i-law

Lloyd's Maritime and Commercial Law Quarterly

CONSEQUENTIAL LOSS CLAIMS FOR DELAYED INSURANCE SETTLEMENTS: CREATING A FINANCIAL CRISIS FROM AN INSURANCE DRAMA

Sprung v. Royal Insurance Pride
Valley v. Independent Insurance
Imagine the small businessman or woman, heavily reliant on continuous proper functioning of machinery. A broker is consulted who recommends a property insurance policy which covers inter alia theft and unforeseen and sudden damage to the machinery necessitating immediate repair. The policy, as is common, is standard and not specifically tailored to the interests of the particular insured. Subsequent to the insurance cover being obtained, the insured’s premises are broken into by vandals who cause a total loss of the essential plant and machinery. A claim on the insurer is submitted, which is, initially at least, rejected on the basis that there is no evidence that theft was the motive and that the policy does not purport to extend to “pure” vandalism or wilful damage.
The insured’s first thought may be unprintable, his or her second may be to blame the broker because the insurance cover is not what was intended, expected or required. He may consider that, if the insurer be right in his argument, the broker should have recommended a different policy (or insurer), or a second policy, to cover business interruption losses on such damage. United by different personal interests, the broker and insured are likely to pursue the argument that the policy does cover the event.
Time passes while the dispute (or disputes) rage, and the insured’s business, already crippled by the vandalism, now fails because the insured has neither the cash nor the willingness to entertain the repairs and sue the insurer. Indeed, the lack of cash resources or borrowing capacity to effect repairs was the principal motivating factor in seeking insurance cover in the first place. Goodwill of the business dwindles to nothing and the business becomes unsaleable. Only then does the insurer accept that the policy covers the damage and pays out for the repair costs but not for the capital loss of the business.
As is now well known, on the current view of the Court of Appeal the insured appears to have little complaint, at least as against the insurer. The cases of Sprung v. Royal Insurance (UK) Ltd 1 and Pride Valley Foods Ltd v. Independent Insurance Co. Ltd 2 have

154

The rest of this document is only available to i-law.com online subscribers.

If you are already a subscriber, click Log In button.

Copyright © 2024 Maritime Insights & Intelligence Limited. Maritime Insights & Intelligence Limited is registered in England and Wales with company number 13831625 and address 5th Floor, 10 St Bride Street, London, EC4A 4AD, United Kingdom. Lloyd's List Intelligence is a trading name of Maritime Insights & Intelligence Limited.

Lloyd's is the registered trademark of the Society Incorporated by the Lloyd's Act 1871 by the name of Lloyd's.