Case details
Summary
Contractual premium obligations are determined by the written rate schedules and agreed terms. A party cannot establish waiver or estoppel by relying on informal departures from the contract where the other party lacked the information needed to understand the departures. A representation about an existing state of affairs may continue until corrected, particularly where it is intended to be updated periodically. In deceit, the claimant must prove falsity, knowledge or recklessness, intention to deceive, reliance and loss. Damages reflect the loss directly caused by reliance on the representation, not hypothetical profits or the position that would have existed if it were true. Whether premiums are held on trust or owed as a debt depends functionally on the parties’ commercial arrangements.
Factual background
Templeton Insurance Ltd underwrote mechanical breakdown insurance sold by Motorcare Warranties Ltd under four successive agreements. Templeton claimed unpaid premiums, damages for fraudulent misrepresentation inducing the fourth agreement, and personal liability against individuals involved in Motorcare’s management and an associated company.
The principal disputes concerned the applicable rate schedules, alleged oral variations, the sale of excluded policies, waiver and estoppel, the effect of a payment said to be in full and final settlement, the calculation of unpaid premiums, and a representation that the loss ratio under the third agreement was 101 per cent.
Held
- Contractual premiums. The written rate schedules applied to the successive agreements. Motorcare’s case that the first agreement’s rates continued under the second and third agreements was rejected. The fourth agreement did not give Motorcare discretion to select lower rates or retain 40 per cent of premiums. The 60:40 arrangement was not agreed.
- Excluded business and informal variation. Taxis remained excluded vehicles under the relevant agreements. The contractual references to excluded-vehicle schedules incorporated the schedule used with the first agreement. Informal communications and payment of two claims did not establish variation, waiver or estoppel. Motorcare had not provided the information necessary for Templeton to appreciate the extent of the departures from the contracts.
- Account and settlement. The sum of £401,457.78 was a current payment or statement of the irreducible minimum due, not a full and final settlement. Applying the written terms, £2,370,458 was due in principle, subject to the appropriate loadings and a final accounting for sums due to Motorcare. A 250 per cent loading was appropriate for high-risk excluded vehicles. Motorcare had to justify reliance on alternative fourth-agreement rate codes.
- Deceit. The elements of deceit were falsity, knowledge or recklessness, intention that the claimant act, reliance and loss. A representation concerning an existing state of affairs may be continuing and must be corrected when it becomes untrue. Motorcare knew by 20 May 2007 that the previously stated 101 per cent loss ratio was unreliable and materially understated the third agreement’s loss ratio. The failure to correct it was fraudulent. Templeton relied on the representation in entering the fourth agreement.
- Templeton established loss, but its proposed measure based on an assumed 90 per cent loss ratio was unsustainable. The damages claim therefore required further assessment. The claims for unpaid premiums and the reconciled account succeeded against Motorcare. The deceit claim succeeded against Motorcare, Mr Panesar and Mr Thomas.
- Premiums were held as part of Motorcare’s cash flow and were owed as a debt, not held on trust. The personal defendants were not dishonest in the accounting for premiums, and A Thomas Associates Ltd was not liable in knowing receipt.
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