The Enterprise Act 2016

Passed on 4 May 2016, the Enterprise Act 2016 (the “Act”), now gives policyholders a potential right to claim damages in the event of late payment of claims. The provisions will come into effect on 4 May 2017 and will apply to every (re)insurance policy placed or renewed on or after that date, if it is subject to the laws of England and Wales, Scotland, or Northern Ireland. The provisions making the changes will be an amendment to the Insurance Act 2015.

Current Law
Under current law1, damages for late payment of claims are not recoverable from insurers. An insured can only recover what it is owed under the policy and cannot recover from insurers any additional losses it has suffered due to delay in payment by them.

New Act
Under the Act, it will be an implied term of every contract of insurance that if the insured makes a claim under the policy, the insurer must pay any sums due within a reasonable time. Breach of this implied term may give rise to a claim against the insurer for damages. The Act provides that a “reasonable time” includes a reasonable time to investigate and assess the claim. What is a “reasonable time” will depend on the relevant circumstances; however, the Act provides examples of matters which may need to be taken into account, including:

•• The type of insurance.
•• The size and complexity of the claim.
•• Compliance with relevant statutory or regulatory rules or guidance.
•• Factors outside the insurer’s control.

Learn more about the Enterprise Act 2016

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The Act also provides that if an insurer can show there were reasonable grounds for disputing the claim (whether in relation to liability or quantum), the insurer will not be in breach of the implied term merely by failing to pay the claim while that dispute is continuing.

Contracting Out
The Act does contain provisions to allow parties to a nonconsumer policy to contract out of the implied term, provided the insurer meets the “transparency requirements” in the Insurance Act 2015. However, such contracting out will not be valid where there has been a deliberate or reckless breachof the implied term by the insurer, and insurers will not be permitted to contract out in respect of consumer insurance policies.

Time Limitation 
It is very important for insureds to be aware that, under the Act, claims against insurers for breach of the implied term must be brought no later than one year from the date on which the insurer has paid all the sums due in respect of the claim. After the expiry of that one-year period, any claim for damages against the insurer will be time-barred.

Comment
In some circumstances, damages for late payment of claims may offer an important remedy for insureds and may provide an incentive for insurers to process and pay claims promptly. The Act is certainly a useful weapon in the insured’s armoury, and will give insureds and their brokers an additional negotiating point with insurers. However, there are significant hurdles to a successful claim for late payment. In order to recover damages for late payment, an insured would have to show that:
•• The insured had a valid claim under the policy; and
•• The insurer failed to pay within a reasonable time; and
•• The insured had suffered loss, which was caused by the insurer’s breach of the implied term; and
•• The loss suffered by the insured was foreseeable (that is, the loss suffered was the type of loss that would have been contemplated by the insurer and the insured at the date the insurance contract was entered into, had thought been given to the issue).
Furthermore, the insured will not be able to recover any loss that could have been avoided by taking reasonable steps. As such, the Act does not give insureds carte blanche to claim or recover damages from insurers in all cases. The Act contains a number of defences for insurers, and the courts would no doubt take into account the fact that claims – particularly complex ones – can often justifiably take considerable time to investigate.

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Why choose the Property Insurance Centre

Independent broker with staff you can speak to by phone or online

Access to a wide range of insurers to source suitable insurance cover for your needs

Bespoke Insurance Schemes & Portfolio Policies available

We can tailor your policy to suit your exact needs to give you complete peace of mind

Competitive Premiums

Cover available for the buildings while the property is being converted, renovated or extended

Over 40 years experience working with the best insurers in the UK

Excellent communication so that you understand what risks you are insured against

Why choose the Property Insurance Centre

Independent broker with staff you can speak to by phone or online

Access to a wide range of insurers to source suitable insurance cover for your needs

Bespoke Insurance Schemes & Portfolio Policies available

We can tailor your policy to suit your exact needs to give you complete peace of mind

Competitive Premiums

Cover available for the buildings while the property is being converted, renovated or extended

Over 40 years experience working with the best insurers in the UK

Excellent communication so that you understand what risks you are insured against

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Director at Property Insurance Centre | Website |  + posts

Robert Fisher is a company director of the Property Insurance Centre, who specialise in Business and Property Insurance, serving clients throughout the United Kingdom. His expertise and career in insurance spans almost twenty years.

Robert’s background is in Building Surveying, which he studied at Heriot-Watt University, where he was awarded a BSc (Hons) degree. Much of his educational background is in Building Structural Safety from an engineering perspective.

The knowledge that Robert gained at undergraduate level has lent itself well, particularly as it has enabled him to evaluate the risks associated with certain buildings. This means he knows how best to place these risks and ultimately insure the properties against such risks.

His in-depth knowledge of various methods of construction has enabled him to easily identify which insurer’s underwriting criteria would best fit each client’s needs and provide the correct levels of cover.

Additionally, Robert is responsible for training the team and ensuring that they are always kept up to date with the latest industry developments. This is an area that he is naturally drawn to because of his inquisitive mind, diligence and passion for passing on knowledge to others.

He is a member of the Chartered Insurance Institute (CII) and qualified to Level 3 with the CII.

As part of the Level 3 certification, Robert has undertaken modules in Insurance, Legal & Regulatory (IF1), Insurance Claims Handling (IF4) and Insurance Household Products (IF6).

As a condition of CII membership, Robert continues his professional development by keeping abreast of the latest industry developments.

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