Archive for October 26, 2011

BTE Insurers and non-panel solicitors in the High Court

BTE insurers losing grip on choice of solicitor and charge-out rates after key ruling High Court: insurers’ rates only provide a ‘comparator’ on assessment

Before-the-event (BTE) legal expenses insurers cannot reject a policyholder’s choice of a non-panel solicitor because the lawyer will not accept payment on their rates, the High Court has ruled.

The ruling, won by London law firm Webster Dixon, marks a major success in the long-running battle over the extent to which BTE insurers can fetter their insured’s choice of solicitor.

There were three test cases involving employment disputes – an area of particular expertise for Webster Dixon – and the insurers Equity Red Star of Lloyd’s and ULR Norwich ([2011] EWHC 2661 (Comm)). Mr Justice Burton ruled that BTE insurers cannot stop policyholders instructing non-panel firms because the lawyers’ rates are higher than those stipulated by the insurers.

Here the prescribed rates were £125 and £139 (depending on the insurer); Webster Dixon put forward hourly rates for a partner or associate (grade A/B) of £274, for a solicitor £210 and for a trainee solicitor £105.

Though the insurers told Webster Dixon they would not agree to the firm acting, it continued to do so.

After concessions during the trial, the insurers’ argument focused on the contention that, on assessment, their prescribed fees should be the starting point in deciding what is reasonable.

However, the judge decided that insurers’ rates can only be used as a “comparator”. He said: “I suspect that in this case, where the insured made a choice of specialist solicitors, in London, fully qualified to meet the difficult issues in dispute with substantial defendants, an assessment would be likely to treat such comparator as of less weight.”

Burton J also considered the situation where an insured instructed a non-panel firm on the insurer’s rates, but then transferred the case to another firm which rejected those rates. The insurers argued that they could refuse cover if this happened, but on the facts the judge said they could not. “The freedom to choose a lawyer is not restricted to one choice,” he said.

Webster Dixon partner Michael Webster said insurers had used the charge-out rate issue as a “stick to beat lawyers with for many a year”. He said the ruling was very important for establishing that insurers cannot decline cover on this basis and for establishing the basis on which fees would then be assessed by the court.

The insurers in the case “refused to agree to what we considered to be reasonable rates and left us with no choice. We had to issue [proceedings] to protect our position”.

Mr Webster said the onus was now on the Financial Ombudsman to take action and issue policy guidance to insurers, or face “a litany of cases”.

The papers get wind of one of the RSA Cases

From the AJAG Website:

RSA repair firm fabricated charges – judge By tlavelle,

On September 21st, 2011 An RSA subsidiary company fabricated charges to boost profits, a High Court judge has ruled in a damning verdict on the insurer’s controversial subrogation arrangements.

Judge Platt, sitting at Romford County Court, said that if RSA’s subrogation model was adopted by the rest of the market, the cost of minor motor repair claims would be inflated by 25%.

Platt threw out a claim by RSA customer Kevin Fallows last week for £1825 repair bill, which he was seeking to recover from the defendant Hawker Transport via subrogation.

In non-fault accidents, RSA uses a subsidiary company RSA Accident Repairs Limited (RSAARL) to charge third party insurers for repair costs. RSAARL either carries out the repairs itself or uses a sub-contractor to do the work.

RSA was seeking to claim from the defendant’s insurer not only the costs charged by the vehicle’s sub contracted repairer DWS but RSAARL’s add on costs.

The amount claimed in RSAARL’s invoice was higher than the amount invoiced by the actual repairing garage.

RSAARL charged an hourly labour rate of £39.50, £3.50 more than the sum charged by its subcontractor even though it had not done any of the work itself.

RSAARL also charged a figure of £118.50 for sundry allowances, such as washing and cleaning.

He said: “These repairs were actually carried out by DWS and there is no evidence that the vehicle actually went through the hands of RSAARL for repair. Indeed the fact that RSAARL have charged exactly the same number of hours as DWS must lead to the conclusion that such items as environmental charge, washing cleaning, de-nibbing final inspection and road test cannot have been done or incurred by RSAARL and this item is simply a fiction invented by RSAARL.”

Ruling on RSA’s arrangement, Platt said : “There is no evidence put forward to explain why it is reasonable for RSA to impose an intermediary company into the chain of transactions.

“The effect of the arrangement which RSA has sought to implement is at best to pass on to the defendant’s insurers some part of the administration expenses incurred by RSA in dealing with the claim thereby inflating the total repair costs. Other and less innocent explanations are not necessarily to be rejected out of hand

“The effect of inserting RSAARL as an intermediary simply inflates the ultimate cost by increasing the hourly rate and adding extra charges, one of which I have disallowed in any event as a fabrication, and another as not reasonably incurred. If RSA chooses to carry on its business in that way it is entitled to do so but it is not entitled to allow RSAARL to add on what it pleases and then expect defendants to pay a sum which is not the true cost of repairs.

“Since RSAARL is wholly owned by RSA the effect of these extra charges if they are paid by defendants is simply to boost RSA Group’s profits beyond the actual cost of repair by the margins inserted by RSAARL”

Platt said RSA had no legal basis for taking such a course of action and that it’s subrogation arrangements were not in the public interest because they would inflate overall motor repair claim costs.

Crown Prices and the rise in the gold price

 Although this news came through before the website started it is worth remembering that I have reliable sources that say that bonded crown prices are now approximately £1,000 in London rather than £650 or so as was the norm. 

This is because of the increase in the gold price that, whilst it has settled a little recently, is still significantly higher than it was last year.  Whilst the metal inside porcelain crowns may not look gold in colour it is still a high percentage gold alloy.

Worth remembering when it comes to negotiating specials.

There is never a truer word than that said in jest…

 The Ogden Tables may be an evil necessity rather than a riveting read but there is always this line to be read in every edition:

“When it comes to the explanatory notes we must make sure that they are readily comprehensible. We must assume the most stupid circuit judge in the country and before him are the two most stupid advocates. All three of them must be able to understand what we are saying”.

Sir Michael Ogden, QC, on his explanatory notes to the First Edition of the Ogden Tables.

Ogden 7 Tables Published on Monday 10 October 2011

The Ogden 7 Tables will be out on Monday 10 October 2011.

You will be able to find them on the Government Actuary’s Department website at:

http://www.gad.gov.uk/Documents/Other%20Services/Ogden%20Tables/

They will of course be invaluable to all of you calculating losses and preparing schedules.   And of course for those of you who want to know when the Government thinks you’re going to die.