Insurers Duty to Disclose: July 2019

Does a Duty of Good Faith Mean There is a Duty to Disclose?  

Two recent decisions of the ONCA considered whether a duty of good faith in certain contractual  relations creates an obligation on the part of the stronger party to disclose helpful information to the  other, weaker party, outside of the strict terms of the existing contract. One of these cases1 concerned the possible renewal of a maintenance contract, and the issue was whether the principles  in the recent SCC case of Bhasin v. Hrynew2created a duty, on those facts, for the one party to  advise in a timely fashion, once it had decided not to renew. The other case3concerned an insurer’s  duty of utmost good faith, and whether this duty created an obligation on the part of the insurer to  warn its insured about the impending expiry of the limitation period (in which to sue the insurer for  coverage). In both cases, the ONCA held that there was no duty to disclose in those circumstances. 

In Bhasin v. Hrynew, the SCC held that parties have a duty of good faith in their contractual  relations as “a general organizing principle in the common law of contract”. The SCC also held that  there is a duty of honest performance “which requires the parties to be honest with each other in  relation to the performance of their contractual obligations.” The SCC was careful to emphasize  that the concepts of good faith and honest performance were not to be applied to undermine long  standing contract law principles, lest that create commercial uncertainty. Nor were these duties to  be used by judges to “veer into a form of ad hoc judicial moralism” or to be used as a pretext for  scrutinizing the motives of contracting parties. Nor did the duties impose some kind of duty of  loyalty. Rather, the SCC held only that these duties meant that parties must not lie or otherwise  knowingly mislead each other about matters directly linked to the performance of a contract. Of  course, clever lawyers will always try to push the envelope to help their clients.  

In CM Callow Inc. v. Zollinger, Callow provided summer and winter maintenance services to  some condo corps pursuant to two different maintenance contracts, summer and winter. The  winter contract ran from November 2012 – April 2014 and contained a provision allowing for  termination on 10 days’ notice by the condo corps. As it turned out, the condo corps decided in  March of 2013 to terminate the winter contract, but did not provide notice until September 12,  2013. The condo corps delayed because they did not want to jeopardize completion of the summer  contract which was ongoing during the summer of 2013. There was more to it, though. Callow was  clearly of the view that the contract would likely be renewed and he performed extra “freebie”  landscaping work in the hope that this would encourage the condo corps to renew. Further, the  condo corps led him on, and continued to represent to Callow that the winter contract was not in  danger. Callow sued for breach of contract and the trial judge found in his favour, holding that the  condo corps breached their “duty of honest performance” by 1) withholding the fact that they  intended to terminate; and 2) actively leading Callow to believe that they would renew.  

The ONCA reversed and held in favour of the condo corps. The court held that while the condo  corps may not have acted honourably, the duty of honest performance required only that the parties  be honest with each other concerning matters directly linked to the contract, that is, the winter  contract then in effect. It did not limit the parties’ freedom concerning contracts not yet negotiated  or entered into. Moreover, the ONCA stated that it “is clear from Bhasin that there is no unilateral  duty to disclose information relevant to termination.” Even though the condo corps may have  misled Callow about the proposed new contract, the duty of honest performance did not preclude  the condo corps from exercising their right to terminate. The moral of this story is two-fold. First,  the duties of good faith and of honest performance in contractual performance are fairly narrow and  exist only within an existing contractual relationship. You should not expect someone with whom  you are negotiating a contract to look out for your interests and they have no obligation to do so.  Second, “get it in writing” and if people do not respond to you in a clear and unambiguous way about their intentions, perhaps they are not to be trusted. 

The ONCA’s decision in Usanovic v. Penncorp Life Insurance is a bit different since it relates  not to a “new” duty of good faith and/or honest performance in contractual relations but to the  age-old duty of utmost good faith that insurers and insureds owe to one another. Does this duty  create an obligation on the part of an insurer to warn its insured about a soon-to-be-expired  limitation period? This issue comes up fairly regularly, in my experience. In Usanovic, the  respondent insurer terminated the appellant’s disability benefits in January of 2012. The appellant insured commenced his action against the insurer in April of 2015, more than two years after the  termination of benefits. The insured was relatively unsophisticated and he testified that if only the  insurer had warned him about the limitation period when it denied his claim, he would have brought  an action earlier. He complained that the duty of utmost good faith extended to an obligation to  warn about an expiring limitation period. 

The court rejected this argument and found that an insurer’s duty of good faith does not require it to  give notice of a limitation period to its insured. While the legislatures of some provinces have  imposed a statutory obligation to that effect, there is no such requirement in Ontario. One might  have thought that the Court would try to help out the unsophisticated insured, but in this case, the  ONCA avoided any discussion of what might be “fair” or “equitable” in the circumstances. Instead,  it focused its review on the provisions of the Limitations Act, 2002 (“the Act”) and expressed its  intention to ensure that its decision did not conflict with the clear provision in the Act. Thus, the  Court noted that for the courts to impose a notice requirement on the insurer would effectively  judicially overrule the provisions of the Act by making notice given by an insurer to an insured the  trigger for the limitation period, rather than discoverability of the underlying claim. The court held  that this would defeat the purpose of the statute and bring ambiguity, rather than clarity, to the process. Bottom line here is that a duty of utmost good faith in an insurance relationship reflects  the duty that an insured has to be honest in the way he provides information to the insurer, both  with respect to the risk, and with respect to any claim, and the duty that an insurer has to treat each  claim fairly, without prejudgment, and without bias. Such a duty does not, however, move into the  realm of a fiduciary duty where a “trustee” (i.e., the insurer) would have an obligation to put the  interests of the beneficiary (the insured) ahead of its own interests. So again, the moral of the story is  trust yourself, and don’t expect anyone to help you. They might help you, but don’t count on it.  

  1. Lester July 2019