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You are here: Home / Archives for Arbitration / Court Decisions

Arbitration / Court Decisions

Survey on US run-off operations

June 4, 2007 by Carlton Fields

PriceWaterhouse Coopers has published an interesting report on a survey that it conducted relating to US run-off operations. The report covers various aspects of run-off operations and strategies. Especially combined with the recent Lloyd’s report on capitalization and operation of Lloyd’s run-off syndicates, which was the subject of a post on this blog on May 28, this makes interesting reading.

Filed Under: Accounting for Reinsurance, Reinsurance Claims, Reorganization and Liquidation, Reserves, Week's Best Posts

COURT HOLDS DISPUTE OVER SETTLEMENT OF DISPUTES UNDER REINSURANCE ADMINISTRATION AGREEMENT ARBITRABLE

May 24, 2007 by Carlton Fields

Trustmark Insurance and American General Assurance entered into a Reinsurance Administration Agreement with Transamerica Occidental Life Insurance, pursuant to which Transamerica provided administration services. Trustmark cancelled the Agreement, and a dispute arose as to Transamerica’s performance of the Agreement and whether it was entitled to further payments for services that it had provided pursuant to the Agreement. Trustmark and Transamerica reached a “settlement” of the dispute, which later fell apart. There was no written settlement agreement, and although the Agreement contained an arbitration provision, no party sought arbitration of the dispute under the Agreement.

Trustmark sued Transamerica, seeking to compel performance of the settlement agreement. Transamerica moved to compel arbitration. The District Court held that even though there was no written settlement agreement, the arbitration provision of the Reinsurance Administration Agreement covered any dispute “relating to” the parties’ performance of the Agreement, including Transamerica’s claim for further payments under the Agreement. The court therefore compelled arbitration of the substance of the dispute that was covered by the “settlement agreement.” Trustmark Insurance Co. v. Transamerica Occidental Life Insurance Co., Case No. 06-5561 (N.D.Ill. May 1, 2007).

Filed Under: Arbitration Process Issues, Week's Best Posts

UK COURT DECLINES TO FIND REINSURANCE COVERAGE DESPITE FOLLOW THE FORTUNES PROVISION SINCE DAMAGES OUTSIDE POLICY PERIOD

May 23, 2007 by Carlton Fields

This case involves a situation in which a U.S. court found that an insurance policy covered a portion of damages incurred prior to and after a policy period based upon a manifestation coverage trigger. The insured then entered into a settlement agreement, and sought coverage from its reinsurers for the amount of the settlement. The resulting reinsurance dispute was litigated in a UK court. The UK court found that even though it was apparent that the insured had acted in good faith and prudently in negotiating the settlement to minimize its loss, the reinsurance did not cover damage that occurred outside the time period of the coverage of the reinsurance agreement. This decision illustrates an important area of risk for companies which may have their insurance and reinsurance governed by different applicable law, whether the laws of different U.S. states, which may have different coverage trigger or damage allocation theories, or the laws of a U.S. state and the UK. Care should be taken in establishing reinsurance programs to attempt to avoid such a scenario. Wasa International Ins. Co. v. Lexington Ins. Co., [2007] EWHC 896 (Queen’s Bench Commercial Court April 25, 2007).

Filed Under: Contract Interpretation, Follow the Fortunes Doctrine, Reinsurance Claims, UK Court Opinions

CONNECTICUT SUPREME COURT UPHOLDS AAA ARBITRATION AWARD DESPITE VACANCY ON ARBITRATION PANEL

May 22, 2007 by Carlton Fields

C.R. Klewin Northeast (“Klewin”) entered into a contract with the city of Bridgeport (“the City”) for the construction of a multipurpose sports arena. After construction was completed, a dispute arose regarding whether Klewin was entitled to additional compensation due to design changes. The dispute was submitted to an arbitration panel pursuant to the contract. Under the applicable AAA rules, the dispute would ordinarily be heard by a panel of three arbitrators. However, when one of the arbitrators resigned due to illness, the two remaining arbitrators chose to proceed with the arbitration over the City’s objection. After 37 days of hearings, the arbitration panel awarded Klewin $6,020,231, plus interest. The trial court confirmed the award.

The City raised several issues on appeal. First, the City argued that the arbitration panel lacked jurisdiction because the underlying contract was procured illegally and thus void. The Court rejected this argument, holding that the defense of contract illegality was a question for the arbitrators, at least in the first instance, because the challenge related to the entire contract rather than just its arbitration clause.

Second, the City challenged the trail court’s ruling that the City waived the defense of contract illegality though its conduct in the arbitration. In upholding this ruling, the Court explained that the City’s attempt to raise the defense on the 20th day of hearings was, in essence, “too little, too late.”

Finally, the City argued that the arbitration panel lacked jurisdiction because it had only two members. In rejecting this argument, the Court noted that in the event of a vacancy, the AAA rules authorize the remaining arbitrators to continue with the hearing “unless the parties agree otherwise.” C.R. Klewin Northeast, LLC v. City of Bridgeport, Case No. 17590 (Conn. Apr. 17, 2007).

Filed Under: Arbitration Process Issues

COURT RULES ABSENT SHOWING OF PREJUDICE, REINSURERS REMAIN LIABLE TO INDEMNIFY INSUREDS DESPITE LATE NOTICE OF CLAIM

May 21, 2007 by Carlton Fields

In 2002, the Kansas City Southern Railroad (“KCSR”) paid $37.5 million dollars to settle claims arising out of a fatal automobile accident. This case sub judice involved a dispute between KCSR’s captive insurer, TransFin Insurance Limited (“TransFin”), and TransFin’s reinsurers, Columbia Casualty and American Re-Insurance Company (together “the Reinsurers”), relating to coverage for this claim.

The Reinsurers claimed that they were not liable to indemnify TransFin on this claim because the underlying insured, KCSR, failed to meet the necessary conditions precedent required under their policy. The court disagreed, concluding that while KCSR failed to submit a claim in writing within the required policy period, they could take advantage of the relation-back procedure for claims made after the expiration of policies.

Having concluded that TransFin properly provided coverage on KCSR’s claim, the court addressed whether TransFin’s notice to its Reinsurers was late or otherwise inadequate and, if late, whether the Reinsurers must prove prejudice before they can successfully invoke the defense of late notice by the reinsured. The court stated that it did not need to decide whether notice was timely because even assuming it was, without demonstrating they suffered prejudice as a matter of law, the Reinsurers could not avoid coverage for late notice. Columbia Casualty v. TransFin Ins. Ltd., Case No. 2:05-CV-199 (USDC D. Vt. Apr. 27, 2007).

Filed Under: Reinsurance Claims, Week's Best Posts

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