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

NSW Implements Transparency Reforms to Streamline Strata Insurance Claims
NSW Implements Transparency Reforms to Streamline Strata Insurance Claims
07 Jun 2026: Paige Estritori
New South Wales has introduced transparency reforms in the strata sector aimed at improving governance and reducing disputes in insurance claims. These reforms address issues such as high premiums and opaque fees, fostering a more transparent and efficient strata management environment. - read more
ASIC Calls on Insurers to Enhance Cyber Security in Response to AI Threats
ASIC Calls on Insurers to Enhance Cyber Security in Response to AI Threats
07 Jun 2026: Paige Estritori
The Australian Securities and Investments Commission (ASIC) has issued a stark warning to the insurance sector, emphasising the urgent need to strengthen cyber defences in light of escalating threats posed by artificial intelligence (AI). In a recent open letter, ASIC Commissioner Simone Constant highlighted that the advent of advanced AI technologies has fundamentally altered the cyber threat landscape, necessitating immediate and decisive action from insurers. - read more
Comprehensive All-Risk Insurance Now Available for Large-Scale Australian Farms
Comprehensive All-Risk Insurance Now Available for Large-Scale Australian Farms
07 Jun 2026: Paige Estritori
In a significant development for Australia's agricultural sector, Harland Green, a newly established Lloyd's coverholder, has unveiled an all-risk farm insurance package specifically designed for large commercial farming operations. This initiative aims to address the complex and evolving needs of the agricultural industry by offering comprehensive coverage that encompasses various aspects of farm operations. - read more
Strategic Insurance Planning Essential for Australian Farmers Facing Rising Premiums
Strategic Insurance Planning Essential for Australian Farmers Facing Rising Premiums
07 Jun 2026: Paige Estritori
With Australian farm incomes under pressure and insurance premiums rising by up to 40% in some regions, agricultural leaders are urging producers to move away from a 'set and forget' mentality. In today's climate, being strategic with your insurance is no longer just a recommendation-it is a vital business necessity. - read more
NRMA's Exit from Farm Insurance: What It Means for Australian Farmers
NRMA's Exit from Farm Insurance: What It Means for Australian Farmers
07 Jun 2026: Paige Estritori
Urgent Update for Australian Farmers: NRMA Exits Farm Insurance Market-Here’s Your Trusted Alternative - read more


Health Insurance Articles

The Importance of Comparing Health Insurance Extras for Maximum Savings
The Importance of Comparing Health Insurance Extras for Maximum Savings
Health insurance is more than just a precautionary measure; it's a vital component in managing both your health and financial well-being. In Australia, where healthcare costs can quickly escalate, health insurance extras serve as a buffer, ensuring that services like dental, optical, and physiotherapy remain within reach. These extras can significantly reduce the out-of-pocket expenses you might otherwise encounter for non-hospital treatments. - read more
The Ultimate Guide to Comparing Health Insurance Plans in Australia
The Ultimate Guide to Comparing Health Insurance Plans in Australia
Australia is renowned for its iconic landmarks, diverse ecosystems, and robust healthcare system. While the public healthcare system, Medicare, provides essential health services, it might not cover everything. The allure of private health coverage lies in its promise of broader options, reduced wait times, and coverage for services not included in Medicare, like dental and optical care. - 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
Top 10 Tips to Find Affordable Health Insurance in Australia
Top 10 Tips to Find Affordable Health Insurance in Australia
Finding affordable health insurance can be a daunting task, particularly in a landscape as diverse as Australia’s. With a myriad of options available, it's crucial to understand the financial support mechanisms in place that can ease the burden of healthcare costs. One such mechanism is the health fund rebate, a key feature of the Australian health insurance system designed to make healthcare more accessible. - 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

Knowledgebase
Insurance broker:
An agent acting on behalf of the insured (not the insurance company) who negotiates the terms and cover provided by the insurer in the insurance policy.