Insurance

Your insurer paid part of the claim. Your policy may give you a way to settle the difference.

Appraisal is a process written into Texas homeowners policies. It settles one question: what the loss costs. Here is how it works, what it cannot do, and where a roofer's role stops.

The short version
  • Appraisal settles the amount of a loss. It never decides coverage.
  • Only you or your insurer can demand it, in writing. A roofer cannot.
  • It can lower the number as well as raise it.
  • Check your own policy. The wording and deadlines depend on when it was issued or renewed.

What appraisal is, and what it is not

Appraisal resolves a disagreement about the amount of a loss. Your insurer accepts that hail damaged your roof, and the two of you disagree on what the repair costs. Two independent appraisers measure and price the damage. A neutral umpire settles any gap they cannot close. The result binds both sides.

It does not decide coverage. If your insurer says the damage is wear and tear rather than storm damage, that is a coverage dispute, and appraisal does not resolve it. The line between the two is not always clean, and Texas courts have ruled on disputes over repair scope. If you are unsure which side your dispute falls on, ask an attorney before you demand appraisal.

Texas now requires the clause. Under Insurance Code Chapter 1813 (SB 458), residential policies delivered, issued or renewed on or after January 1, 2026 must contain a binding appraisal provision. Commercial policies and Texas Windstorm Insurance Association policies are excluded. A policy issued earlier may carry older wording, so read your own.

Who can start it

Only you or your insurer, and the demand must be in writing. A roofer cannot invoke appraisal for you.

That is not a technicality. Texas keeps repair work and claim advocacy apart. A roofing contractor who will do the work may not act as a public adjuster, negotiate a settlement for the homeowner, or advertise that it will (Insurance Code Chapter 4102). A contract made in violation can be voided (Insurance Code §4102.207). A contractor who promises to "handle" your claim is describing something Texas has prohibited.

How appraisal works, step by step

Deadlines below come from TDI's proposed rule (28 TAC §5.9805) and apply to policies covered by it. Your policy states its own deadlines. You and your insurer can agree in writing to change them once the insurer has sent its appraisal notice.

  1. 1

    Demand

    You or your insurer sends a written demand naming the disputed items.

    Deadline: Within one year of the insurer's notice accepting or rejecting the claim. If a lawsuit is filed, the party sued has 30 days from filing.

  2. 2

    Appraisers

    Each side hires its own appraiser and tells the other in writing.

    Deadline: 20 days after the demand

  3. 3

    Attempt to agree

    The two appraisers try to agree on the amount of loss.

    Deadline: 120 days after the demand

  4. 4

    Umpire

    If they cannot agree, they choose an umpire. If they cannot agree on one, either side can ask a county or district court where the home sits to appoint one.

    Deadline: 15 days, counted from the appraisers being named or from the 120 days ending, depending on your policy

  5. 5

    Award

    The award is signed by both appraisers, or by one appraiser and the umpire. The umpire cannot decide alone.

    Deadline: Within 240 days of the demand when an umpire is involved

  6. 6

    Effect

    The award binds both sides on the amount.

    Deadline: Unless it was made without authority, without substantial compliance with the clause, or through fraud, accident or material mistake

TDI's proposed rule also requires your insurer to send you a plain-language appraisal notice at the same time as its notice accepting or rejecting your claim. If you never received one, ask for it.

Appraisal can lower the number

Appraisal measures. It does not advocate. If the measurements support your number, it works. If they do not, it can go the other way.

In Hennessey v. Vanguard Insurance Co., 895 S.W.2d 794 (Tex. App.—Amarillo 1995, writ denied), the insurer's appraiser priced a roof repair at $2,555 and the homeowners' appraiser priced it at $18,000. The umpire set it at $800, below both. The homeowners argued the gap proved the process was unfair, and the court held that a disparity alone, even a large one, does not establish that.

Cost matters too. Under a typical clause, each side pays its own appraiser and the two split the umpire's fee. Ask any appraiser for the fee in writing before you hire, and read your own policy for how expenses are handled.

$2,555
Insurer's appraiser
$18,000
Homeowners' appraiser
$800
Umpire's award
The practical test

Before you demand appraisal, compare your insurer's estimate to an independent written estimate, line by line. If the difference is documented, appraisal has something to measure. If it is a feeling, it does not.

Who can serve as an appraiser

An appraiser must be competent by training or experience to evaluate the loss, independent of both parties, and disinterested in the outcome. For damage to a dwelling, TDI's proposed rule adds one of three backgrounds: an adjuster or public adjuster with residential estimating experience, an engineer or architect with residential construction or damage-investigation experience, or someone with occupational experience building or repairing that type of property.

"Disinterested" is the word that matters. A roofer who will be paid to do the repair profits from a larger number. That is a stake in the outcome, so Atrium will not serve as your appraiser, and we would advise you against any contractor serving in that role.

What Atrium does, and what we do not

What we do
  • Inspect the roof and document the damage with dated photographs and measurements, including collateral evidence such as gutters, fences, A/C units, windows and screens.
  • Write a scope with named products and code-required items that you can compare line by line with your insurer's estimate.
  • Explain in plain language what the documentation shows, and give you a copy. If your appraiser asks for it, you can share it.
  • Replace the roof once your claim is settled.
What we do not do
  • Demand appraisal for you, or contact your insurer as your representative.
  • Serve as your appraiser or umpire.
  • Negotiate your settlement, or tell your insurer we speak for you.
  • Promise a result, or promise to recover a set amount.
  • Pay, waive or absorb your deductible. See Texas deductible law.

Before you decide

  1. Read the appraisal clause in your policy and note where a demand must be sent.
  2. Find the date on your insurer's notice accepting or rejecting the claim. The one-year window starts there.
  3. Get an independent written estimate and compare it line by line with your insurer's.
  4. Decide whether the dispute is about amount, which appraisal can settle, or coverage, which it cannot. If you are unsure, ask an attorney.
  5. Ask about costs before you hire an appraiser.
  6. Do not sign a contract or an assignment of benefits with anyone who promises to handle the claim for you.

Appraisal FAQs

No. Only you or your insurer can demand appraisal, in writing. A roofing contractor who will do the repair work may not act as your public adjuster or negotiate your claim in Texas.

We advise against it. Appraisers must be independent and disinterested, and a contractor paid to do the repair has a financial stake in the amount. Atrium does not serve as an appraiser.

No. It decides the amount of loss only. Coverage stays with your insurer, and disputes over it are a matter for an attorney or a complaint to the Texas Department of Insurance.

TDI's proposed rule gives residential policyholders one year from the insurer's notice accepting or rejecting the claim. Your policy states its own deadline, so read it.

The proposed rule sets up to 240 days from demand when an umpire is involved, and the parties can agree to change deadlines in writing.

Under a typical clause, you pay your appraiser and share the umpire's fee. Get the appraiser's fee in writing before you hire.

On the amount, yes, unless it was made without authority, without substantial compliance with the clause, or through fraud, accident or material mistake.

Residential policies delivered, issued or renewed on or after January 1, 2026 must. Older policies may have older wording. Commercial and TWIA policies are outside this law.

Texas prompt-payment rules may apply, and the Texas Supreme Court has addressed this in Barbara Technologies and Ortiz (2019). That is a question for an attorney.

Yes. Appraisal changes the amount of the loss, not your deductible obligation.

This page explains general Texas law for homeowners and is not legal advice. Atrium Roofing is a roofing contractor. It is not a public adjuster, an insurance adjuster or a law firm. For questions about your policy or claim, consult a Texas attorney, a licensed public insurance adjuster, or the Texas Department of Insurance at 800-252-3439.

Last reviewed: September 2026

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