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Cash Settlements
Opportunities and Risks
Dr Duncan Webb
Can my insurer insist?
• In some policies the insurer
has a right to pay the cash
equivalent of repair or rebuild
but:
• Did the insurer make an election
to repair themselves?
• Has the insurer represented that
they would manage?
• Good faith…
• Rebuff threats in respect of repair
/ rebuild contract timelines.
Full and Final?
• Insurer cannot insist that
your settlement is “full
and final”
• Beware of full and final
agreements if you are
going to repair.
• May be advantages to full
and final agreements
where you intend an
outside of policy solution
When should I agree to a full and final
settlement?
• When risks are low
• When you are wanting to depart
from policy
• Different house
• Waiting before undertaking
repair
• Buying two properties
• Note the terms of the settlement
agreement
• “intend to…”
• Repair / rebuild / reinstate /
replace?
• In general must spend on
reinstatement.
Can I ask for more cash later…?
• Not if the agreement was
full and final:
• Limited exceptions
(such as fraud)
• Partial settlements are
possible. Insurers may
agree to pay more for:
• Variations
• Increased foundation
costs
I find your lack
of faith
disturbing….
Whose Costs?
• Insurers will provide an estimate of the reinstatement costs
• No estimate is perfect
• The more work is done the closer the estimate is likely to
be
• Costings need to:
• Identify the damage
• Have a realistic reinstatement proposal
• Be costed at open market rates
• Capture all costs (design, consenting, professional advice
etc).
• It is often wise to take professional advice on costs
Partial Settlement: Costs
• If the insurer is not
managing the repair then
the homeowner is entitled to
incur reasonable costs.
• Insurer not entitled to:
• Dictate professionals to
use
• Place caps on cost
• In reality there is a need to
agree process / project with
insurer.
Full and Final: Lookouts
• Policy Standard:
• As / when new
• Modern materials and methods
(equivalent, not cheapest)
• Modern building standards /
regulatory upgrades
• Additional costs
• Design / consent / survey /
engineer
• Project management
• Contingency / risk
• Keep a look out for exclusions for
defects / pre existing condition etc
Final Comments
• What is your ideal outcome?
• What is your worst case?
• How much risk can you assume?
• What is your appetite for conflict?
• Consider the benefits of finality / control
• Be pragmatic and reason-based
• If in doubt take advice from a third party
Judge me by
my size, do
you?

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Dr Duncan Webb of Lane Neave_Cash Settlments

  • 1. Cash Settlements Opportunities and Risks Dr Duncan Webb
  • 2. Can my insurer insist? • In some policies the insurer has a right to pay the cash equivalent of repair or rebuild but: • Did the insurer make an election to repair themselves? • Has the insurer represented that they would manage? • Good faith… • Rebuff threats in respect of repair / rebuild contract timelines.
  • 3. Full and Final? • Insurer cannot insist that your settlement is “full and final” • Beware of full and final agreements if you are going to repair. • May be advantages to full and final agreements where you intend an outside of policy solution
  • 4. When should I agree to a full and final settlement? • When risks are low • When you are wanting to depart from policy • Different house • Waiting before undertaking repair • Buying two properties • Note the terms of the settlement agreement • “intend to…” • Repair / rebuild / reinstate / replace? • In general must spend on reinstatement.
  • 5. Can I ask for more cash later…? • Not if the agreement was full and final: • Limited exceptions (such as fraud) • Partial settlements are possible. Insurers may agree to pay more for: • Variations • Increased foundation costs
  • 6. I find your lack of faith disturbing….
  • 7. Whose Costs? • Insurers will provide an estimate of the reinstatement costs • No estimate is perfect • The more work is done the closer the estimate is likely to be • Costings need to: • Identify the damage • Have a realistic reinstatement proposal • Be costed at open market rates • Capture all costs (design, consenting, professional advice etc). • It is often wise to take professional advice on costs
  • 8. Partial Settlement: Costs • If the insurer is not managing the repair then the homeowner is entitled to incur reasonable costs. • Insurer not entitled to: • Dictate professionals to use • Place caps on cost • In reality there is a need to agree process / project with insurer.
  • 9. Full and Final: Lookouts • Policy Standard: • As / when new • Modern materials and methods (equivalent, not cheapest) • Modern building standards / regulatory upgrades • Additional costs • Design / consent / survey / engineer • Project management • Contingency / risk • Keep a look out for exclusions for defects / pre existing condition etc
  • 10. Final Comments • What is your ideal outcome? • What is your worst case? • How much risk can you assume? • What is your appetite for conflict? • Consider the benefits of finality / control • Be pragmatic and reason-based • If in doubt take advice from a third party
  • 11. Judge me by my size, do you?