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REINSURANCE NEWSLETTER
                                                                                                                March 2013



RECENT CASE SUMMARIES
New York Court of Appeals Reverses Summary Judgment on Follow-the-Settlements Case
U.S. Fid. & Guar. Co. v. Am. Re-Ins. Co., 2013 WL 451666 (N.Y. Feb. 7, 2013).

In a closely watched asbestos settlement allocation case, the New York Court of Appeals has modified the order of the
intermediate appellate court to deny summary judgment to the cedent based on two issues of fact raised to challenge
the reasonableness of the cedent’s settlement allocation. The court affirmed the judgment rejecting the other defenses to
payment raised by the reinsurers.

This case involved asbestos claims arising out of policies issued in the 1950s and 1960s to a distributor of asbestos
products. The underlying policies were also not “occurrence” based policies, but were the old form of “per accident”
policies with no aggregate limits. The case is further complicated by corporate acquisitions in the 1960s, which led to
questions about whether the cedent’s policies covered the successor company. Those and other issues were litigated in
California, including whether the successor corporation succeeded to the insurance issued by the cedent to the original
insured.

Meanwhile, claims came pouring in, resulting in default judgments after the cedent and other insurers refused to defend
and the insured agreed not to oppose the entry of default judgments. In the coverage litigation, the insured had alleged
that the cedent’s refusal to defend breached the implied covenant of good faith and fair dealing. The coverage suit settled
while trial was in progress and resulted in the insured’s filing for bankruptcy and the creation of an asbestos trust.

After the settlement, the cedent billed the excess-of-loss reinsurers who refused to pay. The motion court granted summary
judgment to the cedent and the appellate division affirmed with one judge dissenting. This appeal ensued.

In modifying the appellate division’s order, the Court of Appeals presented a detailed analysis of the rules governing
reinsurance allocation in the context of follow-the-settlements under New York law. It is important to note that the
reinsurance contracts here had a following clause binding the reinsurer to pay claims allowed by the cedent. The court’s
analysis was premised on the follow-the-settlements clause.

The court articulated the well-established rule that a follow-the-settlements clause (like the one here) ordinarily bars
challenge by a reinsurer to the ceding company’s decision to settle a case. That rule, said the court, makes sense because
there is little risk of unfairness as the parties are typically aligned to pay as low a settlement amount as possible. In this
case, the few exceptions to that rule did not apply because the reinsurers did not challenge the cedent’s decision to settle
or the amount of the settlement. Here, the dispute was about the settlement allocation to the reinsurers.

In discussing the reinsurance allocation, the court accepted that the follow-the-settlements rule raises problems
because the interest of the cedent and the reinsurer may often conflict. The court concluded that was the case here,
where an allocation of the settlement to losses less than $100,000 would result in no reinsurance recovery, but allocation to losses
of $200,000 would result in the reinsurers paying half the cost. Because of this, the reinsurers argued that the cedent’s allocation
decision should not bind reinsurers under a follow-the-settlements clause.

While finding logic to the reinsurers’ argument, the Court of Appeals nevertheless agreed with the majority of courts and held that
a follow-the-settlements clause requires a level of deference to a cedent’s allocation decision. The rationale for this deference was
described by the court as providing for a more orderly and predictable resolution of claims. But the court made it clear that deference
did not mean that the cedent’s allocation decisions were immune from scrutiny.

The decision still had to be in good faith and reasonable. The court stated that “[i]n our view, objective reasonableness should
ordinarily determine the validity of an allocation. Reasonableness does not imply disregard of the cedent’s own interests. Cedents
are not the fiduciaries of reinsurers, and are not required to put the interests of reinsurers ahead of their own.” The court held that a
cedent’s allocation “must be one that the parties to the settlement of the underlying insurance claims might reasonably have arrived
at in arm’s length negotiations if the reinsurance did not exist.”

The court concluded that the cedent’s motive “should generally be unimportant. When several reasonable allocations are possible, the
law, as several courts have recognized, permits a cedent to choose the one most favorable to itself.” But, said the court, “the choice
must be a reasonable one, and we also conclude that reasonableness cannot be established merely by showing that the cedent’s
allocation for reinsurance purposes is the same as the allocation that the cedent and the insurance claimants actually adopted in
settling the underlying insurance claims.” The court rejected the cedent’s argument that if the allocation is the same as the underlying
settlement it establishes the validity of the allocation. Instead, the court held that under a follow-the-settlements clause (like the one
here), a cedent’s reinsurance allocation of a settlement will be binding on a reinsurer if, “but only if, it is a reasonable allocation, and
consistency with the allocation used in settling the underlying claim does not by itself establish reasonableness.”

In reversing the summary judgment decision, the Court of Appeals concluded that the reasonableness of the assumptions used in
the allocation, that (1) all of the settlement amount was attributable to claims within the limits of the cedent’s policies and none
was attributable to the claims against the cedent for bad faith in refusing to defend the insured; and (2) all claims for lung cancer
had a $200,000 value, while certain other claims had values of $50,000 or less, presented issues of fact that required a trial. The
court pointed to evidence in the record to show that a fact finder could conclude that an allocation giving no value to the bad faith
claims was unreasonable and that assigning high values to lung cancer claims instead of allocating some of that value to bad faith
or other claims was unreasonable. The court pointed to an underlying settlement demand that included a significant amount for bad
faith presented just shortly before settlement and the parties’ arguments to the bankruptcy court to approve the plan partly on the
basis that the bad faith claims had significant value. The court concluded that it was impossible to find as a matter of law that parties
bargaining at arm’s length, in a situation where reinsurance was absent, could reasonably have given no value to bad faith claims.

The Court of Appeals did find that there was no evidence from which a fact finder could infer that allocating all the losses to a single
insurance policy was unreasonable. The court discussed California law and the continuous trigger and related rules to support its
holding. It also rejected the reinsurers’ argument that the Other Insurance clause precluded allocation to one policy year. Finally, the
court rejected the argument concerning an alleged amendment to the retention per loss for the reinsurance contracts.

This case provides the latest and certainly one of the more detailed roadmaps for addressing reinsurance allocation determinations
under a follow-the-settlements clause. Reasonableness is the catchword, but reasonableness based on the objective standard of
what the underlying parties’ to a settlement would consider reasonable if there were no reinsurance. Allocating all of the settlement
to claims covered by the cedent’s policies and nothing to the bad faith claims may or may not be reasonable – only a trial and a
decision by a fact finder will decide that issue.

The ultimate take away here is that the specific facts matter, that a reinsurer will still be bound to a cedent’s good faith and
reasonable claims determination, and that a follow-the-settlements clause like the one in this case will bind the reinsurer to an




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objectively reasonable reinsurance allocation decision without regard to the cedent’s motive, as long as it could have been derived
from an arm’s length negotiation by the underlying parties as if no reinsurance existed.


Second Circuit Holds That Federal Common Law Governs the Interpretation of the Term “Arbitration”
M.D. Imad John Bakoss v. Certain Underwriters at Lloyd’s of London, __F3d __, 2013 WL 238708 (2d Cir. Jan. 23, 2013).

In an insurance coverage dispute over disability insurance, the Second Circuit has joined the majority of federal circuit courts in
holding that the question of whether a clause in a contract provides for arbitration is governed by federal common law in a case that
falls under the Federal Arbitration Act (“FAA”) through its application of the Convention on the Recognition and Enforcement of Foreign
Arbitral Awards (the “New York Convention”). The case was removed from state court to federal court by the insurer and the insurer
obtained summary judgment. On appeal, the insured challenged the basis for federal jurisdiction and summary judgment.

In affirming the district court, the Second Circuit examined the contractual provision that the insurer claimed was an arbitration clause
and agreed with the motion court. The clause provided that the insured and insurer may each examine the insured by a physician of
its choice to determine if the insured was permanently disabled and, in the event of a disagreement between each party’s physician,
the two party-appointed physicians “shall [jointly] name a third Physician to make a decision on the matter which shall be final and
binding.” The district court applied federal common law to hold that the third-physician clause was an agreement to arbitrate and that
the court had subject matter jurisdiction under the FAA via the New York Convention.

In holding that federal common law provides the definition of arbitration under the FAA (not state law), the circuit court recognized
that unless there is a plain indication to the contrary, a federal act is not dependent on state law and will be interpreted under federal
common law. This allows for the creation of a uniform national arbitration policy, as intended by Congress. To apply state law would
result in a patchwork of varying interpretations of the FAA, said the court.

This case is important because now the Second Circuit has clearly held that questions about whether a clause is an arbitration clause
and how it should be interpreted require the application of federal common law, not state law, when the case is governed by the FAA.


Minnesota Federal Court Stays Litigation Pending Arbitration
Security Life Ins. Co. of Am. v. Southwest Reinsure, Inc., No. 11-1358 (MJD/JJK), 2013 WL 500362 (D. Minn. Feb. 11, 2013).

A Minnesota federal court granted motions by the successor to a group of off-shore producer-owned reinsurance companies and their
owners to stay an action brought by a cedent pending arbitration of the cedent’s claims against the reinsurers and their owners. This
case involves a complex interwoven reinsurance relationship between the cedent and its reinsurers and whether a dispute about what
happened to trust funds deposited as security for reinsurance should be heard in arbitration or by the court.

The cedent reinsured a portion of its life insurance policies with off-shore producer-owned reinsurers through three reinsurance
agreements, each of which had an arbitration clause. The 1994 reinsurance contract provided for arbitration of any disputes arising
out of the reinsurance agreement. The 1997 agreements provided for arbitration for any disputes or differences arising under, out
of, or in connection with, or in any manner relating to the reinsurance agreements. The cedent also entered into an administration
agreement with a subsidiary of the owner of the reinsurers. The cedent considered all of these relationships part of one unified
program.

Under the reinsurance agreements and for credit for reinsurance purposes, the reinsurers were required to provide security. Originally
letters of credit were provided, but in 2005, a trust agreement was entered into. The defendant trustee held the funds for cedent as
the beneficiary. The cedent contends that the trust funds were transferred out to another trustee without its knowledge under a new




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trust agreement to which the cedent was not a party. Eventually, the owner of the reinsurers and the administrator withdrew the trust
funds for other purposes.

The cedent sued the reinsurers, the administrator, the principal and the original trustee. One of the defendants, the administrator,
filed a motion to dismiss, which was denied, but did not assert any arbitration rights. After an amended complaint was filed and some
discovery was taken, the successor reinsurer, after it was finally served, asked whether the cedent would arbitrate. When the cedent
refused to arbitrate, the reinsurer filed a motion to dismiss or in the alternative a motion to stay pending arbitration.

In granting the motion to stay pending arbitration, the court discussed the standards for determining arbitrability and the principle
that nonsignatories can compel arbitration under certain circumstances. Here, the successor reinsurer was being asked to respond to
claims under the reinsurance agreements that contained arbitration clauses. The court agreed that at minimum, equitable estoppel
applied to allow the successor reinsurer to enforce the arbitration clause in the agreements. The court found that the arbitration
clauses were broad and covered the cedent’s claims against the successor reinsurer. The court rejected the claim that the successor
reinsurer waived its right to arbitration and that the cedent was prejudiced by the successor reinsurer’s actions.

As to the administrator, there was no arbitration clause in the administration agreement, but because the claims were interrelated
and intertwined, and the core of the dispute concerned compliance with the provisions of the reinsurance agreements, the court
concluded that the claims against the administrator were subject to arbitration as well. The court also concluded that even though
the administrator participated in discovery and did not move to stay pending arbitration until the successor reinsurer was served and
made the motion, the administrator had not waived its right to seek arbitration.

Finally, the court stayed the action against the trustee because the result of the arbitration had the potential to resolve or narrow the
claims against the trustee. The stay was granted to all parties, but the case was not dismissed because of the various non-arbitrable
claims alleged in the amended complaint.


New York Federal Court Denies Preliminary Injunction on Alleged Use of Confidential Information
Utica Mut. Ins. Co. v. INA Reinsurance Co., No. 6:12-CV-00194 (DNH/TWD) (N.D.N.Y. Dec. 14, 2012).

In a case arising out of alleged breaches of confidentiality agreements and orders, a New York federal court has accepted the
recommendations of a magistrate judge and has denied a cedent’s motion for a preliminary injunction to prevent the further
disclosure of confidential information in a pending arbitration. The cedent and the reinsurer entered into a confidentiality agreement
for an audit. Subsequent to the audit an arbitration was commenced and the parties entered into further confidentiality agreements
as part of the arbitration process. A dispute arose about the completeness of the earlier audit responses and the cedent produced
additional documents, including e-mails relevant to the underlying claims. Counsel for the reinsurer printed out the e-mails and
reviewed them.

Another reinsurer also reinsured the cedent for the same underlying risks. A dispute arose between the cedent and the other reinsurer
and a lawsuit alleging breach of the reinsurance certificates was commenced. The same law firm that represented the reinsurer in this
case also represented the other reinsurer. The same lawyer was involved in both cases for both reinsurers. Shortly after receiving the
complaint in the other reinsurer’s action, the lawyer discussed certain e-mails obtained in the audit and arbitration on behalf of the
reinsurer with those working on the other reinsurer’s case.

The cedent claimed that disclosure of those e-mails to the other attorneys in the same firm violated the various confidentiality
agreements in the arbitration and audit. In denying the preliminary injunction, the court focused on the requirements for a preliminary
injunction and found that there was no irreparable harm. Although it was not required, the court did provide its views on the merits of
the claim and found that the cedent had shown a likelihood of success on the merits that the disclosures breached the confidentiality




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agreements.


Wisconsin Federal Court Remands Arbitration Counsel Disqualification Action to State Court
Nat’l Cas. Co. v. Utica Mut. Ins. Co., No. 12-cv-657-bbc, 2012 WL 6190084 (W.D. Wisc. Dec. 12, 2012).

The popularity of attorney disqualification applications in reinsurance disputes continues with this dispute venued in Wisconsin.
Several reinsurance contracts were entered into, all of which had arbitration provisions. The ceding company and the insured litigated
over certain claims presented by the insured and ultimately settled. The cedent billed the reinsurer and the reinsurer questioned its
obligation to pay.

This dispute arose when the cedent’s counsel demanded arbitration. It turned out that the cedent’s counsel had served as defense
counsel in the underlying coverage dispute. The reinsurer claimed that this caused a conflict of interest, because counsel represented
both the reinsurer’s and the cedent’s interests in the coverage litigation. When the cedent refused to replace its counsel, the reinsurer
filed this action to disqualify counsel in state court, which the cedent removed to federal court.

The Wisconsin federal court remanded the action back to state court after finding that the cedent had not shown that federal subject
matter jurisdiction was present. The court originally was concerned whether there was diversity of citizenship, but once that was
resolved, the court could not get past the amount in dispute. The reinsurer focused on the amount in dispute in the arbitration. But
as the court found, the cedent did not identify the amount in dispute in the arbitration or the cost of replacing arbitration counsel.
Although the amount in controversy was eventually identified and exceeded $75,000, the court had an issue concerning whether the
amount in controversy in the arbitration was the proper measure for the disqualification action as the object of the disqualification
litigation was not compelling arbitration or confirming an arbitration award. The court remanded essentially because it would not
adopt the stakes in arbitration as the measure for subject matter jurisdictional purposes.


Supreme Court of Washington State Holds That State Statute Prohibits Binding Arbitration
Agreements in Insurance Contracts
State of Washington, Dep’t of Transp. v. James River Ins. Co., 87644-4, 2013 WL 174111 (Wash. Jan. 17, 2013).

The Supreme Court of the State of Washington, sitting en banc, unanimously affirmed a trial court’s denial of an insurer’s motion
to compel arbitration, reasoning that a Washington State statute rendered an arbitration clause present in an insurance agreement
unenforceable. The relevant statute, RCW 48.18.200(1)(b), provides that no insurance contract issued in Washington, and covering
risks in that state, may contain a condition “depriving the courts of [Washington] of the jurisdiction of the action against the insurer.”
The insurer argued that the statute only prohibited forum selection clauses within insurance contracts that required an action to
be brought outside of Washington, and did not disturb an insurer’s ability to compel arbitration. The Supreme Court rejected this
argument, stating that the statute was intended to preserve an insured’s right to bring an “original action” in a Washington court,
where the court would have jurisdiction over the “substance” of the dispute between the parties. Accordingly, the Supreme Court
concluded that the statute “prohibits binding arbitration agreements in insurance contracts.”

New York Court Grants Cedent’s Request to Appoint Umpire
In re American Home Assurance Co. and Clearwater Ins. Co., No. 653079/12, 2013 N.Y. Misc. LEXIS 103 (N.Y. Sup. Ct. Jan. 15,
2013).

A New York state motion court granted a cedent’s petition to appoint an umpire to preside over a series of reinsurance disputes
through a combination of the ranking and “strike and draw” methods. The disputes arise out of three reinsurance treaties, one of




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which provided for the appointment of an umpire should the party-appointed arbitrators disagree on resolving the dispute. The cedent
sought the appointment of a single umpire from among the three individuals that its party-appointed arbitrator previously proposed.
The reinsurer opposed the petition, and requested that an umpire be selected for each arbitration from among its list of three
individuals. Each party had appointed its arbitrator, but the party-appointed arbitrators failed to select an umpire as provided in the
treaties.

In granting the petition in part to appoint an umpire, the court noted that while it was undisputed that the two arbitrators failed to
select an umpire, the reinsurer objected to the appointment of a court appointed arbitrator on two grounds. First, the court rejected
the argument that the court was not permitted to appoint an arbitrator under New York law, CPLR 7504, because the CPLR was
not referenced in the treaties. The court held there was no need for the treaties to refer to the CPLR because a contract generally
incorporates the state of law in existence at the time of its formation. The CPLR mechanism for appointment of an arbitrator existed
well before the formation of the treaties.

Second, the court rejected the argument that CPLR 7504 should not apply because the cedent was to blame for a breakdown in the
selection of the umpire. The court rejected this argument because CPLR 7504 provides for the court appointment of an arbitrator “if
the agreed method fails or for any reason is not followed...” The court noted that the cedent demonstrated that the parties’ agreed
method of appointing the umpire had failed.

The court next focused on the selection method for the umpire as neither the reinsurance treaties nor CPLR 7504 set forth any
substantive criteria for the appointment of the umpire. The cedent urged the court to appoint the umpire from among the three
individuals that its arbitrator proposed, or alternatively, that the court use the ARIAS-US ranking method. The reinsurer urged the court
to use the strike and draw method or, alternatively that the court appoint the umpire from among the three individuals it proposed.

The court instead adopted Justice Feinman’s approach in Lexington Ins. Co. v. Clearwater Ins. Co., No. 651280/2011 (N.Y. Sup Ct.,
Jan. 6, 2012), which used the ranking method, but modified it to incorporate aspects of the strike and draw method. But to avoid the
possibility of a tie, the court added that the umpire must be drawn by random lot in the event of a tie in the rankings of the umpire or
third arbitrator.

The arbitration clause in one of the treaties raised the issue of whether the selection of an umpire, before a disagreement among the
arbitrators arises at the hearing, is premature because, as the reinsurer contended, the umpire can only be appointed after a dispute
arises among the party appointed arbitrators during the hearing. In holding that appointment of the umpire did not have to await a
dispute between the arbitrators at the hearing, the court went with the practical approach of choosing the umpire at the outset of the
arbitration to avoid the added expense of conducting additional arbitrations should the party-appointed arbitrators disagree.

In conclusion, the court ruled that an umpire was to be chosen within 60 days as follows: Each side shall nominate five candidates,
and each side may then strike three of the five candidates on the other’s list. Each side shall next rank the remaining candidates in
order of preference, and the candidate with the highest cumulative ranking shall be appointed the umpire. In the event of a tie for the
highest cumulative ranking, the umpire will be drawn by random lot.

Finally, the court cautioned that its order should not be read as consolidating the arbitrations under the three separate treaties simply
because the method of appointing the umpire and third arbitrator are the same for all arbitrations.

Court intervention in the appointment process can be avoided if arbitration clauses are drafted to address stalemates in the
appointment process. In this case, the court adopted a hybrid approach that joined a ranking method with the traditional strike and
draw method, including a tie-breaker.


Second Circuit Refuses to Extend Reinsurance Late Notice Prejudice Rule to P&I Club Certificate




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Weeks Marine, Inc. v. American Steamship Owners Mut. Protection & Indemn. Ass’n, Inc., No. 11-3774-cv, 2013 WL 377979 (Summary
Order) (2d Cir. Feb. 1, 2013).

In a summary order involving marine insurance, the Second Circuit Court of Appeals has affirmed a district court’s summary judgment
in favor of the insurer and specifically addressed the argument by the insurer on late notice. The insured did not give notice to the
insurer until two days after a judgment was obtained in favor of the underlying claimant. The insurer disclaimed based on late notice.
The district court found that New York’s “no prejudice” rule applied and granted summary judgment to the insurer.

In affirming the district court, the circuit court noted the exception to New York’s “no prejudice” rule in the context of a reinsurance
contract. The court declined to extend the reinsurance exception to marine insurance contracts based on the facts of this case.

New York Federal Court Denies Motion to Reconsider on Reinsurer Summary Judgment on Most Claims Made by Terminated Managing
Agent, But Certifies Order as Final for Appeal
Acumen Re Management Corp. v. Gen. Sec. Nat’l Ins. Co., No. 09 Civ. 796 (GBD), 2012 WL 3890128 (S.D.N.Y. Dec. 4, 2012).

We reported on this case in our December 2012 Reinsurance Newsletter. The managing agent moved to have the court reconsider
its grant of summary judgment. The court denied the motion holding that the managing agent did not raise any controlling decisions
or factual matters overlooked by the court. But the court did certify the order granting summary judgment as final to allow for an
immediate appeal because summary judgment was granted on four of five grounds supporting the claim and it would be judicially
inefficient not to avoid a costly, duplicative trial if the appeal is successful.


Ohio Federal Court Transfers Reinsurance Dispute to Florida
Certain Underwriters at Lloyd’s, London v. Stonebridge Cas. Ins. Co., No. 2:12-cv-160 (S.D. Ohio Dec. 17, 2012).

An Ohio federal court has transferred a reinsurance dispute to Florida, where another related action was pending. The cedent,
commencing with its predecessor, underwrote an automobile dealership awards program. Reinsurance for the awards program
was obtained via a broker allegedly from a Lloyd’s coverholder in 2004. This process was repeated in 2006 with another Lloyd’s
coverholder. The cedent sought to recover under both reinsurance programs.

The reinsurers and their agent for the 2006 program commenced an action in Florida for a declaration that they had no liability to
the cedent for failure to comply with certain conditions and requirements. The cedent moved to compel arbitration under the 2004
agreement, which was granted by the Florida court.

Subsequently, the 2004 reinsurers filed suit in Ohio claiming that they never entered into and had no knowledge of the 2004
agreement. The cedent moved to transfer the Ohio action to Florida where the 2006 action was pending.

In granting the motion to transfer, the court found Florida federal court to be convenient because it could have been brought in
Florida, neither party had yet requested arbitration as the reinsurers were contesting the contract’s validity, that a substantial part
of the events leading up to the litigation took place in Florida, the main witness resided in Florida, and that in the interest of justice
transfer to Florida was appropriate.


Illinois Federal Court Refuses to Strike a Motion to Dismiss on Foreign Sovereign Immunities Act
Grounds
Pine Top Receivables of Ill., Inc. v. Banco de Seguros Del Estado, No. 12 C 6357, 2012 WL 6216759 (N.D. Ill. Dec. 13, 2012).




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Doing reinsurance business with non-U.S. reinsurers owned by foreign governments often raises interesting issues of enforcement and
collection. In this case, a receiver of an insolvent reinsurer sold and assigned its receivables from a retrocessionaire, an instrumentality
of the Republic of Uruguay. The assignee sought to collect payments allegedly due or to compel arbitration. The retrocessionaire filed a
motion to dismiss the cause of action to compel arbitration. The assignee moved to strike the motion to dismiss. The court denied the
assignee’s motion to strike.

In denying the motion to strike the retrocessionaire’s motion to dismiss, the court addressed the assignee’s claim that the motion
to dismiss was improper because the retrocessionaire had not paid pre-judgment security as required by state law. The Illinois
statute (215 ILCS 5/123) is one of the many pre-answer or pre-judgment security provisions in state insurance laws that require an
unauthorized foreign or alien company to post security before it can take any action in court or arbitration. The retrocessionaire argued
that the security statute did not apply because the retrocessionaire was an instrumentality of a foreign state and is immune from pre-
judgment security under the Foreign Sovereign Immunities Act (“FSIA”) (28 U.S.C. § 1602) and that the assignee lacked standing to
make the motion.

The court found that the assignee had standing to make the motion. More importantly, however, the court held that the
retrocessionaire was immune from pre-judgment security under FSIA. The court rejected the assignee’s argument that the pre-
judgment security requirement was not an “attachment” within the definitions of FSIA by looking to the practical effect of the security.
The court also found that neither the arbitration clause nor the collateral clause in the relevant contracts resulted in an affirmative
waiver of the retrocessionaire’s immunity.


Utah Federal Court Denies Reinsurers’ Recovery of Attorney Fees
National Indem. Co. v. Nelson, Chipman & Burt, No. 2:07-CV-996 TS, 2013 WL 226881 (D. Utah Jan. 18, 2013).

A Utah federal court granted underlying defense counsel’s motion for partial summary judgment against reinsurers, as subrogees of
cedent and its insured, denying their right to recover attorney fees, as consequential damages. The cedent incurred attorneys’ fees
when it sought reimbursement from its insured for the settlement monies it paid over the policy limits on its behalf in the underlying
action.

The dispute arose from an underlying litigation brought on behalf of a minor, injured during an adult softball tournament, which
resulted in a verdict in excess of $6 million against the insured and other parties. Even after the cedent settled with the minor for a
reduction in the award, the settlement was still in excess of the $2 million policy limit, and the insured refused to pay the amount in
excess of the limits. The reinsurers, through its cedent, however, paid the full settlement amount.

The cedent subsequently sued its insured for reimbursement of the amounts it paid beyond the policy limits. The reimbursement
question was certified to the Utah Supreme Court as an issue of first impression. The Supreme Court ruled that there was no extra-
contractual right to restitution between an insurer and its insured, and denied reimbursement.

The reinsurers, as subrogees of the cedent and the cedent’s insured, next brought malpractice claims against counsel retained by
cedent in the underlying action to recover attorney fees as damages under the third-party litigation exception. The third-party litigation
exception allows recovery of fees only in the limited situation where defendant’s wrongful conduct foreseeably causes the plaintiff to
incur attorney fees through litigation with a third party. Defense counsel subsequently moved for partial summary judgment to deny
reinsurers recovery of their attorney fees.

In granting defense counsel’s motion, the court held that defense counsel’s actions did not fall within the third-party litigation
exception to Utah’s long-standing rule allowing recovery of attorney fees as consequential damages where provided by statute or
contract. The court focused on the issue of foreseeability to answer the question of whether the reinsurers could recover as damages




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the attorney fees incurred by the cedent and its insured in determining cedent’s reimbursement rights for the settlement monies paid
to the minor.

The malpractice claims were based upon tort and contract causes of action. Under the tort allegations, the court held that the
third-party litigation exception applies when the foreseeable and natural consequence of one’s negligence is another’s involvement
in a dispute with a third party. For the reinsurers to recover attorney fees in tort under the third-party litigation exception, the court
stated that it must be reasonably foreseeable that a contemplated loss resulting from counsel’s allegedly negligent acts would be the
attorney fees expended in a reimbursement action between cedent and its insured.

Moreover, if the loss of attorney fees was foreseeable, the court noted it would also have to infer that some of the other actions were
foreseeable, including whether the cedent would settle with the minor for an amount in excess of policy limits, and subsequently bring
a coverage action against its insured.

Similarly, under the breach of contract allegations, the court noted that in order for the reinsurers to recover attorney fees under the
third-party litigation exception, it would have to infer that attorney fees expended in a reimbursement suit were reasonably foreseeable
as the natural and usual course of events resulting from a breach of representation contract between an insurer and its retained
counsel. The test for reasonable foreseeability was whether it could “. . . fairly and reasonably be said that if the minds of the parties
had adverted to breach when the contract was made. . . .” loss of attorney fees would have been within their contemplation.

After careful analysis, the court held that no reasonable jury could return a verdict for the reinsurers’ recovery of attorney fees under
the third-party litigation exception in either tort or contract causes of action. The court reasoned that the coverage dispute, with its
resultant attorney fees, was not the foreseeable natural consequence of counsel’s alleged malpractice.


Connecticut Federal Court Grants Cedent’s Motion to Amend Complaint Adding Account Stated and
CUPTA Claims
The Travelers Indem. Co. v. Excalibur Reinsurance Corp., No. 3:11-CV-1209 (CDH), 2012 WL 424535 (D. Conn. Feb. 1, 2013).

A Connecticut federal court granted a cedent’s motion to amend its complaint in a dispute with its reinsurer. The underlying dispute
involves insurance brokers’ errors and omissions policies and the settlement of an underlying E&O claim. The reinsurer refused to pay
and this action commenced.

The cedent’s motion for an amended complaint adds two additional claims beyond breach of contract: account stated and violation
of Connecticut’s Unfair Trade Practices Act (“CUTPA”). The reinsurer opposed the motion based on its untimeliness and the legal
sufficiency of the additional causes of action. The court, in granting the motion, found no substance to the timeliness objection based
on the case being in its early stages. On the sufficiency issue, the court found that the cedent adequately pled a plausible claim for
an implied account stated and for violations of CUTPA.

The reinsurer also raised the issue of the cedent’s strategy in seeking to amend its complaint to force the reinsurer to post pre-answer
security as a basis to deny the motion on bad faith grounds. The court rejected this argument, finding that the pending motion for
security did not bear on the cedent’s right to add plausible claims to its complaint as a “proper and professional exercise” to further
its legitimate purpose of seeking “to transfer money from a defendant’s pocket into its own.”


Texas Appellate Court Concludes that Foreign Country Judgments Assessing Costs against an
Insurer Are Enforceable Under Foreign Country Money-Judgments Statute
New Hampshire Ins. Co. v. Magellan Reins. Co. Ltd., 02-00334-cv, 2013 WL 105654 (Tex. App. Jan. 10, 2013).




                                                                                                                               Page 9 of 25
A Texas intermediary appellate court affirmed a trial court’s denial of an cedent’s motion for nonrecognition of certain foreign country
judgments. Following the dismissal of a suit brought by the cedent against a reinsurer in the Turks and Caicos Islands (“TCI”), the
reinsurer obtained two “judgments” assessing costs against the cedent. The reinsurer then sought to enforce the judgments in Texas,
and the cedent moved for nonrecognition.

The cedent contended that the “judgments” were not “judgments on the merits” arising from a cause of action asserted by the
reinsurer, because they provided for taxation of costs only. Rejecting this argument, the Texas appellate court held that the Uniform
Foreign Country Money-Judgment Act, as implemented in Texas, does not restrict a defendant’s ability to enforce a foreign judgment to
only those cases where the defendant has prevailed on its own cause of action. The cedent also asserted that the cost assessments
were not “judgments” because they were entered by TCI court personnel other than the TCI justices who ruled on the substantive
issues of the cedent’s action. In response, the Texas court observed that under the law of the United Kingdom (relevant because TCI is
a British overseas territory), the term “judgment” includes cost assessments, and further cited a number of U.S. cases where “later-
determined cost assessments” were recognized as “judgments” under the Uniform Foreign Country Money-Judgment Act. The court,
however, cautioned that its ruling was driven by the facts of the case, and its opinion “should not be construed as holding that in every
case, a cost assessment from a foreign country court will be enforceable as a judgment.”

Finally, the cedent contended that the “loser pays” principle (the “English rule”) is intended to punish unsuccessful litigants, and
therefore cost assessments are properly regarded as “penalties,” which are expressly excluded from the definition of “foreign country
judgment” under the Act. Rejecting this argument, the court cited authority reasoning that the English rule is designed to compensate
a defendant that is forced to defend the suit, rather than penalize the losing plaintiff. Further, the court observed that a judgment is
considered “penal” when “its purpose is to punish an offense against the state,” but not when it simply affords a “private remedy” to a
wronged party. Accordingly, the court affirmed the trial court’s order denying the cedent’s motion for nonrecognition.


RECENT ENGLISH CASE SUMMARIES

English High Court Affirms Arbitration Award Finding That World Trade Center Attack Constituted Two
Separate Occurrences
Aioi Nissay Dowa Ins. Co. Ltd. v. Heraldglen Ltd. and Advent Capital (No. 3) Lts. [2013] EWHC 165 (Comm).

The English High Court of Justice, Queen’s Bench Division (Commercial Court) has handed down a decision affirming an arbitral award
holding that the September 11, 2001 attack on the World Trade Center arose out of two occurrences rather than one for purposes of
applying policy limits and deductibles.

The reinsurer issued four excess-of-loss reinsurance agreements to the cedents for all business classified as aviation business. The
contracts provided coverage in varying amounts for “each and every loss” in excess of $100,000, with the phrase “each and every
loss” defined to mean “each and every loss or accident or occurrence or series thereof arising out of one event.” In the underlying
arbitration, the parties disputed whether the two separate planes that crashed into the World Trade Center should be viewed as one
occurrence or two. The cedents had settled their inward claims on the basis that the World Trade Center attack consisted of two
separate occurrences, a position on which it then based its outward claim to the reinsurer.

The arbitration panel based its conclusion that the World Trade Center attack constituted two separate occurrences on the “unities”
doctrine, discussed in Kuwait Airways Corp. v. Kuwait Ins. Co. SAK [1996] 1 Lloyd’s Rep 664. Using this doctrine, the arbitrators
evaluated the unities as to (1) the circumstances and purposes of the persons responsible for the attack; (2) the cause of the event;




                                                                                                                            Page 10 of 25
(3) the timing of the event; and, (4) the location of the event. The arbitrators considered the various aspects of the coordinated attack
and concluded that despite the nexus in the origins of the planning of the hijackings, the separate sequence of events that led to the
separate loss and damage caused by each hijacked plane constituted two separate occurrences rather than one. The panel viewed
this as a “common sense result,” concluding that “an independent objective observer watching each of the hijackings and then death
and personal injury on board would have concluded that there were two separate hijackings.”

Despite the reinsurer’s attempt to overturn the arbitration award, the court rejected the reinsurer’s challenge to the panel’s findings,
concluding that the arbitrators had properly considered the various factors in the unities doctrine. It noted that the arbitrators had
considered the fact that the World Trade Center attack originated from one overall terrorism plan, but that this fact alone was not
determinative of the outcome of the unities analysis. While acknowledging the common planning and execution of each hijacking,
the court did not find fault in the arbitrators’ conclusion that this common plan did not override the conclusion that the two separate
hijackings caused separate loss and damage. The arbitration award was therefor left to stand and the appeal dismissed.


A Brief Review of Reinsurance Trends in 2012
ARBITRATION
Arbitration Awards

Federal courts almost uniformly confirmed reinsurance arbitration awards in 2012, continuing the trend of deference to arbitral
decisions. Where the motion courts granted motions to vacate, the appellate courts often reversed and confirmed the award. For
example, in Scandinavian Reinsurance Co. v. St. Paul Fire & Marine Ins. Co., 688 F.3d 60 (2d Cir. 2012), the Second Circuit Court of
Appeals reversed the vacatur of an arbitration award on the basis of evident partiality, holding that the arbitrators’ failure to disclose
concurrent participation in another arbitration with related subjects and witnesses was not sufficient evidence of partiality within the
meaning of § 10(a)(2) of the Federal Arbitration Act (“FAA”). In so holding, the Second Circuit confirmed the arbitration award and
set down a clear test for evident partiality.

The Second Circuit ruled that the failure to disclose concurrent service in a similar arbitration is not indicative of evident partiality.
Concurrent service, the court said, does not, in itself, suggest a predisposition to rule in any particular way. Because the FAA’s
evident-partiality standard is directed to the question of bias, if an undisclosed matter is not suggestive of bias, vacatur based on
that nondisclosure cannot be warranted under an evident-partiality theory. The court outlined the factors, while not dispositive, in
determining the applicability of the evident-partiality test, which in summary form may be outlined as follows: (1) extent and character
of the personal interest; (2) directness of the relationship between the arbitrator and party; (3) the connection of that relationship
to the arbitrator; and (4) the proximity in time between the relationship and the arbitration. The court ruled that to determine if a
relationship is material, the district court must look to how strongly the relationship tends to indicate the possibility of bias, not how
closely the relationship relates to the facts of the arbitration. It is not appropriate, said the court, to vacate an award solely because
an arbitrator fails to consistently live up to the arbitrator’s announced standards for disclosure or conform in every instance to the
parties’ disclosure expectations. The court found no indication that either arbitrator was predisposed to rule in any particular way in
the present arbitration because of the other arbitration and that the nondisclosure by itself did not constitute evident partiality. The
key takeaway from this case is that in assessing evident partiality, the relationship (or lack of a relationship) of the nondisclosure to
evidence of bias or partiality must exist. It is not a conflict of interest that requires vacatur under the evident partiality standard, but
demonstrable evidence of bias against a party. Here, the court found there was none.

More typical examples of award confirmations include Century Indem. Co. v. Certain Underwriters at Lloyd’s London, No. 11 Civ. 1040
(RJS), 2012 WL 104773 (S.D.N.Y. Jan. 10, 2012), in which a reinsurance arbitration falling under the Convention on the Recognition
and Enforcement of Foreign Arbitral Awards (the “New York Convention”), a New York federal court confirmed both the final arbitration




                                                                                                                               Page 11 of 25
award and an interim arbitration award on the posting of letters of credit as security. During the course of the arbitration, the panel
ordered certain of the reinsurers to post letters of credit as required under the treaties and later clarified that the letters of credit were
not required to be posted for incurred, but not reported, losses. A final award issued setting forth the documentation requirements
necessary for asbestos claims and guidelines for reconciling outstanding balances. Both parties sought to confirm the final award and
the reinsurer sought to confirm the interim award on the letters of credit requirements within the three-year period allowed by the New
York Convention. The court granted both applications, finding no basis to vacate either the final or interim awards under the criteria
set forth in the New York Convention. The court noted that an interim ruling from an arbitration panel is sufficiently final if it finally and
definitely disposes of a separate and independent claim even though it does not dispose of the entire arbitration.

Similarly, in Ace Am. Ins. Co. v. Christiana Ins. LLC, No. 11 Civ. 8862(ALC), 2012 WL 1232972 (S.D.N.Y. Apr. 12, 2012), a New York
federal court granted a reinsurer’s petition to confirm an arbitration award. The underlying arbitration concerned property damage and
subsequent delay of operations of a commercial facility resulting from a hurricane. The parties were unable to come to an agreement
as to the valuation of the losses incurred at the commercial facility for property damage and lost production. As a result, a demand for
arbitration and an arbitration agreement were filed. The reinsurer provided $50 million in a claim advance to the cedent assuming that
the total claim value would exceed $250 million—with the $50 million payment representing the difference between the purported
total claim value and the $200 million deductible. The arbitration panel found that the cedent failed to meet its burden of proof to
show that the commercial facility sustained a loss that exceeded $250 million and that the reinsurer failed to meet its burden of
proof to show that the loss was less than $250 million. In denying the cedent’s cross petition to vacate the award, the court ruled
that the arbitration panel’s refusal to hear “prior course of dealings” evidence did not “provide a basis to vacate the Arbitration Award
under § 10(a)(3) of the FAA.” The court also found that a vacatur under § 10(a)(4) was limited in scope to circumstances where
a panel exceeds its authority to determine a certain issue and that the cedent had failed to demonstrate that the panel had in fact
exceeded its authority. Because the cedent also failed to show that the panel was obligated to apply either a governing law or a
binding provision that it subsequently failed to apply, the cedent’s assertions that the panel issued its ruling in “manifest disregard of
the law” and “manifest disregard of the terms of the parties’ relevant agreement” were also rejected.

In Am. Centennial Ins. Co. v. Global Int’l Reinsurance Co. Ltd., No. 12 CV 1400, 2012 WL 2821936 (S.D.N.Y. Jul. 9, 2012), a New
York federal court denied the cedent’s petition to vacate the arbitral award and granted reinsurer’s cross-petition to confirm. The
petition and cross-petition concerned the third arbitration conducted between the parties. The issues before the panel were several,
and included whether certain relief awarded to the reinsurer in the first two arbitrations barred further relief. The panel found in favor
of the reinsurer, but granted a lower rate of reimbursement than was sought. The cedent moved to vacate the award arguing that the
arbitrators (1) exceeded their powers; (2) showed manifest disregard of the law; and (3) showed manifest disregard of the reinsurance
agreement. The court refused to vacate based on the arbitrators acting in excess of their powers, holding that the panel was “arguably”
acting within the scope of its authority. In refusing to vacate for manifest disregard of the law, the court held that the panel provided a
“barely colorable justification” for its rulings, sufficient to withstand scrutiny under the manifest disregard standard. Finally, on manifest
disregard of the reinsurance agreement, the court held that the cedent had “not directed the Court to an ‘egregious impropriety’ by
the panel or shown that the panel ‘intentionally defied’ a clear and unambiguous term in the [reinsurance agreement].”

In confirming awards, courts in 2012 also took the opportunity to deny motions to seal. For example, in Aioi Nissay Dowa Ins. Co. Ltd.
v. Prosight Specialty Mgmt. Co. Inc., No. 12 CV 3274, 2012 WL 3583176 (S.D.N.Y. Aug. 21, 2012), a New York federal court granted
a reinsurer’s petition to confirm an arbitration award under the New York Convention, awarded the reinsurer costs under Fed. R. Civ. P.
54(d), and denied the cedent’s motion to seal. The petition to confirm was unopposed, and the court granted the petition finding no
basis on which to vacate or modify the arbitration award. The cedent’s motion to seal was based upon a confidentiality agreement
entered into by the parties in which each side agreed to make good faith efforts to limit disclosure of information related to the
arbitration. The cedent argued that the petition to confirm and filing on the court’s docket was inconsistent with the confidentiality
agreement. Though noting that a breach of contract action may lie, the court held that “absent evidence or argument that would
enable the Court to make ‘specific, on the record findings demonstrating that closure is essential to preserve higher values [that
would outweigh the presumption of public access to judicial documents] and is narrowly tailored to preserve that interest,’” the motion
must be denied.




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Similarly, in Century Indem. Co. v. AXA Belgium, No. 11 Civ. 7263, 2012 WL 4354816 (S.D.N.Y. Sept. 24, 2012), a New York federal
court also granted a cedent’s petition under the New York Convention to confirm multiple arbitration awards in its favor, denied cross-
petition to vacate the awards, and denied motions to seal. Although the parties were at odds as to the propriety of the awards, they
both moved to file certain documents under seal under a confidentiality agreement. The court held that the documents were judicial
documents to which a presumption of access attaches, and although the confidentiality agreement was binding on the parties, it did
not preclude the court from making those documents available to the public. The court noted that although parties to arbitration are
generally able to keep documents confidential, the “circumstance changes when a party seeks to enforce in federal court the fruits of
their private agreement to arbitrate, i.e., the arbitration award.”

The trend here shows that the benefits of confidentiality of a private commercial arbitration may fall away if one of the parties goes to
court to confirm or vacate the arbitration award.

Arbitration Panel Composition
In Arrowood Indem. Co. v. Harper Ins. Co., Nos. 3:12-cv-2-RJC-DSC, 3:12-cv-3-GCM, 2012 WL 161667 (W.D.N.C. Jan. 19, 2012),
there arose a series of disputes over arbitrator selection. In three related arbitration proceedings, the arbitration clause provided for
a three-member panel, “one chosen by each party and the third by the two so chosen....” The parties had made their choices in all
three matters. But, the third neutral had only been chosen in one matter because a dispute arose over whether to consolidate the
three cases. The cedent asked the court to choose a third neutral in each of the remaining matters. The reinsurer countered that all
three matters should be consolidated before the single panel already in place. The court held that whether to consolidate ongoing
arbitration matters is presumptively a question for the arbitrators, not a court. But the issue remained whether the consolidation issue
should be resolved by three panels or one. Determining how many panels would require interpreting a contractual provision that the
court found ambiguous. Because the parties had already chosen one panel under the contract, and contractual interpretation “is
solely for an arbitrator to decide,” the court held that the ambiguity should be resolved by the panel already in place.

CONTRACTUAL INTERPRETATION
From ambiguities in contractual provisions to waivers of rights, 2012 was a year rich with court decisions interpreting reinsurance
contract provisions. At least four courts relied, in part, upon extrinsic evidence in construing contractual provisions, and each decision
held the parties to the terms of the contract.

In the first extrinsic evidence case, OneBeacon Am. Ins. Co. v. Commercial Union Assurance Co. of Can., 684 F.3d 237 (1st Cir. 2012),
the First Circuit affirmed a district court’s denial of summary judgment to the cedent and award of summary judgment to the reinsurer.
The dispute concerned the alleged obligation of the reinsurer to reinsure the cedent for certain policies issued by the cedent in the
early 1980s. The cedent provided coverage to the insured for three years during three consecutive policy periods. The 1980 policy
included an endorsement stating that the policy was reinsured by the reinsurer. A facultative certificate, expiring at the conclusion
of the 1980 policy, confirmed the reinsurer’s obligation to reinsure the cedent for the risk. The cedent did not issue the reinsurance
endorsement on either the 1981 or the 1982 policy periods, nor was a facultative certificate issued for this time period. In finding
for the reinsurer, the district court held that the facultative certificate was the only contract between the parties and because it stated
that the reinsurance term ended at the expiration of the 1980 policy, the reinsurer did not reinsure the later policies. In affirming, the
First Circuit held that the cedent, as the party seeking coverage, was unable to prove that the reinsurer agreed to reinsure the 1981
and 1982 policies, finding there was no evidence that the reinsurer agreed to provide reinsurance beyond the term of the 1980
policy. In making its decision, the court also examined evidence regarding the flow of premium payments during the three-year period
in question and found support for the argument that the reinsurer terminated the relationship at the conclusion of the 1980 policy
period.




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The second case addressing extrinsic evidence in contract interpretation, Munich Reinsurance Am., Inc. v. Am. Nat’l Ins. Co., No.
09:6435, 2012 WL 4475589 (D.N.J. Sept. 28, 2012), was a complicated retrocessional dispute. The district court granted in part and
denied in part the retrocedent’s motion for summary judgment and preserved the retrocessionaire’s rescission counterclaim for trial.
The dispute centered on the alleged failure of the retrocessionaire to pay under two retrocessional agreements. The retrocessionaire
alleged various counterclaims and sought rescission based on misrepresentations it uncovered during discovery. One issue the court
ruled on was construction of the retention provision of the retrocessional contract. The retrocedent claimed that the retention provision
triggered the retrocedent’s obligation when both the retrocedent and the underlying ceded paid a cumulative total of $500,000 on
each loss occurrence. The retrocessionaire claimed that the underlying cedent’ payments did not count toward ultimate net loss. The
court found that the contract language was only susceptible to one reasonable interpretation and that extrinsic evidence supported
that same conclusion.

In the third case, a Florida state appellate court reversed a trial court’s ruling on interpretation of a reinsurance contract and criticized
the lower court for failing to consider extrinsic evidence in making its determination. In Kiln PLC v. Advantage Gen Ins. Co., 80 So. 3d
429 (Fla. Dist. Ct. App. 2012), a Florida state appellate court continued the trend of not construing a reinsurance contract against
the drafting party. The appellate court reversed summary judgment issued in favor of the cedent and remanded the case to examine
extrinsic evidence of whether coverage was available under an ambiguous provision of a reinsurance contract. The dispute was
whether the reinsurance contract covered claims arising from non-employee airline passengers. The clause at issue stated that the
reinsurance coverage was for claims paid by the cedent for the death or injury of an airline passenger up to $300,000 for any one
person not exceeding 10 times their annual salary. In reversing the trial court, the appellate court held that the reinsurance contract
was ambiguous as to whether non-employees were covered and that the trial court should have considered extrinsic evidence instead
of construing the contract against the reinsurers as the drafter. Because of the unique and highly specialized nature of the reinsurance
(the court actually said insurance), extrinsic evidence should be used to help resolve the ambiguity.

In a fourth case, Trenwick Am. Reinsurance Corp. v. W.R. Berkley Corp., 54 A.3d 209 (Conn. App. Ct. 2012), the Connecticut Court
of Appeals affirmed a trial court judgment holding that an agreement between the reinsurer and the cedent commuted their prior
reinsurance contract. The commutation agreement terminated all prior “reinsurance agreements” between the parties. Despite the
commutation agreement, the parties continued exchanging reinsurance payments for premiums under the commuted reinsurance
contract for four years. Then, the reinsurer terminated payments and filed suit seeking restitution for the amounts unnecessarily paid
to the cedent. The cedent argued that the commutation agreement should be reformed because the parties were mistaken as to
whether the original reinsurance contract was commuted. The court refused to reform the contract because the parties agreed to an
unambiguous commutation agreement terminating the original reinsurance contract. The court bound the cedent to the commutation
agreement because the cedent’s experienced officer drafted the commutation agreement with the help of counsel, and the clear
language of the agreement terminated all prior reinsurance contracts. Moreover, the commutation agreement was not ambiguous
when, by its terms, it terminated all “reinsurance agreements. The court, however, also affirmed the denial of restitution because both
parties for four years performed their respective obligations under the contract notwithstanding the commutation agreement. Because
there was no evidentiary foundation for a court to have determined that one party had been unjustly enriched at the expense of the
other, restitution was not appropriate.

Courts in 2012 also addressed issues of contractual interpretation apart from extrinsic evidence. For example, in Women’s Hosp.
Found. v. Nat’l Pub. Fin. Guar. Corp., No. 11-cv-00014, 2012 WL 956622 (M. D. La. Mar. 20, 2012), a Louisiana federal court
upheld the right of a reinsurer to approve a new issuance of debt by the insured. In Women’s Hospital, the cedent bond insurer wrote
insurance for a public hospital’s issuance of bonds to facilitate building renovations. The reinsurer stepped into the shoes of the
cedent for purposes of enforcing the insurance contract with the insured hospital under a reinsurance contract. Thereafter, the insured
sought to obtain additional financing in order to build a new facility. Because the new debt issuance would require an amendment to
the insurance agreement, the insured was required to obtain written consent from the reinsurer prior to issuing the debt. After some
negotiation, the reinsurer withheld its consent to the new issue, and the insured then sued both the cedent and the reinsurer alleging
breach of the insurance agreement. The insured pointed to a “debt test” provision in the insurance agreement whereby the insured
could incur additional debt liabilities without violating certain covenants and without modification to the agreement. The insured




                                                                                                                               Page 14 of 25
argued that, so long as the additional liabilities did not violate these covenants, the reinsurer was obliged to provide its consent. In
essence, the insured argued that the “debt test” provision of the agreement qualified the separate provision requiring the insurer’s
consent to any modification of the agreement. In granting the cedent and the reinsurer’s motion to dismiss the insured’s lawsuit, the
court found the consent provisions plain and unqualified: the insurer was free to withhold its consent to any modifications to the
insurance agreement even though the proposed debt issuance would not violate the “debt test,” which concerned certain transactions
that would not require modification to the insurance agreement, and which was not the case for the new debt at issue. Importantly,
the court observed that consent provisions of this kind are designed to provide the insurer with some degree of control over the
relationship between the parties, and the reinsurer rightfully exercised that control in this case. This control provides some mechanism
by which the insurer can limit the ability of the insured to take on additional debt, thereby increasing the risk of default on the prior
insured bonds.

Finally, one court held that terms that were not defined in the reinsurance contract would take their meaning from the underlying
insurance policies. In Ace Prop. & Cas. Ins. Co. v. R&Q Reinsurance Co., No. 02290, 2012 Phila. Ct. Com. Pl. LEXIS 128 (May 15,
2012), a Pennsylvania state court granted a cedent’s motion for summary judgment against its reinsurer and predecessor companies,
and decided the contract interpretation issue in the cedent’s favor. The dispute focused on the meaning of the terms “loss” and
“expense” in multiple facultative reinsurance certificates issued by the reinsurer. The court accepted the cedent’s position that the
definitions should be taken from the definition of “ultimate net loss” in the underlying insurance policies. The facultative certificates
provided that the liability of the reinsurer followed that of the cedent, being subject in all respects to the terms and conditions of the
cedent’s policies, except as otherwise provided. The cedent purchased facultative reinsurance on four underlying insurance policies in
which the insured was sued by claimants alleging asbestos bodily injuries. When the claims settled, the cedent submitted proofs of
loss, but the reinsurer did not pay them, claiming instead that the cedent miscalculated its attachment point by combining indemnity
and expenses. The court noted that the parties checked the “excess of loss” box on the facultative certificates, and not “contributing
excess” or “non-concurrent,” and ruled that, because loss was not defined in the facultative certificates, the definition carried over
from the underlying policies. The court agreed with the reinsurer’s position, however, that the terms “loss,” “expense,” and “damage”
would be determined by the facultative certificates and not the underlying policies if the facultative certificates were “non-concurrent”
instead of “excess of loss.” Accordingly, the court ruled that the broad “ultimate net loss” definition in the underlying insurance policies
should prevail, and that the term “loss” included defense and expenses in addition to indemnity. The court held the cedent was correct
in combining indemnity and defense costs to reach its attachment point.

FOLLOW-THE-FORTUNES AND FOLLOW-THE-SETTLEMENTS CLAUSES
In 2012, courts continued to recognize the viability of follow-the-fortunes and follow-the-settlements clauses. In United States Fid.
& Guar. Co. v. Am. Re-Ins. Co., 939 N.Y.S.2d 307 (1st Dep’t 2012), aff’d as modified, 2013 WL 451666 (N.Y. Feb. 7, 2013), a New
York appellate court affirmed summary judgment in favor of the cedent and against the reinsurers upholding the cedent’s allocation
of asbestos losses to its reinsurance contract on follow-the-fortunes grounds. In 2013, the New York Court of Appeals modified the
Appellate Division’s judgment, reversed the finding of summary judgment for the cedent on two grounds, and remanded the case for
trial. This analysis focuses on the since modified Appellate Division determination.

Following a settlement of underlying asbestos losses, the cedent billed its reinsurers for a share of the settlement. The billings
allocated the settlement to the 1959 policy year and all the reinsurance claims to the 1959 treaty year. The reinsurers resisted
based on a different understanding of the cedent’s retention under the reinsurance agreements and that the cedent’s bad faith
claim exposure was being ceded when that exposure was not covered. Litigation commenced, and the cedent’s motion for summary
judgment was granted, while the reinsurers’ was denied. On appeal, the reinsurers contended that the cedent acted in bad faith
from its initial denial of its duty to defend and indemnify to its reinsurance presentation, breaching its duty of utmost good faith. The
appellate court affirmed, with one justice dissenting, distilling the dispute down to a question of fact concerning the increase of the
cedent’s retention in the excess-of-loss reinsurance agreements, and a question of law concerning the application of the follow-the-
fortunes doctrine. On the follow-the-fortunes point, the majority agreed that the follow-the-fortunes doctrine required the reinsurers to




                                                                                                                              Page 15 of 25
accept the cedent’s reinsurance presentation. The court stated that all of the reinsurers’ arguments on bad faith, allocation, valuation,
changes to the loss presentation, were all efforts to second guess the cedent’s decisions and barred by the follow-the-fortunes
doctrine. Even if considered on the merits, the reinsurers’ complaints would not excuse the reinsurers from their obligations. This
finding, as discussed above, was reversed by the New York Court of Appeals in February 2013.

Similarly, in Arrowood Indemn. Co. v. Assurecare Corp., No. 11 CV 5206, 2012 WL 4340699 (N.D. Ill. Sept. 19, 2012), an Illinois
federal court granted summary judgment to a cedent against its reinsurer in a dispute over settlement of a coverage declaratory
judgment action following settlement of an underlying wrongful death action. The reinsurer provided a 100 percent quota share treaty
covering the first $250,000 of net liability, plus a proportion of loss adjustment expenses. After settlement, the reinsurer paid the
underlying loss, but the insured brought a coverage action against the cedent claiming that more of the underlying settlement should
have been covered. The cedent settled the coverage action and billed the reinsurer for its share of the settlement plus expenses. In
granting summary judgment to the cedent, the court, under Connecticut law, construed the loss settlements, follow-the-settlements,
and follow-the-fortunes clauses and found for the cedent. The treaty required that all loss settlements by the cedent by way of
compromise confer liability on the reinsurer. Because there was no evidence of bad faith by the cedent, the court held that the
settlement was covered under the treaty. The reinsurer argued that a portion of the settlement that was allocated to the insured’s bad
faith claim was not covered, but the court found that it was arguably covered, pointing to the treaty’s ECO clause.

LATE NOTICE
Although late notice cases are infrequent, 2012 featured some notable decisions, highlighting the implications of choice-of-law and
state-law differences on the requirement of a show of prejudice. For instance, in Pacific Employers Ins. Co. v. Global Reinsurance Corp.
of Am., 693 F.3d 417 (3d Cir. 2012), the Third Circuit reversed a lower court decision and ruled that a reinsurer had no obligation to
indemnify its cedent for certain asbestos-related losses due to late-notice of loss given by the reinsured.

The reinsurance certificate required that “[a]s a condition precedent, [the cedent] shall promptly provide the Reinsurer with a
definitive statement of loss on any loss or occurrence.” The cedent had received initial notice of the claim in April 2001 and the
underlying loss reached the excess layer by 2004. The broker, however, failed to keep the reinsurer advised about the claim despite
repeated requests by the reinsurer, and ultimately the reinsurer denied coverage and asserted a late notice defense. The district court
found that the reinsurance certificate unambiguously required the cedent to provide a definitive statement of loss promptly after the
initial claim from the underlying insured and that the definitive statement of loss was a condition precedent to recovery. The certificate,
however, failed to include an explicit choice of law provision. This issue was critical because although New York law on late notice
generally requires a showing of prejudice, there is an exception where the reinsurance contract has an explicit condition precedent
notice requirement, as was the case here. Under Pennsylvania law, however, prejudice was arguably a requirement for succeeding on a
late notice defense. The district court applied Pennsylvania law and concluded that the reinsurer had failed to allege facts supporting
a finding of prejudice.

On appeal, the Third Circuit reversed. The Third Circuit determined that, contrary to the district court’s conclusion, New York law applied.
At the time the agreement was signed in 1980, the reinsurer was located in New York and the cedent was located in California. The
only connection to Pennsylvania was that the cedent had become a Pennsylvania company in 1999. Although not easily ascertainable
because the minimal negotiations of the certificate occurred via telex, the court ultimately determined that the place of contract
formation was New York. Based on the totality of the circumstances at the time of contracting, where a New York reinsurer accepted,
in New York, the terms and conditions of an agreement with a California company, there was no reason to believe the parties had any
expectation that Pennsylvania law would apply. The Third Circuit thus ruled that New York law applied and that the reinsurer was not
required to show prejudice in order to deny coverage.

A federal magistrate judge in a New York federal court also ruled on the issue of late notice in AIU Ins. Co. v. TIG Ins. Co., No. 07 Civ.
7052 (S.D.N.Y. Aug. 16, 2012). In a long-standing dispute over whether facultative certificates are required to respond to asbestos




                                                                                                                               Page 16 of 25
loss notices claimed to be late by the reinsurer, the magistrate judge recommended that the reinsurer’s renewed motion for summary
judgment be granted. The dispute involved a series of umbrella policies issued by the cedent to cover the insured’s excess liabilities.
The cedent reinsured its exposure through a series of facultative certificates. Each of the facultative certificates stated that “prompt
notice shall be given to the Reinsurer by the Company of any occurrence or accident which appears likely to involve this reinsurance.”

In 2001, a series of declaratory judgment actions and third-party actions were commenced over various insurers’ obligations on
asbestos bodily-injury claims brought against the insured. In 2006, the cedent settled with the insured and began making payments
under the settlement agreement. In 2007, the cedent sought recovery under the facultative certificates for the settlement payments.
The reinsurer rejected the cession based on the prompt notice provision of the certificates.

In finding for the reinsurer, the magistrate judge first found that Illinois law, not New York law, applied to the certificates, which meant
that the reinsurer was not required to show prejudice from the late notice. After determining that Illinois law governed, the magistrate
judge addressed the prejudice issue and found that, under Illinois law, prompt notice is a prerequisite to coverage under the
certificates. The magistrate judge also found that there were no questions of fact as to whether the reinsurer had actual notice of the
underlying claim and recommended summary judgment be granted to the reinsurer.

JURISDICTION AND VENUE
In 2012, several courts faced the challenge of whether a foreign reinsurer is subject to the personal jurisdiction of U.S. courts and
consistently held that contracting with a cedent who conducts business in a particular forum is insufficient for an insured to hale a
reinsurer into a court in that jurisdiction. In Schultz v. Ability Ins. Co., No. C11-1020, 2012 WL 4794365 (N.D. Iowa Oct. 9, 2012), a
policyholder brought claims in Iowa federal court against Bermuda-based reinsurance companies affiliated with the insurer relating
to long term care benefits. The Bermuda companies (and others) filed a motion for judgment on the pleadings. In addressing whether
the court had personal jurisdiction over the Bermuda companies, the court found that there were no direct contacts with Iowa, no
offices or employees in Iowa, and the companies did not conduct business in Iowa. Although the policyholder pointed out that nearly
75 percent of the insurer’s risk was reinsured in Bermuda, the court held that the policyholder failed to show that the insurer was the
alter ego of the Bermuda companies or acted as their agent. The court stated that “[w]hile one can question the wisdom of regulators
permitting [the insurer] to purchase reinsurance from a member of the same corporate family, it does not render the contractual
relationship a ‘sham’ or otherwise make [the Bermuda companies] susceptible to suit in Iowa.” Piercing the corporate veil and
proving an alter ego corporate theory is very difficult as this case shows. Further, this case also points out to Bermuda and other
off-shore affiliates of U.S. companies that keeping corporate separateness and observing all the appropriate regulatory and corporate
governance compliance rules is crucial to avoid being haled into court.

A similar case in California also dealt with a Bermuda-based reinsurer, with similar results. In Hollander v. XL Ins. (Bermuda) Ltd.,
No. B230807, 2012 WL 4748956 (Cal. Ct. App. Oct. 5, 2012), a California appeals court affirmed a trial court’s order quashing
service of a summons and complaint for lack of personal jurisdiction against a Bermuda insurer. The Bermuda insurer made a special
appearance and moved to quash because it did not issue the policies in issue, did not do business in California, and its small
number of insureds in California did not subject it to jurisdiction. The policyholder argued that the Bermuda insurer did substantial
business in California and was party to a quota share reinsurance agreement that resulted in the Bermuda company’s sharing in
California risks. In affirming the trial court, the appellate court held that the minimal California policyholders the insurer had, and its
participation in the reinsurance agreement, were too de minimis to confer jurisdiction. The court also rejected any alter ego theory.

The climate is a bit different for foreign reinsurers who choose to bring suit in the U.S. In ABA Capital Mkts. Corp. v. Provincial De
Reaseguros C.A., 101 So. 3d 385 (Fla. Dist. Ct. App. 2012), a Florida state appellate court affirmed the lower court’s order permitting
a Venezuelan reinsurer to avail itself of the forum of its choice. The foreign reinsurer entered into a transaction with an entity
incorporated in the British Virgin Islands (“BVI Entity”). The transaction involved a bond swap and off-shore investments in U.S. dollars.
When the BVI Entity refused to return the bonds or transfer them to a designated custodian, the reinsurer filed suit in Florida state




                                                                                                                                Page 17 of 25
court. The BVI Entity moved to dismiss the complaint for forum non conveniens, arguing that Venezuela was the more appropriate
forum. On appeal, the court applied a four-part analysis, reviewing 1) whether an adequate alternative forum exists; 2) relevant
factors of private interest; 3) factors of public interest, where private interests are in balance or near equipoise; and 4) if the plaintiff
could reinstate its suit in the alternative forum without undue inconvenience or prejudice. After noting that Venezuela was a suitable
alternative forum, the appellate court turned to private interests. Although acknowledging that a plaintiff’s choice of forum is generally
respected, the court stated that a plaintiff’s choice “is given less deference when the plaintiff is not a resident of the forum state, or
has little bona fide connection to that state.” The court found, however, that the main witness and president of the BVI Entity resided
in Miami, the BVI Entity held the bonds in Miami and maintained bank accounts there, other witnesses had traveled from Venezuela
to Miami and were able to continue to do so, and all key documents had been translated from Spanish to English. Ultimately, the
court held that although the Venezuelan reinsurer was “entitled to less deference” than a plaintiff who resided in Florida, the lower
court correctly denied the BVI Entity’s motion to dismiss. Finding that the second factor of its analysis was not met, the court did not
address the remaining factors.

Courts typically uphold contractual forum selection clauses, and forum selection for an arbitration arising out of a reinsurance dispute
is no exception. In Employers Ins. Co. of Wausau v. Arrowood Indemn. Co., Nos. 12-cv-283-bbc, 12-cv-284-bbc, 12-cv-285-bbc, 2012
WL 5306152 (W.D. Wis. Oct. 26, 2012), the parties could not agree on the method for selecting arbitration panels in disputes arising
from a series of reinsurance contracts. The cedent argued that venue was not proper in Wisconsin because the contracts all had New
York forum selection clauses in their arbitration provisions. In transferring the cases to New York, the court agreed with the cedent and
found that the forum selection clause was mandatory and must be enforced under Section 4 of the FAA. The court rejected arguments
that FAA Section 5’s appointment of the arbitrator or umpire provisions, which are not affected by venue, would require the case to
stay in Wisconsin.

CHOICE OF LAW
An Illinois state court held that a contractual provision for choice of law in arbitration has no bearing on a choice of law determination
outside of the arbitration context. In Amerisure Mut. Ins. Co. v. Global Reinsurance Corp. of Am., No. 10 L 012665 (Ill. Cir. Ct. Nov.
7, 2012), the court dismissed a cedent’s complaint seeking attorney fees for a reinsurer’s alleged unreasonable failure to settle a
claim. The cedent submitted a claim to the reinsurer, which the reinsurer refused to pay. Under an arbitration clause in the reinsurance
contract, the parties commenced arbitration in Illinois and applied Illinois law. Following the arbitration, the cedent filed suit seeking
attorney fees under state law after an appeals court ruled that the arbitration panel exceeded its authority in awarding attorney
fees, and the lower court erred in confirming that award. The court dismissed the cedent’s complaint because under a choice of law
analysis, New York law, not Illinois law, applied, and New York law does not provide for attorney fees when an insurer fails to settle
a claim. The reinsurance contract did not have a choice-of-law clause applicable to litigation. The only choice-of-law clause in the
reinsurance contract governed the applicable law in arbitration. As a result, the court applied a two-step choice of law analysis. First,
the outcomes would differ if New York or Illinois law applied because only the Illinois Insurance Code, and not New York law, provides
for attorney fees when a reinsurer unreasonably fails to settle a claim. Second, New York had more significant contacts because the
reinsurer was a New York company, and the place of performance and last act under the reinsurance contract was either in New York
or Michigan. The court found that the Illinois contacts were that the cedent had an Illinois attorney and the arbitration took place in
Illinois. Despite Illinois’ interest in discouraging alleged unreasonable conduct by insurers, the court held that New York had the most
significant contacts and that New York law applied. As such, under New York law, the cedent could not recover attorney fees from the
reinsurer.

ANTITRUST
In 2012, New York’s highest court dismissed a state law antitrust claim against Equitas. In its decision in Global Reinsurance Corp. - U.
S. Branch v. Equitas Ltd., 969 N. E. 2d 187 (N. Y. 2012), the New York Court of Appeals held that New York’s antitrust law, known as the
Donnelly Act, Gen. Bus. Law § 340, could not be used to assert claims by a New York branch of a German reinsurer against Equitas.




                                                                                                                                Page 18 of 25
The underlying dispute involved retrocessional claims issues and the requirements that Equitas put in place to document and examine
claims prior to paying retrocessional claims. The retrocedent commenced arbitration against Equitas under various reinsurance
agreements, but also brought this action under the Donnelly Act claiming that Equitas’ claims handling practices amounted to a
suppression of competition in the marketplace.

In reversing the intermediate appellate court’s reinstatement of the complaint, the Court of Appeals reinstated the motion court’s order
dismissing the complaint. Although the substance of the case is not a reinsurance issue, for reinsurers interested in state law antitrust
issues, this is an opinion worth noting.

DISQUALIFICATION OF COUNSEL
As we observed in last year’s reinsurance review, 2011 was marked by a notable amount of litigation over the disqualification of
counsel. At that time, it appeared that disqualification of counsel was one of the few areas of authority courts were not willing to cede
to arbitration panels. Litigation in this area continued in 2012.

In Certain Underwriters at Lloyd’s, London v. Sidley Austin, LLP, No. 10-4663-BLS2 (Sup. Ct. Mass. Mar. 5, 2012), a Massachusetts
state court dismissed an action to disqualify counsel. There, the cedent in a reinsurance dispute with Lloyd’s over asbestos losses
hired a law firm that had allegedly contemporaneously represented Lloyd’s in an appeal of an injunction proceeding in another matter
in which Lloyd’s underwrote a direct insurance policy. Complicating things further was the potential involvement of Equitas and its
claims management service company in the U.S. Essentially, the claims management service hired the law firm on the direct matter
on appeal, while the cedent had hired the law firm on the reinsurance dispute arising out of a reinsurance contract. In denying the
application to disqualify counsel, the court found that there was a conflict caused by the concurrent representation of the cedent in
a reinsurance claim against Equitas and Lloyd’s and Equitas in the appeal. The court also found that the conflict was disclosed to
the cedent and obtained the cedent’s waiver of the conflict. In addition, the court found that the conflict was adequately disclosed to
Lloyd’s/Equitas and that a binding valid waiver was obtained.

Not all courts, however, accepted the opportunity to substantively rule upon the issue of disqualification of counsel. In Utica Mut.
Ins. Co. v. INA Reinsurance Co., 468 Fed. Appx. 37 (2d Cir. 2012) (Summary Order Without Precedential Effect), the Second Circuit
affirmed the appeal of a denial to disqualify. There, the cedent appealed the denial of its motion to disqualify a firm as counsel for
the reinsurer, along with various related discovery issues. The Second Circuit held that the district court had not abused its discretion
in denying cedent’s motion to disqualify the reinsurer’s counsel, but because they had not been raised at the trial court level, the
court took no substantive position on the two bases for disqualification raised on appeal: first, whether the district court should have
applied New York law due to the matter having been removed from New York state court; and second, whether an ethical wall could be
sufficient to rebut the presumption of disqualification of a law firm where the conflicted attorney possesses material information about
a former client. Because the reinsurer voluntarily accepted the district court’s discovery prophylaxis, the Second Circuit determined
that this issue was irrelevant to the disqualification motion.

In Nat’l Cas. Co. v. Utica Mut. Ins. Co., No. 12-cv-657-bbc, 2012 WL 6190084 (W.D. Wisc. Dec. 12, 2012), a Wisconsin federal court
also declined to substantively rule on the question of counsel disqualification. It had found that no basis for federal subject matter
jurisdiction existed, and instead remanded the issue to state court.

In this case, the cedent’s counsel had served as defense counsel in the underlying coverage dispute. The reinsurer claimed that this
caused a conflict of interest, because counsel represented both the reinsurer’s and the cedent’s interests in the coverage litigation.
When the cedent refused to replace its counsel, the reinsurer filed this action to disqualify counsel in state court, which the cedent
removed to federal court. The Wisconsin federal court ultimately remanded the action back to state court after finding that the cedent
had not shown that federal subject matter jurisdiction was present. Although the amount in controversy was eventually identified and
exceeded $75,000, the court had an issue concerning whether the amount in controversy in the arbitration was the proper measure




                                                                                                                            Page 19 of 25
for the disqualification action as the object of the disqualification litigation was not compelling arbitration or confirming an arbitration
award. The court remanded essentially because it would not adopt the stakes in arbitration as the measure for subject matter
jurisdictional purposes.


DISCOVERY
In three cases in 2012, federal courts required the disclosure of reinsurance materials in discovery, emphasizing the broad scope
of discovery and the need to produce relevant materials. First, in Granite State Ins. Co. v. Clearwater Ins. Co., No. 09 Civ. 10607
(RKE), 2012 WL 1520851 (S.D.N.Y. Apr. 30, 2012), a reinsurance dispute over the cession of asbestos losses, the reinsurer
sought production of reserve information as evidence that the cedent failed to implement reasonable and adequate practices and
procedures in reporting claims information to the reinsurer. A New York federal court affirmed the magistrate judge’s order requiring
the cedent to produce the requested information. In affirming the order, the district court rejected the cedent’s contention that the law
in the Second Circuit on late notice and bad faith precluded this discovery once it was undisputed that the cedent had a practice or
policy in place. The court noted the broad scope of discovery permitted under the Federal Rules of Civil Procedure and determined
that the reserve information was directly relevant to the reinsurer’s defense. The court also stated that the evidence was not only
relevant to whether the cedent acted in good faith, but whether notice was actually sent to the reinsurer. The court, however, did allow
for a protective order to secure proprietary information.

Similarly, in Isilon Sys. Inc. v. Twin City Fire Ins. Co., No. C10-1392MJP, 2012 WL 503852 (W. D. Wash. Feb. 15, 2012), a Washington
federal court partially granted an insured’s motion to compel discovery of reinsurance information withheld by its insurer. In this
insurance coverage action, the insured sought, among other things, the insurer’s reinsurance contracts and its communications
concerning the reinsurance contract. The insurer argued that reinsurance information was not discoverable because there is no bad
faith claim being made. The court found that while reinsurance contracts are discoverable and do not require a showing of relevancy,
the insurer does not have to produce other reinsurance information unless the insured established its relevancy. The court further
ordered the insurer to provide a more complete description of redacted information and documents withheld related to reinsurance.
The court held that the justifications for withholding information were insufficient to “address the validity of the claimed privilege,” and
ordered the insurer to provide a more complete description of redactions and withholdings related to reinsurance.

Finally, in Fireman’s Fund Ins. Co. v. Great Am. Ins. Co. of N.Y., 284 F.R.D. 132 (S.D.N.Y. 2012), an insurance coverage suit involving
a dispute over the production of reinsurance documents arising out of the sinking and salvage of a dry dock, the court granted the
insured’s motion to compel the cedent to produce the file of its reinsurer, as well as other communications or documents maintained
on the reinsurance contracts, including communications related to the cedent’s procurement of, and claims made on, its reinsurance
contract for the dry dock loss. The insured initially subpoenaed the reinsurer directly, but after the cedent objected on the ground that
the information was protected by the common-interest doctrine, the reinsurer turned the file over to the cedent to handle the dispute.
The cedent objected to the insured’s reinsurance information requests on the grounds of relevance and the common-interest doctrine.

As to relevancy, the court noted the federal rules provide that a party is entitled to discovery on “any non-privileged matter that is
relevant to any party’s claim or defense.” In finding that the information was relevant, the court noted that although “case law is
sparse within the Second Circuit” concerning the discoverability of reinsurance information, “the few cases to consider the issue have
determined that reinsurance information is indeed discoverable.” Based upon these cases, the broad scope of the federal discovery
rule, and that the cedent’s cross-claim asserting fraud put what the cedent told its reinsurer about the age and condition of the dry
dock in issue, the court held that the cedent’s position that reinsurance documents are generally irrelevant was insufficient to withhold
the documents, including information on loss reserves. Moreover, the court held that more recent cases on reserve information have
held that document requests seeking reserve information should be evaluated on a case-by-case basis because both, the reserve
amounts and changes to reserves, could possibly lead to admissible evidence relating to the insurer’s own beliefs about coverage,
liability, and the good faith handling of the claim.




                                                                                                                               Page 20 of 25
The court also addressed the common-interest privilege, stating that the doctrine is an exception to the general rule that voluntary
disclosure of confidential privileged material to a third-party waives any applicable privilege. While the doctrine protects the free flow
of information from client to attorney whenever multiple clients share a common interest about a legal matter, the court cautioned
that the doctrine was not an independent source of privilege or confidentiality and will not apply if a communication is not protected
by the attorney-client privilege or the attorney work-product doctrine.

The court emphasized that the parties must establish a “common legal, rather than commercial interest,” and it is key that the nature
of the interest be identical, not similar. Here, the court noted, the evidence showed that the cedent and its reinsurer did not share
an identical legal interest that would entitle the cedent to withhold documents that it produced to its reinsurer. Moreover, the court
found that the cedent had not proven or even argued that it disclosed otherwise privileged materials to its reinsurer in the course of
formulating a common legal strategy, or for the purpose of obtaining legal advice from the reinsurer. Nor had it presented evidence
about the legal necessity of exchanging otherwise protected information. Therefore, to the extent that the cedent shared otherwise
privileged information with its reinsurer, the court ruled any privilege applying to the documents has been waived because the cedent
failed to establish that it shared a common legal interest with its reinsurer.

MCCARRAN-FERGUSON ACT
Though the McCarran-Ferguson Act did not receive significant treatment from the courts in 2011, the United States Court of Appeals
for the Fourth Circuit weighed in on the Act in the past year. In ESAB Group, Inc. v. Zurich Ins. PLC, 685 F.3d 376 (4th Cir. 2012), the
Fourth Circuit affirmed an order compelling arbitration, as it held that the McCarran-Ferguson Act did not apply.

In this non-reinsurance case, the Fourth Circuit affirmed the district court’s exercise of subject-matter jurisdiction and order to compel
arbitration. The appeal presented the question of whether the McCarran-Ferguson Act applies such that state law can reverse preempt
federal law and invalidate a foreign arbitration agreement. The dispute stemmed from a state court action brought by the insured
challenging the insurer’s refusal to defend and indemnify the insured in products liability actions. The policies issued to the insured
contained arbitration clauses requiring any disputes to take place in Sweden. The district court, adopting the reasoning of the Fifth
Circuit, held that because the McCarran-Ferguson Act limits its scope to federal statutes, and the New York Convention, not Chapter 2
of the FAA, directs courts to enforce international arbitration agreements, the McCarran-Ferguson Act could not disrupt the application
of traditional preemption rules.

In affirming the district court’s order, the Fourth Circuit held that the scope of the McCarran-Ferguson Act is limited to domestic
legislation and therefore does not encompass Chapter 2 of the FAA because Chapter 2 implements the legislation of a treaty. The
court stated that Congress did not intend the McCarran-Ferguson Act to “delegate to states the authority to abrogate international
agreements that this country has entered into and rendered judicially enforceable.” In so finding, the Fourth Circuit upheld the district
court’s order to compel arbitration in Sweden on the basis that state law invalidating arbitration agreements in insurance policies did
not apply.

INTERMEDIARIES
In Olympus Ins. Co. v. AON Benfield, Inc., No. 11-cv-2607(PJS/AJB), 2012 WL 1072334 (D. Minn. Mar. 30, 2012), a Minnesota
federal court granted a motion to dismiss in favor of a reinsurance intermediary against a cedent. The dispute centered on the
intermediary’s alleged failure to pay the cedent an annual fee, which was defined in the reinsurance brokerage agreement as a type
of rebate due at the end of the fiscal year calculated as a percentage of the commissions that the intermediary received during the
year from the cedent’s reinsurers. The brokerage agreement also provided a “forfeiture provision,” which eliminated the need of the
intermediary to pay the annual fee “subsequent to any decision by [cedent] to terminate or replace [intermediary] as its reinsurance
intermediary-broker . . . .” The cedent appointed a new intermediary on February 17, 2009, to take effect on June 1, 2009, which was




                                                                                                                              Page 21 of 25
March 2013 Reinsurance Newsletter
March 2013 Reinsurance Newsletter
March 2013 Reinsurance Newsletter
March 2013 Reinsurance Newsletter

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March 2013 Reinsurance Newsletter

  • 1. REINSURANCE NEWSLETTER March 2013 RECENT CASE SUMMARIES New York Court of Appeals Reverses Summary Judgment on Follow-the-Settlements Case U.S. Fid. & Guar. Co. v. Am. Re-Ins. Co., 2013 WL 451666 (N.Y. Feb. 7, 2013). In a closely watched asbestos settlement allocation case, the New York Court of Appeals has modified the order of the intermediate appellate court to deny summary judgment to the cedent based on two issues of fact raised to challenge the reasonableness of the cedent’s settlement allocation. The court affirmed the judgment rejecting the other defenses to payment raised by the reinsurers. This case involved asbestos claims arising out of policies issued in the 1950s and 1960s to a distributor of asbestos products. The underlying policies were also not “occurrence” based policies, but were the old form of “per accident” policies with no aggregate limits. The case is further complicated by corporate acquisitions in the 1960s, which led to questions about whether the cedent’s policies covered the successor company. Those and other issues were litigated in California, including whether the successor corporation succeeded to the insurance issued by the cedent to the original insured. Meanwhile, claims came pouring in, resulting in default judgments after the cedent and other insurers refused to defend and the insured agreed not to oppose the entry of default judgments. In the coverage litigation, the insured had alleged that the cedent’s refusal to defend breached the implied covenant of good faith and fair dealing. The coverage suit settled while trial was in progress and resulted in the insured’s filing for bankruptcy and the creation of an asbestos trust. After the settlement, the cedent billed the excess-of-loss reinsurers who refused to pay. The motion court granted summary judgment to the cedent and the appellate division affirmed with one judge dissenting. This appeal ensued. In modifying the appellate division’s order, the Court of Appeals presented a detailed analysis of the rules governing reinsurance allocation in the context of follow-the-settlements under New York law. It is important to note that the reinsurance contracts here had a following clause binding the reinsurer to pay claims allowed by the cedent. The court’s analysis was premised on the follow-the-settlements clause. The court articulated the well-established rule that a follow-the-settlements clause (like the one here) ordinarily bars challenge by a reinsurer to the ceding company’s decision to settle a case. That rule, said the court, makes sense because there is little risk of unfairness as the parties are typically aligned to pay as low a settlement amount as possible. In this case, the few exceptions to that rule did not apply because the reinsurers did not challenge the cedent’s decision to settle or the amount of the settlement. Here, the dispute was about the settlement allocation to the reinsurers. In discussing the reinsurance allocation, the court accepted that the follow-the-settlements rule raises problems because the interest of the cedent and the reinsurer may often conflict. The court concluded that was the case here,
  • 2. where an allocation of the settlement to losses less than $100,000 would result in no reinsurance recovery, but allocation to losses of $200,000 would result in the reinsurers paying half the cost. Because of this, the reinsurers argued that the cedent’s allocation decision should not bind reinsurers under a follow-the-settlements clause. While finding logic to the reinsurers’ argument, the Court of Appeals nevertheless agreed with the majority of courts and held that a follow-the-settlements clause requires a level of deference to a cedent’s allocation decision. The rationale for this deference was described by the court as providing for a more orderly and predictable resolution of claims. But the court made it clear that deference did not mean that the cedent’s allocation decisions were immune from scrutiny. The decision still had to be in good faith and reasonable. The court stated that “[i]n our view, objective reasonableness should ordinarily determine the validity of an allocation. Reasonableness does not imply disregard of the cedent’s own interests. Cedents are not the fiduciaries of reinsurers, and are not required to put the interests of reinsurers ahead of their own.” The court held that a cedent’s allocation “must be one that the parties to the settlement of the underlying insurance claims might reasonably have arrived at in arm’s length negotiations if the reinsurance did not exist.” The court concluded that the cedent’s motive “should generally be unimportant. When several reasonable allocations are possible, the law, as several courts have recognized, permits a cedent to choose the one most favorable to itself.” But, said the court, “the choice must be a reasonable one, and we also conclude that reasonableness cannot be established merely by showing that the cedent’s allocation for reinsurance purposes is the same as the allocation that the cedent and the insurance claimants actually adopted in settling the underlying insurance claims.” The court rejected the cedent’s argument that if the allocation is the same as the underlying settlement it establishes the validity of the allocation. Instead, the court held that under a follow-the-settlements clause (like the one here), a cedent’s reinsurance allocation of a settlement will be binding on a reinsurer if, “but only if, it is a reasonable allocation, and consistency with the allocation used in settling the underlying claim does not by itself establish reasonableness.” In reversing the summary judgment decision, the Court of Appeals concluded that the reasonableness of the assumptions used in the allocation, that (1) all of the settlement amount was attributable to claims within the limits of the cedent’s policies and none was attributable to the claims against the cedent for bad faith in refusing to defend the insured; and (2) all claims for lung cancer had a $200,000 value, while certain other claims had values of $50,000 or less, presented issues of fact that required a trial. The court pointed to evidence in the record to show that a fact finder could conclude that an allocation giving no value to the bad faith claims was unreasonable and that assigning high values to lung cancer claims instead of allocating some of that value to bad faith or other claims was unreasonable. The court pointed to an underlying settlement demand that included a significant amount for bad faith presented just shortly before settlement and the parties’ arguments to the bankruptcy court to approve the plan partly on the basis that the bad faith claims had significant value. The court concluded that it was impossible to find as a matter of law that parties bargaining at arm’s length, in a situation where reinsurance was absent, could reasonably have given no value to bad faith claims. The Court of Appeals did find that there was no evidence from which a fact finder could infer that allocating all the losses to a single insurance policy was unreasonable. The court discussed California law and the continuous trigger and related rules to support its holding. It also rejected the reinsurers’ argument that the Other Insurance clause precluded allocation to one policy year. Finally, the court rejected the argument concerning an alleged amendment to the retention per loss for the reinsurance contracts. This case provides the latest and certainly one of the more detailed roadmaps for addressing reinsurance allocation determinations under a follow-the-settlements clause. Reasonableness is the catchword, but reasonableness based on the objective standard of what the underlying parties’ to a settlement would consider reasonable if there were no reinsurance. Allocating all of the settlement to claims covered by the cedent’s policies and nothing to the bad faith claims may or may not be reasonable – only a trial and a decision by a fact finder will decide that issue. The ultimate take away here is that the specific facts matter, that a reinsurer will still be bound to a cedent’s good faith and reasonable claims determination, and that a follow-the-settlements clause like the one in this case will bind the reinsurer to an Page 2 of 25
  • 3. objectively reasonable reinsurance allocation decision without regard to the cedent’s motive, as long as it could have been derived from an arm’s length negotiation by the underlying parties as if no reinsurance existed. Second Circuit Holds That Federal Common Law Governs the Interpretation of the Term “Arbitration” M.D. Imad John Bakoss v. Certain Underwriters at Lloyd’s of London, __F3d __, 2013 WL 238708 (2d Cir. Jan. 23, 2013). In an insurance coverage dispute over disability insurance, the Second Circuit has joined the majority of federal circuit courts in holding that the question of whether a clause in a contract provides for arbitration is governed by federal common law in a case that falls under the Federal Arbitration Act (“FAA”) through its application of the Convention on the Recognition and Enforcement of Foreign Arbitral Awards (the “New York Convention”). The case was removed from state court to federal court by the insurer and the insurer obtained summary judgment. On appeal, the insured challenged the basis for federal jurisdiction and summary judgment. In affirming the district court, the Second Circuit examined the contractual provision that the insurer claimed was an arbitration clause and agreed with the motion court. The clause provided that the insured and insurer may each examine the insured by a physician of its choice to determine if the insured was permanently disabled and, in the event of a disagreement between each party’s physician, the two party-appointed physicians “shall [jointly] name a third Physician to make a decision on the matter which shall be final and binding.” The district court applied federal common law to hold that the third-physician clause was an agreement to arbitrate and that the court had subject matter jurisdiction under the FAA via the New York Convention. In holding that federal common law provides the definition of arbitration under the FAA (not state law), the circuit court recognized that unless there is a plain indication to the contrary, a federal act is not dependent on state law and will be interpreted under federal common law. This allows for the creation of a uniform national arbitration policy, as intended by Congress. To apply state law would result in a patchwork of varying interpretations of the FAA, said the court. This case is important because now the Second Circuit has clearly held that questions about whether a clause is an arbitration clause and how it should be interpreted require the application of federal common law, not state law, when the case is governed by the FAA. Minnesota Federal Court Stays Litigation Pending Arbitration Security Life Ins. Co. of Am. v. Southwest Reinsure, Inc., No. 11-1358 (MJD/JJK), 2013 WL 500362 (D. Minn. Feb. 11, 2013). A Minnesota federal court granted motions by the successor to a group of off-shore producer-owned reinsurance companies and their owners to stay an action brought by a cedent pending arbitration of the cedent’s claims against the reinsurers and their owners. This case involves a complex interwoven reinsurance relationship between the cedent and its reinsurers and whether a dispute about what happened to trust funds deposited as security for reinsurance should be heard in arbitration or by the court. The cedent reinsured a portion of its life insurance policies with off-shore producer-owned reinsurers through three reinsurance agreements, each of which had an arbitration clause. The 1994 reinsurance contract provided for arbitration of any disputes arising out of the reinsurance agreement. The 1997 agreements provided for arbitration for any disputes or differences arising under, out of, or in connection with, or in any manner relating to the reinsurance agreements. The cedent also entered into an administration agreement with a subsidiary of the owner of the reinsurers. The cedent considered all of these relationships part of one unified program. Under the reinsurance agreements and for credit for reinsurance purposes, the reinsurers were required to provide security. Originally letters of credit were provided, but in 2005, a trust agreement was entered into. The defendant trustee held the funds for cedent as the beneficiary. The cedent contends that the trust funds were transferred out to another trustee without its knowledge under a new Page 3 of 25
  • 4. trust agreement to which the cedent was not a party. Eventually, the owner of the reinsurers and the administrator withdrew the trust funds for other purposes. The cedent sued the reinsurers, the administrator, the principal and the original trustee. One of the defendants, the administrator, filed a motion to dismiss, which was denied, but did not assert any arbitration rights. After an amended complaint was filed and some discovery was taken, the successor reinsurer, after it was finally served, asked whether the cedent would arbitrate. When the cedent refused to arbitrate, the reinsurer filed a motion to dismiss or in the alternative a motion to stay pending arbitration. In granting the motion to stay pending arbitration, the court discussed the standards for determining arbitrability and the principle that nonsignatories can compel arbitration under certain circumstances. Here, the successor reinsurer was being asked to respond to claims under the reinsurance agreements that contained arbitration clauses. The court agreed that at minimum, equitable estoppel applied to allow the successor reinsurer to enforce the arbitration clause in the agreements. The court found that the arbitration clauses were broad and covered the cedent’s claims against the successor reinsurer. The court rejected the claim that the successor reinsurer waived its right to arbitration and that the cedent was prejudiced by the successor reinsurer’s actions. As to the administrator, there was no arbitration clause in the administration agreement, but because the claims were interrelated and intertwined, and the core of the dispute concerned compliance with the provisions of the reinsurance agreements, the court concluded that the claims against the administrator were subject to arbitration as well. The court also concluded that even though the administrator participated in discovery and did not move to stay pending arbitration until the successor reinsurer was served and made the motion, the administrator had not waived its right to seek arbitration. Finally, the court stayed the action against the trustee because the result of the arbitration had the potential to resolve or narrow the claims against the trustee. The stay was granted to all parties, but the case was not dismissed because of the various non-arbitrable claims alleged in the amended complaint. New York Federal Court Denies Preliminary Injunction on Alleged Use of Confidential Information Utica Mut. Ins. Co. v. INA Reinsurance Co., No. 6:12-CV-00194 (DNH/TWD) (N.D.N.Y. Dec. 14, 2012). In a case arising out of alleged breaches of confidentiality agreements and orders, a New York federal court has accepted the recommendations of a magistrate judge and has denied a cedent’s motion for a preliminary injunction to prevent the further disclosure of confidential information in a pending arbitration. The cedent and the reinsurer entered into a confidentiality agreement for an audit. Subsequent to the audit an arbitration was commenced and the parties entered into further confidentiality agreements as part of the arbitration process. A dispute arose about the completeness of the earlier audit responses and the cedent produced additional documents, including e-mails relevant to the underlying claims. Counsel for the reinsurer printed out the e-mails and reviewed them. Another reinsurer also reinsured the cedent for the same underlying risks. A dispute arose between the cedent and the other reinsurer and a lawsuit alleging breach of the reinsurance certificates was commenced. The same law firm that represented the reinsurer in this case also represented the other reinsurer. The same lawyer was involved in both cases for both reinsurers. Shortly after receiving the complaint in the other reinsurer’s action, the lawyer discussed certain e-mails obtained in the audit and arbitration on behalf of the reinsurer with those working on the other reinsurer’s case. The cedent claimed that disclosure of those e-mails to the other attorneys in the same firm violated the various confidentiality agreements in the arbitration and audit. In denying the preliminary injunction, the court focused on the requirements for a preliminary injunction and found that there was no irreparable harm. Although it was not required, the court did provide its views on the merits of the claim and found that the cedent had shown a likelihood of success on the merits that the disclosures breached the confidentiality Page 4 of 25
  • 5. agreements. Wisconsin Federal Court Remands Arbitration Counsel Disqualification Action to State Court Nat’l Cas. Co. v. Utica Mut. Ins. Co., No. 12-cv-657-bbc, 2012 WL 6190084 (W.D. Wisc. Dec. 12, 2012). The popularity of attorney disqualification applications in reinsurance disputes continues with this dispute venued in Wisconsin. Several reinsurance contracts were entered into, all of which had arbitration provisions. The ceding company and the insured litigated over certain claims presented by the insured and ultimately settled. The cedent billed the reinsurer and the reinsurer questioned its obligation to pay. This dispute arose when the cedent’s counsel demanded arbitration. It turned out that the cedent’s counsel had served as defense counsel in the underlying coverage dispute. The reinsurer claimed that this caused a conflict of interest, because counsel represented both the reinsurer’s and the cedent’s interests in the coverage litigation. When the cedent refused to replace its counsel, the reinsurer filed this action to disqualify counsel in state court, which the cedent removed to federal court. The Wisconsin federal court remanded the action back to state court after finding that the cedent had not shown that federal subject matter jurisdiction was present. The court originally was concerned whether there was diversity of citizenship, but once that was resolved, the court could not get past the amount in dispute. The reinsurer focused on the amount in dispute in the arbitration. But as the court found, the cedent did not identify the amount in dispute in the arbitration or the cost of replacing arbitration counsel. Although the amount in controversy was eventually identified and exceeded $75,000, the court had an issue concerning whether the amount in controversy in the arbitration was the proper measure for the disqualification action as the object of the disqualification litigation was not compelling arbitration or confirming an arbitration award. The court remanded essentially because it would not adopt the stakes in arbitration as the measure for subject matter jurisdictional purposes. Supreme Court of Washington State Holds That State Statute Prohibits Binding Arbitration Agreements in Insurance Contracts State of Washington, Dep’t of Transp. v. James River Ins. Co., 87644-4, 2013 WL 174111 (Wash. Jan. 17, 2013). The Supreme Court of the State of Washington, sitting en banc, unanimously affirmed a trial court’s denial of an insurer’s motion to compel arbitration, reasoning that a Washington State statute rendered an arbitration clause present in an insurance agreement unenforceable. The relevant statute, RCW 48.18.200(1)(b), provides that no insurance contract issued in Washington, and covering risks in that state, may contain a condition “depriving the courts of [Washington] of the jurisdiction of the action against the insurer.” The insurer argued that the statute only prohibited forum selection clauses within insurance contracts that required an action to be brought outside of Washington, and did not disturb an insurer’s ability to compel arbitration. The Supreme Court rejected this argument, stating that the statute was intended to preserve an insured’s right to bring an “original action” in a Washington court, where the court would have jurisdiction over the “substance” of the dispute between the parties. Accordingly, the Supreme Court concluded that the statute “prohibits binding arbitration agreements in insurance contracts.” New York Court Grants Cedent’s Request to Appoint Umpire In re American Home Assurance Co. and Clearwater Ins. Co., No. 653079/12, 2013 N.Y. Misc. LEXIS 103 (N.Y. Sup. Ct. Jan. 15, 2013). A New York state motion court granted a cedent’s petition to appoint an umpire to preside over a series of reinsurance disputes through a combination of the ranking and “strike and draw” methods. The disputes arise out of three reinsurance treaties, one of Page 5 of 25
  • 6. which provided for the appointment of an umpire should the party-appointed arbitrators disagree on resolving the dispute. The cedent sought the appointment of a single umpire from among the three individuals that its party-appointed arbitrator previously proposed. The reinsurer opposed the petition, and requested that an umpire be selected for each arbitration from among its list of three individuals. Each party had appointed its arbitrator, but the party-appointed arbitrators failed to select an umpire as provided in the treaties. In granting the petition in part to appoint an umpire, the court noted that while it was undisputed that the two arbitrators failed to select an umpire, the reinsurer objected to the appointment of a court appointed arbitrator on two grounds. First, the court rejected the argument that the court was not permitted to appoint an arbitrator under New York law, CPLR 7504, because the CPLR was not referenced in the treaties. The court held there was no need for the treaties to refer to the CPLR because a contract generally incorporates the state of law in existence at the time of its formation. The CPLR mechanism for appointment of an arbitrator existed well before the formation of the treaties. Second, the court rejected the argument that CPLR 7504 should not apply because the cedent was to blame for a breakdown in the selection of the umpire. The court rejected this argument because CPLR 7504 provides for the court appointment of an arbitrator “if the agreed method fails or for any reason is not followed...” The court noted that the cedent demonstrated that the parties’ agreed method of appointing the umpire had failed. The court next focused on the selection method for the umpire as neither the reinsurance treaties nor CPLR 7504 set forth any substantive criteria for the appointment of the umpire. The cedent urged the court to appoint the umpire from among the three individuals that its arbitrator proposed, or alternatively, that the court use the ARIAS-US ranking method. The reinsurer urged the court to use the strike and draw method or, alternatively that the court appoint the umpire from among the three individuals it proposed. The court instead adopted Justice Feinman’s approach in Lexington Ins. Co. v. Clearwater Ins. Co., No. 651280/2011 (N.Y. Sup Ct., Jan. 6, 2012), which used the ranking method, but modified it to incorporate aspects of the strike and draw method. But to avoid the possibility of a tie, the court added that the umpire must be drawn by random lot in the event of a tie in the rankings of the umpire or third arbitrator. The arbitration clause in one of the treaties raised the issue of whether the selection of an umpire, before a disagreement among the arbitrators arises at the hearing, is premature because, as the reinsurer contended, the umpire can only be appointed after a dispute arises among the party appointed arbitrators during the hearing. In holding that appointment of the umpire did not have to await a dispute between the arbitrators at the hearing, the court went with the practical approach of choosing the umpire at the outset of the arbitration to avoid the added expense of conducting additional arbitrations should the party-appointed arbitrators disagree. In conclusion, the court ruled that an umpire was to be chosen within 60 days as follows: Each side shall nominate five candidates, and each side may then strike three of the five candidates on the other’s list. Each side shall next rank the remaining candidates in order of preference, and the candidate with the highest cumulative ranking shall be appointed the umpire. In the event of a tie for the highest cumulative ranking, the umpire will be drawn by random lot. Finally, the court cautioned that its order should not be read as consolidating the arbitrations under the three separate treaties simply because the method of appointing the umpire and third arbitrator are the same for all arbitrations. Court intervention in the appointment process can be avoided if arbitration clauses are drafted to address stalemates in the appointment process. In this case, the court adopted a hybrid approach that joined a ranking method with the traditional strike and draw method, including a tie-breaker. Second Circuit Refuses to Extend Reinsurance Late Notice Prejudice Rule to P&I Club Certificate Page 6 of 25
  • 7. Weeks Marine, Inc. v. American Steamship Owners Mut. Protection & Indemn. Ass’n, Inc., No. 11-3774-cv, 2013 WL 377979 (Summary Order) (2d Cir. Feb. 1, 2013). In a summary order involving marine insurance, the Second Circuit Court of Appeals has affirmed a district court’s summary judgment in favor of the insurer and specifically addressed the argument by the insurer on late notice. The insured did not give notice to the insurer until two days after a judgment was obtained in favor of the underlying claimant. The insurer disclaimed based on late notice. The district court found that New York’s “no prejudice” rule applied and granted summary judgment to the insurer. In affirming the district court, the circuit court noted the exception to New York’s “no prejudice” rule in the context of a reinsurance contract. The court declined to extend the reinsurance exception to marine insurance contracts based on the facts of this case. New York Federal Court Denies Motion to Reconsider on Reinsurer Summary Judgment on Most Claims Made by Terminated Managing Agent, But Certifies Order as Final for Appeal Acumen Re Management Corp. v. Gen. Sec. Nat’l Ins. Co., No. 09 Civ. 796 (GBD), 2012 WL 3890128 (S.D.N.Y. Dec. 4, 2012). We reported on this case in our December 2012 Reinsurance Newsletter. The managing agent moved to have the court reconsider its grant of summary judgment. The court denied the motion holding that the managing agent did not raise any controlling decisions or factual matters overlooked by the court. But the court did certify the order granting summary judgment as final to allow for an immediate appeal because summary judgment was granted on four of five grounds supporting the claim and it would be judicially inefficient not to avoid a costly, duplicative trial if the appeal is successful. Ohio Federal Court Transfers Reinsurance Dispute to Florida Certain Underwriters at Lloyd’s, London v. Stonebridge Cas. Ins. Co., No. 2:12-cv-160 (S.D. Ohio Dec. 17, 2012). An Ohio federal court has transferred a reinsurance dispute to Florida, where another related action was pending. The cedent, commencing with its predecessor, underwrote an automobile dealership awards program. Reinsurance for the awards program was obtained via a broker allegedly from a Lloyd’s coverholder in 2004. This process was repeated in 2006 with another Lloyd’s coverholder. The cedent sought to recover under both reinsurance programs. The reinsurers and their agent for the 2006 program commenced an action in Florida for a declaration that they had no liability to the cedent for failure to comply with certain conditions and requirements. The cedent moved to compel arbitration under the 2004 agreement, which was granted by the Florida court. Subsequently, the 2004 reinsurers filed suit in Ohio claiming that they never entered into and had no knowledge of the 2004 agreement. The cedent moved to transfer the Ohio action to Florida where the 2006 action was pending. In granting the motion to transfer, the court found Florida federal court to be convenient because it could have been brought in Florida, neither party had yet requested arbitration as the reinsurers were contesting the contract’s validity, that a substantial part of the events leading up to the litigation took place in Florida, the main witness resided in Florida, and that in the interest of justice transfer to Florida was appropriate. Illinois Federal Court Refuses to Strike a Motion to Dismiss on Foreign Sovereign Immunities Act Grounds Pine Top Receivables of Ill., Inc. v. Banco de Seguros Del Estado, No. 12 C 6357, 2012 WL 6216759 (N.D. Ill. Dec. 13, 2012). Page 7 of 25
  • 8. Doing reinsurance business with non-U.S. reinsurers owned by foreign governments often raises interesting issues of enforcement and collection. In this case, a receiver of an insolvent reinsurer sold and assigned its receivables from a retrocessionaire, an instrumentality of the Republic of Uruguay. The assignee sought to collect payments allegedly due or to compel arbitration. The retrocessionaire filed a motion to dismiss the cause of action to compel arbitration. The assignee moved to strike the motion to dismiss. The court denied the assignee’s motion to strike. In denying the motion to strike the retrocessionaire’s motion to dismiss, the court addressed the assignee’s claim that the motion to dismiss was improper because the retrocessionaire had not paid pre-judgment security as required by state law. The Illinois statute (215 ILCS 5/123) is one of the many pre-answer or pre-judgment security provisions in state insurance laws that require an unauthorized foreign or alien company to post security before it can take any action in court or arbitration. The retrocessionaire argued that the security statute did not apply because the retrocessionaire was an instrumentality of a foreign state and is immune from pre- judgment security under the Foreign Sovereign Immunities Act (“FSIA”) (28 U.S.C. § 1602) and that the assignee lacked standing to make the motion. The court found that the assignee had standing to make the motion. More importantly, however, the court held that the retrocessionaire was immune from pre-judgment security under FSIA. The court rejected the assignee’s argument that the pre- judgment security requirement was not an “attachment” within the definitions of FSIA by looking to the practical effect of the security. The court also found that neither the arbitration clause nor the collateral clause in the relevant contracts resulted in an affirmative waiver of the retrocessionaire’s immunity. Utah Federal Court Denies Reinsurers’ Recovery of Attorney Fees National Indem. Co. v. Nelson, Chipman & Burt, No. 2:07-CV-996 TS, 2013 WL 226881 (D. Utah Jan. 18, 2013). A Utah federal court granted underlying defense counsel’s motion for partial summary judgment against reinsurers, as subrogees of cedent and its insured, denying their right to recover attorney fees, as consequential damages. The cedent incurred attorneys’ fees when it sought reimbursement from its insured for the settlement monies it paid over the policy limits on its behalf in the underlying action. The dispute arose from an underlying litigation brought on behalf of a minor, injured during an adult softball tournament, which resulted in a verdict in excess of $6 million against the insured and other parties. Even after the cedent settled with the minor for a reduction in the award, the settlement was still in excess of the $2 million policy limit, and the insured refused to pay the amount in excess of the limits. The reinsurers, through its cedent, however, paid the full settlement amount. The cedent subsequently sued its insured for reimbursement of the amounts it paid beyond the policy limits. The reimbursement question was certified to the Utah Supreme Court as an issue of first impression. The Supreme Court ruled that there was no extra- contractual right to restitution between an insurer and its insured, and denied reimbursement. The reinsurers, as subrogees of the cedent and the cedent’s insured, next brought malpractice claims against counsel retained by cedent in the underlying action to recover attorney fees as damages under the third-party litigation exception. The third-party litigation exception allows recovery of fees only in the limited situation where defendant’s wrongful conduct foreseeably causes the plaintiff to incur attorney fees through litigation with a third party. Defense counsel subsequently moved for partial summary judgment to deny reinsurers recovery of their attorney fees. In granting defense counsel’s motion, the court held that defense counsel’s actions did not fall within the third-party litigation exception to Utah’s long-standing rule allowing recovery of attorney fees as consequential damages where provided by statute or contract. The court focused on the issue of foreseeability to answer the question of whether the reinsurers could recover as damages Page 8 of 25
  • 9. the attorney fees incurred by the cedent and its insured in determining cedent’s reimbursement rights for the settlement monies paid to the minor. The malpractice claims were based upon tort and contract causes of action. Under the tort allegations, the court held that the third-party litigation exception applies when the foreseeable and natural consequence of one’s negligence is another’s involvement in a dispute with a third party. For the reinsurers to recover attorney fees in tort under the third-party litigation exception, the court stated that it must be reasonably foreseeable that a contemplated loss resulting from counsel’s allegedly negligent acts would be the attorney fees expended in a reimbursement action between cedent and its insured. Moreover, if the loss of attorney fees was foreseeable, the court noted it would also have to infer that some of the other actions were foreseeable, including whether the cedent would settle with the minor for an amount in excess of policy limits, and subsequently bring a coverage action against its insured. Similarly, under the breach of contract allegations, the court noted that in order for the reinsurers to recover attorney fees under the third-party litigation exception, it would have to infer that attorney fees expended in a reimbursement suit were reasonably foreseeable as the natural and usual course of events resulting from a breach of representation contract between an insurer and its retained counsel. The test for reasonable foreseeability was whether it could “. . . fairly and reasonably be said that if the minds of the parties had adverted to breach when the contract was made. . . .” loss of attorney fees would have been within their contemplation. After careful analysis, the court held that no reasonable jury could return a verdict for the reinsurers’ recovery of attorney fees under the third-party litigation exception in either tort or contract causes of action. The court reasoned that the coverage dispute, with its resultant attorney fees, was not the foreseeable natural consequence of counsel’s alleged malpractice. Connecticut Federal Court Grants Cedent’s Motion to Amend Complaint Adding Account Stated and CUPTA Claims The Travelers Indem. Co. v. Excalibur Reinsurance Corp., No. 3:11-CV-1209 (CDH), 2012 WL 424535 (D. Conn. Feb. 1, 2013). A Connecticut federal court granted a cedent’s motion to amend its complaint in a dispute with its reinsurer. The underlying dispute involves insurance brokers’ errors and omissions policies and the settlement of an underlying E&O claim. The reinsurer refused to pay and this action commenced. The cedent’s motion for an amended complaint adds two additional claims beyond breach of contract: account stated and violation of Connecticut’s Unfair Trade Practices Act (“CUTPA”). The reinsurer opposed the motion based on its untimeliness and the legal sufficiency of the additional causes of action. The court, in granting the motion, found no substance to the timeliness objection based on the case being in its early stages. On the sufficiency issue, the court found that the cedent adequately pled a plausible claim for an implied account stated and for violations of CUTPA. The reinsurer also raised the issue of the cedent’s strategy in seeking to amend its complaint to force the reinsurer to post pre-answer security as a basis to deny the motion on bad faith grounds. The court rejected this argument, finding that the pending motion for security did not bear on the cedent’s right to add plausible claims to its complaint as a “proper and professional exercise” to further its legitimate purpose of seeking “to transfer money from a defendant’s pocket into its own.” Texas Appellate Court Concludes that Foreign Country Judgments Assessing Costs against an Insurer Are Enforceable Under Foreign Country Money-Judgments Statute New Hampshire Ins. Co. v. Magellan Reins. Co. Ltd., 02-00334-cv, 2013 WL 105654 (Tex. App. Jan. 10, 2013). Page 9 of 25
  • 10. A Texas intermediary appellate court affirmed a trial court’s denial of an cedent’s motion for nonrecognition of certain foreign country judgments. Following the dismissal of a suit brought by the cedent against a reinsurer in the Turks and Caicos Islands (“TCI”), the reinsurer obtained two “judgments” assessing costs against the cedent. The reinsurer then sought to enforce the judgments in Texas, and the cedent moved for nonrecognition. The cedent contended that the “judgments” were not “judgments on the merits” arising from a cause of action asserted by the reinsurer, because they provided for taxation of costs only. Rejecting this argument, the Texas appellate court held that the Uniform Foreign Country Money-Judgment Act, as implemented in Texas, does not restrict a defendant’s ability to enforce a foreign judgment to only those cases where the defendant has prevailed on its own cause of action. The cedent also asserted that the cost assessments were not “judgments” because they were entered by TCI court personnel other than the TCI justices who ruled on the substantive issues of the cedent’s action. In response, the Texas court observed that under the law of the United Kingdom (relevant because TCI is a British overseas territory), the term “judgment” includes cost assessments, and further cited a number of U.S. cases where “later- determined cost assessments” were recognized as “judgments” under the Uniform Foreign Country Money-Judgment Act. The court, however, cautioned that its ruling was driven by the facts of the case, and its opinion “should not be construed as holding that in every case, a cost assessment from a foreign country court will be enforceable as a judgment.” Finally, the cedent contended that the “loser pays” principle (the “English rule”) is intended to punish unsuccessful litigants, and therefore cost assessments are properly regarded as “penalties,” which are expressly excluded from the definition of “foreign country judgment” under the Act. Rejecting this argument, the court cited authority reasoning that the English rule is designed to compensate a defendant that is forced to defend the suit, rather than penalize the losing plaintiff. Further, the court observed that a judgment is considered “penal” when “its purpose is to punish an offense against the state,” but not when it simply affords a “private remedy” to a wronged party. Accordingly, the court affirmed the trial court’s order denying the cedent’s motion for nonrecognition. RECENT ENGLISH CASE SUMMARIES English High Court Affirms Arbitration Award Finding That World Trade Center Attack Constituted Two Separate Occurrences Aioi Nissay Dowa Ins. Co. Ltd. v. Heraldglen Ltd. and Advent Capital (No. 3) Lts. [2013] EWHC 165 (Comm). The English High Court of Justice, Queen’s Bench Division (Commercial Court) has handed down a decision affirming an arbitral award holding that the September 11, 2001 attack on the World Trade Center arose out of two occurrences rather than one for purposes of applying policy limits and deductibles. The reinsurer issued four excess-of-loss reinsurance agreements to the cedents for all business classified as aviation business. The contracts provided coverage in varying amounts for “each and every loss” in excess of $100,000, with the phrase “each and every loss” defined to mean “each and every loss or accident or occurrence or series thereof arising out of one event.” In the underlying arbitration, the parties disputed whether the two separate planes that crashed into the World Trade Center should be viewed as one occurrence or two. The cedents had settled their inward claims on the basis that the World Trade Center attack consisted of two separate occurrences, a position on which it then based its outward claim to the reinsurer. The arbitration panel based its conclusion that the World Trade Center attack constituted two separate occurrences on the “unities” doctrine, discussed in Kuwait Airways Corp. v. Kuwait Ins. Co. SAK [1996] 1 Lloyd’s Rep 664. Using this doctrine, the arbitrators evaluated the unities as to (1) the circumstances and purposes of the persons responsible for the attack; (2) the cause of the event; Page 10 of 25
  • 11. (3) the timing of the event; and, (4) the location of the event. The arbitrators considered the various aspects of the coordinated attack and concluded that despite the nexus in the origins of the planning of the hijackings, the separate sequence of events that led to the separate loss and damage caused by each hijacked plane constituted two separate occurrences rather than one. The panel viewed this as a “common sense result,” concluding that “an independent objective observer watching each of the hijackings and then death and personal injury on board would have concluded that there were two separate hijackings.” Despite the reinsurer’s attempt to overturn the arbitration award, the court rejected the reinsurer’s challenge to the panel’s findings, concluding that the arbitrators had properly considered the various factors in the unities doctrine. It noted that the arbitrators had considered the fact that the World Trade Center attack originated from one overall terrorism plan, but that this fact alone was not determinative of the outcome of the unities analysis. While acknowledging the common planning and execution of each hijacking, the court did not find fault in the arbitrators’ conclusion that this common plan did not override the conclusion that the two separate hijackings caused separate loss and damage. The arbitration award was therefor left to stand and the appeal dismissed. A Brief Review of Reinsurance Trends in 2012 ARBITRATION Arbitration Awards Federal courts almost uniformly confirmed reinsurance arbitration awards in 2012, continuing the trend of deference to arbitral decisions. Where the motion courts granted motions to vacate, the appellate courts often reversed and confirmed the award. For example, in Scandinavian Reinsurance Co. v. St. Paul Fire & Marine Ins. Co., 688 F.3d 60 (2d Cir. 2012), the Second Circuit Court of Appeals reversed the vacatur of an arbitration award on the basis of evident partiality, holding that the arbitrators’ failure to disclose concurrent participation in another arbitration with related subjects and witnesses was not sufficient evidence of partiality within the meaning of § 10(a)(2) of the Federal Arbitration Act (“FAA”). In so holding, the Second Circuit confirmed the arbitration award and set down a clear test for evident partiality. The Second Circuit ruled that the failure to disclose concurrent service in a similar arbitration is not indicative of evident partiality. Concurrent service, the court said, does not, in itself, suggest a predisposition to rule in any particular way. Because the FAA’s evident-partiality standard is directed to the question of bias, if an undisclosed matter is not suggestive of bias, vacatur based on that nondisclosure cannot be warranted under an evident-partiality theory. The court outlined the factors, while not dispositive, in determining the applicability of the evident-partiality test, which in summary form may be outlined as follows: (1) extent and character of the personal interest; (2) directness of the relationship between the arbitrator and party; (3) the connection of that relationship to the arbitrator; and (4) the proximity in time between the relationship and the arbitration. The court ruled that to determine if a relationship is material, the district court must look to how strongly the relationship tends to indicate the possibility of bias, not how closely the relationship relates to the facts of the arbitration. It is not appropriate, said the court, to vacate an award solely because an arbitrator fails to consistently live up to the arbitrator’s announced standards for disclosure or conform in every instance to the parties’ disclosure expectations. The court found no indication that either arbitrator was predisposed to rule in any particular way in the present arbitration because of the other arbitration and that the nondisclosure by itself did not constitute evident partiality. The key takeaway from this case is that in assessing evident partiality, the relationship (or lack of a relationship) of the nondisclosure to evidence of bias or partiality must exist. It is not a conflict of interest that requires vacatur under the evident partiality standard, but demonstrable evidence of bias against a party. Here, the court found there was none. More typical examples of award confirmations include Century Indem. Co. v. Certain Underwriters at Lloyd’s London, No. 11 Civ. 1040 (RJS), 2012 WL 104773 (S.D.N.Y. Jan. 10, 2012), in which a reinsurance arbitration falling under the Convention on the Recognition and Enforcement of Foreign Arbitral Awards (the “New York Convention”), a New York federal court confirmed both the final arbitration Page 11 of 25
  • 12. award and an interim arbitration award on the posting of letters of credit as security. During the course of the arbitration, the panel ordered certain of the reinsurers to post letters of credit as required under the treaties and later clarified that the letters of credit were not required to be posted for incurred, but not reported, losses. A final award issued setting forth the documentation requirements necessary for asbestos claims and guidelines for reconciling outstanding balances. Both parties sought to confirm the final award and the reinsurer sought to confirm the interim award on the letters of credit requirements within the three-year period allowed by the New York Convention. The court granted both applications, finding no basis to vacate either the final or interim awards under the criteria set forth in the New York Convention. The court noted that an interim ruling from an arbitration panel is sufficiently final if it finally and definitely disposes of a separate and independent claim even though it does not dispose of the entire arbitration. Similarly, in Ace Am. Ins. Co. v. Christiana Ins. LLC, No. 11 Civ. 8862(ALC), 2012 WL 1232972 (S.D.N.Y. Apr. 12, 2012), a New York federal court granted a reinsurer’s petition to confirm an arbitration award. The underlying arbitration concerned property damage and subsequent delay of operations of a commercial facility resulting from a hurricane. The parties were unable to come to an agreement as to the valuation of the losses incurred at the commercial facility for property damage and lost production. As a result, a demand for arbitration and an arbitration agreement were filed. The reinsurer provided $50 million in a claim advance to the cedent assuming that the total claim value would exceed $250 million—with the $50 million payment representing the difference between the purported total claim value and the $200 million deductible. The arbitration panel found that the cedent failed to meet its burden of proof to show that the commercial facility sustained a loss that exceeded $250 million and that the reinsurer failed to meet its burden of proof to show that the loss was less than $250 million. In denying the cedent’s cross petition to vacate the award, the court ruled that the arbitration panel’s refusal to hear “prior course of dealings” evidence did not “provide a basis to vacate the Arbitration Award under § 10(a)(3) of the FAA.” The court also found that a vacatur under § 10(a)(4) was limited in scope to circumstances where a panel exceeds its authority to determine a certain issue and that the cedent had failed to demonstrate that the panel had in fact exceeded its authority. Because the cedent also failed to show that the panel was obligated to apply either a governing law or a binding provision that it subsequently failed to apply, the cedent’s assertions that the panel issued its ruling in “manifest disregard of the law” and “manifest disregard of the terms of the parties’ relevant agreement” were also rejected. In Am. Centennial Ins. Co. v. Global Int’l Reinsurance Co. Ltd., No. 12 CV 1400, 2012 WL 2821936 (S.D.N.Y. Jul. 9, 2012), a New York federal court denied the cedent’s petition to vacate the arbitral award and granted reinsurer’s cross-petition to confirm. The petition and cross-petition concerned the third arbitration conducted between the parties. The issues before the panel were several, and included whether certain relief awarded to the reinsurer in the first two arbitrations barred further relief. The panel found in favor of the reinsurer, but granted a lower rate of reimbursement than was sought. The cedent moved to vacate the award arguing that the arbitrators (1) exceeded their powers; (2) showed manifest disregard of the law; and (3) showed manifest disregard of the reinsurance agreement. The court refused to vacate based on the arbitrators acting in excess of their powers, holding that the panel was “arguably” acting within the scope of its authority. In refusing to vacate for manifest disregard of the law, the court held that the panel provided a “barely colorable justification” for its rulings, sufficient to withstand scrutiny under the manifest disregard standard. Finally, on manifest disregard of the reinsurance agreement, the court held that the cedent had “not directed the Court to an ‘egregious impropriety’ by the panel or shown that the panel ‘intentionally defied’ a clear and unambiguous term in the [reinsurance agreement].” In confirming awards, courts in 2012 also took the opportunity to deny motions to seal. For example, in Aioi Nissay Dowa Ins. Co. Ltd. v. Prosight Specialty Mgmt. Co. Inc., No. 12 CV 3274, 2012 WL 3583176 (S.D.N.Y. Aug. 21, 2012), a New York federal court granted a reinsurer’s petition to confirm an arbitration award under the New York Convention, awarded the reinsurer costs under Fed. R. Civ. P. 54(d), and denied the cedent’s motion to seal. The petition to confirm was unopposed, and the court granted the petition finding no basis on which to vacate or modify the arbitration award. The cedent’s motion to seal was based upon a confidentiality agreement entered into by the parties in which each side agreed to make good faith efforts to limit disclosure of information related to the arbitration. The cedent argued that the petition to confirm and filing on the court’s docket was inconsistent with the confidentiality agreement. Though noting that a breach of contract action may lie, the court held that “absent evidence or argument that would enable the Court to make ‘specific, on the record findings demonstrating that closure is essential to preserve higher values [that would outweigh the presumption of public access to judicial documents] and is narrowly tailored to preserve that interest,’” the motion must be denied. Page 12 of 25
  • 13. Similarly, in Century Indem. Co. v. AXA Belgium, No. 11 Civ. 7263, 2012 WL 4354816 (S.D.N.Y. Sept. 24, 2012), a New York federal court also granted a cedent’s petition under the New York Convention to confirm multiple arbitration awards in its favor, denied cross- petition to vacate the awards, and denied motions to seal. Although the parties were at odds as to the propriety of the awards, they both moved to file certain documents under seal under a confidentiality agreement. The court held that the documents were judicial documents to which a presumption of access attaches, and although the confidentiality agreement was binding on the parties, it did not preclude the court from making those documents available to the public. The court noted that although parties to arbitration are generally able to keep documents confidential, the “circumstance changes when a party seeks to enforce in federal court the fruits of their private agreement to arbitrate, i.e., the arbitration award.” The trend here shows that the benefits of confidentiality of a private commercial arbitration may fall away if one of the parties goes to court to confirm or vacate the arbitration award. Arbitration Panel Composition In Arrowood Indem. Co. v. Harper Ins. Co., Nos. 3:12-cv-2-RJC-DSC, 3:12-cv-3-GCM, 2012 WL 161667 (W.D.N.C. Jan. 19, 2012), there arose a series of disputes over arbitrator selection. In three related arbitration proceedings, the arbitration clause provided for a three-member panel, “one chosen by each party and the third by the two so chosen....” The parties had made their choices in all three matters. But, the third neutral had only been chosen in one matter because a dispute arose over whether to consolidate the three cases. The cedent asked the court to choose a third neutral in each of the remaining matters. The reinsurer countered that all three matters should be consolidated before the single panel already in place. The court held that whether to consolidate ongoing arbitration matters is presumptively a question for the arbitrators, not a court. But the issue remained whether the consolidation issue should be resolved by three panels or one. Determining how many panels would require interpreting a contractual provision that the court found ambiguous. Because the parties had already chosen one panel under the contract, and contractual interpretation “is solely for an arbitrator to decide,” the court held that the ambiguity should be resolved by the panel already in place. CONTRACTUAL INTERPRETATION From ambiguities in contractual provisions to waivers of rights, 2012 was a year rich with court decisions interpreting reinsurance contract provisions. At least four courts relied, in part, upon extrinsic evidence in construing contractual provisions, and each decision held the parties to the terms of the contract. In the first extrinsic evidence case, OneBeacon Am. Ins. Co. v. Commercial Union Assurance Co. of Can., 684 F.3d 237 (1st Cir. 2012), the First Circuit affirmed a district court’s denial of summary judgment to the cedent and award of summary judgment to the reinsurer. The dispute concerned the alleged obligation of the reinsurer to reinsure the cedent for certain policies issued by the cedent in the early 1980s. The cedent provided coverage to the insured for three years during three consecutive policy periods. The 1980 policy included an endorsement stating that the policy was reinsured by the reinsurer. A facultative certificate, expiring at the conclusion of the 1980 policy, confirmed the reinsurer’s obligation to reinsure the cedent for the risk. The cedent did not issue the reinsurance endorsement on either the 1981 or the 1982 policy periods, nor was a facultative certificate issued for this time period. In finding for the reinsurer, the district court held that the facultative certificate was the only contract between the parties and because it stated that the reinsurance term ended at the expiration of the 1980 policy, the reinsurer did not reinsure the later policies. In affirming, the First Circuit held that the cedent, as the party seeking coverage, was unable to prove that the reinsurer agreed to reinsure the 1981 and 1982 policies, finding there was no evidence that the reinsurer agreed to provide reinsurance beyond the term of the 1980 policy. In making its decision, the court also examined evidence regarding the flow of premium payments during the three-year period in question and found support for the argument that the reinsurer terminated the relationship at the conclusion of the 1980 policy period. Page 13 of 25
  • 14. The second case addressing extrinsic evidence in contract interpretation, Munich Reinsurance Am., Inc. v. Am. Nat’l Ins. Co., No. 09:6435, 2012 WL 4475589 (D.N.J. Sept. 28, 2012), was a complicated retrocessional dispute. The district court granted in part and denied in part the retrocedent’s motion for summary judgment and preserved the retrocessionaire’s rescission counterclaim for trial. The dispute centered on the alleged failure of the retrocessionaire to pay under two retrocessional agreements. The retrocessionaire alleged various counterclaims and sought rescission based on misrepresentations it uncovered during discovery. One issue the court ruled on was construction of the retention provision of the retrocessional contract. The retrocedent claimed that the retention provision triggered the retrocedent’s obligation when both the retrocedent and the underlying ceded paid a cumulative total of $500,000 on each loss occurrence. The retrocessionaire claimed that the underlying cedent’ payments did not count toward ultimate net loss. The court found that the contract language was only susceptible to one reasonable interpretation and that extrinsic evidence supported that same conclusion. In the third case, a Florida state appellate court reversed a trial court’s ruling on interpretation of a reinsurance contract and criticized the lower court for failing to consider extrinsic evidence in making its determination. In Kiln PLC v. Advantage Gen Ins. Co., 80 So. 3d 429 (Fla. Dist. Ct. App. 2012), a Florida state appellate court continued the trend of not construing a reinsurance contract against the drafting party. The appellate court reversed summary judgment issued in favor of the cedent and remanded the case to examine extrinsic evidence of whether coverage was available under an ambiguous provision of a reinsurance contract. The dispute was whether the reinsurance contract covered claims arising from non-employee airline passengers. The clause at issue stated that the reinsurance coverage was for claims paid by the cedent for the death or injury of an airline passenger up to $300,000 for any one person not exceeding 10 times their annual salary. In reversing the trial court, the appellate court held that the reinsurance contract was ambiguous as to whether non-employees were covered and that the trial court should have considered extrinsic evidence instead of construing the contract against the reinsurers as the drafter. Because of the unique and highly specialized nature of the reinsurance (the court actually said insurance), extrinsic evidence should be used to help resolve the ambiguity. In a fourth case, Trenwick Am. Reinsurance Corp. v. W.R. Berkley Corp., 54 A.3d 209 (Conn. App. Ct. 2012), the Connecticut Court of Appeals affirmed a trial court judgment holding that an agreement between the reinsurer and the cedent commuted their prior reinsurance contract. The commutation agreement terminated all prior “reinsurance agreements” between the parties. Despite the commutation agreement, the parties continued exchanging reinsurance payments for premiums under the commuted reinsurance contract for four years. Then, the reinsurer terminated payments and filed suit seeking restitution for the amounts unnecessarily paid to the cedent. The cedent argued that the commutation agreement should be reformed because the parties were mistaken as to whether the original reinsurance contract was commuted. The court refused to reform the contract because the parties agreed to an unambiguous commutation agreement terminating the original reinsurance contract. The court bound the cedent to the commutation agreement because the cedent’s experienced officer drafted the commutation agreement with the help of counsel, and the clear language of the agreement terminated all prior reinsurance contracts. Moreover, the commutation agreement was not ambiguous when, by its terms, it terminated all “reinsurance agreements. The court, however, also affirmed the denial of restitution because both parties for four years performed their respective obligations under the contract notwithstanding the commutation agreement. Because there was no evidentiary foundation for a court to have determined that one party had been unjustly enriched at the expense of the other, restitution was not appropriate. Courts in 2012 also addressed issues of contractual interpretation apart from extrinsic evidence. For example, in Women’s Hosp. Found. v. Nat’l Pub. Fin. Guar. Corp., No. 11-cv-00014, 2012 WL 956622 (M. D. La. Mar. 20, 2012), a Louisiana federal court upheld the right of a reinsurer to approve a new issuance of debt by the insured. In Women’s Hospital, the cedent bond insurer wrote insurance for a public hospital’s issuance of bonds to facilitate building renovations. The reinsurer stepped into the shoes of the cedent for purposes of enforcing the insurance contract with the insured hospital under a reinsurance contract. Thereafter, the insured sought to obtain additional financing in order to build a new facility. Because the new debt issuance would require an amendment to the insurance agreement, the insured was required to obtain written consent from the reinsurer prior to issuing the debt. After some negotiation, the reinsurer withheld its consent to the new issue, and the insured then sued both the cedent and the reinsurer alleging breach of the insurance agreement. The insured pointed to a “debt test” provision in the insurance agreement whereby the insured could incur additional debt liabilities without violating certain covenants and without modification to the agreement. The insured Page 14 of 25
  • 15. argued that, so long as the additional liabilities did not violate these covenants, the reinsurer was obliged to provide its consent. In essence, the insured argued that the “debt test” provision of the agreement qualified the separate provision requiring the insurer’s consent to any modification of the agreement. In granting the cedent and the reinsurer’s motion to dismiss the insured’s lawsuit, the court found the consent provisions plain and unqualified: the insurer was free to withhold its consent to any modifications to the insurance agreement even though the proposed debt issuance would not violate the “debt test,” which concerned certain transactions that would not require modification to the insurance agreement, and which was not the case for the new debt at issue. Importantly, the court observed that consent provisions of this kind are designed to provide the insurer with some degree of control over the relationship between the parties, and the reinsurer rightfully exercised that control in this case. This control provides some mechanism by which the insurer can limit the ability of the insured to take on additional debt, thereby increasing the risk of default on the prior insured bonds. Finally, one court held that terms that were not defined in the reinsurance contract would take their meaning from the underlying insurance policies. In Ace Prop. & Cas. Ins. Co. v. R&Q Reinsurance Co., No. 02290, 2012 Phila. Ct. Com. Pl. LEXIS 128 (May 15, 2012), a Pennsylvania state court granted a cedent’s motion for summary judgment against its reinsurer and predecessor companies, and decided the contract interpretation issue in the cedent’s favor. The dispute focused on the meaning of the terms “loss” and “expense” in multiple facultative reinsurance certificates issued by the reinsurer. The court accepted the cedent’s position that the definitions should be taken from the definition of “ultimate net loss” in the underlying insurance policies. The facultative certificates provided that the liability of the reinsurer followed that of the cedent, being subject in all respects to the terms and conditions of the cedent’s policies, except as otherwise provided. The cedent purchased facultative reinsurance on four underlying insurance policies in which the insured was sued by claimants alleging asbestos bodily injuries. When the claims settled, the cedent submitted proofs of loss, but the reinsurer did not pay them, claiming instead that the cedent miscalculated its attachment point by combining indemnity and expenses. The court noted that the parties checked the “excess of loss” box on the facultative certificates, and not “contributing excess” or “non-concurrent,” and ruled that, because loss was not defined in the facultative certificates, the definition carried over from the underlying policies. The court agreed with the reinsurer’s position, however, that the terms “loss,” “expense,” and “damage” would be determined by the facultative certificates and not the underlying policies if the facultative certificates were “non-concurrent” instead of “excess of loss.” Accordingly, the court ruled that the broad “ultimate net loss” definition in the underlying insurance policies should prevail, and that the term “loss” included defense and expenses in addition to indemnity. The court held the cedent was correct in combining indemnity and defense costs to reach its attachment point. FOLLOW-THE-FORTUNES AND FOLLOW-THE-SETTLEMENTS CLAUSES In 2012, courts continued to recognize the viability of follow-the-fortunes and follow-the-settlements clauses. In United States Fid. & Guar. Co. v. Am. Re-Ins. Co., 939 N.Y.S.2d 307 (1st Dep’t 2012), aff’d as modified, 2013 WL 451666 (N.Y. Feb. 7, 2013), a New York appellate court affirmed summary judgment in favor of the cedent and against the reinsurers upholding the cedent’s allocation of asbestos losses to its reinsurance contract on follow-the-fortunes grounds. In 2013, the New York Court of Appeals modified the Appellate Division’s judgment, reversed the finding of summary judgment for the cedent on two grounds, and remanded the case for trial. This analysis focuses on the since modified Appellate Division determination. Following a settlement of underlying asbestos losses, the cedent billed its reinsurers for a share of the settlement. The billings allocated the settlement to the 1959 policy year and all the reinsurance claims to the 1959 treaty year. The reinsurers resisted based on a different understanding of the cedent’s retention under the reinsurance agreements and that the cedent’s bad faith claim exposure was being ceded when that exposure was not covered. Litigation commenced, and the cedent’s motion for summary judgment was granted, while the reinsurers’ was denied. On appeal, the reinsurers contended that the cedent acted in bad faith from its initial denial of its duty to defend and indemnify to its reinsurance presentation, breaching its duty of utmost good faith. The appellate court affirmed, with one justice dissenting, distilling the dispute down to a question of fact concerning the increase of the cedent’s retention in the excess-of-loss reinsurance agreements, and a question of law concerning the application of the follow-the- fortunes doctrine. On the follow-the-fortunes point, the majority agreed that the follow-the-fortunes doctrine required the reinsurers to Page 15 of 25
  • 16. accept the cedent’s reinsurance presentation. The court stated that all of the reinsurers’ arguments on bad faith, allocation, valuation, changes to the loss presentation, were all efforts to second guess the cedent’s decisions and barred by the follow-the-fortunes doctrine. Even if considered on the merits, the reinsurers’ complaints would not excuse the reinsurers from their obligations. This finding, as discussed above, was reversed by the New York Court of Appeals in February 2013. Similarly, in Arrowood Indemn. Co. v. Assurecare Corp., No. 11 CV 5206, 2012 WL 4340699 (N.D. Ill. Sept. 19, 2012), an Illinois federal court granted summary judgment to a cedent against its reinsurer in a dispute over settlement of a coverage declaratory judgment action following settlement of an underlying wrongful death action. The reinsurer provided a 100 percent quota share treaty covering the first $250,000 of net liability, plus a proportion of loss adjustment expenses. After settlement, the reinsurer paid the underlying loss, but the insured brought a coverage action against the cedent claiming that more of the underlying settlement should have been covered. The cedent settled the coverage action and billed the reinsurer for its share of the settlement plus expenses. In granting summary judgment to the cedent, the court, under Connecticut law, construed the loss settlements, follow-the-settlements, and follow-the-fortunes clauses and found for the cedent. The treaty required that all loss settlements by the cedent by way of compromise confer liability on the reinsurer. Because there was no evidence of bad faith by the cedent, the court held that the settlement was covered under the treaty. The reinsurer argued that a portion of the settlement that was allocated to the insured’s bad faith claim was not covered, but the court found that it was arguably covered, pointing to the treaty’s ECO clause. LATE NOTICE Although late notice cases are infrequent, 2012 featured some notable decisions, highlighting the implications of choice-of-law and state-law differences on the requirement of a show of prejudice. For instance, in Pacific Employers Ins. Co. v. Global Reinsurance Corp. of Am., 693 F.3d 417 (3d Cir. 2012), the Third Circuit reversed a lower court decision and ruled that a reinsurer had no obligation to indemnify its cedent for certain asbestos-related losses due to late-notice of loss given by the reinsured. The reinsurance certificate required that “[a]s a condition precedent, [the cedent] shall promptly provide the Reinsurer with a definitive statement of loss on any loss or occurrence.” The cedent had received initial notice of the claim in April 2001 and the underlying loss reached the excess layer by 2004. The broker, however, failed to keep the reinsurer advised about the claim despite repeated requests by the reinsurer, and ultimately the reinsurer denied coverage and asserted a late notice defense. The district court found that the reinsurance certificate unambiguously required the cedent to provide a definitive statement of loss promptly after the initial claim from the underlying insured and that the definitive statement of loss was a condition precedent to recovery. The certificate, however, failed to include an explicit choice of law provision. This issue was critical because although New York law on late notice generally requires a showing of prejudice, there is an exception where the reinsurance contract has an explicit condition precedent notice requirement, as was the case here. Under Pennsylvania law, however, prejudice was arguably a requirement for succeeding on a late notice defense. The district court applied Pennsylvania law and concluded that the reinsurer had failed to allege facts supporting a finding of prejudice. On appeal, the Third Circuit reversed. The Third Circuit determined that, contrary to the district court’s conclusion, New York law applied. At the time the agreement was signed in 1980, the reinsurer was located in New York and the cedent was located in California. The only connection to Pennsylvania was that the cedent had become a Pennsylvania company in 1999. Although not easily ascertainable because the minimal negotiations of the certificate occurred via telex, the court ultimately determined that the place of contract formation was New York. Based on the totality of the circumstances at the time of contracting, where a New York reinsurer accepted, in New York, the terms and conditions of an agreement with a California company, there was no reason to believe the parties had any expectation that Pennsylvania law would apply. The Third Circuit thus ruled that New York law applied and that the reinsurer was not required to show prejudice in order to deny coverage. A federal magistrate judge in a New York federal court also ruled on the issue of late notice in AIU Ins. Co. v. TIG Ins. Co., No. 07 Civ. 7052 (S.D.N.Y. Aug. 16, 2012). In a long-standing dispute over whether facultative certificates are required to respond to asbestos Page 16 of 25
  • 17. loss notices claimed to be late by the reinsurer, the magistrate judge recommended that the reinsurer’s renewed motion for summary judgment be granted. The dispute involved a series of umbrella policies issued by the cedent to cover the insured’s excess liabilities. The cedent reinsured its exposure through a series of facultative certificates. Each of the facultative certificates stated that “prompt notice shall be given to the Reinsurer by the Company of any occurrence or accident which appears likely to involve this reinsurance.” In 2001, a series of declaratory judgment actions and third-party actions were commenced over various insurers’ obligations on asbestos bodily-injury claims brought against the insured. In 2006, the cedent settled with the insured and began making payments under the settlement agreement. In 2007, the cedent sought recovery under the facultative certificates for the settlement payments. The reinsurer rejected the cession based on the prompt notice provision of the certificates. In finding for the reinsurer, the magistrate judge first found that Illinois law, not New York law, applied to the certificates, which meant that the reinsurer was not required to show prejudice from the late notice. After determining that Illinois law governed, the magistrate judge addressed the prejudice issue and found that, under Illinois law, prompt notice is a prerequisite to coverage under the certificates. The magistrate judge also found that there were no questions of fact as to whether the reinsurer had actual notice of the underlying claim and recommended summary judgment be granted to the reinsurer. JURISDICTION AND VENUE In 2012, several courts faced the challenge of whether a foreign reinsurer is subject to the personal jurisdiction of U.S. courts and consistently held that contracting with a cedent who conducts business in a particular forum is insufficient for an insured to hale a reinsurer into a court in that jurisdiction. In Schultz v. Ability Ins. Co., No. C11-1020, 2012 WL 4794365 (N.D. Iowa Oct. 9, 2012), a policyholder brought claims in Iowa federal court against Bermuda-based reinsurance companies affiliated with the insurer relating to long term care benefits. The Bermuda companies (and others) filed a motion for judgment on the pleadings. In addressing whether the court had personal jurisdiction over the Bermuda companies, the court found that there were no direct contacts with Iowa, no offices or employees in Iowa, and the companies did not conduct business in Iowa. Although the policyholder pointed out that nearly 75 percent of the insurer’s risk was reinsured in Bermuda, the court held that the policyholder failed to show that the insurer was the alter ego of the Bermuda companies or acted as their agent. The court stated that “[w]hile one can question the wisdom of regulators permitting [the insurer] to purchase reinsurance from a member of the same corporate family, it does not render the contractual relationship a ‘sham’ or otherwise make [the Bermuda companies] susceptible to suit in Iowa.” Piercing the corporate veil and proving an alter ego corporate theory is very difficult as this case shows. Further, this case also points out to Bermuda and other off-shore affiliates of U.S. companies that keeping corporate separateness and observing all the appropriate regulatory and corporate governance compliance rules is crucial to avoid being haled into court. A similar case in California also dealt with a Bermuda-based reinsurer, with similar results. In Hollander v. XL Ins. (Bermuda) Ltd., No. B230807, 2012 WL 4748956 (Cal. Ct. App. Oct. 5, 2012), a California appeals court affirmed a trial court’s order quashing service of a summons and complaint for lack of personal jurisdiction against a Bermuda insurer. The Bermuda insurer made a special appearance and moved to quash because it did not issue the policies in issue, did not do business in California, and its small number of insureds in California did not subject it to jurisdiction. The policyholder argued that the Bermuda insurer did substantial business in California and was party to a quota share reinsurance agreement that resulted in the Bermuda company’s sharing in California risks. In affirming the trial court, the appellate court held that the minimal California policyholders the insurer had, and its participation in the reinsurance agreement, were too de minimis to confer jurisdiction. The court also rejected any alter ego theory. The climate is a bit different for foreign reinsurers who choose to bring suit in the U.S. In ABA Capital Mkts. Corp. v. Provincial De Reaseguros C.A., 101 So. 3d 385 (Fla. Dist. Ct. App. 2012), a Florida state appellate court affirmed the lower court’s order permitting a Venezuelan reinsurer to avail itself of the forum of its choice. The foreign reinsurer entered into a transaction with an entity incorporated in the British Virgin Islands (“BVI Entity”). The transaction involved a bond swap and off-shore investments in U.S. dollars. When the BVI Entity refused to return the bonds or transfer them to a designated custodian, the reinsurer filed suit in Florida state Page 17 of 25
  • 18. court. The BVI Entity moved to dismiss the complaint for forum non conveniens, arguing that Venezuela was the more appropriate forum. On appeal, the court applied a four-part analysis, reviewing 1) whether an adequate alternative forum exists; 2) relevant factors of private interest; 3) factors of public interest, where private interests are in balance or near equipoise; and 4) if the plaintiff could reinstate its suit in the alternative forum without undue inconvenience or prejudice. After noting that Venezuela was a suitable alternative forum, the appellate court turned to private interests. Although acknowledging that a plaintiff’s choice of forum is generally respected, the court stated that a plaintiff’s choice “is given less deference when the plaintiff is not a resident of the forum state, or has little bona fide connection to that state.” The court found, however, that the main witness and president of the BVI Entity resided in Miami, the BVI Entity held the bonds in Miami and maintained bank accounts there, other witnesses had traveled from Venezuela to Miami and were able to continue to do so, and all key documents had been translated from Spanish to English. Ultimately, the court held that although the Venezuelan reinsurer was “entitled to less deference” than a plaintiff who resided in Florida, the lower court correctly denied the BVI Entity’s motion to dismiss. Finding that the second factor of its analysis was not met, the court did not address the remaining factors. Courts typically uphold contractual forum selection clauses, and forum selection for an arbitration arising out of a reinsurance dispute is no exception. In Employers Ins. Co. of Wausau v. Arrowood Indemn. Co., Nos. 12-cv-283-bbc, 12-cv-284-bbc, 12-cv-285-bbc, 2012 WL 5306152 (W.D. Wis. Oct. 26, 2012), the parties could not agree on the method for selecting arbitration panels in disputes arising from a series of reinsurance contracts. The cedent argued that venue was not proper in Wisconsin because the contracts all had New York forum selection clauses in their arbitration provisions. In transferring the cases to New York, the court agreed with the cedent and found that the forum selection clause was mandatory and must be enforced under Section 4 of the FAA. The court rejected arguments that FAA Section 5’s appointment of the arbitrator or umpire provisions, which are not affected by venue, would require the case to stay in Wisconsin. CHOICE OF LAW An Illinois state court held that a contractual provision for choice of law in arbitration has no bearing on a choice of law determination outside of the arbitration context. In Amerisure Mut. Ins. Co. v. Global Reinsurance Corp. of Am., No. 10 L 012665 (Ill. Cir. Ct. Nov. 7, 2012), the court dismissed a cedent’s complaint seeking attorney fees for a reinsurer’s alleged unreasonable failure to settle a claim. The cedent submitted a claim to the reinsurer, which the reinsurer refused to pay. Under an arbitration clause in the reinsurance contract, the parties commenced arbitration in Illinois and applied Illinois law. Following the arbitration, the cedent filed suit seeking attorney fees under state law after an appeals court ruled that the arbitration panel exceeded its authority in awarding attorney fees, and the lower court erred in confirming that award. The court dismissed the cedent’s complaint because under a choice of law analysis, New York law, not Illinois law, applied, and New York law does not provide for attorney fees when an insurer fails to settle a claim. The reinsurance contract did not have a choice-of-law clause applicable to litigation. The only choice-of-law clause in the reinsurance contract governed the applicable law in arbitration. As a result, the court applied a two-step choice of law analysis. First, the outcomes would differ if New York or Illinois law applied because only the Illinois Insurance Code, and not New York law, provides for attorney fees when a reinsurer unreasonably fails to settle a claim. Second, New York had more significant contacts because the reinsurer was a New York company, and the place of performance and last act under the reinsurance contract was either in New York or Michigan. The court found that the Illinois contacts were that the cedent had an Illinois attorney and the arbitration took place in Illinois. Despite Illinois’ interest in discouraging alleged unreasonable conduct by insurers, the court held that New York had the most significant contacts and that New York law applied. As such, under New York law, the cedent could not recover attorney fees from the reinsurer. ANTITRUST In 2012, New York’s highest court dismissed a state law antitrust claim against Equitas. In its decision in Global Reinsurance Corp. - U. S. Branch v. Equitas Ltd., 969 N. E. 2d 187 (N. Y. 2012), the New York Court of Appeals held that New York’s antitrust law, known as the Donnelly Act, Gen. Bus. Law § 340, could not be used to assert claims by a New York branch of a German reinsurer against Equitas. Page 18 of 25
  • 19. The underlying dispute involved retrocessional claims issues and the requirements that Equitas put in place to document and examine claims prior to paying retrocessional claims. The retrocedent commenced arbitration against Equitas under various reinsurance agreements, but also brought this action under the Donnelly Act claiming that Equitas’ claims handling practices amounted to a suppression of competition in the marketplace. In reversing the intermediate appellate court’s reinstatement of the complaint, the Court of Appeals reinstated the motion court’s order dismissing the complaint. Although the substance of the case is not a reinsurance issue, for reinsurers interested in state law antitrust issues, this is an opinion worth noting. DISQUALIFICATION OF COUNSEL As we observed in last year’s reinsurance review, 2011 was marked by a notable amount of litigation over the disqualification of counsel. At that time, it appeared that disqualification of counsel was one of the few areas of authority courts were not willing to cede to arbitration panels. Litigation in this area continued in 2012. In Certain Underwriters at Lloyd’s, London v. Sidley Austin, LLP, No. 10-4663-BLS2 (Sup. Ct. Mass. Mar. 5, 2012), a Massachusetts state court dismissed an action to disqualify counsel. There, the cedent in a reinsurance dispute with Lloyd’s over asbestos losses hired a law firm that had allegedly contemporaneously represented Lloyd’s in an appeal of an injunction proceeding in another matter in which Lloyd’s underwrote a direct insurance policy. Complicating things further was the potential involvement of Equitas and its claims management service company in the U.S. Essentially, the claims management service hired the law firm on the direct matter on appeal, while the cedent had hired the law firm on the reinsurance dispute arising out of a reinsurance contract. In denying the application to disqualify counsel, the court found that there was a conflict caused by the concurrent representation of the cedent in a reinsurance claim against Equitas and Lloyd’s and Equitas in the appeal. The court also found that the conflict was disclosed to the cedent and obtained the cedent’s waiver of the conflict. In addition, the court found that the conflict was adequately disclosed to Lloyd’s/Equitas and that a binding valid waiver was obtained. Not all courts, however, accepted the opportunity to substantively rule upon the issue of disqualification of counsel. In Utica Mut. Ins. Co. v. INA Reinsurance Co., 468 Fed. Appx. 37 (2d Cir. 2012) (Summary Order Without Precedential Effect), the Second Circuit affirmed the appeal of a denial to disqualify. There, the cedent appealed the denial of its motion to disqualify a firm as counsel for the reinsurer, along with various related discovery issues. The Second Circuit held that the district court had not abused its discretion in denying cedent’s motion to disqualify the reinsurer’s counsel, but because they had not been raised at the trial court level, the court took no substantive position on the two bases for disqualification raised on appeal: first, whether the district court should have applied New York law due to the matter having been removed from New York state court; and second, whether an ethical wall could be sufficient to rebut the presumption of disqualification of a law firm where the conflicted attorney possesses material information about a former client. Because the reinsurer voluntarily accepted the district court’s discovery prophylaxis, the Second Circuit determined that this issue was irrelevant to the disqualification motion. In Nat’l Cas. Co. v. Utica Mut. Ins. Co., No. 12-cv-657-bbc, 2012 WL 6190084 (W.D. Wisc. Dec. 12, 2012), a Wisconsin federal court also declined to substantively rule on the question of counsel disqualification. It had found that no basis for federal subject matter jurisdiction existed, and instead remanded the issue to state court. In this case, the cedent’s counsel had served as defense counsel in the underlying coverage dispute. The reinsurer claimed that this caused a conflict of interest, because counsel represented both the reinsurer’s and the cedent’s interests in the coverage litigation. When the cedent refused to replace its counsel, the reinsurer filed this action to disqualify counsel in state court, which the cedent removed to federal court. The Wisconsin federal court ultimately remanded the action back to state court after finding that the cedent had not shown that federal subject matter jurisdiction was present. Although the amount in controversy was eventually identified and exceeded $75,000, the court had an issue concerning whether the amount in controversy in the arbitration was the proper measure Page 19 of 25
  • 20. for the disqualification action as the object of the disqualification litigation was not compelling arbitration or confirming an arbitration award. The court remanded essentially because it would not adopt the stakes in arbitration as the measure for subject matter jurisdictional purposes. DISCOVERY In three cases in 2012, federal courts required the disclosure of reinsurance materials in discovery, emphasizing the broad scope of discovery and the need to produce relevant materials. First, in Granite State Ins. Co. v. Clearwater Ins. Co., No. 09 Civ. 10607 (RKE), 2012 WL 1520851 (S.D.N.Y. Apr. 30, 2012), a reinsurance dispute over the cession of asbestos losses, the reinsurer sought production of reserve information as evidence that the cedent failed to implement reasonable and adequate practices and procedures in reporting claims information to the reinsurer. A New York federal court affirmed the magistrate judge’s order requiring the cedent to produce the requested information. In affirming the order, the district court rejected the cedent’s contention that the law in the Second Circuit on late notice and bad faith precluded this discovery once it was undisputed that the cedent had a practice or policy in place. The court noted the broad scope of discovery permitted under the Federal Rules of Civil Procedure and determined that the reserve information was directly relevant to the reinsurer’s defense. The court also stated that the evidence was not only relevant to whether the cedent acted in good faith, but whether notice was actually sent to the reinsurer. The court, however, did allow for a protective order to secure proprietary information. Similarly, in Isilon Sys. Inc. v. Twin City Fire Ins. Co., No. C10-1392MJP, 2012 WL 503852 (W. D. Wash. Feb. 15, 2012), a Washington federal court partially granted an insured’s motion to compel discovery of reinsurance information withheld by its insurer. In this insurance coverage action, the insured sought, among other things, the insurer’s reinsurance contracts and its communications concerning the reinsurance contract. The insurer argued that reinsurance information was not discoverable because there is no bad faith claim being made. The court found that while reinsurance contracts are discoverable and do not require a showing of relevancy, the insurer does not have to produce other reinsurance information unless the insured established its relevancy. The court further ordered the insurer to provide a more complete description of redacted information and documents withheld related to reinsurance. The court held that the justifications for withholding information were insufficient to “address the validity of the claimed privilege,” and ordered the insurer to provide a more complete description of redactions and withholdings related to reinsurance. Finally, in Fireman’s Fund Ins. Co. v. Great Am. Ins. Co. of N.Y., 284 F.R.D. 132 (S.D.N.Y. 2012), an insurance coverage suit involving a dispute over the production of reinsurance documents arising out of the sinking and salvage of a dry dock, the court granted the insured’s motion to compel the cedent to produce the file of its reinsurer, as well as other communications or documents maintained on the reinsurance contracts, including communications related to the cedent’s procurement of, and claims made on, its reinsurance contract for the dry dock loss. The insured initially subpoenaed the reinsurer directly, but after the cedent objected on the ground that the information was protected by the common-interest doctrine, the reinsurer turned the file over to the cedent to handle the dispute. The cedent objected to the insured’s reinsurance information requests on the grounds of relevance and the common-interest doctrine. As to relevancy, the court noted the federal rules provide that a party is entitled to discovery on “any non-privileged matter that is relevant to any party’s claim or defense.” In finding that the information was relevant, the court noted that although “case law is sparse within the Second Circuit” concerning the discoverability of reinsurance information, “the few cases to consider the issue have determined that reinsurance information is indeed discoverable.” Based upon these cases, the broad scope of the federal discovery rule, and that the cedent’s cross-claim asserting fraud put what the cedent told its reinsurer about the age and condition of the dry dock in issue, the court held that the cedent’s position that reinsurance documents are generally irrelevant was insufficient to withhold the documents, including information on loss reserves. Moreover, the court held that more recent cases on reserve information have held that document requests seeking reserve information should be evaluated on a case-by-case basis because both, the reserve amounts and changes to reserves, could possibly lead to admissible evidence relating to the insurer’s own beliefs about coverage, liability, and the good faith handling of the claim. Page 20 of 25
  • 21. The court also addressed the common-interest privilege, stating that the doctrine is an exception to the general rule that voluntary disclosure of confidential privileged material to a third-party waives any applicable privilege. While the doctrine protects the free flow of information from client to attorney whenever multiple clients share a common interest about a legal matter, the court cautioned that the doctrine was not an independent source of privilege or confidentiality and will not apply if a communication is not protected by the attorney-client privilege or the attorney work-product doctrine. The court emphasized that the parties must establish a “common legal, rather than commercial interest,” and it is key that the nature of the interest be identical, not similar. Here, the court noted, the evidence showed that the cedent and its reinsurer did not share an identical legal interest that would entitle the cedent to withhold documents that it produced to its reinsurer. Moreover, the court found that the cedent had not proven or even argued that it disclosed otherwise privileged materials to its reinsurer in the course of formulating a common legal strategy, or for the purpose of obtaining legal advice from the reinsurer. Nor had it presented evidence about the legal necessity of exchanging otherwise protected information. Therefore, to the extent that the cedent shared otherwise privileged information with its reinsurer, the court ruled any privilege applying to the documents has been waived because the cedent failed to establish that it shared a common legal interest with its reinsurer. MCCARRAN-FERGUSON ACT Though the McCarran-Ferguson Act did not receive significant treatment from the courts in 2011, the United States Court of Appeals for the Fourth Circuit weighed in on the Act in the past year. In ESAB Group, Inc. v. Zurich Ins. PLC, 685 F.3d 376 (4th Cir. 2012), the Fourth Circuit affirmed an order compelling arbitration, as it held that the McCarran-Ferguson Act did not apply. In this non-reinsurance case, the Fourth Circuit affirmed the district court’s exercise of subject-matter jurisdiction and order to compel arbitration. The appeal presented the question of whether the McCarran-Ferguson Act applies such that state law can reverse preempt federal law and invalidate a foreign arbitration agreement. The dispute stemmed from a state court action brought by the insured challenging the insurer’s refusal to defend and indemnify the insured in products liability actions. The policies issued to the insured contained arbitration clauses requiring any disputes to take place in Sweden. The district court, adopting the reasoning of the Fifth Circuit, held that because the McCarran-Ferguson Act limits its scope to federal statutes, and the New York Convention, not Chapter 2 of the FAA, directs courts to enforce international arbitration agreements, the McCarran-Ferguson Act could not disrupt the application of traditional preemption rules. In affirming the district court’s order, the Fourth Circuit held that the scope of the McCarran-Ferguson Act is limited to domestic legislation and therefore does not encompass Chapter 2 of the FAA because Chapter 2 implements the legislation of a treaty. The court stated that Congress did not intend the McCarran-Ferguson Act to “delegate to states the authority to abrogate international agreements that this country has entered into and rendered judicially enforceable.” In so finding, the Fourth Circuit upheld the district court’s order to compel arbitration in Sweden on the basis that state law invalidating arbitration agreements in insurance policies did not apply. INTERMEDIARIES In Olympus Ins. Co. v. AON Benfield, Inc., No. 11-cv-2607(PJS/AJB), 2012 WL 1072334 (D. Minn. Mar. 30, 2012), a Minnesota federal court granted a motion to dismiss in favor of a reinsurance intermediary against a cedent. The dispute centered on the intermediary’s alleged failure to pay the cedent an annual fee, which was defined in the reinsurance brokerage agreement as a type of rebate due at the end of the fiscal year calculated as a percentage of the commissions that the intermediary received during the year from the cedent’s reinsurers. The brokerage agreement also provided a “forfeiture provision,” which eliminated the need of the intermediary to pay the annual fee “subsequent to any decision by [cedent] to terminate or replace [intermediary] as its reinsurance intermediary-broker . . . .” The cedent appointed a new intermediary on February 17, 2009, to take effect on June 1, 2009, which was Page 21 of 25