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England and Wales Court of Appeal (Civil Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Civil Division) Decisions >> Gan Insurance Company Ltd. v The Tai Ping Insurance Company Ltd. [2002] EWCA Civ 248 (1st March, 2002) URL: http://www.bailii.org/ew/cases/EWCA/Civ/2002/248.html Cite as: [2002] CLC 870, [2002] Lloyd's Rep IR 612, [2002] EWCA Civ 248 |
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COURT OF APPEAL (CIVIL DIVISION)
ON APPEAL FROM QUEEN’S BENCH DIVISION
COMMERCIAL COURT
Andrew Smith J
Strand, London, WC2A 2LL | ||
B e f o r e :
LORD JUSTICE MANCE
and
MR JUSTICE PARK
____________________
GAN INSURANCE COMPANY LTD | Claimant/ Appellant | |
and – | ||
THE TAI PING INSURANCE COMPANY LTD | Defendant/ Respondent |
____________________
Smith Bernal Reporting Limited, 190 Fleet Street
London EC4A 2AG
Tel No: 020 7421 4040, Fax No: 020 7831 8838
Official Shorthand Writers to the Court)
David Railton QC & John Lockey (instructed by Stephenson Harwood) for the Respondent
____________________
AS APPROVED BY THE COURT
Crown Copyright ©
Lord Justice Mance : This is the judgment of the court.
Introduction
“CONDITIONS: Full Reinsurance Clause NMA 416
Claims Coop Clause (Wording T.B.AGD)
Cancellation Clause as original plus 30 days.
….
All amendments, additions, deletions or endorsements hereto to be agreed by the Leading Reinsurance Underwriter only, such agreement to be binding on all other Underwriters subscribing hereto.
….”
“REINSURANCE WARRANTY CLAUSE (FULL R/I. CLAUSE No. 1)
(Approved by Lloyd’s Underwriters’ Non-Marine Association)
Being a Reinsurance of and warranted same gross rate, terms and conditions as and to follow the settlements of the ....................... Company and that said Company retains during the currency of this Policy at least ....................... on the identical subject matter and risk and in identically the same proportion on each separate part thereof, but in the event of the retained line being less than as above, Underwriters’ lines to be proportionately reduced.”
“CLAIMS CO-OPERATION CLAUSE
Notwithstanding anything contained in the Reinsurance Agreement and/or Policy wording to the contrary, it is a condition precedent to any liability under this Policy that:-
a) The Reinsured shall, upon knowledge of any circumstances which may give rise to a claim against them, advise the Reinsurers immediately and in any event not later than 30 days;
b) The Reinsured shall co-operate with Reinsurers and/or their Appointed Representatives subscribing to this Policy in the investigation and assessment of any loss and/or circumstances giving rise to a loss;
c) No settlement and/or compromise shall be made and liability admitted without the prior approval of Reinsurers.
All other terms and conditions of this Policy remain unchanged.
SCOR (UK) Clause 012 4/83”
Issue (A) – paragraph (b) of the CCC
(1) Gan had not identified any specific shortcoming in the “thorough and detailed” reports prepared by Burgoyne & Partners, which Gan saw in 1997;
(2) it was common ground that the CCC did not impose any obligation on Tai Ping to carry out unnecessary or pointless investigations; that the premise to Gan’s requests had been that Winbond had indicated upon the placement of the insurance that there would be fire fighting precautions such as those indicated in drawings prepared by Angel; but that it was now common ground (as Gan itself had asserted before Longmore J) that Winbond did not do so;
(3) paragraph (b) of the CCC did not cover investigation of matters whereby Tai Ping might be able to avoid its policy with Winbond; and
(4) it was common ground that paragraph (b) of the CCC did not cover investigations with a view to showing whether or not Tai Ping was in breach of the reinsurance or of its duties uberrimae fidei in its placement, which, as a matter of interpretation of Gan’s letter dated 28th April 1997, was all that Gan had requested.
“we now request that our cedent takes immediate steps to instruct Messrs Burgoyne & Partners to review the adequacy and functioning of each of the fire precautions mentioned in the placing information and to prepare a report considering:-
(a) Whether the precautions were as stated in the underwriting information.
(b) Whether those precautions were in place and serviceable as required by Endorsement 206.
(c) What part those precautions played in the actual detection and containment of the fire.
(d) Whether those precautions were installed and commissioned in accordance with the specification supplied by Angel Engineering Consultants.
(e) Whether the installation as installed commissioned and tested was in accordance with competent engineering standards.
From our participation on the slip led by Royal, we know that Central have raised these concerns with Tai Ping. We understand that there has been a reluctance to address these issues resulting in the Royal imposing a general reservation of rights which we will adopt and ratify on our behalf insofar as we participate on the Royal slip.
We think it is only fair to point out that should our reinsured on this slip, the Tai Ping, fail to respond to our request that these matters be investigated, then we will consider that to be a breach of the Claims Co-operation Clause.
Accordingly we would be grateful if you would bring to the attention of the Tai Ping our concerns and invite them to carry out the investigations we have suggested or alternatively if those investigations have already been carried out let us have a copy of any report prepared by the adjuster or forensic investigator dealing with the same.
We look forward to hearing from you with your confirmation that our concerns have been passed on to Tai Ping and thereafter with the Tai Ping’s response as soon as possible.”
“Sufficient [or “ample”] and effective fire-extinguishing facilities should be installed at the place of work.”
“It is our view that our cedent is unquestionably in breach of the Claims Cooperation Clause and that in all probability the six fire precautions listed in the fax from Alexander Howden dated 13 February 1996 to which we have referred to above were not fully and/or properly installed and in operation at the risk site prior to the inception of the risk or the loss as we were led to believe by the original presentation of the risk.”
“We do not appear to have been provided with Robins’ fifth report or the lawyers’ opinions as far as the Tai Ping slip is concerned but otherwise we find ourselves in a virtually identical position to the Royal. That can perhaps best be summed up by saying that we have raised entirely legitimate requests requiring our cedent to instruct the loss adjusters and forensic scientists to investigate whether the fire precautions which existed at the time of the loss reflected the underwriting information provided to us when we wrote the reinsurance.
No proper action has been taken to investigate the issues raised and we would have expected the Tai Ping as the leading direct underwriter to have played a leading role in investigating and satisfying the concerns raised by the reinsurance market.
We are saddened that this has not been the case. We have not even had a response to our letter of 28 April confirming that our request was being dealt with or at least explaining why our cedent felt unable to do so.
In the circumstances, we feel compelled to follow the action taken by the Royal and expressly adopt everything they have said as far as it is relevant to our reinsurance of the Tai Ping. In our letter of 28 April we made it clear that if the Tai Ping failed to respond to our request for these matters to be investigated, we would consider that to be a breach of the claims co-operation clause.
Sufficient time has passed for the Tai Ping to have either co-operated with us and caused the issues which we raised in our letter of 28 April to be properly investigated or at least to have given some proper grounds for why it was inappropriate to take action on our request. We must now conclude that the Tai Ping are content to be in breach of the claims co-operation clause.
It is not necessary for us to be able to establish that we have been prejudiced by Tai Ping’s breach, but we nevertheless adopt for our own part all that has been said by the Royal concerning the actual prejudice which has been suffered. This applies equally forcefully to our position.
In case there has been some misunderstanding or some breakdown in communication, before closing our file, we will also allow Tai Ping a seven day period to respond to the observations made in this letter.”
“It would appear that the Tai Ping had denied coverage under the CAR policy and in return had received a lawsuit from Winbond. Tai Ping with Co-Insurers had set about defending that suit in the course of which they took a legal opinion, a copy of which has been provided to you and which we believe should substantially address the concerns raised in your letters of the 28th April and the 8th July. No doubt you will wish to study this and we look forward to receiving your thoughts on the claim as now presented in due course.”
“Either our cedent is in blatant breach of the claims control clause by having failed to carry out the reasonable and pertinent enquiries which we requested (in addition to the other breaches as highlighted by Royal’s letter [a reference, it appears, to a letter dated 1st August 1997, not put before us]) or those enquiries were irrelevant because the only representations made by Winbond were that there would be “temporary” fire fighting precautions and our reinsurance has been procured by gross misrepresentation of the risk.”
“A. (Whether the precautions were as stated in the underwriting information)
The Burgoyne reports confirmed that the systems in place corresponded to what was shown in the Angel plans.
B. (Whether those precautions were in place and serviceable as required by Endorsement 206).
The Burgoyne reports confirmed the systems in place and confirmed their serviceability.
C. (What part those precautions played in the actual detection and containment of the fire).
The Burgoyne reports described in detail the part played by those precautions in the detection and containment of the fire.
D. (Whether those precautions were installed and commissioned in accordance with the specification supplied by Angel).
The Burgoyne reports confirmed that the six systems in place were consistent with the drawings.
E. (Whether Angel approved the final installation).
This question was irrelevant, as it was never represented to the Claimant that Angel were to approve, or had approved, the final installation. In any event, it was answered: Burgoyne’s 3rd report explained that the installation of the fire protection systems was being undertaken by Takasago and Crystal Engineering.
F. (Whether the installation (sic) as installed, commissioned and tested was in accordance with competent engineering standards).
This question was irrelevant, as there was no representation made to the Claimant that the precautions had been installed, commissioned and tested in accordance with competent engineering standards or otherwise. In any event, Burgoynes’ 4th report confirmed that the systems complied with Taiwanese fire and safety regulations, which was the only relevant issue between the Defendant and Winbond.”
Issue (B) – failure to act in a proper and businesslike manner
“Mr Railton’s insistence that Gan should not be permitted to depart from their pleaded case is particularly relevant to [this] issue …..”
“I should, however, add that there is nothing in Gan’s evidence which suggests to me that the settlement was not proper and businesslike for some reason which has not been pleaded. I would specifically mention two points:
a) First, Gan relied heavily on the views expressed by other reinsurers. I cannot tell what information those other reinsurers had when they criticised Tai Ping and the other Taiwanese insurers. Gan cannot simply rely upon the views of other reinsurers to answer the application for summary judgment.
b) Secondly, in their facsimile of 1 August 1997 Tai Ping refer to pressure from the Ministry of Finance and “the publicity concern of Insurers’ social image”. It does not seem to me that these remarks raise real issues about the proper and businesslike nature of the settlement, reading the facsimile as a whole, bearing in mind the small difference between the settlement figure and that which the “main reinsurers” approved and having regard to the evidence of Mr Hayden. It is striking that Gan do not state in their evidence that they believe that Winbond’s claim could have been settled for less than the amount paid by the insurers, not that the insurers had a good defence to the claim, nor that at a trial Winbond would have been awarded less than NT$2.65 million.”
Order: