In all the laws relating to contracts, the pressing covenant of good faith and
the way to be dealing in a fair manner is just a presumption that the parties
subject to that particular contract have to handle amongst themselves honestly
and in good faith. This also keeps in check not to hamper each other's rights
and take all the benefits related to the contract on one's own.
Even a cause of action based on the breach of the promise arises if one party to
the contract claims to have been in an upper position by referring contractual
terms and use it to runaway from his or her contractual obligation.[1]
When a court or trier of fact interprets a contract, there is always an “implied
covenant of good faith and fair dealing” in every written agreement.[2]
Now narrowing down Good Faith to its application with the particular maxim used
named “Uberrima fides” which is a Latin phrase which sums up to the meaning
“utmost good faith”. This above mentioned doctrine governs insurance contracts.
It essentially in literal terms means that all parties to an insurance contract
have to deal in good faith and disclosing all material facts in the given
insurance terms. [3]
Good Faith
History
In U.S. law, in the mid-19th century, the legal principle of the implicit bond
of good faith and fair dealing emerged when contemporary legal interpretations
of "the narrowly understood express contract language seemed to give one of the
parties unbridled discretion.[4] In 1933, in the case of
Kirke La Shellee
Company v. Paul Armstrong Company et al. 263 N.Y. 79; 188 from N.E. 163; 1933
N.Y., as reported by the New York Court of Appeals:
“There is an implicit covenant in any contract that no party is to do something
that would have the effect of destroying or harming the other party's right to
enjoy the fruits of the contract. Every contract, in other words, has an
implicit agreement in good faith and fair dealing.”
In addition, the covenant was debated by the American Law Institute in the First
Restatement of Contracts, but the common law of most states did not accept an
implicit covenant of good faith and fair dealing in contracts prior to the
introduction of the Uniform Commercial Code in the 1950's. Some states have
tighter compliance than others, such as Massachusetts.
For example, under
Chapter 93A that regulates Unfair and Misleading Commercial Practices, the
Commonwealth of Massachusetts will assess punitive damages, and a party found to
have violated the good faith and fair dealing arrangement under 93A will be
responsible for punitive damages, legal fees and treble damages. [5]
In USA
In United States law, the implicit bond of good faith and fair dealing is
particularly relevant. It was adopted (as part of Section 1-304) into the
Uniform Commercial Code and was codified as Section 205 of the Restatement
(Second) of Contracts by the American Law Institute.
The violation of the implied agreement of good faith and fair dealing is treated
by most U.S. jurisdictions solely as a variant of breach of contract, in which
the implied covenant is merely a 'gap-filler' that allows for yet another
contractual term, and breach of it simply gives rise to usual contractual
damages. Of course, for claimants, this is not the most ideal law since
consequential damages for breach of contract are subject to such restrictions.
Violation of the implied covenant may also give rise to a tort suit in some
jurisdictions, e.g. A.C. A.C. 105 Nevada 913, 915, 784 P.2d 9, 10 Shaw
Construction v. Washoe County (1989). In insurance law, this rule is most
prevalent when the violation of the implied covenant by the insurer can give
rise to a tort claim known as insurance bad faith. The benefit of tort liability
is that it encourages wider compensatory damages and the chance of punitive
damages.
Some plaintiffs have sought to force courts to expand tort liability from
insurers to other important defendants such as employers and banks for breach of
the implied covenant. Many U.S. courts, however, have followed the precedent of
some seminal California court rulings, which dismissed such tort liability in
1988 against employers and in 1989 against banks.
In Canada
In 2014, the Canadian Supreme Court in its decision on the Bhasin v. Hrynew' [6]
case established a new common law obligation of honest contractual performance.
In Europe
Traditionally, English private law has been averse to general clauses and has
consistently opposed the acceptance of good faith as a core private law
principle. [7] EU law has injected the notion of "good faith" into restricted
areas of English private law over the past thirty years.
[8] Most of these EU initiatives concerned the safety of customers in the sense
of their experiences with companies. Only Directive 86/653/EEC on the
coordination of the laws of the Member States relating to self-employed business
agents added 'good faith' to English commercial law. [9]
Good faith is also deeply embedded in the legal system on the European
Continent.
Treu und Glauben (Good faith) has a strong legal meaning in the
German-speaking region, e.g. in Switzerland, where Article 5{12} of the
Constitution specifies that state and private actors must behave in good faith.
This leads, for example, to the presumption in contracts that both parties have
signed a contract in good faith and that any incomplete or ambiguous element of
the contract is to be understood on the basis of both parties' expectations of
good faith.
In Australia
Following the events of Carter v Boehm (1766), the principle of good faith was
developed in the insurance industry and is enshrined in the Insurance Contracts
Act 1984 (ICA).[10] The Act stipulates the duties of all parties within the
contract to act with utmost good faith under Section 13.
In India
In the Indian Penal Code, "good faith" is specified under section 52 as nothing
is said to be done or believed in "good faith" that is done or believed without
due care and attention.[11] In the case of
Muhammad Ishaq v. The Emperor (1914),
the Privy Council expanded on this definition in which it held that an action
taken by the defendant was based on the belief that a decree had been passed in
his favor .[12]
Uberrima Fides
A Latin term meaning "utmost good faith" is Uberrima fides (literally, "most
abundant faith"). It is the name of a legal theory that regulates contracts for
insurance. This implies that all parties to an insurance policy must negotiate
in good faith, make a full statement in the insurance plan of all material
facts. It is described as "firm compliance with promises made to another,
including disclosure of all relevant facts and complete confidence in the
fidelity of the other."
The insurance policy is governed by the "utmost good faith" legal maxim. For an
insurance policy, the observance in the utmost good faith by the parties is
important. Insurance is considered a UBERRIMAE FIDEI arrangement since the
parties are bound to comply with a greater degree of good faith than the general
contract law. Insurance stands on a different basis as a risk transfer device.
The non-disclosure of a material fact, whether false or innocent, has the same
effect as the avoidance of the contract. A strict obligation is placed on the
insured to include all the material facts that could affect the insurer's
decision. [13]
Insurance Contracts
In order to ensure the disclosure of all relevant details, a higher obligation
is required from the parties to an insurance contract than from the parties to
most other contracts, so that the contract will adequately represent the real
risk being undertaken. Lord Mansfield stated the principles underlying this rule
in the leading and often-quoted case of
Carter v Boehm (1766) 97 ER 1162, 1164, “Insurance is a speculative contract...
Most commonly, the special facts on
which the contingent opportunity is to be measured lie in the knowledge of the
insured only:
the under-writer trusts his representation and continues to trust
that he does not hold any circumstances in his knowledge, to trick the
under-writer into a belief that there is no situation... By concealing what he
privately knows, good faith forbids any party to lure the other into a deal out
of his ignorance of that fact, and his belief in the contrary.”
The insured party must also disclose the precise existence and potential of the
risks it passes to the insurer (which, in turn, can be sold to the reinsurer)
and, at the same time, the insurer must ensure that the potential contract meets
the needs and benefits of the insured party.
Reinsurance contracts involve the highest degree of ultimate good faith, and the
cornerstone of reinsurance, which is an integral component of the modern
insurance industry, is considered to be such ultimate good faith. A reinsurer
should not duplicate expensive insurance underwriting and claim management costs
in order to make reinsurance viable, and must rely on the insurer's utter
honesty and candor. In exchange, a reinsurer must fully examine and refund the
good faith claim payments of an insurer, following the fortunes of the cadent.
Section 45 Of Insurance Act, 1938
In the case of life insurance, pursuant to section 45 of the Insurance Act of
1938, a two-year period is enforced in order to call into question the validity
of the policy by the insurer on the grounds of mistakes in the answers to
questions in the form of the plan or in any report or document relating to the
issue of the policy.
Section 45 states that no life insurance policy shall be
called into doubt by the insurer after the expiry of two years from the date on
which it was carried out on the ground that the declaration made in the
insurance proposal or in any report of the insured's medical officer or referee
or friend, or in any other document giving rise to the policy, was incorrect or
false.
The insured cannot escape the implications of the insurance contract by merely
proving the inaccuracy or falsity of the assertion presented in the form of the
proposal, but must show, in compliance with section 45, that the life insurance
policy was purchased by dishonest misrepresentation.
"It must be convincingly demonstrated that the matter in question was knowingly
concealed in order to avoid the policy on the basis of fraudulent concealment
under the provisions of section 45." The insurer also needs to show:
- That such a declaration applies to a subject matter or to suppressed
evidence. Which it was necessary to reveal and,
- That the policyholder fraudulently made it and,
- At the time of making the declaration, the policyholder understood that
the statement was misleading or that it suppressed evidence which was
necessary to reveal.
Fiduciary Duties
However, the fact that a contract is one in the highest good faith does not
indicate that it establishes a general fiduciary relationship. The relationship
between the insured and the insurer is not identical to that between, say, the
guardian and the ward, the principal and the agent,[3] or the trustee and the
receiver. The intrinsic character of the partnership in these above instances is
such that the statute has historically imported general fiduciary duties.
The
arrangement between the insurer and the insured is contractual; the parties to
an arms-length agreement are parties. The Uberrima Fides principle does not
influence the arms-length aspect of the arrangement and cannot be used for the
purpose of forming a general trust relationship.
The insurance policy, as noted above, imposes on its parties some specific
obligations. However, these commitments should not import general fiduciary
responsibilities into each and every partnership with insurers. There must be
clear conditions in the partnership that allow for their imposition before such
fiduciary liability can be imported.
7 N.E. In
Murray v. Beard, "An agent is held to Uberrima fides in his dealings
with his principal; and if he acts adversely to his employer in any part of the
transaction … it amounts to such a fraud upon the principal, as to forfeit any
right to compensation for services. An agent is held by Uberrima fides in his
dealings with his principal; and if, in any part of the transaction, he acts
adversely with his employer... it amounts to such a fraud on the principal as to
forfeit any right to compensate for services.
Limitations
In English law, Uberrima Fides is specifically limited to the formation of an
insurance policy. American courts extended it even further into a post-formation
implicit covenant of good faith and equal dealing throughout the mid-20th
century. Violation of the implicit covenant, now known as bad faith protection,
came to be seen as a tort.
Carter V. Boehm Brief Analysis
Carter v Boehm (1766) 3 Burr 1905 is a landmark case in English contract law, in
which Lord Mansfield defined in insurance contracts the duty of utmost good
faith or Uberrima fidei.
Facts
Founded by the British East India Company, Carter was the Governor of Fort
Marlborough (now Bengkulu, Sumatra). With Boehm, Carter took out an insurance
policy against the fort being occupied by a foreign enemy. Captain Tryon, a
witness, testified that Carter was aware that the fort was designed to withstand
native attacks but would not be able to repel European enemies, and he knew it
was inevitable that the French would attack. The French struck successfully, but
Boehm declined to respect the compensator, Carter, who sued promptly.
Judgement
Lord Mansfield held that, because the proposer owed the insurer an obligation of
utmost good faith (uberrimae fidei), Mr. Carter was required to report all
relevant facts at risk:
“A deal based on speculation is insurance. Most generally, the precise details
on which the contingent opportunity is to be measured lie in the knowledge of
the insured only; the underwriter trusts his representation and proceeds to
trust that he does not hold any circumstances in his knowledge, to deceive the
underwriter into thinking that the condition does not exist, and to encourage
him to measure the risk as if it did not exist. By concealing what he privately
knows, good faith forbids any party to lure the other into a deal out of his
ignorance of that fact, and his belief in the contrary.”
Lord Mansfield went on to claim that the responsibility was mutual and that if
an insurer withheld relevant evidence, the example cited was that an insured
vessel had arrived safely already, the policyholder might declare the policy
invalid and recover the premium.
Lord Mansfield continued to describe the responsibility of disclosure:
“In order to exercise their judgment on grounds open to all, either party can be
innocently silent.... An under-writer cannot insist that the policy is void,
since he was not told by the insured what he really knew.... The insured does
not need to mention what the under-writer should know; what information he takes
on himself; or what he waives to be notified of. What lessens the risk accepted
and known to be run by the express terms of the policy does not need to be told
to the under-writer. It is not appropriate to tell him general speculative
topics.”
On the grounds that the insurer knew or should have known that the danger
existed because the political situation was public knowledge, Lord Mansfield
ruled in favor of the policyholder:
“There was not a word said to him, of the affairs of India, or the state of the
war there, or the condition of Fort Marlborough. If he thought that omission an
objection at the time, he ought not to have signed the policy with a secret
reserve in his own mind to make it void.”
Significance
Lord Hobhouse said in
Manifest Shipping Co Ltd v Uni-Polaris Shipping Co Ltd
that,
Lord Mustill points out that Lord Mansfield was at the time seeking to
incorporate a general concept of good faith into English commercial law, an
effort that was largely futile and survived only for small classes of
transactions, one of which was insurance. His Carter v Boehm decision was an
extension of his general theory to the formulation of an insurance policy. It
was focused on the inequality of knowledge between the proponent and the
underwriter and the existence of "speculation" insurance as a contract. He
equated deception to non-disclosure.
At p.1909, he said:
"The keeping back [in] such circumstances is a fraud, and therefore the policy
is void. Although the suppression should happen through mistake, without any
fraudulent intention; yet still the underwriter is deceived, and the policy is
void."
Therefore, as common law is understood, it was not actual fraud but a form of
error that the other party was not permitted to take advantage of. Twelve years
later, in Pawson v Watson (1778) 2 Cowp 786 at 788, he stressed that a rule of
law resulted in the avoidance of the contract:
"But as, by the law of merchants, all dealings must be fair and honest, fraud
infects and vitiates every mercantile contract. Therefore, if there is fraud in
a representation, it will avoid the policy, as a fraud, but not as a part of the
agreement."
Life Insurance Corporation V. Asha Goel
Facts
- The insurance policy was taken by the respondent's husband and the
insured died 1 and a half years after the policy was taken and the
lawsuit was rejected on the grounds of non-disclosure and withholding of
information on the health of the insured.
- A written petition was lodged in the High Court pursuant to Article
226.
- In view of the maintenance matter, the learned judge held that the
corporation's liabilities under life insurance are statutory liability
and that a written petition may lie under Article 226.
- Company claimed that the argument was repudiated on the ground that
the deceased gave incorrect responses because he stated that his health
was good and during the last 5 years he had not seen a medical
practitioner, and even for 13 days a few years ago he did not stay
absent from work on health grounds.
- The opportunity to lead the evidence by the single judge was not
granted to the company and there was no adequate record brought by the
corporation to determine the requirements referred to in the second part
of Sec. 45 of the Insurance Act. Thirteen days' leave could not be fair
to assume that the deceased suffered from a health problem in 1976.
- The Division bench held that proof should be permitted to lead to
the business because it would be useful for their argument that fraud
was obtained by regulation. A new trial has begun.
Issues
- If the high court should entertain a written petition with
factual and evidence disputes?
The matter relating to contractual liability should not be heard by the High
Court. For the SMT case. "Patna High Court's Kiran Sinha Vs LIC wrote
jurisdiction no. 1620 of 1981, that the Supreme Court issued an order that "the
High Court could not have ordered the payment of money stated in the petition
under Article 226 of the Constitution under the insurance policies in question.
In this case, the only recourse open to the respondent was a complaint before a
civil court. The High Court's decision is therefore set aside.
- If the division bench's decision is correct in canceling the
claim's repudiation?
Note
The appeal to the division bench in the following case was allowed on the basis
that the company was not allowed to produce evidence. The Division Bench
permitted this. Therefore, when the business begins to present proof, it would
defeat the stance that states that if it becomes appropriate to investigate
evidence, the proceedings should not be entertained pursuant to Article 226 of
the Constitution and the matter should go to an alternative venue that is a
civil action and not a written petition pursuant to the High Court. In such
cases, where there is no disagreement about the facts and no need to file
evidence, a formal request should be filed. The matter should therefore be
resolved in a civil suit and not in a written petition.
Judgement
Because of the following points, the division bench's judgment upholding the
single judge's decision to pay the alleged is supported:
- That the argument was repudiated on the basis that the medical history
of the ailment was not disclosed and that the policy was repudiated after
the limitation period of 2 years had expired. Where Sec. 45 specifically
states that, after a term of 2 years has elapsed from the date of issuance
of the regulation, the claim cannot be called into doubt.
- The protection taken under the second section of the policy will not be
accepted since the organization must show that a false statement was made by
the deceased and that such a statement was material in nature and
fraudulently made. The company submitted a claim form B-1 that indicated
that the deceased had a myocardial infarction given to Dr. Kowde by the
patient.
- The petitioner (widow) had 2 documents annexed to it. First, Dr. P.S. Kulkarni's medical attendant certificate claiming that he had no heart disease
prior to the policy, and secondly, another form of claim B-1 obtained by Irwin
hospital group indicating that he had no heart disease.
For the following reasons, it is clear that there is insufficient proof to
suggest that he suffered from heart disease. There is also no question of
repudiation by dishonest means on the grounds of non-disclosure. Taking these
points into account, the repudiation of the allegation appears to be performed
wrongly, unjustly and arbitrarily. It should pass the argument.
Conclusion
The word good faith has been referred to in the Indian Penal Code and it means
good intention and due care and caution. Insurance contracts, including the life
insurance policy, are contracts Uberrima fides, which implies a contract based
on "utmost good faith" so that all relevant data must be revealed and any
material information must be withheld or any false or incorrect information
given. This stems from every individual's right to know and there is no escape
from every material reality connected with the subject matter of the contract.
Concealment of any material fact entitles the insurer to deprive the arrangement
of the benefits of the insureds. It was noted that the object of taking an
insurance policy is not very material. It can serve the function of social
security, but with a dishonest act by the insured, the same should not be
accomplished. If a fraudulent act is found, the idea will be repudiated. The
proposer must demonstrate that he was bona fide in his intent. From the face of
the record, it must appear.
This concept therefore forms an integral part of the law of insurance. It
provides the insurer with a reasonable chance of risk assessment and also
guarantees that all the contract terms and conditions are well understood by the
insured.
However, this concept is more beneficial to the insurer since it is the insured
who has to make all the reports in general. Additionally, two years after it has
been in effect, the Insurance Act stipulates that an insurance policy should not
be called into question. This was intended to avoid the difficulties of the
insured because, on the grounds of misrepresentation, the insurance provider
decided to avoid a policy that had been in effect for a long time. However,
where a statement has been made fraudulently, this clause is not applicable.
Furthermore, technical developments have made it possible for both sides to
ensure that their needs are taken care of. But, there are a few other grey areas
to this as well.
First, there is still no strong differentiation of what is substantive or
immaterial, and the same depends mainly on the insurers' whims and the contract
terms. By treating them as promises, it is still very straightforward for an
insurer to repudiate the contract at the slightest point of non-disclosure,
thereby placing the insured in an even more difficult role.
Second, although all parties are under an obligation of utmost good faith, it is
unclear on behalf of the insurer what this means. In essence, the insurer is
left with a minimal or no responsibility other than the obligation to ask any
questions at all. These questions are also unclear and the assured person is not
clear what he is being asked or what to reveal. The insured will therefore find
himself in a role where he is expected to reveal material information.
Considering that the principle of utmost good faith is one of the most basic
concepts synonymous with insurance regulation, an appropriate remedy must be
given in Indian Contract Act (1872).
Please Drop Your Comments