Insurance – application by all defendants to strike out claims by
the plaintiff.
[2014]JRC221
Royal Court
(Samedi)
12 November 2014
Before :
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Advocate Matthew John Thompson, Master of
the Royal Court
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Between
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Dr Anthony Haden-Taylor
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Plaintiff
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And
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Canopius Underwriting Limited
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First Defendant
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CCV Risk Solutions Limited
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Second Defendant
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GAB Robins UK Limited
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Third Defendant
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Hon. Susan Rosemary Greenhall
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Fourth Defendant
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Dr Haden-Taylor appeared on his own behalf.
Advocate N. M. Sanders for the First
Defendant.
Advocate L. A. Ingram for the Second
Defendant.
Advocate D. P. Le Maistre
for the Third Defendant.
Advocate P.C. Sinel for the Fourth Defendant.
CONTENTS OF THE JUDGMENT
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Paras
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1.
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Introduction
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1
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2.
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The parties
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2
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3.
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The plaintiff’s claim
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3-8
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4.
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Insurance arrangements
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9-22
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5.
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The first defendant’s application
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23
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6.
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The second defendant’s application
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24
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7.
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The third defendant’s application
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25
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8.
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The fourth defendant’s arguments
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26-28
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9.
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Factual background
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29-30
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10.
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Events in relation to the claim
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31-61
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11.
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Events in relation to the second claim
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62-103
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12.
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Decision
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104
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13.
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The applicable legal principles
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105
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14.
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Rule 6/13(1)(a) – no reasonable cause of action
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106-107
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15.
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Rule 6/13(1)(b) – the claim is scandalous, frivolous or
vexatious
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108-109
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16.
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Rule 6/13(1)(d) – the claim is an abuse of process of the
court
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110
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17.
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The first defendant
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A contractual
relationship with the plaintiff
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111
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The nature of the contract of insurance
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112-116
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Liability in tort
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117-120
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The relationship between the first defendant, the second defendant
and the third defendant
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121-125(iv)
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Utmost good faith/good faith
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126-139
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A breach of duty of good faith
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140-156
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Loss
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157-165
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Other aspects of the plaintiff’s claim against the first defendant
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166
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18.
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The second defendant
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The role of the second defendant
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167-168
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A contractual relationship with the plaintiff
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169-173
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A duty of care in tort
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174-178
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The scope of any duty of care
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179-184
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The insurance broker acting as agent of the insurer
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185-188
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A breach of contract/breach of duty
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189-194
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Loss
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195-199
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19.
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The third defendant
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The position in contract between the plaintiff and the third
defendant
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200-202
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A claim against the third defendant in tort
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203-209
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Other claims
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210-218
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Loss
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219
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20.
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The fourth defendant
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220-226
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21.
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General issues
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227
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Conspiracy
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228-229
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Fraud
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230
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Gains based damages
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231
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Punitive/Exemplary damages
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232-236
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The form of discharge
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237
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A way forward
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238-239
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judgment
the master:
Introduction
1.
This is an
application by all of the defendants to strike out the entirety of the
plaintiff’s claims against each of them. The grounds relied upon are either that
the claims brought by the plaintiff disclose no reasonable cause of action, are
scandalous, frivolous or vexatious or are an abuse of process.
The parties
2.
The
plaintiff is life tenant of a property now known as Isis House, Route des
Genets, St Brelade (the “property”). The first defendant is an underwriter at
Lloyds of London. The second
defendant is a Jersey company and is an insurance broker. The second defendant is also authorised,
as is set out in more detail below, to issue insurance cover for certain types
of policies on behalf of the first defendant. The third defendant is a loss
adjuster. The fourth defendant is
the former spouse of the plaintiff and the owner of the reversionary interest
of the property.
The Plaintiff’s claim in summary
3.
The
plaintiff’s claim arises out of his occupation of the property and
insurance arrangements in relation to the property. It is common ground that the property
was insured by a policy of insurance issued by the second defendant on behalf
of the first defendant.
4.
On 4th
December, 2012, the property was struck by lightning which led to the first
claim (the “first claim”). On 17th October, 2013, further
damage was suffered by the property due to an escape of water which led to a
second claim under the policy of insurance, which had been renewed on
essentially the same terms since the first claim (the “second
claim”). Various payments
were made in respect of both the first claim and the second claim. However no payments were made for any
alternative accommodation. The
plaintiff claims that such payments should have been made and he now seeks to
recover damages.
5.
The order
of justice served by the plaintiff in this matter runs to some 102 paragraphs
and raises a number of issues. It
is not an easy document to follow in relation to what is alleged against each
of the defendants but it appears to contain allegations of misrepresentation,
negligence and breach of contract. Various allegations of dishonest conduct
using labels of fraud, conspiracy, deceit and abuse of trust are also made.
6.
Despite
the length of the Order of Justice and the wide ranging allegations made, what
is sought by way of compensation by the plaintiff is set out in the Order of
Justice as follows:-
“29.1 £50,000 plus interest plus
damages for ‘emotional and social stress, loss of amenity, destruction of
two Christmas and New Year events and the avoidable dislocation of the
relationship and interaction by the plaintiff with children’.
29.2 Exemplary/punitive damages to be assessed for
‘systematic gross misrepresentations, untruths, denials, false and
wrongful utterances.”
7.
How the
plaintiff has arrived at calculation of the figure £50,000 is set out at
paragraph 98 and 99 of the Order of Justice as follows:-
“98. That it is evident
that the first, second and third defendants have agreed to enter into some form
of arrangement to orchestrate a simple strategy of denial that is an abuse of
trust and the belief of fairness contrary to the terms and conditions of the
Contract provided by the first defendant.
This concerted dissemination of misinformation has resulted in
considerable savings being made by the first defendant and the CCV Risk
Ventures Insurance syndicate of the order of some £20,000 during the
remediation period for the first insured incident of the lightning strike and
some £20,000 during the remediation period of the second insured incident
of the water leak and inundation that in aggregate with incidental and accepted
insured expenses associated with rehousing, removals and the like would
increase this saving or avoidance of a payment for the benefit of the plaintiff
of the order of £50,000.
99. That this strategy of
denial generated savings for the first defendant in aggregate of close to
£50,000 and through this strategy denied both the fourth defendant and
the plaintiff from benefit and financial relief that was contractually
obligated and to which they were properly entitled and set down within Secton C of the Contract to provide alternative
accommodation during building works that in aggregate spanned a period of
remediation of close to eight months and to which figure should be added
significant removal costs of furniture, beds, chattels and the like from the
building to alternative accommodation and the return of those items to the
building at the end of the remediation works to which should be combined with
costs of installing Internet and relocating telephones that could aggregate to
£50,000 plus GST – a considerable financial saving achieved through
a combination of denial, untruths and fantasy invented and uttered by the
second and third defendants.”
In summary, the claim appears
to represent the amount in insurers should have paid had the plaintiff moved to
alternative accommodation during the remediation period applicable to the first
claim and the second claim. The
plaintiff’s claim therefore appears to be either that he should receive
compensation for having to reside in a property when alternative accommodation
should have been made available to him or alternatively by reference to the
gain the first defendant made by not having to pay out sums under the policy
which the first defendant should have paid out.””
8.
In
response to criticisms advanced by all the defendants of the plaintiff’s
order of justice, the plaintiff has produced a draft amended order of
justice. That amended order of
justice although much shorter in length, essentially contains the same
allegations but in a more condensed form.
In particular, the plaintiff still seeks to recover the sum of
£50,000 on the same basis as set out above and also still claims
exemplary/punitive damages.
Insurance arrangements
9.
To
evaluate the plaintiff’s claim it is firstly necessary to set out the
relevant terms of the insurance cover in force in respect of the first and
second claim. I also set out the
relationship between the first, second and third defendants based on affidavits
filed on their behalf.
10. The property was first insured by the first
defendant through the second defendant in 2009 and was renewed annually. The essential terms of the insurance
policy were contained in a schedule issued to the fourth defendant each year. While the fourth defendant was described
as the Insured, apart from one year, the policy also noted the interest of the
plaintiff as life tenant. The
plaintiff’s interest was noted in the schedule to the policy for the two
years in question namely 2012 and 2013 when the first and second claims were
made under the policy and which have led to the current dispute.
11. The schedule to the policy each year appears to
have been identical in all material respects and expressly referred to cover
for buildings with a figure being inserted. The figure for 2012 was £737,591. The figure for 2013 was £759,719.
12. The detailed terms of the policy were exhibited
to an affidavit sworn by Mr John Delgaty on behalf of
the first defendant. The full terms
run to some 32 pages. The governing
law of the policy is the law of Jersey.
13. The policy was issued by the second defendant
pursuant to the authority granted to it by the first defendant. The covering page of the policy contains
the second defendant’s logo and then states “arranged exclusively by CCV Jersey” and “Insured with certain underwriters at
Lloyds”.
14. The policy on the first page includes the
following statement:-
“The written authority
MG1 carrying the seal the |Lloyds Policy Signing Office allows CCV Jersey (the
second defendant) to sign and issue the certificate on behalf of the
underwriters whose syndicate numbers are given in the authority.”
The only syndicate number given is that of
the first defendant.
15. In section one relating to buildings at page
11, the policy states:-
“This section of the
insurance also covers
C ……
Additional cost of alternative
accommodation substantially the same as your existing accommodation which you
have to pay for
while the buildings cannot be
lived in following loss or damage which is covered under section one”.
16. The cover for alternative accommodation did not
extend to any claim over 20% of the sum insured for buildings damaged or
destroyed. In other words, the
maximum amount of a claim for alternative accommodation was capped.
17. “you/your/insured” are defined in the introduction to the policy as meaning “the person or persons named in the
schedule and all members of their family who permanently live in the
home”.
18. The definition of “Schedule” is “the
schedule is part of this insurance and contains details of you, the premises,
the sums insured, the period of insurance and the sections of the insurance
which apply.””
19. The schedules issued each year do not mention
that the building cover as defined in the policy wording extends to the cost of
alternative accommodation despite the terms of the policy wording. The plaintiff was named in the schedule
for each of the policy years by an endorsement to the schedule noting his
interest as life tenant.
20. At page 14 of the policy there is a section
dealing with the handling of claims. From the definition section contained in
the introduction to the policy, claims were to be handled by the first
defendant. In fact the arrangements
for dealing with claims were more complicated. Firstly under the authority given to the
second defendant to issue insurance cover, the second defendant was authorised
to settle claims up to £1500 on an ex
gratia basis. Any claims over
this amount had to be approved by the first defendant. However the first defendant outsourced
claims handling procedures to a company known as OIM Underwriting Limited
(“OIM”). OIM in turn
used a company called Arthur J Gallagher (UK) Limited (“AJG”) which
was part of the same group as OIM.OIM/AJG could settle claims up to
£50,000. Settlement of any
claims over £50,000 had to be agreed by the first defendant.
21. The third defendant was according to an
affidavit filed by Mr Graham Burgess, UK Technical director appointed to act as
loss adjuster by the second defendant and they reported to the first defendant
via the second defendant. They were
only aware of communications between the first and second defendants and OIM or
AJD if specifically copied into such correspondence or such correspondence was
forwarded to the third defendant. The
matter was handled on a day to day basis by Mr Andrew Burns, a loss adjuster
employed by the third defendant (“Mr Burns”).
22. I deal later in this decision with the various
legal relationships arising from the above and in particular what contractual
relationships existed with the plaintiff, what duties formed part of any such
contracts and whether the various relationships also give rise to any duties of
care in tort.
The first defendant’s application
23. In a carefully reasoned skeleton argument
running to 24 pages, the first defendant set out why the plaintiff’s
claim should be struck out in its entirety. In summary the grounds relied on are as
follows:-
(i)
The
plaintiff has not suffered any loss.
(ii) A plaintiff cannot show loss simply by arguing
that a defendant has failed to pay a claim which a defendant should have
paid.
(iii) The plaintiff cannot claim for the lost
opportunity of alternative accommodation.
(iv) The policy does not cover consequential loss.
(v) There is no head of loss that can be claimed
for an unjustified refusal to pay a claim.
(vi) This is not a case that could ever lead to
exemplary or punitive damages.
(vii) No duty of care in tort is owed by the first
defendant in respect of any statements made after conclusion of the contract of
insurance.
(viii) The first defendant is not responsible for the
acts of the second or third defendants.
(ix) There is no basis to allege conspiracy or other
acts of dishonesty.
(x) The effect of the discharge signed by the
plaintiff on 7th December, 2013, means that the first plaintiff in
any event cannot bring any claim in respect of the second claim.
The second defendant’s application
24. The second defendant generally supported the
first defendant’s application save as follows:-
(i)
The second
defendant expressed doubt that any claim in tort had been pleaded by the
plaintiff and if there was any such claim it was wholly unparticularised.
(ii) The second defendant was only a post box for
the handling of claims which was a matter handled by the first and third
defendants.
The third defendant’s application
25. The third defendant argued as follows:-
(i)
It was
supportive of the first defendant’s submissions. In addition it also advanced other
grounds in support of its own position as an alternative basis for striking out
the plaintiff’s claim.
(ii) It was the first defendant’s agent in
handling claims. Accordingly it had
no contract with the plaintiff.
(iii) Any failure to provide cover was a matter for
the second or the fourth defendant. The third defendant had no role to play
in whether or not appropriate cover was obtained.
(iv) The plaintiff was not induced to compromise any
claim under the policies and therefore there cannot be any claim in
misrepresentation.
(v) Alternatively, any claim for damages is
seriously overstated.
(vi) There is no basis to assert dishonesty or
conspiracy.
(vii) There is no claim as a matter of Jersey law of
abuse of trust. Even if there is,
there is no relationship between the plaintiff and the third defendant to give
rise to any such duty.
(viii) A loss adjuster appointed by a broker on behalf
of an insurer cannot owe a duty of care in tort to an insured absent a specific
assumption of responsibility.
(ix) There is no evidence of any breach of any duty
in respect of either the first claim or the second claim.
(x) There is no basis to conclude that any claim in
contract or tort by the third defendant caused any loss.
The fourth defendant’s arguments
26. The fourth defendant’s arguments are very
different to those of the first to third defendants. As noted above, the fourth defendant is
the former spouse of the plaintiff and the owner of the reversionary interest
in the property. The plaintiff
enjoys a life interest in the property pursuant to divorce arrangements between
the plaintiff and the fourth defendant.
This life interest is recorded in a contract passed before the Royal
Court on 20th November, 2009.
27. Clause f on pages 5 and 6 of the contract
provide as follows:-
“(f) THAT the
Donor will insure at the cost of the Donee with a company of good repute the
said buildings forming part of the Property against the dangers of fire, storm,
tempest, aircraft and other risks included in a comprehensive insurance policy
and this both in her and in the name of the Donee for the true value of the
said buildings. The Donor being
obliged to produce to the Donee a copy of the Insurance Policy or the Insurance
Premium receipts at all times whenever required. The Donee will be obliged to reimburse
the amount of the insurance premium to the Donor upon request. It being understood that such insurance
policy will include provision for the payment in respect of the re-housing of
the Donee, the family or invitees in the event of such damage to the Property
as is covered by the policy preventing the Donee, his family or invitees from
inhabiting same and for so long as is reasonably necessary, such compensation
to be paid to the Donee subject to the terms of sub-clause (g) hereafter. The Donee will be obliged to reimburse
the amount of the insurance premium and any additional insurance premiums
incurred by any sub-letting or parting with possession of the property under
sub-clause (a) above.” (emphasis added).
28. The fourth defendant, apart from criticising
the form of the plaintiff’s pleading, contends, firstly, that no relief
has been claimed against the fourth defendant and, secondly, that her
obligations as regards building insurance were fulfilled. In particular, the insurer recognised
the interest of the plaintiff and the policy and no point was taken that a
claim could not be claimed. Thirdly,
the policy provided for alternative accommodation and therefore the
requirements of clause (f) of the contract set out above were fulfilled. Any failure to pay for alternative
accommodation was the fault of the first to third defendants not the fourth
defendant. Alternatively, the
fourth defendant argues that the plaintiff has suffered no loss for the same
reasons as advanced by the first to third defendants.
Factual background
29. Before I consider the various arguments
advanced by each of the defendants, I consider it appropriate to set out the
factual background in relation to the first claim and the second claim on a
chronological basis. This factual
background is based on a combination of the papers filed in advance of the
hearing and a helpful chronology produced at the hearing by Advocate Sanders. The sequence of events is set out by
reference to documents exhibited to affidavits filed on behalf of the plaintiff
and each of the defendants or paragraphs of affidavits. I am conscious that the sequence of
events may not necessarily be complete, and, given this is a strike out
application, the affidavits filed have not been tested by any form of
cross-examination. Nevertheless, I
consider it helpful in evaluating the applications of each of the defendants
for the sequence of events that occurred in relation each claim to have been
identified.
30. To assist the parties, I have identified the
relevant exhibit page where any document is to be found by reference to the
affidavits of Mr Delgaty (exhibit JD1) sworn on
behalf of the first defendant, Mr Sibbald (ADS1)
sworn on behalf of the second defendant, Mr Burgess (GB1) sworn on behalf of
the third defendant, the fourth defendant (SG1) and the plaintiff (AHT1).
Events in relation to the first claim
31. The first claim arose as a result of a lightning
strike to the property on 4th December, 2012.
32. On 5th December, 2012, according to
paragraph 53 of the plaintiff’s affidavit, Mr Burns attended at the
property. The plaintiff deposes
that he was told by Mr Burns that Mr Burns had received a copy of the policy
which did not include any term for alternative accommodation and that any term
for alternative accommodation was linked to the contents insurance element of
the policy.
33. The third defendant through Mr Burns produced a
report dated 6th December, 2012, (JD1/108-111). Page one of the report records that the
first contact took place on 5th December, 2012, which is consistent
with the plaintiff’s recollection. The report also noted as follows:-
“The huge surge of
electrical power from the lightning strike travelled through the properties
electrical wiring system causing sockets, lights and switches to blow off the
walls and show signs of burning (fortunately there was no fire at the
property). The surge has damaged
the mains distribution board, mains power intake in the outside Jersey
Electricity Mains metering cupboard, smoke alarm system and intruder alarm
system. It is likely that the
property will need to be completely rewired although we will have further
clarification once the insured’s electricians have completed their
testing of the system which is due to take two days to complete.
When the chimney broke up
following the lightning impact debris was sent flying and this primarily caused
damage to the properties roof where approximately 300 slates have been
damaged. Some of the tyvec waterproof membrane has also been damaged as has some
of the timber roof batons and the glass in two Velux windows has been
smashed. The property will require
scaffolding to be erected in order to facilitate roof repairs and we understand
that the insured has arranged for this to be undertaken as soon as possible to
mitigate the damage.”
34. The report also noted that the property was
uninhabitable and that alternative accommodation might be required for a 2-4
week period (exhibit JD1/111). The
sum insured for alternative accommodation was described as £73,359. This was 10% of the insured figure for
buildings. This figure is contrary
to the terms of the policy which provide for cover up to 20% of buildings cover
as set out at paragraph 16 above i.e. £146,718. The reserve figure suggested for this
head of claim was £3000.
35. Under the heading alternative accommodation,
the report (JD1/111) stated:-
“..we seek instructions
as to whether policy cover would be extended to cover a share (the occupants
contents insurers may be able to deal with a share of the accommodation costs)
of any accommodation costs and classify the insured as a member of the insured’s
family.”
36. The first report produced by the third
defendant was emailed by Sylvia Gould (“Lady Gould”) of the second
defendant on 6th December, 2012, to the Lloyds Broker through whom
the second defendant had been given authority to write cover (“the Lloyds
Broker”). Ms Jasmine Willsher of the Lloyds Broker in turn on 7th December,
2012, forwarded the email on to a Karen Geale of
AJG.
37. On 11th December, 2012, the
plaintiff emailed the second and third defendants asking “you to advise immediately on the provision of alternative
accommodation” [ADS1/58].
38. By an email also dated 11th December,
2012, sent at 15:18, Karen Geale of AJG replied to
the Lloyds Broker. The second
paragraph states as follows:-
“My concern was the
unusual arrangement in place for Dr Haden-Taylor to remain in the property, but
I understand that you were aware of this.
In the circumstances, even though Dr Haden-Taylor would not strictly be
considered as a member of the insurance family underwriters have agreed to
consider a contribution to alternative accommodation costs, subject to the
contents insurers also agreeing on this basis.” [JD1/113] (my emphasis)
39. On 12th December, 2012, this
observation was relayed by an email from the Lloyds Broker to Lady Gould [see
Exhibit JD1/115].
40. The plaintiff in his affidavit at paragraph 59
deposes that he spoke to Lady Gould on 12th December, 2012, as
follows:-
“In response to the email
the Second Defendant telephoned on 12th December, 2012, to
acknowledge receipt and provide information. (pp. 180 AHT1) She said that she had
spoken to the insurers and there was some good news. I asked her what news? She said that she had persuaded the
underwriters to make an exception and provide accommodation to me without
prejudice but as a token of good will and in the light of the efforts I was
making in reporting the work and supervising it. She said that she had negotiated that
the underwriters would pay for half of the cost of a modest three-bedroom
cottage for Christmas and January. The
condition as that my contents insurers would need to make a 50% contribution
and the underwriters would pay the other half. I told her that it was a hollow gesture,
as I did not finalise my contents insurance cover so I did not have an
insurance company to pay the half not covered. She said that she had done the best she
could and that she could do nothing if I was not able to secure the other 50%
and I would have to make do. I said
that this was a ludicrous situation and that there must be some way that I can
be provided with accommodation as I had guests who were about to cancel for the
Christmas and New Year and also my girlfriend and her daughter were due over. She said that I would have to make do but
I reminded her that I was eating out as I had no cooking facilities and the
heating was not on and I was relying on an electric heater for my study from where
I was supervising the works. She
said she could do no more and in hindsight I should have insured the contents
with the same underwriter and none of this would be a problem and the whole of
the cost of alternative accommodation would be provided. She said that I should take up the
matter with Andy Burns as she could do no more. Also the policy was very clear that I had
to be a full time member of the insured’s family and if I was not then I
could not qualify for accommodation.
I said that Annie and Bertie were both resident at my house and they
were” full time members of the insured’s family” and I had my
interest noted on the policy. She
was adamant that I did not qualify as I was no longer a member of the insured
family and therefore would not qualify for 100% of the cost of alternative
accommodation. I said that we
needed to make decisions as it was very close to Christmas and the various
contractors needed positive decisions to go forward and to approve their
quotations otherwise they would be off site and the work would not proceed
until well into January. She said
that she would speak to everyone and try and make decisions happen to avoid a
down tools.”
41. The plaintiff recalls this call because he
deposed at paragraph 5 of his affidavit that he maintained a daily telephone
log of each call he made. During
the hearing I was shown the original log consistent with the explanation at
paragraph 5 of the plaintiff’s affidavit and provided with an extract from
it for calls made between 17th and 20th December, 2012,
which I refer to below.
42. Also on 12th December, 2012, the
plaintiff emailed the third defendant and Lady Gould by an email sent at
12:41. In the email he stated:-
“I am informed if this
site is cleared tomorrow then no one will return before the New Year and my
house is uninhabitable and I will, as part of the terms of the policy, require
accommodation for my two children and myself – with either meals
allowance or cooking facilities and whatever accommodation there must be
internet since I work from home.” [see Exhibit AHT1/172].
43. On 13th December, 2012, by reference
to paragraph 63 of the plaintiff’s affidavit, the third defendant
telephoned the plaintiff. Page 63
of the affidavit provides as follows:-
“On the 13th December,
2012, the Third Defendant telephoned the Plaintiff (pp. 171 AHT1) I again asked
him about accommodation and for comments on my letter as I was a noted party
and it was nonsense that it was limited to a member of Susan’s family as
both Bertie and Annie are full time members and I am on the policy. He said that he had asked several times
about the alternative accommodation and had been silenced as it was simply not
available, as I had no contents cover.
I said that there was £5,500 of contents and he said that I could
not expect that to be a qualifying factor. With 20% of the insured value of
contents, I would only have a little over £1.100 of contributions and in
any event I would have to contribute half of the cost if I wanted any place to
live.”
44. At exhibit GB1/page 26, there was produced an
email dated 13th December, 2012, sent at 12:06 from the plaintiff to
the third defendant, Lady Gould and the fourth defendant. Page 2 of this email states as follows:-
“With the relief that
most of the appliances do not need replacement it means that I am able to move
back into the property. I propose
to do so on Friday 14th and will therefore be on site full
time. I am informing you that there
is no need now to seek underwriter’s permission in respect of alternative
accommodation for me and my family.
No doubt that is good news for all!”
45. The plaintiff did not refer to this email in
his affidavit. It is also not clear
whether this email was sent before or after the call referred to at paragraph 63 of the plaintiff’s affidavit.
46. However, in a supplemental affidavit filed in
response to a question put by me, about why the plaintiff’s first
affidavit did not refer to the email of 13th December, the plaintiff
deposed at paragraph 5 by reference to his subsequent communications with Mr
Burns that he did not abandon his requirement for alternative accommodation.
47. On 14th December, 2012, Karen Geale of AJG, confirmed that reasonable costs of
alternative accommodation should be provided for the period stated by the third
defendant namely two to four weeks whilst the electrics were repaired. [see Exhibit JD1/126].
48. A copy of this email was sent by Miss Willsher of the Lloyds Broker to Lady Gould, also on 14th
December, 2012, at 15:47. [see
Exhibit ADS1/70].
49. Mr Burns was made aware of the first
defendant’s position on 17th December, 2012, by an email from
Lady Gould sent at 09:19 a.m. [see Exhibit ADS1/69 and ADS 1/75]. Mr Burns replied a few minutes later at
09.34 [ADS68] stating that no alternative accommodation was needed.
50. According to paragraph 64 of the
plaintiff’s affidavit, and noted in the extract of the handwritten log
provided during the hearing, the third defendant spoke to the plaintiff on 17th
December, 2012. According to the
plaintiff, the third defendant stated:-
“He said that there was
no change on the stance adopted by underwriters and that the matter was closed
as without a contribution from contents insurers or that had I insured with the
same underwriters, then there was no possibility to provide any accommodation
for me. The matter was effectively
closed.”
51. For purposes of this application I am not able
to determine whether it is agreed this statement was made. Initially no evidence had been sworn by
Mr Burns. I did not therefore know
whether he accepted the evidence put forward by the plaintiff. On the second day of the hearing an
affidavit was produced from Mr Burns who did not recall any discussions on 17th
December or indeed any later calls with the plaintiff said to have occurred on
19th and 20th December referred to below. He does depose that if such calls had
occurred he would have relayed the plaintiff’s position that he still
wanted alternative accommodation to the first and second defendants. However, given this is an application to
strike out an order of justice, I have to proceed on the basis that the
assertions put forward by the plaintiff are arguably true and therefore that
these calls took place.
52. On 19th December, 2012, the
plaintiff held a meeting at the property with a Mr Mike McGrath, an employee of
the surveyor appointed by the third defendant. At paragraph 68 of his affidavit the
plaintiff records informing Mr McGrath as follows:-
“As a consequence of that
email the plaintiff received a telephone call on 19th December, 2012,
from the surveyor appointed by the third defendant who arrived on site (pp. 169
AHT1): I told him that I was very upset with matters as I was having to cancel
my Christmas as I had no cooking facilities and that the children could not
come over and stay as the bedrooms were in chaos. He said that the gritty problem was that
I did not have the right insurance cover and that had I contents cover as well
in the same policy I would be swanning it down at the L’Horizon
or in a comfortable house. I said
it was nonsense but he said it was outside of his remit and he did not want to
get involved in a fight on this issue but he sympathised with the
situation.”
53. On 20th December, 2012, the
plaintiff wrote to Mr McGrath with copies to the second and third defendant. [see Exhibit AHT1/165-166]. The letter does not contain any
reference to alternative accommodation.
54. On 20th December, 2012, according to
the plaintiff’s affidavit he called the third defendant. Paragraph 70 of his affidavit includes
the following statements:-
“I told him that my
Christmas was in tatters and I had to cancel everything. I said it was a really shoddy situation
since they had not provided me with accommodation and that I was camping and my
ex-wife was away to Japan and my children were staying at her home without
supervision because they could not stay at Isis. He said that he could do nothing about it
and it was one of those things. He
had tried his best to get money from the underwriters to pay for a house but
had failed because I had not insured my contents with them. That was largely my fault and not his. I said it was nonsense.
………..it would
have all been different if I had my contents insured and it was really a
mistake of Susan and mine and not anything to do with the insurers or the loss
adjusters and his job was only to supervise the work and make sure that the
work was done properly at a reasonable price.” (my emphasis).
55. The typed attendance notice in support of this
call is dated 21st December, 2012. It is not therefore clear whether the
plaintiff is alleging this call took place on 20th or 21st
December, 2012. According to the
handwritten log produced during the hearing, the call took place on 20th
December.
56. In relation to this call, whether it took place
is also disputed on the same basis as the call on 17th December,
2012, namely that Mr Burns does not recall the call and would have acted on a
request for alternative accommodation. There is no evidence from any of the
first or second defendants that they were informed of such a call. Again this is not a matter I can resolve
on a strike out application.
57. No further evidence of any discussion about
alternative accommodation was produced to me. However, I note that the third
defendant’s remaining interim reports [see Exhibit JD1/129-33] namely
reports 2 to 6 all set out a reserve of £3,000 for alternative
accommodation. It is not in dispute
that no payment for alternative accommodation or in lieu of alternative accommodation
was ever made in relation to the first claim.
58. The only other relevant evidence where the
issue of alternative accommodation in relation to the first claim was discussed
further was in a call between Mr McGrath and the plaintiff on 13th
March, 2013, where Mr McGrath according to the plaintiff stated:-
“Mike said that he was
pleased the issues where agreed but he did not want to get involved on the
accommodation issue and all that he knew was that the policy did not provide
for alternative accommodation and I should just accept that as a fact. No point arguing about it or raising it
as it was a lost cause as I did not qualify for any relief.” [see Exhibit AHT1/157].
59. No evidence has been provided from Mr McGrath
about whether he made such a statement and if he did, what was his state of
knowledge at the relevant time and whether the source of any such knowledge was
any of the first second or third defendants.
60. According to the plaintiff the remediation work
relating to the first claim was completed on 26th March, 2013, and
lasted 117 days. There is no
evidence from any party how long the property might have been uninhabitable
while repair work was being carried out.
61. It is not in dispute between the parties that
monies were paid out under the policy in response to the first claim to repair
the property. The plaintiff also
never sought alternative accommodation.
Events in relation to the second claim
62. The second claim arose as a result of an escape
of water at the property on 17th October, 2013.
63. The third defendant produced a preliminary
report dated 25th October, 2013 (exhibitJD1/137-138). A second report was produced in relation
to the escape of water incident dated 4th November, 2013,
(JD1/141-143) The relevant part of
the report provided as follows:-
“The property will be
deemed uninhabitable as the ground floor will require to be stripped and
cleared in its entirety. The
occupier of the property Mr Hayden-Taylor does not have any contents insurance
and has no cover for alternative accommodation. We recall from the previous claim that
there was also no cover for accommodation for the occupier and as no rent is
paid by the occupier there is no loss of rent claim. We seek underwriters’ confirmation
that there has been no alteration to the cover to provide accommodation cover
which would likely cost in the region of £6,000.” (emphasis added).
64. This extract is consistent with the
plaintiff’s recollection of a discussion about alternative accommodation
cover with Mr Burns at a meeting at the property on 30th October,
2013, [plaintiff’s affidavit paragraph 78].
65. On 12th November, 2013, the second
defendant sent to the plaintiff a copy of the insurance policy in respect of
the property, following a request from the plaintiff [exhibit AHT1/138].
66. On 13th November, 2013, Lady Gould
of the second defendant spoke to the plaintiff. His note of the call states as follows:-
“I then asked her about
the policy wording. She said that
she knew that Della had sent me a copy of the policy and was there something
wrong with it? I said to her
“more than wrong”. I
have been told for close to a year that I was not entitled to accommodation
when the policy clearly stated that I was – with £160,000 budget
and not a poultry sum of £10,000!
I asked her where she had found the phrase 20% of the contents insured
value, but she had repeated to me on several occasions and she also told Susan
several times and Any Wellman had told Susan in August when the policy was
renewed?
She said that she had not read the
policy in detail but had a crib sheet with the main terms. I asked if she could send me a copy of
this note and she said it was an internal document that she used and I reminded
her of the policy terms when discussing with clients during a claims process. I told her that in my view I had been
lied to and so had Susan. Susan did
not want to comment and clearly she could understand that I was upset and she
was sorry I felt that way. In a
perfect world everything would be fine but it never was!”
67. However by an email dated 13th
November, 2013, sent at 17:52 [AHT1/136] to Mr Burns of the third defendant,
the plaintiff stated he required that:-
“‘alternative
accommodation’ clause to be invoked and the alternative accommodation
provided”.
The plaintiff estimated the likely rent to
be between £3,000 and £3,500 per month and that a deposit of around
£3,000 would also be needed.
68. Mr Burns replied the same day by an email sent
at 18:22 and asked for estimates of reasonable accommodation and stating that
underwriters did not fund returnable deposits [AHT1/133].
69. In an email dated 14th November,
2013, from the plaintiff to the third defendant (exhibit AHT1/130), amongst
other issues, the plaintiff complained that he had been lied to when told by Mr
Burns that the policy did not cover alternative accommodation. It is not clear whether this email was a complaint
about the first claim or the second claim.
70. In an email dated 14th November,
2013, [AHT1/124] from the third defendant
to the plaintiff at paragraph 4, Mr Burns stated :-
“With regards possible
alternative accommodation this has to be reasonable and not on the basis of
replacing ISIS house – a cost in the region of £2,200 -
£2,700 would be considered reasonable if this item of claim is agreeable
by insurers, I am awaiting their response which has been chased by your
brokers.”
71. By an email from Miss Willsher
of the Lloyds Broker to Della Roderick of the second defendant also dated 14th
November, 2013, [ADS1/35/36/38], the Lloyds Broker relayed that the first
defendant would deal with the alternative accommodation cost in full.
72. By an email 16th November, 2013,
(exhibit ADS1/140), the plaintiff challenged the third defendant’s
interpretation of an agreed budget in response to the third defendant’s
email to him dated 14th November, 2014.
73. By an email from Mr Burns of the third
defendant to the plaintiff also dated 18th November, 2013, sent at
10:38 [AHT1/115] Mr Burns stated:-
“With regards to the
accommodation – please advise the completion date for the turnkey
solution and I await details of reasonably priced accommodation from you as
soon as possible in order that we can agree this aspect of the claim.”
74. By an email dated 18th November,
2013, sent at 10:44 from Mr Burns of the third defendant to the second
defendant [GB1/38], Mr Burns stated as follows:-
“Insured requesting for
reimbursement for accommodation in a 6 bedroom house despite being single
occupier.
I have identified that the
rental price for a 4 to 5 bedroom house is £2,200.00 - £2,700.00
however the insured has provided costs far in excess of this value.
Although the policy confirms
that the alternative accommodation will be on a basis substantially the same as
the risk address, there is an overriding duty to mitigate any claim and given
the insured is a single occupant the insurance market in general would take the
approach that something suitable may be a 1 or 2 bedroom flat/house rather than
a like for like 6 bed house.”
75. By an email dated 18th November,
2013, sent at 15:35 from the plaintiff to Mr Burns, the plaintiff suggested an
overall settlement which he described both “more
holistic approach” and “a
turnkey solution”. In
this email the plaintiff’s proposal was for a settlement of £40,000
plus GST. In putting forward this
proposal the plaintiff said the potential liability to underwriters was
£53,000 plus GST which included a £10,000 minimum figure for
alternative accommodation.
76. A third report dated 20th November,
2013, was issued by the third defendant. In this report the third defendant
stated as follows:-
“The insured who occupies
the 6 bedroom property on his own has been seeking suitable like for like
accommodation and such a large property is attracting high rental figures for a
3 month let in the region of £10,000 and over. It is our consideration that a lower
value rental could be achieved in the region of £7-9,000 and we consider
there are grounds that the insured should mitigate his loss rather than seek
like for like accommodation. We
comment on this aspect later in our report.”
77. In an email dated 22nd November,
2013, sent at 08:41 [ADS1/46-48] from the plaintiff to Mr Burns copied to the
second defendant, amongst other issues, the plaintiff complained about the
issue of alternative accommodation being “the
subject of gross misrepresentation and untrue statements”. He indicated he might be making a
complaint to the Insurance Ombudsman and to Lloyds of London and that he also
required compensation for the lies and deception that he said had occurred.
78. Mr Burns replied later on 22nd
November, 2014, by an email sent at 10:21 to the plaintiff [ADS1/46]. In his reply while disputing allegations
that the plaintiff was misled, Mr Burns also stated:-
“with regards to
accommodation I have already reported to insurers in this regard and we have
agreed to this element as recently discussed at our last meeting.”
79. The plaintiff responded to Mr Burns on 22nd
November, 2013, by an email sent at 14:14 [ADS1/43-44]. In his email the plaintiff noted that
liability had been admitted. He
then went on to state that estimated costs for a four-bedroom house were
between £4,000 and £5,000 and disputed Mr Burns’ figure of
£2,700. He reserved his
rights generally in respect of delaying payment of the claim and for “the ingenious conduct of these two
unforeseen insured incidents”.
Finally, Mr Burns was asked to deal with a fair, proper, lawful and
equitable settlement.
80. Sometime on 22nd November, 2013, the
plaintiff spoke to a Lady Gould of the second defendant [Exhibit GB1/45-46]. During the call, according to his note of
that call, the plaintiff again complained about the fact that alternative
accommodation, was not provided for the first claim and told Lady Gould that he
was going to take matters further.
The note records twice that the plaintiff was told he was wasting his
time as the policy wording is linked to accommodation to contents and not
buildings and that the plaintiff did not qualify for any relief.
81. By an email dated 25th November,
2013, from Karen Geale, [GB1/50] at paragraph 2, the first
defendant’s position was set out as follows:-
“With regard to
alternative accommodation. Should
the insured (ex-partner) not be residing in the premises a property of similar
quality can be agreed, whether this is regarded to be 6 bedrooms has to be
debatable. We would be expect to be
adequate for needs rather than like for like and loss mitigation should be
undertaken. If the alternative
accommodation is not being taken, the payment for a policyholder remaining in
the property is an inconvenience payment only i.e. loss of enjoyment and cooking
facilities. This is not a direct
cash replacement for 100% of the cost of renting elsewhere and considerable
savings are expected.”
82. Karen Geale’s
email was forwarded by the second defendant to Mr Burns of the third defendant
[GB1/49 and 50].
83. In an email dated 26th November,
2013, [ADS1/50-51] sent at 08:46 to Mr Burns copied to Lady Gould, the
plaintiff chased for a response. He
also repeated his proposal of £40,000 plus GST for a holistic settlement
and again made reference to a figure of £10,000 for accommodation. Having looked at the figures further, he
indicated he was now looking for a settlement of £41,750 plus GST and
wanted a “positive and definitive
decision on this approach”.
84. By an email dated 26th November,
2013, [GB1/51] Mr Burns of the third defendant in considering an overall
settlement suggested to the second defendant to pass onto the first defendant
£3,000 as cash in lieu of alternative accommodation, which was said to be
something between £900 based on £15 per day allowance times 60 days
and £8,000 being the cost of a 3 month let. The first defendant approved this
suggestion [GB1/54-55].
85. Mr Burns, by an email dated 27th
November, 2013, to the plaintiff stated as follows in relation to accommodation
costs [GB1/57]):-
“If you require cash in
lieu of accommodation settlement then this has to be on an inconvenience, loss
of use basis which is £15 per night generally throughout the industry
which would make a settlement of circa £900. It is acknowledged that savings are made
by remaining in the property and hence I am instructed that an allowance of
£3,000 can be agreed.”
The figure of £3,000 was included in
an overall settlement proposal of £35,901.50 plus miscellaneous additions
already due to be paid.
86. By an email dated 27th November,
2013, sent at 15:16, the plaintiff replied to Mr Burns copied to Mr Mike
McGrath [AHT1/86]. The first four
paragraphs of his email are as follows:-
“I do not accept that the
sacrifice of my Christmas, with the loss of four bedrooms that are currently
being used for storage of chattels can be adequately compensated with
£3,000 when the minimum cost for furnished accommodation as an
alternative is ranging between £5,000 and £6,000 a month – I
would much prefer to move out to alternative accommodation ad thereby fulfil my
obligations towards my children on their respective return from boarding
school.
I suggest that the insurers
sharpen their pencil as the inconvenience for sacrificing my Christmas holidays
when it is my turn for Christmas – with my two children who I see very
little of, where supposed to spend it with me. I cannot now fulfil those obligations
and therefore the proposal of £3,000 is just not acceptable and is
rejected as you are trying to fob me off with an offer of £3,000 when the
insurers have a hard and unavoidable liability to provide me with substantially
the same as your existing home of a minimum of £15,000 and in Jersey more
likely to be £18,000.
Both Ms Greenhall
and I have been lied to twice by you and CVV about the indemnity for
alternative accommodation that was clearly provided for within the policy
(costs of using other accommodation, substantially the same as your existing
which you have to pay for if the home cannot be lived in because the buildings
are damaged or destroyed) yet you and CVV were adamant that no such cover was
provided!!! Or if it were, then only when contents cover is provided under the
same policy!
This is an appalling and quite
unforgiveable travesty and something about which I am considering reporting to
the Insurance Ombudsman and I wish to open a dialogue with insurers to make a
formal complaint about this matter as I consider that their interests have been
preferred over that of the occupier and the insured. This is the second time of writing that
I have requested the contact details of the insurers. I shall otherwise contact Lloyds Policy
Signing Office without further delay.”
He also repeated his proposal of a payment
of £41,750 plus GST to settle his claim.
87. The plaintiff on the 27th November,
2013, at 17:09 [AHT1/88/91] also emailed to Mr Boon, a director of the second
defendant, complaining about the handling of the first claim by the third
defendant and in particular about what he was told about there not being cover
for alternative accommodation. He
also complained about the offer of £3,000 as a cash settlement for
alternative accommodation for the second claim. The plaintiff further indicated that he
wanted a new loss adjuster appointed and would be making a complaint to the
Financial Ombudsman in the United Kingdom unless matters were settled.
88. By an email dated 2nd December, 2013,
Mr Peter Maloney, a claims handler of the first defendant, informed Mr Michael
White, a claims manager of OIM, that an offer of £41,750 should be put
forward “on the sole basis that it
is in full and final settlement”. If this offer was not accepted then
settlement would proceed on the basis of £36,000 already on offer
including GST. [JD1/149].
89. Also on 2nd December, 2013, the
plaintiff filed his complaint with Lloyds of London [JD1/168].
90. On 2nd and 3rd December,
2013, various exchanges of emails took place between the second defendant and
the plaintiff about the second defendant’s handling of the
plaintiff’s claim [AHT1/59, 52 and 53].
91. On 3rd December, 2013, the third
defendant emailed the plaintiff and stated:-
“I can confirm that
insurers are on this occasion able to agree a full and final settlement of all
outstanding aspects of the claim in the total sum of £41,750 which
includes the interim account issued by the plumbing company in the sum of
£9,915.19 which was part of the turnkey operation agreed.” [AHT1/48].
92. By an email dated 4th December, 2013,
sent at 09:51 to Mr Burns, the plaintiff set out the detailed figures he was seeking
which amounted to £44,226.04.
After deduction of the sum due to the plumbing company of
£9,915.19 he indicated that the total figure was £34,310.85. On the final page of his email he
stated:-
“There are issues
relating to and arising from the complaints that have been made by me to Lloyds
of London, G. A. Robins and CCV in London about the conduct of this and the
previous insured incident relating to the unfortunate lightning strike and for
the avoidance of doubt these matters expressly excluded from this settlement
proposal. Any compensation or
otherwise arising from those complaints is an entirely separate matter and is
expressly excluded from this settlement proposal.” (emphasis added).
93. In his note of a call dated 4th
December, 2013, [AHT1/30], the plaintiff noted that he had written to reject
the first defendant’s proposal and had asked for a cheque for
£10,000 so he could move into the Hotel L’Horizon.
94. On 5th December, 2013, the plaintiff
had a call with Mr Joseph Dobbins of Lloyds of London in response to the
plaintiff’s complaint to Lloyds. [AHT1/28-30]. The plaintiff noted that according to Mr
Dobbins that the first defendant had accepted a mistake had been made in
respect of alternative accommodation.
The plaintiff also indicated he was giving underwriters seven days to
think matters over, otherwise he would issue proceedings.
95. By an email dated 5th December,
2013, sent at 12:10 from the plaintiff to the third defendant [Exhibit
AHT1/26], the plaintiff complained about the lack of transparency in respect of
figures as well as complaining about the third defendant’s conduct of the
plaintiff’s claim.
96. By an email dated 6th December,
2013, sent at 16:34 to the plaintiff by the third defendant [Exhibit AHT1/25],
Mr Burns in the first paragraph stated:-
“I refer to our
conversation today and am pleased to confirm that I have received
underwriter’s instructions that I am able to conclude the claim with a
final payment of £32,786.17.”
97. No evidence was produced at the hearing as to
what was discussed in this call by either the plaintiff or the third
defendant. No evidence was also
produced about how the figure of £32,786.17 had been arrived at and what
it included. In particular there
was no evidence indicating whether it was part of an overall settlement or
whether any claims in respect of alternative accommodation had by this time
been excluded.
98. By an email dated 7th December, 2013,
[GB1/64] from the plaintiff to Mr Burns, the plaintiff confirmed that a call
had taken place on 6th December and receipt of the third
defendant’s email of 6th December confirming a net payment of
£32,786.17.
99. On 7th December, 2013 the plaintiff
and the fourth defendant signed a form of discharge in relation to the second
claim i.e. the claim arising out of the escape of water on 17th
October, 2013.
100. Paragraph 1 of the form of discharge provides as follows:-
“The insured hereby
accepts acknowledges and agrees that payment of the Settlement Sum shall be
made in full and final satisfaction of any and all claims the insured may have
or may hereafter have against CBC under the Policy in respect of the
Claim(s).”
101. Following on from the affidavits filed, it does
not appear that there were any further discussions about either the plaintiff
taking alternative accommodation or the first defendant offering any additional
payment in respect of alternative accommodation. It is also not in dispute that the
plaintiff never found alternative accommodation and continued to remain in the
property while works were carried out in respect of the second claim.
102. After the plaintiff’s complaint was
investigated by the Market Services Department of Lloyds of London, in a letter
dated 20th February, 2014, [JD1/189-190] Mr Dobbins stated as
follows:-
“It would appear,
therefore, that any previous denial to alternative accommodation under this
policy was done so erroneously.
Underwriters have asked me to extend their apologies and in recognition
of the error, have offered a compensatory amount of £750.00. We recently discussed your case whereby
you intimated that you were seeking reimbursement of £20,000 which
represented the figure of an alternative rental property comparable to your own
over a period of four months.
Neither I nor the underwriters can agree this is justifiable. Whilst I recognise that the error has
caused a significant inconvenience to you, there is no entitlement under this
policy to receive monies for alternative accommodation as this would have been
paid directly to the relevant company or landlord.
Therefore, I have to declare
that I find the offer of £750.00 to be fair and reasonable in the
circumstances. If you would like to
accept this offer, please let me know and I will pass this information to the
underwriters.”
103. The plaintiff did not accept the offer and
instead issued proceedings.
Decision
104. In view of the fact that I have to deal with
strike out applications brought by four defendants in respect of whom I need to
address whether they have any contractual relationship with the plaintiff, or
whether they owe any duty of care to the plaintiff and what follows from any
contract or duty of care, I propose to deal with the position of each of the
defendants separately. In doing so
I will address what duties each of them might owe, whether there has been any
breach of such a duty and what loss flows from such a duty being breached. As claims for conspiracy are made
against all of the defendants as well as claims for exemplary/punitive damages
I will deal with these two aspects of the plaintiff’s claim once I have
addressed the position of each of the defendants. I will also address the applicable legal
principles on a strike out application, which I consider first.
The applicable legal principles
105. There is no dispute between any of the parties
as to the approach I should take in relation to the strike out applications. All the defendants argued that the
plaintiff’s claim disclosed no reasonable cause of action, alternatively
no reasonable cause of action which would support the relief claimed, and
further that the plaintiff’s claim was scandalous, frivolous or vexatious
or was otherwise an abuse of process of the court. I therefore set out the applicable legal
tests for each of the relevant parts of Rule 6/13(1) upon which the defendants
rely.
Rule 6/13(1)(a) – no reasonable cause of action
106. In Esteem Settlement [2000] JLR 119,
Birt, Deputy Bailiff observed that the principles upon which the Royal Court
should proceed in such cases were the same as those adopted by the English
courts and were clear, namely that it was only where it was plain and obvious
that the case could not succeed that recourse would be had to the summary
jurisdiction to strike out. In Alhamrani
v Alhamrani [2007] JRC 168 Commissioner Page cited with approval paragraph
18/19/10 of the Supreme Court Practice [1999] (the “White Book”)
which required that so long as the statement of claim or the particulars
disclosed some cause of action or raise some question fit to be tried by a
judge or jury, the mere fact that the case was weak and not likely to succeed
was no ground for striking it out.
The same approach was taken by the Royal Court in Trant
v AG [2006] JLR 531 which was confirmed by the Court of Appeal in Trant v AG [2007] JLR 241.
107. On an application to strike out under
sub-paragraph (a) of Rule 6/13(1) evidence is not admissible and the facts as
alleged in the order of justice must be taken as being correct.
Rule 6/13(1)(b) – the claim is scandalous, frivolous
or vexatious
108. In Channel Islands and International Law
Trust Company v Pike [1990] JLR 027, in order to strike out a pleading on
the ground that it was scandalous required it to be shown that the pleading
contained unnecessary allegations or allegations that were unnecessary to the
main issues between the parties.
109. In Mauger v
Batty [1995] JLR Note 8b, the court held that the discretionary power to
allow striking out of a frivolous or vexatious action should only be exerciseD in clear cases and taking into account all of the
evidence.
Rule 6/13(1)(d) – the claim is an abuse of process
of the court
110. In Bowen & Anor v Noel Investments Limited
[1990] JLR 184, the Royal Court held that for an action to be struck out as an
abuse of process required the court to be satisfied that the action was
obviously and incontestably bad.
The first defendant
A contractual relationship with the plaintiff
111. The first defendant did not seek to argue that
there was not a contract between the first defendant and the plaintiff. Accordingly in reaching my decision I am
proceeding on the assumption, without deciding the point, that the plaintiff
was a party to the contract of insurance with the first defendant, as far as
the first defendant is concerned.
Equally it is right to record that the named insured under the schedule
forming the part of the contract of insurance was described as the fourth
defendant and not the plaintiff. It
is therefore a matter for trial, as far as the first defendant is concerned,
whether someone whose interest is noted on a policy can pursue an insurer for
non-payment under the contract of insurance and on what basis. For the purposes of this judgment, the
first defendant accepts it can be pursued by the plaintiff for breach of
contract. I also observe it is not
in dispute that the first defendant had made payments direct to the plaintiff
in respect of damage suffered as a result of both the first claim and the
second claim.
The nature of the contract of insurance policy
112. The starting point for the first
defendant’s submissions in relation to the plaintiff’s claim is to
analyse the effect of the policy of the insurance. Page 1 of the policy provides as
follows:-
“In return for payment of
the premium shown in the schedule we agree to insure you subject to the terms
and conditions contained in or indorsed on the certificate, against the loss of
damage you sustain or legal liability you incur for accidents happening during
the period shown in the schedule.”
113. The cover for buildings covers alternative
accommodation as I have set out at paragraph 16 above, was limited to 20% of
the total sum insured for buildings in each year. There is also an exclusion for
consequential loss.
114. The first defendant therefore contends that the
policy of insurance is a contract of indemnity, to hold the insured harmless
against a liability or loss. Upon
the occurrence of the loss or the incurrence of the liability, the insurer is
in breach of contract and obliged to pay an indemnity against the loss by way
of damages. Although this can mean
that an insurer may be in breach of contract before it is aware that any loss
or liability has occurred, nevertheless the principle is clear as set out in Insurance
Corporation of the Channel Islands v McHugh [1997] LRLR 94. At page 55 of the transcript provided to
me, Mance J stated:-
“As a matter of general legal
principle, unless the contract otherwise provides, insurance contracts (whether
liability or property insurance) are treated in law as contracts to hold the
insured harmless against the liability or loss insured against. Insurers are therefore, in the absence
of contrary provision, in breach of contract as soon as the insured liability
or loss occurs. A claim under an
insurance contract is thus commonly for damages for the failure to hold the
insured harmless against the relevant liability or loss.”
115. Similar observations were made by the English
Court of Appeal in Sprung v Royal Insurance (UK) Limited [1997] C.L.C.
70, where Bedlam L.J. at page 80 stated:-
“By long standing decisions
it is settled that the liability of insurers under a policy arises where the
loss occurs and the liability is to pay money for that loss.”
116. Advocate Sanders contended therefore that the
policy was not a policy to pay a stipulated sum occurring upon a specified
event. The plaintiff did not argue
otherwise. I see no reason to
consider that the position under Jersey law is different for policies using the
sort of wording found in the policy and therefore accept the submission that
the policy of insurance in the present matter is a contract of indemnity.
Liability in tort
117. While the first defendant did not contend it
could not be pursued for breach of contract, the first defendant did argue that
no duty of care is owed by an insurer to his insurer in tort. [see Manifest Shipping Co. Ltd v UNI
Polaris Insurance Co Limited [2003] 1 AC 469 at page 504. While the decision considered the
meaning of the doctrine of utmost good faith, which I address later in this
judgment, Lord Hobhouse, in relation to the nature of
the relationship between insurer and insured, stated:-
“the parties’
relationship is purely contractual, subject to the application of the general
law.”
118. Advocate Sanders contended that generally where
insurer and insured are in discussions or negotiations with each other or in
dispute they do not owe a duty of care to each other. For example, he stated that a solicitor
will not owe a duty of care to his client’s opponents in litigation (see Al
Kandari v J.R. Brown & Co [1988] QB 665 at
675E-F) and that a solicitor does not owe a duty to persons on the other side
of a transaction to his client (see Gran Gelato v Richcliff
Limited [1992] CH 560 at 570c).
119. Finally, he contended that there was no Jersey
or English authority which supported any finding of a duty of care owed by an
insurer to his insured for statements made in the context of a dispute which
had arisen about the insurance.
120. No argument was advanced by the plaintiff to
suggest that a separate duty of care was owed by the first defendant to
him. Accordingly I agree with
Advocate Sanders, for the reasons he gave, that no duty of care is owed by the
first defendant as insurer to the first plaintiff as insured. Any duties only arise under the contract
between them. I address what those duties might be below.
The relationship between the first defendant, the second
defendant and the third defendant.
121. In its skeleton argument filed in advance of
the hearing, the first defendant argued that there could be no liability on the
part of the first defendant for acts or omissions of the second defendant or
the third defendant.
122. In relation to the second defendant, the second
defendant was authorised to write insurance cover by the first defendant. To the extent that the second defendant
either wrote cover pursuant to such authority or purported to do so then the
first defendant is bound by the terms of the cover written by the second
defendant on its behalf. To that
extent, the first defendant is liable for the acts of the second defendant
because the second defendant as the first defendant’s agent entered into
a contract on behalf of the first defendant by issuing the policy.
123. As
I address in more detail later in this decision, the second defendant is an
insurance broker. Insofar as the
second defendant was acting as insurance broker or was under a duty to do so,
and did not do so, although the first defendant is bound by cover written by
the second defendant, the first defendant is not liable for any acts or
omissions of the second defendant as insurance broker.
124. In relation to the third defendant, during the
course of argument, the first defendant accepted that the third defendant in
acting as loss adjuster was agent of the first defendant. In my judgment the first defendant,
through Advocate Sanders, was right to make this concession for the following
reasons:-
(i)
The third
defendant was nominated as loss adjuster by the second defendant under the
authority granted to the second defendant by the first defendant. The ultimate authority to appoint the
third defendant as loss adjuster therefore came from the first defendant.
(ii) The third defendant was a loss adjuster
approved by the first defendant.
(iii) The fees of the third defendant were paid for
by the first defendant (see second affidavit of Graham Burgess dated 8th
September, 2014).
(iv) The scale of fees payable to the third
defendant was also set by the first defendant (see Exhibit GB2 pages 3 and 4 of
the second affidavit of Graham Burgess).
125. The relationship between the first defendant
and the third defendant is important because it has the consequence that the
first defendant in law is liable for any acts or omissions of the third
defendant while acting as agent of the first defendant.
Utmost good faith/good faith
126. In Sutton v Insurance Corporation of the
Channel Islands Limited [2011] JLR 80, W. J. Bailhache, Deputy Bailiff,
addressed both the obligation of utmost good faith in relation to insurance
contracts and whether an obligation of good faith is a common understanding of
all contracts governed by Jersey law.
127. Firstly, he held that all insurance contracts
governed by Jersey law are subject to the doctrine of utmost good faith because
this was an established market understanding of such contracts and “because,
as a practical matter, insurance contracts, of all contracts require that the
parties act with good faith towards each other”. (paragraph 15).
128. At paragraphs 16-18 of Sutton, the
Deputy Bailiff also raised the possibility, without deciding the point, whether
an obligation of good faith is a common understanding in all contracts governed
by Jersey law as follows:-
“It may well be that an
obligation of good faith on both sides is a common understanding in all
contracts governed by Jersey law, though we do not decide that in this case as
it is unnecessary to do so and we have not had full argument on the point. There are certainly references to the
requirement for good faith in Domat, op. cit., at
sects. XII and XIII and Le Gros, Traité du
Droit Coutumier de L’Isle
de Jersey, at 350 (1943) where, considering “De la Clameur
Révocatoire ou Déception
d’Outre-Moitié du Juste
Prix,” there appears this passage:
“C’est
un principe en quelque sorte sacré que la convention fait la loi des parties, mais la bonne foi est une
condition essentielle et sine quà
non de la convention.
2011 JLR 89
La raison en est
évidente: c’est
un principe commun à
tous les contrats que les contractants
se doivent franchise, sincérité
sans voile.”
17 Although
it may be that the extract deals only with the issue of good faith in relation
to the claim for déception d’outre
moitié, the judgment of the majority of the
Privy Council in Snell v. Beadle (née Silcock)
(11) (2001 JLR 118, at paras. 42–46) in particular may lend some support
to the view that the requirement for good faith in the negotiation or
performance of a contract under Jersey law may be of wider application than
simply such claims. Increasingly, European legislation contains provisions
based on the concept of good faith and it is interesting to note that art. 5 of
the Supply of Goods and Services (Jersey) Law 2009 introduces a definition of
good faith for the purposes of that legislation.
18 On
the other hand, it is clear that the English law does not recognize the
principle of good faith as having any general application, not least perhaps
because English judges have been anxious to avoid creating uncertainty. In Interfoto Pictures Library Ltd. v. Stiletto Visual Progs. Ltd. (5), Bingham, L.J., as he then was, put it this
way ([1989] Q.B. at 439):
“In many civil law systems,
and perhaps in most legal systems outside the common law world, the law of
obligations recognises and enforces an overriding principle that in making and
carrying out contracts parties should act in good faith. This does not simply
mean that they should not deceive each other, a principle which any legal
system must recognise; its effect is perhaps most aptly conveyed by such
metaphorical colloquialisms as ‘playing fair,’ ‘coming
clean’ or ‘putting one’s cards face upwards on the
table.’ It is in essence a principle of fair and open
dealing . . .
English law has,
characteristically, committed itself to no such overriding principle but has
developed piecemeal solutions in response to demonstrated problems of
unfairness.””
129. Notwithstanding these observations, I was not
addressed by any of the parties on whether an obligation of good faith formed
part of a contract governed by Jersey law.
Rather, Advocate Sanders submitted that, as insurance contracts were
governed by an obligation of utmost good faith, and given all insurance
contracts in Jersey were insured in England, that the Jersey courts should
follow the English approach which does not recognise the principle of good
faith as being of general application.
It was also suggested that, if I held that the doctrine of good faith,
as distinct from utmost good faith, formed part of an insurance contract, this
would have significant ramifications for Jersey’s insurance market
because Jersey would be different from England.
130. To consider these submissions I need to explore
what is meant by the principle of utmost good faith in relation to insurance
contracts and its interrelationship with, if any, a doctrine of good faith.
131. In Insurance Corporation of the Channel
Islands Limited v McHugh to which I have already referred, Mance J described utmost good faith as follows:-
“The duty of utmost good
faith in an insurance context operates at different level to equitable
obligations (e.g. of confidence) which the law may recognise a rising
independent of contract. The duty,
although it arises as a matter of general law outside the contract, gives in
the event of its breach a right to avoid the contract. Whether this right
originated, as some cases suggest, in equity or whether the common law and Lord
Mansfield’s court may not claim some of the credit in some of the classes
insurance does not here matter. It
is a right which a party can (and insurers regularly do) exercise without
invoking the assistance of any court.
The court’s role, when invoked at all, is now usually to declare
that the contract has been validly avoided. [Page 56 of the transcript].
132. In Manifest Shipping Co Limited v Uni-Polaris
Insurance Co case [2003] 1 AC 469, at paragraph 46 page 493D-F, in
considering section 17 of the Marine Insurance 1906 (which provides that
contracts of marine insurance are contracts based on utmost good faith and that
if utmost good faith was not observed that the contract might be avoided by
either party) Lord Hobshouse stated as follows:-
“Nor was there any case prior
to the Act where the principle was used otherwise than as providing a basis for
resisting liability; no case was cited where the principle gave a remedy in
damages, as would the tort of deceit or the breach of a contractual term.
Whether there was a remedy in damages for a failure to observe good faith was
finally and authoritatively considered by the Court of Appeal in Banque Keyser Ullmann SA v Skandia (UK) Insurance Co Ltd
[1990] 1 QB 665, affirmed by your Lordships' House [1991] 2 AC 249, 280 . In order to answer the question, both
Steyn J at first instance ( [1990] 1 QB 665, 699 et seq)
and the Court of Appeal (p 773 et seq) examined the
basis of the requirement that good faith be observed. Having concluded on the
authorities that the correct view was that the requirement arose from a
principle of law, having the character I have described, the Court of Appeal
held that there was no right to damages.”
133. At pages 494 – 495, of Manifest
Lord Hobhouse at paragraphs 49 to 52 also explored
the concept of good faith in the performance of a contract and its
interrelationship with the concept of utmost good faith. He stated as follows:-
“49. Thirdly, both counsel
accept and assert that the conclusion of the Court of Appeal in the Banque Keyser case [1990] 1 QB 665 is good law and that
there is no remedy in damages for any want of good faith. Counsel also drew
this conclusion from the second half of section 17—"may be avoided
by the other party". The sole remedy, they submitted, was avoidance. It
follows from this that the principle relied upon by the defendants is not an
implied term but is a principle of law which is sufficient to support a right
to avoid the contract of insurance retrospectively.
50. Having a contractual obligation
of good faith in the performance of the contract presents no conceptual
difficulty in itself. Such an obligation can arise from an implied or inferred
contractual term. It is commonly the subject of an express term in certain
types of contract such as partnership contracts. Once parties are in a
contractual relationship, the source of their obligations the one to the other
is the contract (although the contract is not necessarily exclusive and the
relationship which comes into existence may of itself give rise to other
liabilities, for example liabilities in tort). The primary remedy for breach of
contract is damages. But the consequences of breach of contract are not
confined to this. The contractual significance of the breach may go further. It
may also amount to a breach of a contractual condition which will excuse or
suspend the other party's obligation to continue to perform the contract. It
may be a repudiatory breach, or evidence a renunciation, which entitles the
other party to terminate the contract and sue for damages. However any such
release only applies prospectively and does not affect already accrued rights:
Colonial Bank v European Grain and Shipping Ltd [1989] AC 1056 . Ordinarily,
the right to the indemnity accrues as soon as the loss has been suffered: Chandris v Argo Insurance Co Ltd [1963] 2 Lloyd's Rep 65 .
51. The right to avoid referred to
in section 17 is different. It applies retrospectively. It enables the
aggrieved party to rescind the contract ab initio. Thus he totally nullifies
the contract. Everything done under the contract is liable to be undone. If any
adjustment of the parties' financial positions is to take place, it is done under
the law of restitution not under the law of contract. This is appropriate where
the cause, the want of good faith, has preceded and been material to the making
of the contract. But, where the want of good faith first occurs later, it
becomes anomalous and disproportionate that it should be so categorised and
entitle the aggrieved party to such an outcome. But this will be the effect of
accepting the defendants' argument. The result is effectively penal. Where a
fully enforceable contract has been entered into insuring the assured, say, for
a *495 period of a year, the premium has been paid, a claim for a loss covered
by the insurance has arisen and been paid, but later, towards the end of the
period, the assured fails in some respect fully to discharge his duty of
complete good faith, the insurer is able not only to treat himself as
discharged from further liability but can also undo all that has perfectly
properly gone before. This cannot be reconciled with principle. No principle of
this breadth is supported by any authority whether before or after the Act. It
would be possible to draft a contractual term which would have such an effect
but it would be an improbable term for the parties to agree to and difficult if
not impossible to justify as an implied term. The failure may well be wholly
immaterial to anything that has gone before or will happen subsequently.
52. A coherent scheme can be
achieved by distinguishing a lack of good faith which is material to the making
of the contract itself (or some variation of it) and a lack of good faith
during the performance of the contract which may prejudice the other party or
cause him loss or destroy the continuing contractual relationship. The former
derives from requirements of the law which pre-exist the contract and are not
created by it although they only become material because a contract has been
entered into. The remedy is the right to elect to avoid the contract. The
latter can derive from express or implied terms of the contract; it would be a
contractual obligation arising from the contract and the remedies are the
contractual remedies provided by the law of contract. This is no doubt why
judges have on a number of occasions been led to attribute the post-contract
application of the principle of good faith to an implied term.”
134. The principle utmost good faith therefore
permits a party to avoid a contract where it has been breached. It is a separate principle from any
notion of good faith arising during performance of the contract which can give
rise to a claim for damages.
135. I accept under English law that there is no
stand-alone concept of a duty of good faith giving rise to a cause of action in
damages. [See HIH Casualty and General Insurance Limited & Ors v Chaseman and Bank [2001]
EWCA Civ.1250] at paragraph 49.
136. That does not mean however that a party cannot
be subject to an obligation of good faith during the performance of the
contract. As Lord Hobhouse noted at paragraph 52 of his judgment in Manifest
Shipping, English law has recognised an obligation of good faith during
performance of a contract on the basis of a post contract application of the
principle of good faith to an implied term, at least on a case by case basis.
137. In my judgment, this is not so far from an
obligation of good faith applying to performance of all obligations under a
Jersey law contract. While no party
chose to cite to me any further customary law authorities on the obligation of
good faith, I note in Pothier there are several references to good faith
being owed by one party to a contract to the other in terms of specific types
of contract. Article 1134 of the
French Code Civil which has been in place since inception of the code in the
third paragraph also provides that contracts “doivent
être exécutées
de bonne foi”. While care has to be taken in considering
provisions of the Code Civil in evaluating the law of Jersey (Public
Services v Maynard [1996] JLR 343 at 350-351), it is not unarguable
that this provision reflects how Jersey law might develop.
138. The view I have reached therefore is it is
arguable that an implied term of good faith exists between parties in relation
to performance of the obligations under a Jersey law contract including a
contract of insurance. I also consider
it is arguable that such an implied term is not inconsistent with the
obligation of utmost good faith.
The obligation of utmost good faith allows a party, normally insurers,
to avoid a contract where proper (and material) disclosure has not been made. This allows insurers to set aside a contract
where they have set a premium and decided to offer insurance cover on the basis
of material produced by the insured.
I do not see that a requirement to perform an insurance contract with
good faith as being inconsistent or opening the flood gates. At the time insurers have decided to
honour an indemnity in principle, insurers generally no longer seek to invoke
the doctrine of utmost good faith to set aside a contract unless they later
discover a non-disclosure which has been deliberately concealed.
139. I also do not see why a “principle of fair open
dealing” to adopt the
words of Ralph Gibson L.J. in Inter-Photo Pichers
Library Limited v Stiletto Visual Programmes Ltd cited in Sutton
causes any significant difficulties in the context of dealing with insurance
claims. Such an obligation does not
require insurers to provide an indemnity for claims where the amount sought is
in excess of the actual loss or where mitigation should have occurred but has
not. In this day and age parties
are also encouraged by the courts to mediate to try to resolve their
differences rather than resort to litigation. A principle of good faith might be said
to be consistent with the court’s approach in encouraging parties to
resolve their differences through alternative means. What is clear is that such issues are
certainly arguable and a long way from requiring me to strike out the case or
to conclude that a principle of good faith cannot form part of a party’s
obligation in relation to performance of an insurance contract.
A breach of duty of good faith
140. Given my conclusion that it is arguable that an
implied term of good faith forms part of the contract of insurance under Jersey
law, I now turn to consider whether any breach of duty of good faith by the
first defendant has occurred.
141. In relation to the first defendant, by
reference to the chronologies set out above in respect of the first claim and
the second claim, the first defendant in both claims agreed to meet the cost of
alternative accommodation for the plaintiff. Although initially in respect of the
first claim, the first defendant only offered a contribution (see paragraph 37
above), by 14th December, 2012, the first defendant had confirmed it
would meet the reasonable costs of alternative accommodation for the period
sought by the plaintiff (see paragraph 46 above).
142. However, in respect of the first claim, the first
defendant’s decision on 14th December, 2012, was never
communicated to the plaintiff. I
address, in considering the position of the third defendant, what this might
mean for the third defendant.
However, as far as the first defendant is concerned, its agent, the
third defendant, failed to inform the plaintiff of the decision taken by the
first defendant on 14th December, 2012, namely that the first
defendant would meet the reasonable costs of alternative accommodation. I consider this to be an arguable breach
of the implied duty of good faith because the first defendant did not place its
cards on the table. I accept in
reaching this decision that any arguable breach has occurred as a result of the
actions of the third defendant and not through any apparent fault of the first
defendant. However, the first
defendant is liable for the acts of its agent.
143. In addition, the plaintiff was never told of
the terms of the policy. I do not
know why that was and whether the first defendant or the third defendant was
aware of the terms of the policy.
These are not matters that can be resolved on a strike out
application. However, again the
failure to inform the plaintiff of the terms of the policy also gives rise to
an arguable claim of a breach of the implied term of good faith because there
was not fair dealing with the plaintiff in terms of informing him that he was
covered under the policy for alternative accommodation.
144. In relation to the second claim, the position
is different. Firstly the plaintiff
was aware of the terms of the policy because a copy had been sent to him on 12th
November, 2013, by the second defendant (see paragraph 65 above). Secondly, the first defendant agreed to
meet the costs of alternative accommodation (see paragraph 71 above). This was also communicated to the
plaintiff via the third defendant (see paragraph 78 above).
145. In respect of the second claim I do not
therefore consider that any arguable breach of duty of good faith can be
formulated against the first defendant because the plaintiff both knew of the
terms of the policy and because the first defendant had agreed, in principle,
to meet such alternative accommodation.
146. I further do not consider that any claim for
breach of an implied term of good faith can be made out in respect of the
failure to agree a sum payable for alternative accommodation or to agree a cash
alternative if the plaintiff chose to remain in the property. In respect of the former, the chronology
I have set out above illustrates no more than unsuccessful negotiations between
the plaintiff and the third defendant.
In respect of the latter, the first defendant was never obliged under
the policy to make a cash payment for the plaintiff remaining in the
property. There is nothing in the
chronology which I consider justifies a trial on this aspect of the plaintiff’s
claim which can be said to amount to a breach of an implied term of good
faith.
147. In reaching this view I have taken into account
the fact that both the first defendant and the third defendant suggested that
any alternative accommodation was subject to a duty to mitigate. While in my judgment those statements
were in error, because the duty to mitigate was only in respect of like for
like accommodation and did not require the plaintiff to take accommodation that
was not like for like, there is nothing in the evidence put before me to
suggest that such a view was not held in good faith. In any event the plaintiff knew what the
position of the first defendant and the third defendant was. It was a matter for him whether he
accepted that view. The
plaintiff’s claim against the first defendant in respect of the second
claim is therefore struck out.
Loss
148. The main thrust of the first defendant’s
argument was that the plaintiff has suffered no loss as he did not incur
alternative accommodation costs and therefore cannot claim an indemnity.
149. I was informed that the defendant’s
position has been considered a number of times under English law. In relation to the application before
me, the first defendant (and the other defendants) relied on the case of Sprung
v Royal Insurance (UK) Limited [1997] C.L.C. 70. At page 10 of the transcript Evans L.J.
stated:-
“The question which arises is
whether the plaintiff nevertheless can claim substantial damages from the
defendants for their refusal to accept liability at that stage or for failing
to say, ‘Go ahead if you wish to do so and are so advised. In my judgment it is impossible to say
that any such breach, even to the extent that it was a breach of contract,
would carry with it a right to substantial damages representing the claim which
is now put forward. What has to be
said, however hard, it may seem to say, that in such circumstances the cause of
loss which the plaintiff suffered must be regarded as the consequences of his
own decision not to proceed with the power or reinstatement whether that
decision is voluntary or not. In
other words if, unfortunately, through his own financial circumstances he is
unable to do so without assistance from the defendants, he cannot allege that
the defendants were in breach of contract by failing to accept liability at
that stage.”
150. Bedlam L.J. stated at page 11 of the
transcript:-
“By long standing decisions
it is settled that the liability of insurers under a policy arises when the
loss occurs and the liability is to pay money for their loss. That the insurers have the option
themselves to reinstate and pay for the property damage under the terms of the
policy, does not alter the essential nature of their liability, which is pay
the sum of money as damages. Plus
the failure to pay is a failure to pay damages and by decisions binding on this
court an assured has no cause of action for damages for non-payment of
damages. To compensate to plaintiff
under such circumstances Parliament has provided that the court should be able
to award interest on damages which the court eventually assess.”
151. Bedlam L.J. therefore also dismissed the appeal
with reluctance.
152. The binding authority referred to in Sprung
is the decision of Firma C-Trade v NPIA (The Fanti) [1991] 2 A.C. 1 at
line 35 F where Lord Goff stated:-
“I accept that, at common
law, a contract of indemnity gives rise to an action for unliquidated damages,
arising from the failure of the indemnifier to prevent the indemnified person
from suffering damage, for example, by having to pay a third party. I also accept that, at common law, the
cause of action does not (unless the contract provides otherwise) arise until
the indemnified person can show actual loss: see Collinge
v Heywood (1839) 9 Ad. & E. 633. This is, as I understand it, because a
promise of indemnity is simply a promise to hold the indemnified person
harmless against a specified loss or expense. On this basis, no debt can arise before
the loss is suffered or the expense incurred.”
153. In President of India v Lips Maritime Corp
[1988] 1 AC 395 and Italia Express (No.2) [1992] 2 Lloyds LR 281, the
English law position was confirmed namely that there is no cause of action in
damages for late payment of damages.
154. However, in Sprung, Evans L.J. at page 7 of the
transcript also stated:-
“But on the other hand, if as
a matter of law the plaintiff is able to show that the defendants have
committed some other and separate breach of contract, and if
specifically he can show that the defendants were in breach by failing to accept
liability or to approve of the reinstatement at an early stage, then the
recovery of damages would not be restricted to the discretionary award of
interest which exists in the other case.” (my underlining)
155. I observe at this point that the English position
is one that is not followed in a number of other common law jurisdictions. In Scotland, if an insurer wrongfully
refuses to pay the claim the insured may sue for losses caused, as a result of
such a refusal (see Strachan v Boat Owners Weekly Insurance Association)
[2010] SC 367. In Australia,
section 13 of the Insurance Contracts Act 1984 implies a contractual
duty of good faith into every contract of insurance which goes beyond the
principle of utmost good faith.
This led to the Australian courts allowing damages for losses caused by
wrongful rejection of claims by insurers. In Canada, Canadian insurance law
recognise specific duties implied into the contract of insurance by virtue of
the principle of good faith and if the principle of good faith is breached the
insured may claim damages.
156. While the authorities of the English courts are
often followed in this jurisdiction, given that other common law jurisdictions
have not taken the same approach and given that it is arguable that an implied
duty of good faith forms part of the insurance contract as a matter of Jersey
law, I consider it is also arguable that the approach taken in Sprung and the
other cases I have referred to does not reflect the position under Jersey law. I note in that regard that both Evans
L.J. and Bedlam L.J. in Sprung felt constrained to reach their decision. The Royal Court is not constrained in
the same manner and it is open to the Royal Court to follow the approach taken
in other common law jurisdictions.
It is also open to the Royal Court to distinguish Sprung on the basis
that a breach of a separate obligation has occurred namely the implied duty of
good faith.
Loss
157. I now turn to consider whether any loss is
claimable by the plaintiff, assuming in his favour that the Royal Court would
not follow the English authorities referred to me. I deal first with the second claim.
158. In relation to the second claim, if I am
incorrect in my conclusion that no breach of any duty of implied term of good
faith has been established, I am also of the view that no loss has been
established. In respect of the
second claim, the plaintiff was aware of the terms of the policy, and entered
into negotiations with the third defendant about what sums might be paid by the
first defendant under the policy.
Ultimately, these discussions did not lead to agreement. However, the failure to agree does not
establish a loss. The plaintiff, in
respect of the second claim, knowing of the existence of the terms of the
policy and the first defendant’s decision in principle to meet the cost
of alternative accommodation, could have moved out and could have then made a
claim for an indemnity under the policy.
He chose not to do so. I
have therefore reached the conclusion that he has not been able to show that any
loss exists, claimable from the first defendant, in respect of the second
claim.
159. The position is not the same in respect of the
first claim. In respect of the
first claim, the plaintiff was not aware of either of the terms of the policy
or that the first defendant was willing to meet suitable alternative
accommodation costs. He was not
therefore able to make an informed decision. The effect of this was the plaintiff
remained in the property even though the property, as a result of the incident
that led to the first claim, had been described by the third defendant as
uninhabitable (see paragraph 34 above).
160. I consider the position the plaintiff found
himself in respect of the first claim to be analogous to the position in Watts
v Morrow [1991] 1 WLR 1421. At page 1445 of the judgment Ralph Gibson L.J
stated as follows:-
“Damages for distress and
inconvenience
A contract-breaker is not in
general liable for any distress, frustration, anxiety, displeasure, vexation,
tension or aggravation which his breach of contract may cause to the innocent
party. This rule is not, I think, founded on the assumption that such reactions
are not foreseeable, which they surely are or may be, but on considerations of
policy.
But the rule is not absolute. Where
the very object of a contract is to provide pleasure, relaxation, peace of mind
or freedom from molestation, damages will be awarded if the fruit of the
contract is not provided or if the contrary result is procured instead. If the
law did not cater for this exceptional category of case it would be defective.
A contract to survey the condition of a house for a prospective purchaser does
not, however, fall within this exceptional category.
In cases not falling within this
exceptional category, damages are in my view recoverable for physical
inconvenience and discomfort caused by the breach and mental suffering directly
related to that inconvenience and discomfort. If those effects are foreseeably
suffered during a period when defects are repaired I am prepared to accept that
they sound in damages even though the cost of the repairs is not recoverable as
such. But I also agree that awards should be restrained, and that the awards in
this case far exceeded a reasonable award for the injury shown to have been
suffered. I agree with the figures which Ralph Gibson L.J. proposes to
substitute.”
161. In my judgment the plaintiff has an arguable
claim for the physical inconvenience and discomfort for not being told either
about the policy terms or that alternative accommodation was going to be met by
insurers and mental suffering directly related to that inconvenience and
discomfort. This is by reference to
the final paragraph of Watts v Morrow referred to above. However, the amount of damages on this
basis does not include damages for loss of enjoyment due to the property being
said to be uninhabitable over the Christmas and New Year period. Such a loss is a loss falling within the
first two paragraphs of Watts v Morrow set out above. The amount of damages in terms of how much
and for what period is a matter for the Jurats.
162. The amount of damages is not however a claim
for damages due to loss of pleasure, such as contracts for holidays. An insurance contact, unless it states
otherwise in its express terms, or is clear from these terms is not a contract
to provide pleasure or relaxation.
The policy is not such a contract.
163. I wish to stress also that the amount of
damages might be recoverable does not equate to the rent the plaintiff would
have paid had he moved out of the property. The plaintiff did not incur those costs.
To order damages equal to the rent
the plaintiff might have paid would be to compensate him for expenditure he did
not incur. Such an approach would
therefore represent a windfall for the plaintiff. Finally, I observe that the likely amount
of damages, while for the Jurats to assess, is likely to be modest, as noted in
Watts v Morrow.
164. I am not therefore prepared to strike out the
plaintiff’s first claim against the first defendant, albeit the amount of
damages claimable is limited on the basis set out above. I address later in this decision how I
consider the parties should take forward this part of the claim.
165. Advocate Sanders also contended that the
plaintiff’s claim was for consequential loss which was excluded by the
terms of the policy. I
disagree. The amount of damages
recoverable by reference to Watts v Morrow is direct damage for physical
inconvenience. This is different
from the situation in Sprung where what was claimed was lost opportunity
to sell a business which was worth £75,000. In the present case the plaintiff does
not advance any lost opportunity claims which I agree with Advocate Sanders
would fall under the heading consequential loss.
Other aspects of the plaintiff’s claim against the
first defendant
166. In respect of claims for gains based damages,
punitive and exemplary damages and allegations of conspiracy, all these
allegations are made against all the defendants. I will therefore deal with those aspects
of the plaintiff’s claim against the first defendant once I have
considered the position of the other defendants.
The second defendant
The role of the second defendant
167. As noted at paragraph 13 above, the policy, the
subject matter of the dispute was issued by the second defendant pursuant to
the authority granted to it by the first defendant. To that extent the second defendant was
the first defendant’s agent, able to bind the first defendant in terms of
policies issued by it, either with the actual or apparent authority of the
first defendant. However, this was
a matter between the first defendant and the second defendant. As far as the fourth defendant is
concerned, the second defendant was her insurance broker. This is consistent with firstly the
policy wording which states on the covering page “arranged exclusively by CCV Jersey” and which
describes the policy as being insured with certain underwriters at Lloyds. Secondly, at paragraph 8 of Mr Sibbald’s affidavit filed in support of the second
defendant’s application, the second defendant is described as “a Jersey based insurance broker,
which procures the sale of insurance products.”
168. The second defendant was also authorised by the
first defendant to settle claims up to £1,500. In light of this limited authority,
Advocate Ingram contended in relation to the handling of the claims that the
second defendant’s role was simply to act as a post box and to pass on
messages from the first defendant to the third defendant who was handling
claims on the first defendant’s behalf. I therefore turn to consider the second
defendant’s role and responsibilities in light of the plaintiff’s
allegations.
A contractual relationship with the plaintiff
169. I start by reference to considering whether or
not there is a contract between the plaintiff and the second defendant for the
provision of insurance broker services.
It is clear by reference to the schedules issued by the second defendant
that the insured was the fourth defendant.
It is also clear from the affidavit of the fourth defendant, in
particular paragraph 41, that she procured the insurance policy through the
second defendant. The plaintiff at
paragraph 4 of his order of justice also claimed the insurance policy was “sold and promoted by the second
defendant to the fourth defendant” for the property. However, the fourth defendant was also
to procure the insurance policy as being in her name and the name of the
plaintiff (see paragraph 26 above) by reference contract passed before the
Royal Court on 20th November, 2009, between the plaintiff and the
fourth defendant.
170. In Café de Lecq
v R.A. Rossborough (Insurance Brokers) Limited [2012]
1 JLR 245, the issue of a plaintiff’s right to sue was considered by the
Royal Court. The plaintiff’s
claim in that case related to a failure by the defendant either to inform the
plaintiff of a relevant warranty in the insurance policy or, alternatively, the
defendant failed to sufficiently bring the relevant warranty to the attention
of the plaintiff. One of the issues
in the case was whether the plaintiff, company could sue on the insurance
policy. This was because the policy
had been taken out in the name of a Mr Ruellan
trading as Café de Lecq. At paragraphs 93 to 110 of the judgment,
the court explored whether the plaintiff could bring a claim. It concluded that Mr Ruellan
was acting as agent for the plaintiff and was entitled to be regarded as a
party to the contract with the defendant and to sue for breach of contract
(paragraph 108). Alternatively, the
court concluded, as between Mr Ruellan and the
insurers, the policy written was one designed to provide cover for the full
value of the café and not just Mr Ruellan’s
25% interest in the business. Any
recovery made under the policy of insurance would be held on trust for the
owners of the café and therefore Mr Ruellan
was entitled to recover up to full value provided by the insurance policy. The court then continued at paragraph
110 which stated:-
“The same goes for any
contractual rights that Mr Ruellan might have in
relation to Rossborough. It follows, then, that with the
assignment by Mr Ruellan of those rights to the
plaintiff, the latter became legally possessed of all the necessary ingredients
of an enforceable claim for damages against Rossborough:
the right to assert breach of a contractual duty of care and the appropriate
standing as the entity that had, as a result of that breach, suffered
loss.”
171. I also note at paragraph 111 that the Royal
Court in Café de Lecq did not explore whether Rossborough owed any non-contractual duty of care to the
plaintiff as well as a contractual duty to Mr Ruellan.
172. Having regard to the approach of the Royal
Court in Café de Lecq, I consider it is
arguable that the plaintiff is entitled in contract to pursue the second
defendant. At paragraph 12 of Mr Sibbald’s affidavit, he states as follows:-
“The court will note that
the plaintiff’s interest has been endorsed on the insurance policy
throughout the period of 14th August, 2009, to 14th
August, 2010, and again on 14th August, 2011, to 14th
August, 2014. An administrative
error omitted the plaintiff’s interest from the schedule of 2010 –
2011 period, however the interest is shown and detailed in the insurers files
(see SIC which I take to mean the second defendant’s files) and therefore
the plaintiff’s rights and interest were protected throughout that
period. The interest was endorsed
as a direct result of the instructions provided by the fourth defendant, with
the policy holder of the insurance policy in accordance with a life tenancy agreement
which I understand formed part of the settlement from divorce proceedings
between herself and the plaintiff.”
173. It is clear from the above extract that the
second defendant was aware that insurance was being procured for the benefit of
the plaintiff as well as for the benefit of the fourth defendant. It was the second defendant, in writing
the insurance policy, who noted the interest of the plaintiff on the
policy. The interest was also
recorded in the second defendant’s files. In light of this evidence, I consider it
is arguable that the plaintiff has a right to sue the second defendant in
contract because it is open to the Royal Court to conclude that the fourth
defendant in procuring insurance was acting on behalf of the plaintiff as well
as in her own interest.
Alternatively, to the extent that the fourth defendant recovered any
monies pursuant to a claim under the insurance policy, she held such monies in
part on trust for the plaintiff given his life interest in the policy. This may be why the first defendant
chose not to contest that the plaintiff had a right to sue the first
defendant. Such an argument is in
my judgment not one that is capable of being struck out as either disclosing no
reasonable cause of action or alternatively one which is frivolous or vexatious
or an abuse of process.
A duty of care in tort
174. If I am incorrect in my analysis that there is
an arguable claim for breach of contract that the plaintiff might bring against
the second defendant, I consider now whether the plaintiff can bring a claim in
tort against the second defendant.
175. The starting point for my analysis is Caparo Industries Plc v Dickman
[1990] 2 AC 605. The head note
summarises the majority of the House of Lords stating as follows:-
“Whilst recognising the importance
of the underlying general principles, common to the whole field of negligence,
the law has now moved in the direction of attaching greater significance to the
more traditional categorisation of distinct and recognisable situations as
guides to the existence, the scope and the limits of the various duties of care
which the law imposes.”
176. In Punjab National Bank v De Boinville [1992] 1 WLR 1138, the head note at paragraph
3 on page 1139 states as follows:-
“That the relationship
between an insurance broker and his client fell within a recognised category of
case in which it had been held that a non-contractual duty of care to avoid
economic loss existed, so that in advising the client who employed him and
carrying on other professional activities in relation to him, the broker owed
the client a duty to exercise the standard of skill and care appropriate to his
professional status and would be liable for all losses which the client might
suffer by reason of any breach of that duty; that it was a justifiable
increment to an existing category to hold that an insurance broker owed a duty
of care to a specific person, not being a client, who he knew was to become an
assignee of an insurance policy, at least where, to the broker's knowledge,
that person had actively participated in giving instructions for the
insurance”.
177. In the circumstances of the case, the
individual brokers (who were never in a contractual relationship with the
plaintiff bank) were found to owe a duty care to the plaintiff bank.
178. The present facts are slightly different from
the Punjab National Bank case because, in that case it was contemplated
that the bank would take an assignment of the policy of insurance. In the present case, what was agreed
between the plaintiff and the fourth defendant, which appears to have been
known to the second defendant, was that insurance was being taken out by the
fourth defendant for her own benefit and for the benefit of the plaintiff. I regard it as open to the Royal Court
to recognise a duty of care owed by the second defendant to the plaintiff as a
person whose interest is noted on the insurance policy is a justifiable
increment to an existing category where a duty of care is owed. The plaintiff therefore has an arguable
cause of action against the second defendant and such a cause of action is not
one that is frivolous or vexatious or an abuse of process. In reaching this view I wish to make it
clear that I am simply concluding that such a duty of care is arguable. It is also a matter of the Royal Court,
if it concludes that there is such a duty of care, what the scope of that duty
is and the extent of any justifiable increment. For the purposes of this decision I am
simply concluding that the increment extends to an individual with a
significant interest in real property where that interest is known to the
defendant. Whether a duty of care
is owed to anyone else for whom the insurance cover is taken out is therefore a
matter for another day.
The extent of any duty of care
179. In the case of the second defendant it is
necessary to consider the extent of any duty of care owed by the broker. I start by reference to the well-known
statement of Lord Bridge of Harwich in Caparo
case at page 619 said:-
“In advising the client who
employs him the professional man owes a duty to exercise that standard of skill
and care appropriate to his professional status and will be liable both in
contract and in tort for all losses which his client may suffer by reason of
any breach of that duty.”
180. In Punjab National Bank at page 1152
line H the English Court of Appeal held that the above quotation “applies
as much to insurance brokers as to those who exercise any other professional
calling, and to other professional activities which they carry on, besides
giving advice”. The
level of expertise required is that of a reasonable general insurance broker
(see Clerk & Lindsell 20th Edition
paragraph 10-216). If a broker acts
in accordance with a reasonable broking practice then he will escape
liability. What is reasonable broking
practice is likely to lead to expert evidence being placed before the court to
assist the Jurats.
181. These general statements however, do not define
the precise extent of a brokers’ responsibilities. Much of the commentary in texts focuses
on the brokers’ duty when insurance cover is being taken out. That is not surprising, given the
ability of insurers to avoid cover if a breach of the principle of utmost good
faith has occurred. Where such a
breach is a result of a failure by a broker in the performance of its duties, a
claim can then be made against the broker.
That is what occurred in Café de Lecq.
182. There is little authority however, on what is
the role of the insurance broker in relation to claims. Clerk & Lindsell
does not address whether or not an insurance broker is under a duty in respect
of claims. Charlesworth &
Percy on Negligence 29th Edition at paragraph 8-122 states:-
“The usual scope of an
insurance broker’s business includes in appropriate instances to give all
necessary assistance to his client to formulate and pursue claims against the
insurers involved.”
183. While no authority is cited in support of this
statement, I consider it open to the Royal Court to reach a conclusion that an
insurance broker does owe such a duty.
This can be tested by a straightforward example. An individual takes out fully
comprehensive policy of insurance for a car. The insured is then involved in a minor
road traffic accident resulting in damage to the car. The insured is highly likely to seek
guidance from the insurance broker on what is covered by the policy and what is
required to make a claim. The
broker will give guidance on forms to be completed and what evidence is
required. It may refer the insured
to specialist approved repairers.
Depending on the extent of the damage, the damage may need to be
inspected by a loss adjuster appointed by the insurer. The insurer in those circumstances is
relying on the knowledge and skill of the insurance broker. When acting and giving such advice, why
should it be said that an insurance broker is not under a duty of care whether
in contract or in tort. The limit
of any such duty is of course a matter for the trial court to determine having
heard evidence from the insured, the insurance broker and, where relevant,
expert evidence. However,
determination of whether a duty of care is owed by the insurance broker in
relation to the handling of claims, for a person whose interest is noted on a
policy of insurance in this case is not suitable for a strike out application. It is a matter that is plainly arguable.
184. In reaching this conclusion, I recognise that
there is a distinction between the responsibilities of an insurance broker and
a loss adjuster. Again however, it
is a matter for trial as to the scope of duties owed by an insurance broker,
given that any duty would not require an insurance broker to act as a loss
adjuster. An insured however has
its own remedies, if it is dissatisfied with any loss adjuster appointed by an
insurer. It is always open to an
insured to appoint its own loss adjuster to assist it in presenting its
claims. The precise relationship
between the duties owed by a broker in relation to handling claims and the role
of a loss adjuster for the insurer by an issued and whether there is any overlap
is also not appropriate to determine on a strike out application.
The insurance broker acting as agent of the insurer
185. In the present case, notwithstanding the second
defendant was acting as insurance broker, the second defendant was also writing
cover on behalf of the first defendant and also had a limited authority to
settle claims. It is as a result of
this limited authority that the second defendant argues that it was not under
any duty to the plaintiff, assuming a contractual or tortious duty exists
generally, other than to pass on information to the loss adjuster. Its role was simply a post box.
186. In Callaghan v Thompson [2000] C.L.C.
360 at page 9 of the transcript, David Steel J. addressed this issue and stated
as follows:-
“It follows, that in
conducting business under such an arrangement, Manson’s status was as
agents of the insured, both in respect of placement of risk and collection of
claims; Rozanes v Bowen (1928) 32 LI L Rep 98; Pryke v Gibbs Hartley Cooper Ltd [1991] 1 LI Rep 602 and
Johnston v Leslie & Godwin Financial Services Ltd [1995] LRLR 472. This status remained unaffected by the
existence of the binder which rendered by special *368 agreement Manson the
agents of the defendants for some limited purposes: see Pryke
v Gibbs Hartley Cooper Ltd and Deeny v Walker [1996]
LRLR 276.
Nor is it to the point that Mansons were used by the defendants to instruct and obtain
reports from the loss adjusters acting for the underwriters. This practice has been roundly
criticised by the courts: see Anglo-African Merchants Ltd v Bayley 1 QB 311 and
North & South Trust Co v Berkeley [1971] 1 WLR 470. The basis of the criticism is not to the
effect that the brokers thereby have to be treated as agents of the insurers
but in accepting such instructions, the brokers are in breach of their retainer
by the insured given the conflict of interest that thus arises.”
187. In my judgment the above analysis applies
equally to the argument advanced by the second defendant. The fact that the second defendant was
authorised to write insurance cover and only had limited authority to settle
claims, does not remove or alter any arguable duties owed by the second
defendant as insurance broker and agent of the insured. At best it means that the second
defendant became agent of the first defendant for some limited purposes. Those limited purposes were not however
relevant to this claim because the amount claimed by the plaintiff in respect
of the first and second claim exceeded significantly the authority granted to
the second defendant to settle claims.
The second defendant therefore remained agents of the insured and an
insurance broker with an arguable duty of care in relation to the handling of
the claims owed to the plaintiff.
188. In addition, the relationship between the
second defendant and first defendant created a conflict of interest. That conflict existed at the time the
policies were written or renewed.
The second defendant, as insurance broker acting on behalf of the fourth
defendant and for the purposes of this judgment the plaintiff, was transacting
with itself as agent for the insurer, the first defendant, in writing the
policy of insurance. Such conflicts
can of course be addressed by an appropriate disclosure and consent. It is however, not clear in this case
whether that occurred or whether the plaintiff or the fourth defendant knew
that the policy was in fact being written by the second defendant rather than
the first defendant. A similar
conflict of interest would exist if the claim had been within the limit
permitting the second defendant to settle claims. I refer to these conflicts as examples
only. No allegation of a conflict
of interest is made in the present case by the plaintiff and based on the facts
as pleaded this conflict does not give rise to any issue required to be tried
by the Royal Court. Rather I refer
to it to illustrate why I do not accept the second defendant’s argument
that its obligation was only to act as a post box.
A breach of contract/breach of duty
189. I now turn to consider whether the plaintiff
has a claim for breach of contract or duty of care against the second
defendant, on the assumption that the second defendant owes the plaintiff
duties in contract and in tort which duties extended to formulating and
pursuing a claim against insurers.
190. I propose to deal with the second claim
first. In respect of this claim,
the second defendant provided the plaintiff with a copy of the policy when
asked for (see paragraph 65 above).
This meant that the plaintiff in relation to the second claim knew that
he was covered for alternative accommodation. In principle therefore he was able to
formulate a claim. He was also able
to decide whether or not to incur the costs of such accommodation and then
reclaim it from the first defendant.
191. By reference to the chronology of events set
out above in respect of the second claim, the second defendant also passed on
emails received from the third defendant to the first defendant and the
responses of the first defendant.
The position of the second defendant was that it was for the third
defendant to then pass on these communications to the plaintiff as the third
defendant was acting as loss adjuster for the first defendant. In my judgment, this approach ignores
the fact that the second defendant was insurance broker for the fourth
defendant and arguably for the plaintiff.
The second defendant, in order to give all necessary assistance to the
plaintiff to enable the plaintiff to formulate a claim, should therefore have
ensured that the plaintiff was aware of the first defendant’s decision to
provide cover for alternative accommodation. In respect of the second claim, the
second defendant did not make the plaintiff aware that alternative accommodation
would be provided. It is therefore
arguable that it failed in its duty in not passing on to the plaintiff
information on an issue as important as whether or not underwriters would
provide cover for by aspect of the plaintiff’s claim that was clearly
important to the plaintiff.
192. The position in respect of the first claim
however is different. Firstly, the
second defendant at no time informed the plaintiff of his ability to claim for
alternative accommodation. This is
despite the fact that such information was known to the second defendant because
the second defendant had written the insurance policy as agent for the first
defendant. The second defendant was
also aware that the plaintiff was claiming for alternative accommodation. It received copies of the third
defendant’s reports which it transmitted to underwriters (see paragraph
36 above). The plaintiff also asked
for advice on the provision of alternative accommodation (see paragraph 37
above). The plaintiff also alleges
that he spoke to Lady Gould of the second defendant on 12th December,
2012, about his claim for alternative accommodation (paragraph 40 above). At no time did the second defendant, in
respect of the first claim, ever advise the plaintiff that he was entitled to
claim for alternative accommodation under the terms of the policy. I consider this is a matter that gives
rise to an arguable claim for a breach of a duty of care. It is certainly not appropriate to
strike out such a claim on any of the grounds advanced.
193. I also consider that the second defendant
arguably failed in its duty of care by failing to ensure that the plaintiff was
aware of the underwriter’s decision taken on 14th December,
2012, that the first defendant would meet the reasonable costs of alternative
accommodation (see paragraph 47 above).
194. The second defendant was aware of the first
defendant’s position on 14th December (see paragraph 48 above)
and although the second defendant passed the information onto the third
defendant, the information was not passed onto the plaintiff. It may be this was because of the email
sent by the plaintiff on 13th December, 2012, (see paragraph 44
above) where he stated that there was no need to seek underwriter’s
permission in respect of alternative accommodation. However, I also note that Lady Gould of
the second defendant on 17th December, 2012, passed
underwriter’s instructions on to Mr Burns of the third defendant (see
paragraph 49 above). Again noting
that Mr Burns’ reply stated that no alternative accommodation was
required, I still consider to be a matter for trial whether a reasonably and
competent insurance broker would have informed the plaintiff the first
defendant’s position as at 14th December.
Loss
195. In respect to the second claim, I consider that
the plaintiff cannot establish any claim for loss against the second defendant
whether in contract or in tort for the same reasons that the plaintiff cannot
establish loss against the first defendant addressed at paragraphs 148-164
above, namely in respect of the second claim the plaintiff was both aware of
the terms of the policy and that in principle the first defendant would provide
alternative accommodation. It was
therefore a matter for the plaintiff as to whether he wished to incur the costs
of such accommodation and recover it from the first defendant. The plaintiff was not therefore denied
any opportunity of taking such a step by virtue of the second defendant either
failing to inform him of the terms of the policy or the underwriters in
principle would meet the cost of any such claim.
196. Again the position is different in respect of
the first claim. In Café
de Lecq Limited v R.A. Rossborough
(Insurance Brokers) Limited [2012] (1) JLR 254, the complaint against Rossborough was one for damages for loss of opportunity to
recover money contractually payable by a third party, namely to recover under
the policy of indemnity, as stated at paragraph 54:-
“As a matter of law this
means that the plaintiff must demonstrate, as a matter of causation, that on a
balance of probabilities there was a real or substantial chance, as opposed to
a fanciful or speculative one, that but for the non-compliance of the deep fat
fryer AXA would have accepted the plaintiff’s claim (Allied Maples Group
Ltd. v. Simmons & Simmons (1)). The plaintiff submits that there is no reason
to suppose that this would not have happened.”
197. The present case is slightly different because
the first defendant had in fact accepted that it would meet the
plaintiff’s claim in principle, but this was never communicated to the
plaintiff. In my judgment as a result
of this failure, the plaintiff suffered the same physical inconvenience I have
referred to at paragraphs 159-162 above, by reference to the Watts v Morrow
case. It is therefore arguable that
the plaintiff can claim damages for breach of contract against the second
defendant by reference to the physical inconvenience suffered.
198. I further consider such damages are also
recoverable in tort. In Rebours v Jersey Electricity Company Limited [1984]
JJ 67, the Court of Appeal accepted the damages for breach of duty could cover
inconvenience and distress caused in remedying the original breach. Such damage does have to occur as a
direct consequence of an act of negligence (see Troy v Michael Voisin & Co [1998] JLR N 1). In this case I consider it arguable that
the physical inconvenience of having to reside in a property that is arguably
uninhabitable is recoverable as a head of damage in tort and is arguably a
direct consequence of a finding of negligence against the second defendant. As for the amount of any claim against
the second defendant in tort, any damages are of course a matter for the Jurats
although again I consider that any such damage is likely to be modest.
199. Such a head of damage will not therefore
represent the rent that the plaintiff could have claimed had he chosen to move
out of the property and incur the cost of alternative accommodation. In that sense the present case is
different from the Café de Lecq case
because in that case damage in respect of which an indemnity sought had
occurred, namely the destruction of the café. In the present case the plaintiff did
not incur the cost of alternative accommodation. However, in my judgment that is not a
bar to him recovering damages for the physical inconvenience of having to live
in a property where he lost the opportunity, for the first claim, to claim the
benefit of an indemnity for alternative insurance cover.
The third defendant
The position in contract between the plaintiff and the
third defendant
200. As noted above, the third defendant is a loss
adjuster and is agent of the first defendant. The third defendant argued therefore
that there was no direct contractual relationship with the plaintiff. It further argued by reference to
paragraph 5 of the order of justice that the plaintiff had conceded that there
was no contract relationship between the plaintiff and the third
defendant. Paragraph 5 provides as
follows:-
“That for avoidance of
doubt the plaintiff has no direct contractual relationship with the first,
second or third defendant, save that he is a named in the contract and
identified as the sole and authorised document to the building I can only rely
upon the contract that exists between the fourth defendant and the plaintiff in
the form of a life tenancy agreement and the effect of breach of contract in
not securing insurance that is fit for purpose and this is through that
contractual relationship that provides plaintiff with legitimate relationship
and link with the first, second and third defendants enables this litigation to
be properly found.”
201. As noted above the first defendant did not
contend that it could not be sued for breach of contract by the plaintiff. I have also addressed the position of
the second defendant by reference to the Café de Lecq
judgment. What is pleaded in
paragraph 5 of the order of justice in my judgment arguably falls within the
principles set out in Café de Lecq as
to the basis upon which the plaintiff can arguably pursue the first, second and
third defendants. I do not
therefore accept that the plaintiff was conceding that he could not sue in some
manner the third defendant in contract.
202. However, I do not consider that the plaintiff
has any claim for breach of contract with the third defendant because, even if
he can establish title to sue in some manner by reference to the Café
de Lecq decision, there is no contract with the
third defendant to sue upon.
Firstly, the third defendant is agent of the first defendant. As can be seen from the chronology the
third defendant (via the second defendant) reported to the first defendant,
received instructions from the first defendant, was approved by the first
defendant and paid by the first defendant.
All of these matters are inconsistent with any contract existing between
the plaintiff and the third defendant.
Secondly, the fourth defendant through whom the plaintiff might acquire
a right to sue has no contract with the third defendant. Her contract was with the first defendant. The plaintiff cannot therefore be in a
better position than the fourth defendant.
Accordingly, to the extent that the order of justice alleges a claim for
breach of contract by the plaintiff against the third defendant such a claim is
struck out because there is no contractual relationship upon which the
plaintiff might sue.
A claim against the third defendant in tort
203. In relation to the claim in tort, the third
defendant argues that there is no basis in law for a duty of care in tort,
absent any specific assumption of responsibility, by a loss adjuster, appointed
to act on behalf of insurers, towards an individual whose interest is noted on
the policy.
204. The third defendant firstly referred me to the
English case of Graham v Entec Europe Ltd
[2013] EWCA Civ 1177. Although the loss adjuster in that case
accepted in evidence that he owed a duty of care to the policy, Potter L.J. at
paragraph 34 stated:-
“In acknowledging that loss
adjusters owe a duty of care to the policyholder when acting in the course of their
retainer for the insurance company, Mr Handford was
making a concession which was neither necessary to the issues nor, as yet,
recognised by English law: c.f. the view of the New Zealand Court of Appeal in
Mortenson v Laing [1192] 2NZ LR 282 and the discussion in Clarke: The Law of
Insurance Contracts (3rd ed) pp 842-845.”
205. In Mortenson v Laing itself, Cooke P.,
firstly, considered whether, applying the Caparo
test there was sufficient proximity between the investigators and the insured
so that a duty could exist at page 300 line 17 to 31, as follows:-
“What is plainly at the
forefront of the factors telling in favour of a duty is the close proximity
between the investigators and the insured.
True the contract of the investigators is only with the insurer, but by
entering into the contract of insurance the insured has placed himself in a
position where he must submit to investigation by the insurer’s
representatives in the event of a claim.
Inevitably an honest insured has to rely to a considerable extent on the
probity and carefulness of the insurer’s investigators. The element of reliance is thus
present. In turn those
representatives must be well aware that a report by them adverse to the insured
is likely to be seriously damaging to the interests of the insured. Certainly the insurer will not
necessarily decline liability if there is an adverse report, but the risk for
the insured is high. In agreement
with the Master I regard the risk as so obvious and so serious as to point
unmistakably towards a duty.”
206. In my judgment, I consider it is also arguable
that there is sufficient proximity between a person whose interest is noted on
an insurance policy and a loss adjuster, for the same reasons that I have
concluded it is arguable that a duty of care in this case is owed by the second
defendant as insurance broker to the plaintiff.
207. However, Cooke P. also evaluated factors for
and against recognition of the existence of a duty of care. At paragraph 303 line 51 to 304 line 17
he stated as follows:-
“Last it is most important to
bear in mind that the insured has his ordinary remedy against the insurer if
liability is wrongly declined as a result of a report by investigators. Possibly negligence on the part of
investigators could give rise to certain heads of damage not recoverable from
the insurer, such as damages for delay and vexation. I will assume, without deciding, that
such is the position. Nevertheless
the basic remedy against the insurer remains. The history of Laing v Mortenson
suggests that a negligence action against the investigators could be used as a
means of attempting to avoid determination between the insured and the insurer
of the central issue: whether the insured was privy to the lighting of the fire
and has made a fraudulent claim.
That indirectness should be discouraged by the Court. The proper vehicle for determining
responsibility for the fire is a proceeding between insured and insurer. Such a proceeding provides the insured
with a reasonable, even if not entirely comprehensive, remedy.
In the end I do not think that
there can be much doubt about the result of the weighing exercise. Although between the insured and the
insurer’s investigators there is a high degree of proximity, and although
in effect it has been legislatively recognised, the factors telling against a
duty of care are cumulatively almost overwhelmingly strong. The balance of public interest embodied
in the detailed rules of law as to defamation, malicious prosecution, witness
immunity and evidential privilege would be unjustifiably disturbed by
superimposing the claimed duty of care.”
208. Clarke on the Law of Insurance Contracts at chapter 30 reviews Mortenson v Laing and concludes as
follows:-
“… the adversarial
relationship between adjuster and claimant is no less true in England than in
New Zealand. It is the very
vulnerability of the claimant to the honesty and carefulness of the adjuster,
which prompted the New Zealand court to point up the proximity between them,
that has prompted the rise in England of investigators to act for the claimant;
David can now pay his own warrior to meet Goliath and keep his distance.
In conclusion, although there are
differences in the weight given to policy factors in New Zealand and in
England, there is little reasons to think that, when they are placed in the
balance, the verdict of the court in England is likely to be different. The more so because, like some courts in
the USA, the English court could not live comfortably with the holding that no
duty of care is owed to the insured by the insurer and at the same time hold
that such a duty was owed by the insurer’s agent, the adjuster. Subsequently, this view, that such
agents did not owe a duty of care in these circumstances, was confirmed by the
Court of Appeal in Graham v Entec Europe.”
209. No authority was produced to me by the
plaintiff to suggest why Graham v Entec Europe
and Mortenson v Laing and the passage in Clarke do not represent
the law of Jersey. In my view they
do and there is no argument that has been suggested to me otherwise which
indicates that the Royal Court should be required to determine this issue. As Clarke observes, if the
plaintiff did not like the views being expressed by the third defendant as loss
adjuster appointed by the first defendant, he was free to appoint his own loss
adjuster. This is an option open to
anyone making a claim where they are in disagreement with the views being
expressed by a loss adjuster retained by an insurer. For these reasons I strike out any claim
in tort made by the plaintiff against the third defendant.
Other claims
210. The above analysis is, however, not the end of
the matter. The plaintiff complains
vigorously that he was misled by the second and third defendants about not
being able to claim for alternative accommodation in respect of the first
claim. The sequence of events from
13th December, 2012, to 20th December, 2012, referred to
at paragraphs 42 to 55 above amount to a factual dispute between the plaintiff
and the third defendant as to what discussions took place between the plaintiff
and Mr Burns of the third defendant on 17th December, 2012, (see
paragraph 49 above) and on 20th December, 2012, (see 53 to 55
above).
211. In particular, the statement said by the
plaintiff to have been made to him by Mr Burns on 17th December,
2012, did not reflect the actual position of the first defendant. By that time the first defendant had
agreed to meet alternative accommodation costs. Whether that was known to the third
defendant depends on whether the email sent to him informing him that
underwriters would meet alternative accommodation costs was received and read
by him before or after his call with the plaintiff. If the call took place at all and if it
took place after the email setting out underwriter’s position had been seen
by the third defendant, then the plaintiff’s allegations are serious
because on his case he has been misled.
212. If the email setting out underwriter’s
position was only received after the call between the plaintiff and Mr Burns on
17th December, then on one construction of the plaintiff’s
affidavit evidence, the position had simply not changed since the previous
week. However, it is right to
observe that another construction of the conversation is that the underwriters
had confirmed that they would not change their mind. There is no evidence that underwriters
had made such a statement or that it had been communicated to the third
defendant. Equally there is also no
evidence that Mr Burns relayed the plaintiff’s change of position to
underwriters. These are not matters
I can resolve on a strike out application.
213. In relation to the discussion on 20th
December, 2012, I note that no evidence has been produced showing that the
plaintiff was ever informed of the first defendant’s decision to provide
reasonable accommodation taken on 14th December, 2012, known to the
second defendant by 14th December and Mr Burns of the third
defendant by 17th December, 2012. This may be because of the
plaintiff’s email of 13th December stating that alternative
accommodation was no longer required.
214. I also have to conclude, on the assumption, in
the plaintiff’s favour, that his call with Mr Burns referred to at paragraph 70 of the plaintiff’s affidavit took
place on 20th December, 2012, which I have to stress can only be an
arguable assumption because this is a strike out application, the statements
said to have been made in that call, if they were made by Mr Burns, have to be
construed as being untrue.
215. I wish to make it clear in that this is an
inference I am drawing only on the basis of the information as put before
me. I am not in a position to
conclude whether a call was actually made, whether Mr Burns actually made the
statements the plaintiff alleges he made and if he did whether he was aware of
underwriter’s position as communicated to him on 17th December
(see paragraph 40 above). Rather, I
am simply proceeding on the arguable basis that the call took place and that,
in the absence of any other evidence, it is arguable that statements which were
untrue were made to the plaintiff.
216. In my judgment, these complaints give rise to
an arguable claim in deceit by the plaintiff against the third defendant. I considered what was meant by deceit in
MacFirbhisigh & Anor v C.I. Trustees
and Executors Limited & Ors [2014] JRC 033 at
paragraphs 33 to 35 as follows:-
“Deceit
What is meant by deceit was
considered by the Court of Appeal in Pell Frischmann
v Bow Valley [2008] JLR 311 where the Court of Appeal summarised the
different economic tort claims brought by the plaintiff in that case. While Pell Frischmann
was varied on appeal in relation how damages might be assessed, the Court of
Appeal’s comments on economic torts were not reviewed by the Privy
Council.
In relation to deceit, the Court
cited with approval Clerk & Lindsell on
Torts 19th Edition at paragraph 18-01 as follows:-
“Where a defendant makes a
false representation, knowing it to be untrue, or being reckless as to whether
it is true, and intends that the clamant should act in reliance on it, then
insofar as the latter does so and suffers loss the defendant is liable for that
loss.”
217. I therefore consider that whether or not the
requirements for the claim for deceit are met are matters for the Jurats to
determine. The issue is not capable
of being determined on a strike out application. I wish to make it clear in reaching this
view that I am not concluding that an act of deceit has occurred. Rather I am simply concluding on the
assumption that the plaintiff’s assertions are established at trial that
a claim in deceit may lie.
218. In relation to the other claims advanced by the
plaintiff against the third defendant for misrepresentation and abuse of trust
I deal with these relatively briefly.
219. Firstly, in relation to misrepresentation, this
can apply in one of two ways.
Either an allegation can be made to set aside the policy on the basis of
a misrepresentation, more properly described as an erreur (see Sutton). There is no such allegation made in this
case. Secondly, a claim of
negligent misstatement can be made by reference to the case of Hedley Byrne
& Co Limited v Heller & Partners Limited [1964] A.C. 465. In my judgment I do not consider it is
arguable that the third defendant voluntarily assumed responsibility to the
plaintiff which is required to establish a Hedley Byrne type
liability. The third defendant
simply acted as a loss adjuster retained by the first defendant. Something more is required to take a loss
adjuster out of the ordinary relationships I have found exist in an insurance
claim neither of which create a remedy in contract or tort for the
plaintiff. Otherwise a loss
adjuster could potentially always be sued for statements made in the course of
assessing a claim for insurers. That
would lead to the potential imposition of liability when a duty of care does
not arise and no contract exists between the plaintiff and the third defendant.
The plaintiff’s remedies in
this case for the first claim are therefore either for breach of the implied
term of good faith against the first defendant due to the actions of the third
defendant in respect to the first claim, or a claim in deceit.
220. In relation to a claim of abuse of trust, if
this is meant to be suggesting some form of breach of fiduciary duty, I consider
there is no basis to conclude that the third defendant owed any form fiduciary
duty in the sense of an obligation of loyalty (see In Re Bird Charitable
Trust [2008] JLR 1) to the plaintiff.
Given that the third defendant does not owe any duty as in contract or
tort, I cannot see how any arguable claim that any form of fiduciary duty is
said to arise.
221. To the extent the reference to a claim of abuse
of trust is an allegation of fraud or dishonesty, I deal with this later in
this judgment.
Loss
222. The third defendant argues that no loss had
been suffered by the plaintiff in any event, for the same reasons advanced by
the first and defendants. However,
in my judgment, if deceit is established against the plaintiff, it is open to
the plaintiff to argue that he has suffered damages for the physical
inconvenience and distress associated with such inconvenience for living in an
uninhabitable property when he did not need to do so. I accept as part of that argument all
the defendants may well assert that the plaintiff would not have moved out of
the property in relation to the first claim because he chose not to do so in
respect of the second claim. That
is still a matter for the Jurats to assess and to be determined at a trial, not
on a strike out application.
The fourth defendant
223. The fourth defendant’s obligation to the
plaintiff was to procure a contract of insurance for the value of the property
occupied by the plaintiff under a life interest. The obligation was specifically to cover
alternative accommodation if the property could not be inhabited.
224. In my judgment, this obligation was
fulfilled. The terms of the policy
for both 2012 and 2013 when the claims were made provided for alternative
accommodation. The first defendant,
both in respect of the first claim, and the second claim agreed in principle to
meet the cost of alternative accommodation. The policy was not therefore ever
avoided by the first defendant.
225. I accept the plaintiff’s contention that
the policy was not in joint names as required by clause f of the life tenancy
agreement. However, this does not
assist the plaintiff. This is
because the first defendant has accepted that the plaintiff has a right to sue
the first defendant for breach of contract. There is therefore no issue that the first
defendant will not recognise the plaintiff’s right to sue the first
defendant. The plaintiff is
therefore in exactly the same position as if he were a joint assured on the
policy.
226. I also agree that no relief is sought in the
order of justice against the fourth defendant which is therefore
defective. Even if such relief was
allowed to be pleaded, this would not save the plaintiff’s claim against
the fourth defendant, because there is no arguable breach of the first
defendant’s obligation to the plaintiff to procure insurance.
227. The fourth defendant is also not responsible
for the actions of the first, second and third defendants. Even though I have found in respect of
the first claim that the plaintiff has arguable claims against each of those
defendants, those are matters between the plaintiff and each of those
defendants. They do not concern the
fourth defendant. The fourth
defendant is simply another individual who also has the right to sue the first
defendant under the policy and the second defendant as her broker. However the fact she has not chosen to
do so does not lead to a case against her.
In respect to the policy, the first defendant accepts that the plaintiff
is entitled to sue. In respect of
the second defendant, assuming in the plaintiff’s favour that the fourth
defendant has a cause of action against the second defendant, it is a matter
for the fourth defendant whether she exercises such a cause of action. However, the plaintiff has no right to
require her to do so. The same
analysis applies to any claim she might have against the third defendant. This is so even if no duty of care is
owed to the plaintiff by the second and third defendants. On the matters put before me, I should
make it clear that nothing has been set out why the fourth defendant might have
claim against either the second or third defendants. My observations are simply on the
assumption, in the plaintiff’s favour, that such claims exist. Their existence however does not mean
that the plaintiff has a claim against the fourth defendant if such a claim is
not pursued.
228. The position of the plaintiff is also not
capable of being saved by amendment.
There is no basis to argue that the fourth defendant is in breach of the
contract which has caused the plaintiff loss. It was for this reason that at the
conclusion of the hearing I immediately struck out the claim against the fourth
defendant. This part of the
judgment therefore represents my reasons for doing so.
229. The fourth defendant also adopted the submissions
of the other defendants in relation to loss. My conclusions are the same as those for
the other defendants. However, the
point does not arise because the plaintiff does not have a claim against the
fourth defendant.
General issues
230. I now turn to deal with the claims made against
all of the defendants for conspiracy/dishonesty, and claims for
punitive/exemplary damages.
Conspiracy
231. The requirements to assert conspiracy in a
civil claim context was touched upon by the Court of Appeal in Pell Frischmann Engineering Limited v Bow Valley Energy Limited
& Anor [2008] JLR 311. At
paragraph 45 Beloff J. A. stated:-
“The key to this tort turns
on the distinction “. . . between the case where the object
is the legitimate benefit of the combiners and the case where the object is
deliberate damage without any just cause.”
232. By reference to the chronologies for the first
claim and the second claim I have set out above, I do not consider that there
is a basis to plead an allegation of conspiracy. Looking at the sequence of events as a
whole, what occurred here was the normal handling of an insurance claim and
communications between a loss adjuster, a broker and the insured. While arguably mistakes may have been
made in respect of what was communicated to the plaintiff, that is very
different from drawing inferences that all the three defendants intended to
deliberately damage the plaintiff without any just cause. There is nothing in the factual
chronology which in my judgment allows any such inferences to be drawn or to
require such an allegation to be referred to the Jurats for determination in a
full trial before the Royal Court.
Even the fact of an arguable claim of deceit does not change this
conclusion. That is simply a claim
against the third defendant only.
It does not mean that allegations of conspiracy can be made against the
first or second defendants. All
such allegations are therefore struck out.
Fraud
233. Insofar as the plaintiff’s pleading or
amended draft pleading suggests fraud, I also strike out such allegations. No such allegation is properly
particularised and by reference to the chronology of events in relation to both
claims, no such allegations are capable of being pleaded for the same reason
that no allegations of conspiracy are sustainable. Accordingly I also strike out all
allegations of fraud against all of the defendants. The same applies to claims for
abuse of trust, which is emotionally an alternate allegation of dishonesty.
Gains based damages
234. I also strike out any claim for gains based
damages. The only amount of damages
the plaintiff can claim against the first, second and third defendants are on
the limited basis I have set out above.
The fact that the plaintiff did not incur accommodation costs and did
not move out of the property which meant that insurers did not make a payment
that they would otherwise have made had such costs had been incurred does not
entitle the plaintiff to recover damages.
This would be a claim for monies insurers would not be obliged to pay
out. Such claim is unsustainable
and is therefore also struck out.
Punitive/Exemplary damages
235. In relation to the claim for punitive/exemplary
damages the Royal Court in West v Lazard Brothers [1993] JLR 165
recognised the possibility of such damages but refused to order the same on the
facts that the case (see page 320 lines 10-14). Then Royal Court summarised exemplary
damages by reference to the House of Lords decision of Rookes
v Barnard [1964] A.C. 1129 as follows:-
“It would appear from a close
reading of that case that there are now only limited cases where, in England,
an award is authorised by statute.
That is, in the case of oppressive, arbitrary and unconstitutional
action by servants of the government or where the defendant’s conduct has
been calculated to make a profit for himself which might well exceed the
compensation payable to the plaintiff.
A well-tried example of that would be where a publisher put out a book
in the knowledge that his profits would cover and well exceed any general
damages that would be awarded against him for the defamatory and scurrilous
material contained in the book.
Exemplary damages are therefore to
punish and deter and require exceptional circumstances.”
236. In Kuddus v
Chief Constable of Leicestershire [2002] 2 A.C. 122, at paragraph 63 Lord
Nicholls stated as follows:-
“On occasion conscious
wrongdoing by a defendant is so outrageous, his disregard of the plaintiff's
rights so contumelious, that something more is needed to show that the law will
not tolerate such behaviour. Without an award of exemplary damages, justice
will not have been done. Exemplary damages, as a remedy of last resort, fill
what otherwise would be a regrettable lacuna.”
237. At paragraph 68 Lord Nicholls also stated:-
“the essence of the conduct
constituting the court's discretionary jurisdiction to award exemplary damages
is conduct which was an outrageous disregard of the plaintiff's rights.”
238. I do not consider that there is any arguable
basis requiring a trial to show that such circumstances might be made out. What occurred in this case in relation
to the first defendant was, through no fault of its own, a failure in respect
of the first claim to advise the plaintiff of the terms of the policy. In relation to the second defendant, the
complaint is that the plaintiff was not told of the terms of the policy. There is also an arguable claim in
deceit against the third defendant.
However, these matters, if established in my judgment amount to no more
than mistakes being made by the first and second defendants. Even a claim of deceit that is arguable
does not cross the threshold of outrageous conduct to justify exemplary
damages. The fact that there were
disagreements between the plaintiff and the third defendant about the amount
claimable from insurers also does not take this case into the arena of
exemplary or punitive damages. What
occurred were negotiations about what the underwriters would pay. If parties were taking a strong position
in negotiations, that does not give right to exemplary or punitive damages,
even where that position turns out to be in breach of contract or leads to a
breach of a duty of care. Despite
the extensive material put before me and the length of the plaintiff’s
pleading, I have seen nothing to justify an award of exemplary damages. There has been no outrageous disregard
of the plaintiff’s rights.
Rather what the plaintiff has against the first, second and third
defendants is a modest claim for damages for the physical inconvenience of
living in uninhabitable property when he in fact had an option of claiming for
alternative accommodation. This
very far from the sort of cases where exemplary damages are awarded or
considered.
239. The first defendant quite properly drew to my
attention the Canadian case of Whiten v Pilot Insurance Company [2002]
SCC 18 where punitive damages were awarded against an insurer who made an
allegation of that was wholly discredited at trial and where there was no basis
to make such an assertion. In my
judgment that case is wholly different from the present case. While I understand the plaintiff’s
frustration at not being informed in respect of the first claim that he could
have claimed for alternative accommodation and that underwriters had agreed to
this, I do not regard the conduct of any of the defendants as being high
handed, malicious, arbitrary or highly reprehensible or far below ordinary
standards of decent behaviour.
The form of discharge
240. The first, second and third defendants also
raised the argument that the plaintiff had signed a form of discharge on 7th
December, 2013, which purported to be a settlement of the whole of the second
claim. By reference to the
chronology of events leading to execution of the form of discharge, I am not
able to determine whether or not claims for alternative accommodation were
finally excluded from any settlement.
I accept that the initial discussions about a settlement contemplating
an overall or holistic settlement. However,
from the evidence put to me it is not clear what discussions took place between
Mr Burns, the third defendant and the plaintiff immediately prior to the
settlement. This is because the
plaintiff appears to have made a proposal to settle claims, excluding
alternative accommodation. I have
not been provided with details of what it is the first defendant thought it was
settling through the actions of the third defendant. In particular, I have not seen any
evidence of either a final discussion between Mr Burns and the plaintiff or any
discussions between the third defendant and representatives of the first
defendant which led to the form of discharge being executed and payment being
made. I therefore consider it is
arguable that a form of discharge does not cover the plaintiff’s claim in
respect of the second claim.
However, the point does not ultimately arise because I have already
concluded that no loss arises in respect of the second claim as the plaintiff
chose to remain in the property.
Nevertheless I have set out my conclusions for the sake of completeness.
A way forward
241. In light of the conclusions contained in this
judgment, clearly there is a need to completely rewrite the order of justice,
for the plaintiff to start again on the much more limited basis I have
permitted. The order of justice is
presently drafted contains many allegations I have struck out and is also
difficult to follow. Even the
amended order of justice needs considerable work. In relation this I was referred by
Advocate Sinel to Papadimitriou v Quorum Management Limited [2004] JRC
142 where Birt, Deputy Bailiff, at paragraph 36 stated as follows:-
“36. However, I do not
consider that the order of justice is in a fit state to allow the real issues
to be focused on both by the parties and by the Court. I consider that a fair and efficient
trial of the matter would be inhibited if the order the justice were to remain
in its present form. It is simply
not possible to ascertain with clarity what the nature of the plaintiffs’
case against each defendant is. I
will hear the parties on the exact form of any order but I have in mind to
direct that the plaintiffs should file an amended order of justice within a
specified period setting out in a proper and satisfactory manner the facts and
matters relied on and the nature of each plaintiff’s case against each of
the defendants. The amended
pleading will need to explain the circumstances in which Lane makes a claim as
well as Mrs P and the grounds upon which that is made. The pleading will also need to set out
with clarity the exact nature of each duty (distinguishing between those owed
in tort, contract or as a result of a fiduciary obligation) said to be owed by
each defendant to Mrs P or Lane. It
must then go on to set out any facts and matters relied upon to support the
existence of that duty in the normal way. It must then move on in a logical manner
to set out the respects in which it is alleged that each defendant has breached
the duty owed by it or him to one or more of the plaintiffs. As I have said earlier, responsibility
for preparing an adequate pleading rests ultimately upon the advocates for the
plaintiff. They may well find it
more satisfactory if they (or any counsel instructed on their behalf) start
completely afresh rather than try and patch amendments on to the existing
pleading. ”
242. However, I have concluded that what is left in
this case is a very modest claim for damages for physical inconvenience against
the first, second and third defendants only for the short period that the
plaintiff was in occupation of the property when it was uninhabitable. While the amount of such damages, if the
plaintiff is successful at trial on liability, is a matter for the Jurats, the
claim is not going to be significant.
The costs will inevitably far exceed any sums awarded. Accordingly, in exercise in the discretion
vested in me by Rule 6/28 of the Rules I am therefore going to stay this matter
until the week commencing 5th January, 2015, to enable the parties
to resolve their differences by mediation.
I am exercising my discretion in this manner because otherwise the costs
of this litigation will, if they do not already, exceed what is at stake. There have already been two days of
argument in relation to this application which has resulted in a lengthy and
complex judgment. There will be
further complexities in relation to the issues I have found to be
arguable. The costs of these will
outweigh significantly what is at stake.
I therefore encourage all parties to make every effort to mediate and to
resolve their differences. I
consider, in particular, a mediator is required as I am concerned that direct
negotiation will not prove successful, given the history between the parties in
relation to this matter. In making
this order I wish to make it clear it does not apply to the fourth defendant
whose claim has been struck out and who is therefore discharged from these
proceedings. It is only if
mediation is unsuccessful will the plaintiff have to re-plead his case by
reference to the approach defined in Papadimitriou.
Authorities
Esteem
Settlement [2000] JLR 119.
Alhamrani v Alhamrani [2007]
JRC168.
Supreme Court Practice [1999] (the
“White Book”) 18/19/10.
Trant v AG [2006] JLR 531.
Trant v AG [2007] JLR 231.
Channel
Islands and International Law Trust Company v Pike [1990] JLR 027.
Mauger v Batty [1995] JLR Note 8b.
Bowen
& Anor v Noel Investments Limited [1990] JLR 184.
Insurance Corporation of the Channel
Islands v McHugh and Royal Hotel Ltd [1997] 1 LRLR 94 (QBD).
Sprung v Royal Insurance (UK) Limited
[1997] C.L.C. 70.
Manifest Shipping Co Limited v
Uni-Polaris Insurance Co case [2003] 1 AC 469.
Sutton
v Insurance Corporation of the Channel Islands Limited [2011] JLR 80.
Marine Insurance 1906.
HIH Casualty and General Insurance
Limited & Ors v Chaseman
and Bank [2001] EWCA Civ.1250].
Watts v Morrow 1991 1 WLR 1421.
Café
de Lecq v R.A. Rossborough
(Insurance Brokers) Limited [2012] 2 JLR 155.
Caparo Industries Plc v Dickman [1990] 2 AC 605.
Punjab National Bank v De Boinville [1992] 1 WLR 1138.
Callaghan v Thompson [2000] C.L.C.
360.
Café
de Lecq Limited v R.A. Rossborough
(Insurance Brokers) Limited [2012] (1) JLR 245.
Graham v Intec Europe [2013] EWCA Civ 1177.
Pell
Frischmann Engineering Limited v Bow Valley Energy
Limited & Anor [2008] JLR 311.
West
v Lazard Brothers [1993] JLR 165.
Rookes v Barnard [1964] A.C. 1129.
Kaddus v Chief Constable of Leicestershire [2002] 2 A.C. 112.
Papadimitriou
v Quorum Management Limited [2004] JRC 142.
Insurance Contracts Act 1984.
Clerk & Lindsell
20th Edition.
Charlesworth & Percy on
Negligence 29th Edition.
Rebours v Jersey Electricity Company Limited [1984] JJ
67.
Troy
v Michael Voisin & Co [1998] JLR N 1.
Mortenson v Laing [1192] 2NZ LR 282.
Clarke on the Law of Insurance
Contracts.
MacFirbhisigh & Anor v C.I. Trustees and Executors
Limited & Ors [2014] JRC 033.
Hedley Byrne & Co Limited v
Heller & Partners Limited [1964] A.C. 465.
In
Re Bird Charitable Trust [2008] JLR 1.
Whiten v Pilot Insurance Company
[2002] SCC 18.