ON APPEAL FROM THE HIGH COURT OF JUSTICE
LEEDS DISTRICT REGISTRY
TECHNOLOGY AND CONSTRUCTION COURT
HIS HONOUR JUDGE BEHRENS
LOWER COURT NUMBER: B50LS710
Strand, London, WC2A 2LL |
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B e f o r e :
LORD JUSTICE BRIGGS
and
LORD JUSTICE FLAUX
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MOHAMMED ASHFAQ |
Appellant |
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- and - |
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INTERNATIONAL INSURANCE COMPANY OF HANNOVER PLC |
Respondent |
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Mr Richard Sage (instructed by RPC) for the Respondent
Hearing date: 4 May 2017
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Crown Copyright ©
Lord Justice Flaux:
Introduction
The factual background
"The quotation and any subsequently offered insurance are subject to compliance with ALL the following statements (except where otherwise agreed in writing by Underwriters)
This Statement of Facts will form the basis of any contract entered into with Insurers
…
You or any joint or co-insured have never… been convicted, or have any prosecutions pending, in respect of any offence other than motoring offences".
"The Insured carrying on the Business described herein and no other for the purpose of this insurance and having paid or agreed to pay the premium as consideration for such insurance during the period stated in the Schedule or any subsequent period stated in the Schedule for which the Insurers shall have accepted the premium required for this Policy.
The Insurers and the Insured agree that:
- This Policy, the Schedule […] and any Endorsement shall be considered one document and any word or expression to which a specific meaning has been attached shall bear such meaning wherever it appears
- The proposal or any information supplied by the Insured shall be incorporated in the contract
…
- The Insurers will provide the insurance described in this Policy subject to the terms and conditions specified herein."
"That of a buildings owner where a minimum of 30% of each and every Premises covered by this policy is self-contained private residential accommodation, and where the Premises is wholly or partially let to others".
(1) That the provision in the Statement of Facts: "The quotation and any subsequently offered insurance are subject to compliance with ALL the following statements" was a condition precedent to any insurance coming into existence, which had not been complied with;(2) That, given the presence of the "basis of contract" provision in the Statement of Facts as incorporated in the Policy, there was a breach of warranty by the insured, since the negative answer to the question about pending prosecutions was not correct, which breach of warranty entitled the insurers to avoid liability for the claim;
(3) That that negative answer and the failure to disclose the pending prosecution constituted a material non-disclosure or misrepresentation entitling the insurers to avoid or rescind the Policy ab initio, which they had done.
The hearing and judgment
(1) The insured had had solicitors acting for him until very recently, and he had not put in any evidence as to why he had terminated their services;(2) The basic facts of the case were agreed as between the parties; and
(3) An adjournment would generate significant extra expense, which might not be recoverable.
"There may, in fact, be a debate as to whether this particular insurance policy was a consumer insurance policy within the meaning of the Act, but I do not need to investigate that because even if it is a consumer contract, it was not in force in February 2012 and the Act did not come into force for 14 months thereafter".
"Gresham's view on criminal convictions and pending prosecutions is that we review each case on its merits. When reviewing referrals we use the underwriting guidelines contained in a document titled 'Proposers with financial problems and convictions – Acceptability and Rating Guide' … The guidelines highlight that as a business we are not keen to accept business that includes poor features. If a pending prosecution or criminal conviction has taken place in the previous 12 months, as was the case, it is likely to be a straight decline. Further, as Mr Ashfaq's pending prosecution involved assault I would have declined the risk on the basis that this type of incident goes to the character of the Insured and is ultimately not the type of Insured we wish to insure".
The Grounds of Appeal
(1) The Judge erred in the exercise of his discretion in refusing to grant an adjournment;(2) The Judge erred in failing to appreciate that the Unfair Terms in Consumer Contracts Regulations 1999 ("UTCCR 1999") and the Insurance Conduct of Business Sourcebook ("ICOBS") rules were relevant in determining the Respondent's application for summary judgment. Had he done so, he would have found that the 'basis of contract' and 'subject to' clauses were unenforceable as against the Appellant;
(3) In determining whether the Respondent was entitled to rescind the Policy for non-disclosure/misrepresentation, the Judge erred in deciding that the failure to disclose the prosecution was material.
(1) The insured was not a consumer, so could not invoke the UTCCR 1999 and the ICOBS rules. Further, he had the burden of showing that he was a consumer, and he had produced no evidence to that effect;(2) In any event, the insured could not now rely on the UTCCR 1999 and the ICOBS rules since they were not pleaded in his particulars of claim, amended particulars of claim, or defence to counterclaim;
(3) If the UTCCR 1999 did apply, the 'basis of contract' clause was irrelevant, since it was a 'core term' within the meaning of rule 6 and, in any event, the 'basis of contract' clause was fair;
(4) If the ICOBS rules did apply, the insurers were nevertheless entitled to rely on the condition precedent, because there was evidence that the claim was fraudulent, and the insured could reasonably have been expected to disclose his pending prosecution (rule 8.1.2);
(5) In any event, the UTCCR 1999 did not impinge on the rule of law entitling the Respondent to rescind for misrepresentation.
Definitions of "consumer" in UTCCR 1999 and ICOBS
"any natural person who, in contracts covered by these Regulations, is acting for purposes which are outside his trade, business or profession."
"The principles to be derived from this survey of the relevant case law seem to me to be as follows:
1. The expression "consumer" for the purposes of Council Directive 93/13/EEC [to which the UTCCR 1999 gave effect] should be given an autonomous, Community-wide, interpretation, rather than one anchored to the particular jurisprudence of any individual Member State.
2. At least where the language adopted in Community instruments is substantially the same and they have as their objective, at least in part, the protection of consumers, a similar approach to the construction and application of the expression should be adopted unless the context and purpose of the relevant instrument requires a different approach.
3. It is a question of fact for the court seised of the dispute to decide the purpose or purposes for which a person was acting when entering into a contract of a kind which might be covered by the Directive; and it is similarly a question of fact as to whether he was so acting for purposes outside his trade, business or profession.
4. The court must resolve these factual issues on the basis of all of the objective evidence placed before it by the parties; but that evidence is not confined to facts and matters which were or ought reasonably to have been known to both parties.
5. Though the words of the Directive must ultimately prevail, a party will normally be regarded as acting for purposes outside his trade, business or profession if, and only if, the purpose is to satisfy the individual's own needs in terms of private consumption.
6. Furthermore, where the individual in question is acting for more than one purpose, it is immaterial which is the predominant or primary purpose; and he will be entitled to the protection of the Directive if and only if the business purposes are negligible or insignificant.
7. However, even where the objective purpose or purposes for which the individual was acting were, in fact, wholly outside his trade, business or profession, he may be disentitled from relying upon the protection afforded to him by the Directive if, by his own words or conduct, he has given the other party the impression that he was acting for business purposes so that the other party was and could reasonably have been unaware of the private purpose or purposes."
"(1) Except where paragraph (2) applies, if a customer is acting in the capacity of both a consumer and a commercial customer in relation to a particular contract of insurance, the customer is a commercial customer.
(2) For the purposes of ICOBS 5.1.4 G and ICOBS 8.1.2 R, if, in relation to a particular contract of insurance, the customer entered into it mainly for purposes unrelated to his trade or profession, the customer is a consumer."
The parties' submissions
Analysis and conclusions
"The principle which emerges from these authorities is that where a proposal form contains a "basis of contract" clause, (i) the proposal form has contractual effect even if the policy contains no reference to the proposal form; (ii) all statements in the proposal form constitute warranties on which the insurance contract is based. They cannot therefore be treated as immaterial."
Lord Justice Briggs
Lord Justice McFarlane