Examination of Witnesses (Question Numbers
20-33)
Lord Bach and Mr David Hertzell
12 JANUARY 2010
Q20 Lord Sheikh: Can I make the point,
and it is an important point with regard to France and Germany.
If you look at the five largest insurers three of them are French
and German-owned so it is important therefore that we establish
this. If you look at them, and I will not mention names, they
are very large European insurers and therefore we need to ensure
that what we agree here, particularly in light of the fact that
we have a domicile provision written in the Act, that we do get
co-operation from those two countries which have been already
mentioned.
Mr Hertzell: We will have a look at what procedures
they have and let the Committee know. As you say, there is a provision
in this Bill to deal with the foreign element if there is a foreign
insurer.
Q21 Lord Hunt of Wirral: My Lord Chairman,
I think it is an important point here because discussions have
been taking place in the European institutions and in the European
Parliament in particular around this area. Are you aware of anything
there which might be relevant?
Mr Hertzell: I am not. The discussions I am
aware of are more in the context of reciprocal arrangements around
insolvency rather than insurance. We will have a look at the situation.
Lord Hunt of Wirral: Cross-border.
Q22 Chairman: I think that would be of
interest and it would be helpful as well.
Mr Hertzell: Yes.
Chairman: Lord Borrie, have you any questions
to ask?
Lord Borrie: No, thank you.
Q23 Lord Archer of Sandwell: I do not
know whether this is the moment to raise it, my Lord Chairman,
but this is something that has been troubling me and I wondered
how it was dealt with under the Motor Insurers Bureau. If the
insured fails to give information to the insurers that would normally
defeat the claim because it would be a condition of the insurance.
We are told by clause 9(3) that that does not apply to the giving
of assistance to the insurer, but then clause 9(4) says that does
not apply, so that we are back to saying that the liability of
the insurer is defeated if the insured fails to give him notice
that a claim has been made.
Mr Hertzell: Yes, although the third party does
have the option to give that notice. However, the third party
would have to do so quite quickly.
Q24 Lord Archer of Sandwell: It just
seems to me that it might duplicate the amount of litigation if
before anyone knows that there is an insurer they have litigated
the liability in the first place, possibly because the insured
did not defend and so there was a default judgment.
Mr Hertzell: Yes.
Q25 Lord Archer of Sandwell: That has
already been decided. Now the insurer comes along and says, "Well,
that is not fair because I did not have an opportunity to argue
the case." Does that mean then that the whole thing has to
be litigated again?
Mr Hertzell: Well, we have attempted to address
that issue. The first point to make I think in answering that
is that the third party does not acquire any better rights against
the insurer in general than the insured has, so if there is a
deficiency with the underlying insurance I am afraid the third
party is bound and affected by that as well. However, the declaration
procedure we put in place in clause 2 of the Bill does address
your concern which is the entire proceedings involving both the
insurer and the insured are heard in one go, so if there is a
deficiency with the insurance that should hopefully become apparent
early on. Schedule 1 of the Bill allows the third party access
to information in a way which is more extensive than the 1930
Act so, again, hopefully they would know any deficiencies with
the insurance before embarking on litigation.
Q26 Lord Sheikh: Could I raise another
point. Clause 10 causes me a bit of concern and that is the insurer's
right of set-off. It causes me concern on two points. Firstly,
let us say there is a policy holder who has not paid their premium
and therefore it can be argued that the policy is not valid from
day one, from the insurer's point of view, but let us look at
the other side vis-a"-vis the third party's point of view,
if a claim arises, let us take an employers' liability claim (and
in fairness you said that 30 per cent of actions relate to EL)
if you have a hazardous risk the premium could be quite substantial.
I have policies where a premium of £1 million can arise depending
on the work which is being done. The third party has been hurt.
The policy holder has not paid their premium. How is that premium
going to be deducted in a case where the premium is very substantial
is something we need to address basically from two points of view.
Number one, non-payment makes the policy void and number two recovery
with regard to payment of premiums from the third party.
Mr Hertzell: I am afraid you are absolutely
right, the right of set-off here would in one of your examples
effectively wipe out the third party claim if there was a huge
unpaid element of premium and a relatively small third party claim,
yes, I am afraid that would happen. If the insurance policy itself
was invalid then again the third party would have no better rights
than the insured and therefore again the third party would not
be able to pursue the insurer. Although these are not deficiencies
in this context there are intrinsic risks for the third party,
in the context of having a situation in which the third party
steps into the shoes of the insured. In a way, the answer to your
question lies outside this Bill or the work we have done because
what effectively you are looking at here is uninsured risk and
perhaps it raises a question of whether there should be some procedure
to deal with uninsured risk, which I mentioned earlier on. In
the context of this Bill I am afraid you are right the third party
could potentially be unprotected.
Q27 Lord Sheikh: The intention I presume
was to protect the third party. This is beyond protection to a
third party, is it not?
Mr Hertzell: The intention of this legislation
is to protect the third party in the context where first of all
you have an identified insured and identified insurer and secondly
where there is a valid insurance policy that could respond to
the insured and therefore to the third party. If those criteria
are not met then the third party is outside the scope really of
this Bill.
Lord Hunt of Wirral: My Lord Chairman,
may I first of all just declareand I did declare it at
the second readingthe interests set out in the Register.
Chairman: I should have mentioned that
we all ought to do that and I hope we will before the meeting
closes.
Q28 Lord Hunt of Wirral: Particularly
as a partner in Beachcroft. I was just going to ask about legal
expenses insurance because they are covered for the first time.
A lot has happened in the last eight and a half years about legal
expenses insurance. Are you reasonably content with the provisions
now in the way that they are being extended? Are they extended
far enough to cover this sector? To what extent have you consulted
those who do not appear in the consultation list, particularly
major companies like DAS and other very substantial companies
in the area of legal expenses insurances? Are you reasonably happy
that all is well in that area?
Mr Hertzell: The part of the Bill which addresses
legal expenses insurance is not specifically about legal expenses
insurance per se it is about voluntary incurred liabilities of
which that would be an example, so it is addressing it in the
round if you like. We have not specifically spoken to DAS or any
others only to their representatives such as the ABI on that point.
Of course this whole area is subject to review at the moment with
Lord Justice Jackson so it is quite difficult for me to answer
the question. As far as we have gone we are relatively satisfied
but we do not know what the outcome of that review would be and
whether it would have an impact on this.
Q29 Lord Hunt of Wirral: You should know
that by our next meeting. If I could just move on to ask again
because of the delay, you have never really consulted with the
Financial Ombudsman Service because they were not created as such
until about the time you were producing your report. As I understand
it, they are going to deal with any claims which arise now because
the Insurance Ombudsman Bureau, which was taken over by the FOS,
was consulted. Are you happy that the FOS are content that they
have the requisite material and resources to deal with any claims
that will now arise under that extension?
Mr Hertzell: I find that hard to answer in terms
of the full FOS resources. The FOS itself is a supporter of this
measure and we did discuss it with them in the more recent consultation
we have done since 1998 so they have signed up to it but I cannot
really comment on their resources.
Lord Sheikh: Apart from legal expenses
technically health insurance could come under the same umbrella.
Lord Hunt of Wirral: Good point.
Q30 Lord Goodhart: On the point that
Lord Sheikh raised about whether the insurer can deduct unpaid
premiums, it does seem to me that the insurer must be entitled
to do that because it would be, I would have thought, unreasonable
to expect an insurer to pay more because the insurer has gone
into insolvency than they would have had to pay if the insured
had remained solvent.
Mr Hertzell: Certainly.
Q31 Lord Goodhart: Certainly if that
was not the situation insurance companies would not be very happy
with this Bill.
Mr Hertzell: That is correct.
Q32 Chairman: Your answer was that is
correct?
Mr Hertzell: That is absolutely correct. The
third party is stepping into the shoes of the insured and therefore
has only the same rights and obligations as the original insured,
that is quite right.
Q33 Chairman: Does that conclude everything
that anybody would like to ask? Thank you very much both of you.
Did you want to add anything at the end, Lord Bach?
Lord Bach: No, it has been fascinating.
Chairman: Perhaps we should just go back
to where we should have started and if you have any interests
that should have been declared would you now declare them. Lord
Hunt and Beachcroft. Any other interests that need to be declared?
Well, thank you both very much indeed.
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