Part A: Cases Flashcards

1
Q

Glynn v. Scottish Union & National Insurance Co. LTD

Describe the issues of the case:

A

Joel Glynn and his wife were injured in a car accident as a result of negligence by Sutherland, the driver of the other car. Glynn got a settlement from Sutherland. Glynn then managed to get his insurer to pay for the medical expenses.
The insurer (Scottish Union) appealed this because Glynn double recovered.
The insurer believes that the contract was one of indemnity and that the insured should not benefit from the accident.

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2
Q

Define Indemnity Contract:

A

where amount receivable is measured by extent of pecuniary loss.

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3
Q

Is Life Insurance and Indemnity contract?

A

No, since any amount of money does not replace a person dying

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4
Q

Glynn v. Scottish Union & National Insurance Co. LTD

What was the verdict of the case? What are the implications?

A

Identified as an indemnity contract and subrogation allowed. The insurer wins the case.
The paper states that each contract needs to evaluated on a case by case basis to determine whether it is a contract of indemnity. If so, no double recovery allowed.

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5
Q

Regal Films Corporation LTD v. Glens Falls Insurance Co.

Describe the issues of the case:

A

The insurer issued a policy protecting against fire, lightning, wind, tornado, theft, hail, etc.
The policy was titled ‘inland marine policy’
Plaintiff made a fire claim, providing proof of loss after 60 days, but as soon as practicable.
Part IV of the Insurance Act (applicable to fire loss) states proof must be provided whenever practicable, however inland marine policies require proof to be filed within 60 days.

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6
Q

Regal Films Corporation LTD v. Glens Falls Insurance Co.

Describe the outcome of the case:

A

The policy does come under Part IV provisions, and the plaintiff is entitled to receive all payments for their loss and costs.

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7
Q

Fletcher v. Manitoba Public Insurance Corp.

Describe the issues of the case:

A

Both people involved suffered severe injuries in a car accident. However, the person responsible had inadequate insurance and could only cover 500,000/1.4million in damages
Fletcher purchased his insurance thinking he had the maximum amount of coverage, when in fact he did not have ‘underinsured motors coverage’

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8
Q

Fletcher v. Manitoba Public Insurance Corp.

Describe the verdict of the case:

A

Plaintiff awarded the damages as the defendant (MPI) was found negligent

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9
Q

Fletcher v. Manitoba Public Insurance Corp.

Why was the appeal dismissed?

A
  1. Reliance: duty of care for the agent to explain all available coverages
  2. Reasonableness of Reliance: plaintiff relied on the info provided by the agent
  3. Knowledge of reliance: MPI should have known that the victim would rely on their info
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10
Q

Fletcher v. Manitoba Public Insurance Corp.

Describe why government insurance agents have more/less duty to advise than private company.

A

Less Duty

Employees not specialists in risk advice (salespeople)
Employees don’t have to be licensed as agents
Private company agents provide info AND advice, public just provides info

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11
Q

Broadhurst & Ball v. American Home Assurance Co.

Describe the issues of the case:

A

The respondents (B&B) had a primary liability policy with American Home for $500,000 and an excess liability policy with Guardian for 9.5Million. They were sued for 20Million.
3 issues:
1. Coverage issue
2. Obligation to defend issue
3. Allocation of defence costs issue
Guardian denied duty to defend because they accused B&B of knowing about the lawsuit when they signed up for excess coverage

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12
Q

Broadhurst & Ball v. American Home Assurance Co.

Describe the outcome of the case:

A

Guardian couldn’t come up with any evidence to prove the respondents had known of the claims beforehand, therefore Guardian responsible for their excess coverage.
Allocation of defence costs issue: American Home and Guardian equally share defense costs since it is both their duty to defend. (it is normal for primary insurer to cover defines costs until the policy limit is exhausted, and then the excess insurer takes over)

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13
Q

Dillon v. Guardian Insurance Co.

Describe the issues of the case:

A

Dillon hit a 5 year old with his car and was sued for 100,000. He had a policy limit of 50,000 with Guardian.
A settlement offer was made just before trial at 45 thousand, however council decided not to settle for anything more than 40,000.
Trial resulted in Dillon owing 80,000. Should Dillon be responsible in paying the 30,000 out of his own pocket that is in excess of his coverage?

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14
Q

Describe the case of Economical vs. BC’s Privacy commissioner

A

In 2011 delegate ruled that economical had not adequately informed one policyholder that their credit information could be collected for the purpose of underwriting or assessing future risk of loss
The customer has signed a release in 2003 allowing the collection of credit information however this was so long ago credit information implied different thing
Economical ordered to provide all current policyholders with adequate notice and review the consents it had obtained since the privacy law came into effect in 2004
This was overturned

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15
Q

Describe issues and outcome of Whiten vs. Pilot case

A

House fire, insured denied coverage on grounds that family had set fire. This allegation was discredited at trial
Issue of punitive damages for insurer not acting in good faith. Awarded 1 million punitive

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16
Q

Describe issues of Sansalone vs. Wawanesa

A

A bus driver was sued for damages alleged to result from sexual acts
Wawanesa denied coverage based on exclusion ‘bodily injury caused intentionally’
Does Wawanesa have duty to defend?

17
Q

Describe outcome of Sansalone vs. Wawanesa

A

Initial trial said yes to duty to defend because bus driver might have been mistaken that victim connected
On appeal, ruled Wawanesa has no duty to defend

18
Q

Nichols vs. American Home Assurance company. Describe:

A

Nichols being sued because of allegations that he defrauded clients
AHA said they don’t have duty to defend since fraud is excluded from policy
Supreme court ruled (on an appeal) with insurer saying since fraud not covered, the company should not be required to defend action that would result in a claim not covered by the policy

19
Q

Amos v. Insurance Corporation of BC details

A

Mr Amos shot and seriously injured when a gang surrounded his car while he was driving in California
Policy wording… entitled to benefits “that arises out of ownership, use or operation of a vehicle”
Supreme court rules in favour of AMOS
Decision not binding where phrase ‘caused by’ is used (Ontario)

20
Q

What two test can be used to determine coverage in Amos vs. BC case? Result?

A

Purpose Test: Did accident result from ordinary use of vehicle
Causal Test: Is there a causal relationship between use of vehicles and the injuries
Yes to both, shooting was a direct result of the failure of attackers to gain entry

21
Q

Details of KP Pacific Holdings vs. Guardian Details

A

Insurer refused to pay claim because filed more than 1 year after it occurred
Insured believed if fell under multi-risk policy rules, insurer argued it should fall under Part 5 (Fire insurance)
Insured wins because nowhere in Part 5 does it mention multi-use policy being applicable

22
Q

Aviva Canada vs. Pastor details

A

Claimant sustained injuries in a motor vehicle accident that were deemed catastrophic impairment.
There are 4 categories of functional limitation and the question arose if all 4 need to be satisfied for catastrophic classification. Paster satisfied only 1
Yes, only 1 needed

23
Q

What are 4 categories for functional limitation?

A
  1. limitations in activities of daily living
  2. social functioning
  3. concentration persistance and pace
  4. deterioration in work environments
24
Q

Somersall vs Friedman

Issues of the case

A

Somersalls and Friedman entered into a limits agreement where Somersall promised not to pursue Friedman personally for damages caused that exceeded his liability limits
Somersalls tried to collect the excess from their insurer, Scottish and York.
Scottish and York tried to collect from Friedman violating the agreed upon arrangement
Scottish and York allege that Somersalls breached their obligation under SEF44
Does the limits agreement prevent the insurer from subrogating

25
Q

Result of case Somersall vs Scottish and York. Implications

A

The insurer could not use the limits agreement as a reason not to pay
The insurer has to fully indemnify Somersall before they try and fulfill their right if subrogation
IBC changed the SEF44 wording to remove ambiguity of the point in time at which the insurer is legally entitled to recover

26
Q

Alie vs Bertrand and Frere construction

Describe the case including outcome

A

Alie and 137 other homeowners sued for damages to the foundation of their home from defective concrete.
Insurer of construction company and product supplier denied coverage
Judge found both insurers liable and both primary and excess insurers have a duty to defend.
On appeal ruled this again saying all if the insurers that provided coverage between 86&92 were liable

27
Q

British Columbia vs imperial tobacco Canada limited

Describe

A

The tobacco damages and health care costs recovery act authorizes action by the government of BC against a manufacturer of tobacco products for the recovery of health care expenses incurred by the government in treating individuals exposed to those products
Liability hinges in manufacturers breach of duty

28
Q

BC vs imperial tobacco conclusion

A

The act is constitutionally valid

29
Q

Resurface vs. Hanke

What is the appropriate test for causation

A

The but for test. The accident would not have occurred but for the defendants negligence
Material contribution test only supposed to be used in exceptional cases

30
Q

Morrow vs Zang

Describe

A

Morrow and Pederson were injured in two separate accidents. Both still suffering from pain years after the accident
Trial judge agreed that if not for the cap the respondents would be entitled to more. Said the cap is discriminatory.
Appeal judge disagreed. Need to look at legislation as a whole not in parts. Cap upheld

31
Q

When is the use of credit score appropriate under PIPEDA?

A

The consent which is used to collect use and disclose credit information will be scrutinized to ensure that it is meaningful consent that conveys in an open and transparent manner the intended collection and use of the credit information

32
Q

Identify two Canadian cases related to an insurer’s duty to defend and describe the court’s decision in each case.

A
  1. Sansalone vs Wawanesa
  2. Nichols vs American Home
  3. Broadburst & Ball v American Home
  4. Alie vs. Bertrand