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England and Wales High Court (Commercial Court) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Commercial Court) Decisions >> Poole & Ors v Her Majesty's Treasury (Appendices) [2006] EWHC 2731_2 (Comm) (08 November 2006) URL: http://www.bailii.org/ew/cases/EWHC/Comm/2006/2731_2.html Cite as: [2006] EWHC 2731_2 (Comm) |
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IN THE HIGH COURT OF JUSTICE
QUEEN'S BENCH DIVISION
COMMERCIAL COURT
FREDERICK THOMAS POOLE and OTHERS (Names Action For Compensation And Defence In Europe) |
Claimant |
|
- and - |
||
HER MAJESTY'S TREASURY |
Defendant |
____________________
TABLE OF CONTENTS
1. Preamble | 3 |
2. Background to the conduct of insurance business at Lloyd's, generally and in the period 1973 to 1992 | 3 |
2.1 The basic framework of the United Kingdom insurance market | 3 |
2.2 Governance and administrative structure of Lloyd's | 4 |
Names | 5 |
2.3 Syndicates | 9 |
2.4 Insurance and reinsurance business | 11 |
Lloyd's three-year accounting system | 11 |
RITC | 13 |
2.5 Premiums, reserving and claims | 14 |
3. Regulation of UK insurance business before the Insurance Directive | 15 |
3.1 Generally | 15 |
3.2 Lloyd's | 15 |
3.3 The 1973 and 1974 Acts | 16 |
4. Legislative background to the Insurance Directive | 18 |
4.1 Travaux préparatoires | 18 |
4.2 Enactment | 33 |
5. Implementation of the Insurance Directive | 35 |
5.1 Obligations imposed on Member States by the Insurance Directive (as successively amended) | 35 |
5.2 The 1991 Accounts Directive and its legislative background | 37 |
5.3 Relevant laws, regulations and administrative provisions in the United Kingdom in the period 1973 to 1992 and subsequently, with particular reference to insurance business at Lloyd's. | 41 |
6. The losses suffered prior to the market settlement, the events giving rise to them and significant communications to Names about them | 48 |
6.1 US casualty claims | 48 |
6.2 Developments in the Lloyd's market in the 1980s and early 1990s | 49 |
7. The market settlement 1993-1996 and subsequent losses | 58 |
7.1 Description of the R&R/Equitas exercise | 58 |
7.2 The manner in which R&R may result in, or fail to prevent, subsequent or future loss | 59 |
8. Domestic litigation in relation to Names' losses and the market settlements | 60 |
8.1 General | 60 |
8.2 Litigation against agents | 60 |
8.3 Litigation between Names and Lloyd's | 61 |
2.2.1 The Society of Lloyd's traces its origins to the 17th Century and was formally established by a deed of association in 1811. The Society had no separate legal personality until the Lloyd's Act 1871 united all persons admitted as members of Lloyd's before or after the passing of the Act into a body corporate known as Lloyd's, referred to as "the Society"…
Names
General
Admission to underwriting membership
(a) The Name charged a range of assets to Lloyd's, which could be called on by Lloyd's without the Name's consent if he failed to comply with a request for funds made by his agent. The Name had to provide a bank (or, from the mid-1980s, an insurance company) guarantee or to provide security in the form of approved categories of assets to a specified level in order to support his underwriting.
(b) Where bank or insurance company guarantees were provided, the bank or insurer would require by way of cross security from the Name a charge over assets of the Name.
(c) The charges continued in being until the Name's resignation from Lloyd's became effective (see below). Hence, if the Name continued underwriting for the following year then these charging arrangements would be left intact.
(d) The Name assumed a liability to pay the entrance fee referred to above to Lloyd's and, for subsequent years, an underwriting subscription fee.
(e) [The Defendant says: The Name became liable to levies made by Lloyd's under the Central Fund Agreement and Byelaw (as described above)). (The Claimants disagree that this statement should appear here since any liability to pay a Central Fund levy was a consequence of a valid call by Lloyd's to do so, not a consequence of joining Lloyd's.]
(f) …. As a matter of convention, the Name was not asked for cash to cover the underwriting subscription fees and Central Fund levies referred to in (d) and (e) above or fees payable to agents. They were charged to his account with the agent and paid as they fell due, and in due course were deducted from the profits the Name was paid when the account was settled. Like all other revenue and expenses arising from being in business they were accounted for over three years. [The Claimants say it is therefore incorrect to say the assets were reduced until the result of the accounting period is known]
year | Number of active Names | number of names | new joiners |
1970 | 6,001 | 235 | |
1976 | 8,565 | 2,251 | |
1977 | 10,662 | 3,636 | |
1978 | 14,134 | 3,325 | |
1979 | 17,279 | 1,492 | |
1980 | 18,552 | 880 | |
1981 | 19,137 | 1,295 | |
1982 | 20,145 | 1,754 | |
1983 | 21,601 | 2,177 | |
1984 | 23,436 | 2,949 | |
1985 | 26,019 | 26,050 | 3,087 |
1986 | 28,242 | 28,944 | 2,827 |
1987 | 30,936 | 31,484 | 2,572 |
1988 | 32,433 | 33,532 | 951 |
1989 | 31,329 | 34,218 | 312 |
1990 | 28,770 | 34,146 | 251 |
1991 | 26,770 | 34,072 | 105 |
1992 | 22,259 | 32,802 | 67 |
1993 | 19,537 | 32,015 | 157 |
1994 | 17,624 | 31,789 | 63 |
1995 | 14,884 | 31,468 | 28 |
1996 | 12,960 | 31,132 | 62 |
1997 | 10,160 | 30,884 | 248 |
1998 | 7,263 | 21,864 | 276 |
1999 | 5,178 | 18,961 | 240 |
2000 | 4,167 | 16,375 | 91 |
2001 | 3,747 | 15,189 |
The Names who were not active Names included those who had ceased underwriting but whose resignation had not yet taken effect (see below).
Matters arising during membership
Resignation
Lloyd's three-year accounting system
1978 Name writes business on 1978 year of account.
c. May/June: managing agent signs syndicate accounts closing 1975 into 1976 as at 31 December 1977. (By virtue of the three year accounting system, 1975 would include all prior years' liabilities that had been reinsured by RITC and would hence commonly be referred to as "1975 and prior".)
c. September: Lloyd's Aggregate Results for 1977 published based on audited syndicate accounts as at 31 December 1977 (i.e. showing performance on the 1975 year of account).
c. October: Name's name is added to syndicate list for 1979 year.
1979 Name writes business on 1979 year of account;
c. May/June: managing agent signs syndicate accounts closing 1976 into 1977 as at 31 December 1978.
c. September: Lloyd's Aggregate Results for 1978 published based on audited syndicate accounts as at 31 December 1978 (i.e. showing performance on the 1976 year of account).
c. October: Name's name is added to syndicate list for 1980 year;
1978 year of account remains open (and is now in its second year)
1980 Name writes business on 1980 year of account;
c. May/June: managing agent signs syndicate accounts closing 1977 into 1978 as at 31 December 1979.
c. September: Lloyd's Aggregate Results for 1979 published based on audited syndicate accounts as at 31 December 1979 (i.e. showing performance on the 1977 year of account).
c. October: Name's name is added to syndicate list for 1981 year.
1978 year of account (in its third year) and 1979 year of account (in its second year) remain open.
1981 Name writes business on 1981 year of account;
c. May/June: managing agent signs syndicate accounts closing 1978 into 1979 as at 31 December 1980. Name receives share of underwriting profits for the 1978 year or cash call to contribute to share of underwriting losses;
c. September: Lloyd's Aggregate Results for 1980 published based on audited syndicate accounts as at 31 December 1980 (i.e. showing performance on the 1978 year of account).
c. October: Name's name is added to syndicate list for 1982 year;
1979 and 1980 years of account remain open.
1982 Name writes business on 1982 year of account;
c. May/June: managing agent signs syndicate accounts closing 1979 into 1980 as at 31 December 1981. Name receives share of underwriting profits for the 1979 year or cash call to contribute to share of underwriting losses;
c. September: Lloyd's Aggregate Results for 1981 published based on audited syndicate accounts as at 31 December 1981 (i.e. showing performance on the 1979 year of account);
c. October: Name's name is added to syndicate list for 1983 year;
1980 and 1981 years of account remain open.
Whilst a share of underwriting profits would be received only when the year in question was closed, a cash call could [the Claimants say exceptionally; the Defendant says not infrequently] be made at an earlier stage. This might reflect unprofitability of the underwriting, or it might reflect merely cash flow and be adjusted later on. [The Claimants say: in practice, if a cash call was made, it would usually be presented to Names as made for cash flow purposes, to be adjusted later on. From 1990 cash call statements were required to be accompanied by a report of the syndicate auditor to the effect that in the auditor's opinion the statement complied with the current "Cash Call Statement (Content and Form) Requirements" made by the Council.] [The Defendant says: agents had to be kept in funds to pay liabilities. To that extent calls could be considered to have been made for cash flow purposes. Otherwise, the Claimants' contention as regards the manner in which cash calls were presented is not accepted.] Once a year of account was closed, that year of account's profit or loss determined as a result of closure would be definitive.
RITC
(a) a premium; and
(b) the assignment to the reinsuring Names of all the rights of the cedant Names arising out of or in connection with that insurance business (including without limitation the right to receive all future premiums, recoveries and other monies receivable in connection with that insurance business).
"The accounting policies in respect of items which affect more than one year of account shall be such as to ensure a treatment which is equitable as between the members of the syndicate affected; and in particular the amount charged by way of premium in respect of reinsurance to close shall, where the reinsuring members and the reinsured members are members of the same syndicate for different years of account, be equitable as between them, having regard to the nature and amount of the liabilities reinsured."
3.2.1.1 By Section 6 of the 1958 Act the Committee of Lloyd's was required to deposit every year with the Board of Trade a statement in prescribed form summarising the extent and character of the insurance business done by the members of Lloyd's in the 12 months to which the statement related. In this regard the Assurance Companies Rules 1950 (SI 1950 No. 533), originally made under the ACA 1909, required Lloyd's each year to submit to the Board of Trade an overall statement for combined operations as to all the members of Lloyd's separately identifying the position for each of the three open years in respect of four classes of business.
3.2.1.2 By Section 10 of the 1958 Act the Board of Trade was to lay annually before Parliament documents deposited with them during the preceding year (including the statement by the Committee of Lloyd's) and might append any note of the Board thereon and any correspondence in relation thereto.
3.2.1.3 The 1967 Act repealed Section 10 of the 1958 Act. In its place, a more limited obligation was imposed by Section 98 of the 1967 Act requiring the Board of Trade to cause a General Annual Report of relevant matters to be laid before Parliament.
3.2.2.1. By Section 2 of the 1958 Act only certain types of company could carry on insurance business of specified classes. However, by Section 1(6) the 1958 Act did not apply to members of Lloyd's, provided that requirements in the First Schedule to that Act were met.
3.2.2.2. A first such requirement was that every underwriter must, in accordance with the trust deed approved by the Board of Trade, carry to a trust fund all premiums received by him or on his behalf in respect of any insurance business.
3.2.2.3. A second requirement was that the accounts of every member must be audited annually by an accountant approved by the Committee of Lloyd's and the auditor must furnish a certificate in prescribed form to the Committee and to the Board of Trade. The certificate must state whether in the opinion of the auditor the value of the assets available to meet the members' liabilities in respect of the insurance business is correctly shown in the accounts, and whether or not that value was sufficient to meet the liabilities calculated on a basis approved by the Board of Trade.
3.2.2.4. A third requirement was that the member must, when required by the Committee of Lloyd's, furnish such information as might be required for the purpose of preparing the statement of business which was to be deposited with the Board of Trade under Section 6 of the 1958 Act.
3.2.2.5. ….
(a) in the case of liabilities in respect of long term business, by an actuary; and
(b) in the case of other liabilities, by the auditor on a basis approved by the Secretary of State (or, from 24 December 1996, the Defendant)
(a) (in relation to most classes of business, including non-marine "all other") the result of the application of a specified multiple to the net premium income for the year of account, known as the minimum percentage reserves ("MPRs"). For the oldest year of account referred to in each year's Instructions, and all years previous to the oldest year of account, an alternative test of outstanding liabilities was to be applied if this would result in higher reserves;
(b) the total of the estimated outstanding liabilities on the relevant accounts as at the relevant date, which was required to include an element to take care of "unnoted and unknown liabilities" (including run-off costs); and
(c) the amount of the RITC for the closing year of account, including any previous years reinsured into that account (provided the year in question was not being run off).
"TITLE III
Free movement of persons, services and capital
…
CHAPTER 2
RIGHT OF ESTABLISHMENT
Article 52
Within the framework of the provisions set out below, restrictions on the freedom of establishment of nationals of a Member State in the territory of another Member State shall be abolished by progressive stages in the course of the transitional period. Such progressive abolition shall also apply to restrictions on the setting-up of agencies, branches or subsidiaries by nationals of any Member State established in the territory of any Member State.
Freedom of establishment shall include the right to take up and pursue activities as self-employed persons and to set up and manage undertakings, in particular companies or firms within the meaning of the second paragraph of Article 58, under the conditions laid down for its own nationals by the law of the country where such establishment is effected, subject to the provisions of the Chapter relating to capital.
Article 53
Members States shall not introduce any new restrictions on the right of establishment in their territories of nationals of other Member States, save as otherwise provided in this Treaty.
Article 54
1. Before the end of the first stage, the Council shall, acting unanimously on a proposal from the Commission and after consulting the Economic and Social Committee and the European Parliament, draw up a general programme for the abolition of existing restrictions on freedom of establishment within the Community. …
The programme shall set out the general conditions under which freedom of establishment is to be attained in the case of each type of activity and in particular the stages by which it is to be attained.
2. In order to implement this general programme … the Council shall, on a proposal from the Commission and after consulting the Economic and Social Committee and the European Parliament, issue directives ...
3. The Council and the Commission shall carry out the duties devolving upon them under the preceding provisions, in particular:
(a) by according, as a general rule, priority treatment to activities where freedom of establishment makes a particularly valuable contribution to the development of production and trade;
…
(c) by abolishing those administrative procedures and practices, whether resulting from national legislation or from agreements previously concluded between Member States, the maintenance of which would form an obstacle to freedom of establishment;
…
(f) by effecting the progressive abolition of restrictions on freedom of establishment in every branch of activity under consideration, both as regards the conditions for setting up agencies, branches or subsidiaries in the territory of a Member State and as regards the conditions governing the entry of personnel belonging to the main establishment into managerial or supervisory posts in such agencies, branches or subsidiaries;
(g) by co-ordinating to the necessary extent the safeguards which, for the protection of the interests of members and others, are required by Member States of companies or firms within the meaning of the second paragraph of Article 58 with a view to making such safeguards equivalent throughout the Community;
(h) by satisfying themselves that the conditions of establishment are not distorted by aids granted by Member States.
Article 57
1. In order to make it easier for persons to take up and pursue activities as self-employed persons, the Council shall, on a proposal from the Commission and after consulting the European Parliament, … issue directives for the mutual recognition of diplomas, certificates and other evidence of formal qualifications.
2. For the same purpose, the Council shall, before the end of the transitional period, acting on a proposal from the Commission and after consulting the European Parliament, issue directives for the co-ordination of the provisions laid down by law, regulation or administrative action in Member States concerning the taking up and pursuit of activities as self-employed persons.
Article 58
Companies or firms formed in accordance with the law of a Member State and having their registered office, central administration or principal place of business within the Community shall, for the purposes of this Chapter, be treated in the same way as natural persons who are nationals of Member States.
"Companies or firms" means companies or firms constituted under civil or commercial law, including co-operative societies, and other legal persons governed by public or private law, save for those which are non-profit-making."
Chapter 3 ("Services") Articles 59 to 63 contained broadly corresponding provisions, as regards freedom to provide services, to those set out in Articles 52-54 above. Article 61.2 provided that the liberalizsation of banking and insurance services connected with movements of capital shall be effected in step with the progressive liberalisation of movement of capital. Article 66 provided that the provisions of Articles 55 to 58 shall apply to the matters covered by Chapter 3.
"direct insurance firms, excepting life-assurance. However, the raising of restrictions on the creation of agencies or subsidiaries is subject to a coordination of the conditions of access and exercise."
"The coordination of guarantees that are demanded of companies [The Claimants say: and firms] in Member States to protect the interests of both [associates] [members] and third parties, insofar as this is necessary and with a view to establishing their equivalence, is envisaged before the end of the second year of the second stage of the transition period.
In the French version, which is the original, the words "to protect the interests of both associates and third parties" read as follows: "pour protéger les interêts tant des associés que des tiers".
"Whereas by virtue of the General Programme the removal of restrictions on the establishment of agencies and branches is, in the case of the direct insurance business, dependent on the coordination of the conditions for the taking-up and pursuit of this business; whereas such coordination should be effected in the first place in respect of direct insurance other than life assurance;
"Whereas in order to facilitate the taking-up and pursuit of the business of insurance, it is essential to eliminate certain divergencies which exist between the six national bodies of supervisory legislation; whereas in order to achieve this objective, and at the same time ensure adequate protection for insured and third parties in all the Member States, it is desirable to coordinate, in particular, the provisions relating to the financial guarantees required of insurance undertakings;
"Whereas a classification of risks in the different classes of insurance is necessary in order to determine, in particular, the activities which are subject to a compulsory authorisation and the amount of the minimum guarantee fund fixed for the class of insurance concerned;
"Whereas it is desirable to exclude from the application of this Directive mutual associations which, by virtue of their legal status, fulfil appropriate conditions as to security and financial guarantees; whereas it is further desirable to exclude certain institutions in several Member States whose business covers a very limited sector only and is restricted by law to a specified territory or to specified persons;;
…
"Whereas the search for a common method of calculating technical reserves is at present the subject of studies at the international level; whereas it therefore appears to be desirable to reserve it to later Directives to achieve coordination in this matter, as well as questions relating to the determination of categories of investments and the valuation of assets;;
"Whereas it is necessary that insurance undertakings should possess, over and above technical reserves of sufficient amount to meet their underwriting liabilities, a supplementary reserve, to be known as the solvency margin, and represented by free assets, in order to provide against business fluctuations; whereas in order to ensure that the requirements imposed for such purposes are determined according to objective criteria, whereby undertakings of the same size are placed on an equal footing as regards competition, it is desirable to provide that such margin shall be related to the overall volume of business of the undertaking and be determined by reference to two indices of security, one based on premiums and the other on claims.
"Whereas it is desirable to require a minimum guarantee fund related to the size of the risk in the classes undertaken, in order to ensure that undertakings possess adequate resources when they are set up and that in the subsequent course of business the solvency margin shall in no event fall below a minimum of security;
…"
"Article 14
The controlling authority of the Member State on whose territory the company HQ of the firm is located should be kept informed by the controlling authorities of other Member States, so that the Member State is able to verify the solvency status of this company in respect of all its activities.
"Article 15
1. Each Member State on whose territory a firm exercises its activity requires that the latter form technical reserves to cover contracted commitments on its territory.
The amount of these reserves is determined according to rules set by the State or, failing this, according to practices established in that State.
2. The technical reserves should be represented by congruent, equivalent assets located in each country of operation. However, dispensations to these rules on the congruence and localisation of assets may be granted by Member States.
Such assets should belong to the investment categories admitted by the regulations in the country of operation and be assessed according to the rules set by that country.
…"
"Freedom of establishment, in the strict sense of those words, does not give satisfaction in practical terms while different regulations exist in the various member states concerning the conditions governing access and exercise. In the insurance sector, establishment requires an administrative approval, and its acquisition is subject to several conditions (legal, financial, accounts-related, technical and economic). It is clear, moreover, that those conditions sometimes differ as regards both national companies and foreign companies.
Consequently, it has been found difficult to realise freedom of establishment without having previously established the equivalence of conditions of access. That is why it is stipulated in section IV C of the General Programme for the Elimination of Restrictions on the Freedom of Establishment that the coordination of the conditions of access to direct insurance activities and the exercise of those activities must be realised before the restrictions on the creation of agencies or branches are eliminated."
"considering that the directive should allow an initial step to be taken on the road towards coordinating access to the activity of direct insurance (other than life assurance) and its exercise in the Common Market, and considering that, in particular, freedom of establishment turns out to be inadequate in practice, when national legislative provisions regulating conditions of access and exercise differ, as is the case in the area of insurance,
"considering that there is currently no single market in this area, in that the legal, fiscal and monetary conditions for the development of such a market are not yet in place,
"considering that, in the interest of progressive integration, this directive is deemed necessary, also for reasons of an economic nature,
"considering that it consciously refrains from proposing concrete principles respecting the area of insurance,"
"The Committee has initially studied the problems posed by the coordination of provisions concerning direct insurance. It has judged that the problems need to be examined with special attention, as they may also have consequences of a social nature for the structure of firms, for workers in the insurance sector and also, in particular, for insured parties.
The Committee judged unanimously that the directive should comprise a general regulation encompassing all companies for direct insurance (other than life assurance) with their headquarters within the EEC, even if, in certain Member States, the implementation of the directive has the effect of exacerbating currently valid provisions in the area of insurance controls.
On the other hand, differences of opinion have emerged regarding a general application of articles 16 and 17 that treat financial requirements.
The criterion proposed by the Commission for setting the solvency margin is based on a given degree of security. As for the insured, he is concerned that the degree of security should be very high but also desires that his insurance can be obtained for less and less cost.
Hence, a compromise must be found between these two opposing demands, indicating that the margin proposed by the Commission should be re-examined by considering it in its entirety.
In opposition to the proposals aiming to eliminate difficulties resulting from the financial load envisaged in articles 16 and 17 by exempting certain firms from the application of these provisions when their activity is limited to the territory of the State on which they have their headquarters or when their volume of business is modest, and also by opposing the proposals aimed at resolving the problem by a general lowering of rates achieved by accessing new bases of mathematical calculation, the Committee has reached the conclusions cited below:
- the Committee judges that the provisions of articles 16 and 17 can only be considered an indissoluble whole. Hence, the objections that it makes to the present text of the proposal for a directive and the solution that it recommends refer to both articles;
- the robustness of a properly managed insurance firm rests, in particular, on sufficient technical reserves and on adequate property. The technical reserves are intended to cover the commitments of an insurance firm. The Committee has taken note of the fact that a coordination of the provisions respecting these reserves is currently not yet possible;
- articles 16 and 17 of the proposal for a directive regulate the requirements respecting company property, as follows: on the one hand, they set a minimum capital, determined in absolute figures (minimum guarantee fund) and, on the other hand, a sum fixed according to the volume of business (solvency margin);
- like the Commission, the Committee is of the opinion that the directive should, at Community level, set precise figures in respect of the property to be demanded;
- however, the Committee considers that the system proposed by the Commission in articles 16 and 17 is too schematic and does not take adequate account of the differences in structure between companies and of the very great difference in risks covered by the various insurance branches;
…
- furthermore, the Committee sees in articles 16 and 17 an automatic link between volumes of business and property that is too severe; this link would restrict companies to an economically unjustified limit on concluding new contracts or to an undesirable recourse to the money market;
- hence, the Committee deems that it is proper to differentiate the minimum guarantee fund according to branch and to adapt the amount according to the development of premium collection;
- in parallel to this guarantee fund, whose amount is determined in absolute figures, an additional requirement - taking into consideration the size of the company in each case - should be imposed, expressed as a percentage of the volume of business or of the burden of losses; a certain disparity is to be expected for large companies, given that a more significant portfolio implies greater balance."
"Article 15
The Committee confirms that the constitution of technical reserves will still, for the time being, come under national legislations. Furthermore, there are also considerable disparities at the national level that can only be harmonized with great difficulty.
Given the impossibility of finalizing harmonized provisions in the calculation and the "representation" of various techniques, the Committee considers it especially important that the national control authorities ensure that insurance companies subjected to their supervision should possess adequate technical reserves.
(In the French text, "… le Comité estime particulièrement important que les autorités de contrôle nationales vaillent à ce que les enterprises d'assurance soumises à leur surveillance disposent de réserves techniques suffisantes")
"Articles 16 and 17
…
B. From the point of view of the fund, the Committee cannot approve the draft proposed for articles 16 and 17, given the reasons expressed above. To avoid economically unacceptable situations for small and medium-sized companies, and also in the interests of protecting insured parties, it is necessary to modify the provisions for the constitution of the solvability margin and the guarantee fund. In doing this, particular account should also be taken, instead of the general regulations proposed, both of differences in the nature of insurance branches and of the volume of business of companies affected by the directive.
Regarding this problem, the Committee has not considered it justified to formulate technical proposals expressed in percentages just at present. Nevertheless, it wishes to highlight the trend of economic policy on which it considers the technical rules of articles 16 and 17 should be based.
In this regard, account should be taken of the following points that are especially important:
1. Fixed part of property (guarantee fund)
a) For companies whose premium receipts do not exceed a certain threshold, a reduction should be envisaged in the amount of the guarantee fund, possibly to 50%. However, the reduction in the guarantee fund should only be taken into consideration for companies already in existence. …
b) An increase in the guarantee fund may be envisaged for cases in which the volume of business exceeds certain thresholds. To be specific, it is important that the margin between successive thresholds be sufficient for the automatic link of articles 16 and 17 of the directive proposal to be avoided.
…
2. Variable part of the company's property (solvency margin)
…
Lastly, the Committee also deems it necessary to underline, in this context, that the period cited in article 29, paragraph 1, should be extended from three to five years. The fact that the insurance sector differs among the Member States makes this extension essential, given that, if this step is not taken, there is a risk of uneven development with all the disadvantages arising from it."
"3. considers it desirable in articles 16 and 17 of the proposal of the Commission of the EEC, to replace the system of payable, own capital endowment based on the solvability margin and the minimum guarantee fund with a system based on a minimum guarantee fund and an additional fund with a variable amount;
4. renounces its proposal of defined rates for the guarantee fund and the variable element;
5. unanimously recognizes that the determining criterion for setting these rates should be the intention to protect insured parties, that is, the own capital endowment of an insurance firm should allow it, permanently and in every case, to execute the insurance contracts that it has concluded;
6. is, consequently, of the opinion that, in fact, the obligations imposed on insurance companies in respect of own capital endowments should not be greater or less than those proposed by the Commission of the European Economic Community;
7. considers, however, that it is desirable and justifiable to further reduce the amount of payable own capital endowments for small insurance firms, that is, for firms the products of whose collected premiums is less than 2.5 million units of account and whose contract portfolio is balanced and, in particular, to reduce the guarantee fund by 50%;"
The Parliament agreed with the Economic and Social Committee that the period within which existing undertakings must comply with the requirements of the Directive should be extended from three years to five.
"must verify the state of solvency of the undertaking with respect to its entire business"
This amendment subsequently appeared in the text of Article 14 which was adopted.
"- The realisation of freedom of establishment and the coordination of the law on the supervision of insurance to the extent necessary for the realisation of freedom of establishment, a period of two years being envisaged between the introduction of freedom of establishment and the introduction of free provision of services.
…"
The document stated that that condition would be fulfilled as soon as the Council had promulgated the directives submitted on 2 February 1967 and 17 June 1966 (the latter being what became the Insurance Directive). The document also contained the following comments (under the heading "General orientation of operations"):-
"Without prejudice to the special regulations in section V C (a), section VI of the general programme also envisages that "simultaneously with the preparation of the directives designed to implement the general programme for each category of service, it will examine whether the lifting of restrictions on the free provision of services should be preceded, accompanied or followed by the coordination of the legislative, regulatory or administrative provisions concerning those services".
This examination is the subject of the present note. The extent to which those provisions need to be coordinated is estimated according to the necessities of the Common Market which must be established by virtue of the EEC Treaty (article 2). The various national markets must become a single market. It will also be necessary to set up conditions for insurance services that correspond to those of an internal market.
To achieve that objective, firstly the restrictions on establishment and the free provision of services in insurance matters must be eliminated (article 2 (c)). Secondly, a system must be set up guaranteeing that competition between insurance companies within the Common Market is not distorted (article 3 (f)). The harmonisation of national legislations is envisaged where it is necessary for the operation of the Common Market in insurance matters (article 3 (h)).
The Common Market in insurance matters cannot operate while provisions that differ from country to country distort competition and make access to the insurance business and its exercise in the Community more difficult, or lead to inadequate protection for insured parties and third-party beneficiaries."
"There are a few problems regarding Lloyd's; regarding the solvency guarantees, as this considerably exceeds what is envisaged in the directive; a small adjustment would be necessary to enable Lloyd's to form an entity that could be taken into consideration in the various member states."
In a further note of 19 April 1972 following a meeting between Commission officials and an official from the UK Department of Trade and Industry, the following points were noted in relation to Lloyd's:-
"Mr Steel [of the DTI] proposed that the following legal forms be admitted as regards the United Kingdom:
…
"- a member of any association of underwriters approved by HMG (including Lloyd's);
…
"Regarding Lloyd's, it is clear that it will be necessary to take the existence of this very particular entity into account, but it seems that it will be difficult to accept the creation of other entities of the same nature in the future.
…
"c) Problems raised by applying the directive to Lloyd's
"The United Kingdom agrees in principle that the directive should apply to Lloyd's, but considers that certain articles should be adjusted to that effect as they are inapplicable as matters stand. Those articles are in particular:
…
11) … secondly there is the problem of the balance sheet and profit and loss account which Lloyd's does not have. It could be acceptable for Lloyd's to supply the accounts it submits to the British authority every year. The present text may have to be amended in this sense.
15) This article obliges the member states to impose the constitution of sufficient technical reserves. As regards Lloyd's, there are no technical reserves. Rather, each member of Lloyd's must have his accounts checked by an auditor who must declare that the assets are sufficient to enable him to honour his undertakings. This system can be considered satisfactory, but necessitates an adjustment of the directive.
16/17) The Lloyd's solvency system is very individual and articles 16 and 17 are clearly inapplicable to it. An alteration of those articles will be necessary to enable Lloyd's to maintain its system, which gives very satisfactory guarantees. Moreover, Lloyd's will have to be considered as a unit, although it is made up of a large number of insurers.
19) Regarding its accounts, the special nature of Lloyd's will have to be taken into account. Certain annual declarations are required at present. Perhaps this system can be maintained without altering the wording of article 19.
"In conclusion, it seems difficult to apply certain articles to Lloyd's without substantially altering the operation of that insurance exchange. Consequently, in view firstly of the economic importance of this insurance market and secondly of the guarantee it offers (thanks to the fund, and the insurance guarantee, the beneficiaries of indemnities have always been paid), it would be better to alter the directive to take its existence into account."
"A. Entities qualified to conduct insurance business
"1. Lloyd's
"The British position:
"Because of its well-known special characteristics, Lloyd's would in fact experience certain difficulties in complying with articles 8, 16 and 11 of the directive. Certain amendments are therefore requested to enable this entity to join the envisaged system.
"The primacy of the position of the Commission's representatives:
"The importance of Lloyd's on the world insurance market no longer needs to be demonstrated. It consists of:
a) an insurance market on which almost any insurable risk can be placed with Lloyd's subscribers through the intermediary of Lloyd's brokers.
b) an association of subscribers who practise insurance operations in the business centre, or exchange, known as Lloyd's.
The purpose of that association is not itself to issue policies but as a legal entity to defend and serve the interests of the subscribers of Lloyd's as a whole.
"At present, 6,500 people are members of Lloyd's, more than a hundred of whom are foreigners.
"A first question arises in the light of this very unusual case: Would it be appropriate to treat it separately, for example by adding a special appendix to the directive? This solution has the major disadvantage of destroying the unity of the directive.
"It seems essential to retain as a basic principle that generally speaking companies must comply with the provisions already decreed by the six member states rather than to introduce "made to measure" components. In these circumstances, the best solution seems to be to try to allow the integration of Lloyd's into the directive by making a minimum of alterations to that directive. With this aim in mind, three problems need to be considered:
- the approval
- the solvency margin
- the presentation of accounts.
"a) The approval
"As Lloyd's is simply an association of subscribers, the problem arises of whether it is appropriate in each member state to require the approval of each subscriber or the approval of the group itself.
"From the point of view of simplicity, it seems clearly preferable to choose the latter solution and consequently to make the required addition to article 8 (i) (a).
"According to the exact wording of article 10 (d), Lloyd's will be represented in each member state where it wishes to do business by a general mandatary whose role will effectively be to represent it to the authorities and jurisdictions of the receiving country. …
…
"b) The solvency margin
"The very principle of this margin, of the guarantee fund and of the methods of calculation, as defined in article 16 of the directive, is an essential component of the mechanism set up, particularly through the consequences attached to adherence to that margin or fund, as is clear from reading article 20. It is therefore of fundamental importance to find a solution that respects the essential content of article 16.
"Now, where Lloyd's is concerned, the following situation presents itself:
- factual compliance with the obligations of article 16
- adaptation necessary in order to comply with the calculation methods envisaged in article 16.
"Factual compliance with the obligations of article 16
"The solvency of Lloyd's is world renowned and results from the following:
- Each subscriber member is responsible for the whole of his private assets.
- Moreover, each must deposit with Lloyd's a security deposit in cash or approved securities, as a guarantee.
- According to law, each subscriber is individually subject to the obligation to deposit all the premiums he receives for his insurance operations in a trust fund. No profits can be paid to a subscriber on the accounts of any financial year by deduction from his premiums trust fund before the expiry of the second year after the end of the financial year concerned (in fact, 3 financial years).
- Furthermore, it is current practice for subscribers to set up reserves by deduction from the profits made on their insurance operations.
- Since 1927, each subscriber has been obliged to pay an annual contribution to a common fund called the Lloyd's Central Fund the purpose of which is to protect the holders of a Lloyd's policy if it should happen that the guarantees already listed are found to be insufficient.
- Lastly, each Lloyd's subscriber must submit the accounts of his insurance operations, each year, to a very detailed examination by a qualified accountant approved by Lloyd's committee.
"Adaptations necessary to comply with the calculation methods envisaged in article 16
"On the evidence, it seems that although Lloyd's has an adequate financial basis, the solvency guarantees, in their present form, differ appreciably from those required under article 16.
"In particular, Lloyd's accounts based on 3 financial years concern the net commission premiums and not the gross premiums. In these circumstances, Lloyd's should be required to reconstitute these premiums as a lump sum according to a method to be integrated into article 16 at the end of point 2 "first result in relation to premiums".
"The principles of the directive regarding the calculation conditions of the margin would thus be respected and the present text could be maintained as it is without any other alteration. As regards the assets to be envisaged for constituting the margin, the second sub-paragraph of article 16 can also remain unchanged as the list of the assets taken into consideration is not limiting.
4.2 "Presentation of accounts"
"Because the directive admits Lloyd's as an original entity, it is normal in the framework of the application of article 11 for a solution to be retained which better fits that entity's accounting possibilities.
"Now, Lloyd's submits to the British authorities not the accounts of the subscribers but overall accounts which give a statistical summary of the extent and characteristics of the insurance operations subscribed by the members of Lloyd's.
"In these circumstances, a solution could consist of introducing into the wording of article 11, paragraph 2, an additional sub-paragraph aimed at envisaging that in the case of Lloyd's the supply of the balance sheet and profit and loss account will be replaced by the transmission of overall accounts.
"Solutions to be envisaged regarding Lloyd's
"Article 8, paragraph 1
"To insert "the association of subscribers called Lloyd's" into the list concerning the United Kingdom.
"Article 16, paragraph 3
"At the end of the paragraph concerning the first result (as regards premiums), to add:
"As regards Lloyd's, the net premiums multiplied by a certain lump-sum percentage are taken into consideration (in order to reach the level of the gross amount), the amount of which is fixed annually and determined by the supervisory authority of the place where the registered office is situated."
"Article 11, paragraph 2
"To add: "As regards Lloyd's, the transmission of the balance sheet and the profit and loss account is replaced by the obligation of presenting the overall accounts which that association presents to the British authorities."
"With regard to the legal form of enterprises coming under the Directive, the Working Party suggested that (d) below should be included in the list of forms of enterprises, in Article 8 (1):
"(d) the association of underwriters called Lloyd's""
The same approach was adopted in the Working Party's Notes dated 23 March 1973 (pp4-5) and 22 May 1973 (p2) referred to in paragraph 4.1.21 below.
The 26 February 1973 note also included a reaction from the German delegation to the global accounts point to the following effect:
"The German delegation pointed out that these global statements would be no more than statistical summaries of the extent and features of insurance transactions relating to three consecutive financial years and would not enable the authorities to act in time in the event of a deterioration in the situation."
It therefore suggested that in the amendment to be proposed by the Commission the phrase in square brackets should be replaced by:
"… which must enable the supervisory authorities to obtain a comparable view of the state of solvency of the association."
"With regard to Lloyd's the publication of the balance sheet and the profit and loss account shall be replaced by the compulsory presentation of annual trading accounts covering the insurance operations, and accompanied by an affidavit certifying that auditors' certificates have been supplied in respect of each insurer and showing that the responsibilities incurred as a result of these operations are wholly covered by the assets.
These documents must allow the authorities to form a view of the state of solvency of the Association."
"Having regard to the Treaty establishing the European Economic Community, and in particular Article 57 (2) thereof;
"Having regard to the General Programme (1) for the abolition of restrictions on freedom of establishment, and in particular Title IV C thereof;
…
"Whereas by virtue of the General Programme the removal of restrictions on the establishment of agencies and branches is, in the case of the direct insurance business, dependent on the coordination of the conditions for the taking-up and pursuit of this business; whereas such coordination should be effected in the first place in respect of direct insurance other than life assurance;
"Whereas in order to facilitate the taking-up and pursuit of the business of insurance, it is essential to eliminate certain divergencies which exist between national supervisory legislation ; whereas in order to achieve this objective, and at the same time ensure adequate protection for insured and third parties in all the Member States, it is desirable to coordinate, in particular, the provisions relating to the financial guarantees required of insurance undertakings;
…
"Whereas it is necessary to extend supervision in each Member State to all the classes of insurance to which this Directive applies; whereas such supervision is not possible unless the undertaking of such classes of insurance is subject an official authorization; whereas it is therefore necessary to define the conditions for the granting of withdrawal of such authorization' whereas provision must be made for a right to apply to the courts should an authorization be refused or withdrawn;"
…
"Whereas the search for a common method of calculating technical reserves is at present the subject of studies at Community level; whereas it therefore appears to be desirable to reserve the attainment of coordination in this matter, as well as questions relating to the determination of categories of investments and the valuations of assets, for subsequent Directives; (1) OJ No 2, 15.1.1962, p.36/62. (2) OJ No C 27, 28.3.1968, p. 15. (3) OJ No 158, 18.7.1967, p.1."
…
"Whereas it is necessary that insurance undertakings should possess, over and above technical reserves of sufficient amount to meet their underwriting liabilities, a supplementary reserve, to be known as the solvency margin, and represented by free assets, in order to provide against business fluctuations; whereas in order to ensure that the requirements imposed for such purposes are determined according to objective criteria, whereby undertakings of the same size are placed on an equal footing as regards competition, it is desirable to provide that such margin shall be related to the overall volume of business of the undertaking and be determined by reference to two indices of security, one based on premiums and the other on claims;
"Whereas it is desirable to require a minimum guarantee fund related to the size of the risk in the classes undertaken, in order to ensure that undertakings possess adequate resources when they are set up and that in the subsequent course of business the solvency margin shall in no event fall below a minimum of security;
…
"Whereas it is important to guarantee the uniform application of coordinated rules and to provide, in this respect, for close collaboration between the Commission and the Member States in this field;"
(a) To verify the state of solvency of insurance undertakings whose head offices are situated in the United Kingdom (Article 14; as from 1 July 1994, Article 13). One permitted form of such undertaking was "the association of underwriters known as Lloyd's" (Article 8). The English version of the latter phrase was mistranslated when the Directive was first published, but the error was corrected by a corrigendum published on 7 January 1978;
(b) As regards technical reserves or provisions:-
(i) until 1 July 1994:-
(aa) to require such undertakings to establish "sufficient technical reserves", the amount of which was to be determined according to the rules fixed by the United Kingdom or, in the absence of such rules, according to the established practices in the United Kingdom (Article 15(1)); and
(bb) to verify that each such undertaking's "balance sheet shows in respect of the technical reserves assets equivalent to the underwriting liabilities assumed in all the countries where it undertakes business" (Article 15(4)); and
(ii) thereafter, in the case of annual accounts for financial years beginning on 1 January 1995 or during the calendar year 1995, to require such undertakings to establish "adequate technical provisions", the amount of which was to be determined in accordance with the rules laid down in the 1991 Accounts Directive 91/674/EEC (Article 15(1) as substituted by Art 17 of Directive 92/49/EEC).
(c) To require such undertakings to establish an "adequate" solvency margin in respect of their entire business, "in order to provide against business fluctuations", one third of which (subject to specified minima) was to constitute a guarantee fund (Article 16 and corresponding recitals, and Article 17). Article 16 provided that the solvency margin should be the higher of two "results", each calculated according to the mathematical formulae set out in Article 16, one by reference to the premiums due in the last financial year and one by reference to the average claims paid over the last three financial years. Article 17 also provided minimum levels for the guarantee fund of 400,000, 300,000 or 200,000 units of accounts depending on the categories of risk underwritten; and
(d) To require each such undertaking to produce an annual account covering all types of operation of its financial situation and solvency, and to render periodically the returns, together with statistical documents, necessary for the purposes of supervision (Article 19).
(e) Other requirements were that:
(i) every insurance undertaking shall produce a scheme of operations (Articles 8&9);
(ii) (with effect from 30 June 1990 – Directive 88/357/EEC) that there should be an annual account covering its financial situation, and solvency (Article 19); and
(iii) (with effect from 30 June 1990 – Directive 88/357/EEC) that the competent authorities have the powers and means necessary for supervision of the activities of insurance undertakings established within their territory, including activities engaged in outside their territory, in accordance with the Council Directives governing those activities and for the purpose of seeing that they are implemented: such powers and means to enable the competent authorities to make detailed inquiries, inter alia by gathering information or requiring the submission of documents concerning insurance business, carrying out on-the-spot investigations and taking any measures with regard to the undertaking (or, as from 1 July 1994 -- per the 1991 Accounts Directive -- its directors or managers of the persons who control it) which are appropriate and necessary to ensure that its activities remain in accordance with the laws, regulations and administration provisions it has to comply with and to prevent or remove any irregularities prejudicial to the interests of policyholders – where appropriate through judicial channels (Article 19);
(iv) (with effect from 1 July 1994 -- the 1991 Accounts Directive) that the operations be run by persons of good repute and appropriate professional qualifications or experience (Article 8);
(v) (with effect from 1 July 1994 – Directive 92/49/EEC) that there should be sound administrative and accounting procedures and adequate internal control mechanisms (Article 13).
Travaux préparatoires
"(g) by coordinating to the necessary extent the safeguards which, for the protection of the interests of members and others, are required by Member States of companies or firms within the meaning of the second paragraph of Article 58 with a view to making such safeguards equivalent throughout the Community."
"Whereas Article 54(3)(g) of the Treaty requires the coordination to the extent necessary of the safeguards which, for the protection of the interests of members and others, are required by Member States for companies or firms within the meaning of the second paragraph of Article 58 of the Treaty, with a view to making such safeguards equivalent throughout the Community;"
…
"Whereas such coordination is also urgently required owing to the Community-wide operations of insurance undertakings; whereas, for creditors, debtors, members, policy-holders and their advisers and for the general public, improved comparability of the annual accounts and consolidated accounts of these undertakings is therefore of crucial importance;"
Article 3 of the draft read as follows:
"1. This Directive shall apply to the association of underwriters known as Lloyd's with such adaptations as are necessary to take account of the particular nature and structure of Lloyd's.
"2. The Commission shall submit to the Council, not later than …, a report on the adaptions made under paragraph 1."
"1.4 The Committee considers that the present proposed Directive must make it easier to compare published accounts, so that competition between insurance companies can develop."
"1.5 … Accounting rules should have some flexibility, so that the methods of managing insurance business remain different, thus encouraging competition between the different markets. Member States must therefore be allowed a choice to enable the adjustments necessary in the light of market features to be made.
"But the long-term interests of customers must also be protected and every step must be taken to strengthen the solvency of insurance companies, which is the policyholder's real guarantee."
Dealing with Article 3 the Opinion stated as follows:
"The Committee would stress the importance of the Directive being applicable to the association of underwriters known as Lloyd's, whose role in the insurance market is vital. It regrets that a definite date has not been laid down for implementing the adaptations necessary.
"In the interests of equal competition, it is essential that comprehensive procedures for applying the Directive to Lloyd's be laid down rapidly.
"The Committee asks that, whatever happens, the date to be included in Article 3(2) must be earlier than the deadline by which the Member States must bring into force the laws, regulations and administrative provisions necessary for them to comply with the Directive, which is to be set out in Article 63(1)."
"For the purposes of this Directive, Lloyd's shall be considered to be an insurance undertaking, although the information relating to the syndicates or members of Lloyd's must meet certain requirements in accordance with the objectives of this Directive".
"One year accounting would require part of a syndicate's book to operate on a one year basis and part on a three year. Given that Lloyds will retain its current system whereby profits cannot be distributed to Names before the 36 month stage of an account, one year accounting would be both confusing and unnecessary to Names."
"At Lloyd's the balance which is closest to a reserve is the so-called "reinsurance to close". The outstanding liability of a year of account is closed by "reinsuring" such liability to a later year of account, in consideration of the payment of a premium equal to the estimated value of known and unknown liabilities.
"Under the Directive Lloyd's would have to show the following: … In respect of reinsurance to close, Lloyd's disclose the following … So, the information which Lloyd's provides in respect of the reinsurance to close is greater than that required by the Directive, which is restricted to the gross amount and reinsurance amount in respect of outstanding claims. The Directive, on the one hand, does not prevent the disclosure of more information than that set out in the Balance Sheet formats. On the other hand, it appears that the nature of the business at Lloyd's is such that Names should continue to receive the information that they currently do in respect of the reinsurance to close. The Directive should, thus, provide for Lloyd's syndicates to be able to continue to provide this in the current format."
"Although it might at first sight appear to be discriminatory to ask companies to put up technical provisions and not to ask Lloyds to do the same, it will be proposed to the Group not to require technical provisions to be set up in Lloyd's accounts (cf. Annex point 6), the reasons being that under the Lloyd's system technical provisions are neither feasible nor necessary.
As to necessity, it should be noted that solvency cover at Lloyd's differs from other types of insurance undertakings in that
a) solvency at Lloyd's is assessed at the Name level since the Name is the trading entity. An annual solvency test on each Name takes into account estimated loss provisions on open years of account to which the Name is exposed.
b) this solvency is available across all the numerous syndicates to which a Name might be attached. Therefore surpluses on one syndicate are available to be set off against losses on another.
c) there is no distribution of profit to proprietors until all liabilities are discharged.
d) Lloyd's Names do not have limited liability.
e) liabilities are backed by the total resources of Lloyd's.
As to feasibility, it should be noted that to set up syndicate open year reserves would require a fundamental departure from the existing system:
a) to be meaningful such reserves would not be available to cover deficiencies in other syndicates;
b) such "dedicated" reserves would undermine and detract from the present insolvency arrangements, whereby individual Names share their capacity between a number of syndicates with the full extent of their wealth supporting all the syndicates with which they are involved."
"2. In spite of the fact that nor "Lloyd's" as such nor the "Syndicates" working at Lloyd's are undertakings, it was clear from the beginning that Lloyd's had – on competitive grounds – to be taken into account of in the Directive." (p1)
"1. Lloyd's is not an undertaking, it is a market in which private individuals may write insurance on their own behalf. …" (p2)
"2. … A Lloyd's syndicate is a one year administrative convenience; it is not an entity with legal powers. …." (p2)
"2. Insurance groups must, like other groups of undertakings, eliminate intra-group transactions when putting up their consolidated accounts to show their net position against the outside world.
Lloyd's syndicates are not members of a group since they are in competition with one another and there is no overall authority equivalent to a holding company to guide their business.
So the question arises, whether Lloyd's should be allowed to disclose only – as they wish – aggregate and thus much higher figures, although their reinsurance transactions between the different syndicates are – as the companies would allege – considerable and accounted for.
In order to take account of both sides' demands, it will be proposed to the Group that aggregate accounts shall be drawn up by cumulation of the results of all Lloyd's syndicates. They shall contain, however, a note "giving details of all inter-syndicate business including premiums charged and claims paid" (cf. Annex point 2 a)." (p4)
"[3]a) solvency at Lloyd's is assessed at the Name level since the Name is the trading entity. An annual solvency test on each Name takes into account estimated loss provisions on open years of account to which the Name is exposed." (p5)
The 1991 Accounts Directive as enacted
(a) for open years, "the excess of the premiums over the claims and expenses paid" (paragraph 6(a));
(b) on the closure of years of account, "provision for claims outstanding", including "provision for … claims incurred but not reported" (paragraphs 6(b) and 8); and
(c) where years were left open, "the amount retained to meet all known and unknown outstanding liabilities, which represents a provision for claims outstanding estimated in the usual manner" (paragraph 9(b)).
The Secretary of State and the Defendant
"… all … liabilities to which the Secretary of State for Trade and Industry is … subject at the coming into force of this Order in connection with any function transferred by article 2 of this Order are hereby transferred to the Treasury."
Annual audit and certificate in relation to Names' underwriting
(a) in the case of liabilities in respect of long term business, by an actuary; and
(b) in the case of other liabilities, by the auditor on a basis approved by the Secretary of State (from 24 December 1996, the Defendant).
Basis of computation of liabilities
(a) (in relation to most classes of business, including non-marine "all other") the result of the application of a specified multiple to the net premium income for the year of account, known as the minimum percentage reserves ("MPRs"). For the oldest year of account referred to in each year's Instructions, and all years previous to the oldest year of account, an alternative test of outstanding liabilities was to be applied if this would result in higher reserves;
(b) the total of the estimated outstanding liabilities on the relevant accounts as at the relevant date, which was required to include an element to take care of "unnoted and unknown liabilities" (up to 1986) or "liabilities unnoted and incurred but not reported" (from 1987); and
(c) the amount of the RITC for the closing year of account, including any previous years reinsured into that account (provided the year in question was not being run off).
(a) 20% of gross premium income less brokerage, discount and returns; plus
(b) premiums on all reinsurances effected at Lloyd's; plus
(c) a further 10% of gross premiums less brokerage, discount and returns in respect of reinsurances where reinsurers had agreed to cover their proportion of outstanding losses, either by cash loss reserves established with the syndicates concerned, or by a letter of credit drawn on a bank approved by the Council of Lloyd's.
Premium trust deed
Requirements for Lloyd's as a whole: Statutory Statement of Business ("SSOB") and solvency margin
(a) The Lloyd's (General Business) Regulations 1979 (SI 1979/956), made under ECA 1972 and coming into force on 1 August 1979 applied (with certain modifications) Regulations 4(1) to (3) of the Insurance Companies (Solvency: General Business) Regulations 1977 (SI 1977/1553) to "the members of Lloyd's together" as they applied to an insurance company having its head office in the United Kingdom.
(b) The ICA 1981 inserted into the ICA 1974 new sections 26A, 26B, 26C and 26D relating to margins of solvency and Community margins of solvency of insurance companies. Section 31(1) of the ICA 1981 provided inter alia for sections 26A, 26B and 26D to apply to the members of Lloyd's taken together subject to such modifications as may be prescribed by regulations under the 1974 Act, and to any determination made by the Secretary of State in accordance with such regulations. The Lloyd's (Financial Resources) Regulations 1981 (SI 1981/1655), made under ECA 1972 and ICA 1981 and coming into force on 1 January 1982, applied the solvency margin requirements to Lloyd's subject to certain modifications.
(c) Sections 32 and 33 of the ICA 1982 provided for margins of solvency in relation to insurance companies, and section 84 of the ICA 1982 provided that subject to such modifications as may be prescribed and to any determination made by the Secretary of State in accordance with regulations, sections 32 and 33 applied to the members of Lloyd's taken together as they applied to an insurance company to which Part II of the Act applied and whose head office was in the United Kingdom. The Insurance (Lloyd's) Regulations 1983 (SI 1983/224), made under ICA 1982 and coming into force on 22 March 1983, provided for sections 32 and 33 of the ICA 1982 (and any relevant regulations: the material regulations at the time were the Insurance Companies Regulations 1981) to have effect in relation to the members of Lloyd's taken together, subject to specified modifications.
(d) The Insurance Companies Regulations 1994 (SI 1994/1516), made under ECA 1972 and ICA 1982 and coming into force on 1 July 1994, replaced the Insurance Companies Regulations 1981 and made consequential amendments to the Insurance (Lloyd's) Regulations 1983.
(e) The Insurance (Lloyd's) Regulations 1996 (SI 1996/3011), made under ECA 1972 and ICA 1982, made amendments to ICA 1982 and to the Insurance (Lloyd's) Regulations 1983.
(f) The Insurance (Lloyd's) Regulations 1997 (SI 1997/686), made under the ICA 1982 and coming into force on 1 January 1998, amended the Insurance (Lloyd's) Regulations 1983 as regards the calculation of the solvency margin and the prescribed form of Statutory Statement of Business.
Illustrative timetable
May-July 1980 | Provision of settlement statistics to Lloyd's by managing agents. |
August 1980 | Settlement statistics sent by the Audit Department/MSSD to the DTI -- and by the DTI to the Government Actuary's Department -- and market associations for consideration. |
Autumn 1980 | Planning by syndicate auditors of the work required for the audit as at 31.12.80 and preliminary check of certain syndicate records and systems. |
October/ November 1980 |
Comments on the settlement statistics received from the DTI and market associations. Recommendations made by the Audit Department/MSSD to the Audit Committee/MSSC as to changes in the prior year's scales of minimum percentage reserves and Audit Instructions, incorporating comments from the DTI and market associations. Recommendations considered by the Audit Committee/MSSC. |
October/ November 1980 |
Meeting with panel auditors to advise them, inter alia, of material changes to the Audit Instructions. (For the 1984 solvency test and thereafter, this meeting moved to December/January). |
November/December 1980 | Recommendations as to minimum percentage reserves and other changes to the Audit Instructions considered by the Committee. Completion of planning and preliminary work by syndicate auditors. |
December 1980 | Scales of MPRs approved by the Committee and communicated to underwriting agents and panel auditors, subject to final approval by the DTI. Scales of MPRs sent to and discussed with the DTI/Government Actuaries Department. |
December 1980/ January 1981 |
Syndicate auditors commenced main audit to reach a conclusion on the syndicate accounts and Names' personal accounts. |
January/ February 1981 |
Final approval of Audit Instructions by the DTI. Audit Instructions and Solvency Letter printed and circulated. |
March/ April 1981 |
Review by syndicate auditors of RITC and completion of work required for solvency audit. |
end April 1981 | Submission of syndicate results for solvency purposes to Lloyd's. |
end May 1981 | Individual Names' solvency certificates for the year to 31.12.80 completed and provided to Lloyd's and the DTI. |
May/June 1981 | Approval and signature by managing agent of syndicate accounts as at 31.12.80. Subsequently, signature by syndicate auditors of audit report containing their opinion on the accounts. |
Early June 1981 | Filing of returns by syndicate auditors (for the 1987 year end, managing agents) required by Lloyd's for the production of the SSOB and Globals. |
mid June 1981 | Despatch by managing agents of syndicate accounts to direct Names and members' agents. (Prior to the accounts for the year ended 31 December 1983, which were required by Byelaw No. 2 of 1984 to be despatched by 15 June 1984, there was no specific date for despatch of syndicate accounts). Filing of syndicate accounts with Lloyd's (for the year ended 31 December 1983 onwards). |
mid July 1981 | Despatch by members' agents of syndicate accounts to Names. |
End August 1981 | Completion and filing of SSOB. |
Early September 1981 | Publication of Aggregate Results for year ended 31.12.80 (Globals from September 1983 – ie. for the years ended 31.12.82 and subsequently). |
Notes:
(i) the sub-division of "All Other" non-marine statistics into three currencies took place in 1981, and it was possible to obtain the historical figures within those currencies;
(ii) from time to time, the categories within which the figures were collected were changed by Lloyd's;
(iii) MPRs were regularly considered by the Audit Committee/MSSC and the Committee;
(iv) concerns were expressed from time to time at meetings of the Audit Committee/MSSC that if the percentages for the US$ "All Other" class of business were set too high, syndicates writing shorter-tail business within that class would be disadvantaged;
(v) Lloyd's made it clear to the DTI, and in the Audit Instructions, that the percentages were absolute minima (The Solvency Letter for the 1984 year end expressly states, at note (i)(a) to clause 6, that: "The scales of minimum percentage reserves represent the absolute minimum requirement for any syndicate."); and
(vi) the settlement statistics were compiled on the basis of net figures.
FSMA 2000
(1) The Authority must keep itself informed about-
(a) the way in which the Council supervises and regulates the market at Lloyd's; and
(b) the way in which regulated activities are being carried on in that market.
(2) The Authority must keep under review the desirability of exercising –
(a) any of its powers under this Part;
(b) any powers which it has in relation to the Society as a result of section 315."
(1) The Authority may give a direction under this subsection to the Council or to the Society (acting through the Council) or to both.
(2) A direction under subsection (1) is one given to the body concerned-
(a) in relation to the exercise of its powers generally with a view to achieving, or in support of, a specified objective; or
(b) in relation to the exercise of a specified power which it has, whether in a specified manner or with a view to achieving, or in support of, a specified objective.…
(a) which is compatible with the regulatory objectives; and
(b) which the Authority considers most appropriate for the purpose of meeting those objectives.
The regulatory objectives are defined by s.2(2) to include the protection of consumers (who are defined by s.138(7) of FSMA 2000).
"(1) An activity is a regulated activity for the purposes of this Act if it is an activity of a specified kind which is carried on by way of business and-
(a) relates to an investment of a specified kind; or
(b) in the case of an activity of a kind which is also specified for the purposes of this paragraph, is carried on in relation to property of any kind.
(2) Schedule 2 makes provision supplementing this section.
(3) Nothing in Schedule 2 limits the powers conferred by subsection (1).
(4) "Investment" includes any asset, right or interest.
(5) "Specified" means specified in an order made by the Treasury."
Paragraph 10 of Schedule 2, Part II, to the FSMA 2000 provides that:-
"The matters with respect to which provision may be made under section 22(1) in respect of investments include, in particular, those described in general terms in this Part of this Schedule."
The investments referred to include, by paragraph 21, the underwriting capacity of a Lloyd's syndicate and a person's membership (or prospective membership) of a Lloyd's syndicate.
"56. Advising a person to become, or continue or cease to be, a member of a particular Lloyd's syndicate is a specified kind of activity.
57. Managing the underwriting capacity of a Lloyd's syndicate as a managing agent at Lloyd's is a specified kind of activity.
58. The arranging, by the society incorporated by Lloyd's Act 1871 by the name of Lloyd's, of deals in contracts of insurance written at Lloyd's, is a specified kind of activity."
Being a Name is not so specified.
"Policies written in the fifties and sixties were coming alive again. Claims were being made in the 1970s and for many years thereafter by persons who suffered from cancer and other diseases caused by inhalation of asbestos during the 1940s and 1950s. Those claims were succeeding against producers and producers were claiming on policies written long before the names ever became members of Lloyd's. Lloyd's syndicates were claiming on reinsurances taken out with other Lloyd's syndicates long before the names became members. Courts in the United States were apparently holding producers liable on any basis that gave the claimant the best prospect of succeeding in his or her claim, and were allowing producers to succeed on claims under their policies on any basis that would lead to insurers or reinsurers having to pay."
number of syndicates | total open years | total open years for non-marine syndicates | |
1978 | 17 | 22 | 7 |
1979 | 26 | 35 | 20 |
1980 | 23 | 34 | 20 |
1981 | 25 | 35 | 20 (6) |
1982 | 33 | 41 | 18 (15) |
1983 | 27 | 40 | 21 (28) |
1984 | 58 | 90 | 43 (53) |
1985 | 65 | 110 | 54 (68) |
1986 | 66 | 102 | 58 (70) |
1987 | 65 | 107 | 62 (75) |
1988 | 71 | 119 | 68 (83) |
( ) denotes minimum with known latent liability
Overall | General liability | General liability | General liability | |
Underwriting profit (or loss) |
investment income & gains |
underwriting loss | investment income & gains | |
£000 | £000 | £000 | £000 | |
1981 | (43.5) | 361.4 | (195.6) | 111.4 |
1982 | (187.9) | 442.0 | (425.1) | 142.7 |
1983 | (114.7) | 416.9 | (384.4) | 143.6 |
1984 | 137.7 | 432.5 | (256.9) | 134.9 |
1985 | 190.5 | 373.1 | (353.7) | 123.8 |
Thus for each year of account the market as a whole made a profit, after inclusion of investment income and gains, but general liability business produced a substantial loss even after crediting investment income and gains.
"It takes a brave man, or a foolish one, to forecast the outcome of the open years. For what it is worth I would personally expect the bottom line on each to show a deterioration on the preceding one."
"It is rapidly becoming apparent that the potential claims arising from asbestos will dwarf any claim in the history of our industry. It is very sad that in the United States to date under half of the money paid by our industry has ended in the hands of the injured party, the balance is in the capacious coffers of the more rapacious lawyers: for this reason we support, and I very much hope all our industry will support, the concept of a claims handling facility set up by the insurers and manufacturers to look after the interests of the injured."
"Figures such as these make it obvious that underwriters must take stringent remedial action as indeed they are. It is worth repeating that a combination of three things is needed, particularly in the all-important American casualty business; first, a realistic rating level; second, a reformed policy wording embracing, where needed, a claims-made basis for claims and an overall limit, including legal costs; and third, a measure of tort law reform. Without real progress in all three areas, it is hardly to be wondered at if underwriters increasingly withdraw from this class of business, with the result that certain industries will be left without the insurance coverage which they need to continue in business, to the detriment of society in general."
"… there is one factor which continues to dominate the whole Lloyd's market and indeed it is perhaps no exaggeration to say it continues to dominate the whole world insurance scene. I refer, of course, to the general liability account. I have in previous years drawn attention to the enormous losses made in this area and I must do so again. The overall loss on this account shows a welcome reduction from last year's figure. However, I have to say that the problems facing those underwriting this account, while perhaps reduced as a result of the reforms in 'the law of tort in the United States, are nevertheless far from solved. Two facts seem to me to stand out; first, that this account produces 12 per cent of Lloyd's premium income and almost 100 per cent of our losses. Second, almost exactly 50 per cent of our reinsurance to close (£ 2,000 million out of £ 4,000 million in round figures) has to be devoted to the claims outstanding within this account; on a premium income base of some £ 400 million any under-reserving must have a sharply disadvantageous effect. In spite of all the efforts that have been made, quite extraordinary court awards and judicial interpretations continue to come from, in particular, the American scène. There are two quite different problems in the whole of this area. First, whether the amounts put aside to meet these claims will be sufficient, a problem of the past which underwriters must do their best to solve. Second, how far it is prudent to commit underwriting resources in the future to a class of business hedged about with such dangers and uncertainties. …"
"The difficulties associated with long tail liability business highlighted by the chairman of the non-Marine Association have resulted in both an underwriting loss and an overall loss. This business is now, however, being written at rates that better reflect the present climate and with policy wordings appropriate to the changed circumstances."
Mr Williams, the chairman of LUNMA said in his statement:
"Our two main areas of difficulty are in asbestos-related claims and environmental impairment.
"First I should make it absolutely clear that I make no pretence whatsoever that the reserves my Committee accepted last year, or the alterations we propose now, are correct. All that can be said with certainty is that in no area of their business have Lloyd's Underwriters been so substantially and so consistently under-reserved as in the liability accounts.
(i) The Global Accounts sent to the Names on an annual basis by Lloyd's.
(ii) The Task Force Report of January 1992.
(iii) The Business Plan of April 1993.
(iv) The Guide to Corporate Capital of September 1993.
(v) The Lloyd's settlement offer of 7th December 1993 with the Kerr Legal Panel Report and the Morse Financial Panel Report.
(i) In the Introduction, at paragraph 1.2, reference was made in particular to past Lloyd's scandals, the losses of the Outhwaite Syndicate, the problem with open syndicates and the rapid deterioration of some business written many years before, including the rapid growth in asbestosis liabilities arising on Policies long since archived.
(ii) The Executive Summary dealt shortly with the wide range of topics the Report addressed, including Lloyd's position in the world insurance market, the need for growth, the case for reform of Lloyd's capital structure, the introduction of high-level central stop loss cover for Names, the strengthening of Names' rights, additional reserving, the need to increase the accessibility of the Names' capital in the event of underwriting losses, ways to diversify Names underwriting, ways of adjusting capacity part-way through the year, gaining access to corporate capital including via quota share reinsurance, the desirability of retaining three year accounting, managing old and open years, changes in the agency system, the structure of vehicles for corporate capital, trading syndicate participations, achieving market-wide cost reductions, strengthening distribution channels and reforming the structures of Lloyd's governance.
Paragraph 28 of the Summary stated that one of the greatest challenges facing the Society was the unknown volume of liability claims arising on US business written over the past 50 years essentially in respect of asbestosis and more recently environmental pollution. Reference was made to the huge range of uncertainty over the scale and timing of the Market's ultimate liability for these potential claims which had led to a sharp increase in the number of open years of account and to the need for Lloyd's to develop explicit reserving guidelines to assist all syndicates to achieve acceptable and consistent standards. Paragraph 30 referred to the 'old' and 'open' years problems as being particularly intractable.
(iii) The RITC system was explained with the Agent's duty to set it at a level which was equitable to both the re-insuring Names and the Names on the closing year. The Report went on to say (para 6c67):-
"This approach presupposes that the RITC can be set with a certain degree of precision. In some cases it can, for instance for short-tail business but in many cases it cannot. The RITC can often only reflect a subjective judgement arrived at after considering a wide variety of factors. Consequently the RITC can, with hindsight, often be seen to have been wrong. It will have been set in good faith, drawing on all relevant information and using appropriate reserving techniques, but it can still prove insufficient. Thus the receiving Names must carry a risk that the RITC will prove inadequate (likewise, they have a potential upside should the RITC prove more than adequate). The reality of this risk is emphasised in the 1988 Global Accounts which show a deterioration of £356 million in respect of prior closed years, following a deterioration of £195 million in 1987. …"
(iv) Chapter 7 was devoted to the "old years problems" and the "open year problem". These were said to present the gravest threat to the future health of Lloyd's. The uncertainties surrounding old years' claims was so great that many syndicates had been unable to arrive at an equitable RITC after three years and the year had consequently to remain open.
(v) At paragraph 7.8., the Report referred to the size of the old years problem first becoming apparent in the first half of the 1980s with its impact on Names steadily increasing since that point. Over the four years prior to the Report the cumulative prior year underwriting result had been a loss of £1.6 billion, with each year seeing a steady rise. The figures were then set out in a table for 1985 through to 1988.
(vi) The Task Force had attempted to analyse the underlying cause of the prior years' losses to see whether there could be confidence that the Market's current reserves were adequate and that the prior pure year losses would subside from 1989 onwards. In order to test this, they attempted to scale the potential size of the Market's ultimate liability for asbestos and pollution claims and to estimate the Market's current level of reserves for those liabilities. They stated that their analyses were not productive as they were unable to arrive at reliable estimates for some of the critical areas of uncertainty. Nevertheless, the attempts at scaling the problems had to put into sharp focus the enormous uncertainty that still surrounded those liabilities. They said they were unable to develop reliable estimates for several critical uncertainties, most notably, the number of claims still to be reported and Lloyd's share of the liabilities after reinsurance recoveries.
""The Group was formed in July 1992 when Lloyd's started issuing writs to Names who had either not paid their losses or had not met solvency as a result of 1988 and 1989 losses. To date, we believe 172 writs have been issued. The Writs Response Group has co-ordinated its defence of those writs and four writs have now been selected by Lloyd's who wish to apply for summary judgement. Therefore all our defences stand or fall with those applications for summary judgment. The importance of these defences cannot be exaggerated. If those cases are lost, we are all open to having our entire fortune plundered by Lloyd's.
Although the subscription is £350, we ask that everyone who may receive a writ to seek as much of that amount as they can afford towards their subscription together with post dated cheques for the balance. These funds are being used to co-ordinate a "master defence" which has taken the best points from the teams of lawyers who represented the original writ recipients.
In addition we are seeking to mount a counterclaim, although to do so one has to be able to show that Lloyd's acted in bad faith. Out of these two approaches has arisen a complaint to the European Commission, under EC Competition Rules. The advantage of that complaint is that Lloyd's has no immunity from suit in respect to it."
"Unless we take radical action now to produce a solution which is acceptable to our policy holders, our regulators, and to you, our membership, I do not believe that the Society will be able to survive in anything like its present form."
(a) Names were offered the opportunity of reinsuring their liabilities (excluding life business) up to the end of the 1992 year of account and of resigning from Lloyd's.
(b) The litigation initiated by Names against Lloyd's and agents was settled through the establishment of a settlement package worth approximately £3.2 bn including debt credits of approximately £2.1 bn.
(c) Some profits on the 1993-95 years of account were released to Names, but reserved to pay their final liability settlements.
(d) Lloyd's agreed to raise some £850m from Names, market professionals and asset disposals, and utilise the Central Fund and the sums payable to Names by E&O policies to fund the package of "debt credits"
a. LMX Cases
b. Long-Tail Cases:-
i. Run-Off Contract cases
ii. Reinsurance to Close Cases
c. Personal Stop Loss Cases
d. Portfolio Selection Cases
e. Central Fund Litigation
f. Other Cases.
He went on to explain that the Court had identified preliminary issues and lead or pilot cases for trial as to liability and principles relating to quantum in particular categories.
a. Arbuthnott & Others v. Feltrim Underwriting Agencies & Others in January 1996 …
b. Henderson & Others v. Merrett Syndicates & Others in February 1996 …
c. Deeny & Others v. Gooda Walker Limited & Others in March 1996 …
Damages were awarded to the claimants in these cases.
Ashmore
In this case Gatehouse J decided that certain terms could not be implied into Lloyd's form of general undertaking (which since 1987 had constituted the contract between the Names and Lloyd's) and therefore Lloyd's did not owe the alleged contractual duties to its Members.
Briggs
The Divisional Court held that Lloyd's was not susceptible to judicial review in the context of calls upon Names for funds.
Clementson/ Mason
The Court of Appeal held that further terms which the Names contended were implied in the contract between Lloyd's and its members were not so implied, but held arguable the Names' case that aspects of Lloyd's arrangements infringed Article 85 of the EC Treaty. On trial of that issue Cresswell J rejected that aspect of the Names' case.
Woodward and Robinson
These cases concerned whether Names' litigation proceeds were subject to Lloyd's Premiums Trust Deed (PTD). In Napier and Ettrick v RF Kershaw Ltd (1992) Saville J held that the Deed did not cover damages for negligent underwriting. In Society of Lloyd's v Morris (1993) the Court of Appeal held that receipts from personal stop loss policies were also not covered. In the meantime a number of other actions had been commenced by other groups of Names. The first action to come to trial was that brought by Names of the Gooda Walker Syndicates. In October 1994 Phillips J found in favour of the Names. Over the following eighteen months or so judgments were also given in favour of Names on several other syndicates. In order to facilitate R&R Lloyds wanted litigation recoveries to be brought within the scope of the PTD. In March 1995 the Council of Lloyd's amended the terms of the PTD by introducing a new clause 2(d) expressly designed to catch litigation recoveries. In May 1996 Sir Richard Scott V-C in Society of Lloyd's v Woodard (1996) held inter alia that the 1995 amendments were invalid. An appeal to the Court of Appeal proceeded in tandem with an appeal out of time from Napier v Kershaw. The Court of Appeal held in Napier v Kershaw that the unamended PTD did catch damages for negligent underwriting. The House of Lords in Woodward (renamed Robinson after a change of party) held the 1995 amendments to the PTD were valid and that the amended PTD caught damages for negligent underwriting, negligent advice on personal stop loss insurance and negligent advice about syndicate selection.
Leighs and others
The scheme of byelaws, decisions and contracts under which R&R was established and imposed on non-accepting Names was held intra vires LA 1982. Orders for summary judgment for the Equitas premium against non-accepting Names upheld. It is for this reason (and because of the decisions in Fraser and Daly) that the subsequent Jaffray/Laws litigation proceeded by way of counterclaim rather than defence proper. In Leighs interim stays pending trial of the counterclaims were refused.
Fraser
The Names were held not to be entitled to raise allegations of bad faith on Lloyd's part as defences to applications for summary judgment for the Equitas premium.
Daly
Foreign securities legislation and other aspects of foreign laws were held not to afford non-accepting Names a defence to claims for payment of the Equitas premium in view of the choice of law/forum selection provisions of the General Undertaking.
a. Society of Lloyd's v. Jaffray: Cresswell J
The Jaffray trial took place in consolidated proceedings involving counterclaims (and in a few cases original claims) by large numbers of Names. The majority were represented through the United Names Organisation (UNO). Names variously made allegations of fraudulent and negligent misrepresentation. The original pleadings in Jaffray included allegations relating to under-reserving for pollution and health hazards as well as asbestosis. The point for trial – the Threshold Fraud issue – concerned the allegation that Lloyd's brochures and globals during the "relevant period" – 1978 to 1988 -- contained fraudulent misrepresentations. The alleged representations focused on the Lloyd's accounting system and the incidence of huge under-reserved liability at the time Names joined. The UNO Names alleged that Lloyd's did not disclose a sufficient picture of the impact of asbestosis losses on the Market "until 1993" and that it was not until then that Lloyd's revealed the matters upon which complaint was based. In his judgment of 3.11.00 Cresswell J dismissed the threshold fraud allegations.
b. Society of Lloyd's v. Jaffray: Court of Appeal
The Court of Appeal in Jaffray [2002] EWCA Civ 1101 upheld Cresswell J's dismissal of the threshold fraud case, though it held (reversing Cresswell J) that misrepresentations had been made.
c. Society of Lloyd's v. Laws: Cooke J
The majority of Names who were party to the Jaffray proceedings sought to proceed, by way of amendment or revival of their original pleadings, with counterclaims for negligent misrepresentation. Again, the majority were represented through UNO. Cooke J permitted certain of these cases (in relation to the period prior to entry into force of s. 14 LA 1982) to proceed further but dismissed the remainder, holding amongst other things that the Human Rights Act 1998 did not enable Names to avoid the immunity from suit conferred on Lloyd's by s. 14 ([2003] EWHC 873 (Comm)).
d. Society of Lloyd's v. Laws: Court of Appeal
The Court of Appeal dismissed the unsuccessful Names' appeals by judgment of 19 December 2003 ([2003] EWCA Civ 1887).
e. Society of Lloyd's v Levy: Commercial Court
Morison J held, inter alia, that (i) the Insurance Directive does not confer rights on Names to complain about a lack of regulation and (ii) it was not arguable that the application of the English 6-year limitation period was improperly stifling a European point.
Accounts Directive | Council Directive 91/674: ASF 5.2 |
ALM | Association of Lloyd's Names |
ASF | The Agreed Statement of Facts |
Central Fund | A fund to which all Names contributed and to which recourse could be had for specified purposes at the discretion of the Council of Lloyd's |
DTI | The Department of Trade and Industry |
External Name | Name not professionally involved in the market in the way in which a "working" Name is involved (see below) |
The Fisher Report | Report of the Fisher Working Party into Self-Regulation at Lloyd's published in May 1980 |
FSA | Financial Services Authority |
FSMA | The Financial Services and Markets Act, 2000 |
IBNR | Liabilities that have been incurred but not reported: ASF 2.4.8 |
(The) ICA 1982 | The Insurance Companies Act 1982 |
(The) Insurance Directive | The First Non-Life Insurance Directive 73/279/EEC |
Jaffray | The proceedings entitled The Society of Lloyd's v. Sir William Otho Jaffray Bt. 1996 Folio No 2032 |
Lloyd's | (depending on context) the Society of Lloyd's or the Lloyd's market |
Lloyd's Act or LA 1982 | The Lloyd's Act 1982 |
LNA | Lloyd's Names Association |
LNAWP | Lloyd's Names Association Working Party |
Long-tail business | Business for which the notification or the settlement of claims, or both, may take many years |
NACDE | Names Association for Compensation and Defence in Europe |
The Neill Report | Report of the Neill Committee into the Regulatory arrangements at Lloyd's published in January 1987 |
Open year | a year which is open either (a) in the ordinary course of Lloyd's three-year accounting system (a "naturally" open year) or (b) because a decision has been taken not to close it in the ordinary course (i.e. it is in run-off) |
R&R | Lloyd's settlement plan: "Reconstruction and Renewal": ASF Section 7 |
RITC | reinsurance to close: an agreement pursuant to which underwriting Names of a syndicate for a given year of account (the "closed year") agree with the underwriting Names comprising that or another syndicate for a later year of account that the latter will indemnify the former against all their liabilities arising out of the closed year: ASF 2.4.7 |
RRAPC | The Re-Re-Amended Particulars of Claim dated 9 August 2005 |
Run-off | A year of account is in run-off if it has been decided not to close it; no new business can be underwritten to a year in run-off |
The Second Non-Life Directive | Directive 88/357/EEC |
Short-tail business | Business on which claims generally arise and are paid relatively soon after the risk is accepted and the premium paid |
Syndicate | annual venture in which underwriting members participate by underwriting business for the year of account in question |
The Third Non-Life Directive | Directive 92/49/EEC |
TCSC | Treasury and Civil Service Committee |
The TCSC Report | Report on "Financial Services Regulation: Self-Regulation at Lloyd's of London" |
Underwriting year | Calendar year to which risks underwritten are allocated |
UNO | The United Names Organisation: ASF 8.3.2a |
Working Name | Name who is substantially involved in the market as an agent, broker or an employee of an agent or broker |
Year of account | Same as underwriting year |
Date | Event | Statement of Facts Paragraph(s) (if any) |
25.3.57 | Treaty of Rome establishing European Economic Community | |
23.12.69 | The Cromer Report. Report of a working party on the future of Lloyd's. Made public in 1986/7 | |
22.1.72 | UK Treaty and Act of Accession, Brussels. Effective 1 January 1973 | |
24.7.73 | First Non-Life Directive 73/239/EEC ("the Insurance Directive" or "1NLD") UK obliged to amend national law within 18 months of 27.7.73 | 4.2 and 5.1 |
10.9.73 | Judgment in Borel v Fibreboard Paper Products Company, et al, 493 F 2d 1976. Strict Liability of employer for asbestosis | 6.1.3 |
27.1.75 | Date by which UK was obliged to amend national provisions to comply with Directive 73/239 | |
29.6.76 | Council issues Directive 76/580 amending Article 5 of Directive 73/279 | |
27.7.76 | Deadline for entry into force in UK of national provisions to comply with Directive 73/239 | |
1979 | Keene Corp. v. Insurance Co. of North America, 667 F.2d 1034 (D.C. Cir. 1981). Established the "triple-trigger" test for determining indemnity responsibility in ongoing damage situations which trigger multiple policies | 6.1.4 |
May 1980 | Fisher Report into Self-Regulation at Lloyd's published | |
2.7.81 | Insurance Companies Act 1981 (c. 31) enacted | 5.3.10(b) |
1981-2 | Outhwaite writes run-off policies. Liabilities of 32 other Lloyd's syndicates consolidated into 317 (Merrett takes more for 417/8) | 8.2.2-3 |
23.2.82 | Neville Russell letter | |
July 1982 | Lloyd's Act 1982 | 2.2.6 |
28.10.82 | Insurance Companies Act 1982. In force 28.1.83 |
5.3 |
10.12.84 | Council issues Directive 84/641 amending Directive 73/239, Articles 1, 4, 26, 27 | |
1985 | Outhwaite 1982 year of account left open | |
January 1987 | Neill Committee of Inquiry Report into the Regulatory arrangements at Lloyd's published. Cromer Working Party report of 23.12.69 made generally available to Names. |
|
22.6.87 | Second Non-Life Directive 88/357/EEC | |
30 June 1990 | Entry into force of Council Directive 88/357 amending Directive 73/239 Article 19 | 5.1.4(e) |
1991 | Lloyd's Task Force set up (Rowland) | |
1991 | Many more syndicates left open, action groups form. | 6.2.23 |
19.12.91 | Directive 91/674/EEC (the "Accounts Directive") | 5.2.9 to 11 |
January 1992 | Task Force Report "Lloyd's: A Route Forward" published | 6.2.16 to 6.2.18 |
Jan 1992 | Names receive £116m in Outhwaite settlement |
6.2.14 |
18.6.92 | Third Non-Life Directive 92/49/EEC. Amends Directive 73/239 Articles 7,8,9,10,13,14,15,15A,18,19,20,22,28. | 5.1.4(b)(ii) |
June 1992 | Morse Report into future governance at Lloyd's published Lloyd's EGM statement |
6.2.19 |
November 1992 | Chatsets guide to syndicate runoffs published | 6.2.22 |
1993 | First Settlement Offer seeking to settle litigation between Names and agents. Rejected by Names early in 1994 | 7.1.3 |
March 1993 | The Open Years Panel report | 6.2.19; 6.2.24 |
April 1993 | Lloyd's Business Plan published and circulated to Names | 6.2.25 to 28 and 7.1.1 |
16.12.93 | Judgment of Saville J in Society of Lloyd's v Clementson; Society of Lloyd's v Mason | |
February 1994 onwards | Complaints by Names in relation to DTI regulation of Lloyd's | |
1.7.94 | Entry into force of amendments made by the 1991 Accounts Directive and Directive 92/49 | 5.1.4 |
4.10.94 | Decision in Deeny v. Gooda Walker Ltd [1996] LRLR 183 in favour of Names. Similar decisions reached during 1993-1994 in litigation between Names and other Agencies notably Feltrim, Merrett, Outhwaite, Pulbrook and Bromley | |
11.11.94 | Decision of Court of Appeal in Society of Lloyd's v Clementson; Society of Lloyd's v Mason | 8.3.1 |
December 1994 | Treasury and Civil Service Committee ("TCSC") commences enquiry into regulation in Lloyd's (part of wider enquiry into regulation of financial services in the UK) Lloyd's Names Association Working Party (LNAWP) and Association of Lloyd's Names (ALM) Memoranda submitted to TCSC |
|
May 1995 | TCSC publishes report "Financial Services Regulation: Self-Regulation at Lloyd's of London" Lloyd's new settlement plan "Lloyd's: Reconstruction and Renewal" ("R&R") published |
7.1.3 7.1.4 to 5 |
29.6.95 | Council issues Directive 95/26 amending Directive 73/239 Article 8. | |
July 1995 | Government submits response to TCSC on Lloyd's | |
22.12.95 | DTI publishes its comments on LNAWP discussion paper on alternatives to R&R | |
March 1996 onwards | Complaints by Names to Parliamentary Ombudsman in relation to DTI's regulation of Lloyd's | |
30.7.96 | Formal R&R Settlement Offer sent to Names | 7.1.6 |
02.09 96 | R&R Settlement concluded and Equitas established | 7.1.7 |
03.09.96 | Commencement of 6 year period before Claim Form | |
11.9.96 | Extended time limit for acceptance of R&R offer | - |
30.9.96 | R&R premia fall due | |
24.9.97 | The Society of Lloyd's v Leighs and Others [1997] CLC 1398 (CA). Non-accepting Names dispute Equitas liabilities and courts confirm Equitas arrangements | |
6.11.97 | Petition to European Parliament by Miss Stewart-Smith | |
21.11.97 | Names serve Points of Defence and Counterclaim in Jaffray | |
11.2.98 | Lloyd's serves Points of Reply and Defence to Counterclaim in Jaffray | |
3.7.98 | Decision of Court of Appeal in Society of Lloyd's v Fraser | |
8.2.99 | Petition to European Parliament by Mr M Anstey and 111 others recorded in Parliament's minutes | |
2.8.99 | Names serve Amended Defence and Counterclaim in Jaffray | |
03.09.99 | Commencement of 3 year period before Claim Form | |
14.6.00 | Financial Services and Markets Act 2000: Part XIX relates to Lloyd's | 5.3.14 to 21 |
3.11.00 | Decision of Cresswell J in Jaffray | 8.1.1 and 8.3.2 |
March 2001 | Names Association for Compensation and Defence in Europe (NACDE) sends draft report to European Commission on the application of the Insurance Directive to Lloyd's | - |
June 2001 | NACDE produces report "The Application of Directive 73/239/EEC to Lloyd's" | |
1.12.01 | Main provisions of FSA 2000, and the rules and other subordinate legislation by then made under it, come into force. | |
21.12.01 | First Letter of Formal Notice – Commission to UK Government. Commission commences Infringement Proceedings for failure to implement the Insurance Directive. | |
26.7.02 | Decision of Court of Appeal in Jaffray [2002] EWCA Civ 1107 | 8.3.2 |
2.9.02 | Claim Form issued in present action | |
23.12.02 | Claim Form served | |
21.01.03 | Additional letter of formal notice – Commission to UK Government |
LIST OF PRINCIPAL ISSUES
1.1 Does the result prescribed by the Directive entail the grant of rights to persons in the position of the Claimants?
1.2 Is it possible to identify the content of those rights on the basis of the provisions of the Directive?
1.3 Is there a causal link between the breach of the State's obligation and the loss and damage suffered by the injured parties?
3.1 Are the provisions of the Insurance Directive relating to the system of regulatory supervision for insurance undertakings concerning authorisation, accounting procedures and the verification of the adequacy of their solvency and technical reserves intended, for the reasons given in paragraphs 23 to 28C and 81B to 87 of the Re-Re-Amended Particulars of Claim, to introduce a uniform set of provisions for all Member States to facilitate the exercise of the right of establishment? (It is common ground between the parties that the answer to this question is yes, but the issue is a necessary one which will have to be identified and ruled on by the Court.)
3.2 Do those provisions grant rights to individuals, and if so what rights? (The Claimants submit that they do grant rights to individuals for the reasons given in paragraphs 81B to 87 of the Re-Re-Amended Particulars of Claim. The Defendant does not admit that these provisions grant rights to insurers (paragraph 4(1)(c) of the Re-Re-Re-Amended Defence), and otherwise denies that those provisions grant rights to individuals or were intended to do so: Re-Re-Re-Amended Defence, paragraph 89. The Defendant's case is that if the Insurance Directive does grant rights to any individuals, it grants to individuals who are direct insurers the right to establish themselves in a host Member State, alternatively in a host Member State and (if there is a sufficient cross-border element) in the Member State of their origin, where they meet the conditions prescribed by the Directive.)
3.3 If those provisions grant rights to individuals, do they grant rights to:
Insurers;
Insured persons;
Insured persons when insured by reinsurance or retrocession; or
Third parties (in whatever sense is contemplated by the second recital to the Insurance Directive);
and, if so, what rights? (The Claimants say that the Insurance Directive grants to them in each of those categories the rights referred to in paragraph 3.5 below. As noted above, the Defendant does not accept that the Insurance Directive granted any rights but, if there was a grant, it was a grant to direct insurers of the right to establish themselves in a host Member State, alternatively in a host Member State and (if there is a sufficient cross-border element) in the Member State of their origin, where they meet the conditions prescribed by the Directive.)
3.4 As regards the grant of rights to insured persons and third parties, these give rise to the following sub-issues:
3.4.1 Are the Claimants "insured persons" in the sense contemplated by the recitals to the Insurance Directive as alleged in paragraph 84A of the Re-Re-Amended Particulars of Claim? Or, by contrast as the Defendant contends, do the Claimants fall outside that term on the ground that any relevant insurance policies from which they benefited were policies of reinsurance or retrocession rather than of direct insurance (Re-Re-Re-Amended Defence paragraph 90A.2.)
3.4.2 What does the term "third parties" mean in the second recital to the Insurance Directive? (The Defendant contends that it means parties, other than the insurer and the insured, who stand to gain from the proceeds of insurance policies, such as injured road users. (The Claimants contend that it includes parties in the position of Lloyd's Names.)
3.4.3 Does the term "third parties" include persons whose relevant interest was in one or more policies of reinsurance or retrocession rather than of direct insurance? (The Defendant contends that it does not include such persons.) (The Claimants, subject to the reservation that the character of the insurance written goes to the issue of Breach and not Grant of Rights (see below, paragraph 3.6), contend that it does include such persons.)
3.4.4 Are the Claimants "third parties" in the sense contemplated by the second recital to the Insurance Directive as alleged in paragraph 84A of the Re-Re-Amended Particulars of Claim? (The Defendant contends that the answer is no.) (The Claimants contend that the answer is yes).
3.4.5 If and to the extent that the Claimants are "insured persons" and/or "third parties" in the relevant sense, is the Claimants' claim brought in that capacity? (The Defendant contends not, because the Claimants claim qua insurers or reinsurers in relation to transactions which they undertook in the market.) (The Claimants contend that the concept of "capacity" is not a relevant one in this context; and that the Defendant's contention in any event wrongly conflates the issues of Grant of Rights and Causation, the better formulation of the issue being that in paragraph 3.5 below. However, if the question is a proper and relevant one, the answer is yes.)
3.5 If those provisions grant rights to persons in the position of the Claimants, what rights do they grant?
(The Claimants say that they grant the right to require of Member States that they shall prescribe and apply the uniform provisions set out in the Directive which are the matters of which complaint is made in the present case. The Claimants also add that issues of the type of loss suffered which are relied upon by the Defendant in this context relate to causation and/or remoteness and not to the grant of rights.)
(The Defendant says that if the Insurance Directive does grant rights, it grants to direct insurers the right to establish themselves in a host Member State, alternatively in a host Member State and (if there is a sufficient cross-border element) in the Member State of their origin, where they meet the conditions prescribed by the Directive. It does not grant to individuals the right to bring a Francovich/Factortame claim against a Member State (whether the Member State of their origin or a host Member State) for failure to prescribe and apply the uniform provisions set out in the Directive save when that failure restricts or prevents their freedom of establishment. Accordingly, such right if any as may be granted is irrelevant and/or insufficient because the Claimant's claims (a) do not arise from any infringement of a right of freedom of establishment but from losses the Claimants incurred in transactions undertaken by them as insurers on the insurance market, and/or (b) arise from transactions undertaken by the Claimants qua reinsurers or retrocessionnaires and hence fall outside the scope of the Directive altogether.)
3.6 If the Insurance Directive does grant rights to the Claimants in respect of losses on transactions entered into by them in the course of carrying on insurance business:
3.6.1 Are such rights limited, as the Defendant contends, to that part of the insurance business which comprises direct insurance?
3.6.2 If so, is business arising through the underwriting of reinsurance to close to be treated as direct insurance for the reasons given in paragraphs 2.2.1 and 2.2.2 of the Amended Reply? (The Defendant contends that the answer to this question is no.)
3.6.3 Alternatively, for the reasons given at paragraph 2.2.3 of the Amended Reply is such business to be treated as direct insurance if when the reinsured risk was first underwritten at Lloyd's it constituted direct insurance? (The Defendant contends that the answer to this question is no.)
(The Defendant regards questions 3.6.2 and 3.6.3 as concerning the Grant of Rights issue. The Claimants, however, view them as going to the question whether, if the answer to question 3.6.1 is in the affirmative, there has been a breach in the circumstances of this case, i.e. issue 4; alternatively to the question of causation of loss, issues 6 and 7).
3.7 Alternatively, should the Claimants have a right to seek damages in respect of their claimed losses on the basis that the absence of such a right would put at risk the full effectiveness and/or practical effect of the relevant provisions of the Insurance Directive on the basis of Case C-453/99 Courage v. Crehan [2002] QB 507 and as alleged in paragraph 87A of the Re-Re-Amended Particulars of Claim? (The Claimants contend that the answer to this question is yes.) (The Defendant contends that the answer to this question is no.)
4.1 For the purposes of the obligations of the United Kingdom under the Insurance Directive as regards the carrying on of insurance business at Lloyd's, is the relevant "undertaking" a Lloyd's syndicate or is it something else?
4.2 To what extent did the relevant provisions of the Insurance Directive give Member States a margin of discretion as to the choice of form and methods which they considered appropriate to achieve the required results?
4.3 Did the Insurance Directive on its proper construction impose on the United Kingdom the obligations alleged in paragraphs 23A and 28A to 28C of the Re-Re-Amended Particulars of Claim and paragraphs 4.1 and 8 of the Amended Reply?
4.4 Did the United Kingdom breach any of the obligations under the Insurance Directive:-
4.4.1 by delegating to Lloyd's part of its obligations as alleged in paragraphs 61 to 69 of the Re-Re-Amended Particulars of Claim and paragraphs 3.3 and 14 of the Amended Reply? Or
4.4.2 (if permission to amend is granted to make the allegations foreshadowed by paragraph 59.1 of the Re-Re-Amended Particulars of Claim) by failing to transpose the provisions of the Insurance Directive into domestic law? or
4.4.3 by reason of the alleged inadequacy of (a) the accounting system of Lloyd's and the setting of reserves at Lloyd's and/or (b) the Defendants' supervision of these matters, as alleged in paragraphs 70 to 80 of the Re-Re-Amended Particulars of Claim and paragraphs 3.2, 5, 8.1, 8.2 and 16-19 of the Amended Reply and/or (c) the Defendant's verification of solvency, as alleged in Paragraph 80A of the Re-Re-Amended Particulars of Claim?
5.1 Did the relevant provisions of the Insurance Directive confer a wide measure of discretion to Member States as to the manner in which their objectives were to be achieved, such that liability could arise if at all only if the alleged breach were sufficiently manifest and grave?
5.2 Are the matters alleged in the Re-Re-Amended Particulars of Claim at paragraphs 90.1 to 90.5 (q.v.), 92-93 (nature of Lloyd's), 94 (risk coding and reinsurance), 95 (unlimited liability policies), 96 (accounting and reserving inadequacies), 97-98 (disclaimers of supervisory responsibility) and 98A (failure to transpose, if permission to amend is granted to make the allegations foreshadowed by that paragraph) made out; and, if and to the extent that they are, does it follow that any breach of the Insurance Directive was sufficiently serious to give rise to liability, or by contrast are the circumstances of any breach such that it is not to be regarded as sufficiently serious to give rise to liability?
6.1 Which, if any, of the losses alleged to have been suffered by the Claimants have they proven would not have occurred but for the alleged breaches of the Insurance Directive? The Defendant considers that that entails consideration of the following specific matters, but the Claimant disagrees since the Directive is binding as to the result to be achieved, whether or not also requiring a member State to take particular steps to achieve that result:
6.1.1 Bearing in mind the answers to questions 4.1 to 4.3 above, by what method or methods was the United Kingdom entitled to implement the relevant requirements of the Insurance Directive?
6.1.2 If the method in fact used by the United Kingdom was not amongst those methods set out in the answer to 6.1.1 above, what is the minimum extent (if any) to which the use of any of those methods would have resulted in increases in the reserves of the relevant years of account of the relevant syndicates?
6.1.3 Had those reserves been increased to the extent referred to in 6.1.2 above, what (if any) difference would this have made to (i) the extent to which each Claimant participated in subsequent years of account and (ii) the losses which each Claimant has allegedly suffered?
6.2 The Claimants formulate the test of sufficient causal link as follows: did any breach by the United Kingdom of the Insurance Directive materially contribute to the whole or to some part of the losses claimed by each Claimant?
6.3 The Defendant prefers the following formulation:
6.3.1 Were any such losses a sufficiently direct consequence of the alleged breaches of the Insurance Directive?
6.3.2 Were the alleged breaches an effective or dominant cause of the losses alleged?
8.1 As a matter of Community law, on the basis of the Emmott line of jurisprudence, the 6-year period prescribed by the 1980 Act s. 2 does not begin to run until the provisions of the Insurance Directive have been fully and adequately transposed into domestic law (Amended Reply, para. 7.1.2.1). That did not occur until 1 December 2001 (commencement of the FSMA 2000 regime for insurance undertakings at Lloyd's) at the earliest. So these proceedings are in time as regards all the loss claimed.
8.2 If that argument is rejected, then it becomes pertinent to consider when time prima facie began to run for the purpose of domestic law, and to go on to consider whether, on the basis of the Claimants' other arguments, the running of time is nevertheless postponed from that point.
8.3 As regards the prima facie starting point in domestic law, the Claimants have conceded that, unless the running of time is postponed on the basis of the Emmott argument or the other bases set out at paras. 7.1.1 – 7.1.4 of the Amended Reply, their claims for the losses pleaded in the Re-Re-Amended Particulars of Claim stand barred by s. 2 of the 1980 Act , regardless of which of the points described in paragraphs 9(a) and (b) of the Re- Re-Re-Amended Defence is chosen by the court as the point at which their causes of action arose. The Claimants will contend (para. 7.1.5 of the Amended Reply) that neither of those is the correct prima facie starting point. Time did not begin to run until substantial loss was first suffered, and moreover that is the earliest possible moment: the Defendant's breach was repeated or continuing so that subsequent loss suffered in consequence triggered the running of time afresh in respect of that loss. But in any event the Claimants contend on three further grounds -- one of domestic and two of Community law -- that the running of time is postponed beyond the prima facie domestic starting date.
8.4 As a matter of domestic law, the Claimants say (pursuant to para. 7.1.4 of the Amended Reply) that on an ordinary construction of 1980 Act s. 14A, the Francovich cause of action involves fault on the Government's part and should be treated as an "action for damages for negligence". So time does not run against an individual Claimant until he acquired, or ought to have acquired, the necessary knowledge. Thus even if by 2 September 2002 (or such later date on which a Claimant became party to the proceedings) 6 years had expired from accrual of any cause of action, a Claimant may proceed if he did not acquire, and ought not to have acquired, the relevant knowledge until on or after 2 September 1999.
8.5 Alternatively, and again pursuant to Amended Reply para. 7.1.4, as a matter of Community law the principles of equivalence and effectiveness require that the running of time be postponed, by analogy with s. 14A, on comparable terms to those provided by that section.
8.6 If, on either of those bases, a knowledge-based test is engaged as a matter of law, the Claimants will invite the court to find that the Claimants did not acquire, actually or constructively, the necessary knowledge until a point after 2 September 1999.
8.7 The Claimants' final Community point is that to apply the "once and for all" limitation approach to this case would produce a result incompatible with the principle of effectiveness. That principle requires that a separate domestic limitation period start to run in respect of each substantial tranche of loss caused by the continuing failure to implement (Amended Reply, para. 7.1.3). The demands for Equitas premium made by Lloyd's pursuant to the R&R settlement (reached on 3 September 1996) amounted to new and distinct tranches of loss, as would a subsequent or future demand against a Claimant arising under, or out of the failure of, the Equitas scheme. Each triggers a fresh limitation period under 1980 Act s. 2, and the claim is brought in time as regards these losses even if statute-barred in relation to earlier tranches of loss.