Fine’s Flowers Ltd v General Accident Assurance [1977] ONCA [liability in contract]
Facts
- P arranged for insurance through an agent of D and asked for “full coverage”
- P obtained a policy insuring boilers in his greenhouse, but not the motors or pumps which water ran through, latter equipment failed due to wear and tear and incurred losses to P
- Agent denied he undertook to provide full coverage for P, TJ favoured P’s evidence understanding P to want “everything covered”
- Before policy issued, insurer sent letter to agent which should have notified agent of the importance of the pumps
- TJ found negligence in contract and tort
Issues
- Whether D as the agent was liable in contract or negligence to P by reason of D’s failure to arrange insurance protection against this event
Rules
- An agent’s duty is to exercise a reasonable degree of skill and care to obtain policies in the terms bargained for and to service those policies as circumstances might require
Agent also has the duty to advise his principal if he is unable to obtain the policies bargained for, so principal may take further steps for protection
- Agents have a duty to procure appropriate coverage, or advise customer they couldn’t procure it and explain options available
Analysis
- There was liability in contract
Agent must have appreciated that failure or uncovered motors and pumps would’ve been disastrous to P due to exchange of letters with insurers
Agent’s counsel contended that full coverage couldn’t be obtained even if asked for, court rejected this argument – such a defence wasn’t open since agent didn’t construe his instructions as requiring him to insure pumps and motors against normal risks, agent alleged he knew nothing of pumps and motors at all
To obtain “full coverage” meant coverage against all foreseeable insurable risks of Ps business, which agent failed to do, this constituted breach of contract
Minority
- No contract between P and agent since there was no meeting of minds over the term “full coverage”, therefore no breach of contract
- D liable in negligence
Failed to meet duty of agent to procure proper coverage or draw attention of P to failure to obtain such coverage
Conclusion
- D liable in contract and negligence, owed damages to P
This liability is only excluded or modified if the terms of a contract expressly exclude or modify any tort claim
Intermediaries may also be liable in equity through a breach of fiduciary duty
1) fiduciary has scope for exercise of some discretion or power, 2) fiduciary can unilaterally exercise that power or discretion so as to affect beneficiary’s legal or practical interests, and 3) the beneficiary is peculiarly vulnerable or at the mercy of the fiduciary holding the discretion or power (Frame v Smith)
When customer relies on expertise of intermediary to obtain insurance protection, such a relationship may arise
Specific obligations of intermediaries
Duty to Procure Appropriate Insurance or Advise that it is Unavailable
Where client seeks particular coverage and intermediary agrees to procure it, latter are under a duty to obtain such coverage or advise that they are unable to obtain it, and explain options available
Most common errors intermediaries make:
Inappropriate or inadequate coverage for client
They forget about the exclusions in the policy
Don’t pay attention to particular circumstances of customers who buy insurance
So don’t get insurance for specifics of circumstances, or don’t explain specifics of the policy
Insufficient limits to coverage
How far must an agent or broker go to determine what is appropriate cover?
Depends on the extent to which the client has relied on the agent’s expertise
If agent has special knowledge about the nature and availability of relevant coverage, as seen in Fine’s Flowers, then P can be said to have relied on the agent for that expertise
On the other hand, sometimes agent not in breach of duty since client has special knowledge placing latter in best position to determine adequacy of amount of cover
Note: even if intermediary is negligent, customer must show causal link between negligence and inadequacy of coverage
Traditional rule was that mere reliance on intermediary did not give rise to duty on intermediary to ensure impending expiry brought to customer’s attention
But recently, some provinces accept that where there is history of intermediary arranging renewals, a duty arises to notify customer of impending expiry or proposed non-renewal
History of intermediary may attract reasonable reliance, and an undertaking to renew
But while reliance is reasonable, it may not displace totally the customer’s obligation to protect his own position
Duty to Convey Information
Broker also has a duty to convey info from customer to insurer, to take reasonable care that info forwarded properly
Duty to Third Parties
Typically US is more likely to find broker liable to unconnected third party, notionally not unlikely that judgement is also found for judgment creditors
Some third parties do get protection for liability
Liability generally explained on the basis of a broader assumption of responsibility directly related to the objective of the business transacted between intermediary and the customer
Duty Owed to Insurers
Where intermediary has authority to bind the insurer, must transmit all material info received from customer, otherwise insurer will be unable to deny liability by misrepresentation or non-disclosure
Liability also incurred if insurer fails to follow instructions to transmit info to customer
Defences
When insurer alleges that intermediary procured inadequate insurance, two general defences
Showing adequacy of cover
Contributory negligence on the part of the insured