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S & S Insurance Services, Inc. Blog

Why Insurance Covers “Sudden & Accidental” Damage — Not Wear and Tear

At S&S Insurance Services, one of the most common questions we hear is:

“My roof is 10–15 years old and has been through a lot of storms. Can I file a claim?”

This is where an important insurance principle comes into play:

🔑 Insurance is designed for sudden and accidental damage

It is not designed to pay for things that happen gradually over time.

🟢 What Insurance Does Cover

Insurance is meant for one identifiable event that causes damage.

Examples:

A specific hailstorm damages shingles

A tree limb falls on your roof during a windstorm

A pipe suddenly bursts and floods a room

Lightning strikes your home

These are:
✔ Unexpected
✔ Caused by a single event
✔ Not part of normal aging

That’s what a claim is for.

🔴 What Insurance Does Not Cover

Insurance does not cover:

Wear and tear

Deterioration

Aging materials

Ongoing exposure to weather

Maintenance issues

So when someone says:

“My roof has been through 10 years of wind and hail.”

That’s describing gradual deterioration, not a covered loss.

A 12-year-old roof that has slowly lost granules, dried out, curled, or weakened over time is considered maintenance, just like replacing tires on a car.

🏠 The Shingle Example (Most Common Situation)

Shingles are designed to withstand weather — but they still age.

What insurance looks for:

Damage tied to one specific storm date

Visible signs consistent with a single event (like hail bruising or wind creases)

What insurance will deny:

“It’s just old”

“It’s been through a lot of storms”

“It’s worn out”

That’s considered normal life cycle, not a loss.

⚠️ Why This Matters Before Filing a Claim

Many people don’t realize:

❗ Even a denied claim goes on your insurance history
❗ Claims history can raise your premiums
❗ Too many claims can make it harder to find coverage

Filing a claim when damage is actually wear and tear can hurt you more than help.

🗣️ How to Talk About Damage the Right Way

If you believe damage happened from a storm, here’s what helps:

Helpful to know:

Approximate date of the storm

What you noticed afterward (leak, missing shingles, dented vents, etc.)

Whether neighbors had storm damage

Avoid saying:

“It’s just old”

“It’s been bad for years”

“It’s worn out”

“It’s time for a new roof anyway”

Those statements point toward maintenance, not a covered event.

🛠️ Insurance vs. Homeownership Responsibility

Think of it this way:

Insurance Covers Homeowner Covers
Sudden storm damage Aging roof
Accidental pipe burst Old plumbing
Fire Worn-out wiring
Wind tearing off shingles Gradual shingle deterioration

Insurance is for unexpected loss, not expected upkeep.

🤝 Our Goal

Our job isn’t just to sell policies — it’s to help you understand:

✔ When a claim makes sense
✔ When it doesn’t
✔ How to avoid hurting your insurance record

If you’re unsure whether something is claim-worthy, talk to your agent first. A quick conversation can save you years of higher premiums.

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