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Spas could get payouts on business interruption insurance following high court ruling
By Tom Walker 18 Sep 2020
The FCA sought to provide clarity on the "grey areas" within the disease and/or denial of access clauses – and whether the COVID-19 pandemic should trigger a payout Credit: Shutterstock: Kudla
Hundreds of thousands of small companies in the UK – including those operating in spa, fitness and leisure – are set to receive payouts on interruption insurance policies, following a high court judgment in a test case brought by the Financial Conduct Authority (FCA).

The case examined the policy wording of eight major insurers to decide whether or not the COVID-19 pandemic should trigger a business interruption insurance (BI) payout.

Overseen by Lord Justice Flaux, the review focused on eight insurers – Arch, Argenta, Ecclesiastical, MS Amlin, Hiscox, QBE, RSA and Zurich – and the court’s rulings are expected to apply to nearly 50 insurers, who have sold insurance to 370,000 customers, many of which are small businesses.

Most small and medium-sized (SME) BI policies focus on property damage and only have basic cover for interruptions as a consequence of property damage.

But some policies also cover for BI from other causes, in particular infectious or notifiable diseases (‘disease clauses’) and non-damage denial of access and public authority closures or restrictions (‘denial of access clauses’).

In some cases, insurers have accepted liability under these policies. In other cases, insurers have disputed liability while policyholders considered that it existed, leading to widespread concern about the lack of clarity and certainty.

The FCA sought to provide clarity on the "grey areas" within the disease and/or denial of access clauses – and whether the COVID-19 pandemic should trigger a payout.

In its 150-page judgement, the High Court ruled in favour of the FCA, saying that most, but not all, of the disease clauses provide cover.

"We brought the test case in order to resolve the lack of clarity and certainty that existed for many policyholders making business interruption claims and the wider market," said Christopher Woolard, interim CEO of the FCA.

"We're pleased that the Court has substantially found in favour of the arguments we presented on the majority of the key issues.

"Today’s judgment is a significant step in resolving the uncertainty being faced by policyholders. We’re grateful to the court for delivering the judgment quickly and the speed with which it was reached reflects well on all parties.

"Insurers should reflect on the clarity provided here and, irrespective of any possible appeals, consider the steps they can take now to progress claims of the type that the judgment says should be paid.

"They should also communicate directly and quickly with policyholders who have made claims affected by the judgment to explain next steps."

The FCA is now calling on all BI policyholders to follow updates on its dedicated business interruption insurance website (to visit the page, click here), as it is likely that the defendant insurers will appeal the high court judgement.

• To learn more about the hight court judgement, click here.


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NEWS
Spas could get payouts on business interruption insurance following high court ruling
POSTED 18 Sep 2020 . BY Tom Walker
The FCA sought to provide clarity on the "grey areas" within the disease and/or denial of access clauses – and whether the COVID-19 pandemic should trigger a payout Credit: Shutterstock: Kudla
Today’s judgment is a significant step in resolving the uncertainty being faced by policyholders
– Christopher Woolard
Hundreds of thousands of small companies in the UK – including those operating in spa, fitness and leisure – are set to receive payouts on interruption insurance policies, following a high court judgment in a test case brought by the Financial Conduct Authority (FCA).

The case examined the policy wording of eight major insurers to decide whether or not the COVID-19 pandemic should trigger a business interruption insurance (BI) payout.

Overseen by Lord Justice Flaux, the review focused on eight insurers – Arch, Argenta, Ecclesiastical, MS Amlin, Hiscox, QBE, RSA and Zurich – and the court’s rulings are expected to apply to nearly 50 insurers, who have sold insurance to 370,000 customers, many of which are small businesses.

Most small and medium-sized (SME) BI policies focus on property damage and only have basic cover for interruptions as a consequence of property damage.

But some policies also cover for BI from other causes, in particular infectious or notifiable diseases (‘disease clauses’) and non-damage denial of access and public authority closures or restrictions (‘denial of access clauses’).

In some cases, insurers have accepted liability under these policies. In other cases, insurers have disputed liability while policyholders considered that it existed, leading to widespread concern about the lack of clarity and certainty.

The FCA sought to provide clarity on the "grey areas" within the disease and/or denial of access clauses – and whether the COVID-19 pandemic should trigger a payout.

In its 150-page judgement, the High Court ruled in favour of the FCA, saying that most, but not all, of the disease clauses provide cover.

"We brought the test case in order to resolve the lack of clarity and certainty that existed for many policyholders making business interruption claims and the wider market," said Christopher Woolard, interim CEO of the FCA.

"We're pleased that the Court has substantially found in favour of the arguments we presented on the majority of the key issues.

"Today’s judgment is a significant step in resolving the uncertainty being faced by policyholders. We’re grateful to the court for delivering the judgment quickly and the speed with which it was reached reflects well on all parties.

"Insurers should reflect on the clarity provided here and, irrespective of any possible appeals, consider the steps they can take now to progress claims of the type that the judgment says should be paid.

"They should also communicate directly and quickly with policyholders who have made claims affected by the judgment to explain next steps."

The FCA is now calling on all BI policyholders to follow updates on its dedicated business interruption insurance website (to visit the page, click here), as it is likely that the defendant insurers will appeal the high court judgement.

• To learn more about the hight court judgement, click here.
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The US spa industry is continuing its upward trajectory, achieving an unprecedented milestone with a record-breaking revenue of US$21.3 billion in 2023, surpassing the previous high of US$20.1 billion in 2022.
Immediate rewards can motivate people to exercise, finds new research
Short-term incentives for exercise, such as using daily reminders, rewards or games, can lead to sustained increases in activity according to new research.
Shannon Malave appointed spa director at Mohonk Mountain House
Spa and wellness veteran Shannon Malave has been named spa director at iconic US spa destination Mohonk Mountain House.
Six Senses unveils urban wellness retreat in Kyoto inspired by Japanese Zen culture
Six Senses Kyoto opens its doors today, marking the eco-luxury hotel and spa operator’s entry into Japan and a new addition to its urban collection.
US named world’s largest wellness economy, reaching US$1.8 trillion valuation
The Global Wellness Institute (GWI) has released new data on the US’ wellness economy, valuing it at US$1.8 trillion.
Galgorm Resort gears up to host UK Aufguss Championships next week
UK sauna enthusiasts will converge at Galgorm Resort in Northern Ireland next week for the highly anticipated second annual UK Aufguss Championships.
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