McCabes News
It’s been a busy financial year for insurance issues in the Courts across Australia1. With insurers having now survived the end of financial year renewals, we provide a summary of what has been happening around Australia, together with our comments on why these decisions are relevant to insurers.
In All Class Insurance Brokers2, Allsop CJ held an insurer was entitled to obtain security for costs (in the sum required for a short hearing on Policy construction issues) where it could establish an insured was unlikely to be able to pay its costs of that dispute. The security was allowed, even though it was agreed that both insurer and insured had reasonable prospects of success in the Policy interpretation dispute.
In Oceanview Developments3 Allsop CJ held the ‘Property Insured’ comprised all property in the ‘Situation’, even if part of that property was not used for the ‘Business’ of the insured. This was due to the indemnity extending to damage which occurred at the ‘Situation’, and the relevant land (which was not part of the ‘Business’) being included in the ‘Situation’ by extended definition.
In QBE v Allianz4 the principles of dual insurance and contribution were considered under two public liability policies, and whether such contribution extended to defence costs. Allsop CJ held the right of contribution extended to defence costs incurred in defending the claim, as these costs formed part of the indemnity afforded to the insured under the Policy.
The decision of Delor Vue Apartments5 considered whether pre-existing defects in a Strata Building was something which should have been disclosed to an insurer for the renewal of public liability insurance. Allsop CJ determined (on the evidence) a reasonable person in the position of the Strata Manager and Body Corporate committee would know that pre-existing defects were relevant to underwriting insurance for personal injury (and property damage), but may not know pre-existing defects were relevant for underwriting considerations for property insurance.
The Federal Court considered whether a broker’s failure to provide advice on the availability and suitability of copyright infringement cover constituted negligence and a breach of the terms of its retainer in the decision of PC Case Gear6. In finding against the broker, Anderson J determined a reasonably competent broker in the same position would have identified copyright exposure as being a risk to the insured business, and provided advice on the available cover.
Epsilon Insurance Broking Services7 considered a claim for contribution where two policies provided separate types of cover with some overlap for the insured’s own costs by Endorsement. Allsop CJ held no “orthodox process of construction or implication can operate … to extend or imply cover” for the insured’s mitigation costs, where the cover was intended for fines and penalties paid by the insured.
In National Australia Bank8, the Federal Court was asked to make a preliminary determination as to whether an insured was required to prove an underlying liability for a settlement made without the prior consent of its Public Liability insurer. Lee J determined there was no requirement for the insured to establish a liability for the loss for the purpose of securing insurance cover, as doing so would require the insured to undertake the exercise of determining the claim, which is exactly what a settlement avoids.
In the decision of Allianz v Lloyds9, the NSW Court of Appeal considered a claim for contribution between insurers, where both policies contained ‘Other Insurance’ provisions (which operated to limit the cover in the event another policy covered the same loss). The Majority (Bathurst CJ and Meagher JA) held the presence of ‘Other Insurance’ provisions in both policies effectively cancelled each other out, thereby resulting in both policies providing cover for the loss. Macfarlan J, dissenting, held there was no double insurance as the ‘Other Insurance’ provisions meant each of the policies provided different cover.
In Bank of Queensland10, the NSW Court of Appeal considered whether a single, or multiple retentions were payable for Representative Proceedings which were settled on the basis of payments being made to all investors. The Court held that multiple claims were attributed to one cause and/or series of related wrongful acts, and therefore, only one retention was payable.
In Ritchie v Advanced Plumbing11 the Supreme Court of NSW determined the factors which are relevant to the granting of leave to proceed against an insurer directly, pursuant to section 5 of the Civil Liability (Third Party Claims Against Insurers) Act 2017 (NSW). Campbell J held the onus was on an insurer to establish it was entitled to disclaim liability for the claim, and in doing so, the insurer had to establish “beyond argument” it had no liability. Accordingly, leave will be granted if an arguable case can be made for the policy to respond.
The decision of Worth v International Insurance12 looked at various issues following the provisional granting of indemnity for a house fire in circumstances where the insured was considered to be a person of interest in causing the fire. One of the issues considered was the evidence required by an insurer to prove the insured’s wrongful conduct, with Parker J determining the insurers’ obligation was “to prove that Ms Worth had lit the fire herself, not to go on and prove all of the details of her plan, if she had one.”
The Supreme Court of NSW determined, as a separate question, whether the Proposal Form completed by an insured forms part of a policy of insurance in Bechini v IUS13. Rothman J determined, “the Proposal submitted… was an invitation to treat, which excited from Lumley an offer, including the premium amounts, which offer was accepted by IUS. It was that latter offer and acceptance that formed the contract.” Relevantly, the definition of ‘Policy’ within the Policy included the Proposal.
The Court of Appeal considered the application of an ‘Employers Liability’ exclusion in a Public Liability Policy in the decision of Ashcroft Supa IGA14. The Court (Ward CJ, Leeming JA and Payne JA) concluded the phrase “with or for” in the exclusion created two separate limbs for the exclusion, being either a contract with the insured (as an employee), or a contract (with a third party) for labour services for the insured.
The Court of Appeal considered the application of an exclusion for valuations undertaken without a prudent lender clause in XL Insurance15, where it was an agreed fact this had not caused the loss the subject of the claim. The Court (Gleeson JA, Bell P and Emmett AJA) held a businesslike and common sense approach to the wording of the Policy meant the exclusion operated for the Loss, even if the loss was not caused by the excluded circumstances.
In DIF III16 the NSW Court of Appeal considered whether any ‘fact, circumstance or event which could reasonably be anticipated to give rise to a Claim’ had arisen during the policy period, in considering the coverage available under a Professional Indemnity Policy for a subsequent claim. The Court (Bathurst CJ, Bell P and Meagher JA) dismissed the Appeal, in consideration of the documentation which was available during the relevant period.
In Danbol17 the Supreme Court of Victoria considered a discreet issue as to whether an agreement had been reached for extending an outgoing policy during negotiations about terms for renewal. Following fire damage after the expiration of the Policy, the insured submitted the Policy had been extended by ‘unilateral agreement’, following an offer of terms for extending the Policy being made by the insurer. Riordan J held some form of acceptance (being direct or implied) was required for the extension, and there was no cover for the fire damage.
One of the issues considered by the Supreme Court of Victoria in UDP Holdings18 was whether a arbitration award made in favour of an insured constituted a ‘Loss’ under the Policy, or whether it constituted a contractual entitlement for recovery against the wrongdoer. and therefore, fell outside the definition of ‘Loss. On this issue, Garde J held “the amount of the award does not instantly translate to the ‘Loss’ suffered under the policy”, and the insured was required to establish the claim was made in accordance with the provisions of the Policy.
In Re Murray (deceased)19 the Supreme Court of Queensland considered a discreet point as to whether the claimant (the son of the insured) was living at the insured address at the time of an incident, for the application of an exclusion. The claimant was a resident of the UK who had been staying with his father at the time of the incident. Dalton J held the claimant did not live at the insured address as the evidence supported a finding that he was “a visitor, for a limited period of time and with a limited purpose in mind. He had plans to depart when he had fulfilled that purpose; he had no plans to stay permanently or semi-permanently.”
In Royal and Sun Alliance20, the Queensland Court of Appeal considered a claim where the market value of a lost navy vessel was considerably less than the replacement cost, and the application of betterment. In dismissing the Appeal, the Court (Fraser and McMurdo JJA and Boddice J) determined the insured was required to put the Commonwealth in the same position as if the loss had not occurred, and the obligation did not allow for any betterment in circumstances where an equivalent vessel was not available. Consequently, this was the Loss which was insured under the Policy.
In Tokio Marine21 the Western Australian Court of Appeal considered who was insured under the definition of ‘You’ in a Construction and Legal Liability Policy, following fire damage during building works. The issue arose as a result of a subrogated recovery being commenced against the contractor responsible for the fire, where the policy in question had a waiver of subrogation clause.
The Court held that as the contractor responsible for the fire could show it was a contractor of the named insured, it came within the definition of Insured in the Policy schedule, being ‘all Principals, Contractors, and Sub-Contractors.’ Accordingly, the Primary Judge’s determination that the use of the phrases ‘You’ and ‘Insured’ in the Policy were interchangeable by operation of the definitions was upheld.
The above decisions have confirmed a businesslike and commercial interpretation is given to the terms and conditions of policies of insurance, and the Courts will look at the intention of the parties to the contract in order to determine the scope of available cover.
1 There were no decisions addressing insurance issues in Tasmania, Northern Territory, South Australia or the Australian Capital Territory during this period.
2 All Class Insurance Brokers Pty Ltd (in liquidation) v Chubb Insurance Australia Limited [2020] FCA 840.
3 Oceanview Developments Pty Ltd trading as Darwin River Tavern & Darwin River Supermarket v Allianz Australia Insurance Ltd trading as Territory Insurance Office [2020] FCA 852.
4 QBE Insurance Limited v Allianz Australia Insurance Limited [2020] FCA 589.
5 Delor Vue Apartments CTS 39788 v Allianz Australia Insurance Ltd (No 2) [2020] FCA 588.
6 PC Case Gear Pty Ltd v Instrat Insurance Brokers Pty Ltd (in liq) [2020] FCA 137.
7 Epsilon Insurance Broking Services Pty Ltd v Liberty Managing Agency Limited (No 2) [2020] FCA 20
8 National Australia Bank Limited v Nautilus Insurance Pte Ltd (No 3) [2019] FCA 2139
9 Allianz Australia Insurance Ltd v Certain Underwriters at Lloyd’s of London Subscribing to Policy Number B105809GCOM0430 [2019] NSWCA 271
10 Bank of Queensland Limited v AIG Australia Limited [2019] NSWCA 190
11 Ritchie v Advanced Plumbing and Drains Pty Ltd [2019] NSWSC 1028
12 Worth v International Insurance Company of Hannover SE [2020] NSWSC 249
13 Bechini v IUS Pty Limited (ABN 93 003 359 279 (In Liquidation) [2019] NSWSC 427
14 Marketform Managing Agency Ltd for and on behalf of the Underwriting Members of Syndicate 2468 for the 2009 Year of Account v Ashcroft Supa IGA Orange Pty Ltd [2020] NSWCA 36
15 XL Insurance Co SE v BNY Trust Company of Australia Limited [2019] NSWCA 215
16 DIF III – Global Co-Investment Fund L.P v DIF Capital Partners Limited [2020] NSWCA 124
17 Danbol Pty Ltd v Swiss Re International Se [2020] VSC 23.
18 UDP Holdings Pty Ltd (subject to deed of company arrangement) (rec and mgr apptd) v Ironshore Corporate Capital Ltd (No 2) [2019] VSC 645
19 [2020] QSC 155.
20 Royal and Sun Alliance Insurance Plc v DMS Maritime Pty Limited [2019] QCA 264
21 Tokio Marine & Nichido Fire Insurance Co Ltd v Hans Bo Kristian Holgersson trading as Holgerssons Complete Home Service [2009] WASCA 114.