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Insurance Contracts CP - Law Reform Commission

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the Ohio case of Hartford Protection <strong>Insurance</strong> Co v Harmes 6 it was said that there is no need to impute a<br />

need for reliance on information from the proposer:<br />

―in fire insurance no such necessity for reliance exists, and, if the underwriter assumes the risk<br />

without taking the trouble to either examine, or inquire, he cannot very well, in the absence of<br />

all fraud, complain that it turns out to be greater than he anticipated.‖ 7<br />

3.08 These remarks were made as long ago as 1853. As such, the decision of McMahon J in<br />

Manor Park Homebuilders Ltd v AIG Europe (Ireland) Ltd, also a fire insurance case, in which the insurer<br />

failed to inspect the property or follow up on information provided, resonates across the centuries.<br />

McMahon J wrote that ―uberrimae fidei is not a charter for indolent insurers.‖ 8<br />

3.09 In contrast, in Pan Atlantic <strong>Insurance</strong> Co Ltd v Pine Top <strong>Insurance</strong> Co 9 regarded as the leading<br />

modern English case, Lord Mustill, speaking of the importance of Carter v Boehm, stated:<br />

―Whilst it is true that this decision has been criticised on the facts, and that the wide general<br />

contractual duty of good faith which Lord Mansfield propounded has long since ceased to hold<br />

sway, the courts have never been deflected from the high standard of duty prescribed in this<br />

judgment. The assured is not to keep anything back which goes to the computation of the<br />

‗contingent chance‘, for otherwise there is no ‗fair representation‘, and the underwriter is led to<br />

approach the ‗risk understood to be run‘ on a false basis. Such is the principle on which<br />

insurance law has been developed and insurance contracts made for more than 200 years and<br />

I would do nothing to dilute it now.‖<br />

3.10 Lord Mansfield was seeking to establish a general contractual duty of good faith, not simply a<br />

specific rule that would operate in insurance law, but this general duty of good faith has not taken root in<br />

the common law world. 10 As such, the duty of disclosure in contracts of insurance has been classified as<br />

a contract uberrimae fidei, a contract of ‗utmost good faith‘, and, along with a diverse but expanding range<br />

of sui generis contracts, 11 is regarded as an exception to the caveat emptor or caveat venditor<br />

approaches to contractual liability.<br />

3.11 The stricter view is that the duty of disclosure does not depend on the proposer‘s awareness of<br />

the existence of the duty. The proposer is under a duty to disclose material facts, even if the insurer or a<br />

broker fails to ask questions or the insurance is negotiated without the use of a proposal form. 12 Even if<br />

questions are asked the proposer must still disclose material facts that the questions might not have<br />

alluded to (subject to the possibility of a waiver or a similar argument). The question, what is a material<br />

circumstance, requires the proposer to have an awareness of the factors that would be relevant to an<br />

insurer, even if the insurer has not explained the insurer‘s business or prompted the proposer in any way.<br />

The Marine <strong>Insurance</strong> Act 1906 directs in section 18(2) that ―every circumstance is material which would<br />

influence the judgment of a prudent insurer on fixing the premium, or determining whether he will take the<br />

risk‖. This test was endorsed by Kenny J on behalf of a unanimous Supreme Court, in a case of property<br />

insurance, 13 thus indicating that the test has a horizontal effect across all insurance contracts, with the<br />

possible exception of life policies and the like other policies (eg income protection cover).<br />

6<br />

7<br />

8<br />

9<br />

10<br />

11<br />

12<br />

13<br />

2 Ohio St. 452 (1853).<br />

Cited with approval by the ALRC in Report No 20 <strong>Insurance</strong> <strong>Contracts</strong> para 176 (1982). The commercial<br />

benefits undertaking surveys in property insureance cases from a broker‘s perspective, is underlined by Cole<br />

in ― A Practitioner‘s Perspective on Placement duties of <strong>Insurance</strong> Brokers and Reflections on the Proposal of<br />

the <strong>Law</strong> <strong>Commission</strong>s‖, in Soyer, <strong>Reform</strong>ing Marine and Comercial <strong>Insurance</strong> <strong>Law</strong>, (Informa <strong>Law</strong> 2008) Ch 5.<br />

[2009] 1 ILRM 190 at 213.<br />

[1994] 3 All ER 581 at 605; Bennett, ―Utmost Good Faith in the House of Lords‖ (1995) 111 LQR 181.<br />

See generally Zimmermann and Whittaker (eds), Good Faith in European Contract <strong>Law</strong> (CUP, 2000).<br />

See Chapter 2 of Eggers et al.<br />

See generally MacGillivray, paras 17-017 to 17-021.<br />

Chariot Inns Ltd v Assicurazioni Generali Spa [1981] IR 199, at 226. See below para 3.19.<br />

65

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