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Misrepresentation, Non-Disclosure and Breach ... - Law Commission

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Neither consumers nor ordinary businessmen who are not in the<br />

insurance market have the knowledge or experience to identify all<br />

facts which may be material to insurers. Both are therefore to this<br />

extent in need of protection <strong>and</strong> both may properly be regarded as<br />

consumers vis-à-vis insurers. 27<br />

Lord Justice Longmore also stressed this point: a fishmonger insuring business<br />

premises is in as much need of protection as a lawyer insuring his home. 28<br />

1.46 It is true that business insurance is often arranged through a broker who will<br />

advise the business. However, many types of business insurance are sold<br />

directly to the business, or through an intermediary who does not offer detailed<br />

advice. Businesses may not realise they need independent advice, or may not be<br />

able to afford it, or may take the view that the chances of a problem occurring are<br />

low enough that it is not worth spending time or money on advisers.<br />

1.47 Even for large commercial risks, where policyholders do underst<strong>and</strong> the law, the<br />

insurance market is built on trust <strong>and</strong> generally accepted st<strong>and</strong>ards of market<br />

practice. Policyholders therefore often expect the insurer to deal with their case in<br />

accordance with good market practice. Unfortunately, there is a wide divergence<br />

between the rules laid down in the 1906 Act <strong>and</strong> accepted practice.<br />

1.48 If the law permits insurers to avoid for an innocent misrepresentation, it is<br />

inevitable that some insurers will rely on their strict legal rights. When we asked<br />

one firm whether insurers would ever attempt to avoid a policy for an innocent<br />

non-disclosure, this is the answer we received:<br />

Some would, especially in a climate where money is tight… Yes…<br />

With the big commercial [risks]… they’re subscribed to by three,<br />

five, twenty different insurers. And you could have three or four<br />

who are perhaps looking at insolvency problems or whatever <strong>and</strong><br />

will in truth seize on any opportunity they can. So… to take comfort<br />

in the thought that the market as a whole will not take the point on<br />

innocent disclosure – you might be surprised really. There would<br />

be a risk that some parts of it would. 29<br />

1.49 We think that the law should generally follow accepted practice, in the absence of<br />

an agreement to the contrary. Not every term is thought about or negotiated in<br />

advance. Currently the law imposes a default regime that undercuts, rather than<br />

supports, accepted market practice. In so doing, it risks defeating the reasonable<br />

expectations of the insured.<br />

27<br />

Insurance <strong>Law</strong>, <strong>Non</strong>-disclosure <strong>and</strong> <strong>Breach</strong> of Warranty (1980) <strong>Law</strong> Com No 104, para<br />

4.36.<br />

28 ”An Insurance Contracts Act for a new Century?”, Pat Saxton Memorial Lecture, 5 March<br />

2001 (set out in Appendix A of BILA, Insurance Contract law Reform (2002)), para 42.<br />

29 Interview with an insurance lawyer, carried out for this project.<br />

12

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