10 Dec 24

Uncovering the QBCC’s Dirty Tactics for Denying Eligible Insurance Claims

Industry News
Qbcc Denied Insurance Claim


BRISBANE, AUSTRALIA – In a startling revelation, a Queensland homeowner has come forward with claims that the Queensland Building and Construction Commission (QBCC) is employing questionable interpretations of legal terms to deny insurance claims under the Queensland Home Warranty Scheme.


Background:

A Queensland homeowner, whose identity we are withholding to respect privacy and not to name and shame the involved builder while this matter remains unresolved, engaged a contractor for a home renovation project. The relationship quickly soured when the builder issued an invoice for approximately $8,000 in unapproved extras without any prior discussion or formal variation to the contract. Some items on this invoice were never discussed with the homeowner, and others were not completed at the job site.

The homeowner contested the invoice, agreeing to pay only around $1,500 for items that had been previously verbally agreed upon. The builder then revised the invoice to reflect this $1,500 sum, which the homeowner paid. However, several days later, the builder issued another invoice titled ‘Extras 1 (ii) Balance Outstanding,’ demanding payment of the remaining balance from the original invoice, threatening not to return to the site if unpaid.

After days of dispute, the homeowner reluctantly paid the additional amount to ensure completion of the work. Despite this payment, the builder never returned to finish the contracted works and advised the homeowner to complete the job herself.

Desperate for resolution, the homeowner sought mediation through the Queensland Building and Construction Commission (QBCC). After significant delays, the QBCC informed the homeowner that the builder had declined to participate in mediation, effectively closing the case. Seeking further assistance, the homeowner asked the QBCC how to proceed with insurance claims under the Queensland Home Warranty Scheme. The QBCC advised that for a claim to be valid, the contract must be terminated due to the builder’s default and recommended legal advice on how to achieve this.

The homeowner then spent approximately $1,000 on legal fees to draft a termination letter and have it issued to the builder. The builder responded by email, accepting a clause in the termination letter related to mutual termination, waiving his opportunity to resume construction to finish the contracted works.


The Claim:

On or around October 20, 2024, the home owner submitted a claim under the Queensland Home Warranty Insurance Scheme, expecting coverage for the incomplete work. However, in a return letter approximately 7 days later, the QBCC declined her claim, arguing that the contract was “mutually abandoned/terminated,” which, they assert, does not qualify for insurance coverage under their regulations.


The Twist:

Under Queensland’s building laws, specifically outlined in the Queensland Building and Construction Commission Regulation 2018, homeowners can claim insurance if the contract with their builder is terminated due to the builder’s fault, a point the homeowner meticulously documented in the termination letter. However, Schedule 6, Section 4(b) of this regulation specifies that for a contract to be considered “validly terminated,” it must not involve what’s termed “mutual abandonment.”

Here’s the critical point: the regulation does not explicitly mention or define “mutual termination.” The issue arises because the QBCC is interpreting the mutual agreement to end the contract as equivalent to mutual abandonment, despite the termination being necessitated by the builder’s misconduct. This interpretation seems to extend beyond the explicit wording of the regulation, potentially denying rightful insurance claims.


Legal Expert Opinion:

Legal experts advising the homeowner have highlighted that the QBCC’s interpretation of the law appears flawed. They argue that the commission incorrectly conflates the terms “mutual abandonment” and “mutual termination.” Typically, abandonment implies a scenario where both parties show no intent to fulfill the contract over a significant period, leading to an inference that the contract has been abandoned and thus discharged.

However, in this case, the lawyers suggest an alternative view: that the builder repudiated the contract, and the homeowner accepted this repudiation through their correspondence. This interpretation suggests that the termination was not a mutual abandonment but rather a response to the builder’s failure to perform, which should qualify for insurance coverage under the existing regulations.


Construction Expert Opinon:

From my perspective, the QBCC has strayed from its core mission as outlined on their website. The QBCC is meant to be a beacon of regulation and protection within Queensland’s building industry, aiming to reduce risks, protect consumers from harm, and foster a resilient construction sector (as stated on their website!).

Qbcc About Us Webpage Screenshot

However, in this instance, the QBCC has fallen short of its responsibility to act in an “independent, objective, and impartial” manner, as they claim to be. By interpreting the regulation in a way that conflates mutual termination with mutual abandonment, terms not explicitly linked in the legislation, they are not offering “protection from harm” to consumers. Instead, they seem to be undermining the very purpose of the Home Warranty Scheme, which is supposed to be a safety net for homeowners when builders fail to meet their obligations.

The QBCC’s role includes educating and advising both contractors and consumers on their rights. Yet, by denying this claim on what appears to be a technicality, they are not only failing to educate but are also neglecting to provide the clear, transparent decision-making they pledge to uphold. This case questions the effectiveness of the QBCC in managing its functions, particularly in balancing the interests of building contractors and homeowners as stated in their objectives. It’s crucial that the QBCC reevaluates its approach to ensure they truly live up to their mission of safeguarding consumer interests and maintaining the integrity of the building industry in Queensland.

Moreover, there seems to be an underlying concern with expenses within the QBCC; otherwise, why would they be so keen to deny insurance claims where the builder is clearly at fault? This pattern of behaviour suggests a potential prioritization of financial management over their duty to protect consumers. Dare I say that we may need a royal commission into the QBCC to ensure people are actually being protected by the commission that was instated to protect those using licensed builders for construction work. The integrity of the QBCC’s operations and their adherence to their stated mission are at stake, and only a thorough, independent investigation might reveal the true extent of these issues.


Impact on Homeowners:

The case at hand raises serious questions about how frequently homeowners face similar denials under the Queensland Home Warranty Scheme. When the QBCC makes an initial decision, homeowners have only 28 days to contest it, requiring them to articulate why they believe the decision was incorrect. This tight timeframe places a significant burden on homeowners to quickly gather evidence and legal advice, often under stress and financial strain.

However, what’s truly alarming is the subsequent step in the process: if the QBCC does not manage to review the application for an internal review within this same 28-day window, the initial decision automatically stands, leaving homeowners with no further recourse through the QBCC. This aspect of the process is an outrage. The fact that the QBCC can effectively ignore internal review applications, allowing the same decision to stand without reassessment, completely strips away any recourse homeowners might have against the poor performance or misconduct of their contracted builders.

This practice not only undermines the protective purpose of the Home Warranty Scheme but also signals a systemic issue where the rights and protections of homeowners could be routinely compromised due to bureaucratic inefficiencies or oversights. Homeowners, already victims of builder defaults, are left to navigate this complex and seemingly unfair system, often leading to financial ruin or severe emotional and physical hardship due to unresolved construction issues. The need for reform in how the QBCC handles claims and reviews is evident, to ensure that the commission truly serves its intended purpose of safeguarding consumer interests in Queensland’s building industry.



What’s Next:

The homeowner is not accepting this decision lying down. She’s appealing the QBCC’s decision and has shared her story to warn other homeowners and to push for clearer guidelines or amendments to prevent such misinterpretations in the future.


Call to Action:

Homeowners are urged to document all interactions with builders and to seek legal advice before any contract termination. Those with similar experiences are encouraged to come forward, make your stories heard as this is the only way to bring forward true change.


Conclusion:

This case might just be the tip of the iceberg, revealing a broader issue within the QBCC’s administration of the Home Warranty Scheme. As more homeowners like the one discussed here today speak out, the pressure might mount for a reevaluation of how these claims are handled, ensuring the system truly serves those it was meant to protect.

For more information or to share your story, reach out through our contact form and I’ll be in touch.





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**Disclaimer: The information provided in this article is based on publicly available information. While we strive to ensure the accuracy of this content, Foresight Home Planning Pty Ltd does not guarantee the completeness or reliability of the information. This article is intended for entertainment purposes only and does not constitute professional advice. Foresight Home Planning does not accept liability for any loss, expenses or damage incurred as a result of reliance on the information contained herein. Readers are advised to conduct their own research and seek professional advice & legal advice before making any decisions related to property purchases, contracts with builders or investments.

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