Ontario Court of Appeal: Insured’s Failure to Provide Up to Date Address Not a “Breach of Duty to Cooperate” as not “Substantial”

hashim (105x104) By: Shaun Hashim, Litigation Associate

The insured has a duty to cooperate with defence counsel appointed by his insurer. The Ontario Court of Appeal recently reconfirmed that this duty to cooperate is not subject to a standard of perfection. Instead, to establish a breach of duty, an insurer must show that the insured’s breach was “substantial” and not merely “inconsequential or trifling”. The Court will always consider the facts and consequences of the alleged conduct to determine whether a breach can be established.

In Ruddell v. Gore Mutual Insurance Company,1 an insurer argued that its insured’s failure to keep them updated on her current address was a substantial breach of the duty to cooperate. On a summary judgment motion, a judge of the Ontario Superior Court disagreed and ruled that – in these circumstances – the insured’s conduct was not a “substantial” failure to cooperate. This was upheld on appeal.

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Facts

The circumstances of Ruddell are peculiar. As cases involving the duty to cooperate are adjudicated on a case by case basis, a full appreciation of the facts is important to understand the decisions of both the lower court and the Court of Appeal.

Gore Mutual Insurance Company (“Gore”) was defending its insured, Gayle Bass. Gayle was the owner of a vehicle involved in a single car accident. At the time of the accident, the vehicle was driven by her son, Alan Stewart. Alan had allegedly been driving too fast, down a road he was unfamiliar with. When the road ended abruptly, he took a sharp turn, slid on gravel and rolled the vehicle. Because of the accident, Alan’s passenger, Michael Ruddell, sued both Gayle and Alan for personal injuries.

As most Ontarians with auto insurance, Gayle’s relationship with Gore was subject to the Statutory Conditions – Automobile Insurance, O. Reg 777/93, a regulation made under the Ontarian Insurance Act. Statutory Condition 5(3) codifies a general principle of insurance: an insured’s duty to cooperate with his or her insurer in the defence of an action. That condition reads:

The insured shall, whenever requested by the insurer, aid in securing information and evidence and the attendance of any witness and shall co-operate with the insurer, except in a pecuniary way, in the defence of any action or proceeding or in the prosecution of any appeal.

When first contacted by Gore, Gayle cooperated fully in compliance with her obligations under statute. In Gore’s first letter to Gayle, they asked that she “keep [Gore] advised of any change of address”. Gayle provided a statement and particulars for their file including her current address and information about past addresses. She also provided all the information she had about the accident.

The Court of Appeal and the court below were careful to note that the information provided at this stage was effectively exhaustive. Gayle was not involved in the accident and was merely the owner of the vehicle. She had little else to provide than particulars of her ownership, herself and her son. Gayle’s son Alan, on the other hand, was in the best position to provide information about the case and would likely have been a witness at trial.

After cooperating fully at this early stage, Gore and Gayle fell out of contact for a period of time.

The action proceeded and pleadings were closed. About one year into the litigation, as discovery was approaching, counsel for Gore tried to reconnect with Gayle. Gore’s counsel tried the various phone numbers and addresses provided by Gayle without success. Efforts to contact Gayle continued without success for several years. During this period, Gore was also unable to locate Gayle’s son Alan. Alan had what the court described as a “peripatetic” lifestyle. He worked as a rigger in the entertainment industry – colloquially, he was a “roadie” who traveled with stage productions and set up equipment rigs.

Three years into the litigation, in 2013, Gore’s counsel removed themselves from the record and Gayle and Alan were noted in default. Gore was then added as a statutory third party. The litigation continued and in 2016, it came to light that Mr. Ruddell’s insurer, Allstate Insurance Company of Canada (“Allstate”), had located Gayle two years earlier, through a private investigator. With new contact information, Gore connected with Gayle in 2016. At this time, Gayle once again cooperated fully with all of Gore’s requests. The case was later settled and a judgment of over $300,000 was ordered.

Following judgment, Gore refused to indemnify its insured claiming that Gayle had breached her policy and statutory condition 5(3) by failing to cooperate. Gore alleged that she had a positive obligation to keep counsel up to date on her current address. On this basis, Gore argued that Allstate was therefore responsible for the judgment, as Gayle was without insurance.

Decision

The motion judge found that Gayle did not breach her policy and cooperated at all times when involved. In both 2010, when she was first contacted, and 2016 when she was later found, she provided all that was requested. The motion judge held that during her period of absence there was no evidence that she “was somehow evading process or trying to hide from those responsible in litigating the lawsuit”,2 nor was there evidence that she had been “working in concert with her son, encouraged him not to cooperate, or failed to assist Gore in locating [Alan]”.3 To the contrary, the motion judge believed Gayle had acted reasonably. Ultimately, he found that she had “little information to give that could assist in their defence of the action beyond assisting Gore in finding [Alan]. When asked to do so, she did provide that information”.4 In light of these findings, the motion judge concluded there was no breach of duty.

On appeal, the Court agreed with the motion judge. In doing so, the Court recognized the long-established principles set out in its 1996 decision of Canadian Newspapers Co. v. Kansa General Insurance Co. In that decision, Justice Weiler quoted this foundational passage from the New Brunswick Court of Appeal:

The duty of the insured to co-operate with the insurer, being a condition precedent to his right to recover, requires him to assist willingly and to the best of his judgment and ability. If in this connection a breach occurs in some material respect the insurer is entitled even to refuse to defend an action. Lack of co-operation, however, must be substantial. No inconsequential or trifling breach of such obligation should serve to exonerate the insurer from his contractual liabilities under the policy. The breach of the duty of co-operation in this case was substantial because it affected the insurer’s assessment of the risks of the litigation.5

In other words, to find a breach of the duty to cooperate the court will look for “substantial” conduct. The Court noted that a breach of this duty differs from, for example, a breach of a more straightforward obligation like the 90-day deadline to provide a declaration about a loss set out in Statutory Condition 6(1)(c). There, compliance with the condition is straightforward, either the declaration is provided in-time or not. If it is not, it is a breach (subject to relief from forfeiture).

With the “duty to cooperate”, there is no bright line. In this case, the Court of Appeal confirms that whether a “substantial breach” is established will depend on the particular facts and circumstances of each case. While Gayle did not strictly “cooperate” with the requested obligation to keep her address up to date, the result of that “breach” was inconsequential. She had little information to assist the defence. All she could have done was help Gore locate her son. Given her son’s nomadic lifestyle, she was not in any better position than Gore to do so. Further, it is noteworthy that Gore’s efforts to locate Gayle were subject to some criticism by the court below.

Comment

This case serves as a strong reminder from the Court of Appeal that a breach of the duty to cooperate must be “substantial”. Ruddell shows us that – in practice – without real consequences arising from the insured’s conduct, there can be no “substantial” breach of the duty to cooperate.

Despite missing 6 years out of a 7-year litigation, Gayle’s absence had no substantial impact on Gore’s ability to defend the action. While such an extended absence sounds significant, in the circumstances, the effect was minimal. Gayle had only a minor role in the litigation. The Court acknowledged that the only assistance Gayle might have provided during the 6-year absence would have been to assist Gore in locating her son, Alan. However, given Alan’s transience as a “roadie”, Gayle was in no better position that Gore to assist. Thus, while Gayle’s conduct might strictly have been a “failure” to meet her insurer’s initial request regarding her address, her conduct had no consequential effect on the defence.

While this decision breaks no new ground in the law, insurers and insureds alike can look to Ruddell as a yardstick to measure whether an insured’s conduct is a “substantial breach” of the duty to cooperate.

Footnotes

1 Ruddell v. Gore Mutual Insurance Company, 2019 ONCA 328.
2 2018 ONSC 3932 at para. 8.
3 2018 ONSC 3932 at para. 7.
4 2018 ONSC 3932 at para. 7.
5 Canadian Newspapers Co. v. Kansa General Insurance Co. (1996), 30 O.R. (3d) 257 (C.A.).

Shaun Hashim is an associate at Theall Group LLP and maintains a broad commercial litigation practice. Prior to joining Theall Group LLP, Shaun summered and articled at the Toronto office of a prominent national law firm, gaining commercial litigation experience in a wide range of disputes involving fraud, breach of fiduciary duties, employment law, and the oppression remedy. Shaun graduated from the University of Windsor’s Faculty of Law in 2014 and was called to the Ontario Bar in 2015. Shaun is an editor for the Insurance chapter to be published in Bullen & Leake & Jacob’s 3rd Edition of Canadian Precedents of Pleadings in 2017.

For more information, visit http://www.theallgroup.com/

Banner Photo Credit: Patrick Fore @ https://unsplash.com/@patrickian4

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