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:

Insurance News

Significant Increases in Private Health Insurance Premiums: What You Need to Know
Significant Increases in Private Health Insurance Premiums: What You Need to Know
27 Apr 2026: Paige Estritori
Australians are bracing for substantial increases in private health insurance premiums, with some policies set to rise by as much as 25% starting April 2026. This surge significantly exceeds the government-approved average increase of 4.41%, raising concerns about affordability and value for policyholders. - read more
Australian Medical Association Calls for Urgent Reforms in Private Health Insurance
Australian Medical Association Calls for Urgent Reforms in Private Health Insurance
27 Apr 2026: Paige Estritori
The Australian Medical Association (AMA) has released its latest Private Health Insurance Report Card, revealing a concerning trend: Australians are paying higher premiums for private health insurance while receiving diminished value in return. The report underscores the urgent need for comprehensive reforms to address these issues. - read more
Understanding the 4.41% Increase in Private Health Insurance Premiums
Understanding the 4.41% Increase in Private Health Insurance Premiums
27 Apr 2026: Paige Estritori
Starting April 1, 2026, Australian private health insurance premiums are set to rise by an average of 4.41%, marking the most significant increase in almost a decade. This adjustment reflects the escalating costs associated with providing medical and hospital services, which have risen by 5% over the past financial year. - read more
AUSactive's New Insurance Offering: Comprehensive Protection at Reduced Costs
AUSactive's New Insurance Offering: Comprehensive Protection at Reduced Costs
27 Apr 2026: Paige Estritori
AUSactive has unveiled a new insurance product tailored specifically for exercise and active health professionals. Developed in partnership with global insurance broker Marsh, this offering provides enhanced protection while delivering lower premiums compared to existing market options. - read more
Key Insights from the 2026 Fitness Trends Report
Key Insights from the 2026 Fitness Trends Report
27 Apr 2026: Paige Estritori
The AusFitness Industry, in collaboration with AUSactive and the American College of Sports Medicine, has released the 2026 Fitness Trends Report, offering valuable insights into the evolving landscape of Australia's fitness industry. The report identifies the top 20 trends, reflecting a sector that is becoming more diverse, data-informed, and inclusive. - read more


Health Insurance Articles

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
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 Health Insurance: A Starter's Guide for Young Australians
Understanding Health Insurance: A Starter's Guide for Young Australians
Embarking on the journey of understanding health insurance is a pivotal stride for young Australians. It's a proactive step that embodies responsibility for one's well-being and financial foresight. Health insurance can often seem like a complex affair reserved for a future self, but grappling with its intricacies early can be both economically savvy and health-conscious. - read more
Health Fund Rebates 101: What Every Australian Needs to Know
Health Fund Rebates 101: What Every Australian Needs to Know
Exploring the realm of health insurance can be like navigating a labyrinth, replete with complex terms and varying policies. Among these, health fund rebates emerge as a crucial element, particularly for young Australians embarking on their journey of health coverage. Fund rebates can significantly lighten the financial burden, transforming the quest for health insurance from daunting to empowering. - read more
Keeping Your Family Protected: The Importance of Adequate Health Insurance Coverage
Keeping Your Family Protected: The Importance of Adequate Health Insurance Coverage
The modern Australian family faces a dynamic and ever-evolving set of health needs, with access to quality healthcare remaining a cornerstone of managing our wellbeing. As these needs shift through the different stages of life, the assurance of having a safety net in place can provide unparalleled peace of mind. It's this sense of security that makes adequate health insurance coverage indispensable in today's fast-paced society. - read more

Knowledgebase
Copayment:
A fixed amount you pay for a covered healthcare service, usually when you receive the service.