Deeny and Others v
Gooda Walker Limited and Others
QUEEN'S BENCH
DIVISION (COMMERCIAL COURT)
[1996] LRLR 183, The
Times 7 October 1994, The Independent 5 October 1994, (Transcript: John
Larking)
HEARING-DATES: 4
October 1994
4 October 1994
INTRODUCTION:
This is a signed judgment handed down by the
judge, with a direction that no further record or transcript need be made (RSC
Ord 59, r9(1)(f), Ord 68, r 1). See Practice Note dated 6 July 1990, [1990] 2
All ER 1024.
COUNSEL:
G Vos QC, J Gaisman and D Lord for the
Plaintiffs; B Eder QC, M Templeman, S Cookerill and S Bryan for the Defendants
PANEL: Phillips J
JUDGMENTBY-1: PHILLIPS J
JUDGMENT-1:
PHILLIPS J:
INTRODUCTION
1988, 1989 and 1990 were bad years for Lloyd's.
In each of those years the market as a whole made a loss. The loss for 1988 was
calculated by Chatset Ltd., who publish a Lloyd's 'League Table', at £510
million, or 13.7 % of the net premium income. In 1989 these figures were £2,063
million or 52 % of net premium income and in 1990 they were £2,915 million or
55.2 % of net premium income. These losses were not borne evenly by the Names
at Lloyd's. The first and second Defendants, to whom I shall refer collectively
as "Gooda Walker", managed between them four syndicates which fared
particularly badly: 164 and 290, managed by the First Defendant and 298 and 299
managed by the Second Defendant. The Plaintiffs in this Action were the
majority of the Names on those syndicates. They number 3,095. Between them they
claim to have lost sums totalling some £630 million. They contend that these
losses have been inflicted upon them because the manner in which the
underwriting was conducted by the active underwriters for these syndicates was
incompetent.
Whether that contention is well founded is the
principal issue in this Action. If it is, the Plaintiffs will have established
breach of a duty of care owed to them not only by the first and second
Defendants, who managed the syndicates, but by the Plaintiffs' individual
Members' Agents, who make up the other 69 Defendants in this Action. That this
consequence will follow has been made clear by the decisions on preliminary
points of law reached in this and parallel Actions by Saville J, the Court of
Appeal and the House of Lords. I propose to summarise at the outset the effect
of those decisions, incorporating the summary relating to the structure of
Lloyd's with which Lord Goff introduced his speech in this case on 25 July
1994:
Every person who wishes to become a Name at
Lloyd's and who is not himself or herself an underwriting agent must appoint an
underwriting agent to act on his or her behalf, pursuant to an underwriting
agency agreement. Underwriting agents may act in one of three different
capacities.
(1) They may be members' agents, who (broadly
speaking) advise Names on their choice of Syndicates, place Names on the
Syndicates chosen by them, and give general advice to them.
(2) They may be managing agents, who underwrite
contracts of insurance at Lloyd's on behalf of the Names who are members of the
Syndicates under their management, and who reinsure contracts of insurance and
pay claims.
(3) They may be combined agents, who perform
both the role of members' agents, and the role of managing agents in respect of
the Syndicates under their management.
Until 1990, the practical position was as
follows. Each Name entered into one or more underwriting agency agreements with
an underwriting agent, which was either a members' agent or a combined agent.
Each underwriting agency agreement governed the relationship between the Name
and the members' agent or between the Name and the combined agent in so far as
it acted as a members' agent. If however the Name became a member of a
Syndicate which was managed by the combined agent the agreement also governed
the relationship between the Name and the combined agent acting in its capacity
of managing agent. In such a case the Name was known as a direct Name. If
however the Name became a member of a Syndicate which was managed by some other
managing agent, the Name's underwriting agent (whether or not it was a combined
agent) entered into a sub-agency Agreement under which it appointed the
managing agent its sub-agent to act as such in relation to the Name. In such a
case the Name was known as an Indirect Name.
Gooda Walker acted as combined Members and
Managing agents for 230 of the Plaintiffs. In respect of the remaining
Plaintiffs, their role was simply that of Managing Agents, acting on behalf of
the Names who had joined their syndicates. The Plaintiffs who are indirect
Names claim against Gooda Walker in tort and against their individual Members'
Agents in contract. The Plaintiffs who are direct Names claim against Gooda
Walker in contract and in tort. Whether in contract or in tort the nature of
the claim is identical. It is for damages for a failure to exercise reasonable
skill and care in conducting the business of underwriting on behalf of the
Names. The claims relate to losses suffered by members of Syndicate 298 in the
underwriting years 1988 and 1989, by members of Syndicate 299 in the same
years, by members of Syndicate 290 in 1989 and 1990 and by members of Syndicate
164 in 1989.
Two preliminary issues have been determined in
this Action in respect of the 1988 and 1989 years.
(1) Did Gooda Walker owe a duty of care in
negligence to all the Names on their syndicates, whether or not they were in
contractual relationship with them?
(2) Are the Members Agents contractually liable
to the Names for any failure to exercise reasonable skill and care on the part
of Gooda Walker, as Managing Agents?
Both these questions have been answered in the
affirmative by Saville J, the Court of Appeal and the House of Lords. Before
Saville J and the Court of Appeal a subsidiary issue was canvassed. Was it
necessary when considering the performance of Gooda Walker's duty of care to
have regard to the individual circumstances of each name, or was a uniform
standard of performance owed to all the names? Saville J and the Court of
Appeal held that the latter was the case. The premise underlying that decision
is that objective standards of skill and care apply to the business of actual
underwriting and those standards are the same, whether the duty of care is owed
in contract or in tort.
After 1989 Names have entered into contracts
both with Members Agents and with Managing Agents so that the Members Agents
are no longer contractually responsible for the way in which the actual
underwriting is performed. I have, nonetheless, to determine whether or not
Gooda Walker were negligent in respect of the underwriting for Syndicate 290 in
1990, for on that issue may depend the result of a claim against Members'
Agents by the Syndicate 290 Names in respect of 1990. That claim has been
severed from this trial and will be determined at a later date.
The contractual duty owed by a Members Agent to
exercise, through the Managing Agents and their servants to whom the task is
delegated, reasonable skill and care in the conduct of the underwriting is only
one of the duties owed by a Members Agent to its Names. Two of the Members
Agents impleaded in this Action, the 36th and 38 Defendants, have each been
sued by an individual Name for breach of a different duty - the duty to
exercise reasonable skill and care when advising a Name which syndicates to
join - see Brown v KMR Services Ltd Sword Daniels -v- Pitel (Unreported). In
those Actions, which were tried together, it was common ground (though it may
not be in this Action) that the duties owed by a Members Agent to its Name
included the following:
(a) to advise the Name which syndicates to join
and in what amounts,
(b) to keep him informed at all times of
material factors which may affect his underwriting,
(c) to provide him with a balanced portfolio and
appropriate spread of risk; a balanced spread of business on syndicates
throughout the main markets at Lloyd's,
(d) to monitor the syndicates on which it places
the Name, and to make recommendations as to whether the Name should increase
his share on a syndicate, join a new syndicate, reduce his share, or withdraw.
(e) to keep regularly in touch with the
syndicates to which the Name belongs, and
(f) to advise and discuss with the Name the
prospects and past results of syndicates on which he could be placed.
In those Actions each Plaintiff claimed that his
Members Agent had negligently advised him to join syndicates that involved a
high degree of risk when the Plaintiff had requested to be placed on syndicates
that involved a low degree of risk. The syndicates of which complaint was made
were those which wrote London Market excess of loss ("LMX") business,
including the Gooda Walker syndicates. It was not alleged that the underwriting
carried on for these syndicates had been negligent - simply that the nature of
the LMX business written involved a higher degree of risk than other types of
business. In those Actions, the Defendant Members Agents unsuccessfully sought
to challenge the assertion that LMX business was necessarily high risk, or
alternatively, that they should reasonably have appreciated that it was high
risk. In this Action it is one of the cornerstones of the Defence that LMX
business was, and was generally known to be, high risk - indeed Mr Eder, QC,
for the Defendants, has chosen to describe it as dynamite. It is quite plain from
the evidence before me that this was not a perception of LMX business shared by
many of the Defendants at the time. I have no doubt that there are many
Plaintiffs who would understandably have felt outraged had they heard the plea
being advanced on behalf of their Members Agent that Names had no cause for
complaint because the type of business they had chosen to write was well known
to be dynamite. The Plaintiffs have, however, for reasons which I can well
understand, chosen to limit their allegations in this Action to the simple
charge of negligent underwriting. It is the Names contention that, in
underwriting on their behalf, the Gooda Walker underwriters disregarded certain
fundamental principles of underwriting, with the result that the Names were subjected
to excessive exposure to risk. Part of the debate in this Action has related to
the extent to which it is proper for an XL underwriter deliberately to expose
his syndicate to risk of loss. It is the Names' case that, in so far as this is
proper, it can only be in circumstances where the underwriter makes it clear to
the Names the extent of that exposure. In so far as I have to consider how the
nature of the business of the syndicates was, or should have been, perceived by
the Names, there is no room for distinguishing between the knowledge of one
Name and the next. That question must be judged having regard to the knowledge
and information that would have been generally available to Members Agents and
their Names and on the premise that the Names were receiving competent advice
from their Members Agents.
The Gooda Walker Group.
Until 1 January 1990, both Gooda Walker Ltd
("GWL") and Gooda & Partners Ltd ("GPL") performed the
dual role of Members and Managing Agents. GWL was the Managing Agent for the non-marine
syndicates, 290 and 164, and GPL for the marine syndicates, 298 and 299. GWL
acted as Members Agent for 150 Plaintiffs, and GPL performed the same role for
a further 80 Plaintiffs. Mr Anthony Gooda was Chairman of both companies, but
was primarily concerned with the members' agency side of the business. Mr Derek
Walker was the Managing Director of GWL and in charge of the non-marine
underwriting. He was an ordinary Director of GPL. On 1 January 1990 the group
structure was reorganised. Both Companies were placed under a holding company,
Gooda Walker Holdings Ltd., of which Mr Gooda was Chairman. Mr Walker became
Chairman of GWL, which took over responsibility as Managing Agent for all the
group's syndicates. GPL became the Members Agent for all the group's names,
with Mr Gooda as Chairman. Gooda Group Management Services Ltd provided
administrative services to all the group's companies.
In the summer of 1991 Lloyd's withdrew its
trading licence from all companies in the Gooda Walker group. Both GWL and GPL
were placed in voluntary liquidation, and have no assets other than a
contingent claim on error and omission ("E & 0") underwriters,
who have purported to avoid liability on grounds of non-disclosure.
The Syndicates
Syndicate 290 was a non-marine syndicate writing
almost exclusively excess of loss business. Mr Walker was the active
underwriter for the syndicate and his son, Barrie Walker, was his deputy.
Syndicate 164 was a non-marine syndicate, whose
active underwriter was Mr Edward Judd. Authority to write excess of loss
business was, however, delegated to Mr Walker under a split stamp arrangement.
This provided that a fixed percentage of the major categories of excess of loss
business written by Mr Walker would be divided in fixed proportions between
syndicate 290 and syndicate 164. In 1988 the split was 70:30. In 1989 this was
reduced initially to 75:25 and, with effect from 30 March 1989, to 80:20. Mr
Walker also made himself responsible for obtaining reinsurance cover to protect
syndicate 164's excess of loss exposure. Mr Walker readily accepted that he had
to bear the responsibility for the results of syndicate 164's excess of loss
underwriting.
Syndicate 298 was a marine syndicate writing a
broad range of excess of loss business, covering hull, cargo, liability, rigs,
and whole accounts. It wrote a substantial amount of XL on XL business. Mr Stan
Andrews was its active underwriter from the time that it started writing this
type of business in 1983 until November 1989.
Syndicate 299 was a marine syndicate which wrote
business at two boxes. At the cargo box Mr Malcolm Maxwell, the deputy
underwriter, wrote cargo business and a very small amount of excess of loss
business. At the hull box Mr Anthony Willard, the active underwriter wrote the hull
business. The syndicate wrote a broad range of business which had always
included an excess of loss account. With effect from July 1987 Mr Robert
Hawkes, who was Mr Willard's deputy underwriter, took over the writing of the
excess of loss account under Mr Willard's supervision.
LMX Business
The business of insurance provides a commercial
mechanism for the mutual sharing of risk. Each insured pays a premium for
insurance cover. The premiums thus paid by the many provide the resources for
payment of indemnities to the few who sustain losses as a consequence of
insured perils. Market forces should ensure that the level of premiums is
sufficient to provide for payment of claims, the various expenses incurred by
the insurers, and to leave a margin by way of reasonable reward for the
insurer.
Conventional reinsurance is part of the market
mechanism for this sharing of risk. It enables an insurer who has accepted a
larger risk than he wishes to retain to share that risk with other insurers.
The balancing of premiums received on the one
hand against indemnities paid on the other is threatened when a natural
catastrophe strikes that causes losses to thousands or even millions of
individual insureds. An individual insurer, particularly one who carries on
business in a particular geographical area, may find that as a consequence of
such a catastrophe claims greatly exceed premiums received. Against such a risk
the insurer may wish to take out excess of loss protection.
The letters LMX stand for London Market Excess
of Loss. The letters thus describe both the place where the business is
transacted and the nature of the business. The place is the London insurance
market. This embraces both Lloyd's and the companies which carry on the
business of insurance in London. Excess of loss describes a particular type of
reinsurance business. Indeed, as a matter of strict terminology it is perhaps
incorrect to describe it as re-insurance; see the comments of Hobhouse LJ in
Toomey -v- Eagle Star [1994) 1 Lloyd's Rep. 516 at pp 522-3. Insurers limit
their exposure to losses by various types of reinsurance. They may reinsure a
specific portion of a specific risk. They may reinsure a proportion of the
business that they write, or a category of it, by a quota share treaty. Excess
of loss reinsurance is designed to put a cap on an insurer's exposure to a
particularly large individual risk, or an aggregation of risks that are all
exposed to the same event. The insurer reinsures his liability for the
consequences of a single event to the extent that this exceeds that part of the
risk which he chooses to retain for his own account - his retention. It is
customary to place this cover in layers , each layer being identified as a sum
in excess of a figure which is the sum of the insurer's retention and the
underlying layers of excess of loss cover. A low level layer of excess of loss
insurance may be liable to be impacted fairly frequently by events, such as
windstorms, which are relatively common occurrences. In general, the higher the
layer of reinsurance the more serious, and the less common, will be the event
that impacts the cover. Low layers of cover are sometimes referred to as
'working layers'. Excess of loss insurance of high layers is commonly referred
to as 'catastrophe insurance' on the basis that the cover will only be likely
to be impacted in consequence of a catastrophe, whether caused by man or by
nature. Excess of loss business is commonly described by the letters XL.
If the layers of excess of loss protection of
individual insurers are reinsured by a wide range of reinsurers, who are
writing excess of loss protection for different types of business in different
geographical areas, excess of loss reinsurance can form part of the mechanism
for the overall sharing of risk. If, however, there are relatively few
reinsurers who are prepared to write excess of loss reinsurance, the result
will be not the dispersal but the concentration of risk. This is what occurred
in the London Market in the 1980's. This period saw a steady and substantial
increase in capacity at Lloyd's coupled with an increasing demand for excess of
loss reinsurance - fostered in part by the growth in insured values of
individual risks such as oil platforms. Excess of loss insurance had been the
creation of Lloyd's after the great San Francisco earthquake of 1906 and in the
1980s a disproportionate share of excess of loss business was coming to London.
In a period without major catastrophe, excess of
loss underwriters can make a good profit. In the first six years of the 1980's
there was only one major global catastrophe - the hurricane 'Alicia' in 1983 -
and the full effects of that took quite a few years to be felt in the LMX
market. Prior to that there had not been a major global catastrophe since
Hurricane Betsy in 1965. New Names and old were keen to share in the profits
that it was believed could be made by writing excess of loss business.
The years 1980-1988 saw membership of Lloyd's
rise from 18,552 to 32,433 Names, both increasing the stamp capacity of existing
syndicates and resulting in the forming of new syndicates. This increase in
stamp capacity was accompanied by a substantial growth in the excess of loss
business being written at Lloyd's.
Mr Outhwaite, who was called by the Defendants
as an underwriting expert, informed me that, of the 80 syndicates which
commenced business between 1982 and 1988, 52 wrote some excess of loss
business, including some which specialised in excess of loss, and only 28 wrote
no excess of loss business. Mr Outhwaite also provided me with figures for 1989
of those of the Lloyd's syndicates and London companies which specialised in
excess of loss business - that is those which made such business the major part
of their book, those which wrote excess of loss as an adjunct to their main
book and those which wrote no excess of loss business. Of the marine syndicates
33 fell into the first category, 67 into the second category and 19 into the
third category. Of the non-marine syndicates 59 fell into the first category,
71 into the second category and 5 into the third category. Of the insurance
companies which were members of the Institute of London Underwriters, 26 fell
into the first category, 56 into the second category and 11 into the third
category.
In a Report to Lloyd's made in 1992, Sir David
Walker identified 87 syndicates which specialised in LMX business in 1989.
These did not wholly tally with Mr Outhwaite's categorisation, but broadly
supported the overall number of specialists in this field.
Mr Outhwaite said that it was almost impossible
to make any greater degree of categorisation than that which he had attempted.
In his statement he described the position as follows:
"Within each of the above categories, each
syndicate wrote a different mix of business, depending on the outlook and
judgment of the underwriter. Some wrote predominantly excess of loss
reinsurance of other excess of loss underwriters (ie. excess of loss on excess
of loss and/or reinsurance of excess of loss on excess of loss, so-called
'spiral' business); others wrote none (concentrating on excess of loss
reinsurance of direct accounts). Some underwriters concentrated on lower
layers, others on upper layers, depending on the underwriter's view of the
relationship between the premium and liability. Some specialised in 'back-ups'
(an excess of loss policy would normally have an upper limit each and every
loss, subject to a limited number of reinstatements - a back-up policy was one
which was designed to provide cover only after the reinstatements on another ('front-in')
policy had been exhausted) - it was a question of where they saw the best
bargain. The approach to underwriting manifested by the individual underwriters
varied (in my experience according to the philosophy and nature of the
syndicate, which the particular underwriter was best (indeed, uniquely) placed
to judge."
Although syndicates 298 and 299 were marine
syndicates, the excess of loss business that they wrote was not limited to
marine risks. Mr Jewell, an underwriter who gave evidence for the Plaintiffs,
explained how marine syndicates came to write non-marine business. The standard
marine policy on cargo extends to cover shore risks before and after shipment.
These are known as incidental non-marine risks. The grant of such cover led to
some marine syndicates writing a small proportion - up to 10 % - of non-marine
risks, notwithstanding that they were not incidental to marine risks, and this
became an accepted feature of the marine market. So far as the reinsurer is
concerned, the non-marine element in his book may significantly exceed 10 % for
the following reason. The marine reinsurance syndicate may choose to underwrite
pure non-marine reinsurance as its 10 % incidental non-marine. This means that
the total non-marine element in its book of business will be greater than 10 %,
because the 90 % of its account that is reinsurance of marine syndicates may
itself contain the 10 % incidental non-marine business of those syndicates.
When such a reinsurance syndicate buys its own whole account protection, the
reinsurer will be subject to all that non-marine exposure. If that reinsurer,
in its turn, retrocedes its risk to a further reinsurer which also includes in
its book 10 % incidental non-marine, the non-marine content of its account will
be even greater. This phenomenon explains the exposure that syndicates 298 and
299 proved to have to non-marine risks.
The Spiral
Spiral business plays a crucial role in this
case. It is not clear on the evidence how many of those who wrote LMX business
were prepared to write spiral business. I assume that most, if not all, of
those who specialised in LMX business did so. All four of the Gooda Walker
syndicates wrote spiral business. Mr Walker told me that his syndicate was one
of only five or six major leaders of LMX business who were likely to be found
on every LMX slip. They must all have written spiral business. The working of
the spiral was complex, and whether by diagrams or in words it is only possible
to attempt to describe it in a simplified form. My attempt is as follows.
Many syndicates which wrote XL cover took out XL
cover themselves. Those who reinsured them were thus writing XL on XL. They, in
their turn, frequently took out their own XL cover. There thus developed among
the syndicates and companies which wrote LMX business a smaller group that was
largely responsible for creating a complex intertwining network of mutual
reinsurance, which has been described as the spiral. When a catastrophe led to
claims being made by primary insurers on their excess of loss covers, this
started a process whereby syndicates passed on their liabilities, in excess of
their own retentions, under their own excess of loss covers from one to the
next, rather like a multiple game of pass the parcel. Those left holding the liability
parcels were those who first exhausted their layers of excess of loss
reinsurance protection.
So far as the individual syndicate was
concerned, the effect of the spiral was to magnify many times the impact of a
particular loss. That is because claims were repeatedly made in respect of the
same loss as it circulated in the spiral. I was told that claims in respect of
the Piper Alpha loss exceeded by a multiple of about 10 the net loss that was
covered on the London market.
This gearing effect did not, of course, result
in an ultimate payment of a greater indemnity than the initial loss. As the
loss passed through the spiral, however, it impacted repeatedly on successive
layers of reinsurance cover, and ultimately concentrated on those reinsurers who
found their cover exhausted.
There were at least two significant ways in
which spiral business was written:
XL on XL : This described the grant of excess of
loss cover in respect of an excess of loss account.
Whole account : An underwriter who took out,
without exclusion, excess of loss cover in respect of his whole account would
thereby obtain excess of loss cover in respect of that part of his whole
account which itself comprised excess of loss business.
The spiral effect of claims was diminished or
extinguished by individual retentions, whether before reinsurance protection
commenced or after it had been exhausted, by co-insurance and by 'leakage' to
reinsurers outside the London market, so that the extent to which catastrophe
claims spiralled depended to a degree on the size of the loss, or more
precisely that part of it which entered the London market. Thus, the higher the
level of the layer of excess of loss protection, the lower the risk that it
would be impacted. The effect of the spiral was, however, significantly to
reduce the comfort that could properly be derived from being exposed only to
what appeared to be a very high layer of loss. Another effect was to transfer
from the insurers to the brokers a very substantial part of the overall premiums
in respect of a risk, for on each excess of loss reinsurance, brokerage fell to
be paid at a rate of 10 % of the premium.
The Losses
While I have to resolve any issues of principal
that arise in relation to damages, I am not concerned with the quantification
of the Plaintiffs' claims. At this stage of the Action the losses sustained by
the Gooda Walker syndicates are relevant largely as a demonstration of the
extent of the exposure to which they were subjected by the underwriting.
Precise figures are thus not important.
The position opened by the Plaintiffs on the
basis of GW Run Off figures as at 31 December 1993 was as follows:
Syndicate/Year Stamp Capacity Loss
298/1988 £42,700,000 £ 70,200,000
298/1989 £44,300,000 £323,600,000 (open year)
299/1988 £41,600,000 £ 22,100,000
299/1989 £38,100,000 £ 40,100,000 (open year)
290/1989 £70,300,000 £271,300,000 (open year)
290/1990 £57,700,000 £ 72,700,000 (open year)
164/1989 £57,200,000 £ 50,300,000
These figures differ somewhat from the figures
shown in the 1992 and 1993 accounts. At this stage I need not - and cannot -
resolve the discrepancies.
In his opening, Mr Vos told me that the losses
sustained in these seven syndicate years amounted to 15 % of the losses made by
the entire Lloyd's market in these years and that in 1989 the four Gooda Walker
syndicates lost 30 % of the entire market's losses.
The Catastrophes
It is common ground that the losses made by the
Plaintiffs were attributable in large measure to their exposure to a series of
catastrophes. It is the Plaintiffs' case that the underwriters were negligent
in leaving their syndicates exposed to these catastrophes. It is the
Defendants' case that the sequence of catastrophes was unprecedented and
unforeseeable and that no blame is to be attributed to the Defendants for the
fact that the Plaintiffs were not protected from their consequences.
In this Action the Plaintiffs have focused on
seven catastrophes. They contend that the first two are significant in that
their impact should have alerted the underwriters to the risk to which they
were exposing their Names. The subsequent five catastrophes are relied upon by
the Plaintiffs as evidencing the consequences of the Defendants' breaches of
duty for which they are liable in damages. This is the position in relation to
the consequences of these catastrophes that Mr Vos opened: The first two
catastrophes were:
Hurricane Alicia on the 17-20 August 1983. The
overall insured loss attributed to this catastrophe by Sigma catastrophe
reports published by Swedish Re, totalled $675 million. The Plaintiffs
contended that Syndicate 290 suffered losses of about $70 million against
reinsurance protection of $62 million. Losses were also experienced by the
non-marine syndicates, although their reinsurance protection was not breached.
UK Windstorms 87J on the 16th-l7 October 1987.
Sigma's figure for this loss is $870 million. As at 31 December 1992 Syndicate
290 estimated that it had suffered a gross loss of £85 million in respect of
this catastrophe against reinsurance cover of £55 million. Syndicate 164
estimated its gross loss at £38 million against reinsurance cover of £21
million.
The other five catastrophes, which I shall
hereafter refer to as 'the Five Central Catastrophes' were:
The Loss of Piper Alpha on 6 July 1988. At the
start of this Action Syndicate 298 had an estimated loss of $220 million from
this catastrophe against reinsurance of $110 million. Syndicate 299 was
estimated to have lost $80 million against reinsurance of $56 million.
Exxon Valdez on 24 March 1989. Syndicate 298 was
estimated to have lost approximately $200 million in respect of this
catastrophe against reinsurance of $127 million, leaving net losses of $73
million. Syndicate 299 was also affected, but losses had not yet exceeded
available reinsurance.
Hurricane Hugo on 15th -22 September 1989.
Sigma's figure for this insured loss was $4,100 million. This catastrophe was
estimated to have caused Syndicate 290 a gross loss of $385 million against
reinsurance of $170 million, resulting in an estimated net loss of $215
million. It caused Syndicate 164 an estimated gross loss of $120 million
against reinsurance of $64 million, resulting in an estimated net loss of $56
million. It caused Syndicate 298 an estimated gross loss of $380 million
against available reinsurance of $161 million, resulting in an estimated net
loss of $219 million and it caused Syndicate 299 an estimated gross loss of $85
million against available reinsurance of $82 million, resulting in an estimated
net loss of $3 million.
Phillips Petroleum on 23 October 1989. Sigma's
figure for this insured loss was $1,100 million. It caused Syndicate 298 an
estimated gross loss of approximately $175 million against reinsurance of $84
million, leaving an estimated net loss of $91 million. It caused Syndicate 299
an estimated gross loss of $50 million against reinsurance of $41 million,
leaving an estimated net loss of $9 million.
Windstorm Daria 90A on 24 January 1990. Sigma's
figure for this insured loss was $4,600 million. It caused an estimated gross
loss to Syndicate 290 of £200 million against available reinsurance of £89
million, producing an estimated net loss of £111 million.
None of these figures are agreed and revised
estimates of some of them have been made since the Plaintiffs' case was opened.
Issues on Liability
As I have indicated, the only issue that I have
to resolve in relation to liability is whether or not the active underwriters
exercised the skill and care to be expected of reasonably competent underwriters.
The Plaintiffs have pleaded that Gooda Walker were not merely vicariously
liable for the faults of the active underwriters, but in breach of their own
duties to manage the underwriting. In the event, however, there is no
shortcoming alleged against the companies themselves that will not, if well
founded, also involve a finding of fault on the part of the active
underwriters. What are the faults alleged? The Plaintiffs have pleaded detailed
particulars of principles that they contend the active underwriters should have
followed and which they failed to follow. I quote from para 22 of the Points of
Claim, as amended:
In the circumstances, any participation in the
LMX reinsurance market required extreme caution and the exercise of a high
standard of skill. Any competent insurer participating would have:
a) written only a limited volume and/or
proportion of XL on XL business or business which included or constituted XL on
XL business (by virtue of being a whole account protection of a cedent whose
business was or included XL on XL or XL business) and/or
(b) paid close attention on a continuous basis
to the following vital facts, and/or
(c) taken steps to plan, write and protect its
business accordingly.
In particular, any competent insurer should have:
(1) obtained, so far as possible, information as
to the nature of the risks comprised in the business which he was considering
writing; this was in practice extremely difficult, when incoming business might
include retrocessions at several stages away from the original risk;
accordingly, it was necessary to assume the worst, when assessing the likely
elements in the make-up of a piece or portfolio of LMX reinsurance business;
(2) planned, calculated and monitored total
aggregate exposures on the various elements of LMX business written;
(3) planned, assessed and monitored, in the
light of the information available and in any case of uncertainty on a worst
case basis, the PML on the various elements of such business. In this respect:
(a) all XL on XL business would necessarily have
to be assessed as having a 100 %;
(b) whole account business (particularly in the
marine market, where exclusions of LMX or XL on XL business were not common)
was being sought by insurers as a cheaper alternative to XL on XL and/or had to
be assessed on the basis that it was likely to contain a substantial proportion
of XL on XL business which would aggregate with other business;
(c) it would have been prudent to obtain from
prospective reinsureds details as to their reinsurance programmes, which would
have provided insight into their views of PMLs on the business being written;
(4) planned and placed reinsurances, normally in
advance of any commitment to writing business requiring such reinsurance,
whereby the syndicate would be protected in full in respect of the PMLs
assessed in respect of the relevant elements of its portfolio;
(5) refused the business rather than accepting
it and foregoing full or adequate reinsurance, when and if, as a result of
premium rates, brokerage (customarily deducted at the rate of 10 % on each LMX
reinsurance) and other factors, the rate on offer in respect of the business
would not enable the financing of appropriate reinsurance to protect the
relevant PMLs. In assessing the appropriateness of a premium rate in this
context, the nature of the spiral meant that the height of the excess point
under any particular reinsurance was no guide to the risk of it becoming a
total loss. In the event of a loss exceeding the original (frequently
depressed) retentions and such limited co-insurance as might exist, the whole
loss would spiral upwards and hit the uppermost layer of any reinsurance -
unless some other participant(s) in the spiral happened to run out of such
reinsurance first;
(5A) refused the business rather than accepting
it in circumstances where the cost of reinsuring it:
(a) deprived the writing of such business of its
commercial viability, and
(b) would have resulted in foregoing either
sufficient reinsurance to protect the LMX business written or sufficient cover
for the balance of the account or foregoing both;
(6) recognised, taking account of the above,
that marine syndicates choosing to write an "incidental" non-marine
portfolio would thereby be exposing themselves to the effect of the spiral
arising out of non-marine as well as marine risks.
The Points of Defence dealt with these pleas by
denial or non-admission and did not seek to raise an alternative case as to
specific principles to be applied in writing LMX business. Instead the pleading
listed a number of matters which were alleged to be material when considering
the standard of care to be applied in underwriting. These were as follows:
(i) Names at Lloyd's knowingly accept unlimited
liability;
(ii) Underwriting is a risk business;
(iii) Underwriters assume risk in consideration
of premium, and it is no part of their business to reinsure all the risks that
they have assumed.
(iv) Lloyd's Regulations had no requirements for
recording aggregate exposure or calculating probable maximum loss.
(v) In the late 1980's the entire insurance
industry was hit with a series of unprecedented losses and the risk of such a
concatenation of catastrophes within such a period of time could not reasonably
have been anticipated and/or was so remote as not to be a matter which a
reasonably prudent underwriter would necessarily guard against.
Mr Eder's opening for the Defendants made their
case clearer. Excess of loss business is, and is known to be, an area of
insurance that involves a higher degree of risk and of reward. The reinsurance
written provides protection against the consequences of catastrophes. The
proper premium for assuming such a risk is a matter of judgment. If
catastrophes do not occur excess of loss business is very profitable. If they
do occur, losses will result, which should be balanced by good profits from the
catastrophe free years. The losses made by the Plaintiffs in this Action were
the consequence not of bad judgment, let alone negligence or incompetence in
underwriting, but of the unprecedented and unforeseeable sequence of
catastrophes.
The pleadings and the opening of each party thus
disclosed a fundamental issue as to whether or not the principles relied upon
by the Plaintiffs had any application in the field of LMX underwriting. The
precise nature of this issue became clearer as Mr von Eicken, the Plaintiffs'
underwriting expert, gave evidence.
Mr Von Eicken
Before turning to the evidence of Mr Von Eicken
I must rule on a submission made by Mr Eder that Mr Von Eicken was not
competent to give expert evidence in this case.
Mr Von Eicken was employed for 35 years by the
Munich Reinsurance Company ("Munich Re"). During this period Munich
Re grew into the world's largest reinsurance company. While with Munich Re Mr
Von Eicken undoubtedly became an expert in the field of catastrophe excess of
loss insurance. In 1963 he was responsible for drawing up a set of general
principles to be followed by Munich Re in relation to XL reinsurance. These
principles remained in force, subject to amendment from time to time, up to the
time that Mr Von Eicken retired from the company in 1990.
In 1967 Mr Von Eicken was asked to set up Munich
Re's London Office. Thereafter he spent the majority of each working week in
London. He served as General Manager and Managing Director of the company's
Main Representation Office. Mr Von Eicken stated that during his 23 years in
London he had constant contact with Lloyd's. He met frequently many Lloyd's
underwriters and had extensive dealings with Lloyd's at Chairman level. By
exchanging views on the reinsurance market he gained a clear understanding of
the way Lloyd's syndicates operated. He negotiated individual participations by
Munich Re in the reinsurance of Lloyd's syndicates, and was also involved in a
section within the Munich Re (headed by its Chief Executive) which decided on
the design of Munich Re's own reinsurance protections (mostly Catastrophe XL),
which involved discussions with Lloyd's brokers and the underwriters at Lloyd's
who were writing the Munich Re's covers.
Despite Mr Von Eicken's wide experience of
reinsurance in general and excess of loss insurance in particular, his
participation in the London insurance market and his general knowledge of the
manner in which Lloyd's operates, Mr Eder argued that he was not competent to
give expert evidence in this case. This was because the evidence clearly
established that it was Munich Re's policy that the company should not reinsure
excess of loss accounts. Such business was specifically stated to be
undesirable in almost every edition of the written principles which Mr Von
Eicken had originated. There was one exception to this. The guidelines in force
from 1983 to 1986 stated that such contracts were "conditionally desirable
where they are customary (e.g. on the North American market or in the London
market for Lloyd's syndicates and fringe companies"). Mr Von Eicken told
me that he discovered that Munich Re had started to write reinsurance of
Lloyd's XL business in the mid 1980s and that he had put a stop to this because
it was contrary to all the principles that Munich Re considered to be an
essential basis for business.
In the light of this evidence, Mr Eder argued
that Mr Von Eicken had no personal experience of LMX business, and in particular
no experience of writing XL on XL cover, so that he was not qualified to
comment on the principles that should be applied by the reasonably competent
underwriter in that market.
Mr Von Eicken would not accept that there were
special principles to be applied to the writing of LMX business. His constant
theme was that LMX business was subject to the same basic principles as all
reinsurance, indeed all insurance, and that he was highly qualified to speak to
those principles.
Mr Von Eicken criticised the Gooda Walker
underwriters for failing to write a balanced book of business, failing properly
to calculate and reinsure their exposure and for failing properly to rate the
business that they wrote. In the conclusion to his Report he commented that if
the basic principles that he had outlined had been followed, it would have been
possible for the Names not merely to avoid their losses but to make profits by
writing catastrophe excess of loss business during 1988, 1989 and 1990. He
cited by way of an illustration of this possibility, the results of Mr TR
Berry's syndicate 536. Under cross-examination it became apparent that this did
not accurately express Mr Von Eicken's opinion. It was his opinion that it was
impossible to apply his underwriting principles when writing XL on XL business.
That business was so opaque that it was impossible to make an accurate
estimation of exposure or to estimate the appropriate rate for the risk
underwritten. The only way to be confident of making money by writing spiral
business was by skilful arbitrage and this was not what reinsurance was about.
Arbitrage apart, writing spiral business was akin to gambling. The following
passages from Mr Von Eicken's evidence clearly expressed his views about spiral
business:
"The unfortunate fact is that in order to
engage in this type of cover, you really have to do with a fraction of the
knowledge, and a fraction of the experience and a fraction of the information
which you would be needing in order to conduct catastrophe excess of loss business,
and I maintain that it is just an aberration of catastrophe excess of loss
business and should probably not have been touched by anybody it was an
extremely incestuous market. Everybody in it was dealing indirectly with
themselves and it had to be known that it was not a market and it had to be
known that it was not a viable market and it had to be known that it would not
be a market that had any hope of staying alive and that the profits that were
made could only continue to be made as long as the hope came true that no major
catastrophe occurred."
This approach to the spiral had not formed part
of the Plaintiffs' case. In his written opening Mr Vos said this about the
spiral:
"The Plaintiffs' case should not be
misunderstood. It is not the Plaintiffs' case that the underwriters were
negligent simply because they participated in the spiral. The Plaintiffs say
that because of particular features of the spiral, it is necessary to exercise
particular care when writing an account within it."
In his final speech Mr Vos submitted that Mr Von
Eicken was probably right in his view that the spiral market was an aberration.
The Plaintiffs, however, did not need to go that far. Their case was based on
the disregard by the Gooda Walker underwriters of specific basic principles of
insurance practice. If Mr Von Eicken was right about spiral business, so much
the better, for that reinforced the Plaintiffs' case.
Mr Eder for his part also argued that it did not
matter whether the spiral market, viewed as a whole, was an aberration. Even if
it was, a competent underwriter could properly enter that market in order to
make profit for his Names. Mr Von Eicken had deliberately kept out of that
market and was not competent to express opinions about the conduct of those who
practised within it.
Mr Eder asked Mr Jewell, whose role as a witness
I shall deal with shortly, about Mr Von Eicken's ability to give expert
evidence in this case. He commented:
I believe the fundamental principles of
reinsurance are the same throughout the world, and that they start with a
fundamental understanding of the direct business. Therefore, although a
European reinsurer, or an insurer who is buying - who is not buying or who is
buying - his reinsurance from the London market, may not have firsthand
experience of the way the market is operating because he has chosen not to
operate within it, does not necessarily mean that he does not understand what
is going on ...
Somebody outside the market with a good
understanding of the fundamental business, may actually be able to see the wood
from the trees clearer than those within.
I have reached the same conclusion as Mr Jewell.
Mr Von Eicken is qualified to express an opinion as to the principles that
should be followed when writing excess of loss business. He is also qualified
to express an opinion as to whether those principles are compatible with the
writing of spiral business. I have not been persuaded by the evidence that it
is appropriate to ringfence that minority of London Companies and Lloyd's
syndicates that specialised in writing excess of loss business, and to treat
them as members of a separate market. They were members of the London insurance
market, and the London market is itself part of an international insurance
market. Mr Von Eicken has had very considerable experience of the international
insurance market, of the London insurance market, of the customs and practices
of Lloyd's, and of the writing of excess of loss business. The fact that it was
the almost unbroken policy of the Munich Re to avoid writing XL on XL business
does not disqualify Mr Von Eicken from giving expert evidence in this Action.
Before turning to the expert evidence, it is
right that I should state the impression made on me by those who gave it.
Mr Von Eicken
Mr Von Eicken was not an ideal expert witness.
He showed a keen appreciation of his own abilities and a contempt for any
challenge to his views. This attitude was not justified, for in his report Mr
Von Eicken had, in places, made sweeping statements of underwriting principle
which could not be justified. He adopted, throughout, a vigorously partisan
approach and could scarcely ever be induced by Mr Eder to make a concession,
however clear it might be that a concession was due.
Mr Jewell
Mr Jewell was not called by the Plaintiffs as an
expert. He is a Director and General Manager of City Run-Off Limited
("CR0"). CR0 has contracted with GW Run-Off Limited
("GWR0") to administer the run-off of the Gooda Walker Syndicates.
From 1962 to 1979 Mr Jewell was employed, first by New Zealand Insurance
Company Limited and then by Norwich Winterthur Reinsurance Company Limited, for
the most part as a deputy marine underwriter. From 1979 to 1989 he was employed
by Claremount Underwriting Agency Limited as an active underwriter for
Claremount Syndicates. He underwrote all the reinsurance account, consisting of
marine, non-marine and aviation XL business for syndicates, which had at their
peak, a combined stamp capacity in excess of £100 million. The XL account was
predominant.
In October 1989 Mr Jewell joined GPL and took
over the running of Syndicate 299 from Mr Willard. When, at the end of 1989, Mr
Andrews was asked to resign as active underwriter of Syndicate 298, Mr Jewell
agreed to replace him on the understanding that he would not write any new
business other than lines already promised. When, in the autumn of 1991 GPL and
GWL went into voluntary liquidation, CR0 was formed by Bankside Underwriting
Agencies Limited to handle the day to day running of the syndicates. Mr Jewell
was one of a number of Gooda Walker staff who were retained by CR0.
Mr Jewell was called by the Plaintiffs to give
factual evidence about, inter alia, the exposures, reinsurances and losses of
the Gooda Walker syndicates. Mr Eder chose, however, to cross-examine him at
length on matters of expert evidence. I am glad that he did, for Mr Jewell
impressed me as a witness of high standing, ability and experience in the field
of excess of loss reinsurance.
I found the evidence that he gave in relation to
the practice of excess of loss reinsurance more compelling than that of the
witnesses who had been called specifically to give expert evidence on this
topic.
Mr Outhwaite
Mr Outhwaite commenced work at Lloyd's in 1957
at the age of 21. He worked as personal assistant and latterly as deputy
underwriter to Mr Roy Merrett and became responsible for most of the excess of
loss underwriting for his syndicate. In 1972 he took over as underwriter for
the syndicate jointly with Mr Stepehn Merrett. From 1974 until 1989 he ran his
own syndicate. This was a general marine syndicate with an excess of loss book
of 25-30 % of premium income. The syndicate was known as a leader of excess of
loss business. Mr Outhwaite has served on many committees at Lloyd's, including
the Joint Excess of Loss Committee which was formed in 1987. This summary
illustrates the depth of Mr Outhwaite's experience of Lloyd's underwriting and
of excess of loss in particular. I found him, in general, an impressive
witness. Nonetheless I did not find him wholly objective. While he did not
demonstrate the partisan enthusiasm of Mr Von Eicken, he was, I felt, careful
in so far as he could to avoid answers which might further the Plaintiffs'
case.
Mr Fryer
Mr Peter Fryer has worked in the insurance
industry from 1953 until his retirement last year. From 1969 to 1985 he was
Managing Director of North Atlantic Insurance Company Limited. After that
company was acquired by the British National Insurance Group he was first of
all Managing Director and subsequently Deputy Chairman and Chairman of British
National, responsible for the group's insurance and reinsurance operations
throughout the world. From 1986 until 1993 he was Chief Executive of the
Charter Reinsurance Company Limited of London. Mr Fryer was well placed to give
expert evidence from the viewpoint of a London reinsurance company. I found him
an impressive and on the whole a balanced witness.
The Principles Applicable to Excess of Loss
Underwriting
It is not possible to resolve the issue of
liability in this case without having regard to the peculiar features of spiral
business. I propose, however, to consider those features in the context of the
specific allegations made by the Plaintiffs. The first step must be to decide,
with the assistance of the expert evidence, what, if any, basic principles of
underwriting practice should have been adopted by those who were writing LMX
business. I shall then consider whether, and if so how, those principles could
be applied by a writer of spiral business. Finally I shall consider the
specific allegations directed at each of the active underwriters.
Exposure and Balance
The Points of Claim allege in some detail the
principles of underwriting practice that the Plaintiffs contend should have
been followed, but do not clearly allege what the competent underwriter should
have attempted to achieve by the application of these principles. Their case
was, however, clarified by Mr Von Eicken's Report. This emphasised the
importance of writing a balanced account.
A balanced account, adopting the terminology of
Mr Von Eicken, is one where the claims that the underwriter has to meet,
together with all his expenses, are covered by the premiums that he receives,
so that an appropriate profit remains. According to Mr Von Eicken, this balance
should be achieved by the excess of loss underwriter in two ways. First he
should limit the exposure of his syndicate to the consequences of a single
event by spreading the syndicate's business over a number of different classes
of business (eg. rig covers) and over a number of different geographical areas.
In this way the underwriter can ensure that the potential exposure to a single
event is balanced by premiums from business not exposed to that event. To
achieve this balancing exercise in practice the underwriter will have to
restrict his exposure in respect of some classes of business or exposure areas.
In order to do this he must be aware of his aggregate exposure in relation to
each class of business or exposure area.
A single event will be unlikely to expose an
underwriter to liability in respect of 100 % of his aggregate exposure in
respect of a class of business or exposure area. For this reason it is possible
to adopt a more realistic and sophisticated approach to the balancing of an
account. The underwriter selects the most serious catastrophic event that he
can foresee as a possibility for which he must make provision and estimates the
maximum loss that he will be likely to have to meet should that event occur.
This amount is described as the Probable Maximum Loss or PML. It is thus the
PML, rather than the aggregate, to which the competent underwriter normally has
regard when considering the balance of his account.
The other tool which, according to Mr Von
Eicken, the excess of loss underwriter uses to achieve balance is reinsurance.
By reinsuring his exposure to his PML, or part of it, in a cost effective
manner he can help to ensure that if a catastrophe strikes his liability will
not overreach the net premiums that he has retained.
It was, I believe, initially the Plaintiffs'
contention that the competent excess of loss underwriter should achieve a
balance of this sort year by year for each year of account so that, unless an
untoward event occurred, each year would end in profit.
It has always been the Defendants' case that the
type of balance that I have just described, achieved year by year, is not
compatible with writing excess of loss business on any scale. In so far as it
concerns the concept of achieving balance by dispersing the business written
over different classes or geographical areas of risk, the Defendants' stance on
this point was supported by a number of witnesses including, most
authoritatively, Mr Fryer. He told me that it was impossible to write an excess
of loss account of any significance covering catastrophe perils and to achieve
internal balance by such means. Most of the demand for excess of loss cover
came from the United States and Europe and insufficient business could be
written in other parts of the globe to balance exposure to those areas. Charter
Re had also tried to achieve balance by writing a mixture of marine, aviation
and non-marine business and by writing first, second and third tier
reinsurance. The problem of imbalance could be reduced in this way, but not
removed. Mr Fryer agreed, however, that it was possible to smooth potential
losses by reinsurance.
If it is impossible for an excess of loss
underwriter to achieve internal balance without reinsurance, I cannot see how
reinsurance can wholly remove exposure to loss if the reinsurance rates
properly reflect the risk transferred. It was Mr Fryer's evidence that the
excess of loss underwriter could not expect to achieve a balance between claims
and premium income year in year out, but would have to accept that there would
be loss making years to be balanced by premium income in other years.
Mr Jewell said that in 1987, 1988 and 1989, when
the market was terribly soft, it was "highly possible" to devise a
reinsurance programme which was completely comprehensive. He told me that in
1988 he had been able to buy reinsurance cover for his syndicate at a rate
which enabled him to write business for his Names which did not expose them to
risk but enabled them to make profit from premium differentials. He added,
however, that to attempt to make profit without risk was not a professional
move "because the professional move starts with how much exposure you are
prepared to write".
At the end of the day Mr Vos retreated from the
suggestion that an excess of loss underwriter should necessarily aim to achieve
a balanced account year by year. His submission, rather, was that, if the
underwriter was going to subject his Names to the risk of making an overall
loss, he should aim to restrict the exposure to a predetermined limit and make
it quite plain to Names that they were exposed to loss to that extent.
In the course of closing submissions I suggested
to Mr Eder that it was common ground that a competent underwriter had to
restrict exposure to an appropriate level. Mr Eder would not accept this. He
submitted that there was no inherent limit on the exposure that an excess of
loss underwriter could properly incur. This reflected a theme in his argument
that Names who joined Lloyd's deliberately accepted unlimited liability and
that Names who joined excess of loss syndicates knew that they were thereby
indulging in underwriting that involved higher than normal risk. Mr Eder's
submission received a degree of support from Mr Outhwaite. He said that it was
theoretically possible to write a book of business in the excess of loss field
where all covers were exposed to the same loss event and that there was
nothing, in theory, to prevent this. This, however, was subject to the
important proviso that this policy was made plain to the Names. So far as
exposure was concerned Mr Outhwaite said that the governing principle was that
the underwriter should not expose his Names beyond that level which he aimed
for and predicted. This statement was not far removed from a passage in Mr Von
Eicken's evidence when he agreed with Mr Eder that one could not criticise an
underwriter for leaving an uninsured gap, whatever its size, provided that he
did so on purpose, knew exactly what it was and informed his Names of what he
was doing. Mr Jewell said that the starting point was that the underwriter
should decide how much risk he was prepared to write and expose his syndicate
or company to and that having taken that decision he had to restrict exposure
to that level by reinsurance. This evidence was put to Mr Outhwaite who agreed
with it.
My conclusions in relation to exposure are as
follows. The fact that a Name who joins Lloyd's deliberately agrees to expose
himself to unlimited liability does not mean that he anticipates or accepts
that when he joins a syndicate the active underwriter will deliberately expose
him to the risk of such liability. On the contrary the Name will reasonably
expect the underwriter to exercise due skill and care to prevent him from
suffering losses. In many categories of insurance the Name will reasonably
expect the underwriter to plan to procure profits, year in year out. The fact
that syndicates are reconstituted each year does not, however, make it
mandatory for an underwriter to conduct business in this way. I accept Mr
Outhwaite's evidence that underwriting must be conducted as an ongoing
business. There is no reason in principle why an underwriter should not write
business on the basis that net losses will be made in some years that are
balanced by generous profit levels in the other years. If, however, an
underwriter is deliberately to expose his Names to suffering losses from time
to time, he must make sure that the Names are aware of this and of the scale of
loss to which they will from time to time be exposed.
This conclusion is one which I would have
reached as a matter of common sense if unassisted by expert evidence. A Name at
Lloyd's, with the assistance of his Members Agent, will want to structure his
underwriting business in a manner that accords with his means and with his
attitude to risk. Syndicates at Lloyd's tend to specialise in different
categories of business. Some categories of business involve less risk of loss,
and commensurately less prospect of reward, than others. A Name needs to know
the nature of the exposure that he is likely to run by joining a particular
syndicate if he is to be able to structure his underwriting business in an
appropriate manner.
It was the Plaintiffs' case that, in the absence
of a specific warning, a Name would not anticipate that a particular excess of
loss syndicate would write in such a way that loss making years would be a
natural consequence from time to time. A loss making year would only result
from some untoward event or sequence of events for which the underwriter could
not reasonably have been expected to provide. The Defendants challenged this
case. As I have already indicated, it was Mr Eder's contention that any Name
should have known that writing excess of loss business could well result in very
high losses - such business was "dynamite". The extent to which Names
should reasonably have anticipated that by joining the Gooda Walker syndicates
they rendered themselves liable to suffer significant losses from time to time
is a matter to which I shall revert at a later stage of this judgment.
Planning
In his initial Report, Mr Von Eicken stated that
a competent excess of loss underwriter would necessarily make detailed written
plans of his underwriting policy and how he was going to achieve it. Aggregate
limits, PMLs and reinsurance protection would all be planned in advance and
those plans would be committed to writing.
Mr Outhwaite challenged this evidence. He said
that an underwriter would certainly prepare detailed plans, albeit not
necessarily in writing, when setting up a new syndicate. Thereafter there would
be no formal planning. The underwriter would run the syndicate as an ongoing
business, keeping his underwriting and his general strategy under review and
reacting to changes in the market. Only if the capacity or composition of a
syndicate changed significantly between one year and the next was it necessary
to plan how the underwriting should accommodate these changes. When Mr Eder
asked him whether it was not strange that underwriting, as a professional
exercise, should be conducted on an ad hoc basis without formal planning he
replied:
"I do not find it strange at all, it was
the environment in which I was brought up in Lloyd's; it is how Lloyd's has
always worked."
Mr Jewell said that he would not necessarily
expect an underwriter of a syndicate of the same type as the Gooda Walker
syndicates to have a detailed underwriting plan. He added, however, that in his
opinion all should have such a plan. He said:
"I would have felt very uncomfortable for
my own job, let alone for the Names that I was writing for, if I did not have a
structure and a plan and an idea of what I was attempting to put together... I
do not believe I could have purchased a reinsurance programme intelligently
without having an idea of what I was going to write and what I was trying to
protect."
Written underwriting plans have, I believe, now
become the norm at Lloyd's. This was not the case during the period with which
I am concerned. Absence of written underwriting plans cannot be treated as
evidence of lack of competence. What was, in my judgement, important was not
that a plan should be written down, but that a plan should exist and be
followed. In particular, any competent underwriter had to formulate and follow a
policy as to the extent to which Names were to be exposed to the risk of loss.
Mr Eder suggested that an underwriter could properly make no attempt to limit
his Names' exposure beyond the restriction imposed by Lloyd's regulations on
premium income. Even if that were correct, and the model is a purely
hypothetical one, an underwriter could not be competent in adopting such an
approach unless he did so after careful consideration and unless he made it
absolutely clear to his Names that this was his policy. In fact all the
witnesses in this case accepted that an excess of loss underwriter would have a
policy as to the amount of exposure to which his Names would be subjected. In
my judgment it was a fundamental principle of excess of loss underwriting that
the underwriter should formulate and follow a plan as to the amount of exposure
that his syndicate would run. During the period with which I am concerned such
a plan would normally - if not inevitably - involve restricting the syndicate's
gross exposure by reinsurance in order to attain the planned level of net
exposure. Mr Outhwaite accepted that the underwriter would buy reinsurance
cover with a view to protecting exposure resulting from specific projected
aggregates. He said, however, that such projections were not inflexible. The
underwriter might accept more or less business depending upon how attractive
the particular business was. I have no difficulty in accepting this, subject to
two provisos. First the underwriter must be monitoring his business properly so
that he knows what he is doing. Secondly he should not make so radical a
departure from his policy on exposure as to betray the reasonable expectation
of his Names.
Aggregates and PMLs
In order to monitor the exposure that results
from the business he writes, the excess of loss underwriter must be aware of
his aggregates. He has the advantage that each piece of business he writes is
subject to an express limit of liability. To calculate his exposure to a single
event he needs to know how many of the covers that he has written are exposed
to the risk of a claim should that event occur. He thus has to divide into
different categories the covers that can aggregate. In practice this is
normally done by a system of coding the different categories. The more
carefully the business is recorded under appropriately chosen codes the more
confident the underwriter will be able to be as to the limit of his exposure to
a single event. As I have already explained there will be some categories where
it is unlikely, or indeed inconceivable, that a single event will result in a
claim on every cover. In respect of those categories the true exposure will be,
not the aggregate, but the PML. The estimation of the PML has to be made by the
application of judgment to the data available.
There is no real dispute between the parties as
to the need to assess PMLs, although there was some debate as to appropriate
terminology. As Mr Eder put it in his final written submissions:
"It was common ground that an underwriter
must form some judgment of his exposure to one loss event in order to decide
what reinsurance to purchase."
This leads me to the topic of reinsurance.
Reinsurance Policy
In his final submissions Mr Vos contended that a
competent excess of loss underwriter should adopt a reinsurance policy that
included the following elements:
(1) The underwriter should know the PML that his
syndicate will be exposed to in the event of the worse catastrophe.
(2) He should then work out what net exposure he
is prepared to run in that event.
(3) He should reinsure the balance.
(4) He should retain a meaningful retention at
the bottom (and preferably the whole retention should be at the bottom).
(5) He should match the reinstatements on his
reinsurances to the reinstatements that he is allowing in his writings, so that
he is protected against frequent catastrophes.
Mr Eder made no substantial challenge to the
first two propositions. It was his case that they would form part of an
on-going and flexible review rather than an inflexible plan. As to the third
proposition, Mr Eder accepted that this is what the competent underwriter
should attempt to achieve. Mr Vos had originally asserted that the competent
underwriter would have his reinsurance in place before he started writing cover.
That proposition was patently absurd for, if applied to all, no-one could write
any business. Writing excess of loss cover and obtaining such cover are two
operations which can neither be done sequentially nor synchronised. There must
inevitably be a risk that the insurer finds that he cannot obtain as much
reinsurance cover as he would wish at rates which he considers fair.
The fourth proposition was not common ground. It
had originally been the Plaintiffs' case, supported by Mr Von Eicken's Report,
that the competent excess of loss underwriter would decide how much he wished
to retain and reinsure everything in excess of that amount up to his PML. Under
cross-examination Mr Von Eicken conceded, however, that there was no reason why
the insurer should not retain exposure at the top above his layers of
reinsurance. This was subject to the proviso that he did so deliberately in the
knowledge of the amount of that exposure. Mr Jewell had already given evidence
to like effect. He said:
"The wise approach in my experience would
be to have a core reinsurance put together that you know you can achieve and
buy the rest of your protection either at the bottom or at the top end of your
exposure. The important factor is to know what your exposure is and how much of
it you are prepared to carry. It is almost irrelevant in my view as to where
you carry that."
It seems to me that in principle this must be
right. If an underwriter has determined to retain a specific net exposure,
those layers of exposure which he protects by reinsurance should depend upon
the view he takes of the terms of the reinsurance on offer. The evidence
suggests, however, that it may be difficult in practice to obtain reinsurance
cover if one cannot demonstrate that one is retaining a layer of risk below
that cover.
MATCHING REINSTATEMENTS
Mr Vos' fifth proposition introduces a topic of
some complexity. In his final speech Mr Eder described it as "almost a
diversion - a variation on a theme" and commented, with some
justification, that as the point had not been specifically pleaded, no one had
really focused on it as a separate issue.
In that section of his witness statement which
deals with reinsurance protection, Mr Jewell states:
"Reinsurance policies cover layers of
exposure... Each policy will provide coverage for a particular sum insured (eg.
£5 million excess £5 million) and may be reinstated a limited number of times.
The number of reinstatements available indicates the level of horizontal
protections."
The excess of loss underwriter has to consider
not merely the extent of his vertical exposure to a single loss event, but the
extent of his horizontal exposure - the number of events resulting in claims to
which he may be exposed. This Action has concentrated largely on vertical
exposure. The pleadings make no express reference to horizontal exposure and
the expert reports do not focus on this topic. It is, however, one of
importance having regard to the manner in which the Plaintiffs advance their
claim to damages and to the Defendants' reliance upon a 'concatenation of
catastrophes'. This section of my judgment is derived largely from evidence
provided by Mr Jewell.
Horizontal reinsurance cover is classically
provided by a clause in the policy of reinsurance which provides that, if a
claim is made, the cover will be reinstated so as to protect against a further
loss event upon payment of an additional premium. The policy may provide for
one or a number of such reinstatements. This is, however, only one form of
horizontal cover. A policy may provide cover, up to a limit for each event, for
a sequence of events for a single premium. Back-up policies can be purchased
which only take effect after a specific number of loss events have occurred. A
'top and drop' policy may be used either to provide top layer protection or to
provide back-up protection at a lower layer.
A syndicate's horizontal exposure, and the
reinsurance protection purchased to cover this, will depend upon the nature of
the business written. If working layers or low layers are written it may be
reasonable to expect a significant number of loss events and to buy reinsurance
protection to cover them. Thus, for example, Syndicate 290 had in place, as at
1 January 1989, a fairly complex structure of whole account X/L cover at lower
layers which included cover for $150,000 excess of $100,000 for 10 loss events
after an initial 10 such events had occurred, and thereafter cover for $50,000
excess of $50,000 for a further 20 loss events. Syndicate 298 had in place, as
at 1 July 1989, whole account cover providing for 24 reinstatements at the
lowest level of $250,000 excess of $250,000. At levels such as this I cannot
see any place for the concept of "matching reinstatements" advanced
by Mr Vos. The concept does make sense, however, when one is considering true
catastrophe insurance written in the spiral.
Mr Fryer pointed out the difference between the
need to devise an appropriate pattern of horizontal cover and the more specific
desirability of matching reinstatements when writing high level catastrophe
cover:
In normal situations you get a gradient of
losses which may be relatively flat, in other words a large number of small and
medium sized losses, or it may be relatively speaking, a smaller number of
medium and large losses. Now the number of reinstatements you need and at which
level within the programme would vary dramatically between those two cases
Q The point is a more general one that if one is
writing a book of high level catastrophe reinsurances, XL on XL, you will not
as a general matter write your higher large covers with two reinstatements and
place your reinsurance programme with one reinstatement.
A I would not, no.
An underwriter who makes a practice of granting
to his fellow excess of loss specialists more reinstatements than he purchases
from them will be subjecting his Names to an obvious area of unprotected
exposure. Mr Outhwaite gave the following evidence about reinstatements:
"... in general terms the business that you
are writing on excess of loss will be limited to reinstatements, either one or
two. Generally speaking, your outward reinsurance will be similarly placed,
that is to say, it will have the same number of reinstatements. In general
terms you will find the reinsurances outward are done on the same basis as
inwards, so to that extent reinstatements match. It is not necessarily that
they will always match under practical circumstances, because as risks attach
throughout the year reinsurances may be exhausted by some losses and because of
different attachment dates, you have claims on other policies.
Thirdly, there are areas where you write
business with more than two reinstatements. Working layers are habitually done
with more and it may be that you take a view that you only protect yourself up
to some of them and you are prepared to run the risk of reinstatements beyond
that point.
Mr Vos: But you accept that it is desirable to
write your book of business and reinsure it on the basis that the
reinstatements match in the way that you have just explained?
A The way that I have explained this is what
will normally happen, certainly.
Q It is desirable to do that?
A Yes.
Q It is obviously desirable, because it protects
yourself against frequency of losses except in excess of your reinsurance?
A Yes.
In a subsequent passage of his evidence, Mr
Outhwaite added these further comments:
Q I am suggesting that the numbers of [losses],
although they may have been an unusual number together, it was something for
which an insurer should have been prepared for?
A I quite disagree, you have to make some
estimate of the probability of these things, as I pointed out earlier. If you
think that the probability of a loss is one in ten during the course of the
year, the probability of two of them occurring is only 1 in 100 during that
year. So you get to the point where you do not take the possibility of the
numbers of occurrences into account, you get beyond any ordinary sort of
calculation.
Q Your position is that you should not be
prepared, if you are a reinsurance underwriter, for more than one loss?
A I am not saying more than one loss, but there
comes a point where it goes past what I would call reasonable estimation of a
probability of loss.
Q Where is the point?
A I cannot tell you, it would depend very much
on how underwriters see it.
Q Three losses?
A I do not know.
Q Two losses?
A I just do not know, Mr Vos, it is impossible
to say.
Q The real point here, Mr Outhwaite, is this,
that these losses that occurred were unusual in the sense that there were more
than there had previously been in a short space of time, but they were not so
unusual, were they, that it was reasonable for the underwriters to ignore the
possibility of their occurring?
A I do not know the degree that you can say that
they ignore it. I am saying that any underwriter has to make some estimation of
what possible losses are going to occur, and you have to stop somewhere.
Underwriting is a business where you take a risk."
This evidence was not inconsistent with answers
given earlier by Mr Jewell in relation to this topic:
"Q How should an underwriter who has
written policies with reinstatements take this into account in relation to his
reinsurance programme?
A I stumble with the answer - what he should do
is recognise the exposure. He should measure the exposure - I am sorry to be
repetitive to some extent - and then decide how much of it he wishes to keep
for his syndicate. It is easy to recognise the exposure.
Q All I am trying to do is to explore how that
answer fits into the reinstatement problem.
A The unprecedented or whatever - the succession
of losses can only impact the syndicate if it did not cover for those
losses."
Counsel for the Plaintiffs put to Mr Willard, Mr
Andrews and Mr Walker that it was desirable to match reinstatements. Each of
them agreed to this. Mr Andrews and Mr Walker claimed to have done so. Mr
Willard accepted that he had not.
My conclusions are as follows. The competent
excess of loss underwriter had to give careful consideration not merely to his
vertical exposure but also to his horizontal exposure. This was true whether he
was writing high level catastrophe business in the spiral or low level
reinsurance of direct business and it is axiomatic that the underwriter had to
plan his pattern of reinsurance protection. In relation to true catastrophe
reinsurance, to grant more reinstatements than those purchased would produce an
area of obvious exposure.
I accept Mr Outhwaite's evidence that there
might be circumstances in which an underwriter would deliberately take such a
risk. Nothing suggests that such circumstances applied in the present case, or
that any of the Gooda Walker underwriters were deliberately taking such a risk.
They should, in my judgment, have been following a policy of matching
reinstatements in relation to the catastrophe excess of loss business that they
were writing in the spiral.
A policy of matching reinstatements in this way
was not, however, calculated to cover all horizontal exposure to a sequence of
catastrophes. The position was graphically described in the September 1991
edition of Chatset:
"In 1989, apart from Hugo, which hit most
syndicates in both Marine and Non-Marine, there were five other major losses,
namely Exxon Valdez, Phillips Refinery, Atlantic Richfield, San Francisco
Earthquake, Newcastle Earthquake. Any one of those may have necessitated calls
on a syndicate's general protections and most reinsurance programmes allow for
two reinstatements of the original policy limit, ie. three losses. Once the
policy has met those three losses the fourth and every subsequent loss
'cascades' over the top and all claims are paid gross. Policies are also
written covering 'cascade' losses, to add to the misery of those underwriters
writing them, who may themselves already have cascaded."
The manner of impact of competing claims on
writers of spiral business with limited reinstatements is, as Mr Jewell
explained, complex and potentially capricious, particularly in the marine
market where it is the custom and practice that losses are taken in settlement
date order for reinsurance purposes. A sequence of catastrophes can expose a
syndicate to losses, not because claims from the individual catastrophe
outstrip the vertical cover in place, but because they outstrip the horizontal
cover. The September 1992 edition of Chatset summarised the position as
follows:
"The problems caused by "Hugo"
were only part of the story. There were other catastrophes in 1989 which may
not have exceeded the vertical reinsurance cover, but the number of catastrophes
impinging on reinsurance may have exhausted the number of reinstatements
available."
In the course of the trial Mr Jewell gave
evidence that claims resulting from catastrophes other than the Five Central
Catastrophes were likely to exceed the reinsurance cover available and result
in net losses - Enchova, Lockerbie and the Australian Earthquake are examples.
It is not axiomatic that exposure to those catastrophes is a consequence of a
failure to 'match reinstatements'. They indicate simply that horizontal cover
was not adequate to cater for the series of catastrophes that occurred. The
pleadings make no specific allegation in relation to deficiency of horizontal
cover and, apart from a few questions to the underwriters about matching
reinstatements, their evidence does not cover this area. The significance of
this is a matter to which I shall revert.
Rating
The experts were agreed that it is a fundamental
principle applying to all insurance business that the underwriter must satisfy
himself that the premium received is commensurate with the risk assumed. If not
so satisfied he should not write the risk. This basic principle is subject to
pragmatic exceptions. Sometimes it will be politic to accept an unattractive
risk as a loss leader to a broker who has more attractive business in his gift.
The majority of business written tends to be renewal business. Such business,
once rejected, will find another home and not return. This again may justify
the short term expedient of accepting a risk at an unattractive rate. It has
not been suggested that these exceptions to the general principle that the rate
should be adequate for the risk have any significance in the present case.
The experts agreed that there were four elements
that made up an adequate premium:
(1) The basic risk premium;
(2) A loading for random fluctuation;
(3) A loading for administrative expenses and
brokerage;
(4) A loading for profit.
In most classes of insurance past experience
provides a good guide for assessment of the level of premium necessary to cover
these elements. Past claims statistics both of the market in general and, where
appropriate, of the insured in particular, provide a reliable guide to the
nature of the risk. Market forces tend to ensure that rates are adequate.
Rating catastrophe excess of loss business is
much more difficult. The reinsurer has to assess the likelihood of a single
event resulting in loss to the reinsured in excess of a particular level. Any
sensible attempt at this exercise requires detailed information as to the
nature of the reinsured's own book of business so that a view can be taken of
the measure of exposure of that business to a single catastrophic event. Much
more difficult is the assessment of the likelihood of such a catastrophic
event. Catastrophes do not occur regularly and, as the world develops, the
potential consequences of a natural catastrophe become more weighty.
In these circumstances the experts were all
agreed that historical experience is of little assistance in rating if all the underwriter
is looking at is a period during which there has been no serious catastrophe.
The difficulty of assessing an adequate rate for
writing an excess of loss risk has, in the past, been alleviated by a
phenomenon known as "payback". If a claim is made under an excess of
loss cover the premium is subsequently increased so that, in the space of a few
years, the loss that has been paid is recouped.
In October 1988 a Working Party under the
chairmanship of Mr Graham Lyons produced a Report on "Excess of Loss
Reinsurance of Lloyd's Syndicates and London Market Companies". The aim of
the Working Party was to set down the nature of the London market and the
special considerations which apply to LMX business. In relation to rating the
Report made this sanguine comment:
"Leaders of LMX business tend themselves to
be London underwriters and have a close understanding of the various exposures
written generally in the market and specifically by individual syndicates or
companies. LMX premiums are reviewed each year by these leaders who take into
account all the factors in setting the new annual premiums for each excess of
loss contract. The leaders have questionnaires designed to draw out each
reassured's exposures, both on individual risks and in the aggregate on the
various classes of business written."
Such a questionnaire would provide detailed
information about the underwriting business of the reinsured. The Report
included suggestions by an actuary as to how excess of loss business might be
rated. I did not understand that the actuarial approach suggested was one that
at any material time was adopted in practice by excess of loss underwriters.
The actuary drew attention to the problems inherent in using payback as a means
of adjusting rating.
In his Report Mr Outhwaite had this to say about
rating:
"On excess of loss business, premium is
normally expressed as a 'rate on line' - ie. as a percentage of the total
liability undertaken by the reinsurer on a particular piece of business. Rating
is not an exact science: it is not possible in any particular case to say that
a premium is right or wrong. It is a matter for the underwriter's judgment
whether the risk is worth taking at the premium offered. The premium would be
set by the lead underwriter on a slip in accordance with his assessment of the
risk, rates in the market generally, and what he thought the business offered
would bear. Others would then be approached by the broker to complete the slip
and would subscribe or not according to their own evaluation of the risk, often
much influenced by their view of the lead underwriter".
In my judgment any competent underwriter should
have satisfied himself upon reasonable grounds that the premium adequately
reflected the risk before writing excess of loss business. This is subject to
some comments I shall have to make in due course about arbitrage. The
underwriter's judgment, to which Mr Outhwaite refers, should, it seems to me,
have involved considering the type and level of catastrophes that would result
in a claim on the cover and the likelihood of such a catastrophe occurring.
This was not an easy exercise, even in the case of direct reinsurance, but
unless it was attempted the rating exercise was no more than guesswork.
The Problems Posed by Spiral Business
The reinsurer of a direct account is in a
position to obtain the data that he needs in order to undertake the difficult
task of assessing the risk. The risk is relatively transparent. The writer of
first tier excess of loss reinsurance can, at least in theory, obtain data from
the reinsured about the nature of his account. But beyond that stage the risk
becomes totally opaque. One thing is certain and that is that the same event
may give rise to claims under each excess of loss book that has been reinsured.
All the XL on XL business aggregates with a PML of 100. What is uncertain is
the level of catastrophe that will enter the spiral and burn through the
individual syndicate's layers of reinsurance cover. In such a situation it
seems to me that Mr Von Eicken is plainly right to say that the underwriter
lacks the necessary data to make an informed assessment of the risk.
I am also persuaded that Mr Von Eicken was
justified in describing the spiral as an aberration. Its effect was to
concentrate the losses that came to London under direct excess of loss covers
on a small proportion of those writing excess of loss business. The evidence in
this Action demonstrates that at least some of those who were left bearing the
losses had not intended to hold themselves out as insurers of last resort. The
cost in brokerage of putting in place the complex contractual latticework of
the spiral must have transferred from the underwriters to the brokers an
inordinate proportion of the original gross premium that came to London.
The existence of the spiral enabled direct
excess of loss insurers to write business in the confident expectation that
they could obtain reinsurance cover. The evidence that I have heard suggests
that this led some of them to be less than scrupulous in assessing and rating
their own business. This led Mr Walker in 1988 to lead a market initiative
which resulted in a requirement that those reinsuring excess of loss business
should retain an exposure of 10 % by way of co-insurance. This must have
dampened the spiral effect, but only to a limited degree.
The losses with which this Action is concerned
destroyed the spiral and brought the market to its senses. Before Hurricane
Betsy a spiral had developed in the London market and according to Mr Walker
the losses that followed that catastrophe demonstrated the effect of the
spiral. The lesson had been forgotten by the 1980's.
Rating Structure
It is clear on the evidence that the growth of
the spiral in the 1980's was accompanied by the development of an irrational
rating structure. This was due I believe to an approach to rating which ignored
the manner in which the spiral greatly reduced the extent to which risk reduced
as the layer of cover rose. The practice was first to rate the lowest layer and
for subsequent layers to be rated at progressively lower rates, each rate being
a reduction on the rate of the preceding layer. In the result the premium rate,
at least of the upper layers, fell far below what might have been adequate to
reflect the risk. The highest layers were, for a time, being written at 2 % or
even 1 % rate on line. The steps by which the rate reduced to this modest
percentage from the rates charged on the lower layers were far too steep and
failed to have regard to the manner in which once a loss entered the London
market it could spiral up through it.
Mr Eder sought to persuade Mr Jewell to agree
that the rating structure reflected the view at the time of the whole market as
to appropriate rates, and that the defect in the rating structure only became
apparent with hindsight. Mr Jewell would not accept this. He said that many
underwriters who wrote spiral business did not understand the difference
between reinsuring direct business and writing XL on XL. They did not, however,
represent the whole market or even, necessarily, the majority of the market.
Many may not have written business at all because they recognised the
irrationality of the rating. Mr Jewell said that he himself recognised it and
used it to his advantage.
Should the Gooda Walker Underwriters have
Appreciated the Nature and
Effects of the Spiral?
Some LMX underwriters undoubtedly had an
appreciation of the spiral, and made that appreciation known. One of these was
Mr Emney, Director and Chief Underwriter of Charter Re. In October 1987 he gave
an address to the Institute of London Underwriters pointing out the gearing
effect of the spiral on claims in respect of Alicia.
The Lyons Report quoted the following views on
the LMX market expressed by an LMX underwriter in a talk to the LMX working
party on 14 June 1988:
"XL-on-XL. This is reinsurance of other
reinsurers' LMX business. The same loss inevitably goes back and forth creating
a spiral. The main beneficiary is the broker with his 10 % brokerage. There is
a gearing element: it is worth writing if the premium rates are higher than the
cost of outwards reinsurance.
An LMX underwriter tries to get a decent handle
on his exposures. His aim will be to protect to the top of his aggregate
exposure, if possible, depending of course on what this will cost. Exposure can
be under-estimated eg. 87J (the October 1987 UK hurricane).
If an underwriter can obtain an 'edge' (ie. if
his net position is such that he is expected to make a profit) he will exploit
it. However, the margins for profitability are very small, particularly when
the brokerage of 10 % each time is considered. Hence in general there can only
be a very few winners in the market - most players will be losers.
The information currently provided via the
standard questionnaires is not great. An LMX underwriter really needs much more
detailed information particularly on exposure. Without this information the
underwriter's role is effectively entrepreneurial."
In April 1988, shortly before the Piper Alpha
disaster, Mr Outhwaite delivered a paper at a reinsurance conference which
proved to be prophetic. It is so germane to the issues that arise in this
Action that I propose to quote some lengthy extracts from it:
"... there is no doubt that initially at
any rate LMX reinsurance appears to increase the size of the market
significantly. An underwriter would be prepared to accept a certain amount of
catastrophe reinsurance from the United States and, estimating its PML, would
accept more if he in turn was reinsured and I have no doubt this is just what
the major responsible syndicates and companies do.
Catastrophic losses would have passed into the
LMX market and here one comes across an extraordinary phenomenon. It is very
rare to find an LMX underwriter who attempts to run any significant liability
at all. The only market for a reinsurance of an LMX underwriter is to all
intents and purposes the LMX market itself. The amounts placed overseas are
insignificant and are in any case often reinsured on a similar basis back in
London. There are at least two major firms of LMX specialist brokers who pride
themselves in placing all their business within the London market. LMX
underwriters have on the whole been conspicuously successful at a time when the
underwriters of what one might call primary risks have been in difficulty. The
explanation for this obviously lies in the fact that there has not been a
catastrophe loss large enough to test the market to destruction. I am not an
adherent to the conspiracy theory of history, as it is largely based on
paranoia, but it does seem to me that there is an almost universal ostrich-like
unwillingness to face facts.
In a paper at a previous seminar, I gave an
example from the drilling rig market. The maximum insured value of a platform
on the North Sea is around $2 billion. At least 60 % of that is insured in
London net, and looking through the list of marine companies and Lloyd's I made
an estimate of what each would maintain his retention was should the platform
be a total loss. On the most generous basis this would not exceed one hundred
million dollars. There is no dispute that if there were such a total loss, the
London market would pay $1.2 billion net. Where will the other one thousand one
hundred million dollars come from? It will come from the LMX market. It is an
oddity that in the ordinary way a large risk is placed widely around the market
in order to spread the load, it then gets spread further into the reinsurance
market and indeed initially that is what would happen in the example I am quoting.
However, once the claim was large enough, it would reach the point where every
LMX underwriter believed he was fully reinsured, the loss would become
increasingly concentrated amongst the few major syndicates and companies
operating in the retrocession LMX market and would continue to go round and
round until eventually each one exhausted his reinsurance protection and the
loss would become net. In the event of a major windstorm where the initial loss
to London could be much greater, the effects would be even more severe, but
precisely the same thing would apply.
If this is true, which it clearly is, why is
this not recognised? There are several reasons, most of them concerned with the
perfectly natural reluctance to rock the boat. How does the underwriter justify
the position? Firstly one can pretend that it is not right. He can say that the
market came through Alicia unscathed (although I estimate that that is looking
somewhat doubtful at the moment) and that the aviation market came through 1985
with flying colours. Of course this is a question of quantum. Had Alicia been
only twice as large no one would be in any doubt that what I am saying is
correct. There has not been a collapse of a platform in the North Sea. Secondly
an informed underwriter can say yes this is all very true in general, but I
myself am adequately protected. I do not believe that any underwriter who is
accepting significant amounts of LMX reinsurance of excess of loss accounts can
be adequately protected. As the liability accumulates, every policy written
would have to be catered for under an outgoing reinsurance which is unlikely to
cost significantly less. Thirdly, an underwriter may accept that a substantial
amount of the liabilities he is accepting are not protected by reinsurance on
the basis that it is unlikely that a loss of sufficient magnitude would happen
at all, and if it did it is acceptable that his Names or shareholders could
suffer a loss. That is a perfectly reasonable approach, provided that the Names
and shareholders are aware that this is the case.
From various discussions I have had with Lloyd's
Agents I am fairly certain that they do not believe that any underwriter in
Lloyd's is operating on this basis. I would enter a slight caveat here. I am
sure of this in the ease of marine underwriters, but slightly less so in
respect of the other markets. There are certain minimum premium levels below
which it is just not possible to place high level non marine catastrophe
reinsurance or aviation reinsurance, and the rates seem to me to reflect
sensible appreciation of the risk, and are at a level where it is quite
reasonable to take on a significant net liability. On the other hand, in the
marine market high level catastrophe rates are absurdly low, and are based
solely on comparison and precedent and bear no relationship whatsoever to the
risk being run. Indeed there are many examples where non marine XL reinsurance
is being included with marine exposure and is being placed at a mere fraction
of the cost (say around a quarter) of what the non marine market itself would
require, and without any co-insurance warranty ...
I cannot believe that it is healthy, either for
the LMX market itself or for the direct market, for the position to have
developed to the stage where a large part of it would collapse in the event of
a major catastrophe. Such a collapse would affect a vast number of companies
and people, underwriters, brokers and the like, undermine confidence in Lloyd's
which looking at a not altogether improbable combination of events, may default
on a Lloyd's policy for the first time in its history with a substantial
withdrawal of membership and capacity. Of course, it may never happen, but
because there is the possibility that it may, is why there is insurance in the
first place. So, for an underwriter to work on the assumption that it will
never come to pass is hardly tenable."
Mr Outhwaite told me that in this paper he had
deliberately exaggerated his views in order to be provocative. In my view they
give a valuable picture of the ability of an underwriter to appreciate the
nature and the inherent dangers of spiral business.
The irrationality of the rating structure was
also appreciated by some. The views of the underwriter quoted in the Lyons
Report included the following comments on rating:
"Rating is usually in relation to exposed
premiums expressed as a rate on the premium base...
The actual rates charged for LMX on LMX and for
LMX excluding LMX on LMX (eg. a generals programme) are of a similar pattern.
For LMX-on-LMX the rates vary from about 45 % rate on line for the lower layers
of a programme to around 5 % to 10 % rate on line for the top layers. This may
not in fact be correct. For LMX-on-LMX a claim has to be rather larger to hit
the bottom layer than for a straight generals programme. However, due to the
incestuous nature of the LMX market and the spiral effect, once a claim has
entered the LMX-on-LMX market there is a fair chance that it will go right
through the programme. Hence the rate on line graph might need to be much less
sloped and the "correct" rates could well be from 30 % to 15 % or
even a fixed 22.5 %!"
The underwriter's appreciation of the nature of
spiral business, as evidenced by these extracts, contrasts with that of Lord
Strathalmond who was called by the Defendants in order to give expert evidence
of the viewpoint of the Members Agent. He told me that prior to Piper Alpha he
did not appreciate the existence of the spiral, let alone its implications.
In my judgment the Gooda Walker underwriters
should have shared the appreciation of the spiral enjoyed by Mr Emney, by the
Lyons Report underwriter and by Mr Outhwaite. This was a business in which they
chose to specialise and they should have given the most careful thought to its
nature. I shall deal later with the standard of skill and care to be expected
of those underwriters. As a broad proposition, any professional who engages in
a particular speciality can be expected to demonstrate the level of skill and
care appropriate to that speciality. No reason has been suggested by the
Defendants why the Gooda Walker underwriters should not have made the same
appraisal of spiral business as Mr Outhwaite and I can think of none.
Could a Competent Underwriter Write Spiral
Business?
Mr Von Eicken's view was that a competent
underwriter should not write spiral business at all. During the material period
Mr Outhwaite came close to following this course, for his spiral business was
essentially restricted to a modest amount of back-up cover. He told me that he
reinsured in excess of his PML's and wrote a balanced account.
I propose at this stage to quote some extracts
from Mr Outhwaite's Underwriters Reports, for they exemplify the attitude that
the Plaintiffs contend should be taken by the prudent excess of loss reinsurer.
In 1986 he wrote:
"Excess of loss reinsurances continue to
contribute a major part of our premium income. We underwrite a very
wide-ranging account encompassing almost every class of business. Generally we
do not accept reinsurances of other excess of loss underwriters as this type of
policy will accumulate in the event of a major catastrophe."
In 1988 he wrote:
"A substantial part of the cost [of
reinsurance protection] relates to the purchase of "catastrophe"
excess of loss protection. In most years no claim will be made on these
policies. They are however fundamental to the success of the syndicate. The
limit of the cover purchased is fixed by reference to our estimate of the
largest loss the syndicate is likely to suffer."
In 1987 he wrote:
"Excess of loss reinsurance policies form a
major section of our accounts. We write a deliberately broadly based account:
it includes purely marine contracts, covering individual sections of an account
or a whole account, non-marine, aviation, satellite and even an occasional
motor or livestock policy. Almost the only risks that we will not consider are
reinsurances of other excess of loss accounts."
In 1989 he wrote:
"The account is written across areas of the
business, with the intention of achieving as great a spread of business as
possible so that no individual claim in any particular area can have too much
influence on the overall results. This is in marked contrast to some excess of
loss accounts underwritten in London where the normal practice is to accept
huge aggregate liabilities in any given area (often many times the syndicate's
premium income capacity) and therefore rely entirely on their own reinsurances
(or on there being no catastrophe loss) ... A substantial part of the [reinsurance]
cost, relates to the purchase of catastrophe excess of loss protection. In most
years no claims will be made on these policies, they are, however, fundamental
to the success of the syndicate. The limit of the cover purchase is fixed by
reference to our estimate of the largest loss that the syndicate is likely to
suffer. It is a matter of judgment and there can be no certainty that the
amount is absolutely sufficient, it must be borne in mind that to buy too much
protection can be as harmful to the long-term profitability of the syndicate as
to buy too little."
These statements suggest that it was the degree
of exposure involved that disinclined Mr Outhwaite to write XL on XL business.
He told me that he stopped writing that business in the eighties because he did
not think the rate was good enough. I asked him to explain how he assessed the
rate and this is what he said:
"Excess of loss on excess of loss is, as
has been made clear by virtually everybody here, a very opaque business. It is
very difficult to imagine there is such a thing as a proper, a correct rate.
You accept business, however, in the knowledge that it is not just for one
year, but it is in the context of a number of years, and if you think that in
one year a risk is worth taking, having taken all the things that you know of,
worth taking at a rate of, say, 10 per cent, you are also comforted by the fact
that if things happen you will probably get 20 per cent or 25 per cent next
year for the same risk. So it has its compensations. But it seems to me, if you
get to a point where you are offered risks at rates of 2 per cent, or something
like that, that it was not, in my view, worth taking the risk. Other
underwriters were taking it, of course, because I was shown slips at those
rates and I also did not think it was worth it in order just to reinsure
them."
In the course of his evidence Mr. Von Eicken
referred to a few underwriters who played the spiral game correctly. I asked
him how they did this. He gave me this answer:
"If you were able to reinsure yourself out
at ... a better rate than you took the reinsurances in, such as the classical
case where you took in low level covers, at a high rate on line, and had a
meaningful retention and a quota share incidentally, as Mr. Berry had, and then
reinsured it out, obviously at a high level, at a low rate on line, you would
be playing correctly."
In such a situation, providing there was a
satisfactory differential, the actual rate did not matter so that the opacity
of the risk did not prevent successful underwriting. Mr Berry underwrote for
Syndicate 536 which commenced underwriting in October 1982 for the 1983
account. The account consisted of marine excess of loss business emanating from
London and overseas. Mr Von Eicken exhibited Mr Berry's annual underwriting
reports, starting with that made in 1989, as an illustration of a competent
approach to writing excess of loss business. These reports indicate that for
each year, up to at least 1991, Syndicate 536 made a profit. In his 1992 report
Mr Berry made this comment about the spiral:
"The spiral does not increase the size of a
loss, at the end of the day, it only redistributes it. In all matters of
redistribution there must be winners and losers, and ultimately, those who
understand the nature of the beast eventually succeed."
In the following year he reassured his Names:
"I know that we understand our business
although some Names and Agents have, I fear, taken the incorrect view that no
insurer understands it!"
The reports indicate the following aspects of Mr
Berry's underwriting policy:
(1) A careful monitoring of exposure. In 1989 he
stated: "I personally maintain a comprehensive accumulation exercise from
which I calculate the amount of excess of loss protection the syndicate should
prudently carry".
(2) A detailed reinsurance policy. Thus in 1990
he reported that there was a shortfall of 2.42 % of the total reinsurance
coverage that he had sought to purchase.
(3) The avoidance of net exposure when he
considered the premium rate inadequate. Thus in 1991 he recorded that, when
writing the 1988 account: "I considered that at the general level of rates
which then prevailed in the market it was not worth taking the syndicate into
the risk taking business. I was looking at a risk/reward ratio which was 100
per cent and virtually no prospect of reward."
(4) Discrimination in respect of those to whom
he was prepared to grant cover. He wished to be satisfied that they were not
simply relying upon excess of loss protection to avoid the necessity of making
a proper appraisal of the merits of their own business.
(5) A willingness to carry net exposure when he
considered that the rate was favourable.
(6) Careful covering of his reinstatement
obligations.
(7) Express notice to his Names of taking a deliberate
decision to expose them to risk to take advantage of favourable rates.
Mr Berry's reports indicate that he wrote a
substantial proportion of spiral business. It is possible that his syndicate
remained profitable by luck rather than good judgment. His reports lead me to
conclude, however, that this was not the case and that, despite the opacity of
the business, it was possible for a competent excess of loss underwriter who
followed the approach of Mr Berry to write a book which included spiral business.
I am inclined to think, however, that this could only be achieved by someone
who fully understood the spiral and who deliberately took advantage of the
disparity of rate for low level and high level layers of business.
WAS THE UNDERWRITING NEGLIGENT?
Unlike Mr Berry's syndicate, the Gooda Walker
syndicates made very substantial losses in the period 1988 to 1990. It does not
follow from this that their underwriters were incompetent or negligent. It is
now necessary to turn to consider in detail the manner in which they conducted
their underwriting business.
The Standard of Skill and Care
In his Opening submissions, Mr Eder advanced the
following principles which he contended applied in the present case:
(1) The standard of skill and care to be exercised
by a member of a professional calling is the degree of skill and care
ordinarily exercised by reasonably competent members of that profession or
calling.
(2) The existence of a common practice over an
extended period of time by persons habitually engaged in particular business is
strong evidence of what constitutes the exercise of reasonable skill and care.
(3) In situations which call for the exercise of
judgment, the fact that, in retrospect, the choice actually made can be shown
to have turned out badly is not of itself proof of a failure to meet the
necessary standard of care.
(4) The Plaintiffs cannot show a failure to meet
the required standard of skill and care unless the error on the part of the
underwriter was such that a reasonably well informed and competent member of
the profession or calling could have made it.
I accept each of these propositions. They merit,
however, a degree of elaboration. The first proposition does not remove from
the Judge the determination of the standard of skill and care that ought
properly to be demonstrated. As the authors of the third edition of Jackson and
Powell on Professional Negligence point out at p 39:
"It is for the Court to decide what is
meant by "reasonably competent" members of the profession. They may
or may not be equated with practitioners of average competence... Suppose a
profession collectively adopts extremely lax standards in some aspect of its
work. The Court does not regard itself as bound by those standards and will not
acquit practitioners of negligence simply because they have complied with those
standards."
The fourth proposition is based on a passage of
the speech in Lord Diplock in Saif Ali -v- Sidney Mitchell [1980) AC 198 at p
220:
"No matter what profession it may be, the
common law does not impose on those who practice it any liability for damage
resulting from what in the result turn out to have been errors of judgment,
unless the error was such as no reasonably well informed and competent member
of that profession could have made. So too the common law makes allowance for
the difficulties in the circumstances in which professional judgments have to
be made and acted upon."
This passage was dealing essentially with the
question of judgment. The Plaintiffs' case is not that errors of judgment were
made, but that judgment was not exercised at all in that the underwriters never
acquired the data on which that judgment might have been based.
As to the second proposition, the particular
business with which this Action is concerned is the business of underwriting.
More particularly, this Action is concerned with one area of underwriting,
excess of loss reinsurance. At the heart of the Action lies one aspect of
excess of loss underwriting, the writing of spiral business. That was a business
that developed rapidly in the period of the eight years or so that led up to
the events with which this Action is concerned. Only a relatively small
proportion of Lloyd's underwriters specialised in writing spiral business. The
London market no longer writes spiral business - at least on the scale and in
the manner which developed in the last decade. In these circumstances I do not
consider that one can automatically regard the practices of those who wrote
spiral business as constituting strong evidence of what constituted the
exercise of reasonable skill and care. It is necessary to approach this case
with the possibility in mind that, for many involved, a significant involvement
in spiral business may not have been compatible with competent underwriting.
Mr Eder has urged me to avoid the dangers of
hindsight and of being wise after the event. He is right to do so. Nevertheless
the underwriters in this case were putting their Names at risk to the tune of
many millions of pounds. The heavy responsibility that that entailed entitled
those Names to expect that their underwriters would exercise an appropriate
amount of wisdom both before and during the underwriting that they transacted
on behalf of their Names.
Successful excess of loss underwriting, particularly
if it included significant spiral business, called for an approach to
underwriting which differed from that of conventional direct insurance and
called for a high degree of skill. In the course of his final submissions Mr
Eder seized on the statement of the underwriter quoted in the Lyons Report that
"there can only be a few winners in the market; most players will be
losers". He submitted:
"... your Lordship put to me that [the
market] did not make sense. It was an aberration. But each individual
underwriter trying to be as competitive as possible, was using that market to
transfer risks from him to some other party, with a view to making a profit.
In hindsight, ultimately, if you have one major
loss or, certainly as in 1989, more than one major loss, ultimately, as was
predicted in that article, it is quite interesting, it was done at about the
time of Piper Alpha, there will be more losers than winners.
If one is in the practice of arbitrage, as we
are all guessing Mr Berry might have been, it may be that he would be one of
the winners. But that does not mean that the market was negligent at the time,
necessarily. Nor, indeed, that any one particular underwriter working within
that market was negligent."
In my view to justify participation in the
spiral market the underwriter had to have good reason for believing that he
would rank among the winners. As Mr Berry remarked "those who understand
the nature of the beast eventually succeed".
Before looking at the individual syndicates, I
propose to consider certain allegations of breach of duty that apply to each of
them.
Inter-Syndicate Reinsurance
The Plaintiffs plead, as an allegation of breach
of duty, that the three Syndicates 190, 298 and 299 entered into contracts of
reinsurance between themselves. This is alleged to be objectionable because of
the proportion of Names who were on more than one Gooda Walker syndicate.
The following facts were put to Mr Andrews and
not challenged in relation to the 1989 year of account:
Of the Plaintiffs,
230 Names were on Syndicate 298 alone;
359 Names were on Syndicate 298 and one other;
368 Names were on Syndicate 298 and two others;
413 Names were on all four syndicates.
The Points of Claim plead the following
particulars of inter-syndicate reinsurance:
Syndicate 298 purchased from other syndicates
$5.76 million of cover in respect of the 1988 year and $8.53 million in respect
of the 1989 year.
Syndicate 299 purchased from other syndicates
$2.56 million of cover in respect of the 1988 year.
Syndicate 290 purchased from other syndicates
$1.45 million of cover in respect of the 1988 year.
Where reinsurance takes place between two
syndicates on which there are common Names, the consequence is to dilute the
transfer of risk which the reinsurance is intended to achieve. The extent of
the dilution depends upon the degree to which the syndicates are made up of
common Names. Where syndicates have a large proportion of common Names, so that
the dilution of the transfer of risk becomes significant, it will usually make
sense to avoid inter-syndicate reinsurance. I imagine that such a situation is
only likely to arise in cases, such as the present, where a number of
syndicates are managed by the same Agency. It does not seem to me that it is
possible to condemn inter- syndicate reinsurance as constituting, per se, a
practice which breaches the duty to exercise reasonable skill and care in
conducting the business of underwriting. It must be considered having regard to
all the relevant individual circumstances - not least its potential
consequences for the Names involved. Those consequences are particularly
difficult to assess where the inter-syndicate reinsurance formed part of the
complex web of reinsurance transactions that created the spiral. All that one
can say is that the inter-syndicate reinsurance that took place in this case
accentuated the incestuous nature of the spiral transactions and diminished the
comfort that the active underwriters could take from the apparent protection
afforded by the reinsurance cover that they bought.
Reciprocal Reinsurance
I have reached a similar conclusion in relation
to the pleaded allegation that the underwriters were negligent in doing
"a substantial volume of reinsurance
business with other syndicates and/or companies who were at one and the same
time placing reinsurances with them and accepting reinsurances from them, with
the effect that reinsurances were written and placed which effectively
cancelled each other out and/or contributed to the LMX spiral"
Evidence supported the allegation of a degree of
reciprocal reinsurance. This did not, however, have the affect of cancelling
out the mutual transactions, for the book of business in respect of which
reinsurance was taken out was not identical in the case of each participant,
nor were the layers identical. Reciprocal reinsurance did, however, contribute
to the spiral. It demonstrated the working of the spiral in its most immediate
and incestuous manner. It was not negligent per se but it contributed to the
problems facing the Defendants in conducting spiral business.
The Individual Syndicates
I turn now to consider the underwriting carried
on on behalf of the individual syndicates. In the course of doing so I shall
summarise the information provided to Names in the annual Reports and Accounts
in order to see the extent to which, if at all, these forewarned Names of the
exposure to which they were subject.
SYNDICATE 198
Mr Andrews
Mr Andrews was born in 1930. He left school at
the age of 14 and joined the marine department of Matthew Wrightson. He joined
the Gooda Group in 1954 as an assistant on the marine box, working on the hull
side, where he remained until 1967. In 1967 he moved to the Gale Group as the
active underwriter for their aviation business. There he developed a particular
interest in excess of loss cover. In 1974 he joined the Swiss company, Turegum,
as their aviation underwriter, and became a recognised aviation excess of loss
leader. He was also involved in the writing of Turegum's marine account. In 1980
he rejoined the Gooda Group to become active underwriter of the non-marine
syndicates 290 and 387 during Mr Derek Walker's absence. He also wrote the
excess of loss accounts for aviation syndicate 295 and non-marine syndicate
164. From 1983 he took over as the active underwriter of syndicate 298, which
had previously been the baby syndicate of syndicate 299. The plan was to turn
this into an independent syndicate writing marine excess of loss business. In
the first year 130 Names joined the syndicate, giving a stamp capacity of
£1,505,000. The syndicate rapidly expanded. In 1984 its stamp capacity had
grown to £5.2 million. In 1985 to £11.3 million, in 1986 to £21.6 million and
in 1987 to £32 million. In 1986 Mr Andrews started writing an aviation account,
and developed a position as a leader of aviation risks.
Mr Andrews was not a satisfactory witness. He
began his evidence with an apology to the Names for the losses which they had
suffered. He went on to point out that he had himself suffered losses which had
led to his ruin. He went on to say:
"Having said all that I cannot agree with
the allegations made against me in this action by the Names. In my view I at
all times maintained good practices on my syndicate and acted in what I
reasonably perceived at the time to be the Names' best interests."
I have no doubt that Mr Andrews did, at all
times, believe that he was acting in the best interests of his Names. He has,
however, been unable to accept the fact that he might be responsible for their
downfall. He stated more than once that the loss of Piper Alpha was
"unthinkable". The evidence suggests that when that loss occurred Mr
Andrews found himself unprepared to present to the Board of Gooda Walker or to
Members Agents the clear impact of that loss upon his Names. He was no more
prepared in the witness box to accept that any aspect of his conduct of the
syndicate's business could be criticised without the benefit of hindsight.
Policy in Relation to Exposure
In his report Mr Outhwaite stated:
"I have considered the aggregate exposures
accepted by Syndicate 298 in 1988 and 1989; considered the PMLs that it may be
reasonable to adopt and the reinsurance purchased by the syndicate. The net
liabilities retained by the syndicate are in excess of what I believe to be
reasonable."
Mr Outhwaite went on to say that this view did
not imply criticism of Mr Andrews. Net exposure was a matter of judgment. He
went on to state:
"Mr Andrews, in common with many other
underwriters, did not reinsure up to the extent of his assessment of the PML.
It was his conscious policy to run a significant proportion of the risk
written."
This last comment is not supported by the
evidence. Mr Andrews made it plain that it was not his policy deliberately to
subject his Names to the risk of the losses that they sustained. The excess of
loss reinsurance that he placed to protect the syndicate was subject to a
retention of $250,000. He told me that had a Name asked whether there was any
likelihood that a loss would exceed that amount his answer would have been no,
and he added:
"That was our concept as well, to be really
honest. We did not think the Name would sustain a loss beyond the protection we
had in place."
Earlier he had said that he was aware that there
were exposed aggregates, but did not feel it necessary to refer to this fact in
his Report to the Names "because I felt the PML factor of it was
potentially covered by our reinsurance programme". I accept that Mr
Andrews did not believe that his underwriting was exposing his Names to the
risk of loss. The issue is whether that belief is one that any reasonably
competent underwriter could have held.
It was Mr Andrews' evidence that he monitored
his aggregates, assessed his PMLs and took out adequate reinsurance to cover
those PMLs. All of these assertions are challenged by the Plaintiffs.
Aggregates
Mr Andrews kept no record of his aggregates. He
did, however, meticulously record premium income and estimated signed lines in
premium income analysis books. Mr Andrews told me that in the renewal system he
would use these records in order to calculate aggregates. He took the books
home at the weekend to do this. The method that he adopted was to divide the
total estimated signed line for each class of business by the total estimated premium
income in order to obtain a rate on line for that class of business. Thereafter
he would apply that rate to premium income in order to arrive at the aggregate.
This exercise was done in relation to the two classes of business which were
most significant from the viewpoint of aggregation. These were class 10, which
was XL on XL business and class 01, which was whole account business. Mr
Andrews told me that if a whole account cover included a significant proportion
of XL on XL business, he would code it as class 10. Class O1 was business which
he considered to have little chance of being invaded by XL on XL losses. He
considered that this was a substantially risk free code.
The Plaintiffs challenged Mr Andrews' assertion
that he monitored his aggregates in this way. For reasons that I shall explain
I do not think it matters whether he did or not. On balance I do not believe
that he did. The following are my reasons.
(1) The syndicate records contain no reference
at all to aggregates.
(2) Mr Andrews' description in the witness box
of how he monitored aggregates was confusing and contained inconsistencies.
(3) Mr Andrews' deputy, Mr Wilson, told the
Poynter Committee that aggregates were not measured. When asked about this Mr
Andrews said that Mr Wilson might not have been aware that he was monitoring
aggregates. I found that suggestion almost inconceivable.
(4) Had Mr Andrews wished to monitor his
aggregates the obvious way to do so would have been to keep a running account
of the exposure written rather than adopting the tortuous method described by
Mr Andrews.
The possibility remains that Mr Andrews kept
some form of check on the aggregate exposure of his class 10 business, which he
considered to carry a high risk of aggregation. I can see no reason, on his
evidence, why he should have monitored the aggregates of his whole account
business, which he considered essentially risk free. He does not suggest that
he monitored the aggregates of any other codes.
PMLs
It was Mr Andrews' evidence that he attributed a
PML of 100 % to his class 10 business and a PML of 15 % to his class Ol
business. If he kept a check on his class 10 aggregates, I can accept the
likelihood that he would have assessed their PML at 100 %. I have said that I
do not accept that Mr Andrews monitored his class Ol aggregates and it follows,
of course, that I do not accept that he assessed the PML of this class at 15 %.
The explanation that he gave me for choosing this figure I found
unintelligible. The figure of 15 % first appears in the transcript of Mr
Andrews' evidence to the Poynter Committee. When that transcript was received
by Reynolds Porter, the Solicitors acting for Mr Andrews, they wrote querying
the 15 %. I think it not unlikely that, as the Plaintiffs suggest, the origin of
this figure is a typographical error.
If, contrary to my conclusion, Mr Andrews did
attempt to calculate his aggregate exposure in respect of his class Ol risks
and assessed his PML in respect of that aggregate at 15 %, this of itself
demonstrated a high degree of incompetence. It was Mr Andrews' evidence that he
believed that the pattern of his exposure did not change as his stamp capacity
increased. It was pointed out to him that between the time of Piper Alpha and
of Hurricane Hugo his XL on XL exposure increased by 70 % and his whole account
exposure increased by 45 %. He agreed, with some reluctance, that he had no
idea of the size of these changes and added that if they were the true figures
he was extremely disappointed and had to agree that his system was not as
strong as he thought at the time. He was also forced to agree that if he had
monitored his aggregates accurately he would have discovered that in 1988 his
class 10 exposure was $80 million and his class Ol exposure in excess of $200
million. Mr Outhwaite commented that the system for monitoring aggregates, as
used by Mr Andrews, appeared to be useless.
It is hard to understand how Mr Andrews could
have believed that the whole account business which he wrote and classed as Ol
was virtually risk free, giving rise to a PML of no more than 15 %. It was put
to Mr Outhwaite that Mr Andrews could not sensibly, as a competent underwriter,
have assessed the PML of 15 % on his whole account business. Mr Outhwaite
answered that he found it difficult to imagine how anybody could really come to
an assessment of 15 % as a PML on that account and agreed that Mr Andrews was
wrong to consider that that account was not spiral business. Mr Andrews said
that the basis upon which he classified whole account business under class Ol
rather than class 10 was his personal knowledge of the type of business that he
was reinsuring. In a prolonged piece of cross-examination Mr Gaisman
demonstrated a number of examples of whole accounts that had been classified as
Ol notwithstanding that they included a substantial element of XL on XL
business. Mr Andrews conceded that his categorisation of class Ol business had
been proved wrong but suggested that he had been misled by the information
provided by the placing brokers. I did not find this a satisfactory explanation
for Mr Andrews' misappreciation of the exposure to which he was subjecting his
Names.
In his witness statement Mr Andrews referred to
a number of factors which led him to believe that it was only necessary for him
to buy cover in respect of about 15 % of his whole account aggregates. The
first was what he described as his cautious approach to categorisation, only
placing a risk in class Ol if he thought that the chances were small that XL on
XL losses would invade it. Added to this he thought that, as he wrote at a
relatively high level which would not in any event be damaged except by losses
of a significant size, his whole account writings ought to be largely safe from
invasion. He said he also bore in mind the loss of business in the direct
marine market which made the exposure to whole accounts that much less. Finally
he thought that by covering 100 % of his aggregate exposure for class 10 risks
he was being over cautious which gave an element of slack in his reinsurance
programme. For the reasons that I have already given, Mr Andrews had no
justification for thinking that his approach to categorisation was cautious.
His reference to the security implicit in writing risks that are relatively
high level echoes comments made by Mr Andrews on a number of occasions when
giving evidence about writing at a high level risks which were safe. Mr
Andrews' attitude to the degree of exposure involved in writing the higher
layers was demonstrated by a passage in his evidence when he said he would not
buy reinsurance at those levels unless he could get it at 2 % or 1 % on line.
He did not think that there was any need to buy cover at that level because
there was no exposure. Passages in Mr Andrews' evidence suggested that he felt that
much of the business that he was being paid to write did not involve any
significant risk. His statement that the loss of direct marine business had
resulted in a reduction of whole account exposure was a point that I failed to
understand. It suggested that he was being requested to provide whole account
reinsurance cover for business that did not exist.
Whether Mr Andrews assessed the exposure that he
needed reinsurance to cover by calculating PMLs or whether he adopted a less
scientific approach I consider that he demonstrated incompetence in estimating
that exposure.
Reinsurance
The consequence of failing properly to calculate
his Names' exposure may have resulted in Mr Andrews failing to obtain the
reinsurance that he intended should cover that exposure. I say may because I am
not confident that Mr Andrews based the amount of reinsurance that he bought on
any calculation of his Names' exposure. In this Action he has said that he set
out to cover the PMLs he assessed on class Ol and class 10 of his business. He
also stated that he aimed to purchase reinsurance to approximately 40 % of the
aggregate of those two classes which produced a similar figure. It was put to
Mr Andrews that he had, in the past, described his reinsurance cover as being
two and a half times his income, or twenty times his previous largest loss. Mr
Andrews accepted that he might have made these statements by way of reassurance
to Members Agents, but was adamant that they did not represent reinsurance
policy. In the end I was left in doubt as to the basis upon which Mr Andrews
purchased reinsurance.
The Exposure
The parties are not agreed as to the precise
exposure to which Mr Andrews subjected his syndicate. What has been agreed in
each case is the reinsurance cover available to meet each of the Five Central
Catastrophes, together with the cover that would have been available had it not
been depleted by prior claims. When this is compared to GWRO's estimated
ultimate gross losses, a fair impression can be gained of the syndicate's
exposure. While the estimated ultimate gross losses are not agreed figures,
they do not in any event represent the maximum potential exposure but only the
actual exposure to the particular catastrophe:
Casualty Actual Cover Cover on a Estimated
Ultimate
First loss Basis Gross loss
Piper Alpha $109,750,000 $109,963,000
$220,000,000
Exxon Valdez $127,450,000 $149,950,000
$200,000,000
Hurricane Hugo $161,225,000 $169,950,000
$380,000,000
Phillips Petroleum $84,050,000 $184,925,000
$195,000,000
90A $131,075,000 $134,694,000 $132,000,000
Failure to Match Reinstatements
In his final submissions, Mr Vos contended that
the disparity between cover on a first loss basis and actual cover available in
relation to Phillips Petroleum was the consequence of a failure to match
reinstatements. Mr Jewell, when giving evidence, had explained the disparity in
general terms by saying that by October, when this catastrophe occurred, many
of the preceding events had eaten into the available reinsurance cover. To a
degree these two explanations may be different sides of the same coin. As at 1
July 1989 Mr Andrews had in place layers of whole account reinsurance which
appear to have been designed to cater for three catastrophes, inasmuch as they
provide for two reinstatements of cover up to a high level. However, the first
and second reinstatements do not fully reinstate the available cover in that
there are significant gaps in the upper layers of cover and the second
reinstatement provides cover up to only $120 million, compared to the $150
million limit of the original cover.
The scale of the claims on Syndicate 298 in
relation to Phillips Petroleum, when contrasted with the limited cover
available to meet those claims, suggests that the exposure is due at least in
part to a failure on the part of Mr Andrews to match reinstatements. I am
satisfied that Mr Andrews, in order to cover obvious exposure, should have had
in place reinstatement cover extending to a sufficient height to protect
against the Phillips Petroleum claims. Mr Jewell's evidence suggests, however,
that part of the exposure to Phillips Petroleum is due, not to lack of vertical
cover, but to erosion of cover at lower levels as a consequence of a sequence
of loss events which outstripped the horizontal cover available.
Piper Alpha
The deficiencies of Syndicate 298's reinsurance
cover were demonstrated when Piper Alpha was lost. Mr Andrews said that he had
regarded the total loss of a North Sea oil platform as unthinkable. Mr Eder
submitted that such a view could not be condemned as incompetent. I do not
believe that a competent excess of loss underwriter could properly discount the
risk of the total loss of a North Sea oil platform, while accepting premium to
provide excess of loss cover against that risk. This issue is, however, of no
importance. Mr Andrews accepted that there were other larger casualties the
possibility of which could reasonably be foreseen - Hurricane Hugo is an
example. Mr Andrews could not justify his reinsurance policy on the basis that he
had bought cover against the most serious catastrophe that he could reasonably
envisage.
In summary, subject to his deliberate low level
retention, it was Mr Andrews' policy to cover his Names exposure against any
event that was a foreseeable possibility by reinsurance. He signally failed to
do so. However he set about assessing the vertical exposure that he wished to
cover he failed to exercise the skill and care to be expected of the reasonably
competent underwriter when making that assessment. His failure adequately to
assess and buy cover for his Names' against such exposure was negligent.
Rating
Assessment of exposure is a crucial element when
considering the adequacy of premium rate for an excess of loss risk. No
competent underwriter could decide to leave the upper layers of his PML exposed
without forming a view of the likelihood of an event which would impact those
layers. Mr Andrews did not believe that he was leaving unprotected upper layers
of his aggregate which were liable to be impacted from time to time by
catastrophes. He thus never applied his mind to the rate that would be
appropriate to reflect that risk. His attitude was that the higher layers of
cover that he was writing under his whole account classification were virtually
risk free. Thus he spoke of writing high layers of cover for specific clients
where he felt comfortable writing them as a safe risk. He told me that the
basic concept that he applied when considering rating was to relate the premium
charge to the loss record of the client at the particular level of cover. The
experts all agreed that this was an inappropriate basis for rating where the
historical period under consideration was free of major catastrophes. When
asked why those he was insuring were prepared to buy cover when there was no
significant risk he replied that he felt that the exposure to loss was minimal
but that "if they were prepared to pay why was I to say no".
As I understood Mr Andrews' evidence he led some
aviation business but otherwise was not a significant leader of excess of loss
business. He described how each layer was rated lower as one went up through
the layers until one reached 1 % or 2 %. When asked whether he considered that
this structure was justified in the case of spiral business he would not
express a personal view but simply stated that all that he could say was that
that was the way the market operated.
Mr Andrews' evidence satisfied me that he had
never had a proper appreciation of the excess of loss business that he was
writing. He built up that business at a time that was largely free of major
catastrophes and, by basing his approach to underwriting on the past historical
records of those that he was covering wrongly discounted the possibility of
major catastrophes that should have formed a vital element in his assessment of
the risk. This was compounded by a failure fully to appreciate the gearing
effect of spiral business and the extent to which that business had invaded the
whole account covers that he was wrongly evaluating as posing minimal risk. Mr
Andrews' performance fell far short of reasonable competence. These comments
apply equally to the 1988 and the 1989 years.
Information Provided to Names
The Annual Reports and Accounts made it plain
that Syndicate 298 specialised in writing excess of loss business and that such
business included a significant element of excess of loss on excess of loss. Mr
Andrews did not believe that he was exposing his Names to the risk of a loss
beyond the reinsurance protection that he had in place. He said that before
Piper Alpha he considered that a loss of 25 % or 50 % on stamp would be a
disaster. In these circumstances it is not surprising that he did not warn his
Names that they were exposed to such a risk. The average profits of the syndicate
over the years 1983 to 1987 were 6.5 %. Mr Andrews described this as not a bad
return, but disavowed any suggestion that his syndicate was a high reward
syndicate.
SYNDICATE 299
Mr Willard
Mr Willard was born in 1935. He first went to
work at Lloyd's in 1951. He served for 10 years as an underwriting clerk for
Syndicate 284 and joined Gooda Walker in 1968. In 1969 he was appointed deputy
underwriter to Mr Fullick, a position that he held until 1983, when he replaced
him as active underwriter of the syndicate. He is thus a marine underwriter of
immense experience.
Mr Willard himself shared in full measure the
losses made by Syndicate 299. It was plain that he keenly felt his
responsibility for the losses that had been suffered by his Names. Mr Eder, in
his final speech, described him as a broken man. He was certainly an emotional
witness and at times showed deep distress. Some areas of his evidence I have
been unable to accept but I think that they may well result from Mr Willard
deceiving himself rather than attempting to deceive me.
On taking over from Mr Fullick, Mr Willard
continued the same underwriting policy. This was to write a broad spread of
marine business together with an excess of loss account. Between 1983 and 1988
stamp capacity more than doubled from £18.3 million to £41.6 million. Gross
premium income did not keep pace. It increased from £13.9 million to £19.5
million. This reflected over capacity in the marine market. The excess of loss
element in the book broadly kept pace with stamp capacity, until the years 1988
and 1989 when it virtually doubled as a result of reinstatements. Mr Willard
was a cautious underwriter and he told me that he resisted pressure from Mr
Walker to increase the proportion of excess of loss business that he was writing.
Mr Hawkes, Mr Willard's deputy, took over writing the excess of loss business
in 1987 under Mr Willard's supervision. He continued to follow the established
policy. This was to write middle to upper layers of business, which included XL
on XL and whole account including XL. Mr Willard remained responsible for the
reinsurance programme.
Policy in Relation to Exposure
The 1988 year of account has closed with a total
loss of £22,148,302, representing 53.28 % of stamp capacity and over 100 % of
gross premium income. A major cause of this loss was exposure to Piper Alpha.
At the time of closure this was estimated at $24 million. It had been no part
of Mr Willard's policy to expose his Names to the risk of such a loss. He had
believed that he was operating a cautious policy under which he had in place
sufficient reinsurance to protect his Names against any foreseeable
catastrophe. He did not suggest that the loss of a rig such as Piper Alpha was
not foreseeable. His evidence was that he had not foreseen that the gearing
effect of the spiral would take such a loss through his reinsurance protection.
So far as Mr Willard is concerned, the essential issue is whether his failure
to provide his Names with adequate reinsurance protection was attributable to a
failure to exercise the skill and care to be expected of a reasonably competent
excess of loss underwriter.
Aggregates
No criticism can be made of the recording or
monitoring of aggregate exposure by the syndicate. An aggregate book was kept
in which entries were made both alphabetically and by class of business. No
historical aggregate record was kept, but at any moment in time it was possible
to calculate the current aggregate exposure of the syndicate. Mr Hawkes said
that he reviewed aggregates weekly.
PMLs and Re insurance Policy
It is the Plaintiffs' case that prior to the
loss of Piper Alpha Mr Willard never attempted to assess his PMLs. It is the
Defendants' case that Mr Willard assessed his PMLs and had regard to them when
deciding how much reinsurance cover to obtain. Before turning to the evidence I
proposed to set out the relevant extracts from the pleadings.
Points of Claim
"27(1) The active underwriter, Mr Willard,
and/or his assistant, Mr Hawkes, appreciated the need to calculate and monitor total
aggregate exposures on the various elements of LMX business underwritten, and
kept a book in which they sought to do so.
(2) However, they did not appreciate the need to
plan, assess or monitor PMLs on the various elements of such business and overall
using, inter alia, the book of total aggregate exposures which they kept; and
did not do so at all or in any appropriate way.
(5) If (as to which no admissions are made) Mr
Willard and Mr Hawkes made any assessment of PMLs... they took a deliberate decision
to run an unprotected risk in the region of $30 million in respect of the
Syndicate's then PML.
Points of Defence
41. The First and Second Defendants aver:
a. that Messrs Willard and Hawkes monitored
carefully the risks written by them using the book of aggregate exposures
maintained by them;
b. In assessing their possible maximum loss they
always erred on the side of caution. They applied a figure of 100 % to XL on XL
exposure. Whole account exposure, on the basis that it included both cargo and XL
exposure, was rated at approximately 75 % and the time account at approximately
70 %;
c. Having assessed the possible maximum loss, Mr
Willard would calculate the level of reinsurance that would be obtained by
reassuring up to 50 % of the syndicate's aggregate exposure. He would then
compare the latter with the possible maximum loss and consider whether, taking
into account historical experience and past claims experience, any loss was
likely to go higher than the 50 % on aggregate figure. This consideration
governed whether he considered it prudent to run the gap between the 50 % on
aggregate figure and the syndicate's possible maximum exposure to a loss. Until
1988 no loss had gone higher than the second layer of whole account protection.
Finally Mr Willard would cross check that the proposed vertical protection was
at least 400 % of the premium income written on the XL account for the
syndicate;
42. Paragraph 27(5) of the Re-Re-Amended Points
of Claim is admitted. The First and Second Defendants aver that the decision
was deliberate and reasonable and it is denied, if it is intended to be so
alleged, that it was not one which a prudent and competent underwriter could
reach.
47. Further, the First and Second Defendants
aver that the decision as to the level of reinsurance to be purchased by Mr
Willard was made on the basis of the consideration of a number of factors,
including the following:
a. probable maximum loss;
b. historical experience;
c. the syndicate's past year's claims
experience;
e. the cost of purchase of reinsurance;
f. the level of aggregate exposure;
g. the level of written premium income;
h. the quality of security available;
Further, the level of reinsurance was kept
constantly under review."
In his witness statement Mr Willard said this
about monitoring PMLs:
"In assessing the PML I erred on the side
of caution. I applied a figure of 100 % to the xl on xl exposure. I rated whole
account exposure at approximately 75 %, on the basis that it included both
general and xl exposure and I rated other sections of the time account at
approximately 70 %. 1 applied these factors and percentages in my calculations
for the PMLs of Piper Alpha, 87J and Alicia on the LUAA form. The result was a
"gap" between the PML figure and the 50 % of total aggregate and the
underwriting decision which I faced was whether, given historical claims
experience and the other factors referred to, it was prudent to run that
"gap" in the event of any one loss. In 1988, the "gap"
appeared to be in the region of $30m for a dollar loss. Prior to 1988, no loss
had gone higher than a second layer of the whole account protection.
The "gap" was, until mid 1988, in
itself part of a consistent policy. This can be seen by reference to the
following table.
US$ June 1983 July 1988 Growth
Capacity 36.6 83.2 227.32%
Aggregate 41.7 100.2 240.29%
Reinsurance 22.5 55.8 248.00%
Gap 19.2 44.4 231.25%
Gap as a percentage
of stamp 52.45 % 53.37%"
In his expert Report, Mr Von Eicken drew
attention to what appeared to be an inconsistency between this evidence and the
evidence given to the Poynter Committee, to which I shall shortly refer. This
led Mr Willard to "clarify" his policy in a supplementary statement:
"I would always attempt to have vertical
reinsurance for any one loss of up to roughly 50 % of the total aggregate
exposure across the whole of the syndicate's book... I then calculated what I
saw as the syndicate's exposure to those classes which could be exposed and
therefore accumulate on any one catastrophe and apply PML factors of 100 % for
XL/XL, approximately 75 % for whole account and approximately 70 % for time
account. This would result in a "gap" between the vertical
reinsurance bought and the total aggregates on exposed classes. By the time of
Piper Alpha the "gap" in question was approximately $30 million,
being the difference between what I saw as the syndicate's then maximum
exposure ($86m.) and the then vertical reinsurance available for any one loss
(approximately $56m.)"
When he came to give evidence Mr Willard
explained that he did not use the expression PML but WLOB (worst likely outcome
basis). The figure of $86 million represented the WLOB. The overall aggregate
exposure was approximately $30 million more than this.
There was an obvious conflict between Mr
Willard's evidence that he believed that his reinsurance covered his Names
against the risk of any foreseeable catastrophe and his evidence that there was
a gap of $30 million between his reinsurance cover and his calculation of the
WLOB. He was cross-examined about this and was unable to explain it. His
statement that no past claim had gone above his second layer of reinsurance
cover was not a satisfactory explanation. Mr Vos, however, made a more
fundamental attack upon his evidence. Mr Vos suggested that he had never
carried out PML, or WLOB, calculations, nor had he followed a policy of
reinsuring 50 % of his aggregates. In the course of cross-examination Mr Vos
put to him a remarkable history of confusion and conflict in relation to the
evidence that he gave to the Poynter Committee. He did not initially tell the
Committee that it was his policy to insure 50 % of his aggregates. On the
contrary he stated "I always basically kept roughly a $30 million
gap". He was asked:
"Did you take parts of excess of loss
accounts and allocate different levels of PML to them? For example, would you
say that the whole account might be 90 per cent to 100 per cent PML whereas
cargo or hulls or rigs would be a lesser percentage?
To this he answered "No".
The Poynter Committee showed great, and
understandable, confusion as to the nature of and the basis for Mr Willard's
$30 million gap. They tried to sort this out by correspondence, in relation to
which Mr Willard was assisted by his Solicitors, Reynolds Porter. Mr Willard
provided a series of statements, not all mutually compatible, one of which
suggested that he switched from basing reinsurance on aggregates to basing this
on a PML at some time in 1988. In the witness box Mr Willard accepted that he
had given the Poynter Committee a series of answers which were "complete
rubbish", "complete nonsense" and "completely false".
Mr Willard said that he was tired and sick and wanted to get the Loss Review
Committee out of his hair.
If Mr Willard did indeed have a reinsurance
policy based in part on PMLs, I can see no reason why he should not have been
willing and able to explain this to the Poynter Committee.
Mr Hawkes, when discussing reinsurance policy,
said to the Poynter Committee:
"We did not have preconceived definite
formulas or theories. It was an on-going evolving reinsurance programme."
In evidence he said that he and Mr Willard were
of the opinion that if they protected to roughly half the aggregates they would
not cause a loss to an individual Name of roughly more than 50 % of his stamp
capacity, and that this was a policy that they inherited from Mr Fullick.
I am quite satisfied that Mr Willard did not
calculate PMLs and thus that they formed no part of his reinsurance policy. I
believe, as was suggested to Mr Willard, that the $30 million gap was something
that only became apparent to him in the latter part of 1988 after the Piper
Alpha loss as representing what appeared to be the difference between his
syndicate's exposure to that loss and its reinsurance protection. It is a fact
that between 1983 and 1988 the syndicate's excess of loss protection remained
at an approximate, though not precise, level of 50 % of the excess of loss
aggregate exposure. Mr Willard told me that when he took over the syndicate he
increased the reinsurance protection from 45 % to 50 % of the aggregate. I
asked him why he increased it by 5 % rather than leaving it in place or
increasing it by 10 %. He answered "It was the feeling I have to do
something. I am the new underwriter, I would review it." I believe that Mr
Willard probably continued to maintain reinsurance at that level on the simple
basis that it had proved sufficient in the past. This was an unsound basis for
what was intended to be a cautious policy of covering the Names' exposure to
catastrophe by reinsurance. It demonstrated, in my view, a failure to
appreciate the gearing effect of the spiral. Both Mr Willard and Mr Hawkes were
asked about the spiral and neither satisfied me that they had properly
appreciated its implications. In my judgment the exposure to which the Names
were shown to be subject when Piper Alpha was lost resulted from lack of
competence on the part of Mr Willard and constituted a breach of duty on the
part of the Defendants.
Rating
Mr Willard stated that:
"The premium levels were based on the
leading underwriter's assessment of the actual risk being covered. The premium
charge for any layer could not be based on the premiums for the original risk,
nor on any assessment of the original risk being covered. To have done this
would have been completely impossible, impracticable and irrelevant. The
effective risk that an underwriter is assuming in writing an excess of loss
account is that of a major catastrophe occurring and no amount of analysis of
the individual underlying risks can throw any further light on the size of the
loss which may happen."
It seems to me that this evidence reflected a
complete abdication on the part of Mr Willard of any attempt at rating
assessment. The vast majority of the risks that Mr Willard and Mr Hawkes wrote
were renewals. They wrote high layers of cover because "obviously there
was less likely exposure to risk than there would be by writing at lower
levels". My belief is that Mr Willard would look at the past history of the
business that he was writing and, on finding it loss free, accept almost
whatever rate was going. He even wrote business at as little as 1 % on line,
although he said that this tended to be in order to oblige brokers as he
considered this rate too low. When asked why it was too low his answer was that
it was half the rate that he had been writing in previous years. My impression
is that it did not occur to Mr Willard, at least before Piper Alpha, that a
rate of 2 % on line might not be adequate for the risks he was writing. Mr
Willard's approach to rating lacked the skill and expertise to be expected of a
competent underwriter of excess of loss business.
The 1989 Year of Account
The 1989 run off account as at 31 December 1993
indicated a loss of approximately £40 million against a stamp capacity of about
£38,100,000 - that is a loss of about 105 % on stamp capacity. By an amendment
to the Points of Claim the Plaintiffs allege that the whole of this loss was
attributable to breach of duty on the part of Mr Willard and Mr Hawkes in a
number of different respects, not all of them mutually compatible. These can be
summarised as follows:
(i) They failed properly to asses or monitor the
excess of loss PMLs or to cover these adequately by reinsurance;
(ii) They spent too much on excess of loss
reinsurance, leaving other areas of the account with inadequate reinsurance;
(iii) They continued to write marine business
notwithstanding that rates had fallen too low to be profitable.
The extreme case advanced by the Plaintiffs was
that, at the end of 1988, Mr Willard should have decided to cease writing
further business altogether and put his syndicate into run off. As a less
extreme alternative, the Plaintiffs suggested that Mr Willard should have given
up writing excess of loss business and the less attractive marine business and
restricted his underwriting to business that was profitable.
To close down a syndicate and condemn the Names
to the costs of run off is an extreme and expensive step. Periodic fluctuations
of profitability are a recognised feature of the insurance market. Between 1987
and 1989 marine rates were depressed. The Plaintiffs have failed to satisfy me
that Mr Willard was negligent in continuing to write a marine book of business
in 1989. To have demonstrated this would have involved a detailed examination
of marine underwriting at the time in order to ascertain the standards and
practices applied by the reasonably competent marine underwriter. The
Plaintiffs did not attempt that exercise. The evidence in this trial has
focused on excess of loss underwriting. In so far as Mr Willard suffered losses
on his marine underwriting in 1989 I suspect that his experience was shared by
many others in the market. I do not believe that either he or they are automatically
to be condemned as negligent for continuing to write business through this
difficult period.
Excess of Loss
Mr Willard's policy in relation to the exposure
flowing from his syndicate's excess of loss business did not alter between 1988
and 1989. His aim was to ensure that his Names were fully protected against
exposure to foreseeable catastrophes by an appropriate level of reinsurance
protection. I have already commented on the degree of expertise necessary to
write a successful book that included spiral business. Mr Willard lacked that
expertise. He did not fully understand the implications of the spiral. He was
not able to evaluate premium rating for excess of loss risks or the dangers
inherent in and the opportunities offered by the rating structure of the
different layers. He did not appreciate the need to assess and monitor his
PMLs. Piper Alpha brought home to him the fact that he had failed to protect
his Names against their exposure to catastrophes. His reaction was to remedy
this situation by reducing the cover written and increasing the reinsurance
protection purchased. He told me that his intention was to reduce the $86
million exposure to $76 million and to increase insurance cover by $20 million,
thereby bridging the $30 million gap. That gap was, as I have found, the
difference between the 1988 reinsurance cover of $56 million and Mr Willard's
calculation of the syndicate's exposure to Piper Alpha of $86 million. It is
not clear on the evidence precisely how Mr Willard and Mr Hawkes set about
implementing this policy. In January and February 1989 Mr Hawkes made a number
of calculations of PMLs, which were put in evidence, which seemed to indicate
two alternative approaches to this task, one his and one Mr Willard's. Mr
Willard said that he made no PML calculations after Piper Alpha and that he had
no recollection of Mr Hawkes providing him with details of PMLs. Not without
some doubt I have concluded that Mr Willard was not working by reference to
precise PML calculations when buying reinsurance, but working by reference to
the $30 million gap.
A minute kept by one of the Members' Agents
records Mr Willard as acknowledging after Piper Alpha that he had not been very
wise to write excess of loss cover on high layers at a rate as low as 1 % and
that he was now writing business on less volatile layers, yet on 1 January
1989, in a written statement of underwriting policy, he recorded that "the
marine excess of loss account will mainly involve middle and upper
layers". The syndicate continued to write layers at relatively high levels
and low rates, but Mr Willard found that buying reinsurance to attempt to cover
his exposure was expensive. This was in part, no doubt, because having given
notice of anticipated claims in relation to Piper Alpha, the premiums that he
was being required to pay to renew cover were significantly increased. In March
1989 Mr Willard is recorded by a Members' Agent as having predicted that his
reinsurance costs would be 27 % to 30 % of income. If he did this was, as he accepted,
wildly out. After reinstatements, his excess of loss reinsurance costs amounted
to some 67 % of his excess of loss premium income, including reinstatement
income.
Mr Willard accepted that, in the event, so large
a proportion of his excess of loss income was spent on reinsurance that the
business was doomed to be loss making. He attributed this to the difference
between the rate he obtained on the business which he wrote and the rate that
he had to pay for reinsurance. He denied that this was a problem which he
should have appreciated, saying at one stage that when he bought his
reinsurance he anticipated writing business at more satisfactory rates and at
another stage that when he wrote his business he did not appreciate how
expensive his reinsurance was to be.
The reality is, in my judgment, that Mr Willard
did not give due consideration as to whether, and if so how, he could increase
his reinsurance protection as he planned and yet write a profitable excess of
loss book. His actions were dictated by what he considered to be the urgent
need to cover the vertical exposure to catastrophes that Piper Alpha had
revealed. The additional expenditure on reinsurance exposed his Names, as he
accepted, to the certainty of loss, but limited the extent of possible loss in
a manner which, having regard to the catastrophes that subsequently occurred,
was beneficial to his Names. One cannot divorce Mr Willard's actions in
relation to the 1989 year from those which had given rise to the problem that
he was attempting to mitigate. The fact that Mr Willard's 1989 Names were
placed in a position where they were bound to make a loss resulted from a lack
of competence in the conduct of the underwriting business.
Exposure
The Underwriting Report as at 31 December 1993 gives
the following picture for 1989 in relation to major catastrophe claims:
[Editor's Note: There is a Table at this point
in the judgment which we are unable to incorporate onto Lexis. Please see
original judgment for Table.]
This compares with the previous years's report
which showed an estimated loss in excess of available reinsurance in respect of
Hurricane Hugo of $3 million, an estimated loss in excess of available
reinsurance of $9 million in respect of Phillips Petroleum, but no net loss in
respect of Exxon Valdez. Neither of these losses resulted from claims exceeding
the cover available on a first loss basis, which was $82,470,000. Mr Vos
suggested to Mr Willard that the losses resulted from a failure to match
reinstatements:
"Q: The fact there were several losses in
1989 should really have been irrelevant, should it not, if you had matched the
reinstatements in your reinsurance programme to the reinstatements in the
business you were writing?
A: Which I would have done, had I thought that
was likely to be the situation.
Q: But it is the easiest thing in the world to
say, "Well, I know I am writing business with four reinstatements which
means I can get caught by four or five losses"?
A: I think you are exaggerating, if you are
describing my accounts.
Q: What, why am I exaggerating?
A: Four or five reinstatements on upper layers,
I do not think that is very likely.
Q: Let us say you are writing business with two
reinstatements?
A: Two maximum, I would have thought, at high
level, yes.
Q: Assuming you are writing business with two
reinstatements, you should be careful, should you not, to ensure that your
reinsurance programme matches the reinstatements you have written?
A: In hindsight, I should have been, yes, but I
was not anticipating that number. I can say no more."
In my judgment Mr Willard was at fault for
failing to match reinstatements. He should have had in place two full
reinstatements of vertical cover to protect against catastrophes. It does not,
however, follow that the losses were all attributable to a failure to match
reinstatements - a matter to which I shall revert when I deal with damages.
Information Provided to Names
Mr Willard believed that he was following a
cautious policy and that his Names' excess of loss exposure was fully protected
by reinsurance. Mr Vos took him through his syndicate Reports and Accounts and
put this proposition to him:
"For a Name and an Agent looking at these
accounts, they would have taken the view that your business was properly
protected by reinsurance and that it was a cautious syndicate going about a
careful business."
Mr Willard agreed. I consider that he was right
to do so.
SYNDICATE 290
Mr Walker
Mr Walker started working at Lloyd's in 1943 at
the age of 15 and has had 35 years experience of underwriting in that market.
He started Syndicate 290 in 1974 with less than 100 Names. By 1980 there were
489 Names on the Syndicate. By 1989 there were 3,163 Names on the syndicate
with a stamp capacity of some £70 million. In the early and mid-1980's Mr
Walker made good profits for his Syndicate, which no doubt accounted in part
for its expansion. He was an admirably candid witness. One or two aspects of
his evidence were equivocal, but in general he courteously answered the
questions put to him in a lengthy cross-examination in a straightforward
manner.
Policy in Relation to Exposure
Unlike Mr Andrews and Mr Willard, Mr Walker
deliberately followed an underwriting policy which exposed his Names to the
likelihood of periodic losses when catastrophes occurred. It is the Defendants
case that this was a perfectly legitimate policy, justified by extraordinary
profits in the catastrophe free years. The Plaintiffs contend that Mr Walker's
policy, and the manner in which he executed it, were negligent in the following
respects:
1) He did not control his aggregates.
2) He did not attempt to balance his book.
3) He did not attempt to assess or monitor his
PMLs.
4) He had no planned limit of exposure.
5) He gambled that the catastrophe would not
occur.
6) He made no attempt to rate correctly the
business that he wrote.
Aggregates
This was one area where Mr Walker's evidence was
equivocal. He suggested at one point that he restricted the amount of business
that he wrote in order to limit the size of his aggregate exposure. The reality
was - as I believe in the end he accepted -that it was his premium income limit
that restricted the amount of business that he wrote. He wrote enthusiastically
almost up to this limit, with the result that reinstatement premiums carried
him well over the limit.
Balance
Mr Walker did not set out to restrict his
exposure by balancing different categories of direct excess of loss cover.
Almost all the business that he wrote was, or contained, XL on XL.
He coded risk with a view to assessing
profitability, not to calculating aggregates or PMLs. Each of the first six of
the codes that Mr Walker kept were capable of being exposed to the same single
event. Mr Walker said that he was aware of this and agreed that the consequence
was that, in 1989, the Syndicate was exposed to a figure approaching $570
million in the event of the worst possible situation.
PMLs
Mr Walker made no attempt to estimate a PML. He
said that he did not think that this was a viable thing to attempt until a loss
had actually occurred. It was not an appropriate exercise for someone who wrote
excess of loss spiral business.
Exposure
When considering Mr Walker's attitude to
exposure it is necessary to distinguish between two interrelated questions. The
first is the extent of his Names' exposure to a single catastrophe. The second
is the likelihood of such a catastrophe occurring.
The Extent of Exposure
Mr Walker said that he did not start by working
out "cast in stone" what he wanted his net exposure to be, but gave a
variety of explanations of how he arrived at this. He said that on average over
the years he spent not more than 40 % of income on reinsurance, but this was
not a policy - he was flexible. He said that he tried to keep reinsurance at
about one-third of his aggregate. He said that he bought as much reinsurance as
he could get at a reasonable price. In his statement he said that his
reinsurance policy was essentially based on running a gap which could give rise
to a loss of 200 % to 300 % over stamp if a truly major catastrophe occurred,
such as a Florida windstorm or a West Coast earthquake somewhere along the San
Andreas fault line.
He said that he tried to work out a ratio
between reinsurance costs and exposing the syndicate to about 250 % maximum
exposure. In his 1988 Accounts, which were published in May 1989, he stated:
"I am always alerting the Members to the
high risk nature of the syndicate and I must again emphasise to all my members
not to write too large a premium on the syndicate; I usually recommend about
£25,000 maximum for a Member. The year may come when we have to face a loss of
up to 200 per cent"
Mr Eder described this as the strongest warning
given by Mr Walker, by which I believe he meant the strongest written warning.
Mr Walker in fact stated that he had given oral warnings to Members' Agents
that the maximum possible loss might amount to 300 % of stamp. There is no
recorded instance of Mr Walker warning of the possibility of a loss of this
size and I am not persuaded that he did. Mr Vos took Mr Walker through his
codes and demonstrated that exposure to a single catastrophe might, on a worst
case scenario, involve a loss in excess of 300 % of stamp. In the event, I
believe that Mr Walker underestimated the extent of his Names' maximum exposure
to a single event. This I do not believe to be of great relevance in this case,
for the Names have not suffered from a single catastrophe of maximum severity.
Their losses flow largely from two successive catastrophes, each of which very
significantly exceeded their reinsurance protection. Hurricane Hugo is
estimated to result in losses of $228,000,000 and 90A in losses totalling
$265,000,000. This leads to consideration of the likelihood of such losses
occurring.
The Likelihood of Losses
Mr Walker made it plain that the potential loss
against which he warned his Names was not one which he envisaged would flow
from a catastrophe such as Hurricane Hugo or 90A He had in mind a catastrophe
of more dramatic proportions. In his final written submissions Mr Eder made the
following point:
"... the Plaintiffs have made much of the
fact that Derek Walker's warnings were predicated on the occurrence of
"the big one" or "Armageddon"; a loss of the order of San
Francisco falling into the sea and of the fact that neither Hugo nor 90A were
this loss, even in his own estimation. The short answer to this point is that
it is based on a misconception. The Plaintiffs appear to be assuming that Mr
Walker's warning to Names was that they could make either a loss of 250-300 %
or no loss at all. This is plainly rubbish. His warning was that if the worst
happened they could lose 300 %; if what happened was only extremely bad they
would still lose, but not as much. This is exactly what happened in the event.
It is true that none of the catastrophes in
question were as big as the catastrophe which Derek Walker had anticipated; but
looking at each catastrophe individually the losses which resulted from them
were nowhere near as large as he had predicted they could be."
This suggests that Mr Walker's warnings related
only to the most severe catastrophe and that, when he gave those warnings, he
was aware of a category of lesser, and less uncommon, catastrophes that would
cause his Names severe losses, albeit not threatening the full extent of their
exposure. I cannot accept this analysis. Mr Walker's warnings were directed at
those casualties which might result in loss up to the limit of exposure. I
believe that it was Mr Walker's view that only an Armageddon type catastrophe
posed this threat.
In the course of lengthy and skilful
cross-examination Mr Vos referred Mr Walker to the various factors which had,
in fact, been responsible for his Names' exposure to Hurricane Hugo and to 90A,
and obtained from him ready admissions that he was aware of them. He accepted
that over the years a number of factors had increased the impact that natural
catastrophes were likely to have on insurers and reinsurers. These included
increases in population and the density of populated areas; increase in capital
assets exposed to loss; an increasing propensity to insure property and
inflation so that claims were larger in many terms. Mr Walker accepted that,
having regard to his worldwide book of business, it was conceivable that he
would have to face the consequences of two catastrophes of the severity of
Hurricane Hugo in successive years. He accepted that it was possible to
envisage more serious catastrophes than Hurricane Hugo. He was finally led to
accept that he underwrote his account with the knowledge that any major
catastrophe, including something like Hugo, would subject his Names to a very
large loss indeed. Mr Vos relied upon this passage of cross-examination to
support the submission that Mr Walker gambled on catastrophes such as Hurricane
Hugo not occurring.
When Hurricane Hugo and 90A occurred, Mr
Walker's reaction was not that these were likely to
cause very large losses to his Names. On the
contrary, in each case he concluded that the claims would be contained within
his reinsurance protection. I do not believe that Mr Walker had been through
the exercise of attempting to calculate the type and level of catastrophe that
might cause loss to his Names. He simply assumed that only the most extreme
catastrophe would produce this result. There was no justification for making
such an assumption.
RATING
Mr Fryer in his witness statement said:
"No alternative method [to historical
experience] of assessing exposure is suggested, and I know of no measure which
does not depend to some degree or other on past experience. Reinsurers approach
to rating is not as simplistic as seems to have been assumed... The anticipated
frequency and magnitude of catastrophe losses due to causes such as windstorm,
earthquake and flood can only be estimated by an extrapolation of past trends
adjusted for changes in the value of property exposed. Considerable efforts
have been devoted by insurers and reinsurers with seismologists and
meteorologists to improve risk assessment methods, but the answers of the
scientists, in my experience at least, is that their advice is to look at the
historic record over as long a period as possible and make intelligent
estimates on the basis of those results subject to whatever adjustment may be
indicated."
Mr Walker made no attempt at a statistical
assessment of the chance of a relevant catastrophe. He said that it was
impossible to forecast on this basis. I had waited with interest to hear what
Mr Walker, as one of the leaders in the LMX market, would have to say on the subject
of rating. The description that he gave in his witness statement was as
follows:
"Syndicates and companies in the non-marine
market were prepared to pay a high price for their excess of loss reinsurances
and those prices rose steadily in the non-marine market all the way through the
late 1980's. As one of the leading underwriters, I helped set those rates. On a
relatively catastrophe free year, a well written excess of loss account could
be profitable for Names.
Another important factor in non-marine excess of
loss writing which assisted its profitability and viability was what was known
as the "pay back". This was an arrangement whereby clients who had
advised claims in the previous year of account would be charged for the next
year's renewal, the differential to bring reinsuring underwriters into at least
a break even situation or, we hoped, profit.
Rating Methods - Rate on Line
My rating method was, as I believe with the
majority if not all xl underwriters, based on what was known as "rate on
line" or ROL. I assessed a risk over a period. It would involve reviewing
the client's previous claims history in respect of that particular account and
that particular layer and I would rate accordingly. The ROL was the ratio the
premium bore to the exposure. In my market, I was fully ware of all the major
losses which had affected the market and what I really wanted to know was the
effect which those losses had on the account in question.
The other factor of major importance was the
identity of the client. The non-marine xl market was relatively small and
tight, although there was a tendency in the late 1980's for new syndicates to
enter it due to the high levels of return.
The trend of my underwriting in the late 1980's
was to move away from the lower or "working" layers. This was because
the lower or working layers were tending to be hit repeatedly each year and I
regarded them as little more than money swapping. On certain lower layers I was
finding that I just could not make money, even having taken a premium of 40 %
on line. It therefore seemed sensible to move out of the lower layers.
Historically, the higher layers had not been impacted by previous major
catastrophes (with the exception of Alicia, a 1983 loss, which was beginning by
1988-89 to breach the top layers). My view was that by the mid to late 1980's
writing lower layers almost guaranteed a loss."
In the witness box Mr Walker's evidence did not
suggest that he played an active role in setting rates. Rather he gave the
impression of having been a helpless captive of the market with little choice
but to accept the rates on offer. Thus when it was put to him that it was not
appropriate to rate a high layer at a low rate simply because the reinsured had
a claim free record, he replied:
"I am afraid that is what the market did
... A lot of the top layers were coming down to quite low rates on line ...
probably top layers were being placed at about 2 % in the non-marine market,
because they had never been impacted ..."
When dealing with the rating structure whereby
rates declined as the layers rose, he commented:
"At the end of the day, you could quite
well say that in the spiral business, if the spiral goes to the top, then every
risk should have the same rate... That is unfortunately not the way the market
worked."
Summary
Mr Walker's policy was to underwrite so as to
leave a substantial net exposure in the belief that only exceptional
catastrophes would result in losses and that these would occur so rarely that
the profits made by his Names in the good years would compensate for the
occasional loss made in a bad year. Mr Walker had no basis for believing that
the rates that he was charging for the higher layers that he was writing were
sufficient to compensate for the occasional losses that he envisaged. Nor had
he any idea of the size of the catastrophes that would precipitate such losses.
He had not envisaged that catastrophes of the size of Hugo or 90A would result
in a major loss to his Names. He believed that they were only vulnerable to significantly
larger, and rarer, catastrophes than those. Mr Walker had, I believe, failed to
appreciate the extent to which the spiral reduced the effective protection
afforded by his own excess of loss cover.
High Risk / High Reward
The Defendants submitted that the profits that
Mr Walker was making for his syndicate in the good years were sufficient to
compensate for the losses that were liable to occur in the bad years.
In his final submissions Mr Eder placed before
me calculations indicating an average rate of return for the ten years from
1979 to 1988 of 24.25 % after deduction of personal expenses. This was based on
the syndicate accounts. Mr Vos had referred me to the Poynter Report, which
relied for its figures on the Chatset League Tables. These showed the following
rate of return together with the position of Syndicate 290 in the League Table:
1983 12 % 9 out of 101
1984 9 % 30 out of 102
1985 12 % 9 out of 101
1986 23 % 7 out of 102
1987 9 % 58 out of 116
1988 16 % 11 out of 115
The Poynter Report commented:
"It is apparent that Syndicate 290, except
for 1987, consistently reported substantially better performance than the
median return in the non-marine market."
The Report went on to consider the extent to
which the syndicate's results were improved by time and distance policies.
These are 'policies' which pay in a future year an 'indemnity' in an amount
that exceeds the 'premium' by an amount which, as I understand it, reflects the
value of the use of the premium over the period in question. Both the premium
and the indemnity feature in the syndicate accounts in the year that the time
and distance policy is taken out, so the result is to improve the profit/loss
position shown in the accounts. Mr Walker accepted that the effect of his time and
distance policies was that he was able to show a profit rather than a loss for
1981 and 1985 and that substantial increases were produced to the profit
figures for 1983, 1986 and 1987.
The propriety of the use made by Mr Walker of
time and distance policies has not been challenged in this Action. Mr Outhwaite
told me that they are widely used at Lloyd's and that they have a legitimate
role to play in a reinsurance programme. Thus the position remains that the
results achieved by Mr Walker for Syndicate 290 were significantly better than
those of most non- marine syndicates in the years up to 1989. It is, however,
possible that this position was achieved in part by the skilful use of time and
distance policies not matched by some of the other syndicates. Certainly, when
the benefit of the time and distance policies is removed, it is not easy to
recognise a pattern of a series of particularly profitable years being relied
upon to balance the effect of the rare catastrophe.
Conclusion
Most of the criticisms made by the Plaintiffs in
relation to the manner in which Mr Walker conducted his underwriting business
are made out. He was deliberately running a net exposure to risk without
monitoring the precise level of that exposure or correctly informing his Names
of this. He had made no attempt to estimate how often his Names might have to
face a year of loss and he mis-appreciated the level of catastrophe that risked
bringing that result about. His rating was based not on any assessment of the
earnings his syndicate needed to make in the good years to balance the losses
in the bad, but on an acceptance of the structure and level of rates prevailing
in the market. In these respects, the Plaintiffs' allegations of breach of duty
are made out.
Information to Names
The Annual Accounts stated repeatedly that
Syndicate 290 specialised in excess of loss non-marine reinsurance and that Mr
Walker wrote and led catastrophe reinsurance. In addition the accounts included
the following statements:
1980: "Major losses must be expected by
this syndicate but such losses should be well contained within our
protection".
1982: "We are always waiting for the large
loss to hit the market and we should be in a strong position if this loss
comes, with strong reserves behind the syndicate".
1983: "We had our largest loss since we
started in 1983 ... this had produced large insurance claims as a result of
this loss, it has enabled us to assess how a major catastrophe could effect our
syndicate and because of this we have been able to get substantial increases on
XL renewals for 1984. Our approach to reinsurance remains unchanged, we
purchase substantial cover to protect the syndicate against a major
catastrophe...."
1984: "We have in force a major reinsurance
programme to protect us; this covers the whole account protection and is backed
up by specific reinsurance for the different classes. The 1983 year had Alicia
and the Winter Freeze... but we have more than adequate reinsurance protection
and I believe we can still hope for a small profit.
The reinsurances protecting the syndicate are at
all times under constant review and we believe our current policy covers the
needs of the syndicate and is the best available.
We believe it is our duty to remind our Names of
the nature of the class of business that we underwrite, and we must apologise
if we have to constantly point out the higher risk nature of this syndicate.
The only major loss since commencement of the syndicate is 1983 when Hurricane
Alicia struck the Galveston area in the US Gulf and we are pleased to report
that the gross loss to the syndicate is well within our reinsurance
programme".
1986: "As we have advised all our Names in
the past, this syndicate is a high risk by the nature of the business it writes
and we have nearly reached the limit of reinsurance that is worth buying. We
must always live with the problem which must apply to all syndicates that in
the event of a major loss we could run out of reinsurance protection, but we
have produced good results in the past 10 years and we can but await future
losses which we hope will be contained within our reinsurance programme".
1987: "The 1987 account... will be effected
by the major windstorm loss of October in the U.K. and Northern France. The
final original loss must be in the region of £1.5 billion. We have been waiting
for the large loss from the U.S. only to find it coming from the U.K. The
syndicate purchased additional reinsurance in 1987 including specific
non-dollar cover. It is early days to forecast the loss to the syndicate, but
it should be contained within our reinsurances".
1988: "I am always alerting the members to
the high risk nature of this syndicate and I must again emphasise to all my
members not to write too large a premium on this syndicate; I usually recommend
about £25,000 maximum for a member. The year may come when we may have to face
a loss of up to 200 per cent. The 1987 U.K. loss is testing the system.
Underwriters have to run a net account sometimes and this will happen to us in
the event of a major earthquake, hurricane or flood. There is no way we can
purchase enough reinsurance protection to cover our aggregate, but we do have
an aggregate limit as opposed to a direct writer".
As Mr Walker accepted in cross-examination, with
the exception of the 1988 accounts, these statements were not calculated to
suggest to Names that they were being exposed to the risk of large losses in
the event of a severe catastrophe. Lord Strathalmond commented, however, that
as a Members' Agent these accounts would indicate to him that Mr Walker's
syndicate was running a net exposure.
The 1990 Year of Account
Mr Walker's statement of underwriting policy,
dated 17 November 1989, stated:
"The Syndicate will continue to specialise
in Excess of Loss Non-Marine reinsurance. It will continue to write and lead
catastrophe reinsurance, which covers fire, windstorm, flood and earthquake;
this being reinsurance of Lloyd's Underwriters and world-wide insurance
companies. It is my intention to substantially reduce the X/L on X/L business.
This will come about in two ways.
The Non-Marine Underwriters, including
ourselves, are being forced to retain, uninsured, approximately 20 % of their
catastrophe income. This will remove the low level high rated business. There
is also a co-insurance on all layers of between 5 % and 10 % and it will not be
possible to place the high layers of X/L on A/L, so we will be keeping a very
careful check on this class of business."
In his witness statement, he added:
"My 1990 writings therefore involved
substantial reductions in aggregates. The reinsurance programme, however, did
not change substantially until mid 1990 as the majority of high layer
protections which we had on our generals ran through until 1.7.90."
In the event, the aggregates on the codes that
included spiral business reduced by only $42 million from about $572 million to
$530 million. This left Syndicate 290 exposed to 90A, on the Defendants'
calculation, to the extent of $143 million, or 124 % of stamp.
Thus Mr Walker's policy and practice for 1990
was not significantly different from that for 1989. Just as for 1989 his
conduct amounted to a breach of the duty owed by the Defendants to exercise
reasonable skill and care in carrying on the business of underwriting.
SYNDICATE 164
It is common ground that, on liability, the
Plaintiffs' case in relation to Syndicate 164 stands or falls with Syndicate
290. Mr Walker had assumed responsibility both for the excess of loss business
written for Syndicate 164 under the split stamp arrangement and for buying
reinsurance cover against the excess of loss exposure. Syndicate 164's accounts
provided the information that excess of loss business was being written under a
split stamp arrangement, but gave no warning of net exposure to loss. Mr Judd
told the Poynter Committee that it was his understanding that the reinsurance
arranged by Mr Walker would be sufficient to protect his syndicate against
catastrophe loss.
GENERAL CONCLUSION
There are common features in the approach to the
conduct of excess of loss business by Mr Andrews, Mr Willard and Mr Walker.
Each of these underwriters had immense experience of the business of
underwriting, having started work straight from school and spent all their
working lives in the London insurance market. The approach of each of them to
excess of loss underwriting was one that may well be appropriate in other
fields of business - the reliance on past experience when estimating risk.
Past experience has to be treated with
particular caution in the field of catastrophe excess of loss insurance, for
the size and the incidence of catastrophes do not conform to a pattern. The
growth of the LMX market in the 1980s and, in particular, the growth of spiral
business, raised special problems in relation to the assessment of risk,
exposure and rating, that called for special consideration. Some gave it that
consideration. The Gooda Walker underwriters did not.
PERCEPTION OF RISK AND 'VOLENTI NON FIT INJURIA'
The Defendants raised a plea of 'volenti non fit
injuria' to meet an anticipated allegation that the degree of exposure to which
the Names were subject was negligent per se. To such an allegation it was the
Defendants' case that all the Names knew or should have known that excess of
loss insurance was high risk business, and that some of the individual Names
were specifically aware of the extent to which they were exposed to the risk of
loss. Consent to such exposure precluded the Names from seeking to base a cause
of action upon it.
In the event Mr Vos did not contend and I have
not found that the exposure to which the Names were subjected was negligent per
se. The exposure in respect of which I have held the underwriters at fault was
culpable because it was unintended, unplanned and unjustified by any proper
analysis of risk. Even had Names been aware of the exposure, such knowledge
would not have constituted acceptance of the circumstances that made it
blameworthy or given rise to any defence. I propose, however, to make some
general findings on the knowledge that Names had, or should have had, about the
excess of loss business that was being written on their behalf.
Lord Strathalmond, who at the material time was
a Director of Bain Dawes (Underwriting Agency) Ltd, told me that he appreciated
that a specialist excess of loss syndicate specialising in catastrophe business
would be of a higher risk or more volatile nature. There was a likelihood in
years without natural man-made catastrophes that higher profits would be made,
but if there were such a catastrophe larger losses could be made - claims would
come in but they could possibly be reinsured out as well. A Members' Agent
would have thought that two catastrophes impacting the same year of account
might result in losses of 30 % or more of the syndicate's stamp capacity -
losses of as much as 100 % would be almost unthinkable. He said that before the
Piper Alpha disaster he had not heard the term LMX and that he did not know
what excess of loss on excess of loss policies were - he was not aware of the
spiral. He thought that his knowledge was fairly typical of Members' Agents.
Mr Jewell commented as follows:
"Excess loss syndicates were perceived as
being high risk by most people within the market and that meant, in most
people's perception, that a severe catastrophe or series of catastrophes might
cause a syndicate of that nature to have losses that would represent something
between 25 % and 50 % of stamp capacity. In the most extreme of examples, it
would be considered almost unthinkable that it would get to a level of 100
%."
In my judgment these comments fairly reflected
the perception that Names, competently advised by their Members' Agents, would
have had of Syndicates 164, 298 and 299. Mr Andrews said that before Piper
Alpha he would have been very sorry to lose 25 % or 50 % of the stamp. Mr
Willard would not have considered that he was exposing his Names to even this
degree of risk.
Mr Walker's warnings, to which I have referred
earlier, were enough to draw to the attention of Members' Agents and his Names
that his was a high risk syndicate and that a catastrophe could occur which
would lead to claims that significantly exceeded the level of reinsurance
cover. Mr Jewell was often present when Mr Walker described the nature of his
syndicate. He gave this description to the Poynter Committee:
"He always told the syndicate and told the
world "This is a high risk, high return syndicate". The sort of words
he would say are "There are ten years of profit but when the big one
happens we are going to have a loss"... he could not have emphasised more
strongly the high risk nature of the syndicate. I have never heard anybody
express it stronger than he did in front of the Names and/or agents."
Mr Vos asked Mr Jewell if he heard Mr Walker
explain what he meant by "the big one". He said that he did - on many
occasions:
"The sort of events that would be described
would be California slipping into the ocean, a North Sea tidal wave washing out
some rigs and flooding London or Europe, the Tokyo earthquake, or a jumbo jet
on a skyscraper in New York. These are the sort of theoretical worst situations
that would be described as producing a horrible loss to the syndicate."
Thus Mr Walker's warnings reflected his own view
that only an extreme catastrophe posed a threat of heavy losses to his
syndicate. As to the amount of those losses, Mr Jewell said that he did not
recall the extent of the loss being discussed at all.
CAUSATION AND DAMAGES
The following order was made on the Summons for
Directions:
"The issues to be determined at the trial
be limited to issues of liability and questions of principle relating to
quantum."
The primary question of principle that arises in
relation to quantum is whether the Plaintiffs have made good their claim that
all their losses in the relevant years have been caused by the Defendants'
breaches of duty. If this claim is not made out, issues of principle arise as
to the extent to which, if at all, the Plaintiffs have established causal nexus
between breaches of duty and losses sustained, and the manner in which the
relevant losses should be assessed. These questions overlap. Before they are
reached, however, I have to address an argument advanced by the Defendants as
to the scope of the claim which it is open to the Plaintiffs to advance.
The Scope of the Claim
The Defendants contend that the only charges
that they are required to meet relate to the Five Central Catastrophes : Piper
Alpha, Exxon Valdez, Hurricane Hugo, Phillips Petroleum and Windstorm Daria 90A
At the most the damages for which they are liable are the losses resulting from
those catastrophes.
To resolve this issue it is necessary first to
consider the pleadings. The Points of Claim allege, almost exclusively,
negligence in relation to the underwriting of excess of loss business. The
exception is an allegation that Mr Willard and Mr Hawkes "failed to
understand or to act upon the common knowledge that the marine market was
suffering from over-capacity and inadequate rating, so that following
underwriters with limited capacity, who had little to offer brokers, could not
expect to write profitable marine business". This allegation was relevant
to the submission that Mr Willard should not have continued underwriting in
1989. I have rejected that submission.
It follows that the Plaintiffs are restricted to
recovering damages flowing from incompetence in relation to the writing of
excess of loss business.
Do the pleadings restrict the Plaintiffs to
claiming the losses flowing from the Five Central Catastrophes? In my judgment
they do not. The Points of Claim first allege, in detail, the conduct that
amounted to negligent underwriting. The allegations include:
Writing too much spiral business;
Failing to calculate and monitor aggregate
exposures;
Failing to calculate and monitor PMLs;
Writing business at rates that would not finance
appropriate reinsurance;
Writing high level business at inadequate
premiums.
The pleading then alleges that during 1987 to
1990 a succession of major losses occurred, the worst of which are identified in
an Annex to the pleading. This is a Schedule of ten of the worst catastrophes
in the period in question. Finally the pleading alleges that all of the losses
suffered by the Plaintiffs in relation to the relevant years, including run off
costs, have been caused by the pleaded breaches.
Nowhere do the Points of Claim restrict the
Plaintiffs' claim to the losses flowing from the Five Central Catastrophes.
Despite the breadth of the Plaintiffs' pleaded
case, the manner in which they focused on the Five Central Catastrophes in the
preparations for this trial, which included detailed discussions with the
Defendants' representatives and a considerable measure of agreement in respect
of the syndicates' exposure to the Five Central Catastrophes, and the manner in
which Mr Vos referred to these catastrophes in his opening, could well have led
the Defendants to believe that the consequences of these catastrophes formed
the essence of the Plaintiffs' complaint.
On the seventh day of the trial Mr Vos
interrupted Mr Eder's cross-examination of Mr Jewell in order to make it plain
that the Plaintiffs' claim was not restricted to the losses flowing from the
Five Central Catastrophes, but embraced all the losses that they have or will
have sustained as members of the Gooda Walker syndicates in the relevant years.
Mr Eder registered a protest at this formulation of the Plaintiffs' claim - a
protest that he repeated on a number of occasions during the trial.
The Plaintiffs' case, as clarified by Mr Vos in
the course of the trial, is a simple one. The Plaintiffs contend that the
entire underwriting of each syndicate was conducted in disregard of basic
reinsurance principles. They say that it is neither appropriate nor possible to
attempt to identify individual aspects of the underwriting of each syndicate
that were negligent and to attempt to assess damages by reconstructing the
results that each syndicate would have enjoyed had those aspects been
competently performed. Unless the Defendants can prove to the contrary, the Court
should proceed on the basis that all the losses sustained by each syndicate
were a consequence of the negligence.
This case amounts, in large measure, to a plea
of 'res ipsa loquitur'. The Plaintiffs rely on the fact that there has been
incompetent underwriting on the one hand and losses sustained on the other as
giving rise to the inference that all the losses are attributable to the
incompetence. I propose to deal with that case on its merits. It is a case
which is open to the Plaintiffs on the pleadings and it is not a case which
has, in my judgment, resulted in embarrassment or prejudice to the Defendants.
The Defendants have raised the following
contentions in answer to the Plaintiffs' case:
1) Not all of the losses are attributable to
excess of loss underwriting in the relevant years.
2) During the relevant period there was an
unprecedented and unforeseeable 'concatenation of catastrophes'. A competent
excess of loss underwriter could not reasonably have been expected to protect
his Names against all loss in the face of these catastrophes. This series of
catastrophes was, at least in part, an independent cause of the losses
sustained by the Names.
3) The evidence demonstrates that significant
heads of loss have been sustained by the Names which do not arise from the
breaches of duty that the Plaintiffs have alleged in this Action.
In these circumstances the Defendants contend
that it is both possible and necessary to distinguish between the losses
flowing from such specific breaches of duty as the Plaintiffs may have made out
and losses attributable to other causes.
The Causes of Loss
Excess of loss business did not constitute
"the entire underwriting" of Syndicates 164 and 299. In so far as the
losses suffered by those syndicates are attributable to the balance of their
business, they cannot be laid at the Defendants' door.
The Plaintiffs' allegations in this Action have
been of negligence in writing excess of loss business in respect of the
relevant years. It follows that the Plaintiffs can have no right to recover
damages in respect of losses which do not flow from the writing of excess of
loss business in respect of those years. Thus, for instance, losses flowing
from the deterioration of business written in prior years, transferred by
reinsurance to close, cannot be recovered. The evidence indicates that some of
the losses sustained by the Plaintiffs fall into this category.
For these reasons alone, the Plaintiffs' claim
that they are entitled to recover all the losses that they have sustained
cannot succeed.
The 'Concatenation of Catastrophes'
Statistics
Mr Harold Clarke, who heads the general
insurance practice of a firm of actuaries called Bacon & Woodrow, gave
evidence of what a reasonable actuarial forecast of insured catastrophe losses
would have been in the 1980's, based on an analysis of the catastrophe losses
in earlier years. His analysis was based on a statistical model, which produced
figures for what was to be "expected" in the years in question. Mr
Clarke commented "the model uses standard distributions as this is most
likely what would have been used in practice by reinsurers". I do not
believe that any of the Gooda Walker underwriters spoke of carrying out
statistical exercises of the type conducted by Mr Clarke and Mr Walker expressly
stated that he did not do so.
Mr Clarke introduced his model with the
following explanation:
"Catastrophe claims are intrinsically
random in nature in that one cannot say when a catastrophe will occur or how
severe it will be. However, over a longer period an underlying pattern (or
distribution) may be observed. I have constructed a model of catastrophe claims
which estimates the pattern in catastrophe claims.
Modelling catastrophes allows
i) the projection of expected future losses
ii) the establishment of confidence bands for
those projected losses
iii)the estimation of the chance that the number
of disasters for a particular period will exceed or be less than a specified
count, and
iv) the projection of the future occurrence
rates of disasters producing losses within specified ranges."
It is important to appreciate that what a model
such as Mr Clarke's indicates is "expected" to happen in any given
year is unlikely to happen in practice. The expectation is simply a statistical
possibility based on past random events.
Mr Clarke produced tables for the expected
amount of losses flowing from claims in excess of $100 million, $250 million
and $500 million world wide and in Europe and North America. As he found that
catastrophes occurring in North America and Europe account for 87 % of all
catastrophe insured loss, I shall simply set out one set of results - the world
wide figures:
Claims in Excess of $100m
Year Expected amount Actual amount Expected less
$ m $ m actual $ m
1987 2,830 3,264 (434)
1988 3,617 3,322 295
1989 3,870 9,323 (5,453)
1990 5,890 17,509 (11,619)
Claims in Excess of $250m
Year Expected amount Actual amount Expected less
$ m $ m actual $ m
1987 1,182 1,208 (26)
1988 1,261 2,470 (1,209)
1989 1,667 8,308 (6,641)
1990 4,007 14,990 (10,983)
Claims in Excess of $50Om
Year Expected amount Actual amount Expected less
$ m $ m actual $ m
1987 741 870 (129)
1988 682 2,140 (1,458)
1989 1,375 6,700 (5,325)
1990 3,968 13,016 (9,048)
Mr Clarke also carried out, in the course of the
trial, calculations to ascertain the statistical probability of the actual loss
levels experienced, resulting from claims above the same selected thresholds.
These were his results, worldwide:
Cutoff: US$ l00m
Year Expected Actual Likelihood that
amount amount (A) loss exceeds A
1987 2,830 3,264 1 in 5 years
1988 3,617 3,322 1 in 3 years
1989 3,871 9,323 1 in 31 years
1990 5,890 17,509 1 in 42 years
Cutoff: US$ 250m
Year Expected Actual Likelihood that
amount amount (A) loss exceeds A
1987 1,182 1,208 1 in 3 years
1988 1,261 2,470 1 in 10 years
1989 1,667 8,308 1 in 105 years
1990 4,007 14,990 1 in 47 years
Cutoff: US$ 500m
Year Expected Actual Likelihood that
amount amount (A) loss exceeds A
1987 741 870 1 in 3 years
1988 682 2,140 1 in 20 years
1989 1,375 6,700 1 in 125 years
1990 3,968 13,016 1 in 47 years
Mr Clarke concluded from these results that:
"the total amount of catastrophic loss in
1989 and 1990 was larger than could have been expected, given the experience up
to that time".
His figures amply justify that conclusion,
whether the expectation is statistical or the expectation of the reasonably
competent underwriter. This is perhaps more readily appreciated simply by
considering the Sigma catastrophe statistics, which provided Mr Clarke with
much of his data. I have extracted from his tables the following figures, using
values that have been adjusted to accord with the value of the dollar in 1986
in order to enable more meaningful comparison:
Casualties exceeding $100m $250m $500m $1,000m
1969 2 1 1 0
1970 5 4 3 0
1971 2 0 0 0
1972 6 3 0 0
1973 2 1 1 0
1974 5 3 2 0
1975 6 1 0 0
1976 3 2 1 0
1977 5 2 0 0
1978 7 2 2 1
1979 9 4 3 1
1980 5 4 0 0
1981 2 0 0 0
1982 9 2 0 0
1983 3 2 2 0
1984 7 3 0 0
1985 13 4 1 0
1986 5 0 0 0
1987 13 2 1 0
1988 7 3 2 1
1989 12 8 3 1
1990 27 13 8 2
In 1991, when writing to Members' Agents about
Gooda Walker losses, Mr Jewell commented:
"At the root of the losses lies the fact
that the business written was always at risk to high exposure catastrophes. It
is well known that, in the years involved, the insurance markets of the world
were faced with an unprecedented and unforeseeable concentration of such events
in the short space of three years."
Under cross-examination by Mr Eder about this
statement Mr Jewell said:
"Each of these events was not
unforeseeable. What took the market by surprise is that they happened within
such a short period of time."
The Defendants have sought to rely upon the
unprecedented sequence of catastrophes to justify the vertical exposure left by
the underwriters to each individual catastrophe. Had that exposure been a
deliberate and calculated exposure based upon an assessment of the likely
incidence of the catastrophes that would impact upon it, this defence would
have invited consideration. That, however, was not the position and the
unprecedented number of catastrophes that occurred provides no answer to the
case that the Plaintiffs have made out in relation to vertical exposure. Nor is
the sequence of catastrophes any justification for a failure to match
reinstatements.
The unprecedented sequence of catastrophes does,
however, provide an answer to the Plaintiffs' contention that I should infer
that all their losses are the result of incompetent underwriting - even if one
focuses exclusively on losses flowing from excess of loss underwriting.
I have already referred to the manner in which a
sequence of catastrophes or loss events can cause losses which are attributable
neither to inadequate vertical cover nor to a failure to 'match
reinstatements'. The unprecedented and unexpected series of catastrophes that
occurred between 1988 and 1990 was, in my judgment, a phenomenon which was
capable of resulting in net losses to some, at least, of those writing excess
of loss business in a competent manner. It would not be right to infer, from
the shortcomings demonstrated in the underwriters' approach to vertical
exposure, that losses flowing from horizontal exposure are the consequence of
incompetence.
The Losses Sustained by the Syndicates
Syndicate 290
Inadequate vertical reinsurance cover caused
substantial losses to Syndicate 290 in respect of two catastrophes. Hurricane
Hugo and 90A In the case of each of those catastrophes, the reinsurance cover
that Mr Walker had in place to meet the maximum loss was essentially intact,
but was greatly exceeded. There were, however, in the relevant period many
other, individually less significant, losses. The GWRO report for 31 December
1992 records estimated losses after reinsurance recoveries of $9 million in
respect of Phillips Petroleum, $11 million in respect of US Winter Weather and
$13 million in respect of Australian Earthquake. In the case of each of these
the estimated ultimate gross loss was well below the insurance cover that would
have been available on a first loss basis. The Underwriting Report commented:
"The complexities of projecting estimated
final gross loss positions and the available reinsurance on each of these
disasters are manifold. The problem is compounded by the diversity of the
account, the frequency of loss and the fact that the majority of reinsurance
policies, both written and purchased, had limited reinstatements...
The Syndicate is not only seriously exposed to
individual major losses which have exceeded the amount of reinsurance
purchased. Due to the diversity of the account, and as a result of the prior
exhaustion of large elements of the reinsurance programme, there is the
potential for material amounts of more modest market losses, including numerous
aviation losses, to be retained net by the Syndicate."
The Report goes on to comment on potential long
tail exposures - presumably inherited under reinsurance to close from prior
years.
A year later, the Report recorded a deterioration
in the account, due in part to:
"a deterioration in catastrophe losses
which largely arises from smaller losses exhausting available reinsurance
protection."
In the course of cross-examining Mr Jewell, Mr
Eder put to him Schedules of claims paid by Syndicate 290 in relation to the
1989 and 1990 years, as at 31 March 1994. These Schedules showed a large number
of paid claims, without indicating the extent to which they were protected by
reinsurance cover.
Similar Schedules were not available for
Syndicates 298 or 299, but Mr Jewell said that the picture for 298 would be
very similar and for 299 "probably this times ten". Mr Eder suggested
that the Syndicates had performed well in containing these many event within
their reinsurance protections. Mr Jewell replied:
"It is a question of judgment whether they
were contained and whether those bits that were not contained within the
reinsurance programme were contained within the premium income, and the bit
that fell out of the side of that - if it produced a loss for the syndicate. I
would not suggest that that is necessarily something that a syndicate should
achieve."
This evidence leads me to conclude that a
significant part of the losses sustained by Syndicate 290 were caused not
because of vertical exposure to catastrophes but because of a large number of
loss events which lay below or extended beyond the scope of the syndicate's
horizontal cover. The extent of horizontal exposure may have been attributable
to incompetent underwriting, but there has been no exploration of this area of
the case in the pleadings or in evidence and the Plaintiffs' simple contention
that negligence is to be inferred is not made out.
Syndicate 164
Precisely the same considerations that I have
developed in the case of Syndicate 290 apply to the results of the excess of
loss business written on behalf of Syndicate 164. Excess of loss constituted
only part of the business of Syndicate 164 and part of the overall losses of
the syndicate may be attributable to other business. In this context I note
that the Underwriting Report for 31 December 1992 records reserves being made
in respect of anticipated losses on Lloyd's Underwriting Agencies Errors and
Omissions policies.
Syndicate 298
Inadequate vertical reinsurance cover is
estimated to have caused substantial losses to Syndicate 298 in relation to
each of the Five Central Catastrophes. Mr Jewell's evidence suggests, however,
that part of the losses was due not to a failure to have in place sufficient
vertical cover and matching reinstatements, but to the erosion of lower layers
of cover by other loss events. The Plaintiffs have not made out their
entitlement to recover losses caused in this way.
I note that the GWRO underwriting report tables
gross paid and outstanding claims in relation to several aviation losses
amounting to $105 million and warns:
"As a result of the prior exhaustion of
large elements of the reinsurance programme, there is potential for material
amounts of those losses being retained net by the syndicate."
Mr Andrews was an aviation specialist and had in
place what appears to be quite a sophisticated specific reinsurance programme
in relation to his aviation excess of loss account. There is no basis upon
which I could properly infer that aviation losses suffered by Syndicate 298
result from incompetent underwriting.
Syndicate 299
1988 Year of Account
In 1988, which is a closed year, Syndicate 299
made losses of approximately £22,100,000. Of this a major factor was the loss
resulting from vertical exposure to Piper Alpha. As at 31 December 1992 this
was estimated at $24 million. That estimate has subsequently been revised
downward by $6 million because claims were made against the syndicate in
relation to another loss - Enchova - under cover which it had been anticipated
would be used to make claims in relation to Piper Alpha. This does not,
however, affect the impact that the Piper Alpha had on the 1988 Names at the
time of closure.
The Underwriters Report as at 31 December 1990,
written by Mr Jewell, said this about the 1988 year:
"It is difficult to justify a loss
situation. However, by means of explanation it is worth stressing the fact
that, although severe damage to the account was caused by the notorious
"Piper Alpha" disaster, there are many other features that
contributed to the downfall of this year.
Capacity, both real and created, reached a peak
in the World's insurance and reinsurance markets. The resultant scramble for
business drove premiums down to totally uneconomic and unrealistic levels.
In addition to Piper Alpha there were many very
significant losses, all of which impacted on the account. It could certainly be
argued that all of these claims were foreseeable and quotifiable, it is also a
truism to point out that the series of claims of the size was unprecedented and
therefore certainly not predictable from historical data."
The excess of loss business written by Syndicate
299 was only part of a very broad range of business. I have in mind Mr Jewell's
comment that the list of claims on this syndicate would look like the schedules
of claims produced in respect of Syndicate 290 times ten. The negligence
established by the Plaintiffs in relation to the syndicate's vertical exposure
to catastrophes does not give rise to the inference that all the 1988 losses
suffered by this syndicate were attributable to negligence.
The 1989 Year of Account
Part of the losses sustained in the 1989 year
were attributable to a failure to have in place matching reinstatements to
provide cover against catastrophes. Part of the catastrophe losses may be
attributable to the erosion of horizontal cover by the series of loss events.
Much of the losses are attributable to business other than the excess of loss
business written for that year.
Summary
This review of the losses suffered by the
individual syndicates demonstrates, in each case, significant causes of loss
that cannot be attributed to the negligence that the Plaintiffs have
established.
THE APPROACH TO THE ASSESSMENT OF DAMAGES
Having ruled against the Plaintiffs' simple
contention that all their losses are recoverable as damages, I have to
determine the approach to be adopted in assessing those damages that are
recoverable.
The Test
The Plaintiffs claim in respect of breaches of
identical duties arising in contract and in tort. On the facts of this case the
approach to the assessment of damages is identical, whether the claim lies in
contract or in tort.
In The Albazero [1977] AC 774, [1976] 3 All ER
129 at 841 of the former report Lord Diplock summarised the general approach to
damages of English law as follows:
"The general rule in English law today as
to the measure of damages recoverable for the invasion of a legal right,
whether by breach of a contract or by commission of a tort, is that damages are
compensatory. Their function is to put the person whose right has been invaded
in the same position as if it had been respected so far as the award of a sum
of money can do so. Such an award can readily do so in the case of mercantile
contracts, since the purpose of the parties in entering into them is to make a
money profit. So where the wrong for which suit is brought is the breach of a
mercantile contract the measure of damages for the breach is generally the
financial loss that the plaintiff has sustained by reason of the Defendant's
failure to perform the contract according to its terms."
Applying this approach to the present case the
Plaintiffs are entitled to that award of damages which will place them in the
same position as if the underwriting carried on on their behalf by each
syndicate had been competently performed. That basic test is easy to state but
difficult to apply. My task is to define, in as far as I am able as a matter of
principle, the methods that should be adopted, the matters that should be
considered and the matters that should be disregarded when applying the basic
test.
The Plaintiffs' Alternative Case
The Plaintiffs anticipated that their primary
case on damages might not succeed and that I might not be persuaded that all
their losses were attributable to breach of duty on the part of the Defendants.
To meet this possibility they advanced a novel alternative approach to the
assessment of damages. I should consider the results achieved by syndicates
specialising in excess of loss business in the relevant years and from these
deduce the rate of profit or loss achieved by a typical competent excess of
loss syndicate ('the paradigm syndicate'). I should then award such damages as
would place the Plaintiffs in the same position as if they had been members of
that syndicate. The Plaintiffs called Mr Whewell to give expert evidence as to
the appropriate actuarial approach to be adopted in selecting the specialist
syndicates whose results would form the basis for constructing the results of
the paradigm syndicate and the appropriate method of calculating those results.
The Defendants did not accept the validity of
this approach to the assessment of damages but, lest I should be minded to
adopt it, they in their turn called expert evidence challenging both the
selection of the specialist syndicates whose results would form the basis of
the exercise and the manner of conducting that exercise.
The novel approach to the assessment of damages
suggested by the Plaintiffs has the attraction of avoiding an alternative
exercise of much greater complexity. That cannot, however, justify its
adoption. There is no stereotype excess of loss syndicate. To create one by
taking some form of average or mean of syndicates carrying on different forms of
excess of loss business, combined in greater or lesser degree with other
business, would be an artificial and unrealistic exercise. Nor would it be
realistic to proceed on the premise that had each of the Gooda Walker
syndicates conducted its excess of loss business without the deficiencies in
approach that the Plaintiffs have demonstrated, their results would have been
identical. I can see no alternative to approaching the assessment of the
damages sustained by the Names on each of the four syndicates on a syndicate by
syndicate basis.
The Damages Recoverable
To attempt to reconstruct the position that the
Names would have been in had the Gooda Walker underwriters adopted a competent
approach to vertical exposure to catastrophes would be an impossible task. I
believe that the reality is that if they and all others who were writing excess
of loss business had adopted a competent approach to underwriting, the LMX
market would not have existed in the form in which, and with the capacity with
which, it in fact developed.
It is for the Plaintiffs to prove that the
losses that they have sustained have been caused by the Defendants' breaches of
duty. In this Action the Plaintiffs have concentrated, almost exclusively, on
the attitudes and actions of the Gooda Walker underwriters in relation to
vertical exposure to catastrophes and the consequences that these have had in
relation to losses flowing from the Five Central Catastrophes. In the case of
each catastrophe, losses have been suffered because the underwriters failed to
put in place - whether on a first loss or reinstatement basis - cover that
extended sufficiently high to cover the claims arising out of that catastrophe.
The Plaintiffs have satisfied me that the resultant exposure was neither an
unforeseeable consequence of excess of loss underwriting, nor a consequence
that was foreseen by the underwriters as a possible result of a deliberately
calculated risk taken on behalf of the Names. It was a consequence of an
incompetent disregard of important principles of excess of loss underwriting.
In my judgment the Plaintiffs should recover by way of damages such sums as
will put them in the same position as if this exposure had been protected by
reinsurance. To an extent this is an artificial approach, for in some cases
such reinsurance would not have been obtainable. To have regard to such a
situation would not, however, absolve the Defendants from liability in damages,
but set in train an alternative enquiry of greater complexity which would be
unlikely to result in any lesser liability on the part of the Defendants.
Accordingly I consider that the test which I have adopted is one which combines
relative simplicity with a fair and correct approach in principle.
Subject to what I shall have to say about
consequential losses, the Plaintiffs have not satisfied me of their entitlement
to recover losses attributable to other causes. In particular they have failed
to establish that, in so far as losses are attributable to the impact of other
catastrophes or loss events, those losses are the consequence of incompetent
underwriting. Thus, in broad terms, the Defendants' submissions as to the limit
of their liability in damages succeed, not as a pleading point but because the
Plaintiffs have failed to establish any wider liability.
Assessment of Loss
The starting point in the assessment of loss
must be to compare the claims relating to a catastrophe with the reinsurance
cover available to meet those claims. Not all the shortfall will, however, be
recoverable. The loss recoverable will be that attributable to the inadequacy
of the vertical extent of the cover. Thus the following will not be
recoverable:
1) The consequences of deliberate retention of
low layer exposure, co-insurance, or any other form of deliberate retention of
exposure. The Plaintiffs have not established that this exposure exceeded that
which might have resulted from competent underwriting and have not made out
their entitlement to recover losses flowing from it.
2) Losses resulting from short placements by
brokers of reinsurance protection ordered. I do not consider that such losses
can be attributed to incompetent underwriting.
3) Losses resulting from the erosion by other
loss events of reinsurance cover that would otherwise have been available as
protection against the Five Central Catastrophes.
The loss recoverable should be further reduced
by a percentage to reflect a notional premium that would have been payable for
the reinsurance that should have been in place. The rate should be based on the
rates actually paid for the upper layers of cover.
Loss Not Established
Rating
I have held in the case of each underwriter that
there was a failure to give proper consideration to the adequacy of the rates
paid for the upper layers of business written. In assessing damages on the
premise that additional high level reinsurance cover would have been available
to the syndicates at the prevailing rates, the consequences of this shortcoming
will be largely provided for. I find it impossible to formulate a basis for any
further award of damages in relation to rating.
The 1989 Year of Syndicate 299
I have held that as a consequence of
incompetence on the part of Mr Willard, the 1989 year of Syndicate 299 could
not expect to make a profit. The extent to which reinsurance costs exceeded
those which might have been carried in a reasonable year is, however, not
clear. In the event 1989 was a bad year - both for excess of loss and for
marine business. The additional reinsurance placed proved beneficial. I can see
no basis for awarding the Plaintiffs more than the losses attributable to
exposure to the Five Central Catastrophes.
CONSEQUENTIAL LOSSES
In addition to the losses calculated on the
basis outlined above ("the primary losses") certain consequential
losses will be recoverable.
Exchange Losses
Exchange losses will be recoverable to the
extent that they are consequential upon the primary losses. I do not consider
such losses too remote, even when brought about by an event as dramatic as the
devaluation of sterling. This type of loss is a normal and foreseeable
consequence of suffering a primary underwriting loss.
Some of the exchange losses are attributable to
a failure on the part of some of the Names to pay cash calls when due. The
Defendants contend that such losses are too remote. Prima facie this would seem
correct, but I am not persuaded that this would necessarily be so in all
circumstances. The point was not argued and I propose to reserve it for further
argument.
Interest
Similar considerations apply to interest.
Interest ought to be recovered by Names on their primary losses from the dates
that those losses were sustained. Where Names failed to pay cash calls it
appears that they may have been debited with interest at a higher rate than the
Court would award. As with exchange losses, I propose to reserve issues
relating to interest for further argument.
Personal Expenses
In principle personal expenses will be
recoverable to the extent only that they have been increased by primary losses.
Run-Off Costs
Similarly run-off costs will be recoverable to
the extent only that they have been increased by the primary losses. In this
context I find that the incurring of those primary losses was the proximate
cause of the syndicates ceasing to trade and being placed into run-off.
STOP-LOSS POLICIES
I now turn to consider arguments advanced by the
Defendants as to the significance of stop-loss policies.
Some of the Plaintiffs will have taken out
stop-loss policies which will have indemnified them, in whole or in part, in
respect of the losses which they seek to recover in this Action. Some of the
Plaintiffs will not have taken out such policies. Some of those who have taken
out stop-loss policies will have done so on the advice of the Members Agent,
that they are now suing.
Some of those who have not taken out stop-loss
policies may have disregarded such advice. These various possibilities
underline a number of submissions made by the Defendants in respect of
stop-loss policies.
Quantum
The Defendants contend that in assessing damages
a Plaintiff must give credit for any stop-loss recovery made. It is logical to
consider this submission before proceeding to deal with a number of points made
in relation to liability.
The Defendants' submission on quantum runs counter
to the well established principle that where a Plaintiff takes out an insurance
policy against the risk of injury or loss, the monies paid under that policy
are not to be taken into account when assessing the damages payable for causing
such injury or loss: Bradburn v GW Rly (1874) LR1O Ex.1; Parry v Cleaver [1970]
AC 1, [1969] 1 All ER 555. The law considers the contract of insurance to be
collateral, or res inter alios acta. Mr Eder submitted that in this case
stop-loss insurance was not collateral. It was part of the underwriting
strategy of the Name designed to reduce the risk of loss. Where loss was
reduced in this way the Members' Agent could not properly be made to pay
compensation - particularly where the stop-loss insurance was taken out on his
advice - See Eley v King & Chasemore (1892) 2 EG 109.
This argument was advanced in Brown v KMR
Services Ltd, where it was more pertinent as the claim was in respect of
negligent advice, not negligent underwriting. Gatehouse J dismissed it as
contrary to authority. My reaction is the same. The principle in Parry v
Cleaver plainly applies on the facts of this case. Stop-loss recoveries have no
relevance to the measure of the Plaintiffs damages. In so far as any damages
recovered relate to losses in respect of which Plaintiffs have already been
indemnified by stop-loss insurers, the recovery will be made for the benefit of
stop-loss underwriters - see Napier & Ettrick v Kershaw Limited [1993] 1
All ER 385, [1993] 2 WLR 42 for the recognition by the House of Lords of rights
of subrogation in an analogous case.
Causation
The Defendants contended that any Name who was
advised to take out stop-loss insurance but failed to do so was thereby
responsible for his own loss to the extent that the stop-loss insurance would
have provided protection. His failure to follow advice broke the chain of
causation. The contention inevitably fails in the light of my ruling that
insurance recoveries do not reduce the measure of damage. Whether or not
stop-loss insurance was taken out has no relevance to causation.
Voluntary Assumption of Risk
The Defendants have contended (a) that any Name
who deliberately did not take out stop-loss insurance was voluntarily assuming
the risk of suffering the loss against which such insurance would have provided
protection and (b) that any Name who did take out stop-loss insurance thereby
demonstrated a voluntary assumption of the risk insured against. Both
contentions are equally bad. Stop-loss insurance covered loss, whether caused
by negligence or not. No decision to take out such insurance or to refrain from
taking out such insurance could amount to a voluntary assumption of the risk of
negligence.
Taxation
Difficult issues arise in relation to the effect
of taxation on the measure of damages. These became apparent at a late stage of
the Action and were not fully developed in argument. It was agreed that they
should be reserved for further argument.
DISPOSITION:
Judgment accordingly
SOLICITORS:
Wilde Sapte; Elborne Mitchell