Small firms thrown lifeline in insurance test case ruling

4 years ago 316
Bar stools stacked on table behind a window displaying a closed signImage copyright Getty Images

Small businesses have been thrown a lifeline after the High Court ruled some insurers should have paid out for losses caused by lockdown.

Judges ruled that the disease clauses in some business interruption policies should have meant they were covered.

Following lockdown, a host of businesses had to close and many looked to insurers to cover their losses.

But many insurers disputed the claims, arguing policies were never meant to cover such unprecedented restrictions.

The test case was brought by the Financial Conduct Authority and had the potential to affect 370,000 mostly small businesses.

The insurers can appeal against the decision. Policyholders should hear from their insurer within seven days.

Christopher Woolard, interim chief executive of the FCA, said the ruling removed "a large number" of roadblocks to successful claims, as well as clarifying those that might not be successful.

"We are pleased that the court has substantially found in favour of the arguments we presented on the majority of the key issues.

"Today's judgement is a significant step in resolving the uncertainty being faced by policyholders.

"Coronavirus is causing substantial loss and distress to businesses and many are under immense financial strain to stay afloat."

'We have been under immense stress'

Image copyright Anna Smart Image caption Anna Smart and her husband Robin

Anna Smart runs a photography studio in Oxfordshire with her husband Robin and thought she was covered by business interruption insurance.

But when she was turned down by her insurer, she was forced to make her one member of staff redundant and move out of their premises.

She said it was "painful" to let someone go and it felt like "ditching a member of the family".

Instead, they have used a Bounce Back loan to build a studio in their back garden.

Businesses such as hers were under "immense" stress, she said, while some had already been forced to close permanently, irrespective of the result of the case.

Hospitality Insurance Group Action (Higa), one of the campaign groups backing the FCA's case, said thousands of UK hospitality businesses should now be able to receive pay-outs as a result of the judgement.

Sonia Campbell, of law firm Mishcon de Reya, which represents Higa, said: "This is fantastic news which has shown that we were right to pursue insurers who across the board denied cover for Covid-related losses.

"I would now urge other hospitality businesses to join us to ensure that they can successfully recover payments from insurers in line with the court's decision."

The Hiscox Action Group (HAG), which has over 400 members and also intervened in the case, called Tuesday's ruling a "landmark".

Steering committee member Mark Killick said: "The most important thing now is that the insurers accept this ruling and start to pay out rather than embark on a fruitless appeals process that will just cause more suffering for the very policyholders they were meant to protect."

'Blanket denials'

As of July, about 400 companies had complained to the financial ombudsman, saying they had been wrongly denied cover for lockdown-related losses.

In response the FCA brought its test case, arguing that, while some insurers had provided payouts to customers, many claims had been "rejected" under "blanket denials of cover".

It asked High Court to decide on the correct interpretation of a selection of policies, with judges in the end looking at 21 issued by eight separate insurers - among them giants such as Hiscox, RSA, QBE and Zurich.

The ruling could affect many more policies, however the regulator added: "Although the judgment will bring welcome news for many policyholders, the judgment did not say that the eight defendant insurers are liable across all of the 21 different types of policy wording in the representative sample considered by the court.

"Each policy needs to be considered against the detailed judgment to work out what it means for that policy."

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