Fenchurch Law – Annual Coverage Review 2025

As the insurance market continues to navigate evolving risks, regulatory frameworks, and geopolitical developments, 2025 has delivered a series of judgments that set important precedents as well as reaffirming established coverage principles. This annual review highlights the key themes emerging from these decisions and their practical implications for those responsible for managing coverage and compliance.

The cases reported this year address critical issues such as the interpretation of policy terms, the scope of notification obligations, the application of fair presentation duties and the classification of policy terms under the Insurance Act 2015. They also explore the impact of third-party rights, insolvency considerations, and principles regarding multiple cover when ‘other insurance’ clauses are in play.

Collectively, these rulings clarify the boundaries of contractual and statutory duties, reinforce the importance of timely and accurate disclosures, and provide guidance on maintaining coverage integrity in complex scenarios.

This round-up aims to equip policyholders and brokers with a clear understanding of the legal trends shaping the insurance landscape, including salutary reminders and pitfalls to avoid.

Unless otherwise stated, the Insurance Act 2015 is referred to as the “2015 Act” and the Third Parties (Rights Against Insurers) Act 2010 as the “2010 Act”.

Insurance Act 2015

  1. Lonham Group Ltd v Scotbeef Ltd & DS Storage Ltd (in liquidation) (05 March 2025)

In this Judgment, the Court of Appeal issued seminal guidance on how the 2015 Act treats representations, warranties, and conditions precedent. The Court was asked to determine whether the requirements under a Duty of Assured clause were representations or conditions precedent and thus triggering different sections of the 2015 Act.

The policy contained a three‑limb “Duty of Assured Clause” requiring D&S to:

  1. Declare all current trading conditions at policy inception.
  2. Continuously trade under those conditions.
  3. Take all reasonable steps to ensure those conditions were incorporated into all contracts.

The Court was asked to consider whether all three limbs needed to be read collectively (i.e. they would all be classified as either representations or conditions/warranties) or separately (so that each limb was capable of a separate classification). Overturning the decision of the High Court, the Court found that limb 1 was a pre-contractual representation subject to the duty of fair presentation of the 2015 Act, but limbs 2 and 3 were warranties and conditions precedent. As such, in accordance with the 2015 Act, the Insurer had no liability after the date on which the warranty had been breached.

This classification was said to reflect the 2015 Act’s intent: representations allow for proportionate remedies if inaccurate; terms requiring future conduct held to be warranties and/or conditions, by contrast, enable insurers to reject coverage upon breach, provided the terms are clearly drafted.

This decision marked the first major Court of Appeal test of Part 3 of the 2015 Act, and confirms that Duty of Assured clauses can contain both historic representations that go to the Insured’s duty of fair presentation, and warranties as to future conduct, which can have particularly catastrophic consequences if breached. It serves as a reminder to Policyholders and Brokers to scrutinise policy terms and ensure compliance.

Read our full article here.

  1. Clarendon v Zurich [2025] EWHC 267 (Comm) – Commercial Court Judgment (13 February 2025)

Fenchurch Law acted for Clarendon Dental Spa LLP and Clarendon Dental Spa (Leeds) Ltd, who claimed under a Zurich property damage and business interruption policy after a major fire. Zurich sought to avoid liability, alleging breach of the duty of fair presentation under the 2015 Act for failing to disclose insolvency of related entities.

The Court examined Zurich’s proposal question, “Have you or any partners, directors or family members involved in the business… been declared bankrupt or insolvent…?,” and held that a reasonable policyholder would interpret it as referring only to current directors or partners, not former entities. Consistent with Ristorante Ltd v Zurich (2021), and applying contra proferentem, the Court confirmed that ambiguity in insurer questions is resolved in favour of the insured and that disclosure obligations are shaped by the questions asked at inception.

Overall, the Court concluded Clarendon’s answers were correct and, in any event, Zurich had waived any right to disclosure beyond the scope of its own questions.

Please see our full article here.

  1. Delos Shipholding v Allianz [2025] EWCA Civ 1019

The Court of Appeal upheld the earlier Commercial Court’s ruling, reinforcing policyholder rights under marine war risks insurance and clarifying the duty of fair presentation under the 2015 Act. The case concerned the bulk carrier WIN WIN, detained by Indonesian authorities for over a year after a minor anchoring infraction. Allianz denied cover, citing an exclusion for detentions under customs or quarantine regulations and alleging non-disclosure of criminal charges against a nominee director.

The Court confirmed the exclusion must be construed narrowly, only detentions genuinely akin to customs or quarantine regulations fall within its scope and the WIN WIN’s detention did not qualify. It also reaffirmed that fortuity remains where the insured’s actions were neither voluntary nor intended to cause the loss. On duty of fair presentation, the Court held the nominee director (who had no decision-making authority) was not part of “senior management” under the 2015 Act, so the Policyholder had no actual or constructive knowledge of criminal charges against him. Further, Allianz had failed to prove that the charges were material and would have induced Allianz to enter into the insurance contract.

Our article on the Court of Appeal Judgment can be found here. Our earlier article on the Judgment of first instance is also here.

  1. Mode Management Limited v Axa Insurance UK PLC [2025] EWHC 2025 (Comm)

Following a fire on 7 February 2018 at industrial units in Brentwood, Mode (the named insured) and its director (the property owner) sued AXA under a “Property Investor’s Protection Plan” seeking declaratory relief, specific performance (to reinstate/put them back to the pre‑loss position), and other remedies. AXA had avoided the policy ab initio in September 2018 for alleged misrepresentation/non‑disclosure (including questions over insurable interest and planning permission) and applied for summary judgment.

The Commercial Court (Lesley Anderson KC sitting as Deputy High Court Judge) granted AXA’s application. The judge held that the claims were statute‑barred under the Limitation Act 1980, and in any event had no real prospect of success, including the insured’s bid for specific performance of AXA’s alleged secondary liability to reinstate.

The director’s personal claim also failed because he was not a party insured under the policy. The Court emphasised that, on the pleaded facts and policy wording, specific performance was not an available remedy, and the case could be resolved without a trial.

The Judgment can be accessed here.

  1. Malhotra Leisure Ltd v Aviva [2025] EWHC

During the Covid-19 lockdown in July 2020, a cold-water storage tank burst at one of Malhotra’s hotels, causing significant damage. Aviva, the property damage and business interruption insurer, refused indemnity, alleging the escape of water was deliberately and dishonestly induced by the claimant and that there were associated breaches of the policy’s fraud condition.

The Commercial Court held that Aviva bore the burden of proving, on the balance of probabilities, that the incident was intentional. The Court found that available plumbing and expert evidence supported an accidental explanation, and Aviva’s own expert accepted the escape could have been fortuitous.

The Court also scrutinised Aviva’s allegations of dishonesty in the presentation of the claim, finding that the Fraud Condition must be interpreted in line with the common law, meaning it applies only to dishonest collateral lies that materially support the claim, consistent with The Aegeon and Versloot. Because there was no evidence of dishonesty, and the alleged inaccuracies were either immaterial or inadvertent, the fraud condition did not bite, and Malhotra Leisure was entitled to indemnity.

Please see our full article here.

In a separate costs hearing, the Commercial Court was asked to determine whether costs should be awarded on the standard or indemnity basis. The claimant’s approved costs budget was £546,730.50, but actual costs exceeded £1.2 million, making the distinction significant.

The Court noted that while there is no presumption in favour of indemnity costs where fraud allegations fail, such allegations are of the highest seriousness and, if unsuccessful, will often justify indemnity costs. The Judge found that Aviva’s allegations inflicted financial and reputational harm and were pursued to trial without settlement discussions. As a result, the Court ordered Aviva to pay the claimant’s costs on the indemnity basis, including an interim payment of £660,000, demonstrating the Court’s uncompromising approach towards unfounded fraud allegations.

Please see our full article here.

Effect of Third Parties Rights against Insurers Act 2010

  1. Makin v QBE [2025] EWHC 895 (KB), Archer v Riverstone [2025] EWHC 1342 (KB), and Ahmed & Ors v White & Co & Allianz [2025] EWHC 2399 (Comm)

This trio of cases highlights the strict approach taken to claims notification provisions in liability insurance policies alongside their impact under the 2010 Act and reaffirms that Claimants under the 2010 Act will have to suffer the consequences of a policyholders breach of conditions.

The Courts confirmed that third-party claimants inherit not only the insured’s rights but also its contractual obligations. Notification clauses were treated as conditions precedent, even where not expressly labelled as such, meaning a breach of these provisions entitled insurers to deny indemnity.

In Makin, Protec Security delayed notifying QBE for three years after an incident that ultimately led to catastrophic injury. The Court held that the obligation to notify arose once Protec reasonably appreciated potential liability which was well before formal proceedings. Ultimately, failure to comply barred recovery.

Similarly, in Archer, R’N’F Catering failed to notify Riverstone promptly and ignored repeated requests for information. The Court rejected arguments that the claimant’s later cooperation could cure the insured’s breach, confirming that rights lost by the insured cannot be revived under the 2010 Act.

Both judgments emphasise that the trigger for notification is not the incident itself but the point at which the insured knows a claim may arise. Excuses such as administrative errors (argument that relevant correspondence had been sent to a spam folder) or insolvency were given short shrift.

By contrast, Ahmed focused on whether notifications made by White & Co to Allianz were sufficiently clear to trigger coverage under a professional indemnity policy. Despite extensive correspondence, the Court found none of the notifications adequately identified the claims or potential liabilities intended to be covered. The judgment underscores that compliance is not just about timing but also clarity and substance, vague or incomplete notices may fail to engage the policy.

The case also illustrates how technical drafting, such as aggregation clauses and endorsements, can compound the consequences of inadequate notification, limiting recovery even where coverage might otherwise apply.

These decisions reinforce several key points for policyholders and claimants:

  1. Notification clauses, even if unlabelled, may operate as conditions precedent.
  2. Breaches by the insured cannot be remedied by third-party claimants under the 2010 Act.
  3. Both timing and clarity of notifications are critical; “can of worms” notifications must be explicit.
  4. Failure to comply can result in catastrophic loss of indemnity, regardless of claim severity.

Policyholders, with their Brokers' assistance, should adopt a proactive and precise approach to claims notification to avoid disputes and preserve coverage.

Please see our full article on Ahmed here.

The full Judgment on Ahmed is available here.

Aviation

  1. Russian Aircraft Lessor Policy Claims [2025] EWHC 1430 (Comm).

In a landmark Judgment handed down on 30 June 2025, the Commercial Court determined coverage disputes arising from the grounding and expropriation of hundreds of Western leased aircraft in Russia following the invasion of Ukraine and the imposition of Russian Order 311 in March 2022. The claims, brought by a consortium of lessors including AerCap, DAE, Falcon, KDAC, Merx and Genesis, were the subject of a “mega trial” and resulted in the largest ever insurance award by the UK courts of over £809 million.

The Court held that Contingent Cover responded because the aircraft were not in the lessors’ physical possession and operator policy claims remained unpaid (interpreting, “not indemnified” as “not paid”). Applying a balance of probabilities standard, permanent deprivation was deemed to occur on 10 March 2022, with Russian Order 311 identified as the proximate cause amounting to an effective governmental restraint. This amounted to governmental “restraint” or “detention,” which fell within the Government Peril exclusion under the All-Risks section. Under the Wayne Tank principle, where there are concurrent causes, one covered and one excluded, the exclusion prevails, meaning All Risks could not respond. Consequently, the claims were covered under the War Risks section.

The biggest takeaway for Policyholders from this case, is the guidance that Mr Justice Butcher adopted from the Australian case of LCA Marrickville Pty Limited v Swiss Re International SE [2022] FCAFC 17, which held that:

“The ease with which an insured may establish matters relevant to its claim for indemnity may influence questions of construction … a construction which advances the purpose of the cover is to be preferred to one that hinders it as a factor in construing the policies.”

Please see our full article here.

Building Safety Act 1972

  1. URS Corporation Ltd (Appellant) v BDW Trading Ltd (Respondent) [2025] UKSC 21

In summary, BDW (being the relevant developer) sued URS (being the design engineers) in negligence for repair costs from structural defects in two development schemes. The Supreme Court was asked to decide whether such voluntarily incurred cost was recoverable and whether section 135 of the Building Safety Act 2022 (“BSA”) extends limitation for such claims.

The Supreme Court unanimously found that once developer knows that defects are attributable to negligent design then remedial works – even on property no longer owned by it – are not ‘voluntary’ in the sense they fall within the ambit of the engineers’ duty. This fortifies the existing common law principles that loss incurred in reliance on professional duty is recoverable, even absent a direct proprietary interest.

The Court clarified that section 135 of the BSA merely extends time for Defective Premises Act 1972 claims and does not revive or extend limitation periods for tortious claims. Policyholders should note that professional indemnity insurers need not cover historic negligence where properly time-barred under the Limitation Act 1980, unless otherwise endorsed.

The Court also held that section 135 of the BSA does not permit developers to treat their negligent repair costs as falling within extended timeframes, preserving clear statutory boundaries between contract/statutory claims and tort claims.

Read our full article on the Supreme Court’s Judgment here.

CAR Policies

  1. Sky UK Limited & Mace Limited v Riverstone Managing Agency Ltd [2025] EWCA Civ 1567

Insurers sought permission to appeal the Court of Appeal’s December 2024 decision in Sky v Riverstone ([2024] EWCA Civ 1567), which confirmed that deterioration and development damage occurring after the policy period, but stemming from damage during it, was covered under the CAR policy, along with investigation costs and a single deductible per event.

On 30 April 2025, the Supreme Court refused permission to appeal, leaving the Court of Appeal’s ruling intact. This outcome reinforces that insurers cannot restrict recovery to damage physically present at the end of the policy period and affirms a practical approach to progressive damage under CAR policies.

Overall, the refusal cements the Court of Appeal’s interpretation, providing certainty for policyholders on coverage for post-expiry deterioration linked to insured-period damage.

Our article on the Court of Appeal ruling, now confirmed by the Supreme Court’s dismissal is found here.

Latent Defects

  1. National House Building Council v Peabody Trust [2025] EWCA Civ 932 (CA)

The Court of Appeal resolved a key limitation question over NHBC Buildmark insurance’s “Option 1 – Insolvency cover before practical completion.” Under this extension, insurance is triggered not by the contractor’s insolvency per se but when the employer (Peabody) “has to pay more” to complete the homes because of the insolvency.

The underlying development involved 175 dwellings, including 88 social housing units. The contractor became insolvent in June 2016, and Peabody arranged for completion thereafter, with practical completion in January 2021. The claim for additional completion costs was brought in July 2023. NHBC contended that the cause of action accrued in 2016, when the contractor became insolvent, and was now statute-barred; Peabody argued instead that it accrued when costs were actually incurred.

The Court unanimously agreed with Peabody, affirming the Technology & Construction Court’s view that the policy insured against additional payment triggered by insolvency, so the cause of action only accrued when extra costs became payable. The NHBC appeal was dismissed.

This decision emphasises the importance of carefully identifying the insured event as defined in policy terms and confirms that policies with “pay-when-loss-incurred” triggers should be interpreted on their true wording rather than conventional accrual rules.

The Judgment can be found here.

Other Insurance

  1. Watford Community Housing Trust v Arthur J Gallagher Insurance Brokers Ltd

This Judgment was a significant ruling clarifying principles concerning multiple cover and a policyholder’s rights following a cyber-related loss. It was a resounding win for policyholders: securing sequential access to multiple policies.

The Court held that Watford had the right to choose which policies to invoke, having the benefit of PI, Cyber and Combined policies, attracting limits of £5 million, £1 million, and £5 million, respectively. Timely notification was made under the Cyber policy, but late notification was successfully raised by the PI insurer to decline indemnity. The Combined insurer confirmed cover despite late notification.

The Court held that the “other insurance” clauses (limiting cover where overlapping insurance exists) effectively neutralised each other, allowing sequential claims rather than enforcing contribution across overlapping policies. This ruling supports the principle that a policyholder can access each policy in turn until the total loss is covered. Having recovered £6 million, Watford also sought recovery of the additional £5 million under the PI policy had timely notification been made. Consequently, Watford was entitled to a total of £11 million.

As to broker liability, the Court found that, but for the broker’s negligence, the PI policy would have been exhausted. Since it was not, the broker was held liable for the £5 million shortfall. The Judgment is a stark reminder that notification conditions should be identified and complied with. It also emphasises a broker’s duty to accurately advise on policy layers and limitations to ensure the policyholder is clearly instructed and that the advice given is documented.

Our full article can be found here.

Authors

Dan Robin, Managing Partner

Catrin Wyn Williams, Associate

Pawinder Manak, Trainee Solicitor


Claims Notifications and Policy Terms: A Taxing Duo

Ahmed & ors v White & Company (UK) Ltd & Allianz Global Corporate & Specialty SE [2025] EWHC 2399 (Comm)

BACKGROUND

This case concerned claims (“the Claims”) brought by 176 investors (“the Claimants”) against White & Company (UK) Ltd (“W&C”), a firm of chartered accountants, and its professional indemnity insurer, Allianz Insurance Company (“Allianz”). The Claimants alleged that they had been provided with negligent advice by W&C regarding a series of high-risk tax-mitigation investments. Following W&C’s insolvency, the Claimants sought recovery directly from Allianz under the Third Parties (Rights Against Insurers) Act 2010 (“the TPRAI”).

The central question was whether Allianz was liable to indemnify W&C under its professional indemnity policy for the losses claimed.

THE POLICY

The policy contained the following terms:

The Notification Clause

"The Policyholder shall, as soon as reasonably practicable during the Policy Period, notify the Insurer at the address listed in the Claims Notifications clause below of any circumstance of which any Insured becomes aware during the Policy Period which is reasonably expected to give rise to a Claim. The notice must include at least the following:

(i) a statement that it is intended to serve as a notice of a circumstance of which an Insured has become aware which is reasonably expected to give rise to a Claim;

(ii) the reasons for anticipating that Claim (including full particulars as to the nature and date(s) of the potential Wrongful Act(s));

(iii) the identity of any potential claimant(s);

(iv) the identity of any Insured involved in such circumstance; and

(v) the date on and manner in which an Insured first became aware of such circumstance.

Provided that notice has been given in accordance with the requirements of this clause, any later Claim arising out of such notified circumstance (and any Related Claims) shall be deemed to be made at the date when the circumstance was first notified to the Insurer.”

          (“the Notification Clause”)

Related Claims Clause

“any Claims alleging, arising out of, based upon or attributable to the same facts or alleged facts, or circumstances or the same Wrongful Act, or a continuous repeated or related Wrongful Act…shall be deemed to be a single claim”.

(“the Related Claims Clause”)

Tax Mitigation Endorsement

claims arising from investments which were “pre-planned artificial transactions designed to achieve a specific tax outcome” were subject to a single limit of indemnity of £2 million.

(“the Tax Mitigation Endorsement”)

THE ISSUES:

The Court considered three key issues:

  1. Whether W&C had validly notified Allianz of the claims or circumstances that might give rise to claims pursuant to the Notification Clause.
  2. Whether the claims should be aggregated under the policy’s “Related Claims” clause; and
  3. Whether the Tax Mitigation Endorsement applied.

JUDGMENT

Notification

As part of determining whether the Claims had been validly notified, the Court was asked to consider whether the following three categories of communications constituted a valid notification of all Claims pursuant to the Notification Clause.

  1. The “Akbar Letters”

These were letters written by the Claimants’ solicitors to W&C, outlining details of specific investments and the alleged negligent advice provided by W&C in relation to those investments.

The Claimants argued that forwarding these letters to Allianz constituted a broad notification, sometimes referred to as a “hornets’ nest” notification, which should be interpreted as alerting Allianz to the possibility of further claims from other clients who had received similar advice, not just the 14 named entities. Allianz, on the other hand, argued that the notification was limited strictly to the 14 specific entities mentioned in the letters and did not extend to any other potential claimants.

Considering all the evidence presented, the Court found in favour of Allianz that the language did not signal a “hornet’s nest” scenario, indicating an influx of future claims. In coming to this decision, the Court stressed that any notification must be clear and specific. In contrast, the Akbar Letters did not provide sufficient information to put Allianz on notice of a broader class of claims.

  1. The “Block Notification”

These communications between W&C and Allianz contained information regarding HMRC inquiries into premature EIS relief, along with a spreadsheet. An EIS (Enterprise Investment Scheme) is a UK government initiative that encourages investment in small, high-risk companies by offering tax reliefs to investors. The relevance in this case was that the investments in question were structured to take advantage of EIS tax reliefs, and HMRC inquiries suggested that the reliefs may have been claimed prematurely or improperly.

The Claimants argued that the Block Notification, which included details of the HMRC inquiries and a spreadsheet of affected clients, should have been interpreted as a notification of circumstances that might give rise to multiple claims against W&C. Allianz, however, interpreted this notification as relating solely to another entity MKP, which W&C had acquired and not W&C itself, and argued that it did not provide sufficient detail or context to constitute a valid notification of claims or circumstances under the policy.

In the Court’s judgement, a reasonable insurer in Allianz’s position would have perceived the Block Notification as limited, and not indicative of wider claims against W&C, as it did not clearly identify W&C as the subject of the potential claims, nor provide enough information to alert Allianz to the risk of multiple claims. The Court noted that while W&C may have had the subjective awareness of the broader matters, that awareness was not communicated to Allianz and therefore was not within the scope of the notification.

  1. The “Kennedy Documents

These were emails between defence counsel, their clients, W&C, Allianz, and the claimants’ lawyer. The documents included correspondence and information that might have disclosed sufficient facts to support a broader notification of circumstances. The Claimants argued that these communications, by virtue of being shared with Allianz, should be treated as a valid notification under the policy. However, Allianz contended that the policy required notifications to be made “by the insured,” and that communications from solicitors or third parties did not satisfy this requirement, unless there was express contractual authority for them to notify on W&C’s behalf.

In his judgment, Judge Pearce noted that such documents might have disclosed sufficient facts to support a broader notification. However, as W&C itself did not communicate them and, absent express contractual authority for W&C’s solicitors to notify on its behalf, Allianz’s receipt did not satisfy the policy’s requirement that any notifications come “by the insured”.

Overall, the Court determined that no communication effectively notified Allianz of broader circumstances or triggered wider policy cover. Only narrow notifications of specific claims, by reference to specific investments, were valid. Hence, policyholders should note the importance of strict compliance with policy notification requirements and the need for clarity and specificity in any notification to insurers.

Aggregation and Endorsement

Judge Pearce then addressed the alternative arguments on aggregation and policy limits if the matters had been validly notified.

Tax Mitigation Endorsement:

This endorsement applied to tax-mitigation schemes such as pre-planned, artificial transactions aimed at achieving specific tax outcomes (including EIS). The Claimants contended that the endorsement should not apply to all the investments in question, or that its application should be limited. Allianz argued that the endorsement was triggered by the nature of the investments, which were designed to achieve specific tax outcomes through artificial means, and that the £2 million limit therefore applied to all claims.

The Court agreed with Allianz, finding that the endorsement applied and that the Claimants’ demand for £50 million was subject to the £2 million limit.

Related Claims Clause

The policy defined related claims as those arising from the same facts, circumstances, wrongful act, or a related wrongful act. The Claimants argued that each investor’s claim should be treated separately, potentially allowing for multiple limits of indemnity to apply. Allianz, conversely, argued that all claims arose from the same or related acts, namely, W&C’s advice on tax mitigation schemes, and should therefore be aggregated as a single claim under the policy.

Supporting Allianz, the Judge found that each of the investor claims relating to EIS stemmed from the same alleged misconduct by W&C, namely, negligent advice on tax‑mitigation schemes and therefore were sufficiently “related” to aggregate as one claim. However, the non-EIS claims were not sufficiently related.

KEY TAKEAWAYS

Overall, this decision is a reminder of the strict approach towards claim notifications and the application of policy terms. Policyholders must ensure notifications are clear, complete and timely, as ambiguous or narrow notifications risk leaving policyholders without cover. Equally, it is critical for policyholders to understand the wording of their insurance policy and be alive to terms that limit cover via aggregation clauses, to ensure policy coverage aligns with risk exposure.

Chloe Franklin is an Associate and Pawinder Manak is a Trainee Solicitor at Fenchurch Law


Understanding Common Construction Exclusions: Lessons for brokers and policyholders

At our recent London Symposium, Daniel Robin, Deputy Managing Partner at Fenchurch Law hosted a session on the principles and importance of interpreting policy exclusions, both within construction, and across the insurance industry.

The session focused on four key areas: contractual liability exclusions, cladding and fire safety exclusions, exclusions relating to liquidated damages, and finally whether Section 11 Insurance Act can apply to Exclusions. It is often said that a policy is only as good as its exclusions, and a good proportion of coverage disputes turn on the correct interpretation of its exclusions. An understanding of these exclusions is essential for brokers to help their clients navigate and mitigate these risks to avoid being left uncovered.

  1. Contractual liability exclusions managing assumed risks

Contractual liability exclusions are one of the most common exclusions in liability insurance. These clauses prevent insurers from covering risks that arise because the policyholder has assumed ‘obligations by contract’ through indemnities, guarantees, or warranties given to third parties.

Daniel clarified: “Insurers don’t generally want to be on the hook for liabilities that wouldn’t exist under common law or statute, or for promises that go beyond what’s legally required.”

When an insured professional takes on a larger liability than legally required, like guaranteeing an outcome, which is a larger promise than simply the duty to exercise reasonable skill and care, that liability may fall outside insurance cover.

Often claimants will go down the path of least resistance and pursue strict liability contractual breaches, which will leave policyholders having to prove that they would still have been liable under common law, usually for a breach of reasonable skill and care. However, building regulations or planning requirements can be amended retrospectively, sometimes making previous designs non-compliant, which could fall foul of a strict liability contractual provision, but not a breach of a reasonable skill and care.

To protect clients, brokers should scrutinise client contracts for any indemnities, guarantees, or warranties that extend liability beyond common law, and ensure the policy either aligns with those obligations, or that clients understand the potential uninsured exposures, or that the appropriate extensions to cover are purchased.

  1. Cladding and fire safety exclusions

Cladding and fire safety exclusions are potentially the most topical and complex exclusions facing construction professionals. “One exclusion that is very common; insurers limit their liability for anything arising out of or connected to combustibility or fire protection.”

Fire safety exclusions are standard in many professional indemnity and construction all-risk policies, and they often appear deceptively simple. However, their breadth can leave significant coverage gaps.

Ultimately, interpretation can hinge on small wording distinctions. In an example, Daniel suggested that the exclusion might not apply where the issue concerned a lack of design detail rather than the choice of combustible material. The key was whether the clause referred to the form of materials used or the design or omission itself.

Daniel cautioned: “It’s a fine line, but the burden will always be on the insurer to prove that an exclusion applies. Still, brokers and insureds must be alert to the fact that even design omissions may fall foul of broadly drafted fire safety exclusions.”

Other types of cladding provisions, that limit the scope of cover but do not outright exclude it, can also raise challenges; where exclusions limit indemnity to the “cost of rectifying defective work,” policyholders may find that consequential losses or replacement costs are uninsured.

Brokers must therefore review policy wordings in line with regulatory developments to make clients aware of any gaps in coverage due to evolving building standards or retrospective safety amendments, and ensure that their policyholders are aware of what cover is in place.

  1. Exclusions relating to damages: liquidated and consequential losses

Furthermore, insurance does not automatically follow the contract, particularly when contracts allocate risk through liquidated damages.

Liquidated damages clauses are a common feature of construction contracts, predefining the amount payable in the event of delay or breach, reflecting an agreed estimate of loss. However, insurers typically exclude these liabilities, viewing them as ‘punitive’ or ‘beyond the scope’ of compensatory loss.

“Insurers exclude them because they don’t allow for an assessment of actual loss and can operate more like penalties even though in reality they can limit the policyholders exposure that they would have in any event under other contractual provisions.”

Exclusion clauses still remain even when liquidated damages are a genuine pre-estimate of loss, meaning that policy coverage generally extends only to direct, compensatory loss, not to sums agreed pre contract.

The knowledge that delay or contractual penalty exposures are unlikely to be insured, even if they seem commercially reasonable, is essential to clients, and brokers should therefore always draft limitation of liability clauses that cover liquidated damage risks too.

  1. Section 11 Insurance Act and exclusions

Daniel finally discussed an increasingly important area of insurance law: how S.11 Insurance Act 2015 interacts with policy exclusions and warranties.

Section 11 of the Act clarifies that an insurer cannot rely on a breach of warranty or condition precedent if the breach did not actually increase the risk of the loss that occurred. It is not yet tested in Court if this principle could also apply to exclusions, as it may “catch other types of contractual provisions such as conditions precedent or similar rules.” However, the wording of the Act, and the guidance notes suggest that it can apply to exclusions that impose an obligation on the policyholder as a pre-requisite to cover.

Brokers should therefore challenge insurers who decline claims by considering section 11; if the decline is purely technical and unrelated to the loss event, policyholders may still be entitled to claim cover.

Key lessons for brokers

Exclusion clauses are more than technicalities, they define the boundaries of insurance protection. For brokers, several practical lessons emerged: primarily, brokers must scrutinise contractual obligations and identify warranties, indemnities, or guarantees that extend liability beyond ‘duty of care’. It is also important to monitor regulatory shifts, and educate clients on the difference between compensatory damages (insurable) and liquidated or penalty-based damages (typically excluded).

Good communication is essential, not just with your client, but with experts from every industry involved. Effective dialogue between legal, technical, and insurance teams while forming a contract is one of the easiest ways to ensure risk cover is coherent and insurable. The interpretation of an exclusion depends not only on precise wording but also on how contracts are drafted, executed, and aligned with the policyholder’s duties.

Mastering these subtleties and leaning on the expertise of other teams is central to a broker’s role as an adviser. A proactive, detail-oriented approach, combining legal awareness with practical foresight, enables brokers to anticipate exclusions, bridge gaps, and ultimately keep their clients covered.

Daniel Robin is the Deputy Managing Partner at Fenchurch Law.


The Fenchurch team reflects on a year in the insurance legal sector

This year, we were pleased to contribute to Insurance Post’s Claims and Legal Review 2025, with Senior Partner, David Pryce, Managing Partner, Joanna Grant and Deputy Managing Partner, Daniel Robin sharing their perspectives on the year.

David shared that this year was one for international expansion. We built on our 2024 launches in Singapore and Copenhagen, and formed a partnership with US policyholder firm Saxe Doernberger & Vita, alongside the opening of an office in Istanbul to serve the wider Turkic region. ‘These milestones put us ahead of schedule on our objective to have a presence in every region by 2030.’

For Joanna, her major disappointment was the continued failure of many insurers to pay valid claims, ‘insurers are still not stepping up to be part of the solution as often as we would like.’

However, she did see some positive developments in the legal landscape, welcoming the courts’ reaffirmation of a policyholder-friendly approach to insurance interpretation. ‘This is a real boost for both the claims and legal sectors, ensuring insurance works as intended.’

Looking back on the year, Joanna also noted that the sharp rise in cyberattacks served as a reminder of the importance of proactive risk management. ‘Armed with the knowledge that cyber-attacks have tripled this year, I would go back and ensure that every policyholder, from the largest, most sophisticated corporates to SMEs, received robust advice on cyber coverage.’

Daniel Robin turned his focus to the year ahead, observing that after the disruptive impacts of COVID-19 and Grenfell, ‘we’re seeing the market begin to soften, which we hope will lead to insurers taking a more holistic and pragmatic approach to coverage, particularly for complex or grey-area claims.’ He also anticipated a final surge in Covid-19 claims activity as limitation periods expire, alongside increased adoption of AI to drive efficiency and support faster, fairer outcomes for policyholders.

Finally, David concluded with one key ambition for the future: ‘My wish for 2026, would be for all policyholders to be treated fairly by their insurers.’

Find the full Insurance Post article here (subscription required): https://www.postonline.co.uk/claims/7959390/claims-legal-review-of-the-year-2025?check_logged_in=1&ref=search 


The Cost of Alleging Fraud: Costs Judgment Handed Down in Malhotra Leisure Ltd v Aviva [2025]

Introduction

This article examines the Commercial Court’s recent costs judgment in Malhotra Leisure Ltd v Aviva [2025], a case with significant implications for policyholders facing fraud allegations from their insurers. The decision underscores the risks insurers face when making serious allegations without sufficient evidence, and the potential for substantial costs consequences if those allegations fail.

Background

Earlier this year, we reported on the Commercial Court’s decision in Malhotra Leisure Ltd v Aviva [2025] EWHC 1090 (Comm).

To recap, during the Covid-19 lockdown in July 2020, water had escaped from a cold-water storage tank at one of the Claimant’s hotels causing significant damage.

Aviva, the Claimant’s insurer under a property damage and business interruption policy, refused to indemnify the Claimant on the basis that:

  • the escape of water was deliberately and dishonestly induced by the Claimant; and
  • there were associated breaches by the Claimant of a fraud condition in the policy.

However, considering that there was no evidence that (a) the escape of water had been induced by the Claimant, or (b) there was any financial motive for it to have been, the Commercial Court held that Aviva’s fraud allegations failed.

The judgment read as a cautionary tale, reminding insurers that allegations of dishonesty cannot be pleaded lightly and that reasonably credible evidence must exist to establish a prima facie case of fraud.

You can read our article on the underlying judgment here - Court pours cold water on insurer’s fraud claims: Malhotra Leisure Ltd v Aviva - Fenchurch Law UK.

The Costs Judgment

This month, the Commercial Court handed down judgment on a number of consequential matters. Crucially; whether Aviva should pay the Claimant's costs of the proceedings on an indemnity or standard basis.

An award of costs on the indemnity basis is considerably more favourable than an award on the standard basis because it:

  • places the onus of showing that costs are unreasonable on the paying party;
  • disapplies the requirement for proportionality; and
  • renders the parties’ approved budgets irrelevant for the purposes of assessment.

In this case, the Claimant had budgeted costs of £546,730.50 but incurred costs of £1,202,957.09. The difference—over £650,000—depended on whether indemnity costs were awarded.

The starting point in all cases is that costs should be assessed on the standard basis and the burden of proving that costs should be assessed on an indemnity basis lies with the receiving party (in this case, the Claimant). Whilst there is no presumption in favour of indemnity costs where a defendant makes unsuccessful allegations of fraud, it will frequently attract indemnity costs in practice.

In Clutterbuck v HSBC Plc [2016] 1 Costs LR 13, David Richards J, as he then was, stated that “the seriousness of allegations of fraud are [sic] such that where they fail they should be marked with an order for indemnity costs because, in effect, the defendant has no choice but to come to court to defend his position”.

In other words, failed allegations of fraud should be a significant factor in persuading a court that indemnity costs should be awarded.

The Claimant referred the Court to the test set out in Suez Fortune Investments Ltd v. Talbot Underwriting Ltd [2019] Costs LR 2019. Namely whether, when one looks at the circumstances of the case as a whole, they are “out of the norm” in such a way as to make it just to order costs on the indemnity basis.

The Parties’ Arguments

The Claimant argued that, because Aviva’s allegations were so serious, they had inflicted financial and reputational damage and, because those allegations had turned out to be misconceived, justice demanded that costs should be recovered on an indemnity basis. An order for indemnity costs would allow it to recover a higher percentage of the costs that it had been forced to incur in order to defend and vindicate itself. It is no answer to an application for indemnity costs to say, as Aviva did, that the allegations were reasonably made or advanced by experienced and responsible counsel (Farol Holdings v Clydesdale Bank [2024] EWHC 1044 (Ch)).

In support of its argument that it’s conduct did not warrant such an outcome, Aviva submitted that what is required for an order of indemnity costs is conduct that is unreasonable to a high degree, and that a fraud defence supported by credible, lay and expert evidence is not deemed to be speculative, weak, opportunistic or thin simply because it ultimately proves unsuccessful at trial.

It pointed out that the insurance industry is plagued with fraudulent claims and the financial pressures facing businesses both during and following the Covid-19 lockdowns only exacerbated the problem. It submitted that insurers have a duty to challenge insurance claims which appear disingenuous (in whole or in part) otherwise fraudulent claims go unchallenged, premiums across the industry increase and all policyholders suffer. Legally, it pointed out that the Court must be careful not to use hindsight when assessing the strength of an unsuccessful party's case pursuant to Governors and Company of the Bank of Ireland & Anr v Watts Group Plc [2017] EWHC 2472 (TCC).

The Decision

Despite Aviva’s plea, in a judgment handed down on 6 November 2025, Nigel Cooper KC ordered it to pay the Claimants' costs on an indemnity basis, for the following reasons:

  1. The allegations of dishonesty made by Aviva (that individuals at the Claimant had devised a fraudulent scheme to damage the Claimant’s own property in order to defraud, and had subsequently lied to the court in respect of this) were of the highest level of seriousness.
  2. Both the Claimant and individuals at the Claimant had suffered financial and reputational harm as a result of Aviva’s allegations.
  3. Aviva had pursued the allegations through to the end of trial without entertaining settlement discussions with the Claimant.
  4. The risks associated with making the allegations were reasonably apparent from when they were first raised, given that there was no evidence that the flood had been induced by the Claimant.
  5. Aviva’s case evolved at trial without any attempt to amend its pleadings.

Implications for Policyholders and Insurers

This case serves as a salient reminder that fraud cannot be pleaded lightly. Aviva’s argument that it has a duty to challenge insurance claims that appear disingenuous is perhaps telling of what is at the heart of an increasing issue in the insurance industry; insurers being too willing to pursue fraud allegations. While there is no suggestion that insurers should not be able to allege fraud in circumstances where there are bona fide reasons to do so, those allegations must be balanced against the damage and harm they cause to policyholders if they prove to be incorrect. The starting point should a holistic assessment, considering all factors before such allegations are pursued, rather than the presumption that any suspicion of dishonesty should lead to a fraud allegation.

For policyholders, the case demonstrates that robustly defending unfounded fraud allegations can lead not only to vindication but also to recovery of costs on the indemnity basis.

An insurer must assess the risk, consider engaging in settlement discussions and ensure that all allegations are appropriately pleaded. Otherwise, it may well pay a significant price.

Authors

Daniel Robin, Deputy Managing Partner

Abigail Smith, Associate 


The unattractive reality of the King Trader Decision - a botched appeal

The Court of Appeal has handed down its judgment in MS Amlin v King Trader.

The case stems from the 2019 grounding of MV Solomon Trader. After Bintan Mining Corporation (“BMC”), the charterer insured by MS Amlin, became insolvent, the vessel’s owner (King Trader Ltd) and its P&I Club sought to enforce a US$47 million arbitration award against MS Amlin under the Third Parties (Rights Against Insurers) Act 2010. The policy included a “pay-first” clause, requiring the insured to pay the liability before receiving an indemnity. Anticipating BMC’s inability to pay due to insolvency, MS Amlin sought a declaration that it owed no indemnity due to the pay-first clause. In July 2024, the High Court (Foxton J) granted the declaration. King Trader and the P&I Club appealed on three grounds.

Issues forming the appeal

Three issues below were considered by the Court of Appeal:

  1. Incorporation: Were the policy’s general conditions (including the pay-first clause) part of the insurance contract?
  2. Inconsistency: If incorporated, did the pay-first clause conflict with the primary insuring terms (and thus not apply)?
  3. “Red Hand” Notice (Onerous Term): Was the pay-first clause so onerous or unusual that it should not bind the insured (or its assignees) since it wasn’t sufficiently brought to their attention?

On 5 November 2025, the Court of Appeal (Sir Geoffrey Vos MR, Singh LJ, Males LJ) dismissed the appeal on all grounds, confirming that the pay-first clause defeated the owners’ and Club’s claim.

Court of Appeal Decision

Incorporation

The Court of Appeal agreed with the first instance judge that the pay-first clause was indeed part of the policy, was enforceable, and had been properly incorporated into the contract. The policy’s Certificate of Insurance expressly incorporated a policy booklet containing the general conditions, and no reasonable reader would assume that only the Certificate contained all terms. The Court saw no merit in the suggestion that the pay-first clause “was not part of the contract”.

Inconsistency

The court also found no inconsistency between the pay-first clause and the policy’s insuring clause. The charterers’ liability insuring agreement promised to indemnify the insured against liabilities (such as the arbitration award) that were established by final judgment or award. The pay-first clause qualified that promise by making actual payment of the liability a precondition to indemnity. The owners argued this “emasculated” the cover, but the Court held it merely “qualifies and supplements” the indemnity; it does not negate it. The Court found no actual conflict, so the pay-first condition remained effective alongside the main insuring terms.

“Red Hand” Notice

On the “red hand” argument (a reference to Lord Denning’s dictum that especially onerous clauses must be printed with a red hand pointing to them), the Court of Appeal gave a definitive response. Vos MR preferred the term “onerous clause doctrine” for this principle. He emphasised the high threshold for declaring a contract term unenforceable due to lack of notice in a commercial setting. The pay-first clause, though harsh in outcome, was not unusual in marine insurance, and such clauses are common and well understood in that market. Moreover, BMC had a professional insurance broker, who is presumed to know the significance of standard terms and explained this significance to the insured. The Court held the pay-first provision was neither onerous nor unusual enough to require special notice beyond what was given. Therefore, the owners and Club could not avoid it on that basis. The Judgment clarifies that the onerous clause doctrine has little application between sophisticated parties of equal bargaining power in commercial insurance.

Policyholder Perspective – Key Takeaways:

This decision confirms that English law will uphold clear “pay first” or “pay-to-be-paid” provisions in marine insurance contracts, even where this leaves an insolvent policyholder’s creditors without recourse. This outcome is harsh, as pay-first clauses reduce the efficacy of insurance protection just when it’s most needed. However, the Court of Appeal’s confirmation that there is little room to escape these clauses puts further emphasis on the need for insureds to carefully consider whether a “pay-first” requirement is acceptable to them, or if they (and their brokers) should really negotiate these clauses out of policies before inception.

From a policyholder’s standpoint, the case is the latest stark reminder to scrutinise policy wordings for onerous conditions, such as pay-first clauses. Such terms can fundamentally restrict coverage in scenarios of insolvency, and also will have a broader impact on the cash flow of an insured.

It’s worth noting that the 2010 Act does, however, invalidate pay-first requirements for certain kinds of claims (notably personal injury or death in marine policies), but aside from those exceptions, the clause will bite.

In King Trader, the inability of the insured to pay meant the loss ultimately stays where it fell – on the insolvent insured and the third parties – rather than shifting to the insurer.

Our colleague, Anthony McGeough, concluded that the underlying Judgment was an ugly decision for policyholders, (bad for policyholders, but correctly decided). The resounding failure of the appeal suggests that the Court of Appeal has made this case uglier still.

For our commentary on the underlying Judgment, click here.

Authors

Toby Nabarro, Partner

Dru Corfield, Associate


Fenchurch Law bolsters Construction and Property insurance team with two new appointments

Fenchurch Law, the UK’s leading firm working exclusively for insurance policyholders and brokers, has announced the expansion of its Construction and Property team, with Rob Goodship joining as Partner and former structural engineer, Duncan Gray, joining as a Trainee Solicitor.

Rob Goodship brings 15 years of insurance litigation experience with him, including considerable experience in resolving complex and high-value claims for corporate policyholder clients. He started his career at Kennedys, becoming an Associate, before joining Fenchurch Law in 2019 and being promoted to Associate Partner in 2022. He has spent the last 2 years at the Ardmore Group, one of the UK's leading main contractors, as Head of Risk, Insurance & Compliance. During this time, he gained in-depth experience in construction risks as well as continuing impact of the Building Safety Act 2022 on the sector. He returns to Fenchurch Law as Partner.

Duncan Gray has joined as a Trainee Solicitor at Fenchurch Law to develop his legal career, leveraging his extensive background in the construction industry. Before joining the law firm, Duncan worked as a structural engineer predominantly for engineering consultants and for tier one contractors in design management roles. He is also a Chartered Structural Engineer and a member of the Institute of Structural Engineers. He brings unique first-hand experience of the construction industry to his new role at Fenchurch Law.

These two hires come at a time of continued expansion for Fenchurch Law, as it grows its offering both in London and internationally, most recently with the opening of its Istanbul office on 1st October.

Managing Partner at Fenchurch Law, Joanna Grant, commented: “We are delighted to welcome Rob back and have Duncan join the team. Rob’s proven track record and extensive legal experience supporting policyholders and, in particular, contractors will be invaluable in helping our construction sector clients navigate this new legal landscape. In addition, Duncan’s industry experience will bring an important new perspective and knowledgebase to the company as we continue to deepen our specialist expertise in managing complex construction and property claims. Together, their combined experience will be invaluable in supporting Fenchurch Law in its mission to level the playing field for policyholders in the UK and around the world”

Rob Goodship shared: “I am excited to return to Fenchurch Law, and bring my experience working with one of the UK’s leading contractors to the Construction and Property team. To be joining as a Partner is a genuine privilege. During my time at Ardmore, I worked extensively on the risks arising from the Building Safety Act, including Building Information Orders and Building Liability Orders. Unfortunately for those in the sector, I think that we are only just beginning to see the systemic impact which the remedies under the BSA are going to have, such that this should be a real focus area for brokers and their clients.”

Duncan Gray added: “I was attracted to Fenchurch Law because of its reputation for high-quality work, combined with an innovative and dynamic culture. What really stood out to me was their individualised approach, both in the service they provide to clients and in how they develop their people. As someone who came into law through a non-traditional route, that made a real difference.”


Fenchurch Law continues global expansion plans with opening of new Istanbul office

Fenchurch Law, the leading international law firm for insurance policyholders and brokers, has expanded its specialist legal support to the wider Turkic region from its new hub in Istanbul.

Istanbul is an established (re)insurance hub, with particular expertise in Energy and Construction. The new Fenchurch Law office, serving territories across the Turkic and Balkan regions, will provide much needed legal support for policyholders and brokers.

The office is led by renowned Turkish-qualified lawyer, Çağlar Kaçar, who built his expertise during his tenure as an in-house lawyer at Marsh. He brings extensive experience in the insurance and reinsurance sector, having focused on supporting brokers and representing policyholders throughout his career before founding his own practice. His practice is uniquely positioned as a pro-policyholder firm, and his leadership combines sector knowledge, regulatory expertise, and strong broker relationships.

The opening of the Istanbul office comes a year after the launch of Fenchurch Law’s offices in Singapore and Denmark, and five months after forming a partnership with US law firm Saxe Doernberger & Vita, P,C. Fenchurch Law’s Istanbul office marks an important further milestone in the firm’s ongoing global expansion strategy.

Senior Partner at Fenchurch Law, David Pryce, commented: “As one of the major global insurance hubs, Istanbul is a natural new location for Fenchurch Law’s expansion, continuing our growth phase to level the playing field between policyholders and their insurers across the globe. Istanbul’s role in the Energy and Construction fields is especially interesting to us at Fenchurch Law, as we strengthen our established offerings in both sectors from our London, Copenhagen, and Singapore offices, and in the US alongside our colleagues at SDV. We could not think of a better individual than Çağlar Kaçar to lead this new hub, with his extensive sector knowledge and excellent reputation within the insurance ecosystem in the Turkic region.”

Çağlar Kaçar, new Regional Managing Partner commented: “Working and being associated with Fenchurch Law represents a natural continuation of my professional focus. Their work to support the policyholder in complex claims and high-value coverage disputes is something that I have focused on throughout my career, and I am pleased to be joining a team that prioritises the same mindset. Having worked in this region for many years, building strong broker relationships, and leading my own practice, I look forward to contributing to the development of this work here in such a dynamic and powerful insurance hub.”


The underinsurance crisis: legal repercussions, broker responsibilities, and growing solutions

Underinsurance is still a major, pressing issue in the UK insurance market, with recent figures revealing that a huge 76% of commercial buildings are currently underinsured. While this is an improvement from 81% in 2023 and 83% at its peak, the statistics reveal a systemic issue which affects businesses, policyholders, and every facet of the insurance ecosystem.

In a recent webinar on Underinsurance and the Insurance Act 2015, Alex Rosenfield, Partner at Fenchurch Law, delved into the world of underinsurance, why it’s become such a huge problem for our industry, the remedies that insurers may apply under the Insurance Act 2015, the legal and financial consequences for policyholders and brokers, and finally, some suggested strategies to mitigate the risks of underinsurance.

What is underinsurance?

Taking it back to basics, underinsurance arises when the total sum insured cannot cover the full cost of rebuilding or repairing a property. The gap between the true value, and the insured value can be created for many reasons.

  • Failure to factor in full rebuild costs: Including demolition, debris removal, professional fees (e.g. architects and builders).
  • Inflation: Rising costs of labour, materials, and equipment may not be reflected in outdated valuations.
  • Forgetting VAT: This can be especially problematic for businesses that cannot reclaim VAT.
  • Intentional underinsurance: The deliberate choice to disclose lower values to reduce premiums, a risky choice which can have detrimental implications on the policy holder.

Even financially educated clients and policyholders can end up underinsured, and one of the biggest reasons is a lack of diligence.

The implications of being underinsured can be very serious. Insurers tend to apply an average clause, and the policyholder may find themselves in financial crisis, needing to fund the difference between the sums insured, and the true asset value.

Alex stressed, “Underinsurance can be disastrous with large claims, but even partial losses can still leave policyholders under-compensated.”

As an alternative (and potentially in addition) to applying average, the insurer can apply a remedy for a breach of the duty of fair presentation under the Insurance Act 2015 (“the IA 2015”), which will depend on whether the breach was deliberate or reckless, or merely carless. If it was deliberate or reckless, the insurer can refuse to pay the claim, or void the policy altogether.

If this happens, the policyholder would most likely have to share this information with a future insurer, and they may be marked as a ‘moral hazard’, reducing  their perceived capacity to suffer a loss of a particular kind.

It could also frustrate business continuity in some cases, as the insured may need to wait for financial stability, and in another commercial sense, beyond the financial hit, the act of underinsuring may put directors in breach of their statutory duties.

Insurer remedies for underinsurance

Alex explained that insurers most commonly utilise one of two remedies:

The Average Clause is the most common contractual remedy, proportionally reducing the claim to  discourage underinsurance and reinforce the importance of accurate valuations.

There is also the possibility of the insurer applying a remedy for a breach of the duty of presentation under the IA 2015. If the breach was deliberate or reckless, the insurer can avoid the policy and refuse all claims, and keep the premium. If it was careless or negligent, the insurer’s remedy will be proportionate, and turn on what the underwriter would have done differently had the true insured sums been disclosed.

Can insurers apply both remedies?

Alex addressed a nuanced and (currently) legally untested question: Can an insurer apply both average and a proportionate remedy under the Insurance Act to the same failure?

While technically possible, Alex argued this would likely be seen as commercially unfair and commercially unattractive, creating a double punishment. A more reasonable response, he argues, is a single repercussion based on the circumstances and severity of the breach.

“To my mind, applying both remedies cumulatively doesn't sound very attractive, because policyholders effectively be punished twice for the same failure. I think a better analysis, which I think sounds a lot more commercial, is that the insurer picks one or the other, which may just depend on how this has all happened.”

Declaration-linked and waiver of average cover

Declaration-Linked Cover (a premium based on estimated gross profit), avoids average application, unless dishonesty is involved, and is especially useful for those businesses with changeable values and success. Traditional Sum Insured with Waiver of Average promises full claim payouts without average deductions, which is also ideal for businesses that struggle with accurate valuations. However, with a waiver of average, not disclosing ‘material’ changes, such as business value growth, may still be considered a breach of the duty of fair presentation.

“Average and the remedies that insurers have under the Insurance Act can be targeted for very different things. Where an average deals with inactive, inadequate cover that the insured chooses, which is a contractual term, the values of the Insurance Act address inadequate disclosure, which affect the risk so they do address different things.”

Having covered the insurer’s and policyholder’s responsibilities at length, where does the broker stand, what are their responsibilities?

The broker’s role

Alex went on to highlight the role of the broker in helping clients to mitigate the risk of underinsurance. The Infinity Reliance v Heath Crawford case serves as a significant warning to brokers about the importance of comprehensive client advice and clear communication about insurance terms.

Infinity Reliance, an online retailer, experienced a devastating warehouse fire, but after realising that the business was underinsured, the covered value was only 26% of the actual rebuild cost (which was around £33m). The insurer, Aviva, decided to apply average, leaving the business £3 million out of pocket.

But how was the broker implicated? Infinity alliance sued their broker, Heath Crawford, claiming that he had shared misleading documentation, failed to provide proper advice on the insurance calculation, and that he had not considered the alternative premises and additional costs in his advice.

The court agreed with the policyholder, finding the broker had breached his duty. How?

  • Not explaining the potential downsides of the chosen insurance type
  • Failing to clarify the implications of average and coverage limits
  • Not ensuring that the client’s insurance choice was informed and genuine.

Indeed, while Infinity Reliance expressed that they didn’t want to suffer a premium change, the broker was ultimately in breach of duty, as a reasonable broker would recommend a declaration of cover.

“The broker must ensure the client understands any disadvantageous consequences, such as the risk that underinsurance would lead to any claim being reduced by average... even when a preference isn't expressed, the reasonable broker should check that it remains a genuine and informed choice,” Alex clarified.

Today’s legal landscape and practical solutions

While the Insurance Act 2015 introduced clearer frameworks, case law is still limited, leaving policyholders and insurers uncertain, especially on the potential for “double dipping” and the full implications of negligent misrepresentations.

So, what does Alex suggest to help combat the major issue?

  1. Address the root cause: diligence

There are many reasons for underinsurance, but there is one key theme amongst all reasons: a lack of diligence. It is of the highest importance to express the need for regular evaluations make sure that the policy covers all the necessary rebuild elements, and also to take account of inflation. It is also imperative that the policy holder reviews these figures annually.

"Never assume that the figures and costs that were adequate yesterday will be relevant today."

  1. Clarify remedy application

Insurers can, theoretically, apply cumulative remedies to the same ‘failure’, even if it feels “very draconian”. A practical solution is to actually discuss the remedy that might apply with insurers, and in what circumstances. That therefore creates certainty for all parties involved.

  1. Educate clients thoroughly

Brokers must explain the consequences to the policyholder of not insuring adequately; “It does go about saying that policyholders do need to be aware that other insurance can lead to serious shortfalls, even for partial losses.”

“Concepts such as average or declaration linked cover won't be obvious to everybody, so it is important to make sure that your policyholder clients know precisely what those terms mean.”

Underinsurance is not just a hidden gap in coverage, but a systemic vulnerability that has the capacity to shake business stability. With 76% of buildings underinsured, this is a problem that demands urgent attention from the entire insurance ecosystem: from insurers to policyholders to brokers.

The combined force of regulatory obligations, court decisions like Infinity Alliance, makes it clear: accurate valuation, diligent disclosure, and client education are necessities to combating this widespread issue in the current risk market.

Alex Rosenfield is a Partner at Fenchurch Law


Fenchurch Law Strengthens Asia-Pacific Presence with New Partner Appointments

Fenchurch Law, the leading international law firm for insurance policyholders and brokers, has appointed two new Partners to its Singapore hub, demonstrating its commitment to the Asia-Pacific region.

Julian Teoh, a twenty-plus year veteran of insurance and reinsurance law has joined the firm as Partner, and Toby Nabarro, a long-time member of the firm, has been promoted from Director to Partner.

Julian brings a wealth of experience to Fenchurch Law, having acted in property, construction and business interruption claims across the region over the last two decades. Before joining Fenchurch Law, he was a partner at an insurer-facing international law firm, and has also spent time on secondment at the Sydney headquarters of Australia’s largest general insurer. His expertise has been recognised in a number of legal directories, including the Gracechurch Asia-Pacific Insurance Law Report and Euromoney’s Expert Guide to Insurance and Reinsurance in Singapore.

Toby Nabarro was a Director and founding member of the Singapore office, having joined the firm in 2020. Toby specialises in Construction, Engineering and Marine insurance coverage disputes.

Since opening in 2024, Fenchurch Law’s Singapore hub has provided first-class support on high-value, complex, commercial insurance disputes to policyholders in Singapore and the wider Asia-Pacific region. These two new appointments highlight the firm’s growing commitment to serving its broker partners and their policyholders in the region.

Toby Nabarro, Partner: “Julian is set to be an instrumental member of our Singapore operation as our client-driven expansion in the Asia-Pacific region continues. We are delighted to have Julian joining the team; his work in the market is widely respected, and his Asian experience will be a real asset as we establish ourselves as the law firm of choice for our broker partners and their policyholder customers in the region. I look forward to working with him closely as I also commit to the new role of Partner.”

Julian Teoh, Partner: “There is a clear lack of insurance law expertise that policyholders in the region can access in disputes with their insurers. Fenchurch Law has an excellent reputation within the legal insurance market, and I am excited to join such a dynamic and growing team and help to level that playing field."