FAIR PRESENTATION

A fair presentation is one where the insured discloses every ‘material circumstance’ which the insured knows or ought to know, or, failing that, gives sufficient information to put a (hypothetical) ‘prudent insurer’ on notice that it needs to make further enquiries for the purpose of revealing those material circumstances.

Disclosure must be made in a manner which would be reasonably clear and accessible to that hypothetical prudent insurer. Facts must ‘substantially correct’ and statements of expectation or belief must be made in good faith.

A circumstance will be material if it ‘would influence the judgement of a prudent insurer in determining whether to take the risk and, if so, on what terms’. This includes special or unusual facts relating to the risk, particular concerns which led the insured to look for cover, and anything which those specialising in yachting-related risks would generally understand as being something that should be included in a fair presentation of risk. Note that we are concerned with the judgement of a prudent insurer: the opinions of the actual underwriter concerned are irrelevant.

The insured’s knowledge, in the case of an owning company, is taken to mean the company’s ‘senior management’, which will include captains and departmental heads, plus those making decisions about insurance (including insurance brokers or other intermediaries acting on the owner’s behalf – whether regulated or not – such as a yacht broker). A ‘reasonable search’ for relevant information must be made – including with third parties. This might include, for example, making inquires with classification societies.

PRACTICAL MATTERS

The claims history of both the legal and beneficial owner will almost certainly be material – even if the proposal form simply asks in respect of the ‘insured’s claims record. If you, as beneficial owner, have criminal convictions in respect of dishonesty then this should be disclosed.

While it may be obvious whether or not a yacht requires crew, the nature and extent of crewing arrangements will need to be provided in detail. The captain’s CV/résumé may be requested. You should ask a third party services provider to verify the crewmember’s qualifications and stated experience.

If a survey is needed, check whether that surveyor must have been approved by the underwriter and/or hold certain qualifications.

VALUATIONS

Yacht valuations can, and have, been a source of contention over the years. Policies can be unvalued but given the obvious room for disagreement, nearly all on the basis of a valuation agreed at the outset. There should be a specific reference to the value being agreed – not merely to a ‘sum insured’ or similar.

Unless fraud can be proved, the fixed value is usually conclusive. Problems arise where owners pay over the odds at the outset, or where renewals haven’t taken account of depreciation, so that the resulting over-valuation risks being deemed to be a material misrepresentation. This will be the conclusion where the owner has no genuine belief that the value given was a true valuation.

It would be wise to obtain an independent valuation, but – being subjective – this shouldn’t be treated as conclusive.

CONSEQUENCES

If the insured breaches the duty of fair presentation, the underwriter is entitled to a remedy only if it can demonstrate that the breach directly influenced its decision to enter into the insurance contract, or at all. To prove this influence, the underwriter must establish that, without the breach, it would not have entered into the contract or, at least, would have done so on different terms, such as a higher premium.

If the breach of the duty of fair presentation was made deliberately or recklessly, the underwriter can walk away from liability entirely – not even pausing to return premiums paid. If the breach was neither deliberate nor reckless, and the underwriter would not have provided cover on any terms, then payment of claims can be refused but premiums paid must be returned. If the underwriter would have just charged a higher premium, then the amount payable on a claim may be reduced proportionately.

CONSUMERS

In the unlikely (and unwise) event that own your yacht personally, and it’s not chartered out or otherwise used for business purposes, then your position, as a consumer, is different to that set out above. It’s then up to underwriters to ask the questions and determine the risk. The insured simply has to exercise reasonable care not to make a misrepresentation when answering questions. There’s no obligation to volunteer information.

TIPS & TRICKS

1. Be sure that the insurance broker earns its commission and tells you everything you need to disclose.

2. It is quite possible that your broker advises you poorly, and, as a result, you fail in your duty of fair presentation. In which case, the broker will be liable. Consider where the broker is based and how it is regulated.

3. Obtaining the requisite information takes time, so plan ahead – including when it’s time to renew.

4. Do not assume that the underwriter already has sufficient information: disclose all material information, even if it’s obvious.

5. Be sure to respond fully to all questions raised.

6. Avoid data dumping, and make sure that information is indexed, categorised or otherwise easily navigable.

7. Keep an audit trail of the searches carried out and the enquiries made, to prove that you have conducted a reasonable search.