Losses & Causation

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CGU Insurance Limited v AMP Financial Planning Pty Ltd
Australia: High Court of Australia: Gleeson CJ, Calliman, Crennan, Heydon, Kirby JJ.: [2007] HCA 36: 29 August 2007
Insurance: cover for civil liability claims: potential liability to investors arising out of misconduct of financial advisers for which insured responsible: Insured told to act as a prudent uninsured: Insured proposes settlement with investors without need for legal proceedings: insurer agrees "in principle": insured settles with investors without confirmation from insurer that it accepts liability for the payments: Whether insurer liable to indemnify the insured in respect of reasonable settlement amounts: Whether settlement amounts were reasonable: – Relevance of the requirement to act with utmost good faith in s 13 of the Insurance Contracts Act 1984 (Cth).
Insurance: Requirement to act with utmost good faith in s 13 of the Insurance Contracts Act 1984 (Cth): Meaning of utmost good faith: Whether lack of utmost good faith means only dishonesty: Whether utmost good faith may require insurer to act with due regard to insured’s legitimate interests of as well as its own: Whether insurer’s delay in accepting or rejecting liability amounted to a lack of utmost good faith: Relevance of reciprocity: Whether insurer could invoke the insured’s lack of utmost good faith if insurer had failed to act with utmost good faith: Whether insured’s lack of diligence and acting for its own interests amounted to lack of utmost good faith.
Estoppel: Estoppel by convention: Whether insurer represented that insured would not be required to prove its liability to the investors: Whether insured relied on the representation to its detriment

R+V Verischerung AG v Risk Insurance and Reinsurance Solutions SA
English Commercial Court: Gloster J, DBE: [2006] EWHC 42 (Comm): 27 January 2006
Colin Edelman QC and Charles Dougherty (instructed by LeBoeuf Lamb Greene & MacRae) for the Claimant, R+V
Hugo Page QC (instructed by Penningtons) for the Defendant, Risk Insurance
REINSURANCE: RECOVERABLE HEADS OF DAMAGE: STANDARD FOR PROOF OF LOSS: INTERNAL MANAGEMENT AND STAFF TIME EXPENSES AND OVERHEADS EXPENDED IN DEALING WITH CONSPIRACY

Bayswater Carriers Pte Ltd v. QBE Insurance (International) Pte Ltd
Singapore High Court: Belinda Ang Saw Ean J: 29 September 2005: [2005] SGHC 185
MARINE INSURANCE – INSTITUTE TIME CLAUSES (HULLS) 1.10.83 – WHETHER LOSS WAS BY PIRACY OR VIOLENT THEFT BY PERSONS FROM OUTSIDE THE TUG

Lumbermens Mutual Casualty Co v Bovis Lend Lease Limited
English High Court: Colman J.: [2004] EWHC 2197 (Comm): 5 October 2004
INSURANCE: PROFESSIONAL INDEMNITY INSURANCE: CONSTRUCTION CONTRACT: CLAIM BY CONTRACTOR AGAINST EMPLOYER: COUNTERCLAIMS BY EMPLOYER AGAINST CONTRACTOR: GLOBAL SETTLEMENT: BASIS OF SETTLEMENT NOT STATED: WHETHER INSURED LOSS "ASCERTAINED": WHETHER LOSS COULD BE ASCERTAINED BY EXTRINSIC EVIDENCE

Midland Mainline Limited and others v Eagle Star Insurance Co Limited
English Court of Appeal: Brooke V-P and Jacob LJ., Sir Martin Nourse: 28 July 2004
INSURANCE: DENIAL OF ACCESS TO RAILWAY TRACK: FINANCIAL LOSS: EXCLUSION OF WEAR AND TEAR: WHETHER WEAR AND TEAR UNDERLYING STATE OF AFFAIRS OR PROXIMATE CAUSE OF LOSS: MORE THAN ONE PROXIMATE CAUSE: WHERE EXCLUDED PERIL WAS ONE PROXIMATE CAUSE

IF P&C Insurance Ltd v Silversea Cruises Ltd & Others
English Court of Appeal: Ward, Mummery and Rix LJJ: 2 July 2004
INSURANCE: LOSS OF INCOME AND EXTRAORDINARY COSTS POLICY: CRUISE SHIPS: EFFECT OF EVENTS OF 11 SEPTEMBER 2001: WHETHER INDEMNITY LIMIT APPLIED PER SHIP OR TO THE FLEET AS A WHOLE: "EACH SHIP TO BE A SEPARATE INSURANCE: CONCURRENT CAUSES: MEANING OF "ACT OF WAR"

Horbury Building Systems Ltd v Hampden Insurance NV
English Court of Appeal: Peter Gibson, Mance and Keene LJJ.: 7 April 2004
INSURANCE: PRODUCT LIABILITY INSURANCE: COVER "IN RESPECT OF DAMAGE" TO PROPERTY: CONSEQUENTIAL LOSS: EXTENT TO WHICH LIABILITY FOR CONSEQUENTIAL LOSS COVERED

Kastor Navigation Co Limited & Anor v AXA Global Risks (UK) Limited and Ors 
English Court of Appeal: Tuckey, Rix and Neuberger LJJ.: 10 March 2004
SHIPPING: INSURANCE: CONSTRUCTIVE TOTAL LOSS: ACTUAL TOTAL LOSS: INSURED TOTAL LOSS IMMEDIATELY FOLLOWED BY UNINSURED TOTAL LOSS: PROXIMATE CAUSE: NOTICE OF ABANDONMENT NOT SERVED: WHETHER SERVICE OF NOTICE A CONDITION PRECEDENT: DECISION TO ABANDON: INSURED’S CONDUCT: SUCCESSIVE LOSSES: UNREPAIRED DAMAGE: PARTIAL LOSS: COSTS

Kastor Navigation Co Ltd. and Atlantic Bank of New York v. AGF M.A.T & Others
Commercial Court: Tomlinson J.: 4 December 2002
SHIPPING: INSURANCE: CONSTRUCTIVE TOTAL LOSS: ACTUAL TOTAL LOSS: ACCIDENTAL FIRE IN ENGINE ROOM: VESSEL SUNK SHORTLY AFTERWARDS: FIRE NOT PROXIMATE CAUSE OF SINKING: SINKING CAUSED BY WATER ENTERING VESSEL IN UNKNOWN MANNER: NOTICE OF ABANDONMENT NOT SERVED: WHETHER SERVICE OF NOTICE A CONDITION PRECEDENT: NO CONCEIVABLE BENEFIT TO UNDERWRITERS: S.62(7) MARINE INSURANCE ACT 1906: TRANSFER BY OPERATION OF LAW

Royal & Sun Alliance Insurance Plc v Dornoch Ltd & Others
English Commercial Court: Aikens J.: [2004] EWHC 803 (Comm): 22 April 2004
 INSURANCE: REINSURANCE: CLAIMS CONTROL CLAUSE: 72-HOUR NOTICE CLAUSE: "KNOWLEDGE OF ANY LOSS": MEANING OF "LOSS": MEANING OF "KNOWLEDGE"

Lloyds TSB General Insurance Holdings Ltd and Others v The Lloyds Bank Group Insurance Co Limited: Abbey National Plc v Alan Godfrey Lee & Others (2001)
English House of Lords: Lords Nicholls, Hoffmann, Hobhouse, Millet and Walker: 31 July 2003
BANKERS’ COMPOSITE INSURANCE POLICY: LIABILITY FOR MIS-SELLING: WHETHER RESULTING FROM “any single act or omission (or related series of acts or omission)”: aggregation: aggregation clause: single underlying cause or common origin: whether equivalent to single “originating cause”

Lloyds TSB General Insurance Holdings Ltd V Lloyds Bank Group Insurance
Abbey National Plc V Alan Godfrey Lee & Others

English Court of Appeal: Potter, Longmore LJJ, Lady Justice Hale: Unreported: 8 November 2001
INSURANCE POLICIES: CONSTRUCTION: PENSIONS MIS-SELLING: LARGE NUMBER OF CLAIMS: DEDUCTIBLE AGGREGATION CLAUSE: SERIES OF CLAIMS RESULTING FROM RELATED SERIES OF ACTS OR OMISSIONS: UNDERLYING CAUSE: COMMON ORIGIN

Bakerland Pty Ltd v Coleridge
Australia: New South Wales Court of Appeal; Giles, Heydon JJA and Grove J; (2002) 12 ANZ Ins Cas 61-521;25 March 2002
INSURANCE — GENERAL INSURANCE — STORM DAMAGE — INDEMNITY — COLLAPSE OF PART OF BUILDING — WHETHER INSURED ENTITLED TO INDEMNITY VALUE OF BUILDING VIEWED ALONE AS DISTINCT FROM TOGETHER WITH THE LAND ON WHICH IT STOOD — WHETHER INSURED WORSE OFF AS RESULT OF THE COLLAPSE — WHETHER INSURED HAD PROVED COSTS OF REMOVAL OF DEBRIS 

Budgett Sugars v Norwich Union Insurance Limited
English Commercial Court: Moore-Bick J.: 15 May 2002
INSURANCE: STANDARD FORM PUBLIC AND PRODUCT LIABILITY POLICY: CONSTRUCTION OF "EVENT" IN POLICY: EVENT DEFINED AS LOSS OF OR DAMAGE TO PROPERTY: THIRD PARTY CLAIMS FOR CONSEQUENTIAL LOSS NOT COVERED

Glowrange Ltd v. CGU Insurance Plc
English High Court: QBD Commercial Court: Colman J:
Unreported: 26 June 2001
HULL FAILURE : UNEXPLAINED : TOTAL LOSS : INSTITUTE YACHT CLAUSES 1.11.85 : CAUSATION : INSURED PERIL : PERILS OF THE SEAS : VESSEL IN GOOD CONDITION : BALANCE OF PROOF : THE POPI M : THE MAREL : REASON FOR WATER INGRESS : SUMMARY JUDGMENT

Seashore Marine SA v. The Phoenix Assurance Plc and Others
English High Court, Queen’s Bench Division, Commercial Court: Aikens J.
May 2001: Unreported
HULL INSURANCE: LIABILITY TO PAY SALVAGE: INSTITUTE TIME CLAUSES (HULLS) 1.10.83: INSURED PERILS: PROXIMATE CAUSE: BURDEN OF PROOF

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