Goulet v. Transamerica Life Insurance Co. of Canada, [2002] 1 S.C.R.
719, 2002 SCC 21
Transamerica
Life Insurance Co. of Canada Appellant
v.
Danielle Goulet Respondent
Indexed
as: Goulet v. Transamerica Life Insurance Co. of Canada
Neutral
citation: 2002 SCC 21.
File
No.: 27939.
2001: November 8; 2002: March 8.
Present: McLachlin C.J.
and L’Heureux‑Dubé, Gonthier, Iacobucci, Major, Bastarache, Binnie,
Arbour and LeBel JJ.
on appeal from the
court of appeal for quebec
Insurance — Life insurance — Intentional fault —
Public order exception — Insured dying while committing a crime — Insurer
refusing to pay beneficiary life insurance proceeds — Whether act committed
amounts to intentional fault of insured — Whether public order exception that
“no one may profit from his or her own crime” exists in Quebec insurance law —
If so, whether exception is a bar to beneficiary’s right to claim insurance
indemnity — Civil Code of Lower Canada, arts. 2532, 2550.
The respondent’s husband died in 1994 when a bomb he was
attempting to plant in a car exploded. The respondent, in her capacity as
designated beneficiary, claimed the indemnity provided for in the insurance
policy her husband had taken out on his own life in 1990. Notwithstanding the
fact that there was no clause precluding payment of the indemnity if the
insured died while committing a crime, the insurer refused to pay. It
maintained that public order justified refusal to pay when the death had
occurred during the commission of a crime. The respondent brought an action
against the insurer and was successful in the Superior Court and the Court of
Appeal.
Held: The appeal should
be dismissed. The respondent is entitled to the life insurance proceeds.
An insurer never insures the intentional fault of the
insured. Although it is part of the chapter on damage insurance,
art. 2563 C.C.L.C. expresses that principle, which derives from the
nature of the insurance contract. In the context of a life insurance contract,
the suicide of the insured during the first two years of the coverage
(art. 2532) and an attempt on the life of the insured by the owner of the
insurance contract (art. 2559) are the only intentional acts, within the
parameters established by the Civil Code of Lower Canada, that affect the
risk of death, and particularly, the time at which the event that is the object
of that risk occurs. In this case, the act committed by the insured was not an
intentional act since there is no evidence to show that he was seeking to bring
about the event that is the object of the risk and the damage itself.
According to the admissions at the trial, the insured was obviously committing
a serious indictable offence when he died, but he did not intend to end his
life. The incident that occurred was still contingent.
The principle of public order that “no one may profit
from his or her own crime” exists in Quebec insurance law. First, the Quebec
courts applied this principle before the 1976 insurance law reform. Second,
there is nothing in the new provisions of 1976 to suggest that the legislature
intended to preclude it. While this principle prevents the insured or the
person entitled to receive the insurance indemnity from profiting from his or
her own crime, insurance law does not preclude the protection of innocent third
persons or beneficiaries from the consequences of criminal activity. To prevent
innocent third persons or beneficiaries from claiming the indemnity, the
insurance contract must contain a clause specifically providing that the
insurer is not required to pay the indemnity if the insured dies in the
commission of an indictable offence. Article 2550 C.C.L.C. cannot
be used to deprive the innocent beneficiary of his or her claim where the
insured died when committing an indictable offence. That article, which
constitutes an exception to the principle of the privity of contracts, allows
the insurer to set up against the beneficiary all of the causes of nullity or
forfeiture that are based on the existence of the contract, but it may not set
up against the beneficiary causes of nullity or forfeiture that are purely
personal to the insured. Article 2550 therefore does not allow the
insurer to set up the public order rule that “no one may profit from his or her
own crime”, which it could have asserted against the insured, against the
innocent beneficiary of the insurance contract.
Cases Cited
Referred to: Oldfield
v. Transamerica Life Insurance Co. of Canada, [2002] 1 S.C.R. 742, 2002 SCC
22; Schilling Estate v. Transamerica Life Insurance Co. of Canada
(1997), 108 O.A.C. 306, aff’g (1997), 40 C.C.L.I. (2d) 237; Brissette Estate
v. Westbury Life Insurance Co., [1992] 3 S.C.R. 87; Canadian Indemnity
Co. v. Walkem Machinery & Equipment Ltd., [1976] 1 S.C.R. 309;
Mutual of Omaha Insurance Co. v. Stats, [1978] 2 S.C.R. 1153, aff’g (1976),
14 O.R. (2d) 233; Pickford Black Ltd. v. Canadian General Insurance Co.,
[1977] 1 S.C.R. 261; Cass. civ. 1st, March 3, 1993, R.G.A.T. 1993.648 (Castrassur
v. Camat); Godbout v. Longueuil (Ville de), [1995] R.J.Q. 2561,
aff’d [1997] 3 S.C.R. 844; Brasserie Labatt ltée v. Villa, [1995] R.J.Q.
73; Cameron v. Canadian Factors Corp., [1971] S.C.R. 148; Bélair v.
Lasalle, [1970] C.A. 275; Foncière Compagnie d’Assurance de France v.
Perras, [1942] Que. K.B. 231, aff’d [1943] S.C.R. 165.
Statutes and Regulations Cited
Act respecting the
implementation of the reform of the Civil Code,
S.Q. 1992, c. 57, s. 4.
Civil Code of Lower Canada, arts. 13, 2468, 2481, 2500, 2502, 2532, 2550, 2559, 2560,
2563, 2578 (former).
Civil Code of Québec, S.Q. 1991, c. 64, art. 2402.
Authors Cited
Bergeron, Jean-Guy. Les contrats d’assurance
(terrestre): lignes et entre-lignes, t. 2. Sherbrooke: Éditions SEM,
1992.
Karim, Vincent. “L’ordre public en droit
économique: contrats, concurrence, consommation” (1999), 40 C. de D.
403.
Lefebvre, Brigitte. “Quelques considérations sur la
notion d’ordre public à la lumière du Code civil du Québec”, dans Développements
récents en droit civil. Cowansville, Qué.: Yvon Blais, 1994, 149.
Picard, M., et A. Besson. Les
assurances terrestres en droit français, t. 1, 4e éd. Paris:
L.G.D.J., 1975.
APPEAL from a judgment of the Quebec Court of Appeal,
[2000] R.J.Q. 1066, [2000] R.R.A. 325, [2000] Q.J. No. 1308 (QL), affirming a
judgment of the Superior Court, [1996] R.R.A. 1131, [1996] Q.J. No. 3561 (QL).
Appeal dismissed.
Alain Létourneau and René
Vallerand, for the appellant.
Jean Blaquière, for the
respondent.
English version of the judgment of the Court delivered
by
LeBel J. —
I. Introduction
1
On October 11, 1990, Transamerica Life Insurance Company of Canada
issued a life insurance policy on the life of Roger Arbic. As policyholder,
Arbic designated his spouse, Danielle Goulet, the respondent, as beneficiary.
On January 22, 1994, while the policy was still in effect, Arbic was
killed when a bomb he was attempting to plant in a car parked at Dorval
Airport, near Montréal, exploded.
2
Goulet claimed the $50,000 insurance indemnity solely in her capacity as
beneficiary and not as her husband’s heir or as representative of the estate.
The insurer refused to pay. Notwithstanding the fact that there was no clause
precluding payment of the indemnity if the insured died while committing a
crime, the insurer replied that public order justified refusal to pay when the
death had occurred during the commission of a crime.
3
Faced with this refusal, Goulet brought an action against Transamerica.
At the trial, she conceded that, on a balance of probabilities, Arbic had died
while committing an indictable offence. Nonetheless, she was successful in the
Superior Court and the Court of Appeal. The insurer’s appeal to this Court was
heard at the same time as an appeal raising similar issues in a case that
originated in Ontario (Oldfield v. Transamerica Life Insurance Co. of Canada,
[2002] 1 S.C.R. 742, 2002 SCC 22). For the reasons set out below, I am of the
view that the appeal should be dismissed.
II. Judicial History
A. Superior Court, [1996] R.R.A. 1131
4
Crépeau J. allowed Ms. Goulet’s action. In essence, he found
that the public order exception on which Transamerica relied could not be set
up against the plaintiff. He also rejected the argument based on the allegedly
intentional nature of the act.
5
Crépeau J. began by making a series of preliminary comments
concerning the application of the Civil Code of Lower Canada (“C.C.L.C.”)
to the action (at pp. 1133-34):
[translation] In this
case . . ., we must refer to the Civil Code of Lower Canada to determine
the meaning and scope of the parties’ rights and obligations and the effects of
the contract [s. 4 of the Act respecting the implementation of the
reform of the Civil Code, S.Q. 1992, c. 57].
. . .
. . . before applying the common law, we must ensure that the Civil
Code does not contain any provisions relating to this issue.
. . . generally, it is up to the parties to an insurance contract to
establish the limits the risk covered and the conditions on which the indemnity
is payable [contractual freedom].
6
Crépeau J. then acknowledged that few exclusions in the C.C.L.C.
are applicable to life insurance. He said that general clauses providing for
forfeiture of the policy for violation of the law, unless the violation
constitutes an indictable offence, are prohibited by the C.C.L.C.
(art. 2481) and by the Civil Code of Québec, S.Q. 1991, c. 64
(art. 2402).
7
Crépeau J. was of the view that the legislature had established
the circumstances in which the insurer could rely on public order in the C.C.L.C.
in respect of “Insurance of persons” to refuse to honour a claim. The courts
have no further authority to add more public order exclusions to the C.C.L.C.
Furthermore, in the view of Crépeau J., the insurer retains a free hand to
include the exclusions it wants in the contract, in accordance with the
principles set out in the Civil Code.
8
The judge noted that the insurer in this case had not made the policy
subject to any exclusion, with the exception of suicide occurring within two
years of the issuance of the policy. Since there was no clause excluding
indictable offences, he found that the insurer had to honour the provisions of
the contract.
9
Crépeau J. rejected the appellant’s argument under art. 2563 C.C.L.C.,
which provides that the insurer is relieved of liability for the prejudice
caused by the intentional fault of the insured: art. 2563 is to be found
under the chapter “Of Damage Insurance” and therefore does not apply to
life insurance, where the concept of intentional act is relevant only to
suicide.
B. Court of Appeal, [2000] R.J.Q. 1066
10
Transamerica suffered another setback in the Court of Appeal. For
reasons differing in part, Rothman and Nuss JJ.A. both found that Goulet’s
action was well founded and the insurance payment was payable.
(1) Rothman J.A.
11
Rothman J.A. first addressed the appellant’s argument that the
insured, as a result of his intentional and deliberate conduct, had increased
the risk of death so that death was no longer the uncertain event covered by
the insurance policy. Rothman J.A. rejected that argument. First, under
a clause in the insurance contract, even if the insured had deliberately killed
himself, the beneficiary could nonetheless have collected the amount insured.
There was no evidence to show that the insured knew he was going to die when he
planted the bomb. Even though planting a bomb is an inherently dangerous
activity, it is wrong to say that the death that resulted was not an accident.
The death that resulted from the insured’s act was not reasonably sure.
12
However, Rothman J.A. then dissociated himself from the opinion of
Crépeau J. that art. 2563 C.C.L.C. relating to the intentional fault of
the insured applies only to damage insurance. In Rothman J.A.’s view,
that principle is intrinsically connected with the concept of “risk” in
insurance contracts, but he said that art. 2563 C.C.L.C. was of no
help to the appellant in this case (at p. 1070):
That being said, however, the fault or act committed
by the insured must be one that is intended to cause the loss or damage for
which the insurance claim is made. The insured must have intended to bring
about the realisation of the risk insured against, and not merely to do the act
that he did. It is insufficient for the insured to have intended merely a
negligent or a blameworthy act, if that act was not intended to cause the loss
and the loss was accidental.
13
Rothman J.A. also addressed the issue of public order. In his view,
even in the absence of a specific policy exclusion, the principles of public
order could be invoked by an insurance company to prevent a criminal from
profiting from his crime. Therefore, an insured who had deliberately caused the
loss covered by his insurance policy by committing an indictable offence should
not be entitled to recover the amount insured, nor could his estate claim that
amount. But in this case, the beneficiary under the policy was innocent.
Allowing her to benefit from the insurance contract would not enable the
insured to profit from his crime. The opposite approach would hurt innocent
beneficiaries (at p. 1071):
We should, I think, be slow to extend a rule of
public order which was designed to prevent criminals from profiting from their
crimes so as to enable insurers to refuse amounts due under insurance policies
to innocent beneficiaries who have had nothing whatever to do with these crimes
and who do not claim as the representatives of the criminals who have committed
them.
14
Furthermore, art. 2550 C.C.L.C. confirms that the
beneficiary named in an insurance contract does not represent the insured and
that the sum paid under the insurance policy does not form part of the estate
of the insured. In the opinion of Rothman J.A., the beneficiary of the
insurance policy is a creditor of the insurer in her own right and for her own
benefit.
15
Rothman J.A. acknowledged that art. 2550 C.C.L.C.
allows the insurer to set up against the beneficiary the causes of nullity of
the contract that may be invoked against the insured, as well as the exclusion
clauses provided in the insurance policy (e.g. suicide clauses). However, that
provision does not prevent the beneficiary from claiming the amount insured in
this case (at p. 1073):
But the rule of public order precluding a criminal
from obtaining the insurance benefits of his crime is, in my view, a forfeiture
of a different kind. It is a personal sanction of forfeiture applicable to the
criminal, the purpose of which is to prevent the criminal or his estate from
obtaining any benefits from his crime. Its purpose is not to vitiate the
insurance contract or to extinguish the rights of other innocent beneficiaries
having claims under the policy.
16
Rothman J.A. then noted that the insurance company should have
expressly provided an exception in the insurance contract for death resulting
from the commission of an indictable offence. Article 2481 C.C.L.C. clearly
allows it to do so.
(2) Nuss J.A. (Reasons Concurred in by
Deschamps J.A.)
17
Nuss J.A. agreed with the reasons of Rothman J.A. However, he
considered that for the purposes of this case it was not necessary to decide
whether the estate of an insured who had committed an indictable offence may
benefit from the insurance contract.
III. Relevant Statutory Provisions
18
Civil Code of Lower Canada
13. No one can by private agreement, validly
contravene the laws of public order and good morals.
2468. A contract of insurance is that whereby the
insurer undertakes, for a premium or assessment, to make a payment to a
policyholder or a third person if an event that is the object of a risk occurs.
2481. Every general clause releasing the insurer if
any act or regulation is violated is without effect, unless such violation
constitutes an indictable offence.
2500. Any stipulation which derogates from the
prescriptions of articles 2474, 2478 to 2484, 2486, 2490 to 2492, 2494 to
2506, 2508, 2510 to 2515, 2518, 2529, 2530, the second paragraph of
article 2533, articles 2536, 2538, 2539, 2541, 2546 to 2549, 2557,
2559, 2560, 2561, 2562, the second paragraph of article 2563,
article 2564, the third paragraph of article 2566,
articles 2574, 2577 to 2582, 2585, the first two paragraphs of
article 2586, articles 2587, 2598, 2599 and 2601 to 2605 is without
effect.
Except to the extent that it is more favourable to the policyholder or
to the beneficiary, any stipulation which derogates from the prescriptions of
articles 2485, 2488, 2489, 2516, 2517, 2519 to 2522, 2523 to 2528, 2532,
the first paragraph of 2533, articles 2534, 2535, 2537, the first
paragraph of article 2563, the first, second and fourth paragraphs of
article 2566, articles 2567 to 2570, 2572, 2573, 2575, 2583, the
third paragraph of article 2586, articles 2589 to 2591 and 2594 to
2597 is without effect.
2502. In any accident and sickness insurance policy,
the insurer must also indicate expressly and clearly the nature of the coverage
stipulated therein; if the insurance is conditional upon disability, it must,
in the same manner, indicate the conditions of payment of the indemnities.
The insurer cannot invoke exclusions or clauses of reduction of
coverage except those clearly indicated under an appropriate title, such as the
following: “Exclusions and Reduction of Coverage”.
2532. Suicide of the insured is not a cause of
nullity. Any stipulation to the contrary is without effect if the suicide
occurs after two years of uninterrupted insurance.
2550. The beneficiary and the contingent owner are
the creditors of the insurer but the insurer may set up against them the causes
of nullity or forfeiture that may be invoked against the policyholder or the
participant.
The sum insured payable to a beneficiary does not form part of the
estate of the insured. Similarly, the contract transferred to the contingent
owner does not form part of the estate of the preceding owner.
2559. An attempt on the life of the insured by the
owner of the contract entails ipso facto the nullity of the insurance
and the payment of the surrender value.
2563. The exclusion of the prejudice caused by a
fortuitous event or the fault of the insured is not valid unless it is
expressly and restrictively set out in a stipulation in the contract.
However, the insurer is not liable, notwithstanding any agreement to
the contrary, for prejudice arising from the insured’s intentional fault.
IV. Analysis
A. Issues
19
This appeal raises two issues. First, we must determine whether the act
committed amounts to an intentional fault of the insured, which cannot
constitute an insurable risk. Second, if this is not the case, we must
consider whether there is a public order exception and how it is to be applied,
in order to determine whether it is a bar to Ms. Goulet’s claim. Those
issues will be analyzed in accordance with the C.C.L.C. As a result of
the date when the insurance contract was made, s. 4 of the Act
respecting the implementation of the reform of the Civil Code, S.Q. 1992, c. 57,
provides that the legislation that applied at the time continues to govern the
interpretation and application of the agreement. The new law does not seem,
however, to have made any significant changes to the former law, which applies
to the legal issues I will now address.
B. Arguments of the Parties
(1) Appellant
20
First, the appellant said that the Court of Appeal could not have made
the application of the public order rule dependent on the identity or status of
the person claiming the life insurance proceeds. In its view, it would be
illogical to conclude this: either the effects of the contract are suspended by
the insured’s acts or they are not. Moreover, it added that the conclusion of
the Quebec Court of Appeal was contrary to the decision of the Ontario Court of
Appeal in Schilling Estate v. Transamerica Life Insurance Co. of Canada
(1997), 108 O.A.C. 306, affirming the trial judgment (1997), 40 C.C.L.I. (2d)
237, and the decision of this Court in Brissette Estate v. Westbury Life
Insurance Co., [1992] 3 S.C.R. 87.
21
In support of its argument, the appellant cited art. 2550 C.C.L.C.:
2550. The beneficiary and the
contingent owner are the creditors of the insurer but the insurer may set up against
them the causes of nullity or forfeiture that may be invoked against the
policyholder or the participant.
22
The appellant submitted that this provision means that the insurer may
set up against the beneficiary the causes of nullity or forfeiture that may be
invoked against the policyholder or the participant. None of them have been
precluded by the legislature. When the legislature provides that the insurer
is entitled to set up against the beneficiary the causes of nullity or
forfeiture that may be invoked against the policyholder or the participant, it
is referring to all causes of nullity and forfeiture. Therefore, unless the
legislature has expressed some contrary intention, it is not open to the courts
to limit the scope of the rule enacted. By making the distinction it made, the
Court of Appeal stripped art. 2550 of its legal meaning and assumed a
legislative role.
23
Second, the appellant argued that the Court of Appeal erred by requiring
that the insured have intended that an event that is the object of the risk
insured against (namely, death) occur when he committed the indictable offence,
as a condition for the public order defence to apply. The public order
defence would be triggered by the insured’s wrongful or criminal conduct and
not because of a specific intention that an event that is the object of the
risk insured occur.
24
Moreover, the appellant pointed out that an insured who, by his conduct,
alters the nature of the risk by hastening the occurrence of an event that is
the object of the risk relieves the insurer of its obligation. The element of
uncertainty in the policy must exist not only at the time the contract is made
but also when the event that is the object of the insurance occurs. The
appellant said that the act committed by Mr. Arbic exposed him, objectively, to
death, and that in fact he eliminated the uncertainty of the event against
which he was insured.
25
The appellant’s final argument was that art. 2481 C.C.L.C.
does not require that the insurer add a clause to the contract excluding the
application of the insurance policy if an indictable offence is committed by
the insured. It submitted that such an exclusion is already provided for by
the rules of public order: by definition, an indictable offence cannot be the
subject of an insurance contract because this would be contrary to good morals
and public order. In the appellant’s submission, the interpretation adopted by
the Court of Appeal amounts to saying that it is possible to insure oneself
against one’s own crimes, a conclusion that would be contrary to good morals
and public order. In the absence of a clear indication in the insurance policy
that the parties intend to insure against death resulting from a criminal or
wrongful act, it must be presumed that the parties did not intend to preclude
the public order rule that prohibits the payment of the amount insured when
death has occurred in circumstances of that nature.
(2) Respondent
26
First, the respondent submitted that the first issue raised by the
appellant, public order, does not arise in this Court. In the respondent’s
submission, the test used by the Court of Appeal is the intention of the
insured to cause the occurrence of an event that is the object of the risk
insured, in this case death, and not the principle that no one may benefit
from his or her own crime. The Court of Appeal therefore unanimously held, as
did the trial judge, that in the absence of an intentional act by Mr. Arbic,
the respondent was entitled to receive the indemnity contracted for, even
though the death of the insured occurred in the commission of an indictable
offence. The respondent acknowledged that Rothman J.A. had in fact
referred, for comparison, to the common law rule that a criminal may not
benefit from his or her own crime. Ms. Goulet is nonetheless of the
opinion that the basis of the decision of the Court of Appeal was to be found
in the public order rules codified in the C.C.L.C. The public order
principle codified in the C.C.L.C. is that no one may benefit from his
or her own intentional act, whether criminal or otherwise (arts. 2559 and 2563 C.C.L.C.).
27
Second, the respondent examined the issue of whether there was intention
to cause the occurrence of an event that was the object of the risk insured.
The respondent submitted that in order to exclude a loss, it must result from a
subjectively intentional act by the insured. Gross negligence would not
suffice. In the respondent’s submission, the highly foreseeable consequences
of the dangerous operations of the insured are still accidental (and not
intentional) since the insured did not intend to cause the occurrence of the
loss (Canadian Indemnity Co. v. Walkem Machinery & Equipment Ltd.,
[1976] 1 S.C.R. 309; Mutual of Omaha Insurance Co. v. Stats, [1978] 2
S.C.R. 1153; Pickford Black Ltd. v. Canadian General Insurance Co.,
[1977] 1 S.C.R. 261). The theory of “courting of the risk” cited by the
appellant would therefore not be tenable. Moreover, in 1976, the legislature
repealed former art. 2578 C.C.L.C., which restricted the notion of risk
at the beginning of the title “Of Insurance”. That article read as follows:
2578. The insurer is liable for
losses caused by the insured otherwise than by fraud or gross negligence.
28
In this case, the loss covered by the life insurance policy is the death
of the insured. As the Court of Appeal pointed out, there is no evidence in
the record, whether direct, circumstantial or by presumption, to show that the
insured intended to cause the occurrence of the loss, that is, to take his
life.
29
Furthermore, the respondent pointed out that by obstinately refusing to
pay the indemnity provided in the insurance contract, the appellant confused
principles designed to ensure public order that were developed in respect of
insurance by the common law and applied those principles indiscriminately. And
yet why, the respondent asked, when the Civil Code contains all of the
rules needed in order to dispose of this case would we need to go looking for different
rules in another system of law? In Ms. Goulet’s submission, the Court of
Appeal and the trial judge were therefore correct in refusing to apply a
majority of the precedents cited by the appellant since they had virtually all
been decided under the common law.
30
In the recent legislative history of insurance law, the Quebec
legislature has acted on several occasions to limit the principle of
contractual freedom in what it regarded as matters of public order. This
concern with matters of public order has been expressed in concrete
legislative action. Because the public order principle cited by the appellant
is not codified in the C.C.L.C., the courts cannot create it. The
respondent also pointed out that art. 2481 C.C.L.C. allows insurers
to specifically exclude the risk associated with the commission of an
indictable offence. In the respondent’s submission, this rule implies an
important corollary, which the appellant has tried to obfuscate: if the
insurer can be relieved of the consequences of an indictable offence by
providing an exclusion clause formulated in general terms, the insurer must
bear the consequences of the loss when it fails to do so.
C. The Problems with the Intentional Fault
31
In support of its argument, the appellant cited a fundamental principle
in insurance law: an insurer never insures the intentional fault of the
insured. The insurance contract protects against the occurrence of the event
that is the object of the risk. The contingent nature of that element makes
the insurance transaction possible. This risk in fact constitutes the very
purpose of the insurance contract, as defined by the Civil Code:
2468. A contract of insurance is
that whereby the insurer undertakes, for a premium or assessment, to make a
payment to a policyholder or a third person if an event that is the object of a
risk occurs.
32
Although it is part of the chapter “Of Damage Insurance”, art. 2563
clearly expresses that principle, which derives from the nature of the
insurance contract. (See J.-G. Bergeron, Les contrats d’assurance
(terrestre): lignes et entre-lignes (1992), vol. 2, at p. 18.)
Notwithstanding any agreement to the contrary, insurance does not cover losses
resulting from the intentional fault of the insured:
2563. The exclusion of the prejudice caused by a
fortuitous event or the fault of the insured is not valid unless it is
expressly and restrictively set out in a stipulation in the contract.
However, the insurer is not liable, notwithstanding
any agreement to the contrary, for prejudice arising from the insured's
intentional fault.
33
It is important that the concept of intentional act be clearly
understood. The insured must seek not only to bring about the event that is
the object of the risk, but also to bring about the damage itself. In French
law, which has strong similarities with Quebec insurance law on this point, the
Cour de Cassation has clearly stated that rule (Cass. civ. 1st, March 3, 1993, R.G.A.T.
1993.648 (Castrassur v. Camat), note P. Rémy).
34
The Court of Appeal, per Rothman J.A., acknowledged that the
rule codified in art. 2563 C.C.L.C. applied in the context of life
insurance by virtue of its close connection with the concept of insurance
itself. The fact that it is included under the chapter “Of Damage Insurance”
does not alter the general nature of the principle it states (at p. 1070):
But the “intentional fault” principle reflected in article 2563, while
under the heading of damage insurance, is not limited to cases of damage
insurance only. The principle is fundamental to the notion of risk in
insurance law and its “raison d’être” is obvious. The insured is not
permitted, by his own intentional act, to bring about the realisation of the
risk for which the insurance policy was issued.
35
The Court of Appeal applied the rules relating to the intentional fault
of the insured and found that Mr. Arbic had not committed an “intentional
fault” since he had not had the intention of ending his life when he planted a
bomb under a car at Dorval Airport. In discussing the concept of “risk” in an
insurance contract, the Court of Appeal also found that the theory of “courting
the risk” could not apply in this case.
36
In its factum, the appellant repeated the analysis done by the Court of
Appeal but came to a different conclusion. In its submission, an insured who,
by his or her conduct, alters the risk or hastens the occurrence of an event
that is the object of a risk relieves the insurer of its duty. Moreover, the
risk must exist not only at the time the contract is made but also at the time
the event that is the object of the insurance occurs. The appellant said that
the act committed by Mr. Arbic had objectively exposed him to death.
Furthermore, it said Mr. Arbic had eliminated the uncertainty of the
event.
37
This argument, which relates to the concept of the risk in an insurance
contract and the concept of intentional fault, does not have the effect
ascribed to it by the appellant. The concept of intentional act in life
insurance is governed specifically by art. 2532 C.C.L.C., with
respect to the suicide of the insured, and arts. 2559 and 2560 C.C.L.C.,
with respect to an attempt on the life of the insured by a third person. In
the case of suicide, as we know, the Civil Code provides a special rule,
that the voluntary death of the insured is a cause of nullity only during the
first two years of the coverage. Any stipulation to the contrary is without
effect. The legislature has thus restricted the scope of the principle that
intentional acts are excluded, and this undoubtedly stems from the fact that it
would frequently be difficult to identify true suicides and their causes. That
rule also undoubtedly expresses concern for protecting the interests of
innocent third parties, a concern that is also found in the rules relating to
attempts on the life of the insured. When the owner of the contract makes an
attempt on the life of the insured, art. 2559 C.C.L.C. provides
that the contract is null and that the surrender value must be repaid.
Conversely, if the attempt is made by someone other than the owner, the only
effect is forfeiture of the rights of the person who committed the attempt.
Accordingly, in the context of a life insurance contract, the suicide of the
insured and an attempt on the life of the insured are the only intentional
acts, within the parameters established by the Civil Code, that affect
the risk of death, and particularly, the time at which the event that is the
object of that risk occurs (Bergeron, supra, at pp. 18‑20).
38
In this case, the act committed by Mr. Arbic was not an intentional
act within the meaning of the rules referred to supra. According to the
admissions at the trial, Mr. Arbic was obviously committing a serious
indictable offence when he died. However, he did not intend to bring about his
own death. The incident that occurred was still contingent. Subject to the
public order exception cited by the insurer, the insurance policy continued to
apply, absent a specific exclusion clause. I will now consider that exception.
D. Public Order Exception
39
The appellant argued that public order operates as a bar to the
respondent’s claim. Under art. 2550, a person who commits a crime, and his
or her legal representatives, may not claim the proceeds of an insurance policy
when the loss has been caused by an indictable offence. In the appellant’s
submission, the exception in this provision may be set up against the
designated beneficiary.
40
At this stage of the analysis, it is important that the legal effect of
the exception cited by the appellant be fully understood. Unlike the causes of
nullity, such as false statements and non‑disclosure, the exception “no
one may profit from his or her own crime” does not affect the initial validity
of the insurance contract itself. Rather, it is a bar to the right to claim the
indemnity provided by the policy, based on a principle of social morality.
That principle would punish not only the person who committed the crime but
also any beneficiary who could claim under the policy, even in the absence of
any connection to the crime.
41
The respondent submitted that this exception does not exist in Quebec
civil law. Accepting it would amount to improperly importing common law precedents
into our civil law. Only the imperative rules, as so defined in the Civil
Code, may be applied by the courts. Since the rule that no one may profit
from his own crime is not stated in the Civil Code, the Quebec courts
cannot create it judicially.
42
Ultimately, this argument denies that public order has been defined by
the courts in Quebec private law. That argument is wrong. Civil law has long
recognized the authority of the courts to define and develop these principles
of fundamental law, or rules of community life, that inform the entire manner
in which private law applies. In practice, due to the convergence of the
values of Western societies, it should come as no surprise that there are major
similarities in terms of the substance of public order in the various legal
systems.
43
Most of the principles of public order, of course, are codified in the C.C.L.C.
or the Civil Code of Québec. However, the statutes and regulations do
not provide an exhaustive list of the principles of public order. Those
principles may be created by the courts. As Baudouin J.A. pointed out in Godbout
v. Longueuil (Ville de), [1995] R.J.Q. 2561 (C.A.), at p. 2570 (aff’d
[1997] 3 S.C.R. 844):
[translation] Public
order, in Quebec, may not be defined solely as the values protected by the
charters or by ordinary legislation. In other words, this concept does not
consist solely of a legislative corpus and the task of defining the substance
of that concept is not within the purview of the legislature (arts. 9,
1373, 1413 C.C.Q.).
Public order is also defined by the courts, whose duty it is to give
it sanction and mould it, having regard to the fundamental values of the
society at a particular point in its development.
(See also Brasserie Labatt ltée v. Villa, [1995] R.J.Q. 73 (C.A.),
at pp. 78‑79, per Gendreau J.A.)
In a study of
the concept of economic public order in Quebec law, Professor Vincent Karim
expressed the same view:
[translation] We would
recall that in some cases the courts must determine the validity of the
agreement or the contractual clause where there is no statutory provision
dealing with such clauses or agreements. The concept of public order is not
limited to the legislative concept; it may also consist of judicial decisions
since, even where there is a legislative void, the courts have “the duty to
give it sanction and mould it, having regard to the fundamental values of the
society at a particular point in its development”.
(V. Karim, “L’ordre public en droit économique: contrats, concurrence,
consommation” (1999), 40 C. de D. 403, at p. 409; B. Lefebvre, “Quelques
considérations sur la notion d’ordre public à la lumière du Code civil du
Québec”, in Développements récents en droit civil (1994), 149)
44
The Quebec courts have often moulded the principles of public order
despite the legislature’s silence. For example, even when the C.C.L.C.
did not contain any provisions in that regard, this Court made non‑competition
clauses subject to strict conditions of validity based on public order (Cameron
v. Canadian Factors Corp., [1971] S.C.R. 148).
45
In insurance cases, the Quebec courts have expressly recognized the
principle of public order holding that no one may profit from his or her own
crime (see Bélair v. Lasalle, [1970] C.A. 275, and Foncière Compagnie
d’Assurance de France v. Perras, [1942] Que. K.B. 231, aff’d [1943] S.C.R.
165). However, it must be noted that those cases were decided prior to the
enactment of the insurance law provisions in the C.C.L.C. The question
that must therefore be asked is whether the 1976 insurance law reform
eliminated this principle of public order.
46
It must be pointed out that jurisdiction in respect of public order is
composed of two aspects (Karim, supra, p. 409). First, unless
expressly provided by the legislature, the courts have the authority to
determine whether certain statutory provisions are matters of public order.
Second, the courts may raise any unwritten rule to the rank of a principle of
public order where that rule is consistent with the fundamental values of the
society at a particular point in its development.
47
As the respondent pointed out, art. 2500 C.C.L.C. does
indeed expressly provide that the articles under the title “Of Insurance” that
are listed there are matters of public order. However, the enactment of
art. 2500 C.C.L.C. did not wipe out the principle that “no one may
profit from his or her own crime” in Quebec insurance law, or eliminate the
role of the courts in defining and identifying the rules of public order.
48
The respondent also cited art. 2481 C.C.L.C. as authority
for ignoring the public order exception. In her submission, the legislature
would not have acknowledged that indictable offences may be excluded if the
public order rule that “no one may profit from his or her own crime” already
did this. Article 2481 C.C.L.C. provides:
2481. Every general clause
releasing the insurer if any act or regulation is violated is without effect,
unless such violation constitutes an indictable offence.
49
In the respondent’s submission, this provision implicitly imposes an
obligation on an insurer that wants to be released from its obligations in
cases where an indictable offence has been committed to include a clause to
that effect. Otherwise, the insurance policy covers the occurrence of an
event that is the object of the risk insured, even if it occurs in the
commission of an indictable offence. This interpretation is correct,
especially since the second paragraph of art. 2502 provides that
exclusions must be clearly indicated in the insurance contract:
2502. . . .
The insurer cannot invoke exclusions or clauses of
reduction of coverage except those clearly indicated under an appropriate
title, such as the following: “Exclusions and Reduction of Coverage”.
50
I cannot accept the respondent’s argument that the existence of the
public order exception means that art. 2481 C.C.L.C. serves no
purpose. On the contrary, as noted earlier, it leaves the insurer free to
stipulate that the indictable offences and the consequences of those offences
are excluded with respect to everyone, which was not done in this case.
51
The principle of public order that “no one may profit from his or her
own crime” therefore exists in Quebec insurance law. First, the Quebec courts
applied this principle before the 1976 insurance law reform. Second, there is
nothing in the new provisions of 1976 to suggest that the legislature intended
to preclude it. We must now consider the real meaning of this principle.
E. Meaning of the Public Order Exception
52
Notwithstanding the existence of the exception, it is not as absolute as
was suggested by the appellant. In common law, this can be seen in
Major J.’s reasons in Oldfield, supra, and I refer to his
analysis on the point. The common law, as it has developed, does not demand
that approach, nor does the civil law require it.
53
The public order rule is intended to prevent the insured or the person
entitled to receive the insurance indemnity from profiting from his or her own
crime. Insurance law does not, however, preclude the protection of innocent
third persons or beneficiaries from the consequences of criminal activity. Many
forms of insurance, such as fire, vandalism, fraud or theft insurance, cover
risks of that nature. In addition, the trend in insurance law is toward
limiting the effect of causes of nullity or forfeiture as against innocent
third parties who have personal interests under the insurance contract. In
this case, Ms. Goulet was the person who had the economic interest in the
insurance policy before her husband’s death. Her husband was still the
policyholder whose life was insured, but the right to claim the insurance
indemnity was Ms. Goulet’s, by virtue of being designated as beneficiary.
54
The appellant argued that art. 2550 C.C.L.C. allows it to
set up the public order rule that “no one may profit from his or her own
crime”, which it could have asserted against the insured, against the innocent
beneficiary of the insurance contract. According to the legal literature,
art. 2550 C.C.L.C. constitutes an exception to the principle of the
privity of contracts. It allows the insurer to set up against the beneficiary
all of the causes of nullity or forfeiture that are based on the existence of
the contract. For example, an insurer may set up against the beneficiary (even
an innocent beneficiary) a false statement of the risks, non‑payment of
premiums and cancellation of the contract. However, the insurer may not set up
against the beneficiary causes of nullity or forfeiture that are purely
personal to the insured. On this point, the comments made by M. Picard
and A. Besson, with respect to a provision in the French insurance code
that is similar to art. 2550 C.C.L.C., are relevant:
[translation] While the
beneficiary has a personal and direct right against the insurer, the
beneficiary nonetheless derives that right from the contract entered into by
the subscriber and the insurer. The existence and scope of the beneficiary’s
claim are determined by the contract. The beneficiary can have no rights other
than those that result from the policy, in accordance with the law of 1930.
The beneficiary can act against the insurer only in reliance on that policy.
Therefore, all the limitations, restrictions or exceptions resulting from the
insurance contract that could normally be set up against the policyholder may
also be set up against the beneficiary. Undoubtedly, the insurer cannot set
up exceptions against the beneficiary that are strictly personal to the
subscriber and unrelated to the contract (for example, set‑off resulting
from a claim against the subscriber for a matter unrelated to the contract).
In contrast, all of the defences that derive from the policy itself on which
the beneficiary relies may be set up against the beneficiary by the insurer.
[Emphasis added.]
(M. Picard and A. Besson, Les assurances terrestres en droit
français (4th ed. 1975), vol. 1, at p. 434)
55
Because the public order rule that “no one may profit from his or her
own crime” does not affect the validity of the formation of the contract and is
not based on the terms of the insurance contract, art. 2550 C.C.L.C.
cannot be used to deprive the innocent beneficiary of his or her claim where
the insured died when committing an indictable offence. That conclusion is
supported by Stats v. Mutual of Omaha Insurance Co. (1976), 14 O.R. (2d)
233, at pp. 244-45, in which the Ontario Court of Appeal recognized that a
section similar in wording to s. 195 in the Ontario Insurance Act
(the equivalent of art. 2550 C.C.L.C.) did not allow the insurer
to set up the public policy rule that “no one may profit from his or her own
crime” due to the very nature of that cause of forfeiture:
Although the question was not raised in argument before us, I have
considered whether the concluding words of s. 263(3) of the Insurance
Act might deprive the beneficiary of her right to recover. They provide
that, in a suit by a beneficiary under an accident policy, “the insurer may set
up any defence that it could have set up against the insured or his personal
representative”. I am of the opinion that this proviso does not operate to
deprive the beneficiary of her remedy. This section does not force the
beneficiary to stand in the shoes of the insured or of her estate
. . . . She is not the alter ego of the insured and the
preservation of the insured’s rights of defence cannot be taken to extend the
public policy rule to the beneficiary in circumstances where it does not apply
to her.
. . .
The Legislature, it seems to me in view of this statutory history,
when enacting the concluding words of what is now s. 263(3) intended to
avoid the confusion which had earlier arisen and to ensure that the insurer
would enjoy the protection of conditions contained in the insurance contract
notwithstanding lack of privity with the beneficiary.
However, these concluding words should not be
stretched to encompass aspects beyond this their clearly evident purpose. They
are intended to preserve defences which might be prejudiced if the
beneficiary were not bound by the policy conditions; they cannot be taken to extend
the scope of defences which have no connection with the policy conditions and
to which the beneficiary would not be subject even if she were bound by the
policy conditions. The rule of public policy is applied by the Courts quite
apart from the requirements laid down as conditions in the insurance contract
and the two should not be confused. Therefore, where the beneficiary, as in
this case, is not otherwise barred by the public policy rule, the concluding
words of s. 263(3) would not extend that rule to her. [Emphasis in
original.]
56
Thus, to prevent Ms. Goulet from claiming the indemnity, the
insurance contract should have contained a clause specifically providing that
the insurer was not required to pay the indemnity if the insured died in the
commission of an indictable offence. This clause of the contract could have
been set up against the innocent beneficiary under art. 2550 C.C.L.C.
57
A public order rule such as the one the appellant has suggested be
applied would not be of any value to society. It aims at the behaviour of the
insured, and would punish an innocent beneficiary who is in the position of a
third party in relation to the insured. The public order exception cannot be
set up against the respondent, who is entitled to the proceeds of the life
insurance policy taken out by her husband, as held by the Superior Court and
the Quebec Court of Appeal.
V. Conclusion
58
For these reasons, the appeal must be dismissed with costs.
Appeal dismissed with costs.
Solicitors for the appellant: Pépin, Létourneau, Montréal.
Solicitors for the respondent: Petit, Blaquière &
Dagenais, Saint-Laurent.