COURT OF APPEAL (CIVIL DIVISION)
ON APPEAL FROM THE HIGH COURT OF JUSTICE
QUEEN'S BENCH DIVISION
MANCHESTER DISTRICT REGISTRY (LIVERPOOL MERCANTILE COURT)
His Honour Judge Kershaw QC
Strand, London, WC2A 2LL |
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B e f o r e :
LORD JUSTICE LONGMORE
and
LADY JUSTICE HALLETT
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BOLTON METROPOLITAN BOROUGH COUNCIL |
Claimant |
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- and - |
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(1) MUNICIPAL MUTUAL INSURANCE Ltd (2) COMMERCIAL UNION ASSURANCE COMPANY Ltd |
First Defendants and Main Appellant Second Defendants and Respondents |
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(instructed by Forbes, BB1 8DA) for the Claimant
HOWARD PALMER Esq QC and Ms SONIA NOLTEN
(instructed by Watmores, WC2A 1RP) for the First Defendant and Main Appellant
MICHAEL HARVEY Esq QC and TIM SMITH
(instructed by Halliwells Llp, EC2R 8AW) for the Second Defendants and Respondents
Hearing dates : 19th, 20th December 2005
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Crown Copyright ©
Lord Justice Longmore :
Mr Gordon Green, while he was alive, worked on building sites as an employee of W Lee & Sons, an electrical contractor. One of the sites on which he worked was a Teacher Training college being built by Bolton Metropolitan Borough Council ("Bolton"). He inhaled asbestos dust while working at the site between 1960-1963. He was later employed by Carnaud Metalbox Engineering Plc ("CME") between 1965 and 1970 and after 1973 when he also inhaled asbestos dust. In August or September 1990 Mr Green consulted his doctor as a result of breathing difficulties and chest pain. In January 1991 he was diagnosed as suffering from mesothelioma. Once a patient starts to suffer from symptoms resulting in this diagnosis, he usually has from 12 to 18 months to live. Mr Green sadly died in November 1991, 15 months after becoming symptomatic and 10 months after diagnosis.
"injuries caused during the period of insurance"
and would thus, at any rate arguably, offer cover at the time when an employee was exposed to the inhalation of asbestos fibres, public liability insurers usually offered cover in respect of
"injuries occurring during the period of insurance".
This, Mr Harvey submitted, was significantly different wording, which meant that, in the case of asbestos-related diseases which only eventuated a long time after initial exposure, it was the insurer at risk at the time the disease began who had to indemnify Bolton in respect of their liability, not the insurer at risk at the time of exposure. Needless to say the wordings of the two policies at issue in this appeal differ somewhat and it is now necessary to set them out.
The insuring clause of what is called the Third Party policy, issued by MMI, provides, so far as relevant:-
"The Company agrees to indemnify the Insured in respect of all sums which the Insured shall become legally liable to pay as compensation arising out of
(a) accidental bodily injury or illness (fatal or otherwise) to any person other than any person employed under a contract of service . . . . with the Insured if such injury or illness arises out of and in the course of the employment
(b) accidental loss of or accidental damage caused to property
when such injury illness loss or damage occurs during the currency of the Policy and arises out of the exercise of the functions of a Local authority.
The Company will also pay any costs awarded against the Insured . . . .
In addition the Company will pay all costs and expenses incurred with its written consent
(a) in defending any claim for compensation . . . ."
This policy states that it is to be placed in a special insurance policy binder and read in conjunction with General Policy Conditions therein. Condition 3 requires Bolton to report immediately "all injury . . . . all accidents and all claims or legal proceedings arising out of such injury . . . . or accidents". Condition 6 provides:-
"6. If at the time of any occurrence giving rise to a claim under this Policy there is or would but for the existence of this Policy be any other insurance applicable to such claim then unless the Policy expressly provides otherwise the Company shall not be liable in respect of that claim except insofar as concerns any excess beyond the amount which would be payable under such other insurance had this Policy not been in force."
". . . . the Company will indemnify the Insured against
(A) All sums which the Insured shall become legally liable to pay for compensation in respect of
(1) bodily injury to or illness of any person
(2) loss of or damage to property
occurring within Great Britain Ireland Northern Ireland the Channel Islands or the Isle of Man during the Period of Indemnity as a result of an accident and happening or caused as described in the Schedule under the heading of Description of Risk".
Forty-three years later no trace of this Schedule can now be found.
"(B) All costs and expenses of litigation
(1) recovered by any claimant against the Insured
(2) incurred with the written consent of the Company
in respect of a claim against the Insured for compensation to which the indemnity expressed in this Policy applies".
The indemnity is subject to an Exception whose purpose, and effect, are to do what the MMI policy does by words within the insuring clause – viz, to exclude liability for employers' liability risks. The policy contains two other important Conditions:-
"1. The Insured shall give written notice to the Head Office or Branch Office of the Company of any accident or claim or proceedings immediately the same shall have come to the knowledge of the Insured or his representative
. . . . . . . . . . . . . .
10. The due observance and fulfilment of the terms provisions conditions and endorsements of this Policy by the Insured in so far as they relate to anything to be done or complied with by him . . . . shall be conditions precedent to any liability of the Company to make any payment under this Policy."
In a detailed and helpful judgment His Honour Judge Kershaw QC, sitting in the Mercantile Court at Liverpool, held:-
(1) MMI were liable to indemnify Bolton since the mesothelioma, in respect of which Bolton was liable to Mr and Mrs Green, was an accidental bodily injury which occurred during the currency of MMI's cover;
(2) CU were not liable to indemnify Bolton since the mesothelioma had not occurred during the period of indemnity for which they were on cover;
(3) CU were not liable to Bolton for the further and additional reason that there had been no immediate notification to CU of the "accident" or "claim" as soon as it came to Bolton's knowledge, such notification was a condition precedent to CU's liability unless CU waived their right to rely on it and CU had not waived their right so to rely;
(4) MMI could not, therefore, rely on condition 6 of their policy as a defence to Bolton's claim since there was no "other insurance applicable" to the claim;
(5) no question of contribution between insurers could arise;
(6) although Bolton could recover its costs of proceedings against MMI, Bolton would have to pay CU's costs save to the extent that 25% of such costs could be recovered from MMI by Bolton in addition to their costs as against MMI.
I shall consider the issues in the same order but, for the purposes of understanding the arguments in relation to the first two issues it is necessary to say something of the aetiology of mesothelioma, which, since no party challenged the judge's findings, can be done by incorporating them almost verbatim from the judgment. They are based on the evidence of Dr Rudd and Dr Moore-Gillon, well known experts in the field of respiratory medicine.
There are three forms of asbestos: brown (amosite), blue (crocidolite) and white (chrysotile). Their fibres have different bio-persistence: 20 years after exposure to fibres about half the inhaled amosite fibres remain in the body, a smaller proportion of the crocidolite fibres remains and, relatively, few chrysotile fibres remain.
Mr Howard Palmer QC's first argument for MMI was that, since the injury had to be an injury which both
"occurs during the currency of the policy and arises out of the exercise of the functions of a Local Authority"
any injury for which MMI was liable had to arise out of Bolton's exercise of its functions during the currency of the policy. But this is an impossible argument; if it had been the intention of the parties that any injury, for which Bolton was liable and in respect of which it was to be indemnified, had to arise from Bolton's activities during the currency of the policy, the phrase "during the currency of the policy" would have been written at the end of the sentence not in the middle. It is, moreover, highly unlikely that the parties would have had any such intention, since Bolton would then potentially be their own insurer for any injury that occurred in a different year from the year in which they were exercising the functions which gave rise to their liability; such a policy would be of doubtful utility.
MMI's second argument focused on the words "accidental injury"; Mr Palmer submitted, in reliance on the judge's findings in relation to the aetiology of mesothelioma, that accidental injury occurred either on inhalation of asbestos fibres or, perhaps, on the first bodily reaction to such inhalation, not at the unascertainable moment when a malignant tumour first appeared, still less when Mr Green first felt symptoms of breathlessness and chest pain and less still when mesothelioma was itself diagnosed. Mr Palmer categorised "accidental injury", for the purposes of the policy, as the "insult" to a person's bodily integrity which occurred, effectively on first being exposed to asbestos fibres. In the course of oral submissions Mr Palmer made clear that, although he presented theoretically separate arguments as to exposure itself and early bodily reactions, he did not draw any substantial chronological difference between them. He relied on the miniscule changes which, as described above, preceded the genetic changes which gave rise, at a later date, to the existence of cancerous cells; in other words injury occurred at the point when the body's natural defence mechanisms were operating to destroy or neutralise the fibres as soon as they were inhaled. This was the time when, according to MMI, accidental injury occurred.
Mr Palmer made what may fairly be called subsidiary submissions in relation to employment and geographical limitations in the insurance policy. He maintained that the exception in relation to injury or illness to an employee
"if such injury or illness arises out of and in the course of the employment"
used the present tense and therefore supported the submission that exposure must be the relevant injury since it was nonsense to say of an employee, who suffered symptoms many years after his employment had concluded, that such injury "arises" out of or in the course of employment. I cannot see, however, that there is anything illogical; it is a perfectly proper use of language to say of an employee, who suffers symptoms years after being exposed to asbestos and in respect of whose injuries a claim is then brought, that he has suffered an injury that "arises" out of and in the course of his employment so that the exception will apply.
"In respect of injury, illness, loss or damage the cause of which occurs"
on or after 1st October 1991. The cause of the injury does look to the exposure of the claimant to asbestos; it is thus easy to construe the endorsement as relating to exposure within Great Britain; but the insuring clause refers only to accidental bodily injury occurring during the currency of the policy not the cause of such injury so occurring.
The CU policy covers "bodily injury . . . . occurring within Great Britain . . . . during the period of indemnity as a result of an accident". This wording is unsurprisingly very similar to that of the MMI policy. On the basis of the conclusions already reached, therefore, since the policy only applied during the period when Mr Green was exposed to asbestos fibres and not at the time when, on the balance of probabilities, malignancy occurred and still less at the time when the symptoms of mesothelioma manifested themselves, one would not expect the CU policy to respond to Bolton's claim. I think Mr Palmer accepted that, in principle, this would be so in current English law, if he failed in his submissions that "injury" meant "insult" or that initial microscopic changes amounted to injury. It was not argued that the additional words of the operative clause "and happening or caused as described in the [undiscoverable] Schedule under the heading of Description of Risk" made any difference to this conclusion.
The judge found that Bolton gave requisite notice of Mr Green's injury and Mrs Green's claim to MMI in February 1994 but did not give written notice to CU
"of any accident or claim or proceedings immediately the same shall have come to the knowledge of the insured"
in accordance with condition 1 of the CU policy which was stated to be a condition precedent to insurer's liability. This is scarcely surprising since Bolton always considered (in my view rightly) that it was the MMI policy which should respond to this claim. Although Mrs Green's claim was not settled until 1999, Bolton had in fact notified CU of the claim on 17th October 1997 in the light of MMI's refusal to regard themselves as concerned. On 17th December 1997 Bolton's solicitor, Mr Gold, had a telephone conversation with a Mr Hunter of CU which involved consideration of late notification of the claim as well as the issue of coverage in general. Mr Gold reported back to Bolton that CU were referring the matter to Head Office to decide if CU had been prejudiced by late notification. On 3rd March 1998 CU wrote directly to Bolton and to Mr Gold making no reference to late notification but saying that they had carefully and thoroughly considered their position in the matter, that their policy covered injury in the policy period which did not arise until Mr Green's mesothelioma had manifested itself or been diagnosed and that the claim should be referred to Bolton's public liability insurers during September 1990. When CU eventually relied on condition 1 in their defence to the proceedings instituted against them as second defendants, Bolton contended that by their conduct in relying only on coverage issues on (and after) 3rd March 1998 they had waived their entitlement to rely on late notification. Bolton never suggested, however, that they had acted to their detriment as a result of CU's failure to mention late notification in their letter of 3rd March so Bolton could not rely on any estoppel. Instead they asserted at trial that CU had on 3rd March elected not to rely on the condition precedent and could not now go back on their election.
(1) Bolton were "guilty" (as the judge put it) of late notification;
(2) CU were, therefore, entitled to refuse indemnity;
(3) CU knew that they had the right to refuse indemnity;
(4) CU's words and conduct were such as to convey to a reasonable insured that it was electing not to refuse indemnity on the grounds of late notification but instead to refuse indemnity on the ground that the policy did not cover the liability which had been incurred;
(5) CU did not, however, exercise a choice between inconsistent courses; since that was a requirement of election, CU had made no election by which they were bound. CU as the judge put it
"merely left late notification 'in the air' and gave policy cover as a reason for doing something – refusing indemnity – which it might have done on the ground of notification or on both grounds."
The judge was correct to hold that there must be a choice between inconsistent courses before a party to a contract is required to elect. Paradigm examples occur when a person has a choice to sue either the agent or the principal party to the contract, a choice to rescind a contract for misrepresentation or to affirm it, or a choice between accepting conduct as a repudiation of a contract or (again) to affirm it. The modern locus classicus in relation to waiver by election (and, indeed, by estoppel) is Lord Goff of Chieveley's speech in Motor Oil Hellas (Corinth) Refineries SA v Shipping Corporation of India (The Kanchenjunga) [1990] 1 Lloyds Rep 391. The judge set out a large part of his speech. I need only refer to a passage in the left hand column of page 398 of the report
". . . . where with knowledge of the relevant facts a party has acted in a manner which is consistent only with his having chosen one of the two alternative and inconsistent courses of action then open to him - for example, to determine a contract or alternatively to affirm it - he is held to have made his election accordingly , . . ."
Other cases at an appellate level which state that the relevant party must be faced with inconsistent courses of action (not just alternative ones) are Kammins Ballrooms v Zenith Investments [1991] AC 8850, 882-3, China National v Evlogia Shipping [1979] 1 WLR 1018, 1024 and 1034, Peyman v Lanjani [1985] Ch 457, 486 (citing Kammins), 494 and 499-500 (citing China National) and Oliver Ashworth v Ballard [2000] Ch 12, 27 and 32. It is, therefore, not sufficient for a party to a contract to have alternative courses of action; for the doctrine of election to apply (which it must be remembered requires no acting on it by, or detriment to, the other party) the courses of action must be inconsistent or, as it is sometimes said, mutually exclusive.
Mr Bartley Jones then submitted that CU had these courses open to them;
(1) Deny liability on coverage grounds;
(2) Deny liability for late notification;
(3) Deny liability on both grounds.
He categorised these courses as inconsistent with each other for the purpose of election. That is, however, not so; these course are all consistent with each other because they each lead to a denial of liability. The inconsistent course would have been for CU to accept liability rather than to deny liability. If that had happened they might well then be held to have elected not to deny liability; but that, of course, is something which did not happen.
"Waiver by election Where the insured fails to comply with a procedural condition but with knowledge of this fact and of the right to reject the claim the insurer chooses not to reject the claim and communicates that decision to the insured either by word or conduct, the insurer will be bound by that decision . . . . . Further, if the insurer rejects the claim on specific grounds but chooses not to take the point that the insured has committed a breach of a procedural condition, this may also amount to a waiver by election."
The first sentence of this citation is unexceptional and is consistent with paragraph 32 above but the last sentence is unsupported by authority and is, in my judgment, inconsistent with the cases cited in paragraph 31 above. The editors cautiously use the word "may" and, of course, if the claimant has in some way relied on the defendant's conduct, there could be a waiver by estoppel. But that is not the same as waiver by election the doctrine with which the sub-paragraph is concerned. I would myself prefer Professor Malcolm Clarke's formulation in paragraph 26-4(c) of his Law of Insurance Contracts
"Inferences from Rejection If the insurer rejects the claim altogether on another ground such as lack of cover, the insurer does not thereby waive the possibility of pleading a breach of condition at a later stage, if that breach occurred prior to the rejection of the claim."
Professor Clarke cites Welch v Royal Exchange Assurance [1939] 1 KB 294. Spencer Bower rightly says that that case is by no means clear authority for the proposition but, in my judgment, the proposition as set out by Professor Clarke is consistent with principle and is correct in the absence of any reliance or detriment on the part of the claimant. The 10th ed of MacGillivray, Insurance Law (2003) para. 19-45 is to the same effect.
Since CU are not liable to Bolton by reason of the coverage clause, there is no question of MMI being able to rely on Condition 6 of their policy to reduce or extinguish their own liability. There was some debate on the question whether the fact that CU had a further defence by relying on the condition precedent requiring immediate notification of an injury or a claim also meant that Condition 6 could not apply. There was also debate about the significance of the existence of a clause in the CU policy which was in similar, although not identical, terms to Condition 6 of the MMI policy. Since these questions do not arise for decision, I prefer to say nothing about them save to say that, since Condition 6 refers to there being other applicable insurance
"at the time of any occurrence giving rise to a claim under this Policy,"
it might be natural to look to a time (whether it is the creation of the first malignant cell or the onset of symptoms) when the time for performance of the condition precedent relating to notification had not yet elapsed. That is, indeed, my prima facie view since there must necessarily be some lapse of time between the occurrence of an accident or injury and the insured acquiring knowledge of it. On that basis there would at the relevant time be co-existing insurance and Condition 6 might, therefore, be applicable. I mention this only because it could be relevant to the question of contribution as between insurers in the event of there being double insurance. Since there is not, in fact, double insurance I will say as little about potential contribution as possible.
We received abbreviated argument on the question whether, if CU was entitled as against Bolton to decline liability because Bolton had not given notice of accident or claim as soon as they knew of such accident or claim but were otherwise liable to Bolton, MMI could claim that there was double insurance and recover a contribution from CU. In Legal and General Assurance Society Ltd v Drake Insurance Co Ltd [1992] QB 887 the Court of Appeal (by a majority) decided that the matter should be looked at at the time of the loss before there was any non-compliance with the condition precedent. The Privy Council refused to follow that decision in Eagle Star v Provincial Insurance [1994] 1 AC 130 on the basis that the doctrine of contribution could be modified by contract and the matter should be considered by reference to the parties' contractual liabilities. This is not the occasion formally to resolve this dispute between the authorities, even if (as I think is the position) this court is entitled to choose between them, see R v James and Karimi [2006] EWCA Crim 14, para. 34.
The judge was faced with a difficult decision in relation to costs. Whereas MMI had failed to make good their contention that it was not the insurance policy at the time when Mr Green fell ill that should respond and had also failed in their contention that the policy which should respond was the policy in force at the time of exposure and had further failed in their arguments about contribution, Bolton had also failed in their alternative claim against CU because the condition precedent as to notification had not been complied with and the non-compliance had not been waived. One possible order in relation to costs would, therefore, be that MMI should pay Bolton's costs of their proceedings against MMI but Bolton should pay the costs of their proceedings against CU (with or without some adjustment to reflect the fact that the main dispute was between the insurers); another possible approach would be to try to reflect the parties' success on the respective issues by making a global order as to costs. Courts are to-day encouraged to make issue-based orders not in the sense of making different orders in relation to the different issues but in the sense that the order should reflect a party's failure on one or more issues, even though he may have ultimately been successful overall. As the judge put it "You do not get a free ride on a bad point even though you win the action as a whole". This approach may be easy enough to achieve in the ordinary two-party case but is more difficult in cases where 3 or more parties are involved.
"I have reached the conclusion that the Second Defendant should have its costs from the Claimant because that follows the event as between Claimant and Second Defendant, but that the First Defendant should put its hand in its pocket, whether legalistically in relation to a separate order for the contribution proceedings, or practically by just a percentage as suggested by Mr. Palmer, makes no difference. I really suggest that counsel attempt to agree between themselves, which is the most economical and cost efficient way of dealing with that. I will fix the percentage. I think 25% is as good as any, nobody has suggested it is wrong and I accept Mr Palmer's fair percentage. Whether it is achieved by the round about way or the direct way I hope you will agree. If you cannot agree I will decide. Meanwhile there are other points to be raised."
It is not entirely clear what the judge meant by the phrase "legalistically" in relation to a separate order for the contribution proceedings, but the approval of Mr Palmer's figure of 25% of CU's costs overall would, no doubt, include the costs of the contribution proceedings brought by MMI against CU. It does not much matter since the question for this court is whether the judge exercised the wide discretion, which he undoubtedly had, on a correct basis.
Lady Justice Hallett :
Lord Justice Auld :