“This Agreement applies only to that part of the Original Policies which the Reinsured retain net for their own account and in computing the Ultimate Net Loss, only loss or losses in respect of such Net Retained part of the Original Policies shall be included. The amount of Reinsurers’ liability in respect of loss or losses shall not be increased by reason of the inability of the Reinsured to collect from any other reinsurers whether specific or general, any amounts which may have become due from them whether such inability arises from the insolvency of such other reinsurers or due to the cancellation of such other reinsurance by the Reinsured or by such other reinsurers for whatever reason or for any reason whatsoever.”
“Whether the [Lincoln] Tribunal was free to depart from a binding obligation by an earlier tribunal of rights and obligations arising between Sun/Phoenix and Cigna set out in the Award of [the Cigna Tribunal] dated14 March 2002 .”
“Mr Kendrick also submitted that if, as I conclude, the Lincoln arbitrators misinterpreted the Cigna award (in finding that the Cigna arbitrators had not directed themselves to the question whether the Unicover whole account reinsurances were within the Cigna reinsurance, subject to Cigna’s avoidance), this was a purely factual error. I do not accept that submission. The interpretation of the Cigna award involved legal analysis.”
“My Lord, I should make it clear that it has never really been my case that the court should be looking at the pleadings [i.e. in the Cigna arbitration]. My position is that you should just look at the Award and construe it. …. I wanted to show that I was not afraid in a forensic way of dealing with the other matters. My Lord, you yourself said in the judgment that there is a question of analysis of the findings of the arbitrators and their relevance in the Lincoln Arbitration. …. …. I would say that the two are so closely bound up that you are not really asking them to go any further. I certainly make it quite clear that I would not be suggesting for a moment that the court should be looking at the pleadings or whatever. I would have to take my stand or fall by the Cigna award, para. 84, recitals I and L etcetera.”
“It might conceivably have been different if all the circumstances had not been made part of the award, or if all the relevant circumstances had not been fully exposed. But, on the course which the umpire rightly decided to pursue, the meaning of the letter …. is a matter of construction in the light of the surrounding circumstances and not a matter of fact.”
“1. On28 August 1998 Mr Jeff Butler, a director of the brokers Stirling Cooke Brown Reinsurance Brokers Limited (SCB), asked Mr Paul Minter, the senior underwriter of the respondent (Cigna), to do him a favour by agreeing to reinsure the claimants (Phoenix/Sun) in respect of certain occupational accident business. Mr Minter agreed orally to do so, later describing the transaction as a "big oblig. (favour) for SCB". The dispute at the heart of this arbitration concerns the scale of the favour which Mr Minter granted. Issues have arisen concerning the satisfaction of conditions precedent to the agreement becoming binding on Cigna, the right of Cigna to avoid the transaction for misrepresentation and non-disclosure and the scope of the business actually covered by the agreement to reinsure, assuming it to be valid and binding upon Cigna. ….”
“29 – Certain things are clear about this meeting. Mr Butler did not broke the risk as an attractive proposition on its merits. He said that SCB needed a favour from Cigna and he would not take no for an answer. He wanted Cigna to take over Odyssey Re's lines on certain low-level protections of Centaur's principals, one of whom, Sun Life, could not accept Odyssey as security. Mr Minter refused. Mr Butler then asked him to consider a variation to his proposal, namely, that Cigna should replace Odyssey's lines and front them for Odyssey, to whom the risk would be ceded on a 100% facultative retrocession. One or other of them mentioned Unicover, and Mr Minter was not happy about the prospects of reinsuring Unicover business. A sister company of Cigna, Connecticut General Life, was a member of the Personal Accident Unicover Pool, and Mr Minter knew enough about Unicover to be aware that Unicover's premium income was growing, and that Centaur had underwritten three year whole account reinsurance protections for Unicover as of December 1997 at what he believed to be a cheap rate. There was a discussion about Unicover…. The meeting ended with Mr Minter's oral agreement to write the Centaur reinsurances subject to a 100% facultative retrocession of the risk to Odyssey… “30 – Doubts and disagreements remain concerning what, if anything, was said about Centaur's EPI, and what was said concerning exposure to Unicover whole account protection…”
“J) Cigna sought declarations that: 1) [Cigna] never became bound to the Occ/Acc Covers; 2) In the alternative to (1), that [Cigna] was entitled to, and did properly, avoid the four reinsurance contracts by which it participated in the Occ/Acc programme, on grounds of misrepresentation and non-disclosure; 3) In the alternative to (1) and (2), that [Cigna] was not liable to indemnify the claimants against losses in respect of their reinsurances of the Unicover Personal Accident Pool Whole Account Protections; 4) In the alternative, that, at the least, [Cigna] was not liable to indemnify the claimants against losses in respect of their reinsurance of the said Unicover Pool's "burning cost policies". K) At the hearing the respondent also submitted that the following risks, over and above the Unicover risks, had never been validly ceded by Centaur to the Occ/Acc Covers, so that no claims lay in respect of them: - Risks numbered by Centaur as 121, 124-125, 132, 191-192, 199-210 and 216-218”
“1. WE DIRECT that our REASONS for this Award are set out in the document annexed hereto and shall be considered as part of this Award. 2. WE HOLD that in August/September 1998 [Cigna] became bound to the Occ/Acc Covers by becoming a party to four contracts of reinsurance, two with the Phoenix Claimants and two with the Sun Claimant. 3. WE HOLD and DECLARE that [Cigna] has validly and properly avoided the contracts of reinsurance by which it participated in the Occ/Acc programme on the grounds of misrepresentation and non-disclosure in the placement of these Occ/Acc covers by SCB on behalf of the claimants. 4. WE HOLD that, subject to our decision in (3) above, all the numbered risks in respect of which the claimants sought an indemnity under the Occ/Acc covers were reinsured by [Cigna] with the exceptions of risks numbered 132 and 191-192.”
“39 – Against this factual background the broad issues which arose for decision were as follows: - 1) Was the fronting agreement concluded between [Sun/Phoenix] and [Cigna] through SCB voidable for misrepresentation or for non-disclosure? 2) If not, was the condition precedent to Cigna's participation fulfilled, namely that there should be a 100% facultative retrocession on back-to-back terms concluded between Cigna and Odyssey? 3) If so, what business written by Centaur on behalf of Phoenix and Sun was reinsured by Cigna under the occ/acc covers?”
“44 – Mr Butler could not, however, avoid all mention of Unicover. Mr Minter had performed a review of the reinsurance protections of the Unicover pool in which Cigna's sister company was involved. He knew that the Unicover whole account protections had been placed with Centaur under a three year programme w.e.f.1 December 1997 . He believed that it was on advantageous terms for Unicover and he knew that Unicover were writing a lot of business. It was inevitable that he would want to know whether the occ/acc covers were exposed to Unicover business. Consistent with his "one step at a time" approach, Mr Butler was able to tell him that the occ/accs did not include Unicover business, because at that stage neither John Hancock nor Odyssey had accepted the expansion of the occ/accs to take the extra income (and potential exposure) generated by it. He assured Mr Minter that they did not reinsure Unicover protection. Mr Minter most probably did request an exclusion of Unicover business, but Mr Butler could not accept this as it would then have to be noted on the slip, and would therefore direct Centaur’s attention to the delicate question of JEH Re’s supposed agreement to cover it. He then had to find a reason for rejecting an exclusion, and must have come up with a response on the lines that Centaur wished to retain the option to cede the odd Unicover facultative declaration to the occ/accs, adding that Mr Cackett was obtaining specific protections for his exposure to Unicover business. 45 – We also find that, consistent with his general approach, Mr Butler did tell Mr Minter that Odyssey were keen to stay on the risk and would therefore be willing to be fronted by Cigna. In a sense this was true, because EIU [Odyssey’s underwriting agents] were content to stay on the Occ/Accs without any additional premium and were unaware that they should have been removed. …. 47 – To front for Odyssey on the basis broked to Mr Minter was not so big a favour as to agree to front them on a greatly increased premium income. Nonetheless it was still a favour, in Mr Minter's eyes. It was unusual for Cigna to front and to write retrocessional business, Mr Minter disliked the idea of reinsuring Cigna's leading competitors and especially Mr Cackett who had cost him money in the past. In waiving an overrider he had made it easier for SCB to put the front in place. He had trusted Mr Butler's assurance that only one or two facultative Unicover cessions might be ceded to the Occ/Accs”
“48 - Findings concerning the meeting of28 August 1998 (1) - Income. Mr Butler had misrepresented the reinsured’s estimate of the premium income on the underlying business which the reinsured intended to be reinsured under the Occ/Acc covers. The true figure given by the reinsured was in the order of$160m . (2) - Conversely, the estimate given by Centaur was not disclosed. (3) - Unicover. Mr Butler had misrepresented the extent to which the Occ/Acc covers were intended by Centaur to protect Unicover derived business. The intention of Centaur was to use the Occ/Accs to reinsure the programme by which Centaur's principals reinsured Unicover's whole account. It was not just a question of the odd possible facultative reinsurance. In short, the business was misdescribed. No specific fac. reinsurance was later placed to cover Centaur’s exposure to Unicover. (4) - Odyssey. Mr Butler had stated that Odyssey were keen to remain on the Occ/Accs. This was true if the business ceded to the Occ/Accs remained at the same volume, but untrue if EIU were asked to reinsure the additional volume of business which the reinsured intended to cede. Odyssey had not yet been asked if they would accept to be fronted by Cigna. (5) - A prudent reinsurer would wish to take these matters into account when deciding whether to reinsure the risk broked to him as a front for Odyssey. They were relevant to the potential levels of income and loss exposure of the business intended to be reinsured. (6) - Mr Minter was induced to front for Odyssey by what Mr Butler said concerning estimated premium income, by his statement that the Occ/Acc covers did not involve exposure to Unicover at all (bar possibly one or two facultative reinsurances), and by his statement that Odyssey were keen to remain on the business. Had he known the true facts concerning Mr Cackett's intended use of the Occ/Acc covers and Odyssey's inability to accept further income on the business, he would have regarded the proposed business as too uncertain and risky to write. At the very least he would have insisted on a clear exclusion of all Unicover business or a maximum limit of premium. (7) - It follows that Cigna were entitled to avoid the agreement to front for Odyssey on the Occ/Acc covers.”
“All business written by the reinsured and allocated to their Personal Accident Account in respect of Workers’ Compensation and Occupational Accident business only.”
“80 – We say "prima facie" because the coding cannot be conclusive. First, it must be a valid coding. A risk which was really wider than occupational accident or workers compensation would not qualify for protection, however coded. Secondly, good faith errors could be corrected under the generous E & O clause in the occ/acc contracts… Thirdly, it would be open to Centaur to agree with reinsurers on the Occ/Acc programme that a particular risk was not to be protected by the Occ/Acc or that business of a particular type falling within the general definition above was not to be protected under the covers. An example of the latter was the exclusion of Occ/Acc risks placed with Centaur by brokers other than SCB before Endorsement No. 2 was agreed. In other words, a qualifying risk coded PO or PW could be taken off cover by a specific decision of Centaur pursuant to the agreement of reinsurers.”
“It was argued by CIGNA that the burning cost protection policies described in paragraph 13 above were also outside the scope of the covers. The question turns neither upon whether these contacts are insurances or reinsurances, nor upon whether they are personal accident policies, which clearly they are not. It turns rather upon whether in this instance these additional premium protection policies can be described as business allocated by Centaur to their Personal accident Account” in respect of Workers’ Compensation/Occupational accident business only”
“84 - Apart from the above risks we hold that all the risks listed in paragraphs 132 –133 of [Cigna’s] outline final written submissions were protected by the Occ/Acc covers subject to the earlier issues decided in this arbitration. If we had found that Cigna were bound to the Occ/Acc covers subject to an exclusion of Unicover whole account protections, then we should have regarded that as constituting an agreement to exclude that particular business from protection from under them.”
“On my reading of their award, the Cigna arbitrators addressed that issue and reached an unambiguous decision on it. They concluded that the Unicover whole account reinsurances were reinsured by Cigna but that the Cigna reinsurance had been validly avoided. ”
“39 - The Lincoln arbitrators referred to recital K as supporting an argument that the Cigna arbitrators may not have considered whether the Unicover whole account reinsurances fell within the Cigna reinsurance, but for Cigna's successful avoidance. They did not refer to recital J (the recitals at J and K being a summary of submissions which had been advanced by Cigna in its pleadings and at the hearing) or more significantly to paragraph 84 of the Cigna arbitrators' reasons. Paragraph 84 shows that in arriving at their holding in paragraph (4) of their award the Cigna arbitrators had considered but rejected the conclusion that there had been an agreement to exclude Unicover whole account risks from the scope of cover written by Cigna. …. 40 - Mr Kendrick submitted that the sentence in paragraph 84 “If we had found that Cigna were bound to the occ/acc covers subject to an exclusion of Unicover whole account protections, then we should have regarded that as constituting an agreement to exclude that particular business from protection under them” should be read as meaning that if the Cigna arbitrators had not found that the Cigna reinsurance had been properly avoided, they would have found that there was an agreement to exclude Unicover whole account protections from the scope of cover. He also pointed out that in paragraph 80, where the Cigna arbitrators referred to the possibility of Centaur and Cigna agreeing that a particular risk was not to be covered by the occ/acc covers, they were considering an allocation argument in relation to risks other than Unicover whole account risks. That observation is correct, but it is not in my view a persuasive reason for reading paragraph 84 in the way that Mr Kendrick suggests. If the experienced Cigna arbitrators had intended paragraph 84 to mean what Mr Kendrick suggests, I am sure that it would have been worded very differently and that paragraph (4) of the award would have identified the Unicover whole account reinsurances among the risks excepted. 41 - Paragraph 4 of their award and paragraph 84 of their reasons are also consistent with the Cigna arbitrators' findings about the meeting on28 August 1998 . As I read their reasons, they found that Mr Minter agreed to front for Odyssey on the occ/acc covers, amended to include business from all sources, without there being any exclusion of Unicover (which Mr Minter probably requested), because Mr Minter accepted Mr Butler's false representations about Centaur's intended use of the covers. Mr Kendrick made the point that in their reasons the Cigna arbitrators at times referred to this as an assurance (for example, in paragraph 47). The word "assurance" could mean either an assurance of intention (that is, a statement of intent) or a contractual promise. However, there would have been problems reconciling a contractual promise with a refusal to agree to an exclusion from cover, and paragraph 84 shows that the Cigna arbitrators had clearly in mind the question whether there was an agreement to exclude Unicover whole account risks from the cover. 42 - I was referred to underlying documents, including extracts fromthe pleadings and submissions in the Cigna arbitration. In my view they do nothing to weaken the natural reading of the award. They tend, if anything, to confirm it. For they show that Mr Kendrick in his closing submissions canvassed with the arbitrators the possibility of a finding that there was an agreement between Mr Minter and Mr Butler to exclude the Unicover whole account reinsurances from the occ/acc covers, and so it was a live issue for the arbitrators to decide. 43 - As to the alternative argument that there was a gap in the Cigna arbitrators' findings, Mr Kendrick put forward various forms of argument, which he says were not considered by the Cigna arbitrators, for holding that the Cigna reinsurance would not have protected Sun/Phoenix against losses under the Unicover whole account reinsurances; but they had the common element that there was an oral agreement between Mr Minter and Mr Butler that the Unicover whole account reinsurances were not to be covered by the Cigna reinsurance. Whether such an agreement, if there was one, was properly to be described as giving rise to an agreement to exclude or a collateral agreement or an estoppel by convention is a matter of legal labelling, about which there was discussion between Mr Kendrick and the Cigna arbitrators during his closing submissions. They considered whether there was an agreement to exclude the Unicover whole account reinsurances and, on my reading of their award, they concluded that there was not.” “If we had found that Cigna were bound to the occ/acc covers subject to an exclusion of Unicover whole account protections, then we should have regarded that as constituting an agreement to exclude that particular business from protection under them”
“Had he [i.e. Mr Minter] known the true facts concerning Mr Cackett's intended use of the Occ/Acc covers and Odyssey's inability to accept further income on the business, he would have regarded the proposed business as too uncertain and risky to write. At the very least he would have insisted on a clear exclusion of all Unicover business or a maximum limit of premium.”
“Unless otherwise agreed, an award made by the tribunal pursuant to an arbitration agreement is final and binding both on the parties and on any persons claiming through or under them.”
“Unless a contrary intention is expressed therein, every arbitration agreement shall, where such a provision is applicable to the reference, be deemed to contain a provision that the award to be made by the arbitrator or umpire shall be final and binding on the parties and the persons claiming under them respectively.”
“The law, as I understand it, is this: if one party brings an action against another for a particular cause and judgment is given upon it, there is a strict rule of law that he cannot bring another action against the same party for the same cause. Transit in rem judicatam: see King v. Hoare (1844) 13 M & W 494, 504. But within one cause of action, there may be several issues raised which are necessary for the determination of the whole case. The rule then is that, once an issue has been raised and distinctly determined between the parties, then, as a general rule, neither party can be allowed to fight that issue all over again. The same issue cannot be raised by either of them again in the same or subsequent proceedings except in special circumstances, see Badar Bee v. Habib Merican Noordin[1909] AC 615 , 623 per Lord Macnaghten.”
“Issue estoppel applies to arbitration as it does to litigation. The parties having chosen the tribunal to determine the disputes between them as to their legal rights and duties are bound by the determination by that tribunal of any issue which is relevant to the decision of any dispute referred to that tribunal. An arbitrator today has power to make an interim award determining particular issues separately from other issues in the arbitration.”
“Even where the court has expressly determined the same issue in the earlier proceeding an issue estoppel will not necessarily arise. Only determinations necessary to the decision, and fundamental to it, will found an issue estoppel. Other determinations, however positive, cannot.”
“The difficulty in the actual application of these principles is to distinguish the matters fundamental or cardinal to the prior decision or judgment, decree or order or necessarily involved in it as its legal justification or foundation from matters which even though actually raised and decided as being in the circumstances of the case the determining considerations, yet are not in point of law the essential foundation or groundwork of the decision, decree or order.”
“Issue estoppel only applies to issues. There is no estoppel as to evidentiary facts found in the course of determining the affirmative or negative of an issue.”
“A decision of fact against the party who succeeded will not found an estoppel because it cannot be fundamental to the decision. It would be unjust to make such a decision the foundation of an estoppel, for no appeal is available to the person against whom it was given.”
“A similar argument applies where several factual grounds are advanced as alternative bases for a cause of action and the court finds more than one in favour of the party who succeeds. No estoppel can be founded on any of the separate findings, for the party failing on such issues cannot appeal against any of them separately. To succeed on appeal he must succeed on all the issues, and if the finding on one is good, this will be fatal. There will be a cause of action estoppel, but the separate issues will not ground issue estoppel because none was fundamental to the decision.”
“The plaintiffs urged me to treat the award of establishing that the sellers were in breach of the shipbuilding’s contract to a degree justifying the cancellation of the buyers. The defendants objected on the grounds that the award only represented the opinion of the arbitrators and was thus inadmissible as evidence: they relied upon Hollington v. Hewthorn, [1943] 1 K.B. 587. It seems to me that where the rights or obligations of the parties to a contract are determined by the contractual machinery of arbitration under that contract there is something to be said for the view that the result that the arbitrators reach can (in the absence of special circumstances) be treated in effect as part of the contract and thus established by third parties in the same way as any contract can be proved. Thus in the present case the arbitrators have concluded that the sellers [sic] had a right to cancel the contract and to claim damages as the result of the failure of the buyers [sic] to perform their obligations under the contract. As between the parties that is now the contractual position as determined by the contractual machinery of arbitration – and it is difficult to see why a stranger to the contract cannot prove that contractual position by simply producing the award as he can prove other contractual rights and obligations by simply producing the contract. Be that as it may, the plaintiffs took the precaution of calling much the same evidence on the buyers’ major complaint as was presented to the arbitrators and on the basis of the evidence I have heard I am satisfied that the hatch covers and coamings of this vessel were not constructed in accordance with the standards stipulated in art. 1.4. of the shipbuilding contract and that the defects were so serious that the buyers were fully justified in refusing to accept delivery of the vessel and in eventually cancelling the contract for breach by the sellers.”
“A judgment, however, is conclusive as against all persons of the existence of a state of things which it actually affects when that state of things is a fact in issue. Thus, if A sues B, alleging that owing to B’s negligence he has been held liable to pay £x to C, the judgment obtained by C is conclusive as to the amount of damages that A has had to pay C, but is it not evidence that B was negligent …. and B can show, if he can, that the amount recovered was not the true measure of damage.”
“153. In such postulated proceedings between Mrs. Kaur and Drake, Drake would have said that there was existing insurance covering the same liability between her and Provident, whereas Mrs. Kaur would have replied that there was no such existing insurance because Provident had avoided the policy and had been held to be entitled to do so. As I see it that defence would have succeeded. It would have been no defence for Drake to say that, as between it and Provident or indeed, as between it and Mrs. Kaur, it was entitled to say that the policy had not been validly avoided because, in my opinion (as already stated), the question for decision was whether there was existing cover as between Mrs. Kaur and Provident and Provident had persuaded an arbitrator that there was not.”
“Estoppels by res judicata in civil cases “must be mutual” (Petrie v. Nuttall (1856) 11 Exch. 569, 575). …. The established requirement is that res judicata estoppels in civil cases are mutual, and a party is only bound in favour of another if a contrary decision would have bound him. This is important when determining whether a person is a privy.”