Case Law[2023] ZASCA 122South Africa
KGA Life Limited v Multisure Corporation (Pty) Ltd and Others (304/2022) [2023] ZASCA 122; [2023] 4 All SA 613 (SCA); 2024 (3) SA 51 (SCA) (20 September 2023)
Supreme Court of Appeal of South Africa
20 September 2023
Headnotes
Summary: Funeral Group Scheme – termination of contract between intermediary and insurer – Insurance Act 18 of 2017 (the 2017 Act) – effect on contract, concluded before promulgation of the 2017 Act, between insurer and intermediary – contract not complying with provisions of the 2017 Act – contract unenforceable by reason of supervening illegality.
Judgment
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## KGA Life Limited v Multisure Corporation (Pty) Ltd and Others (304/2022) [2023] ZASCA 122; [2023] 4 All SA 613 (SCA); 2024 (3) SA 51 (SCA) (20 September 2023)
KGA Life Limited v Multisure Corporation (Pty) Ltd and Others (304/2022) [2023] ZASCA 122; [2023] 4 All SA 613 (SCA); 2024 (3) SA 51 (SCA) (20 September 2023)
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sino date 20 September 2023
THE SUPREME COURT OF
APPEAL OF SOUTH AFRICA
JUDGMENT
Reportable
Case no: 304/2022
In the matter between:
KGA LIFE LIMITED
APPELLANT
and
MULTISURE CORPORATION
(PTY) LTD
FIRST RESPONDENT
Q LINK HOLDINGS (PTY)
LTD
SECOND RESPONDENT
AFRICAN UNITY LIFE
LIMITED
THIRD RESPONDENT
FUNERAL FEDERATION OF
SOUTH
AFRICA
AMICUS CURIAE
Neutral
citation:
KGA
Life Limited v Multisure Corporation (Pty) Ltd and Others (with
Funeral Federation of South Africa intervening as Amicus
Curiae
(304/2022)
[2023] ZASCA 122
(20 September 2023)
Coram:
MOLEMELA, MBATHA, and WEINER JJA and
OLSEN and MALI AJJA
Heard:
7 March 2023
Delivered:
20 September 2023
Summary:
Funeral Group Scheme – termination of
contract between intermediary and insurer – Insurance Act
18 of 2017 (the
2017 Act)
–
effect on
contract, concluded before promulgation of the 2017 Act, between
insurer and intermediary – contract not complying
with
provisions of the 2017 Act – contract unenforceable by reason
of supervening illegality.
ORDER
On
appeal from:
Eastern
Cape Local Division of the High Court, Gqeberha (Schoeman J, sitting
as court of first instance):
1
The application to adduce further
evidence on appeal is dismissed with costs.
2
The appeal is upheld.
3
There is no order as to the costs of
the appeal.
4
The order of the High Court is set
aside, and the following order replaces it:
‘
1
The application is dismissed.
2
There is no order as to costs.’
5
The Registrar is directed to refer a
copy of this judgment to the Prudential Authority under the Insurance
Act 18 of 2017.
JUDGMENT
Weiner JA and Olsen
and Mali JJA (Molemela and Mbatha JJA concurring)
Introduction
[1]
This is an appeal against the judgment and
order of the Eastern Cape Local Division of the High Court, Gqeberha
(the high court).
The high court granted judgment in favour of
Multisure Corporation (Pty) Ltd (Multisure) against KGA Life Limited
(KGA), in the
following terms:
‘
1.
That “
the Intermediary Agreement –
Multisure Corporation – Underwritten by KGA life Ltd
”
and the Master policy forming part thereof (“the Agreement”)
between the Applicant and the First Respondent
has been cancelled and
accordingly is of no further force and effect from 1 September 2021.
2.
That the Group Scheme established and underwritten by the First
Respondent by
virtue of the provisions of the Agreement (“the
Group Scheme”) has been terminated accordingly with effect from
1 September
2021 and is of no further force and effect (save to the
extent that the First Respondent retains any risk beyond the
termination
date by virtue of the provisions of the Group Scheme).
3.
That Q Link is authorised within 24 hours of the service upon it of
this order
to alter the deduction codes on its electronic
administrative system which currently provide for payment by the
South African Social
Security Agency (“SASSA”) to the
First Respondent of premiums payable by insured persons in terms of
policies forming
part of the Group Scheme, to instead provide for
payment of premiums payable by insured persons in terms of policies
transferred
to and now forming part of the group scheme concluded
with the Third Respondent (“AUL”), to AUL.
4.
The First Respondent within 24 hours of the service upon it of this
order to
pay directly to AUL, by means of electronic funds transfer
to its bank account the full aggregate amount of all premiums
received
by the First Respondent from SASSA (as directed by Q LINK in
terms of its payment and deduction system) from members of the Group
Scheme as established pursuant the Agreement with effect from 1
September 2021.
5.
That the First Respondent pay the costs of this application.’
[2]
Aggrieved by the decision of the high
court, the appellant, KGA sought leave to appeal. The appeal serves
before us with the leave
of the high court.
[3]
KGA
is a ‘licensed insurer’ as defined in s 1 of the
Long-Term Insurance Act 52 of 1998 (the 1998 Act)
[1]
and registered as such under the Financial Sector Regulation Act 9 of
2017 (the FSRA).
[2]
[4]
The
first respondent is Multisure, an independent intermediary as defined
in s 1 of the 1998 Act, and regulation 3.1 of the regulations
promulgated under the 1998 Act.
[3]
Multisure’s business is to market and sell funeral cover plans
for various companies to individuals and families (funeral
policies).
[5]
The second respondent, Q Link Holdings
(Pty) Ltd (Q Link) is a service provider appointed by the South
African Social Security Agency
(SASSA), to administer, inter alia,
the deductions from moneys due to social grant beneficiaries, which
moneys are paid to various
creditors of such beneficiaries. It uses
deduction codes for each creditor. Its mandate is to inform SASSA of
the amounts to be
paid and to whom. SASSA then makes direct payments
to the creditors, in this case to the insurer to whom premiums for
funeral insurance
are due.
[6]
The third respondent, African Unity Life
Limited (AUL), is the proposed new underwriter, chosen by Multisure
to replace KGA.
[7]
The Funeral Federation of South Africa
(FFSA) applied to be and was admitted, as
amicus
curiae
(
amicus
).
The FFSA is an organisation whose aims include the promotion and
advancement of the interests of funeral service providers that
provide funeral insurance to members of the general public.
Application to adduce
further evidence on appeal
[8]
In this Court, KGA made an application to
adduce further evidence on appeal. The basis for the application was
to introduce an email
received from the Financial Sector Conduct
Authority (the FSCA)
as
designated in terms of the
Financial
Intelligence Centre Act 38 of 2001
. The FSCA is a market conduct
regulator of financial institutions. KGA submitted that the
introduction of the email was sought
to respond to the submissions of
the
amicus.
The essence of the letter by the FSCA was that Multisure was
cautioned not to settle claims of its members as it was not an
insurer.
Paragraph 8 of the letter from the FSCA reads as follows:
‘
We
are aware that the matter is subject to litigation between the KGA
Life and Multisure and an outcome has not yet been provided.
In this
regard, the Authority does not intend to resolve contractual disputes
between the parties.’
[9]
Multisure
opposed the application, on the basis that the letter was hearsay,
and the FSCA was aware that the matter was
sub
judice
.
Its opinion, in any event, was not binding on the Court. This Court
does not admit opinion evidence unless it is tendered as expert
evidence in terms of the relevant Rules of Court and procedures. This
opinion was clearly not that of an expert and did not meet
any of the
requirements for the introduction of new evidence on appeal.
[4]
In the result the application to adduce further evidence on appeal is
dismissed with costs.
Background and common
cause facts
[10]
Multisure had a large body of clients with
whom it had concluded funeral policy agreements by admitting each
client to membership
of Multisure’s group funeral insurance
scheme. On 14 January 2015, KGA and Multisure entered into an
Intermediary Agreement
(IA) which incorporated a Master Policy (MP)
underwritten by KGA. The majority of Multisure’s clients or
members are social
grant beneficiaries, whose payments for funeral
cover are made by SASSA.
[11]
KGA agreed, in terms of the two agreements,
to underwrite and provide the necessary cover to Multisure’s
clients under a group
scheme. During the subsistence of the IA, SASSA
decided that it would make payments directly to the insurer (in this
case KGA)
under the group scheme, and not to the intermediary (in
this case Multisure) as such agreements originally contemplated. It
appointed
Q Link to administer the deductions from the social
benefits administered by SASSA. Q link, through the use of specific
deduction
codes, categorises the deductions and informs SASSA of the
amount to be paid to the creditor in question.
[12]
There were ultimately three documents
produced by Multisure as material to an understanding of the nature
of the scheme:
(a)
The membership application form to be
signed by Multisure’s clients (the membership application).
(b)
The ‘Intermediary Agreement –
Multisure Corporation – Underwritten by KGA Life Limited’.
(c)
The Master Policy issued by KGA.
These documents are, to a
greater or lesser extent, internally confusing and, in certain
respects, they do not speak to each other
with sufficient clarity.
[13]
The membership application form has an
agreement attached to it which is described as an agreement between
Multisure and its client
who applies for membership of ‘Multisure’s
Funeral Plan’ (the membership agreement). It provided that a
member
must pay ‘membership fees’, which can be ‘reduced
or increased in the sole discretion of Multisure’. The
only
clue as to what the term ‘membership fees’ conveys is to
be found in clause 15 of the IA which records that, in
addition to
commission payable by KGA, Multisure will be entitled to ‘the
fee arranged between the intermediary and its clients’.
In
completing the membership form, the client authorises Multisure to
institute and control debit orders on the client’s
bank
account. Nothing is said about SASSA’s role in these matters.
The membership agreement imposes no obligations on Multisure,
save
for the implicit obligation of acting as intermediary between members
and KGA.
[14]
The
membership agreement records that the MP is available for inspection
at the head office of KGA, that it contains the ‘full
terms/rules and conditions’ of the contract, and that the
provisions of the MP prevail in the event of a ‘discrepancy’.
The word ‘policyholder’ is usually used in the MP to
denote Multisure. However, that usage is not altogether consistent
as
there are some contexts in which the word appears to be a reference
to a member of the group scheme. It affords both Multisure
and KGA
the right to cancel the MP. It requires KGA to issue a ‘participation
certificate’ in respect of each new member.
[5]
The provisions of the MP bind KGA to pay claims but the MP provides
no clarity on the issue as to whether the claims are to be
paid
directly to the member (or the member’s nominee), or to
Multisure.
[15]
Each
of Multisure and KGA had the right to cancel the IA. There is no
provision to the effect that Multisure must have the permission
of
its membership to do so, or must consult them in any way.
[6]
Multisure contends that it is the policyholder and that the MP
terminates with the IA, sometimes called the ‘underwriting
agreement’ in the papers. This is consistent with the general
tenor of the group scheme. The IA provides that claims will
be paid
to Multisure. Members are not party to the intermediary agreement.
[16]
The IA provides that, if the agreement was
cancelled, for any reason, by either Multisure or KGA, Multisure is
obliged to notify
‘in writing, each and every policyholder on
the book of the intermediary that the underwriting agreement with KGA
has been
cancelled’. The consequences of termination are
provided for in both the IA and MP. The termination provisions
require one
month’s notice from either party. There is no
dispute that Multisure complied with this, but the issue is whether
there was
a contract to cancel, having regard to the provisions of
the Insurance Act 18 of 2017 (the 2017 Act), which will be elaborated
upon below. The MP provides that, in the event of Multisure
terminating it, the cessation of cover of Multisure’s clients
would follow and that during the notice period Multisure would remain
liable for payment of the premium to KGA.
[17]
There is no dispute between the parties
that, until the 2017 Act was promulgated, the group scheme was valid
and lawful. This is
despite the fact that the provisions governing
the scheme, before the 2017 Act, gave Multisure vast powers over the
funeral insurance
interests of the members of the scheme.
Issues
[18]
The parties originally raised several
issues upon which this appeal was said to turn. They were
whether:
(a)
Multisure had notified each and every
policyholder of the cancellation;
(b)
Multisure had lawfully terminated the MP;
(c)
an underlying contractual relationship
existed between KGA and the individual clients who formed part of the
group scheme and whether
this contractual relationship existed
independently of the MP, and remained intact despite Multisure’s
cancellation of the
IA;
(d)
given the provisions of the 2017 Act, each
member of the Group Scheme had to individually cancel the policy with
the insurer, KGA,
as the group scheme under Multisure no longer
existed;
(e)
the reference in paragraph (c) of the order
to ‘the group scheme concluded with the AUL’ is
ineffectual because of the
definition of ‘group’
introduced in schedule 2 to the 2017 Act;
(f)
Multisure had complied with all the legal
requirements in terms of the 2017 Act, in that AUL had not, in terms
of the Act communicated
to the members the material differences of
its proposed scheme compared to KGA’s policy;
(g)
the cancellation of the MP would bring
about the end of the group scheme with the result that there was
nothing that KGA could transfer
to AUL as provided by the order of
the high court; and
(h)
the order of the high court directing KGA
to make payment of all premiums that it had received from the
effective date of cancellation
of 1 September 2021 to date of the
order, was justified, inter alia as KGA remained on risk after 1
September 2021.
In view of the conclusion
to which we have come, other than the legislative issues mentioned in
paragraphs (d) and (e), these issues
do not need to be decided.
The Insurance Act 18
of 2017
[19]
The 2017 Act was promulgated with effect
from 1 July 2018. The promulgation of the Act and its regulations
brought about substantive
changes to the definition of a group scheme
and a policyholder. The objectives of the 2017 Act, as contained in s
3, are:
‘…
[to]
promote the maintenance of a fair, safe and stable insurance market
for the benefit of policyholders by establishing a legal
framework
for the prudential regulation and supervision of insurers and
insurance groups that –
(a)
facilitates the monitoring and the
preservation of the safety and soundness of insurers;
(b)
enhances protection of policyholders and
potential policyholders;
(c)
increases access to insurance for all South
Africans;
(d)
promotes broad-based transformation of the
insurance sector; and
(e)
contributes to the stability of the
financial system in general.’
[20]
An issue of legality looms large in this
appeal. It arises as a result of the changes brought about by the
2017 Act to the regulation
of the funeral insurance industry. Our
concern that the issue had perhaps not received the attention it
deserved during oral argument
led to a note being sent to the parties
inviting further submissions on the subject. Those have been
delivered and we are grateful
for the assistance thus given.
[21]
The founding papers make no reference to
the 2017 Act at all. It is clear that they were drafted upon the
basis that the reader
should suppose that there was nothing at all
wrong with the group scheme, and that what was proposed was that AUL
would simply
take over as group underwriter. (In one paragraph of the
founding affidavit, it is expressly stated that AUL would be ‘the
new underwriter’ which would be ‘taking over’.) It
was only in its answering affidavit that KGA raised the issue
of the
2017 Act, contending that the Act rendered both the IA and the MP (as
a group policy) invalid.
[22]
The
founding affidavit is clear upon the point that Multisure’s
decision to put an end to its relationship with KGA was a
consequence
of AUL having offered better terms which KGA could not match. Nothing
is said in the founding papers to contradict
the implication that AUL
was in effect tendering for the position of underwriter under the
same group scheme as was, according
to Multisure, in force until the
date upon which it severed its contractual relationship with KGA. The
implications of the 2017
Act were simply ignored. The relief of
substance sought by Multisure is, inter alia, an order for the
redirection of deductions
from social welfare grants to AUL which,
according to Q Link’s rules, cannot be executed as a mass
transfer without the agreement
of the current insurer (KGA in this
case).
[7]
[23]
The rules of Q Link relied upon by
Multisure deal with the ‘transfer of policies between Q Link
insurers’. There is
no doubt that the transfer rule adopted by
Q Link is designed for the transfer of groups of insurance premium
deductions from one
insurer to another. It can have no application,
for instance, when an individual seeks to cancel a deduction in
favour of one insurer
and establish a new one in favour of another
insurer.
[24]
KGA, in its answer, denied that it was
under any obligation to participate in Q Link’s group transfer
process by advising
Q Link in writing that KGA had no objection to
the request for the redirection of deductions. Its first argument in
support of
that proposition is that Multisure’s cancellation of
the intermediary agreement brought the group scheme to an end, as a
result of which there was nothing to transfer. The second argument
advanced by KGA in support of its refusal to co-operate involves
the
changes brought about by the 2017 Act.
[25]
KGA submits that the 2017 Act resulted in
significant changes to group insurance policies.
It
raises the issue of the lawfulness of the group scheme. It puts its
case as follows:
‘
As
I have said above, what is apparent – if it was within the
applicant’s power to terminate the Master Policy –
is
that the group scheme created in terms of the intermediary agreement
and Master Policy, cannot simply be ‘taken over’
en-masse
and underwritten by a new insurer. The new insurer will have to enter
into individual funeral policies with each and every
policyholder and
member of the defunct group scheme.’
[26]
The 2017 Act replaced the system of
registration of insurers with a licencing system. The Act
recognised the need for transitional
provisions which allowed time
for the conversion of registration to licencing. The subject
was dealt with in Schedule 3 to
the Act. Item 6 allowed registered
insurers to continue to conduct the insurance business for which they
were registered until
their registration was converted to a licence.
Item 6 (2) provided that the Prudential Authority should convert the
registrations
of all previously registered insurers to licences in
accordance with the 2017 Act within a period of 2 years after the
effective
date, which was 1 July 2018. We must assume that KGA’s
registration allowed it to conduct funeral insurance business with
respect to groups. It is common cause on the papers that when the
litigation commenced KGA was a licenced insurer. Nothing is said
about when it obtained its licence; but it was presumably before 1
July 2020.
[27]
Section 5(1) of the 2017 Act reads as
follows:
‘
No
person may conduct insurance business in the Republic unless that
person is licenced under this Act.’
Section 23(4) of the 2017
Act is to the effect that a licence must specify, inter alia, the
type of insurance business for which
the insurer is licensed and the
classes and sub-classes of insurance business that the insurer may
conduct. Section 25(2) amplifies
this by providing that, in addition
to being licensed to conduct life or non-life insurance business, the
insurer must be licensed
‘to conduct one or more of the classes
or sub-classes of insurance business set out in Schedule 2’.
[28]
Table 1 of Schedule 2 sets out the classes
and sub-classes of insurance business. The class we are concerned
with is funeral insurance
which has two sub-classes, one named
‘individual’ and the other ‘group’. Schedule
2 opens with a number
of definitions, the material one being the
definition of a ‘group’ which reads as follows:
‘“
group”
in respect of the classes of insurance business, relates to an
insurance policy entered into with –
(a)
an autonomous association of persons united
voluntarily to meet their common or shared economic and social needs
and aspirations
(other than obtaining insurance), which association
is democratically-controlled;
(b)
an employer; or
(c)
a fund,
where the association,
employer or fund holds the insurance policy exclusively for the
benefit of a beneficiary.’
[29]
Previously,
a ‘group scheme’ was defined in the regulations
[8]
under
the 1998 Act as ‘a scheme or arrangement which provides for the
entering into of one or more policies, other than an
individual
policy, in terms of which two or more persons without an insurable
interest in each other, for the purposes of the scheme,
are the lives
insured’.
[30]
The definition of a ‘group scheme’
in regulation 3(1) in part 3A was replaced with the following
definition:
‘
Group
scheme’ in respect of a —
(a)
registered insurer means a scheme or
arrangement which provides for the entering into of one or more
policies other than an individual
policy, in terms of which two or
more persons without an insurable interest in each other, for the
purposes of the scheme, are
the lives insured;
(b)
a licenced insurer, means a policy with a
group as defined in Schedule 2 of the Insurance Act.’
[31]
Section
5(1) of the 2017 Act must be read together with the licencing
provisions already referred to in ss 23 and 25 of that Act,
and in
particular s 25(4)
(a),
which
is to the effect that a licenced insurer ‘may only conduct
insurance business in the classes or sub-classes of insurance
business set out in Schedule 2 for which it is licensed in accordance
with subsection (2)’. Section 5(1) of the 2017 Act
must
accordingly be interpreted to convey that no person may conduct
insurance business unless that person is licenced under the
Act to do
so in respect of that business. As already mentioned, the effect of
the 2017 Act on Multisure’s scheme was ignored
in the founding
papers. Having been raised in the answering papers, Multisure
conceded in reply that ‘the agreement and the
group scheme as
it
de
facto
existed and was implemented by the applicant and the first respondent
at the time of its cancellation did not comply with now current
legislative provisions’. A consideration of the legislation
illustrates that the concession was correct with effect from
the date
upon which KGA obtained its licence.
[9]
[32]
In
the result, with effect from not later than 1 July 2020, Multisure’s
group scheme, manifested in the three agreements already
described
above, constituted a contract for the unlawful conduct of unlicensed
insurance business – a contravention of s
5(1) of the 2017 Act
which, in terms of s 69 of that Act, constitutes an offence which, on
conviction, attracts a fine not exceeding
R10 million.
[10]
[33]
In its replying affidavit Multisure made
the following statement:
‘
However
subsequently to 1 July 2018 the first respondent [KGA] took no steps
to terminate the agreement and simply continued to
underwrite and
administer the group scheme as it has done previously and the
applicant [Multisure] went along with this.’
[34]
However, there is no allegation that either
Multisure or KGA were unaware of the fact that steps had to be taken
to undo the group
scheme and replace it with contractual
relationships between the parties which would be lawful under the
2017 Act. It was
indeed unlawful for them to proceed as they
did once KGA ceased to be a registered insurer and became a licenced
insurer. It is
apparent from the submissions made on behalf of the
amicus
,
the FFSA, that the changes to the future conduct of the funeral
insurance industry brought about by the 2017 Act caused consternation
in the industry. It, in effect, excludes intermediaries doing
business as Multisure, and many others, had done prior to the coming
into effect of the new regulatory scheme.
[35]
With effect from the date upon which KGA
became a licenced insurer, the group scheme, the provisions of which
are set out in the
three agreements referred to above (the membership
agreement, the IA and the MP), became a contractual arrangement for
the performance
of an unlawful act, namely the conduct of insurance
business by KGA in breach of s 5(1) of the 2017 Act. If, upon a
proper construction
of the provisions of the Act, the contracts
comprising the group scheme became invalid and unenforceable, through
the intervening
legislation, Multisure’s subsequent purported
cancellation had no legal consequences, as there were no valid
contracts to
terminate. Furthermore, Multisure disclosed no source of
the powers and rights it purported to exercise in:
(a)
acting on behalf of the members;
(b)
appointing AUL as the insurer of the scheme
members; and
(c)
demanding a change in the Q Link deduction
codes to establish a regime of payments to AUL,
other than such as can be
derived from the contracts comprising and recording the terms of the
group scheme
[36]
The
general principle applicable in these circumstances was put as
follows by Innes, CJ in
Schierhout
v Minister of Justice (Schierhout):
[11]
‘
It
is a fundamental principle of our law that a thing done contrary to
the direct prohibition of the law is void and of no effect.
…So
that what is done contrary to the prohibition of the law is not only
of no effect, but must be regarded as never having
been done - and
that whether the law giver has expressly so decreed or not; the mere
prohibition operates as to nullify the act.’
It
has subsequently been accepted in our law that the general principle
thus stated is subject to a qualification, and the judgment
usually
cited as the source of the qualification is that of Solomon JA in
Standard
Bank v Estate van Rhyn
,
[12]
where the following was stated:
‘
The
contention on behalf of the respondent is that when the Legislature
penalises an act it impliedly prohibits it, and that the
effect of
the prohibition is to render the act null and void, even if no
declaration of nullity is attached to the law. That, as
a general
proposition, may be accepted, but it is not a hard and fast rule
universally applicable. After all, what we have to get
at is the
intention of the legislature, and, if we are satisfied in any case
that the legislature did not intend to render the
act invalid, we
should not be justified in holding that it was.’
[37]
Of
course in this case we are dealing with an express prohibition –
not an implied one. Citing
Schierhout
as authority, the general principle was again stressed in the
majority judgment in
Cool
Ideas 1186 v Hubbard and Another
(
Cool
Ideas
).
[13]
The principle was put as follows in the concurring minority judgment:
‘
However,
the question whether non-compliance with a statutory prohibition
would nullify an act is determined with reference to the
language of
the statute concerned. But it is important to note that where a
statutory provision under consideration amounts to
a prohibition such
as the ones contained in s 10(1) of the Housing Protection Act, an
act performed contrary to it would be invalid,
unless it is clear
from the statute that, in the light of its scope and object,
invalidity was not intended. In other words, it
is the prohibition
which “operates to nullify the act” performed contrary to
it.’
[14]
[38]
The
invalidity of a contract afflicted by supervening illegality of
performance, such as has occurred here, must follow if the prohibited
act, in this case the unlawful conduct of unlicensed insurance
business, would be a nullity.
[15]
The
central, if not the sole purpose of the agreements in this case is
the conduct of an unlawful group funeral insurance scheme
which is
prohibited under the 2017 Act. We are not dealing with a prohibition
of some marginal or collateral feature of the contract
which can be
severed from it without fatal harm to the principal intent and
purpose of the contract.
[39]
The
enquiry is, accordingly, whether on a proper construction of the 2017
Act, and despite the provisions of that Act, the conduct
of group
funeral insurance business (for which a licence cannot be obtained)
is nevertheless not to be regarded as a nullity. This
would fly in
the face of the judgment of Jafta J in
Cool
Ideas
,
in which it is made clear that conduct performed contrary to a
prohibition, would be invalid.
[16]
[40]
The material part of the unusually brief
preamble to the 2017 Act reads as follows:
‘
To
provide for a legal framework for the prudential regulation and
supervision of insurance business in the Republic that…promotes
the maintenance of a fair, safe and stable insurance market…’
[41]
Section 3 of the 2017 Act, headed ‘Objective
of the Act’, is to the same effect, recording in particular
that a fair,
safe and stable insurance market is sought ‘for
the benefit and protection of policyholders’. Section 2 of the
Act,
headed ‘General Interpretation of the Act’ provides
in s 2(1)
(a)
that the Act must be interpreted and applied in a manner that gives
effect to the objective of the Act set out in s 3.
[42] In our
view, Multisure takes far too narrow a view of the concept of the
interests of policyholders when it argues,
in essence, that the
legislature could not have intended that policyholders under a
prohibited group insurance contract should
be deprived of any claim
they have under a group funeral insurance policy for which no licence
is held. It is significant that
the type of association of persons
which qualifies as a group under Schedule 2 to the 2017 Act must not
only be one formed for
a shared or common purpose other than
obtaining insurance, but must also be democratically controlled. The
clear legislative intent
is to avoid the potentially prejudicial
outcomes which are possible when a group scheme is under the control
of an intermediary
or an insurance company, or both, given that the
only interest such parties have in the conduct of funeral insurance
business is
the extraction of profit from the payments required of
the policyholders for the desired funeral cover.
[43] It would
be irrational to assume that the 2017 Act intended, despite the
provisions referred to above, to simultaneously
endorse as
enforceable group schemes of the type no longer permitted. The only
immediately apparent purpose behind the decision
to no longer permit
group insurance business of the type formerly conducted by Multisure,
is that it serves to promote the maintenance
of a fair and safe
insurance market for the benefit and protection of policyholders.
This is clear from the preamble to the 2017
Act. No other suggestion
was made in argument, nor in the papers.
[44]
Consistent with its argument that there is
no relationship between KGA and the group’s members, Multisure
contends that it
is or was the policyholder, entitled to protection.
Upon a proper construction of the 2017 Act, Multisure is not a
policyholder
in the sense in which that term is used in a context
such as is found in s 3 of the 2017 Act. It pays no premiums and it
is not
the beneficiary of any claims which might arise out of what
is, or purports to be a contract of funeral insurance. There is no
evidence of a legislative intent to protect the interests of a
deviant insurer or intermediary from the demise of a scheme, the
purpose of which is the conduct of unlawful insurance business.
[45]
On the other hand, there is clear evidence
of legislative concern for the ultimate policyholders in a scheme
such as that run by
Multisure, that is to say its members. The
members’ interests in the event of their contracts being
nullified for unlawfulness
are purely financial, and they are given a
remedy under s 67 of the 2017 Act which reads as follows:
‘
67
Unlicensed Insurers Business
(1)
If a person contravened or is contravening
s 5(1) of this Act the prudential authority, in addition to any other
action that the
prudential authority may take under this Act or the
Financial Sector Regulation Act, may –
(a)
direct that person to make arrangements
satisfactory to the prudential authority to discharge all or any part
of the obligations
under insurance policies entered into or purported
to be entered into by that person; or
(b)
apply to court for the sequestration or
liquidation of that person, whether he/she or it is solvent or not,
in accordance with the
Insolvency Act 1936 (Act 24 of 1936), the
Companies Act, the Co-Operatives Act or the law under which that
person is established
or incorporated’.
[46]
The legislature saw the need to allow a
period for the conversion of registration to licencing. During that
period, it was self-evidently
the duty of insurers, and in a case
like the present, the duty of insurers and associated intermediaries,
to alter the terms upon
which they conducted business where that was
necessary because no licence would be available for the type of
business for which the
insurer was previously registered. The proposition that, despite the
fact that the legislature fixed a period
of two years within which
these changes had to be made, it was nevertheless intended that where
the deadline was not met, the insurance
business could continue as
before, subject only to criminal sanction, and that contracts for the
performance of the now prohibited
insurance would be enforceable, is
simply not sensible.
[47]
Against a conclusion that its group scheme,
and the contracts which recorded its provisions, have become invalid
and unenforceable,
Multisure argues that rules 7.3.1 and 7.3.2 of the
Policyholder Protection Rules published in terms of s 62 of the 1998
Act determine
the position. Section 62(1)
(a)
provides as follows:
‘
(1)
The Authority, by notice in the
Gazette,
may –
(a)
prescribe rules not in consistent with this
Act, aimed at ensuring for the purpose of policyholder protection
that policies are
entered into, executed and enforced in accordance
with sound insurance principles and practice in the interests of the
parties
and in the public interest generally.’
[48]
The rule relied upon by Multisure reads as
follows:
‘
7.3
Validity of Contracts
7.3.1. a
policy is not void merely because a provision of the law, including a
provision of the Act or the Insurance
Act, has been contravened or
not complied with in connection with that policy.
7.3.2
If a person has entered into a policy with an insurer who was, in
terms of the Act or the Insurance Act,
prohibited from entering or
not authorised to enter into the policy, or with another person who
is not an insurer but who has in
terms of the policy undertaken an
obligation as insurer, that person, by notice in writing to such
insurer or other person, or
the Authority by notice to such insurer
or other person and on the official website, may cancel the policy,
whereupon that person
shall be deemed to be in the same legal
position in respect of such insurer or other person as if the policy
had been cancelled
by that person on account of a breach of contract
by such an insurer or other person.’
[49]
This argument cannot prevail for the
following reasons.
(a)
First, we are not dealing with a policy
challenged ‘merely’ because it has contravened, or is not
compliant with, some
or other provision of law in connection with
that policy. The issue in this case is far more fundamental. We are
concerned with
the conduct of insurance business entirely prohibited
under the provisions of the 2017 Act.
(b)
Secondly, Multisure’s contention that
a declaration of what the law is on the question as to whether a
policy is void or not,
falls within the power given to the Prudential
Authority to make rules, is ill-conceived. The rules in question are
aimed at seeing
to it that ‘policies are entered into, executed
and enforced in accordance with sound insurance principles and
practice’.
It is difficult to see how declaring enforceable
what would otherwise be unlawful and void, can be consistent with
sound insurance
principles and practice.
(c)
Thirdly, and most importantly, the issue in
this case, insofar as it concerns legislative provisions, is whether
an Act of Parliament
(the 2017 Act) rendered contracts for the
performance of prohibited insurance business void and unenforceable.
If the Act has that
effect, the Prudential Authority had no power to
make a rule countermanding, as it were, the provisions of an Act of
Parliament.
[50]
Multisure has argued further that upholding
this appeal in full will mean that this Court gives its ‘imprimatur
to the continued
unlawful conduct of KGA of its insurance business in
respect of the SASSA grant recipients…’. Putting aside
KGA’s
contention that it has lawfully insured, and continues
lawfully to insure, Multisure’s former members, the argument
misses
the point entirely. To succeed in this litigation, Multisure
had to establish first that it had the power, unilaterally and
lawfully:
(a)
to ordain that AUL would replace KGA as the
underwriter of Multisure’s group scheme (its case on the
founding papers); or
(b)
to determine that each of its former
members would be bound to enter into an individual funeral insurance
policy with AUL (its case
in reply, dealt with below); and
(c)
to authorise the institution of new
deductions against the social grants payable to its members or former
members.
[51]
A finding that Multisure has failed at the
first hurdle does not constitute an endorsement of KGA’s
conduct, or a finding
that it has a sound claim as of right to
continue to be at risk (against receipt of premiums) in respect of
the funeral policy
interests of the individual former members of
Multisure’s group. Those questions are not reached in this
appeal.
[52]
Multisure sought to change its case in
reply. It concedes that AUL is not going to take over as underwriter
of a group insurance
scheme. It is going to issue individual policies
to each of the former members of Multisure’s now unlawful group
scheme.
The central argument introduced in reply is that this Court
should dismiss the appeal so as to allow the insurance business
generated
by the members of the former scheme to be conducted with
AUL in compliance with the 2017 Act.
[53]
This new approach by Multisure offered in
reply, which is of course not the case that KGA was called upon to
answer, raises a number
of questions:
(a)
How and when did Multisure acquire
authority from each of its 8000 members to conclude individual
insurance policies with AUL? Nothing
is said on this score in the
replying affidavit.
(b)
Is paragraph 3 of the order of the high
court, catering for the alteration of deduction codes ‘to
instead provide for payment
of premiums payable by insured persons in
terms of policies transferred to and now forming part of the group
scheme concluded with
[AUL]’, justified? No individual policies
are being transferred. There is no longer a ‘group scheme’
as defined
in the 2017 Act.
(c)
As already discussed, the Q Link transfer
rules relied upon by Multisure as generating an obligation on the
part of KGA to indicate
to Q Link, in writing, that KGA has no
objection to what is proposed, contemplates a situation in which the
mass transfer of deduction
codes is justified because the grant
beneficiaries involved form a group. The particular provision in
Q Link’s transfer
rules relied upon by KGA reads as
follows:
‘
The
current insurer must indicate that he agrees with the movement of the
policies on a letterhead.’
The position adopted by
Multisure in reply is that there will in fact be no transfer of
policies, as new individual policies will
be concluded between each
of the former members of the Multisure group scheme, and AUL.
(d)
The order sought for disgorgement of the
premiums which KGA has received from SASSA since the alleged
cancellation of the intermediary
agreement, rests upon the disputed
proposition that since then, KGA has been carrying on with the group
insurance business on its
own, whereas it was the right of AUL to do
so during that period. It now appears that there is little if any
relationship between
what AUL proposes to do as insurer, and what KGA
is alleged to have been doing as a group insurer. There is, in fact,
no evidence
of any individual policies having been issued, let alone
any attempt to equate the money received by KGA with what would have
been
received by AUL in terms of the proposed individual policies,
the terms and conditions of which have not been disclosed by
Multisure.
[54]
The general rule that things done contrary
to statutory prohibition are invalid, which has as a consequence that
contracts for the
performance of those things are invalid, applies.
In the result, there was no contract to be cancelled at the time
Multisure purported
to do so, and Multisure had no power or right to
appoint AUL as a substitute for KGA as the underwriter of what had
become its
defunct group funeral insurance scheme. Multisure equally
had no right or power to ask Q Link to make deductions from the SASSA
entitlements of its former members and to pay those monies over to
AUL. The case sought to be made by Multisure in its founding
papers
must accordingly fail. For similar reasons, and for the further
reasons discussed above, if we were inclined to entertain
the claim
made in reply, the outcome would be the same
.
[55]
KGA’s appeal must accordingly
succeed. This does not amount to this Court sanctioning KGA’s
non-compliance with the
2017 Act, nor its subsequent conduct.
However, the relief sought by Multisure cannot succeed for the
reasons set out above.
[56]
This litigation, and the disputes which
gave rise to it, originate in the decision by KGA and Multisure not
to reorganise their
business to comply with the provisions of the
2017 Act. As far as can be judged from their affidavits, the parties
have been acting
throughout in pursuit of their personal financial
interests, and with scant regard for the funeral insurance interests
of the members.
For this reason, our conclusion is that each party
should bear its own costs, both here and in the high court.
[57]
Having regard to the consequences of the
outcome of this judgment for the funeral insurance industry, as
contended by the amicus,
the Registrar of this Court will be directed
to refer a copy of this judgment to the Prudential Authority.
Order
[58]
In the result, the following order is made:
1
The application to adduce further evidence on appeal is dismissed
with
costs.
2
The appeal is upheld.
3
There is no order as to the costs of the appeal.
4
The order of the High Court is set aside, and the following order
replaces it:
‘
1
The application is dismissed.
2
There is no order as to costs.’
5
The Registrar is directed to refer a copy of this judgment to the
Prudential Authority
under the Insurance Act 18 of 2017.
___________________________
S WEINER
JUDGE OF APPEAL
_________________________
P OLSEN
ACTING
JUDGE OF APPEAL
_________________________
N MALI
ACTING
JUDGE OF APPEAL
Appearances
For appellant:
JJ Meiring
(with N Dwayi)
Instructed
by:
Von Lieres Cooper &
Barlow Attorneys, Cape Town
Hendre
Conradie Inc., Bloemfontein
For first
respondent: JJ Nepgen
Instructed
by:
VIC Skeleton Inc.,
Gqeberha
Honey
Attorneys, Bloemfontein
For Amicus Curiae:
M Klein
Instructed
by:
Matthew Klein Attorneys,
Pretoria
Phatshoane Henney
Attorneys, Bloemfontein.
[1]
Section 1 of the Long-Term Insurance Act 52 of 1998 (the 1998 Act)
defines the term ‘licensed insurer ‘as follows:
‘
(a)
a previously registered insurer as defined in Item 1 of Schedule
3 to the Insurance Act who has been granted a license under section
23 of the Insurance Act within the period referred to in item 6 (2)
of Schedule 3 to the Insurance Act; or
(b)
a person who has been licensed under section 23 of the Insurance Act
after the date on which that Act commenced.’
[2]
Section
1 of the Financial Sector Regulation Act 9 of 2017, under its
definitions, states that an ‘eligible financial institution’
means each of the following:
‘
(a)
A financial institution licensed or
required to be licensed as a bank in terms of the Banks Act;
‘
(b)
a financial institution licensed or
required to be licensed as a long-term insurer in term of the
Long-term Insurance Act or a
short-term insurer in terms of the
Short-term Insurance Act.’
[3]
Regulation 3.1 of the 1998 Act defies ‘independent
intermediary’ as follows:
‘
a
person, other than a representative, rendering services as
intermediary.’
[4]
O’Shea
NO v Van Zyl NO and Others (Shaw NO and Others Intervening)
[2011]
ZASCA 156
;
2012 (1) SA 90
(SCA);
[2012] 1 All SA 303
(SCA) para 9.
[5]
That
provision has not been dealt with in the papers, and one does not
know whether, in its terms, it establishes or assumes a
direct
contractual relationship between KGA and the member concerned.
[6]
There
is no evidence that, in purporting to cancel, or cancelling, the
intermediary agreement, Multisure acted otherwise than
entirely
unilaterally.
[7]
There
is no reason to suppose, and it appears to be undisputed, that each
of Multisure’s members could, as an individual,
cancel the
deduction against her or his grant, but that would entail individual
re-registration of commission deductions in favour
of AUL, an
apparently time-consuming and costly exercise.
[8]
GNR.1492 of 27 November 1998: Regulations under the Long-Terms
Insurance Act, 1998 (Act no. 52 of 1998) (Government Gazette No.
19495).
[9]
Multisure
sought to withdraw this concession which it submitted was legally
untenable.
[10]
Section 69(1) of the 2017 Act provides as follows:
‘
Any
person commits an offence and is on conviction liable to a fine not
exceeding R10 million if that person—
(a)
contravenes or fails to comply with a provision of section
5(1), 10 or 29(2) or 29(3); or
(b)
fails to comply with a request under section 43 (2).’
[11]
Schierhout
v Minister of Justice
1926
AD 99
(
Schierhout
)
at 109.
[12]
Standard
Bank v Estate van Rhyn
1925
AD 266
at 274.
[13]
Cool
Ideas 1186 CC v Hubbard and Another
[2014]
ZACC 16
;
2014 (4) SA 474
(CC);
2014
(8) BCLR 869
(CC) (
Cool
Ideas
).
[14]
Ibid
para 91.
[15]
As
to the term ‘supervening illegality of performance’, see
Nuclear
Fuels Corporation of SA (Pty) Ltd v Orda AG
1996
(4) SA 1190
(A) at 1205G-I.
[16]
Cool
Ideas
para
91.
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