Insurance Claim Form
If you believe a release has occurred, immediately contact PMMIC to verbally report the claim. You will be required to complete and submit an Insurance Claim Form to PMMIC.
When do you file a claim?
- Suspect a leak from your tanks or piping;
- Know you had a leak or spill of 10 gallons or more; or
- Receive notice from another person alleging contamination coming from your tank system or damages as a result of your tank system.
Prompt notice is important in order to protect your interests. Please call 833-826-5467 as soon as you are aware of a claim or potential claim, even if you do not believe cleanup costs will exceed the deductible. If you have an emergency after hours or over the weekend, notify our office and we will contact you as soon as possible. Contact the state regulatory agency to report the claim.
What costs will PMMIC pay?
PMMIC can only pay for cleanup of contamination caused by leaks/spills of petroleum from covered tank systems. Your policy also covers third-party property damage or bodily injury from a covered release. Your deductible applies to claims.
Costs to evaluate the extent of contamination, or to clean it up, must be approved by PMMIC in advance, except in emergency situations. It is your responsibility to demonstrate that any emergency cleanup costs you incur are or were necessary and required by the state regulatory agency if they are not approved in advance.
The cost estimate you send to PMMIC must include all aspects of the project, including any equipment purchase, obtaining necessary permits, installation, operation/maintenance, subcontracted costs, sample collection/analysis, reporting, taxes, etc.
How do the bills get paid?
When you receive bills for work at your site, your consultant is instructed to send them to PMMIC along with a copy of reports from your consultant, contractor, or laboratory that document the work. It is likely your consultant will regularly copy PMMIC on all correspondence. You will need to confirm that with them.
If you have any questions regarding a pending or potential claim, please contact us at our office.