(re)insurance_annual review 2009
TRANSCRIPT
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Insurance and ReinsuranceReview of 2009
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CONTENTS
Avoidance 2 - 3Laker Vent Engineering Ltd v Templeton Insurance Company Ltd [2009] EWCA Civ 62R&R Developments Ltd v Axa Insurance UK Plc [2009] EWHC 2429(Ch)
General Conditions/Notification 4 - 5Ansari v New India Assurance Ltd [2009] EWCA Civ 93Porter v Zurich Insurance Company [2009] EWHC 376(QB)Tann v Herrington [2009] EWHC 445(Ch)
Warranties 6 - 7A C Ward & Son v Catl in (Five) Ltd & Ors [2009] EWCA Civ 1098A C Ward & Son v Catlin (Five) Ltd & Ors [2009] EWHC 3122 (Comm)
Exclusions 8 - 10
Reilly v National Insurance & Guarantee Corporation Ltd [2008] EWCA Civ 1460Ward v Norwich Union [2009] ScotCS CSOH 27Global Process Systems Inc & Anor v Syarikat Takaful Malaysia Berhad [2009] EWHC 637 (Comm)Global Process Systems Inc & Anor v Syarikat Takaful Malaysia Berhad [2009] EWCA Civ 1398
Interpretation 11 - 12Flexsys America LP v XL Insurance Company Ltd [2009] EWHC 1115 (Comm)Chartbrook Ltd v Persimmon Homes Ltd & Ors [2009] UKHL 38Excelsior Group Productions Ltd v Yorkshire Television Ltd [2009] EWHC 1751 (Comm)
Rectification 13Dunlop Haywards (DHL) v Erinaceous Insurance Services Ltd & Ors [2009] EWCA Civ 354
Reinsurance 14 - 16Lexington Insurance Company v AGF Insurance Ltd [2009] UKHL 2009Equitas Ltd v R&Q Reinsurance Company (UK) Ltd [2009] EWHC 2787 (Comm)
Disclosure 16 - 18Barr & Ors v Biffa Waste Services Ltd [2009] EWHC 1033 (TCC)Quinn Direct Insurance Ltd v The Law Society of England and Wales [2009] EWHC 2588 (Ch)Quantum Processing Service Company v Axa Insurance UK Plc [2008] EWCA Civ 1640
Jurisdiction 18 - 19Gard Marine & Energy Ltd v Lloyd Tunnicliffe & Ors [2009] EWHC 2388 (Comm)
Duty of Brokers 19 - 20Dunlop Haywards (DHL) Ltd & Ors v Barbon Insurance Group & Ors [2009] EWHC 2900 (Comm)
Limitation 20 - 21
Axa Insurance v Akther & Darby [2009] EWCA Civ 1166
Anti-suit Injunctions 21 - 24Allianz & Anor v West Tankers Inc [2009] EUECJ C-185/07DHL GBS (UK) Ltd v Fallimento Finmatica SPA [2009] EWHC 291 (Comm)National Navigation Co v Endesa Generacion Sa [2009] EWHC 196 (Comm)
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Avoidance
Laker Vent Engineering Ltd v Templeton Insurance Company Ltd [2009]
EWCA Civ 62
Court of Appeal ruling on avoidance/late notification
At first instance, the judge rejected the claim by a legal expenses insurer that it was
entitled to avoid its policy for non-disclosure and that the insured had breached a condition
precedent to liability by failing to comply with the claims notification procedure required by
the policy. The insurer appealed.
The Court of Appeal summarised the test to be applied as follows: an appellate court must
take particular care where, as here, the judge at first instance has to make an assessment
of a legal concept based on findings of fact, the evaluation of other facts, opinions,
impressions and nuances.
1) Avoidance: At first instance, the judge had said that it was hard to identify a pointprior to inception when the relationship between the insured and other parties to the
construction contract was a "material circumstance" which ought to be disclosed.
The Court of Appeal agreed that the judge's findings that, despite differences, the
relationship had remained "fairly amicable" could not be successfully challenged.
Furthermore, the judge's conclusion that "there must be features of the relationship
which, viewed objectively, show a real risk of escalation to the point of formal
dispute resolution procedures beyond the risk ordinarily inherent in any complex
construction contract" was "rational and sound", even though another judge might
have reached a different conclusion.
Furthermore, there had been no evidence at trial from the underwriter who had
written the policy (he had subsequently left the insurer on bad terms). Although thejudge accepted that a court can infer that an insurer had been induced even
without direct evidence, in this case he was not prepared to speculate on how the
insurer's underwriters might have responded. The Court of Appeal upheld the
judge's finding that inducement had not been proven on a balance of probabilities,
and added that the underwriter's clerk could have been called to explain the
principles on which the underwriter worked. The insurer's underwriting agents
could also have given evidence as they were involved in the process of renewing
and settling policy terms, particularly the premium.
2) Notification: The policy contained the following clause: "It is a condition precedent
to the Insurers' liability hereunder that We are notified in writing, immediately the
Insured is aware of any cause, event or circumstance which has given or is likely to
give rise to a Construction Claim". It was undisputed that "likely" meant more
probable than not. The Court of Appeal agreed with the judge that a claim was
likely only if it had reached the stage where adjudication, arbitration or litigation was
likely to be required to resolve the differences between the parties.
The Court of Appeal also went on to consider the effect of the recent Court of
Appeal decision in HLB Kidsons v Lloyd's Underwriters, which was handed down
after the judgment in this case. Aikens LJ concluded that the correct approach to
the construction of the wording "has given or is likely to give rise to a Construction
Claim" was to apply an objective test (despite the clause in this case being slightly
different from that in the Kidsons case, where notification had to be given of a
circumstance which "may" give rise to a claim).
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"There must be features of
the relationship which,
viewed objectively, show a
real risk of escalation to the
point of formal dispute
resolution procedures
beyond the risk ordinarily
inherent in any complex
construction contract"
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R&R Developments Ltd v Axa Insurance UK Plc [2009] EWHC 2429(Ch)
Whether there had been a misrepresentation in a proposal form/waiver of disclosure
The insured applied for a policy to insure it against theft and damage to certain contract
works. One of the questions in the proposal form was worded as follows: "Have you orany...Directors either personally or in connection with any business in which they have
been involved...ever been declared bankrupt or are the subject of any bankruptcy
proceedings or any voluntary or mandatory insolvency?" The insured responded "No".
The policy issued by the insurer contained a general condition that the policy was voidable
for misrepresentation or non-disclosure of a material fact. After inception the insurer
discovered that one of the directors had been the director of another company ("R & W")
which was in administrative receivership at the time the policy started. The insured sought
a declaration that the insurer could not avoid the policy.
The judge, Nicholas Strauss QC, held that there was no ambiguity in the question in the
proposal form and that the grammar and syntax were clear. The question related to only
the insured company and its directors (whether arising from their private affairs or from anybusinesses in which they have been involved). The judge said that it was not surprising
that the insurer had not asked about the claims and insurance history of the companies
with which the directors were involved, since insolvency was not a risk being insured
against. Accordingly, the insured's reply had been correct.
The judge also said, obiter, that if he had been wrong about the question being
unambiguous, the contra proferentem principle would have applied (ie any ambiguity
should be construed against the insurer). Where there is a genuine ambiguity, then (apart
from where there is fraud) "objective construction reigns supreme and subjective
understanding is irrelevant". Disagreeing with certain textbooks on this point, he held that
it was not necessary to consider how the insured actually understood the question put to
him (so it was not possible to say that if the insured misunderstood the question but gave
what he believed was a truthful answer, he would be exonerated). Instead, the issue is
whether the answer was true on the basis of a reasonably available (ie objective) meaning
of the question. In this case, even if the question had been ambiguous, the judge would
still have held that the meaning contended for by the insured was a fair and reasonable
one and so the answer was correct.
The insurer also sought to argue that, regardless of the question in the proposal form, the
director's connection with R&W was still a material fact which ought to have been
disclosed. The judge agreed with the tentative (and obiter) view of the Court of Appeal in
Doheny v New India that a question in the proposal form relating to personal insolvency
only would probably have been a waiver of any obligation to disclose corporate insolvency.
He held that "it is clear from the question that the [insurer] had the concept of businesses
with which the directors...of the insured were involved in their minds, but chose not to ask
questions about the position of such businesses." Accordingly, the insured could infer that
the insurer had waived disclosure of insolvency of any party other than the insured and its
directors.
The Statement of Fact in the proposal form had contained the declaration that the insured
had not withheld any material information (ie information which may influence the insurer).
In the case ofNoblebright v Sirius International[2007], it was held that an express clause
which made it clear that the proposer had a duty to disclose any fact which was likely to
influence acceptance or assessment of the proposal meant that there was no waiver by
the insurer of information which did not fall within a specific question in the proposal form.
In this case (which did not refer to Noblebright) the judge held that the wording of the
specific question in the proposal form implied a lack of interest on the part of the insurer ina particular subject matter and so that information was not information which "may
influence" the insurer.
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"Objective construction
reigns supreme and
subjective understanding is
irrelevant"
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Changes were material ifof a kind that take the risk
outside that which was in
the reasonable
contemplation of the parties
at the time the policy was
issued
General Conditions/Notification
Ansari v New India Assurance Ltd [2009] EWCA Civ 93
Material change in facts stated in the proposal form
General Condition 2 of a Commercial Property Owners' policy provided that "this insurance
shall cease to be in force if there is....any material change in the facts stated in the
Proposal Form...unless the Insurer agrees in writing to continue the insurance". The
insured, when completing the proposal form, had described his tenant's business as
"wholesaling kitchenware" and had confirmed that the premises were protected by an
automatic sprinkler installation. After a fire damaged the insured premises, it was
discovered that only half of the products sold by the tenant on the premises were kitchen
items and that the sprinkler system had been turned off (without the insurer having been
informed). At first instance, the judge found that there had been a "material change" and
so the insurers were entitled to refuse indemnity. The insured appealed.
The Court of Appeal rejected the insured's argument that a distinction should be drawnbetween the existence of a sprinkler system and its proper functioning - as the premises
were to be occupied, the insured's construction would be contrary to common sense and it
would give little or no effect to the word "protected" in the proposal form. Furthermore,
there had been a change of facts. If the sprinkler had been turned off for a brief period for
routine maintenance work, that would not have constituted a change, but in this case, the
sprinkler was turned off for a longer period of time and would have remained off for an
indefinite period.
The Court of Appeal then considered whether the fact that the sprinkler had been turned
off, and the change in the facts relating to the nature of the tenant's business stated in the
proposal form, were "material". The Court of Appeal accepted that the judge had been
wrong to apply a test of materiality derived from Pan Atlantic v Pine Top, both because itwas not apt to form the basis of a condition of this kind and because its potential effect
would be to deprive the insured of the whole benefit of the policy on the slenderest of
grounds. The Court of Appeal instead found that changes were material under this policy
if such changes were "of a kind that take the risk outside that which was in the reasonable
contemplation of the parties at the time the policy was issued" (ie applying the test in
Kausar v Eagle Star(1996), which in turn restates the common law position). However,
the Court of Appeal also found that, on the facts, the changes had been material -
"A system of this kind is intended to provide constant protection against fire and I do not
think that any insurer would regard a building fitted with a functioning automatic sprinkler
system as presenting the same risk as one that was not. If a protection system of that
kind is turned off for an indefinite period the nature of the subject matter of the insurance,
as the judge said, is altered. The insured must then inform the insurer if he wishes to
retain his cover."
Porter v Zurich Insurance Company [2009] EWHC 376(QB)
Fire claim and wilfulness and insanity/effect of breach of cooperation condition
The insured, after drinking heavily and while suffering from a persistent delusional disorder,
set fire to his home. He thereafter sought to claim under his property insurance policy. It
was undisputed that, unless insanity could be proven, his claim would be contrary to public
policy and general principles of insurance law, and would be excluded by an exclusion in
the policy for "any wilful or malicious act by a member of the family" - wilful having the
meaning of deliberate (see Patrick v Royal London Insurance Society[2007]). The test for
insanity was that laid down in the M'Naghten case: he did not know the nature and quality
of the act he was doing, or, if he did know it, he did not know that he was doing what was
wrong.
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Coulson J held that, on the facts, the insured's mental illness fell short of this test. He had
intended to kill himself and had taken clear and deliberate action to bring about that result.
During the process he had changed his mind and was ashamed of what he had done - that
was because he knew it was wrong.
After the fire, three separate thefts took place from the property. (One particular issue inthis case was whether any of the items stolen from the property had already been included
in the fire damage claim). However, the loss adjusters appointed by the insurer were
unable to progress their investigations because of a lack of cooperation from the insured.
Coulson J found that the insured was therefore in breach of the condition in the policy
which required him to cooperate with the insurer. This was not expressed to be a condition
precedent and therefore the only potential remedy available to the insurer was damages for
breach of contract. Coulson J said there was not sufficient evidence at this stage to
demonstrate that the breach caused the insurer a loss. The insurer would need to
demonstrate that if they had have carried out investigations at the time of the thefts, it
would have been shown that the theft claims should be rejected and that any claims which
might be sustainable now (8 years later) "only get off the ground because of the absence
of proper investigations at the time". Alternatively the insurer must be able to show that theclaims are now impossible to investigate at all. The sort of evidence which would be
required to demonstrate this would be, for example, a key witness has subsequently died
or the existence of documents which could determine the validity of the claims has been
destroyed because of the passage of time. The passage of time in itself was not enough.
This case therefore demonstrates once again the difficulty which insurers face when trying
to establish a claim for damages for the breach of a condition - how, after all, can insurers
demonstrate what the results would have been of an investigation which they were unable
to carry out?
Finally, although the judge accepted that it "may be right" to say that the insurer has
incurred costs in these proceedings which they would not otherwise have had to incur, that
was a costs matter to be decided at the end of the case.
Tann v Herrington [2009] EWHC 445(Ch)
Consequence of partner's failure to notify claim in time
In this case, a partner failed to notify the firm's professional indemnity insurers that a claim
had been made by a client and the insurers refused to indemnify. The issue was whether
the partner or the firm were liable for the damages owed to the client. This issue has
apparently not been considered before. The general rule under section 24 of the
Partnership Act 1980 is that the firm must indemnify a partner for personal liabilities
incurred by him. In order to depart from this rule, some element of culpability must be
shown on the part of the partner responsible. There was some dispute as to the standardrequired where the partner's default occurred in the management of the firm's
administrative affairs (and did not result in incurring liability to a client or other third party).
The judge held that the countervailing duty on the partner administering the professional
indemnity scheme was to ensure that he did so with a requisite degree of skill and care -
and a partner can be expected to use that degree of skill that he either had or held himself
out to have. It was found that the partner in this case had breached that duty (and, even if
that was wrong, he had also breached the duty on the test advanced by his lawyer -
namely to do his best, or to act to the standard which he would apply in looking after his
own affairs).
On the facts, the partner could not establish a convention that the insurers would accept
late claims (because they had done so on one previous occasion). Instead, the partnerhad delayed notification only because he thought the claim might well go away.
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The insurer would need to
demonstrate that if they had
have carried out
investigations at the time of
the thefts, it would have
been shown that the theft
claims should be rejected
A partner failed to notify the
firm's professional indemnity
insurers and the issue was
whether the partner or the
firm were liable for the
damages owed to the client
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Warranties
A C Ward & Son v Catlin (Five) Ltd & Ors [2009] EWCA Civ 1098
Interpretation of a warranty in an application for summary judgment
This case involved an appeal from a judge's order dismissing the insurers' application for
summary judgment on the ground that the insured claimant had no real prospect in
succeeding in its claim for an indemnity. The claimant suffered a loss following a burglary
at its warehouse during the early hours of the day. The burglars had cut through at the first
floor level of the warehouse and stolen cigarettes and tobacco stored in a caged area on
the mezzanine floor of the warehouse. At the time of the burglary, a vibration detection
wire was not in working order and the CCTV relay at the premises was suffering from an
intermittent fault which interrupted transmission of pictures. The claimant alleges that it
was not aware of these defects at the time of the burglary.
The claimant (and the premises) were not insured at the beginning of the "Multiline
Commercial Combined Policy", but after the claimant was acquired by the named insured,cover for the warehouse was provided by the policy (and it is alleged that the insurers did
not at that time require or receive any information about security protections at the
warehouse). The policy contained two warranties:
1) A Protection Maintenance Warranty, whereby it was warranted that "the whole of the
protections provided for the safety of the insured property shall be maintained in
good order...and that they shall be in full and effective operation at all times when
the Insured's premises are closed for business and at all other appropriate
times...."; and
2) A Burglar Alarm Maintenance Warranty, whereby it was warranted that "the
premises ....are fitted with the burglar alarm system stated in the Schedule...(b) theburglar alarm system shall have been put into full and effective operation at all
times when the insured's premises are closed...and at all other appropriate
times...All defects occurring in any protections must be promptly remedied" In
relation to this warranty, the Schedule stated: "Make & type of Burglar Alarm
System: Not provided".
At first instance, the judge made a final determination that both provisions were indeed
warranties, and not just suspensive conditions. However, both the judge and the Court of
Appeal held that the claimant has "a real prospect" of succeeding in its claim (although the
court made no determination of preliminary issues in this case). Etherton LJ (giving the
leading judgment) said that it would be "Draconian" to interpret the warranties as covering
the situation where the insured could not reasonably have known about the defects and
even if the defective operation was not due to any inaction or action of the insured or its
agents. Adopting the principle of contractual interpretation that the more unreasonable the
result, the more unlikely it is that the parties can have intended it, the Court of Appeal held
that the insured's interpretation gives the policy a "more reasonable commercial meaning".
The insured had a "fair argument" that the Protection Maintenance Warranty applied only to
the security and other protections mentioned in the proposal form. Furthermore, the
Burglar Alarm Maintenance Warranty referred to the Schedule which in turn did not refer to
any particular burglar alarm relating to the warehouse. Also, "the vagueness of the
reference in both Warranties to "all other appropriate times" may be said to sit
uncomfortably with the Draconian nature of the Warranties on the Defendants'
interpretation".
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It would be "Draconian" to
interpret the warranties as
covering the situation where
the insured could not
reasonably have known
about the defects
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However, given the court's recognition that warranties such as "be in full and effective
operation at all times" are standard terms with wide currency in the insurance market (and
that further evidence relevant to interpretation may become available at trial), Etherton LJ
said he could understand why the judge considered it would be appropriate to give the
insured the opportunity to adduce further material by the time of the trial. A decision on the
case was handed down in the following judgment:
A C Ward & Son v Catlin (Five) Ltd & Ors [2009] EWHC 3122 (Comm)
Breach of warranty/avoidance arguments
After the policy incepted, a variation was made removing Endorsement 6, which had
contained an exclusion of cover for theft of cigarettes and tobacco outside business hours
unless they were stored in a secure store on the ground floor of the warehouse. The
insurers resisted liability on the grounds that the warranties had been breached and it was
entitled to avoid the variation for material non-disclosure (and so Endorsement 6 remained
in place).
In this case, which largely turns on its particular facts, Flaux J held:
1) In relation to the PMW, the phrase "the protections provided for the safety of the
insured property" was not tied to protections identified in the proposal form. As a
matter of commercial common sense, it referred to whatever security devices or
protections the insured has in place at the insured property at the time of inception
of the insurance (although it would not apply to any future protections installed by
the insured after inception).
In relation to the BAM, although the policy schedule stated "Make & type of Burglar Alarm
System: Not provided", that was sufficient to amount to a "burglar alarm system stated in
the Schedule". The fact that it had not been approved by the insurers should not prevent
the warranty applying. Even if that was wrong, the judge considered that the warranty
should be construed so as to apply to the burglar alarm system which was in place at the
warehouse at the time of inception and that any other construction would be commercially
absurd. (It should also be noted that the insured had failed repeatedly to provide the
specification of the burglar alarm systems on its premises).
However, the judge also went on to find that both warranties were qualified, in the sense
that the insured was only in breach of warranty if there was some defect in the particular
protection or the burglar alarm system, "of which the insured becomes aware or should
reasonably have become aware and the insured has then failed to remedy the defect
promptly". That interpretation gave effect to the important closing words of each warranty:
"All defects occurring in any protections must be promptly remedied". The judgeconcluded that, on the facts, there had not been a breach of warranty by the insured.
2) The judge concluded that certain representations made by the insured regarding
compliance with a Risk Improvement Requirement amounted to material
misrepresentations. The judge also accepted that the underwriter in question had
been induced. The insured had sought to rely on a passage from North Star
Shipping v Sphere Drake Insurance [2005] to the effect that an underwriter's
evidence will be self-serving and so should "be rigorously tested by reference to
logical self-consistency". Flaux J held that in this case the underwriter's evidence
did have logical self-consistency and that, in any event, the evidence from the
insured's broker might be equally self-serving.
Accordingly, Endorsement 6 remained in place and since the cigarettes and tobacco were
stolen from the mezzanine floor, there was no theft cover in place in respect of them.
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The judge also went on to
find that both warranties
were qualified
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Exclusions
Reilly v National Insurance & Guarantee Corporation Ltd [2008] EWCA Civ
1460
Interpretation of policy exclusion/meaning of "machinery"
The appellant insured's business was the supply and installation of fire protection and
detection systems. Following a fire at a client's premises, the carbon dioxide system failed,
either because of insufficient pressure in the master cylinder or because of the failure of
the actuator piston (with carbon dioxide leaking). The relevant insurance policy (a
"Tradesmen Insurance Policy") contained the following exclusion: "This section does not
indemnify the Insured in respect of any claim arising out of....(ii) the failure of any fire or
intruder alarm switchgear control panel or machinery to perform its intended function".
At first instance, Burton J held that the policy exclusion applied to the circumstances of this
case. The insured appealed. Moore-Bick LJ (giving the leading judgment) agreed with
Burton J that the exclusion could not be read so that the words "fire or intruder alarms"governed everything that follows in that sentence. Machinery was to be treated as a
separate item of equipment and the clause was not limited to the failure of fire or intruder
alarm systems to perform their intended function. Moore-Bick LJ rejected the argument
that such an interpretation created a "trap for the unwary" - the insured was still being
covered for, for example, liability where the equipment disintegrated and damaged a
client's property. So the insurer's construction was not at odds with the statement in the
policy prospectus that the policy was "wide-ranging" and provided "protection against the
common risks faced by most contractors". Although the nature of the insured's business
should be taken into account when construing a policy, it was held that that did not shed
much light in this case.
The Court of Appeal therefore went on to consider whether there had been a failure of"machinery" on the facts of the case. The word "machinery" was said to be "capable of
encompassing a wide range of devices which operate by means of physical movement to
perform a particular function". Moore-Bick LJ concluded that the master cylinder valves
and actuators were "machinery" (because of their complexity and reliance on moving parts)
but the cylinders themselves, or the pipework, although physically connected, were not
"machinery" because they were separate components.
Accordingly:
if the failure of the system to work properly was caused by the failure of the actuator
piston, the claim would be excluded from cover; but
if the failure of the system to work properly was caused by insufficient pressure in
the master cylinder, the claim would not be excluded from cover.
Ward v Norwich Union [2009] ScotCS CSOH 27
Scottish case on accidental death policy and intoxication exclusion
The widow of W claimed under an Accidental Death Benefit insurance policy. W, a crew
member of a fishing vessel, had consumed large quantities of alcohol at a pub on the
evening of his death. He had then returned to the quayside, where he fell into the water
and, tragically, drowned. He was a non-swimmer and his fellow crew members were
unable to rescue him. The policy covered death caused by "accidental outward violent and
visible means" and also contained an exclusion for "accidental bodily injury caused by or
resulting from...intoxicating liquor...taken by the Insured Person".
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The word machinery was
said to be capable of
encompassing a wide range
of devices which operate by
means of physical
movement to perform a
particular function"
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The Scottish Court of Session (outer house - i.e. first instance) held that the death had
been accidental. It did not matter whether W's acts were deliberate, only if they were
intended. Although he intended to get drunk, he did not intend to fall into the water and
that could not be said to be the natural and probable result of an evening of heavy drinking.
Death caused by drowning was a death caused by violent, accidental, external and visible
means.
However, the court went on to hold that the policy exclusion applied. The alcohol
consumed by W must have impaired his judgment, balance and other faculties. Had he
been in full control of his faculties, he would not have fallen into the water. It must
therefore be presumed or inferred that the cause of W's fall into the water which led to his
death was the effect on him of the excessive quantity of alcohol taken by him. There was
no evidence in this case to rebut the presumption that W's death was cause by his
consumption of intoxicating liquor. Nor should the policy exclusion be read as covering
only death by alcohol poisoning or choking.
Global Process Systems Inc & Anor v Syarikat Takaful Malaysia Berhad[2009] EWHC 637 (Comm)
Marine insurance policy: fortuity and "inherent vice"
Three legs of an oil rig were lost at sea whilst it was being towed on a barge. The experts
agreed that the loss occurred because of fatigue cracking caused by repeated bending of
the legs under the influence of motions of the barge as it was being towed. The parties
disagreed, however, as to whether the proximate cause of the loss was an earlier
inadequate repair or inherent vice. The policy was an "all risks" policy excluding (amongst
other things) "inherent vice".
1) Fortuity argument. The defendants sought to argue that the loss of the legs was
inevitable - i.e. that the loss was certain to happen. Probability, however high, does
not bring a case within the ambit of inevitability and in this case Blair J concluded
that the failure of the legs as the rig was being towed around the Cape was very
probable but not inevitable. Accordingly, the judge did not need to decide the
further argument by the claimants that a policy will respond to an inevitable loss
unless it can also be shown that the insured knew the loss would be inevitable
when the policy was concluded. Blair J appeared to reject that argument, relying on
Arnould's Law of Marine Insurance which states that inevitability can probably be a
defence even where the fact that the loss was certain to occur was wholly unknown
to the parties.
2) Inherent vice argument. It was not in dispute that damage can be caused by
inherent vice without it being inevitable. The burden is on the insurer to make outthe exclusion. The exception against inherent vice is the same in the context both
of carriage by sea and marine insurance. Both the claimants and the defendant
accepted that inherent vice means the natural behaviour of the insured cargo
"without external intervention". However, Blair J said the test was not "without
external intervention" but rather "without the intervention of any fortuitous external
accident or casualty" - see Lord Diplock in Soya GmbH v White [1982]. So,
whereas the "vice" must be internal, the damage (being a consequence of that vice)
can and often will develop with the assistance of an external circumstance, typically
the weather. Furthermore, the court can consider the causal effect of a predictable
and reasonable change of plan (although in this case an alternative route would not
have made any practical difference).
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The death had been
accidental. It did not matter
whether W's acts were
deliberate, only if they were
intended
The failure of the legs as
the rig was being towed
around the Cape was very
probable but not inevitable
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In applying the law to the facts of the case, Blair J concluded that the legs failed not
because of the earlier repairs, but despite them: The real problem lay with the inherent
inability of the legs to withstand the normal incidents of the voyage (including the weather
reasonably to be expected), or, as the defendant's expert put it: "I don't think that these
legs were ever going to make it round the Cape". Accordingly, the proximate cause was
inherent vice. The appeal in this case was then handed down in the following case:
Global Process Systems Inc & Anor v Syarikat Takaful Malaysia Berhad
[2009] EWCA Civ 1398
Meaning of "inherent vice"
The critical issue raised in the appeal was whether the judge had been correct in ruling
that, since it was common ground that the action of the waves was no greater than was
"reasonably to be expected" in November around the Cape of Good Hope, the loss was
not due to perils of the sea. The Court of Appeal allowed the appeal.
There is no definition of "inherent vice" in the Marine Insurance Act 1906, but both parties
accepted that it meant the risk of deterioration of goods shipped as a result of their natural
behaviour "without the intervention of any fortuitous external accident or casualty". Under
the 1906 Act, an insurer is not liable for any loss not proximately caused by a peril insured
against (but conversely is liable for any loss which is proximately caused by a peril insured
against).
Following an extensive review of the relevant caselaw authority, Waller LJ concluded that:
1) Inherent vice can be a cause even though some outside agency, such as the
motion of the waves, has contributed causally to the loss;
2) Inherent vice may not be a proximate cause if there is an eventuality or accident
from without that causes the loss. It would be difficult to have concurrent causes
where one candidate is inherent vice (even if the Court of Appeal decision in the
Miss Jay Jay case appears to suggest otherwise). It is only if the peril insured
against is not a proximate cause that inherent vice can be the sole and proximate
cause; and
3) The burden is on the insurer to establish inherent vice as the proximate cause. If
cargo is damaged by the motion of a vessel in favourable or "perfect" weather, the
obvious inference in most cases is that any damage was caused by inherent vice.
In order to determine whether damage has been caused by inherent vice ,
reference must be had to wind or wave which would be bound to occur as the
ordinary incidents on any normal voyage. In this case, metal fatigue was not thesole cause of the loss of the legs: "A leg breaking wave, not bound to occur in the
way it did on any normal voyage round the Cape of Good Hope, caused the
starboard leg to break off. That led to the others being at greater risk and then
breaking off. It was not certain that that would happen and although with the benefit
of hindsight we know that it was highly probable, that high probability was unknown
to the insured and that was a risk against which the appellants insured".
In reaching this conclusion, the Court of Appeal disagreed with the test laid down by
Moore-Bick J in the Mayban case (in which he held that if the conditions encountered by a
vessel were no more severe than could reasonably have been expected, the conclusion
must be that the real cause of the loss was the inherent inability of the goods to withstand
the ordinary incidents of the voyage).
www.clydeco.com 10
A leg breaking wave, not
bound to occur in the way it
did on any normal voyage
round the Cape of Good
Hope, caused the starboard
leg to break off
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Interpretation
Flexsys America LP v XL Insurance Company Ltd [2009] EWHC 1115 (Comm)
"Umbrella" policies and drop down clauses/duty to defend
The claimant is an American subsidiary of a worldwide concern based in Belgium. As part
of a global insurance programme, a global master policy was issued providing cover (to,
inter alia, subsidiaries) in excess of any local policies issued to such subsidiaries. In this
case, the claimant was insured under a local Commercial and General Liability policy.
Following a claim against it by a Korean company in the US, the claimant incurred legal
costs of over US$2 million. Under a settlement with the local policy insurers (who
expressly denied any liability), the claimant recovered US$1 million (the limit of the local
policy). The claimant then sought to recover the balance of its legal costs from the master
policy insurers. However, under the master policy, the relevant cover for "advertising
injury" was written on far more narrow terms than under the local policy.
Memorandum E (Drop Down Clause) of the master policy provided that: "In the event ofpartial exhaustion of a local policy this Policy will pay in excess of the reduced underlying
Limit of Indemnity. In the event of total exhaustion of a local policy this Policy will continue
in force as the underlying insurance subject to the terms Exceptions and Conditions of the
particular local Policy". The claimant argued that the local policy was exhausted and so,
under the second sentence, the master policy drops down to provide further cover on the
terms of the local policy (apart from the policy limits).
Tomlinson J rejected that argument, holding that it did not apply where a claim was
recoverable under the terms of the local policy but irrecoverable under the terms of the
master policy. He looked at the background to drop down clauses and found that there
was no universally applied form of words - each clause had to be looked at on its own
merits. When the master policy here was looked at as a whole, he said that he would haveexpected some express wording to enable recovery under the master policy even where its
terms were more narrow than those of the local policy.
The second sentence of Memorandum E was instead designed to fill a gap: "it provides a
reinstatement of the local policy to be available to meet subsequent claims i.e. claims
subsequent to that or those which achieve total exhaustion of the local policy....It means
that in the case of either partial or total exhaustion there is cover available from the ground
up for the next claim". He also rejected the claimant's argument that it made no
commercial sense for it to choose to have only US$1 million worth of cover in certain
limited circumstances. Tomlinson J said that such an argument was "meaningless" without
a consideration of the cost of it buying further cover and a balancing of that additional cost
against the perception of the risk involved. Accordingly, the claimant was not covered
under the master policy.
In case an appeal is brought, the judge also went on to consider whether the terms of the
local policy in any event afforded the claimant cover in respect of the legal expenses which
it had incurred. He held that it did not. Cover was provided in respect of (inter alia)
"product disparagement", which in turn was qualified by exclusions where the insured acted
with the knowledge that its act would violate the rights of a third party, or that material was
false. The claims by the Korean company were, in essence, that the claimant had
intimidated customers into boycotting the Korean company. Tomlinson J said that it was
plain that the duty to defend had not been made out. He rejected the suggestion that it
would be enough to demonstrate that the allegations made did not preclude an innocent
mindset. The whole thrust of the Korean company's claims was that the claimant had
pursued a deliberate and concerted course of conduct designed to keep the Korean
company out of the market: "the notion that such conduct could be characterised as simply
negligent or reckless is in my view absurd".
www.clydeco.com 11
It means that in the case of
either partial or total
exhaustion there is cover
available from the ground
up for the next claim
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Chartbrook Ltd v Persimmon Homes Ltd & Ors [2009] UKHL 38
House of Lords decision on admissibility of pre-contractual negotiations
This case concerned the interpretation of a contract term. The House of Lords held that to
interpret the term in question in accordance with ordinary rules of syntax made nocommercial sense - something had gone wrong with the language used in this contract, not
with the meaning of the words but with the syntactical arrangement of those words. That
conclusion was enough to dispose of the appeal but Lord Hoffmann went on to consider
two further (now academic) arguments raised in the appeal:
1) Whether the court should take into account pre-contractual negotiations. There is a
long-standing rule that pre-contractual negotiations are inadmissible (Prenn v
Simmonds [1971]), on the basis that it is only the final document which records a
consensus. However Lord Hoffmann noted that: "among the dirt of aspirations,
proposals and counter-proposals there may gleam the gold of a genuine consensus
on some aspect of the transaction which would influence an objective observer in
construing the language used by the parties in their final agreement". He thereforeaccepted that it may be possible to admit evidence of previous communications
between the parties as part of the background which may throw light on what they
meant by the language they used. Negotiations are potentially relevant background
in exceptional cases. However, there was no clearly established case for departing
from the long-standing rule altogether.
Lord Hoffmann also referred to the "private dictionary" principle (whereby evidence
may be adduced that the parties habitually used words in an unconventional sense
in order to support an argument that the words in the contract should have the
same unconventional meaning). He said that the case of the Karen Oltmann [1976]
had illegitimately extended this principle because the communications looked at by
the judge did not evidence any unconventional usage (the case had merely involved
a choice between two conventional meanings of a word).
(2) Whether, if the appellants had failed on construction, the agreement should have
been rectified. Lord Hoffmann confirmed that rectification requires a mistake about
whether the written instrument correctly reflected the prior consensus, not whether it
accorded with what the party in question believed that consensus to be. An
objective, not subjective, ascertainment of the terms of the prior consensus is
needed. In this case, both parties were mistaken in thinking that the contract
reflected their prior consensus and so the appellants were entitled to rectification.
Excelsior Group Productions Ltd v Yorkshire Television Ltd [2009] EWHC
1751 (Comm)
Interpretation of contracts and private dictionary principle
This case involved the interpretation of a contract. Flaux J doubted whether prior
caselaw - that pre-contractual negotiations are admissible to show that the parties have
negotiated on an agreed basis as regards the meaning of certain words in their
contract - remained good law following the recent House of Lords decision in Chartbrook v
Persimmon. However, he was not required to reach a conclusion on that point since the
parties in this case had not negotiated on an agreed basis. He said that there was also a
very fine line between looking at negotiations to see if the parties have agreed on the
general objective of a provision (as part of the task of interpreting the provision) and
looking at the negotiations to draw an inference about what the contract meant (which isnot permissible): "a line so fine it almost vanishes".
www.clydeco.com 12
Among the dirt of
aspirations, proposals andcounter-proposals there
may gleam the gold of a
genuine consensus on
some aspect of the
transaction which would
influence an objective
observer in construing the
language used by the
parties in their final
agreement
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Rectification
Dunlop Haywards (DHL) v Erinaceous Insurance Services Ltd & Ors [2009]
EWCA Civ 354
Joinder of excess insurers to proceedings/rectification of insurance policy
The defendant, a producing insurance broker, was being sued by its client for allegedly
failing to obtain the insurance policy which it was (allegedly) instructed to obtain. The
defendant sought to join the excess insurers (who had denied liability after the insured (the
claimant) received various claims against it) to the proceedings. The defendant was
claiming that either the insurance which it obtained provided the claimant with what it
required (on its true construction) or would do so if it was rectified to accord with the
parties' common intentions. The excess insurers argued that the defendant's arguments
regarding construction and rectification were not seriously arguable and so it would not be
"desirable" for them to be joined to the proceedings (as required by CPR r19.2(2)). That
argument was accepted by the judge and the defendant appealed. Accordingly, the Court
of Appeal was called upon to examine the strength of the defendant's rectification case.
In this case, after the excess insurers were informed that their quotes had been accepted,
a FON ("firm order noted") endorsement was produced by the placing broker (the only
expert evidence before the court (although it was disputed by the excess insurers) was that
a FON endorsement was contractually binding). The slip which was then produced
contained a limiting condition which was not present in the FON endorsement. At first
instance, the judge held that given this difference, the slip constituted a fresh contract and
so there was no ground for rectification based on the FON endorsement.
The Court of Appeal said that the difficulty in this case was not showing a prior common
intention, but rather whether that intention survived into the instrument to be rectified (i.e.
the policy, although it was said that there was a valid argument that, once the slip was inthe form which it took, the drawing up of the policy was largely a matter of administration,
and so the critical stage was the transformation from the FON endorsement to the slip).
Rix LJ, delivering the leading judgment, said that even when one contract is superseded by
another contract, the later contract can still be rectified. Where many terms are new to the
superseding contract (and not just the term for which rectification is sought) it may be
difficult to prove that the prior common intention survived into the later contract. In this
case, though, it was submitted with some plausibility that all the essential terms of the
excess cover were already in place at the time of the FON and the drawing up of the slip
was largely an administrative process. On examining the facts of the case, it was
concluded that this issue should not have been dealt with summarily (i.e. without the need
for a trial) by the judge. Accordingly, the appeal was allowed and the excess insurers
joined to the proceedings for the purpose of participating in the issues of rectification and
construction.
Even when one contract is
superseded by another
contract, the later contract
can still be rectified
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Reinsurance
Lexington Insurance Company v AGF Insurance Ltd [2009] UKHL 2009
House of Lords unanimously allows reinsurers' appeal
Lexington insured an American company, Alcoa, under a policy which covered loss or
damage to property. The policy period ran for three years from noon 1 July 1977.
Lexington entered into a reinsurance contract with Wasa and AGF and the policy period
was identical to that of the underlying direct policy. The reinsurance policy contained a
clause which stated: "Being a reinsurance of and warranted same gross rate, terms and
conditions as and to follow the settlements of the [reinsured]" and was governed by English
law.
Environmental damage was sustained at Alcoa sites from 1942 until 1986 (and therefore
damage was sustained during the policy period). Alcoa brought proceedings against
Lexington in America and in 2002 the Washington Supreme Court held, as a matter of
Pennsylvanian law, that the direct insurance policy was to be construed as renderingLexington jointly and severally liable for the clean-up costs at the various sites, irrespective
of whether the damage was sustained before, during or after the policy period. Lexington
then settled with Alcoa and sought an indemnity from its reinsurer (Wasa). The reinsurer
sought a declaration from the English courts that it was not liable and won at first instance
but lost in the Court of Appeal. The House of Lords has now unanimously allowed the
reinsurer's appeal.
The House of Lords accepted that in proportional facultative reinsurance, there is a
presumption of back-to-back cover. However, there was no rule of law that reinsurers must
respond to every valid claim under the insurance irrespective of the terms of the
reinsurance. A reinsurance policy "is not simply a contract under which the reinsurers
agree to indemnify the insurers in relation to any liability that they may incur under theprimary insurance".
The parties had agreed that the American judgment had not been perverse, and the court
agreed that reinsurers cannot take technical points or refuse to provide an indemnity just
because a loss is not anticipated.
However, given the "fundamental" importance under English law of the temporal scope of a
time policy (especially in a losses occurring policy), the reinsured's argument failed. The
House of Lords also noted that in 1977, when both the contracts in this case were written,
there was not "any identifiable system of law applicable to the insurance contract which
could have provided a basis for construing the contract of reinsurance in a manner different
from its ordinary meaning in the London insurance market". In other words, the original
policy did not specify which system of law applied to it and reinsurers could not have
predicted that Pennsylvanian law would be applied.
In reaching their decision, the judges did take into account commercial practicalities - for
example, the Court of Appeal's interpretation would have left reinsurers with an
unpredictable exposure, to which their own protections (ie outwards cover) might not
necessarily respond. Lord Mance suggested that if reinsureds wanted to protect
themselves in future, they ought to ensure that the insurance and reinsurance policies are
subject to the same "identifiable and predictable" governing law.
(One further point in the judgment: the retention was expressed to be $1,675,000, the
policy limit was $20m "each occurrence". In the Court of Appeal, Longmore LJ confirmed
that that meant a single retention, not a retention per occurrence and Lord Mance agreed
with that view).
www.clydeco.com 14
A reinsurance policy is not
simply a contract under
which the reinsurers agree
to indemnify the insurers in
relation to any liability that
they may incur under the
primary insurance
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Equitas Ltd v R&Q Reinsurance Company (UK) Ltd [2009] EWHC 2787
(Comm)
What a reinsured must prove in order to recover under its follow the settlements
clause
Various Lloyd's syndicates (later reinsured into Equitas) paid claims under various
retrocession contracts in respect of two market losses: the Iraqi invasion of Kuwait in 1990
and the grounding of the Exxon Valdez in 1989. These retrocession contracts formed part
of the "LMX spiral", in which a large loss would be magnified as it was passed on among
companies and syndicates that reinsured each other. Years later it was determined in
court that certain parts of these two market losses could not be aggregated with the rest
and treated as part of a single "event" for retrocession purposes. Because of the opacity of
the LMX spiral it was not possible for Equitas to work out, with any precision, which parts
of its total payment could legitimately be aggregated together, and its retrocessionaires
therefore declined to pay anything in respect of these losses.
It was common ground that Equitas could not replicate the spiral at each level leaving outthe wrongly aggregated and irrecoverable elements. Instead, Equitas sought to use
actuarial modelling to put a figure on the "tainted" elements, leaving a minimum
recoverable amount properly due under its retrocession contracts. R&Q countered that
Equitas must prove the sums claimed are properly due under each and every underlying
contract (from the bottom of the spiral all the way up to the Equitas level) and that if it could
not do that, that would be an end to the matter and Equitas could not recover at all.
All the reinsurance contracts incorporated the JELC clauses which provided (in relevant
part) that "It is a condition precedent to liability under this contract that settlement by the
reassured shall be in accordance with the terms and conditions of the original policies".
Many of the reinsurance contracts also provided that the loss settlements of the reinsured
would be binding on the reinsurers provided those settlements were within the terms and
conditions of both the original policies and the reinsurance contracts.
The follow the settlements clause in the reinsurance contracts therefore differed from the
"strong" follow clause considered in the Insurance Company ofAfrica v Scor[1984] case
(there, the reinsurers were held to be bound to indemnify the reinsured for all settlements
provided only that the claim, as recognised by the reinsured, fell within the risks covered by
the reinsurance contract as a matter of law, and that in settling the underlying claim, the
reinsured had acted honestly and in a business-like fashion). Instead, the clause in issue
in this case resembled that considered in Hill v Mercantile & General Reinsurance [1996],
in that it had to be proven that the settlements made by the reinsured were also within the
terms of the underlying policy. Gross J found that Hill v Mercantile was authority for the
proposition that the (re)insured must prove, on a balance of probabilities, and as a matter
of law (not fact) that a settlement fell within the underlying policy.
However, this did not require Equitas to re-present correctly aggregated losses: "It is one
thing to posit that the loss must fall within the cover of the inwards policy, but quite another
to require proof of liability under each and every underlying contract. As a matter of logic, it
does not follow that because at some much lower level in the spiral a claim may have been
paid outwith the cover furnished at that level, therefore a settlement at a higher level
cannot satisfy" the requirement that the reinsured prove that the settlement fell within the
scope of the underlying policy. Equitas was entitled to discharge the legal burden resting
on it by use of the best evidence which it has available.
www.clydeco.com 15
It is one thing to posit that
the loss must fall within the
cover of the inwards policy,
but quite another to require
proof of liability under each
and every underlying
contract
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The judge concluded that if Equitas' liability did fall within the cover of the contract
reinsured (eg because a claim fell within the risks covered by that contract and/or the
underlying limits had been exhausted), liability would be established as a matter of law, and
what remained were "questions of quantum". At this stage "there can be no objection in
principle to Equitas seeking a recovery in a minimum amount...the effect is simply that
Equitas foregoes any attempt to recover additional sums. The extent of losses, onceliability has been established, need not be proved with scientific exactitude". However,
there might be factual situations where it might be possible and appropriate to re-construct
layers of the LMX spiral.
The judge also found that the factual matrix and market practice in this case did not affect
his conclusion. He then went on to consider whether actuarial modelling should be used to
establish Equitas' loss. He concluded as follows: "I accept that actuarial modelling is
complex, expensive, imperfect and, for my part, not ideal in the context of this litigation. It
is plainly necessary to proceed with caution. However...I am persuaded that the models
are both capable of making the transition from the general to the particular and do go on to
provide a reasonable representation of reality". The models were "emphatically preferable
to leaving the losses to lie crudely where they fall".
Disclosure
Barr & Ors v Biffa Waste Services Ltd [2009] EWHC 1033 (TCC)
Disclosability of ATE insurance policies
The claimants applied for a Group Litigation Order ("GLO") in respect of their claims in
negligence and nuisance against the defendant arising out of odour emissions from the
defendant's landfill site. Whilst the defendant did not necessarily object to the making of
the GLO, it sought, as a condition of such an order, disclosure of the claimants' after the
event ("ATE") insurance policy. Disclosure was sought on two grounds:
1) The ATE policy had been mentioned in two witness statements relied on by the
claimants ("The CFA is supported by a policy of insurance"). CPR r31.14 provides
that a document mentioned in a witness statement is disclosable. Coulson J was
satisfied that the policy was not merely mentioned in passing in this case.
Accordingly, the policy should be disclosed unless it was either irrelevant or covered
by litigation privilege. Coulson J concluded that the ATE policy was relevant - the
parties were agreed that, if there was no GLO, this litigation would not be pursued
because the value of each individual claim was modest, whilst the costs would likely
be very significant. There would be no GLO without the existence of the ATE policy.
Furthermore, the policy should be disclosed so that the defendant could form its
own view as to its limits and exclusion clauses.
Coulson J also referred to the recent decision in West London Pipe Line Storage v Total
[2008], which doubted the decision in Harcourt v Griffin [2007], and which held that there
was no jurisdiction to order disclosure of a liability policy. Coulson J said that there was a
difference between liability insurance (which may well have been in place years before the
events giving rise to the litigation and have absolutely nothing to do with those events) and
ATE insurance, the inception of which may be a critical factor in the existence of the
proceedings themselves. In this type of case, where the GLO depended on the ATE
insurance policy, the courts' traditional approach to disclosure of liability policies was not
relevant.
The judge also rejected an argument that the policy was covered by litigation privilege.However, he accepted that the amounts of the premiums should be redacted because,
although a little far-fetched on the facts, he could see circumstances in which it might be
arguable that disclosure of the premiums would allow the reader to work out what legal
advice had been given.
www.clydeco.com 16
The policy should be
disclosed so that the
defendant could form its
own view as to its limits and
exclusion clauses
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2) Disclosure should be granted pursuant to the court's general case management
powers. Although it was not strictly necessary for Coulson J to consider this
argument, he concluded that it would be unjust to require the defendant to
participate in this group litigation knowing that it would have to pay the claimants'
costs if it lost, but not knowing if it could recover its costs if it won (because of some
exclusion or limit in the ATE policy). The risk of the defendant exploiting itsknowledge of the level of cover by running up huge costs bills could be controlled
by the judge using his wide case management powers.
Quinn Direct Insurance Ltd v The Law Society of England and Wales [2009]
EWHC 2588 (Ch)
Request for disclosure of documents to solicitors' insurer following Law Society
intervention
"O" and "I" were joint partners of a firm of solicitors. Following the intervention of the Law
Society in their practice, the solicitors' insurer refused to indemnify "O" on the ground of hisalleged dishonesty. The insurer then sought disclosure of all documents of the firm in the
Law Society's possession "to consider whether under the policy the [insurer] is obliged to
indemnify or obliged not to indemnify ["I"]". No allegation of dishonesty had been made
against "I" at that stage. The Law Society agreed to provide certain documentation (where
specific claims had been made by clients and there were no privilege or confidentiality
objections) but refused a blanket request for access. Smith J refused the application on
the following grounds:
Merely because solicitors must be insured (under the provisions of the Solicitors Act
1974) does not imply that clients will expect insurers to be able to see privileged or
confidential documents when the clients are not involved in any aspect of a claim or
dishonesty: "There is not in my view a sufficient linkage between the clearly
regulatory role of the Law Society to that of insurers to confer on insurers an
unfettered right of access to the solicitors' documents". The whole purpose of the
insurer's application in this case was not to exercise any supervisory role in the
conduct of the firm - it was just to attempt to gather evidence to enable it to refuse
an indemnity;
The Law Society is not a party to the insurance policy and so is not bound by a
provision in the policy requiring the insured to give "all such information and
assistance as [the insurer] may require". Furthermore, the documents belong to the
relevant client and the Law Society is under an obligation to preserve them and
hand them over to the client. Any residual documents (ie the firm's own working
papers and records) will generally be passed to the client's new firm and the Law
Society can only respond to specific requests for disclosure;
In any event, Smith J held that the requested documents would not have been
recoverable from the insured solicitors either. The solicitors were not obliged to
provide information and assistance whenever the insurer asked for it. Instead, the
obligation arises only "in the event of any occurrence which may give rise to liability"
under the policy. Smith J interpreted Gan Insurance v Tai Ping(No 3) [2002] as
meaning that "the insured is only required to provide information to assist in a claim
that is already made. An insured is not required to provide information solely for
investigating whether or not a breach of the insured obligations can be established";
It cannot be said that the insurer could have obtained the documents anyway by
way of an application under CPR r31.17 (non-party disclosure). The insurer wouldneed to first have a clearly formulated proper claim against "I" and the claimant was
not in position to make such a claim at present. Furthermore, the insurer was
seeking "to override the privilege of every client of the firm. I cannot see realistically
that the Court can do that under CPR r31.17".
www.clydeco.com 17
An insured is not required
to provide information solely
for investigating whether or
not a breach of the insured
obligations can be
established"
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Quantum Processing Service Company v Axa Insurance UK Plc [2008]
EWCA Civ 1640
Whether policy excluded cave diving
The insured, an experienced scuba diver, claimed under his travel insurance policy formedical treatment which he required after he went cave diving on holiday. The policy did
not expressly exclude scuba diving, but the general conditions excluded hazardous
activities and claims arising out of wilful exposure to needless danger. The policy also
contained a provision stating that if the insured was going to take part in hazardous or
sporting activities, he/she should check whether the policy covered such activity
beforehand. In this case, the insured had disclosed that he intended to go scuba diving to
the insurers.
At first instance, the judge held that the insured had not expressly said that he was going
cave diving and, as this was more dangerous than open water diving, he was not covered
under the policy. In this case, the Court of Appeal overturned that decision. The insured
had complied with the policy conditions by disclosing that he would be scuba diving whilston holiday. Since the insurers had not imposed any limitations after being told of the
insured's intentions, the policy should be read as excluding hazardous activities "save for
scuba diving". Since cave diving was a form of scuba diving, and the insured had not been
told that he would not be covered for such activity; scuba diving in caves had not been
excluded under the policy.
Jurisdiction
Gard Marine & Energy Ltd v Lloyd Tunnicliffe & Ors [2009] EWHC 2388
(Comm)
Reinsurance claim and applicable law/jurisdiction issues
The claimant, Gard (a Bermudian company), reinsured a risk under two excess of loss
reinsurance slips made with: 1) London market underwriters (one of which was Advent)
and 2) Glacier Re (a Swiss reinsurer). The London market slip was subject to English law
and jurisdiction but there was no such express choice in the Glacier Re slip. The two
placements were made by a Lloyd's broker ("AHP"). Following a dispute regarding the
amount of the deductible to be applied following a loss, Gard commenced proceedings
against Advent and Glacier Re (and another reinsurer). Glacier Re objected to the
jurisdiction of the English court. In this case, Hamblen J decided the following issues:
1) Applicable law. The judge held that he was satisfied that Gard had established at
least a good arguable case that English law is the applicable law. The
circumstances of the placement were said to point towards a choice of English law.
Glacier Re was being asked to participate in a London market placement. A Lloyd's
policy form (the J (A) form, which is a mere policy jacket) was used and the slip was
a Lloyd's brokers slip structured in a manner common to Lloyd's. Furthermore, the
slip incorporated a number of London market wordings and certain clauses used
had particular relevance to English law.
2) Jurisdiction. The Lugano Convention is the applicable jurisdiction regime as
between the UK and Switzerland. Article 2 of the Convention provides that a
defendant should be sued in its country of domicile. However, Article 5(1) of the
Convention provides that a defendant may be sued in another Contracting State in
matters relating to a contract "in the courts for the place of performance of theobligation in question". Under English law, the general rule is that the place of
performance is where the creditor resides. Gard resides in Bermuda. It therefore
sought to argue that there was a common intention that claims payments would be
made to AHP in London.
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It was necessary to show
that there was an obligation
(and not just a practice) to
pay claims to the brokers in
London
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The judge rejected that argument. It was necessary to show that there was an obligation
(and not just a practice) to pay claims to the brokers in London, and Gard could not do
this. Even if a broker owes a (re)insured a duty to collect claims, it does not necessarily
follow that the (re)insurer is contractually bound to pay all claims to the broker. Nor was
there sufficient evidence of a practice or custom to pay claims to the broker.
Gard also sought to rely on Article 6(1) of the Convention, which provides that a person
domiciled in a Contracting State may also be sued "where he is one of a number of
defendants, in the courts for the place where any one of them is domiciled". The judge
was satisfied that Gard had at least a good arguable case on this ground. Gard's claims
against Advent and Glacier Re turned on the proper construction of a clause which was
exactly the same in both contracts. That clause fell to be construed under English law. It
was unlikely that issues of fact would have a major bearing on the resolution of that issue.
There was therefore a "real risk of divergence of outcome in the context of the same
situation in fact and law". It was overwhelmingly just, convenient and expedient that
Gard's claims against Advent and Glacier Re be determined in one jurisdiction.
Duty of Brokers
Dunlop Haywards (DHL) Ltd & Ors v Barbon Insurance Group & Ors [2009]
EWHC 2900 (Comm)
Alleged negligence of producing and placing brokers
The claimants received a number of claims from various lenders as a result of allegedly
negligent or fraudulent valuations by one of its directors. The claimants had taken out a
professional indemnity policy covering its "commercial Property Management activities
only" and insurers declined an indemnity on the basis that the policy did not cover liabilities
arising from valuations. The claimants sued their (producing) broker for failing to obtain the
insurance policy which it was allegedly instructed to obtain. The broker joined the insurers
and the placing broker to the proceedings. Hamblen J reached the following conclusions:
1) The policy did not respond to the third party claims, either on its true construction or
as a result of rectification. The judge found, as an issue of fact, that there had been
no contract at the FON ("Firm Order Noted") stage, and in any event, the FON
contract was always intended to be superseded by the slip and, later, the policy.
Accordingly, the slip and the policy should not be construed by reference to it.
There was a strong inference on the facts that the parties had deliberately departed
from the earlier wording. From the insurers' point of view, there was nothing
strikingly illogical or obviously uncommercial about the claimants (who were under
new management) deciding to purchase the sort of cover that they did (especially
as this was an excess policy). Nor was there sufficient evidence to establish thenecessary prior agreement between the parties required for rectification. The judge
held that the policy did reflect the terms of the parties' agreement;
2) The claimants were not at fault for failing to check the policy terms. The judge
appeared to accept that, as a relatively sophisticated purchaser of insurance, the
finance director of the claimants may have been at fault for failing to even read the
terms of the policy. However, on the facts, he had been assured by the broker that
the policy "covers all bases" and so the finance director's blameworthiness "pales
into insignificance"; and
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There was nothing
strikingly illogical or
obviously uncommercial
about the claimants
deciding to purchase the
sort of cover that they did
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3) It was just and equitable to apportion damages between the producing and the
placing brokers on a 80%/20% basis. Although it is essentially the producing
broker's duty to ascertain an insured's insurance needs, the placing broker must
take care to ensure that the instructions are understood. In certain cases, a placing
broker should request clarification or query the instructions if, for example, they
appear to be illogical or absurd. In this case, the placing broker had been told notto take away cover without an express request to do so.
The judge concluded that on the facts of the case, the potential detriment to the claimants
was so significant that a reasonably competent broker would have sought to query or
clarify the instruction, all the more so since it was a changed instruction. However, the
judge also found that this was a case of "a mistaken instruction being given and
maintained negligently rather than knowingly or recklessly". In essence, the broker's
complaint had been that the placing broker should have saved Mr Hart (of the producing
broker) from himself.
LimitationAxa Insurance v Akther & Darby [2009] EWCA Civ 1166
Court of Appeal decision on limitation issue in claim brought by ATE insurer against
panel solicitors
Axa was the assignee of NIG, which issued ATE insurance to the clients of certain panel
solicitors. It is alleged that the panel solicitors negligently failed to ensure that their clients
had a greater than 50% prospect of success when the policies were written (the "vetting"
claims) and (when they were conducting litigation on their clients' behalf) that they
negligently failed to notify the insurer when the prospects of success fell below 50% (the
"conduct" claims).
Any contractual claim against the solicitors would have been time-barred so the insurer
brought a claim in tort. Claims in tort are time-barred six years after the cause of action
accrued. For negligence claims, damage must be suffered before the limitation period will
start to run. Of issue in this case, therefore, was when the damage to the insurer could be
said to have accrued. At first instance, Flaux J held that damage had accrued when the
ATE policy was issued and so the insurer's claim was time-barred. The insurer sought to
argue on appeal that time only began to run when a claim could have been made under
the ATE policy and until then liability was an unsecured contingent liability.
By a 2:1 majority (Lloyd LJ dissenting), the Court of Appeal has rejected the appeal.
The case turned on the interpretation of the House of Lords decision in Law Society vSephton [2006]. In that case, a firm of accountants had negligently certified a solicitor's
accounts and it was later discovered that the solicitor had misappropriated money. It was
held that the Law Society suffered damage only when a claim was made against its
compensation fund and not when the solicitor misappropriated the money.
Arden LJ and Longmore LJ held that this was not a case like Sephton, which had involved
a "pure contingent liability". In Sephton, the Law Society had not entered into any kind of
transaction. Instead, its liability arose because it has a statutory duty to maintain a
compensation fund. It was said that Sephton had established that there must be
measurable loss before time starts to run "that is to say, loss which is additional to the
incurring of a purely contingent liability". In the present case, the insurer had entered into a
transaction by issuing the ATE policy: "The principle that incurring a purely contingentliability is not itself damage does not apply where the claimant acquires a contingent
liability as part of a package of rights under a bilateral transaction and the value of that
package has been diminished by the negligence of the defendant".
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The loss to insurers was
therefore in the natural
order of things bound to
occur"
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This case therefore reflected the "flawed transaction" scenario, where the claimant should
have received certain benefits but, because of the negligence of the defendant, it did not
do so. (Longmore LJ held that "if such a flawed transaction has come into existence that
will, in my view, usually be the damage which the recipient of the advice has suffered and
that is more than the existence of a mere contingent liability".)
Arden LJ noted that in this case, the ATE policies were issued as part of the conduct of an
insurance business. The premiums were not just ordinary trading receipts. Instead, they
facilitated the creation of a reserve to meet claims. It was not appropriate to separate out
the premiums and argue that they were not "harmed": "The ability of [NIG] to use the sums
representing premiums to meet claims was certainly affected by the vetting breaches
because the matching liabilities were greater than they should have been. This applies
even though the premiums themselves are not appropriated in law to the payment of
claims". The insurer therefore suffered damage as soon as the policy was issued. As
Longmore LJ put it: "the loss to insurers was therefore in the natural order of things bound
to occur".
(Lloyd LJ, dissenting, held that until a claim arose under the policy, the insurer's liabilitywas only contingent. Although it was true to say that the insurer's position was worse upon
entering into the policy, it was only worse because of the contingent liability which it had
incurred).
Anti-suit Injunctions
Allianz & Anor v West Tankers Inc [2009] EUECJ C-185/07
Anti-suit injunctions and arbitration - ECJ judgment
Following a collision in 2000, charterers commenced arbitration proceedings against the
shipowners in London (the charterparty being expressly governed by English law and
containing a clause providing for arbitration in London). The charterers had also claimed
under their insurance policy and, following payment, insurers exercised their rights of
subrogation to commence proceedings in July 2003 in Italy against the shipowners, to
recover the amounts which they had paid to the charterers (the shipowners objecting to the
Italian courts' jurisdiction because of the existence of the arbitration agreement).
In September 2004, the shipowners commenced proceedings in England to obtain an
anti-suit injunction restraining the Italian proceedings. Under EU Regulation 44/2001 ("the
Regulation"), the court of a Member State may not issue an anti-suit injunction to restrain
proceedings which have already been brought in another Member State (that other
Member State being "first seised"). The European Court of Justice ("ECJ") cases ofTurner
v Grovit(2004) and Gasser v MISAT(2003) confirmed that that is the position even wherethe proceedings in the other Member State have been brought in breach of an exclusive
jurisdiction clause.
However, arbitration is excluded from the scope of the Regulation and the House of Lords
in this case took the view that the shipowners were entitled to an anti-suit injunction to
protect their contractual right to arbitration. Nevertheless, the House of Lords felt the
answer was far from obvious and so referred the question to the ECJ. Last year,
Advocate-General Kokott concluded that the Regulation precluded the court of a Member
State from granting an anti-suit injunction to restrain the breach of an arbitration
agreement. The ECJ has now handed down its decision, upholding the
Advocate-General's conclusion.
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Member State courts must
not grant anti-suit
injunctions on the grounds
that the proceedings have
been brought in breach of
an arbitration agreement
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The ECJ agreed that the application for an anti-suit injunction from the English courts in
this case did not fall within the scope of the Regulation. However, it was said that such an
injunction would undermine the effectiveness of the Regulation, especially since the Italian
court would be prevented from exercising the jurisdiction conferred on it by the Regulation.
In this case, it was for the Italian courts alone to rule on its own jurisdiction. Member State
courts must not grant anti-suit injunctions on the grounds that the proceedings have beenbrought in breach of an arbitration agreement.
Whilst this is not a surprising decision (given the earlier decisions in Grovitand Gasserand
the Advocate-General's opinion), it will put London (and European) arbitration at a
considerable disadvantage to other leading arbitration centres such as New York and
Bermuda, where the national courts retain the right to restrain parties from acting in breach
of arbitration agreements.
DHL GBS (UK) Ltd v Fallimento Finmatica SPA [2009] EWHC 291 (Comm)
Enforcement of a foreign judgment obtained in breach of an arbitration clause
An English company and an Italian company entered into an agreement which contained
an English choice of law clause and a London arbitration clause. However, the Italian
company brought a claim in Italy to recover its unpaid invoices. The English company did
not participate in that litigation and the Italian court went on to hold that it had jurisdiction to
hear the case (because of (inter alia) a "consolidated trend" to be found in decisions of the
Italian courts) and that the question of whether the Italian company was bound by the
arbitration clause was governed by Italian law (by virtue of Article 4.2(e) of Council
Regulation 44/2001("the Regulation")). It was held that the Italian company was not bound
by the arbitration clause and judgment was given against the English company.
The Italian company then successfully applied for registration of the judgment in England
and the English company appealed against registration on the grounds that: (1) the
judgmen