HEADNOTE
[This headnote is not to be read as part of the judgment]
The appellants are members or self-managed superannuation funds of four family groups who received financial planning advice from Moylan Retirement Solutions Pty Ltd (MRS) and its principal, Mr Christopher Moylan. Acting on Mr Moylan's advice, between 2006 and 2009 they made various investments in projects or entities in which Mr Moylan had financial interests by making unsecured loans to Moylan Investments Group Pty Ltd (MIG), a company of which Mr Moylan was the sole director and shareholder. Additionally, moneys of some of the appellants were misapplied and treated by MRS as funds available to MIG instead of being used as instructed, to purchase shares or to make deposits with Macquarie Bank. No payments of interest, repayments of principal, dividends or distributions were received in respect of any of these investments after late 2009, and MIG was wound up in September 2010.
MRS was deregistered in August 2014. Under Corporations Act 2001 (Cth), s 601AG, the appellants sued MRS' professional indemnity insurers directly to recover the indemnity payable in respect of MRS' liability to them for negligent financial advice, misleading and deceptive conduct and breach of fiduciary duties. The appellants alleged that MRS was indemnified against those liabilities under one or the other of two insurance policies, one current from 5 February 2012 to 5 February 2013 (the 2012/2013 policy) and the other for the following period to 5 February 2014 (the 2013/2014 policy). In January 2013, whilst seeking to renew the 2012/2013 policy, MRS had purported to notify the insurers that a "small number of clients" had made property investments that "have to date been unable to repay those funds in total" and that there was "a chance of a claim ... in relation to any loss that may be incurred".
The primary judge held that the 2012/2013 policy did not respond because no "claim" had been made against MRS before May 2013, and MRS' purported notification in January 2013 of facts that "might give rise to a claim" did not engage Insurance Contracts Act 1984 (Cth), s 40(3) because the notification was not of "facts" but of "bare possibilities" which did not point towards any particular claim. His Honour also held that MRS had made fraudulent misrepresentations and non-disclosures when seeking the renewal in January 2013, entitling the insurers to avoid the 2013/2014 policy, and separately that the insurers were entitled to reduce their liability under that policy to nil because of other non-disclosures by MRS. Finally, he held that four exclusions applied to exclude cover under the 2013/2014 policy for some or all of MRS' liability to the appellant plaintiffs. The appellants appealed.
The issues in the appeal (including those raised by the respondent insurers' notice of contention) were:
(i) Whether the primary judge erred in not finding that the January 2013 notification was of "facts that might give rise to a claim", with the result that the 2012/2013 policy responded to the claims made by the appellants outside the policy period;
(ii) If so, whether MRS had breached its duty of disclosure under Insurance Contracts Act, s 21 in relation to the 2012/2013 policy, entitling the insurers to reduce their liability under that policy to nil under s 28(3);
(iii) If not, whether the primary judge erred in finding that there had been fraudulent misrepresentations and non-disclosures by MRS entitling the insurers to avoid the 2013/2014 policy under s 28(2), or alternatively innocent non-disclosures entitling them to reduce their liability under that policy to nil;
(iv) Whether one or more of the four exclusions relied on by the insurers applied to exclude cover under the policies for some or all of MRS' liability to the appellants (three of the four are relied on in relation to the 2012/2013 policy); and
(v) Whether the primary judge erred in ordering that the appellant plaintiffs be jointly and severally liable for the respondent insurers' costs of all of the three proceedings brought by the appellants.
Held, dismissing the appeal (Meagher JA, Bathurst CJ and Bell P agreeing):
As to issue (i):
- The question whether a fact or facts "might give rise to a claim" requires an objective assessment of the likelihood or possibility of a claim or claims. It will be sufficient to engage Insurance Contracts Act, s 40(3) that the notified facts are reasonably to be regarded as giving rise to a realistic possibility of a claim or claims, whether or not the likely claimants or the quantum of such claims are known and notwithstanding that those claims may have modest or limited prospects of success. Accordingly, the notification may be of a "problem" or an event which, in common experience, is followed by the making of claims: at [1] (Bathurst CJ), [2] (Bell P), [31]-[35] (Meagher JA).
HLB Kidsons v Lloyds Underwriters [2008] EWCA Civ 1206; [2009] Lloyd's Rep IR 178 , considered. DIF III - Global Co-Investment Fund LP v DIF Capital Partners Ltd [2020] NSWCA 124; CGU Insurance Ltd v Porthouse (2008) 235 CLR 103, cited.
- The facts notified by MRS in January 2013 did not give rise to a realistic possibility of a claim. Properly understood the notification was that should any investors suffer a loss of their invested funds, there was a "chance" that they may make a claim against MRS. The notification did not include any facts which made loss more than a potential possibility: at [1] (Bathurst CJ), [2] (Bell P), [37], [43] (Meagher JA)
As to issue (ii):
- The affidavit and oral evidence of the senior underwriter who made the decision to renew the policy for the 2012/2013 period was that had MRS disclosed that it had misapplied $790,000 of its clients moneys and treated those funds as available to MIG, he would have declined to issue the policy "on that basis alone". MRS' failure to disclose its misapplication of client moneys (being a matter required to be disclosed by Insurance Contracts Act, s 21) accordingly entitled the insurers to reduce their liability under the 2012/2013 policy to nil pursuant to s 28(3): at [1] (Bathurst CJ), [2] (Bell P), [57], [59] (Meagher JA).
As to issue (iii):
- The January 2013 notification was proffered as part of the information relevant to the renewal of the policy for the 2013/2014 period. The misrepresentations allegedly made by that notification were properly pleaded, and there was no challenge to the findings which falsified them. The statements relied on as conveying misrepresentations were not in terms statements of opinion, and there was no separate challenge to the primary judge's finding that Mr Moylan had known them to be false when made. The insurers were accordingly entitled to avoid the 2013/2014 policy for fraudulent misrepresentation: at [1] (Bathurst CJ), [2] (Bell P), [70], [73]-[81] (Meagher JA).
- For the reasons given in relation to issue (ii), the underwriters were entitled to reduce their liability under the 2013/2014 policy to nil by reason of MRS' non-disclosure of its misapplication of client funds: at [1] (Bathurst CJ), [2] (Bell P), [82] (Meagher JA).
As to issue (iv):
- It was not necessary to consider the operation of the exclusions in either policy: at [1] (Bathurst CJ), [2] (Bell P), [60], [83] (Meagher JA).
As to issue (v):