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…
Loss of rent (sometimes called rental income cover) is designed to replace the rent you would have received if a property becomes uninhabitable due to an insured event—for example, a fire, flood, escape of water, storm damage, impact, or malicious damage (depending on your policy wording).
It typically sits within:
Commercial property insurance
Landlord insurance
Commercial combined insurance
Loss of rent is not the same as:
Rent guarantee insurance (covers tenant non-payment)
Void periods between tenancies
Market downturns or rent reductions
In plain English: if the building can’t be occupied because of insured damage, loss of rent can keep cashflow stable while repairs are completed.
Insurers usually calculate loss of rent using two key inputs:
Sum insured (annual rent figure)
Indemnity period (how long cover lasts after a claim)
Get either wrong and you can end up underinsured—meaning you may not receive the full amount you expect.
Most policies ask for the annual rent (or “annual rental value”). This is often the maximum the insurer will pay for loss of rent during the indemnity period.
Depending on the insurer, the sum insured may be based on:
Current contracted rent (leases/ASTs)
Passing rent (rent currently being paid)
Estimated rent (if vacant but lettable)
Gross rent vs net rent (varies by wording)
The indemnity period is the maximum time the insurer will pay loss of rent after insured damage.
Common options include:
6 months
12 months
18 months
24 months
36 months (more common for complex commercial risks)
The right indemnity period depends on how quickly you could realistically:
Assess damage
Obtain approvals (planning, building control, landlord/freeholder consent)
Tender and appoint contractors
Complete repairs n- Re-let the property (if tenants move out)
Loss of rent is usually calculated as:
$$ \text{Loss of Rent Payable} = \text{Rent you would have received} - \text{Rent actually received} $$
Then the insurer applies the policy terms, such as:
The indemnity period
Any policy excess
Any average/underinsurance clause
Any limitations (e.g., only for insured perils)
Assume:
Monthly rent: £2,000
Property uninhabitable after a fire
Repairs take 5 months
Tenant can’t occupy and stops paying
Potential loss of rent:
£2,000 × 5 = £10,000
If your policy covers fire and you have a 12-month indemnity period, the time element is fine. The key question becomes whether your sum insured is adequate.
If a multi-let building has 4 units and only 2 are affected:
Unit A rent: £1,200/month (affected)
Unit B rent: £1,100/month (affected)
Unit C rent: £1,300/month (unaffected)
Unit D rent: £1,400/month (unaffected)
Loss of rent is based on the affected units only (subject to wording). If Units A and B are out for 6 months:
(£1,200 + £1,100) × 6 = £13,800
Many loss of rent sections are subject to average. That means if you under-declare your annual rent, the insurer may reduce the claim proportionately.
Actual annual rent: £60,000 Declared annual rent (sum insured): £45,000 You are insured for 75% of the correct figure.
If you claim £20,000, the insurer may pay:
£20,000 × 75% = £15,000 (before any excess)
This is one of the most common reasons landlords and commercial property owners feel “surprised” by a settlement.
There’s no one-size-fits-all number. The right level depends on your rent, your risk profile, and how quickly you can rebuild.
Start with your annual rent and then consider whether you need to adjust for:
Rent reviews due during the policy period
Indexation (if rent is linked to RPI/CPI)
Service charge elements (depending on whether they are included in rent and how the policy defines “rent”)
Expected occupancy (for multi-lets)
If you have stable leases, the annual rent is usually straightforward. If you have frequent turnover or seasonal income, you may need a more conservative buffer.
Work backwards from a “worst credible” scenario.
For example:
1–2 months: loss adjuster visit, scope of works, approvals
1–2 months: contractor availability and lead times
2–6 months: repairs (longer if structural)
1–3 months: re-letting period (marketing, referencing, fit-out)
For many standard residential lets, 12 months is often a sensible baseline. For commercial property, listed buildings, specialist fit-outs, or multi-occupied premises, 18–24 months can be more realistic.
To calculate the claim, insurers (or loss adjusters) commonly request evidence such as:
Tenancy agreements/leases
Rent schedule and rent ledger
Bank statements showing rent receipts
Management accounts (for commercial portfolios)
Evidence the property is uninhabitable (survey reports)
Repair timeline and contractor documents
Proof of mitigation steps (see below)
The more organised your records, the quicker the claim tends to move.
Most policies require you to take reasonable steps to minimise the loss. In practice, that can include:
Making temporary repairs to prevent further damage
Securing the property
Using alternative accommodation solutions where possible
Re-letting as soon as the property is fit for occupancy
If a property could have been made habitable sooner but wasn’t (for avoidable reasons), an insurer may challenge the length of the claim.
Policy wordings vary, but common limitations include:
Loss of rent only applies following insured damage (not wear and tear)
Exclusions for unoccupied property beyond a set period
Exclusions for flood unless specifically included
Exclusions for subsidence or movement (often restricted)
Exclusions for infectious disease or government restrictions (wording-dependent)
Caps on certain perils (e.g., escape of water limits)
Also check whether your policy covers:
Alternative accommodation (often alongside loss of rent for residential landlords)
Denial of access (e.g., nearby incident prevents access)
Non-damage denial of access (less common, often limited)
For owner-occupied commercial property, the equivalent concept is usually business interruption (BI), which covers loss of gross profit or revenue.
For landlords, loss of rent is the “BI-style” cover for rental income.
If you own a building and also operate a business from it (e.g., a shop with a flat above), you may need both:
Business interruption for trading income
Loss of rent for any let portions
Here are the biggest “easy wins” that prevent claim issues:
Use the correct annual rent figure (don’t guess)
Review rent annually at renewal
Choose a realistic indemnity period (especially for commercial)
Check if average applies to loss of rent
Keep leases and rent schedules organised
Understand unoccupancy conditions (and notify your broker/insurer)
Use this as a fast self-audit:
What is the total annual rent across all units?
Are any rent reviews due in the next 12 months?
If the worst happens, how long would repairs realistically take?
Would you struggle to re-let quickly (specialist premises, location, licensing)?
Is the property listed, complex, or likely to face planning delays?
Does the policy apply average to loss of rent?
No. Loss of rent relates to insured damage making the property uninhabitable. Rent guarantee relates to tenant non-payment.
Usually not. If the property is empty because you can’t find a tenant, that’s not an insured loss.
Often you can claim for the affected part only, but it depends on the wording and how rent is defined.
If it’s a straightforward residential property, 12 months is commonly adequate. If it’s commercial, listed, has specialist fit-out, or could face contractor delays, 18–24 months may be safer.
Yes—if the policy is subject to average, underinsurance can reduce the payout proportionately.
Buildings insurance fixes the physical damage. Loss of rent protects the cashflow that pays the mortgage, maintenance, and overheads.
If you want, tell me:
Property type (residential/commercial/mixed)
Total annual rent
Any special features (listed, multi-let, specialist fit-out)
…and I’ll suggest a sensible indemnity period and the key wording points to ask your insurer/broker about.
Medical office buildings (MOBs) sit in a unique space between “standard commercial property” and “healthcare premises&rdquo…
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