Does Contract 20555 contain an express, or any, promise by the Trustee to pay premiums?
- The recitals to Contract 20555 provided:
"A On 1 September 1996, [the Insurer] and [the Former Trustee] …, as policy owner, agreed to a contract which set out a number of policies of life insurance (Contract). The Contract was amended by [the Insurer] and [the Former Trustee] from time to time including removing and adding policies of life insurance to the Contract.
B On 15 May 2020, there was a successor fund transfer of members and assets supporting their benefits (including the Contract) by [the Former Trustee] to the Trustee as trustee of the [Fund] … .
C On 15 May 2020, [the Former Trustee] and the parties entered into a deed for the redemption and termination of certain investment-linked life policies and the assignment of certain other investment-linked life policies and risk life policies including the policies set out in the Contract (Separation Deed).
D Under clause 4.5(a) of the Separation Deed, the parties agreed to prepare a document that accurately reflected the terms of the Contract immediately before [15 May 2020], and was then revised to reflect certain amendments contemplated by the Separation Deed.
E Under clause 4.5(b) of the Separation Deed, the parties agreed to adopt the document described in recital D as the authoritative agreed terms of the Contract as prepared and amended in accordance with clause 4.5(a) of the Separation Deed." (Emphasis in original.)
- It is common ground that recitals D and E accurately reflect the provisions in cll 4.5(a) and (b) of the Separation Deed.
- Clause 4.3 of the Separation Deed provided:
"[The Trustee] and [the Insurer] agree that with effect from [15 May 2020] the [Contracts] [13] that contain the [relevant policies] are amended as set out in … paragraph numbered 5 (Risk cover) of Schedule 5."
- Paragraph 5 of Sch 5, referred to in cl 4.3, provided:
"Wherever [a relevant policy] provides risk cover, provisions to the following effect are inserted into [those policies] … :
a. premiums for risk cover will be payable by [the Trustee] (with the remedy for non-payment being limited to the lapsing of cover under paragraph b below);
b. risk cover relating to a member will lapse if the premium for cover remains unpaid for the applicable period … after becoming due and payable …"
- Clauses 3.8 and 3.9 were inserted in Contract 20555 to give effect to the amendments foreshadowed in the Separation Deed and, in particular, the amendment to reflect par 5 of Sch 5:
"3.8 Lapse
If a premium due in respect of a Member is not paid within one month of its due date the Insurance Benefits in respect of that Member will lapse.
3.9 Insurance Premium
The premiums and applicable government stamp duty and other charges in respect of this Policy, are calculated and payable as advised to the Trustee by [the Insurer] from time to time and at the frequency advised to the Trustee by [the Insurer].
The premiums in respect of a Member's Cover is to be paid monthly in advance."
- The Insurer's case, based as it is on the negative covenant in the Implied Term, assumes the existence of an "express promise" on the part of the Trustee to pay Members' premiums to the Insurer on their due date.
- But there is no such express promise, as Mr Rich accepted in this exchange:
"[HIS HONOUR]: There's no express term that gets you there because even if I read cl 5 of Sch 5 [of the Separation Deed] into [cll] 3.8 and 3.9 [of Contract 20555], that doesn't give you a right to sue, does it?
[MR RICH]: No."
- Nor can I see any such promise implicit in the words of cll 3.8 or 3.9.
- As was put on behalf of the Trustee:
"i. clause 3.9 provides that [the Insurer] may determine the premium and advise the Trustee but does not require the Trustee to pay it;
ii. clause 3.9 provides that the premium in respect of a Member's Cover 'is to be paid monthly in advance', but this is agreement on the timing of payment rather than a positive obligation on the Trustee to pay even if, for example, the Member no longer wants life insurance from [the Insurer];
iii. on the contrary, clause 3.8 expressly contemplates the possibility that the Trustee will not pay a premium, in which case Insurance Benefits from [the Insurer] will lapse;
iv. the language of clauses 3.8 and 3.9 ('due', 'payable', 'is to be paid') is not to be construed as an absolute legal obligation irrespective of a Member's desire to cancel the insurance;
v. clause 5 of Schedule 5 of the Separation Deed … takes [the Insurer's] argument no further, the 'premiums' referred to are only such premiums which are due under Contract 20555 (the real purpose of clause 5(a) is to make it clear that after [the Insurer] leaves the AMP Group, [the Insurer] will look to the Trustee for payment of premiums rather than members, just as the Trustee will henceforth make the claims (5(c)), receive the benefits (5(d)), receive notifications from [the Insurer] (5(f)), etc);
vi. apart from lapsation [sic] the Contract includes no sanction for non-payment of premium, either for the Trustee or for the Member;
vii. in this last respect, Contract 20555 has faithfully captured the parties' agreed principle in Items 5(a) and 5(b) of Schedule 5 of the Separation Deed, namely that there be no sanction for non-payment of premium (other than lapse of the relevant Insurance Benefits)."
- I agree.
- In my opinion, there is no promise, express or implied, in Contract 20555 by the Trustee to pay premiums.
- That is consistent with the nature of life insurance.
- A life insured is always entitled to terminate cover, whether under the terms of the policy or at common law. [14]
- Indeed, the Insurer led evidence to this effect.
- Thus, Ms Megan Beer, the Chief Executive Officer of the Insurer, deposed:
"Generally, life risk insurance products are issued on a guaranteed renewable basis and are expected to be long-term in nature, to protect customers against changing health conditions, in circumstances where a customer may not be able to obtain replacement insurance with equivalent benefits or may only be able to do so at significantly increased cost. All in-force life insurance contracts must be administered in accordance with the original contract terms and may continue for extended periods of time, until its natural expiry or the customer decides to cancel. In this respect, life insurance products are different to general insurance products, which generally provide cover for a set, relatively short period and the contract of insurance is renewed on new terms and conditions at the conclusion of each period (such as each year)." (Emphasis added.)
- The only reference to cancellation in Contract 20555 is in cl 3.7 which provided, relevantly:
"In respect of each Member, each Insurance Benefit starts at the Plan Starting Date and ceases on the earlier of:
…
(g) the cancellation of the Insurance Benefit;
(h) the lapse of the Insurance Benefit (see clause 3.8);
…"
- Whether or not that clause should be construed as conferring on a Member a right to cancel the policy, a life insured can always decide to cease paying the premium of a life policy, for example as they age and premiums increase, and bring about the same result as far as he or she is concerned.
- As cl 3.8 of the Contract makes clear, if a premium is not paid timeously, then the cover will lapse. But the Insurer has no entitlement to sue the Trustee for the premium. That is because the Trustee has not promised to pay the premiums. Neither cll 3.8 nor 3.9 contain a promise to pay.
- And if those clauses are read in light of par 5 in Sch 5 of the Separation Deed, [15] this position is even clearer. That clause states, in terms, that although premiums "will be payable" by the Trustee, the remedy for non-payment is confined to lapsing of cover. In that context, the words "will be payable" were obviously intended by the parties to be merely facultative, in the sense described in the Trustee's submission that I have set out at [57(v)] above.
- As there is no promise to pay the premium, there is no obligation or promise, let alone an express obligation or promise, the purpose of which the Trustee could be said to be preventing the fulfilment. The Implied Term is thus not enlivened.
- It must follow that the construction of the Contract for which the Insurer contends is not made out.
- For that reason alone, the Insurer's case must fail.