A Study on the application of duty of fair presentation under Insurance Act 2015: focused on the UK High Court Case (Berkshire Assets Ltd. v AXA Insurance UK [2021] EWHC 2689)

Oh Jung Kwon
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Abstract

As one of the important legal principles in the insurance act, the voluntary duty of disclosure under Marine Insurance Act 1906 has been replaced by the duty of fair presentation under Insurance Act 2015. In the recent case of Berkshire Assets Ltd. v AXA Insurance UK, the issues of materiality and inducement have been addressed as important points of the duty of fair presentation under Insurance Act 2015 for the first time. The insurer has denied the claim payment for the loss of flooding damage to the subject matter insured, alleging that there was a breach of duty of fair presentation by the insured. In the case, a director of the insured had been criminally charged by Malaysian attorney general. But the charge was not related to the insurance contract and later discharged by agreement. However, the court decided that the criminal charge on the director was a material circumstance that needed to be disclosed to the insurer before the conclusion of the contract. The court accepted the insurer’s argument that they would not have agreed to the contact if they had known about the criminal charge and treated the contract as if it had never been made. This case confirms that the laws regarding materiality before the Insurance Act 2015 are still applicable, despite the general expectation that the reformed act of 2015 would provide more favorable for the insured. The insured should be reminded that criminal charges are often considered material to a risk and that they are expected to know what should reasonably have been revealed by a reasonable search of information available to them. The decision also highlights the importance of having underwriting procedures in place to support any decision and will be persuasive in the court’s consideration of inducement. In the future, some points of reform in the UK statutory, such as duty to take reasonable care not to make misrepresentation, fall-back disclosure rule, and the proportionate payment reduction, may have meaningful implication to a Korean legislative principle on the duty of disclosure.
2015年《保险法》下公允列报义务的适用研究:以英国高等法院案件(Berkshire Assets Ltd. v AXA Insurance UK [2021] EWHC 2689)为例
作为保险法中重要的法律原则之一,《1906年海上保险法》中的自愿披露义务已经被《2015年保险法》中的公平呈报义务所取代。在最近的Berkshire Assets Ltd.诉AXA Insurance UK一案中,根据《2015年保险法》,重要性和引诱性问题首次被作为公平列报义务的重要要点予以解决。保险公司以被保险人违反公平提示义务为由,拒绝了保险标的洪水损失的赔偿要求。在这起案件中,被保险人的一名董事被马来西亚司法部长刑事起诉。但该费用与保险合同无关,后经协议解除。然而,法院认为,对董事的刑事指控是一个需要在合同签订前向保险人披露的重大情况。法院接受了保险公司的论点,即如果他们知道刑事指控并将合同视为从未签订过,他们就不会同意这种联系。这个案例证实了2015年《保险法》之前关于重要性的法律仍然适用,尽管人们普遍期望2015年改革后的法案将为被保险人提供更有利的条件。应提醒被保险人,刑事指控通常被认为是重大的风险,他们应该知道,通过合理地搜索他们可以获得的信息,他们应该知道什么是合理的。该判决还强调了制定承保程序以支持任何决定的重要性,并将在法院考虑诱导时具有说服力。在未来,英国法律改革的一些要点,如合理注意不作虚假陈述的义务、退步披露规则、按比例减少支付等,可能对韩国关于披露义务的立法原则有意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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