Land Cases Flashcards
Whiten v Pilot Insurance Co (2002): Facts
- family house burns down
- insurer pays for temporary shelter then ceases payments
- insurer claims they aren’t liable due to arson (but has no evidence)
Whiten v Pilot Insurance Co (2002): Issues
did Pilot Ins use the power imbalance to force InsD into a smaller settlement?
Whiten v Pilot Insurance Co (2002): Rulings 1,2,3 (initial, appeal, SuprCrt)
RULING 1: jury awards 1m punitive
RULING 2: ON appeals court reduces to 100K
RULING 3: Supreme Court restores 1m
Whiten v Pilot Insurance Co (2002): Details - general
awards of this type should consider PROPORTIONALITY along several DIMENSIONS
Whiten v Pilot Insurance Co (2002): Details - dimensions
- Blameworthiness of InsR
- Vulnerability of victim
- Harm to victim
- Deterrence to insurer
- consider other Penalties insurer may have incurred
- punitive award should not been seen by the insurer as a “License” (no financial gain for insurer)
Somersall v Scottish & York: Facts
- victim is severely injured by UNDER-insured driver
- injured party & tortfeasor sign limits agreement
- injured party also claims against OWN insurer for excess beyond limits agreement
- insurer denies claim
Somersall v Scottish & York: defn - limits agreement
agreement between injured party & tortfeasor where:
* tortfeasor admits liability
* injured party won’t sue for more than tortfeasor’s limits
Somersall v Scottish & York: defn - SEF No. 44
endorsement providing coverage to insured when tortfeasor is UNDER-insured
Somersall v Scottish & York: Issues
Regarding insurer:
* Does limits agreement imply plaintiff not legally entitled to further recovery from tortfeasor?
* (insurer then effectively loses subrogation rights)
Somersall v Scottish & York:Rulings 1,2,3 (initial, appeal, SuprCrt)
RULING 1: motions judge rules for insurer
RULING 2: ON appeals court reversed original ruling (plaintiff recovers under SEF 44)
RULING 3: Supreme Court dismissed insurer’s appeal (plaintiff recovers under SEF 44)
Somersall v Scottish & York:Ruling - Supreme Court reasoning
at time of accident, SEF 44 was in effect, therefore:
→ subsequent limits agreement did not preclude coverage under SEF 44
Sansalone v Wawanesa: Facts
- BC Transit bus drivers sexually abused a teenager
- Wawanesa DENIED defense & coverage: policy terms exclude bodily injury caused intentionally
Sansalone v Wawanesa:Issues
how does (duty to defend) relate to (duty to indemnify)
- does insurer have a duty to defend where indemnification is beyond scope of policy
Sansalone v Wawanesa: Ruling 1 (initial trial)
RULING 1: there IS duty to defend because bus drivers may have (mistakenly, negligently) believed consent had been given (insurer appeals)
Sansalone v Wawanesa: Ruling 2 (appeal)
RULING 2: appeals court rules there is no duty to defend (2-1 split decision)
Sansalone v Wawanesa: majority reasoning
IF act is intentional AND injury is (natural, probable) THEN there is intention to cause injury (therefore excluded by policy)
Sansalone v Wawanesa: minority reasoning
act WAS intentional BUT injury was not
- defendant had invalid belief of consent
- there IS a duty to defend (but not indemnify)
Nichols v American Home Assurance: Facts
- a solicitor was accused of fraud but found innocent
- sought defence costs from professional liability insurer
- InsR denied claim
Nichols v American Home Assurance: Issues
- how does (duty to defend) relate to (duty to indemnify)
- does insurer have a duty to defend where indemnification is beyond scope of policy
Nichols v American Home Assurance: Ruling 1 (initial trial)
Insurer must defend
Nichols v American Home Assurance: Ruling 2 (appeal)
ON appeals court dismissed appeal:
- (duty to indemnify) versus (duty to defend) different
- must pay defense since defendant was found innocent
Nichols v American Home Assurance:Ruling 3 (Supreme Court)
Supreme Court allowed appeal:
- (duty to defend) is triggered (by duty to indemnify)
- since fraud beyond scope of coverage –> no duty to indemnify –> no duty to defend
Alie v Bertrand Frere Construction: Facts
defective concrete requires replacement of basements of 140 houses in Ottawa (built between 1986 and 1988)
Alie v Bertrand Frere Construction: Issues
INDEMNITY COST ALLOCATION:
- different years were covered by different insurers
- which policies were triggered?
DEFENCE COST ALLOCATION:
- how are defence costs ALLOCATED between primary & excess insurers?
Alie v Bertrand Frere Construction: Ruling 1a
INDEMNITY TRIGGER: injury-in-fact
- consider each 1-yr period from construction to realization of defect in 1992
- assume that damages are evenly spread over all years
Alie v Bertrand Frere Construction: Ruling 1b
DEFENCE TRIGGER:
- excess/umbrella policies have duty to defend provided..
- ..they follow the form of the underlying policy AND do not specifically exclude duty to defend
Precision Plating v Axa Pacific Insurance: Facts
- insured had a fire on premises causing chemicals to overflow and contaminate neighboring property
Precision Plating v Axa Pacific Insurance: Issue
- does insurer have a duty to defend
- pollution/contamination is EXCLUDED by policy
- but insured argued that cause of loss was fire & therefore covered
Precision Plating v Axa Pacific Insurance: Ruling 1
- chambers judge held for insured (insurer must defend)
- policy terms were ambiguous
- should not exclude contamination caused by fire
Precision Plating v Axa Pacific Insurance: Ruling 2
- insurer’s appeal allowed (no duty to defend)
- third party claims were for CONTAMINATION not for fire (thus excluded from coverage)
Precision Plating v Axa Pacific Insurance: compare to other duty-to-defend cases
compare to: (no duty to defend because no duty to indemnify)
- Sansalone v Wawanesa (sexual abuse)
- Nichols v American Home (fraud)
Precision Plating was different however:
- pollution/contimation was clearly excluded
- insured argued cause of loss was fire not pollution (unsuccessful on appeal)
Amos v ICBC:Facts
- the insured, Amos, was shot by gang in California (while driving rental car)
- claims no-fault Accident Benefits against his BC auto policy