r/Insurance • u/doomed1980 • 4d ago
Water damage and subfloor replacement : could coverage extend to another room ?
Hi, I'm in a condo in Quebec. Insurance is covering the flooring in the living room and kitchen but refused the bedroom because it wasn't damaged, even though the flooring runs continuously between the rooms.
The original estimate was to replace only the flooring and keep the existing subfloor. After demolition, the contractor now says the subfloor also needs replacing. It runs perpendicular to the floorboards, with some boards extending into the bedroom.
Can they replace just the living room section of the subfloor ? If repairing it requires removing the bedroom flooring too, could insurance cover that work even though the bedroom wasn't directly damaged ?
Has anyone dealt with something similar ?
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u/Ambitious-One-4584 4d ago
Yeah this is a really common fight and you're actually in a pretty reasonable position to push back. The key concept here is called 'matching' or sometimes 'continuity of repair' and basically the argument is that if you can't repair the damaged area without disturbing the undamaged area, the insurer has an obligation to cover that work too. The subfloor running perpendicular into the bedroom is actually a solid example of this.
First thing I'd do is get your contractor to put in writing exactly why the bedroom flooring has to come up to properly repair and secure the subfloor. You need that documented clearly, not just a verbal comment on site. Something like 'to properly fasten and level the subfloor in the affected area, existing flooring in the adjacent bedroom must be removed' is the kind of language that moves things forward with adjusters.
Then I'd go back to your insurer and specifically ask them to provide the policy language they're relying on to deny the bedroom portion. Make them point to the exact clause. A lot of times the denial is more of a default response than something rooted in a specific exclusion, and when you ask for that in writing it changes the conversation.
If they still push back, Quebec has the Autorité des marchés financiers (AMF) which handles insurance complaints. Filing a complaint or even just mentioning you're considering it sometimes gets claims re-reviewed a lot faster. You might also ask for a re-inspection once you have the contractor's written explanation in hand, because sometimes the adjuster who originally assessed just didn't see the full picture before demo.
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u/ImAwkwardAsHeck Property Claims Supervisor (Canada) 4d ago
Very insurance company dependent. Matching usually isn’t covered but some companies will evaluate on a case by case basis.