All England Reporter, 2002, July, Society of Lloyd's v Jaffray and others |
"We consider that the impossibility of determining the liability in respect of asbestosis falls into this category [ie requires to be reported to the Committee] and we accordingly ask for your instructions in this respect." |
"The Threshold Fraud Point refers to the issue whether Lloyd's made representations which it knew to be untrue and/or as to which it was reckless whether they were true or false and whether such representations were communicated to the Names and if so, when." |
"(i) Certain members of the Council and/or Committee of Lloyd's: Sir Peter Green, F Barber, Richard Ballantyne, D J Barham, J R K Beckett, I R Binney, P G Bird, B J Brennan, A H Chester, M H Cockell, D E Coleridge, P T Daniels, R D Hazell, C O Gibb, C D D Gilmour, A W Higgins, V V Hudson, R J Kiln, W N M Lawrence, S R Merrett, Sir Peter Miller, C K Murray, E E Nelson, A Parry, I R Posgate, Sir David Rowland, C H A Skey (including, where relevant, their membership of Audit and Membership Committees and their statements in the Global Reports and Accounts as LUNMA Chairmen respectively during the Relevant Period). The Names say that where any one or more of these persons acted during any year between 1978 and 1988 as Chairman or a Deputy Chairman of the Committee/Council of Lloyd's they carried special responsibilities in the oversight and administration of the Lloyd's market and had particular influence which was likely to be decisive in matters relevant to the problem of asbestos-related claims.
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"If Lloyd's owe a duty by statute or contract, then the preliminary issue will be decided in favour of the plaintiffs. But if no duty was imposed by statute or contract it does not appear to me that a duty could have arisen in tort. If statute or contract between Lloyd's and a name do not impose an obligation on Lloyd's to convey information to a name concerning his managing agent, an obligation to convey information could not arise just because and whenever information was obtained by Lloyd's." |
"(a) a duty to take reasonable steps to alert the plaintiff names about matters which might seriously affect their underwriting interests and (b) a duty to impose a premium income monitoring system even if it was only an ad hoc system of monthly monitoring of the syndicates managed by an agent in trouble." |
"This led to the limited proposition that it is the duty of a regulator to exercise its powers and discretions in good faith and that where the regulator secures for itself contractual powers and discretions it is a necessary legal incident of such contract that (unless expressly excluded) the regulator will exercise its powers and discretions in good faith. A well-known example is Weinberger v Inglis, [1919] AC 606, in which this proposition was assumed by the House of Lords. The duty extends no wider, said Mr Simon. Whether an attempt expressly to exclude any duty of good faith could survive the Unfair Contract Terms Act 1977 was not canvassed and, in any case, does not arise; Lloyd's accepted (obviously correctly) an unqualified duty to act in good faith. But I know very little about the self-regulating bodies which, it is claimed, constituted a type or category of contractual relationship and I do not feel able to say that there is such a type, of which Lloyd's contract with a Name is an example. I remain of opinion that the Lister v Romford principle has no application." |
"Clementson
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"1. Implied terms
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"Lloyd's did not call a number of witnesses whose witness statements were exchanged. In reaching the conclusions set out in this judgment I have had regard to the fact that Lloyd's did not call these witnesses and I have considered whether any adverse inferences should be drawn." |
"(i) Could have confidence in Lloyd's as an institution to safeguard his/her interests;
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(a) could rely on syndicate accounts;
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"(a) that the Lloyd's market was in a sound financial condition;
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"(i) The whole of each Brochure must be considered.
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(i) "The Committee/Council of Lloyd's was generally entitled to assume that auditors were performing their duties competently."
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i) that Lloyd's made the representation;
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"It is well established in law that the question whether any kind and if so what particular representation was made depends upon an objective assessment of what was said or done and its likely effect on the alleged representee in the context in which the particular parties were concerned. In other words, what would the documents and exchanges relied upon have conveyed to a prudent banker in the position of the plaintiff banks?" |
"...if the facts are not equally known to both sides, then a statement of opinion by one who knows the facts best involves very often a statement of a material fact, for he impliedly states that he knows facts which justifies his opinion." |
"... it suffices for the application of the principle if it appears that, between 'the two parties, one is better equipped with information or the means of information than the other." |
"What would be the effect of this language upon the mind of a possible purchaser? Clearly, I should have thought, it would flow from the language used and would be intended to be understood by a reader of the particulars that persons who knew the significance of this matter and who were experienced and competent to look into it were expressing a belief founded upon substantial and reasonable grounds." |
"For a plaintiff to succeed in the tort of deceit it is necessary to prove that (1) the representation was fraudulent, (2) it was material and (3) it induced the plaintiff to act (to his detriment). A representation is material when its tendency, or its natural and probable result, is to induce the representee to act on the faith of it in the kind of way in which he is proved to have in fact acted." |
"I think the authorities establish the following propositions: First, in order to sustain an action in deceit, there must be proof of fraud, and nothing short of that will suffice. Secondly, fraud is proved when it is shewn that a false representation has been made (1) knowingly, or (2) without belief in its truth, or (3) recklessly, careless whether it be true or. false. Although I have treated the second and third as distinct cases, I think the third is but an instance of the second, for one who makes a statement under such circumstances can have no real belief in the truth of what he states. To prevent a false statement from being fraudulent, there must, I think, always be an honest belief in its truth. And this probably covers the whole ground, for one who knowingly alleges that which is false, has obviously no such honest belief Thirdly, if fraud is proved, the motive of the person guilty of it is immaterial. It matters not that there was no intention to cheat or injure the person to whom the statement was made." |
"15-07 Continuing Representations The tort is complete only when the representation is acted upon. Where there is an interval between the time when the representation is made and the time when it is acted upon, and the representation relates to an existing state of things, the representation is deemed to be repeated throughout the interval. .... If, during the interval of time between making the representation and the plaintiff acting upon it, the defendant perceives the statement to be false or circumstances change to render it false, liability may be incurred.
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"In considering whether the elements in the tort of deceit had been established the judge correctly directed himself as to the relevant standard of proof by reference to the statement of Lord Nicholls of Birkenhead in Re H (Minors) (Sexual Abuse: Standard of Proof) [1996] AC 563, 586 that:
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"... the more serious the allegation the less likely it is that the event occurred and, hence, the stronger should be the evidence before the court concludes that the allegation is established on the balance of probability. Fraud is usually less likely than negligence." |
"To establish liability in deceit it is incumbent on the representee to show that the representor intended his statement to be understood by the representee in the sense in which it is false." |
"Any proposition about a [body corporate] necessarily involves a reference to a set of rules. A [body corporate] exists because there is a rule (usually in a statute) which says that a persona ficta shall be deemed to exist and to have certain of the powers, rights and duties of a natural person. But there would be little sense in deeming such a persona ficta to exist unless there were also rules to tell one what acts were to count as acts of the [body corporate]. It is therefore a necessary part of corporate personality that there should be rules by which acts are attributed to the [body corporate]. These may be called "the rules of attribution"." |
i) Did the defendant intend the representation to be understood in a particular way?
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" ... they identify those people with de facto control over the insertion, or not, [in the brochures and the globals] of any health warning or qualification: the people with knowledge of the systemic defects in asbestos reserving, who chose not to disclose that to the members of the Committee and Council who were reliant on them." |
"(1) The burden of showing that the trial Judge was wrong lies on the appellant.
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"None the less not to have seen the witnesses puts appellate Judges in a permanent position of disadvantage as against the trial Judge and unless it can be shown that he has failed to use or has palpably misused his advantage, the higher Court ought not to take the responsibility of reversing conclusions so arrived at merely on the results of their own comparisons and criticisms of the witnesses and of their own view of the probabilities of the case."
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Finally in Mersey Docks and Harbour Board v Proctor [1923] AC 253 at p 258, Viscount Cave LC said:
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"In such a case ... it is the duty of the Court of Appeal to make up its own mind not disregarding the judgment appealed from and giving special weight to that judgment in cases where the credibility of witnesses comes into question, but with full liability to draw its own inferences from the facts proved or admitted and to decide accordingly."
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(3) When a party has been acquitted of fraud the decision in his favour should not be displaced except on the clearest grounds. This proposition is not in contest and is supported by the House of Lords in Akerhielm v De Mare [1959] AC 789 at p 806, where the earlier authority of Glasier v Rolb (1889) 42 ChD 436 is cited." |
"Every appeal will be limited to a review of the decision of the lower court unless -
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(a) a practice direction makes different provision for a particular category of appeal; or
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"Mr Rayment struck me as a highly conscientious claims man who worked tirelessly to assist the market in relation to the handling of asbestos-related and other long-tail claims. I was greatly assisted by his evidence." |
"A fibrous silicate material which achieved wide usage by reason of its physical properties such as the ability to withstand fierce heat, corrosion and decay under almost every condition of temperature and moisture. Its uses included roofing, plasterboard and fireproof wallboard, floor tiles, an ingredient in paints and sealants, car brake linings and clutch facings." |
"Q Do you remember whether pollution was one of the concerns that you had when you were arranging the run-off reinsurance in f974, or were you worried about particular types of liabilities or at that stage were you thinking that you wanted to deal with the whole of the back years?
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"He had been concerned for some time, having known Mr Outhwaite, Mr Merrett and Mr Meacock as intelligent underwriters, that he could find no answer to the question of why they wrote the run-off policies. He could only conclude that they had written those policies on the basis of certain information, which raised the question of whether all information that was in the hands of those that ceded the run-offs was made available to Mr Outhwaite. This was one of the specific questions raised in the early days of Mr Donner's enquiries. He emphasised that the doctrine of caveat emptor was not relevant in the context of insurance, although it had been suggested to him at a previous meeting that it did apply. Mr Donner said that he believed that he now knew approximately what had happened and that he would explain this to Mr Lord and would be able to produce corroborative evidence. Focusing on the period of 1981 and 1982, Mr Donner recalled that the insurance market worldwide faced an unparalleled series of losses from asbestos-related diseases.
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"The one certain fact about the asbestos litigation is that at present we cannot estimate the number of claims that will eventually be brought against your assureds. We do know that the number of lawsuits has increased dramatically each year since 1973. While some experts believe the number and severity of claims will peak within the next year or two, there are others such as The National Cancer Institute who estimate more than two million people will die from asbestos-related cancer. It should be noted that anticipated claims were taken into account to some extent in arriving at the figures recommended above." |
" ... the Market split into two camps, one supporting the manifestation approach and the other that of exposure." |
"He suggested that consideration should be given to breaking down the "All Other" Account in order to extract the very Long Tail business and that premium income was not the appropriate yardstick upon which to base the reserves for the older Accounts." |
"To those whose business is insurance these figures are something of a paradox. While satisfactory enough as a return on capital they are, from a professional point of view, a cause for some concern. It is a sobering thought that pure underwriting profit in 1980 accounted for only £22 million or 8.25% of the overall profit and did not cover the management expenses." |
"Q. Can I ask you one thing linked to that. At the time when the placing was taking place the ultimate position on the 1969 and previous liabilities looked very much more like a banking operation for a payment of, say, I think it was in the region of $20 to 25 million, there was an ultimate liability of $35 million ---
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"The Deputy Chairman, Mr Gibb, has requested that Auditors be informed of the following "facility" which has been offered to certain Syndicates in Lloyd's and which was intended as a form of reinsurance when a Syndicate was closing its Accounts, particularly those with a long tail element where the settlement in respect of the year-end provision might not be made for many years.
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The following is an example of how the reinsurance would operate.
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I am to advise you that the Audit Committee does not consider such a reinsurance recovery can be used to reduce a Syndicate's Audit provision because all anticipated recoveries brought into account at the end of the third year must be immediately available." |
"As matters continue to develop, and indemnity payments are claimed from the levels of coverage underwritten in London, a record will be maintained by the LUNCO [Lloyd's Underwriters' Non-Marine Claims Office] of the transactions that take place.
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"3) On top of all this we have to absorb the impact of 'DES' 'Agent Orange' and most important of all "Asbestosis". We do not wish to go into the question of coverage and how it may or may not apply in this memorandum but suffice it to say that collectively they must make a major impact on the enclosed loss ratios - and indeed probably on the pre- 1966 figures as well.
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"The Chairman proposed that the Meeting should discuss the desirability of circulating the Market with a report for the valuation of outstanding claims for audit purposes at year end. Mr Ayliffe believed that Attorneys should make recommendations for year end purposes but it was for the individual Underwriters to determine the figures used when closing the account. He was concerned that reserves currently carried on files, were lower than would have been the case under normal circumstances. Those concerned were looking for recommendations from the Working Party before final decisions were made. This view was supported by Mr Jackson, who thought that a figure of US$125,000 per average claim was more realistic than the present figure of US$75,000 currently used as a yardstick." |
"In summary, the Chairman stated: -
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a) The Audit Committee were reluctant to identify individual situations for audit purposes. The Asbestosis situation was well known in the Market and they believe that the Underwriters were aware of the potential problems.
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"ii) Very Long Tail Business
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"There are numerous well informed people who profess to believe that claims filed to date represent only the beginning of a potential flood of asbestos litigation. The Secretary of Health, Education and Welfare of the United States recently stated that 67,000 people each year will die from exposure to asbestos products during the next thirty years. We know that between 8.000,000 and 11,000,000 workers have variously been exposed to asbestos in the United States since the beginning of World War II and of this group 4.5 million have worked in shipyards. Most of the shipyard workers have been exposed to asbestos and it is estimated by the United States Government that one third of all those heavily exposed to asbestos have died or are likely to die of asbestos-related diseases. Although the assured's involvement with products containing asbestos does not appear to be as substantial as other defendants in these matters, it may be that in the future the assured regularly will be included among the growing group of frequently named defendants." |
"Obviously claims from the asbestos-related diseases are catastrophic and disastrous so far as the whole Insurance Industry is concerned but this fact alone does not automatically qualify them to be treated as 'a catastrophe'..." |
"Mr Kiln reported that claims were being made on notices as far back as 1947 where underwriters had been involved in direct insurances or reinsurances of companies covering liabilities of companies subject to Asbestosis claims.
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"The potential claims in connection with asbestosis make computer leasing appear insignificant by comparison." |
"There are to be no specific audit instructions other than a reference to the incidence of late claims arising from product and disease insurance. There have been some 15,000 claims notified (Increasing at the rate of 400 per month). By mid to end 1980s it is expected there will be some 25,000 claims in total. E E Nelson thought that the estimate by the Prudential of 2 million claims was well wide of the mark. The Committee of Lloyd's has set up a database whereby the full details of all known syndicates liable are stated. At present loss reserves have been based on an average cost per claim of $125,000 plus expenses of £10,000 per claimant. Currently this means a total claim of $2.025 billion. On an exposure basis 40% is with the London companies and Lloyd's, on a manifestation basis it is 10%. E E Nelson also reminded the Panel Auditors of three other product claims requiring consideration; Agent Orange, Love Canal; and DES." |
"Clearly, the foregoing decisions are a bit of a nonsense and the London Market is currently in the process of appealing to the US Supreme Court to obtain a sensible ruling." |
"ASBESTOSIS
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1 A very few clients have probably very little exposure.
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(i) Advices so far are 15,000 - maximum would be 11,000,000.
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Very early in March we will need to meet again with the other auditors to agree our approach." |
"Further to my memo of 17 February I think that we should pay immediate attention to the instructions contained within the document "Instruction for the guidance of Lloyd's auditors".
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"Reserves for Asbestosis and other latent diseases
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"A substantial proportion of our Syndicate clients have losses, or potential losses, arising from asbestosis and related diseases.
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(i) You have informed us that there have been approximately 15,000 individual claimants. Total exposure to the problem appears to be considerably in excess of this figure.
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The Audit Instructions (Clause 3) require that if there are any factors which may affect the adequacy of the reserves, then the auditor must report to the Committee and obtain their instructions before issuing his Syndicate Solvency Report.
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"The Chairman raised the question of the letters which had recently been circulated to Underwriters by the Panel Auditors. He believed the Auditors appreciated that it was not possible for Underwriters to be precise in their reply although he was disturbed at the ignorance displayed by certain syndicates on the question of Asbestosis generally." |
"Mr Chester said that he had spoken to Mr Nelson with regard to this matter who had put forward the following suggestion:
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a) with regard to direct business, underwriters should reserve their known claims plus a margin of 30% and their expenses.
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Having discussed Mr Nelson's views, the Audit Committee considered that it would not be possible or desirable for them to give a definite answer as to the amount or basis of reserves syndicates should carry. It was a matter for the underwriter of each syndicate to determine his potential liability and agree this with his auditor. It was, however, necessary for a full discussion to take place with Panel Auditors so that where possible general guidance could be given and it was agreed that a meeting should be arranged in this regard at the earliest opportunity.
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"(i) Business written direct by Lloyd's
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"The main worry raised by auditors was the widely differing views taken by syndicates and that the real purpose of their letter was an attempt to seek some uniformity in the Lloyd's Market for dealing with this matter. They considered that it would be grossly unfair for syndicates on basically the same risk to treat their reserves on an entirely different basis. Auditors were also concerned that not only may they reserve too little but that they may ask the closing year to carry too great a reserve. Part of the auditors' job was to ensure that there was equity between the account accepting the reinsurance and the closing account.
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"The following is a personal appraisal and opinion regarding the Asbestosis problem and is based on my own experience as Chairman of the Asbestosis Committee in 1981, two formal meetings with the Panel Auditors and various private conversations which I have had with individuals in the Market. There is little doubt now that this problem is every bit as serious as was expected by the Asbestosis Committee, and the information on , claims involvement which has been made available in the LUNCO office has identified the extent of Lloyd's involvement.
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"Managing and Members' Agents must advise their Names at year end of their Asbestosis position overall and the manner in which the claim has been handled by them." |
"+? Position of New Names." |
"There has obviously been much discussion within the market regarding asbestosis and other potential loss developments on old years. These problems obviously present difficulties to the Underwriter closing the account, and to the Managing Agent and Panel Auditor. I have, however, heard that one or more Panel Auditors have approached the Lloyd's Audit Committee for specific guidance with regard to the figures which should be allocated to asbestosis claims, and I am sufficiently disturbed by the possibility that this should be true for me to write this letter.
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a) that it is possible to set a figure to close an account that will be proved closely accurate in the future;
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" ... but regardless of this all of us should surely acknowledge that even our best endeavours may be found to be far too much or far too little at some later date." |
"The decision was taken not to refer specifically to Asbestosis risks in the Rota brief." |
"The attached draft will, it is believed, assist Auditors in agreeing the reserves to be created at 3W' December 1981, although it is still possible that a few individual syndicates may feel it necessary to approach the Committee for further instructions. It is also likely that a number of syndicate accounts will be left open at the discretion of the Managing Agent concerned.
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"The Committee was advised that six firms on the Lloyd's Panel of Auditors covering the large majority of syndicates had requested instructions, in accordance with Clause 3 of the Audit Regulations, as to the basis on which syndicates should provide for Asbestosis liabilities as at 31st December 1981.
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"Asbestosis - Lloyd's Audit at 31st December 1981
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1 . Reserves for Asbestosis liabilities should be separately identified and disclosed to Auditors. This applies for both the closing and open years.
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I would urge you to discuss the contents of this letter with your Auditor before deciding what further action, if any, is necessary for you to take.
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"Asbestosis - Lloyd's Audit at 31st December 1981
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"Herewith the latest epistle on Asbestosis. I cannot believe that at some stage we are not going to find a Syndicate where this is a major problem. If any partner is unhappy about a particular situation I suggest he lets me know and we will try and organise a PSP type meeting so that a view can be formed and the partner can then talk to his client knowing that he has the full backing of his colleagues.
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"We regard these reinsurances very much as 'sleep at night' cover as, in spite of the complexity of the situation (21 major assureds with identifiable insurers into 3 figures) we feel our reserving is conservative in light of the information available to us at this moment in time." |
"... a letter had been sent to all Underwriters with regard to Asbestosis. Since that letter had been circulated there had been little or no reaction from the Market." |
" ... between $4 bn and $10 bn with the lower end of this range appearing most probable at the present time" |
"Our work suggests that the primary companies which are involved have already done significant reserve strengthening on currently known claims and have also established loss reserves for incurred-but-not-reported claims. In the light of emerging knowledge on the business, we anticipate that additional reserve strengthening may be required in the future. On the other hand we believe that there is a possibility that numerous excess and reinsurance carriers may be greatly understating their potential liabilities for this exposure at the present time." |
"... under-reserving - particularly due to the problems of latent disease and other late developing problems" |
" ... increased regulation of our business, which I believe would be extremely harmful to our industry." |
"The Committee was informed that, for a number of years, comment had been received from Panel Auditors that it was inappropriate to draw their attention to specific Market problems thereby encouraging Auditors to rely upon these advices rather than their own auditing enquiries with their clients. In view of these comments, the Audit Committee had recommended that a number of the items which appeared under Clause 3 of the "White Regulations" should be either deleted or amended." |
"Nevertheless, the principle that Names should be able to make fully informed decisions, on the basis of full disclosure by agents of the limits of their independence, is a vital one. We dealt at some length in chapters four and five with the improvements we would like to see in the recruitment process." |
"From the evidence submitted to us, however, we have identified six aspects of the current system about which there is concern on the part of Names and others closely associated with the Lloyd's market. These are:
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(i) the effectiveness of the existing controls over commissions in relation to those introducing new Names:
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i) The Audit Committee was a policy and advisory committee reporting to the Committee of Lloyd's on matters affecting the solvency of members and the security of policies. It existed from 1960 until 1983 when it was replaced by the Members' Solvency and Security Committee (renamed in 1986 as the Solvency and Security Committee).
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"(1) This section shall only exempt the Society from liability in damages at the suit of a member of the Lloyd's community.
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(a) in so far as the underwriting business of any member of the Society or the costs of his membership or the business of any person as a Lloyd's broker or underwriting agent may be affected; or
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unless the act or omission complained of --
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(i) was done or omitted to be done in bad faith; or
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(4) [no exemption for death or personal injury]
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"(4) The accounts of every underwriter shall be audited annually by an accountant approved by the Committee of Lloyd's and the auditor shall furnish a certificate in the prescribed form to the Committee and the Secretary of State.
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(a) in the case of liabilities in respect of long term business, by an actuary, and
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(6) Where any liabilities of an underwriter are calculated by an actuary under subsection (5) above, he shall furnish a certificate of the amount thereof to the Committee of Lloyd's and to the Secretary of State, and shall state in his certificate on what basis the calculation is made; and a copy of his certificate shall be annexed to the auditor's certificate." |
"The Committee of Lloyd's has been gravely concerned in the past when organisations unconnected with Lloyd's have distributed literature relating to Underwriting Membership and offered to introduce the recipients to Underwriting Agents. There can be no objection to the publication of articles about Lloyd's, provided that the information given is factually correct, but the Committee considers that any attempt to introduce applicants for Membership of Lloyd's other than by the traditional method of personal recommendation by existing Members can do Lloyd's nothing but harm.
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"Apart from these particular matters, however, the investigations drew attention to an absence of understanding on the part of many working members of the principles of the law of agency. The Lloyd's investigators into PCW told the Corporation (in a letter dated 20 January 1984) that it was apparent to them that many members of the Lloyd's community in senior positions 'were not even vaguely aware' of the legal obligations on agents to act at all times in the best interests of their principals, not to make secret profits at their principals' expense and to disclose fully all matters affecting their relationship with their principals." |
" ... the interlinked reasons why things looked so different at the end of the 1980s and in the early 1990s, from the way in which they had looked in the early 1980s." |
i) Various defences which had been regarded as likely to negative liability in many cases proved to be of little assistance in United States courts.
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"It takes a brave man, or a foolish one, to forecast the outcome of the open years. For what it is worth I would personally expect the bottom line on each to show a deterioration on the preceding one." |
"... policies which parade as ordinary reinsurance policies but which, either by their express terms or as a result of some undisclosed understanding between the parties, in fact contain no genuine or significant element of risk. In their most extreme form they enable a Syndicate from time to time at its discretion to place funds by way of 'premiums' with a reinsurer, usually overseas, with the right for the Syndicate at any time to call for repayment of those funds, together with interest, by way of 'claims'." |
"The obvious case for such a policy would be for a Syndicate's asbestosis liabilities. These losses are coming in at a frightening rate and for many Syndicates a full reserve would bring massive losses to Names in 1981/1982 Accounts. This type of loss may settle very slowly if every case is contested through the Courts OR it may settle very quickly as Underwriters attempt to reach a compromise with their assureds or re-assureds. In the former case, the Reinsurer will make profits, in the latter, there exists the probability of severe losses.
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i) It reported the formation of Toplis & Harding (Asbestos Services) Ltd as a service company, initially in order to avoid attorney reports being passed through brokers (with adverse implications for discovery of documents in actions in the United States).
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"The evidence can only be anecdotal, but it seems to me (and to others with whom I have discussed the question) that market members are beginning to think that, having kept their heads down and let the blast of the past 18 months blow over them, and having taken a great deal in the way of uprooting and rearranging from an imposed outsider - you - they can now successfully fight back in defence of their traditional ways of work, that by obstinacy they can blanket your reforming power, and in short that they can dive back into a cosy system that will be not much noticed by Press and Parliament - or, one supposes, the Names. If anyone is thinking like that - and I believe that more and more people are - they are profoundly wrong, and in My judgment most dangerously so for the future. I hope that I do not need to emphasise the consequences of, for instance, disappointing the Revenue's expectations in the matter of disclosure, or conniving at the concealment from Names of information which, if they were company shareholders, they would be statutorily entitled to have." |
"As to syndicate accounting I believe in all honesty it can be said that we have made great progress in arranging for the publication of syndicate accounts and by incorporating by byelaw certain basic essentials which will go to Council on 13 February. I do not share your view that the AASC memorandum represents a substantial defeat. Disclosure is the name of the game and disclosure is what we are achieving. There is an inevitability about the work of accountants in this field which even the high Tories on the Committee know they cannot reverse." |
"It is rapidly becoming apparent that the potential claims arising from asbestos will dwarf any claim in the history of our industry. It is very sad that in the United States to date under half of the money paid by our industry has ended in the hands of the injured party, the balance is in the capacious coffers of the more rapacious lawyers: for this reason we support, and I very much hope all our industry will support, the concept of a claims handling facility set up by the insurers and manufacturers to look after the interests of the injured." |
"In virtually every year since I became an underwriter the committee have found it necessary to increase the [minimum recommended] percentages. When one considers the billions of dollars now being paid out, on claims such as asbestosis, claims totally unprovided for out of the years in which they fell. When one considers further, such losses as environmental pollution claims, now beginning to be presented in respect of waste, haphazardly dumped over decades. When one considers the ever changing attitudes of courts, especially in the USA, but also here, and around the world, towards all accepted ideas of negligence and the duty of care owed to others, towards the interpretation of policy forms, towards our right to rely on exclusions, all of which will affect unsettled claims currently being handled.
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"I can think of no syndicate since 1946 with a volume of business in long-tail which has stopped underwriting and on which the run-off has been contained within its original RITC taking interest into account." |
"It is vital that Underwriters and management do study and understand the problem in a technical sense. The days are gone when reserving can be done on a case-by-case basis plus something extra for luck. Our industry must cope if it is to continue to serve society in the way society demands of us and we are to remain solvent." |
"1. The number of present and expected asbestos related claims is enormous, and the problems they are creating for the producers and insurers are unprecedented, both in terms of the total dollars involved and of the human resources needed to handle these claims.
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"I suspect that if 418/417 had left its 1982 year open, this would have had a marked effect on the Lloyd's market and underlined the depth of the problems represented by asbestos-related and pollution claims. The extent to which subsequent events would have taken a different course is a matter of speculation, but the effect would have been significant." |
"But the fact remains that poor accounting practices and inadequate audits, together with a tax climate that encouraged sub rosa arrangements, had all contributed to a situation in which a few Lloyd's agents milked their Names of up to £100m. Many at Lloyd's have asked "where were the auditors?", in the second part of this talk I propose to address that question." |
"For a number of reasons, therefore, there was a continuing risk, not always avoided, that the panel auditors at Lloyd's lacked independence from their clients: some kept the books, some were too dependent upon Lloyd's for their fee income; together they formed a small group specialising in an arcane area of accounting work; and the different interests of Names and their agents were not necessarily adequately reflected in the audit arrangements.
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"... the need for increased membership as a result of the shortage of capacity and the conflicting adverse publicity arising from reported underwriting losses for recent years." |
"Although we believed that this would take some years, the end was now in sight, and the way in which we would reach the end had been put in place. ... No-one foresaw the way in which asbestos claims would take off, as they did, in the years following the Wellington Agreement." |
"There are plenty of horrors in the pipeline and they must be reserved even if figures are not available. The 'true and fair' requirement should assist in this.
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"In the past, Underwriters had used inadequate techniques, resulting in inadequate reserving. The Market had been 'saved' by high interest rates and a soft reinsurance Market and it was vital that Lloyd's became more professional in its approach, in particular by taking actuarial advice." |
"Figures such as these make it obvious that underwriters must take stringent remedial action as indeed they are. It is worth repeating that a combination of three things is needed, particularly in the all-important American casualty business; first, a realistic rating level; second, a reformed policy wording embracing, where needed, a claims-made basis for claims and an overall limit, including legal costs; and third, a measure of tort law reform. Without real progress in all three areas, it is hardly to be wondered at if underwriters increasingly withdraw from this class of business, with the result that certain industries will be left without the insurance coverage which they need to continue in business, to the detriment of society in general." |
"My own views on the paramount necessity of an independent Chief Executive, with appropriate terms of reference, responsible directly to the Council have not changed and, therefore, I would find it impossible to continue in office were those terms to be significantly altered. At the same time, the argument is a perfectly proper one for a self-regulatory body and, by resigning at this time, I remove an obstacle to the Council's freedom of discussion and to my freedom to argue for the retention of the position of the Chief Executive with independent powers without any suggestion of self-interest." |
"To consider whether the regulatory arrangements which are being established at Lloyd's under the 1982 Lloyd's Act provide protection for the interests of members of Lloyd's comparable to that proposed for investors under Financial Services Bill." |
"The US based liability account has yet again been the cause of most of the market's difficulties as, once again, it was necessary for underwriters to increase reserves for asbestos related losses. Although the Asbestos Claims Facility - set up with the support of Lloyd's - is, making significant savings in the legal costs involved, this is to some extent offset by there being no slowing down in the number of new suits being brought.
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"Part of the premium paid for the Reinsurance to Close may correspond with known, noted and. quantified losses and therefore the element of risk assumed by the Reinsuring syndicate may be minimal. A significant part, however, of the Reinsurance to Close relates to an assessment of likely future claims or expenses which by their nature cannot be quantified within a narrow margin with any proven degree of certainty. This pure risk premium is at present assumed by Names with no requirement for related assets of any sort. I believe that a figure corresponding to 25% of the Solvency test minimum percentages would probably be an appropriate figure to deem to be Premium Income for Premium Income limit purposes when such Premium is received as Reinsurance to Close premium." |
"1.5 Progress achieved, however, is not by itself enough unless it leads to an affirmative answer to our question - do the regulatory arrangements now in place at Lloyd's provide protection for Names comparable to that proposed for investors under the Financial Services Act? Our answer to that question is that, notwithstanding the major progress made by the Council of Lloyd's since January 1983, they do not.
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"Thank you for your letter of the 7th May. I was stating the "outside" or Revenue view of the reinsurance to close which did appear to them an "incredible privilege". It was abused by some underwriters as the mass of rollovers demonstrated and some underwriters were carrying forward large sums of money more based on a wet finger in the wind than on any statistical basis.
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"This class of business, much of which comprises policies issued to insureds in the United States of America, continues to be adversely affected by certain features of the legal system of that country.
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" ... the Solvency Test Instructions should stress more firmly than currently that the minimum percentage reserves are the absolute minimum to be reserved and that most syndicates should be reserving at levels significantly above the minima particularly in the case of 'long' long-tail business." |
"Mr Merrett reported that the Annual meeting of the recognised Auditors had recently taken place and had seemed to have proceeded satisfactorily. Mr Robin Jackson, however, had been referred to as a pessimist as regards Asbestos/Environmental pollution. Mr Merrett had tried to explain that Mr Jackson was in fact being optimistic considering the background against which he was working." |
"I enclose the latest report from the Asbestos Working Party which illustrates that that area of claims is still accelerating. You will also be aware that pollution claims are now coming in thick and fast and as further illustration I enclose a graph of our outstandings on our policy with Outhwaite.
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"... that as regards the solvency position Lloyd's should not double guess the auditors, and that there were no grounds to justify Lloyd's intervention on 'fit and proper' criteria, and that it was an unattractive option for Lloyd's itself to intervene and offer a cap on the policies." |
"5.6.1 the problem of open years affected the membership as it existed at the moment. Though Names were informed when they joined the Society as to the possibility of open years it had never been considered much of a problem. However, Agents should take the problem more seriously now and make their Names aware of the likelihood of open years;
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"The difficulties associated with long tail liability business highlighted by the chairman of the non-Marine Association have resulted in both an underwriting loss and an overall loss. This business is now, however, being written at rates that better reflect the present climate and with policy wordings appropriate to the changed circumstances." |
"Our two main areas of difficulty are in asbestos-related claims and environmental impairment.
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"First I should make it absolutely clear that I make no pretence whatsoever that the reserves my Committee accepted last year, or the alterations we propose now, are correct. All that can be said with certainty is that in no area of their business have Lloyd's Underwriters been so substantially and so consistently under-reserved as in the liability accounts.
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"5.13 The LMX market had made the position much worse. The basis upon which reinsurance claims were paid on Alicia and the October storms was slower than on any other claims in the market because the brokers' obligation to fund had been removed and there was practically no pressure for special settlements. Each turn of the payment cycle took at least two or three months, ie the time between payment by an underwriter and collection from his reinsurer. This operated to delay the time when the ultimate payers became aware of their obligations.
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"14.8 We have carefully considered all the events in 1980 to 1982 on which the Names rely in support of their contentions that 1979 should have been kept open, culminating in the Neville Russell letter in February and the Murray Lawrence letter in March of 1982. But we are not persuaded that these arguments fairly or adequately reflect the overall market perception (or lack of perception) of the likely future dimension of the asbestosis claims experienced at the time ... The choice appears to us therefore to lie between the conclusion that the entire market with long-tail US liabilities was negligent in closing 1979 or that the allegation of negligence in this regard is based on hindsight. In our view the latter conclusion is more likely to be correct.
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"Unless we take radical action now to produce a solution which is acceptable to our policy holders, our regulators, and to you, our membership, I do not believe that the Society will be able to survive in anything like its present form." |
"The key elements of the R&R Plan were providing all Names with the opportunity of "finality" through an acceleration and expansion of the Equitas project (as the NewCo project was, by then, known) and a settlement which would include an estimated £2 billion of debt credits to reduce the cost of finality. The proposals as set out in the Settlement Offer document in July 1996 were accepted by almost 95% of the Names. Between May 1995 and the making of the Offer in July 1996 various committees were established to review the proposals from the Names' standpoint. These included the Names Committee, under the chairmanship of Sir. Adam Ridley (Deputy Chairman of the Association of Lloyd's Members), which considered how to achieve a fair allocation of the debt credits. The Validation Steering Group was also established under the chairmanship of Sir David Berriman, representing the Association of Lloyd's Members, and including representatives of the Litigating Names Committee and the Lloyd's Names Associations' Working Party. Its terms of reference included an evaluation of the comparative advantages and disadvantages of alternatives to the R&R Plan and an examination of the powers of Lloyd's to implement R&R and of the Council's duties to members and policyholders in so doing. The Group was independently advised by Slaughter and May." |
"(i) could have confidence in Lloyd's as an institution to safeguard his/her interests,
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(a) could rely on syndicate accounts;
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"(a) that the Lloyd's market was in a sound financial condition; and
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"This confidential brochure is intended for the sole use of the person to whom it has been issued by the Committee of Lloyd's and may be shown by the recipient only to his personal advisers. The brochure in intended to inform the recipient and his advisers of many general facts concerning the organisation and operation of Lloyd's and is not intended to be an offer of Membership of Lloyd's nor the solicitation of an application for Membership of Lloyd's. This brochure should be read in conjunction with other materials provided to the recipient in the process of his application for Membership of Lloyd's. Any question with respect to materials contained herein should be addressed to the Agent and/or Member who is sponsoring the application for Membership of Lloyd's." |
"1.2 Insurance is a risk business
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"2.4 The Committee deals with all matters affecting the general interest of Lloyd's eg the provision and maintenance of suitable premises including the Underwriting Room for the purpose of carrying on the business conducted at Lloyd's: the prescribing of conditions governing Membership: the framing of rules relating to the stringent security requirement with which all Members must comply: supervision of the overall conduct of the Annual Audit of Underwriters' Accounts: the maintenance of a system of worldwide shipping intelligence: and the monitoring of legislative, regulatory and judicial development in most countries of the world. To this end, the Committee is served by a staff of about 2,000, comprising administrative, clerical, printing, catering, liveried and artisan personnel." |
"2.7 Whilst in the early days of Lloyd's each Underwriter underwrote his own risks, the development of Syndicates resulted in the current practice of each Member appointing an Underwriting Agent or Agents, who employ an Underwriter to write business for all the members of the Syndicate or, alternatively, delegate the underwriting to another Underwriting Agent under a Sub-Agency Agreement. The functions of the Underwriting Agent are of vital concern to Members because the Agent is in complete control of the underwriting affairs of his Names, and has to deal with the complications of taxation, reserves, investments and the running of the Agency, in addition maintaining accounting procedures and statistical data on the current trends of underwriting. The Underwriting Agent is responsible for advising the Member as to which syndicates to join and conducting his Lloyd's business on his behalf, which involves, among other things, keeping him fully informed of the progress of his underwriting activities, as well as keeping regularly in touch with the syndicates to which the Member belongs. The Agent will also be responsible for the investment of premium income received for the Member's account. (See "Investment of Premiums" at 9). The Agent may however make arrangements for some of his duties to be carried out by another agent. The Underwriting Agent has a duty to his Names on the one hand to conduct the underwriting affairs in as efficient a manner as possible, and to the Committee of Lloyd's on the other to see that its requirements are. complied with on behalf of the Names of whom he acts." |
"6.1 In order to be eligible to underwrite insurance at Lloyd's, an individual must apply and be accepted as a Member of Lloyd's. An application is made through an Underwriting Agent with the sponsorship of an existing Member of Lloyd's, to whom the potential Member is well known. The potential Member must also be known to at least one other Member, who may be his proposed Agent. Not all those who seek to become Members of Lloyd's are admitted. Applications for Membership must be completed by a date set each year, generally in the early summer ...
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"10.3 The Lloyd's system of accounting is on a three-year basis. This means that the profit or loss with respect to a given syndicate's year of account is determined only as at the end of the third year of its life when a reasonable estimate can be made of the ultimate income, claims and expenses which will be received or incurred with respect to policies signed during the year of account. The year of account is opened on January 1st. Insurance policies are then signed on behalf of the syndicate during the entire year. Premiums on these policies may be received during the first year or they may be received during the second, the third or future calendar years. They will then be allocated back to the appropriate open year of account provided they are received before the account is closed at the end of the third year. Regardless of when they are collected they are considered income for that year of account. Likewise, expenses and payment of claims with respect to the policies written during that year of account are allocated to the year of account, provided this has not been closed. At the end of each of the first and second calendar years of an account, an estimate is made of the anticipated liabilities (see "Lloyd's Audit" 12.3), in order to determine whether the account concerned is projecting a surplus or deficiency based on the income received and claims made at those stages. A similar exercise is carried out in respect of the account which is at the end of its third calendar year.
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"11. CLOSING REINSURANCE
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"12.1 Pursuant to the United Kingdom Insurance Companies Act under which Lloyd's operates, each Member's underwriting accounts must be submitted annually as at each December 31 to a rigorous audit conducted by a member of a panel of chartered accountants approved by the Committee of Lloyd's. This audit is carried out in accordance with the "Instructions for the Guidance of Lloyd's Auditors" (referred to as the "Audit Instructions") issued annually by the Committee of Lloyd's with the approval of the British Department of Trade. If, after taking into account all assets including those referred to in "Description of Security" at 8 (but excluding the Central Fund and Guarantee Policies), a Member's accounts do not conform to the standard of solvency required, he will be obliged to provide additional funds, or to cease underwriting. In conducting the annual audit, the Managing Agent and active underwriter of the Syndicate together with the panel auditor, determine the reserves necessary to be created on the syndicate's accounts including the amount required to close the account at the end of its third year. Once this latter amount is determined, the account may be closed and reinsured into a later year of the syndicate, as described under "Closing Reinsurance" at 11.
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"(i) The whole of each brochure must be considered.
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(1) that Lloyd's would regulate and direct the business at Lloyd's with care and diligence and/or lawfully;
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The alleged (derived) representations are re-workings of the implied terms rejected in Clementson." |
"(vii) As to the first alleged representation ("could have confidence as an institution to safeguard his/her interests") it is (a) unclear in its terminology; (b) does not accord with the administrative structure and governance of the Lloyd's market and the regulatory background for the auditing and accounting regime at Lloyd's; and (c) is inconsistent for example with the following express statements in the brochures." |
"See further for example "Membership - The Issues" December 1986 under the heading "Key Membership Issues.
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"(viii) Similarly the second alleged representation ("could trust those who were chosen by Lloyd's to regulate the Lloyd's market and manage its affairs") and the third alleged representation ("because of the way in which Lloyd's regulated and monitored underwriting accounts year by year, (a) could rely on syndicate accounts; (b) could in underwriting and/or in deciding whether to remain a member of Lloyd's have confidence in the audited syndicate results, for results of past years; and (c) could be sure that Lloyd's as part of its regulatory duties would ensure that when prospective liabilities were reinsured by one syndicate year into another, such liabilities were being fairly assessed and quantified as between two syndicate years") are (a) unclear in their terminology; (b) do not accord with the administrative structure and governance of the Lloyd's market and the regulatory background for the auditing and accounting regime at Lloyd's; and (c) are inconsistent for example with the following express statements in the brochures." |
"11. CLOSING REINSURANCE
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"... it seems to me that whatever test is applied, there is no need for the implication of any of the suggested terms. The undertaking is wholly efficacious as it is expressed and wholly carries through its object, namely contractually to bind the individual to the rules etc of the Society. Since this was the bargain that the parties were making, they could not on any sensible view have regarded the suggested implied terms as a necessary part of the individual's promise to comply with the rules. The contract is not incomplete; its nature does not require that further unexpressed rights and obligations should be implied into it." |
"... I would be content to accept the judge's reasoning as my own. ... It was in no way necessary to the efficacy of the contract that Lloyd's should regulate and direct the business in its market with reasonable care ... Mr Mason was subjecting himself to the regulatory jurisdiction of a. body of which he was becoming a member and consisting of his fellow members. For the management of his underwriting business he would look to his own agents and not to Lloyd's. In contractual terms there was no more to it than that ..." |
"... I take the view that there are four reasons which cumulatively make it impossible to imply any of the suggested implied terms ... Thirdly, the Lloyd's system operates on the fundamental premise that a name entrusts his affairs, and in the process his fortune, to his managing agents. The name has remedies both in contract and in tort against the managing agent: Henderson v Merrett Syndicates Ltd ... Names assume substantial risks but at all material times names have done so in return for the advantage of their money, by way of underwriting and investment, "working twice", added to which there have been the prospects of substantial taxation advantages. Historically becoming a name at Lloyd's proved very profitable business. But the negative side of the bargain has always been that the name relies on, and assumes the risk of, the honesty and skill of his managing agent. Manifestly in the Lloyd's system there is no assumption of responsibility by Lloyd's to supervise the investment or underwriting decisions of managing agents That does not mean that Lloyd's has a licence to act in bad faith, for improper purposes or otherwise in an unlawful manner. But that merely means that such action would be ultra vires ...
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(1) "Pursuant to the ... Act ... each Member's underwriting accounts must be submitted annually as at each December 31 ... to a rigorous audit conducted by a member of a panel of chartered accountants approved by the Committee of Lloyd's."
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"MAJOR FINANCIAL ASPECTS
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"(vi) The alleged representations are (a) unclear in their terminology, (b) do not accord with the administrative structure and governance of the Lloyd's market and the regulatory background for the auditing and accounting regime at Lloyd's; and (c) are inconsistent with express statements in the documents. By way of example I refer to the passages quoted in chapter l 9 from the Aggregate Results/Global Reports and Accounts as at 31.12.81 to 31.12.87.
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"Asbestosis
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"I am pleased to say that this year we are presenting Lloyd's Global figures in a much improved and more comprehensive form...
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"...
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"I am pleased to report Lloyd's Global results for 1981 ... it is pleasing to be able to record a substantial profitable result for 1981 of almost £152 million ... the reinsurance to close increased from £2.1 billion to £2.7 billion. ... It is easy to be pessimistic in today's insurance world. 11 remain an unrepentant optimist ... I believe that while we still have to go through the troughs of 1982 and 1983, Lloyd's will emerge having avoided the worst of the losses now being reported by so many of its competitors, particularly in the US market. I predict a future in which Lloyd's will maintain and improve its position in the insurance industry. |
"We who underwrite at Lloyd's have certain advantages over our competitors - for instance our business is truly international and we have the ability to change the content of our account swiftly. Nevertheless, it is impossible for most of us to perform entirely differently from others in our market place with the exception of small specialists. It is well known that non-marine underwriting has been very difficult and over-competitive in the early 1980s and our results demonstrate this. I will be surprised if my successors have better results to show for the underwriting years 1982 and 1983 when they are closed ...
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"...
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"The figures produced for the close of the 1982 Account do not make happy reading from the non-marine market's viewpoint, producing an overall loss of £219m after taking into account substantial investment earnings. It must be remembered when reviewing these figures that they relate to the experience of the insurance market of three years ago when the insurance industry generally was at it lowest ebb for very many years, if not in its entire history.
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"While 1983 is still within the trough of poor results ... it is nevertheless pleasing. to be able to report at least an overall profit of £36 million or £179 million excluding the PCW syndicates..
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"It is disappointing to report that, once again, the non-marine market has produced an overall loss after taking account of investment earnings. The loss of £231 million is somewhat higher than 1982 and represents a loss of 21 per cent on a total non-marine premium income of £1,074 million. Although the overall market results of the year 1983 on its own were thoroughly unsatisfactory, they have been exacerbated by the need of a number of syndicates to set aside additional reserves in respect of latent disease claims such as asbestos for the prior closed years of account. The year also suffered a number of catastrophes including winter weather losses and Hurricane 'Alicia' in the United States. ... Hurricane 'Alicia' ...may untimely turn out to be the largest loss yet suffered by the market from one storm.
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"... the overall results for 1984, constitute a record profit for the Lloyd's market of almost exactly £300 million, excluding PCW, while the outlook for 1985, at least overall, looks likely to improve on that figure and 1986 is spoken of, almost reverently, as a vintage year
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"The results of the non-marine market are, once again, dominated by the loss in the general liability section, which for the 1984 year of account amounts to £170 million on a premium income of £365 million. A substantial proportion of that loss results from the need, as in previous years, to add to the reinsurance to close item as the result of reassessment of liabilities on business written in prior closed years of account. This class of business, much of which comprises policies issued to insureds in the United States of America, continues to be adversely affected by certain features of the legal system of that country. One such feature is the contingent fee system whereby lawyers are rewarded by sharing in the damages which they are able to secure for their clients, often leading to spurious cases being pursued. Another is the system of awards by juries in civil damages cases where they are encouraged to think of the insurance industry as having a "deep pocket" from which victims may be compensated, regardless of whether or not there is fault on the part of insured defendants.
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"Over the past twelve months, two events have served to emphasis the vital role played by insurance and by the Lloyd's market in particular. - The devastation created by the storm of October 1987 which cut a swathe across southern England and Western Europe is being described as the world's largest insured loss, estimated to be 3 billion US dollars. More recently, in July this year, the dangers inherent in offshore oil production were brought into stark focus by the explosion which destroyed the North Sea oil production platform, Piper Alpha, involving tragic loss of life. ... The deterioration in the claims experience over the past twelve months, together with the need to provide for the development of past year claims, especially in relation to long-tail liability business in the United States, have particularly affected the 1985 account results. This emphasises the crucial need to provide for future liabilities by way of full and appropriate reinsurance to close at the end of each year. The same problems are also reflected in the number of syndicates with years of account left open at the end of 1987. At the end of December 1987 there were 76 syndicates with a total of 120 years of account left open. Problems associated with asbestosis and pollution risks, together with other US liability business appear to account for the vast majority of the run-off years. To have so many syndicates left open must be considered unacceptable to underwriters, members and agents alike. Consideration is, therefore, being given by the Council of Lloyd's to ways of dealing with this problem. ...
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"The 1985 result is, disappointingly, a deterioration on 1984, showing an overall loss of £5.3 million equivalent to 0.4 per cent on an income of some £1,331 million and an underwriting loss of £84.2 million. The result includes the well-publicised Outhwaite syndicates '317/661 for the 1982 account in run-off, accounting for some £85.4 million of losses without which the 1985 results would have shown a profit. ...
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"3. The Syndicate Auditor is required to examine the settlements on the Underwriting Accounts for 1981 and each previous year in relation to the reserves previously created to wind up such Accounts. If the result of that examination shows that the general pattern of claims experience on the Underwriting Accounts for the years in question is such as to demonstrate that the reserves previously created are likely to prove inadequate to meet the cost of winding up those Accounts, or if there are any other factors which affect or may affect the adequacy of the reserves, then the Auditor must report to the Council and obtain their instructions before issuing his Syndicate Solvency Report.
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"Clause 3.
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(a) Risks which include liability for latent diseases and products liability.
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"7.3 The tests for the audit reserves in relation to each category of business were set out in clause 6 of the Audit Instructions. For the year then in its third year of account at 36 months of development and any years of account in run-off, including, in each case, all years reinsured into it, the audit reserves were required (for most categories of business, including non-marine "all other" business) to be the greater of the following:
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(i) the application of a specified multiple to the net premium income for the respective year of account. The multipliers were known as the minimum percentage reserves [MPRs]. (For the oldest year of account specified in the Audit Instructions, which was expressed to include all previous years of account, there was an alternative test of outstanding liabilities, including IBNR);
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It is to be noted that:
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"6. It is the responsibility of the Management Agent to establish reserves in respect of both the Open and Closed years in order to ensure that adequate funds are maintained to discharge all liabilities. The Auditor must ensure that the Agent has discharged his responsibility in this regard in a reasonable manner consistent with available information on outstanding losses, statistics of underwriting performance, market experience and any relevant information and explanations." |
"Mr. Nelson advised the Committee that, with regard to Direct business, there was now a sophisticated and meaningful computer system for all asbestosis business written on a Direct basis. This information was available to both Underwriters and Auditors. With regard to the number of cases being advised this had risen from the original estimate of 15,000 to approximately 25,000 but the average cost, whilst being eroded due to inflation was still within the original estimate of $125,000 plus $10,000 expenses. He also advised the Committee that the controversy as to whether claims will be settled on an exposure or manifestation basis had still not been resolved.
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"The Audit Committee had recommended large increases in the U.S. Dollar scale of reserves and whilst a number of Committee Members considered these increases to be realistic, Mr. Murray pointed out that it could pose problems to Underwriters who wrote a "short" "All Other" Account. Mr. Chester said that the Audit Committee had spent a considerable time looking at the division of the "All Other" Account but that until further audit codes were available there was little likelihood of further divisions. He said that the Audit Committee would need the assistance of the Non-Marine Association in progressing this matter." |
"4. The date decided on by the Committee for the completion of the Audit will be given in the Audit Instructions. Agents should see that everything is done to enable their Auditors to sign the Audit Certificate by the prescribed date. This involves the Agent ensuring -
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"(vii) the auditor would need to be satisfied that the premium for the reinsurance to close a year of account was equitable as between the Names on that account and those on the accepting year of account. The determination of' the premium for the reinsurance to close involved the exercise of significant professional judgment and drew on the full experience of the underwriter.
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"23.14 Valuations of this nature depend to a very great extent upon commercial judgments, as to such matters as the volume and value of claims to be expected and as to the quality of reinsurances placed by the Syndicate. A particularly important aspect is the Reinsurance to Close and, although the "audit reserves" laid down in the Lloyd's Audit Instructions provide minimum percentages, the Managing Agent and Underwriter have to make a proper commercial estimate of the outstanding liabilities to arrive at the premium. Even though the membership of the Syndicate in any two consecutive years may be to a great extent the same, the reinsurance must be regarded as an arm's length transaction.
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"83(4) The accounts of every underwriter shall be audited annually by an accountant approved by the Committee of Lloyd's and the auditor shall furnish a certificate in the prescribed form to the Committee and the Secretary of State.
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"UNDERWRITING ACCOUNTS
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"The expression ("IBNR") was current at least by the 1970's; before, people talked about loadings". The Underwriter calculates the IBNR required, having regard to the type of business he engages in and the length of time experience has shown it takes for claims of that description to taper off to extinction. Having thus ascertained the reserve necessary to pay for outstandings and IBNR claims, the Underwriter is in a position to carry out the reinsurance to close. This involves the Underwriter paying the reserve so established as premium to the next open year of the Syndicate, which in return accepts the prior year's "run off liabilities" to extinction. Any balance is allocated to the closing Syndicate as profit (or loss). The process is repeated 12 months later for the next year, and so on. In performing the RITC the Underwriter is monitored by Auditors appointed by the Agency to safeguard the interest of the Syndicate's Names. The processes that I have described in this paragraph and will describe later in this section have been followed by Underwriters at least back to the early years of this century.
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(i) the aggregate of different percentages calculated on net premium income. These percentages varied according to the type of business written and year of account and were known as "Lloyd's minima". These were set on the basis of general market experience with the knowledge of the DTI.
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The tests were designed inter alia to establish solvency by a comparison between the assets of the Syndicate and cost of winding it up (represented by the highest of the three tests above).
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"Auditors were confident, however, that with their overall knowledge of the run-off experience of the market as a whole, adequate reserves could be calculated" |
"... as at 31 December 1980 Audit, there was an increase in the number of cases reported, there being 48 cases where the reinsurance premium charged to close the 1977 and previous years' accounts appeared to be inadequate after 12 months; this compared to the 40 cases reported at the audit as at 31st December 1979. Where the deficiencies have been substantial, the Deputy Chairman will be writing to the syndicates concerned to obtain explanations for the inadequacies." |
"The current turn in the market and our new regulatory regime will be seen by many as compelling reasons for participating in this market. Indeed it seems that is how most perceive the matter. The latest figures show that new applications for membership for 1986 continue to run 20 per cent above the numbers for 1985. At the same time, about 9,000 existing members are asking to increase their premium income limits for next year. It is, as we all know, almost impossible to speak of the "right" time to join the market. That said I believe that this is one of those times." |
"The Panel Auditors expressed grave concerns regarding the question of reserving for asbestos related claims. They commented that if a proper view was taken of reserves needed by syndicates at December 1981 auditors would not be able to sign off the reinsurance to close for the 1979 account of many syndicates which would have to be left open. Alternatively there would need to be such large provisions for future asbestos claims that the market would effectively be bankrupt. They said they wanted to give me advance notice of a formal approach to Lloyd's for guidance under Lloyd's audit instructions. 1 reported on the issues raised by Panel Auditors to Mr Robert Kiln who was or had just ceased to be the chairman of the Lloyd's Audit Committee, and to Murray Lawrence, who was then the Deputy Chairman of Lloyd's with responsibility for matters concerning the annual solvency test of Names." |
"I have arranged for the item to be put on the Agenda of both the Membership Committee and the Audit Committee when further consideration will be given to the basis of reserving and whether new Names should be warned that specific syndicates are carrying a liability for such risks." |
"Mr Lord asked when a decision in principle to accept the policy had been reached. The Chairman said that he could not be precise about this but referred to the schedule of dates that had recently been prepared for him by Winchester Bowring and which showed that this must have occurred in the period between about 19 February and 1 March.
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"Well, I regarded the fact that if, when we bought this contract in 1982 that if it was ever going to get affected - we bought it as a catastrophe contract, if I can use that in general terms, something quite catastrophic had to happen to make that contract be effective and that catastrophic happening could be one of two things. It could be some new situation coming to light which no-one could have foreseen and I use somewhere else, just to show the sort of stupidity of it, I think it could have been light bulbs that would blind us or it could have been mobile phones, it could have been anything; I want to make the point it could have been something unheard of at that time. The other way it could have been affected would be a catastrophic deterioration of something that was already over the parapet that we didn't expect. Those were therefore the two things I thought could have affected this contract and, as it happened, we got affected by both. Asbestos catastrophically deteriorated and we had pollution." |
"Mr Lord asked whether the Chairman could recall discussions that took place early in 1982 with Mr Nelson and Mr Randall about how the market might react to the concerns expressed by panel auditors. The Chairman said that he could barely recall the meetings at all, though he had recently refreshed his memory by seeing documents that Mr Hewes had listed for him.
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"From this line of authority I derive the following principles in the context of the present case:
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a) Mr Murray Lawrence certainly had knowledge of asbestos as a problem; the "white papers" dated September 1981 and 4 December 1981 signed by him (see paragraph 146 above) record "Obviously claims from the asbestos related diseases are catastrophic and disastrous so far as the whole insurance industry is concerned....". There is then the series of meetings with panel auditors, the Neville Russell letter, the Nelson memorandum, and possible discussions with Mr Randall as recorded by Mr Randall.
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"Q It is saying, isn't it, "we consider it impossible to determine the liability in respect of asbestos; this is a factor which may affect the adequacy of the reserves. Please, Committee, tell us what to do." It is as simple as that, isn't it?
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"The main worry raised by the auditors was the widely differing views taken by syndicates and that the real purpose of their letter was an attempt to seek some uniformity in the Lloyd's market for dealing with the matter." |
"There are several of these reports out there that were certainly written - the one I can remember is the Commercial Union one -was really, I think, written to try and accelerate tort reform in the United States of America. I think you had some agenda setting out there other than actually finding out what the ultimate figure was. It is quite interesting that the Commercial Union figures ... You see the figures out of the Commercial Union report. I am not sure there were 11 million, but there were quite lurid figures out there - that was not the figures Commercial Union reserved on. They were not the figures Commercial Union reported to their reinsurers." |
"Q. Did you feel - I know you were not involved in the exercise, but did you feel that Mr Rokeby-Johnson in conjunction with his auditors, was in a position to set an equitable RITC in order to close the accounts of that syndicate?
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"I would like to conclude this statement on a personal note. I fully understand and can appreciate the upset felt by the names in this action. Like them, I too joined Lloyd's after the majority of the insurances and reinsurances which caused losses had been underwritten. For me, it was made worse in that I had spent nearly twenty years attempting to sort out the problems we had or inherited, rather than enjoying the results of the business. Like the names I also lost a lot of money.
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"Reports on Inadequate Reinsurance
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"REPORT ON INADEQUATE REINSURANCES
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"ON INADEQUATE REINSURANCES (CLAUSE 3)
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"NON MARINE "ALL OTHER" U. S. DOLLAR
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"Non-Marine "All Other" U. S. Dollar
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"Despite the difficulties, the underwriter will eventually, after detailed study of the figures and in consultation with his staff, arrive at a figure, which I can only describe as being his assessment of the real worth of the reinsurance he is to effect. As with any other reinsurance, he must know what he thinks its worth, in order to know what he is prepared to pay for it. Performing, as I have said, his last duty, for the Members of the closing year's syndicate, he must endeavour to pay no more than this price, and if possible less. If he could effect a reinsurance to close with another party, for less than his assessment of its worth, he should do so and will be in breach of his duty if he pays more to any other party, including the following year's syndicate.
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". . . . we are working, through our Accounting and Auditing Standards Committee .... towards a comprehensive and more stringent approach to the auditing of Syndicates. The number of underwriting Members at 1st January 1984 was 23,438 and the signs are that more than 4,500 will come forward for Membership in 1985. At the same time, approximately 5,500 existing Members increased their underwriting commitments with effect from 1st January 1984, at which date the total of Members' deposits and Special Reserve Funds amounted to £1,289m. This amounted to 38% of overall Premium Income Limits and may be compared favourably with the figures ten years ago when the corresponding amount represented 17.1 % of Premium Income Limits. As the Market turns, Lloyd's is therefore well placed to take proper commercial advantage of that turn. I ask you to remember who will be responsible for that success which lies within our grasp. It will not be the Council, it is not the activity of regulation which creates wealth but rather the activity which is being regulated .... I cannot end this section of my address without a mention of reinsurance to close. The Revenue has a right and duty to satisfy itself as to the validity of the sums of money involved. The Underwriter has a right and duty to try to ensure that an adequate premium is charged for the transfer of obligations from one set of Names to another. The problem of adequate reserves for past liabilities is critical for the whole insurance industry. This is an age when no mere extrapolation of past claims experience has validity .... the reinsurance to close is fundamental .... and in these circumstances, Underwriters must pursue a prudent reserving policy. At the same time Underwriters must not use purely arbitrary or speculative judgments and I welcome the increased sophistication of the calculations leading to the final figure for the reinsurance to close." |
"a) where satisfactory explanations had not been given, letters should be sent to the Managing Agents of the Syndicates where the inadequacies exceeded 15%, requesting a full explanation of why the inadequacies had occurred and what steps had been taken to avoid a recurrence.
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"Scales of Percentage Reserves
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"The Auditor must also have regard to the fact that the scales of percentage reserves set out in this Clause represent the absolute minimum requirement for any Syndicate and have been compiled on this basis. Where professional judgment and statistical evidence so suggest, provision must be made over and above the minimum percentage reserves to take account of the particular circumstances of individual Syndicates."
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d) As a result of the above factors some Syndicates will be required to reserve sums greatly in excess of the percentages.
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"Against this background of judicial uncertainty, already catastrophic losses, and the reality of massive property damage claims yet to come, the task of fixing meaningful reserves and managing cash flow to pay claims will continue to demand virtual clairvoyance and a near reckless courage from executives involved at primary level, as well as from their reinsurer counter-parts. You might well ask if we are getting it right. I will show you how we propose to do just that." |
"The 1982 Act gave us new and sufficient powers, so we must look at what we have achieved by passing byelaws in relation to the underwriting agency system.
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"The figures produced for the close of the 1982 Account do not make happy reading from the non-marine market's viewpoint, producing an overall loss of £219m after taking into account substantial investment earnings. It must be remembered when reviewing these figures that they relate to the experience of the insurance market of three years ago when the insurance industry generally was at its lowest ebb for very many years, if not in its entire history.
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"In the main the syndicates identified were reasonably predictable, including syndicate 895, five former PCW managed syndicates (plus, the two stoploss syndicates impacted by PCW losses) and two Robert Napier syndicates formerly managed by Oakeley Vaughan. Fifteen of the twenty-four syndicates affected no longer underwrite.
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"Mr Kellett drew attention to the section of the paper dealing with inadequacies of reserves and asked the SSC what further action should be taken in respect of those syndicates with large inadequacies. The secretary explained that the Department had written to the managing agents concerned and in some cases this would result in an interview with a Deputy Chairman" |
"NON MARINE - ROBIN JACKSON
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"A large proportion of the "over 15%" inadequacies relate to the non-marine syndicates and 4 of the 7 marine syndicates relate to pollution and asbestosis claims. Once again the difficulty of providing the right level of reserves for longer tail business is highlighted. While syndicates must be careful not to over-provide for long-tail due to revenue investigations, under- reserving must be avoided to retain parity between Names where an account is closed to a more recent year of account.
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"Mr Merrett expressed concern that substantial increases in asbestosis/pollution claims were being notified by the Asbestosis Working Party and Environmental Claims Group. However, the Solvency and Security Committee did not have access to figures showing the overall position but had to rely upon the reports of individual syndicates. The level of reserving could be anticipated to require significant increases for next year and future years and Lloyd's needed greater comfort than at present that Agents were adopting adequate figures in their accounts. In Mr Merrett's view this was a problem that needed to be addressed centrally ...... In the ensuing discussion the following points were made: ... (v) The level of reserving was a matter for the Managing Agents and should not become a matter of instructions from Lloyd's centrally. (vi) The political aspects of the matter should not be ignored and pressure should be maintained on Washington, on the basis of the basic question of "Who should clean up America ..... At the conclusion of the discussion it was AGREED that: . (iii) The Chairman, Mr Merrett and Mr Hazell would discuss the matter on art informal basis with the Chairmen of the Market Associations." |
"Mr Merrett reported that the Annual meeting of the recognised Auditors had recently taken place and had seemed to have proceeded satisfactorily. Mr Robin Jackson, however, had been referred to as a pessimist as regards Asbestos/Environmental pollution. Mr Merrett had tried to explain that Mr Jackson was in fact being optimistic considering the background against which he was working." |
"Paragraph 1 (d) of our Terms of Reference
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(a) failing to identify sufficiently precisely the basis of the figures, presented with the placing information supplied by the cedant for the purpose of writing the run-off policies, leading to inadequate analysis (Section V, paragraphs 51 and 52),.
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3. Having regard to these criticisms, we consider that a substantial case based on breach of duty could be made out in relation to the writing of the run-off policies. However, in the light of all the evidence, and the advice we have received from our expert advisers, it is our opinion that a court action against Outhwaites or Mr Outhwaite based on this cause of action, would be unlikely to succeed. It is ultimately for the Names and their advisers to decide whether or not to pursue any remedies. We hope that the material we have assembled will assist them in making their decision." |
"Present market conditions, uncomfortable though they may be, are overshadowed by the need to provide for the development of past year claims, some as yet un-notified and unquantified, springing mainly from long-tail liability business in the United States. The deterioration in claims in this area over the past 12 months and the provisions that have had to be made as a result, have reduced in many instances the anticipated profit last year for the 1985 account. They are, in addition, responsible for the two current major problem areas in the market namely syndicate number 3 ) 17 (Outhwaite) for the 1982 account and number 553 (Warrilow) for the 1984 account." |
"Over the past twelve months, two events have served to emphasise the vital role played by insurance and by the Lloyd's market in particular. The devastation created by the storm of October 1987 which cut a swathe across southern England and Western Europe is being described as the world's largest insured loss, estimated to be 3 billion US dollars. More recently, in July this year, the dangers inherent in offshore oil production were brought into stark focus by the explosion which destroyed the North Sea oil production platform, Piper Alpha, involving tragic loss of life. The deterioration in the claims experience over the past twelve months, together with the need to provide for the development of past year claims, specially in relation to long-tail liability business in the United States, have particularly affected the 1985 account results. This emphasises the crucial need to provide for future liabilities by way of full and appropriate reinsurance to close at the end of each year. The same problems are also reflected in the number of syndicates with years of account left open at the end of 1987. At the end of December 1987 there were 76 syndicates with a total of 120 years of account left open. Problems associated with asbestosis and pollution risks, together with other US liability business appear to account for the vast majority of the run-off years. To have so many syndicates left open must be considered unacceptable to underwriters, members and agents alike. Consideration is, therefore, being given by the Council of Lloyd's to ways of dealing with this problem." |
i) The history of more and more years being left open must have brought home to Lloyd's that syndicates could not in fact calculate reserves including IBNRs.
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i) He reminded us of the evidence of Mr Tovey and Mrs Stynes. Mrs Stynes was a Chartered Accountant with previous experience in the auditing of insurance companies and Lloyd's syndicates between 1979 and 1981. In late 1981 she went to Ernst & Whinney where again, at least in part, her experience was in providing audit partners with support in the auditing of Lloyd's syndicates. She joined the Corporation of Lloyd's in February 1984 in the Accounting and Auditing Review, Department. The whole of her evidence was relevant but in particular she said "We believed that the syndicates themselves and their auditors were doing their job properly, and that the results could be relied upon for the purposes of the aggregation exercise which we undertook. Had I felt that the regime for production and auditing of accounts was unsound, or the syndicate results could not be relied upon, then I would not have been content to go forward as I did." Mr Tovey was also an experienced accountant who joined Lloyd's in 1984. He refuted in his evidence any question of dishonesty as far as he was aware.
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"(1) These Rules are a new procedural code with the overriding objective of enabling the court to deal with cases justly.
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(a) ensuring that the parties are on an equal footing;
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(i) to the amount of money involved;
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(d) ensuring that it is dealt with expeditiously and fairly; and
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"Article 6 - Right to a Fair Trial
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"39. The Court recalls that under the principle of equality of arms, as one of the features of the wider concept of a fair trial, each party must be afforded a reasonable opportunity to present his case under conditions which do not place him at a disadvantage his opponent (see the Dombo Beheer BV v the Netherlands judgment of 27 October 1993), Series A no 274, p 19, ¤ 33). In this context, importance is attached to appearances (see, mutatis mutandis, the Borgers v Belgium judgment of 30 October 1991, Series A no 214-B, p 31, ¤ 24, and the authorities cited therein).
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"83. (3) The court then has to decide whether, on an objective appraisal, the material facts give rise to a legitimate fear that the judge might not have been impartial. If they do, the decision of the judge must be set aside. (4) The material facts are not limited to those which were apparent to the applicant. They are those which are ascertained upon investigation by the court. (5) An important consideration in making an objective appraisal of the facts is the desirability that the public should remain confident in the administration of justice.
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"The question is whether the fair-minded and informed observer, having considered the facts, would conclude that there was a real possibility that the tribunal was biased." |
i) a party is entitled to present his case under conditions which do not place him at a disadvantage vis-ˆ-vis his opponent;
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"12. At the outset of the trial the learned judge expressed his determination that the hearing should conclude by the middle of July 2000. That decision placed unacceptable pressure on the Names and their small team of legal advisers who were unable within the available time scales adequately to consider and assimilate the documentation used at the trial (estimated at over 60,000 pages). The difficulty of assimilating documents was aggravated by extensive and unnecessary redaction.
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a. Equitas submitted figures to the Court relating to the quantum of asbestos-related liability affecting the Lloyd's market, contending that the figures were commercially confidential and should not be disclosed in open court. The figures were revealed to the Names' legal advisers under a confidentiality order which wrongly prohibited their disclosure to the lay client and to litigants in person. The Names' legal advisers wished to make submissions in open court regarding the figures so disclosed but the learned judge wrongly refused to permit such submissions to be made.
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15. The learned judge:
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a. wrongly treated the Minutes of Market Association Committee (and LUNMA in particular) as not being in the possession or power of Lloyd's;
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(a) the deadline for notification by names who wished to join the action be extended to 5 January 2000;
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(i) would adopt the evidence adduced by the lead solicitors and would not adduce additional evidence;
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(e) joining names could seek any further directions that they saw fit to seek,
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"But by far and away our primary complaint, if it is necessary to identify a complaint about acts or omissions by the judge ... ; if there is a complaint to be made, if I can put it in this slightly colloquial way, the judge failed to get a grip at an early stage of the pre-trial process, and by the time we! came in it was too late, the damage had been done.
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"It may be that Lloyd's Names are putting themselves under pressure by propounding this timetable. There is no room for doubt about it: a trial date of 4 October is undoubtedly going to impose pressure on both sides. We recognise that. But we adopt the line that it is salutary for that pressure to be applied because it will enable the parties to concentrate on the things that matter and to discard the peripheral matters." |
"MR JUSTICE CRESSWELL: If you consider that your clients' case is impaired in any way and you have not had the opportunity to cover the matter you must tell me so and we will recall the witness, or otherwise provide for the problem.
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"The problem we have was that it was left by the judge to Lloyd's to assess relevance, not just to assess whether a claim for privilege could be made out, but to assess relevance, and we say that in the special circumstances of this case and these documents, that was an abdication of responsibility by the judge. He should have allowed inspection of documents, redacted to preserve privilege if necessary, so that the Names themselves could select what it was that they wanted to rely on or not rely on." |
"Confidentiality is important because of the danger of disclosure to actual and potential claimants and because of the commercially sensitive nature of the information with respect to competitors. Although the information in some of the Attorney's Reports may be old, this concern must remain strong. To illustrate the first point: estimates of the costs to dispose of APH cases, if known, could easily influence APH claimants' attorneys in determining the level of their demand. The gross extent of coverage remaining to an assured would likewise be of interest to them. Insureds will take the view that such information are matters of utmost confidentiality and disclosure could adversely affect the costs of disposing of the cases, the competitive position of the companies, the price of their shares and may even ultimately concern the survival of the companies themselves". |
"There is provision for lead counsel and lead solicitors in this case; the important thing, as it seems to me, [is that] Mr Goldblatt as lead counsel should have access to this information and I'm sure that the litigants in person will realise that it is much better that this material should come in and that Mr Goldblatt should have access to it and be able to deploy it as he thinks appropriate subject to the restrictions, than that it should not be available to the Court at all". |
"13. The object of the strict confidentiality was, as I understand is common ground, to prevent information being disclosed which would be potentially damaging to Lloyd's and the whole Lloyd's market including Names party to this litigation.
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"The reserving information will show the calculations used to ensure Equitas was adequately capitalised in 1996, and the discussions which took place with the DTI. The DTI's initial estimates of capital required for Equitas were substantially reduced to get Equitas approved by the accepting Names in the R&R scheme. We contend the Equitas reserving figures will establish three things: (1) that Lloyd's and Lloyd's syndicates had been consistently under-reserving for APH claims year in and year out for approximately 30 years and (2) that with connivance with the DTI and Lloyd's Equitas was deliberately under-capitalised to bring in the accepting Names and (3) that progressive deterioration of APH claims through to the present day will show Equitas is insolvent and unable to meet its liabilities, thereby proving that claims on old policies written on 1967 and post years of account continue to bleed into the future." |
"18. That then, as it seems to me, is the material material to this application. I consider that the application should be refused for the following reasons.
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"It follows that it would be inappropriate to pursue, because we take the view that the cost of pursuit in relation to what we have been hearing from [Barlow Lyde & Gilbert] would not be justified within the context of the action". [Transcript, 10 December 1999, page 106] |
"... the right approach is not to treat consideration of these complaints as if [the court] were hearing an appeal from individual orders of the judge, but rather to stand back and look at the trial process as a whole, and ask whether the Names enjoyed not only the substance but also the appearance of a fair trial, and in doing that, [the court] will be adhering to the spirit of the approach which Article 6, now part of domestic law, requires a court to whom complaints about the fairness of a trial are made." |
"Permission to appeal will only be given where -
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i) There was a representation in the 1981 brochure that there was in place a rigorous system of auditing which involved the making of a reasonable estimate of outstanding liabilities including unknown and unnoted losses. (Paragraph 321)
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