Canuck
Well-Known Member
However, the question at hand is whether or not the insurance company is willing to try to use that as a denial of insurance benefits to you. If you suffer a loss, and the insurance company denies your claim stating a code compliance issue, you may still win -- but you'll be spending months or years going through all the processes against a company with deep pockets who has plenty of time on its hands.
In order to deny a claim, an insurer has to refer you to an exclusion in the policy. Once you have a fire, and if you have fire insurance, there is a presumption of coverage in favour of the insured. At that point, your insurer must reference an exclusion. The problem is that some insurance policies do have an exclusion that applies to code breaches. That's outright insanity in my opinion, since you can find code breaches in nearly every home. Now, the code breach must be causally connected to the loss, but just the fact that there is such an exclusion that your insurer can put to you is significant cause for concern, and FlasherZ hit he nail on the head when he said "you'll be spending months or years going through all the processes against a company with deep pockets who has plenty of time on its hands." So I can't stress to people enough the importance of reading your policy and, if you have clauses such as these, you should change insurers:
2. We do not insure under any coverage for any loss which
would not have occurred in the absence of one or more
of the following excluded events. We do not insure for
such loss regardless of: (a) the cause of the excluded
event; or (b) other causes of the loss; or (c) whether other
causes acted concurrently or in any sequence with the
excluded event to produce the loss; or (d) whether the
event occurs suddenly or gradually, involves isolated or
widespread damage, arises from natural or external
forces, or occurs as a result of any combination of these:
a. Ordinance or Law, meaning enforcement of any
ordinance or law regulating the construction, repair
or demolition of a building or other structure.
Even if you are in jurisdictions that won't enforce these clauses, you don't want to have to sue to get that declaration. It's best not have such clauses it the first place, and many policies do not. Also, do not count on your broker to get you the correct insurance policy. You need to read through every clause yourself, and at each renewal when they send you changes in policy wordings.