22/11/2019
What is "Condition of Average Clause" in homeowner's insurance?
If the Sum Insured of your home is less than it should be (known as underinsurance), you will not receive reimbursement for the full amount of any loss the Policy responds to.
Therefore, in the event your property is underinsured, then the Condition of Average will operate to reduce the net amount you will receive from a valid claim, in direct proportion to the amount of the underinsurance.
For example, if you have a sum insured that is only 50% of what it should be you will only receive 50% of any valid claim. Similarly, if you insure for 75% of the what it should be insure for, you will only receive 75% of any valid claim. This is known as "Condition of Average Clause".
In the event of a total loss, the policy will pay the lower of the amount of the loss or the sum insured. This means that in the event of you being underinsured and having a total loss, you will receive only the sum insured which will not reimburse you for the full amount of any loss you may have suffered.
When a deductible exists on a policy, this deductible will be subtracted from the final payment of any claim after the operation of the Condition of Average.
The following further illustrates the principle:
Sum Insured: $100,000
Appraised Value or replacement cost: $200,000
Amount of loss: $50,000
Calculating Formula:
$100,000 (sum insured) × $50,000 (amount of loss) ÷ $200,000 (appraised value) = $25,000 (condition of average)
Policy payment (before deductible) $25,000
Always insure your home for the appraised amount or replacement cost. Have your home appraised every few years to make sure your home is insured for the true value. If you renovate or upgrade your home, make sure have it appraised and increase the sum insured accordingly.