Insurance Appeal Case Analysis
Insurance Appeal Case Analysis
AT PAR ES SALAAM
VERSUS
FIRST ASSURANCE COMPANY LIMITED................................ RESPONDENT
(Appeal from the decision of the High Court of Tanzania,
(Commercial Division) at Dar es Salaam)
(Philip, JO
dated the 31st day of January, 2020
in
MWANDAMBO. J.A.:
a suit for payment of USD 533,530.25 being balance allegedly due and
claimed interest on the principal sum, damages and costs. She has
reinsurance despite its earlier undertaking to settle the claim. Tlie dispute
arose from the following background. For quite some time, the appellant
running through 31st March 2015 covering 25% of the insured risk which
meant that, in the event of occurrence of the insured risk, the respondent
It was common cause that, on 17th April 2015, the appellant sent an
the insured Samos Hotel Limited for another year from 1st April 2015 to
31st March 2016. Through that email, the appellant asked the respondent
to which the respondent agreed. On 4th May 2015, the appellant's officer
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sent an email to the respondent intimating a possibility of a claim by the
further that the appellant had appointed a loss surveyor to investigate the
abreast. Nevertheless, this information did not stop the parties from going
closing slip (exhibit P3) covering the period from 1st April 2015 to 31st
March 2016 (the second period of cover). The signing of exhibit P3 was
investigate on the fire incident and the loss involved. Initially, the
appellant paid USD 500,000.00 against the request for interim payment
and claimed from the respondent the corresponding 25% of its share
through an email (exhibit P8) from the respondent's General Manager sent
to the appellant's officer on 9thJune 2015. That was followed by a second
respondent undertook to pay its share upon receipt of a cash call from
was mutually agreed that the appellant retains a sum of USD 75,000 from
the amount it owed the respondent by way of a set off considering that
the respondent had not yet paid any amount demanded. Subsequently,
the respondent paid the appellant a sum of USD 25,000 making a total of
USD 100,000 thereby reducing the liability from USD 630,392.75 to USD
claims and responses between the parties, on 20th July 2017, the
claim contending that the loss occurred prior to the renewal of the
The foregoing resulted into the appellant instituting the suit before
the trial court predicated upon breach of the facultative reinsurance cover
renewed upon its expiry on 31st March 2015 based on the insurance
other insurance companies, the respondent included. It was her case that,
the email it sent on 17thApril 2015 (exhibit D2) was by no means a request
for renewal but meant to put the records proper and that, under the said
occurrence of the risk on 17th April 2015 but in any event, at that time,
the cover was already in existence and the respondent was not justified
requested for its renewal. It denied the appellant's contention that the
on 31st March 2015. Regarding the renewal covering the period between
17th April 2015, the respondent contended that, the appellant did not
disclose a materia! fact that the risk, subject of the request for the renewal
had already occurred a day before the email asking the respondent to
renew it. It was her further contention that, had the appellant disclosed
the fact on the occurrence of the risk, it would not have agreed to renew
the facultative coverage. Hence, its election to avoid the contract upon
from the appellant an amount of USD 25,000 paid to the appellant as part
The trial court framed five issues for determination of the suit.
However, the issues boil down to two main issues namely; one, whether
there was a facultative reinsurance cover and the terms thereof; two,
whether there was any breach of the terms and conditions of the
of renewal. Having so stated, the court found that the evidence supported
existence of a coverage from 17th April 2015, a day when the appellant's
officer contacted the respondent vide exhibit D2 for a renewal. From such
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a finding, the trial court addressed itself on the validity of the coverage
running from 17th April 2015 considering the facts showing that the risk
confirm the arrangement for the cover vide exhibit D2. Satisfied that the
occurrence of the risk a day before the instruction for renewal, the trial
thus found the facultative coverage void as there was no longer any
insurable risk.
Law of Contract Act (the Act) to the contrary. Upon that finding, the trial
Court on just one main issue which was, whether there was a facultative
reinsurance cover between the plaintiff and the defendant. Besides, the
grounds are not free from arguments and being narrative. We shall leave
the matter at that but not without a reminder to litigants and their counsel.
advisors of their duty to cooperate with the court by ensuring that they
defining issues in such a way simplifying the matters and not raising a
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winner. We can only hope that litigants and their advocates shall strive
regardless of the number, they raise the following issues, one, whether
the trial court was correct in holding that the appellant failed to discharge
running from 1st April 2015 to 31st March 2016; two, whether the
Both learned advocates lodged their written submissions for and against
judgment for not following the pattern adopted by the appellant's learned
advocate in his written submissions. It will be apparent that the first issue
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we have framed for the determination of this appeal takes on board
contention both in his written and oral submissions was against the trial
court failing to make a finding that the appellant discharged her burden
renewed running from 1st April 2015 based on custom, usage and practice
evidence placed before the trial court both oral and documentary, proved
exhibit P21 even though six of out them relate to transactions after 1st
The learned advocate criticizes the trial court for determining the
first and decisive issue in the negative despite its finding that a facultative
well as the testimonies of DW1 and DW2. On this, the learned advocate
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argues that the trial court strayed into error in determining the first issue
that there was no valid facultative reinsurance cover in answer to the first
issue.
the view held by the trial court, the evidence through PW4 established
renewal of the cover which had been automatically renewed from 1st April
closing slips as was always the case in the previous transactions. Mr.
trial court's finding and make its own inferences which will result in an
affirmative answer to the first issue before the trial court determined
in support of the trial court's findings that resulted into the dismissal of
the appellant's suit. Essentially, the learned advocate submits that in the
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absence of any express term in the agreement, the argument on
a claim, the appellant must have led evidence proving that the practice in
entered on 1st April 2014. He draws support from a decision of the Privy
AUR 20, 26 for the proposition that a term can only be implied subject to
clear expression and; five, it must not contradict any express terms of
case did not satisfy the above conditions. In his further submission, Mr.
Co. Ltd. v. Anglo Mexican Petroleum Products Co. Ltd. [1916] A.C.
397 for the proposition that a term cannot be implied in a contract where
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With regard to the arguments revolving around grounds three and
four contending that the trial court determined the first issue negatively
that the trial court did not frame and determine a completely new issue
regarding the validity of the cover. He argues that was corollary to the
main issue on the existence of the cover which it had already found to be
borders on absurdity matching with painting a lily and invites the Court to
reject it.
6, 8, 9, 10 and 11, the learned advocate, yet again, posits that the
appellant's arguments that the reinsurance cover was renewed on 1st April
2015 are a fallacy. He contends that exhibit D2 sent on 17thApril 2015 for
the renewal of the coverage running retrospectively from 1st April 2015
was acted upon oblivious of the fact that the appellant concealed a
material fact that the primary insured's hotel had been gutted down by
fire on 16th April 2015. According to the learned advocate, the facultative
the risk which occurred on 16thApril 2015 neither was exhibit D2 anything
other than notice of renewal. This is so, it is argued, had the reinsurance
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cover been automatically renewed as contended by the appellant, there
could be no basis for sending that email. He invites the Court to reject the
advocate for the appellant nor the respondents was forthright in the
cover from which the trial court could ascertain the intention of the
research has landed into an article titled: " The precision o f the formation
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of the fundamental consideration in insurance contracts; utmost good
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The learned author remarks that the same considerations should
glaringly clear that the facultative reinsurance closing slip (exhibit P3) for
the period from 1st April 2014 to 31st March 2015 constituted the contract
a closing slip was merely a paper to document what the parties had
already agreed but not necessarily the contract itself, in our view, is
misconceived. One wonders, if the slip did not constitute the agreement
between the parties, it is not clear to us which contract the appellant had
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with the respondent between 1st April 2014 to 31st March 2015 which the
appellant claims to have been automatically renewed from 1st April 2015
to 31st March 2016. It will be recalled that, apart from the custom and
automatic renewal, it is plain that the parties had been in the relationship
for only a year as the reinsured and re-insurer. It is for this reason the
usage and practice to be relied upon, it must have been shown from the
evidence that such custom, usage and practice was too prevalent at the
time to bind the parties or any of the players in the industry. This takes
Australia Insurance Co. Limited [1981] 1ANZ Ins. Cas 60 - 422 where
it was stated:
" Where the policy is renewable and both parties
so desire, the renewal is effected in one o f two
ways. The insured, by tendering the renewal
premium in the first instance, makes an offer to
renew the policy which the insurer may accept or
decline at their pleasure; they cannot therefore be
compelled to accept the renewal premium when
tendered. If, on the other hand, the insurer invite
the insured to renew the policy by sending him a
renewal notice... the offer to renew proceeds from
them and the insured's acceptance is signified by
payment o f the renewal premium".
The record shows that the first contract expired on 31st March 2015
but it was not until 17th April 2015 when the appellant notified the
respondent vide exhibit D2 that it had renewed the policy with the insured
a contract that had already been automatically renewed, the trial court
from Randall's case (supra), we agree with the learned trial judge that
automatic renewal. Similarly, we agree that the email (exhibit D2) sent to
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the respondent on 17th April 2015 constituted a renewal notice for a new
the effective date of the renewal vide exhibit D2. Was it from 1st April
2015 or 17th April 2015?. The learned trial judge agreed with the
respondent's learned advocate that it was from 17th April 2015 rejecting
the appellant's argument that the contract took effect from 1st April 2015
that, even assuming that the email was a notice to renew the facultative
reinsurance cover, it was for renewal from 1st April 2015 and not from the
16th June 2015 covering a period from 1st April 2015 even though at that
time it was aware of the occurrence of the risk on the insured occurring
on 16th April 2015. It was his further argument that, subsequently, the
para 8 of its written statement of defence, the respondent did not dispute
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occurrence of the insured risk, subject of the cover a day before the notice
for the trial court to have held as it did that the facultative reinsurance
cover took effect from 17th April 2015 rather than 1st April 2015 and
holding that on that date, there was no longer any risk to be reinsured
and hence rendering the contract void. Taking the argument further, the
learned advocate contended that the holding that the contract was void
the insured risk, the respondent had a right to rescind the contract which
established its case that the respondent did not exercise its right to rescind
the contract after it became aware of the occurrence of the insured risk
on 4th May 2015 or any other subsequent date before the expiry of the
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the rescission of the cover two years after its expiry was merely an
urged that the trial court's finding that no facultative reinsurance coverage
existed from 1st April 2015 to 31st March 2016 was erroneous as it was
material fact on the occurrence of the loss a day before the notice of the
renewal vide exhibit D2. It was his submission that, the appellant's email
of 4th May 2015 was too vague to inform the respondent of the particulars
and the date of the occurrence of the risk. That aside, the learned
the cover was made on the assumption that at that time, the appellant
had disclosed all material facts which was not the case. Had it been so,
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the learned advocate argued, the respondent could not have agreed to
that arrangement. He also contended that, the appellant's case before the
trial was not premised on affirmation as to bring into play section 19 (1)
actions leading him to believe that such words or actions intended to treat
in order for the cover to run retrospectively from 1st April 2015, he argues
that it cannot apply in this case because the appellant concealed material
fact relevant to the reinsured risk having occurred a day before the email
that is, parties are bound by their own pleadings; a well settled principle
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Juxtaposed to this appeal, it is evident that, the respondent
retrospectively from 1st April 2015. With respect, the respondent cannot
a distinct issue. In our view, had the trial court properly directed its mind
to the facts and the respondent's pleadings, it should have found that,
established, there was evidence supporting renewal of the cover from 1st
April 2015 following exhibit D2. That evidence included; one, signing the
facultative reinsurance closing slip (exhibit P3) on 16th June 2015 running
from 1st April 2015 to 31st March 2016, two, accepting payment of
premium on 30th June 2015; three, committing itself to pay its share on
the insured's claim under a cash call followed by part payment as late as
learned advocate for the respondent supporting the finding of the trial
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court, the contention that the facultative reinsurance coverage took effect
following the occurrence of the loss on the insured on 16th April 2015. In
the same token, since we have already held that exhibit D2 was an offer
for the renewal of the cover running from 1st April 2015, there could not
have been created any valid contract from it on the basis of an acceptance
from the respondent for such cover running from 17th April 2015. Again,
the trial court appears to have strayed into error in holding that the cover
started to run from 17th April 2015 disregarding the tenor of the email
of the cover running from 17th April 2015 had no legal or factual basis.
That finding cannot stand and is hereby set aside. That takes us to a
cover.
pay its share on the ceded risk in the amount of USD 533,530.25 after
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payment of USD 100,000. On the other hand, the respondent's contention
was that there was no facultative reinsurance cover because the appellant
have already held that there existed a facultative reinsurance cover for
the second period from 1st April 2015 to 31st March 2016. Whether that
involving occurrence of the loss to the insured's hotel on 17th April 2015
is the next issue for our consideration before deciding whether there was
any breach.
The appellant's case was that it was not aware of the loss until 4th
the evasive nature of the email. All the same, the appellant argues that,
insured, the events that followed negates any claim justifying repudiation
of the cover. We have already accepted that the events supported the
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rescind the contract immediately thereafter for the alleged non-disclosure
in pursuance of section 19 (1) of the Act. It was thus argued that, since
it did not do so and went ahead doing the acts cited earlier on, it must be
Mr. Hussein argued that the appellant's case was not premised on
disclosure or any other reason, there must have been express pleading to
that effect.
It is plain from the plaint that the case for the appellant was
paragraphs went to show that, despite the existence of such contract and
became aware of the loss occurring within the period of the renewed
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Apparently, the appellant did not seek to file any reply on those
aspects and no issue was framed to determine such contention. All the
same, both the appellant and the respondent led evidence for and against
through PW1 who feigned ignorance of the fire outbreak at the insured's
hotel on 17th April 2015, the date an email to the respondent was sent.
From the respondent's side, Bosco Bugali (DW1) and Mariam Sakara
(DW2) testified. The essence of their evidence was that, the facultative
reinsurance was renewed on 17th April 2015 but the respondent was not
aware of the occurrence of the loss a day before which resulted into
the existence of the loss on 16th April 2015 having a bearing on exhibit D2
reinsurance cover. Whilst the appellant was adamant that the cover was
automatically renewed upon expiry of the previous one running from 1st
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of the renewed cover. It was also submitted that apart from the fact that
the appellant was unaware of the loss on 16th April 2015, during the
existence of the cover, the respondent took no step to rescind the same
slip confirming the renewal running from 1st April 2015, vide exhibit P3,
committed itself to pay its share of the claim in response to cash call
that the respondent's conduct and acts were consistent with a party
affirming the contract in pursuance of section 19 (1) of the Act and not
otherwise.
automatic renewal of the cover and thus loss on the insured's hotel
occurring on 16th April 2015 was not protected by any reinsurance cover.
It was equally argued that, the respondent acceded to the renewal of the
cover from 17th April 2015 and not otherwise because the reinsurance
that had already occurred for which there was concealment from the
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arguments were all intended to support the respondent's decision to
Be it as it may, as indicated earlier, the trial court took the view that
the cover was void which sealed any opportunity for a discussion on the
resulting into the signing of the facultative reinsurance closing slip (exhibit
P3) on 16th June 2015. We have equally held that it was an error for the
trial court to hold as it did that the cover was void in the absence of
stated:
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Drawing inspiration from the above, we cannot but agree that the
respondent's act purporting to rescind the contract two years after the
expiry of the cover was not only strange but also not made within
the respondent might have meant repudiating the claim which is not the
it is our view that, such argument is not being taken for the first time in
this appeal. It was raised before the High Court but in view of its finding,
contrary, since the respondent did not rescind the contract and instead
to settle the claim upon demand through undisputed cash calls was in
net effect is that, the trial court ought to have answered the second issue
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affirmatively in favour of the appellant. Consequently, the finding on the
claim.
on the counter-claim. The above said, we allow the appeal and quash the
decision of the High Court dismissing the appellant's suit and entering
the principal sum per annum from 4th November 2015 to the date of
judgment. However, the claim was shorn of justification of the rate in the
of trade having the force of law. There was no such evidence before the
trial court and thus, in the absence of such evidence, the claim cannot
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Regarding the claim for general damages, we think, given all the
circumstances of the case and considering the principle behind the award
rate of 7% per annum from the date of judgment of the trial court till full
and final satisfaction of the decree. The appellant is awarded its costs in
S. A. LILA
JUSTICE OF APPEAL
L. J. S. MWANDAMBO
JUSTICE OF APPEAL
P. S. FIKIRINI
JUSTICE OF APPEAL
The Judgment delivered this 5th day of April, 2023 in the presence
of Mr. Alfred Rweyemamu, learned counsel for the Respondent and also
holding brief for Mr. Audax Kahendaguza, learned counsel for the