Insurance fiasco with excess after no claims in fifteen years

ukbazz

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Wondering if any readers can help with opinions on the following nightmare.

I've had Comprehensive motor boat insurance with the same company for 15 years - no claims until now.

A while ago I was supposed to run boat down the coast to sell her, so one Sunday went down to do that. There was a incident on departure, where on releasing the bow lines and springs (stern line still attached, the wind caught the topsides and carried her stern first against the pontoon. This cracked exhaust outlet and buckled a trim tab, so was expecting to sort this with the buyer and motored off.

A few miles later on the journey both engines cut at exactly the same time as black smoke spewed from the exhausts. Massive overheat in engine room and both raw water inlet hoses had sucked themselves in. At this point noticed water ingress through starboard P-bracket studs as well. Lifeboat towed me back and I cancelled sale.

Insurance company assessor inspected and insisted it was down to bad impellers, although I did ask the engine manufacturer if a raw water blockage could have caused it as it seemed odd both impellers would go at exactly the same time and for the hoses to get sucked in the there must have been suction from the raw water pumps - there was a lot of debris in the water that trip and they said that was quite possible. I therefore paid engine damage myself, leaving remaining damage to insurers. On crane out a large hank of rope was wrapped around the starboard prop and shaft and this looks like what cause the P bracket damage.

Due to the Covid issue progress was slow and the boat was lifted in December, and I have only just now heard back from the insurers after they sent a second assessor down.

They are saying that as the damage was caused by two separate incidents I must pay the excess twice. There has been one claim made. The section in the policy re excess reads as follows:

"The excess stated in the Certificate of Insurance will be deducted from all claims except in respect of claims:..." Nowhere does it state that the excess applies per incident!

There is another section 'Marina Benefits' wording is:

"In the event of a loss covered by the Policy occurring while the Vessel is in a purpose built marina either ashore or afloat on a berth, We will not apply the Policy excess and You will not lose Your no claims discount."

They are saying two things in regard to this firstly - it was not in a marina, although the place it is berthed in, on a serviced pontoon berth, is a member of The Yachting Harbour Association, whose purpose is to promote marinas.

Secondly "The vessel wasn’t on a berth at the time of the damage occurring it was clearly moving and under way albeit one warp was still attached to the pontoon, this can’t however be described as on a berth as referred to in the Marina Benefits section of the policy, once it’s underway it has left the berth."

I found the following definition of underway:

" Q. When is a vessel under way?
A. A vessel is NOT underway when it is at anchor, made fast ashore (tied to shore) or, in the least desireable scenario, aground. If a vessel NOT underway = fixed to a point, then it would make sense to say that a vessel is under way when it is not fixed to a point. i.e. a vessel which has raised its anchor, floating around in the water or has become untied from the shore. So, we’ve established that a vessel under way is, to put it simply, a vessel free to float around without restrictions. This does not mean that the vessel is being pushed/propelled through the water in any way."

As already mentioned, stern lines were attached so not not free to float without restriction.

Any readers comments welcome as I try and sort out this mess!
 
It would seem to me your insurers regards this a 2 separate events as opposed to one event leading to various losses. What constitutes an event has been subject to a number of cases perhaps the most remembered being the bombing of Kuwait planes. I will leave you to google that. You might also look on the financial ombudsman site as they have case examples which may describe event . Assuming your loss is within Ombudsman limits and you are not a commercial customer ( I assume not) then a complaint will trigger process and the claims team will pass to complaints team . You don’t say if you have a broker but if you do they might be able to advise you on merits . If the brokers account is of value to insurer then the can sometimes influence insure to reconsider case if they have a good loss ratio on account.
To my mind there are 2 events namely pontoon impact on departure and engine failure but it’s a question for an expert as to whether incident one is connected to incident 2 or not. It would appear based on the report from the claims adjuster who acts for the insurer they are not connected. An assessor is someone you appoint to put your case ie he’s your representative to debate merits with the insurers adjuster(apologies if you know this but terms often confused)
Your second point is the loss occurred in marina so excess should not apply due to the line - I think the common sense interpretation is it was not on a berth as your intention was to leave the berth and it was only a mistake by crew which left an errant line attached - you might try your luck with the ombudsman ont this point who might favour you due to unclear wording though as ambiguity will be construed against insurer . Have you considered proposing a compromise position on a WP basis to insurers ? Each complaint that goes to FOS costs insurers and I don’t know value of excess (deductible) but might well be less than FOS fees they have to pay.
 
I agree they do seem to be two separate claims. By your own admission you had motored several miles and the P bracket damage arose from picking up a rope. Difficult to see how any of that is connected with hitting the berth some time earlier.

As to the Marina Benefits clause. This is probably intended to cover damage or theft that is more likely to occur outside a marina environment, say on a mooring or in an open yard. The question is how do you define a "marina". I expect you will find that the insurer has a list of locations it considers to be a "purpose built" marina. When you apply for insurance you are required to declare the permanent berth location as this will affect the risk and therefore premium. However that clause is loosely worded and opens up all sorts of grey areas such as what type of loss? does it apply if moored in another marina rather than your home one? Would they waive the excess if the exact same scenario occurred in an "approved" marina? Don't think there should be any debate about whether still being attached to a pontoon constitutes being "in" a marina, nor whether the provider of the mooring is a member of an association of marina owners, or even owns other marinas. The key is what definition is being used by the insurer - so ask them!
 
There is only one thing that causes the inlet hoses to collapse and that is the sea water pump pumping against a restriction into the hoses from the sea. I am surprised you don't mention the state of inlet strainers. Maybe the insurers are wondering politely if the sea cocks were closed .
 
The Original poster (OP) hasn’t revealed the insurer-it might be that the identity might provoke some additional thoughts from others who have had the misfortune to had claims previously . It might be the term “ marina” is not defined but I doubt it’s hard to tell if the OPs marina is purpose built -unless the insurer has disclosed this list prior to inception of cover I m not convinced FOS will take any notice - the OP would not know otherwise -I think to take PVB point to reach a settlement it might be worth accepting the 2 events argument but arguing the excess does not apply to the marina event . Clearly this approach might not help the OP depending on quantum though for each loss.
 
The Original poster (OP) hasn’t revealed the insurer-it might be that the identity might provoke some additional thoughts from others who have had the misfortune to had claims previously . It might be the term “ marina” is not defined but I doubt it’s hard to tell if the OPs marina is purpose built -unless the insurer has disclosed this list prior to inception of cover I m not convinced FOS will take any notice - the OP would not know otherwise -I think to take PVB point to reach a settlement it might be worth accepting the 2 events argument but arguing the excess does not apply to the marina event . Clearly this approach might not help the OP depending on quantum though for each loss.
It's not just me who gets very suspicious when somebody makes a first post about a problem with an insurance company and refuses to name them.
 
Not really necessary to know the insurer.

As is often the case the post is only one side of the story and probably not even the whole story. Calling it a "fiasco" together with the catalogue of errors suggest the poster has a lot to lose on a boat he was hoping was sold.

However based on the information given there are really only two issues - were there two claims or one, and whether one should be covered under "Marina Benefits". The first on the information provided is clear cut, the second needs clarification. It is irrelevant who the insurer is - these are matters of principle.
 
There is only one thing that causes the inlet hoses to collapse and that is the sea water pump pumping against a restriction into the hoses from the sea. ....

.... Combined with using the wrong type of hose. It should be reinforced suction hose. So they could even reffer to that as a separate incident, and damage being consequent to a servicing error. In other words, the fault of the hose installer.
 
.... Combined with using the wrong type of hose. It should be reinforced suction hose. So they could even reffer to that as a separate incident, and damage being consequent to a servicing error. In other words, the fault of the hose installer.
The insurer rejected the claim for the engine damage and the OP accepted the decision and paid for those repairs himself. Probably more to this specific issue than the OP has let on!
 
.... Combined with using the wrong type of hose. It should be reinforced suction hose. So they could even reffer to that as a separate incident, and damage being consequent to a servicing error. In other words, the fault of the hose installer.
Hose was correct reinforced hose used on several trips without incident
 
Not really necessary to know the insurer.

As is often the case the post is only one side of the story and probably not even the whole story. Calling it a "fiasco" together with the catalogue of errors suggest the poster has a lot to lose on a boat he was hoping was sold.

However based on the information given there are really only two issues - were there two claims or one, and whether one should be covered under "Marina Benefits". The first on the information provided is clear cut, the second needs clarification. It is irrelevant who the insurer is - these are matters of principle.
Only one claim was made
 
The insurer rejected the claim for the engine damage and the OP accepted the decision and paid for those repairs himself. Probably more to this specific issue than the OP has let on!
I paid for the hose issue as the original insurance adjuster blamed impeller failure as the reason for the overheat- however as the hoses were collapsed I'd question that this was the case. Impellers would get wrecked in a large overheat anyway, surely. However I paid this as the adjuster swore that insurance company would not cover this kind of damage.
 
Only one claim was made
You may have made only one claim, but from the way you describe it they are saying there were 2 unconnected incidents and therefore 2 separate two claims and two excesses.

On the information you have given I would tend to agree with them. You would have to show that the picking up a rope and damaging the P bracket happened because of the incident at the pontoon which caused the other damage. Picking up a rope to the extent of pulling a P bracket out would have a significant affect on how the boat performs so difficult to believe that you could motor several miles.

I can understand why you would want them to be considered as one claim, but the facts seem to be against you.
 
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There does seem to be a break in the chain of causation - while it all turns on facts I don’t see anything to disagree with the expert view given above, it would seem to me the OP needs to commission his own report if he wishes to progress his 2 claims argument. If he wants to go to the FOS and defeat the insurers position he will need some decentexpert evidence to connect the 2 events which seems to missing. Notwithstanding the massive annual cost to insurers of FOS and hence to customers only approx 30% of complaints (out with PPI) I seem to recall are upheld and your average adjudicator has to have evidence to work with . Would an excess of £1500 be normal ? Why did the OP take such an excess I wonder?
 
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