Common exclusions in insurance policies
There are times when an insurer will not pay out damages, due to exclusions that are included within the policy detail. This is why it is important that you always look at exactly what your insurance policy covers and that you understand the exclusions.
An example of an exclusion
You are under the influence of alcohol and drive a car into a pile. You file a claim with your car insurance company and want to receive compensation for the damage. In this case, the insurer will not pay for the damage because there is an alcohol clause in the car insurance policy.
Overview of insurance exclusions
There are many exclusions within insurance policies, with some specific exclusions differing from insurer to insurer and case to case. There are more exclusions than you may initially think, so we’ve put together an overview list of what you can expect to be excluded on certain insurance policies.
Exclusions from WA third-party insurance
You are driving without a valid driver's licence
The damage occurred because you were driving under the influence of alcohol or drugs
The driver drove your car without permission
The damage occurred during a speed race
The damage was caused intentionally
The car was rented to someone else
Other passengers were transported for a fee (no carpooling)
Exclusions from AVP
Intentionally inflicted damage
Damage to certain items without supervision
Damage caused to property belonging to the insured parties
Damage caused by or with motor vehicles
Damage by or with aircraft
Damage due to acts of war or nuclear reactions
Damage caused by someone living abroad
Damage caused by weapons without a permit and hunting (hunter's risk can often be co-insured)
Exclusions from car insurance
You are driving without a valid driver's licence
The damage occurred because you were driving under the influence of alcohol or drugs
The driver drove your car without permission
The damage occurred during a speed race
The damage was caused intentionally
The car was rented to someone else
Other passengers were transported for a fee (no carpooling)
Catastrophe
With all insurance policies, including car insurance, damage that occurs in the event of a catastrophe is not insured. By catastrophe we mean a natural disaster, war, riot or a nuclear event. A flood is popularly called a catastrophe, but it is covered by car insurance.
Damage to victims
Damage to victims (personal injury) is always compensated. This is the principle of liability insurance. After all, a victim should not be the victim of the driver's mistake.
Exclusions in practice
Classic insurance policies cover the situations that are covered in the policy, and by definition this excludes anything not mentioned. An all-risk insurance policy, on the other hand, covers almost all forms of damage if a number of conditions are met, except for situations that are explicitly excluded by the policy conditions.
General exclusions that always apply
In addition to the specific exclusions that may be stated in the policy conditions, there are also general exclusions that always apply, even if they are not explicitly included in the contract. These are specific to contract law. One of these general exclusions is cheating. If the Insurer can prove that the Insured has intentionally misrepresented the facts or has deliberately lied, the Insurer may refuse to pay any compensation. It is important to know that these general exclusions always apply and cannot be prevented by means of additional insurance. Below, you can find ther exclusions by insurance type.
Motorcycle insurance
Use other than permitted by law
Atomic Nuclear Reactions
If the engine is impounded or requisitioned
Conflict, civil war, insurrection, riot
Driving around with an invalid driver's licence
Driving under the influence
Off-road driving
Motorbike rental
Legal assistance insurance
Impending natural disasters
Acting negligently
Disputes related to claims of others
Industrial or intellectual property disputes
Tax disputes
Disputes about allowances and the like (with the exception of the Fiscal and Assets module)
Disputes about laws or regulations that the government has adopted or intends to adopt and that apply to everyone
A dispute about the insurance itself
A dispute taken on by the insured person's own lawyer or other legal expert
On suspicion of a criminal offense
Accident Insurance
Fraud
Dangerous sports
When you risk your own life
Brawls
Medicines and stimulants
Contents insurance
Damage from riots or war
Damage from natural disasters
Atomic Nuclear Reactions
Damage as a result of a poorly maintained home
Construction errors related to the home
Damage as a result of precipitation (because, for example, you left a door or window open)
Intentional loss of or damage to your belongings
Limited coverage: audio-visual equipment, art and antique objects, personal jewellery, money
Building insurance
Flooding
Earthquakes
Atomic Nuclear Reactions
Rioting
Uprisings/war
Design defects
Recklessness
Deferred maintenance
Casco insurance
You are driving without a valid driver's license
The damage occurred because you were driving under the influence of alcohol or drugs
The driver drove your car without permission
The damage occurred during a speed race
The damage was caused intentionally
The car was rented to someone else
Other passengers were transported for a fee (no carpooling)
Professional liability insurance
Liability for property damage or personal injury
Damage due to intent
Damage due to recklessness
Damage resulting from an infringement of intellectual property rights
Branches abroad
Property crimes (such as fraud and theft)
Business liability insurance
Damage to delivered goods
Recalls, replacements, enhancements, repairs
Re-executing work that has already been done
Damage caused with or by motor vehicles
Professional misconduct
Limited cover for damage from third parties related to environmental degradation
Liability insurance for self-employed persons
Damage to delivered goods
Recalls, replacements, enhancements, repairs
Re-executing work that has already been done
Damage caused with or by motor vehicles
Professional misconduct
Limited cover for damage from third parties related to environmental degradation
Youngtimer insurance
Damage caused by intent
Damage caused by driving without a driver's license
Damage caused by the abuse of alcohol or drugs
Damage caused during rental or transport against payment
Roadside assistance
Classic car insurance
Damage caused by intent
Damage caused by driving without a driver's license
Damage caused by the abuse of alcohol or drugs
Damage caused during rental or transport against payment
Roadside assistance
All-risk car insurance
You are driving without a valid driver's license
The damage occurred because you were driving under the influence of alcohol or drugs
The driver drove your car without permission
The damage occurred during a speed race
The damage was caused intentionally
The car was rented to someone else
Other passengers were transported for a fee (no carpooling)fa
Frequently asked questions about insurance exclusions
When you take out insurance, it is important to know exactly what you are insured for and what the exclusions are. Exclusions are cases where the insurer will not pay compensation. We have previously listed the most common exclusions per insurance policy for you. Below you will also find a few frequently asked questions about exclusions from insurers.
What are insurance exclusions?
Exclusions are cases where the insurer will not pay compensation. This may be because the claim does not fall under the very specific cover of the insurance – other situations are excluded – or because there is a certain exclusion that is literally included in the policy.
Why do insurers have exclusions?
Exclusions are cases where the insurer will not pay compensation. This may be because the claim does not fall under the very specific cover of the insurance – other situations are excluded – or because there is a certain exclusion that is literally included in the policy.
Can exclusions differ per insurer?
Insurers have exclusions to limit and control the risks. This allows them to keep premiums low. If insurers reimbursed all claims, the premiums would become too high, and it would become unaffordable for many people to take out insurance.
Are exclusions always applied?
Almost always. Whether an exclusion is applied depends on the specific circumstances of the case. Sometimes insurers are fair and still grant compensation. It is therefore always important to contact the insurer in case of doubt.
What happens if there is an exclusion?
If there is an exclusion, the insurer will not pay any compensation. In that case you will have to pay for the costs yourself.
Can I avoid exclusions by paying a higher premium?
Some insurers remove exclusions in exchange for a higher premium. Whether or not customisation is possible and whether the insurer is prepared to remove a certain exclusion differs per insurer.
What should I do if I disagree with an exclusion?
If you do not agree with an exclusion, you can contact the insurer to see if a solution is possible. If you can't come to an agreement with the insurer, you can go to court. The judge will then decide on the outcome.
Can exclusions differ per insurer?
Yes, exclusions can differ per insurer. It is therefore important to take a good look at the exclusions that the relevant insurer applies when taking out an insurance policy. In practice, there are often great similarities between the various insurers.