19 May 2005
Commercial Court rules against the incorporation of a "follow the leader" clause into a facultative reinsurance contract
In American International Marine Agency of New York Inc (2) American Home Assurance Co v Christine E Dandridge (sued on her own behalf & on behalf of all other underwriters subscribing to the contract of insurance) (2005), the Commercial Court held that an "incorporation provision" in a reinsurance agreement did not incorporate a "follow the leader" clause set out in the underlying insurance binder.
Background:
The Claimants insurance companies had a 15%
participation in a hull and machinery policy lead by Axa Global Risks,
which they had reinsured with the Defendants under a facultative
reinsurance providing cover for total loss. The terms of the Claimants'
participation were set out in an insurance binder which post-dated the
reinsurance. The binder contained a "follow the leader" clause ("Following French Market Leaders (Axa Global Risks) in all respects, including rates and claims but excluding ex gratia") which was not in the terms governing the rest of the market.
On 9 September 2000, one of the vessels covered under the policies ran
aground and was declared a total loss. Shortly before the incident, and
in breach of the terms of the underlying policy, the vessel had been
re-classified. Axa had agreed orally to continue providing cover
despite the change of classification prior to the incident, which they
confirmed in writing on 13 September 2000, when they also acknowledged
that the value of the vessel had been reduced from US$2.5million to
US$1.5million. The Claimants took the view that they were bound by
Axa's decisions under the terms of the "follow the leader" clause. They
therefore paid US$225,000 towards the claim and sought recovery of
their outlay from the Defendants under the terms of the reinsurance.
Issues: It was common ground between the parties that the
re-classification and re-valuation of the vessel were breaches of the
reinsurance which would have discharged the Defendants. However, the
Claimants argued that an "incorporation provision" ("subject to the
same clauses and conditions and against the same perils as in the
original policy or policies but only against the Risks of [Total
Loss]") in the reinsurance meant that the reinsurers were also
bound by the "follow the leader" clause in the underlying i.e. the
reinsurers were also bound by Axa's decisions and therefore estopped
from relying on the re-classification and re-valuation to reject the
Claimants' claim.
Decision: Richard Siberry QC held that:
- The general words of incorporation referred to the
underlying insurance as a whole and not the binder. Since the "follow
the leader" clause was included in the binder but not in the other
terms of the underlying, it could not have been incorporated into the
reinsurance.
- In any event, none of the criteria for incorporation as set out in HIH General Casualty and Insurance Ltd v New Hampshire Insurance Co (2001)
(whether the provision was germane to the reinsurance, whether it made
sense in the context of the reinsurance, whether it was consistent with
the express terms of the reinsurance and whether it was apposite to the
reinsurance) were met.
Richard Siberry QC pointed out that Axa were not of course the leader
of the reinsurance and that the reinsurers had no contractual
relationship with Axa whatsoever. This was not for example, a case
where the lead reinsurer had paid and the Claimants were seeking to
argue that the "follow the leader" clause as incorporated into the
reinsurance compelled the following reinsurance market to pay.
In any case we would question whether general words of incorporation
can incorporate a "follow the leader" clause in an underlyng policy,
given that the clause concerns the relationship between the leader and
its market. It seems to us that such a clause is specific to the
underlying insurance, and therefore would not be considered as being
"germane" or "apposite" to the reinsurance.
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