“54. In short, a broker: (a) must advise his client of the duty to disclose all material circumstances; (b) must explain the consequences of failing to do so; (c) must indicate the sort of matters which ought to be disclosed as being material (or at least arguably material); (d) must take reasonable care to elicit matters which ought to be disclosed but which the client might not think it necessary to mention. All this flows from the requirement that the broker should take reasonable steps to ensure that the proposed policy is suitable for the client’s needs. By definition, a policy which is voidable for non-disclosure is not suitable. 55. Moreover it was, or became, common ground that where a change in personnel led to a new person being responsible for insurance matters in the client’s organisation, the broker must ensure that an appropriate understanding of questions of materiality is held by that person. … 56. The rationale for the imposition of these duties on a broker is that it is an unusual obligation for a contracting party, and an area of the law which can have harsh consequences, not least because any non-disclosure relied upon by the underwriter to avoid the policy may have no causative significance as regards the claim that will as a result not be paid. This makes it all the more important that the lay client is told of the paramount duty to disclose and what it involves. Further, in case the client does not appreciate what may be material, (as will often be the situation) he needs to be advised to err on the side of caution so as to disclose anything that might impinge on the judgment of a competent underwriter in assessing the risk and be helped to unearth such matters.”
“In any event, I am not persuaded that it is sufficient simply to rely upon written standard form explanations and warnings annexed to proposals or policy documents. I understood the experts to be agreed on this. The broker must satisfy himself that the position is in fact understood by his client and this will usually require a specific oral or written exchange on the topic, both at the time of the original placement and at renewal (particularly if a new person has become that client’s representative). There is no evidence of any such exchange let alone one accompanied by any inquiries by [the brokers] to help unearth material facts.”
“The scope of the brokers’ duties to Synergy was not seriously in dispute between the parties and can be summarised as follows: (1) a duty to take reasonable care that Synergy was aware of and understood its duty of disclosure; (2) a duty to take reasonable care to elicit relevant information from Synergy for the purposes of enabling Synergy to comply with its duty of disclosure; (3) a duty to take reasonable care to disclose any material facts of which the brokers themselves were aware and not to make material representations to insurers which it knew to be untrue; (4) a duty to take reasonable care to obtain insurance that clearly met Synergy’s requirements and did not involve unnecessary risks of litigation about its legal scope and effect.”
“Nonetheless, I agree with Mr Southern [leading counsel for the brokers] that there must be a limit to the scope of the brokers’ duty to make enquiries. The context in which brokers have been held to be under a duty to make enquiries and to elicit information is where the questions which should have been asked are ones which a competent broker might have been expected to ask in the circumstances: McNealy v Pennine Insurance[1978] 2 Lloyd's Rep 18 and The Moonacre[1992] 2 Lloyd’s Rep 501 are obvious examples. However, as the editors of Jackson & Powell on Professional Liability (6th edition) point out at para 16-059 a broker will not be negligent if he fails to ask questions about the risk which he had no reason to ask or if he does ask appropriate questions and the insured does not disclose important information to the broker.”
“212. Mr Eklund [leading counsel for the insured] also sought to make much of the fact that the brokers had failed to give oral advice either to Mr Jacques or Mr Johnson [the insured’s representatives] concerning the effect of any non-disclosure or misrepresentation. He relied upon the evidence of Synergy’s expert broker, Mr Wood, as to the importance of giving such advice and the endorsement of that view by David Steel J in the Jones v Environcom case. It seems to me that there are two answers in the present case to any attempt to rely upon a failure to give such advice as a causative breach. First, I do not read that judgment as laying down that it is an immutable requirement, in order to comply with their duty, that brokers should have given such oral advice and, to the extent that Mr Wood was suggesting that such oral advice must be given, I reject that evidence as too inflexible. 213. Whilst it may be advisable to give such oral advice in a particular case, whether it is necessary to do so and whether the failure to do so is a breach of duty, will depend upon the circumstances. In the present case, there had been a long history of dealings with this client and the Risk Register sent to the client spelt out the duty of disclosure in clear terms. Furthermore, although in Mr Johnson the brokers were dealing with a new person responsible for insurance, it is quite clear from his evidence that Mr Johnson was well aware of the need to comply with the duty to make disclosure of all material facts and of the serious consequences of failing to do so. Equally, there is no doubt that Mr Jacques, who was the person with ultimate responsibility for insurance, was also well aware of the need to comply with the duty of disclosure and the consequences of not doing so. 214. Second, even if it had been a breach of duty to fail to give such oral advice, I am simply not satisfied that such breach was in any sense causative of any loss which Synergy might have suffered. …”
“This is an important document and you must read it in full. This Statement of Fact is a record of the information that you provided to [Giles], your Insurance Agent, and any assumptions made about you and your business upon which this quotation is based. Please read it carefully and keep it in a safe place, as it will form part of your contract of insurance with Arista Insurance should you decide to accept this quotation. All material facts must be disclosed, as Arista Insurance has relied upon the information in this document to calculate premium and apply terms and conditions upon which insurance cover is offered. Warning – You must check all the information in this document and tell your Insurance Agent immediately if any details are incorrect, incomplete or have been omitted.
“Has any proposer, director or partner of the business or practise (sic) had any convictions, criminal offences or prosecutions pending other than motor offences? Has any proposer, director or partner of the business or practise (sic) ever been declared bankrupt/insolvent, or the subject of bankruptcy proceedings including CCJs? Has any proposer, director or partner of the business or practise (sic) ever had a proposal refused or declined or ever had an insurance cancelled, renewal refused or had (sic) special terms imposed?”
“Market Presentation outlining information regarding your risk—please ensure that this information continues to be correct. Should any changes be required please contact us immediately, as this could affect your level of cover.”
“Material Facts It is important to ensure that the insurers are kept fully informed of any material facts, namely circumstances or changes to the risk, which would normally affect the prudent underwriter in his acceptance of the risk or influence terms applied. As the Insured, you have a duty to disclose all material facts. This duty is ongoing and does not apply solely at inception or renewal. Failure to do so could seriously affect the policy cover in the event of a claim and could invalidate the policy.”
“Please find enclosed proposal form and cover note confirming cover has been in force since18th December 2008 . Could you please complete and return the enclosed proposal form within the next 14 days along with a copy of your drivers licence. Should you have any queries, please contact me.”
“As discussed proposal form attached.”
“If any of the information is incorrect or your requirements have altered in any way please contact us immediately. May we remind you that you have a duty to disclose all material facts. A material fact is defined as any information that may influence an underwriter’s acceptance of a risk. If you are in any doubt whether a fact is material, it MUST be disclosed, as failure to do so may invalidate your cover and could mean that part or all of a claim may not be paid. Your duty of disclosure does not apply solely at inception or renewal.”
“It is essential that we are advised of any alteration to the risk and that you disclose any material facts relevant to this insurance, as they may effect (sic) the premium or level of cover offered. Please also disclose any changes with regards to drivers, cover, the required use and any alteration to your vehicle specification of which your insurers are unaware. We must also be advised of any accidents or claims, convictions or pending convictions and of any physical or mental defect or infirmity by anyone who may drive under this policy. If you are unsure whether or not to advise us of a material fact then you should advise us.”
“Accidents/Convictions: No/No”
“Conviction History – None declared.”
“Please check this document carefully to ensure the details are correct, sign in the appropriate place and return immediately. If there are any discrepancies, please contact me immediately.”
“I’ve taken on this account from Ian [O’Brien] and it’s a bit of a mess. I’ve been to see the client twice in the past couple of weeks and we are getting there with his documentation but he unhappy about the monthly payments he is making under [h]is credit agreement which he now says is over£1,900 per month. Excepting (sic) he now has some fairly tasty premiums I’m trying to sift through the debris left behind by Ian and there is one payment for£1,640.94 in August of this year which I am having trouble reconciling. As you are the wizard with the accounts, particularly the old SSP system[,] could you have a look when you have a moment to see if you can see what this relates to.”
“please ensure that this information continues to be correct. Should any changes be required please contact us immediately, as this could affect your levels of cover.”
“Please confirm when these have been done.”
“I will speak with Mark [Goodfield] on his return from holidays on Monday to make sure he gives you a call to arrange to visit you to iron out any remaining issues.”
“We need to discuss this when you come back. He’s not a happy bunny at all, in fact he went into a right rant about how shoddily he’s been treated since Ian has gone ……….. yeah right, I was tempted to say well at least we haven’t used your money to pay someone else’s premium!!!! He even said that last week he was going to transfer the business to another Broker, but it was only because he was too busy last week that he didn’t. He raised some issues, all of which I have dealt with now. I’ve managed to turn him around, but I think he really needs some kid gloves right now. … he said you were going to look into setting up a fleet for him??”
“In the summer of 2010, during the period that Mr Watkins was in prison following the 2009 conviction, his wife, Tracey Watkins, dealt with the defendant in relation to the taking out of the 2010/2011 policy in the name of Patrick Watkins t/a Intex Exhibitions. In the course of those dealings Mrs Watkins explained to Mr Leighton Davies of the defendant that Mr Watkins had been convicted of a criminal offence and was in prison.”
“Due to the passage of time Mrs Watkins is unable to identify the exact date of the telephone conversation. The conversation took place some weeks after Mr Watkins went to prison, which was on25 April 2010 . The conversation was prompted by receipt of a letter from the defendant requiring Mr Watkins to sign something. As Mr Watkins was unable to sign the document, Mrs Watkins telephoned Mr Leighton Davies and explained that Mr Watkins was in prison and that in order that they could continue to trade they would be using the claimant company, which had been set up some years before, of which she was a director, rather than Intex Exhibitions. The conversation between them was quite light-hearted and Mr Davies did not ask any details about Mr Watkins’ imprisonment. Mr Davies did not indicate that the imprisonment was a problem and stated that he would send out the insurance details in the new company name.”
“we are waiting for confirmation that we are to amend.”
“Have you [i.e. Mr Watkins] or has any person who drives (i) had any motoring convictions in the last 5 years or are there any prosecutions pending or police enquiries outstanding … (ii) had any criminal convictions (or been charged with a criminal offence but not yet tried)?”
“Attached is the revised schedule confirming the change from V482TNV to BX06GHF. Please check and advise if any other changes are required.”
“Hi Tracey I’ve told the insurers of the change of name and await their documents. To enable me to get the renewal terms, the insurers have asked if the risk improvements, required after the survey, have been carried out. I’ve attached a copy of the risk improvements and would appreciate it if you could confirm. You may have already done this but it’s not noted.”
“Hi Tracey I did run through the risk improvements with Patrick on my last visit. He did confirm that all the requirements had been completed with the exception of 2010/03[,] the fire break wall. He did also explain that there was a dispute with the present landlord and as a result getting this information was probably going to be difficult. Perhaps you could just send a quick email to confirm that all the other requirements have been complied with and update us regarding the fire break wall. In the meantime we shall look at alternative quotes for you.”
“Hi Tracey Attached is the renewal letter regarding the business insurance. Can you have a look and let me know? … Mark [Goodfield] would like to call up and run through things with you so if you can let me know a time and date, I’ll pass on to him.”
“Please check these documents carefully, noting any terms, conditions and warranties that apply and ensure that they meet with your requirements.”
“In order for the Insurance Company [i.e. NIG] to finalise the amendment, I would appreciate it if you could sign and return the enclose[d] proposal form.”
“Summary of Insurances outlining the main features, warranties, terms and conditions of your policy. Please check the sums insured and limits provided by the policy to ensure they are adequate and let me know straight away should you require any changes.”
“I have read through the proposals and I am happy to proceed with it.”
“Have you any convictions on your licence?”
“Can you check carefully and let me know any changes you need[?] The driving on the policy is any authorised driver but some vehicles are over 25, details are in the cover summary. If you can restrict all to over 25, I should be able to get a reduction in the premium or even a cheaper alternative quote with someone else.”
“Meeting with client, one of the very few who’s (sic) business is on the increase, amended figures below. Stock -£1 million ; T/O -£1 million ; Wages - No Change He also needs to look at his BI figure because probably not sufficient but will check with his accountant.”
“No probs—do you want to get Leighton to drop me over the presentation for his renewal?”
“Please check these [policy documents] thoroughly to ensure that all of your details and the sums insured are correct.”
“At no point during that conversation do I recall either Mr or Mrs Watkins saying that they had previously told anyone at Giles that Mr Watkins had a conviction. I generally recall that Mr and Mrs Watkins asked what issues or problems might arise with their claim. While I cannot remember my specific response, I believed that, as part of my answer, I would have explained to them that the non-disclosure of Mr Watkins’ convictions might be a problem.”
“As you will note from my email I have decided to explain briefly to Patrick by email about material facts. Can you please check to see if at any time a proposal form was ever completed. Otherwise we are relying on the documentation accompanying the documents in explaining material facts. Do you have any renewal notes? I am unsure how much information is asked regarding convictions and material facts at renewal. It’s an awkward question and I used to hate asking it as an Adjuster.”
“The policy is with QBE via Ink and there have been no proposal forms. Our Account Exec [i.e. Mr Goodfield] had no knowledge of the convictions he advised at renewal he has not specifically asked about convictions but asked if the client had anything else he needed to tell us. We therefore rely on the documentation sent with the renewal where it draws attention to the duty to disclose and ‘material facts’. The client disclosed the convictions quite freely at the first meeting and in a subsequent statement to the Adjuster. He does not believe the convictions to be material and therefore did not realise he needed to disclose them.”
“I agree with your comments about Patrick, he is a hard working (sic) guy who genuinely doesn’t believe the convictions have any relevance to the cover.”
“I do believe that Patrick genuinely believed that these incidents would not have any relevance to insurance and not sure he would be fully aware of material facts. As we discussed the Company became a Limited Company in 2009 but Patrick only became a director earlier this year and the reason given was he just did not have the time to get in to the accountants and arrange, allowing Tracey his wife to be the sole director. I think this also typifies the way the pair work, Patrick pays little if any responsibility to the administration of the Company leaving all this to Tracey. She has been the contact for any vehicles changes looking back at our file.”
“At the first year of cover with Evergreen [i.e. QBE] a proposal form should have been obtained as requested by Evergreen however there was facility to put this on their website as they provided log in details. I have no idea if this was done but details can’t been seen on the Ink system.”
“I explained that when the policy was changed to a limited company it should have been set up as a separate policy and at that time the details of directors obtained[;] they would then have been asked if any of the directors had convictions or CCJs which would have alerted Tracey and Patrick to the importance.”
“[A] court should be slow to find a professionally qualified man guilty of a breach of his duty of skill and care towards a client (or third party) without evidence from those within the same profession as to the standard expected on the facts of the case and the failure of the professionally qualified man to measure up to that standard.”
“Save in cases of solicitors’ negligence, where the Court of Appeal has said that it is unnecessary (see Brown v Gould & Swayne [1996] 1 PNLR 130), and the sort of exceptional case summarised at paragraph 6-009 – 6-011 of Jackson & Powell, Sixth Edition, which does not arise here, it is standard practice that, where an allegation of professional negligence is to be pleaded, that allegation must be supported (in writing) by a relevant professional with the necessary expertise. That is a matter of common sense: how can it be asserted that act x was something that an ordinary professional would and should not have done, if no professional in the same field had expressed such a view?CPR Part 35 would be unworkable if an allegation of professional negligence did not have, at its root, a statement of expert opinion to that effect.”