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HO3 - HOA requiring owner to pay or file individual claim for roof damage after hurricane
We live in a townhome in Florida with an HOA. For context, we do have an HO3 policy. After Hurricane Milton, we sustained damage to the roof of our unit, which caused leakage into our garage.
We notified the HOA after seeing the damage, and we were advised that when there is a “named storm”, the individual owners are responsible for paying for roof repairs. The HOA coordinated repair with the company that services our roofs, and we were advised we could pay out of pocket or file a claim with our own individual insurance company. The amount is $2000, but our hurricane deductible is much larger, so we will elect to pay out of pocket IF it’s accurate that HOA is off the hook.
We have a copy of our bylaws but cannot see where we are responsible for this repair. All other times where there have been roof leaks, the HOA covers repairs. We asked the board members to point to where in our bylaws that it states we are responsible, but they refuse to answer.
Does anyone have any insight? I will also post this to the HOA sub.
Thank you!
T-Mobile - How do I pay my T-Mobile outstanding bills.
1. In October 2024,I bought a I Phone 16 max pro from T Mobile store for some other person as he didn’t have address documents and mail ID. I gave my documents for mailing address, mail ID and alternate contact number at T-Mobile store.
2. T- Mobile sold the I phone with a sim and monthly plan of $95. The other person didn’t pay $95 for the recharge after October. He kept using the phone on his home WiFi as the sim was active but with no service.
3. In March 2025 a 3rd party, not T- Mobile sends me an outstanding bill of $588.33 on the T-Mobile plan I took in October.
4. Now my issue is why didn’t T-Mobile inform me through my address Mail or my mail ID or through the alternate contact number that my plan was not being recharged and I am collecting an outstanding.
Why a third party is sending a mail on my address to collect outstanding dues on T-Mobile plan. In between I was getting call from the 3rd party that I have an outstanding, I went to the T-Mobile store and asked should I entertain such calls they said it is spam, do not entertain these calls.
5. How should I go about clearing this Issue can anybody advise me on the steps to be taken. It’s concerning as $588.33 is not a small amount.Thank you all.
Aetna - Insurance/Auth help
I hope the flair is correct.
So I have Aetna POS II through my employer and my prescriptions are handled through OptumRX.
I previously had Cigna health insurance for 2024 and was forced to Aetna cause plans changed and this was the cheapest one (even though it’s not cheap)
I had an auth for Zepbound valid until 3/16/25 that was initiated in September 2024. Well my provider submitted a new auth and it was denied. Optum is telling me it’s my health insurances problem. Then Aetna tells me they have no control, contact Optum. My provider is supposed to submit an appeal but I’m feeling really confused. Who has control over the prescriptions then? How have I gotten two refills since January even with my health insurance changing? (Optum rx has not changed and I had them in 2024 too)
Can anyone help me understand?
Owner Guard - Gap insurance
Hey, has anyone ever dealt with owner guard gap insurance. I have been calling them for 5 days and emailing them and no one answers. It seems to only be one person that is working that is in a total different department. They don’t even have a headquarters if anyone has been in contact with them please let me know. I’m just trying to get a hold of anyone because someone totaled my car and I’m left paying out of pocket. Thank you for your time.
insurance company - Insurance claims on new home?
I’d like to know what insurance claims have been requested on a home I’m closing on. It just seems smart to understand what has occurred with this very large purchase I’m making.
I asked my insurance company for this and they said they aren’t able to see that, which I know has to be a lie? Isn’t that the primary thing they look at when underwriting?
Is there any way I can get this information?
UMR - My Parents Kept Dozens of EOB Letters from Me - What Now?
So I've had my own insurance (Medicaid, Ohio) since July 2024 but doctors keep charging my parents' insurance (UMR) even though I'm not a member anymore. I should have been calling and having them reprocess all the claims as they came in. But instead, my parents, who recieve the Explanation of Benefits letters, let them stack up and handed me a grocery bag of over 50 of them today. I have no idea what I owe, how to find out, who to call, etc. and they dont care. If what the letters explain is truly what's in the bills (that I don't have), I suddenly owe over $20k in medical bills which I literally live paycheck to paycheck so I don't know what to do about. What in the world do I do?
Homesite Insurance - Homesite Insurance
I bought my condo five years ago and have Homesite Insurance (according to my recent research, this is not good…).
I just filed a claim with them about what my plumber suspects is a faulty toilet wax ring which has caused water damage in the condo unit below mine. Chances are my bathroom will be out of commission for a bit. My question is this: has any one had at least a neutral experience with Homesite? Any tips on how to make sure they do what they’re supposed to? I’m doing my part by brushing up on my insurance policy. Any advice on how to avoid delays is greatly appreciated! I guess I’m just looking for a little hope, lol. Thank you!
Lemonade - Is parvo going to be a preexisting condition for life?
We recently rescued a mastiff puppy. She came down with parvo but is on the road to recovery. I would like to get insurance for her but I am concerned that having parvo as a puppy is a recipe for getting denied for any claim going forward. It just seems like parvo is one of those illnesses that could count against anything that goes wrong in the future. I reached out to Lemonade and their response was very general and generic. Preexisting, reviewing history with any claim, etc, etc.
Blue Shield of California - Kaiser HMO vs Blue Shield PPO
Hi all, I'm leaving my current job and I have another position that pays higher than where I'm at right now, but no employee health plan. I'm in CA. Right now I'm looking at marketplace plans for my spouse (33M) and I (31F). We don't use much when it comes to health care. A few random visits here and there, I take a few daily mental health meds but that's it. However, we do want to start a family in the next year so I'm trying to keep that in mind. I've always been on an employer PPO, so that's what I'm used to. My top options currently are Blue Shield of CA PPO, or Kaiser Gold HMO. From what I've seen blue shield is one of the few companies that will offer PPO on the marketplace. I've looked at some of the cheaper plans through multiple companies but since most of them have coinsurance, I worry I could rack up quite a bit if I were to get pregnant/deliver. We earn too much to qualify for financial help/ACA plans as well. Here's my question - how much does Kaiser's HMO plans differ from their PPO? Is it really a big difference since it's all in one system? I know there are issues with Kaiser and it seems people either love it or hate it. But it seems like their HMO plan is cheaper with better coverage (particularly for maternity) than a similar PPO through blue shield. Anything I'm missing here? Any advise or prior experiences would be helpful.
State Farm - Car insurance experience with renewing
Hi, I recently had an experience that just baffled me and I was wondering if this is normal.
I was with State Farm for decades before I realized that they really did not care about my loyalty and would give new customers a better deal.
At that time last year, I switched to progressive. I really liked their online format. It was easy to use. I could pick out exactly what coverage I wanted for what vehicle.
At my first renewal, my premium went up by $20. One of the reasons I switched companies is because I felt that I was taking advantage of by State Farm over the years by increasing the price here and there.
I called them to inquire why and I was told that it was some kind of new customer discount that could no longer be applied to the policy. It sucks, but I shrugged it off and renewed.
I recently was up for renewal again and this time I jumped by $70. I have no accidents, no tickets. There are five cars total on the policy.
I called them about 20 days before my renewal was due. I spoke with a representative. Long story short, he said that he was able to get it back down to the original price and I would have to call him at the beginning of March to apply it to my account.
I tried calling leaving messages for about 3 to 4 days and was not able to contact him so I just contacted the regular number. I had a reference number that I was able to give the rep to look up this new quote.
They acknowledge it and as they are issuing the policy, they press some button and it magically goes up by $100 now. It cannot be undone and it pissed me off. I told them I no longer wanted to renew with them and I would find somebody else.
I ended up using a online broker tool, and it led me back to progressive. Where I proceeded to input all my information and not only did they give me a quote, but this quote is cheaper than my original quote last year for the same exact coverage for 5 vehicles.
So are we just supposed to be applying as a new customer every single year for policies? Overall, I ended up saving $475.
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