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Res Ipsa

Angus v Ace Insurance Limited [2014] NZHC 258, 24 February 2014

Court
High Court
Judgment
24 February 2014
Neutral
[2014] NZHC 258

Areas of law

Insurance - Material Damage Policy - Business Interruption Policy - Fraudulent Claim - ArsonEvidence - Onus of Proof - Standard of Proof - Civil Proceedings - Allegations of Criminal Conduct
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Judgment analysis

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Facts

In the early morning of 2 July 2010, the main building of the Pinelands Hotel was destroyed by a fire which was deliberately lit. The plaintiffs claimed on their insurance policies, asserting that robbers had assaulted Mr Angus, doused him with petrol, stolen money, and then set the hotel on fire. The defendant insurers declined the claim, pleading as an affirmative defence that Mr Angus himself had set the fire. The defendants alleged he did so because the hotel business was performing poorly and he had been unable to sell it, making the insurance claims fraudulent and a breach of the duty of utmost good faith.

Held

  1. In an insurance claim where arson is alleged as an affirmative defence, the insurer must prove on the balance of probabilities that the insured deliberately set the fire. This standard is met where the insured’s account of events is contradicted by objective evidence (such as alarm system records and forensic analysis of accelerants) and is undermined by multiple implausibilities, even where the insured has prior good character.
  2. The discovery of different types of accelerant on different items of the insured's clothing, where one type matches the accelerant used inside the building to which the insured's narrative gives no innocent explanation for exposure, can be fatal to the insured's credibility and support a finding of arson.

Judgment for the defendants together with costs.

Key passages5

It is for the defendants to prove on the balance of probabilities the affirmative defence raised that Mr Angus started the fire and that in those circumstances, his claim under the policy was dishonestly made and properly declined.

“It is for the defendants to prove on the balance of probabilities the affirmative defence raised that Mr Angus started the fire and that in those circumstances, his claim under the policy was dishonestly made and properly declined.”

There is no intermediate test between the criminal and civil standards of proof.

“This was incorrect, and there is no intermediate test between the criminal and civil standards, as was held by the Supreme Court in Z v Dental Complaints Assessment Committee.”

The civil standard of 'balance of probabilities' is flexibly applied to accommodate serious allegations through the natural tendency to require stronger evidence before being satisfied to that standard.

“The civil standard is flexibly applied because it accommodates serious allegations through the natural tendency to require stronger evidence before being satisfied to the balance of probabilities standard.”

In assessing evidence where serious allegations of dishonest or criminal conduct are made, the court must take into account the seriousness of the allegations and the absence of prior dishonest conduct, which means stronger evidence is needed to meet the balance of probabilities standard.

“I consider this means that in a case such as the present, where the crucial issues turn on the credibility of Mr Angus, the assessment of the evidence must take into account the seriousness of the allegations and the fact that there is no evidence he has previously acted dishonestly. These are considerations which mean that there needs to be strong evidence that supports the defendants’ allegations in order to meet the balance of probabilities standard.”

Judges should limit reliance on the physical appearance of witnesses and instead reason to conclusions based on contemporary materials, objectively established facts, and the apparent logic of events.

“...in recent years, judges have become more aware of scientific research that has cast doubt on the ability of judges (or anyone else) to tell truth from falsehood accurately on the basis of such appearances. Considerations such as these have encouraged judges, both at trial and on appeal, to limit their reliance on the appearances of witnesses and to reason to their conclusions, as far as possible, on the basis of contemporary materials, objectively established facts and the apparent logic of events.”

Cases mentioned in judgment

  • AMI Insurance Ltd v Devcich [2011] NZCA 266

  • Devcich v AMI Insurance Ltd HC Auckland CIV-2009-404-5567, 20 July 2010

  • Fox v Percy (2003) 214 CLR 118

    Applied
  • Monkley v Guardian Royal Exchange Assurance of New Zealand Ltd HC Hamilton CP209/88, 23 August 1990

  • Z v Dental Complaints Assessment Committee [2008] NZSC 55, [2009] 1 NZLR 1

    Followed

Legislation mentioned

  • High Court Rules, r 11.5, r 9.10(3)