“Add[itional] Driver 1, Hit by T[hird].P[arty]. in rear, P[ersonal I[njury] No, Fault Yes,£2000 Own cost,£0 TP cost, NCB [no claims bonus] disallowed”
“We are maintaining our decision to void the policy from inception due to the non-disclosure of material fact. Our Underwriting Department have been informed of the decision and require the current Certificate of Insurance in order to calculate the return.”
“Do not process any amendments on this policy without prior referral to Tech Claims”
“Q. So, you had taken the decision to continue this policy at this particular point in time? A. Yes. Q. So the repudiation was no longer effective at this particular point in time? A. The repudiation was being discussed in correspondence at that time. Q. Yes, but you had not actually rescinded the policy at this particular point of time? A. No. Mr Justice Moore-Bick: That was your understanding, was it? A. Yes. Q. The policy was still running? A. Yes. Counsel: And they were the instructions, you actually tell the underwriters to hold fire and not to cancel it for the time being? A. Yes… Mr Justice Moore-Bick: I am sorry, you will understand that I am finding this a bit puzzling. Letters were written in August 1996 to the insured telling him that the policy was void? A. Yes… Q. Is there any doubt about the position as you would understand it from the insured’s point of view, receiving your letter? A. No. Q. And did you know about this correspondence by January 1997? A. Yes, we had the full file with us. Q. It was your genuine understanding that you had not avoided the cover? A. We hadn’t cancelled the policy at that point. Q. I do not want there to be any misunderstanding. What do you mean by “cancelled the policy”? A. Formally closed the policy down and given a returned premium, voided from inception. Q. So you were administering this as if it had not been avoided? A. Yes. Q. Even though you knew that you had written to the insured telling him that it had been avoided? A. Yes, but we hadn’t got the certificate back which we’d asked for; he still had that. Q. I see. Thank you. Counsel: So, the position is that you were deliberately keeping the policy running and you were continuing to seek the premiums and you were giving instructions, well, continuing instructions not to cancel the policy for the time being? A. Yes.”
“If at any time any claim arises under this Policy there is any other existing insurance covering the same loss damage or liability the Company shall not be liable to pay or contribute more than its rateable proportion of such claim.”
“We neither agree with, nor accept, this decision, and it is our intention to further pursue the matter as we are of the opinion that the Provident’s actions are in breach of the market agreement, and it is in fact they who should be giving consideration to your client’s claim. However, we do of course accept that we are providing cover to our Insured…and as we would not wish the unresolved dispute between ourselves and the Provident, to prejudice your client’s position, we confirm that until such time as our dispute has been resolved, we will be giving consideration to your client’s claims.”
“However, upon the basis of the information currently available to us, we must advise you that we do not accept or agree with your decision, and it is our intention to pursue the matter further. Therefore, we are not prepared to provide you with the requested confirmation that we will deal with all the claims arising out of this accident, but in recognition of our involvement under the Driving other vehicles extension of our Policy, and in order to avoid any further adverse publicity to the industry, we have notified the Claimant’s Solicitors that until such time as the dispute between us is resolved, we will give Without Prejudice consideration to their client’s claim.”
“We did not wish Mrs Kaur to be in a position where two Insurers were refusing to provide her cover for legal representation against a serious charge which she was subsequently found guilty of. We are surprised and concerned at Provident’s handling of this matter, and perhaps you would be kind enough to look into this case for us, and provide us with your own opinions.”
“I felt it was only right to give you the opportunity to review the situation in light of those comments. I would ask you to confirm you will now take over the handling of the claim, failing which the matter will have to be referred to the ABI and/or for further litigation to be considered.”
“Mr Shaw accepted that if Provident had been told that Dr Singh and Mrs Kaur had received full compensation from the third party it would have reclassified the accident as a “no fault” accident. It would then have ceased to have any significance when it came to setting the premium on any subsequent renewal. He also accepted that if Dr Singh had given the same information to Provident shortly after its decision to avoid the policy it would probably have reversed its stance and accepted his claim. By the spring of 1997, however, things had moved on. It had become apparent that Mr Beach had sustained serious injuries and that his claim was likely to be substantial. Provident also had reason to think that if it maintained its refusal to pay, Drake would probably deal with the claim. Mr Shaw, who had by then assumed responsibility for handling this claim, confirmed that he had decided quite deliberately not to respond to the assertion made by Dr Singh in his letter of5th March 1997 that the accident in January 1994 had been a “no fault” accident because he did not think that of itself that amounted to sufficient proof. In his view it was up to Dr Singh at that stage to make out his case. I can only infer that Mr Shaw chose not to pursue the matter because he did not want to uncover information that might have made it commercially difficult for Provident to maintain its repudiation of the claim.”
“17. The leading case on the right to avoid a contract of insurance for non-disclosure is that of the House of Lords in Pan Atlantic Insurance Co Ltd v Pine Top Insurance Co Ltd[1994] 3 All ER 581 ,[1995] 1 AC 501 . For an insurer to be entitled to avoid a policy on these grounds he must be able to show both that the fact which the insured failed to disclose was material and that the failure to disclose it induced him to accept the risk when he would have otherwise declined it or would have accepted it only on different terms. These are closely related, but distinct requirements. “18. In the present case it was conceded that the existence of a speeding conviction was a material fact. It follows, therefore, that it should have been disclosed, but it does not inevitably follow that Provident was entitled to avoid the policy because the conviction would not on its own have led to the imposition of an increased premium. The critical question is whether Dr Singh’s failure to disclose his conviction did in fact induce Provident to renew on more favourable terms than it would otherwise have been willing to agree… “24. [Counsel for Drake] submitted that an insurer is only entitled to avoid a policy if at the time he purports to do so there exist facts that justify his taking that step. The accident in January 1994 was in fact a “no fault” accident and therefore disclosure of Dr Singh’s conviction would not have led Provident to demand an increased premium. Accordingly, there was no basis for avoiding the policy. “25. This is an attractive argument, but it fails to distinguish between the nature of the previous accident and Provident’s state of mind at the time of renewal…No one had told Provident that the claim had been settled in full by the third party…In that context a speeding conviction would inevitably have led to an increase of premium and so, subject to one point to which I shall come in a moment, Dr Singh’s failure to disclose it did induce Provident to renew the policy on more favourable terms than would otherwise have been the case… “27. Having said that, I think one may legitimately ask what would have happened in this case if Dr Singh had disclosed his conviction at the time of renewal. Clearly Provident would have demanded a higher premium and, if Dr Singh had questioned it, the issue of the correct classification of the earlier accident might have surfaced. In that event I think he would probably have been able to persuade Provident that it should be treated as a ‘no fault’ accident and that he should therefore be charged the ‘normal’ premium. It might therefore be argued that his failure to disclose the conviction did not cause Provident to accept the risk on terms different from those that it would otherwise have been prepared to agree because the disclosure would of itself have led to the correction of his claims record and the imposition of the same terms. “28. The difficulty with this argument, however, is that one simply does not know what Dr Singh’s reaction to an increase in premium would have been. He might have questioned it, he might not. If he had questioned it, and if he had simply been told that it was due to his recent speeding conviction, he might have left it at that, or he might not. There is nothing in the evidence that points either way. Only if it could be shown that disclosure of the conviction would also have led to the disclosure of the information relating to the settlement of the earlier loss and to Provident’s accepting the risk on the same terms could one say that the non-disclosure had not caused it to accept on terms that it would not otherwise have agreed to. In the present case the evidence does not enable me to reach that conclusion. “29. On the face of it, therefore, Provident was entitled to avoid the policy…”
“11. When in August 1996 Provident gave notice to Dr Singh avoiding the policy it did so in perfectly good faith. It was still under the impression (as it had been in February) that the accident in January 1994 was, as had been stated in the original proposal form, a ‘fault’ accident and it knew that if the speeding conviction had been disclosed it would inevitably have led to the imposition of an increased premium… “29…but [counsel for Drake] submitted that it could not [avoid the policy] in so far as its original decision to avoid or its refusal to investigate the true position and then reverse that decision involved a breach of its duty of good faith… “30. Although I too feel some unease at the prospect of an insurer’s avoiding the contract for non-disclosure in circumstances such as the present, I do not think that the solution is to be found in the exercise of the court’s equitable jurisdiction. Whatever the true origin of the insurer’s right to avoid for non-disclosure, it is in the nature of a right to rescind the contract and its exercise is subject to the same principles as apply to the exercise of the right to rescind generally… “32…If grounds exist to justify avoidance, the insurer’s decision, once communicated to the insured, is effective immediately. The insurer does not need to invoke the assistance of the court, nor does the court have jurisdiction to declare that his right to avoid has been lost retrospectively by reason of subsequent events. This is quite distinct from the question whether the right to avoid has arisen in the first place. If it has, and if it has been exercised in good faith on sufficient grounds, I do not think that the insurer is precluded from maintaining his position by the subsequent receipt of further information or that he can then be required to reinstate the contract. To enable the insured at trial to defeat the insurer’s right to avoid, after it has been exercised, by establishing facts of which he was not aware when he wrote the risk would alter the whole basis of the underwriting exercise and introduce an additional and unwelcome element of uncertainty. For these reasons I am unable to accept that proof at trial of facts showing that the earlier accident should have been treated as a ‘no fault’ accident at the time of renewal can prevent Provident from relying on its avoidance of the policy.”
“40. Despite the fact that Provident amended the policy terms to cover the new car and continued to collect premium from Dr Singh between July and December 1996, I am unable to accept that it entered into an agreement with Dr Singh to reinstate the original cover or to handle the accident claim as if it had not avoided the policy. The delivery of a certificate of insurance in relation to the new vehicle certainly evidenced an agreement to insure Dr Singh in relation to that vehicle. But that occurred before Provident received notification of the claim and before it became aware of its right to avoid the policy. In all its subsequent communications with Dr Singh and his solicitors Provident maintained its avoidance of the policy and no one seems to have been in any doubt as to its position. Certainly Dr Singh does not seem to have thought that Provident agreed to treat the original cover as reinstated or that it is precluded by estoppel or otherwise from relying on its original decision to avoid the policy.”
“Mr Shaw did not mention in our telephone conversation any of the other points raised in his letter dated6th February 1997 , if he had I certainly would have corrected his misunderstandings…”
“The Insured shall give prior notice of any material alteration in risk which may occur during the currency of this policy”
“The underwriter, here, knowing the governor to be acquainted with the state of the place; knowing that he apprehended danger, and must have some ground for his apprehension; being told nothing of either; signed this policy, without asking a question. “If the objection “that he was not told” is sufficient to vacate it, he took the premium knowing the policy to be void; in order to gain, if the alternative turned out one way; and to make no satisfaction, if it turned out the other: he drew the governor into a false confidence…If he thought that omission an objection at the time, he ought not to have signed the policy with a secret reserve in his own mind to make it void; if he dispensed with the information, and did not think this silence an objection then; he cannot take it up now, after the event.”
“Nor is the obligation of good faith limited to one of disclosure. As Lord Mansfield said in Carter v. Boehm, at p.1918, there may be circumstances in which an insurer, by asserting a right to avoid for non-disclosure, would himself be guilty of want of good faith.”
“The courts have consistently set their face against allowing the assured’s duty of good faith to be used by the insurer as an instrument for enabling the insurer himself to act in bad faith.”
“Such authorities show that suitable caution should be exercised in making any extensions to the existing law of non-disclosure and that the courts should be on their guard against the use of the principle of good faith to achieve results which are only questionably capable of being reconciled with the mutual character of the obligation of good faith.”
“Lord Mansfield’s universal proposition did not survive. The commercial and mercantile law of England developed in a different direction preferring the benefits of simplicity and certainty which flow from requiring those engaging in commerce to look after their own interests.”
“I find this new point a difficult one, the more so because of the impact ofPart VI of the Road Traffic Act 1972 , now re-enacted assection 151 of the Road Traffic Act 1988 …Undersection 149 of the Act of 1972, a third party who has obtained judgment against the insurer in respect of a liability required to be insured under the Act, can enforce the judgment against the insurer, notwithstanding any provision contained in the policy of insurance, such as the rateable proportion clause. Assuming the settlement of the third party’s claim, followed by a court order approving the settlement, is a “judgment” for the purposes ofsection 149 of the Act , it could be argued that the plaintiffs were compelled to pay the whole of the claim by force of law, in which case the excess over 50 per cent. was not a voluntary payment. “The difficulty with that argument is that the plaintiffs, though obliged to pay the third party the whole of his claim, were entitled to recover the excess over 50 per cent. from Mr Arora [the insured] himself: see section 149(4). It follows that, so far as the defendants are concerned, the excess over 50 per cent. was a voluntary payment. I cannot see any answer to that reasoning… “[Counsel] argued that the plaintiffs were acting very properly in not seeking to recover the excess over 50 per cent. from Mr Arora, and that it would be an unmerited consequence to deprive them of their right to contribution. Insurers should not be encouraged to take every legal defence, and pursue every legal remedy, which may be open to them against their assured. This is a valid point as far as it goes. But to allow a claim against the defendants based on such considerations would extend the equitable doctrine of contribution beyond any previous authority. I conclude, somewhat reluctantly, that the new argument must prevail.”
“Approaching the issue as a matter of principle, in a case such as the present where both insurers are required to indemnify a third party by statute, there can only from a practical point of view be two solutions to the question of contribution: either the insurers should contribute in accordance with their respective statutory liabilities so that, if they are statutorily equally liable, they will so share the loss; or contribution is determined in accordance with the extent of their respective liabilities to the person insured under the separate contracts of insurance. Of these two alternatives, the contractual approach is the more appropriate since the extent of their respective liabilities to the person insured will indicate the scale of the double insurance.”
“If both insurers would be under no liability to the person who would be insured, then they should share the statutory liability for loss equally irrespective of the date upon which they repudiated liability. If both insurers are liable at least in part to the person insured, then they should contribute to their statutory liability in accordance with their respective liability to the person insured for the loss.”
“But what is a rateable proportion clause other than an attempt by insurers to exclude the equitable doctrine of contribution by a contractual provision intended to achieve the same effect?”
“But when I say potentially liable, there is a sharp distinction between steps required to enforce a valid claim under a policy in force at the time of loss, and a claim which was never valid, and never could be enforced. Thus if B has a good defence to the assured’s claim on the basis of misrepresentation or non-disclosure, there is no double insurance. Since the effect of the defence is that the contract is avoided ab initio, it is as if B had never been on risk at all.”
“Every circumstance is material which would influence the judgment of a prudent insurer in fixing the premium or determining whether he will take the risk.”
“3.If at any time any claim arises under this Policy there is any other existing insurance covering the same loss damage or liability the Company shall not be liable to pay or contribute more than its rateable proportion of such claim. …”
“Lastly, the duty of disclosure operates both ways. Although, in the usual case, it is the assured who knows everything, and the insurer who knows nothing, there may be special facts within the knowledge of the insurer which it is his duty to disclose, as where (to take the example given by Lord Mansfield in Carter v Boehm) the insurer knows at the time of entering into the contract that the vessel has already arrived. Thus the obligation of utmost good faith is reciprocal: see Banque KeyserUllmann S.A. v. Skandia (U.K.) Insurance Co.Ltd. [1991] 2 A.C. 249, per Lord Bridge of Harwich, at p. 268 and Lord Jauncey of Tullichettle, at p.281. Nor is the obligation of good faith limited to one of disclosure. As Lord Mansfield warned in Carter v. Boehm, at p.1918, there may be circumstances in which an insurer, by asserting a right to avoid for non-disclosure, would himself be guilty of want of utmost good faith.”
“…. An inevitable consequence in the post-contract situation is that the remedy of avoidance of the contract is in practical terms wholly one-sided. It is a remedy of value to the insurer and, if the defendants’ argument is accepted, of disproportionate benefit to him; it enables him to escape retrospectively the liability to indemnify which he has previously and (on this hypothesis) validly undertaken…”
“Since even after the contract is entered into the relationship between the parties should in any event be coloured by considerations of good faith, the point is in some respects academic. But once it is recognised that in a contract of insurance, and indeed in certain other contracts, an element of good faith is to be observed, and that that element may impose certain duties particularly of disclosure between one party and the other, duties which may vary in their content and substance according to the circumstances, then a question may arise as to the utility of the concept of an utmost good faith or an uberrima fides. In my view the idea of good faith in the context of insurance contracts reflects the degrees of openness required of the parties in the various stages of their relationship. It is reasonable to expect a very high degree of openness at the stage of the formation of the contract, but there is no justification for requiring that degree necessarily to continue once the contract has been made.”
“…. Blind-eye knowledge in my judgment requires a conscious reason for blinding the eye. There must be at least a suspicion of a truth about which you do not want to know and which you refuse to investigate…”
“The illuminating question therefore becomes “why did he not inquire?”