Public Law 108-264
(2004).
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Finally, in the signature section, FEMA proposes to update the
signee from ``Administrator, Federal Insurance Administration,''
toFederal Insurance Adminstrator, a position set in statute.\81\
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\81\ 42 U.S.C. 4129
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D. Appendix A(101): Increased Cost of Compliance Coverage Endorsement
As mentioned above, in addition to the Homeowner Flood Form, FEMA
also proposes to offer five endorsements to expand or exclude coverage
for various risks. The first of these endorsements is for Increased
Cost of Compliance (ICC) coverage. Under section III.D of the Dwelling
Form, when an insured building sustains a flood loss and the community
declares the building substantially or repetitively damaged, ICC
coverage will pay up to $30,000 for the cost to elevate, demolish, or
relocate the building. FEMA proposes to offer this additional coverage
for the cost to comply with State or community floodplain management
laws or ordinances after a direct loss from flood not within the
Homeowner Flood Form itself, but as an endorsement to the new Form.
The ICC Endorsement would modify the Homeowner Flood Form in six
locations. First, it would add to section II of the Form definitions
for ``Community Official'' and ``Compliance Activities.'' ``Community
Official'' would mean the non-Federal official enforcing floodplain
management ordinances that meet or exceed the minimum standards of the
NFIP on a damaged building. ``Compliance Activities'' would mean
legally required mitigation activities approved by the Administrator
that reduce or remove the risk of future flood damage to a building at
the described location. Second, it would add to section III, ``What We
Cover,'' a new section E, ``Increased Cost of Compliance.'' Section E
would provide that FEMA would pay up to the ICC limit for the cost of
compliance activities actually incurred when required by a community
official. It would specify that use of this coverage is at the
homeowner policyholder's option, but the combined payments from FEMA
under Coverage A, Coverage B, and Coverage E may not exceed the maximum
amount of coverage permitted by the NFIA. It would also require that
when the building is repaired or rebuilt, it must be intended for the
same occupancy as the present building unless otherwise required by
current floodplain management ordinances or laws. It would also
explicitly state that the Homeowner Flood Form, as modified by the ICC
Endorsement, would not cover (1) anything already excluded anywhere in
the policy, (2) costs of compliance activities for either flood loss
pre-dating the current loss, or for additions or improvements to the
dwelling made after the loss occurred, and (3) any standard that does
not meet the minimum requirements of the NFIP. Third, the ICC
Endorsement would add to section IV, ``Exclusions,'' a sentence to
paragraph IV.A.2. to specify that the economic loss exclusion would not
apply to any eligible activities described in added Coverage E. Fourth,
it would amend section V, ``Policy Conditions,'' by adding to paragraph
E.1 that in the event of a flood associated with a Presidentially-
declared disaster or emergency, the Administrator may extend the
timeframe for requesting ICC for a period not to exceed 6 years from
the date of loss. Fifth, it would amend section VI, ``Procedures and
Duties When A Loss Occurs,'' by expanding paragraph D.3 to specify that
the deductible would not apply to ICC coverage, and adding to paragraph
E, ``Loss Settlement,'' a sixth subparagraph to specify that FEMA would
pay a homeowner policyholder for eligible ICC costs when (s)he has
completed his or her compliance activities as soon as reasonably
possible after the loss, not to exceed 2 years. Finally, the ICC
Endorsement would modify section VII, ``General Conditions,'' to
provide an exception to the prohibition against assigning the policy in
paragraph B.3 to allow a homeowner policyholder to assign a claim under
Coverage E to a state or local government or nonprofit organization to
apply toward the non-Federal cost share of a Federal grant.
FEMA proposes offering ICC coverage as an endorsement to the new
Form rather than providing it within the Form (as the Dwelling Form
does) to streamline its implementation. Its
[[Page 8308]]
placement within the text of the current Dwelling Form has created
transactional difficulties as ICC involves more stakeholders than the
rest of the insurance contract. While the Dwelling Form generally
involves just the policyholder and the WYO, ICC involves the homeowner
policyholder, WYO, and local officials. Moreover, while the timelines
for processing claims under Coverages A, B, and C occur relatively
quickly under current practices, the timelines for processing ICC
claims can extend for years. This is largely because homeowner
policyholders must receive a letter from the relevant community
official, permits, claims for partial and complete payments,
certificates of occupancy, etc. Because ICC is a different coverage
with a different process, offering it as an endorsement would help
create a break between the two tracks and enable the NFIP to more
easily monitor and analyze information concerning ICC coverage. For any
homeowner policyholder who could receive ICC benefits, FEMA would
automatically add the ICC Endorsement to the policy. (This endorsement
is the only one out of the five proposed endorsements that would be
``mandatory'' in this respect).\82\ In almost every possible situation
for the Homeowner Flood Form, the homeowner policyholder will have ICC
coverage but FEMA is still proposing that ICC coverage be available
through an endorsement to allow for more flexibility in future flood
policy form revisions.
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\82\ 42 U.S.C. 4011(b).
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E. Appendix A(102): Actual Cash Value Loss Settlement Endorsement
The Dwelling Form uses actual cash value rather than replacement
cost value as the general default loss settlement.\83\ Most property
owners, however, intend to insure buildings for replacement cost or up
to the statutory limit of $250,000 for a single-family building in
order to come as close as possible to being made whole. It is for this
reason that FEMA proposes to offer replacement cost value as the
Homeowner Flood Form's default loss settlement. Nevertheless, FEMA
proposes to offer homeowner policyholders the choice of insuring their
building for actual cash value for a reduced premium.
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\83\ See section VII.R.1.c. The Dwelling Form uses actual cash
value as the default in the following contexts: when the dwelling is
underinsured (coverage purchased is <80% of replacement cost value
and less than the maximum amount available under the NFIP); two-to-
four family dwellings; units not used exclusively as single-family
dwellings; detached garages; personal property; appliances, carpets,
carpet pads; outdoor awnings, outdoor antennas/aerials, or other
outdoor equipment; post-loss abandoned property that remains at the
described location; and any residence that is not a principal
residence. Art. VII.R.4.
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The Actual Cash Value Loss Settlement Endorsement would modify the
Homeowner Flood Form to provide actual cash value as the only available
valuation for settling covered losses. It would amend subparagraph E.1
(``Loss Settlement'') in section VI to provide that the policy offers
actual cash value loss settlement, and remove from the Homeowner Flood
Form subparagraph E.2, ``Replacement Cost Value Loss Settlement.''
F. Appendix A(103): Temporary Housing Expense Endorsement
The Dwelling Form expressly excludes coverage for additional living
expenses incurred while the insured building is being repaired or is
unable to be occupied for any reason. (See section V.A.5). The
insurance industry, however, generally offers coverage for additional
living expenses. Accordingly, FEMA proposes to offer homeowner
policyholders the option of purchasing additional coverage to receive
compensation in the event they are displaced from their insured
property due to flood while their home is undergoing repair. This
optional coverage would align with the NFIA's directive to provide
coverage ``against loss resulting from physical damage to or loss of
real property or personal property,'' 42 U.S.C. 4011(a), because it
would protect homeowner policyholders from certain economic harms
directly resulting from physical damage to their home. Making this
optional coverage available would also decrease the need for post-
disaster housing assistance through FEMA's Individuals and Households
Program.
The Temporary Housing Expense Endorsement would cover temporary
housing expenses actually incurred by homeowner policyholders up to the
coverage sublimit for an additional premium when the dwelling is
uninhabitable or the homeowner policyholder is ordered to evacuate.\84\
The endorsement would modify Homeowner Flood Form section III,
paragraph A.4.a to state that the policy does not cover loss of use of
the described location while the dwelling is inaccessible, being
repaired, or is uninhabitable for any reason except as provided in
III.D.4 as modified by endorsement. The endorsement would also modify
section III by redesignating paragraph D.4 as D.5, and adding a new
subparagraph D.4, ``Temporary Housing Expense.'' This subparagraph
would provide two scenarios where FEMA would cover temporary housing
expenses actually incurred by the homeowner policyholder up to the
coverage sublimit for an additional premium received. First, FEMA would
provide coverage when the dwelling at the described location is
uninhabitable due to direct physical loss by or from flood. Payment in
this scenario would be for the shortest amount of time required to
repair or replace the damage or, if the homeowner policyholder
permanently relocates, the shortest time required for his or her
household to settle elsewhere. Second, FEMA would provide coverage when
a legally authorized official has issued an evacuation or civil order
for the community in which the dwelling is located calling for measures
to preserve life and property from the peril of flood. Payment in this
scenario would be for the shortest time period covered by the order.
This subparagraph would also provide that the time period for temporary
housing expense coverage is not limited by the expiration of the policy
term specified in I.D, but in any case, would not exceed 24 consecutive
months from the date of the covered flood loss.
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\84\ This endorsement would not cover expenses beyond those
directly related to an inhabitable dwelling, such as tolls for an
increased commute or childcare costs.
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G. Appendix A(104): Basement Coverage Endorsement Approaches
The current Dwelling Form restricts coverage in a basement. Under
the Dwelling Form, FEMA limits basement coverage to drywall for walls
and ceilings and the cost to nail it, unfinished and unfloated and not
taped, to the framing (section III.A.8.a(3)); nonflammable insulation
(section III.A.8.a(10)); foundation elements; stairways; and certain
kinds of machinery and equipment. In addition, the Dwelling Form limits
personal property coverage in a basement to portable or window type air
conditioning units, clothes washers and dryers, and non-walk-in food
freezers and food in any freezer as long as these are installed in
their functioning locations and, if necessary for operation, connected
to a power source (section III.B.3).
As FEMA describes above in sections III.A.3.a and III.A.3.c of this
preamble, FEMA includes in the proposed Homeowner Flood Form limited,
simplified coverage for basements. FEMA recognizes, however, that
homeowners may value their basements, and contents within, more than
the amount covered by the policy. FEMA has offered this restrictive
coverage for
[[Page 8309]]
four decades and the proposed new Homeowner Flood Form would not change
that coverage absent an endorsement. FEMA believes the limited basement
coverage creates challenges in the flood insurance sales context for
homeowner policyholders who want more coverage than the current
Dwelling Form allows and in the recovery context for homeowner
policyholders who need it to more fully recover from a flood event.
FEMA further believes that expanded basement coverage would not
significantly impact the financial soundness of the NFIP. Basements are
not typical in many of the areas that experience a higher frequency of
hurricanes and catastrophic flooding, e.g., Florida and Louisiana. In
its efforts to develop this coverage, FEMA undertook an analysis of the
impact of expanded basement coverage on the financial soundness of the
NFIP. Using Superstorm Sandy (2012) as a proxy for catastrophic
flooding in an area with a higher incidence of basements, FEMA
determined that it would have paid an additional 6 percent in loss
payments (over $500,000,000 in expenses) if every claim involving a
basement opted for expanded coverage. FEMA notes that it would have
brought in additional premium to offset this amount, though it had no
means to determine the specific amounts of premium across all policies.
The relatively low percentage for the overall cost reflects that NFIP
coverage already pays for multiple high-cost items typically located in
basements (e.g., HVAC, water heaters, etc.). While a low percentage,
there is a corresponding benefit to policyholders who would no longer
have to make up that difference as they recovered from the flood event.
FEMA believes that offering better coverage may attract policyholders
in other regions of the country that do not typically face catastrophic
hurricane risk but where basements are more prevalent; however FEMA
seeks comment on whether offering additional basement coverage would
attract policyholders.
Given these factors, FEMA considered three approaches to basement
coverage: (1) the current approach of retaining the current restricted
coverage, with a focus on training agents selling flood insurance to
further discuss what constitutes a basement under the Homeowner Flood
Form and the restrictions on coverage at the point of sale to better
inform homeowner policyholders and those seeking to purchase new
homeowner flood insurance of the coverage restrictions; (2) FEMA's
preferred approach of offering an endorsement to the proposed Homeowner
Flood Form that would allow homeowner policyholders to remove the
restrictions currently on basement coverage for an additional premium
(``Basement Coverage Endorsement''); and (3) a third approach of
offering an endorsement (a) to allow homeowners with split-level homes
or sunken room(s) to remove the restrictions for additional premium,
while also allowing limited building coverage, for additional premium,
and (b) to homeowner policyholders who need to occupy (occupancy) part
of their basement to remove the restrictions to allow limited coverage,
for additional premium. Occupancy would focus additional coverage on
rooms in the basement such as bedrooms, bathrooms, and kitchens/
kitchettes. Maintaining current basement coverage restrictions and
providing additional training to agents under the first approach could
better equip agents to explain the coverage and identify basements at
the time of application. The potential benefit of this approach could
increase basement coverage understanding for insurance agents that
could be conveyed to homeowners during the time of application. FEMA
rejected this basement coverage alternative approach because the
current restricted basement coverage fails to adequately meet the
insurance needs of the American people. FEMA does not expect additional
insurance agent training to greatly improve homeowner policyholder
coverage understanding because homeowners only have one standard flood
insurance policy for selection. This lack of consumer choice limits
policyholder engagement of coverage details and discussions with agents
at the time of application.
FEMA's preferred approach is the approach (approach two) to remove
restrictions, as it would offer homeowner policyholders a Basement
Coverage Endorsement where they can purchase coverage up to specified
sublimits for an additional premium. For approach two, FEMA proposes
that the endorsement to remove restrictions currently on basement
coverage for an additional premium. (``Basement Coverage Endorsement'')
would replace section III.A.2 (``Limited Coverage for Basements and
Enclosures'') with a new subparagraph A.2, ``Coverage for Basements.''
This subparagraph would state that for an additional premium received,
FEMA insures up to the selected Coverage A sublimit against direct
physical loss by or from flood to the basement. FEMA further proposes
that the endorsement for approach two would also replace III.C.3.a
(``Limitations on Property in a Basement or in an Enclosure'') with a
new subparagraph C.3.a providing that (1) for an additional premium,
FEMA would insure up to the selected Coverage C limit against direct
physical loss by or from flood to personal property in a basement; and
(2) in an enclosure, the policy would only cover appliances installed
in their functioning locations and, if necessary for operation,
connected to a power source. The proposed Homeowner Flood Form enhanced
basement coverage (approach two) addresses several deficits currently
present in the Dwelling Form and enhances available coverage for
homeowners. It is aligned with common industry practice, which
standardizes available coverage to homeowners with basements, and
coverage is clear to the homeowner policyholder, reducing asymmetric
information. The levels of coverage and risk of damage would be
appropriately reflected in the premiums, directly signaling to
homeowner policyholders their level of risk. For these reasons, FEMA
selected the Homeowner Flood Form (approach 2) for this proposed rule.
Approach three includes two potential endorsements (approaches 3.1
and 3.2). First, approach 3.1 would include an endorsement option for
split-level and sunken rooms that would replace the definition of
``Basement'' in proposed paragraph C.2 of section II to define a
basement as any area of a building having its floor level below ground
level on all sides, regardless of design or use and further clarify
that an area of a building is below ground level when the land directly
touching the exterior of the building is above its floor level; and
that an area of a building is presumed to be below ground level when it
is necessary to walk up steps or a slope to reach the land surrounding
the building. A professional land survey or report may rebut this
presumption. Further, the ``Basement'' definition under approach three
would clarify that a sunken or recessed portion of a room or area that
is otherwise above ground level is not a basement and that the first
level below the main entrance to the dwelling, commonly referred to as
a split-level home, is not a basement. Approach 3.2 would offer an
additional endorsement option for basement occupancy. This additional
endorsement would amend the proposed Homeowner Flood Form to replace
paragrah A.2 of section III, specific to building coverage, on what
FEMA covers with the following language: ``Basement occupancy. For
additional premium received, we insure
[[Page 8310]]
a bedroom, bathroom, or kitchen in a basement when required for the
occupancy of the dwelling, where no other room in another part of the
dwelling meets this need.''
The Design and Occupancy approaches (approaches 3.1 and 3.2)
address specific deficits currently present in the Dwelling Form and
enhances available coverage for certain homeowners. These approaches
introduces choice and expands coverage options for homeowners that meet
the Design or Occupancy eligibility. FEMA considers the Design and
Occupancy alternative approaches a partial improvement but did not
select this alternative because of the limited portion of eligible
homeowner policyholders and the complexity of the approach for FEMA,
homeowner policyholders, and insurance agents.
FEMA seeks comment on the agency's current restricted coverage
(approach one), the agency's preferred approach of removing the
restrictions on current coverage (approach two) and the additional
approach to basement coverage considered (approaches 3.1 and 3.2).
Specifically, FEMA seeks comment on whether the Homeowner Flood Form
should either (1) retain the current restricted coverage, with a focus
on training agents selling flood insurance to further discuss what
constitutes a basement under the Homeowner Flood Form and the
restrictions on coverage at the point of sale to better inform
homeowner policyholders and those seeking to purchase new homeowner
flood insurance of the coverage restrictions; (2) offer an endorsement
to the proposed Homeowner Flood Form that would allow homeowner
policyholders to remove the restrictions currently on basement coverage
for an additional premium (``Basement Coverage Endorsement''); or (3)
offer an endorsement to allow homeowners with split-level homes or
sunken room(s) or for basement occupancy to remove the restrictions for
additional premium, while also allowing limited building coverage, for
additional premium.
In drafting this rule, FEMA undertook a preliminary analysis of its
policies in force for properties with a basement (as of September 30,
2022) to see how basement coverage would impact the cost of insurance
for policyholders. The cost of insurance includes annual premiums,
fees, assessments, and surcharges. Assuming all other rating factors
remain the same, the analysis of the proposed rule across all policies
with the default basement coverage, i.e., restricted, would result in a
total annual average cost of insurance of $1,827. Fully expanded
basement coverage, proposed by FEMA as an endorsement, would result in
a total annual average cost of insurance of $2,756. The alternative,
limited expansion of basement coverage, would result in a total annual
average cost of insurance of $2,518.
In total, for all NFIP policyholders with a basement as of
September 30, 2022, those paying a total annual cost of insurance of
$1,000 or less would pay an average of $648 annually with restricted
basement coverage, $952 annually with fully expanded basement coverage,
and $870 annually with a limited expansion of basement coverage.
Policyholders who currently pay between $1,000 to $2,000 annually would
see the total annual cost of insurance at $1,426, $2,140, and $1,970,
respectively. For policyholders who currently pay between $2,000 to
$3,000 annually, the total annual cost of insurance would be $2,451,
$3,706, and $3,416, respectively. This is shown more fully in the chart
directly below, which appears in FEMA's Regulatory Impact Analysis
(located in the docket) under the heading ``Table 9.21: Cost of
Insurance Scenarios for Single Family Home with Basements, 2022$'':
Table 1--Cost of Insurance Scenarios for Single Family Home With Basements
[2022$]
----------------------------------------------------------------------------------------------------------------
Hypothetical average risk-based
Average risk- cost of insurance ($)
Policyholders Average based cost of ---------------------------------
Current range of cost of in Force (PIF) Replacement insurance Limited
insurance distribution Cost Value with current Fully expanded expansion of
(%) (RCV) ($) basement basement basement
coverage ($) coverage ($) coverage ($)
----------------------------------------------------------------------------------------------------------------
Note 1 Note 2 Note 3 Note 4
---------------------------------------------------------------------------------
2022$ 2022$ 2022$ 2022$
----------------------------------------------------------------------------------------------------------------
$0-$1,000..................... 41 $596,319 $648 $952 $870
$1,000-$2,000................. 29 562,203 1,426 2,140 1,970
$2,000-$3,000................. 14 567,245 2,451 3,706 3,416
$3,000-$4,000................. 7 601,448 3,447 5,229 4,793
$4,000-$5,000................. 4 638,888 4,456 6,772 6,180
$5,000-$6,000................. 2 657,637 5,444 8,290 7,488
$6,000-$7,000................. 2 675,366 6,453 9,841 8,837
$7,000-$8,000................. <1 755,335 7,451 11,377 10,198
$8,000-$9,000................. <1 827,914 8,452 12,917 11,545
$9,000-$10,000................ <1 979,791 9,439 14,435 12,894
$10,000-$11,000............... <1 1,082,634 10,462 16,008 14,310
$11,000-$12,000............... <1 1,356,362 11,508 17,618 15,815
$12,000-$13,000............... <1 914,762 12,388 18,972 17,075
$13,000....................... <1 3,671,109 13,209 20,235 18,123
---------------------------------------------------------------------------------
Average................... .............. 592,982 1,827 2,756 2,518
----------------------------------------------------------------------------------------------------------------
[[Page 8311]]
H. Appendix A(105): Builder's Risk Endorsement
FEMA has witnessed issues arise for homeowner policyholders who are
constructing a building, but who do not have a building (as defined by
the SFIP) at the time of loss. The Dwelling Form covers buildings under
construction at section III.A.5. When FEMA provides coverage for a
building under construction, it typically issues the policy in the
builder's name. If the builder fails to assign the policy to the
property owner prior to loss, however, both the property owner and the
builder would be left without coverage. (The property owner would lack
coverage because he or she was not listed on the policy, and the
builder would lack coverage because it would no longer have an
insurable interest in the property). In some cases, FEMA issues the
policy jointly to the builder and property owner. If the parties do not
revise the policy to remove the builder's name after completion,
however, this could cause considerable delays because FEMA would have
to stop and void the claim payment, then reissue the payment once the
builder's name is removed. To simplify coverage, align with property
and casualty practices, and eliminate insurable interest issues, the
Homeowner Flood Form would require that the building has been
constructed, while the Builder's Risk Endorsement would cover buildings
under construction.
The Builder's Risk Endorsement would name the builder as an
additional insured party and provide business rules within the
endorsement to avoid automatic renewal billing of the policy for the
builder. Section I of the endorsement would replace section I.D of the
Homeowner Flood Form with language that confirms the builder's coverage
expires on the date the dwelling is completed and occupied, the date
the endorsement is deleted by the insurer, and the Homeowner Flood Form
becomes effective in its entirety; or at 12:01 a.m. on the last day of
the policy term stated on the declarations page. This change ensures
the builder is not a named party to the policy following completion of
construction. In addition, this endorsement would define
``Construction'' as any new development of land at the described
location resulting in a building or alteration or repair of a building,
including a dwelling at the described location. This endorsement would
also replace section III of the Form in its entirety. While generally
mirroring the Form's language in section III, the endorsement would
offer changes to clarify the coverage for the builder. Proposed section
III.A.1.a of the endorsement would clarify that coverage is for the
dwelling under construction at the described location. It would further
specify that if the dwelling is not yet walled or roofed as described
in the definition of ``building,'' then coverage applies (1) only while
construction is in progress, or (2) if construction is halted only for
a period of 90 consecutive days thereafter. This is to limit the use of
this endorsement to a building actively under construction, as FEMA
would not offer coverage for an incomplete building that has been
sitting for several months. Proposed section III.A.1.b of the
endorsement would remove the words ``alteration, or repair'' from the
phrase ``materials and supplies to be used for construction'' because
these words are superfluous given that they are included in this
endorsement's definition of ``Construction.'' Proposed section III.A.2
would make a minor organizational change. Proposed section III.C would
clarify that unlike the proposed Homeowner Flood Form, personal
property would not be covered until the dwelling is completed and
occupied, the endorsement is deleted by the insurer, and the Homeowner
Flood Form becomes effective in its entirety. The endorsement would
also revise section V of the Form by adding a section to V.B to allow
only one renewal for a policy with a Builder's Risk Endorsement
attached to it. Finally, the endorsement would add language in section
VII.F of the Form regarding mortgagees to clarify that a holder of a
construction loan upon which draws have been paid shall be considered
the ``mortgagee'' under the policy.
V. Regulatory and Economic Analysis
A. Executive Order 12866, Regulatory Planning and Review, as Amended,
and Executive Order 13563, Improving Regulation and Regulatory Review
Executive Orders 12866 (``Regulatory Planning and Review''), as
amended by Executive Order 14094 (``Modernizing Regulatory Review'')
and 13563 (``Improving Regulation and Regulatory Review'') direct
agencies to assess the costs and benefits of available regulatory
alternatives and, if regulation is necessary, to select regulatory
approaches that maximize net benefits (including potential economic,
environmental, public health and safety effects, distributive impacts,
and equity). Executive Order 13563 emphasizes the importance of
quantifying both costs and benefits, of reducing costs, of harmonizing
rules, and of promoting flexibility.
This proposed rule is designated as a significant regulatory action
that is economically significant under section 3(f)(1) of Executive
Order 12866. Accordingly, OMB has reviewed it. This Regulatory Impact
Analysis (RIA) provides an assessment of the potential costs, benefits,
and transfer payments resulting from the National Flood Insurance
Program: Standard Flood Insurance Policy, Homeowner Flood Form under
the criteria of Executive Orders 12866 and 13563.
FEMA proposes to amend the Standard Flood Insurance Policy (SFIP)
at 44 CFR part 61, Appendix A. The existing Dwelling Form, found at 44
CFR part 61, Appendix A(1), and proposed Homeowner Flood Form (Appendix
A(4)) are the subjects of this RIA. Specifically, the proposed
Homeowner Flood Form would replace the current Dwelling Form for one-
to-four family residences, excluding mobile homes, trailers,
condominiums, and rental properties, which would continue to use the
Dwelling Form. The Homeowner Flood Form would include language altering
the availability and limits of flood insurance coverage in numerous
ways. The most substantial of these are in the areas of coverage for
basements, enclosures, secondary buildings that are not detached
garages, and replacing Actual Cash Value (ACV) with Replacement Cost
Value (RCV) as the valuation method for structural property and
contents.
[[Page 8312]]
Table 2--Summary of the Impacts of the Proposed Rule
[2019$]
------------------------------------------------------------------------
Category Summary
------------------------------------------------------------------------
Proposed Changes............... Basement Endorsement: Allows homeowner
policyholder to enhanced coverage,
introducing choice regarding the level
of coverage.
Enclosures: Reference to flood zone and
FIRM status would be removed, which
would extend coverage restrictions
currently applicable to post-FIRM
buildings in SFHAs to all enclosures,
regardless of FIRM status or location.
Other Buildings: Expands the definition
of ``other buildings'' beyond just
detached garages to all other
buildings at the insured property.
Property Valuation Method: Formally
defines ``replacement cost value'' and
makes it the default method of
property valuation for both structural
property and contents, thereby
replacing the ``actual cash value''
valuation method in most instances.
Loss Mitigation: Covering Flood Damage
Resistant Materials; adjusting the
limits to imminent loss protection.
Personal Property: Also referred to as
``contents.'' Availability of coverage
changes in basements, enclosures,
other buildings, other locations.
Limits on certain items changed.
Death of Homeowner Policyholder: Upon
the death of the homeowner
policyholder, automatically continues
coverage provided under the policy for
any other insured, or for a legal
representative of the estate if
another insured does not exist.
Temporary Housing Expense Endorsement:
Offers homeowner policyholders the
option of purchasing additional
coverage to receive compensation in
the event they are displaced from
their insured property due to flood.
Other: All changes are addressed in the
Marginal Analysis Table in Appendix A.
Affected Population............ Property owners of one-to-four family
residences within the over 22,500
communities participating in NFIP. A
total of 2,806,642 distinct policies
as of 2019.
Cost Savings................... Qualitative cost savings by reductions
in litigation costs, reductions of
fraudulent claims, and time savings.
Costs (qualitative)............ None.
Costs (quantitative)........... Annualized implementation and
familiarization costs of $706,477 and
$651,896 discounted at 3 and 7 percent
respectively.
Benefits (qualitative)......... Premiums more reflective of actual
risk.
Environmental benefits from loss
mitigation.
Extending coverage beyond death of
homeowner policyholder improves
fairness and human dignity.
Reduces the need for Federal disaster
aid.
More closely aligns with property
insurance industry standards.
Benefits (quantitative)........ None.
Transfers...................... Transfer payments between FEMA and the
homeowner policyholder are generally
through premiums, claims, and fees and
overhead. FEMA estimates this rule
would result in annualized transfer
payments of $253,321,497 and
$252,835,214 from homeowner
policyholders to FEMA in the form of
additional premiums, discounted at 3
percent and 7 percent respectively;
$166,221,455 and $165,902,372 from
FEMA to policy holders in the form of
claims payments, discounted at 3 and 7
percent; and, $87,100,042 and
$86,932,843 from homeowner
policyholders to States, FEMA, and
insurance companies in the form of
fees and overhead, discounted at 3 and
7 percent respectively.
------------------------------------------------------------------------
Need for Regulation
The National Flood Insurance Act of 1968 (NFIA) requires FEMA to
provide by regulation the ``general terms and conditions of
insurability . . . applicable to properties eligible for flood
insurance coverage.'' 42 U.S.C. 4013(a). To comply with this
requirement, FEMA adopts the Standard Flood Insurance Policy (SFIP) in
regulation, which sets out the terms and conditions of insurance. See
44 CFR part 61, Appendix A. FEMA must use the SFIP for all flood
insurance policies sold through the NFIP. See 44 CFR 61.13. The SFIP is
a single-peril (flood) policy that pays for direct physical damage to
insured property. There are currently three forms of the SFIP: the
Dwelling Form, the General Property Form, and the Residential
Condominium Building Association Policy (RCBAP) Form.
The current Dwelling Form is out of date and no longer aligned with
insurance industry standards for homeowners of one-to-four family
residences. It is difficult to understand and cumbersome for
policyholders and insurance agents alike.\85\ Keeping the SFIP modern,
unburdensome, and improving flexibility are key elements to cultivating
and administering an effective flood insurance program. This enables
FEMA to better meet the needs of the American people and close the
insurance gap.\86\ Revising the regulations is necessary to implement
these changes to the SFIP for homeowners.
---------------------------------------------------------------------------
\85\ See, e.g., The Institutes' Handbook of Insurance Policies,
American Institute for Chartered Property Casualty Underwriters,
12th ed. (2018) (containing copies of modern property casualty
forms). The Insurance Services Office's template homeowners form
(``HO-3'' form) appears on page 5 and demonstrates the simplicity of
this policy compared to the SFIP. The NFIP has a high volume of
inquiries on the SFIP, further demonstrating the challenges in
reading and interpreting the SFIP. Policy inquiries generally make
up 43 percent of the total inquiries received by FEMA's ``Ask the
Experts'' tracking system between 2019 and May 2021.
\86\ NFIP has experienced significant challenges because FEMA is
tasked with two competing goals--keeping flood insurance affordable
and keeping the program fiscally solvent. Emphasizing affordability
has led to premium rates that in many cases do not reflect the full
risk of loss and produce insufficient premiums to pay for claims. In
turn, this has transferred some of the financial burden of flood
risk from individual property owners to the public at large. https://files.gao.gov/reports/GAO-21-119SP/ See ``HIGH-RISK
Series: Dedicated Leadership Needed to Address Limited Progress in
Most High-Risk Areas,'' found at https://www.gao.gov/assets/gao-21-
383t.pdf#:~:text=Dedicated%20agency%20leadership%20is%20essential%20t
o%20address%20the,have%20made%20to%20reduce%20the%20government%E2%80%
99s%20high-risk%20challenges (last accessed Aug. 28, 2023).
---------------------------------------------------------------------------
Affected Population
The population of affected homeowner policyholders would be
property owners of one-to-four family residences who were previously
covered by the Dwelling Form and would now be covered by the Homeowner
Flood Form. As of 2019, there were 3,174,934 residential policies
covered using the Dwelling Form. Of that number, FEMA estimates that
88.4%, or 2,806,642 policyholders, were property owners residing in the
insured one-to-four family residence.\87\ FEMA would
[[Page 8313]]
continue to use the Dwelling Form to insure landlords, renters, and
owners of mobile homes, travel trailers, and condominium units.
---------------------------------------------------------------------------
\87\ FEMA used data from the NFIP's PIVOT database to determine
the number of policies that would be affected by this proposed rule.
PIVOT is a web-based system designed to help facilitate and
consolidate in one system the NFIP's core business processes
including, but not limited to: validation of insurance policies,
claims, and data; complex modeling; website hosting (including
floodsmart.gov); claims administration; policy management; claims
review; approvals; and status inquiries. FEMA's PIVOT database can
be found at https://www.dhs.gov/publication/dhsfemapia-050-national-flood-insurance-program-nfip-pivot-system (last accessed Aug. 28,
2023).
---------------------------------------------------------------------------
The population of affected Write Your Own (WYO) companies includes
61 companies as of 2019. Of the 61 companies, 2 had fewer than 10
policies, 15 companies had between 11 and 500 policies, 11 companies
had between 501 and 5,000 policies, 22 companies had between 5,001 and
50,000 policies, 8 companies had between 50,001 and 250,000 policies, 2
companies had between 250,001 and 500,000 policies, and 1 company had
553,187 policies.
Baseline
Pursuant to OMB Circular A-4, FEMA assessed the impacts of this
proposed rule against a baseline. The baseline used for this analysis
is the ``no action'' baseline, or what the world would be like absent
the proposed changes. The no action baseline is the scenario where no
changes are made to the existing Dwelling Form and the projections over
the next 10 years assuming the same climate conditions that exist
today, and accounts for projected housing growth. It includes the value
of claims payments and premiums estimated over the next 10 years if the
current Dwelling Form were to continue to be used for property owners
of one-to-four family residences. FEMA recognizes that it cannot
precisely predict or forecast future flood events over a 10-year
period, given their unpredictable nature and therefore a future 10-year
period of flood insurance claims could vary drastically from the 2010-
2019 period analyzed; however, these are the best data available to
derive the estimates.
Costs
The policy change would have implementation and familiarization
costs. FEMA expects that States, WYOs, and, at the time of renewal,
policyholders would spend time familiairizing themselves with this
rule. In addition, FEMA anticipates adding additional training over
three years for SFIP updates to the standard annual training package
provided to insurers. The cost of the training is borne by FEMA who is
responsible for developing the content. The annual training is one that
insurance agents are required to attend each year, with the training
content changing year to year but the number of training hours required
remaining the same. Since the training hours required for insurers is
not impacted by the rule, FEMA assumes companies would neither expand
the number of hours of training given to agents in response to the
policy changes proposed here and training costs for agents would not be
different from the baseline. The familiarization and training cost
estimateshave been adjusted for inflation using Consumer Price Index
(CPI-U) data and reported in the table below in year 2019 dollars.\88\
The familiarization cost and new training content is expected to total
$6.4 million, or $705,963 and $791,133 annualized using a 3 percent and
7 percent discount rate, respectively.
---------------------------------------------------------------------------
\88\ Historical Consumer Price Index for All Urban Consumers
(CPI-U): U.S. city average, all items, index averages. Accessed
November 2022. https://www.bls.gov/cpi/tables/supplemental-files/historical-cpi-u-202106.pdf.
---------------------------------------------------------------------------
FEMA does not anticipate new costs for existing homeowner
policyholders. At the time of renewal, existing homeowner policyholders
would have the choice to engage their agent or not engage their agent.
The policy defaults will provide similar coverage to what they
currently receive if the homeowner policyholder chooses to do nothing.
NFIP outreach, whether directly by FEMA or through the WYOs, would
highlight the availability of choices and opportunities to customize
coverage. However, agents could also quote new options at renewal time
and give homeowner policyholders options there, akin to how agents
currently may suggest additional coverage amounts when not currently
insuring to statutory limits.
Table 3--Estimated Costs Over a 10 Year Period
[2019$]
--------------------------------------------------------------------------------------------------------------------------------------------------------
State and WYO
Year FEMA training familiarization Total costs Discounted at 3% Discounted at 7%
costs costs
--------------------------------------------------------------------------------------------------------------------------------------------------------
1........................................................ $1,800,000 $51,483 $1,851,483 $1,797,556 $1,730,358
2........................................................ 1,778,064 0 1,778,064 1,675,996 1,553,030
3........................................................ 2,784,767 0 2,784,767 2,548,457 2,273,200
4........................................................ 0 0 0 0 0
5........................................................ 0 0 0 0 0
6........................................................ 0 0 0 0 0
7........................................................ 0 0 0 0 0
8........................................................ 0 0 0 0 0
9........................................................ 0 0 0 0 0
10....................................................... 0 0 0 0 0
----------------------------------------------------------------------------------------------
Total................................................ 6,362,831 51,483 6,414,315 6,026,394 5,556,588
Annualized....................................... ................. ................. ................. 705,963 791,133
--------------------------------------------------------------------------------------------------------------------------------------------------------
Benefits
FEMA was unable to quantify the benefits of this proposed rule
because data does not explicitly exist for the types of benefits that
would be incurred. The benefits of this rule would include a more
accurate signaling of risk to homeowner policyholders through
additional coverage choices and associated premium increases, thus
incentivizing them to reduce their risks, environmental benefits of
loss mitigation, reducing moral hazard, qualitative benefits of
extending coverage beyond the death of a homeowner policyholder,
reducing the need for Federal assistance, and collaborating with
industry stakeholders to create a policy that meets the needs of those
involved.
[[Page 8314]]
The benefits of this rule would also include increasing fairness
through clearer communication of flood risk, additional flexibility and
choice for homeowner policyholders, and claims payments that cover a
greater portion of loss. Additionally, this rule would allow claims
payments when the original homeowner policyholder is deceased, causing
less stress for surviving family members.
Transfers
The impacts the proposed rule would have on transfer payments are
reflected in premiums and associated claims payments resulting from the
proposed changes in coverage. As these changes to premiums and claims
payments are monetary payments from homeowner policyholders to FEMA or
FEMA to homeowner policyholders that do not affect total resources
available to society, these effects are not a cost but rather a
transfer payment. The main areas of these proposed changes to coverage
are in basements, enclosures, other buildings, and property valuation
method. Several additional changes are less substantial but
collectively impactful and also result in transfer payments.
The policy changes would generally result in additional coverage,
and therefore higher expected claims payments for homeowner
policyholders in aggregate. These higher expected claims payments would
be matched by higher premiums. Premiums are calculated by actuarial
formulas which take into account the expected claims payments and the
fees and overhead associated with administering flood insurance.\89\
FEMA estimates this proposed rule would result in annualized transfer
payments of $253,321,497 and $252,835,214 from policyholders to FEMA in
the form of additional premiums, discounted at 3 percent and 7 percent
respectively; $166,221,455 and $165,902,372 from FEMA to policyholders
in the form of claims payments, discounted at 3 and 7 percent; and
$87,100,042 and $86,932,843 from policyholders to States, FEMA, and
insurance companies in the form of fees and overhead, discounted at 3
and 7 percent.
---------------------------------------------------------------------------
\89\ For additional context about potential policyholder costs,
FEMA calculated hypothetical insurance cost scenarios for homeowners
with basements under the proposed endorsement coverage option
located in the RIA document Table 6.16 of this rule.
Table 4--Estimated Transfer Payments Over a 10-Year Period
[2019$]
----------------------------------------------------------------------------------------------------------------
C. Fees and overhead/
A. Premiums/transfers B. Expected losses/ transfers from
Year from policyholders to transfers from FEMA to policyholders to FEMA,
FEMA policyholders insurance companies,
and states
----------------------------------------------------------------------------------------------------------------
1.................................... $246,705,082 $161,879,976 $84,825,106
2.................................... 248,234,654 162,883,631 85,351,023
3.................................... 249,773,708 163,893,510 85,880,199
4.................................... 251,322,305 164,909,649 86,412,656
5.................................... 252,880,503 165,932,089 86,948,415
6.................................... 254,448,362 166,960,868 87,487,495
7.................................... 256,025,942 167,996,026 88,029,918
8.................................... 257,613,303 169,037,601 88,575,703
9.................................... 259,210,506 170,085,634 89,124,872
10................................... 260,817,611 171,140,164 89,677,447
--------------------------------------------------------------------------
Total............................ 2,537,031,979 1,664,719,146 872,312,832
----------------------------------------------------------------------------------------------------------------
Premiums/transfers
Year from policyholders to 3% Discount rate 7% Discount rate
FEMA
----------------------------------------------------------------------------------------------------------------
1.................................... $246,705,082 $239,519,497 $230,565,497
2.................................... 248,234,654 233,984,969 216,817,761
3.................................... 249,773,708 228,578,326 203,889,748
4.................................... 251,322,305 223,296,613 191,732,583
5.................................... 252,880,503 218,136,943 180,300,304
6.................................... 254,448,362 213,096,497 169,549,687
7.................................... 256,025,942 208,172,520 159,440,089
8.................................... 257,613,303 203,362,320 149,933,288
9.................................... 259,210,506 198,663,269 140,993,341
10................................... 260,817,611 194,072,797 132,586,448
--------------------------------------------------------------------------
Total............................ 2,537,031,976 2,160,883,752 1,775,808,745
Annualized................... ....................... 253,321,497 252,835,214
----------------------------------------------------------------------------------------------------------------
Expected losses/
Year transfers from FEMA to 3% Discount rate 7% Discount rate
policyholders
----------------------------------------------------------------------------------------------------------------
1.................................... $161,879,976 $157,165,025 $151,289,697
2.................................... 162,883,631 153,533,444 142,268,872
3.................................... 163,893,510 149,985,779 133,785,924
4.................................... 164,909,649 146,520,087 125,808,782
5.................................... 165,932,089 143,134,478 118,307,286
6.................................... 166,960,868 139,827,098 111,253,076
[[Page 8315]]
7.................................... 167,996,026 136,596,143 104,619,482
8.................................... 169,037,601 133,439,843 98,381,423
9.................................... 170,085,634 130,356,476 92,515,315
10................................... 171,140,164 127,344,355 86,998,981
--------------------------------------------------------------------------
Total............................ 1,664,719,148 1,417,902,728 1,165,228,838
Annualized................... ....................... 166,221,455 165,902,372
----------------------------------------------------------------------------------------------------------------
Fees and overhead/
transfers from
Year policyholders to FEMA, 3% Discount rate 7% Discount rate
insurance companies,
and states
----------------------------------------------------------------------------------------------------------------
1.................................... $84,825,106 $82,354,472 $79,275,800
2.................................... 85,351,023 80,451,525 74,548,889
3.................................... 85,880,199 78,592,548 70,103,824
4.................................... 86,412,656 76,776,526 65,923,802
5.................................... 86,948,415 75,002,467 61,993,018
6.................................... 87,487,495 73,269,400 58,296,612
7.................................... 88,029,918 71,576,379 54,820,609
8.................................... 88,575,703 69,922,478 51,551,866
9.................................... 89,124,872 68,306,793 48,478,025
10................................... 89,677,447 66,728,443 45,587,467
--------------------------------------------------------------------------
Total............................ 872,312,834 742,981,029 610,579,911
Annualized................... ....................... 87,100,042 86,932,843
----------------------------------------------------------------------------------------------------------------
Table 5--Circular A-4 Accounting Statement, Years 1-10
[2019$]
----------------------------------------------------------------------------------------------------------------
3 Percent discount 7 Percent discount
Category rate rate Source
----------------------------------------------------------------------------------------------------------------
Benefits
----------------------------------------------------------------------------------------------------------------
Annualized Monetized.................... N/A N/A RIA Section 8.
Annualized quantified, but unmonetized N/A N/A
benefits.
--------------------------------------------
Qualitative (unquantified) benefits..... Signaling of risk through
premiums reflective of risk.
Environmental benefits from loss
mitigation.
Social benefit of extending
coverage beyond death of homeowner
policyholder.
Reduces need for Federal
assistance.
Collaborative with industry;
unilaterally addresses needs.
Increased fairness through
clearer communication of flood risk;
additional flexibility and choices for
homeowner policyholders, and increased
claims payments
----------------------------------------------------------------------------------------------------------------
Costs
----------------------------------------------------------------------------------------------------------------
Total annualized costs.................. $705,963 $791,133 RIA Section 8.
----------------------------------------------------------------------------------------------------------------
Transfers
----------------------------------------------------------------------------------------------------------------
Annualized Monetized from FEMA to 166,221,455 165,902,372 RIA Section 8.
policyholders for claims payments
(claims payments).
Annualized Monetized from policyholders 253,321,497 252,835,215 RIA Section 8.
to FEMA and Insurance Companies and
States for the expected loss portion of
premiums and the fees, taxes, and
overhead portion of premiums (expected
loss, fees and overhead).
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
Category Effects Source
----------------------------------------------------------------------------------------------------------------
Effects on State, local, and/or Tribal $24,006 in year-1 familiarization costs RIA Sections 5, 8.
governments. for 56 States and Territories. $4,827,686
in total additional annual tax revenue
across all States and Territories due to
higher premiums.
----------------------------------------------------------------------------------------------------------------
[[Page 8316]]
----------------------------------------------------------------------------------------------------------------
Category Effects Source
----------------------------------------------------------------------------------------------------------------
Effects on small businesses............. Additional revenue to 12 small WYO Regulatory Flexibility Act
companies. Total annualized revenue: Analysis (NPRM).
$1,151,914 discounted at 3 percent and
$1,149,703 discounted at 7 percent. $451
in year-1 familiarization costs.
Effects on wages........................ None N/A.
Effects on growth....................... None N/A.
----------------------------------------------------------------------------------------------------------------
B. Regulatory Flexibility Act
The Regulatory Flexibility Act of 1980 (5 U.S.C. 601 et seq.)
requires agency review of proposed and final rules to assess their
impact on small entities. When an agency promulgates a notice of
proposed rulemaking under 5 U.S.C. 553, the agency must prepare an
Initial Regulatory Flexibility Analysis (IRFA) unless it determines and
certifies pursuant to 5 U.S.C. 605(b) that a rule, if promulgated, will
not have a significant impact on a substantial number of small
entities. FEMA believes this rule does not have a significant economic
impact on a substantial number of small entities. In accordance with
the Regulatory Flexibility Act of 1980 (RFA), 5 U.S.C. 601 et seq., as
amended by the Small Business Regulatory Enforcement Fairness Act of
1996 (Pub. L. 104-121, 110 Stat. 857), FEMA examined the effects of the
proposed changes to the SFIP Homeowner Form on small entities. A small
entity may be: A small independent business, defined as independently
owned and operated, is organized for profit, and is not dominant in its
field per the Small Business Act (5 U.S.C. 632); a small organization,
defined as any not-for-profit enterprise which is independently owned
and operated and is not dominant in its field (5 U.S.C. 601); or a
small governmental jurisdiction (locality with fewer than 50,000
people) per 5 U.S.C. 601.
This proposed rule would primarily impact individuals and
households, which are not considered small entities under the RFA.
However, it would impact WYO companies, some of which could be small
entities. In 2019, there were 61 unique WYO companies. WYO companies
serviced 83.6 percent of policies, while 16.4 percent were serviced
directly by the NFIP. Of the 61 companies, 2 had fewer than 10
policies, 15 companies had between 11 and 500 policies, 11 companies
had between 501 and 5,000 policies, 22 companies had between 5,001 and
50,000 policies, 8 companies had between 50,001 and 250,000 policies, 2
companies had between 250,001 and 500,000 policies, and 1 company had
553,187 policies. Most company names imply multiple lines of coverage
(fire, casualty, auto, property, mutual). Of the 61 unique WYO
companies,\90\ 12 meet the SBA size standard for a small entity (less
than $16.5 million in revenue for Other Direct Insurance (except Life,
Health, and Medical) Carriers, NAICS 524298),\91\ and 49 of them are
large companies with greater than $16.5 million in revenue. These 12
companies hold an estimated 1.4 percent of total flood insurance
premiums, or 1.7 percent of premiums held by WYO companies.\92\
---------------------------------------------------------------------------
\90\ The PIVOT database shows 61 WYOs with policies within scope
of this analysis in 2019.
\91\ Small Business Administration Size Standards Matched to
North American Industry Classification System Codes, effective May
2, 2022, found at https://www.sba.gov/document/support-table-size-standards (last accessed Aug. 28, 2023).
\92\ Data retrieved from the PIVOT database.
---------------------------------------------------------------------------
FEMA estimates that the changes proposed through the Homeowner
Flood Form would, on net, expand coverage. This expansion would lead to
increased or higher claims payment in the aggregate. These higher
claims payments would be matched by higher premiums. Premiums are
calculated by actuarial formulas which take into account the expected
claims payments and the fees and overhead associated with administering
flood insurance.
In the RIA, FEMA estimated the fees and overhead as a percentage of
expected losses (i.e., claims payments): 52.4 percent.\93\ Of that, 2.9
percentage points are for State premium taxes.\94\ Accordingly, FEMA
estimates that the fees and overhead expenses that would be paid to
WYOs as a result of this rule are 49.5% of the estimated increase in
claims payments.
---------------------------------------------------------------------------
\93\ For more information about 52.4 percent, see Section 5.6 of
the Regulatory Impact Analysis, located in the docket.
\94\ See RIA Table 5.3: Premium Breakout.
---------------------------------------------------------------------------
FEMA estimated the impact of this proposed rule on small entities
by multiplying the total percentage of premiums held by the 12 WYO
companies (1.4 percent) by the total estimated increase in Fees and
Overhead expenses paid to WYOs as a result of this proposed rule (i.e.,
49.5 percent of the estimated increase in claims payments).
Table 6--Additional Fees and Overhead Expenses to Insurance Companies \95\
----------------------------------------------------------------------------------------------------------------
Increase in
fees and Increase in Increase for Increase for
overhead fees and small small
Year expenses for overhead for companies companies
all insurance small (discounted (discounted
companies companies 3%) 7%)
----------------------------------------------------------------------------------------------------------------
1.............................................. $80,130,587 $1,121,828 $1,089,153 $1,048,437
2.............................................. 80,627,398 1,128,784 1,063,987 985,924
3.............................................. 81,127,287 1,135,782 1,039,401 927,136
4.............................................. 81,630,276 1,142,824 1,015,384 871,855
5.............................................. 82,136,384 1,149,909 991,922 819,869
6.............................................. 82,645,630 1,157,039 969,002 770,984
7.............................................. 83,158,033 1,164,212 946,611 725,013
8.............................................. 83,673,613 1,171,431 924,738 681,784
[[Page 8317]]
9.............................................. 84,192,389 1,178,693 903,370 641,131
10............................................. 84,714,382 1,186,001 882,496 602,903
----------------------------------------------------------------
Total...................................... 824,035,979 11,536,503 9,826,064 8,075,036
----------------------------------------------------------------
Annualized............................. ............... .............. 1,151,914 1,149,703
----------------------------------------------------------------------------------------------------------------
Applying the 1.4 percent share for small WYO companies, FEMA
estimated an impact to small entities of $1,151,914 of additional
annualized revenue to the small WYO companies discounted at 3 percent
or $1,149,703 discounted at 7 percent. The 12 small WYOs had a total
revenue of $949,140,309 in 2019. Applying the annual increase in
transfers for fees and overhead to these WYOs, FEMA estimated an
increase of 0.12 percent in payments to WYOs due to the proposed
changes to the SFIP Homeowner Form. Because these payments are included
in the premiums paid by policyholders to the WYOs to cover the cost of
providing insurance, FEMA estimates no net impact to WYOs as a result
of the proposed changes. As previously stated, the policyholders are
not considered small entities under the RFA. Additionally, FEMA
estimated a one-time familiarization cost of $451 per company to read
and understand the changes from this proposed rule.\96\
---------------------------------------------------------------------------
\95\ See RIA Table 8.5: 10-year Transfers Discounted at 3 and 7
percent.
\96\ See RIA section 8.3.2.
---------------------------------------------------------------------------
FEMA believes that this proposed rule would not place these small
entities at a significant competitive disadvantage, cause inefficiency,
or lead to insolvency. All companies participating in the WYO program
would be similarly affected by this proposed rule. Additionally, WYO
companies are compensated for their participation in the program. WYOs
may also choose to exit the program and transfer their book of business
citing terms and conditions in the WYO Arrangement.
Pursuant to 5 U.S.C. 605(b), FEMA certifies this proposed
regulation would not have a significant economic impact on a
substantial number of small entities. FEMA invites comments on the
impact this rule would have on small entities.
C. Unfunded Mandates Reform Act of 1995
Pursuant to section 201 of the Unfunded Mandates Reform Act of 1995
(Pub. L. 104-4, 2 U.S.C. 1531), each Federal agency ``shall, unless
otherwise prohibited by law, assess the effects of Federal regulatory
actions on State, local, and Tribal governments, and the private sector
(other than to the extent that such regulations incorporate
requirements specifically set forth in law).'' Section 202 of the Act
(2 U.S.C. 1532) further requires that ``before promulgating any general
notice of proposed rulemaking that is likely to result in the
promulgation of any rule that includes any Federal mandate that may
result in expenditure by State, local, and Tribal governments, in the
aggregate, or by the private sector, of $100 million or more (adjusted
annually for inflation) in any one year, and before promulgating any
final rule for which a general notice of proposed rulemaking was
published, the agency shall prepare a written statement'' detailing the
effect on State, local, and Tribal governments and the private sector.
The proposed rule would not result in such an expenditure, and thus
preparation of such a statement is not required.
D. Paperwork Reduction Act of 1995
Under the Paperwork Reduction Act of 1995 (PRA), as amended, 44
U.S.C. 3501-3520, an agency may not conduct or sponsor, and a person is
not required to respond to, a collection of information unless the
agency obtains approval from the Office of Management and Budget (OMB)
for the collection and the collection displays a valid OMB control
number. See 44 U.S.C. 3506, 3507. This proposed rulemaking would call
for no new collections of information under the PRA. This proposed rule
includes information currently collected by FEMA and approved in OMB
information collection 1660-0006 (National Flood Insurance Policy
Forms). With respect to this collection, this proposed rulemaking would
not impose any additional burden and would not require a change to the
forms, the substance of the forms, or the number of recipients who
would submit the forms to FEMA.
E. Privacy Act/E-Government Act
Under the Privacy Act of 1974, 5 U.S.C. 552a, an agency must
determine whether implementation of a proposed regulation will result
in a system of records. A ``record'' is any item, collection, or
grouping of information about an individual that is maintained by an
agency, including, but not limited to, his/her education, financial
transactions, medical history, and criminal or employment history and
that contains his/her name, or the identifying number, symbol, or other
identifying particular assigned to the individual, such as a finger or
voice print or a photograph. See 5 U.S.C. 552a(a)(4). A ``system of
records'' is a group of records under the control of an agency from
which information is retrieved by the name of the individual or by some
identifying number, symbols, or other identifying particular assigned
to the individual. An agency cannot disclose any record that is
contained in a system of records except by following specific
procedures. The E-Government Act of 2002, 44 U.S.C. 3501 note, also
requires specific procedures when an agency takes action to develop or
procure information technology that collects, maintains, or
disseminates information that is in an identifiable form. This Act also
applies when an agency initiates a new collection of information that
will be collected, maintained, or disseminated using information
technology if it includes any information in an identifiable form
permitting the physical or online contacting of a specific individual.
In accordance with DHS policy, FEMA has completed a Privacy
Threshold Analysis (PTA) for this proposed rule. DHS/FEMA has
determined that this proposed
[[Page 8318]]
rulemaking does not affect the 1660-0006 OMB Control Number's current
compliance with the E-Government Act of 2002 or the Privacy Act of
1974, as amended. DHS/FEMA has concluded that the 1660-0006 OMB Control
Number is already covered by the following Privacy Impact Assessments
(PIA): DHS/FEMA/PIA-050 National Flood Insurance Program PIVOT System--
March 2018. Additionally, DHS/FEMA has decided that the 1660-0006 OMB
Control Number is already covered by the DHS/FEMA-003 National Flood
Insurance Program Files, 79 FR 28747, May 19, 2014, System of Records
Notice (SORN).
F. Executive Order 13175, Consultation and Coordination With Indian
Tribal Governments
Executive Order 13175, ``Consultation and Coordination with Indian
Tribal Governments,'' 65 FR 67249, November 9, 2000, applies to agency
regulations that have Tribal implications, that is, regulations that
have substantial direct effects on one or more Indian tribes, on the
relationship between the Federal Government and Indian Tribes, or on
the distribution of power and responsibilities between the Federal
Government and Indian Tribes. Under this Executive Order, to the extent
practicable and permitted by law, no agency shall promulgate any
regulation that has Tribal implications, that imposes substantial
direct compliance costs on Indian Tribal governments, and that is not
required by statute, unless funds necessary to pay the direct costs
incurred by the Indian Tribal government or the Tribe in complying with
the regulation are provided by the Federal Government, or the agency
consults with Tribal officials.
FEMA has reviewed this proposed rule under Executive Order 13175
and has determined that it would not have a substantial direct effect
on one or more Indian tribes, on the relationship between the Federal
Government and Indian Tribes, or on the distribution of power and
responsibilities between the Federal Government and Indian Tribes.
G. Executive Order 13132, Federalism
Executive Order 13132, ``Federalism,'' 64 FR 43255, August 10,
1999, sets forth principles and criteria that agencies must adhere to
in formulating and implementing policies that have federalism
implications, that is, regulations that have ``substantial direct
effects on the States, on the relationship between the national
government and the States, or on the distribution of power and
responsibilities among the various levels of government.'' Federal
agencies must closely examine the statutory authority supporting any
action that would limit the policymaking discretion of the States, and
to the extent practicable, must consult with State and local officials
before implementing any such action.
FEMA has determined that this proposed rule would not have a
substantial direct effect on the States, on the relationship between
the national government and the States, or on the distribution of power
and responsibilities among the various levels of government, and
therefore does not have federalism implications as defined by the
Executive Order.
H. National Environmental Policy Act of 1969 (NEPA)
Under the National Environmental Policy Act of 1969 (NEPA), as
amended, 42 U.S.C. 4321 et seq., an agency must consider impacts of its
actions on the environment and prepare an environmental assessment or
environmental impact statement for any rulemaking that has potential to
significantly affect the quality of the human environment. A
categorical exclusion (CATEX) is a form of NEPA compliance that applies
to actions that do not need to undergo detailed environmental analysis
because it has been determined through experience that they typically
do not have a significant impact on the human environment. An agency
may apply a CATEX if the project fits within the identified criteria of
the CATEX.
Rulemaking is a major Federal action subject to NEPA. CATEX M1(d)
included in the list of exclusion categories in the Department of
Homeland Security Instruction Manual 023-01-001-01, Revision 01,
Implementation of the National Environmental Policy Act, Appendix A,
issued November 6, 2014, covers activities in support of FEMA's
administration of the National Flood Insurance Program, including
revisions to the Standard Flood Insurance Policy. This proposed rule
for the NFIP meets CATEX M1(d) and does not require further analysis
under NEPA.
I. Executive Order 11988 Floodplain Management
Pursuant to Executive Order 11988, ``Floodplain Management,'' 42 FR
26951 (May 24, 1977), each agency must provide leadership and take
action to reduce the risk of flood loss; to minimize the impact of
floods on human safety, health, and welfare; and to restore and
preserve the natural and beneficial values served by floodplains in
carrying out the agency's responsibilities for (1) acquiring, managing,
and disposing of Federal lands and facilities; (2) providing Federally
undertaken, financed, or assisted construction and improvements; and
(3) conducting Federal activities and programs affecting land use,
including but not limited to water and related land resources planning,
regulating, and licensing activities. In carrying out these
responsibilities, each agency must evaluate the potential effects of
any actions it may take in a floodplain; ensure that its planning
programs and budget requests reflect consideration of flood hazards and
floodplain management; and prescribe procedures to implement the
policies and requirements of the Executive Order.
Before promulgating any regulation, an agency must determine
whether the proposed regulations will affect a floodplain(s), and if
so, the agency must consider alternatives to avoid adverse effects and
incompatible development in the floodplain(s). If the head of the
agency finds that the only practicable alternative consistent with the
law and with the policy set forth in Executive Order 11988 is to
promulgate a regulation that affects a floodplain(s), the agency must,
prior to promulgating the regulation, design or modify the regulation
in order to minimize potential harm to or within the floodplain,
consistent with the agency's floodplain management regulations. It must
also prepare and circulate a notice containing an explanation of why
the action is proposed to be located in the floodplain.
The purpose of this proposed rule is to revise the SFIP by adding a
new Homeowner Flood Form, which would replace the current Dwelling Form
as a source of coverage for one-to-four family residences and provide
increased options and coverage. In accordance with 44 CFR part 9,
``Floodplain Management and Protection of Wetlands,'' FEMA determines
that the changes proposed in this rule would not have an effect on
floodplains.
J. Executive Order 11990 Protection of Wetlands
Executive Order 11990, ``Protection of Wetlands,'' 42 FR 26961 (May
24, 1977) sets forth that each agency must provide leadership and take
action to minimize the destruction, loss or degradation of wetlands,
and to preserve and enhance the natural and beneficial values of
wetlands in carrying out the agency's responsibilities. These
responsibilities include (1) acquiring, managing, and disposing of
Federal lands and facilities; and (2) providing Federally undertaken,
[[Page 8319]]
financed, or assisted construction and improvements; and (3) conducting
Federal activities and programs affecting land use, including but not
limited to water and related land resources planning, regulating, and
licensing activities. Each agency, to the extent permitted by law, must
avoid undertaking or providing assistance for new construction located
in wetlands unless the head of the agency finds (1) that there is no
practicable alternative to such construction, and (2) that the proposed
action includes all practicable measures to minimize harm to wetlands
which may result from such use. In making this finding, the head of the
agency may take into account economic, environmental and other
pertinent factors.
In carrying out the activities described in Executive Order 11990,
each agency must consider factors relevant to a proposal's effect on
the survival and quality of the wetlands. These include public health,
safety, and welfare, including water supply, quality, recharge and
discharge; pollution; flood and storm hazards; sediment and erosion;
maintenance of natural systems, including conservation and long term
productivity of existing flora and fauna, species and habitat diversity
and stability, hydrologic utility, fish, wildlife, timber, and food and
fiber resources. They also include other uses of wetlands in the public
interest, including recreational, scientific, and cultural uses. The
purpose of this proposed rule is to revise the SFIP by adding a new
Homeowner Flood Form, which would replace the current Dwelling Form as
a source of coverage for one-to-four family residences and provide
increased options and coverage. In accordance with 44 CFR part 9,
``Floodplain Management and Protection of Wetlands,'' FEMA determines
that the changes proposed in this rule would not have an effect on
wetlands.
K. Executive Order 12898 and 14096 Environmental Justice
Under Executive Order 12898, ``Federal Actions to Address
Environmental Justice in Minority Populations and Low-Income
Populations,'' 59 FR 7629 (Feb. 16, 1994), as amended by Executive
Order 12948, 60 FR 6381, (Feb. 1, 1995), FEMA incorporates
environmental justice into its policies and programs. The Executive
Order requires each Federal agency to conduct its programs, policies,
and activities that substantially affect human health or the
environment in a manner that ensures that those programs, policies, and
activities do not have the effect of excluding persons from
participation in programs, denying persons the benefits of programs, or
subjecting persons to discrimination because of race, color, or
national origin. Further, Executive Order 14096, ``Revitalizing Our
Nation's Commitment to Environmental Justice for All,'' 88 FR 25251
(Apr. 26, 2023), charges Federal agencies to make achieving
environmental justice part of their missions, consistent with statutory
authority, by identifying, analyzing, and addressing the
disproportionate and adverse human health and environmental effects and
hazards of Federal activities, including those related to climate
change and cumulative impacts of environmental and other burdens on
communities with environmental justice concerns.
This rulemaking would not have a disproportionately high or adverse
effect on human health or the environment, nor would it exclude persons
from participation in FEMA programs, deny persons the benefits of FEMA
programs, or subject persons to discrimination because of race, color,
or national origin.
L. Congressional Review of Agency Rulemaking
Before a rule can take effect, the Congressional Review of Agency
Rulemaking Act (CRA), 5 U.S.C. 801-808, requires the Federal agency
promulgating the rule to submit to Congress and to the Government
Accountability Office (GAO) a copy of the rule, a concise general
statement relating to the rule, including whether it is a major rule,
and other information.
A ``major'' rule is one that has an annual effect on the economy of
$100,000,000 or more; results in a major increase in costs or prices
for consumers, individual industries, Federal, State, or local
government agencies, or geographic regions; or has significant adverse
effects on competition, employment, investment, productivity,
innovation, or on the ability of United States-based enterprises to
compete with foreign-based enterprises in domestic and export markets.
Pursuant to the CRA, the Office of Information and Regulatory Affairs
has designated this rule as ``major'' within the meaning of the CRA as
defined by 5 U.S.C. 804(2), as the annual effect on the economy will be
over $100,000,000. As such, FEMA will send this rule to the Congress
and to GAO pursuant to the CRA at least 60 days before the effective
date of any final rule.
List of Subjects in 44 CFR 61
Flood insurance, Reporting and recordkeeping requirements.
For the reasons discussed in the preamble, FEMA proposes to amend
44 CFR part 61 as follows:
PART 61--INSURANCE COVERAGE AND RATES
0
1. The authority citation for part 61 continues to read as follows:
Authority: 42 U.S.C. 4001 et seq.; 6 U.S.C. 101 et seq.
0
2. Revise Sec. 61.2 to read as follows:
Sec. 61.2 Definitions
The definitions set forth in part 59 of this subchapter apply to
this part, including the appendices. If an appendix defines a term
differently, that definition controls for the purposes of that
appendix.
0
3. Amend Sec. 61.13 by revising paragraph (a) to read as follows:
Sec. 61.13 Standard Flood Insurance Policy
(a) Incorporation of forms. Each of the Standard Flood Insurance
Policy forms included in appendix ``A'' hereto and by reference
incorporated herein shall be incorporated into the Standard Flood
Insurance Policy.
* * * * *
0
4. Add Appendix A(4) to Part 61 to read as follows:
Appendix A(4) to Part 61
Federal Emergency Management Agency, Federal Insurance and Mitigation
Administration, Standard Flood Insurance Policy
Homeowner Flood Form
Please read this policy carefully. The flood insurance provided
under this policy is subject to limitations, conditions, and
exclusions. This policy insures only one dwelling that is specified
on the declarations page.
Section I: Insuring Agreement
A. Governing Law. The Federal Emergency Management Agency
(``FEMA'') provides this flood insurance policy under the terms of
the National Flood Insurance Act of 1968, as amended (``Act''), and
title 44 of the Code of Federal Regulations. The Act, applicable
regulations, and federal common law exclusively govern this policy
and all disputes involving this policy.
B. Conflict With Federal Law. This policy does not insure any
real or personal property that is not eligible for flood insurance
pursuant to federal law.
C. Agreement. We will pay you for direct physical loss by or
from flood to your insured property up to the limits stated on the
declarations page if you:
1. Paid the full amount due (including applicable premiums,
surcharges, and fees);
[[Page 8320]]
2. Complied with all terms and conditions of this policy; and
3. Furnished complete and accurate information and statements to
us.
D. Policy Term. This policy will expire at 12:01 a.m. on the
last day of the policy term stated on the declarations page.
E. Liberalization. If we make a change that broadens coverage
under this edition of our policy and that does not require an
additional premium charge, that change will automatically apply to
your insurance as of the date we implement the change, provided that
this implementation date falls within 60 calendar days prior to or
during the policy term stated in the declarations page.
F. Our Right of Review. We may at any time review the
information you give us and request additional information from you.
We may revise your policy based on such review or additional
information, including revising the amounts due from you.
Section II: Definitions
A. Use of Pronouns. In this policy:
1. ``You'' and ``your'' refer to the insured(s) shown on the
declarations page of this policy.
2. ``We,'' ``us,'' and ``our'' refer to the insurer providing
coverage under this policy.
B. Flood. In this policy, flood means:
1. A general and temporary condition of partial or complete
inundation of normally dry land from any of the following:
a. Overflow of inland or tidal waters;
b. Unusual and rapid accumulation or runoff of surface waters
from any source;
c. Mudflow, which is a river of liquid and flowing mud on the
surface of normally dry land, as when earth is carried by a current
of water; or
d. Sudden erosion or undermining of land along the shore of a
lake or similar body of water caused by waves or currents of water
exceeding anticipated cyclical levels that causes collapse or
subsidence of land resulting in a flood.
C. Buildings. In this policy, the following definitions apply:
1. Building. A structure, the construction of which has been
completed, that has a fully secured roof and solid, vertical, load-
bearing walls, and is affixed to a permanent site.
2. Basement. Any area of a building having its floor level below
ground level on all sides, regardless of design or use.
a. An area of a building is below ground level when the land
touching the exterior of the building is above its floor level.
b. An area of a building is presumed to be below ground level
when it is necessary to walk up steps or a slope to reach the land
surrounding the building. A professional land survey or report may
rebut this presumption.
3. Enclosure. An area that exists below the dwelling and is used
in accordance with local floodplain management ordinances or law for
the parking of vehicles, building access, or storage. The enclosure
is shown on the declarations page.
D. Other Defined Terms.
1. Act. The National Flood Insurance Act of 1968, as amended (42
U.S.C. 4001 et seq.).
2. Actual Cash Value. The cost to replace an insured item of
property at the time of loss, less depreciation based on its age and
condition.
3. Administrator. The Administrator of the Federal Emergency
Management Agency or designee.
4. Claim. Your assertion that you are entitled to payment for a
covered loss under the terms and conditions of this policy. There is
only one claim per flood event.
5. Declarations Page. A document we provide to you based on
information that you provided to us that summarizes the coverage
limit(s), premium, insured(s), and other information about your
policy. The declarations page is a part of this policy.
6. Described Location. The location of the insured building. The
described location is shown on the declarations page.
7. Direct Physical Loss By or From Flood. Actual physical loss
or damage to the insured property directly caused by a flood.
8. Dwelling. A building in use as a one-to-four family
residence. A dwelling is not a mobile home, travel trailer, or a
condominium unit.
9. Flood Damage Resistant Materials. Building materials
identified by the Administrator as resistant to flood damage.
10. Insured(s). Includes you and:
a. any additional persons identified on the declarations page;
b. any mortgagee or loss payee named in your application for
insurance, as well as any other mortgagee or loss payee determined
to exist at the time of loss; and
c. your spouse, if a resident of the same household.
11. Machinery and Equipment. Machinery and equipment includes,
only when contained within a building at the described location,
functional electrical, plumbing, heating, cooling, and safety
elements necessary for the operation of a building, and elevators.
Outside of a building, machinery and equipment only includes the
condenser unit for a central air conditioning system, heat pump unit
for heating and air conditioning systems, solar panels, and
permanently installed whole house standby generators when such units
are connected to and servicing a building at the described location.
12. National Flood Insurance Program (NFIP). The program of
flood insurance coverage and floodplain management administered
under the Act.
13. Policy. The entire written contract between you and us. It
includes:
a. this Homeowner Flood Form;
b. the completed application for insurance;
c. the declarations page;
d. any endorsement(s) issued to you by us; and
e. any addenda attached to this form by us at the time of
application or renewal.
14. Proof of Loss. The proof of loss is a signed and sworn
statement by you containing documentary evidence in support of your
loss and the amount you are claiming.
15. Replacement Cost Value. The necessary cost, without
deduction of depreciation, to repair or replace an item of property
at the time of loss with an item of like kind and quality.
Section III: What We Cover
A. Coverage A--Dwelling
1. We insure up to the coverage limit on the declarations page
at the described location against direct physical loss by or from
flood to:
a. The dwelling.
b. Materials and supplies to be used for construction,
alteration, or repair of the dwelling or any other building(s)
scheduled under Coverage B at the described location. The materials
and supplies must be stored in a building at the time of loss.
2. Limited Coverage for Basements and Enclosures. We only cover
direct physical loss by or from flood to the interior of all
basements and enclosures as follows:
a. Machinery and equipment installed and, if necessary for
operation, connected to a power source.
b. Footings, foundations, posts, pilings, piers, or other
foundation walls and anchorage systems required to support a
dwelling.
c. Stairways and staircases directly attached to the dwelling.
d. Unfinished drywall and nonflammable insulation.
3. Dwelling Limitations.
a. Limitations on mold and mildew. We cover damage to the
dwelling due to mold or mildew caused by a flood only when it is not
within your control to inspect and maintain the property after a
flood recedes.
b. Limitations on power, heating, or cooling failure. We cover
damage caused by a power, heating, or cooling failure that is the
result of direct physical loss by or from flood to covered power,
heating, or cooling equipment at the described location.
c. Limitations on flood in the area. We cover damage to the
dwelling when there is a flood in the area and the flood causes:
(1) water or waterborne material to back up through sewers or
drains; to discharge or overflow from a sump, sump pump, or related
equipment; or to seep or leak on or through the dwelling; or
(2) losses to the dwelling by or from the pressure or weight of
standing or resting water on or below the surface of the land.
d. Limitations on pollutants. We pay for the testing or
monitoring of pollutants after a flood only when required by law or
ordinance. ``Pollutants'' refers to any substances that include, but
are not limited to, any solid, liquid, gaseous, or thermal irritant
or contaminant, including smoke, vapor, soot, fumes, acids, alkalis,
chemicals, and waste. ``Waste'' includes, but is not limited to,
materials to be recycled, reconditioned, or reclaimed.
4. This policy does not cover:
a. Loss of use of the described location including any living
expenses incurred while the dwelling is inaccessible, being
repaired, or is uninhabitable for any reason;
b. Land and land values;
c. Lawns, trees, shrubs, plants, growing crops, and landscaping;
d. Any open structures, including but not limited to a building
used as a boathouse, when located entirely in, on, or over water.
e. Buildings constructed or substantially improved after
September 30, 1982, when (1)
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they are located entirely in, on, or over water or (2) if they are
seaward of mean high tide;
f. Underground structures and equipment that are not located
within the dwelling, such as wells, septic, sewer, plumbing supply,
waste lines, gas supply lines, and electrical and HVAC system
components;
g. Those portions of walks, walkways, decks, driveways, patios,
and other surfaces, all whether protected by a roof or not, located
outside the perimeter, exterior walls of the insured building;
h. Containers and related equipment, such as tanks containing
gases or liquids;
i. Fences, retaining walls, seawalls, bulkheads, wharves, piers,
bridges, and docks; and
j. Hot tubs and spas that are not bathroom fixtures, and
swimming pools, and their equipment, such as heaters, filters,
pumps, and pipes, wherever located.
B. Coverage B--Other Buildings
1. We apply the terms of Coverage A to other buildings at the
described location except as modified in III.B.2.
a. For this Coverage B to apply, the other buildings must appear
on the declarations page.
b. Use of this coverage is at your option, but reduces the
dwelling coverage limit provided under Coverage A. The maximum
available coverage limit for other buildings is 10% of Coverage A
limits, regardless of how many buildings are scheduled on the
declarations page.
2. We do not cover:
a. Anything already excluded under the terms of Coverage A.
b. Basements or enclosures for any building that is not the
dwelling.
c. Any building used or held for use for commercial purposes,
such as agricultural and business use.
d. Any building(s) at the described location that is not owned
by the insured, such as a building owned by a homeowners
association.
C. Coverage C--Personal Property
1. We insure up to the coverage limit stated on the declarations
page against direct physical loss by or from flood to personal
property inside a building at the described location when:
a. The property is owned by you or your household family
members; or
b. The property is at the described location and is owned by
non-paying guests or laborers.
2. We insure your personal property against direct physical loss
by or from flood anywhere in the United States as follows:
a. We will pay no more than 10% of Coverage C limits for:
(1) Personal property located in a building at a location other
than the described location; or
(2) Personal property located in a storage facility building.
b. The 10% coverage limit in III.C.2.a. will not apply if you
have moved the personal property to a building reasonably safe from
flood and not in a basement or enclosure due to:
(1) A general and temporary condition of flooding in the area
near the described location, even if the flood does not reach the
described location;
(2) An evacuation order or other civil order from an authorized
local official; or
(3) Repairs, renovations, or reconstruction or other conditions
that make the described location uninhabitable or unsuitable for the
storage of property.
3. Personal Property Limitations.
a. Limitations on Property in a Basement or in an Enclosure. In
a basement or an enclosure, this policy will only cover appliances
installed in their functioning locations and, if necessary for
operation, connected to a power source.
b. Limitations on Property in a Building Without Walls on All
Sides. This policy will only cover personal property in any portion
of a building that is not fully enclosed when it is secured to
prevent flotation out of the building.
4. Special Limits. We will pay no more than the coverage
sublimit specified on the declarations page for any claim to one or
more of the following kinds of personal property:
a. Artwork, photographs, collectibles, or memorabilia, including
but not limited to, porcelain or other figures, and sports cards;
b. Rare books or autographed items;
c. Jewelry, watches, precious and semiprecious stones, or
articles of gold, silver, or platinum;
d. Furs or any article containing fur for which the fur
represents its principal value;
e. Portable electronic devices, including cell phones, smart
phones, video game devices, electronic tablets, and laptop
computers; or
f. Personal property primarily used for any commercial purposes.
g. No more than 10% of the special limit shown on the
declarations page may be applied to valued paper, metals, or other
similarly valued objects such as accounts, bills, coins, currency,
deeds, evidences of debt, medals, money, scrip, stored value cards,
postage stamps, securities, bullion, or manuscripts.
5. We will only pay for the functional value of antiques.
6. We do not cover:
a. Anything already excluded under Coverages A and B;
b. Loss of use of any personal property at the described
location;
c. Personal property not inside a building;
d. Items of personal property in a basement or an enclosure,
except as stated in III.C.3;
e. Personal property in a building constructed or substantially
improved after September 30, 1982 when the building is (1) located
entirely in, on, or over water or (2) seaward of mean high tide;
f. Personal property located in an open structure located in,
on, or over water;
g. Losses to items stored in a digital or other intangible
format, whether created, owned, licensed, or otherwise in your
possession;
h. Items held in violation of state or federal law;
i. Living things; and
j. Any self-propelled vehicle or machine capable of transporting
a person(s) or cargo, by land, water, or by air, including any of
its equipment and parts. However, this limitation does not apply to
personal property inside a building at the described location that
is not registered for use on public roads, and:
(1) Used solely to service the described location; or
(2) Designed and used to assist people with disabilities.
D. Coverage D--Other Coverages
1. Debris Removal
a. Covered Debris.
(1) We will pay the labor and expense to remove:
(a) debris from anywhere that comes onto or into the insured
dwelling or other insured buildings at the described location; and
(b) debris of insured property anywhere.
(2) If you or a member of your household perform the debris
removal work, we will pay you for the value of this work using the
federal minimum wage. This coverage does not increase any coverage
limit stated on the declarations page.
b. Debris Not Covered. This policy does not cover the cost to
remove:
(1) debris from other locations on the land surrounding the
dwelling or other building(s) at the described location, or
(2) any non-covered items of property from the dwelling or
building(s), even if the removal facilitates covered cleanup or
repairs.
2. Loss Prevention
a. Materials and Labor. We will pay up to the coverage sublimit
specified on the declarations page for the expenses you incur to
protect your insured property from a flood or imminent danger of
flood. Such expenses are limited to the following:
(1) Your reasonable expenses to buy materials reasonably
understood to be, or commonly used as, temporary measures to avoid
or reduce the harm from an imminent flood, including sandbags, fill
for temporary levees, and pumps; and
(2) The value of work, at the federal minimum wage, that you or
a member of your household perform to protect your property.
b. This coverage for materials and labor only applies if:
(1) Damage to the insured property by or from flood is imminent;
and
(2) The threat of flood damage is apparent enough to lead a
reasonably prudent person to anticipate flood damage.
(3) In addition, one of the following must occur:
(i) A general and temporary condition of flooding in the area
near the described location must occur, even if the flood does not
reach the building; or
(ii) A legally authorized official has issued an evacuation
order or other civil order for the community in which your insured
property is located calling for measures to preserve life and
property from the peril of flood.
3. Property Removed to Safety. We will pay up to the coverage
sublimit specified on the declarations page for the reasonable
expenses you incur to move insured property to a secure location
other than the described location to protect it from flood or the
imminent danger of flood. Reasonable
[[Page 8322]]
expenses include the value of work, at the federal minimum wage,
performed by you or a member of your household.
4. This coverage does not increase the Coverage A, Coverage B,
or Coverage C limits.
Section IV: Exclusions
A. Excluded Losses. We do not pay you for damage from:
1. Other perils;
2. Economic losses, even if caused by flood, whether direct or
indirect, including losses from a disruption of business, or
complying with any ordinance or law.
3. Earth movement, even if the earth movement is caused by
flood, as follows:
a. Earth movement includes:
(1) Earthquake;
(2) Landslide;
(3) Subsidence;
(4) Sinkholes;
(5) Destabilization; or
(6) Any other movement such as sinking, rising, shifting,
expanding, or contracting of the earth.
b. This earth movement coverage exclusion does not include:
(1) Hydrostatic pressure or hydrodynamic forces;
(2) Buoyancy; or
(3) Frictional force from floodwater moving along the surface of
the ground.
4. Gradual erosion caused by the normal water action that wears
an area of land away over time.
5. Other excluded causes of damage. We do not insure for damage
caused directly or indirectly by any of the following:
a. The pressure, weight, freezing, or thawing of ice;
b. Rain, snow, sleet, hail, or water spray;
c. The exposure to water of any form other than flood, including
failure, stoppage, or breakage of water or sewer lines, drains,
pumps, fixtures, or equipment;
d. Design, structural, or mechanical defect(s); deterioration,
rot, or corrosion; or insect or rodent infestation; and
e. Anything you or any member of your household does or
conspire(s) to do to deliberately cause direct physical loss by or
from flood.
6. Increase in hazard. We will not cover any loss that occurs
due to any hazard that is increased by you, by any means within your
control, or with your knowledge.
B. Flood in Progress.
1. A flood is in progress when one of the following is true:
a. There is a near certainty of a flood loss at the described
location from a flood control effort such as:
(1) Opening of a spillway,
(2) Breaching of a levee, or
(3) Releasing of water from a dam.
b. There is a flood at the described location.
2. Loan closing. If this policy became effective in connection
with a loan closing, we will not pay for a loss caused by a flood in
progress at the time of loan closing.
3. No loan closing. In all other circumstances, we will not pay
for a loss caused by a flood in progress that existed on or before
the day you submitted the application for coverage under this
policy.
C. Pre-existing Damage. We do not pay you for pre-existing
damage. Pre-existing damage includes:
1. Flood loss or damage that occurred prior to the date of the
loss, whether direct physical loss or not, and whether paid or
unpaid on a prior event; and
2. Damage attributable to any non-flood peril that occurred
prior to the date of loss.
Section V: Policy Conditions
A. Actions and Conditions That Can Void Your Policy.
1. NFIP Ineligibility. This policy is void from its inception
and has no legal force if:
a. The described location is in a community that was not
participating in the NFIP on the policy's inception date and did not
join or reenter the NFIP during the policy term and before the loss
occurred;
b. The described location or other property is otherwise not
eligible for coverage under the Act or regulations of the NFIP, for
reasons of noncompliance with local floodplain ordinances or
otherwise; or
c. Any other federal law prevents coverage of property at the
described location.
2. Concealment or Fraud. With respect to all insureds under this
policy,
a. This policy is void and has no legal force or effect, and
cannot be renewed, if before or after a loss, you or any other
insured or your agent have at any time:
(1) Intentionally concealed or misrepresented any material fact
or circumstance;
(2) Engaged in fraudulent conduct relating to this policy; or
(3) Knowingly made false statements relating to this policy or
any other NFIP insurance when applying for coverage, when making a
claim, or at any other time.
b. This policy will be void as of the date acts described in
V.A.2.a. were committed.
B. Policy Renewal.
1. We must receive the renewal premium from you within 30
calendar days of the expiration date of your prior policy term.
2. We will not renew this policy if federal law prevents
coverage of property at the described location.
C. Cancellation of the Policy by You.
1. You may cancel this policy when:
a. You no longer have an insurable interest in the subject
property;
b. You are no longer required to maintain a flood insurance
policy pursuant to federal law or lender requirements; or
c. You have a duplicate NFIP policy.
2. If you cancel this policy, you may be entitled to a full or
partial refund of premium for the current policy term under the
applicable rules and regulations of the NFIP.
D. Reduction and Reformation of Coverage.
1. If the premium we receive from you is not enough to purchase
the amount(s) of insurance you requested, we will issue the policy,
but only for the amount of coverage that the premium will purchase
for a one-year term.
2. We will increase the reduced amount of coverage described in
V.D.1 to the amount you originally requested without regard to
whether a loss occurred, provided that:
a. We will bill you for the additional premium or, if necessary
to calculate the additional premium, request information from you.
b. You respond to our request for:
(1) Additional premium within 30 calendar days of the date of
our bill; or
(2) Additional information within 60 calendar days of the date
of our request.
c. Failure to timely respond may result in a waiting period for
additional coverage if a loss has not occurred within the policy
term, or the settlement of a claim under reduced policy limits if a
loss has occurred within the policy term.
E. Disaster Conditions. In the event of a flood associated with
a major disaster or emergency declared by the President under the
Robert T. Stafford Disaster Relief and Emergency Assistance Act, the
Administrator may, after written notice:
1. Extend the stated timeframes in the following sections below:
a. Proof of Loss, VI.A.3, and VI.A.7, for a period not to exceed
365 calendar days from the date of loss; and
b. Policy Renewal, V.B.1, for a period not to exceed 60 calendar
days from the expiration date.
2. Conditionally waive the requirement in VI.A.3 and VI.B.2 that
an insured must sign or swear to a proof of loss or an adjuster's
report.
3. In accordance with VI.C.3, establish special procedures for
advance payments to insured(s).
4. Settle losses in accordance with any formula established
under federal law that allocates covered damages amongst multiple
perils, including flood.
Section VI: Procedures and Duties When a Loss Occurs
A. Your Duties After a Loss. If the described location
experiences a direct physical loss by or from flood, you must comply
with all of the following duties:
1. Give prompt notice to us;
2. As soon as possible, separate the damaged and undamaged
property so that we may examine it. You must also take all
reasonable measures to protect covered property from any further
loss;
3. Within 90 calendar days after the loss, send us a proof of
loss, signed and sworn to by you, furnishing us with the following
information:
a. The date and time of loss;
b. A brief explanation of how the loss happened;
c. Details of any other insurance that may cover some or all of
the loss;
d. Changes in title or occupancy of the covered property during
the term of the policy;
e. Names of mortgagees or anyone else having a lien, charge, or
claim against the covered property;
f. A description of all damages to your dwelling and other
covered buildings and detailed repair estimates (if estimates are
available); and
g. An inventory of the lost, damaged or destroyed property
showing the
(1) Quantity;
(2) Description;
(3) Replacement Cost Value or Actual Cash Value (whichever is
applicable);
[[Page 8323]]
(4) Amount of loss;
(5) Evidence that prior flood damage has been repaired;
(6) Any written plans and specifications for repair of the
damaged property that you can reasonably make available to us; and
(7) All funds actually spent by you recovering from the loss.
You must attach to the inventory copies of all bills, receipts,
invoices, written estimates, and related documents.
4. In completing the proof of loss, you must use your own
judgment concerning the amount of loss, justify that amount, and
sign the proof of loss.
5. You must cooperate with our adjuster and other
representative(s) in the investigation of your claim.
6. You must make the damaged property accessible for inspection.
7. The insurance adjuster we hire to investigate your claim may
furnish you with a proof of loss form and may help you complete it.
However, this help is a matter of courtesy only and you must still
send us a proof of loss within 90 calendar days after the loss even
if the adjuster does not furnish the form or help you complete it.
B. Our Options After a Loss. After a loss and at our sole
discretion, we may exercise the following options:
1. At such reasonable times and places that we may designate:
a. You must provide us access to the damaged property;
b. If we request, you must submit to examination under oath,
while not in the presence of another insured, and sign the
transcript from such examination; and
c. Permit us to examine and make copies of all or any relevant
portion of:
(1) Any policies of property insurance insuring you against loss
and the deed establishing your ownership of the insured real
property; and
(2) All bills, invoices, receipts and other records pertaining
to the damaged property, or certified copies if the originals are
lost.
2. At our option, we may accept our adjuster's report of the
loss in lieu of a proof of loss. You must sign the adjuster's
report. At our option, we may also require you to swear to the
report.
C. Loss Payment.
1. Adjustment of Claims.
a. We have not authorized the adjuster to approve or disapprove
any claim.
b. We will adjust all losses with you. We will pay you unless
some other person or entity is named in the policy or is legally
entitled to receive payment. Loss will be payable 60 calendar days
after we receive your proof of loss, or within 90 calendar days
after the insurance adjuster files the adjuster's report signed and,
if required by us, sworn to by you in lieu of a proof of loss, and:
(1) We reach an agreement with you;
(2) There is an entry of a final judgment; or
(3) There is a filing of an appraisal award with us, as provided
in VI.F. of this policy.
2. If we reject your proof of loss in whole or in part, you may:
a. Accept our denial of your claim;
b. File an amended proof of loss (see VII.L.1) within 90
calendar days of the date of the loss;
c. Exercise your rights under this policy including:
(1) Appeal (see VII.L.2)
(2) Appraisal (see VI.F) or
(3) Litigation (see VII.L.3).
3. Advance Payments.
a. At our option, we may provide you with an advance payment
prior to the completion of your claim. You may request an advance
payment after providing the notice of loss required in VI.A. Such
advance payments may include amounts totaling no more than 5% of the
Coverage A coverage limit to an insured without regard to VII.F.
b. We may approve or reject your request for an advance payment
at any time. Such approval or rejection does not affect the final
adjustment of your claim and does not change your duties or our
options under this policy.
c. If we provide you with an advance payment that exceeds your
covered loss, we will send you notice in writing of the overpayment.
You must repay any excess amount to us or dispute the validity of
the overpayment within 30 calendar days of the date on our letter.
Failure to repay any overpayment from us may result in a debt
collection action by the Federal Government.
D. Deductible.
1. When a loss is covered under this policy, we will pay only
that part of the loss that exceeds your deductible amount (subject
to the applicable coverage limit). Your deductible amount is shown
on the declarations page.
2. In each loss from flood, a single deductible applies to
losses to your dwelling and all other property insured by this
policy.
3. The deductible does NOT apply to any Loss Avoidance Measures
specified in III.D.2 or III.D.3.
E. Loss Settlement.
1. This policy provides two possible methods of settling losses:
Replacement Cost Value and Actual Cash Value.
a. Replacement Cost Value loss settlement, described in VI.E.2.
applies:
(1) To your dwelling, if at the time of loss, the coverage limit
in this policy that applies to the dwelling is 80% or more of full
replacement cost immediately before the loss or is the maximum
coverage limit available under the NFIP.
(2) To claims arising under Coverage B or Coverage C of this
policy.
b. Actual Cash Value loss settlement applies:
(1) If your dwelling is not eligible for Replacement Cost Value
settlement because it does not meet the conditions under VI.E.1.a.;
or
(2) If Actual Cash Value is specified in an endorsement.
2. Replacement Cost Value Loss Settlement. If your loss is
subject to Replacement Cost Value settlement under VI.E.1.a., the
following conditions apply:
a. We will pay to repair or replace the damaged dwelling or
other building(s) at the described location or personal property
covered under this policy but not more than the lesser of the
following amounts:
(1) The coverage limit that is applicable to the loss as shown
on your declarations page;
(2) The replacement cost of that part of the dwelling that is
damaged using materials of like kind and quality and for like use;
or
(3) The amount necessary to repair or replace the damaged part
of the dwelling for like use.
b. If the dwelling is rebuilt at a new location, we will pay you
only the cost that would have been incurred if the dwelling had been
rebuilt at its former location.
3. Actual Cash Value Loss Settlement. If actual cash value loss
settlement applies, we will pay the lesser of the following amounts:
a. The actual cash value of the covered property; or
b. The policy limits stated on the declarations page.
4. Flood Mitigation Expenses. We will reimburse you for post-
loss expenses that mitigate against future flood events as follows:
a. Post-loss expenses may not exceed the policy limits stated on
the declarations page.
b. At your option, you may choose to replace any damage under
Coverage A or Coverage B with Flood Damage Resistant Materials.
After you complete installation of the Flood Damage Resistant
Materials, you may then request reimbursement.
c. At your option, you may choose to elevate your machinery and
equipment above a basement or an enclosure. Such elevated machinery
and equipment must be elevated to a height reasonably expected to
avoid future direct physical loss by or from flood. After you
complete elevation of the machinery and equipment, you may then
request reimbursement.
5. This is not a valued policy. A valued policy is a policy in
which the payable amount in the event of a total loss is agreed upon
by the insured and the insurer.
F. Appraisal. If you and we fail to agree on the Replacement
Cost Value or, if applicable, Actual Cash Value, of your damaged
property and are thus unable to settle the amount of loss, then
either party may demand an appraisal of the loss.
1. Conditions Before You Can Request an Appraisal.
a. You must agree with us on a list of damaged items to be
appraised.
b. You must have complied with the requirements of the proof of
loss (see VI.A.3).
c. Appraisal is only available when the dispute between parties
involves the price to be paid for the property covered under this
policy. Other disputes, such as disputes regarding coverage or
causation, or the extent of the loss, cannot be resolved through the
appraisal process.
2. Appraisal Process. If the conditions under VI.F.1. are
satisfied and an appraisal is properly invoked, you and we will each
choose a competent and impartial appraiser within 20 calendar days
after receiving a written request to do so from the other. The two
appraisers will choose an umpire. If they cannot agree upon an
umpire within 15 calendar days, you or we may request that the
choice be made by a judge of a court of record in the State where
the covered property is located. The appraisers will separately
state the Actual Cash Value or the
[[Page 8324]]
Replacement Cost Value (as applicable), and the amount of loss to
each item. If the appraisers submit a written report of an agreement
to us, the amount agreed upon will be the amount of loss. If they
fail to agree, they will submit their differences to the umpire. A
decision agreed to by any two will set the amount of Actual Cash
Value and loss, or if it applies, the Replacement Cost Value and
loss. Each party will:
a. Pay its own appraiser; and
b. Bear the other expenses of the appraisal and umpire equally.
3. Appraisal can only be used when it will result in complete
resolution of the entire claim. Appraisal cannot be used to resolve
only part of your claim or to determine the value of some items and
not others.
Section VII: General Conditions
A. Abandonment. You may not unilaterally abandon to us damaged
or undamaged property insured under this policy.
B. Amendments, Waivers, Assignment.
1. This policy cannot be changed nor can any of its provisions
be waived without the express written consent of the Administrator.
2. No action we take under the terms of this policy constitutes
a waiver of any of our rights.
3. You may not assign your policy or your claim to any other
party.
C. Death. In the event of your death during the policy term, the
coverage provided under this policy continues automatically for any
other insured(s). If no other insured exists, this policy will
insure the administrator, executor or other legal representative of
your estate as previously determined by you or the intestacy laws of
the state where the described location is located, but only for the
dwelling, building(s), and personal property of the deceased at the
time of death.
D. Duplicate Policies Not Allowed. We will not insure your
personal property at the described location under more than one NFIP
policy. If there is more than one NFIP policy for buildings at the
described location, we will apply the NFIP rules concerning
duplicate policies and cancel or nullify one of the policies,
whichever is applicable, which may result in a refund.
E. Headings and Captions. The headings and captions used in this
policy are for convenience of reference only and shall not affect or
control the meaning or interpretation of any of the terms,
conditions or provisions of this policy.
F. Mortgage Clause. The word ``mortgagee'' includes trustee.
1. Any loss payable under III.A or III.B of this policy will be
paid to any mortgagee of whom we have actual notice, as well as any
other mortgagee determined to exist at the time of loss, including
you, as interests appear. If more than one mortgagee is named, the
order of payment will be the same as the order of precedence of the
mortgages.
2. If we deny your claim, that denial will not apply to a valid
claim of the mortgagee, if the mortgagee:
a. Notifies us prior to a loss of any change in the ownership or
occupancy, or substantial change in risk, of which the mortgagee is
aware;
b. Pays any premium due under this policy on demand if you have
neglected to pay the premium; and
c. Submits a signed, sworn proof of loss within 90 calendar days
after receiving notice from us of your failure to do so.
3. All of the terms of this policy apply to the mortgagee.
4. The mortgagee has the right to access your claim file and
receive loss payment even if the mortgagee has started foreclosure
or similar action on the property insured under this policy.
5. If we decide to cancel or not renew this policy, it will
continue in effect only for the benefit of the mortgagee for 30
calendar days after we notify the mortgagee of the cancellation or
non-renewal.
6. If we pay the mortgagee for any loss and deny payment to you,
we are subrogated to all the rights of the mortgagee granted under
the mortgage on the property. Subrogation will not impair the right
of the mortgagee to recover the full amount of the mortgagee's
claim.
G. No Benefit to Bailee. No person or organization having
custody of covered property other than you will benefit from this
insurance.
H. Other Insurance. Subject to the limitations and restrictions
of VII.D., if a loss covered by this policy is also covered by other
insurance, we will pay no more than the coverage limit you are
entitled to for lost, damaged, or destroyed property insured under
this policy, subject to the following:
1. We will pay only the proportion of the loss that this
policy's coverage limit bears to the total coverage limit covering
the loss; unless VII.H.2. or VII.H.3. applies.
2. If the other policy has a provision stating that it is excess
insurance, this policy will be primary;
3. This policy will be primary up to the other policy's
deductible amount. After the other policy's deductible amount is
reached, this policy will participate in the same proportion that
this policy's amount of insurance bears to the total amount of both
policies for the balance of the loss. This policy is subject to its
own deductible.
I. Pair and Set Clause. In case of loss to an item of property
that is part of a pair or set, we will have the option to pay you
either:
1. The cost to replace only the lost, damaged, or destroyed
item; or
2. The amount that represents the fair proportion that the lost,
damaged or destroyed item bears to the total value of the pair or
set.
J. Salvage.
1. After we give you written notice, we may take all or any part
of the damaged property at the value that we agree upon or its
appraised value.
2. We may permit you to keep damaged property insured under this
policy after a loss, but we will reduce the amount of the loss
proceeds payable to you under the policy by the value of the
salvage.
K. Subrogation. ``Subrogation'' means that your right to recover
for a loss that was partly or totally caused by someone else is
automatically transferred to us, to the extent that we have paid you
for the loss. We may require you to acknowledge this transfer in
writing. Whenever we pay for a loss under this policy, we are
subrogated to your right to recover for that loss from any other
person. After the loss, you must deliver all related papers to us,
you must cooperate with us, and you may not interfere with or do
anything that would prevent our right to recover this money. If we
pay for a loss under this policy and you (1) make a claim against
any person who caused your loss and (2) recover any money from that
person, you must return our payment before you may keep any
recovered funds, without regard to any non-covered losses occurring
at the described location.
L. Your Options After Our Denial.
1. Request Additional Payment. You may request additional
payment and amend your initial proof of loss. You must submit this
request or amended proof of loss as set forth in VI.A. A denial
letter does not extend the deadline in VI.A.3 to submit a proof of
loss.
2. Appeal. If we deny your claim, in whole or in part, we will
send you a denial letter. If you wish to appeal our denial, you must
send an appeal letter explaining your position and a copy of our
denial letter to FEMA within 60 calendar days of the date on our
letter. Filing an appeal to FEMA does not limit or affect your
ability to file suit, or to seek an additional payment or file an
amended proof of loss with us.
3. File a Lawsuit Against Us. You may not sue us to recover
money under this policy unless you have complied with all of the
requirements of the policy. If you do sue, you must file the suit
within one year after the date of the written denial of all or part
of your claim, and you must file the suit in the United States
District Court of the district in which the covered property or the
major part thereof was located at the time of loss. These
requirements apply to any claim that you may have under this policy
and to any dispute that you may have arising out of or resulting
from the handling of any claim under this policy.
In witness whereof, we have signed this policy below and hereby
enter into this Insurance Agreement.
Federal Insurance and Mitigation Administration
0
5. Add Appendix A(101) to Part 61 to read as follows:
Appendix A(101) to Part 61
Increased Cost of Compliance Coverage Endorsement
The terms of the policy apply to this increased cost of
compliance coverage unless modified by this endorsement.
Definitions
This endorsement adds the following definitions to Section II of
the policy:
C. Additional Defined Terms.
1. Community Official means the non-federal official enforcing
floodplain management ordinances that meet or exceed the minimum
standards of the NFIP on a damaged building.
2. Compliance Activities means legally required mitigation
activities approved by the Administrator that reduce or remove the
risk of future flood damage to a building at the described location.
[[Page 8325]]
Coverages
This endorsement adds the following coverage to Section III of
the policy:
E. Increased Cost of Compliance
1. We will pay you up to the Increased Cost of Compliance
coverage limit indicated on the declarations page for the cost of
compliance activities actually incurred when required by a community
official.
2. Use of this coverage is at your option, but the combined
payments under Coverage A, Coverage B, and this increased cost of
compliance coverage under Coverage E may not exceed the maximum
amount of coverage permitted by the Act.
3. Limitation. When the building is repaired or rebuilt, it must
be intended for the same occupancy as the present building unless
otherwise required by current floodplain management ordinances or
laws.
4. This policy does not cover:
a. Anything already excluded anywhere in the policy;
b. Costs of any compliance activities:
I. For a flood loss that pre-dates the current loss; or
II. Necessary for additions or improvements to the dwelling made
after such loss occurred.
c. Any standard that does not meet the minimum requirements of
the NFIP.
Exclusions
Paragraph A.2 of Section IV, Exclusions, is replaced with the
following:
2. Economic losses, even if caused by flood, whether direct or
indirect, including losses from a disruption of business, or
complying with any ordinance or law. This exclusion does not apply
to any eligible activities we describe in Coverage E--Increased Cost
of Compliance.
Policy Conditions
Paragraph E.1 of Section V, Policy Conditions, is amended by
adding the following:
c. Increased Cost of Compliance, VI.E.6, for a period not to
exceed six years from the date of loss.
Procedures and Duties When a Loss Occurs
Paragraph D.3 of Section VI, Procedures and Duties When a Loss
Occurs, is replaced with the following:
3. The deductible does NOT apply to any Loss Avoidance Measures
specified in III.D.2 or III.D.3. or to III.E, Increased Cost of
Compliance coverage.
Paragraph E of Section VI is amended by adding the following:
6. Increased Cost of Compliance Loss Settlement. We will pay you
for your eligible increased Cost of Compliance costs when you have
completed your compliance activities as soon as reasonably possible
after the loss, not to exceed two years.
General Conditions
Paragraph B.3 of Section VII, General Conditions, is replaced
with the following:
3. Assignment.
a. Except as provided in VII.B.3.b, you may not assign your
policy or your claim to any other party.
b. You may assign a claim under Coverage E to a state or local
government or non-profit organization to apply towards the non-
federal cost share of a federal grant.
0
6. Add Appendix A(102) to Part 61 to read as follows:
Appendix A(102) to Part 61
Actual Cash Value Loss Settlement Endorsement
Read the endorsement carefully for changes to the policy.
This endorsement provides Actual Cash Value as the only
available valuation for settling your covered losses under the
policy.
Paragraphs E.1 through E.5 of Section VI, Procedures and Duties
When a Loss Occurs, are replaced with the following:
1. This policy provides Actual Cash Value loss settlement.
2. Actual Cash Value Loss Settlement. If actual cash value loss
settlement applies, we will pay the lesser of the following amounts:
a. The actual cash value of the covered property; or
b. The policy limits stated on the declarations page.
3. Flood Mitigation Expenses. We will reimburse you for post-
loss expenses that mitigate against future flood events as follows:
a. Post-loss expenses may not exceed the policy limits stated on
the declarations page.
b. At your option, you may choose to replace any damage under
Coverage A or Coverage B with Flood Damage Resistant Materials.
After you complete installation of the Flood Damage Resistant
Materials, you may then request reimbursement.
c. At your option, you may choose to elevate your machinery and
equipment above a basement or an enclosure. Such elevated machinery
and equipment must be elevated to a height reasonably expected to
avoid future direct physical loss by or from flood. After you
complete elevation of the machinery and equipment, you may then
request reimbursement.
4. This is not a valued policy. A valued policy is a policy in
which the payable amount in the event of a total loss is agreed upon
by the insured and the insurer.
0
7. Add Appendix A(103) to Part 61 to read as follows:
Appendix A(103) to Part 61
Temporary Housing Expense Endorsement
The terms of the policy apply to this temporary housing expense
coverage unless modified by this endorsement.
What We Cover
Paragraph A.4.a of Section III, What We Cover, is replaced with
the following:
a. Except as provided in III.D.4 as modified by endorsement,
loss of use of the described location while the dwelling is
inaccessible, being repaired, or is uninhabitable for any reason;
Paragraph D.4 of Section III, What We Cover, is replaced with
the following:
4. Temporary Housing Expense. For additional premium received,
we will cover temporary housing expenses actually incurred by you up
to the coverage sublimit specified on the declarations page when:
(i) The dwelling at the described location is uninhabitable due
to direct physical loss by or from flood. Payment will be for the
shortest amount of time required to repair or replace the damage or,
if you permanently relocate, the shortest time required for your
household to settle elsewhere.
(ii) A legally authorized official has issued an evacuation or
civil order for the community in which the dwelling is located
calling for measures to preserve life and property from the peril of
flood. Payment will be for the shortest time period covered by the
order.
(b) The time period for temporary housing expense coverage is
not limited by the expiration of the policy term specified in I.D
but in any case will not exceed 24 consecutive months from the date
of the covered flood loss.
5. This coverage does not increase the Coverage A, Coverage B,
or Coverage C limits.
0
8. Add Appendix A(104) to Part 61 to read as follows:
Appendix A(104) to Part 61
Basement Coverage Endorsement
The terms of the policy apply to this basement coverage
endorsement unless modified by this endorsement.
What We Cover
Paragraph A.2 of Section III, What We Cover, is replaced with
the following:
2. Coverage for Basements. For additional premium received, we
insure up to the selected Coverage A sublimit on the declarations
page against direct physical loss by or from flood to the basement.
Paragraph C.3.a of Section III, What We Cover, is replaced with
the following:
a. Limitations on Property in a Basement or in an Enclosure.
i. For additional premium received, we insure up to the selected
Coverage C sublimit on the declarations page against direct physical
loss by or from flood to personal property in a basement.
ii. In an enclosure, this policy will only cover appliances
installed in their functioning locations and, if necessary for
operation, connected to a power source.
0
9. Add Appendix A(105) to Part 61 to read as follows:
Appendix A(105) to Part 61
Builder's Risk Endorsement
This NFIP policy is amended to provide coverage for a building
under construction as set forth in this endorsement. The terms of
the policy apply to this builder's risk endorsement unless modified
by this endorsement.
Insuring Agreement
Paragraph D of Section I, Insuring Agreement, is replaced with
the following:
D. Policy term. This policy will expire at the earlier of the
following two dates:
1. The date your dwelling is completed and occupied by you, this
endorsement is deleted by us, and the Homeowner Flood Form becomes
effective in its entirety; or
2. 12:01 a.m. on the last day of the policy term stated on the
declarations page.
[[Page 8326]]
Definitions
This endorsement adds the following definitions to Section II of
the policy:
C. Additional Defined Terms.
1. Construction. Construction as used in this endorsement means
any new development of land at the described location resulting in a
building or alteration or repair of a building, including a dwelling
at the described location.
What We Cover
Section III, What We Cover, is replaced in its entirety with the
following:
Section III: What We Cover
A. Coverage A--Dwelling
1. We insure up to the coverage limit on the declarations page
at the described location against direct physical loss by or from
flood to:
a. The dwelling under construction at the described location. If
the dwelling is not yet walled or roofed as described in the
definition of building, then coverage applies;
(1) Only while construction is in progress; or
(2) If construction is halted only for a period of 90
consecutive days thereafter.
b. Materials and supplies to be used for construction of the
dwelling or any other building(s) scheduled under Coverage B at the
described location. The materials and supplies must be stored in a
building at the time of loss.
2. Coverage for Basements and Enclosures.
a. Limited coverage. We only cover direct physical loss by or
from flood to the interior of all basements and enclosures as
follows:
(1) Machinery and equipment installed and, if necessary for
operation, connected to a power source.
(2) Footings, foundations, posts, pilings, piers, or other
foundation walls and anchorage systems required to support a
dwelling.
(3) Stairways and staircases directly attached to the dwelling.
(4) Unfinished drywall and nonflammable insulation.
3. Dwelling Limitations.
a. Limitations on mold and mildew. We cover damage to the
dwelling due to mold or mildew caused by a flood only when it is not
within your control to inspect and maintain the property after a
flood recedes.
b. Limitations on power, heating, or cooling failure. We cover
damage caused by a power, heating, or cooling failure that is the
result of direct physical loss by or from flood to covered power,
heating, or cooling equipment at the described location.
c. Limitations on flood in the area. When there is a flood in
the area and the flood causes:
(1) water or waterborne material to back up through sewers or
drains; to discharge or overflow from a sump, sump pump, or related
equipment; or to seep or leak on or through the dwelling; or
(2) losses to the dwelling by or from the pressure or weight of
standing or resting water on or below the surface of the land.
d. Limitations on pollutants. We pay for the testing or
monitoring of pollutants after a flood only when required by law or
ordinance. ``Pollutants'' refers to any substances that include, but
are not limited to, any solid, liquid, gaseous, or thermal irritant
or contaminant, including smoke, vapor, soot, fumes, acids, alkalis,
chemicals, and waste. ``Waste'' includes, but is not limited to,
materials to be recycled, reconditioned, or reclaimed.
4. This policy does not cover:
a. Loss of use of the described location including any living
expenses incurred while the dwelling is inaccessible, being
repaired, or is uninhabitable for any reason;
b. Land and land values;
c. Lawns, trees, shrubs, plants, growing crops, and landscaping;
d. Any open structures, including but not limited to a building
used as a boathouse, when located entirely in, on, or over water.
e. Buildings constructed or substantially improved after
September 30, 1982, when (1) they are located entirely in, on, or
over water or (2) if they are seaward of mean high tide;
f. Underground structures and equipment that are not located
within the dwelling, such as wells, septic, sewer, plumbing supply,
waste lines, gas supply lines, electrical and HVAC system
components;
g. Those portions of walks, walkways, decks, driveways, patios,
and other surfaces, all whether protected by a roof or not, located
outside the perimeter, exterior walls of the insured building;
h. Containers and related equipment, such as tanks containing
gases or liquids;
i. Fences, retaining walls, seawalls, bulkheads, wharves, piers,
bridges, and docks; and
j. Hot tubs and spas that are not bathroom fixtures, and
swimming pools, and their equipment, such as heaters, filters,
pumps, and pipes, wherever located.
B. Coverage B--Other Buildings
1. We apply the terms of Coverage A to other buildings at the
described location except as modified in III.B.2.
a. For this Coverage B to apply, the other buildings must appear
on the declarations page.
b. Use of this coverage is at your option, but reduces the
dwelling coverage limit provided under Coverage A. The maximum
available coverage limit for other buildings is 10% of Coverage A
limits, regardless of how many buildings are scheduled on the
declarations page.
2. We do not cover:
a. Anything already excluded under the terms of Coverage A.
b. Basements or enclosures for any building that is not the
dwelling.
c. Any building used or held for use for commercial purposes,
such as agricultural and business use.
d. Any building(s) at the described location that is not owned
by the insured, including an entity, such as a homeowners
association.
C. Coverage C--Personal Property
There is no personal property coverage under this policy until
your dwelling is completed and occupied by you, this endorsement is
deleted by us, and the Homeowner Flood Form becomes effective in its
entirety.
D. Coverage D--Other Coverages
1. Debris Removal
a. Covered Debris.
(1) We will pay the labor and expense to remove:
(a) debris from anywhere that comes onto or into the insured
dwelling or other insured buildings at the described location; and
(b) debris of insured property anywhere.
(2) If you or a member of your household perform the debris
removal work, we will pay you for the value of this work using the
federal minimum wage. This coverage does not increase any coverage
limit stated on the declarations page.
b. Debris Not Covered. This policy does not cover the cost to
remove:
(1) debris from other locations on the land surrounding the
dwelling or other building(s) at the described location, or
(2) any non-covered items of property from the dwelling or
building(s), even if the removal facilitates covered cleanup or
repairs.
2. Loss Prevention
a. Materials and Labor
(1) We will pay up to the coverage sublimit specified on the
declarations page for the expenses you incur to protect your insured
property from a flood or imminent danger of flood. Such expenses are
limited to the following:
(a) Your reasonable expenses to buy materials reasonably
understood to be, or commonly used as, temporary measures to avoid
or reduce the harm from an imminent flood; including sandbags, fill
for temporary levees, and pumps; and
(b) The value of work, at the federal minimum wage, that you or
a member of your household perform to protect your property.
b. This coverage for materials and labor only applies if damage
to the insured property by or from flood is imminent and the threat
of flood damage is apparent enough to lead a reasonably prudent
person to anticipate flood damage. In addition, one of the following
must occur:
(1) A general and temporary condition of flooding in the area
near the described location must occur, even if the flood does not
reach the building; or
(2) A legally authorized official has issued an evacuation order
or other civil order for the community in which your insured
property is located calling for measures to preserve life and
property from the peril of flood.
3. Property Removed to Safety. We will pay up to the coverage
sublimit specified on the declarations page for the reasonable
expenses you incur to move insured property to a secure location
other than the described location to protect it from flood or the
imminent danger of flood. Reasonable expenses include the value of
work, at the federal minimum wage, performed by you or a member of
your household.
4. This coverage does not increase the Coverage A, Coverage B,
or Coverage C limits.
[[Page 8327]]
Policy Conditions
The following subsection is added to paragraph B of Section V,
Policy Conditions:
3. Builders Risk. Notwithstanding V.B.1 or V.B.2, any NFIP
policy written with a builder's risk endorsement is eligible for
only one renewal.
General Conditions
The following subsection is added to the beginning of paragraph
F of Section VII, General Conditions:
A holder of a construction loan upon which draws have been paid
shall be considered the ``mortgagee.''
Deanne B. Criswell,
Administrator, Federal Emergency Management Agency.
[FR Doc. 2024-02204 Filed 2-5-24; 8:45 am]
BILLING CODE 9111-52-P