There is no statutory duty obligation a broker to offer an insured optional income replacement benefits

A claim against an insurance broker for the failure to advise about optional coverage. The action was dismissed.

Godina v. Tripemco Burlington Insurance Group Ltd., [2013] O.J. No. 613, February 12, 2013, Ontario Superior Court of Justice, R.B. Reid J.

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An insurer may have an obligation to defend a claim after it's limits have been exhausted

Application for a declaration that pursuant to the Insurance Act, R.S.O. 1990, c. 1.8 and Ontario’s Standard Automobile Policy (“SAP”) the insurer had no obligation to defend its insured against a claim after paying its policy limits to the plaintiff. The application was dismissed and the insurer was ordered to continue to bear the cost of defending the insured.

Jevco Insurance Co. v. Malaviya, [2013] O.J. No. 394, January 29, 2013, Ontario Superior Court of Justice, E.M. Morgan J.

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A broker has an obligation to advise an insured of potential lapses in coverage

The appeal by an insurance broker ("Meadow-North") from a decision finding it negligent for failing to advise an insured ("Cheecham") with respect to gaps in coverage for a rental property was dismissed where the court upheld the trial judge's decision that the broker should have drawn attention to the vacant vandalism exception as part of its duty to provide counsel and advice.

Meadow-North Agencies Ltd. v. Cheecham, [2012] S.J. No. 762, December 12, 2012, Saskatchewan Court of Appeal, S.J. Cameron, G.R. Jackson and R.G. Richards JJ.A.

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Sophisticated parties will be deemed to have knowledge of common insurance terms

Parties are presumed to be acquainted with statutory definitions of a common insurance term for the purposes of contractual interpretation where the parties are engaged in the insurance industry. In interpreting an insurance contract, the Court will consider the plain meaning of the phrase in the context of the agreement as a whole and in light of the factual matrix that existed at the time of the parties, including the relevant facts that the parties are taken to have known.

National Home Warranty Programs Ltd. v. Wylie-Crump Ltd., [2012] B.C.J. No. 2011, September 28, 2012, British Columbia Supreme Court, D.J. Dardi J.

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A broker must advise an insured of potential lapses in coverage

No coverage for an insured whose property was vandalized while it was vacant due to a vacancy clause. However, the insured was successful in an action against his agent.

Newbigging v. M. Butler Insurance Brokers Ltd. [2012] O.J. No. 4270, September 13, 2012, Ontario Superior Court of Justice, T. Maddalena J.

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Insurers and brokers may not owe a duty to a third party to ensure that the insured is the owner of the vehicle

Two insurance companies and an insurance broker were found not to owe a duty to the actual owner of a vehicle to investigate the ownership of a vehicle when approving or issuing an application for insurance.

Barzo v. Chrysler Financial Services Inc., [2011] O.J. No. 5874, December 21, 2011, Ontario Superior Court of Justice, J. Mackinnon J.

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Broker Liable for Failing to Advise Insured of Vacancy Exclusion

An insured brought an action against his insurance broker for failing to advise him about the vacancy exclusion in his policy.  The action was allowed and the insured was awarded damages.

Cheecham v. Saskatchewan Government Insurance [2011] S.J. No. 500, August 2, 2011, Saskatchewan Court of Queen’s Bench, B. Scherman J.

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A claims administrator may owe a duty of good faith to an insured.

Where an insurer acts as a claims administration service only but makes decisions regarding the adjudication of claims, computation and issuance of benefits it owes a duty to the insured to act in good faith as it was adjudicating claims and benefits. As such, the traditional tort of intentional procurement of breach of contract is broad enough to capture bad faith actions by an adjuster that bring about the rejection of a meritorious claim for insurance benefits.

LeBlanc v. Atlantic Blue Cross Care, [2011] N.B.J. No. 446, December 12, 2011, New Brunswick Court of Queen's Bench, G.S. Rideout J.

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A broker retained to place specific insurance will not be responsible for a loss outside the scope of his retainer.

The insured brought a professional negligence claim against a broker and the brokerage firm alleging that the broker misrepresented to the insured that its wholesale inventory was covered by insurance while in storage. The court dismissed the claim finding that the broker was retained only to place specific coverage and that he had fulfilled that duty.

Sandborn Wholesale Ltd. v. Pottruff & Smith Insurance Brokers Inc., [2011] O.J. No. 1690, April 12, 2011, Ontario Superior Court of Justice, B.A. Conway J.

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An insurance broker can unilaterally renew insurance policies.

The appeal by an insurer ("Ecclesiastical") from a declaration that an insurance broker ("Kouri") had no liability for premiums received for an extension of insurance was allowed where the court held that by unilaterally sending out certificates of insurance, the broker had created valid contracts of insurance.

M.B. Kouri Insurance Brokers Ltd. v. R.L. Gougeon, [2010] O.J. No. 5584, December 22, 2010, Ontario Court of Appeal, J.C. MacPherson, R.G. Juriansz and J.L. MacFarland JJ.A.

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