02.Pulling apart the policy
Pre-emptive move?
Two pieces of the federal government’s
insurance reform package - which came about as a response to the 2011 floods - are now
finalised:
- all new home and contents
insurance policies that offer riverine flood
cover must use the same definition by July
2014, and
- all policies will have to come
with a one-page fact sheet explaining what
is and isn’t covered by 2014.
But some
policies had mandatory flood cover added
or premiums increased for existing cover
long before these changes were mandated.
Tellingly, the early proposal that all
insurers have to offer flood cover has
slipped off the agenda. And when
originally discussed, the government
indicated that policyholders should be
allowed to opt out.
The government’s latest
position is in line with the view of many
respondents to our insurance satisfaction
survey early last year who rejected the idea
of mandatory flood cover.
One respondent said the government’s
insurance reforms “will probably give the insurance companies an excuse to boost
premiums by an amount more than is
warranted”. The Insurance Law Service
voiced a similar concern at the time.
And other members and consumers, apart from those who answered the survey, also reject
the idea of being unable to opt out. “We live
on top of a hill in dry WA, with no rivers
close by,” Barbara L told us in July last year.
“Yet when we were looking to change our
policy two months ago, it was extremely
difficult to find one where flood insurance
wasn’t mandatory. Why can’t insurers take
geographical location into
account instead of having
blanket policies?”
The company line: what the insurers say
Insurance companies gave CHOICE a strikingly different take to the consumers
we’ve heard from on premium increases. In some instances, the accounts of
policyholders flatly contradict the version of events put forth by insurers. In addition to risk, NRMA, AAMI, Apia and RACV all cited the rising costs of reinsurance as an additional driver of premium increases.
NRMA acknowledged it uses council
data to help determine risk, but said
it also relies on “a range of other
data, including specialist mapping,
terrain and hydrology reports,
watercourse mapping and insurance
information”. The company claims
it “reassesses individual properties
at the time of renewal… [and]
contacts all customers who receive
an increase in their premium due
to flood cover”.
AAMI added flood cover to new and
existing polices in February last year
and told us it had updated its flood risk
information through “a combination of
newly available local council data, as
well as feeding in our own claims data
gleaned from flooding events over the
past couple of years. Our sophisticated
pricing engine allows us to determine
the level of flood risk each individual
property is exposed to, and price that
risk accordingly”. The spokesperson
added that policyholders can opt out.
Apia took a similar line to AAMI,
saying “we work with industry
experts who have a lot of experience
in the area of flood risk to understand
the level of differences between each
individual property. This additional
information is over and above the
local council information that is
available through council flood
maps.” Apia policies have included
mandatory flood cover since the
early 2000s, but the spokesperson
acknowledged that “there have been
premium movements in the past
year. With each natural disaster,
more information becomes available
and our previous assumptions
are checked. These may result in
a change in the way we determine
the risk to a property or properties.”
RACV general manager Paul Northey
said new premiums were calculated
“for each individual property according
to the risk of damage to their property
from flood” after the company made
flood cover a standard inclusion in
January last year. He also argued
RACV uses a wide range of its own
risk-assessment methods and
regularly updates risk information, but
acknowledged that “there will be some
instances of individual properties where
we have not taken into account the most
recent changes to local circumstances”.
(The company offers a review process
through which policyholders can
question “individual assessments”.)
CGU told us it added mandatory
flood cover to policies last year
“following feedback from our
customers and business partners.
The decision not to allow opt out
was based on our own research that
showed those most in need of flood
cover were also those most likely to
choose to go without.” The company
says the 15% of policyholders who
were deemed high risk “were
advised of the reasons behind the
decision”. Like the others, CGU
maintains it relied on existing flood
data as well as “drawing on our own
research, including the assessment
of existing topographical and
hydrological maps, water flow maps
and accumulated insurance data”.
CGU was one of the few companies
we spoke to that said recent
premium increases had nothing
to do with offsetting high claims
payouts. “We don’t recoup past
claims costs. CGU’s premiums
reflect the risk posed to the
property being insured.”
Data down the drain
Speaking for the industry in late November
last year, the ICA reiterated what it told us in February
2012 when the shocker renewal notices
began rolling in. A spokesperson said “the
cost of natural disasters, including storms
and floods, has had a significant impact on
insurance premiums as companies adjust
their pricing to take account of individual
risk levels, with sharper increases in areas
that have a history of natural disasters,
or an exposure to future events”. The ICA
once again called on local governments to
improve flood mapping, beef up mitigation
infrastructure and contribute any new
information to its National Flood Information
Database (NFID).
But the ICA also suggested policyholders
don’t have a right to know which assessment
methods may have been used or whether
they were fairly applied. “Insurers base their
pricing on factors and data each company
deems appropriate,” the spokesperson said.
This lack of transparency is very unhelpful
to current or future homeowners, since
any new risk information dug up by insurers
is not passed on to homeowners, local
governments, the NFID or the government’s
National Flood Risk Information Portal.
NRMA told us “the data we use is very
complex, and we overlay different types to
give us a complete picture of the risk. For
this reason we do not share our data.”
CGU was blunter, claiming that “to
protect the integrity of our investment we
do not place this information into the public
forum as we do consider it commercial in
confidence”. AAMI and Apia maintained they
share such information selectively.
The ICA
told us that the NFID is limited to publicly
available information from local and state
governments and “insurer-owned data”
is not shared.
Such opacity runs counter to the ICA’s
call for greater data sharing, an appeal
that appears to be a one-way street.
“If a consumer has evidence their
property may have been incorrectly
assessed and is in a low-risk flood or fire
area, they are encouraged to present this
information to their insurer,” the ICA said.