Skip to content
Ocean Point Claims Company
Wear and tear denial tactic

The wear-and-tear denial defense

Most Florida homeowner policies exclude damage from normal wear and tear. Carriers use this exclusion aggressively: applying it to storm damage, sudden water losses, and even legitimate catastrophic claims. Defeating a wear-and-tear denial requires documenting the specific event that caused the damage.
Reviewed by Robert Malcolm, FL DFS License #W716942 · Last updated
By Robert Malcolm · FL DFS #W716942 · Reviewed: · 1 min read

Short answer: FAPIA research and the 2010 Florida OPPAGA study have historically shown Florida policyholders with public adjuster representation receive materially higher settlements, particularly after hurricanes (individual results vary). A wear-and-tear denial claims your loss came from gradual aging rather than a covered event, so the carrier pays nothing. You defeat it with dated pre- and post-loss condition records, weather data, neighborhood damage patterns, and an independent expert, and note that Fla. Stat. 627.70131 deadlines keep running throughout.

How the defense works

Carrier argues: "This damage isn't from a covered event: it's the result of gradual deterioration, normal aging, or failure to maintain." The exclusion supports denial regardless of what actually happened.


Where it's commonly invoked

  • Roof claims after named storms. Shingle damage attributed to age, not wind.
  • Water damage from plumbing failures. Slow deterioration of pipes claimed.
  • Siding and paint after hurricanes. Normal fade/wear cited as the cause.
  • HVAC or appliance failures. Age-related, not covered peril.

Examination under oath strategy

How to counter

Establish timeline

  • Pre-event condition documented (maintenance records, prior photos, inspection reports)
  • Post-event condition documented immediately (same-day photos if possible)
  • The gap between the two = damage attributable to the event

Establish the event

  • Weather data for the specific date (NWS, NHC for storm events)
  • Neighborhood damage patterns (did other homes experience similar damage?)
  • Local news reports of the event
  • Any first-notice documentation with the carrier

Establish the physical signature

  • Wear-and-tear damage has specific patterns (uniform age-related wear)
  • Event damage has specific patterns (directional wind damage, impact damage, water-flow patterns)
  • An independent engineer or qualified contractor can distinguish

Rebut the carrier's report

  • If an engineer report supports the carrier's wear-and-tear position, evaluate it critically (see Engineer Report Bias tactic)
  • Counter with independent expert opinion

Frequently asked questions

Can an insurer deny a storm claim as wear and tear?
Yes. Most Florida homeowner policies exclude normal wear and tear, and carriers apply that exclusion aggressively to roof, water, siding, and HVAC losses, even after a named storm. The exclusion only holds if the damage truly came from gradual deterioration rather than the event you reported.
How do I prove damage came from a storm and not aging?
Establish a timeline with pre-event condition records and immediate post-event photos, pull weather data for the specific date, show neighborhood damage patterns, and have an independent engineer or qualified contractor identify the physical signature of event damage versus uniform age-related wear.
What if the carrier's engineer report blames wear and tear?
Evaluate the report critically rather than accepting it. A carrier-retained engineer report can be biased toward the exclusion, so counter it with an independent expert opinion that addresses the same evidence and documents the covered event.

Related

Reviewed by Robert Malcolm, FL DFS License #W716942 · Last updated

Ready to talk to a licensed Florida public adjuster?

(888) 824-1306

Free claim review. No recovery, no fee. Answered 24/7.

Get a free claim review
License
FL DFS #W829547
Experience
21 years · 500+ mediations
Rating
4.9★ (86 Google reviews)
Fee
No recovery, no fee
📞 (888) 824-1306Free Claim Review