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England and Wales Court of Appeal (Civil Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Civil Division) Decisions >> Markel International Insurance Company Ltd v Higgins [2009] EWCA Civ 790 (23 July 2009) URL: http://www.bailii.org/ew/cases/EWCA/Civ/2009/790.html Cite as: [2009] EWCA Civ 790 |
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A3/2008/1595 A3/2008/1887 A3/2008/1828 |
COURT OF APPEAL (CIVIL DIVISION)
ON APPEAL FROM THE HIGH COURT OF JUSTICE QUEEN'S BENCH DIVISION, COMMERCIAL COURT
MR JUSTICE TEARE
2006 FOLIO 1287 & 2007 FOLIO 67
A3/2008/1887 A3/2008/1828 Royal Courts of Justice Strand, London, WC2A 2LL |
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B e f o r e :
LORD JUSTICE RICHARDS
and
SIR PAUL KENNEDY
____________________
Claim No 2006 Folio 1287 |
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Markel International Insurance Company Limited |
Respondent / Claimant |
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- and - |
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Timothy Higgins |
Appellant / 2nd Defendant |
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And |
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Claim No 2007 Folio 67 |
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QBE Insurance (Europe) Limited |
Respondents / Claimants |
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Amalfi Underwriting Limited - and - Timothy Higgins |
Appellant / 2nd Defendant |
____________________
WordWave International Limited
A Merrill Communications Company
165 Fleet Street, London EC4A 2DY
Tel No: 020 7404 1400, Fax No: 020 7404 1424
Official Shorthand Writers to the Court)
Mr Michael Swainston QC and Mr Stephen Midwinter (instructed by Messrs Steptoe & Johnson) for Markel International Insurance Company (Respondent / Claimant)
Mr Derrick Dale (instructed by Davies Arnold Cooper Llp) for QBE Insurance (Europe) Limited and Amalfi Underwriting Limited (Respondents / Claimants)
Hearing dates : Monday 9th and Tuesday 10th March 2009
____________________
Crown Copyright ©
Lord Justice Rix :
"Trust document needs sorting out.
Ralph [Brunswick] 40%
Tim [Higgins] 40%
Cliff [Felstead] 20%"
Mr Higgins accepted in cross-examination that the monies received by GCL were to be split between himself, Mr Brunswick and Mr Felstead. The proportions of that split are indicated by Mr Higgins' manuscript.
The binders
"Any business introduced by Tim Higgins that accepts Templeton security will be split 50/50 between the Templeton and Markel facilities. Markel will only be able to accept the entire Tim Higgins order in instances where Templeton paper is not acceptable to the original client."
"[Mr Smith] asked about rumours that [Mr Higgins] was purely a marketing man. TH confirmed he is very much the underwriter and always has been. He has never been involved in pure marketing…[Mr Higgins] advised [Mr Smith] that he will be writing marketing material that will state he can look at business with a limit up to £10m. This is purely to attract interest."
Templeton and Mr Brunswick
"GCL was the recipient of £200,000 and £288,000 to which I have already referred. They derive from premium received by SGC and not accounted for to Markel or QBE/Amalfi. There is, moreover, a very clear connection between Mr Brunswick and the payment of the £288,000, namely two letters to SGC dated 12 August 2006 apparently signed by Mr Brunswick relating to this sum. The first describes the sum as commission and requests that it be paid to GCL. The second describes the sum as collateral and requests that it be paid to GCL. The sum was neither commission nor collateral and these letters are dated after the sum was transferred…Mr Brunswick had no plausible explanation for the letters…In his oral evidence, when asked to explain why these documents did not show him to be party to fraud, he could only suggest that he had been "massively negligent" in signing them…The letters appear to be an attempt to justify the payment of £288,000. The two justifications put forward (commission or collateral) were untrue."
"253. Although Mr Brunswick denied involvement in any fraud I consider that the inevitable inference to be drawn from the above facts and matters is that Mr Brunswick was party to the fraud committed by Mr Higgins and Mr Felstead. The fact that they each had a beneficial interest in GCL and that GCL received premium which had not been accounted for is the clearest evidence that they were in the fraud together. Mr Brunswick's role was to provide bogus Templeton bonds for SGC's files so that auditors of SGC might be persuaded that the exposure of Markel and QBE/Amalfi was within the agreed limits."
The "silent co-surety arrangement"
"113. In his statement dated 27 September 2007, which formed part of his evidence in chief, Mr Higgins described how and why he wrote surety bonds in the name of Markel in excess of the financial limits…He employed an arrangement which he described as "silent co-surety". Templeton was the silent co-surety and would issue a bond for the difference between the amount of the bond written in the name of Markel, say £2m, and the financial limit which Markel had agreed to accept, namely, £1m. Thus, on this example, Templeton would issue a bond for £1m. That bond would not, however, be known to either the client or to the beneficiary. Hence it was "silent". Mr Higgins said that "clearly Markel and Templeton knew and agreed to this arrangement" and that "Markel was only really at risk for £1m, as Templeton effectively agreed to indemnify (or reinsure) Markel for the other £1m." He said that "Mr Smith knew about this arrangement and agreed to the same." When Mr Smith moved from Markel to Amalfi "this silent co-surety arrangement also moved seamlessly to the Amalfi/QBE period and continued as it always had. At all times Peter Smith was the key person who knew all about this and gave his approval for it to continue." He said that Mr Smith "happily provided 'special acceptances' (where bonds to be written were over the Markel/QBE binder) as and when we requested them." Mr Higgins explained that if he knew that he was writing a bond which would exceed the limits he would make sure that Peter Smith agreed to that and, if necessary, that some co-surety/reinsurance was involved.
114. In his further statement dated 26 October 2007 he said that breaches of the financial limits and period limits would be orally agreed by Mr Smith "although in the case of the QBE/Amalfi binder, I am sure in several cases Peter Smith would sign off the Bond Risk Review Sheets to confirm such exceptions."
115. In his oral evidence he gave similar evidence:
"There is no way that I would have exceeded the limits unless I had obtained approval from Markel or whoever, I think it was Peter Smith or somebody. The practice was that mainly Peter Smith would come into the office and look at individual cases. When I wanted to go above the agreed limit of £1 million, I think it was £1 million under the contract, he would say yes, no or whatever and I would explain why. Then he would initial the facing slip and I would proceed on that because I thought he was acting – well, he was acting on behalf of Markel."
"201. As I have already said, I accept Mr Williams' evidence that he asked Mr Higgins whether Mr Smith agreed to the signing of bonds which exceeded the limits...If, as I accept, he was told that it was in order to sign bonds in excess of the limits because Templeton would, as a co-surety, issue a bond for the difference between the value of the bond and the agreed limit of Markel's liability it is again very likely, given his experience and intelligence, that he would have reacted to such information with scepticism. He would surely have wondered how such an arrangement could work…
204. It seems clear that during the QBE/Amalfi period Mr Williams' suspicion that SGC's business was not being conducted in an honest and proper manner increased…The continued involvement of Mr Felstead in the surety bond business notwithstanding the discovery of his conviction and the assurance given to QBE/Amalfi must have fuelled his suspicions.
205. Prior to the Markel audit in December 2005 he discovered that Mr Felstead was tampering with the bond files. Similarly, in mid-2006 Amalfi carried out an audit. Mr Williams accepted in cross-examination that in dealing with the audit queries he became aware that the QBE bond files had been tampered with and that the bonds in them were not the correct ones. These discoveries must have convinced him that the manner in which the surety bond business was being conducted was not proper. Indeed, he said in evidence that "at the time I thought there is something not right here". He said he raised the matter with Mr Higgins but accepted that the answer he received was not satisfactory."
The judge therefore concluded that Mr Williams did not honestly believe that his conduct in signing bonds in excess of the stated limits was justifiable.
The law
"The burden of proving this fraud lies upon the Claimants who must do so on the balance of probabilities. But cogent evidence, commensurate with the gravity of the allegations made against the defendants, is required to prove the allegation on the balance of probabilities: see Ikarian Reefer [1995] 1 Lloyd's Rep 455 and Re H [1996] AC 563."
"177. I have reminded myself of the standard of proof required to prove the serious allegations made against Mr Higgins. But in my judgment it is an irresistible inference from the facts that I have found, coupled with the evidence concerning GCL, that Mr Higgins was involved in the failure to account fully to Markel and QBE/Amalfi in respect of premium, that he conspired with others to injure Markel and QBE/Amalfi by obtaining a secret profit and that he could not honestly have believed that his actions were justified. I am therefore compelled to reject Mr Higgins' evidence that he was not involved in any dishonest or fraudulent activity."
The medical evidence and the underwriting of the bonds
"154. I had the advantage of listening to Mr Higgins give evidence over 3 days. Whilst there were occasions when he did not follow the question or appeared to contradict himself there were many periods when he carefully explained his understanding of the issue under discussion and answered many questions on a particular issue. He did not appear to me to be someone whose memory and executive function (that is, his ability to manipulate information, form concepts and solve problems) were so impaired that he would, in the course of writing surety bond business in 2005 and 2006, regularly confuse or forget the limits on his underwriting authority. The importance of adhering to such limits would have been something which he would have been aware of throughout his professional life and so less likely to forget. Whether the scale of his present dementia be mild or moderate the manner in which he gave evidence strongly suggests that in 2005-2006 his dementia was not such as to cause him to confuse the limits on the Markel and QBE/Amalfi agreements with those of other and older binders or to forget the relevant binder limits.
155. Members of his family did notice incidents of forgetfulness, though there was uncertainty as to how many years back these went. I do not consider these instances to be inconsistent with the view I have formed having listened to him give evidence. Mr Justice Cooke described Mr Higgins as not well and to have very little recollection when giving evidence before him in Oxus Gold Plc v Templeton Insurance Ltd [2006] EWHC 864 (Comm). Again, I do not consider that this assessment of Mr Higgins' reliability as a witness in 2006 to be inconsistent with the view I have formed that in 2005 and 2006 Mr Higgins is unlikely to have confused or to have forgotten the limits on his underwriting authority on a regular basis.
156. Mr Higgins' son-in-law Mr Ray, who had worked with him until the end of 2003, said that he regarded Mr Higgins as a "sick man" since 1998 and doubted his ability to conduct surety bond business from 2003. Mr Ray's evidence does not fit with the other family evidence because it puts the onset of Mr Higgins' symptoms much earlier than other family members put it. It seems to me that Mr Ray's evidence is probably best explained by serious differences between Mr Ray and Mr Higgins as to how to conduct the surety bond business rather than as a genuine sign of Alzheimer's disease significantly affecting his cognitive abilities.
157. I am therefore unable to accept the submission made on behalf of Mr Higgins to the effect that it is more likely than not that from about 2004 his defects in memory and executive functions led him either to confuse or forget the relevant binder limits. On the contrary I find that it is more likely than not that, although he was suffering from the early stages of Alzheimer's disease in 2005 and 2006, Mr Higgins was aware of the importance of adhering to the limits of his underwriting authority and that he remembered those set out in the agreements with Markel and QBE/Amalfi. The Markel and QBE/Amalfi limits were of course part of his recently acquired information and therefore more likely to be forgotten but his own case requires that where he exceeded those limits he was permitted to do so by ensuring that Templeton was a secret co-surety. There is in truth no evidence that he forgot the limits. His own case requires that he appreciated when the limits were to be exceeded and made provision for it. The submission that it is more likely than not that from about 2004 his defects in memory and executive functions led him either to confuse or forget the relevant binder limits ignores the reliance placed by Mr Higgins on the supposed role of Templeton as silent co-surety and the reasons for such reliance. It is improbable that he simply wrote surety business without reference to limits and no such submission was made. He himself accepted in cross-examination that he was entirely conscious of the limits when underwriting." [emphasis added]
The four components
The bordereaux
"167. Counsel for Markel relied on the note of the meeting on 26 January 2005 which records that "Liam [Curran] sits with Tim [Mr Higgins] every morning and goes through the account". Whilst this does not specifically refer to the bordereaux, Mr Higgins accepted in cross-examination that he worked closely with others in relation to the bordereaux. Those with whom he worked were Mr Felstead, Liam Curran (whom Mr Higgins was training up) and Mr Ward (the SGC accountant and Company Secretary). It was also apparent from his cross-examination that (as was to be expected) Mr Higgins was well aware of the important role of bordereaux, namely, to provide information to Markel and QBE/Amalfi as to the business which was being written in their name. Thus, although (i) Mr Higgins was only in the office for three days a week, and when in the office often took a leisurely lunch, (ii) he was not a user of the computer on which the bordereaux were prepared and (iii) he was suffering from the early stages of Alzheimer's Disease, I consider that it is more likely than not he must have been involved in the production of the bordereaux and understood the information provided in them to Markel and QBE/Amalfi. I consider that Mr Williams' answer which I have quoted above probably reflected Mr Higgins' inability to create the bordereaux on a computer file."
"Q…We know that you went through the account every morning with Liam Curran. You are nodding.
A. That is right, sorry.
Q. We know that you supervised him and trained him up.
A. Um um.
Q. We know as well that you discussed the bordereaux with Mr Ward and Mr Felstead, did you not?
A. That is right.
Q. Given that we do not have a single bordereaux which gives an accurate account of the bonds and given that you were the underwriter exercising underwriting judgment, how do you explain how all the bordereaux are false?
A. How do I explain? I would have thought any bordereaux which I would have been responsible for would have been correct. I can only assume that they have been forged.
Q. But it is correct, is it not, that you would have provided the information on your bonds?
A. The information which was in our records would have been complete and the bordereaux should have correctly reflected every single bond that we issued.
Q…is it right that you went through them as well with Mr Smith?
A. In the early days he came in frequently, I think a couple of times a
week, two or three times a week and went through it. So it was an ongoing process.
Q. So the answer is yes?
A. That is correct…
Q. But the question I am asking is, can you tell his Lordship why the bordereaux were false, why you did not react to the inaccuracy of the bordereaux when you went through them with Mr Felstead, Mr Curran and Mr Ward?
A. I cannot remember, I really cannot.
Mr Justice Teare: It is an astonishing thing, is it not, that the bordereaux should not record accurately the sums involved?
A. Well, I find it unbelievable…I am astonished."
"47. Once the Markel binder was up and running, I would meet with Peter Smith in SGC's office fairly regularly. Liam Curran would usually be present during the meeting and we would run through the latest bonds we had written or were considering according to the bordereaux…"
There was another passage to similar effect in his second witness statement (at para 60).
"Q. Would you have been involved in preparing the bordereaux?
A. Would I have been involved in preparing the bordereaux? (Pause) Can I answer that a bit elongated?
Q. If it helps.
A. At one time I used to attend to all the bordereaux myself and I would do it so I knew everything that was happening. Every item on the bordereaux would compare with the bond underwriting book and everything else. As time moved on, I no longer had an involvement in that. There was a young lad who would do the donkey work. I think most of that was then checked with Cliff Felstead. So the answer to the question really is that I was not involved in that to any real degree."
The proceeds
"175. In March 2006 a payment of £200,000 was made to GCL and in May 2006 a payment of £288,000 was made to GCL. A Service Agreement existed between GCL and SGC pursuant to which GCL was to receive a 30% commission for the introduction of business. However, this appears to be a charade because there is no evidence that GCL introduced business to SGC. Moreover, there is evidence that the two sums paid to GCL represented premium income in respect of which there had been no accounting to Markel or QBE/Amalfi. Thus an analysis of SGC's records by an expert accountant suggests that the sum of £200,000 represents premium income received by SGC [which ought to have been accounted for to QBE]. The same expert suggests that the sum of £288,000 represents premium on the Interhealth bond and the PC Harrington bonds which had not been accounted for to Markel. There was no evidence to the contrary."
The bogus bonds
Other matters
Conclusions
Lord Justice Richards :
Sir Paul Kennedy :