Causation
Causation
Causation
Parties can agree the test for causation in contract – if they don’t
there are judicial principles
*Iondides v The universal Marine Ins Co Ltd (1863)–Willes J
o look exclusively at the proximate and immediate cause of
the loss
MIA s 55(1) – incorporates proximate cause – unless otherwise
agreed by parties
o liable for loss proximately caused by a peril insured against
– not liable for loss not proximately caused by a peril
insured against
Lawrence v The Accidental Insurance Co Ltd (1881)
o L had an epileptic seizure – fell on platform at waterloo =
death by train accident covered by personal accident
policy
Winspear v The Accident Insurance Co Ltd (1880)
o insurer was liable when W had seizsure and drowned in
river Rea
Some US jurisdiction – last cause in time – not proximate cause
o Continental Insurance Co v Arkwright Mutual Insurance Co
(1996)
building damaged by 1992 NYC storms – flood
damaged – caused electrical arcing – led to explosion
which damaged circuit boards
looked at spatial and temporal remoteness – drew on
Bird (1918) – flood to electrical damage – negligible
distance
insurer tried to avoid – flood covered, electrical
damage
Court approved trial judge ruling – flood was the
cause, not the electrical arcing – looking at last in
time – flood viewed as being within timeframe as it
was rapid – not a drawn out timeframe had it been
months between flood and explosion conclusion may
have been different
reasonable business person test
Leyland Shipping Co Ltd v Norwich Union Fire Insurance Society
Ltd [1918] – Lord Shaw
o wrong to treat proximate cause as proximate cause in time
look at proximate in efficiency
o HoL: rejected Escher’s distinction and approved Reischer
o Pink v Fleming (1890) – Lord Escher MR
distinguished marine (look at last cause) v non-
marine (prepared to look back further)
o Reischer v Borwick (1894) – Lindley LJ
agreed with Escher in Pink but didn’t apply distinction
in practice
o Syarikat Takaful Malaysia Berhad v Global Process Systems
Inc (The Cendor Mopu) [2011]
recent approval of Leyland
Athel Line Ltd v Liverpool & London War Risks Insurance
Association Ltd [1946] – Lord Greene MR
o matter for the common sense and intelligence of the
ordinary man
Gray v Barr [1971] – Lord Denning
o effective or dominant cause of the occurrence is to be
determined by common sense – even if it is more remote
in time
o Yorkshire Dale SS Co Ltd v Minister of War Transport
[1942] – Lord Wright
must look at what the common man, not a scientist,
would understand it to be
o Tate Gallery (Trustees) v Duffy Construction Ltd [2007] –
Jackson J
causation tends to coincide with common sense
The Cendor Mopu [2011] – Lord Mance
o Facts: offshore oil-drilling platform – tow from US–Malaysia
– policy covered all risks except loss caused by inherent
vice or nature of the subject matter insured
o mid way through journey hit by wave – one leg broke –
next day two others too – perils or inherent vice?
o insurers knew of stress cracks in legs – required rig to be
checked mid-voyage – weather = normal for voyage
o SC: s55(1) – enquiry based on fact and common sense
principles reaffirmed proximate cause = proximate in
efficiency
o Insurer liable – proximate cause perils of sea – wave broke
first leg, caused others to break could only have avoided
if it was caused solely by defect in insured object without
any ‘fortuitous external accident or casualty’
o last cause in time could explain strict approach taken to
warranties in Victorian times – previous breaches would
have been irrelevant ∴ warranties needed to be strict
Reischer v Borwick (1894)
o Facts:marine policy – covered collision – didn’t cover perils
of the sea – collision – hole – repaired – towed – motion of
sea through towing caused hole to reopen sank
o CoA: proximate cause = collision, even though sea was
last in time
*Leyland Shipping Co Ltd v Norwich Union Fire Insurance Society
Ltd [1918]
o Facts: The Ikaria – insured against loss of perils from sea
not war
o hit by torpedo – blew hole in side – damaged bulkheads –
toed to safe harbour – while anchored – gale blew up –
bumped against harbour wall – harbour autborities ordered
it into open sea (fear of sinking and blocking)
o after two days of buffeting, being grounded at low tide –
bulkheads failed – it sank probs safe in harbour
o HoL: proximate cause of loss = torpedo – damage meant it
was reasonably certain that sea-water would flow into ship
– extent of damage may not have been expected
Clarke (1981 article)
o if peril covered = proximate cause of damage – liable for
all consequences that flow naturally from it – even if these
couldn’t have been expected at the time of the loss
Reischer (collision) and Leyland (torpedo) – influx of seawater =
reasonably certain consequence – effect of events continued
not overshadowed by subsequent events
o if Ikaria (Leyland) had sunk after hitting harbour wall while
being towed out – torpedo overshadowed – negligence =
proximate cause doesn’t matter that torpedo was reason
she was in the harbour
Burden of Proof
insured must establish on the balance of probabilities – loss
proximately caused by an insured peril (Foreign Marine
Insurance Co Ltd v Gaunt [1921], The Popi M [1985])
burden switches to insurer – show another explanation more
probable
o Slattery v Mance [1962]
ship insured against fire – insured shows loss from
fire – insurer must show on balance of probabilities
fire not proximate cause or from excepted peril
If insurer alleges loss deliberate – burden of proof commensurate
with gravity of allegation – must prove that there is a substantial
probability that the loss wasn’t accidental
Multiple causes
more than one PC = new concept – insurers are looking to find
causation to include indirect coses of loss – court becoming more
likely to find more than one cause
Wayne Tank and Pump Co Ltd v Employers’ Liability Assurance
Corpn Ltd [1974] – Cairns LJ
o judges shouldn’t strain to find a dominant cause
*Kuwait Airways Corporation v Kuwait Insurance Co [1999]
o number of perils covered – only show PC one
o two separate PC – independent of each other – both would
produce part of loss – no contribution other – only liable
part covered
*Ford Motor Co of Canada Ltd v Prudential Assurance Co Ltd
(1959) – SC Canada
o Facts: loss due to riot covered – cessation of work and
change in temp not – riot factory closed – damage from
freezing
o Held: only liable for part from riot
*JJ Lloyd Instruments Ltd v Northern Star Insurance Co Ltd (The
‘Miss Jay Jay’) [1987] – Slade LJ
o Facts: ship lost – 1) adverse condition of sea – 2) defects
in boats design – insured unaware 1) covered, 2) not
mentioned
o CoA: insurers liable – no relevant exclusions or warranties
– proof of peril which was within the policy was enough to
entitle the plaintiffs to judgement – didn’t matter that
there was another PC – design fault on its own, wouldn’t
be liable
*Wayne Tank and Pump Co Ltd v Employers’ Liability Assurance
Corpn Ltd [1974]
o Facts: W installed equipment – store and convey liquid wax
in a factory – factory burnt down two negligent actions
1) supplied plastic pipe to convey hot wax +
ineffective thermostat
2) switched on equipment and left unattended
o Q: did public liability policy cover W’s negligence?
covered damage as a result of accidents – exception
– equipment sold or supplied by W
o CoA: goods included pipe and Thermostat
o Lord Denning MR, Roskill LJ:
1. PC = defective pipe and thermostat – exclusion
applied
2. even if two PC’s insurers not liable – only way to
give effect to exception is to exempt altogether
o Cairns LJ: preferred 2.
California Courts – diff approach
*State Farm Mutual Auto Ins Co v Partridge 10 Cal3d 102 (1973)
o Facts: insured accidently shot and injured friend – two acts
negligence: 1) filed down trigger ‘hair trigger’ 2) drove
with gun in hand – friend passenger seat
o both actions required for injury – liable for negligence ‘hair
trigger’ not negligent driving
o Held: two PC – one covered = liable, regardless if other
excluded
Keeton and Widiss (1988 Book)
o where there are several factors – courts apply causation
theory to allow cover to prevail – construe policies in light
of reasonable insured’s expectation construe ambiguous
policy provisions against insurer
Not gained wide acceptance – reasonable expectation of insured
only where ambiguity in contract (Montrose Chemical Cor v
Admiral Ins Co (1995))
exclusionary clauses – narrow interpretation, clauses identifying
coverage – broad interpretation relatively easy to persuade
ambiguity in exception clauses (Garvey v State Farm Fire and
Casualty Co (1989))
Pro-Wayne
o exclusion clauses determine premium – insurer shouldn’t
be liable where PC is excluded
Pro-Partridge
o application of exception unclear – construe against insurer
Both Wayne and Partridge involved third party – what if first
party? eg. Property insurance
o indemnify insured if property covered suffers loss – defined
by causation (loss caused by X peril) or loss caused by any
risk (less exceptions) pays irrespective of fault
o Liability – agrees to pay indemnify if insured liable to third
party only pay if degree of fault = liable to third party
Argue for differentiation
o Liability: liable if one PC covered, other expressly excluded
o Property: not liable if one PC covered, other excluded
The Cendor Mopu [2011] – SC (oil-rig case)
o overruled The Miss Jay Jay – can’t be loss by both perils of
the sea and inherent vice of subject-matter
o Lord Clarke: loss PC, at least partly by perils of the seas =
no inherent vice avoid causation issue
inherent vice = not excepted peril – illustration of
type of peril not = PC of loss
o Lord Mance: distinguished where two risks combine to
cause loss, one excepted v one risk specifically excepted
needs to hear more arguement
Result: narrows circumstances court can find concurrent causes
– little discussion one insured, one excepted
*Midland Mainline v Eagle Star Insurance Co Ltd [2004]
o Lowry and Rawlings article is basically this section of the
book with the Midland case added, short and easy to read
if you want to get a better overview
o Facts: Hatfield Rail disaster 2000 – four people killed –
derailed – broken track – Emergency Speed Restrictions
(ESR) across large parts of network similar to accident –
disruption – rail businesses suffered losses
o sought to recover from policies – excluded “inherent vice,
latent defect, gradual deterioration, wear and tear…”
o denied policy for “wear and tear”
o FI – Steel J: cause of loss = ESR – liable – cracks were
part of normal features, usually maintined on a gradual
basis – scale was more than usual – but not the event that
triggered the action
o CoA – Nourse LJ: FI was wrong – just because wear and
tear didn’t trigger the cover – the extent of it was so
defective that ESR were triggered – created loss
similar to Leyland – track damage was same as
torpedo, even though it may not have been
immediate cause it was underlying
criticised Steel J for only talking about one cause –
previous cases talked about multiple causes
Lowry and Rawlings – think criticism harsh
Probably multiple causes, but like in Wayne Tanks
when one excluded – insurer not liable
Lowry and Rawlings Article
o distinction Miss Jay Jay and Wayne Tanks/ Midland
Mainline (one cause exempted)
o in light of s55(1) MIA Miss Jay Jay can be deemed to be
incorrectly read – but it is sensible, as long as one
proximate cause of the loss is an insured peril – insurer =
liable
o Wayne Tank – once one cause is excepted – not liable,
courts will try take a narrow reading so that the insurer
isn’t excepted from the principal purpose of the insurance
o US (California) – exclusionary clauses interpreted narrowly
– clauses identifying coverage are broadly interpreted
(Garvey [1989]) – contra preferendum rules apply
o English – same contract principles for insurance and
normal contracts
o Reason for difference –
English same rules for contract
US treat contracts for insurance different treatment –
industry of public interest – held to a broader legal
responsibility than private contracts (Continental Life
& Accident Co v Songer (Ariz 1979)
attempt to address imbalance of power
between insurers (who generally write
contract) and insured
contrast English – uphold freedom of contract
Lowry and Rawlings – suggest welfare state in UK
means less incentive for judges to protect individual
insured – greater protection v US where welfare
provision based more on private insurance
o Reform
see Wayve v Partridge debate above
Property Insurance
*Sofi v Prudential Assurance Co Ltd [1993]
o Facts: Theft policy – take all reasonable steps to safeguard
insured property – locked jewellery worth £42k in glove
box in car – 15 mins – stolen
o CoA: liable – insured not reckless – thought safer in car
Pre Sofi IOB had taken a view that was more favourable to
insurers (Digest of Annual Reports and Bulletins (London, IOB,
1999) –IOB website) couldn’t find online…
*Cooke v Routledge [1998]
o drove very drunk – car wrote off
o Held: liable – required to take reasonable care to
safeguard from loss – not a deliberate act – not inevitable
or probable consequence of action – construed protect
from external theft – not his driving
*Gunns v Par Insurance Brokers [1997]
o Facts: jeweller left valuables in a safe – previously declared
unsatisfactory – went away for weekend – didn’t turn on
alarm – shortly before theft reported that he thought he
was being followed
o Held: not liable – conduct = reckless
* Hayward v Norwich Union Insurance Ltd [2001]
o Facts: Porsche – petrol station – left keys to pay –
electronic locking device and immobiliser – prevent being
driven, even with keys – thief targeted him – device to
deactivate safety features – policy couldn’t leave keys in or
on car
o FI: not left in or on if not unattended – not case –
relatively close – had to be close enough so as to be likely
able to prevent theft (left unattended)
Starfire Diamond Rings Ltd v Angel (1962) – Lod
Denning physical proximity to keep car under
observation
o CoA: reversed decision – policy didn’t incorporate “left
unattended” authorities – only q did he leave keys? –
didn’t matter only reason thief could take was due to
device – rejected narrow interpretation of left – (tried to
say car-jackings couldn’t recover with broader one – held:
they are involuntary – not left)
o Ombudsman (March 2004): was insured in a position to
intervene – not if they were successful in preventing theft
packing car – demisting – ran back inside if on
public highway, doesn’t matter if it is close to home
= left
Suicide Cases:
Beresford v Royal Insurance Co [1938]
o HoL: died by suicide – clause excluded paying if suicide
committed in first year – death outside period – not liable
suicide = crime – PP wouldn’t allow recovery - whole
contract not void ab initio – clause could be severed
US SC diff direction – Northwestern Mutual Life Insurance CO v
Johnson (1920) – imply term re: suicide only if mentioned (eg.
pay after one year) no general prohibition – each state could
legislate
*Bolland, Hare and Koops Knight (1830)
o henry Fauntleroy hanged 1824 – forged Bank of England
note – estate unable to claim on life policy – crime led to
death, didn’t matter that he didn’t intend it to
*American Cases
Millen v John Hancock Mutual Life Insurance Co (1938)
o can’t find online…
Weeks v New York Life Insurance Co (1924)
o SC South Carolina
o just because a contract to insure against death by legal
execution would be against PP, does not mean that an
ordinary life policy that doesn’t except against it will be
declared unenforceable on PP grounds – there’s no reason
to presume insured intended to accelerate maturing of
policy by committing a crime
John Hancock Mutual Life Insurance Co v Tarrence (1957)
o dismissed notion that allowing beneficiaries to collect
insurance if criminal killed in the commission of a crime will
increase crimes – remote, speculative and theoretical.
o Both the public and the insurer have “a guaranty against
increasing the risk insured, by that love of life which nature
has implanted in every creature.”
Oldfield v Transamerica Life Insurance Co of Canada (2002)
o Canadian SC – McLaghlin CJ
o P separated from wife – agreed he would maintain life
insurance coverage in lieu of child and spousal support –
wife would be beneficiary until kids 18 – P died – 30
cocaine filled condoms – on burst – heart attack
o Wife wanted money – insurer refused – claim barred by PP
– can’t insure against own criminal act
o FI and CoA: no PP or contract rule barred claim
o SC: not against PP to allow innocent beneficiary to claim
when insured dies through criminal act – criminal can’t
profit from crime – if claiming through his estate = no
claim, but has a claim as beneficiary not tainted with
husbands illegality – shouldn’t penalize innocent victim
o PP doesn’t make policy void – makes it unenforceable by
the criminal – contract lawful on face but carried out
unlawfully not void
contract to insure death by cocaine bursting
unenforceable, but one to insure against death and
death occurring through illegal act enforceable by
innocent beneficiary
o Major J: delivered majority decision
main reason to use PP is because the insurer hasn’t
provided for provision in policy
Insurance Law in Canada (Brown) – denying
recovery to an innocent beneficiary would be to
penalise them for the insured’s anti social behaviour
parties intention is important – of criminal act
is incidental to the contract, may even be
enforceable by criminal insured
differentiation between (backed up by MacGilivray
and Chitty)
1) insured indemnified against type of loss
suffered (death) but that loss arises through an
unlawful act in that case enforceable
2) contract of insurance is itself illegal not
PP rule change:
arbitrary to have distinction between refusing
claim on PP grounds to criminal and
beneficiaries through will v beneficiaries named
on policy
looks at Diplock LJ in Hardy – doesn’t modify
rule, leaves it to legislature or another court
based on facts to modify it clear dislike of
the rule as it stands (strict PP test) and
attempting to assert pressure to bring about
change of the rule
o L’Heureux-Dubé J :
“While a crime may prevent a person from benefiting
from that crime, it cannot affect the rights of
innocent third persons”
forfeiture rule based on PP is there to manage the
transfer of risk – criminal shouldn’t benefit, but
neither should insurance co get benefit of premium
without risk
alteration of PP rule should be done by legislature –
must carefully balance competing rights
if rule is bringing about harsh results should look at
the rule itself and change it – rather than on a case
by case basis
should not relax PP rule to allow a criminal to benefit
from his action, but should relax the forfeiture rule to
balance competing interests, particularly where the
beneficiary is innocent.
Courts won’t enforce an illegal contract
will enforce property rights acquired through illegal contract –
once claim made without relying on contract or can only be
defeated relying on contract
Motor Manslaughter
*Tinline v White Cross Insurance Association Ltd [1921]
o speeding – Shaftesbury avenue – killed one, injured two
pedestrians – convicted manslaughter gross or reckless
negligence
o Ballihavhe J: generally negligence negates cover – motor
policy must include cover, even if negligence liable
o G v B: similar, but B entered G’s house = intention
o manslaughter requirement higher for motorist
*Hardy v Motor Insurers’ Bureau [1964]
o CoA: act deliberate and criminal – insured driver already
paid victims, driver couldn’t recover indemnity from
insurers – insurer only liable in driver can’t pay, if no
insurance Motor Insurers’ Bureau liable (Road Traffic Act
1988)
*Gardner v Moore [1984]
o HoL: convicted of inflicting grevious bodily harm
o deliberate nature – already paid, can’t recover
o approved Diplock LJ statement in Hardy look at social
harm of enforcement v not enforcing
o Denning MR in Hardy: motorist can’t recover sums paid –
but the law by requiring motorist to be indemnified – policy
must be read so wide that a third party won’t be tainted by
a motorists intent can recover from insurer
difficult to distinguish motor cases from G v B on PP grounds –
both dangerous to a third party – victim suffers by not holding
them liable
Perpetrator not deterred by criminal sanction – lack of insurance
not likely to work
o not wanting to indemnify criminal v compensating
malicious acts of motorist motorists – compensation won
o what’s the diff between someone with a shogun and driving
licence when both act recklessly?
Criminal courts should decide criminal matters – civil should
focus on parties and compensation – like with motor insurance
only looking at injuries
no PP reason for indemnifying insured where not provided for in
contract – leg is only thing helping motorists
o must have certain level of liability – limits ability for
insurers to restrict this
o Charlton v Fisher [2002]
CoA: driver deliberately steered into another car –
didn’t intend to injure private land – RTA 1988
didn’t apply – insurer not liable due to deliberate
criminal act
o shows leg is only thing differentiating motor from other
liability insurance