9 Aug 2024
Kestenberg Siegal Lipkus LLP v. Royal & Sun Alliance Insurance Company of Canada
Background:
- The appellants were insured under three professional liability policies, with the second excess policy requiring claims to be both made and reported within the policy period (Jan 1, 2018 - Jan 1, 2019).
- The appellants failed to report a claim within the policy period due to an error by their broker, who reported it in March 2021.
Issue:
- Whether relief from forfeiture is available despite the late reporting.
Lower Court Decision:
- The application judge ruled the second excess policy was a "claims made and reported" policy. Failure to report within the policy period breached a condition precedent to coverage, making relief from forfeiture unavailable.
Appeal:
- The appellants argued the judge erred in denying relief from forfeiture.
Court of Appeal Decision:
- The court upheld the lower court's decision, confirming that for "claims made and reported" policies, reporting within the policy period is a condition precedent to coverage.
- The court emphasized that altering this condition would distort the contract terms.
- Even if relief were available, the appellants suffered no prejudice due to their broker's admitted negligence.
Conclusion:
- The appeal was dismissed, with the appellants ordered to pay the respondents' costs of $28,000.
Key Points:
- Claims Made and Reported Policy: Coverage requires claims to be both made and reported within the policy period.
- Condition Precedent: Failure to comply results in non-coverage, and relief from forfeiture is not applicable.