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:

Insurance News

HESTA Announces Significant Insurance Fee Reductions and Enhanced Member Protections
HESTA Announces Significant Insurance Fee Reductions and Enhanced Member Protections
10 May 2026: Paige Estritori
HESTA, a prominent Australian superannuation fund, has unveiled a series of changes aimed at providing more accessible and affordable insurance coverage for its members. Effective from 1 July 2026, these adjustments include an average 12% reduction in insurance fees across all cover types, encompassing death, total and permanent disablement (TPD), and income protection cover. - read more
APRA Implements Reforms to Strengthen Longevity Product Market
APRA Implements Reforms to Strengthen Longevity Product Market
10 May 2026: Paige Estritori
The Australian Prudential Regulation Authority (APRA) has finalised amendments to its prudential standards concerning the capital treatment of longevity products, including annuities. These reforms, set to take effect on 1 July 2026, are designed to bolster the market for retirement income products by supporting innovation and reducing unnecessary regulatory constraints, all while maintaining robust prudential safeguards. - read more
Acenda Introduces Lifestream: A New Guaranteed Income Solution for Retirees
Acenda Introduces Lifestream: A New Guaranteed Income Solution for Retirees
10 May 2026: Paige Estritori
Acenda Life has expanded its offerings in the retirement market with the launch of Lifestream, a guaranteed income product designed to provide retirees with predictable, lifelong income. This initiative addresses the challenges posed by increasing life expectancies and rising living costs, offering a solution that enhances financial confidence for Australians entering retirement. - read more
Australian Insurance Market Sees Decline in Premium Rates
Australian Insurance Market Sees Decline in Premium Rates
10 May 2026: Paige Estritori
The Australian insurance landscape is undergoing a notable shift, characterized by a softening market and declining premium rates. This trend is largely attributed to heightened competition among insurers and improved financial performance within the industry. - read more
Executive Departures at Chubb and AIG Reshape Australian Insurance Landscape
Executive Departures at Chubb and AIG Reshape Australian Insurance Landscape
10 May 2026: Paige Estritori
The Australian insurance sector is witnessing significant leadership transitions, with notable departures at two major global insurers, Chubb and AIG. These changes are poised to influence market dynamics and competitive strategies within the industry. - 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
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
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
What to Look for in Basic Health Insurance Cover
What to Look for in Basic Health Insurance Cover
Welcome to our discussion on basic health insurance cover, a topic that is crucial yet often overlooked in the hustle and bustle of everyday life. Navigating the world of health insurance can be daunting, but understanding your options is vital for peace of mind and financial stability. - read more
Demystifying Individual Coverage: Your Guide to Personal Health Insurance in Australia
Demystifying Individual Coverage: Your Guide to Personal Health Insurance in Australia
In the realm of securing one’s health and wellbeing, navigating the Australian health insurance landscape can be as critical as the care received. It stands as a complex tapestry, woven with policies, premiums, and government incentives, affecting individuals and families nationwide. - read more

Knowledgebase
Claim Adjuster:
An insurance professional who investigates and evaluates insurance claims to determine the amount the insurance company should pay.