[2013] UKPC 13
Privy Council Appeal No 0087 of 2011
JUDGMENT
Mutual Holdings (Bermuda) Limited and others (Appellants) v Diane Hendricks and others (Respondents)
From the Court of Appeal of Bermuda
before
Lord Neuberger
Lady Hale
Lord Mance
Lord Wilson
Lord Sumption
JUDGMENT DELIVERED BY
LORD SUMPTION
ON
7 MAY 2013
Heard on 4-7 February 2013
Appellants Mark Howard QC Oliver Jones (Instructed by Harcus Sinclair) |
Respondents Michael Todd QC Andrew Martin (Instructed by Holman Fenwick & Willan LLP) |
LORD SUMPTION:
The Roofers Advantage Programme
The Allegations of Mr and Mrs Hendricks and AMPAT: The Coverage Meeting
"As a result of the discussion, Messrs. Partridge, Turner, Walsh and Alexander, in the presence of Messrs. Bossard and Agnew, decided that MRM, Legion, Commonwealth Risk and Mutual Indemnity should take advantage of the Hendricks' lack of understanding and lack of knowledge of the Reinsurance obligations of Mutual Indemnity and decided to tell the Hendricks that the Hendricks were responsible for losses up to Legion/Villanova's policy limits pursuant to the Shareholders' Agreement, when in fact each and all of them knew or believed that the Hendricks were not responsible to indemnify Mutual Indemnity for losses up to policy limits."
Subsequent events
"On a positive note, we have a market that is interested in removing American Patriot from an excess aggregate exposure position in the prior years. The price should be in the range of $350k to $650k. There would be no limit to this protection. In addition, we have approached a number of markets that are interested in buying down the specific excess to $200k. We hope to have this finalised in the next day or two."
In a further email on 31 March 2000, Mr Bossard described this as a "firm quote from the reinsurers that participate on our aggregate excess layer." In the Statement of Claim it is alleged that the first of these emails was sent on the instructions of Messrs Partridge, Turner and Alexander.
"The shareholder is responsible for any loss or losses excess of the Aggregate attachment plus the finite limit of $5 million."
"Mutual has agreed to purchase reinsurance to limit American Patriot's obligations for the 1997 through 1999 program years. This reinsurance is in addition to the two aggregate stop loss coverages already in place and will attach xs of the dollar limit outlined immediately below which in turn is xs of the percentage stop losses in existence for American Patriot's own !PC Program. The placement of this additional reinsurance will mean that Mutual will not seek reimbursement from Ken and/or Diane Hendricks under the Shareholders' Agreements, for any losses that exceed the combined annual aggregate reinsurance protection provided under the Program for each year."
The evidence was that this letter was drafted mainly by Mr Bossard. The final sentence of the passage quoted indicates that the additional reinsurance proposed to the Hendricks was to cover not just Mutual Indemnity's liability for the fourth layer, but also any losses exceeding the aggregate reinsurance cover provided by Mutual Indemnity, i.e. the unreinsured losses of Legion and Villanova. The premium quoted was variable between $390,000 and $1,000,000, depending on the loss penetration, with a provisional fee payable of $480,000. The letter concluded by inviting them to signify their agreement by signing a copy, and recording that
"Formal acknowledgment of this revision to the Program will be contained in the revisions to the Shareholder Agreement and will be effective upon the payment of the $480,000 fee."
Ms Saran and Mr and Mrs Hendricks duly signed a copy of the letter by way of agreement, in reliance (so the Plaintiffs allege) on the various representations said to have been made in the prior correspondence. Shortly afterwards, they paid the $480,000.
"The purpose of the amendment is to emphasize that if losses are sustained in excess of the sum of American Patriot's specific retention and the reinsurance purchased by Mutual, those losses must be funded by American Patriot. Note that this amendment applies specifically to year 4 of the program. Note also that the underwriting fee on year 4 has been reduced to 2.5%."
The amendment recited that Mr and Mrs Hendricks had agreed to be responsible for all losses up to the AAP and that Mutual Holdings had purchased reinsurance coverage above the AAP, but that losses on the programme might exceed the reinsurance. The operative provisions of the amendment were as follows:
"1. SHAREHOLDER agrees to indemnify MUTUAL and/or INSURANCE COMPANY for any losses sustained which exceed the sum of the SHAREHOLDERS specific retention plus the additional reinsurance purchased by INSURANCE COMPANY.
2. All other terms and conditions shall remain unchanged.
3. The effective date of this Amendment No. 5 shall be the 23rd day of March, 1997 but will exclude years 1, 2 and 3 of the program."
"INSURANCE COMPANY" in paragraph 1 can only have referred to the direct insurers, Legion and Villanova, although neither company was in fact party to it, or to the Shareholder Agreement which it amended. On the face of it, therefore, Amendment no. 5 made the Hendricks liable under their indemnity not only for the losses of Mutual as the reinsurer of Legion and Villanova in the fourth year, but for the unreinsured losses of Legion and Villanova themselves, up to the limits of their policies. The amendment was signed by Mr and Mrs Hendricks and Mr Alexander on behalf of Mutual Holdings, and dated 19 January 2001.
The Trial and the Judgment of Bell J
The Judgment of the Court of Appeal
"First, he decided the issue of fraud in relation to the Coverage Meeting alone, when it was necessary to take account of the whole sequence of events leading up to the 2000 renewal (on terms set out in the 20 April letter) and to Amendment No. 5 to the Shareholder's Agreement. Secondly, having found that there was no fraudulent intent, he held that the letter and the Amendment had to be interpreted consistently with that finding. That approach made it impossible to give the documents what I would hold is clearly their correct interpretation, and on that basis they did contain representations that AMPAT/the Hendricks were liable for all losses in excess of the AAP and third party reinsurance aggregate limit specified in the Program."
"For the above reasons", he concluded,
"I would find and hold that Mr. Bossard's and Mr. Agnew's account of the Coverage Meeting was broadly correct, and that representations were made to AMPAT/the Hendricks thereafter to the effect that they had an unlimited liability to Holdings and/or Mutual Indemnity for losses incurred by Legion and/or Mutual Indemnity in excess of the AAP/third party reinsurance aggregate. Those representations included the emails sent by Mr Bossard on 28 and 31 March 2000 and Mr Alexander's letter dated 14 April 2000, and they were unjustified on any view of the legal effects of the Program and of the Shareholder's Agreement. Both Mr. Partridge and Mr. Alexander knew that they were unjustified or they were at least reckless as to whether they were justified, or not. In my judgment, the evidence established a fraudulent conspiracy to which Mr. Partridge and Mr. Alexander were parties which was implemented by the 2000 Program Renewal and Amendment No.5 to the Shareholders Agreement, finally signed in January 2001."
The Present Appeal
"The need for appellate caution in reversing the judge's evaluation of the facts is based upon much more solid grounds than professional courtesy. It is because specific findings of fact, even by the most meticulous judge, are inherently an incomplete statement of the impression which was made upon him by the primary evidence. His expressed findings are always surrounded by a penumbra of imprecision as to emphasis, relative weight, minor qualification and nuance (as Renan said, la vérité est dans une nuance), of which time and language do not permit exact expression, but which may play an important part in the judge's overall evaluation."
The Corporate Appeal
Conclusion