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

Understanding Insurance Challenges in Australia's Beauty Industry
Understanding Insurance Challenges in Australia's Beauty Industry
10 Jun 2026: Paige Estritori
In the Australian beauty industry, professionals such as beauticians, hairdressers, and salon owners are facing significant challenges due to escalating insurance premiums. This trend is largely attributed to a lack of competition among insurers, leading to higher costs and limited options for coverage. - read more
AFL Players Face Loss of Brain Injury Insurance Coverage
AFL Players Face Loss of Brain Injury Insurance Coverage
10 Jun 2026: Paige Estritori
As of May 1, 2026, Australian Football League (AFL) players will no longer have insurance coverage for brain injuries under their superannuation policies. This change comes after Zurich Insurance decided to exclude total and permanent disability (TPD) benefits for claims related to traumatic head injuries, concussions, chronic traumatic encephalopathy (CTE), post-concussion syndrome, or any neurological impairments linked to brain injury. - read more
Dynamic Insurance Services Initiates Legal Action Against Major Insurers
Dynamic Insurance Services Initiates Legal Action Against Major Insurers
10 Jun 2026: Paige Estritori
Dynamic Insurance Services has filed a competition lawsuit against Steadfast Group, QBE Insurance, and Allianz Australia Insurance, alleging that these companies engaged in coordinated conduct that effectively cut off its access to essential insurance products. The lawsuit, filed in March 2026, claims that Steadfast terminated its network agreement with Dynamic in early 2026, followed by QBE and Allianz ending their arrangements. This sequence of events led to the loss of authorized representatives and significantly impaired Dynamic's ability to operate effectively. - read more
APRA's New Capital Treatment Reforms for Longevity Products
APRA's New Capital Treatment Reforms for Longevity Products
10 Jun 2026: Paige Estritori
The Australian Prudential Regulation Authority (APRA) has announced significant reforms to the capital treatment of longevity products, including annuities, aimed at bolstering the sustainability and affordability of retirement income products. These changes are set to take effect from 1 July 2026. - read more
Rising Delays in Income Protection and TPD Claims Processing
Rising Delays in Income Protection and TPD Claims Processing
10 Jun 2026: Paige Estritori
Recent findings from the Life Insurance Code Compliance Committee (Life CCC) have revealed a significant increase in delays related to income protection and Total and Permanent Disability (TPD) claims processing. Violations of the industry's standards on timely income protection payments have surged by 67% in the 2024-25 period, raising concerns about the efficiency and reliability of insurers in supporting claimants during critical times. - read more


Health Insurance Articles

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
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
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 Tips to Save on Health Cover as an Australian Senior
5 Tips to Save on Health Cover as an Australian Senior
Finding the right health insurance coverage is a critical concern for Australian seniors, who often face the dual challenge of managing chronic health conditions and maintaining financial stability in retirement. As the cost of healthcare continues to rise, the importance of securing an affordable health cover that still meets their needs cannot be overstated. - read more
Unlocking Affordable Health Insurance: Tips to Reduce Your Premiums
Unlocking Affordable Health Insurance: Tips to Reduce Your Premiums
The current health insurance landscape in Australia can be quite confusing for many people. With numerous options available, it’s not always clear which to choose to balance your budget with your needs. Premiums are on the rise, and Australians are becoming increasingly concerned about the costs of maintaining adequate coverage. - read more

Knowledgebase
Insurance Claim:
Notification to an insurance company requesting payment of an amount due under the terms of the policy.