Section 8 of the Insurance Act 2015 sets the gateway between a defective presentation of the risk and any remedy for the insurer. A breach of the duty of fair presentation under section 3 only becomes legally significant if it is a qualifying breach. A breach that does not qualify gives the insurer no remedy under the Act; one that does opens the door either to avoidance under section 8(5), or to the proportionate remedies in section 9.
Section 8(1) sets a two-part test. A breach is qualifying where both limbs are satisfied:
Both limbs must be met. Materiality alone is not enough; the insurer must show that the actual underwriter would have made a different decision had the presentation been fair.
The leading post-Act decision on inducement is Berkshire Assets (West London) Ltd v AXA Insurance UK plc [2021] EWHC 2887 (Comm). The court accepted contemporaneous underwriter evidence that AXA would not have written the risk on the same terms had the relevant matters been disclosed, and that was sufficient to satisfy section 8(1)(b). Underwriting files, referral records, and the testimony of the individual underwriter who took the risk are the practical evidence that decides the inducement question. An insurer cannot rely on a generic statement that it would have priced differently; it must show what it would actually have done.
Section 8(5) draws the line that controls the remedy. A qualifying breach is either:
Where the breach is neither deliberate nor reckless, the remedy is calibrated to what the insurer would have done on a fair presentation:
A separate wiki entry covers section 9 in detail.
Worked example. An architects firm renews its professional indemnity cover and does not disclose a £150,000 client complaint received six months earlier. The complaint is a circumstance a prudent insurer would want to know about and so falls within section 3. The insurer's underwriter, on later seeing the complaint, says the risk would still have been written but at a premium 15% higher than that actually charged. There is no evidence the firm knew it ought to disclose the matter; the omission was careless rather than deliberate.
The breach is qualifying because both limbs are satisfied: there was a section 3 breach, and the insurer would have entered the contract on different terms. It is not deliberate or reckless, so section 9 applies. The proportionate remedy is to reduce any claim payment at the ratio of premium charged to premium that would have been charged, or alternatively to apply the additional terms retroactively. The insurer cannot avoid the contract on these facts.
For the underlying duty, see section 3 fair presentation. For whose knowledge counts, see section 7. For sector context, Apex's pillar guides on architects PI, solicitors PI, accountants PI and surveyors PI set out how disclosure works in practice at renewal.
Apex Insurance Brokers Limited is authorised and regulated by the Financial Conduct Authority. Firm reference number 724952. This entry is general information, not advice on any particular policy.