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

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Section 6 Case Study - Critical Illness Cover<br />

6.2.1 Assumed impact of the reforms<br />

As we explained in section 5 of this report, the <strong>Law</strong> <strong>Commission</strong> proposes to<br />

remove any ambiguity around the FOS’ definition of reckless. This may have<br />

an effect on Type 1 firms. Following this clarification of categories of<br />

misrepresentation, we have assumed that an additional 3.5 percentage points<br />

of claims against Type 1 firms will be redefined as being claims that involve<br />

negligent misrepresentation (rather than deliberate or reckless<br />

misrepresentation) with the remaining unpaid claims continuing to be<br />

refused for reasons of reckless or deliberate misrepresentation.<br />

Therefore, we assume that if the <strong>Law</strong> <strong>Commission</strong>’s proposed reforms are<br />

implemented, 14.5% of previously rejected claims will be classified as a<br />

negligent misrepresentation with the remaining 85.5% continuing to be<br />

classified as deliberate or reckless misrepresentation. For Type 1 firms, this<br />

reclassification results in 237 claims now being defined as negligent (an<br />

increase of 57 claims) that will potentially be subject to a proportionate<br />

remedy.<br />

For Type 2 firms, the impact is more marked. As they do not currently<br />

implement the FOS guidelines, they will be affected by all of the reforms<br />

proposed by the <strong>Law</strong> <strong>Commission</strong>. First, we look at the effect of the<br />

clarification of recklessness. We estimate that this will mean that the 20% of<br />

claims that Type 2 firms avoids for negligent misrepresentation will become<br />

23.5% (116 claims – an increase of 17 25). The 60% of claims, which are being<br />

avoided for deliberate or reckless misrepresentation, will decrease to 56.5%<br />

(278 claims – a reduction of 17)<br />

Second, instead of avoiding all claims for non-disclosure or<br />

misrepresentation, Type 2 firms will have to pay claims that involve nondisclosure<br />

or innocent misrepresentation. They will have to pay a<br />

proportionate amount (ranging from £0 to full) of claims that involve<br />

negligent misrepresentation. They will continue to be permitted to refuse to<br />

pay claims which involve reckless or deliberate misrepresentation.<br />

25 Rounded to the nearest whole number<br />

London Economics<br />

June 2007 45

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