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
Source: Paige Estritori
| Upcoming NDIS Planning Reforms and Their Impact on Allied Health Services 26 Mar 2026: Paige Estritori The National Disability Insurance Scheme (NDIS) in Australia is undergoing significant planning reforms scheduled to commence in July 2026. These changes are poised to have a profound impact on allied health services, necessitating proactive engagement from healthcare professionals and stakeholders. - read more |
| Australian Private Health Insurance Premiums Set to Increase in 2026 26 Mar 2026: Paige Estritori From April 1, 2026, Australian private health insurance premiums are set to rise by an average of 4.41%, marking the most significant increase since 2017. This adjustment reflects the escalating costs associated with providing medical and hospital services, which have risen by 5% over the past financial year. - read more |
| Artificial Intelligence Transforming Allied Health Services in Australia 26 Mar 2026: Paige Estritori The integration of Artificial Intelligence (AI) into allied health services across Australia is significantly enhancing patient care and streamlining clinical operations. This technological advancement is reshaping the healthcare landscape, offering innovative solutions to longstanding challenges. - read more |
| AUSactive's New Insurance Offering: Enhanced Protection at Lower Costs 26 Mar 2026: Paige Estritori AUSactive, Australia's leading body for the exercise and active health sector, has unveiled a new insurance solution designed specifically for fitness and active health professionals. This initiative aims to provide enhanced protection while offering lower premiums compared to existing market options. - read more |
| Income Protection Insurance: A Must-Have for Australian Adults Insurance is a crucial component of financial planning. While many Australians understand the importance of life insurance, there's another vital type of coverage that often gets overlooked: income protection insurance. - read more
|
| Tailoring Income Protection for Medical Professionals Income protection insurance is a vital safety net for individuals across various professions, designed to provide financial stability if one is unable to work due to illness or injury. This type of insurance replaces a percentage of your income, alleviating the burden of regular expenses while you focus on recovery. For medical professionals who often have high earnings and extensive financial commitments, this coverage is particularly important. - read more
|
| The Impact of Health and Medical History on Insurance Premiums Life insurance is a critical component of a sound financial plan. It provides financial security and peace of mind to you and your loved ones, ensuring that they are taken care of in the event of your untimely death. - read more
|
| Maximizing Your Income Protection Payout: Tips and Strategies In the realm of personal finance, security is a cornerstone that cannot be overlooked, and this is where income protection insurance steps in. For Australians, the peace of mind that comes with knowing you're covered against loss of income due to illness or injury is invaluable. This form of coverage acts as a financial safety net, ensuring that life's unexpected twists do not leave you in a lurch. - read more
|