Ferrcom Pty Limited v Commercial Union Assurance Co of Australia Limited
[1992] HCATrans 100
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IN THE HIGH COURT OF AUSTRALIA
Office of the Registry
Sydney No Sll0 of 1991 B e t w e e n -
FERRCOM PTY LIMITED
Appellant
and
COMMERCIAL UNION ASSURANCE CO
OF AUSTRALIA LIMITED
Respondent
BRENNAN J
DEANE J
DAWSON J
GAUDRON J
MCHUGH J
TRANSCRIPT OF PROCEEDINGS
AT CANBERRA ON FRIDAY, 3 APRIL 1992, AT 10.17 AM
Copyright in the High Court of Australia
| Ferrcom(2) | 1 | 3/4/92 |
| MR D.J. HIGGS: | May it please the Court, I appear with my |
learned friend, MR I.J. McGILLICUDDY, for the
appellant. (instructed by Lamrocks)
| MR v. BRUCE, QC: | May it please the Court, I appear with my |
learned friends, MR K.E. LINDGREN, QC and
MS J.S. GLEESON, for the respondent. (instructed by
A.R. Connolly & Co.)
MR HIGGS: | Your Honours, if I could hand up an outline of the appellant's submissions, and I understand that |
| a bundle of documents has already been handed to | |
| Your Honours in a black folder. |
BRENNAN J: Thank you. Yes, Mr Higgs.
| MR HIGGS: | Your Honours, this appeal turns on a question of |
law. The question of law is, what is the approach to be taken by courts to reduce a claim under an
insurance policy by an insured in circumstances to
which section 54(1) of the Insurance Contracts Act
applies? Section 54 is to be found in Part V of
the Act. It deals with the contract and to post-contractual matters. It is to be contrasted
with section 28(3) in particular and Part IV of the
Act that deals with pre-contractual matters.
Section 28 deals with remedies for nondisclosure
and misrepresentations.
At the very threshold of section 54, in order for section 54(1) of the Act to apply, there has
had to have been an act by the insured that, but
for the section, would have taken away the
insured's right to claim under the policy In the
circumstances of this case it is common ground that
there was a material non-disclosure after the
contract of insurance was entered into.
The material non-disclosure was registration
of a crane as a motor vehicle. The terms of the policy did not prohibit registration of the crane. However, condition 1 of the policy provided in general terms that anything that was material
should be notified by the insured to the insurance
company.
The crane, previously to the accident which
occurred at Darling Harbour, was on the Parliament
House site in Canberra and at the time the policy
was taken out it was unregistered. The insurer issued a policy that was entitled an unregistered
mobile crane policy. In order to drive or bring the crane from Canberra to Sydney it was registered
and for a while was driven on public roads. When it finally came to the Darling Harbour site it
remained on the site for a couple of days and was
| Ferrcom(2) | 2 | 3/4/92 |
not on a public road and overturned. It is that
damage that the insured claimed indemnity for underthe policy.
Section 54 is divided into two parts.
Subsection (1) deals with any act of the insured
that does not fall within subsection (2).
Subsection (2) provides that in the event of the
act being an act which:
could reasonably be regarded as being capable
of causing or contributing to a loss inrespect of which insurance cover is provided -
then, subject to subsection (3), the insurer is
entitled to refuse the claim; in other words, the
right that is taken away by subsection (1), the
right of avoidance for a material non-disclosure,
does not apply in the event of it being reasonably
arguable that it contributed to the loss, but
again, subject to subsection (3) and
subsection (4). Subsection (3) provides that if:
no part of the loss that gave rise to the
claim was caused by the act, the insurer may
not refuse to pay the claim by reason only of
the act.
So put shortly, the regime that is set up by
section 54 is that you distinguish between acts
which could reasonably be regarded as contributing
to the loss. If it could not be reasonably so
regarded, you go to subsection (1). If it could be
so reasonably regarded, you go to subsections (2)
to (4) of the Act. Prima facie, the insurer is
entitled to avoid the claim subject in effect to
the insured's right to prove that it in fact had no
causal connection, and in the event of there being
no causal connection, it is, as it were, an all or
nothing situation.
There is no reference or consideration to any
prejudice of the insurer in that situation. He is obliged to pay the claim. In the event, under
subsection (4), of the act being partially
responsible for the loss, there is a proportionatereduction in the right on the part of the insurer
to pay up the claim. This is a case that fell
within subsection (1).
The material act of non-disclosure in this
case was the failure on the part of the insured to
notify a registration and, as I understand it from
the arguments below, that is common ground.
In the event of there being such an act, as I
have mentioned before, the right to avoid the
| Ferrcom(2) | 3 | 3/4/92 |
policy is prohibited by reason of subsection (1)
but thereafter there is a rider which provides that
the insurer's liability in respect of the claim -
and I am picking up the words of the section in thelast three lines of subsection (1):
but his liability in respect of the claim is
reduced by the amount that fairly represents
the extent to which the insurer's interests
were prejudiced as a result of that act.
In our submission, that is a broad discretion
conferred upon a court, a discretion that calls for
a value judgment to be made by a court, and it is
one that is limited by and defined by reference to
firstly, an emphasis that the starting point at
which the court begins, the starting point for the
court, is that the right to avoid the policy or to
refuse to pay the claim is abolished. Secondly -
and I understand this to be common ground from the
arguments below - the onus of proof in establishing
the requisite prejudice is upon the insurer.
Thirdly, it is the insurer's interests which
are to be considered. It is not a situation where
the court, as some legislation provides, is to
strike a balance between both the interests of the
insurer and the insured but save to this extent,
save to the extent that considerations of fairness
which are imported into the discretion by the words
ttfairly representstt would, in considering the
insurer's interests, also compel, for thatconsideration to be fair, to take into account the
insured's interests. But we concede that it is
limited.It is nextly limited, in other words, that the
extent to which the claim is to be reduced is only
by reference to the prejudice to the insurer's
interests, that were as a result of that act. It
is not the prejudice that is a result of the loss,
or as a result of the risk or the exposure to an increased risk, following upon the act coming to
fruition. And we would submit, with respect, that it is a convenient starting point to compare what we would submit is an intentional difference on the part of the legislature to the test provided for in section 28. In section 28, as I have mentioned beforehand,
the legislature provides for remedies to an insured
and an insurer, in the event of there being a
pre-contractual misrepresentation or
non-disclosure. Section 28 raises this
distinction. In the event of there being a
fraudulent misrepresentation the insurer may avoid
the contract, and that is provided for in
| Ferrcom(2) | 4 | 3/4/92 |
subsection (2). However, in the event of the misrepresentation having no bearing upon whether or
not the insurer would have entered into the
contract for the same premium or on the same terms
and conditions, even if the insured has failed tocomply with his duty to make full disclosure, the
right to avoid the policy is abolished. That is
provided for in subsection (1).
However, if the insured does not fall within subsection (1), that gives to him the benefit of
this abolition of the right on the part of the
insurer to avoid the contract. The remedy providedto the insurer is provided for in subsection (3)
which maintains that the insurer is still not
entitled to avoid the contract, but the test there
is picked up in the last four words of
section 28(3). The direction by the legislature there is that, in respect of the claim, it is
reduced to the amount that would have placed him -the insurer - in a position in which he would have
been if the failure had not occurred, or the
representation had not been made. And we would, with respect, submit that that is a different test
to a reduction in the claim measured by reference
to an amount that fairly represents the extent of
the insurer's interests that were prejudiced as aresult of a post-contractual act.
DAWSON J: What does "prejudice" mean there?
MR HIGGS: "Prejudice", Your Honour, we would submit - - -
DAWSON J: It does not mean loss, it does not mean damage.
MR HIGGS: | Your Honour, the word "prejudice", in our submission, imports notions, at least, of |
| objectivity, reasonableness and validity. It | |
| includes, in its definition to be found in the Shorter Oxford English Dictionary: |
to injure or impair the validity of (a right, claim -
and that definition is to be found on page 27 of
the bundle of documents that I have handed up to
Your Honours.
DAWSON J: In that sense, it means prejudge.
| MR HIGGS: | Your Honour, our submission, shortly is that you |
firstly confine the word "prejudice" to look at the
impairment to the validity of any claim that arose
as a result of the act. So you look at the prejudice to the insurer at the time the material
non-disclosure occurred.
| Ferrcom(2) | 5 | 3/4/92 |
The next point is that you also, from the
terms of section 54, we would submit, with respect,
find that the definition of the word "prejudice'' is limited and limited in this way: at the very least
it does not involve any consideration that the
insurer has lost his right to avoid the policy
because at the threshold of section 54 that right
has had to have existed for the provisions of
section 54(1) to be invoked. If, in fact, it ever
was part of what the insurer's prejudice was, you
would always have the claim reduced to nil.
Thirdly, we say that the starting point in
determining prejudice is that the policy is in
existence and the insurer has an entrenched
liability thereunder and there is support for thatproposition to be found in Advance (NSW) Insurance
Agency Limited v Matthews, 166 CLR 606.
| DEANE J: | Mr Higgs, what is the provision that protects the |
insured in a case that comes within the second part of 28(1), that is where a misrepresentation did not matter?
MR HIGGS: | In the event of the misrepresentation not mattering, my understanding is, Your Honour, that |
| subsection (1) protects him because - - - |
DEANE J: Subsection (1) says, the section:
does not apply where the insurer would have
entered into the contract -
anyway. There must be some provision somewhere,
you would think, which catches up that situation.
| MR HIGGS: | Your Honour, section 33 of the Act provides that: |
The provisions of this Division are exclusive of any right that the insurer has otherwise than under this Act in respect of a failure by
the insured to disclose a matter - and there is no provision in the Act that entitles
him to avoid the policy with respect to general
insurance other than that provided for in
section 28 and being subject to the general
discretion in the case of a fraudulent failure to
comply.
DEANE J: What I had in mind was a non-fraudulent
misrepresentation -
| MR HIGGS: | I appreciate that, Your Honour. |
| DEANE J: | - - - in circumstances where, even though at |
common law it entitles the insurer to refuse to pay
| Ferrcom(2) | 6 | 3/4/92 |
by reason of terms of the policy, it appears that
he would have issued the policy on the same terms
anyway. It probably does not matter for this case.
I was just looking for the provision to complet~
the picture of the Act.
| MR HIGGS: | Your Honour, the best that I can do at the moment |
is explain to you in this way.
| DEANE J: | I think your answer, as Justice Gaudron points out |
to me, I think your reference to section 33 does
provide the answer.
MR HIGGS: If Your Honour pleases. Furthermore, in
Matthews's case, that I have just referred
Your Honours to, the Chief Justice and
Justices Dawson, Toohey and Gaudron, in considering
those provisions held that it was a complete code
and the reference to that is to be found at
page 615 at about half-way down the page, and incoming to that conclusion relied upon the
provisions of section 33. That part:
The evident intention of the legislature is to replace the antecedent common law
regulating non-disclosure, misrepresentations
and incorrect statements by insured persons
before entry into a contract with the
provisions of Pt IV. To that extent Pt IV is a statutory code -
| BRENNAN J: | Mr Higgs, do I understand your submission on |
section 54(1) to go to this extent, that the
interests that one looks at under that section as being insurers' interests exclude the right to go
off risk or to take advantage of a condition of
liability or otherwise to go off risk?
| MR HIGGS: | Your Honour, in our submission, the discretion |
conferred by section 54(1) is a broad one, and it
is one in respect of which there can be no binding
principles, only general principles. We submit that, prima facie, if a premium can be calculated
for the increased exposure to a risk that an
insurer finds himself in because of a material
non-disclosure, if it can be measured, then, beforeyou get to that evaluation that involves
determining what the amount is that fairly
represents that prejudice, you look at the word
prejudice and the interests of the insurer that arerelevant are the interests that are prejudiced as a
result of the Act.
Now, in this particular case, the prejudice
that arose because of the material non-disclosure
was that the insurer was exposed to the increased
risk of damage occurring to this crane whilst
| Ferrcorn(2) | 7 | 3/4/92 |
travelling on a public road. There is evidence
about the increased premium and the increased
excess that would be charged by reference to that
increased risk and it is only referable, in the
• evidence, to the crane being driven on the road and to the crane being driven on a public street in
circumstances where the driver might find himself
in an unfamiliar situation.
BRENNAN J: It just seems to me that that approach is
leaving out of account the words "as a result of
that act".
MR HIGGS: Well, Your Honour, the next step in the argument
is this: that when the act occurs, firstly, the
prejudice that the insurer finds himself in is that
he does not actually suffer a loss, he is exposed
to the risk, and even if there is a significant
possibility that in the circumstances peculiar to
the case he would have cancelled the policy, what
the Act does is call upon the court to put an
amount of money on that risk.
| DAWSON J: | On what risk? | ||
| MR HIGGS: | On the risk of being exposed to - - - | ||
| DAWSON J: | The risk of a claim. | ||
| MR HIGGS: |
|
an amount of money on it, what better amount of
money to put on it than the very amount of money
that insurance companies put on that risk, day in,
day out. That is, the premium.
| DAWSON J: | You do this calculation at the time of the |
prejudice, on your argument, which is the time of
the omission or act.
MR HIGGS: Because it would, in our submission, with
respect, be nonsensical to suggest that the
prejudice to the insurer's interests do not arise until the loss actually occurs. The prejudice arises when the act occurs. In other words, I am
picking up what Your Honour said.
McHUGH J: Is it your submission that the section proceeds
upon an hypothesis that the policy would have
continued?
MR HIGGS: Yes, Your Honour.
McHUGH J: Is that essential to your argument?
| MR HIGGS: No, Your Honour. | In the event of the Court, in |
considering the possibilities, determining that the policy would not have continued, you still have the
| Ferrcom(2) | 8 | 3/4/92 |
insurer being confined to the word "prejudice" and the prejudice that flows from the act. So even if
there is a possibility or even a probability in the
circumstances of a case that the insurer would
cancel the policy, when you take the various parts, the "fairly represents", the "insurer's interests", the "prejudice" that flows from the act, not from a policy that may or may not be known to the insured,that would lead to a cancellation of the insurance
contract.
But the prejudice is confined and is defined
by reference to the act, so it is not essential on
my argument that on the preponderance of the
possibilities or the probabilities that one of the
matters that might flow on the evidence from the
act is that the policy would have been cancelled.
| GAUDRON J: | Mr Higgs, where is it that the insurance company |
gets the right to cancel, having regard to your
answer to Justice Deane by reference to section 33?
MR HIGGS: | The right to cancel, Your Honour, is found in clause 3(a)(2) of the policy which - |
| GAUDRON J: | No, I am not asking you about the policy. | I am |
asking you what in the Act preserves any right in
the policy in view of what you said relating to
section 33.
| MR HIGGS: | I am sorry, Your Honour. Section 33 does not apply to section 54. Section 33 is part of Part IV | |
| ||
| question is this, that by section 59 of the Act, | ||
| the insurer is entitled to have in its policy a | ||
| clause which provides for cancellation. It is that | ||
| type of clause that was found in this particular | ||
| ||
| conveniently extracted in the bundle of documents | ||
| that I have handed up to Your Honours and is to be | ||
|
GAUDRON J: Yes, thank you.
| BRENNAN J: | Mr Hicks, I am still a little puzzled by your |
previous answer to me and your answer to
Justice McHugh. Let it be assumed that the
relevant Act, apart from section 4, conferred upon
the insurer a right to go off risk. If there be
any prejudice to the insurer's interests, how can
one determine what those interests are except by
assuming that that right is not susceptible of
exercise?
| MR HIGGS: | Your Honour, in our submission the word |
"prejudice" does cover an ambit of rights that are
| Ferrcom(2) | 9 | 3/4/92 |
impaired or taken away because of the Act. Now, in the circumstances of this case, let us assume that
the probabilities, if that be the relevant test andwe say it is not, but if the probability is that
the insurer would have gone off risk by exercisinghis rights under clause (3(a)(2), that you still
have this situation, that the act of non-disclosure
occurs, it perhaps exposes the insurer to an
increased risk of a claim, and it also means thathaving known of it, in the normal course of events,
he would have cancelled the policy.
But the contract is still on foot. He has to give the requisite 30 days notice to exercise that
right, and at that point in time, true though it is
that one of the things, one of the rights that are
impaired is his right to cancel the policy pursuant
to a contractual term that is permitted under the
Act, firstly, in concert with that he continues to
be at an increased risk, that is another prejudice
that he suffers. So, I concede that, to some
extent, there are a number of prejudices that the
insurer suffers, one of which is the one that
Your Honour propounded.
But when the judge comes to determine the
relevant prejudice, we would submit, with respect,
that he has a discretion because it is a value
judgment, and if Your Honour is against me on that,
in any event, the prejudice is predicated upon the
basis that the insurance policy continues and, in
any event, it calls upon the court to put an amount
of money on it.
BRENNAN J: | The question was not inconsistent with your argument, I thought, rather I was trying to tease |
| out what your argument was because it seems to me | |
| that if one once concedes that some prejudice other | |
| than the right to go off risk is involved and falls | |
| for evaluation one must then proceed to make that evaluation on the footing that one does not take | |
| |
| MR HIGGS: | No, Your Honour. |
BRENNAN J: And, indeed, if one looks at this condition that
one has here and sees, for example, if the policy
had said that a liability is - well, I suppose it
does say that, it says "conditional upon
notification in due time", so that in the event of
non-notification the eventuality does not give rise
to a liability under the policy. Does not one simply say, "Well, that's what 54 says goes the
other way now"?
| MR HIGGS: | That is so. |
| Ferrcom(2) | 10 | 3/4/92 |
| DAWSON J: | I think you did give the answer, but I do not |
know that you have made it as definite as it might be: faced with two possible prejudices, one, that
you lost a right to go off risk; on the other
hand, that you lost the right to the increased
premium of the policy being continued, why does the judge choose the latter rather than the former? Is the only answer that the section is predicated upon the continuance of the policy?
| MR HIGGS: | No, there are more answers to it than that, |
Your Honour. We say it is a value judgment and we say - - -
| DAWSON J: | I do not understand why it is a value judgment, |
what values do you employ -
MR HIGGS: | Because in the definition of "prejudice" there is this notion of - |
| DAWSON J: | Of fairness. |
| MR HIGGS: | - - - fairness. |
DAWSON J: But why is it fairer to choose one over the
other?
| MR HIGGS: | At the time the act occurs and the prejudice is |
invoked, you should not, in our respectful
submission, have regard to that which we now know,
with hindsight, namely the loss. Because if you
factor that into the considerations, in terms of
trying to determine what the amount of the
prejudice is in dollars and cents, with the benefit
of hindsight, it will always be the amount of the
claim. That is why the legislature confines the
prejudice to being that that comes about as a
result of the act.
At the time the prejudice arises, immediately
after the act, the only real prejudice that the
insurance company is in is this: there is an increased risk that a loss over and above that
which they envisaged, perhaps, will occur. It isnot necessarily going to occur by reference to
normal standards whereby premiums are struck and
the basis upon which insurance proceeds. The probabilities are that the risk will not occur.
But there is a risk and he has lost the opportunity
because of that increased exposure of charging a
greater premium and getting a greater profit.
| DAWSON J: | He also lost the risk of cancelling the policy. |
MR HIGGS: | He has lost that but in terms of - but then again, hand in hand with that, he then loses the |
| opportunity of not making a profit. That flows |
| Ferrcom(2) | 11 | 3/4/92 |
from the extra premium. And when coming to evaluate which is the more relevant prejudice and
coming to determine, as the court must, that it has to have put on it a dollar and cents figure, in our
respectful submission, if a premium can be
calculated it is the appropriate course because
that is the very amount of money that day in, and
day out is the value that the respondent itselfputs on this risk.
McHUGH J: Assuming you can calculate the premium, is it
possible to approach the whole problem by
determining the proportion between the actual
premium and the hypothetical premium and using that
proportion then to reduce the amount that would
have otherwise been payable under the policy? In
other words, if the premium would have been $100,
and you have paid $50, you reduce the amount of the
loss by 50 per cent.
MR HIGGS: Well, Your Honour, that comes then to what the
fair amount is. We would say no, that the preferred course simply is to entitle the insurer
to have an increased premium for this reason: inthe circumstances of this case, if there had been
any causal relationship between the act and the
actual loss, then the insurer would not be liable
at all.
So the very thing that causes this increased
premium to be calculated, the very increased risk
that, on the evidence, justifies the increased
premium, is a risk, if there be a causal
connection, to which the insurer is never exposed
because of the provisions of subsections (2) and
( 3) and ( 4) .
We do not argue that it is not within the
trial judge's discretion to award that increased
premium because, as a matter of evaluation, he
considers the possibilities and determines that
despite the fact that they are not exposed to the risk because of the provisions that succeed
subsection (1) in section 54 that he would not be
actually exposed to the risk, that considering the
possibilities and doing the best that he can, that
is the fairest way of striking the fair amount.
McHUGH J: It does not seem very fair from the insurer's
point of view after the fact to say, "Well, here
you are, we'll give you a few dollars extra for the
premium".
MR HIGGS: But, Your Honour, it is not after the fact or the
loss that is relevant; it is the prejudice that
they suffer at the time of the act, not the loss.
I assume that what Your Honour Mr Justice McHugh is
| Ferrcom(2) | 12 | 3/4/92 |
saying, the fact, the loss. Well, it comes back to
the argument that I have already put to
Your Honour, that it is confined to the prejudice
that arises as a result of the act, not the loss.
It certainly is not designed - section 54(1) is not
designed, as section 28(3) is, to put the insurer
back into the position that he would have been had
the non-disclosure not occurred.
| DEANE J: | How could section 54(3) ever apply in a case of |
non-disclosure?
| MR HIGGS: | It does not apply to non-disclosure, Your Honour. |
Well, it applies to - I am sorry, I have
misunderstood Your Honour's question. With respect
to post-contractual non-disclosures, one
illustration might be this: the insured has an
unregistered crane - - -
DEANE J: Well, assume in this case the crane fell over
between Canberra and Sydney and that was what the
claim was about, 54(3) would not apply to it, would
it?
| MR HIGGS: | No, it would not, in that situation, because |
driving on a public road could contribute to the
loss or it may have.
| DEANE J: | The relevant act is the admission by |
non-disclosure, which means that 54(3) gives no
solace to the insurer at all in a case of
non-disclosure, because it will never be thenon-disclosure that causes the loss giving rise to
the claim. If your argument be right, it will
always be what was not disclosed.
| MR HIGGS: | I think that that is so, Your Honour. | An |
illustration as to how section 54(3) would work is
not a non-disclosure case; it would be a situation,
for example, where it was a term and condition ofthe insurance policy that the crane not be
registered and then the relevant act would not be the non-disclosure, it would be the actual
registration. And then you would have a situation perhaps where the crane, whilst on a public street,
was lifting and it falls over. It is reasonably
arguable the traffic within the vicinity caused the
crane to turn over.
DEANE J: But that leads to the question Justice McHugh
asked you. I mean, say, for example, you have one hundred insureds who all start using dynamite and
do not disclose it and the risk is one chance in
one hundred, the insurer is going to be liable for
the one chance in one hundred where things go
wrong, but he is only going to get one premium,
| Ferrcom(2) | 13 | 3/4/92 |
because he is never going to find out about the 99
that did not go wrong.
MR HIGGS: Well, Your Honour, in that situation there would
be available to the insurer to lead evidence that
the premium could not be struck.
DEANE J: Yes, I see the force in that.
| MR HIGGS: | But that is not the case here, because the |
evidence was that the insurer, albeit reluctantly,
would strike a premium.
| DEANE J: | I mean, assume that there is a dynamite exclusion |
on the basis of one chance in one hundred, you can
not lead that evidence.
| MR HIGGS: | Your Honour, the evidence that I was envisaging |
was evidence to the effect that because of my
particular situation, because of this insurance
company's business and the fact that there is no fund of premiums that we can have resort to that
has a sufficiently appropriate nexus for me to
legitimately dip into that fund of premiums to meet
the claim, then in that situation the premium
cannot be calculated.
That would in part involve considerations as
to whether or not the risk that actually did occur
was sufficiently connected with the class of risk
for which the insurer had received premiums for
other accidents. In the circumstances of thiscase, we say the risk that actually eventuated, and
apart from matters of form, was the very same risk
that this policy covered this insured for.
| DEANE J: | I follow that, but what I am really asking you is: |
on your argument, can he say, in the case of
disclosure of this sort of thing, "I cancelled the
policy. That being so, the only way of adjustingthe situation to suit the facts of this case is to
treat me as cancelling the policy, because
otherwise I'll be landed with the policy where something goes wrong, but I'll never know about the
policy where nothing goes wrong".
| MR HIGGS: | The best way I can answer that is the way that I |
have already answered Your Honour, I think. It
comes down to a consideration as to whether or not
it is fair, given the risk that had occurred.
GAUDRON J: It may be a question of practice, may it not.
If in the case of notification the insurer
invariably cancels, that is one thing. If the
situation has never previously occurred, then it
may be the situation which you have answered to
Justice Deane, "Well, I just don't have any pool of
| Ferrcom ( 2 ) | 14 | HIGGS | 3/4/92 |
premiums. I haven't done it, but that's what I would do, no matter", and then this situation which
is not invariable, although - - -
| MR HIGGS: | Let me be frank: we would concede, for the |
purposes of this argument, that there was a real
chance that this insurer would have gone off risk,and that is why the facts of this case so starkly
throw up the problem, this interpretation problem. that that is not the whole answer because even if
the insurer would invariably go off risk, if his business is sufficiently connected with the risk that they actually did insure under the policy
then, we would submit, with respect, that when you
come to determine the fair amount, or the amount
that fairly represents, you still can strike the
increased premium as being the appropriate amount.
One of the reasons why that is fair, we would
submit, is this: the insurance company is the
author of the policy. It is the insurer that has
control over the terms and conditions of the policy
that he offers, and in the circumstances of this
case the appellant had an insurance policy that did·
not prohibit registration, it so could have easily
have prohibited registration if the insurer wantedto do so for the purposes of this unregistered
mobile crane policy, and in that situation, we say
that although it does not quite amount to an
estoppel it is another factor that the trial judge takes into account in evaluating what the relevant prejudice is, what the relevant fair amount is.
DAWSON J: But you would concede, would you, that if there
were no policy with an increased premium available,
so that the only alternative was to go off risk,
the result would be different, it would be as it is
in this case?
| MR HIGGS: | I think that I agree with Your Honour, if I could |
just word it so that I am not making some devastating concession. If, for this particular
insurer, on an objective test, it is just not available to him to strike a premium then the
result would be different.
DAWSON J: But if he could, and did, on occasions issue
policies of this sort with an increased premium
then, you say, fairness requires the result for
which you contend.
MR HIGGS: That is so; Your Honour.
BRENNAN J: What do you mean by not available to him to
strike a premium?
| Ferrcom(2) | 15 | 3/4/92 |
| MR HIGGS: | Because of the type of business that he is |
involved in and because the risk that he insures
does not have a sufficient nexus with the risk and
the loss that actually did occur. For example, if
there was no prohibition under a policy for aninsured to change his motor car into an aeroplane -
it is an absurd example - but in that situation an
insured would be hard-pressed to say that the
accident that occurred to the aeroplane is
sufficiently associated or connected with the risk
of loss that occurs day in and day out with the
motor vehicles.
BRENNAN J: What of the case where the insurer says, "But
for some idiosyncratic view of mine, I never want
to be on risk, for example, if dynamite is to be
used", even though many other insurers do issue a
policy with an additional premium in the event of
the use of dynamite.
| MR HIGGS: | Your Honour, in our submission, it depends upon |
the other type of insurance cover that this
particular insurer provides and as to whether or
not there is a sufficient nexus between the loss
that could occur because of dynamite and the other
types of loss that they actually do provide cover
for. In other words, it does not entirely depend
upon the idiosyncratic practices of the insurer.
It depends upon whether there is a sufficient nexus
to justify that particular insured, consequent upon
the loss, being able to dip into the pool ofpremiums that is created for the type of policy
that they do offer day in and day out.
But, in the event of it being shown that there
is not a sufficient nexus then it would be a
situation where the prejudice is not the increased
premium, it is liability for the risk or the lost
chance to cancel.
McHUGH J: | Do you deny that you can take into account the prejudice? | loss itself in determining the question of |
| MR HIGGS: | Yes. |
| MCHUGH J: | You do? |
| MR HIGGS: | Yes. |
| MCHUGH J: | The section uses the words "as a result of that |
act". It does not say the defendant's interests
were prejudiced "at the time of that act", it says
"as a result of that act". It is a causal rather
than a temporal relationship.
| Ferrcom(2) | 16 | 3/4/92 |
| MR HIGGS: | Our submission with respect to that is this, |
Your Honour: the words "as a result of" should be
confined to that temporal sense because at the time
the act occurrs there is a prejudice that arises.
What happens thereafter is not, say, prejudice as a
result of the act, it is loss because of the risk
occurring.
DAWSON J: That is, presumably, why the word "prejudice" was
used instead of the word "loss".
| MR HIGGS: | Yes, and it is because of the distinction that is |
drawn by the legislature between the rights - the
measure of recompense that is provided for in
section 54(1) as compared with section 28(3).
In support of the proposition, the prejudice
is to be measured on the footings that the
existence of the policy and the insurer's liabilitythereunder is entrenched. If I could just simply
refer Your Honours to page 622 of Matthews' case
where Justice Deane deals with section 28(3). At the top of page 622, His Honour said that: Section 28(3) does not offer an indirect means
of avoiding a policy. Its starting point is
the existence of the policy and the insurer's
entrenched liability under it. Its operation,
in a case to which it applies, is to reduce
the amount of that liability.
Then it goes on to provide that prima facie that is the amount of the additional premium. And we would submit, with respect, a fortiori that applies to section 54(1). Corning back - I do not mean to labour it, but
at the time the act occurs, you look at what the
prejudice is. We would, with respect, submit that at that time it would not be open to a trial judge
to say that the prejudice is the full amount of any
loss that is claimed, it is to be measured byreference to that passage by reference to the increased premium. Your Honours, the other submission that we
would like to make before corning, as I have, to the
way in which the discretion is limited and defined
by reference to each part of section 54(1), is to,
before that, stand back and to consider the basis
upon which this evaluation of the prejudice should
proceed.
In our respectful submission, the way in which
that evaluation is to occur is by reference to the
test that was laid down in Malec's case, but in
this situation what the trial judge is doing is
| Ferrcorn{2) | 17 | 3/4/92 |
assessing hypothetical events and, as provided for
in Malec, 169 CLR 638, it is a misconception of the
evaluation that is to occur if a trial judge were
to make findings on the balance of probabilities as
though the prospect were something that had
occurred in the past. That would be a
misconception of the process of the evaluation.
If I could just quickly take Your Honours
firstly to the judgments of Justices Brennan and
Dawson, at page 639, towards the bottom:
Hypothetical situations of the past are
analogous to future possibilities: in one case
the court must form an estimate of the
likelihood that the hypothetical situationwould have occurred, in the other the court
must form an estimate of the likelihood that
the possibility will occur. Both are to be
distinguished from events which are alleged to
have actually occurred in the past.
And then there is the passage for Lord Diplock in
Malec v McMonagle that is cited, and then going on: In assessing the plaintiff's earning capacity
in the present case, what had to be evaluated
was the prospect that the deteriorating back
condition would have precluded him from
engaging in gainful employment had he not
contracted brucellosis. An evaluation of that prospect had to be made. To make a finding on the balance of probabilities as though the
prospect were something that had occurred in
the past was to misconceive the process ofevaluation.
In our submission, that is the test rather than
embarking upon a determination as to what would
have occurred on the balance of probabilities. It
is the possibilities that have to be considered
with respect to what can only be described as past
hypothetical events, namely what would have
happened if the material on disclosure would have
occurred.
And, likewise in the judgment of
Justices Deane, Gaudron and McHugh. We would submit, with respect, that the same test, not only
in relation to future, but past hypothetical
events, is set out concisely at pages 642 to 643
under the heading "Assessing Damages for Future or
Potential Events".
In this particular case, with respect, the
members of the Court of Appeal in approaching the
evidence misconceived what it was that
| Ferrcom(2) | 18 | 3/4/92 |
Mr Justice Giles had done at first instance.
Mr Justice Giles did not make findings on the
balance of probabilities. He, with respect, in our submission, applied the proper test. He simply took into account that there were various
possibilities and conceded that he was in a
position of uncertainty.
In particular, His Honour's findings in that
regard are set out in his judgment at pages 464
through to 466 of the appeal book. His Honour made reference to the evidence of the insurer's
Mr Hughes, and the fact that there was this
endorsement, ME35A, that excluded risk in the event
of a crane overturning if the crane was registered.
His Honour declined to conclude that had Ferrcom
known of this exclusion clause, that they would
have done nothing. That is to be found at 464,
lines 19 to 22.
As I understand it - and no doubt my learned
friend will correct me if my assumption in this
regard is wrong - it is not in issue that Ferrcom
would have wanted cover against the risk of this
crane turning over. The evidence and the debate on the evidence turns on whether or not Ferrcom, the
insured or its agent would have been astute enough
to have appreciated this exclusion clause and to
have shopped around and sought cover elsewhere,
because in the findings by His Honour
Mr Justice Giles, Mr Green, who was the director of
Inbush, who His Honour found to be the insured's agent, had been asked by Mr Ferrarese, the managing
director of the insured, to notify the insured of
registration and to fix up the insurance. The evidence is that Mr Green had failed to do that.
So there is cogent evidence there that, at least from the insured's point of view, he wanted
cover. The issue on the evidence was whether or not he would have been astute enough to have
obtained that cover in the event of the material
non-disclosure not having occurred. But for the balance of Mr Justice Giles's
judgment, with respect to the facts, His Honour
does take into account the fact that there was a
real possibility that the insurer would have gone
off risk because, on the facts of the case, the
evidence from Mr Hughes, the officer in charge of
the insurance policy, was that he would not waive
this exclusion clause with respect to registeredcranes unless, amongst other things, there was an
insistence or an agitation for the exclusion clause
to be taken away and, in addition to that, therewas a broker that the insurance company perceived to be proper in their eyes, in the sense that the
| Ferrcom(2) | 19 | 3/4/92 |
broker sent them a lot of work, as would convince
them to waive this exclusion clause.So, but for a proper broker, in the eyes of the insurer, agitating for this exclusion clause to
be waived, as His Honour found there was a risk
that the insurer would have only offered cover with
this exclusion clause, that that may or may not
have been accepted by the insured, he might have shopped elsewhere for another insurance company.
But be that as it may His Honour took into account
that this was a possibility. And he does not make
findings on the balance of probabilities, the
findings are set out at 464 line 7 through to 466
line 6, where His Honour also defines the
prejudice. In our respectful submission, in
striking the amount that fairly represents, it is a
wide discretion, it is not one that would be upset
easily on appeal; it is not one in respect of
which there are firm guidelines; and it has not been demonstrated that the discretion has
miscarried.
| McHUGH J: | You say it is a fairly wide discretion, and I |
understand that, but is it a case of assessing the
damage which the insurer has suffered, do you
assess it on a basis that you might assess damages
in a case for breach of contract where there is aloss of a chance or something along those lines?
| MR HIGGS: | Your Honour, there is that possibility but it |
depends on the evidence, and on the evidence of
this case the only damage that, we would submit, is relevant is the increased premium. It is an amount
of money that this particular insurance company
concedes was a proper premium for this particular
increased risk. One could envisage, perhaps, that there are cases where that approach is not one that
would properly compensate, or be a proper value,
for that particular insurer for the reasons that I
have mentioned beforehand.
That is a problem that is dealt with by the courts day in, day out in quantum meruit cases. There is, with respect, we would submit, a convenient passage in Pavey and Matthews v Paul,
162 CLR 221, at 263 to 264, from the judgment of
Justice Deane. There, His Honour deals with what
are quantum meruit for particular circumstances
should be - it is at about point 5 of the page:
What the concept of monetary restitution involves is the payment of an amount which
constitutes, in all the relevant
circumstances, fair and just compensation for
the benefit or "enrichment" actually or
constructively accepted. Ordinarily, that
| Ferrcom(2) | 20 | 3/4/92 |
will correspond to the fair value of the
benefit provided (e.g. remuneration calculated
at a reasonable rate for work actually done or
the fair market value of materials supplied).In some categories of case, however, it would be to affront rather than satisfy the
requirements of good conscience and justice
which inspire the concept or principle of
restitution or unjust enrichment to determine
what constitutes fair and just compensation
for a benefit accepted by reference only to
what would represent a fair remuneration forthe work involved or a fair market value of
materials supplied. One such category of case is that in which unsolicited but subsequently
accepted work is done in improving property in
circumstances where remuneration for the
unsolicited work calculated at what was a
reasonable rate would far exceed the enhanced
value of the property.
So, you have there a general rule that it is the
fair market rate, but depending on the evidence and
the circumstances there can be exceptions to that
rule.
His Honour then went on, over to page 264 to
give the example there of where work had been done
at the request of the owner under a contract that
was not enforceable because of section 45 of the
Builders Licensing Act, that there being a rate
provided for in the contract and, as I understand
His Honour's judgment, that perhaps is another
exception, that it is the rate provided in the
contract rather than the fair market rate that
would be the appropriate measure.
I realize that analogies are always imperfect
but, in our submission, that is the approach, with
respect, to be adopted here. You look at the fair
market rate, by reference to what the increased
premium would be, but you always have in mind the
particular insurer and whether or not, as in those examples, there should be an exception to it.
Further in support of the construction that we
contend for, Your Honours, if I could just quickly
refer Your Honours to the bundle of documents and,
in particular, to page 24 of the bundle where there
is an extract from the Law Reform Commission report
on the Insurance Contracts Act. In paragraph 228,
to be found at page 139 of the report, there is to
be found the recommendations made by the commission
in relation to contractual obligations as opposed
to precontractual remedies and non-disclosures,
that being the reference to what is now Part V ofof the Act and is to be found on page 17 of the
| Ferrcom(2) | 21 | 3/4/92 |
bundle that is the heading for the topic, namely
Contractual Obligations.
In the recommendations on page 24 of the
bundle, the report provides, in effect, that - I am
reading from line 2 at the top:
A test based on causation, whether formulated
as a limitation on the right of termination or
as the criterion for the award of damages, isclearly preferable where the insured's conduct
is of a type that may cause or contribute to a
loss.
Then there is a discussion about whether or not -
what is the remedy to the way in which damages are
to be approached. If you go down to about point 4:
That condition would only be satisfied if the
second of the Law Commission's criteria were
to be collapsed into a simple test of
causation - and that was ruled out by the Law
Commission itself. Proportionality would
overcome the first of the problems of the Law
Commission's approach, but it would still deny
full recovery in many cases where full
recovery seems appropriate. The Commission has concluded that the only satisfactory
solution is a combination of two tests. Where the conduct of the insured might, in principle, have caused or contributed to a
loss, a causal connection approach should be
adopted.
And they are there talking about the measure of
damages and they are there talking about what has
come to be subsections (2), (3) and (4) of
section 54.
As between termination and damages in these
cases, there may not be a great deal to
choose.
remedy in those rare cases where the insured's But damages provide a more flexible conduct caused or contributed to only a part
of the loss. Given the insured's superior
knowledge concerning the circumstances of most
losses, he should bear the burden of proof.
Where the insured's conduct could not, in
principle, have caused or contributed to the
loss, the insurer should also be limited to a
right to damages. Those damages should be assessed by reference to ordinary contractual
principles. That would, presumably, involve
an application of the principle ofproportionality.
| Ferrcom(2) | 22 | 3/4/92 |
Now, the principle of proportionality is dealt with
often in the report and I will take you to where the definition of that principle is in a moment, but it in effect provides for the increased
premium, but the principle of proportionality is
based on the French model and it is the increased
premium. The report then goes on to say: The Commission recognises that, in some cases,
that principle might be difficult to apply.
But it believes those difficulties are
justified by the need to strike a fair
balance ..... The actual test should be stated
in terms of prejudice to the insurer. Damages should be measured by reference to the prejudice the insurer has suffered as a consequence of the insured's conduct. As in the case of misrepresentation and non- disclosure, the right to damages should be
exercisable only by way of reduction of a
claim.
Now, the principle of proportionality is expressly
rejected by the Commission as being the appropriate
test in relation to pre-contractual acts of
non-disclosure or the misrepresentation. If Icould just quickly take Your Honours to pages 9
and 10 of the bundle. That is a section of the
report that deals with non-disclosure and
misrepresentations, Part IV of the Act. At the
bottom of page 9:
Assessing Damages
Proportionality: ..... several
methods ..... First, normal contractual
principles might be used. On this approach, the misrepresentation or non-disclosure would
notionally be treated as a term of the
contract of insurance. An insurer would be entitled to recover such damages as would
compensate it for the loss it had suffered as
a consequence of the breach of that notional
term. Normally, those damages would be the difference between the cost to the insurer of bearing the risk it had agreed to bear - that is, the cost of the risk if the representation
were true or the fact which was not disclosed
were false - and the cost to the insurer ofbearing the actual risk - that is, the cost of bearing the risk given that the representation
was false or the fact not disclosed was true.
This appears to be the rationale behind the
principle of proportionality -
And then what goes on after that definition of the
principle is a discussion as to whether or not it
is appropriate, and in relation to pre-contractual
| Ferrcom(2) | 23 | 3/4/92 |
misrepresentations and non-disclosure, the doctrine
is rejected, and that is to be found -
| McHUGH J: | But I notice that they say at about seven lines |
down:
Under French law, for example, an insurer is
obliged to pay the proportion of the claim which the actual premium paid bears to the
premium which would have been payable if the
material facts had been disclosed.
Now, is that the principle of proportionality that
they are talking about?
| MR HIGGS: | No, Your Honour. There are a number of |
variations to that basic principle of
proportionality that we submit is defined in thereport in that Part that I have just read to
Your Honours, and then there is - I am sorry,
Your Honour. Is Your Honour reading immediately
after that? Would Your Honour just bear with me.
McHUGH J: About seven lines down:
Under French law, for example, an insurer is
obliged to pay the proportion of the claim which the actual premium paid bears to the
premium which would have been payable if the
material facts had been disclosed.
So, that seems to be very much like the
illustration I gave you earlier: if the premium
was $50, you paid $50 and it should have been $100
you get 50 per cent of the claim or the loss. Now, is that what they are talking about?
| MR HIGGS: | Your Honour, I must say that I did not perceive |
it to be so but, quite frankly, on that being
pointed out, it may be. Your Honour, if that is correct then we would adopt that as a fall-back
position in terms of making the adjustment. But I
must say that I understood the principle of proportionality to be the difference in the premium
as defined in that part of the report that I read
out.
| DAWSON J: | The French position would seem to be pursuant to |
an express provision?
| MR HIGGS: | And, as I understand it, it is an amendment to |
what is generally perceived to be the doctrine of
proportionality, it is an amended version of it.
In any event, on page 13, in the four lines
immediately above the heading, Means of
Evasion,paragraph 195, that is where you find the commission rejecting the doctrine of
| Ferrcom(2) | 24 | 3/4/92 |
proportionality with respect to pre-contractual
representations.
McHUGH J: Yes, I know, but the passage that you referred us
to, what page was that where they were discussing
the - - -
| MR HIGGS: | The first passage, Your Honour? |
| McHUGH J: | The recommendations, was it? |
| MR HIGGS: | No, that is on page 24 of the bundle. |
McHUGH J: Page 24, yes.
| MR HIGGS: | Paragraph 228. |
MCHUGH J: It says:
Those damages should be assessed by reference
to ordinary contractual principles. That
would, presumably, involve an application of
the principle of proportionality.
| MR HIGGS: | Your Honour, throughout the whole report, the |
commission expressly disavows that doctrine as
being an appropriate measure of damage.
McHUGH J: But judging from what I have just read here, only
as a sole test. I mean, there was a causal connection theory put forward, that was rejected
because it does not deal with some cases;
proportionality put forward, it was rejected. But
what they do on page 24 of the bundle of documents
is to sort of have an amalgam of them both.
MR HIGGS: That is so, Your Honour, and that is the reason
for the two classes of those contractual acts to be
found, firstly, in subsection (1) and then insubsections (2), (3) and (4). Section 54 perhaps
has this anomaly: in relation to events that one
would have thought are more pertinent or relevantlyculpable to the loss that actually occurs, provided the insured discharges the onus that is placed upon it under subsection (3) to show that although it is reasonably arguable that that non-disclosure might
have caused the accident, in fact, it did not, then
there is no adjustment by reference to theinsurer's interests at all. Yet, when you come to the provisions of subsection (1), which we would submit at first
blush would seem to be less culpable relevantly, there is that adjustment to be made.
McHUGH J: But that overlooks the point that Justice Deane
made and that is the question of the statistical
| Ferrcom(2) | 25 | 3/4/92 |
correlation between risk and losses. It may be that there is no causal connection between this
particular case and the premium, but then one has
to look at the whole picture.
GAUDRON J: There never will be a causal connection in
subsection (1), will there?
| MR HIGGS: | No. |
BRENNAN J: | And the real difficulty with it lies in the perception by the commission. It was possible to |
| refer to ordinary contractual principles in | |
| assessing something under a section which abolished ordinary contractual principles. | |
| MR HIGGS: | Yes, and you have a situation where you have |
varying degrees of weight to be given to the
matters to be taken into consideration when you
determine the amount that it fairly represents.
There are the wide words to be found in
subsection (1) and we would submit, with respect,
also, that there is some guidance in looking at the
words to be found in subsections (2) and (3), that
you do take into consideration as a factor that is
not decisive, as opposed to it being a decisive
factor in subsections (2) and (3), as to whether ornot there is a causal connection or the degree of
that connection. But it is only a factor. They are our submissions, Your Honours.
BRENNAN J: Thank you, Mr Higgs. Mr Bruce.
MR BRUCE: Could I hand to Your Honours, if I may, an
outline of the respondent's submissions. In
relation to section 54(1) of the Act, as has just
been indicated, there is no causal connection
between the act and the event giving rise to the
claim under the insurance policy.
BRENNAN J: Perhaps you should give us a moment to look at
your outline.
MR BRUCE: If Your Honour pleases.
BRENNAN J: Yes, Mr Bruce?
| MR BRUCE: | Our primary submission is that what is involved |
in an application of section 54(1) is an
ascertainment of the actual prejudice sustained by
the actual insurer involved in the claim. IfYour Honours go to the section, the terms of it
are, so far as we would respectfully submit, that
the section should be read as follows, that it is
based upon the continued existence of an insurance
policy because at the time of the - if there is a
non-disclosure at the time of the event giving rise
| Ferrcom(2) | 26 | 3/4/92 |
to the claim, the policy has not been ended as a
result of any provision contained in the terms ofthe policy.
For example, in the present case, if the
registration had occurred as it did in May 1987 and
it was made known to the insurer, then if the
insurer did not terminate pursuant to that
notification, that would be the end of any claim
which the insurer may have. If the insurer was not
aware of the fact of registration, then the policy
would have continued, the insurer not being in a
position to exercise any rights which it had under
the policy.
The section commences to operate when there is
an event which gives rise to a claim. So that at the time the exercise of determining the prejudice
to the insurer takes place, the claim to pay moneys
has crystallized and the parties are aware that
there is a sum of money which may be payable to the
insured.
If Your Honours go to the section, the terms
of the section when they use the word "prejudice",
in our respectful submission, are wholly
appropriate for determining a sum in relation to a
contractual situation. The insurer has been prejudiced, in our respectful submission, by being
left in a position where it is liable for the
payment of a known sum of money and when one comes
to determine what is an amount which fairly
represents the extent to which the insurer's
interests were prejudiced - past tense, notprospectively - one takes into account the actual
circumstances of the actual insurer so that, we
would respectfully submit, if the insurer had a
policy of never insuring the type of risk which was
sought to be covered by the changed circumstances,
then one would say they are prejudiced by having to
pay the claim because had they known they would
never have been liable for it.
If the degree of certainty of the obligation
to pay, if the true circumstances were known to
them, was a less than 100 per cent certainty, then
that reduced factor is a chance which is taken into
account in determining what is said to be an amount
which fairly represents the extent of the prejudice
and it becomes a factual inquiry in each case to
determine what were the circumstances of each case,
what was the situation of each insurer and what it
would have done in each particular circumstance.
Your Honour, it is our respectful submission
that that is the proper construction and the proper
approach that the Court should take when it is
| Ferrcom(2) | 27 | 3/4/92 |
called upon to determine what is the amount of the
prejudice.
| McHUGH J: | But even on that approach you would not look at |
the matter in terms of the balance of
probabilities, would you?
MR BRUCE: | No, Your Honour, but in arriving at a fair amount a tribunal, or whoever is making the determination, |
| must take into account the factors and must apply them in a way which is apparently proper, so that | |
| if all the undisputed evidence was that had this | |
| insurer known it would not have borne the cover, | |
| full stop, then a determination that its loss was, for example, some hypothetical increased premium | |
| would on its face, in our respectful submission, be | |
| a misapplicatio~ of the material before the | |
| tribunal, so that its determination would be | |
| subject to review as a jury trial. | |
BRENNAN J: | What if the facts were that the particular insurer in the particular case always went off risk |
| unless there was a 5 per cent loading put on the | |
| premium? | |
| MR BRUCE: | In that case, Your Honour, it would no doubt be 5 |
per cent.
| BRENNAN J: | What then is the difference between your approach to the construction of the section and the |
| MR BRUCE: | Your Honour, the approach is different in this |
way, that in our respectful submission you look at
what the particular insurer would have done. What
is being put on behalf of the appellant is that one
does not necessarily do that, but one arrives at a
hypothetical figure, taking into account some
nebulous pool of premiums which have been
accumulated in respect of insurance other than
insurance which is effected with the 5 per cent
additional premium, as in Your Honour's example. So that we are saying that you must have a proper
factual examination rather than the partially
factual, partially hypothetical approach taken by -
submitted to Your Honours by the appellant.
When one comes to look at the factual
circumstances of this case, what the evidence, in
our respectful submission, shows, was that therewas a policy of not issuing policies - I should not
say that. The policy of the insurance company was
not' to effect insurance of registered motor cranes
without the rider which excluded liability for
overturning. That was subject to the rider and put
in evidence as a possibility, no more than that,
and the person giving evidence on behalf of the
| Ferrcom(2) | 28 | 3/4/92 |
respondent said that he had been asked on numerous
occasions - on a number of occasions - to issue
policies without such a rider and he had refused,
and there was no evidence that in fact the company
had ever issued it. But he said, and the evidence
is, that there was a possibility that, in effect,
if the right person asked then it would be grantedand, with respect, anyone truthfully giving
evidence in a commercial situation must have given
that evidence.
If one has a good client who is providing a
flow of - or a good broker who is providing a large
flow of business to an insurer, then plainly, with
respect, common sense would show that it would be
likely that he would be able to extract more
favourable terms than a one-off approach from a man
in the street or, alternatively, a broker who had
no significant business. But the evidence, in our
respectful submission, establishes that it is no
more than a possibility that it could be issued
without that rider.
| McHUGH J: | Mr Bruce, supposing the trial judge had found |
that there was a 90 per cent probability that your
client would have cancelled the policy, would that
mean that the amount would be reduced by
90 per cent?
| MR BRUCE: | Your Honour, if that were the case he would then |
have to form an assessment of what was the amount by which our interest were prejudiced, and it may
be 10 per cent or it may be some lesser sum. But
what his conclusion then would have been, that
there would only be a 10 per cent chance that wewould have stayed on risk, and if he came to that
conclusion, it is our respectful submission that he
could not possibly conclude that the measure of ourprejudice was simply an increase in premium and,
perhaps, a small increase in excess. The question becomes a balancing exercise, but taking into
account all the factors.
If I may go back to the actual factual
situation in this case: evidence (a) was that the
company had a policy of not issuing policies
without the rider, (b) that they had not done it,
(c) that they would not have done it with the
particular broker who was acting on behalf of the
insured appellant, and there was no effective
cross-examination about that and His Honour, the
trial judge, accepted that evidence.
The next step is that in order to obtain the
possibility of an insurance policy without the
rider, it would have been necessary for the insured
to change brokers and for that broker to obtain the
| Ferrcom(2) | 29 | 3/4/92 |
concession from the insurer of deleting the rider.
The evidence shows that, after this accident, after
the claim, after the rejection of the claim, the
new broker Hernrns Cassell who, on the evidence,
would have been likely to have obtained an
indulgence had they pursued it, effected insurance
of registered cranes which had the overrider, and
there is nothing to suggest that there was any
attempt by the insured or by its broker to have
that overrider removed. So that the actual situation, so far as the insured was concerned, was
that when he has effected insurance with this
company with full knowledge of the requirement for
it to have an overrider, he accepted that, and that
was in 1988. His Honour, with respect to him, did
not advert to that at any stage in his judgment,
and it is our respectful submission that when
His Honour, at the first instance,
Mr Justice Giles, directed himself to the
questions, he did not take into account the full
circumstances.
If I could, very quickly, with Your Honours'
permission, take Your Honours to page 464 of
volume II of the appeal book where His Honour dealt
with this matter - perhaps if I could refer
Your Honours to page 463, the whole of that page
ends with His Honour saying:
This evidence of Mr Hughes was in
substance unimpaired by cross-examination.
Ferrcom endeavoured to show that CU had
insured the crane or other crane at different
times without endorsement ME35A, but did not
succeed in that endeavour.
In fact, the evidence was to the contrary. The evidence showed that they had insured them with the
rider when they knew of the fact that the insurer
required such a rider.
DEANE J: Mr Bruce, is there any explanation in the evidence
of why the endorsement excluded overturning in circumstances where an unregistered crane could
lawfully be used?
MR BRUCE: There does not appear to be, no, Your Honour, but
there is evidence that the underwriting of such
matters is a technical matter; people with
expertise deal with it.
DEANE J: But it could be that registered cranes have a
variety of sites that unregistered cranes do not.
MR BRUCE: There are all sorts of physical possibilities for
adopting that stand, Your Honour.
| Ferrcom(2) | 30 | 3/4/92 |
| GAUDRON J: | I thought there was something about that risk |
normally being covered by some other form of - - -
MR BRUCE: | Yes, by a contractor's risk policy, I think it may have been, Your Honour, but I will look that |
| up. | |
GA~DRON J: | I think that was given as the reason for the exclusion. |
| MR BRUCE: | Or why they would accept that exclusion, I think |
it may be, Your Honour, but they were still covered
by obtaining other insurance. If I could then go,
Your Honours, to 464. His Honour says at line 7: In assessing the fair representation of the extent to which CU's interests were
prejudiced it seems to me that it is proper,
if not necessary, to do more than simply
conclude that CU would have gone off risk by
cancelling the policy had the notification
been given to it. Regard must also be paid to
what Ferrcom would have done if told by CU,upon notification having been given, that CU
would no longer cover the crane. There was no
direct evidence of this. However, I think I can infer that Ferrcom would have asked CU for
the terms on which it would cover the crane,
and upon being told that it would provide
cover by way of the commercial motor vehicle
policy but with endorsement ME35A, would have
enquired as to the terms on which that
endorsement would be dispensed with. Cover against loss or damage through overturning is
clearly a vital aspect of the cover requiredfor a crane, and I decline to conclude that
Ferrcom would have done nothing.
With respect of His Honour, it is our
respectful submission that His Honour was in error
in that portion of his judgment because, as
His Honour said, there was no direct evidence of what they would have done. No one from Ferrcom said what they would have done. No one from Ferrcom said that they sought insurance against
overturning. There is not a word of evidence to
indicate that they sought that cover. And, with
respect to His Honour, there is nothing, in our
respectful submission, from which it would be open
to infer that they would have made these inquiries,
bearing in mind their conduct in 1988 when they
accepted insurance with the rider.
It was put to you by my learned friend that
the appellant had sought this cover. With respect,
the evidence does not go to that point. What it goes to, in our respectful submission, is that the
| Ferrcom(2) | 31 | 3/4/92 |
broker, Mr Green, informed the appellant that if
the vehicle was to be registered they would need toinform the insurer. Pursuant to that advice,
Ferrcom informed Mr Green, Mr Green did not pass
that information along or effect alternative
insurance. But there is nothing to indicate that Ferrcom was conscious of the terms of a registered
insurance policy - an insurance policy for
registered cranes, other than it was aware that it
was a different policy. And there is nothing to indicate, in our respectful submission, that there
was any desire to obtain the insurance which was
excluded by ME35.
His Honour then goes on, at line 23:
At that stage Ferrcom may have gone to
another insurer, or it may have pressed CU.
What is uncertain is whether or not the
enquiries made by Ferrcom of CU would have
revealed to it that if it went to a broker of
appropriate standing in the eyes of CU itwould be able to obtain cover, at an increased
premium and with an increased excess, without
the endorsement, whether or not that being
revealed to it it would have obtained cover
from CU through such a broker, and whether or
not in lieu of its doing so it would have
obtained cover from another insurer. Thereare other insurers in the market, but I do not
know the terms they would have offered.
So there was no evidence that there was insurance
available in the market-place against overturning.
There was no evidence from which, in our respectful submission, His Honour could conclude that there
was any probability or possibility that an inquiry
of Commercial Union would have disclosed to the
appellant that he could have got this insurance,
which they did not want to issue, by going to
someone other than Mr Green. And, with respect to His Honour, it would be our respectful submission that the inference that one would draw, properly, from that material, would be that he would not be informed that by changing brokers he could get a policy which the company did not want to issue.
McHUGH J: But, is not the onus on you to negative that?
MR BRUCE: | Yes, Your Honour - I am sorry, when I say yes, the policy on the respondent, with respect, is to | |
| say what would have happened. That does not, in | ||
| our respectful submission, mean that His Honour can | ||
| hypothesize that if he had come and talked to us we | ||
| ||
| anyone in cross-examination and, with respect to | ||
| His Honour, it is simply speculation when he has |
| Ferrcom(2) | 32 | 3/4/92 |
come to deal with the matter that there may have
been some communication.
There is no material upon which His Honour
could conclude that the particular appellant would
have derived information from the respondent which
would have enabled him to select the broker who
could have got him the terms, a policy without this
rider. There is just nothing and it is not, with
respect, an onus upon the respondent to have
adduced evidence that if he had come and asked we
would have told him nothing, when the evidence from
the appellant is that at no stage did he ever
inquire as to the removal of this even when he was
aware that it existed.
| GAUDRON J: | Does not that rather sophisticate notions of |
onus of proof and evidentiary onus, and your
evidence was that there was a way in which you
might have done something and the question to be
answered in the way indicated in Malec was, "Well,what were the probabilities?".
MR BRUCE: With respect, Your Honour, we do not dispute that
there is some possibility that he may have obtained
the insurance. We cannot do that on the state of the evidence, but the state of the evidence does
not leave it open, in our respectful submission, to
conclude that he would probably have done that.
| GAUDRON J: | No, it is not a question of what the appellant |
probably would have done, it is a question of what
you probably would have done.
BRENNAN J: Only in certain circumstances, with respect.
| GAUDRON J: | No, in the circumstance where the evidence was |
that you allowed for a possibility otherwise. Your evidence allowed for a possibility otherwise.
MR BRUCE: With respect, Your Honour, there must be, in any
commercial transaction, if an added ingredient is
added to the cake, the possibility of a particular event occurring. The added ingredient added to the cake is a broker who provided business to the
respondent.
GAUDRON J: Well I was wondering about that; the notion of
special deals really does mean that you must limit
fairly exactly to the calculation of the money
amount, does it not?
| MR BRUCE: | I am sorry, I do not quite follow that. |
GAUDRON J: Well, if one were to make a fair assessment of
the prejudice rather than an assessment of an
amount that fairly represents the prejudice, you
| Ferrcom(2) | 33 | 3/4/92 |
presumably would not take into account that he
might have been deprived by reason of hisunfortunately having a broker not in quite as good
standing as others.
| MR BRUCE: | No, Your Honour, with respect; you take into |
account the fact of the broker that he had.
GAUDRON J: Well, that is what I was saying. You can do
that because "fairly" refers to the amount of money
that is calculated, not the prejudice.
MR BRUCE: | Yes, Your Honour; you have to look at exactly what his situation was and then work out fairly |
| what sum of money represents the prejudice to the | |
| insurer as a result of the events that occur. |
Your Honours, the particular matter I was
dealing with was, in effect, His Honour's
conclusion at lines 21 and 22, where His Honour
said:
I decline to conclude that Ferrcom would have
done nothing.
With respect to His Honour, there was no material
from which that conclusion could have been reached
and the evidence, with respect to His Honour, was
to the contrary. He then goes on to say they could: have gone to another insurer, or it may have
pressed CU. What is uncertain -
and I have dealt with that. And His Honour then goes on, in the first paragraph at line 8 on
page 465:
I ask myself how section 54(1) is to be
applied when I am left in this state of
uncertainty. It seems to me that attention
must be concentrated upon the prejudice to CU
to which section 54(1) refers.
And that involves, in our respectful submission,
looking at the situation, a claim having been made,
the sum of money sought to be recovered from the
insurer crystallized and looking at the particular
circumstances of Commercial Union and, as I
indicated in response to His Honour
Mr Justice Brennan, we do not dispute that if the
practice of the insurer was to issue a policy at an increased premium, then the increased premium would
be the prejudice.
| DEANE J: | You do not, in those circumstances, seek the |
proportionality argument?
| Ferrcom(2) | 34 | 3/4/92 |
| MR BRUCE: | No, Your Honour. |
| DEANE J: | Why not? | I am not suggesting you should, I am |
just interested as to why you would not be.
| MR BRUCE: | Your Honour, with respect, it would appear to us |
that the prejudice that is suffered, if one takes
the situation where a policy is on foot, is the
failure to collect the premium which would have
been attributable to that policy; it is not the
consequence of paying more money than would have
been paid. Because the act that is relied upon is
not a diminished premium already collected. The act relied upon is some act which would have given
a right to the insurer to decline liability.
McHUGH J: But why is there not a prejudice that you are, for example, at twice the risk for the amount of
premium that you have paid, so that the amount of
your liability is twice that which it ought to be?
MR BRUCE: With respect, I accept that, Your Honour.
Provided that actual error or calculations came to
that, that would, with respect, be correct and I am
in error.
DEANE J: Well, except this seems to have far-reaching
consequences in the insurance industry. If it has
not been put below, and we are not really informed
about all the implications of it, should we
not - - -
MR BRUCE: It has never been argued, Your Honour.
DEANE J: Should we not steer well clear of it in this case?
MR BRUCE: Not if it is advantageous to me, Your Honour, but
I cannot suggest that it has been argued anywhere
else in the course of the progress of this case.
DEANE J: Because there is obviously great force in the
notion that if non-disclosure will never, as it were, bring you within subsection (3), there is an
element of real unfairness in simply talking about
an increased premium instead of attributing the
risk by reference to what was paid as a proportionof what should have been paid.
| MR BRUCE: | Yes, Your Honour, but it has not been argued at |
any stage in this case.
| DEANE J: One can see why. | This seems to have been an all |
or nothing approach, in the Court of Appeal,
anyway.
| MR BRUCE: | Indeed, I think the whole way, with respect, |
Your Honour.
| Ferrcom(2) | 35 | 3/4/92 |
BRENNAN J: Is it right to say that that approach - that is
the French approach, if I understand it correctly -
was considered and rejected by the commission?
| MR BRUCE: | It appears to have been rejected by the |
commission, yes, Your Honour.
BRENNAN J: For this area?
| MR BRUCE: | No, for precontractual, and then they, in one |
line, having said that you determine this amount by
ordinary contractual principles, they say
presumably the principle of proportionality would
apply.
| BRENNAN J: | I must say that those are words of ex·- ·isite |
obscurity.
MR BRUCE: That depends, I suppose, Your Honour, en one's
ability to read French. His Honour, on page 465,
line 8 and following, refers to a "state of
uncertainty", that uncertainty being what the
insured may have done if he was aware that his
policy would be limited in the way it was. With
respect to His Honour, while there may be an
inability to conclude what he would have done,
there is nothing from which His Honour couldconclude that he would have sought to have this
insurer continue to insure him with the rider
removed and that His Honour really, with respect to him, came to deal, at 465, based on a misconception
of the way he should deal with it. What he did was
simply, at line 16, say:
I consider that I should conclude that the
prejudice to its interests as a result of the
failure of Ferrcom to notify the registration
of the crane was not that it remain on risk in
relation to damage to the crane from
overturning, but that it remained on risk
without having received the additional premium
or imposed the increased excess of which Mr Hughes spoke. That is the real extent of
its damage and the real measure of its
damages.
And His Honour advances no reasons for reaching
that situation and, in our respectful submission,
there was no basis upon which His Honour could have
reached that conclusion on the state of the
evidence because, in our respectful submission, on
any view of it the best that the insured ever had
was some remote chance, if he changed his broker
and the broker made demands upon the insurer of
getting a policy at an increased premium. So an increased premium was the high-water mark of what
could be recovered. Any diminution in a
| Ferrcom(2) | 36 | 3/4/92 |
100 per cent certainty must mean that the prejudice
to the insurer increased. So that His Honour could
not, in our respectful submission, have come to the
conclusion, properly, that he has come to at that
page.
So that when one reaches a conclusion, which
we would respectfully submit Your Honours should,
that this conclusion is in error, then one looks at
the material and says, "What is the appropriateamount" or sends it back for it to be determined
otherwise. And what we would submit to Your Honours is that there is an amount to which
the insured is entitled as a fair estimate of its
prejudice, which approximates the amount of theclaim. There may be some minor discounting for the
minor - we would submit is minor - chance of the
policy being issued without the cover or without
the rider, I should say, with respect to
Your Honours. And His Honour says at the top of 466: The burden lies on CU to show the prejudice to
its interests, that is, to show the position
it would have been in but for the failure to
notify, and it has not been shown that it
would have been in any worse position than on
risk but with additional premium and an
increased excess.
With respect to His Honour, that misconceives the
evidence when you have the undisputed evidence that
it would not issue it in a situation where the
insured proceeded with its present broker. And it was proceeding with its present broker. He made the claim pursuant to this policy. In those
circumstances His Honour, in our respectful
submission, must be in error.
| GAUDRON | J: | Mr Bruce, could I just take you back? | When you |
said there might be some minor adjustment, do I
take it that it has been common ground all along
that the adjustment is to be foregone if, on a proper analysis, there should be - - -
MR BRUCE: | No, Your Honour, there has been no agreement to that effect. |
GAUDRON J: Because, I mean, one would have thought that,
strictly, one aspect of this would be to value the
right to cancel.
| MR BRUCE: | At the time of the claim coming in. |
GAUDRON J: Yes. Well, I do not know, the time does not
matter, but one aspect that might have to be
| Ferrcom(2) | 37 | 3/4/92 |
adjusted for is the premium already paid, or the
proportion of the premium already paid.
| MR BRUCE: | I think, Your Honour, the premium already paid |
was taken into account in the figures which were
arrived at as being the amount which the respondent
recovered.
| GAUDRON J: | Yes, and it might be, for example, in a |
particular case you would come to the conclusion
that the value of that was 80 per cent, say, or
some percentage of it, but this case has never beenrun, I take it, on the basis of valuing the right
to cancel.
| MR BRUCE: | It has been run on the basis, Your Honour, that |
the loss of the right to cancel was a prejudice and
the prejudice was valued at the amount of the
claim. I think that would be a fair way to put it, Your Honour.
| GAUDRON J: | Or could it be said it has been run on the basis |
that, in the circumstances of this case, if there
had - that if one came to value the right to
cancel, they said it was to be valued on the basis
that it would have been exercised?
| MR BRUCE: | Yes, I would have to say that, Your Honour, yes. |
| DEANE J: | What then would you say - and this is just a |
hypothetical question - if one were to take the
view that, in a case such as this, the correct
approach was to ascertain the probabilities and if,
for example, one were of the view there was a
70 per cent or an 80 per cent chance ofcancellation but a 20 per cent chance of no
cancellation, no endorsement, that you should apply
that?
MR BRUCE: That there should be, in that case, a reduction
to some extent from a valuation - - -
| DEANE J: Well, 80 per cent. |
MR BRUCE: There would be a reduction of the claim by
80 per cent, yes.
| DEANE J: | And then, as to the 20 per cent, if you followed |
through Justice McHugh's questions, you would
adjust the 20 per cent by reference to the
increased premium and the appropriate risk.
| MR BRUCE: | Yes, that could |
| DEANE J: | Now, that does not seem to have been contemplated |
in the judgments below. Is that because it was
never put that way?
| Ferrcom(2) | 38 | 3/4/92 |
| MR BRUCE: | No, never been adverted to, Your Honour. | But the |
case preceded really, at first instance, with
His Honour Mr Justice Giles determining what he
perceived to be the factual situation where
Commercial Union was not in any worse position than
if it had got an increased premium. We say that that is in error on the evidence before him. The Court of Appeal dealt with it and the majority decision there was that His Honour was in error
factually and the proper approach was that, for all
practical purposes, it would have been cancelled.
DEANE J: Well, I mean one can fully understand why counsel
of the appellant would take that approach and that
what I was putting to you would not, in the
circumstance of this case, lead to a result that
would in any way have been satisfactory from their
point of view.
| MR BRUCE: | No, certainly not, Your Honour, but it has never |
been run, no matter whose advantage it was for. I think, Your Honours, that is all I wish to put to Your Honours.
BRENNAN J: Thank you, Mr Bruce. Mr Higgs.
| MR HIGGS: | My learned friend submitted that there was no |
evidence that the appellant wanted cover of the
type that ME35A excluded. There is no evidence to
the effect that Mr Ferrarese said, "I wanted cover
against overturning", except to this extent: at
page 448 line 9, Mr Justice Giles found
Mr Ferrarese to be a witness of truth.
Mr Ferrarese's statement is to be found at page 188of the appeal book wherein he made reference to
having a vague notion that he needed to have the
crane insured because it was leased, and at
page 191 of the appeal book there is evidence about
him telling Mr Green, of registration, that he
needed to have the insurance fixed up. At lines 23 to 27, the conversation was:
Ferrarese: "We are going to re-register the two mobile cranes that are covered by the
Commercial Union. Can you fix up the insurance?" Green: "I'll fix it up".
And of course, at that time, there was the cover
against overturning. And there was also evidence that Mr Green did not fix it up, and that is to be
found at page 194 at paragraph 43 of the statement.
Mr Green told Mr Ferrarese that he had a problem
because he had not notified the insurer of
registration as he should have.
| Ferrcom(2) | 39 | 3/4/92 |
At page 60 of the transcript, lines 10 to 12,
there was evidence that Mr Ferrarese trusted
Mr Green. He had trusted Mr Green to alter the insurance policy and there was reference to him not
appreciating that there was a vital difference
between the crane being registered and
unregistered.
At lines 19 through to 27 on page 60, perhaps
these answers by Mr Ferrarese demonstrate his
appreciation or lack of appreciation of the finerdetail of an insurance cover that was needed for
the crane. He was asked:
Q. Going back to what I asked you before, as at March 1987 so far as you were concerned
within your organization you did not
appreciate whether you had insurance for a
registered vehicle or an unregistered vehicle,
is that right? A. No, if the crane tipped it
has to be repaired.
Q. Because you had insurance? A. That is right.
Q. That approach to your insurance business remained pretty much the same until this
accident happened? A. Basically, yes.
In our submission, the overall impression from the
evidence, that His Honour was entitled to draw an
inference, was to this effect, that Mr Ferrarese
wanted the crane covered; he had cover against overturning; he basically relied on Mr Green to effect that cover; he trusted Mr Green; he
understood that if the crane was damaged it would
be covered. The duty that Mr Green was found to
have breached in failing to effect the insurance
cover meant that although Mr Ferrarese may not have applied his mind to the finer detail of what it was with respect to every particular event that was
covered, that he wanted a comprehensive insurance cover for this particular crane - - -
| BRENNAN J: | He wanted cover against overturning? |
MR HIGGS: Against overturning.
BRENNAN J: But why as part of this policy?
| MR HIGGS: | He had it already as part of the policy. |
BRENNAN J: Yes. If it was no longer available under this
policy, then one might have to seek elsewhere for
~t?
| Ferrcom(2) | 40 | 3/4/92 |
| MR HIGGS: | Your Honour, in the event of this policy being |
cancelled and a new policy, hypothetically, being
offered with the exclusion, then I cannot cavil
with the suggestion that there is a significant
possibility, at the very least, that perhaps
Mr Green would not have been so astute as to shop
around for appropriate cover. But, with respect to
my friend's submission that Mr Ferrarese did not
want this cover, and that there was no evidence byreference to which an inference of that type could
be drawn, we say that there is evidence to the
effect that he did want the cover. He might have been let down by Mr Green but he, himself, wanted
the cover.
The various findings are - there is a good
summary to support this conclusion that Mr Green
was told to cover the crane after registration,
that is to be found at 514 line 17 to 18 in the
judgment of Mr Justice Priestley. Ferrcom, that is
the insurer, told its agent of the proposed
registration. I have already referred Your Honour to that evidence, and it is referred to, variously, in Mr Justice Giles's judgments at page 448 lines 3
to 7, lines 445 lines 5 to 16. The instructions were certain enough to be acted upon by Mr Green.
Mr Justice Giles found that at page 449 lines 18 to
20. Inbush, Mr Green's company, was not Commercial
Union's agent - Mr Justice Giles's judgment again,
445 line 25, and that but for section 54 and the
trial judge's findings as to that sheeting home
liability to Commercial Union, Mr Green would have
been liable to Ferrcom, that he was in breach of
his duty, and that is to be found at page 471
lines 5 to 17.
My learned friend also submitted that there
was evidence of cover being obtained about 10 to 12
months after the accident with respect to
registered cranes in relation to which there was
this exclusion clause. There is evidence of that
and, with respect, we submit that as to what Ferrcom did 10 months later in relation to other
insurance policies can have little bearing or
little relevance upon a determination as to what
Ferrcom would have tried to do with respect to this
particular crane.
Mr Justice Priestley in his judgment rejects
that evidence as being relevant to the
consideration as to what Ferrcom would have done
with respect to this policy by looking to what they
did 12 months later on. That is to be found at
page 533, lines 16 to 21, of the appeal book.
My learned friend also submitted that there
was no evidence that there was cover of this type
| Ferrcom(2) | 41 | 3/4/92 |
available, that is cover against the risk of the
crane overturning, with respect to registered
vehicles. If I could simply adopt what
Justice Gaudron said, that there is Mr Hughes'
evidence.
| GAUDRON J: | Where will I find that precisely? |
| MR HIGGS: | I can give Your Honour that reference. | Firstly, |
Your Honour asked for the explanation as to why there was particular cover. There is Mr Enshaw's statement at 320 of the appeal book. industry with respect to hook cover and how insurers differ. It is not uncommon for insurers
to differ in their approach when coming to insure
cranes as a motor vehicle, as opposed to an
operating tool. Also that evidence is referred toin the judgment of Mr Justice Priestley at
page 530, line 7, to page 531 - my note is line 43,
but that must be wrong, I think.
GAUDRON J: Yes, page 530, line 20 to page 531, line 40, I
think.
| MR HIGGS: | 43, yes. The evidence was that there was an |
exclusion clause, ME35A, with respect to registered
cranes that excluded risk for overturning. There
was evidence that he, himself, he as a particular
officer of the insurer, invariably would not waive
that exclusion clause, but there was not any
evidence that the company itself never waived
ME35A, it was only his practice, and that is
referred to in the judgment of Mr Justice Priestley
at 534, lines 11 through to 14.
The evidence in relation to that policy, we
would submit, is conveniently summarized in the
judgment of Mr Justice Giles, page 462, line 20 to
page 464, line 6. It is again repeated in the
judgment of Mr Justice Priestley at about 525, and
they are the only notes that I have of the references to that evidence in the appeal book,
Your Honour.
Finally, in our submission, if our alternate
submission be right, which I adopt, I hope, during
the course of argument in response to a question
put to me by Justice McHugh, and that the French
model be the appropriate test, the onus is always
on the insurer to claw back what is prima facie
their obligation under the policy, that is to pay
the claim and if that onus has not been discharged,
then it is to their detriment rather than to the
appellants. They are our submissions, Your Honours.
| Ferrcom(2) | 42 | 3/4/92 |
| BRENNAN J: | Thank you, Mr Higgs. | The Court will consider |
its decision in this matter and will adjourn until
10.15 on Tuesday next.
AT 12.42 PM THE MATTER WAS ADJOURNED SINE DIE
| Ferrcom(2) | 43 | 3/4/92 |
Key Legal Topics
Areas of Law
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Commercial Law
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Contract Law
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Statutory Interpretation
Legal Concepts
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Appeal
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Breach
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Causation
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Remedies
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Statutory Construction
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