Why Loss Assessment Coverage is More Crucial Than Ever
Denise Iger, Esq. of Iger Wankel & Bonkowski, LLP
In recent issues of the OC View you may have read articles describing California’s insurance crisis. Insurance carriers have incurred substantial losses, particularly from wildfire claims, over the last two decades. Carriers have left or ceased writing new policies in California and other high-risk states. Premiums have increased significantly for most homeowners associations, prompting board members to seek ways to reduce insurance costs.
Many boards have responded by limiting or eliminating coverage for certain perils, such as water or fire damage, eliminating coverage for interior fixtures (i.e., a bare walls policy), and/or dramatically increasing deductibles. For some associations, these changes were forced upon them because there were no other insurance options available. Some board members made changes to reduce premium increases and avoid large assessment increases. Others sought to decrease claims to create a better “loss history,” hoping that with time, more insurance options would be available to their community. Whatever the motivation, the advice remains the same – don’t keep these changes a secret from the homeowners.
When significant changes in coverage are made to the association’s master policy, homeowners need to know. In fact, they may need to hear about it, over and over again, until the message sinks in. Homeowners should discuss these changes with their own insurance agents to ensure they are not taking on more risk than they are willing to accept. The easiest way for a homeowner to have an informed conversation with their agent is for the association to provide letters to the homeowners describing the coverage limitations so that homeowners can present the letter to their agent and ask for guidance.
This insurance crisis has prompted me to think more about loss assessment coverage and its importance for associations
20 September | October 2025
with large insurance deductibles or underinsured common areas. Loss assessment coverage is an optional endorsement under a homeowner’s insurance policy. It is intended to help homeowners pay for special assessments needed to repair common areas, not covered or fully covered by the master policy. It can also help with special assessments levied to cover some premises liability claims (e.g., a trip and fall in a common area that is not fully covered by insurance). It does not cover perils that the master policy does not cover. For example, if the association does not have insurance for water losses, loss assessment coverage will not cover a special assessment to pay for repairs required because of water damage. A separate loss assessment endorsement is available to homeowners for earthquake losses in the policy offered by the California Earthquake Authority.
Loss assessment coverage is more likely to be triggered now that many
associations are partially self-insuring
because of limited coverage or high deductibles. By way of example, imagine a clubhouse burned down because of bad electrical wiring. If the association had opted for a $50,000 deductible, the association would need to come up with at least $50,000 to pay the contractors for the restoration. Insurance should cover the rest. One might think that the money should come out of the reserve fund, and that is a good plan because there are likely funds there for clubhouse maintenance that are not needed for many years when you have a newly restored clubhouse.
The reality, however, is that most reserve accounts are not fully funded. Despite recommendations from reserve analysts, most boards are comfortable with a number far below 100% funded. Many communities have not adjusted the reserve contributions to meet increased costs of goods and services, and the reserve account can only be characterized as grossly underfunded. A special assessment may make sense.
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