[2003] 2 All ER
(Comm) 587 Feasey v Sun Life
Assurance Company of Canada and another Steamship Mutual
Underwriting Association (Bermuda) Ltd v Feasey [2003] EWCA Civ 885 INSURANCE COURT OF APPEAL, CIVIL
DIVISION WARD, WALLER AND DYSON
LJJ 26-28 FEBRUARY, 3 MARCH,
26 JUNE 2003 Insurance Life
insurance Personal accident and illness insurance Indemnity insurance
Master lineslip policy P&I club insured for losses in respect of injury
to any person on board members vessels Insurers paying club fixed benefits
in respect of claims Insurers reinsuring risks with defendant reinsurers
Whether club having insurable interest at inception Life Assurance Act 1774,
s 1. S Ltd, a P&I club,
insured the liabilities of its members for personal injury or death. In June
1995, rather than entering into a conventional reinsurance with a Lloyds
syndicate, S Ltd and the syndicate entered into a personal accident and illness
master lineslip policy to cover the liability of S Ltd to its members. Under
the master lineslip the syndicate agreed to pay fixed benefits to S Ltd in
respect of bodily injury and/or illness sustained by a person (an Original
Person) who was engaged in any capacity on board a vessel or offshore rig
entered by a member with S Ltd. That master lineslip was renewed from time to
time. The syndicate reinsured its liability under the master lineslip with the
defendant reinsurers. In January 2000, the defendants ceased to pay claims
submitted to them by the syndicate and the syndicate issued proceedings seeking
to recover unpaid amounts allegedly due under the reinsurance. The first
defendant reinsurer argued that S Ltd had no insurable interest in the lives
and well-being of the Original Persons and therefore contended that the
insurance was unlawful by virtue of s 1a of the Life Assurance
Act 1774, which provided that no insurance shall be made
on the life or
lives of any person or persons
wherein the person or persons for whose, use,
benefit, or on whose account such policy or policies shall be made, shall have
no interest, or by way of gaming or wagering
The judge found, inter alia,
that there was no reason why the disputed policy should be held to be in
violation of s 1 the 1774 Act and that S Ltd therefore had an insurable
interest in the contract of insurance between it and the syndicate. The first
defendant appealed against the judges conclusion that S Ltd had an insurable
interest. Held - (Ward LJ
dissenting) Previous authority demonstrated that it was difficult to define
insurable interest in words which would apply in all situations: [*588] context and the terms of
the policy with which the court was concerned would be all-important. It was
also established by the authorities that the question of whether a policy
embraced the insurable interest intended to be recovered was a question of
construction. Moreover, although the subject or terms of the policy might be so
specific as to force the court to hold that the policy had failed to cover the
insurable interest, a court would be reluctant so to hold. In the instant case,
it was common ground that the policy was a policy to pay fixed sums on the
happening of certain events and therefore fell within s 1 of the 1774 Act; but
the fact that sums were payable on certain events did not end the inquiry as to
what the subject matter of the insurance was or whether the subject matter of
the insurance embraced the insurable interest. The disputed policy was not on
any view a simple life policy which paid S Ltd on the death of a particular
identified individual: rather, the policy was agreed to pay fixed sums for
injuries sustained by Original Persons but in respect of losses occuring in
respect of S Ltds members. It followed that the object of the policy was to
cover S Ltd for the losses it would suffer as an insurer of its members under
its rules. S Ltd had a legal obligation which might lead to substantial sums
being payable and which was capable of pecuniary evaluation, and the subject of
the insurance was not so specific that it did not embrace the interest. It was
not an abuse of language to say that S Ltd had an insurable interest in the
lives and well-being of the Original Persons and there was therefore no
reason not to construe the subject of the disputed policy as embracing the
insurable interest. Furthermore, the submission that, as a matter of law, an
insurable interest in a contingency could not be covered by a life policy
properly framed so as to embrace that insurable interest, would be rejected.
There was therefore no reason to hold the disputed policy in violation of s 1
of the 1774 Act and accordingly the appeal would be dismissed (see [71], [97],
[98], [100]-[102], [110], [124], [125], [143], below). Dalby
v India and London Life-Assurance Co [1843-60] All ER Rep
1040, Stock v Inglis (1884) 12 QBD 564, National
Oilwell (UK) Ltd v Davy Offshore Ltd [1993] 2
Lloyds Rep 582 and Deepak Fertilisers & Petrochemicals Ltd v Davy McKee
(London) Ltd [1999] 1 All ER (Comm)
69 considered. Decision
of Langley J [2002] 2 All ER (Comm) 492 affirmed. Notes For insurable interest,
see 25 Halsburys Laws (4th edn reissue) paras 535-544. For
the Life Assurance Act 1774, s 1, see 22 Halsburys Laws (2003
reissue) 5. Cases referred to in
judgments Anderson
v Morice (1875) LR 10 CP 609, Ex Ch; affd (1876) 1 App Cas 713,
HL. Baker
v Black Sea and Baltic General Insurance Co Ltd (Equitas Reinsurance
Ltd intervening) [1996] LRLR 353, CA; rvsd in part [1998] 2 All
ER 833, [1998] 1 WLR 974, HL. Barclay
v Cousins (1802) 2 East 544, 102 ER 478. Carlill
v Carbolic Smoke Ball Co [1892] 2 QB 484; affd [1893] 1 QB
256, [1891-4] All ER Rep 127, CA. Cepheus
Shipping Corp v Guardian Royal Exchange Assurance plc, The Capricorn [1995] 1
Lloyds Rep 622. Commonwealth
Construction Co Ltd v Imperial Oil Ltd (1976) 69 DLR (3d) 558,
Can SC. Constitution
Insurance Co of Canada v Kosmopoulos (1987) 34 DLR (4th) 208,
Can SC. [*589] Co-operative
Retail Services Ltd v Taylor Young Partnership Ltd [2000] 2 All ER (Comm)
865, CA; affd [2002] UKHL 17, [2002] 1 All ER (Comm) 918,
[2002] 1 WLR 1419. Dalby
v India and London Life-Assurance Co (1854) 15 CB 365, 139 ER
465, [1843-60] All ER Rep 1040, Ex Ch. Deepak
Fertilisers & Petrochemicals Ltd v Davy McKee (London) Ltd [1999] 1 All
ER (Comm) 69, CA; rvsg in part [1998] 2 Lloyds Rep 139. Glengate-KG
Properties Ltd v Norwich Union Fire Insurance Society Ltd [1996] 2 All
ER 487, CA. Godsall
v Boldero (1807) 9 East 72, 103 ER 500. Good
v Elliott (1790) 3 Term Rep 693, 100 ER 808. Griffiths
v Fleming [1909] 1 KB 805, [1908-10] All ER Rep 760, CA. Halford
v Kymer (1830) 10 B & C 724, 109 ER 619. Hambro
v Burnand [1904] 2 KB 10, CA. Harse
v Pearl Life Assurance Co [1903] 2 KB 92, DC; rvsd on other grounds [1904] 1 KB
558, [1904-7] All ER Rep 630, CA. Hebdon
v West (1863) 3 B & S 579, 122 ER 218. Hopewell
Project Management Ltd v Ewbank Preece Ltd [1998] 1 Lloyds Rep
448. Law
v London Indisputable Life Policy Co (1855) 1 K & J 223,
69 ER 439. Lowry
v Bourdieu (1780) 2 Doug KB 468, 99 ER 299. Lucena
v Craufurd (1806) 2 Bos & PNR 269, 127 ER 630, HL. Macaura
v Northern Assurance Co Ltd [1925] AC 619, [1925] All ER Rep 51, HL. MSwiney
v Royal Exchange Assurance Co (1849) 14 QB 634, QB; rvsd sub nom
Royal Exchange Assurance Co v MSwiney (1850) 14 QB 646, Ex
Ch. National
Oilwell (UK) Ltd v Davy Offshore Ltd [1993] 2
Lloyds Rep 582. Paterson
v Powell (1832) 9 Bing 320, 131 ER 635. Petrofina
(UK) Ltd v Magnaload Ltd [1983] 3 All ER
35, [1984] QB 127, [1983] 3 WLR 805. Rowlands
(Mark) Ltd v Berni Inns Ltd [1985] 3 All
ER 473, [1986] QB 211, [1985] 3 WLR 964, CA. Sharp
v Sphere Drake Insurance plc, The Moonacre [1992] 2 Lloyds Rep
501. Simcock
v Scottish Imperial Insurance Co (1902) 10 SLT 286. Stock
v Inglis (1884) 12 QBD 564, CA; affd sub nom
Inglis v Stock (1885) 10 App Cas 263, [1881-5] All ER Rep 668, HL. Stone
Vickers Ltd v Appledore Ferguson Shipbuilders Ltd [1991] 2 Lloyds Rep
288; rvsd [1992] 2 Lloyds Rep 578, CA. Wilson
v Jones (1867) LR 2 Exch 139, Ex Ch. Appeal Anthony Feasey (a
representative underwriter suing on his own behalf and on behalf of all the
members of Lloyds Syndicate 957) appealed with the permission of Langley J
given (save in respect of the authority issue (see [131], below)) on 17 May
2002 from his decision of that date whereby he held that Steamship Mutual
Underwriting Association (Bermuda) Ltd (Steamship) had an insurable interest in
relation to a contract of insurance made between it and Syndicate 957, and
further held that a personal accident and illness master lineslip policy
covering Steamships liability to its members which had been reinsured by Sun
Life Assurance Co of Canada (Sun Life) and Phoenix Home Life Mutual Insurance
Co (Phoenix) was valid. Clarke LJ gave permission to appeal in respect [*590] of the
authority issue on 12 July 2002. The facts are set out in the judgment of
Waller LJ. Julian Flaux QC and David
Lord (instructed by Lovells) for the syndicate. Dominic Kendrick QC and Simon
Kerr (instructed by Clifford Chance) for Sun Life and
Phoenix. Anthony Boswood QC and
Richard Handyside (instructed by Richards Butler) for
Steamship. Cur adv vult 26 June 2003. The
following judgments were delivered. WALLER LJ (giving the
first judgment at the invitation of Ward LJ). [1]
This is an appeal from the judgment of Langley J given on 17 May
2002 ([2002] EWHC 868 (Comm)). That judgment is now reported at [2002] 2 All ER
(Comm) 492. Only certain points are live on the appeal. By his judgment Langley
J decided that Steamship Mutual Underwriting Association (Bermuda) Ltd
(Steamship) had an insurable interest in relation to a contract of insurance
made between it and Syndicate 957. He further found that in relation to the
reinsurance of Syndicate 957 by Sun Life Assurance Co of Canada (Sun Life) and
Phoenix Home Life Mutual Insurance Co (Phoenix) there was no non-disclosure or
misrepresentation entitling Sun Life and Phoenix to avoid the reinsurance
policy. He further found, however, that in relation to one period of the
reinsurance Centaur Underwriting Management Ltd (Centaur) had purported to
write the same for Sun Life and Phoenix 50:50 when they had no authority to
write for Phoenix. Syndicate 957 argued that Centaur had written the same 100%
for Sun Life but the judge ruled against Syndicate 957 on that issue. [2]
The non-disclosure and misrepresentation aspects have been
abandoned on the appeal. The point which has taken up the greatest proportion
of time on the appeal is the insurable interest point. A much shorter time was
spent dealing with the authority point. That point is dealt with in the
judgment of Dyson LJ with which I agree. I will deal with the insurable interest
point. HOW DOES THE INSURABLE
INTEREST POINT ARISE? [3]
Steamship insured the liabilities of their members for personal
injury or death. In about June 1995, rather than entering into a conventional
reinsurance with Syndicate 957, Steamship and Syndicate 957 entered into a
personal accident and illness master lineslip policy. The aim was to cover the
liability of Steamship to its members. Under the master lineslip the syndicate
agreed to pay fixed benefits to Steamship in respect of bodily injury and/or
illness sustained by a person (an original person) who was engaged in any
capacity on board a vessel or offshore rig entered by a member with Steamship.
That master lineslip was renewed from time to time. In particular, in about May
1998, it was renewed in respect of losses occurring on declarations attaching
during three consecutive periods of 12 months from 20 February 1997 and, later,
in respect of losses occurring on declarations attaching during the period 20
February 2000/20 February 2001. [*591] [4]
Syndicate 957 reinsured its liability under the master lineslip.
That reinsurance, for the years February 1998-February 2000, was 50% with Sun
Life and 50% with Phoenix. That reinsurance was negotiated by brokers acting
for Syndicate 957 and Centaur who were authorised at this stage to write for
those two companies in the above proportions. On 1 October 1998 Centaurs
authority to write new business for Phoenix ceased. The brokers negotiated an
extension of reinsurance with Centaur for a further year on 29 October 1998. It
is that negotiation which gives rise to the authority point and the question
whether Centaur was agreeing to take 100% for Sun Life. [5]
It is Sun Life who have taken the point that Steamship had no
insurable interest in the lives and well-being of the original persons, when
entering into the master lineslip for the three years from February 1997 and
after. They contend that the insurance is illegal by virtue of s 1 of the Life
Assurance Act 1774. In the alternative Sun Life assert that Steamship are
seeking to claim more than the value of any insurable interests they had, and
are not entitled to do so by virtue of s 3 of the same Act. [6]
It is not attractive to contemplate that where insurers have
carefully crafted a policy which was intended to be enforceable by Steamship, a
point on insurable interest could arise. As quoted in The Law of Insurance
Contracts (4th edn, 2002) para 4-2C by Professor Malcolm Clarke there is an
observation of Mance J in Cepheus Shipping Corp v Guardian Royal Exchange
Assurance plc, The Capricorn [1995] 1 Lloyds Rep 622 at 641 that if
insurers- make
a contract in deliberate terms which covers their assured in respect of a
specific situation, a Court is likely to hesitate before accepting a defence of
lack of insurable interest. [7]
Mr Kendrick QC, who argued the appeal with great skill on behalf
of Sun Life, accepts that the courts attitude is as stated by Brett MR in
Stock v Inglis [1884] 12 QBD 564 at 571 where he said: In my
opinion it is the duty of a Court always to lean in favour of an insurable
interest, if possible, for it seems to me that after underwriters have received
the premium, the objection that there was no insurable interest is often, as
nearly as possible, a technical objection, and one which has no real merit,
certainly not as between the assured and the insurer. Of course we must not
assume facts which do not exist, nor stretch the law beyond its proper limits,
but we ought, I think, to consider the question with a mind, if the facts and
the law will allow it, to find in favour of an insurable interest. [8]
Be all that as it may, there is no doubt that the argument on
behalf of Sun Life is a formidable one and cannot by any means simply be brushed
aside. THE FACTS [9]
The facts are set out in detail in Langley Js judgment and there
is no appeal therefrom. The important matters of background I summarise from
that judgment as follows. In 1994 Syndicate 957 had reinsured Steamship (and other
clubs) on a bodily injury carve out and mixed indemnity and fixed benefit
basis. It seems that in September 1994 Lloyds announced changes to its risk
codes for the 1995 year of accounts. From January 1995 accident and health
policies could only be classified as personal accident insurance if payments
were on a fixed-benefit basis. Liability or contingent cover was [*592] treated as
long-tail business for reserving purposes. Personal accident cover was treated
as short-tail and so did not require provision of substantial reserves to be
held for long periods. [10]
Mr Cackett, the underwriter for Syndicate 957, wanted to preserve
the substantial 1994 premium income received by the syndicate from Steamship if
he properly could, but also to maintain the PA (personal accident)
classification. The PA concept was Mr Cacketts creation. The basic idea was to
provide a fixed level of benefit payable on proof of the fact of death, PTD
(permanent total disability) or TTD (temporary total disability) of an original
person with medical expenses payable in addition. The level of benefits could
not and would not track with any precision the amount of the actual liability
of the member of Steamship or Steamship in respect of the death, PTD or TTD
relating to the individual original person. But, it was intended that overall
Steamships recovery under the master lineslip should track as closely as
possible Steamships overall exposure. [11]
Langley J demonstrated that in the drafting of the original wording
there was a tension between attempting to keep the master lineslip within the
relevant Lloyds code, and providing the cover which Steamship desired. It is
doubtful to what extent those drafting points can be relevant to the actual
construction of the policy but, as Langley J pointed out, it was in that
context that the word liability in respect of claims as against Steamship
became obligations of Steamship, wording to which I will have to return. In
addition, there was evidently in the draft at one time a provision which
provided for adjustment and expressly for Steamship to make repayment where
it transpired that fixed benefits exceeded the clubs liability to a member,
but that provision was not maintained. [12]
There was a dispute at the trial whether Steamship were intending
to cover legal expenses incurred by virtue of the fixed benefits received. The
judge found that the setting of the benefit levels was intended to contribute
to Steamships exposure including legal costs. [13]
The first lineslip providing this new form of cover was effected
for the period 20 February 1995-20 February 1996. The terms and wording were
finally agreed between Syndicate 957 and Steamship in June 1995. The master
lineslip had been signed earlier for 100% by Mr Cackett on behalf of Syndicate
957 naming Lloyd Thompson as the lineslip holder. [14]
The first declaration under the master lineslip was accepted on 16
June 1995. It named Steamship as the insured. It was to pay Steamship benefits
calculated in accordance with the schedule of compensation contained in the
wording for death, PTD or TTD (and medical expenses in relation to TTD only) as
defined in the wording. The policy limits were as specified in the schedule of
compensation but also subject to a maximum of $US1m for any one event and in a
maximum amount recoverable in all equivalent to 250% of the finally adjusted
gross premium payable. There was an aggregate deductible of 6á6% of
Steamships net premium income or $US1á5m whichever was the greater. A deposit
premium of $US5á5m was payable in six equal quarterly instalments starting on
20 May 1995 and was adjustable quarterly at 32á5% of Steamships net premium
income received in respect of member entries during the policy period. [*593] THE WORDING [15]
The policy wording was scratched in June 1995 by Syndicate 957 and
Steamship. Essentially the same wording was used in all years. I will indicate
variations. The insuring clause was expressed in terms that- if an
Original Person sustains Bodily Injury and/or Illness we will pay to the
Insured in accordance with the terms and conditions of this Insurance and
according to the Schedule of Compensation after the claim has been
substantiated under this Insurance. [16]
Clause 1 contained a number of relevant definitions. The Insured
was Steamship. [17]
Entered Vessel was defined as a vessel, offshore rig and/or
similar interest to be agreed which has been entered by a Member
for any of
the risks enumerated herein. [18]
Member was defined as- an
owner and/or
other person interested in any Entered Vessel to whom the
Insured has obligations under its Rules and/or terms of entry in respect of the
Bodily Injury and/or illness suffered by an Original Person. [19]
Original Person was defined as- (i)
any person
while engaged during the Policy Period in any capacity on board or
in relation to an Entered Vessel as part of her complement, but shall include
any person who is engaged by a Member during the Policy Period at the time of
the Accident
and is seconded to another vessel
pursuant to a contract
entered into by a Member and/or (ii) other persons while engaged during the
Policy Period in any capacity on board or in relation to any Entered Vessel. [20]
PTD was defined as- Bodily
Injury and/or Illness which actually prevents the Original Person from
attending to his or her usual business or occupation and/or assuming the same
work activities as those which he or she was employed to perform immediately
prior to the Accident or the manifestation of the Illness and which lasts
twelve months and at the expiry of that period appears to be such that the
Original Person will not thereafter be able to resume attending to such usual
business or occupation and/or assume such same work activities. [21]
TTD was defined as- Bodily
Injury or Illness which actually prevents the Original Person from attending to
his or her usual business or occupation and/or assuming the same work
activities as those which he or she was employed to perform immediately prior
to the Accident or manifestation of the Illness. [22]
The wording contained (cl 2) a limited number of exclusions such
as death or disablement arising out of war (and the like) and mental or
psychiatric illness. [23]
Clause 3 provided for claims notification and settlement of
benefits. Notification of claims by Steamship had to be accompanied by
reasonable documentary proof of the death or disablement of the original
person, the date of the accident and inward claim, details of the circumstances
of the accident [*594] and injury and, if the claim was for TTD,
an estimate of the period during which the disablement appeared likely to
continue and details of any medical expenses paid by Steamship, or, if the
claim was for PTD, confirmation that disablement appeared likely to continue
for not less than 12 months. In the event of death or PTD Syndicate 957 agreed
on receipt of such notification to pay Steamship the capital sum specified in
the schedule of compensation. In the case of TTD, also on receipt of such
notification, Syndicate 957 agreed to- pay
the weekly benefit as specified in the Schedule of Compensation for the period
of Disablement together with any Medical Expenses. Should the period of
Temporary Total Disablement (either as estimated by the Insured or as actually
suffered by the Original Person) exceed 152 weeks and should the Insured
confirm to Underwriters that it appears that the Original Person will not
thereafter be able to resume attending to his or her usual business or
occupation and/or to assume the same work activities
Underwriters
will pay
to the Insured the Capital Sum Insured as if the Original Person had suffered
Permanent Total Disablement less any benefit (including Medical Expenses)
already paid
[24]
Payment of the benefits was to be made no later than 30 days after
submission of bordereaux (cl 4); claims notified 24 months after expiry of the
policy period were not covered (cl 5). [25]
In place of the adjustment clause referred to in [10], above,
was cl 6, entitled Alteration in Circumstances, reading: Should
the Insured at any time become aware that any confirmation or information
provided to Underwriters in connection with a claim hereunder is not, or is no
longer, accurate or applicable, the Insured shall immediately inform
Underwriters and at the same time return to Underwriters any amount by which
all payments made by Underwriters hereunder exceed the amount (if any) which
would actually be payable hereunder in accordance with the accurate or
applicable confirmation or information. [26]
The schedule of compensation (cl 9) in the original wording
provided for different levels of compensation for three geographical areas: the
highest level where the entered vessel or member was registered or had a place
of business or conducted operations in North America, half those levels for
Europe, Japan or the ASEAN group of trading nations, and half again for
anywhere else. The North American levels were $US1m for death and PTD and
$US4,000 a week for a maximum of 152 weeks for TTD. The maximum limits (also
set out in cl 9) were $US1m in respect of any one original person and $US1m in
all for any claim or claims caused by the same occurrence or series of
occurrences arising out of the same event. In subsequent wordings (where
appropriate) the schedule of compensation referred to as declared or was
otherwise changed to reflect the terms agreed for the relevant period of cover.
[27]
Langley J ([2002] 2 All ER (Comm) 492 at [57]) made the following
comments. There is challenge to only one of those comments and I will set them
out in full: (i)
As I have already said, I find that Mr Cackett was responsible for setting the
benefit levels. [*595] (ii)
Although Ince & Co (and Mr Cackett) were concerned (because of the audit
codes) to avoid references to Steamships own liability to the clubs members
and specifically removed the adjustment provisions which would have resulted in
repayment of "over-recoveries", it is I think clear that both Steamship and
Syndicate 957 intended that claims would only be sustainable under the cover in
cases in which Steamship was itself liable to indemnify the member concerned in
respect of the accident and injury to the original person in question. Mr
Boswood [QC] submits that on analysis the wording in any event requires as
much; Mr Kendrick submits it does not. On any view Mr Kendrick is right in
submitting that such a requirement (if any) can only be found in the depths of
the definitions: see (iii). (iii)
Mr Boswoods submission is as follows. Syndicate 957 agreed to make the fixed
benefit payments if an "Original Person" suffered injury. Original persons are
persons engaged on an "Entered Vessel". An entered vessel is one entered by a
"Member" of the club with Steamship during the relevant period in respect of
any of the risks "enumerated" in the wording itself. A member has to be a
person interested in any entered vessel and a person to whom Steamship "has
obligations under its Rules
in respect of the Bodily Injury
suffered by an
Original Person". That, submits Mr Boswood, has the effect that unless there is
a liability on Steamship to the member for the injury (which there would not be
if, for example, any damages payable to the original person was less than the
members deductible) no recovery could be made or, if made, retained under the
policy wording. Mr Kendrick submits that Mr Boswoods submission places more
weight on the word "obligations" than it can bear. He submits that Steamship
owed "obligations" under the clubs rules to investigate claims. But I agree
with Mr Boswood that the relevant rule (rule 28) does not in ordinary language
impose an obligation on Steamship to investigate claims on members but bestows
a right on Steamship to do so. In my judgment Mr Boswoods submission on the
construction of the wording is also right and, however obscurely, reflects what
both Mr Cackett and Mr Martin said and I find was intended. (iv)
The definition of "PTD" was one of some width. It did not, for example depend
on earning capacity. In the case of rig workers there might be a particular
risk that an otherwise not very serious injury would prevent an original person
from resuming arduous duties, leading to a PTD payment within the definition.
Mr Cackett was alive to the possibility of a "TTD" becoming a "PTD" and indeed
the wording expressly addressed it in cl 3
The possibility, however, might
well not be manifest for a considerable time as the clause itself contemplates
the elapse of 152 weeks before a determination might be made. That is of
significance because on the evidence in the event the major if not the only
source of alleged "overpayments" to Steamship is the number of claims which
started as TTDs but came later to be classified as PTDs. (v) Mr
Cackett had a close involvement in drafting the wording yet nothing in it or
otherwise required Steamship to include or provide figures for paid or incurred
claims by members on Steamship. The trigger for payment of the benefit was
simply proof of the death or disablement of an original person: cl 3. [*596] (vi) "Original
Persons" were not necessarily identifiable at inception. They included those
who came to work on an entered vessel at any time during the period of the
cover. (vii)
There was an aggregate excess and limit (in the event $1á5m and $17á25m respectively).
[28]
Mr Kendrick challenges Langley Js conclusion at (iii). Mr Boswood
QC, albeit seeking to uphold Langley Js construction, submits that it makes no
material difference if his submission is not accepted. My view is that the
judge was right in construing the policy wording as he has. [29]
It is important to emphasise that he is not construing the wording
in a way which means that claims are only payable once liability is
established. He is construing the policy as cover for Steamship for the losses
that it may incur where some liability is established. It is right to emphasise
that there is no precise relationship between the payments of benefit and the
liabilities of Steamship. Mr Boswoods argument only suggests that if there is
no liability of Steamship ie where the member has no liability to
the original person or if the liability falls below the deductible in relation
to any claim from an original person, fixed benefits would have to be returned.
He does not suggest that in relation to a claim which exceeds the deductible
but falls below the fixed payment there should be any return of the money paid
to Steamship. [30]
I do not think that it is critical whether Mr Boswood is right in
the above submission. On any view the wording makes clear that it is intended
that there should be a close relationship between the amount of fixed benefits
and Steamships liability to its members. [31]
When the first claims came in there followed considerable debate
between Syndicate 957 and Steamship as to whether the fixed benefits were not
too generous. The details are set out in the judgment of Langley J ([2002] 2
All ER (Comm) 492 at [63]-[69]). The outcome was that on renewal in February
1996 agreement was reached that the benefit levels should be $US1m and $US2,250
from the inception of the 1995/1996 cover. [32]
On 4 March 1996 the lineslip was again renewed for 1996/1997 but
for individual declarations. Falcon was renewed with limits of $US500,000 for
death and PTD, and $US1,750 for TTD. Marine drilling was renewed with limits of
$US400,000 and $US1,750. The details appear from Langley Js judgment (at
[70]). EXCESS OF LOSS [33]
Reduction in the maximum death and PTD benefit level from $US1m to
$US500,000 led to Steamship taking out excess of loss insurance for losses on
members claims which exceeded the relevant limit. The effect of this excess of
loss insurance was that if the relevant limit in the master lineslip was
$US500,000, Steamship would recover that sum from Syndicate 957 even where the
claim by the member was less than $US500,000, but where a claim exceeded
$US500,000 Steamship obtained 100% of recovery from the combination of the
master lineslip and the excess of loss cover. Langley J records finding that Mr
Johnston of Steamship was genuinely surprised when it was put to him in
cross-examination that on this basis Steamship could not make a loss but only a
profit on such claims. The judge found that it was not seen in those terms when
the excess loss insurance was taken out. [*597] [34]
In March 1996 Mr Cackett gave notice of his intention to leave
Syndicate 957 and Mr Feasey took over the reins from then onwards. Mr Cackett
established Centaur in Bermuda shortly thereafter. [35]
The lineslip was further renewed in 1996/1997, Mr Feasey dealing
with the renewal. Mr Feasey, according to the judge, said in evidence that by
that time he was comfortable that Syndicate 957 was not paying out more to
Steamship than Steamship was paying its members. That belief was based on the
exercise carried out with Mr Cackett in January and February 1996 which had
resulted in the agreed reductions referred to above. SUN LIFE AND PHOENIX [36]
On 26 August 1996 Sun Life entered into an underwriting management
agreement with Centaur providing Mr Cackett on behalf of Centaur with
underwriting authority for reinsurance business. On 12 September 1996 Phoenix
entered into an underwriting management agreement on substantially the same
terms with Centaur. [37]
The master lineslip was again renewed for 1997/1998. It seems some
limits were changed, further aggregate excesses were introduced but individual
aggregate limits were substantially increased with an overall limit of
$US33á56m which was less than the total of the individual limits. The
qualifying period for a TTD was reduced from 152 weeks to 104 weeks. Mr
Feasey also introduced franchises, the effect of which was to exclude from
the cover losses which did not exceed the franchise figure until exhaustion of
the franchise retention figure and to delay presentation of claims which did
exceed the figure. For example, in the case of a TTD loss, the loss had to
exceed the franchise level before it could be claimed, so that if the weekly
benefit level was $US1,000 and the franchise $US25,000 the claim could only be
made if the TTD lasted for 25 weeks for more. REINSURANCE OF
SYNDICATE 957 BY SUN LIFE AND PHOENIX 1997/1998 YEAR [38]
Syndicate 957 had itself been reinsured in respect of its
liabilities to Steamship under the master lineslip (and for other covers) by a
reinsurance programme underwritten by a number of other syndicates at Lloyds.
In February 1997 the syndicate sought a quotation from Mr Cackett at Centaur
for the 1997/1998 year. Ultimately, in May 1997, Mr Cackett using American
Phoenix as a front for Sun Life and Phoenix for 50% each entered into a number
of reinsurances with Syndicate 957 in respect of the syndicates liabilities
under the master lineslip in respect of losses occurring between 20 February
1997 and 20 February 1998. The first reinsurance was to pay $US95,000 excess of
$US5,000 on each and every claim. The other three reinsurances were to protect
Syndicate 957 in respect of claims-related premium adjustment payable by the syndicate
on various layers of excess of loss reinsurances protecting the account
(described as burning costs reinsurances). The details are set out in Langley
Js judgment (at [80]-[85]). At the beginning of 1998 Syndicate 957 sought
further legal advice in relation to the validity of the insurance with
Steamship. The details are set out in Langley Js judgment (at [93]-[96]). THE THREE-YEAR MASTER
LINESLIP 1997/2000 (THE DISPUTED POLICY) [39]
The judges description is not in issue and I adopt the material
parts. [40]
On 14 April 1998 Mr Absalom scratched, by way of a declaration off
the 1997/1998 master lineslip, insurance for Steamship for the three 12-month [*598]
periods 20 February 1997/1998, 1998/1999 and 1999/2000. By April
1998 the 1997/1998 cover had of course expired but the member declarations off
the 1997/1998 master lineslip were cancelled and rewritten to become member
entries to this three-year declaration. Also on 14 April 1998 a further master
lineslip was agreed to accept declarations from 20 February 1998 to 20 February
2000. [41]
The declaration described the type of insurance as Personal
Accident and/or Illness and the insured as Steamship. A wording was attached
in the same terms as the original policy wording (see [14]-[24], above) save
that the schedule of compensation was as declared each declaration. The
maximum amount recoverable was limited in respect of each individual member to
150% of original gross annual premium. Figures providing further limits were as
set out in the schedule to the judges judgment. There was an overall limit of
$US100,560,000 for the whole period. The Information was described as as
presented and noted by the Underwriter at the inception of the Original Member
Entries. The weekly TTD benefit was limited to a maximum of 104 weeks in all.
The list of member entries for each year recorded for 1997/1998 in the case of
Falcon alone that the cover was in respect of losses occurring or first
notified to Steamship in that period. In all other member entries it was in
respect only of losses occurring. The effect was that the original 1997/1998
cover for Falcon was enlarged to cover claims notified in 1997/1998 but arising
in earlier years. Those claims were of course, already known at April 1998. The
figures (at August 1998) in fact show estimates for such claims of some
$US4á5m. [42]
For the years 1998/2000 the weekly TTD benefit was reduced from
$US1750 to $US1000 for all member entries and the death/PTD benefit was
equalised at $US400,000 for all member entries which involved an increase in
the limits in 1997/1998 in two cases and a decrease (from $US500,000) in three
cases. Mr Feasey assessed the benefit levels on the basis of as if figures
between Steamship and the syndicate. He had no figures to assess the
comparative position between Steamship and its members. [43]
Mr Feasey said that after the dispute which had led to the
retrospective reduction in the TTD figure in 1996 the business had gone forward
largely on the basis of an assumption that the level of benefits was such that
Steamship would not be over-compensated in the round and the issue was what
was the syndicate prepared to offer and whether Steamship thought it worthwhile
to buy what was offered at the price proposed. Mr Feasey also agreed that
because Steamship should not be over-compensated it was prudent to continue
monitoring and adjusting to minimise any mismatch. But that did not (Langley J
found despite Mr Kendricks submissions), involve a detailed exercise on
Steamships estimated reserves. Mr Feasey did not undertake and never suggested
he had undertaken such an exercise. He said he relied on the 1996 exercise, the
Falcon figures, Mr Johnstons letter, his knowledge and experience of PA
business and the size of awards to justify his confidence that Steamship was
not being over-compensated and would not be over-compensated by the benefit
levels he was offering. He had of course reduced the levels further,
particularly the TTD figure. [44]
No witness called for Syndicate 957 could recall why the covers
had been written for three years. There is no doubt that the master lineslip
provided a significant part of the syndicates premium income. Those called for
[*599] Syndicate 957 believed the terms were now such that there was no
question of over-compensating Steamship and that it was valuable to secure the
income for a period of time when the syndicate was under pressure from outside
competition. [45]
For Steamship the evidence was that the enlargement came about
because Steamship asked for it. Mr Johnston, head of underwriting at Steamship,
said Syndicate 957 had requested a three-year contract: It
became very obvious to us that they were extremely anxious to place this
contract. We therefore took the position that we might as well see what we can
negotiate out of this to our advantage, and one of the things that occurred to
me was that we might as well ask them whether they would be prepared to
consider losses that were going to arise during the course of the year that had
not as yet arisen. [46]
Mr Johnston added that the Falcon cover had not burnt through by
that time. Mr Johnston also said that he did not think it was for Steamship to
calculate any appropriate benefit level and the club did not do so. They were
offered a cover and had to decide if it was worth buying. Mr Martin, the claims
partner of Steamship, said the same. Steamship did not expect the protection to
be the equivalent of a full reinsurance of Steamships first retained layer and
the question was would it provide a substantial protection. Mr Martin said his
evaluation in 1998 would have been that a death claim would certainly cost more
than $US500,000, a PTD would cost more than $US500,000 and a TTD more than
$US1,000 a week. THE SUN LIFE AND
PHOENIX REINSURANCE 1998/2000 [47]
In May 1998 Mr Cackett for Centaur agreed on behalf of Phoenix and
Sun Life 50:50 to renew the four reinsurances of Syndicate 957. The contracts
covered losses on declarations attaching in the period 20 February 1998- 20
February 2000. [48]
In March 1998 Mr Cackett for Centaur gave six months notice to
Phoenix to terminate the underwriting management agreement between Centaur and
Phoenix. The effect of that termination was that Centaur could write no new
business for Phoenix after 1 October 1998 but would continue to deal with
existing business with the authority of Phoenix. It is the writing of an
extension to this policy by Mr Cackett on 29 October which is the subject of
the authority point. THE RELIANCE TOP-UP
[49]
On 29 June 1998 Mr Cackett provided Mr James with a non-binding
indication for what has been referred to as the top-up or sideways cover of
Steamship. The cover was to protect Steamship for the three years at 20
February 1997 in the event that the master lineslip (the disputed policy) total
limits (overall or for individual members) were exhausted. [50]
On 17 July 1998 Lloyd Thompson wrote to Mr Johnston with an
indication for the top-up cover with a maximum limit of $US40m. The indication
came from Reliance National (Reliance) but as a front for Centaur and Mr
Cackett. The premium quoted was $US15m. It was Reliance that ultimately signed the
slip on 30 September 1998. The details appear in Langley Js judgment (at
[115]-[120]). [*600] [51]
In February and March 1999 Steamship notified substantial claims
on the top-up policy with Reliance essentially arising from the deterioration
of the Falcon declaration under the master lineslip. Mr Cackett instructed that
an audit be carried out and it was this audit which led indirectly to the
proceedings. [52]
The debate which ensued on what sums Steamship were entitled to
recover under the disputed policy, and the debate on figures which was
continuing right up until judgment in the trial below, is set out from Langley
Js judgment (at [132]-[143]). The conclusion of the judge by reference to the
figures and the evidence is to a large measure not challenged and it is right
to set it out in full: [144]
As I have said, the figures and the evidence and submissions about them leave
considerable uncertainties but I will summarise the conclusions which I have
drawn about them as a matter of probability. [Only the second and third
sentences of (vi) are the subject of challenge by Sun Lifes notice of appeal.
The answer to that challenge is provided by Steamship in their supplementary
note on the figures dated 27 February 2003.] (i) In so far as it is suggested
that at any material time Steamship deliberately set out to make or appreciated
it was making "a profit" I am entirely satisfied the suggestion would be wrong.
Steamship saw the covers as providing a worthwhile contribution towards its overall
exposures to members and did not expect to profit or to be "over-compensated",
rather the opposite. (ii) There is no evidence to suggest that the TTD figure
of $1000 a week was greater than the cost of the same claims by members. The
probability is that it was less. (iii) The only basis on which the figures now
show that Steamship has made a profit or been over-compensated is the inclusion
of the recoveries from the excess of loss and Reliance top-up covers. (iv) The
death benefit figure has generally been ignored in evidence, possibly because
there were only about five death claims in each year. (v) The numbers of PTD
claims which have arisen was unexpected and unforeseen by Steamship in 1998
when the relevant covers were agreed and for some time thereafter. It is the
numbers of PTD claims (and the existence of the excess of loss and top-up
reinsurances which covered them) which has led to any over-compensation. (vi)
Both Steamship and Syndicate 957 honestly believed when the relevant covers
were agreed in 1998 that the level of benefits had been set so as to eliminate
any possibility of over-compensation for Steamship. Neither had any information
to suggest the contrary and each could justify its belief on the information
available and the history of reducing levels of benefit. In the case of
Steamship that is so even with the knowledge of the excess of loss and Reliance
top-up insurance it acquired. As stated I accept Syndicate 957 was unaware of
those contracts. (vii) Even allowing for recoveries under the excess of loss
and top-up contracts the estimated level of "over-recovery" in 1997 and 1998
and 1999 whilst substantial
cannot, I think, be characterised as of a size
such as to change the character of the transaction from insurance to gaming or
a wager. Moreover there is probably some unknown balancing factor resulting
from under-recovery on TTD claims. DOES S 1 OF THE 1774
ACT RENDER THE DISPUTED POLICY ILLEGAL AND VOID? [53]
The 1774 Act is entitled: [*601] An
Act for regulating Insurances upon Lives, and for prohibiting all such
Insurances, except in cases where the Persons insuring shall have an Interest
in the Life or Death of the Persons insured. The preamble states: Whereas
it hath been found by experience that the making insurances on lives or other
events wherein the assured shall have no interest hath introduced a mischievous
kind of gaming. Section 1 provides: From
and after the passing of this Act no insurance shall be made by any person or
persons, bodies politick or corporate, on the life or lives of any person or
persons, or on any other event or events whatsoever, wherein the person or
persons for whose use, benefit, or on whose account such policy or policies
shall be made, shall have no interest, or by way of gaming or wagering; and
that every assurance made contrary to the true intent and meaning hereof shall
be null and void to all intents and purposes whatsoever. Section 2 provides: And
it shall not be lawful to make any policy or policies on the life or lives of
any person or persons, or other event or events, without inserting in such
policy or policies the person or persons name or names interested therein, or
for whose use, benefit, or on whose account such policy is so made or
underwrote. Section 3 provides: And
in all cases where the insured hath interest in such life or lives, event or
events, no greater sum shall be recovered or received from the insurer or insurers
than the amount of value of the interest of the assured in such life or lives,
or other event or events. [54]
I should deal at the outset with a point argued by Mr Boswood on
the construction of s 1. He took us back to the eighteenth and nineteenth
centuries and the context in which the 1774 Act was passed. Two things were of
importance in that context. First, gaming and wagering outside the insurance
context was lawful and enforced by the courts. That was so until the passing of
the Gaming Act 1845. Second, throughout the eighteenth and first half of the
nineteenth century it was believed that all insurance contracts,
including contracts of life assurance, were by their nature contracts of
indemnity. Godsall v Boldero (1807) 9 East 72, 103 ER 500 was decided
on that basis and was only overruled by the Court of Exchequer Chamber in
Dalby v India and London Life-Assurance Co (1854) 15 CB 365, 139 ER
465. Mr Boswood relied on the Marine Insurance Act 1745 and its preamble. He
said that it was clear from the preamble that the mischief being aimed at by
the Act was the verbal formulations used to create a wager
policy. The 1745 Act, he submitted, was not concerned with saying that an
assurance could not be enforced where the insured had no interest in the ship
or goods the subject matter of insurance; that was self-evident anyway. Rather,
its object was to prohibit wager policies, by specifying the various forms of
words that could be used to create such policies and saying that the use of
such words invalidated the contract. [*602] [55]
Mr Boswood suggested that the same form of reasoning ought to
apply to s 1 of the 1774 Act. Since life insurance was believed to be a
contract of indemnity it went without saying that an interest in the subject matter
was necessary to support such a policy, and the section was concerned with the
form of policy ie that there should be no form of policy dispensing with proof
of interest and no form of policy in the form of a gaming or wagering contract.
[56]
Mr Boswood submitted that interest meant simply interest
sufficient to prevent the policy being a wagering contract. This submission
enabled Mr Boswood to say that since Mr Kendrick, for Sun Life, made no case
that the disputed policy was gaming or wagering, that was in effect the end
of the case. [57]
In his written submissions Mr Boswood relied on a dictum of
Anthony Colman QC, as he then was, in Sharp v Sphere Drake Insurance plc,
The Moonacre [1992] 2 Lloyds Rep 501 at 510 where he said: Neither
the words of any statute since 1845 nor any judicial pronouncement suggest that
there should be a category of contracts of insurance which were not wagering
contracts but which on account of the absence of an "insurable interest" should
not be enforceable. Mr Boswood in his oral
submissions felt unable to support that dictum appreciating that there were a
number of authorities which concentrated on the question whether there was an
insurable interest apart from any concept of wagering. [58]
I reject Mr Boswoods submission that because no one in this case
suggests that the policy was a wagering contract, a sufficiency of interest is
demonstrated. The question whether the contract of insurance can be correctly
described as gaming or wagering is a material factor. But as Mr Boswood in
reality has to accept, once contracts of life insurance were held not to be
contracts of indemnity that did not abolish the need for an interest in the
life. Indeed the whole concern of the court in Dalbys case was
as to whether the Anchor Life-Assurance Co had an interest in the life of the
Duke of Cambridge within s 1 of the 1774 Act, albeit the court concluded that
the contract was not one of indemnity. There are furthermore dicta in the
authorities which support the view that the starting point is the question
whether there is interest, not whether the contract is one of gaming or
wagering (see Macaura v Northern Assurance Co Ltd [1925] AC 619
at 631 per Lord Sumner and Lowry v Bourdieu (1780) 2 Doug KB 468 at
470, 99 ER 299 at 300 per Lord Mansfield). [59]
The critical question is not whether the policy is a wagering
contract but whether the disputed policy is an insurance made on the life or
lives of any person or persons or on any other event or events whatsoever
wherein Steamship has no interest. [60]
It is convenient to deal at this stage with a second point on
construction of the 1774 Act which arises from the amendment to s 2 by s 50 of
the Insurance Companies Amendment Act 1973. Section 50 provided: (1)
Section 2 of the Life Assurance Act 1774 (policy on life or lives or other
event or events not valid unless name or names of assured etc. inserted when
policy is made) shall not invalidate a policy for the benefit of unnamed persons
from time to time falling within a specified class or description if the class
or description is stated in the policy with sufficient particularity to make it
possible to establish the identity of all persons who at any given time are
entitled to benefit under the policy. [*603] (2)
This section applies to policies effected before the passing of this Act as
well as to policies effected thereafter. [61]
Section 2 of the 1774 Act has no direct application to the
disputed policy since the person to benefit is Steamship and they are named.
But the effect of s 2 in situations where the persons to benefit are within a
specified class or description has an impact on the true construction of s 1.
Section 2 as amended would appear to have no impact at all if the proper
construction of s 1 was to render null and void policies on the lives of
persons who were unidentified as at the date of the policy but would fall
within a specified class or description of sufficient particularity to make
it possible to establish the identity of all persons who at any given time are
entitled to benefit under the policy. [62]
The words within a specified class or description are very wide
words. Mr Kendrick would suggest that they must be confined to an identifiable
group such as employees. I do not see why that should be so. The definition of
original person in the disputed policy is very wide, but if one poses the
question whether the description is of sufficient particularity to make it
possible to establish the identity of all persons who at any given time would
be entitled to benefit under the policy if the policy had been for
the benefit of original persons, the answer seems to me to be that it would. [63]
It follows, as it seems to me, that Parliament must be taken at
least, following the amendment to s 2, not to have intended that s 1 would make
null and void an insurance on lives of persons unidentified as at the date of
the policy, but within a description such as that given for Original Persons.
[64]
I now turn to the key issue-Steamships insurable interest.
Interest in the 1774 Act is undefined. Both in that context and in others it has
been a concept which has proved difficult of precise definition. Thus
MacGillivray on Insurance Law (10th edn, 2003), when considering
insurable interest generally, says this (p 7 (para 1-11)): Nature
of insurable interest. Insurable interest may be described loosely as
the assureds pecuniary interest in the subject-matter of the insurance arising
from a relationship with it recognised in law. The footnote to that
definition says: See para. 1-74, post, and the definitions
attempted in paras. 1-49 and 1-120, post. [65]
Page 25 (para 1-49) says: Working
definition. All previous editions of this work have provided the following
"good working definition" applicable to all risks under the Life Assurance Act
1774: Where the assured is so situated that the happening of the event on which
the insurance money is to become payable would, as a proximate cause, involve
the assured in the loss or diminution of any right recognised by law or in any
legal liability there is an insurable interest in the happening of that event
to the extent of the possible loss or liability. [66]
It is said (p 37 (para 1-74)): "Pecuniary"
really means no more than that the interest must be capable of valuation by a
court, and this is necessary inasmuch as section 3 of the Act provides that the
assured shall not recover more than the value of his interest at the time the
contract was made. [*604] It is said (p 37 (para
1-75)): Besides
being capable of valuation, the interest must be of such a nature that the law
will take cognisance of it. The assured must show that he will or may lose some
legal or equitable right or be placed under the burden of some legal liability
in consequence of the death of the person whose life is insured. A mere expectancy
or hope of future pecuniary benefit from the prolongation of the life insured
or of the fulfilment by him of moral obligations owed to the assured, are
insufficient to sustain an insurable interest. If, however, the death of the
life insured will involve the assured in a liability, it is no answer for the
insurers to show that he will also derive some compensating benefit, since the
contract is not one of indemnity and the insurers may not set off the assureds
gain against his loss. [67]
Section 5 of the Marine Insurance Act 1906, which codified the
common law so far as marine insurance was concerned, defined an insurable
interest in the following way: 1.
Subject to the provisions of this Act, every person has an insurable interest
who is interested in a marine adventure. 2. In
particular a person is interested in a marine adventure where he stands in any
legal or equitable relation to the adventure or to any insurable property at
risk therein, in consequence of which he may benefit by the safety or due
arrival of insurable property, or may be prejudiced by its loss, or damage
thereto, or by the detention thereof, or may incur liability in respect
thereof. [68]
The notes in the tenth edition of Chalmers Marine Insurance
Act 1906 (1993) under s 5 include a reference to the famous dictum of
Lawrence J when providing advice to the House of Lords in Lucena v Craufurd (1806) 2 Bos
& PNR 269 at 302, 127 ER 630 at 643, where he said:
interest does not necessarily imply a right to the whole, or a part of a thing,
nor necessarily and exclusively that which may be the subject of privation, but
the having some relation to, or concern in the subject of the insurance, which
relation or concern by the happening of the perils insured against may be so
affected as to produce a damage, detriment, or prejudice to the person insuring
To be interested in the preservation of a thing, is to be so circumstanced
with respect to it as to have benefit from its existence, prejudice from [its]
destruction. [69]
Lucena v Craufurd was concerned with insurance on certain
ships and the advice of Lawrence J was to the effect that there was no
insurable interest in the ships in that case. In the decision of the House of
Lords in the speech of Lord Eldon ((1806) 2 Bos & PNR 269 at 321, 127 ER
630 at 650) he also dealt with insurable interest in these terms: "I
have in vain endeavoured however to find a fit definition of that which is
between a certainty and an expectation; nor am I able to point out what is an
interest unless it be a right in the property, or a right derivable out of some
contract about the property, which in either case may be lost upon some
contingency affecting the possession or enjoyment of the party. [*605] [70]
There has been some debate as to whether Lord Eldons test is
narrower than Lawrence Js, and as to whether Lawrence Js test, being
contained only in an advice, should be rejected in favour of Lord Eldons,
which was contained in a speech pronouncing the decision. Since Lucena v
Craufurd was concerned with the insurance of property it is unnecessary to
resolve that debate, but I do note that Lawrence Js test has been approved
many times in later decisions (see for example Blackburn J in Wilson v Jones (1867) LR 2
Exch 139 in a passage quoted later in this judgment (see [88], below) and, more
recently, Kerr LJ in Rowlands (Mark) Ltd v Berni Inns
Ltd [1985] 3 All ER 473 at 481, [1986] QB 211 at 228). [71]
The above demonstrate, I would suggest, that it is difficult to
define insurable interest in words which will apply in all situations. The
context and the terms of a policy with which the court is concerned will be
all-important. The words used to define insurable interest in, for example, a
property context, should not be slavishly followed in different contexts, and
words used in a life insurance context where one identified life is the subject
of the insurance may not be totally apposite where the subject is many lives
and many events. DATE FOR INSURABLE
INTEREST AND VALUATION [72]
One other general point to make at this stage relates to the date
at which an insurable interest must exist, and (where relevant) the date at
which it must be valued. In an indemnity policy the relevant date is the date
of loss. If the policy is not a valued policy, liability will also be assessed
at the date of loss. Where the policy is a valued policy, that value will have
been assessed at the date of the policy, and in the absence of fraud the value
fixed by the policy will as between the insurer and the assured be conclusive
of the insurable value of the subject intended to be insured whether the loss
be total or partial (see s 27(3) of the 1906 Act). [73]
In a life policy the date at which the insurable interest must
exist is the date of the taking out of the policy. Furthermore, that is the
date for valuing the insurable interest (see Dalby v India and London
Life-Assurance Co (1854) 15 CB 365, 139 ER 465). In Godsall v
Boldero (1807) 9 East 72, 103 ER 500 a policy for the sum of £500 had
been taken out on the life of the late Mr Pitt by the plaintiffs who were
creditors of Mr Pitt. Lord Ellenborough CJ in the judgment of the court said
((1807) 9 East 72 at 81, 103 ER 500 at 504): The
event, against which the indemnity was sought by this assurance, was
substantially the expected consequence of his death as affecting the interests
of these individuals assured in the loss of their debt. In the result, as the
personal representatives of Mr Pitt had paid off the debt, the court held that
the sum of £500 was not recoverable under the policy. [74]
Godsalls case was overruled by Dalbys case. In
Dalbys case the Anchor Life-Assurance Co (Anchor) had insured the life
of the Duke of Cambridge in four separate policies-two for £1,000 and two for
£500 each granted by that company to the Reverend John Wright. Anchor wished to
limit their liability on the dukes life and took out a policy with the
defendants for £1,000 by way of counter insurance. Under an arrangement
between Anchor and Wright, Anchors liability under the policies they had
issued on the dukes life was subsequently extinguished or severely limited.
The court held that a life assurance was a contract to pay a certain sum of
money and not an indemnity; that the date at which an insurable interest should
exist was the date when the policy was taken out so far as s 1 of the 1774 Act
was concerned; that the date of valuation of that [*606] interest was
the date when the policy was taken out; and, in the circumstances, even if
liability under the original policies had been extinguished, Anchor were
entitled to recover £1,000 on the counter insurance. [75]
It is convenient in this context to refer to Hebdon v West (1863) 3 B
& S 579, 122 ER 218 which the judge in his judgment thought possibly
inconsistent with Dalbys case. In that case a bank clerk had insured
his employers life with two insurance companies. The first policy was for
£5,000 and the second for £2,500. The bank clerk had borrowed £4,700 which the
employer had subsequently said would not be called in during his lifetime. In
1856 the bank clerk took out a policy on his employers life with an insurance
company for £5,000. In 1857, the debt having increased to £6,000, the employee
effected a further policy of insurance for £2,500 with another insurance
company. The employer died in 1861. The bank clerk recovered £5,000 under the
first policy and paid that sum to the bank. The court decided that the bank
clerk did not have an insurable interest by reference to the unenforceable
promise not to call in the sum during the employers lifetime. The court
decided that the bank clerks insurable interest in the life of his employer
was simply by reference to the engagement to employ the bank clerk for seven
years at a salary of £600 a year to the extent that such period remained at the
time when the policy was effected. The court assessed the value of the
insurable interest at £3,000, ie five years times £600, as at the date of the
taking out of the first policy. The court held ((1863) 3 B & S 579 at 592,
122 ER 218) that the bank clerk could- only
recover or receive upon the whole the amount of his insurable interest, and if
he has received the whole amount from one insurer he is precluded by the terms
of the 3d section of the statute from recovering or receiving any more from the
others. [76]
Langley J thought that Hebdons case was inconsistent
with the reasoning in Dalbys case. In MacGillivray on Insurance
Law (10th edn, 2003) p 19 (para 1-34) it is suggested that the judges
criticism of Hebdons case may be unjustified in that it says: The
assured in Hebdon failed to recover on the second policy not
because he no longer possessed an interest worth £2,500 when the life dropped,
but because he had already recovered more than his interest was worth when he
took out the second policy. The question of multiple insurances did not arise
in Dalby. [77]
I think that by that sentence the authors mean that he had already
covered more than his interest when he took out the second policy. It may be
on this basis that the judges criticism of the decision is not justified. Dalbys case and
Hebdons case are consistent on the following basis. The value of an
interest at the time of taking out the policy is assessed on the maximum
pecuniary loss that the assured could suffer on the death of the life assured.
In Dalbys case that was £3,000; in Hebdons case that
was £3,000. Nothing in excess of those values could be recovered. In Dalbys case that led to
recovery of £1,000, and in Hebdons case that led to a
result that since more than £3,000 had been covered by the first policy, there
was no interest in taking out a second policy. [78]
But, in the above decisions, one can see already a tension
between: (1) an insurance being intended to be an indemnity against loss; (2)
an anxiety that insurance should not be used as a means of gambling or wagering
on an event in [*607] which an insured may have no interest; and (3)
an anxiety to see that insurers who receive premiums and make bargains in
respect of those premiums pay on the bargains that they have made. [79]
What is also clear from the above authorities, and from the
authorities to which I am about to turn, are the principles which one sees
reflected in s 26 of the 1906 Act as applied to all forms of policy. Section 26
provides: (1)
The subject-matter insured must be designated in a marine policy with
reasonable certainty. (2) The
nature and extent of the interest of the assured in the subject-matter insured
need not be specified in the policy. (3)
Where the policy designates the subject-matter insured in general terms, it
shall be construed to apply to the interest intended by the assured to be
covered. [80]
When one examines the authorities therefore one sees that the
court is concerned to analyse by reference to the terms of the policy what is
the subject of the insurance; to analyse what insurable interest a person has
in the subject of the policy; and to consider whether the subject embraces
that [insurable] interest in the words of Blackburn J in Anderson v Morice (1875) LR 10
CP 609 at 622. Where on the wording of the policy the subject is not absolutely
clear-cut, it sometimes assists to identify the subject to ask what insurable
interest the person has, but essentially the subject is defined by the words of
the policy. It follows that in some cases the subject is so clear that even
when the insured can identify some insurable interest that it might have had,
it will be held that the insured has failed to cover that interest by the
policy. In other cases what is embraced within the subject of the policy is
less clear-cut, and in those circumstances the court may be able to say that
the insurable interest is embraced within the subject of the insurance. The
different elements of subject, insurable interest and value are separate but
impact one on the other. [81]
With the above in mind, one can place cases in groups. Group (1)
are those cases where the court has defined the subject matter as an item of
property; where the insurance is to recover the value of that property; and
where thus there must be an interest in the property-real or equitable-for the
insured to suffer loss which he can recover under the policy. Within this group
are Lucena v Craufurd (1806) 2 Bos & PNR 269, 127 ER 630 to which
I have already referred. The subject was certain identified ships; the perils
insured against were the loss of the ships; the Commissioners had no interest
legal or equitable in the ships but a mere expectation. That expectation could
not be insured, therefore the subject did not embrace the insurable interest.
Also within this group is Anderson v Morice (1875) LR 10 CP 609;
affirmed (1876) 1 App Cas 713. Rice was the subject matter of the policy; if
uninsured the plaintiff would have suffered no loss from any destruction of the
rice since they were never at the plaintiffs risk; the loss of profits might
have been insured but were not. Therefore the plaintiff could not recover. In
Macaura v Northern Assurance Co Ltd [1925] AC 619, [1925]
All ER Rep 51 the subject matter of the insurance was identified timber owned
by a company; a shareholder in the company had no interest in the timber
whatever in that even without insurance the shareholder would suffer no
pecuniary loss from destruction of the timber as such. Any loss suffered would
have been as shareholder and his profits as shareholder were not the subject of
the insurance. It was, however, recognised in Macauras case that
it would have been possible to [*608] so describe the subject
of the insurance as to embrace the insurable interest in profits, and approval
was given to Wilson v Jones (1867) LR 2 Exch 139, to which I will
return. [82]
Group (2). These are cases where the court has defined the subject
matter as a particular life of a particular person; and where the insurance is
to recover a sum on the death of that person. In these cases the court has
recognised an insurable interest in that life where a pecuniary loss flowing
from a legal obligation will or might be suffered on the death of that
particular person. In Godsall v Boldero (1807) 9 East 72, 103
ER 500, the limit recoverable was the actual loss suffered but post-Dalbys case the
fixed sum became recoverable provided that it did not exceed the maximum which
might have flowed from the legal obligation measured as at the date of entry
into the policy. Hebdons case is also within this group. [83]
Halford v Kymer (1830) 10 B & C 724, 109 ER 619 is a
case which relates to a policy taken out on the life of a son. What was argued
was that the father had a pecuniary interest in the life of his son having
regard to the chance of the father being maintained in his old age. Bayley J is
recorded as saying ((1830) 10 B & C 724 at 728, 109 ER 619 at 620): The
parish is bound to maintain him, and it is indifferent to him (the father)
whether he be maintained by the parish or his son. One wonders whether the same
decision would be reached in the modern era but the decision is to the effect
that there was no pecuniary interest in the life of the son in that there was
no legal right to be maintained by a son. [84]
Law v London Indisputable Life Policy Co (1855) 1 K
& J 223, 69 ER 439 was a case in which the plaintiff had purchased from his
son a contingent legacy of £3,000, bequeathed to him if he should attain 30
years of age. The plaintiff applied to the defendant to insure the event of his
son attaining the age of 30, some 20 months before the sons thirtieth
birthday. The agent for the company said that the insurance would have to be
for two years. The son did attain 30 but died before the expiration of the two
years. Following Dalby v India and London Life-Assurance Co (1854) 15 CB
365, 139 ER 465, [1843-60] All ER Rep 1040 it was held that the father had a
pecuniary interest in the life of his son when he took out the policy and that
the value of the same was the £3,000 and thus the father was entitled to
recover the £3,000 as well as having received the legacy bequeathed to the son.
[85]
Simcock v Scottish Imperial Insurance Co (1902) 10
SLT 286. Lord Pearson followed Hebdon v West (1863) 3 B & S 579,
122 ER 218, holding that the value in the life of an employee was limited to
the one-week period of notice. He therefore held that where the employer had
taken out insurance with two different entities for the sum of £250, the
employer was only entitled to recover one of them. [86]
Harse v Pearl Life Assurance Co [1903] 2 KB 92.
Insurance was taken out on the life of a mother by a son to cover funeral
expenses. It was accepted by the son that the policy was illegal and void for
want of insurable interest and the only question was whether the son could
recover the premium. In that context the court held that the son did not have
insurable interest in that there was no legal obligation to pay funeral
expenses but as he was not in pari delicto he could recover the premium. [87]
Group (3). There are then cases where even though the subject
matter may appear to be a particular item of property, properly construed the
policy extends beyond the item and embraces such insurable interest as the
insured has. [*609] Wilson v Jones (1867) LR 2 Exch 139
exemplifies this group and is I suggest an important decision. The plaintiff
was a shareholder in the Atlantic Telegraph Co. He insured himself with the
defendant under a form of marine policy in common form but filled up with
marginal additions. Those marginal additions contained the following words: At
and from Ireland to Newfoundland, the risk to commence at the lading of the
cable on board the Great Eastern, and to continue until
it be laid in one continuous length between Ireland and Newfoundland, and until
100 words shall have been transmitted each way
the ship, &c., goods,
&c., are and shall be valued at 200l. on the Atlantic cable,
value, say on 20 shares, at 10l. per share
And also, written
opposite to the clause touching the adventures
&c., the words- it is
hereby understood and agreed that the policy, in addition to all perils and
casualties herein specified, shall cover every risk and contingency attending
the conveyance and successful laying of the cable, from and including its loading
on board the Great Eastern, until 100 words be transmitted from Ireland to
Newfoundland, and vice versa; and it is distinctly declared and agreed that the
transmission of the said 100 words from Ireland to Newfoundland, and vice versa
shall be an essential condition of the policy. The attempt to lay the
cable failed, through the cable breaking. The argument of the insurers included
an argument that the subject matter of the insurance was the cable and that the
plaintiff as a shareholder in the company had no pecuniary interest in the
cable. [88]
It was recognised by the court that the plaintiff as shareholder
had no direct interest in the cable (see (1867) LR 2 Exch 139 at 144-145 per
Willes J, with which on this aspect all members of the court agreed). Willes J
then said (at 145): The
first question therefore is, what was the subject matter insured? Is this, as
has been contended, an insurance on the cable, or is it an insurance of the
plaintiffs interest in a share of the profits to be derived from the cable
which was to be laid down? In one sense, indeed, it is an insurance on the
cable; that is, it affects the cable, as an insurance on freight affects the
ship. The state of the ship and freight are so connected that it is impossible
that they should be dissevered, except in cases where the loss of freight is
effected by the loss of the goods only, in which case it might equally be said
that the insurance on freight is an insurance on the goods. But except in that
sense, it will appear, when the language of the policy is examined, that the
insurance is an insurance, not on the cable, but on the interest which the
plaintiff had in the success of the adventure. He then quoted the words
already referred to and said (at 146):
it
is impossible to avoid arriving at the conclusion stated by Martin, B., as the
opinion of the Court below, that this was an insurance on the plaintiffs
interest in the adventure. [89]
In the judgment of Blackburn J he said (at 150-151): [*610] I know no better
definition of an interest in an event than that indicated by Lawrence, J., in
Barclay v. Cousins ((1802) 2 East 544, 102 ER 478), and more fully
stated by him in Lucena v. Craufurd ((1806) 2 Bos & PNR
269, 127 ER 630), that if the event happens the party will gain an advantage,
if it is frustrated he will suffer a loss. Now we must see whether the
plaintiff was in this position. He was interested in a company which was about
to lay down a cable across the Atlantic. If that event happened, there can be
no doubt the owner of shares in the company would be better off; if it did not
happen, there can be no doubt his position would be worse. It follows, then,
equally without doubt, that if by proper words the parties have entered into a
contract of insurance for that interest, the policy is good. Now, if they had
stopped at the word cable, the plaintiffs interest would not have been
correctly or sufficiently described, according to the principle of the case of
[MSwiney v Royal Exchange Assurance Co (1849) 14 QB 634 at
646]. Neither if they had said that it was the cable as shipped on board the
Great Eastern, would it have been a sufficient description. But here they
have used words as to which I will only say, that no one who looks at them
fairly, and reads them in connection with the circumstances, can fail to see
that the intention of the parties would be frustrated by such a construction as
is contended for by the defendant. [90]
Group 4 are policies in which the court has recognised interests
which are not even strictly pecuniary. In relation to life policies there are
policies on own life; policies on husbands life and policies on the life of
the wife, see eg Griffiths v Fleming [1909] 1 KB 805, [1908-10]
All ER Rep 760. But even in the case of property something less than a legal or
equitable or even simply a pecuniary interest has been thought to be
sufficient. In Sharp v Sphere Drake Insurance plc, The Moonacre [1992] 2
Lloyds Rep 501 Anthony Colman QC (sitting as a deputy judge of the High Court)
ruled that the insured, Mr Sharp, had an insurable interest in the boat the
subject of the insurance. The boat was owned by a company which was 100% owned
by Mr Sharp, but it was the two powers of attorney granted by the company to Mr
Sharp giving him wide authority to enjoy and use the vessel exclusively for his
own purposes that provided the insurable interest. The judge said (at 512): That
was a valuable benefit which would be lost if the vessel were lost. The legal
relation in which he stood to the vessel was that for as long as the powers of
attorney remained he was entitled to use it for his own purposes and to
exercise over it such control as he saw fit. His powers were such that he could
even abandon it to the insurers in the event of a constructive total loss; a
relation to the goods sometimes considered decisive on the issue of title to
sue
[91]
In Glengate-KG Properties Ltd v Norwich Union Fire Insurance
Society Ltd [1996] 2 All ER 487, the judgment of Neill LJ described the
judgment of Mr Colman QC in The Moonacre as a valuable
judgment. Auld LJ was clearly less sure that the ruling was right, and what he
said (at 502) was: Nevertheless,
[counsel for the plaintiff]s reservations about enlarging the notion of
insurable interest in relation to material damage cover made good sense to me,
and they appear to reflect the present state of English law. But where the
insurance cover in issue is against some loss consequential on [*611] damage to
property, there is no reason why there should be so close a legal relationship
between the insured and the property damaged. The insurable interest is in the
event insured against rather than in the property the damage to which causes
that event. See MacGillivray and Parkington on Insurance Law 8th edn,
1988) p 54, para 129 and Anderson v Morice (1875) LR 10 CP 609 at
722, 723 per Lord Chelmsford. [92]
I have so far not referred to Deepak Fertilisers &
Petrochemicals Ltd v Davy McKee (London) Ltd [1999] 1 All
ER (Comm) 69 on which Mr Kendrick placed great reliance. In that case there had
been posed for the court certain questions all relating to whether ICI and/or
Davy McKee (London) Ltd (Davy) were on certain assumed facts relieved from liability
for the destruction of a methanol plant in India. One point taken by Davy, who
were sub-contractors, was that they were co-insured under a policy taken out in
relation to the period of construction of the work. Furthermore, Davy asserted
that Deepak were obliged to make them co-insured in all policies of insurance
effected in respect of the plant and that thus Davy should have been made
co-insured under a fire policy which was taken out after the execution of the
work finished. [93]
Rix J ([1998] 2 Lloyds Rep 139 at 158) had held that Davy had an
insurable interest in the plant:
as
long as they are arguably responsible
for damage to it. Since it is Deepaks
case
that Davy and ICI were responsible for the explosion even though it occurred
after a time which Deepak accept saw completion of the plant, I see no reason
in principle why Davy and ICI should not be entitled to insure against their
potential liability. The Court of Appeal
([1999] 1 All ER (Comm) 69 at 85-86) dealt with this aspect in the following
way: 65.
In our judgment Davy undoubtedly had an insurable interest in the plant under
construction and on which they were working because they might lose the opportunity
to do the work and to be remunerated for it if the property or structure were
damaged or destroyed by any of the "all risks", such as fire or flood.
Thereafter Davy would only suffer disadvantage if the damage to or destruction
of the property or structure was the result of their breach of contract or duty
of care. In order to protect the contractor and sub-contractors against the
risk of disadvantage by reason of damage or destruction of the property or
structure resulting from their breach of contract or duty they would, in
accordance with normal practice, take out liability insurance, or, in the case
of architects, professional indemnity insurance. We consider Mr
Havelock-Allans submission is well-founded: what they cannot do is persist in maintaining
an insurance of the property or structure itself. Two dates are critical. The
commissioning of Deepaks plant was completed on 31 January 1992. Davy
continued to work on the plant thereafter to rectify construction defects but,
by 10 August 1992, all known construction defects had been rectified and
rectification work had been inspected. At the latest the construction of the
plant was complete by 11 August. Thereafter, with effect from 11 August 1992,
Deepak transferred the insurance of the plant from the marine-cum-erection
policy (under which Davy and "other Contractors and Sub-contractors appointed
from time to time" had been named as co-assured) to the conventional property [*612]
insurance policy under which the existing ammonia plant was already
insured (ie the fire policy). Davy was not named as a co-insured under this
policy. Thus by the time the insurance of the plant was switched to the fire
policy, Davy were no longer bound to be prejudiced if the plant was damaged or
destroyed by an insured peril. 66.
Accordingly, we must differ from the approach adopted by the judge. He held
that he could see no reason why Davy (and ICI) should not have an insurable
interest in the plant so long as they were arguably responsible in some way for
damage to it. He posed the question ([1998] 2 Lloyds Rep 139 at 158-159): "Why
should not an architect or any technical designer or constructor be able to
insure himself against his liability for damage to a structure due to his
fault, even though the structure fails after its completion?" 67.
They could, of course, do so. This would be by means of liability insurance.
Even if Davy (and ICI) or any of the sub-contractors had been named in the
subsequent fire policy they would not have been covered in respect of their
breach of contract or duty under that policy. We therefore reverse the judges
findings on this issue and hold that Davy had no insurable interest in the
plant on 30 October 1992, the date of the explosion, giving rise to Deepaks
claims. [94]
There are various points to make on the Deepak case. First,
so far as the all-risks policy during the currency of the contract period was
concerned, an insurable interest even on property seems to go beyond a legal
or equitable interest in the property. A sub-contractors insurable interest
on the judgments in the Deepak case flows from the pecuniary loss that
he will suffer from the loss of the opportunity to do work if the plant was
destroyed by fire. Second, the Deepak case recognises
unsurprisingly that a sub-contractor has an insurable interest in his own
liability for negligence which he can also insure. But third, in the Deepak case it was
common ground that if Davy were co-insureds they would have a complete answer
to the subrogated claim even if damage was due to their negligence. It was thus
unnecessary for the Court of Appeal to analyse or deal with how if Davy as
sub-contractor was a co-insured it had an insurable interest in the whole plant
and thus how as a co-insured Davy would have an answer to any subrogated claim
if the explosion had occurred during the period of construction, unless Davys
insurable interest during this period included Davys liability in negligence
or in contract. In the judgment reference is made to Petrofina (UK) Ltd v
Magnaload Ltd [1983] 3 All ER 35, [1984] QB 127, Stone Vickers Ltd v
Appledore Ferguson Shipbuilders Ltd [1991] 2 Lloyds Rep
288 and National Oilwell (UK) Ltd v Davy Offshore
Ltd [1993] 2 Lloyds Rep 582. No disapproval is expressed of those
decisions; it is simply said ([1999] 1 All ER (Comm) 69 at 85 (para 64)) that
[i]n each case the insurable interest subsisted during construction and
commissioning. Those decisions were themselves at first instance being
respectively of Lloyd J, Mr Anthony Colman QC sitting as a deputy judge of the
High Court and Colman J as he then became. The Petrofina case, was
however, also approved in the Court of Appeal (save in one immaterial respect)
in Mark Rowlands Ltd v Berni Inns Ltd [1985] 3 All ER 473,
[1986] QB 211. They have been followed in Hopewell Project Management Ltd v
Ewbank Preece Ltd [1998] 1 Lloyds Rep 448, a decision of Mr
Recorder Jackson QC (as he then was). The Petrofina case, the Stone
Vickers case, and the National Oilwell case were
also extensively analysed and approved so far as material in the judgment of [*613]
Brooke LJ in Co-operative Retail Services Ltd v Taylor Young
Partnership Ltd [2000] 2 All ER (Comm) 865. That judgment was itself approved
when the case went to the House of Lords ([2002] UKHL 17, [2002] 1 All ER
(Comm) 918, [2002] 1 WLR 1419). These decisions hold that persons in the
position of sub-contractors have an insurable interest in the work or plant as
a whole; the definition of that interest relied on in those authorities comes
originally from a judgment in the Canadian Supreme Court, Commonwealth
Construction Co Ltd v Imperial Oil Ltd (1976) 69 DLR (3d) 558
at 563 which in terms recognised the insurable interest of sub-contractors- having
its source in the very real possibility ("may") of liability, considering the
close interrelationship of the labour performed by the various trades under
their respective agreements. They held further that
sub-contractors can recover from insurers the full value of the works holding
(where appropriate) the balance beyond their interest in trust for the owner.
They further held most relevantly that sub-contractors can defeat a subrogated
claim based on the sub-contractors liability in negligence to the owner
because the insurers were pursuing a claim in relation to the loss covered by
the policy. [95]
MacGillivray on Insurance Law (10th edn, 2003) pp
72-75 (paras 1-155 to 1-157) is critical of these decisions and indeed suggests
Deepak Fertilisers & Petrochemicals Ltd v Davy McKee (London) Ltd [1999] 1 All
ER (Comm) 69 has added force to the criticism. It may be as reflected in
MacGillivray (para 1-159) that the true answer is that the risk of being
held liable for causing damage to property, will not by itself create an
insurable interest in the property, but if there is a further legal link that
interest may also be embraced within the subject of the insurance. I suggest
that the question truly is one of construction. It may be more usual to cover
liability with liability insurance. But there is no hard and fast rule and
where the subject of insurance is intended to be and can properly be construed
as embracing the insurable interest in relation to liability, there is no reason
not to so construe it. The point is exemplified by the fourth point I make on
the Deepak case by reference to the views of Stuart-Smith LJ on the
fire policy. The fact that you may have an insurable interest relating to
liability does not necessarily mean that that interest will be covered by a
policy identified by reference to a specific subject matter. If the insurance
policy is simply taken out on the plant, as one would expect from a fire
policy, post-construction period, such a fire policy may not be construed to
embrace the only insurable interest which Davy has. But that should be
contrasted with the position where it is intended during the construction
period that liability will be embraced. [96]
The final point to make on the Deepak case is that
I would suggest that the circumstances in the Deepak case were
such that the court may have been more reluctant than in many cases to hold
that such insurable interest as Davy had was embraced by the subject of the
policy. The decision is not authority for any broader proposition such as it
being impossible to cover the insurable interest of liability by virtue of a
policy on property if the terms of the policy embrace the insurable interest. SUMMARY OF THE
PRINCIPLES [97]
The principles which I would suggest one gets from the authorities
are as follows. (1) It is from the terms of the policy that the subject of the
insurance must be ascertained. (2) It is from all the surrounding circumstances
that the [*614] nature of an insureds insurable interest must
be discovered. (3) There is no hard and fast rule that because the nature of an
insurable interest relates to a liability to compensate for loss, that
insurable interest could only be covered by a liability policy rather than a
policy insuring property or life or indeed properties or lives. (4) The
question whether a policy embraces the insurable interest intended to be
recovered is a question of construction. The subject or terms of the policy may
be so specific as to force a court to hold that the policy has failed to cover
the insurable interest, but a court will be reluctant so to hold. (5) It is not
a requirement of property insurance that the insured must have a legal or
equitable interest in the property as those terms might normally be
understood. It is sufficient for a sub-contractor to have a contract that
relates to the property and a potential liability for damage to the property to
have an insurable interest in the property. It is sufficient under s 5 of the
Marine Insurance Act 1906 for a person interested in a marine adventure to
stand in a legal or equitable relation to the adventure. That is intended to
be a broad concept. (6) In a policy on life or lives the court should be
searching for the same broad concept. It may be that on an insurance of a
specific identified life, it will be difficult to establish a legal or
equitable relation without a pecuniary liability recognised by law arising on
the death of that particular person. There is, however, no authority which
deals with a policy on many lives and over a substantial period and where it
can be seen that a pecuniary liability will arise by reference to those lives
and the intention is to cover that legal liability. (7) The interest in
policies falling within s 1 of the 1774 Act must exist at the time of entry
into the policy, and be capable of pecuniary evaluation at that time. THE TERMS OF THE
DISPUTED POLICY [98]
It is common ground, and clearly right, that the policy in the
instant case is a policy to pay fixed sums on the happening of certain events.
It therefore falls within s 1 of the 1774 Act. But the fact that sums are
payable on certain events does not in my view end the inquiry as to what the
subject matter of the insurance is or the inquiry in particular as to whether
the subject matter of the insurance embraces the insurable interest.
Furthermore, it is not in my view a legitimate starting point to say that
because normally such and such a type of risk would be insured in a certain
way, therefore a different form of policy must be unlawful. Each case must
depend on the precise terms of the policy under consideration. The questions
are: what on the true construction of the policy is the subject matter of the
insurance? Is there an insurable interest which is embraced within that subject
matter? Is the insurable interest capable of valuation in money terms at the
date of the contract? The question that will then arise under s 3 is whether
the sum payable under the policy is greater than the value of the pecuniary
interest valued as of the date of the policy. [99]
In argument there was much concentration by Mr Kendrick on the
fact that on the death of an original person a sum became payable to Steamship;
much concentration on the fact that the identity of that original person might
not even be known at the date when the policy was entered into; much
concentration on the question of the interest that Steamship had in the life or
health of any original person. What interest (it was argued) was there in the life
of any original person in relation to whom liability of the rigger and a member
was never established, for example? I have come to the view that that is to
look at this policy through too narrow a perspective. [*615] [100]
The disputed policy is not on any view simply a life policy
which pays Steamship on the death of a particular identified individual. The
terms of the declaration, and the wording agreed, demonstrate that this was
insurance covering a three-year period. It was agreeing to pay fixed sums by
reference to bodily injury and/or illness sustained by original persons but in
respect of losses occurring in respect of member entries. Members are defined
as owners and/or other persons interested in any entered vessel to whom the
insured has obligations under its rules. One can see from the wording of the
policy that the object of the policy was to cover Steamship for the losses it
would suffer as insurer of its members under its rules. I emphasise this is not
seeking to place a construction on the policy to the effect that sums were only
payable once liability was established against a member and as against
Steamship, but the policy was devised by its terms to compensate for those
losses which over a three-year period were bound to occur. The policy did so by
reference to fixed sums payable on certain of the events, those events being
within the general ambit of events for which members and thus Steamship would
have to pay. Furthermore, by virtue of the construction which the judge put on
the policy, with which I have said I agree (see [28], above), Steamship would
only be entitled to keep those sums paid as fixed sums where liability as
between the member and the original person was in fact established. [101]
If one asked the question whether Steamship had a pecuniary
interest in covering losses over the three-year period for which it may be
liable, it seems clear that it would have and indeed that is not disputed. Did
that interest exist at the time the policy was taken out? The answer is, as in
Dalby v India and London Life-Assurance Co (1854) 15 CB 365, 139 ER
465, Steamship had a legal obligation which might lead to substantial sums
being payable. Was it capable of pecuniary evaluation? The answer is that it
was, or at the least it was possible to say that the overall limit did not
exceed the potential liability. Is the subject so specific that it does not
embrace the interest? The answer in my view is No. I emphasise again the
wording. The wording provides that Original Persons by reference to whom a
fixed benefit must be paid must be persons engaged on an entered vessel. An
entered vessel is one entered by a member of the club with Steamship during
the relevant period in respect of any of the risks enumerated in the wording
itself. A member has to be a person interested in any entered vessel and the
person to whom Steamship has obligations under its rules
in respect of the
bodily injury
suffered by an Original Person. It does not seem to me to be
an abuse of language to say that Steamship has an insurable interest in the
lives and well-being of original persons as defined by the policy. There is
thus no reason not to construe the subject of the disputed policy as embracing
that insurable interest. [102]
In my judgment, in agreement with Langley J, I see no reason why
the disputed policy should be held to be in violation of s 1 of the 1774 Act. SECTION 3 [103]
Having identified the insurable interest embraced by this policy I
find it difficult to see quite what argument Mr Kendrick can maintain on behalf
of Sun Life. [104]
The interest in persons and events the subject of this insurance
which Steamship had, so far as I can see from the cases, has to be assessed on
the worst- case basis. In Dalbys case the value of Anchors interest in
the life of the Duke of Cambridge was assessed on the basis that Anchor might
have had to pay the full [*616] sums due under the policies that they
had issued. There was no suggestion that any discount to that value should be
applied by reference to facts which could easily have been assumed as at the
date of the taking out of the relevant policy ie that the policies might have
been surrendered, as they were. Furthermore, in cases in which the court has
held that a creditor has an insurable interest in the life of the debtor, the
value of the interest is again assessed on the worst-case basis without any
discount being given for the possibility that the insured may be repaid the
debt and thereby obtain double recovery. [105]
If that be the correct approach then what Sun Life have to show is
that there was no possibility of Steamships liability to its members reaching
the limits under the disputed policy, those limits being $US1m from any one
event and a total limit of $US100,560,000 in respect of losses over the whole
period. [106]
What Sun Life appear to be attempting to do is, with the benefit
of hindsight, to examine whether Steamship is in fact recovering more than that
for which it is liable under its policy with its members. In particular they
seem to be indulging in an exercise which looks at that question not just by
reference to the policy which is disputed, but by reference to the excess loss
and top-up policies which Steamship also took out. [107]
If this were a valued policy then, in the absence of fraud, the
value fixed by the policy would, as between the insurer and the insured, be
conclusive of the insurable value of the subject intended to be insured (see s
27(3) of the 1906 Act). Once appreciated that value must be assessed at the
time that the policy is entered into, and once appreciated that the assured is
entitled to place such value on his interests as reflects the worst-case
scenario, I do not think that Sun Life have even begun to demonstrate that
Steamship are seeking to recover an amount in excess of the value of the
interest as at the date of the policy. [108]
I should also add that even performing the calculations they do,
it is only the existence of the excess of loss or top-up reinsurance that
provides a factual case that Steamship are recovering in excess of their
liabilities. In my view Hebdon v West (1863) 3 B & S 579,
122 ER 218 shows that if that provided an argument for anyone that Steamship
could not recover more than the value of their insurable interest, it provided
it to the excess of loss or top-up insurers and not Syndicate 957. [109]
Thus, again in agreement with Langley J, Sun Life gain no
advantage from s 3. [110]
I would accordingly dismiss the appeal on the insurable interest
issue for the above reasons, and on the authority issue for the reasons given
by Dyson LJ. DYSON LJ. THE ISSUES ARISING
UNDER THE LIFE ASSURANCE ACT 1774 [111]
I agree that this appeal should be dismissed. I add a few words of
my own on the question of whether Steamship Mutual Underwriting Association
(Bermuda) Ltd (Steamship) had an insurable interest in the original persons
whose bodily injury and/or illness was the event on which payment under the
policy depended. [112]
It is not in issue that the insurance policy fell within the scope
of s 1 of the 1774 Act. It was not an indemnity policy in the strict sense,
that is to say a policy under which the insurer was obliged to pay a claim only
when the insured had suffered a loss. The subject matter of this policy was the
contingency of [*617] bodily injury/illness of an original person tout
court. Original persons as defined were a broad class of persons. It was
possible to say at the outset whether, if a person suffered a bodily
injury/illness, he or she would belong to this class of persons. It was not, of
course, possible at the outset to say who, if anyone, would in fact suffer such
an injury/illness so as to come within the class of original persons. [113]
It is obvious and not disputed that, if the subject matter of the
policy had been the liability of Steamship members for the injury/illness of
original persons, Steamship would have had an insurable interest in the subject
of the policy. Mr Kendrick submits that contingency and liability insurance are
fundamentally different from each other, so that the insurable interest
sufficient to support one is not sufficient to support the other. Further, he
submits that in the case of contingency insurance the insured must stand in a
legal or equitable relation to the subject of the insurance. On the facts of
this case, there is no such relation between Steamship and the original
persons. In short, Steamship would have an insurable interest in the liability
of its members for injury/illness sustained by persons who fall within the
definition of Original Persons; but not an insurable interest in the
well-being of such persons per se. [114]
I accept that contingency and liability insurance are different
forms of insurance. But I find it difficult to see why in principle Steamships
contingent liability to indemnify its members against their liability for
bodily injury/illness to original persons is not sufficient to give Steamship
an insurable interest in the well-being of those persons. It is a non sequitur
to reason that because (a) Steamship would have an insurable interest in the
liability of its members to those persons, therefore (b) it cannot have an
insurable interest in those persons themselves. [115]
Waller and Ward LJJ have referred to some of the relevant
authorities. A number of them concerned the question whether a sub-contractor
or supplier to a construction contract has an insurable interest in the entire
project during the construction and commissioning stages. In National
Oilwell (UK) Ltd v Davy Offshore Ltd [1993] 2
Lloyds Rep 582, the issue was whether a supplier had an insurable interest in
the property after it had delivered its equipment. It was argued that the interest
of a sub-contractor in property other than what it supplies and constructs
itself is not in the property, but in its potential liability to the owners of
such property for loss or damage to it caused by its breach of contract or
duty, and that for that reason it has no insurable interest in the
property itself. Colman J referred to Commonwealth Construction Co Ltd v
Imperial Oil Ltd (1976) 69 DLR (3d) 558 to which Waller LJ has already
referred, and said (at 609) that the Supreme Court was making the fundamental
point that- the
sub-contractor, by reason of the terms of the sub-contract stood in that
relationship to all the property insured that loss of or damage to such
property caused by that sub-contractors fault could give rise to liability on
his part to the owners of the property. He therefore had sufficient
relationship to the property to found an insurable interest in the subject
matter of that property insurance policy. [116]
Colman J said (at 611): The
suggestion that there cannot as a matter of law be an insurable interest based
merely on potential liability arising from the existence of a contract between
the assured and the owner of property or from the [*618] assureds
proximate physical relationship to the property in question, is in my judgment,
to confine far too narrowly the requirements of insurable interest. There is
nothing in the authorities which prevents such a relationship to the property
from giving rise to an insurable interest in the property for the purposes of
an insurance on property. In [Stone Vickers Ltd v Appledore Ferguson
Shipbuilders Ltd [1991] 2 Lloyds Rep 288], I sought to explain the
identification of an insurable interest in such multi-participant projects in
the passage at p. 301 already cited. It is no doubt true that the conventional
means of obtaining in the market insurance protection against such liability
for property damage is to take out a liability policy and for the purposes of
such policy there is no question that the assured would have an insurable
interest in his potential liability. But the fact that he has an insurable
interest for that kind of risk does not lead to the conclusion that he cannot
have an insurable interest in the property itself for the purpose of a policy
on property risks. The fact that the market does not offer such policies is
neither here not there. What matters is whether, if such a policy were
effected, the assured would have a sufficient relationship with the
subject-matter to give rise to an insurable interest. In my judgment he would.
[117]
It is important to emphasise that the reasoning of Colman J and
the Supreme Court was not that the supplier or sub-contractor had an insurable
interest in the whole of the property because they might lose the opportunity
to do the work or supply the equipment and to be remunerated for it if the
property were damaged or destroyed (see Deepak Fertilisers &
Petrochemicals Ltd v Davy McKee (London) Ltd [1999] 1 All
ER (Comm) 69 at 85 (para 65)). Rather, they reasoned that the fact that the
supplier or sub-contractor might be liable for damage to the whole property was
sufficient to give it an insurable interest in the whole property. [118]
No reason has been advanced to justify the proposition that, as a
matter of law, an insurable interest may not be sufficiently based on the
existence of potential liability in the insured for the contingency which is
the subject of the insurance. Decisions such as National Oilwell (UK) Ltd v
Davy Offshore Ltd [1993] 2 Lloyds Rep 582 are criticised in
MacGillvray on Insurance Law (10th edn, 2003) pp 73-75 (paras 1-156 to
1-159) on two principal grounds. First, it is said that they are difficult to
reconcile with established principles which inter alia require that the
sub-contractors in question be able to demonstrate that they possessed a legal
or equitable interest in relation to the contract works. Secondly, it is said
that they confuse the distinction between insurances on property on the one
hand, and product liability insurance on the other. [119]
As regards the first point, none of the authorities which were
cited to us states in terms that potential liability for damage to the property
insured can only be covered by liability insurance. It is true that, in the
Deepak case, this court said that, after construction and commissioning
of the plant had been completed, even if Davy had been named in the subsequent
fire policy, they would not have been covered in respect of their breach of
contract or duty under that policy, because they would have had no insurable
interest in the plant. But as against that, no doubt was expressed as to the
correctness of any of the decisions mentioned by Waller LJ at [94], above, or
more particularly the reasoning on which they are based. The existence of a
legal or equitable interest in relation to the contract works forms no part of
that reasoning. [*619] [120]
As for the confusion between the two types of insurance, I refer
to the fallacy that I mention at [114], above. Although the two types of
insurance are different in character, it does not follow that an insurable
interest that is sufficient for the purposes of one may not also be sufficient
for purposes of the other. The so-called confusion is not, in my view, a
reason for holding that the potential liability for damage to property may not
give an insured a sufficient insurable interest in the property itself. [121]
It is difficult to reconcile all the authorities. But it is
necessary to bear in mind the words of Brett MR in Stock v Inglis (1884) 12 QBD 564 at
571: In my
opinion it is the duty of a Court always to lean in favour of an insurable
interest, if possible, for it seems to me that after underwriters have received
the premium, the objection that there was no insurable interest is often, as
nearly as possible, a technical objection, and one which has no real merit,
certainly not as between the assured and the insurer. [122]
This general approach is not furthered by drawing subtle
distinctions which serve no useful purpose. I can see no useful purpose in
holding that a contractor has an insurable interest in plant (of which he
supplies only a small component) up to the time of completion and
commissioning, but not thereafter. On the facts of a case like the Deepak case, the
sub-contractors commercial interest in the plant as a whole during the
construction and commissioning stage lies at least as much in his potential
liability for damage caused to the plant by his breach of contract and duty as
in his interest in not losing the opportunity to do the work and be remunerated
for it if the plant is damaged or destroyed by any of the risks covered by an
all risks policy. [123]
Unless compelled by authority to do so, I would reject the
submission that, as a matter of law, an insurable interest in a contingency
based on an insureds potential liability for that contingency cannot be
covered by a policy on life properly framed so as to embrace that insurable
interest. I do not believe that any authority requires that submission to be
accepted. I would, therefore, uphold the decision of Langley J on the insurable
interest issue. [124]
I would add that the decision in Dalby v India and London
Life-Assurance Co (1854) 15 CB 365, 139 ER 465 does not sit easily
with Mr Kendricks submissions on this issue. In that case, Anchor
Life-Assurance Co (Anchor) had granted four life policies to a total value of
£3,000 to Reverend Wright on the life of the Duke of Cambridge. Several years
later, Anchor, being desirous to secure and indemnify themselves, to the
extent of 1000l., against their liability for the 3000l., took out a
policy with the defendants for £1,000 by way of a cross or counter assurance
to that amount on the life of the duke. Subsequently, Reverend Wright
surrendered the four policies. On the death of the duke, Anchor claimed the
£1,000 from the defendants. At first instance, the claim failed. The appeal was
allowed. Parke B said ((1854) 15 CB 365 at 386, 139 ER 465 at 474): At the
time this policy was subscribed by the defendants, the Anchor Company had
unquestionably an insurable interest to the full amount [sc £1,000]. The
significance of this statement is clear enough. This counter-insurance was on
the life of the Duke. It was not a liability insurance. It was not a
reassurance of Anchors liability to pay. As Parke B stated ((1854) 15 CB 365
at 387, 139 ER 465 at 474), the contract (commonly called life assurance) when
properly considered was a mere contract to pay a certain sum of money on the death
of a person. This species of insurance in no way resembles a contract of
indemnity. Accordingly, it was a contract to which the 1774 Act [*620] applied. It
is difficult to see how Anchor had a legal or equitable interest in the life of
the duke. It had a potential legal liability to pay under the four policies,
and that potential liability was sufficient to give it an insurable interest in
the life. [125]
However that may be, for the brief reasons that I have given, I
would dismiss the appeal on the insurable interest issue. I do not wish to say
anything on the s 3 issue. THE AUTHORITY ISSUE The facts [126] By an
agreement dated 3 September 1996, Sun Life Assurance Co of Canada (Sun Life)
appointed Centaur Underwriting Management Ltd (Centaur) to act as its
underwriting agent in respect of a portfolio of accident and health reinsurance
contracts with effect from 1 October 1996. By an agreement dated 19 September
1996, Phoenix Home Life Mutual Insurance Co (Phoenix) appointed Centaur to act
as its underwriting agent in respect of a portfolio of accident and health
insurance or reinsurance contracts with effect from 1 October 1996. It was
agreed between Centaur, Sun Life and Phoenix that Sun Life and Phoenix would
split every risk on a 50:50 basis. Centaur had been established by John Cackett
in 1996. In 1997, Centaur underwrote four reinsurance contracts on behalf of
Sun Life and Phoenix protecting Syndicate 957 in respect of various liabilities
under the master lineslip policy for the year 1997/1998. [127]
On 16 March 1998, Centaur gave Phoenix notice that it was
terminating its appointment with Phoenix as from 19 September 1998. The date of
termination was later amended to 1 October 1998. On 5 May 1998, Mr Cackett
(acting on behalf of Centaur) agreed as agent for Phoenix and Sun Life to renew
the four reinsurances of Syndicate 957. The period of reinsurance was in
respect of losses occurring on declarations attaching during the period 20
February 1998-20 February 2000 subject to annual re-signing. The slips
identified the Reinsurers participating hereon as "50% Sun Life Assurance
Company of Canada" and "50% Phoenix Home Life Mutual Insurance Company". [128]
On 17 August 1998, Centaur sent the syndicate a letter concerning
the termination of its underwriting agreement with Phoenix, and enclosed a
newsletter which stated: Centaur
have given notice to Phoenix
to terminate their Underwriting Agreement to
take effect from 1st October 1998. From the 1st October 1998 Centaur are
pleased to offer 100% Sun Life
as our sole Principal
[129]
On 26 August, Phoenix itself sent a letter inter alios to the
syndicate stating: Effective
October 1, 1996, Phoenix Home Life Mutual Insurance Company and American
Phoenix Life and Reassurance Company entered into agency agreements/binding
authorities with Centaur Underwriting Management Ltd. We hereby advise that
these agreements will be terminated effective October 1, 1998. We confirm that
we shall continue to honour all obligations in respect of business accepted
prior to October 1, 1998 by Centaur on our behalf. [130]
On 20 October, Monument Insurance Brokers Ltd (Monument) prepared
a further reinsurance presentation on behalf of the syndicate in respect [*621] of the
three-year period 20 February 1998-February 2001. At all material times,
Monument acted as brokers for the syndicate. Centaur agreed to extend the four
reinsurances. This was done in each case by an endorsement and, later,
evidenced by a cover note addendum. In each case, the endorsement was button-
stamped and initialled by Mr Cackett on 29 October. Each endorsement provided: It is
hereby noted and agreed that with effect from inception the period is amended
to read as follows: PERIOD:
Losses occurring on declarations attaching during the period 20th February 1998
to 20th February 2001. Subject to Annual Re-signing. All other terms and
conditions remain unaltered. The endorsement also
provided (in manuscript) that the premium was $
payable in 12 equal
quarterly instalments in arrears adjustable annually in accordance with
original premium formulae. The premium figure was inserted in each case. For
policy M98 0060, it was $US5á4m. The figure for each of the other three
policies was £2á7m. The issue [131] It is common
ground that, to the knowledge of the syndicate, Centaurs authority to
underwrite for Phoenix was terminated as from 1 October 1998, so that Centaur had
no authority to extend the reinsurance contracts into the period 20 February
2000-20 February 2001 on behalf of Phoenix. Until a late stage of the
proceedings, the syndicate contended that Phoenix was bound by the reinsurance
contracts made on 29 October 1998, but that contention has been abandoned. The
syndicate continues, however, to advance its alternative submission that these
contracts were made by Centaur so as to bind Sun Life as to 100%. Sun Life
accepts that it was bound as to 50%. It is common ground that Centaur had
authority to bind Sun Life as to 100%. The issue which divides the parties is
whether Centaur did in fact do so. The decision of
Langley J [132] Langley J
dealt with the point in his judgment ([2002] 2 All ER (Comm) 492 at [130]) in
these terms: Mr
Cackett agreed with Mr James and Mr Absalom that he would not have written the
endorsements unless he believed he had full authority to do so. But he said
that when he wrote them he "did not know
that I actually addressed my mind to
exactly who I was underwriting for
I was underwriting on behalf of Centaur. I
do not know that I actually would have considered whether it was Sun or Phoenix
at the time". By 29 October Centaurs agreement with Phoenix had terminated to
the knowledge of both Mr James and Mr Absalom. The cover to February 2000 had
been written prior to termination on behalf of Phoenix and Sun Life equally.
The extension to 2001 was written after termination. Mr Cackett thought he
might have had it in mind to re-sign the cover in February 1999 as 100% Sun
Life. Despite, perhaps tentative, submissions and evidence to the contrary the
extension was plainly a new contract and cannot be described as "a variation"
or a run-off of an existing contract even if that was a material distinction.
The only sensible construction that I think can be put on these events is that,
as Mr Fenton submitted, Mr Cackett had no authority to write [*622] any new
business on behalf of Phoenix and so could not bind Phoenix to the 2000/2001 extension
for 50% or at all, but equally that, as Mr Kendrick submitted, he was not in
fact writing the extension so as to bind Sun Life 100% even if arguably he
would have had authority to do so. The endorsement purported to extend an
existing cover written for both companies and as Mr James said, and is plainly
right, had Mr Cackett been writing 100% for Sun Life that would have been clear
in the documentation when in fact the opposite is the case. At the material time, Mr
James was a director of Monument, and Mr Absalom a member of the syndicate. Submissions on
behalf of the syndicate [133] Mr Julian
Flaux QC submits as follows. The judge was right to hold that (a) the extension
of the reinsurance policies to 20 February 2001 was a new contract, and not a
variation or run-off of an existing contract, and (b) Centaur had no
authority to write new business for Phoenix after 1 October 2000. It follows
that there could be no question of Centaur writing the extension of the
reinsurance contracts 50% for Sun Life, and 50% for Phoenix. By 29 October,
both Sun Life and the syndicate knew that the underwriting agreement between
Phoenix and Centaur had been terminated with effect from 1 October, and Centaur
had actual authority to write the extension 100% for Sun Life. It was not
suggested (nor could it have been) that Centaur was acting for any other
principal than Sun Life, or that it was acting as a principal itself or in any
capacity other than as an underwriting agent for either Sun Life or Phoenix or both
of them. There was, therefore, no basis for concluding that Centaur was not
writing the extension so as to bind Sun Life for 100%. There was no other
capacity in which it could have been writing the extension, since it was
plainly writing in its capacity as an agent, and as an agent who had authority
to write an extension 100% on behalf of Sun Life. [134]
Mr Flaux submits that the words Subject to Annual Re-signing
show that there was a separate contract for each of the three years. He accepts
that the effect of the agreement of May 1998 was that Sun Life and Phoenix
became contractually committed to the two years 20 February 1998-20 February
2000 (even though the endorsements signed on 5 May 1998 included the words
subject to Annual Re-signing). But he relies on these words in the October
endorsements as supporting his argument that there were separate contracts for
the third year and that Centaurs principal(s) for the third year was/were not
necessarily the same as its principals for the first two years. [135]
Mr Flaux makes the point that there was no discussion in October
as to the identity of the principals on whose behalf Centaur was acting.
Monument did not purport to ask Mr Cackett to procure cover for only 50% of the
risk, on the footing that it would obtain the remaining 50% elsewhere.
Accordingly, viewed objectively, what Monument was seeking and Centaur was
offering to provide was 100% cover for the third year, and, again objectively
considered, that could only be provided by Sun Life. [136]
Finally, Mr Flaux criticises the judge for taking into account Mr
Cacketts state of mind in reaching his conclusion on this issue. The state of
mind of the agent in circumstances where the agent has actual authority is
immaterial. All that matters is that the agent acts in his capacity as an agent
(as [*623] Centaur did), and that he acts within his authority (as
Centaur did). Mr Flaux relies on Hambro v Burnand [1904] 2 KB
10 at 26: It is
enough for us to say that it appears to be well settled in English law that the
liability of a principal on a contract entered into by his agent within the
terms of his authority cannot be affected by the unknown motives by which the
agent was actuated in making the contract. Conclusion [137] I am unable
to accept these submissions largely for the reasons advanced by Mr Kendrick. It
is clear (and indeed common ground) that the issue must be determined
objectively on the basis of the endorsements stamped and signed by Mr Cackett
on 29 October, judged against the background of facts known to the parties at
the time. Mr Flaux submits quite correctly that the motives, beliefs and
uncommunicated intentions of Mr Cackett in relation to the authority question
were irrelevant. But in my view, although the judge referred to Mr Cacketts
state of mind, it is clear that he did not rely on it in order to reach his
conclusion. His reasoning was simply as follows: (a) Centaur had no authority
to bind Phoenix to the 2001 extension for 50% or at all; but (b) Centaur did
not purport to, and therefore did not in fact, write the extension so as to
bind Sun Life 100% even if it had authority to do so. Mr Cacketts state of
mind formed no part of the judges reasoning. It follows that Hambros case is
not material in the circumstances of this case. [138]
In my judgment, it is clear on the face of the 29 October
endorsements themselves that they were not intended to increase Sun Lifes line
from 50%. They were merely intended to extend the period of the existing
contracts by one year to 20 February 2001 and to increase the premium
accordingly. Thus, for example, the premium for policy M98 0060 was increased
by $US1á8m to $US5á4m. The increased amount was the premium payable by 12 equal
monthly instalments over the three-year period. As Mr Kendrick points out, if
it had been intended to increase Sun Lifes share of the cover to 100%, one
would have expected express words to that effect to be used, and the format of
the documentation would have been different. Instead of converting the existing
contracts from two to three years, one would have expected a fresh policy to be
issued for the third year, naming Sun Life as the sole reinsurer and
identifying the premium referable to that year. But rather than doing this, the
parties agreed to use documents which expressly stated that the period was to
be amended with effect from inception to cover losses occurring on
declarations attaching during the period 20th February 1998
to 20th February
2001. The reference to the amendment being from inception (ie from 20
February 1998) is entirely at odds with the notion that during the third year
the policies were on behalf of Sun Life alone, and as to 100%, when previously
they had been made on behalf of Phoenix and Sun Life on a 50:50 basis. [139]
The sentence all other terms and conditions remain unaltered is
another strong pointer against Mr Flauxs argument. He submits that this is no
more than a reference to the detailed terms and conditions of the previous policies,
and that it does not identify the parties on whose behalf the new reinsurance
cover was being purportedly written or the proportions of the risk that they
were purporting to underwrite. I see no reason to construe the sentence in the
restrictive way for which Mr Flaux contends. It was undoubtedly [*624] a term of the
previous policies that Sun Life and Phoenix were the reinsurers and that they
were each writing 50% of the cover, and no more. Even if it is questionable
whether the identity of the parties was a term or condition of the previous
policies, I cannot see why the percentage cover being written by those parties
was not a term or condition of the policies. In my view, it was plainly a term
or condition of the four reinsurance contracts made in May 1998 that Sun Life
and Phoenix were writing 50% each. [140]
I do not accept that the words subject to Annual Re-signing
assist in the resolution of the issue. The significance of these words was
explained in the report of Mr Jim Hunt (the syndicates expert witness) in
these terms: 50.
The annual re-signing provision (a procedure peculiar to Lloyds) would have
been inserted in the reinsurance slips merely to enable Syndicate 957 to
allocate the premiums and recoveries to different years of account (as
required). The Defendants reinsurance contracts did not provide for mid-term
cancellation or provide for the terms and conditions to be revised mid-term for
any reason (unless by mutual agreement), and the inclusion of an annual re-signing
provision did not change that position. The annual resigning provision did not
require John Cackett to take any action and I understand that none was ever
taken. [141]
A problem arises because at Lloyds each syndicate writes business
for one year only. It follows that provision needs to be made to cater for the
situation where a risk is undertaken for more than one year, since the members
of the syndicate may change from year to year. The elaborate nature of the
procedure adopted was described by Staughton LJ in Baker v Black Sea and
Baltic General Insurance Co Ltd (Equitas Reinsurance Ltd intervening) [1996] LRLR
353 at 358. It is not necessary to examine this, since in my view the fact that
the parties used the words subject to annual re-signing sheds no light on the
question at issue. It is common ground that on 29 October 1998 agreements were
made whereby reinsurance cover would be provided for the third year, and that,
through the agency of Centaur, Sun Life was a party to those agreements. The
question is whether Sun Life agreed to write 50% or 100% of the risk. The fact
that, for the reasons given by Mr Hunt, the words subject to Annual
Re-signing were inserted in the endorsement does not help to resolve that
question. [142]
Stripped to its essentials, Mr Flauxs argument is that, because
Centaur no longer had authority from two principals (and because this was known
to the syndicate), it must have committed its remaining principal to a larger
portion of the risk than previously. But as Mr Kendrick says, this is simply a
non sequitur. Centaur did have authority to bind Sun Life as to 100%, and could
therefore have done so. But in order to determine whether it did in fact do so,
it is not sufficient merely to establish that it had the requisite authority.
It is necessary to see whether it in fact exercised that authority. The
starting point for this inquiry is the language of the instrument by which the
principal became bound to the third party by the acts of the agent. Centaur did
not purport to bind Sun Life to 100% cover. For the reasons that I have already
given, there is nothing in the endorsements of 29 October which indicates that
Centaur exercised the authority vested in it to bind Sun Life 100%, and there
are a number of features of the documents which point strongly the other way. [*625] [143]
For these reasons, I conclude that Langley J reached the correct
conclusion on the authority issue, and did so for the right reasons. I would
dismiss the syndicates appeal on this issue. WARD LJ. SOME PRELIMINARY
OBSERVATIONS [144]
First, there is no merit in this appeal. The facts are quite
remarkable. For some time prior to 1994, the Lloyds Syndicate 957 had
satisfactorily insured Steamships liabilities to its members under its rules,
including the members liabilities for loss of life, personal injury or illness
of persons occurring on or in relation to vessels entered with Steamship. In
1994 Lloyds announced changes to its risk codes for the 1995 year of account,
the effect of which was that for the purposes of reinsurance, the carve-out
from liability policies of the bodily injury and illness-related elements could
no longer be classified for audit purposes as personal accident insurance. This
presented obvious difficulties for the syndicate but would have had no direct
effect at all on Steamship. The syndicate wished to preserve the substantial
premium income it enjoyed and, with Mr Cackett as one of the moving spirits,
set about devising a new scheme which would have enabled it to treat the
insurance as short-tail personal accident insurance and not long-tail liability
insurance. Steamship was persuaded to change its traditional tried and tested
liability reinsurance for this new-fangled concept. Sun Life came on board as reinsurers
for 1997/1998 and renewed for 1998/2001 (though there is a separate issue about
the later participation of Phoenix). Centaur wrote the reinsurance on their
behalf. Mr Cackett was by then with Centaur. When the reinsurers began to find
the business not as profitable as they had hoped, they raised their clean hands
and cried foul. They sought to avoid the obligations they had undertaken to the
syndicate by alleging, inter alia, the lack of an insurable interest. They
wanted their money back. When Steamship began its proceedings against the
syndicate, the response was that the same point would have to be taken in their
defence in case Sun Life and Phoenix were correct. Although it is true to say
that the syndicate sit in the middle of this litigation wringing their hands in
embarrassment, leaving Sun Life and Phoenix to do the dirty work, we none the
less have the extraordinary position that those who devised the plan to serve
their ends now seek to avoid their liability under it on the basis that they
failed to overcome the obstacle staring them in the face at all times, and
known to be an obstacle, that Steamship might not be able to show they have an
insurable interest in the subject matter of this insurance. Who, I wonder, was
the splendid humorist who codenamed this conceptual proposal Nelson? He or
she presciently and ironically must have appreciated that it might only work if
one turned the blind eye. If the reinsurers and insurers are now right, the
only one to lose will be Steamship. It is hardly an attractive stance for
insurers and reinsurers to adopt. Perhaps the outsider may be permitted to say
that where the contract of insurance is supposed to be one requiring the utmost
good faith from all parties, this stance betrays the moral bankruptcy
of the insurers and reinsurers position. [145]
Secondly, the approach of the court in these circumstances has
been declared by Brett MR in Stock v Inglis (1884) 12 QBD 564 at
571 to be- In my
opinion it is the duty of a Court always to lean in favour of an insurable
interest, if possible, for it seems to me that after underwriters have [*626]
received the premium, the objection that there was no insurable
interest is often, as nearly as possible, a technical objection, and one which
has no real merit, certainly not as between the assured and the insurer. Of
course we must not assume facts which do not exist, nor stretch the law beyond
its proper limits, but we ought, I think, to consider the question with a mind,
if the facts and the law will allow it, to find in favour of an insurable
interest. [146]
Thirdly, as further encouragement to stretch the law to its
limits, the editors of Chalmers Marine Insurance Act 1906 (10th edn,
1993) p 11 write: The
definition of "insurable interest" has been continuously expanding, and dicta
in some of the older cases, which would tend to narrow it, must be accepted
with caution. I see the sense of that.
Insurance business is no longer conducted in the coffee shop. It is now a
massive market and, for contracts between commercial men to be respected, the
law should march with the times. I wish, therefore, to go as far as I possibly
can to find for Steamship. THE 1774 ACT [147]
The 1774 Act applies in this case. The long title describes it as:
An
Act for regulating Insurances upon Lives and for prohibiting all such
Insurances except in cases where the Persons insuring shall have an Interest in
the Life or Death of the Persons insured. The preamble reads: Whereas
it has been found by experience that the making insurances on lives or other
events wherein the Assured shall have no interest hath introduced a
mischievous kind of gaming. (My emphasis.) Section 1 provides: From
and after the passing of this Act no insurance shall be made by any person or
persons, bodies politick or corporate, on the life or lives of any person or
persons, or on any other event or events whatsoever, wherein the person or
persons for whose use, benefit or on whose account such policy or policies
shall be made, shall have no interest, or by way of gaming or wagering; and
that every insurance made contrary to the true intent and meaning hereof shall
be null and void to all intents and purposes whatsoever. Section 2 requires that
the names of the interested persons must be inserted in the policy and s 3
provides: And
in all cases where the insured have an interest in such life or lives, event or
events, no greater sum shall be recovered or received from the insurer or
insurers than the amount of value of the interest of the insured in such life
or lives, or other event or events. [148]
I would have thought that there is no doubt about the purpose of
the 1774 Act. The object was said by Tindal CJ in Paterson v Powell (1832) 9 Bing
320 at 327, 131 ER 635 at 638 to be- [*627] To
prevent gambling under the form and pretext of a policy of insurance by parties
who have no interest in the subject-matter of such assurance. It is, however, only
gaming policies which constitute the mischievous kind of
gaming: gaming in general remained lawful and wagers were enforceable at that
time and so remained until 1845. [149]
Mr Boswood QC submits, to quote from para 15(5) of his skeleton
argument: Since
the appellants disclaim any assertion that the PA cover is an insurance by way
of gaming of wagering, their appeal based on the 1774 Act must, therefore,
necessarily fail. [150]
I do not accept that submission. I am prepared to accept the view
of Grose J in Good v Elliott (1790) 3 Term Rep 693 at 696, 100 ER 808
at 809: The
statute evidently meant that every insurance on lives, or on any event, in
which the assured has not an interest, shall be void, whether
such insurance be effected in the form of a policy, or by way of gaming or
wagering. (My emphasis.) That is consistent with
the long title which prohibits insurances except where the person insuring has an
interest in the life of the insured. [151]
The correct position seems to me to be this. It is the nature of a
wagering contract that neither of the contracting parties [has] any other
interest in that contract than the sum or stake he will win or lose per
Hawkins J in Carlill v Carbolic Smoke Ball Co [1892] 2 QB 484 at 491.
A policy would therefore necessarily be written interest or no interest. Such
a policy will be null and void. Yet there is no prohibition against insurances
where the insurer does have an interest in the life of the insured. In this
respect I would follow Parke B in Dalby v India and London Life-Assurance Co (1854) 15 CB
365 at 388, 139 ER 465 at 475, a leading case on the subject which I will need
to consider further: This
contract is good at common law, and certainly not avoided by the 1st section of
the l4 G. 3, c. 48. This section, it is to be observed, does not provide for
any particular amount of interest. According to it, if there was any
interest, however small, the policy would not be avoided. (My
emphasis.) Indeed, as I understood
the exchanges with Mr Boswood during the course of argument he accepted that
the insured had to show he had some interest in the life insured. The only
question was what kind of interest sufficed? His answer is a genuine or
reasonable expectation of some harm from some of the events covered by the
policy. [152]
For me to find my answer, I need to undertake the following
inquiries. (1) What is the subject matter of this policy? (2) If and in so far
as this is a policy of life insurance, how far do the authorities go in
defining the necessary insurable interest? (3) Can the authorities on
marine/non-marine insurance be used to clarify the nature and extent of the
insurable interest for life and personal accident insurance? (4) How far do the
authorities go in restricting or expanding the nature and extent of the
insurable interest for marine/non-marine insurance? (5) Does this policy
embrace the interest which the insurers have? [*628] THE SUBJECT MATTER OF
THIS POLICY [153]
This is a policy for personal accident and/or illness insurance.
The interest is described as: Subject
to all its definitions, terms, conditions and exclusions this insurance is to
pay benefits to the insured calculated in accordance with the Schedule of
Compensation contained in the Wording for death consequent upon Bodily Injury;
Permanent Total Disablement or Temporary Total Disablement consequent upon
Bodily Injury and/or Illness
all as more fully defined in the Wording in
respect of member entries as Schedule attached. The wording is plain: WE,
THE UNDERWRITERS, hereby agree with the Insured, to the extent and in the
manner herein provided, that if an Original Person sustains Bodily Injury
and/or Illness we will pay to the Insured in accordance with the terms and
conditions of this Insurance and according to the Schedule of Compensation
after the claim has been substantiated under this Insurance. [154]
In my judgment the meaning is not open to much argument. The
subject matter of this insurance is the death, bodily injury or illness
suffered by an original person. It is, therefore, an insurance on the life of
an original person, or on the event of the bodily injury or illness of an
original person. It is in that sense contingency insurance, the contingency or
the trigger to the entitlement to the benefits payable under the policy being
the death, bodily injury or illness of the original person. The contingency or
trigger is not Steamships liability to indemnify its member on the happening
of that death or injury or illness. I believe Mr Boswood accepts this as common
ground. [155]
Nevertheless, Mr Boswood submits that it is the existence of the
clubs liability to its members which gives the club the insurable interest in
this contingency. He argues that a contingent liability arising on death or
accident is a sufficient insurable interest to support the legitimacy of this
insurance for the purpose of s 1 of the 1774 Act. This involves a double
contingency: the benefits will be payable not simply if death or injury or
illness is suffered by the original person, but only if their death or injury
or illness is also shown to have been sustained in circumstances which render
the club member liable to the original person. [156]
Mr Boswoods case for establishing this contingency liability
element in the policy depends on a convoluted argument as to the meaning to be
given to Original Persons. The wording defines an original person to mean: (i)
any person
while engaged
in any capacity on board or in relation to an
Entered Vessel as part of her complement
and/or (ii) other persons while
engaged
in any capacity on board or in relation to any Entered Vessel. [157]
At first blush that would seem to be wide enough to cover any
person, even a stranger, who suffers a bodily injury whilst engaged on board or
in relation to the entered vessel. There is nothing in that definition to
suggest that the original person must be one for whose bodily injury the member
is liable. Yet that is the contention advanced by Mr Boswood. It involves an
intricate trawl [*629] through the other provisions of the wording. The
Entered Vessel is a vessel entered by a Member. A Member is: An
owner and/or (where appropriate) other person interest in any Entered Vessel to
whom the Insured has obligations under its Rules and/or terms of entry in
respect of Bodily Injury and/or Illness suffered by an original person. [158]
Mr Boswood submits that there has to be an obligation arising out
of bodily injury or an illness suffered by an original person. If, therefore,
he submits, it emerges that there are no such obligations because, for example,
it transpires that the death or injury was one for which the member cannot be
liable or if it transpires that the claim has been settled at a level below the
deductible as between the member and Steamship, then the member ceases for the
purposes of this contractual scheme to be a member. The entered vessel ceases
to be an entered vessel and the original person ceases to be an original
person. [159]
That seems to me to strain the language to an unacceptable extent.
As defined, Member on the natural and literal meaning of the definition is
simply the owner to whom the insured has obligations under the rules, that is
to say, an owner who is a member of the club. That makes sense. Obligations
is expressed in the plural, not in the singular. It does not easily refer to
the specific obligation of the liability of the owner to the injured person on
board the entered vessel. There are, after all, many obligations owed by the
club to its members covering the vessel, cargo etc. Certainly at the time of
writing the insurance there were no specific obligations to any individual
person. If it were intended to cover a future event one would have expected the
definition to have provided that the insured will have an obligation rather
than has obligations. [160]
For my part I cannot accept that an original person is confined to
those persons who will be able to establish the owners liability to them for
the personal injury sustained on board the owners vessel. If that is what
original person means, then it could have been said so perfectly easily in
the definition of original person. Moreover, making the payment of benefits
depend on liability being established is the very thing this new policy was
designed to avoid. Its whole purpose was to ensure that payment of the benefits
would not depend on liability. [161]
There are further difficulties in the way of Mr Boswoods
construction. The insured had to notify all claims by bordereaux which were to
contain details of and be accompanied by reasonable documentary proof of
various matters including: (a)
the Original Person having suffered death or disablement consequent on Bodily
Injury
(b) the date of the accident
(c) the date of the claim as recorded
by the Insured (d) details of the Bodily Injury
(e)
if the Original Person
has died the date of death
The benefits under the
policy were to be paid within 30 days from the submission of the bordereaux.
The purpose of the scheme was to ensure that claims when made were paid within
30 days and that there was no long-tail reserving for future liability. It
would not be open to the insured to refuse to pay on the basis that at the time
a claim was submitted it had not yet been established that the owner had
obligations under its Rules in respect of the Bodily Injury suffered by [the]
Original Person. If the benefits were not paid, Steamship could sue
successfully for them. It seems to me to be a commercially absurd construction [*630]
to place on this agreement that the insurer must pay trusting
that, pursuant to cl 6 of the wording- should
the Insured at any time become aware that any confirmation or information
provided to Underwriters in connection with a claim hereunder is not, or is no
longer, accurate or applicable, the Insured shall immediately inform Underwriters
and at the same time return to Underwriters any amount by which all payments
exceed the amount (if any) which would actually be payable hereunder in
accordance with the accurate or applicable confirmation or information. [162]
In my judgment Original Person means anyone who suffers a bodily
injury on board or in relation to an owners vessel whether or not the owner is
liable in negligence to compensate him. The insurer can have no interest in the
life of such a stranger. [163]
If a double contingency-death/bodily injury and potential
liability therefor-is the subject matter of the insurance as described in the
policy, has Steamship an insurable interest in it? THE NATURE AND EXTENT
OF THE INSURABLE INTEREST FOR LIFE/PERSONAL ACCIDENT INSURANCE AS ESTABLISHED
BY THE AUTHORITIES SO FAR [164]
The critical case is Dalby v India and London Life-Assurance Co
(1854) 15 CB 365, 139 ER 465. It is an important case helping to
establish that a contract of life assurance is not a contract of indemnity and
that the interest of the assured in the life must exist at the time of the
contract and it matters not that the interest ceased before death. The Reverend
Wright had taken four policies of insurance with Anchor Life-Assurance Co
(Anchor) on the life of the Duke of Cambridge to the amount of £3,000. Anchor,
wishing to limit their liability to £2,000, in turn took out a policy with the
India and London Life-Assurance Co by way of a cross or counter assurance in
the amount of £1,000 on the dukes life against the policies effected by the
Reverend Wright with them. Parke B held ((1854) 15 CB 365 at 388, 139 ER 465 at
475): As
the Anchor Assurance Company had unquestionably an interest in the continuance
of the life of the Duke of Cambridge,-and that to the amount of 1000l., because
they had bound themselves to pay a sum of 1000l. to Mr. Wright on that event,-the policy
effected by them with the defendants was certainly legal and valid. (My
emphasis.) [165]
As I understand that case, Anchor had an interest in the life of
the duke because they were under that liability to pay Mr Wright £3,000 on his
death. Anchor would for sure and certain suffer a financial loss on the dukes
death because of their legal obligation to pay Mr Wright. The trigger for
payment was the death. Because they had a legal liability to pay on the dukes
death they had a legal interest in his life existing at the time the contract
of insurance was made. There was an existing relationship recognised by law
between insurer, insured and the life insured. Pace Dyson LJ, Anchors
liability to pay Mr Wright under his four policies was not a potential legal
liability. It may have been a future liability judged at the operative time
the insurance with India and London Life was written, but there was no maybe
about it. At the operative time the liability to pay was certain and legally
binding on Anchor. There was a single contingency, not the kind of double
contingency said to be present in our case. [*631] [166]
The case before us is different. At the time this insurance was
written it was not known whether the death as such of an
original person would trigger the obligation to pay under the policy because
liability for the death or bodily injury had also to be established. Thus the
death merely gives rise to an expectation of loss. The question is whether that
is good enough. [167]
On the present authorities that is not good enough. In Hebdon v
West (1863) 3 B & S 579, 122 ER 218, the bank clerk Hebdon was given
a contract of employment in 1855 for a term of seven years at a salary of £600
per annum. At that time he owed his employer, Pedder, £4,700. Pedder told him
that during his (Pedders) life he would never be called upon for the money.
Being desirous to secure himself in the event of Pedders death, Hebdon
requested and obtained Pedders permission to insure his life to provide
against this debt and in 1856 effected an insurance with another company, not
with the plaintiff insurers, on Pedders life for £5,000. Hebdons debt to
Pedder then increased and in 1857 he obtained the consent of Pedder to effect
another insurance, this time with the Plaintiff, on Pedders life in the sum of
£2,500. At the time the second policy was effected he could have anticipated
another five years employment which, at £600 pa, would have brought him
£3,000. Pedder died in 1861 and the bank stopped payment. The court per
Wightman J held ((1863) 3 B & S 579 at 589, 122 ER 218 at 222): With
respect to the insurable interest to the plaintiff, it was determined, in the
case of Halford v. Kymer ((1830) 10 B & C
724, 109 ER 619), that, unless the insured have a pecuniary interest in
the life insured, the policy is void by the 14 G 3, c. 48, s. 1. In the present
case it was contended for the plaintiff that he had two kinds of insurable
interest in the life of Pedder,-one, on the ground of a promise that
Pedder had made to him that he (Pedder) would not enforce the
payment of any debt that the plaintiff might owe him during his (Pedders) lifetime,
and the other, on the ground that the plaintiff was in the employ of Pedder at a salary
of 600l. a year, under an agreement that the engagement should last for
seven years. We do not think that the first kind of interest in the life of
Pedder, namely that he had said that he would not enforce payment of debts due
to him from the plaintiff during his (Pedders) life, without any
consideration or any circumstance to make such a promise in any way binding,
can be considered as a pecuniary or indeed an appreciable interest in the life
of Pedder. The other kind of interest, namely that which arises from
the engagement by Pedder to employ the plaintiff for seven years at a
salary of 600l. a year may, we think, be considered as a pecuniary
interest in the life of Pedder, to the extent at least of as much of
the period of seven years as would remain at the time the policy was effected,
which appears to have been about five years. This at the rate of 600l. per annum,
would give the plaintiff a pecuniary interest in the life of Pedder to the
amount of 3000l. which would be sufficient to sustain the
present policy, which is for 2500l. only. [168]
By reason of s 3 of the 1774 Act it was then held that as the
plaintiff had received £5,000 on the first policy he was not entitled to
recover any more under this second policy. [169]
That decision seems to have been applied and approved in this
court in Griffiths v Fleming [1909] 1 KB 805 at 820, [1908-10] All ER
Rep 760 at 766 where Kennedy LJ read Farwell LJs judgment in which he
concurred that- [*632] [Section
3 of the 1774 Act] has been held to mean "pecuniary interest" measured by the
loss that would be suffered by the beneficiary if the life dropped at the date
of the policy. Lord Blackburn says in Wilson v. Jones ((1867) LR 2
Exch 139 at 150): "I know no better definition of an interest in an event than
that, if the event happens, the party will gain an advantage, if it is
frustrated he will suffer a loss." And the interest must be a legal interest,
not a mere chance or expectation: Hebdon v. West ((1863) 3 B
& S 579, 122 ER 218); Halford v. Kymer ((1830) 10 B
& C 724, 109 ER 619). [170]
After reviewing the authorities on life assurance placed before
us, I find that the law established by them is accurately stated in
MacGillivray on Insurance Law (10th edn, 2003) p 25 (para 1-49): All
previous editions of this work have provided the following "good working
definition" applicable to all risks under the Life Assurance Act 1774: Where
the assured is so situated that the happening of the event on which the
insurance money is to become payable would, as a proximate cause, involve the
assured in the loss or diminution of any right recognised by law or in any
legal liability there is an insurable interest in the happening of that event
to the extent of the possible loss or liability. Since that Act now applies for
practical purposes only to life, accident and other contingency insurances, it
has ceased to provide a useful basis for a general definition, but we have
retained the text because it emphasises the general rule of English law that an
expectation of benefit from the continued preservation of the subject matter of
an insurance does not per se create a valid insurable interest in
it. [171]
Clarke The Law of Insurance Contracts (4th edn,
2002) is to the same effect: 3-6.
PECUNIARY INTEREST IN LENGTH OF LIFE In
cases in which there is no interest based on natural affection (above, 3-5),
the insured must have an interest in the duration of the life insured which is
pecuniary (below, 3-6A) and legal (below, 3-6B) at the time of the contract
(below, 3-6C). If so there is an insurable interest but one limited in extent
to the degree of pecuniary involvement (below, 3-6D). 3-6A
Pecuniary interest The interest must be pecuniary in a reasonable
sense capable of valuation in money. 3-6B
Legal interest The interest "must be a legal interest, not a mere chance
or expectation" [see Griffiths v Fleming [1909] 1 KB 805 at 820,
[1908-10] All ER Rep 760 at 766 per Farwell LJ], so that, if the life drops,
there is an effect on some right enjoyed by the insured
or he incurs a legal
liability (below, 3-6B2). For example, a binding promise not to enforce a debt during
the life of the creditor gives the debtor a legal interest in the life of the
creditor, but a gratuitous promise does not [see Hebdon v West (1863) 3 B
& S 579 at 589, 122 ER 218 per Wightman J]. 3-6B2
Contingent liability If the incidence of a legal duty is dependent on
the duration of human life, there is an insurable interest in that life. Thus a
life insurer has an insurable interest in the life insured which justifies
reinsurance [Dalby v India and London Life-Assurance Co (1854) 15 CB
365 at 388, 139 ER 465 per Parke B]
[*633] [172]
On the basis of those authorities, Steamship has no insurable
interest. The legal relationship which can give rise to an insurable interest is
the club rule that the club indemnify the member in respect of compensation
paid by the member in relation to that death or injury. But that depends upon
the members liability to compensate being established. Until that liability is
established, the death or injury per se creates no more than an expectation of
disadvantage and that is not enough. [173]
There is another difficulty which seems to me to face the
insurers. If the insurable interest arises because of Steamships potential or
contingent liability to reimburse its members, then it seems to me impossible
to deny that the value of that interest for the purposes of s 3 of the Act is
the amount of the liability actually incurred in respect of each accident. Any
excess of benefit payable under the policy and the sum actually paid to the
original person by the member is irrecoverable. But that is a nigh impossible
task for the court to undertake given the huge number of claims which would
have to be examined where in many cases liability has not yet been established
and will not be established for years. That task cannot be shrugged by a resort
to the genuineness of the swings and roundabouts argument that the benefits and
the liabilities would more or less equate. The difficulties created by treating
these contingent liabilities as the basis for the insurable interest militates
against this kind of contingent liability truly being an insurable interest. CAN THE AUTHORITIES
ON MARINE/NON-MARINE INSURANCE BE USED TO CLARIFY THE NATURE AND EXTENT OF THE
INSURABLE INTEREST FOR LIFE AND PERSONAL ACCIDENT INSURANCE? [174]
I see no reason why they should not, and every reason why, for the
sake of clarity and consistency, insurable interest should bear as nearly as
possible the same meaning for all categories of insurance. In Griffiths v
Fleming [1909] 1 KB 805, [1908-10] All ER Rep 760, two members of the
Court of Appeal did not hesitate to draw on those other authorities citing
Wilson v Jones (1867) LR 2 Exch 139 with approval. It is inconceivable that
that court had overlooked the fact that there are differences between life and
other forms of insurance-(i) that the life insurable interest has to exist at
the time of writing the loss, whereas the property interest has to exist at the
time of the loss and (ii) subject to the effect of s 3 of the Act, life
insurance is not strictly indemnity insurance. These differences do not justify
the concept of insurable interest being different. In my judgment, these other
authorities in the allied fields must be examined to see what light they throw
upon the question before us. THE NATURE AND EXTENT
OF THE INSURABLE INTEREST IN MARINE AND NON-MARINE INSURANCE [175]
Here there is binding House of Lords authority on the subject. The
first is Lucena v Craufurd (1806) 2 Bos & PNR 269, 127 ER 630 and the
other is Macaura v Northern Assurance Co Ltd [1925] AC 619, [1925]
All ER Rep 51. [176]
There is an illuminating review of Lucena v Craufurd in The
Modern Law of Marine Insurance vol 2 (2002), edited by D Rhidian
Thomas, at para 4C. I will not set out the complicated factual history. In
giving his advice to the House of Lords, Lawrence J set out his definition of
insurable interest in property in these terms ((1806) 2 Bos & PNR 269 at
302, 127 ER 630 at 643): A man
is interested in a thing to whom advantage may arise or prejudice happen from
the circumstances which may attend it
And whom it [*634] importeth,
that its condition as to safety or other quality should continue
and where
a man is so circumstanced with respect to matters exposed to certain risks or
dangers, as to have a moral certainty of advantage or benefit, but for those
risks or dangers he may be said to be interested in the safety of the thing. To be
interested in the preservation of a thing, is to be so circumstanced with
respect to it as to have benefit from its existence, prejudice from its
destruction. (My emphasis.) Kerr LJ in Rowlands (Mark) Ltd v
Berni Inns Ltd [1985] 3 All ER 473 at 481, [1986] QB 211 at 228, described
this passage, but omitting the italicised words, as the classic definition of
insurable interest. It is properly so regarded, at least so far as it concerns
the element of economic interest, as Professor Clarke in The Law of
Insurance Contracts para 4-3A calls it. [177]
The economic interest element is, however, not enough. A second
element is required, namely a legal or equitable relation to the subject matter
insured. This element was established by Lord Eldon, who rejected the moral
certainty argument, saying ((1806) 2 Bos & PNR 269 at 321, 127 ER 630 at
650): In
order to distinguish that intermediate thing between a strict right, or a right
derived under a contract, and a mere expectation or hope, which has been termed
an insurable interest, it has been said in many cases to be that which amounts
to a moral certainty. I have in vain endeavoured however to find a fit
definition of that which is between a certainty and an expectation; nor am I
able to point out what is an interest unless it be a right in the property, or
a right derivable out of some contract about the property, which in either case
may be lost upon some contingency affecting the possession or enjoyment of the
party. He added ((1806) 2 Bos
& PNR 269 at 323, 127 ER 630 at 651): That
expectation [of the insured in the case], though founded upon the highest
probability, was not an interest, and it was equally not interest, whatever
might have been the chances in favour of the expectation
If moral certainty
be a ground of insurable interest, there are hundreds, perhaps thousands, who
would be entitled to insure. First the dock company, then the dock master, then
the warehouse-keeper, then the porter, and then every other person who to a
moral certainty would have anything to do with the property, and of course get
something by it. [178]
That additional requirement was carried into law by s 5(2) of the
Marine Insurance Act 1906, providing: In
particular a person is interested in a marine adventure where he stands in any
legal or equitable relation to the adventure or to any insurable property at
risk therein, in consequence of which he may benefit by the safety or due
arrival of insurable property, or may be prejudiced by its loss or damage
thereto, by the detention thereof, or may incur liability in respect thereof. [179]
In cases of property insurance the House of Lords in Macauras case
rejected the adequacy of an expectation of harm when the insured, the sole shareholder
and a creditor of the company, was held not to have an insurable interest in
timber he had sold to the company. His interest was in his shareholding and he
had not insured that but endeavoured to insure the timber [*635] itself. Lord
Buckmaster observed ([1925] AC 619 at 627, [1925] All ER Rep 51 at 54): I find
a difficulty in understanding how a moral certainty can be so defined as to
render it an essential part of a definite legal proposition. And ([1925] AC
619 at 628, [1925] All ER Rep 51 at 55): Neither a simple creditor nor a
shareholder in a company has any insurable interest in a particular asset which
the company holds. [180]
This case has not found much support in other jurisdictions. The
Canadian Supreme Court, among others, has declined to follow it: see the
penetrating judgment of Wilson J in Constitution Insurance Co of Canada v
Kosmopoulos (1987) 34 DLR (4th) 208. She points out convincingly that
insurance companies, to whom full disclosure of material facts must always be
given, have every ability to decide whether or not to write the policy and if
so at what premium. There may be more social advantage from encouraging
insurance than discouraging it. As she said (at 218): Why
should the porter in Lord Eldons example not be able to obtain insurance
against the possibility of being temporarily out of work as a result of the
sinking of the ships? [181]
However much I might agree, it is not for me to question the
authority of these decisions of the House of Lords which stand unless and until
their Lordships decide to change the rules. I have to apply the law as it is
handed down and I am forced to conclude that the need for a legal relationship
between the insured and the subject matter of the insurance remains an essential
part of marine and property insurance. It was accepted by this court in
Griffiths v Fleming [1909] 1 KB 805, [1908-10] All ER Rep 760 to be
part of the law of life insurance. It is not for me to gainsay it. [182]
It is, however, necessary to consider other developments,
especially at first instance. In Petrofina (UK) Ltd v
Magnaload Ltd [1983] 3 All ER 35, [1984] QB 127 the main issue was whether
the insurers had a right of subrogation to sue a sub-contractor, a co-insured,
in the name of the main contractor. Lloyd J held ([1983] 3 All ER 35 at 42,
[1984] QB 127 at 136-137): I
would hold that the position of a sub-contractor in relation to contract works
as a whole is sufficiently similar to that of a bailee in relation to goods
bailed to enable me to hold, by analogy, that he is entitled to insure the
entire contract works, and in the event of a loss to recover the full value of
those works in his own name. A bailee would, of
course, have a legal interest in the goods but it is not at all clear to what
extent this question was considered as such: I note, for example, that cases
like Macauras case appear not to have been cited. [183]
That was followed in Stone Vickers Ltd v Appledore Ferguson
Shipbuilders Ltd [1991] 2 Lloyds Rep 288 by Mr Anthony Colman QC as he then
was. Again the main question was of subrogation where the sub-contractor, the
supplier of a propeller to be fitted into the ship being built, was named as a
co-assured of the vessel. It was held that the supplier did have an interest in
the whole contract works and accordingly would have been entitled to sue as
co-assured under the policy. The Petrofina case and the
Mark Rowlands Ltd case were referred to by the
judge but Macauras case was not. The approach adopted
by the judge was to ask (at 301): [*636] Whether
the supplier of a part to be installed into the vessel or contract works under
construction might be materially adversely affected by loss of or damage to the
vessel or other works by reason of the incidence of any of the perils insured
against by the policy in question. If the answer to that question is in the
affirmative there is no reason in principle why such a sub-contractor should
not also have sufficient interest in the whole contract works to be included as
co-assured under the protection of the head contractors policy. [184]
In Sharp v Sphere Drake Insurance plc, The Moonacre [1992] 2
Lloyds Rep 501, Mr Sharp insured a motor yacht, formerly his, but which he had
transferred to his company. The yacht caught fire and was a constructive total
loss. The insurers challenged Mr Sharps insurable interest in the vessel. Mr
Colman QC, sitting again as a deputy judge of the High Court, held (at 512): Let
it be assumed that Mr. Sharp was indeed no more than a licensee and further
that he was subject to no duty of care in relation to the vessel, can it be
said he is in no materially different relation to the vessel from that of Mr.
Macaura to the timber? I do not consider that it can. Such a submission
entirely overlooks the fact that by the two powers of attorney Roarer [the
company owning the yacht] had conferred on Mr. Sharp authority to enjoy the use
of the vessel exclusively for his own purposes. That was a valuable benefit
which would be lost if the vessel were lost. The legal relation in which he
stood to the vessel was that for as long as the powers of attorney remained he
was entitled to use it for his own purposes and to exercise over it such
control as he saw fit. His powers were such that he could even abandon it to
the insurers in the event of a constructive total loss; a relation to the goods
sometimes considered decisive on the issue of title to sue
In my judgment Mr.
Sharp by reason of the powers of attorney stood in a legal relationship to the
vessel in consequence of which he would benefit from the preservation of the
vessel and, if the vessel were lost or damaged, he would suffer loss of a
valuable benefit. I therefore hold that he had an insurable interest in the vessel.
That seems to me to be a
case of Macauras case applied because the judge was requiring
and found a legal relationship between the insured and the subject matter of
the insurance. [185]
Then there is National Oilwell (UK) Ltd v
Davy Offshore Ltd [1993] 2 Lloyds Rep 582, where the by now
Colman J did have all the authorities in mind yet he held (at 611): It is
no doubt true that the conventional means of obtaining in the market insurance
protection against such liability for property damage is to take out a
liability policy and for the purposes of such policy there is no question that
the assured would have an insurable interest in his potential liability. But
the fact that he has an insurable interest for that kind of risk does not lead
to the conclusion that he cannot have an insurable interest in the property
itself for the purpose of a policy on property risks. The fact that the market
does not offer such policies is neither here nor there. What matters is
whether, if such a policy were effected, the assured would have a sufficient
relationship with the subject-matter to give rise to an insurable interest. In
my judgment he would. [*637] I am doubtful whether
that judgment can stand in the light of the decisions like Anderson v Morice (1875) LR 10
CP 609 and Deepak Fertilisers & Petrochemicals Ltd v Davy McKee (London) Ltd [1999] 1 All
ER (Comm) 69. [186]
In the former important case in the Exchequer Chamber Blackburn J
said this (at 621-622): We need
not discuss whether, under a properly framed policy, the plaintiff could have
insured this expectancy of profit. For the subject-matter of this insurance is
on "rice", and though that is to be construed liberally as covering any
interest in the rice, it cannot be construed as covering an interest in profits
that might arise collaterally from a contract relating to the rice. For this it
is enough to refer to Lucena v. Crawford ((1806) 2 Bos
& PNR 269, 127 ER 630). The action was on a policy on ships and goods.
Eight questions were asked of the judges. The eighth, set out at p.278 of the
report, was as to whether the commissioners had profits in respect of which
they had an insurable interest, and then asks: "Can the policy of assurance in
the first count of the declaration mentioned (i.e. a policy on ships and goods)
be considered as a policy effected on such interest of the commissioners, if
such they had, and the same is an insurable interest?" The answer of the judges
is stated at p. 315: "The learned judges were unanimously of opinion that the
policy in question could not be considered as a policy on profits, having been
expressly declared upon as a policy upon the plaintiffs interest in the ships
and goods themselves, and that if it had been intended as a policy on profits
it should have been so stated." This we think decisive of the question; but we
may refer to [Royal Exchange Assurance Co v MSwiney (1850) 14 QB
646] as shewing how important it is, not only to have an insurable interest,
but to have the subject-matter of insurance so described in the policy as to
embrace that interest. If the distinction had
to be drawn between the rice and the profits on the rice, it is difficult to
see why a similar distinction should not have been drawn by Colman J between
the property and the liability for harm arising from the property. [187]
The Deepak case is even more to the point. Stuart-Smith LJ
giving, the judgment of the court which included Otton and Tuckey LJJ, said (at
85, 86): 65.
In our judgment Davy [the contractor] undoubtedly had an insurable interest in
the plant under construction and on which they were working because they might
lose the opportunity to do the work and to be remunerated for it if the
property or structure were damaged or destroyed by any of the "all risks", such
as fire or flood. Thereafter Davy would only suffer disadvantage if the damage
to or destruction of the property or structure was the result of their breach
of contract or duty of care. In order to protect the contractor and
sub-contractors against the risk of disadvantage by reason of damage or
destruction of the property or structure resulting from their breach of
contract or duty they would, in accordance with normal practice, take out
liability insurance or, in the case of architects, professional indemnity
insurance
what they cannot do is persist in maintaining an insurance of the
property or structure itself
66.
Accordingly we must differ from the approach adopted by the judge. He held that
he could see no reason why Davy (and ICI) should not have [*638] an insurable
interest in the plant so long as they were arguably responsible in some way for
damage to it. He posed the question (at 158-159): "Why should not an architect
or any technical designer or constructor be able to insure himself against his
liability for damage to a structure due to his fault, even though the structure
fails after its completion?" 67.
They could, of course, do so. This would be by means of liability insurance.
Even if Davy (and ICI) or any of the sub-contractors had been named in the
subsequent fire policy they would not have been covered in respect of their
breach of contract or duty under that policy. [188]
There is a powerful criticism of the Stone Vickers case and the
National Oilwell case in MacGillivray on Insurance Law (10th edn,
2003) pp 72-75 (paras 1-155 to 1-159). I agree with that criticism. I
appreciate that these cases have been considered by this court in
Co-operative Retail Services Ltd v Taylor Young Partnership Ltd [2000] 2 All
ER (Comm) 865. In that case, however, the court was once again concerned with
questions of subrogation and nothing in the judgment of Brooke LJ seems to me
to deal at all with the question of insurable interest and the test to be
applied to determine whether the insured has one or not. I feel able to prefer
the views expressed in the Deepak case. Fatally, it seems
to me, the economic interest element, where Lawrence Js dictum is so valuable,
has gained ascendancy and sight has been lost of the need to satisfy the second
part of Lucena v Craufurd, namely that there has to be some legal or
equitable interest between the insured and the subject matter of the insurance,
expectation of harm or benefit not being enough. Of course the insured may
suffer a disadvantage from the loss of the thing assured, but that is not, as
our law stands at the moment, enough. DOES THIS POLICY
EMBRACE THE INSURABLE INTEREST THE INSURED HAS? [189]
I pose this question because it was so determinative of the
outcome in Anderson v Morice. On analysis of the policy in our case,
it seems plain that the subject is death consequent upon bodily injury;
permanent total disablement or temporary total disablement consequent upon
bodily injury and/or illness. Liability for such death or disablement is not
covered. Not to cover it was the whole purpose of the policy. Steamship
undoubtedly had an insurable interest in the liabilities incurred by their
members but sacrificed their insurance of that interest for the sake of this
new policy. If this covers life and no more than life, the question remains: is
its expectation of some harm from some of the events covered good enough? [190]
It is if Mr Boswoods definition (a genuine or reasonable
expectation of disadvantage upon the occurrence of the event assured against)
carries the day. I have already exposed what I consider to be the flaw in that
submission, namely that it wrongly ignores the need for a legal relationship
between the insured and the subject matter. Yet even if I take it at face
value, there can be no certain expectation of disadvantage from the mere fact
of death or bodily injury to an original person. The potential or contingent
disadvantage is that the member will become liable to compensate the original
person and will then look to the club to indemnify it under the rules of the
club. So the fact of death or injury does not trigger the liability to pay as
it did for Anchor Life when the Duke of Cambridge died. Liability, which is a
fact apart from death or bodily injury, is not established by death or bodily
injury alone. Death alone is not the proximate cause of the payment of the
insurance money. It is only the [*639] existence of the clubs
liability to indemnify its members if the member becomes liable to the injury
original person which gives the club an interest in the well-being of the
original person. But that is not an interest embraced by this policy. CONCLUSION [191]
In summary, I reluctantly conclude that such differences as exist
between life insurance, on the one hand, and marine/non-marine insurance, on
the other hand, do not justify different concepts of insurable interest
applying to those groups. If statute and binding House of Lords authority
compel for the latter category the need for a legal or beneficial interest in
the subject matter of the insurance and eschew the adequacy of an expectation
of harm or benefit, then I consider it wrong to allow a looser concept to
prevail for the former. I cannot accept that any interest in anything is a
sufficient insurable interest. I feel compelled to allow the appeal. [192]
I am extremely disgruntled at having to come to that conclusion
for it does scant justice in a case of this kind. The insurers thought it was a
good enough risk to write at a premium which they dictated. They presumably
thought it was an acceptable risk to continue and I am no doubt over-cynical in
assuming that it was only when losses began to emerge that the point, which
this policy was intended to have dealt with satisfactorily, was taken. I have
to struggle to find that the contract was null and void. Why it also has to be
illegal baffles me. Although Parliament has had the opportunity in
comparatively recent years to consider the 1774 Act, it may not be overdue to
look at it again. If this case reaches the House of Lords, their Lordships may
have more power than regrettably I feel I have to change the unhappy result
which I have reached. [193]
As a postscript I would say on the authority issue that I entirely
agree with the judgment of Dyson LJ. Appeal dismissed. Melanie Martyn
Barrister. |