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[2005] HCA 16
High Court of Australia
2005-04-07
McClellan J, Gleeson CJ, Callinan JJ, Gummow JJ
Original judgment source is linked above.
On appeal from the Supreme Court of New South Wales
D L Williams SC with M A Jones for the appellants (instructed by Joanne Kelly)
D F Jackson QC with A W Street SC and E G Romaniuk for the respondent (instructed by Colin Biggers & Paisley)
Notice: This copy of the Court's Reasons for Judgment is subject to formal revision prior to publication in the Commonwealth Law Reports.
Insurance - Professional indemnity insurance - Directors and officers liability insurance policy - Exclusion for losses arising from dishonest, fraudulent or malicious conduct - Exclusion engaged only where conduct established to have occurred following final adjudication adverse to the insured - Proceedings instituted against appellants involving questions of breach of duty as company directors - Appellants claimed for advance payment of defence costs under policy - Respondent insurer purported to deny liability relying on exclusion under the policy - Respondent also argued that it had avoided the policy under the Insurance Contracts Act 1984 (Cth), s 28 - Whether respondent can rely on exclusion absent an existing judgment or other final adjudication adverse to appellants.
Practice and procedure - Appeal - Separated questions for determination - Appeal in respect only of one answered question and not in respect of other two - Whether any utility in considering the correctness of the answer appealed from in light of other two undisturbed answers - Avoidance of circuity of action.
High Court - Special leave to appeal - Special leave granted - Whether special leave to appeal should be revoked.
"[C]ertain of the claimed Defence Costs do not come within the terms of the Policy, that Exclusion Clause 3.1 applies in relation to the alleged wrongful acts, and that the contract has been validly avoided by reason of both fraudulent non‑disclosure and fraudulent misrepresentation."
Where the Insurer elects not to take over and conduct the defence or settlement of any Claim in the name of any Director or Officer, the Insurer shall meet the Defence Costs of any Director or Officer in defending or settling any Claim made against them as they are incurred and prior to the finalisation of the Claim provided always that indemnity in respect of such Claim has been confirmed in writing by the Insurer.
Where the Insurer has not confirmed indemnity and it elects not to take over and conduct the defence or settlement of any Claim, it may, in its discretion, pay Defence Costs as they are incurred and prior to the finalisation of the Claim, provided that it has consented in writing to such Defence Costs prior to their being incurred, such consent not to be unreasonably withheld.
The Insurer reserves the right to recover any Defence Costs from the Directors or Officers and/or the Corporation severally according to their respective interests in the event and to the extent that it is subsequently established by judgement or other final adjudication that the Directors and Officers and/or the Corporation were not entitled to the Defence Costs so advanced." (emphasis added)
It is the middle paragraph which is of particular importance. This is because CGU has not confirmed indemnity and has not taken over the conduct of any defence. CGU may then, in its discretion, pay Defence Costs "as they are incurred".
brought about by, contributed to by or which involves:
(1) the dishonest, fraudulent or malicious act or omission or other act or omission committed with criminal intent of such Director or Officer;
(2) such Director or Officer having improperly benefited in fact from securities transactions as a result of information that was not available to other sellers and/or purchasers of such securities; or
(3) such Director or Officer having gained in fact any personal advantage to which he/she was not legally entitled.
However, this exclusion shall only apply to the extent that the subject conduct has been established by a judgement or other final adjudication adverse to the Director or Officer." (emphasis added)
"1. Whether, on a true construction of Directors & Officers Liability Insurance Policy No 01 DO 0298798 ('the Policy'), issued by the Defendant absent an existing judgment, order or other final adjudication adverse to the Plaintiff, the Defendant can rely on Exclusion Clause 3.1 in answer to the Plaintiff's claim for indemnity under the Policy;
"[CGU] cannot plead Exclusion Clause 3.1 by way of defence to the Plaintiff's claim for the Defence Costs which have been incurred by the Plaintiff unless and until there has been a judgment, order or other final adjudication adverse to the Plaintiff establishing the subject conduct identified in cl 3.1."
"Ordinarily, a party is not to be denied the opportunity to place his or her case before the court in the ordinary way, and after taking advantage of the usual interlocutory processes. The test to be applied has been expressed in various ways[8], but all of the verbal formulae which have been used are intended to describe a high degree of certainty about the ultimate outcome of the proceeding if it were allowed to go to trial in the ordinary way."
"(b) ... in terms of cl 3.1 of the policy, the 'Claim' was brought about by, contributed to or involved dishonest or fraudulent acts or omissions of each appellant;
(c) ... that it was entitled to, and has, avoided the policy by reason of fraudulent non-disclosure and fraudulent misrepresentation."
"1. Whether, on the true construction of Directors & Officers Liability Insurance Policy No 01 DO 0298798 ('the Policy'), issued by the Defendant absent an existing judgment, order or other final adjudication adverse to the Plaintiff, the Defendant can rely on Exclusion Clause 3.1 in answer to the Plaintiff's claim for indemnity under the Policy;
"However, there is nothing in the clause to suggest that the exclusion should be confined to a finding in proceedings other than the indemnity proceedings. The rights of the parties to a policy of insurance often have to be determined by a court. In such proceedings, either party is able to advance its position and assert that the objective facts entitle the insured to indemnity or otherwise. This does not involve any lack of 'good faith' by either party. The court will determine the parties' rights having regard to the evidence which the parties tender at the trial and the findings which it makes."
"In my opinion, the Policy was not intended to provide a form of 'up front' indemnity for the Defence Costs to the insured in the circumstances postulated. The clear structure of the Policy entitles the insurer to refuse indemnity in respect of any part of any Loss including Defence Costs where it asserts dishonest conduct within the meaning of cl 3.1 provided only that it will be ultimately required to indemnify the insured against that Loss unless it establishes by a judgment or other final adjudication that the relevant conduct was dishonest. In my opinion, neither the Policy nor its commercial purpose requires the insurer to advance to the insured either Defence Costs or any other amount payable in respect of a Claim where it has denied indemnity upon any proper ground including that provided by cl 3.1."
"In my opinion, if the [respondent] were wholly correct about the final paragraph of cl 3.1, it would either be entirely otiose or else operate solely to the benefit of the insurer. To have the benefit of the exclusion provided by cl 3.1, the insurer has to prove that it applies; and if the final paragraph were not there, the insurer would have to obtain a final adjudication to that effect in the insurance proceedings themselves. Plainly, it would not be sufficient merely to point to allegations, or to a finding of another tribunal not amounting to a judgment or final adjudication. The only thing additional that the paragraph could do, on the construction suggested by the [respondent], would be to provide, in the insurer's favour, that it could rely on a judgment or final adjudication in other proceedings, and then not otherwise itself have to prove the application of cl 3.1 in the insurance proceedings themselves.
In my opinion, the final paragraph of cl 3.1 was intended to confer a benefit on the insured, a benefit consistent with the general purpose of the Policy to assist in defence against allegations, at least until such time as allegations involving dishonesty and the like were proved. In my opinion, this is confirmed by cll 4.4, 4.5, 4.15 and 4.16. I think effect should be given to the words 'has been established', so that cl 3.1 cannot prevent the contract requiring the insurer to provide indemnity, unless and until the requisite judgment or adjudication has been obtained."
Directors and Officers Liability Insuring Agreement A
The Insurer will pay on behalf of the Directors and Officers any Loss for which the Directors and Officers may not be legally indemnified by the Corporation arising out of any Claim, by reason of any Wrongful Act committed by them in their capacity as a Director or Officer, first made against them jointly or severally during the Period of Insurance and notified to the Insurer during the Indemnity Period.
The Insurer will pay on behalf of the Corporation any loss payment which it is legally permitted to make arising out of any Claim, by reason of any Wrongful Act, committed by any Director or Officer in their capacity as a Director or Officer, first made against the Director or Officer during the Period of Insurance and notified to the Insurer during the Indemnity Period.
The total amount payable in respect of all Claims under Insuring Agreement A and/or Insuring Agreement B of this Policy shall not in the aggregate exceed the limit of aggregate liability as stated in Item 5 of the schedule."
Unless specified otherwise to the contrary the cover granted by these extensions is subject to all the terms and conditions of this Policy.
Where the Insurer elects not to take over and conduct the defence or settlement of any Claim in the name of any Director or Officer, the Insurer shall meet the Defence Costs of any Director or Officer in defending or settling any Claim made against them as they are incurred and prior to the finalisation of the Claim provided always that indemnity in respect of such Claim has been confirmed in writing by the Insurer.
Where the Insurer has not confirmed indemnity and it elects not to take over and conduct the defence or settlement of any Claim, it may, in its discretion, pay Defence Costs as they are incurred and prior to the finalisation of the Claim, provided that it has consented in writing to such Defence Costs prior to their being incurred, such consent not to be unreasonably withheld.
The Insurer reserves the right to recover any Defence Costs from the Directors or Officers and/or the Corporation severally according to their respective interests in the event and to the extent that it is subsequently established by judgment or other final adjudication that the Directors and Officers and/or the Corporation were not entitled to the Defence Costs so advanced.
2.6 Attendance at Official Investigations or Inquiries
The Insurer will pay Defence Costs incurred with its prior written consent by or on behalf of a Director or Officer in attending any official investigation, examination, inquiry or other proceedings ordered or commissioned by any official body or institution, where a Director or Officer is legally compelled by such body or institution to attend such investigation, examination, inquiry or proceeding and which involves an allegation of a Wrongful Act against a Director or Officer which is the subject of indemnity under this Policy.
If a Director or Officer is unable to satisfy a right to indemnity against the Corporation to which he or she is entitled, whether under Common Law or Statute, or otherwise, by reason only of the Corporation being placed in liquidation (other than voluntary liquidation) and having insufficient funds available so to indemnify the Director or Officer, then it is hereby agreed that the Insurer shall indemnify the Director or Officer to the extent that the Director or Officer is unable to satisfy the right to indemnity against the Corporation.
The burden of adducing satisfactory proof to obtain the benefit of this extension shall rest entirely with the Director or Officer and shall include the production of documentary evidence of the Corporation's assets and liabilities and any official statements issued by the liquidator."
Section 3 of the policy states the exclusions relevantly as follows:
"This Policy does not provide an indemnity against any Claim made against any Director or Officer:
brought about by, contributed to by or which involves:
(1) the dishonest, fraudulent or malicious act or omission or other act or omission committed with criminal intent of such Director or Officer;
(2) such Director or Officer having improperly benefited in fact from securities transactions as a result of information that was not available to other sellers and/or purchasers of such securities; or
(3) such Director or Officer having gained in fact any personal advantage to which he/she was not legally entitled.
However, this exclusion shall only apply to the extent that the subject conduct has been established by a judgement or other final adjudication adverse to the Director or Officer."
Section 4.4, one of the general conditions of the policy should be noted:
The Directors and Officers shall use due diligence and do and concur in doing all things reasonably practicable to avoid or diminish any Loss hereunder, and shall immediately give all such information and assistance to the Insurer as it may reasonably require to enable it to investigate and to defend the Claim and/or to enable the Insurer to determine its liability under this Policy.
The Insurer may, on request from the Directors and Officers for indemnity under this Policy, take whatever action that it considers appropriate to protect the Directors' and Officers' position in respect of the Claim and such action by the Insurer shall not be regarded as in any way prejudicing its position under this Policy and no admission of the Director's and Officers' entitlement to indemnity under this Policy shall be implied."
Section 4.5 may also be relevant for its use of the word "advance".
In the event of a Claim which is made against Directors and Officers or the Corporation and which is covered only partly by this Policy, the Insurer will use its best efforts to ensure a fair and proper allocation of the claim for insured and uninsured portions.
The Insurer will also advance Defence Costs on a similar basis, which will apply to all Defence Costs unless otherwise agreed by all parties."
Section 5.1 of the policy defines "Claim" this way:
(1) any writ, summons, application or other originating legal (criminal, civil or otherwise) or arbitral proceedings, cross claim or counter-claim issued against or served upon any Director or Officer alleging any Wrongful Act; or
(2) any written demand alleging any Wrongful Act communicated to any Director or Officer under any circumstances and by whatever means."
all reasonable costs, charges and expenses (other than regular or overtime wages, salaries or fees of any Director or Officer) incurred with the prior written consent of the Insurer in defending, investigating, attending or monitoring any Claim or proceedings, including but not limited to official investigations, examinations, inquiries and the like, or appeals therefrom, together with all reasonable costs of bringing any appeal."
the amount payable in respect of a Claim made against the Directors and Officers for a Wrongful Act and shall include damages, judgements, settlements, interest, costs and Defence Costs. In respect of Section 2.5 (Insured vs Insured Cover) and 2.20 (Entity Cover for Employment Practices Liability) this Policy will include back-pay where reinstatement by a court is ordered but excludes any amount which the Insured is or was required to pay pursuant to a specific obligation imposed under a contract of employment, employment agreement, statute, award or otherwise.
'Loss' excludes a Claim arising from or by reason of or directly or indirectly caused by or arising from fines and penalties imposed by law, punitive, exemplary or aggravated or multiple damages, income tax, customs duties, excise duty, stamp duty, sales tax or any other State or Federal tax or duty."
I would also set out the definition of "Wrongful Act" (Section 5.18) to underline the point made by Hodgson JA in the Court of Appeal that "questions of honesty of conduct of directors and officers of companies are often difficult and marginal"[25].
any actual or alleged breach of duty, breach of trust, neglect, error, misstatement, misleading statement, omission, breach of warranty of authority or other act done or attempted by or any other matter claimed against any Director or Officer or any of them wherever or whenever while acting in their individual or collective capacities as Directors or Officers."
"It follows that the answers to question 2 and question 3 given below are correct. The answer to question 1, however, could be misleading. It is true that the cl 3.1 defence can be relied on in the sense that it can be raised as a defence in insurance proceedings; but it cannot be relied on in the sense that cl 3.1 does not provide a valid justification for refusal of indemnity unless and until the fourth paragraph is satisfied. So I would propose that question 1 be answered yes, but only in the sense and subject to the qualifications set out in my reasons."
"Whether the defendant can or cannot plead exclusion cl 3.1 by way of defence to the plaintiff's claim for the Defence Costs which have been incurred by the plaintiff unless and until there has been a judgment, order, or other final adjudication adverse to the plaintiff establishing the subject conduct identified in cl 3.1."
"To let the exception control the instrument as far as the words of it extend, and no further, and then upon the case being taken out of the letter of the exception, the body of the instrument operates in full force."
I would not regard what was said by Windeyer J in Thomas National Transport (Melbourne) Pty Ltd v May & Baker (Australia) Pty Ltd[32] as other than entirely consistent with Lord Kenyon's statement[33]:
"The first is that an 'exemption clause' - or 'exception clause' or 'protective clause', all terms are used - is ordinarily construed strictly against the proferens, the party for whose benefit it is inserted.
Secondly, it is not construed as relieving him against liability for the negligence of himself or his servants, unless it expressly or by implication covers such liability."
Dey v Victorian Railways Commissioners (1949) 78 CLR 62 at 91 per Dixon J; General Steel Industries Inc v Commissioner for Railways (NSW) (1964) 112 CLR 125 at 130 per Barwick CJ. ↑
See as to the avoidance of circuity of action McDermott v Black (1940) 63 CLR 161 at 186‑187; Qantas Airways Ltd v Aravco Ltd (1996) 185 CLR 43 at 49‑50; Thompson v Australian Capital Television Pty Ltd (1996) 186 CLR 574 at 609. ↑
A Latin maxim: "the words of an instrument should be taken most strongly against the party proffering it". ↑
Johnson v American Home Assurance Co (1998) 192 CLR 266 at 272-276 [19]; McCann v Switzerland Insurance Australia Ltd (2000) 203 CLR 579 at 600-603 [74]; cf at 589 [22]; Andar Transport Pty Ltd v Brambles Ltd (2004) 78 ALJR 907 at 922-923 [68]; cf at 911 [17], 930-931 [122]-[124]; 206 ALR 387 at 408-409; cf at 392-393, 419-420. See also Macey v Qazi [1987] CLY 425; Pitcher v Principal Mutual Life Insurance Co 870 F Supp 903 (SD Ind 1994). ↑
See Wilkie v Gordian Runoff Ltd [2005] HCA 17 at [17]. ↑
Lake v Simmons [1927] AC 487 at 509; McCann v Switzerland Insurance Australia Ltd (2000) 203 CLR 579 at 589 [22], 601 [74]. ↑
Project Blue Sky Inc v Australian Broadcasting Authority (1998) 194 CLR 355 at 381-382 [69]-[71]. ↑
Kirby, "Towards a Grand Theory of Interpretation: The Case of Statutes and Contracts", (2003) 24 Statute Law Review 95 at 96. ↑
That section, which has been retained in the Corporations Act 2001 (Cth), required directors to exercise reasonable care and diligence in the discharge of their duties. It provided:
"180(1) Care and Diligence - directors and other officers
A director or other officer of a corporation must exercise their powers and discharge their duties with the degree of care and diligence that a reasonable person would exercise if they:
(a) were a director or officer of a corporation in the corporation's circumstances; and
(b) occupied the office held by, and had the same responsibilities within the corporation as, the director or officer." ↑
(1) This section applies where the person who became the insured under a contract of general insurance upon the contract being entered into:
(a) failed to comply with the duty of disclosure; or
(b) made a misrepresentation to the insurer before the contract was entered into;
but does not apply where the insurer would have entered into the contract, for the same premium and on the same terms and conditions, even if the insured had not failed to comply with the duty of disclosure or had not made the misrepresentation before the contract was entered into.
(2) If the failure was fraudulent or the misrepresentation was made fraudulently, the insurer may avoid the contract.
Rich
CGU Insurance Limited
(2003) 57 NSWLR 469
(1999) 198 CLR 334
(2000) 201 CLR 552
(1949) 78 CLR 62
(1964) 112 CLR 125
(1940) 63 CLR 161
(1996) 185 CLR 43
(1996) 186 CLR 574
(1998) 192 CLR 266
(2000) 203 CLR 579
(2004) 78 ALJR 907
(1998) 194 CLR 355
(2004) 78 ALJR 1022
(1966) 115 CLR 353