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England and Wales High Court (Queen's Bench Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Queen's Bench Division) Decisions >> Komives v Hick Lane Bedding Ltd & Anor [2020] EWHC 3288 (QB) (12 March 2020) URL: http://www.bailii.org/ew/cases/EWHC/QB/2020/3288.html Cite as: [2020] EWHC 3288 (QB) |
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QUEEN'S BENCH DIVISION
Strand London WC2A 2LL |
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B e f o r e :
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ATTILA KOMIVES |
Claimant |
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and |
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HICK LANE BEDDING LTD (1) AM TRUST EUROPE LTD (2) |
Defendants |
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A N D B E T W E E N: |
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JOSEF VARHELYI |
Claimant |
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and |
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HICK LANE BEDDING LTD (1) AM TRUST EUROPE LTD (2) |
Defendants |
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291-299 Borough High Street, London SE1 1JG
Tel: 020 7269 0370
[email protected]
MR GEOFFREY BROWN (instructed by Kennedys Law LLP) appeared on behalf of the Second Defendant
(There was no appearance for the First Defendant)
Hearing dates 2, 3 & 4 March 2020 and 12 March 2020
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Crown Copyright ©
Master Davison:
Introduction
'1) whether AmTrust was, and/or is entitled to avoid the policy of insurance issued by it in favour of the first defendant on grounds of material non-disclosure and/or misrepresentation as pleaded in the defences of Am Trust;
2) if so, whether the policy had been validly avoided by reason of the above;
3) whether Mr Komives and/or Mr Varhelyi have a valid claim against trust under the Third Parties Rights Against Insurers Act 1930;
4) if so, whether there is a right of indemnity under the policy in connection with the claimants' claims for breach of contract quantum meruit, conspiracy by unlawful means, intimidation and/or harassment, and/or in respect of any such claim not arising from bodily injury occurring during the period of insurance and or in respect of the claimants' claims for aggravated damages'.
'The company employ an experienced full time health and safety manager. The company have a full health and safety policy, incorporating method statements and risk assessments for all types of work. Employees receive full training on operations they are engaged [sic] and use of equipment which they sign to confirm that they have received and understood the training. The H & S manager carries out daily on-the-spot checks that employees are following instructions and working correctly. Inevitably accidents do occur but the new regime has helped reduce claims to none during the last 12 months'.
'The health and safety manager is very experienced and was previously employed by Silent Night before they went into liquidation and was responsible there for over 500 employees. He has written full risk assessments for all machines, processes and manual handling. These are fully and clearly documented and were made available for close inspection by the chartered surveyor. A specimen copy of the employee handbook and general safety instructions were also inspected. He was quizzed about Indian/Asian employees, who make up most of the manual manufacturing workforce, and how working practice/risk assessments/training is/are communicated and understood by them. Where a worker does not speak English, they are asked to take the documents home and ask someone to translate it, bring it back and ask them to confirm they have had it read to them and they understand it before signing a document which is then filed. The accident book was also inspected and this revealed minor incidents had occurred, and backed up the claims experience, provided that there have been no incidents involving a claim in the last 2/2.5 years. The surveyor commented most involved storage problems and light objects falling on workers. However, he said this could be put right with a little more advice/work with the Agent's Manager and it was accepted it was already well organised, but the number of units being made per day was stretching the storage. The only concerns of the chartered surveyor were the communication and understanding of documented procedures by employees that do not speak English and improving storage. Otherwise, he was reporting back favourably for a competitive quote. However, I do not think their quote will be much less than £55,000, but will have a profit share built in providing return of premium for low claims ratio'.
'There was gross and serious non-disclosure to AmTrust and anything but a fair presentation of the risk when the insurance was taken out in that the matters set out above were wholly undisclosed. Indeed, in the presentation documentation submitted to insurers by the company's brokers, the insureds were presented as being engaged in an entirely legitimate and responsible business, as can be seen from the terms of the liability enquiry document. That presentation was grossly and fundamentally misleading by reason of the matters set out above.
It was also made out to AmTrust on presentation of the risk that the insured had a health and safety regime which exercised appropriate and commendable control over the health and safety of its workforce, as can also be seen from the above document. That was also seriously misleading in light of the matters referred to above.
Further, the estimated wage costs given in the document were misleading insofar as they took no account of the off-the-books payments being made to the trafficked workers, and they accordingly gave a misleading impression in regard to the number of workers engaged in working for the insured.
In light of the above, AmTrust are satisfied that the insurance was obtained by material non-disclosure and/or misrepresentation, and that they were thereby induced to issue insurance which they would never have been prepared to issue had the true facts been known, such that they are entitled to avoid the policy, and by this letter they exercise their right do so.
This means that the company has no valid insurance cover with AmTrust and, accordingly, no right to indemnity from them in regard to any of the above or any other claim.
Arrangements will be made to effect a refund of premium'.
The evidence
1) material non-disclosure, in relation to the use of, and Mr Rafiq's involvement in trafficked labour, (the criminality ground);
2) material misrepresentation in regard to the first defendant's health and safety regime, (the health and safety ground);
3) material misrepresentation in regard to wage costs, which gave a misleading picture of the number of workers engaged and disguised the fact that the national minimum wage was not being paid to all workers, (the wage roll ground).
'In matters of employer liability insurance, the prudent underwriter will take into consideration the moral hazard risk associated with the insured's business, conscious of the Regulations that are there to protect the particular interests of the injured employee as distinct from the sole interest of the insurer. In my opinion, market practice would expect an underwriter finding themselves in this position to pay the claim for the benefit of the injured employees and seek such recovery from the insured as may be available'.
'It is recognised by insurance practitioners generally that there exists in some businesses a high risk of commercial and business practices that are, or border on, illegal practices. A prudent underwriter will be alert to them at the time of assessing a risk for acceptance. In summary, it is by no means unlikely that a a company with a need for inexpensive labour and access to immigrant labour will take advantage of the connections it has, which may include criminal activity. This would be unlikely to be disclosed to anyone; including an insurer'.
The law
'(1) That the particular facts misrepresented or not disclosed would have influenced the mind of a reasonably prudent underwriter in exercising his underwriting judgement as to whether to write the risk or here to extend cover by agreeing the variation;
(2) That the underwriter who agreed the risks (or in this case the variation) was induced to agree it by the facts misrepresented or not disclosed. To establish inducement, the insurers must satisfy the effective cause test as clarified by the majority of the Court of Appeal in Assicurazioni Generali Spa v Arab Insurance Group [2003] Lloyd's Rep IR 131 per Clarke LJ at paragraph 59:
"The misrepresentation must be an effective cause of a particular insurer or reinsurer entering into the contract, but need not of course be the sole cause. If insurer would have entered into the contract on the same terms in any event, the representation or non-disclosing will not, however material, be an effective cause of the making of the contract"'.
'(1) For the purposes of the 1969 Act, there is prohibited in any contract of insurance any condition which provides (in whatever terms) that no liability (either generally or in respect of a particular claim) shall arise under the policy, or that any such liability so arising shall cease if –
(b) the policy holder does not take reasonable care to protect his employees against the risk of bodily injury or disease in the course of their employment;
(c) the policy holder fails to comply with the requirements of any enactment for the protection of employees against the risk of bodily injury or disease in the course of their employment; or
(d) the policy holder does not keep specified records or fails to provide the insurer with or make available to him information from such records'.
'The Employers' Liability (Compulsory Insurance) Act 1969 is far less generous to employees than is the Road Traffic Act 1988 to the victims of road accidents. The Road Traffic Act 1988 contains a comprehensive list of limitations which may not be imposed in a compulsory insurance policy; this prevents the insurer from relying on post loss breaches of condition by the assured and severely restricts the insurer's right to avoid the policy for breach of the assured's duty of fair presentation. The Employers Liability (Compulsory Insurance) Regulations 1998, despite the increased protection compared to that under the 1971 Regulations, are less extensive and, most importantly, do nothing to prevent the insurer's reliance on the assured's misrepresentation of, or failure to disclose, a material fact, and on the assured's breach of warranty.'
'If an insurer denies cover under an employers' liability insurance, the consequences for the injured employee can be severe because in the absence of an alternative remedy, the latter will go uncompensated if the employer himself is unable to pay. In the case of employers' liability insurance, the right of the insurer to avoid the insurance policy for misrepresentation or failure to disclose facts material to the risk - a central principle of insurance contract law - has never been restricted in any way. The [1998 Regulations] make no change this regard. In fact, employers' liability insurers do sometimes take the defence although it is not suggested that they do so lightly or frequently. However, it is submitted that the point is more likely to be taken when large sums are at stake i.e. where the injuries in question are very severe or numerous. Indeed it was taken by the insurers in the case of the Glasgow Fire, discussed earlier, which helped to generate support for the 1969 Act. As has been observed, it is curious that the Act failed to address this problem.'
'An insurer must:
(1) handle claims promptly and fairly;
(2) provide reasonable guidance to help a policyholder make a claim and appropriate information on its progress;
(3) not unreasonably reject a claim (including by terminating or avoiding a policy); and
(4) settle claims promptly once the settlement terms are agreed'.
'The scheme of the Financial Services and Markets Act 2000 does not purport to make the standards of conduct set out in ICOBS implied terms of policies of insurance… However, those standards are legally binding upon the insurer and can be enforced by civil action. In those circumstances, whether or not they are implied terms of the policy, the insurer cannot claim to be entitled to exercise a right to reject a claim under a policy of insurance otherwise than in accordance with those standards'.
The claimants' submissions
The second defendant's submissions
Discussion
Avoidance at common law
ICOBS
Unreasonable process?
General unreasonableness?
Conclusion