Customer Wins in Insurance Dispute Over Laser Equipment

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 crux of the dispute arose when the salon's laser machine broke down in February, and repair costs were estimated at $18,069. The salon owner had insured the machine for $50,000 in December of the previous year, following its second-hand purchase and refurbishment in 2012 for $66,000.

Despite acknowledging the damage, QBE Insurance reduced its compensation to $7,286, citing an underinsurance clause. QBE claimed that due to the model being discontinued, a replacement would necessitate insuring at $155,000.

The insurer's clause stipulated that if the sum insured was less than 80% of the "total new replacement value," the liability could be adjusted accordingly. However, the salon owner challenged this assessment, arguing that a comparable refurbished machine was valued between $30,000 and $45,000.

The Australian Financial Complaints Authority (AFCA) intervened, siding with the salon owner. AFCA declared that policy wording began ambiguous, noting discrepancies in terms such as "full value" and "total new replacement value", creating confusion about the clause's intent.

AFCA clarified: "When the policy is read as a whole, it indicates the laser should be insured for its full value, or what it would cost to replace with a similar laser in a similar condition." They refuted QBE's expectation that the salon owner should have insured the laser for $155,000, indicating she would never recoup more than $50,000 under policy terms.

This ruling mandates QBE to cover the repair costs, less the policy’s deductible. The case emphasizes the importance of clarity in insurance contracts and equitable treatment of claims.

Published:Wednesday, 27th Nov 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:

Insurance News

Clear

Significant Increases in Private Health Insurance Premiums: What You Need to Know

27 Apr 2026: Paige Estritori

Australians are bracing for substantial increases in private health insurance premiums, with some policies set to rise by as much as 25% starting April 2026. This surge significantly exceeds the government-approved average increase of 4.41%, raising concerns about affordability and value for policyholders. - read more

Australian Medical Association Calls for Urgent Reforms in Private Health Insurance

27 Apr 2026: Paige Estritori

The Australian Medical Association (AMA) has released its latest Private Health Insurance Report Card, revealing a concerning trend: Australians are paying higher premiums for private health insurance while receiving diminished value in return. The report underscores the urgent need for comprehensive reforms to address these issues. - read more

Understanding the 4.41% Increase in Private Health Insurance Premiums

27 Apr 2026: Paige Estritori

Starting April 1, 2026, Australian private health insurance premiums are set to rise by an average of 4.41%, marking the most significant increase in almost a decade. 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

AUSactive's New Insurance Offering: Comprehensive Protection at Reduced Costs

27 Apr 2026: Paige Estritori

AUSactive has unveiled a new insurance product tailored specifically for exercise and active health professionals. Developed in partnership with global insurance broker Marsh, this offering provides enhanced protection while delivering lower premiums compared to existing market options. - read more

Click for more Insurance News