Dolphin Claims

Ch 9 · Special Situations

Module 9.2

Roof Claims Under the New Florida Rules

Reform-era rules. 25% rule current state. ACV-only roof endorsement. Matching narrowed. Wear-and-tear weapon.

12 min read

What you'll learn

What the recent FL roof reforms changed. The 25% rule, current state. Roof age + ACV settlement. The matching narrowing. Strategies that still work post-reform.


9.2.1 What changed

Florida roof claim rules were reformed materially in 2021–2023 through multiple legislative actions:

  • SB 76 (2021) — Roof Deductible Statute, contractor solicitation restrictions
  • SB 2D (May 2022) — required Citizens roof exclusions, AOB tightening
  • SB 2A (Dec 2022) — broader claim deadline shortening, attorney fee changes
  • HB 7065 (2019) — earlier AOB reform

Net effect: roof claims got harder for homeowners. Carriers got more tools to limit roof payouts.


9.2.2 The 25% rule — current state

The "25% rule" — historically requiring full roof replacement when 25%+ damaged — has been narrowed by recent reforms.

Current rule (general — verify against your specific situation)

For losses on or after the relevant reform effective dates:

  • Roofs 10+ years old built to a code in effect after 2007 may be repaired rather than fully replaced when 25%+ damaged
  • Roofs older than 10 years may have different rules
  • Specific exemptions apply for certain roof types and situations

The exact rule depends on:

  • Your roof's age
  • Roof type (asphalt, tile, metal)
  • Code in effect when roof was installed
  • Specific damage pattern + extent
  • Date of loss
  • Specific carrier policy language

Practical takeaway

Don't assume the historical 25% rule applies. Verify w/ building department + current FL Statutes for your specific situation.

When the rule still applies → claim full code-compliant replacement under O&L coverage. When the rule has been narrowed → still claim individual code-required upgrades.


9.2.3 ACV settlement on older roofs

Many FL carriers have moved older roofs to ACV-only settlement.

How it works

Standard policy: roof pays at RCV regardless of age.

Modified policy w/ roof endorsement: roof over a certain age (often 10 or 15 years) pays at ACV only — depreciation deducted, no recoverable depreciation.

Math

15-year-old roof, $20K replacement cost:

Settlement typePayment
Standard RCV$20K (over 2 steps)
ACV-only roof~$8K. Period.

Find out which version you have

  1. Pull your dec page
  2. Look for roof endorsement form numbers
  3. Read the policy's Loss Settlement provision for roof-specific language
  4. Look for terms like "ACV settlement applies to roofs over [N] years of age"

Older homes + ACV-only roof = budget for major out-of-pocket on next roof claim.


9.2.4 Roof matching — narrowed

§ 626.9744 — the matching statute — has been narrowed for roof claims by recent reforms.

Pre-reform (historical)

Damaged roof + matching shingles unavailable → carrier owed full roof replacement.

Post-reform

Roof matching is less reliable. Some policies now explicitly exclude roof matching. Some narrow the rule to only certain situations.

Practical

  • Check your specific policy for roof-matching language
  • Get attorney review for any roof matching dispute
  • Don't assume broader replacement under § 626.9744 without verification

Detail on matching in Module 5.5.


9.2.5 The wear-and-tear weapon — biggest in roof claims

Roof claims are the most denied category of FL property claims, and wear-and-tear is the most common reason.

Carrier pattern

  1. Inspector arrives
  2. Photographs the roof
  3. Concludes "this damage is wear-and-tear, not storm"
  4. Denies or partial-denies the claim

How to fight wear-and-tear on roof claims

Documentation:

  • NWS wind speeds at your address on date of loss
  • Photos showing fresh damage (clean breaks, no weathering)
  • Comparable claims from same storm in your neighborhood (storm pattern, not wear)
  • Independent roofer inspection
  • Roof age + remaining life expectancy

Independent roofer report:

Get a licensed FL roofer to inspect + write a report concluding:

  • Cause is consistent w/ wind/storm event
  • Damage pattern is fresh (not aged)
  • Roof had reasonable remaining life pre-loss
  • Cite manufacturer specifications

This is the killer document in roof denial disputes.

Engineer report (for high-stakes claims):

For claims over $25K, an independent engineer report is often necessary. Engineers are admissible expert witnesses in litigation.


9.2.6 Roof contractor solicitation rules — § 489.147

SB 76 created strict rules on roof contractor solicitation:

  • Cannot offer rebates, gift cards, or inducements for roof inspections or claims
  • Cannot solicit door-to-door w/o written permission
  • Cannot file claims on behalf of insured (that's PA work)

For homeowners: if a roofer offers "free roof inspection" + handles your claim → that's a red flag. Either they're crossing into unlicensed PA practice, or they're driving an AOB scheme that's largely been killed by reform.


9.2.7 The roof inspection — what to do

Before the carrier inspects

  • Independent roofer report ready
  • Photos from multiple angles (drone if possible)
  • Manufacturer spec sheet for your shingles
  • Maintenance records if any
  • Weather records for date of loss

During carrier inspection

  • Be present (or your roofer)
  • Photograph the carrier's inspection
  • Note what they look at (and what they don't)
  • Request access to their photos + report under § 627.7142

After carrier inspection

If denial / partial denial → roof appeal time (Module 7.2 + 7.3).


9.2.8 Common roof claim disputes + counters

"Damage is wear-and-tear."

Counter: independent roofer report. Weather data. Comparable storm claims. Roof age vs remaining life.

"Roof is too old to claim."

Counter: policy doesn't generally have age-based exclusion absent specific endorsement. Verify your policy. ACV-only settlement may apply but coverage isn't excluded.

"We can repair, not replace."

Counter: IICRC standards. Roof system integrity. Whether repair will be effective. Florida 25% rule (where applicable).

"Cosmetic damage exclusion applies."

Counter: damage is functional, not cosmetic. Hail bruising affects shingle integrity. Wind tear-off affects waterproofing.

"Matching doesn't apply to roof."

Counter: depends on specific policy + date of loss. Verify w/ attorney for high-stakes disputes.


9.2.9 Action steps

  1. For older roofs: check your policy for ACV-only roof endorsement.
  2. For roof claims: get an independent roofer report before carrier inspection if possible.
  3. For wear-and-tear denials: counter w/ weather data + independent roofer + comparable claims.
  4. For matching disputes: verify current FL law before relying on broader replacement.
  5. For high-stakes claims: consider engineer report for litigation prep.

Next: 9.3 Water Damage and the 14-Day Notice Issue.


Educational. Not legal advice. Florida roof claim rules have changed materially since 2021. Verify current statutes + case law for your specific date of loss before relying on any rule.

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