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District staff report insurance denials and appeals for hurricane damage; FEMA site inspections set for Helene

2260607 · February 7, 2025
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Summary

Taylor County Schools updated the board on insurance denials related to hurricane damage (Adelia/Adelphia) and the district’s appeals process, noting a denied roof claim based on a 25% damage rule, ongoing engineering reviews, and upcoming FEMA site inspections related to Hurricane Helene.

District staff told the Taylor County School Board that insurance and federal-agency reviews of storm damage remain unresolved and that appeals are underway for Hurricane Adelia (referred to in the meeting) and Hurricane Helene.

A facilities or operations staff member reported the district received a determination memo denying payment for high-school roof replacement because the insurer concluded the damage did not meet the insurer’s 25% replacement threshold. The district has collected engineering reports, photos and other documentation and intends to appeal the determination. The staff member said the district requested rescission of the determination memo and continues to assemble supporting material to demonstrate the required damage threshold.

The district also reported a denial related to late damage-inventory submissions for Helene and said it will file a second appeal. Staff walked through the appeal timeline described to the board: the district has 60 days from denial to file an appeal and the reviewing agency then has up to 120 days to respond. At one point in the meeting staff said there were about 45 days remaining to submit a particular appeal.

District officials said they have engaged multiple engineering firms to review damage and options (Parker Engineering, Nova Engineering and McLaren were named in the discussion) and have worked with a consulting firm, Synergy, and an individual named Melinda who is supporting documentation and the appeal process. A consultant who recently joined the Synergy team reportedly has experience with appeals and has helped the district organize evidence.

Staff also told the board the district obtained a loan from an entity referred to in the meeting as "FDIM" (staff used that term in the public remarks). Staff cautioned that FDIM loan proceeds may be expected to be repaid from FEMA awards and that the district does not yet know whether FEMA payouts will cover loan repayment.

FEMA site inspections for Hurricane Helene were scheduled to begin the week after the board meeting; staff asked principals to expect FEMA teams and to coordinate with Dan and district staff who will accompany FEMA during school visits.

Board members asked whether other districts have seen similar denials and staff said districts in the region are grappling with related issues and appeals; staff said some counties remain in prolonged review processes. Staff and the board discussed a state preparedness program (referred to as the FROC program during the meeting) as a possible way to improve documentation and readiness prior to future storms.

Ending: District staff said appeals are in progress and that FEMA inspections for Helene are forthcoming; the district will continue to work with engineers, insurers and consultants to pursue replacement or repair funding.