“Injury sustained or disease contracted” during the insurance period. ii) Independent: “During the period of insurance … shall sustain bodily injury or disease”. iii) Excess: (The relevant part of all three wordings - late 1940s through to 1976): “During the period (of indemnity) shall sustain [any] personal injury by accident or disease” (the word any appears in one out of the three versions). iv) MMI: • First wording: during the period of insurance “shall sustain any personal injury by accident or disease”. • Second wording: during the period of insurance “shall sustain any bodily injury or disease”. • Third wording: “bodily injury or disease … suffered … when such injury or disease … is sustained or contracted during the currency of this Policy”
“(i) the certifying surgeon appointed under theFactory and Workshop Act 1901 for the district in which a workman was employed certifies that the workman is suffering from a disease mentioned in the Third Schedule to this Act and is thereby disabled from earning full wages at the work at which he was employed; or (ii) a workman is, in pursuance of any special rules or regulations made under theFactory and Workshop Act 1901 , suspended from his usual employment on account of having contracted any such disease; or (iii) the death of a workman is caused by any such disease.” viii) S8(1)(a) provides that, for the purpose of deeming the disease or suspension to be a “personal injury by accident”, so as to bring this limited number of diseases within the remit of legislation which previously only applied to personal injuries by accident, “the disablement or suspension shall be treated as the happening of the accident”
“For the purposes of this section, the date of disablement shall be such date as the certifying surgeon certifies as the date on which the disablement commenced, or, if he is unable to certify such a date, the date on which the certificate is given: Provided that … (b) where a workman dies without having obtained a certificate of disablement … it shall be the date of death.”
“61. What are the significant features of the present case? First, we are dealing with a duty specifically intended to protect employees against being unnecessarily exposed to the risk of (among other things) a particular disease. Secondly, the duty is one intended to create a civil right to compensation for injury relevantly connected with its breach. Thirdly, it is established that the greater the exposure to asbestos, the greater the risk of contracting that disease. Fourthly, except in the case in which there has been only one significant exposure to asbestos, medical science cannot prove whose asbestos is more likely than not to have produced the cell mutation which caused the disease. Fifthly, the employee has contracted the disease against which he should have been protected. 62. In these circumstances, a rule requiring proof of a link between the defendant’s asbestos and the claimant’s disease would, with the arbitrary exception of single-employer cases, empty the duty of content …To say, for example, that the cause of Mr Matthews’s cancer was his significant exposure to asbestos during two employments over a period of eight years, without being able to identify the day upon which he inhaled the fatal fibre, is a meaningful causal statement. The medical evidence shows that it is the only kind of causal statement about the disease which, in the present state of knowledge, a scientist would regard as possible. There is no a priori reason, no rule of logic which prevents the law from treating it as sufficient to satisfy the causal requirements of the law of negligence. The question is whether your Lordships think such a rule would be just and reasonable and whether the class of cases to which it applies can be sufficiently clearly defined. 63. So the question of principle is this: in cases which exhibit the five features I have mentioned, which rule would be more in accordance with justice and the policy of common law and statute to protect employees against the risk of contracting asbestos-related diseases? One which makes an employer in breach of his duty liable for the employee’s injury because he created a significant risk to his health, despite the fact that the physical cause of the injury may have been created by someone else? Or a rule which means that, unless he was subjected to risk by the breach of duty of a single employer, the employee can never have a remedy? My Lords, as between the employer in breach of duty and the employee who has lost his life in consequence of a period of exposure to risk to which that employer has contributed, I think it would be both inconsistent with the policy of the law imposing the duty and morally wrong for your Lordships to impose causal requirements which exclude liability.”
“The crux of cases such as the present, if the appellants’ argument is upheld, is that an employer may be held liable for damage he has not caused. The risk is the greater where all the employers potentially liable are not before the court. This is so on the facts of each of the three appeals before the House, and is always likely to be so, given the long latency of this condition and the likelier that some employers potentially liable will have gone out of business or disappeared during that period. It can properly be said to be unjust to impose liability on a party who has not been shown, even on a balance of probabilities, to have caused the damage complained of. On the other hand, there is a strong policy argument in favour of compensating those who have suffered grave harm, at the expense of their employers who owed them a duty to protect them against that very harm and failed to do so, when the harm can only have been caused by breach of that duty and when science does not permit the victim accurately to attribute, as between several employers, the precise responsibility for the harm he has suffered. I am of the opinion that such injustice as may be involved in imposing liability on a duty-breaking employer in these circumstances is heavily outweighed by the injustice of denying redress to a victim.”
“2. The essential question underlying the appeals may be accurately expressed in this way. If (1) C was employed at different times and for differing periods by both A and B, and (2) A and B were both subject to a duty to take reasonable care or to take all practicable measures to prevent C inhaling asbestos dust because of the known risk that asbestos dust (if inhaled) might cause mesothelioma, and (3) both A and B were in breach of that duty in relation to C during the periods of C’s employment by each of them with the result that during both periods C inhaled excessive quantities of asbestos dust, and (4) C is found to be suffering from mesothelioma, and (5) any cause of C’s mesothelioma other than the inhalation of asbestos dust at work may be effectively discounted, but (6) C cannot (because of the current limits of human science) prove, on the balance of probabilities, that his mesothelioma was a result of his inhaling asbestos dust during his employment by A or during his employment by B or during his employment by A and B taken together, is C entitled to recover damages against either A or B or against both A and B? … 34. To the question posed in paragraph 2 of this opinion, I would answer that, where conditions (1) – (6) are satisfied, C is entitled to recover against both A and B. That conclusion is in my opinion consistent with principle, and also with authority, (properly understood). Where those conditions are satisfied, it seems to me just and in accordance with common sense to treat the conduct of A and B in exposing C to a risk to which he should not have been exposed as making a material contribution to the contracting by C of a condition against which it was duty of A and B to protect him.”
“So long as it was not insignificant, each employer’s wrongful exposure of its employee to asbestos dust, and, hence to the risk of contracting mesothelioma, should be regarded by the law as a sufficient degree of causal connection. This is sufficient to justify requiring the employer to assume responsibility for causing or materially contributing to the onset of the mesothelioma when, in the present state of medical knowledge, no more exact causal connection is ever capable of being established.”
“by proving that the defendants individually materially increased the risk that the men would develop mesothelioma due to inhaling asbestos fibres, the claimants are taken in law to have proved that the defendants materially contributed to their illness.”
“What is the extent of liability? Is any defendant who is liable under the [Fairchild] exception deemed to have caused the disease? On orthodox principles, all defendants who have actually caused the damage are jointly and severally liable. Or is the damage caused by a defendant in a Fairchild case the creation of a risk that the claimant will contract the disease? In that case, each defendant will be liable only for his aliquot contribution to the total risk of the claimant contracting the disease - a risk which is known to have materialised”
“35. Consistency of approach would suggest that if the basis of liability is the wrongful creation of a risk or chance of causing the disease, the damage which the defendant should be regarded as having caused is the creation of such a risk or chance. If that is the right way to characterise the damage, then it does not matter that the disease as such would be indivisible damage … 36. Treating the creation of the risk as the damage caused by the defendant would involve having to quantify the likelihood that the damage (which is known to have materialised) was caused by that particular defendant. It will then be possible to determine the share of the damage which should be attributable to him.” “35. Consistency of approach would suggest that if the basis of liability is the wrongful creation of a risk or chance of causing the disease, the damage which the defendant should be regarded as having caused is the creation of such a risk or chance. If that is the right way to characterise the damage, then it does not matter that the disease as such would be indivisible damage … Then at paragraph 40: “So far I have been concerned to demonstrate that characterising the damage as the risk of contracting mesothelioma would be in accordance with the basis upon which liability is imposed and would not be inconsistent with the concept of damage in the law of tort. In the end, however, the important question is whether such a characterisation would be fair. The Fairchild exception was created because the alternative of leaving the claimant with no remedy was thought to be unfair … 43. In my opinion, the attribution of liability according to the relative degree of contribution to the chance of the disease being contracted would smooth the roughness of the justice which a rule of joint and several liability creates …”
“Although the Fairchild exception treats the risk of contracting mesothelioma as the damage, it applies only when the disease has actually been contracted … It applies only when the claimant has contracted the disease against which he should have been protected. And in cases outside the exception as in Gregg v Scott … a risk of damage or loss of a chance is not damage upon which an action can be founded. But when the damage is apportioned among the persons responsible for the exposure to asbestos which created the risk, it is known that those exposures were together sufficient to cause the disease.” ii) Lord Scott at paragraph 50 was in “complete agreement both with [Lord Hoffmann’s] conclusions and with his reasons”
“If the Fairchild principle were based upon the fiction that each Fairchild defendant had actually caused the eventual outcome, the analogy with tortfeasors each of whom had contributed to an indivisible outcome would be very close. But Fairchild liability is not based on that fiction. It is based on the fact that each negligent defendant has wrongfully subjected the victim to a period of exposure to an injurious agent and has thereby, during that period, subjected the victim to a material risk that he or she will contract disease associated with that agent. Each successive period of exposure has subjected the victim to a further degree of risk. If, in the event, the victim does not contract the disease, no claim can be made for the trauma of being subjected to the risk: see Gregg v Scott … But if the victim does contract the disease the risk has materialised … 62. I would, therefore, hold that the extent of the liability of each defendant in a Fairchild type of case, where it cannot be shown which defendant’s breach of duty caused the damage, but where each defendant, in breach of duty, has exposed the claimant to a significant risk of the eventual damage, should be liability commensurate with the degree of risk for which that defendant was responsible.” iii) Lord Walker is “in full agreement with Lord Hoffmann’s reasons” at paragraph 103, and reiterates the position in his own words at paragraph 113. iv) It is right that, while agreeing with the majority decision, Baroness Hale expressly agrees with Lord Rodger at paragraph 120 that “the damage which is the ‘gist’ of these actions is the mesothelioma and its physical and financial consequences. It is not the risk of contracting of mesothelioma.”
“3. Mesothelioma: damages (1) This section applies where - (a) a person (“the responsible person”) has negligently or in breach of statutory duty caused or permitted another person (“the victim”) to be exposed to asbestos, (b) the victim has contracted mesothelioma as a result of exposure to asbestos. (c) because of the nature of mesothelioma and the state of medical science, it is not possible to determine with certainty whether it was the exposure mentioned in paragraph (a) or another exposure which caused the victim to become ill, and (d)the responsible person is liable in tort, by virtue of the exposure mentioned in paragraph (a), in connection with damage caused to the victim by the disease (whether by reason of having materially increased a risk or for any other reason). 2. The responsible person shall be liable – (a) in respect of the whole of the damage caused to the victim by the disease (irrespective of whether the victim was also exposed to asbestos – (i) other than by the responsible person, whether or not in circumstances in which another person has liability in tort, or (ii) by the responsible person in circumstances in which he has no liability in tort), and (b) jointly and severally with any other responsible person.” (a) a person (“the responsible person”) has negligently or in breach of statutory duty caused or permitted another person (“the victim”) to be exposed to asbestos, (b) the victim has contracted mesothelioma as a result of exposure to asbestos. (c) because of the nature of mesothelioma and the state of medical science, it is not possible to determine with certainty whether it was the exposure mentioned in paragraph (a) or another exposure which caused the victim to become ill, and (d)the responsible person is liable in tort, by virtue of the exposure mentioned in paragraph (a), in connection with damage caused to the victim by the disease (whether by reason of having materially increased a risk or for any other reason). (a) in respect of the whole of the damage caused to the victim by the disease (irrespective of whether the victim was also exposed to asbestos – (i) other than by the responsible person, whether or not in circumstances in which another person has liability in tort, or (ii) by the responsible person in circumstances in which he has no liability in tort), and (b) jointly and severally with any other responsible person.”
“since the pleural plaques had caused no symptoms and did not increase susceptibility to other asbestos-related diseases or shorten life expectancy, their mere presence in the claimant’s lungs did not constitute injury capable of giving rise to a claim for damages in tort; that although the development of pleural plaques was proof that the claimant’s lungs had been penetrated by asbestos fibres which could independently cause other fatal diseases, neither the risk of developing those other diseases nor anxiety about the possibility of that risk materialising could amount to damage for the purposes of creating a cause of action in tort.”
“If at any time during the said period any employee in the Insured’s immediate service shall sustain any personal injury by accident or disease as described in theThird Schedule to the Workmen’s Compensation Act 1906 while engaged in the service of the Insured in work forming part of or process in the business above mentioned, and in case the Insured shall be liable to make compensation for such injury either under theFatal Accidents Act 1846 , theEmployer’s Liability Act 1880 , theWorkmen’s Compensation Act 1906 or at Common Law, the Company shall indemnify the Insured …”
“against all sums of money which the Assured may become liable to pay under the provisions of theEmployers’ Liability Act 1880 or theWorkmen’s Compensation Act 1906 in respect of any accident or injury which may happen [during the period of insurance] … or which the Assured may become liable by virtue of the Common Law to pay to any Workman … in respect of personal injuries suffered by such Workmen during such period or periods aforesaid whilst engaged in the service of the Assured.”
“if at any time during the said period, any employee in the Employers’ immediate service shall sustain any personal injury by accident or disease while engaged in the service of the Employer … and in case the Employer shall be liable to make compensation for such injury, either under or by virtue of theCommon Law, the Fatal Accidents Act 1846 , theEmployers’ Liability Act 1880 , or the Workers Compensation Acts 1925 to 1940, the Company”
“Except as otherwise provided by this Act, every employer carrying on any business in Great Britain shall insure, and maintain insurance, under one or more approved policies with an authorised insurer or insurers against liability for bodily injury or disease sustained by his employees and arising out of and in the course of their employment in Great Britain in that business, but except insofar as regulations otherwise provide not including injury or disease suffered or contracted outside Great Britain.”
“We can trace no cases decided by the Court, and most Insurers have accepted a formula based on the length of employment in processes involving exposure to asbestos dust during the particular period of policy cover”
“the ingested fibre had here started upon its slow but inevitable physiological process of malignant transformation of the pleura of the employee’s lung, doing so sometime during the course of employment and thus during the period of insurance: that meant ‘injury’ occurred during the period of insurance.”
“Employers’ Liability policies cover only bodily injury to, and death, disease or illness of, employees of the insured; they do not cover any property damage. Another difference between employers’ liability and public/product liability wordings is the use of ‘caused’ instead of ‘occurring’.”
“As traditionally PL is written on an occurrence/happening basis, inevitably there will be disputes over when long-tail industrial diseases occurred/happened … Using mesothelioma as an example, it could be argued that injury occurs when the first cell damage takes place, following which there may be a gap of 10 years or more before mesothelioma is diagnosed.”
“The company agrees to indemnify the insured in respect of all sums which the insured shall become legally liable to pay as compensation arising out of…accidental bodily injury or illness (fatal or otherwise) to any person other than any person employed under a contract of service ... when such injury, illness, loss or damage occurs during the currency of the policy and arises out of the exercise of the functions of a local authority.”
“3. At the outset of his address, Mr Harvey for [Commercial Union] drew attention to the fact that the contest in the present case was not a contest between employers’ liability insurers (since Bolton never employed Mr Green) but between public liability insurers and, to this extent, was an unusual dispute. The significance of this observation was said to be that, while employers’ liability insurers usually offered cover in respect of “injuries caused during the period of insurance”, and would thus, at any rate arguably, offer cover at the time when an employee was exposed to the inhalation of asbestos fibres, public liability insurers usually offered cover in respect of “injuries occurring during the period of insurance”
“12. It is furthermore important to note that there may be a long time lapse not only between exposure and the first formation of a malignant cell but that there may be a similarly lengthy lapse of time between first malignancy and the onset of noticeable symptoms such as breathlessness. In the present case it is thought that malignancy did not occur until 1980 and a further 10 years elapsed before Mr Green became symptomatic. Since MMI were on cover after 1979, there is no distinction for the purposes of this appeal between the onset of malignancy and the onset of symptoms or, indeed, between the onset of symptoms and diagnosis of the disease.”
“15. ... Mr Green could not have sued for personal injury at that stage because he had suffered no injury at that stage. The indemnity which Bolton are seeking is an indemnity against their liability for their share in the sum of£160,000 , which was ultimately paid to Mrs Green. Mr Green could not conceivably have recovered£160,000 (or£80,000 as Bolton’s portion was ultimately agreed to be) in the early 1960s when he was first exposed to asbestos and his body was, at that time, successfully dealing with the fibres which he was inhaling. He was at that stage a well man, not suffering from any injury at all.”
“14. ... Mr Palmer categorised “accidental injury”, for the purposes of the policy, as “insult” to a person’s bodily integrity, which occurred effectively on first being exposed to asbestos fibres... He relied on the miniscule changes which ... preceded the genetic changes which gave rise, at a later date, to the existence of cancerous cells; in other words injury occurred at the point when the body’s natural defence mechanisms were operating to destroy or neutralise the fibres as soon as they were inhaled. This was the time when, according to MMI, accidental injury occurred. 15. This argument is, in my judgment, inconsistent both with principle and authority. It is inconsistent with principle because the contract between the parties is an agreement to indemnify against liability. It cannot be right that, at the stage of initial exposure or initial bodily reaction to such exposure, there could be a liability on the part of Bolton in respect of which they could require to be indemnified under any public liability insurance policy ... 16. As far as authority is concerned, it is well accepted in the general law that words such as “injury” or “damage” in indemnity agreements do not include injury or damage which will happen in the future ... 18. ... actionable injury does not occur on exposure or on initial bodily changes happening on that time but only at a much later date; whether that it is when a malignant tumour is first created or when identifiable symptoms first occur does not matter for the purposes of this case ... injury cannot be equated to the “insult” received by the body when exposure first occurs.”
“... in my judgment the subclause has no very natural meaning and is, at the least, open to possible meanings or interpretations – one the judge’s, the other that it addresses two separate subject matters. In these circumstances, it is especially important to undertake the exercise on which the judge declined to embark, that is to consider the implications of each interpretation. In my opinion, a court when construing any document should always have an eye to the consequences of a particular construction, even if they often only serve as a check on an obvious meaning or a restraint upon adoption of a conceivable but unbusinesslike meaning.”
“NOW THIS POLICY WITNESSETH that during the Period of Insurance or during any subsequent period for which the Company may accept payment for the continuance of this Policy and subject to the terms, exceptions or conditions herein or endorsed hereon, the Company will indemnify the Insured as hereinafter specified SECTION 1 – EMPLOYERS’ LIABILITY If any person who is under a contract of service or apprenticeship with the Insured shall sustain bodily injury or disease arising out of or in the course of his employment by the Insured in connection with the contract specified or type of work described in the Schedule the Company will indemnify the Insured against all sums for which the Insured shall be liable at law for damages for such injury or disease ... SECTION 2 – PUBLIC LIABILITY The Company will indemnify the Insured against all sums for which the Insured shall be ... liable to pay in respect of (a) Accidental bodily injury ... (b) Accidental loss of or damage to property where such injury illness loss or damage happens or is caused in connection with the Contract specified ... in the Schedule during the Period of Insurance ... SECTION 3 – LOSS OF OR DAMAGE TO CONTRACT WORKS The Company will indemnify the Insured against (a) Accidental loss and/or damage from whatever cause occurring during the period of Insurance to Contract Works.”
“The Company will ... indemnify the Insured ... in respect of any claim for injury sustained or disease contracted by any person engaged in and upon the service of the Insured and being in the Insured’s direct employment under a Contract of Service or Apprenticeship between the ... day of ... and the ... day of ... both inclusive, or at any time thereafter for which the Insured shall have paid and the Company shall have accepted a premium for the renewal of this policy.”
“If at any time during the said period, any employee in the Employer’s immediate service shall sustain any personal injury by accident or disease ... while engaged in the service of the Employer ... and in case the Employer shall be liable to damages for such injury ... the Company will indemnify the Employer.”
“On this evidence, had damage or injury occurred before the Works were taken over? I find the evidence is far from establishing that any such damage or injury existed at that time. The fibres may have lain dormant causing no trouble, not even a minimal change in the cell or cells for many years. If Dr Rudd is right, and his clearly is a tenable theory, the microscopic process of cellular change may have occurred about ten years before the symptoms appeared ... I find that the evidence does not even establish that minimal microscopic changes occurred before 1960. I find that the damage in this case is the mesothelioma which occurred many years after the deceased finished working.”
“while the macrophages and [neutrophils] are attacking the fibres, enzymes are released into the lungs, and these destroy some of the lung cells. Dr Rudd does not regard such destruction as damage, because the healthy body every day of the week and every hour of the day is attempting to eliminate foreign particles of many kinds which had been inhaled, and in this process enzymes are released which destroy lung cells. The cells so destroyed are replaced, and when they have been replaced the body is no less impaired than it was before the cells were destroyed ... In the same way as cells which have been destroyed are replaced when the skin is cut, the cut heals and the integrity of the body is restored; yet, when cut, the body suffered damage. But a cut is not a normal incident of daily living. The destruction of cells is. I take the view that the destruction of the lung cells is not something which qualifies as damage ... Even if ... one can now say that it was inevitable by4 June 1954 that this plaintiff would in the future suffer damage ... the fact is that by4 June 1954 he had not sustained any damage.”
“The word injury in the context of personal injury involves a condition which departs from the normal, which is not a mere transitory discomfort or inconvenience, and which, whilst not permanent or incurable, has, in conjunction with its degree of seriousness, a sufficient duration. It includes a loss of function.”
“To create a cause of action, injuria and damnum are essential ingredients. In the present case there is no evidence of any injuries to the workmen’s lungs in 1949. He had then merely a deposit of dust in his lungs, which might or might not subsequently create an injury. But, in addition, he had then sustained no damnum.”
“one is not concerned with whether the plaque is in some sense “injury” or (as she went on to decide) a “disease”
“39. ... I do not think that it is an abuse of language to describe pleural plaques as an injury. The question whether they can also be described as a disease is less easy to answer. But the use of these descriptions does not address the question of law, which is whether a physical change of this kind is actionable. There must be real damage, as distinct from damage which is purely minimal ... 47. ... Damages are given for injuries that cause harm, not for injuries that are harmless ... 49. ... While the pleural plaques can be said to amount to an injury or disease, neither the injury nor the disease was in itself harmful.”
“Asymptomatic pleural plaques do not constitute damage; nor does risk of damage in the future; nor does anxiety about the future. Contrast a mere scratch on the skin which can, conceptually, qualify but may be too trivial to constitute physical damage sufficient to complete a cause of action in tort ... The mere simple scratch would fail to suffice not because it was not, conceptually speaking, a physical injury, but because it was too trivial to attract the attention of the law of tort.”
“87. In summary, three elements must combine before there is a cause of action for damages for personal injuries caused by a defendant’s negligence or breach of statutory duty. There must be (1) a negligent act or breach of statutory duty by the defendant, which (2) causes an injury to the claimant’s body and (3) the claimant must suffer material damage as a result.”
“88. In these cases the claimants do not suggest that the presence of the asbestos fibres in their lung constitutes an injury. Rather they argue that the plaques constitute an injury – the plaques are a “physical change” in their bodies ... Taken by themselves, however, the plaques are benign and asymptomatic. So, even assuming that the plaques could constitute a relevant “injury” to the claimants’ bodies, they do not cause them any material damage and so do not give rise to a cause of action.”
“I agree with the reasons given in the opinions of Lord Hoffmann, Lord Scott ... and Lord Rodger ... for concluding that the pleural plaques did not by themselves constitute or involve injury and damage sufficient to enable an action to lie in tort.”
“a mutation that is irrelevant in healthy people may be highly relevant in those who go on to develop cancer ... I agree that prospectively the mutation cannot be defined as relevant or not but retrospectively it seems to me as a physician to be a relevant injury. Here I am using the word injury to mean a detrimental change that is part of a continuous process leading to the diagnosis of mesothelioma and eventual death”
“We do not find persuasive appellants’ contention that “bodily injury” means “compensable bodily injury”
“Imminence of loss or damage is not the same as damage: damage is physical damage which has occurred.”
“Arrangements or compromises to the same effect as the alleged usage do not establish usage; they contradict it. They may be the precursors of usage; but usage presupposes that arrangements and compromises are no longer required.”
“Another difference between employers’ liability and public/product liability wordings is the use of ‘caused’ instead of ‘occurring’. Most commentators tend to ignore this inconsistency in terminology but a recent article suggested that there could well be some significant difference in the cover … In the UK an unofficial market agreement exists for employers’ liability claims … In practice all insurers share the claims in relation to the period for which each was on risk during the time of exposure to the source of the disability or illness. Thus the UK market may be said to have tacitly accepted the exposure theory. As to whether or not a similar view would be taken in relation to product or public liability is questionable … there is … the matter of the difference in wording referred to … above. It will be recalled that the employers’ liability policy uses the word ‘caused’, rather than ‘occurring’ which appears in public and product liability policies. The word ‘caused’ in its common usage, lends itself far more to the exposure theory than ‘occurring’ which tends to suggest manifestation.”
“I … enclose a specimen of our Employers’ Liability policy in which the operative clause refers to ‘liability … caused during …’. Other leading Employers Liability insurers use either a wording identical to our own or sustained during or happening during. Whatever the form of words used, there is a common interpretation amongst insurers … The UK Employers’ Liability Insurers have an agreement to deal with [disease] claims and contribute towards claims settlements in proportion to each insurer’s time on risk whilst the ‘injured’ employee was exposed to the hazard, i.e. it is assumed that the employee sustained the ‘injuries’ throughout the period of his exposure.”
“Employers’ Liability – current practice is for Insurers to meet, and to apportion, claims according to their periods of negligent exposure on risk. This method is generally known as the exposure basis, although it is also considered to be an occurrence basis on the grounds that the injury was sustained at the time of the exposure. There is conflicting medical evidence on this latter aspect in some cases.”
“Employers’ Liability Insurance has traditionally been written on an “events occurring” basis where the policy indemnifies an employer against his legal liability to his employees in respect of injury or disease sustained or caused during the currency of the policy.”
“The word “caused” is material; it is not “arising” or “becoming manifest”
“The bodily injury or disease must be sustained during the period of insurance. ‘Sustain’ is probably used to indicate that injuries or diseases which do not manifest themselves immediately may not be diagnosed until several years have elapsed when this policy may no longer be in force. The insured will then have to show that the policy was in force when the injury or disease was caused [this use of the word caused remained unchanged in both versions].”
“Even if the word ‘sustain’ is not used, it is made clear that the bodily injury or disease must be caused during the period of insurance.”
“So far as EL is concerned, whatever the theoretical justifications there may be for differences in interpretation of the words used in current operative clauses, the practical reality is that actual claims are being handled in a consistent way throughout the market and I know of no cases where a claimant has been left uncompensated because of different approaches based on the niceties of different wordings … The exposure theory has not really been challenged in this country and it is our view that it is soundly rooted in law and that a change of EL policies to a claims made basis would not override existing practice.”
“(a) Ordinary Meaning. There is a presumption that the words to be construed should be construed in their ordinary and popular sense, since the parties to the contract must be taken to have intended, as reasonable men, to use words and phrases in their commonly understood and accepted sense. [See also paragraph 7(i) – (iii) in the judgment of Longmore LJ, and in particular: “The object of the enquiry is not necessarily to probe the 'real' intention of the parties, but to ascertain what the language they used in the document would signify to a properly informed observer.”] (b) Businesslike Interpretation. It is an accepted canon of construction that a commercial document, such as an insurance policy, should be construed in accordance with sound commercial principles and good business sense, so that its provisions receive a fair and sensible application. [See also the words of Lord Diplock in Antaios Compania Naviera v Salen Rederierna AB[1985] AC 191 at 201, cited in paragraph 7(iv) by Longmore LJ: If a “detailed semantic and syntactical analysis of a word in a commercial contract is going to lead to a conclusion that flouts business common sense, it must be made to yield to business common sense”.] (c) Commercial Object. The commercial object or function of the clause in question and its relationship to the contract as a whole will be relevant in resolving any ambiguity in the wording. (d) Construction to avoid unreasonable results. If the wording of a clause is ambiguous, and one reading produces a fairer result than the alternative, the reasonable interpretation should be adopted. It is to be presumed that the parties, as reasonable men, would have intended to include reasonable stipulations in their contract.”
“The common form of employers’ liability policy indemnifies an employer against his liability at law for damages in respect of bodily injury or disease sustained by any person under a contract of service or apprenticeship with him and arising out of and in the course of his employment by the insured. The injury or disease must be caused during the period of the insurance and the insured must be carrying on the business described in the schedule to the policy. So there is a start.” ii) the brief report of the chief claims inspector for the Prudential, Mr Pickard, in the Post Magazine for 1964, defining the function of the EL policy as “providing an indemnity against the insured’s legal liability to any person under contract, service or apprenticeship with him in respect of bodily injury or disease caused during the period of insurance and arising out of and in the course of the business of the insured.”
“In a commercial contract it is certainly right that the court should know the commercial purpose of the contract and this in turn presupposes knowledge of the genesis of the transaction, the background, the context, the market in which the parties are operating.”
“If this be not the right view of the Act, it would result that if the workman was out of employment at the date of disablement or suspension he would be without remedy. Mr Clauson pointed out as matter of illustration the consequence which would ensue in this case if the appellants’ contention were sound. Suppose that the policy had been renewed for a second year, commencing July 1 1921, the intention of both contracting parties, of course, would have been that the insured would be covered in respect of liability to which he became exposed during the currency of either of the two policies. But upon the appellants’ view he would have no claim on the first policy because the disablement was after July 1 1921, and in so much as the workman, in as much having left his employment before July 1 1921, could not be named in the list of employees required by … the second policy, he would have no claim under that policy either.” ii) The construction in Victoria Insurance was first doubted (and not followed) in Ellerbeck, a decision on the WCA in the Court of Appeal. It is plain, however, that, although the Court of Appeal was unable (since the decision of the Privy Council in Victoria Insurance was inconsistent with the construction of the UK WCA by the House of Lords in Blatchford), to conclude otherwise than that the date in the certificate was the date of the accident and thus of the disablement, nevertheless it achieved exactly the same result, in terms of achieving compensation for the employees, by concluding that they were employed, and the employer insured, at that date of disablement. The Court of Appeal concluded that, at the date of disablement, i.e. the date in the certificate, although neither employee was receiving wages he was, or at any rate was deemed to be, employed and covered by insurance. Mr Stuart-Smith heavily relied upon the reasoning of the judges as stating the commercial purpose of EL insurance: a) Scrutton LJ firmly states at 408: “I approach the construction of the policy from the point of view that it is intended to protect the employers against their liability to their workmen under the [WCA].”
“The section then means that the last employer within twelve months before the date of the disablement certified is primarily liable to the workmen, but can discharge or distribute his liability in whole or part by proving that other employers within the twelve months have caused or contributed to the disability. The Certifying Surgeon’s date of disablement is final, and is to be taken as the date of “the accident”, and fixes the twelve months within which the employers can be made to contribute, besides fixing the date before which you are to look for the last employer whom the workman can safely sue, whether employment by him did or did not cause or contribute to the disablement. The employer then claims on the insurance company, on the ground that he is liable to make compensation for an injury by the disease.”
“The second point raised by the insurance company is that as the workman was not being paid wages by the employer at the date of the accident, he was not then in the employer’s service. [Scrutton LJ gives an answer to this and continues.] Another and a better answer is that Parliament, to enable the workman to recover compensation, has treated him as employed at the time of the certified disablement by the last relevant employer previous to that date; and that it is this conventional and fictitious state of things that is the basis of the employers’ and insurers’ liability.” b) Greer LJ, having, at 418, concluded that the last employer during the twelve months from liability “would be entitled to indemnity on a policy in force during the time they were the workmen’s last employers”, continues: “It was further contended for the appellants that the liability to compensate the two men ought to be held to be outside the contract of insurance because they were not in receipt of wages, and therefore the amount of their wages would not form an element in the calculation of the premium payable by the respondents. This is admittedly the fact, but it is to be remembered that the contract of insurance is a contract to indemnify the assured against all claims during the term of the insurance by the respondent’s workpeople. There is not a separate consideration for the insurance in respect of each workman. The wage calculation is a rough and ready way of ascertaining the amount of the premium. It is not unreasonable to neglect in the calculation the wages of workmen in the service but not actually working during part of the insured term … the risk of the certification of industrial disease might well be accepted by an insurance company without any modification of the usual method of calculating the premium payable for insurance against all claims under the Act”
“If one treats disease as a personal injury by accident, then the question is: When was that personal injury sustained? It really is verging on the absurd, I think, to suggest that anyone could say that it was sustained some time after the workman was removed from all the dangers of working as a lead worker”. v) The Privy Council decision in Sunshine, referred to in subparagraph (i) above, is itself of significance. It addresses the Workers’ Compensation Act of Victoria at a time prior to a change in the law by amendment of that Act, which altered the basis of that Act from what it had been previously, namely then identical to the UK WCA. On the basis of that previous statutory position, the Privy Council was clear that the injury under the WCA must be sustained during the employment: see per Lord Reid at 940: “In the ordinary case under s5 it would seem clear that the injury must be sustained while the worker is still in the employment, but the position under s12 [the new section] is far from clear.”
“Any question concerning the rights and liabilities of an employee of a local authority … shall be decided in the first instance by the authority concerned, and if the employee is dissatisfied with any such decision … shall be determined by the Minister, and the Minister’s determination shall be final. ”
“If … any employee in the Employer’s immediate service shall sustain any personal injury by accident or disease … while[my underlining] engaged in the service of the employer, in work forming part of or process in the business above mentioned”
“If at any time … any person of a description mentioned in the Schedule who is[my underlining] under a contract of service … shall sustain personal injury by accident or disease …”
“The Company will … indemnify the Insured against all sums of money which the Insured may become liable to pay to any employee engaged in the direct service of the Insured … in respect of any claim for injury sustained or disease contracted by such employee between …”
“in respect of any claim for injury sustained or disease contracted by any person … in the [employer’s] direct employment …”
“any person under a contract of service with the Insured shall sustain any personal injury by accident or disease [bodily injury or disease] arising out of or in the course of his employment by the insured”
“which the Insured shall be legally liable to pay as compensation for bodily injury or disease … suffered by any person under a contract of service … with the Insured when such injury or disease arises out of and in the course of employment … and is sustained or contracted during the currency of this policy.”
“I do not consider that to go over to a straight ‘claims made’ basis would comply with the spirit of the Act. In my judgment nor would it comply with the statutory provisions. The whole purpose of the Act is to ensure that employees who are entitled to damages against their employers should not fail … because of the inability of the employer to pay them. Under a straight ‘claims made’ basis this cannot be guaranteed.”
“The Company shall not be liable under this policy … for accidents occurring elsewhere than in Great Britain … except as provided in B below: B. This Policy is further extended to indemnify the employer in respect of liability which attaches by reason of personal injury sustained[my underlining] by accident or disease by persons under a contract of service or apprenticeship with the employer while temporarily employed outside Great Britain.” ii) In the MMI policy there is a section B headed “EXCLUSIONS”, whereby: “The Company shall not be liable to make any payment hereunder in respect of … (2). Injuries sustained or disease contracted elsewhere than in Great Britain …”
“shall sustain personal injury by accident or disease”
“Following successful completion of negotiations, it is anticipated that many customers with renewal dates throughout 1993 will wish to avail themselves immediately of Zurich security. Accordingly a letter (copy attached) [this was the MTL] is being sent to all customers (with a few exceptions) inviting them to transfer at existing terms subject to [a new] Terrorism exclusion and to Errors and Omission covers being put onto a claims made basis …Premiums and fees will be apportioned between MMI and Zurich by [Head Office] Finance … It is important to appreciate by completing the form [to be sent with the letter] the customer will be cancelling the MMI policy and effecting a new contract with Zurich. This means that the Zurich policy will respond only to claims occurring (i.e. with an accident date) not earlier than the date of transfer ...It is anticipated that most customers will wish to take advantage of this offer, which is administratively simple and is to be actively encouraged. Policyholders do, however, have the right to allow their MMI policies to run off if that is their wish.”
“You will doubtless have heard that agreement has been reached in principle between Zurich and Municipal Mutual for the transfer of Municipal Mutual’s commercial lines business. We are part of the worldwide Zurich Insurance Group, which has been operating in the UK since 1922. The Group has assets exceeding£20 billions … Zurich carries the highest international financial rating for claims paying ability … Those customers having policies with Municipal Mutual will be receiving terms from us effective from the 1993 renewal date … but we anticipate that some may wish to effect transfer prior to expiry of the current contract. We are pleased, therefore, to inform you that as part of the interim arrangements we have negotiated with Municipal Mutual, Zurich is able to offer cover in place of those policies that are annually renewable at current rates of premium (subject to certain cover amendments which are set out below) for the unexpired period. If you wish to take advantage of this offer please complete the attached form and return it to the address shown on the form … Details of amendments to cover are set out below. The main alteration is, of course, the change of insurer from [MMI] to [Zurich]. Zurich will assume responsibility for claims in respect of accidents happening on or after transfer date. Incidents prior to this date will be the responsibility of Municipal Mutual, but we shall handle the claims on Municipal Mutual’s behalf.”
“to ensure that all exempted employers are in no less favourable position, policies issued to them will be similarly extended to1 January 1972 by the inclusion of this clause.”
“We hereby certify that the Policy to which this certificate relates is issued in accordance with the requirements of [ELCIA] and regulations thereunder.”
“When the parties to a transaction proceed on the basis of an underlying assumption – either of fact or of law – whether due to misrepresentation or mistake makes no difference – on which they have conducted the dealings between them – neither of them will be allowed to go back on that assumption when it would be unfair or unjust to allow them to do so. If one of them does seek to go back on it, the courts will give the other such remedy as the equity of the case demands.”
“(1.) parties have established by their construction of their agreement or their apprehension of its legal effect a conventional basis, (2) on that basis they have regulated their subsequent dealings, to which I would add (3) it would be unjust or unconscionable if one of the parties resiled from that convention. ”
“88. How far an estoppel may assist in bringing about a cause of action, without standing alone as ‘a cause of action in itself’ has remained a matter of dispute over subsequent years. It may enlarge the effect of an agreement, by binding parties to an interpretation which would not otherwise be correct: see e.g. De Tchihatchef v Salerni Coupling Ltd[1932] 1 Ch 330 ... The Karen Oltmann[1976] 2 Lloyd’s Reports 708 .”
“The Zurich policy will respond only to claims occurring (i.e. with an accident date) not earlier than the date of transfer”
“10(A) The Seller shall be solely responsible for all debts and liabilities of the Business of any nature whatsoever incurred before Completion (including for the avoidance of doubt and without limiting the generality of the foregoing liabilities and obligations under the Assumed Contracts other than those to be discharged or performed by the Purchaser under clause 11) and the Seller shall indemnify the Purchaser and keep the Purchaser fully and effectively indemnified from and against all losses damages liabilities costs (including legal costs) claims expenses actions and demands arising in respect thereof. 10(B) The Purchaser shall be solely responsible for all debts and liabilities of the Business of any nature whatsoever incurred after Completion (including for the avoidance of doubt and without limiting the generality of the foregoing liabilities and obligations under the Assumed Contracts to be discharged or performed by the Purchaser under clause 11) but excluding the Insurance Contracts …and the Purchaser shall indemnify the Seller and keep the Seller fully and effectively indemnified from and against all losses damages liabilities costs (including legal costs) claims expenses actions and demands arising in respect thereof.”
“... at present, there is no danger to employees or pupils of the County Council from the presence of asbestos in this particular school. We feel however that it would be prudent of the County Council to maintain regular checks of any building where brown asbestos has been used in the ceilings ... As regards the cover under your employers’ liability Policy, we confirm that the Policy will operate should a claim be made against the Council, providing of course that the Council has been negligent in allowing the build up of asbestos.”
“I realise that the Employee Liability Insurance policy held within the Borough probably covers all personnel on a blanket basis, however I am concerned to ensure that the operatives working within Newham Building Services Asbestos Unit are fully protected for any future claims they may wish to make against Newham Local Authority, arising from their employment on the Asbestos Unit. For the record, the Asbestos Unit has been in operation removing all types of asbestos effective from3 June 1985 and the operatives listed below have been working within the unit on a needs basis since the above date.”
“We note the comments made in this letter and would confirm that the London Borough of Newham’s policy covers the operatives working within the Newham Building Services Asbestos Unit, provided they are direct employees of Newham Council.”