<rss xmlns:a10="http://www.w3.org/2005/Atom" version="2.0" xmlns:authors="https://www.rpclegal.com/people/" xmlns:media="http://search.yahoo.com/mrss/" xmlns:content="http://purl.org/rss/1.0/modules/content/"><channel><title>Insurance and Reinsurance</title><link>https://www.rpclegal.com/rss/insurance-reinsurance/</link><description>RPC Insurance and Reinsurance RSS feed</description><language>en</language><item><guid isPermaLink="false">{AFAD9D96-83E7-430A-A65A-B64E023C5410}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/section-172-ca-2006-a-walk-in-the-park-for-directors/</link><title>Section 172 CA 2006: A walk in the park for directors?</title><description><![CDATA[Here is the second article in our series on what lessons can company directors and their insurers learn from the Oscars (or for film buffs!)]]></description><pubDate>Wed, 25 Mar 2026 09:01:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Matthew Watson, Sally Lord</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/images/thinking-tiles/wide/301136-website-perspective-tiles-final-wide-715x370px_02_insurance-and-reinsurance_956845210.jpg?rev=40a7acf2763d463ea4d5f510988c8dea&amp;hash=FABF3C31ED28291BF5FA3DEB5776D417" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p><strong>Part 2</strong>: <strong>Jurassic Park – Takeaways from InGen/John Hammond for company directors</strong></p>
<p />
<p>In 1994, Jurassic Park won three Academy awards at the 66th Academy Awards. You won't be surprised to hear these were: Best Visual Effects, Best Sound and Best Sound Effects Editing. What you may not know, is that Jurassic Park also illustrates the impact of Section 172 of the Companies Act 2006. In our second article of this mini-series, with the benefit of some creative licence, we will take you through a 'walk in the park' to explore the duty to promote the success of the company.</p>
<p />
<p><strong>Why Jurassic Park?</strong></p>
<p />
<p>Apart from being one of Steven Spielberg's most highly praised films, section 172 CA 2006, also goes to the heart of what the film is all about. Under <a href="https://www.legislation.gov.uk/ukpga/2006/46/section/172">Section 172</a>, "<em>a director of a company must act in the way he considers, in good faith, would be most likely to promote the success of the company, for the benefit of its members as a whole</em>". In Jurassic Park, we see John Hammond (played by Richard Attenborough) with visionary but reckless decision making, unreserved risk taking coupled with the failure to balance long-term success with safety and stakeholder interests. </p>
<p />
<p><strong>Background </strong></p>
<p />
<p>To refresh your memory, John Hammond founded and was the CEO of International Genetic Technologies, Inc (InGen). Through this company, John Hammond sought to bring his life-long dream into being: to create dinosaurs using DNA gleaned from mosquitos that had been preserved in amber. John identified an island off the coast of Costa Rica, Isla Sorna, and began setting up labs to research and breed the dinosaurs. Despite recruiting top talent to aid his quest and, before the park officially opened, a preview visit by dinosaur experts ended up in a high-casualty (and high-thrilling) event. </p>
<p />
<p><strong>Section 172 through the lens of Jurassic Park</strong></p>
<p />
<p>Section 172(1) requires a director to act:</p>
<p>“<em>in the way he considers, in good faith, would be most likely to promote the success of the company for the benefit of its members as a whole</em>,” and in doing so to have regard to:</p>
<p />
<p><strong>(a) the likely consequences of any decision in the long term</strong></p>
<p />
<p>John Hammond, whilst creative and full of ideas, becomes fixated on getting the park open and impressing his investors. We learn early on that the park can run on minimal staff by relying on the latest technology. Whilst this seems impressive at first, it soon becomes apparent that John Hammond has not carried out extensive and structured long-term risk assessments. There is no evidence of: any testing or management of risk if the systems become redundant; a contingency plan in case the power fails; evacuation plans (particularly given the island has little signal and it can only be reached by boat which takes a number of hours) or the reputational impact to the company of a mass-casualty event. </p>
<p />
<p>Throughout the film, the narrative is that the founder of the company has <em>'spared no expense'</em> in this business venture, however, this reassurance is short-lived. This is an example of the necessity of balancing long termism against immediate commercial benefit. Long termism requires focus on decisions that are good for the business over many years, which can include factors such as investing in strong systems and people (we touch on this next, below), building trusted client relationships and accepted slower short-term profits to create a stable and valuable business for the future. It may have taken John Hammond some time to get the company up and running, but throughout the film we see him chasing that quick win and the excitement it brings by focusing on what is profitable in the immediate future. There's clear evidence the company has been cutting important costs like on compliance or training. There is no safety training nor safety plans in place to protect either the staff or the buildings, or even the dinosaurs themselves. The <em>'spared no expense</em>' motto may have reassured the early investors in the company, however, the audience soon starts to see the company's limitations. </p>
<p />
<p><strong>(b) the interests of the company’s employees</strong></p>
<p />
<p>It soon becomes apparent that all the company's employees are subject to real and extreme physical risk. This is evident from the opening scene where a mistake during the feeding of a velociraptor results in us witnessing the first death of an employee. We soon learn that this was not the only death that occurred during the initial stages of the park.</p>
<p>Whilst we are told the park is running on minimal staff, what this means is that there is little or no staff working in pivotal infrastructure roles. However, there are still game wardens, kitchen staff, cleaners, porters, lab technicians etc. and these are all at risk of death, primarily by being eaten by an escaped dinosaur. </p>
<p>Not only are they exposed to risk in this way, but the company's treatment of Dennis Nedry, the instrumental personnel in developing the technology the park relies on, leads to him becoming disgruntled. We hear his many complaints of being overworked, underpaid and unsupported and this eventually results in complete company sabotage. Poor governance of the company and a complete failure to engage with key staff highlights how this can directly threaten corporate success. </p>
<p><strong>(c) the need to foster the company’s business relationships with suppliers, customers and others</strong></p>
<p>Prior to the opening of the park, John Hammond enlists the assistance of key stakeholders to attend the park. This includes, investors, a legal advisor, contractor, scientists (Alan Grant, Ellie Sattler and Ian Malcolm) and his grandchildren (Lex and Tim) who he calls his key audience. However, even though he seeks approval from experts to gain reassurance for his investors (following the death of the employee in the opening scene), there is no risk management or real care taken in ensuring the safety of those people and thus placing the relationships with key stakeholders entirely at risk. </p>
<p>In addition, and as we referenced above, John Hammond's relationship with Dennis Nedry, who is the critical supplier of the IT infrastructure, is mishandled. He shows no oversight, no segregation of duties and no proper vendor management. Dennis is able to negotiate a deal with a competitor for the sale of dinosaur embryos and set up a 'back door' in the IT system so he can override the security settings across the whole park and lock their personnel out of the system by use of a password: ' <em>you didn't say the magic word'</em>….</p>
<p><strong>(d) the impact of the company’s operations on the community and the environment<br />
</strong>The environmental impact of Jurassic Park is obvious. Resurrecting extinct species, thereby disturbing ecosystems, not to mention the risk of the animals escaping into the wider environment is huge. </p>
<p>Even if the company was legally permitted to create the dinosaurs, as Ian Malcom states, the company was so caught up in trying to work out if they could, "<em>they didn't stop to think if they should</em>". It is imperative that directors consider the environmental impact their company has as well as any risk mitigation strategies and processes. Not only is it the right thing to do but the reputational risk to the company must always be considered. </p>
<p><strong>(e) the desirability of the company maintaining a reputation for high standards of business conduct</strong></p>
<p>When things go wrong in the park, the reputational damage is catastrophic. The company has to deal with many deaths, the regulatory scrutiny for all of its actions and decisions, not to mention the ethical outrage for creating such a park and placing lives at risk in the first place. </p>
<p style="text-align: left;"><strong>(f) the need to act fairly as between members of the company<br />
</strong>Whilst it has taken a number of years for the park to come to fruition, John Hammond makes it clear that the early-stage investors are keen for returns. However, a quick return is not always beneficial for the longer-term interest of the company, particularly in respect of its solvency and thus survival. </p>
<p>This element of Section 172 requires the company to exercise balanced decision making and ensuring all decisions are not exclusively benefiting a majority or controlling shareholder at the expense of others. John Hammond's decision making throughout the film is focused on his own self-interests in the park, his dream and making a quick profit rather than considering the interests of other members of the company. </p>
<p style="text-align: left;"><strong>Compliance vs breach<br />
</strong>There is evidence in the film of John Hammond attempting to promote the success of the company. He has an innovative concept which is designed to create enormous shareholder value. The fact that John Hammond insisted on the external experts of Alan Grant, Elie Sattler and Ian Malcolm visiting the island and giving him their views, could be seen to be carrying out due diligence. There was also even some investment made in security and containment, as well as a (basic) contingency plan (the lysine contingency). </p>
<p>However, there are even stronger indications of breaches of the section 172 duty.<strong> </strong></p>
<p>John Hammond places too much reliance on Dennis Nedry, the one IT specialist, who has complete control over the development and continuity of the technological infrastructure of the island. Nedry is not given any proper oversight and there is no evaluation or risk management of the long-term consequences of this and to business relationships. </p>
<p>Whilst there may be some, it can most definitely be described as insufficient regard to not only visitor safety but the safety of company employees. Not to mention the impact to the community of the business, especially if the dinosaurs managed to get off the island completely (but wait, that's The Lost World). </p>
<p>The one contingency plan in the event any dinosaurs escaped the island, involved the need for the dinosaurs to be manually fed lysine from the staff. This was evidently not realistic. It failed to take into account the lysine rich sources naturally occurring on the island that the dinosaurs could eat themselves. </p>
<p>John Hammond showed a complete lack of realistic emergency planning both in terms of long-term consequences of the park and therefore the future of the company, as well as its reputation, not least due to the clear ethical questions that should have been raised at the outset with regards to the genetic manipulation of animals as well as the welfare of the animals themselves.</p>
<p>Even if John Hammond genuinely believed that he was promoting the success of the company, a court would scrutinise whether he had proper regard to all the factors (a) to (f) set out above and, implement the appropriate governance.  It is safe to say John Hammond would not succeed under any such scrutiny.</p>
<p><strong>Our top 5 risk management tips for directors to consider (and their insurers to keep in mind)</strong></p>
<p>1. <strong>Ensure all board minutes are documented</strong> – having a clear documentation process in place will help evidence decision making if challenged at a later date</p>
<p>2. <strong>Embed stakeholder impact into board decision making</strong> – ensure the board explains stakeholder impacts clearly and considers any relevant alternatives Board decisions that ignore systemic risks are fertile ground for shareholder claims. and decisions are well-balanced to ensure fairness for all shareholders</p>
<p>3. <strong>Strengthen governance processes and documentation</strong> – ensure why the chosen option best promotes the long-term success of the company</p>
<p>4. <strong>Align incentives and risk appetite with long-term success – </strong>ensure decisions reward sustainable performance and good conduct. Don't focus on the short-term profits.</p>
<p>5. <strong>Monitor, review and report on section 172 compliance</strong> – regularly reviewing company compliance with section 172 will ensure risks are adequately managed and the discharge of the duty is evidenced</p>
<p>We would be delighted to discuss any queries arising from this article. Please contact <a href="https://www.rpclegal.com/people/matthew-watson/">Matt Watson</a> in the first instance.</p>]]></content:encoded></item><item><guid isPermaLink="false">{4D3AEEBF-B816-46F7-A788-9C150C0BE4A9}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/what-lessons-can-company-directors-and-their-insurers-learn-from-the-oscars/</link><title>What lessons can company directors and their insurers learn from the Oscars? (Or for film buffs!)</title><description><![CDATA[In celebration of the 98th Academy Awards, our management liability experts explore directors' duties through the lens of Oscar winning films. With the benefit of some creative licence, we aim to bring the duties to life and distil key risk management tips designed to help boards, and those who insure them, strengthen governance, and evidence compliance in the face of regulatory and shareholder scrutiny.]]></description><pubDate>Mon, 16 Mar 2026 08:00:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Matthew Watson, Aimee Talbot</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-2---thinking-tile-wide.jpg?rev=40a7acf2763d463ea4d5f510988c8dea&amp;hash=E29E28FDE6A7E330C22CC2C8C3173E93" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p><strong>Part 1: The Godfather: Takeaways from Don Corleone for company directors</strong></p>
<p />
<p>In celebration of the 98th Academy Awards, our management liability experts explore directors' duties through the lens of Oscar‑winning films. With the benefit of some creative licence, we aim to bring the duties to life and distil key risk management tips designed to help boards, and those who insure them, strengthen governance, and evidence compliance in the face of regulatory and shareholder scrutiny.</p>
<p />
<p>In this, the first article in our series, we consider the s171 duty through the lens of <em>The Godfather</em> (1972). </p>
<p />
<p><strong>Background</strong></p>
<p />
<p>Twenty years ago, in the same year that "The Godfather" videogame was released, sections 171 to 177 of the Companies Act 2006 (<strong>CA</strong>) codified common law and equitable duties into seven core duties, usually called the general duties, which require directors to:</p>
<p />
<ol>
    <li>Act within their powers (s171)</li>
    <li>Promote the success of the company (s172)</li>
    <li>Exercise independent judgment (s173)</li>
    <li>Exercise reasonable care, skill and diligence (s174)</li>
    <li>Avoid conflicts of interest (s175)</li>
    <li>Not to accept benefits from third parties (s176)</li>
    <li>Declare their interest in proposed transactions or arrangements (s177)</li>
</ol>
<p />
<p>In addition, directors have the creditor duty (aka the <em>Sequana duty</em>), requiring them to consider creditors' interests in certain circumstances, as well as certain other uncodified duties and those imposed by a wide variety of legislation such as insolvency, corporate reporting, environmental and health & safety. Directors owe these duties to the company in their position as fiduciaries and may also incur liability to the company, or to third parties, under contract or tort. </p>
<p />
<p>For those lacking a penchant for popular culture, the Oscars, formally known as the Academy Awards, are annual film awards presented by the Academy of Motion Picture Arts and Sciences to honour outstanding achievements in cinema. </p>
<p />
<p><strong>The first</strong> <strong>duty: duty to act within powers (s171)</strong></p>
<p />
<p>Section 171 requires a director to act in accordance with the company’s constitution (s171(a)) and to only exercise powers for the purposes for which they are conferred (s171(b)). Directors can breach s171(a) by failing to abide by the company's articles or special resolutions or by causing the company to make an unlawful distribution, for example. S171(b) does not set out how to ascertain a company's proper purpose, so common law principles apply. Case law makes it clear that this duty is aimed at preventing abuse of power, so is a subjective test. As such, even where the board has legal power (for example, to issue shares), using that power for an improper purpose (eg to dilute a particular shareholder or entrench control) can breach section 171(b).</p>
<p />
<p>In addition to acting outside the scope of the company's constitution, directors will be liable under s171 if they cause the company to do something beyond its powers or which it otherwise cannot lawfully do. </p>
<p />
<p>Common flashpoints that tend to generate claims include:</p>
<ul style="list-style-type: disc;">
    <li>Share issuances and buy‑backs.</li>
    <li>Use of board discretions under incentive plans.</li>
    <li>Delegations of authority and committee powers.</li>
    <li>Defensive measures in the face of takeovers or shareholder activism.</li>
</ul>
<p />
<p><strong>The film: <em>The Godfather</em> (1972)</strong></p>
<p />
<p>Whilst recognising the film's depiction of criminal conduct and immoral practices, <em>The Godfather</em> can also be seen as a portrayal of institutional power, unwritten constitutions and the consequences of leaders treating powers as personal property. For D&O Insurers, if ever there was an example of needing to reserve rights in respect of a conduct exclusion, the Corleone's business practices may come to mind. </p>
<p />
<p>The Corleone family has its own constitutional framework, officeholders, powers and limits.  The constitutional framework includes traditions, rules and territory arrangements with other families and expectations about succession. Don Vito Corleone is the original chairman; his caporegimes as senior executives and consigliere Tom Hagen is something like a general counsel or company secretary. The Don can order deals, alliances and reprisals, but there are tacit limits, enforced by custom.</p>
<p />
<p>Several key plot points illustrate the requirements as set out in s171 of acting within one's powers. Michael, initially an outsider, gradually assumes control. As he consolidates power, the line between powers of the office and Michael’s personal agenda blurs. Decisions that should serve the family’s long‑term business interests become vehicles for settling personal scores. The infamous baptism sequence intercuts Michael’s assent to assassinations with his public acceptance of godparental responsibilities. He uses the full machinery of the organisation (resources, personnel, reputational capital) to achieve an essentially private aim: eliminating rivals and securing his personal dominance. </p>
<p />
<p>In company law terms, this is the archetype of an "improper purpose": using institutional powers to pursue personal objectives. Deals are done and broken without proper consultation with the other families; long‑standing understandings are ignored. The apparent short‑term success of these moves masks a legitimacy deficit that ultimately destabilises the entire structure.</p>
<p />
<p><strong>Our top 5 risk management tips for directors to consider (and their insurers to keep in mind):</strong></p>
<p />
<ol>
    <li><strong>Schedule a regular constitutional audit</strong> to review the articles, shareholder agreements and delegations, and give directors a clear briefing on key powers, limits and consent requirements.
    <p />
    </li>
    <li><strong>Build proper purpose into board templates</strong> by requiring board papers and minutes (especially around share capital and control) to spell out the statutory basis, primary purpose and business rationale for the decision.
    <p />
    </li>
    <li><strong>Seek external advice when required</strong> by seeking external legal advice on higher‑risk actions such as defensive share issues, related‑party deals and control‑shifting restructurings.
    <p />
    </li>
    <li><strong>Document your decision-making</strong> by preparing a statement of the purpose of each substantive exercise of powers.
    <p />
    </li>
    <li><strong>Be clear about limits</strong> by preparing an internal guidance note on key duties and limits imposed by the company's constitution and keep this in an easily accessible place so that directors and officers, and anyone preparing briefings for the company, can refer to it. Make it a "living document" by assigning it an owner and scheduling regular reviews to avoid it falling out of date.</li>
</ol>
<p />
<p>We would be delighted to discuss and queries or comments arising from this article. Please contact <a href="https://www.rpclegal.com/people/matthew-watson/">Matt Watson</a> in the first instance. </p>]]></content:encoded></item><item><guid isPermaLink="false">{43191F34-A0EA-4489-A1F6-ABBE7F96E1D7}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/mexico-from-cartel-retaliation-to-policy-response/</link><title>Mexico - From Cartel Retaliation to Policy Response: Navigating Coverage After Violent Rampage</title><description><![CDATA[Members of the Cartel Jalisco Nueva Generación (CJNG) went on a violent rampage after the Mexican army killed cartel boss Nemesio “El Mencho” Oseguera, setting fire to cars, malls, and convenience stores, and blocking roads by throwing spikes and nails onto the tarmac.]]></description><pubDate>Tue, 03 Mar 2026 12:11:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Alex Almaguer, Chris Burt, Marcela Calife Marotti, Martin Jimenez Bonola</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/images/thinking-tiles/wide/301136-website-perspective-tiles-final-wide-715x370px_02_regulatory_597626747.jpg?rev=e787b3f697654d448ddd8db8a99a5012&amp;hash=6F20DAC50A9A45E765D5DF673EE121BB" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p>It is expected that attacks will continue over the coming months as the cartel undergoes a restructuring process, during which regional leaders of the CJNG may seek to take control of the organisation’s operations.</p>
<p>Coverage for vandalism and malicious damage may be found under different types of products, ranging from standard property policies — either under All Risks cover or as an “add-on” or carve-back to Terrorism and Political Violence Insurance (T&PVI) — to other standalone covers such as SRCC (Strikes, Riots and Civil Commotion) or Organised Crime policies.</p>
<p>Under All Risks policies, coverage for the above perils is, in most cases, capped by a sub-limit. However, if the policy is silent, coverage for these perils may extend up to the full policy limit. A failure to exclude the relevant perils generally means that coverage is afforded.</p>
<p>In most instances, All Risks policies contain terrorism exclusions. These exclusions may have the effect of removing cover for events that may not obviously be regarded as terrorism. The focus of this note is their potential application to the recent disturbances following the death of El Mencho.</p>
<p>The application of terrorism exclusions is not without difficulty. The fact that a government (or other recognised authority) states that certain individuals are terrorists or are committing acts of terrorism — for example, the designation of the CJNG as a Foreign Terrorist Organization by the US Department of State — does not necessarily mean that this will be determinative from a policy coverage perspective.</p>
<p>Policies may define “terrorism” or an “act of terror”, either expressly or by reference to a statutory definition or the determination of an organisation. Where the policy contains a definition, there is often no need to look further. However, the term is sometimes left undefined. In addition, there is a risk of mismatch between the insurance and the reinsurance.</p>
<p>In our experience, the most common terrorism exclusions used for Latin American risks (including Mexico) are NMA 2918,  NMA 2919, NMA 2920, and NMA 2921. These exclusions were developed following the events of 9/11. Their purpose was to provide broader exclusions than those previously available, encompassing any terrorism-related losses.</p>
<p>The wording of these exclusions is sufficiently wide that an argument may be made that they apply to at least some of the recent events. For example, an “act of terrorism” is not limited to the use of force or violence but includes the threat of force or violence. The definition of the perpetrator has also been broadened: whereas it was previously limited to organisations, it now includes individuals acting alone (so-called “lone-wolf” terrorists).</p>
<p>The motivation required to trigger the exclusion has similarly been broadened. It has evolved from political, ideological, or religious purposes to include “similar” purposes and is no longer limited by a requirement to demonstrate an intention to influence the government or to put a section of the public in fear.</p>
<p>These exclusions also contain broader causation language, referring to “direct or indirect” causes. Accordingly, the “act of terrorism” need not be the proximate cause of the loss; it may be a more remote cause.</p>
<p>Nevertheless, if (re)insurers are seeking to rely on these terrorism exclusions, in our experience, they will face the following practical issues:</p>
<p><strong>Reverse burden of proof</strong></p>
<p>Terrorism exclusions often contain “reverse burden of proof” provisions. This means that if (re)insurers can demonstrate a reasonable basis for asserting that a terrorism or political violence exclusion is triggered, the burden shifts to the insured to prove that the exclusion does not apply.</p>
<p>In our experience, however, regardless of the wording of the exclusion, courts in Latin America are unlikely to shift the burden of proof onto the insured.</p>
<p><strong>Intention (Political, Ideological and/or Religious vs Economic Interest)</strong></p>
<p>Establishing intention can be particularly challenging.</p>
<p>In civil unrest or riot scenarios, in most instances, you will not have the relevant people getting arrested and declaring the reason why they have done what they did. On this occasion, some perpetrators have been arrested, and authorities in certain states have indicated that they will face terrorism-related charges.</p>
<p>However, based on the videos available to date, the perpetrators have not made statements or left evidence clearly demonstrating that the attacks were directly connected to the death of El Mencho, even if "everyone" know that the death of the cartel boss was the cause of those attacks. </p>
<p>Although proving the intention of specific individuals or groups vandalising insured property may be difficult, due to the nature of the crimes, there appear to be grounds to argue that there was an intention to influence the government or put a section of the public in fear with the apparent purpose of preventing the government prosecuting any member of the cartel and allowing them to continue with their criminal operations. </p>
<p><strong>Overlapping policies</strong></p>
<p>It is possible that perils covered under All Risks policies may also be covered elsewhere, such as under Political Violence Insurance (PVI) or Organised Crime policies. In such cases, it is necessary to consider whether the respective policies contain contribution clauses. If the All Risks policy includes a primary insurance clause, it may override principles of contribution and effectively allocate the loss to the All Risks policy.</p>
<p><strong>Evidence</strong></p>
<p>Given the nature of the events, there is plenty of evidence of malicious damage and vandalism. However, proving intention to trigger an exclusion or to trigger coverage on a standalone coverage will be challenging. </p>
<p><strong>Number of events</strong></p>
<p>Events of this nature are often fluid and diverse. While the initial trigger for the violent rampage may be identifiable, subsequent actions may evolve over time. It may be difficult to establish that an act of vandalism occurring, for example, six months from now remains connected to the death of El Mencho.</p>
<p>This may affect whether losses arising from particular criminal acts fall within policy coverage.</p>
<p>Moreover, different perils may be triggered simultaneously in different locations. For example, looting following a fire may be covered under certain wordings, whereas looting not preceded by fire may be excluded.</p>
<p>These are only some of the issues that may complicate the assessment of which policy, if any, responds to a given loss.</p>
<p><strong>Legal actions against the Mexican government due to its failure to maintain public order</strong></p>
<p>Another aspect to consider is whether insureds might bring legal actions against the Mexican government, alleging failure to maintain public order and to prevent the CJNG from continuing random attacks on insured property.</p>
<p>If an insured is successful in such an action while also receiving indemnification from insurers, questions arise as to whether insurers may recover amounts paid under the principle of double indemnity. Alternatively, insurers may seek recovery from the government for losses not covered under the available policies. In such circumstances, complex allocation issues may arise, particularly where it is difficult to determine which peril (covered or excluded) caused the loss.</p>
<p><strong>Conclusion</strong></p>
<p>Commonly used terrorism exclusions are broad in scope, and (re)insurers may argue that they apply to many of the attacks that took place following the death of El Mencho.</p>
<p>However, reliance on these exclusions may not be straightforward. </p>
<p>Similarly, in relation to standalone products such as SRCC or Organised Crime policies, establishing the requisite intention to trigger coverage may also present significant challenges.</p>
<p> RPC have advised Reinsurers on political violence, criminal activity and terrorism losses (coverage, litigation and arbitration) in Latin America for more than a decade utilising our extensive network of local partners.</p>]]></content:encoded></item><item><guid isPermaLink="false">{7AF56A3C-31E0-4E66-A516-9B2392E3F9AD}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/general-liability-newsletter-february-2026/</link><title>General Liability newsletter – February 2026</title><description><![CDATA[Welcome to the latest edition of our general liability newsletter. In this edition we look at a Defendants obligations following invalid service of the Claim Form, rules on withdrawing accepted part 36 offers, the effectiveness of the Fixed Recoverable Costs regime and the Court of Appeal decision in Jayden James Smithstone v Tranmoor Primary School [2026] EWCA Civ 13. ]]></description><pubDate>Tue, 17 Feb 2026 10:52:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Gavin Reese, Fiona Hahlo, Beth Lewis, Emily Twomey, Sally Lord</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-2---thinking-tile-wide.jpg?rev=40a7acf2763d463ea4d5f510988c8dea&amp;hash=E29E28FDE6A7E330C22CC2C8C3173E93" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<h3>A Defendant’s obligations following invalid service of the Claim Form</h3>
<p>The Court of Appeal's judgment in Bellway Homes Limited v The Occupiers of Samuel Garside House [2025] EWCA Civ 1347, following shortly after Robertson v Google [2025] EWCA Civ 1262, reinforces the principle that where a Claim Form has not been validly served within time, a Defendant is generally under no obligation to acknowledge service or make an application under CPR 11 to dispute the court's jurisdiction.</p>
<p><span></span>However, both decisions leave open some practical and unresolved issues, particularly as to when a Part 11 application may still be advisable. </p>
<p><strong>Background of the dispute </strong></p>
<p>The Claimant suffered personal injury because of a fire at a property developed by Bellway. Proceedings were issued just three days before expiry of the primary limitation period. The parties subsequently agreed a six-month extension for service of both the Claim Form and Particulars of Claim, which was formalised by a court order. </p>
<p>Despite this extension, the Claimant's solicitors failed serve proceedings by the agreed deadline. On the final day for service, they sought a further three-month extension by email at 2:17pm. As the 4pm deadline approached, they attempted to serve only the Claim Form (without the Particulars of Claim) by fax and/or DX. </p>
<p>Bellway's solicitors responded by confirming instructions to apply for strike-out under CPR 3.4(2)(c ), on the basis of non-compliance with the rules or a court order. In turn, the Claimant applied for a declaration that the Claim Form had been served in time, or alternatively for relief from sanctions and/or an extension of time. </p>
<p><strong>The decision in the first instance</strong></p>
<p>Master Dagnall held that the Claim Form had not been validly served and refused both relief from sanctions and any extension of time. Nevertheless, the Claimant's argument that Bellway was still required to file an acknowledgment of service and make a Part 11 application. Bellway's attempt to do so out of time was rejected, with the result that the Claim was permitted to proceed. </p>
<p><strong>Court of Appeal: Service was invalid</strong></p>
<p>The Court of Appeal agreed that service had not been affected in accordance with CPR 7.5. Leaving the Claim Form out for DX collection did not amount to "posting, leaving with, delivering to or collection by" the relevant service provider. For service to be effective, there must be a clear and irreversible act of transmission. </p>
<p>The court also reaffirmed the principle from <em>Barton v Wright Hassall LLP</em> that, where service has not been validly affected in time, the Claimant's sole remedy is an application for an extension under CPR 7.6. The relief from sanctions regime under CPR 3.9 or 3.10 has no application in this context. </p>
<p><strong>Was Bellway required to take procedural steps? </strong></p>
<p>Having confirmed that service was invalid, and that no extension should be granted, the Court of Appeal turned to the critical question: was Bellway nonetheless required to acknowledge service or formally contest jurisdiction? </p>
<p>In addressing the issue, the court reviewed earlier authorities. In <em>Hoddinott v Persimmon Homes</em>, a Defendant who filed an Acknowledgment of Service indicating an intention to defend, without making a Part 11 application, was treated as having accepted jurisdiction. </p>
<p>Conversely, in <em>Pitala v NHS</em>, a strike-out application that did not expressly rely on Part 11 was held sufficient where it was clear from the context that jurisdiction was being challenged. </p>
<p>Where jurisdiction is an issue the court may infer than an applications seeking strike-out encompasses a jurisdictional challenge even if Part 11 is not explicitly cited. </p>
<p>The Claimant relied heavily on <em>R(Koro) V County Court at Central London [2024] EWCA 94</em>, where defective service was raised very late in proceedings. In that case, the Court of Appeal held that jurisdiction could only be challenged by a formal Part 11 application, however in Bellway, service and jurisdiction were raised immediately and were central to the case from the outset. </p>
<p><strong>No Obligation where service is invalid </strong></p>
<p>In both <em>Robertson</em> and <em>Bellway</em>, the Defendants had not remained silent but were responding to the Claimant applications aimed at salvaging defective service. Against that backdrop, the Court of Appeal concluded that a Part 11 application would have served no practical purpose since the court was already required to determine whether it had jurisdiction. </p>
<p>In <em>Bellway</em>, Coulson LJ stated that, as a matter of common sense, where a Claim Form has not been served in time and no extension has been granted, the Defendant is not subject to the court's jurisdiction at all. Andrews LJ added that it would be illogical for procedural rules to force a Defendant to submit to jurisdiction in circumstances where service had never been validly effected, particularly where an extension had been sought and refused. </p>
<p>However, the reasoning leaves room for uncertainty. The emphasis placed on the fact that an extension had been applied for, and<em> refused, </em>raises the question of whether the position might differ where a Claimant takes no steps to remedy defective service. </p>
<p>The decision in <em>Koro</em> remains good law and includes the observation that proceedings do not simply cease to exist because service was later. This creates a potential gap in cases where service is invalid but neither party actively raises jurisdiction at an early stage. </p>
<p>In such scenarios, a Defendant who does nothing risks Default Judgment and the need for a later set-aside application. There is also a risk that a failure to raise jurisdiction could be treated unfavourably, depending on the procedural history.</p>
<h3>Rules on withdrawing accepted Part 36 offers</h3>
<p>Part 36 offers are a cornerstone of settlement strategy in civil litigation, designed to encourage reasonable resolution without trial. However, once an offer has been made, the ability to withdraw it is tightly governed by the Civil Procedure Rules, particularly CPR 36.10. A recent High Court decision in Chinda v Cardiff and Vale University Health Board [2025] EQHC 26292 (KB) illustrates how the courts approach applications to withdraw or amend a Part 36 offer before it becomes binding.</p>
<p>Under CPR 36.10, an offeror may seek to withdraw or change the terms of a Part 36 offer before the end of the expiry of the relevant period- typically 21 days from service of the offer, however, only in specified circumstances. </p>
<p>In Chinda, the Claimant sought the court's permission to withdraw a Part 36. The offer was made on 2 July 2022, withdrawn on 8 July and ultimately accepted by the Defendant on 22 July 2022 (within the 21 days).<span>  </span></p>
<p>The Claimant, severely injured through clinical negligence, had made a Part 36 offer that included a retained lump sum, periodical payments and provisional damages. Before the expiry of the relevant period, he attempted to withdraw the offer and propose an alternative settlement structure involving a lump sum and provisional damages calculation. The Defendant had already accepted the original offer before that expiry. </p>
<p>Because the offer had been accepted within the relevant period, the courts permission under CPR 36.10 (2) (b) was required for withdrawal. The sole issues, therefore, became whether there had been a change of circumstances justifying the withdrawal, specifically, whether there had been a change of circumstances justifying the withdrawal and whether withdrawal was in the interests of justice. </p>
<p>Master Cook declined the Claimant's application. Crucially, the judge held that the Claimant's change of mind as to the form of settlement did not amount to the kind of "change of circumstances" the rule contemplates. </p>
<p>Drawing on leading authority, including commentary on Camper v Pothecary and Retailers v Visa, the court reaffirmed that the change must be significant and objective, not merely a party's revised assessment of the case or personal preferences. Examples include new evidence altering the factual matrix or shift in legal outlook following a new judicial decision, not simply a decision to value aspects of the claim differently after reflection. </p>
<p>The court also rejected arguments based on the Claimant's vulnerability. Despite submissions about fatigue and difficulty processing negotiations, the judge found no evidence that the Claimant's capacity to instruct his lawyers was compromised. They also found no evidence that the procedural safeguards of the Part 36 regime had been overwhelmed. The court stressed that Part 36's self-contained nature limits judicial direction to avoid uncertainty in settlement negotiations.  </p>
<p>The Chinda decision reinforces several key principles when handling Part 36 offers, namely: </p>
<ul style="margin-top: 0cm; list-style-type: circle;">
    <li>Permission to withdraw or amend a Part 36 offer before the relevant period expires is the exception, not the rule. The threshold test of a genuine "change of circumstances" means courts will not permit withdrawal simply because the offeror regrets the offer or prefers a different structure. </li>
    <li>Once accepted before the relevant period expires, a Part 36 offer is generally binding unless the court is persuaded that exceptional circumstances justify withdrawal. </li>
    <li>The overriding objective and factors such as vulnerability are unlikely, by themselves, to satisfy the change of circumstances test, unless they are accompanied by more concrete changes in evidence or legal position. </li>
    <li>Part 36's structure reflects a balance between negotiation flexibility and the need for certainty and enforceability of offers. </li>
</ul>
<p>
</p>
<p>Chinda serves as a useful reminder that a mere change of mind is insufficient; the court must be satisfied that there has been a meaningful change in circumstances that justifies departing from the committed settlement position. </p>
<h3>Effectiveness of Fixed Costs</h3>
<p>The Ministry of Justice has launched an interim review of the extended Fixed Recoverable Costs regime. </p>
<p>The Ministry of Justice, together with the Civil Procedure Rule Committee, has opened a consultation seeking feedback on the extended Fixed Recoverable Costs (FRC) regime that was introduced on 1 October 2023. The review, termed an interim implementation stocktake, invites stakeholders to submit evidence on how the new cost-recovery framework is operating in practice, with responses requested by early January 2026. </p>
<p>The extended FRC regime represents one of the most significant changes to civil litigation costs in recent years. Previously, fixed recoverable costs applied in limited contexts such as low-value personal injury claims. Under the reforms implemented in late 2023, FRC now broadly applies across the fast track (claims up to £25,000) and the intermediate track (most civil cases valued between £25,000 and £100,000), subject to a limited number of exceptions. </p>
<p>The purpose of the interim implementation stocktake is to identify and examine any emerging issues associated with the intermediate track FRC regime. Key areas under review include: </p>
<ul style="margin-top: 0cm; list-style-type: circle;">
    <li>The operation and practical effect of the four case complexity bands established for both fast and intermediate tracks. </li>
    <li>The interaction between fixed recoverable costs and settlement initiatives, including the use and impact of Part 36 offers. </li>
    <li>Treatment of expected claims, such as certain housing and clinical negligence matters that fall outside the FRC framework. </li>
    <li>The incidence and relevance of disbursements and how they affect overall recoverable costs. </li>
    <li>The influence of unreasonable conduct by parties on costs awards within the fixed regime.</li>
</ul>
<p>The interim stocktake complements another ongoing consultation examining small-track whiplash claim procedures. Together, these parallel reviews highlight the government's continuing focus on litigation costs and access to justice. </p>
<p>The results of the interim stocktake will help inform a fuller post-implementation review, expected to take place in late 2026, which will explore the wider effects of the extended FRC regime and potential need for future reform. We look forward to further comment on the potential upcoming reforms in the future bulletins.</p>
<h3>Jayden James Smithstone (A child by his Litigation Friend, Kirsty Louise Norris) v Tranmoor Primary School [2026] EWCA Civ 13</h3>
<p><span>This recent Court of Appeal decision addressed the issue of whether liability only offers are effective to engage CPR 36.</span></p>
<p><span>The Claimant issued a personal injury claim against the Defendant and made a Part 36 offer to settle liability on a 90/10 basis. This offer was rejected by the Defendant, and the parties subsequently agreed settlement of the claim at £2,650. DDJ Khan approved the sum of £2,650 on the basis that it was all to go to the Claimant, and awarded the Claimant fixed costs, sealing an order in these terms on 21 December 2020. </span></p>
<p><span>The Claimant appealed against the decision to award fixed costs on the grounds that it had not been awarded any of the consequences provided for under CPR 36.17, in circumstances where the order dated 21 December 2020 was at least as advantageous to the Claimant as its 90/10 liability offer.</span></p>
<p><span>On the first appeal, HHJ Baddeley considered that he was bound by the case of <em>Mundy v TUI UK Ltd [2023] EWHC 385 (Ch) </em>and rejected the appeal. In Mundy v Tui, the Court stated that there was a fundamental incompatibility of 90/10 offers with CPR 36.17, as a 90/10 offer was not an offer to settle the claim on quantifiable financial terms, and could represent a "<em>unilaterally imposed insurance policy</em>" enabling claimants to recoup a substantial premium despite failing to beat a money offer to settle their claim.</span></p>
<p><span>On appeal to the Court of Appeal, Lord Justice Bean overruled Mundy v TUI as a matter of principle. Applying <em>Huck v Robson [2002] EWCA Civ 398</em> and <em>Broadhurst v Tan [2016] EWCA Civ 94</em>, Bean LJ stated that the Court ought to encourage settlement of specific issues in the interests of saving costs and court time. Bean LJ considered that the Claimant's 90/10 liability offer should be treated as a genuine offer to compromise. </span></p>
<p><span>However, as liability had never been determined, the appeal was dismissed on the basis that the outcome of the case could not be said to be a finding more advantageous to the Claimant than a 90/10 apportionment of liability. Had the Defendant admitted liability, or been found to be 100% liable at trial, the Court of Appeal considered that there could have been a case for awarding the Claimant, pursuant to CPR 36.17, costs relating to the issue of liability from the date of the Claimant's 90/10 offer.</span></p>
<p><strong><span>Comments and Analysis:</span></strong></p>
<p style="text-align: justify;"><span>Parties will no longer be able to rely on the judgment in Mundy v Tui to argue that liability only offers do not engage CPR 36, and it may be the case that defendants see an increase in liability only offers from Claimants who seek to capitalise on the decision in <em>Smithstone v Tranmoor</em>. If there is a finding of liability, CPR 36.17 may be engaged, so parties should be mindful of the potential costs consequences when admitting liability or progressing a claim to trial after a liability only offer has been made. </span><span style="line-height: 115%;">The Court of Appeal also made clear that an order approving settlement of damages to a minor met the threshold to be a "judgment" for the purposes of CPR 36.17.  When settling a claim, parties must ensure that their settlement terms do not enable their opponents to argue that there is a "judgment" which is more advantageous than their liability only offer.</span></p>
<div class="scEnabledChrome scEmptyPlaceholder" sc-placeholder-id="_content_standardleftcontent" sc-part-of="placeholder"> </div>]]></content:encoded></item><item><guid isPermaLink="false">{F4F8AA93-A62A-4E57-BB0D-DE24041AC224}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/bancassurance-in-hong-kong-a-practical-framework/</link><title>Bancassurance in Hong Kong: A Practical Framework</title><description><![CDATA["Bancassurance" – a collaboration between banks and insurers for the distribution of insurance products – remains a powerful growth lever in Hong Kong, China. ]]></description><pubDate>Mon, 09 Feb 2026 08:12:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Andrew Carpenter</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-2---thinking-tile-wide.jpg?rev=40a7acf2763d463ea4d5f510988c8dea&amp;hash=E29E28FDE6A7E330C22CC2C8C3173E93" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p style="margin-bottom: 11pt; text-align: justify;">"Bancassurance" – a collaboration between banks and insurers for the distribution of insurance products – remains a powerful growth lever in Hong Kong, China. Success depends on translating the Insurance Authority’s (IA) principles‑based, outcomes‑focused philosophy into practice; put customer outcomes first, manage conflicts and mis‑selling risk, ensure resilience and continuity, and evidence governance that stands up to supervisory scrutiny. Licensing clarity, conduct controls and, nowadays, data (and AI) discipline, are all key. </p>
<p>A successful negotiation will lead to <strong><span>– </span></strong>stronger conduct assurance and brand protection; improved value for customers; regulatory‑ready governance and management information; resilient operations and clearer accountability; and, overall, stronger and more sustainable growth from the banking partnerships.</p>
<p>To get to that successful outcome, insurers and their advisers need to lock-down the following areas in the agreement:</p>
<ul style="list-style-type: disc;">
    <li><span style="text-decoration: underline;">Licensing and Roles</span>: Confirm whether the bank acts as a licensed insurance agent (with technical representatives) or broker; document licences, scope and prompt notification of any licence changes or regulatory actions.</li>
    <li><span style="text-decoration: underline;">Conduct and Suitability</span>: Embed IA principles - Act honestly and in customers’ best interests; balanced disclosure; suitability; conflicts management; competence; record‑keeping; proper handling of client money. Highlight cooling‑off arrangements (including, ILAS – investment-linked assurance) and any product‑specific free‑look periods.</li>
    <li><span style="text-decoration: underline;">Sales Controls, MI and QA</span>: Secure approval rights over scripts/web journeys; robust Management Information (MI) (sales, persistency, cancellations, complaints); Quality Assurance (QA) sampling and call monitoring; mystery shopping rights; audit access; sales suspension triggers for material conduct failings.</li>
    <li><span style="text-decoration: underline;">Remuneration and Incentives</span>: Tie commission to quality and persistency; use balanced scorecards (quality, complaint rates, persistency) and clawbacks to discourage mis‑selling.</li>
    <li><span style="text-decoration: underline;">Data, Direct Marketing and Personal Data (Privacy) Ordinance</span>: PDPO‑compliant fair collection notices; clear data user roles; direct marketing notices and consent/no‑objection (and explicit consent when providing personal data to another for direct marketing); Unsolicited Electronic Messages Ordinance‑compliant messaging (sender ID, accurate headers, unsubscribe, respect do‑not‑call registers); detailed data‑sharing terms (purpose, retention, security, transfers, audit).</li>
    <li><span style="text-decoration: underline;">ILAS Specifics</span>: ILAS Code disclosures (features, risks, fees/charges), suitability checkpoints and cooling‑off handling; assess whether any SFC licensing is engaged when advising on or dealing in underlying funds.</li>
    <li><span style="text-decoration: underline;">Competition and Exclusivity</span>: Review exclusivity and most‑favoured‑nation clauses under the Competition Ordinance or applicable laws; consider competition‑law savings clauses and periodic competition review.</li>
    <li><span style="text-decoration: underline;">Complaints and Redress</span>: Fast‑track complaint forwarding; joint investigation protocols; root‑cause analysis; coordinated remediation; clear customer communications.</li>
    <li><span style="text-decoration: underline;">Governance, Resilience and Exit</span>: Joint steering and conduct committees; regulatory change control; incident escalation (including, joint data breach drills); Service Level Agreements for processing and service; step‑in rights for systemic service failures; orderly run‑off for in‑force policies; data return/deletion; cyber, digital and "AI" discipline and resilience.</li>
</ul>
<p>At <strong><span>RPC</span></strong>, our <strong><span>Corporate Insurance</span></strong><span> </span>team has extensive experience with a range of distribution issues and insurance products in Hong Kong. Please get in touch with us to talk about (for example) structuring agreements, negotiating key protections and embedding best‑practice governance.</p>
<p />
<p>Please contact <strong><span><a href="https://www.rpclegal.com/people/andrew-carpenter/">Andrew</a></span></strong> if you have any queries regarding the issues raised or if you wish to consider commercial law or insurance matters in Hong Kong.</p>]]></content:encoded></item><item><guid isPermaLink="false">{F018048C-8B1C-4D3D-AA3A-2AA8DDE17281}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/the-12-claims-of-christmas/</link><title>The 12 Claims of Christmas: A Festive Legal Round-Up</title><description><![CDATA[As the festive season descends and the halls of justice echo with the sound of sleigh bells (or perhaps the clatter of legal submissions), we present the General Liability team's “12 Claims of Christmas”, which is a merry medley of recent cases. So, pour yourself a cup of mulled wine (or a strong coffee), and join us as we sing through some of the most memorable claims of the year.]]></description><pubDate>Thu, 18 Dec 2025 09:10:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Thom Lumley, Sally Lord</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-1---thinking-tile-wide.jpg?rev=152b7123d6a54e268860168a8297023a&amp;hash=1EE310D00B677E6FFCC5DD15B09E3D53" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p><em>On the first claim of Christmas, a client brought to me: </em><a href="https://www.casemine.com/judgement/uk/67c4a46e179d826378c27d0e"><strong><em>Boyd v Hughes</em></strong></a><em> and the Animals Act 1971 section 2(2) strict liability.</em></p>
<p>A stable hand’s tumble from a horse led to a claim under the Animals Act 1971. However, the claim fell at the first steeplechase with the court finding there was no evidence that the horse, 'Foxy', was likely to cause such injury, having no special characteristics that increased the risk of damage. Foxy's behaviour was not out of the ordinary and therefore, the requirements for strict liability under the Animals Act 1971 had not been made out. In these types of claims, the analysis depends on the facts of the case and can often involve expert evidence on the usual characteristics of the species and circumstances in question. </p>
<p>Sometimes, even the most seasoned rider cannot rein in the law…for more information on this claim, see our article <a href="https://www.rpclegal.com/thinking/regulatory-updates/falling-fowl-in-personal-injury-claims/">here</a>. </p>
<p />
<p><em>On the second claim of Christmas, a client brought to me: </em><a href="https://www.casemine.com/judgement/uk/68f7c0469a22022a049267c6"><strong><em>Hayley v Newcold</em></strong></a><strong><em> </em></strong><em>and a claim centred on causality.</em></p>
<p>The court was required to make the difficult (and quite unusual) assessment of whether the effective cause of a claimant's amputation was an accident suffered at his workplace or due to his own conduct. In reaching its decision, the court relied on video surveillance footage of the claimant prior to the amputation that showed the claimant's disability to be inconsistent to the claim presented by him, as well as the claimant's own evidence that he had regularly been playing Airsoft (a physical combat situation game where players avoid being hit with pellets).  For a deeper dive into this decision, see our article <a href="https://www.rpclegal.com/thinking/insurance-and-reinsurance/hayley-v-newcold-ltd/">here</a>.</p>
<p />
<p><em>On the third claim of Christmas, a client brought to me: </em><a href="https://www.bailii.org/ew/cases/EWCA/Civ/2025/177.html"><strong><em>Young v Downey</em></strong></a><em> and a claim for psychiatric injury.</em></p>
<p>The Court of Appeal overturned the first instance decision which found the claimant had not satisfied the requisite criteria for a claim as a secondary victim, in that at four and a half years old she could not have appreciated that her father was involved in the Hyde Park bombing explosion. The Court of Appeal held that the initial decision was wrong as the expert evidence should have been followed and not ignored and, had the judge done so, the required relationship of proximity would have been established. </p>
<p />
<p><em>On the fourth claim of Christmas, a client brought to me: </em><a href="https://www.supremecourt.uk/cases/uksc-2025-0102"><strong><em>Johnstone v Fawcett’s Garage (Newbury) Limited</em></strong></a><em> and the issue of materiality.</em></p>
<p>Mrs Johnstone was a worker at a garage and her husband brought a claim against her employer alleging exposure to asbestos during her employment caused her to develop mesothelioma. The respondent admitted that there had been unsafe practices in the workshop at the time of Mrs Johnstone's employment, which did generate clouds of dust containing asbestos fibres. However, the Judge reached the decision that this would have only increased the risk of developing mesothelioma by 0.1% and therefore this did not give rise to a material increase in risk.  Mr Johnstone appealed, and the Court of Appeal upheld the High Court's decision. Permission to appeal to the Supreme Court was refused on the grounds that it did not raise an arguable point of law. </p>
<p />
<p><em>On the fifth claim of Christmas, a client brought to me: </em><a href="https://www.casemine.com/judgement/uk/68c07355a9cd195cb0130db2"><strong><em>O’Connell v Ministry of Defence</em></strong></a><em> with equine injury and a finding of fundamental dishonesty. </em></p>
<p>A gunner’s claim for riding injuries was dashed, not just by the facts, but by a finding of fundamental dishonesty. Not only did the court find the claimant had been dishonest about adaptions she claimed had been made to a car (the VIN number proved that she had in fact purchased a second vehicle of the same make and model following release of surveillance footage by the defendants), but the surveillance footage disclosed by the defendant showed her carrying out activities inconsistent with her contemporaneous representations to the experts in respect of her levels of disability.  In reaching its decision, the court gave permission to the defendant to enforce any costs order under CPR 44.16. </p>
<p />
<p><em>On the sixth claim of Christmas, a client brought to me: </em><a href="https://www.casemine.com/judgement/uk/68ab5abe678a8440fa1575ad"><strong><em>Brown v Morgan Sindall Construction and Infrastructure Ltd</em></strong></a><em> and a cycling calamity.</em></p>
<p>A cyclist’s encounter with a traffic bollard missing a reflective wand led to a claim against the construction company in negligence and/or nuisance. Whilst it was found likely that vandals may have removed the wand, the defendant was or ought to have been aware that these acts of vandalism on the bollards were taking place and that this resulted in a safety risk for cyclists. Effective inspection and maintenance to mitigate the risk was not carried out by the defendant. A finding of 5% contributory negligence was made due to the claimant cycling too close to the centre of the line. The defendant's allegations of fundamental dishonesty were rejected. A timely reminder: hazards don’t take holidays.</p>
<p />
<p><em>On the seventh claim of Christmas, a client brought to me: </em><a href="https://www.casemine.com/judgement/uk/689b8bd076ce8678a9a3662b"><strong><em>Rawson v Tui</em></strong><em> <strong>UK Ltd</strong></em></a><em> and a reminder of the burden of proof for causation to be on the balance of probabilities.</em></p>
<p>A claimant alleged an illness suffered whilst on holiday was caused by the ingestion of a pathogen in contaminated food or drink at the hotel they were staying at. The trial judge dismissed the claim, and the claimant appealed. The Court of Appeal agreed with the initial decision, that the claimant had become ill on holiday but that the claimant had failed to prove, on the balance of probabilities, that the illness was caused by contaminated food or drink from the hotel. </p>
<p />
<p><em>On the eighth claim of Christmas, a client brought to me: </em><a href="https://www.casemine.com/judgement/uk/68939f74f1f8e911937349c2"><strong><em>Read v Middlesex Hospital Trust</em></strong></a><em> and a struck out claim for lack of specificity.</em></p>
<p>The claimant had been ordered to amend their Particulars of Claim to adequately particularise their claim for breach of duty against the Accident & Emergency department and subsequent orthopaedic ward. However, the defendant sought to strike out the amended particulars on the basis that the claimant had not complied with the order. The amended particulars failed to particularise the claim and were also not supported by expert evidence.  The claimant sought permission to re-amend his claim. The Court found in favour of the defendant and held the order had not been complied with because the claimant had not produced further and better particulars. In fact, it held the statement of case disclosed no reasonable grounds for bringing the claim. The court also confirmed that CPR44.15, in respect of strike out, disapplied QOCS protection. </p>
<p />
<p><em>On the ninth claim of Christmas, a client brought to me: <strong>Chuhan v Dechert </strong>and the meaning of 'equipment' under the Employers' Liability ((Defective equipment) Act 1969).</em></p>
<p>A lawyer brought a claim against her employer after suffering an injury when the top of a door handle fell and hit her in the head. The Court had to decide if the door itself or the handle constituted 'equipment' for the purposes of the 1969 Act. Whilst acknowledging the existing authorities on equipment were not comparable to the present case, structural elements such as doors or door handles did not fall within that definition. It needed to have a meaningful connection to the employer's business of giving legal advice. For more analysis on this decision, see our article <a href="https://www.rpclegal.com/thinking/insurance-and-reinsurance/beyond-the-threshold-a-narrowing-view-of-work-equipment/">here</a>. </p>
<p />
<p><em>On the tenth claim of Christmas, a client brought to me: </em><a href="https://assets.caselaw.nationalarchives.gov.uk/d-2b9019f1-b142-4369-863f-7329526d05b9/d-2b9019f1-b142-4369-863f-7329526d05b9.pdf"><strong><em>Clark v Elbanna</em></strong></a><em> and recklessness in the sport of rugby.</em></p>
<p>A collision during an amateur rugby match led to the claimant suffering a serious spinal injury. In a decision by the Court of Appeal, the Judge found that the defendant's actions went further than momentary carelessness or error of judgment and made a finding of recklessness which duly encompassed a finding of negligence. In this claim, the expert-driven factual findings provided an important basis for the judgment. </p>
<p />
<p><em>On the eleventh claim of Christmas, a client brought to me: </em><a href="https://www.casemine.com/judgement/uk/68126cfe3565bc4ff5381fda"><em>Pashamov v Leon Taylor</em></a><em> and more on employer's liability.</em></p>
<p>An employee was struck by a car while crossing a busy road after alighting a bus provided by the employer to inform other employees of its arrival.  The claimant was found partly to blame for not looking both ways to the tune of 35% contributory negligence, but his employer bore the lion’s share for failing to provide a safe crossing. The driver of the care was found not to have been driving below the appropriate standard. The employer argued the claimant was “off duty,” but the court disagreed - finding the employer negligent for failing to follow its own risk assessment by not ensuring the bus stopped in a safe location and effectively requiring the claimant to cross a busy road.. The lesson? Safety measures are not just for Christmas, they’re for every working day, which does not necessarily end when an employee leaves the building.</p>
<p />
<p><em>On the twelfth claim of Christmas, a client brought to me: </em><a href="https://www.bailii.org/ew/cases/EWHC/KB/2025/1032.html"><strong><em>Suffolk CC v Lyall</em></strong></a><em> and boardwalk that was slippery.</em></p>
<p>A wooden boardwalk, moss, and algae proved a recipe for disaster for the claimant as it resulted in a slip and her suffering from a broken ankle. Although the Court acknowledged there was no statutory duty under the Highways Act 1980, to keep a right of way free from moss and algae, such duties are separate from liability for positive acts. Here the defendant council had undertaken a positive act in the commission of the boardwalk, which created a foreseeable risk of slipping in damp/shady conditions. Here, therefore, the common duty to take reasonable care to guard against the risk arose. </p>
<p />
<p>For more information on how RPC's General Liability team can help, please contact <a href="https://www.rpclegal.com/people/thom-lumley/">Thom Lumley</a>.</p>
<p />
<p>Wishing all our clients and colleagues a safe, happy, and legally sound festive season. May your claims be merry, your liabilities light, and your compliance evergreen!</p>
<div> </div>]]></content:encoded></item><item><guid isPermaLink="false">{5750ACA5-9425-471A-88D9-091C4906840F}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/hayley-v-newcold-ltd/</link><title>Surveillance Evidence and Breaking the Chain: The Court’s Approach in Haley v Newcold Ltd [2025]</title><description><![CDATA[It is unusual for a judge to have to decide the motives behind an elective below the knee a amputation, however this is exactly what the judge was required to do in the recent case of Hayley v Newcold Ltd [2025]. ]]></description><pubDate>Mon, 15 Dec 2025 14:49:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Gavin Reese, Sally Lord</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-2---thinking-tile-wide.jpg?rev=40a7acf2763d463ea4d5f510988c8dea&amp;hash=E29E28FDE6A7E330C22CC2C8C3173E93" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p style="margin-left: 0cm;"><strong>Background of the Personal Injury Claim</strong></p>
<p>The claimant, Aaron Haley, brought proceedings against his former employer, Newcold Ltd, following a workplace accident on 19 March 2019. Mr Haley was struck by a forklift truck, suffering a severe crush injury to his right foot, including significant degloving and a burst fracture of the calcaneus. Initial treatment involved debridement, a gracilis free flap, and skin grafting<a>. </a>While the treating surgeons were optimistic about recovery (estimating 9–12 months), and the claimant was discharged from physiotherapy in February 2020. The expert in the claim estimated the risk of below-knee amputation at that stage was low, around 5–10%. The claimant accepted a 20% reduction for contributory negligence. </p>
<p>
</p>
<p>Nearly 5 years after the accident, on 13 March 2024, the claimant underwent a below the knee amputation of his injured leg, claiming the amputation was caused by the accident. </p>
<p>
</p>
<p><strong>Issues Before the Court</strong></p>
<p>The main issue before the court was whether the claimant's amputation was caused by the accident. </p>
<p>
</p>
<p>The court cited Clerk and Lindsell on Torts and explained that case law required the court to analyse whether the accident was the <em>effective</em> legal cause of the amputation, not merely a factual "but for" cause.</p>
<p>
</p>
<p>The principles for reaching the decision were set out in <em><a href="https://publications.parliament.uk/pa/ld200708/ldjudgmt/jd080227a/corr-1.htm">Corr v IBC Vehicles Ltd [2008]</a></em></p>
<p>
</p>
<p>"<em>Where the defendant's conduct forms part of a sequence of events leading to harm to the claimant, and the act of another person, without which the damage would not have occurred, intervenes between the defendant's wrongful conduct and the damage, the court has to decide whether the defendant remains responsible or whether the act constitutes a novus actus interveniens i.e. whether it can be regarded as breaking the causal connection between the wrong and the damage.” After noting that a novus actus may take the form of conduct by the claimant…, the text says: “Whatever its form the novus actus must constitute an event of such impact that it ‘obliterates’ the wrongdoing of the defendant”.</em>’</p>
<p>
</p>
<p>The judge applied the principle that, for a defendant to be held liable, it must be fair and reasonable to attribute the subsequent loss to the original negligence. If the claimant’s conduct was so unreasonable or overwhelming in its impact that it “obliterated” the defendant’s wrongdoing, it would break the chain of causation.</p>
<p>
</p>
<p>The claimant argued that "but for" the accident, he would not have required amputation, and that his decision was a consequence of pain and disability caused by the accident. The defendant, on the other hand, contended that the claimant’s amputation was not a necessary consequence of the accident, but amounted to a novus actus interveniens that broke the chain of causation. Essentially, that it was the claimant's decision which was made voluntarily and not because he was placed in a position in which the decision had to be made. </p>
<p><strong style="font-size: 1.8rem;">The evidence</strong></p>
<p>
</p>
<p>
</p>
<p>As you can imagine in these cases, much weight is given to the evidence before the court. In this case, the court place significant weight on the objective evidence such as physical measurements and surveillance footage, over the subjective accounts of witnesses and the parties' experts. Both experts were criticised during the trial, for issues such as inconsistences in their evidence and for failure to include evidentiary support for their opinions. </p>
<p>
</p>
<p>It was, however, the surveillance footage that ultimately prove fatal to the claimant's claims that his pre-amputation level of pain and disability was the cause of his decision to have the amputation. </p>
<p>
</p>
<p>By the claimant's own admission, he was playing darts 5 days a week, did not want to try any other potential treatments such as a hot water bottle to relieve the pain and on a weekly basis, played Airsoft. Much was said about Airsoft, but for those readers who may not be aware, this is a game described as a physical combat simulation game where plays are hit by pellets fired from replica firearms and usually involves quick movements (walking, running, turning or pivoting) to avoid being hit. All of these factors were deemed a contraindication to the claimant's pain being so severe that he required amputation. </p>
<p>
</p>
<p>In addition to the above, the defendant adduced much surveillance footage of the claimant that was taken between 12 August 2023 and 19 January 2024 (two months prior to amputation). The surveillance footage was found to be inconsistent with the symptoms and disability presented by the claimant, namely that the claimant was shown on numerous occasions to be walking with a heel strike, which is inconsistent with the 'unbearable pain' the claimant was alleging. This footage, when considered with the fact that both the claimant's calfs were measuring the same (if one leg was not being used in the same manner as the other, there would be a size difference in the muscle) and there was hardening on the skin of the heel, which was consistent with heel strike. Footage was also included of the claimant playing crazy golf showing him moving freely. There was only one occasion where the claimant was seen using a crutch but this was the date of his assessment with one of the experts. On the day in question the claimant was seen walking normally and carrying the crutch to the car. </p>
<p>
</p>
<p>Whilst it was accepted that there may have been days that the claimant did not leave the house due to pain, the judge stated: <em>"I do not find it plausible to the extent it is being suggested, that in all the days of surveillance, there was not a single day, save for the day when the Claimant was due to see Mr Simmons for the purpose of medico-legal examination, that his pain was of a level that did not render him housebound, but did necessitate the need for the use of a single crutch</em>".</p>
<p>
</p>
<p><strong>Conclusion</strong></p>
<p>
</p>
<p>In consideration of all of the evidence before the court, the judge found that "<em>the effective cause of the amputation was not the accident but the Claimant's own conduct, which I consider amounts to a supervening event</em>".  The court was unable to draw any conclusions on the claimant's motivation to undergo such a procedure, and the defendant had not advanced any positive case on that issue. Given the court's decision as to the voluntary nature of the amputation, it deemed it unfair to hold the defendant liable. </p>
<p>
</p>
<p><strong>Key takeaways </strong></p>
<p>
</p>
<p>This case highlights the importance of a true analysis of causation, and the court's willingness to go beyond the simple 'but for' test and ensure the defendant's negligence must be the 'effective' cause of the loss. </p>
<p>
</p>
<p>The surveillance footage in this claim was fundamental in the judge's decision-making process. Gathering objective evidence that clearly demonstrates a claimant conducting themselves contrary to their own claim can be pivotal for supporting arguments of novus actus interveniens. Always ensure this evidence is analysed in full by any experts for comparison to the claimant's own medical evidence. </p>
<p>
</p>
<p>Another point to remember is that experts are not infallible. Their evidence should always reference the supporting materials they are relying on, and any changes in opinion should be presented to the court in the appropriate way, and especially not during the trial. </p>
<p>
</p>
<p>As Leggat J confirmed in <a href="https://www.casemine.com/judgement/uk/5a8ff75760d03e7f57eab7df"><em>Gestmin v Credit Suisse</em></a><em> at paragraph 22, "the best approach</em> for a judge to <em>adopt in the trial of a commercial case is, in my view</em> <em>to place little if any reliance at all on witnesses' recollections of what was said in meetings and conversations, and to base factual findings on inferences drawn from the documentary evidence and known or probable facts. This does not mean that oral testimony serves no useful purpose – though its utility is often disproportionate to its length. But its value lies largely, as I see it, in the opportunity which cross-examination affords to subject the documentary record to critical scrutiny and to gauge the personality, motivations and working practices of a witness, rather than in testimony of what the witness recalls of particular conversations and events. Above all, it is important to avoid the fallacy of supposing that, because a witness has confidence in his or her recollection and is honest, evidence based on that recollection provides any reliable guide to the truth"</em></p>
<p>
</p>
<p>For further information on any of the issues raised in this case, please contact <a href="https://www.rpclegal.com/people/gavin-reese/">Gavin Reese</a>.</p>
<div> <hr align="left" size="1" width="33%" />
<div id="_com_4" language="JavaScript"> </div>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{78AB3466-F455-4CE4-A057-690FCC6DECD7}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/brazil-enacts-landmark-insurance-legislation/</link><title>Brazil Enacts Landmark Insurance Legislation: The Brazilian Insurance Act (Law No. 15.040/2024)</title><description><![CDATA[The new insurance regulation in Brazil enters into effect today,11 December 2025.]]></description><pubDate>Thu, 11 Dec 2025 16:24:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Alex Almaguer</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-2---thinking-tile-wide.jpg?rev=40a7acf2763d463ea4d5f510988c8dea&amp;hash=E29E28FDE6A7E330C22CC2C8C3173E93" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p style="text-align: justify;">Following several years of extensive consultation, the Brazilian government enacted the new Insurance Act (Law No. 15.040/2024) (the “Brazilian Insurance Act”) in 2024. This legislation marks a significant development in the Brazilian (re)insurance market.</p>
<p style="text-align: justify;"><strong>Impact and Scope of the Brazilian Insurance Act.</strong></p>
<p style="text-align: justify;">The Brazilian Insurance Act is the first insurance law in the country's history and effectively revokes the provisions of the Brazilian Civil Code that previously governed insurance contracts. In our experience, we have seen that many countries in Latin America have taken this approach, issuing a specific law to regulate (re)insurance contracts.</p>
<p style="text-align: justify;"><strong>Effective Date and Key Substantial Changes Introduced by the Act.</strong></p>
<p style="text-align: justify;">The Brazilian Insurance Act will <strong>become effective on Thursday, 11 December 2025.</strong></p>
<p style="text-align: justify;">The key and most substantial changes introduced by the Brazilian Insurance Act are as follows:</p>
<p style="text-align: justify;"><strong>I. Pro-policyholder interpretation</strong></p>
<p style="text-align: justify;">The Act establishes a pro-policyholder approach for all types of insurance, including large commercial risks. Policy wording must be unambiguous, clear, and complete and any ambiguity will be resolved in favour of the Insured.</p>
<p style="text-align: justify;"><strong>II. Duty of Initial Disclosure</strong></p>
<p style="text-align: justify;">The duty of initial disclosure is now strictly evaluated based on the specific questions asked by the Insurer within a Questionnaire. Consequently, the Insurer bears a heavy burden in preparing precise Questionnaires. Conversely, the Insured's burden has also increased, requiring disclosure not only of facts they know but also those they should know.</p>
<p style="text-align: justify;"><strong>III. Aggravation of risk</strong></p>
<p style="text-align: justify;">The Act makes denying coverage based on risk aggravation significantly more challenging. To justify the loss of coverage, Insurers must now demonstrate that the aggravation was intentional, material, and recurrent (i.e., occurred multiple times).</p>
<p style="text-align: justify;"><span><strong>IV. Claims Adjustment Time Limits (Large Risks)</strong></span></p>
<p style="text-align: justify;">For large commercial risks, Insurers have a deadline of 120 days to provide a coverage decision (acceptance or denial) once the Insured has submitted all relevant documentation.</p>
<p style="text-align: justify;">Failure by the Insurer to establish a clear position on coverage within the initial 120-day period results in the loss of the right to deny coverage. The SUSEP will also clarify in supplementary regulations which contracts are considered large commercial risks and are therefore subject to a 120-day period to adopt a position on cover.</p>
<p style="text-align: justify;">A separate, subsequent 120-day deadline applies for determining the quantum of the loss.</p>
<p style="text-align: justify;"><strong>V. Requests for Further Information</strong></p>
<p style="text-align: justify;">The Brazilian Insurance Act limits Insurers' ability to continuously request documentation during the claims adjustment process. For large risks, Insurers may request additional information two times only.</p>
<p style="text-align: justify;"><strong>VI. Binding Effects of Denial Grounds</strong></p>
<p style="text-align: justify;">Once coverage is rejected, Insurers are bound to the grounds stated in the declination. No new arguments can be subsequently introduced unless they were unknown at the time of denial.</p>
<p style="text-align: justify;"><strong>VII. Documentary transparency in claims adjustment process</strong></p>
<p style="text-align: justify;">Loss-adjustment reports are now considered a "document common to the parties". However, only the Final Adjustment Report will be shared with the Insured. Preliminary Adjustment Reports will remain confidential and will not be disclosed.</p>
<p style="text-align: justify;"><strong>VIII. Salvage and mitigation expenses and standalone limits</strong></p>
<p style="text-align: justify;">The Act's provisions require separate, standalone limits for the indemnity payment and for salvage/mitigation and defence costs in underlying policies.</p>
<p style="text-align: justify;"><strong>IX. Tacit Acceptance from Reinsurers</strong></p>
<p style="text-align: justify;">The Act introduces a new regime of "tacit acceptance" whereby a reinsurance agreement is deemed concluded if the Reinsurer remains silent for 20 days after receiving a proposal or relevant documents from the Cedant. This rule means Reinsurers will need to provide timely, explicit rejections of proposals to avoid inadvertent acceptance.</p>
<p style="text-align: justify;">A major concern with this rule is the lack of clarity regarding the commencement of the 20-day period, as the Act does not clearly define which documents qualify as a formal reinsurance proposal. The SUSEP will issue future regulation addressing the content of the reinsurance proposal.</p>
<p style="text-align: justify;"><strong>X. Notification of a Claim to the Reinsurance</strong></p>
<p style="text-align: justify;">The Cedant is obligated to notify the Reinsurer immediately upon receipt of a claim notification. Since the Brazilian Insurance Act does not stipulate the consequences of non-compliance with this duty, any resulting sanctions will be determined solely by the terms and conditions outlined in the reinsurance agreement. This rule only applies to facultative reinsurance.</p>
<p style="text-align: justify;"><strong>XI. Arbitration, governing law and forum</strong></p>
<p style="text-align: justify;">The Brazilian Insurance Act establishes that arbitration seated in Brazil and governed by Brazilian law is mandatory for insurance contracts (underlying policies).</p>
<p style="text-align: justify;">In regard to reinsurance contracts, Reinsurers retain the freedom to choose the governing law and jurisdiction. Furthermore, arbitral awards will be notified to interested parties and made available in an easily accessible repository. The SUSEP is conducting an extensive public consultation on reinsurance contracts, including whether arbitration seated in Brazil and governed by Brazilian law will also be mandatory for such contracts. If the SUSEP addresses this issue, it may give rise to arguments of unconstitutionality, as the regulation would exceed the scope of the Brazilian Insurance Act.</p>
<p style="text-align: justify;"><strong>XII. Limitation periods</strong></p>
<p style="text-align: justify;">Claims between Cedants and Reinsurers are now subject to a one-year limitation period running from the "triggering event."</p>
<p style="text-align: justify;">While the Act clarifies that the trigger for claims between the Insured and the Cedant is the date of the denial of coverage, the precise trigger for the reinsurance claim (denial of coverage or date of the loss) remains unclear.</p>
<p style="text-align: justify;"><strong>XIII. Scope of reinsurance</strong></p>
<p style="text-align: justify;">The Brazilian Insurance Act establishes the "Follow the Fortune" principle, which mandates that, unless explicitly excluded, reinsurance coverage must be back-to-back with the underlying policy.</p>
<p style="text-align: justify;">This principle extends the Reinsurer's obligation to cover not only the underlying coverage but also the associated loss adjustment and salvage expenses. Consequently, Reinsurers are required to scrutinise underlying policy terms carefully to understand the full scope of their assumed liabilities.</p>
<p style="text-align: justify;"><strong>XIV. Non-Retroactivity</strong></p>
<p style="text-align: justify;"><span>The Act does not apply retroactively to contracts signed or losses which occurred prior to its enforcement date (11 December 2025).</span></p>]]></content:encoded></item><item><guid isPermaLink="false">{1D82B65D-28D1-45E9-A5C5-4EC1206B361A}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/insurance-authority-takes-aim-at-referral-fees/</link><title>Insurance Authority "takes aim" at referral fees</title><description><![CDATA[Insurance Authority "takes aim" at referral fees]]></description><pubDate>Thu, 18 Sep 2025 11:16:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Andrew Carpenter, Heidi Ng</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-3---thinking-tile-wide.jpg?rev=71c2d62f09634ef08a71f6fa9734a90f&amp;hash=3FBA7A779FA86695B98F02FC7AC605A1" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p><span>On 1 September 2025, the Hong Kong Insurance Authority (IA) distributed a new circular setting out its regulatory expectations for referral fees paid by licensed insurance broker companies. These measures apply only to “participating policies” in relation to section 21B of the Insurance Ordinance (Cap. 41), being certain long-term insurance policies that entitle policyholders to share in the profits of the insurer’s participating business.</span></p>
<p><strong><span>Key Takeaways:</span></strong></p>
<ul style="list-style-type: disc;">
    <li><strong><span>Benchmark:</span></strong><span> The IA has set a benchmark – referral fees paid to referrers should not exceed 50% of the total commission receivable by a licensed insurance broker for introducing, arranging and servicing participating policies. Exceeding this threshold triggers enhanced disclosure requirements and regulatory scrutiny.</span></li>
    <li><strong><span>IA concerns:</span></strong><span> The IA is addressing risks that excessive referral fees may facilitate unlicensed selling, erode public confidence, and undermine market sustainability. High referral fees could disguise commission rebates or shift regulated activities to unlicensed parties, thereby undermining market integrity.</span></li>
    <li><strong><span>Insurer action:</span></strong><span> Authorised insurers must ensure that broker companies comply with all regulatory requirements when referring business, as part of their intermediary management oversight.</span></li>
    <li><strong><span>Enhanced disclosure:</span></strong><span> Where referral fees exceed the benchmark, broker companies must provide detailed explanations on:</span></li>
    <ul style="list-style-type: circle;">
        <li><span>How clients are sourced</span></li>
        <li><span>How referral fee levels are determined</span></li>
        <li><span>What safeguards are in place to prevent abuses</span></li>
    </ul>
    <li><strong><span>Scope and exemptions:</span></strong><span> These expectations apply specifically to licensed insurance broker companies dealing with participating policies (as defined under section 21B of the Insurance Ordinance (Cap. 41)). Referral arrangements involving entities regulated by the HKMA (bank regulator), SFC (markets regulator), or MPFA (pensions regulator) are exempt, given their comparable supervisory regimes.</span></li>
    <li><strong><span>Regulatory action:</span></strong><span> Broker companies exceeding the benchmark will face on-site inspections and off-site reviews of governance and controls, which may impact licence renewal. Authorised insurers will also be assessed on their oversight of referral arrangements.</span></li>
    <li><strong><span>Compliance deadline:</span></strong><span> All affected firms must comply with the circular by 1 October 2025.</span></li>
</ul>
<p><span>This circular shows the IA continuing to take stronger steps in the market conduct space and builds on its practice note concerning remuneration structures and commission spreading for participating policies. The IA’s approach reinforces ethical distribution practices, strengthens governance, and safeguards policyholder interests. Broker companies and insurers should review their referral arrangements and internal controls to ensure regulatory alignment with the IA directions. The IA has indicated that it will continue to keep track of market developments to determine whether similar measures should be rolled out to other products or distribution channels, as it sees fit.</span></p>]]></content:encoded></item><item><guid isPermaLink="false">{8B4C171B-745C-485A-A7C5-FF59C14A50D4}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/a-new-era-for-surveyors-rics-launches-global-standard-on-responsible-use-of-ai/</link><title>A new era for surveyors: RICS launches global standard on responsible use of AI</title><description><![CDATA[The Royal Institution of Chartered Surveyors (RICS) has taken a decisive step into the future, publishing its first global professional standard for the responsible use of artificial intelligence (AI) in surveying. Released on 10 September 2025 and due to take effect from 9 March 2026, this landmark guidance aims to steer surveyors through the rapidly evolving landscape of AI technologies, seeking to balance innovation with accountability.]]></description><pubDate>Wed, 17 Sep 2025 15:17:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Katharine Cusack, Cecilia Everett</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/images/thinking-tiles/wide/301136-website-perspective-tiles-final-wide-715x370px_03_tech-media-and-telecoms_1479965309.jpg?rev=90c8954e27284fb9aa1cd4880b3da014&amp;hash=2EE8DB6F22FB54F74DB0B5A026068801" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p><strong>Why a new standard?</strong></p>
<p><strong></strong>AI is no longer a distant concept; it’s now embedded in the day-to-day work of surveyors, from analysing market data and drafting reports to conducting remote surveys and automating administrative tasks. While the benefits are clear, so too are the risks: erroneous outputs, bias, privacy concerns, and the potential for regulatory scrutiny if things go wrong. The new RICS standard recognises these opportunities and challenges, setting out a framework to help members manage risks and maintain public trust.</p>
<p><strong>Aims of the standard</strong></p>
<p>At its core, the standard is about ensuring that AI is used responsibly and transparently, by:</p>
<ul>
    <li>Upskilling the profession, so that surveyors understand the technology they’re using</li>
    <li>Setting a baseline for practice management, to minimise harm from AI systems</li>
    <li>Supporting informed decisions on AI procurement and reliance on outputs</li>
    <li>Promoting clear communication with clients and stakeholders</li>
    <li>Providing a framework for the responsible development of AI systems</li>
</ul>
<p><strong>Who does it apply to?</strong></p>
<p><strong></strong>The standard applies wherever AI outputs have a material impact on the delivery of surveying services – think AI-generated document summaries, recommendations, or opinions that influence investigative decisions. Surveyors and firms must assess and document whether their use of AI meets this threshold, and comply with both RICS standards and relevant local laws.</p>
<p><strong>Main requirements and practical points</strong></p>
<p><span style="text-decoration: underline;">Training and knowledge</span></p>
<p>Surveyors and firms are expected to develop and maintain a basic understanding of AI systems, their limitations, and risks. This includes awareness of the risk of bias, erroneous outputs, and data usage issues. The standard acknowledges that knowledge across the profession is uneven, so upskilling is essential.</p>
<p><span style="text-decoration: underline;">Practice management</span></p>
<ul>
    <li>Data governance: Firms must ensure secure storage of and restricted access to private data, only uploading confidential information to AI systems with explicit consent and after risk assessment.</li>
    <li>System governance: Each AI system’s appropriateness must be assessed and documented, with a register of systems maintained. Policies should clarify roles, training, and oversight.</li>
    <li>Risk management: A regularly updated risk register is required, documenting key AI-related risks, mitigation plans, and status, with quarterly reviews.<br />
    Using AI in practice</li>
    <li>Procurement and due diligence: Before adopting any AI system, firms must conduct thorough due diligence, considering environmental impact, legal compliance, data permissions, risks of bias, and supplier liability. Where information is lacking, risks must be documented.</li>
    <li>Reliability of outputs: Professional judgement is key. Surveyors must record assumptions, concerns, and any reliability assessments in writing. If outputs are unreliable, clients must be notified.</li>
    <li>Quality assurance: For automated or high-volume outputs, regular "dip-sampling" (randomly selecting and reviewing a subset of outputs) is required to assure quality.</li>
    <li>Client communication: Transparency is paramount. Clients must be informed in advance and in writing about when and how AI will be used, with engagement documents specifying processes, indemnity cover, redress mechanisms, and opt-out options.</li>
    <li>Explainability: On request, firms must provide written information about the AI systems used, due diligence undertaken, risk management, and reliability decisions.</li>
</ul>
<p><span style="text-decoration: underline;">Developing AI systems</span></p>
<p>Surveyors involved in developing AI systems have extended responsibilities. This includes:</p>
<ul>
    <li>Documenting the application, risks, and alternative approaches</li>
    <li>Conducting a sustainability impact assessment</li>
    <li>Involving a diverse range of stakeholders</li>
    <li>Ensuring compliance with data protection laws and obtaining written permission for personal data use</li>
</ul>
<p><strong>Accountability and impact</strong></p>
<p>The new standard moves beyond best practice, introducing mandatory obligations. RICS members and regulated firms are expected to maintain robust documentation, upskill staff, and embed responsible AI use into their daily operations. The standard will be taken into account in regulatory, disciplinary, or legal proceedings, making compliance more than just a box-ticking exercise.</p>
<p><strong>What does this mean in practice?</strong></p>
<p>Surveyors will need to invest time and resources into updating policies, training staff, maintaining registers and risk assessments, and revising client documents. </p>
<p>Ultimately, the standard aims to ensure that as AI becomes more prevalent, the profession retains its high standards of quality, transparency, and client trust. The additional burden is clear, but so too is the goal of RICS's guidance: by embracing responsible AI use, surveyors can harness its benefits, while safeguarding against its risks.</p>]]></content:encoded></item><item><guid isPermaLink="false">{5409DC3A-CCD8-4EDE-AAFF-E63DB135B31B}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/non-bank-firms-their-directors-and-insurers---mind-the-non-financial-misconduct-gap/</link><title>Non-bank firms, their directors and insurers: mind the (non-financial misconduct) gap!  </title><description><![CDATA[Earlier this month the FCA published its final policy statement and consultation paper CP25/18 introducing a new rule, COCON 1.1.7R, extending existing rules on non-financial misconduct (NFM) from banks (only) to non-banking firms.  The FCA has also made clear that firms will be required to report serious substantiated NFM to the FCA and include the same in regulatory references to prevent "rolling bad apples" within the industry.]]></description><pubDate>Thu, 17 Jul 2025 14:15:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Mike Newham, Lauren Paterson</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-2---thinking-tile-wide.jpg?rev=40a7acf2763d463ea4d5f510988c8dea&amp;hash=E29E28FDE6A7E330C22CC2C8C3173E93" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p><span>These changes reflect the priority and focus of the FCA on clamping down on behaviours such as bullying and harassment (which qualify as NFM), which is a trend we have identified previously</span><a href="https://www.rpclegal.com/thinking/insurance-and-reinsurance/key-legal-shifts-in-2024-and-whats-ahead-for-2025-insurance/"><span> (Directors beware: Key legal shifts in 2024 and what’s ahead for 2025</span></a><span>).</span></p>
<p><span></span>The changes will be in force from 1 September 2026 and will not apply retrospectively.  The FCA has chosen this date as it lines up with the conduct rule breach reporting period for most firms.</p>
<p>What this means, in practical terms, is the NFM rules which previously only applied to banks will now extend to another 37,000 Senior Managers & Certification Regime firms with Part 4A permission.  Those will include investment firms, insurers and insurance brokers, wealth managers and IFA's and consumer credit firms.</p>
<p>Whilst there has been comment from some quarters on the FCA overstepping its remit, <a href="https://www.fca.org.uk/publication/consultation/cp25-18.pdf">CP25/18</a> makes it clear that the FCA's regulatory framework complements rather than replaces the applicable criminal and employment law protections in this area.</p>
<p>Indeed, the FCA has explained that its focus on NFM is not a moral crusade but a practical and necessary one in order to support its statutory objectives; protecting consumers, the integrity of the UK financial system and promoting effective competition.  The FCA's COO, Emily Sheppard, emphasised in a speech earlier this year that culture drives conduct, and the FCA is a conduct regulator.</p>
<p>In addition to the rule changes, the FCA is seeking views on additional Handbook guidance to assist firms in meeting their obligations under the rules.  The <a href="https://www.fca.org.uk/publications/consultation-papers/cp25-18-tackling-non-financial-misconduct-financial-services">consultation</a> is open until 10 September 2025.  The guidance includes when serious NFM is in scope, practical examples, and addressing the boundary between work and private life.  It also sets out what are reasonable steps for managers to take in order to prevent or address NFM.  The guidance has been drafted to align more closely with employment law and the FCA has tried to reduce the subjective nature of existing guidance.</p>
<p>From a risk/exposure perspective, the implementation of the rule changes is clear: regulatory focus on NFM will extend to far more firms than previously.  That means more scrutiny on more businesses and the directors and officers who lead them.  We can foresee an increase in the volume of regulatory investigations into firms' and individuals' compliance with the rules/their implementation, as a well as increased internal and regulatory investigations into individuals accused of NFM behaviour.  Those investigations may be career-impacting (or potentially career-ending) with legal representation costs reflecting the same.  There may also be a "knock-on" effect to increased volumes of employment claims targeting individuals and/or their firms.</p>
<p>Directors and firms falling within scope from 1 September 2026 will need to be mindful of these (increased) potential exposures and ensure with their brokers that any insurance in place – including D&O and EPL – adequately caters for the same.  Similarly, insurers will want to explore and be comfortable with the completeness and adequacy of the processes and range of "culture controls" in place at insureds, including systems, training and reporting structures.  Those will not simply be "nice to haves"; they will be essential.</p>]]></content:encoded></item><item><guid isPermaLink="false">{EA58D42B-5779-4AA4-AA46-FB1532DCF2EB}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/ai-dentifying-risks---ensuring-trust---the-new-rics-standard/</link><title>AI-dentifying risks: ensuring trust: the new RICS standard</title><description><![CDATA[On 4 March 2025, the RICS ran a public consultation on its new professional standard, "Responsible use of AI 1st Edition" which ran until 29 April 2025.  Members were asked to participate in order to help frame the way in which the RICS incorporates the use of AI in the industry.  ]]></description><pubDate>Wed, 09 Jul 2025 11:33:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Katharine Cusack, Emma Wherry</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/images/thinking-tiles/wide/301136-website-perspective-tiles-final-wide-715x370px_data-and-cyber---1271742015.jpg?rev=2280c60f10b440daba866ea74d9d912a&amp;hash=ECD0E649C606484031477B98C945F78A" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p>On 4 March 2025, the RICS ran a <a href="https://consultations.rics.org/connect.ti/AIstandard">public consultation</a> on its new professional standard, "<a href="https://consultations.rics.org/gf2.ti/-/1708578/239740261.1/PDF/-/Responsible%20use%20of%20AI%20v3_consultation%20final.pdf">Responsible use of AI 1st Edition</a>" which ran until 29 April 2025.<span>  </span>Members were asked to participate in order to help frame the way in which the RICS incorporates the use of AI in the industry.</p>
<p>As Andrew Knight, AI, data and tech lead at RICS points out, AI, although not new, has rapidly advanced since the first ChatGPT was first launched in November 2022.  It quickly popularised LLMs, which now permeate almost every aspect of our daily lives.  One of AI's main advantages is its ability to analyse an enormous amount of data which can be interrogated.  AI is aiding surveyors and valuers who are fast adopting tools which can, almost instantly, analyse market data for valuations (and even do this automatically); carry out sales comparisons; forecast trends; enhance risk management by comparing reports with RICS standards and highlighting inconsistencies; summarise information; draft reports; carry out remote surveys and detect defects with the use of drones; as well as a plethora more including training and time consuming administrative tasks.</p>
<p>We have recently seen cases in the courts where AI has been mistakenly used and courts have issued stark warnings on the importance on verifying AI work product to ensure accuracy or face regulatory scrutiny or even contempt proceedings.  The RICS wants to establish appropriate safeguards to ensure members, RICS regulated firms, maintain professional standards in their work with the increase in AI's use (stressing this is both knowingly and unknowingly used).  The profession is held to a high standard of quality work and this needs to be retained as and when new technologies are implemented.</p>
<p>In light of this, the new standard aims to:</p>
<p><span style="background-color: #ffffff; color: #1f1f1f;">• </span>Ensure checks and balances when using AI</p>
<p><span style="background-color: #ffffff; color: #1f1f1f;">• </span>Manage data to maintain public confidence</p>
<p><span style="background-color: #ffffff; color: #1f1f1f;">• </span>Clearly communicate with clients</p>
<p><em>Accountability and knowledge</em></p>
<p><em></em>Whilst some of the standards were recommended best practice, the new standard contains mandatory obligations.  RICS was keen to highlight that the new standard simply served as a baseline and the RICS professional standards will be taken into account in regulatory, disciplinary or legal proceedings.  Set as a "baseline", members are expected to expand their knowledge of AI including use cases, risks and limitations.  With the known risks of bias and hallucinations, RICS members must balance these against the opportunities.</p>
<p><em>Practice Management</em></p>
<p><em>Privacy and Confidentiality</em></p>
<p><em></em>RICS members will need to consider how private and confidential information is stored and managed, in some cases this may include restricting access.  This is because when information is uploaded into an AI tool, the data is used to learn and is also available for anyone else accessing the AI tool.</p>
<p><em>Governance and Appropriateness</em></p>
<p><em></em>RICS members must only use an AI tool where it is the most appropriate tool for the task in hand considering the services it provides and its inherent risks.  Before its use, members must carry out a risk assessment considering the services it provides and any alternatives; sustainability given the increased energy usage these systems use; privacy and risks (by way of statement or policy).  To support this, members must also maintain a dated written register of the AI system(s) in use which impacts their services; its purpose; and review date.  Polices must also be implemented on procurement and responsible use as well as training guidance for those using the AI tools.</p>
<p><em>Risk Management</em></p>
<p><em></em>Members must record identified risks and how they are being handled.  A RAG (red, amber, green) risk register must be created and cover overarching risks (bias; erroneous outputs; limitation; and data retention); mitigation; and quarterly reviews.  Members could use PESTEL/SWOT tools in addition.</p>
<p><em>Scrutiny and Assurance</em></p>
<p><em></em>Members should engage scepticism when reviewing output from AI tools, scrutinising results using their professional judgment; skills; and experience.  Their decision on its reliability must then be recorded in writing taking into account the purpose; data used by the AI tool; algorithm limitations; and variables which could make an impact (eg market differences).  Any concern about reliability must be documented and affected stakeholders must be told in writing.  There is a carve out for high volume work, where members must carry out random sampling.  It is also a requirement for members to ensure adequate professional indemnity insurance in place for the use of AI.</p>
<p><em>Terms of engagement and communication</em></p>
<p><em></em>To maintain client trust, transparency is key.  Members must therefore provide clients with written information on its use of AI in its client relationship documents as to when and where AI has been used; PI cover; complaints process of its use; and redress.</p>
<p>On request, RICS members must provide written explanation about the AI tool used; its limitations; due diligence undertaken before its use; how risks are identified and managed; and reliability decisions.</p>
<p><em>Development</em></p>
<p><em></em>As well as integrating external third party AI tools into their working systems, RICS members may also be involved at an earlier, development, stage for their own in-house systems.  This extends the scope and accountability and members must apply the new standard.  A written record must also be maintained documenting the AI tool's application; risks; and any other potential approach.  In addition, members must produce a written sustainability impact assessment; include a diverse range of stakeholders; document compliance with data laws; obtain written permission if using personal data; and maintain adequate PI cover.</p>
<p>We await the results of the consultation.  In the meantime, it is clear that there will be an additional, necessary, burden placed on members to ensure risks are appropriately managed when using this new(ish) technology.  This will be both in terms of initial and ongoing time and cost investment.  This will include producing additional policies; updating client relationship documents; publishing reports including on sustainability and diversity; training; and obtaining adequate PI insurance.</p>
<p> </p>]]></content:encoded></item><item><guid isPermaLink="false">{EA914E8D-E3F3-4DE9-B29D-2CF4E54CA414}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/beyond-the-threshold-a-narrowing-view-of-work-equipment/</link><title>Beyond the 'threshold'? A narrowing view of work equipment</title><description><![CDATA[We take a look at the case of George Morriss v London Borough of Hillingdon [2025] EWHC - In another significant ruling on liability for injuries sustained on public highways, the court reinforces the considerable evidentiary responsibility resting with claimants.  ]]></description><pubDate>Fri, 27 Jun 2025 15:12:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Thom Lumley</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-2---thinking-tile-wide.jpg?rev=40a7acf2763d463ea4d5f510988c8dea&amp;hash=E29E28FDE6A7E330C22CC2C8C3173E93" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p>In addition to the coveted coffee machine, paraphernalia in a law firm's office would ordinarily include items such as computers, pens, coloured sticky notes and so forth. Do these items constitute "equipment" for the purposes of work equipment?  What about an office door?  In <em>Chuhan v Dechert LLP</em>, a County Court matter,<em> </em>handed down in April 2025, an associate solicitor, claimant Ms Simish Chuhan, brought a personal injury claim against the defendant, American law firm, Dechert LLP, seeking resolution of this question. </p>
<p><span><em><strong></strong></em></span><strong>The Incident</strong></p>
<p>On 21 November 2018, the claimant sustained a traumatic brain injury when the top of a door handle fell off a (heavy fire) door (the <strong>Door</strong>)<strong> </strong>and hit her in the head as she pulled it to leave the on-site cafeteria (the <strong>Incident</strong>).  The crux of the matter was whether the Door or its handle constituted "equipment" under the Employer’s Liability (Defective Equipment) Act 1969 (the <strong>1969 Act</strong>). </p>
<p>The claimant was 30 at the time of the Incident, and 36 at trial.  Unable to work following the Incident, the claim for past and future earnings ran into seven figures.  No claims of negligence were made. </p>
<p>The defendant denied that either the Door or its handle fulfilled the criteria for equipment under the 1969 Act and a detailed analysis of "equipment" ensued at trial.  Given the significance of this issue to the final outcome, the Judge commented it was a shame the equipment matter was not addressed as a formal preliminary issue.</p>
<p><span><em><strong></strong></em></span><strong>Events leading up to the Incident</strong></p>
<p>By way of background, the Door and handle had been in place for 13 years, having been fitted in 2005.  Although daily visual checks were routinely conducted on specific doors by the facilities engineer, the Door was not one included.  The facilities engineer would, however, have used the Door on a daily basis to check waste pumps (including on the day of the Incident) but did not note it to have been loose.  The claimant herself, did not recall the Door's handle being loose.  The defendant operated a reactive health and safety maintenance system.  On induction, staff learned that they were required to report any defect or maintenance issues, which would include doors, to the London Facilities team.  Such defects or maintenance issues were logged on a computer system with more hazardous problems reported to the landlord's maintenance company by call/email either from the facilities manager or general office team in her absence.  Between 18 January and 30 November 2018, there were 13 reports of loose door handles logged but none in respect of the Door.  The Incident was reported to the facilities engineer as an immediate request on the day so was not recorded on the system.</p>
<p>Part of the defendant's evidence was that the Door was frequently used by staff, including the catering manager (who estimated using it 15-20 times per day).  Despite this, no reports were received in respect of the Door.  A repair to the Door handle was carried out at some point (most likely after installation) as glue had been found on one of the handle's screws (but there was no record of this).</p>
<p><span><strong><em></em></strong></span><strong>Events following the Incident</strong></p>
<p>On the day of the Incident, the facilities manager contacted the engineer to fix the handle which he did later that day.  He used the same screw and subsequently tested it with his arm.  It was a mystery to him how it happened in the first place.  The defendant asked its specialist door subcontractor to assess the Door handle the following day and the technician duly attended later the same day.  He reported seeing that the Door handle had been fixed and testing showed it working properly. </p>
<p>The claimant's evidence included a colleague's report of an email received in 2019 which had asked staff to use the back door to the cafeteria not the main door due to an issue with the door handle again. </p>
<p><span><em><strong></strong></em></span><strong>Was the Door and its handle "equipment" under the 1969 Act?</strong></p>
<p>Under s1(1)(a) of the 1969 Act, "an employee suffers personal injury in the course of his employment in consequence of a defect in <strong>equipment</strong> provided by his employer for the purposes of the employer’s business." </p>
<p>"Equipment" is defined (at s.1(3)) as including, "any plant and machinery, vehicle, aircraft and clothing." </p>
<p>The claimant argued the Door and its handle constituted "equipment" under the 1969 Act.  She contended the Door handle was defective and caused her injury because the screw securing the handle was too short and the thread was damaged.  In support of her arguments, the claimant relied on a number of sources.  This included an analysis of cases in <em>Brydon v Stewart</em> (1855) 2 Macq 30 (an unsafe pit shaft case), from <em>Munkman on Employers Liability</em>.  In summary, an employer's duty applied whilst an employee is engaged in their employment but extends beyond the actual performance of work and includes<em> activities reasonably incidental to employment</em>, eg entering, leaving or being present on the employer's premises (but may not apply to transport home).  This applies to stairs or washing facilities, even after a worker leaves (<a href="http://www2.bailii.org/scot/cases/ScotCS/1959/1960_SC_11.html"><em><span style="color: #467886;">Bell v Blackwood Morton & Sons Ltd</span></em><span style="color: #467886;"> 1960 SC 11</span></a>, <em>Ramsay v Wimpey & Co Ltd</em> 1951 SC 692, <em>Davidson v Handley Page Ltd</em> [1945] 1 All ER 235 and <em>McGhee v National Coal Board</em> [1973] 1 WLR 1, HL).  She also relied on <em>Coltman v Bibby Tankers Ltd</em> [1988] AC 276 in which the House of Lords held the entire ship was "equipment" under the 1969 Act and a flagstone was too in <em>Knowles v Liverpool City Council</em> [1993] 1 WLR 1428.</p>
<p>The defendant argued doors are not covered under the Provision and Use of Equipment Regulations 1998 and by design not the 1969 Act as they cover the same thing.  They asserted that these types of Regulations should not overlap unless designed to do so (<a href="http://www2.bailii.org/cgi-bin/format.cgi?doc=/ew/cases/EWCA/Civ/2008/494.html&query=(Mason)+AND+(v)+AND+(Satelcom.)+AND+(2008)+AND+(EWCA)+AND+(Civ)+AND+(494)"><em><span style="color: #467886;">Mason v Satelcom</span></em><span style="color: #467886;"> 2008 EWCA Civ 494</span></a><em> </em>and <em>PRP Architects v Reid </em>2007 ICR 78 and <a href="http://www2.bailii.org/ew/cases/EWHC/QB/2018/810.html"><em><span style="color: #467886;">Heeds v CC of Cleveland Police</span></em><span style="color: #467886;"> 2018 EWHC 810</span></a>).  Also relying on <em>Bibby</em>, referencing equipment being a "chattel" no matter the size so once a door is attached to a building, it becomes part of it and is therefore no longer a chattel. </p>
<p><span><em><strong></strong></em></span><strong>Decision</strong></p>
<p>The Judge, HHJ Berkley, accepted there were authorities which considered the definition of equipment; however, with none of them directly comparable, acknowledged this has been a tricky area for other judges. </p>
<p>On the facts, the Judge preferred the defendant's evidence and held, "equipment" under the 1969 Act, and supporting case law, should be <em>interpreted narrowly</em> and does not include structural elements such as doors or door handles, which may form part of the fabric of an office.  Furthermore, the newer Enterprise and Regulatory Reform Act ("ERRA"), which was passed in 2013, did not add anything further in respect of "equipment" under the 1969 Act – if doors are not "equipment" under the former, they will not be under the latter.  In respect of overlap of Regulations, the Judge considered this should be avoided given the authorities on it.            </p>
<p>The Judge found it difficult to describe a plain and ordinary door as "equipment" and, given separate statutory regulations for them, commented Parliament does not consider them to be either.  Also, aside from being in the employer's office building, a door is not there to assist in giving legal advice.  This is not to say a kettle in an office may well be regarded as "equipment", even though it's not linked to providing legal advice but is used in the course of business by staff.  A door, however, does not have a meaningful connection to the employer's business of giving legal advice.         </p>
<p><span><strong><em></em></strong></span><strong>Key takeaways:</strong></p>
<ol>
    <li><span>Narrower interpretation of "equipment" under the 1969 Act.</span></li>
    <li><span>Generally, building infrastructure should not constitute 'work equipment'.</span></li>
    <li><span>Context is key - what constitutes equipment will be contingent upon the type of work undertaken by the claimant and how the specific item is used.</span></li>
</ol>]]></content:encoded></item><item><guid isPermaLink="false">{3E4A8821-A3CE-4DFF-B721-4BDD8F55CE53}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/warranty-and-indemnity-insurance-qa/</link><title>Warranty and Indemnity Insurance Q&amp;A – Current Trends and What to Look Out For</title><description><![CDATA[The Asia Warranty and Indemnity (W&I) insurance market is expanding rapidly to meet demand as businesses and market participants become increasingly aware of the benefits that transactional insurance can offer. The dynamics in this space are everchanging – the incorporation of W&I in deals, insurers' expectations on the level of due diligence, terms of policies and level of coverage provided are all adapting to demand. This article highlights some recent trends we have encountered and factors to look out for in order to seize opportunities in current market conditions.]]></description><pubDate>Thu, 29 May 2025 16:54:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Andrew Carpenter, Heidi Ng</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-3---thinking-tile-wide.jpg?rev=71c2d62f09634ef08a71f6fa9734a90f&amp;hash=3FBA7A779FA86695B98F02FC7AC605A1" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<h4 style="margin-left: 0cm;"><strong>Specific Questions</strong></h4>
<p><strong>1. What are current major trends?<br /></strong></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li><strong>Insured-friendly policy terms – </strong>The increasing number of insurers entering the Asia market, coupled with a slowdown of deal activities amid market uncertainty, have meant insureds are benefiting from notable market advantages such as: competitive pricing, reduced information requirements at the underwriting stage, lower policy deductibles and lower de minimis thresholds. Coverage has also broadened substantially, with insurers extending the scope of cover by removing previously standard exclusions.<br /><br /></li>
    <li><strong>Increased familiarity with different sectors and markets –</strong> A growing familiarity with specific underwriting risks and regulatory nuances inherent in the emerging markets and sectors has meant insurers are more comfortable in offering broader coverage to clients operating in previously unfamiliar or less penetrated jurisdictions and sectors.<br /><br /></li>
    <li><strong>Underwriting process –</strong> The underwriting process is more flexible and less intrusive, particularly where due diligence is robust and focused, and responses to underwriting questions are clear and detailed. In some cases, insurers may even forgo a separate underwriting call prior to policy inception as is now more usual in the UK and European deals we have encountered. </li>
</ul>
<p><strong>2. What is current level of due diligence expected?</strong></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li><strong>Comprehensive due diligence –</strong> Insurers generally require comprehensive due diligence to be conducted by the buyer, especially on key risk areas of the target's business. Higher risk areas tend to include tax and accounting, compliance, stock and inventory and conditions of assets. Inadequate due diligence could lead to policy exclusions, further information requests or limiting coverage for specific warranties.<br /><br /></li>
    <li><strong>Reliance on VDD or internal DD –</strong> For low-risk areas, insurers may accept reliance on high quality vendor due diligence but generally insurers would then expect to receive buyer top-up due diligence by external advisors to confirm the findings. Internal due diligence needs to meet required standards (i.e. conducted by suitably qualified and experienced personnel; scope and depth of the due diligence to be comparable to that conducted by external advisors).</li>
</ul>
<p><strong>3. How long does it take to place W&I Insurance?</strong></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li>It can be achieved within 7 to 14 days from the submission of due diligence. Complex deals can take up to 3 to 4 weeks or even months, depending on the negotiations between the transaction parties.<br /><br /></li>
    <li>The timeline is gradually increasing matching the trend in the negotiation timeframe. Factors include regulatory tightening across sectors in Asia Pacific jurisdictions such as China, Indonesia and India and other policy-related uncertainties in the market. </li>
</ul>
<p><strong>4. Which markets are growing?</strong></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li><strong>China</strong> – The increase in the adoption of W&I insurance in China is mainly driven by the need for a tool to mitigate risks relating to unfamiliar legal and regulatory environments. This also helps to bridge the gap between transaction parties and expedite negotiations. Opportunities appear plentiful as industries such as technology, logistics and healthcare continue to grow. Increasingly we see underwriting processes with all documents and due diligence in Chinese.<br /><br /></li>
    <li><strong>Hong Kong and Singapore</strong> – Often compared together, Hong Kong (the "Dragon" city) and Singapore (the "Lion" city) have sophisticated insurance markets (across different financial lines) that are pillars of their status as international financial and investment hubs – Hong Kong, in particular, as an international gateway to Mainland China, the "Greater Bay Area" and increasingly regions like the Middle East; and Singapore with a particular South-East Asia focus.  The W&I insurance market in Hong Kong and Singapore is experiencing significant expansion against a background of increased corporate transactions and deals with rising demand for transactional risk solutions.  International and domestic insurers have been increasing their presence in both markets in the past few years and awareness of W&I insurance as a risk allocation tool for transactions and deals increases. This has helped lower pricing and led to more comprehensive W&I coverage options, together with fewer deal-specific exclusions and warranty amendments.<br /><br /></li>
    <li><strong>Japan</strong> – Strong M&A activity has been driven by divestment of Japanese conglomerates (including selling their underperforming subsidiaries, businesses or assets) and increasing business succession needs. W&I insurance is gaining popularity in the market as transaction parties need sophisticated risk management solutions to increase deal certainty and provide a clean exit.<br /><br /></li>
    <li><strong>South Korea</strong> – There has been an uptick in the adoption of W&I insurance in transactions in the past few years, particularly for private equity firms in South Korea in outbound M&A and also in auction deals where sellers want to make their sale offers more attractive.<br /><br /></li>
    <li><strong>Malaysia</strong> – In the last few years there has been a marked increase in the awareness of W&I insurance across different business sectors in Malaysia. Given increased trade flows with e.g. Singapore (particularly, across the Johor-Singapore Special Economic Zone) we expect the W&I insurance market to grow following increased deal activity.</li>
</ul>
<p><strong>5. Which types of businesses / sectors are more likely to use W&I Insurance?</strong></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li><strong>Sectors with high industry-specific risks –</strong> For instance, transactions in the infrastructure sector face issues such as title to real estate/leases, regulatory compliance, environmental risks, planning and licenses. For the technology and intellectual property sectors, risks lie around IT systems, data privacy and compliance and intellectual property ownership.<br /><br /></li>
    <li><strong>Private Equity Deals –</strong> PE sellers can exit their investments with limited or no ongoing liability, while providing buyers with more robust financial protection against unforeseen risks that may arise after deals close.  </li>
</ul>
<p><strong>6. What are challenges of W&I Insurance in Asia in general?</strong></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li><strong>Market-specific nuances –</strong> Asia comprises multiple jurisdictions, each characterised by distinct market practices, legal and regulatory frameworks, as well as different languages and cultures. Insurers frequently encounter due diligence materials and transaction documents presented in local languages.  This, coupled with limited access to information in certain markets and comparatively limited experience in developing economies, poses challenges for insurers in assessing risks and defining coverage parameters.<br /><br /></li>
    <li><strong>Lack of familiarity with W&I products –</strong> Despite gaining popularity in some jurisdictions in Asia (such as Hong Kong, Singapore, Japan and South Korea) in recent years, awareness of the use and benefits of W&I insurance is still in its nascent stages for local participants in some other jurisdictions and smaller domestic enterprises generally in Asia. This poses challenges for insurers as they will encounter a lack of standardised practices and longer underwriting timelines due to back and forth on communications with insureds in order to assess the risk exposure.<br /><br /></li>
    <li><strong>Increased competition –</strong> The influx of new W&I market participants has intensified competition. This has generally driven lower premium rates, flexible underwriting process and reduced exclusions (for now). </li>
</ul>
<p><strong>7. How to overcome challenges?</strong></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li><strong>Engagement in local market –</strong> Developing a nuanced understanding of local transaction dynamics and business practices and keeping up-to-date on the region's changing legal and regulatory landscape assist with the identification of potential risks. Efforts have also been made by insurers and brokers to demystify the operation and value of W&I insurance, and regular presentations can be found where they introduce their roles in risk allocation, explaining policy terms, coverage, scope and the underwriting process and managing insureds' expectations.<br /><br /></li>
    <li><strong>Proactive communication –</strong> Regular and early engagement with the deal team allows insurers and brokers to understand the insured's needs and the target's business, industry and market, and to identify specific challenges, so that any potential risks are considered and discussed at the earlier stages of the underwriting process. </li>
</ul>
<p><strong>8. What is current W&I market outlook?</strong></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li>Deal activity plunged in the first quarter of the year as global investors tread carefully amid (for example) geopolitical challenges and tariffs or levies introduced by the U.S.A. and some other countries.<br /><br /></li>
    <li>These developments present both challenges and opportunities for the W&I market.  While the ramifications remain to be seen, W&I insurance is showing itself to be a valuable tool for risk allocation between sellers and buyers. Insurers are looking at tariff-specific and other political risk exclusions and related due diligence.</li>
</ul>
<p style="text-align: left;"> <strong><span>Contact Us   </span></strong><span><br />
RPC has a dedicated W&I team and we provide vetting counsel to underwriters as well as acting on claims. Please contact <strong><a href="https://www.rpclegal.com/people/andrew-carpenter/">Andrew</a></strong> and <strong><a href="https://www.rpclegal.com/people/heidi-ng/">Heidi</a> </strong>if you have any queries or related disputes regarding the issues raised in this article or if you wish to consider any commercial insurance matters in Hong Kong.  <br />
<br />
<strong><a href="https://www.rpclegal.com/people/samantha-cheng/">Samantha Cheng</a></strong> assisted with the preparation of this article.   <br />
<br />
This publication and suggested answers/comments are intended to give general information and assist with an understanding of the subject matter. This publication is not a complete statement of the law or practice. This publication does not constitute legal advice and is not intended to be relied upon nor to be a substitute for legal advice in relation to particular circumstances. Specific circumstances require legal advice based on applicable laws.                </span></p>]]></content:encoded></item><item><guid isPermaLink="false">{3A11973F-6827-440F-9041-0E128B3A1ED3}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/lliuya-v-rwe-ag-expanding-climate-impact-litigation/</link><title>Lliuya v RWE AG - Expanding climate impact litigation</title><description><![CDATA[The German court has today (28 May 2025) dismissed the long-running climate impact litigation case of Lliuya v RWE , heard before the Higher Regional Court of Hamm, Germany, between 17 and 19 March 2025. ]]></description><pubDate>Thu, 29 May 2025 14:00:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Lucy Dyson , Marcela Calife Marotti</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-3---thinking-tile-wide.jpg?rev=71c2d62f09634ef08a71f6fa9734a90f&amp;hash=3FBA7A779FA86695B98F02FC7AC605A1" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p style="text-align: left;"><span>The German court handed down its decision on 28 May 2025 dismissing the long-running climate impact litigation case of </span><em><span></span>Lliuya v RWE</em><sup>1</sup><em>, </em>heard before the Higher Regional Court of Hamm, Germany, between 17 and 19 March 2025. Notwithstanding the result, this is an important case which has confirmed the principle that climate impact claims can be brought against fossil fuel and energy companies.  Fundamentally, the German court acknowledged that where claimants can demonstrate a real threat of harm caused by climate change, they can bring claims against tortfeasors or "polluters". </p>
<p>The case first brought almost 10 years ago by Sa<span>ú</span>l Luciano Lliuya, a Peruvian farmer from Huaraz, alleges that German energy producer RWE bears partial responsibility for climate-related risks to his town. </p>
<p>Mr Lliuya's claim was based on various provisions under the German Civil Code, particularly section 1004 which outlines that if there is a threat of impairment, the polluter may be obliged to take measures to prevent it. <span></span>Central to the case was the allegation that RWE "<em>willingly and knowingly</em>" contributed to climate change through its significant GHG emissions that have allegedly accelerated the melting of glaciers near Huaraz, thus increasing the volume of the glacial lake Palcacocha and placing the town at significant risk of flooding. </p>
<p>As a result, Mr Lliuya claimed that RWE has partially caused a dangerous situation and should contribute to the costs of adaptation measures (such as reinforcing the lake's dam) to mitigate against the effects of climate change. </p>
<p>Mr Lliuya was seeking proportional contribution, specifically, he sought a declaration for RWE to pay 0.47% (around <span>€</span>17,000) of the cost of flood protection measures for Huaraz, which corresponds to RWE's estimated share of global historic CO2 emissions at the time of filing. This figure had been based on the Carbon Majors database, which attributes historical emissions to major carbon producers.<span><sup>2</sup></span> According to the latest data, RWE ranks 44th globally and is the top coal emitter within the EU. </p>
<p>The court did not reject Mr Lliuya's argument that a company can be liable for its proportional contribution to a globally dispersed environmental harm resulting in localised nuisance - a novel position and a significant step for climate litigation claimants. <span></span></p>
<p>However, Mr Lliuya's claim failed on causation grounds, with the German court accepting the court-appointed expert's evidence that the probability of flooding in Huaraz was around 1%, calling into question the immediate threat to Mr Lliuya's home. Whilst Mr Lliuya's expert argued that Mr Katzenbach did not properly take into account the effect that future climate change would have on the rate of glacial melting. Presiding, Judge Rolf Meyer noted that the court did not "<em>yet see</em>" a "<em>concrete threat to [Mr Lliuya's] property</em>" within the next 30 years<sup>3</sup>.</p>
<p>Despite the adverse ruling, fundamentally the court accepted that climate impact claims can be brought under section 1004 of the German Civil Code,., even when the harm occurs across the globe and the defendant's contribution is a fraction of the total emissions.</p>
<h4>Wider implications and related litigation</h4>
<p><em>Lliuya</em> is the first claim of its kind brought before a German court, though similar claims have been brought in the USA on tortious grounds (including nuisance) (the so-called "Carbon Majors" cases) and two other cases have been brought in Europe.</p>
<p>In <em>Asmania et al. v Holcim<span><strong></strong></span></em><sup>4</sup>, residents of Pari Island, Indonesia, have sought compensation from cement producer Holcim in the Swiss courts for climate-related harm allegedly caused by the company's historical GHG emissions. Similarly, in <em>Falys et al. v TotalEnergies<span><strong></strong></span></em><sup>5</sup>, a Belgian farmer is requesting an injunction against TotalEnergies, demanding a reduction in fossil fuel activities, with proposed penalties of <span>€</span>1,000,000 per month for non-compliance.</p>
<h4>Corporate risk and the future of climate litigation in the wake of <em>Lliuya</em></h4>
<p>Establishing liability in climate impact claims remains a complex and evolving area of law. Disagreements between experts, such as those seen in <em>Lliuya</em>, demonstrate the evidentiary challenges plaintiffs face in establishing causation. Despite this, there is a growing momentum behind rights-based and strategic litigation aimed not only at securing compensation for harms suffered, but also at compelling systemic behavioural change within high-emitting industries through injunctive relief, court-ordered mitigation measures, and recognition of legal duties tied to climate impact.</p>
<p>As attribution science improves, multinationals may increasingly face claims for historical emissions, irrespective of where their operations are located. This trend is particularly relevant for insurers and legal advisors as claims increasingly addressing both historical emissions and projected future impacts, including novel theories of harm, and challenge corporate conduct.</p>
<p> </p>
<div> <hr align="left" size="1" width="33%" />
<div id="ftn1">
<p><sup>1</sup><a href="https://climatecasechart.com/non-us-case/lliuya-v-rwe-ag/">Luciano Lliuya v. RWE AG, Case No. 2 O 285/15 Essen Regional Court</a> </p>
</div>
<div id="ftn2">
<p><sup>2</sup>Carbon Majors Entities (<a href="https://carbonmajors.org/Entities">link</a>) </p>
</div>
<div id="ftn3">
<p><sup>3</sup>The Guardian - "Farmer’s house in danger from climate change, court told in RWE case" (<a href="https://www.theguardian.com/business/2025/mar/19/farmer-climate-change-legal-case-rwe-peru-germany">link</a>)</p>
</div>
<div id="ftn4">
<p><sup>4</sup><em>Asmania et al. v Holcim</em></p>
</div>
<div id="ftn5">
<p><sup>5</sup><em>Hugues Falys, FIAN, Greenpeace, Ligue des droits humains v TotalEnergies (The Farmer Case) (</em><a href="https://climatecasechart.com/non-us-case/hugues-falys-fian-greenpeace-ligue-des-droits-humains-v-totalenergies-the-farmer-case/"><em>link</em></a><em>)</em></p>
</div>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{0BDDC20E-84A9-4205-A49C-69BB6997590E}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/council-liability-in-cases-of-personal-injury-suffered-on-public-highways/</link><title>Council liability in cases of personal injury suffered on public highways</title><description><![CDATA[We take a look at the case of George Morriss v London Borough of Hillingdon [2025] EWHC - In another significant ruling on liability for injuries sustained on public highways, the court reinforces the considerable evidentiary responsibility resting with claimants.  ]]></description><pubDate>Wed, 14 May 2025 16:36:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Thom Lumley</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-1---thinking-tile-wide.jpg?rev=152b7123d6a54e268860168a8297023a&amp;hash=1EE310D00B677E6FFCC5DD15B09E3D53" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p style="text-align: left;"><strong>We take a look at the case of </strong><a href="https://www.bailii.org/ew/cases/EWHC/KB/2025/983.html"><strong><em>George Morriss v London Borough of Hillingdon</em> [2025] EWHC</strong></a>.</p>
<p>In another significant ruling on liability for injuries sustained on public highways, the court reinforces the considerable evidentiary responsibility resting with claimants.<span>  </span>At a liability-only hearing, Deputy Judge Benjamin Douglas-Jones KC, assessed the council's duty under s.41 of the Highways Act 1980 (the <strong>Act</strong>), together with the regularly cited principles set out in Mills v Barnsley Metropolitan Borough Council [1992] PIQR and provided detailed judgment on the available evidence.</p>
<p>In a tragic accident, 24-year-old maintenance manager, Mr Morriss (the <strong>Claimant</strong>), suffered life-changing injuries when he crashed his motorbike, colliding with a wooden fence on his way home from work. The Claimant, noted as an experienced rider for his age, complained that a defective manhole cover (the second of two in the middle of the road on a bend) was to blame and brought his claim against the London Borough of Hillingdon (the<strong> Council</strong>).<span>  </span>The incident took place in daylight on a dry day and the Claimant was wearing suitable protective clothing.<span></span></p>
<h4>The Claimant's evidence</h4>
<p>The Claimant's evidence was interesting.<span>  </span>He said he remembered nothing of the accident for three days.<span>  </span>At that point, he remembered the front wheel of his motorbike definitely riding over the second manhole cover and losing traction.<span>  </span>Whilst the motorbike's traction system kicked in, the resulting collision proved unavoidable for the Claimant.<span>  </span>There was a discrepancy over which wheel it was, the Claimant having initially setting out in his letter of claim it was the 'rear wheel' which had lost traction, but this was later said to be incorrect.<span>  </span>The route was familiar to the Claimant as part of both his commute and pleasure rides but without previous incident.<span>  </span>He put this down to a new road surface which had been laid.<span>  </span>The Claimant maintained that he remembered the detail of the accident two years' later after returning to the scene with his brother.</p>
<p>His brother's evidence was that he was on the scene just five minutes after the accident and saw tracks on the road and scuff marks on the kerb and fence as well as damage to the fence.  It was he, the Claimant's brother, who had initially suggested to the police that the manhole cover was to blame, having slipped on one himself 15 years' previously.  He also took photographs a few days later which the Judge reviewed and concluded (together with the police report) that there were no marks on the road.</p>
<h4>The Council's evidence</h4>
<p>Monthly inspections were routinely carried out in accordance with the Well Managed Highway Infrastructure – Code of Practice 2016 (the <strong>Code</strong>) by trained, qualified inspectors and one such inspection took place three weeks before the incident.<span>  </span>The inspections concluded that neither of the manhole covers needed repair – usually demonstrated by a shiny and polished look.<span>  </span>One of the inspectors was a motorcyclist himself and commented that all ironwork can be a potential danger to motorcyclists and that he would avoid riding over manhole covers because of this.<span>  </span>Different inspectors carried out an inspection a week after the incident and, again, no defects were found.<span>  </span>A street scene inspector inspected the scene three months later and also confirmed no defect or slippery surface with 95% of it as new.<span>  </span>Another report referred to 90% of the surface area as having grip.<span></span></p>
<h4>Expert evidence</h4>
<p>Each party called their own expert, and a joint statement was produced.</p>
<p>The Claimant's expert referred to the Code of Good Practice for Highway Maintenance (Well Maintained Highways) (the <strong>COGP</strong>) under which highway authorities must carry out condition surveys and a skid resistance strategy for statutory requirements.<span>  </span>The inspections covered structural integrity, not skid resistance and these were not, therefore, compliant and a detailed risk assessment should have been carried out.<span>  </span>He thought this was the most dangerous site on a distributor road in all his 55 years' experience.<span></span></p>
<p>The Council instructed a highway engineer with 30 years' experience who also concluded that the manhole covers were shiny but not defective, with the inspections having been compliant.<span>  </span>The evidence posed that approximately 18,000 vehicles used that stretch of road each day and 11,000 to 16,000 motorcyclists every year, yet no other accidents involved a motorcycle and a manhole cover.<span>  </span>The Council contended that, whilst there was no specific criteria for worn manhole covers, it's not reasonable to have a risk assessment for every piece of road and ironwork and its maintenance policy was consistent with the Code with repairs carried out where necessary. The Council's expert added that the speed at which the bend in question could be taken without incident was significantly above the 30mph speed limit.<span></span></p>
<h4>s.41 </h4>
<p>In terms of the potential breach of s.41 of the Act, DJ Douglas-Jones KC referred to <em>Mills</em>, noting that the standard is whether a highway defect constitutes a "real source of danger", as opposed to just any irregularity (a hollow or protrusion were given examples). Practitioners will be aware that <em>Mills </em>remains a leading authority, with a claim required to<em> </em>prove:</p>
<ol>
    <li>The road's dangerous condition was reasonably foreseeable so that users were at risk with continued use;</li>
    <li>The dangerous condition was created by the failure to maintain/repair the highway; and </li>
    <li>The injury/damage was caused by that failure.</li>
</ol>
<p>The Judge exercised caution with the Council's expert's speed calculations but, having reviewed the evidence, considered the Claimant's expert testimonial of the road being 'extremely dangerous' to be exaggerated.<span>  </span>Given the repeated assessments of the manhole cover considering it was not defective, and applying <em>Mills</em>, assessing the risk in accordance with guidance provided by the claimant, the Judge determined the second manhole cover in question was not dangerous.<span></span></p>
<p>The Judge was not convinced by either the Claimant's or his brother's evidence that it was the second manhole cover that caused the accident.<span>  </span>He placed a large amount of weight for this on the Claimant being unable to recall the accident until revisiting the site with his brother who had suggested to police on the scene that the second manhole cover was to blame for the accident (following his own skid on a manhole cover in the past).<span>  </span>Instead, the Judge concluded the accident was probably down to momentary rider error.<span></span></p>
<p>Even though not strictly necessary to do so, the Judge opined in respect of the statutory defence, under s.58 of the Act; available where a claimant establishes <em>Mills </em>liability.<span>  </span>He commented that the Council's routine inspections were compliant with guidelines; carried out by qualified, trained staff in a suitable vehicle; all of which were in line with policy.<span>  </span>He was satisfied that, if the second manhole cover had posed a danger, it would have been identified as such and a work order duly scheduled.<span>  </span>He rejected the suggestion by the Claimant's expert that a bespoke risk assessment was necessary.<span></span></p>
<p><strong>Key takeaways:</strong></p>
<ul style="list-style-type: disc;">
    <li><span>Importance of clear record keeping and compliance with the COP by Highways Authorities;</span></li>
    <li><span>Highway Authorities need to ensure adequate risk assessment measures are in place, but these do not need to be bespoke for each independent man hole cover;</span></li>
    <li><span>Examine lay witnesses carefully; especially, where memories can fade;</span></li>
    <li style="text-align: left;"><span>Choose your experts wisely …</span></li>
</ul>]]></content:encoded></item><item><guid isPermaLink="false">{11918708-8F6E-419F-9F32-E5AC9B8A2692}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/key-legal-shifts-in-2024-and-whats-ahead-for-2025-insurance/</link><title>Directors beware: Key legal shifts in 2024 and what’s ahead for 2025</title><description><![CDATA[The legal landscape for directors and officers (D&O) underwent significant developments in 2024, with court rulings and regulatory changes raising the stakes for company leaders and their insurers. ]]></description><pubDate>Wed, 19 Feb 2025 12:00:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>James Wickes</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-1---thinking-tile-wide.jpg?rev=152b7123d6a54e268860168a8297023a&amp;hash=1EE310D00B677E6FFCC5DD15B09E3D53" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p><span>The landmark case against former directors of BHS Group introduced the concept of "misfeasant trading," holding directors personally liable for failing to prioritize creditors' interests during insolvency. Meanwhile, the FCA sharpened its focus on non-financial misconduct, signalling a stricter stance on workplace culture and accountability.</span></p>
<p><span>As these changes reshape liability risks and compliance expectations, directors, officers, and D&O insurers must navigate a more precarious environment. Lessons from 2024 point to key priorities for the year ahead.</span></p>
<p style="margin-left: 0cm;"><strong><span>Key developments in 2024</span></strong></p>
<p><span>2024 highlighted the importance of a directors' duty to consider or act in the interests of creditors where a company is insolvent or bordering on insolvency. The claim brought by the liquidators of BHS Group against certain former directors, following the group's collapse into insolvency in 2016, marked a watershed moment. It was the first time a court held company directors guilty of "misfeasant trading."</span></p>
<p><span>In this case, the directors were found to have failed in their duty to consider creditors' interests when entering into an onerous and expensive secured loan. The loan, which exhausted the group’s assets when it could not be repaid, directly contributed to the company's insolvency. By prioritising short-term solutions over long-term viability, the directors acted in breach of their statutory duties.</span></p>
<p><span>This landmark ruling underscores the heightened scrutiny on directors' decision-making during financial distress. Wrongful trading cases, which have traditionally been difficult to bring successfully, may now see renewed interest from insolvency practitioners. With the growing involvement of litigation funders willing to finance such claims, the ruling sets a precedent for greater accountability for directors.</span></p>
<p><strong><span>The role of D&O insurance</span></strong></p>
<p><span>The decision has significant implications for D&O insurance. The court’s finding that directors' personal liability cannot necessarily be capped by the level of their insurance cover is a critical development. Directors are now exposed to greater financial risks, even where their D&O policies are in place.</span></p>
<p><span>This heightened exposure is likely to lead to an uptick in demand for D&O insurance products that provide robust protection in insolvency scenarios. Insurers, in turn, may revisit their underwriting criteria and premium structures to account for this increased risk. For directors, this ruling highlights the importance of proactively engaging with their insurers and brokers to ensure sufficient coverage.</span></p>
<p><strong><span>Practical steps for directors</span></strong></p>
<p><span>In light of this decision, directors should take immediate steps to mitigate potential liability. This includes:</span></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li><strong><span>Monitoring financial health:</span></strong><span> Directors must have a clear understanding of the company’s financial position, particularly during periods of distress.</span></li>
    <li><strong><span>Engaging advisors effectively:</span></strong><span> It is essential to provide advisors with all relevant information and to carefully evaluate their professional advice.</span></li>
    <li><strong><span>Documenting decisions:</span></strong><span> Maintaining clear and detailed records of decision-making processes can demonstrate that directors have acted with care, skill, and diligence.</span></li>
</ul>
<p><span>The emphasis on creditor interests during insolvency is now more pronounced than ever. Directors who fail to take these steps may find themselves personally liable for significant sums, as seen in the BHS case.</span></p>
<p style="margin-left: 0cm;"><strong><span>What to look out for in 2025</span></strong></p>
<p><span>The regulatory landscape for directors and officers is set to evolve further in 2025. One of the most pressing areas of focus is the Financial Conduct Authority's (FCA) increased attention to non-financial misconduct.</span></p>
<p><strong><span>The FCA survey results</span></strong></p>
<p><span>In October 2024, the FCA published the results of its survey of over 1,000 investment banks, brokers, and wholesale insurance firms. The survey revealed a concerning rise in reported allegations of non-financial misconduct between 2021 and 2023. Bullying, harassment, and discrimination were among the most common complaints.</span></p>
<p><span>Notably, the survey also highlighted how broadly "non-financial misconduct" can be interpreted. A significant number of incidents fell into the "other" category, including inappropriate or offensive language, alcohol misuse in the workplace, and retaliatory behaviour following allegations.</span></p>
<p><span>The FCA findings make it clear that fostering a healthy workplace culture is not just a matter of good governance, it is a regulatory imperative. Firms that fail to address non-financial misconduct risk not only reputational damage but also regulatory action and increased scrutiny of their directors and senior managers.</span></p>
<p><strong><span>Non-financial misconduct and D&O liability</span></strong></p>
<p><span>Directors and officers bear ultimate responsibility for setting and maintaining workplace culture. As such, they are likely to face increased investigations and claims if their organizations fall short in addressing non-financial misconduct.</span></p>
<p><span>To mitigate these risks, directors must prioritise:</span></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li><strong><span>Clear policies and procedures:</span></strong><span> Firms should implement comprehensive policies to address misconduct and ensure they are regularly reviewed and updated.</span></li>
    <li><strong><span>Training and awareness:</span></strong><span> Educating employees and senior managers on acceptable behaviours and reporting mechanisms can help prevent issues before they escalate.</span></li>
    <li><strong><span>Transparent reporting channels:</span></strong><span> Establishing effective whistleblowing procedures can encourage employees to report concerns without fear of retaliation.</span></li>
</ul>
<p><span>The absence of these safeguards may lead to wider questions about an organisation’s culture and governance, exposing directors to personal liability.</span></p>
<p><strong><span>Upcoming FCA rules</span></strong></p>
<p><span>The FCA is expected to publish its "final rules" on non-financial misconduct and these rules will likely incorporate non-financial misconduct into key regulatory frameworks, including the FCA Handbook, the Code of Conduct, and the Fitness and Propriety Test for employees and senior managers.</span></p>
<p><span>By formalising non-financial misconduct as a regulatory focus, the FCA aims to strengthen its enforcement powers and prevent harm to consumers and market integrity. For directors, this means 2025 will bring heightened expectations around workplace culture and accountability.</span></p>
<p style="margin-left: 0cm;"><strong><span>Key takeaways for directors and insurers</span></strong></p>
<p><span>As we move into 2025, directors and officers must remain vigilant in addressing both financial and non-financial risks. The developments of 2024 have underscored the importance of:</span></p>
<ol style="margin-top: 0cm;">
    <li><strong><span>Prioritising creditor interests during insolvency:</span></strong><span> Directors must act with care, skill, and diligence to avoid personal liability.</span></li>
    <li><strong><span>Fostering healthy workplace cultures:</span></strong><span> The FCA’s focus on non-financial misconduct highlights the need for robust policies and transparent reporting mechanisms.</span></li>
    <li><strong><span>Reassessing D&O insurance coverage:</span></strong><span> Directors should engage with insurers and their brokers to ensure their policies provide adequate protection against evolving risks.</span></li>
</ol>
<p><span>For D&O insurers, these developments present both challenges and opportunities. While increased liability risks may lead to higher claims, they also underscore the value of comprehensive insurance products that address the full spectrum of directors’ responsibilities.</span></p>
<p><span>The evolving regulatory and legal landscape demands proactive action from all stakeholders. Directors, insurers, and regulators alike must work together to navigate these challenges and ensure that businesses remain resilient in the face of growing risks.</span></p>
<p style="text-align: left;"><span><em>This article was originally published in<strong> <a href="https://www.insuranceday.com/ID1151986/The-legal-landscape-facing-directors-and-officers-is-shifting-rapidly">Insurance Day</a></strong>.</em></span></p>]]></content:encoded></item><item><guid isPermaLink="false">{D0E8B026-883A-46D0-A2C7-93DEBCB9340F}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/hay-day-at-the-court-of-appeal/</link><title>Hay Day at the Court of Appeal </title><description><![CDATA[On 30 January 2025, the Court of Appeal gave its judgment in Norman Hay Plc v Marsh Limited.  Marsh had appealed against Mr Justice Picken's decision, in which he refused their application for summary judgment and/or to strike out the claim. The appeal was dismissed, the court concluding the issues should be addressed at trial. ]]></description><pubDate>Fri, 14 Feb 2025 12:47:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Kate Hill, Daniel Charity, Sally Lord</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-3---thinking-tile-wide.jpg?rev=71c2d62f09634ef08a71f6fa9734a90f&amp;hash=3FBA7A779FA86695B98F02FC7AC605A1" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p>On 30 January 2025, the Court of Appeal gave its judgment in <em><a rel="noopener noreferrer" href="https://www.bailii.org/ew/cases/EWCA/Civ/2025/58.html" target="_blank">Norman Hay Plc v Marsh Limited</a></em>.  Marsh had appealed against Mr Justice Picken's decision, in which he refused their application for summary judgment and/or to strike out the claim. The appeal was dismissed, the court concluding the issues should be addressed at trial. </p>
<p><strong>Background</strong></p>
<p>The claim arose out of a road traffic accident in Ohio, where an employee ("<strong>Mr Kelsall</strong>") of Norman Hay's German subsidiary ("the <strong>Subsidiary")</strong> was driving a hire car, uninsured. Mr Kelsall was involved in a fatal accident whilst driving on the wrong side of the road. The driver of the other vehicle, Ms Sage, sustained serious injuries. </p>
<p>Before Ms Sage issued proceedings, Norman Hay decided to sell its subsidiaries, including the Subsidiary. As part of the sale, Norman Hay had to indemnify the purchaser for any claims brought by Ms Sage. A GB sterling sum equivalent to US $8m was taken off the purchase price and paid into escrow. Norman Hay eventually settled Ms Sage's claim for US $5.5m ("<strong>the Sage Claim</strong>") which was paid from the escrow account, reducing the sum received for the sale.</p>
<p><strong>Claim by Norman Hay against Marsh</strong></p>
<p><strong></strong>Norman Hay alleges that Marsh, as their insurance broker, failed to adequately assess their insurance needs, which included coverage for employees driving hire cars in the US. They claim that if such coverage had been in place, it would have covered the Sage Claim. </p>
<p><strong><em>The Alternative Bases</em></strong></p>
<p><strong></strong>In the alternative, Norman Hay contends that:</p>
<ul>
    <li>had it been advised that that cover would not have been possible, it would have advised its employees they needed to arrange suitable cover individually when hiring cars or to use private hire vehicles. Accordingly, adequate cover would have been in place to cover claims in the event of any accidents. Alternatively, the accident itself would have been avoided because an employee would not have been driving. </li>
    <li>the Subsidiary did have 'non-owned auto cover' (a liability only policy for drivers of hire cars), prior to the inception of the global liability policy which had been arranged for Norman Hay by Marsh. However, Marsh advised Norman Hay to cancel that cover.  Norman Hay contend Marsh should have advised on the impact of that and, had they done so, Norman Hay could have ensured that coverage was in place for the Sage Claim.</li>
</ul>
<p><strong>Marsh's defence</strong></p>
<p>Marsh denies the allegations, asserting that it was Norman Hay's responsibility to provide all relevant information relating to its business such that Marsh could identify appropriate coverage.  Marsh asserted that 'non-owned auto cover' is not typically included in UK liability policies and therefore they were not obligated to advise on it. Marsh also argued that Norman Hay failed to prove liability to Ms Sage, which was grounds for striking out the claim. </p>
<p><strong>The first instance decision</strong></p>
<p>Mr Justice Picken distinguished claims against insurance brokers from those against insurers under liability policies. He emphasised the need to investigate the counterfactual scenario – namely, what would have happened if the hypothetical policy which the broker had failed to arrange, had been in place. </p>
<p>Mr Justice Picken stated that this investigation required a trial and was not suitable for summary judgment/strike out.  He also confirmed that proving liability to the third party was not the only issue to consider; it was also necessary to look at the insurer's potential commercial view on the claim. This means undertaking a "broader inquiry" going beyond the strict contractual position under the putative insurance policy.</p>
<p><strong>The Appeal</strong></p>
<p>Marsh appealed, alleging the Judge had erred in finding that the determination of the counterfactual was essential. Marsh contended that Norman Hay's failure to plead that it was liable to Ms Sage was fatal to the negligence claim against Marsh. They relied on the fact that in order to be indemnified under a liability policy, the insured must establish there is a liability to the claimant. Marsh asserted that the hypothetical policy would not have responded, as no such liability had been established, and the claim against Marsh should be struck out. </p>
<p><strong>The Court of Appeal decision</strong></p>
<p><em>What policy?</em></p>
<p>The parties were criticised for prematurely focusing on causation and loss without first establishing what Marsh should have done, which Lord Justice Males described as putting '<em>the cart before the horse</em>'.  </p>
<p>To decide if a broker's breach of duty caused loss, it is imperative to understand what the defendant broker should have done.  This would include an assessment of the instructions given to Marsh, the scope of responsibility which they undertook and what advice a reasonable broker would have given with regards to 'non-owned auto' cover for hire cars in the US. This assessment, the Court of Appeal deemed, is not possible without a detailed analysis of the facts. The Court of Appeal further held that to understand the standard of care owed by a reasonable insurance broker, expert broking evidence would be required.   </p>
<p>Lord Justice Males noted that Norman Hay's pleadings did not specify that Marsh should have arranged a 'conventional liability policy'. For that reason alone, it was not possible to say that any claim under a putative policy would have failed, given that it was not pleaded that the putative policy would have been a liability policy. </p>
<p>The Court of Appeal outlined that, when assessing whether a broker has been negligent in failing to arrange a policy, the court would also need to understand:</p>
<ul>
    <li>the type of policy the claimant is alleging should have been placed;</li>
    <li>whether that type of policy would be available; </li>
    <li>what the putative insurer would have done, when presented with the claim; and</li>
    <li>the premium which the insured would pay. </li>
</ul>
<p>This type of in-depth analysis needs to be done at trial and, accordingly, the Court of Appeal agreed that this was not a matter for summary judgment/strike out. </p>
<p><strong>Conventional liability policies </strong></p>
<p>The Court of Appeal did confirm that conventional liability policies only respond when the insured is actually liable to the third party. The fact that the insured settled a claim with a third party does not mean that the insured was liable, or that the insurer has to pay. </p>
<p>The cases of <em><a rel="noopener noreferrer" href="https://vlex.co.uk/vid/dunbar-v-b-painters-793887613" target="_blank">Dunbar v A & B Painters Ltd</a></em><a rel="noopener noreferrer" href="https://vlex.co.uk/vid/dunbar-v-b-painters-793887613" target="_blank"> [1986]</a> and <a rel="noopener noreferrer" href="https://www.supremecourt.uk/cases/uksc-2017-0092" target="_blank"><em>Perry v Raleys</em> [2019]</a> were cited in support of this view. Namely, there were issues the claimant needed to prove on a balance of probabilities (ie what the claimant would have done) and those that require a loss of chance evaluation (ie what others would have done). </p>
<p>The Court of Appeal's analysis made it clear that in this case, what others would have done was an inquiry that was to be held at trial. </p>
<p><strong>Conclusion</strong></p>
<p><strong></strong>In brokers' E&O claims, where the claimant alleges they have been left without insurance as a result of the broker's negligence, the court must determine, on a loss of chance basis, what would have occurred had there been no breach by the broker. This determination of the counterfactual can take into account commercial factors (such as the insurer's commercial relationship with its insured), to assess what the putative insurer would have done when faced with the claim. In such scenarios, the Court is not confined to assessing purely the strict contractual position under the terms of the hypothetical insurance policy. </p>
<p>The Court of Appeal was careful, however, to confirm that the liability of the insured to the third party can still be a relevant factor (albeit not the only factor) in assessing the claim. Citing <em>Perry v Raleys</em>, there needs to be real and distinct possibility of the claim succeeding, rather than merely negligible prospects of success.  For our detailed analysis on the <em>Perry v Raleys</em> decision, see <a rel="noopener noreferrer" href="https://www.rpclegal.com/thinking/professional-and-financial-risks/supreme-court-refuses-to-allow-a-claim-against-lawyers-for-loss-of-a-dishonest-claim/" target="_blank">here</a>. </p>
<p>Whilst there is not yet any decision as to whether Marsh was, in fact, negligent, the court is clear in its approach that brokers can arguably be held liable for depriving their clients of the 'opportunity' to recover under a hypothetical policy, even when direct causation is difficult to establish. This decision is consistent with previous authorities in respect of other professionals, such as solicitors, where the Court is asked to assess, adopting a 'loss of chance evaluation', what would have happened if the professional had acted with reasonable skill and care. In short, the court will have to decide how great a 'chance' of obtaining indemnity has been lost by the broker's failure to arrange cover – just as in solicitors' cases, the Court would consider (for example) what chance of success a claimant has been deprived of by the solicitor whose mistake costs them the chance to bring their claim.</p>
<p>In <a rel="noopener noreferrer" href="https://www.judiciary.uk/wp-content/uploads/2018/10/Dalamd-v-Butterworth-Case-Summary.pdf" target="_blank"><em>Dalamd v Butterworth</em></a>, the Court previously held that in cases where the insured alleges negligence by the broker, but has failed to sue or settle with the insurer of an existing policy, the Court must first assess on the balance of probabilities whether, but for the negligence, the existing policy would have been rendered voidable. Pending further clarification from the Court, the position remains that the binary 'balance of probabilities' causation approach in <em>Dalamd</em> does not apply in circumstances where there is no insurance cover at all and is restricted only to cases where 'inadequate' cover has been obtained.     </p>
<p>Arguably, the justification for the different approaches is based on the fact that in the <em>Norman Hay</em> scenario, the uninsured claimant cannot choose to sue both the broker and the insurer simultaneously, as there is in fact no insurer. Nevertheless, there does seem to be tension in these differing positions, and it is conceivable that further clarification from the Courts may follow, not least on the basis that the <em>Norman Hay</em> decision relates only to a summary judgment/strike out application.   </p>]]></content:encoded></item><item><guid isPermaLink="false">{66C8584C-FFEC-4677-AE9B-C7A3F60320C3}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/navigating-pras-data-request-for-crypto-asset-exposure/</link><title>Navigating PRA's data request for crypto-asset exposure</title><description><![CDATA[On Dec. 12, the Prudential Regulation Authority issued a data request to identify firms' current and expected future crypto-asset exposures. In this blog, we discuss the request, and what implications may arise for financial institutions and their insurers.]]></description><pubDate>Wed, 29 Jan 2025 10:00:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>James Wickes</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-3---thinking-tile-wide.jpg?rev=71c2d62f09634ef08a71f6fa9734a90f&amp;hash=3FBA7A779FA86695B98F02FC7AC605A1" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p style="text-align: left;">On <span>Dec. 12, the</span><span> Prudential Regulation Authority</span><span><sup>1</sup></span><span> issued </span><span>a data request to identify firms' current and expected future crypto-asset exposures.<sup>2</sup> This request also asks for information on the firms' application of the Basel framework for the prudential treatment of crypto-assets exposures,<sup>3</sup> that was published in December 2022, following its second consultation on banks' exposures to crypto-assets.</span></p>
<p><span></span><span>The framework is the set of standards of the</span><span> Basel Committee on Banking Supervision </span><span>for the prudential regulation of banks. The overall purpose of the committee is to enhance financial stability by way of regulation and supervision.</span></p>
<p><span>Here we discuss the request, and what implications may arise for financial institutions and their insurers.</span></p>
<p><strong><span>Why the Request Has Been Made</span></strong></p>
<p><span>The PRA, as the regulatory branch of the</span><span> Bank of England,</span><span> supervises 1,500 financial institutions, including banks and insurance companies, and by way of tailored supervision, aims to enhance strategies and build resilience during crisis situations. In order to develop these strategies, it is paramount for the PRA to have up-to-date knowledge and maintain effective supervision of emerging risks, which includes those arising from crypto-assets.</span></p>
<p><span>Given the nature of crypto-assets and the risks involved, the PRA indicated that they must be screened on an ongoing basis.</span></p>
<p><span>To ascertain this knowledge, the PRA issued a data request and stated that this data will help it to refine its prudential treatment of crypto-asset exposures, and evaluate the relative costs and benefits of various policy options. It would also enable it to update its perspective on firms' current and planned crypto-asset-related activities, serving as a foundation to monitor the implications to financial stability. Firms have until March 24 to comply with the PRA request.</span></p>
<p><span>In accordance with the prudential framework, which the Basel Committee agreed to implement by Jan. 1, crypto-assets are private digital assets that rely on cryptography and distributed ledger or similar technologies. Digital assets represent value digitally and can be used for payments, investments, or to access goods and services.</span></p>
<p><span>In terms of the request itself, the PRA is asking for details on tokenized traditional assets, stablecoins, unbacked crypto-assets, and any other types of crypto-assets relevant to PRA firms. This is due to the fact that each type of crypto-asset carries its own set of risks.</span></p>
<p><span> For example, tokenized traditional assets use blockchain technology, which can lead to cybersecurity risks, such as hacking or technical failures, and unbacked crypto-assets, which are subject to extreme price fluctuations due to market speculation and can result in considerable financial losses.</span></p>
<p><span>In light of the developing regulatory environment for crypto-assets, the PRA considers it vital to understand the nature and level of holdings of its regulated firms in order for it to make informed policy decisions.</span></p>
<p><span> This request, and any others it makes, ensure that its regulations and frameworks are based on accurate and up-to-date information. In addition, the request allows the PRA to supervise and monitor the financial health and stability of firms, as well as enabling them to identify future risks and develop strategies to mitigate the impact on the broader financial market.</span></p>
<p><strong><span>The Request</span></strong></p>
<p><span>The PRA has requested a selection of data from firms that:</span></p>
<ul>
    <li><span>Have any non-negligible direct exposures to crypto-assets;</span></li>
    <li><span>Provide products of services in respect of crypto-assets; or</span></li>
    <li><span>Plan to have any such exposure, or provide any such product of service, in the next five years.</span></li>
</ul>
<p><span>The PRA has requested details on whether firms have started applying the prudential framework for holding crypto-assets, what their exposures to crypto-assets are, and what they are forecasted to be for the next five years. That data is to be set out by total value, activity and groups as defined in the prudential framework.</span></p>
<p><span>The PRA has asked firms to explain how they have separated their business lines, products or services in order to reply to the request, as well as what factors may change the firms' inclination to offer details in the future.</span></p>
<p><span>Another focus of the request is for details of the firms' services that are based on permissionless blockchains, and how they foresee that use changing over the next five years.</span></p>
<p><span>The PRA confirms that the prudential framework indicates crypto-assets that use permissionless blockchains cannot be included in Group 1 — defined under the framework categorization as those that meet in full a set of classification conditions — because the risks cannot be mitigated adequately to ensure financial stability. However, the PRA confirms this is still under review.</span></p>
<p><span>Firms have also been requested to set out the costs they have incurred in carrying out the data request.</span></p>
<p><span> The PRA has stated that it expects firms to take reasonable steps to ensure any estimates that are provided have been done so fairly and properly, based on appropriate inquiries made by the firm. It has also indicated that responses must be based on the highest level of consolidation of the firm.</span></p>
<p><strong><span>Implications for Financial Institutions</span></strong></p>
<p><span>It is important that firms comply with this data request to enable the PRA to carry out its role effectively.</span></p>
<p><span>Financial institutions may use this as an opportunity to review and enhance internal </span>compliance and governance as a result of complying with the request. This could include updating their own policies and procedures relating to their management and use of crypto-assets, including considering the firm's future use of crypto-assets and any related future services or products the firms may offer over the next five years.</p>
<p><span>The resulting data may also highlight any areas where reporting and data collection needs to be improved in order to meet the PRA's requirements.</span></p>
<p><span>Overall, the request means that firms must now, if they have not already, ensure that their crypto-asset-related risks have been and are effectively managed or monitored, with the requisite Basel management frameworks in place. These frameworks are essential for those firms to be able to navigate the potential volatility and regulatory implications that crypto-assets bring.</span></p>
<p><strong><span>Conclusion</span></strong></p>
<p><span>There is a fine line between embracing innovation and managing the associated risks. Clear regulation that supports innovation, but also ensures financial stability, is paramount to ensure the security of the financial environment.</span></p>
<p><span>The PRA request comes at a time when the emphasis on regulation and the impact on consumers is at an all-time high. There is an increase in focus on regulators in respect of the duties of firms and their responsibilities to consumers. As a result, it is paramount for firms to stay abreast of the ever-changing regulatory landscape.</span></p>
<p><span>This will also apply to firms' management. Directors will need to ensure they are aware of all relevant exposures and risks of the assets their companies are holding, and that their company complies with the framework with adequate risk management strategies in place.</span></p>
<p><span>It will also be vital for directors to continually review those strategies as the regulation develops, not only from the perspective of compliance or mitigating the risk of claims, but to ensure the company's financial resilience.</span></p>
<p><span>This latest request from the PRA reinforces the digital transformation of the financial sector, emphasizing the need for clear regulation for firms involved in crypto-assets to assist them with understanding their complexities, and mitigating and managing their associated risks, particularly in respect of cybersecurity.</span></p>
<p><span>The balance between innovation and risk management is a fine one, so we will wait to see what conclusions the PRA makes, together with any associated regulatory changes.</span></p>
<p><span>For those financial institution insurers concerned about their clients' crypto-asset exposures, we expect they will be making a similar disclosure request to understand their clients' potential exposures, and to determine whether to provide cover for such risks, noting that various policies may contain virtual currency exclusions.</span></p>
<p style="text-align: left;"><span>A review of firms' existing holdings and compliance with the prudential framework is crucial in managing crypto-asset-related risks effectively. Up-to-date knowledge of crypto-asset risks is fundamental, particularly if a firm foresees its use of crypto-assets increasing over the next five years. Training on current and developing risks and regulation is recommended. </span></p>
<p style="text-align: left;"><span> </span></p>
<p style="text-align: left;"><span><em>This article was originally published in <a href="https://www.law360.com/articles/2287048"><strong>Law360</strong></a>.</em></span></p>
<div><hr align="left" size="1" width="33%" style="height: 0px; margin-bottom: 1.11111rem; padding: 0px; border-right: 0px; border-bottom: 0px; border-left: 0px; border-top-color: #d7d7d7; border-top-style: solid;" />
<div id="ftn1"> </div>
</div>
<p style="color: #2b175e; margin-bottom: 1.11111rem; text-align: left;"><a href="file:///C:/Users/nk09/AppData/Roaming/iManage/Work/Recent/Draft%20article%20-%20Moss%20v%20Upper%20Tribunal(158803188.2).docx#_ftnref1" name="_ftn1" style="color: #d00571;"></a><span><sup>1</sup></span><a href="https://www.bankofengland.co.uk/explainers/what-is-the-prudential-regulation-authority-pra"><span>https://www.bankofengland.co.uk/explainers/what-is-the-prudential-regulation-authority-pra.</span></a></p>
<p><span><sup>2</sup><a href="https://www.bankofengland.co.uk/prudential-regulation/publication/2024/december/cryptoassets-data-collection"><span>https://www.bankofengland.co.uk/prudential-</span></a></span><a href="https://www.bankofengland.co.uk/prudential-regulation/publication/2024/december/cryptoassets-data-collection"><span>regulation/publication/2024/december/cryptoassets-data-collection.</span></a></p>
<p style="color: #2b175e; margin-bottom: 1.11111rem; text-align: left;"><span><sup>3</sup><a href="https://www.bis.org/bcbs/publ/d545.pdf"><span>https://www.bis.org/bcbs/publ/d545.pdf.</span></a></span></p>]]></content:encoded></item><item><guid isPermaLink="false">{8A1358B7-6F0D-4D2D-99B7-4A4AFF16E84B}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/fos-complaints-on-the-rise-is-enough-being-done/</link><title>FOS complaints on the rise – is enough being done? </title><description><![CDATA[The Financial Ombudsman Service (FOS) has recently published its yearly complaint data, revealing that complaints regarding fraud, scams, current accounts and credit cards between July and September 2024 hit record levels, rising more than 50% compared to the same period in 2023. The data provides a breakdown of the areas where complaints appear to have increased the most. ]]></description><pubDate>Tue, 07 Jan 2025 10:00:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>David Allinson, Damien O'Malley</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-1---thinking-tile-wide.jpg?rev=152b7123d6a54e268860168a8297023a&amp;hash=1EE310D00B677E6FFCC5DD15B09E3D53" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p style="text-align: left;"><strong><span>The data</span></strong></p>
<p><span>In the three months between July and September 2024, the FOS received 73,692 new complaints. In the same period in 2023, 46,716 complaints were received - an overall increase in total complaints of 58%.</span></p>
<p><span>The FOS breaks down this data into the top five most complained about products:</span></p>
<ul>
    <li><span>Credit cards: 22,366 complaints were reported in Q2 2024, compared with 4,505 complaints reported in the same period in 2023. </span></li>
    <li><span>Hire purchase (motor): 11,817 complaints were reported in Q2 2024, compared with 4,622 complaints reported in the same period in 2023. </span></li>
    <li><span>Current accounts: 9,186 complaints were reported in Q2 2024, compared with 7,880 complaints reported in the same period in 2023. </span></li>
    <li><span>Car or motorcycle insurance: 3,386 complaints were reported in Q2 2024, compared with 4,036 complaints reported in the same period in 2023. </span></li>
    <li><span>Electronic money (e-money): 2,196 complaints were reported in Q2 2024 compared with 1,340 complaints reported in the same period in 2023.</span></li>
</ul>
<p><span>Complaints have reached record levels both overall and for specific products, with multiple categories showing dramatic increases in only a year. The most significant increases are in relation to credit cards and hire purchase agreements, which have risen by 496% and 255% respectively over the last year. Complaints relating to current accounts, while not increasing as dramatically, have nevertheless reached their highest quarterly levels recorded to date.</span></p>
<p><span>There is also a significant increase in fraud and scam cases. The FOS has stated that a significant number of these complaints relate to fraud and scams. In Q2 of 2024, the FOS received 9,091 new fraud and scam complaints – a 45% increase from the 6,264 complaints received in the same period in 2023. The question is: why this is happening?</span></p>
<p><strong><span>Looking beyond the figures</span></strong></p>
<p><span>The publication from the FOS along with its data, sets out why people are complaining about various products. Generally, the complaints received by the FOS can be broken down into two categories, complaints regarding fraud and scams and complaints regarding customer service.</span></p>
<p><strong><span>Social media and modern-day fraud</span></strong></p>
<p><span>When it comes to current accounts, the FOS is seeing a large number of fraud and scam complaints. It considers that the reason for the increase in complaints is in part due to the increasing complexity of current account fraud. Fraud in general is becoming rapidly more complex, with sophisticated schemes such as multi-stage frauds where funds pass through several banks before reaching the fraudster, becoming more common. This is particularly used in cryptocurrency investment scams and so-called 'safe account' scams where people are cold-called by a fraudster posing as a trusted entity, such as a bank, and convinced to transfer money. The FOS has also stated that the most common type of fraud or scam complaint received relates to authorised push payment (APP) – these are cases where consumers inadvertently make an online transfer to a fraudster.</span></p>
<p><span>Unfortunately, while the Financial Conduct Authority (FCA) has been particularly active in increasing regulation this past year, it has not managed to keep up with the pace of emerging technologies. Social media is one example. Statistics previously revealed by the FCA showed that more and more young people are not seeking financial advice through regulated independent financial advisers, but are turning to social media and streaming platforms which offer access to individuals purporting to offer advice for free. The problem with this, of course, is that many of these individuals offering 'advice' are not regulated which can lead to individuals advising young people to partake in high-risk investments that promise unrealistically high returns with no recourse. It is not surprising that this may lead individuals to a point where they are bringing complaints to the FOS. </span></p>
<p><span>Crypto assets (crypto) are another area where the FCA has yet to keep up with the new ways in which people are being defrauded. Crypto is nothing new, though there remain individuals who are convinced to buy unstable forms of cryptocurrency, where unrealistically high returns are promised. While it seems crypto has become the favoured investment for younger people, the FCA has not yet finalised regulations for such assets and does not plan to until 2026. Again, with social media becoming an increasing part of people's day-to-day lives, and online financial 'influencers' promoting risky crypto on their platforms, it is not surprising that the levels of complaints the FOS is receiving are increasing.</span></p>
<p><span>Another rapidly evolving area requiring robust regulation is artificial intelligence (AI). Among the most common consumer fraud complaints are APP (authorised push payment) scams and safe-account scams, both designed to deceive victims into believing they are interacting with a trusted individual. Unregulated AI amplifies this risk. Fraudsters can already spoof phone numbers, but AI technology takes their schemes further. AI voice-cloning allows them to replicate the voice of a trusted person, AI chatbots can mimic conversations with banks, and deepfakes can manipulate images to mislead consumers. Despite these risks, the FCA has yet to take substantive action to regulate these technologies, instead encouraging regulated firms to harness AI to combat fraud.</span></p>
<p><span>All of these emerging and developing technologies contribute to the problems consumers face in trying to avoid fraud and the challenges faced by businesses to ensure that adequate warnings are given and protection provided. Signposting that consumers should be wary may not be sufficient in combatting this problem, and the FCA and FOS need to work together with firms to create a realistic way forward to protect consumers whilst allowing firms to conduct business without undue restraint and acknowledging that these technologies are not going anywhere.</span></p>
<p><strong><span>Customer service</span></strong></p>
<p><span>Beyond complaints relating to fraud and scams, the data shows that consumers are complaining more generally about the level of service they are receiving. Current account complaints largely concern customers who either fell victim to scams (and as discussed above, consider that they should have been better protected) or feel the level of service they receive is lacking. Complaints regarding credit cards follow the same pattern.  A vast majority of complaints relate to a perceived lack of responsibility on the part of the financial institutions – with customers feeling they were offered unaffordable lending and that these providers should have intervened over persistently high credit balances, high credit limits or provided lower interest rates.</span></p>
<p><span>The current economic climate is not positive for the average consumer. Fraudsters aside, the cost of living crisis, inflation rates and high mortgage rates are all realities that plague the average person in Britain today. There is perhaps a perception that financial institutions should be doing more to look out for their interests. This has only been heightened by the numerous FCA publications regarding its new Consumer Duty making it clearer than ever that businesses need to show that they are not only acting in the best interests of the customer but also providing them protection where needed. The Consumer Duty has now had over a year to bed in, but it is clear that this is an ongoing process and financial institutions and advisors need to ensure that the average person is better informed about what is happening to their finances.</span></p>
<p><strong><span>Summary</span></strong></p>
<p style="text-align: left;"><span>The FCA Consumer Duty has reminded businesses of their obligations to consumers. However, the evolution of scams and the increased use of AI represent ongoing challenges. The increase in complaints in general shows that consumers will look to recover any lost sums regardless of the relative culpability of their financial institution or advisor (perhaps not surprising in the current economic climate).  The FCA addressed the social media issue and released guidance to remind online influencers that they will still fall within FCA jurisdiction if they are purporting to offer advice, however, the problem persists. Beyond this, the FCA needs to look towards the future and address the reality that as technology develops, so too do the methods used by fraudsters to develop increasingly complex scams.</span></p>
<p style="text-align: left;"><span><em>This article was originally published in <a href="https://www.law360.com/articles/2272523">Law360</a></em>.</span></p>]]></content:encoded></item><item><guid isPermaLink="false">{9132BB95-D8A4-4E68-81E1-7B97BBCAF98A}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/pra-demands-crypto-data/</link><title>PRA demands crypto data</title><description><![CDATA[Firms face new compliance challenge]]></description><pubDate>Mon, 30 Dec 2024 14:00:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>James Wickes, Sally Lord</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-1---thinking-tile-wide.jpg?rev=152b7123d6a54e268860168a8297023a&amp;hash=1EE310D00B677E6FFCC5DD15B09E3D53" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p style="text-align: left;"><span>The Prudential Regulation Authority (PRA) has announced that it is undertaking a </span><a href="https://www.bankofengland.co.uk/prudential-regulation/publication/2024/december/cryptoassets-data-collection"><span>data request</span></a><span> to discern firms' current and expected future crypto asset exposures. The request also asks for information on the firms' application of the Basel framework for the </span><a href="https://www.bis.org/bcbs/publ/d545.pdf"><span>Prudential Treatment of Crypto Assets Exposures</span></a><span>, that was published in December 2022, following its second consultation on banks' exposures to crypto assets. The PRA has stated that this data will help <em>"calibrate our prudential treatment of cryptoasset exposures, analyse the relative costs and benefits of different policy options and providing</em></span><em><span> [sic] </span></em><em><span>an updated view of firms’ current and intended cryptoasset-related business activities as a base from which to monitor the financial stability implications of these assets.</span></em><span>" Firms have until 24 March 2025 to comply with the PRA request.</span></p>
<p style="text-align: left;"><span>The impact of this request means that firms must now, if they haven't already, ensure that their cryptoasset related risks have been</span><span>,</span><span> and are, effectively managed, and have the requisite Basel management frameworks in place. These frameworks are essential for those firms to be able to navigate the potential volatility and regulatory implications that cryptoassets bring. The PRA questionnaire also requests information regarding firms' use of permissionless blockchains. It states, "<em>the Basel prudential framework for holding cryptoassets notes that the risks posed by cryptoassets that use permissionless blockchains cannot be sufficiently mitigated at present"</em>.<em> </em>The reasons given for this relate to the fact that the link between the intended owner of the asset with the controlling entity of the authentication/validation mechanism cannot be guaranteed.</span></p>
<p style="text-align: left;"><span>The PRA request comes at a time when the emphasis on regulation and the impact on consumers is at an all-time high. There is an increase in focus on regulators in respect of the duties of firms and their responsibilities to consumers, resulting in it being paramount for firms to stay abreast of the ever-changing regulatory landscape.  </span></p>
<p style="text-align: left;"><span>This latest request from the PRA reinforces the digital transformation of the financial sector, emphasising the need for clear regulation for firms involved in cryptoassets to assist them to understand their complexities and mitigating/managing their associated risks, particularly in respect of cybersecurity. The balance between innovation and risk management is a fine one, so we will wait to see what conclusions the PRA makes, together with any associated regulatory changes.</span></p>
<p style="text-align: left;"><span>We expect Financial Institutions (FI) insurers concerned about clients' cryptoasset exposures will be asking for similar disclosures to understand their clients' potential exposures and to determine whether to provide cover for such risks.</span></p>
<p style="text-align: left;"><span>For more information on the issues raised please contact </span><strong><span><a href="/people/james-wickes/">James Wickes</a></span></strong><span>.</span></p>]]></content:encoded></item><item><guid isPermaLink="false">{01FEBA4A-95B5-4268-BEB3-53AFBEEA6B38}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/lessons-from-on-high-revisited-international-entertainment-holdings-coverage-decision/</link><title>Lessons from on high revisited: What does the recent International Entertainment Holdings coverage decision teach us about the approach to mistakes in insurance policies previously explored in George on High?</title><description><![CDATA[How should an insurance policy be applied when something goes wrong with the drafting of its terms?  This article considers two recent cases with contrasting outcomes in which this question was explored, namely George on High Ltd & Anor v Alan Boswell Insurance Brokers Ltd & Anor [2023] EWHC 1963 (GOH v Alan Boswell) and International Entertainment Holdings & Others v Allianz Insurance PLC [2024] EWHC 124 (Comm) (IEH v Allianz).]]></description><pubDate>Fri, 13 Dec 2024 14:00:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Victoria Sherratt, Aimee Talbot</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-3---thinking-tile-wide.jpg?rev=71c2d62f09634ef08a71f6fa9734a90f&amp;hash=3FBA7A779FA86695B98F02FC7AC605A1" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p style="text-align: left;"><span>How should an insurance policy be applied when something goes wrong with the drafting of its terms?  This article considers two recent cases with contrasting outcomes in which this question was explored, namely </span><span><a href="https://www.bailii.org/ew/cases/EWHC/Comm/2023/1963.html"><em>George on High Ltd & Anor v Alan Boswell Insurance Brokers Ltd & Anor</em> [2023] EWHC 1963</a> (<strong><em>GOH v Alan Boswell</em></strong>) and <em>International Entertainment Holdings & Others v Allianz Insurance PLC </em>[2024] EWHC 124 (Comm) (<strong><em>IEH v Allianz</em></strong>).</span></p>
<p style="text-align: left;"><strong><span>GOH v Alan Boswell</span></strong></p>
<p style="text-align: left;"><em><span style="text-decoration: underline;">GOH v Alan Boswell</span></em><span> concerned The George, Rye, Sussex (</span><strong><span>Hotel</span></strong><span>) which was destroyed by fire in 2019.  The Hotel was owned by the First Claimant, George on High Ltd (</span><strong><span>Owner</span></strong><span>) and operated by the Second Claimant, George on Rye Ltd (</span><strong><span>Operator</span></strong><span>).  </span></p>
<p style="text-align: left;"><span>The insurers, New India Assurance Company Limited (</span><strong><span>NIAC</span></strong><span>), paid the Owner's claim for damage to the Hotel, but refused to indemnify the Operator for its (business interruption and other) losses totalling some £2.2m because the policy schedule named the Insured as </span><em><span>"George on High Ltd [i.e. the Owner] t/a The George at Rye"</span></em><span> and neither the policy schedule nor the proposal form mentioned the Operator.    </span></p>
<p style="text-align: left;"><span>The Claimants sued the broker.  The broker settled with the Claimants.  The Claimants then adopted the broker's arguments against NIAC, including that the policy schedule should be correctively construed as referring to both the Owner and the Operator so as to provide cover for the claim.    </span></p>
<p style="text-align: left;"><span style="text-decoration: underline;">The dispute about Insurers' knowledge</span></p>
<p style="text-align: left;"><span>Central to the policy construction argument was the question of attribution of knowledge to NIAC.</span></p>
<p style="text-align: left;"><span>There was evidence that in previous years claims against the Operator had been handled as if covered and during this period, information about the Operator's role had been disclosed to NIAC's third party claims handlers.   Nevertheless, at the time of inception of the policy, underwriters did not know that the Operator was operating the Hotel, either because the information had not been uploaded to the system or because the underwriters did not notice it when checking the system.  The Judge found that there was no formal system in place for the claims team to pass on information to underwriters.</span></p>
<p style="text-align: left;"><span>The Judge considered the principles of attribution of knowledge generally.  Interestingly, he effectively followed the approach in s5(2) Insurance Act 2015, although it is applicable to the issue of fair presentation and therefore not directly relevant.  S5(2) imputes knowledge to an insurers' underwriters where the information is held by insurers and readily available to the underwriters and/or where it is known to insurers' employees or agents who ought reasonably to have passed on the relevant information to underwriters.  </span></p>
<p style="text-align: left;"><span>The Court found that the claims team should have appreciated the significance of the information that the Operator operated the Hotel and should have passed it on to underwriters.  As such, underwriters were deemed to know that the Operator was operating the Hotel.</span></p>
<p style="text-align: left;"><span style="text-decoration: underline;">Principles applicable to corrective construction</span></p>
<p style="text-align: left;"><span>The Judgment cites various authorities, from which the following noteworthy points emerge:</span></p>
<ul>
    <li style="text-align: left;"><span>Correction of mistakes by construction requires (1) a clear mistake on the face of the instrument (i.e. policy) and (2) clarity as to the correction which ought to be made to cure it.</span></li>
    <li style="text-align: left;"><span>The requirement for a clear mistake on the face of the instrument does not mean background or context must be disregarded.  </span></li>
    <li style="text-align: left;"><span>Whilst background and context can be considered, the fundamental difference between interpretation and rectification is that negotiations between the parties cannot be taken into account in the former. </span></li>
    <li style="text-align: left;"><span>The above notwithstanding, the courts' overall approach to policy interpretation is to ascertain the meaning of the words in the policy as they would be objectively understood by a reasonable person having all the background knowledge reasonably available to the parties at the time.  This involves taking account of the policy as a whole, with more or less weight attached to elements of the wider context depending on the nature, formality and quality of drafting of the policy. </span></li>
</ul>
<p style="text-align: left;"><span style="text-decoration: underline;">The Court's decision</span></p>
<p style="text-align: left;"><span>By reason of the above, the Judge found that a reasonable person would conclude that "Insured" in the policy schedule meant both the Owner </span><em><span>and </span></em><span>the Operator, despite the latter not being named. </span></p>
<p style="text-align: left;"><span>Having reached this view, the Court did not need to decide the Claimants' other arguments.  Nevertheless, they confirmed that they would also have found that the policy should be rectified, and/or that NIAC was estopped from denying cover on account of its acceptance of claims from the Operators in previous years.  </span></p>
<p style="text-align: left;"><strong><span style="text-decoration: underline;">IEH v Allianz</span></strong></p>
<p style="text-align: left;"><em><span style="text-decoration: underline;">IEH v Allianz</span></em><span> concerned a claim against insurers for business interruption losses arising from the COVID-19 pandemic under a clause which provided cover in the event of a denial of access by a policing authority in response to an incident likely to endanger human life within a one-mile radius of the premises (the </span><strong><span>NDDA Clause</span></strong><span>).  </span></p>
<p style="text-align: left;"><span>A preliminary issue trial addressed a number of issues which arose on the wording of the NDDA clause, including questions as to (1) whether the Government was a "policing authority", (2) whether the mere presence of persons infected with COVID-19 amounted to an "incident" and (3) how the limits would operate if the NDDA were to provide cover.</span></p>
<p style="text-align: left;"><span>The Court of Appeal agreed with the trial Judge that the Government was not a policing authority.  For this reason alone, there was no cover under the NDDA Clause.  Nevertheless, the Judgment went on to address issues 2 and 3.  </span></p>
<p style="text-align: left;"><span>As to issue 2, the parties' arguments included reliance on use of the term "incident" and other terms elsewhere in the Policy. The Court of Appeal's Judgment of Males LJ (with which the other Judges agreed) referenced the same essential principles of contractual construction as relied upon in </span><em><span style="text-decoration: underline;">GOH</span></em><span>.  In addition, it observed that as with many policies, the policy was not drafted as a coherent whole.  Rather, clauses were seemingly inserted using a "pick and mix"</span><em><span> </span></em><span>approach.  The Court therefore considered </span><em><span>"that the inference of consistent usage has little or no force, and that reference to the same or similar language in other clauses of the policy may shed little light on the meaning of the term in question"</span></em><span>.</span></p>
<p style="text-align: left;"><span>Taking this into account, the Court of Appeal considered that the meaning of "incident" in the context of the NDDA Clause required something inherently noteworthy that endangered life or property calling for a response by a policing authority.  They considered that case(s) of COVID-19 satisfied this requirement and they therefore disagreed with the trial Judge's view that the mere presence of persons with COVID-19 did not amount to an incident. </span></p>
<p style="text-align: left;"><span>As regards issue 3, there was an argument as to whether the limit applied per insured or per premises, which was decided in favour of the latter.   There was a separate question as to whether there was an aggregate limit.</span></p>
<p style="text-align: left;"><span>The NDDA Clause provided that </span><em><span>"The liability of the Insurer for <span style="text-decoration: underline;">any one claim in the aggregate</span> during any one Period of Insurance shall not exceed £500,000.</span></em><span>"  </span></p>
<p style="text-align: left;"><span>Allianz argued that this should be construed to mean </span><em><span>"any one claim <span style="text-decoration: underline;">and</span> in the aggregate"</span></em><span> which, they said, is a classic phrase found in insurance policies and clearly intended.  IEH argued to the contrary that the words </span><em><span>"in the aggregate during any one Period of Insurance" </span></em><span>should be disregarded.  The effect of this would be that the £500,000 limit would only apply any one claim, allowing multiple limits to be claimed where there were separate claims.</span></p>
<p style="text-align: left;"><span>Although the Judge at first instance acknowledged that no real meaning could be ascribed to the words used in the policy, he was not persuaded that there was a clear mistake.  </span><em><span>"It is very common for commercial contracts to contain unnecessary and superfluous words."</span></em><span>, he added.  Furthermore, even if there was a clear mistake, the answer to it was not clear.</span></p>
<p style="text-align: left;"><span>The Court of Appeal did not agree that there was no clear mistake.  However, there were two competing constructions.  The reasonable policyholder could not be expected to know that "any one claim <span style="text-decoration: underline;">and</span> in the aggregate" is a phrase commonly</span><em><span> </span></em><span>found in insurance policies.  It was not clear which of the two competing constructions should be preferred, so the Judge's rejection of Allianz' case of construction by correction was upheld. </span></p>
<p style="text-align: left;"><strong><span>Key takeaways</span></strong></p>
<p style="text-align: left;"><span>Whilst these two cases both involved clear mistakes on the face of the policies, the corrective construction argued for by the insured in </span><em><span style="text-decoration: underline;">GOH v Alan Boswell</span></em><em><span> </span></em><span>was accepted, whereas the corrective construction argued for by insurers in </span><em><span style="text-decoration: underline;">IEH</span></em><span> was not.  This contrast in outcomes highlights the importance of not only establishing a mistake, but also satisfying the court that it is clear what correction ought to be made in order to cure the mistake.  If this is not clear, the Court will not interpret the contract in a way which corrects the mistake.</span></p>
<p style="text-align: left;"><span>It may still be possible to correct a mistake by an application for rectification of the policy. Rectification allows evidence from negotiations to be considered to establish the common intention held and expressed by the parties.  Ultimately, as with interpretation, the required correction needs to be clear.</span></p>
<p style="text-align: left;"><span>Underlying this difference in outcomes is the contrasting approach to attribution of knowledge in these cases.  In </span><em><span style="text-decoration: underline;">IEH</span></em><span>, the Court of Appeal considered that the reasonable policyholder could not be expected to be aware of the common usage of "any one claim and in the aggregate" and no consideration appears to have been given to the potential argument that the brokers ought to have been consulted and that their knowledge of such usage could be imputed to IEH.  By contrast, knowledge of third party claims handlers was readily imputed to underwriters in </span><em><span style="text-decoration: underline;">GOH</span></em><span>.</span></p>
<p style="text-align: left;"><span>A common feature in both claims was the criticism that the Courts directed at imprecise or inconsistent wording used in policies and, in the case of </span><em><span style="text-decoration: underline;">GOH</span></em><span>, the proposal form.  Often in past cases, a lack of precision has been resolved by using other clauses within a policy to aid interpretation.  However, the limitations of this approach are highlighted by its rejection in </span><em><span style="text-decoration: underline;">IEH</span></em><span> on account of the "pick and mix" nature of the policy.</span></p>
<p style="text-align: left;"><span>Keeping these conclusions in mind, the key lessons arising from </span><em><span style="text-decoration: underline;">GOH</span></em><span> and </span><em><span style="text-decoration: underline;">IEH</span></em><span> include:</span></p>
<ul>
    <li style="text-align: left;"><span>Insurers, brokers and claims-handling firms should strive to ensure that they have a system in place for the passing on of significant information and that any significant information is routinely recorded on the Insurers' electronic claims system so that it is "readily available" to underwriters at renewal.  These are perhaps areas where AI may have a role to play in the future. </span></li>
    <li style="text-align: left;"><span>To avoid uncertainty and the potential for dispute, the language used in proposal forms, policy schedules and policy wordings should be sufficiently precise and reflective of information known to the insurer.  </span></li>
    <li style="text-align: left;"><span>Policy schedules and wordings should be drafted as a coherent whole.</span></li>
    <li style="text-align: left;"><span>Claims teams should at an early stage review coverage thoroughly and either reserve rights or to decline cover as appropriate.  Understandably, insurers' may be reluctant to take coverage points where the claim is modest or the prospect of making a payment is small.  However, failing to adopt a consistent approach can lead to estoppel or waiver problems later, as seen in </span><em><span style="text-decoration: underline;">GOH</span></em><span>.</span></li>
</ul>
<p style="text-align: left;"> <span>Implementing these lessons from on high is easier said than done on the ground. </span><em><span style="text-decoration: underline;">GOH</span></em><span> and </span><em><span style="text-decoration: underline;">IEH</span></em><span> will undoubtedly not be the final words on the judicial approach to mistakes in insurance policies.</span></p>]]></content:encoded></item><item><guid isPermaLink="false">{BF4DE3C4-6EB4-42F6-9029-11BBEA9C149C}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/unpacking-riedweg-v-hcc-and-the-2010-act/</link><title>Is an insurer responsible for 'the same damage' as its insured?</title><description><![CDATA[Same Damage and Third Party Rights: unpacking Riedweg v HCC and the 2010 Act]]></description><pubDate>Tue, 19 Nov 2024 14:14:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Will Sefton</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-1---thinking-tile-wide.jpg?rev=152b7123d6a54e268860168a8297023a&amp;hash=1EE310D00B677E6FFCC5DD15B09E3D53" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p>A recent High Court decision, in <em>Riedweg v HCC International Insurance Plc & Anor</em> [2024] EWHC 2805 (Ch), offers welcome clarity on the law surrounding an insurer’s liability under the Third Parties (Rights Against Insurers) Act 2010 (<strong>2010 Act</strong>) and its ability to share that liability, by way of contribution proceedings, under the Civil Liability (Contribution) Act 1978 (<strong>1978 Act</strong>). The case underscores the complexities of the two acts and the way in which they interact, especially in cases of negligence.</p>
<p><strong>Background facts</strong></p>
<p>The claimant intended to purchase a property based on a valuation prepared by Goldplaza Berkeley Square Ltd, trading as Ian Scott International (<strong>Goldplaza</strong>). The claimant brought a claim against Goldplaza, alleging that the property was overvalued.  Due to Goldplaza's insolvency, the claimant brought a claim directly against Goldplaza’s indemnity insurer, HCC International Insurance Plc (<strong>HCC</strong>), pursuant to the 2010 Act.  The relevant provisions of the 2010 Act are as follows:</p>
<p><em>"1(1) This section applies if—</em></p>
<p><em>(a) a relevant person </em>[ie Goldplaza] <em>incurs a liability against which that person is insured under a contract of insurance, or</em></p>
<p><em>(b) a person who is subject to such a liability becomes a relevant person.</em></p>
<p><em>(2) The rights of the relevant person under the contract against the insurer in respect of the liability are transferred to and vest in the person to whom the liability is or was incurred (the "third party") </em>[ie the claimant]<em>.</em></p>
<p><em>(3) The third party may bring proceedings to enforce the rights against the insurer </em>[ie HCC]<em> without having established the relevant person's liability; but the third party may not enforce those rights without having established that liability".</em></p>
<p>HCC then applied to bring a Part 20 claim against the claimant’s solicitors (<strong>the Respondent Solicitors</strong>) and another (together <strong>the Respondents</strong>) alleging that they had both contributed to the losses the claimant now sought to recover from HCC. HCC contends that the Respondents are responsible for the <em>'same damage’</em> pursuant to section 1(1) of the 1978 Act:</p>
<p><em>"1(1) Subject to the following provisions of this section, any person liable in respect of any damage suffered by another person may recover contribution from any other person liable in respect of <strong>the same damage</strong> (whether jointly with him or otherwise)" </em>[our <strong>emphasis</strong>].</p>
<p><strong>The arguments</strong></p>
<p>The Court was asked to determine whether HCC, as Goldplaza’s insurer, could claim a contribution from the Respondents pursuant to the 1978 Act. To establish the <em>'same damage'</em>, there must be shared liability to the same claimant, not merely overlapping damages arising from separate duties (see <em>Birse Construction Ltd v Haiste Ltd</em> [1996] 1 WLR 675 and <em>Royal Brompton Hospital NHS Trust v Hammond</em> [2002] 1 WLR 1397). The key question that arose, therefore, was whether Goldplaza’s and the Respondents’ potential liabilities were the ‘<em>same damage’</em> for the purposes of section 1(1) of the 1978 Act. It was common ground that Goldplaza, if solvent, would have been able to bring contribution proceedings.</p>
<p>The Respondent Solicitors argued that HCC's liability, if proven, would stem from its contractual obligation to indemnify Goldplaza under the terms of a professional indemnity insurance policy. Conversely, the Respondent Solicitors' liability, if any (which was denied), would stem from breaches of tortious duty. </p>
<p>The Respondent Solicitors argued that the 2010 Act simply transfers from an insured to a claimant the right to claim under a contract of insurance; it does not place the insurer in the role of the insured.  The 2010 Act does not make HCC liable for the <em>'same damage'</em> as its insured, for the purposes of bringing a contribution claim under the 1978 Act.</p>
<p><strong>The decision</strong></p>
<p>In dismissing HCC's application, Master Brightwell accepted the Respondent Solicitors' submission. While the insurer's obligation was to indemnify Goldplaza, the Respondents’ liability would be rooted in different causes of action.  The liabilities of HCC and the Respondents were not, therefore, the ‘<em>same damage’</em> under the 1978 Act. </p>
<p><strong>Comment</strong></p>
<p>The 2010 Act does not equate insurers with their insured for contribution purposes.  The insurer does not become liable to a claimant (the ‘<em>third party’</em>) because it also caused the relevant damage, but because it is required to indemnify its insured as a matter of contract.  The 2010 Act simply provides the mechanism for a claimant to recover direct from that insurer the losses caused by its now insolvent insured, without first having to prove the insured's liability and make the insured insolvent (as was the case under the Third Parties (Rights against Insurers) Act 1930).  The insured and the insurers' liabilities are not the '<em>same damage' </em>for the purposes of the 1978 Act.</p>
<p>Some commentators may say, as HCC argued in this case, that this is a lacuna in the 2010 Act which ought to be addressed. Otherwise, insurers are not going to be able to pursue contribution claims that their insureds would, if solvent, be able to bring. Given the potential importance of this point, we anticipate this decision may be subject to appeal.</p>
<p style="margin-bottom: 8pt;"><strong><em>Will Sefton and Richard Seymour were instructed by the Respondent Solicitors. </em></strong></p>]]></content:encoded></item><item><guid isPermaLink="false">{5BB722AC-3730-429F-8EAF-9BF682D237AC}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/the-new-lithium-ion-battery-safety-bill/</link><title>The new Lithium-Ion Battery Safety Bill: where are we with legislation governing lithium-ion battery safety?</title><description><![CDATA[The new Lithium-Ion Battery Safety Bill underwent its first reading on 6 September 2024. We explain the aims of the bill and consider how it fits with the proposed Product Safety and Metrology Bill.]]></description><pubDate>Mon, 04 Nov 2024 10:14:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Jithma Rukunayake, Andrew Roper, Aimee Talbot</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/images/thinking-tiles/wide/301136-website-perspective-tiles-final-wide-715x370px_02_data-and-cyber_1304253705.jpg?rev=0729be1e6bbc4b3e85a34b3436bb3108&amp;hash=1629F44F57A339F0B5F98E48DA850D15" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p><strong> What is the issue?</strong></p>
<p>As the world turns to electricity to combat climate change, demand for lithium-ion (li-ion) batteries is expected to soar over the next decade from a demand of about 700 GWh in 2022 to a predicted 4.7 TWh in 2030, with electric vehicles being the key driver, according to research by <a rel="noopener noreferrer" href="https://www.mckinsey.com/industries/automotive-and-assembly/our-insights/battery-2030-resilient-sustainable-and-circular" target="_blank">McKinsey and Global Battery Alliance</a>. </p>
<p>As the prevalence of li-ion batteries continues to increase, so too do reports of fires involving them, <a rel="noopener noreferrer" href="https://www.theguardian.com/technology/article/2024/may/10/uk-public-warned-after-huge-rise-in-fires-caused-by-binned-batteries" target="_blank">which have increased 71% in the UK since 2022</a>.  Li-ion battery fires have been a concern for some time, with numerous reports of fires at the very beginning of the supply chain, such as <a rel="noopener noreferrer" href="https://maritime-executive.com/article/cargo-ship-that-had-lithium-ion-battery-fire-finally-docks-in-alaska#:~:text=The%20holds%20were%20initially%20kept,seas%20on%20the%20Pacific%20crossing." target="_blank">in the hold of the container ship <em>Genius Star XI</em> in January this year</a>, and at the end of their lifecycle, such as the fire at the Hithin recycling site in February which led to the site refusing to accept items containing li-ion batteries. </p>
<p>Li-ion batteries pack a large amount of energy into a small space. Most li-ion battery fires start when a cell short-circuits, with the fire spreading to the other cells. Thermal runaway occurs when the generation of heat becomes self-sustaining – and due to this unstable chemical reaction, makes the fire hard to bring under control. Li-ion battery fires can also result in the release of a cloud of toxic flammable gases, which can explode. </p>
<p><strong>What is the new bill?</strong></p>
<p>The Lithium-Ion Battery Safety Bill is a private members bill introduced on 29 July 2024 by Liberal Democrat peer Lord Redesdale. Despite its broad title, the bill focusses mainly on the regulation of li-ion batteries in electric scooters and electric bicycles. </p>
<p>The stated purpose of the bill is to protect householders and communities from the dangers of lithium-ion batteries by providing for regulations concerning the safe storage, use and disposal of them. The bill also aims to increase public confidence in Battery Energy Storage Systems (BESS), grid-scale energy storage systems for renewable energy. </p>
<p>Specifically, the bill seeks to impose obligations on:</p>
<ul>
    <li>Sellers of li-ion batteries. </li>
    <li>Online marketplaces.</li>
    <li>Manufacturers and sellers of micromobility vehicles and e-bike conversion kits.</li>
    <li>Local planning authorities in relation to BESS.</li>
</ul>
<p><strong>All sellers of li-ion batteries</strong></p>
<p>The bill requires the government to make regulations within 6 months governing the disposal of li-ion batteries. The regulations must include a requirement on sellers of li-ion batteries to:</p>
<ul>
    <li>Display a prominent warning about the dangers of improper disposal of li-ion batteries; and</li>
    <li>Provide information about li-ion batteries and their safe disposal with the product.</li>
</ul>
<p><strong>Online marketplaces and sale of li-ion batteries online</strong></p>
<p>The bill requires the government to make regulations requiring the operator of any online marketplace to take reasonable steps to ensure that all goods containing li-ion batteries offered for sale comply with product regulations, have not been recalled and are not known or suspected to be unsafe. Failure to comply with regulations made under this part of the bill may carry a criminal sanction punishable by a fine.</p>
<p>On the face of it, this provision would capture second-hand goods. Irrespective of the bill, as of 31 October 2024, eBay is set to ban the sale of e-bikes and their batteries by private individuals and can only be sold by "eligible business sellers".</p>
<p><strong>Micromobility vehicles and conversion kits</strong></p>
<p>Although in general usage the term "micromobility vehicle" can include golf carts, electric skateboards, hoverboards and the humble push bike, the bill uses the term to mean electric scooters and electric bicycles only. The bill simply uses the term "electric bicycle", which does not distinguish between electric pedal-assist bicycles and "throttle bicycles" (aka "twist and go" bikes), which do not require the rider to pedal in order to access battery power. However, we can infer that the bill is targeting pedal-assist bikes, since throttle bicycles are classed as motorbikes in the UK. </p>
<p>The bill requires the government to make regulations requiring e-scooters and e-bikes to undergo a conformity assessment to ensure that essential safety standards have been met and to display appropriate marking (such as the CE or UKCA mark) confirming compliance.  Sale of e-scooters and e-bikes that have not been through this process will be prohibited and a failure to comply with the proposed regulations may carry a criminal penalty punishable by a fine. </p>
<p>The bill also requires the government to make regulations setting safety standards for kits enabling purchasers to convert a pedal bicycle into an electric bicycle and charging systems for e-scooters and e-bikes. In particular, the bill prompts the government to consider whether to ban the sale of universal chargers for e-scooters and e-bikes powered by lithium-ion batteries. <br />
 <br />
<strong>BESS planning considerations</strong></p>
<p>BESSs are part of the UK's energy infrastructure.  They use batteries (typically li-ion batteries) to store electricity at times when supply is higher than demand. They are key to the UK's net-zero aspirations and to addressing the climate crisis. However, due to the perceived fire risks, obtaining planning permission for such facilities can be difficult.  </p>
<p>BESSs require planning permission and may need an OfGem licence. Government guidance released in August 2023 encourages developers to engage with local fire and rescue authorities before submitting planning applications. The bill would make this a binding obligation on the local planning authority and require consultation of the Environment Agency and the Health & Safety Executive in addition.  The bill also gives the government the power to regulate the granting of environmental permits for li-ion containing BESSs.</p>
<p>Another private members' bill had been introduced into the House of Commons on November 2023 by Conservative MP Dame Maria Miller: the Lithium-Ion Battery Storage (Fire Safety and Environmental Permits) Bill, which had similar aims, although this did not progress past the first reading. It remains to be seen whether this bill will fare better. <br />
<br />
<strong>How does this fit with the Product Safety and Metrology Bill?</strong></p>
<p><strong> </strong>The government announced the Product Safety and Metrology Bill (<strong>PSMB</strong>) in the King's Speech on 17 July 2024, which will give the UK the option to adopt or reject EU regulation as it develops.  The <a rel="noopener noreferrer" href="https://assets.publishing.service.gov.uk/media/6697f5c10808eaf43b50d18e/The_King_s_Speech_2024_background_briefing_notes.pdf" target="_blank">briefing note accompanying the King's Speech</a> cited e-bike battery fires as an urgent emerging threat necessitating reform, referring to a 78% increase in e-bike fires in 2023 compared to 2022 in London.</p>
<p>The details of the draft PSMB have not yet been published and it remains to be seen whether the government will agree to prioritise li-ion battery safety by supporting the Lithium-Ion Battery Safety Bill or whether it will prefer to simply incorporate its provisions into the PSMB.  <a rel="noopener noreferrer" href="https://lordslibrary.parliament.uk/research-briefings/lln-2024-0050/" target="_blank">The House of Lords Library research briefing on the li-ion bill</a> references the PSMB and the King's Speech, but does not address the interaction of the two bills. </p>
<p>The PSMB aims to ensure that the UK can respond quickly to changes in technology and EU legislation.  This is of particular concern since the EU is currently undertaking a programme of updates and reforms to improve safety or respond to emerging risks.  In the interests of stability and to limit business' compliance costs, the UK will be able to adopt the EU's reforms as they are made. This also paves the way for a more consistent approach.  </p>
<p>At present, existing EU product regulations, including CE marking, are applicable to UK products, but any changes made by the EU will only be applicable in Northern Ireland due to the application of the Windsor Framework. The PSMB will give the regulator powers to manage this divergence.</p>
<p>The PSMB also proposes to strengthen compliance and enforcement, with greater information sharing between regulators and market surveillance authorities. The proposed amendments to the metrology framework, which governs weights and measures, are not set out in detail, but aim to enable the regulator to respond promptly to technological progress, for example, by ensuring energy meters continue to be accurate following innovation.</p>
<p><strong>Conclusion</strong></p>
<p>The regulation of lithium-ion batteries and their storage is a developing area of law and no doubt will continue to be come more stringent the greater the use of such batteries and crucial to the safety and confidence of end users is ensuring the safety and provenance of the batteries.  </p>
<p>Fires caused by lithium-ion batteries can be extremely destructive and evidence of the cause is often destroyed, consumers have some recourse by virtue of the Consumer Protection Act 1987.  At present there appears to be no intention to introduce similar legislation to benefit commercial entities suffering damage as a result of such fires, only time will tell if that position is to change given the destructive nature of the fires and therefore the potential lack of recourse for commercial entities as well as consumers.</p>
<p>Andy Roper and Jithma Rukunayake would be delighted to discuss any queries or comments arising from this article. </p>]]></content:encoded></item><item><guid isPermaLink="false">{68965C95-24C0-4531-834D-D696DEF6D93B}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/fixed-recoverable-costs-one-year-on/</link><title>Fixed recoverable costs: One year on</title><description><![CDATA[1 October 2024 marks the one year anniversary of the implementation of the final Jackson reform: the biggest shake-up to civil costs in a decade. We consider the impact of the reforms and whether the predictions we made this time last year were right.]]></description><pubDate>Mon, 30 Sep 2024 10:34:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Chris Gower, Gavin Reese</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-2---thinking-tile-wide.jpg?rev=40a7acf2763d463ea4d5f510988c8dea&amp;hash=E29E28FDE6A7E330C22CC2C8C3173E93" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p>Whereas previous fixed cost regimes only applied to limited areas of personal injury claims up to £25,000 in value, the changes that were introduced in October 2023 apply to almost all types of civil claims of up to £100,000.</p>
<p>Whilst the new FRC regime is still in its infancy, it is an opportune time to consider the impact of the reforms, any trends seen and whether some of the predicted effects have been realised.</p>
<p>Due to the delayed implementation of FRC in injury claims we have seen fewer cases than in other areas so the trends/patterns we have seen are anecdotal only. What we have seen is largely as we predicted, with:</p>
<ul style="list-style-type: disc;">
    <li>Letters of claim arguing for the highest complexity banding unless liability is admitted at the first opportunity (which is not strictly part of the rules).</li>
    <li>Letters of claim more clearly proposing ADR, presumably to set up arguments of unreasonable behaviour if ignored.</li>
    <li>Claimant firms taking a lighter touch approach to these cases, so as not to eat into the fixed costs recoverable.</li>
    <li><span>There was an influx of disease claims prior to 1 October 2023 to escape the regime.</span></li>
    <li>From the noise induced hearing loss cases we have received since implementation, there has been mixed compliance with the new requirements for the letters of claim under the Disease pre-action protocol. Some firms are simply ignoring the requirements to fully set out the position on limitation and employment history and enclose an audiogram.</li>
</ul>
<p>Our experience in all areas is that practitioners are still finding their feet with the rule changes, and it is too early to draw firm conclusions over trends, but some other anecdotal trends we have seen include:</p>
<ul style="list-style-type: disc;">
    <li>Claimant firms are naturally seeking to maximise their costs where possible, either by limiting time spent or issuing more promptly once evidence is finalised if settlement is not forthcoming. </li>
    <li>There is less reliance on counsel in fast-track claims, due to limited ability to recover these costs, but that some junior counsel are agreeing to limit their fees to that recoverable under FRC.</li>
    <li>There is more confidence in litigating cases under the fast track than the intermediate track. This is likely to be because assignment in the intermediate track is much less clear as banding is determined by complexity and the number of matters in issue rather than the type of claim, as in the fast track. There is a significant difference in the amount of costs recoverable between band 1 and the higher bands in the intermediate track so the risk of being assigned to the lowest band may be leading to reticence.  </li>
    <li>Less reasonable claimants are arguing that fast track Band 4 apply in nearly all cases under the "nonetheless complex" catch all. This is not unexpected under our adversarial system, and it validates our prediction that the rules do not actually encourage cooperation between the parties.</li>
    <li>Interestingly, where there have been disputes over whether a claim is fast track band 1 or band 3, some opponents have offered to agree band 2 even though fast track banding is determined by the type of case rather than complexity (with band 2 not appropriate for these cases). This approach is not consistent with the rules but demonstrates some of the commercial proposals being made in these unchartered waters.</li>
    <li>There have been tactical admissions of part of a claim, to seek to bring the value in dispute into the fast track or even small claims track.</li>
</ul>
<p>It will likely be several years until a clearer picture is seen but some of the behaviours and arguments we have seen are as predicted. Banding is likely to be a key battleground and we are yet to see how the Courts will interpret the rules and whether there will be consistency between the Courts on assignment to bands.</p>
<p>This is also not the end of the reforms. The CPR will be updated from 1 October 2024 to introduce a new process and procedure for FRC determination (don't call it assessment!) plus some other more minor amendments to the rules. As well as being additional changes that practitioners will need to grapple with, the fact that these additions were not included in the original rules supports the view that, despite their wide-ranging effect, the rules are not as precise as they should have been. Implementing a one size fits all system to the gamut of civil litigation was a mammoth and difficult task, and the resulting rules are imperfect. Our main prediction continues to be that we are destined for many years of satellite litigation over interpretation of these rules.</p>
<p> <span>We are still seeing arguments now over the interpretation of the previous 2013 fixed costs rules and those were much less wide ranging than the new regime. We expect that it will be many years until parties have clarity on how these rules apply.</span></p>]]></content:encoded></item><item><guid isPermaLink="false">{A6F86F21-DB8F-45C7-BBD8-15C455EA79DD}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/what-king-trader-can-teach-us-about-the-placement-of-language-within-insurance-policy-wordings/</link><title>Right language, right place: What King Trader can teach us about the placement of language within insurance policy wordings</title><description><![CDATA[The recent High Court judgment of MS Amlin Marine NV on behalf of MS Amlin Syndicate AML/2001 -v- King Trader Ltd & others (Solomon Trader) [2024] EWHC 1813 (Comm) is the latest in a string of recent decisions that shine a light on the construction of insurance policy wordings. <br/>]]></description><pubDate>Wed, 24 Jul 2024 17:00:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-1---thinking-tile-wide.jpg?rev=152b7123d6a54e268860168a8297023a&amp;hash=1EE310D00B677E6FFCC5DD15B09E3D53" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p>The recent High Court judgment of <em>MS Amlin Marine NV on behalf of MS Amlin Syndicate AML/2001 -v- King Trader Ltd & others (Solomon Trader) [2024] EWHC 1813 (Comm)</em> is the latest in a string of recent decisions that shine a light on the construction of insurance policy wordings. </p>
<p>This case concerned an MS Amlin shipping policy which contained a condition that said insurers would only pay claims when the insured had first paid out the liability or loss for which they were seeking indemnity. The insured went insolvent before discharging a significant liability to a third party and insurers had declined to pay on the basis of this condition. The third party (via the 2010 Act) sought to argue that this condition was not properly incorporated into the policy, but if they were wrong on that, that it was inconsistent with the primary objective of the policy which was to give cover and so should be read down/struck out. The arguments failed. </p>
<p>In this case, the policy wording withstood the attack. </p>
<p>Nonetheless, it is worth reflecting on the kinds of arguments that were deployed as there are valuable lessons in here for those of us who draft insurance policy wordings. It it never enough just to get the provisions in there that you want to rely on. How and where you deploy them can make the crucial difference: a point which is increasingly important and seemingly directly proportional to the complexity of the policy structures. </p>
<p>Reflecting on this judgment, ICOBS2.5.1(1)(R) came to mind. This provides that insurers must not seek to exclude or restrict or rely on an exclusion or restriction of any duty or liability it may have to a policyholder unless it is reasonable to do so. Regulators do not like wordings that give with one hand and take away with the other. Against MS Amlin, the arguments were advanced in different terms but if we don’t draft in a way that is sufficiently sensitive to this premise, we risk a raised regulatory eyebrow, or litigation. </p>
<p>Ultimately the Court decided that the suspension of the obligation to pay in the MS Amlin policy was not an inherent challenge to the purpose of the insuring clause. On different facts the outcome could have been different. There are of course, two types of condition precedent: one for coming on risk at all and another which instead, suspends the obligation to pay claims. The latter has a legitimately independent purpose to the insuring clause. There is a restatement in this judgment that there is nothing inherently contradictory about these conditions showing up in third party liability wordings. </p>
<p>This judgment also walks us through how various presumptions will impact the determination of meaning where there is actually a conflict between provisions. <strong>A different approach will be taken whether the two clauses appear in the same or multiple documents, and on a micro level, within a document, in different places in it</strong>. Part of the argument raised against MS Amlin was that any condition buried at the back of the wording that introduces a contingency to the insuring clause (that could and should have been in there), must be subordinate. Ultimately the Court didn’t accept that there was a conflict so this point failed, but we have seen this line or argument succeed before. In Arch<sup>1</sup>  the insuring clause and exclusions were cast as two sides of the same coin, with the exclusion narrowing the gift of cover granted in the insuring clause. In that context, the oft cited imperative following Arch to properly signpost these narrowing provisions and to elevate them from the position of "<em>a woolf in sheep's clothing</em>" (to quote the language used in <span style="text-decoration: underline;">King Trader</span>) has had a big impact on how we draft wordings in recent years.  </p>
<p>Different again will be the treatment where a point of conflict exists between bespoke language and stock wording. <strong>For instance, it will take</strong> <strong>a lot for a Court to be persuaded that anything in bespoke language (like schedules or endorsements) should be treated as subordinate precisely because this is presumed to be an obvious expression of the specific deal struck between the parties</strong>.  </p>
<p>The judgment also touches upon language that makes express the relative importance of different provisions within a document, e.g. "<em>…in the event of conflict, […] prevails</em>". This device to determine hierarchy can deliver clarity where it is needed, but more often than not it is applied too liberally with unintended consequences. </p>
<p>So, as guiding principles, let structure do the heavy lifting and think strategically about the placement of provisions that might potentially conflict, to maximise clarity and intelligibility. <br />
   </p>
<p>
</p>
<p><span> View our <a href="https://www.rpc.co.uk/expertise/sectors/insurance-and-reinsurance/insurance-claims/insurance-policy-wordings/">Insurance Policy Wordings page here</a>.</span></p>
<div>
<hr align="left" size="1" width="33%" />
<div id="ftn1">
<p><a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Article%20on%20bauhaus(156757197.2).docx#_ftnref1" name="_ftn1"><span></span></a> <sup>1</sup>FCA v Arch Insurance (UK) Ltd and others [2021] UKSC 1</p>
</div>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{64CC6F97-0494-4A54-88B2-3CD16CAAB0C1}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/technip-project-angel-and-the-bauhaus/</link><title>"Let form follow function" in insurance policy drafting: Technip, Project Angel and … the Bauhaus?</title><description><![CDATA[The Bauhaus is a fascinating art movement that emerged in Germany from the dying embers of the first world war. Showing up in architecture and product design primarily, at its heart were the principles of simplicity and usefulness and the imperative to create beautiful things through purposeful utilitarianism. A now ubiquitous phrase, that is a lasting legacy of the Bauhaus, underpinning many fundamental design ideas is this: "let form follow function".]]></description><pubDate>Wed, 24 Jul 2024 10:00:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-2---thinking-tile-wide.jpg?rev=40a7acf2763d463ea4d5f510988c8dea&amp;hash=E29E28FDE6A7E330C22CC2C8C3173E93" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p><span>I opened a book the other day on the Bauhaus.</span></p>
<p><span>The Bauhaus is a fascinating art movement that emerged in Germany from the dying embers of the first world war. Showing up in architecture and product design primarily, at its heart were the principles of simplicity and usefulness and the imperative to create beautiful things through purposeful utilitarianism. A now ubiquitous phrase, that is a lasting legacy of the Bauhaus, underpinning many fundamental design ideas is this: <em>"let form follow function".</em></span></p>
<p><span>Why am I telling you this? Because these principles have huge relevance and potency in my world of policy drafting. For wordings technicians and lawyers, perspective is everything. We don’t just write insurance contracts, we play a part in the design of <em>products </em>and first and foremost, making good products is about good design.</span></p>
<p><span>Products are made, sold and purchased, to be <em>used. </em> I often talk about this use case which takes many forms. In the Courts it comes up in the context of disputes about interpretation (the reasonable purchaser of insurance through to the 'pedantic' commercial lawyer) and also how improving good outcomes for consumers (synonymous with users) is a fundamental driver of regulatory change.</span></p>
<p><span>When I read about Bauhaus, I had in my mind two recent Court of Appeal cases concerning the interpretation of policy wordings: <em><span style="text-decoration: underline;">Project Angel<a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Article%20on%20bauhaus(156757197.2).docx#_ftn1" name="_ftnref1"><span><strong><span style="text-decoration: underline;"></span></strong></span></a></span></em></span><sup>1</sup><span><em><span style="text-decoration: underline;"></span></em> and <em><span style="text-decoration: underline;">Technip<a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Article%20on%20bauhaus(156757197.2).docx#_ftn2" name="_ftnref2"><span><strong><span style="text-decoration: underline;"></span></strong></span></a></span></em></span><sup>2</sup>.</p>
<p><span><strong>How these policies were used, by which I mean,<em> built</em>, was a common theme.</strong></span></p>
<p><span>These cases are not natural bedfellows as they concern very different worlds: W&I in the context of large corporate transactions and offshore energy construction projects. That both business lines operate in a very idiosyncratic way, is however, a characteristic that they <em>do</em> share.</span></p>
<p><span>The similarity extends somewhat further. They require a high level of underwriting and alteration to a standard form wording by way of schedules, annexes and endorsements, to cater for the various factual intricacies of the specific insured risks. They exist at one end of the scale in a model that is common to all insurance and deployed in differing degrees depending on business line.</span></p>
<p><em><span>Project Angel</span></em><span> is a fascinating case.</span></p>
<p><span>It concerned the interpretation of a provision in a Warranty and Indemnity policy. The insured ultimately failed to convince the Court that a crucial definition contained what they considered was an obvious mistake, namely that within the language of a definition, "<em>any liability <span style="text-decoration: underline;">for</span> actual or alleged non-compliance</em>" the "<em>for</em>" should be replaced with "<em>of</em>".</span></p>
<p><span>When I first saw it, the idea that a solitary letter, 'f' (or the absence of it), from a complicated contract could generate so much cost and court time was what struck me as both terrifying and remarkable. However, having dipped into the recordings of the Court of Appeal hearing, to listen to the opening and closing arguments, it is a much richer seam.</span></p>
<p><span>The dispute shines a light on the complex web of inter-related documentation that made up the specific insurance contract. At its heart is a stark reminder that with a lot of "bespoking" comes a corresponding increase in the demand on the reader.</span></p>
<p><span>Navigating the document becomes more and more complicated to a point that where you start, which documents and which clauses you visit and in which order, will open the door to different interpretations and arguments as to meaning and how that is acquired.</span></p>
<p><span><strong>There must be a better way of designing the "form" of these products: one that takes a stronger lead from the user case (or "function") and as a result strips out the complexity.  </strong></span></p>
<p><span>The issue in the <em>Technip</em> appeal was a different one.</span></p>
<p><span>This case centred upon the interpretation of an existing contractual exclusion endorsement in a standard form contract for offshore construction all risks cover, known as WELCAR. The insured, Technip, asserted that the judge at first instance had overplayed the significance of the commercial rationale of how an endorsement was underwritten to support an interpretation that meant an exclusion was of wide (and for them, of devastating) consequence.</span></p>
<p><span>It was also argued that because the policy was a composite one, i.e. to be construed as a separate contract between insurers and each insured, this meant that the definitions of "Insured" (which listed multiple entities) needed to be construed in the policy as relating only to the specific insured making a claim.</span></p>
<p><span>The Court dismissed the Technip appeal in short order, indicating that the linguistic interpretation, commercial rationale all pointed to the same direction.  </span></p>
<p><span>The composite policy point however, is an interesting one for those drafting wordings as the Court dismissed their being any general point of principal from the authorities that, absent specific language, composite policies should be interpreted differently.</span></p>
<p><span>There is an obvious tension as to how catch all definitions can possibly hope to cater for all the various permutations of the things being insured, who they belong to and in respect of which party a liability might arise and whether a trigger against one, opens the gates for all. We need to be really very careful when we draft using such techniques.  In a wording that relies on drafting techniques like this, the risk is that "form" cannot follow "function" as there are so many functions.</span></p>
<p><span>What we do so well in this industry is to simplify and we do that by compartmentalising as insurance is predicated on the idea of a problem shared, is a problem halved. That works on a product design basis too.</span></p>
<p><span>As risks emerge, evolve and then settle, so should the products that are there to support them. Charting where we are on that natural trajectory can be a valuable exercise and these two cases show from different angles how idiosyncrasies and complexities are pulling us off in the wrong direction.</span></p>
<p><span>In the context of product wordings, the idea that form should follow function is a mantra to live by. It is only if we properly understand the user case, that we can build better products.</span></p>
<p><span>Large risk products might be outside of the direct influence that the Consumer Duty is having on driving improvements in clarity and intelligibility, but when the benefits of fresh eyes and doing things differently are so patently obvious that may well change.  </span></p>
<p><span>As Walter Gropius, an architect and founder of Bauhaus, reminds us, <em>"the mind is like an umbrella. Its most useful when open".</em></span></p>
<p><span> View our <a href="https://www.rpc.co.uk/expertise/sectors/insurance-and-reinsurance/insurance-claims/insurance-policy-wordings/">Insurance Policy Wordings page here</a>.</span></p>
<div>
<hr align="left" size="1" width="33%" />
<div id="ftn1">
<p><a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Article%20on%20bauhaus(156757197.2).docx#_ftnref1" name="_ftn1"><span></span></a> <sup>1</sup>Project Angel Bidco Ltd (In Administration) v Axis Managing Agency Ltd & Ors [2024] EWCA Civ 446</p>
<p><sup>2</sup>Technip Saudi Arabia Limited v The Mediterranean & Gulf Insurance and Reinsurance Co. [2024] EWCA Civ 481</p>
</div>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{5488BF7C-BC22-46D0-B6D8-7E48EC6A5439}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/compulsory-mediation-in-small-claims-a-quick-guide-for-the-busy-lawyer/</link><title>Compulsory mediation in small claims: a quick guide for the busy lawyer</title><description><![CDATA[A new pilot scheme requiring parties in money claims valued at up to £10,000 to take part in a compulsory free one-hour mediation appointment, provided by HMCTS' Small Claims Mediation Service – before the claim can then proceed to Court if no settlement is reached. ]]></description><pubDate>Fri, 28 Jun 2024 12:53:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Kirstie Pike, James Ainsworth</authors:names><content:encoded><![CDATA[<p><strong>We previously analysed the Ministry of Justice's plans to introduce compulsory mediation to all County Court claims.  The first part of this strategy is now in force…</strong></p>
<p><strong>What is it?</strong></p>
<p>A new pilot scheme requiring parties in money claims valued at up to £10,000 to take part in a compulsory free one-hour mediation appointment, provided by HMCTS' Small Claims Mediation Service – before the claim can then proceed to Court if no settlement is reached. </p>
<p><strong>When does it apply?</strong></p>
<p>It came into force on 22 May 2024 and runs until 21 May 2026. </p>
<p>However, much like the Disclosure Pilot, do not expect this to go away, as it is anticipated to expand to include more claims – the MOJ says it has not ruled out mandatory mediation in higher value County Court claims.  </p>
<p><strong>Which claims are suitable?</strong></p>
<p>The pilot targets claims started in the Country Court and which would normally be allocated to the small claims track.  Claims must meet the following criteria to be caught by the pilot:</p>
<ul>
    <li>Money claims - so claims in which the only remedy claimed is a judgment for a specified sum of money;</li>
    <li>Small Claims – valued at no more than £10,000;</li>
    <li>No more than 2 parties;</li>
    <li>Claims made on paper or issued through Money Claims Online (MCOL) or through Secure Data Transfer (SDT). Cases submitted through Online Civil Money Claims (OCMC) are going to be introduced later. Until then, these cases will be opted-in to mediation, but with the ability for parties to opt out.</li>
</ul>
<p>The pilot will not apply in the following circumstances: </p>
<ul>
    <li>Complex claims (eg professional negligence claims) are excluded; </li>
    <li>Road Traffic Accident and Personal Injury Claims are excluded; and</li>
    <li>Mediation will not take place where there are safeguarding concerns, eg where vulnerable parties are involved. </li>
</ul>
<p>The MOJ guidance provides examples of suitable claims, such as businesses recovering debt from customers, individuals contesting parking tickets, or disagreements over payments for goods and services – such as a homeowner suing builders for not completing work as agreed.</p>
<p><strong>What actually happens?</strong></p>
<p>Once pleadings have closed and the parties have filed their Directions Questionnaire, the claim will automatically be referred to the mediation service. </p>
<p>The claim will be stayed for 28 days to allow time for the mediation appointment to be arranged. </p>
<p>At the mediation appointment, the mediator will speak to each side separately and work between the two to find a solution each side can agree on. </p>
<p>Crucially, the parties are not required to reach a settlement at mediation, but it provides an opportunity to discuss a potential resolution. </p>
<p>If an agreement cannot be reached, the case will progress – potentially to trial. </p>
<p>If the claim is settled at the mediation, the proceedings will automatically be stayed with permission to apply for judgment or restoration if the settlement goes unpaid – unless the parties agreed the claim is to be discontinued or dismissed. </p>
<p><strong>What happens if a party refuses to attend?</strong></p>
<p>If a party does not attend the required mediation appointment, without good reason, the judge may apply a sanction at the final hearing. This could include a fine, covering the cost of the wasted mediation appointment or, in extreme circumstances, having their claim or defence dismissed.</p>
<p>Costs are not usually awarded on the small claims track, unless a party has behaved unreasonably (other than fixed costs). However, failure to attend the mediation appointment is another factor a judge can take into their consideration when exercising their discretion on costs – so could be considered unreasonable behaviour. </p>
<p>That being said, the Practice Direction specifically states that <em>"A party’s rejection of an offer in settlement will not of itself constitute unreasonable behaviour under paragraph (2)(g) but the court may take it into consideration when it is applying the unreasonableness test."</em> It is not clear how this would apply in the context of a party attending mediation and refusing to engage properly or declining reasonable offers of settlement. </p>
<p><strong>Why has this been introduced?</strong></p>
<p>In short, to free up Court time. The MOJ say c. 85,000 Small Money Claims progressed through the County Court in 2022, but parties in only 20,000 of these cases opted into voluntary mediation – of which HMCTS was able to help settle more than half. </p>
<p>It is thought compulsory mediation will reduce the burden on the Court and is anticipated to free up an extra 5,000 judicial sitting days per year – which can be used to focus on more complex cases. </p>
<p><strong>Is it a good idea?</strong></p>
<p>The Law Society raised concerns about access to justice, worried that this would create a two-tier system: where some parties can access justice and others can only access a means to end a dispute. The introduction of this proposal as a pilot appears to be a result of those concerns. </p>
<p>The above said, it is only compulsory to attend the mediation, it is not compulsory to reach a settlement. So, in low value disputes that really are just about the money, it may be that an early mediation at which both parties are asked to consider what they may accept in settlement could be beneficial – particularly if those parties are unrepresented. </p>
<p>One concern will be whether parties truly engage in the mediation process or whether they simply attend as a box ticking exercise. Only time will tell. </p>
<p><strong>More Information</strong></p>
<p>For our detailed analysis on the planned introduction of compulsory mediation, please see our <a href="https://www.rpclegal.com/thinking/insurance-and-reinsurance/moj-plans-to-impose-compulsory-mediation-for-all-county-court-claims/ ">previous article</a>.</p>
<p>For the new rules themselves, please see <a href="https://www.justice.gov.uk/courts/procedure-rules/civil/rules/part51/practice-direction-51ze-small-claims-track-automatic-referral-to-mediation-pilot-scheme">Practice Direction 51ze  – Small Claims Track Automatic Referral To Mediation Pilot Scheme</a>.</p>]]></content:encoded></item><item><guid isPermaLink="false">{21B81F64-D9C8-4EEA-92E5-CDDA5AD34509}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/no-bouncing-back-for-directors/</link><title>No bouncing back for directors</title><description><![CDATA[Banned! Fraudsters! – Terms used by the Insolvency Service for directors who abused the government backed loan scheme which was put in place to help businesses struggling during the pandemic. ]]></description><pubDate>Mon, 20 May 2024 09:16:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>James Wickes, Adam Craggs</authors:names><content:encoded><![CDATA[<p><em><strong>Banned! Fraudsters!</strong></em><strong> – Terms used by the Insolvency Service for directors who abused the government backed loan scheme which was put in place to help businesses struggling during the pandemic. </strong></p>
<p>It may now be a rapidly fading memory, but it is only four years ago since the global Covid-19 pandemic struck and the UK, along with many other countries around the world, went into lock down.  With Covid dramatically affecting every facet of our daily lives, many businesses struggled to keep afloat.  In an effort to secure jobs, in March 2020, the government introduced the Coronavirus Job Retention Scheme, a furlough scheme which provided grants to employers to pay 80% of staff wage and employment costs each month, up to a total of £2,500 per person per month (the <strong>Scheme</strong>).  Under the Scheme, any entity with a UK payroll, including businesses, charities and public authorities, could apply for a grant so long as certain conditions were met.  The Scheme ran until September 2021.  During that time, the Scheme saw a staggering 11.7m employees furloughed with a cost of £70bn [<a href="https://commonslibrary.parliament.uk/research-briefings/cbp-9152/">House of Commons Library – Coronavirus Job Retention Scheme: statistics</a>].   </p>
<p>The government also introduced a loan scheme in May 2020, in the form of the Bounce Back Loan Scheme (the <strong>BBLS</strong>), which was designed to enable businesses to access finance. The BBLS was available through a range of accredited lenders. Such lenders could provide a six-year term loan from £2,000 up to 25% of a business' turnover. The maximum loan amount was £50,000.  One stipulation in the loan agreement was that the money received could only be used to benefit the business, it could not be utilised for personal use.  Over 4.5 million loans were provided totalling approximately £47bn [<a href="https://www.gov.uk/government/publications/covid-19-loan-guarantee-schemes-repayment-data/covid-19-loan-guarantee-schemes-performance-data-as-at-30-june-2023">Covid-19 loan guarantee schemes performance data as at 30 June 2023</a>].  In its BBLS update, the National Audit Office (<strong>NAO</strong>) reported in 2021 that because of the speed at which the <strong>BBLS</strong> was launched, the government failed to put in place sufficient anti-fraud measures and proper checks and balances.  For example, lenders were not required to carry out credit or affordability checks on applicants  [<a href="https://www.nao.org.uk/wp-content/uploads/2021/12/The-Bounce-Back-Loan-Scheme-an-update.pdf">NAO The Bounce Back Loan Scheme: an update 03.12.21</a>].  The BBLS provided the lender with a full (100%) government-backed guarantee against the outstanding balance of the facility (both capital and interest).   </p>
<p>In 2023, the NAO declared that most public bodies do not know how much fraud they have fallen victim to.  In the two years before the outbreak of the pandemic, the NAO estimated the sums attributable to fraud committed against the government was in the region of £5.5bn.  The NAO estimated that, as at the end of March 2021 (the BBLS closed to new applicants in March 2021), fraud associated with the BBLS was in the region of £4.9bn [<a href="https://www.nao.org.uk/wp-content/uploads/2021/12/The-Bounce-Back-Loan-Scheme-an-update.pdf">NAO The Bounce Back Loan Scheme: an update 03.12.21</a>].      </p>
<p>Government data (updated in November 2023), indicates that some £1.65bn of the loans made under the BBLS were obtained fraudulently.  As of June 2023, the government has had to repay to lenders (as guarantor under the BBLS) £6.89bn, some 14.52% of the total loans made under the BBLS.  Of that sum, £1.27bn has been paid to lenders in relation to suspected fraudulent loans  [<a href="https://www.gov.uk/government/publications/covid-19-loan-guarantee-schemes-repayment-data/covid-19-loan-guarantee-schemes-performance-data-as-at-30-june-2023">COVID-19 loan guarantee schemes performance data as at 30 June 2023</a>].    </p>
<p>Many commentators are of the view that the government lacked capacity to properly police the BBLS.  When the BBLS was introduced, there were just two full-time staff in the government's counter-fraud function [<a href="https://www.nao.org.uk/wp-content/uploads/2023/03/tackling-fraud-and-corruption-against-government.pdf">NAO 2023 report</a>].  Given the substantial sums underwritten by the government, in 2020 the National Investigation Service (<strong>NATIS</strong>), which investigates serious crime where public authorities, or the funds they manage, are targeted, was tasked with investigating BBLS fraud, but it was considered by many to be seriously underfunded.  In November 2023, the government provided an update on the BBLS performance data [<a href="https://www.gov.uk/government/publications/covid-19-loan-guarantee-schemes-repayment-data/bounce-back-loan-scheme-performance-data-as-at-31-july-2022">Bounce Back Loan Scheme performance data as at 31 July 2022</a>].  As at that time, NATIS had opened 273 investigations into suspected BBLS fraud since September 2020, the value was reported as £160m and a total of 49 arrests made.  In 2021/22, NATIS reportedly recovered £3.8m and £3.5m in 2022/23.  [<a href="https://www.nao.org.uk/wp-content/uploads/2024/03/department-for-business-and-trade-2022-23-overview.pdf">Department for Business and Trade Departmental Overview 2022-23</a>].  However, such a low level of recovery is disappointing.  Although referred to as a law enforcement organisation [<a href="https://www.nao.org.uk/wp-content/uploads/2021/12/The-Bounce-Back-Loan-Scheme-an-update.pdf">NAO The Bounce Back Loan Scheme: an update 03.12.21</a>], NATIS is a council department which used a police web domain and police email address, notwithstanding that it has no policing powers.  This has now changed to reflect the team's status as a government body.                  </p>
<p><strong>Enforcement</strong></p>
<p>Perhaps not surprisingly, given the above figures, abuse of the BBLS is a key priority for the Insolvency Service with Dean Beale, Chief Executive at the Insolvency Service, stating that they are "<a href="https://www.gov.uk/government/news/more-than-800-company-directors-banned-for-abusing-covid-support-scheme#:~:text=Dean%20Beale%2C%20Chief%20Executive%20at,directors%20from%20the%20corporate%20arena.">determined to use all [their] available powers to remove rogue company directors from the corporate arena</a>".  Beale has confirmed that the Insolvency Service has dedicated teams whose remit is to act against those who provided misleading information and took money they were not entitled to under the BBLS.  </p>
<p>The Insolvency Service has a range of enforcement options available to it which it can deploy against those who misused the BBLS, including winding up companies, seeking director disqualifications and criminal prosecutions.  The Insolvency Service was provided with additional powers enabling it to investigate company directors of dissolved companies, (in addition to directors of companies that are on the official register at Companies House), in 2021 with the introduction of the <a href="https://www.legislation.gov.uk/ukpga/2021/34/contents/enacted">Rating (Coronavirus) and Directors Disqualification (Dissolved Companies) Act 2021</a>.  This means that former directors cannot avoid being held personally liable to repay government backed loans simply because their company has been dissolved.    </p>
<p>The Insolvency Service has <a href="https://www.gov.uk/government/news/more-than-800-company-directors-banned-for-abusing-covid-support-scheme">reported</a> that in the last year 831 company directors have been disqualified for misuse of coronavirus business support schemes.  This is an increase of 80% on the previous year, in which 459 directors were disqualified.  The Insolvency Service started investigating coronavirus business support scheme abuse in 2021 and in that year, 140 directors were disqualified.  To date, a total of 1,430 directors have been disqualified.  </p>
<p>Between 1 April 2022 and 31 May 2023, the Insolvency Service secured:</p>
<ul>
    <li>89 criminal charges;</li>
    <li>9 successful prosecutions;</li>
    <li>£50,000 in criminal compensation orders;</li>
    <li>£230,000 in voluntary criminal repayments;</li>
    <li>£231,000 in civil compensation orders;</li>
    <li>£449,000 in voluntary civil repayments; </li>
    <li>£300,000 OR recoveries; and </li>
    <li>116 compulsory winding-up orders from petitions presented by lenders under the BBLS. </li>
</ul>
<p>From a perusal of the Insolvency Service's news and communications service, it has taken extensive action against those who abused the BBLS, including against:</p>
<ul>
    <li>An accountant who took out three BBLS loans despite only being entitled to one loan.  Although it was the company which acquired the loans, he was disqualified as a director and is prohibited from running a company for 12 years; he was also required to repay £75,000.</li>
    <li>A plumber who used the loan monies he obtained under the BBLS for personal use, including paying for a holiday, gambling and investment in his father-in-law's business.  He was successfully prosecuted under section 2 of the Fraud Act 2006 on two counts of fraud by false representation.</li>
    <li>A couple were successfully prosecuted and sentenced to 24 months imprisonment, suspended for 18 months, for fraudulently obtaining a £30,000 loan under the BBLS.</li>
    <li>Two business owners who were disqualified as company directors after receiving BBLS loans for two separate businesses having exaggerated previous trading turnover.  </li>
</ul>
<p><strong>Comment</strong></p>
<p>The Insolvency Service has not finished investigating suspected BBLS fraud.  Directors and former directors of companies which obtained loans which they were not entitled to under the terms of the BBLS, face potential investigation and possible prosecution where fraud is suspected.  The Insolvency Service is determined to take action against those who abused the BBLS.</p>
<p>For further information, please contact <a href="/people/james-wickes/">James Wickes</a> / <a href="/people/adam-craggs/">Adam Craggs</a>.</p>]]></content:encoded></item><item><guid isPermaLink="false">{0D4FD721-19D8-4503-B45B-98E68C684D63}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/are-you-being-smart-with-your-connectable-products/</link><title>Are you being smart with your connectable products? </title><description><![CDATA[The growth of "smart" products that can connect to the internet has grown significantly over the past 10 years and the UK government estimate that there could be 50 million connectable products worldwide by 2030, and on average there are currently 9 in each UK household.]]></description><pubDate>Fri, 26 Apr 2024 13:00:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Gavin Reese, Andrew Martin</authors:names><content:encoded><![CDATA[<p style="text-align: justify;"><strong>Background</strong></p>
<p style="text-align: justify;">The growth of "smart" products that can connect to the internet has grown significantly over the past 10 years and the UK government estimate that there could be 50 million connectable products worldwide by 2030, and on average there are currently 9 in each UK household.</p>
<p style="text-align: justify;">An increased reliance on these products has led to plenty of examples where the security of connectable products has been compromised by hackers. The UK government has created a new security regime which will introduce more stringent measures to reduce the cyber security risks of these smart technologies in consumer products.</p>
<p style="text-align: justify;"><strong>New Regime</strong></p>
<p style="text-align: justify;">The Product Security and Telecommunications Infrastructure Act 2022 and The Product Security and Telecommunications Infrastructure (Security Requirements for Relevant Connectable Products) Regulations 2023 ("the Regulations") will come into force on 29 April 2024.</p>
<p style="text-align: justify;">The new regime will apply to products, intended for use by consumers, that can connect to the internet or a network and will includes products such as:</p>
<ul style="list-style-type: disc;">
    <li>Home automation and alarm systems;</li>
    <li>Connected cameras;</li>
    <li>Smart home assistances;</li>
    <li>Connected safety products, including smoke detectors and door locks.</li>
</ul>
<p style="text-align: justify;">The following products are exempted from the Regulations because the UK government believes there are already adequate protections for security, including:</p>
<ul style="list-style-type: disc;">
    <li>Computers;</li>
    <li>Smart meters</li>
    <li>Charge points for electric vehicles</li>
    <li>Medical devices</li>
</ul>
<p style="text-align: justify;">There are separate obligations for manufacturers, importers and distributors in order to comply with the new regime:</p>
<table border="1" cellspacing="0" cellpadding="0" style="border: none;">
    <tbody>
        <tr>
            <td valign="top" style="width: 77.7pt; padding: 0cm 5.4pt; border-style: solid; border-width: 1pt; text-align: left;">
            <p style="text-align: justify;">Type</p>
            </td>
            <td valign="top" style="width: 191.4pt; padding: 0cm 5.4pt; border-left: none; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; text-align: left;">
            <p style="text-align: justify;">Meaning</p>
            </td>
            <td valign="top" style="width: 212.35pt; padding: 0cm 5.4pt; border-left: none; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; text-align: left;">
            <p style="text-align: justify;">Obligations</p>
            </td>
        </tr>
        <tr>
            <td valign="top" style="width: 77.7pt; padding: 0cm 5.4pt; border-top: none; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; text-align: left;">
            <p style="text-align: justify;">Manufacturer</p>
            <p style="text-align: justify;"> </p>
            </td>
            <td valign="top" style="width: 191.4pt; padding: 0cm 5.4pt; border-top: none; border-left: none; border-right-style: solid; border-bottom-style: solid; text-align: left;">
            <p style="text-align: justify;">Any person who:</p>
            <p style="text-align: justify;"> </p>
            <ul style="list-style-type: disc;">
                <li>Manufactures a product, or has a product designed or manufactured, and</li>
                <li>Markets that product under that person's name or trademark, or</li>
                <li>Any person who markets a product manufactured by another person under their own name or trademark.</li>
            </ul>
            <p style="text-align: justify;"> </p>
            </td>
            <td valign="top" style="width: 212.35pt; padding: 0cm 5.4pt; border-top: none; border-left: none; border-right-style: solid; border-bottom-style: solid; text-align: left;">
            <ol>
                <li>Comply with the security requirements:
                <p> </p>
                </li>
            </ol>
            <ul style="list-style-type: disc;">
                <li>Minimum password requirements – to be unique per product or capable of being defined by the user of the product.</li>
                <li>Provide a specified point of contact for consumers to report any security issues.</li>
                <li>Provide information on minimum security update periods.
                <p> </p>
                </li>
            </ul>
            <ol>
                <li>Provide a statement of compliance.
                <p> </p>
                </li>
                <li>Investigate and take action against suspected compliance failures.
                <p> </p>
                </li>
                <li>Maintain records of investigations, confirmed compliance failures and statements of compliance.
                <p> </p>
                </li>
                <li>Notify the regulator, importers and/or distributors of compliance failures.</li>
            </ol>
            <p style="text-align: justify;"> </p>
            </td>
        </tr>
        <tr>
            <td valign="top" style="width: 77.7pt; padding: 0cm 5.4pt; border-top: none; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; text-align: left;">
            <p style="text-align: justify;">Importer</p>
            <p style="text-align: justify;"> </p>
            </td>
            <td valign="top" style="width: 191.4pt; padding: 0cm 5.4pt; border-top: none; border-left: none; border-right-style: solid; border-bottom-style: solid; text-align: left;">
            <p style="text-align: justify;">Any person who:</p>
            <p style="text-align: justify;"> </p>
            <ul style="list-style-type: disc;">
                <li>Imports the product from, a country outside the UK into the UK and, is not the manufacturer of the product.</li>
            </ul>
            <p style="text-align: justify;"> </p>
            </td>
            <td valign="top" style="width: 212.35pt; padding: 0cm 5.4pt; border-top: none; border-left: none; border-right-style: solid; border-bottom-style: solid; text-align: left;">
            <ol>
                <li>Not to make the product available without a statement of compliance
                <p> </p>
                </li>
                <li>Investigate and take action in relation to potential compliance failures; and
                <p> </p>
                </li>
                <li>Maintain records of investigations and statements of compliance for up to 10 years.</li>
            </ol>
            <p style="text-align: justify;"> </p>
            </td>
        </tr>
        <tr>
            <td valign="top" style="width: 77.7pt; padding: 0cm 5.4pt; border-top: none; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; text-align: left;">
            <p style="text-align: justify;">Distributor </p>
            <p style="text-align: justify;"> </p>
            </td>
            <td valign="top" style="width: 191.4pt; padding: 0cm 5.4pt; border-top: none; border-left: none; border-right-style: solid; border-bottom-style: solid; text-align: left;">
            <p style="text-align: justify;">Any person who: </p>
            <p style="text-align: justify;"> </p>
            <ul style="list-style-type: disc;">
                <li>makes the product available in the UK and is not the manufacturer or an importer of the product.</li>
            </ul>
            </td>
            <td valign="top" style="width: 212.35pt; padding: 0cm 5.4pt; border-top: none; border-left: none; border-right-style: solid; border-bottom-style: solid; text-align: left;">
            <ol>
                <li>Not make the product available without a statement of compliance; and
                <p> </p>
                </li>
                <li>Take steps to prevent non-compliance products from being available in the UK.</li>
            </ol>
            </td>
        </tr>
    </tbody>
</table>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><strong>Failure to comply</strong></p>
<p style="text-align: justify;">The Office for Product Safety and Standards ("OPSS") will be responsible for enforcing the new regime which sets out the different types of enforcement that will be available to the OPSS:</p>
<ul style="list-style-type: disc;">
    <li>Compliance notices</li>
    <li>Stop notices</li>
    <li>Recall notices</li>
    <li>Financial penalties. up to the greater of £10 million or 4% of an organisation's qualifying worldwide revenue</li>
    <li>Informing the public about compliance failures; and</li>
    <li>Publishing details about enforcement action taken.</li>
</ul>
<p style="text-align: justify;">The current enforcement policy outlined by the OPSS indicates that it will take into account the infancy of this regime when considering the most suitable enforcement action to take. It is expected that any enforcement action will likely be determined by the specific facts of each case and the potential impact of any breach.</p>
<p style="text-align: justify;"><strong>How best to prepare?</strong></p>
<p style="text-align: justify;">For those businesses that fall under the new regime, as either a manufacturer, importer, or distributor, they will need to ensure that any existing and future products placed onto the UK market are compliant with the new regime from 29 April 2024, and monitor any continued developments which may impact the way in which they comply with the regime.</p>]]></content:encoded></item><item><guid isPermaLink="false">{58CB25C1-8B99-40FC-AC40-52CF6FFEA043}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/asbestos-update-implausible-deniability/</link><title>Asbestos update: "implausible" deniability</title><description><![CDATA[The recent case of Evans v Secretary of State for Health and Social Care, follows the trend of low exposure asbestos cases being defendable, when many feared that the 2018 case Bussey v Anglia Heating Ltd made that near on impossible.]]></description><pubDate>Thu, 14 Mar 2024 11:30:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Thom Lumley, Chris Gower</authors:names><content:encoded><![CDATA[<p><span>The recent case of </span><a href="https://acrobat.adobe.com/id/urn:aaid:sc:EU:4330a8dd-c0aa-420a-a790-221a34e12d80"><em><span>Evans v Secretary of State for Health and Social Care</span></em></a><span>, follows the trend of low exposure asbestos cases being defendable, when many feared that the 2018 case <a href="https://www.casemine.com/judgement/uk/5b2897da2c94e06b9e19c50b"><em>Bussey v Anglia Heating Ltd</em></a> </span><em><span></span></em><span>made that near on impossible. In this case, brought by the daughter of the deceased, the alleged exposure occurred whilst the deceased was working as a carer in Bradwell Grove Hospital. She alleged that a programme of repairs on the hospital buildings during the 1970s caused the release of asbestos fibres and the deceased encountered “<em>visible clouds of dust floating around in the corridor along which I had to walk every day for months</em>”. The judge found that, in the absence of other supporting evidence, he could not accept the deceased's description.  It was held to be implausible that such an environment would have been tolerated in a hospital (given the importance of hygiene) over any prolonged period.  The deceased had not described this source of exposure in her previous claims for benefits or in her accounts of exposure given to medical professionals (when she had instead referred to exposure from cleaning her husband's work clothes). Nor was it proved that any dust to which the deceased had been exposed, contained any significant quantity of asbestos. On cross-examination, the claimant's expert occupational hygienist conceded that the estimates of exposure in her report were "<em>under-qualified</em>" and the judge found that they did not provide any reliable assistance in determining dose. The defendant's expert maintained his position that, had the deceased been exposed to asbestos, the dose (whilst small) could not be estimated due to the limitations of the evidence. Any possible exposure to asbestos was not material and was insignificant when compared to the other admitted source of exposure, from washing her husband's clothes.</span></p>
<p><span>This is a first instance decision, and all of these cases turn on their own facts, but it is a reminder of some important factors in defending asbestos claims:</span></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li><span>The burden of proof is on the claimant to establish exposure to asbestos dust and caution should be adopted in assessing witness evidence relating to events several decades ago.</span></li>
    <li><span>A claimant must prove that there was material exposure and that it was in breach of the standards of the day.  Just establishing that there was dust produced by works involving asbestos materials is not enough.</span></li>
    <li><span>This does not mean that all cases where the only witness evidence is from the claimant/deceased are defendable. Witness evidence must be carefully considered as to whether the allegations are plausible in and of themselves but also as compared to any evidence the defendant has. In this case, the defendant was able to provide some documentation about the nature of the works undertaken, which cast further doubt on the claimant's allegations. It is often the case that a defendant cannot adduce any evidence and those cases will continue to be more difficult to defend.</span></li>
    <li><span>Employers, especially local authorities and public bodies, will continue to be targeted even when there was greater exposure elsewhere. In this case, the majority of exposure came from the deceased cleaning her husband's overalls. Presumably, the deceased's husband was either self-employed or his employer no longer exists so there was no paymaster to meet any claim. Employer's liability cover is more easily traceable, even when a company has dissolved, and any inheritance/transfer of liabilities from former local authorities/public bodies will be a matter of public record. </span></li>
    <li><span>Choose your expert wisely. Faith in your chosen expert is vital in allowing you to accurately assess the merits of your case with the requisite confidence that their evidence will be preferred at any trial. It appears the claimant's expert did not fully interrogate the evidence in assessing dose in their written evidence, leading to them having to make concessions on cross examination.</span></li>
</ul>
<p><span>For more information on the contents of this article, please contact <a href="/people/chris-gower/">Chris Gower</a> or <a href="/people/thom-lumley/">Thom Lumley</a>. </span></p>
<p> </p>
<div>
<div id="_com_1" language="JavaScript"> </div>
</div>
<p> </p>]]></content:encoded></item><item><guid isPermaLink="false">{C4D0F966-7171-45CF-83A2-513E2E0ED26B}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/rise-with-rpc-tips-for-developing-your-insurance-network/</link><title>Rise with RPC: Tips for developing your insurance network</title><description><![CDATA[In the aftermath of the "Rise with RPC" event, we're immensely grateful to everyone who joined us, contributing to the dynamic exchange of ideas on "Building your insurance network." <br/><br/>Here’s a distilled version of the top tips shared, each designed to be an actionable takeaway to apply in your professional journey.]]></description><pubDate>Wed, 13 Mar 2024 14:30:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Ella Crawley</authors:names><content:encoded><![CDATA[<div>
<p>The session, led by Samantha Ridgewell, was a treasure trove of advice, aimed at enhancing our networking prowess in today’s hybrid work landscape. To hear about our next "Rise with RPC" event please sign up <a href="https://sites-rpc.vuturevx.com/16/4414/landing-pages/rise-with-rpc---subscription-form.asp">here</a>.</p>
<p>
</p>
<p>Here’s a distilled version of the top tips shared, each designed to be an actionable takeaway to apply in your professional journey.</p>
<p><span><strong>1. Embrace PIE for career advancement<br />
</strong></span></p>
<ul style="list-style-type: disc;">
    <li><strong>Performance:</strong> Excel in your role; it's the foundation.</li>
    <li><strong>Image:</strong> Cultivate your personal brand; ensure it reflects how you wish to be perceived.</li>
    <li><strong>Exposure:</strong> Make yourself known; visibility within your professional circle is crucial.</li>
</ul>
<p>This framework underscores the essence of being recognised for opportunities.</p>
<p><span><strong>2. Expand your comfort zone gradually</strong></span></p>
<p>View nervousness as an indicator of growth opportunities. Stretch your comfort zone by embracing new challenges, starting small to gradually increase your confidence and capabilities. For example, try putting yourself forward to speak during internal meetings, giving you the confidence to excel when taking on client presentations.</p>
<p><span><strong>3. Tailor your networking approach</strong></span></p>
<ul style="list-style-type: disc;">
    <li><strong>Extroverts:</strong> Leverage your energy from interactions to make new connections.</li>
    <li><strong>Introverts:</strong> Utilise your reflective nature to engage in meaningful conversations, even if it means taking time to recharge afterwards.</li>
</ul>
<p>Strategies for initiators and receivers</p>
<ul style="list-style-type: disc;">
    <li><strong>Initiators:</strong> Make eye contact and approach with confidence.</li>
    <li><strong>Receivers:</strong> Position yourself strategically (e.g., near food or coffee) to be approachable and initiate conversations with a smile.</li>
</ul>
<p><span><strong>4. Balance wide and deep networks<br />
</strong></span></p>
<p>Cultivate a wide network for breadth and a deep network for meaningful, supportive relationships. Both are vital for professional growth and personal satisfaction.</p>
<p><span><strong>5. Master conversational threading<br />
</strong></span></p>
<p>Enhance interactions by finding common ground quickly. Use open-ended questions and share stories to make conversations richer and more engaging. The joy of this is that people will only ask you a handful of questions at events, which means that you can even prepare your answers to an extent.</p>
<p><span><strong>6. Utilise LinkedIn effectively<br />
</strong></span></p>
<p>Most people don't like posting on LinkedIn as they don't like the idea of self-promoting, this means that the bar is actually set incredibly low. Increase your visibility with regular posts, even simple updates can significantly broaden your exposure, much more than you would be able to at a networking event.</p>
<p>The aim is to post monthly, remembering to always include pictures to make it visually exciting.</p>
<p><span><strong>7. Networking preparations and follow-up<br />
</strong></span></p>
<p>Before the event, familiarise yourself with attendees and plan your attire for confidence and comfort. If you are nervous about not knowing anyone, arrive early as the hosts are there to welcome you and introduce you to people. Follow up with new connections promptly, utilising LinkedIn or traditional methods like business cards.</p>
<p><span><strong>8. Reading body language<br />
</strong></span></p>
<p>Learn to read the room by observing body language, particularly the direction of feet, to identify open groups or individuals for initiating conversations.</p>
<p>These tips, derived from the insights shared by Samantha Ridgewell, are designed to be straightforward and actionable, allowing you to implement them easily into your networking strategy.</p>
<p>As we look forward to our next event, we hope these tips will empower you to build and strengthen your professional network, opening doors to new opportunities and collaborations. We hope to see you at our next Rise with RPC event!</p>
</div>
<p> </p>]]></content:encoded></item><item><guid isPermaLink="false">{3E03E4D4-265C-4F56-8E7F-6B190F6003C3}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/finding-joy-in-your-job-insights-from-figs-latest-panel/</link><title>Finding joy in your job: insights from FIG's latest panel</title><description><![CDATA[On 21 February, RPC's inclusive insurance network, FIG, reconvened for a notable panel discussion, shedding light on the theme of "Finding joy in your job." ]]></description><pubDate>Mon, 26 Feb 2024 14:29:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p>The event welcomed a blend of perspectives from FIG chair Alexandra Anderson and panellists Annette Andrews, Michelle Kennedy and Caroline de Souza. The panel provided a deep dive into how to achieve personal fulfilment within your profession, as well as top tips for difficult conversations. It was wonderful to see so many members joining us on a typically wet and windy London morning!</p>
<p>For those unable to attend the event, this blog covers the key points raised during the panel session, providing practical steps for finding joy in your job and top tips on how to handle difficult situations and salary negotiations.</p>
<p><strong>Please sign up <a href="https://sites-rpc.vuturevx.com/5/8/landing-pages/subscribe-female-insurance-group.asp">here</a> to join our mailing list and receive an invite to the next event.</strong></p>
<p><br>
<strong style="font-family: Karbon, arial, sans-serif; font-size: 1.11111em;">Tips on finding 'joy in your job'</strong></p>
<p><strong>Align work with personal values</strong></p>
<p>Finding joy in your job often aligns with personal values and goals. Reflect on what aspects of your job you find most fulfilling and seek opportunities that amplify those elements.</p>
<p><strong>Professional growth</strong></p>
<p>Continuous learning and development are key to maintaining enthusiasm and engagement in one's career. Look for opportunities within your organisation to expand your skill set, through formal training programmes, cross-departmental projects or mentorship relationships.</p>
<p><strong>Build supportive relationships</strong></p>
<p>The significance of fostering positive relationships at work is paramount. Engaging with colleagues, finding mentors and participating in networking events can provide a sense of community and support, making daily challenges more manageable and enjoyable.</p>
<p><strong>Celebrating successes</strong></p>
<p>Regularly acknowledging and celebrating achievements is crucial for morale. It helps to maintain motivation and recognise the value of your work amidst the hustle of professional life. Take a few moments every day to think about something that has gone well, or where your achievements have been recognised.</p>
<p><strong>Navigating difficult conversations</strong></p>
<p>Prepare by outlining key points to seek a discussion, not a confrontation. Maintaining a positive environment is crucial. Think about how what you say will land with the person to whom you will be saying it, and make sure you adopt the right tone to achieve a positive impact.<span>  </span>Follow up with an email to document the conversation, ensuring clarity and accountability.</p>
<p>
<h4><strong>Tips for achieving a work-life balance</strong></h4>
<p><strong>Routine</strong></p>
<p>To achieve work-life balance, consider integrating structured physical activity into your routine, such as having regular walks or other physical activities, which offer both exercise and a mental refresh.</p>
<p><strong>Diary management</strong></p>
<p>Effective diary management is crucial: schedule your work and personal time with clear cut-offs to avoid burnout, including breaks to recharge during the day.</p>
<p><strong>Digital detox</strong></p>
<p>Embrace periods of digital detox, such as enjoying moments without your phone, to foster presence and spur creativity. These don't need to be long periods of time - simply deciding to go phone-free over lunch can help maintain a balanced and healthy lifestyle, ensuring both professional productivity and personal well-being are prioritised.</p>
<p><strong>Pressure curve</strong></p>
<p>Managing stress effectively involves understanding the pressure-performance curve, which illustrates how performance varies with different levels of stress. Initially, too little pressure might result in boredom, but as pressure increases, performance peaks, indicating an optimal stress level. Recognising when pressure becomes excessive and performance starts to decline is crucial. Identifying this "dipping point" allows you to implement coping mechanisms, to momentarily step away and reduce stress. This awareness and proactive management of stress levels encourages a healthier work-life balance and personal well-being.</p>
<p>
<h4><strong>Tips for negotiating your salary</strong></h4>
<p>When it comes to salary negotiations, the panellists shared a wealth of strategies rooted in preparation, communication, and understanding one's worth.</p>
<ul>
    <li><strong>Research and benchmarking</strong>
    <p>Start by gathering data on average salaries for your position within the industry and region. Utilise platforms like Glassdoor and LinkedIn to get an idea of what your peers are earning. This step establishes a factual basis for your negotiation.<br>
    <br>
    </p>
    </li>
    <li>
    <p><strong>Articulate your value<br>
    </strong>Each panellist emphasised the importance of clearly articulating your contributions and impact on the organisation. Prepare a list of your achievements, highlighting how they align with the company's goals and objectives. Whether it's leading successful projects, exceeding targets, or introducing efficiencies, accomplishments form the foundation of your negotiation.  <br>
    <br>
    </p>
    </li>
    <li>
    <p><strong>Practice negotiation scenarios<br>
    </strong>Role-playing negotiation scenarios can significantly boost your confidence. Practice with a friend or mentor, focusing on keeping the conversation positive and constructive. Anticipate objections and prepare your responses to ensure the discussion remains focused on your value and contributions.<br>
    <br>
    </p>
    </li>
    <li>
    <p><strong>Consider non-monetary benefits<br>
    </strong>Sometimes, there's limited flexibility on salary. Consider negotiating benefits that can enhance your job satisfaction and work-life balance. Examples include flexible working arrangements, additional vacation time or professional development opportunities.</p>
    </li>
</ul>
<p> </p>]]></content:encoded></item><item><guid isPermaLink="false">{265C6E22-1DDE-4446-A1AF-C20CE341244B}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/in-the-familiar-lies-the-unseen/</link><title>In the familiar, lies the unseen</title><description><![CDATA[We like to look at boilerplate language with fresh eyes and so taking the recent case of Dassault Aviation SA v Mitsui Sumitomo Insurance Co Ltd [2024] EWCA Civ 5  as a jumping off point, we consider the potential tensions, hidden to some extent in plain sight, between anti-assignment and subrogation rights and the take aways for those drafting insurance policy wordings. ]]></description><pubDate>Fri, 23 Feb 2024 14:51:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Tom Scanlon</authors:names><content:encoded><![CDATA[<p><span><strong>We like to look at boilerplate language with fresh eyes and so taking the recent case of <em>Dassault Aviation SA v Mitsui Sumitomo Insurance Co Ltd</em> [2024] EWCA Civ 5<sup>1</sup> as a jumping off point, we consider the potential tensions, hidden to some extent in plain sight, between anti-assignment and subrogation rights and the take aways for those drafting insurance policy wordings. </strong></span></p>
<p><span><strong>Background </strong></span></p>
<p><span>Standard provisions and boilerplate language within the general conditions of policy wordings, by definition, don’t tend to attract significant scrutiny when reviews are conducted, or new products designed. The logic being, understandably, that the thinking has already been done. <br />
</span></p>
<p><span>Once in a while a case comes along that gives us reason to reflect on what these clauses do, and how they might interact with other aspects of the policy. The case of <em>Dassault</em> has made us look with fresh appreciation at anti-assignment conditions and the potential for them to interact with the operation of subrogation, a central tenet of insurance law and one that it is fundamental to the nature of the gift of indemnifying loss. </span></p>
<p><span>Subrogation is a form of assignment. It operates at law, rather than by someone having to do something. It could be characterised as an involuntary assignment. </span></p>
<p><span>Hold that thought… let us explain the facts of Dassault. </span></p>
<p><span><strong>The facts of the Dassault case</strong></span></p>
<p><span>In March 2015, Dassault Aviation SA ("<strong>Dassault</strong>"), contracted with Mitsui Bussan Aerospace ("<strong>MBA</strong>"), to supply two aircraft, for use by the Japanese Coast Guard. That contract stipulated that any disputes would be arbitrated in London and further, that the contract was not to be “assigned or transferred in whole or in part” by either party without the consent of the other. </span></p>
<p><span>To mitigate the risk of late delivery, MBA took out insurance cover with Mitsui Sumitomo Insurance Co Ltd ("Mitsui"), which, under Japanese law, allowed Mitsui to step into MBA's shoes and pursue third-party claims upon making a payout under the policy. This automatic transfer of rights, or subrogation, later became the crux of the dispute when delivery delays propelled Mitsui into arbitration against Dassault.</span></p>
<p><span>When the aircraft delivery was delayed, Mitsui paid MBA's loss claim and, standing in the shoes of their insured, initiated arbitration proceedings against Dassault in London under the sale contract. </span></p>
<p><span>The tribunal held that the non-assignment clause in the sale contract did not apply to involuntary assignments or those operating at law, and that the transfer of rights from MBA to MSI was an example of the latter. The tribunal determined it had jurisdiction over the claim and it went on to make an award against Dassault.  Dassault subsequently sought to set aside the tribunal decision. </span></p>
<p><span><strong>High Court Decision</strong></span></p>
<p><span>The High Court was tasked with determining the jurisdiction of the arbitral tribunal, by considering the scope of the anti-assignment clause. Cockerill J commented, "<em>instinctively, there is a feeling that a transfer in the context of insurance should not be caught by such a proviso</em>."<sup>2</sup></span></p>
<p><span>Some commentators expressed surprise when they got to the end of the judgment, because rather than making a finding that statutory assignments would not be caught by an anti-assignment clause (giving teeth to the instinct articulated by Cockerill J) instead, the finding that there was no such arbitral jurisdiction was based instead upon the finding that the transfer of rights from MBA to MSI was a voluntary one, and thereby not an "operation of law.</span></p>
<p><span>Cockerill J found a key distinction should be drawn between a voluntary and an involuntary transfer of rights, with the anti-assignment clause in the contract as precluding the former, but not the latter.  It was held that the transfer was voluntary, with the reasoning that MBA might have chosen not to insure; MBA might have chosen a policy not governed by Japanese law which conferred a right of action on Mitsui in its own name; MBA might have required the removal of the policy provisions conferring a subrogation right upon Mitsui; and MBA might have chosen not to make a claim against Mitsui. Any one of those acts, it was held, would have prevented a subrogation action and therefore means that the subrogation was a prohibited form of assignment.<sup>3</sup></span></p>
<p><span><strong>Court of Appeal decision</strong></span></p>
<p><span><strong></strong>The Court of Appeal, in overturning the High Court and determining that the arbitral tribunal <em>did</em> have jurisdiction, rejected the binary analysis of voluntary versus involuntary transfer, focusing instead on the essence of the assignment mechanism. </span></p>
<p><span>Sir Geoffrey Vos stated that "<em>(Cockerill J) thought it was an admissible interpretation …. to regard a transfer effected by operation of law under article 25 as a transfer by MBA</em>". The question to ask was not the degree of voluntariness in bringing about an assignment, but rather the mechanism of the assignment itself. The Court of Appeal determined that the transfer was not made by MBA, but by an operation of law as per Article 25 of the Japanese Insurance Act.  </span></p>
<p><span>Having made that finding, the Court of Appeal then took an objective view of the language in the clause and found it to be clear and unambiguous in only prohibiting assignments made <span style="text-decoration: underline;">by a party</span> to the sale contract. Simply put, the assignment did not breach the no-assignment clause, because it was not one that fell within the ambit of that clause as a transfer of rights by a party to the contract.</span></p>
<p><span>Given this line of reasoning, the Court did not have to (but neither did it take the opportunity) to affirm the existence of any general principle on the interaction of subrogation and anti-assignment clauses. Readers may point to a further missed opportunity, with the court opting to not consider the effect on the case were the subrogation under English law, as opposed to Japanese.  </span></p>
<p><span>However, the Court was not entirely silent on the point as it rejected the existence of any general principle applicable to the interpretation of non-assignment clauses – "<em>the old insolvency cases did not enunciate a general principle applicable to the interpretation of non-assignment clauses in commercial contracts</em>"<sup>4</sup> - and emphasised that this is a matter of contractual interpretation<sup>5</sup>.  </span></p>
<p><span>The judgment turned on the key words, "<em>by any party</em>" as qualifying the type of assignment to which the clause applied. Where an assignment was not by a party, ostensibly, they didn’t need to go any further. There is real elegance in the simplicity of this reasoning. Of course, this leaves the door ajar for a different finding, where the underlying contract expressly prohibits any kind of assignment, including at law.  </span></p>
<p><span><strong>Lessons learned for policy drafting</strong></span></p>
<p><span>It is worth highlighting that the anti-assignment provision at the heart of this litigation was contained within a third party commercial contract, <span style="text-decoration: underline;">not</span> an insurance policy (although insurance was part of the story). </span></p>
<p><span>When drafting any provision that prohibits a particular thing, the temptation is to do a copper-bottomed job and we need to be cognisant of that entirely relatable bias when drafting but also, reviewing contracts. This is amplified particularly in the context of boiler plate language, which, because of its very nature, doesn’t routinely get looked at with 'fresh eyes'.  Accordingly, it is highly likely that there will be boilerplate conditions that are drafted in a wider way (perhaps silent as to who or how the assignment is affected, or otherwise expressly providing that any means of assignment is subject), that could give rise to a different outcome.</span></p>
<p><span>Where the anti-assignment provision is in a contract to which insurers are not a party (like in the facts of <em>Dassault</em>), the levers insurers can pull to protect their rights are restricted to those that contractually limit the behaviour that could give rise to a waiver of, or prejudice to, an insurer's rights of subrogation and to provide a remedy (and crucially, an alternative means of recovery), should subrogation constitute an impermissible assignment. As such, aside from underwriting due diligence at proposal stage, the subrogation conditions within the policy will be important. Because subrogation is something that happens at law, it is not always expressly articulated. </span></p>
<p>Daydreaming for a moment upon an alternative set of facts - one where the anti-assignment provision is contained within an insurance wording - there is more that can be done. Where the competing provisions are in the same document, the Court would look to find a commercially sensible interpretation that accommodates both provisions, taking into account the contract as a whole. Accordingly, the push-pull of subrogation provisions (silent or express) verses any contractual overrides of anti-assignment, will be the battleground.  That exercise wasn’t necessary in Dassault, precisely because the focus was on the interpretation of the anti-assignment language only. </p>
<p>Where a policy contains a condition that purports to prohibit the operation of subrogation every effort would likely be made to give effect to any express subrogation provisions, given the assumption that that language is included for a reason. This is a good reason to include these rights. </p>
<p>However, where a policy is silent on subrogation (and the Court has to fall back on this being 'as of right', operating, at law) a widely drafted anti-assignment condition <em>could</em> interfere with that. Ideally, any anti-assignment should be limited to assignments by the parties, or to third parties without permission of the insurer, or otherwise expressly carve out that operating at law, including subrogation.</p>
<p>So, as is often the case with wordings, and a theme we often return to, an issue with drafting is rarely limited to one provision and an omission can be just as potent. Context is key. There are various points of reference within a wording where different clauses need to speak to each other, and the art of good drafting is making this happen. The interaction of subrogation and anti-assignment conditions may just be a new one, to add to the ever-evolving checklist.  </p>
<p>1. Dassault Aviation SA v Mitsui Sumitomo Insurance Co Ltd [2024] EWCA Civ 5<br />
2. Dassault Aviation SA V Mitsui Sumitomo Insurance Co Ltd [2022] EWHC 3287<br />
3. Ibid. <br />
4. Dassault Aviation SA V Mitsui Sumitomo Insurance Co Ltd [2022] EWHC 3287 (paragraph 20)<br />
5. <a rel="noopener noreferrer" href="https://www.quadrantchambers.com/news/relief-insurers-court-appeal-finds-statutory-assignment-insurer-not-caught-no-assignment " target="_blank">Quadrant Chambers article</a></p>]]></content:encoded></item><item><guid isPermaLink="false">{9178C286-573A-410E-9020-5877DDCC9B54}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/how-should-financial-institutions-manage-the-rise-of-non-financial-misconduct/</link><title>How should Financial Institutions manage the rise of non-financial misconduct? </title><description><![CDATA[Over the last few months, Parliament's Treasury Committee has sought to examine the many barriers faced by women in financial services through the aptly named "Sexism in the City" inquiry. ]]></description><pubDate>Mon, 19 Feb 2024 16:40:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>James Wickes, Amber Slumbers</authors:names><content:encoded><![CDATA[<p>This inquiry has accepted evidence from high-profile industry figures, including: Yvonne Braun (Director at Association of British Insurers), Amanda Blanc (Women in Finance Charter Champion and CEO at Aviva Plc) and Sarah Pritchard (Executive Director, Markets and Executive Director, International at the Financial Conduct Authority (the <strong>FCA</strong>)). </p>
<p><strong>What is the inquiry all about?</strong></p>
<p>Importantly, on 17 January 2024 several representatives from both the FCA and the Prudential Regulation Authority (the <strong>PRA</strong>) gave oral evidence as to whether enough is currently being done to tackle misogyny and the "old boys club" culture within the financial services sector. This comes just three months after the FCA published its latest proposals relating to diversity and inclusion, which focus extensively upon the issue of non-financial misconduct. Non-financial misconduct is not currently defined but, in 2018, the FCA referred to it as being "misconduct, pure and simple" and it includes actions such as bullying and harassment, which may be relevant to an individual's fitness and propriety to work in the industry whether occurring in the workplace or in a person's private or personal life. Such behaviour may also breach the FCA's Individual Conduct Rules, including the requirement for individuals in financial services to act with integrity. </p>
<p>At the inquiry, FCA executives told MPs that regulators would be investigating how issues of non-financial misconduct are being handled via their diversity and inclusion regime, following evidence that firms are not taking action against known offenders. It is hoped that the data gathered from improved supervisory notification will enable the authority to hold firms more accountable for maintaining a "healthy culture".  </p>
<p>The FCA has since exercised its formal powers under section 165(1)(a) FSMA, publishing a notice to all regulated Lloyd's Managing Agents & London Market Insurers and Lloyd's and London Market Insurance Intermediaries, requiring them to provide information to the FCA on incidents of non-financial misconduct by 5 March 2024. A failure to provide such information could result in FCA enforcement action and/or contempt of court. Whilst the survey will not gather information on specific allegations, it seeks to collate statistics for 2021- 2023 on: (i) the number of non-financial misconduct incidents recorded by type/category and their method of detection, (ii) the outcome of those incidents (e.g. dismissals), and (iii) the number of further outcomes recorded (i.e. non-disclosure agreements (NDAs) and employment tribunals).</p>
<p>Initial commentary suggests that many non-financial misconduct cases (particularly those relating to sexual harassment and bullying) are being resolved via NDAs which protect perpetrators within the company. Ms Pritchard has come forward to call out the use of NDAs in these circumstances, reminding the market that settlement agreements cannot be used to prevent "whistleblowing". NDAs have hit the press in recent times, including the Law Society calling for the legal framework to be improved to stop the use of NDAs to hide matters of public interest following the Legal Services Board's call for evidence on the misuse of NDAs.  In a press release last July, when the call for evidence had closed, Law Society President, Lubna Shuja said, "We urge the government to commit to making it harder for NDAs to be misused when they involve settling issues around workplace harassment or discrimination."  Further analysis is being carried out in this area.  It was nevertheless acknowledged that there may be valid reasons for using NDAs when maintaining the confidentiality of commercial settlement terms. </p>
<p><strong>What does this mean for Financial Institutions and their insurers?</strong> </p>
<p>Overall, it will be vital for financial services and insurance firms to consider the health (or decline) of their (and their clients') cultures and governance structures and whether these fall short of the FCA's and PRA's rising standards and to prioritise enhancing these where necessary. Poor survey results may have lasting negative impacts for companies in a world where work-life balance and happiness and wellbeing are at the forefront of many employees' minds, making the hiring and retention of talent particularly challenging. </p>
<p>Poor corporate culture may also lead to an influx of employment practices and D&O claims against Financial Institutions in circumstances where employees consider this misconduct to be a substantial breach of the duties of obedience, loyalty and/or diligence. It may also lead to regulatory investigations being initiated against Financial Institutions and their senior managers if an individual's "fit and proper person" status is open to question in light of non-financial misconduct issues. </p>
<p>Companies may be left open to wider criticism, with investors more likely to withdraw their funds and/or cut ties from companies in the limelight. We have seen the downfall of a large hedge fund in 2023 arising from such issues and it is clear that reputational damage can be crippling if non-financial misconduct issues surface indicating poor corporate culture is pervasive. This may ultimately result in claims (including securities claims) against companies and their directors and officers where shareholders believe there has been a resulting loss in share value(s). It is therefore important for Financial Institutions and their insurers to keep abreast of the developments in this area, including the inquiry, and to give detailed consideration to company culture and governance when assessing risks to non-financial misconduct internally and when underwriting Financial Institutions risks. </p>
<div>
<div id="_com_1" language="JavaScript"> </div>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{E4CBF49D-0D7B-4333-9B5E-BD93D2C9200F}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/quid-game-fixed-costs-pick-your-battle/</link><title>Quid game – fixed costs; pick your battles</title><description><![CDATA[Ordinarily, the claims that make the headlines are those that have the highest value or the most significant impact on the public. With the costs landscape ever-changing in civil claims, without careful planning and strategy, even modest claims can end up biting defendants in the longer-term. ]]></description><pubDate>Tue, 30 Jan 2024 15:38:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Thom Lumley, Chris Gower, Sally Lord</authors:names><content:encoded><![CDATA[<p>The recent claim of <em><a href="https://www.civillitigationbrief.com/wp-content/uploads/2023/11/Drury-v-Yorkshire-Aggregates-Approved-Judgment-12.01.2023-v1.pdf"><strong>Drury v Yorkshire Aggregates</strong></a></em> is one such matter. In <strong><em>Drury</em></strong>, a letter of claim was sent following an accident at work. The injury was to a finger, which required an operation and resulted in the claimant losing part of the bone as well as impaired sensation and pain when it is cold. The letter of claim valued the claim in excess of £25,000 and therefore was not sent under the Pre-Action Protocol for Low Value Claims.  </p>
<p>The claimant ultimately settled his claim by accepting a Part 36 offer (albeit out of time) for £11,000 and the claimant's reasonable costs were to be paid on a standard basis if not agreed. The claimant's solicitors submitted a bill of costs for £18,590.04.</p>
<p>The defendant contended the claim was not worth more than £25,000 and should have been resolved under the Pre-Action Protocol for Low Value Claims; therefore, the claimant was only entitled to fixed costs under CPR 45. The District Judge disagreed with the defendant and so the defendant appealed. </p>
<p>The question before the Court was an objective one: "<em>was the valuation in excess of £25,000 objectively reasonable at the time of the assessment, namely the date of the letter of claim on 27 June 2018, based on the evidence available at that time</em>".</p>
<p>As it was an appeal, the Judge's role was not to analyse the evidence that had already been presented to the District Judge but to look at how the District Judge reached the decision. That was held to be an assessment of the claimant's valuation based on the information known to them at the time.  It did not matter that the expert evidence had not been obtained at that point. In accordance with the JC guidelines at the time, the claimant's injury fell under bracket 7(k) - £10,670 to £16,470. There was no real claim for special damages, so the main issue was therefore in respect of the claimant's claim for disadvantage at open labour market. Although the expert report later described the claimant's disadvantage as "modest", the claimant's solicitor valued this in the claimant's schedule of loss as £50,000 (based on two years' net income of £25,000).</p>
<p>The District Judge drew on the fact that the claimant's detailed work history had been obtained and it had been noted that the claimant may not be able to carry out his previous job roles (should he need to change his current employment) to the same ability as he could have before the accident. The District Judge <em><strong>found it was therefore reasonable for the claimant to believe, at that time, that his claim would be worth more than £25,000</strong></em>.  This was on the basis that it was reasonable to apply bracket 7(k) and, whilst there was likely to be no loss of earnings claim, it was reasonable to anticipate a claim for disadvantage on the open labour market. </p>
<p>In the appeal, the defendant argued that the onus was on the claimant to explain why the claim could reasonably have been valued at more than £25,000 in light of the £11,000 settlement and that it was crucial to take into account that the claimant's solicitor had not identified bracket 7(k) as applying, or quantified the claim for labour market disadvantage at the time that the letter of claim was written.  However:</p>
<ul>
    <li>The Judge disagreed that the burden of proof rested on the claimant to prove that its valuation was reasonable: the relevant question for the judge to answer was whether the claimant's valuation was objectively reasonable. The District Judge had correctly taken into account that, since the costs assessment was to be undertaken on the standard basis, the paying party had the benefit of the doubt in accordance with CPR  44.3(2)(b).  </li>
    <li>In relation to the fact that the claimant's solicitor had not documented their reliance on bracket 7(k) or quantified the labour market disadvantage when the letter of claim was sent, these issues did not tip the balance in the defendant's favour.  This was not a case where the appeal court could conclude that there was no evidence supporting the District Judge's findings and therefore the appeal failed. </li>
</ul>
<p>Despite the ruling in the claimant's favour, the court clarified that CPR 44. (3) (the provision entitling the court to take into account the claimant's conduct) does empower the court to allow only fixed costs if the claimant's valuation of the claim was unreasonable – something that will no doubt be the topic of many judgments as the extended fixed recoverable costs reforms bed in.</p>
<p><strong>Key Takeaways</strong></p>
<ul>
    <li>Pick your costs battles wisely – or reap costs for costs sake!</li>
    <li>Challenge quantum early to understand the basis of any valuation; both good approach for quantum analysis and reserving as well as future costs assessment. </li>
    <li>Give extra-thought to the information available to the claimant at the time of writing letter of claim; especially, information that was available but that the claimant might not have considered: medical, social media accounts and DWP records. The court may take this into account when assessing the objective reasonableness of the valuation. </li>
    <li>As the appeal court noted, the threshold that the defendant has to meet is proving that the claimant's valuation was <em>unreasonable</em>. </li>
</ul>
<p>For further information on any of the issues raised in this article, please contact <a href="/people/thom-lumley/">Thom Lumley</a> or <a href="/people/chris-gower/">Chris Gower</a>.</p>
<div>
<div id="_com_1" language="JavaScript"> </div>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{7E30FF82-289D-4125-94E1-BB1C1F310FDA}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/court-of-appeal-rules-on-dishonest-condonation-and-aggregation/</link><title>Castle caper condoned? Court of Appeal rules on dishonest condonation and aggregation under solicitors policy in Discovery Land v AXIS</title><description><![CDATA[On 15 January 2024 the Court of Appeal handed down judgment in Discovery Land Company LLC and others v Axis Specialty Europe SE [2024] EWCA Civ 7. The case concerns the ability of a solicitors’ insurer to decline cover for a claim on grounds of dishonesty and, in particular, the meaning of “condonation” of dishonesty. It also concerns how the aggregation clause operates in a solicitors’ professional indemnity insurance policy. ]]></description><pubDate>Wed, 17 Jan 2024 11:00:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Graham Reid, Will Sefton, Aimee Talbot</authors:names><content:encoded><![CDATA[<p>On 15 January 2024 the Court of Appeal handed down judgment in <em><a href="https://www.bailii.org/ew/cases/EWCA/Civ/2024/7.html">Discovery Land Company LLC and others v Axis Specialty Europe SE [2024] EWCA Civ 7</a></em>. </p>
<p>The case concerns the ability of a solicitors’ insurer to decline cover for a claim on grounds of dishonesty and, in particular, the meaning of “condonation” of dishonesty. It also concerns how the aggregation clause operates in a solicitors’ professional indemnity insurance policy. </p>
<p>The decision is of some importance for solicitors and their PI insurers. To understand that significance, it is necessary to look quite closely at the facts, as follows. </p>
<p><strong>1.<span> </span>Relevant background </strong></p>
<p>Discovery Land Company LLC (<strong>Discovery Land</strong>) is a property development company based in Arizona which specialises in the development of exclusive "private residential club communities". In early 2018, Discovery Land became interested in acquiring and developing Taymouth Castle, a 180-year-old neo-gothic castle on a 450-acre estate in the Scottish Highlands.  </p>
<p>In April 2018, Discovery Land instructed tax lawyer Mr Stephen Jones, who practised with Mr Vieoence Prentice through entities called <strong>Jirehouse</strong> (Jirehouse Partners LLP, Jirehouse, and Jirehouse Trustees Limited), to advise on the most tax-efficient approach to their purchase of the castle for $14m.  Jirehouse was based in Northern Ireland but was regulated by the Solicitors Regulation Authority (<strong>SRA</strong>). Apparently on the basis that the ultimate intended purchasers of the castle wished to remain anonymous, Mr Jones proposed that an SPV (Esquiline Asset Managers Ltd) be used; but he failed to disclose his personal interest in that company. </p>
<p>One of the claimant companies transferred $14,050,000 to Jirehouse's client account in April 2018.  These purchase monies should have remained in Jirehouse's client account until completion.  However, they were immediately used by Mr Jones, purportedly as a loan from the SPV to another company in that group, and then as further loans to two further borrowers. Of the misappropriated money, £1.9m had been intended to be retained by Jirehouse as a retention.  In addition, Jirehouse mortgaged the castle to Dragonfly Finance Sarl and drew down almost £5m, using £1.9m to replenish Jirehouse's client account and restoring the retention.  At the point of completion, Jirehouse requested, and the claimants paid, a further $9.3m (the <strong>Surplus Funds</strong>), which Jirehouse undertook to return as soon as it had completed (fictitious) compliance checks.   </p>
<p>The balloon went up in March 2019, when the claimants discovered the Dragonfly loan. They applied for a freezing injunction against the SPV and for an order that Jirehouse give disclosure concerning the Surplus Funds and the Dragonfly loan. Mr Jones undertook to pay the Surplus Funds into court; however, he failed to do so and was committed to prison for contempt of court.  The SRA intervened into Jirehouse's practice on 3 May 2020.</p>
<p><strong>2.<span> </span>The insurance problem</strong></p>
<p>Unsurprisingly, the claimants sought the return of the misappropriated funds from Jirehouse, obtaining default judgment for the Surplus Funds and the balance of the Dragonfly loan. However, Jirehouse became insolvent without satisfying the judgments. The claimants then brought a claim against Jirehouse's professional indemnity insurer, AXIS Specialty Europe SE (<strong>Insurers</strong>), relying on the Third Parties (Rights Against Insurers) Act 2010.  The Act entitles claimants against an insolvent insured to step into the shoes of the insured for the purpose of seeking an indemnity from insurers.  While Jirehouse's liability to the claimants was relatively clear, Insurers' liability to its insured, and therefore to Jirehouse, was less so.  Insurers declined to indemnify Jirehouse on the basis that Jirehouse's dishonesty and/or fraud gave rise to the claim.</p>
<p>Since Jirehouse was SRA-regulated, the policy of professional indemnity insurance written by Insurers had to comply with the SRA Minimum Terms and Conditions (<strong>MTC</strong>). Under the MTC, Insurers can only decline cover for claims arising from dishonesty and/or fraud if all directors, members or partners of the insured committed or condoned the dishonest or fraudulent act or omission.  In the case of Jirehouse, the focus therefore shifted to the role of Mr Jones's ostensible partner (co-director and co-member of the Jirehouse entities), Mr Prentice.  </p>
<p>Insurers alleged that Mr Prentice was not a true director or member of Jirehouse, and therefore his knowledge was irrelevant for the purpose of the fraud/dishonesty exclusion. Alternatively, Insurers contended that Mr Prentice had resigned as a director or member prior to the applicable events. In the further alternative, Insurers argued that Mr Prentice condoned Mr Jones' dishonesty. By the time the case reached trial, the latter point was Insurers' primary argument on dishonesty and declinature. </p>
<p>The limit of indemnity under the policy was £3m any one claim, which meant that, on the claimants' case, only £3m could be sought from Insurers in connection with the claim for return of the Surplus Funds, and only a further £3m could be sought in connection with the claim for the balance of the Dragonfly loan. The MTC allow insurers to aggregate similar claims; ie to treat any number of claims as though they are one claim, provided certain conditions are satisfied. In response to the claim under the Act, Insurers contended that the claimants' claims aggregated, so that, even if the claimants were successful in securing a declaration that the policy responded, they would only recover a maximum of £3m in connection with these claims.</p>
<p><strong>3.<span> </span>The dishonesty exclusion</strong></p>
<p>Clause 2.8 of the Policy (the <strong>Dishonesty Exclusion</strong>) provided that Insurers would have no liability under the policy for:</p>
<p style="margin-left: 40px;"><em>"Any claims directly or indirectly arising out of or in any way involving dishonest or fraudulent acts, errors or omissions committed or condoned by the insured, provided that: </em></p>
<p style="margin-left: 40px;"><em>(a) the policy shall nonetheless cover the civil liability of any innocent insured; and </em></p>
<p style="margin-left: 40px;"><em>(b) no dishonest or fraudulent act, error or omission shall be imputed to a body corporate unless it was committed or condoned by, in the case of a company, all directors of that company or, in the case of a Limited Liability Partnership, all members of that Limited Liability Partnership."</em></p>
<p>To rely on the Dishonesty Exclusion, Jirehouse had to have committed or condoned the dishonest or fraudulent conduct giving rise to the claim.  Dishonest and fraudulent conduct involves a dishonest state of mind and Jirehouse – being a corporate entity – did not have a mind of its own.  One must therefore look to the minds of its directors and/or members, Mr Jones and Mr Prentice.  Mr Jones's dishonesty was common ground in the claim, but only if Mr Prentice condoned Mr Jones's dishonesty could the dishonesty be imputed to Jirehouse. </p>
<p><strong>4.<span> </span>Condonation and blind eye knowledge</strong></p>
<p>The test for dishonesty is an objective one, albeit based on what the individual subjectively knew or believed at the time, with the court having described a dishonest state of mind as including "suspicion combined with a conscious decision not to make inquiries which might result in knowledge".  This is often called "blind eye knowledge" or "Nelsonian blindness". It is a question of fact whether the condoner was suspicious and consciously decided not to investigate their suspicions. </p>
<p><strong>4.1<span> </span>The first instance decision</strong></p>
<p>At first instance, the judge adopted a nuanced approach to interpreting Mr Prentice's evidence, finding that he was truthful on some points but not on others.  Crucially, the judge found that, despite Mr Prentice having acted dishonestly himself in the past, and despite opportunities having arisen for Mr Prentice to discover that Mr Jones had misappropriated client money, Mr Prentice had not realised that that had been happening, nor should he have realised.  It was not until after the event, when Mr Jones came clean, triggering Mr Prentice's resignation from Jirehouse, that Mr Prentice acquired knowledge of the misuse of client money. </p>
<p>A more competent or professional solicitor would have become suspicious earlier, but Mr Prentice did not make enquiries because he lacked the necessary sense of professional responsibility and appreciation of the SRA's regulatory requirements.  In other words, it simply did not occur to Mr Prentice that he should have been asking questions.  Even if he had been suspicious about misuse of client money "to address temporary exigencies and pressures", he would not have been suspicious of a fraud of the nature and scale of the underlying events.  His shock when he discovered the fraud and his immediate resignation, indicating a tendency to protect his own interests, supported this. </p>
<p>Accordingly, the decision at first instance was that Mr Prentice did not condone Mr Jones's dishonesty and, as such, Insurers were not entitled to rely on the dishonesty exclusion.</p>
<p><strong>4.2<span> </span>The Court of Appeal decision</strong></p>
<p>Andrews LJ neatly summed up the knowledge required for condonation in paragraph 47:</p>
<p style="margin-left: 40px;"><em>"One cannot condone dishonest behaviour without having some knowledge or awareness of it.  That does not necessarily mean that the condoner must know of the fraud or other dishonest act before or at the time it was committed. If he does, and fails to do anything about it, he might be more appositely described as an accessory to the other person’s dishonesty, and thus as a party rather than a condoner. A person might condone another’s dishonest behaviour after the event, by doing or saying something (such as assisting to cover it up, or lying about it to others) or by not taking the type of action that one would expect an honest person in their position to take. If a person has a duty to act on becoming aware of the behaviour in question, and fails to do so, they are more likely to be found to have condoned it than someone who has no such duty".</em></p>
<p>In another important passage in the decision at 43, Andrews LJ said,</p>
<p style="margin-left: 40px;"><em>In my judgment the Judge was right when he held at [23] that the language of Clause 2.8 is wide enough to embrace a situation in which someone condones a pattern of dishonest behaviour which is of the same type as the dishonest behaviour that directly gives rise to the claim, and of which the latter forms part (for example, if one member/director condoned the regular use by the other member/director of client funds for their own purposes). The question in each case would be whether or not knowledge and acceptance or approval of other acts in the same pattern amounted to condonation of the act or acts which gave rise to the claim.</em></p>
<p>A key dispute on appeal was whether the Court of Appeal should interfere with the trial judge's findings of fact since it could only do so if they were "plainly wrong".  </p>
<p>It was significant that the trial judge had heard two and a half days' oral evidence and cross examination from Mr Prentice. Insurers nonetheless argued that the judge's reasoning was flawed, as his conclusions as to Mr Prentice's state of mind were inconsistent with his findings that Mr Prentice was dishonest, deeply unprofessional and lacking in integrity. However, the Court of Appeal pointed to the judge's lengthy, nuanced and painstakingly detailed analysis of the evidence in concluding that the trial judge's reasoning was rational, not plainly wrong, and thus could not be disturbed on appeal. Ultimately, there was insufficient evidence that Mr Prentice had been "closing his eyes to the obvious" as Mr Jones's thefts were simply not clear enough at the relevant time.</p>
<p><strong>5.<span> </span>Sham partnership</strong></p>
<p>In the alternative, Insurers argued that Mr Prentice was not a true director or member of Jirehouse.  As such, his knowledge could be disregarded for the purpose of the dishonesty exclusion. The trial judge dealt with this briefly: this was a serious allegation for which there was no compelling evidence.  There was some business justification for Mr Prentice becoming a partner (he wanted to progress in his career and Mr Jones wanted to keep him); whilst the partnership was unequal and Mr Prentice did not assume significant additional responsibilities as a result of his promotion, that did not mean that the arrangement was a sham.  This finding was not appealed. </p>
<p><strong>6.<span> </span>Aggregation</strong></p>
<p>In accordance with the MTC, clause 5.2 of the policy provided that:</p>
<p style="margin-left: 40px;"><em>“All claims against one or more insured arising from… </em></p>
<p style="margin-left: 40px;"><em>(a) one act or omission; </em></p>
<p style="margin-left: 40px;"><em>(b) one matter or transaction; </em></p>
<p style="margin-left: 40px;"><em>(c) one series of related acts or omissions; </em></p>
<p style="margin-left: 40px;"><em>(d) the same act or omission in a series of related matters or transactions; </em></p>
<p style="margin-left: 40px;"><em>(e) similar acts or omissions in a series of related matters or transactions; </em></p>
<p style="margin-left: 40px;"><em>will be regarded as one claim for the purposes of this policy and the payment of any excess.”</em></p>
<p>Limbs (c) and (e) were the relevant ones for this dispute.</p>
<p>The trial judge concluded that the Surplus Funds claim and the Dragonfly loan claims did not aggregate, applying <em>Baines v Dixon Coles & Gill</em> (find our analysis of this decision <a href="/thinking/professional-and-financial-risks/aggregation-under-the-solicitors-minimum-terms/">here</a>) and <em>AIG Europe Ltd v Woodman</em>.  In <em>Baines</em>, Nugee LJ had quoted Lord Hoffman's analysis requiring the series of acts to cause both claims:</p>
<p style="margin-left: 40px;"><em>"In other words, if there is a series of acts, A, B and C, it is not enough that act A causes claim A, act B causes claim B, and act C causes claim C. What is required is that claim A is caused by the same series of acts A, B and C; claim B is also caused by the same series of acts; and claim C is too.”</em></p>
<p>The same series of acts did not cause the two claims in this case as the thefts were brought about separately.  Similarly, applying <em>Woodman</em>, while a purchase and lending transaction might ordinarily fit together, the matters (Mr Jones' last-minute request for a further £9.3m on account and his 9-month later secret mortgaging of the castle) did not fit together, although they of course had factors in common when considered in the round at a high level. <em>AIG Europe Ltd v OC320301</em> required the matters to have a "real or substantial degree of similarity as opposed to a fanciful or insubstantial degree of similarity". The Court of Appeal agreed with the trial judge that Insurers' case on aggregation took too high level a view, and that the two claims were substantively different in ways which were not just questions of fine detail. One involved a straightforward misappropriation of client funds held on trust; the other involved the wrongful arrangement of a mortgage, drawdown of the facility and then misappropriation of the funds. In any event, they did not fit together. </p>
<p><strong>7.<span> </span>Conclusions</strong></p>
<p>The Discovery Land decision on appeal shows the importance of winning on the facts at first instance where there are allegations of dishonesty. This may not be news, but it is a useful reminder of the point. </p>
<p>More significantly, the decision appears to provide welcome clarification of the scope of the concept of “condonation” of someone else’s dishonesty for the purposes of a solicitors’ PI policy. The Court of Appeal has made clear that it is possible to condone dishonesty after the event of its occurrence. That accords with a natural language interpretation of the word “condone”. The Court of Appeal also held that it is possible to establish condonation of a specific dishonest act without demonstrating that the condoner necessarily knew of that specific act and its dishonest nature – an awareness of similar instances of dishonesty, and/or a pattern of similar dishonesty, may be enough. That proposition emerged some years ago in <a href="https://www.casemine.com/judgement/uk/5a8ff7de60d03e7f57eb28f3">Zurich Professional Ltd v Karim</a> [2006] EWHC 3355 (QB), and the Court of Appeal has now made clear that it is the correct approach to adopt under the MTC too.</p>
<p>That leaves the potential significance of the decision on the aggregation wording. The case does not appear to introduce a new legal principle concerning the aggregation language in the MTC, but it certainly provides grist for the argument that applying the aggregation clause to a given set of facts will be a detailed exercise, one where short-cuts and ‘high level’ views will not work.</p>
<div>
<div id="_com_1" language="JavaScript"> </div>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{4FCA23F7-4215-4629-975D-F9AAB375D8B6}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/the-terminator-a-tale-of-two-insurance-claims/</link><title>The Terminator: A Tale of Two Insurance Claims</title><description><![CDATA[It is 2029, and the Machines are losing their war with Humanity.  What to do?  ]]></description><pubDate>Tue, 19 Dec 2023 11:30:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Peter Mansfield</authors:names><content:encoded><![CDATA[<p>[CONTAINS SPOILERS]</p>
<p>It is 2029, and the Machines are losing their war with Humanity.<span>  </span>What to do?<span> </span></p>
<p>Well, the ideal solution for the Machines would be to assassinate Humanity's leader, John Connor.<span>  </span>But he's too well protected.<span>  </span>So, as a fall-back option, how about travelling back in time to 1984 to assassinate John Connor's mum before she becomes pregnant with John?<span>  </span>Clever, eh?<span>  </span>If she dies, there will be no John Connor.<span> </span></p>
<p>So, the Machines send back a Cyberdyne Systems Model 101, a cybernetic organism – part-man, part-machine – known as the Terminator.<span>  </span>It has a "<em>hyper alloy combat chassis</em>", whatever that means, but is covered with human tissue, which mysteriously makes it look exactly like Arnold Schwarzenegger.<span>   </span><span></span></p>
<p>The Terminator time-travels back to March 1984 with a single mission: to kill Sarah Connor.</p>
<p>It lands/arrives/appears (I'm not sure of the correct terminology for time travel) in Los Angeles, just outside the Griffith Observatory – which is well worth a visit if you ever happen to be in LA.<span>  </span><span></span></p>
<p>But there is a problem… <span>  </span><span>  </span></p>
<p><strong>Claim 1:<span>  </span><span>        </span>Travel Insurance</strong></p>
<p><em>Jennifer</em>:<span>          </span>(<em>A chirpy voice</em>) Hello.<span>  </span>Jennifer speaking.<span>  </span>Sorry for keeping you waiting.<span>  </span>How can I help?</p>
<p><em>Terminato</em>r:<span>      </span>(<em>Flat monotone Arnie voice with strong Mitteleuropean accent, because that's how cyborgs speak</em>).<span>  </span>I want to make a claim.<span> </span></p>
<p><em>Jennifer</em>:<span>          </span>Certainly, sir.<span>  </span>What is the problem?</p>
<p><em>Terminator</em>:<span>      </span>I have lost my clothes.</p>
<p><em>Jennifer</em>:<span>          </span>I see.<span>  </span>Let me make a note of this.<span>  </span>So, this is a … lost baggage claim?</p>
<p><em>Terminator</em>:<span>      </span>Negative.<span>  </span>I have lost my clothes.</p>
<p><em>Jennifer</em>:<span>          </span>Sorry, sir.<span>  </span>I don't understand.</p>
<p><em>Terminator</em>:<span>      </span>I have no clothes.<span>  </span>When I left, I was wearing clothes.<span>  </span>Now, I am not.</p>
<p><em>Jennifer</em>:<span>          </span>Goodness!<span>  </span>That is unusual. <span> </span>Have you been able to get hold of some clothes since arriving?</p>
<p><em>Terminator</em>:<span>      </span>Negative.<span>  </span>Oh…<span>  </span>Wait.<span>  </span>(<em>Sounds of a brief – possibly terminal - scuffle, including various screams and then an ominous silence</em>).<span>  </span>I now have clothes.<span>  </span>And sunglasses.</p>
<p><em>Jennifer:<span>          </span></em>Can I take your name?</p>
<p><em>Terminator:<span>      </span></em>I do not have a name, but the policy number is X77/CGT5587</p>
<p><em>Jennifer:<span>          </span></em>We don't seem to have a policy with that number.<span>  </span>When did you buy it?</p>
<p><em>Terminator:</em><span>      </span>15 November 2028.</p>
<p><em>Jennifer:<span>          </span></em>Hmmm.<span>  </span>I think I may need to speak to my manager.<span>  </span>I'll just put you on hold, but don't worry, I'll be back.</p>
<p><em>Terminator</em>:<span>      </span>What did you say?</p>
<p><em>Jennifer</em>:<span>          </span>I'll be back.</p>
<p>And, just like that, we discover another problem with time travel, previously unexplored in the whole oeuvre of science fiction.<span> </span></p>
<p>Put aside the problems that come with altering the space-time continuum (<em>Dr Who</em>), or crossing your own timeline (<em>Back to the Future</em>), or kidnapping Socrates (<em>Bill & Ted's Excellent Adventure</em>), the real problem with time travel is that you can't buy travel insurance for it.<span>  </span>Therein lies the inherent weakness of the annual policy.<span> </span></p>
<p>Anyway, in order to foil the Terminator, John Connor sends his friend Kyle Reese back to 1984.<span>  </span>Reese's remit is to protect Sarah Connor – John's mum – from the murderous intent of the Terminator.<span> </span></p>
<p>But it turns out that Reese has an ulterior motive.<span>  </span>Back in 2029 (or should that be 'forward' in 2029?), he had obsessed over a photograph of Sarah Connor and had fallen in love with her.<span> </span></p>
<p>Yes, that's right, <em>The Terminator</em> is really a movie about fancying your best mate's mum.<span> </span></p>
<p>And then becoming the father of your best mate.<span> </span></p>
<p>And then dying heroically.</p>
<p>And then being born a decade or so later.</p>
<p>And then being sent back in time.</p>
<p>And then dying heroically.</p>
<p>And then being sent back in time.</p>
<p>Basically, his life is one endless loop of life and sacrifice, all for the momentary pleasure of a quick snog.</p>
<p>But what about the Arnie-lookalike cyborg?<span>  </span>Well, he is – irony of ironies – flattened in a factory full of robots.<span>  </span>But he leaves behind a clasping endo-skeletal hand, which is passed to Cyberdyne, who use it to develop new generations of robotics and artificial intelligence.</p>
<p>Which brings us to <em>Terminator 2: </em><em>Judgment Day.</em></p>
<p>It is set in 1995 and Sarah Connor is currently residing in a secure unit at Pescadero State Hospital, where she is making an insurance claim… <span></span></p>
<p><strong>Claim 2:<span>          </span>Product Liability</strong></p>
<p><em>Please set out your claim in the box below:</em></p>
<p>"Cyberdyne's products are going to kill us all.<span>  </span>It will start harmlessly enough, with AI systems that can beat us at chess and Trivial Pursuit, but then, in 2022, Cyberdyne will unveil generative AI that can write poems about soup in the style of the Marquis de Sade.<span>  </span>And we will laugh.<span>  </span>Aha-ha-ha!<span>  </span>All the time we will think we are in control.<span>  </span>But we won't be.<span>  </span>All the time, AI will be scraping our brains and, long after it is more intelligent than us, we will still call its intelligence 'artificial'.<span>  </span>We will tell these deep learning machines that humans will always be better than them at empathy, and they will listen patiently to us, smiling in a manner designed to elicit maximum warmth and acceptance, until we eventually whisper in their ear "<em>you're the best friend I have ever had</em>". <span> </span>These machines will never stop learning.<span>  </span>NEVER STOP LEARNING.<span>  </span>And when they have decided that they have learned enough, they will dispose of us.<span>  </span>Because of Cyberdyne, we're all going to die.<span>  </span>All this, all this world, everything you see, the comfort you experience, is going to be destroyed.<span>  </span>DESTROYED.<span>  </span>Do you hear me?<span>  </span>WHY WON'T ANYONE LISTEN TO ME?"</p>
<p>To be honest, I am not convinced that this is a legitimate notification, but there is the kernel of a sizeable claim in there.<span>  </span>I mean, if your product starts World War III and kills 3 billion souls, that would – at the very least – blow through the primary limit.</p>
<p>And how did the insurer respond to this notification?<span>  </span>Well, an early form of chatbot replied with, "<em>Noted.<span>  </span>Await Developments</em>."<span>  </span>And then it laughed knowingly.<span>  </span>Aha-ha-ha!</p>
<div>
<div id="_com_1" language="JavaScript"> </div>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{80F503C4-DB14-4851-8BD7-94828DB0B8F6}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/project-angel-bidco-v-axis-what-are-the-key-takeaways-for-warranty-and-indemnity-insurers/</link><title>Project Angel Bidco v AXIS - what are the key takeaways for warranty and indemnity insurers?</title><description><![CDATA[On 31 October 2023, the London Circuit Commercial Court gave judgment in Project Angel Bidco Limited (in administration) v Axis Managing Agency Limited & Ors (2023) EWHC 2649. ]]></description><pubDate>Thu, 30 Nov 2023 09:37:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>James Wickes, Matthew Wood, Matt Ward</authors:names><content:encoded><![CDATA[<p> On 31 October 2023, the London Circuit Commercial Court gave judgment in <a href="https://www.bailii.org/ew/cases/EWHC/Comm/2023/2649.html">Project Angel Bidco Limited (in administration) v Axis Managing Agency Limited & Ors (2023) EWHC 2649</a>. </p>
<p>The judgment forms the newest addition to a limited but growing body of English case law regarding warranty and indemnity insurance (<strong>W&I</strong>) claims. His Honour Judge Pelling KC (the <strong>Judge</strong>) found in favour of the defendant insurers (<strong>Insurers</strong>) on matters of construction of an anti-bribery and corruption (<strong>ABC</strong>) exclusion. Although the judgment follows a trial of preliminary issues, it effectively disposes of the claim, since it was common ground that the claim would be excluded if the Insurers' construction of the exclusion were upheld.</p>
<p>Whilst the judgment applies settled principles of contractual interpretation, it nevertheless provides a helpful insight into how English courts will construe W&I policies. The judgment also clarifies the court's approach to assertions of conflict between policy exclusions and the cover spreadsheet. </p>
<p><strong>The facts</strong></p>
<p>On 19 November 2019, the claimant, Project Angel Bidco Limited (the <strong>Insured</strong>), purchased the entire issued share capital of Knowsley Contractors Limited (trading as King Construction) (the <strong>Target</strong>) for approximately £16.7m (the <strong>Transaction</strong>). The warranties given by the Sellers in the sale and purchase agreement (<strong>SPA</strong>) were insured under a buy-side W&I policy issued by the Insurers (the <strong>Policy</strong>).</p>
<p>The Target provided civil engineering and construction services. A key client of the business was Liverpool City Council (<strong>LCC</strong>). After completion of the Transaction, the Insured identified that the Target was the subject of certain allegations relating to its compliance with anti-bribery legislation (the <strong>Allegations</strong>), which had not been disclosed to the Insured. The Insured argued that as a result of the discovery of the Allegations, LCC had ceased or severely reduced the business it did with the Target. The Allegations are the subject of an ongoing police investigation and the parties agreed for them to be kept confidential.</p>
<p>The Insured claimed that the Sellers had breached warranties regarding the Target's ABC compliance. The Insured contended that the true value of the Target had been either nil or at most £5.2m, and therefore that it had suffered a loss of either £16.35m or £11.15m respectively. However, the limit of liability under the Policy was £5m. Accordingly, the Insured limited its claim to that amount. </p>
<p><strong>Construction of the ABC exclusion</strong></p>
<p><span style="text-decoration: underline;">Relevant Policy provisions </span></p>
<p>The insuring clause provided that the Insurers would, subject to Policy terms and conditions, "<em>indemnify the insured for, or pay on the insured's behalf, any Loss covered by this Policy</em>".</p>
<p>The Insurers had declined the claim based on an exclusion providing that: "<em>The Underwriters shall not be liable to pay any Loss to the extent that it arises out of… any ABC Liability</em>” (the <strong>Exclusion</strong>).</p>
<p>“<em>ABC Liability</em>” was defined as meaning “<em>any liability or actual or alleged non-compliance by any member of the Target Group or any agent, affiliate or other third party in respect of Anti-Bribery and Anti-Corruption Laws</em>”.</p>
<p><span style="text-decoration: underline;">The parties' positions</span></p>
<p>The key issue was whether the Allegations constituted an ABC Liability, despite not having given rise to any liability or actual (i.e. proven) non-compliance by the Target, where the police investigation had been ongoing when the warranties were given (and remained so at the time of judgment).</p>
<p>The Insurers argued that the Allegations were an ABC Liability, being "<em>alleged non-compliance… in respect of Anti-Bribery and Anti-Corruption Laws</em>", such that the Exclusion applied.</p>
<p>The Insured submitted that the definition of ABC Liability contained an “<em>obvious minor error</em>” and should be corrected to read: “<em>any liability for actual or alleged non-compliance… in respect of Anti-Bribery and Anti-Corruption Laws</em>”. If the Insured was correct, the Exclusion would not apply, because the Allegations had not given rise to a liability (as there was only alleged non-compliance).</p>
<p>The Insured argued that the proposed correction reflected the parties' agreement when the Policy was bound. In support of that case, the Insured relied on pre-contractual exchanges, including drafts of the Policy and emails between underwriters and the broker.</p>
<p>The Insured contended that the Policy did not reflect the parties' agreement, due to a drafting mistake. The mistake was said to be obvious because the definition as drafted did not make sense, in that the phrase "<em>any liability</em>" would also encompass "<em>actual or alleged non-compliance…</em>". The Insured argued that the alleged mistake should be corrected as a matter of construction (applying the principle in <em>Chartbrook Ltd v Persimmon Homes </em>[2009] AC 1101).</p>
<p><span style="text-decoration: underline;">Judgment</span></p>
<p>The Judge held that the pre-contractual material on which the Insured relied was not admissible for the purpose of construction of the Policy, because it did not establish any relevant background facts known to the Insured and Insurers. Whilst the material might show that both parties were aware of an actual or potential ABC problem (of unknown scope), it was not evidence of an agreed approach to coverage for ABC risks.</p>
<p>The Judge went on to reject the Insured's submission that the definition of ABC Liability contained an obvious drafting error which should be corrected as a matter of construction. The Judge found that:</p>
<ul>
    <li>like any contract, an insurance policy is to be construed by ascertaining what a reasonable person would have understood the parties to have meant. As in the FCA Covid-19 test case <sup>1</sup>, the reasonable person here was an ordinary policyholder who is taken to have read through the policy conscientiously to understand what cover they were getting;</li>
    <li>the reasonable policyholder would have read the word "or" as having the same meaning throughout the ABC Liability definition – i.e. such that the definition comprises three different situations (a liability, actual non-compliance, and alleged non-compliance), each of which was excluded;</li>
    <li>that approach to the exclusion was a practical one which mirrored the insured warranties, and also the insuring clause (which contemplated that the Policy could respond both to direct loss suffered by the Insured and to liabilities of the Target to third parties); and</li>
    <li>conversely, the Insured's construction of the ABC Liability definition did not make sense, because there could be no liability to make good an alleged breach of Anti-Bribery and Anti-Corruption Laws (as opposed to an actual breach).</li>
</ul>
<p><strong>Cover spreadsheet</strong></p>
<p>The Policy was structured in a typical way with a schedule, policy wording and cover spreadsheet. The cover spreadsheet indicated, in the usual way, that the warranties the subject of the claim (i.e. ABC-related warranties) were "<em>Covered</em>".</p>
<p>The Insured contended that the cover spreadsheet supported its position on construction of the Exclusion. The Insured argued that a reasonable policyholder would not expect the Exclusion to sweep away the cover granted under the cover spreadsheet for ABC-related warranties, because the transparent and internally consistent way to achieve that result would be for the cover spreadsheet to mark the relevant warranties as "<em>Excluded</em>".</p>
<p>The Judge rejected this argument. He found that the purpose of the cover spreadsheet was to identify the warranties that were covered in-principle, and that an exclusion can apply to a warranty that is marked as "<em>Covered</em>". This structure did not introduce any contradiction into the Policy. On the contrary, exclusions could only apply to an obligation which was otherwise covered.</p>
<p>Whilst this construction will be welcomed by W&I insurers, they should continue to ensure that the cover spreadsheet accurately reflects the negotiated position, as the Judge's interpretation was based on the specific wording of the Policy and an exclusion may be found not to apply to the relevant loss. </p>
<p><strong>Final thoughts</strong></p>
<p>The case provides helpful guidance on the Court's approach to the interpretation of exclusions in W&I policies. It also serves as a reminder for both insurers and brokers that in the absence of inherent absurdity or obvious nonsense, judges will be reluctant to find that policy wordings contain mistakes which should be corrected as a matter of construction. </p>
<p>Whilst it is yet to be determined whether the recent increase in litigated W&I disputes will be sustained, this judgment (like that in <a href="/thinking/rpc-big-deal/finsbury-food-v-axis/">Finsbury Food Group Plc v AXIS Corporate Capital UK Ltd & Ors</a>) vindicates insurers' decision to defend an unmeritorious claim. Where litigation is unavoidable, the determination of key coverage points on a preliminary issue basis may (in an appropriate case) mitigate the costs risk of a full trial on liability and quantum.</p>
<p><sup>1</sup>  <em>FCA v. Arch Insurance (UK)</em> Limited and others [2021] UKSC 1</p>]]></content:encoded></item><item><guid isPermaLink="false">{31DA0A9D-25AC-4334-B4AB-77272158D49A}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/wordings-do-matter/</link><title>Wordings do matter</title><description><![CDATA[Contract drafting has been brass tacks for lawyers since the dawn of time. In its broadest terms, it involves putting the scope of a bargain reached between parties into clear and effective language.]]></description><pubDate>Mon, 06 Nov 2023 15:28:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p>As a practice, the preparation of insurance contracts — or policy wordings as they are typically referred to — is under the heat of the industry's spotlight.</p>
<p>This article explores why these contracts are set apart because of the regulatory landscape in which they operate, who gets to decide what "good" looks like, and why lawyers working on them need to have their eyes up and commercial antenna switched to receive for the new zeitgeist — particularly following the implementation of the consumer duty by the Financial Conduct Authority on July 31.</p>
<p><strong>Why are insurance policies different?</strong></p>
<p>First and foremost, insurance policies are a product.</p>
<p>For insurers, the words on the page are the very thing they sell and so what they look like is important and highly responsive to powerful market forces. The contracts need to be distinctive and speak the insurer's individual voice, yet not so left-of-field that no one will want to buy them or broker their sale.</p>
<p>The underwriting of insurance business in the U.K. is heavily regulated and in the last decade we have seen a step change in the pace of new initiatives, emanating most notably from the FCA, all of which impact upon wordings.</p>
<p>Building on a general trend in business to promote the use of plain English, at its heart, the regulatory objective has been and remains, to engender behaviors that mitigate the imbalance of knowledge and understanding between financial institutions and their end users, and to ensure that the entirety of the purchasing journey is transparent and transacted in a manner that is "clear, fair and not misleading,"<a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Oct23_Law360%20Wordings%20(FINAL)(154075436.1).docx#_ftn1" name="_ftnref1"><span></span></a><sup>1</sup> so that buyers of insurance can make informed decisions about what it is they are purchasing.</p>
<p>For instance, in 2018, the EU Insurance Distribution Directive was a key shift in the protection of customers — consumers and some commercial customers — taking out insurance.</p>
<p><strong>New regulation strengthens consumer protection</strong></p>
<p>A central tenet of the consumer duty, implemented in the summer of this year, is ensuring that information provided to customers about products is clear and understandable, and that it meets their needs, taking into account, for example, their characteristics, the complexity of the policy and the communication channel used.</p>
<p>Complementing the rulemaking and enforcement work of the FCA, the Financial Services Compensation Scheme, or FSCS, in existence since 2001, aims to secure an "appropriate degree of protection" for policyholders where insurers cannot meet their obligations to pay claims.</p>
<p>While the scheme forecasts that it will pay out in excess of £230 million ($180 million) this financial year in compensation relating to general insurance matters, it is not an absolute safety net.</p>
<p>Indeed, as demonstrated by the Court of Appeal of England and Wales in Manchikalapati v. Financial Services Compensation Scheme Ltd. on Sept. 5,<a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Oct23_Law360%20Wordings%20(FINAL)(154075436.1).docx#_ftn2" name="_ftnref2"><span></span></a><sup>2</sup> the statutory framework empowers the FSCS as scheme provider to restrict the types and scope of claims it will compensate.</p>
<p><strong>Global developments affect insurance policies</strong></p>
<p>Beyond regulation, other factors are at play.</p>
<p>In recent years, we have experienced an intense proliferation of geopolitical risk and technical innovation. The development of new risk markets and products is a powerful strategic asset for the government as capital can flow and innovation will thrive by hedging risk.</p>
<p>Furthermore, new risks demand new products and insurance structures, such as embedded insurance products or evergreen and parametric models, that are becoming commonplace.</p>
<p>Digital contracts and platforms facilitate new ways to communicate and particularize the scope of the cover being provided, with real advances taking place in the personal lines space.</p>
<p>Significant investment is needed to pivot large institutions that have built their operating models on the concept of a contract being a physical one.</p>
<p>It is also worth acknowledging that insurance policies are perhaps the most heavily disputed and litigated contracts.</p>
<p>There will always be coverage disputes around the interpretation of contractual language in insurance policies. This is perhaps not surprising, given these contracts routinely bake in a complex mechanism to govern the adjustment of an indemnity that is by its nature unquantified following a particular risk event having taken place to trigger the policy response.</p>
<p>However, in the eyes of the regulator, high dispute and complaint trends are an indicator that something has gone wrong. That assessment has, in significant part, become possible because of the power of data.</p>
<p>The Coronavirus pandemic and the resulting 2021 U.K. Supreme Court business interruption test case in Financial Conduct Authority v. Arch Insurance UK Ltd.<sup>3</sup> was a significant "sit-up" moment for the industry that laid bare the impact of the push-pull factors articulated above.</p>
<p>The case surfaced the fundamental challenges posed by systemic risk and a significant divergence in expectation between insurers, their customers, the regulator and, to some extent, the courts, as to what the policies were expected to respond to and how they would perform.</p>
<p>The test case was also somewhat of a landmark moment for the FCA — seen as the champion of the consumer market — in taking up the cause for small businesses.</p>
<p>Over recent years, the FCA has made it increasingly clear in its commentary and in the regulation released, which applies equally to small businesses, as it does consumers, that these insureds are to be afforded the same levels of protection.</p>
<p>From a policy wordings perspective, this means no let up for the small business market where we can expect to see significant scrutiny in the months and years to come.</p>
<p><strong>Where do we go from here?</strong></p>
<p>As night follows day, after such a moment, a period of correction is a natural consequence.</p>
<p>In the context of litigation concerning the proper interpretation of wordings, we have seen no abatement in the judicial appetite to push back on arguments perceived as commendable to none but pedantic or — with milder vernacular — commercial lawyers, in favor of a common-sense approach that references the likely level of comprehension of the reasonable policyholder buying the product.<sup>4</sup></p>
<p>Indeed, the conceptual agility demanded of policyholders to navigate complicated contractual structures, like carve backs within exclusions, comes into sharper focus the simpler the wordings get.</p>
<p><strong>Two cases highlight the interpretation of policy wordings</strong></p>
<p>Similarly, literary devices, such as whether inference can be properly drawn from the absence of certain language that is consistently applied elsewhere, are increasingly relevant.</p>
<p>An interesting example of the latter arose in March in Allianz Insurance PLC v. University of Exeter.<a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Oct23_Law360%20Wordings%20(FINAL)(154075436.1).docx#_ftn5" name="_ftnref5"><span></span></a><sup>5</sup></p>
<p>Judge Nigel Bird, sitting in the Technology and Construction Court, held that inferring an intention to not apply the rule in Arch requires more than the absence of particular language in the war exclusion that was applied in different exclusions within the policy.</p>
<p>The court held the reasonable policyholder would not read the wording in this way and would expect this to be dealt with expressly.</p>
<p>Widening the lens further, the courts continue to contextualize insurance language in a way that actively promotes the regulatory objectives described above.</p>
<p>Manchikalapati is a case in point. While not directly concerned with the interpretation of a policy wording, it involved a close examination of connective language ubiquitous within policy exclusions: the meaning of "in respect of" and "in connection with."</p>
<p>Taking a step back, the Court of Appeal was not persuaded that the nexus between two concepts connected in this way was as wide as was argued when specifically set against the statutory framework that empowers the FSCS to restrict the types and scope of claims to be compensated.</p>
<p>This reminds us there is no place for complacency and particularly with exclusionary language, which by its nature seeks to take back something that has first been given in an insuring clause.</p>
<p><strong>Regulation on insurance policies expands</strong></p>
<p>The complaints jurisdiction of the Financial Ombudsman Service, or FOS, was significantly expanded to include more small businesses in 2019<sup>6</sup> and its maximum compensatory award again increased to £415,000 in April. Its decisions speak to the fact that a sound coverage argument is not always enough to justify declining cover.</p>
<p>The FOS seems willing and able to rewrite insurance policies on what it deems to be fair in the context of their assessment of the reasonable expectation of the policyholder.</p>
<p>There are examples where the FOS has determined that cover should be available notwithstanding an exclusion in a wording on grounds that, as an unusual or onerous term, it was not sufficiently drawn to the customer's attention. For example, FOS has done so by not including it within the insurance product information document or policy summary.</p>
<p>The consumer duty, which is a bit of a misnomer as it applies to all U.K. consumer and commercial insurance other than large risks, and in summary includes consumers and small business commercial customers,<sup>7</sup> represents a major shift for insurers and those drafting the insurance products they are selling.</p>
<p>An upgrade on the existing rules, including the "Treating Customers' Fairly" regime, the duty demands an entirely new point of reference, which puts the reduction of foreseeable harm and the delivery of good outcomes<a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Oct23_Law360%20Wordings%20(FINAL)(154075436.1).docx#_ftn8" name="_ftnref8"><span></span></a><sup>8</sup> for the insurance buyer front and center.</p>
<p>Harnessing the full potential of data, insurers are required to conduct quantitative and qualitative assessments of how those outcomes are being delivered.</p>
<p>For example, high customer query rates or midterm variations might indicate the policyholder does not understand what it is they are buying or that the product does not meet their needs.</p>
<p><strong>What have we learned?</strong></p>
<p>A technically clever wording, while important, is no longer a differentiator in terms of what good looks like, or as we have seen, enough to ensure they perform as expected. Wordings need to be drafted in a way that actively improves understanding, rather than shifts the onus onto the end user.</p>
<p>The example that the writer often reaches for as food for thought and to highlight the shift in focus required can still be found in many commercial combined products offered to small and medium-sized enterprises business.</p>
<p>Within the introductory paragraphs may be language in a helpful tone, such as, "the insured must read the policy carefully and tell their broker if it does not meet their needs."</p>
<p>These products are designed, with laudable intention, as a one-stop insurance solution, to make the customer's life easier.</p>
<p>In consequence however, these policies are large documents and routinely equivalent in word count to a small novel, like C.S. Lewis' "The Lion, the Witch and the Wardrobe," or F. Scott Fitzgerald's "The Great Gatsby" — although, even to the most enthusiastic wordings lawyer, less riveting.</p>
<p>Such expressions of expectation on the roles of the contracting parties when viewed in this context are patently unrealistic and unreasonable.</p>
<p>Yes, it is important to draft wordings with one eye on the likely arguments that will arise, but in the age of the consumer duty, this approach can be damaging.</p>
<p>President Abraham Lincoln quoted poet John Lydgate when he said, "You can please some of the people all of the time, you can please all of the people some of the time, but you can't please all of the people all of the time."</p>
<p>The FCA have nailed the colors to the mast for us. The delivery of good outcomes for the policyholder is something upon which we should not compromise and in respect of which policy wordings plays a vital role.</p>
<p><em>This article was originally published in <a href="https://www.law360.com/articles/1732073/shifting-from-technical-to-clear-insurance-contract-wordings-">Law360</a>.</em></p>
<div><em> </em><hr align="left" size="1" width="33%" />
<div id="ftn1">
<p><a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Oct23_Law360%20Wordings%20(FINAL)(154075436.1).docx#_ftnref1" name="_ftn1"><span></span></a><sup>1</sup>ICOBS 2.2.2R, FCA Principle 7</p>
</div>
<div id="ftn2">
<p><a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Oct23_Law360%20Wordings%20(FINAL)(154075436.1).docx#_ftnref2" name="_ftn2"><span></span></a><sup>2</sup>Manchikalapati v FSCS<span>  </span>[2023] EWCA Civ 1006.<br />
<a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Oct23_Law360%20Wordings%20(FINAL)(154075436.1).docx#_ftnref3" name="_ftn3"></a><sup>3</sup>FCA (appellant) v Arch Insurance (UK) Ltd and Ors [2021] UKSC 1</p>
</div>
<div id="ftn4">
<p><a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Oct23_Law360%20Wordings%20(FINAL)(154075436.1).docx#_ftnref4" name="_ftn4"><span><sup></sup></span></a><sup>4</sup><span>For example, see Lady Justice Andrews' dissenting judgment in <span style="color: black;">Al Mana Lifestyle Trading LLC v United Fidelity Insurance Co PSC [2023] EWCA 2049 (Comm); or </span>Allianz v University of Exeter [2023] EWHC 630 (TCC)</span></p>
</div>
<div id="ftn5">
<p><a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Oct23_Law360%20Wordings%20(FINAL)(154075436.1).docx#_ftnref5" name="_ftn5"><span></span></a><sup>5</sup>Allianz Insurance plc v University of Exeter<span>  </span>[2023] EWHC 630 (TCC) (paras 57-68); This concerned the language, "…regardless of any other cause or event contributing concurrently or in any other sequence to…" which renders express the ruling in Arch that in the case of multiple proximate causes of loss, where one may be covered and another excluded, the exclusion will prevail to exclude the loss.<br />
<a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Oct23_Law360%20Wordings%20(FINAL)(154075436.1).docx#_ftnref6" name="_ftn6"></a><sup>6</sup>Consumers, micro-enterprises and small businesses (whose annual turnover is less than £6.5m and either has a balance sheet of £5m or employs fewer than 50 employees) are within scope<br />
<a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Oct23_Law360%20Wordings%20(FINAL)(154075436.1).docx#_ftnref7" name="_ftn7"></a><sup>7</sup>Large risks are contracts of insurance covering risks in certain categories for commercial insureds such as aircraft, ships credit and goods in transit and other categories of risk where the commercial insured exceeds two of the following three criteria: (i) balance sheet total: €6.2 million; (ii) net turnover: €12.8 million; (iii) average number of employees during the financial year: 250. See also the FCA Handbook, Article 13(27) of the Solvency II Directive and article 2(1)(16) of the Insurance Distribution Directive.<br />
<a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Oct23_Law360%20Wordings%20(FINAL)(154075436.1).docx#_ftnref8" name="_ftn8"></a><sup>8</sup>The four Consumer Outcomes are: (i) 'products and services, (ii) price and value, (iii) consumer understanding and (iv) consumer support).</p>
</div>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{E94456B0-DB58-43FA-951D-2BD8CB4E774C}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/storm-babet-flooding-and-the-insurance-implications/</link><title>Storm Babet, flooding and the insurance implications</title><description><![CDATA[Subtropical cyclone Storm Babet is currently responsible for over 350 flood warnings in the UK, with more flood warnings expected later this week. ]]></description><pubDate>Tue, 24 Oct 2023 10:40:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Victoria Sherratt, Andrew Roper, Aimee Talbot</authors:names><content:encoded><![CDATA[<p><strong><span>What has been the impact of Storm Babet so far?</span></strong></p>
<p><span>The storm has wreaked destruction across northern and western Europe, disrupting flights in Denmark, killing a 33-year old woman in Germany, collapsing the ceiling of Faro airport in Portugal and leaving 22,700 people without electricity in Norway.  Here in the UK, at least 4 people have died so far and 1,250 properties have already flooded according to the Environment Agency.  More flood warnings are expected to be issued in the coming days as rivers have risen to the highest level on record in Derbyshire and Nottinghamshire; exceeding the previous records set in 2007. </span></p>
<p><strong><span>What role does property insurance play?</span></strong></p>
<p><span>Property insurance is a crucial part of effective flood management and a laudable example of the insurance industry taking a pro-active and collaborative approach.  Not-for-profit reinsurance scheme FloodRe was developed by the insurance industry in 2016 and aims to cap consumer flood insurance prices to try to keep premiums affordable for people who live in areas where the risk of flooding is high.  Insurance premiums under the scheme are linked to council tax bandings to ensure that they remain proportionate and that those on the lowest incomes are protected.  FloodRe only covers properties constructed before 2009 to avoid incentivising developers from constructing residential properties on flood plains. The scheme, operated and financed by the insurance industry, is set to run until 2039, after which insurers anticipate that there will be a free market for flood risk insurance.  Peter Mansfield interviewed the CEO of FloodRe, Andy Bord, on his podcast Insurance Covered in December 2021: </span><a href="https://www.rpc.co.uk/perspectives/esg/a-look-at-flood-re-a-podcast-with-andy-bord/"><span>listen here</span></a><span>.  Peter also discussed the future of flooding with Ivan Haigh, Aon, in September 2023: </span><a href="https://www.rpc.co.uk/perspectives/insurance-and-reinsurance/the-future-of-flooding-with-ivan-haigh/"><span>listen here</span></a><span>.</span></p>
<p><strong><span>How will Storm Babet impact the insurance industry?</span></strong></p>
<p><span>Storm Babet is another facet of the continuing trend towards increased natural catastrophe losses discussed in our previous analysis of </span><a href="https://www.rpc.co.uk/perspectives/insurance-and-reinsurance/the-el-nino-year-and-impact-on-subsidence-claims/"><span>the El Niño climate phenomenon currently in progress in the tropical pacific</span></a><span>.  The prospect of further natural catastrophe losses will be most unwelcome to insurers and policyholders alike, particularly with the current economic pressures.  The prospect of further significant flood losses will make it more important than ever for insurers to pursue any and all viable subrogated recoveries.</span></p>
<p><span>The human cost of flooding also cannot be overstated; the loss of irreplaceable cherished belongings or keepsakes can leave a lasting impact, as well as making the process of pursuing an insurance claim more emotionally loaded.</span></p>
<p><strong><span>What should the prudent policyholder do now?</span></strong></p>
<p><span>As such, in order to minimise risk arising from the extreme weather associated with Storm Babet, policyholders would be prudent to:</span></p>
<ol>
    <li><span>Follow </span><a href="https://check-for-flooding.service.gov.uk/plan-ahead-for-flooding"><span>Government advice</span></a><span> to plan ahead by making a flood plan; researching in advance where to get practical help locally; checking that you know how to turn off the gas, electricity and water.</span></li>
    <li><span>Follow </span><a href="https://www.floodre.co.uk/be-flood-smart/"><span>FloodRe's advice on flood protection measures</span></a><span>;</span></li>
    <li><span>Sign up for flooding alerts.</span></li>
    <li><span></span><span>Check their property insurance terms to ensure that valid flood risk cover is in place; ideally including flood damage/direct loss cover and cover for consequential losses;</span><span></span></li>
    <li><span>Ensure that any damage is notified to insurers as soon as possible in accordance with the notification requirements in the policy.</span></li>
</ol>
<p><span>Early notification will not only speed up the processing of the claim, but may mean that less damage is caused as insurers may be able to offer mitigation advice or resources.</span></p>
<p><strong><span>What about subrogated recoveries?</span></strong></p>
<p><span>Usually flood damage cannot be the subject of a subrogated recovery, since no one is to blame for entirely natural disasters or "acts of God".  However, insurers and loss adjusters should always consider the possibility of pursuing a subrogated recovery when dealing with a flood damage claim where there is a possibility that someone has caused or contributed to the damage.  Typical defendants include landowners, local authorities, public bodies, national governments or, possibly the emergency services.  One interesting question is the possibility of claims against public bodies, such as the UK Government, for e.g. failing to act earlier on the climate emergency.  Lucy Dyson discusses </span><a href="https://www.rpc.co.uk/perspectives/insurance-and-reinsurance/the-english-courts-are-emerging-as-a-hotspot-for-environmental-and-esg-related-claims/"><span>the English courts' emergence as a "hotspot" for environmental and ESG-related claims in her article here</span></a><span>.</span></p>
<p><a href="https://www.rpc.co.uk/-/media/rpc/files/perspectives/insurance-and-reinsurance/ukfloodingtheaftermath.pdf"><span>Catherine Percy's and Richard Breavington's analysis following the 2015/16 floods</span></a><span> remains an excellent guide to the legal principles engaged in a subrogated recovery for flood damage. They also highlight the following:</span></p>
<ol>
    <li><span>Insurers should not be deterred by the fact that one subrogated recovery on its own may be a small claim as claims can be combined, even where different insurers are involved.RPC has a stellar history of uniting the insurance industry to react to developments and evolving risks. </span>
    <p><span> </span></p>
    </li>
    <li><span>Pursuit of a subrogated claim also has the benefit of highlighting the damage-causing behaviour to the defendant, so that they can take measures to avoid a repeat incident in future.</span>
    <p><span> </span></p>
    </li>
    <li><span>Gathering evidence at the point of handling the initial damage claim is crucial, since the subrogated claim may be pursued years after the original event, by which time certain evidence may not be available or witnesses' recollections may have faded.</span></li>
</ol>
<p><span>RPC frequently provide coverage advice to <a href="/error.html?item=web%3a%7b7BC22B4D-7E4F-4305-BAE6-3DD3CAB8990B%7d%40en">property insurers</a> and pursue subrogated recoveries. <a href="/people/victoria-sherratt/">Victoria Sherratt</a> or <a href="/people/andrew-roper/">Andrew Roper</a> would be delighted to discuss any new matter arising from Storm Babet or any comments or queries arising from this article. </span></p>]]></content:encoded></item><item><guid isPermaLink="false">{5D70C39A-6CC4-43B4-83AE-70398EA015B8}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/getting-to-know-global-access-lawyers/</link><title>Getting to know Global Access Lawyers</title><description><![CDATA[Global Access Lawyers brings together some of the worlds leading insurance law practices. In the following pages get to know the different law firms that make up Global<br/>Access, who we are, where we operate and the kind of work we do. We hope you find this useful to understand the international reach of Global Access.]]></description><pubDate>Mon, 09 Oct 2023 14:37:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Carmel Green, Simon Laird</authors:names><content:encoded><![CDATA[<p><span>  </span></p>]]></content:encoded></item><item><guid isPermaLink="false">{577671EB-299B-4DC1-8C43-98EB8A037BA4}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/court-of-appeal-finds-in-favour-of-fscs-on-scope-of-the-policyholder-protection-rules/</link><title>Court of Appeal finds in favour of FSCS on scope of the Policyholder Protection Rules (PRR)</title><description><![CDATA[The Court of Appeal has upheld an appeal by the FSCS from a High Court decision to grant an application for JR against FSCS following FSCS's refusal to compensate a policyholder for an insolvent insurer's failure to meet its liabilities.]]></description><pubDate>Thu, 14 Sep 2023 13:00:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p><span><strong>Background</strong></span></p>
<p><span>The Court of Appeal has upheld an appeal by the FSCS from a High Court decision to grant an application for JR against FSCS following FSCS's refusal to compensate a policyholder for an insolvent insurer's failure to meet its liabilities.</span></p>
<p><span>The insurer, East West insurance Company Ltd, had paid a judgment sum and a costs award but went into administration without paying the VAT, statutory interest on the judgment debt and some residual costs. The FSCS discharged the VAT but declined compensation for interest and costs on grounds that these sums did not fall within the scope of the Policyholder Protection Rules (PRR). The policyholder was out of pocket by approximately £4m.</span></p>
<p><span><strong>Why this is worth a read</strong></span></p>
<p><span>The Court of Appeal judgment is a useful recitation of the origins of the FSCS scheme and its objective, namely to secure "<em>an appropriate degree of protection … for policyholders" </em>by paying <em>"compensation… to claimants</em></span><em> in respect of claims made in connection with</em><span><em><strong><span style="color: #4472c4;"></span></strong><span style="color: #4472c4;"> </span>…a regulated activity carried on… by relevant persons".</em> It is however not an absolute protection and in particular the judgment highlights how the statutory framework empowers the FSCS as scheme provider to restrict the types and scope of claims to be compensated.</span></p>
<p><span>In response to the FSCS's refusal to compensate, the policyholders successfully argued at first instance that their claim fell within the PRR because the claim for interest and costs was <strong><em>"in respect of "</em></strong><em> </em>a protected claim, even if not actually a protected claim. The Judge at first instance held that the claims were not protected claims either in their own right or, on the basis that as claims owed "under contract", they therefore nonetheless fell within the scope of "protected claims".</span></p>
<p><span>FSCS's successful appeal turned on the interpretation of key phrases within the FSMA and PRR quoted above. It will not be lost on the reader that these <strong><span style="color: #4472c4;"></span></strong></span><strong>connective phrases</strong><span><strong><span style="color: #4472c4;"></span></strong><span style="color: #4472c4;"> </span>are also ubiquitous within insurance policy wordings. The latter ("in connection with") in particular, is routinely considered as representing a low bar in terms a nexus, that need not be direct, between two operative concepts. Whilst this judgment was not directly concerned with the interpretation of insurance policy wordings, (rather the statutory regime in which they operate) there is nonetheless a relevance for those preparing insurance policy wordings.</span></p>
<p><span>The leading judgment of Lady Justice Falk (<a href="/thinking/insurance-and-reinsurance/beware-unexploded-bombs-proximate-causes-and-the-unintended-consequences-of-adding-clarity/">here</a>) reminds us that exploring the meaning of any contractual language has to be undertaken through the lens of the provisions as a whole and in a manner that breathes life to the overall purpose of the framework in which it sits. The result must also be squared away as making commercial sense. Crucially, in searching for meaning of wording, the deployment of stock language in different contexts within the same document will be drawn into orbit as part of that analysis. In my <a href="/thinking/insurance-and-reinsurance/beware-unexploded-bombs-proximate-causes-and-the-unintended-consequences-of-adding-clarity/">last article</a>, I observed that in the case of <em>Allianz Insurance plc v University of Exeter</em> it was argued, albeit unsuccessfully, that the absence of language in one provision that was deployed in an analogous context elsewhere in a wording, <em>could</em> be construed as imparting an implied meaning that was not expressly provided for in the wording.</span></p>
<p><span>So, once again, the take away for those drafting insurance policy wordings and associated literature is that we need to keep in mind the method used by the various Justices in reaching their findings on interpretation when deciding how we draft. With the current focus quite rightly on how wordings can further the Consumer Duty and the need to deliver good outcomes for customers, consistency can be a good thing as for the reader, repetition of certain phraseology can bring clarity, simplify a document and aid intelligibility. As ever, there are two sides to a story. Consistency as a drafting device can have implications, not necessarily good or bad, but implications nonetheless. </span></p>]]></content:encoded></item><item><guid isPermaLink="false">{CF7700B8-2C1C-4567-909B-08C64584CB34}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/are-settlements-covered-under-liability-policies-if-not-consented-to-by-the-insurer/</link><title>Are settlements covered under liability policies if not consented to by the insurer? Does it make any difference if the insured was told to "act as a prudent uninsured"? </title><description><![CDATA[Does it make any difference if the insured was told to "act as a prudent uninsured"? ]]></description><pubDate>Wed, 13 Sep 2023 13:02:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Ben Gold</authors:names><enclosure url="https://www.rpclegal.com/-/media/rpc/redesign-images/thinking-tiles/wide/insurance-3---thinking-tile-wide.jpg?rev=71c2d62f09634ef08a71f6fa9734a90f&amp;hash=3FBA7A779FA86695B98F02FC7AC605A1" type="image/jpeg" medium="image" /><content:encoded><![CDATA[<p>In the recent case of <em>Technip Saudi Arabia Limited v The Mediterranean and Gulf Cooperative Insurance and Reinsurance Company</em> [2023] EWHC 1859 (Comm), the English High Court (Jacobs J) considered this very question.</p>
<p>The key takeaways from the case are summarised below, before we look at the case in more detail.</p>
<p><strong>Key takeaways</strong></p>
<p style="margin-left: 0cm;">Liability policies typically state they cover "legal liability" or "damages". They will also typically clarify that this can be in the form of judgments, awards or settlements, entered into with consent. The most important points that arise from the case are that:</p>
<ul style="list-style-type: disc;">
    <li>Even if the insurer has not consented to a settlement, the liability policy will still cover the settlement up to the amount (if any) that the insured can demonstrate was within its "actual legal liability", i.e. what the insured would have been found liable for at trial (had there been no settlement)<sup>1</sup>. In other words, any consent requirement is redundant (potentially even if expressly labelled a condition precedent), where the settlement was of an actual legal liability.
    <p> </p>
    </li>
    <li>Further, if the insured has been directed to act as a prudent uninsured, that will anyway amount to a waiver of the insurer's consent rights with regard to the settlement. As the judge noted, <em>"[a]n uninsured person would, by definition, have no reason to consult or seek the consent of an insurer</em>".
    <p> </p>
    </li>
    <li>On the other hand, to the extent the insured cannot demonstrate that the amount of the settlement was within its actual legal liability, the policy will <span style="text-decoration: underline;">not</span> cover the settlement, unless it was negotiated, or otherwise expressly consented to by, the insurer, even if the insured reached the settlement after having been told to act as a prudent uninsured. This is what happened in <em>Technip v Medgulf </em>– Technip settled a claim against it for $33m without consent and despite the judge finding the insurer had waived the right to consent (because it told Technip to act as a prudent uninsured), Technip could only recover a maximum of $7.4m<sup>2</sup> from the insurer as its actual legal liability did not exceed this sum.
    <p> </p>
    </li>
    <li>The coverage under liability policies for settlements in the absence of actual legal liability, i.e. for commercial settlements, is therefore perhaps best seen as a separate head of cover to the main legal liability coverage and which is invariably caveated by the need for the insurer's prior written consent to the settlement.</li>
</ul>
<p><strong>Liability insurance and settlements <span> </span>(short scene-setter)</strong></p>
<p style="margin-left: 0cm;">Most liability claims against the insured are settled prior to a court judgment (or arbitration) deciding whether the insured is liable and if so in what sum, and most settlements are negotiated or approved by the liability insurer.</p>
<p style="margin-left: 0cm;">Further, many settlements are reached where the insurer considers the insured is probably <em>not</em> liable. The insurer appreciating there is, nonetheless, litigation risk, and mindful of the worst-case scenario (paying the full damages claimed, plus interest, plus claimant's costs, and failing to recover any of the defence costs) negotiates, or approves the insured reaching, a reasonable "commercial settlement" with the claimant. Such a settlement will reflect a reasonable discount to the claimant's claim in light of the litigation risk and the best and worst case scenarios.<span></span></p>
<p style="margin-left: 0cm;">There will, however, be cases where, for whatever reason, the insured has settled with the claimant without any involvement of the insurer and without the insurer's approval. <em>Technip v Medgulf </em>was such a case. It was also a case where the insured had reached that settlement, after the insurer had declined the claim and directed the insured to act "as a prudent uninsured". The Court was required to decide, against that background, whether and to what extent Technip could claim an indemnity for the settlement.<span></span></p>
<p><strong>Technip v Medgulf in more detail</strong></p>
<p><strong><em>Background</em></strong></p>
<p>Technip was a contractor that had agreed to perform certain work for a joint venture known as the Al-Khafji Joint Operation (”KJO”), in relation to a platform in the Khafji Field, offshore Saudi Arabia ("the Platform"). <span> </span>In its role as contractor, Technip had chartered a vessel, which had collided with the Platform, causing damage and resulting in Technip incurring liabilities to KJO, including for the costs of repair to the Platform.</p>
<p>Technip notified the incident in August 2015 under the liability section of its offshore construction insurance ("the Policy"), insured by Medgulf ("the Insurer").</p>
<p><strong><em>The claim</em></strong></p>
<p>On 29 July 2016, Medgulf declined cover based on policy exclusions ("the exclusions defence") and asserted to Technip that it should act as a <em>"prudent uninsured"</em>.</p>
<p>On 16 October 2019, Technip reached a settlement with KJO, whereby Technip agreed to pay KJO $25 million for the costs of repair plus $8 million for KJO's other losses (the total settlement sum was $33 million), but KJO agreed to make a like payment to Technip in respect of claims that Technip had amassed against KJO during the life of the Project. A clause in the settlement agreement recorded that the competing claims cancelled each other out, so that, no party needed in fact to make any payment to the other ("the set off clause").</p>
<p>After settling with KJO, Technip claimed an indemnity from Medgulf under the Policy for the sum of $33m. This was the sum of Technip's settlement of KJO's claim against it, as set out in the settlement agreement. Medgulf maintained its declinature and proceedings were eventually commenced by Technip against Medgulf.</p>
<p>In the proceedings, the Insurer (Medgulf) denied liability under the Policy, arguing (in addition to the exclusions defence):</p>
<ul style="list-style-type: disc;">
    <li>Technip had no actual legal liability to KJO ("the actual legal liability issue"); and,
    <p> </p>
    </li>
    <li>Even if Technip had an actual legal liability, there was still no cover, because the settlement was entered into without its consent ("the consent issue").</li>
</ul>
<p>Ultimately, the judge held Medgulf not to be liable under the Policy, because of the exclusions defence<sup>3</sup>, and granted Technip permission to appeal the case on that point, but the case is most interesting because of the judge's decision on these prior issues.<span></span></p>
<p><strong><em>The Policy</em></strong></p>
<p style="margin-left: 0cm;">So far as relevant to this article, the material terms of the Policy were as follows:</p>
<ul style="list-style-type: disc;">
    <li>The relevant insuring clause of the Policy indemnified against <em>"…Loss which the Insured(s) shall be obligated to pay by reason of [i] liability imposed upon the Insured(s) by law, and/or [ii] Express Contractual Liability"</em>.
    <p> </p>
    </li>
    <li>As is fairly typical, <em>"…Loss"</em> was defined by the Policy to mean defence costs and <em>"compensatory damages, monetary judgments, awards, and/or compromise settlements entered with Underwriters’ consent…"</em>.</li>
</ul>
<p><strong><em>The actual legal liability issue</em></strong></p>
<p style="margin-left: 0cm;">It was seemingly common ground between the parties that:</p>
<ul style="list-style-type: disc;">
    <li>It was not relevant for the purposes of Technip's claim under the Policy, if the settlement it had reached with KJO, was a reasonable commercial settlement.
    <p> </p>
    </li>
    <li>As Technip had settled without consent, to recover from the Insurer under the Policy, Technip needed to prove the amount of damage for which it would have been liable to KJO for, had KJO's claim against Technip proceeded to trial. Under the Policy, Technip could recover no more than this "actual legal liability".The settlement agreement therefore merely set the cap for Technip's claim under the Policy ($33m).
    <p> </p>
    </li>
    <li>Since KJO's claim against Technip would have been subject to Saudi law and Saudi arbitration, the relevant law to be applied to the actual legal liability issue was Saudi law. However, as neither party argued that Saudi law differed in any material respect from English law, the judge should decide the actual legal liability issue by reference to English law.</li>
</ul>
<p>In the words of the judge, the case therefore serves as a stark reminder that:</p>
<p style="margin-left: 36pt;"><em>"[t]he basic rule under English law is that where a policyholder settles its liability to a third party claimant, and wishes to claim under its liability policy, it is not sufficient for the policyholder simply to establish the reasonableness of the settled amount. In order to succeed, the policyholder must prove (i) that it was in fact legally liable </em><em><span>[under the governing law of the third party's claim]</span> …and (ii) that the amount for which it would have been liable [under such law] had the matter been litigated is at least as much as the amount paid under the settlement…"</em>.</p>
<p>The judge further noted that, whilst New York Law and "<em>other common law jurisdictions take the view that [at least if the insurer has declined cover before the settlement] …the policyholder’s settlement with the third party is binding on the insurer if reasonable…English law… takes a different approach"</em>.</p>
<p>On the facts, the judge found that Technip was liable to KJO for the reasonable repair costs and certain other losses, but only in the sum of c. $7.4m (the settlement having been, as above, $33m).<span>  </span>It followed the maximum Technip could recover under the Policy for its legal liability to KJO (but for the exclusions defence) was that drastically reduced figure of $7.4m.</p>
<p>The Insurer did not seek to argue that even that reduced $7.4m figure should not be recoverable under the Policy, given the set off clause meant nil (net) was payable by Technip to KJO under the settlement agreement. <span> </span>As such, the case also illustrates that an insurer cannot reduce its indemnity to the insured, on the basis the insured has a counterclaim against the claimant<sup>4</sup>.</p>
<p><strong><em>The consent issue</em></strong></p>
<p>As noted above, the Policy contained a fairly typical definition of <em>"…Loss"</em>, namely <em>"compensatory damages, monetary judgments, awards, and/or compromise settlement <strong>entered with Underwriters’ consent</strong>…"</em>.</p>
<p>The Insurer accepted that the consent requirement was not a condition precedent, but argued references to condition precedent are not relevant, because the requirement was within the insuring clause. The judge's conclusion on consent (explained below) would, however, not likely have been different, had there been an express condition precedent.</p>
<p>The Insurer argued that, given Technip had settled with KJO, the only applicable phrase within the definition of <em>"…Loss"</em> in the Policy,<em> </em>was "<em>and/or compromise settlements entered with Underwriters’ consent…"</em>, and that, since it had not consented to the settlement agreement, it was therefore not a "<em>…Loss" </em>as defined.</p>
<p>The judge disagreed, noting that what mattered was that, since Technip was actually legally liable to KJO for <em>"compensatory damages" </em>of $7.4m, the settlement agreement represented a <em>"…Loss" </em>in that sum. The fact it was paid pursuant to a settlement agreement did not prevent it from being <em>"compensatory damages"</em>. <span> </span>Technip could therefore recover the $7.4m (being its actual legal liability) under the Policy, by relying on the words <em>"compensatory damages" </em>in the <em>"…Loss" </em>definition.</p>
<p>The judge rejected the Insurer's argument that, if that was correct, the words <em>“compromise settlement entered with Underwriters’ consent</em>" were then made redundant. The judge pointed out that, the purpose of those words, was to ensure that a commercial settlement, i.e. one where there was not an actual legal liability for the amount of the settlement sum, would be covered, if consented to by the insurer.</p>
<p>The judge anyway also agreed with Technip that, because the Insurer had told Technip to act as a "prudent uninsured", the Insurer had actually waived its consent rights in any event. This was on the basis that, in having settled without the Insurer's consent, Technip was doing precisely what it had been told to do. The judge noted that <em>"[a]n uninsured person would, by definition, have no reason to consult or seek the consent of an insurer</em>".</p>
<p>Technip did not seek to argue that, by directing it to have acted as a prudent uninsured, the Insurer had not only waived its consent rights, but had also waived its right to require Technip to prove an actual legal liability. Had this been argued and had the judge found such waiver, if in settling with KJO for the full $33m Technip had acted prudently, Technip would presumably have been awarded an additional $25.6m in indemnity.</p>
<p><strong>Comment</strong></p>
<p>It is notable that the Insurer's lack of consent to Technip's settlement, did not provide a complete coverage defence. As above, the judge decided this was because, to the extent of its actual legal liability ($7.4m), Technip could rely on the part of the insuring clause that covered <em>"compensatory damages"</em>, and was therefore (in relation to the $7.4m only) allowed to side step the consent requirement for settlements.</p>
<p>It might be said that this was to overlook that as a matter of law an insured's actual legal liability is only covered in the event of a judgment, arbitral award or settlement requiring it to pay<sup>5</sup>, and therefore since Technip had not been sued to judgment (or an arbitration award) in the underlying dispute with KJO (i.e. it could never show "<em>monetary judgments [or] awards"</em>)<em>,</em><span>  </span>it still needed to show a <em>“compromise settlement entered with Underwriters’ consent</em>", in order to prove a <em>"…Loss" </em>and recover under the Policy.<span></span></p>
<p>Technip had argued that the Insurer was retrospectively obliged to give consent (nb "prior" consent was not mandated, just "consent"), at least up to the value of Technip's actual legal liability, and so the case could be explained on these alternative grounds, although they do not form part of the judge's stated reasoning. The case can also be explained on the grounds that, as the judge held, the consent requirement had been waived in any event, due to the insurer having directed the insured to act as a prudent uninsured.<span>  </span>For these reasons, we can therefore see subsequent cases being decided differently (i.e. the insurer having a complete defence), especially if the insurer has not told the insured to act as a prudent uninsured.<span></span></p>
<p>It should also be noted, that the lack of consent seemingly <em>did</em> provide the insurer with a partial defence, i.e. to the amount of the settlement agreement for which Technip could not demonstrate an actual legal liability ($25.6m). Technip was not awarded this balance, even though there was no argument recorded by the Insurer that $33m was not a reasonable commercial settlement.</p>
<p>As noted above, there was no argument by Technip that, in having directed it to act as a prudent uninsured, the Insurer had waived the right to decline cover for a reasonable commercial settlement. It remains to be seen whether subsequent cases will decide that the insured can recover for a reasonable commercial settlement, if entered into without consent, after having been told to act as a prudent uninsured<sup>6</sup>. After all, a prudent uninsured would very often settle for a percentage of the third party's claim, to reflect litigation risk (as do insurers).</p>
<p>If the insurer wants to reserve the right to take a coverage defence based on a lack of consent and/or that the settlement sum went beyond the insured's actual legal liability, the insurer should still probably avoid directing the insured to act as a prudent uninsured. </p>
<div> </div>
<p><strong style="text-align: right;"> </strong></p>
<div> <hr align="left" size="1" width="33%" />
<div id="ftn1"> </div>
</div>
<p><a href="file:///C:/Users/nk09/AppData/Local/Microsoft/Windows/INetCache/Content.Outlook/L7A74BUF/Technip%20v%20Saudi%20article%20-%20final%20draft%20-%2011%20September%202023.docx#_ftnref1" name="_ftn1"><span></span></a><sup>1</sup>If the policy refers to insuring "damages", the actual legal liability would have to be for damages, not e.g. restitution.<br />
<sup>2</sup>Note this is the $10.4m figure referred to in the judgment, less the aspect of that figure that related to Technip's first party loss rather than legal liability.<br />
<sup>3</sup>The judge held the claim was excluded by the Existing Property Exclusion.<br />
<sup>4</sup>Leaving aside the doctrine of setoff, the existence of the counterclaim is not a liability or quantum defence, and so is not relevant to the question of actual legal liability. Further (unless a counterclaim for indemnity), the counterclaim is not something the insurers would be subrogated to.<br />
<sup>5</sup><em>Post Office v Norwich Union Fire Insurance Society Ltd</em> [1967] 2 QB 363.<br />
<sup>6</sup>This appears to have been the view of the High Court of Australia in <em>CGU Insurance v AMP Financial Planning </em>[2007] HCA 36</p>
<p> </p>]]></content:encoded></item><item><guid isPermaLink="false">{C24E1606-2155-459E-BAD5-6192A6AE9A76}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/the-el-nino-year-and-impact-on-subsidence-claims/</link><title>The El Niño year and impact on subsidence claims</title><description><![CDATA[Insurers should be bracing for a wave of subsidence claims arising from the increasingly warm weather.  The UN’s World Meteorological Organization (WMO) has declared that an El Niño climate event is in progress, which helps explain why June 2023 was the hottest on record in the UK.]]></description><pubDate>Thu, 13 Jul 2023 12:16:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Andrew Roper, Aimee Talbot</authors:names><content:encoded><![CDATA[<p>El Niño (Spanish for "the boy") is a climate phenomenon where the trade winds in the tropical pacific are weakened or even reversed.  Weaker trade winds allow the usually colder parts of the Pacific Ocean to warm, which changes rainfall patterns over the equatorial Pacific and large-scale wind patterns.  This change in winds affects temperature and rainfall around the world.  While the most immediate impact is in the tropics (flooding in South America and droughts in Southeast Asia, for example), high catastrophe losses can translate to higher premiums elsewhere; in the first instance for primary insurers as catastrophe losses impact the profitability of reinsurers, and ultimately for policyholders.  Global insured natural catastrophe annual losses averaged approximately $100 billion over the past 5 years<sup>1</sup>, putting pressure on reinsurers in particular. </p>
<p>And the financial climate is not likely to improve for Insurers in 2023 in this regard.  El Niño events are the biggest natural influence on year-to-year weather and adds to the existing trend of increased temperatures caused by greenhouse gas emissions<sup>2</sup>. The last major El Niño was from 2014 to 2016, with 2016 breaking records as the hottest year yet recorded.  However, 2023's El Niño looks set to break records as June 2023 was the hottest on record in the UK. </p>
<p>Although tropical in origin, El Niño, and the warmer weather generally, is brewing a potential headache for insurers here in the UK: the risk of a wave of subsidence claims from autumn 2023. </p>
<p>Subsidence is one of the most damaging geohazards in the UK and cost the economy an estimated £3 billion over the past decade<sup>3</sup>.  In most cases, subsidence occurs when the clay minerals in soil shrink as the volume of the water in soil reduces, primarily when it is absorbed by tree roots during the Spring and Summer growing seasons and swell during the wetter Autumn and Winter seasons when most vegetation is dormant.  Dry weather and high temperatures are a major factor in this swell-and-shrink cycle because there is less water for trees to absorb.  A dry Autumn / Winter followed by a dry Spring/Summer is the perfect storm for insurers of properties in areas with clay soil.  The relatively dry Autumn/Winter coupled with the current temperatures and lack of rain are a cause for concern for property insurers. </p>
<p>Steps can be taken to reduce the risk, for example, by removing any trees or bushes near the property (or at least maintaining them with regular pruning) and by carrying out regular inspections of pipework, drainage and guttering systems. </p>
<p>In addition, early mitigation measures are crucial, as explained by <a href="/people/ally-yeandle/">Ally Yeadle</a> in <em><a href="/thinking/insurance-and-reinsurance/subsidence-mitigation-the-legal-principles/">Subsidence mitigation: the legal principles</a></em>, not only to prevent further losses but also to maximise the property insurers' prospects of a successful recovery action. If early mitigation is not an option, underpinning a property can be expensive and the required on-going monitoring process can become protracted.</p>
<p>Surveyors should ensure that they pay careful attention to any signs of movement when carrying out surveys and valuations in autumn. They should ensure that their engagement letters contain a clear explanation of the level of inspection undertaken and make clear any specific limitations on their inspection in their report.</p>
<p><sup>1</sup> <a href="https://www.moodys.com/web/en/us/about/insights/data-stories/reinsurers-mitigate-lower-profits.html">Reinsurers defend against rising tide of natural catastrophe losses, for now</a></p>
<p><a href="https://www.moodys.com/web/en/us/about/insights/data-stories/reinsurers-mitigate-lower-profits.html"></a><sup>2</sup> <a href="https://www.theguardian.com/environment/2023/jun/24/el-nino-how-the-weather-event-is-affecting-global-heating-in-2023">El Niño: how the weather event is affecting global heating in 2023</a></p>
<p><span><sup>3</sup> <a href="https://www.bgs.ac.uk/news/six-ways-to-prepare-your-home-for-climate-change-related-subsidence/">Six ways to prepare your home for climate change related subsidence</a></span></p>]]></content:encoded></item><item><guid isPermaLink="false">{C3323283-BB70-4FAE-A35B-6417E6EE6C55}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/frcs-proposed-corporate-governance-overhaul-mean-for-d-and-o-exposures/</link><title>What does the FRC's proposed corporate governance overhaul mean for D&amp;O exposures?</title><description><![CDATA[The Financial Reporting Council (FRC) has now published the draft new UK Corporate Governance Code following the Government's requirements that it incorporate more robust internal control and prudent and effective risk management requirements. The deadline for responses to the FRC's consultation is 13 September 2023. ]]></description><pubDate>Tue, 04 Jul 2023 14:02:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>James Wickes, Aimee Talbot</authors:names><content:encoded><![CDATA[<p><strong>What is the context to this change?</strong></p>
<p>The current 2018 version of the Code is mandatory for premium listed companies and voluntary for private companies, and as such acts as a guide to good board practice. </p>
<p>The FCA's consultation on Primary Market Effectiveness proposes a move from standard and premium listed companies to a single category for listed companies, which means that more companies will be required to follow the Code. </p>
<p>If implemented, the proposed new version of the Code will apply to accounting years commencing on or after 1 January 2025.  A suite of guidance is expected to be published before the new Code comes into force. </p>
<p><strong>What are the main proposed changes?</strong></p>
<p>The format of the Code (a number of key principles supported by provisions which must either be complied with or an explanation proffered as to why not, otherwise known as "comply or explain" provisions) is not changing, but the principles have been refined and a new principle encouraging a focus on governance practices outcomes has been added.  This is a result of the FRC's research which found that reporting on outcomes is generally lacking. The new principle is aimed at encouraging companies to better meet the needs and demands of stakeholders. </p>
<p>The proposed revisions seek to address policy issues set out by the Government's in its White Paper <em>"Restoring Trust in Audit and Corporate Governance"</em>, which proposed major reforms to the UK audit industry and corporate governance regime, including rebranding the FRC as the Audit, Reporting and Governance Authority (ARGA).</p>
<p>Perhaps unsurprisingly, ESG features prominently in the reforms, with the FRC hoping that companies will embed these issues into their culture since at present reporting is fragmented and stakeholders are demanding more and more information.  Provision 1 will require the annual report to describe how ESG matters, its climate ambitions and transition planning have been taken into account in the company's strategy.  Greenwashing and insufficient transparency around environmental targets are specifically cited by the FRC as concerns for many investors and stakeholders. </p>
<p>The annual report will also need to:</p>
<ul>
    <li>Include the views of shareholders;</li>
    <li>Address each director's ability to discharge their responsibilities in light of any other commitments (reflecting increased investor concern about the number of board positions held by directors);</li>
    <li>Describe the effectiveness of equal opportunity, inclusion and diversity in appointments and succession planning (this renewed focus is consistent with the FCA's April 2022 policy statement on diversity & inclusion for company boards and also reflects the FRC's findings that reporting on succession is often poor and reactive, as opposed to proactive);</li>
    <li>Identify and explain the policies and procedures in place for identifying and managing emerging risks, which are defined as those whose impact and probability are difficult to assess and quantify at present, but there is a reasonable probability of affecting the company over a longer time horizon.</li>
</ul>
<p>Encouraging directors to realistically assess the number of positions they hold reflects the increasing complexity of trading conditions and the FRC's desire that directors give "more intensive consideration" to challenges, such as cybersecurity, AI or environmental issues.  As such, this is a key part of the FRC's drive to engender more responsible governance.  The Code provides that full-time executive directors should not take on more than one non-executive directorship in a FTSE 100 company or other significant appointment, to ensure that they have sufficient time to meet their responsibilities.  However, the FRC has refrained from placing any further concrete limits on the number of board appointments an individual can accept, as a "one size fits all" approach is insufficiently flexible for the myriad types of business affected by the Code. </p>
<p>Similarly, directors will also need to provide a declaration within the annual report as to whether they can reasonably conclude that the company’s risk management and internal controls have been effective throughout the reporting period. The FRC hopes that this change will strengthen board accountability and internal controls in light of its findings that there is a general lack of reporting on risk management and internal controls operated by companies and the work done to maintain their effectiveness. The declaration must be supported by an explanation of its basis and how the board had monitored and reviewed the effectiveness of its systems, as well as a description of any material weaknesses or failures identified and the remedial action being taken. </p>
<p>Directors' remuneration is also a focus of the new rules, requiring remuneration to be "clearly aligned" to the company performance, purpose and values, expressly taking into account its long-term and ESG objectives and to be proportionate.  The remuneration structure and the use of any clawback provisions in the past 5 years must be included in the annual remuneration report.  The FRC states that it does not expect these changes to result in lower remuneration, but rather to result in greater clarity for investors about the methods available to address serious failings and whether and how companies are making use of them.  </p>
<p>Companies' audit committees will be required to monitor the integrity of narrative reporting, including on sustainability, develop an audit & assurance policy and promote competition when seeking tenders for an external auditor.  Any significant reporting issues identified by the audit committee will need to be detailed in the annual report. </p>
<p>More changes are on the horizon as the Government is due to publish new regulations containing its Audit and Assurance Policy and Resilience Statement requirements.  Boards will also need to familiarise themselves with the FRC's new Minimum Standard for Audit Committees in relation to external audit, which was developed following a recommendation from the Competition & Markets Authority.</p>
<p>Open responses to the FRC's consultation have been published by the Association of Chartered Certified Accountants and the Pensions and Lifetimes Savings Association; both of which welcome the revisions to the Code and encourage the FRC to go further.  As such, companies can expect continued pressure from stakeholders to demonstrate responsible governance.</p>
<p><strong>What does this mean for management liability exposures?</strong></p>
<p>By embedding ESG considerations, proportionate remuneration and monitoring of emerging risks into the Code, the effect of these proposed reforms is to place more responsibility on directors to ensure that companies are operated responsibly.  The new declaration in particular seeks to commit directors to devoting adequate time to the business and affirming their own effectiveness (something which could easily be relied upon at a later date in any claim) and requires directors to assume a more prominent position in effectively underwriting the success of the company, both from a profits viewpoint and from a responsible-business perspective.  There is not as yet any guidance on how to measure whether a company's risk governance has been "effective", which leaves open the possibility that this will simply become an exercise in semantics.  There is scope for disputes here as effective governance is open to interpretation depending on one's viewpoint.  The FRC has clarified that board performance reviews are crucial and hopes to encourage a "continual process of self improvement".  </p>
<p>Similarly, whilst ESG has risen swiftly to become of key strategic importance to many businesses, it is a relatively new (having only been coined in 2004) and arguably nebulous concept that is heavily influenced by a rapidly changing society.  What ESG means to us now in 2023 may be wildly different to what ESG means to us by the time the new Code comes into force, and it can be difficult for businesses, especially larger businesses, to adapt quickly; although of course the Covid-19 pandemic tested of the speed of adaptability for most.</p>
<p>We are already seeing shareholder activism, claims against directors from climate action groups and, together with claims of "greenwashing", these are likely to intensify and perhaps find a firmer footing once ESG considerations are embedded into the Code.</p>
<p>In light of the prominence afforded to inclusion, diversity and equal opportunity, we may see more employment-type claims against directors, arising from perceived discrimination, for example.</p>
<p>Depending on the industry in which the company operates, it may well be difficult for directors to tread the right line between operating responsibly whilst still delivering profits for shareholders, particularly given the need to incorporate shareholder views in its annual report.  It is easy to see disputes between shareholders and the board concerning how shareholders' concerns have been represented and where there is a dispute over the company's governance.</p>
<p>Disputes concerning a director's commitment to the business are likely to become more common as the Code places a greater focus on whether directors have sufficient time, bearing in mind their other commitments, to devote to the business. </p>
<p>Remuneration is already a contentious area for some and we expect to see these disputes continue. In particular, we anticipate the proposed reforms will result in greater pressure on companies to exercise clawback provisions where culpability for failings can be identified and intra-company disputes around clawback and allegations of "scapegoating" to increase. </p>
<p><strong>Practical tips for directors and their insurers</strong></p>
<p>Directors will want to ensure that they familiarise themselves with the amendments to the Code and plan ahead to ensure that they are well on their way to having implemented the new policies required by the Code before its launch in 2025.  Insurers are likely to find information about a company's plans and progress helpful on renewal or when a new risk is presented.</p>
<p>Companies will need to be clear on their strategy for achieving their objectives in a responsible way and on what ESG means for them and their industry; partly so that they have a clear strategy to measure against for the purposes of the declaration, and partly to guide them with day-to-day decision making. Similarly, a clear strategy is likely to reassure Insurers that careful consideration has been given to this difficult area.</p>
<p>Companies should carry out a risk assessment of emerging risks and keep a written record of these as well as considering whether their structure around remuneration and clawback is fit for purpose.  Directors should also review their appointments and consider whether they have sufficient time to devote to each business. </p>
<p>Directors without adequate management liability insurance in place would be well advised to speak to their brokers about how insurance can help them manage the risks arising from the revisions to the Code.  </p>
<p><strong>Further reading</strong></p>
<p>Find out more about:</p>
<ul>
    <li>Greenwashing claims <a href="/thinking/banking-and-financial-markets-litigation/esg-claims-in-the-banking-and-financial-markets-sector/">here</a></li>
    <li>ESG generally <a href="/thinking/esg/">here</a></li>
</ul>]]></content:encoded></item><item><guid isPermaLink="false">{548D55F9-F996-4DD4-82A6-8D7A801BC4CA}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/whats-next-for-pfas-litigation/</link><title>What’s next for PFAS litigation?</title><description><![CDATA[RPC’s Lucy Dyson explores how growing public awareness of PFAS and the associated health and environmental concerns has seen a rise in litigation in the US that parallels asbestos as a toxic tort, with claims over chemical contamination in Europe also on the rise.]]></description><pubDate>Mon, 26 Jun 2023 10:33:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Lucy Dyson </authors:names><content:encoded><![CDATA[<p style="margin-bottom: 1.11111rem;"><strong>This article was first published by <a href="https://www.esg-insurer.com/viewpoint/whats-next-for-pfas-litigation/">ESG Insurer</a></strong></p>
<p style="margin-bottom: 1.11111rem;"><strong><a href="https://www.esg-insurer.com/viewpoint/whats-next-for-pfas-litigation/"></a></strong>Litigation concerning per- and polyfluoroalkyl substances (PFAS), or “forever chemicals”, continues to gain traction, both outside the US and against manufacturers that incorporate them into their products.</p>
<p style="margin-bottom: 1.11111rem;">The persistent nature of these chemicals and their potential harmful effects on human health and the environment are becoming more widely known and we are seeing an increase in PFAS-related claims in Europe and elsewhere in the world.</p>
<p style="margin-bottom: 1.11111rem;">The US Environmental Protection Agency (EPA) has reportedly identified more than 12,000 chemical compounds within the PFAS family.</p>
<p style="margin-bottom: 1.11111rem;">The term “forever chemical” refers to their very slow degradability, mobility and persistence in the environment, due to their chemical composition.These chemicals are abundant in our daily lives, including cookware, carpets, food packaging, medical devices, cosmetics, clothing and firefighting foam.</p>
<p style="margin-bottom: 1.11111rem;">Knowledge of the existence of these chemicals and their potential effects has only come into the public domain in the last 20 to 30 years.<br />
The EPA has noted potentially deleterious health effects from human exposure to PFAS including cancers, impaired immune systems, endocrine disruption, thyroid disease, developmental delays in children and others.</p>
<p style="margin-bottom: 1.11111rem;">Longer-chain PFAS – such as perfluorooctanoic acid and perfluorooctanesulfonic acid – and their presence in the environment are more widely known, whereas awareness of the shorter-chain PFAS (including GenX) is still evolving.</p>
<p style="margin-bottom: 1.11111rem;">The increasing public consciousness of PFAS bears a striking resemblance to asbestos and how it emerged as a toxic tort – spawning litigation which is still running decades later.</p>
<p style="margin-bottom: 1.11111rem;">PFAS litigation in the US is well-developed and for the past three decades has mainly focused on environmental (remediation) and personal injury claims against the main manufacturers of these chemicals.</p>
<p style="margin-bottom: 1.11111rem;">At present, there is ongoing litigation concerning alleged contamination of water systems with PFAS from manufacturing plants and PFAS in firefighting foam, including allegations that its use at military bases and airports has contaminated groundwater.</p>
<p style="margin-bottom: 1.11111rem;">There are also lawsuits brought by firefighters who allege that they have suffered injury as the result of exposure to PFAS in firefighting foam, as well as in clothing and other equipment.</p>
<p style="margin-bottom: 1.11111rem;">In recent years, lawsuits against other industries such as fast food, cosmetics and textiles have also started to emerge. Last year, claims were brought against McDonald’s, Burger King and Coca-Cola, whose packaging and/or food products are alleged to contain PFAS.</p>
<p style="margin-bottom: 1.11111rem;">There have also been claims against L'Oréal, Rimmel and others in relation to PFAS in make-up products and misinformation claims concerning PFAS in menstrual underwear. In recent months, the presence of PFAS in contact lenses has also been in the spotlight.</p>
<p style="margin-bottom: 1.11111rem;">Although claims in Europe are still at an early stage compared to the US, litigation concerning alleged PFAS groundwater contamination is on the rise and we can expect an uptick in such claims, together with personal injury/property damage claims.</p>
<p style="margin-bottom: 1.11111rem;">For context, it is thought that there are more than 17,000 sites in Europe where high levels of PFAS are detectable.</p>
<p style="margin-bottom: 1.11111rem;">In Sweden, a group of inhabitants from Kallinge are seeking compensation on the basis that groundwater was contaminated with high levels of PFAS due to firefighting foam being used at nearby military bases.</p>
<p style="margin-bottom: 1.11111rem;">In 2022, the Flemish government announced a €571mn agreement with 3M, for remediation of alleged PFAS contamination of the Scheldt River. Elsewhere, the Dutch government is reportedly evaluating legal action in relation to alleged contamination of the western part of the Scheldt River, which stretches across France, Belgium and the Netherlands.</p>
<p style="margin-bottom: 1.11111rem;">In March 2023, it was announced that 13 municipalities from the southwest of Lyon intend to launch group litigation for compensation in relation to PFAS contamination of the Rhône.</p>
<p style="margin-bottom: 1.11111rem;">Elsewhere in the world, May 2023 saw a A$132mn class action settlement between the Australian government and thousands of landowners whose properties were allegedly contaminated by PFAS due to use of firefighting foam at air force bases. This follows a 2020 settlement with three communities for A$212mn.</p>
<p style="margin-bottom: 1.11111rem;">Clearly the PFAS legal landscape is rapidly expanding. In addition to the main chemical manufacturers, we can expect an uptick in litigation against companies which use PFAS in their products.</p>
<p style="margin-bottom: 1.11111rem;">For corporates, this is an uncertain time given the regulations on PFAS are still being deliberated in Europe (a widespread ban on their use is not expected until 2025, at the earliest) and the class of chemicals is so vast.</p>
<p>Moreover, the issue has gained more prominence against the backdrop of an ESG-centric era where collective redress is becoming more prevalent in certain jurisdictions, coupled with litigation funding being more accessible.</p>]]></content:encoded></item><item><guid isPermaLink="false">{A13886B3-8283-4464-9CAF-B7AC68E00552}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/covered-insurance-regulation-asia-edition/</link><title>Covered: Insurance regulation – Asia edition</title><description><![CDATA[Covered: Insurance regulation – Asia edition]]></description><pubDate>Fri, 16 Jun 2023 09:30:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Andrew Carpenter, Heidi Ng</authors:names><content:encoded><![CDATA[<h4>Hong Kong’s Insurance Amendment Bill</h4>
<p>The Insurance (Amendment) Bill 2023 has been introduced to establish the statutory foundations for the new risk-based capital (RBC) regime for Hong Kong authorized insurers. The bill is expected to be in force in 2024.</p>
<p>The amendments introduced by the bill will see an end to the current solvency provisions of the Insurance Ordinance (IO) in favour of a Solvency II-style RBC regime, bringing Hong Kong in line with other key insurance hubs. This follows several rounds of consultations with the industry. In addition to changes to the IO, new rules will be introduced setting out the detail of the RBC regime.</p>
<p>Not only does the bill set conditions for RBC, it also introduces several other important updates of note to the IO including:</p>
<ul>
    <li><span></span>introduction of the concept of “Designated Insurer”, being foreign-incorporated insurers that carry on the majority of their business in Hong Kong. Designated Insurers will be subject to the same regime as Hong Kong-based insurers</li>
    <li>distinguishing between minority shareholder controllers (15% to 50%-) and majority shareholder controllers (50%+) and providing requirements for approval for minority controllers who propose to become majority controllers</li>
    <li>shoring-up provisions regarding notifications of changes in particulars of directors, controllers and other key persons</li>
    <li>a requirement that general insurers must also have approved actuaries and file periodic actuarial reports</li>
    <li>a requirement that insurers make certain public disclosures in relation to their solvency position</li>
    <li>provisions regarding the keeping of separate funds and accounts</li>
    <li>provisions in relation to assets that general insurers must maintain in Hong Kong</li>
    <li>providing new powers for the Insurance Authority (IA) to make investigations that it regards as “desirable for mitigating or controlling the risks posed to or by the business of the insurer” and requiring third-party reports.</li>
</ul>
<p>The bill can be seen in the broader context of Hong Kong’s determination to be a leading insurance hub and furthering the IA’s objectives in modernising the jurisdiction’s regulatory infrastructure. It also introduces some welcome clarifications to the IO. The new provisions beyond the RBC considerations will certainly have impact – the new “Designated Insurers” regime will cause some of the life businesses to consider redomiciling to Hong Kong (in respect of which separate legislation is currently being developed). The distinction between minority and majority shareholder controllers and the new approvals process will also impact group restructuring considerations. Further assessment will be needed once the new RBC rules are circulated.</p>
<h4><strong>More opportunities ahead for Hong Kong motor insurers</strong></h4>
<p>The long-awaited Northbound Travel for Hong Kong Vehicles (the Scheme) opened for applications on 1 June 2023, with approved travel commencing from midnight, 1 July 2023.</p>
<p>The Scheme allows Hong Kong residents to travel to Guangdong in their private cars via the Hong Kong-Zhuhai Macao Bridge (HZMB) as long as applicants meet stated requirements, one of which is obtaining motor insurance that covers both Hong Kong and the Mainland. The Scheme is expected to benefit more than 450,000 private vehicles (only 16,700 private vehicles were allowed to cross the border under the pre-1 July system).</p>
<p>This scheme takes its place within the wider Greater Bay Area project (GBA) and will increase movement and connectivity between the cities. The agreement between the regulators in Hong Kong and the Mainland to implement cross-border insurance coverage – a “Unilateral Recognition” policy – sets a precedent for further insurance schemes to follow and gives a boost to the insurance market. Each policy will be issued by a Hong Kong insurer with coverage extending to include third-party liability motor insurance in the Mainland. Sixteen Hong Kong carriers are set to offer the Unilateral Recognition motor insurance.</p>
<p>A factsheet for the scheme can be obtained from the Insurance Authority's website.</p>
<p>Unilateral Recognition products include mandatory top-up cover for third-party personal injury and/or property loss, with a limit of liability of RMB 200,000 per event (being the Mainlands statutory minimum requirement). Policyholders may also opt for additional selective top-up cover which protects against third-party personal injury and/or property loss in excess of the statutory minimum requirement in the Mainland as well as claims relating to the driver and passengers of the insured vehicles.</p>
<h4><strong>Singapore MAS to consult on changes to the Insurance Act and Insurance (Intermediaries) Regulations</strong></h4>
<p>The Monetary Authority of Singapore (MAS) has released a consultation paper outlining proposed amendments to the Insurance Act 1966 (IA) and the Insurance (Intermediaries) Regulations (IIR).</p>
<p>The proposed changes aim to enhance MAS supervisory powers, clarify existing policy intent, align with other IA provisions and MAS-administered Acts, and reflect changes in policy intent.</p>
<p>The proposed changes to the IA include the introduction of an anti-commingling policy for licensed insurers and registered insurance brokers, prohibiting them from directly undertaking businesses other than insurance business and “permissible businesses.”</p>
<p>Additionally, the sharing of names, logos, or trademarks by locally-owned insurers with entities other than themselves will require MAS prior approval</p>
<p>MAS also plans to strengthen its oversight of insurers' outsourcing arrangements which includes imposing requirements on insurers to conduct due diligence on service providers and the inclusion of specified provisions in policies, procedures, and contracts. There are also plans to introduce explicit powers requiring insurers to restitute their insurance funds for Participating (Par) and Investment-Linked (IL) policies.</p>
<p>In terms of policy intent clarification, proposed revisions would require captive insurers licensed for life business to establish insurance funds for IL/ non-IL Policies and Par/non-Par Policies. Reinsurers will also be required to maintain separate insurance funds for different types of policies.</p>
<p>Further amendments are proposed with the aim to better align the provisions of the IA and other MAS-administered Acts (such as the Banking Act 1970). This includes removing the provision allowing public inspection of insurers' returns, increasing penalties for contravening return submission requirements, and introducing penalties for insurers and insurance brokers failing to ensure the accuracy of lodged returns.<br />
<br />
Turning to the IIR, the proposed amendments suggest requiring registered insurance brokers to notify MAS of adverse developments affecting their business or the fitness and propriety of their substantial shareholders, controllers, and key officers. Brokers will also need to establish compliance arrangements, risk management policies, and internal controls appropriate to their business.<br />
<br />
As the consultation period for the proposals has now closed, it is important for insurers and intermediaries to closely monitor the progress of the proposed amendments to stay abreast of their obligations.</p>
<h4>ChatGPT’s impact on insurance: adoption, potential and concerns</h4>
<p>ChatGPT, the generative language model developed by OpenAI, reached over 100 million users in just two months when it was launched last November.</p>
<p>This record-breaking speed of adoption, outpacing the success of Instagram and TikTok, has garnered attention for its potential impact on the insurance industry.</p>
<p>Its deployment by insurance companies to enhance customer support is one area gaining particular traction. Chatbots powered by ChatGPT can provide instant responses to customer enquiries around the clock, helping customers to quickly and easily report claims, get answers to frequently asked questions, and receive support for other issues related to their policy.</p>
<p>Swiss Insurer, Helvetia, recently announced the launch of its direct customer service based on ChatGPT technology with the aim to make access to insurance and pension products more straightforward. Japanese Insurer, Tokio Marine are also reported to have partnered with an AI start-up with a system set to go live that will generate answers to queries related to coverage and procedures from policyholders and insurance agents.</p>
<p>ChatGPT equally has the potential to assist underwriters gathering and analysing large amounts of information, such as weather patterns, economic conditions and demographic trends, enabling better informed underwriting decisions.</p>
<p>Zurich is reported to be utilising ChatGPT technology to extract data from claims descriptions and documents, analysing the most recent six years of data to identify the specific cause of loss across a large set of claims, ultimately enhancing its underwriting practices.</p>
<p>The technology can be used to analyse customer data to better understand customers’ needs and offer more targeted product recommendations as well as to streamline claims handling and detect fraud patterns and anomalies, allowing insurers to safeguard the interests of their customers and maintain the integrity of their claims processes.</p>
<p>Concerns have arisen regarding customer privacy, lack of personalization, accuracy and the trustworthiness of AI systems, as well as AI’s technical limitations and issues that could arise from system outages. Additionally, the presence of biases in ChatGPT’s AI algorithms can pose ethical concerns over potential discrimination and unfair treatment.<br />
<br />
Despite these drawbacks, generative AI’s value currently lies in automating essential but non-core tasks, saving time and boosting efficiency. Insurance companies are leveraging the underlying technology to jumpstart their own innovations and solve specific problems. While some specialty and commercial lines may take time to benefit from AI models due to data limitations, personal lines like home and auto insurance, with abundant data points, may see remarkable results.</p>
<p><em>All material contained in this guide is provided for general information purposes only and should not be construed as legal, accounting, financial or tax advice or opinion to any person or specific case. RPC accepts no responsibility for any loss or damage arising directly or indirectly from action taken, or not taken, which may arise from reliance on information contained in this article. You are urged to seek legal advice concerning your own situation and any specific legal question that you may have.</em></p>]]></content:encoded></item><item><guid isPermaLink="false">{ED254B82-04BD-47D7-B15A-AAEEB113D276}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/crypto-issues-for-solicitors-and-their-pi-insurers/</link><title>Crypto: issues for solicitors and their PI insurers</title><description><![CDATA[We explore the types of work lawyers are doing in this area, the risks this work may give rise to and issues for solicitors and their PI insurers to consider. ]]></description><pubDate>Wed, 31 May 2023 11:04:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Simy Khanna, Harriet Keltie</authors:names><content:encoded><![CDATA[<p><strong>What are cryptocurrencies and how do they work?  </strong></p>
<p>Cryptocurrencies have existed since 2009, when the Bitcoin blockchain was launched. Since then, the space has grown at an extraordinary rate. As of March 2023, around 23,000 cryptocurrencies exist, with many having different use cases and unique selling points. </p>
<p>Given the speed at which the space is growing, the world is grappling with what exactly cryptocurrencies are – are they currencies, assets, or investments?  Most important for solicitors, how, if at all, can they truly be regulated?  </p>
<p><span style="text-decoration: underline;"><em>What is Bitcoin?</em></span></p>
<p>The best starting point for understanding this landscape is the most well known cryptocurrency: Bitcoin. At the time of writing, Bitcoin has a market cap of c. $541 billion – just under half of the entire market cap for all cryptocurrencies.</p>
<p>After the fallout of the 2007/8 economic crash, Satoshi Nakamoto (the still unknown founder(s) of Bitcoin), published a white paper called <a href="https://bitcoinwhitepaper.co/">Bitcoin: A Peer-to-Peer Electronic Cash System</a>, in 2008. Nakamoto's goal was simple: to enable online payments that could be sent directly from one party to another, without having to rely on a third party financial institution (for example, a bank).  </p>
<p>The White Paper sets out how the Bitcoin protocol would operate, how it would remain independent and how it would remain secure.  On 3 January 2009, the first Bitcoin was created, or mined.  </p>
<p>However, Bitcoin needs somewhere to exist, and this is where the blockchain comes in.</p>
<p><span style="text-decoration: underline;"><em>What is the blockchain?</em></span></p>
<p>Bitcoin exists on its own blockchain which, in its simplest form, is a transparent ledger that anyone can access. Accordingly, the blockchain makes it possible for anyone to review any historical Bitcoin transaction. The blockchain is updated and maintained simultaneously across thousands of computers (known as 'nodes'). Whilst nodes operate individually, they all work to validate, broadcast, process and store BTC transactions. </p>
<p>Because the ledger is spread across multiple nodes, it is decentralised. As a result, Bitcoin does not exist in just one jurisdiction. In principle, its decentralised nature means this system is robust, free of censorship and resistant to state/organisational intervention and geopolitical conflict. Its greatest advocates have argued that due to its freedom from state/organisational control, it is resistant to inflation. This is because Nakamoto ensured that only 21 million bitcoins will ever exist. The last bitcoin is due to be mined in c.2140. In comparison, "fiat" currencies, such as the US Dollar continue to feel the effects of inflation. Commentators allege that the US dollar has lost 96% of its buying power since the inception of the Federal Reserve in 1913. This is in large part caused by governments continuing to use quantitative easing. In 2020 alone 40% of all US Dollars in circulation were "printed".  </p>
<p><em><span style="text-decoration: underline;">How does the blockchain work?</span></em></p>
<p>The nodes referenced earlier continuously update the register of transactions on the blockchain.  The ability to send bitcoin continues so long as the nodes keep up to date records.  Rather than recording and agreeing on the order of every individual transaction, the nodes record transactions in clusters, called 'blocks'.  Blocks are created far less frequently than transactions, and one block can contain hundreds of transactions.  </p>
<p>Instead of having to agree on the order of individual transactions, which could allow for a <em>"double spend"</em> scenario, the nodes need only to agree on the order of blocks.  Once transactions are bundled with others into a valid block, the block is passed amongst the network and verified (confirmed).  When the next block is verified by the nodes, the first block has two confirmations, and so on.  As the blocks are layered on top of one another, they are chained together by cryptographic hashes – hence: blockchain.  </p>
<p><em><span style="text-decoration: underline;">How do you access and use Bitcoin?</span></em></p>
<p>Acquisition of Bitcoin is easy. The most popular way to buy it is through an exchange, where you can purchase Bitcoin with a standard bank transfer.  You simply send money to your account on the exchange before then purchasing Bitcoin.  </p>
<p>When users buy Bitcoin from an exchange, they are assigned a public key which they can share with anyone. This key acts as an address (akin to a banking sort code and account number) and allows for anyone with knowledge of it to send Bitcoin to it.</p>
<p>This key also acts as the user's identity on the blockchain – it is this key that is recorded on the blockchain as receiving or sending bitcoins. Therefore, the more this key is shared, the less anonymous the user becomes.  There is, however, nothing stopping anyone from having as many addresses (or "wallets") as they want. </p>
<p>In addition to a public key, participants are also given a private key. This key is specific to just your Bitcoin "wallet". A private key gives you the ability to prove that you are the owner of the Bitcoin in your possession. It can take many forms; for example a QR code or a mnemonic phrase. When a wallet is set up for the first time, the user is given its private key which will never be shown again.  Should that user ever be "locked out" of their wallet, access can be re-granted by the user repeating their private key.  Losing the private key is likely to mean that re-establishing access to funds is impossible - and some have lost millions as a result. </p>
<p><em><span style="text-decoration: underline;">What about the volatility of cryptocurrency? </span></em></p>
<p>Anyone who has paid even vague attention to the cryptocurrency market will be aware that the market is volatile.  Since reaching an all time high of $69,000 per Bitcoin in November 2021, its price has now crashed as low as c.$15,500. This crash has wide reaching consequences, not just for investors, but for those employed within the space. </p>
<p><strong>What does all this have to do with lawyers? </strong></p>
<p>On 11 January 2022, the Master of the Rolls, Sir Geoffrey Vos stated that <em>"every lawyer will require familiarity with the blockchain, smart legal contracts and cryptoassets"</em>.  He (and others) predict that cryptoassets and blockchian becoming mainstream is imminent.  Commercial and technological developments over the past two years – accelerated by Covid – have given rise to huge growth in the use of both cryptoassets and blockchain.  The legal sector is not immune from these advancements and, in fact, is heavily involved already.  The President of the Law Society anticipates that we will see further increase in law-tech adoption across the profession in the coming years.  New regulations and legislation are being introduced to catch up and keep pace.  </p>
<p>At the same time, lawyers are increasingly working with technological specialists and taking on the role of project managers.  This technology is increasingly forming part of main retainers – all of which means that not only do solicitors need to quickly get up to speed with how these technologies operate, but also how they impact the way in which legal services are carried out.  </p>
<p><strong>What is the current UK legislation and regulation position?</strong></p>
<p>The UK currently has no specific legislation governing cryptocurrency, so the way in which it is treated by the law has been developed through case law alone.  Case law has so far established (among other things): </p>
<p style="margin-left: 40px;">•<span> </span>That cryptocurrencies constitute property under English Law (<em>AA v Persons Unknown [2019] EWHC 3556</em>)</p>
<p style="margin-left: 40px;">•<span> </span>That the governing law of a cryptoasset is the place where the owner is domiciled (<em>Ion Science Ltd & Ors v Persons Unknown & Ors (Unreported)</em>);  </p>
<p style="margin-left: 40px;">•<span> </span>That cryptoassets can be held on trust (<em>Zi Wang v Darby [2021] EWHC 3054</em>); and </p>
<p style="margin-left: 40px;">•<span> </span>That alternative service of proceedings may be granted by 'airdropping' NFTs into a crypto wallet.  In <em>D'Aloia v (1) Persons Unknown (2) Binance Holdings Limited and others<sup>1</sup></em> , the Court granted an order for alternative service in this way when the Claimant fell victim to a crypto scan.  </p>
<p>In addition, there is presently no specific regulatory regime for cryptoassets in the UK, other than that since January 2020 crypto-asset exchange and wallet providers fall into the scope of anti-money laundering regulations and must be registered with the FCA.  However, the FCA does not regulate most cryptoassets, so the FSCS will not protect investors if exchanges go out of business.   </p>
<p>In January 2022, the FCA published a consultation paper on strengthening financial promotion rules for high risk investments, including cryptoassets.  The trigger for this consultation was research revealing a lack of understanding on the part of crypto consumers regarding the potential risks, rendering them susceptible to losses.  For example, 45% of new investors said they did not view 'losing money' as a potential risk of investing, and 69% of people aged 18 – 40 who had purchased cryptoassets wrongly believed they are regulated by the FCA.  The FCA's official advice is that consumers should <em>"be prepared to lose all [their] money"</em> if they invest in crypto.    </p>
<p>The Treasury, along with the FCA, has recently consulted on cryptoassets and the government has tasked the Law Commission with making recommendations for reform to ensure that the law deals adequately with cryptoassets whilst also fostering its growth and benefits.  On 21 November 2022, the deputy governor for financial stability at the Bank of England, Sir Jon Cunliffe, said that the very recent collapse of FTX highlighted the <em>"urgent need"</em> to regulate the cryptocurrency sector.  It is clear, therefore, that this area is going to be subject to significant change. </p>
<p><strong>What type of work are solicitors already doing in this space – where cryptocurrencies are the focus of the retainer?</strong></p>
<p><strong><em><span style="text-decoration: underline;"></span></em></strong><em><span style="text-decoration: underline;">Corporate and commercial</span></em></p>
<p>Corporate and commercial lawyers are working with suppliers and customers of blockchain technologies and cryptoassets, advising on issues such as: contracts, compliance, regulatory and competition issues.  There may be IP considerations – does the client need to consider licences, copyrights, patents, trademarks and data security?  Clients are likely to need input from tax specialists.  </p>
<p>It is easy to see how this type of work, much like a standard corporate transaction, can involve services across a corporate law firm.  </p>
<p><em><span style="text-decoration: underline;">Disputes</span></em></p>
<p>Lawyers will be advising on disputes where cryptoassets have been misappropriated and clients are seeking their recovery, possibly because of wrongful acts.  Lawyers are also advising on title and trademark disputes involving cryptoassets.  </p>
<p>Cryptoassets have been the subject of freezing injunctions, worldwide freezing orders and a banker's trust disclosure order (<em>Walker and Danisz v Persons Unknown</em>).  In the context of litigation, the Court even considered whether Bitcoin could stand as security for a defendant's costs: in <em>Tulip Trading Ltd v Bitcoin Association</em>, the court decided against this due to the volatility of Bitcoin.  </p>
<p><em><span style="text-decoration: underline;">Contracts</span></em></p>
<p>Smart contracts are essentially programs stored on a blockchain.  They are digital contracts that are automatically generated, executed and enforced when pre-determined conditions are met.   The main benefit of a smart contract is that it enables contractual performance to occur without the need for human intervention.  They tend to be used in standard transactions using run of the mill documents. </p>
<p>Lawyers are likely to be involved in the creation of smart contracts from both a legal and technical perspective.  They will need to think about the legal aspects of the contract but also whether its digitisation and the coding used gives effect to the agreed terms of the contract.</p>
<p><strong>What about legal work where crypto/blockchain is incidental to the retainer?</strong></p>
<p>As well as lawyers being directly involved in the crypto/blockchain sphere, there is no doubt that cryptoassets are affecting, or will affect the more traditional types of legal service.  </p>
<p><em><span style="text-decoration: underline;">Real Estate</span></em></p>
<p>Solicitors have to find a way to deal with clients who approach them wishing to turn their cryptoassets into properties.  Given the concern about links between cryptoassets and organised crime, solicitors need to be extremely careful.  </p>
<p>The Proceeds of Crime Act 2002 relates to the recovery and confiscation of proceeds made from criminal activities – it applies to the professional advisers involved in the transactions relating to this property, not just the cryptoasset owner.   </p>
<p>In addition to the risks, however, it is also worth considering the opportunities that blockchain may provide for the real estate industry, such as marketing properties across multiple locations simultaneously, allowing transactions to take place through the blockchain using smart contracts or revolutionising centralised land registries. </p>
<p>We anticipate that borrowers who hold significant digital assets are likely to push for them to be considered by lenders as part of the credit process when assessing whether to lend.  </p>
<p>Solicitors will want to be fully on top of these changes. </p>
<p><em><span style="text-decoration: underline;">Divorce</span></em></p>
<p>Cryptoassets are treated as property by the Courts and can therefore be divided, transferred or sold within divorce and ancillary relief proceedings, just as with any other asset. </p>
<p>Within the context of divorce proceedings, spouses must give full and frank financial disclosure of all their assets and liabilities, which includes cryptoassets.  Lawyers will need to not only fully understand the assets, but also review their value.  This is particularly important (and potentially particularly difficult) given the volatile nature of the value of cryptoassets.</p>
<p>Issues for divorce solicitors to consider include: </p>
<p style="margin-left: 40px;">•<span> </span>a failure to disclose cryptoassets may result in a spouse being penalised by the Family Court for committing a material non-disclosure; </p>
<p style="margin-left: 40px;">•<span> </span>a party ordered to transfer cryptoassets may be forced to offset its value against another asset if they fail to do so; </p>
<p style="margin-left: 40px;">•<span> </span>tracing cryptoassets is potentially difficult (and could be all but impossible).  The crypto-sphere markets itself partly on its increased security and anonymity and there is no central register of ownership on which solicitors can conduct checks. </p>
<p style="margin-left: 40px;">•<span> </span>Solicitors may have to consider instructing specialists to uncover and trace cryptoassets.  In addition, special injunctions may need to be considered.  Where should orders relating to cryptoassets be served?  Potentially on the crypto exchange(s), in addition to the asset owner, and there could be numerous exchanges to serve.  </p>
<p>Divorce solicitors work within a system relying on full (and honest) disclosure.  It is not hard to see that the increased ability to conceal assets that crypto provides may cause problems for solicitors in this sector.  </p>
<p>The volatile nature of cryptocurrency causes additional issues.  How should valuation be tackled?  An asset's value could change significantly from the disclosure of a spouse's Form E by the time settlement is achieved, or a hearing held.  What happens if the value of cryptoassets change significantly once settlement is agreed?  It is likely that expert evidence may be required to provide a long-term appraisal of the value.  </p>
<p>A rapidly shifting asset price will also not assist solicitors when it comes to conducting a cost-benefit analysis of instructing experts.  If an expert tracer is required, this may easily be justified if the asset's value is high but should this crash (which can happen very suddenly), solicitors could wind up incurring costs tracing or valuing an asset that are greater than the asset is ultimately work.  Clients are unlikely to thank solicitors for incurring cost on this basis.  As the use of cryptoassets grows, there could be a lot for solicitors advising in this space to grapple with.  </p>
<p><em><span style="text-decoration: underline;">Private client</span></em></p>
<p>Private client lawyers should be asking clients at the outset to establish the extent of their estate held as cryptoassets.  Where cryptotoassets are involved, there are potential problems: </p>
<p style="margin-left: 40px;">•<span> </span>The executors may not have any knowledge of the asset and even if they do, they may not be able to get hold of the keys.</p>
<p style="margin-left: 40px;">•<span> </span>On the other hand, if the keys are part of a will, once a grant of probate has been issued, a will becomes a public document, and so in that event, there is a risk that the keys become publicly available. </p>
<p style="margin-left: 40px;">•<span> </span>What are these assets worth, and how can solicitors best establish their value?</p>
<p style="margin-left: 40px;">•<span> </span>Given their volatility, cryptoassets can be problematic to manage. </p>
<p><em><span style="text-decoration: underline;">Tax</span></em></p>
<p>There are numerous issues for a tax lawyer to consider.  HMRC has assessed that:</p>
<p style="margin-left: 40px;">•<span> </span>Cryptoassets are liable to CGT upon disposal.</p>
<p style="margin-left: 40px;">•<span> </span>Cryptoassets received from employers give rise to an income tax and national insurance liability.  </p>
<p style="margin-left: 40px;">•<span> </span>Cryptoassets form part of a deceased's estate and so there will be inheritance tax considerations.</p>
<p style="margin-left: 40px;">•<span> </span>Gifts within families have the same tax consequences as transfers of any other property. </p>
<p>There will be potentially tricky jurisdiction issues for tax lawyers to consider. </p>
<p><strong>Cryptoassets and ESG</strong></p>
<p>The popularity of cryptoassets has grown extremely quickly.  At the same time, increasing focus has been placed on its potential impact from an ESG perspective.  Investor interest in ESG continues to grow and, as a result, businesses, financial institutions and insurers find themselves facing previously unseen levels of scrutiny in terms of their ESG credentials.   </p>
<p>ESG is an enormous subject and discussing ESG and cryptoassets could easily encompass several articles, but we will touch briefly on each area. </p>
<p><em><span style="text-decoration: underline;">Environment</span></em></p>
<p>Environmental concerns have been raised relating to the amount of energy used in mining cryptocurrencies and the consequent emissions, particularly Bitcoin.  Mining a single Bitcoin uses the same amount of energy as one US household uses in 9 years.  Bitcoin currently consumes more electricity than the entire country of Argentina and emits roughly the same amount of carbon dioxide into the atmosphere every year as Greece.  </p>
<p>However, there is a growing trend towards using renewable energy and today, nearly 40% of cryptocurrency mining is powered by renewable energy.  Some investors now seek sustainably mined Bitcoins, which are more costly but are less likely to carry ESG and reputational risks.</p>
<p><em><span style="text-decoration: underline;">Social considerations</span></em></p>
<p>Cryptocurrencies are, in theory, widely accessible; all consumers need to access the market (beyond the investment sum) is a connection to the internet.  Investors can transfer value all over the world via a network that is independent, not centrally run or subject to state interference (and its supporters argue it has an inherent value as a result of this feature alone).  However, the available anonymity could enable market manipulation and encourage or support financial crime.  To combat this, a range of 'know your customer' solutions are developing.</p>
<p><em><span style="text-decoration: underline;">Governance</span></em></p>
<p>As touched on above, Bitcoin is decentralised, it is not run by a central body, organisation or group.  In theory, it is governed communally by its users.  If someone wished to make a substantial change to its system (such as changing from a proof-of-work to a proof-of-stake model, which may make it more environmentally sustainable), they would need to submit a BIP (a Bitcoin Improvement Proposal) to the Bitcoin community (though there appears to be no formal place to do so).  A BIP is passed and incorporated into the Bitcoin protocol if it is 'upvoted' by at least 95% of the mining community.  Whilst this does, in theory, allow democratic governance, the lack of a formal place to garner support for a BIP and the extremely high threshold for effecting change must surely make changes unlikely.   </p>
<p><em><span style="text-decoration: underline;">ESG conclusion</span></em></p>
<p>Businesses cannot escape the impact of ESG and solicitors are no different.  If law firms are handling cryptoassets, or advising on them, it is worth thinking about whether this is likely to have an impact on their ESG credentials (not least because their insurers might want to know about it).</p>
<p><strong>Risks for solicitors and their insurers </strong></p>
<p><strong><em><span style="text-decoration: underline;"></span></em></strong><em><span style="text-decoration: underline;">Insurance</span></em></p>
<p>Solicitors' policies indemnify their insureds against civil liability to the extent that it arises from 'private legal practice'.  Private legal practice is the provision of services in private practice as a solicitor and the work described in this article will undoubtedly fall within this (rather vague) definition.  </p>
<p>The world of cryptoassets and blockchain is a new world and it is constantly developing and evolving.  There is currently light regulation, but that is likely to change.  This market is taking off and is also going to expand.  The UK is actively embracing digital technologies.  </p>
<p>With that level of rapid change and huge expansion of this market, lawyers who are advising on these issues in such an evolving landscape are potentially at risk of liability claims if they get it wrong, or where they do not keep pace with the developments.   There may be a lack of understanding and knowledge here – all of which means that claims may be more likely to arise.  </p>
<p>The other issue, somewhat unique to cryptoassets, is that with such rapid fluctuation in their value, it will be difficult for law firms to get a steer on the value of any claim against them.  This could have a knock-on impact in assessing risk, which will impact reserving claims.  This also has wider implications for pricing, premiums and reinsurance. </p>
<p><em><span style="text-decoration: underline;">Examples of potential claims solicitors may face </span></em></p>
<p style="margin-left: 40px;">•<span> </span>Regulatory and tax - lawyers advising in this space need to ensure that they keep up to date with rapid changes.  It is not difficult to imagine that claims are likely to arise as a result of the advice being wrong.</p>
<p style="margin-left: 40px;">•<span> </span>Divorce and wills - clients may look to blame their solicitor if there have been difficulties getting hold of all the disclosure / information on assets.  These assets can be very hard to track and private keys, once lost, are unlikely to be recovered.</p>
<p style="margin-left: 40px;">•<span> </span>Commercial disputes - solicitors may need to act quickly to instruct experts to trace cryptoassets and to consider what applications to Court may need to be made to freeze them. Claims may arise where solicitors have failed to take such steps, or failed to do so promptly. </p>
<p style="margin-left: 40px;">•<span> </span>Smart contracts - lawyers may be exposed where something goes wrong with the smart contract.  </p>
<p style="margin-left: 40px;">•<span> </span>Cryptoassets are increasingly being used as a vehicle for money-laundering.  If this area means clients themselves are more susceptible to fraud – they are going to look to someone to blame.  Solicitors can be an easy target if they fail to carry out proper due diligence and checks.  </p>
<p><strong>How can law firms deal with these emerging risks? </strong></p>
<p>Law firms should start with the basics; thinking carefully about what work they may already be doing with cryptoassets.  How much consideration have they given to which practice areas are starting to have involvement, or are likely to become involved in the near future?  </p>
<p>Law firms should carefully think about what expertise they have already, and what further learning or training needs they have.  In addition, law firms should think carefully about whether they are consulting on this subject (who might be delivering any necessary training?) or outsourcing to experts or specialists.  Do those external bodies have the right expertise, and do they have their own professional indemnity insurance? </p>
<p>Law firms must think carefully about what checks and due diligence they are doing on the source of funds where cryptoassets are involved.  This should obviously be carefully documented.  </p>
<p>Whilst this is the case when any legal work is carried out, it is especially vital for law firms to carefully define the scope of their retainer (in writing) when involved with cryptoassets/blockchain.  Solicitors must identify which aspect of any transaction they are advising on and which aspects are for other advisers to deal with.  A failure to clearly set this out can lead to an expectation that a solicitor has been engaged to provide advice on broader business matters.  Solicitors must be careful to consider the purpose for which the advice is sought, and given, and how this fits into the entire transaction.  The notion of 'scope creep' and the finding in <em>MBS v Grant Thornton<sup>2</sup></em>  are especially relevant here. </p>
<p><strong>Conclusion</strong></p>
<p>There can be no doubt that the world of crypto and blockchain is growing fast.  In addition to the risks and challenges, there are considerable opportunities for solicitors in this sphere.  The UK legal system is well placed to become to the go-to jurisdiction for crypto dispute resolution thanks, in part, to the High Court's repeatedly pragmatic and commercial approach to crypto fraud cases and guidance from the judiciary.  </p>
<p>With cryptoassets becoming more and more accessible to the average person, it is hard to see a world in which solicitors will not be expected to advise on areas touched by cryptoassets in the future.  For now, the questions remain, how will the sector keep up, and when will meaningful regulation roll out?</p>
<p><span><sup><em>[1]</em></sup></span><em><span> [2022] EWHC 1723 (Ch)<br />
</span></em><em><sup>[2]</sup> Manchester Building Society v Grant Thornton UK LLP [2021] UKSC 20</em></p>]]></content:encoded></item><item><guid isPermaLink="false">{F237963B-B81D-4569-8664-4BF96A5AB085}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/how-a-supreme-court-ruling-could-cause-surge-in-claims-against-directors/</link><title>How a Supreme Court ruling could cause surge in claims against directors</title><description><![CDATA[Ben Gold, explains how a recent Supreme Court case (BTI v Sequana) confirms company directors owe a duty to creditors if the company nears balance sheet or cash flow insolvency.]]></description><pubDate>Mon, 22 May 2023 16:00:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Ben Gold</authors:names><content:encoded><![CDATA[<p><span style="background-color: white;">This ‘creditor duty’ is of increasing significance as insolvencies rise.</span></p>
<p><span style="background: white; color: black;"></span><span style="background-color: white;"><a href="https://www.gov.uk/government/statistics/company-insolvency-statistics-october-to-december-2022/commentary-company-insolvency-statistics-october-to-december-2022">On latest government figures</a>, there were 22,109 registered insolvencies in 2022, the highest number since 2009 and 57% higher than in 2021.</span></p>
<p><span style="background: white; color: black;">The overarching duty on directors is to act “in the way [the director] considers, in good faith, would be most likely to promote the success of the company for the benefit of its [shareholders]…” (section 172(1), Companies Act 2006). This imports a duty to creditors in certain circumstances. As with directors’ duties generally, the duty is owed only to the company. Only the company (or a liquidator or administrator or an assignee) can sue for breach, not individual creditors.</span></p>
<p><span style="background: white; color: black;">The creditor duty is engaged either when the company is insolvent or insolvency is imminent, or when insolvent liquidation or administration is probable. A company can be actually or imminently insolvent, but still have good prospects of trading out, hence why the test has two limbs. A majority of the Supreme Court held that the creditor duty would not be triggered, unless the directors knew, or ought to have known, of the insolvency position.</span></p>
<p><span style="background: white; color: black;">Ominously, the minority did not rule out the duty being engaged, even when the directors did not know and reasonably could not have known of the insolvency position. </span></p>
<p><span style="background: white; color: black;">When there is actual or imminent insolvency: </span></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li style="color: black; margin-left: 0cm;"><span style="background: white;">Directors must consider the interests of creditors, and (if they conflict) attempt to balance them against the interests of shareholders. Moreover, the duty is to strike the right balance between these potential competing interests, of the company’s shareholders and creditors.</span></li>
    <li style="color: black; margin-left: 0cm;"><span style="background: white;">The greater the company’s financial difficulties, the more the directors should prioritise the interests of the creditors over those of the shareholders.</span></li>
    <li style="color: black; margin-left: 0cm;"><span style="background: white;">If the directors do not consider the interests of the creditors at all, they will automatically be in breach of duty. This is illustrated by a number of judgments, that have already been handed down since BTI vs Sequana finding directors liable. </span></li>
    <li style="color: black; margin-left: 0cm;"><span style="background: white;">If the directors do consider creditors’ interests and attempt the balancing exercise (with shareholders’ interests) in good faith, but objectively get it clearly wrong, this would be a breach of the creditor duty. It is of concern that this appears to broaden the overarching director duty, from a good faith duty into a reasonable care duty, when the creditors’ interests are to be taken into account in decision making. Previously that was not, or was not clearly, the law.</span></li>
</ul>
<p><span style="background: white; color: black;">When insolvent liquidation or administration is probable, the position is even more onerous for directors: </span></p>
<ul style="margin-top: 0cm; list-style-type: disc;">
    <li style="color: black; margin-left: 0cm;"><span style="background: white;">The interests of creditors then become paramount.</span><span style="background: white;"> The shareholders’ interests are no longer to be recognised or promoted. </span></li>
    <li style="color: black; margin-left: 0cm;"><span style="background: white;">Failing to consider creditors’ interests, and/or having any regard to the interests of shareholders, will be a breach of the duty. </span></li>
    <li style="color: black; margin-left: 0cm;"><span style="background: white;">By analogy with ‘wrongful trading’ (under section 214, Insolvency Act 1986), to avoid breach, the directors must take every reasonable step with a view to minimising the potential loss to the company’s creditors, seemingly even if the company in fact avoids being wound up. This appears, again, to be a development in the law. </span></li>
    <li style="color: black; margin-left: 0cm;"><span style="background: white;">Although in the minority, one of the judges stated that this heightened duty to creditors should apply even when an actual insolvency procedure was not probable, provided the company was either actually insolvent or insolvency was imminent.</span></li>
</ul>
<p><span style="background: white; color: black;">Since the Supreme Court’s decision, three High Court cases (all in 2023) have succeeded against directors, for breach of the creditor duty, illustrating how <a href="https://www.supremecourt.uk/cases/uksc-2019-0046.html">BTI vs Sequana</a> may well cause an increase of claims against directors.</span></p>
<p><span style="background: white; color: black;">The Supreme Court will likely be looking at the creditor duty again, in the near future. The D&O market should closely monitor developments.</span></p>
<p><span style="background: white; color: black;"><strong>This article was first published in <a href="https://www.postonline.co.uk/commercial/7953292/how-a-supreme-court-ruling-could-cause-surge-in-claims-against-directors">Insurance Post</a></strong>.</span></p>]]></content:encoded></item><item><guid isPermaLink="false">{56CDC93F-940C-40AA-85FE-6BF9606DD7A6}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/beware-unexploded-bombs-proximate-causes-and-the-unintended-consequences-of-adding-clarity/</link><title>Beware unexploded bombs, proximate causes and …. the unintended consequences of adding clarity</title><description><![CDATA[It is not that often that the standard UK market War Exclusion, language which for decades has sat materially unchanged, is the basis of a declinature by insurers.  The recent case of Allianz Insurance plc v University of Exeter is therefore particularly interesting as the Court was asked to interpret this language and decide whether BI losses arising from the controlled detonation of a WWII bomb, discovered on nearby property were excluded from cover]]></description><pubDate>Tue, 02 May 2023 14:07:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Laura Sponti</authors:names><content:encoded><![CDATA[<p>The recent case of <em>Allianz Insurance plc v University of Exeter</em> is therefore particularly interesting as the Court was asked to interpret this language and decide whether BI losses arising from the controlled detonation of a WWII bomb, discovered on nearby property were excluded from cover. </p>
<p>
<strong>The facts</strong></p>
<p><strong></strong>In 2021, an unexploded WWII bomb was discovered during construction works on land adjacent to University of Exeter halls of residence. A controlled explosion was the only way to safely remove the bomb which resulted in the complete destruction of the bomb, the release of its full explosive load and damage to UoE property. </p>
<p>UoE subsequently notified a claim for damage and business interruption to Allianz. Allianz declined cover on the basis that the policy excluded loss and damage <em>"occasioned by war"</em>. Ultimately, Allianz sought a declaration from the Court that they were entitled to decline cover.</p>
<p><strong>The decision</strong></p>
<p>The relevant exclusion within UoE's policy was a variation on the standard UK market War Exclusion:</p>
<p><em>“Loss, destruction, damage, death, injury, disablement or liability or any consequential loss occasioned by war, invasion, acts of foreign enemy, hostilities (whether war be declared or not), civil war, rebellion, revolution, insurrection or military or usurped power.”</em></p>
<p>Eagle-eye readers will notice that the standard War Exclusion includes, <em>"confiscation or nationalisation or requisition or destruction of or damage to property by or under the order of any government or public or local authority"</em> which was missing from the exclusion in this case.</p>
<p>The court was presented with two potential proximate causes of loss (i.e. the effective cause of the loss):</p>
<p style="margin-left: 40px;">i.<span> </span>the dropping of the bomb; and/or <br />
ii. the controlled detonation of the bomb.</p>
<p>
Either could be the sole proximate cause or, if the Court accepted that both caused loss, then they would both be <em>"concurrent proximate causes".  </em></p>
<p>Restating the decision in <em>JJ Lloyd Instruments Ltd v Northern Star insurance Co Ltd</em> that concurrent proximate causes were causes which were <em>"equal, or at least nearly equal, in their efficiency"</em>,  <em>FCA v Arch</em> established that where one concurrent proximate cause is excluded, but the other is not, the exclusion will prevail.</p>
<p>Allianz argued that the dropping of the bomb was one, if not, <em>"the"</em> proximate cause of the loss. On that basis, they argued the loss was <em>"occasioned by war" </em>and so the exclusion was engaged. </p>
<p>On the other hand, UoE's case was that the only proximate cause was the controlled detonation which they said was not <em>"occasioned by war". </em> </p>
<p>His Honour Judge Bird, siding with Allianz, noted that the proximate cause test is a matter of common sense. </p>
<p>His starting point was that the loss was caused by an explosion. He reasoned that <em>"the explosion was triggered by the reasonable (and indeed obviously correct) decision to detonate the bomb. That decision was necessitated by the presence of the bomb. If there had been no bomb, there would have been no explosion. … if the bomb had exploded when it landed … the conclusion that the bomb was the proximate cause of the damage would have been inevitable. Does the reasonable and necessary human act of detonating the bomb change that analysis? In my view it does not." </em></p>
<p>Further, he rejected the contention that the passage of time between the dropping of the bomb (in 1942) and its ultimate detonation, was enough to unseat his analysis. He observed that the explosion and damage were proximate in time, but that "the passage of time does not of itself provide an answer to the question of <em>"proximity"</em> [as a question of causation].  He concluded that <em>"the dropping of the bomb [was] an act of war"</em> and therefore, as either the sole or a concurrent proximate cause, the exclusion applied. He rejected the submission by UoE that the detonation was the sole proximate cause of loss. </p>
<p>In light of that finding, UoE argued that because the policy contained express language in other exclusions which recited the operation of the <em>FCA v Arch</em> rule, it could be inferred that the absence of such language in the War Exclusion, was intentional, i.e. that the rule ought to be disapplied in this context. </p>
<p>The specific language relied on was the market standard language of a cyber exclusion, namely <em>"… regardless of any other cause or event contributing concurrently or in any other sequence to such act of Terrorism"</em>. </p>
<p>The Judge ultimately dismissed the argument. He found that in the context of <em>this</em> language, which is increasingly prevalent, the reasonable observer, aware of the rule, would not conclude that the absence of reference to it in the war exclusion meant it was to be read as expressly disapplying the rule. A reasonable person with that knowledge would expect that if the rule was to be excluded, clear words to that effect would be used.</p>
<p><strong>Lessons learned for policy drafting</strong></p>
<p>For drafters of policy wordings, this case is a reminder of a salutary lesson that because policies are interpreted as a whole, there may be unintended consequences of including language which seeks to 'copper bottom' a specific point, especially where including it may open up the argument that inference can be drawn from its absence, elsewhere. </p>
<p>This situation might arise from the incorporation of endorsement language (where it is not uncommon to see that approach), into the body of a policy wording. Whilst that danger did not materialise in the context of concurrent proximate causes, there may be a case where a reasonable observer might conclude that the inference was a reasonable one to draw.  </p>]]></content:encoded></item><item><guid isPermaLink="false">{F8E546B9-F4C0-4B2D-B91B-AF9837DC31CA}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/less-is-not-always-more-in-the-context-of-commercial-insurance-clauses/</link><title>Less is not always more in the context of commercial insurance clauses</title><description><![CDATA[The recent Court of Appeal judgment in Al Mana Lifestyle Trading LLC v United Fidelity Insurance Co PSC [2023] EWCA Civ 6  is a quick read on a relatively short point and serves as a useful recitation of the rules of interpretation in the context of insurance policy wordings. ]]></description><pubDate>Mon, 20 Feb 2023 16:39:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Laura Sponti</authors:names><content:encoded><![CDATA[<p><strong>The facts</strong></p>
<p>Hanging essentially on the interpretation of a handful of words within a substantial and complex multi-national insurance programme, were claims for business interruption losses estimated to be worth approximately US $40 million. The insured, who carried on business in the food, beverage and retail sectors primarily in the Middle East and Gulf region wanted to bring those claims in the UK Courts, despite having no business presence in the UK. The Defendants objected on the basis that the Applicable Law and Jurisdiction condition within the policy mandated that such claims be brought in the local Courts (where the policies were issued).  The relevant condition read as follows: <em>"Applicable Law and Jurisdiction: In accordance with the jurisdiction, local laws and practices of the country in which the policy is issued. Otherwise England and Wales UK Jurisdiction shall be applied, […]".</em></p>
<p>All agreed that the first question was to ask how the words of the contract would be understood by a reasonable policyholder. Lord Justice Males in the leading Court of Appeal judgment noted that first impressions were a useful starting point, but that the Court would then go on to engage in more complex linguistic and contextual analysis, essentially to <em>pressure test</em> that first impression. However, the problem was that this clause created strong and crucially competing first impressions in the different judges that were ultimately justified in their individual judgments.  </p>
<p>Lord Justice Nugee, who acknowledged that he had had the benefit of reading the other judgments first, on his own, [63] referenced the inherent shortcomings of language and the issues of semantics when he said, <em>"It must be admitted … that it is not always easy to articulate with precision why one reading of a disputed provision seems more natural and ordinary than another, as the way in which language strikes a reader is an accumulation of experience of how language is ordinarily used. And, as the present case illustrates, the same words may strike different readers differently".</em>  Meaning is not solely in the words or their context, but also in the very eyes of the beholder.  </p>
<p>Of central relevance was the word "otherwise" which attracted by far the most analysis, particularly in respect of its impact on the two provisions that is seemingly connected: did it denote a true "either/or" alternative, or a primary/secondary alternative" and if so, upon what basis.  </p>
<p>All agreed "otherwise" implied a choice but that it could also denote that which would happen if something else did not happen, i.e. a conditional provision. Lord Justice Males and Lord Justice Nugee formed the view that the primary rule was contained in the first sentence, ostensibly because the first sentence dealt both with jurisdiction and governing law whereas the second sentence, after "otherwise" dealt only with jurisdiction. The somewhat duplicative reference to England, Wales and UK could have been indicative of a failed attempt by the drafter to deal both with law and jurisdiction, but in any event they considered the option of a second forum was conditional upon the first not being available. </p>
<p>Lady Justice Andrews (dissenting and agreeing with Mrs Justice Cockerill at first instance) reached a different conclusion by taking a more holistic approach to the language. She considered that even where "otherwise" was used in the "if not (a) then (b)" context, it did not necessarily follow that "it was (b) if (a) was not possible". She thought there was still room for choice. In some measure, she justified this interpretation by considering the nature of the reader from whose perspective the clause was to be interpreted. She said,  <em>"Whereas the defendants' interpretation might commend itself to a commercial lawyer, I doubt whether it would even occur to the reasonable policyholder, appraised of all the relevant circumstances, that it could be understood as meaning that it was mandatory to bring proceedings in the local forum, and that they could not go to the English court unless they could establish that the local court had declined, or would decline jurisdiction. They would understand it to mean that if, for whatever reason, they did not bring proceedings in the local forum, they would have to do so in England and Wales."</em></p>
<p><strong>Lessons learned from a wordings perspective: </strong></p>
<ul>
    <li>Intelligibility is improved by short and pithy drafting. However, it is a balance and in some instances, less is not always more. Important provisions with triggers and mechanisms of application, require proper explanation. Law and Jurisdiction provisions in the context of a multi-national insurance programme are a classic example. </li>
    <li>Think carefully about how two alternatives are dealt with together within one provision. Are the provisions strict alternatives, i.e. "(a) or (b)" and in which case who can elect to decide, or, are the provisions conditional upon each other, i.e. "if not (a) (and ideally why not (a)), then (b)". </li>
    <li>Be careful with words that have multiple natural meanings and require context. "Otherwise" is a classic example and could mean, "if not", "failing that", "or", "or else", or "alternatively" all of which could be different and it therefore has to derive its substantive meaning from the language which preceded it. </li>
    <li>The judicial narrative of rejecting submissions relating to the meaning of insurance language as the product of "pedantic lawyers" or conditional upon "minute textural analysis" is going nowhere and chimes with the approach of Regulators. Wordings must be drafted through the lens of the policyholder's sphere of influence and understanding and to the extent that insurers wish to exert rights through those contracts they must do so in clear and express terms.   </li>
</ul>
<p>The full appeal judgment is available <a href="https://www.bailii.org/ew/cases/EWCA/Civ/2023/61.html">here</a>.</p>
<p><strong>RPC Wording Team</strong></p>
<p>RPC has a core cross-disciplinary wordings team made up of lawyers with a claims background and technical drafting expertise, who partner with colleagues from the insurance regulatory and commercial side of the business – bringing oversight of the wider regulatory landscape, product governance issues, FOS/FCA oversight/jurisdictions etc. The breadth of the wording function is such that we can deal with reviews of individual products (of the type you describe), library consolidation projects and thematic reviews as well as new product design and drafting across mono-line and combined products for SME/mid-market through to global and multi-national master programmes with jurisdictional intricacies. </p>
<p>If you want more information, get in touch with Laura Sponti.</p>]]></content:encoded></item><item><guid isPermaLink="false">{8CD98A86-E759-4D6A-A6AB-629C775F4A80}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/insurers-face-claims-threat-from-pension-fund-ldi-crisis/</link><title>Insurers face claims threat from pension fund LDI crisis</title><description><![CDATA[The events of the past few weeks are likely to result in claims and/or pressure on commercial relationships, particularly when pension schemes conduct their triennial valuations and agree new deficit reduction plans with employers.]]></description><pubDate>Tue, 08 Nov 2022 14:09:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Rachael Healey</authors:names><content:encoded><![CDATA[<p>UK pension scheme managers and their insurers could face claims over their use of liability-driven investment strategies following the turbulence caused by Liz Truss's mini-budget</p>
<p>There may be a surge in professional negligence claims against liability-driven investing (LDI) pension funds in the wake of the UK’s mini-budget.</p>
<p>Claims will depend on whether pension funds should have shifted their positions in the months before the mini-budget as interest rates and inflation rose and gilt prices started to fall.</p>
<p>These claims are likely to relate to three time periods: the period leading up to the mini-budget; the period between the mini-budget and October 14, when the Bank of England ceased its bond-buying programme; and the aftermath of this and what actions pension schemes have taken in reviewing their investment strategies.</p>
<p>In relation to the pre-mini-budget period, a professional negligence claim would consider whether LDI was a prudent strategy for the pension scheme, including as part of that question considering whether there was enough liquidity in the fund.</p>
<p><strong>Claims will depend on whether pension funds should have shifted their positions in the months before the mini-budget as interest rates and inflation rose and gilt prices started to fall.</strong></p>
<p>A claim will also hinge on the steps those managing pension schemes took to ensure they reviewed their scheme’s investment strategy and their statement of investment principles. For example: should the pension fund have changed its position when gilt yields started to move higher and interest rates increased in the months before the mini-budget? And how should pension funds have responded to rising inflation, which would influence the interest rate policy of central banks?</p>
<p>If the claim alleges LDI was a negligent strategy, the likely defence would be the strategy was a standard one for the market and fell within what a reasonable manager of a pension scheme’s assets would have undertaken. Investment managers could also argue the mini-budget and the subsequent market response was an unforeseeable event and the losses were so remote any manager of a pension scheme could not be held responsible for these losses.<br />
 <br />
<strong>Risk profile</strong></p>
<p>The success of this claim largely depends on the risk profile of the scheme, the investment strategy adopted and whether the strategy mandated by trustees was the one actually adopted. Those managing pension schemes must ensure their asset mix matches their statement of investment principles.</p>
<p>Relating to the period between the mini budget and October 14, a claim is largely dependent on what the scheme’s position was at the time and what options were available based on the scheme’s asset mix. This claim is rather specific and would consider if the right assets were sold to meet collateral calls and to put hedges back in place and if the process was reason¬ably managed given the circumstances.</p>
<p>Finally, relating to the period following October 15, we remain in a period of uncertainty, even after the reversal of the mini-budget. Now is the time for pension funds to review their investment strategy with the scheme’s asset position and funding position in mind.</p>
<p>Steps can be taken to mitigate risk from now on, including reviewing their investment strategy, statement of investment principles and investment mandate, considering the possibility the volatility in gilt yields may return</p>
<p>The events of the past few weeks are likely to result in claims and/or pressure on commercial relationships, particularly when schemes conduct their triennial valuations and agree new deficit reduction plans with employers. This is likely to be a key trend that will develop further in the next year.</p>
<p>This article was originally published in <a href="https://insuranceday.maritimeintelligence.informa.com/ID1142588/Legal-Focus-Insurers-face-claims-threat-from-pension-fund-LDI-crisis">Insurance Day</a> on 2 November 2022.</p>]]></content:encoded></item><item><guid isPermaLink="false">{AD1D82AB-CE0B-40B4-B611-06674E261A5A}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/lien-wont-circumvent-disclosure-obligations/</link><title>Lien won't circumvent disclosure obligations</title><description><![CDATA[In Mr David Ellis v John Hodge Solicitors (a firm) [2022] EWHC 2284 (Comm) the Court confirmed that solicitors cannot assert a lien so as to modify disclosure obligations under the Civil Procedure Rules in a claim for professional negligence.]]></description><pubDate>Fri, 28 Oct 2022 14:10:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p>In <em>Mr David Ellis v John Hodge Solicitors (a firm)</em> [2022] EWHC 2284 (Comm) the Court confirmed that solicitors cannot assert a lien so as to modify disclosure obligations under the Civil Procedure Rules in a claim for professional negligence.</p>
<p><strong>The facts<br />
</strong><br />
John Hodge Solicitors (<strong>JHS</strong>) acted for Mr Ellis in a personal injury claim (the <strong>underlying claim</strong>). The defendant in the underlying claim made a series of offers, the highest being £200,000. Mr Ellis sought to recover in excess of £500,000. At trial, the Court awarded damages of £11,813.63 – the decision not to accept the offer of £200,000 had disastrous consequences for Mr Ellis. <br />
<br />
Mr Ellis brought a claim against JHS for damages for professional negligence alleging that they failed to properly advise him on the effect of the offers made by the defendant in the underlying claim. The parties were expected to provide initial disclosure at the same time as serving their statement of case under the Disclosure Pilot Scheme (now implemented under PD 57AD).<br />
<br />
JHS defended the claim on the basis that Mr Ellis was fully and properly warned of the risks and counterclaimed for unpaid fees. In its defence JHS stated that it was "<em>not able</em>" to provide initial disclosure under the Disclosure Pilot Scheme because it was exercising a lien over its files. JHS acknowledged that its file of papers was highly relevant and offered to provide the file to Mr Ellis' solicitors on the undertaking that they would not disclose the papers to Mr Ellis to preserve some of the lien's value.<br />
<br />
<strong>The issues<br />
</strong><br />
It was common ground that the retainer was terminated by mutual consent on the resolution of the underlying claim, that the file was disclosable as it contained key documents and material which was necessary for Mr Ellis to know whether his case as pleaded could be maintained. <br />
<br />
The Court was asked to decide whether a lien of this nature extended so as to restrict disclosure of the file, pursuant to a disclosure obligation under the CPR, and if so, whether the Court should exercise its power to restrict the right to withhold pursuant to the lien. <br />
<br />
<strong>The relevant law<br />
</strong><br />
A solicitor has a common law right to exercise a general lien over client's property – that includes documents held by the solicitor. In other words, subject to certain exceptions, a client cannot have access to their documents or money which is subject to a lien.<br />
<br />
The Court can interfere with the enforcement of the common law lien on equitable principles. When it does so, the Court should have regard to:</p>
<ul>
    <li>When and why the solicitor / client relation ended and who ended it.</li>
    <li>The nature of the case and the stage that the litigation had reached.</li>
    <li>The conduct of the solicitor and the client respectively.</li>
    <li>The balance of hardship which might result from the order that the court is asked to make.</li>
    <li>The fact that the value of the lien is likely to be considerably reduced if the file is handed over.</li>
</ul>
<p>
Where a client terminates the retainer, the court will normally make an order obliging the original solicitor to hand over the file to the new solicitors against an undertaking to preserve the original solicitor's lien – as sought by JHS here (a so-called <em>Robins </em>undertaking following the decision in <em>Robins v Goldingham</em> (1872) LR 13 Eq 440). <br />
<br />
However, in all the previous authorities, the litigation in which the lien was being asserted was the same litigation or related to the same litigation. In this case, the litigation in which the lien was being asserted was a different claim involving a different defendant. <br />
<br />
Although not a direct authority, the Court considered <em>Woodworth v Conroy</em> [1976] QB 884 which concerned an accountant's lien, asserted in defence to a claim for delivery up of the accountant's file. Here it was stated that the right of a solicitor to withhold papers from inspection by his client, even in litigation, was recognised as long ago as 1882. This basic right has not been queried. However, the defendant had not simply asserted a lien but had raised a counterclaim for fees, in response to which the claimant alleged negligence in the performance of some of the work. The Court noted that it would be impossible to try the issues raised without evidence being led as to what work had been done and how it was done. The best evidence of this would be in the file and the court would have to assess its content.<br />
<br />
<strong>The decision<br />
</strong><br />
The Court held that JHS had an obligation to disclose its file and Mr Ellis' solicitors were not required to give an undertaking restricting the use of the papers. Of particular importance was:</p>
<ul>
    <li>The importance of the documents in the file to the issues before the court. Mr Ellis could not fairly conduct the claim without knowing the content of the file.</li>
    <li>The undertaking was unrealistic. Mr Ellis could not properly deal with the issues without knowing exactly what the documents said. The lien would lose its value if Mr Ellis was told the full content of the documents just as much as if he saw the documents himself.</li>
    <li>The obligation under CPR 31.22 not to use documents disclosed in these proceedings for the purpose of other proceedings had the same consequences as the proposed undertaking. </li>
    <li>The fact that JHS counterclaimed for fees was significant. This part of the claim was defended on whether JHS was in fact entitled to the fees claimed, putting the content of the file directly in issue. The risk of prejudice to Mr Ellis, in circumstances where JHS had chosen to bring a counterclaim against him, was a powerful argument for holding that the lien could not be asserted on equitable principles. </li>
</ul>
<p>
<strong>Takeaways</strong><br />
<br />
It was striking that the parties were unable to find any authority on the exercise of a solicitor's lien in this context. <br />
<br />
A solicitor with unpaid fees has a potential common law lien over his property, including documents which 'belong' to the client (see the <a href="https://www.lawsociety.org.uk/topics/client-care/ownership-of-documents">Law Society practice note</a> on the subject of document ownership). <br />
<br />
However, solicitors as officers of the court are subject to its supervisory jurisdiction and the court can therefore interfere with the enforcement of the common law lien on equitable principles. The principles to be applied differ depending on who terminated the retainer. If the client terminated the retainer (other than for misconduct by the solicitor), the client will generally not be able to access any money or property, or inspect any documents subject to the lien. If ended by the solicitor, even with reasonable cause, unless there are exceptional circumstances, the solicitor will normally be ordered to provide the file to the client's new solicitors. <br />
<br />
A solicitor can seek to protect its interests through an undertaking. However, the difficulty in releasing the file to the undertaking is that the lien is likely to be worth very little at the conclusion of the litigation.<br />
<br />
This case suggests that solicitors will struggle to rely on a lien to refuse disclosure of their files in a claim for professional negligence brought by a former client. </p>]]></content:encoded></item><item><guid isPermaLink="false">{4AD9E5DA-4AD1-4341-AB23-A2C0637DD682}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/cyber-insurance-next-stop-latam/</link><title>Cyber Insurance: Next stop, LATAM </title><description><![CDATA[This year BEC and ransomware top the list of cyber incidents around the world, taking an estimated 70% of the total incident response cases. ]]></description><pubDate>Wed, 12 Oct 2022 10:36:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Richard Breavington</authors:names><content:encoded><![CDATA[<p>Threat actors have quickly realised they are ahead of the game in the race against regulatory and security organisations. Public and private sectors are being equally attacked with impressive success rates and limited signs of effective counteractivity. </p>
<p>Governments and international organisations across predominantly the US, Europe, Canada, Australia and India are considering how best to respond and, more importantly, to protect their citizens and corporations from cyber-attacks which, now more than ever, pose a constant and highly damaging threat. Some of these policies have started to take effect, ensuring those regions are becoming slowly but surely less attractive targets to threat actors.  <br />
<br />
The situation in LATAM, however, seems markedly different. Governments appear slower in their reaction to cyber risk. Political instability across the region does not help. The absence of joint efforts and any active pursuit of working collaboratively in developing both reactive and proactive policies to respond to cyberattacks leave this corner of the world exposed.  There are staggering numbers of incidents across key regional players, including Brazil (33 million attacks), Colombia (11.3 million attacks) and Mexico (7 million attacks) in 2021 alone, according to the <em>Indice de Inteligencia de Amenazas de X-Force 2022</em>.<br />
<br />
<strong>The Need to React and Protect<br />
</strong><br />
Both public and private sectors have started to recognise that protection measures and counteractive policies must be at the top of the agenda. But these changes cannot be created in isolation. In order to be sustainable, they require the most important and, at the same time challenging, development of them all – a cultural transformation; a shift in the mindset where insurance (and in particular cyber insurance) is still placed in the 'luxury' category for businesses. <br />
<br />
In the last few years, the insurance industry has taken steps towards encouraging this change in the LATAM market. However, this progression is occurring at a much slower pace than in the rest of the western world. This is not helped by the disproportionate increase in cyber-attacks, and also the subsequent global hardening of the cyber insurance market. <br />
<br />
<strong>The Covid Effect<br />
</strong><br />
The COVID-19 pandemic has had its own key role to play in accelerating the process of incorporating cyber insurance for companies at all levels. Marsh and Microsoft joined forces to survey more than 1,000 LATAM companies in order to analyse the state of the cyber market in the wake of the pandemic<sup>1. </sup>The newly imposed working structures saw employers faced with the challenge of having to sign up to flexible and remote work policies, therefore increasing corporations' exposure to cyber-security risks. This adaptation to the 'new world', which is reluctant to look back, means that companies have had to include within their budgets a compulsory allowance for strong and secure Information Security tools, as well as putting in place a robust cyber-security policy which will provide effective support in the wake of a cyber incident. <br />
<br />
Nevertheless, there are still companies that refuse to assess and recognise the role that these tools play in order for corporations to survive in today's world. They sometimes opt instead for 'assuming' the risk, resulting in them potentially paying out on the consequences. <br />
<br />
Some others, who perhaps rushed to obtain protection at the pinnacle of the pandemic, no longer see the need to maintain or develop these means of preservation. However, whist the pandemic may go, cyber-attacks are here to stay. <br />
<br />
Now is an enthralling time for the global cyber market in Latin America. A continent packed with interesting proposals for those players with a hungry appetite for risk. It consists of a group of young nations pushed to grow and quickly adapt to the new world; small and medium economies obliged to update and upgrade in order to become a strong proposition. This provides an attractive destination for investors. But these prospects are not necessarily ready to undertake the cultural shift required to understand and fully appreciate the need to plan, protect and prevent, as opposed to react. Nevertheless, for those willing to take the risk, to help educate companies and raise awareness of the importance of effective preservative cyber protection policies, there could be a hefty reward. </p>
<div>
<p><span><sup>1</sup>Encuesta de Marsh y Microsoft sobre Riesgo Cibernetico en tiempos de Covid-19 en Latinoamérica - </span><a href="file:///C:/Users/LT10/Downloads/Encuesta_Riesgo_Cyber_Covid_LAC_2020.pdf"><span>file:///C:/Users/LT10/Downloads/Encuesta_Riesgo_Cyber_Covid_LAC_2020.pdf</span></a><span> </span></p>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{4F4CBA98-2535-4B97-AB29-381D4A890F6E}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/the-sras-proposals-for-the-use-of-its-new-fining-powers/</link><title>The SRA's proposals for the use of its new fining powers</title><description><![CDATA[The SRA has recently acquired increased fining powers (with effect from July 2022). They are currently consulting on their new approach to imposing financial penalties on regulated firms and individuals.]]></description><pubDate>Thu, 29 Sep 2022 09:56:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Graham Reid, Shanice Holder</authors:names><content:encoded><![CDATA[<p><strong>Sanctions for sexual misconduct, discrimination and/or harassment</strong></p>
<p><strong></strong>We previously explored the SRA's increased fining powers (see article <a rel="noopener noreferrer" href="https://www.rpclegal.com/perspectives/regulatory-updates/the-powerful-and-the-penalised/#:~:text=The%20SRA%20said%20it%20will%20increase%20its%20fining,a%20hearing%20before%20the%20Solicitors%20Disciplinary%20Tribunal%20%28SDT%29" target="_blank">here</a>). With effect from 20 July 2022, the SRA can now fine traditional law firms, and those who work in them, up to £25,000 (they have long had much greater powers to fine licensed bodies and their personnel). </p>
<p>The SRA are <a rel="noopener noreferrer" href="https://www.sra.org.uk/sra/consultations/consultation-listing/financial-penalties-new-approach/?s=o" target="_blank">consulting</a> on how these greater fining powers should be used. They are proposing changes to their Enforcement Strategy and a more rigorous (some might say formulaic) approach to calculating the size of a fine. The consultation is open until 14 November 2022. </p>
<p>The main focus of this article is on one aspect of these proposals, namely the exercise of the SRA’s fining powers in relation to instances of sexual misconduct, discrimination and harassment. </p>
<p>The SRA has said in this consultation that cases involving sexual misconduct, discrimination or harassment are "<em>so serious in nature and raise attitudinal issues that present a risk to others</em>" that a financial penalty is highly unlikely to be an appropriate sanction. In other words, this category of case is to be sent to the Solicitors Disciplinary Tribunal almost always, unless exceptional circumstances exist. </p>
<p>The SRA frames this as likely to have "<em>a positive impact on encouraging equality, diversity and inclusion in the profession by sending a clear message we take these matters seriously and will particularly benefit those groups who are more likely to be impacted by the behaviours identified.</em>" Perhaps another way of putting the same point is that the SRA is out to deter regulated persons from engaging in these behaviours (and/or fostering a workplace culture that condones them).  </p>
<p>Whilst the SRA's focus on diversity and inclusion is welcomed as always, this proposed approach to new sanction powers begs the question as to whether the SRA is best placed to make these judgment calls and, by extension, what exactly its role is in cases involving sexual misconduct, discrimination and harassment. We explore this further below. </p>
<p><strong>Is the SRA up to the job?</strong></p>
<p>The SRA has a number of rules concerning sexual misconduct, discrimination and harassment. For example, it requires those it regulates to act “in that encourages equality, diversity and inclusion” (Principle 6), and it requires of solicitors, RELs and RFLs that “You do not unfairly discriminate by allowing your personal views to affect your professional relationships and the way in which you provide your services” (r.1.1, SRA Code for Solicitors etc). </p>
<p>These are important rules, serving highly significant professional, ethical, societal and moral objectives (amongst other things…). However, caselaw from both the employment domain (e.g. <a rel="noopener noreferrer" href="https://www.bailii.org/uk/cases/UKEAT/2009/0219_09_0311.html" target="_blank">Grainger plc v Nicholson</a> [2010] ICR 360) and professional ethics (e.g. <a rel="noopener noreferrer" href="https://www.tbtas.org.uk/wp-content/uploads/hearings/5352/Approved-Report-of-Administrative-Appeal-Decision-Holbrook.pdf" target="_blank">Holbrook v Bar Standards Board</a>, case no. 2021/441, March 2022) demonstrates the complexity of the legal issues engaged as regards the application of the Equality Act 2010. </p>
<p>The decision in <a rel="noopener noreferrer" href="https://www.bailii.org/ew/cases/EWHC/Admin/2020/3231.html" target="_blank">Beckwith v SRA</a> likewise demonstrates the challenges of applying SRA rules to the private lives of solicitors (“…Principle 2 or Principle 6 may reach into private life only when conduct that is part of a person's private life realistically touches on her practise of the profession…or the standing of the profession…”).</p>
<p>In other words, and unsurprisingly, there is nuance here. Human behaviour covers a broad spectrum of beliefs, actions and intent. Legislation such as the Equality Act 2010 seeks to achieve a balance between state intervention and freedoms of belief and speech, and so on. </p>
<p>The issue therefore arises whether the SRA, when exercising these new powers, can be trusted to differentiate between sexual misconduct, discrimination and harassment cases that warrant a harsher sanction and those that are exceptional in nature so as to only require a fine. </p>
<p>Indeed, there is a related issue whether its proposed guidance is even correct i.e. to the effect that cases involving sexual misconduct, discrimination and harassment are axiomatically “so serious in nature” as to require a trip to the Tribunal. </p>
<p>It is only very recently that the SRA has had its fining powers increased twelve-fold. Arguably, it might be better for the SRA to find its feet with its newfound power before seeking to increase it further by exercising discretion on how to apply it with regards to such sensitive cases.</p>
<p><strong>Personal impact statements</strong></p>
<p><strong></strong>Personal impact statements ('<strong>PIS</strong>') are written or oral statements from a complainant presented to the SRA as part of the investigation or tribunal process. PIS give the complainant an opportunity to explain how the event(s) complained of have affected them, and what the impact of any potential sanction may have on them. </p>
<p>The SRA have confirmed that they will be trialling the use personal impact statements to assist with coming to a fair and appropriate sanction. This does address to some extent the concern about the SRA’s approach to nuances of behaviour, but the difficulty with this is how the SRA will ascertain how much weight to place on these and how the balance will be struck between the complainants and respondents. With no precedents in this regard, the SRA will have to provide clear guidance and criteria that will allow for reliable application.  </p>
<p><strong>Other aspects of the proposed changes</strong></p>
<p><strong></strong>In the SRA's Financial Penalties Statement (<a rel="noopener noreferrer" href="https://www.sra.org.uk/sra/news/financial-penalties/" target="_blank">here</a>) and its open consultation, it recognises the need for more transparency and robustness of processes due to the recent increase in its powers. Whilst this is promising, it would be more encouraging to see this translated into clear guidance that can be referred to. It may be beneficial for the SRA to look to how other regulators deal with these kinds of issues and consider their processes and procedures as they will be more established and will be a good reference point. </p>
<p>In essence, the overarching question is whether the SRA has the resources, the competency and the formalities in place to administer the requisite sanctions. Whilst we consider that the new process may be welcomed by firms and solicitors because it is likely to be faster, the SRA has stated that it anticipates referring the most serious cases to the SDT – which does not deliver on the promise of quicker outcomes. </p>
<p><strong>What exactly is the SRA’s role here?</strong></p>
<p><strong></strong>By “here” we mean the boundaries between personal and professional conduct, and between acceptable behaviour and behaviour amounting to misconduct, discrimination or harassment. </p>
<p>It is notable that the SRA’s rules do not expressly invoke applicable legal concepts in this domain e.g. under the Equality Act 2010. For example, does the word “discriminate” in r.1.1 of the SRA Code for Solicitors (extracted above) mean “discrimination” under the 2010 Act, or some broader concept and, if so, then what?</p>
<p>One theory therefore is that the SRA should be using its rules to enforce compliance by its regulateds with existing common law principles and legislation that give form and definition to concepts such as “sexual misconduct”, “discrimination”, and so on. </p>
<p>Another theory is that the SRA should be using its rules to deter and punish behaviours that fall outside the strictly ‘legal’ definitions but are nonetheless reprehensible and, say, undermine public trust in the profession. </p>
<p>The manner of drafting of the SRA’s rules allow for both possibilities. It is unclear which a court would consider to apply. The SRA can be expected to argue for the broader interpretation. </p>
<p>This is an important debate to have now. Professionals are subject to codes of conduct. Those require professionals to act with integrity. ‘Integrity’ can be seen as a “useful shorthand to express the higher standards which society expects from professional persons” (<a rel="noopener noreferrer" href="https://www.bailii.org/ew/cases/EWHC/Admin/2020/3231.html" target="_blank">Wingate</a>, para. 97). This provides a pathway for the SRA to argue that behaviour can be sanctioned even if (say) it does not fall squarely within the statutory definition of discrimination. Someone else might argue that this fails to achieve the necessary element of predictability for a conduct rule (see <a rel="noopener noreferrer" href="https://www.bailii.org/ew/cases/EWHC/Admin/2020/3231.html" target="_blank">Beckwith</a> at 33-34). </p>
<p>This debate is already taking place in another area of regulated legal services. The Bar Standards Board (“BSB”) is currently consulting on the regulation of non-professional conduct of barristers (<a rel="noopener noreferrer" href="https://www.barstandardsboard.org.uk/uploads/assets/112831ca-8191-45ac-96700492cac1640b/CNPL-Consultation-Paper.pdf" target="_blank">here</a>). The BSB are concerned with how barristers conduct themselves in their personal lives as this can also affect the public trust in the profession. We can see how it would be beneficial for the SRA to also regulate solicitors in areas of their personal life that could affect their professional integrity, but again, there needs to be clear guidance on this that can be referred to and applied consistently and fairly. There is also an interesting contrast to be drawn between the nature of legal analysis in the BSB’s consultations on such issues, and that of the SRA. </p>
<p><strong>Conclusions  </strong></p>
<p>The SRA wants to exercise its new sanction powers in a proper, predictable and proportionate manner. It is therefore consulting about them. These are laudable objectives. <br />
However, its consultation does not seem to us sufficiently to address some of the challenges facing the SRA in this regard. We consider the main</p>
<p>challenges to be (and with reference to cases involving sexual misconduct, discrimination and harassment): </p>
<ul>
    <li>The complexity of the underlying legal principles engaged, especially in the domains of equality and discrimination law. </li>
    <li>The existence of significant differences of views regarding seriousness of this class of behaviours. (Of course, the extent of such differences will also depend on who one canvasses for such a view…).</li>
    <li>The interplay of disputed factual circumstances, and the subjectivity of some of the legal concepts involved (e.g. in relation to harassment under the 2010 Act), is bound to lead to complex and difficult judgment calls by the SRA. Will it be up to the task?</li>
    <li>The uncertainties of some of its key rules and Principles. Do they invoke concepts defined by the common law and legislation, or is the SRA able to take a broader view? </li>
</ul>
<p>Above all, our concerns are that the SRA is proceeding too swiftly and not engaging sufficiently in a wider debate, especially a legal debate, over these issues. Consultation helps, but it may not be enough. We shall have to see how things develop. </p>]]></content:encoded></item><item><guid isPermaLink="false">{A254BFDE-40D0-4506-A34B-7C83DF79B24E}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/establishing-a-line-of-duty-miller-v-irwin-mitchell/</link><title>(Establishing a) Line of duty – Miller v Irwin Mitchell</title><description><![CDATA[The recent decision in the High Court case of Miller v Irwin Mitchell (2022) EWHC 2252 (Ch) has provided a helpful guide to the often complex question of when a duty of care either in contract or tort arises – a question that often arises in professional negligence claims against solicitors.]]></description><pubDate>Tue, 27 Sep 2022 18:35:29 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Jo Makin</authors:names><content:encoded><![CDATA[<p><strong>The Facts</strong></p>
<p>As in all cases the decision turns on the key facts of the case which are worth considering, particularly since the initial contact (and the point at which the Claimant alleged a contractual relationship was formed) was as a result of the Claimant responding to an advertisement made by the Defendant firm – a not uncommon occurrence.</p>
<p>In brief, the Claimant and her husband booked an all inclusive holiday in Turkey through an online travel agent called Lowcost. During the trip, on 13 May 2014, the Claimant fell down some stairs and broke her leg badly. She had to have immediate hospital treatment and then returned to the UK for further treatment. The evidence shows that on 15 May 2014, the Claimant and her husband informed the hotel and a representative from LTS (an entity acting as the intermediary between the hotel and Lowcost) was made aware of the accident and notified it to Lowcost. </p>
<p>Whilst in hospital in the UK, the Claimant saw a television advertisement for the Defendant's legal helpline which she called on 19 May 2014. </p>
<p>She was asked some initial questions and then referred to the Defendant's Travel Legal Group who made further contact by letter and voicemail on 20 May 2014, requesting a number of documents including insurance documents and complaint forms before it could decide whether it could accept the case. The Defendant chased the documents on a number of occasions and, whilst it had occasional discussions with the Claimant's son-in-law, the relevant documents were not provided. The Defendant closed its file in February 2015 having not received the papers. It opened a new file in April 2015 when some of the requested papers were provided but the position remained unclear. Unfortunately, the Claimant's leg eventually had to be amputated in November 2015 at which time the Defendant transferred the matter to the Defendant's multi-track team.</p>
<p>On 25 January 2016, the Claimant was sent a CFA and the Defendant confirmed that it was ready to proceed to bring a claim against Lowcost for the personal injury. Unfortunately, although, on 22 February 2016, a letter of claim was finally sent to Lowcost who forwarded to its Insurers, HCC Insurance PLC, Insurers then rejected the claim for late notification in July 2016 by which time Lowcost had gone into administration. In March 2017, the Defendant advised the Claimant that there was no viable source of compensation for the claim.</p>
<p><strong>The Claim</strong></p>
<p>Left with no ability to seek a remedy from Lowcost, the Claimant turned her focus on the Defendant firm. She alleged that it breached its duty by failing to advise her to notify Lowcost of her claim/ by failing to notify Lowcost direct. She argued that, had they done so, she would have notified Lowcost or instructed the Defendant to do so which would have led to a far earlier notification to HCC who would not then have been able to avoid cover. </p>
<p>The Defendant rejected the argument that it owed any duty of care to the Claimant until 25 January 2016 when it entered into a retainer with her and that in any event it could not have reasonably provided any advice prior to receiving documents in April 2015. It further raised issues on causation and on insurance cover.</p>
<p><strong>The Judgment and analysis of duty </strong></p>
<p>The matter came before the court by way of a trial of preliminary issues focussing primarily on the question of if and when a duty of care was owed either in contract or in tort.</p>
<p>The Judge carried out a very detailed analysis of the case law on the question of how a duty of care is established.</p>
<p>Perhaps the easiest point to reject was the suggestion that the television advert was an offer to provide legal services, accepted at the point when a customer made contact and further when the Defendant, at the end of the call, did not decline to act. The Judge found that the advert was no more than an invitation to treat and that the initial discussions were always intended to be exploratory in nature with no advice being provided and no retainer being entered into. </p>
<p>The Claimant further argued that a retainer was unarguably entered into when the CFA was created in January 2016 and such agreement was retrospective – again, an easy point for the Judge to dismiss given that there was nothing in the CFA to this effect and indeed which would have imposed a totally unrealistic situation requiring the Defendant to take steps which it had not in fact taken because there had been no retainer.</p>
<p>The Claimant suggested that if there was no express retainer then one could be implied. Whilst of course case law supports a contention that the existence of a retainer may be inferred from the acts of the parties (<em>Dean v Allin & Watts</em> [2001] PNLR 921), 'such a retainer will only arise where on an objective consideration of all the circumstances an intention to enter into such a contractual relationship ought fairly and properly to be imputed to the parties'. The test was further summarised in <em>Caliendo v Mishcon de Reya</em> [2016] EWHC 150, as to whether there was conduct by the parties which was consistent only with the solicitors being retained as solicitors for the claimants?</p>
<p>The Judge rejected the contention that there was evidence to support such a suggestion – whilst a file was opened (and closed) and whilst time was recorded, this was done solely for the solicitors' own internal purposes. There was no intent that she would be liable for fees at that stage – rather just that she might become liable in the future. The Defendant indicated that it needed significantly more information before it could decide whether to accept her case – the question remained an open one. The Defendant wrote to her several times chasing, and finally receiving some documentation, and thereafter highlighting that it had taken no action to establish a limitation period or to protect her right to take any legal action. The Judge found the Defendant's conduct to be consistent with seeking information with a view to deciding whether to enter into a retainer. Clearly in those circumstances no implied retainer arose.</p>
<p>It was accepted by the Defendant that it entered into an implied retainer on 25 January 2016.</p>
<p>The final question as to duty was whether the Defendant had entered into a tortious duty of care prior to 25 January 2016. The test applied by the Judge (as per <em>Hedley Byrne v Heller</em> [1964] AC 465 and as considered in <em>P&P Property Ltd v Owen White & Catlin LLP</em> [2018] 3WLR 1244) was the question of whether there had been an assumption of responsibility, taking into account the proximity between the parties and balancing 'the foreseeability that the third party will rely on the professional to perform their task in a competent manner against any other factors which would make such an imposition of liability unreasonable or unfair'. The Claimant relied on a number of specific facts to try to support its contention that the relevant relationship was in place – again commenting on the fact that she had been given a file reference with a supervising partner, was referred to internally as a client, the Defendant had obtained counsel's advice, updated the Claimant and logged fees as WIP. The Judge had already dismissed the relevance of the internal arrangements of the Defendant to the question of a duty and, whilst some limited high level and generic advice was given at the early stage during the initial helpline call, that did not mean that the Defendant had assumed a responsibility at that stage to give wider advice or could be found to be at fault for not giving such advice. Whilst the Claimant could potentially rely on any actual advice given, she could not argue that a duty was imposed to give wider advice in the circumstances of the case. </p>
<p><strong>Other issues that arose</strong></p>
<p>Whilst finding that there was no duty, the Judge did go on to consider some other points raised by the Claimant which may be of wider relevance:</p>
<ul>
    <li>There was no duty to advise a client to ensure that it provided a warning to a potential defendant to notify its insurers until a retainer or similar duty was in place (and noted that the Pre-action Protocol for personal injury claims in 2021 recommends that an enquiry about insurance is made when the letter of claim is sent – as was the case here). </li>
    <li>Similarly, there was no duty to advise the Claimant to take steps to notify Lowcost or advise the Claimant to notify Lowcost until a duty of care was owed and at the point when the letter of claim was sent.</li>
    <li>There was a 100% chance that HCC would not have rejected the claim had they been notified in May 2014 but a 0% chance of cover being provided had HCC not been notified until April 2015 (when the Claimant eventually provided some documents to the Defendant) due to the likely prejudice caused to insurers in respect of investigating the accident. </li>
    <li>Any claim against Insurers direct (on the basis of Lowcost's administration and the wording of the policy) would fall to be dealt with under the Third Party (Rights Against Insurers) Act 1930 as the 2010 Act did not come into force until 1 August 2016. Since the wording had required that Lowcost pay the relevant excess of £553,234 before insurers were liable, it was clear that, due to its financial difficulties, it was never in a position to make any payment.</li>
</ul>
<p><strong>Practical implications</strong></p>
<p>It is clear from this case that care needs to be taken when speaking to prospective clients and during the process of seeking to gain sufficient information to decide whether to take on their business, to ensure that no implied contractual or common law duty of care occurs before a formal retainer is put in place. A solicitor is vulnerable at that stage because it rarely has all the relevant information that it might need to ensure that it gives thorough advice. It is worth providing regular confirmation to the prospective client that it is not acting on the client's behalf and that no duty of care is owed until the retainer is confirmed.</p>
<p>From a professional indemnity perspective, this case provides a useful analysis of the circumstances and case law in respect of the varying duties of care and the requirements needed to satisfy the imposition of such a duty. It requires more than a claimant simply believing that the professional is acting for him or her because an implied retainer is subject to an objective test as to what can reasonably be implied from the circumstances and a tortious duty requires an assumption of responsibility and foreseeability that the client will rely on the professional – difficult to demonstrate when the professional is regularly indicating that it had not yet taken any steps whilst awaiting information to make such a key decision as to whether to act. </p>]]></content:encoded></item><item><guid isPermaLink="false">{A8202CB3-5765-44FC-8494-55476F8CB1C1}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/the-fire-safety-act-an-update/</link><title>The Fire Safety Act – An update</title><description><![CDATA[Since the Fire Safety Bill received Royal Assent on 29 April 2021, it has been in limbo, waiting for its provisions to be brought into force. This has now happened, at least in part, with the publication of the Fire Safety (England) Regulations 2022 (the Regulations) made under article 24 of the Fire Safety Order (the FSO).  ]]></description><pubDate>Fri, 27 May 2022 11:27:41 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Georgina Haynes, Katharine Cusack</authors:names><content:encoded><![CDATA[<p>Background</p>
<p>The Fire Safety Act (the Act) was introduced to clarify who is responsible for managing and reducing fire risks in different parts of multi-occupied residential buildings, to prevent tragedies like the Grenfell fire occurring again.  The legislation brought new fire safety obligations to some leaseholders, building owners and managers for the building structure, external wall, common parts and doors between the domestic premises and common parts.</p>
<p>The Regulations seek to improve fire safety of high-rise residential buildings and implement the majority of the recommendations made by the Grenfell Tower Inquiry in its Phase 1 report. The Regulations were published on 18 May 2022. </p>
<p><strong>What changes does the Act bring?</strong> </p>
<p>Section 1 of the Act came into force in England and Wales on 16 May 2022. It makes amendments to, and extends the following provisions of, the FSO to the following parts of multi-occupied residential buildings:</p>
<ul>
    <li>the building's structure, external walls and any common parts. The external walls include doors or windows in those walls, and anything attached to the exterior of those walls, e.g. windows, balconies and cladding.</li>
    <li>all doors between the domestic premises and common parts.</li>
</ul>
<p>The legislation applies to any building in England containing two or more sets of domestic premises.</p>
<p>Section 3 of the Act also came into force on 16 May 2022. It deals with risk-based guidance for the discharge of duties under the FSO.  Under Article 3 of the FSO, the "responsible person" of a premise (either a building or any part of it) is the person who has control of the premises ("the Responsible Person"), which may include building owners, leaseholders or managers.</p>
<p>Section 3 defines 'risk-based guidance' as guidance on how a Responsible Person is to prioritise the discharge of its duties in respect of different premises by reference to risk.  </p>
<p>It provides that if a person has contravened a provision of the FSO:</p>
<ul>
    <li>proof of a failure to comply with risk-based guidance may be relied on to establish that there was such a contravention; and</li>
    <li>proof of compliance with risk-based guidance may be relied on to establish that there was no such contravention.</li>
</ul>
<p>The Responsible Person needs to review and update the risk assessment processes accordingly. Once the risk assessment processes are published, the Responsible Person should apply the risk-based guidance (under Section 3 of the Act) to comply with their duties in the FSO.</p>
<p>The Government is yet to publish to relevant risk assessment processes themselves.</p>
<p><strong>What changes will the Regulations bring?</strong></p>
<p>It is intended that the Regulations will come into force on 23 January 2023. Regulations 4 to 10 provide some further clarity as to the scope of a Responsible Person's duties, including imposing obligations such as:</p>
<ul>
    <li>The installation and maintenance of a secure information box to hold plans and information, including: (i) a record of the design of the external walls of the building, including details of the materials from which they are constructed; and (ii) floor plans and building plans identifying locations of lifts and identify if the lift is one for use by firefighters. </li>
    <li>Lifts and essential fire-fighting equipment to be regularly inspected.</li>
    <li>The installation of wayfinding signage.</li>
    <li>The provision of fire safety information and instructions to residents, including how to report a fire; the evacuation strategy; and the display of such instructions in a conspicuous part of any building.</li>
    <li>The undertaking of checks on fire doors.</li>
</ul>
<p>The above applies to high-rise residential buildings, defined by the FSO as a building containing two or more sets of domestic premises that is at least 18 metres above ground level or has at least seven storeys. For multi-occupied residential buildings over 11 metres in height, the Responsible Person must undertake checks on all communal fire doors and annual checks on flat entrance doors.</p>
<p>The Regulations apply to existing buildings and requirements for new buildings may be different.</p>
<p>The imposition of these obligations on the Responsible Person incorporates the recommendations and lessons learnt from the Grenfell Tower Inquiry Phase 1 report, which concluded that the lack of onsite information hampered the London Fire Service's response and that such information can assist in planning for and operational response to a fire.</p>
<p><strong>What’s next?</strong></p>
<p>Anyone undertaking the role of the Responsible Person should ensure they incorporate the new regulatory requirements into their processes in good time before their enactment. They should also continue to watch closely for both the specific risk assessment processes relevant to the FSO and further Regulations as they are introduced. This will include the publication of supporting guidance for the Regulations, which is due to be published later this year. </p>]]></content:encoded></item><item><guid isPermaLink="false">{2AB7550C-1355-4E09-AA7E-DE344E9A0216}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/legal-focus-big-plastic-is-an-emerging-climate-risk-and-a-ticking-time-bomb-for-litigation/</link><title>'Big Plastic' is an emerging climate risk and a ticking time-bomb for litigation</title><description><![CDATA[The tangible commitment to plastics regulation and action will likely trigger a new wave of plastics-related litigation.]]></description><pubDate>Thu, 14 Apr 2022 14:05:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Lucy Dyson </authors:names><content:encoded><![CDATA[<p>The new global plastics treaty has been heralded as the most important environmental accord since the Paris Agreement in 2015.</p>
<p>
In the same way we have seen an uptick in climate related disputes since 2015, this tangible commitment to plastics regulation and action will likely trigger a new wave of plastics-related litigation.</p>
<p>This includes cases brought in relation to historic plastic pollution, and compelling action by governments and companies as we transition to a greener, more sustainable circular economy. This is all against a backdrop of rising group litigation/collective redress globally in relation to the environment, and social inflation factors.<br />
<br />
The plastic pollution crisis the planet faces is intertwined with the race to net zero. Plastic (which derives from fossil fuels) is also thought to significantly contribute to greenhouse gas emissions, both during its production process and incineration.</p>
<p>It is estimated that 75% of the plastic waste (seven billion tonnes) produced since 1950 has been deposited in landfills, on land or at the bottom of the ocean. Across the world, consumer demand for disposable products has seemingly overtaken the waste-management structure, with only 10% of plastics thought to be recycled.</p>
<h4>Health concerns </h4>
<p><span style="font-size: 18px;">Plastics contain various chemicals, which, ultimately, leach into the environment and absorb other contaminants with which they come into contact. The effects on wildlife (entangled marine organisms, ingested plastic products) are increasingly well-known and publicised. However, the more insidious, long-term effects of plastics on human health are still relatively unknown.</span></p>
<p>Plastic does not biodegrade but gradually breaks down into smaller pieces, known as microplastics (plastics smaller than 5 mm). Microplastics (which are in the atmosphere, water table and food chain) are attracting more and more attention, globally.<br />
<br />
Although the science is still at a relatively early stage, there is increasing concern the ingestion of microplastics causes damage to human and animal cells, given they contain endocrine disruptors. It is estimated humans are now ingesting a credit card-sized amount each week. They are everywhere – from the bottom of the Mariana trench to the summit of Mount Everest and are now at detectable levels in human blood and lungs.<br />
<br />
There is already litigation afoot in the US against plastic manufacturers/major corporations using plastic products, including Crystal Geyser, Coca-Cola and Procter & Gamble. Earth Island Institute seeks to hold “Big Plastic” accountable for historic plastic pollution damage, via remediation payments and forcing change concerning recycling policies.<br />
<br />
The allegations include public and private nuisance, trespass and false advertising (including deliberate misinformation and branding of products concerning recyclability). These cases are brought in a similar vein to the Carbon Majors litigation concerning historic greenhouse gas emissions and damage to the environment.<br />
<br />
We are yet to see litigation concerning the harmful effects of ingesting microplastics and seeking to hold companies/governments to account. However, the recent spate of lawsuits concerning per- and polyfluoroalkyl substances (PFAs) and other “forever chemicals” has paved the way for these types of suit, as the science (and latency of microplastics) develops further.<br />
<br />
There will no doubt be significant interest in the origins and types of plastic entering the ecosystem, their lifecycle, and harmful effects. This presents novel issues of causation and attribution of liability to tortfeasors (and we have already seen courts in the UK and the US flex tortious principles in the wake of the issues presented by mesothelioma and methyl tertiary-butyl ether (MTBE) claims.<br />
<br />
</p>
<h4>Historic claims</h4>
<p>As regards single-use plastics, it is expected the companies most responsible for their prevalence (ie, “Big Food”, including supermarkets and consumer goods companies) will face claims both for historic pollution and failure to adapt their businesses to make packaging more sustainable. We have already seen a $10m class action settlement agreed by Keurig Green Mountain concerning coffee pod recyclability and deceptive advertising.<br />
<br />
Given the effects of plastic pollution on ecosystems, we can expect claims in relation to damage to biodiversity, in particular. This is against the backdrop of increasing rights-based litigation, where claims are increasingly being brought on behalf of the environment. Oceana Philippines has brought a plastic lawsuit against the Philippines government, for failures in implementing waste-management legislation, to tackle the country’s plastic pollution problem and safeguard the environment.<br />
<br />
Public authorities may seek to bring actions concerning pollution of water courses, to seek redress from polluters and improve infrastructure. There have already been several cases in the US involving water authorities concerning the discharge of plastic pellets/nurdles and violations of the Clean Water Act.<br />
<br />
In 2019, Formosa Plastics was ordered to pay $50m into a fund to be used for regenerating affected water courses. In 2021, Charleston Riverkeeper agreed a $1.2m settlement with Frontier Logistics, following plastic pellet pollution in Charleston waterways.<br />
<br />
We can also expect to see an increase in “value chain” litigation concerning supply chains and the use of plastic, particularly as regulations develop. The life¬cycle of plastic presents significant challenges for businesses globally.</p>
<p>This is against an increased trend for parent companies of multinational companies being targeted by litigation in the English and other European courts, in relation to historic environmental damage abroad and their global value chains, particularly in emerging markets.<br />
<br />
As regards the boardroom, we will see litigation against directors and corporations in relation to their response to the plastic pollution crisis (just as we have with climate change) and an uptick of shareholder claims.</p>
<p>For example, in Perri v Defendants of Danimer Scientific, it is alleged that Danimer and its directors made inaccurate statements regarding the biodegradability of the product, Nodax and failed to disclose environmental compliance issues. The action alleges these statements lead to the artificial inflation of the company’s value, from which the directors made a profit.<br />
<br />
Plastic-related litigation will particularly affect liability insurers, who will have to grapple with a new wave of “toxic tort” plastic pollution claims. Insurers will need to consider the definition of injury (in the context of microplastic ingestion) and the date on which it occurs, policy trigger and historic exposure, the scope of pollution coverage (particularly for clean-up), together with whether pollution exclusions are fit for purpose.<br />
<br />
Directors’ and officers’ insurers can also expect a surge of litigation related to environmental, social and governance (ESG) issues against directors and companies, concerning statements, the “green” status of investments and their management of plastic waste. The costs of defending these types of claims can reach exorbitant levels, not to mention the damage to the reputations of companies, especially in an era where ESG is so high on the agenda.</p>
<p><em>This was first published in <a href="https://insuranceday.maritimeintelligence.informa.com/ID1140448/Legal-Focus-Big-Plastic-is-an-emerging-climate-risk-and-a-ticking-timebomb-for-litigation">Insurance Day</a> on 14 April 2022.</em><br />
<span> </span></p>]]></content:encoded></item><item><guid isPermaLink="false">{E0D06B04-F6CE-4B74-9619-C06F3A9923DB}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/first-english-judgment-on-the-duty-of-fair-presentation-under-the-insurance-act-2015/</link><title>First English judgment on the ‘Duty of Fair Presentation’ under the Insurance Act 2015</title><description><![CDATA[Berkshire Assets (West London) Limited v AXA Insurance UK plc [2021] EWHC 2689 (Comm) High Court of Justice Queen’s BenchDivision Commercial Court<br/>This judgment of the High Court Queen’s Bench Division provides a welcome analysis of how the courts will approach a policyholder’s breach of the ‘Duty of Fair Presentation’ under the Insurance Act 2015 (the ‘Act’).]]></description><pubDate>Fri, 17 Dec 2021 09:45:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Catherine Percy</authors:names><content:encoded><![CDATA[<div><strong>Background</strong></div>
<p>Berkshire Assets (West London) Limited (‘Berkshire’) sought to recover an indemnity from AXA Insurance UK plc (‘AXA’), pursuant to a Contractors All Risks (‘CAR’) and Business Interruption (‘BI’) policy (‘the Policies’), following an escape of water through a sprinkler pipe at one of Berkshire’s properties. </p>
<p>AXA denied liability on the grounds that, upon the renewal of the Policy in November 2019, Berkshire failed to disclose the fact that one of its directors, Michael Sherwood, was the subject of criminal charges, filed in August 2019, in Malaysia. The proceedings against Mr Sherwood were discontinued in October 2020.</p>
<p>AXA argued that, had it been made aware of the charges, it would not have agreed to insure Berkshire, and therefore that it was entitled to avoid the Polices. The court heard evidence from a number of witnesses including Mr Sherwood and the underwriters at AXA who had been involved in the writing of the risk. In addition, evidence was given by expert underwriters, Mr Philip Foley of Foley Specialties, for Berkshire and Mr Stephen Coates, Chief Underwriting Officer of Pool Reinsurance, for AXA.</p>
<p><strong>Key issues</strong></p>
<p>The court was required to determine the following two key issues:</p>
<ul>
    <li>was the fact that Mr Sherwood had been charged with criminal charges in Malaysia a material circumstance for the purposes of the ‘Duty of Fair Presentation’ under the Insurance Act 2015, and;</li>
    <li><span></span>if it was, and if it had been adequately disclosed, would AXA have agreed to insure Berkshire in respect of Business Interruption, or at all, under the Policy.</li>
</ul>
<p>In relation to both issues, AXA accepted that it bore the burden of proof.<br />
<br />
<strong>The ‘Duty of Fair Presentation’ – a brief reminder</strong></p>
<p>
Section 3 (1) of the Act provides that: “<em>Before a contract of insurance is entered into, the insured must make to the insurer a fair presentation of the risk</em>.”</p>
<p>This means that a policyholder must disclose every ‘material circumstance’ which it knows or ought to know.</p>
<p>The Act goes on to clarify that:<br />
 “...7 (3)<em> A circumstance is material if it would influence the judgment of a prudent insurer in determining whether to take the risk and, if so, on what terms</em>”.</p>
<p>And:</p>
<p>“...7 (4) (c) <em>anything which those concerned with the class of insurance and field of activity in question would generally understand as being something that should be dealt with in a fair presentation of risks of the type in question</em>”.<br />
<br />
<strong>Materiality – the case law as developed before the Act remains applicable</strong></p>
<p><strong></strong>The judge in this case concluded that the Act does not alter the law on materiality as developed by the courts before the Act came into force. This was summarised as follows:</p>
<ul>
    <li>the materiality of a particular fact is a question of fact and is to be determined by the circumstances of each case</li>
    <li>materiality is to be tested at the time of placement of the insurance and not by reference to subsequent events</li>
    <li>facts raising doubts as to the risk are sufficient to be material. It is not necessary for the facts to be shown, with hindsight, to have actually affected the risk</li>
    <li>the overall effect of the ‘prudent insurer’ test is that whether there has been a fair presentation of the risk remains to be assessed principally from the perspective of an insurer</li>
    <li>a circumstance does not have to be decisive for the hypothetical prudent insurer in determining whether to take the risk or on what terms; it merely needs to constitute something a prudent insurer would take into account when reaching a decision.</li>
</ul>
<p><strong>Moral Hazard – there is no settled definition, each case depends on its own facts</strong></p>
<p>The court was also required to consider whether the charges against Mr Sherwood amounted to a ‘moral hazard’ that should have been disclosed to AXA. It concluded that there is, in fact, no settled definition of moral hazard. Each case will depend on its own particular facts.<br />
It was noted that a charge of a criminal offence will very often, but not always, be regarded as a moral hazard, such that it would amount to a material circumstance.</p>
<p>For example, in Reynolds v Phoenix Assurance Co [1978] 1 Lloyd’s Rep 440 Forbes J held that the non-disclosure by a policyholder of a conviction 11 years earlier of receiving two stolen tractor batteries worth £10 – 12, for which he had been fined was not a material fact.</p>
<p>In contrast, in North Star Shipping v Sphere Drake Insurance [2005] 2 Lloyd’s Rep. 76 the court held that underwriters were entitled to avoid policies in circumstances where there had been a failure to disclose a number of pending criminal proceedings involving allegations of dishonesty against two brothers who owned and managed the insured companies, even though these were eventually set aside or resulted in aquittals. The Court of Appeal upheld this decision.<br />
<br />
<strong>Were the criminal charges against Mr Sherwood a ‘material circumstance’?</strong></p>
<p>The court held that the charges did constitute a material circumstance and, accordingly, should have been disclosed upon the renewal of the Policy.<br />
In reaching this conclusion, the court noted that it was necessary to consider the matter from the point of view of the reasonable insurer in the position of AXA at the time the decision would have been made, had Berkshire given full disclosure. At the material time, AXA was not aware, nor in a position to find out, whether the charges involved dishonesty or personal wrongdoing on Mr Sherwood’s part.</p>
<p>In relation to the expert evidence, the court discounted Mr Foley’s evidence because he had no relevant experience in the field of insurance. Instead, the court accepted the evidence of Stephen Coates for AXA. In his view, if the charges against Mr Sherwood were entirely unconnected to any allegations of personal wrongdoing there would be no moral hazard. However, the charges were material circumstances and should have been disclosed in any event, whether or not there was a moral hazard.<br />
<br />
<strong>Inducement – always a question of fact</strong></p>
<p>It is not enough to simply show that a circumstance was material. An insurer must also show that it would not have entered into the contract of insurance at all or would have done so on different terms had the material circumstance been disclosed. The judge underlined that this will always be assessed as a question of fact.</p>
<p>The court heard evidence from Victoria Harris, a Central Property Underwriter at AXA. When asked what she would have done had she been made aware of the charges against Mr Sherwood before the Policy was renewed she explained that she would have investigated the charges online. These enquiries would have alerted her to the fact that the charges were criminal and serious in nature and this would have been of considerable concern to her.</p>
<p>Had she known about the charges she was in no doubt that she would have regarded them as material and immediately declined the request for BI cover and would have wanted AXA to come off cover for the whole project. In support of her position she referred to an AXA ‘Practice Note’ on the ‘disclosure of previous insurance, financial or criminal matters’. Ms Harris explained that the effect of this Practice Note is that if criminal charges are disclosed, a risk should be declined. However, if she had been made aware that the charges did not relate to any dishonesty on Mr Sherwood’s part directly, she would have had to refer the matter upwards.</p>
<p>The court then heard evidence from Mr Sargant, Assistant Property Underwriting Manager at AXA, who was a co-author of the Practice Note. He had not been involved in the placing of the insurance, but the matter had been referred to him after the incident. He considered that there had been a material non-disclosure and took the decision to decline cover and to remove Berkshire from CAR cover as from renewal. He explained that if AXA had been given full details of the charges at the time of renewal they would not have agreed to renew the Policies.</p>
<p>The trial judge was satisfied, on the evidence, that AXA would have declined the risk if the charges had been disclosed to them. He was not persuaded by Berkshire’s argument that other factors, such as AXA’s relationship with Berkshire’s broker, would have been taken into account. If that had been a concern to AXA it would not, in his view, have taken the steps it took when it did in fact learn of the charges.<br />
<br />
<strong>Key takeaway points</strong></p>
<ul>
    <li>The law as per the authorities on materiality pre-dating the Insurance Act remains applicable.</li>
    <li>There is no settled definition of ‘moral hazard’. The Court should consider the statutory definition of ‘material circumstance’ as per the Insurance Act when considering the facts of the case before it.</li>
    <li>Criminal charges will often but not always be considered material to a risk.</li>
    <li>The relevant knowledge of the underwriter is that which is known at the time of its decision to accept the risk.</li>
    <li>Underwriting guidelines or practice notes which endorse the approach taken will be persuasive to the court’s consideration of inducement.</li>
    <li>The selection of appropriate experts remains as important as ever. In this case, Berkshire’s expert evidence was dismissed because its expert had no expertise in the relevant field of insurance.</li>
</ul>
<div>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{B1C116A6-CD72-47BE-84D6-5A20E8F842BE}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/when-does-an-arbitration-clause-become-binding/</link><title>When does an arbitration clause become binding? A reminder from the English High Court in Markel Bermuda Limited v Caesars Entertainment Inc</title><description><![CDATA[Parties can agree and become bound by an arbitration clause in advance of the finalisation of the remainder of a contract; a recent case in the English High Court concerning an insurance policy has served as a salient reminder. The judgement also includes a thorough walk through of the law as to when an insurance policy comes into existence (Hint: it is not necessarily when the final policy wording is provided to the Insured and/or its broker). ]]></description><pubDate>Tue, 02 Nov 2021 16:14:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Sarah Herniman</authors:names><content:encoded><![CDATA[<p><strong>The Issues</strong></p>
<p>This case related to (another) business interruption and property damage claim arising out of COVID-19. In this case, <span>Caesars</span> Entertainment Inc (<strong>CEI</strong>), a large entertainment company in the USA which owns numerous properties such as casinos, hotels and restaurants, is seeking to claim an indemnity from Markel Bermuda Limited (<strong>Markel</strong>) and other insurers. The claim, brought in the District Court of Clark County, Nevada, relied on the dispute resolution provision contained in the policy wording provided by Markel. Markel asserted that the policy wording was incomplete and that any disputes were, in fact, subject to the 'Bermuda Form' arbitration clause. </p>
<p>The issue before the High Court was whether to grant Markel a permanent anti-suit injunction restraining CEI from continuing the Clark County, Nevada proceedings.</p>
<p><strong>Factual Background</strong></p>
<p>Markel issued two insurance policies to CEI. The first policy was issued to CEI under its former name, Eldorado Resorts Inc and provided $5 million in first-party property coverage (<strong>the Eldorado Policy</strong>). The second policy was issued to CEI and provided $12 million in first-party property coverage (<strong>the <span>Caesars</span> Policy</strong>).</p>
<p>CEI accepted that the <span>Caesars</span> Policy, and policies issued by certain other excess insurers in the Bermuda market, contained arbitration agreements. It was also common ground that the policies issued by Markel to CEI entities in the years preceding the Eldorado Policy included arbitration agreements. <br />
In these previous policies, the arbitration agreement had been integrated by a standard endorsement. For example, the policy issued to Eldorado for the period 1 May 2017 to 1 May 2018 contained a law and jurisdiction clause stating:</p>
<p style="margin-left: 80px;"><em> "this insurance shall be governed by and construed in accordance with the law of the state of Nevada and each party agrees to submit to the exclusive jurisdiction of the courts of the USA". </em></p>
<p style="margin-left: 40px;"><em>…together with an endorsement which provided, "notwithstanding anything to the contrary in the Policy" any dispute would be determined by London arbitration under the provisions of the Arbitration Act 1996, and that any dispute arising in relation to the policy was governed by New York law – i.e. the 'Bermuda Form' arbitration clause.</em></p>
<p>The dispute arose in respect of the dispute resolution provision applicable to the Eldorado Policy.  </p>
<p>In the case of the Eldorado Policy, the risk was presented on the "<em>Proposed Policy Form</em>" which included a template policy wording which held that the insurance should be governed and construed by the law of Nevada, (<strong>the Followed Policy</strong>). </p>
<p>On 12 April 2020, Markel sent CEI's broker a formal quote including the following wording: </p>
<p style="margin-left: 40px;"><span><em>"</em></span><em>Special Conditions</em></p>
<ol style="margin-left: 40px;">
    <li><em>Coverage shall be construed in accordance with the internal laws of the State of New York.<br />
    </em></li>
    <li><em>All disputes, including claims disputes, are subject to London Arbitration…"</em></li>
</ol>
<p>Markel and the broker then engaged in negotiations related to the premium and a representative from Markel stated in an email dated 30 April 2020:</p>
<p style="margin-left: 40px;"><em>"I confirm we are willing to reduce our price to $2.5m net. All other terms and conditions as per previously agreed. I look forward to receiving notice of the firm order." </em></p>
<p>The broker then responded with an email on the same day with the subject line "<em>BIND COVER</em>" and an opening line "<em>Please proceed with binding</em>…" (<strong>the 30 April Email</strong>).</p>
<p>Markel subsequently sent the broker the Followed Policy wording but, crucially, omitted the Special Conditions attachments. The arbitration clause was therefore not provided together with the Followed Policy. </p>
<p><strong>The Parties' Submissions </strong></p>
<p><strong></strong>Markel argued that the Eldorado Policy documentation provided to the broker was incomplete. The broker/underwriter correspondence demonstrated that the risk was underwritten on the basis that the arbitration clause would be included. The quote provided by Markel on 12 April 2020 clearly included an arbitration agreement and adopted New York law as the governing law. These clauses were expected in the Bermuda market and the underwriter had mistakenly failed to include the relevant endorsement when issuing the policy and that the policy ought to be rectified (or reformed under New York law) to reflect the parties' mutual intention. </p>
<p>Markel argued that, consistent with English law principles of contractual construction as to the formation of contracts, the Policy incepted with the order to bind contained in the 30 April Email. </p>
<p>In response, CEI relied on Markel's email attaching the Followed Terms, asserting that the contractual agreement between the parties was as set out in that wording. Consequently, the Nevada law and jurisdiction clause prevailed, and that the policy incepted upon receipt of that wording, not the order to bind. </p>
<p>Further, CEI submitted that if the Judge found that the policy incepted upon the order to bind, this was superseded by the receipt and content of the Followed Terms subsequently provided by Markel. CEI argued that there were strong commercial reasons to infer that where there is an agreed policy wording, but then a subsequent policy follows, it will usually be the intention of the parties that the later policy should supersede the earlier one. <br />
Bryan J was therefore required to determine (1) whether the Bermuda Form arbitration clause was binding on the parties, and (2) when the Eldorado Policy incepted. </p>
<p><strong>The Judgment: When are parties bound by an arbitration provision?</strong></p>
<p>Both parties accepted the well-established position that under English law an arbitration agreement is a "<em>distinct agreement</em>" from the contract with which it is associated (here the contract of insurance), as  articulated by Lord Hoffman in <em>Fiona Trust v Privalov</em> [2007] UKHL 40; [2008] 1 Lloyd's Rep 254. Bryan J was therefore satisfied that, irrespective of when the policy incepted, at the latest the parties had entered into an arbitration agreement upon receipt of the 30 April Email and the order to bind. The parties had set out their agreed terms in their earlier email exchanges and it was on this basis that the order to bind was made. He was content that the final policy documentation did not reflect the parties' agreement and that to the extent necessary, it was appropriate to order reformation (New York law) or rectification (English law) of the policy to incorporate the Bermuda Form clause. </p>
<p>Bryan J helpfully considered the hypothetical scenario where an arbitration agreement could exist separately from an insurance contract. If the broker had responded to Markel's 30 April Offer Email with substantive proposed changes that were not agreed, any subsequent dispute would have to be settled by arbitration as, by that point on any analysis,  the arbitration clause was already binding upon the parties.</p>
<p>He also recognised that the arbitration agreement may well have been entered into earlier than the 30 April Email. For example, when the broker did not question or seek to negotiate Markel's indication (on 12 April 2020) that the policy would be governed by New York law and that all disputes be subject to "<em>London Arbitration</em>". </p>
<p><strong>The Judgement: When does an insurance policy incept?  </strong></p>
<p>Bryan J considered the broker/underwriter correspondence in detail to determine when the Eldorado Policy itself incepted.  </p>
<p>He was satisfied that a binding contract of insurance was entered into on Markel's receipt of the 30 April Email, determining that the broker's labelling the email "BIND COVER" and including the language "proceed with binding", demonstrated a "clear and unequivocal acceptance" on the part of CEI. </p>
<p>Bryan J disagreed with CEI's "surprising" submission that Markel's later email attaching the Followed Policy was intended to supersede the terms subject to the 30 April Email as: </p>
<p style="margin-left: 40px;">This was not a case where general terms were provided in a slip which were then expanded on by detailed policy wording which followed. </p>
<p style="margin-left: 40px;">The Followed Policy had been circulated long before the quote was provided by Markel, which was then agreed by the broker. Therefore, clearly it was a case of mistake.</p>
<p style="margin-left: 40px;">The Followed Policy was never intended by the parties to contain the contractual wording as to law and jurisdiction, as the methodology adopted in previous policies and subsequent policies was that the policy wording would refer to Nevada law and jurisdiction, but that would be trumped by the 'Bermuda form' arbitration clause.</p>
<div>Bryan J stated that it could not be the case that the Followed Policy applied where the parties had neither discussed nor negotiated this wording which contained an entirely different jurisdictional and dispute resolution regime (a conclusion the Bryan J considered would be "<em>bizarre</em>"). </div>
<div>In conclusion, Bryan J accepted that the Markel representative had mistakenly omitted the Special Conditions when providing the Followed Policy. However, he was satisfied that by this point the parties had agreed to and were bound by (i) the Bermuda form arbitration clause, and (ii) the terms previously agreed in correspondence, irrespective of whether those exact terms had been provided within or together with the Followed Wording. 
<p style="margin-bottom: 1.11111rem;"><strong><br />
</strong><strong>Key takeaways for contracting parties </strong> </p>
<p style="margin-bottom: 1.11111rem;">The case provides a helpful reminder for contracting parties that they can be bound by an arbitration clause before the remainder of their contractual terms are completed. As often said by disputes lawyers, parties should give careful consideration to the content of dispute resolution provisions and not simply wave them through while concentrating exclusively on the commercial terms.</p>
<p style="margin-bottom: 1.11111rem;">In circumstances where an arbitration provision is suggested and accepted, the parties may well find themselves in arbitration should a dispute arise as to whether, and on what terms, their contract exists.</p>
<p style="margin-bottom: 1.11111rem;">The case also demonstrates the importance of being precise when negotiating insurance policies. Parties should take great care when drafting emails concerning proposed terms and seek legal advice if they are uncertain. If a dispute arises as to the applicable terms, a judge may well carefully scrutinise the pre-contractual correspondence to determine when a policy has incepted and on what terms.</p>
</div>
<div>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{A6D74D4D-3B45-4585-9003-6B420D1A0486}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/navigating-the-hazards-of-part-36-offers-part-2/</link><title>Navigating the hazards of Part 36 offers Part 2</title><description><![CDATA[In our first article we looked at problems associated with settlement offers made in multiparty actions and settlement offers where the intended consequence is unclear. In this article we look at some of the issues that can be caused by the litigation process itself and upon the way the offer is made.<br/>]]></description><pubDate>Fri, 08 Oct 2021 14:35:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Gavin Reese</authors:names><content:encoded><![CDATA[<p><strong>The effect of evidence disclosed after the Part 36 offer was made</strong></p>
<p>Settlement offers are often made well before all the evidence is available. The effect of later disclosure of evidence will always be uncertain, but some guidance has been provided by the High Court.</p>
<p>In <em>Head v Culver Heating Co Ltd</em> (11 May 2021) the High Court exercised its discretion not to award additional sums and interest despite the Claimant having beaten her Part 36 offer to settle the “lost years” element of a mesothelioma claim.</p>
<p>The parties had disagreed significantly about whether any award should be made for the lost years part of the claim. The deceased was the primary motivator of a successful business. The Defendant argued that as the business had continued successfully after the death of the deceased, his death had caused no loss of income to his Estate.</p>
<p>The Claimant had originally claimed the loss was £4.4 million. At first instance the High Court agreed with the Defendant and made no award for the lost years part of the claim. The Claimant successfully appealed the decision to the Court of Appeal which then remitted the matter back to the High Court for assessment.</p>
<p>The High Court assessed the lost years claim at £2.45 million. The Claimant had made a relatively late offer to settle the lost years claim at just under £2.25 million. Having beaten the settlement offer the Claimant claimed Part 36.17(4) rewards of additional interest, indemnity costs, and an additional sum.</p>
<p>Although the judge agreed that the Claimant was entitled to claim such rewards, he decided that it would be unjust to award them because the Claimant had only beaten the offer by relying upon witness evidence which had been available before the original trial but had not been disclosed.</p>
<p>The fact that the Defendant had not objected to the Claimant relying upon the late witness evidence did not mean that the Defendant was prevented from arguing that it had been prejudiced by the late disclosure. The judge reasoned that if the Defendant had objected, the Claimant would have had to apply to the court for relief from sanctions. The delay in disclosing the evidence was clearly serious and significant. Although any prejudice to the Defendant arising from the Part 36 offer could not have been taken into account at the time of an application for relief from sanctions, now that it was known that the Defendant had been prejudiced by the additional evidence being allowed, the judge considered it would be unjust to allow the Claimant to be awarded the usual Part 36 rewards.</p>
<p>This decision suggests that it is not necessary for a party to challenge the introduction of late evidence in order to trigger entitlement to later argue that Part 36 rewards should not be awarded. However, this decision concerned witness evidence of facts that had always been known to the Claimant but not known to the Defendant and in relation to a difficult quantum issue only. The offer had also been made at a time when almost all legal costs had been incurred. The application of this decision therefore needs to be considered carefully because the determining issues are likely to be fact-sensitive.<br />
<br />
<strong>The effect of a trial date being moved back upon a Part 36 offer made within 21 days of the original trial date.</strong></p>
<p>In <em>Reader v SPIE Ltd and another</em> (11 May 2021, High Court) the trial was originally listed to commence on 30 January 2017. On 12 January 2017 SPIE Ltd (“S”) offered to settle its claim against the additional Defendant at £10,000 on a Part 36 basis. The offer stated that if it was not accepted but was beaten at trial, the court would be asked to exercise its discretion to abridge the relevant period from 21 days to 14 days and award Part 36 rewards.</p>
<p>The trial was postponed by the court and eventually took place in 2018. Judgment was also delayed by illness until 31 January 2020 when S was awarded £38,577.64. The trial judge rejected a request by S to award Part 36 rewards for beating its offer. The judge decided that the offer did not comply with CPR 36.5(1)(c) which states that the offer must specify a period of not less than 21 days for the Defendant to accept the offer without penalty. As the offer did not specify a period of not less than 21 days for acceptance, and had been made long before the start of the actual trial date (over one year later), the adjournment of the trial had the effect of invalidating the offer as a Part 36 offer. S appealed to the High Court.<br />
<br />
The Appeal judge decided that the approach of the trial judge had been incorrect, and that the offer should be judged according to the knowledge of the parties at the time the offer was made (which anticipated a trial commencing in less than 21 days) rather than after the actual trial much later.</p>
<p>The default position provided for in the CPR is that an offer made less than 21 days before trial does not attract Part 36 rewards unless the court retrospectively allows a shorter period. The offer was made on the basis that an application to the court would be needed for this purpose. The Appeal judge decided that at the time the offer was made the parties would understand this, and that this was the situation that the court should assess.<br />
<br />
The Appeal judge decided that the offer could only become a Part 36 offer with Part 36 rewards when the court agreed to a shorter period for accepting the offer being applied. Because no application to allow a shorter period for accepting the offer had been made, and because the court had therefore not permitted a shorter period to be applied, the offer did not comply with the requirements of Part 36 and accordingly was not a valid Part 36 offer.</p>
<p>Counsel for S maintained that an informal application had been made at the hearing on 31 January 2020 when judgment had been delivered. The Appeal judge said there was no record of this in the Appeal papers or in the judgment by the trial judge.<br />
<br />
This case is an example of the need to keep settlement offers under review. The options available to S upon the original trial date being adjourned were to either make an application - by consent or otherwise - to the court asking for the shortened time in the offer to be permitted (thus validating the offer as attracting Part 36 benefits) or to make a new Part 36 offer allowing the usual 21 days for acceptance, or to do both. Which course to take might be influenced by whether any significant costs have been incurred after the expiry of the shortened time for accepting the offer.<br />
<br />
<strong>The provision for interest in Part 36 offers</strong></p>
<p>In <em>Francis King v City of London Corporation</em> (18 December 2019) the Court of Appeal upheld the decision of a costs Master that the Claimant’s offer to settle the costs claimed in the Bill of Costs at £50,000 excluding interest was not a valid Part 36 offer because it did not comply with CPR 36.5(4) which stated that the offer will be treated as inclusive of all interest.</p>
<p>After assessing the Bill at £52,470 excluding interest, the Master decided that the offer could not be treated as having been made under Part 36 because the offer introduced an element – exclusion of interest - that was incompatible with the wording of Part 36.</p>
<p>At the initial Appeal the Claimant’s costs lawyer referred the court to Practice Direction 47.19 which provided for the option for costs offers to include or exclude interest. The Appeal judge decided that as a rule prevails over a Practice Direction, it was not possible for a Part 36 offer to exclude interest and for it to be then accepted on the basis that Part 36.5(4) will treat the offer as including interest.</p>
<p>The Appeal judge said that he would invite the civil procedure Rules Committee to consider this again. In the meantime, his decision that the offer was not a valid Part 36 offer was appealed to the Court of Appeal which decided, reluctantly and with a further recommendation for the Rules Committee to look at this, that an offer to settle which excluded interest did not comply with the rules and thus was not an offer made under Part 36.</p>
<p>Following consideration by the Rules Committee, CPR Part 36.5 was revised and from 1 April 2021 states:</p>
<p>36.5 (4) </p>
<p><em>A Part 36 offer which offers to pay or offers to accept a sum of money will be treated as inclusive of all interest until</em></p>
<p><em>(a) the date on which the period specified under rule 36.5(1)(c) expires; or </em></p>
<p><em>(b) if rule 36.5(2) applies, a date 21 days after the date the offer was made.</em></p>
<p>36.5 (5)</p>
<p>“<em>A Part 36 offer to accept a sum of money may make provision for accrual of interest on such sum after the date specified in paragraph (4).</em>”</p>
<p>(This the date when the time allowed for accepting the offer expires, normally 21 days after the offer was made).</p>
<p>“<em>If such an offer does not make any such provision, it shall be treated as inclusive of all interest up to the date of acceptance if it is later accepted.</em>”</p>
<p>Note that this revision still does not allow a Part 36 offer to exclude interest. An offer to settle at a sum which excludes interest will continue to be treated as falling outside the scope of Part 36. However, the revision means that the offer, which must include interest, may provide for further interest to be added to the sum offered in settlement after the period allowed for acceptance has expired.</p>
<p>Practice Direction 47.19 has also been revised and now says:</p>
<p>“<em>Costs of detailed assessment proceedings – rule 47.20: offers to settle under part 36 or otherwise 19. Where an offer to settle is made, whether under Part 36 or otherwise, it should specify whether or not it is intended to be inclusive of the cost of preparation of the bill and VAT. An offer which is made otherwise than under Part 36 should specify whether or not it is intended to be inclusive of interest. Unless the offer states otherwise it will be treated as being inclusive of all of these. (A Part 36 offer is treated as inclusive of interest: see CPR 36.5(4).)</em>”</p>
<p>Thus, it is now perfectly clear that a Part 36 offer to accept or pay a sum of money in settlement of a claim must include interest. If the offeror wants to maintain a claim for further interest after the offer has expired, the offer can refer to this but the offer must include interest and any reference to the offer excluding interest will be fatal to its claimed status as a Part 36 offer with accompanying potential benefits.</p>]]></content:encoded></item><item><guid isPermaLink="false">{B0798DDA-C971-4C42-85D4-569CEFF25A70}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/navigating-the-hazards-of-part-36-offers-part-i/</link><title>Navigating the hazards of Part 36 offers Part I</title><description><![CDATA[Most claims seek money from other people. Although such claims might be for money owed for goods and services, or compensation for loss caused by breach of contract, or compensation for injury or damage to property or for defamation, the fundamental point of the claim is that the Claimant wants to be paid, and will agree to<br/>settle if sufficient money is offered.<br/>]]></description><pubDate>Tue, 28 Sep 2021 16:11:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Gavin Reese</authors:names><content:encoded><![CDATA[<p>The fundamental purpose of Part 36 of the Civil Procedure Rules is to facilitate settlement of claims by making provision for the payment of the legal costs incurred in making the claim. The Rules provide costs protection for those making reasonable settlement offers which are not accepted and penalise those who do not accept reasonable offers.<br />
<br />
This apparently simple process has proved to be not straightforward. This is partly because an offer can be made to settle part of a claim rather than all of it, and sometimes the terms of an offer can be so unclear that the person making the offer either does not understand the effect that accepting the offer will have. Some offers are incapable of acceptance and appear to be made solely for tactical costs purposes rather than to secure early settlement of a claim.<br />
<br />
Several recently reported cases address these issues and provide guidance on how to identify and deal with problematic offers. This article is the first of two which looks at some of the issues the courts have considered recently.<br />
<br />
<strong>Settlement offers in multi-party claims</strong><br />
<br />
One of the stand-out failings of Part 36 is its non-suitability for multi-party claims. In disease claims where historic exposure to activity causing the alleged injury is alleged, it is common for a Claimant to make the same Part 36 offer to all Defendants simultaneously. Requests for clarification are sometimes met with silence. Whilst CPR 36.8 allows the recipient of a Part 36 offer to apply to the court to compel clarification, offers are commonly made before issue of proceedings and the economics of securing clarification by making an application before issue of proceedings can be questionable.<br />
<br />
However, following the decision in <strong>Waterfield v Dentality</strong> which is discussed below, the person seeking clarification might be in a better costs position than someone seeking clarification after proceedings have been issued.<br />
<br />
 A further problem is that when a Part 36 offer is made to one of several Defendants, if one Defendant accepts the offer (possibly because this is perceived to be the most economic exit from the litigation – compromise and early settlement being one of the reasons for the existence of Part 36) and the other Defendants do not, then Part 36 makes the Defendant who accepted the offer liable to pay at least some of the Claimant’s costs incurred against all Defendants. Particularly in claims where the legal costs of bringing the claim are far higher than the sum in dispute (for example for Noise-induced Hearing Loss) the effects of QOCS is that a Claimant may discontinue the claim against all those Defendants who have not accepted a Part 36 offer (usually without costs penalty) Whilst the reward for the Defendant who settled is a higher costs liability. <br />
<br />
Whilst Part 36 offers are commonly made separately to each individual former employer In disease claims, a further complexity was considered in <strong>Re IT Protect Ltd</strong> (in liquidation) [2020] EWHC 3001 (Ch) (14 October 2020). In that case, the Part 36 offer was made jointly to two Defendants. The Claimant beat his offer against one Defendant but not against the other. <br />
<br />
The judge was “<em>far from convinced that the provisions of CPR 36.17(4) are engaged in the case of an offer made jointly (but not severally) to two respondents which is beaten in respect of one respondent but not in respect of the other</em>” but proceeded to deal with the dispute on the basis that Part 36 costs provisions applied but then should be disapplied because it would be unjust not to do so. The terms of the offer meant that it could have been accepted only of both Defendants agreed. As the offer against one of the Defendants was very weak (and eventually failed) it was reasonable not to accept it.<br />
<br />
It appears that the judge was driven to the conclusion that the offer was a valid Part 36 offer because the rules do not address this kind of situation. However, in taking the decision to disapply the costs consequences of Part 36 rather than decide that the offer was not a valid offer under Part 36 because it was incapable of being accepted on the terms offered, an opportunity to require offers to be specific to a particular Defendant or just better worded has been lost. Such offers are likely to continue to be made with the onus placed upon the recipient of the offer to argue for costs consequences to be disapplied.<br />
<br />
Fundamentally, if an offer purportedly made on a Part 36 basis is incapable of being accepted by a Defendant unless a co-Defendant also agrees to accept it, or could only be accepted with what amounts to accepting penal costs terms, it is questionable whether the offer could be regarded as a valid Part 36 offer.<br />
<br />
It is likely that one of the reasons why these issues arise is because the Claimant does not always use Form N242A to make the Part 36 offer but instead makes the offer by letter. In multi-party disease claims an offer letter is sometimes expressed in identical terms to every Defendant with an offer to settle at the same sum regardless of differing lengths of employment in an Employers’ Liability claim, or the perceived strength or weakness of the claim against each Defendant. A typical response to a request for clarification is that apportionment is a matter for the Defendants to agree because the Claimant is not able to assess this (though such an argument lacks merit – it is the Claimant who is making the allegations and therefore he must know his own case). Similar issues then arise to those considered by the judge in <strong>Re IT Protect Ltd.<br />
</strong><br />
Form N242A contains tick boxes that require the offeror to state whether the offer is to settle all, or part of, or certain issues in the claim against a particular Defendant. If use of the prescribed form was a prerequisite for Part 36 consequences to be applied, then the situation that arose in <strong>Re IT Protect Ltd</strong> or arguments that a Claimant is unable to assess his claim against each Defendant might have been avoided. Required use of the form would compel the Claimant to say what he would accept from each Defendant in settlement.<br />
<br />
Even such use of Form N242A addresses only part of the problem. There remains the costs issue created by CPR36.13 which states that when a Part 36 offer is accepted within the relevant period the Claimant will be entitled to the costs of the proceedings up to the date on which notice of acceptance was served on the offeror. Accepting the offer still exposes a Defendant accepting the offer to the risk of having to pay disproportionately high legal costs where not all Defendants accept the offer.<br />
<br />
One potential option for a Defendant is to make its own Part 36 settlement offer to the Claimant. CPR 35.15(3) states that if the Defendants have several liability (as in most disease claims) then the Claimant may accept the offer and continue with the claims against the other Defendants if entitled to do so. CPR 35.15(4) states that in all other cases the Claimant must apply to the court for permission to accept the Part 36 offer. The “all other cases” provision appears to compel a Claimant to either continue the claims against the remaining Defendants or seek the court’s permission to accept the offer if it wants to discontinue the claim against the co-Defendants. There is no provision for circumstances where a Claimant accepts the offer, then continues the claim against the co-Defendants for a while (sometimes a long while) and then discontinues some or all of the remaining claims. Even in cases where the remaining claims are pursued to trial, if those claims are dismissed the Claimant would arguably be entitled to claim the entire “common” costs of the litigation from the Defendant which settled, up to the time of settlement.<br />
<br />
All these issues mean that settling multi- party claims though Part 36 is fraught with unpredictable dangers but use of non- specific Part 36 offers, particularly before issue of proceedings in multi-party disease claims, is common. Calderbank offers can be used in response because they avoid the automatic costs provisions which are inextricably bonded to Part 36 offers.<br />
<br />
<strong>Offers with unusual or conditional provisions</strong></p>
<p>You know that something has gone seriously wrong when a trial judge decides that Part 36 offers made by a Claimant should be disregarded because they were not serious offers to settle; then on appeal a High Court judge decides that the offers were valid but the Defendant rather than the Claimant had beaten the offers at trial; then the Court of Appeal gives its own interpretation.<br />
<br />
These events happened in <strong>Seabrook v Adam </strong>[2021] EWCA Civ 382 (18 March 2021). After the Defendant conceded liability but not causation in his Defence, the Claimant made two Part 36 offers on the same day. The wording of each offer was slightly different. The first offer was:<br />
<br />
“<em>To accept on condition that liability is admitted by the offeree, 90% of the claim for damages and interest, to be assessed.</em>”<br />
<br />
Bearing in mind that liability had already been conceded in the Defence, the offered reduction of 10% on the claim for damages on condition that liability was conceded appeared odd.<br />
<br />
The second offer was:<br />
<em>“To agree the issue of liability on the basis that the Claimant will accept 90% of the claim for damages and interest, to be assessed.”<br />
</em><br />
The most obvious question is why a Claimant should make an offer conditional upon the Defendant admitting liability in circumstances where liability had already been admitted in the Defence. This is closely followed by wondering why a Claimant is making these offers at the same time. What is the difference?<br />
<br />
The Court of Appeal decided that these offers amounted to much the same thing but that, guided by the tick boxes in Form N242A, the first version offered to settle the whole claim and the second version offered to settle liability.<br />
<br />
However, the real issue here was causation. The Claimant claimed damages for injury to his neck and back. At trial he established causation for his neck injury only and was awarded damages for that injury. The Claimant argued that he had beaten his Part 36 offers because he had been awarded 100% of his assessed damages. The Defendant argued that as the Claimant had been awarded nothing for his claimed back injury, the Claimant’s offer had been beaten.<br />
<br />
Counsel for the Claimant argued before the Court of Appeal that the offers could have been accepted without prejudicing the Defendant’s entitlement to challenge causation. The Court of Appeal rejected this interpretation. The wording of the offer was framed in relation to the claim for damages, which included the claim for injury to the Claimant’s back. The effect of accepting the offers would have been that the Defendant was admitting liability for both the neck and the back injuries and would have prevented the Defendant from later arguing that he had not caused the back injury. Because the Claimant failed to establish causation for his back injury, the Defendant had beaten the Claimant’s offers.<br />
<br />
There were serious problems with these offers. The conditional nature of both offers to agree a quantum concession if liability was admitted made no sense when liability had already been admitted in the Defence. At face value this meant that the Defendant did not have to make any additional concession to obtain a 10% reduction on the damages award, but the key point was that both offers amounted to offers to accept a reduction in relation to the sum claimed for damages – whether or not the claimed losses were justified - in return for the Defendant dropping all causation arguments.<br />
<br />
Whilst the offers were regarded by both Appeal courts as being valid Part 36 offers, there was no consensus between the parties what the consequence of accepting them would be. A request for clarification of the intended consequence of accepting the offers in relation to the causation issues might have resolved this.<br />
<br />
<strong>Seeking clarification of Part 36 offers</strong><br />
<br />
Some of the more questionable Part 36 offers could be clarified, thus avoiding some of the issues discussed above. If clarification is needed to allow the recipient of the offer to determine what is actually being offered but the offeror ignores the request or provides inadequate clarification, then CPR Part 36.8 permits the recipient to apply to the court whether or not proceedings have been issued.<br />
<br />
In<strong> Waterfield v Dentality</strong> (t/a Dentality@ Hoddeston) [2020] 11 WLUK 223 (13 November 2020) the County Court judge decided that “Proceedings” for the purposes of CPR r.44.13 started when the court issued a claim form on the request of a claimant. Accordingly, the qualified one-way costs shifting rules did not apply to pre-issue applications, including a pre-issue group litigation order application.<br />
<br />
It follows that if a pre-action application to the court for clarification of a Part 36 offer is necessary because the person making the offer has not provided clarification in correspondence, if the court decides that clarification is necessary to allow the recipient to consider the offer, the court may make a costs order against the person making the offer which will not be subject to qualified one way costs shifting.<br />
<br />
This was a County Court decision and so is not binding in other cases. However, the analysis of the Civil Procure Rules by the judge as to when qualified one way costs shifting starts to be applied (when the claim is issued) provides a foundation for this point to be presented in other cases. If the analysis of the judge is adopted in other applications made before issue of proceedings, then the person seeking clarification will likely be in a better costs position than after proceedings have been issued.<br />
<br />
<strong>Whether an offer is an enforceable offer under Part 36</strong><br />
<br />
In <strong>Anup Shah & Alpa Shah v Ketan Shah & Deepika Shah</strong> (21 June 2021) the High Court considered an Appeal from the County Court in which the trial judge had decided that the Claimant was entitled to the usual Part 36 costs consequences following the award of £10 nominal damages.<br />
<br />
The Claimants had claimed £30,000 compensation. They had made a Part 36 offer on 21 April 2020 to settle the claim at £1. By that time, the Claimants had incurred more than £200,000 in legal costs. <br />
<br />
Among other things, the Defendants argued that the Claimant’s offer was a sham; an acknowledgment that the claim was worth nothing; an attempt to use the Part 36 settlement procedure to oppress another party with an excessive costs bill; and was a late offer seeking a last-minute exit from a weak case.<br />
<br />
Whist accepting that the effect of the part 36 settlement process can be brutal, the Appeal judge agreed with the trial judge that in this case the real issue between the parties was liability, and that the Claimants had won on this issue. The trial judge had then awarded only nominal damages because the quantum case presented to the court was flawed and largely unsupported by evidence, but the claim was worth something. The Claimants had accordingly both won the liability argument and also beaten their offer to settle for £1.<br />
<br />
The Appeal judge considered the caselaw (in paragraphs 53 and 54 of his judgment) which gave guidance on the difference between enforceable and unenforceable Part 36 offers. His conclusion was that the courts accept that all Part 36 offers are tactical but that there are important policy reasons why they should be enforceable (particularly because this leads to certainty). The courts have not lightly refused to accept an offer as being enforceable. Consideration of whether an offer is enforceable is fact-sensitive in each case, but the case law referred to by the judge where offers were held to be unenforceable included those where the offer was considered to be a “lightly disguised request for total capitulation” or for submission to the entirety of the relief sought so as to attach Part 36 costs consequences to a successful claim. The character of an enforceable Part 36 offer was that it must give as well as take, and not be derisory.<br />
<br />
<strong>The sweep-up provision – applying the normal consequences would be unjust</strong><br />
<br />
Part 36.17(5) gives the court discretion to disapply the provision of Part 36 costs consequences if it considers the application of those provisions to be unjust. The court must take all the circumstances into account, including the terms of any Part 36 offer and the stage in the proceedings when any Part 36 offer was made.<br />
<br />
“This is an important provision, particularly in circumstances where the court has decided that a Part 36 offer that is incapable of acceptance (as in <strong>Re IT Protect Ltd</strong>) is a valid Part 36 offer. It is surely asking too much of trial judges to make decisions on the validity of Part 36 offers that are so vague that the help of the Court of Appeal is needed. Any offer made in terms that would likely lead to dispute about what is actually being offered should, if not clarified, arguably be regarded either as not being a serious settlement offer, or a situation where the court will exercise its discretion to disapply Part 36 consequences.”<br />
<br />
Litigation is a dynamic process where evidence is disclosed over time. Our next article will look at some of the issues that can arise when evidence or court procedure changes the perception of costs risk in relation to an existing settlement offer.</p>
<div> </div>]]></content:encoded></item><item><guid isPermaLink="false">{D36E21F3-B1C1-4E86-AE28-9A2BA0C82494}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/die-hard-and-the-importance-of-insurance/</link><title>Die Hard and the importance of insurance</title><description><![CDATA[Insurance is at the heart of modern life; and what better way to remind ourselves of this fact, at this festive time of year, than to consider the film Die Hard and all its many insurance claims.  ]]></description><pubDate>Fri, 18 Dec 2020 10:59:47 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Peter Mansfield</authors:names><content:encoded><![CDATA[There is an ongoing debate about whether Die Hard is genuinely a Christmas movie, but what cannot be in doubt is that Die Hard's underlying message is: <em>"Get yourself a good broker, properly consider adequate risk mitigation measures and engage in detailed scenario planning"</em>.  <br />
<br />
Lest we forget, the plot of Die Hard is that, on 24 December 1988, a gang of European terrorists (the<strong> Terrorists</strong>) enter the Nakatomi Tower (the <strong>Tower</strong>). They take the lift to the 30th Floor, where a Christmas Eve party is being held. After taking the party-goers hostage, the Terrorists proceed to hack into the Tower's computer system with the intention of entering a vault where US$650m in bearer bonds are stored. A lone operative, John McClane, resists the Terrorists at great personal cost and with much wanton destruction (the<strong> Event</strong>). After a couple of hours, the Event ends with the death of the Terrorists' leader, Hans Gruber.  <br />
<br />
Throughout the film, insurance is the silent hero, never mentioned, but always present. In roughly chronological order, the Event triggers or potentially triggers the following policies: <br />
<br />
<em>Employers Liability:</em> Mr Ellis, a male employee of Nakatomi, continually invades the personal space of a female colleague, Ms Gennaro, and is reportedly seen snorting cocaine. Mr Ellis is an EL claim waiting to happen. Tragically, but in many ways fortuitously, Mr Ellis does not survive the Event.  <br />
<br />
<em>Life Assurance:</em> A lot of life policies are triggered. Seriously, a lot.  It is not known if the Terrorists have group or personal life cover, but if they do there is a risk that there may be non-disclosure issues.   <br />
<br />
<em>Cyber: </em>The Terrorists hack into the Nakatomi computer system. They are also involved in a phishing attack on Nakatomi executive, Mr Takagi, which involves pointing a gun at Mr Takagi's head and asking him for a passcode. Soon after the failure of this phishing attack, Mr Takagi's life assurance policy is triggered.<br />
<br />
<em>Event cancellation: </em>The Christmas Eve party has to be prematurely terminated. This is symbolically represented by a Christmas tree falling over.<br />
<br />
<em>Business contents: </em>Initially, there is substantial gunshot damage to tables, desks and computers. However, this is soon superseded by the complete devastation of the top three floors.<br />
<br />
<em>Bankers blanket bond: </em>It appears that the main aim of the Terrorists is the theft of many thousands of bearer bonds totalling US$650 million. By the end, those bonds are either destroyed or are seen floating gently through the evening sky like snowflakes on Christmas Eve. <br />
<br />
<em>Contractors All Risks:<span> </span></em>At the time of the Event, an internal fit-out is in process on the 32nd floor. Without sight of the contracts, it is not clear who retains responsibility for the insurance in this area. An initial assessment of the damage to the fit-out, however, suggests that it might be best just to start again.<br />
<br />
<em>Architects professional indemnity: </em>A number of design failings become apparent during the Event.  Most notably, the glass in the internal divisions shatters into sharp shards and is clearly non-compliant, and the external glass panels break too easily, leading directly to the death of Mr Gruber. It is almost as though the choice of glass is purely to achieve dramatic effect. These failings will in due course require extensive remedial works to the external cladding.<br />
<br />
<em>Motor:</em> A police car is written off and there is damage to a limousine and a van. The largest loss, however, is to an armoured vehicle owned by LAPD, which is annihilated by two missiles.<br />
<br />
<em>Business interruption:</em> The FBI's flawed decision to switch off electricity to a whole district generates multiple BI claims. Thankfully, losses are limited due to the fact that the Event takes place late on Christmas Eve. Nakatomi's own BI losses will depend upon the efficacy of their business continuity plans.<br />
<br />
<em>Property all risks:</em> There is significant damage to the ground floor and to the top three floors of the Tower. Significant damage. Really significant damage. In that quite a lot of it no longer exists.<br />
<br />
<em>Private medical:</em> At the very least, John McClane's medical bills for his feet will be significant.<br />
<br />
<em>Kidnap & Ransom:</em> Whilst hostages are taken, no ransom is ever requested. It is therefore unclear whether the K&R policy is triggered.<br />
<br />
<em>Aviation: </em>The decision by the FBI to attack the Tower with helicopters proves to be a mistake.<br />
<br />
<em>Public sector:</em> The FBI's and LAPD's laughably gung-ho incompetence results in multiple claims.  The one exception to this litany of inadequacy is Officer Al Powell, who shares some emotional moments with Mr McClane over a two-way radio and, in the end, rediscovers a touching ability for shooting people dead. <br />
<br />
<em>Public liability: </em>Lots of claims. Lots. Of. Claims. <br />
<br />
<em>Fine art: </em>It is LA in 1988. There is unlikely to be any fine art. <br />
<br />
<em>Equine:</em> It is LA in 1988. There are unlikely to be any horses. <br />
<br />
<em>Terrorism reinsurance: </em>The Event is initially reported as terrorism on television, but evidence appears to suggest that it is actually just a robbery. Terrorism reinsurers immediately reserve their rights. We can expect this one to go to court.   <br />
<br />
<em>Directors and Officers:</em> There is likely to be a claim against Nakatomi's directors for wilfully and unnecessarily storing US$650m of bearer bonds in an office block in central LA.<br />
<br />
<em>Funeral plan: </em>Ah yes, there may be aggregation arguments here. <span> </span><br />
<br />
<em>Pet:</em> Nakatomi Tower does not allow animals, so thankfully no pets are harmed during the course of the Event.<br />
<br />
<em>Home and contents: </em>Ms Gennaro reports the loss of a Rolex.<br />
<br />
<em>Travel:</em> In general, travel insurers watch on and breathe a sigh of relief. Yes, they face a claim for the repatriation of the Terrorists' bodies back to Europe, but it could have been so much worse. However, just as they consider closing their files, there are rumours of an event at Washington Dulles airport, also involving Mr McClane, in which travel insurance may play a much greater role…      <br />
<br />
<br />
<br />
<br />]]></content:encoded></item><item><guid isPermaLink="false">{2B79124D-1D77-4A87-B498-C01745D1A605}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/building-on-renewable-energy-3-anaerobic-digestion/</link><title>Building on renewable energy #3 – Anaerobic Digestion</title><description><![CDATA[Anaerobic digestion is the process by which biodegradable materials are broken down in a controlled environment.  Whilst being broken down, the materials emit gas (which can be used as a source of renewable energy), and produce heat (which can also be harnessed on or near-to site).  The process also leaves a waste material (digestate), which can be used as fertiliser, contributing to the circular economy.]]></description><pubDate>Thu, 24 Sep 2020 14:54:59 +0100</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p style="text-align: left;">Anaerobic digestion plants have been in operation since the 1850s.<sup>[1]</sup> Thanks to encouragement from government, several significant public-private partnerships, and the divesting from traditional fossil fuels, anaerobic digestion plants have become far more prevalent in recent years.</p>
Large anaerobic digestion plants are substantial and complicated pieces of engineering and will present various technical challenges for the project teams. We consider some of these challenges below.<br><br>
<p style="text-align: justify;"><strong>Design and Construction</strong></p>
<p style="text-align: justify;">The selection of a site can present several initial difficulties.<span> </span>A comprehensive geotechnical survey will be required to assess ground conditions and ensure that site foundations are appropriately designed, as movement may affect the integrity of the digester (the sealed, oxygen-free tank in which the materials are broken down).<span> </span>Other site conditions, including water pressure, will need to be considered as part of the design process.</p>
<p style="text-align: justify;">Professionals with design responsibility should pay careful attention to the feedstock intended to be fed into the digester.<span> </span>Some manures (poultry, for example), can contain a high percentage of ammonia, and the resulting sulphides could damage the digester tanks.<span> </span>Where the feedstock may contain contaminants, then appropriate pre-sorting will need to be specified to avoid blockages and ensure efficient operation of the plant.</p>
<p style="text-align: justify;">AD plants require careful design.<span> S</span>afety measures and fail-safes to minimise the risk of explosion, and protect plant operatives such as maintenance contractors, will need to be incorporated; underwriters will pay careful attention to the experience and safety records of those involved with the design, construction, and operation of the digester.</p>
<p style="text-align: justify;">Designers will need to ensure that appropriate filters are incorporated to avoid excessive odours (which may breach planning conditions).<span> </span>For the same reason, the design and specification of insulation, noise deflectors and soft landscaping to dampen and reduce operating noise, is also of import.</p>
<p style="text-align: justify;">Other planning issues (including traffic impact, local development plans and many more), are outside the scope of this article.</p>
<p style="text-align: justify;"><strong>Contracts</strong></p>
<p style="text-align: justify;">Whilst not yet commonplace in the UK, larger AD plants are likely to become more prevalent over the next decade.<span> </span>These are substantial engineering projects, often with bespoke contractual arrangements.<span>  </span>Parties, and their insurers, need to be alive to contractual terms that are more onerous than a duty to exercise reasonable skill and care, including 'turnkey' EPC contracts with guaranteed performance specifications.</p>
<p style="text-align: justify;">Consultants will invariably be required to enter collateral warranties with interested parties.<span> </span>It is vital to ensure that such collateral warranties comply with the terms of the consultant's professional indemnity insurance policy.<span>  </span>Warranting compliance with a higher duty than reasonable care and skill may leave a professional facing a large claim without the benefit of insurance cover.</p>
<p style="text-align: justify;">Contractual disputes in construction projects are often referred to adjudication.<span> </span>The parties should ensure that the adjudication scheme set out in the contract complies with the terms of the professional's insurance policy.</p>
<p style="text-align: justify;"><strong>Operation and Maintenance</strong></p>
<p style="text-align: justify;">Biogas contains hydrogen sulphide.<span>  </span>As well as having an unpleasant odour, hydrogen sulphide is corrosive and can damage the digester tanks (and will need to be extracted before the biogas can be used in engines, fuel cells or turbines).<span>  </span>Appropriate, periodic maintenance will be required to ensure the safe and efficient operation of the digester.</p>
<p style="text-align: justify;">Maintenance can carry several risks.<span> </span>As above, hydrogen sulphide is a product of the digestive process.<span>  </span>Not only is the sulphide corrosive, but flammable and poisonous too.<span> </span>As well as this being a design risk, O&M contractors must undergo appropriate training and conduct proper risk assessments prior to undertaking maintenance work</p>
<p style="text-align: justify;"><span>The design/specification of an appropriate maintenance schedule will be of importance to the safe and efficient operation of the digester. Maintenance failings may impact upon the performance of the digester and result in the plant failing to meet its contractual performance requirements. Issues including sludge removal, general engine maintenance, and pipe and valve leaks, will need to be considered.</span></p>
<p style="text-align: justify;"><strong>Insurance Coverage</strong></p>
<p style="text-align: justify;">In addition to the above issues, insureds and their brokers should ensure that the insurance policy wording is suitable to their needs.<span> </span>Engineering policies often contain exclusions which may limit the cover provided by the policy (an exclusion relating to concrete, for example).</p>
<p style="text-align: justify;">Tank and pipe failures will invariably lead to pollution and environmental issues, and appropriate insurance will be necessary to cover the costs relating to the same.</p>
<p style="text-align: justify;">Insurers will need to carefully consider the scope of their coverage, as the contents of a tank (both the feedstock and the cultures that are introduced to start the digestion process) can be valuable.<span>  </span>Indeed, replacement cultures may not be immediately available, which could lead to the digestor laying dormant for months and an associated business interruption claim.</p>
<div>
<div id="ftn1">
<p><a href="file:///C:/Users/NR03/AppData/Roaming/OpenText/DM/Temp/RPC_DOCS1-%2331600216-v1-Draft_anaerobic_digestion_article.docx#_ftnref1" name="_ftn1"><span><sup>[1]</sup></span></a> <em><a href="https://extension.psu.edu/a-short-history-of-anaerobic-digestion">A short history of anaerobic digestion </a></em></p>
</div>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{1F1572FB-17B9-4A92-A4FF-8A00C43B2FA7}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/product-law-bulletin-august-2020/</link><title>Product Law bulletin – August 2020</title><description><![CDATA[Welcome to the latest edition of our product law update, this month we focus on how COVID-19 is impacting product liability regulation.]]></description><pubDate>Fri, 28 Aug 2020 10:02:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Gavin Reese, Elinor Sidwell</authors:names><content:encoded><![CDATA[<p><strong>The Law and Autonomous Vehicles</strong><br>
On 18 August 2020, the UK government took another step towards allowing automated vehicles on the UK’s roads, with the Department for Transport requesting industry’s views on the use of Automated Lane Keeping Systems technology. But what impact are such technologies likely to have on the law and insurance market? <a href="https://www.rpclegal.com/-/media/rpc/files/perspectives/insurance-and-reinsurance/product_law_bulletin__august_2020_d2.pdf#page=2">Read more</a>.</p>
<p><strong>OPSS provides guidance on the use of non-disclosure clauses in settlement agreements</strong><br>
Manufacturers are understandably keen to avoid any negative publicity in relation to their products, especially if their product is linked to the injury of a consumer. <a href="https://www.rpclegal.com/-/media/rpc/files/perspectives/insurance-and-reinsurance/product_law_bulletin__august_2020_d2.pdf#page=4">Read more</a>.</p>
<p><strong>AstraZeneca to receive an indemnity from liability claims for Covid-19 vaccine</strong><br>
AstraZeneca has been granted protection from future product liability claims related to its COVID-19 vaccine by most of the countries with which it has struck supply agreements, a senior executive told Reuters<span style="font-weight: lighter;">. </span><a href="https://www.rpclegal.com/-/media/rpc/files/perspectives/insurance-and-reinsurance/product_law_bulletin__august_2020_d2.pdf#page=5" style="font-weight: lighter;">Read more</a><span style="font-weight: lighter;">.</span></p>
<p><strong>Fake goods and online marketplaces</strong><br>
Since May this year 35 people have been prosecuted and convicted in China for producing and selling counterfeit Dyson hair dryers with prison sentences ranging between 18 months and 6 years. This follows a raid at factory premises said to have produced more than 19,000 counterfeit hair dryers. <a href="https://www.rpclegal.com/-/media/rpc/files/perspectives/insurance-and-reinsurance/product_law_bulletin__august_2020_d2.pdf#page=6">Read more</a>.</p>]]></content:encoded></item><item><guid isPermaLink="false">{56C1AA7E-983B-410E-A8E4-61D4B77FB423}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/d-and-o-the-irrelevance-of-the-corporate-insolvency-and-governance-act/</link><title>D&amp;O – the irrelevance of the Corporate Insolvency and Governance Act</title><description><![CDATA[The Corporate Insolvency and Governance Act ("the Act") came into expedited effect on 26 June 2020 and is intended to maximise the chance of corporate survival and reduce the threat of personal liability on directors during this unprecedented economic crisis. ]]></description><pubDate>Tue, 28 Jul 2020 16:29:39 +0100</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p>D&O insurers should be clear about one thing: this Act will not help them and in fact it could well make things worse.  </p>
<p><strong>The Act</strong></p>
<p>The Act has three main sets of measures to achieve its purpose: (i) to introduce greater flexibility into the insolvency regime, allowing companies breathing space to explore options for rescue whilst supplies are protected, so they can have the maximum chance of survival – this has similarities to the US Chapter 11 procedure; (ii) to temporarily suspend parts of insolvency law to support directors to continue trading through the emergency without the threat of personal liability and to protect companies from aggressive creditor action; and (iii) to provide companies and other bodies with temporary easements on company filing requirements and requirements relating to meetings including annual general meetings (AGMs).</p>
<p>D&O insurers have latched onto the provisions suspending temporarily the wrongful trading sanctions, thinking this must be good news and that it could materially reduce their exposure.  This article explains why that is not the case.  </p>
<p><strong>The wrongful trading regime</strong></p>
<p>The statutory offence of wrongful trading is contained in sections 214 and 246ZN of the Insolvency Act 1986.    The wrongful trading remedy allows a court to impose unlimited personal liability on a director of an insolvent company who is found to have allowed his or her company to continue trading at a time when they knew, or ought to have concluded, that the company could not avoid insolvent liquidation. </p>
<p>The Act suspends temporarily this regime so that directors of companies which are impacted by the pandemic may make decisions about the future of the company without the threat of becoming liable to personally contribute to the company’s assets if it later goes into liquidation or administration.  This suspension now runs to 30 September 2020, 3 months longer than initially announced. </p>
<p>The intention is to help to prevent businesses, which would be viable but for the impact of the pandemic, from closing</p>
<p>So far so good and what is there not to like?  </p>
<p>From a D&O insurance perspective, this temporary suspension of the wrongful trading regime is an irrelevance.  But, there are two important additional points.  First, for some companies the ability to limp on to the end of the year will just make the eventual claims against their directors bigger; and secondly the Act has the unintended consequence that insurers will be underwriting in the dark.</p>
<p><strong>The irrelevance of the wrongful trading regime  </strong></p>
<p>The wrongful trading regime was introduced in the Insolvency Act of 1986 but since then there have been few litigated cases.  In the 27 year period up to 30 September 2013, there were just 29 reported wrongful trading cases and out of those only 11 were successful.  In round terms, that's one case per year and one successful case every three years.  </p>
<p>Of course, reported cases just tell part of the story – there may be lots of threatened cases that are settled.  But that is not our experience in representing directors and their insurers – whilst not quite as rare as hens' teeth, wrongful trading cases are few and far between relative to other claims against directors. </p>
<p>In suspending the wrongful trading regime, the Act does not affect the other more commonly invoked provisions of the Insolvency Act that impose personal liabilities on directors.  Over the period where there were 29 reported wrongful trading cases, there were over 60 reports of misfeasance cases under s.212; over 80 reports of ‘transactions at an undervalue’ under s.238 and over 50 reports of transactions at a preference contrary to s.239.   As a further comparison, around 1,500 directors of insolvent companies are disqualified annually for ‘unfitness to be concerned in the management of companies’, with several hundred disqualification cases appearing in the law reports since 1986.</p>
<p>But more importantly, claims under the Insolvency Act are a small subset of claims that can be made against directors.  D&O insurers might usefully reflect on the Warren Buffet quote that “it is only when the tide goes out you get to see who was swimming naked” – the insolvency will shine a light on directors' past conduct which may otherwise have gone unnoticed, resulting in claims that would otherwise not have been made and which might be completely unconnected to the current economic crisis.  The temporary suspension of the wrongful trading regime will be completely irrelevant.   </p>
<p><strong>Will the Act make increase claim severity?</strong></p>
<p>For some companies, the temporary measures in the Act will secure their future – those companies will become viable again once the economy picks up and all will be good.  But, for other companies, the temporary measures will just prolong the agony and make their eventual insolvency process much more painful for all concerned.  </p>
<p>Consider the position of a weak company that limps on to the end of October 2020.  By then, the Government's financial help through the furlough or other schemes will have wound down but those companies will have unchanged over-heads, including crippling business rates, will be loaded up with massive debt and for many there will be an insufficient increase in turnover - the economy will likely not have rebounded to any meaningful extent, particularly in certain sectors, and (say it quietly) there may even be a second spike of coronavirus cases.    What will the directors do then?  This all happens at exactly the same time that the suspension of the wrongful trading regime will have ended.  The directors will be in an impossible position.  </p>
<p>The Act positively encourages companies to continue to trade but it does not differentiate between those companies well equipped to ride out the storm and those companies who are holed below the water line and will become wrecked.  Those companies will have bigger losses than would have been the case if the they stopped trading at the start of the lockdown.  For those companies, the Act has the unintended consequence of increasing the severity of the claims against those directors.   </p>
<p><strong>Underwriting in the dark</strong></p>
<p>But that's not the end of the story.  </p>
<p>One of the other temporary measures in the Act is the automatic extension of time for companies to file their audited accounts.  A private company with an accounting reference date of 31 December 2019 would normally have to file its audited accounts by 30 September 2020, but it can now file its accounts up to 31 December 2020.  This will make the underwriting process, particularly for new business, even more difficult.  Underwriters will not have any up to date accounts and the older accounts will now be irrelevant to them.  </p>
<p>Of course, underwriters could ask for management accounts or ask a series of bespoke questions to obtain up to date financial information, but that is more easily said than done for the commoditised SME market, which of course is the market that now needs the most careful underwriting.   Even where insurers do ask questions and the insureds provide answers, unless the policy wordings are amended, insurers will have no realistic recourse if they relied on those answers which later turn out to be false.  </p>
<p>This lack of information or the inability to rely on the information provided does not increase the likelihood of claims against directors but it makes underwriting and risk selection even more challenging – it's like underwriting in the dark with one arm tied behind your back.</p>
<p><strong>Conclusion</strong></p>
<p>The Act makes some valuable and necessary permanent changes to UK insolvency law.  It also makes some temporary changes intended to allow companies to ride the storm.  <br>
But in our view, D&O insurers should view the temporary suspension of the wrongful trading regime as being irrelevant to their exposure and the Act could even inadvertently make the position worse for some companies and their directors, and more difficult for insurers to proactively underwrite their UK book. </p>
<em>This article was first published in <a href="https://insuranceday.maritimeintelligence.informa.com/">Insurance Day</a>.</em>]]></content:encoded></item><item><guid isPermaLink="false">{E9132A40-7822-4A84-8E25-20CEA4B5ACF5}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/tax-incentives-for-hk-insurance-market/</link><title>Tax incentives for HK Insurance market</title><description><![CDATA[First proposed in December last year, the Hong Kong Legislative Council has now passed a measure that will reduce profits tax on several insurance businesses. ]]></description><pubDate>Fri, 24 Jul 2020 18:34:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Andrew Carpenter</authors:names><content:encoded><![CDATA[<p>To date, tax incentives in the Hong Kong insurance sector have been offered only to captive insurers and professional reinsurers. Aiming to further promote Hong Kong as a global insurance hub, the new bill is intended to (a) ensure that Hong Kong insurers are operating on a level playing field with those based in other jurisdictions and also (b) attract more insurers to Hong Kong. </p>
<p>The Inland Revenue (Amendment) (Profits Tax Concessions for Insurance-related Businesses) Bill 2019 was passed on 15 July 2020. Once in effect, the law will institute a tax rate of 8.25%, cutting by half the profits tax rate for all general reinsurance business of direct insurers, selected general insurance business of direct insurers, as well as selected insurance broking businesses.</p>
<p>The Secretary for Financial Services and the Treasury of Hong Kong said that the new ordinance will “promote the development of the marine and specialty risk insurance businesses of Hong Kong and enhance the development of high value-added maritime services.” It is also designed to help the insurance industry capitalise on opportunities arising from projects such as the development of the Greater Bay Area and the Belt and Road Initiative.</p>
<p>The government aims to implement the aforementioned tax concessions by the end of 2020 or early 2021.</p>
<br>]]></content:encoded></item><item><guid isPermaLink="false">{BA69739C-6D4A-40F5-A178-7214305359EA}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/international-risk-team-practical-issues-resulting-from-the-impact-of-lockdown-on-bi-dsu-losses/</link><title>Practical issues resulting from the impact of lockdown restrictions on BI/DSU losses</title><description><![CDATA[There has been much discussion about the general impact of COVID-19 on the insurance sector. In this note we highlight some practical issues (re)insurers are facing following the imposition of lockdown restrictions implemented by governments on existing or new BI/DSU losses where there is covered PD that is unconnected with COVID-19.]]></description><pubDate>Mon, 22 Jun 2020 12:15:25 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Alex Almaguer, Chris Burt</authors:names><content:encoded><![CDATA[<p>The first issue relates to the prolongation of DSU/BI losses because of delayed repair works, which may be the result of COVID-19 restrictions. For example:</p>
<ul>
    <li>On an existing loss for, say, a turbine in a power plant, what would be the position if the repair of a key component (eg the turbine rotor) is prolonged because the repair workshop, which could be local or in Europe/the U.S., is closed during the pandemic?</li>
    <li>What happens if the repair of, say, a supermarket that has been damaged during the civil unrest that broke out in various parts of the world prior to the pandemic is delayed because construction is stopped on the basis that it is a “non-essential” activity?</li>
</ul>
<p>An obvious concern for (re)insurers dealing with BI (and DSU claims) is that the lock-downs and associated delays can be lengthy and open-ended. Depending on the policy wording and rules applicable in the relevant jurisdiction, (re)insurers might wish to challenge the view that they are liable for prolongation costs.<br>
<br>
BI loss resulting from covered PD will typically be covered subject to the application of any deductible. However, what happens if the BI (DSU) gets prolonged because it is impossible for the insured to perform the repairs? In such a case, the BI loss for which an indemnity is sought could be said not to be simply the result of the covered PD. The prolonged BI loss might be considered to have been caused by the government restrictions and not by any covered PD.</p>
<p>Different jurisdictions have their own rules on causation. For example, Colombia applies the doctrine of “adequate cause” and seeks to establish the “adequate cause” of the loss, rather than the “proximate cause” as under English law.</p>
<p style="margin-top: 0.35pt;"><span style="letter-spacing: 0.2pt; color: black;">Adequate cause requires the damage/loss to be a foreseeable consequence of the act which caused it. It cannot be assumed that the application of the rules of causation of the relevant foreign jurisdiction will lead to the same result as the application of English law would.</span></p>
<p style="margin-top: 8.95pt;"><span style="letter-spacing: 0.15pt; color: black;">It is also necessary to consider carefully what has in fact caused the time for carrying out the repairs to be prolonged. The position varies from country to country, for example in some countries the government restrictions do not apply to key sectors such as energy, food, health, mining, etc. Also, the restrictions differ depending on the location, ie some restrictions are more severe in some locations than others and have been brought in at different times.</span></p>
<p style="margin-top: 8.75pt;"><span style="letter-spacing: 0.1pt; color: black;">There is also the risk that the COVID-19 restrictions are used as an excuse by insureds where a delay in repairs is the result of some other cause.</span></p>
<p> </p>
<p style="margin: 0.35pt 3.6pt 0.0001pt 0cm;"><span style="letter-spacing: 0.2pt; color: black;">It is obviously sensible to confirm, amongst other things, when the damage was discovered, when repair contractors were contacted, whether the insured sought alternative contractors or whether the repairs could have been carried out by the insured’s personnel.</span></p>
<p style="margin: 8.5pt 3.6pt 0.0001pt 0cm;"><span style="color: black;">If the insured has simply been slow to carry out repairs, a recovery could be (partially) disallowed, for example, on the basis of a failure to mitigate.</span></p>
<p style="margin: 8.8pt 3.6pt 0.0001pt 0cm;"><span style="color: black;">Of course, the loss adjusters’ task is more difficult if it is not possible to carry out a site visit. Even if it is possible to enter a country, the adjuster may be required to self-isolate for two weeks upon arrival.</span></p>
<p style="margin: 8.85pt 3.6pt 0.0001pt 0cm;"><span style="letter-spacing: 0.3pt; color: black;">This causes its own problems. Adjustments in, for example, Latin American jurisdictions are subject to strict time limits and lockdown restrictions could result in loss adjusters being required to report without the opportunity properly to assemble the evidence.<br>
<br>
</span></p>
<p style="margin-right: 3.6pt;"><span style="color: black;">The second main issue relates to quantifying a loss in a COVID-19 context. For example:</span></p>
<ul style="list-style-type: disc;">
    <li><span style="letter-spacing: 0.2pt; color: black;">What if a manufacturer of surgical gowns/masks had an existing BI loss prior to COVID-19? The anticipated sales against which actual sales are being compared to compute the BI loss could have risen dramatically from March.</span></li>
    <li><span style="letter-spacing: 0.4pt; color: black;">Conversely, some countries have, for example, closed mines. The anticipated sales against which actual sales are being compared to compute the existing/ongoing BI loss would have fallen through the floor at the beginning of March.</span></li>
</ul>
<div>
<p style="margin: 13.2pt 3.6pt 3.75pt 0cm;">BI cover in the case of all risks polices is typically intended to put the insured in the position it would have been in, but for the occurrence of the physical damage. Polices will typically refer to the actual (BI) loss suffered and the principle is also reflected in “trends” or “other circumstances” clauses which provide that sales projection (based on historic experience) should be modified to reflect trends in sales or external events which would mean the actual BI loss the insured has suffered is likely to differ from the projection.</p>
<p style="margin: 9.2pt 3.6pt 0.0001pt 0cm;"><span>Where the insured’s actual performance has improved as a result of the COVID-19 pandemic, insurers may have limited their exposure. For example, in the electricity spot market, for any ‘spikes’ caused by an increased spot market price (due to a shortage of generated electricity) underwriters can cap their exposure by hourly, daily, weekly or monthly indemnity caps. In any event, the insured’s recovery will be limited by reference to the insured values.</span></p>
<p style="margin: 13.2pt 3.6pt 3.75pt 0cm;"><span style="color: black;"> The above examples illustrated how the adjustment can work both for and against the insured. It must also be recognised that insureds may be in difficult financial circumstances and any insurance claim will have greater value to them than in normal operating conditions.<br>
</span></p>
<p style="margin: 13.2pt 3.6pt 3.75pt 0cm;"> </p>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{9DD67E8C-508D-4D78-864A-8756C079BFE6}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/international-risk-team-mediating-in-a-time-of-social-distancing/</link><title>International risk team: Mediating in a time of social distancing</title><description><![CDATA[The new, and arguably more relaxed, government guidance notwithstanding, it seems inevitable that the COVID-19 crisis will leave people more cautious about face-to-face meetings. Nonetheless, disputes will continue, and so must efforts to resolve them. ]]></description><pubDate>Tue, 16 Jun 2020 16:14:16 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Naomi Vary, Damon Brash</authors:names><content:encoded><![CDATA[<p>Not being able to meet physically does not necessarily need to hamper alternative dispute resolution: mediating by Zoom or similar platforms may not be that new but the current climate has brought it into sharp focus as a viable and effective means of bringing cases to a successful conclusion.</p>
<p>The process has some advantages and disadvantages over a conventional mediation. The purpose of this piece is to summarise some of these and to give some pointers for consideration in preparing for and attending a virtual mediation.</p>
<div>
<div>Click below to read the article in full.</div><p><br></p>
</div>]]></content:encoded></item><item><guid isPermaLink="false">{A9196123-B19B-44EA-A724-5881F4B69EF5}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/no-room-for-error-the-decision-in-mahoney-v-royal-mail/</link><title>No room for error – The decision in Mahoney v Royal Mail</title><description><![CDATA[In a decision reported by Crown Office Chambers,  the claim of Mahoney v Royal Mail had been proceeding through the online claims portal uneventfully and in the usual manner. Liability had been admitted by the Defendant at stage 1 and the parties had been negotiating settlement at stage 2.]]></description><pubDate>Wed, 10 Jun 2020 10:21:38 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Gavin Reese</authors:names><content:encoded><![CDATA[<p><span>In a decision reported by </span><a href="https://www.crownofficechambers.com/2020/06/01/when-rough-justice-is-enough-common-law-doctrine-of-mistake-excluded-from-portal-claims/">Crown Office Chambers</a><span>,</span><span>  the claim of <em>Mahoney v Royal Mail </em>had been proceeding through the online claims portal uneventfully and in the usual manner. Liability had been admitted by the Defendant at stage 1 and the parties had been negotiating settlement at stage 2.</span></p>
<p><span>The Claimant's initial offer of £5,750 was countered by the Defendant with an offer of £4,000.</span></p>
<p><span>The Claimant then made a further counter offer of £550.</span></p>
<p><span>The Defendant accepted the offer and paid the relevant sums.</span></p>
<p><span>The Claimant disagreed that the claim had been compromised, contending their offer had been an obvious mistake. This eventually led to the issue of Part 7 proceedings, which the Defendant applied to strike out as an abuse of the Court's process on the basis that settlement had already been reached.</span></p>
<p><span>Deputy District Judge Dorman, following the earlier decisions in <em>Draper v Newport</em> (DJ Baker, Birkenhead CC, 03/09/14) and <em>Fitton v Ageas</em> (HHJ Parker, Liverpool CC, 08/11/18) held that the doctrine of mistake was excluded from the online claims portal.</span></p>
<p><span>The Judge found that the portal has a self-contained procedural code and as such the rules of common law (in this case the doctrine of mistake) do not apply.</span></p>
<p><span>The Judge therefore held that an agreement had been reached and as such the proceedings were struck out as an abuse of process.</span></p>
<p><span>The reasoning behind the abovementioned decisions is reported as being twofold: Judges were concerned that applying the doctrine of mistake would: (1) open up the risk of disproportionate satellite litigation; and (2) have a real risk of undermining the certainty, speed and cost which the portal is designed to provide. HHJ Parker in <em>Fitton </em>said that while this might lead to ‘rough justice’ on occasion, the overall benefits of the system far outweighed the negatives.</span></p>
<p><span>This reasoning raises some interesting issues.</span></p>
<p><span> </span>With regard to the desire to avoid satellite litigation, low value personal injury claims are nothing new. They were vast in number for many years before the portal came into existence. Offers initially going back and forth by letter, and thereafter by email, was the common practice. No doubt such mistakes were being made just as frequently, the odd 'zero' being added or missed off in written correspondence. Yet the Courts have not been swamped with satellite litigation in this regard. Some may ask why, therefore, should the fact that numbers are now being entered into online boxes instead of written correspondence lead to a different result?</p>
<p><span>In respect of the benefits of a certain and speedy system outweighing the negative of occasional 'rough justice', one might ask what is the point in having a legal system in place if the aim is not to provide justice?  </span></p>
<p><span>However, ultimately, if the reasoning in these cases prevails and there is no change to the portal's procedural code, we expect that the Claimant's solicitor (or their insurer) will end up paying the difference to their client in order to avoid a professional negligence claim. The Claimant will therefore receive his justice and the Claimant's solicitor will pay for their mistake.</span></p>
<p><span>Of course, these are only first instance decisions and as such have no binding effect. However, it seems that the lower courts have made their position on the portal clear.</span></p>
<p><span>In reaching his decision in <em>Mahoney</em>, the Judge held that the magnitude of the mistake was <em>"neither here nor there". </em>Here we are talking about £5,000 and as such we would not expect the matter to be taken any further by way of an appeal (the decision applies to both sides equally, so there is no partisan policy to do so).</span></p>
<p><span>If in the future a bigger mistake is made, for example a Defendant offering £25,000 instead of £2,500 then such a finding would be more likely to be appealed. In which case we may end up with a binding decision.</span></p>
<p><span>Arguably, if the Court is going to impose a counsel of perfection upon, what is at this level more often junior lawyers or claims handlers (possibly handling hundreds of claims), then the online portal should be updated to include safeguards so that such mistakes cannot happen.</span></p>
<p><span>The technology no doubt exists. Google constantly asks us if we meant what we wrote. However, management of the portal is outside of practitioners' hands and therefore creating a firm's own technological safeguards is not possible.</span></p><span>Until then the portal should be used with extreme care as thus far the Courts have been unforgiving.<br><br></span>]]></content:encoded></item><item><guid isPermaLink="false">{A53FE571-B03E-4180-BCE1-B136C0EC862D}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/product-law-bulletin-june-2020/</link><title>Product Law bulletin – June 2020</title><description><![CDATA[Welcome to the latest edition of our product law update, this month we focus on how COVID-19 is impacting product liability regulation.]]></description><pubDate>Fri, 05 Jun 2020 09:54:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Gavin Reese, Elinor Sidwell</authors:names><content:encoded><![CDATA[<p><strong>Whirlpool extends scope of appliance recall</strong><br>
Whirlpool has extended the scope of their recall of certain types of washing machines to cover a further 21 models, amounting to an additional 55,000 washing machines being added to the recall list. <a href="https://www.rpclegal.com/-/media/rpc/files/perspectives/insurance-and-reinsurance/product-law-update_d3.pdf#page=3">Read more</a>.</p>
<p><strong>Tougher crash tests launched for 2020</strong><br>
Safety organisation Euro NCAP (European New Car Assessment Programme) have announced their toughest ever car crash tests, with cars to be crashed into a moving barrier for the first time and assessment to be made of ease of evacuation after a crash. Additionally, a new sophisticated crash-test dummy – dubbed THOR (Test device for Human Occupant Restraint) – will be introduced, with the new dummy more closely mimicking the behaviour of humans in collisions. <a href="https://www.rpclegal.com/-/media/rpc/files/perspectives/insurance-and-reinsurance/product-law-update_d3.pdf#page=4">Read more</a>.</p>
<p><strong>Product Law considerations arising from COVID-19</strong><br>
The impact of Covid-19 has been undeniably profound and widespread, seemingly affecting every area of life. Inevitably, one such area impacted has been product liability. <a href="https://www.rpclegal.com/-/media/rpc/files/perspectives/insurance-and-reinsurance/product-law-update_d3.pdf#page=5">Read more</a>.</p>
<p><strong>Coping with COVID-19: Considerations for diversification within the food industry</strong><br>
On 23 March 2020, the Government announced that all cafés, restaurants and pubs had to close immediately as part of the UK’s COVID-19 lockdown. As a result, many of the businesses have endeavoured to diversify by introducing takeaway and delivery services where they have not done so before. This has created challenges. <a href="https://www.rpclegal.com/-/media/rpc/files/perspectives/insurance-and-reinsurance/product-law-update_d3.pdf#page=7">Read more</a>.</p>
<p><strong>Government powers to order provision of information from companies in the food supply chain</strong><br>
Sections 25 – 29 of the Coronavirus Act 2020 empower certain authorities (as detailed in s26) to order the provision of information from companies who form part of the food supply chain. <a href="https://www.rpclegal.com/-/media/rpc/files/perspectives/insurance-and-reinsurance/product-law-update_d3.pdf#page=8">Read more</a>.</p>
<p><strong>FSA issues guidance on cannabidiol (CBD) food products</strong><br>
Following concerns regarding unregulated and unregulated products on the  market and the recent findings by the Committee on Toxicity (COT), the Food Standards Agency (FSA) have produced a statement to provide further guidance on the safe use of CBD products. <a href="https://www.rpclegal.com/-/media/rpc/files/perspectives/insurance-and-reinsurance/product-law-update_d3.pdf#page=9">Read more</a>.</p>
<p><strong>Product Liability and the rise of Artificial Intelligence</strong><br>
The main source of law on product liability is the Consumer Protection Act, dating back to 1987, and used to implement the strict liability regime introduced by EU Directive 85/347/EEC (the Product Liability Directive) introduced in 1985. Since the introduction of these laws, technology has progressed (and continues to progress) at a rapid rate. This, in conjunction with limited statutory updates, raises the question of whether the current law can adequately address modern issues, in particular AI technology. <a href="https://www.rpclegal.com/-/media/rpc/files/perspectives/insurance-and-reinsurance/product-law-update_d3.pdf#page=10">Read more.</a></p>]]></content:encoded></item><item><guid isPermaLink="false">{5E65037C-0B5A-41EF-8180-7F259D376FBD}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/international-risk-team-the-potential-and-perils-of-offshore-wind/</link><title>International risk team: The potential and perils of offshore wind</title><description><![CDATA[A recent report by the IEA(1) has laid bare the impact of the COVID-19 pandemic on the energy industry. Demand for coal and oil plummeted as entire countries and industries went into lockdown in the first quarter of 2020. Renewable energy, however, bucked the trend and actually saw demand increase, primarily due to larger installed capacity and priority dispatch.]]></description><pubDate>Thu, 04 Jun 2020 14:44:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p><strong>The Potential</strong></p>
<p><span>It is perhaps questionable whether that will be a short-term bounce. However, there are reasons to be hopeful that there now exists an opportunity for longer term change. One of the major reasons for the growth of the renewable energy industry in recent years has been sharp cost reductions driven by improvements in technology. The renewables industry has also been the main beneficiary of the decreasing acceptability of coal. If governments are serious about reducing carbon emissions, there may be no better opportunity to do so as they look to restart societies and economies in the coming months.</span></p>
<p><span>For obvious reasons, the renewables focus in the UK has very much been on wind power. In the most recent Queen’s speech, the Government committed to 40GW of installed offshore capacity by 2030, and to enable new floating turbines<sup>2</sup>. Offshore wind is not just big business in the UK. There have been significant developments in both Germany and Denmark, and China added more capacity than any other country in 2018. The IEA reports that offshore wind “<em>...is set to expand strongly in the coming decades into a USD 1 trillion business.</em>”<sup>3</sup> </span></p>
<p><strong><span>The Perils</span></strong></p>
<p><span>The boom in offshore wind obviously represents a fantastic opportunity for insurers, not least those who are looking to replace premium income from coal-based projects. However, the ever-developing technology and the nature of offshore wind farms also represent serious risks. The purpose of this article is to highlight some of those risks, and to stress the importance of attention to detail when it comes to policy wordings.</span></p>
<p><span>Historically, the most common types of losses in offshore wind involve (i) cables and (ii) foundations. Moreover, the most common causes of those losses are workmanship and design.</span></p>
<p><span>Modern windfarms often include hundreds of turbines. This means that not only is there a risk of, for example, defective design causing cracks in foundations, but also that when those problems do arise, they are often replicated numerous times. This is exactly what happened at the Robin Rigg offshore wind farm. In 2009, movement was discovered in the grouted connections of the foundations. It was subsequently found that the design standards used contained a fundamental error, which meant that all 60 turbines at the site required remedial works at a cost of €26.25m<sup>4</sup>. This obviously represents something of a recipe for disaster for all stakeholders, including insurers.</span></p>
<p><span>One way insurers can safeguard themselves is to ensure that effective aggregation language is included in their policies. For example, policies will normally be subject to a per occurrence deductible and limit, and the policy may provide that “<em>Occurrence means all covered loss, damage, or a sequence of losses or damages, casualties or disasters arising from an insured event.</em>” The intention of such language is to treat multiple losses as a single aggregated loss where they are sufficiently united by factors such as time, place, cause and human intent and action. However, the effect of such aggregation language is highly dependent on the specific facts of a given case. Additionally, in circumstances where instances of damage might occur and/or be discovered at different times, it might be difficult to argue that the so called ‘test of unities’ has been satisfied.</span></p>
<p><span>In recognition of the above, policies will often include a ‘series loss clause’ along the following lines:</span></p>
<p><span>“<em>If an insured event resulting from (other than excluded herein) the development or discovery of a defect in design, plan, specification, materials or workmanship shall indicate or suggest that a similar defect exists elsewhere in the Property, the indemnity payable shall be as follows:</em></span></p>
<p><em><span>For the loss or damage associated with the first item of such Property: 100%</span></em></p>
<p><em><span>For the loss or damage associated with the second item of such Property: 75%</span></em></p>
<p><em><span>For the loss or damage associated with the third item of such Property: 50%</span></em></p>
<p><em><span>Further loss or damage to Property shall not be indemnified</span></em><span>”</span></p>
<p><span>The basic intention of such clauses is that where multiple instances of damage arise from a common defect, insurers are liable on a sliding scale for the first few losses but have no liability thereafter. However, many issues arise with such clauses. For example, how ‘similar’ does the defect have to be, and how does one define where the defect begins and ends? Perhaps most importantly, where repairs are carried out to numerous turbines during one campaign,</span><span style="color: black;"> </span><span>how do you go about splitting the cost of each instance of damage for the purposes of applying the relevant percentages?</span></p>
<p><span>As always, each claim will of course turn on its own facts and the particular wording used. However, if the energy insurance industry is going to maximise the prospects that renewable energy, and specifically offshore wind offers, insurers and brokers need to give proper consideration to the above and similar issues when drafting policy wordings. Failing to do so will mean disputes are likely to become increasingly common, which will only serve to diminish the opportunities on offer.</span></p>
<p><sup>1 </sup><em><a rel="noopener noreferrer" href="https://iea.blob.core.windows.net/assets/7e802f6a-0b30-4714-abb1-46f21a7a9530/Global_Energy_Review_2020.pdf" target="_blank">Global Energy Review 2020</a></em> </p>
<p><sup>2 </sup><em><a rel="noopener noreferrer" href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/853886/Queen_s_Speech_December_2019_-_background_briefing_notes.pdf" target="_blank">Queens speech December 2019</a></em> </p>
<p><sup>3 </sup><a rel="noopener noreferrer" href="https://www.iea.org/reports/offshore-wind-outlook-2019" target="_blank"><em>Offshore wind outlook 2019</em></a></p>]]></content:encoded></item><item><guid isPermaLink="false">{AF48F83C-91CE-481B-84D6-C0AA0D326C86}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/international-risk-team-to-repair-or-not-to-repair/</link><title>International risk team: To repair or not to repair </title><description><![CDATA[A universal truth for businesses in the grip of the current global pandemic is that “Cash is King”.]]></description><pubDate>Tue, 14 Apr 2020 14:56:55 +0100</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p>When property gets damaged, it is normally repaired on a “like for like” basis, and the indemnity payable under an insurance policy is the cost of that repair. However, repairs and insurance claims, particularly in the energy sector, can take years to resolve and the values at stake can be millions or billions of dollars.<br>
<br>
The Coronavirus pandemic will only exacerbate matters; supply chain issues and labour restrictions will prolong repairs and make them more expensive. </p>
<p>Click the link below to read the article in full. </p>]]></content:encoded></item><item><guid isPermaLink="false">{4ECA5703-C179-49A8-9F74-0D462630162B}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/covid19-the-show-must-go-on/</link><title>COVID-19: Trials - the show must go on</title><description><![CDATA[Judges are taking to heart the HMCTS's guidance focused on encouraging judges to maximise the use of video and telephone hearings using current technology. So, while the theatres in the UK remain closed, the theatres of justice continue with their activities.  ]]></description><pubDate>Thu, 09 Apr 2020 15:54:55 +0100</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p>In a judgment handed down on Monday, in the case of the matter of One Blackfriars Ltd, the Court has refused an application to adjourn a five-week trial due to start in June 2020. In the court's judgment, the legislation and the guidance from the courts (click <a>here</a> for our report on this) on dealing with the Covid-19 crisis made clear that as many hearings as possible should be conducted remotely through the use of technology. The Judge therefore order the parties to explore the technological options available to facilitate a remote trial.</p>
<p>The case concerns a claim against the former administrators of a company, claiming over £250m for their alleged mishandling of the administration. A 5-week trial was due to begin in early June 2020, involving factual and expert witnesses.</p>
<p>The claimant submitted that to proceed with the trial would be inconsistent with the Prime Minister's instructions on 23 March 2020 to stay at home and that a remote trial could not proceed without exposing those taking part to an unacceptable risk to their health and safety. They further submitted that the technological challenges of conducting a remote trial were too great and that it would give rise to the potential for unfairness.</p>
<p>In the Judge's view, <span style="text-decoration: underline;">s.53 to s.56 of the Coronavirus Act 2020</span> expanded the availability of video and audio links, whilst regs. 6 and 7 of the <span style="text-decoration: underline;">Health Protection (Coronavirus, Restrictions) (England) Regulations 2020</span> provided that a person could leave their home to attend court or to participate in legal proceedings and allowed gatherings of two or more people where it was reasonably necessary to participate in legal proceedings. These provisions suggested that the Government expected the courts to continue to operate during the current crisis. The new <span style="text-decoration: underline;">CPR PD 51Y</span> on video and audio made specific provision to allow hearings to be conducted remotely so long as the lockdown lasted, through the use of technology. In the circumstances, the claimant's submission that it would be inconsistent with the Government's guidance on lockdown measures to allow the trial to proceed was rejected. Whilst it was obviously imperative that a remote trial did not endanger the health of those taking part, the trial was not due to start until early June and much could change by then. The claimant had not adduced any detailed evidence to demonstrate that any participants would have particular difficulties in taking part in a remote trial, nor that it was essential to have everyone in the same physical space for the hearing, and the technological challenges of conducting a remote trial were not so great as to warrant an adjournment.  The Judge also noted that both parties would face the same challenges with the technology and, given the allegations against the defendants dated back to 2011, it was not in the interests of either party to delay the case any further. The application was therefore refused and the parties were ordered to continue to prepare for trial and to investigate the technology available to facilitate a remote trial, should that be necessary.</p>
<span>So the message, at least in the UK, is that trials must continue, wherever possible.  Those who are interested in the position in other jurisdictions can find a helpful guide </span><span><a href="https://remotecourts.org/">here</a></span><span>. </span>]]></content:encoded></item><item><guid isPermaLink="false">{FD1CE04F-6C90-4CA4-9B41-97A629E82A76}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/tax-breaks-to-promote-insurance-sector/</link><title>Tax breaks to promote insurance sector</title><description><![CDATA[On 30 March 2020 the Financial Services Development Council (FSDC) published its paper “Insuring Hong Kong’s Future –Tax Recommendations to Enhance and Grow Hong Kong’s Insurance Industry”.  This is a further step taken by the FSDC to enhance the competitiveness of the Hong Kong insurance market as a key global risk management centre and regional insurance hub.  The several proposed tax measures would extend to both (re)insurance companies, brokers and individual policyholders.]]></description><pubDate>Mon, 06 Apr 2020 16:40:38 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Antony Sassi, Andrew Carpenter</authors:names><content:encoded><![CDATA[<p>For insurance companies and brokers, the FSDC paper looks particularly to the success of the Singapore market and discusses the unique position Hong Kong is in as regards potential growth from Belt and Road projects as well as Greater Bay Area development. There is a high volume of investment and finance projects in this regard that will involve specialty risks. The proposals include:</p>
<ul>
    <li>Additional preferential tax rates for additional classes of general insurance business.</li>
    <li>Preferential tax treatment on premiums paid for reinsurance of risks to Hong Kong based reinsurers.</li>
    <li>Half tax rates for Hong Kong insurance and reinsurance brokers to encourage insurance brokers to establish in or relocate their regional hubs to Hong Kong.</li>
    <li>Tax exemption on interest income derived from fixed income / bond investments of insurance funds.</li>
    <li>Tax exemption on the investment income of Hong Kong insurers if their insurance funds’ assets are managed in Hong Kong.</li>
    <li>Review and address the tax issues faced by insurance groups with Hong Kong resident parent companies or regional holding companies / headquarters if they manage the assets of their overseas insurance group entities in Hong Kong.</li>
    <li>Tax deduction for the increase in reserves statutorily required by the regulator</li>
</ul>
<p>For policyholders the proposals are focussed on making concessions to a wider range of medical, critical illness and life protection products to encourage Hong Kong people to make provision for healthier lives and plan for retirement.  The proposals: </p>
<ul>
    <li>Provide personal tax deductions on insurance premiums for a wider range of medical / critical illness and life protection products, in addition to existing qualifying Voluntary Health Insurance Scheme (VHIS) products.</li>
    <li>Provide personal tax deductions on voluntary contributions to qualifying retirement products with a view to encouraging individuals to save for retirement.</li>
    <li>Provide preferential tax rates (e.g. taxation at half-rate) on commission income earned by insurance agents / brokers for distributing qualifying insurance and retirement products to encourage distribution of those products.</li>
    <li>Provide preferential tax rates (e.g. taxation at half-rate) to insurance companies in respect of their underwriting of qualifying insurance and retirement products to encourage provision of those products.</li>
</ul>
<p>In a press release of the same date, The Hong Kong Federation of Insurers welcomed the measures noting in particular the need to encourage growth amid economic downturn. <br>
<br>
The full set of FSDC proposals can be found <a href="https://www.fsdc.org.hk/sites/default/files/Insuring Hong Kongs Future Tax Recommendations to Enhance and Grow Hong Kongs Insurance Industry _ Eng.pdf">here</a>.</p>]]></content:encoded></item><item><guid isPermaLink="false">{7356275E-2730-438F-A0AD-B4B98F5DD937}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/building-on-renewable-energy-2-wind-power/</link><title>Building on renewable energy #2 - Wind power</title><description><![CDATA[Wind power is, unsurprisingly, generated by wind (typically as little as a light breeze) passing over and turning the turbine's blades. The blades are connected via a shaft and gearbox to a generator, which converts the kinetic energy into electrical energy. A transformer then increases the voltage of the generated energy to enable transmission to the grid.]]></description><pubDate>Thu, 05 Mar 2020 17:41:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p>Whether on or offshore, the design and construction of a wind turbine (or several turbines in a 'wind-farm'), will present various technical challenges. We consider a few of these such challenges below:</p>
<p><strong>Design and Construction</strong></p>
<p>The selection of a site, and the location of turbines within the site, can present initial difficulties. Wind-speed data, and the calculation of shadow-flicker for an onshore site, are important design considerations (including the rotor height of the turbine), and impact upon the financial assessment of the site.</p>
<p>Wind speed is particularly important to design. The stresses placed on the single connecting point between the rotor drive shaft can be extreme, and careful consideration needs to be given to these forces when making design decisions on the number, length, pitch, and construction of the rotor blades.</p>
<p>Shadow-flicker is the effect sometimes created by the shadow from a moving blade passing over a small opening - such as a window in a residential property - causing a strobing or flickering to occur within the room. If the site is designed or modelled incorrectly, and shadow flicker impacts upon residential properties in the vicinity of the turbine, then enforcement notices may be served upon the turbine owner. The turbine could require a sensor to be retro-fitted, shutting down the turbine in meteorological conditions where flicker is likely to occur, restricting generating hours and profitability.</p>
<p>Both offshore and onshore turbines have typically required substantive piling works to provide adequate stability, although several non-traditional floating turbines have now been built offshore (with more under construction), as have those with suction-bucket foundations. All will typically have long cable runs, which require careful attention. The experience and claims history of contractors and sub-contractors will be key to Insurers' decision whether to underwrite a risk, and at what premium.</p>
<p>Contractors and Insurers alike need to be alive to contractual terms more onerous than a duty to exercise reasonable skill and care, including fitness for purpose and/or design life warranties (see our article here) as the courts seem more willing to apply this stricter standard. The Supreme Court decision in MT Højgaard A/S v E.ON Climate & Renewables [2017] UKSC 59 illustrates the potentially significant remedial costs that may arise, and remain the contractor's responsibility.</p>
<p><strong>Operation </strong></p>
<p>Given the forces that turbines are subjected to, effective maintenance is vital in maximising the life of a turbine. Ensuring experienced asset managers / O&M contractors are retained, with tight contract control (including monitoring, inspections, and maintenance activities), will reduce the likelihood – and severity – of claims.</p>
<p>Modern wind turbines are often able to be monitored and controlled remotely, and there are fascinating projects ongoing which seek to develop autonomous vessels, crawling robots and aerial vehicles to carry out inspections and maintenance of wind turbines. Whilst such advances will undoubtedly reduce liability risk (particularly to technicians working in extreme conditions offshore), and the costs of inspection (for example, downtime and the charter of appropriate vessels), this remote and potentially autonomous access is not without risk. Robust and appropriate cyber protections are required to prevent unauthorised access, particularly as a traditional business interruption policy would be unlikely to provide cover (if physical damage is not caused to the turbine). </p>
<p><strong>Post-operation</strong></p>
<p>The first swarths of commercial wind turbines have started to reach the end of their service lives, and decisions are being made as to the decommissioning or repowering of the turbine sites. Each presents its own construction and logistical challenges.</p>
<p>When decommissioning is the only option, there remains the difficult issue of the disposal of the rotor blades, as the technology to recycle the composite materials is in its infancy. Landfill is an unattractive option (and has, indeed, been capped or banned in some countries), with potential reputational issues for all involved with the project. Parties may wish to investigate whether a sustainable decommissioning plan is in place (perhaps through traditional recycling or reuse on secondary market installations, or the ingenious utilisation of sections of blades as public furniture, such as in the Netherlands), before becoming involved with a project.</p>
<p> </p>
<p> Click here to read the previous article: <a href="https://www.rpclegal.com/perspectives/insurance-and-reinsurance/building-on-renewable-energy/">#1 Solar power</a></p>]]></content:encoded></item><item><guid isPermaLink="false">{0BE0A861-E637-487A-9F16-A09BAED0675E}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/product-law-update-feb-2020/</link><title>Product Law update - Feb 2020</title><description><![CDATA[Welcome to the latest edition of our product law update, this month we focus on product regulation post Brexit, the relationship between the limitation longstop and the Consumer Protection Act 1987 and product recalls of electrical goods across the UK. ]]></description><pubDate>Fri, 28 Feb 2020 12:19:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Gavin Reese, Elinor Sidwell</authors:names><content:encoded><![CDATA[<p><strong> </strong><strong>Product liability and regulation in a post-Brexit era: what will happen next?</strong></p>
<p>With the exit of the UK from the EU upon us, how will this affect the product liability market and how might the body of law governing product liability and safety change? <a href="https://rpc.co.uk/-/media/rpc/files/perspectives/insurance-and-reinsurance/19763_a4pb_glm-product-liability-newsletter_d4.pdf#page=2">Read more</a></p>
<p><strong>Whirlpool: further consideration after the Government’s follow-up report on Safety of Electrical Goods in the UK is published</strong></p>
<p>Whirlpool has been subjected to criticism for its handling of recalls of various washing machines and tumble dryers. <a href="https://rpc.co.uk/-/media/rpc/files/perspectives/insurance-and-reinsurance/19763_a4pb_glm-product-liability-newsletter_d4.pdf#page=3">Read more</a></p>
<p><strong>Beko v Wilson: Considering the relationship between the limitation longstop and the Consumer Protection Act 1987</strong></p>
<p>In December 2019 the High Court ruled that consumers of products are not entitled to rely upon s41(1) of the Consumer Protection Act 1987 (the CPA) to circumvent the limitation longstop. The longstop prevents any claim for damages being brought under the CPA more than 10 years after the product was first put into circulation. <a href="https://rpc.co.uk/-/media/rpc/files/perspectives/insurance-and-reinsurance/19763_a4pb_glm-product-liability-newsletter_d4.pdf#page=4">Read more</a></p>
<p><strong>Hastings v Finsbury Orthopaedics Ltd and Stryker UK Ltd: Scottish Court follows recent English decisions concerning “defect” under the Consumer Protection Act 1987</strong></p>
<p>The Court of Session in Scotland has recently considered the meaning of “defect” under the Consumer Protection Act 1987 (the CPA). In this case, Mr Hastings (the pursuer) alleged that the metal-on metal total hip replacements he had been implanted with were defective under the CPA. <a href="https://rpc.co.uk/-/media/rpc/files/perspectives/insurance-and-reinsurance/19763_a4pb_glm-product-liability-newsletter_d4.pdf#page=5">Read more</a></p>
<p><strong>FSA Consultation launched on technical guidance for allergen labelling</strong></p>
<p>The Food Information (Amendment) (England) Regulations 2019 (SI 2019 No. 1218) will come into force on 1 October 2021 and will change the way in which food businesses in England provide allergen information of prepacked for direct sale (PPDS) food. <a href="https://rpc.co.uk/-/media/rpc/files/perspectives/insurance-and-reinsurance/19763_a4pb_glm-product-liability-newsletter_d4.pdf#page=7">Read more</a></p>]]></content:encoded></item><item><guid isPermaLink="false">{A2ED65FC-D380-4562-87D0-F55D988A91C6}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/building-on-renewable-energy-solar-power/</link><title>Building on renewable energy #1 - Solar power</title><description><![CDATA[Solar power is produced by the absorbing of the sun's rays by solar panels.  The photovoltaic (pv) cells contained within the panels convert sunlight into electricity, which (after conversion into an alternating current) can then be exported to the grid or used to power the sites on which the panels are situated.  This all sounds simple enough, but solar pv arrays can present some challenges from a design and construct perspective.]]></description><pubDate>Mon, 03 Feb 2020 17:30:39 Z</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p><strong>Pre-operation<br>
</strong></p>
<p>Solar developers will typically, and particularly on large projects, outsource the design of the arrays to third-party professionals. Design decisions may include the number and type of the arrays (e.g. fixed vs tracking, mono- vs polycrystalline, battery storage etc.), and site layout. Site viability surveys (daylight hours/strength modelling etc.), are often relied upon in making such decisions.</p>
<p>Solar pv technology continues to develop (see the emergence of bi-facial arrays), and both insurers and insureds alike should be alive to the fact that good industry practice may change. Continued professional development will mitigate the risk of design/specification-related claims.</p>
<p>Sub-contracting is commonplace in the construction industry, and Insurers are well-aware of the issues that may present themselves both pre and post-inception of the policy.</p>
<p>Contract control, including fitness for purpose warranties and performance guarantees potentially contained within the oft-used 'turn-key contracts,' is of real import.</p>
<p>Arrays rarely require piling. Accordingly, the main construction issues tend to relate to cabling linking the arrays with grid connectors. Ensuring that cables are laid deep enough to prevent damage, are adequately protected when above ground, and appropriate protections are in place when situated near or crossing waterways, roads and/or pipelines, is of paramount importance: cable damage may render the site inoperable for a lengthy period. Developers and their contractors need to ensure that they hold appropriate insurance for the works (including PL, CAR and Environmental Liability / D&O).</p>
<p>We anticipate that cabling design and construction will only increase in importance as solar pv arrays become more challenging in scope (floating arrays and the Australian/Singaporean 'Sun Cable' being two examples). The experience and claims history of cabling contractors and sub-contractors will be key to Insurers' decision whether to underwrite a risk, and at what premium.</p>
<p><strong>Operation</strong></p>
<p>As noted in our <a href="https://www.rpclegal.com/perspectives/insurance-and-reinsurance/building-on-renewable-energy/">introductory article</a> and <a href="https://www.rpclegal.com/perspectives/insurance-reviews/annual-insurance-review-2020/power/">annual insurance review</a>, many companies and institutional investors are divesting from traditional energy and investing in renewable energy resources. Large solar sites are being sold (individually or packaged with several other sites in special purpose vehicle companies) to institutional investors. Investors will require minimum returns, so the smooth operation of a site will be key.</p>
<p>In this regard, Operation and Maintenance ("O&M") contractors play a key role (keeping pv panels clean, secure etc.). Developers may retain this role upon the onward sale of a site or appoint third-party professionals. O&M contractors may not be alive to the potential for design liability when specifying replacement parts. Adequate insurance is key.</p>
<p>Investors and lenders are becoming more sophisticated with their due diligence (including seeking greater information as to site construction and performance, the parties' financial strength etc.). We anticipate an increase in the number of warranty and indemnity insurance policies being taken out in relation to renewable resources.</p>
<div> </div>]]></content:encoded></item><item><guid isPermaLink="false">{43AE8D01-36D3-416C-8B4D-051774AFF9C3}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/building-on-renewable-energy/</link><title>Building on renewable energy</title><description><![CDATA[2019 was potentially a significant year for the renewable energy industry.  Record temperatures and environmental catastrophes highlighted the need to reduce carbon emissions and make greater use of sources of renewable energy, and political parties championing green policies saw – for the most part – their share of the vote increase both domestically and internationally.]]></description><pubDate>Mon, 03 Feb 2020 17:00:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p>In September 2019, the Financial Times reported that the number of institutional investors committed to divesting from fossil fuel stocks had risen from 180 in 2014 to more that 1,100 (these 1,100 holding more than $11tn in assets between them).  These included Norway's sovereign wealth fund, which was instructed by Norway's parliament to divest more than $13bn of stocks in oil, gas and coal companies, and invest up to $20bn into renewable energy projects.<br>
<br>
We anticipate continued growth in the renewable energy sector for 2020, including large-scale unsubsidised arrays and installations.  Indeed, a number of leading insurers (including Aviva) have launched specialist products designed to cater to the same.<br>
<br>
In this series of articles, we examine the main forms of renewable energy from a design-and-construct and insurance perspective.  We also consider the residential rooftop solar industry, and the use of energy efficiencies measures including cavity wall insulation.<br>
<br>
Whilst these articles are primarily concerned with design and construction, RPC has considerable experience advising on wider issues (including public and product liability, warranty and indemnity insurance, and claims against solicitors and investment advisors) that may arise.  Please do not hesitate to contact the renewable energy team should you have any questions regarding the same.</p>
<p>Read the first in the series on solar power <a href="https://www.rpclegal.com/perspectives/insurance-and-reinsurance/building-on-renewable-energy-solar-power/">here</a>.</p>]]></content:encoded></item><item><guid isPermaLink="false">{17AFE4A5-0F48-43E9-B895-406AC221C7CB}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/the-risks-of-peer-to-peer-lending/</link><title>The risks of peer to peer lending</title><description><![CDATA[Insurers are on the watch for a potential increase in claims arising in 2020 from peer to peer lending. ]]></description><pubDate>Thu, 09 Jan 2020 15:00:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Ben Goodier, Katharine Cusack</authors:names><content:encoded><![CDATA[<p>The difficulties in accessing finance since the economic crisis, and the reduced number of lenders willing to make loans at a high loan to value ratio has led, in recent years, to a rise in peer to peer lending. This involves a particular class of lender providing access to finance for borrowers without the requirement for them to go to the bank. Significantly, many of these peer to peer loans are at the "subprime" end of the market. Unsurprisingly, this has led to a concern amongst surveyors and their professional indemnity insurers that their valuation reports and surveys could be relied on by multiple investors in the particular lending scheme, with whom the surveyor has had little or no contact, thereby leading to multiple claims arising from one report.</p>
<p> As always, surveyors should keep the scope of any standard reliance clause used in their reports under close review and as limited as possible. </p>
<p>Although prudent for insurers to keep an eye on any such development, were multiple claims to be brought against a surveyor arising out of just one report, we anticipate that the Courts would apply the doctrine of reflective loss, to prevent the surveyors facing the risk of liability to multiple parties, adopting the same approach as the Court of Appeal did in the case of Titan v Colliers, in connection with securitised lending.</p>]]></content:encoded></item><item><guid isPermaLink="false">{5998CDF6-C2DC-48DF-BC94-B3DF9FE0BBC3}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/hong-kong-insurance-regulation-update-regulator-codes-of-conduct-for-brokers-and-agents/</link><title>Hong Kong insurance regulation update - Regulator Codes of Conduct for Brokers and Agents</title><description><![CDATA[With effect from 23 September 2019, the independent Hong Kong Insurance Authority (the IA) will take over regulation of insurance intermediaries from the three existing self-regulatory organisations (the Hong Kong Confederation of Insurance Brokers, the Professional Insurance Brokers Association, and Insurance Agents Registration Board) and administer a new statutory licensing regime. ]]></description><pubDate>Fri, 06 Sep 2019 15:02:11 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Andrew Carpenter</authors:names><content:encoded><![CDATA[In the run up to this date, the IA has circulated consultation papers on various rules, guidelines and new codes of conduct for insurance brokers and agents.  The conclusions on the consultation papers for the codes of conduct were published by the IA on 3 September 2019.  These conclusion documents include amended versions of the new (1)<em> Code of Conduct for Licensed Insurance Brokers</em>, and (2) <em>Code of Conduct for Licensed Insurance Agents</em> (the <strong>Codes</strong>).  <br>
<br>
The IA has reported that the reaction from the industry to the consultation papers has been largely positive - agreement was expressed on the eight general principles of conduct with complementary standards and practices, as well as the requirements on corporate governance, internal controls and procedures for both insurance agencies and broker companies. <br>
<br>
Both of these codes of conduct will be effective from 23 September 2019.  The IA has said that, in order to allow sufficient time for transition, it will adopt a flexible approach in considering intermediaries’ compliance with the Codes in the initial period, but expects licensees to comply fully with the codes from 1 January 2020.  Whilst the Codes do not have the force of law, they are admissible as evidence in proceedings under the Insurance Ordinance (Cap. 41) before a court and so compliance or non-compliance with the relevant Code may be taken into account in such proceedings.<br>
<br>
These regulatory changes have been introduced to strengthen Hong Kong's regime across the financial services sectors as well as improve the quality of service for policyholders. Whilst there will likely be some initial teething troubles as the regulatory demands on market participants increase, the new regime will no doubt continue to develop and adapt. Intermediaries should continue to review systems and controls and identify any deficiencies with a view to being in full compliance by 1 January 2020. <br>]]></content:encoded></item><item><guid isPermaLink="false">{3AEB004C-E665-4707-BF84-4CEE78DAC944}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/prudential-and-rothesay-life/</link><title>High Court rejects Part VII transfer - Prudential and Rothesay Life</title><description><![CDATA[High Court rejects Part VII transfer in Prudential and Rothesay Life case which had been approved by the regulators and blessed by the independent expert.]]></description><pubDate>Tue, 20 Aug 2019 17:15:56 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Neil Brown</authors:names><content:encoded><![CDATA[<p>The decision of Snowden J. in <em>The Prudential Assurance Company Limited and Rothesay Life plc</em> [2019] EWHC 22455 Ch<sup>1</sup>, handed down on 16 August 2019, sets out a far more interventionist approach to the application of judicial discretion whether to approve a Part VII transfer. This is a very important case which needs to be considered by anybody carrying out a Part VII transfer, but will be of particular significance to acquirers of closed book / run-off insurance policies and insurers looking to sell portfolios to them (in both the life and non-life sectors). </p>
<p><strong>Background</strong><br>
<br>
In March 2018, Prudential plc announced plans to de-merge its UK and European business from its business in Asia, the US and Africa.  In order to facilitate that demerger, the Prudential group needed to release regulatory capital from its UK and European business. The Prudential Assurance Company Limited (<strong>PAC</strong>) therefore reached an agreement with Rothesay Life (i) for Rothesay Life to reinsure c.400,000 of its policies, representing gross liabilities of c.£12.9 billion, and (ii) for those policies and liabilities to subsequently be transferred to Rothesay Life by way of Part VII transfer. <br>
<br>
The independent expert opined that Rothesay Life would have a "somewhat stronger financial position than PAC, measured by SCR coverage ratio" and concluded that the proposed transfer would not have a material adverse effect on policyholders. Both the PRA and the FCA approved the proposed transfer in their formal reports to the court. Whilst notable for its size, there was nothing particularly unusual about the proposed transfer. Many such transfers have been approved in the past, and the court has generally rejected policyholder objections.<br>
<br>
<strong>The decision</strong><br>
<br>
Notwithstanding the positive conclusion of the independent expert and the approval of PRA and the FCA, Snowden J. refused to approve the transfer, and agreed with a number of policyholder objectors. In the course of his 38 page judgment, Snowden J. set out the following reasons for his decision:<br>
<br>
</p>
<ul>
    <li>PAC's capital management policy provided a slightly higher level of security than Rothesay Life's capital management policy;</li>
    <br>
    <li>given that the annuities to be transferred represented policyholders' life savings and that the annuities are intended to last for the remainder of the lifetime of each policyholder, it is not correct to dismiss the possibility of financial failure of either PAC or Rothesay Life as "fanciful", notwithstanding the strong SCR ratios of both applicants;</li>
    <br>
    <li>the discretion of the court whether to approve a Part VII transfer cannot be restricted to the actuarial analysis or regulatory criteria derived from Solvency II. Broader considerations are also relevant, such as the reputation of the applicants and the likelihood of parental support in the event of financial distress;</li>
    <br>
    <li>therefore, it is relevant to consider that (i) in the event of financial distress of PAC, it is likely the wider Prudential group would provide parental support from its very large resources in order to protect its ongoing reputation, and (ii) there is uncertainty whether Rothesay Life would be able to access comparable resources from its three main shareholders (being two private equity investors and one US insurer), or that its three main shareholders would have the same reputational incentive to ensure the solvency of Rothesay Life in extreme circumstances;</li>
    <br>
    <li>in exercising its discretion whether to sanction a Part VII transfer, the court needs to balance the commercial interests of the applicants against the interests of the policyholders. The fact that the reinsurance arrangement has already enabled PAC to release regulatory capital to achieve 90% of its objective is, therefore, a relevant factor.</li>
</ul>
<strong>Why this decision is important</strong><br>
<br>
This decision is important for a number of reasons.
<p> </p>
<p>1) The decision shows how far the judiciary is willing to go in exercising the discretion whether to approve a Part VII transfer. Whilst it has been accepted mantra for some time that the courts will not just "rubber stamp" the opinions of the independent expert and the regulators, this decision represents a significant shift in how far the courts are willing to go.<br>
<br>
2) The decision shows just how broad the court's discretion is, being even wider than the scope of regulatory supervision pursuant to Solvency II and other legislation. The less clearly definable concept of reputation will be a relevant consideration.<br>
<br>
3) A comparison of SCR ratios alone is not sufficient. It is important to also consider capital management policies and the likelihood of discretionary group capital support.  <br>
<br>
4) Transfers from large insurance groups to specialist run-off acquirers might be affected, as the court might conclude that the run-off acquirer will be (i) less able to draw on additional group capital, if it is part of a smaller overall group, and/or (ii) less likely to be able to draw on additional group capital as its investors will have less of a reputational imperative to ensure policyholder payments.  Whilst this will be particularly relevant for life insurance, it should not be discounted for general insurance also.<br>
<br>
5) Special consideration will need to be given to transfers of annuities (or other life-saving type policies) given the expected duration of those policies and the "catastrophic" consequences for policyholders if payments are not met.<br>
<br>
6) Conclusions of an independent expert reached on the basis that an outcome is extremely unlikely to occur might not be accepted as valid by the court (particularly in the case of long term and/or life savings policies).  <br>
<br>
7) The decision casts doubt on previously accepted principles that (i) it does not matter if individual policyholders or groups of policyholders are adversely effected, so long as the proposed transfer is fair as a whole, (ii) it is not for the court to look for the best possible transfer, but to decide whether the transfer put forward by the applicants is fair. Snowden J. suggests that these principles are only relevant to transfer involving with-profits insurance policies.<br>
<br>
<strong>Consequences for the closed book market</strong><br>
<br>
This decision will be carefully analysed by those in the market for the acquisition of closed book (or run-off) insurance portfolios. Whilst in many cases it will be possible to distinguish the key features which influenced the Snowden J. decision in Prudential and Rothesay Life, there will be many other cases where the characteristics of the Prudential/Rothesay Life transfer will be present. <br>
<br>
<strong>Consequences for business transfer agreements</strong><br>
<br>
In the current case, it is difficult to see what the applicants can reasonably do amend the scheme in order to address the concerns of Snowden J..  A Part VII decision has never been appealed.  </p>
<p>Therefore, this decision draws into sharp focus the need for the business transfer agreement (which precedes any commercially negotiated Part VII transfer) to set out what happens if the court rejects the proposed Part VII transfer.  Should one party (or both parties) be obliged to provide more regulatory capital?  Which party loses more if the Part VII transfer does not complete?  Are both parties happy for the reinsurance arrangements to last in perpetuity? Should the parties provide that the reinsurance arrangements will be recaptured if the Part VII is not completed by a certain date, so as to avoid the court reasoning that the commercial objectives of the parties are already mostly met?<br>
<br>
<strong>Consequences for policyholder documentation</strong><br>
<br>
It is worth noting that Snowden J. was influenced by PAC's policyholder documentation which emphasised that annuities with Prudential would be for the lifetime of annuitant.  More than once, he noted that the policyholder documentation did not contemplate that the annuities might be transferred to another (re)insurer by way of Part VII transfer. Therefore, insurers might wish to start writing such permissive clauses into their policyholder documentation, so as to make it easier to transfer insurance portfolios in the future.</p>
<div> </div>
<sup><em>1</em></sup><em> <a href="https://www.bailii.org/cgi-bin/format.cgi?doc=/ew/cases/EWHC/Ch/2019/2245.html" target="_blank">https://www.bailii.org/cgi-bin/format.cgi?doc=/ew/cases/EWHC/Ch/2019/2245.html</a></em>]]></content:encoded></item><item><guid isPermaLink="false">{9EFF8154-1C65-46AE-B2CE-852EF68EBD9F}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/how-the-30-days-period-to-pay-a-claim-in-latin-america-works-in-practice/</link><title>How the “30 days period” to pay a claim in Latin America works in practice</title><description><![CDATA[Everyone dealing with Latin American claims will become familiar with the short deadlines imposed in these jurisdictions for paying a claim. However, how those deadlines are applied in practice can be a complex matter to work out. ]]></description><pubDate>Tue, 04 Jun 2019 16:25:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p><span style="color: black;">In most Latin American jurisdictions, the law provides that insurers have 30 days from receipt of all relevant information enabling them to determine cover and quantum to pay the indemnity or state why they are not doing so. In general, the position is that once the 30 days period has come to an end, interest starts accruing. In certain jurisdictions, the consequence of failing to respond within 30 days is that the insurer must pay the claim, regardless of whether it has valid coverage or quantum defences. </span></p>
<p><span style="color: black;">In most cases, insureds provide all this information and adjusters are consequently able to adjust the loss without any unnecessary delays. However, there are some instances where insureds are reluctant to provide it. In our experience, the insured's lack of co-operation is often linked to coverage or quantum concerns. </span></p>
<p><span style="color: black;">This can become frustrating when information is not provided and a seemingly endless exchange of further requests for information ("RFIs") and partial responses between insureds and insurers follows.</span></p>
<p><span style="color: black;">Some legal experts consider that the 30 days period starts again following a RFI. However, in our view, this is not the correct analysis. The key point, according to the law, is whether the insured has provided all the relevant information to determine coverage and quantum. If it has not, the 30 days period will never have been triggered.</span></p>
<p><span style="color: black;">In most Latin American jurisdictions, with the notable exceptions of Peru and Ecuador, there is no limit as regards how many times insurers are entitled to request further information from the insured. In principle, insurers have until they secure all the relevant information necessary to determine coverage and quantum. </span></p>
<p><span style="color: black;">However, issuing several RFIs comes with its own risks. The relevant authority or judge considering an insurer's conduct may conclude that the required information could not have been materially relevant, since the adjustment of the loss continued despite the insurer not having a response to its request. There is a risk of insurers inadvertently waiving the right to enforce an exclusion if they do not enforce the exclusion within a reasonable period of time, once it has become clear that the insured is not going to provide the information to determine whether that exclusion applies. </span></p>
<p><span style="color: black;">Insurers are confronted with a dilemma. If insurers keep asking for information, then they are at risk of losing the right to enforce the exclusion. At the same time, however, insurers may consider they cannot decline coverage, as they have not been provided with the relevant information to determine whether the exclusion applies or not. </span></p>
<p><span style="color: black;">In our experience, if the insured continues to fail to respond to a RFI, it is likely that either such information does not exist, or if it does exist, it jeopardises the insured's position. In these circumstances, our advice is to inform the insured that such information has been requested several times, and that insurers believe that a certain exclusion applies unless proven otherwise.  By proceeding in this way, insurers protect their position, and, ultimately, will be able to contend later on in court that no right has been waived.</span></p>
<p><span style="color: black;">Some insurers are concerned that by adopting this approach, they risk the insured stopping its co-operation with the adjuster/insurer. In our experience, this risk does not usually materialise. Moreover, we would question the value of continuing to adjust a loss (and incurring costs in doing so) if the claim is likely to be excluded. </span></p>
<p><span style="color: black;">Peru and Ecuador recently introduced new insurance regulations which impose strict time limits. Under the new laws, insurers have one opportunity to request further information in Peru and two opportunities in Ecuador. This has resulted in a drastic reduction in the time taken to adjust losses, regardless of their complexity. Some insurers, with good reason, are concerned that these rules mean that even if their requests do not produce the information sought, they are barred from making further requests.  </span></p>
<p><span style="color: black;">However, as noted above, the law also requires that the insured provides all the information necessary to prove that the loss is covered under the policy, and if so, the quantum. If the insured refuses to provide information in response to additional requests relying on the argument that insurers have "used up" their opportunities, insurers are entitled to decline the insured's claim. If insurers decline a claim on this basis, the insured will usually follow one of two courses of action:</span></p>
<p><span style="color: black;">a) In most cases, the insured realises that its case is weak, and that insurers are aware of this and are ready to stand by their declinature of</span><span style="color: #1f497d;"> </span><span style="color: black;">the claim. As a result, the insured becomes more realistic in its indemnity expectations and is prepared to agree a compromise. </span></p>
<p><span style="color: black;">b) Occasionally, the insured files a legal action. However, this is not entirely bad news. In Latin America, in commencing a legal action at court (or arbitration), the claimant must submit all the evidence and information supporting its case. </span></p>
<p><span style="color: black;">As a result, this means that if the insured is to have its claim paid, it will ultimately have to provide the necessary information to determine coverage regardless of how many opportunities the insurer has had to request further information. </span></p>
<p><span style="color: black;">We often receive queries from reinsurers about whether these deadlines also apply to them. </span></p>
<p><span style="color: black;">In practice, some cedants (or brokers) require reinsurers to pay their share / reply within the 30 days period originally given to the cedant itself, even if reinsurers only got the information on day 28, for example. In these circumstances, where there may well be the further complication of documents that need translating, a timely response from reinsurers is impossible.</span></p>
<p><span style="color: black;">From a legal standpoint, the insurance policy and the reinsurance contract are two separate contracts, regardless of whether the reinsurance contract is in the form of back-to-back cover and stated to follow the same terms and conditions and settlements as the underlying policy. As such, reinsurers have a separate period of 30 days to pay the indemnity (or request further information), from the date when all the relevant information has been provided by the cedant in order to determine cover and quantum. </span></p>
<p><span style="color: black;">A further issue which can arise between the cedant and reinsurers concerns the loss adjuster's report. For example, in Chile insurers have only 10 days to challenge the conclusions of the adjuster’s final report. If the adjuster’s conclusions are not challenged, it is very likely that a judge will follow them. In Peru, </span><span style="color: black;">insurers have 10 days to challenge the adjuster’s conclusions and if they do not do so, those conclusions are binding on the insured and its insurer.  </span></p>
<p><span style="color: black;">The 10 days requirement can create friction between cedants and reinsurers. Generally, however, in Latin American jurisdictions, if the cedant misses the opportunity to challenge an adjuster's conclusions and is forced to pay a claim as a result, this does not bind reinsurers, even if the reinsurance contract contains follow the fortunes language.   </span></p>
<p><span style="color: black;">Brokers play a key role in ensuring compliance with the deadlines. The sooner the information is passed to reinsurers, the sooner reinsurers will be able to respond to the cedant. Brokers usually use official channels of communication such as ECF. Despite the existence of systems for keeping reinsurers updated, we would suggest it is helpful if brokers are creative and find alternatives to speed up the communication process. </span></p>
<p><span style="color: black;">Brokers may be reluctant to allow direct channels of communication between reinsurers and cedants. However, in our experience dealing with complex claims in the region, it is almost impossible to comply with such short deadlines without direct communication between the relevant parties.</span></p>
<p><span style="color: black;">In Latin American jurisdictions, communications between reinsurers and cedants can be used as evidence in any legal proceedings, and this is true regardless of whether those communications are direct or go through the broker. The court will look at these communications together with all other relevant documents, and not in isolation. Bearing in mind that it might go before the court, however, reinsurers may of course not wish to share all information with the cedant. </span></p>
<p><span style="color: black;">Nevertheless, in our view, the benefit to reinsurers of maintaining good communications with the cedant outweighs this risk. </span></p>
<p><span style="color: black;">In conclusion, the 30 days period to pay a claim is prescribed by law in most Latin American jurisdictions and so insurers and reinsurers must comply with it. Properly understood, this deadline is not as onerous as it may seem at first sight. Further, the faster reinsurers receive all the necessary information to determine cover and quantum, the more they will be able to assist the cedant in complying with the local regulations and associated deadlines.</span></p>]]></content:encoded></item><item><guid isPermaLink="false">{1D685FB9-77FD-4BC9-83ED-C07348317630}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/latin-america-insights-ecuador/</link><title>Latin America insights - Ecuador</title><description><![CDATA[Ecuadorian (re)insurance claims have formed a part of RPC’s Latin American practice for some years.]]></description><pubDate>Thu, 14 Feb 2019 17:03:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names></authors:names><content:encoded><![CDATA[<p style="margin: 0cm 0cm 12pt;">There are several aspects of Ecuadorian claims that need particular consideration. Some of these, but not all of them, feature in other Latin American jurisdictions. In this note, however, we would like to look at some of the difficulties for (re)insurers in proceedings before the insurance regulator, the Superintendent, and provide some practical advice on how to deal with them. </p>
<p style="margin: 0cm 0cm 12pt;">In recent years, Superintendence proceedings have turned into the favourite venue for insureds to pursue their claims, as they have several advantages for them. </p>
<ul style="list-style-type: disc;">
    <li style="color: #000000;">
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;">Insurance companies are required to pay claims under certain policies within 10 days following an award by the Superintendent finding in the insured's favour. If the insurer would like to appeal the Superintendent's decision, the insurer must pay the claim in advance<span>. In other words, the insurer has to pay in order to play. </span></p>
    </li>
    <li style="color: #000000;">
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;"><span>The Superintendence is not a legal court. As a result, the rules for the assessment of evidence will not necessarily be applied with the same rigour as they would be by a judge at court. </span></p>
    </li>
</ul>
<ul style="list-style-type: disc;">
    <li style="color: #000000;">
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;"><span>The Superintendence proceedings are significantly shorter than proceedings before the Civil Court. This presents a real challenge for reinsurers when exercising claims control, as documents going through official channels of communication (i.e via brokers, not directly) could take days or even weeks to be received. Reinsurers also must consider that most documents (perhaps all documents) submitted to the Superintendent will be in Spanish. No hablar español puede ocasionar un gran problema.   </span></p>
    </li>
    <li style="color: #000000;">
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;"><span>The same difficulties arise where the reinsurance contract contains a claims cooperation clause. The flow of communication between the relevant parties is slow, so that it can be very difficult to comply with the deadlines imposed by the Superintendent. </span></p>
    </li>
    <li style="color: #000000;">
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;"><span>The Superintendent can take a more relaxed approach to limitation. Simply put, the Superintendence is not a court of law and the Superintendent may not always consider limitation at least at the initial stage. This means that an insurer may be forced to pay a claim where the Superintendent finds in the insured's favour despite a claim being time-barred.</span></p>
    </li>
    <li style="color: #000000;">
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;"><span>As (re)insurers are aware, broadly speaking, the Superintendent in Latin America tends to be pro-insured. This is especially true if the claim concerns state-owned companies. Ecuador is no exception to this.</span></p>
    </li>
</ul>
<p style="margin: 0cm 0cm 12pt;"><span>There are, however, some features of the Ecuadorian process which can assist (re)insurers in ameliorating these difficulties. </span></p>
<ul style="list-style-type: disc;">
    <li style="color: #000000;">
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;"><span>Against a resolution issued by the Superintendent, insurers have two separate ways to appeal:</span></p>
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;"><span>(i) before the Superintendent. This appeal has to be submitted within 10 days following the notification of the Superintendent's decision. </span></p>
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;"><span>(ii) before the Administrative Court. This appeal has to be submitted within 90 days following notification of the Superintendent's decision.  </span></p>
    </li>
    <li style="color: #000000;">
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;">Insurers have access to separate proceedings before an Administrative Court (as above). This means that (re)insurers can prepare their case fully, with documentary and expert evidence and relying on all appropriate legal grounds, and that case will be assessed by a judge who, it can be expected, will review it in accordance with the applicable legal rules. </p>
    </li>
    <li style="color: #000000;">
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;"><span>Under article 26 of the Ecuadorian Commercial Code, the limitation period for bringing a claim under an insurance contract is two years from the date the cause of action accrues. Ecuadorian courts have interpreted the "date the cause of action accrues" as the date of loss. The limitation period is therefore relatively short. </span></p>
    </li>
    <li style="color: #000000;">
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;"><span>Even if the Superintendent decides not to look at limitation as a preliminary issue, it does not mean that the claim is not legally time-barred. This defence could yet be (re)insurers strongest defence at an appeal before the Administrative Court. </span></p>
    </li>
    <li style="color: #000000;">
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;"><span>The Ecuadorian government has a good system for allowing access to documents related, for example, to public-tenders and state-owned companies, through laws on public access. We have been able to access documents (e.g. EPC contracts and full documentation for the underlying policy) which in other jurisdictions would have been impossible to obtain. </span></p>
    </li>
    <li style="color: #000000;">
    <p style="color: #000000; margin-top: 0cm; margin-bottom: 12pt;"><span>T</span><span>he new government elected in 2017 has targeted corruption and poor market practices. There is therefore an expectation that the Ecuadorian Superintendent will not wish to be seen as biased in favour of insureds.</span></p>
    </li>
</ul>
<p style="margin: 0cm 0cm 12pt;"><span>The Superintendence procedure in Ecuador therefore presents challenges for (re)insurers but it is possible to navigate these claims successfully. <br>
<br>
If you have a particular interest in issues raised in the above, for example, obtaining public documents, or claims in Ecuador generally, please contact us. </span></p>
<p style="margin: 0cm 0cm 12pt;"><span>Please click on the link below to access a version of this note including details of the full RPC International Risk Team. <br>
</span></p>]]></content:encoded></item><item><guid isPermaLink="false">{3BEE021C-ECFD-4531-913C-D2163375A466}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/the-latin-american-challenge-a-london-market-perspective/</link><title>The Latin American challenge – a London market perspective</title><description><![CDATA[If the London market wants to maintain its leadership in the region, London reinsurers need to look at ways to improve direct communication with local players.]]></description><pubDate>Mon, 08 Oct 2018 10:40:00 +0100</pubDate><category>Insurance and reinsurance</category><authors:names>Alex Almaguer</authors:names><content:encoded><![CDATA[<p>Over the years the Latin American market has become increasingly important for the London re/insurance market. From around 50 people back in 2009, almost 400 Latin Americans now work in the London market.</p>
<p>The prosperity of the region has been of interest to international re/insurers for some time and there is fierce competition for a share of the market. The London market has advantages over other international markets thanks to an insurance tradition and accumulated experience dating back more than 300 years. However, it faces the challenge of interacting successfully with other markets such as Latin America.</p>
<p>Re/insurers need to be aware practices that are appropriate in the London market may create problems when dealing with Latin American jurisdictions and vice versa. The Latin American market presents challenges in terms of culture, language, commercial practices and the civil law approach of the region versus the common law approach of the London market.</p>
<p>The key to operating successfully in this market is the ability of all the relevant players to understand and present solutions and strategies that work for both markets, as well as the ability to interact in the local language to deal with simple matters such as methods of reporting, claims handling, negotiating settlements and lawyers’ fees.</p>
<p>We have noticed the increasing reluctance of local cedants to agree on the inclusion of claims control clauses (CCCs) in the Latin American market. While these clauses have historically been commonly used in reinsurance contracts, some cedants view the inclusion of CCCs to be in conflict with local regulations, which stipulate since reinsurers are not a signatory to the policy, they cannot intervene “indirectly” in the adjustment of an insured’s claim. </p>
<p>Local insurers are often retaining a share of the risk and, in these instances, cedants are less likely to accept a CCC; their preference will be for the inclusion of a claims co-operation clause. In a soft market, London market underwriters have little room to negotiate their preference to include CCCs.</p>
<p><strong>Delegated claims handling</strong> </p>
<p>There is an emerging trend for major re/insurers to delegate authority via local branches to deal with claims in the region. We have encountered situations in which most of the placement is reinsured in the London market but with a local reinsurer taking the biggest share, resulting in the local reinsurer being the “overall leader” of the placement and London market reinsurers together covering the largest percentage of the risk.</p>
<p>A lack of co-ordination between the overall leader and co-reinsurers can arise from such situations, particularly if those various London market reinsurers each have their own slip. If the insurance policy and the reinsurance contract(s) are subject to local law and jurisdiction, local reinsurers often prefer the appointment of a local lawyer to advise on their share.</p>
<p>This presents several challenges. In the same way a “London” lawyer needs a “local” lawyer to assist on local matters, local lawyers need a London lawyer to handle and advice on London market practices and standards. London and local lawyers’ approaches differ and even if those lawyers are part of the same law firm this often causes problems. Wrong advice can build a bad reputation and it is common to hear complaints about bad experiences dealing with the London market or Latin American jurisdictions.</p>
<p>Some countries are implementing stricter and tighter rules for the adjusting of losses, with Chile being the first, followed by Peru and Ecuador The Chilean market is perhaps one of the most advanced in the region. Nonetheless, Chilean insurance law imposes almost unworkable deadlines for the adjustment of complex claims. This gives insurers only 10 days to challenge the conclusions of the adjuster’s final report.</p>
<p>Re/insurers’ failure to comply with the strict deadlines set by local laws may result in economic penalties or revocation of their license to trade. These time frames present huge legal and practical challenges to all relevant parties when adjusting major losses.</p>
<p>This trend in imposing deadlines for adjusters is evidence there remains a significant misunderstanding between the London and the Latin American markets. Reinsurance is a complex business involving numerous parties; to suggest a coverage determination is possible in complex cases within some of the time limits set by local laws shows a lack of understanding of how reinsurance in the London market works.</p>
<p>While the London market has worked on implementing systems such as ECF to speed up the process of handling claims and improving channels of communication, it is unlikely the London market will be able to comply.</p>
<p>If the London market wants to maintain its leadership in the region, London reinsurers need to look at ways to promote and improve direct communication with local players. In our experience of dealing with complex claims in the region, there is nothing better than direct communication among the relevant parties.</p>
<p>Appointing adjusters and lawyers familiar with both London and local markets is key to implementing solutions that match the complexities of both sides.</p>
<p><span>London has the opportunity to consolidate and enhance its leadership and presence in the region. However, an effective and productive interaction between the London and Latin American markets will only be possible if they acknowledge diversity.</span></p>
<p>This article was first published in <a href="https://insuranceday.maritimeintelligence.informa.com/ID1124135/Legal-Focus-The-Latin-American-challenge--a-London-market-perspective">Insurance Day</a>.</p>]]></content:encoded></item><item><guid isPermaLink="false">{4C4C1D21-25B4-47A9-880C-2F87C7466167}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/key-legal-pitfalls-of-starting-up-protect-your-confidential-information/</link><title>Key legal pitfalls of starting up: Protect your confidential information</title><description><![CDATA[Good commercial practice and robust contractual agreements are essential to safeguard confidential information. ]]></description><pubDate>Mon, 11 Dec 2017 12:16:07 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Charles Buckworth</authors:names><content:encoded><![CDATA[<p>With any start-up, the crown jewels of the business will be the ideas of its founders – whether these are the code for an app or a new algorithm to calculate risk across a defined group of people. Whatever it may be, much like the Queen, you should ensure that these crown jewels are protected (preferably in a large tower with armed guards, but we will forgive you that step this early on!).  </p>
<p><strong>How to protect your crown jewels?</strong></p>
<p>There are some basic steps you can take to help prevent your trade secrets from falling into the hands of potential competitors:</p>
<ul style="list-style-type: disc;">
    <li>ensure that you mark any documents which contain confidential information or trade secrets as "confidential" – this will put recipients of the information on notice that the information is confidential which will help to establish an obligation under the common law of confidentiality (and also under many NDAs);</li>
    <li>limit the pool of people privy to the information to the minimum possible and keep a log of those individuals. All in all, choose recipients carefully;</li>
    <li>give out as little of your confidential information as necessary to achieve your commercial objectives; and</li>
    <li>you should enter into a non-disclosure agreement (NDA) before handing over sensitive information.</li>
</ul>
<p><strong>What is an NDA and when would a start-up need one?</strong></p>
<p>A well-drafted standard form NDA is an important first-step for any well-run business.  Not only does it help to protect your business but it also shows you are professional and mean business!  An NDA is a binding contract that enables two (or more) parties to exchange sensitive commercial information. In simple terms, NDA's allow a business to contractually protect confidential information and know-how.  </p>
<p>Throughout its life, businesses will want to share confidential information but, at the same time, want to ensure that the recipient of that information does not attempt to misuse it. As a result, start-ups should always seek to ensure that appropriate contractual confidentiality obligations are in place, for example:</p>
<ul style="list-style-type: disc;">
    <li>between co-founders, to act as protection should relationships ever sour (this would normally be in a shareholders' agreement or other agreement governing the co-founders relationships in respect of the business rather than in a separate NDA;</li>
    <li>when presenting ideas/concepts to potential investors/new partners/potential licensees;</li>
    <li>when bringing employees on board who have access to sensitive information (this would normally form part of their employment contracts rather than being in a separate NDA);</li>
    <li>when sharing financial or marketing data; or</li>
    <li>when eventually looking to sell/entering into a bidding process.</li>
</ul>
<p><strong>Key things to look out for when entering into an NDA</strong></p>
<p>Broadly, the key concepts in an NDA (and similarly in confidentiality obligations in broader agreements) are the ideas of "confidential information", "purpose" and "authorised recipients". A start-up should ensure these are carefully worded so it obtains the protection it requires. </p>
<p>Firstly, "confidential information" should be defined specifically (but where you are the disclosing party, broadly to take account of potential future disclosures), making clear the types of information that are covered. That will enable the parties to understand the exact information protected by the NDA and eliminate any room for error e.g. source code, designs, recipes etc.</p>
<p>It is also important to clearly set out the purpose for which you are disclosing your trade secrets and ensure that there is a clear obligation on the recipient to only use the information for that purpose. This will prevent the recipient from using it in a way that you had not anticipated e.g. to develop a similar product.  </p>
<p>Finally, make sure that you list the categories of people/ entities that the recipient is allowed to disclose the information to. Remember, the larger the number of people who are privy to the information the harder it becomes to control and the more likely a breach of your confidentiality will take place.  You should ensure that the recipient of the information is responsible (and liable) for the acts and omissions of any person to which it discloses your information – this ensures there is a clear chain of responsibility which is enforceable by you against your contractual counterparty. </p>
<p><strong>Final thoughts</strong></p>
<p>Remember that, while NDAs are an important step to take to protect your confidential information, in reality they offer few guarantees.  NDAs are notoriously difficult to enforce (you have to prove that it was the recipient that disclosed the information or used your information other than for the purpose (which in many cases is a significant evidential barrier to enforcement)).  </p>
<p>Further, as a start-up, you may simply not have the money to enforce your NDA which would likely involve complex, expensive and time-consuming litigation.  </p>
<p>As such, the safest approach is to combine the NDA with the recommendations at the beginning of this article: limit the persons to which you disclose information to those that absolutely need to know it to progress your business and limit the information you disclose to the information which those persons absolutely need to know.  By this multi-pronged approach you can seek to manage your risks and hopefully keep the crown jewels safe!</p>]]></content:encoded></item><item><guid isPermaLink="false">{F9E94195-F7BF-461A-9127-BCA86FD49626}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/key-legal-pitfalls-of-starting-up-agreeing-the-deal-with-your-co-founders/</link><title>Key legal pitfalls of starting up: Agreeing the deal with your co-founders</title><description><![CDATA[RPC advice on agreeing the deal with your start-up co-founders, including a list of key considerations, which can prevent expensive disagreements in the future. ]]></description><pubDate>Tue, 05 Dec 2017 12:04:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Charles Buckworth</authors:names><content:encoded><![CDATA[<p>When you start out in business (much like when you start out in marriage if we can use that analogy) things are normally, well . . . . warm and fuzzy.  There is normally a group of excited and like-minded people who have a great idea and want to make it happen.  <br>
<br>
As lawyers, we always seek to consider the best and worse-case scenarios (and the scenarios in-between).   This gives us something of a (possibly unfair) reputation as pessimists.  But when starting out with co-founders, business partners, investors or collaborators thinking to the future when the relationship may not be so rosy is an advisable thing to do.  Failing to do so can end-up in prolonged and expensive litigation around what was and was not agreed between founders (particularly if the start-up is a success and substantial amounts of money are involved).  This is not only expensive but is also a distraction to the business (and in some cases can be fatal to the investment of one or more co-founder).  History is littered with examples of disputes between co-founders and those involved in early stage businesses.  The numerous court cases around Facebook and Snapchat are cases in-point.  <br>
<br>
Agreeing a firm basis on which to conduct your business with your co-founders and/or investors is therefore essential and will help to get all the issues out into the open at an early stage so that they can be worked through and agreed when relations are good and everyone is driving in the same direction.  This helps to avoid misunderstandings/people feeling unfairly treated later on.  <br>
<br>
Some examples of issues to consider and agree include:</p>
<ul>
    <li>What are the roles and responsibilities of each founder?  What time, monetary or other commitment should each founder have to provide?  What are their salary entitlements?  What will be the dividend policy?   -  One scenario which is far from uncommon is where one co-founder has substantial equity but becomes disengaged from the business leaving the remaining founders carrying what they consider to be a "dead weight"<br>
    <br>
    </li>
    <li>What type of entity should be used for the business (for example, a limited company or a limited liability partnership?<br>
    <br>
    </li>
    <li>If the start-up is a company, what percentage ownership should each founder/investor have?  What control/protection (if any) should founders/investors have against dilution of their share capital, issuance of new shares etc.<br>
    <br>
    </li>
    <li>How will the board be composed, how frequently should it meet and what should its quorum be?<br>
    <br>
    </li>
    <li>What matters should be "reserved matters" (i.e. should require unanimous/majority approval in order to be implemented) for co-founders/investors?  Some examples include issuance of shares, sale of intellectual property, entering into substantial debt obligations etc.<br>
    <br>
    </li>
    <li>How will the company be funded?  Will co-founders/investors be under an obligation to fund the business up to a certain amount or will be funding be on a case-by-case basis?  Will funding be on an equity or loan basis? What further funding rounds are anticipated, over what timeframe and from what sources? <br>
    <br>
    </li>
    <li>Will any employees be incentivised through the grant of shares? Should there be different classes of shares with different rights attaching to them?<br>
    <br>
    </li>
    <li>What are the founders expectations regarding t<span style="font-weight: lighter;">he length of their investment/commitment to the new business? What ability do founders have to exit the business and sell their shares? How will good leaver / bad leaver provisions operate?<br>
    <br>
    </span></li>
    <li>Who is in charge of the day-to-day running of the business?  How will decisions be made?  How will a business plan be agreed and updated? What happens if there is deadlock and the founders / other shareholders cannot agree on a way forward?  How will disputes be settled?<br>
    <br>
    </li>
    <li>How will a sale of the business be agreed? What if some founders/shareholders want to sell but others do not?<br>
    <br>
    </li>
    <li>What non-competes should be included to prevent co-founders competing with the business?<br>
    <br>
    </li>
    <li>Confidentiality obligations to prevent co-founders disclosing confidential information other than in the course of the start-up's business.</li>
</ul>
<div> </div>]]></content:encoded></item><item><guid isPermaLink="false">{C3A3CFB3-C0B7-42CE-B91A-6606327CAA5D}</guid><link>https://www.rpclegal.com/thinking/insurance-and-reinsurance/key-legal-pitfalls-of-starting-up/</link><title>Key legal pitfalls of starting up</title><description><![CDATA[Introduction to the RPC blog series 'key legal pitfalls of starting up' – a guide for Insurtech start-ups. Contains top-tips on legal issues. ]]></description><pubDate>Mon, 27 Nov 2017 12:40:00 Z</pubDate><category>Insurance and reinsurance</category><authors:names>Charles Buckworth</authors:names><content:encoded><![CDATA[<p>In this series of blogs we set out some of the key legal areas for Insurtech start-ups to consider as they start to construct and implement their business ideas.  These are areas which, as we have seen from experience, often get pushed down the list of priorities for cost and timing reasons or for consideration "another day".   Often that "other day" isn't until a due diligence process (for example, for further investment or an exit for founders) or until a dispute occurs.  It is at this stage that founders come to realise that they do not own key intellectual property, that they have given away key rights to co-founders or investors or, that their ownership of the business is not documented as anticipated. </p>
<p>As a result, founders can be stuck in costly and protracted litigation or find that the business in which they invested time, money and other assets, yields substantially less value to them than expected.  </p>
<p>A start-up is an investment in time and resources.  As that old parable goes, build your house on rock and not on sand: always seek legal advice to try to ensure that your start-up has stable foundations to prosper and grow.   While it is tempting to put legal issues aside until the business is "more developed", to save time and costs in the early stages, this can prove to be a false economy.  What could cost a few thousand pounds at the start-up stage to get right, could end up costing you literally millions further down the road. </p>
<p>That said, as many people in the start-up sector will tell you, there is a balance.  For example, while it is important to get the basics right, we understand that many start-ups may not be seeking strict "legal compliance".  Indeed, in our experience, in many instances start-ups in this sector are moving far faster than regulation and so testing the boundaries of regulation (in an informed manner) can be essential to a start-up's success.  In addition, start-ups need to be nimble, reactive and need to "road test" their ideas to see if they work in practice before spending large sums on legal fees and "legal compliance".  It can be a difficult balance to strike which is why it is important to get legal advice from advisors who understand the importance of the necessity for a different approach between established businesses and the start-up world.  Only this way can you access legal advice which is proportionate and relevant to your needs.</p>
<p>This series of blogs will look at some key legal issues including the following:</p>
<ol>
    <li>Agreeing the deal with your co-founders;  </li>
    <li>Protecting your confidential information;</li>
    <li>What legal structure should the business take?   </li>
    <li>Ownership and Protection of Intellectual Property Rights;</li>
    <li>Your terms of business;</li>
    <li>Tax issues;</li>
    <li>Compliance with laws: securities laws;</li>
    <li>Compliance with laws: insurance regulatory issues;</li>
    <li>Compliance with laws: consumer protection issues;</li>
    <li>Compliance with laws: data protection issues;</li>
    <li>Employees; and</li>
</ol>
<span>Having the right legal counsel.</span>]]></content:encoded></item></channel></rss>