‘No win, no
pay’ agreements are all the rage in insurance litigation, but what amounts to
success depends on the fine print. The
High Court ruled Christchurch advocacy firm Proclaims Management was not
entitled to any success fee on ‘over-cap’ ex gratia payments made by
government to settle on-going claims against EQC.
The
Earthquake Commission (EQC), now rebranded as the Natural Hazards Commission,
faced its own seismic shock with never-ending litigation from disgruntled
property owners following the Christchurch earthquake sequence some ten years
ago.
Complaints
about disallowed claims and shoddy repairs for those claims accepted led to
threats of a class action against EQC for negligence. This led to EQC re-opening claims for
re-repairs and government stepping in with offers of ex gratia payouts
where further claims against private insurance companies were no longer
available.
Back in
2011, Hoani Hipango and Chris Fleury set up Proclaims Management Ltd, an
insurance advocacy service intended to help clients navigate insurance claims
for earthquake repairs.
New Zealand
is unusual in offering natural hazards insurance to all insured residential property
owners. Take out private fire insurance
and part of the premium is diverted to Natural Hazards Commission. It currently provides first tranche insurance
cover against natural hazards up to a limit, or cap, of $300,000.
At time of
the Christchurch earthquakes, the cap was $150,000.
The High
Court was told Proclaims Management signed up multiple clients more than five
years ago offering to assist with claims against EQC for re-repairs and subsequently
for ex gratia grants on offer.
Its
standard ‘no win, no pay’ contract required clients to pay an upfront fee of
$2500, pay costs of all expert engineering reports in support of their new
claim and in return surrender fifteen per cent of any payment received.
Not all its
clients are happy. They dispute fees
claimed by Proclaims. Their humour was
not improved by later learning that Proclaims received a kickback from some
firms providing expert reports in support of their claims: Proclaims’ clients
paid for the reports; five per cent of this fee being later paid under the
table to Proclaims.
A High Court
test case clarified what payments Proclaims is entitled to with its ‘no win, no
pay’ contracts.
Critical,
was wording of Proclaims’ client contract; describing the success fee as
calculated on fifteen per cent ‘of the money achieved from EQC and the
Insurer.’
It was
clear Proclaims’ clients have to pay fifteen per cent of compensation received
for re-repairs where the cost of re-repairs brings the total repair bill up to
the then statutory EQC cap of $150,000; so-called ‘under-cap’ payments.
But no
success fee can be claimed for that compensation received by Proclaims’ clients
for ‘over-cap’ repairs, Justice Preston ruled.
Over cap
compensation is paid by neither EQC nor an insurer; it is a politically agreed,
taxpayer funded, ex gratia payment with no admission of liability by any
insurer. It was a politically expedient
way of dealing with never-ending Christchurch earthquake litigation against EQC. Taxpayers ultimately bankroll EQC if premiums
are insufficient to cover claims.
Government
chose to use EQC as its agent to process and disburse the ‘over-cap’ payments,
but it is not an EQC payment, Justice Preston ruled.
Proclaims
then argued it is entitled to payment for work done in respect of ‘over-cap’
payments as a quantum meruit claim.
This legal rule applies where one person receives a benefit, but was
never under any contractual obligation to pay for the benefit received.
Proclaims
argued the value of over-cap work done equated to fifteen per cent of any over-cap
payment received. Justice Preston
dismissed this calculation as a nonsense.
She ruled a
$500 quantum meruit payment is sufficient in each case. Proclaims did little beyond registering
clients as parties interested in claiming.
The paperwork and specialist reports needed to support an ‘over-cap’
claim had already been prepared as if it were an ‘under-cap’ claim. EQC, acting as government agent when
actioning ‘over-cap’ claims, resolutely refused to engage with Proclaims,
instead dealing direct with ‘over-cap’ clients.
Proclaims
Management Ltd v. Bately – High Court (11.10.24)
25.012