Bate v Aviva Insurance UK Ltd
[2013] EWHC 1687 (Comm)
Case details
Case summary
This was a first instance trial of a claim for an indemnity and consequential losses following an accidental fire. The court applied established principles on material non-disclosure and misrepresentation (materiality judged by the effect on the prudent underwriter and causation assessed by inducement), considered the relevance of ICOB and FSMA remedies, and addressed alleged breaches of a policy condition requiring prior notice of works costing over £10,000. The judge found that the Coach House was not covered by the Long House policy, that the claimant had made material misrepresentations and failed to disclose material facts (notably the true circumstances of a prior fire and the scale and character of building works and business activity on the site), and that Aviva was induced to enter the contract on the basis of the information provided. The court also found deliberate dishonesty in relation to post-transaction documents and file manipulation and rejected arguments of waiver, estoppel and breach of ICOB by the insurer. The claim was dismissed on the basis that Aviva lawfully avoided the policy.
Case abstract
Background and parties: The claimant, Alan Bate, sued Aviva for indemnity and consequential losses after an accidental fire destroyed Long House. The policies were placed by Aviva through Home & Legacy. The trial concerned liability and certain principles of damages; factual issues were disputed and the trial involved multiple lay and expert witnesses.
Nature of the claim: The claimant sought indemnity for rebuilding and consequential losses; Aviva denied liability, alleging material non-disclosure and misrepresentation at proposal/renewal and breach of a condition precedent (failure to notify building works over £10,000). The claimant also relied on ICOB/FSMA remedies and alleged waiver.
Issues framed:
- Whether the Coach House formed part of the insured Long House policy;
- whether the proposal forms contained material misrepresentations or omissions (including the location and circumstances of a prior fire, business use of outbuildings/garage/yard, and ongoing building works);
- whether any non-disclosure or misrepresentation was material and induced Aviva to enter the contract on the terms agreed;
- whether Aviva breached ICOB or FSMA duties or had waived the right to avoid;
- whether any breach of general condition 4 was connected with the loss.
Court’s reasoning and findings: The judge construed the policy documents objectively and held that the Coach House was not covered by the Long House policy. On the facts he found that the claimant’s proposal forms gave a false picture about a prior fire (wrong location and misleading description of the contractor position), failed to disclose continuing relevant works and the business activity in the garage/yard, and that these matters when taken together were material. Expert evidence on materiality supported the view that insurers would have been prompted to ask further questions and that Aviva was induced by the misrepresentations/non-disclosures. The court rejected the claimant’s contention that ICOB required Aviva to meet the claim: given the circumstances and the claimant’s knowledge, Aviva’s avoidance was not unreasonable and no actionable breach of ICOB was made out. Allegations of waiver and estoppel failed. The judge also made adverse credibility findings, concluding deliberate dishonesty in relation to an after-the-event letter/fax scheme and other non-disclosures. Because liability was defeated, the court did not determine consequential damages in detail.
Held
Cited cases
- Mann Macneal & Steeves Limited v Capital and Counties Insurance Co Ltd, [1921] 2 KB 300 neutral
- Zurich General Accident and Liability Company v Morrison and others, [1942] 2 KB 53 positive
- CTI Inc v Oceanus Mutual Underwriting Association (Bermuda) Limited, [1984] 1 Lloyd's Rep 476 positive
- Pan Atlantic Insurance v Pine Top Insurance, [1995] AC 501 positive
- Assicurazioni Generali Insurance SA v Arab Insurance Group, [2003] 1 All ER (Comm) 140 positive
- Synergy Health (UK) Limited v CGU and others, [2010] EWHC 2583 (Comm) positive
- Parker v The National Farmers Union Mutual Insurance Society Limited, [2012] EWHC 2156 positive
Legislation cited
- Financial Services and Markets Act 2000: Section 138
- Financial Services and Markets Act 2000: Section 150
- Financial Services and Markets Act 2000: Section 153(2)
- Financial Services and Markets Act 2000: Paragraph 13 – para 13 of Schedule 17
- Insurance Conduct of Business Sourcebook (ICOB): Rule 1.2.6 – ICOB 1.2.6
- Insurance Conduct of Business Sourcebook (ICOB): Rule 1.2.6A – ICOB 1.2.6A
- Insurance Conduct of Business Sourcebook (ICOB): Rule 7.3.1 – ICOB 7.3.1
- Insurance Conduct of Business Sourcebook (ICOB): Rule 7.3.6
- Insurance Conduct of Business Sourcebook (ICOB): Guidance paragraph 1.7.3
- The Financial Services and Markets Act 2000 (Rights of Action) Regulations 2001: Regulation 3(1) – reg 3(1)