can insurer demand a fully itemized estimate for a repair Jane Szabo asked 1 month ago
can insurer demand a fully itemized estimate for a repair

Our insurance adjuster refuses to approve estimates or invoices for replacement items—such as a garage door, an interior built-in closet, and a water heater—in our claim related to lead/asbestos contamination from the Eaton fire unless every single item is clearly broken down.

I obtained three estimates from closet companies, and the industry standard is a flat-rate total. However, she is demanding that labor to build, materials to build, delivery costs, installation, painting labor, and painting materials all be listed separately.

Contractors are not happy being asked to provide this level of detail.

Do we have to keep contacting more contractors until we get a written estimate she approves? Is it correct for insurance to require this level of detail?

1 Answers
Answer for can insurer demand a fully itemized estimate for a repair United Policyholders Staff answered 1 month ago

Hi Jane,

The short answer: No. You do not have to keep finding contractors to meet an adjuster’s preferred format, and insurers cannot impose unreasonable documentation demands.

Under California’s Fair Claims Settlement Practices Regulations (Title 10, §2695), insurers must conduct a reasonable investigation and cannot delay or hinder payment by requiring unnecessary or burdensome documentation. There is no rule requiring highly itemized breakdowns if that is not standard for the trade.

https://www.insurance.ca.gov/01-consumers/130-laws-regs-hearings/05-CCR/fair-claims-regs.cfm

It’s reasonable for the adjuster to understand scope and general costs. It is not reasonable to reject multiple legitimate estimates solely due to formatting, especially where flat-rate pricing is industry standard.

UP guidance: You have the right to use qualified professionals of your choosing, and insurers must work with real-world estimates, not require non-standard formats. While this article is auto-focused, the principle applies more broadly:

https://uphelp.org/your-car-your-choice/

What to do:

Ask the adjuster to cite the policy language or regulation requiring that level of detail

Confirm in writing the estimates are being rejected only due to formatting

Document that further breakdowns are not standard practice

Request a supervisor review if needed

If delays continue, consider filing a complaint with the California Department of Insurance.

Bottom line: Reasonable documentation is required—but not contractor-by-contractor reformatting to satisfy an adjuster’s preferences.

Good luck, UP Staff