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The cover that waits for an administrative order

8 min of reading · Free module

In every line this catalogue teaches, a cover triggers on a fact: an unpaid invoice, an encryption, a collapse. The natural catastrophe regime works differently, and that is the first thing to understand because everything else follows from it. An insured whose workshop is under a meter of water is not covered because it is flooded. It is covered if, and only if, an interministerial order published in the official gazette recognizes the state of natural catastrophe for its commune and for the period when the water rose. Without that act, the water came, the machines are lost, and the cover does not respond.

This mechanism is not an administrative oddity, it is the price of a cover that would not otherwise exist. Flood, drought and ground movement perils are poorly insurable by a market alone: they strike thousands of insureds at once, they concentrate geographically, and the premium an insurer would have to charge in an exposed area would be unaffordable for those who live there. The regime resolves this by making the cover compulsory in every property policy, funded by a uniform surcharge, and reinsured through a public mechanism. In exchange for that solidarity, the state reserves the right to say which events belong to it, and the order is that instrument.

The harshest practical consequence is the commune-by-commune carve-up, and it produces situations nobody defends and everybody observes. The order names communes, one by one, and a period. Two businesses separated by a street can therefore find themselves on either side of a communal boundary, have suffered the same flood, and not have the same cover. This is not a processing error: it is the administrative grain of the scheme, and the file is not won by demonstrating that water does not know commune boundaries. It is won, when it is won, by getting the commune added.

One must therefore know that the order is not an event from the sky but the outcome of a procedure a commune sets in motion. The mayor files a request for recognition, supported by a description of the damage; the state's representative forwards it; a commission examines technical reports and gives an opinion; the order is signed, or refused. A commune that asks for nothing obtains nothing, and it sometimes asks for nothing because nobody alerted it. An insured discovering that its commune has filed no request is not facing an inevitability: it is facing a deadline, and a town hall it can write to.

Then comes the question of timing, which disconcerts treasuries and must be raised at once. Processing takes weeks and often months, so that an insured notifies its insurer without knowing whether it will be covered, incurs protective expenditure with no certainty of reimbursement, and awaits a decision that depends neither on it nor on its insurer. The notification period to the insurer, however, runs not from the loss but from publication of the order, which is the only good news in this paragraph: one does not lose one's rights by waiting.

What the regime covers and what it leaves to other covers must be added, because the confusion is constant. The regime targets direct physical damage caused by the abnormal intensity of a natural agent: flood, mudflow, drought and soil rehydration, ground movement, earthquake, avalanche. It targets neither storm, nor hail, nor the weight of snow, which fall under an ordinary-law cover present in the same contracts and which triggers on the fact. On a single weather event, an insured can therefore have part of its damage covered without any order and another part waiting for one.

What should be retained from this lesson is a reversal of the usual reflex. Faced with a climate loss, the first question is not what the contract says, it is whether an order exists, whether it names the commune, and whether it covers the right period. Those three checks take a few minutes on a public text. If the order exists, the contract takes over and the work becomes ordinary again. If it does not, the question is no longer one of insurance but of administrative procedure, and it is handled at the town hall, within a deadline that does not last.

The worked case

A precision engineering company, located on a business park beside a river, is flooded on March 14. The water reaches 80 centimeters in the workshop; machine tools and stock are lost, physical loss reaches 1.4 million euros and operations stop for seven weeks. On May 2, an interministerial order recognizes the state of natural catastrophe for the floods of March 13 to 15, across eleven communes in the department. The company's commune is not among them; the one opposite, across the river, is. The managing director, who notified his insurer on March 16, receives a refusal. What must be done, and in what order?

The analysis

The insurer's refusal is well founded and is not arguable: without an order naming the commune, natural catastrophe cover does not open, and demonstrating that water does not know commune boundaries does not advance the file by a meter. The question stopped being an insurance question on May 2; it became a question of administrative procedure, and that is where the effort must go. Three steps follow, in this order. The first is to check whether the commune even filed a request for recognition: it sometimes files nothing, for want of having been alerted, and the company is then facing a town hall it can write to rather than a refusal. The second, if the request was filed and rejected, is to obtain the grounds for rejection and the technical reports on which the opinion rested, since a refusal bears on a measured criterion and not on a general appreciation. The third is to have the commune file a supplementary request, attaching the water-height readings, the bailiff's records and the timestamped photographs the company holds: the neighboring commune's recognition is a useful element, but it is the local measurement that weighs. Two timing points accompany these steps and work in the director's favor. The notification period to the insurer runs not from March 14 but from publication of an order, so his March 16 notice lost nothing and a later recognition would reopen the file. And any damage falling outside the regime should be looked for now on the ordinary-law covers present in the contract.

What to remember
  • 01The cover triggers not on the loss but on an interministerial order naming the commune and the period.
  • 02The commune-by-commune grain is the scheme's own: two businesses separated by a street can have different cover on the same flood.
  • 03The order is the outcome of a procedure the commune sets in motion: a commune that asks for nothing obtains nothing.
  • 04The notification period to the insurer runs from publication of the order, not from the loss: one does not lose rights by waiting.
  • 05Storm, hail and snow load fall outside the regime: on one weather event, part of the damage can be covered with no order at all.
The notions in this module