|
QUEENÕS BENCH, COURT
OF APPEAL & HOUSE OF LORDS CHARTER
REINSURANCE CO. LTD., RESPONDENTS AND FAGAN, APPELLANT Authoritative
report at: [1997] A.C. 313 DATES: (Q.B.D.) 1995 May 22, 23, 24, 25; June 23 (C.A.) 1995 Sept. 12, 13, 14; Oct. 25 (H.L.) 1996 Feb. 21, 22, 26; May 22 JUDGES: (Q.B.D.) Mance, J. (C.A.) Nourse, Staughton and Simon Brown L.JJ. (H.L.) Lord Goff of Chieveley, Lord Griffiths, Lord
Browne-Wilkinson, Lord Mustill and Lord Hoffmann COUNSEL: (Q.B.D.) Sydney Kentridge
Q.C., John Rowland and Andrew Neish for the insurers. Gordon Pollock Q.C., Robert Hildyard Q.C. and Stephen Ruttle for
the reinsurers. (C.A.) Gordon Pollock Q.C., Robert Hildyard Q.C. and Stephen
Ruttle for the reinsurers. Sydney Kentridge Q.C., John Rowland and Andrew Neish for the
insurers. (H.L.) Sydney Kentridge Q.C., John Rowland and
Andrew Neish for the insurers. Gordon Pollock Q.C., Robert Hildyard Q.C. and Stephen Ruttle for
the reinsurers. SOLICITORS: Ince & Co; Davies Arnold Cooper. QueenÕs Bench Division
28 June 1995. MANCE J. delivered the following judgment. Introduction This case concerns the effect of three excess of loss
reinsurances incorporating ultimate net loss clauses in standard form in
circumstances where the reinsured is insolvent. The issue is short and I am
asked by both parties to determine it under R.S.C., Ord. 14A. Neither party
has formally adduced any expert evidence, although I have been shown various
sets of standard clause. The reinsurances contain arbitration agreements,
[*318] but these
have evidently been waived, and did not contain Òhonourable engagementÓ
clauses. The plaintiff is the Charter Reinsurance Co. Ltd. (ÒCharterÓ) in
respect of which provisional liquidators were appointed by order of Blackburn
J. on 23 June 1994. The defendant, Mr. Fagan, represents Syndicates 540
and/or 542 (Òthe syndicatesÓ) whose members reinsured Charter for relatively
small percentages under the relevant reinsurances. The issue is whether
Charter is entitled to recover under the reinsurances in respect of claims
received from its original insureds (or reinsureds) to the extent that
Charter has either agreed or been held liable to meet the same, in
circumstances where, due to its insolvency, it has not Òmade payment . . . by
way of transfer of fundsÓ to its original insureds or reinsureds. Since
insurance and reinsurance claims may be settled in account through market
clearing offices, I shall refer in this judgment to disbursement or other
satisfaction, to identify what I perceive to be the real point. The
syndicates submit that their liability to indemnify Charter is conditional
upon disbursement or other satisfaction of such claims by Charter. The issue has been raised though not decided in at least two
previous cases in recent years involving reinsurances incorporating ultimate
net loss clauses reinsuring other insolvent companies. It arose in Home
and Overseas Insurance Co. Ltd. v. Mentor Insurance Co. (U.K.) Ltd. [1990] 1 W.L.R.
153 and in a subsequent arbitration (the award in which was not put before
me), in both of which cases I was myself counsel. It was considered in In
re A Company No. 0013734 of 1991 [1992] 2 LloydÕs Rep. 415, a decision of
Mr. Roger Kaye Q.C. sitting as a deputy judge of the Chancery Division. The
syndicatesÕ skeleton argument records that the point is of fundamental market
importance, that it involves very large sums of money and that it has wide
repercussions; and also that the hearing of this summons has been expedited
as a test case and that the Department of Trade and Industry is taking a keen
interest in the outcome. One can understand why all of this should be so.
Viewed generally the reinsurances appear to be in very typical wordings; the
ultimate net loss clauses are in a form originating it appears in the 1930s;
the point raised by the syndicates goes to the root of the application of the
reinsurances on an excess of loss basis, particularly, though not exclusively
in circumstances where the reinsured may be in financial difficulty, and it
has potential regulatory and accounting significance. Insurance company
insolvency is no new phenomenon, but its prevalence in recent years and the
scale of liabilities and potential reinsurance recoveries currently involved
are probably unprecedented. In the light of these matters, this judgment is
given in open court. The reinsurance contracts In the last analysis the issue before me is one of construction
of each of the three reinsurances, although the ultimate net loss clause is
in general use in excess of loss reinsurances. The three reinsurances were
underwritten on a Òlosses occurringÓ basis to cover losses occurring during
1989 in the case of the first two and during 1990 in the case of the third.
The first two reinsurances, to which both syndicates were party, were
evidently part of [*319] a structure of layered reinsurances and were
closely linked by number, date and drafting. In summary, the first gave cover
of £2m. (or U.S.$4m. or Can.$4m.) excess of £3m. (or U.S.$6m. or Can.$6m.)
each and every loss, while the second gave cover at a higher level of £2‡5m.
(or U.S.$5m. or Can.$5m.) excess of £7‡5m. (or U.S.$15m. or Can.$15m.) each
and every loss. They can be taken together since their wording is effectively
identical, and accordingly I will set out only relevant extracts from the
first: ÒReinsuring clause ÒThis Reinsurance is to pay all losses
howsoever and wheresoever arising during the period of this Reinsurance on
any Interest under Policies and/or Contracts of Insurance and/or Reinsurance
underwritten by the Reinsured in their Whole Account. Subject however to the
following terms and conditions. ÒLiability clause ÒThe Reinsurers shall only be liable if and
when the Ultimate net Loss sustained by the Reinsured in respect of interest
coming within the scope of the Reinsuring Clause exceeds £3,000,000 or U.S.
or Can.$6,000,000 each and every loss and/or Catastrophe and/or Calamity
and/or Occurrence and/or Series of Occurrences arising out of one event and
the Reinsurers shall thereupon become liable for the amount in excess thereof
in each and every loss, but their liability hereunder is limited to
£2,000,000 or U.S. or Can.$4,000,000 each and every loss and/or Catastrophe
and/or Calamity and/or Occurrence and/or Series of Occurrences arising out of
one event. ÒWarranted Reinsurers hereon to have benefit
of Specific Reinsurances as per Schedule attached. ÒUltimate net loss clause ÒThe term ÔNet LossÕ shall mean the sum
actually paid by the Reinsured in settlement of losses or liability after
making deductions for all recoveries, all salvages and all claims upon other
Reinsurances whether collected or not and shall include all adjustment expenses
arising from the settlement of claims other than the salaries of employees
and the office expenses of the Reinsured. ÒAll Salvages, Recoveries or Payments
recovered or received subsequent to a loss settlement under this Reinsurance
shall be applied as if recovered or received prior to the aforesaid
settlement and all necessary adjustments shall be made by the parties hereto.
Provided always that nothing in this clause shall be construed to mean that
losses under this Reinsurance are not recoverable until the ReinsuredÕs
Ultimate net Loss has been ascertained. ÒNotwithstanding anything contained herein
to the contrary, it is understood and agreed that recoveries under all
Underlying Excess Reinsurance Treaties and/or Contracts (as far as
applicable) are for the sole benefit of the Reinsured and shall not be taken
into account in computing the Ultimate net Loss or Losses in excess of which
this Reinsurance attaches nor in any way prejudice the ReinsuredÕs right of
recovery hereunder. [*320] ÒPeriod of reinsurance clause ÒThis Reinsurance covers Losses Occurring
during the period commencing with 1 January 1989 and ending with 31 December
1989 both days inclusive, Local Standard time at the place where the loss
occurs. ÒIf this Reinsurance should expire whilst a
Loss and/or Catastrophe and/or Calamity and/or Occurrence and/or Series of
Occurrences arising out of one event is in progress, it is agreed that
subject to the other conditions of this reinsurance, the Reinsurers shall pay
their proportion of the entire loss or damage provided that the Loss and/or
Catastrophe and/or Calamity and/or Occurrence and/or Series of Occurrences
arising out of one event commenced before the time of expiration of this
Reinsurance. ÒCurrency clause ÒLosses (if any) paid by the Reinsured in
currencies other than Sterling, shall be converted into Sterling at the rate
of exchange ruling at the date of the settlement of loss or losses by the
Reinsured other than losses paid in U.S. or Can. Dollars which will be paid
in those currencies. ÒLosses discovered or claims made clause ÒIt is understood and agreed that as regards
losses arising under Policies and/or Contracts covering on a Ôlosses
discoveredÕ or Ôclaims madeÕ basis, that is to say policies and/or contracts
in which the date of discovery of the loss or the date when the claim is made
determines under which policy or contract the loss is collectible such losses
are covered hereunder irrespective of the date on which the loss occurs
provided that the date of the discovery of the loss, in respect of Policies
and/or Contracts on a Ôlosses discoveredÕ basis or the date the claim is made
in respect of Policies and/or Contracts on a Ôclaims madeÕ basis, falls
within the period of this Reinsurance. ÒFor the purpose of the foregoing the date
of the first discovery of a loss occurrence or the date a claim is first made
shall be the date applicable to the entire loss and the Reinsurers shall be
liable for their proportion of the entire loss irrespective of the expiry
date of this Reinsurance provided that such date falls within the period of
this Reinsurance. ÒAviation settlements clause (in respect of
Aviation business) ÒAll loss settlements by the Reassured
including compromise settlements and the establishment of Funds for the
settlement of losses shall be binding upon the Reinsurers, providing such
settlements are within the terms and conditions of the original policies
and/or contracts (or as provided for in the Extra Contractual Obligations
Clause hereof) and within the terms and conditions of this Contract. However,
where the Reinsured acts in the capacity as a Leading Underwriter on the
business protected by this Contract and is called upon to establish a Fund in
respect of a loss or losses which may form the whole or part of a claim
within the terms and conditions of this Contract (including provisional
collections in respect of Claims [*321] which ultimately may not be
recoverable hereon) such Fund shall only be binding upon the Reinsurers
subject to prior notice being given and agreement obtained from Leading
LloydÕs Underwriter and Leading Company hereon if this Contract is affected
by the establishment of such Fund. ÒFor the purposes of this clause the term
ÔLeading UnderwriterÕ shall be understood to mean those underwriters involved
in negotiating the establishment of the Fund. ÒClaims clause ÒIn the event of loss which may cause a
claim under this Policy, the Reinsured shall give immediate notice to the
Reinsurers, but inadvertent error or omission of such notification shall not
prejudice this Policy. All loss settlements by the Reinsured shall be binding
upon the Reinsurers provided that such settlements are within the terms and
conditions of the Original Policies and within the terms and conditions of
this policy and the Reinsurers shall pay the amounts due from them upon
reasonable evidence of the amounts paid being given by the Reinsured. ÒThe amount of the ReinsurersÕ liability hereunder
in respect of any loss or losses shall not be increased by reason of the
inability of the Reinsured to collect from any other Reinsurers (whether
specific or general) any amounts which may have become due from them whether
such inability arises from the insolvency of such other Reinsurers or
otherwise.Ó The third reinsurance for 1990, to which Syndicate 540 alone was
a party (presumably because it concerned aviation business), is different in
important respects. It reads as follows: ÒArticle 1ÑInterest clause ÒThis Reinsurance is to cover the liability
of the Reinsured arising under Policies and/or Contracts of Reinsurance in
respect of the ReinsuredÕs Aviation Excess of Loss Underwritings, including
the risks of War, Civil War and Allied Perils as and if in original. ÒNotwithstanding the foregoing, this Reinsurance shall exclude:Aviation Losses emanating from other departments.Satellite business other than Liability. ÒArticle 3ÑPeriod clause ÒThis Reinsurance attaches and covers in
respect of all losses occurring during the period 12 months commencing with
the 1st January, 1990 and ending with the 31st December, 1990 both days
inclusive. ÒArticle 4ÑExtended expiration clause ÒReinsurers agree that if this Reinsurance
should expire whilst a loss, as defined herein, is in progress, then it is
agreed that subject to the other conditions of this Reinsurance, Reinsurers
shall be liable as if the Whole Loss had occurred during the currency of this
Reinsurance. [*322] ÒArticle 6ÑTerritorial scope ÒThis Reinsurance shall apply in respect of
all losses wheresoever occurring. ÒArticle 7ÑReinsuring clause ÒThis Reinsurance is to Indemnify the
Reinsured, subject to its provisions, for all losses which may be sustained
by the Reinsured in excess of an Ultimate net Loss of £28,000,000 or U.S. or
Can.$56,000,000 or equivalent in other currencies each and every loss, as
defined herein, up to a further £2,500,000 or U.S. or Can.$5,000,000 each and
every such loss. ÒNotwithstanding the foregoing Reinsurers
shall also be liable for any amount up to the sum reinsured hereunder by
which the ReinsuredÕs Ultimate net Loss exceeds £6,000,000/$12,000,000 each
and every loss etc. as defined after all possible recoveries have been made
under the ReinsuredÕs underlying Excess Loss Programmes as Schedule ÒArticle 8ÑOriginal aviation loss warranty
clause ÒThis Reinsurance shall only apply to a
claim (or claims) where the ÔTotal Original Incurred Aviation LossÕ (or
Losses) is equal to or exceeds U.S.$50,000,000 or the equivalent in any other
currency based upon the reserve in the London Aviation Market, as defined
hereunder, at the time of the claim hereunder. ÒNothing in this clause shall mean that loss
(or losses) are not recoverable hereon until the ÔTotal Original Incurred
Aviation LossÕ has been finally determined and paid. The Reinsured
specifically agrees to return all claims monies received from Reinsurers
hereon as soon as practicable, in respect of any loss (or losses) which (a)
is finally determined at below U.S.$50,000,000 or equivalent in any other
currency or (b) when the reserve, as defined hereunder, is reduced to below
U.S.$50,000,000 or equivalent in any other currency, whichever the sooner. ÒThe term ÔTotal Original Incurred Aviation
LossÕ shall mean the insured loss of the Hull (or Hulls) involved in the loss
(or losses), whether insured in the Aviation Market or otherwise, before the
deduction of any excess or co-insurance retained by the Original Insured, if
any, plus the total of all liabilities to passengers and third parties
(excluding Personal Accident Insurance and WorkmanÕs Compensation Act
payments) whether the amounts have been paid or promised to be paid or
reserved whilst under negotiation or dispute with the original Claimant(s).
Such amounts being determined by the Leading London Aviation Market Slip
Insurers or Reinsurers in conjunction with their Adjusters, Attorneys or
Solicitors and shall be inclusive of all loss costs and expenses of adjustment,
defence or representation directly or indirectly attributable to the Original
Loss (or Losses) coming within the definition of loss hereunder. In the event
of no London Aviation Market reserve, the reserve for the purposes of this
clause shall be that amount as advised to the Original Underwriters as an
estimate of their liability by their Adjusters, Attorneys or Solicitors.
[*323] ÒNotwithstanding anything contained herein
to the contrary all loss reserves, as defined above, are to be agreed by the
Leading Underwriter hereon. ÒThis clause shall be subject to the general
terms, limits and conditions of this Reinsurance and the foregoing provisions
shall take precedence in the event of any inconsistency. ÒArticle 9ÑDefinition of loss clause ÒFor the purposes of this Reinsurance the
term Ôeach and every lossÕ shall be understood to mean loss and/or accident
and/or occurrence and/or catastrophe and/or calamity and/or series thereof
arising out of one event. ÒArticle 10ÑUltimate net loss clause ÒThe term ÔUltimate net LossÕ shall mean the
sum actually paid by the Reinsured in settlement of losses or liability after
making deductions for all recoveries, all salvages and all claims upon other
Reinsurances whether collected or not and shall include all adjustment
expenses arising from the settlement of claims other than the salaries of
employees and the office expenses of the Reinsured. ÒAll Salvages, Recoveries and Payments
recovered or received subsequent to a loss settlement under this Reinsurance
shall be regarded as if recovered or received prior to the said settlement
and all necessary adjustment shall be undertaken by the parties hereto. ÒNothing, however, in this clause shall be
construed to mean that losses are not recoverable from Reinsurers until the
Ultimate net Loss to the Reinsured has been determined. ÒNotwithstanding anything contained herein
to the contrary, it is understood and agreed that recoveries under all
underlying Reinsurances (as far as applicable) are for the sole benefit of
the Reinsured and shall not be taken into account in computing the Ultimate
net Loss or Losses in excess of which this Reinsurance attaches, nor in any
way prejudice the ReinsuredÕs right of recovery hereunder. ÒArticle 14ÑNotification of loss and settlements
clause ÒIn the event of a loss which may give rise
to a claim hereunder the Reinsured shall give notice to the Reinsurers
through the Broker for this Reinsurance as soon as practicable. ÒAll loss settlements by the Reinsured
including compromise settlements and the establishment of funds for the
settlement of losses shall be binding upon the Reinsurers, providing such
settlements are within the terms and conditions of the original policies
and/or contracts (or as provided for in the Extra Contractual Obligations
Clause hereof) and within the terms and conditions of this Reinsurance. ÒArticle 15ÑCurrency conversion clause ÒAll transactions hereunder shall be
conducted in Sterling, United States Dollars and Canadian Dollars, the limit
and retentions hereunder in United States and Canadian Dollars being the
equivalent [*324] of the relevant amounts as set forth in Article 7
exchanged at the rate of $2 = £1. ÒFor the purpose of this Reinsurance all
claims paid by the Reinsured in currencies other than Sterling, United States
Dollars or Canadian Dollars shall be converted into Sterling at the rates of
exchange at which such items are entered in the ReinsuredÕs books. ÒWhere a loss involves payments in both
United States and Canadian Dollars, the total number of dollars payable
hereunder shall first be determined with the ReinsuredÕs loss in the two
currencies added together. The amount so determined shall then be paid by the
Reinsurers in the two currencies in the proportion that the United States and
Canadian Dollar loss bears to the Total Ultimate net Loss. ÒWhere a loss involves payments in United
States and/or Canadian Dollars and Sterling, the total amount payable
hereunder shall first be determined in Sterling with the ReinsuredÕs Ultimate
net Loss in United States and/or Canadian Dollars converted at the rate of $2
= £1. The amount due from Reinsurers having been thus determined the
Reinsurers shall pay that amount in United States Dollars, Canadian Dollars
and Sterling in the same proportion as the Dollar and Sterling Loss bears to
the total Ultimate net Loss. ÒArticle 18ÑReinsurance clause ÒThis Reinsurance shall be deemed to be
subject to the same terms, clauses and conditions as the Original Policies as
far as they may be applicable hereto, and shall pay as may be paid thereon,
but subject nevertheless to the terms and conditions of this Reinsurance. ÒArticle 22ÑSpecial cancellation clause ÒEither party shall have the right to
terminate this Reinsurance immediately by giving the other party notice by
Telex or Telegram and shall be deemed to be served upon despatch or where
communication between the parties are interrupted upon attempted despatch.
(i) If the performance of the whole or any part of this Reinsurance be
prohibited or rendered impossible de jure or de facto in particular and
without prejudice to the generality of the preceding words in consequence of
any law or regulation which is or shall be in force in any country or
territory or if any law or regulation shall prevent directly or indirectly
the remittance of any payments due to or from either party. (ii) If the other
party has become insolvent or unable to pay its debts or has lost the whole
or any part of its paid up capital. (iii) If there is any material change in
the management or control of the other party. (iv) If the country or
territory in which the other party resides or has its head office or is
incorporated shall be involved in armed hostilities with any other country
whether war be declared or not or is partly or wholly occupied by another
power or be in a state of civil war. (v) If the other party shall have failed
to comply with any of the terms and conditions of this Reinsurance. ÒAll notices of termination served in accordance
with any of the provisions of this Article shall be addressed to the party
concerned at [*325] its head office or at any other address previously
designed by the party. ÒThe Reinsurer shall remain liable for
losses occurring up to and including the date of termination. Thereafter the
liability of the Reinsurers shall cease outright other than so far as
outstanding claims are concerned. ÒIn the event of this Reinsurance being
terminated in accordance with the provisions of the Article the exact premium
payable hereunder shall be based on the premium income figure for the period
from inception to the effective date of termination and shall be subject to a
minimum premium calculated on the amount specified in Article 17 pro rata for
the effective period.Ó The correct approach to construction The partiesÕ submissions adopt different approaches to the
issues of construction which arise. The syndicates say that the words of the
contracts alone are so clear that any further thought about their implications
or aid to their true construction is not only unnecessary but wholly
inappropriate; they cite words of Lord Halsbury L.C. in Leader v. Duffey (1888) 13 App.Cas.
294 (a case concerning a marriage settlement) and Smith v. Cooke; Storey
v. Cooke [1891] A.C. 297 (a case concerning a deed of assignment of a
partnership business and property). Charter submit that construction should
never be a wholly abstract or literal exercise, divorced from any
consideration of context or practical implications. On the one hand, the
court should not approach the construction of any contract with notions of
principle or reasonableness conceived in the abstract and seek to force the
provisions of a particular contract into that straitjacket: per Saville J. in
Palm Shipping Inc. v. Kuwait Petroleum Corporation [1988] 1 LloydÕs Rep.
500, citing an earlier dictum of Lord Goff of Chieveley to like effect in SociŽtŽ
Anonyme Marocaine de lÕIndustrie du Raffinage v. Notos Maritime Corporation [1987] 1 LloydÕs
Rep. 503, 506. On the other hand, there is a wealth of authority, which is of
particular relevance in the commercial context, that the court should seek to
place itself in the same matrix as the parties were when contracting and to
understand their general aim, objectively assessed, and that considerations
of reasonableness or ÒcommercialityÓ can play an important role in this
exercise. Mr. Kentridge cited passages from Antaios Compania Naviera S.A.
v. Salen Rederierna A.B. (The Antaios) [1985] A.C. 191, 200-201 and Wickman
Machine Tool Sales Ltd. v. L. Schuler A.G. [1974] A.C. 235, the familiarity of
which in no way detracts from their forcefulness on rereading in the present
connection For my part, I adopt and apply recent guidance given in the
Court of Appeal in the unreported authority in Arbuthnott v. Fagan (unreported), 30
July 1993; Court of Appeal (Civil Division) Transcript No. 1024 of 1993 where
a similar issue about the correct approach to construction arose. The context
was the wording of the standard form of agency agreement prescribed by
LloydÕs byelaw prior to 1989; the language made it, according to the
underwriting agencies, a condition precedent to the accrual of any cause of
action against a particular agency in respect of a particular syndicate and
year that the Name must first pay all calls made [*326] upon him or
her for underwriting expenses or liabilities in respect of that syndicate and
year. This defence failed. Sir Thomas Bingham M.R. said, on construction: ÒCourts will never construe words in a
vacuum. To a greater or lesser extent, depending on the subject matter, they
will wish to be informed of what may variously be described as the context,
the background, the factual matrix or the mischief. To seek to construe any
instrument in ignorance or disregard of the circumstances which gave rise to
it or the situation in which it is expected to take effect is in my view
pedantic, sterile and productive of error. But that is not to say that an
initial judgment of what an instrument was or should reasonably have been
intended to achieve should be permitted to override the clear language of the
instrument, since what an author says is usually the surest guide to what he
means. To my mind construction is a composite exercise, neither
uncompromisingly literal nor unswervingly purposive: the instrument must
speak for itself, but it must do so in situ and not be transported to the
laboratory for microscopic analysis.Ó Steyn L.J. said: ÒI readily accept Mr. EderÕs submission that
the starting point of the process of interpretation must be the language of
the contract. But Mr. Eder went further and said that, if the meaning of the
words is clear, as he submitted it is, the purpose of the contractual
provisions cannot be allowed to influence the courtÕs interpretation. That
involves approaching the process of interpretation in the fashion of a
black-letter man. The argument assumes that interpretation is a purely
linguistic or semantic process until an ambiguity is revealed. That is wrong.
Dictionaries never solve concrete problems of construction. The meaning of
words cannot be ascertained divorced from their context. And part of the
contextual scene is the purpose of the provision. In the field of statutory
interpretation the speeches of the House of Lords in Attorney-General v.
Prince Ernest Augustus of Hanover [1957] A.C. 436 showed that the purpose of a
statute, or part of a statute, is something to be taken into account in
ascertaining the ordinary meaning of words in the statute: see Viscount
SimondsÕs speech, at p. 461, and Lord Somervell of HarrowÕs speech, at p.
473. It is true that such a purpose may also be called in aid at a later
stage in the process of interpretation if the language of the statute is
ambiguous but it is important to bear in mind that the purpose of the statute
is a permissible aid at all stages in the process of interpretation. In this
respect a similar approach is applicable to the interpretation of a
contractual text. That is why in Reardon Smith Line Ltd. v. Yngvar
Hansen-Tangen (trading as H.E. Hansen-Tangen) [1976] 1 W.L.R.
989, 996 Lord Wilberforce, speaking for the majority of their Lordships, made
plain that in construing a commercial contract it is always right that the
court should take into account the purpose of a contract and that presupposes
an appreciation of the contextual scene of the contract. Corbin on Contracts
(1960), vol. 3, section 545, explains the role that the ascertainment of the
purpose of a contract [*327] should play in the process of interpretation: ÔIn
order to determine purposes we are obliged to interpret their words in the
document of agreement and their relevant words and acts extrinsic to that
document. It may seem foolish, therefore, to say that the words of a contract
should be interpreted in the light of the purposes that the parties meant to
achieve, when we can turn on that light only by process of interpretation.
Nevertheless, it is believed that such an admonition serves a useful purpose.
As the evidence comes in and as interpretation is in process, the court may
soon form a tentative conviction as to the principal purpose or purposes of
the parties. As long as that conviction holds (and the court must be ready at
all times to be moved by new evidence), further interpretation of the words
of contract should be such as to attain that purpose, if reasonably
possible.Õ In the same section of this seminal work the author added that if
the court is convinced that it knows the purpose of the contract, however
vaguely expressed and poorly analysed, it should be loath to adopt any
interpretation of the language that would produce a different result. In my
judgment these observations accurately state the approach to be adopted. And
in the present case the purpose of clause 9(c) is not in doubt.Ó Steyn L.J.Õs application of this approach is of note: ÒThe implications of the agentsÕ argument
that clause 9(c) precludes the Names from suing the agents for negligence so
long as a cash call in respect of syndicate and year account remains
outstanding generates immediate scepticism. This is an invitation to adopt an
interpretation which is at variance with the purpose of clause 9(c). This
interpretation achieves something that is commercially unnecessary and
different from the acknowledged purpose of clause 9(c). It amounts to saying
that clause 9(c) has the coincidental or collateral effect that the agent is
protected against actions in negligence while a cash call remains unpaid.
Furthermore, as Mr. Boswood Q.C. said, the agentsÕ interpretation leads to
the extraordinary result that if the agent ruins a Name by negligent
underwriting, so that the Name cannot pay the cash call, the contract breaker
or tortfeasor goes scot-free. And that result is inimical to the interests of
policyholders and the LloydÕs market since the claim against the agent may be
an asset available to meet the policyholdersÕ claims. That is so uncommercial
and unreasonable a result that words of the greatest precision would be
required to achieve it. Clause 9(c) plainly comes nowhere near this.Ó Finally, Hoffmann L.J. said: ÒIt seems to me legitimate to test the
plausibility of a given construction by examining what the consequences would
be. The construction for which the agents contend means that if they are
going to be negligent, they should rather ruin their Names entirely than
leave them with enough resources to pay their calls. In the latter case they
will be exposed to an action for negligence whereas in the former case they
will be immune. Mr. Eder said that his startling [*328] consequence
had to be accepted in the interests of maintaining discipline at LloydÕs and
inducing the Names to pay their calls. But his argument cannot apply to those
who have no money. And in cases of contumacious refusal to pay, it is hard to
see why denial of the right to sue for negligence will be more effective than
the undisputed right of LloydÕs to obtain judgment for the unpaid calls.Ó In Toomey v. Eagle Star Insurance Co. Ltd. [1994] 1 LloydÕs
Rep. 516 Hobhouse L.J. giving the judgment of the court referred to Reardon
Smith Line Ltd. v. Yngvar Hansen-Tangen (trading as H.E. Hansen-Tangen) [1976] 1 W.L.R. 989
for the relevance, in the context of a commercial contract, of its commercial
purposes objectively ascertained, and then said, at p. 520: ÒIt is also necessary that the court should
have regard to previous decisions of the courts upon the same or similar
wording. Parties to a commercial contract are to be taken to have contracted
against a background which includes the previous decisions upon the
construction of similar contracts.Ó There are features of previous decisions of the courts from
which both parties in the present case seek to derive assistance, either by
way of confirmation of their position or by way of contrast with the present
case. Mr. Kentridge further referred me to Black King Shipping
Corporation v. Massie [1985] 1 LloydÕs Rep. 437, 462-467 for authorities on
the principles determining whether a stipulation will be treated as a
condition precedent. Hirst J., at p. 462, cited words of Lord Denning M.R. in
Attica Sea Carriers Corporation v. Ferrostaal Poseidon Bulk Reederei
G.m.b.H. [1976] 1 LloydÕs Rep. 250, 253: ÒThe parties can, by clear words, provide
that complete performance of a particular stipulation can be a condition
precedent. But, in the absence of clear words the court should look to see
which of the rival interpretations gives the more reasonable result.Ó Lord Denning M.R. then cited Lord ReidÕs words in Wickman
Machine Tool Sales Ltd. v. L. Schuler A.G. [1974] A.C. 235. A number of other
authorities were cited by Hirst J. from different contexts to the present;
many of them, such as Tarrabochia v. Hickie (1856) 1 H. &
N. 183 to which Mr. Kentridge made particular reference, concern the question
whether a particular term should be construed as a condition, warranty or
innominate term. I will consider at a later stage to what extent these
authorities may assist in the construction of the present contracts. Previous English authorities on reinsurance Whilst the present reinsurances and the issues of construction
raised by their terms must be approached without preconceptions, it would be
inappropriate to approach them without any awareness of previous English
decisions in the field of reinsurance. Some words and phrases used in the
present reinsurances have been the subject of authority. Others may be
directed to problems which existed or were perceived as existing either when
the reinsurances were made or when standard clauses incorporated into them
were developed for general use. [*329] Charter relies upon two particular
authorities: In re Eddystone Marine Insurance Co.; Ex parte Western
Insurance Co. [1892] 2 Ch. 423 and In re Law Guarantee Trust and Accident
Society Ltd; Liverpool Mortgage Insurance Co.Õs Case [1914] 2 Ch. 617.
They submit that these cases give guidance as to the objects which parties to
reinsurance contracts may, at least prima facie, be expected to share, as
well as identifying certain commercial considerations to which the courts
have in the past attached significance. In these authorities, on the wordings
there under review, courts rejected suggestions that a reinsurerÕs duty to
pay was conditional upon disbursement or satisfaction by its reinsured of incoming
insurance claims. The syndicates point to (a) the fact that the wordings
there under consideration were in very different form to the present, and (b)
the different basis of reinsurance there involved (quota share instead of
excess of loss). In their submission, the present wordings contrast starkly,
and in all likelihood quite deliberately, with those the subject of any
decided authority, and one reason for this is, they submit, the differing
bases of the present reinsurances. The most obvious difference in wording, at
the forefront of the syndicatesÕ case, is the incorporation in the present
reinsurances of ultimate net loss clauses in standard wording only introduced
in the 1930s. But the syndicates also submit that the first two reinsurances
contain other indications of careful drafting designed to make prior
disbursement or satisfaction a precondition to any reinsurance recovery, and
that the wording of the third reinsurance, though less precise, has the like
result. The object of these reinsurances is in their submission clear from
the language itself, and should be taken at face value without preconceptions
or further debate. In the Eddystone case [1892] 2 Ch. 423 both parties were in
liquidation. Whilst the two companies were going concerns, the former had
reinsured the latter for the whole or part of its exposure as insurer of
various vessels. In the test case tried the reinsurance was for half the
exposure. The reinsurances were expressed, at p. 424, to be Òsubject to the
same terms and conditions as the original policy or policies, and to pay as
may be paid thereon.Ó Stirling J. recited the contention of the liquidator
that those words made payment by the reinsured a condition precedent to
payment by the reinsurer, and said, at p. 427: ÒNow, a main object of reinsurance is to
relieve the reinsured from a portion of the risk previously undertaken by
him; and the result of giving effect to the liquidatorÕs contention would be
that, before the reinsured obtains the benefit of his reinsurance, he must
himself have paid on the original insurance, even though bankruptcy might be
the result. I think that this could not be intended, and that such a
construction ought not to be put on the language of the policy unless it is
clearly called for. In my opinion the words do not clearly require to be so
construed. They would be satisfied if they were held to amount simply to
thisÑthat the payment to be made on the reinsurance policy is to be regulated
by that to be made on the original policy of insurance.Ó Charter relies on these words; it submits that a similar
approach is applicable to the present wordings. [*330] In the Law Guarantee case [1914] 2 Ch. 617 the company in
liquidation had, whilst a going concern, undertaken to debenture holders that
principal and interest would duly be paid by the issuer of the debentures. It
had then entered into a contract with a mortgage guarantee company for a
yearly premium, whereby the latter company guaranteed it in turn to the
extent of two-elevenths of its exposure. On the assumption that the original
undertaking was an insurance, the latter contract was a reinsurance.
Otherwise it was a simple indemnity. The mortgage guarantee company argued
that its liability was limited to paying whatever dividend the Law Guarantee
Co. might pay in its liquidation to the debenture holders. Whichever view of
the contracts with debenture holders was appropriate, the court held that the
company in liquidation was entitled to recover in full from the mortgage
guarantee company. Dealing with the case as one of insurance and reinsurance,
the court pointed out that in the Eddystone case no one
appeared even to have suggested any contrary argument. All members of the
court evidently regarded the consequences of the contrary argument as extreme
and unacceptable. The force with which they expressed their views may be of
some materiality and I quote some extracts. Buckley L.J. said, at p. 634: ÒI am anxious to point out some consequences
which would ensue if the view I have expressed were not the right one. The
contrary view is one which makes it to the interest of the company that the
society should be insolvent. For to such extent as the society cannot pay in
full the argument is that the company are not liable to make payment. It is obvious
that such a consideration cannot have entered into the contemplation of the
parties in fixing the premium. The company has received a certain premium
upon the terms that in an event it shall pay a certain sum. If its liability
is reduced to 10s. in the pound, it has received payment of premium as the
price of an obligation to pay 20s., but is, by reason of circumstances not
material at all so far as the company is concerned, relieved of one half of
the liability. If this were true a society whose credit was bad ought to pay
a less premium than a society whose credit was good, because the obligation
would in the former case result in a smaller liability. The fact is, I
suppose, that as matter of business if the credit of the society were bad a
larger, not a less, premium would be demanded as the price of the guarantee.Ó Kennedy L.J. put the matter as follows, at p. 638: ÒAs Neville J. points out in the course of
his judgment in this case [1913] 2 Ch. 612, if it be held that payment is a
condition precedent to recovery, the contract may be of little value to the
person to be indemnified, who may be unable to meet the claim in the first
instance. If this is true in regard to a contract of indemnity in general, it
is certainly true of contracts of insurance and reinsurance, which are
essentially contracts of guarantee against loss by an event.Ó He continued, at pp. 639-640: ÒHow the person who receives payment of a
sum of money under a contract of insurance or reinsurance, or, I will add, of
indemnity, [*331] deals with that sum is, in general and apart from special
considerations, no concern of the party who, in fulfilment of his contract,
has made the payment to him. Upon what grounds of equity or legal logic can
it be argued that, because the law, on grounds of public policy, compels the
creditor, the liability to whom is the event upon which the right of a
bankrupt or of an insolvent company to payment of the sum covered by the
contract arises, to be content with such share of the assets of the bankrupt
or the company in liquidation as a pari passu distribution between creditors
will give, those assets are not to include the payment due under the
contract? If the discharge of the liability, against which the contract of
insurance or reinsurance was the protection, is not (and I think that it is
not) a condition precedent to the right to claim payment of the amount of the
insurance or the reinsurance, upon what ground ought it to be held that, if
the person entitled to that payment becomes bankrupt, or, if a company, goes
into liquidation, the trustee of the bankrupt or the liquidator of the
insolvent company does not have the right to the payment of that amount in
full which the bankrupt before his bankruptcy or the company before its
liquidation possessed because, when he has received the amount, the law
intercepts the asset in his hands, and compels him to apply it in a
particular way as part of the estate divisible amongst all the creditors?Ó He continued: ÒI do not think that it is true to say that
in such a case as the present the party who is entitled makes a profit; he
gets only the amount for the payment of which he bargained in the event which
has occurred, and he has paid a premium based upon the risk, in such event,
of that amount having to be paid. Buckley L.J. has dwelt in his judgment upon
the strange consequences that, as pointed out by the appellantsÕ counsel in
their argument before us, would ensue if the argument put forward in the
present case on behalf of the company were held to prevail. I agree with him
in these criticisms.Ó The third member of the court, Scrutton J., said, at pp.
646-647: ÒFor the insurance company it was said that
their contract, whatever it was called, was a contract of indemnity, and that
they indemnified the society if they paid it what it had to pay: to pay it
more would be to enable the society, or its general creditors, to make a
profit. For the society it was said that the whole object of reinsurance
might be to save oneself from bankruptcy in case of claim, but that the
contention of the insurance company involved that a person with no assets
other than full reinsurance against his insurance liabilities would yet be
driven into bankruptcy, and only recover from his reinsurers the nominal
dividend his general assets could pay. Premiums on such reinsurances would
have to be regulated not only by the solvency of the original principal
debtor, but also by the solvency of the person whose risk was reinsured; the
more insolvent the latter was the less the reinsurer would have to pay. And,
it was said, how is what the reinsurer is to pay, that is the dividend,
[*332] to be
ascertained until you know his contribution? His contribution when made will
increase the general dividend, and this increase will again increase his
contribution. To this it was answered that the rule would be: find what
dividend the general assets apart from claims on reinsurers would pay the
general creditors apart from those whose claims were reinsured; collect this
dividend from such reinsurer. It is perhaps sufficient to say there is no
trace of this complicated rule in the policy, and it would not apply to cases
where there were no general creditors whose claims were not reinsured. For
instance, for simplicity take a man who has only insured one risk of £1,000
and, having no assets, has reinsured his whole risk. He becomes insolvent,
and a claim for a total loss accrues on his policy. Left to himself his
dividend to his creditor will be nil, and on the argument of the insurance
company the amount payable by his reinsurer will be nil. Yet in fact he
should remain solvent, his reinsurer providing the funds to satisfy his only
debt. The same result would follow if he had 10 fully reinsured policies and
10 losses. If it be said that the societyÕs argument enables the general
creditors to make a profit, the answer appears to be that it is not the
societyÕs argument, but the operation of law which, though a creditor has a
claim which the debtor has reinsured, takes the contribution of the reinsurer
and divides it between the general body of creditors, because the creditor
has no privity with the reinsurer, and no charge, lien, or equitable
security, on his payment to the debtor.Ó Later, after citing from the Eddystone case, he said, at
pp. 649-650: ÒThe judgment may appear to be ambiguous,
for the phrase Ôthe payment to be madeÕ might mean liability or might mean
actual payment. It has, however, been held that actual payment without legal
liability will not do: Chippendale v. Holt (1895) 1 Com.Cas.
197; and Stirling J. says that the contention of the Western Company must
prevail. The amount paid before the original insurer has paid can only be the
whole liability, and the case is treated by the editors of Arnould on Marine
Insurance, 8th ed., p. 422, para. 324, as deciding that the whole amount of
liability and not the dividend only is payable. This view of the case has to
my knowledge been taken in practice and business. The law in the United
States seems to be the same. In Herckenrath v. American Mutual Insurance
Co., 3
Barb. Ch. N.Y. 63 in 1848, the Chancellor held that the original assured had
no claim for the whole sum received by his insurer from a reinsurer, but only
to a dividend. The argument deals with the suggestion that the insurer makes
a profit, pointing out that he makes no profit, but the state requires his
assets to be distributed in a particular way; he parts with them all. ÔIt is
none the less a loss because they are unable to pay it in full.Õ The
Chancellor cited and apparently approved a decision of the Commercial Court
of Marseilles in 1748, cited by ÉmŽrigon [TraitŽ des Assurances,
vol. i., cap. 8, s. 14, p. 253; translation by Meredith, 1850, p. 202], where
the insolvent insurer paid 60 per cent. of the loss, but recovered 100 per
cent. of the loss from his reinsurer, the court holding that the reinsurer
was bound to [*333] pay what the original assurer became liable to pay, not
what he had actually paid . . . It was suggested in argument that marine
policies stood in a peculiar position. Having some acquaintance with them, I
do not see why. The insurer reinsures a subject matter, the ship, in which he
has an insurable interest, in that if she is lost he will have to pay under
his policy. The measure of his loss is not what he pays but what he is liable
to pay: Chippendale v. Holt.Ó Scrutton J.Õs judgment directs attention to another line of
authority which is of unquestionable significance to certain parts of the
present reinsurances. He had been unsuccessful counsel in Chippendale v.
Holt
(1895) 1 Com.Cas. 197 and was at pains to point out that it established that
a simple provision for reinsurers Òto pay as may be paidÓ does not affect the
prima facie rule at common law that recovery under a reinsurance depends upon
proof of legal liability (as well as the ascertainment of the reinsuredÕs
financial commitment to his original insured by agreement, judgment or award:
see e.g. Versicherungs und Transport A.G. Daugava v. Henderson (1934) 49 Ll.L.R.
252, 253, 254, per Scrutton and Maugham L.JJ.). The subsequent development of
ever more comprehensive Òfollow the settlementsÓ clauses shows however that
insurers generally required, and were able to obtain, cover on a broader
basis. This has been analysed in Insurance Co. of Africa v. Scor (U.K.)
Reinsurance Co. Ltd. [1985] 1 LloydÕs Rep. 312, (where Scrutton L.J.Õs
continuing involvement in this area is outlined, at pp. 319-321) and
subsequent cases, and was also considered in Toomey v. Eagle Star
Insurance Co. Ltd. [1994] 1 LloydÕs Rep. 516. Its general purpose and effect is
that the reinsured recovers for no more and no less than that for which he
settles with his original insured. He neither profits, nor (provided he acts
in a business-like manner) can he face arguments that he has settled with his
original insured in circumstances where he had in law or in fact no actual
liability. Scrutton J.Õs remarks about Òactual paymentÓ in the Law
Guarantee case [1914] 2 Ch. 617, 649 were thus designed to emphasise
that, at that date, insurers could not look to their reinsurers (using modern
terminology) Òto follow their settlements,Ó but had to establish legal
liability; he was not concerned with the distinction between settlement and
satisfaction which is material in the present case. Detailed analysis of the present reinsurance contracts (a) The subject matter of reinsurance I turn to the wording of the reinsurances. Each starts with a
clause identifying the general nature of the cover afforded, described as a reinsuring
clause in the first two contracts and an interest clause in the third.
Charter submits that in each case reinsurance is granted of CharterÕs
interest, described in the first two contracts by the words Òto pay all
losses . . . on all interest under policies and/or contracts or insurance
and/or reinsurance underwritten by the reinsured,Ó and in the third by the
simple words Òto cover the liability of the reinsured arising under policies
and/or contracts of reinsurance.Ó The third contract is therefore expressly a
cover on liability. In the case of the first two, it is possible for the
syndicates to submit that Òall losses howsoever and wheresoever arising
during the [*334] period of this reinsurance on any interestÓ refers to
original losses in the same sense as in the later period of reinsurance
clause, rather than the reinsuredÕs loss in the same sense as in the ultimate
net loss clauses. I doubt whether this argument is correct, since the
reinsuring clause refers to Òlosses . . . on all interest,Ó which must, it
appears to me, refer to CharterÕs insurable interest under the relevant
policies which it underwrites, as it also does in the liability clause. The
reinsuring clause in the first two contracts makes the cover expressly
Òsubject to the following terms and conditions.Ó Article 1 in the third
contract has no such express qualification. I do not think that this makes
any real difference. The point which Charter can properly make on all three
contracts is that the subject matter of reinsurance is not directly or
expressly defined so as to be related, or limited by reference, to the
disbursement of moneys. The primary expression of cover under these
reinsurances is against liability or loss affecting the reinsuredÕs interest
under original contracts, not against outlay. (b) The timing of reinsurance recoveries The liability clause in the first two
contracts contains phrases with temporal connotationsÑÒshall only be liable
if and whenÓ and Òshall thereupon become liable.Ó However, the focus of the
clause is not on timing but on the scope and limits of the financial
responsibility accepted on an excess of loss basis under the contracts. The
equivalent clause in the third contract (article 7Ñreinsuring clause) has no
phrases with any temporal connotations at all. The phrases quoted must anyway
be approached with caution. Both the liability clause in the first two
contracts and article 7 in the third employ the concept of Òultimate net
lossÓ sustained by the reinsured, and both contain ultimate net loss clauses.
In the case of the first two contracts, the ultimate net loss clause defines
Ònet loss,Ó whereas in the third it defines Òultimate net loss.Ó Taking the
liability clause literally, it provides that reinsurers are only to be liable
Òif and when the ultimate net loss sustainedÓ exceeds the specified limit.
But the ultimate net loss clause itself provides always Òthat nothing in this
clause shall be construed to mean that losses under this reinsurance are not
recoverable until the reinsuredÕs ultimate net loss has been ascertained.Ó
The Òindustrious and anxiousÓ draftsman who Mr. Hildyard suggested as the
author of the first two contracts cannot have meant exactly what he was
apparently saying in the liability clause in the first contracts. The draftsmanship
of the third contract is different but also open to comment. Article 7
provides for indemnification by reference to ultimate net loss and article
10, the ultimate net loss clause, defines this to mean the sum actually paid
by the reinsured in settlement of loss or liability. But article 10 then
provides that nothing in it shall mean that losses are not recoverable from
reinsurers until the ultimate net loss has been determined. Even reading this
contract literally (as the syndicates invite) recovery cannot therefore
depend on ultimate net loss as defined. Under all three contracts, the cover
should no doubt be read as being (a) ultimately, against ultimate net loss as
then ÒascertainedÓ or Òdetermined,Ó to use the words of the provisos, and (b)
at any intermediate stage, against such Ònet lossÓ as may at that stage have
been ascertained or determined. That is [*320] part of a process of sensible
rather than uncompromisingly literal interpretation. (c) The object(s) of the ultimate net loss clause In their skeleton argument, counsel for the syndicates suggested
that the ultimate net loss clause is not a Òmeasure of loss clause,Ó because
of the proviso in its third sentence. There is no doubt that the clause is a
measure of loss clause. It measures the ultimate liability of the reinsurers.
It provides for provisional measurement of loss at earlier stages. The most
obvious purpose of its extensive wording is to provide clear criteria for
such measurement. Many of the criteria may now appear commonplace but
insurance and reinsurance have over the years frequently generated disputes
in this area about apparently fundamental matters. I need only instance
disputes as to whether and when a reinsurer is bound to follow settlements
without proof of liability; whether an insurer, if he settles for less than
his actual liability, can recover from his reinsurer the full amount of his
liability; and whether it makes any difference if a recovery is effected
before or after indemnification by an insurer or reinsurer. In the first of
these areas a real degree of certainty has only quite recently been provided
through the Court of AppealÕs decision in the Scor case [1985] 1
LloydÕs Rep. 312 and subsequent authorities. The second of these matters was
the subject of two conflicting Court of Appeal decisions: Uzielli &
Co. v. Boston Marine Insurance Co. (1884) 15 Q.B.D. 11 and British
Dominions General Insurance Co. Ltd. v. Duder [1915] 2 K.B. 394.
In the Uzielli case the Court of Appeal held that the underwriter could
recover up to £1,000 under a reinsurance in that sum against total loss
although he had himself settled with the original assured for 88 per cent. of
the hull value, whilst also incurring sue and labour expenses to which the
reinsurance did not apply, reliance being placed by the court on the Òpay as
may be paidÓ clause. In the Duder case the court reached an opposite
conclusion, expressing its difficulty in understanding the Uzielli case. The
third matter was the subject of litigation to the House of Lords as recently
as 1992 in the context of stop loss insurance: Lord Napier and Ettrick v.
Hunter [1993] A.C. 713. The caution exhibited by reinsurance draftsmen
in the ultimate net loss clause in the 1930s and subsequently is
understandable. In his oral submissions, Mr. Ruttle was ready to accept that
the clause is substantially a Òhow muchÓ clause, concerned with the
measurement of reinsurance recoveries. The question is whether it also has
what would be a further, and most significant, role in requiring disbursement
or other satisfaction of amounts ascertained by insurersÕ settlements as a
precondition to the availability of any reinsurance recovery at all. (d) ÒActually paid . . . in settlement of losses or liabilityÓ The phrase Òactually paid by the reinsured in settlement of
losses or liabilityÓ is at the core of the syndicatesÕ submissions, although
they submit that the wording of the liability clause and claims clause in the
first two contracts would alone establish their construction. The phrase looks
necessarily, they say, to some disbursement of moneys. The syndicatesÕ
submission is reinforced by the presence of the word Òactually.Ó [*336] Had the clause spoken simply of Òthe sum paid by the reinsured
in settlement,Ó Charter could have founded itself more directly on authority
like the Eddystone case [1892] 2 Ch. 423 in its submission that the
intention was simply to regulate the payment to be made by the reinsurer by
that to be made on the original policy. The syndicates have other reasons why
in their submission such authority affords no assistance, but the word
ÒactuallyÓ is by itself an obvious difference. They say that this is
particularly so when the summary of the argument of counsel in the Eddystone case contains a
submission that the wording there did not make Òactual paymentÓ to the
original assured a condition precedent to reinsurerÕs liability. On the
syndicatesÕ submission the draftsman of the ultimate net loss clause should
be taken to have had this very submission in mind, although I think that
references to the submissions of counsel go beyond anything which Hobhouse
L.J. had in mind in his observations in the Toomey case [1994] 1
LloydÕs Rep. 516 or which would in this context usually be appropriate. The word ÒactuallyÓ is emphatic. Taking a definition from the
Oxford English Dictionary (Compact Edition) cited by the syndicates, it means
Òin act or fact; as opposed to possibly, potentially, theoretically, ideally;
really, in reality.Ó But it remains to identify what it is that is intended
to be emphasised and why. If references to sums paid are otherwise made in
the reinsurances to ensure that the payment to be made by the reinsurer is
regulated by that to be made on the original policy, the word ÒactuallyÓ may
simply be employed to make this more emphatically clear. This would be
consistent with the main thrust of the ultimate net loss clause, that is the
measurement (interim and final) of the recovery available under the
reinsurance. It can be objected that the word ÒactuallyÓ was on that basis
unnecessary, but this is an argument with limited force in the context of a
reinsurance clause which shows anxiety to deal with every aspect of the
measurement of recovery in detail. The fact that timing is dealt with in this
way by a proviso or qualification in the third sentence of the clause appears
to me to be at least consistent with the possibility that the earlier part of
the clause may not have been directed to matters of timing at all. (e) Condition precedent? A similar comment applies to the syndicatesÕ repeated submission
that the contracts contain the clear condition precedent that was lacking in
authorities such as the Eddystone case [1892] 2 Ch. 423 and the Law Guarantee
case [1914] 2 Ch. 617. The ultimate net loss clause on any view expresses
some form of condition: recovery depends upon there being a Òsum actually
paid by the reinsured in settlement of losses or liability,Ó whatever that
may in context involve. The issue is whether the phrase was intended not
merely to establish a condition in the sense of a threshold and quantum of
ascertained exposure, but also to introduce (i) considerations of
disbursement or other satisfaction and (ii) in conjunction therewith, a
temporal condition precedent to recovery consisting of prepayment by
insurers. It is in my view legitimate to consider this issue with the
expectation that, if (i) and (ii) had been intended, they would have been
made clear. The authorities cited in Black King Shipping Corporation v.
Massie [1985] 1 LloydÕs Rep. 437 do not [*337] specifically
relate to circumstances where the clause in question is on any view a
condition of recovery of one sort or another, but they provide general
support for CharterÕs case, in so far as the syndicatesÕ interpretation
involves reading the ultimate net loss clause as introducing a condition of a
more expansive and onerous nature than CharterÕs construction. (f) Payment and settlement When the ultimate net loss clause speaks of Òthe sum actually
paid by the reinsured in settlement,Ó the syndicates submit that it
contemplates two distinct stages in time: settlement first and payment
second. In my view there is no reason to read the phrase as concerned with
timing at all. However, even if it is, a two-stage analysis does not appear
to me to be intended by the wording. The phrase is Òactually paid . . . in
settlement.Ó This on its face, either treats the two as concomitant or treats
payment as an aspect of settlement. The second paragraph of the clause refers
to salvages, recoveries or payments recovered or received subsequent to a
Òloss settlement.Ó The word ÒsettlementÓ in the reinsurance context has a
possible spread of meaning, but I accept the syndicatesÕ submission that it
here embraces the establishment or ascertainment of the original assuredÕs
claim (including its quantum) in particular by agreement or admission, or, it
seems likely, by judgment or award. This is the same sense in which it is
generally understood in the context of a Òfollow the settlementsÓ provision:
see the Scor case [1985] 1 LloydÕs Rep. 312. It also reappears in this sense
in the claims clause in the first two contracts, in article 14 (notification
of loss and settlement of claims) in the third contract, and in the aviation
settlements clause in the first two contracts. This last clause is a special
provision for aviation business which contains no reference to amounts ÒpaidÓ
at all but caters specifically for situations in which a reinsured has to
establish a fund to meet a prospective claim (see Boden v. Hussey [1988] 1 LloydÕs
Rep. 423 where the court did not have to focus on the question whether the
reinsured would have in the first instance to establish the fund out of his
own funds before looking to reinsurers).
Looking at other clauses in the contracts, payment may again either be equated with or treated as an aspect of settlement in the currency clause and the claims clause in the first two contracts. Indeed, there might be some anomalies if the currency clause were read as distinguishing between settlement and payment as different temporal stages: an insurer reaching an agreement with a Frenchman to settle a sterling claim at date A could, if the French franc declined, transfer at date B an equivalent number of francs at date B, which converted into sterling at the rate at date A would give a larger number of pounds than the original settlement. Whilst this sort of remote possibility may be of little assistance in the interpretation of the contracts, it also seems unlikely that the currency clause was concerned to draw a distinction between settlement and payment which would itself appear to be of relevance only on remote occasions. The claims clause in the first two contracts makes provision for
notice of losses which may cause a claim under the reinsurance, and goes on
to provide for all loss settlements to be binding upon the reinsurers,
provided that they are within the terms and conditions of the original
insurance [*338] and the reinsurance. It then says that Òthe reinsurers
shall pay the amounts due from them upon reasonable evidence of the amounts
paid being given by the reinsured.Ó The syndicates rely on this as confirming
an intention to require satisfaction of the original claim before any obligation
arises on the part of reinsurers; and they point out that this particular
clause does introduce some form of trigger or condition precedent to
reinsurersÕ obligation to indemnify, consisting of a requirement to submit
certain evidence. Here, it is to be noted, the word ÒactuallyÓ is not used.
The wording of the claims clause Òshall pay . . . upon reasonable evidence of
the amounts paidÓ is capable in my view of referring to payment in a sense
and manner analogous to that in which it appears in the phrase Òpay as may be
paid thereonÓ (used in the Eddystone case [1892] 2 Ch. 423 and in article
18 in the third contract) whilst introducing an additional requirement of
Òreasonable evidenceÓ of such payment. Since both the claims clause and the
third contract also include Òfollow the settlementsÓ provisions, there is the
further difference from the position under a simple Òpay as may be paidÓ
provision that the syndicates are bound by the reinsuredÕs settlements; such
settlements determine Òthe amounts due from them [the syndicates]Ó
irrespective of the reinsuredÕs liability apart from any settlement. The
phrase Òamounts paidÓ on this basis connotes the amounts ascertained for
payment on the reinsuredÕs settlements with its original insured. There is a
further reason for construing it in this sense. Since it is the settlement,
not the disbursement or satisfaction by which the reinsured is bound, one
would expect the reinsured to have to make available reasonable evidence of
the commitment constituted by the settlement, notÑor certainly not
onlyÑreasonable evidence of disbursement. Yet on the syndicatesÕ two-stage
analysis, the parties must have provided for the latter alone, and failed to
provide for the former at all. (g) Specific clauses in the third contract It is convenient to take first article 8 (original aviation loss
warranty clause). This is a provision which limits the scope of the
reinsurance to circumstances where the Òtotal original incurred aviation
lossÓ is equal to or exceeds $50m. It is not an excess, but a requirement
that the total hull and liabilities claims (inclusive of adjustment, defence
and representation costs and expenses) under direct insurances at the
original level should be of that size. For this purpose the Òtotal original
incurred aviation lossÓ is defined in very expansive terms, providing not
merely that it need not have been finally determined and paid, but also that
its computation should include amounts Òwhether . . . paid or promised to be
paid or reserved whilst under negotiation or dispute with the original
claimant(s)Ó and that Òin the event of no London aviation market reserve, the
reserve for the purposes of this clause shall be that amount as advised to
the original underwriters as an estimate of their liability by their adjusters,
attorneys or solicitors.Ó This clause does identify payment as a separate
matter to a promise to pay, though only for the purpose of making clear that
they are both in this context to be equated with a reserve or even an
adjusters,Õ attorneysÕ or solicitorsÕ estimate. This is clearly a special
clause, whether it is tailor made or in a wording in more general use in the
[*339] aviation
market. It assists the syndicatesÕ case that it speaks of payment in the
sense of disbursement and separates this from a promise to pay. This is
however in the context of the original insurance level and of claims by
original insureds against original insurers, who may not include Charter at
all. Further, the language and subject matter of the clause in no way cross-relate
to the standard language of the ultimate net loss clause, and it is notable
that it does not mention the concept of loss settlement at all. I do not
therefore regard the expanded and explicit wording of article 8 as carrying
the syndicatesÕ case on construction of the reinsuring and ultimate net loss
clauses very far. I come now to a most striking feature of the third contract,
which has no parallel in the first two contracts. Article 22 (the special
cancellation clause) gives either party the right to terminate if the other
has become insolvent or unable to pay its debts. It then continues: ÒThe Reinsurer shall remain liable for
losses occurring up to and including the date of termination. Thereafter the
liability of the Reinsurers shall cease outright other than so far as
outstanding claims are concerned.Ó This must, on the syndicatesÕ case, be a false friend. The
message conveyed is that a reinsurerÕs liability for outstanding losses
remains unchanged despite the reinsuredÕs insolvency or inability to pay,
even if reinsurers terminate cover in respect of future losses and a fortiori
if reinsurers do not. It is irrelevant that there was in the present case no
termination and that no issue directly arises under the special cancellation
clause. What matters is the message conveyed by the clause about the position
in case of the reinsuredÕs insolvency or inability to pay. The syndicates say
that the message is true enoughÑtheir liability remains unchanged (in the
amount presumably of nil in the event of inability to pay moneys reaching the
excess point), because it has always been a term that they would not have to
pay unless and until the reinsured disbursed or otherwise satisfied its
obligations arising from any loss settlement. The syndicates can of course
point to situations where insolvency or inability to pay debts in full does
not prevent some recovery being made under an excess of loss reinsurance; as
Scrutton J. pointed out in the Law Guarantee case [1914] 2 Ch. 617 there are
situations where a partial dividend can be paid to all creditors, which is
sufficient to enable a partial excess of loss reinsurance recovery which will
enable a further partial payment to all creditors, and so on: there will then
be an indefinite series of ever diminishing tranches until payment in full or
until the amounts involved fall below the limits of legal tender. But I do
not think for a moment that this can be accepted as the true significance of
the words of article 22. The message implicitly conveyed is in my view
straightforward. It is specifically directed to the events of insolvency and
inability to pay, and it also suggests that the position in insolvency is no
different from the position as it was before. The syndicatesÕ case under the
third contract rests essentially on what they submit to be the general
intention of the ultimate net loss clause, not specifically directed to
situations of insolvency or inability to pay. The third contract lacks those
clauses in the first two on which the syndicates rely to draw a distinction
between settlement and payment. Whatever may [*340] be the
purpose or effect in other situations of the ultimate net loss clause, the
third contract in my judgment contains a clear indication that a reinsured
who is insolvent or unable to pay his debts is not required to disburse or
satisfy the amount of any loss settlement before acquiring a right to
reimbursement under this reinsurance. If and in so far as this conflicts with
the ultimate net loss clause, this indication is entitled to priority over
that clause. It may however be that the situation is not one of conflict but
of consistency, if the ultimate net loss clause is to be interpreted in the
way in which Charter submits. The history of the ultimate net loss clause As a standard form the ultimate net loss clause derives, as the
syndicates showed, from the 1930s and it has, with some expansion and
amendment, been used in substantially the same form ever since. On the
syndicatesÕ case, it can hardly have been intended as anything other than a
deliberate departure from the approach identified with the Eddystone case [1892] 2 Ch.
423 and the Law Guarantee case [1914] 2 Ch. 617. If the clause was
there to fulfil not merely its basic role of establishing the measure of
indemnity, but also that of a condition precedent requiring satisfaction by
the reinsured of the amount involved in any loss settlement, then it might,
in this light, have been expected that this would have been stated in very
positive terms. If I look at the origin and history of the drafting of the
ultimate net loss clause, as the syndicates invited me to do, then the
departure also seems to have been unheralded. I must assume that the extracts
put before me by the syndicates from contemporaneous publications of these
clauses are complete as far as relevant. So far as appears, nothing whatever
was said about any departure from past authority or about the purpose which
the syndicates now ascribe to the clause. On the contrary, the revision of
the original clause in 1937 to add its second sentence was accompanied by a
letter dated 9 December 1937 from LloydÕs Underwriters Fire and Non-Marine
Association referring to three newly worded clauses, the salvage and recovery
clause, the ultimate net loss (excess reinsurance) clauseÑas it was then
knownÑand the costs clause. The titles and wording of the second and third of
these clauses with their definitions of Ònet lossÓ indicate that they were
designed for use in excess of loss reinsurance. The letter simply stated that
the existing clauses were to be withdrawn and that: ÒYour committee have adopted these new
clauses in order to make the position of underwriters more secure in the
matter of the proper apportionment of salvages and other recoveries received
after the payment of a claim. Owing to the fact that without one of these
alternative clauses underwriters might find salvages and recoveries
apportionable in a manner they did not intend when writing a direct risk or a
reinsurance containing an excess condition, your committee strongly recommend
that members should protect themselves by specifying the appropriate one of
these clauses in all new risks and in all renewals which contain an excess,
particularly in those cases where Ôwording as beforeÕ appears in the slip.Ó [*341] There is no hint in this letter that the purpose of the ultimate
net loss clause or of its variant the costs clause was also to ensure
(contrary to what must otherwise have been viewed as the position on
authority) that excess of loss reinsurers were not liable unless and until
their reinsureds had not only crystallised their position in settlement, but
also satisfied it by disbursement or otherwise. It is, I think, a not
unreasonable inference, if one looks at this material, that the ultimate net
loss clause was conceived as a tool for accurate measurement and as a
protection for reinsurers of a different nature to that now suggested by the
syndicates. Two further points appear to be indicated by the material and
submissions before me. First, the precondition for which the syndicates
contend would appear, on their case, to have been introduced and to apply
generally in the field of excess of loss reinsurance. A measurement clause is
an important feature of an excess of loss reinsurance. But the history of the
present ultimate net loss clause and the standard clauses which the
syndicates have put before me contain no hint of any alternative form of
ultimate net loss clause designed to meet the requirements of insurers arranging
excess of loss reinsurance who would need a detailed measurement clause to
define Ò(ultimate) net lossÓ but who could view the approach of the Eddystone case [1892] 2 Ch.
423 and the Law Guarantee case [1914] 2 Ch. 617 as the only safe or
appropriate basis of reinsurance. Secondly, any such precondition would
appear to have been confined to excess of loss reinsurance. There is no
suggestion of any equivalent clause being introduced or in use in the context
of quota share reinsurance to alter the position resulting from the Eddystone and Law
Guarantee cases. The syndicatesÕ submissions may therefore appear to
suggest an oddly unbalanced view of acceptable reinsurance arrangements.
These two points bring me naturally to the significance which the syndicates
attach to the distinction between quota share and excess of loss reinsurance. The suggested difference between the contexts of proportional
and excess of loss reinsurance The syndicates submit that it is important to remember that the
ultimate net loss clause is a clause designed for use in the context of
excess of loss reinsurance. Proportional and non-proportional reinsurances
are different forms of reinsurance. Under the former the reinsurer shares pro
rata in both premiums and losses on risks ceded whether from ground up or on
a surplus basis. Under the latter, the premium may be fixed but is commonly
(as under the present reinsurances) a minimum and deposit premium adjustable
by reference to a percentage of the reinsuredÕs net premium income: claims on
the risk(s) within the scope of the reinsurance are payable in excess of a
specified figure, whether the cover relates to individual losses or to an
accumulation of losses on the whole or a particular part of the reinsuredÕs
account. The nature of excess of loss reinsurance is that there is a trigger
to liability in the form of an excess point. However, this does not mean that
disbursement or satisfaction of original claims is either more likely or more
appropriate as a condition precedent to liability. Under a proportional
agreement in the Eddystone case form reinsurersÕ liability arises in respect
of ascertained liability on the part of the reinsured in respect of business
ceded (see Versicherungs [*342] und Transport A.G. Daugava v.
Henderson (1934) 49 LloydÕs Rep. 252) under a proportional agreement in
modern form, it arises in respect of the reinsuredÕs commitment to pay
ascertained by his settlement with the original insured. Under excess of loss
reinsurances such as the present, reinsurersÕ liability again arises in
respect of the commitment to pay ascertained by settlement, but it is
necessary to apply the excess point. None of this makes it more likely in
commercial terms that the parties would wish, or that it would be acceptable,
to introduce a further precondition of pre-payment in excess of loss
reinsurance. The syndicates submit that there is another fundamental
difference, in that proportional reinsurance is designed to protect the
solvency of reinsureds and to enable them to ÒborrowÓ solvency from their
reinsurers and so to write more business, whereas (they submit) excess of
loss reinsurance has no such purposes. No evidence was put before me to
substantiate this surprising final proposition. The different forms of
reinsurance represent different tools which an insurer may deploy, frequently
in conjunction with another to pass on or protect exposure either on
particular risks or on the whole or part of its insurance account. Much
modern reinsurance is done on an excess of loss basis. The purpose is
self-evidently to protect the insurer from exposures of the type reinsured
which could otherwise either individually or collectively imperil the
insurerÕs solvency or profitability. To suggest that it is natural under an
excess of loss reinsurance (as distinct from a proportional agreement) that
the insurer should have to fund the entirety of any claim as a precondition
to looking to his reinsurers is without warrant in any material before me, or
I believe in common sense or experience. If one takes the present
reinsurances alone, it is apparent that they cover in layers up to a high
level, being for £2‡5m. excess of £3m. and for £2‡5m. excess of £7‡5m.
Probably there was an intermediate cover £2‡5m. excess of £5‡5m. and there
may have been covers above £10m. Whether this is so or not, the purpose of
the reinsurance must have been to ensure that the reinsuredÕs exposure in
respect of a loss of up to £10m. would be protected to a very substantial
extent by its reinsurers. To suggest that it is integral to excess of loss
reinsurance that an insurer should operate with a capital base or with
banking facilities to enable it to be sure of being able to fund the whole of
every loss or accumulation of loss before making any recovery from its
reinsurers appears to undermine, rather than represent the purpose of, such
reinsurance. Nor do I accept the suggestion that pre-payment would be viewed
as essential to exclude the possibility that the reinsured might otherwise
seize a cash flow advantage, by recovering from its reinsurers and then
holding on to the moneys for a period before disbursing them to the original
assured. In the ordinary course original assureds would expect their money as
soon as any settlement was reached, and one would expect accounting to take
place in a way which would ensure as far as possible that payments and
recoveries occurred at more or less the same time. Commercial considerations On this basis considerations similar to those which influenced
the courts in the Eddystone case [1892] 2 Ch. 423 and the Law Guarantee
case [*343] [1914] 2 Ch. 617 appear to me to have a part to play in
the construction of the present contracts. The suggested precondition of
prepayment would be detrimental to the aims and expectations which the parties
as reasonable commercial people may be taken to have had in mind when
effecting the reinsurances, as well as being capricious and potentially
unfair in its operation. Stirling J.Õs words in the Eddystone case also
reflect the result of giving effect to the syndicates contention. If I may
re-express them colloquially, excess of loss reinsurance incorporating the
ultimate net loss clause would not serve as a direct mechanism for spreading
the load; a reinsured would have first to show that he was by himself capable
of lifting its full weight before claiming against his reinsurers, even
although collapse might be the result. The fuller reasoning in the Law
Guarantee case reinforces the strength of the commercial considerations
militating against any such conclusion. The same commercial considerations also provide a forceful
answer to the syndicatesÕ contention that CharterÕs case focuses
inappropriately upon CharterÕs insolvency and upon supposed hardship arising
in that situation. Parties to a reinsurance may have in mind precisely the
possibility of financial difficulties, and indeed provide for insolvency as
the third contract does. In insurance, as much as (if not more than) in any
other business, the matching of exposure and protection to assure both solvency
and profitability is absolutely fundamental. ReinsuranceÑof whatever typeÑis
a principal means to this end. It is unnecessary even to recall some of the
recent LloydÕs litigation in this court to see the problems which may emerge
in this regard where exposure and reinsurance protection are not or not fully
matched. I would add that it cannot realistically be suggested, and was
not here any more than in the Law Guarantee case, that reinsurance premiums
under excess of loss reinsurances containing ultimate net loss clauses are
weighted or reduced by reference to the strength or weakness of the
reinsuredÕs cash flow position to take account of the possibility that
reinsurers might not have to pay claims because the reinsured was unable to
fund them in advance. Regulatory and accounting considerations Mr. Kentridge for Charter referred to the solvency and insurance
company accounting requirements prepared under the regulations in force when
the three reinsurances were written, and, though this cannot be of direct
relevance, today. The legislature has repeatedly intervened with tighter and
more comprehensive regulation in this important field. At the time of these
contracts Charter was by section 32 of the Insurance Companies Act 1982
required to maintain a margin of solvency, defined as Òthe excess of the
value of its assets over the amount of its liabilities, that value being
determined in accordance with any applicable valuation regulations.Ó The
regulations in force in 1988-1990 were the Insurance Companies Regulations
1981 (S.I. 1981 No. 1654). Regulation 52(1) required the amount of the
liabilities of an insurance company to be determined in accordance with
generally accepted accounting concepts, bases and policies or other generally
accepted methods appropriate for insurance companies. Generally accepted
accounting practice in the United
[*344] Kingdom
contemplated (and contemplates) that incoming claims will be shown gross in
the companyÕs revenue account and that reinsurance will be shown as a deduction
giving a net cost of claims (cf. the Association of British InsurersÕ
Statement of Recommended Practice on Accounting for Insurance Business,
reprinted January 1987). Regulation 41 provided that the value of any debt
due to, or other rights in respect of, an insurance company under any
contract of reinsurance should be the amount which could reasonably be
expected to be recovered in respect of that debt or right. The form and content of the annual accounts and returns required
under section 17 of the Act of 1982 and submitted to the Department of Trade
and Industry were governed by the Insurance Companies (Accounts and
Statements) Regulations 1983 (S.I. 1983 No. 1811). The forms specified under
Regulations 6 and 9 contemplated the entry of amounts outstanding in respect
of incoming claims and amounts recoverable in respect thereof from
reinsurers. If the syndicatesÕ interpretation of the standard ultimate net
loss clause in use in the market is correct, the solvency and accounting
position of insurers would appear significantly complicated. Whilst it can in
normal circumstances be presumed that a company is a going concern, generally
accepted accounting concepts, bases and policies involve considering, where
there is room for doubt, whether this basis remains applicable, and, if it is
not or may not be, what effect that has on the companyÕs financial position
and how this should be presented or noted. On the syndicatesÕ case, this must
give rise to a potential problem of considerable significanceÑat least for so
long as it continued to be the practice or permissible to use the ultimate
net loss clause or to take into account for solvency purposes any potential
recoveries under any excess of loss reinsurance including that clause. The
syndicates submit that insurance company accountants calculating solvency
margins and preparing accounts need simply to Òfactor intoÓ their
consideration, when considering whether the going-concern basis remains
appropriate and for what reinsurance recoveries the company can take credit,
an assessment of its prospects of being able to fund its incoming claims
before looking to its reinsurers. I suspect that would add a hitherto
unsuspected peril to the conduct of insurance business and to its regulation
and accounting. The moment when an insurance company might fall from a
plateau of solvency, when full credit could be taken for potential
reinsurance recoveries, into an abyss of insolvency as a result of the
operation of the precondition of pre-payment would be unpredictable. Any
assessment of the prospects of its occurrence would fluctuate according to
the size and volume of new claims and of potential reinsurance recoveries in
respect of them. The assessment would have to take into account the prospects
of well-disposed reinsurers being prepared to support the company by funding
claims (on the syndicatesÕ case ex gratia) and to continue such support in
circumstances where there could be very large financial benefit in an
opposite attitude, which might (particularly if reinsurers themselves had any
financial problems or were in liquidation or receivership themselves) be hard
to resist. The syndicates submit that all this if true could mean at most
that there had been a failure by those involved in insurance business, [*345] accounting
and regulation to appreciate the true nature and effect of the ultimate net
loss clause, and to introduce equivalent solvency provisions to those
apparently introduced in the United States after the Supreme Court in one
case in 1937 accepted the existence of a precondition such as that for which
the syndicates contend. It seems to me however that, if it is material to
look at the accounting and regulatory background about which insurers and
reinsurers in this country must be taken to have general awareness, it
reinforces CharterÕs submission that the syndicatesÕ construction is unlikely
to have been intended. At the end of the day, however, this is not a decisive
factor in the conclusion which I reach. The suggested aim of securing proper administration of the
reinsuredÕs affairs in circumstances of insolvency The syndicates submitted that, if protection in insolvency is to
be assumed as an aim of these reinsurances, there could be valid commercial
reasons why reinsurers should wish to limit their exposure to any amounts
paid out by way of dividend to the original assured in the liquidation.
Quoting counselsÕ skeleton argument, Òthe interests of the creditors (for
whom in effect the liquidator acts) will be in allowing debatable claims so
as to maximise reinsurance recoveries,Ó whereas, Òthe reinsuredÕs interest
prior to liquidation will have been to scrutinise claims rigorously.Ó This
represents a comforting view of the efficiency in claims handling of
companies destined for insolvency, and an apparent slur on the objectivity or
competence of the professional liquidators and scheme administrators charged
with the handling of insurance company insolvencies. I say apparent; counsel
assure me that there was and is no such intention. If the distinction made
were accepted, it would not explain why the ultimate net loss clause applies
in the same form in all circumstances, before and after any problems of
solvency arise. Reinsurers have the same legal protection in both situations,
consisting in their right to refuse to follow any settlement not arrived at
in a businesslike way: see the Scor case [1985] 1 LloydÕs Rep. 312. With most
reinsureds, the point is in any event likely to have a considerable element
of artificiality because they act as following companies, on risks where the
settlement decision is in effect taken not by individual companies, but by a
leading underwriter or company. Subrogation in insolvency Another scenario in liquidation which the syndicates raised
concerned the application of principles of subrogation. If incoming claims on
which an insolvent insurer pays only a dividend of 10 per cent. entitle the
insurer to a full reinsurance recovery, then, the syndicates submit, the
reinsurers could lose the benefit of potentially valuable subrogated
recoveries. The reinsurance recovery may have been spread (by the mechanism
of dividends) across the general body of creditors. If the original insured
makes a third party recovery for the whole of his loss, he cannot be called
upon to repay the insurer more than the 10 per cent. dividend which he
received. The syndicates question whether there would be any mechanism by
which other creditors could be required to repay parts of the dividends which
they had received, or by which the reinsurers could recover their [*346] 100 per cent.
payment, if the insolvent insurer had not retained sufficient other assets in
the liquidation. In principle it seems clear that, if the original assured
has (viewing the matter retrospectively) suffered no loss, because he has now
made a complete third party recovery, he has no insurance claim on the
insolvent insurer, who in turn has no reinsurance claim on the reinsurers,
who should be repaid. On this basis, the problem suggested only arises if the
original insured is paid a claim by the insurer and later makes a third party
recovery, and, at the time of the third party recovery, the insurer has no
further or future assets whatever out of which the reinsurers may be repaid.
During the course of insolvency, one would expect liquidators and scheme
administrators to reserve funds to cater for contingencies and not to
distribute all available cash by way of dividends. I must also say that remote circumstances of this kind
postulated by the syndicates do not anyway appear to me a helpful guide to
the construction of these reinsurances. They do not explain why it should be
thought fair that reinsurersÕ liability should, for practical purposes, be
restricted to the amount of any dividend, which is likely in normal
circumstances to afford them a windfall benefit for which they cannot have
covenanted; and they do not of course provide a rationale for the ultimate
net loss clause in situations of solvency. In the last analysis, there may be
mechanisms for recovery from other creditors of part of the dividends paid,
if it ever became necessary, on grounds of unjust enrichment, although I
recognise that their pursuit could face practical difficulties. A final
consideration is that it does not appear to me, even on the syndicatesÕ
construction, that the ultimate net loss clause could give them the absolute
protection which they suggest was intended as regards subrogation recoveries.
Suppose that it had not been Charter but an insurer reinsured by Charter (on
terms not including any ultimate net loss clause) that had gone into
liquidation, and suppose that insurer were to distribute a 10 per cent.
dividend to its creditors, and were to make a 100 per cent. recovery from
Charter, leading to a full recovery by Charter from the syndicates. If the
original assured thereafter made a full third party recovery, precisely the
same exposure to possible difficulties in working out the operation of
subrogation would apply between the insolvent insurer and Charter and would,
if the problems raised by the syndicates have any validity, affect the
syndicates notwithstanding the ultimate net loss clause. Recent English authorities concerning ultimate net loss clauses I turn to recent authorities in which a similar point to that
now before me has been touched on, although in none was it necessary for the
court to reach any concluded view. The first is Pine Top Insurance Co.
Ltd. v. Unione Italiana Anglo Saxon Reinsurance Co. Ltd. [1987] 1 LloydÕs
Rep. 476, where Gatehouse J. had to consider a clause in an excess of loss
reinsurance in respect of medical and other expenses incurred under travel
insurances providing: ÒAll terms, clauses and conditions as original. To pay
as paid thereon, but subject nevertheless to the terms, clauses and conditions
of this reinsurance.Ó He treated the words Òto pay as paid thereonÓ as by
themselves varying Òthe general rule that the reinsurer is obliged to pay
even before his reinsured makes payment, i.e. as soon as [*347] the latterÕs
liability is assessed or capable or being assessed.Ó I think that this was in
error; it does not appear that he was referred to the Eddystone case [1892] 2 Ch.
423 or the Law Guarantee case [1914] 2 Ch. 617. His judgment goes on
to say that this variation was Òcarried throughÓ to a limit of liability
clause providing that Òreinsurers shall not be liable for any loss under this
reinsurance agreement unless the reinsured have actually paid in respect of
each and every loss each and every person, an amount of £5,000.Ó Since there
was nothing to Òcarry throughÓ and since the policy wording is only briefly
extracted and is in quite different terms to the present, I find the dicta in
this case of no assistance. Home and Overseas Insurance Co. Ltd. v. Mentor Insurance Co.
(U.K.) Ltd. [1990] 1 W.L.R. 153 simply decided that the dispute under the
particular reinsurance contract before the court should be referred to
arbitration, where it would be determined by a tribunal expressly enjoined to
interpret the agreement as an honourable engagement and to effect its general
purpose in a reasonable manner rather than in accordance with a literal
interpretation of the language. There are dicta of Hirst J. at first instance
generally unfavourable to reinsurersÕ present submissions, culminating with
the statement that he would only have been prepared to uphold their
construction if the words of the agreement as a whole plainly excluded any
other meaning, which in his judgment was not by any means clearly the case.
Mr. Kentridge asked me to note these words, and to follow a similar approach.
The judgments in the Court of Appeal are in more guarded terms, and do no
more than conclude that the question of construction was a serious, difficult
and important one, which deserved mature consideration before the appropriate
(arbitration) tribunal. Mr. Kentridge says that, if the point was difficult,
that alone shows that there is a choice of meanings and that CharterÕs
construction should be preferred on grounds of policy and reasonableness. But
this appears to me to be reading too much into the Court of AppealÕs decision
which was clearly designed to leave the whole matter open for the
arbitrators. Finally, there is In re A Company No. 0013734 of 1991 [1992] 2 LloydÕs
Rep. 415 the statements in which in my view also carry matters no further. ÒPay to be paidÓ clauses in Protection and Indemnity Association
Rules At the time of the Court of AppealÕs decision in the Home and
Overseas Insurance case, the cases of Firma C-Trade S.A. v. Newcastle
Protection and Indemnity Association [1989] 1 LloydÕs Rep. 239 and Socony
Mobil Oil Co. Inc. v. West of England Ship Owners Mutual Insurance
Association (London) Ltd. (No. 2) [1990] 2 LloydÕs Rep. 191 had been decided
in the Court of Appeal, but not yet in the House of Lords. They were referred
to by Parker L.J. in the Home and Overseas Insurance case as Òconsiderable
reinforcementÓ for reinsurersÕ arguments there. The syndicates rely on the
House of Lords decision as still stronger reinforcement. The Firma C-Trade and Socony cases concern a
very different branch of insurance law and practice to the present. Under the
mutual scheme embodied in the club rules which were there in question, the
member was entitled to be indemnified against or in respect of claims, in the
one case, Òwhich he shall have become liable to pay and shall in fact have
paidÓ for loss or damages to property carried on board an [*348] entered ship
and, in the other case Òwhich they as owners of the entered vessel shall have
become liable to pay and shall have in fact paid.Ó The requirement of payment
Òin factÓ was introduced as an essential element of entitlement to indemnity.
It appears to have been accepted that the ordinary and natural interpretation
of each rule was to make payment to the third party claimant a condition
precedent to payment by the clubs to their members; the only contrary
argument (raised in the Court of Appeal and developed in the House of Lords)
was that it should be read subject to equitable principles or to an equitable
jurisdiction to require the club to pay the third party direct or to put the
member in funds to do so. This argument foundered on the clear language of
the rule: see per Lord Brandon, at p. 197, and per Lord Goff, at pp. 200-202.
In the present case, the issue concerns the proper construction of the
ultimate net loss clause and the other clauses in the relevant contracts; the
wording (as indeed the context) are different, and the provisions on which
the syndicates place greatest reliance do not appear in the basic indemnity
clauses, but in other clauses, the most obvious purpose of which is to
measure the quantum of reinsurance recovery, rather than to introduce a
condition precedent to such recovery. As to the context, in Ventouris v.
Mountain [1992] 2 LloydÕs Rep. 281, 298 Hirst J. referred to a Òpay to
be paidÓ rule of the nature identified in the Firma C-Trade case [1991] 2 A.C.
1 and the Socony case [1990] 2 LloydÕs Rep. 191 as Òentirely inappropriate in
the non-club environment of a commercial insurance contractÓ such as that
before him. However, Mr. Ruttle drew to my attention to collision liability
clauses in various of the current institute clauses, which appear to be Òpay
to be paidÓ clauses, although the implications of that view do not seem to
have been considered in any recent authority or in the light of The Fanti and
the Socony case. Collision liability clauses in marine insurance themselves
occupy a fairly special area, and the wording relied on was, as in The
Fanti
and the Socony case, part of the main indemnity provision. I do not gain any
real assistance from the appearance of these clauses in the standard forms
designed for use in direct contracts of marine insurance of hulls, freight
and other interest. American authorities I was also referred by Mr. Ruttle to three American authorities
on reinsurance of insolvent insurers. In the first, Allemannia Fire
Insurance Co. of Pittsburgh v. FiremenÕs Insurance Co. of Baltimore (1908) 209 U.S.
326, 328 a proportional contract Òto reinsureÓ the reinsured provided by
clause 11 that each risk insured should be subject to the same conditions as
the original contract reinsured, that losses should be payable pro rata with,
in the same manner, and upon the same terms and conditions as paid by the
reinsured: Òand in no event shall this company be
liable for an amount in excess of a ratable proportion of the sum actually
paid to the assured or reinsured by the said reinsured company under its contracts
hereunder insured, after deducting therefrom any and all liability of other
reinsurers of said contracts or any part thereof.Ó [*349] There was also a provision for the reinsured to forward a proof
of loss and claim Òafter said reinsured company shall have adjusted, accepted
proofs of, or paid such loss or damage.Ó The Supreme Court rejected the
submission that clause 11 was intended to introduce a requirement of
prepayment before recovery as Òto utterly subvert the original meaning of the
term reinsurance and to deprive the contract of its chief valueÓ (p. 336).
The reinsurers had failed to show anything in the special provisions of the
particular reinsurance to change the ordinary rule that a reinsured could
recover without showing that he had paid the original loss. The purpose of
the clause cited was, in effect, to quantify the amount payable by
reinsurers. The second case, Fidelity & Deposit Co. v. Pink (1937) 302 U.S.
224, involved a proportional contract providing that Òthe reinsurer does
hereby reinsure against lossÓ and subject to conditions and provisions,
including in section 4 (see p. 228): ÒThe reinsurerÕs proportionate share of a
loss under the bond, of costs and expenses as hereinafter defined, and of
interest, shall be paid to the reinsured upon proof of the payment of such
items by the reinsured, and upon delivery to the reinsured of copies of all
essential documents concerned with such loss and costs and the payment
thereof. The reinsured may, however, give the reinsurer written notice of its
intention to pay the loss on a certain date, and may require the reinsurer to
have its share of such loss in the hands of the reinsured by such date:
provided, however, that the reinsurer in any event shall have a period of 48
hours, after the receipt of such written notice from the reinsured, to mail
or otherwise despatch its payment; and provided further that in any such case
the reinsurer, if it desires to do so, may pay its share of the loss by means
of a check drawn in favour of the obligee of the bond.Ó The court said, at p. 229: ÒWe do not question the general rules
concerning liability of reinsurers announced in the Allemannia case; but the
liability under any written contract must be determined upon consideration of
the words employed, read in the light of attending circumstances. Here the
two insurance companies stood upon an equal footing; both were experts in the
field. The language used differs materially from that found in the policy of
the Allemannia Company. There is no ambiguity and no circumstance requires
disregard of the ordinary meaning of the language.Ó Further, at p. 230: ÒAs the standard form of 1930 that was
adopted twenty years after the Allemannia case it fairly may be assumed that
the dissimilar language employed was intended to impose liability different
from the one there found to exist.Ó The Supreme CourtÕs decision in the Pink case must be viewed as
depending on the very specific language of section 4. This was clearly
designed to introduce a condition precedent of disbursement of money by
[*350] the
reinsured, and it went on expressly to cater for the problems of cash flow
which this could involve by providing as an alternative a mechanism by which
the reinsured might give notice of its intention to pay the loss on a certain
date and to require the reinsurer to have its share of the loss in the
reinsuredÕs hands before that date. What it did not do was cater for the
situation of insolvency. Finally, in Stickel v. Excess Insurance Co. of America (1939) 23 N.E. 2d
839 the Supreme Court of Ohio had to consider an excess of loss reinsurance
covering Òany amounts of ultimate net loss which the company may pay in
excess of the first $5,000 on account if any one person injured or killed . .
.Ó By section II (see p. 841): ÒThe term Ôultimate net lossÕ shall be
understood to mean and shall mean the sum actually paid in cash in settlement
of losses for which the company is liable, after making proper deductions.Ó The court regarded the Pink case as more applicable than the
Allemannia case to the particular wording before it, emphasising that Ò[i]t
would seem superfluous to cite additional authorities for, after all, the
decisions turn largely on the language of the particular contract under
examination in the particular case.Ó The introduction of the phrase Òin cashÓ
in the ultimate net clause in the Stickel case showed clearly that the clause
was concerned to introduce a requirement of disbursement of money. The Allemannia case adopts a view of the ordinary objects
and consequences of reinsurance not dissimilar to, though even more robustly
expressed than, the judgments in the Eddystone case [1892] 2 Ch.
423 and the Law Guarantee case [1914] 2 Ch. 617. If I were to look to
these three cases for guidance in the resolution of the present dispute, I
would view the Pink and Stickel cases as special cases which turn on their
particular wordings, which are distinguishable from the present. Every
wording must, as these cases emphasised, turn on its own language. Conclusion Adopting an approach to construction which is neither
uncompromisingly literal nor unswervingly purposive, I consider that the
words of the ultimate net loss clause in all three contracts were intended to
ensure that reinsurance recoveries were at each stage and ultimately measured
in all conceivable circumstances by reference to the precise net amount of
the commitment involved in the settlements achieved between the reinsured and
the original assured; and that they did not have an additional purpose of
introducing a temporal precondition to recovery in the form of disbursement
or other satisfaction of any such amount. The precondition which the
syndicates advocate could be achieved by clear words clearly designed for
such a purpose, if that were acceptable to the parties. Putting the matter at
its very lowest, the words of the ultimate net loss clause were not and are
not in my view clearly designed for this purpose, Nor are the words of the
contracts taken as a whole. On the contrary, in my judgment, they were
designed, and are to be read as designed, for the different purpose of
measurement. Indeed, the third contract contains a clause, article 22, which
I regard as very specifically confirming that no such precondition can there
have been envisaged, and as clear enough by [*351] itself to
prevail there over any precondition in the ultimate net loss clause, had I
thought that any was thereby intended. As it is, I regard article 22 in the
third contract as confirmation, in the context of that particular contract,
that the ultimate net loss clause is not to be read as involving any
precondition in the form of disbursement or other satisfaction of amounts
ascertained as due under loss settlements. I reach these conclusions upon
consideration of each of the three reinsurance wordings before me and having
regard to the general aims and consequences which these parties may be taken
to have had in mind. In the latter connection, I have made clear my view that
the commercial considerations identified in the Eddystone and Law Guarantee
cases have considerable relevance. Other factors which support the same
construction are (1) the history of the ultimate net loss clause, put before
me by the syndicates, and (2) regulatory and accounting considerations. Each
appears to me to represent part of the commercial background of which account
may also legitimately be taken, but they do no more than confirm a conclusion
at which I would anyway have arrived. Construction of the contracts in situations of insolvency Charter submitted that, if (contrary to the view just expressed)
the contracts were to be read as involving a precondition of disbursement or
satisfaction in situations of solvency, they should nonetheless be
differently construed in circumstances of insolvency. The justifications
submitted for this were (a) the unjust, uncommercial and arbitrary result of
such a precondition in insolvency, and (b) the consideration that such a
precondition would be contrary to public policy and void under the principle
in British Eagle International Airlines Ltd. v. Compagnie Nationale Air
France [1975] 1 W.L.R. 758. As to the first, if the precondition
exists in solvent situations despite the evident problems which it could pose
for solvency, it seems to me difficult to see how it is to be necessarily
implied, in the absence of any positive provision, that the precondition is
not to apply in insolvency. That is so at all events under the first two
contracts. There could be an argument for such an implication under the third
contract, in view of the provisions of article 22. The second justification
appears to me circular. The principle in the British Eagle case applies when
and if a contract on its true construction is repugnant to principles of
insolvency law, because for example it purports to secure a party a greater
advantage in bankruptcy or liquidation than previously or provides for the
distribution of what are, at least in substance, assets otherwise than pari
passu. It is not itself a canon of construction or means of altering the true
construction of a contract in insolvency. Alternatively, Mr. Kentridge submitted that the principle in the
British Eagle case was directly applicable in view of the appointment of
provisional liquidators in respect of Charter by order of Blackburn J. dated
23 June 1994. The effect of the syndicatesÕ construction of the contracts was
in his submission to require Charter to meet its liabilities in a manner
other than pari passu if it was to get in its assets, contrary to the
compulsory scheme applicable in liquidation and contrary, he submitted, to a
strong public interest (cf. the dictum of Kennedy L.J. in the Law
Guarantee case [1914] 2 Ch. 617, 639). Mr. HildyardÕs response is [*352] twofold: that
Charter is not in winding up and the principle can have no application, and
that, even if Charter were in winding up, the principle would not apply; any
asset was and is, in his submission, ÒflawedÓ in that its realisation is
subject to a precondition which cannot be fulfilled in insolvency; he says
that its diminished economic worth in circumstances where the reinsured
cannot pay its claims in full is irrelevant. The order gives the provisional liquidators powers, inter alia,
to get in all the companyÕs property and assets and to administer and settle
such claims either by or against Charter as advised in the interests of
creditors, as well as to prepare and consider a scheme of arrangement. I
understand Mr. Kentridge to accept that the power to administer and settle
claims would not embrace the pari passu distribution of assets in relation to
claims, which would be a matter for the liquidators after a winding up order.
This insolvency may well follow the pattern of other recent insurance company
insolvencies and lead not to winding up but to a scheme of arrangement. I see
the force of Mr. HildyardÕs submission that the British Eagle case can have
no relevance unless and until there is a winding up order. However, in the
view which I take on construction, it is unnecessary for me to go further
into this or any issue concerning the scope and application of the British
Eagle case and I shall not do so. The effect of insolvency as payment Finally, Mr. Kentridge raised very shortly the possibility that
the making of a winding up order or the admission of a proof thereunder
operates as a notional discharge of liability, which would meet any
precondition of disbursement or satisfaction to be found in the contracts.
Mr. Kentridge referred to the reasoning of Neville J. in In re Law Guarantee
Trust and Accident Society; GodsonÕs claim [1915] 1 Ch. 340, but found
difficulty in supporting this on the authorities, including Scrutton J.Õs
judgment in the Law Guarantee case, cited by Neville J. The judgment of
Oliver J. in In re Dynamics Corporation of America [1976] 1 W.L.R. 757
is on this point also of potential interest. Oliver J. was dealing with the
question at what date a foreign currency claim should be converted into
sterling when the defendant is in liquidation, having regard to the rule
established by Miliangos v. George Frank (Textiles) Ltd. [1976] A.C. 443,
that judgment may be entered for a sum in foreign currency or the sterling
equivalent at the date of payment, instead of (as previously) in sterling
converted at the date of accrual of the cause of action. His judgment
includes this passage, at pp. 774-775: ÒWhat the court is seeking to do in a
winding up is to ascertain the liabilities of the company at a particular
date and to distribute the available assets as at that date pro rata
according to the amounts of those liabilities. In practice the process cannot
be immediate, but notionally I think it is, and, as it seems to me, it has to
be treated as if it were, although subsequent events can be taken into account
in quantifying what the liabilities were at the relevant date. In the context
of liquidation, therefore, the relevant date for the ascertainment of the
amount of liability is the notional date of discharge of that liability, and
. . . that date must, in my judgment, be the same for all creditors and it
must be Ôthe date of paymentÕ for [*353]
the purposes of any judgment which has been entered for the sterling
equivalent at the date of payment of a sum expressed in foreign currency.Ó It is clear that a different statutory scheme takes over on
winding up (cf. also In re Lines Bros. Ltd. [1983] Ch. 1), but, if the
present contracts are otherwise to be construed as including a precondition
of prior disbursement, a ÒnotionalÓ discharge may not suffice. That no
winding up order has been made anyway poses an immediate obstacle to
CharterÕs submissions. Once again it is unnecessary for me to go further
into, or to express any concluded views on, these matters. Declarations
For the reasons given I shall declare that the contracts do not contain the precondition of prepayment for which the syndicates contend, and grant Charter such further relief as may be appropriate after hearing counsel. Declaration accordingly. The reinsurers appealed. Court of Appeal
25 October. The following judgments were handed down. STAUGHTON L.J. The appeal of Mr. Fagan and his Names (Òthe
reinsurersÓ) raises issues of general interest for the insurance market and
in the law of contract generally. To what extent should one depart from the
plain meaning of the words in a contract in order to avoid a result which is
unreasonable, or even absurd? Who is to be the judge of reasonableness? And
on what material is it to be decided? These issues are also of some difficulty.
One of them involves a choice between conflicting decisions of the United
States Supreme Court. Charter Reinsurance Co. Ltd. (Òthe insurersÓ) are now in
provisional liquidation. They formerly carried on the business of insurance
and reinsurance. In the course of it they concluded three contracts of
reinsurance with the reinsurers: (1) on their 1989 whole account, for £2m. in
excess of £3m. each and every loss and/or catastrophe and/or calamity and/or
occurrence and/or series of occurrences arising out of one event; (2) on the
same risk, for £2‡5m. in excess of £7‡5m.; (3) on aviation risks, [*354] for £2‡5m. in
excess of £28m. each and every loss (as defined). There were also limits in
U.S. and Canadian dollars, which I need not mention. In each of the contracts
there was a clause saying that it covered Òlosses occurringÓ during a period,
that is to say the calendar year 1989 for the two whole account contracts and
the calendar year 1990 for the aviation contract. Losses have arisen on business underwritten by the insurers. In
particular, the losses with the names of Exxon Valdez, Phillips Petroleum and
Australian earthquakes attach to the insurersÕ whole account; and India
Airlines and C.A.A.C. Airways attach to their aviation account. We are asked
to assume that claims have been presented to the insurers in respect of those
losses, that they have agreed their liability in respect of those claims, but
by reason of inability to pay debts as and when they fall due they are at
present not able to pay those claims. In case it be thought that misfortune has fallen only upon the
insurers, I would add that Mr. FaganÕs two syndicates ceased underwriting in
1990 and are now under run-off management. The question is whether the reinsurers are liable to indemnify
the insurers in respect of sums which the insurers have not yet paid, either
by a transfer of funds or by a settlement in account, although the amount of
the loss has been agreed. In an agreed statement of facts there is this cri
de coeur: ÒBoth [the insurers and the reinsurers]
recognise that the Ôactually paidÕ issue is a London market-wide problem. The
three contracts at issue in these proceedings are but examples of one type of
excess of loss reinsurance contract wording in wide usage in the reinsurance
market. Both parties wish this issue to be determined for the benefit of the
reinsurance market as a whole.Ó Mance J. decided the question in favour of the insurers; and the
reinsurers now appeal. I should say at once that the argument on the appeal
has evidently been more closely confined than it was before the judge. The terms of the contracts The two whole-account contracts contained the same clauses that
are material. [His Lordship then set out the reinsuring clause, liability clause,
ultimate net loss clause, currency clause and claims clause, see ante, pp.
319B-320C, 321B-D, and continued:] The third contract, relating to aviation
risks, was in somewhat different terms, so far as material. [His Lordship
then set out articles 7 to 10, 15, 18 and 22, see ante, pp. 322A-323D, 324A,
D-325B and continued:] Approach to interpretation of the contracts Like the judge I take this topic first. It is now well settled
that no contract is to be construed in a vacuum. Although we may start with
the literal meaning of the words, they should not be considered in isolation,
but rather in the light of the surrounding circumstances (or, if one prefers
it, the background, context or matrix) when the contract was made. That
process may even, on occasion, lead one to reject the literal meaning of the
words and to adopt some other interpretation. [*355] So too it may be appropriate to consider whether the literal
meaning of the words leads to a result that is unreasonable or even absurd.
The classic exposition of that doctrine is, in my opinion, to be found in the
speech of Lord Reid in Wickman Machine Tool Sales Ltd. v. L. Schuler A.G. [1974] A.C. 235,
251: ÒThe fact that a particular construction
leads to a very unreasonable result must be a relevant consideration. The
more unreasonable the result the more unlikely it is that the parties can
have intended it, and if they do intend it the more necessary it is that they
shall make that intention abundantly clear.Ó That short passage comprehends almost everything that needs to
be said on this topic. It shows (1) that there is in general, and apart from
consumer protection legislation, no law against people making unreasonable
contracts if they wish; (2) that whether they have done so is to be decided
by ascertaining their intention (which of course has to be found in the
language they used read in the light of the surrounding circumstances); and
(3) that it is a matter of degree in two respectsÑthe more unreasonable the
result, the clearer the language needed. We are also to have regard to the object, purpose, genesis or
aim of the transaction, viewed objectively and ascertained from the factual
background: Utica City National Bank v. Gunn (1918) 222 N.Y.
204, 208 (Cardozo J.), Prenn v. Simmonds [1971] 1 W.L.R. 1381, 1385 (Lord
Wilberforce) and Reardon Smith Line Ltd. v. Yngvar Hansen-Tangen (trading
as H.E. Hansen-Tangen) [1976] 1 W.L.R. 989, 995 (Lord Wilberforce). Lord
Diplock deprecated the use of the word ÒpurposiveÓ in connection with the
interpretation of private contracts as opposed to statutes: Antaios
Compania Naviera S.A. v. Salen Rederierna A.B. (The Antaios) [1985] A.C. 191,
200. Parker L.J. in Home and Overseas Insurance Co. Ltd. v. Mentor
Insurance Co. (U.K.) Ltd. [1990] 1 W.L.R. 153, 162 questioned what Lord
DiplockÕs objection was. For my part, however, I can see that interpreting
the language of Parliament in order to achieve its manifest objective is a
somewhat different process from the interpretation of a private contract. That
view is, I think, supported by a passage from Palm Shipping Inc. v. Kuwait
Petroleum Corporation [1988] 1 LloydÕs Rep. 500 quoted below. It is not difficult to find instances where the literal meaning
of words has been modified or even rejected, by reason of the surrounding
circumstances, or the absurdity of the results which would otherwise ensue,
or both considerations. Thus in the Wickman Machine Tool Sales case [1974] A.C.
235 itself it was held that the words Òit shall be a condition of this agreementÓ
did not mean what lawyers would ordinarily understand by a condition. By
contrast in The Antaios [1985] A.C. 191 it was held that the words
Òon any breach of this charterpartyÓ did not mean any breach, but any
repudiatory breach. A good example is to be found in Segovia Compagnia
Naviera S.A. v. R. Pagnan & Fratelli [1977] 1 LloydÕs Rep. 343. There a
charterparty provided that the charterers might order the vessel Òto any
United States port east of Panama Canal.Ó It so happens that all ports in the
U.S. Gulf and most or all of those in [*356] Florida are west of the Panama
Canal. Nevertheless they were held to be within the charterersÕ range of
choice. A recent example quoted by Mance J. is Arbuthnott v. Fagan (unreported), 30
July 1993; Court of Appeal (Civil Division) Transcript No. 1024 of 1993. A
claim against agents for negligent underwriting was held not to arise out of
or be in any way connected with the agentsÕ requirement to be put in funds to
meet insurance claims. Mance J. thought that considerations of reasonableness were of
particular relevance in a commercial context; but I am not sure that I would
agree with him on that. A contract between a house-owner and his builder or
decorator is just as much to be construed in accordance with Lord ReidÕs
formula as one between mercantile concerns operating on a shipping or
commodity exchange. One often reads in the cases of commercial common sense,
or business common sense; but that is not some arcane substance of a special
and unusual nature. It is common sense or reasonableness in the context of
the business in question. So in this case we must first consider what the contracts say on
the literal meaning of their wording, and how clearly they say it; and then
whether that meaning would be unreasonable, and if so how unreasonable. (I do
not of course exclude surrounding circumstances.) For the proposition that it
is legitimate to start with the literal meaning I can, as the judge did,
refer to what Saville J. said, quoting Lord Goff of Chieveley, in Palm
Shipping Inc. v. Kuwait Petroleum Corporation [1988] 1 LloydÕs
Rep. 500, 502: ÒThe starting point must be the words and
phrases the parties have chosen to use. It is not a permissible method of
construction to propound a general or generally accepted principle for
sharing the risk of delay between owners and charterers or seeking in the
abstract to determine a reasonable allocation of risk of delay and then (to
use the words of Lord Goff in SociŽtŽ Anonyme Marocaine de lÕIndustrie du
Raffinage v. Notos Maritime Corporation (The Notos) [1987] 1 LloydÕs
Rep. 503, 506) to seek to force the provisions of the charter into the
straitjacket of that principle or into that concept of reasonableness. To do
so is to rewrite the bargain that the parties must be taken to have made by
the words that they have chosen to use.Ó The language used in the contracts The whole account contracts are in somewhat different terms from
the aviation contract. Yet I doubt if the insurance industry will be
altogether pleased if we hold that this leads to different results. So are we
to reach an interpretation on one of them first, and then hold that it must
apply to the others? And if so, which should we begin with? This illustrates
a perennial problem in the interpretations of contracts commonly used in a
particular branch of commerce: one is referred to decisions on other wording
which is different but not very different, and then asked to proceed from
that to the contract in question. Yet, if there is a difference, it may be
critical. I cannot escape the conclusion that in this case we must give
independent consideration to the different forms of contract. [*357] (A) The whole account contracts The liability clause seems to me as clear as can be. It says
that the reinsurers shall only be liable if and when the ultimate net loss
exceeds £3m. in one case, and £7‡5m. in the other. It follows as the night
the day that until that event happens the reinsurers are not liable. One then turns to the ultimate net loss clause. At first there
is a slight problemÑit refers to ÒThe term Ônet loss.Õ Ò Those words are not
used elsewhere on their own. However, I can see why it was thought necessary
to define them. The net loss is to be the amount paid by the insurers plus
expenses but less recoveries. Then it is said in the second sentence that
recoveries made (sc. by the insurers) after the reinsurers have paid shall,
in effect, go to the credit of the reinsurers. That necessarily entails that
the reinsurers may have been called upon to pay before recoveries are
received. That implication is confirmed in the third sentence or proviso. So
the insurers must be entitled to payment as soon as the net loss exceeds the
lower limit in the contract, even if the final net loss remains to be
ascertained. The remaining problem is that this interpretation gives a
different meaning to ultimate net loss in the liability clause and ultimate
net loss in the proviso or third sentence of the ultimate net loss clause. In
the earlier place it means the net loss as existing at any given moment; in
the later, the net loss when all has been resolved. I would be shocked by
such inconsistency in a document drafted in Chancery; but I am not sure that
we are entitled to expect such a high standard in an insurance contract. And
as it happens we do know that the proviso was drafted by a different hand, or
at any rate at a different time, from the rest of the clause (cf. the
Òcollage of clausesÓ in Bremer Handelsgesellschaft m.b.H. v. Vanden
Avenne-Izegem P.V.B.A. [1978] 2 LloydÕs Rep. 109, 113). Once that point is resolved, the combined effect of the
liability clause and the ultimate net loss clause is to my mind perfectly
clear: the reinsurers are to be liable only for sums actually paid by the
insurers. The word ÒactuallyÓ means, in that context, in fact or in reality.
It must have been added so that there could be no argument about sums which
were payable, or deemed to be paid, or liable to be paid. Mr. Kentridge for the insurers argues that the ultimate net loss
clause is concerned with amount, and with ensuring that the reinsurers do
not, for example, pay 100 per cent. of a claim when the insurers have settled
it for 60 per cent. I would agree that one of the matters that it deals with
is amount. But the second sentence and the proviso are clearly concerned with
timing; and so, beyond all doubt, is the Liability clause. In those circumstances it is unnecessary to consider whether the
currency clause and the claims clause add further support to the conclusion
that the reinsurers are only liable for sums that have been paid. But in my
opinion the claims clause does to a significant extent, since it requires
Òreasonable evidence of the amounts paid.Ó (B) The aviation contract There are a number of points to note. (i) The reinsurance is to
Òindemnify the reinsured . . . for all losses sustained.Ó (ii) But they must
be Òin excess of an ultimate net loss of £28,000,000.Ó (iii) The original
[*358] aviation loss
warranty clause is somewhat obscure to an untutored eye. But it does not seem
to me to bear on the present problem. (iv) The ultimate net loss clause is
for practical purposes the same as that in the two whole account contracts.
It presents the same problem that the words Òultimate net lossÓ refer in one
place to the final figure but must in the reinsuring clause include an
interim figure. Apart from that the wording is plain; once more there is
express reference to Òthe sum actually paid.Ó (v) The aviation contract does
not have the requirement in the whole account contracts that Òreasonable
evidence of the amounts paidÓ should be given by the insurers. Instead the
reinsurance clause says that the reinsurance Òshall pay as may be paidÓ by
the insurers. That phrase has been held not to impose a requirement that the
insurers shall have paid before the reinsurers are liable. (vi) The special
cancellation clauses give either party the right to terminate upon a number
of events, of which one is the insolvency of the other party or inability to
pay its debts. In the event of termination the reinsurers Òshall remain
liable for losses occurring up to and including the date of termination.Ó
Mance J. attached importance to this clause; and he described it as Òa false
friendÓ in so far as it was relied on by the reinsurers. However, it is
important to identify the Òlosses,Ó which are referred to in the clause as
occurring Òup to and including the date of termination.Ó These must in my
view be the losses of the original insured persons, which have to occur
during the calendar year of the relevant reinsurance contract. (In the whole
account contracts there is express reference in the reinsuring clause to
Òlosses howsoever and whensoever arising during the period of this
reinsurance.Ó As Mr. Pollock pointed out, if the ÒlossesÓ there referred to
were those of the insurers when they agreed a claim and became liable to pay
it, none of that happened during 1989, and for that reason alone the
reinsurers would be under no liability. The judge was not inclined to accept
this argument.) I do not see that the special cancellation clauses are in any
way inconsistent with the reinsurersÕ interpretation of the aviation
contract: they are not to be liable if the original insuredÕs loss, albeit
occurring during the calendar year 1990, was after the reinsurance contract
had been terminated for any of the reasons set out; but they remain liable in
other cases, provided of course that the net loss reaches the minimum payment
level to engage the reinsurersÕ liability; and they cease to be liable when
it exceeds the maximum. Whether the loss has reached the minimum payment
level depends upon the words Òactually paid.Ó It must in my opinion have been
contemplated that termination under article 22 would take place during the
period of reinsurance, and not afterwards: the provision for adjustment of
premium shows that. So Òlosses occurring before terminationÓ will very likely
have to be the losses of the original insured rather than of the insurers. There was little detailed argument before us by either party
aimed at distinguishing the aviation contract from the two whole account
contracts. That is understandable. Each sought to succeed on all three
contracts. In my opinion the aviation contract, on its literal wording, does
provide that the reinsurersÕ liability only arises when the insurers have
paid, just as the whole account contracts so provide. But the aviation
contract is less clear on that point. If I am asked how much less clear, I
can only answer: [*359] somewhat less clear. That, as it seems to me, does not
necessarily amount to an ambiguity; but I do not think that the presence or
absence of an ambiguity is the determinative factor in Lord ReidÕs test. Reasonableness or absurdity Judges in the past have on occasion thought it unreasonable that
a reinsurer should not be liable if the primary insurer does not and cannot
pay the claim. In re Eddystone Marine Insurance Co; Ex parte Western
Insurance Co. [1892] 2 Ch. 423 was concerned with a reinsurance contract
which was Òto pay as may be paidÓ by the primary insurer. Both companies went
into liquidation. Stirling J. said, at p. 427: ÒNow, a main object of reinsurance is to
relieve the reinsured from a portion of the risk previously undertaken by him;
and the result of giving effect to the liquidatorÕs contention would be that,
before the reinsured obtains the benefit of his reinsurance, he must himself
have paid on the original insurance, even though bankruptcy might be the
result. I think that this could not be intended, and that such a construction
ought not to be put on the language of the policy unless it is clearly called
for. In my opinion the words do not clearly require to be so construed.Ó In re Law Guarantee Trust and Accident Society Ltd.; Liverpool
Mortgage Insurance Co.Õs Case [1914] 2 Ch. 617 was concerned with a contract
between a guarantee society (which later went into liquidation) and a
mortgage insurance company. The contract in question provided, p. 620: ÒThe Liverpool Mortgage Insurance Co. Ltd. .
. . hereby guarantee the within named Law Guarantee and Trust Society Ltd. .
. . to the extent of £5,000 being two-elevenths of the risk assured by, and
subject to, the conditions of the within policy of debenture insurance, and
also the like proportion of all costs and expenses incurred by the society. .
.Ó Buckley and Kennedy L.JJ. and Scrutton J. all referred to the Eddystone case [1892] 2 Ch.
423 with approval. As to reasonableness or the lack of it, Buckley L.J. said
[1914] 2 Ch. 617, 634: ÒI am anxious to point out some consequences which would ensue
if the view I have expressed were not the right one. The contrary view is one
which makes it to the interest of the company that the society should be
insolvent. For to such extent as the society cannot pay in full the argument
is that the company are not liable to make payment. It is obvious that such a
consideration cannot have entered into the contemplation of the parties in
fixing the premium. The company has received a certain premium upon the terms
that in an event it shall pay a certain sum. If its liability is reduced to
10s. in the pound, it has received payment of premium as the price of an
obligation to pay 20s., but is, by reason of circumstances not material at all
so far as the company is concerned, relieved of one half of the liability. If
this were true a society whose credit was bad ought to pay a less premium
than a society whose credit was good, because the obligation would [*360] in the former
case result in a smaller liability. The fact is, I suppose, that as matter of
business if the credit of the society were bad a larger, not a less, premium
would be demanded as the price of the guarantee.Ó It is to be observed that both the Eddystone case [1892] 2 Ch. 423
and the Law Guarantee case [1914] 2 Ch. 617 were concerned with reinsurance
against a share of the original loss, whereas here we are concerned with
reinsurance of the excess above a given figure. That might well make a
difference on a question of interpretation of the contracts. But it is not a
relevant distinction on the question presently under consideration,
unreasonableness or absurdity. The Eddystone case was again cited in British Dominions
General Insurance Co. Ltd. v. Duder [1915] 2 K.B. 394 and Versicherungs und
Transport A.G. Daugava v. Henderson (1934) 49 Ll.L.R. 252. But I can find no
assistance in those cases as to what is or is not unreasonable. In the latter
case Scrutton L.J. began his judgment, at p. 253: ÒThis appeal raises a very
short point of construction on very short agreed facts, and has been dealt
with by Roche J. in a very short judgment.Ó Firma C-Trade S.A. v. Newcastle Protection and Indemnity
Association (The Fanti); Socony Mobil Oil Co. Inc. v. West of England
Shipowners Mutual Insurance Association (London) Ltd. (No. 2) (The Padre
Island) [1991] 2 A.C. 1 sheds a different light on reasonableness. It
was concerned with the liability of mutual protection and indemnity
associations, which afford cover to their members against liabilities and
expenses under various heads in the business of shipowning. The relevant
contractual provision for the Fanti was: Ò4. The member shall be protected and
indemnified against all or any of the following claims and expenses which he
shall have become liable to pay and shall in fact have paid . . . (q) For
loss or damage caused to . . . property . . . carried on board a ship entered
in this class . . .Ó The wording of another protection and indemnity association, in
which the Padre Island was entered, was not materially different. There is little discussion in the speeches of the House of Lords
as to whether the rules in question were or were not unreasonable, since the
wording was clear. Lord Goff of Chieveley said, at p. 36: Òif the condition is in sufficiently clear terms, it would be
contrary to principle that equity should grant specific performance of the
contract inconsistently with the terms of the contract. In the present cases,
the condition of prior payment is perfectly clear. The clubs are only bound
to indemnify a member against claims or expenses which he shall become liable
to pay and shall in fact have paid. The reason why this provision was
included in the rules seems to me to be immaterial. I should record that Mr. Boyd,
for the West of England Club, put forward a rather different reason for its
inclusion from that proposed by Mr. Sumption. He suggested that, in a mutual
insurance association such as a P. & I. Club, it is essential that
members should be able to assume the financial probity of other members,
because all [*350] of them are insurers as well as insured. To that end, it
is customary to require each member to discharge his own liability before he
can be indemnified against it by the club. Each member is, after all, running
his own business: it is up to him to make sure that a claim against him is
well founded, and the best way of ensuring that is to require him first to
pay the claim before seeking indemnity from the club. I must confess that I
was much attracted by this submission. Your Lordships do not however have to
choose between Mr. SumptionÕs and Mr. BoydÕs submissions on this point,
especially as it is not inconceivable that they are both correct. For the
fact remains that the rules provide unambiguously that there is no present
obligation on the club to indemnify the member unless the condition of prior
payment has been fulfilled; and for equity to grant specific performance of
the contract, inconsistently with that condition, would, as I have said, be
contrary to principle.Ó The reason proposed by Mr. Sumption was, I think, Òto prevent a
member from making a profit from his insurance cover by receiving payment
from the club but failing to pay the third party:Ó see pp. 33-34. What I find of some significance for present purposes is that
shipowners had for a great many years been content to contract with
protection and indemnity associations on terms that they could only recover
what they Òshall in fact have paid.Ó Can one nevertheless say that such a
contract is unreasonable, uncommercial or absurd? The argument gains further
modest support if one turns to the rules of the Sunderland Steamship
Protection and Indemnity Association, cited in my judgment at first instance
in The Fanti [1987] 2 LloydÕs Rep. 299, 303: ÒProvided always that in the case of a
liability actual payment (which shall be made out of moneys belonging to him
absolutely and not by way of loan or otherwise) by the member or other
insured persons of the full amount of such liability shall, unless the
directors otherwise decide, be a condition precedent to the right of the
member or other insured person to recover and the obligation of the
association to satisfy and make good.Ó Presumably the members of the Sunderland Association were
content with that rule. I now turn to the substantive arguments on unreasonableness as
they were put before us.
There
was no direct evidence that on the reinsurersÕ construction the contracts
were unreasonable. Whether such evidence would be admissible or notÑwe must
bear well in mind that the undue proliferation of expert evidence is a major
cause of the present high cost of litigationÑI very much doubt whether it
would be helpful. Witnesses can explain the background, context, surrounding
circumstances or matrix. As we have no such evidence, or very little, this is
not the case to embark on consideration of what would qualify under that
head. Surrounding circumstances must at least be known, or capable of being
known, to both parties at the time when the contract is made Reardon Smith
Line Ltd. v. Yngvar Hansen-Tangen (trading as H.E. Hansen-Tangen) [1976] 1 W.L.R. 989, 996 by Lord
Wilberforce. Perhaps they might include the general [*362] nature of the risks which the insurers would insure, the
circumstances and manner in which claims were liable to arise on an excess of
loss reinsurance, the proportions in which different kinds of claim occur,
the circumstances which reinsurers take into account in fixing the premiums,
and the ostensible solvency of the insurers. That information might be
helpful. But, once it is available, two conflicting opinions on whether the
contract is unreasonable on one construction are of little value. Even though
it be a question of fact, the judge can as well make up his own mind. The argument for the insurers emphasised the case where one
single claim is made upon them for what is unquestionably one loss, and the
claim exceeds the lower limit of the reinsurersÕ liability. An example would
be a claim for £5m. where the reinsurers (as here) are liable for £2m. in
excess of £3m. It is said to be unreasonable that the insurers must first pay
£5m. to their insured before they can recover from the reinsurers. One answer to that argument is that the insurers can borrow from
their bank. Or, if they cannot do that, they need only pay their own share of
£3m. and a little bit more, before they start recovering from the reinsurers;
and each recovery can then fund the next payment. This scheme might run into difficulty
if the insurersÕ financial position was so precarious that a payment by them
would be a fraudulent preference. But the main answer to the argument is that
the single large claim is not the typical situation which excess of loss
reinsurance has to guard against. In support of that we were shown a sheet of
figures dated January 1995 stating the ultimate net loss to date for Exxon
Valdez as 24 March 1989, for Phillips Petroleum as 23 October 1989 and for
the Australian earthquake as 28 December 1989. That, it was suggested,
illustrates how claims arising from a particular casualty accumulate as time
goes by, and how from time to time the insurers would claim upon the excess
of loss reinsurers. If a time comes when the insurers can no longer fund payments
to their insured owing to insolvency, it is then that the reinsurance ceases
to pay on the reinsurersÕ construction. As the parties and the judge
recognised, excess of loss reinsurance is often arranged in layers or slices.
Those layers will continue to pay in sequence, and so provide funds, for as
long as the insurers can and do pay the claims by their insured. It is only
when the insurers nevertheless become insolvent that the flow ceases. Buckley L.J. in the Law Guarantee case [1914] 2 Ch. 617, 634
considered it important that the solvency of the primary insurer cannot have
been a circumstance that was considered in fixing the premiums. Factually
that must be right. But it leads me to ask what circumstances are taken into
account in fixing the premium for this type of insurance. We did ask; and
despite counsel taking instructions we received no answer. In the first of
the whole account contracts, for example, there is a minimum and deposit
premium of U.S. $600,000; and it is to be adjusted so as to equal 1‡09 per
cent. of insurersÕ net premium income for the year in question. How was that
figure reached, for a reinsurance of £2m. in excess of £3m.? I can only guess
that it was based on the underwriterÕs experience of past claims with these
and other primary insurers, and on his judgment of what his rivals would be
asking. I do not find much [*363] weight in that as an argument that
the reinsurers areÑor are notÑto pay in full when the insurers become
insolvent. Mance J. also attached importance to what he described as
regulatory and accounting considerations, that is to say (i) the margin of
solvency required by section 32 of the Insurance Companies Act 1982 and the
Insurance Companies Regulations 1981 (S.I. 1981 No. 1654), (ii) section 17 of
the Act and the Insurance Companies (Accounts and Statements) Regulations
1983 (S.I. 1983 No. 1811). For my part, I cannot see that these requirements
are of any real significance as a guide to the intention of the parties to
the contracts which they made in this case. It is no doubt of the highest
importance in the national interest that insurance companies should remain
solvent; it is no doubt important, to that end, that they have adequate
reinsurance on suitable terms. But it is not the task of the courts to
interpret private contracts in such a way as to ensure that the national
interest is well served. It is for the regulators to carry out their task of
regulating, and not for the judges to do so indirectly by the way that they
construe contracts. We have some material on the history of the ultimate net
loss clause, and this was considered in the judgment of Mance J. However,
neither Mr. Kentridge nor Mr. Pollock wished to rely on that material in this
court; and I too find it of no assistance. In the course of the argument
Simon Brown L.J. asked if there was a well recognised clause different from
that which we are considering. The answer, according to my note, is that Mr.
Ruttle, junior counsel for the reinsurers, had seen a contract which said
ÒpayableÓ instead of Òpaid.Ó That, I am afraid, does not take us very far. Mr. Pollock produced extracts from a booklet published in 1986
by the Reinsurance Offices Association. This was said to be relevant to the
question whether the contracts were, on the insurersÕ construction,
unreasonable or absurd, because it was material which the parties would have
had in mind. The commentary on the ultimate net loss clause reads in part: ÒThe clause is intended to indicate that the
reinsured must indemnify the original insured before it is entitled to claim
against the reinsurer. . . . However . . . the better opinion is that this
does not affect the liability of the reinsurers towards the reinsured in the
event of a liquidation. . . . If it is thought necessary a clause to this
effect may be added.Ó The October 1990 version of the booklet, which did not exist
when these contracts were made, has this passage: ÒThe clause also provides as do most, although
not all such reinsurance covers, that the ultimate net loss consists of
losses Ôactually paidÕ by the reinsured which is intended to make it clear
that the reinsurance is not meant to provide some form of contingency cover
but a contract of indemnity against loss.Ó We were also shown extracts from a booklet of the London
Insurance and Reinsurance Market Association, published in June 1992. This
[*364] reproduces
the first of the passages quoted above. It also has this comment upon a
liquidation clause contained in the booklet: ÒAlthough traditional London market
Ôultimate net lossÕ clauses oblige the reinsurer to indemnify the reinsured
only in respect of losses which have been Ôactually paidÕ by the reinsured,
there was always a problem should the reinsured be in liquidation. Under
those circumstances the liquidator quite simply could not ÔactuallyÕ pay
losses under the reinsuredÕs original policies because he did not have the
funds available to enable him to do so. In the United States this problem has
in recent years been surmounted by the inclusion in wordings of a liquidation
clause which obliges the reinsurer, in the event of the insolvency of the
reinsured, to settle losses in full to the liquidator under the original
policy. It is felt that, to make the position absolutely clear in U.K.
wordings, it is advisable likewise to include a liquidation clause. This
clause, whilst conceding that a contract of reinsurance remains essentially a
contract of indemnity, nevertheless obliges the reinsurer in the event of the
reinsuredÕs liquidation to pay the liquidator in full even though the
liquidator may not already have Ôactually paidÕ the loss concerned.Ó I have grave doubt as to whether the material in any of those
booklets is admissible, quite apart from the fact that it was not produced
before the judge. But what it does show, to my mind, is that judges should
hesitate before coming to an a priori conclusion as to what the object of a
particular clause in a contract was, or that its literal meaning would lead
to absurdity. The clause in its present form has existed since 1937; the
market has apparently realised that there could be some doubt as to its
effect when the primary insurer goes into liquidation (and see the American
cases cited below); but the parties to these contracts, like many others,
made no effort to clarify the position. If one draws any conclusion, it is
that they were not much concerned as to whether the reinsurers would have to
pay if the insurers were in liquidation. If the point ever arose, which they
may have thought very unlikely, then it would be up to the courts to provide
a solution. My conclusions on unreasonableness or absurdity are first, that
there is no evidence to support it. Secondly, if the point had expressly been
drawn to the partiesÕ attention when the contracts were first made, I am by
no means sure that they would have said, ÒOf course we do not mean that.Ó
Rather the insurers might well acknowledge that if, despite their margin of
solvency, there came a time when they were unable to fund payment of claims,
then their business would dissolve in ruins whatever these particular
reinsurers did. And the reinsurers would say that they felt no obligation to
contribute to the dividend received by other creditors of the insurers. True
this would leave many unhappy creditors, including those who were insured
under the primary cover. But I repeat that it is not for us to regulate for
the public good. It is plain, and Mr. Kentridge accepts, that the parties are
lawfully entitled to make contracts such as Mr. Pollock says they did make.
They are not obliged to consider the interests of possible future creditors
in a possible future liquidation, provided that their present trading does
not infringe the insolvency law. [*365]
Allemannia Fire Insurance Co. of Pittsburgh v. FiremenÕs
Insurance Co. of Baltimore (1908) 209 U.S. 326 arose out of the great
fire in Baltimore in 1904. The clause in a reinsurance contract read: ÒLosses, if any, shall be payable pro rata
with, in the same manner, and upon the same terms and conditions as paid by
the said reinsured company under its contracts hereunder reinsured, and in no
event shall this company be liable for an amount in excess of a ratable
proportion of the sum actually paid to the assured. . . .Ó The United States Supreme Court (including Harlan and Holmes
JJ.) held that the primary insurers were not obliged to pay the loss before
enforcing their claim against the reinsurers. The opposite conclusion was reached by the same court in Fidelity
& Deposit Co. v. Pink (1937) 302 U.S. 224. There the contract provided that
the reinsurerÕs share of the loss Òshall be paid to the reinsured upon proof
of the payment of such items by the reinsured, and upon delivery to the reinsurer
of all essential documents . . .Ó Again there were distinguished names on the
bench. The court said, at pp. 228-229: ÒBoth courts below thought that Allemannia Fire Insurance Co.
of Pittsburgh v. FiremenÕs Insurance Co. of Baltimore, 209 U.S. 326
required approval of respondentÕs contention. This was error. The defense was
well taken and should have been sustained. We do not question the general
rules concerning liability of reinsurers announced in the Allemannia case;
but the liability under any written contract must be determined upon
consideration of the words employed, read in the light of attending
circumstances. Here the two insurance companies stood upon an equal footing;
both were experts in the field. The language used differs materially from
that found in the policy of the Allemannia Co. There is no ambiguity and no
[*366] circumstances
requires disregard of the ordinary meaning of the language.Ó Of English authority the first case that we were referred to was
Gether v. Capper (1855) 15 C.B. 696. There the contract was that the owner was
to receive ÒThe highest freight which he could prove to have been paid on the
same voyage.Ó It would seem that the owner could prove what had been
contracted to be paid, but (not surprisingly) was unable to prove that it had
been actually paid. The interlocutory observation of Jervis C.J., at p. 701,
shows that some members of the court thought proof of the contract
sufficient. This was in a wholly different context and is no help at all in
the present case. In the Home and Overseas Insurance Co. Ltd. v. Mentor
Insurance Co. (U.K.) Ltd. [1990] 1 W.L.R. 153 the defendants were insurers who
had gone into liquidation and the plaintiffs were reinsurers. The ultimate
net loss clause was in the same terms as that which I have quoted (in part)
from the two whole account contracts in this case, save that it began ÒThe
term Ôultimate net lossÕ Ò instead of ÒThe term Ônet loss.Õ Ò The reinsurers
sought a declaration under R.S.C., Ord. 14 that they were only liable to pay
in respect of sums which had been paid by the insurers. The insurers applied
for a stay of the action in favour of arbitration. Hirst J. [1989] 1 LloydÕs Rep. 473 at first instance dismissed
the Order 14 summons and granted a stay. He considered the solution proposed
by the reinsurers, at p. 480, Òboth unjust and discordant with commercial
good sense.Ó However, he did quote from Butler & Merkin, Reinsurance
Law,
pp. D.2.2-09-D.2.2-10 including this passage: Òit is of interest to note that, following
the Pink decision, 302 U.S. 224, legislation was enacted in New
YorkÑsubsequently to be adopted in other statesÑto ensure that where an
original loss has occurred, the reinsurer is liable to pay the full reinsured
sum attributable to that loss to the liquidator irrespective of whether or
not the ceding company had paid its policyholders. It may well be the case
that if reinsurance agreements with English ceding companies were to begin to
incorporate clauses which make it clear that the reinsurerÕs responsibility
to pay was limited to sums actually paid, legislation might intervene in a
similar way to negative their effect.Ó (Emphasis added.) ÒActually paidÓ were of course the words used in that case, and
in this case, and presumably in many other contracts at that time. The Court of Appeal (Parker, Lloyd and Balcombe L.JJ.) agreed
that the appeal should be dismissed, but not because they agreed with the
view of Hirst J. as to the meaning of the contract. Parker L.J. said [1990] 1
W.L.R. 153, 160: ÒI come to the construction issue. I fully
appreciate the force of Mr. ClarkeÕs arguments which received considerable
reinforcement from the decisions in another division of this court Firma
C-Trade S.A. v. Newcastle Protection and Indemnity Association [1987] 2 LloydÕs
Rep. 299 and Socony Mobil Oil Co. Inc. v. West of England Shipowners
Mutual Insurance Association (London) Ltd. (No. 2) [*367] [1987] 2
LloydÕs Rep. 529 which were handed down whilst argument on this appeal was in
progress. Despite the force of those arguments, however, I have no doubt at
all that the question raised is a serious, difficult and important one which
deserves mature consideration. Indeed, if it be different, I am satisfied
that the plaintiffs are on the material before us not entitled to judgment
here and now.Ó So no conclusion was reached, and the dispute went to
arbitration. Mr. Kentridge relies on the case as showing that there was
ambiguity in the ultimate net loss clause; and he submits that if there is
ambiguity the insurers should succeed. But the same argument would have
occurred to the Court of Appeal, and they might in consequence have adopted
the view of Hirst J. They did not do so. Finally there is the decision of the House of Lords in the Firma
C-Trade case [1991] 2 A.C. 1. It had not been argued at first instance,
before either Saville J. or myself, that the words Òand shall in fact have
paidÓ meant anything other than they said. But there was an argument in the
Court of Appeal and the House of Lords that equity would treat them as
satisfied if the associationÕs members were merely liable to pay. This was
rejected. We have the authority of the House of Lords as to the effect of
Òthose express provisionsÓ (Lord Brandon of Oakbrook, at p. 28) which were
Òperfectly clearÓ (Lord Goff of Chieveley, at p. 36). I can see no relevant
distinction between Òsum actually paidÓ and Òshall in fact have paid.Ó It is said that members of a mutual insurance association,
sometimes called a Òclub,Ó are different from those who carry on insurance
business and are reinsured. I cannot for my part see that either is likely to
be less in business to make profits and avoid losses than the other. But like
Lord Goff (if I may say so) I can see some force in Mr. BoydÕs submission that
a P. & I. association is concerned that its members should remain solvent
so as to be able to pay supplementary calls if they occur. So too in the
present case the deposit premium is provisional, to be adjusted later; and
there may be recoveries which the insurers are obliged to pay over to the
reinsurers. Consequently the reinsurers have an interest that the insurers
remain solvent. I can see no distinction of any great significance on that
ground. The respondentÕs notice The first point argued was that it was contrary to public policy
for a contract to provide for a result which was repugnant to the insolvency
laws; and contracts should be construed so as to avoid that result. The cases cited in support of that submission were In re
Johns; Worrell v. Johns [1928] Ch. 737 and British Eagle International
Airlines Ltd. v. Compagnie Nationale Air France [1975] 1 W.L.R.
758. They are, as it seems to me, concerned with a situation where the
parties by contract seek to provide that one creditor shall, in the event of
insolvency, receive more than the appropriate dividend on his debt. They do
not touch upon this case, where the contract is concerned with sums payable
to the company. A contract may lawfully provide that they shall not be
payable in the event of insolvency. [*368] Mr. Kentridge mentioned a second argument, based on what was
said by Neville J. in In re Law Guarantee Trust and Accident Society;
GodsonÕs Claim [1915] 1 Ch. 340, 345, that Òin law bankruptcy in an action on
an indemnity was equivalent to payment.Ó However, this principle could not be
found in the sources to which it was attributed, and Mr. Kentridge did not
feel able to pursue it. Conclusion This dispute is about the meaning of two words, Òactually paid.Ó
There must come a time when efforts to bend meaning (or, as I would say,
reverse it) have to stop. The literal meaning of the words in the contracts
requires that the insurers shall have paid before the reinsurers are liable.
To the extent, if at all, that this produces a result which is unreasonable,
it is not so unreasonable that it requires us to depart from the plain
meaning of the words. Indeed I doubt whether it is unreasonable at all. Mance
J. held that the object of reinsurance is to spread the load. So indeed it
is. But it does not follow that any term in a reinsurance contract which
results in anything other than an equal division of the loss is to be
disregarded. The load is to be spread upon and subject to the terms of the
contract. I would allow this appeal. The judge had been asked by both parties
to make a decision under Order 14A; and he granted a declaration that Òit is not a condition precedent to the
liability of [the reinsurers] to indemnify [the insurers]. . . that [the
insurers] should first have made payment in respect of the ascertained amount
of the relevant claim by its insured by way of transfer of funds to its
insured or otherwise have satisfied the ascertained amount of such claim.Ó I would delete the word Ònot,Ó and otherwise grant a declaration
in the same terms. SIMON BROWN L.J. Staughton L.J.Õs judgment helpfully sets
out the material relevant to this appeal so that I can express my own
contrary opinion altogether more briefly. The appeal was argued on the basis that it raises a short point
of construction: does the phrase in these reinsurance policies Òthe sum
actually paidÓ mean what it appears to mean or does it mean Òthe sum actually
payable?Ó In other words, for the reinsurers to be liable, must the reinsured
actually have disbursed (or otherwise satisfied) the claim against which the
reinsurance is to indemnify them, or it is sufficient that such claim has
been established to be immediately payable? It would not be helpful for me either to cite or seek to
rephrase the principles emerging from the many authorities governing the
correct approach to construing a commercial contract. Plain it is that the
contractual words used may, whatever their context, be so abundantly clear
that however unreasonable the result, they must be given that clear meaning.
Failing that, however, then as I understand what Lord Reid said in Wickman
Machine Tool Sales Ltd. v. L. Schuler A.G. [1974] A.C. 235, 251, the more
unreasonable the result of a given construction, the readier should the court
be to adopt some less obvious construction of the words: [*369] Òdetailed semantic and syntactical analysis
. . . must be made to yield to business commonsense,Ó as Lord Diplock put it
in Antaios Compania Naviera S.A. v. Salen Rederierna A.B. (The Antaios) [1985] A.C. 191,
201. Is the apparent meaning of the words used hereÑÒthe sum actually
paidÓÑso abundantly clear in context, does it so obviously involve actual
disbursement, that, however unreasonable this result, one must so construe
them? Powerful though the arguments are to that effect, and hesitant
though I am to disagree with Staughton L.J.Õs conclusions, I have finally
reached the view that the words here are not so clear. I readily acknowledge
that the most obvious meaning of the words is that for which the reinsurers
contend. But if it be asked how such a meaning could have been made any
clearer, a simple answer is to be found in the House of Lords decision in Firma
C-Trade S.A. v. Newcastle Protection and Indemnity Association (The Fanti) [1991] 2 A.C.
1Ñnamely by adopting the words used in the club rules there under
consideration, whereby the members were indemnified against claims which they
Òshall have become liable to pay and shall in fact have paid.Ó I recognise,
of course, the close similarity between Òthe sum actually paidÓ and claims .
. . which he . . . shall in fact have paid.Ó But the inclusion in The
Fanti
of the additional words Òshall have become liable to payÓ made it impossible
to argue there, as was successfully argued before Mance J. here, that the
critical words meant just thatÑin that case the words so construed would have
been simply tautologous; here such a construction provides an arguable
alternative. To say that words of yet clearer meaning could have been used is
not, however, I accept, a sufficient answer to the submission that the words
used here are themselves unambiguously clearÑÒclear beyond rational argumentÓ
as Mr. Pollock boldly contended. Additional responses need to be given. First
is that, as always, the words have to be construed in their context. That
context here has two aspects. One, the wider aspect, is that these words
appear in an excess of loss reinsurance contract, a context in which it is
unlikely that the reinsurersÕ duty to pay will be made conditional upon the
reinsuredsÕ prior disbursement of incoming insurance claimsÑas to this
improbability see particularly In re Eddystone Marine Insurance Co; Ex
parte Western Insurance Co. [1892] 2 Ch. 423; In re Law Guarantee
Trust and Accident Society Ltd.; Liverpool Mortgage Insurance Co.Õs
Case
[1914] 2 Ch. 617 and Home and Overseas Insurance Co. Ltd. v. Mentor
Insurance Co. (U.K.) Ltd. [1990] 1 W.L.R. 153. The second and narrower aspect is that the words are used in an Òultimate net loss clause,Ó a clause which on any view is concerned essentially with the measurement of reinsurance recoveries and where it would be surprising to find imposed a condition requiring prior disbursement. In both these respects, be it noted, the present context differs
from that existing The Fanti [1991] 2 A.C. 1. There the contract was not
one of reinsurance but of mutual insurance between club members. Perhaps more
importantly, however, the critical words appeared there in the indemnity rule
itselfÑas an essential element of entitlement to indemnityÑrather than in
what is essentially a loss measurement clause. True, in the first two of the
reinsurance contracts here under consideration, the liability [*370] Clause itself
provides that Òthe reinsurers shall only be liable if and when the ultimate
net loss sustained by the reinsured [reaches a certain figure] and the
reinsurers shall thereupon become liable. . . .Ó But, as Mance J. pointed
out, Òthe focus of the clause is not on timing but on the scope and limits of
the financial responsibility accepted on an excess of loss basis under the
contracts.Ó There is, moreover, no equivalent provision in the main indemnity
clause of the third contract and, although clearly the appeal could be
decided differently regarding that contract, no one has contended for such a
result. Mance J. furthermore pointed out that, read literally, the
liability clause in the first two contracts is inconsistent with the ultimate
net loss clause, there being no liability under the former to pay on an
interim basis despite the clear implication to this effect in the proviso to
the later clause. This to my mind is another factor justifying a less literal
approach to the words in question. The importance of context is neatly illustrated by Mr.
KentridgeÕs example of the situation between exchange and completion of
contracts for a property purchase, where the buyer could well say that he had
bargained down the asking price and Òactually paidÓ something less. In that
admittedly very different context the words would not connote disbursement.
In the present context too, I conclude that it is possible to construe the
words as not requiring disbursement but rather as emphasising that the
recoverable loss must be immediately due and net of all deductions. That I
readily accept is a difficult construction, but not, I think, any more
difficult than to construe Òany breachÓ of contract as meaning Òany
repudiatory breach,Ó as in The Antaios [1985] A.C. 191. This difficult construction, however, I would only finally adopt
were the more obvious construction to cause plainly unreasonable results. I
turn next, therefore, to consider this aspect of the case. How (if at all) unreasonable is it to make prior payment by the
reinsured a condition of indemnity under these policies? A convenient
starting point is again The Fanti [1991] 2 A.C. 1. There, of course, because
the rules were foundÑindeed accepted, subject to as unsuccessful argument in
equityÑto provide unambiguously for prior payment, the reasonableness of that
condition was ultimately immaterial. Nevertheless it was considered and two
justifications were suggested. First, that the purpose of the rule was to
prevent a member from making a profit from his insurance cover by receiving
payment from the club but failing to pay the third party. Second, a
suggestion to which Lord Goff of Chieveley expressed himself much attracted,
at p. 36: Òthat, in a mutual insurance association
such as a P. & I. Club, it is essential that members should be able to
assume the financial probity of other members, because all of them are
insurers as well as insured. To that end, it is customary to require each
member to discharge his own liability before he can be indemnified against it
by the club. Each member is, after all, running his own business; it is up to
him to make sure that a claim against him is well founded, and the best way
of ensuring that is to require him first to pay the claim before seeking
indemnity from the club.Ó [*371] No such justification, submits Mr. Kentridge, can exist in the
context of reinsurance. Take excess of loss reinsurance against catastrophe
loss. Sometimes, inevitably, the reinsured will be unable to meet the entire
loss from his own pocketÑthat, indeed, will often be why he obtained
reinsurance in the first place. It would be wholly unreasonable on that
account to deny him indemnity under the reinsurance, to drive him into
insolvency, and to give the reinsurer the windfall benefit of not paying
without even the liability to return premiums. That, replies, Mr. Pollock, is just rhetoric. There is no known
case where the reinsured has in fact been forced into insolvency by the
requirement to make prior payment of the entire loss. Provided only that he
can pay his share of the loss, he will invariably be able to find (if
necessary with the aid of a bank loan) sufficient in addition to pay at least
part of the reinsured excess and thereby trigger at worst a process of staged
recovery under the indemnity clause. I find it helpful to consider the rival constructions in three
different situations: first, where the reinsured is in any event insolvent
and unable to pay even his own share of the loss; second, at the opposite end
of the spectrum, where without difficulty he can pay the entire loss; and
third, where he can pay his own share but not easily more. (1) Insolvency I can readily see that reinsurers might wish to provide that in
the event of the reinsured becoming insolvent, indemnityÑwhich in those
circumstances would go to the general body of creditorsÑshould not be
payable, and clearlyÑsubject only to an argument on the application of the
principle in British Eagle International Airlines Ltd. v. Compagnie
Nationale Air France [1975] 1 W.L.R. 758Ñthat could be stipulated. But there
was no such stipulation here, and in the one policy where the reinsuredÕs
insolvency was expressly contemplated (by article 22 of the third contract),
as Mance J. points out: ÒThe message conveyed is that a reinsurersÕ
liability for outstanding losses remains unchanged despite the reinsuredÕs
insolvency or inability to pay, even if reinsurers terminate cover in respect
of future losses and a fortiori if reinsurers do not.Ó (2) Reinsured able to pay entire loss In this situation it really makes little difference to the
parties whether prior payment is required or not. Even if it is required and
made, the reinsurer comes under an immediate liability to reimburse his
reinsured and accordingly gains nothing from the provision. The very fact
that he must immediately reimburse the loss denies the provision any value as
a guarantee that the claim is well founded. (3) Reinsured unable to pay entire loss This surely is the paradigm situation and I for my part find Mr.
KentridgeÕs argument upon it compelling, Mr. PollockÕs unpersuasive.
Theoretically, no doubt, the reinsured, if solvent, could seek a bank loan or
otherwise pay part at least of the excess loss so as to trigger some [*372] reimbursement
under the indemnity policy. But to what end? Assuming full recovery was
ultimately achieved as intended under the policy, the reinsurers would have
gained nothing (save perhaps very marginally postponed liability), whereas
the reinsured would probably have been put to very considerable inconvenience
and expense. The condition could not rationally have been imposed to achieve
those consequences. It serves, in short, no legitimate (i.e. reasonable
interest) of the reinsurers. In reality, the only effect of introducing a condition
of prior payment would be that sometimes it could not be satisfied in which
event the entire object of the reinsurance contract would be thwarted and the
reinsurers would receive a pure windfall gain. That cannot have been the
mutual intention of the parties. I conclude therefore that such a
construction of the clause is wholly unreasonable and that it must yield to
business common sense. For these reasons, which I believe do no more than reproduce in
shorter form the essential reasoning to be found in the very full and helpful
judgment below, I for my part would dismiss this appeal. NOURSE L.J. The contracts out of which this appeal
arises are excess of loss reinsurances. Liability under such an insurance,
while it may be provisionally assessed, cannot be conclusively established
until there has been a final settlement between reinsurer and reinsured, at
which point the reinsured must produce an account showing that the aggregate
sum paid under the insurances covered is within the excess. In practice no
doubt, even at the stage of final settlement, a reinsurer will often act on
the basis of sums payable by the reinsured but not yet paid. But his strict
right must be to insist on actual payment, because until then his own
liability is not conclusively established. That being the nature of the insurance, how should the contracts
in this case be construed? Their material provisions are fully set out in the
judgment of Staughton L.J. Like him, I will start with the two whole-account
contracts, the first three and most important clauses of which are headed
ÒReinsuring clause,Ó ÒLiability clauseÓ and ÒUltimate net loss clauseÓ
respectively. The reinsuring clause provides that the reinsurance is to pay
Òall losses howsoever and wheresoever arisingÓ subject, however, to the terms
and conditions following. So the outcome primarily depends on the interaction
between the liability and ultimate net loss clauses. If the definition of Ònet lossÓ in the ultimate net loss clause
is incorporated into the liability clause, the words Òsustained by the
reinsuredÓ being omitted as tautologous, the first part of the latter clause
reads as follows: ÒThe reinsurer shall only be liable if and
when the ultimate sum actually paid by the reinsured in settlement of losses or
liability [after making deductions etc.] in respect of interest coming within
the scope of the reinsuring clause exceeds £3,000,000. . . . Ò Bearing in mind the nature of the insurance as I have stated it,
I am unable to see why a provision headed ÒLiability clauseÓ and expressed to
deal with liability should not look forward to the final settlement between
the reinsurers and the reinsured, at which point, as I have said, the
reinsurersÕ liability will be established by reference to the aggregate sum
[*373] that the
reinsured has actually paid under the insurances covered. On this view of the
matter the words Òthe sum actually paidÓ mean what they say, neither more nor
less. An objection to this construction might possibly be based on the words
Òand whenÓ in the first line of the liability clause. Certainly the effect
might be even clearer if it read Òthe reinsurers shall only be liable if the
ultimate sum actually paid etc.Ó But I do not think that the objection could
be a good one. The words Òif and whenÓ are merely words of contingency
equivalent to Òin the event that.Ó Accordingly, the inclusion of the words
Òand whenÓ does not alter the effect of the liability clause. It is then necessary to consider the second and third sentences
of the ultimate net loss clause. The second contemplates that there may be Òa
loss settlement,Ó necessarily an interim settlement, and it provides for all
necessary adjustments to be made thereto in respect of salvages, recoveries
or payments recovered or received subsequently. The third sentence contains a
proviso that nothing in the ultimate net loss clause shall be construed to
mean that losses under the reinsurance are not recoverable until the
reinsuredÕs ultimate net loss has been ascertained. Thus the second and third
sentences of the ultimate net loss clause provide for what is to happen
during the period before final settlement and are consistent with the view
that, in contrast, the liability clause looks forward to that point. In my
view none of the other provisions of the whole-account contracts has any
significant role in the decision of the question that confronts us. I turn to the third contract, which relates to aviation risks.
Here the decisive provisions are contained in articles 7 and 10 headed ÒReinsuring
clauseÓ and ÒUltimate net loss clauseÓ respectively, with article 7 doubling
up for the reinsuring and liability clauses in the whole-account contracts.
If the definition of Òultimate net lossÓ in article 10 is incorporated into
article 7, the first part of the latter clause reads as follows: ÒThis reinsurance is to indemnify the
reinsured, subject to its provisions, for all losses which may be sustained
by the reinsured in excess of a sum actually paid by the reinsured in
settlement of losses or liability [after making deductions etc.] of
£28,000,000. . . .Ó Again, I am unable to see why that provision should not look
forward to the final settlement between the reinsurers and the reinsured.
Again, the words Òthe sum actually paidÓ mean what they say, neither more nor
less. Again, the second and third sentences of article 10 perform the same
function as the second and third sentences of the ultimate net loss clause in
the whole-account contracts and are consistent with the view that article 7 looks
forward to the point of final settlement. Again, none of the other provisions
of the aviation contract has any significant role in the decision of the
question that confronts us. By this route I have come to the conclusion that under none of
the three contracts are the reinsurers entitled, before the point of final
settlement, to make payment to the reinsured conditional on prior payment
under the insurances covered. Not until that point do the liability clauses
come into play. Until then the relationship between the parties is
essentially governed, first, by the reinsurersÕ general obligation to [*374] indemnify the
reinsured against the losses specified and, secondly, by the second and third
sentences of the ultimate net loss clauses. I am conscious that this construction of the contracts, although
put briefly to Mr. Pollock, for the reinsurers, at the end of his reply, was
not canvassed in argument either in this court or before Mance J. Yet a
question of construction of a document, like that of a statute, is invariably
at large; cf. Bahamas International Trust Co. Ltd. v. Threadgold [1974] 1 W.L.R.
1514, 1525, per Lord Diplock. The first task of the court is always to
construe the particular words of the particular contract against the factual
background known to the parties at or before the date it is entered into.
Here it is only the nature and objective aim of an excess of loss reinsurance
of which account can properly be taken. Having carried out that process of
construction, I am of the opinion that the meaning and effect of the material
provisions of the contracts in this case are plain. Since they result in
nothing unreasonable, far less absurd, no further inquiry is necessary. For
these reasons, I agree with Simon Brown L.J. that the appeal should be
dismissed. Appeal dismissed. No order as to costs. Leave to appeal granted. The reinsurers appealed. [*381] 22 May. LORD GOFF OF CHIEVELEY. My Lords, I have had the
advantage of reading in draft the speech of my noble and learned friend, Lord
Mustill, and for the reasons he gives I, too, would dismiss this appeal. LORD GRIFFITHS. My Lords, I have had the advantage of
reading in draft the speech of my noble and learned friend, Lord Mustill, and
for the reasons he gives I, too, would dismiss this appeal. LORD BROWNE-WILKINSON. My Lords, for the reasons given in the
speech by my noble and learned friend, Lord Mustill, I, too, would dismiss
this appeal. LORD MUSTILL. My Lords, this appeal turns on the
meaning of the words Òactually paidÓ in three contracts of reinsurance. The
question is whether the words prescribe that no sum will be paid by reinsurer
to reinsured in respect of a loss, or more accurately that no sum will be
brought into the balance of account between the two parties, until the
reinsured has paid out a sum of money to the person whose claim against him
has brought the reinsurance into play. At first sight this seems the shortest
of questions, requiring a very short answer; and so in the end it proves to
be. But the instinctive response must be verified by studying the other terms
of the contract, placed in the context of the factual and commercial
background of the transaction. I will therefore go straight to the nature of
the business and to the terms of the contract in which it was embodied,
concentrating for the moment on only one of the three policies, namely policy
no. X 20693/5386. By this contract two syndicates, represented in these
proceedings by Mr. P. F. Fagan (Òthe syndicatesÓ) reinsured for small
percentages of a total line Charter Reinsurance Co. Ltd. (ÒCharterÓ) in
respect of CharterÕs whole account for losses occurring during the calendar
year 1989. The contract formed part of a programme which also comprised
Òspecific reinsurancesÓ taken out with others on four of CharterÕs accounts
viz., non-marine LMX; non-marine international; marine; and aviation. These
accounts were reinsured in a series of tranches to limits of, respectively,
£23m., £11m., £32‡25m. and £31‡5m. Above these reinsurances of separate
accounts were the levels of whole account reinsurance with which two of the
three contracts in suit were concerned. Above a retention of £100,000, there
were successive layers of £2‡9m., £2m., £2‡5m. and £2‡5m. Policy no. 5386
insured the second of these layers, for £2m. excess of £3m. and one of the
other policies sued upon covered the fourth layer up to £7‡5m. For the
purposes of the present litigation it is assumed that a series of major
casualties arising from perils insured under the policy have caused valid
claims to be made against Charter under policies issued by it to other
reinsured or insured companies or syndicates (Òthe inward policiesÓ). These
claims are so large as to exhaust all the reinsurances comprising the
specific accounts of the programme, and to encroach upon the relevant layers
of whole account reinsurance. The problem arises from the fact that Charter
is in provisional liquidation, being unable to pay its debts as they fall
due, and these debts include claims under the inward policies. For [*382] their part,
the syndicates do not for present purposes dispute that all the requirements
of a valid claim against them by Charter are present, save only one: that
Charter have not paid, and cannot pay, the inward claims which they have
reinsured. Thus, say the syndicates, Charter have no cause of action under
the reinsurance. The practical importance of this defence, if sound, is obvious;
and its implications have been multiplied by the levels of financial frailty
experienced in the London insurance market in recent years. Across the market
as a whole very large sums depend upon it, and the litigation from which this
appeal stems has been brought in practice, if not in form, as a test case.
The proceedings take the shape of an action by Charter for a summary
declaration that payment by way of transfer of funds or other means of
satisfaction by Charter under the inward policies was not a condition
precedent to the liability of the syndicates. Within a very few months it
proved possible to obtain the opinion of the Commercial Court in the shape of
a meticulous and thoughtful judgment of Mance J., granting a declaration in
those terms. Upon recourse to the Court of Appeal this decision was upheld by
a majority, Staughton L.J. dissenting. The syndicates now appeal to this
House. This being, I believe, a sufficient summary of the dispute I
turn to policy no. X 20693/5386. It is important to quote its terms at some
length. For ease of reference I have added numbers and letters, and have
placed in italics the words around which the controversy revolves. Ò1. Reinsuring clause ÒThis Reinsurance is to pay all losses
howsoever and wheresoever arising during the period of this Reinsurance on
any Interest under Policies and/or Contracts of Insurance and/or Reinsurance
underwritten by the Reinsured in their Whole Account. Subject however to the
following terms and conditions. Ò2.(a) Liability clause ÒThe Reinsurers shall only be liable if and
when the Ultimate Net Loss sustained by the Reinsured in respect of interest
coming within the scope of the Reinsuring Clause exceeds £3,000,000 or U.S.
or Can.$6,000,000 each and every loss and/or Catastrophe and/or Calamity
and/or Occurrence and/or Series of Occurrences arising out of one event and
the Reinsurers shall thereupon become liable for the amount in excess thereof
in each and every loss, but their liability hereunder is limited to
£2,000,000 or U.S. or Can.$4,000,000 each and every loss and/or Catastrophe
and/or Calamity and/or Occurrence and/or Series of Occurrences arising out of
one event. Ò(b) Warranted Reinsurers hereon to have benefit of Specific Reinsurances as per Schedule attached. ÒUltimate net loss clause Ò(c) The term ÔNet LossÕ shall mean the sum
actually paid by the Reinsured in settlement of losses or liability after
making deductions for all recoveries, all salvages and all claims upon other
Reinsurances whether collected or not and shall include all adjustment
expenses arising from the settlement of claims other than the salaries of
employees and the office expenses of the Reinsured. [*383] Ò(d) All Salvages, Recoveries or Payments
recovered or received subsequent to a loss settlement under this Reinsurance
shall be applied as if recovered or received prior to the aforesaid
settlement and all necessary adjustments shall be made by the parties hereto.
Provided always that nothing in this clause shall be construed to mean that
losses under this Reinsurance are not recoverable until the ReinsuredÕs
Ultimate Net Loss has been ascertained. Ò(e) Notwithstanding anything contained
herein to the contrary, it is understood and agreed that recoveries under all
Underlying Excess Reinsurance Treaties and/or Contracts (as far as applicable)
are for the sole benefit of the Reinsured and shall not be taken into account
in computing the Ultimate Net Loss or Losses in excess of which this
Reinsurance attaches nor in any way prejudice the ReinsuredÕs right of
recovery hereunder. Ò3. Period of reinsurance clause ÒThis Reinsurance covers Losses Occurring
during the period commencing with 1 January 1989 and ending with 31 December
1989 both days inclusive, Local Standard time at the place where the loss
occurs. . . . Ò4. Premium clause ÒThe Minimum and Deposit Premium for this
Reinsurance shall be U.S.$600,000: 10 per cent. Payable in Sterling, namely
£37,500; 891ò2 per cent. Payable in U.S. Dollars, namely $537,000; 1ò2 per
cent. Payable in Can. Dollars, namely $3,000 . . . Ò5. Currency clause ÒLosses (if any) paid by the Reinsured in
currencies other than Sterling, shall be converted into Sterling at the rate
of exchange ruling at the date of the settlement of loss or losses by the
Reinsured other than losses paid in U.S. or Can. Dollars which will be paid
in those currencies. Ò6. Reinstatement clause ÒIn the event of loss or losses occurring
under this Reinsurance, it is hereby mutually agreed to reinstate this
Reinsurance to its full amount of £2,000,000 or U.S. or Can.$4,000,000 from
the time of the occurrence of such loss or losses to expiry of this
Reinsurance and that an additional premium shall be paid by the Reinsured
upon the amount of such loss or losses when they are settled in the first
instance calculated at 100 per cent. of the Minimum and Deposit Premium
hereunder subject to a further payment hereunder (if any) when the Final
Earned Premium is known. Reinstatement premiums to be paid in the currency of
loss settlement hereunder for which purpose U.S. or Can.$1‡60 = £1.
Nevertheless the Reinsurers shall never be liable for more than £2,000,000 or
U.S. or Can.$4,000,000 in respect of any one loss and/or series of losses
arising out of one event, nor for more than £6,000,000 or U.S. or
Can.$12,000,000 in all.Ó The case for the appellants concentrates almost exclusively on
the words in italics. It is very simple. These words plainly create a
condition [*384] precedent to any liability of the syndicates. The
condition is that Charter shall have Òactually paidÓ under the original
policies. If this expression has a natural and ordinary meaning, effect
should be given to it. The expression and the words which comprise it do have
such a meaning. By no stretch of language can it be extended to cover a
situation in which Charter has not made any disbursement, actual or even
notional, and will never do so. My Lords, to a substantial degree I accept this argument. I
believe that most expressions do have a natural meaning, in the sense of
their primary meaning in ordinary speech. Certainly, there are occasions
where direct recourse to such a meaning is inappropriate. Thus, the word may
come from a specialist vocabulary and have no significance in ordinary
speech. Or it may have one meaning in common speech and another in a
specialist vocabulary; and the context may show that the author of the
document in which it appears intended it to be understood in the latter
sense. Subject to this, however, the inquiry will start, and usually finish,
by asking what is the ordinary meaning of the words used. I begin, therefore
with Òactually.Ó In my opinion this word is used by way of qualification or
precaution, in the sense of Òreally,Ó Òin truth,Ó Ònot notionallyÓ or Ònot
prospectively.Ó On this, I feel no doubts. The word ÒpaidÓ is more slippery.
Unquestionably, it is no longer confined to the delivery of cash or its
equivalent. In ordinary speech it now embraces transactions which involve the
crediting and debiting of accounts by electronic means, not only transfers
between bank accounts by payment cards and direct debits, but also dealings
with credit cards and similar instruments. Conditional payment by cheque
would also be covered, at any rate outside a strictly legal context.
Furthermore, I think it plain that in a document created to govern a
transaction in the London insurance market payment would extend beyond
remittances from debtor to creditor and would include the settlements in
account with brokers which are a feature of that market. None the less, even
giving ÒpaidÓ an extended meaning the word would at first sight, and even
without the qualifier Òactually,Ó fall well short of encompassing a situation
in which the debtor had suffered no immediate financial detriment through a
transfer of funds in the direction of the creditor, and would never do so. My Lords, I have used the expression Òat first sightÓ because I
had initially thought that the meaning of the words was quite clear, and that
the complexities and mysteries of this specialist market had hidden the
obvious solution, and had led the courts below to abjure the simple and right
answer and to force on the words a meaning which they could not possibly
bear. I was not deflected from this opinion by any of the cases cited, which
with few exceptions (to which I must return) seemed too remote from the
present to offer any useful guidance. This is, however, an occasion when a first impression and a
simple answer no longer seem the best, for I recognise now that the focus of
the argument is too narrow. The words must be set in the landscape of the
instrument as a whole. Once this is done the shape of the policy, and the
purpose of the terms which I have grouped as clause 2 become quite clear. As
one would expect, four essential features of the insurance are described: the
perils insured against; the measure of indemnity; the [*385] duration of
the cover; and the premium. Clause 1, read together with various later
clauses of enlargement and restriction, which I have not quoted, describes
the nature and geographical scope of the perils insured against. In
principle, all events happening within the period laid down by clause 3
(construed in association with special provisions relating to liability
insurance) which constitute losses by perils insured under the original policies
are to be losses insured under this policy. This is not the place to discuss
the question, perhaps not yet finally resolved, whether there can be cases
where a contract of reinsurance is an insurance of the reinsurerÕs liability
under the inward policy or whether it is always an insurance on the original
subject matter, the liability of the reinsured serving merely to give him an
insurable interest. This may be important in the context of regulation, but
it makes no difference here, for it is quite plain that payment by reinsurer
is not the insured event. There has still been an insured loss, and even if
the argument for the syndicates is right the consequence is only to reduce or
eliminate the amount of CharterÕs recovery under clause 2 in respect of a loss
which has undoubtedly occurred. Clause 1 therefore has no bearing on the
present dispute. Nor of course is the premium provision in clause 4 of any
relevance. What does matter is the group of provisions which establish the
measure of indemnity, once a loss by an insured peril has taken place. I
would break these down as follows. (i) Clause 2(a) fixes the level at which financial prejudice
suffered by Charter under the inward policies in consequence of a loss by a
peril insured under this policy causes a liability to attach. This happens
when the ultimate net loss in relation to each and every loss and/or
catastrophe and/or calamity and/or occurrence (which I will call a set of
linked losses) exceeds £3m. This sub-clause also fixes the upper limit of indemnity
under the policy. An additional limit, this time fixed by reference not to
each set of linked losses but to the cover for the entire policy year, is
imposed by the last sentence of clause 6. (ii) Clause 2(b) incorporates into the scheme of the policy the
four sets of layered ÒspecificÓ insurances (i.e. the ÒaccountsÓ) identified
in the schedule. When an event occurs which is a peril insured under one of
those sets of insurances and also under this policy the limits of all the
insurances comprising that account must be exceeded before any indemnity
begins to fall due under this policy. (iii) Clause 2(c) gives meaning to clause 2(a) by defining
ultimate net loss. (In fact the sub-clause omits Òultimate.Ó This must be a
mistake, for otherwise the entire group of provisions makes no sense. The
word does appear in the clause as typed in the aviation policy). The purpose
of clause 2(c) is to make clear that the syndicates are not to pay losses
gross, but that there is to be a netting-down for recoveries, salvage and the
like when ascertaining whether, and if so by how much, the relevant
liabilities of Charter cross the boundary into the layer covered by this
policy. (iv) The first sentence of clause 2(d) elaborates clause 2(c) by
making clear that the fixing of an ultimate net loss in respect of any set of
linked losses is provisional, in the sense that the amount of it, and hence
its impact if any on this layer of insurance, is to be open to recomputation
if [*386] and when
items of the identified description subsequently accrue to the benefit of
Charter. (v) The proviso in the second sentence of clause 2(d) emphasises
that even though the computation of an ultimate net loss is provisional, if
it yields a figure broaching the bottom of the layer insured under this
policy it will then be ÒrecoverableÓ even if a subsequent recalculation when
all the figures are in may lead to an upward or downward adjustment, or even
to the elimination of any recovery at all. (vi) Clause 2(e) is puzzling at first sight, because the use of
initial capitals may suggest that, like ÒSpecific InsurancesÓ in clause 2(b),
the expression ÒUnderlying Excess Reinsurance Treaties and/or ContractsÓ has
a meaning specifically ascribed for the purpose of this policy. Yet one finds
it nowhere defined. In fact, however, a reading of the document as a whole
shows that capitals are used indiscriminately throughout, and that they have
no special significance in clause 2(e). In the light of the explanations
given in argument, I accept that the purpose of the sub-clause is simply to
ensure that the calculation of the ultimate net loss under sub-clause (a)
does not involve a deduction of the liabilities on the underlying layers, so
as to diminish the possibility of a recovery on the layer covered by this
policy. Analysed in this way, the policy makes complete sense, and works
perfectly well in practice when understood as requiring the satisfaction of
only two conditions before an indemnity falls due. First, that an insured
event shall have occurred within the period of the policy, and second that
the event shall have produced a loss to Charter of a degree sufficient, when
ultimately worked out, to bring the particular layer of reinsurance into
play. This reading accommodates without strain the words Òif and when,Ó in
clause 2(a); for they are concerned only with the point, not of time but of
arithmetic, at which the figures for the ultimate net loss reach the
appropriate level. Equally, I am now satisfied that the purpose of Òthe sum
actually paidÓ in clause 2(c) is not to impose an additional condition
precedent in relation to the disbursement of funds, but to emphasise that it
is the ultimate outcome of the net loss calculation which determines the
final liability of the syndicates under the policy. In this context,
ÒactuallyÓ means Òin the event when finally ascertained,Ó and ÒpaidÓ means
Òexposed to liability as a result of the loss insured under clause 1.Ó These
are far from the ordinary meanings of the words, and they may be far from the
meanings which they would have had in other policies, and particularly in
first-tier policies of reinsurance. But we are called upon to interpret them
in a very specialised form of reinsurance, and I am now satisfied that, as
Mance J. expressed it in his judgment at first instance, the words in
question did not have the purpose of introducing a temporal precondition to
recovery in the form of disbursement or other satisfaction of the precise net
commitment between Charter and its reinsured, but were there Òfor the purpose
of measurement.Ó Whilst I have come to this conclusion simply from a study of the
document I ought to comment on a number of other matters which are said to
bear upon it. In the first place, there is an argument ad absurdum to the
effect that the parties cannot have intended Charter to retain such liquidity
as would enable it to answer claims under the incoming policies [*387] without
recourse to the reinsurance. At a time when the use of money was a vital
element in the profitability of insurance business it is impossible to
suppose (the argument runs) that Charter should have agreed to finance its
own outlays, the more so since, if the syndicatesÕ interpretation of clause 2
is right, Charter would have to find, not only the funds required to disburse
the sum due under this particular layer, but also the total of the underlying
reinsurances. This would be a wholly impracticable arrangement, and would
bear especially hard on Charter if it fell into financial trouble and lacked
the means to make the payments necessary to unlock the reimbursements due
under its contracts with the syndicates. This argument draws strength from the shape of the policy. As I
have already suggested, under this form of words, although perhaps not under
all forms, the policy covers not, as might be thought, the suffering of loss
by the reinsured in the shape of a claim against him under the inward
policies, but the occurrence of a casualty suffered by the subject-matter
insured through the operation of an insured peril. The inward policies and
the reinsurance are wholly distinct. It follows that in principle the
liability of the reinsurer is wholly unaffected by whether the reinsured has
satisfied the claim under the inward insurance: see, amongst several
authorities, In re Eddystone Marine Insurance Co.; Ex parte Western
Insurance Co. [1892] Ch. 423. This result can undoubtedly be changed by
express provision, but clear words would be required; and it would to my mind
be strange if a term changing so fundamentally the financial structure of the
relationship were to be buried in a provision such as clause 2, concerned
essentially with the measure of indemnity, rather than being given a
prominent position on its own. Further arguments, to my mind some way short of conclusive, were
advanced on each side. The syndicates pointed out a possible disconformity
between the postponement of the reinsurersÕ liability to pay with the
statutory provisions governing margins of solvency. For Charter attention was
drawn to long-established contractual provisions creating just such a
condition precedent as is argued for here: for example, in the running down
clause and in protection and indemnity club cover against third party
liabilities, the effect of which was discussed in Firma C-Trade S.A. v.
Newcastle Protection and Indemnity Association [1991] 2 A.C. 1.
Each side suggested reasons why such a provision would or would not make
commercial sense; and proposed ways in which the hardship to the reinsured
might be ameliorated by devices such as the making of a series of small Òpump
primingÓ payments, which would produce a sufficient trickle of cash to
satisfy ultimately the inward claim in full, hence unlocking a recovery under
the reinsurance. These arguments are fully explored in the judgments delivered
below. Intending no disrespect I do not enter into them here, for in my
opinion they cannot be decisive. If, as I believe, a proper reading of the
policy discloses no condition precedent, there is little profit in considering
whether it would have been absurd to include one. If, per contra, the words
Òactually paidÓ can only as a matter of language and context mean what the
syndicates maintain, I would hesitate long before giving them any other
meaning, just because the result would be extraordinary. The words of Lord
Reid in Wickman Machine Tool Sales Ltd.v. Schuler A.G. [*388] [1974] A.C.
235, 251 do, of course, reflect not only a method of constructing contracts
but also the common experience of how language is understood: ÒThe fact that a particular construction
leads to a very unreasonable result must be a relevant consideration. The
more unreasonable the result the more unlikely it is that the parties can
have intended it, and if they do intend it the more necessary it is that they
shall make that intention abundantly clear.Ó This practical rule of thumb (if I may so describe it without
disrespect) must however have its limits. There comes a point at which the
court should remind itself that the task is to discover what the parties
meant from what they have said, and that to force upon the words a meaning
which they cannot fairly bear is to substitute for the bargain actually made
one which the court believes could better have been made. This is an
illegitimate role for a court. Particularly in the field of commerce, where
the parties need to know what they must do and what they can insist on not
doing, it is essential for them to be confident that they can rely on the
court to enforce their contract according to its terms. Certainly, if in the
present case the result of finding a condition precedent would be anomalous
there would be good reason for the court to look twice, and more than twice,
at the words used to see whether they might bear some other meaning. In the end,
however, the parties must be held to their bargain. Thus, if I had adhered to
my first impression that the expression Òactually paidÓ could possess, even
in the context of the policy, only the meaning which it has in ordinary
speech I would have wished to consider very carefully whether the opinion
expressed in the dissenting judgment of Staughton L.J., austere as it might
seem, ought to be preferred. In the event however, for the reasons stated,
this is not my present understanding of the words, and since the broader
question does not on this view arise I prefer to say no more about it. Next, I must notice three decisions from the United States. The
first is Allemannia Insurance Co. of Pittsburgh v. FiremenÕs Insurance Co.
of Baltimore (1908) 209 U.S. 326. A proportionate policy of reinsurance
stipulated (p. 328) that: Ò11. Each entry under this compact . . .
shall be subject to the same conditions, stipulations, risks and valuations
as may be assumed by the said reinsured company under its original contracts
hereunder reinsured, and losses, if any, shall be payable pro rata with, in
the same manner, and upon the same terms and conditions as paid by the said
reinsured company under its contracts hereunder reinsured, and in no event
shall this company be liable for an amount in excess of a ratable proportion
of the sum actually paid to the assured or reinsured . . .Ó After the great fire in Baltimore of 1904 the direct insurer
became insolvent and could not pay more than 55 cents in the dollar, and therefore
was unable to satisfy claims under its policies unless it could first recover
from the reinsurer. The Supreme Court of the United States held that payment
by the reinsured was not a condition of recovery under [*389] the
reinsurance. Delivering the opinion of the court Peckham J. stated, at p.
336: ÒWe agree with the court below, that the
language of the eleventh subdivision, taken in connection with the fact that
it is used in a contract designated by the parties as one of reinsurance,
means that the reinsuring company shall not pay more than its ratable
proportion of the actual liability payable on the part of the reinsured,
after deducting all liability of other reinsurers. To hold otherwise is to
utterly subvert the original meaning of the term reinsurance and to deprive
the contract of its chief value. The losses are to be payable pro rata with,
in the same manner and upon the same terms and conditions as paid by the
reinsured company under its contracts. This means that such losses, payable pro
rata, are to be paid upon the same condition as are the losses of the insurer
under its contract. . . . [This] . . . does not mean there must be an actual
payment of such liability by the insurer before it can have any benefit of
the contract of reinsurance which is made with defendant.Ó In the second case, Fidelity & Deposit Co. v. Pink (1937) 302 U.S. 224
the contract was in very different terms. It stipulated that the reinsurerÕs
proportionate share of the loss should be paid to the reinsured upon proof of
payment by the reinsured, and on tender of documents in support. It was
furthermore stipulated that the reinsured might give the reinsurer
prospective notice of its intention to pay on a certain date, and might
require the reinsurer to put its share of the loss in the hands of the
reinsured by that date. Distinguishing the Allemannia case, without differing
from the statement of general principle therein contained, the Supreme Court
held that on this occasion the contract was effective to make prior payment a
condition precedent to liability. Finally, in Stickel v. Excess Insurance Co. of America (1939) 23 N.E.2d
839, an ultimate net loss clause defined that term (p. 841) as Òthe sum
actually paid in cash in settlement of losses for which the company is
liable, after making proper deductions . . .Ó Founding on the language of the
particular policy in question, the Supreme Court of Ohio found the case
closer to Pink than to Allemannia, and held that once again actual
disbursement was a condition precedent to recovery. There was some suggestion in argument that there is an
inconsistency between these cases. On examination I can detect none. Even the
brief account given above is sufficient to make the individual decisions
perfectly understandable. Whether they were all right it is unnecessary and
inappropriate to consider; and it is of course true that the Allemannia case,
209 U.S. 326 was concerned with proportionate insurance, whereas the present
is not. What it is permissible to say however is that the brief statement of
general principle in that case accords with the law as it has been understood
for many years, in common law jurisdictions and elsewhere. I can see nothing
in these cases to cast doubt on the opinion which I have expressed as to the effect
of the present policy. Finally, there are the inferences about the purpose of the words
Òactually paidÓ which may be drawn from the history of the Òfollow
settlementsÓ clause. The matter is fully developed in the speech of my [*390] noble and
learned friend, Lord Hoffmann. If I own to hesitation in adopting this as a
direct answer to the problem it is because the historical materials presented
in argument are incomplete, and subsequent reading has not filled the gaps.
It is however clear that in the long time-frame of the insurance industry
excess of loss reinsurance is comparatively modern, probably dating from
transactions arranged by C.E. Heath in the United States in the last two
decades of the 19th century. It was not until after the Baltimore fire that
the need for an excess of loss non-proportionate cover written on a treaty
basis became obvious. Such cover would of course need to provide for a means
of ascertaining the point at which the reinsurance (or its first layer)
attached; equally important however, was that this determined the amount of
the reinsuredÕs retention, always a matter of prime importance when writing
reinsurance. I think it a reasonable surmise that this retention was
expressed in terms of net rather than gross. It is likely therefore that
there was from the start some form of ultimate net loss clause in American
excess of loss policies. Given that the Allemannia proportional
reinsurance, effected in 1903, already included these words, I think it as
likely that they were simply copied into excess of loss policies, as that
they were deliberately included to combat a puzzling English decision some 20
years old, not referred to at all in the report of the Allemannia case, and not yet
the subject of acute controversy even in England. This is however surmise but
it is possible to say with some confidence that there is nothing in the
available history to suggest that the words Òactually paidÓ were and are
included in order to create a condition precedent. There is one final point, directed to the wording of this
particular policy. It will be recalled that clause 2(c) defined net loss as
Òthe sum actually paid . . . after making deductions for all recoveries [etc]
whether collected or not.Ó There is a discontinuity here, if the syndicates
are right. There is good reason why the provisional ascertainment of the
effect which the losses will have on the reinsured layer should be made in
the light of forecasts about the funds which will be transferred out, and the
funds which will be transferred in, on future occasions before the ultimate
net loss is finally ascertained, but I can see no reason why uncollected
funds should be used as a contra sum at a time when through the absence of
payment under the inward policies there is nothing against which to set them.
Here again, I do not regard the point as conclusive, but it does reinforce
the solution at which I have independently arrived. For these reasons therefore I consider that the interpretation
given by Mance J., and Simon Brown L.J. to policy no. X 20693/5386 was
correct. This makes it unnecessary to consider the alternative line of
reasoning which led Nourse L.J. to conclude in favour of Charter. The
position under the second policy is acknowledged to be the same. There remains the aviation policy. There are differences between
this and the first two policies which might for other purposes be important.
Mance J. has drawn attention to some of them. But in my opinion none of them
bear on the present dispute, and the reasoning which I have proposed applies
equally to all three contracts. In these circumstances I would dismiss the appeal. [*391] LORD HOFFMANN. My Lords, this appeal turns upon the
construction of a standard clause known as the ultimate net loss (ÒU.N.L.Ó) clause
which is in common use in the London excess of loss reinsurance market.
Although the action concerns three particular policies of reinsurance written
on behalf of two LloydÕs syndicates, it raises an issue which affects the
whole reinsurance market. The relevant provisions are set out in the speech of my noble
and learned friend, Lord Mustill, and I need not repeat them. The question is
whether the words Òactually paidÓ mean that the liability of the reinsurers
is limited to the sum in respect of which Charter Reinsurance has discharged
its liabilities in respect of the risks which it insured. Mr. Sumption says
that this is the natural meaning of the words. There is nothing in the
context which requires them to be given a different meaning and that is the
end of the matter. I think that in some cases the notion of words having a natural
meaning is not a very helpful one. Because the meaning of words is so
sensitive to syntax and context, the natural meaning of words in one sentence
may be quite unnatural in another. Thus a statement that words have a
particular natural meaning may mean no more than that in many contexts they
will have that meaning. In other contexts their meaning will be different but
no less natural. Take, for example, the word Òpay.Ó In many contexts, it will
mean that money has changed hands, usually in discharge of some liability. In
other contexts, it will mean only that a liability was incurred, without
necessarily having been discharged. A wife comes home with a new dress and her
husband says ÒWhat did you pay for it?Ó She would not be understanding his
question in its natural meaning if she answered ÒNothing, because the shop
gave me 30 daysÕ credit.Ó It is perfectly clear from the context that the
husband wanted to know the amount of the liability which she incurred,
whether or not that liability has been discharged. But, said Mr. Sumption, there is the word Òactually.Ó Stirling
J. might have been willing to accept that paid could in some artificial or
figurative sense mean Òliable to be paid.Ó But the word ÒactuallyÓ was surely
added to make it clear that money must have changed hands. ÒActually paidÓ
said Mr. Sumption, meant actually paid. One speaks of something being ÒactuallyÓ the case to point a
contrast; perhaps with what appears to be the case, or with what might be the
case, or with what is deemed to be the case. The effect of the word therefore
[*392] depends upon
the nature of the distinction which the speaker is wanting to make. This can
appear only from the context in which the phrase is used. It is artificial to
start with an acontextual preconception about the meaning of the words and
then see whether that meaning is somehow displaced. The context might
indicate that the word was used to reverse the ruling in the Eddystone case and require
the liability of the reinsured to have been discharged. On the other hand, it
might suggest that a different contrast was intended. To revert to my domestic example, if the wife had answered
ÒWell, the dress was marked £300, but they were having a sale,Ó and the
husband then asked ÒSo what did you actually pay?Ó she would again be giving
the question an unnatural meaning if she answered ÒI have not paid anything
yet.Ó It is obvious that the contrast which the husband wishes to draw is between
the price as marked and the lower price which was charged. He is still not
concerned with whether the liability has been discharged. This is not a loose
use of language. In the context of the rest of the conversation, it is the
natural meaning. What then is the context? Is the draftsman wanting to draw a
contrast with the meaning given to ÒpaidÓ in the Eddystone case [1892] 2 Ch.
423 or does he have some other contrast in mind? My noble and learned friend,
Lord Mustill, has analysed the structure of the policies and for the reasons
which he gives, I agree that the context points to a wish to emphasise the
net character of the liability as opposed to what, under the terms of the
policies, the liability might have been. I think that these conclusions are reinforced by the history of
reinsurance clauses. Contracts of reinsurance were unlawful until 1864. Such
a contract is not an insurance of the primary insurerÕs potential liability
or disbursement. It is an independent contract between reinsured and reinsurer
in which the subject matter of the insurance is the same as that of the
primary insurance, that is to say, the risk to the ship or goods or whatever
might be insured. The difference lies in the nature of the insurable
interest, which in the case of the primary insurer, arises from his liability
under the original policy: see Buckley L.J. in British Dominions General
Insurance Co. Ltd. v. Duder [1915] 2 K.B. 394, 400. The difference in the nature of the insurable interest does however
mean that, insurance being a contract of indemnity, the amount recoverable
will not necessarily be the same as under the primary insurance. For example,
the liability of the primary insurer will not necessarily be for the whole
loss suffered by the original insured but may be subject to exceptions and
limitations. His net outlay can also be reduced by recoveries under his right
of subrogation. It therefore became customary in the market to have a special
clause or clauses which defined the extent of the reinsurerÕs liability. It
appears that the most commonly used form in the early years of reinsurance
was to add the words ÒBeing a reinsurance, subject to all clauses and
conditions of the original policy or policies, and to pay as may be paid
thereon:Ó see McArthur, The Contract of Marine Insurance, 2nd ed. (1890), p.
332 and the form of policy in Uzielli & Co. v. Boston Marine Insurance
Co.
(1884) 15 Q.B.D. 11, 12. [*393] As construed by the courts, however, the phrase Òand to pay as
may be paid thereonÓ disappointed the expectations of the market on both
sides. The original insurers assumed that it meant that if they agreed in
good faith to pay under the original policy, they would be able to recover
without having to prove their own legal liability. Reinsurers assumed that
whatever the loss of the original insured might be, their liability would not
exceed the net outlay of the reinsured, after taking all recoveries into
account. Both assumptions were to prove false. The story of how the expectations of original insurers were
disappointed by the decision of Mathew J. in Chippendale v. Holt (1895) 1 Com.Cas.
197 and the subsequent development of the Òfollow settlementsÓ clause to
restore what had been thought to be the effect of the old clause has been
told more than once, including by Scrutton L.J., who was junior counsel in Chippendale
v. Holt, in Gurney v. Grimmer (1932) 44 Ll.L.R. 189, 192-194. (For
subsequent developments, see Robert Goff L.J. in Insurance Co. of Africa
v. Scor (U.K.) Reinsurance Co. Ltd. [1985] 1 LloydÕs Rep. 312.) The second assumption, on the part of reinsurers, had however
been shaken by an even earlier decision. In Uzielli & Co. v. Boston
Marine Insurance Co., 15 Q.B.D. 11 the defendants were reinsurers of the reinsurers
of the Rose Middleton, which had been insured in the sum of £1,000. The ship
went aground and the owners gave notice of abandonment to the original
underwriters. The underwriters disputed the validity of the notice but
eventually settled the claim for 88 per cent. But they also spent more money
in getting the ship off th [*350] e rocks than they eventually realised
in selling her. The result was that they incurred a total loss of 112 per
cent. They recovered the additional sum from the plaintiffs, their reinsurers,
under a Òsue and labourÓ clause in the policy which entitled them to recover
such expenditure reasonably incurred by the insurers or their Òfactors or
servants or assigns.Ó The plaintiffs in turn claimed £1,120 from the
defendants. Matthew J. held that there had been a constructive total loss,
that the reinsurers were entitled to add the expenditure of the underwriters
on salvage under the Òsue and labourÓ clause and gave judgment for £1,120.
The reinsurers appealed and the Court of Appeal held that, as against the
defendants, the Òsue and labourÓ clause did not cover expenditure by the
original underwriters because they were not the Òfactors or servants or
assignsÓ of the first reinsurers. One might have thought that the result
would be that the plaintiffs could recover only the 88 per cent. of the
£1,000 for which the claim of the shipowner had been settled. That was what
had been paid on the original insurance policy. Instead, however, the court
substituted a judgment in favour of the underwriters for £1,000. The Uzielli case caused a good deal of puzzlement in
the market and among marine insurance lawyers. Mr. McArthur (The Contract of
Marine Insurance, p. 335) said that Òas the facts in the case were peculiar,
no general principle can be deduced from the decision.Ó In Western
Assurance Co. of Toronto v. Poole [1903] 1 K.B. 376, 387-388, Mr. Hamilton
K.C. and Mr. Scrutton K.C. offered Bigham J. different explanations of the
case, neither of which he found satisfactory. In British Dominions General
Insurance Co. Ltd. v. Duder [1915] 2 K.B. 394, Buckley L.J. said that
he could not find any principle in the case: p. 402. Pickford L.J. likewise
[*394] said, at p.
405, that it was very hard to understand and Bankes L.J. was similarly
perplexed: see p. 413. Although the principle of indemnity is fully
reaffirmed in Duder it would not be surprising if the market felt nervous
that the House of Lords might one day see some light in Uzielli which had eluded
other judges since the time it was decided. Although the commercial history of the matter is not as well
documented as that of the Òfollow settlementsÓ clause, it is clear that the
formula Òpay as may be paid thereonÓ disappeared from standard forms of
reinsurance. The objects which it had sought to achieve on behalf of the
original insurers were taken over by the follow settlements clause. It does
not seem unreasonable to infer that its function in delimiting the liability
of the reinsurers was taken over by the ultimate net loss clause. The U.N.L.
clause shows throughout a preoccupation with ensuring that the reinsurer
cannot be called upon to pay more than the reinsured has been required to
pay. In Uzielli the words Òpay as may be paidÓ had proved ineffective to
achieve this result, even though they had been thought apt to do so. In his
argument in DuderÕs case [1915] 2 K.B. 394, 398 Mr. Roche K.C., arguing for
a similar result to that in Uzielli, said plaintively but truthfully, that the
words Òpay as may be paid thereon:Ó Òweakened the case of the plaintiffs, and
yet this court held that they could recover the full 100 per cent. and not
merely the 88 per cent. for which they had settled the claim against them.Ó
It would not therefore be surprising if underwriters thought that if ÒpaidÓ
was not good enough to satisfy the courts, Òactually paidÓ might drive the
point home. The U.N.L. clause in the policies before the House has been
traced back in unaltered form to the early 1930s and I would not be surprised
if it went even further back than that. The words Òactually paidÓ can be
found in the policy considered in Allemannia Insurance Co. of Pittsburgh
v. FiremenÕs Insurance Co. of Baltimore, 209 U.S. 326, where they were given
the construction which I suggest in this case. I find further support for my view in the fact that the U.N.L.
clause has been thought suitable for use in the London excess of loss
reinsurance market. There are certainly forms of reinsurance in which it may
be commercially appropriate to make discharge of his liability by the reinsured
a condition of the liability of the reinsurer. It may be, as in cases of
mutual insurance, that the reinsurer has an interest in making certain that
the reinsured maintains sufficient liquid assets to meet his liabilities. Or
it may be a protection against fraudulent claims. But the London excess of
loss market operates on the assumption that a reinsurance programme will
relieve the insurer of the burden of having to pay claims covered by the
reinsured layers. The regulation of insurers in this country uses a test of
solvency which treats reinsurance cover as a proper deduction from the
insurerÕs liabilities. None of this would make sense if the insurer had first
to satisfy the claim out of his own resources before he could call upon his
reinsurers to pay. Mr. Sumption suggested a stratagem which insurers might use to
avoid having to pay the whole claim themselves. They could pay a part, even a
very small part, of the reinsured liability and then, having to this extent
actually paid, they could call upon the reinsurer to reimburse them. Having
thus primed the pump, they could by successive strokes draw up [*395] the full
amount from the reinsurance well. I cannot imagine that the parties could
ever have contemplated such a strange procedure and one is bound to ask what
commercial purpose the reinsurer could have expected to achieve by being able
to insist upon it. Considerations of history, language and commercial background
therefore lead me to the conclusion that the word ÒactuallyÓ in the U.N.L. clause
is used to emphasise that the loss for which the reinsurer is to be liable is
to be net and that the clause does not restrict liability to the amount by
which the liability of the reinsured for the loss has been discharged. I
think that this is the natural meaning of the clause. In conclusion I would like to pay tribute to the judgment of
Mance J. which deals comprehensively with the issues and all the relevant
authorities and with which I am in full agreement. I would dismiss the
appeal. |