B.4 GD11 - Civil Liability
19 The definition of "Civil Liability" is defined in GD11 as follows:
"Civil Liability" shall mean:
(a) a legally enforceable obligation to a third party for compensation, damages, legal costs or a Restitutionary Order in accordance with an award of a court or tribunal by whose jurisdiction the Assured is bound;
(b) a legally enforceable obligation to a third party for compensation, damages, legal costs or a Restitutionary Order acknowledged (subject always to the provisions of General Condition 2, Notification of Losses or Third Party Claims and General Condition 7, Defence and Defence Costs, clause (c) 2)) by an agreement made between the Assured and a third party in settlement of a Claim;
(c) any liability pursuant to any award, directive, order or similar act of a Authority or self regulating organisation, the result of which is binding upon the Assured;
(d) any liability pursuant to arbitration or other alternative dispute resolution process the result of which is binding upon the Assured;
(e) liability under Section 95 (1) of the Cheques and Payments Orders Act in Australia or similar legislation elsewhere for conversion;
(f) any liability to retail clients due to breaches of obligations under Chapter 7 of the Corporations Act 2001 (Cth) but only as required to be covered under ASIC Regulatory Guide 126;
(g) any liability to consumers due to breaches of obligations under the National Consumer Protection Act 2009 (Cth) but only as required to be covered under ASIC Regulatory Guide 210…
(underlining added)
20 The argument is a relatively narrow one.
21 As is evident from the underlined text of GD11(b), the engagement of a Civil Liability involves identifying the presence of a number of matters: first, there must be a legally enforceable obligation to a third party; secondly, this legally enforceable obligation must be "acknowledged" by an agreement between the insured and the third party; thirdly, it must be in settlement of a Claim; and fourthly, it must be for compensation, damages or legal costs to the third party. I will return to the words in brackets below.
22 Save for an argument as to the meaning to be given to the word "acknowledged", the literal terms of the text do not require proof of an underlying legally enforceable obligation to a third party independently of an agreement with the third party in settlement of the Claim. But the words "acknowledged by… an agreement" are said by the reinsurers to demonstrate that the relevant Civil Liability cannot be created by a settlement agreement. In effect, the acknowledgment to which the clause makes reference is said to be an acknowledgment of a liability existing separately from, and anterior to, the agreement referred to in the clause.
23 This argument is unpersuasive. The agreement referred to in the clause is an agreement of a particular character; it is an agreement "in settlement of a Claim". This immediately directs attention to the definition of a Claim. Importantly, this term is defined (in GD12(a)) as meaning any:
(a) demand, suit or proceeding, including any civil proceeding, third party proceeding, counterclaim, arbitration or alternative dispute resolution process, regulatory or administrative proceeding (and any appeal therefrom) brought by any party against the Assured either for or which could reasonably result in the payment of compensation, damages, or a Restitutionary Order; or
(b) hearing, examination, investigation or inquiry into the affairs of the Assured.
(emphasis added)
24 Given a Claim encompasses a demand which could reasonably result in the payment of compensation, then GD11(b) contemplates the settlement of such a demand (that is, one that could reasonably result in such a consequence but for the settlement). This is hardly intuitively surprising. GD11(b) operates congruently with GD11(a). GD11(a) deals with a "legally enforceable obligation to a third party for compensation, damages, legal costs or a Restitutionary Order" arising upon a binding "award of a court or tribunal"; GD11(b) deals with the situation where it is perceived to be appropriate to resolve the third party demand prior to a court or tribunal determining the question of underlying liability (and hence replacing the prior liability with a judgment or an award). GD11(b) is an alternative to the scenario provided for in GD11(a); a demand by a third party of a particular type (that is, one which could have a particular result) is replaced by a new set of rights and obligations in the agreement between the insured and the third party who was (until the time of the agreement) asserting a reasonable but as yet undetermined demand.
25 There is nothing about this construction which jars with the clause or the balance of the Policy read as a whole; indeed the contrary is the case. Like GD11(b), GD11(a), GD11(c) and GD11(d) all provide for a Civil Liability coming into existence upon the happening of an identified event: a settlement, a binding award of judgment, a directive or order made by a relevant Authority, or a binding arbitration or ADR process. In each case there is first a Claim (of a particular character as defined); and secondly, the happening of an event which changes the rights of the insured and the third party which gives rise to a liability.
26 As to the word "acknowledge", as used in the phrase "legally enforceable obligation … acknowledged… by an agreement made between the Assured and a third party in settlement of a Claim", I do not consider that its use undermines NAB's argument as to the proper construction of GD11(b). In Re Cotton Crops Pty Ltd [1986] 2 Qd R 328, Ambrose J had cause (at 338) "to look at some of the meanings attributed to the words 'acknowledge' and 'acknowledgement' in a number of dictionaries". His Honour conveniently noted:
In the Oxford English Dictionary the verb "acknowledge" is defined to mean inter alia, "to own as genuine, or of legal force or validity; to own, avow or assent in legal form, [to a document] so as to give it validity". The noun "acknowledgement" is defined in the same dictionary to mean inter alia, "a formal declaration or avowal of an act or document so as to give it legal validity".
In Webster's Third New International Dictionary, "to acknowledge" is defined to mean inter alia, "to show by word or act that one has knowledge of and regard for" and "to recognize as genuine assent to so as to give validity, avow or admit in legal form". In the same dictionary acknowledgement is defined to mean inter alia, "a declaration or avowal of ones act or a fact to give it legal validity: a declaration before a duly qualified public officer by one who has executed an instrument that the execution was his free act and deed".
27 To this can be added the Macquarie Dictionary, which defines the verb as relevantly including: "to admit to be real or true; recognise the existence, truth, or fact of" and "to own as binding or of legal force". Read in the present context, it seems to me tolerably clear that the "legally enforceable obligation … acknowledged… by an agreement" is a reference to an obligation, the assent to which has arisen upon entry into, and been given legal force in, an agreement. This acknowledgment by entry into the agreement replaced what (to that point) had been an undetermined demand made by a third party.
28 Remaining with the text, I do not consider the words in brackets ("subject always to the provisions of General Condition 2, Notification of Losses or Third Party Claims and General Condition 7, Defence and Defence Costs, clause (c) 2)") change this conclusion although described as a "threshold issue" by the reinsurers. The words in brackets need to be considered, of course, in the context of construing the provision as a whole, and I have done so, notwithstanding that it is convenient to deal with them separately below.
29 Contextually, NAB's construction is supported by other provisions. GD40(B)(a)(i) provides that Loss expressly includes "damages, judgements and settlements" (emphasis added), a provision consistent with the notion of a dichotomy between Claims which proceed to determination and those settled absent determination (as recognised in GD11(a) and GD11(b) referred to above).
30 In summary, it seems to me that NAB's construction is consistent with the text of GD11(b) when read together with GD11(a) (and GD11(c) and (d)); moreover, it is harmonious with the definition of Loss (in its reference to settlements) and is not inconsistent with the terms of General Condition 7(c)(2) and General Condition 2(d).
31 On the other hand, the reinsurers' construction seems to me to place an acontextual meaning of the word "acknowledge" and exhibits some tension with the foundational notion that this is a policy of indemnity for liability actually incurred by the insured. If the Civil Liability has as its focus the antecedent legal liability to the third party claimant, the quantum of this liability would, very often, differ from the compromise amount payable under the settlement agreement. Operating in the context of a settlement, the liability to be indemnified is that which arises upon entry into the settlement as explained above. On the NAB's construction, the Loss suffered is co-extensive with, and arises by reason of, its Civil Liability. On the reinsurers' construction of GD11(b) there is an apparent disconnect between the circumstance which constitutes or gives rise to Civil Liability and the event giving rise to the Loss (that is, entry into the settlement agreement).
32 Additionally, on the reinsurers' construction, even when the Claim has resolved by settlement, the insured remains obliged to prove the anterior legal liability to obtain indemnity under GD11(b) without, of course, the benefit of a determination to that effect. In other words, it requires the insured to undertake the very exercise which a resolution by compromise is entered to avoid.
33 The NAB's construction is to be preferred.