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Insurance 101 – The Principle of Subrogation
This month’s insurance article is going to be short but the subject is one that
any pilot needs to understand carefully, lest it turn around and bite him after
an accident.
Virtually all short-term insurance (which includes aviation) is subject to what
is known as the principle of subrogation.
Simply put, this means that, having protected the Insured (i.e. the guy who
bought the policy in the first place, usually the owner of the aircraft, car,
boat, etc.), the Insurers are entitled to step into his shoes and exercise the
same rights, against any other party, that the Insured would have had in the
absence of his insurance coverage.
So what does all that mean?
Well, an example would be that of two boats colliding on the Vaal Dam. Both Insurers would, in the first
instance, settle their own client’s loss, but would then take a close look to
see who was actually responsible.
The Insurer of the “innocent” driver would have the right to recover its loss
from the “guilty” driver in the same way as the innocent driver would have if he
did not have insurance at all.
But how does this affect me?”, I hear you ask.
Good question.The answer is,
very simply, that it affects you whenever you fly an aircraft, whether or not
you own it.
Take the case of your own aircraft.
You have an accident and a passenger is injured.
Happily, the passenger carries accident insurance which provides
compensation and pays all the hospital bills.
However, a few weeks later, you receive a letter from a firm of attorneys
who say they act for ABC Insurance, the insurer of the passenger, and that they
are holding you responsible, under the principle of subrogation, for their
client’s loss and could you please send along a cheque within 7 days or we’ll
come and take your house, etc?
If you are insured for claims arising from injury to passengers, you would simply
pass that letter along to your Insurers and, with any luck, that would be the
end of the matter from your viewpoint.
However, what if you’re not? Then
you’re in a spot of bother unless you have made some sort of arrangement with
the passenger to the effect that he or she has undertaken to “hold harmless and
indemnify” you against claims arising as a consequence of their injury (or
death).
So-called, “blood chits” have a very limited benefit in SA law: for a start, if
the loss arose from your wilful misconduct or gross negligence, the disclaimer
would probably fail anyway.But,
worse, if the passenger died, you may find it even more difficult to enforce the
undertaking on the basis that, in general terms, no-one is able under SA law to
waive the rights of his dependents.
If you do not own the aircraft, it can get even more complicated.
Given the same loss, you could still receive the demand from the passenger or his
Insurer.But, worse, you could
receive a similar demand from the insurer of the aircraft itself, even though
you were flying with the owner’s permission and you may have even been a named
pilot under the policy.
The reason for this is that, notwithstanding the circumstances, it is the Insured
(i.e. the owner, the fellow who paid the premium and bought the policy) that is
entitled to the protection of the policy, no-one else.
Now, it is common practise for the legal liability coverage under an aviation
policy to be extended to include the liability of any pilot who is expressly
permitted to fly the aircraft, provided he complies with all the relevant policy
terms and conditions.
So, if there is passenger liability coverage, all well and good (provided the
level of coverage is adequate, of course).
If the claim arises from injury to people outside the aircraft, or to
property on the ground, then the third party liability coverage should respond,
again subject to adequate levels of coverage.
However, this still leaves the pilot potentially exposed to claims by the owner’s
insurers for damage to the aircraft itself!
Suing pilots for damage to aircraft they fly has always been considered
ungentlemanly conduct, but you’d be surprised how often it occurs.
Sometimes the claim comes from the
owner himself, sometimes from the insurer and most often from a combination of
both.
There are circumstances when a pilot might expect to receive a claim for damage
to the aircraft.
Usually, this would be if the loss arose as a result of a serious breach of
applicable air navigation or other regulations by the pilot.
For example, he ran out of fuel, flew
into weather without an IMC rating, flew without a valid pilot license, tried to
take off from a place that did not comply with the manufacturers requirements,
or from a place not permitted under the ANRs, etc.
Unfortunately, a function of a over-subscribed, intensely-competitive insurance
market – such as exists at present – is that Insurers are placed under huge
pressure to reduce premiums and are left with preciously little leeway to adopt
a flexible or sympathetic approach to claims.
So, give a desperate insurer a valid reason for denying a claim or, following
payment, to exercise rights of subrogation against an AMO, airport authority or,
yes, even a pilot, and the chances are the insurer will not require a second
invitation.
Even if the loss did not result from a breach of the law, some insurers will
still try to recover from the pilot, on the simple grounds that the aircraft was
not in the same condition after the flight as it was beforehand!
It’s usually the slightly obscure insurers who follow this type of practise.
The more established and respectable
insurers, who have been in the business for many years, have usually developed a
code of conduct and business ethics that would not permit such behaviour, no
matter what.
Tragically, it does not seem to make any difference if the pilot survived the
accident or not.There are many
examples of claims that have been made against the estates of deceased pilots,
arising from the very accidents in which they lost their lives.
So what can a pilot do?
Well, if you’ve read any previous articles you’ll know that I constantly bang on
about the need to take steps BEFORE flying, to ensure that you’re properly
protected.I’ve referred to this as
making sure your pre-flight checks don’t lead to post-flight cheques.
Firstly, is the aircraft properly insured?
With an insurer that you’d be happy to be standing between you and
bankruptcy?This is no time for
niceties: you need to be happy that the insurer is respectable, secure and has a
proven track record.That’s still
not cast-iron guarantee that things won’t go wrong, but it’s a very good
starting point.
Are you a permitted pilot?Are you
covered to fly the aircraft in the intended area of operation?
Are the levels of legal liability
insurance adequate?Can you afford
to pay the Excess, or do you have Excess Insurance sufficient to cover it?
Then, do you have a clear agreement and understanding with the owner of the
aircraft as to who will be responsible for any uninsured losses?
These might be limited to the
insurance Excess, but you need to ensure that you are not going to be hounded
for other uninsured losses such as, for example, if the engine happens to seize
while you’re flying the aircraft.
Maybe it was going to happen anyway, but you can be sure that the owner will be
looking at you with slitty eyes if it happens on your watch!
Ideally, you need to get the owner to confirm, in writing, that he agrees that
your liability is limited to, say, the insurance Excess (for which you can
arrange your own insurance) but that any other loss is his and his alone.
He may wish to exclude your own
material breach of regulations: that’s something for you to negotiate.
However, breach the regulations and
even your own insurance won’t assist you.
Then – and this is very important – you need to ensure that the owner’s insurer
is aware of this agreement for one very simple, but important, reason.
As I said at the outset, an insurer acquires the right to stand in the shoes of
the Insured.This is the only manner
in which the insurer’s rights exist.
If the Insured has agreed to “hold harmless and indemnify” you…that stands good
for the insurer as well.
But there’s a catch (isn’t there always?!).
If the Insured waives his rights without the insurers consent, the
insurer could possibly refuse to pay the claim from the Insured himself as this
would constitute a breach of policy conditions!
So, make sure the insurer is aware of any agreements between you and the owner of
the aircraft, if they would tend to affect the insurers’ rights to exercise
rights of subrogation following a loss.
You have been warned!
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