“Condition 1 Reinsuring Condition In consideration of the payment of the premium and subject to the terms and conditions of this Contract, the Reinsurers agree to indemnify the Reinsured up to the Limit(s) in excess of the Deductible(s) on account of each and every Loss Occurrence, which the Reinsured may sustain under the business specified in Class of Business, as stated in the Risk Details during the Period [of the Covéa Reinsurance] … Condition 2 Definition of Loss Occurrence 1) The term 'Loss Occurrence' shall mean all individual losses arising out of and directly occasioned by one catastrophe. 2) The duration and extent of any 'Loss Occurrence' so defined shall be limited to: … vii) 168 consecutive hours for any Loss Occurrence of whatsoever nature which does not include individual loss or losses from any of the insured perils mentioned in any of the paragraphs (i), (ii), (iii) or (v) above and no individual loss from whatever insured peril, which occurs outside these periods or areas, shall be included in that 'Loss Occurrence'. 4) In all cases under this Condition 2 – Definition of Loss Occurrence … 3. the Reinsured may choose the date and time when any such period of consecutive hours commences and the date and time when it ends, subject always to the maximum period of consecutive hours set out hereinbefore;”
“When discussing the background to the wording, Mr Kiln referred to issues which had arisen in the reinsurance market during the 1950s and 1960s as to whether losses arising from certain phenomena – for example a warm air front which generated a number of tornados, bush fires during a particularly dry summer, an exceptionally cold winter in the US which led to a greater level of motor claims and the cold winter in the UK in 1962/63 – could be aggregated for the purposes of claiming under property excess of loss reinsurance. Mr Kiln stated that in the revised wording drawn up against this background, the working party had used the words "occasioned by one catastrophe": “because we felt it was more specific. It implied a violent happening which in itself caused damage. The word 'event' we felt might have applied to something which might have been the cause of a catastrophe rather than the catastrophe or disaster itself.”” “because we felt it was more specific. It implied a violent happening which in itself caused damage. The word 'event' we felt might have applied to something which might have been the cause of a catastrophe rather than the catastrophe or disaster itself.””
“(a) To take out a quota share reinsurance on his business. To do this, he pays a pro rata share of his premiums and receives a pro rata share of premiums and receives a pro rata share of all claims and expenses. (b) To take out an aggregate reinsurance to protect his business from a series of losses. This costs much less premium. (c) To take out an excess of loss contract to pay him if he suffers either a large individual loss or a series of losses arising out of some contingency. The contingency being a catastrophe, an accident an event or whatever. For this the premium he pays is much less than the quota share and much less than the aggregate premium (for a comparable limit and deductible). The Reassured has a choice and gets what he paid for.”
“I accept that the history of Article 6 of LPO 98 serves as an important reminder of the difference between a series of losses which can be linked at some level and which are catastrophic in their effect on the reinsured, and losses caused by a catastrophe properly so called. However, I am not persuaded that the materials before the court provide a basis for giving the word "catastrophe" in a property catastrophe excess of loss reinsurance any meaning other than that which it would bear on the application of ordinary principles of construction in the context in which it appears.”
"a loss occurrence shall consist of all individual insured losses which are the direct and immediate result of the sudden violent physical operation of one and the same manifestations of the individual insured peril"
“Second, knowing the target at which the change in wording discussed in Butler & Merkin and Kiln was aimed – to address the argument that all losses from a severe winter could be aggregated for the purpose of collecting under an excess of loss reinsurance protection, or (per Reinsurance in Practice, 78) the argument that it was possible to aggregate by reference to "something which might have been the cause of a catastrophe rather than the catastrophe or disaster itself" – does not of itself tell you where the line of permissible aggregation is to be drawn in a very different context such as the present.”
“The mere fact that, in the 1960s and 1970s, a reinsured's property account may not have included non-damage perils, with the result that a reinsurer providing (or indeed drafting) catastrophe excess of loss reinsurance for such an account would not have expected losses which impacted the cover to occur without physical damage to the original insured's property does not mean that the wording used in the reinsurance would not extend to such losses as a matter of its ordinary meaning. There is a distinction between the meaning of words in context, and their expected field of practical application from time-to-time, and market reinsurance wordings which are used for lengthy periods against a background of developments in the relevant book of business of the reinsured are, in a sense, "always speaking" in the manner of statutes (cf R v Ireland[1998] AC 147 , 158-59).”
“i. “Non-property damage business interruption cover has been a common feature of many combined property/business interruption policies since about the beginning of the 21st century and is now invariably written by property underwriters alongside the property damage risk, both as business interruption cover consequential upon damage to property and, under an extension, as cover for pure business interruption caused by perils other than damage to property”… ii. “By the time the Reinsurance was bound at the end of 2019, any competent and experienced catastrophe excess of loss underwriter reinsuring a UK property book would or should have known that the business reinsured might well include both business interruption cover consequential upon physical damage to an insured property and cover for interruption of the business carried on at an insured property from a peril other than physical damage to the property”… iii. “The unchallenged evidence … was that since the end of the last century it has become commonplace for the business written in property departments to include cover for business interruption from causes other than physical damage to property. Consequently, any experienced reinsurer underwriting the Reinsurance would know or ought to have known that the 'Class' of business written in Covéa's Property Department and classified as 'Household and Commercial' could, and probably would, include cover for non-property damage business interruption as well as for business interruption consequent upon property damage.””
“i. The Class of business was defined by reference to that "written within the Reinsured's Property Department and classified as Household and Commercial and all business classified by the Reinsured as Contractors' All Risks and Engineering All Risks including Motor Own Damage". ii. Covéa was "the sole judge as to what is classified as 'Household' Business, 'Commercial' business and 'Contractors' All Risks and 'Engineering' All Risks business" (and there was no suggestion that the direct insurances which gave rise to its claims for indemnity were not properly so classified). iii. The premium payable to UnipolRe was to be calculated by reference to the "gross premiums of the Reinsured in respect of business coming within the Class (excluding Motor) written during the Period" (which would include any premium in respect of non-damage BI cover written in the relevant department).”
“I accept that both definitions embrace usages which refer to sudden events. However, they also show that the ordinary use of the word is not always so confined, with both dictionaries offering meanings which do not require "suddenness" (…including, but not being confined to, matters with the characteristic of suddenness). Many of the definitions emphasise the existence of a significant break with the position up to that point … and something which is seriously adverse in its nature or effects… The final usage offered in the SOED embraces all of these themes, and significantly offers "sudden or widespread or noteworthy" as alternatives. Further, the definitions offered include those appropriate to particular contexts (literary analysis or geology) which would have to be applied with care in other contexts.”
“First, what was said to be the origin of the property catastrophe excess of loss class of business, which was said to go back to the San Francisco earthquake in 1906, and the origin of the LPO 98 wording following the physical damage claims brought following the severe winter of 1962/63.”
“Many insurance and reinsurance contracts are assembled from a patchwork of pre-existing provisions drafted independently of each other, and that requires some care when seeking to determine the ambit of one "pre-packaged" provision from notionally "additional" cover provided by another.”
“identifying whether a happening is “sudden” will not always be a straightforward task, which suggests that some caution is required before treating this as an inherent but unspoken requirement for a catastrophe. Strong winds may build over time.”
“the radical discontinuity with what went before which is inherent in OED meaning 3(a) and SOED meaning 3… contemplates the ability to distinguish between the period when the catastrophe is in existence and when it is not… The more diffuse and extended the matter alleged to amount to a catastrophe is… the more difficult it may be to establish the coherent, particular and identifiable character which a catastrophe will have.”
“For these reasons, I reject the appellants’ argument that a catastrophe must necessarily be “sudden” in onset, or short in duration, or that it must be “violent”
“In ordinary speech, an event is something which happens at a particular time, at a particular place, in a particular way... A cause is to my mind something altogether less constricted. It can be a continuing state of affairs; it can be the absence of something happening. Equally, the word “originating” was in my view consciously chosen to open up the widest possible search for a unifying factor in the history of the losses which it is sought to aggregate. To my mind the one expression has a much wider connotation than the other.”
“suggests the catastrophe has a potentially wide field of impact”
“is how to distinguish between a catastrophe properly so-called, which is an appropriate basis for aggregating individual losses when seeking indemnity under a property catastrophe excess of loss policy, and a series of discrete losses which share some common point of ancestry, but the adverse effects of which so far as a direct insurer is concerned are properly the subject of stop-loss protection (cf [52]-[53]). As Sir Jeremy Cooke observed in Simmonds v Gammell[2016] EWHC 2515 (Comm) , [29], the "unities" are merely an aid to determining whether a series of losses involve such a degree of unity as to satisfy the contractual aggregation requirement.”
“It is not necessary, for the purposes of disposing of these appeals, to provide a definition of catastrophe which can demarcate these distinct scenarios for all purposes, even assuming it is possible to do so. The answer is likely to be heavily dependent on the commercial and contractual context in which it arises. However, in the context under consideration here, I am satisfied of the following: i. The catastrophe must be something capable of directly causing individual losses, because that is what both "Hours Clauses" require. That requirement of itself is likely in most if not all foreseeable scenarios to exclude attempts to aggregate by reference to what are often described in aggregation disputes as "states of affairs". ii. The catastrophe must be something which, in the context of terms of the Reinsurances in which the term appears, can fairly be regarded as a coherent, particular and readily identifiable happening, with an existence, identity and "catastrophic character" which arise from more than the mere fact that it causes substantial losses. iii. To that extent, it ought to be possible, in a broad sense, to identify when the catastrophe comes into existence and ceases to be, even if an attempt at a precise temporal delineation would offer scope for legitimate debate and dispute. iv. A catastrophe will involve an adverse change on a significant scale from that which preceded it.” i. The catastrophe must be something capable of directly causing individual losses, because that is what both "Hours Clauses" require. That requirement of itself is likely in most if not all foreseeable scenarios to exclude attempts to aggregate by reference to what are often described in aggregation disputes as "states of affairs". ii. The catastrophe must be something which, in the context of terms of the Reinsurances in which the term appears, can fairly be regarded as a coherent, particular and readily identifiable happening, with an existence, identity and "catastrophic character" which arise from more than the mere fact that it causes substantial losses. iii. To that extent, it ought to be possible, in a broad sense, to identify when the catastrophe comes into existence and ceases to be, even if an attempt at a precise temporal delineation would offer scope for legitimate debate and dispute. iv. A catastrophe will involve an adverse change on a significant scale from that which preceded it.”
“105. The Covéa tribunal recorded the "explosion of cases" from the second half of February to the middle of March, the Prime Minister's broadcast and the closure order. In the "Award and Disposition" they found that: "the outbreak of Covid-19 in the United Kingdom, reflected in an exponential increase in the number of infections during a period up to and including18 March 2020 , was a 'catastrophe' within the meaning of Condition 2(1)." 106. Having rejected UnipolRe's legal arguments at [72] to [102] above, there is no basis on which it can be said that this answer is "necessarily inconsistent" with the proper interpretation of the word "catastrophe" in the Covéa Reinsurance, indeed quite the contrary: i. There has been no suggestion that the catastrophe so identified did not directly occasion the original losses in respect of which indemnity is sought… ii. In the context of the Covéa Reinsurance, the "outbreak" described by the Covéa tribunal can fairly be regarded as a coherent and discrete happening, with an existence, identity and "catastrophic character" which arise independently of the fact that it causes substantial losses. As the Covéa tribunal noted, "during this relatively short period, the Covid-19 outbreak assumed a certain coherence in its development and effect and gave rise to a profound subversion of the order of life within the UK". iii. The Covéa tribunal identified the relatively short period within which the catastrophe came into existence. iv. The Covéa tribunal noted the (undisputed) wholesale disruption to our national life which the outbreak occasioned.” "the outbreak of Covid-19 in the United Kingdom, reflected in an exponential increase in the number of infections during a period up to and including18 March 2020 , was a 'catastrophe' within the meaning of Condition 2(1)." i. There has been no suggestion that the catastrophe so identified did not directly occasion the original losses in respect of which indemnity is sought… ii. In the context of the Covéa Reinsurance, the "outbreak" described by the Covéa tribunal can fairly be regarded as a coherent and discrete happening, with an existence, identity and "catastrophic character" which arise independently of the fact that it causes substantial losses. As the Covéa tribunal noted, "during this relatively short period, the Covid-19 outbreak assumed a certain coherence in its development and effect and gave rise to a profound subversion of the order of life within the UK". iii. The Covéa tribunal identified the relatively short period within which the catastrophe came into existence. iv. The Covéa tribunal noted the (undisputed) wholesale disruption to our national life which the outbreak occasioned.”
“I accept that a necessary element in a claim for damage business interruption is that the business interruption results from physical damage itself caused by an insured peril. However, that is also true of some forms of non-damage business interruption claims (see [120]) and it is not of itself particularly informative. If it matters (and I am not persuaded that this does provide a principled basis for any difference in treatment on its own, in any event), I do not read Arch, [215] as suggesting that damage to property is the insured peril to which damage business interruption cover responds. At [215], the Supreme Court is equating the interruption to the policyholder's activities in a non-damage business interruption claim with the "destruction of or physical damage" in the Court's three stage "insured peril > proximate cause > physical damage" sequence. The implication of the Supreme Court's analysis is that the proper sequence for non-damage business interruption of the kind they were considering was “insured peril > proximate cause > business interruption…”
“135. The Covéa tribunal concluded that an “individual loss … occurs” for the purpose of the “Hours Clause” when the nurseries were closed on20 March 2020 , even though the business interruption continued until the nurseries were allowed to re-open when the first lockdown restrictions were lifted…, that being when “the insured first sustains indemnifiable business interruption loss within a nominated 168 hour period”, with loss which the insured continues to sustain afterwards being aggregated with the loss sustained during the 168 hour period. 136. By contrast the Markel tribunal took the view that the original insured’s business interruption losses occur “day by day”… and that only those losses which occurred (on that construction) during the 168 hour period can be recovered...”
“i. The Reinstatement Provision provided “Losses hereunder are applied chronologically by date of loss.”
“…the Ultimate Net Loss clause, with the allocation of loss adjustment expenses, litigation costs and the application of salvage and recoveries, and the "follow the settlements" clause. On UnipolRe and General Reinsurance's case, business interruption losses and associated expenses and credits paid by the reinsured have to be unpicked at the reinsurance level to distinguish between expenses and credits referable to interruption during the relevant "Hours" period, and that referable to any subsequent period. While this is an aspect of a more general issue where a settlement or loss at the reinsured level reflects both losses which are reinsured and those which are not, it does present that difficulty in a particularly acute form.”
“147. It was common ground in both appeals that the references in the two “Hours Clauses” to “individual losses” mean the loss sustained by the original insured. That is significant, because it points the enquiry in the direction of the direct insurance. Further, as the Covéa tribunal noted, the “Hours Clause” defines “the extent and duration of a ‘Loss Occurrence’”… not the duration of an “individual loss”... 148. As the Covéa tribunal found…, and as was common ground before the Markel arbitration, when considering damage business interruption, the individual loss occurs when the insured peril damaged the insured premises. I agree with the Covéa tribunal that this supports an analysis which treats an individual loss as occurring “when a covered peril strikes or affects insured premises or property” …, and that when the insured peril which strikes the premises is the loss of the ability to use it (whether through damage to other property or premises or a closure order), the individual loss occurs at the same point. i. That reflects the position at the direct level, to which the words “individual loss” naturally direct attention and, as the Covéa tribunal noted at Covéa Award, [97], “there is nothing in the Reinsurance wording to support an apportionment of an ‘individual loss’”. ii. Not only am I not persuaded that there is any sufficient basis to distinguish between the treatment of damage business interruption, business interruption following damage to other property owned by another and “pure” business interruption losses in this regard, but there are obvious parallels between the impairment of the rights of those entitled to property resulting from damage and that resulting from the inability to use the property: [120]. iii. That analysis is consistent with the approach of Mr Justice Butcher in Stonegate and Various Eateries and the Court of Appeal in the latter case and the Supreme Court in FCA v Arch ... iv. This construction better coheres with the provisions dealing with the timing of the individual losses in the Reinsurances… v. It avoids the uncommercial consequences of the “day-by-day” construction as outlined at [138]-[142] and [145]-[146] above and [150]-[151] below, and in that respect derives some limited support from the provisions of the Reinsurances quoted at [145]-[146] above.” i. That reflects the position at the direct level, to which the words “individual loss” naturally direct attention and, as the Covéa tribunal noted at Covéa Award, [97], “there is nothing in the Reinsurance wording to support an apportionment of an ‘individual loss’”. ii. Not only am I not persuaded that there is any sufficient basis to distinguish between the treatment of damage business interruption, business interruption following damage to other property owned by another and “pure” business interruption losses in this regard, but there are obvious parallels between the impairment of the rights of those entitled to property resulting from damage and that resulting from the inability to use the property: [120]. iii. That analysis is consistent with the approach of Mr Justice Butcher in Stonegate and Various Eateries and the Court of Appeal in the latter case and the Supreme Court in FCA v Arch ... iv. This construction better coheres with the provisions dealing with the timing of the individual losses in the Reinsurances… v. It avoids the uncommercial consequences of the “day-by-day” construction as outlined at [138]-[142] and [145]-[146] above and [150]-[151] below, and in that respect derives some limited support from the provisions of the Reinsurances quoted at [145]-[146] above.”
“67.. I revert to Mr Boyd's four principal submissions. The first (para 26 above) was that the causal link expressed by the phrase “arising out of” is a weak one, and that therefore and possibly in any event there was nothing that occurred after the initial invasion and capture of the airport that outweighed their significance for purposes of causation. 68. In my judgment, however, there is nothing in the authorities to support that submission as a matter of principle. On the contrary, it seems to me that in Dawson's Field, and again in Caudle v. Sharp a significant causal relationship was, albeit implicitly, imposed. In those cases Mr Kerr and this court found the relevant event (or occurrence) in the nearer events, rather than in the more distant. In the latter case, the concept of remoteness was expressly adverted to. I accept that in Dawson's Field the choice was obscured by the fact that the hijackings could not be regarded as a single event, and for that reason could not even be a candidate. Nevertheless, it seems to me ultimately to be inherent in the concept of aggregation (“arising out of one event”) that a significant causal link is required. In this connection I would refer to Lord Hoffmann's substantial contribution in recent years to an understanding of what lies behind the courts' intuitive judgments on issues of causation: see, for instance, Empress Car Co (Abertillery) Ltd v. National River Authority[1999] 2 AC 22 at 29/35. Lord Hoffmann emphasises that it is not possible to give an informed answer to a question of causation when attributing responsibility under some rule without knowing the purpose and scope of the rule. In the present context, the purpose and scope of the rule has to be found in the concept of aggregation inherent in wording such as “arising out of one event”
“A disease that spreads is not something that occurs at a particular time and place and in a particular way: it occurs at a multiplicity of different times and places and may occur in different ways involving differing symptoms of greater or less severity. Nor for that matter could an 'outbreak' of disease be regarded as one occurrence, unless the individual cases of disease described as an "outbreak" have a sufficient degree of unity in relation to time, locality and cause. If several members of a household were all infected with Covid-19 when a carrier of the disease visited their home on a particular day, that might arguably be described as one occurrence. But the same could not be said of the contraction of the disease by different individuals on different days in different towns and from different sources. Still less could it be said that all the cases of Covid-19 in England (or in the United Kingdom or throughout the world) which had arisen by any given date in March 2020 constituted one occurrence. On any reasonable or realistic view, those cases comprised thousands of separate occurrences of Covid-19. Some of those occurrences of the disease may have been within a radius of 25 miles of the insured premises whereas others undoubtedly will not have been. The interpretation which makes best sense of the clause, in our view, is to regard each case of illness sustained by an individual as a separate occurrence. On this basis there is no difficulty in principle and unlikely in most instances to be difficulty in practice in determining whether a particular occurrence was within or outside the specified geographical area.”
“the interference with the owner’s right to use the [insured premises] occurs when the order comes into effect, whatever use the owner wishes to make of the [insured premises] at that point in time.”
‘the “outbreak”… can be fairly regarded as a coherent and discrete happening, with an existence, identity and “catastrophic character”….’
“Relying on this analysis does not involve interpreting the aggregation provisions in the Reinsurances on the flawed premise that they are intended to operate in the same manner as those in the direct insurance (cf Axa Reinsurance (UK) Ltd v Field[1996] 1 WLR 1026 , 1034). The reference to "individual losses" in both Reinsurances naturally directs attention to the position at the level of the original insured, and the Markel tribunal's overriding consideration – that "it is natural to think that business interruption losses occur day by day" (Markel Award, [58]) – is also concerned with the nature of such losses at the position of the original insured.”
“This Contract shall indemnify the Reinsured in respect of all business written within the Reinsured’s Property Department and classified as … Commercial”
“Some further support for this view in the present context can be derived from Simmonds v Gammell, where Sir Jeremy Cooke was right to consider that the relevant question was whether the arbitrators were "entitled" to decide the case as they did. Although an appeal from arbitrators involves the additional feature that the court's jurisdiction is limited to determining a question of law arising out of the award, and that it has no jurisdiction to review the arbitrators' factual findings, Sir Jeremy Cooke was right in my view to regard the issue as requiring the kind of exercise of judgment with which an appellate court will not interfere in the absence of an error of principle.”
“if the idea of a ‘sudden disaster’ is inherent in the meaning of catastrophe…the exponential increase in Covid-19 infections in the UK during the first three weeks of March 2020 did amount to a disaster of sudden onset such as to qualify as a catastrophe.”
‘it still requires a more flexible construction and a wider exercise of judgment to be applied than that which the jurisprudence stipulates for the word “event” simpliciter’
“during this relatively short period, the COVID-19 outbreak assumed a certain coherence in its development and effect and gave rise to a profound subversion of the order of life within the UK”
‘in this context the word “sudden” has to be interpreted with relative flexibility’ and ‘On such an approach it is evident that the exponential increase in Covid-19 infections in the UK during the first three weeks of March 2020 did amount to a disaster of sudden onset such as to qualify as a catastrophe’
‘it is impossible to envisage all the forms future catastrophes will take’
‘any Loss Occurrence of whatsoever nature which does not include individual loss or losses from any of the insured perils [previously enumerated]’
‘is consistent with the provision of cover… for a catastrophe capable of affecting property by preventing access to it and thereby causing its loss of use’
“In ordinary speech, an event is something which happens at a particular time, at a particular place, in a particular way. I believe that this is how the Court of Appeal understood the word. A cause is to my mind something altogether less constricted. It can be a continuing state of affairs; it can be the absence of something happening.”
“The "unities" are merely an aid in determining whether the circumstances of the losses involve such a degree of unity as to” satisfy the contractual aggregation requirement. In applying that principle, the judge correctly recognised at [102] that there were factors which pointed strongly away from anything other than the most generous application of two of the unities i.e. time and place. As set out at [42] above those factors included that Condition 2(2)(v) contemplated that a flood could have a duration of 504 hours (three weeks) and still be a catastrophe and that the Australian bushfires developed in a number of locations over weeks if not months and were still agreed to be a catastrophe. The judge went on to determine at [106(ii)]: “In the context of the Covéa Reinsurance, the "outbreak" described by the Covéa tribunal can fairly be regarded as a coherent and discrete happening, with an existence, identity and "catastrophic character" which arise independently of the fact that it causes substantial losses. As the Covéa tribunal noted, "during this relatively short period, the Covid-19 outbreak assumed a certain coherence in its development and effect and gave rise to a profound subversion of the order of life within the UK" ([49]).”
‘in this context the word “sudden” has to be interpreted with relative flexibility’ and ‘On such an approach it is evident that the exponential increase in Covid19 infections in the UK during the first three weeks of March 2020 did amount to a disaster of sudden onset such as to qualify as a catastrophe’
“there are obvious parallels between the impairment of the rights of those entitled to property resulting from damage and that resulting from the inability to use the property.”
“It will be apparent from the above that the amount paid to settle an individual business interruption loss can reflect a combination of credits and debits over a certain period, and that there may be considerable variation over time before you arrive at the final amount. This is very far-removed from a "day by day" calculation which UnipolRe's and General Reinsurance's arguments appear to assume. It is also clear that the assessment of a Business Interruption loss at the direct insurance level involves looking at the net effect over a particular period, not the aggregation of a series of daily losses…”