Lloyds TSB General Insurance Holdings Ltd & Others v. Lloyds Bank Group Insurance Co Ltd

House of Lords
[2003] UKHL 48
Lords Nicholls, Hoffmann, Hobhouse, Millett and Walker
July 2003

 

The House of Lords held that pensions mis-selling claims could not be aggregated in applying a deductible in a bankers' composite insurance policy since the claims did not result from a single act or omission, or related series of acts or omissions, as required by the aggregation clause.

Following the SIB review in 1994, some 22,000 pension mis-selling claims were made by TSB customers seeking compensation for losses suffered by reason of alleged mis-selling. The customers claimed that "best advice" had not been given on the question of whether it was in the interests of an employee in any case to leave his or her employer's occupational pension scheme.

No claim had exceeded £35,000 but in total TSB had paid out more than £125m in compensation. TSB sought to recover under a bankers' composite insurance policy. This provided cover in respect of "the assured's legal liability to third parties…for financial loss caused by a breach on the part of the assured or an officer or an employee of an assured of the provisions of the Financial Services Act 1986…in respect of which civil liability arises on the part of the assured." There was a deductible in the policy of £1m for "each and every claim", with no aggregate limit. The aggregation clause provided that "if a series of claims shall result from any single act or omission (or related series of acts or omissions)" it should be considered to be a single claim for the purposes of the deductible.

The question of aggregation was decided by way of preliminary issue. At first instance, Moore-Bick J held that TSB's failure to train and monitor its salesmen constituted an act or omission or series of acts or omissions within the meaning of the aggregation clause and had been the cause of all 22,000 claims. The Court of Appeal did not agree. It held, on the basis of this particular insuring clause, that the "act or omission" must constitute the cause of action, namely, the failure to give best advice to the investor. The failure of the training system was not in fact the cause of the civil liability to third parties, which was what was indemnified under the policy. However, regardless of this, the Court of Appeal then went on to allow aggregation. This was done by saying that the acts or omissions in question could be "related" and "form a series" if they had a "single underlying cause" or common origin or they were "the same omission" which had occurred on more than one occasion.

The House of Lords agreed with the Court of Appeal that an "act or omission" for the purposes of aggregation had to give rise to the civil liability in question. The duty imposed on the company under the rules was to ensure that the company representatives complied with the LAUTRO Code of Conduct. That imposed a contingent liability on the company giving rise to the company's own liability, rather than being vicariously liable for the acts of the representatives. It followed that the absence of a training or monitoring system, even though an independent breach of the rules, was legally irrelevant to the civil liability of the company. Even without such a training system, TSB would not have been liable unless their representatives actually contravened the Code. Likewise, any such contravention by a representative would have given rise to liability, whether the company had a training and monitoring system or not. It was not, therefore, an act or omission from which liability resulted.

However, the Court of Appeal was wrong to hold that there was a related series of acts or omissions. In order for events to be related or to constitute a "series", the nature of the unifying factor or factors which made them related or a series must be expressed or implied in the sentence in which the words were used. The words in parenthesis "(or related series of acts or omissions)" had to play a subordinate role covering the case in which liability under each of the aggregate claims could not be attributed to a single act or omission but could be attributed to the same acts or omissions acting in combination.

For the claims to be aggregated there had to be a common causal relationship, meaning that the acts and events formed a related series only if they together resulted in each of the claims. Here, however, the claims arose from a separate contravention of the rules in each case. The obligation on the company to "ensure" the salesman complied was not enough to bridge the gap nor could it unless one gave a different meaning to the words "act(s) and omission(s)". The claims still had to result from something done or omitted as between the relevant salesman and the relevant third party. The fact that the claims might have arisen from the same underlying cause and were of a very similar nature was not enough to bring them within the aggregation cause.

In giving judgment, the House of Lords stressed that the choice of language by which parties designate the unifying factor in an aggregation clause (eg: "event" as opposed to "originating cause") is of critical importance. The parties could, had they so chosen, have used a clause such as that found in Axa Re v Field or the Municipal Mutual cases. On this wording, however, TSB would not get the benefit of aggregation.