Clark Wilson LLP Insurance Bulletin
Case Law Review Archive
Is Refusing to Renew Coverage a Breach of Human Rights?
The insurance industry will be astounded to learn that refusing to
renew coverage on grounds of “moral hazard” can constitute
discrimination under the Human Rights Code and result in
compensation awards against the insurer for injury to the insureds’
"dignity, feelings and self-respect". This is exactly what happened
to ING Insurance in a October 21, 2004, decision of the B.C. Human
Rights Tribunal.
The complainant was a foster parent. The foster child in her care
intentionally caused damage to her home.
At the time the damage occurred, the complainant was insured under
a standard homeowners policy issued by ING. Like all such policies,
it excluded loss or damage resulting from the intentional acts of any
insured. Hence the loss in this particular case was excluded and was
properly denied.
The B.C. Ministry of Children and Family Development had arranged
a form of secondary insurance coverage for foster parents which
actually provided a form of coverage for intentional damage caused
by foster children. The insurer under that program eventually
responded to the loss.
ING did not know that the complainant was a foster parent nor did
they know that the complainant also had secondary insurance for
intentional property damage. When they learned of the situation
they decided they would not renew coverage and therefore wrote
to the complainant’s insurance broker stating "Please be advised we
will not be able to offer renewal on the above client’s homeowners
insurance. This risk is a moral hazard and we ask that you re-market
it for the April 26, 2003 renewal."
The complainant ultimately learned of the "moral hazard"
characterization, felt she was being wrongly discriminated against
on account of her status as a foster parent, and therefore laid a
complaint under Section 8 of B.C.’s Human Rights Code which
provides:
“A person must not, without a bona fide and reasonable justification,
(a) deny to a person . . . any service . . . customarily available
to the public,
because of the . . . family status . . . of that person.”
The matter proceeded to a hearing before the B.C. Human Rights
Tribunal. The complainant represented herself and ING was
represented by a senior executive with many years experience in the
industry.
At the hearing, ING explained there were three factors taken into
account in deciding not to renew the insurance:
- the fact the complainant was only 8 months into the first term
of coverage and was not a long term, loyal customer of proven
reliability;
- intentional damage had been caused to her property; and
- the fact that the insured had a secondary insurance policy which
was very rare and raised something of a “red flag”.
The Human Rights Tribunal ruled:
- the Act is contravened even if the discrimination is only one of
several otherwise perfectly rational factors that influence the
decision;
- ING did not intend to discriminate against the complainant on
the basis of her family status but no such intention is actually
required for the Code to be contravened so long as the decision
had a "discriminatory effect";
- the first two factors relied upon by ING in its decision not to
renew had nothing whatsoever to do with her "family status"
and hence raised no concerns under the Code;
- but the secondary insurance policy “red flag” arose solely due to
the fact that the complainant was a foster parent and that factor
had a “discriminatory effect” upon the complainant;
- the “blanket application” of its standard risk assessment practices
(treating secondary insurance as a red flag) “without any attempt
to inquire into the individual circumstances of the particular
complainant is the antithesis of the duty to accommodate” for which
there was no bona fide reasonable justification; and
- accordingly, ING was guilty of discriminating against the complainant
in the circumstances.
The complainant sought an apology and an order requiring ING to pay
the higher insurance costs that she was now incurring as a result of
being classified "high risk". The Tribunal refused to grant either order.
However, the Tribunal did issue an order that ING refrain from
committing the same or a similar contravention of the Human Rights Code in the future.
Lastly, even though the complainant herself did not even ask for
compensation, the Tribunal on its own initiative awarded the
complainant $1,000.00 for "injury to the complainant’s dignity, feelings
and self-respect".
According to this ruling, the application of an insurer’s "standard risk
assessment practices" accompanied by an “ unreasonable refusal to
provide individual assessment” can amount to a refusal to accommodate
and therefore a breach of the Human Rights Code. It does not matter
a whit that, as a matter of law, an insurance company is not obliged to
renew coverage. Nor, apparently, does it matter that ING had two
other perfectly reasonable bases for making its decision. Frankly, the
decision seems bizarre but it assuredly highlights the unexpected pitfalls
that the unwary broker or insurer might encounter in today’s politically
correct environment.
Readers who would like to read the ruling can access the decision on
the
B.C. Human Rights Tribunal Website.
Readers with any questions regarding renewal coverage are invited
to contact Nigel Kent at (604) 643-3135 or
npk@cwilson.com.