FROM THE CENTRAL LONDON COUNTY COURT
SCCO Ref: 0902943 Clifford's Inn, Fetter Lane London, EC4A 1DQ |
||
B e f o r e :
OF THE CENTRAL LONDON COUNTY COURT
____________________
KENNETH RONALD PARKER |
Claimant |
|
- and - |
||
JOEL CARLOS SEIXO |
Defendant |
____________________
Mr Jamie Carpenter (instructed by Keelys Solicitors) for the Defendant
Hearing date: 30 December 2009
____________________
Crown Copyright ©
Master Wright:
THE BACKGROUND
"The Claimant sustained injuries and consequential losses arising out of an accident which occurred on 23 August 2004 whilst visiting a petrol station in Streatham Hill.
The Defendant negligently reversed his vehicle into the Claimant knocking him to the floor. As a result the Claimant suffered a fractured leg which required surgery and included the insertion of metalwork.
Funded by way of an After-The-Event insurance policy issued by Keystone on 13 October 2004, the Claimant instructed legal representation. Liability was admitted without delay and the Claimant proceeded to obtain medical evidence. The Claimant's injuries were complex and further surgery was required. Proceedings were issued and served in order to protect the Claimant's claim from becoming statute barred.
The parties were initially unable to agree quantum of damages and the matter proceeded towards a quantum of damages trial which had been set for 20 October 2008. On 9 September 2008 the parties reached agreement in respect of quantum and the trial set for 20 October 2008 was vacated.
Damages were agreed at £120,000 with the Defendant paying the Claimant's costs to be assessed in default of agreement.
The parties have been able to agree the Claimant's base costs [£30,708.82 including VAT] but the Additional Liability (After-The-Event Insurance Premium) remains in dispute.
The Keystone Insurance Policy provided the Claimant with both own solicitors costs and disbursements cover [this has now been agreed see the Witness Statements of Mr Christopher James Marden and Mr Julian David Oldfield dated 14 January 2010 and the Defendant's Supplementary Submissions dated 19 January 2010] and also Adverse Costs and Disbursements Cover. This enabled the claim to be conducted without the need for a CFA and Success Fee. The Keystone policy is individually assessed and underwritten and it incorporates a staged approach to reflect the Claimant's exposure to risk at any given time. The premium is calculated on the basis of bespoke individual risk underwriting."
"23.08.2004 | Accident. |
13.10.2004 | ATE insurance policy taken out premium of £551.25 (including IPT) becomes payable. |
19.10.2004 |
Letter of claim. |
4.11.2004 |
Liability admitted. |
26.01.2007 |
Defendant notified of the ATE policy and the premium stages. |
13.08.2007 |
Proceedings issued. |
24.09.2007 |
Proceedings served. |
06.11.2007 |
Defendant offers £75,000.00. |
20.11.2007 |
Defence served admitting liability. Second stage premium of £9,555.00 (including IPT) becomes payable. |
05.03.2008 |
Defendant offers £85,000.00. |
08.05.2008 |
The claim is allocated to the multi track. |
09.06.2008 |
Defendant's listing questionnaire with estimated total costs of £20,783.58. |
19.06.2008 |
Claimant's estimate of costs to trial, including £6,874.74 disbursements after Stage 2 premium and £10,516.63 total disbursements, including trial disbursements of £4,025.00. The total estimate to trial is £45,992.00 excluding premium. |
28.07.2008 |
Defendant offers £100,000.00. |
12.09.2008 |
Claim settled for £120,000.00. |
24.09.2008 |
Consent Order sealed. |
20.10.2008 |
Trial date now vacated." |
"In accordance with the Access to Justice Act, we put you on notice that the Claimant additionally seeks to recover their Legal Expenses Insurance Premium Tax and any applicable interest. The details are as follows:
Insurance |
: |
Europ Assistance Insurance Ltd |
||
Cover |
: |
Own and adverse costs and disbursements |
||
Cost effective from |
: |
Midday 13.10.2004 |
||
Limit of Indemnity |
: |
£50,000.00
|
||
Premium Stages |
: |
|
||
|
Stage 1 |
- |
Inception to service of Defence or Judgement in Default
|
|
|
Stage 2 |
- |
Service of Defence until 28 days pre-trial
|
|
|
Stage 3 |
- |
From 28 days pre trial to Trial. The Trial Premium will be rebateable by 75% if the case settles prior to commencement of the Hearing.
|
|
|
Stage 4 |
- |
In the event of Part 8 Costs Proceedings.
|
|
Yours faithfully
Bakers Personal Injury Solicitors"
POINTS OF DISPUTE AND REPLIES
"1&2 |
The After the Event Insurance Premiums
The Claimant was injured in a road traffic accident on 23rd August 2004.
Liability was admitted early and within the protocol period.
Proceedings were issued and the matter settled by consent.
The Claimant purchased an after the event insurance policy with a staged premium on 13th October 2004. The three stages were as follows:
Stage One: Inception to service of Defence or Judgment in Default.
Stage Two: Service of Defence until 28 days pre-trial.
Stage Three: From 28 days pre trial to trial.
Stage Four: In the Event of Part 8 costs proceedings.
As can be seen from the Bill of Costs, the stage one premium is £551.25 and the stage two premium is £9,555.00.
The policy is, it is assumed, double sided.
When assessing the reasonableness or otherwise of the amounts claimed it is necessary to assess the risk that the Claimant's insurer's will have to pay own side costs and adverse costs.
The Costs Practice Direction
The CPD 11.10 provides guidance in respect of determining this issue:
In deciding whether the cost of insurance cover is reasonable, relevant factors to be taken into account include:
(1) where the insurance cover is not
purchased in support of a conditional fee agreement with a success fee, how its cost compares with the likely cost of funding the case with a conditional fee agreement with a success fee and supporting insurance cover;
(2) the level and extent of the cover provided;
(3) the availability of any pre-existing insurance cover;
(4) whether any part of the premium would be rebated in the event of early settlement;
(5) the amount of commission payable to the receiving party or his legal representative or other agents.
Taking each point in turn the Defendant submits:
1. The claim was an RTA to which fixed success fees applied. Thus, the Claimant, had he signed a CFA, would have incurred a costs liability in terms of the success fee of £3,807.74 (inclusive of VAT).
Even if one adds a sum for a single sided insurance premium then the £10,106.25 claimed in the present case appears wholly excessive, unreasonable and disproportionate.
2. The Defendant is unable to comment on this point without having a copy of the full policy terms and conditions. This document is requested below.
3. The Solicitors for the Claimant are requested to outline:
1. Whether the Claimant had any pre-existing insurance that would have covered this claim; and
2. What steps were taken to ascertain the availability of such cover.
Upon receiving a reply to this point the Defendant will comment further.
3 & 4 Once again, the Defendant is unable to comment without having sight of the relevant policy documents.
Assessing the Risk
The Claimant has confirmed that the policy is individually assessed and underwritten.
The Court cannot properly assess the reasonableness or otherwise of the premium until the Claimant's insurance company disclose their methodology in respect of the calculation of the premium.
It is well known that very few road traffic cases reach trial. In Rogers v Merthyr Tydfil Borough Council [2006] EWCA Civ 1134 the Court of Appeal were concerned with the reasonable of a DAS ATE premium.
The DAS premium comprised of three stages which are broadly similar to the stages in the present case.
In the evidence given before the Court of Appeal DAS gave the following statistical information:
1. 63% of their cases settled within stage one (paragraph 39).
2. 95% of all cases settle within stage two or before stage three is invoked (paragraph 40).
3. Thus, only 5% of cases reach stage three (paragraph 41).
It is important to note that the figures from DAS relate to all injury claims, not simply RTAs. It cannot be controversial to state that the risks involved in RTAs are far less than those involved in slipping cases for example.
Keystone (via the Claimant) have been asked to confirm the percentage of RTA claims they lose, and therefore have to pay costs, after the stage two premium has been paid but before the stage three one is invoked.
The Claimant has refused to answer this very simple question.
The Claimant is therefore requested to:
1. Clarify how the premiums are calculated and the methodology used (including at what stage the premiums are calculated).
2. Disclose the full policy terms and conditions.
3. Disclose statistical information relating to how many RTA claims are lost, causing payment of costs to be
made by the insurer, after stage two but prior to stage three. If the insurer does not have this information the Claimant is asked to specifically state this fact.
On the present evidence the Defendant submits that the amount of the premium is both unreasonable and disproportionate.
In particular, the Defendant submits that the Claimant's underwriters have assessed the risk of losing this case incorrectly and unreasonably.
The Defendant offers £3,600 for the premiums for stage one and stage two.
|
The paying party has no need to assume; this has already been confirmed in correspondence.
This assessment is carried out by the ATE insurer in order to calculate the Premium at the outset of the claim. It is not one of the five factors to consider (with hindsight) when assessing the reasonableness of the Premium at the conclusion of the claim.
The receiving party agrees CPD 11.10 should be applied.
The receiving party agrees this comparison calculation would be appropriate and as such agrees the paying party's calculation of £3,807.74.
The paying party's assertion would depend upon an appropriate level for a single-sided premium and crucially no figure has been suggested.
The receiving party attaches a copy of the full policy terms and conditions. Also attached is a copy of the Claimant's letter (dated 26th January 2007) to the Defendant's Insurer, Norwich Union, which sets out the level and extent of the cover provided.
The Defendant's Insurer, Norwich Union, is also the Claimant's Insurer and therefore the receiving party avers this request for information to be otiose and unnecessary. However, for the sake of completeness, the receiving party can confirm the Claimant's motor policy with Norwich Union, via the Broker (Ramasis Insurance) had no Legal Expense Insurance included. The receiving party once again refers to the Claimant's letter dated 26th January 2007 sent to the Defendant's Insurer.
Correct.
Using the five factors, as detailed by the paying party above, the receiving party considers the Court will be able to properly assess the reasonableness or otherwise of the premium without the Claimant's Insurance Company disclosing their methodology in respect of the calculation of the premium.
The receiving party refers to the paying party's own cited case of Rogers v Merthyr Tydfil and more specifically to Paragraph 117 dealing with the "Evidence justifying the ATE premium claimed" Paragraph 117 reads as follows:-
"If an issue arises about the size of a second or third stage premium, it will ordinarily be sufficient for a claimant's solicitor to write a brief note for the purposes of the costs assessment explaining how he came to choose the particular ATE product for his client, and the basis on which the premium is rated - whether block rated or individually rated. District judges and costs judges do not, as Lord Hoffman observed in Callery v Gray (Nos 1 and 2) [2002] UKHL 28 at [44] ; [2002] 1 WLR 2000, have the expertise to judge the reasonableness of a premium except in very broad brush terms, and the viability of the ATE market will be imperilled if they regard themselves (without the assistance of expert evidence) as better qualified than the underwriter to rate the financial risk the insurer faces. Although the claimant very often does not have to pay the premium himself, this does not mean that there are no competitive or other pressures at all in the market. As the evidence before this court shows, it is not in an insurer's interest to fix a premium at a level which will attract frequent challenges. (The receiving party's brief note explaining how he came to choose the particular ATE product for his client is attached).
In order to assess the reasonability of the single-sided premium, the receiving party will respectfully ask the Court to consider the following comparable taken from the Litigation Funding in April 2003; the year before the inception of the Claimant's policy in the instant case. The following is the only entry in Litigation Funding around this time which relates to a multi-track RTA matter involving the second stage of a staged premium policy. Fortunately it relates to the DAS 80e policy which was scrutinised by Lord Justice Brooke in the paying party's cited case of Rogers v Merthyr Tydfil where it was considered entirely reasonable and allowed in full.
Litigation Funding (April 2003) DAS 80e policy for Multi track RTAs was £5,617.50.
When this figure is added to the agreed comparable figure under a CFA and Success fee of £3,807.74, a total funding cost of £9,425.24 is reached.
It is clear from the above comparison calculation that the Keystone Premium claimed at £10,106.25 is not manifestly different from the total funding cost had this matter been conducted under a CFA and Success Fee. When considering the additional benefits to the Claimant in using the Keystone Policy, as detailed on the Solicitors brief note as to how this particular product was chosen, it is the submission of the receiving party that the premium claimed is entirely reasonable." |
"Following the guidance of the Court of Appeal on paragraph 117 of Rogers v Merthyr Tydfil County Borough Council, the reasons why the Keystone policy was endorsed are as follows:
A) Keystone are a reputable and established provider of ATE insurance. They launched their own ATE scheme several months before the Law Society's "Accident Line Protect" product. The policy is individually rated. They generally underwrite all categories of personal injury litigation. They have developed a significant market position in underwriting cases that are perceived as difficult, or that have been rejected by other ATE providers. It was important to recommend an ATE provider in which both the Claimant and his solicitor could have confidence.
B) The policy has an adequate level of indemnity.
C) Premiums are deferred and the client is not required to take out any loan or interest.
D) Keystone provide an efficient and helpful service, particularly where decisions need to be made during the currency of a case. They adopt a flexible approach.
E) There is no application fee payable.
F) Keystone do not impose rigorous reporting controls.
G) Unlike most other ATE Policies, Barristers fees are covered.
Dated this 1st day of May 2009
Signed Bakers Solicitors
Solicitors for the Claimant."
DEFENDANT'S SUBMISSIONS
a) During 2008, 22,726 claims were notified.
b) Proceedings were served in 1,414 cases (6.22% of total claims notified).
c) 99 of the issued cases proceeded to trial (7%).
d) Of the 93% of issued cases disposed of before trial, 50 or 60 were drop hands settlements.
e) There was no mention of claims being issued and disposed of before trial with a costs order in the defendant's favour.
a) The greatest risk of the claim failing entirely occurs in Stage 1, where many cases are abandoned pre-issue.
b) Once a claim has been issued, it will almost inevitably proceed to a settlement in favour of the Claimant or (much more rarely) a trial.
c) 96% of the claims concluding in Stage 2 conclude with an order for costs in the Claimant's favour.
d) Around 4% of cases issued and ending in Stage 2 result in the Claimant bearing his own costs.
e) An infinitessimal number of cases result in the Claimant incurring a liability to pay the Defendant's costs during Stage 2.
CLAIMANT'S SUBMISSIONS
"In principle the judgment, verdict or award of another tribunal is not admissible evidence to prove a fact in issue or a fact relevant to the issue in other proceedings between different parties."
CONCLUSION