Claims FAQ

Filing a claim can be confusing, but our goal is to make it simple and easy.  See below for some commonly asked questions that may help sort things out. Of course, you can always This e-mail address is being protected from spambots. You need JavaScript enabled to view it  if you have anything else you’d like to know.

1. If I have a claim, is there anything I should do before I complete the Notice of Loss and forward it to the insurance company?

Certainly you or your representative will want to inspect all insured fields in the area after the storm to determine what crops have been damaged. This is the information required in your Notice of Loss.

A claim should not be filed where there is no apparent hail damage.

2. Is there anything I have to do if I know I’m going to be away for a part of the growing season?

One of the requirements of your hail policy is that a written Notice of Loss must be filed with the hail insurance company within three days of the storm that caused the loss or damage. If you plan on being away you should consider appointing someone to act as your Power of Attorney in the event of a loss occurring in your absence. The form you must sign to do this is included in your insurance policy. If you appoint someone to act for you as your legal representative, that person is authorized to file a Notice of Loss in your name within the required three day period, as well as to represent you if adjustment commences before your return.

3. What happens after I send in the required written Notice of Loss to the hail insurance company?

The hail insurance company assigns an adjuster to handle your claim. The adjuster will make every effort to contact you or your representative to establish an appointment to inspect the fields for which hail damage is being claimed. It is important that you or your designated representative accompany the adjuster on all field inspections.

4. How do I know my adjuster is qualified? Is there a standardized set of adjusting procedures all adjusters must follow?

All persons adjusting hail losses are licensed by the Hail Insurance Councils or are in the employ of a licensed insurance company. Adjusters are required to comply with education requirements, adhere to conduct and trade practices and adjust claims using the “Crop Hail Adjustment Manual” as a guide.

All adjusters use the same basic adjusting procedures to determine the amount of hail loss or damage. Generally, you can expect the following steps to be taken:

a) Actual plant counts will be taken from representative parts of the field. On larger fields, more counts are required to ensure accuracy.

b) In assessing the loss, the adjuster will consider various factors depending on the type of crop and stage of growth of the crop. The adjuster repeats the adjustment process throughout various parts of the field. When the required number of counts has been taken, all the counts are added together and averaged to arrive at a final percentage of loss.

c) With early storms the farmer and the adjuster may agree to defer the adjustment until a more accurate assessment of the loss can be later determined.

5. What do I do if I have a concern with the loss assessment provided by the adjuster?

The Statutory Conditions listed on the back of your insurance policy contain specific loss settlement provisions.

Stage 1 – Adjustment Process

The insurance company and farmer (or their representatives) will together determine and agree upon the percentage of loss or damage sustained by hail on the acreage of the crop or any portions thereof, insured under any item of the policy.

If the insurance company and farmer cannot agree upon the percentage of loss on each insured crop, the dispute will advance to the appraisal process.

Stage 2 – Appraisal Process

If a disagreement as to the percentage of damage from hail to any of the crops occurs, either the insurance company or the farmer may request, in writing, an appraisal.

Time restrictions for notifying and appointing an appraiser exist. It is therefore critical that you familiarize yourself with Section 15 of the Statutory Conditions relating to the appraisal process.

The insurance company and farmer are removed from the process once the appraiser(s) are appointed.

If only one appraiser is appointed, the percentage of hail damage will be estimated and determined by that appraiser.

The appraiser(s) expenses are incurred by the insurance company and the farmer respectively. If only one appraiser is appointed, then the expenses will be incurred equally by the insurance company and farmer.

In the event the appraisers cannot agree on the percentage of damage, an umpire will be appointed.

Stage 3 – Umpire Process

The appraisers may appoint an umpire, however, if an agreement cannot be reached, an umpire will be appointed by the Superintendent of Insurance.

The umpire is limited to inspecting the hail loss and making an award based on the percentage determined by one of the two appraisers. The umpire does not become a third appraiser who provides a new estimate.

The umpire’s decision will be final.

Both the insurance company and the farmer are equally responsible for paying the expenses of the umpire.

6. Can the adjuster who reviewed my claim also act as the appraiser?

No. It is not recommended that an individual act in the dual capacity of an adjuster and appraiser due to the conflict of interest this presents.

With permission from the Hail Insurance Council of Saskatchewan Pamphlet “What you should know about Hail Insurance” www.Insurancecouncils.sk.ca.