“Cancellation Curtailment Replacement Rearrangement and Change of Itinerary Insurance Section The Cover If the Insured or the Insured Person is forced to A Cancel an Insured Journey B Curtail an Insured Journey … as a direct and necessary result of any cause outside the Insured’s or the Insured Person’s control the Company will indemnify the Insured for A deposits and advance payments (on a proportionate basis in respect of Curtailment) B charges for transport C charges for accommodation and sustenance D any other charges reasonably and necessarily incurred and that are forfeit under contract or are not otherwise recoverable.”
“Essentially all we will do is email you a claim asking if it is valid or not. The claim will contain the following documents: 1. Top sheet – detailing the Challenger and the refund amount 2. The Challenger’s application form 3. Medical Withdrawal Certificate 4. Any other relevant documents – if any … As mentioned yesterday we don’t use an insurance claim form and use the Medical Withdrawal Certificate instead. However, RSA is mentioned throughout, please could you check through it to see if you are happy for us to just change RSA’s details to Zurich? Any issues please let me know. Also open to any suggested improvements you may have for the certificate.”
“The customer has a£200k annual aggregate deductible for any claims considered under the “Cancellation….”
“Summary of meeting/discussion: … • K'an to share detail of the T&C relating to cancellation, which explains the difference between the 'cost of claim' and the actual 'refund' amount the challenger is entitled to and therefore the amount which we would issue/reserve on the basis of (going forward cancellation no longer be included, WCE to keep us informed in this regard) • Often documents are issued on a group booking basis — individual documents may therefore not always be available ... • Cancellations claims will be notified via a central email (team managed by K'an) handlers should respond to this email directly — K'an direct in the event of query/escalation. To be referenced on SHI. …”
“K'an to share detail of the T&C relating to cancellation, which explains the difference between the 'cost of claim' and the actual 'refund' amount the challenger is entitled to Cancellations claims will be notified via a central email (team managed by K'an) handlers should respond to this email directly — K'an direct in the event of query/escalation. To be referenced on SHI.”
“To be notified to Zurich by K’an Thomas, this notification will typically include the following information; 1. Top Sheet- detailing the Challenger and refund amount 2. The Challengers application form 3. Medical Certificate 4. Any other relevant documents – as/if required”
“If there are potential coverage issues details will be flagged by the Zurich Claims handler for consideration – before engaging direct with the Insured and prior to any formal decision and/or repudiation being communicated to the employee. Any issue relating to policy coverage will be reviewed comprehensively and Zurich will bring any resulting comment to both the customer and broker – via the Underwriter and/or the Claims Relationship Executive.”
“Would you be so kind as to confirm the reason for the difference in the amount paid and the refund amount? If there are any invoices or receipt to support these amounts, please forward them to us.”
“In terms of claims there are no problems so we should continue with what we are doing as we’re clearly doing a good job. The only thing that we can change going forward is the closing process for the cancellation claims… Stuart is happy for us to send the notification of our agreement to settle, and close the file as long as the refund/settlement matched the sum claimed.”
“I have reviewed the information provided against your terms and conditions and insurance policy and can confirm that this is a covered claim. Therefore I would suggest the customer receives the refund and I will record this claim as paid against the aggregate.”
“At this stage we do not anticipate any change to your planned trip, however we will be in touch if this changes.”
“With the current Coronavirus issue, we are having to divert some teams who were due to go to China to other destinations (FCO advise against travel to China) and costs associated with these changes are legitimate claims and should be submitted to Zurich to go against the£100k aggregate — please confirm. Hypothetically if in this situation (or a similar situation in the future) the government advises against travel to a certain country and we need to cancel a trip, we would need to refund customers. If each traveller had paid e.g£3k for a trip to China and we were cancelling and refunding£3k , we would submit a claim for£3k to Zurich to go against the£100k aggregate. If the£100k was exceeded, then Zurich would pay out beyond that — please confirm.”
“Cancel July + August trips Alternative Government advise All overseas school trips cancelled Level 3 in AUS and USA 3 teams, Peru, Morocco, Ecuador ↓ Canada 10-14 weeks to peak Feel they need to cancel all summer trips 60 day Standard Claim Procedure to be changed 60 days? Why not 30?? Section 8. clarity on what policy year responds 100 trips in next 60 days 20 not departed already”
“As discussed, there are a couple of outstanding issues to resolve, namely the time period of 60 days, and confirmation that our current policy will respond to current bookings as per the policy wording, with the new policy coming into effect for future bookings. On the basis that we are working to a minimum of 60 days, we will start to process claims for those trips impacted in that time period. James will provide the information in a spreadsheet as discussed — please let us know who you would like that information sent to. Clearly there is an aggregate amount payable by world challenge on the current policy that will need to be factored into the claims process. Look forward to hearing from you soon”
“As you note, I have requested confirmation on the policy period/trip departure conversation from internal stakeholders and will rely this back to all parties once received and reviewed fully. In regard to the necessary individuals needed for the initial claims, I would look to involve Alex Blake, Gemma Fox and myself from Zurich. Hope this is satisfactory, but if there are any further queries in the meantime, please do let me know.”
“1) Looking at the definition of "Operative Time" (pasted below) that was bespoked for the WC policy; only trips commencing during the period of insurance are attaching to the policy (i.e. come under the definition of "operative time). So indeed trips commencing after 1st April are not governed by this policy. WC suggested on the call that it is "booked" trips that attach to the policy (even if they happen months down the line) but this cannot be our underwriting intention and indeed our wording appears to limit such protracted exposure. 2) WC were under the impression in the call that we cover the "refund" payments they will owe to schools/pupils. This doesn't follow: • Our wording affirms we will only pay for unrecoverable hotel/airline prepayments in respect of individual pupils/teachers insured under the policy (i.e. "Challengers). This will only be a portion of WC's total costs and what they charge schools/pupils (which I understand the$4m is based on). • We should hold that we will only charge unrecoverable pre-payments and it is their duty to seek recovery primarily from the airline/hotel (appreciate they're not staying in hotels in this case). This has to be part of the claims handling process.” • Our wording affirms we will only pay for unrecoverable hotel/airline prepayments in respect of individual pupils/teachers insured under the policy (i.e. "Challengers). This will only be a portion of WC's total costs and what they charge schools/pupils (which I understand the$4m is based on). • We should hold that we will only charge unrecoverable pre-payments and it is their duty to seek recovery primarily from the airline/hotel (appreciate they're not staying in hotels in this case). This has to be part of the claims handling process.”
“As you discussed on the call, there needs to be a consideration on recouping airfares etc. Ironically, this cannot be done for July/August trips, as it is deemed to far outside the reasonable period.”
“He did say however that when it comes to claims they will be expecting us to try and mitigate costs through things such as airline refunds etc. I was worried that they would come back to this- I’m not entirely sure of how we approach that and the implications.”
“This does not yet include what Stephen Moss needs us to consider from the perspective of World Challenge making a claim i.e. his team were working to the same 60 days as ZM — I think his question is whether it was reasonable to accept cancellation to the end of September for World Challenge and to compare to what ZM are doing. Can that be added in please.”
“the policy will be looking to respond for all trips cancelled, including those in July and August. We however have to be very specific in response as to what is claimable etc. I shall be in touch shortly. As discussed, it will be the claims team taking this forward once formal instructions are sent out.”
“… Alex Blake 17:23: Do you foresee them renewing or not? Aaron Stephens 17:23: The renewal is almost irrelevant at the moment I guess. No new trips until November the earliest. Alex Blake 17:25: True, though surely they'd still want cover from between booking date and OT. If they lapse they don't get that benefit Aaron Stephens 17:26: November trips have already taken deposits, so would potentially fall in to this policy period... eekkkk …”
“I can confirm that any agreed claim for those trips already booked, prior to the announcement of Covid-19 as a pandemic, and due to take place up until the end of August, will be borne by the 2019/20 policy year. This is an approach based on the reasonableness and foreseeability of those trips being unable to commence given the current advice from our Government and Public Authorities. With regards to the claims themselves, it was of my understanding that yourself and/or World Challenge were to provide us with a spreadsheet you currently hold of the c.60-80 trips you were intending to claim for. I would be grateful if you could look to provide this to me for review. I will then be able to assess the costs you have incurred and provide commentary on what is recoverable under the policy and what costs you will be able to receive in refund from your airline/accommodation provider/activity host.”
“1. It appears that Zurich are confirming that the 19/20 policy will respond to trips booked during the policy period that have to be cancelled by an event that is triggered in the same period. They haven't said as much though. Instead they have said it will respond up until the end of August. I would suggest that trips booked later in the year ought to also be covered although we may not cancel them until much closer to the time — perhaps 60 days prior. E.g if the travel restrictions are still in place in September, we may begin to cancel November trips. 2. What we can claim for — a month or so ago WTW confirmed with Zurich (on the phone) that if we had to refund a customer (e.g)£3k that we could claim for£3k . Now they appear to be focusing on mitigation. If they are suggesting that if we get a£500 refund from an airline, then they would process a claim for£2.5k then I think we're ok with that. It will become an issue though if they look to us to evidence all of the costs incurred vs what the customer has paid us; for example, we may not have incurred any accommodation costs yet, and they may argue that what we would have paid out on in-country costs can be used towards refunding the customer. James and I (and others if available) will try to take a call with Zurich on Monday to address the above and we can then follow up by email. I imagine it will continue to be hard work getting this clarity though”
“2. Regarding taking further deposits; Challengers booked on to trips that have not been cancelled to date (for example departing in November) are still assumed to be going ahead. WCE therefore need to continue to plan those trips on this premise, this would naturally include continuing to take customer payments as customers are on set payment plans; to be clear, these trips were booked prior to the pandemic. Clearly 2 above is relevant to the discussions proposed on cancellation strategy and how far in advance such decisions to cancel should be taken given the currently evolving situation.”
“I am inclined to agree with Tom that it would be unreasonable for us to assert that further deposits paid on trips already booked prior to the pandemic declaration would be unrecoverable under the policy. What we will need to do is monitor the travel situation closely but also have an understanding of when these future trips are due to fly and when deposits are expected to be collected. There's no point agreeing to say a 60 day rolling cancellation window, but they collect deposits on the 61st day and double our claim spend.”
“Following the outbreak of Covid-19 all but essential international travel has been halted. World Challenge (WC) have c.80 trips they wish to cancel. It is understood that deposits paid on these trips so far accumulate to GBP 3-4m. Request’s have been made for the accurate figures from the insured.”
“As I mentioned on our call, I am of the opinion that the Insured should continue to collect deposits on trips post August and that we will have to consider these additional payments as and when the are within a reasonable window of cancellation. At the moment this window has not been defined entirely, but it is likely to be in the 60 day region. Whilst I appreciate these deposits/additional payments are paid post the declaration of the pandemic, the actual initial booking of the trip was made prior to this announcement and therefore, in line with the approach we have taken on accepting claims in the 19/20 year, we will have to continue to deal with claims post August in the same manner. The Insured has a duty to act reasonably and mitigate costs, but they also have to continue to be as "business as usual" as possible. We can't tell them that we won't accept further deposits paid due to CV19 being a 'known event', but then tell them that the trip is too far in advance for us to consider a cancellation claim. The Insured has told me they collect the final balance, which looks to be 30-40% of the total costs, 60 days prior to departure for the trip. With this in mind, this will likely be the window we work to as a way to keep the claims costs down.”
“I had a call this morning with the Broker, following the call with him and the Insured yesterday, and I made it very clear that the policy is there to cover irrecoverable expenses and that usually cancellation claims are considered several days before, or, more normally, after the date of travel and this would make it easier for us to reaffirm the Insured having to exhaust refund avenues before the claim is considered. I've told him we can't waive our rights to this usual approach just because we are offering to accept the insured's cancellation claims so far in advance. I've told him we will need to work closely to ensure the costs settled are only that which are owed under the policy. He understands this approach/position and I have told him we will look to support the customer as much as possible in securing recoveries.”
“Lisa Telford 11:38: Mainly the cancellation claims were pre-trip ones where we just verified cover for them. I have probably seen one or two on trip curtailments but they were always few and far between so cannot recall any specific examples. If any claim came in that fell under the aggregate, I would just respond to that effect to WCE Alex Blake 11:39: Okay thank you both. For those pre-trip ones Lisa, do we advice WC to refund the full Challenger cost? Lisa Telford 11:42: Yes that's right, The pre-trip claims were cancellations by the parents. We check the reason for the cancellation against WCE terms and conditions and advise them whether there is cover in place to refund the parents less their admin fee. As they have never breached their aggregate there has never been one that we have had to pay Alex Blake 11:43: Okay thank you and that's useful to know about the admin fee! That may save us a few pounds!”
“because, being honest, getting the COGS back and receiving insurance on customer deposits is a bit like double dipping. If a trip isn’t fully paid there can certainly not be any mitigation. The insurance should pay out all customer deposits and they should do it quickly, before balance payments are made. This is of course off the record. We still want to go for all customer deposits.”
“I'm annoyed because I got the point about customer deposits being covered right at the start and the broker discussed and agreed that with Zurich (I emailed the broker and Janet - you were copied last week) about this but they seem hesitant to speak up about it. I'm going to push them on this today. ultimately the question is, regardless of the insurance will we be refunding our customers. In the UK we have to legally. If we are going to, why couldn't we communicate about it anyway and figure out where the money comes from later (insurance or Travelopia or both)?”
“As you will see, the numbers are significantly greater than we were first advised. Below is a breakdown, based on my understanding thus far, of the costs being presented: Cancelled Already • 52 Trips Cancelled • Incurred(paid by challengers) so far is GBP 1.3m • Refunds received so far is GBP GBP 220k • Present net loss is GBP 1,104,211 • This does not take in to account any further airline/accommodation refunds they receive June — September Trips • 350 trips in the pipeline to end of September • Incurred GBP 9.8m to date. Further GBP 4.6m due in balance remaining. Potential total gross loss of GBP 14.4m • GBP 4,937 received in refunds so far … An update to the EWE will need to be issued and I will look at breaking costs down on a month by month basis to give a better visual for what we may expect as this situation rolls on. Will, Mark — Can we have a call to discuss what figure we look to reserve at?” • 52 Trips Cancelled • Incurred(paid by challengers) so far is GBP 1.3m • Refunds received so far is GBP GBP 220k • Present net loss is GBP 1,104,211 • This does not take in to account any further airline/accommodation refunds they receive • 350 trips in the pipeline to end of September • Incurred GBP 9.8m to date. Further GBP 4.6m due in balance remaining. Potential total gross loss of GBP 14.4m • GBP 4,937 received in refunds so far (b) 1243: Mr Blake forwarded his email to Mr Moss with apologies for not including him originally and noting that an update to the EWE would be issued by the end of the week. (c) Between 1400 and 1442: Mr Venn and Mr Blake spoke on the telephone. Mr Venn recorded in a Zoom message to Mr Morris that Mr Blake “definitely is back tracking now he’s got the spreadsheet”. (d) 1439: Mr Moss responded to Blake, also copying in Mr Lynch (Senior A&H Underwriter) and Ms Robinson, stating that more work needed to be done in relation to anticipated recoveries before sending out a revised EWE and querying “How much of this potential quantum is outside the scope of the policy (i.e. profit margin, excursions etc)”. (e) 1448: Mr Stephens replied to Mr Moss and Mr Blake stating: “The issue here, I see it is that we are almost acting as the insurance for the package being offered by WCE, rather than what the policy is designed to do. It was never the intention for the policy to reimburse on a like for like basis, in the sense that if the expedition is sold for GBP 1,500 to a challenger, our cancellation cost should not be GBP 1,500. [Redacted text.] One of my concerns here also is that these lower end of the cost estimate, circa GBP 9.8m include the price of flights. However, the flights have not been booked yet as I understand and therefore a refund on these is not going to be feasible. At this stage, I see the recoverable costs as minimal unfortunately.”
“When we spoke last week it appeared that we'd reached a clear understanding on how the policy would respond. Tom provided a very accurate and clear summary of the conversation, in which he clearly articulates World Challenge's responsibility to refund customers in full under theEuropean Package Travel Regulations 2018 . He confirmed Zurich's position, that customer refunds will be claimable in full, subject to any refunds from airlines and in-country providers, and our joint agreement that trips up to 31st of August should now be cancelled on this basis. I explained that a large proportion of the customer payments through the pre-departure go towards covering our pre- departure training / preparation, and that balance payments generally cover the majority of flight and in country costs. Furthermore, we clarified on several occasions that, given the timing of the ticketing process (average 60 days prior to departure), only a small proportion of overall flight costs had already been incurred. We clearly explained that cost mitigation would be limited because of this. I believe you understood our need to be crystal clear on this point, so that we could communicate with our customers and cancel flights with airlines clearly and in good faith. We have sent the majority of the data you've requested and are happy to work through the scenarios. However, we must now establish what has been agreed as solid ground on which both World Challenge and Zurich can proceed. Please could you provide a note to this effect at your earliest convenience.”
“We’re expecting Zurich’s position statement this week but it may not be favorable. On that basis I’m happy to cancel the trips and tell people what they’ll receive (either RCN or keep waiting) but it’s likely only the cancellation part is one global message, so makes things more difficult to deliver.”
“We'd reached verbal agreement on the coverage to essentially be: Customer deposits minus COGS refunded from airlines. Zurich then did a backflip when they realised how relatively little COGS had been committed (and therefore limited mitigation). Janet is now getting a quote from a mid-tier, specialist insurance lawyer so we can review the policy if they fail to come through. Any update please Janet? Currently our assumptions in the forecast are worst case scenario.”
“Please be assured that the claim process is following a correct and appropriate path. Zurich are engaged and their position on policy trigger as stated above is clear given the size/nature of WCE's circumstances. Next steps are to agree a quantum calculation process, this is important given the large number of trips in scope; the varying nature of their payment positions and differing business process/planning status. … Zurich's awaited position paper may identify areas where interpretation differs. If this is the case, our review will be able to quickly identify these and plan any required response. The over-arching principal of the cancellation cover of a PA/T policy is to pay unrecoverable trip costs where cancellation is uncontrollable, which, as you would expect, would not include any associated business trading risk costs.”
“… We would find it very helpful to have more information concerning the items referred to in the Schedule so that we can better understand it. For example, it appears in many cases that no monies whatsoever have so far been paid in respect of flights/ICB costs for trips which were due to take place in the near future. We are not sure why this should be the case. It would also be helpful to understand how and when flights/ICB costs are arranged/paid for by World Challenge, and what specific items of cost are included within "ICB" costs. Subject to that, the Schedule appears to show that, in many cases, significant payments have been received by World Challenge from Challengers but that relatively little expenditure has been incurred on flights and/or ICB costs. We presume that, were the trips to have gone ahead, significantly more expenditure would have been incurred in respect of these items. Please can you confirm the level of expenditure expected to be incurred. … The Policy covers, subject to its terms, conditions and exclusions, in respect of pre-booked travel arrangements, deposits, advance payments and other charges which have not been/will not be used but which become forfeit or payable under contract or cannot be recovered elsewhere. Zurich is currently minded, and entirely without prejudice to its rights, and subject always to policy terms, conditions and exclusions, to be flexible with regard to not insisting that World Challenge must first recover such deposits, payments and charges elsewhere. However, this is strictly and solely on the condition that World Challenge provides full assistance in making such recoveries. We refer you to the subrogation clause at General Condition 16 in this regard. For the avoidance of doubt, the Policy does not provide business interruption cover and it is not there to provide windfall profits to World Challenge, or overheads it might incur, still less does it cover payments which were due to be made to airlines, accommodation providers and other third parties but which have not been made (or which have already been refunded). Rather, it covers, on an indemnity basis, losses which have been incurred as a result of deposits, advance payments and other charges payable or paid to third party service providers which have not been and will not be used, such as flights, and which have become forfeit or payable under contract or cannot be recovered elsewhere. According to the Schedule that you have provided us with, and subject to your providing us with further information as referred to above, it appears that in many cases no deposits, advance payments or other charges have been made in respect of many of the trips referenced. However, we look forward to discussing these and other matters (such as the provision of receipts and other evidence of payments) with you further, on a without prejudice basis.”
“the policy will cover losses where the insured has already paid for services. In the event that deposits have been paid by challengers, but the insured has not yet paid suppliers, then cancellation would not be construed as resulting in a loss as no monies had been paid to suppliers. Having to refund challengers would also not be regarded as a loss for which a claim could be made.”
“18. Memory is especially unreliable when it comes to recalling past beliefs. Our memories of past beliefs are revised to make them more consistent with our present beliefs. Studies have also shown that memory is particularly vulnerable to interference and alteration when a person is presented with new information or suggestions about an event in circumstances where his or her memory of it is already weak due to the passage of time. 20. In the light of these considerations, the best approach for a judge to adopt in the trial of a commercial case is, in my view, to place little if any reliance at all on witnesses’ recollections of what was said in meetings and conversations, and to base factual findings on inferences drawn from the documentary evidence and known or probable facts. This does not mean that oral testimony serves no useful purpose – though its utility is often disproportionate to its length. But its value lies largely, as I see it, in the opportunity which cross-examination affords to subject the documentary record to critical scrutiny and to gauge the personality, motivations and working practices of a witness, rather than in testimony of what the witness recalls of particular conversations and events. Above all, it is important to avoid the fallacy of supposing that, because a witness has confidence in his or her recollection and is honest, evidence based on that recollection provides any reliable guide to the truth.”
“I believe that the process was set up by various people internally and at World Challenge and you know we were just carrying out the steps agreed in that process and we were following instructions, effectively.” (i) Thus it was that WCE was never asked about third party costs or recoveries in relation to cancellations after April 2016 save in the case of the Bentley sisters in August 2016 (as to which see above). I accept Mr Shapiro’s submission that the claim for Tiffin Girls’ School which was settled in 2017 by reference to the cost of replacement flights less recoveries on cancelled flights fell into a different category, not being a straightforward cancellation submitted on a Refund Request Form, but rather a rearrangement claim submitted on a different type of form. In any event, this was one isolated claim and is insufficient to disturb what I find was otherwise a settled and consistent course of dealing. On the contrary, cancellation claims were routinely settled in full by reference to “refunds” and without any mention of “costs” or “recoveries”
“Insured: World Challenge Expeditions Ltd … Event Aggregate Limit GBP 25,000,000 Cancellation and/or Curtailment Limit GBP 100,000 … Business Travel Coverage Category A Insured persons Any challenger whose details are lodged with the Company Operative time A While the Insured Person is participating in an Expedition organised by the Insured which commences during the Period of Insurance and involves travel from the Insured Person’s country of residence Insurance operates from the departure of the Insured Person from the Insured Person’s residence or place of schooling in their country of residence (whichever occurs last) until arrival back at such residence or place of schooling (whichever occurs first) at the end of the journey. B While the Insured Person is undergoing training organised by and under the supervision of the Insured in their country of domicile Insurance operates from the time or arrival at the organised training until the time of departure from the organised training … Endorsements and conditions to apply … Endorsement 1 – Cancellation Insurance – Aggregate Deductible It is hereby noted and agreed In respect of the Cancellation Curtailment and Change of Itinerary Insurance Section the Company shall not be liable for the first£100,000 of all losses arising from the same Incident and in any one Period of Insurance. … Section 1 – General Definitions … Cancellation or Curtailment Limit The maximum amount for which we can be held liable in respect of all claims under Section 8 for loss and expense arising out of any one event. … Event A sudden, unforeseen and identifiable occurrence. All occurrences or series of occurrences arising from or attributable to one source or original cause will be regarded as a single occurrence where they occur within a 10 mile radius and within 72 consecutive hours of the one source or original cause. Event Aggregate Limit Our maximum liability in respect of all claims for bodily injury arising out of any one event. … Insured Person Any person or category of persons as stated in the schedule. … Operative Time The period of time and/or activities for which you or an insured person are covered under this policy as stated in the schedule. … Section 8 – Cancellation, Curtailment, Rearrangement and Replacement Expenses The Cover If during the operative time or between the confirmed booking of the journey and the operative time any part of the pre-booked travel arrangements for a journey are cancelled, curtailed or rearranged as a direct result of any cause outside the control of you or the insured person we will pay you or the insured person up to the sum insured in the schedule and subject to the cancellation or curtailment limit for: a) deposits, advance payments and other charges which have not been and will not be used but which become forfeit or payable under contract or cannot be recovered elsewhere; and b) reasonable additional travel and accommodation expenses necessarily incurred.”
“an insurance policy, like any other contract, must be interpreted objectively by asking what a reasonable person, with all the background knowledge which would reasonably have been available to the parties when they entered into the contract, would have understood the language of the contract to mean. Evidence about what the parties subjectively intended or understood the contract to mean is not relevant to the court’s task.”