“Is the premium claimed a premium within the meaning ofs29 of the Access to Justice Act 1999 ?”
“The Policy, the Schedule and any Endorsement are to be read as one document. Any word or expression used with a specific meaning in any one of them has the same meaning wherever it appears.”
“The Claim for Damages is finally decided in favour of the Insured Group whether by a Court Judgment in its favour or where an offer is received which the Insureds’ Solicitor recommends should be accepted or any other offer is accepted.”
“The premium will be:- The Premium Rate calculation shown above, multiplied by the Normal Fees of own Solicitor OR The sum of£100,000 (+ IPT at the prevailing rate)
“This insurance policy is administered by First Assist Insurance Services Ltd and underwritten by Great Lakes Reinsurance (UK) Plc.”
“… it was necessary to form a view as to: (i) the likelihood of the insured’s case succeeding in percentage terms; and (ii) if the policy was called upon, how much would have to be paid out, in order to work out the break even position, or risk premium for the scheme, where the costs of claims paid exactly matches the value of the risk premium income (excluding expenses and commission) received. Given the product was an entirely new concept, the absence of previous underwriting data, and the considerable volatility in rates in the ATE market, we resolved to apply basic principles to arrive at an appropriate rating model.”
“●an exposure multiplicand is calculated, being the sum of own disbursements and opponent’s costs (subject to any limit of indemnity on the former); ●a risk multiplier is applied to the exposure multiplicand; ●a basic risk multiplier is ascertained in the same way as a success fee is ascertained, namely by dividing the chance of losing by the chance of winning; ●this basic figure therefore represents the pure “burning cost” of the insurance (that is the “break even” cost disregarding the need for the underwriter to fund its business overheads and make a profit); ●the basic figure is then adjusted to include an allowance for overheads, marketing and brokerage costs and profit; ●this provides the overall risk multiplier; ●the overall risk multiplier is applied to the exposure multiplicand, to derive the net premium; ●insurance premium tax is then applied to produce the overall figure.”
“42. This set out succinctly the risk factors which they had identified, all of which appeared to correspond with the picture we had formed of the risk from the other material provided to us.”
“Cover for the group with the right for new claimants to be added to the group. The premium was the joint responsibility of each and every member of the group, such that the full premium was recoverable in the event of success. Unlimited cover for opponents’ costs (but a limit of£250,000 for own disbursements). Lien on damages to the extent necessary to cover the premium.
“The complexity of group actions; whether the case would be run under a GLO and the range of possible costs orders which could be made if some claimants were successful and others not, or discontinued their actions; the need for LD to have the ability to add more claimants (which could in some circumstances dilute the prospects of the whole group succeeding); the evidential difficulties given the location of the incident and of the claimants, together with foreseeable issues around language and identification of individual claimants; issues around liability and causation coupled with the known denial of liability by Trafigura, and an assessment of Trafigura’s ability to fund a robust defence of the case; the possibility of Trafigura seeking and obtaining a security for costs order, notwithstanding the existence of the ATE policy; the possibility of Tommy’s involvement “breaking the liability chain”; the policy coverage, which gave the insurer no unilateral right to come off cover if merits fell; the difficulty in obtaining payment of the premium by the claimants and the risks that the full premium may not be recovered from either the claimants or the defendant.”
“57. Merits of 65% gives a risk of losing of 35%. 35/65 x 100 = 53.8% risk premium rate. Loading of 15% for admin and profit (53.8 x 1.15) = 61.923% premium rate per the policy schedule.”
“There was a substantial body of information available, including United Nations Report confirming the existence of toxic waste, and the fact that some 100,000 inhabitants of Abidjan had sought medical attention at the time immediately following the dumping of the material. Despite Trafigura’s denial of liability, no other plausible explanation for the events has been provided.”
“15. The terms are agreed before cover incepts and are then unchanged unless altered by mutual agreement. If the merits were to deteriorate the insurer cannot increase the premium. Likewise it will not reduce the premium if merits improve. Nor is this approach peculiar to ATE insurance. Most insurance, whether it covers lives, cars, ships or buildings, involves a one-off, ab initio, assessment of risk.”
“The fact is that the wording was issued in early April 2007 in accordance with the basis of cover agreed in early February. After the policy documentation was issued two typographical errors on the schedule were corrected in May 2008. It is, therefore, incorrect to suggest that the wording was not finalised between April and October.”
“I do not consider it likely that any other ATE insurer could or would have given unlimited cover in this case … I doubt very much that another insurer’s terms would have been better than the terms offered by First Assist.”
“The heritage and culture of the business was therefore one of insurer. However, First Assist determined not to become an insurer but to “outsource” the risk carrying function to Great Lakes. This arrangement required Great Lakes to provide insurance capacity in like manner to that previously provided by RSA; First Assist remunerated Great Lakes for providing the capacity. It was important for First Assist to arrange insurance capacity with a “blue chip” insurer, as First Assist’s reputation would be affected by the quality of the security it offered to its customers and corporate clients. Great Lakes and Munich Re fulfilled this requirement very well.”
“First Assist was not the insurer of the risk; Great Lakes was. It is Great Lakes which is liable to meet claims. The bank guarantee was arranged because a£14 million claim on the insurance account would have affected First Assist’s revenue. In essence, the model works as follows. Premium for all its insurance businesses is collected by First Assist on Great Lakes behalf and banked into a Great Lakes client account. Claims and intermediaries’ commission (and a variety of other industry standard costs such as IPT and the FSCS levy) are charged against this account. Great Lakes are entitled to deduct the agreed fee for providing the insurance capacity and their costs in providing the facility. The balance belongs to First Assist and is its dominant source of income with which to run its business. Should the insurance result be negative (ie, claims and other expenses exceed premiums), then there is no income for First Assist. The bank guarantee was obtained to ensure that First Assist could continue to meet its obligations should its income from the insurance account be disrupted by a loss on this unusually large case.”
“2.1 … (a) whether the underwriting approach utilised by First Assist in this case is typical of the underwriting principles normally applied to ATE insurance? (b) whether the method of premium calculation used is the only method that in all the circumstances of this particular case was reasonable, or are there alternative methods of underwriting the risk and calculating the premium? (c) whether the method of premium calculation applied by First Assist was the only method that could have been applied in all the circumstances of this particular case? (d) whether any insurer would have written the risk on a sliding scale premium basis that would reduce the final premium charged if the chances of success increased after inception of the policy? (e) how likely would it have been for Leigh Day & Co to have obtained a reduced premium and/or better terms if an insurance intermediary had been employed? (f) was this risk written on a commercially acceptable basis and at the time prior to or subsequent to its acceptance by First Assist could or should the terms have been amended to reduce the premium?”
“but with estimated exposure for adverse costs and own disbursements of£750,000 ●we propose a minimum (conditional and deferred) premium of£100,000 (this is because this is a large case which may either settle or run to trial); ●the insurance will be arranged on a co-insurance basis.”
“Whether the underwriting approach utilised by First Assist in this case is typical of the underwriting principles normally applied by ATE insurers?”
“In the vast majority of single claimant cases, and sometimes perhaps in multiple claimant actions, the underwriting approach and premium charge described by Mr Smith will produce a result that is likely to be within a reasonable range based on the quantum risk and the level of litigation work undertaken by the parties. It does have the ability though to produce an inequitable result if the costs are very high, but the litigation risk is not.”
“Whether the method of premium calculation used was the only method that in all the circumstances of this particular case was reasonable, or are there alternative methods of underwriting the risk and of calculating the premium?”
“9.9 A simple method that can be employed by insurers when the original estimate of loss is too variable to estimate with any accuracy is to set, by whatever rationale it chooses, what is considered a premium that will match or exceed the risk of loss – an overly adequate premium. But the insurance contract will allow for a return of premium, in the form of a profit commission, to the party paying the premium in the event that certain pre-agreed margins are made when the outcome of the risk or event insured against becomes known.”
“How likely would it have been for Leigh Day & Co to have obtained a reduced premium and/or better terms if an insurance intermediary had been employed?”
“Whether any insurer would have written the risk on a sliding scale premium basis, that would reduce the final premium charges if the chances of success increased after inception of the policy?”
“Had the true chances of success been only 50/50 or even worse, then there is a commercial argument to be made that a premium of£9,677,554 could be justified, even though this is an extraordinarily high amount.”
“The figures used for the calculation of the premium rate and premium in respect of opponent’s costs shall be the actual costs of the opponent (including the opponents’ solicitors costs and the opponents’ expenses) as certified by the opponent’s solicitor”
“Where in any proceedings a costs order is made in favour of any party who has taken out an insurance policy against the risk of incurring a liability in those proceedings, the costs payable to him may, subject in the case of court proceedings to rules of court, include costs in respect of the premium of the policy.”
“Premium Defined The premium is the consideration required of the assured in return for which the insurer undertakes his obligations under the contract of insurance. Lewis Ltd v Norwich Union Fire Inc.Co.[1916] AC 509 , 519. This definition was cited with approval in Re: Claims Direct Test Cases [2003] Lloyds Rep IR 680 in the context of issues as to recovery of premium for after the event insurance by way of costs underSection 29 of the Access to Justice Act 1999 . … The amount or adequacy of the premium in relation to the risks run is a matter for the insurer rather than a court …”
“I should say at the outset that I am satisfied that the Pursuit policy is the product of an honest attempt by a reputable insurer to produce an ATE policy to fill a specific gap in the market. Unlike the packages offered by Claims Direct and The Accident Group ([2003] EWCA Civ 136 and[2004] EWCA Civ 575 respectively), the premium payable in respect of the Pursuit policy is exclusively referable to that policy and does not cover the cost of any ancillary benefits for the insured.”
“87. In my judgment, in this quite exceptional case, it was inevitable that the Master should adopt this approach in order to identify what should truly be treated as the premium.”
“2.1 Subject to the terms of this agreement the agent shall perform the services in accordance with the service levels. 2.2 Notwithstanding the generality of Clause 2.1, and subject to the terms of this agreement, the direct insurer appoints the agent from the commencement date as its agent for the purpose of performing such of the services (in accordance with the service levels) as are required to be performed on behalf of the direct insurer in order to create valid and binding legal obligations between the direct insurer and the relevant counter party, or in order to satisfy the direct insurer’s regulatory obligations. The agent hereby accepts this appointment.”
“what was the premium, for the purposes of Section 29 of the 1999 Act?”
“… the first CFA in November 2006 correctly indicated a 50% chance of winning. Once the acknowledgment of service had been served on4 December 2006 , the risk in respect of forum would have gone. The chance of winning therefore increased to 61.2%. On21 March 2007 the Defendants informed the Claimants of the settlement agreement between Trafigura and the Ivorian Government. This would, in my judgment, have reduced the breach of duty risk by 5%, increasing the chance of winning to 65%.”
“The author has just returned from a trip Abidjan where there were many rumours circulating regarding negotiations between Trafigura and the Cote d’Ivoire Government. We understand that those negotiations have been reported in the local press this morning. It may well be that the negotiations are matters that do not concern our clients, such as the release of the two executives in prison and the losses incurred by the Government as a result of the dumping of the waste. We simply write to ask whether there is any intention of your client’s part to enter into early negotiations with us on behalf of our clients, to also see the resolution of the health related claims. While these are still relatively early days regarding the bringing in of the individual claims, if your clients are keen to see a resolution of the whole issue there may be sense in having preliminary discussions soon rather than later.”
“As you are aware our clients have reached an agreement with the state of the Ivory Coast which – without admissions of liability on either side – has sought to respond to the needs of the individuals in the Ivory Coast by establishing effective means whereby, irrespective of fault or recrimination, the innocent victims of the events in Abidjan could be compensated.”
“The individuals will only be required to demonstrate a causal link between exposure to the materials and their medical symptoms or losses – only one element of the many that they would have to plead and prove in order to succeed on a claim in tort in the English High Court. Further, claiming under the Fund will obviously be a far more straightforward, cost effective and efficient process by which the individuals concerned will obtain compensation. In addition, the payment of compensation to your clients and other affected individuals will have a material effect on the level of any damages recoverable by such Ivorian individuals in the English High Court.”
“Had First Assist known of the payment prior to offering terms, it would have factored that knowledge in to the risk assessment. What effect that would have had on the terms offered is impossible to say, since to this day I have no real understanding of the basis on which funds were paid, save that it has been reported as amounting to a payment of around£100 million , which coincided with the release of Claude Dauphin, the Founder of Trafigura, plus another senior executive, from prison in the Ivory Coast, and was followed by Trafigura and its staff being granted immunity from suit in that country. The somewhat impenetrable arrangements, even if known to us, would therefore have thrown little or no light on the material question of whether Trafigura was liable in principle to compensate the Claimants for a civil wrong recognised in the English Courts. …”
“46. … The court specifically added “satellite litigation involving such an exercise [ie, examining evidence of insurance cover] is however unsatisfactory. The Judge can only be expected to give broad consideration to such evidence. It is not part of a function of a Judge assessing costs to carry out an audit of the insurance business. … The court may wish to check the overall result which it reaches by reference to the alternative methods of obtaining access to justice. This might involve looking at alternative rates of cover, or the costs which would be involved if litigation were to be funded in some other way ….”
“Had the true chances of success been only 50/50, or even worse, then there is a commercial argument to be made that the premium of£9,677,554 could be justified, even though this is an extraordinarily high amount.”
“simply billed under the matter number for the Abidjan Personal Injury Group Litigation as a matter of administrative convenience.”
“various legal advisers around the world in respect of the Probo Koala incident, resulting in the need for those lawyers to keep one another appraised. Such liaison, and the associated cost did not relate, however, to the Abidjan Personal Injury Group Litigation.”
“The figures used for the calculation of the premium rate and premium in respect of opponent’s costs shall be the actual cost of the opponent (including the opponents’ solicitors’ costs and the opponents’ expenses) as certified by the opponents’ solicitors.”