Health Insurance Online :: News
SHARE

Share this news item!

Ombudsman Orders Higher Compensation From Insurer Over Mould Dispute

Ombudsman Orders Higher Compensation From Insurer Over Mould Dispute

Ombudsman Orders Higher Compensation From Insurer Over Mould Dispute?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.

The Australian Financial Complaints Authority (AFCA) has directed insurance provider Hollard to enhance its compensation payout to a homeowner following a failed attempt to remediate mould contamination in the owner’s property.
Despite previous repair efforts by Hollard, lingering mould issues persisted, prompting further disputes.

The homeowner, dissatisfied with earlier repair efforts concluded in May 2023, cited an expert analysis revealing ongoing mould contamination. The analysis detailed "moisture migration" from damp materials on the ground floor contributing to mould growth on the upper levels of the home. A mycologist’s inspection in August 2023 uncovered significant fungal spore concentrations throughout the property, including in the insulation and air-conditioning system.

Subsequent investigations indicated elevated spore levels within key areas such as a bedroom and bathroom. The mycologist conclusively stated that the property was not adequately remediated for mould.

Hollard refuted these findings, asserting repair work was satisfactory and contested the reliability of the homeowner's assessments, which were conducted six to ten weeks after Hollard’s expert, WEC, had reportedly verified the mould issues as resolved. Hollard suggested that any ongoing mould presence could be attributed to external factors, such as the homeowner’s pets or workers.

Conversely, the AFCA panel criticised Hollard’s WEC findings for their lack of specificity, primarily relying on generalized airborne mould testing. In contrast, the complainant's experts provided more comprehensive evaluations evidencing persistent mould issues.

The AFCA noted a contradiction in Hollard’s stance, linking the return of mould to non-claimable factors, as this was not in alignment with its own investigations which attempted to undermine the homeowner's findings of mould.

The authority concluded that Hollard had inadequately addressed the mould issue, likely exacerbated by insufficient containment and delays, allowing its spread to the upstairs area of the property.

In light of these findings, AFCA recommended a fair resolution involving a cash settlement to encompass a renewed scope of works with a 15% contingency increase. Moreover, Hollard is required to fund alternative accommodation while the property remains uninhabitable, compensate for any damage from its repair work, and cover the homeowner’s expert costs.

Additionally, Hollard has been mandated to pay a total of $5,400 in damages-$2,500 for the unresolved mould issue and $2,900 for failing to adhere to an earlier AFCA dispute outcome.

Published:Monday, 10th Mar 2025
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 Introduces Strata Law Reforms to Strengthen Community Protections
NSW Introduces Strata Law Reforms to Strengthen Community Protections
06 Jun 2026: Paige Estritori
The New South Wales (NSW) Government has initiated a series of reforms to modernise strata regulations, aiming to bolster transparency and accountability within strata management. These changes are designed to provide greater protection for property owners and enhance the governance standards of strata schemes. - read more
EML Group's Strategic Acquisition of Guild Insurance
EML Group's Strategic Acquisition of Guild Insurance
06 Jun 2026: Paige Estritori
In a significant move within the Australian insurance landscape, EML Group has acquired a 70% stake in Guild Insurance. This strategic partnership is poised to unlock new growth avenues and accelerate the development of technological and artificial intelligence capabilities within the industry. - read more
APRA's Enhanced Capital Requirement for Sovereign Insurance Australia
APRA's Enhanced Capital Requirement for Sovereign Insurance Australia
06 Jun 2026: Paige Estritori
The Australian Prudential Regulation Authority (APRA) has mandated an additional $2 million capital requirement for Sovereign Insurance Australia, citing significant deficiencies in the company's risk management framework and operational risk management practices. - read more
IAG's Strategic Vision: Ambition 2030 Targets $25 Billion GWP
IAG's Strategic Vision: Ambition 2030 Targets $25 Billion GWP
06 Jun 2026: Paige Estritori
Insurance Australia Group (IAG) has unveiled its 'Ambition 2030' strategy, setting a goal to achieve over $25 billion in gross written premium (GWP) by the year 2030. This ambitious plan also includes expanding its customer base to more than 11 million individuals. The announcement was made during IAG's Investor Day in Sydney, where the company outlined its refreshed long-term financial targets and strategic initiatives. - read more
Regulators Target Sustainability in TPD Insurance Products
Regulators Target Sustainability in TPD Insurance Products
06 Jun 2026: Paige Estritori
The Australian Securities and Investments Commission (ASIC) and the Australian Prudential Regulation Authority (APRA) are intensifying efforts to address sustainability issues within Total and Permanent Disability (TPD) insurance products. During a recent roundtable discussion, both regulators emphasized the need for life insurers to manage challenges arising from TPD offerings across retail and group insurance channels. - read more


Health Insurance Articles

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
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
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
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
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 Policy:
Broadly, the entire written contract of insurance. More narrowly, the basic written or printed document, as distinguished from the forms and endorsements added thereto.