How Does the 80% Rule for Home Insurance Work? (2024)

What Is the 80% Rule for Home Insurance?

Most insurance companies adhere to the 80% rule. According to the standard, an insurer will only cover the cost of damage to a house or property if the homeowner has purchased insurance coverage equal to at least 80% of the house's total replacement value. If the amount of coverage purchased is less than the minimum 80%, the insurance company will only reimburse the homeowner a proportionate amount of the required minimum coverage that should have been purchased.

Key Takeaways:

  • The 80% rule means that an insurer will only fully cover the cost of damage to a house if the owner has purchased insurance coverage equal to at least 80% of the house's total replacement value.
  • If the coverage covers less than 80% of the replacement value, the insurance company will pay a proportionate amount to the amount of coverage originally purchased.
  • Capital improvements and inflation affect the value of a property and the 80% rule.

How the 80% Rule Works for Home Insurance

Purchasing homeowners insurance can protect you from financial losses if your home is damaged by unforeseen disasters, burglaries, and fires. If you have a mortgage loan, your mortgage lender will likely require you to buy homeowners insurance. However, you must purchase enough insurance to cover the cost of repairs or replacing the items damaged.

Insurance companies may require you to purchase enough insurance to cover a minimum of 80% of the replacement cost of your home. You would agree to pay the insurer the monthly premiums for the coverage. If damage occurred to the home, the insurer would pay the replacement cost value of the claim for repairing the damage.

However, replacement costs can increase over time due to inflation, which is the pace of rising prices in an economy. If inflation occurs and the homeowner doesn't increase their insurance coverage, they might have insufficient coverage for 80% of the home's replacement value. As a result, the homeowner would need to pay for the repairs for the uninsured portion.

Example of the 80% Rule for Home Insurance

James owns a house with a replacement cost of $500,000, and his insurance coverage totals $395,000. An unanticipated flood causes $250,000 worth of damage to James' house. At first glance, the amount of coverage appears to be higher than the cost of the damage ($395,000 vs. $250,000), so the insurance company should reimburse James the entire amount. However, because of the 80% rule, this is not necessarily the case.

The minimum coverage that James should have purchased for his home is $400,000 ($500,000 x 80%). If that threshold had been met, any and all partial damages to James's home would be paid by the insurance company.

However, since James did not buy the minimum amount of coverage, the insurance company will only pay for the proportion of the minimum coverage represented by the actual amount of insurance purchased ($395,000/$400,000),which amounts to 98.75% of the damages.

Here are the numbers:

  • Home replacement cost value: $500,000
  • Existing insurance coverage: $395,000
  • Coverage required under the 80% rule: $400,000 or (.80 * $500,000)
  • Actual percentage covered of the $400,000: 98.75% or ($395,000 / $400,000)
  • Cost of damages: $250,000
  • Insurance claim payout: $246,875 or (98.75% * $250,000 in damages)
  • Customer's out-of-pocket cost: $3,125 or ($250,000 - $246,875)

Since James only bought 98.75% of the required $400,000 in insurance coverage, the insurance company only covered 98.75% of the replacement cost.

Therefore, the insurance company would pay $246,875of the $250,000 replacement cost and,unfortunately, James would have to pay the remaining $3,125 out of pocket.

Because improvements to a home and inflation affect home values, homeowners should review their insurance policies periodically to ensure their coverage meets the 80% rule.

How Capital Improvements Affect the 80% Rule

Since capital improvements increase the replacement value of a house, it is possible that coverage that would have been enough to meet the 80% rule before the improvements will no longer be sufficient.

For example, let's say James realizes he did not purchase enough insurance to cover the 80% rule, so he purchases coverage that covers $400,000. One year passes, and James decides to build a new addition to his house, which raises the replacement value to $510,000.

While the $400,000 would have been sufficient to cover the $500,000 house ($400,000/$500,000 = 80%), the capital improvement has driven up the replacement value of the house, and this coverage is no longer enough ($400,000/$510,000 = 78.43%). In this case, the insurance company will once again not fully compensate for the cost of any partial damages.

Inflation can also cause the replacement value of a house to increase. Therefore, homeowners should periodically review their insurance policies and home replacement values to see if they have adequate coverage to cover any damages fully.

What Is Not Protected by Most Home Insurance Policies?

Typically, homeowners insurance does not cover flood, earthquake, or damage caused by poor upkeep and normal wear and tear.

What Does 80% Coinsurance Mean in a Homeowners Policy?

If a homeowner fails to insure their home for a minimum of 80% of its value and a claim is filed, the coinsurance clause will kick in. The insurance company will cover the percentage of the replacement cost comparable to the homeowner's deficient coverage of the 80% minimum. The repair costs that exceed the coverage would be the homeowner's responsibility to pay out-of-pocket.

How Do Insurance Companies Determine Dwelling Value?

The insurer will determine the replacement value through multiple factors, including the home's location, size, age, and condition.

The Bottom Line

The 80% rule means that an insurance company will pay the replacement cost of damage to a home as long as the owner has purchased coverage equal to at least 80% of the home's total replacement value. If the homeowner fails to purchase adequate coverage, the insurance company will pay an amount proportionate to the coverage originally purchased.

How Does the 80% Rule for Home Insurance Work? (2024)

FAQs

How Does the 80% Rule for Home Insurance Work? ›

The Bottom Line

What is the 80% rule in homeowners insurance? ›

When it comes to insuring your home, the 80% rule is an important guideline to keep in mind. This rule suggests you should insure your home for at least 80% of its total replacement cost to avoid penalties for being underinsured.

What does 80% coinsurance mean in a homeowners policy? ›

Coinsurance is a property policy requirement that means you must insure your home or office to a specific value, often 80% of its replacement cost at the time of the loss. Contact us today so that we can review your current insurance and help you decide if you should increase your property limits."

How to calculate 80/20 rule for insurance? ›

The 80/20 Rule generally requires insurance companies to spend at least 80% of the money they take in from premiums on health care costs and quality improvement activities. The other 20% can go to administrative, overhead, and marketing costs. The 80/20 rule is sometimes known as Medical Loss Ratio, or MLR.

What clause requires that the homeowner have insurance that is equal to 80% of the home's replacement value? ›

The coinsurance formula is the homeowner's insurance formula that determines the amount of reimbursem*nt that a homeowner will receive from a claim. The coinsurance formula becomes effective when a homeowner fails to maintain coverage of at least 80% of the home's replacement value.

What does 80% mean on insurance? ›

You have an “80/20” plan. That means your insurance company pays for 80 percent of your costs after you've met your deductible. You pay for 20 percent. Coinsurance is different and separate from any copayment.

What is the 80 percent rule? ›

The 80% rule was created to help companies determine if they have been unwittingly discriminatory in their hiring process. The rule states that companies should be hiring protected groups at a rate that is at least 80% of that of white men.

What is the 80% average clause? ›

The 80% rule means that an insurer will only fully cover the cost of damage to a house if the owner has purchased insurance coverage equal to at least 80% of the house's total replacement value.

What does 80% reimbursem*nt mean? ›

Reimbursem*nt Example

If your reimbursem*nt level is 80% and your claim is for $1,000 the company will pay $800 and you will pay $200. It's important to keep in mind that you will be responsible for paying the deductible each time you file a claim.

Why is 80 coinsurance better than 90? ›

A typical 80% coinsurance clause leaves more leeway for undervaluation, and thus a lower chance of a penalty in a claim situation. Insuring a property on an agreed value basis may well be a better option for some insureds as it eliminates the possibility that a coinsurance penalty will be invoked.

How do you take advantage of the 80-20 rule? ›

You can use the 80/20 rule to prioritize the tasks that you need to get done during the day. The idea is that out of your entire task list, completing 20% of those tasks will result in 80% of the impact you can create for that day.

What are the 80/20 rule real examples? ›

Project Managers know that 20 percent of the work (the first 10 percent and the last 10 percent) consume 80 percent of the time and resources. Other examples you may have encountered: 80% of our revenues are generated by 20% of our customers. 80% of our complaints come from 20% of our customers.

How to figure out the 80/20 rule? ›

The 80/20 rule is a simple concept that can be applied to many situations. It states that 80% of the results come from 20% of the effort. This means that you should focus on the 20% of your efforts that will lead to the greatest reward, or yield the highest value for your time and energy.

What is the 80% rule in property insurance? ›

The 80% rule dictates that homeowners must have replacement cost coverage worth at least 80% of their home's total replacement cost to receive full coverage from their insurance company.

What is the rule of thumb for estimating homeowners insurance? ›

For a quick estimate of the amount of insurance you need, multiply the total square footage of your home by local, per-square-foot building costs. (Note that the land is not factored into rebuilding estimates.)

Is replacement cost home insurance worth it? ›

Replacement cost homeowners insurance may be worth considering for the contents of your home if you want to replace older items with newer ones. Like dwelling replacement cost, contents replacement cost usually has a coverage limit maximum as defined in your home insurance policy.

What is 80 of the replacement cost? ›

The 80% rule means that an insurer will only fully cover the cost of damage to a house if the owner has purchased insurance coverage equal to at least 80% of the house's total replacement value.

What does having 80/20 coverage mean? ›

Simply put, 80/20 coinsurance means your insurance company pays 80% of the total bill, and you pay the other 20%. Remember, this applies after you've paid your deductible.

Should you insure your home to its full value? ›

Replacement cost is how much it would cost to reconstruct your home as it is now, and most homeowners policies offer replacement cost coverage. However, if you don't insure to the full value of your home, you may find yourself responsible for a significant portion of the rebuilding costs in the event of a loss.

Is 80/20 insurance good? ›

Is 80/20 Insurance Right for You? In the end, 80/20 insurance offers a lot of coverage but still does require a significant financial commitment from the policyholder. The choice of purchasing an 80/20 insurance policy all really comes down to what you can afford and what your medical needs are.

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