REINSURANCE COVER NOTE
Agreement No: 970078
MEMORANDUM OF REINSURANCE EFFECTED ON BEHALF OF:
REINSURED: HOME STATE INSURANCE COMPANY
Red Bank, New Jersey
QUAKER CITY INSURANCE COMPANY
Trevose, Pennsylvania
PINNACLE INSURANCE COMPANY
Carrollton, Georgia
XXXXXXXXX INSURANCE COMPANY
Wallingford, Connecticut
(hereinafter referred to as the "Company")
TYPE: PRIVATE PASSENGER AND COMMERCIAL AUTOMOBILE
LIABILITY AND PHYSICAL DAMAGE QUOTA SHARE
REINSURANCE AGREEMENT
PERIOD: Continuous from December 31, 1996 at 12:01 a.m.,
Eastern Standard Time, subject to cancellation at any
December 31 anniversary thereafter by either party
giving ninety (90) days' prior written notice.
In the event of cancellation:
1. Reinsurers shall remain liable for their share of
all policies in force hereunder at the effective
date of cancellation until the natural expiration
or prior termination date of said policies, not
to exceed twelve (12) months, plus six (6) months
odd time, or;
2. By mutual consent, Company shall reassume the
unexpired liability for all in-force business as
of the date of cancellation and the Reinsurers
shall return their share of the unearned premium
less ceding commission.
CLASS: All net in-force business classified by the Company
as Private Passenger and Commercial Automobile
Liability and Physical Damage (Comprehensive and
Collision), including No-Fault, Uninsured and
Underinsured Motorists and Medical Payments plus
Garagekeepers Legal Liability and Garage Liability.
EXCLUSIONS: This Agreement shall not apply to:
1. Assumed reinsurance other than business assumed
via intra-company reinsurance, from United
Pacific Insurance Company and Reliance Insurance
Company, Delaware Private Passenger business
written as a 100% Quota Share of companies with
whom Quaker City Insurance Company has entered
into rollover agreements, and facultative
commercial automobile liability
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REINSURANCE COVER NOTE
Agreement No: 970078
reinsurance in connection with business
originally produced by the Company and
specifically reported to working layer
Reinsurers.
EXCLUSIONS
(Continued): 2. Loss or liability excluded by the provision of
the "Nuclear Incident Exclusion Clauses -
Liability and Physical Damage - Reinsurance -
USA and Canada."
3. Financial Guarantee and Insolvency.
4. Insolvency Funds.
5. War Risks, as described in the North American
War Risk Exclusion Clause.
6. All business derived directly or indirectly
from any Pool, Association or Syndicate. As
respects Physical Damage business, loss or
liability excluded by the provisions of the
"Pools, Associations, Syndicates Exclusion
Clause." It is understood and agreed that this
exclusion shall not apply to individual risks
assigned to the Company under an Assigned Risk
Plan or similar plan.
7. Speed Contests.
8. Ambulances.
TERRITORIAL
SCOPE: As per the Company's original policies.
QUOTA SHARE
PARTICIPATION: 60% of the Company's Net Unearned Premium as
of December 31, 1996.
Net Unearned Premium shall be defined as the
Company's net after all inuring reinsurance.
PREMIUM: 60% of the Company's Net Unearned Premium as of
December 31, 1996. The Ceded Unearned
Premium as of December 31, 1996 is $21,974,603,
payable as follows.
1. Funds transferred to Reinsurer - $7,400,000 at
March 31, 1997 via wire transfer.
2. Funds held by Company - $14,574,603.
CEDING
COMMISSION: 32.5% of ceded premium.
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REINSURANCE COVER NOTE
Agreement No: 970078
REINSURER'S
AGGREGATE
LIMIT: Inclusive of allocated Loss Adjustment Expenses,
shall be 175% of Nett Ceded Premium, not to
exceed $35,000,000 for the Agreement period.
Nett Ceded Premium is defined to be Gross Ceded
Premium less Ceding Commission.
LOSS
CORRIDOR: The Company shall retain 100% of the losses between
64.0% and 82.0% loss ratio.
PROFIT
COMMISSION: At commutation of each underwriting year of
account, the Company shall be entitled to a
Profit Commission equal to 100% of the following
balance (if positive):
Gross Ceded Reinsurance Premium LESS,
Ceding Commission LESS,
3.50% of Gross Ceded Premium for Reinsurers' Expenses
(subject to a minimum of $500,000) LESS,
Paid Losses and Loss Adjustment Expenses PLUS,
Salvage and Subrogation PLUS,
Interest credited on funds withheld (at the 90-day
Treasury-Xxxx rate).
Commutation is at the Company's option any time after
six (6) months from inception of each underwriting
year of account. However, a given underwriting year
of account shall not be commuted unless all prior
underwriting years of account have been commuted.
Payment by the Reinsurer of Profit Commission balance
above, shall constitute a complete and final release
of the Reinsurer from any further liability whether
known or unknown.
Calculation of this Profit Commission adjustment
shall apply collectively for all Companies reinsured
under this Agreement, and not individually.
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REINSURANCE COVER NOTE
Agreement No: 970078
COMMUTATION: Provided that the balance in the Profit Commission
Account is positive, the Company may
commute this Agreement at the end of any calendar
quarter ending after June 30, 1997.
Upon commutation, the Reinsurer shall pay the Company
Profit Commission per the above schedule. In exchange
for such payment, the Reinsurer shall be released
from any and all current and future liability under
this agreement.
LOSS
ADJUSTMENT
EXPENSES: Reinsurers shall be liable for their proportionate
share of loss adjustment expenses incurred (including
litigation expenses and interest on judgments, but
not including office expenses or salaries for the
Company's regular employees).
REPORTS AND
ACCOUNTS: Within thirty (30)days after the close of each
quarter, the Company shall furnish to the
Reinsurer the following:
Gross Earned Premium for the quarter LESS,
Ceding Commission allowed on the reinsurance premium
for the quarter LESS,
Reinsurers' share of paid loss and paid loss
adjustment expenses during the quarter PLUS,
Reinsurers' share of all salvage recovered
during the QUARTER,
Net balance due.
Any balances due either party will be payable within
forty-five (45) days after the close of each quarter.
All losses to be settled from funds withheld account
until the fund balance is exhausted.
SPECIAL
TERMINATION: The Reinsurer may terminate this Agreement at any
time upon giving at least thirty (30) days'
prior notice in writing, for any of the following
reasons:
A. Company's policyholders surplus drops by more
than 35% from the prior year end.
B. Company is declared insolvent or placed in
rehabilitation or receivership, etc.
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REINSURANCE COVER NOTE
Agreement No: 970078
C. Company ceases writing new and renewal business
subject to this Agreement.
D. Company becomes acquired or controlled by another
entity.
E. Company fails to pay reinsurance premium
when due.
SPECIAL
TERMINATION
(Continued): In the event of Special Termination:
1. The annual aggregate limit shall equal 130% of
net ceded premium actually received by
the Reinsurer as of the date of Special
Termination.
2. The Reinsurer shall have the option to terminate
this Agreement on a cut-off basis.
CLAUSES: Net Liability.
Parties to the Agreement.
Reinsurers Liability.
Losses and Loss Settlements.
Extra Contractual Obligations on a 100% basis within
the Agreement limit.
Loss in Excess of Policy Limits on a 100% basis
within the Agreement limit.
Funding of Reserves.
Currency.
Taxes.
Access to Records.
Errors and Omissions, not to apply to Exclusions.
Original Conditions.
Insolvency.
Arbitration.
Federal Excise Tax.
Service of Suit - NMA 1998 - Mendes & Mount
(where applicable).
Offset.
Severability.
Minet Re North America, Inc. Intermediary.
WORDING: Wording to follow Minet Re Clauses or BRMA Clauses
where specified above and which comply with the
requirements of the State of New York Insurance
Department.
5
REINSURANCE COVER NOTE
Agreement No: 970078
REINSURERS:
NAIC
FEIN No. No. Through Minet Re North America Share
-------- --- ------------------------------ -----
00-0000000 22314 Underwriters Reinsurance Company
Concord, New Hampshire 100%
----
Sub Total: 100%
----
TOTAL PLACEMENT: 100%
====
We will periodically provide a list of those companies with which Minet Re North
America, Inc. is affiliated, which may be parties to this placement. This list
is available on request.
FOR AND ON BEHALF OF:
MINET RE NORTH AMERICA, INC.
___________________________ DATE: _______________
Senior Vice President
AGREED TO:
HOME STATE INSURANCE COMPANY
QUAKER CITY INSURANCE COMPANY
PINNACLE INSURANCE COMPANY
XXXXXXXXX INSURANCE COMPANY
___________________________ DATE: _______________
Authorized Signature
6
REINSURANCE COVER NOTE
Agreement No: 970078
Please examine this document carefully and advise us immediately if any of the
details on the security used are not in accordance with your order or
requirements.
7
INTERESTS AND LIABILITIES CONTRACT
Agreement No.: BN970078
INTERESTS AND LIABILITIES CONTRACT
in respect of
PRIVATE PASSENGER AND COMMERCIAL AUTOMOBILE LIABILITY
AND PHYSICAL DAMAGE QUOTA SHARE REINSURANCE AGREEMENT
between
HOME STATE INSURANCE COMPANY
Red Bank, New Jersey
QUAKER CITY INSURANCE COMPANY
Trevose, Pennsylvania
PINNACLE INSURANCE COMPANY
Carrollton, Georgia
XXXXXXXXX INSURANCE COMPANY
Wallingford, Connecticut
(hereinafter referred to as the "Company")
and
UNDERWRITERS REINSURANCE COMPANY
Concord, New Hampshire
(hereinafter referred to as the "Subscribing Reinsurer")
It is hereby agreed by and between the Company of the one part, and the
Subscribing Reinsurer of the other part, that effective 12:01 a.m., Eastern
Standard Time, December 31, 1996, the Subscribing Reinsurer subscribes a 100%
share of the Interests and Liabilities of the "Reinsurer" as set forth in the
PRIVATE PASSENGER AND COMMERCIAL AUTOMOBILE LIABILITY AND PHYSICAL DAMAGE QUOTA
SHARE REINSURANCE AGREEMENT.
The share of the Subscribing Reinsurer in the Interests and Liabilities of the
"Reinsurer" in respect of said Agreement shall be separate and apart from the
shares of the other reinsurers subscribing to said Agreement, and the Interests
and Liabilities of the Subscribing Reinsurer shall not be joint with those of
the other reinsurers, and the Subscribing Reinsurer in no event shall
participate in the Interests and Liabilities of the other reinsurers subscribing
hereon.
1
INTERESTS AND LIABILITIES CONTRACT
Agreement No.: BN970078
IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed
in triplicate by their duly authorized officers:
In Shrewsbury, New Jersey, this day of , 1997,
HOME STATE INSURANCE COMPANY
QUAKER CITY INSURANCE COMPANY
PINNACLE INSURANCE COMPANY
XXXXXXXXX INSURANCE COMPANY
-----------------------------------------------------
2
REINSURANCE AGREEMENT
Agreement No.: BN970078
PRIVATE PASSENGER AND COMMERCIAL AUTOMOBILE LIABILITY
AND PHYSICAL DAMAGE QUOTA SHARE REINSURANCE AGREEMENT
between
HOME STATE INSURANCE COMPANY
Red Bank, New Jersey
QUAKER CITY INSURANCE COMPANY
Trevose, Pennsylvania
PINNACLE INSURANCE COMPANY
Carrollton, Georgia
XXXXXXXXX INSURANCE COMPANY
Wallingford, Connecticut
and
Various Insurance/Reinsurance Companies
EFFECTIVE: December 31, 1996
INTERESTS AND LIABILITIES CONTRACT
Agreement No.: BN970078
HOME STATE INSURANCE COMPANY
QUAKER CITY INSURANCE COMPANY
PINNACLE INSURANCE COMPANY
XXXXXXXXX INSURANCE COMPANY
PRIVATE PASSENGER AND COMMERCIAL AUTOMOBILE LIABILITY
AND PHYSICAL DAMAGE QUOTA SHARE REINSURANCE AGREEMENT
INDEX
ARTICLE
-------
I - Business Covered
- Net Liability
- Parties to the Agreement
II - Commencement and Termination
- Basis of Termination
- Special Termination
III - Territory
IV - Exclusions
V - Reinsurer's Liability
- Quota Share Participation
VI - Premium and Ceding Commission
- Reports and Accounts
- Contingent Commission
VII - Losses and Loss Settlements
- Extra Contractual Obligations
- Loss in Excess of Policy Limits
VIII - Funding of Reserves
IX - Currency
X - Taxes
XI - Access to Records
XII - Errors and Omissions
XIII - Original Conditions
XIV - Insolvency
XV - Arbitration
XVI - Federal Excise Tax
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REINSURANCE AGREEMENT
Agreement No: BN970078
ARTICLE
-------
XVII - Service of Suit
XVIII - Offset
XIX - Severability
XX - Intermediary
Attachments:
------------
Letter of Credit Trust Agreement
Nuclear Incident Exclusion Clauses - Physical Damage and Liability -
Reinsurance - USA and Canada
Pools, Associations, Syndicates Exclusion Clause
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REINSURANCE AGREEMENT
Agreement No: BN970078
PRIVATE PASSENGER AND COMMERCIAL AUTOMOBILE LIABILITY
AND PHYSICAL DAMAGE QUOTA SHARE REINSURANCE AGREEMENT
In consideration of the premium and terms and conditions
hereinafter set forth
The Reinsurers executing the
Interests and Liabilities Contract
attached to this Agreement
(hereinafter referred to as the "Reinsurer")
do hereby indemnify, as herein provided and specified,
HOME STATE INSURANCE COMPANY
Red Bank, New Jersey
QUAKER CITY INSURANCE COMPANY
Trevose, Pennsylvania
PINNACLE INSURANCE COMPANY
Carrollton, Georgia
XXXXXXXXX INSURANCE COMPANY
Wallingford, Connecticut
(hereinafter referred to as the "Company")
ARTICLE I
Business Covered:
The Reinsurer agrees to indemnify the Company, in respect of the net liability
which may accrue to the Company under its policies, binders, or contracts of
insurance or reinsurance or other evidence of liability, whether oral or written
(hereinafter called "policies"), issued or contracted for by the Company,
subject to the exclusions set forth in ARTICLE IV, Exclusions, and other terms
and conditions of this Agreement as set forth herein on all net in-force
business classified by the Company as Private Passenger and Commercial
Automobile Liability and Physical Damage (Comprehensive and Collision),
including No-Fault, Uninsured and Underinsured Motorists and Medical Payments
plus Garagekeepers Legal Liability and Garage Liability.
Net Liability:
As respects Private Passenger and Commercial Automobile Liability, including
No-Fault, Uninsured and Underinsured Motorists, Medical Payments, Garagekeepers
Legal Liability and Garage Liability,
1
the term "net liability" shall mean the gross amount on any one (1) loss
occurrence less any reinsurance effected by the Company or by its agents. The
term "loss occurrence" shall follow the definitions of the Company's original
policies.
As respects Private Passenger and Commercial Automobile Physical Damage
(Comprehensive and Collision), the term "net liability" shall mean the gross
amount on any one (1) vehicle, or risk, less any reinsurance effected by the
Company or by its agents.
The Company shall be the sole judge of what constitutes one (1) vehicle, or
risk.
Parties to the Agreement:
Whenever the word "Company" is used in this Agreement, same shall be held to
include any and/or all of the Companies, which are or may hereafter be under
common control and named as reinsured companies forming the Company. This
Agreement shall operate as if it were made between the Reinsurer and each
reinsured Company individually. Premiums and Reports and Accounts made in
accordance with ARTICLE VI and Losses and Loss Settlements made in accordance
with ARTICLE VII are to be submitted in a manner that will identify each
Company's premium remittances to the Reinsurer and the Reinsurer's individual
loss obligations to each reinsured Company. Balances payable or recoverable by
any insurer or individual named reinsurer shall not serve to offset any balances
payable or recoverable to or from any other reinsured party to the Agreement.
The first named affiliated Company hereunder shall be deemed to be the agent of
the Company and shall allocate each Company's premiums and losses as set forth
in the preceding paragraph. However, each reinsured will be responsible for
verifying the accuracy of the amounts reported.
ARTICLE II
Commencement and Termination:
The term of this Agreement shall be from 12:01 a.m., Eastern Standard Time,
December 31, 1996 and shall remain in force continuously thereafter subject to
cancellation as of 12:01 a.m., Eastern Standard Time, any December 31 thereafter
by either party upon not less than ninety (90) days' prior written notice being
given to the other party. Such notice shall be sent by registered or certified
mail, return receipt requested, and shall be deemed given upon its dispatch.
2
REINSURANCE AGREEMENT
Agreement No.: BN970078
Basis of Termination:
Should this Agreement be cancelled, the Reinsurer shall remain liable for all
loss occurrences taking place subsequent to the time and date of cancellation of
this Agreement covered by policies in force at the time and date of cancellation
of this Agreement until the natural expiration or prior termination of such
policies, but in no event for any loss occurrences taking place more than twelve
(12) months plus six (6) months' odd time subsequent to the cancellation of this
Agreement; or by mutual consent between the Company and the Reinsurer, the
Reinsurer shall not be liable for any loss occurrences taking place subsequent
to the cancellation of this Agreement. Should the Company exercise the latter
option, the Reinsurer shall return to the Company its share of the unearned
premium, less the ceding commission allowed by the Reinsurer, applicable to the
unexpired portion of policies covered under this Agreement.
If this Agreement should be cancelled while a loss occurrence covered hereunder
is in progress, the Reinsurer shall be liable, subject to all other conditions
of this Agreement, for its share of all individual losses resulting from such
loss occurrence whether any such individual losses take place before or after
such cancellation.
Special Termination:
It is especially understood and agreed that the Reinsurer shall have the right
to terminate this Agreement forthwith upon the giving of thirty (30) days'
notice in writing, which notice shall be in accordance with the termination
provisions of this Article, for any of the following reasons:
1. The Company's policyholders' surplus drops by more than thirty-five
percent (35%) from the prior year end.
2. The Company is declared insolvent or placed in rehabilitation,
receivership, conservation or liquidation.
3. The Company ceases writing new and renewal business subject to this
Agreement.
4. The Company becomes acquired or controlled by another entity.
5. The Company fails to pay reinsurance premium when due.
If any law or regulation of the federal or state or local government of any
jurisdiction in which the Company is doing business shall render illegal the
arrangements made in this Agreement, the Agreement may be terminated immediately
insofar as it applies to such jurisdiction by the Company giving notice to the
Reinsurer to such effect.
3
REINSURANCE AGREEMENT
Agreement No.: BN970078
In the event of Special Termination:
1. The annual aggregate limit shall equal 130% of net ceded premium
actually received by the Reinsurer as of the date of Special
Termination.
2. The Reinsurer shall have the option to terminate this Agreement on a
cut-off basis.
ARTICLE III
Territory:
The liability of the Reinsurer under this Agreement shall be limited to losses
in connection with business written by the Company's offices or agencies in the
United States of America, its territories, possessions, dependencies, Puerto
Rico and Canada, and shall apply to losses occurring within the territorial
limits of the Company's original policies.
ARTICLE IV
Exclusions:
This Agreement shall not cover:
1. Assumed reinsurance other than business assumed via intra-company
reinsurance, from United Pacific Insurance Company and Reliance
Insurance Company, Delaware private passenger business written as a 100%
Quota Share of companies with whom Quaker City Insurance Company has
entered into rollover agreements, and facultative commercial automobile
liability reinsurance in connection with business originally produced by
the Company and specifically reported to working layer Reinsurers.
2. Loss or liability excluded by the provisions of the "Nuclear Incident
Exclusion Clauses Physical Damage and Liability - Reinsurance - USA and
Canada," attached to, and forming part of, this Agreement.
3. Financial Guarantee and Insolvency.
4. All liability of the Company arising, by contract, operation of law, or
otherwise, from its participation or membership, whether voluntary or
involuntary, in any insolvency fund. "Insolvency Fund" includes any
guaranty fund, insolvency fund, plan, pool, association, fund or other
arrangement, howsoever denominated, established or governed; which
provides for any assessment of or payment or assumption by the Company
of part or all of any claim, debt, charge, fee, or other obligation of
an insurer, or its successors or assigns, which has been
4
REINSURANCE AGREEMENT
Agreement No.: BN970078
declared by any competent authority to be insolvent, or which is
otherwise deemed unable to meet any claim, debt, charge, fee or other
obligation in whole or in part.
5. War Risks, as per the following clause:
Regarding interests which at time of loss or damage are on shore, no
liability shall attach hereto for any loss or damage which is occasioned
by war, invasion, hostilities, acts of foreign enemies, civil war,
rebellion, insurrection, military or usurped power, or martial law or
confiscation by order of any government or public authority.
This War Exclusion Clause shall not, however, apply to interests which
at time of loss or damage are within the territorial limits of the
United States of America (comprising the fifty (50) states of the Union,
the District of Columbia, its territories and possessions including the
Panama Canal Zone and the Commonwealth of Puerto Rico, and including
bridges between the USA and Mexico, provided they are under United
States ownership), Canada, St. Pierre and Miquelon, provided such
interests are insured under policies containing a standard war or
hostilities or warlike operations exclusion clause.
Nevertheless, this clause shall not be construed to apply to riots,
strikes, civil commotion, vandalism, malicious damage, including acts
committed by the agent of any government, party or faction engaged in
war, hostilities, or other warlike operations, providing such agent is
acting secretly and not in connection with any operation of military or
naval armed forces in the country where the interest insured is
situated.
6. Loss or liability excluded by the provisions of the "Pools,
Associations, Syndicates Exclusion Clause," attached to, and forming
part of, this Agreement. It is understood and agreed that this exclusion
shall not apply to individual risks assigned to the Company under an
Assigned Risk Plan or similar plan.
7. Speed Contests.
8. Ambulances.
ARTICLE V
Reinsurer's Liability:
The liability of the Reinsurer shall commence obligatorily and simultaneously
with that of the Company, the premium on account of such liability to be
credited to the Reinsurer from the original date of the Company's liability.
5
REINSURANCE AGREEMENT
Agreement No.: BN970078
Quota Share Participation:
As respects Private Passenger and Commercial Automobile Liability, the Company
shall cede and the Reinsurer shall accept sixty percent (60%) of the Company's
net liability on loss occurrences under all policies covered hereunder.
As respects Private Passenger and Commercial Automobile Physical Damage, the
Company shall cede and the Reinsurer shall accept sixty percent (60%) of the
Company's net liability on each vehicle under all policies covered hereunder.
Nevertheless, the Reinsurer's liability hereunder, inclusive of allocated loss
adjustment expenses, shall not exceed 175% of the Nett Ceded Premium or
$35,000,000, whichever the lesser, for the Agreement period. "Nett Ceded
Premium" shall be the gross ceded premium during the Agreement period less the
ceding commission allowed during the Agreement period.
Notwithstanding the above, the Company shall be responsible for all ultimate net
loss otherwise recoverable from the Reinsurer under this Agreement above a loss
ratio to the Reinsurer of sixty-four percent (64.0%) up to a loss ratio to the
Reinsurer of eighty-two percent (82.0%). Loss ratio means the total of ultimate
net loss from losses that occur with a date of loss during each twelve-month
Agreement period for which the Reinsurer would be responsible under this
Agreement in the absence of this Clause, divided by the ceded Reinsurer's
premium during the same Agreement period.
With respect to extra contractual obligations and loss in excess of policy
limits, as defined in ARTICLE VII, one hundred percent (100%) of the extra
contractual loss and loss in excess of policy limits recoverable hereunder shall
be included in any loss, but the contractual loss plus the extra contractual
obligation and loss in excess of policy limits shall not exceed the limit of
this Agreement.
ARTICLE VI
Premium and Ceding Commission:
The premium payable to the Reinsurer shall be sixty percent (60%) of the
Company's net unearned premiums on policies in force at the inception of this
Agreement on the business covered hereunder. The Reinsurer shall allow the
Company a provisional commission of 32.5% on the net premium ceded, (being gross
written premium less cancellations and return premium). The commission allowance
shall cover premium taxes of all kinds, local board assessments, and all other
expenses and charges whatsoever (except losses and loss adjustment expenses)
based upon premium ceded under this Agreement. The term "net unearned premium"
shall be the unearned premium after all inuring reinsurance.
6
REINSURANCE AGREEMENT
Agreement No.: BN970078
The ceded unearned premium is payable to the Reinsurer on the following basis.
a) Funds transferred to the Reinsurer via wire transfer at March 31, 1997
in the amount of $7,400,000.
b) Funds held by the Company in the amount of $14,574,603.
Reports and Accounts:
Within thirty (30) days after the close of each quarter, the Company shall
render to the Reinsurer the following:
a) Gross earned premium for the quarter, LESS
b) Ceding commission allowed on the reinsurance premium for the quarter,
LESS
c) Reinsurer's share of paid loss and paid loss adjustment expenses during
the quarter, PLUS
d) Reinsurer's share of all salvage or subrogation recovered during the
quarter,
e) Net balance due.
The Company shall advise the unearned premium and outstanding losses by line of
business and remit the Reinsurer's net balance within forty-five (45) days after
the close of each quarter. In the event the net balance is due from the
Reinsurer to the Company, the Reinsurer shall remit such net balance due within
forty-five (45) days after receipt of the report. All losses shall be settled
from the funds-withheld account until the fund balance is exhausted.
Contingent Commission:
The Reinsurer shall make a further allowance of 100% commission on the net
profit for each period, calculated on the following basis:
Commission calculations shall be prepared at commutation of each
underwriting year of account with all losses occurring on ceded business in
force during a calculation period charged against all premium ceded during
the same calculation period.
INCOME
(I) Gross ceded reinsurance premium during the current period, PLUS
(II) Interest credited on funds withheld net of the ceding commission.
Interest shall be applied at the 90-day Treasury-Xxxx rate.
7
REINSURANCE AGREEMENT
Agreement No.: BN970078
OUTGO
(I) The losses and loss adjustment expenses paid for the current period less
salvage, subrogation and other recoveries, PLUS
(II) The commission allowance applied to the gross ceded reinsurance premium
for the period, PLUS
(III) An allowance of 3.50% of the gross ceded premium for the period for the
management expenses of the Reinsurer, subject to a minimum of $500,000.
Note: The amount by which the total INCOME exceeds the total OUTGO shall be
the net profit on which the profit commission will be calculated.
The first period shall cover from December 31, 1996 to December 30, 1997, and
subsequent periods shall be each twelve (12) months thereafter. Commutation
shall be at the Company's option any time after six (6) months following the
inception of each underwriting year of account. However, a given underwriting
year of account shall not be commuted unless all prior underwriting years of
account have been commuted.
Provided that the balance in the profit commission calculation is positive, the
Company may commute this Agreement at the close of any calendar quarter ending
after June 30, 1997.
The commission calculation shall be prepared by the Company and forwarded to the
Reinsurer for examination within thirty (30) days after the close of each
period; the profit commission, if any, shall be payable by the Reinsurer within
forty-five (45) days after the close of each period. Payment by the Reinsurer of
the profit commission shall constitute a complete and final release of the
Reinsurer from any and all further liability whether known or unknown under this
Agreement.
Notwithstanding anything herein to the contrary, it is understood and agreed
that the calculation of this commission adjustment shall apply to the aggregate
commission collectively for all Companies reinsured under this Agreement, and
not each reinsured Company individually.
ARTICLE VII
Losses and Loss Settlements:
The Company or its designated representatives shall adjust, settle or compromise
all losses hereunder. All such adjustments, settlements and compromises shall be
binding on the Reinsurer, in proportion to
8
REINSURANCE AGREEMENT
Agreement No.: BN970078
its participation and the Reinsurer shall benefit proportionately in all
salvage, subrogation and recoveries.
The Reinsurer shall bear its proportionate share of all loss expenses incurred
by the Company including litigation expenses and interest on judgments (but not
including office expenses or salaries of the Company's regular employees) in the
investigation, adjustment, appraisal or defense of all claims under policies
reinsured hereunder and the Reinsurer shall receive its proportionate share of
any recoveries of such expense.
Extra Contractual Obligations:
Loss includes, within the limits as set forth in ARTICLE V, Quota Share
Participation, any extra contractual obligations. "Extra contractual
obligations" are defined as those liabilities not covered under any other
provision of this Agreement and which arise from the handling of any claim on
business covered hereunder, such liabilities arising because of, but not limited
to, the following: failure by the Company to settle within the policy limit, or
by reason of alleged or actual negligence, fraud or bad faith in rejecting an
offer of settlement or in the preparation of the defense or in the trial of any
action against its insured or reinsured or in the preparation or prosecution of
an appeal consequent upon such action.
The date on which an extra contractual obligation is incurred by the Company
shall be deemed, in all circumstances, to be the date of the original accident,
casualty, disaster or loss occurrence.
However, this clause shall not apply where the loss has been incurred due to the
fraud of a member of the Board of Directors or a corporate officer of the
Company acting individually or collectively or in collusion with any individual
or corporation or any other organization or party involved in the presentation,
defense or settlement of any claim covered hereunder.
Notwithstanding the foregoing, as respects New York Merchant Bakers Insurance
Company and Home Mutual Insurance Company of Binghamton, New York only, in no
event shall coverage be provided to the extent that such coverage is not
permitted under New York law.
Loss in Excess of Policy Limits:
Loss includes, within the limits as set forth in ARTICLE V, Quota Share
Participation, loss in excess of the limit of the Company's original policy,
such loss in excess of the limit having been incurred because of failure by it
to settle within the policy limit or by reason of alleged or actual negligence,
fraud or bad faith in rejecting an offer of settlement or in the preparation of
the defense or in the trial of any action against its insured or reinsured or in
the preparation or prosecution of an appeal consequent upon such action.
9
REINSURANCE AGREEMENT
Agreement No.: BN970078
However, this clause shall not apply where the loss has been incurred due to the
fraud of a member of the Board of Directors or a corporate officer of the
Company acting individually or collectively or in collusion with any individual
or corporation or any other organization or party involved in the presentation,
defense or settlement of any claim covered hereunder.
For the purpose of this clause, the word "loss" shall mean any amounts for which
the Company would have been contractually liable to pay had it not been for the
limit of the original policy.
ARTICLE VIII
(Applies only to a reinsurer who does not qualify for full credit as an admitted
reinsurer by any state or any other governmental authority having jurisdiction
over the Company's reserves.)
Funding of Reserves:
If a jurisdiction of the United States will not permit the Company, in the
statements required to be filed with its regulatory authority(ies), to receive
full credit as admitted reinsurance for any Reinsurer's share of obligations,
the Company shall forward to such Reinsurer a statement of the Reinsurer's share
of such obligations. Upon receipt of such statement the Reinsurer shall promptly
apply for, and provide the Company with, a "clean," unconditional and
irrevocable Letter of Credit, in the amount specified in the statement
submitted, with terms and bank acceptable to the regulatory authority(ies)
having jurisdiction over the Company.
"Obligations," as used in this Article shall mean the sum of reserves for
unearned premiums, plus losses paid and allocated loss adjustment expenses paid
by the Company but not yet recovered from the Reinsurer, reserves for reported
losses, allocated loss adjustment expenses and losses incurred but not reported.
The Reinsurer hereby agrees that the Letter of Credit will provide for automatic
extension of the Letter of Credit without amendment for one (1) year from the
date of expiration of said Letter or any future expiration date unless thirty
(30) days prior to any expiration the issuing bank shall notify the Company by
registered mail that the issuing bank elects not to consider the Letter of
Credit renewed for any additional period. An issuing bank, not a "qualified
bank" as defined by Regulation No. 133 promulgated by the Insurance Department
of the State of New York, shall provide sixty (60) days' notice to the Company
prior to any expiration.
Notwithstanding any other provision of this Agreement, the Company or any
successor by operation of law of the Company including, without limitation, any
liquidator, rehabilitator, receiver or conservator
10
REINSURANCE AGREEMENT
Agreement No.: BN970078
of the Company may draw upon such credit, without diminution because of the
insolvency of any party hereto, at any time and undertakes to use and apply such
credit for one (1) or more of the following purposes only:
1. To pay the Reinsurer's share or to reimburse the Company for the
Reinsurer's share of any obligations, as stipulated in the statement
submitted by the Company to the Reinsurer, which is due to the
Company and not otherwise paid by the Reinsurer.
2. In the event the Company has received effective notice of
non-renewal of the Letter of Credit and the Reinsurer's liability
remains unliquidated and undischarged thirty (30) days prior to the
expiry date of the Letter of Credit, to withdraw the balance of the
Letter of Credit and place such sums in an interest bearing trust
account to secure the continuing liabilities of the Reinsurer under
this Agreement until a renewal Letter of Credit acceptable to the
regulatory authority(ies) having jurisdiction over the Company, has
been received by the Company. The Company shall provide to the
Reinsurer payment of any interest thereon accruing from such
account.
3. To make refund of any sum which is in excess of the actual amount
required for sub-paragraphs 1. and 2. of this paragraph of this
Article.
At annual intervals or more frequently as determined by the Company, but never
more frequently than quarterly, the Company shall prepare a specific statement,
for the sole purpose of amending the Letter of Credit, of the Reinsurer's share
of any obligations. If the statement shows that the Reinsurer's share of
obligations exceeds the balance of credit as of the statement date, the
Reinsurer shall, within thirty (30) days after receipt of notice of such excess,
secure delivery to the Company of an amendment of the Letter of Credit
increasing the amount of credit by the amount of such difference. If the
statement shows, however, that the Reinsurer's share of obligations is less than
the balance of credit as of the statement date, the Company shall, within thirty
(30) days after receipt of written request from the Reinsurer, release such
excess credit by agreeing to secure an amendment to the Letter of Credit
reducing the amount of credit available by the amount of such excess credit.
The bank shall have no responsibility whatsoever in connection with the
propriety of withdrawals made by the Company or the disposition of funds
withdrawn, except to assure that withdrawals are made only upon the order of
properly authorized representatives of the Company. The Company shall incur no
obligation to the bank in acting upon the credit, other than as appears in the
express terms thereof.
If a Letter of Credit is issued as provided herein, the Reinsurer shall enter
into a Letter of Credit Trust Agreement which shall conform in substance to the
Trust Agreement attached to, and forming part of, this Agreement.
11
REINSURANCE AGREEMENT
Agreement No.: BN970078
ARTICLE IX
Currency:
All payments made under this Agreement shall be in currency of the United States
of America.
ARTICLE X
Taxes:
It is understood and agreed that in consideration of the terms under which this
Agreement is issued, the Company undertakes not to claim any deduction with
respect to the premium hereon when making premium tax returns to the appropriate
tax authorities.
ARTICLE XI
Access to Records:
Upon reasonable notice being given to the Company, the Reinsurer or its duly
authorized representatives shall at all reasonable times have free access during
the term of this Agreement and subsequent to its termination, to the books and
records of the Company so far as they relate to the business reinsured under
this Agreement.
ARTICLE XII
Errors and Omissions:
Any inadvertent delay, omission or error shall not be held to relieve either
party hereto from any liability which would attach to it hereunder if such
delay, omission or error had not been made, provided such delay, omission or
error is rectified immediately upon discovery. This Article shall not apply to
failure of the Company to comply with any exclusion provided in ARTICLE IV,
Exclusions.
12
REINSURANCE AGREEMENT
Agreement No.: BN970078
ARTICLE XIII
Original Conditions:
All amounts ceded hereunder shall be subject to the same gross rates and to the
same clauses, conditions and modifications of the Company's policies, subject to
the limits, terms and conditions of this Agreement.
ARTICLE XIV
Insolvency:
In the event of the insolvency of the Company or the appointment of a
conservator, liquidator, receiver or statutory successor, this reinsurance shall
be payable by the Reinsurer immediately upon demand directly to the Company or
its liquidator, receiver, conservator or statutory successor on the basis of the
liability of the Company without diminution because of the insolvency of the
Company or because the liquidator, receiver, conservator or statutory successor
of the Company has failed to pay all or a portion of any claim.
It is agreed however, that the liquidator, receiver, conservator or statutory
successor of the Company shall give written notice to the Reinsurer of the
pendency of a claim against the insolvent Company indicating the policy or bonds
reinsured which claim would involve a possible liability on the part of the
Reinsurer within a reasonable time after such claim is filed in the conservation
or liquidation proceeding or in the receivership and that during the pendency of
such claim the Reinsurer may investigate such claim and interpose, at its own
expense, in the proceeding where such claim is to be adjudicated any defense or
defenses which it may deem available to the Company or its liquidator, receiver,
conservator or statutory successor. The expense thus incurred by the Reinsurer
shall be chargeable subject to court approval against the insolvent Company as
part of the expense of liquidation to the extent of a proportionate share of the
benefit which may accrue to the Company solely as a result of the defense
undertaken by the Reinsurer.
Where two (2) or more reinsurers are involved in the same claim and a majority
in interest elect to interpose defense to such claim, the expense shall be
apportioned in accordance with the terms of this Agreement as though such
expense had been incurred by the Company.
The reinsurance under this Agreement shall be payable by the Reinsurer directly
to the Company, or to its liquidator, receiver, conservator or statutory
successor, except as provided by Section 4118(a) of the New York Insurance Law
or except (a) where the agreement specifically provides another payee of
13
REINSURANCE AGREEMENT
Agreement No.: BN970078
such reinsurance in the event of the insolvency of the Company and (b) where the
Reinsurer with the consent of the direct insured or insureds and with the prior
approval of the Superintendent of Insurance of the state of New York to the
certificate of assumption on New York risks has assumed such policy obligations
of the Company as direct obligations of the Reinsurer to the payees under such
policies and in substitution for the obligations of the Company to such payees.
ARTICLE XV
Arbitration:
Any dispute or other matter in question between the Company and the Reinsurer
arising out of or relating to the formation, interpretation, performance, or
breach of this Agreement, whether such dispute arises before or after
termination of this Agreement, shall be settled by arbitration. Arbitration
shall be initiated by the delivery of a written notice of demand for arbitration
by one (1) party to the other within a reasonable time after the dispute has
arisen.
If more than one (1) reinsurer is involved in the same dispute, all such
reinsurers shall constitute and act as one (1) party for the purposes of this
Article, provided, however, that nothing herein shall impair the rights of such
reinsurers to assert several, rather than joint, defenses or claims, nor be
construed as changing the liability of the reinsurers under the terms of this
Agreement from several to joint.
Each party shall appoint an individual as arbitrator and the two (2) so
appointed shall then appoint a third arbitrator. If either party refuses or
neglects to appoint an arbitrator within sixty (60) days, the other party may
appoint the second arbitrator. If the two (2) arbitrators do not agree on a
third arbitrator within sixty (60) days of their appointment, each of the
arbitrators shall nominate three (3) individuals. Each arbitrator shall then
decline two (2) of the nominations presented by the other arbitrator. The third
arbitrator shall then be chosen from the remaining two (2) nominations by
drawing lots. The arbitrators shall be active or retired officers of insurance
or reinsurance companies or Lloyd's, London Underwriters; the arbitrators shall
not have a personal or financial interest in the result of the arbitration.
Any arbitration hearings shall be held in the Company's Home Office, unless some
other place is mutually agreed upon by the interacting parties. With regard to
any New York domicile, arbitration hearings shall be held in New York. Each
party shall submit its case to the arbitrators within sixty (60) days of the
selection of the third arbitrator or within such longer period as may be agreed
by the arbitrators. The arbitrators shall not be obliged to follow judicial
formalities or the rules of evidence except to the extent required by governing
law, that is, the state law of the situs of the arbitration as herein agreed;
they shall make their decisions according to the practice of the reinsurance
business. The decision rendered by a majority of the arbitrators shall be made
within sixty (60) days upon the
14
REINSURANCE AGREEMENT
Agreement No.: BN970078
close of the arbitration hearing, and the decision shall be final and binding on
both parties. Such decision shall be a condition precedent to any right of legal
action arising out of the arbitrated dispute which either party may have against
the other. Judgment upon the award rendered may be entered in any court having
jurisdiction thereof.
Each party shall pay the fee and expenses of its own arbitrator and one-half of
the fee and expenses of the third arbitrator. All other expenses of the
arbitration shall be equally divided between the parties.
Except as provided above, arbitration shall be based, insofar as applicable,
upon the procedures of the American Arbitration Association.
ARTICLE XVI
(Applicable to those reinsurers, excepting Underwriters at Lloyd's, London and
other reinsurers exempt from Federal Excise Tax, who are domiciled outside the
United States of America.)
Federal Excise Tax:
The Reinsurer has agreed to allow for the purpose of paying the Federal Excise
Tax the applicable percentage of the premium payable hereon (as imposed under
the Internal Revenue Code) to the extent such premium is subject to the Federal
Excise Tax.
In the event of any return of premium becoming due hereunder, the Reinsurer will
deduct the aforesaid percentage from the return premium payable hereon and the
Company or its agent should take steps to recover the tax from the United States
Government.
ARTICLE XVII
(This Article only applies to reinsurers who are not domiciled in the USA and
are not authorized in any state where authorization is required by insurance
regulatory authorities in order for the Company to take credit for this
reinsurance.)
Service of Suit:
In the event of the failure of the Reinsurer hereon to pay any amount claimed to
be due hereunder, the Reinsurer hereon, at the request of the Company, will
submit to the jurisdiction of a court of competent jurisdiction within the
United States. Nothing in this Article constitutes or should be understood to
constitute a waiver of the Reinsurer's rights to commence an action in any court
of competent
15
REINSURANCE AGREEMENT
Agreement No.: BN970078
jurisdiction in the United States, to remove an action to a United States
District Court, or to seek a transfer of a case to another court as permitted by
the laws of the United States or of any state in the United States.
Service of process in such suit may be made upon Messrs. Mendes and Mount, 000
Xxxxxxx Xxxxxx, Xxx Xxxx, Xxx Xxxx 00000-0000, and in any suit instituted
against it, under this Agreement, the Reinsurer will abide by the final decision
of such court or of any appellate court in the event of an appeal.
The above named are authorized and directed to accept service of process on
behalf of the Reinsurer in any such suit and/or upon the request of the Company
to give a written undertaking to the Company that they will enter a general
appearance upon the Reinsurer's behalf in the event such a suit shall be
instituted.
Further, pursuant to any statute of any state, territory or district of the
United States which makes provision therefor, the Reinsurer hereon hereby
designates the Superintendent, Commissioner or Director of Insurance or other
officer specified for that purpose in the statute, or his successor or
successors in office, as its true and lawful attorney upon whom may be served
any lawful process in any action, suit or proceeding instituted by or on behalf
of the Company or any beneficiary hereunder arising out of this Agreement, and
hereby designates the above named as the person to whom the said officer is
authorized to mail such process or a true copy thereof.
ARTICLE XVIII
Offset:
The Company and the Reinsurer, each at its option, may offset any balance or
balances, whether on account of premiums, claims and losses, loss expenses or
salvages due from one party to the other under this Agreement; provided,
however, that in the event of the insolvency of a party hereto, offsets shall
only be allowed in accordance with applicable statutes and regulations. In case
of insolvency of a party hereto, offsets shall only be allowed in accordance
with Section 7427 of the New York Insurance Law.
ARTICLE XIX
Severability:
16
REINSURANCE AGREEMENT
Agreement No.: BN970078
If any provision of this Agreement shall be rendered illegal or unenforceable by
the laws, regulations or public policy of any state, such provision shall be
considered void in such state, but this shall not affect the validity or
enforceability of any other provision of this Agreement or the enforceability of
such provision in any other jurisdiction.
ARTICLE XX
Intermediary:
Minet Re North America, Inc., is hereby recognized as the Intermediary
negotiating this Agreement for all business hereunder. All communications
(including but not limited to notices, statements, premiums, return premiums,
commissions, taxes, losses, loss adjustment expenses, salvages and loss
settlements) relating thereto shall be transmitted to the Company or the
Reinsurer through Minet Re North America, Inc., Xxxxxxxxx Village - School
Building, 000 Xxxxxx Xxxxxx, 0xx Xxxxx, Xxxxxxx, XX 00000. Payments by the
Company to the Intermediary shall be deemed to constitute payment to the
Reinsurer. Payments by the Reinsurer to the Intermediary shall be deemed only to
constitute payment to the Company to the extent that such payments are actually
received by the Company.
17
LETTER OF CREDIT TRUST AGREEMENT
This Agreement between __________, (hereinafter called the "reinsurer"), and
____________ ________________(hereinafter called the "ceding insurer"),
including any successor by operation of law of the ceding insurer including,
without limitation, any liquidator, rehabilitator, receiver or conservator of
such insurer.
WITNESSETH:
The reinsurer has secured delivery to the ceding insurer of a clean,
unconditional and irrevocable Letter of Credit of (issuing bank), No. ________,
issued on ______, 19_____, in the sum of United States $__________, expiring on
__________, 19____ ("the Credit") securing refund and payment to the ceding
insurer of reinsurer's share of any obligations due or which may become due to
the ceding insurer pursuant to the terms of the specific Reinsurance Agreement
No. _______, between the parties which became effective on ____________, 19____.
Now THEREFORE, in consideration of reinsurer having so applied for and
secured delivery of said Letter of Credit, which is hereby acknowledged, the
ceding insurer undertakes to use and apply any amounts which it may draw upon
such Credit, without diminution because of the insolvency of the ceding insurer
or the reinsurer, for the following purposes:
(1) To pay or reimburse the ceding insurer for the reinsurer's share
under the specific reinsurance agreement for any losses and allocated loss
expenses paid by the ceding insurer but not recovered from the reinsurer or for
unearned premiums due to the ceding insurer, if not otherwise paid by the
reinsurer in accordance with the terms of such agreement or;
(2) Where the ceding insurer has received notification of the nonrenewal
of the Letter of Credit and where the reinsurer's entire obligations under the
specific reinsurance agreement remain unliquidated and undischarged ten (10)
days prior to such expiration date, to obtain a cash deposit equal to such
obligations and deposit such amounts in a separate account in the name of the
ceding insurer in any United States bank or trust company, apart from its
general assets in trust for such uses and purposes specified in paragraph (1) of
this Agreement as may remain executory after obtaining the cash deposit and for
any period after such expiration date. Where the amounts held in such separate
account exceed the actual amount required to fund the reinsurer's entire
obligations under the specific reinsurance agreement, the ceding insurer shall
make payment to the reinsurer of the excess amount.
"Obligations," whenever used in this Agreement, shall mean the following:
a) reserves for unearned premiums;
b) losses and allocated loss expenses paid by the ceding insurer, but not
recovered from the reinsurer;
c) reserves for losses reported and outstanding;
d) reserves for losses incurred but not reported; and
e) reserves for allocated loss expenses.
NUCLEAR INCIDENT EXCLUSION CLAUSE
PHYSICAL DAMAGE - REINSURANCE - USA
1. This Reinsurance does not cover any loss or liability accruing to the
Company, directly or indirectly, and whether as Insurer or Reinsurer, from
any Pool of Insurers or Reinsurers formed for the purpose of covering
Atomic or Nuclear Energy risks.
2. Without in any way restricting the operation of paragraph 1. of this
Clause, this Reinsurance does not cover any loss or liability accruing to
the Company, directly or indirectly and whether as Insurer or Reinsurer,
from any insurance against Physical Damage (including business interruption
or consequential loss arising out of such Physical Damage) to:
I. Nuclear reactor power plants including all auxiliary property on the
site, or
II. Any other nuclear reactor installation, including laboratories
handling radioactive materials in connection with reactor
installations, and "critical facilities" as such, or
III. Installations for fabricating complete fuel elements or for processing
substantial quantities of "special nuclear material", and for
reprocessing, salvaging, chemically separating, storing or disposing
of "spent" nuclear fuel or waste materials, or
IV. Installations other than those listed in paragraph 2. III. above using
substantial quantities of radioactive isotopes or other products of
nuclear fission.
3. Without in any way restricting the operations of paragraphs 1. and 2.
hereof, this Reinsurance does not cover any loss or liability by
radioactive contamination accruing to the Company, directly or indirectly,
and whether as Insurer or Reinsurer from any insurance on property which is
on the same site as a nuclear reactor power plant or other nuclear
installation and which normally would be insured therewith except that this
paragraph 3. shall not operate.
(a) where Company does not have knowledge of such nuclear reactor power
plant or nuclear installation, or
(b) where said insurance contains a provision excluding coverage for
damage to property caused by or resulting from radioactive
contamination, however caused. However on and after 1st January 1960
this sub-paragraph (b) shall only apply provided the said radioactive
contamination exclusion provision has been approved by the
Governmental Authority having jurisdiction thereof.
4. Without in any way restricting the operations of paragraphs 1., 2. and 3.
hereof, this Reinsurance does not cover any loss or liability by
radioactive contamination accruing to the Company, directly or indirectly,
and whether as Insurer or Reinsurer, when such radioactive contamination is
a named hazard specifically insured against.
5. It is understood and agreed that this Clause shall not extend to risks
using radioactive isotopes in any form where the nuclear exposure is not
considered by the Company to be the primary hazard.
6. The term "special nuclear material" shall have the meaning given it in the
Atomic Energy Act of 1954 or by any law amendatory thereof.
7. Company to be sole judge of what constitutes
(a) substantial quantities and
(b) the extent of installation, plant or site.
1
NOTES:
1. Without in any way restricting the operation of paragraph 1. hereof, it is
understood and agreed that
(a) all policies issued by the Company on or before 31st December 1957
shall be free from the application of the other provisions of this
Clause until expiry date or 31st December 1960 whichever first occurs
whereupon all the provisions of this Clause shall apply.
(b) with respect to any risk located in Canada policies issued by the
Company on or before 31st December 1958 shall be free from the
application of the other provisions of this Clause until expiry date
or 31st December 1960 whichever first occurs whereupon all the
provisions of this Clause shall apply.
2. Wherever used herein the term "Company" shall be understood to mean
"Reassured", "Reinsured" or whatever other term is used in the attached
reinsurance Agreement to designate the reinsured company.
2
NUCLEAR INCIDENT EXCLUSION CLAUSE -
LIABILITY - REINSURANCE - USA
1. This reinsurance does not cover any loss or liability accruing to the
Company as a member of, or subscriber to, any association of insurers or
reinsurers formed for the purpose of covering nuclear energy risks or as a
direct or indirect reinsurer of any such member, subscriber or association.
2. Without in any way restricting the operation of paragraph (1) of this
Clause it is understood and agreed that for all purposes of this
reinsurance all the original policies of the Company (new, renewal and
replacement) of the classes specified in Clause II of this paragraph (2)
from the time specified in Clause III in this paragraph (2) shall be deemed
to include the following provision (specified as the Limited Exclusion
Provision):
LIMITED EXCLUSION PROVISION.*
I. It is agreed that the policy does not apply under any liability
coverage, to
{injury, sickness, disease, death or destruction
with respect to which an
{bodily injury or property damage
insured under the policy is also an insured under a nuclear energy
liability policy issued by Nuclear Energy Liability Insurance
Association, Mutual Atomic Energy Liability Underwriters or Nuclear
Insurance Association of Canada, or would be an insured under any such
policy but for its termination upon exhaustion of its limit of
liability.
II. Family Automobile Policies (liability only), Special Automobile
Policies (private passenger automobiles, liability only), Farmers
Comprehensive Personal Liability Policies (liability only),
Comprehensive Personal Liability Policies (liability only) or policies
of a similar nature; and the liability portion of combination forms
related to the four classes of policies stated above, such as the
Comprehensive Dwelling Policy and the applicable types of Homeowners
Policies.
III. The inception dates and thereafter of all original policies as
described in II above, whether new, renewal or replacement, being
policies which either
(a) become effective on or after May 1st, 1960, or
(b) become effective before that date and contain
the Limited Exclusion Provision set out above;
provided this paragraph (2) shall not be applicable to Family
Automobile Policies, Special Automobile Policies, or policies or
combination policies of a similar nature, issued by the Company on New
York risks, until 90 days following approval of the Limited Exclusion
Provision by the Governmental Authority having jurisdiction thereof.
3. Except for those classes of policies specified in Clause II of paragraph
(2) and without in any way restricting the operation of paragraph (1) of
this Clause, it is understood and agreed that for all purposes of this
reinsurance the original liability policies of the Company (new, renewal
and replacement) affording the following coverages:
Owners, Landlords and Tenants Liability, Contractual Liability, Elevator
Liability, Owners or Contractors (including railroad) Protective Liability,
Manufacturers and Contractors Liability, Product Liability, Professional
and Malpractice Liability, Storekeepers Liability, Garage Liability,
Automobile Liability (including Massachusetts Motor Vehicle or Garage
Liability)
shall be deemed to include, with respect to such coverages, from the time
specified in Clause V of this paragraph (3), the following provision (specified
as the Broad Exclusion Provision):
1
BROAD EXCLUSION PROVISION.*
It is agreed that the policy does not apply:
I. Under any Liability Coverage, to
{injury, sickness, disease, death or destruction
{bodily injury or property damage
(a) with respect to which an insured under the policy is also an
insured under a nuclear energy liability policy issued by
Nuclear Energy Liability Insurance Association, Mutual Atomic
Energy Liability Underwriters or Nuclear Insurance Association
of Canada, or would be an insured under any such policy but for
its termination upon exhaustion of its limit of liability; or
(b) resulting from the hazardous properties of nuclear material and
with respect to which (1) any person or organization is required
to maintain financial protection pursuant to the Atomic Energy
Act of 1954, or any law amendatory thereof, or (2) the insured
is, or had this policy not been issued would be, entitled to
indemnity from the United States of America, or any agency
thereof, under any agreement entered into by the United States
of America, or any agency thereof, with any person or
organization.
II. Under any Medical Payments Coverage, or under any Supplementary
Payments Provision
relating to {immediate medical or surgical relief,
to expenses incurred with respect
{first aid,
to {bodily injury, sickness, disease or death
resulting from the hazardous
{bodily injury
properties of nuclear material and arising out of the operation of a nuclear
facility by any person or organization.
III. Under any Liability Coverage, to {injury, sickness, disease,
death or destruction
{bodily injury or property damage
resulting from the hazardous properties of nuclear material, if
(a) the nuclear material (1) is at any nuclear facility owned by, or
operated by or on behalf of, an insured or (2) has been
discharged or dispersed therefrom;
(b) the nuclear material is contained in spent fuel or waste at any
time possessed, handled, used, processed, stored, transported or
disposed of by or on behalf of an insured; or
(c) The {injury, sickness, disease, death or
destruction
arises out of the
{bodily injury or property damage
furnishing by an insured of services, materials, parts or
equipment in connection with the planning, construction,
maintenance, operation or use of any nuclear facility, but if
such facility is located within the United States of America,
its territories, or possessions or Canada, this exclusion (c)
applies only
to {injury to or destruction of property at such
nuclear facility.
{property damage to such nuclear facility and any
property thereat.
IV. As used in this endorsement:
"hazardous properties" include radioactive, toxic or explosive
properties; "nuclear material" means source material, special nuclear
material or by-product material; "source material", "special nuclear
material", and "by-product material" have the meanings given them in
the Atomic Energy Act of 1954 or in any law amendatory thereof; "spent
fuel" means any fuel element or fuel component, solid or liquid, which
has been used or exposed to radiation in a nuclear reactor; "waste"
means any waste material (1) containing by-product material other than
2
the tailings or wastes produced by the extraction or concentration of
uranium or thorium from any ore processed primarily for its source
material content and (2) resulting from the operation by any person or
organization of any nuclear facility included within the definition of
nuclear facility included under the first two paragraphs of the
definition of nuclear facility. "Nuclear facility" means
(a) any nuclear reactor;
(b) any equipment or device designed or used for (1) separating the
isotopes of uranium or plutonium, (2) processing or utilizing
spent fuel, or (3) handling, processing or packaging waste;
(c) any equipment or device used for the processing, fabricating or
alloying of special nuclear material if at any time the total
amount of such material in the custody of the insured at the
premises where such equipment or device is located consists of
or contains more than 25 grams of plutonium or uranium 233 or
any combination thereof, or more than 250 grams of uranium 235;
(d) any structure, basin, excavation premises or place prepared or
used for the storage or disposal of waste; and includes the site
on which any of the foregoing is located, all operations
conducted on such site and all premises used for such
operations: "nuclear reactor" means any apparatus designed or
used to sustain nuclear fission in a self-supporting chain
reaction or to contain a xxxxxxxx xxxx of fissionable material;
{With respect to injury to or
{destruction of property, the
word "injury" or "property damage" includes all
{"destruction" includes all forms of radioactive
forms of contamination of property.
{radioactive contamination
of property.
V. The inception dates and thereafter of all original policies affording
coverages specified in this paragraph (3), whether new, renewal or
replacement, being policies which become effective on or after May
1st, 1960, provided this paragraph (3) shall not be applicable to
(i) Garage and Automobile Policies issued by the Company on New York
risks, or
(ii) statutory liability insurance required under Chapter 90, General
Laws of Massachusetts,
until 90 days following approval of the Broad Exclusion
Provision by the Governmental Authority having jurisdiction
thereof.
4. Without in any way restricting the operation of paragraph (1) of this
Clause, it is understood and agreed that paragraphs (2) and (3) above are
not applicable to original liability policies of the Company in Canada and
that with respect to such policies this Clause shall be deemed to include
the Nuclear Energy Liability Exclusion Provisions adopted by the Canadian
Underwriters' Association or the Independent Insurance Conference of
Canada.
*NOTE: The words printed in italics in the Limited Exclusion Provision and in
the Broad Exclusion Provision shall apply only in relation to original liability
policies which include a Limited Exclusion Provision or a Broad Exclusion
Provision containing those words.
3
NUCLEAR INCIDENT EXCLUSION CLAUSE -
PHYSICAL DAMAGE - REINSURANCE - CANADA
1. This Agreement does not cover any loss or liability accruing to the Company
directly or indirectly, and whether as Insurer or Reinsurer, from any Pool
of Insurers or Reinsurers formed for the purpose of covering Atomic or
Nuclear Energy risks.
2. Without in any way restricting the operation of paragraph 1. of this
clause, this Agreement does not cover any loss or liability accruing to the
Company, directly or indirectly, and whether as Insurer or Reinsurer, from
any insurance against Physical Damage (including business interruption or
consequential loss arising out of such Physical Damage) to:
(1) Nuclear reactor power plants including all auxiliary property on the
site, or
(2) Any other nuclear reactor installation, including laboratories
handling radioactive materials in connection with reactor
installations, and critical facilities as such, or
(3) Installations for fabricating complete fuel elements or for processing
substantial quantities of prescribed substances, and for reprocessing,
salvaging, chemically separating, storing or disposing of spent
nuclear fuel or waste materials, or
(4) Installations other than those listed in (3) above using substantial
quantities of radioactive isotopes or other products of nuclear
fission.
3. Without in any way restricting the operation of paragraphs 1. and 2. of
this clause, this Agreement does not cover any loss or liability by
radioactive contamination accruing to the Company directly or indirectly,
and whether as Insurer or Reinsurer, from any insurance on property which
is on the same site as a nuclear reactor power plant or other nuclear
installation and which normally would be insured therewith, except that
this paragraph 3. shall not operate.
(a) where the Company does not have knowledge of such nuclear reactor power
plant or nuclear installation, or
(b) where the said insurance contains a provision excluding coverage for
damage to property caused by or resulting from radioactive
contamination, however caused.
4. Without in any way restricting the operation of paragraphs 1., 2. and 3. of
this clause, this Agreement does not cover any loss or liability by
radioactive contamination accruing to the Company, directly or indirectly,
and whether as Insurer or Reinsurer, when such radioactive contamination is
a named hazard specifically insured against.
5. This clause shall not extend to risks using radioactive isotopes in any
form where the nuclear exposure is not considered by the Company to be the
primary hazard.
6. The term "prescribed substances" shall have the meaning given to it by the
Atomic Energy Control Act R.S.C. 1974 or by any law amendatory thereof.
7. Company to be sole judge of what constitutes:
(a) substantial quantities, and
(b) the extent of installation, plant or site.
8. Without in any way restricting the operation of paragraphs 1., 2., 3. and 4
of this clause, this Agreement does not cover any loss or liability
accruing to the Company, directly or indirectly, and whether as Insurer or
Reinsurer caused by any nuclear incident as defined in The Nuclear
Liability Act, nuclear explosion or contamination by radioactive material.
1
NOTE: Without in any way restricting the operation of paragraph 1., 2., 3. and
4. of this clause, paragraph 8. of this clause shall only apply to all original
contracts of the Company whether new, renewal or replacement which become
effective on or after December 31, 1984.
2
NUCLEAR INCIDENT EXCLUSION CLAUSE -
LIABILITY REINSURANCE - CANADA
1. This Agreement does not cover any loss or liability accruing to the
Company as a member of, or subscriber to, any association of insurers
or reinsurers formed for the purpose of covering nuclear energy risks
or as a direct or indirect reinsurer of any such member, subscriber or
association.
2. Without in any way restricting the operation of paragraph 1 of this
Clause, it is agreed that for all purposes of this Agreement all the
original liability contracts of the Company whether new, renewal or
replacement, of the following classes, namely,
Personal Liability,
Farmers Liability,
Storekeepers Liability,
which become effective on or after 31st December 1984, shall be deemed
to include, from their inception dates and thereafter, the following
provision:
LIMITED EXCLUSION PROVISION
The Agreement does not apply to bodily injury or property damage with
respect to which the Insured is also insured under a contract of
nuclear energy liability insurance (whether the insured is unnamed in
such contract and whether or not it is legally enforceable by the
Insured) issued by the Nuclear Insurance Association of Canada or any
other group or pool of insurers or would be an Insured under any such
policy but for its termination upon exhaustion of its limits of
liability.
With respect to property, loss of use of such property shall be deemed
to be property damage.
3. Without in any way restricting the operation of paragraph 1 of this
Clause it is agreed that for all purposes of this Agreement all the
original liability contracts of the Company, whether new, renewal or
replacement, of any class whatsoever (other than Personal Liability,
Farmers Liability, Storekeepers Liability or Automobile Liability
contracts), which become effective on or after 31st December 1984,
shall be deemed to include from their inception dates and thereafter,
the following provision:
BROAD EXCLUSION PROVISION
It is agreed that this Policy does not apply:
(a) to liability imposed by or arising under The Nuclear Liability
Act, nor
(b) to bodily injury or property damage with respect to which an
Insured under this policy is also insured under a contract of
nuclear energy liability insurance (whether the Insured is
unnamed in such contract and whether or not it is legally
enforceable by the Insured) issued by the Nuclear Insurance
Association of Canada or any other insurer or group or pool of
insurers or would be an Insured under any such policy but for
its termination upon exhaustion of its limit of liability; nor
(c) to bodily injury or property damage resulting directly or
indirectly from the nuclear energy hazard arising from:
(i) the ownership, maintenance, operation or use of a nuclear
facility by or on behalf of an Insured;
(ii) the furnishing by an Insured of services, materials, parts
or equipment in connection with the planning,
construction, maintenance, operation or use of any nuclear
facility; and
1
(iii) the possession, consumption, use, handling, disposal or
transportation of fissionable substances, or of other
radioactive material (except radioactive isotopes, away
from a nuclear facility, which have reached the final
stage of fabrication so as to be usable for any
scientific, medical, agricultural, commercial or
industrial purpose) used, distributed, handled or sold by
an Insured.
As used in this Endorsement:
1. The term "nuclear energy hazard" means the radioactive, toxic,
explosive or other hazardous properties of radioactive material;
2. The term "radioactive material" means uranium, thorium, plutonium,
neptunium, their respective derivatives and compounds, radioactive
isotopes of other elements and any other substances that the Atomic
Energy Control Board may, by regulation, designate as being prescribed
substances capable of releasing atomic energy, or as being requisite
for the production, use or application of atomic energy;
3. The term "nuclear facility" means:
(a) any apparatus designed or used to sustain nuclear fission in a
self-supporting chain reaction or to contain a xxxxxxxx xxxx of
plutonium, thorium and uranium or any one or more of them;
(b) any equipment or device designed or used for (i) separating the
isotopes of plutonium, thorium and uranium or any one or more of
them, (ii) processing or utilizing spent fuel, or (iii)
handling, processing or packaging waste;
(c) any equipment or device used for the processing, fabricating or
alloying of plutonium, thorium or uranium enriched in the
isotope uranium 233 or in the isotope uranium 235, or any one or
more of them if at any time the total amount of such material in
the custody of the Insured at the premises where such equipment
or device is located consists of or contains more than 25 grams
of plutonium or uranium 233 or any combination thereof, or more
than 250 grams of uranium 235;
(d) any structure, basin, excavation, premises or place prepared or
used for the storage or disposal of waste radioactive material;
and includes the site on which any of the foregoing is located,
together with all operations conducted thereon and all premises used
for such operations.
4. The term "fissionable substance" means any prescribed substance that
is, or from which can be obtained, a substance capable of releasing
atomic energy by nuclear fission.
5. With respect to property, loss of use of such property shall be deemed
to be property damage.
2
POOLS, ASSOCIATIONS, SYNDICATES EXCLUSION CLAUSE
Section A
Excluding:
(a) All business derived directly or indirectly from any Pool,
Association or Syndicate, which maintains its own
reinsurance facilities.
(b) Any Pool or Scheme (whether voluntary or mandatory) formed
after March 1, 1968 for the purpose of insuring property
whether on a countrywide basis or in respect of designated
areas. This exclusion shall not apply to so-called
Automobile Insurance Plans or other Pools formed to provide
coverage for Automobile Physical Damage.
Section B
It is agreed that business written by the Company for the same
perils, which is known at the time to be insured by, or in excess of underlying
amounts placed in the following Pools, Associations or Syndicates, whether by
way of insurance or reinsurance is excluded hereunder:
Industrial Risk Insurers (successor to Factory Insurance Association
and Oil Insurance Association), Associated Factory Mutuals, Improved
Risk Mutuals.
Any Pool, Association or Syndicate formed for the purpose of writing
Oil, Gas or Petro-Chemical Plants and/or Oil or Gas Drilling Rigs.
United States Aircraft Insurance Group, Canadian Aircraft Insurance
Group, Associated Aviation Underwriters, American Aviation
Underwriters.
Section B does not apply:
(a) Where the Total Insured Value over all interests of the risk
in question is less than $250,000,000.
(b) To interests traditionally underwritten as Inland Marine or
Stock and/or Contents written on a Blanket basis.
(c) To Contingent Business Interruption, except when the Company
is aware that the key location is known at the time to be
insured in any Pool, Association or Syndicate named above,
other than as provided under Section B(a).
(d) To Risks as follows: Offices, Hotels, Apartments, Hospitals,
Educational Establishments, Public Utilities (other than
Railroad Schedules) and Builders Risks on the classes of
risks specified in this subsection (d) only.
NOTES: Wherever used herein the term:
"Company" shall be understood to mean "Reassured", "Reinsured" or
whatever other term is used in the attached reinsurance Agreement to
designate the reinsured company.
"Agreement" shall be understood to mean "Contract", "Policy" or
whatever other term is used to designate the attached reinsurance
document.
