Maintenance and Insurance Claims

03 March 2025 ,  Gerda Janse van Rensburg 36

Property maintenance insurance typically doesn’t cover maintenance because the purpose of insurance is to protect against sudden, unforeseen damages, not the gradual deterioration that occurs through normal wear and tear. This is considered the responsibility of the property owner to maintain through regular upkeep. Essentially, insurance is meant to cover unexpected events, not routine maintenance tasks.

Understanding the Purpose of Property Insurance

Property insurance is designed to provide financial protection against significant losses caused by sudden and accidental events. These events may include fire, theft, storm damage, or water damage from burst pipes. Insurance policies operate on the principle of risk mitigation for unpredictable incidents rather than the slow degradation of a property over time.

The Difference Between Maintenance and Insurance Coverage

Routine maintenance refers to the ongoing care and repair of a property to keep it in good condition. Tasks such as repainting walls, replacing worn-out roofing, fixing plumbing leaks, servicing HVAC systems, and addressing mould buildup are all part of property upkeep. These issues develop gradually and can be prevented or minimized through consistent care.

Insurance companies distinguish between maintenance-related issues and insured events by assessing the cause of the damage. If damage results from neglect, lack of maintenance, or natural wear and tear, it is typically excluded from coverage. However, if an external, unexpected force causes damage—such as a tree falling on a roof during a storm—insurance will likely cover the necessary repairs.

Why Maintenance Responsibilities Fall on the Property Owner

Property owners are expected to perform regular inspections and maintenance to prevent damage. For instance, failing to clean gutters can lead to water pooling on the roof, causing leaks and structural damage. If a homeowner tries to file an insurance claim for such a leak, the insurer may deny the claim on the basis that it resulted from negligence rather than an unforeseen event.

Moreover, issues like pest infestations, plumbing leaks due to old pipes, or electrical problems from outdated wiring fall under maintenance rather than insurable losses. Neglecting these responsibilities can lead to costly repairs, which the owner must bear.

How to Protect Your Property and Insurance Coverage

To avoid unexpected repair costs and ensure compliance with insurance policies, property owners should take proactive steps:

  1. Conduct Regular Inspections: Identify and address minor issues before they escalate into major problems.
  2. Schedule Preventative Maintenance: Routine servicing of plumbing, and electrical wiring can prevent breakdowns.
  3. Document Repairs and Upkeep: Keeping records of maintenance work demonstrates due diligence in case of an insurance claim.
  4. Understand Policy Exclusions: Reviewing insurance policy terms helps property owners know what is covered and what is not.
  5. Act Quickly on Repairs: Addressing minor damages promptly can prevent significant losses and ensure continued coverage.

Insurance is not a substitute for property maintenance. While insurance provides financial protection against unexpected disasters, property owners must take responsibility for the ongoing care of their investments. Regular maintenance not only preserves the property’s value but also prevents costly repairs that insurance policies won’t cover. By understanding this distinction, property owners can make informed decisions to safeguard their homes and businesses effectively.

 

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