Medical Office Buildings: Unique Risks and Insurance Requirements
Why medical office buildings are different
Medical office buildings (MOBs) sit in a unique space between “standard commercial property” and “healthcare premises&rdquo…
Office insurance is designed to protect your business when something goes wrong: a burst pipe floods the premises, a small fire damages equipment, or a break-in results in stolen laptops. But many businesses are surprised to learn that insurance isn’t a “pay-out no matter what” safety net. If an insurer believes the loss was caused by poor maintenance—or made worse because basic upkeep wasn’t done—your claim can be delayed, reduced, or declined.
For UK businesses, this risk is especially relevant because office policies often include conditions around “reasonable precautions,” “maintenance,” and “property protection.” These aren’t just formalities. They’re the standards insurers use to judge whether the premises was kept in a condition that makes losses less likely.
This guide explains how poor maintenance can void an office insurance claim, the types of maintenance issues insurers focus on, what evidence they look for, and how to protect your business with a simple, documented maintenance routine.
Poor maintenance isn’t only about a building being old or imperfect. Insurers typically mean one or more of the following:
Known defects left unresolved (for example, a recurring roof leak that was never repaired)
Wear and tear allowed to become damage (for example, degraded pipework that eventually bursts)
Failure to service safety-critical systems (fire alarms, emergency lighting, intruder alarms, sprinkler systems)
Inadequate housekeeping (blocked gutters, cluttered escape routes, combustible waste stored incorrectly)
Non-compliance with policy conditions (alarm maintenance, heating requirements, unoccupancy requirements)
Most office insurance policies do not cover gradual deterioration, wear and tear, or damage that happens over time. They’re designed for sudden, unforeseen events. When maintenance is neglected, insurers may argue the event wasn’t unforeseen—or that the extent of damage was avoidable.
Every insurer’s wording is different, but these are the clauses that commonly affect office claims.
Many policies exclude:
Wear and tear
Gradual deterioration
Rust, corrosion, rot
Damp, mould, fungus
Faulty workmanship or defective materials (sometimes limited)
If a claim is linked to these causes, the insurer may decline it entirely or only pay for the resulting sudden damage (depending on wording).
Some policies include a condition that you must:
Take reasonable steps to prevent loss or damage
Maintain the premises in good repair
Comply with statutory requirements
If an insurer believes you didn’t take reasonable precautions, they may reduce or refuse the claim.
A condition precedent is a strict requirement. If you don’t comply, cover may not apply.
Common examples:
Intruder alarm must be set when the premises is closed
Alarm must be maintained under a contract and inspected at set intervals
Fire alarm and emergency lighting must be tested and serviced
If a theft occurs and the alarm was faulty or not set, insurers may decline.
If the office is left unoccupied for a defined period (often 14, 30, or 60 days), policies may require:
Regular inspections (recorded)
Draining down water systems or isolating water
Maintaining heating at a minimum temperature
Removing waste and combustibles
Setting alarms and ensuring physical security
Poor maintenance plus unoccupancy is a common claim failure combination.
Below are typical office claim scenarios where maintenance issues can become the deciding factor.
What happens: A pipe bursts overnight, flooding the office and damaging flooring, furniture, and IT equipment.
Where maintenance becomes an issue:
Evidence of long-term leaks, staining, or corrosion
Lack of lagging/insulation on pipes in cold areas
No record of periodic plumbing inspections
Known issues reported by staff but not fixed
Why insurers push back: They may argue the loss was foreseeable or caused by gradual deterioration.
What happens: Heavy rain leads to water entering through the roof, damaging ceilings, electrics, and stock.
Maintenance red flags:
Blocked gutters and downpipes
Missing tiles or damaged flashing known for months
Previous patch repairs that failed
No evidence of annual roof inspections
Likely outcome: The insurer may pay for some internal damage but dispute the cause if it’s linked to long-term neglect.
What happens: A small electrical fault starts a fire. The fire spreads quickly due to combustible storage.
Maintenance/management issues:
Waste stored near electrical equipment
Escape routes blocked
Fire doors wedged open
Fire extinguishers not serviced
Why it matters: Even if the initial fire is covered, the insurer may argue the extent of damage was increased by poor risk management.
What happens: Laptops and phones are stolen from the office.
Maintenance issues:
Alarm not set or not working
No maintenance contract or missed service visits
Faulty locks, broken window latches, damaged shutters
Poor key control (keys left in drawers, codes shared widely)
Insurer view: Security conditions are often strict. Non-compliance can lead to a declined theft claim.
What happens: Cracks appear, doors jam, and eventually the building suffers significant structural damage.
Maintenance issues:
Early warning signs ignored
No professional survey arranged
Poor drainage contributing to ground movement
Outcome: Subsidence cover is often tightly defined. Delayed action can complicate claims and increase the chance of dispute.
When a claim is submitted, insurers and loss adjusters typically look for evidence that the business maintained the premises responsibly.
Expect questions like:
When was the roof last inspected?
Do you have service certificates for the fire alarm and emergency lighting?
Is there an intruder alarm maintenance contract?
Were there previous incidents or known defects?
What inspections were done during unoccupancy?
Helpful evidence includes:
Maintenance logs (dates, actions taken, contractor details)
Service certificates (fire alarm, emergency lighting, extinguishers, sprinklers)
Photos before and after repairs
Invoices and contractor reports
Risk assessments and fire risk assessment updates
Inspection checklists signed and dated
If you can’t show a paper trail, it becomes easier for an insurer to argue that maintenance wasn’t done.
A common misunderstanding is assuming insurance will pay to fix the underlying defect.
Wear and tear: the old pipe, the degraded roof felt, the corroded valve—usually not covered.
Resulting damage: the sudden flood damage to carpets, desks, and computers—may be covered, depending on wording.
However, if the insurer believes the “resulting damage” was also foreseeable or preventable (because the defect was obvious and ignored), they may challenge the whole claim.
Many offices are leased. That creates a grey area: who is responsible for maintenance?
Landlords often handle structural elements (roof, exterior walls, main services)
Tenants often handle internal maintenance and day-to-day upkeep
But insurance claims don’t always wait for landlord/tenant disputes to be resolved. If your business is claiming under its own policy, the insurer may still ask what steps you took to report issues, chase repairs, or mitigate damage.
Practical steps:
Report defects in writing to the landlord/managing agent
Keep copies of emails, photos, and follow-ups
If urgent, arrange temporary mitigation (e.g., water isolation, tarpaulin) and document it
You don’t need a complex system. You need consistency and records.
Walk the premises: look for leaks, staining, damp smells
Check escape routes are clear
Ensure fire doors close properly (not wedged open)
Remove waste and combustibles from storage areas
Confirm security basics: doors/windows lock, shutters operate
Visual check of gutters/downpipes (especially in autumn/winter)
Inspect high-risk areas: kitchens, toilets, plant rooms
Check portable heaters policy (if used) and safe storage
Review any reported defects and confirm actions taken
Review electrical safety: damaged cables, overloaded extensions
Check external lighting and CCTV (if applicable)
Review key control and alarm code access
Fire alarm service
Emergency lighting service
Fire extinguishers service
Intruder alarm service (and keep the certificate)
Boiler/heating service
Roof inspection (especially for older buildings)
Confirm policy definition of “unoccupied”
Schedule inspections (e.g., every 7 days) and log them
Isolate water or drain down if required
Maintain minimum heating temperature if required
Set alarms and ensure physical security
If you find a defect (leak, roof issue, faulty alarm), act fast and document everything.
Mitigate immediately: isolate water, place drip trays, secure the area.
Report and repair: contact landlord/contractor and get a written report.
Keep evidence: photos, dates, invoices, emails.
Tell your broker/insurer if required: some policies require notification of material changes or increased risk.
The goal is to show that you took reasonable steps to prevent loss.
When an incident happens:
Notify your insurer/broker promptly
Don’t dispose of damaged items until advised (keep evidence)
Take photos/video immediately
Provide maintenance records proactively
Be honest about known issues—insurers often find them anyway
If there’s a maintenance gap, your best approach is to show:
You didn’t know (and couldn’t reasonably have known)
You acted quickly once you became aware
You had a routine in place, even if it wasn’t perfect
Yes. If the policy includes maintenance or reasonable precautions conditions, or if the loss is linked to wear and tear/gradual deterioration, the insurer may decline or reduce the claim.
Basic upkeep and sensible risk control: fixing known defects, servicing alarms, keeping fire exits clear, and following unoccupancy requirements.
Often, policies won’t cover the cost of repairing the roof if it’s worn out. They may cover resulting internal damage if the leak was sudden and unforeseen, but long-term neglect can lead to disputes.
Potentially, yes. Insurers may expect you to report issues promptly and take reasonable steps to mitigate damage. Keep written evidence of reporting and follow-ups.
Keep a simple maintenance log, service certificates, invoices, photos, and inspection checklists—especially for fire and security systems.
Poor maintenance is one of the easiest ways for an otherwise valid office insurance claim to become a dispute. The good news is that prevention is straightforward: routine checks, professional servicing of safety systems, and a clear paper trail.
If you want to protect your business, think like an insurer: reduce avoidable risks and be able to prove you did. A basic maintenance schedule and a folder of certificates can be the difference between a smooth claim settlement and a rejected claim.
Need help reviewing your office insurance and the maintenance conditions that apply? Speak to a specialist commercial broker who can help you understand the wording, avoid gaps, and keep your cover claim-ready.
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