Request for ISR Endorsement on Biosecurity Act, 2015

Hi Allan,
Thanks for all the information regarding the issue of Quarantine Act, 1908 vs Biosecurity Act 2015.
As you stated, some insurers had updated their wordings and others had not.
This seems though only to be true of Business Pack wordings, as I am yet to find an ISR wording where this has been updated or endorsed.
Are you aware of any such endorsement and could you provide a copy?
I fear the outcome of this particular issue will be decided in the courts as there is just too much at stake for businesses not to look at class actions and articles, like the recent one from [a lawyer – name withheld][link] will no doubt, be driving and promoting this mentality.
Regards
Craig [surname and email provided]
Hi Craig,
I agree with you that the question of whether the words ‘as amended’ are sufficient to allow an insurer to rely on an act that was abolished several years ago is, in all likelihood, going to need a superior court to decide.
My personal view is that it is cruel to give struggling business owners false hope at this time, and that while there is an argument that the new legislation is more than an amendment (a minor change), it is not a lay down misere[1]. A lot is at stake here for both clients, and the industry and anyone who goes to court should understand you can never be certain of the result. The courts themselves can have different opinions, as we have just seen in the High Court decision involving Cardinal Pell[ [2].
My advice has been to read the policy involved, as so many have differences and, if after reading the coverage afforded, you believe there is a valid claim, lodge the claim as you would any other.
One note of caution. If the policy requires the outbreak to have occurred at the premises and there has been no outbreak at the Insured’s premises, then a claim for business interruption losses will fail, irregardless of any mention of the Quarantine Act or any other act as the trigger for the cover, i.e. the outbreak at the premises has not been met.
Now to your question about a clause for the Industrial Special Risks policy. LMI have been working away, for over three years now, in developing a new version of the policy that we call the Mark IV Consolidated. The wording is designed to bring the 1987 version into the 21st Century, and brings in all the core endorsements that have been tacked on to the Mark IV Advisory and Modified versions for years, and which made the policy virtually unreadable for many insureds.
Part of this review has been to update the clause to which you refer, and I reproduce the clause that we had settled on. However, since the outbreak of COVID-19, we have seen different insurers take different approaches from using a sledge hammer to crack a walnut, to adopting either this wording or one like it.
1. Infectious or Contagious Diseases; Vermin or, Pests; or Defective Sanitary Arrangements; Food or Drink Poisoning; Murder or, Suicide
Loss as insured by Section 2 of the Policy resulting from interruption of or interference with the Business consequent upon:
- any legal authority closing or evacuating all or part of the Premises as a result of:
- the outbreak of an infectious or contagious human disease occurring within a twenty (20) kilometre radius of the Insured’s Premises, provided that there is no cover for highly pathogenic Avian Influenza or any disease declared to be a notifiable disease under the Biosecurity Act 2015, its amendments or any re-enactment of the Act, irrespective of whether discovered at the location of the Insured’s Premises, or out-breaking elsewhere;
- vermin or other animal pests at the Premises; or
- hygiene problems associated with drains or other sanitary arrangements at the Premises;
- poisoning directly caused by the consumption of food or drink provided on the Premises; or
- murder or suicide occurring at or near the Premises;
shall be deemed to be loss arising from Damage to property used by the Insured at the Insured Premises.
Under an ISR policy, we have seen that Sub-Limits for this coverage are retained and if an Insured requires more then this is purchased on an offer and acceptance basis.
[1] For the non card playing readers, a lay down misere, is a bid in the card game of 500, where the player is so sure of losing every trick that they undertake to do so with their cards placed face-up on the table. Consequently, ‘lay down misere’ is Australian gambling slang for a predicted easy victory.
[2] I offer no comment on this highly controversial case other than to point out that the High Court of Australia handed down a unanimous decision overturning the findings of the lower courts that had heard the same case. I strongly suspect that if Insurers lose in the lower courts, they will appeal the decision which means this question is likely to be a long drawn out affair. Of course if the lower courts find in favour of insurers, then an insured(s) have the same right of appeal but the cost compared to the benefit to them is much higher.
Interesting Article. Don’t Brokers have a duty of care to lodge claims even if they do not think it is a claimable event? The broker, in my opinion, has no power to make a call is it or isn’t it a claim.
From many years of experience, I have many times been pleasantly surprised. Insurance companies are not the enemy they are a necessity. I have seen insurance companies do incredible things, acts of kindness, flexibility and the human thing to do. Yes, they get some wrong. This should not be settled in the courts or on FB. I believe insurance companies will look at each claim on its merits.
The claim is the Insurance Companies decision, not the brokers. As a broker, all you have to do is your job. If the answer is no, it is then the broker’s duty to go to IDR then the AFCA. David Locke CEO of the AFCA and his team are more than capable of fair determinations.
Hi Lyndon
I agree that the claim ought to be lodged but at the same time I believe the broker as the adviser to the insured ought not build their hopes up that something is a claim when clearly it is not. Particularly now it would be cruel in the extreme. If an insurer wishes then to meet the claim for whatever reason the client is over the moon.
My experience with the regulator has not been as positive as yours with months and months of delay and claims that clearly should be paid denied and ones that were never claims paid. We were told this week that the process is going to be even slower. We cannot rebuild trust in our industry until we can trust the umpire.
I think this is easier if you put it into dollar perspective, just looking at the combined Market Cap for the three big Australian Insurers QBE (Australia), IAG Group & Suncorp their combined value is about $37- $40B.
The Australian Government alone has pledged about $200B to prop up the economy, so even if the Insurers wanted to cover this I very much doubt they could afford to and we are just talking about Australia, this doesn’t even take into account the rest of the world.
Insurance was just never designed to cover something this widespread and similar to the GFC the only institution big enough to get everyone out of this mess is the Government.
I agree Michael but on the other side of the coin, it shows just how vital it is for underwriters, product managers and or legal and compliance teams to ensure that such risks with such huge accumulation risk is addressed clearly and accurately in every policy.