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APPENDIX:
WEST INDIAN CASES & MATERIALS
ON
INSURANCE LAW IN THE COMMONWEALTH CARIBBEAN
Worksheet 1
United Security Life And General Insurance Company Limited v. Supervisor of Insurance,
the Supervisor of Insurance failed to furnish, in a timely manner, the plaintiff insurance
company with a copy of the auditor’s report. In fact, the plaintiff received a copy of the
document some 7 days after the Supervisor had intervened and some three months after the
Supervisorreceived the Report, The Court, inhearing the action for Judicial Review, interpreted
section 65 of the Trinidad Insurance Act which empowered the Supervisor of Insurance to
intervene into the affairs of a company where:-(i) the interests of the policy holders are being
threatened, (ii) the Supervisor is satisfied that it is necessary to intervene to protect the interests
of policy holders (iii) the company is unable to pay its debts(iv), there has been unreasonable
delay in the settlement of claims; and (v) the company has furnished misleading or false
information. Section 66 of the said Act, places an obligation on the Supervisor to provide
written notice prior to the exercise of power. The High Court of Trinidad and Tobago held that
the failure by the Supervisor to furnish the appellant with a copy of the report , vitiated the
Supervisor's action, Justice Blackman stated, in reference to the dispute as to the amount of the
deficit in the statutory fund:-
“Ido not think the rules of natural justice and the judicial limitations on the exercise of
his powers that the courts should get involved in accounting matters. The courts are not
equipped to handle such problems which are better left to the experts.
‘The decision can be seen as reflective of the overall reluctance of the judiciary to intervene in
commercial matters and in this regard, administrative law operates as a convenient appropriate
device to avoid an in- depth investigation into the minutiae of insurance operations .
i Note at p. 419 of the Judgement Citing Re Western Ontario Credit Corporation Limited v.
Ontario Securities Commission (1975) 59 D.LR. (3d )SOI at 511 where Justice Hughes stated
“Moreover where a regulatory tribunal acting with its jurisdiction, make an order in the public
interest with the experience and understanding of what that interest consists of in a specialized
field accumulated over many years, the
LAWO 2007 1
Ali
A similar outcome yas reached in the Barbadian Court of Appeal decision of Narsham
Insurance ( Bds } Ltd v. Supervisor of Insurance and Another. Here the applicant, an
insurance company, failed to file financial retums in accordance with the Insuzance Act. After
the company was in default| for 2% years, the Supervisor ordered the company to refvain
from writing any new business, from making any investments and from disposing of any
investments. On an application for Judicial Review, the Court of Appeal held that the actions
Of the Supervisor amounted'to a breach of the rules of natural justice. It ruled that the
Supervisors’ failure to. make the Repost of the actuary available to the company timeously,
made his actions vulnerable to review.
Guichard et Al v Bank of Nova Scotia Co of Trinidad and Tobago Ltd et Al S- 601 OF 1987
Hight Court of Trinidad and Tobago
Facts: The plaintifis effected.a comprehensive fire insurance policy with the second defendant
insurers through the first defendant bank, acting as servant / agent, on premises situated in San
Femando in Trinidad and Tobago. On the 14" June 1986, the premises were destroyed by fire
bat on around the 16" June 1986, the plaintiff received a letter dated 13% June , addressed to the
first defendant , purporting to cance] the said policy effective 4.pm on the 13° June 1986. Prior
to the fire the plaintiff were not aware of the cancellation and had not received notification.
Held: There was a mortgage between the plaintiffs and the first defendant as evidenced by the
‘mortgage deed which established a contractual arrangement between them. In cases of this
nature , one’s claim should be in contract and not in tort, Notice of the second defendant to the
first defendant was inadequate and unreasonable. ‘The trust company had never accepted
cancellation of the contractof insurance. ‘The refused cheque was never accepted in full and final
settlement of the matter, The form of notice, oral and written and the length of notice was
insufficient to terminate the contract prior tothe destruction by the fire of the plaintiffs’ property.
Plaintiffs action failed against the first defendant but were held entitled to succeed on their
claim against the second defendant for the insurable value of the plaintiff's property. The first
plaintift was entitled to pursue third party proceedings against the second defendant . The sum
Tecoverable on the contract td go to the first defendant as provided by the mortgege deed, in
>on sewn
LAWO 2007
|
;mppoiarycover wasconcidedoraly
2. See generally Carter. Boch (1766)
3 Burr. 1905. Joel v, Law Union &
Crown Insurance Co, (1908] 2 KB.
863; Marks v. First Federation Life
Insurance Co. Lid. (1963) 6 WAR.
185,
3. (1927. A.C. 139,
4. 1951} 1 Lloyd's Rep. 135; affirming
The Times, Joly 5, 1950,
5. (1972) 18 WIR, 220,
6 Peter Persaud and Others y, Pin,
Versaittesand Schon Ord Lid. (1970)
17 WLR. 107,
7. 0972) 18 WIR. 220 at p, 226,
8. The point was made by Scranton, LJ.
in McCormick and Another v, Na.
tional Moror and Accident Insurenae
Union, Led. (1934), LL, Rep 36] at
thet in certain 1s the:
insured might be entitled to 1ake the
aninnde “well there is a material fact
which you didnotaskaquestion about,
‘sandas you didnotask aquestion about
ityou cannot say that ic ought to have
9. (4972) 18 WLR. 220 at p, 225,
10 According to Dr. Malcolm Clarke:
(@) waiver looks chiefly to the conduct of
erwise have been entitled, so as to
deny to him a later election 19 the
contrary”;
©) waiver looks 19 the intention and
Knowledge of the waivor, while the
Knowledge or actual intention of the
Petron estopped, is inelevant. It ig
‘ipelevant 19 waiver that the waives
‘as acted in relfence on the waiver
‘while forestoppe reliance sessentia;
(©) waiver requires ‘positive acts by the
waivor, which estoppel does nat: The
Law of Insurance Contracts (Lloyd's
of London Press Li, 1989) at pp.
555-556,
A. (1951) 1 Lioyd's Rep, 139, ffimming
The Times, Tuly 5, 1950,
12. Ibid, at p. 143,
13, (1972) 18 WIR. 220 at p. 225,
14, “The Doctrine of Uberrina Fides in
Insurance Law - a Cyitical Evalna-
‘on™ (1969) 32 MLR: 615 at p. 626,
1S, (1927) A.C. 139 at p. 143,
46, [1951] 1 Lloyd's Rep, 139 atp, 142,
17. 1972) 18 WIR. 220 at pp, 225-296,
38, The mutality of the duty, Fest enun-
ciated by Lord Mansfeld in Carter»,
Bockm (1766) 3 Burt. 1905 has been
dramatically alfinmed in the recent
case ofBangueFinancieredelachey.
Westgate Incurance Co,Lid (1990}2
AUER. 947 where the FouseofLards
Confirmed that the insurer also was
Obliged to disclose all materia facts,
19, (2908]2 KB, 863,
20. (1873) 11M, 351,
22, 11936] 1 KB, 408,
2. See also Mutual Life Insurance Co. of
New York v. Ontario Metal Products
Co.Ltd. 1925} 4,C.344 0; Zurich
GeneratAccidentand Liability Insure
ance Co. Lid. v. Morrison and Others
11942] 2KB, 53,
23. Seeeg, see, 18, Marine InsuranceAct
1906 (UX); secs. 22, 23(1), Marine
Insurance Act 1973 (Iamaica); secs
x.
20,211) Marine insures
Barbados).
24, Sec e.g. Merkin (1976) 2
Brooke, [1985] LM.Cr,
25, See generally Donoghue y
[1932] A.C. 562,
26. Merkin (op. cit) at p, 479,
27. Command Paper 62 of 195
28, [1975] 2 Lloyd's Rep, 485
Highland inswance Co. v,;
tal Insurance Co, (1987]
Rep. 109,
29, (1963) 6 WIR. 185,
30, See eg. See. 1450) of t
Trafic Act 1972 which requ
merely that the undisclosed
‘material but also that it inch
Pantcular insuree 10 enter j
contact,
31. Seve. Thompson. Occiden
Insurance Co. $13 P, 24. 35
* (Cal. 1973 ~ life): Life tasuren
of North America v. Capps, 66.
392, 394 (9 Ci, 1981 - life),
32, See generally Statements offnsa
Practice, 1971, revised 1986. (
49MLR 754,
33. Cap. 2 (Gj. See now the Civil L
Guyana Act, Cap. 6:07. Sectic
ides:
provi
assurance which are henceforth bros
{nthe High Coan or in any compe
‘cour of this country, the taw sdmi
tered forthe time by the High Com
Justice in England, so fer as that lav
‘Ot repugnant to, oF in conflict w
‘ny Actnow in force in Gayana, sh
be the low to be administered by 1
‘High Courtor other comperent cout4ROSE v. ROSE AND CROWN LIFE INSURANCE CO.
Insurance
(COMMONWEALTH OF THE BAHAMAS, Supreme Court. Equity Side.
Suit Wo, 1558 of 1990 (Strachan, 1); May 15, 1991]
LIFE INSURANCE - BENEFICIARY - HUSBAND NAMED BY WIFE AS
BENEFICIARY UNDER LIFE POLICY - STATUTORY TRUST CREATED
BY VIRTUE OF SECTION 7 OF THE MARRIED WOMEN'S PROPERTY ACT,
Cit, 115 - SPOUSES LATER SEPARATED - WIFE ATTEMPTED TO
NOWINATE CHILDREN AS BENEFICIARY UNDER POLICY - WILL
EXPRESSING “DESIRE” THAT CHILDREN BE BENEFICIARIES -
ucts: Section 7 of the Married Women's
‘operty Act provides, inter alia, that where
married womeneffectsa policy oaber life
‘pressed to be for the benefit of her hus-
‘ad,a trust willbe createdin ber husband's
vou The insured effected a poliey of life
ssurance naming her husband as the sole
neficiary, The partes later separated and
insured sought to effect a change of
‘eneGiciary to her four children. In her wil,
“auinsured expressed a “desire” that “all
sales from (het) insurance policies be put
« tust” for the children, However, at no
‘mg before the death of the Insured did her
sband relinquish his right. The court was
WHETHER EFFECTIVE,
left to evake a determination as to the beni-
Counsel for the plain
tended that under the provisions ofthe Act
and the policy the plaintiff acquireda vested
ncerestwhicheculd only bedltered with his
cdnsent. Counsel for the defendants (ihe
children of the insured) argued that the
beneficiary clause ofthe policy gave aright
torevokeany appointmentof beneficlary or
alter the number of beneficiaries by anctice
im writing given to the Head Office of
Crown Life to thareffect. twas contended
thatthe will in which the insured stated how
the proceeds of ber policy should be paid
constimted a writen document as required
by the poiley.
Held: () Under the provisions ofthe Mar.
ied Women's Property Act the husband's
interest.in the proceeds of the policy vested
‘romits inception, so chat his wife could not
remove himas beneficiary oraddbeneficia-
vies without his consent, Therefore, the
declaration in the will purporting to create
amstfor the children bad no effect, andthe
proceeds of the palicy were held for the
named beneficiary, the husband.
Per Strachan, J.:"_the inescapable result
(in this case) may well invite legislative
reappraisal ofthe law.”
EDGAR y. DEMARA MUTUAL LIFE ASSURANCE SOCIETY LTD.
(ST. LUCIA, High Court. Suit No, 100 of 1989 (Matthew, I,
January 24, February 5, 1992}.
LIFE INSURANCE ~ CONTRACT OF INSURANCE ~ ORAL AGREEMENT -
VALIDITY OF - WHETHER TERMS OF ORAL AGREEMENT ESTABLISHED.
LIFE INSURANCE - PARTIES ENTERED INTO CONTRACT FOR TEN .
YEAR TERM POLICY OF INSURANCE - EXPIRY OF POLICY -
ACCEPTANCE OF YEARLY PREMIUMS AFTER EXPIRY OF POLICY ~
INSURED BELIEVED THAT HE WAS COVERED FOR ANOTHER TEN-
YEAR TERM POLICY OF INSURANCE - COMPANY SUBSEQUENTLY
REFUSED TO GRANT COVERAGE - WHETHER VALID INSURANCE
POLICY - WHETHER BINDING CONTRACT ON ACCEPTANCE
scts: In May 1977 the plaintiff obtained a
‘ency-year foan from a finance company
vurchase a home, As ihe loan was condi-
sed opon a life insurance policy tocover
OF PREMIUMS.
the loan péviod the plaintiff applied ta the
defendant company for a policy to cover
thacperiod, The company granted coverage
fora ten-yearperiod sndon May 5,197 the
is
plaintiff obtained a ten-year level term plat
of assurance in the sum of $75,000. The
policy expired on May 4, 1987. The plain
‘iff paid two yearly premiums which werted seg
signed in July 1988 as the plaints offer
wasrejected ina eter dated January 9, 1989;
(i) the existence of an oralconvactcould
fot be established. The essentials of the
agreement, that, the amount of coverage,
the nant of te risks and the rate of pre-
sium were not agreed on. Further, the plain-
tiff aid notestablish the fact ofagreementon
mm Insurance policy for a second ten-year
teem
| Gi) im any case the defendant's agent
[ would net have had authority to enver inta
such an oral agreement as it was the
J company's bead office which decided
ped after expiry of the policy and on
16, 1988 he signed a proposal for a
and ten-year term policy. However, on
vuary 15, 1989 the plaintiff received a
+ from the defendant company inform-
tim that tke company could not grant
rage. The plaintiff claimed that the
tof the company had indicated that
‘expiry of the initial period the com-
would insure him for a consecutive
‘ear period, The issue for detecmina-
by the court was whether there was a
insurance policy in existence.
+) No contract arose on the proposal
|
i
t
‘whether orncttoacceptinsurance proposal
(@)ovenifthe defendant’segenthad told
the plaintit that after 1987 the company
would insure him foraten-yearperiod,ifby
1568 the plaintif’s bcalth had deteriorated,
the plaintiff woald have much difficulty in
esmblishing the legality of the conzct,
(¥) the case of Canning v. Farquhar
(1886) 16 Q.B.D. 727 was no authority far
the statement that once premiums were paid
and accepted there was 8 binding contactof
insurance,
Claith dismissed with costs to the defen-
ant to be taxed if not agreed.
artyreduction or repayment of the mortgage debt,
“When a mortgagee wishes to safeguard his insurable interest... he acts as an agent as,
for the mortgagors. What the mortgagee is doing is protecting its interest in order 10
satisty any purported loss, future loss etc. When than right is purportedly exercised by a
mortgagee pursuant to the mortgage deed the onus is upon the mortgagee to take all
necessary precautions to get the best possible coverage in the circumstances, and to act
fairly. All these are rights and dutis..... In Halsbury’s Laws of England ( 4" edition )
Vol25, para 398, the relevant law as respect the formation of a contract to insure is set
out in this way: “Necessity for offer and acceptance. A contract of insurance, like any
other contract, is created where there has been an unqualified acceptance by one party of
an offer made by the other.” Where a proposal in the normal form is accepted without
qualification, the contract is complete and the insurers re bound to issue, and the
proposer to accept a policy in accordance with the situations of the proposal. The
insurers cannot then seek to introduce variations by issuing a policy containing different
terms, although if they do the proposer will probably be bound by the Varied term ifwith
their knowledge, he indicates by word or act his assenit to the variation of the terms
already agreed.” It was never a term or a condition of the said contract that a survey of
he plaintiffs’ building had to be undertaken by the second defendant as a requirement for
the continuation in force of the said contract. in fact no mention was made either in the
proposal form ( which forms the basis of the first defendant's offer) or in the second
defendants’ letter of acceptance of the 16! April 1986 about a survey. There was indeed
unqualified acceptance of the offer by the second defendant without any reference
whatsoever to any survey... [think that an insurance Company hes a whole has a right
always to terminate a contract of insurance for refusal or neglect by the insured to
perform or to fulfil some essential term or condition in the contract or for non -
compliance with or non- fulfilment by the insured of same, but it seems to me that the
absence of agreement by the parties as to the form of notice and the length or period of
notice required for cancellation of such contract, reasonable notice of intended
find that the notice 6f the cancellation of the contract
of insurance by the second defendant to the first defendant was inadequate and
cancellation should be given..
LAWO 2007 3
43unreasonable .*
Agency
“Halsbury's Law of England ( 4° definition) para 701, Vol 1, puts the subject of the
nature and formation| of agency in this way agency in this way:- The selation of agency
arises whenever one person called “the agent” has authority to act on behalf of another,
called the “principal” and consents so to act . Whether the relation exists in any situation
depends not on the precise terminology employed by the parties to describe their
relationship, but on the true nature of the agreement or the exact circumstances of the
relationship between. the alleged principat and agent. Again, at paragraph 715 of the
said Volume, the following statement appears:- The relation of agency is created by the
express or implied agreement of principal and agent, or by ratification by the principal
of the agent’s actions done on his behalf. Expres agency is created where the principal,
or some person authorised by him, expressly appoints the agent either by deed, by writing,
under had, or orally, Implied agency arises from the conduct or situation of the parties,
or by operation of the law, for example from necessity . A case of implied agency
between the first defendant and the plaintiffs did arise ( it would seem) in this case from
the parties - 2s joint; proposers on the proposal form for the purpose of insuring the
property, What then was the extent of that agency. Did it embrace the receipt of the
notice by the first defendant for an on behalf of the plaintiffs ? Ido not think so . In the
first place, the Trust Company was under no obligation (according to the mortgage deed)
to insure the plaintiffs property. It did so out of concem for its own insurable interest
Secondly, neither the mortgage deed nor the proposal form or any other document cast
on the first defendant the obligation of having to receive any notice of cancellation for
or on behalf of the plaintiffs with any such notice. On the other hand, it would bave been
both inconceivable and nonsensical for the first defendant to have insured the premises
merely in the name of the first defendant only when the plaintiffs still had an interest on
the said property by reason of their equity of redemption. It seems to me , therefore, that
the first defendant was not the agent of the plaintiffs for the receipt of notice served on
them by the second defendant. I'now turn to what I consider - to be a delicate topic. It
is this. Did the first defendant and the second defendant owe any duties to the plaintiffs
ae
LAWO 2007 44s outlined in paragraph 11 of the plaintiff's statement of claim’
Figst , it must be
remembered that the proceedings herein were instituted principally in contract, an not in
tort, Second, the relationship between the contracting parties is based on contract , and
not non tort. Furthermore, a close scrutiny and examination of the factual background
and surrounding circumstances of this case will show that the claims by the plaintiffs for
relief herein arise out of the contract of insurance herein, and revolve around same. The
mere importation and introduction by the plaintiffs of the tort of negligence and breaches
of duty akin to the said tort will not per se convert the contract( or what is basicallya case
of contract) into the tort of negligence, For that matter, it is inspiring to note what Lord.
‘Scarman had to say in Tai Hing Cotton Ltd v Lui Chong Bank ( supra) on this very point.
In deprecating this practice, he commented (at page 957)
“Their Lordships do not believe that there is anything to the advantage of the
law's development in searching for liability in tort where the parties are in a
contractual relationship. This is particularly so in a commercial relationship.
‘Though itis possible as a matter of legal semantics to conduet an analysis of the.
rights and duties inherent in some contractual relationships including that of
banker and customer either as a matter of contract law when the question will be
‘what, if any, terms are to be implied or as a matter of tort law when the task will
be to identify a duty arising from the proximity and character of the relationship
between the parties, their Lordships believe it to be correct in principle and
analysis: on principle because it is a relationship in which the parties have,
subject to a few exceptions, the right to determine their obligations to each other
, and for the avoidance of confusion because different consequences do follow
according to whether liability arises from contract or tor, e.g. in the limitation
of action, Their Lordships respectively agree with some wisé words of Lord
Radcliffe in his dissenting speech in Lister v Romford Ice and Cold Storage Co
Ltd 1957) A.C. 555 at 587 After indicating that there are cases in which a duty
arising out of the relationship between employer and employee could be analysed
as contractual or tortious Lord Radcliffe said,
LAW© 2007 . 5
45“Sincb in any event, the duty in question is one which exists by
impuiption or implication of law and not by virtue of any express
negotfation between the parties . I should be inclined to say that these is
nota] real distinction between two possible sources of obligation, But is
certainly, Tthink, as much contractual as tortious. Since in modem times,
the relationship between master and servant, between employer and
employed, is inherently one of contract it seems to me entirely correct to
aktribute the duties which arise from that relationship to implied contract.”
Whether a contract of insurance existed?
“ It would be offensive to commonsense and to substantial justice for a court of
Jaw to hold that 2 man can be bound by a document (especially one) the contents
of which he ig unaware . On the subject of a policy the authors of Halsbuy’S
Laws of England( 4" edition) Vo 25, paragraph 406, say this:- “In form, a policy
is a unilateral undertaking by the insurers to pay the sum insured on the
happening ofthe specified event, and unless and until rectified, it is an exclusive
record of the contract.”.At paragraph 410 of the suid edition, the authors again
State:- “A policy of insurance is a document ia writing; it is a commercial
document, designed to fulfil well recognised commercial habits and practices,
Each of the broad propositions produces a number of subsidiary nules governing
its interpretation.” ..
Worksheet 3 INSURABLE INTEREST
American Life Insurance Co v. Sumintra, arising out of the Guyana Court of Appeal, *
Discussing the origin, importand nature of the doctrine of insurable interest, Justice Luckhoo
states:
“Now, it is trite law that one of the three great principles of insurance law is that the
insured must have an insurable interest in the subject matter of insurance, ie to effect a
valid contract of insurance the insured must have something at stake; he must have
something to tose by the happening of the peiil he seeks to insure against, This is a
statutory requirement inderthe Life Assurance Act, 1774(UK) provision which applies
2 (ag83)37 war 243.
LAWG 2007in Guyana by virtue of section 13 of the Civil Law of Guyana Act, Cap 6: 01. But,
generally speaking, any insurance effected by an insured without an insurable interest
would be void as gaming or wagering transaction under section18 of the Gaming Act
1845 (UK).”
Rambally y Barbados Fire and General Insurance Company Ltd et all
No 1179 of 2000.( Unreported decision, High Court St Lucia).
Oni 26" May 1997, a building housing the Country Style Bakery and Restaurant at Bexon
Castries was destroyed by fire. At the material time there was in existence a policy of insurance,
dated 22 July 1996, with Barbados Fire and General Insurance Company Ltd that covered loss
cor damage by fie flood and other perils. This policy was effected by the second plaintiff RR.
inthe name of his uncle HR who was then one of the registered owners of the property. The other
was his wife NR the first plaintiff, Thesecond. defendant acted as the broker. ‘The plaintiffs were.
in the process of purchasing the property from the HR and had paid a deposit of $300,000 under
asale agreement and where paying monthly payments to the mortgagor Royal Bank of Canada,
On the 3* January 1997 HR died. In 1999 Letters of administration were issued by the High
Court to NR his widow. RR and SR were not beneficiaries under the policy. RR made a claim
under the policy By notice of loss. The insurers refused the claim contending that RR was a
stranger to the contract could not claim the proceeds of the insurance policy on the basis that
he owned the property or was an assignee of or a beneficiary . The issues that arose for
consideration where ,inter alia, the nature of the insurable interest of RR and (ii) whether the
insurance brokers were agents of the insurers or the insured? And thus the insurer's were bound
by the promises and representations, acts or conduct of the agent. Are the insurers entitled to
avoid the policy for non- disclosure and misrepresentation material to the risk and lack of pre-
contract good faith.
Insurable interest
“There is no legal requirement that a policy covering fire risk must contain the names
or identity the interests of all the persons who are able to seck indemnity under it Sui v
Eastern Insurance { 1994] 1 AlLER 213 approving Mark Rowlands Limited v Berni Inss
[ 1985] 3 AIL ER 473... must apply the provisions of the Articles of 945 to 936 of the
LAW 2007 7
atCivil Code of St Lucia Chap 242..... Though evidence of intention is clearly aot
admissible in aid of fonstruing the insurance contract, such evidence become relevant
‘when insurable intergstis in question ; Hepburn v Tomlinsomn ( Haulier ) Limited [1966}]
A.C 451 per Lord Hotison at page 472-F........ Lam fortified authoritatively in my view
by the dicta of Lord Haldane in Dunlop Pneumatic Tyre and Company v Selfridge and
Company{1915] AC 847; and Lord Wright in Vandepitte v Preferred Accident Insurance
Corp of N.Y. (1933] AC 71. Lord Haldane authoritatively expounded that. in the law
of England certain principles are fundamental One is that only a person who is a paty
toacontract can sue on it. Ourlaw knows nothing of jus quaesitum tertio arising by way
of contract. Such a right may be conferred by way of property, as, for example, under a
trust, but it cannot be conferred on a stranger to a contract as a tight to enforce the
contract in personah.”.., Speaking of this dicta of Lord Huldane, Lord Wright in
Vandepitte v Preferred Accident Insurance Corp of N.¥ observed - In that case... only
questions of direct contractual right in [aw were in issue, but ord Haldane states the
equitable principal which qualifies the legal rule, and which has received effect in may
cases, as for instance, Robertson v West (1863) 8 Ex 29!
before e that Hezekiah Rambally was expressly authorized ot under a duty to insure on
behalf of RR and SR... Articles 1193, 1211 and 1220 of Civil Code of St Lucia , Chap
2A2...uu Article 1211 states that “spouses shall together administer the property of the
community” Under Article 1193 ¥ should presunme that Hezekiah Rambally and NR
jointly acquired the property the property in community inthe absence of evidence tothe
contrary... ‘The lack of clarity in the law was recognised by the House of lords from as
far back as 1901 in Keighley Maxsted and Co v Durant [1901] 17 TLR $27. The head
note in this case reads that a contract made by a person in his own namo, pot purporting
‘There is no evidence
to act on behalf of a principal, but having an undisclosed intention to act for another,
though without that other's authority, cannot be ratified by that other so as to enable hi
to sue or render him liable to e sued on the contract... Lord Robertson in his
Judgement in Keighley case summed it up in this following statement ( at page 528) “Tt
seems to be that the whole hypothesis of ratification is that the ultimate raifier is already
in appearance the contactor, and that by ratifying he holds as done for him what already
LAW 2007 8
4kbore, purported , or professed to be done for him.. Whether the unathorised agent may be
mrked out as an agent by what he says, or by what he wears is, of course a mere matter
of circumstance and of evidence; but an agent he must be known to be and as agent he
must act.” In Hepburn v Tomlinson ( supra [1966] AC PC Pages 476 to 479 . Lord
Pearce in reviewing the reason for the lack of clarity in the law, recognized that “the
question of the assured’s unilateral intention came into this branch of law by way of
public policy and marine Insurance.” He also recognized that there were many cases in
which commercial convenience allowed an assured with limited interest in goods as agent
of trustee to insure the whole property in the goods and to recover the whole of the
money, bolding the balance in trust for those whose loss it represents. This was a case
conceming a policy taken out by carriers on the goods which were the property of a third
party, The rest of the facts ace unimportant for the purposes of the present case... I
therefore accept the law that an undisclosed principal can take the benefit of a contract
only where the insurers are aware that the person entering into the contract is a mere
agent, of is likely to be insuring other interests as well as his own... Applying these
‘statement of the Jaw to my findings, I conclude that at the time the insurance contract was
effected the insurers were never aware that Hezekiah Rambally wes professing to act as
agent for RR , NR and SR, or that he was insuring their interests under the policy...
Worksheet 5 NON- DISCLOSURE
Datkan v Colonial Life Insurance Co Ltd (1967) 12, WIR 133
COURT OF APPEAL OF TRINIDAD AND TOBAGO
Insurance Fire— Claim for payment Defence — Breach of express conditions ~Non disclosure
of other insurances — Commencement of action out of time — Fraud - Action dismissed — Fraud
rejected by trial judge — Finding reversed on cross-appeal,
‘The appellant insured his dwelling-house and its contents with the respondent against loss by
fire. He failed to disclose that he had insured against similar loss with another company and in
his declaration he misrepresented the value of the property to the respondent. The dwelling-
‘ Boston Fruit Co v British and Foreign Marine Insurance Co Lid [1906] A.C 336,
LAW 2067 9
44bouse was destroyed by fire nd the appeliant filed his action claiming $23,500. The respondent
pleaded that certain conditions of the policy had been breached and alleged specifically that the
appellant, inter alia, had failed to disclose the existence of another policy of insurance and had
also falsely declared the vahle of the building was $27,000 when to his knowledge the building
‘was worth no more than $14\000. Judgment was given in favour of the respondent; but the trial
Judge found there was no evidence to supgest dishonesty on the part of the appellant, On appeal
and cross-appeal, ,
Hild: (i) thatthe failure to disclose the existence of another policy of insurance was a breach of
an express condition and was not a mere non-disclosure or innocent misrepresentation of the
facts; :
(ii) that on the facts os found by the trial judge the appellant had wilfully misrepresented the
value of the property; therefore the allegation of fraud was established and the trial judge came
toa wrong decision on that igsue,
Appeal dismissed. Cross-appeal allowed,
‘Cases referred to
National Protector Fire Insurance Co Lid v Nivert [1913] AC 507, 82 LIPC95, 108 LT 390,29
TLR 363, 6 BW CCN 93, PC
North British & Mercantile Insce Co v London, Liverpool and Globe Insce Co (1877), 5 ChD
569, 578, CA,
Derry v Peek (1889), 14 App Cas 337, 58 LICh 864, 61 LT 265, 54 JP 148, 38 WR 33, 5TLR
625, | Meg 292, HL i
Appeal
Appeal from an order giving judgment for the respondent with a cross-appeal by the respondent
secking a reversal of the trial judge’s finding on the issue of fraud, The facts appear fully in the
judgment.
Phillips JA :
By a policy of insurance dated 16 January 1958 (hereafter called “the policy”) the respondent
company insured the appella}t in the sum of $8,000 against loss or damage by fire in respect of
LAW 2007 10
aoa dwelling-house situate at Lange Street, Montrose Village, Chaguanas. By an endorsemeat to
the policy dated 9 January 1960, the insurance was renewed for a further period of twelve months
from 15 January 1960, and the sum insured was agreed to be as foltows:
(a) on the said dwelling house $22,000;
(b) on the contents thereof, $1,500.
‘The dwelling - house having been destroyed by fire during the night of 22 August 1960, and the
appellant's claim for payment under the policy having been rejected by the respondent, the
appellant, by writ of summons dated 22 August 1961, commenced and action to enforce his said
claim. It may be of interest to 133 observe that the institution of the action was barely within the
period of limitation fixed by clause 19 of the policy in the following tecms:
‘In no case whatever shall the Company be liable for any loss or damage after the
expiration of twelve months from the happening of the loss or damage unless the claim.
is the subject of pending action or arbitration.”
‘The defence at the trial was that the action was not maintainable as a result of breach by the
plaintiff of conditions contained in clauses 3, 11 and 13 of the policy. These conditions were as,
follows:
“3. The Insured shall give notice to the Company of any insurance or insurances
already effected, or which may subsequently be effected, covering any of the
property hereby insured, and unless such notice be given and the particulars of
such insurance or insurances be stated in or endorsed on this Policy by oz on
behalf of the Company before the occurrence of any loss or damage, all benefit
under this Policy shall be forfeited.’
“LL, On the happening of any loss or damage the Insured shall forthwith give notice
thereof to the Company, and shall within 15 days after the loss or damage, or such
farther time as the Company may in writing allow in that behalf, deliver to the
Company
(@) A claim in writing for the toss and damage containing as particular an
account as may be reasonably practicable of all the several articles or
items of property damaged or destroyed, and of the amount of the loss or
LAW® 2007 uw
Stame thereto respectively, having regard totheir value at the time of the
loss cso not including profit of any kind.
{b) Particutars of all other insurances, if any.
No claim under this Policy shall be payable untess the terms of this condition have been
complied with.” :
“13. If the claim be it any respect fraudulent, or if any false declaration be made or used
in support thereof, of if any fraudulent means or devices aze used by the insured or
anyone acting on hig behalf to obtain any benefit under this Policy; or, if the loss or
damage be occasioned by the wilful act, or with the connivance of the Insured; or, ifthe
claim be made and rejected and an action or suit be not commenced within three months
after such rejection, or (in case of an arbitration taking place in pursuance of the 18th
condition of this Poliey) within three months after the arbitrator or atbitrators or umpire
shall have made theit award all benefit under this Policy shall be forfeited,”
‘The action was dismissed by Achong J, who held that the plaintiff was in breach of condition
3 as well as one of the conditions contained in clause 13, viz: the requirement that any action for
enforcement of the defendant company’s liability should be commenced within three months of
its rejection of the claim of the insured. The learned trial judge made no finding in relation to
condition 11, and has specifically found that there was no breach of the first condition stipulated
vy clause 13, viz: that the claim should not be in any respect fraudulent. In relation to this he
held that “there is no evidence to suggest any dishonesty on the part of the plaintiff’.
‘This appeal has been broyght by the plaintiff against the dismissal of the action and by way
‘of cross-appeal the respondent seeks a reversal of the learned judge's conclusion that the
plaintiff’s claim was not made fraudulently....
“It seems to me that the fact that the plaintiff was the only person with whom the Ruby
Company entered inté the contract of insurance was almost conclusive of the fact that he
‘must have been privy to its formation, for I consider it inconceivable that an insurance
‘company would issue a fire policy without requiring the assured to submit a proposal
iving particulars concemning the nature of the risk to be undertaken by the company.
i
LAW 2007 12
SoSuch particulars would ordinarily include information not merely concerning the nature
and value of the insured property, but also the assured’ previous insurance history, a
matter that is obviously material to the risk to be undertaken, This brings me to
consideration of a submission made by counsel for the appellant to the effect that the
plaintiff's non-compliance with condition 3 cannot legally result in forfeiture of alt
benefitunder the policy for the reason, it was said, that disclosure of previous insurances
‘was not a material fact. would immediately observe that the question of materiality is
relevant only to cases of non-disclosure and/or misrepresentation of facts, and has no
application to the determination of the question of breach of an express condition of a
policy of insurance. (See Preston and Colinvaux, Law of Insurance (2nd Edn) p 10, and
the cases there cited.) The present issue is not merely one of non-disclosure or innocent
mistepresentation of the facts, but one of alleged breach of an express condition of the
policy. In support of his submission counsel referred to National Protector Fire
Insurance Co Lid v Nivert ({1913] AC507, 82 LJPC 95, 108 LT 390, 29 TLR 363, 6 BW
CCN 93, PC), which was a case in which:' Under two policies in French the respondent
‘insured against fire a building and its contents, each for £600. The policies provided by
Condition IH that if the property should be insured under other contracts, subscribed
either before or after the policies attached, he was ‘tenu de le déclarer, per écrit, et dele
faire mentionner soit dans ta police meme, soit par un endos inscrit par la compagnie sur
Ja dite police’. The respondent had at the time of effecting the policies concurrent
insurances with other companies for £600 upon the 136 building and £600 upon the
‘contents, and these insurances were recorded in the policies respectively. Subsequently
the concurrent insurances were replaced by other insurances to a slightly larger amount,
the excess being due to new decoration of the building and additions to the contents,
These substituted insurances were not communicated tothe appellants orendorsed on the
policies:Hleld, that Condition Ill in the policies meant only that the fact that the property
covered was further insured should be declared, and that the respondent had committed
no breach of the condition and was entitled to recover upon the policies.”
It should be noted that it was conceded in that case that the stight increase in other insurances
effected on the property was not material to the issue under consideration. In delivering the
LAW® 2007 1B
63judgment of the Judicial Corpmittee of the Privy Council Lord Atkinson said (ibid, at pp S11-
512):
‘Itis not required that any of the details of the policy should be given, not even its date, the
name of the insurers or the agsured or the amount covered by it...
Thus the fact of the existence of insurances additional to their own is the matter which really
concerns the insurers, Tt can'make no difference to them wither the additional insurances of
which they were informed are kept up with the original insurers or are transferred to some other
insurers, nor even whether they were allowed to drop if new policies for the same amount were
effected to replace them... These considerations are to be borne in mind when the meaning and
object of a condition such as this third have to be determined....” and at p $13:
‘Conditions such as this third condition are always in courts of law construed strictly
against insurance comnpanies and should always be interpreted in a reasonable sense
‘having regard to the: business nature of insurance transactions. Their Lordships so
construing and interpreting the condition are of opinion that its requirements have been,
complied with and that it affords no defence to the plaintiff's claim,’
Itis, in my opinion, manifest from these passages that Nivert’s case (National Protector Fire
Insurance Co Ltd v Nivert [1913] AC 507, 82 LIPC 95, 108 LT 390, 29 TLR 363,6 BW CCN
93, PC) is no authority for the proposition for which it was cited by counsel and can give no
support to the appellant, wio, on the clearest evidence, failed to comply with any of the
requirements stipulated by condition 3. For these reasons I am of the view that the trial judge
tightly rejected the appellant's claim on the ground that he was in breach of condition 3 of the
policy. :
of condition 11 of the policy, whereby he was required to make a claim in writing within fifteen
.Asto the submission of counsel for the respondent that the appellant was in breach
days of the happening of any loss or damage, it would not, in my judgment, be proper for this,
court to make a pronounceinent upon an issue on which the trial judge has expressed no
opinion-possibly for the reagon that he was of the view that the defendant company was not
placing any reliance om it, The conduct of the case was remarkable for the fact that, according
to the record of the proceedings, not only did counsel for the plaintiff not make any opening
statement at the trial, but counsel for neither party thought it necessary to address the judge on
the conclusion of the evidence. The result of this unsatisfactory state of affairs has been that
LAWG 2007 14
st
|while itis beyond dispute that the plaintiff did not submit a claim in writing in connection with
his loss within fifteen days of its occurrence, the question might well have arisen atthe trial as
to whether the conduct of the defendant company had been such as to amount toa waiver of strict,
compliance with condition 11. During the course of the argument counsel for the respondent
suggested that in order to be available to the plaintiff any issue of waiver would have had to be
specifically pleaded. This may well be so;
ut it must be home in mind that an application for
Teave to raise any issue arising on the evidence, may, in proper circumstances, be granted to a
party during the hearing of an action. I now tmm to the consideration of the respondent's
contention, raised by way of cross-appeal, that the trial judge’s finding that the plaintiff's claim
was not fraudulent is unreasonable and against the weight of the evidence. In relation to this
issue the learned judge expressed his conclusion as follows:
“It is patent that the insured value of the ssid building was exaggerated, butas itis stated
in Preston and Colinvaux, Law of Insurance (2nd Edn), at p 157, ‘mere exaggeration is
not conclusive of fraud, for value is often a matter of opinion, though such exaggeration
will amount to fraud if t is dishonestly made’. And in this case there is no evidence to
suggest any dishonesty on the part of the plaintiff.”
Jn my opinion, this last mentioned expression of view on the part of the leamed trial judge
‘was contrary to the findings of fact which he has himself expressly made, and which were not
in any way challenged before this court. I consider it useful to set these out verbatim as they
appear in his reasons for judgment:
‘Let me say at once that Ido not believe the plaintiff when he seid he spent $14,000 on
the construction of the said building, and have little hesitation in rejecting the evidence
ofhis witness. When the plaintiff gave evidence he swore that building operations began
in November of 1958 and were completed in January 1959. Later he was forced to admit
thathe was mistaken and that the true dates of commencement and completion of those
‘operations were November 1957 and January 1958, respectively. All thet would have
been unknown to his witness who came along and swore quite glibly that he had kept
records of these operations and was quite certain that the said building was erected
between November 1958 and January 1959, From all the evidence it seems that the cost
of erection must have been somewhere between $8,000 znd $9,000.”
LAWO 2007 15
55It seems to me that there,is no question here of mere exaggeration based on the appellant’s
honest opinion of the valle of the insured property, but that this is a case of wilful
mistepresentation made with full knowledge of its actual value. Having regard to the fact that
some depreciation in the original value of the house would ordinarily have taken place during the
two and a half years 138 of its existence, it was, in my judgment, unreasonable in the
circumstances to hold that there was ao dishonesty on the part of the appellant in claiming that
its value was $27,000. It is also worthy of observ: i
appears to have erroneously paid regard merely to the insured sum of $22,000, and notte the sum
claimed by the appellant as Heing the value of the house, namely, $27,000.
that in considering this issue the judge
Moreover, there is one important aspect of this issue which, in my view, the learned judge
wrongly failed to consider. It is only fair to add, in parenthesis, that it appears that he did not
receive all the assistance which might have been expected from counsel in a case of this nature.
However, what appears to me to be material for present purposes is the wilfully false
representation that the interest insured by that policy was that of the mortgagee, Mr Carvalho,
and not the appellant's own interest in the dwelling-house.
‘The materiality of such representation lies in the fact that it affects the question of the
respondent's right to claim contribution from the Ruby company in respect of the loss sustained
by the appellant. This well-Known principle, which springs from the fact that @ contract of fire
insurance is one of indemnity only, is referred to in MacGillivray on Insurance Law (Sih Bén),
Vol 2, para 1862, as follows;
“Where there are two or more insurances on any one risk the principle of contribution
applies as between tie different insurers. Apart from any condition in the policies, any
one insurer is bound to pay to the assured the full amount for which he would be liable
if his policy stood alone; but having ‘paid he is entitled to an equitable contribution from
his co-insurers on the same principle as co-sureties are bound to contribute infer se when
any one is ealled upon by the cxeditor to pay...”
See also North British 4 Mercantile Insce Co v London, Liverpool and Globe Insce Co
((1877), 5 ChD 569, 578, CA), (1877), 5 ChD 569, 578, at p 583).
(One of the elements that i essentiat to the applicability ofthe principle of contribution is that
the concurrent insurances thust cover the same interest in the property insured. Thus, the
LAWO 2067 16
5bappeltant’s representation that the Ruby policy covered only the mortgagee’s interest in the
dwelling-house was such as, if true, would have had the effect of denying the respondent
company the right to claim contribution from the Ruby company in respect of the loss. ‘This
misrepresentation was only in harmony with the appellant’s conduct in relation to the Ruby
It seems to me that these circumstances are such
company after the occurrence of the fite. .
a5 to lead ieresistibly to the inference that the appellant's intention was to endeavour to secure
payment of the total sums insured by the respondent as well as by the Ruby Company, and, in my
judgment, his conduct falls clearly within the definition of fraud finally settled by the House of
Lords in the leading case of Derry v Peek ((1889), 14 App Cas 337, 58 LICh 864, 61 LT 265, $4
JP 148, 38 WR 33, 5 TLR 625, 1 Meg 292, HL). Iam of opinion that the cl
made by the
appellant on the respondent company reeked with fraud, and that the trial judge came toa wrong
decision in relation to this question. I, therefore, hold that the appellant was in breach of
condition 13 of the policy; and I would allow the cross-appeal and reverse the trial judge's
finding on that point.
For the foregoing reasons I have come to the conclusion that this appeal fails and must be
dismissed with costs.
McSHINE JA. Tagree,
FRASER JA. [also agree,
Appeal dismissed, Cross-appeal allowed.
Worksheet 2,5 and 6 INTERMEDIARIES
Forde v The British Guiana And Trinidad Mutual Fire Insurance Co Ltd
‘The plaintiff insured her dwelling-house with the defendant against damage by fire, The policy
of insurance was subject to the condition that the policy was of no effect if the building became
unoccupied and remained so for a period of more than thirty days. ‘The plaintiff's building was
damaged by fire after remaining unoccupied for thirty days. It was submitted on behalf of the
plaintiff that since a fire had occurred on 5 Novembér 1960, and the defendant's agenthad visited
LAW 2007 7
Stthe dwelling-house and assessed the damage, therefore when a second fire occurred on 8
November 1960, the defendant by its agent had waived the forfeiture,
Held: (i) The policy of insuypnce had ceased to attach to the dwelliag-house; (i) the agent had
no authority express or implled to waive the forfeiture.
Judgment for the defendant.,
HANSCHELL J. In this action under a policy of insurance dated 1 August 1956, the plaintiff
claims $1,000 for loss and damage to a dwelling-house at Ebenezer in the parish of St Philip in
this Island, which was destroyed by fire on 8 or 9 November 1960. ‘The defence is thatthe policy
of insurance had ceased to attach to the said dwelling-house at the time when it was burnt, under
condition 7 of the said policy. This condition reads as follows:‘Under any of the following
circumstances the insurance ceases to attach as regards the property affected unless the insured,
>efore the occurrence of any loss or damage, obtains the sanction of the company signified by
endorsement on the policy by or on behalf of the Company-(b) if the building insured or
containing the insured property becomes unoccupied! and so remains for a period of more than
thirty days.” }
Agency
“All that remains to be decided is whether by his conduct Edward Evelyn, the local
agent’s clerk, had waived the forfeiture of the policy on behalf of the defendant company
and re-attached the seid policy to the house in the course of his visit to Ebenezer on the
evening of 7 Novemier 1960, so that when this house was finally consumed by fire at 2
am on the moming of the 8th it was covered by this policy of insurance issued by the
defendant company, In Bowstead’s Digest Of The Law Of Agency (11th Eda) at p 53, art
38, the learned author has stated the law of implied authority of general agents, as
follows:
“Every agent who is authorised to conduct a particular trade or business, or
generally to dot for his principal in matters of a particular nature, or to do a
particular clais of acts, has implied authority to do whatever is incidental to the
ordinary conduct of such a trade or business, or of matters of that nature, or is
LAW® 2007 18,
38within the scope of that class of acts, and whatever is necessary for the properand
effective performance of his duties; but not to do anything that is outside the
ordinary scope of his employment and duties.’
Referred to as an authority for the last statement “but not to do anything that is outside the
ordinary scope, etc” is the case of Linford v Provincial Horse & Cattle Insurance Co (1864), 34
Beav 291, 5 New Rep 29, 11 LT 330, 28 JP 803, 10 Ju:NS 1066, 55 ER 647, 29 Digest (Repl)
72, 244), which case is the authority for stating that an ordinary local agent of an insurance
company is not, without special authority, authorised to bind the company by a contract to grant
apolicy. Local agents are employed to obtain proposals and forward them to their principals end
to accept premiums on policies which have been issued by their principals, An agent for an
insurance company has no ieptied suthority to waive a forfeiture of a policy. See British
Industry Life Assurance Co v Ward (1856), 17 CB 644, 27 LTOS 81, 20 JP 391, 139 ER 1229,
29 Digest (Repl) 72, 241), Inthe case of Wing v Harvey ((1854), 5 De GM & G 265, 2 Eq Rep
533, 23 LICh S11, 23 LTOS 120, 18 Jur394, 2 WR 570, 43 ER 872, LIJ, 29 Digest (Repl) 72,
242), the facts were that on a policy of life insurance there was endorsed a condition that the
policy should be void if the insured should go beyond the limits of Europe without the license
of the directors. ‘The condition was infringed by the insured going to Canada, where he died,
‘After the breach the local agent of the company continued to receive premiums with notice of the
breach which he represented as not invalidating the policy. It was held that the notice to the
agent was constructive notice to the company and they were precluded by the conduct of their
agent from insisting on the forfeiture upon the death of the insured, This was explained and
distinguished in the case of Newsholme Bros v Road Transport & General Insurance Co Lid
({1929] 2 KB 356, [1929] All ER 442, 98 LIKB 751, 141 LT 570, 45 TLR 573, 73 Sol Jo 465,
34 Com Cas 330, 24 LILRep 247, CA, 29 Digest (Repl) 71, 236), in the judgment of Greer Li,
where he says, in referring to Wing v Harvey ((1854), SDe GM & G 265,2. Bg Rep 533, 23 LICh
SLL, 23 LTOS 120, 18 Jur 394, 2 WR 570, 43 ER 872, LIJ, 29 Digest (Repl) 72, 242) ({1929]
2.KB at p 383): “The case is only an authority for the proposition that if an event has happened
after the issue of the policy which would make the policy void, and the company with notice of
the event which avoids the policy renews the contract by receiving the premium to cover a further
period of insurance, it will be deemed to have effected the insurance on the term thi the
LAWS 2007 9
a4conditions will not be insisted on,” Clearly Wing v Harvey ((1854), 5 De GM & G 265,2 Eq Rep
533, 23 LICh S11, 23 LTOS 20, 18 jur 394, 2 WR 570, 43 ER 872, LIT, 29 Digest (Repl) 72,
242) has no application to this case. Stokes & Bynoe, Lid, had ao implied authority to waive
condition 7 relied om by the défendant and of which the plaintiff was in breach. Judgment for the
defendant.
Rambally v Barbados Fire and General Insurance Company Ltd et al
No 1179 of 2000.( Unreported decision, High Court St Lucia).
PACTS :
On 26% May 1997, a building housing the Country Style Bakery and Restaurant at Bexon
Castries was destroyed by fire. At the material time there was in existence a policy of insurance,
dated 22 July 1996, with Barbados Fire and General Insurance Company Ltd that covered loss
cor damage by fire flood and other perils. This policy was effected by the second plaintiff RR
in the name of his uncle HR who was then one of the registered owners of the property. The other
‘was his wife NR the first plaintiff. The second defendant acted as the broker. The plaintiffs were
in the process of purchasing the property from the HR and had paid a deposit of $300,000 under
sale agreement and where paying monthly payments to the mortgagor Royal Bank of Canada,
On the 3" January 1997 HR died. In 1999 Letters of administration were issued by the High
‘Court to NR his widow, RR and SR were not beneficiaries under the policy. RR madeaclaim
under the policy By notice of loss. The insurers refused the claim contending that RR was a
stranger to the contract could not claim the proceeds of the insurance policy on the basis that
hhe owned the property or was an assignee of or a beneficiary . The issues that arose for
consideration where ,inter alia, the nature of the insurable interest of RR and (ii) whether the
insurance brokers were agents of the insurers or the insured? And thus the insurer’s were bound,
by the promises and representations, acts or conduct of the agent. Are the insurers entitled to
avoid the poliey for non- disclosure and misrepresentation material to the risk and lack of pre-
contract good faith,
Judgement
Agency
}
LAWO 2007 | 20
i
{
|
}“The claimants alleged that the insurers gave Mr Jean application forms, authority to
‘ollect premiums for the insurers he was paid a 10 percent commission for business
placed with the company establishing an agency relationship . [The] Burden of proof is
‘pon the claimants fo establish on the balance of probabilities thatthe brokers were
Serving Iwo masters... Counsel relied on the dicta ofthe dissenting Lord Wilbecforee in
Brawshite v Worcester Work Finance Limited (1969) 1A C $52, 587. ‘There Lord
Wilberforce said that “ while agency must ultimately derive from consent, the consent
needno necessary be to the relationship of principal and agent itself{ indeed theexisience
of it may be denied ) but it may be to a state fact upon which the law imposes the
Consequences which result from agency. ... Counsel provided the court with 31
tuifhorkes ftom the USA which are not binding Authorities in this jurisdiction. Article
917 A (1) of the Civil Code of St Lucia Cap 242 to apply the law of England for the time
being relating to contract and quasi contract, inthe absence of local statutory provision,
~» Atcommon law, the general role is that a broker is the agent ofthe ssuted and not
‘he insurer., The law was stated with clarity and precision by Scrutton LI a get master of
commercial law and a former professor of law in that subject at London University
England in Fullwood v Hurley [1927] All ER Rep 610 at 611: “No agent who has
sccepted an employment from one principal can in law accept an engagement
inconsistent with his duty to the fist principal, from a second principl, unless he makes
fhe fillest disclosure to each principal of his interest, and obtains the consent of each
principal to the double employment.”
‘The principle is expressed in this way in BOWSTEAD ON AGENCY (138 ed.)p 144:
As [broker}...he may not act for both parties toa transaction unless he ensured
‘athe fully discloses all material facts ro both parties and obteins thei informed
consent to his so acting... any custom to the contrary will not be upheld.”
"Fan insurance broker, before he accepts instruction to place an insurance, discloses to
his lientthathe wishes tobe free tact ina way suggested {accepting instructions from
“nsurers 0 obtain arepor from Assessors to the claim], and ifthe would be assured, fully
{informed asf the broker's intention to accept such instructions from insures and as to
LAW 2007 21
élthe possible implicatin of such collaboration between his agent and the opposite party,
is prepared to agree that the broker may so act, good and dell. Inthe absence of such
express and fell infomfed consent, in my opinion it would bea breach of duty onthe part
of the insurance broktr to so act.” Per Megaw J in Anglo- African Merchants v Bayley
[1969] 2 All BR 421 9¢ 429."
‘A summary of the tr¢ position is expounded n Halsbury’s Law of England (4"ed ) Vol
25 para 397 thus
“fa person wishing to obtain insurance of a non- marine character employs an
insurance broker as distinct from going direct to the insurers oftheir agents, the
broker is his 4gent and the ordinary law of agency governs the responsibility of
the proposer forthe aots and omissions of the broker.”
thas nevertheless been recognised by the Courts that in certain maters a broker may
‘undestake responsibility to the insurer, and that is @ question of fact in each situation
whether the broker ig acting for the insurer or the assured ( Colinvaux’s Law of Insurance
(qed) At page 325, pat. 15-27) [The court ruled that the broker was the agent of
the insured and that this fact had not be disturbed by the collection of premiums by Mz
Jean from RR , the payment of commissions, *)
Section 2 of the Insurance ‘Act No 6 of 1995 St Lucia defines insurance broker to mean
any individual , who oF any firm or company which for compensation as an independent
contractor in any manner solicits, negotiates or procures insurance or the renewal or
contimuance of it on behalf of existing or prospective policy holders. ..
—_
, nis along stinding rule of English Law thatthe broker is remunerated not by the assured but
by the insurer, by means of deduction of commission from the premium and that comission
ie eatned wher® the broker is responsible for arranging insurance, The rule is anomalous » in
tharitcomavenes the general equitable principle thatthe agent mast not receive payment
from the third party, batt is well established despite occssional deta to the contrary The
Tevel of comission is agreed between ie insuzer andthe broker although the assured can
‘apparently defrand tobe informed of what has besn agreed and ean object o excessive
tenuneration and where the Financiel Services Act 1986[UK] applies he has a statutory tight
qe know. As the cule i derived either from custom of implied term, itcen accordingly be
busted by an express arrangement to the contrary, Colvinaux’s Law of Insurance Supr®) et p.
330 para 15-47."
LAW® 2007 22
6eAnticles 1603 to 1661 ofthe Civil Code Chap 242 (St Lucia) ar the statutory provisions
dealing with ageney, Article 1604 states that the agent can do nothing beyond the
‘tuthority given or implied by the agency. He may do all ncts which are incidental t such
authority and necessary fora cetain profession or calling to do anything in the ordinary
‘course of the business which they follow, need not be speifieds they are inferred from the
nature of such profession or calling.” A ticle 1608 A states that subject to the statutor lw
Of St Lucia, the law of England for the time being relating to the contract of ageny shall
extend and apply to St Lucia, .
‘Usual authority , consists of authority that an agent of the status in questions would
‘normally possess but which is restricted in the particular case by private instructions not
revealed to the other party- here private instructions cannot prevent the agent from
Binding the principal , although limitations expressly brought to the other party's
attention are binding
. Apparent authority, which involves a power that an agent of the class would not normally
be expected to have, bt which the principal hes held out this particular agent as having
this is also kmown as agency by estoppel, and rests on the statements or conduct by the
Principal, that of the agent necessarily not being sufficient, The basis of the rule is that
where a third party deals in good faith with an agent in reliance om the credentials with
‘which he has been entrusted by his principal, his principal i estopped from denying his
agent's authority.
An insurance company may be estopped by reason of ostensible authority from denying
‘hat an agent has pessed on information to themn thus, in Wing v Harvey ( 1854) 5 De
GM and G 265. An agent who had authority to do so accepted premiums on his
company’s behalf and paid them to his directors, He knew at the time that the insured
hed broken a condition ofthe policy. It as held thatthe assured was entitled to zely on
the agent passing on his knowledge to the directors, and that by accepting the premium
through heir authorized agent tine company has therefore toe taken to have affirmed the
Policy: Those who deal in good faith with an agent are entitled to tke it for granted that
he does his duty. In Evans v Employer's Mutual (1936) 1 KB 50S) it was bela that,
LAWO 2007 23
63where it must have béen clesr to a cleck of the insurer, from perusing a claim , that an
answer in the proposal form was untrue, his knowledge amounted to knowledge
‘amounted to knowledge by the company and that they had then to elect whether to
6
continue with the contract. There are many other illustrations,
(1) There is no stipulation to the contrary in the contract ;( section 47 (2)().
(2) The consent of the insurers, if required ,is obtained. The policy may contain a
condition giving the benefit of the policy to any purchaser and rendering the consent of
the insurers unnecessary; section 47(2) (b};
(3) The purchaser pays the proportionate part of the premium from the date of the
contract: Section 47(2) c) See Halsbury's ( Supra)
Hypolite v. Demerara Mutual Life Assurance Society Ltd
CIVIL APPEAL NO 25 OF 1993{ 95-03-20] unreported decision from Saint Vincent and The
Grenadines, ‘The appellant engaged the respondent as an insurance consultant agent and /or
broker to secure insurance coverage for certain contract works. The respondent issued to the
appellant a cover slip purporting to provide the said insurance coverage, The cover slip
contained the following statement “, Principal: To be advised as required by contract." There
was no principal in existence for whom the defendant acted. During the currency of the cover
slip, the appellant's property was damaged by flood causing special damages of over $700,000
In disputing liability, the defendant insurers contended inter alia thatthe premium had not been
paid and disputed the degree of damage alleged to have been suffered. On the issue of whether
the defendant as a mere broker could be sued successfully for losses as if he were a principal
insurer, the court beld that the respondent can be sued for breach of warranty that he had
authority 10 make the contract.
HELD The defendant, as a broker, could be sued as an agent for an undisclosed or non: eRistent
principal forthe breach of wasranty that there was a principal , and is equally liable where an
undisclosed principal has nbt consented or authorised the contract to be made on his behalf. On
——
. “Avery v Britigh Legal Assurance {1918} | KB 136; Holdsworth v Lands and Yorks Instirance
(1907) 23 5.1.8 521 and Blackley v Nasional Mutual Life Association of Australsia (1972)
N.ZLR 1038,
LAWO 2007 24
oe
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