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Court of AppealPartially Allowed· [2004] KECA 162 (KLR)

Madison Insurance Company Limited & 1 other v Solomon Kinara T/A Kisii Physiotherapy Clinic & 1 other

Court of Appeal of Kenya
9 July 2004
2,012 words in judgment
View original judgmentRead on Kenya Law Watch case
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The bottom line

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Kenya's Court of Appeal ruled that a standard burglary insurance policy only pays for stolen goods' value—not lost business income—unless the policy specifically covers it.

What this practically means

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Executive summary

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This was a first appeal and cross-appeal in the Court of Appeal at Kisumu (Omolo, Tunoi and Ringera JJA) arising from a decision of a Commissioner of Assize (Mr Birech) at the High Court in Kisii. Solomon Kinara, trading as Kisii Physiotherapy Clinic, had insured his clinic equipment against burglary with Madison Insurance Company Ltd. Thieves stole the insured items in September 1997, and after the insurer refused indemnity the trial court awarded Shs 871,000/- as the value of the goods plus Shs 548,460/- as one year's loss of income, holding that the respondent should have mitigated by restarting his business within a year. Before the Court of Appeal, the insurer abandoned its liability grounds, leaving the Shs 871,000/- award intact, and confined the appeal to the loss-of-income award; the respondent cross-appealed for the full forty-one months of lost income and interest at 30% per annum. The Court framed a single question: can a party to a contract of insurance be given special damages arising from loss of profits or loss of income? Applying the indemnity principle, and relying on Preston and Colinvaux, MacGilvary and Parkington, Denis Riley and its own earlier decision in Corporate Insurance Company Ltd v Loise Wanjiru Wachira, the Court held that ordinary or standard-form policies do not cover consequential loss unless the parties specifically contract for it; the absence of an exclusion clause does not import such cover, and an assured may never profit from his loss. The Shs 548,460/- award was set aside, reducing the total to Shs 871,000/-, with interest at court rates from filing until payment in full; the cross-appeal was dismissed; the insurer received half the costs of its appeal and no order was made on cross-appeal costs.

Key legal issues

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01

Whether special damages for loss of profits or loss of income are recoverable under an ordinary (standard-form) burglary insurance policy that makes no provision for consequential loss.

Holding

No. The indemnity principle is the controlling principle of insurance law; an ordinary policy covers only the value of the property lost or damaged, and consequential loss is recoverable only if the parties specifically insure it as such. The Shs 548,460/- loss-of-income award could not stand.

Reasoning

The Court began with the contract itself: the policy obliged the insurer to pay only the value of property lost through theft following forcible entry, and made no provision for any other payment. Drawing on Preston and Colinvaux, it held that indemnity is the controlling principle of insurance law and an assured is never entitled to profit from his loss. MacGilvary and Parkington confirm that ordinary policies do not cover loss of profits; such loss must be described in the policy and insured as such. The Court aligned itself with its earlier decision in Corporate Insurance Company Ltd v Loise Wanjiru Wachira.

p. 4
02

Whether damages naturally following from the insurer's breach (wrongful repudiation or refusal to pay) are recoverable under general contract principles where the policy does not expressly exclude consequential loss.

Holding

No. The argument that whatever is not excluded by the policy is claimable under ordinary breach-of-contract principles finds no support and ignores the basic principles underlying a contract of insurance.

Reasoning

Counsel for the respondent sought to distinguish Corporate Insurance Company Ltd v Loise Wanjiru Wachira, where consequential loss was expressly excluded, whereas this policy contained no such exclusion. The Court rejected the equivalence between insurance contracts and ordinary contracts: the premium-payer intends indemnity, not profit, and allowing profit from loss would destroy the parties' common interest in preserving the insured thing and create a temptation to crime, fraud or carelessness. Framing the claim as arising from wrongful repudiation or refusal to pay did not take the matter any further.

p. 3
03

Whether the respondent was entitled to interest at 30% per annum on the insured value, as sought in the cross-appeal.

Holding

No. There was no provision in the policy for such a rate; interest at court rates was awarded on Shs 871,000/- from the date of filing suit until payment in full.

Reasoning

The cross-appeal sought interest at 30% per annum on the basis that the respondent was repaying bank loans contracted to finance the purchase of the stolen items. The Court noted that the policy contained no provision for such a rate of interest, and since the respondent had failed on the loss-of-income claim the cross-appeal failed in its entirety. The Court substituted interest at court rates on the retained award of Shs 871,000/- from the date of filing the suit until payment in full.

p. 4

Legal principles established

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  • Ordinary or standard-form contracts of insurance do not cover consequential loss (such as loss of profits or loss of income) unless the parties specifically contract that such loss would be covered; the absence of an exclusion clause does not import such cover.
  • An insured cannot claim consequential loss under the ordinary principles governing breach of contract merely because the policy does not expressly exclude it; the indemnity principle, not general contract damages, governs the insurer's liability.
  • The extent of an insurer's liability is determined by the terms of the policy itself; the starting point is the contract of insurance.

Court orders

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  1. 1.The appellant's appeal allowed to the extent that the Commissioner of Assize's order awarding Shs 548,460/- as loss of income for one year is set aside, reducing the total award of Shs 1,419,460/- by that sum to leave a balance of Shs 871,000/-.
  2. 2.The appellant to pay the respondent Shs 871,000/- representing the value of the stolen insured goods, liability having ceased to be live after grounds 1 and 2 of the memorandum of appeal were abandoned.
  3. 3.Interest at court rates to be paid by the appellant to the respondent on the sum of Shs 871,000/- with effect from the date of filing the suit until payment in full.
  4. 4.The respondent's cross-appeal dismissed in its entirety.
  5. 5.The appellant to have half the costs of its appeal; no order as to the costs of the cross-appeal.
On appeal from
High Court of Kenya at Kisii
Jurisdiction invoked
First appeal to the Court of Appeal of Kenya from a decision of the High Court of Kenya at Kisii; the judgment does not expressly cite the constitutional or statutory provision under which the appeal was brought.

Key timeline

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Practical implications

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Frequently asked questions

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Cite this brief

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Cite this brief

Caselaw, "Madison Insurance Company Limited & 1 other v Solomon Kinara T/A Kisii Physiotherapy Clinic & 1 other", Case Analysis (2004). . Source: https://new.kenyalaw.org/akn/ke/judgment/keca/2004/162/eng@2004-07-09

Suggested citation format for research notes or client memos. Always verify the original judgment before relying on any point.