Oxford Row Leeds LS1 3BG |
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B e f o r e :
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JOHN EVANS |
Claimant |
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- and - |
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ARRIVA YORKSHIRE LIMITED |
Defendant |
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Steven Turner (instructed by Acumen) for the Defendant
Hearing date: 28 October 2013
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Crown Copyright ©
Judge Behrens :
1 Introduction
2 History of Claim
To indemnify the Claimant in respect of his legal representatives basic charges, disbursements and a percentage increase and to meet liabilities which the Claimant may incur to pay the costs of other parties
3 The evidence
Mr Usher's first statement
Mr Usher's second statement
In addition there are stages applied, effectively giving a discount for the pre-allocation stage and an enhanced premium in fast track cases Employers liability Cases where the case settles or is determined within 60 days the trial date.
- for claims that settle before prior to allocation - £895
- for fast track trials that settle after issue but before the 60th day before trial - £2,500
- for fast track trials that conclude after that date - £3,500.
Mr Proctor's statement
- A list compiled from his employer's records of fast track single stage ATE's in Employer's Liability cases. The list contains some 58 cases in respect of policies entered into between 23rd November 2010 and 22nd October 2012. The highest premium is £940 +IPT. 36 of the 58 had a premium of less than £750 or less plus IPT. Of those 36, 26 had a premium of £600 or less plus IPT.
- A statement from Bob Crow of the RMT Union dated 7th December 2011. It appears from that statement that the Self Insurance Premium charged by the RMT in 2011 would have been £795. Mr Crow also gives some comparable figures. For Accident Line the comparable figure is £685/£1,935 depending on whether the claim is issued or not.
- A statement from Graham Mcdermott of the GMB Union dated 9th February 2010. The comparable figure for the GMB in 2010 would have been £750.
4 Section 30 of the Access to Justice Act 1999
(1)This section applies where a body of a prescribed description undertakes to meet (in accordance with arrangements satisfying prescribed conditions) liabilities which members of the body or other persons who are parties to proceedings may incur to pay the costs of other parties to the proceedings.
(2)If in any of the proceedings a costs order is made in favour of any of the members or other persons, the costs payable to him may, subject to subsection (3) and (in the case of court proceedings) to rules of court, include an additional amount in respect of any provision made by or on behalf of the body in connection with the proceedings against the risk of having to meet such liabilities.
(3)But the additional amount shall not exceed a sum determined in a prescribed manner; and there may, in particular, be prescribed as a manner of determination one which takes into account the likely cost to the member or other person of the premium of an insurance policy against the risk of incurring a liability to pay the costs of other parties to the proceedings.
That sum is the likely cost to the member of the body or, as the case may be, the other person who is a party to the proceedings in which the costs order is made of the premium of an insurance policy against the risk of incurring a liability to pay the costs of other parties to the proceedings.
Provision
18. A provision would necessarily take the form of a reserve or similar allowance against future potential adverse claims for costs. Insurers make such provisions against adverse claims risk all the time, and any union wishing to recover a notional premium as a quasi-insurer is required by Section 30 to demonstrate that it too has made such a provision.
19. In effect, by virtue of the operation of section 30(2) of the 1999 Act, evidence that such a provision has been made is a condition precedent to recovery of a notional premium. This is because the amount awarded can only be awarded 'in respect of' a provision made. Thus, if no provision has been made, no amount can be awarded.
5 Before The Event Insurance
11.10 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 representatives or other agents.
11.11 Where the court is considering a provision made by a membership organisation, rule 44.3B(1)(b) provides that any such provision which exceeds the likely cost to the receiving party of the premium of an insurance policy against the risk of incurring a liability to pay the costs of other parties to the proceedings is not recoverable. In such circumstances the court will, when assessing the additional liability, have regard to the factors set out in paragraph 11.10 above, in addition to the factors set out in rule 44.5 .
Discussing how the client will pay, including whether public funding may be available, whether the client has insurance that might cover the fees, and whether the fees may be paid by someone else such as a trade union.
It was, in short, entirely reasonable to take that course. I would find it difficult to envisage any circumstances where a Union member would be regarded as unreasonable to have gone to the Union. Just because it is cheaper to the paying party does not make it the only choice.
6 The value of the Self Insurance Premium
Authorities
Put quite simply, if in two cases insurers face a 50% risk of having to pay out £6,500 on one of them, it is reasonable for them to charge a premium of £6,500 (not allowing for overheads or profit) on each. On the one they win, they will be able to get their premium paid by the defendant, and this will recompense for them having to pay out £6,500 on the one they lose.
116. During the course of argument it was accepted on all sides that a party who has an ATE insurance policy incorporating two or more staged premiums should inform its opponent that the policy is staged, and should set out accurately the trigger moments at which the second or later stages will be reached. This obligation should be undertaken in addition to the obligations set out in CPR 44.15(1) and in paras 19.1(1) and 19.4 of the Costs Practice Direction. If this is done, the opponent has been given fair notice of the staging, and unless there are features of the case that are out of the ordinary, his liability to pay at the second or third stage a higher premium than he would have had to pay if the claim had been settled at the first stage should not prove to be a contentious issue.
Evidence justifying the ATE premium claimed
117. 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 Hoffmann 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."
"15. One can draw all this together:
(a) In relation to CFAs and ATE Insurance, the basic costs rules and practice about reasonableness and proportionality apply. Thus, to the extent that the mark-up or uplift under the CFA or the premium for the ATE Insurance is unreasonable or disproportionate, it should be disallowed, at least on a standard assessment.
(b) A CFA percentage increase will not be reduced simply on the ground that, when added to base costs which are reasonable and (where relevant proportionate), the total appears disproportionate.
(c) A primary factor in considering the reasonableness of the percentage increase must be the prospects of the claimant succeeding on its claim. This is to be judged primarily as at the date that the CFA is entered into. The greater the prospects of success, the lower the reasonable and proportionate percentage will be. It is difficult to be prescriptive about this however and there is no magic sliding scale. Where the chances of success, judged objectively at the time when the CFA is entered into, are about even or less, the greater the justification will be for a 100% mark-up. Where the chances of success are great, there will almost invariably be a strong feeling that the CFA mark-up should be significantly discounted. Where the claimant was as good as bound to win, no mark-up may be allowed.
(d) Similar considerations apply to the ATE Insurance. It must be a reasonable presumption that premiums are linked to an assessment of risks and the prospects of success in the litigation. The premium which can be allowed on a costs assessment can be adjusted downwards to reflect the fact that at the time when the insurance was entered into the prospects of success were good or high.
In the absence of any evidence from the Claimant as to the reasonableness of the premium but without deciding that as such the premium is itself unreasonable, I have formed the view that it would only be reasonable to make Mr Wishart pay 20% of the premium. I must and do presume that a wholly unrealistic assessment of risk was made to justify the imposition of a premium of some 42% of the insured amount. I have a very real doubt that anything more is reasonable."
Assessment of the Premium
• an exposure multiplicand is calculated, being the sum of own disbursements and opponent's costs (subject to any limit of indemnity on the former); • a risk multiplier is applied to the exposure multiplicand; • a basic risk multiplier is ascertained in the same way as a success fee is ascertained, namely by dividing the chance of losing by the chance of winning; • this basic figure therefore represents the pure "burning cost" of the insurance (that is the "break even" cost disregarding the need for the underwriter to fund its business overheads and make a profit); • the basic figure is then adjusted to include an allowance for overheads, marketing and brokerage costs and profit; • this provides the overall risk multiplier; • the overall risk multiplier is applied to the exposure multiplicand, to derive the net premium; • insurance premium tax is then applied to produce the overall figure.
- the average exposure of Unite in fast track employers liability cases (i.e. the average of the costs that are paid out)
- the average success rate of Unite
- an estimate of the cost of overheads involved in relation to an individual employer liability fast track case.
7 Retrospectivity