I see no difference in works of art whether they are quilts, oil paintings or jewelry. If I made the setting and put a precious stone in it and gave that piece of jewelry as a gift, I would include an insurance appraisal. If I painted a painting worth many hundreds of dollars I would give an insurance appraisal with it. I see no difference with a beautiful handmade quilt. Not everyone is fortunate enough to receive gifts with a value that deserves to be insured.