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When Malfunctioning Furnaces Are Less Likely To Be Covered

The following article on “When Malfunctioning Furnaces Are Less Likely To Be Covered,” written by Jay Dykstra of HVACi and StrikeCheck, was originally published on Property Casualty 360.

The Weather Channel has predicted a shift to colder weather in the northern part of the country this month. That, combined with a milder fall, could have had policyholders turning their heaters on and off the last few weeks, and they may notice it not working as well.

Different heating sources, including furnaces, heat pumps and boilers, maintain insureds’ preferred temperatures in the cooler months. The most frequently used is a furnace, which is a type of forced air system and can be part of a split system. Expensive repair or replacement estimates send policyholders scurrying to file insurance claims; however, adjusters should know traditionally non-covered losses are likely the cause for many furnace damages.

Reasons a furnace may malfunction

furnace uses fairly simple processes. The insured sets the temperature on the thermostat, then a heat source warms the air directly or through a heat exchanger. The most common heat source is natural gas; however, policyholders may use oil-burning furnaces. Other less common heating sources are propane or the use of electric heating elements instead of fuel. The heated air blows through the ductwork to supply registers throughout the property.

Any issues with the components could cause the system to not operate as designed and lead to a claim.

Furnace components all work together to maintain preferred temperatures, but if one malfunctions, the policyholder may file a claim for a loss that shouldn’t be covered. 

Cracks in the heat exchanger

The most common furnace failure is a cracked heat exchanger. Rusted or corroded areas may result in holes or cracks. Thermal fatigue can also cause the metal to deteriorate and crack from constant changes from heating to cooling. These circumstances are signs of long-term damage – often from age-related wear and tear or a lack of maintenance, which insurance policies don’t typically cover.

Clogged components

At least two types of clogs may occur in a furnace that can sometimes lead to severe damages, and both are often due to a lack of proper maintenance.

A clogged burner full of dirt, dust, fuel residue, rust or corrosion can cause a misfire. The heat exchanger could then receive excess fuel, depending on the type of system. A clogged or cracked fuel nozzle could also allow incorrect amounts of fuel to enter the system.

Excess fuel could cause a puffback, which is when unburned fuel builds up within the heat exchanger and ignites, resulting in a pushback of soot or oily smoke to be dispersed into the supply air or ductwork. Oil-burning furnaces are more susceptible to this event.

Puffbacks in furnaces and boilers have at least seven known causes, but almost all of them link back to wear and tear or improper maintenance.

A clogged oil nozzle from a lack of maintenance allowed unburned fuel to enter the heat exchanger, which resulted in a messy puffback. 

Dirty filters

Furnaces may not work as well if policyholders have forgotten to regularly change air filters. Dirty and clogged filters can reduce airflow, making it feel like the furnace isn’t functioning properly. Worse, a clogged filter could cause the furnace to work harder to circulate heated air. This could decrease the system’s lifespan or speed up wear and tear.

Ignition problems

A faulty ignition switch could cause ignition to occur at the wrong time or not at all, which may lead to fuel buildup in the heat exchanger. If a policyholder thinks their furnace isn’t powering on, they may attempt to manually reset it too many times, which could cause a fuel accumulation resulting in a puffback. A complete evaluation would determine the accurate cause of loss to see if it’s a covered peril.

Faulty thermostats

Policyholders may think their furnace isn’t working correctly; however, it could be a problem with the furnace’s thermostat. As an electrical component, it can sustain damage from a high voltage surge. Simply replacing the thermostat could return the equipment to pre-loss condition. If a furnace is cycling between on and off modes when it isn’t supposed to, this could be a sign of a thermostat problem or a clogged filter.

Before settling for replacement equipment, adjusters should confirm the scope of the damage.

A new thermostat could be all the policyholder needs to return the heating system to pre-loss condition. 

Damages caused by a malfunctioning furnace

When a furnace isn’t working properly, it could lead to other more dangerous consequences. Puffbacks may not be a covered loss, but the damage that results from the release of soot into the property might be.

Another consequence of an improperly working furnace is the release of carbon monoxide due to incorrect venting or a leak. This is a serious health and safety threat if policyholders don’t have proper carbon monoxide detection. Evaluations can determine if the cause of loss was related to wear and tear or something else.

This furnace flue pipe had a carbon monoxide leak caused by age-related wear and tear.

Fires can also be a consequence. Furnace components that could cause a fire include fuel lines, gas connections, or electrical connections.

Lastly, if the furnace isn’t working properly to heat a space, domestic water supply lines could freeze. This sometimes leads to extensive and costly water damage.

Don’t leave claims up to chance

Furnaces have a lot of components that could potentially malfunction and cause problems for a policyholder. Adjusters shouldn’t guess about how to handle the claim. Doing so could lead to unnecessary settlements for damages caused by a non-covered peril or for replacements of systems that could have been repaired.

As the temperatures dip and furnace claim numbers rise, be mindful of the potentially non-covered losses that could occur.

Get My 7 Causes of Puffbacks Guide

Property Insurance Claim Trends for 2022

The year 2021 may have felt like a blur as the world learned to navigate a new normal left from the swift and lasting effects of the 2020 pandemic. Some of those impacts, among other trends, will continue to take centerstage going into 2022 – and they aren’t all negative.

Technology and Automations Remain in The Forefront

The Pew Research Center studied the use of the Internet during and following the pandemic by surveying U.S. adults in April 2021. The survey found that 90% of them said the internet was essential or important for them personally, and 40% said they used digital technology or the internet in new or different ways.

Policyholders are now using the internet and digital technology more than ever and in new ways – and carriers are taking notice. Photo Credit: “Hands” by Fancycrave1 / CC BY 4.0

Businesses and insurance carriers have also updated their processes to meet customers’ needs through technology. More communication and work can be completed without the need for face-to-face interaction or a personal phone call. For example, automated calls, emails, or texts keep the claim process running more efficiently without unnecessary adjuster touchpoints.

Other virtual amenities include portals and applications for policyholders to use to communicate, check the status of a claim, or quickly obtain information without needing to speak with anyone at the carrier.

These have helped insurance professionals reduce time spent on administrative tasks. Integrations have also made it easier for carriers to obtain the information they need.

Equipment Efficiency Continues to Improve

The U.S. Department of Energy maintains efforts to better equipment efficiency. Manufacturers will likely use 2022 to prepare for the stricter efficiency standards that are expected to take effect for HVAC systems in 2023.

Condensing units in HVAC split systems could need more scrutiny in preparation for efficiency rule changes.

Among the anticipated changes are increases to the standards for the Seasonal Energy Efficiency Ratio (SEER), which is the ratio of total heat removed from a conditioned space during the annual cooling season divided by the total energy an HVAC system consumed during that time. For example, split system condensing units that are less than 3.75 Tons will be required to have a minimum 14 SEER in the North and 15 SEER for the Southeast and Southwest. Additional efficiency requirements are also slated to take effect.

While this impacts manufacturers the most, insurance carriers may need to be prepared to settle for more expensive or upgraded components if replacement HVAC equipment is necessary.

A Crackdown on Insurance Fraud May Be Needed

Insurance fraud, defined by the Insurance Information Institute (iii) as the deliberate deception perpetuated against or by an insurance company or agent for the purpose of financial gain, has long been a concern for carriers. The iii states the FBI has estimated that the total cost of insurance fraud, excluding health insurance, is more than $40 billion a year.

A lack of oversight may be one reason insurance fraud may have increased in 2020. Photo Credit: “Audit” by Tumisu / CC BY 4.0

It is believed the amount of insurance fraud increased during the pandemic because remote work resulted in fewer inspections and workloads changed, which may have caused the amount of oversight to decrease. Other insurance-related fraud included auto and medical bill inflation as well as scams aimed at policyholders through phishing, robocalls, and fake insurance agents.

Insurance professionals should enhance efforts in 2022 to decrease insurance fraud, which is costing carriers and policyholders money through unnecessary settlements resulting in increased premiums.

Third-Party Vendors Support Carrier Goals

In 2022, carriers will likely continue to use time and resources to improve technology, decrease insurance fraud, and ensure the most accurate settlements are being made.

HVACi is committed to helping carriers reach their goals by being their expert assessment source for property claims related to HVAC and Refrigeration equipment. Onsite assessments provide a comprehensive evaluation to decrease insurance fraud and unnecessary settlements for equipment working properly or damaged by non-covered losses. Improved technical initiatives keep the claims process moving quickly without sacrificing accuracy. Lastly, our knowledgeable team keeps up with changing regulations that could impact claim results so that insurance professionals don’t have to.

Go into 2022 knowing that you have the support you need to keep technology at the forefront, be part of the movement to improve efficiency, and take a stand against insurance fraud. Find out more about HVACi’s services or submit a claim for an accurate solution.

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Why Boiler and Furnace Puffbacks May Not Be Covered by Insurance

Colder months for some of your policyholders can get a little messy. During this time adjusters are likely to see an increase in claims that include furnaces and boilers because of puffbacks, which occur when heating systems turn on and could cause soot to go everywhere.

A puffback is an event in which a buildup of unburned fuel ignites and pushes back out of the burner section instead of burning cleanly into the burner area. Puffbacks can release smoke or soot throughout the heating equipment or into a forced air system’s ductwork. This could cause a lot of property damage, but it’s important adjusters know that puffback incidents most often stem from a non-covered loss.

Why Puffbacks Occur to Heating Equipment

This boiler sustained a puffback after the system misfired and built up excess fuel in the heat exchanger.

Furnaces and boilers that use oil as their fuel source are more susceptible to puffbacks, though they can occur to those that run off gas too. The differences are the increased amount of maintenance required with oil furnaces and boilers and that excess oil is harder to dissipate than gas. Puffbacks in gas equipment are not very common.

Puffbacks are a sign that an issue exists within the system. Something has caused oil or gas vapors to build up within the heat exchanger and ignite when the system turns on. The force of all of it igniting at once causes the puffback, which could range in severity. Puffbacks could happen during one incident or every time the heating system starts, depending on what’s causing them.

Buildups of gas and oil typically occur because of a component not working as designed – and nearly all of them link back to wear and tear.

Causes of fuel buildup include:

  1. Leaks near the heat exchanger that lead to excess fuel getting in
  2. A policyholder manually resetting the system too often if it doesn’t start right away and leaving unburned fuel to accumulate
  3. A clogged burner full of dirt, dust, fuel residue, rust, or corrosion can cause a misfire and allow excess fuel in the heat exchanger, depending on the type of system
  4. A clogged or cracked fuel nozzle could cause incorrect amounts of fuel to enter the system. If there is too little, it will continue to spray, which could lead to the presence of excess fuel to burn when the system does successfully start

Another reason fuel can build up is from internal pressure irregularities, which lead to air and fuel imbalances. Components malfunctioning from wear and tear may cause this.

The burner to this furnace was clogged with dirt, dust, fuel residue, rust, and corrosion over time due to lack of maintenance. This reduced the flow of combustion gases through the furnace and resulted in an internal pressure irregularity.

Explanations for internal pressure irregularities:

  1. Dirt, dust, fuel residue, rust, or corrosion can obstruct an exhaust or chimney and inhibit proper ventilation
  2. A cracked heat exchanger could keep combustion gases from venting out of the furnace. This could allow gases to get in the heat exchanger and cause an internal pressure irregularity

Why Aren’t Furnaces and Boilers Typically Covered After a Puffback?

 

Whether a puffback is covered by insurance depends on the carrier and the policy. For some policyholders, insurance may cover the repairs and replacements required for property affected by the soot and smoke. However, many policies won’t cover the malfunctioning heating system itself without mechanical or equipment breakdown coverage. That’s because most of the issues that lead to puffbacks are signs of poor maintenance or wear and tear, which policies don’t typically cover.

Prevention is possible through having regular furnace and boiler maintenance, scheduling routine cleanings to eliminate debris and buildup, replacing the oil filter to keep oil as clean as possible, paying attention to unusual leaks or noises, and using a carbon monoxide detector. Carbon monoxide typically increases when puffbacks occur and a detector can alert a policyholder.

If proper maintenance by an HVAC system expert isn’t completed, puffbacks may occur and result in a property claim.

Signs of Puffback Vs. Another Peril

The policyholder claimed this furnace was damaged due to smoke and fire; though, the cause of loss was wear and tear from naturally occurring corrosion and exposure to heat over time.

It may not always be obvious whether the damaged HVAC system cause of loss was wear and tear or another peril, such as smoke and fire. Testing for a puffback can include evaluating for leaks, assessing for clogs, or performing a candle check, which is monitoring the flame of a lit candle held near a blowing heat exchanger.

However, a policyholder should never complete these actions to determine if a puffback occurred. They can be dangerous and so is this equipment if handled by an untrained person. It’s also important that an objective expert assess the damage to ensure the policyholder – and the carrier – is only making repairs and replacements that are required. This eliminates unnecessary claims leakage for a carrier and helps both the policyholder and carrier better understand the best course of action to return equipment to pre-loss condition.

HVACi is the nation’s leading damage assessment company for HVAC and Refrigeration equipment. Our trained, objective experts know what to look for when evaluating for a puffback or any other peril that causes equipment damage. We provide adjusters with comprehensive assessment reports in a short amount of time that include cause of loss, scope of damage, and repair and replacement recommendations as well as verify if the equipment is available and Like Kind and Quality. Don’t settle a claim for something that was caused by a non-covered peril. Submit a claim to HVACi for an accurate claim resolution.

 

Save My Puffback Guide

7 Causes of Furnace and Boiler Puffbacks

Puffbacks often leave a filthy, and sometimes dangerous, aftermath of dirt and soot in their wake. Before settling a claim for the damaged furnace or boiler, find out if one of these 7 causes of furnace and boiler puffbacks triggered the incident. If one was, the claimed equipment is more likely to be damaged as the result of lack of maintenance or wear and tear – and may not be a covered loss.

Fill out the form to find out more about the origins of puffbacks and what makes this damage different than that of other causes of loss.

Request Your Guide

Exploring HVAC Heating Season Claims Webinar Recording

Identify which claimed heating system damages are most likely to have been sustained from lack of maintenance or other common causes of loss during the Exploring HVAC Heating Season Claims Webinar.

Standard vs. high efficiency furnaces, air source heat pumps, and boilers are among the heating equipment to be discussed as these are the items policyholders most often use, and claim, during winter months and colder temperatures.

During this webinar, we’ll:

  • Review heating season claim significance
  • Explore frequently claimed heating systems, including furnaces, heat pumps, and boilers
  • Identify common damages to heating systems
  • Review heating equipment claim scenarios

Watch our Exploring HVAC Heating Season Claims Webinar recording by filling out the form provided.

Important: Pre-recorded webinars do not qualify for CE credit.

Watch the Webinar

Types of Geothermal Systems Guide

Geothermal systems are an environmentally friendly alternative that commercial and residential policyholders use to heat and cool their properties. Our one-page guide illustrates how these systems take advantage of the Earth’s constant subsurface temperatures and convert them into preferred indoor conditions.

Fill out the form to receive your Types of Geothermal Systems reference guide. Review the diagrams and key data points to better understand the differences in the various types of closed loop geothermal systems and open loop systems before your next geothermal claim.

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How HVACi Reaches A Claim Resolution

Carriers rely on HVACi to deliver objective, accurate solutions for settling HVAC and Refrigeration claims. Our methods are based on proven practices that focus on keeping the claim moving through the assessment process, providing superior customer service, and meeting adjusters’ needs.

Regulations Case Study

Scary Story: Water Loss

Winter temperatures posed a threat to a commercial policyholder who filed a claim with multiple HVAC systems. The adjuster needed to handle the claim accurately while also facing time pressures.

Fill out the form to read this Scary Story about a sprinkler line break that affected eight HVAC systems. You’ll find out how HVACi evaluated the systems to determine the best settlement recommendation and course of action to return the policyholder to pre-loss condition.

Request Your Case Study

Exploring HVAC Heating Season Claims Webinar

The Exploring HVAC Heating Season Claims Webinar has already occurred. You can watch the recording here.

Identify which claimed heating system damages are most likely to have been sustained from lack of maintenance or other common causes of loss during the Exploring HVAC Heating Season Claims Webinar.

Standard vs. high efficiency furnaces, air source heat pumps, and boilers are among the heating equipment to be discussed as these are the items policyholders most often use, and claim, during winter months and colder temperatures.

During this webinar, we’ll:

  • Review heating season claim significance
  • Explore frequently claimed heating systems, including furnaces, heat pumps, and boilers
  • Identify common damages to heating systems
  • Review heating equipment claim scenarios

Important: Pre-recorded webinars do not qualify for CE credit.

Adjusters’ Crash Course on Water Heaters Webinar

The Adjusters’ Crash Course on Water Heaters Webinar has already occurred. You can watch the recording here.

Avoid getting in hot water over a mishandled water heater claim, and don’t underestimate the importance of knowing the fundamentals of this complex equipment. To start, water heaters have specific codes and regulations that policyholders must follow. They also come in a variety of types and use various heating sources. These characteristics can impact which peril is more likely to damage certain water heaters. It’s critical adjusters understand why they make a difference before settling their next water heater-related claim.

We’ll delve into:

  • The significance of water heater claims
  • Types of water heaters and how they work
  • Relevant water heater codes and regulations
  • Typical equipment damages
  • Real-life claim scenarios

Important: Pre-recorded webinars do not qualify for CE credit.