Health Insurance Online :: News
SHARE

Share this news item!

Quake Damage Claims Dismissed Over Previous Faults

Quake Damage Claims Dismissed Over Previous Faults

Quake Damage Claims Dismissed Over Previous Faults?w=400

The information on this website is general in nature and does not take into account your objectives, financial situation, or needs. Consider seeking personal advice from a licensed adviser before acting on any information.

Two farmhouses seeking insurance payouts for earthquake damage have had their claims denied, following a decision highlighting the role of pre-existing issues.

The company behind the claim stated that the properties were impacted by a 5.4-magnitude earthquake that occurred in November 2018. Although the earthquake's epicenter was approximately 45 kilometers away from the buildings, Geoscience Australia specified the evident damage radius to be no more than 27 kilometers from the epicenter.

In their defense, the claimant's engineering expert conceded that the buildings were situated outside the primary damage zone but contended that the earthquake’s vibrations had unleashed energy beneath the geological formations on which the houses stood.

The expert identified "preexisting or dormant conditions" in the properties, including previously repaired damage which, according to him, reopened due to ground movement prompted by the quake, also leading to the manifestation of new fractures.

Meanwhile, Allianz, the insurance provider, enlisted a forensic civil and structural engineer who assessed the damages. His findings revealed brickwork fissures in multiple sections of one property, referred to as House H, and evident cracks within the garage of the second property, termed House P, in addition to a separation between a storeroom and the home.

The engineer hired by Allianz attributed the damage to prolonged foundation instability and deterioration of the mortar used in the brickwork, rather than to the seismic event.

The Australian Financial Complaints Authority (AFCA) upheld the insurer’s position, noting that both engineers corroborated the presence of damage similar to what was being contested even before the 2018 earthquake, specifically in House H.

AFCA further mentioned that updates made to certain rooms within the house remained unaffected, while external brickwork conditions pointed towards significant wear and tear, contributing to the losses. Comparable remarks were also made in regard to House P.

"While both experts agree it is conceivable for House H to incur earthquake-related damage under ideal conditions despite its location outside the designated impact radius, the insurer's expert refuted the existence of such conditions in this case," stated the adjudicator from AFCA.

"Even if the earthquake were recognized as being a proximate cause of the damage to House H, it would coexist with other excluded factors (wear and tear, prolonged structural movement)."

"Consequently, the insurer maintains the right to invoke those exclusions as a basis for denying the claim," AFCA concluded.

 

Published:Thursday, 1st Aug 2024
Author: Paige Estritori

Please Note: We do not endorse any specific products or companies. Some content is sourced from third parties, including press releases, and may not be independently verified for accuracy or completeness.

Share this news item:

Rate this article

0 Comments

No comments yet. Be the first to share your thoughts.

Insurance News

APRA's 2026 Insurance Summit: Tackling Climate Risks and Affordability
APRA's 2026 Insurance Summit: Tackling Climate Risks and Affordability
16 Jun 2026: Paige Estritori
The Australian Prudential Regulation Authority (APRA) is set to host the 2026 AFR Insurance Summit on June 16 at The Fullerton Hotel in Sydney. This pivotal event will bring together industry leaders to address pressing issues within Australia's insurance sector, with a particular emphasis on climate-related risks, insurance affordability, and maintaining public trust. - read more
Dynamic Insurance's Legal Action Against Major Insurers
Dynamic Insurance's Legal Action Against Major Insurers
16 Jun 2026: Paige Estritori
Dynamic Insurance Services has initiated legal proceedings against Steadfast Group, QBE Insurance, and Allianz Australia Insurance, alleging coordinated actions that restricted its access to essential insurance products. The lawsuit, filed in March 2026, claims that these companies engaged in practices that adversely affected Dynamic's business operations. - read more
IAG's June 2026 Distribution on Hybrid Capital Notes
IAG's June 2026 Distribution on Hybrid Capital Notes
16 Jun 2026: Paige Estritori
Insurance Australia Group Limited (IAG) has announced a quarterly distribution on its ASX-listed hybrid capital notes (IAGPF), reflecting the company's ongoing commitment to its capital management strategy. For the quarter ending June 14, 2026, IAG will pay a distribution of AUD 1.6605 per note, based on an annualized rate of 6.6603% after adjustment for franking. This payment is scheduled for June 15, 2026, with the record date set for June 3, 2026. - read more
APRA's Intervention: Freezing Unjustified Premium Hikes in Commercial Auto Insurance
APRA's Intervention: Freezing Unjustified Premium Hikes in Commercial Auto Insurance
15 Jun 2026: Paige Estritori
In March 2026, the Australian Prudential Regulation Authority (APRA) took decisive action to address significant premium hikes in the commercial auto insurance sector. Responding to widespread industry concerns, APRA issued emergency regulations to freeze unjustified baseline premium increases exceeding 25%, pending external review. This intervention aims to protect independent transport operators and logistics enterprises from immediate financial strain. - read more
Soft Market Conditions Persist in Australian Commercial Insurance Through First Half of 2026
Soft Market Conditions Persist in Australian Commercial Insurance Through First Half of 2026
15 Jun 2026: Paige Estritori
The Australian commercial insurance market has maintained its soft stance through the first half of 2026, characterized by competitive pricing, expanded insurer capacity, and broad underwriting appetites. This trend, detailed in the latest Insurance Market Trends and Outlook report released by EBM Insurance & Risk on 11 May 2026, reflects a market shaped by heightened competition and stabilizing reinsurance conditions. - read more


Health Insurance Articles

Don't Fall for These Health Insurance Misconceptions
Don't Fall for These Health Insurance Misconceptions
Private health insurance is an essential consideration for many Australians. It provides peace of mind, knowing that you and your family have access to the best possible healthcare when needed. - read more
Understanding the Basics of Australian Health Insurance
Understanding the Basics of Australian Health Insurance
Health insurance is a critical part of maintaining your well-being and financial stability. In Australia, understanding the basics of health insurance can help you make informed decisions that protect you during unforeseen medical events. - read more
The Benefits of Private Health Insurance for Families: Is It Worth the Cost?
The Benefits of Private Health Insurance for Families: Is It Worth the Cost?
Health insurance is a crucial aspect of financial planning for individuals and families alike. It provides protection against unexpected medical costs and ensures that you have access to necessary healthcare services when you need them most. - read more
Insider Secrets to Finding Cost-Efficient Health Insurance
Insider Secrets to Finding Cost-Efficient Health Insurance
Health insurance in Australia is a crucial aspect of ensuring you and your family receive the medical care needed without facing exorbitant costs. The healthcare system, consisting of both public and private sectors, offers various options to suit different needs and budgets. While the public sector (Medicare) provides essential services, private health insurance offers additional benefits such as faster access to services, choice of doctor, and coverage for services not included in Medicare. - read more
5 Common Mistakes to Avoid When Selecting Family Health Insurance
5 Common Mistakes to Avoid When Selecting Family Health Insurance
Choosing the right family health insurance can feel like navigating a maze. With so many options and factors to consider, it's no wonder many Australians find the process overwhelming. The stakes are high, as the wrong choice could not only impact your family's access to healthcare but also strain your finances. - read more

Knowledgebase
Term Life Insurance:
A form of life insurance that is a pure protection policy with no cash or maturity value which lasts for a specific length of time, called a term.