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Insurance Contracts CP - Law Reform Commission

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will no doubt arise in the future. On the other hand, greater legal certainty will be engendered via a<br />

statutory solution.<br />

4.12 The Australian judiciary has adopted what the 1982 ALRC Report 21 described as a rule of fair<br />

and reasonable construction, an approach that the Privy Council endorsed in Condogianis v Guardian<br />

Assurance Co, 22 in contrast to an approach endorsed by Isaacs J in the High Court of Australia in which it<br />

was argued that a question which the proposer bona fide believes to have a certain meaning should be<br />

favoured, as long as that meaning was not beyond the bounds of reason. This issue has been resolved<br />

in the Australian 1984 Act, s.23 of which provides in part that:<br />

―Where:<br />

(a) a statement is made in answer to a question asked in relation to a proposed contract<br />

of insurance…and<br />

(b) a reasonable person in the circumstances would have understood the question to<br />

have the meaning that the person answering the question apparently understood it to<br />

have;<br />

that meaning shall, in relation to the person who made the statement, be deemed to be the<br />

meaning of the question.‖<br />

4.13 In commenting on s.23 Professor Merkin noted that the section represents a departure from<br />

contra proferens interpretation and that it applies regardless of whether the proposal form is drafted by<br />

the insurer or the broker. 23<br />

4.14 The <strong>Commission</strong> provisionally recommends that legislation should provide that the insurer shall<br />

ensure that any question posed in writing to the proposer is drafted in plain , intelligible language; that any<br />

such question should be specific as to the information being sought by the insurer; and that where there<br />

is a doubt about the meaning of any question, it should be interpreted by reference to a standard of what<br />

is fair and reasonable.<br />

(5) Interpretation of Ambiguous Answers<br />

4.15 In Condogianis v Guardian Assurance Co 24 the Privy Council expressed the view that the rule<br />

of fair and reasonable construction was also to be applied to answers given in response to questions. A<br />

literal interpretation will not be applied if answers given in relation to a question relating to past or existing<br />

fact, as distinct from future intention or events, are in substance false. Contrast Holt's Motors Ltd v South<br />

East Lancashire <strong>Insurance</strong> 25 with Re Sweeney & Kennedy's Arbitration. 26<br />

(6) Are questions asked presumed to be seeking to identify material facts?<br />

4.16 Where specific questions are contained in a proposal form and the question is answered<br />

incorrectly, can the insurer avoid the policy on the ground that the answer was false? This is certainly<br />

likely to be the case if a warranty or basis of contract clause is present, but a false answer per se will not<br />

necessarily allow avoidance, save in relation to matters of fact – see section 20(5). The Materiality<br />

question will also be relevant. Section 20(1) of the Marine <strong>Insurance</strong> Act 1906 requires the<br />

representation to be material, that is, it would influence the prudent insurer in deciding to fix the premium<br />

or take the risk.<br />

21<br />

22<br />

23<br />

24<br />

25<br />

26<br />

Report No. 20 <strong>Insurance</strong> <strong>Contracts</strong> para 169.<br />

(1921) 29 CLR 341. See also Revell v Lords General <strong>Insurance</strong> Company Ltd [1934] 50 Lloyd‘s List LR 114<br />

and R & R Developments Ltd v Axa <strong>Insurance</strong> Plc [2010] Lloyd‘s Rep 521.<br />

Merkin, ―<strong>Reform</strong>ing <strong>Insurance</strong> contract <strong>Law</strong>: Is there a case for Reverse Transportation?‖ Para 4.29.<br />

(1923) 29 CLR 341.<br />

(1930) 35 Com. Cas 281.<br />

[1950] IR 85.<br />

94

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