Insurance Fraud

Beware of Insurance Fraud! Be an Educated Consumer!

Please take a few minutes to read this document and protect yourself.

“Discounted “or “free” roofing work (when being funded by insurance companies) is against the law in Colorado. There is no way around it.

Roofers paying for clients’ deductibles, even partially, is illegal in Colorado. It has always been insurance fraud, but our senate has taken it a step further. In 2012, Governor Hickenlooper and the Senate passed Senate Bill 38 clearly specifying that the discounting a roof deductible in any way to be illegal. Senate Bill 38

How can it be insurance fraud for a roofer to pay my deductible?

Here is a typical scenario that many homeowners are exposed to:

The insurance company determines that the correct amount for a roof replacement is $10,000. Now let’s say the homeowner has a deductible of $1,000, which is their portion of the bill. When done legally, the correct amount of $10,000 is invoiced to the insurance company upon completion of the work. The insurance company owes $9,000 of it and the homeowner owes $1,000.Each party makes their payment to the roofer, totaling $10,000.

A DISCOUNT ROOFER shows up at the doorstep of a homeowner and says with a smile, “We’ll help cover your deductible by giving you a $1,000 sign credit.” This sounds like a great deal, you get $1000 to allow them to put a sign in your yard and ultimately get a free roof. Right? It is not every day that a company offers you that much money for something that takes so little effort on your part. We have even heard of a scan in which fake loans are being created by a local roofing company in the exact amount of the deductibles to attempt to get around this law.

Here is the catch. In most cases, insurance payments are disbursed in two payments. The first payment is released before the work is started and the final depreciation check has to be recovered with a work completed invoice to your insurance company. Fraud occurs when the homeowner and roofer inflate the price of their final invoice to the insurance company beyond what was paid on the real bill to the roofer.

Here’s an example of how it works. The DISCOUNT ROOFER overbills the insurance company for the full $10,000, when in reality only $9,000 is being charged to the homeowner. Sometimes they even are bold enough to give the homeowner two separate written invoices with instructions to keep the real one hidden in their own records and submit the fake one to the insurance company. As soon as the fake invoice is given to the insurance carrier, theft of $1,000 in the form of insurance fraud has just occurred. Had the roofer or homeowner submitted to the insurance the real price being charged for the roof ($9,000), the insurance company would have reduced their final depreciation check to the homeowner by $1,000. However, based upon the testimony of the homeowner and roofer, when the fake invoice for $10,000 is submitted to the insurance company, the full amount of depreciation is released to the homeowner.

The fact that the $1,000 was overbilled and never paid by the homeowner to the contractor constitutes insurance fraud. Please do not be unsuspectingly taken into an illegal scam that can have serious consequences to you, the homeowner. All Colorado roofing companies are aware that this is illegal, yet sadly, many still feel they are above the law and it does not apply to them.

So what? Insurance companies have lots of money. How does this negatively impact me?

You have to ask yourself, where is that $1000 of “savings” coming from? Insurance companies are not in the business of over-funding roof replacements, and the salesman that knocks on your door offering you this exciting opportunity is not willing to work for free. Unfortunately for you, the money that should have been spent on building a quality roof will have to be accounted for in the contractor’s expenses, usually labor and materials. Hidden short cuts will most likely be made to make up that difference. The homeowner loses out in the end.

Insurance companies have smart business practices. To remain solvent, they have ways to counter this practice. They can raise insurance premiums and deductibles which impacts everyone. Eventually they may decide to convert roof coverage to an actual cash value policy and not pay depreciation at all. While this would eliminate the opportunity for insurance fraud, the homeowners would ultimately lose as they would then be responsible to come up with the deductible and the depreciation on their roof replacement.

Why work with someone who is proposing that you commit fraud with them? Is there any reason to trust that they would be honest with you? If a roof salesman knocks on your door offering you a “free roof,” do yourself a favor and hand them a printed copy of Senate Bill 38 and ask them politely to leave. You can only lose in the long run if you are pulled into committing insurance fraud with them.

The old adage applies, if it sounds too good to be true, it usually is!

Integrity Roofing and Painting IconIntegrity Roofing and Painting

115 North Union Boulevard, Colorado Springs

4.8 473 reviews

  • Avatar Lee Ann Crawford ★★★★★ 4 months ago
    Great company! They were very responsive, professional and thorough. Fast service—They Installed the roof just a couple days after we signed the contract. Cleanup was exceptional. We needed new gutters and they made arrangements with another … More company to install the gutters. We were very pleased. We highly recommend this company. We loved working with Jeff. He kept us updated on every step of the project.
  • Avatar Timothy Ferguson ★★★★★ 5 months ago
    I hired Integrity Roofing and Painting after I flagged Ken down on the street as they were wrapping up on a neighbors house. Ken was extremely helpful, supportive as we struggled with what was to us a large purchase, and was responsive … More even when I asked him questions on a weekend as I made my decision. He was patient and allowed me my space to make the decision and then once I made it he walked me through the process, made sure I understood everything (along with the fact that to him Integrity really was what he valued), and then kept in constant communication with me as we scheduled, and then finally installed. The crew that showed up were amazingly hard workers and did everything they could to get done as quickly as possible. They cleaned up so well I haven't found anything but a super small piece of paper that got away and ended up hidden in the bushes. To me that is amazing because it is a lot they have to manage as they rip off the old roof. Ken checked in often with the crew and myself for the 1 day and 2 hours they were on site. That is fast, we had a large roof (I don't remember what the number of squares, but it was large). So fast crew, conscientious crew, great communication and great finished project.Services: Roof installation, Skylight installation
  • Avatar Deb Wieczorek ★★★★★ 5 months ago
    During the sale of my home, I was made aware that my roof needed to be replaced. The closing was scheduled for 3 weeks out so time was limited. I used Integrity to perform an inspection and confirm the damage. Integrity not only met with … More the Inspector, but relieved my concerns by walking me through the process and assured me that they would expedite the installation.They did an amazing job! Myself and the new homeowners were completely satisfied. I would highly recommend them and use them again ~Deb WieczorekServices: Roof inspection, Roof installation

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