1. Aro
Road and Land Vehicles Ltd. (“the insured company”) carried on
business in Rathcoole, Co. Dublin. In July, 1981, it agreed to sell and deliver
a quantity of vehicle cabs and engine parts to a firm called L.R. Plant, whose
premises were at Maize, Co. Antrim. The insured company’s secretary, Miss
Broe, telephoned the road freight section of Córas Iompair Eireann
(“C.I.E.”) to arrange with them to transport the goods by road to
the purchaser’s premises. She made the arrangement over the telephone
with a Mr. Spelman. She told him what the goods were, she gave him the names
and addresses of the consignor and consignee, and she estimated the value of
the goods at £200,000. Mr. Spelman quoted transport charges at £2.00
per £1 ,000 worth of goods.
2. On
13th July, 1981, the insured company placed a firm order by telephone for the
transport of the goods and it was made clear by Mr. Spelman that they would be
carried at owner’s risk. Accordingly he suggested that they be insured,
and offered to arrange the insurance. He had to hand blank insurance
certificates from the Insurance Corporation of Ireland (“the
insurers”), and (apparently without disclosing the identity of the
insurers), read out over the telephone the extent of the insurance cover that
would be provided, namely, “against the risks of fire and theft only, but
including physical loss or damage directly resulting from collision or
overturning of the carrying conveyance.”
3. Mr.
Mansfield, the managing director of and principal shareholder in the insured
company, reluctantly agreed to take out the proferred insurance. His reluctance
was understandable because C.I.E. had previously carried goods for him by road
to Northern Ireland and there had been no trouble.
4. Mr.
Spelman, having arranged with the insured company for the payment of the
transport charges and having agreed that the goods would be transported in one
40 ft. container and three 40 ft. tilts or flats, arranged with Miss Broe that
a trailer would be sent by C.I.E. next day to start collecting the goods.
Meanwhile the arrangement of the insurance was passed by Mr. Spelman to a Mr.
McAdam, who was a road freight superintendent in C.I.E. He in turn passed the
particulars to a firm of insurance brokers, who arranged the insurance with the
insurers. The insurance was recorded by the issue of two insurance certificates
by C.I.E., one dated 15th July, 1981, for £200,000 and another dated 16th
July, 1981, for £50,000. Those certificates were issued and authenticated
by the signature of an official in the road freight department of C.I.E. C.I.E.
apparently had a master policy with the insurers covering such transport
insurance, and the certificates state that the cover was to be subject to
“the conditions and terms of the original policy.”
5. C.I.E.
seem to have treated the insurance as having been effected on 15th July 1981.
Apart from issuing the main certificate of insurance on that date, they also on
that date issued an invoice and statement for £1,180 (including £400
in respect of insurance), and on the same date one of their representatives
called to the premises of the insured company and collected a cheque for
£1,180 to cover the insurance premium of £400 and £780 freight
charges. While a further £100 was paid by the insured company on 31st
August, 1981, in respect of additional cover, C.I.E. began to collect the goods
on or about 15th July, 1981, for the purpose of transporting them to their
destination in County Antrim.
6. From
the foregoing account of the transactions that took place before C.I.E.
began
to transport the goods, the following facts appear to emerge:-
7. The
contract of insurance in this case must be held to have been concluded (subject
to a later addendum) on the 15th July, 1981. It is well established that the
duty of disclosure (where such duty applies) ceases to exist as soon as the
contract is concluded: see
Whitwell
v.
Autocar
Fire and Accident Assurance Co. Ltd.
(1927)
27 LI.L.Rep. 418 and
Looker
v.
Law
Union lnsurance
[1928] 1 KB. 554.
8. The
essential question, then, is whether the non-disclosure now relied on could
have been made, or was expected to be made, before 15th July,1981.
9. C.I.E.
proceeded to deliver by road the four loads of goods as arranged. Three of
those loads safely reached their destination, but on 20th July 1981 the
container
was hijacked by a man with a pistol. It was set on fire and its contents
destroyed. The insured company brought proceedings in the High Court claiming
indemnity under the policy for the loss. The claim was contested on a variety
of grounds, but at the end of the hearing the sole issue was whether the
insurers were entitled to repudiate liability on the ground that, before the
policy was effected, Mr. Mansfield, the managing director of and main
shareholder in the insured company. had not disclosed that in 1962 he had been
convicted of ten counts of receiving stolen motor parts and sentenced to
twenty-one months imprisonment. It was established that the convictions and
sentence took place and that they were not disclosed to the insurers, but it
was not shown that Mr. Mansfield had anything to do with the malicious
destruction near Newry of the container of goods. This defence was entirely a
technical one under the law of insurance. It succeeded in the High Court. The
judge, having heard expert evidence and having applied the test for the duty of
disclosure laid down by this Court in
Chariot
Inns
v.
Assicurazioni
Generali
[1981] I R 199, held that the insurers were entitled to repudiate the policy
on the ground of Mr. Mansfield’s failure to disclose the convictions and
imprisonment that had befallen him nineteen years earlier.
10. I
accept without question that it is a general principle of the law of insurance
that a person seeking insurance, whether acting personally or through a limited
company, is bound to disclose every circumstance within his knowledge which
would have influenced the judgment of a reasonable and prudent insurer in
fixing the premium or in deciding whether to take on the risk. Carroll J.,
while personally of opinion that Mr. Mansfield’s non-disclosure of his
convictions and imprisonment was not material, deferred to the expert opinion
given in the High Court (which she accepted and considered to transcend her
personal opinion) that a reasonable and prudent underwriter would regard that
matter as material and would have regarded its non-disclosure as a good reason
for refusing to underwrite the risk. Accordingly, she held that the insurers
were entitled to avoid the policies in question and to repudiate liability. On
the assumption that full disclosure of all known material facts was obligatory,
I consider that the judge’s conclusion could not be interfered with by
this Court: see
Northern
Bank Finance
v.
Charlton
[1979] IR. 149.
11. It
emerged, however, in the course of the hearing of this appeal, that a
particular aspect of the case was not adverted to, either in the pleadings or
in the argument in the High Court. This was whether the circumstances of the
case showed it to be an exception to the usual requirement of full disclosure.
Normally, a departure in an appeal from the case as pleaded, or as argued in
the court of trial, or as circumscribed by the notice of appeal, is not
countenanced. However, in view of the trial judge’s expression of her
personal opinion as to the effect of the evidence, and having regard to the
technical nature of the defence and the general importance of this point in the
law of insurance, I consider that this point should be entertained.
12. Generally
speaking, contracts of insurance are contracts
uberrime
fidei,
which
means that utmost good faith must be shown by the person seeking the insurance.
Not alone must that person answer to the best of his knowledge any question put
to him in a proposal form, but, even when there is no proposal form, he is
bound to divulge all matters within his knowledge which a reasonable and
prudent insurer would consider material in deciding whether to underwrite the
risk or to underwrite it on special terms.
13. That
is the general rule. Like most general legal rules, however, it is subject to
exceptions. For instance, the contract itself may expressly or by necessary
implication exclude the requirement of full disclosure. It is for the parties
to make their own bargain – subject to any relevant statutory
requirements – and if the insurer shows himself to be prepared to
underwrite the risk without requiring full disclosure, he cannot later avoid
the contract and repudiate liability on the ground of non-disclosure.
14. An
example of a contract of insurance which excludes full disclosure is where the
circumstances are such as to preclude the possibility of full disclosure; or
where the requirement of full disclosure would be so difficult, or so
impractical, or so unreasonable, that the insurer must be held by his conduct
to have ruled it out as a requirement. This is exemplified by many forms of what
I
may
call “over-the-counter insurance”. Because this case is concerned
only with fire and theft cover, I am addressing myself only to property
insurance. Many concerns, such as airlines, shipping companies and travel
agents – acting as agents for an insurance company and usually under the
umbrella of a master policy – are prepared to insure travellers or
consignors of goods in respect of luggage or of goods consigned, in
circumstances in which full disclosure is neither asked for nor could
reasonably be given effect to. The time factor, if nothing else, would rule out
the requirement of full disclosure in many instances: an air traveller who buys
insurance of his luggage in an airport just before boarding an aeroplane could
not be expected to have time to make disclosure of all material circumstances.
Insurance sold in that way obviously implies a willingness on the part of the
insurer to provide the cover asked for without requiring disclosure of
all
material
circumstances. The question in this case is whether this insurance, which the
judge has held was entered into by Mr. Mansfield’s company in good faith
and without any intention to defraud, was attended by circumstances which show
that the insurers are precluded from claiming that full disclosure was a
prerequisite of a valid contract of insurance.
15. Consider
the relevant circumstances. Mr. Mansfield, through his company, was sold this
insurance. He did not look for it. It was suggested by C.I.E. He was reluctant
to take it out; he considered it a waste of money. C.I.E. as agents for the
insurers arranged the rates and filled in the relevant certificates of
insurance. Once that was done, C.I.E. were ready to transport the goods. They
sought no further information from Mr. Mansfield and apparently deemed none
necessary. Before collecting and transporting the goods, they did not furnish
the certificates of insurance to Mr. Mansfield or his company. They did not
even inform Mr. Mansfield or his company of
the
identity of the insurers. It is conceded by counsel for the insurers that if
Mr. Mansfield was to make full disclosure he would have to make such inquiries
as would bring the identity of the insurers to his knowledge – or
alternatively to pass the relevant information to C.I.E. as their agents.
C.I.E. as well as being the insurers’ agents, were to be the carriers of
the goods insured. Everything points to the conclusion that when, as carriers
of the goods, they got the information necessary for their purposes as
carriers, and then arranged insurance of the goods during transit, the
insurance was for all practical purposes concluded, so that no further
information could have thereafter been asked for.
16. The
circumstances of this case seem to me to show that C.I.E., acting as agents for
the insurers, accepted this insurance without expecting or requiring disclosure
of
all
relevant
circumstances. The informal, almost perfunctory, way in which C.I.E. effected
this insurance, their readiness to collect the premium and proceed to carry the
goods to their destination as soon as they had ascertained the premium, showed
a failure or unwillingness to give the insured company an opportunity to make
full disclosure before the contract of insurance was concluded. The relevant
circumstances indicate an indifference on the part of C.I.E. as agents for the
insurers as to matters such as the personal circumstances of the managing
director of the insured company.
17. It
may well be the law that even in a case such as this certain types of
information may not be knowingly withheld by the insured, but this case calls
only for an answer to the question whether in the circumstances of the case an
innocent non-disclosure of an incident in the past life of the managing
director of the insured company entitled the insurers to avoid the policy. In
my opinion it did not. Insurers who allow agents such as shippers, carriers,
airlines, travel agents and the like to insure on their behalf goods being
carried, and to sell that insurance to virtually all and sundry who ask for it,
with minimal formality or inquiry, and with no indication that full disclosure
is to be made of any matter which the insurers may
ex
post facto
deem
to be material, cannot he held to contract subject to a condition that the
insured must furnish
all
material
information.
18. I
would allow the plaintiff’s appeal and remit the case to the High Court
for the assessment of damages.
21. The
documentary evidence of the insurance effected is contained in two certificates
which. save for date, insured value and an irrelevant detail, all in
manuscript, are identical in form. They certify that the defendant “has
insured the goods specified hereunder, under open policy, on behalf of Coras
lompair Eireann and/or as agents” against risks, including the event
which happened, “subject otherwise to the conditions and terms of the
original policy.” The most obvious comment is that the certificate makes
no reference to the plaintiff in this action. “The certificate represents
and takes the place of the original policy and will, for the purpose of
collecting any claims, be accepted as showing that the holder is entitled to
the benefit of such policy to the extent set forth herein.” Unlike what I
understand to be the ordinary course of the insurance business, there was no
proposal form; such forms ordinarily provide that the proposal form shall be
the basis of the contract. Here the insurance was arranged by Frank Spelman of
C.I.E. who signed the quotation of the 15th July and provided the certificates
duly completed from forms pre-signed on behalf of the Insurance Corporation of
Ireland Ltd. Frank McAdam, road freight superintendent, arranged the insurance
through the brokers, Coyle Hamilton Hamilton Phillips Ltd.; exactly how this
was done is not clear. What is clear beyond doubt is that no proposal form was
completed, no questions relevant to the risk, save as to value, were ever
asked. James Mansfield, managing director and principal shareholder of the
plaintiff company, the insured, had, in 1962, been convicted on ten counts of
receiving stolen motor parts and sentenced to twenty-one months imprisonment.
Not merely was the fact of these convictions not disclosed to the insurers; not
merely did it not occur to Mr. Mansfield, a reluctant insured, to disclose
them; they never occurred to him at all; they were a part of his past which he
understandably preferred to forget. Although a great number of different
matters were canvassed in the course of the trial, at the conclusion the sole
issue was the right claimed by the insurers to repudiate liability on the
ground of non-disclosure of these convictions, which, it is said, was a
non-disclosure that a reasonable and prudent underwriter would regard as
material and, therefore, on ground of moral hazard, a valid reason for refusing
the risk. I think not.
22. Consideration
of this appeal is not helped by the fact that the master policy, the open
policy, was not produced in evidence. There was no evidence to suggest that
between the l5th/l6th July and the 20th July (the day of the hijack) there was
any communication passing to the insurers concerning this particular risk.
Carroll J. considered that the convictions could not be material, particularly
to the type of insurance where the risk only attached while the goods were in
the custody of C.I.E. Nonetheless, accepting that Mr. Smart was expressing the
view of a reasonable and prudent underwriter, she felt that the defendants had
discharged the onus on them to prove a material non-disclosure; she felt
obliged, so to speak, to suppress her own view of materiality in favour of that
of Mr. Smart, once she assessed him to be a reasonable and prudent underwriter.
Notwithstanding that she still held to her view that the convictions were not
material, Carroll J.
deferred
to the view of Mr. Smart; in my judgment, she was incorrect in so doing, being
herself the sole and final arbiter.
23. In
my view, if the judgment of an insurer is such as to require disclosure of what
he thinks is relevant but which a reasonable insured, if he thought of it at
all, would not think relevant, then. in the absence of a question directed
towards the disclosure of such a fact, the insurer, albeit prudent, cannot
properly he held to be acting reasonably. A contract of insurance is a contract
of the utmost good faith on both sides; the insured is bound ,to disclose every
matter which might reasonably he thought to be material to the risk against
which he is seeking indemnity; that test of reasonableness is an objective one
not to be determined by the opinion of underwriter, broker or insurance agent,
but by, and only by, the tribunal determining the issue. Whilst accepted
standards of conduct and practice are of significance in determining issues of
alleged professional negligence, they are not to be elevated into being an
absolute shield against allegations of malpractice —see
O’Donovan
v.
Cork
County Council
[1967] I.R. 173 and
Roche
v.
Peilow
[1985] I.R. 232. In disputes concerning professional competence, a profession
is not to be permitted to be the final arbiter of standards of competence. In
the instant case, the insurance profession is not to be permitted to dictate a
binding definition of what is reasonable. The learned trial judge depended part
of her judgment upon the decision of this Court in
Chariot
Inns
v.
Assicurazioni
Generali
[1981] IR 199. In his judgment, with which Henchy and Griffin JJ. agreed,
Kenny J. stated at p. 225:-
24. These
observations were made in a case in which there was a proposal form, there were
questions asked by the insurer and, as this Court held, there was a
non-disclosure of a matter material to the risk. In the High Court (in
Chariot
Inns)
Keane
J., at p. 209, said:-
25. That
test has been frequently stated to be applicable to non-marine insurance as
well: see
Joel
v.
Law
Union
&
Crown
Insurance Co.
and
March
Cabaret
v.
London
Assurance.
Another
test has sometimes been proposed,
i.e.,
the
test of whether a reasonable man in the position of the assured and with
knowledge of the facts in dispute ought to have realised that they were
material to the risk. But this test has been confined normally in its
application to cases of life, see MacGillivray & Parkington on Insurance
Law (6th ed. – paras. 749, 750). It was not suggested by any of the
parties as the appropriate test in the present case and, accordingly, I propose
to apply the test set out in s. 18, sub—s. 2 of the Act of 1906.”
26. Kenny
J. did not expressly advert to this proposition but it reflects the argument
advanced by the plaintiff here touching on what the insured might consider
relevant or material. Keane J., at p. 207, referred to the judgment of Fletcher
Moulton L.J. in
Joel
v.
Law
Union & Crown Insurance Co.
[1908] 2 KB 863 at p. 892. There it was said:-
27. The
same Lord Justice, at p. 885, had some critical comments to make on the
practices on the part of insurance offices of requiring that the accuracy of
the answers to the proposal form should he the basis of the contract. I point
to this so as to emphasise that
Joel
v.
Law
Union & Crown Insurance Co.
[1908]2 KB. 863 was a case concerned with a proposal form and insurance
effected on foot of it as was
Chariot
Inns
[1981]
I.R.199. This is not such a case, but the test remains one of the utmost good
faith. Yet, how does one depart from such a standard if reasonably and
genuinely one does not consider some fact material; how much the less does one
depart from such a standard when the failure to disclose is entirely due to a
failure of recollection? Where there is no spur to the memory, where there is
no proposal form with its presumably relevant questions, how can a failure of
recollection lessen the quality of good faith? Good faith is not raised in its
standard by being described as the utmost good faith; good faith requires
candour and disclosure, not, I think, accuracy in itself, but a genuine effort
to achieve the same using all reasonably available sources, a factor well
illustrated by Fletcher Moulton L.J.. at p. 885 of
Joel.
If
the duty is one that requires disclosure by the insured of all material facts
which are known to him, then it may well require an impossible level of
performance. Is it reasonable of an underwriter to say:- “I expect
disclosure of what I think is relevant or what I may think is relevant but
which a reasonable proposer may not think of at all or, if he does, may not
think is relevant?”. The classic authority is the judgment of Lord
Mansfield in
Carter
v.
Boehm
(1766)
3 Burr. 1905 where, in terms free from exaggeration, he stated at p. 1911:-
28. If
the determination of what is material were to lie with the insurer alone I do
not know how the average citizen is to know what goes on in the insurer’s
mind, unless the insurer asks him by way of the questions in a proposal form or
otherwise. I do not accept that he must seek out the proposed insurer and
question him as to his reasonableness, his prudence, and what he considers
material. The proposal form will ordinarily contain a wide ranging series of
questions followed by an omnibus question as to any other matters that are
material. In the instant case, if Mr. Mansfield had ever had the opportunity of
completing a proposal form, which, due to the convenient arrangement made
between the insurers and C.I.E., he did not, there is no reason to think that
he would have recounted petty convictions of about 20 years before the time.
For the reasons I have sought to illustrate, in my view, the learned trial
judge failed correctly to apply the very stringent test; in my judgment, the
insurers failed to discharge the onus of proof that lay on them.
29. There
is a second ground upon which, also, in my view the plaintiff is entitled to
succeed. Without detracting from what I have said in respect of the general law
of insurance, in my judgment, that law is materially affected by
over-the-counter insurance such as found in cases of the present kind, in other
forms of transit and in personal travel, including holiday insurance. If no
questions are asked of the insured, then, in the absence of fraud, the insurer
is not entitled to repudiate on grounds of non-disclosure. Fraud might arise in
such an instance as where an intending traveller has been told of imminent risk
of death and then takes out life insurance in a slot machine at an airport.
Otherwise, the insured need but answer correctly the questions asked; these
questions must he limited in kind and number; if the insurer were to have the
opportunity of denying or loading the insurance one purpose of the transaction
would he defeated. Expedition is the hallmark of this form of insurance. Mr.
Whelehan suggested that the whole basis of insurance could be seriously damaged
if there was any weakening in the rigidity and, I must add, the severity, of
the principle he sought to support. The force of such an argument as a
proposition of law is matched by the improbability of the event.
30. Mr.
Gleeson sought leave of the Court to argue as an alternative proposition that
Chariot
Inns
[1981] IR 199 was wrongly decided in being an elaboration in a particular
direction; that the reasonably prudent test is inherently unreasonable, biased
and productive of unfairness, producing unjust results and, consequently, is
not part of the common law. The issue of arguing this point was postponed until
the main grounds of the appeal were determined; having regard to the outcome of
the appeal, it is not necessary to elaborate further on the matter.