“N.B. Above figures are based upon the syndicate analysis of exposures written and applicable deductibles.”
“To put this treaty in context, they write a normal maximum line of$20m on construction at time of placement but will go up to as much as$40m at a later stage. The ‘later stage’ is usually towards the middle to end of construction where a following underwriter may be overlined and willing to reinsure part of his exposure on ‘more advantageous’ terms. As a matter of principle they maintain high standards and would not normally write construction risks unless the original deductible were at least£500,000 and preferably£1,000,000 . To make a comparison we have also enclosed a copy of the Reassured’s Whole Energy A/C Q.S. [shorthand for Whole Account Quota Share] which is placed with a couple of Continental Reinsurers. Unfortunately we can not offer you a share of this contract but when you compare the energy A/C Q.S. results to the construction a/c you can see, broadly speaking, they run at similar loss ratios.”
“We don’t want to write 100%$1 ½m. I don’t know Neil Copping, I don’t really know the risk well enough. I need some added comfort. Also this is not a Q.S. how does it work. Please provide breakdown of a/c protections to show N.C.Copping retention.” [sic] In a fax sent to Mr Card later that afternoon, Mr Stephenson reported that: “His [viz. Herr Holzapfel’s] response was one of nervousness: 1. The cedant who he does not know. 2. The class of business in which he has no experience. 3. Accordingly the rating schedule. 4. The fact that the Reassured does not seem to retain anything.”
“Further to our meeting in London recently, I mentioned that we had received renewal information on the above account. Please see up to date statistics for the above-mentioned treaty. As you will see from this the premium income is somewhat lower than originally envisaged. The estimated income for the 1996/7 year is US$650,000 for the full year. This is due to the Reassured being selective in the writing of the original business to maintain the loss record he has achieved on this type of business in the past. The impact only really falls on the excess of loss you purchase which becomes rather more penal than might be ideal. As a consequence, and after discussion with the Reassured, the suggestion is to extend the expiry of this contract to31st January 1998 by which time the Reassured feels that the income would have safely developed to at least US$1,000,000 . Accordingly, we have taken the opportunity to approach the Axa Re to obtain their agreement to this. They have agreed to amend the terms and conditions as the attached schedule which, coupled with the excellent record, we hope will allow you to agree to the enclosed extension endorsement.”
“What in fact has happened, is that the business offered to them was not deemed to be of sufficient quality to be worthy of writing. They were not tempted to write and cede the risks to you as they might have done, purely to achieve premium income estimate.”
“Neil, as you know, has an excellent reputation in the energy market and it has been his refusal to write any other than quality business which has kept down his premium income, however this has produced excellent results for his account. We feel that further to your meeting with Colin O’Farrell this week and your new participation on his energy Quota Share, you would wish to cement the relationship by offering a renewed line on this contract. Notwithstanding your recent meetings with the syndicate and the improved XLs, we note your concerns but would urge you to reserve your position for another year and offer a reduced line of say 50%. We have received significant interest from Chatham Re who wish to write 50% of this contract. Assuming that you are prepared to renew the contract, Chatham Re have requested that we ask you to ‘front’ for them subject to a suitable fee!”
“Inorder for an innocent misrepresentation to entitle a party to avoid the contract of insurance it must satisfy the following conditions: (1) it must be a statement of fact or, in relation to the insurer’s remedy under section 20 of the 1906 Act only, a statement of opinion or belief; (2) it must be untrue; (3) if made to the insurer, it must be material to his appraisal of the risk, and in other cases material in the wider sense; (4) it must be a statement as to present or past fact and not de futuro; (5) it must have induced the aggrieved party to enter into the contract of insurance.”
“Why on earth would the Syndicates say this unless it was to tell reinsurers about the account which they were being asked to participate in. I am not interested in a history lesson”
“The Judge accepted, as do I, that words such as “approximated” and “around” must be given due weight, but this does not mean that they deprive what they qualify of any effect, for all they do is to give a measure of flexibility to the stated percentage. The word “normally” also provided a limited flexibility to the policy. It was a representation that, as underwriters maintaining high standards as a matter of principle, their policy was not normally to write construction risks unless the original deductible were at least£500,000 and preferably£1,000,000 . That is how a reinsurer would naturally read the fax cover sheet, in the context of the whole presentation. It was a statement of fact, not opinion – see e.g. Traill v. Baring (1864) 4 de GJ & S 318 and Kingscroft v. Nissan Fire & Marine (No. 2) [1999] Lloyd’s Rep. IRLR 603 where Moore-Bick J. stated at p.627 (col.2): “It is well settled that a statement of present intention amounts to a statement of fact”
“Under a quota share treaty, the insurer is obliged to cede to the treaty a fixed proportion of every risk which falls within the limits of the treaty. Under a fac/oblig treaty the insurer has a choice whether to cede any given risk to the treaty. He cannot cede it unless it falls within the limits of the treaty, but he is not obliged to cede it if it does. The reinsurer has no choice; he cannot insist on a risk being ceded, and cannot refuse to accept his share of a ceded risk … Fac/oblig treaties are naturally less attractive to reinsurers than quota share treaties. They are subject to the obvious risk that the insurer will retain good business for his own account and cede poor business to the treaty. There is, or at least is assumed to be, no obligation of good faith on the part of the ceding party when exercising his discretion whether to cede or retain a risk. The only constraint upon him is that he must exercise some restraint if he wishes to maintain a good reputation in the market and any hope of doing future business with existing and prospective reinsurers.”
“The level of a deductible is obviously of importance to an underwriter. The underwriter is not exposed until the deductible has been eroded. The level of deductible is of particular significance in a first loss treaty of this kind. As a general rule, smaller losses which impact on the lower levels of cover are more frequent than larger losses impacting on higher levels of cover. The level of deductible is therefore of particular significance to an underwriter who is writing on a first loss basis.”
“the level of deductible is always significant, and if you are a first loss underwriter, you are going to be the one taking the pain. Yes it would be important to you”
“A duty of good faith arises when the assured (or indeed the insurer) seeks to vary the contractual risk. The right of avoidance only applies to the variation not to the original risk. … There is no authority for a proposition that a fraudulent misrepresentation leading to a variation will avoid the original contract as well as the variation”
“What in fact has happened is that the business offered to them was not deemed to be of sufficient quality to be worthy of writing. They were not tempted to write and cede the risks they might have done, purely to achieve premium income estimate.”
“Please see the updated statistics on the account which show very little deterioration on the claims from last years’ position. Neil [Copping], as you know, has an excellent reputation in the energy market and it has been his refusal to write any other than quality accounts which has kept down his premium income, however this has produced excellent results for his account.”
“I take it to be quite clear, that if a person makes a representation by which he induces another to take a particular course, and the circumstances are afterwards altered to the knowledge of the party to whom the representation is made, and are so altered that the alteration of the circumstances may affect the course of conduct which may be pursued by the party to whom the representation is made it is the imperative duty of the party who has made the representation to communicate to the party to whom the representation has been made the alteration of those circumstances; and that this Court will not hold the party to whom the representation has been made bound unless such a communication has been made.”
“There being no subsequent proposal tendered [to underwriters] at the time of renewal, there must, in my judgment, have been a continuing reliance by the underwriters on the proposal and accordingly a continuing duty to disclose any material facts omitted from that proposal and to correct any misrepresentation included on it. It follows that the initial non-disclosure relating to the signature was of continued effect in relation to the policy as renewed. So also was the misrepresentation as to the same matter. It further follows that the insurers were entitled to avoid [the renewed] policy on those two further grounds.”
“Often, as here, the alleged misrepresentation adds nothing. It is but the converse of non-disclosure …”
“The usual procedure was, and still is, that a Lloyd's underwriter identifies a specific reinsurance cession by use of a symbol incorporated within the underwriting reference written alongside his line on the stamp identifying the syndicate on the broker's slip. When the broker completes the placement, he sends the slip to the LPSO for signing. Such process includes the LPSO recording of each underwriter's reference, which reference appears against the underwriter's line and the syndicate number on the policy once issued by the LPSO. It also appears on each premium card and claims card issued by the LPSO to each underwriter recording any financial transaction on each policy. Once the LPSO has recorded the underwriter's reference, a system is then activated which provides for the payment of the premium due to the reinsurers and the collection of claims from reinsurers. It is customary for insurers to credit and debit reinsurers at agreed periods. In this case, as is common, the provision was for "Quarterly Accounts”
“So far as notice is concerned, it does not seem to me that in the context of the working of the Lloyd's market, notice of cession is required before such cession can be valid and binding, absent some specific provision in the reinsurance contract which requires it.”