Lloyd's Maritime and Commercial Law Quarterly
Remedying the remedies: the shifting shape of insurance contract law
James Davey*
The Law Commissions based their reform of insurance contract law on the principle of proportionality. However, its proposals for risk management clauses (such as the insurance warranty) do not follow this model. The orthodox justification for the “automatic discharge” rule established for insurance warranties is that to leave the insurer a counterclaim for damages is unbusinesslike. This article demonstrates that this is a false choice and insurance law has failed to take into account modern developments in contract law.
“You can’t always get what you want
But if you try some time, you just might find
You get what you need”
1
The design of insurance contract remedies in England and Wales is of fundamental importance. The nature of the remedies provides the immediate context in which the substantive rules must be assessed. The reason why the rules relating to utmost good faith, non-compliance with policy terms and fraudulent claims matter is that they each provide a substantial remedy for the insurer: most commonly, that all (or at least some) of the liability under the policy is discharged. Traditional English insurance law recognised a strict “order of performance” model for insurance contract law. Performance was sequential: the insurer could be called upon to pay a claim under the contract only if the insured had performed. This often created rules that favoured the underwriter, but not always. There were examples where the default remedy was weak.2 What did not normally occur was any attempt to separate the order of performance from the quality of performance. The requirement of strict performance by the insured as a precondition to insurer action denied the possibility of a proportionate remedy.3 It is clear from the development of insurance law that this is the type of remedy that insurers want, but is it what the industry needs?
* Senior Lecturer, Cardiff Law School.
1. M Jagger and K Richards, You Can’t Always Get What You Want (1969).
2. For example, the Marine Insurance Act 1906, s.39(5) on seaworthiness in time policies would discharge the insurer from liability in the event of three conditions being met, but the conditions (privity of the assured, causative effect and factual unseaworthiness) are sufficiently difficult to prove in practice that the remedy is often supplemented by express contractual requirements as to ship safety.
3. Proportionality can be inherent in the remedy (as in damages, where the magnitude of damages reflects the prejudice caused) or created by a system of remedies where more powerful remedies are reserved for more serious breaches (as in the innominate term).
THE SHIFTING SHAPE OF INSURANCE CONTRACT LAW
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