Land Cases Flashcards

1
Q

Whiten v Pilot Insurance Co (2002): Facts

A
  • 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)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Whiten v Pilot Insurance Co (2002): Issues

A

did Pilot Ins use the power imbalance to force InsD into a smaller settlement?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Whiten v Pilot Insurance Co (2002): Rulings 1,2,3 (initial, appeal, SuprCrt)

A

RULING 1: jury awards 1m punitive
RULING 2: ON appeals court reduces to 100K
RULING 3: Supreme Court restores 1m

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Whiten v Pilot Insurance Co (2002): Details - general

A

awards of this type should consider PROPORTIONALITY along several DIMENSIONS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Whiten v Pilot Insurance Co (2002): Details - dimensions

A
  • 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)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Somersall v Scottish & York: Facts

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Somersall v Scottish & York: defn - limits agreement

A

agreement between injured party & tortfeasor where:
* tortfeasor admits liability
* injured party won’t sue for more than tortfeasor’s limits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Somersall v Scottish & York: defn - SEF No. 44

A

endorsement providing coverage to insured when tortfeasor is UNDER-insured

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Somersall v Scottish & York: Issues

A

Regarding insurer:
* Does limits agreement imply plaintiff not legally entitled to further recovery from tortfeasor?
* (insurer then effectively loses subrogation rights)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Somersall v Scottish & York:Rulings 1,2,3 (initial, appeal, SuprCrt)

A

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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Somersall v Scottish & York:Ruling - Supreme Court reasoning

A

at time of accident, SEF 44 was in effect, therefore:
→ subsequent limits agreement did not preclude coverage under SEF 44

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Sansalone v Wawanesa: Facts

A
  • BC Transit bus drivers sexually abused a teenager
  • Wawanesa DENIED defense & coverage: policy terms exclude bodily injury caused intentionally
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Sansalone v Wawanesa:Issues

A

how does (duty to defend) relate to (duty to indemnify)
- does insurer have a duty to defend where indemnification is beyond scope of policy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Sansalone v Wawanesa: Ruling 1 (initial trial)

A

RULING 1: there IS duty to defend because bus drivers may have (mistakenly, negligently) believed consent had been given (insurer appeals)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Sansalone v Wawanesa: Ruling 2 (appeal)

A

RULING 2: appeals court rules there is no duty to defend (2-1 split decision)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Sansalone v Wawanesa: majority reasoning

A

IF act is intentional AND injury is (natural, probable) THEN there is intention to cause injury (therefore excluded by policy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Sansalone v Wawanesa: minority reasoning

A

act WAS intentional BUT injury was not
- defendant had invalid belief of consent
- there IS a duty to defend (but not indemnify)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Nichols v American Home Assurance: Facts

A
  • a solicitor was accused of fraud but found innocent
  • sought defence costs from professional liability insurer
  • InsR denied claim
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Nichols v American Home Assurance: Issues

A
  • how does (duty to defend) relate to (duty to indemnify)
  • does insurer have a duty to defend where indemnification is beyond scope of policy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Nichols v American Home Assurance: Ruling 1 (initial trial)

A

Insurer must defend

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Nichols v American Home Assurance: Ruling 2 (appeal)

A

ON appeals court dismissed appeal:
- (duty to indemnify) versus (duty to defend) different
- must pay defense since defendant was found innocent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Nichols v American Home Assurance:Ruling 3 (Supreme Court)

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Alie v Bertrand Frere Construction: Facts

A

defective concrete requires replacement of basements of 140 houses in Ottawa (built between 1986 and 1988)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Alie v Bertrand Frere Construction: Issues

A

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?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
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
26
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
27
Precision Plating v Axa Pacific Insurance: Facts
- insured had a fire on premises causing chemicals to overflow and contaminate neighboring property
28
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
29
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
30
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)
31
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)
32
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
33
Amos v ICBC: Issues
PURPOSE TEST: was the car being used in a normal way? CAUSALITY TEST: was there a link (possibly indirect) b/w use of car and shooting?
34
Amos v ICBC: Rulings 1,2,3 (initial, appeal, Supreme Court of Canada)
Ruling 1: - BC Supreme Court dismissed driver's claim Ruling 2: - Appeals court upheld the judgment of the BC Supreme Court Ruling 3: - Supreme Court of Canada held that appeal SHOULD be allowed (driver is compensated) - answer is YES to both purpose & causality tests - plaintiff received no-fault benefit (Accident Benefits) because damage was "ARISING OUT OF" use of car
35
Amos v ICBC: Applicability to Ontario
- not strictly appicable in Ontario - in Ontario, the policy wording is damage "CAUSED BY" use of car (versus "ARISING OUT OF" use of car)
36
Belanger v Sudbury: Facts
20 year-old woman catastrophically injured in head-on collision due to icy road in Sudbury Ontario
37
Belanger v Sudbury: Issue
- was the city LIABLE for failing to maintain roadway in good repair during a winter storm - damages of 12 million had already been agreed upon
38
Belanger v Sudbury: Ruling 1
- city was liable for plaintiff's injuries - salting & plowing occurred but were not sufficient given the storm conditions
39
Belanger v Sudbury: Ruling 2
 UPHELD: court of appeal rejected defendant's "statutory defense" and upheld trial judges decision   - city is expected to ADAPT to conditions, NOT just blindly follow procedures
40
Belanger v Sudbury: Defense - describe the city's defense strategy
- the city attempted a "statutory defense": claimed no liability because: - could not reasonably be expected to know about the reformed ice OR - took reasonable steps to maintain roadway
41
Belanger v Sudbury: Comment - standard of care
- this case was essentially about "standard of care" - appeal judge implied that standard of care was breached - a qualified city worker should reasonably have forseen the icy conditions and taken steps to mitigate them
42
Saadati vs Moorhead: Facts
- Mr. Saadati sustained injuries in an auto accident when his vehicle was hit by Mr. Moorhead's vehicle - accident occurred on July 5, 2005   (Mr. Saadati is the plaintiff, Mr. Moorhead is the defendant)
43
Saadati vs Moorhead: Issue
- is Mr. Saadati eligible for non-pecuniary damages for physical and/or mental injury (see also: Trilogy case involving cap on non-pecuniary damages)
44
Saadati vs Moorhead: Ruling 1
    physical injury claim:   - rejected by trial judge mental injury claim:   - evidence from plaintiff's expert psychologist not enough to establish psychological injury   - but testimony of Mr. Saadati's family and friends was sufficient proof of psychological injury   - judge awards $100,000 in non-pecuniary damages
45
 Saadati vs Moorhead: Ruling 2
   - trial judge's decision overturned by BC Court of Appeal - Mr. Saadati had not demonstrated a medically recognized psychiatric or psychological injury
46
 Saadati vs Moorhead: Ruling 3
 Supreme Court of Canada: unanimously reversed the BC Court of Appeal (June 2017) Reason: recovery for mental illness depends on 5 criteria:   [1] duty of care (defendant had a duty to drive safely)   [2] breach of duty of care   [3] legal causal relationship   [4] factual causal relationship   [5] establishment that the mental injury is serious & prolonged, and rises above ordinary anxieties & fears → all criteria were met     (plaintiff does not have to prove a specific recognized mental illness)
47
Concluding Comments
 - the law of negligence must afford equal protections to victims mental and physical injuries - this case will have a significant impact on future cases dealing with compensation for mental injuries
48
Resurfice Corp v Hanke: Facts
- Hanke badly burned in freak Zamboni accident: sued manufacturer - Hanke claimed: (gas, water) tanks looked similar & easily confused (dumb-ass)
49
Resurfice Corp v Hanke: Issues
    ISSUE: what was the cause of injury?   STANDARD CAUSATION TEST: 'but for' rule   ALTERNATE CAUSATION TEST: "material contribution" (use only when the "but for" rule can't establish causation)
50
Resurfice Corp v Hanke: what is the "but for" causation test
"but for" CAUSATION TEST: Would result have occurred BUT FOR act/omission of defendant? if YES: defendant NOT liable if NO: defendant liable
51
Resurfice Corp v Hanke: what is the "material contribution" causation test
- requires that the negligent action MATERIALLY CONTRIBUTED to the risk of harm - less rigorous than the 'but for' test
52
Resurfice Corp v Hanke: Ruling 1 (initial trial)
TRIAL: defendant wins REASONING: apply the "but for" test - would explosion still have occurred BUT FOR making gas/water tanks similar? - YES, so defendant NOT liable
53
 Resurfice Corp v Hanke: Ruling 2 (appeal)
APPEAL: plaintiff (Hanke) wins REASONING: apply "material contribution test" - appeals judge stated trial judge failed (in FC analysis (Foreseeability & Causation). ie Judge was wrong about FC test - appeals judge then applied "material contribution test"
54
Resurfice Corp v Hanke: Ruling 3 (Supreme Court)
Supreme Court: defendant wins REASONING: apply "but for" test NOT "material contribution" test since accident WAS NOT reasonably foreseeable
54
Resurfice Corp v Hanke: 2 requirements before "material contribution" causation test can be applied
REQ 1: the "but for" test CAN'T establish causation REQ 2: accident MUST be reasonably foreseeable
55
Morrow v Zhang (AB 2004): Facts
 - Alberta introduced legislation to address: rising costs, increase in un/under-insured motorists - trial challenged constitutionality of $4K cap on minor and/or soft tissue injuries
56
Morrow v Zhang (AB 2004): Issues
ISSUE 1: cap stigmatizes minor injuries because it treats such victims as malingerers ISSUE 2: cap is discriminatory because it treats minor injuries differently regarding non-pecuniary damages
57
Morrow v Zhang (AB 2004): Rulings 1,2
 RULING 1: cap is discriminatory & struck down RULING 2: appeal reverses original ruling (cap is upheld)   * cap is designed to lower premiums for everyone   * cap does not discriminate against minor injuries (cannot be appealed further)
58
PIPEDA Report of Findings: Facts
 - PIPEDA is Personal Information Protection & Electronic Documents Act - an ON couple complained of increase in property insurance rates because InsR used their credit score
59
PIPEDA Report of Findings: Ruling
PRIVACY COMMISSIONER: use of credit score is acceptable
60
PIPEDA Report of Findings: Ruling - note
   - commissioner notes that the standard insurance form is deficient & misleading - consent must be meaningful (website said credit score MAY be used, but it was ALWAYS used) - insurer should be explicit regarding its intent
61
Aviva v Pastore: Facts
  - victim sustained severe complications from ankle inury in 2002 auto accident - sought catastrophic impairment designation - Aviva rejected cat impairment designation
62
Aviva v Pastore: define 'class 4 cat impairment'
 - marked impairment significantly impeding useful functioning in at least 1 of: (DSCW) - Daily living / Social interaction / Concentration / Work activities
63
Aviva v Pastore: Issue
 - for class 4 designation, is it enough to show marked impairment in just 1 functional category? - for Pastore, this was Daily living
64
Aviva v Pastore: pre-Ruling (DAC, Arbitration)
  DAC:   * concluded there was marked impairment in daily living   * an assessment of class 4 cat impairment was appropriate Arbitration:   * DAC's conclusion affirmed by arbitration delegate (class 4 impairment upheld) Note:   * DAC stands for Designated Assessment Centres   * DACs were used by Ontario auto insurers and claimants   * DACs provided neutral 3rd-party opinions about a claimant's injuries and benefits   * DACs were in effect from 1994-2006
65
Aviva v Pastore: Ruling 1 (Divisional Court)
  Divisional Court:   - judicial review requested by Aviva reversed prior decision   - judge stated that delegate exceeded jurisdiction --> NO cat impairment
66
Aviva v Pastore: Ruling 2 (Appellate Court)
Appellate Court:   - Divisional Court erred in 'standard of review'   - standard should be 'reasonableness' (which delegate applied) --> class 4 cat impairment reinstated
67
Aviva v Pastore: Final words
  - there is currently a big gap in compensation between (non-cat & cat) impairment - there should be a provision for something between minor injury and cat impairment
68
Tomec vs Economical: Facts
   Initial Injury:   * the insured (Tomec) was hit by a vehicle as a pedestrian on Sept 12, 2008   * her injuries were serious but not catastrophic   * she was therefore granted 104 weeks of ACB (Attendant Care Benefits) and HK (House Keeping)   * Economical stopped benefits on Sept 12, 2010 Deteriorating Condition:   * Economical reclassified her as CAT (Catastrophically impaired) in May 2015   * CAT impairment removes the time limit for ACB and HK   * but Economical denied benefits because the 2-year statutory time limit for making a claim had expired   * Economical argued the clock started on Sept 12, 2010 (orignal date of stoppage of benefits)
69
Tomec vs Economical: 'discoverability principle'
 discoverability principle:   * a statutory limitation period can be extended in certain cases   * specifically, where a plaintiff did not have knowledge of and cannot have reasonably discovered an event for Tomec:   * she didn't "discover" her CAT impairment until May 2015 (Economical's official acknowledgment date)   * wasn't possible for her to apply for extended benefits within 2 years of original stoppage on Sept 12, 2010
70
Tomec vs Economical: Issues
 * does the discoverability principle apply so that the statutory time limit can be extended?   (Is Tomec still entitled to extended benefits based on subsequent CAT classification?)
71
Tomec vs Economical: Ruling 1
 * the LAT (License Appeal Tribunal) and the Ontario Divisional Court concluded discoverability does not apply * Tomec did not apply for extended benefits by Sept 12, 2012 * therefore Tomec cannot apply for (or receive) extended benefits
72
Tomec vs Economical: Ruling 2
   Ruling: * Ontario Court of Appeal ruled that discoverability did apply to the limitation period * the orders of LAT and Divisional Court were set aside Reasoning:   * It would be absurd to expect Tomec to apply for extended benefits by Sept 12, 2012 because..     ..Economical didn't even classify her as eligible for extended benefits until May 2015
73
Tomec vs Economical: Concluding Comments
The Court of Appeals further supported their decision because:   * if she had NOT claimed the original benefits then the statutory time limit would have started May 2015 and..     ..she would NOT have been denied extended benefits   * but the catastrophic impairment would be the same in each case so the outcome should be the same
74
purpose of punitive damages (3)
 Deterrence | Denunciation | Retribution
75
which Landmark Legal Cases went to the Supreme Court (6)
  (Zamboni case): Resurface Corp v Hanke   – Somersall v York Whiten v Pilot Amos v ICBC Nichols v American Home Saadati v Moorhead  ← shout-out to ck2202!
76
which Landmark Legal Cases deal with duty to defend (3+1)
  PRIMARY insurer:   - Sansalone v Wawanesa   - Nichols v American Home   - Precision Plating v Axa Pacific Insurance EXCESS insurer:   - Alie v Bertrand Frere construction
77
which 'duty-to-defend' Landmark Legal Case went to the Supreme Court
 Nichols v American Home
78
which Landmark Legal Cases have catastrophic injury as the main issue (2)
 Aviva v Pastore Kusnierz v Economical
79
does insurer have a duty-to-defend when act is beyond scope of policy?
 NO: see (Sansalone v Wawanesa), (Nichols v American Home), (Precision Plating v Axa Pacific Insurance)