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Story for The Times: Are you finding yourself underinsured?

Journalist: George Nixon, The Times and The Sunday Times

ended 29. September 2023

Good morning,

I'm investigating the ongoing issue of underinsurance for The Times and whether insurers are playing fair on claims. 

I've been contacted by someone where, because his level of cover means he was underinsured on his home insurance, his insurer said it would only pay a portion of his claim - even though the limit he did have was more than enough to cover the claim he had made.

The insurer has since backed down and paid the claim, but I wanted to ask if anyone has had any recent experience of problems relating to “underinsurance,” has your insurer refused to pay out, etc?

Thanks!

10 responses from the Newspage community

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The case mentioned is more common than you would think. However, as a company that arranges home insurance, this is a policy technicality we know of, and guard our clients against. Insurers are within their terms and conditions to pay proportionately where someone has been underinsured as they have only paid a proportion of the premium they should have been paying. This is why advising to ensure the amount of coverage someone has is suitable is key. The challenge with the focus from consumers being all about the cheapest premium on comparison sites often means many do not have sufficient cover, or have high excesses or other exclusions they do not know about. Insurance is about more than just the premium. The insurer in this case didn't back down based on its ability to win its position legally, but more for the benefit of the court of public opinion and their reputation.
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Making sure a consumer talks to a dedicated mortgage advisor with experience in undertaking General Insurance, is vital. Most experienced advisors will work with Defaqto 5-star insurance providers, and with correct undertaking with the client will ensure the most suitable cover is provided, to ensure that claims are paid, when/if needed. Too many clients treat home insurance like car insurance, purely looking to obtain the cheapest deal - this may not cover them suitably, and more alarming, this is undertaken by clients with comparison sites, with potentially unsuitable providers, with unsuitable cover - get the right cover by talking to an advisor
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Insurers are making bumper profits and have been some of the best performers in the FTSE over the last 18 months as premiums have spirals. There is no need to not play fair, when you have a pool of cash to pay valid claims.

I have first hand experience of poor client outcomes where a policy I set up for myself failed to pay out the total sum assured after my husband suffered a serious illness, despite assurances from people at the firm that it would. Both wording, communication and treating customers fairly needs to improve in the protection sector and maybe comunes duty will improve this but I have significant doubts.
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Insurers are always trying to change the rules of play to avoid paying out properly. We were burgled recently, losing about £10,000 worth of our possessions. The insurance cover we had was adequate for this sum, but they then tried to settle by giving us £10,000 worth of Amazon vouchers. Apart from the fact that what we had lost is not available on Amazon, we are pretty sure that the insurance company wouldn’t accept Amazon vouchers in lieu of cash payment when we put down next year’s insurance premium.
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Underinsurance is a concern in health insurance where consumers typically don't know how much their insurer is willing to pay for consultations and treatments. The information is publically available, however, people typically only look at it when they make a claim and can find that their provider won't cover the entirety of the fees charged by a consultant or hospital.

Generally speaking, most brokers and comparison sites won't go into this level of detail with clients, and it only becomes apparent when a claim is made.
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What you are describing is called “averaging” and occurs generally with car, building and contents insurance. The premise is simple; your home contents is worth, say, £50000 but you only have a sum assured of £25000 (which is cheaper a premium than the correct sum assured), this means you are sharing the risk with the insurer 50/50 - so on any claim the insurer is only going to pay out 50% of the loss, as you have chosen to cover the other 50%. To avoid this happening inadvertently many home insurance providers do a standard sum assured that is much higher than you need, so generally it’s not an issue. However on some very cheap policies, or if you have some very expensive items in your home, it can become a problem.
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This is an age-old problem that is now far more common since the rise of the online insurance comparison companies. Sadly comparison companies rely totally on the information provided by the clients and there is no sanity checking taking place, which a face-to-face or phone-based insurance advice firm would undertake for its customers as a part of its duty to them. From renewal to renewal the information consumers keyed 10 years ago into an insurance comparison website gets transferred across into every years requote - this leads to households not keeping pace with the value of the items in their homes and often misses improvement works where clients have added perhaps bedrooms to their homes or garden rooms but don't update the figures. Insurance purchasers need to be aware that the value of their cover will never be fully paid out if the actual overall value of the items/property hasn't been fully covered for.
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Unfortunately we found ourselves underinsured due to the rising inflation impacting the cost of consruction and rebuild values. We had the capacity to undertake the construction ourselves, and we offered the insurer to complete the works as cheap as possible, rather than instructing a main contractor to do the works at a significantly higher price. We were instructed to proceed. When it came to settling the claim, not only did it take 6+ Months, the insurers also capped our claim by the underinsured percentage, and refused to take into account we had saved them significant sums by not using a main contractor. It was a very stressful process and we were very lucky we had the cash reserves and resources to complete the works ourselves.
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This is to do with the principle of AVERAGING on claims. The person would have been UNDER INSURED so the claim is being reduced. Can send you technical information if required 0797 4241636
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Many building insurance policies offer unlimited cover which would avoid the problem of underinsurance. For contents claims it is very important that an adviser does a full factind of the client's circumstances to ensure the correct levels of cover are in place. Insurance companies have always had proportionality clauses in their contracts so if you have only covered say 50% of what you needed then they will only pay 50% of the claim. I have rarely had any issues with this as i ensure my clients have the correct amount of cover in the first place.