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

Why Claims Delays Are a Wake-Up Call for Truck Operators
Why Claims Delays Are a Wake-Up Call for Truck Operators
03 Sep 2026: Paige Estritori
Fresh industry reporting on insurance dispute volumes has again put claim handling under the microscope, with delays, communication gaps and disagreements over policy response continuing to frustrate policyholders. For transport businesses, the issue is especially important because a commercial vehicle claim is rarely just about repairing metal. A grounded truck can interrupt contracts, leave freight undelivered and place immediate pressure on cash flow. - read more
Why Severe Weather Should Trigger an Insurance Check for Tradies
Why Severe Weather Should Trigger an Insurance Check for Tradies
03 Sep 2026: Paige Estritori
Renewed insurance industry warnings about severe weather are a practical reminder for Australian tradespeople: storm risk is not limited to damaged homes and flooded streets. It can also affect tools in a ute, materials stored on site, unfinished work, temporary fencing, scaffolding, electrical gear, excavation areas and client property surrounding a job. - read more
Why Advice Reform Could Help Australians Understand Their Income Cover
Why Advice Reform Could Help Australians Understand Their Income Cover
03 Sep 2026: Paige Estritori
Australia’s financial advice reform debate has moved back into the spotlight, with life insurers and advice groups continuing to argue that many people need simpler, more affordable help to understand the insurance they already hold. For income insurance customers, the issue is practical: cover can look straightforward on a statement, but the detail often sits in definitions, waiting periods, offsets, exclusions and claim conditions. - read more
What electric truck uptake means for your cover
What electric truck uptake means for your cover
03 Sep 2026: Paige Estritori
Recent fleet and transport industry coverage has again highlighted faster movement toward battery-electric and lower-emissions heavy vehicles in Australia, with truck makers, councils, logistics operators and specialist fleets moving beyond short demonstration runs. For truck operators, the insurance question is not simply whether electric trucks are better or worse than diesel. The practical issue is whether the policy reflects a different asset profile, different repair pathway and different downtime risk. - read more
Why Repair Bottlenecks Matter for Farm Insurance Claims
Why Repair Bottlenecks Matter for Farm Insurance Claims
02 Sep 2026: Paige Estritori
Fresh industry concern about repair delays after severe weather is highly relevant for Australian farms, where a damaged shed, washed-out access track or unavailable part can quickly interrupt day-to-day operations. While the wider insurance discussion often focuses on homes and commercial buildings, the same pressure points can be even more complex on rural properties because assets are spread out, specialist equipment is involved and local contractor availability may be limited. - read more


Health Insurance Articles

How to Choose the Best Family Health Cover for Your Needs
How to Choose the Best Family Health Cover for Your Needs
With healthcare being a critical aspect of every family's well-being in Australia, securing the right family health insurance is not just a necessity but a responsibility. Recognizing the importance of this safety net is the first step towards safeguarding the future health needs of your loved ones. Balancing comprehensive coverage against affordable premiums can seem overwhelming with a multitude of plans available. - read more
The Role of Health Insurance in Supporting Preventive Care
The Role of Health Insurance in Supporting Preventive Care
Preventive healthcare refers to measures taken to prevent diseases, rather than treating them after they occur. This includes actions like regular health screenings, vaccinations, and adopting healthy lifestyle practices. - 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
Private health insurance rebate, Lifetime Health Cover and Medicare Levy Surcharge explained
Private health insurance rebate, Lifetime Health Cover and Medicare Levy Surcharge explained
The private health insurance rebate, Lifetime Health Cover loading and Medicare Levy Surcharge can all affect what Australians pay for private health cover. This guide explains how each rule works, how they interact, and what to check before choosing or reviewing a policy. - read more
Affordable Health Insurance: How to Find the Best Plan for You
Affordable Health Insurance: How to Find the Best Plan for You
Affordable health insurance refers to insurance plans that offer necessary health coverage at a price within one's financial means. These plans aim to balance cost with the quality of care, providing essential services without excessive financial burden. The goal is to make healthcare accessible to a wider population, ensuring that everyone can maintain their health without going into debt. - read more

Knowledgebase
Coverage:
The amount of risk or liability covered for an individual or entity by way of insurance services.