A growing trend in Colorado insurance policies is the Cosmetic Damage Exclusion. Understanding the difference between functional and cosmetic damage is crucial for homeowners dealing with hail claims.
Defining the Terms
Functional Damage
Functional damage compromises the roof’s ability to shed water or reduces its expected service life. Examples:
- Cracked shingles: Water can penetrate the crack
- Mat fractures: Internal damage weakens the shingle structure
- Granule loss: Exposes asphalt to UV degradation, reducing lifespan
- Punctures: Direct path for water intrusion
- Displaced flashings: Compromise waterproofing at transitions
Cosmetic Damage
Cosmetic damage affects appearance but doesn’t compromise water-shedding function. Examples:
- Dents in metal roofing: Roof still sheds water normally
- Surface marks on shingles: No structural compromise
- Color variations: Aesthetic only
The Cosmetic Exclusion Trap
Many Colorado policies now include endorsements that limit coverage to functional damage only.
The Scenario
A standing seam metal roof is struck by 1-inch hail. The roof looks like a golf ball surface - covered in dents - but doesn’t leak.
Under Standard Policy
Coverage would include:
- Diminution of value
- Aesthetic restoration
- Full replacement if damage is severe
Under Cosmetic Exclusion
Claim is denied because the roof still sheds water. The dents are “cosmetic only.”
How Hail Damages Asphalt Shingles
Understanding the physics helps identify functional damage:
The Impact
Colorado hailstones fall from 15,000-20,000 feet, retaining more mass than in lower elevations. A 2-inch hailstone hits at approximately 70-75 mph, delivering significant kinetic energy.
Damage Mechanisms
Granule Displacement: Dislodges the ceramic-coated granules protecting asphalt from UV radiation. This is functional damage - the shingle’s lifespan is reduced.
Mat Fracture (The “Bruise”): The critical failure mode. The fiberglass mat at the shingle’s core fractures on the underside due to excessive deflection.
- Often invisible from the surface
- Can be felt as a “soft spot”
- Verified by examining the shingle’s backside
Why Mat Fractures Matter
Adjusters often overlook mat fractures if they:
- Don’t perform tactile inspections
- Won’t lift shingles to examine undersides
- Rely only on visible surface damage
The contractor’s role is documenting these fractures to prove functional damage.
Overcoming Cosmetic Exclusions
If your policy has a cosmetic exclusion, the inspection must focus on functional damage:
For Metal Roofs
Look for:
- Punctures or perforations
- Seam separation
- Finish spalling that will lead to rust
- Compromised fasteners
Mere dents are insufficient - you need evidence of functional compromise.
For Asphalt Shingles
Document:
- Mat fractures (the soft spots)
- Exposed fiberglass mat
- Granule loss exposing bare asphalt
- Cracking or splitting
For Gutters and Accessories
Dented gutters that still drain properly may not qualify, but:
- Holes or perforations
- Separated seams
- Compromised hangers
These are functional issues that affect water management.
Policy Review Before the Storm
Homeowners should check their policies for cosmetic exclusions before a storm hits.
What to Look For
- “Cosmetic damage exclusion” endorsement
- “Matching exclusion” language
- “Functional damage only” coverage limitations
If You Have the Exclusion
Options:
- Request removal (may increase premium)
- Understand documentation requirements
- Prepare for more rigorous claim process
During Claims
If you have a cosmetic exclusion:
- Focus documentation on functional impacts
- Provide evidence of lifespan reduction
- Document UV exposure from granule loss
- Note any structural compromise
The Inspection Approach
Our forensic inspections for policies with cosmetic exclusions include:
- Tactile testing for mat fractures
- Granule loss mapping showing UV exposure risk
- Microscopic examination of damage patterns
- Service life analysis based on damage extent
- Photo documentation of functional indicators
Conclusion
The distinction between functional and cosmetic damage can determine whether your claim is paid. Understanding your policy provisions and working with contractors who can identify and document functional damage protects your interests.
Contact us to discuss your specific policy situation and get a professional damage assessment.