Asbestos Diseases and Insurance An Underwriters Guide to Recent Legal Developments January 2016 Table of Contents (hyperlinked) Report Details………………………………………………………....2 Introduction.................................................................................. 3 Legal Liability............................................................................... 5 Breach of Duty………………………………………………...6 Causation………………………………………………………8 - Mesothelioma - Asbestos Lung Cancer - Is the Disease Damage? Insurance Cover……………………………………………..10 - Employers’ Liability - Public Liability - The Operation of Policy Exclusions - Reinsurance - Statutory Intervention and the ECHR - Future Developments - Asbestos Lung Cancer Annexes…………………………………………………………........22 - Timeline of Key Asbestos Legislative Developments - Asbestos Claims Statistics - Other Insurance Classes & Asbestos Asbestos Diseases and Insurance Page 1 of 27 Report Details Published by: International Underwriting Association of London Limited 1 Minster Court Mincing Lane London EC3R 7AA United Kingdom Telephone +44 (0)20 7617 4444 Email: [email protected] With thanks to the Working Party of the IUA Liability Underwriters’ Group: Nick Comerford Peter Furby Karin Garfjeld Roberts Miriam Havergal Christopher Jones Dervla Lynchehaun Neville White XL Catlin Zurich IUA Tokio Marine Kiln Insurance With legal advice taken from: Keoghs LLP: David Pugh Partner David Pugh has successfully handled cases in the Court of Appeal, House of Lords and Supreme Court and advised a wide range of clients from major composite insurers to the Ministry of Defence, local authorities, large multinational corporations and the NHS. He is chair of the disease sector focus group of FOIL, and has served on the Court of Appeal Users committee. David advised the ABI on the Mesothelioma Payment Scheme and Mesothelioma Act 2014. He represented the ABI in their Supreme Court intervention in IEG v Zurich. He advised the successful Defendants in Rothwell (the pleural plaques test case). He also advised insurers on the successful Supreme Court challenge to the Recovery of Medical Costs for Asbestos Diseases (Wales) Bill. This paper has been drafted for information purposes only and is strictly non-binding in nature. IUA takes no responsibility for the accuracy of this information, which does not constitute legal advice. As such, IUA members and other third parties should take legal advice as they deem appropriate on any of the issues raised in the paper. First Published: January 2016 Copyright: International Underwriting Association of London Limited Reproduction of the information in this publication is permitted provided that this is accompanied by a statement in the following form: ‘Information taken from the IUA publication, ‘Asbestos Diseases and Insurance’. Asbestos Diseases and Insurance Page 2 of 27 Introduction Asbestos is a naturally occurring mineral. It is flexible, has a high tensile strength and is heat and chemical resistant. It can be sprayed on directly, or incorporated into boards, textiles, string, cement and paints. It has been used in brake linings, pipe lagging, floor tiles, clothing and even cigarette filters. Asbestos was very widely adopted in many industries including construction, shipbuilding and power generation. The peak of asbestos importation into the UK occurred during the 1960’s and 1970’s. This then declined sharply, chiefly due to increasing concern about the long term and serious health risks it posed. The use of asbestos was not finally banned in the UK until 1999, but occupational exposure became World Mine Production and Reserves1 Mine Production (Tonnes) 2013 2014 Reserves United States Brazil China Kazakhstan Russia Other countries — — 307,000 291,000 420,000 400,000 242,000 240,000 1,050,000 1,050,000 340 300 Small 11,000 Large Large Large Moderate World total 2,020,000 1,980,000 Large increasingly rare after around 1980. Some exposure continues to this day through inadvertent or careless disturbance of asbestos products already in place. (rounded) However, asbestos mining and use is widespread in a number of jurisdictions outside of the UK. Types of Asbestos and Related Diseases There have been three main types of commercially used asbestos. These are known as blue (crocidolite), brown (amosite) and white (chrysotile). The first two are known as amphibole fibres. White is a serpentine fibre. Amphibole and serpentine fibres have differing shapes and properties. These properties mean that specific fibre types are more adept at certain tasks. They also carry 1 Information taken from the US Geological Survey / US Department for the Interior publication, ‘Mineral Commodity Summaries 2015’. Asbestos Diseases and Insurance Page 3 of 27 differing implications for health. Blue asbestos is widely regarded as the most toxic, followed by brown. White asbestos is regarded as being significantly less toxic than the other two types. Asbestos has been implicated in five main diseases, all affecting the respiratory system. These are: Mesothelioma. This is a cancer mainly affecting the pleura2, though it can also occur in the abdomen. It is aggressive and invariably fatal. It is almost solely attributable to asbestos. It can be caused by minimal exposure to respirable (breathable) asbestos fibres. This combination of lethal effect, unique causative association with asbestos and very low dosage causation means that mesothelioma has been given special treatment by the courts and UK legislatures. Mesothelioma is by some distance the most costly result of asbestos for insurers (See Annex 2 for further information). Lung cancer. Asbestos significantly increases the risk of developing lung cancer especially where an individual has also smoked tobacco. Attribution of lung cancer to asbestos is currently thought to require higher levels of exposure than is the case for mesothelioma. Asbestosis. This is a fibrosis or scarring of the lung tissue. It is a type of pneumoconiosis (lung disease). Asbestosis restricts the lungs’ elasticity and their capacity to absorb oxygen. It is caused by high levels of exposure to asbestos. It can cause no symptoms or can be significantly 2 The pleura are membranes which line the outside of the lungs. They help easy movement of the lungs within the chest cavity. Asbestos Diseases and Insurance Page 4 of 27 disabling - and in extreme cases fatal. Asbestosis is sometimes used wrongly as a generic term to describe all asbestos related diseases3. Diffuse Pleural Thickening (DPT). This is a fibrosing condition (inflammation and thickening of the walls of the alveoli) in the pleura rather than the lungs themselves. Asbestos fibres irritate the pleura. This causes an effusion which drains to the bottom of the chest cavity. This in turn sets up a fibrosing effect in the pleura, causing them to thicken. This can restrict expansion of the lungs. As with asbestosis, DPT can vary in effect from asymptomatic to significantly disabling. Pleural Plaques. These are the most common condition associated with asbestos exposure. They are areas of localised fibrosis caused by the direct action of fibres on the pleura. In almost all cases they cause no symptoms. All of these conditions have a long latency period between fibre inhalation and the onset of the symptoms of disease. The latency period for mesothelioma is at least 10 years. The more typical period between exposure and development of mesothelioma is around 30 to 40 years. There is no maximum latency period4. Some claims are still being dealt with where the only known exposure occurred in the 1940s. This means that the insurance policies which respond to current claims were largely written long before the nature and scale of the potential liability was appreciated. This has led to specific difficulties of interpretation and construction of policies which are often inapt to deal with asbestos disease. In the UK, most claims for asbestos disease are made against former employers5. This note concentrates on Employers’ Liability (EL) cover for that reason. Where Public Liability (PL) cover differs it is addressed separately. Legal Liability Compensation for asbestos diseases is shaped by three main drivers: - 3 For related comments on this point see below on exclusion clauses. 4 In the benign conditions the long latency period can be exacerbated by difficulties of detection for conditions causing minimal symptoms. Plaques, DPT and asbestosis are often chanced upon by clinicians investigating other conditions. 5 Unlike in the U.S. where the great majority of claims are product liability based. Asbestos Diseases and Insurance Page 5 of 27 The size of the current and future financial cost - to individuals, insurers, business and the State. This encourages frequent legal challenge and dispute. Aspects of asbestos diseases which make them difficult to fit comfortably within traditional legal concepts. These drive the courts to adopt and sustain novel approaches. The devastating personal effect of mesothelioma in particular. This leads to heavy political pressure to intervene. These three factors have driven rapid change through case law, legislation and claims process. They are frequently in tension with one another, which leads to uncertainty of outcome. Any assessment of current asbestos compensation and likely future changes must have regard to the interplay of these factors. Annex 1 contains more detailed references to important legislative developments in this field. To recover damages a Claimant must prove that a duty of care has been breached, that the breach has caused the disease, and also that the disease is damage for which compensation should be paid. Breach of Duty Asbestos has been known to cause disease for many years. The dangers of asbestosis from high levels of exposure began to be suspected around the turn of the 20th century. Regulations governing asbestos exposure and workers’ compensation for asbestosis were introduced in the 1930’s. It was originally believed that the dangers were confined to those working in the asbestos processing industry itself. The risk of cancer, and the fact that this came from much lower levels of exposure, became widely known following publicisation of a study into mesothelioma in 19656. This date serves, broadly, as a threshold. Before this, employers will only be in breach of duty in negligence if the levels of asbestos were high enough to create a 6 Mesothelioma of the Pleura and the Peritoneum Following Exposure to Asbestos in the London Area, M Newhouse, H Thompson Br J Ind Med 1965 22. Asbestos Diseases and Insurance Page 6 of 27 risk of asbestosis. After this date, even very low levels of exposure would be regarded as carrying a foreseeable risk of fatal injury7. This watershed is subject to important qualifications. Before 1965, employers - and in some cases, occupiers - may be liable for breach of statutory duty even if the exposure would not lead to a foreseeable risk of harm. The Supreme Court has held in McDonald v National Grid8 that the 1931 Asbestos Industry Regulations apply to all industries - not just those directly concerned with the processing of asbestos materials. These regulations impose a strict duty to provide ventilation where specified activities are carried out with asbestos, including where asbestos is being ‘mixed’. This is a very common activity in workplaces remote from the asbestos industry itself. If the specified activities are carried out without ventilation, there is a breach of duty to everyone working in the factory. This includes those working for other parties. This case means that in many circumstances liability will attach pre-1965 for very light exposure. In the McDonald case itself the Claimant was a delivery driver who made occasional visits to a power station where asbestos was often mixed. The difficulty this ruling causes for Defendants is compounded since the burden is on them to prove that ventilation was provided. This highlights another broader problem for Defendants and their insurers - the passage of time since exposure leads to particular difficulties in finding evidence. In many cases the Defendant company9 no longer exists. In most claims the sufferer’s evidence of his asbestos exposure is unchallenged. It can often be unchallengeable where the claim is brought post death or where the sufferer is already too ill to give evidence. Insurers are often cautious about engaging the sympathies of the Court by pressing a dying Claimant to give live evidence. Where the Defendant can assemble evidence it remains possible to successfully argue that steps were taken consistent with contemporaneous knowledge of the risks. This is often assessed by 7 The archetypal claims where liability is unlikely to attach pre-1965 are the so called ‘shake down’ cases - where exposure comes from family members’ contact with those working with asbestos. See Maguire v Harland and Wolff 2005 EWCA Civ 1. 8 2014 UKSC 53. 9 Dissolved companies can be restored to the Companies Register for the purpose of bringing claims against insurers. Asbestos Diseases and Insurance Page 7 of 27 reference to guidance given to the Factories Inspectorate - most notably TDN 1310. These remain unusual cases. Causation Mesothelioma Once breach of duty is established a Claimant has to prove that this caused his loss. In most personal injury cases this means he has to pass the ‘but for’ test. This is a particularly difficult question to answer with mesothelioma. As we have seen, this can be caused by very low levels of exposure to asbestos. Many Claimants have been exposed to asbestos The ‘but for’ test of causation That ‘but for’ the Defendant’s breaches of duty, would the Claimant have suffered his disease? by a number of employers. There is also a certain level of background exposure to asbestos in urban areas. How can a Claimant prove that ‘but for’ a particular employer’s breaches they would not have suffered from mesothelioma? The answer is that he cannot, if the normal rules of causation are followed. This is the puzzle which faced the House of Lords in Fairchild v Glenhaven11. The deceased in this case had been exposed to asbestos by more than one employer. The EL insurers involved argued that the Claimant could not prove which employer’s breach had caused the disease. That meant the claim must fail. The House of Lords refused to accept that result. They made a policy decision to apply a new test - on the openly expressed basis that they would rather do an injustice to wrongdoing employers than to mesothelioma sufferers. Instead of the ‘but for’ test, the Lords decided that all that the Claimant had to prove was that his asbestos exposure caused by any wrongdoer had materially contributed to the risk of disease. Fairchild is a pivotal decision and crucial to an understanding of the history and future of asbestos compensation. It constitutes a major departure from the normal rule of law. It has had many legal repercussions. The ruling itself and its reverberations are the strongest example of the interplay between the three drivers of compensation set out above. The first Court interpretation of Fairchild was in a 10 11 Technical Data Note 13, issued in March 1970. 2002 UKHL 22. Asbestos Diseases and Insurance Page 8 of 27 case called Barker v Corus12. The Defendants here argued that if their liability was for creating the risk of disease, that liability should be divided to match their individual contribution to that risk. The House of Lords agreed with that approach. The historical nature of asbestos claims often means that employers no longer exist and insurance cannot be found. The Barker judgment meant that many Claimants would not receive full damages. Political pressure meant that the decision was overturned within weeks by Parliament under the Compensation Act 2006. Since this Act, each wrongdoer is liable for all of a mesothelioma Claimant’s loss even if they were only responsible for a small part of the total asbestos exposure. The Compensation Act still permits wrongdoers to seek contribution from others. Insurers can subrogate on such claims when they have indemnified policyholders. If there is a missing period of employment, liable parties have to share the additional costs between themselves. The effect of Fairchild and Barker on legal rights between insurers and policyholders is discussed below. Asbestos Lung Cancer Asbestos is known to play a role in the development of lung cancer. The Health and Safety Executive (HSE) believes that there are as many asbestos related lung cancers as there are mesotheliomas13. Insurers currently receive far fewer claims for asbestos lung cancer. It is likely that this is due in part to uncertainties about the appropriate approach to causation. It is currently accepted that asbestos exposure has to be enough to double the risk of cancer before it can be attributed to asbestos. Unlike mesothelioma there is no uniquely strong association between asbestos and lung cancer. The obvious additional factor is tobacco, but there are others. At the time of this report’s preparation there is no binding legal authority telling the Courts how to deal with asbestos lung cancer causation. That is due to change with a case called Heneghan. This will be heard in the Court of Appeal in January 2016. The potential outcomes on causation 12 2006 UKHL 20. 13 See HERE for further information. Asbestos Diseases and Insurance Page 9 of 27 carry distinct implications for how cover responds, as well as for primary liability. This is dealt with in further detail below. Is the Disease Damage? The most common form of asbestos disease is pleural plaques. In 2008, the Industrial Disease Advisory Council supported an estimate of between 36,000 and 90,000 UK cases per year14. As noted, plaques generally cause no symptoms. They do not develop into any of the more serious conditions, nor do they increase the risk of those more serious conditions. Damages are awarded for loss, not for mere physical change. Insurers paid plaques claims for many years after early decisions supported the award of damages. Rising numbers of claims and associated costs led insurers to challenge those early cases. The challenge succeeded in 2007 in Rothwell15. Since this case damages have not been available in England and Wales for plaques - or for asymptomatic asbestosis/diffuse pleural thickening16. The devolved legislatures in Scotland and Northern Ireland reversed Rothwell by statute17. Asymptomatic asbestos diseases continue to attract compensation in those jurisdictions. The Scottish legislation was unsuccessfully challenged by insurers using the European Convention on Human Rights (see below). Insurance Cover Employers’ Liability Insurance The great majority of claims for asbestos disease in the UK are made against employers. It has been compulsory since 1972 for most employers18 to carry insurance for injury and disease sustained by employees. 14 See IIAC Position Paper 23 HERE. 15 Rothwell v Chemical & Insulating Company 2007 UKHL 39. 16 One of the Claimants in Rothwell was diagnosed with diffuse pleural thickening during the course of the litigation. This did not cause symptoms. The Court of Appeal rejected the Claimant’s attempt to drop out of the litigation, ruling that his case was the same as the plaques Claimants. 17 Damages (Asbestos Related Conditions) Scotland Act 2009. Damages (Asbestos Related Conditions) (Northern Ireland) Act 2011. 18 The main exceptions being State employers. Asbestos Diseases and Insurance Page 10 of 27 The Courts have had to decide when a policy triggers for mesothelioma following Fairchild and how liabilities are divided between insurers and policyholders. In Durham19, some insurers argued that their EL policies did not trigger at all. They said that their policies were worded to cover injuries ‘sustained’ or ‘contracted’ during the period of cover. In the case of mesothelioma, they said, no injury was sustained during the policy period. The injury did not occur until the disease became onset many decades later. The majority20 of the Supreme Court disagreed. They ruled that a proper interpretation of the policies should take account of their general nature and purpose - which was to afford complete indemnity by reference to activities and employees within the policy period. Once that was done, it was right to interpret them as operating on an injury caused basis. The Supreme Court has ruled more recently on liabilities as between policyholders and insurers. In IEG v Zurich21 the mesothelioma sufferer had been exposed to asbestos for 27 years during his employment with IEG. For 6 of those years IEG had EL cover with Zurich. IEG claimed a full indemnity from Zurich. They argued that Fairchild triggered liability during the policy period. The Compensation Act 200622 meant that this had to be for the full amount. Zurich agreed that their policy was triggered and that if the Compensation Act applied, their indemnity was for the full amount. They argued that this was a manifestly unfair outcome of the way that the law had developed many years after the policy was written. They asked the Court to create an equitable right of recoupment, permitting insurers to secure an appropriate contribution from policyholders (and their insurers). By a bare majority the Supreme Court agreed to create the recoupment right. They acknowledged openly the problems which had been caused by Fairchild and the need for the Courts to acknowledge those difficulties and arrive at a fair distribution of losses between 19 Durham v BAI and Others 2012 UKSC 14. 20 The sole dissenting judgment illustrates the complexities of applying Fairchild principles. Lord Phillips, the most senior Justice, found that EL cover did not trigger at all for mesothelioma as Fairchild liability was for risk and not injury. 21 International Energy Group v Zurich 2015 UKSC 33. 22 An added complication to IEG is that it originated in Guernsey. The 2006 Compensation Act does not apply to Guernsey. IEG argued that the Court should regard Guernsey law as inevitably reflecting the Act. This was rejected but at least meant that the effect of the 2006 Act was fully argued. Asbestos Diseases and Insurance Page 11 of 27 wrongdoers and their insurers. The Court drew parallels with double insurance but also found that the normal 50/50 presumption need not apply. Liability could be apportioned in accordance with the years of exposure and of cover. The minority also found for Zurich but did so by stressing the paramount importance of liability being delineated and defined by the policy period23. Although this would have led to the same result in IEG itself, it would carry significant implications for Claimants. In many mesothelioma cases, there is missing cover. This might be because cover was not bought, especially before this became compulsory in 1972. It might be that insurance records have been lost. Had the minority’s view been followed, those claiming against insolvent companies would have faced a damages shortfall - an outcome that may well have led to statutory intervention. The approach taken by Zurich and agreed by the Court preserves full compensation for mesothelioma claimants. The right of recoupment against the policyholder follows a full indemnity from the insurer for the entire loss. The Court was careful to stress that this mechanism was solely necessitated by the Fairchild exception. Where liability is established by conventional means there will be no such right. This carries further implications for asbestos lung cancer which are discussed below. Some of the auxiliary findings in IEG are also of some significance. The Supreme Court confirmed that coinsurers of the same policyholder have a right of contribution between themselves24. The Court also found that Fairchild causation meant that the disease was repeatedly ‘caused’ during each period of cover. This clarifies the means and mechanisms by which primary loss insurers claim from reinsurers. Since the loss is caused repeatedly in each cover period this supports proportionate allocation to each annual policy and corresponding reinsurance treaty25. Public Liability Insurance Although most claims for asbestos diseases are answered by EL cover there remain situations where PL cover can be involved, either as a front line response or where other compensators 23 See the parallels here with the reasoning in Durham. 24 The right of contribution between insurers of co-defendants is covered by subrogation. 25 The same logic applies to excesses and retentions but these are unusual in EL policies, and supporting documentation to this effect is rarely available. Asbestos Diseases and Insurance Page 12 of 27 seek a contribution. Liability imposed by statute often covers both employers and occupiers. That is the case with the 1931 Regulations and the 1937 Factories Act found to impose the liability in Macdonald (see above). There will also be situations where the common law would be likely to find a liability. Most public liability insurance has been written using wording requiring that injury has been “sustained” during the policy period26. The precursor to the Durham case on EL policies was a PL claim - Bolton v MMI27. The Court decided that the ‘sustained’ wording meant that the policy which answered was not the one in place when asbestos was inhaled, but the one which applied when the sufferer became injured. The facts of Bolton itself meant that the Court did not specifically find when the particular injury occurred. The balance of the evidence suggested that in malignant conditions this would have been regarded as taking place 10 years before onset of symptoms. This was the point at which cell mutation and division had escaped the body’s own control mechanisms. The underlying evidence about tumour development was later re-examined in Durham. The emphasis here was on angiogenesis - the point at which a tumour establishes its own blood supply. This was said to occur around 5 years before symptoms. PL cover written on an ‘injury sustained’ basis is now commonly regarded as having its trigger at this point - though there is no market consensus on this28. This carries significant implications for insurers. The more recent the trigger event, the more likely it is that the covering policy will include an effective asbestos liability exclusion clause. As PL cover is non-compulsory, properly worded exclusion clauses are effective. That would not be the case with post 1972 EL cover29. The current status of Bolton remains unclear. The issue of PL trigger has not been re-examined following the Supreme Court’s decision in Durham. The outcome of any such challenge is 26 This was not universal. The cover which responded in McDonald used “injury caused” wording. 27 2006 EWCA Civ 50. 28 There must also be an argument that, following Rothwell, injury is not sustained until symptoms are manifest. 29 See Policy Exclusions section. Asbestos Diseases and Insurance Page 13 of 27 uncertain given Durham’s shift away from policy wording and towards the broad context of the policies. This is made more difficult with PL cover by the fact that this is a non-compulsory class of insurance without statutory policy as a guide. The current status of PL trigger must be regarded as susceptible to further interpretation. The potential for a legal challenge to current practice depends on the underlying financial implications. As few claims are currently answered by PL insurance there appears to be limited impetus for such a challenge. If there is an increase in PL claims (including contribution claims) the likelihood of such a challenge increases. The Operation of Policy Exclusions Exclusion clauses for asbestos diseases are rarely encountered in current claims30, but do exist. As with all exclusion clauses the wording must be tightly drawn to be effective. In Turner & Newall v RSA and others31, insurers relied on a clause excluding liability TYPICAL ASBESTOS EXCLUSION CLAUSES for pneumoconiosis to argue that liability for all asbestos diseases was excluded. The Court rejected that, saying that the clause had to be construed in its narrowest sense. The only asbestos disease which was a pneumoconiosis was asbestosis. This was effectively excluded. The other diseases were not. This case considerably predates the Durham decision. It “This Section shall not apply to liability or indemnity: arising out of or related in any way to asbestos fibres or particles or any derivatives of asbestos or any materials containing such in any form whatsoever.” “This Policy does not apply to or include indemnity: may be that it would be decided differently once regard is had to the broader circumstances and purpose of the policy concerned. There is ample reason to believe that Turner & Newall, a primary importer and processor of asbestos materials, wished to ensure that it dealt with all claims for asbestos disease. For EL policies which post-date 1972 there can be no legal EL exclusions for any injury types or causes32. Asbestos arising out of the manufacture, mining, processing, distribution, testing, remediation, removal, storage, disposal, sale, use of or exposure to asbestos or materials or products containing asbestos whether or not there is another cause of loss which may have contributed concurrently or in any sequence to a loss or in respect of that part of any property insured by this Policy which consists of asbestos.” 30 Not least because the documentation can be difficult to trace. 31 2003 EWHC 1016. 32 Again formally confirmed in Turner & Newall v RSA and others, op cit. (as cited above). Asbestos Diseases and Insurance Page 14 of 27 On the PL side, in a variation from the total asbestos exclusion clause, some insurers are prepared to limit the extent of the exclusion to include liability arising from the accidental discovery of asbestos. This would generally operate only in respect of claims first made against the insured and notified to the insurer during the period of insurance. The write back would normally specifically exclude liability relating to any subsequent activity following the discovery, for example arising from a specialist sub-contractor appointed to remove the asbestos. It would also normally exclude liability if the insured knew of the existence of asbestos and would also normally be subject to a specific policy sub-limit. There may also be an exclusion relating to the damage to or loss of use of property or diminution in value of property due to the presence of asbestos. In addition to the exclusionary language, policies may also specifically refer to excluding liability for mental injury or fear of suffering bodily injury death disease or illness arising out of actual or suspected exposure to asbestos or asbestos containing materials. Finally, we are aware of some PL policies providing for a claims made aggregated / cost inclusive extension. ACOD/B There are two key principles arising from the ACOD/B clause: Reinsurance It is worth briefly highlighting the approach of reinsurers to asbestos exposures. This part relates primarily to treaty reinsurance and not specifically to facultative reinsurance risks or excess of loss policies. Though it is difficult to make generalisations on the response of the reinsurance market as a whole to asbestos, as with any insurance cover, treaty reinsurers have by and large sought to understand and manage their exposure to asbestos claims. This has been done in a number of ways. Firstly, cover for specific asbestos exposures such as accidental damage or clean up of buildings containing asbestos (post-1999) may be available on a case by case basis. Secondly, use of deductibles may act to limit individual employee occupational 1. that the clause restricts cover for non-sudden and accidental occurrences and emphasises that one claimant equals one event; 2. that reinsurers’ liability shall be pro-rata of the proportion of the reinsurance period to the total period of exposure to the hazard. Though drafted prior to the Supreme Court decision in IEG-v-Zurich it is consistent with the decision. disease exposures to the reinsurer. Finally, many treaty reinsurers Asbestos Diseases and Insurance Page 15 of 27 apply Accident Circle Occupational Disease (ACOD) clauses – normally ACOD/B. Originally published in 1984 and updated periodically since (most recently 2013)33 the ACOD clauses outline the excess of loss reinsurance treaty policy response to occupational disease claims arising from EL and workers compensation (WC) policies. Statutory Intervention and the European Convention on Human Rights The UK Parliament and devolved legislatures have intervened repeatedly in asbestos disease compensation. It is possible to discern two significant motives for intervention. The first is purportedly to protect the interests of asbestos Claimants. There is a well organised and strident lobby of Asbestos Victims Support Groups (AVSG). Trade Unions are also vocal in their support of asbestos claimants, as are Claimant lawyers34. MPs of all parties have unsurprisingly appeared sympathetic to their collective influence. The second motivation is the perennial interest of Government in shifting liabilities from the public purse to the private sector. These two dynamics often coincide to impose additional liabilities on existing policies of insurance and insurers as a group, sometimes done through unusual methods. The AVSG, for example, formally intervened in the Supreme Court in IEG in favour of the employer who caused the disease and opposing Zurich’s mechanism intended to guarantee full compensation. The Compensation Act 2006 is the most significant example of statutory intervention. It is an equally good example of how the political imperative can lead to paradoxical drivers and outcomes. The Barker challenge (see above) was not mounted by the insurance industry, but by an uninsured employer and a Government department. The Government’s argument having succeeded, they then succumbed to political pressure and immediately overturned the result by statute35. Legislation has increased the number of cases where insurers pay damages, such as with pleural plaques. More often, it has added to the amount paid by insurers on those cases they were 33 Details of the ACOD clauses and how they are designed to work can be accessed HERE (search ‘ACOD’ for both the clause and Explanatory Memorandum). 34 As an illustration of the issues and the position adopted by such groups, see the British Asbestos Newsletter HERE. 35 The insurance industry has frequently been criticised for mounting the Barker challenge, which insurers actually had nothing to do with. Asbestos Diseases and Insurance Page 16 of 27 already paying. In most cases, this imposes additional liabilities on existing historic policies. This might be through additional damages as with the Compensation Act. It might be through repaying state benefits to Government. It has also included preserving additional expense by making mesothelioma claims immune from recent changes designed to control legal costs36. Governments have also gone directly to insurers to impose an additional liability. Following the Mesothelioma Act 2014 all active insurers37 must pay into a scheme established to provide compensation to mesothelioma victims who cannot trace solvent employers or insurers. The scheme satisfies both of the drivers for legislative intervention since it also repays State benefits to the Government - money which would otherwise be lost to the State. The scheme established by the Act is funded entirely by the levy on insurers. Each insurer’s contribution is assessed by their individual market share of gross written premium. The scheme also repays the state benefits for each Claimant. This makes it a suitable solution for Government. The scheme pays compensation to those who would otherwise receive nothing. It also funds the State. The mesothelioma scheme was established in response to a consultation into an Employers’ Liability Insurance Bureau - an ‘ELIB’ fund of last resort to mirror the Motor Insurers’ Bureau (MIB) in motor claims. The apparent success of the mesothelioma scheme may tempt future Governments to take similar steps in relation to other latent diseases, which would be dominated by other asbestos related conditions. The most obvious candidate for this would be asbestos lung cancer. Insurers decided to engage with Government to help establish the mesothelioma scheme. Proposals for a wider fund would be likely to encounter greater resistance - especially perhaps from current EL insurers with no legacy book. Neither the UK Government nor the devolved legislatures has unfettered power to pass legislation as they choose. Both are subject to the European Convention on Human Rights38. 36 Section 48 of the Legal Aid, Sentencing and Punishment of Offenders Act 2012 suspends the reforms for mesothelioma claims alone - permitting lawyers to continue to recover profit cost uplifts from Defendants. 37 I.e. those authorised under compulsory EL insurance legislation. 38 The devolved legislatures are all directly bound. They cannot pass legislation which breaches the ECHR. Parliament theoretically retains complete sovereignty but the UK has international treaty obligations to comply with ECHR decisions. Asbestos Diseases and Insurance Page 17 of 27 Protocol 1 Article 1 of the ECHR (A1P1) provides that every person39 is entitled to the peaceful enjoyment of their possessions. This, though, is a qualified right. This means that Governments can interfere with possessions if they are pursuing a legitimate aim and if they do so proportionately. One general principle of proportionality is that States should not normally interfere with the effect of existing contracts. This makes it more difficult for Government to pass legislation affecting insurers’ liabilities from policies written many decades ago. Two attempts have been made by insurers to use A1P1 to challenge legislation. Both concerned devolved legislatures. Taken together they offer some level of guidance about whether future statutes would be lawful. In AXA and others v Lord Advocate40 insurers tried to block the Scottish legislation restoring compensation for those with pleural plaques. The Supreme Court agreed that insurers’ reserves were possessions to be protected under ECHR. They also agreed that insurers had standing to bring the case. They disagreed that the legislation was disproportionate. They said that it addressed a reasonable perceived social purpose, with compensation going to those who had experienced a diagnosable physiological response to asbestos. Crucially, it could not be said that such an outcome was inconceivable at the time the policies were entered into. Insurers later used A1P1 successfully to challenge the lawfulness of a Bill passed by the Welsh Assembly. This Bill sought to recover the cost of NHS treatment for asbestos diseases from compensators, including insurers.41 The cost of NHS treatment is routinely recovered from insurers following accident claims in the UK, but this was introduced in a way which allowed insurers to anticipate the change and adjust premiums. The Supreme Court upheld the insurers’ challenge.42 The addition of a liability for NHS cost was an entirely new head of claim owed to a third party. It could not reasonably have been anticipated 39 This includes a ‘legal person’ such as an insurance company. 40 2011 UKSC 46. 41 Recovery of Medical Costs for Asbestos Diseases (Wales) Bill. 42 2014 UKSC 43. Asbestos Diseases and Insurance Page 18 of 27 at the time the policies were written. It did not help sufferers as the money recovered would simply go to the State. Taking both cases together shows that the more easily an additional liability could have been foreseen at the time of agreeing the policy, the more likely it is that it would be A1P1 lawful. If a provision benefits disease sufferers it is more likely to be lawful than if it just benefits Government. Future Developments - Asbestos Lung Cancer The current crucial issue is the question of asbestos lung cancer causation. This is at the core of Heneghan v Manchester Dry Docks43 noted above. This case will be heard in the Court of Appeal in January 2016 and will likely to proceed to the Supreme Court in due course. Despite the views of the HSE about asbestos lung cancer prevalence, insurers currently receive far fewer claims compared to mesothelioma (see Annex 2). This is probably due to a number of factors. It is likely that one of the most important has been the uncertainty over causation. Until recently neither Claimants nor Defendants have sought to test the waters. Insurers have held concerns over the potential introduction of Fairchild causation for lung cancer. Lung cancer incidence greatly outnumbers that of mesothelioma44. The very low threshold of exposure needed for Fairchild causation - the material contribution to risk - would mean that many of those lung cancer sufferers would establish liability under ‘pure’ Fairchild. Conversely, Claimants have been concerned that under the normal legal principles applying to multiple factor cases45 claims would fail altogether. The precise basis by which the Heneghan case is argued carries significant implications for both primary liability and insurance cover. To find out why, it is necessary to look at those arguments in detail. The employer responsible for most of the asbestos exposure in Heneghan no longer 43 First Instance Decision 2014 EWHC 4190 QBD. 44 Around 43,500 cases per annum compared to around 2,200 for mesothelioma. 45 See the clinical negligence claim of Wilsher v Essex Area Health Authority HL 1988 1 AC 1074. See also the Australian asbestos lung cancer case, Amaca Pty v Ellis [2010] HCA 5. Asbestos Diseases and Insurance Page 19 of 27 exists. The claim is being pursued against other former employers - each of whom were only responsible for a small proportion of the asbestos exposure. The Claimant contends that knowledge of cancer has evolved since Fairchild. She argues that it is now possible to establish that all exposure to a carcinogen leads directly to disease causation. This would mean that causation would be established using the traditional ‘but for’ test. As lung cancer is an ‘indivisible’ condition46 this would make any wrongdoer liable for the whole loss regardless of other exposures. The Defendants deny that the evidence supports the Claimant’s case. They say that to succeed against any of the ‘minority’ employers, the Claimant must use Fairchild47. If she does so, she must also accept Barker48 and only recover a proportion of her damages. This leads to the paradoxical situation where Defendants argue for an extension of Fairchild, and the Claimants argue against it. It is crucial to understand that the Defendant’s position is that Fairchild only applies to the second stage of a two stage causation test - i.e. to the question of who caused the disease but not to question of what caused the disease. The Defendants’ argument succeeded at first instance. Both sides say that there are two stages in determining causation. The Claimant agrees that she must prove disease causation (i.e. what caused the disease) by establishing doubling of the risk. If an individual’s asbestos exposure was enough to double the risk of him developing cancer, he succeeds in proving that it was an asbestos lung cancer. This is a much higher threshold than the pure Fairchild test feared by insurers. If the Claimant’s argument succeeds, asbestos lung cancer cases would be easier to bring. They would also be significantly more expensive to settle. This argument would also circumvent the decision in IEG v Zurich. In most important respects in relation to causation, lung cancer and mesothelioma are the same49. The Claimants do not need their Heneghan argument in claims for 46 I.e. once you have it, you have it. No additional breach or exposure makes any difference. 47 The Defendants did not follow the arguably more logical line that the Claimant could not recover at all for fear of further statutory intervention. 48 The Compensation Act 2006 only applies to mesothelioma. 49 The first instance judgement in Heneghan says so, in terms. Asbestos Diseases and Insurance Page 20 of 27 mesothelioma because of Fairchild. A policyholder with only partial cover would be more interested. They could argue that exposure during the policy period had directly caused the disease - either mesothelioma or lung cancer. This would lead to full indemnity. The IEG recoupment right would not apply since this is predicated purely on Fairchild causation. A Claimant success would also increase the likelihood of successful claims for other cancers. The same argument was attempted by Claimants in a non asbestos cancer case involving the Phurnacite works in South Wales50. The exposure here was to by products51 from the manufacture of coke briquettes52. Diesel fumes, silica and various metals have also been associated with lung cancer. Whichever argument succeeds in Heneghan, there would remain the question of policy trigger. As matters stand with mesothelioma, any exposure above normal background levels is sufficient to increase the risk and so ‘prove’ disease causation under Fairchild principles53. This closely ties exposure to causation and means that any exposure during the cover period will be enough to be regarded as having caused the disease. If there is a threshold of doubling of the risk to be surmounted before a lung cancer can be ascribed to asbestos, it may follow that for an “injury caused” policy to trigger, exposure must be enough to double the risk during the policy period - arguably during each separate policy period. Finally, although the current Claimants in Heneghan agree that they must ‘double the risk’ to prove that the cancer is related to asbestos, that does not bind any future Claimants. Once the principle of Fairchild application to lung cancer is accepted it would appear to be an easier task to apply the same test to both ‘stages’. The number of potential claims this would unlock would make it a very attractive outcome for the increasingly commercial Claimant lawyers. 50 Jones and Ors v Secretary of State for Energy and Climate Change 2012 EWHC 2936. 51 Specifically, polycyclic aromatic hydrocarbons. 52 It is understood by the author that the question of lung cancer causation is also due to be reviewed in further litigation involving coke workers. 53 See Sienkiewicz v Greif Ltd 2011 UKSC 10. Asbestos Diseases and Insurance Page 21 of 27 Annex 1 - Timeline of Key Asbestos Related Legislative Developments Year Instrument (hyperlinked) Description 1931 Asbestos Industry Regulations Into force in 1932 - first recognised legislation controlling asbestos use in factories 1937 Factories Act Builds on the 1931 Regulations 1969 Asbestos Regulations First quantitative limit for asbestos dust exposure 1972 Employers' Liability (Compulsory Insurance) Act The 1969 EL Act comes into force - requires employers to insure against their liability for personal injury to their employees 1974 Health & Safety at Work Act Greater health and safety responsibilities placed upon employers 1979 Lump sum payments pneumoconiosis, byssinosis or diffuse Pneumoconiosis etc. (Workers’ Comp) mesothelioma sufferers. The lump sum amounts have been Act periodically increased by legislation. 1983 Asbestos (Licensing) Regulations Strict guidance on the removal of asbestos 1985 Asbestos (Prohibitions) Regulations Ban on Crocidolite (Blue asbestos) and Amosite (Brown asbestos) 1987 Control of Regulations 1990 Control of Asbestos Regulations 1992 Asbestos (Prohibitions) Regulations Ban on rarer forms of Amphibole asbestos (Tremolite, Actinolite and Anthophylite) 1999 Asbestos (Prohibitions) Regulations Includes ban on Chrysotile 2002 Control of Regulations 2006 Compensation Act ‘Responsible Person’ liable for all of the damage caused by mesothelioma, even if another party could also have caused it 2006 Control of Asbestos Regulations Amalgamation of previous asbestos legislation 2008 Mesothelioma Lump Sum Payments (Conditions and Amounts) Regulations 2008 Lump sum payments for mesothelioma sufferers or their dependents 2009 Damages (Asbestos-related conditions) (Scotland) Act Plural plaques become actionable in Scotland 2011 Damages (Asbestos-related conditions) Act (Northern Ireland) Asbestos related plural plaques become actionable in Northern Ireland 2012 Control of Asbestos Regulations Introduces a new category of asbestos removal work and a new types of survey 2014 Mesothelioma Act Creates the statutory means to introduce the mesothelioma levy on UK EL insurers. The Diffuse Mesothelioma Payment Scheme Regulations 2014 establishes the detail of how the Scheme works 2015 The Mesothelioma Lump Sum Revised lump sum payments to mesothelioma sufferers (updating Payments (Conditions and Amounts) the 2008 Regulations) (Amendment) Regulations 2015 Asbestos at in Asbestos Work Introduced to protect workers from fibre exposure when working with asbestos containing materials the at Air Prevention and reduction of environmental pollution by asbestos Work Businesses are obliged to identify and manage asbestos in their properties (regulation 4) Asbestos Diseases and Insurance Page 22 of 27 Annex 2 - Asbestos Claims Statistics Taken from the Institute of Actuaries UK asbestos working party YE2014 survey NUMBER OF CLAIMS NOTIFIED BY NOTIFICATION YEAR (100% of market)* - includes nils Pleural Plaques Notification Asbestos Related Pleural (Scottish & NI Asbestosis Mesothelioma Year Lung Cancer Thickening exposure only) 1995 49 1,445 112 5 811 1996 42 1,472 172 26 1,017 1997 60 1,454 148 24 1,099 1998 129 1,441 106 56 1,303 1999 106 1,652 100 75 1,504 2000 187 1,856 108 145 1,735 2001 197 1,875 123 256 1,749 2002 229 1,745 145 243 1,656 2003 253 1,994 177 466 1,868 2004 371 1,637 193 592 1,918 2005 329 1,526 247 837 1,995 2006 131 1,447 345 952 2,568 2007 57 1,358 344 659 2,696 2008 53 1,371 384 756 3,152 2009 214 1,295 379 778 3,154 2010 173 1,496 457 785 3,256 2011 216 1,487 536 824 3,402 2012 533 1,455 578 964 3,472 2013 469 1,577 488 910 3,506 2014 493 1,624 484 756 3,538 AVERAGE INCURRED CLAIM COST BY NOTIFICATION YEAR - includes nils Notification Year Pleural Plaques (Scottish & NI exposure only) Asbestosis Asbestos Related Lung Cancer Pleural Thickening Mesothelioma 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 11,592 17,533 9,612 15,843 10,641 12,492 10,038 8,920 7,664 5,032 2,704 8,122 1,754 4,353 5,944 6,686 7,760 6,059 6,672 10,509 14,747 15,502 14,974 14,530 13,125 11,349 11,667 11,335 11,585 13,510 14,862 17,757 15,343 17,202 16,882 15,947 18,489 20,842 24,498 27,841 27,606 17,590 24,491 22,105 23,710 31,361 27,945 25,889 31,123 37,423 25,609 35,971 27,754 22,560 28,339 28,568 29,084 31,731 50,134 63,526 7,236 9,796 22,096 15,251 16,242 12,116 17,301 16,465 15,287 16,711 12,333 13,845 17,718 17,032 17,855 15,772 19,658 22,634 23,298 23,120 43,268 45,921 49,504 54,180 48,517 54,283 59,800 58,354 58,920 60,667 63,190 69,012 70,476 71,334 73,342 74,718 76,964 82,859 85,807 92,550 Asbestos Diseases and Insurance Page 23 of 27 Settlement Year 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 AVERAGE SETTLED CLAIM COST BY SETTLEMENT YEAR - includes nils Pleural Plaques Asbestos Related Pleural (Scottish & NI Asbestosis Mesothelioma Lung Cancer Thickening exposure only) 20,473 10,592 16,365 25,139 20,312 12,812 10,612 24,759 6,458 10,493 6,007 57,842 25,754 10,290 13,602 17,148 38,092 34,121 12,317 20,993 17,869 33,884 6,895 11,641 21,825 18,547 39,558 14,387 9,945 11,495 10,039 36,788 11,891 10,197 20,958 7,764 44,135 10,615 12,298 20,117 8,679 38,515 7,518 9,930 16,117 13,084 48,579 7,819 11,945 24,240 11,711 45,593 5,792 12,455 11,736 11,537 52,720 6,437 14,128 25,369 11,052 57,725 3,853 13,303 21,225 12,094 58,157 3,458 17,439 26,172 14,504 66,843 908 15,009 22,350 12,787 67,058 2,198 15,922 28,566 18,305 64,047 2,632 16,980 27,390 15,178 72,643 3,683 15,616 24,208 17,334 69,465 4,205 17,745 27,302 19,269 74,912 AVERAGE AGE OF CLAIMANT AT NOTIFICATION BY NOTIFICATION YEAR Notification Year Pleural Plaques (Scottish & NI exposure only) Asbestosis Asbestos Related Lung Cancer Pleural Thickeni ng Mesothelioma 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 66.0 64.0 62.7 66.4 67.2 62.0 69.5 70.9 64.2 67.5 68.4 69.5 69.0 68.5 69.0 70.5 69.2 70.0 70.2 71.8 57.0 65.1 62.8 66.0 66.0 65.3 65.7 67.7 69.2 69.3 70.1 71.2 72.3 72.9 73.3 74.2 73.7 74.6 75.2 75.7 65.7 65.3 66.7 65.8 69.9 64.1 67.9 71.0 68.7 70.9 70.1 72.0 72.1 72.3 73.8 73.9 73.0 74.4 73.6 74.8 30.8 58.1 42.8 60.2 61.5 61.2 60.5 63.5 65.6 65.9 66.2 67.0 68.3 68.7 69.9 70.2 70.3 72.1 72.6 71.9 63.2 62.5 62.9 64.6 65.4 66.4 66.2 67.1 67.6 68.9 69.6 69.5 70.6 70.8 72.4 72.8 72.7 73.2 73.2 73.9 70.3 74.7 74.0 71.4 73.2 70.7 75.2 74.3 72.2 73.5 5yr simple 3yr simple Asbestos Diseases and Insurance Page 24 of 27 Annex 3 - Other Insurance Classes & Asbestos Professional Indemnity (PI) The main potential areas of asbestos exposure in the professional indemnity arena lie in the surveyors market. In general terms there seems to be no particular pattern to managing asbestos exposure as policies can variously be silent on asbestos, expressly excluded or capped to a specific sub-limit. Where there is a perceived, potential asbestos exposure then the cover is often either excluded or restricted to a small aggregate limit and excluding bodily injury or property damage claims. For example the standard Royal Institute of Chartered Surveyors (RICS) standard insurance wording includes a £250K in the aggregate indemnity limit relating to certain, specified asbestos risks. There are insurers who provide specific cover for asbestos liabilities. These include Design and Construct PI cover, which protects contractors against claims arising from construction projects (it is also likely that an underlying architect will also have some PI cover in place). Similarly, there is also a well-established professional indemnity market for asbestos surveyors. Deriving from the Control of Asbestos Regulations, which highlight a specific obligation on relevant persons to check whether their premises contains asbestos, this PI cover would indemnify a building surveyor against claims for failure to identify asbestos, or the specific incorrect identification of asbestos. This cover would also normally protect against claims for consequent delay and possible distress claims arising from the failure to identify asbestos. Environmental In most cases, under a premises policy, asbestos within buildings and structures is excluded, though normally with a write-back for clean-up remediation costs relating to pollution arising from asbestos in soil and groundwater. However, this cover tends to be used primarily to address historical exposures rather than a new pollution condition, so assessment of contaminated land reports is required. We are also aware that some policies provide inadvertent disturbance of asbestos which occurs as part of covered operations being insured. Otherwise the ‘known exposure’ is excluded, unless insurers choose to grant coverage based on the exposure being properly managed/sub-contracted out by a licensed and experienced party. Asbestos Removal Contractors Prior to 2006 there were very few insurance options available to asbestos removal contractors as most insurers were not willing to consider this exposure. As this niche class of business developed and became increasingly profitable, inevitably, increased capacity entered the market and competitive forces came to bear. However, though this has impacted premium levels, it appears that the terms and conditions available in the market has not hugely changed. Apart from the obvious risk associated with this type of exposure the main concern of insurers is the storage and/or ultimate disposal of the asbestos waste and many of the special terms and conditions deal with this aspect. A “typical” policy will/may have the following features: Asbestos Diseases and Insurance Page 25 of 27 Policy Trigger - will always be “claims made” - Retro Date Inception. Insurers normally provide an extended reporting period often limited to 12 months. Exclusions - apart from the normal exclusions, additional exclusions may/will include: a) b) c) d) e) f) Pure Economic Loss (Financial Loss); Pollution - other than ‘sudden and accidental’ Ownership and/or operation of landfill sites; Work in hazardous locations such as petro-chemical works, petrol refineries, nuclear installations and offshore installations; Hazardous work such as work underground below 5 metres, use of explosives, pure demolition and fly-tipping; Diminution in the value of property. Warranties: Any breach of a warranty could have serious consequences for the Insured depending on how such breaches are dealt with by the policy. a) b) c) d) e) f) Bona fide sub-contractors - this warranty deals with steps/action the Insured has to take to ensure that bona fide sub-contractors have adequate insurance of their own which also provides indemnity to the Insured; Underground Services - this warranty sets out the Insured’s obligations when working underground where underground services may be present. Often additional terms and conditions are applied; Waste disposal - this warranty states that the Insured must take waste to licensed sites and where transport of such waste is carried out by third parties that they are also licensed to carry out the removal; Skip - this warranty states that the Insured must comply with all the necessary legislation regarding the use of skips; Burning and welding - this warranty sets out the Insured’s obligations when using burning and welding equipment; Asbestos Handling - when the Insured is engaged in any activity involving the handling, removal, transportation or disposal of asbestos and/or any asbestos containing materials the following are warranted: that all conditions and recommendations set out in the Approved Codes of Practice and Guidance notes issued by the Health and Safety Executive are followed; that the Asbestos (Licensing) Regulation 1983 as amended by subsequent Guidance on Regulations L11 by the Health and Safety Executive are observed; that the Insured must comply with any other existing, replacing or subsequentlegislation or Codes of Practice imposed by the industry. One question we cannot answer at the present time is whether, say in twenty years’ time, the decision to enter this supposedly profitable business was the right one. Property Owners Liability We are aware that some property owner’s liability policies sub-limit or, conversely, are silent on the treatment of asbestos liabilities.. Asbestos Diseases and Insurance Page 26 of 27 International Underwriting Association 1 Minster Court Mincing Lane London EC3R 7AA Tel Email Web Twitter 020 7617 4444 [email protected] www.iua.co.uk @IUAofLondon The International Underwriting Association of London (IUA) is the focal representative and market organisation for non-Lloyd’s international and wholesale insurance and reinsurance companies operating in the London Market. It exists to promote and enhance the business environment for international insurance and reinsurance companies operating in or through London. Asbestos Diseases and Insurance Page 27 of 27
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