ENDING GAMES WITH CLAIMS

17 Мар

Предмет рас­смотрения в настоящей публикации – иски против российских страховщиков – тема насколько болезненная, настолько и полезная. Поскольку известно, что именно взгляд со стороны позволяет, исправ­ляя ошибки, совершенствовать себя и отрасль в целом. Автор с оптимизмом смотрит в будущее российского морского страхования, ведь ключевые моменты, необходимые для успеха, – высокое качество услуг и стабильность, уже стали главными его характеристиками.

In many ways, Hull and Machi­nery Insurance is just like any other business. The ship owner purchases the right to be compen­sated for his loss in the event of a loss arising from an agreed type of risk. Marine insurers and ship ow­ners are business partners in the same venture and each depends on the other. In Russia, the partnership bet­ween marine insurers and ship owners works well, most of the time. However, from my perspec­tive as a maritime lawyer involved in numerous claims between Rus­sian marine insurers and non-Rus­sian flagged ship owners, I have often seen problems arise in this partnership which might be easily resolved if both sides took a few simple steps.

Law and Jurisdiction of the Policy

Most ship owners and brokers as well as Russian marine insurers are comfortable with English law and jurisdiction, and this has a long tradition in the international maritime industry. As a conse­quence of this long tradition, jud­ges sitting on the High Court of England have much experience to rely on when it comes to deciding issues of marine insurance. But how useful is this when the marine insurer is a Russian company?

When the policy is governed by English law, lawyers acting for both the marine insurer and the ship owner can refer to a history of over 400 years of decided cases to help understand a question under the policy. This long history, com­bined with a highly developed and stable legal system, usually results in more certainty and clarity between the parties, and often means that any dispute can more easily be resolved amicably. If both sides know what the English Court will decide before they go to court, it is much more likely they will settle the matter before the dispute gets that far. This is one of the most im­portant advantages of choosing English law to govern the policy of marine insurance – the parties are more likely to know the answer be­fore they get to court.

Though English law has its ad­vantages, what about English juris­diction? Is it really in the interests of the foreign flagged ship owners and the Russian marine insurer to choose English jurisdiction to re­solve disputes under the policy?

The long and expensive road to Russia

One practical problem with Eng­lish jurisdiction is that before pro­ceedings in the English High Court can be commenced, some Russian marine insurers will insist that they be “served” with the claim documents at their offices in Russia in accordance with “the Hague Convention” the full name of which in Russian is the “Кон­венция о вручении за границей судебных и внесудебных доку­ментов по гражданским или торговым делам, подписанная в Гааге 15 ноября 1965 года”. It is not a mandatory requirement that the documents be served in this way. A Russian marine insurer could appoint lawyers in England to accept service, or they could agree to be served by post, email or fax.

The practical consequence of a Russian marine insurer insisting they be served in accordance with the Hague Convention is that under circumstances where 1 ) both parties have chosen English law and Jurisdiction to decide any legal question, 2) all documenta­tion is in English including the po­licy itself, and 3) everyone dealing with the claim understands Eng­lish very well; all documents rela­ted to the claim must, in accor­dance with the Hague Convention, be translated into Russian and cer­tified by a Russian translator. This can take months to arrange, is ex­pensive, and serves no purpose other than to create delay and ex­pense for the claimant.

Special permission from the Eng­lish Court must be obtained to serve outside of England, and all documents related to the request for permission to serve outside of England must also be translated. These are then handed over to the Foreign Process Section of the High Court of England and Wales which will, in its own time, trans­mit the documents to the Russian Foreign Ministry.

Once this file of documents reac­hes the Russian Foreign Ministry, it eventually finds its way to the re­gional court in the district where the insurance company is registe­red, and then to the local court. A kind of hearing is held, and even­tually, the documents will be ser­ved by a Court bailiff. A “receipt” for service then finds its way back to England by the same path, and at this stage, between 5-24 months later, the ship owner will have of­ficially started the litigation pro­cess in England.

Such delay and expense could be easily avoided if the parties agreed to incorporate an English address for service of any claim, directly into the policy. If the parties are prepared to agree English law and jurisdiction, then they should also be prepared to agree that in the event of a claim, any legal docu­ment may be served on the other party in England, at a particular specified address. This can be any address nominated by the parties and might be for example, the ad­dress of brokers, lawyers, or a spe­cial company which specialises in receiving documents.

Specifying an address for service in England would have advanta­geous to both parties. For the ship owners, the advantages are ob­vious. Any claim could be com­menced without the cost and delay of translating all the documents into Russian and waiting up to two years for service to be effected via the Hague Convention procedure. But there are also advantages for the Russian marine insurer. Any disputes might be resolved more quickly since many cases are sett­led amicably after proceedings have been commenced and the parties understand the cost conse­quences of losing a claim in En­gland. When disputes are resolved quickly, they are less expensive both in terms of legal costs and in­terest payable.

Co-insurance

Another area where foreign flag­ged ship owners and Russian marine insurers sometimes face pro­blems, is with respect to co-insu­rance. This is the practice whereby a group of insurers operating in the international market agree to share a risk, and in return, each marine insurer receives a share of the premium, in proportion to the risk taken by that insurer.

No ship owner in his right mind would agree to this, if it meant that he would need to fight his claim against each marine insurer sepa­rately. That is why this type of po­licy often will include a “follow the leader clause”.

One such clause was considered in the High Court in London in PT Buana v Marine Mutual Insurance [2012] Lloyd’s Rep. IR 52; it read:

“It is agreed to follow AXA HK in respect of all decisions, surveys and settlements regarding claims within the terms of the policy, un­less these settlements are to be made on an ex gratia or without prejudice basis”.

The Court held that the co-insu­rer was obliged to follow the lea­der’s decision whether or not there had been a breach of warranty. In another High Court decision, Roar Marine v. Bimeh Iran [1998] 1 LLR 423, it was held that the words “it is agreed with or without previous notice to follow leading british un­derwriters in regard to …settle­ments in respect of claims…” meant that not only did the follo­wing Iranian co-insurer have to follow the lead’s settlement but that the clause was not even sub­ject to an implied condition that the settlement should be “proper and businesslike”. These “follow the leader” clauses will always be interpreted according to their wor­ding so it is important to ensure that they say exactly what the par­ties mean but, properly drafted, such clauses will oblige the follo­wing co-insurer to follow the lea­der’s settlements in most circum­stances.

Non payment of disputed claims by the followers

Some Russian marine insurers, with good reason, feel uncomfor­table following a leader that has less risk than they do. Other Rus­sian marine insurers consider that, despite the “follow the leader” clause, they are entitled not to make payment if they do not agree that the claim should be paid. Un­fortunately, both of these views are very often incorrect and not part of the bargain they signed up for when the accepted the pre­mium. Usually, except in cases where there is fraud, marine insu­rers must follow the decision of the leader, irrespective of whether or not they agree with the leader, and it is simply not relevant, as a mat­ter of English law, how much risk the leader is exposed to.

The solution to this problem is simple if any Russian marine insu­rer does not feel comfortable gi­ving up their right to consider the merits of the claim, then they must stay away from underwriting ma­rine coinsurance where they are not the leader.

Non payment of undisputed claims by the follower

Another problem with co-insu­rance is that there are often diffe­rent standards of evidence requi­red by different Russian marine in­surers before agreeing to follow the leader. It is common practice in the international marine market for the “leader” to send an email confirming they agree to pay and this is enough to require the “followers” to pay their share.

In contrast to this market stan­dard practice, some Russian ma­rine insurers will often ask for all sorts of documents, in their origi­nal form, from the lead marine insurer, surveyor and ship ow­ners before paying their fair por­tion of their claim. This is costly, inefficient, and often unneces­sary. The reality is that many of these documents are requested out of an abundance of caution on behalf of Russian marine insu­rer, and their accounting and legal departments. Are they really necessary?

There are two possible solutions to this problem. First, Russian ma­rine insurers could agree specific procedures and documents necessary in the event of a claim, with their legal and accounting depart­ments and work with their regula­tors to make the requirements more specific and clear. Second, once those requirements are clear, they should be specified in the co insurance policy so that the inter­national brokers, co insurers and ship owners all know what docu­ments need to be produced, before the claim arises. Unfortunately just a few Russian marine insurers do this.

Self regulation of substandard underwriters

Ship owners around the world have mixed views of Russian Ma­rine Insurance. On the one hand, the highly skilled personnel in­volved in the claims and underw­riting process are well recogni­sed. Also well recognised is the good record of most Russian ma­rine insurers in paying good cla­ims and acting as a supportive partner in the ship owners’ busi­ness.

On the other hand, there have been, in recent years, a few “bad apples” which might spoil the re­putation of the whole bunch. These substandard Russian marine insurers at first pay out claims , usually small claims, in order to build trust and confidence in the market, and then after collecting healthy premiums, suddenly start to reject almost every claim, good and bad, including those claims where they are required to “follow the leader”. These substandard marine insurers have the effect of bringing down all of the Russian marine insurance market, and the­reby reducing premium income for both good and bad underwri­ters. Despite the fact that some Russian marine insurers have been around for a long time and are well established, I am told that many in the international marine insurance market still regard Rus­sian marine insurance as an emer­ging market. As a result, it is al­most always judged collectively, not as individual companies. That means that substandard marine in­surers have a disproportionately bad effect on responsible marine insurers’ ability to earn premium income.

We live in an age where the in­ternational maritime community is working to eliminate substandard shipping. As marine insurers are essential partners in the ship ow­ners business, similar efforts could be made by the Russian marine in­surance industry to eliminate sub­standard marine insurers. In my opinion, it would not be correct to look only to the Russian govern­ment to solve this problem. The in­dustry itself can take more respon­sibility for regulating itself. For example, the Russian Union of Ma­rine Insurers have starting taking a more proactive role in this direc­tion and their efforts could be sup­ported by other shipping unions in Russia.

Russian marine insurance has a bright future because of its highly skilled underwriters and claims handlers. There are Russian marine insurers who are stable, prudent and who provide highly valued services to ship owners around the world. If steps can be taken that will facilitate the resolution of claims and eliminate substandard underwriters who
continue to operate in the Russian marine insurance market, it will be to the benefit of the Russian marine insurance market as a whole.

Автор:

George LAMBROU,

a London based Partner at Thomas Cooper

Источник: Морское страхование. – 2013. – № 1. – С. 42 – 45.