Earthquake insurance
We have been suffering damage by frequent earthquakes. Hanshin earthquake in January 1995 was recent largest one. Following it, Tyuetsu earthquake in October 2004 and Noto earthquake in March 2007 happened.Therefore, many consumers form contracts of earthquake insurance, voluntarily or by solicitation of an insurance company. However, it is difficult for consumers to understand precisely the meaning of terms and condition in earthquake insurance contract, even if they can read it literally.The Supreme Court ruling on December 9th 2003 was the case where it became dispute concerning whether the explanation duty of the insurance company was suitable.
Case
The plaintiffs were victim of the Hanshin earthquake disaster, and they made an insurance contract with the defendant insurance company before then. Afterwards, the plaintiffs suffered the damage of their properties by fire based on the earthquake. according to the written contract, the damage caused by the earthquake was not covered by insurance claim; Plaintiffs’ damage was caused by enlarged conflagration after the earthquake, therefore their damages were not included within the fire damage claim; although there was earthquake insurance to be paid to the fire caused the earthquake and the insurance was bundled with usual fire insurance, these agreement was excluded from claimants’ contract and the plaintiff company did not explain it. As a result, the plaintiffs made signature on the contract agreements, while the plaintiffs had not well understanding that they could not get payment by the fire claims caused by earthquake.The plaintiff claimed for their fire damage based on their insurance to the defendant company, but the defendant refused plaintiffs’ claims.
Claim of plaintiffs
The claimants argued that the defendant failed to explain the details of earthquake insurance and therefore they could not have precise perception as their contract did not contain the earthquake insurance. The plaintiffs claimed that the defendant commercial practices constituted the breach of explanation duty in good faith.The plaintiff claimed not only property damages, but also the mental distress damage caused by loss of their opportunity to receive the claim of earthquake insurance.Original court ruling The Osaka Appeal Court October 31th, 2001 approved a part of plaintiffs’ claims as following: the information of the earthquake insurance was significantly important; the information was necessary for the plaintiffs to make their informed decision for their contract; in the situation where there were significant imbalance in information and bargaining power between the plaintiffs and the defendant, the defendant company should have performed efficient explanation concerning the earthquake insurance. The decision stated that the defendant, in addition to the content of the earthquake insurance, should have explained the meaning of stamping seal on the column described for the plaintiffs not to take agreements of earthquake insurance in good faith, The defendant should have explained that the plaintiff might suffer disadvantage by stamping their seal to the column described not to make an agreement of earthquake insurance; notwithstanding, the defendant was considered failing to explain them in negligence.The court concluded that if the defendant had performed his explanatory obligations, there would have been opportunity for the plaintiffs to make contracts concerning the earthquake insurance and the mental distress damage of the plaintiffs was the loss caused by the breach of accessory duty.
The Supreme Court Decision
However, the Supreme Court Decision on December 9th 2003 did not endorse the original court ruling, stating as follows: the earthquake insurance contract was not about physical loss like as injury or death, but only about property damage; therefore, even if the defendant’s practices was insufficient in providing information or explanation, it was not regarded as illegal omission that was worthy of the plaintiffs’ mental distress damage; the plaintiffs stamped their seal to the column described not applying the earthquake insurance, thus the plaintiffs could recognize that the fire insurance was different from the earthquake insurance and they had opportunity to confirm the additional information concerning the earthquake; the fact that the plaintiffs stamped their seal to the column presumed that the plaintiffs recognized the content of the contract and the meaning of stamping seal to the column; on the other hand, there could not admit any proof that the defendant hid the terms and condition regarding the earthquake insurance.The ruling concluded that even if the defendant performed unsuitable commercial practices in providing explanation, there was not enough proof that could justify the plaintiffs’ claim approved.
Comment
The conclusion of the Supreme Court is based on the presupposition that if the defendant provides the written information to the plaintiffs, the plaintiffs might have perception of the contents of the document. However, as the ruling of Osaka Appeal Court indicated, it is usually difficult for the consumer to understand the content of insurance contract if they have not suitable explanation of the meaning by the defendant. Even if the plaintiffs can read it literally, the fact does not mean that they can understand the content precisely. It is because there is significant imbalance in information and bargaining power between the plaintiffs and the defendant. The defendant should bear the duty of confirmation regarding the plaintiffs’ recognition of the content of the contract in question. If the defendant comes to know that the plaintiffs’ recognition is wrong, the defendant should have to correct them and confirm that the plaintiffs make their informed decision. The Supreme Court ruling is considered insufficient because of neglecting the imbalance of information and ability between the plaintiffs and defendant.
http://www.courts.go.jp/hanrei/pdf/A5AEEE141ACF94E949256B590025BA7F.pdf
http://www.courts.go.jp/hanrei/pdf/69E243819A9B5CC849256EA2002681A1.pdf