Furtado v. Underwriter
Oscar Furtado
Law Firm / Organization
Adair Goldblatt Bieber LLP
Lloyd’s Underwriters
Law Firm / Organization
Dolden Wallace Folick LLP

Issue: Denial of insurance coverage under a Directors and Officers policy.

Background:

  • Policy Period: October 6, 2018 - October 25, 2019.
  • OSC Investigation: Started in March 2019. Furtado was legally barred from disclosing the investigation under s. 16(1) of the Securities Act.
  • Suspension Clause: The policy allowed suspension of the notice requirement during legal prohibition.

Legal Changes:

  • December 2019: Law amended to permit disclosure to insurers under certain conditions.
  • OSC Actions: In December 2021 and March 2022, OSC initiated proceedings against Go-To and Furtado.
  • Notification: Furtado notified the insurer in early 2022.

Court Findings:

  1. Breach of Policy: Furtado breached policy terms by not notifying the insurer promptly after the legal prohibition was lifted in December 2019.
  2. Suspension Clause: Required notification within 14 days after lifting the legal restriction.
  3. Relief from Forfeiture: Not available due to substantial breach causing prejudice to the insurer, constituting non-compliance with a condition precedent to coverage.

Key Legal Principles:

  • Claims-Made Policies: Require claims to be made and reported within the policy period.
  • Notice of Circumstance: Must be given within the policy period to preserve future claims coverage.
  • Relief from Forfeiture: Generally unavailable for breaches of conditions precedent in claims-made policies.

Decision: Appeal dismissed. Furtado’s failure to comply with policy conditions forfeited coverage. Costs of $22,000 awarded to the respondent.

 

Court of Appeal for Ontario
COA-23-CV-1203
Insurance law
$ 22,000
Respondent