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Temple v QBE

In the absence of clear terms in an underwriting agency agreement, the agent was not entitled to handle run-off claims after termination.

Temple Legal Protection Limited v QBE Insurance (Europe) Limited

  • [2008] EWHC 843 (COMM)

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Facts

Temple entered into an underwriting agency agreement (or binder) with QBE which came into effect on 1st January 2006. This authorised Temple to write "after the event" legal expenses insurance on QBE's behalf and to delegate authority to "coverholders" to issue policies, receive and hold premium and claims monies, settle claims and market the policies.

The coverholders were mostly firms of solicitors whose clients required ATE cover. On occasion, Temple issued policies directly to claimants.

The relationship between Temple and QBE deteriorated. On 11th August 2006, Temple gave the required 240 days' notice to terminate the binder, which would have expired in April 2007. But on 1st October, it ceased writing new business for QBE altogether because it had entered into an agreement with another insurer.

QBE claimed the binder was terminated with immediate effect (or at the latest within 60 days) because of Temple's repudiatory breach in contracting with another insurer. 

On 4th January 2007, it wrote to Temple stating that it would assume all claims handling functions including the conduct of run-off claims (claims arising out of business written during the currency of the binder). Temple, however, maintained it was entitled to carry on dealing with the run-off.

Binder terms

The termination provisions under the binder included either party giving not less than 240 days' notice. The binder would also terminate automatically if Temple went into liquidation or ceased to be authorised by the FSA.

Under section 9.4, QBE was entitled to cancel the binder at any time with immediate effect if Temple was in material breach and had not remedied the situation within 60 days of QBE's notice. Other triggers for immediate termination included a Temple director or employee being charged or convicted of dishonesty or fraud, a change of control, or Temple entering into an underwriting agreement with another insurer.

Section 9 also set out which provisions of the binder survived termination. These included Temple's obligation to hold premium and claims monies in a trust account and the provisions regarding bordereau accounts and settlements.

Section 10 dealt with the effects of termination. Temple's authority to offer or renew insurance would cease immediately, but it could still cancel, extend, amend or alter existing policies.

Under section 10.2.2, "unless otherwise agreed in writing by QBE" Temple remained liable to perform its obligations in respect of all existing policies until they expired, "PROVIDED that if Termination occurs pursuant to [withdrawal of FSA authorisation] Temple has no liability to perform such obligations".

There were no other provisions that specifically addressed the issue of run-off.

The issues

QBE argued that Temple was not entitled to carry on the run-off after termination. There was no clear provision in the binder entitling it to do so. In the absence of a specific provision to the contrary, a principal who loses trust and confidence in his agent is entitled to bring the agency relationship to an end.

Temple maintained that, on its true construction, the binder envisaged Temple handling the run-off. The only exception to this was if Temple's FSA authority had been withdrawn. There was a complicated network of contractual relationships between Temple, QBE, coverholders and insureds. Allowing QBE to step in and take over the run-off would put Temple in breach of contractual obligations owed to numerous third parties.

The dispute went to arbitration. The arbitrator held that QBE was free to terminate Temple's authority to conduct the run-off by unilateral notice and had done so in its letter of 4th January 2007. Temple appealed on the grounds that the arbitrator's decision erred in law.

The judgment

The judge agreed with the arbitrator that Temple was not entitled to deal with run-off claims following termination.

It is normal practice in the insurance market for the agent to manage run-off business. And in this case, neither the binder nor the other contractual documents provided a clear answer to the question.

But if Temple's interpretation of the binder were correct, QBE would not be able to remove Temple as run-off agent, even if it had legitimate concerns about Temple's honesty or competence. The judge thought that would be a surprising result.

Section 10.2.2 dealt with the situation where Temple did not wish to act by stating that, unless QBE agreed otherwise, Temple remained liable to do so, unless its FSA authorisation had been withdrawn. The clause was drafted in terms of an obligation to continue to act, not an entitlement.

The binder also specified those clauses that would survive termination. These did not include Temple's obligation to use care, skill and diligence, nor the provisions for reporting and settling claims. If it had been intended that Temple would conduct the run-off after termination, it would have been important for these duties to continue.

As for Temple's obligations to third parties, the judge was satisfied that these existed only for so long as Temple had authority to manage the run-off.

Taking into account the binder terms, the "factual matrix" behind it, the commercial context and the general law of agency, the judge concluded there was not enough to establish Temple's entitlement to conduct the run-off.

Commentary

The decision emphasises the need to address in the underwriting agency agreement what will happen in the event of termination - taking into account the different circumstances in which termination might arise.

Clause 10.2.2 in this binder covered the situation where Temple no longer wished to conduct the run-off but did not contemplate the possibility that QBE might wish to remove Temple unilaterally.  

An insurer may be happy for the agent to continue managing the run-off after termination in some circumstances but not in others. A significant factor in the judge's decision appears to have been that, if Temple were right about its entitlement, QBE would not be able to remove Temple for any reason at all.

© Pinsent Masons LLP

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