Pre-existing damage or wear and tear
The most overused denial justification in Texas. If your roof was aging before the storm, your insurer may claim hail or wind caused no new damage, even when storm data proves otherwise. Texas law requires the insurer to bear this burden of proof, not you.
Cosmetic damage exclusion
Many insurers have added cosmetic damage exclusions to Texas policies, attempting to deny hail and wind claims on roofing and siding by arguing damage is only aesthetic, not functional. Courts have found that damage reducing the service life of roofing materials is functional, not cosmetic. If your claim was denied on this basis, that denial is legally challengeable.
Policy exclusions — especially flood and earth movement
Standard homeowners policies contain significant exclusions. If your insurer is denying based on an exclusion, an attorney will review whether the exclusion applies to your specific facts and whether it was properly disclosed at the time of purchase.
Late notice of loss
Many policies require prompt notification after a loss. However, insurers generally cannot deny a claim solely on late notice unless they can demonstrate actual prejudice from the delay. If you discovered damage late or did not immediately recognize its severity, this defense may not stand.
Coverage lapse — missed premium payment
If your policy lapsed due to a missed payment, your insurer may deny your claim on that basis. However, insurers are required to follow specific notice requirements before canceling a policy. If proper notice was not given, the cancellation may not be legally valid.
Insufficient documentation
Insurers may deny or delay claims citing insufficient documentation of the damage or its cause. McLaurin Law works with licensed contractors, engineers, and independent adjusters to compile thorough documentation that removes this pretext.
Actual cash value vs. replacement cost disputes
If your policy covers replacement cost value but your insurer is paying actual cash value (ACV , the depreciated value), you are being underpaid. Many policies require insurers to pay ACV first, then release recoverable depreciation once repairs are made. Some insurers withhold this second payment without justification, a form of underpayment that is directly actionable.