Welcome to the ERGO UK web site!
On 9 June 2020 the FCA launched High Court proceedings against eight insurers (the Test Case). The FCA is seeking the court’s guidance on the meaning of certain key words and phrases by reference to a representative sample of policy wordings that do not require damage to the insured’s property in the context of COVID-19 business interruption claims. The Test Case relates to policies written in England, Wales and Northern Ireland.
The nature and purpose of the Test Case
- As announced by the FCA, the purpose of the Test Case is to seek to resolve certain key contractual uncertainties and ‘causation’ issues that the FCA intend will provide clarity for policyholders and insurers alike.
- The FCA has made clear that the Test Case will not determine how much is payable under any individual policies which are held by the court to respond. Such issues will still need to be determined with each insurer.
- A trial of the issues in the Test Case concluded on 30 July 2020. During the trial, the FCA put forward policyholders’ arguments on their behalf. The court also heard from lawyers for certain policyholders.
- The court handed down its judgment on 15 September 2020 and a copy of the judgment is available on the FCA website (see details below).
- ERGO is currently considering what impact the judgment may have on policies that it has underwritten, although it is anticipated that the judgment may be appealed.
- There will not be a final resolution of the Test Case until any appeal has concluded. If there is an appeal, it is likely to be heard by the Supreme Court and a timetable will need to be set. At this stage, there is no indication as to when any appeal may be heard.
ERGO will continue to post regular updates on the Test Case to this website.
FCA Guidance for insurers
On 17 June 2020 the FCA issued guidance for insurers and insurance intermediaries in respect of handling claims and complaints for business interruption policies during the Test Case (the FCA Guidance). Although ERGO is not directly involved in the Test Case, it was required to inform the FCA by 8 July 2020 whether, by reference to its own policies, the outcome on claims generally may be affected by the final resolution of the Test Case or whether the outcome will not be affected.
ERGO has written to all policyholders who have made business interruption claims where there has been no damage to the insured’s property and where such claims have been declined or remain unresolved as well as policyholders who have made a complaint against ERGO or referred their complaint to the Financial Ombudsman Service following the declinature of a claim by ERGO. In accordance with the FCA Guidance, ERGO has explained whether or not policyholders’ claims or complaints are potentially affected by the final resolution of the Test Case and the implications of that.
In light of the judgment in the Test Case, ERGO is considering whether claims and complaints from those policyholders that were advised that their claims or complaints are potentially affected by the final resolution of the Test Case are impacted by the judgment. If ERGO is of the view that its determination of claims or complaints should change or any of those claims and complaints are no longer affected by the Test Case, it will contact individual Policyholders accordingly in line with the FCA Guidance.
For further information on the Proceedings, you can visit: https://www.fca.org.uk/firms/business-interruption-insurance
You may wish to subscribe for email updates from the FCA by visiting: https://www.fca.org.uk/sign-business-interruption-bi-insurance-email-updates
For further information regarding complaints to the FOS, you can visit: https://www.financial-ombudsman.org.uk/businesses/complaints-deal/complaints/coronavirus-covid-19-information-businesses
15 September 2020
Please note that our London and Birmingham offices are currently working with reduced staffing due to Covid-19 restrictions.
However, all staff are available as normal via email.
Read more about the ERGO Group and its broad range of activities at www.ergo.com