PROPERTY PER RISK EXCESS OF LOSS REINSURANCE CONTRACT No. 67316 EFFECTIVE JANUARY 1, 2008 between EMPLOYERS INSURANCE COMPANY OF WAUSAU Wausau, Wisconsin and LIBERTY MUTUAL INSURANCE COMPANY Boston, Massachusetts (hereinafter referred to as the...
EXHIBIT
10.161
PROPERTY PER RISK EXCESS OF LOSS
REINSURANCE CONTRACT
No. 67316
EFFECTIVE JANUARY 1, 2008
REINSURANCE CONTRACT
No. 67316
EFFECTIVE JANUARY 1, 2008
between
EMPLOYERS INSURANCE COMPANY OF WAUSAU
Wausau, Wisconsin
and
LIBERTY MUTUAL INSURANCE COMPANY
Boston, Massachusetts
Wausau, Wisconsin
and
LIBERTY MUTUAL INSURANCE COMPANY
Boston, Massachusetts
(hereinafter referred to as the “Company”)
and
PEERLESS INSURANCE COMPANY
Keene, New Hampshire
Keene, New Hampshire
(hereinafter referred to as the “Subscribing Reinsurer”)
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
PRO08WAU01
Clause | Article Number | Page | ||||
ACCESS TO RECORDS |
XIV | 8 | ||||
AMENDMENTS |
XV | 9 | ||||
ARBITRATION |
XVI | 9 | ||||
ASSIGNMENT, NOVATION OR TRANSFER |
XVII | 11 | ||||
BUSINESS COVERED |
I | 1 | ||||
CONFIDENTIALITY CLAUSE |
XVIII | 12 | ||||
CURRENCY |
XIX | 13 | ||||
DEFINITION OF RISK |
VI | 3 | ||||
DIVIDENDS AND TAXES |
XX | 13 | ||||
EFFECTIVE DATE AND TERMINATION |
II | 2 | ||||
ENTIRE AGREEMENT |
XXI | 13 | ||||
ERRORS OR OMISSIONS |
XXII | 13 | ||||
EXCLUSIONS |
IX | 4 | ||||
EXTRA CONTRACTUAL OBLIGATIONS |
VIII | 4 | ||||
FEDERAL EXCISE TAX |
XXIII | 14 | ||||
GOVERNING LAW |
XXIV | 14 | ||||
INSOLVENCY |
XXV | 14 | ||||
INTEREST PENALTY |
XXVI | 15 | ||||
LIMIT AND RETENTION |
IV | 2 | ||||
LOSS ADJUSTMENT AND SETTLEMENT |
XXVII | 16 | ||||
LOSS IN EXCESS OF POLICY LIMITS |
VII | 3 | ||||
LOSS OCCURRENCE |
XI | 6 | ||||
MEDIATION |
XXVIII | 16 | ||||
OFFSET |
XXIX | 17 | ||||
REINSURANCE CLAIMS OBLIGATIONS |
XXX | 17 | ||||
REINSURANCE PREMIUM |
XII | 7 | ||||
REPORTS AND REMITTANCES |
XIII | 7 | ||||
SALVAGE AND SUBROGATION |
XXXI | 17 | ||||
SERVICE OF SUIT |
XXXII | 18 | ||||
SEVERABILITY |
XXXIII | 18 | ||||
SPECIAL ACCEPTANCE |
X | 6 | ||||
SPECIAL CONDITIONS |
XXXIV | 19 | ||||
TERRITORY |
III | 2 | ||||
THIRD PARTIES |
XXXV | 22 | ||||
ULTIMATE NET LOSS |
V | 2 | ||||
UNAUTHORIZED REINSURANCE |
XXXVI | 22 |
ATTACHMENTS:
EXHIBIT A — FIRST EXCESS OF LOSS
EXHIBIT B — SECOND EXCESS OF LOSS
EXHIBIT C — THIRD EXCESS OF LOSS
INSOLVENCY FUNDS EXCLUSION CLAUSE
POOLS, ASSOCIATIONS AND SYNDICATES EXCLUSION CLAUSE
TOTAL INSURED VALUE EXCLUSION CLAUSE
NUCLEAR INCIDENT EXCLUSION CLAUSE — PHYSICAL DAMAGE — REINSURANCE — U.S.A.
NUCLEAR INCIDENT EXCLUSION CLAUSE — PHYSICAL DAMAGE — REINSURANCE — CANADA
NUCLEAR INCIDENT EXCLUSION CLAUSE — REINSURANCE — NO. 4
TERRORISM EXCLUSION CLAUSE REINSURANCE (PROPERTY)
EXHIBIT B — SECOND EXCESS OF LOSS
EXHIBIT C — THIRD EXCESS OF LOSS
INSOLVENCY FUNDS EXCLUSION CLAUSE
POOLS, ASSOCIATIONS AND SYNDICATES EXCLUSION CLAUSE
TOTAL INSURED VALUE EXCLUSION CLAUSE
NUCLEAR INCIDENT EXCLUSION CLAUSE — PHYSICAL DAMAGE — REINSURANCE — U.S.A.
NUCLEAR INCIDENT EXCLUSION CLAUSE — PHYSICAL DAMAGE — REINSURANCE — CANADA
NUCLEAR INCIDENT EXCLUSION CLAUSE — REINSURANCE — NO. 4
TERRORISM EXCLUSION CLAUSE REINSURANCE (PROPERTY)
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
PROPERTY PER RISK EXCESS OF LOSS
REINSURANCE CONTRACT
No. 67316
REINSURANCE CONTRACT
No. 67316
(hereinafter referred to as the “Contract”)
EMPLOYERS INSURANCE COMPANY OF WAUSAU
Wausau, Wisconsin
and
LIBERTY MUTUAL INSURANCE COMPANY
Boston, Massachusetts
Wausau, Wisconsin
and
LIBERTY MUTUAL INSURANCE COMPANY
Boston, Massachusetts
(hereinafter referred to as the “Company”)
and
PEERLESS INSURANCE COMPANY
Keene, New Hampshire
Keene, New Hampshire
(hereinafter referred to as the “Subscribing Reinsurer”)
ARTICLE I — BUSINESS COVERED
A. | This Contract shall indemnify the Company on an excess of loss basis in respect of the Ultimate Net Loss paid or to be paid by the Company and the Legal Entities (as defined below) as a result of losses occurring during the term of the Contract for Policies in force at 12:01 a.m. Local Standard Time, January 1, 2008, and new and renewal Policies becoming effective on or after said date, subject to the terms and conditions contained herein. |
B. | This Contract is solely between the Company and the Subscribing Reinsurer, and nothing contained in this Contract shall create any obligations or establish any rights against the Subscribing Reinsurer in favor of any person or entity not a party hereto. |
C. | The term “Policies” shall mean each of the Company’s or a Legal Entity’s binders, policies, endorsements and contracts of insurance or reinsurance on the business covered hereunder. |
D. | Under this Contract, the indemnity for reinsured loss applies only to the following Annual Statement Lines of Business, written by the Company or ceded to the Company, directly or indirectly, by a legal entity listed below (each, a “Legal Entity” and, collectively, the “Legal Entities”): | |
Employers Insurance Company of Wausau, Wausau General Insurance Company, Wausau Underwriters Insurance Company, Wausau Business Insurance Company, |
||
Liberty County Mutual Insurance Company, for business identified as belonging to the Wausau Business Group which includes business previously identified as Business Solutions Group, | ||
Liberty Mutual Insurance Company (on behalf of itself and The First Liberty Insurance Corporation, LM Insurance Corporation, Liberty Insurance Corporation and Liberty Mutual Fire Insurance for business previously identified as Business Solutions Group only), | ||
for business covered under this Contract and identified as belonging to the Wausau Business Group, except as excluded under Article IX — Exclusions of this Contract. |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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NAIC | ||
CODE: | LINES OF BUSINESS: | |
01
|
Fire | |
02
|
Allied Lines | |
03
|
Farmowners (Section I only) | |
04
|
Homeowners (Section I only) | |
05
|
Commercial Multiple Peril (Section I only) | |
09
|
Inland Marine | |
12
|
Earthquake | |
21
|
Auto Physical Damage (not to include Collision coverage) | |
26
|
Burglary and Theft |
ARTICLE II — EFFECTIVE DATE AND TERMINATION
A. | This Contract shall become effective at 12:01 a.m., Local Standard Time, with respect to losses occurring during the term of the Contract on Policies in force at 12:01a.m., Local Standard Time, January 1, 2008, and new and renewal Policies becoming effective on or after said date and shall remain in force until 12:01 a.m. January 1, 2009, Local Standard Time. |
B. | Upon termination of this Contract, the Subscribing Reinsurer shall be liable for the losses occurring prior to the date of termination; however, the Subscribing Reinsurer shall have no liability for losses occurring subsequent to the termination of this Contract. |
C. | If this Contract shall expire or terminate while a loss covered hereunder is in progress, it is agreed that, subject to the other conditions of this Contract, the Subscribing Reinsurer shall indemnify the Company as if the entire loss had occurred during the time this Contract is in force provided the loss covered hereunder started before the date of termination. |
ARTICLE III — TERRITORY (LM-02200-2005.06.02-A)
The territorial limits of this Contract shall be identical with those of the Policies.
ARTICLE IV — LIMIT AND RETENTION
A. | The limits and retentions provided under this Contract are as set forth in Exhibit A, B and C attached hereto and made a part of this Contract. |
B. | The Company’s retention and the Subscribing Reinsurer’s limit of liability for each Risk, each Loss Occurrence, set forth in Section I of Exhibit A, B and C attached hereto and made part of this Contract, shall apply irrespective of the number of Policies affected or number of hazards in one Policy and regardless of the number of Lines of Business involved. |
C. | Reinsurance of the Company’s retention, set forth in Exhibit A, B and C, shall not be deducted in arriving at the Ultimate Net Loss herein. |
ARTICLE V — ULTIMATE NET LOSS (LM-02401-2006.04.26-P)
A. | The term “Ultimate Net Loss” as used in this Contract shall mean: (1) all amounts paid or due and payable by the Company or a Legal Entity in the investigation, appraisal, adjustment, settlement, |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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litigation, defense or appeal, or payment of claims or judgments arising from each and every loss, and/or Loss Occurrence for which the Company or a Legal Entity is or may be found liable under the Policies, less salvages and subrogation recoveries and amounts recovered or recoverable under pooling agreements or other reinsurances, whether collectible, or not. “Ultimate Net Loss” includes, but is not limited to, the following paid or due and payable amounts: loss adjustment expenses, defense costs, court costs, supersedeas and appeal bond costs, Post or Prejudgment Interest and Delayed Damages, Attorneys Fees and Expenses, Claim-Specific Declaratory Judgment Expenses, a pro rata share of salaries and expenses of the Company’s or its affiliates’ field employees according to the time occupied in adjusting, defending, and settling such loss, and expenses of all of the Company’s or its affiliates’ officers and employees incurred in connection with the loss; (except that salaries of officers and employees engaged in general management of the Company or its affiliates’ and any office expense of the Company or its affiliates’ shall not be included), and all other costs of investigation or litigation, (2) Extra Contractual Obligations (as defined in the Extra Contractual Obligations Article, and (3) Loss in Excess of Original Policy Limits (as described in the Loss in Excess of Original Policy Limits Article). |
B. | “Claim-Specific Declaratory Judgment Expenses” shall be defined as fees and expenses incurred in actions brought to determine whether the Company or a Legal Entity has a defense and/or indemnification obligation for individual claims presented against Policies covered under this Contract. Any Claim-Specific Declaratory Judgment Expense shall be deemed to have been fully incurred on the same date as the insured’s original loss (if any) giving rise to the action, unless otherwise provided for within this Contract. |
C. | The term “Attorneys’ Fees and Expenses” as used above, means the fees and expenses of attorneys, including the fees and expenses of the Company’s or its affiliates’ in-house attorneys providing legal advice on coverage questions and/or defending the Company or a Legal Entity in coverage litigation, and fees and expenses of staff counsel in the defense of policyholder claims. Such Attorneys’ Fees and Expenses for in-house attorneys and staff counsel shall be calculated at the rate for such attorneys plus the expenses incurred by such attorneys, but excluding office expenses of the Company and its affiliates and salaries and expenses of their other employees. |
D. | “Post or Prejudgment Interest or Delayed Damages” shall mean interest or damages added to a settlement, verdict, award, or judgment based on the period of time prior to or after the settlement, verdict, award, or judgment whether or not made part of the settlement, verdict, award, or judgment. |
E. | Nothing in this Article shall be construed to mean that losses under this Contract are not recoverable until the Ultimate Net Loss has been ascertained. In the event a verdict or judgment is reduced by an appeal or a settlement subsequent to the entry of the judgment, thereby resulting in an ultimate saving on such verdict or judgment, or in the event a judgment is reversed outright, the loss adjustment expense incurred in securing such final reduction or reversal shall be prorated between the Subscribing Reinsurer and the Company in the proportion that each benefits from such reduction or reversal, and the expenses incurred up to the time of the original verdict or judgment shall be added to the Ultimate Net Loss. In the event there is no reduction or reversal of a verdict or judgment, the loss adjustment expense incurred in attempting to secure such reduction or reversal shall be added to the Ultimate Net Loss. |
ARTICLE VI — DEFINITION OF RISK
The Company warrants or it shall be so deemed that the definition of Risk shall be determined as
defined by the Company’s underwriting guidelines which are on file with the Subscribing Reinsurer.
Subject to the foregoing, the Company shall be the sole judge as to what constitutes one Risk under
this Contract.
ARTICLE VII — LOSS IN EXCESS OF POLICY LIMITS (LM-01600-2005.08.24-A)
A. | This Contract shall protect the Company within the limits hereof, for 90% of any Loss in excess of |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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the original Policy limit where Loss in excess of the limit has been incurred because of a failure by the Company, a Legal Entity or by a third-party claims administrator 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 defending or prosecuting litigation, including appeals, arbitration, or any alternative dispute resolution or settlement discussions involving any claim. |
B. | However, the above paragraph 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 or a Legal Entity 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. |
C. | With regard to excess of Policy limits, the word “Loss” shall mean any amounts for which the Company or a Legal Entity would have been contractually liable to pay had it not been for the limit of the original Policy. The date on which any Loss in excess of the Company’s original Policy limit is incurred by the Company or a Legal Entity shall be deemed, in all circumstances, to be the date of the original Loss Occurrence, accident, casualty, disaster, or loss, as selected by the Company. |
ARTICLE VIII — EXTRA CONTRACTUAL OBLIGATIONS (LM-00900-2007.03.28-A)
A. | This Contract shall protect the Company within the limits hereof for 90% of Extra Contractual Obligations. “Extra Contractual Obligations” are defined as any actual or potential liabilities not covered under any other provision of this Contract, arising from or relating to any alleged or actual act, error or omission, whether intentional or otherwise, or from any alleged or actual negligence, tortious conduct, reckless conduct, violations of statutes or regulations governing the conduct of insurance companies and/or claims adjusters, or bad faith in connection with: (i) the handling of any claim under the Policies covered by this Contract, such liabilities arising because of, but not limited to, the following: failure by the Company, a Legal Entity or by a third party claims administrator to settle within the Policy limit, or by reason of alleged or actual negligence, fraud or bad faith of the Company, a Legal Entity or by a third party claims administrator in rejecting an offer of settlement, or in defending or prosecuting litigation, including appeals, arbitration, or any alternative dispute resolution or settlement discussions involving any claim; or (ii) the providing of or failure to provide any loss control or loss prevention services in connection with any Policy hereunder. |
B. | The date on which any Extra Contractual Obligation is incurred shall be deemed, in all circumstances, to be the date of the original Loss Occurrence, accident, casualty, disaster, or loss, as selected by the Company. |
C. | However, this Article 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 or a Legal Entity 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. |
ARTICLE IX — EXCLUSIONS
THIS CONTRACT DOES NOT COVER:
A. | THE FOLLOWING GENERAL CATEGORIES |
1. | Assumed reinsurance other than inter-company agreements. | ||
2. | Loss or damage occasioned by war, invasion, revolution, bombardment, hostilities, acts of foreign enemies, civil war, rebellion, insurrection, military or usurped power, martial law, or |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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confiscation by order of any government or public authority, however this exclusion would not apply to loss or damage covered under a standard form of Policy containing a standard war exclusion clause. | |||
3. | Insolvency Funds as per the attached Insolvency Funds Exclusion Clause, which is made part of this Contract. | ||
4. | Pool, Syndicate and Association business as per the attached Pools, Associations and Syndicates Exclusion Clause, which is made part of this Contract. | ||
5. | Risks where the Total Insured Value, per Risk, exceeds the figure specified as per the attached Total Insured Value Exclusion Clause, which is made part of this Contract. | ||
6. | Business with the Peerless Insurance Company covered under the Employers Insurance Company of Wausau Quota Share Agreement and business with the Peerless Insurance Company covered under the Liberty Mutual Insurance Company Quota Share Agreement |
B. THE FOLLOWING CLASSES OF BUSINESS AND TYPES OF RISKS
1. | Mortgage Impairment. | ||
2. | Growing and/or standing crops, however this exclusion shall not apply to nursery or green house crops. | ||
3. | Insurance on all railroads acting as common carriers. | ||
4. | As respects Inland Marine business: |
a. | Rolling Stock. | ||
b. | Commercial Negative Film Insurance. | ||
c. | Mining Equipment while underground. | ||
d. | Cargo transported by lake and inland waterway watercraft. |
5. | Overhead and underground transmission and distribution lines other than those within 1000 feet of an insured’s premises; it is understood and agreed that public utilities extension and/or suppliers extension and/or contingent business interruption coverages are not subject to this exclusion provided that these are not part of a transmitter’s or distributor’s Policy. | ||
6. | Credit and Surety liability. | ||
7. | Ocean Marine except pleasure craft, marinas and/or boat dealers. |
C. | THE FOLLOWING PERILS |
1. | Pollution and Seepage as per the original Policies and endorsements, where legal and applicable. | ||
2. | Nuclear Incident Exclusion Clauses which are attached and made part of this Contract: |
a. | Nuclear Incident Exclusion Clause — Physical Damage — Reinsurance — U.S.A. | ||
b. | Nuclear Incident Exclusion Clause — Physical Damage — Reinsurance — Canada | ||
c. | Nuclear Energy Risks Exclusion Clause — Reinsurance- No. 4 |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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3. | Terrorism as per the attached Terrorism Exclusion Clause Reinsurance (PROPERTY), which is made part of this Contract |
ARTICLE X — SPECIAL ACCEPTANCE
It is understood and agreed the Company may submit Risks excluded above to the Subscribing
Reinsurer for coverage hereunder and, if specifically accepted by the Subscribing Reinsurer, such
Risks shall then be covered under the terms of this Contract, except as such terms shall be
modified by such acceptance. A Subscribing Reinsurer’s failure to respond within 2 full business
days shall be deemed approval of a Risk submitted for special acceptance. Once a Risk has been
accepted under the provisions of this Article, it will automatically be included at renewal unless
there have been material changes to the Risk, in which case the Risk will be resubmitted.
ARTICLE XI — LOSS OCCURRENCE
A. | The term “Loss Occurrence” shall mean the sum of all individual losses directly occasioned by any one disaster, accident or loss or series of disasters, accidents or losses arising out of one event which occurs within the area of one state of the United States or province of Canada and states or provinces contiguous thereto and to one another. However, the duration and extent of any one Loss Occurrence shall be limited to all individual losses sustained by the Company or Legal Entity which occur during any period of 168 consecutive hours arising out of and directly occasioned by the same event except that the term “Loss Occurrence” shall be further defined as follows: |
1. | As regards windstorm, hail, tornado, hurricane, cyclone, including ensuing collapse and water damage, all individual losses sustained by the Company or Legal Entity which occur during any period of 72 consecutive hours arising out of and directly occasioned by the same event. However, the event need not be limited to one state or province or states or provinces contiguous thereto. | ||
2. | As regards riot, riot attending a strike, civil commotion, vandalism and malicious mischief, all individual losses sustained by the Company or Legal Entity which occur during any period of 72 consecutive hours within the area of one municipality or county and the municipalities or counties contiguous thereto arising out of and directly occasioned by the same event. The maximum duration of 72 consecutive hours may be extended in respect of individual losses which occur beyond such 72 consecutive hours during the continued occupation of an assured’s premises by strikers, provided such occupation commenced during the aforesaid period. | ||
3. | As regards earthquake (the epicentre of which need not necessarily be within the territorial confines referred to in the opening paragraph of this Article) and fire following directly occasioned by the earthquake, only those individual fire losses which commence during the period of 168 consecutive hours may be included in the Loss Occurrence. | ||
4. | As regards freeze, only individual losses directly occasioned by collapse, breakage of glass and water damage (caused by bursting of frozen pipes and tanks) may be included in the Loss Occurrence. |
B. | Except for those Loss Occurrences referred to in 1. and 2. above, the Company may choose the date and time when any such period of consecutive hours commences provided that it is not earlier than the date and time of the occurrence of the first recorded individual loss sustained by the Company or Legal Entity arising out of that disaster, accident or loss and provided that only one such period of 168 consecutive hours shall apply with respect to one event. |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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C. | No individual losses occasioned by an event that would be covered by 72 hours clauses may be included in any Loss Occurrence claimed under the 168 hours provision. |
ARTICLE XII — REINSURANCE PREMIUM
The rates set forth in Section 3 of the attached Exhibit A, B and C shall be applied to Subject
Earned Premium for Commercial Multi-Peril Property (ASLOB — 051), however all Property Lines of
Business shall be covered under this Contract as stated in Paragraph D. of Article I — Business
Covered.
A. | The term “Earned Premium” as used herein is equal to the sum of the Net Premiums Written on the business covered hereunder during the period under consideration, plus the unearned premium reserve as respects premiums in force at the beginning of such period, less the unearned premium reserve as respects premiums in force at the end of the period, said unearned premium is to be calculated on a monthly pro rata basis. |
B. | The term “Net Premiums Written” shall mean gross premiums written less returns, allowances and reinsurances which inure to the benefit of the Subscribing Reinsurer. |
C. | The term “Subject Earned Premium” shall mean the Earned Premium times the rates noted below. |
ASLOB | Percentage | |||
Fire |
0 | % | ||
Allied Lines |
0 | % | ||
Homeowners |
0 | % | ||
Farmowners |
0 | % | ||
Commercial Multiple Peril (Property) |
100 | % | ||
Inland Marine |
0 | % | ||
Earthquake |
0 | % | ||
Auto Physical Damage (Private
Passenger) |
0 | % | ||
Auto Physical Damage (Commercial) |
0 | % | ||
Burglary & Theft |
0 | % |
ARTICLE XIII — REPORTS AND REMITTANCES
A. | The Company shall furnish the Subscribing Reinsurer with all necessary data respecting premiums and losses for as long as one of the parties hereto has a claim against the other arising from this Contract. |
B. | Quarterly Deposit Premiums equal to 1/4 of the 100% of Annual Deposit Premium will be remitted on January 15, May 15, August 15 and November 15, according to the schedule below. For purposes of calculating minimum and deposit premium due by each of the Employers Insurance Company of Wausau and Liberty Mutual Insurance Company, the minimum and deposit premium shall be allocated 100% to Employers Insurance Company of Wausau. The Company shall submit finalized accounts to the Subscribing Reinsurer on February 15, of the subsequent year, summarizing the actual subject earned premium for the previous Contract Year. The difference between the deposit premium and the actual subject earned premium will be settled to/from the Company within 15 days of February 15. However, in no event shall the annual adjusted premium be less than the Annual Minimum Premium for each layer, set forth below: |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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Annual | Annual | Quarterly | ||||||||||
Layer | Deposit | Minimum | Deposit | |||||||||
First Layer |
$ | 1,932,120 | $ | 1,545,696 | $ | 483,030 | ||||||
Second Layer |
$ | 1,345,799 | $ | 1,076,639 | $ | 336,450 | ||||||
Third Layer |
$ | 328,260 | $ | 262,608 | $ | 82,065 |
C. | Payment by the Subscribing Reinsurer of its portion of Loss and Loss Adjustment Expenses paid by the Company or a Legal Entity shall be made by the Subscribing Reinsurer to the Company immediately upon reasonable evidence of the amount due or to be due, being furnished by the Company. |
ARTICLE XIV — ACCESS TO RECORDS (LM-00100-2007.08.13-A)
A. | Except as otherwise provided in this Article, the Subscribing Reinsurer, or its duly authorized representative, may upon reasonable prior written notice to the Company, at the Subscribing Reinsurer’s own expense, examine at the offices of the Company or its affiliates, during normal office hours, the Company’s or the Legal Entities’ Policy, accounting, underwriting, or claim records and files, or any such additional relevant records and files, as they exist in the Company’s or its affiliates’ possession or reasonable control, relating to business ceded under this Contract. The Subscribing Reinsurer’s notice shall reasonably describe the nature of the inspection that it wishes to conduct, the persons conducting the inspection and upon notice of available files from the Company, the files that it wishes to review. Subject to the limitations expressed in this Article, this right of inspection shall survive termination or expiration of this Contract and shall continue as long as either Party has any rights or obligations under this Contract. |
B. | The Company reserves the right to deny the Subscribing Reinsurer access to records or files concerning any particular claim(s) if the Subscribing Reinsurer has not disputed liability for payment of such claim(s), and payment of such claim(s) is more than ninety (90) days overdue according to the Company’s records. The Company shall, however, prior to an arbitration demand that may be instituted by either party, continue to respond to reasonable specific requests for information and questions raised by the Subscribing Reinsurer concerning such claims; and nothing in this Article shall restrict the right or ability of the Subscribing Reinsurer to seek discovery of relevant information in an arbitration proceeding pursuant to the Arbitration Article of this Contract. |
C. | As a condition precedent to access to records under this Article, the Subscribing Reinsurer, its personnel and any authorized third party representative of the Subscribing Reinsurer shall agree to the provisions of the Confidentiality Article of this Contract. |
D. | The Company reserves the right to withhold any documents from the Subscribing Reinsurer (1) concerning Trade Secrets of the Company or its affiliates, (2) subject to the terms of a third party non-disclosure agreement with the Company or its affiliates requiring third party consent to disclosure, (3) subject to the Work Product Privilege or Attorney-Client Privilege or (4) concerning individual private information that as a matter of law cannot be disclosed by the Company or its affiliates (hereinafter referred to in the Contract as “Privileged Documents”). The Company shall reasonably try to exempt the Subscribing Reinsurers from any third party non-disclosure agreement or obtain consent from the third party to disclose to the Subscribing Reinsurer. |
E. | Notwithstanding the foregoing, the Company shall permit and not object to the Subscribing Reinsurer’s access to Privileged Documents falling within (3) above, in connection with the underlying claim reinsured hereunder following final settlement or final adjudication of the case or cases involving such claim, with prejudice against all claimants, and all parties to such adjudications; provided that the Company, may defer release of such Privileged Documents if there are subrogation, contribution, or other third party actions with respect to that claim or case, which |
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might jeopardize the Company’s or its affiliates’ defense by release of such Privileged Documents. In the event that the Company shall seek to defer release of such Privileged Documents or to withhold documents concerning Trade Secrets, it will in consultation with the Subscribing Reinsurer take other steps as reasonably necessary to provide the Subscribing Reinsurer with the information it reasonably requires to indemnify the Company without causing a loss of such privileges or protections. The Subscribing Reinsurer, however, shall not have access to Privileged Documents relating to any dispute between the Company and the Subscribing Reinsurer. |
F. | For purposes of this Article, “Trade Secrets” shall have the meaning provided in Section 1839 of the United States Economic Espionage Act of 1996. “Attorney-Client Privilege” shall mean communications of a confidential nature between 1) the Company or its affiliates, or anyone retained by or in the control of the Company or its affiliates, or their in-house or outside legal counsel, or anyone in the control of such legal counsel, and 2) any in-house or outside legal counsel which relate to legal advice being sought by the Company or its affiliates and/or which contains legal advice being provided to the Company or its affiliates. “Work Product Privilege” shall mean communications, written materials and tangible things prepared by or for in-house or outside counsel, or prepared by or for the Company or its affiliates, in anticipation of or in connection with litigation, arbitration, or other dispute resolution proceedings. |
ARTICLE XV — AMENDMENTS
This Contract may be amended by mutual consent of the parties expressed in an addendum; and such
addendum, when executed by both parties, shall be deemed to be an integral part of this Contract
and binding on the parties hereto.
ARTICLE XVI — ARBITRATION (LM-00200-2007.05.03-A)
A. | Disputes to be Arbitrated. With the exception of any dispute resolution procedures that are otherwise contained in this Contract, any and all disputes between the Company and any Subscribing Reinsurer or Reinsurers (“Party” individually or “Parties” collectively) arising out of, relating to, or concerning this Contract, whether sounding in contract or tort and whether arising during or after this Contract’s formation, or after its termination, including disputes as to whether the Contract was validly formed or is voidable, shall be submitted to the decision of an arbitration panel (“Panel”). The Panel shall consist of an umpire and two party-appointed arbitrators unless a Party meets the requirements of Paragraph C of this Article and demands arbitration pursuant thereto, in which case the Panel would consist of an umpire only. |
B. | Procedures. Except as provided herein, any arbitration shall be based upon the Procedures for the resolution of U.S. Insurance and Reinsurance Disputes, Regular Panel Version, dated April 2004 (the “Procedures”), developed by the Insurance and Reinsurance Dispute Resolution Task Force, subject to the following modifications: |
1. | Qualifications of the arbitrators and umpires shall be in accordance with Alternative section 6.2 of the Procedures. | ||
2. | The Parties hereby designate the umpire list maintained by XXXXX (U.S.) as the list to be used in the event that section 6.7(a) of the Procedures is invoked. | ||
3. | Unless otherwise mutually agreed, the members of the Panel shall be impartial and disinterested. The members of the Panel may not be: (1) in the control of any Party or its parent, affiliate, or agent, (2) a former director or officer of any Party or its parent, affiliate, or agent, or (3) a likely witness in the arbitration. The requirement of impartiality means that all members of the Panel shall have the same obligation to approach the Panel’s duties and |
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decisions with fairness and without consideration for the fact that Panel members may have been appointed by one of the Parties. The requirement of impartiality does not mean that any arbitrator can have no previous knowledge of or experience with respect to issues involved in the dispute or disputes. | |||
4. | The first sentence of Section 10.4 of the Procedures shall be replaced by the following sentence: “The Panel shall require that each Party submit concise written statements of position, including summaries of the facts and evidence a Party intends to present, discussion of the applicable law and the basis for the requested Award or denial of relief sought.” | ||
5. | Once the Panel has been constituted, no Party (or anyone acting for a Party) shall have any communications concerning the arbitration or any of the issues before the Panel with any member of the Panel that is not also disclosed to all other Parties and all members of the Panel. Each Panel member shall have a continuing duty to disclose promptly to all Parties and all Panel members any violation of this prohibition and the specifics of any improper communications that occurred. This prohibition shall remain in place until all challenges to any arbitration awards and decisions have been either waived or finally concluded. | ||
6. | Section 11.1 of the Procedures shall be replaced by the following provision: “The Parties may propound discovery seeking disclosure of such information and/or documents relevant to the dispute or necessary for the proper resolution of the dispute.” | ||
7. | Position statements may be amended at any reasonable time, but not later than the close of discovery without a showing to the Panel that the amending Party could not reasonably have raised the new claim or issue at an earlier time. | ||
8. | The Panel shall hold an evidentiary hearing, if one is necessary, within one year of the arbitration demand, unless the Parties otherwise agree. Should a Party seek a reasonable extension to this time frame for good cause shown, the other Party’s agreement shall not be unreasonably withheld. | ||
9. | To the extent permitted by the law, the Panel shall have the authority to issue subpoenas and other orders to enforce its decisions. | ||
10. | The Panel may award reasonable attorneys’ fees and arbitration costs to the prevailing Party, as determined by the Panel. | ||
11. | Section 14.3 of the Procedures shall be replaced by the following provision: “The Panel shall make a decision and issue an award with regard to the terms expressed in this Contract, and the custom and practice of the property and casualty insurance and reinsurance business. The Panel shall not be obligated to follow the strict rules of law and evidence.” |
C. | Alternative Streamlined Procedures. Notwithstanding the foregoing provisions of this Article, the Alternative Streamlined Procedures set forth in section 16 of the Procedures, as modified by sections B3, B4, and B9 through B11 of this Article, shall apply in the event that, in a consolidated proceeding or otherwise, the Party initiating arbitration is seeking payment of a total amount that is no greater than one million dollars ($1,000,000), or the currency equivalent thereof. Sections 16.1, 16.2, 16.3 and the second sentence of section 16.4 of the Alternative Streamlined Procedures shall not apply. The Parties agree to comply with section 6.7 of the Procedures to appoint a single umpire, and hereby designate the umpire list maintained by XXXXX (U.S.) as the list to be used in section 6.7(a). |
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D. | Hearing Location, The hearing shall be held in Boston, Massachusetts, unless the Parties mutually agree to a different location. |
E. | Confirmation. Either Party may apply to a court of competent jurisdiction for an order confirming any award of the Panel; a judgment of that court shall thereupon be entered on any award. If such an order is issued, the Party against whom confirmation is sought shall pay the attorneys’ fees incurred of the Party who applied for the confirmation order and all court costs of any such proceeding. |
F. | Equitable Relief from a Court of Law. Nothing herein shall be construed to prevent any participating Party from applying to a court of competent jurisdiction to issue a restraining order or other equitable relief to maintain the “status quo” of the Parties participating in the arbitration pending the decision and award by the Panel. | |
G. | Consolidated Proceedings. |
1. | Same contract, single Subscribing Reinsurer. Both the Company and any single Subscribing Reinsurer on this Contract have the right to combine any and all disputes between them that concern this Contract (including any renewal of this Contract or any contract for which this Contract is a renewal) into a single arbitration proceeding before a single Panel, except that the standard for determining whether a Party may add a new issue, claim, or dispute to an arbitration proceeding shall be the standard for amending a Position statement, as set forth in Paragraph B7 of this Article. | ||
2. | Multiple contracts, single Subscribing Reinsurer. The Company has the right to combine any and all disputes between the Company and a single Subscribing Reinsurer into a single arbitration proceeding before a single Panel where such disputes involve this Contract and any additional contracts between the two Parties, except that the standard for determining whether a Party may add a new issue, claim, or dispute to an arbitration proceeding shall be the standard for amending a Position statement, as set forth in Paragraph B7 of this Article. | ||
3. | Same contract, multiple Reinsurers. At the Company’s option, if more than one Subscribing Reinsurer is involved in arbitration relating to this Contract, where there are common questions of law or fact and a possibility of conflicting awards or inconsistent results, all such Reinsurers shall constitute and act as one Party for purposes of this Article and communications shall be made by the Company to each of the Reinsurers constituting the one Party; provided, however, that the Reinsurers shall have the right to assert several, rather than joint defenses or claims, and to be represented by separate counsel. This provision shall not change the liability of each of the Reinsurers under the terms of this Contract from several to joint. |
H. | Choice of Law. The law set forth in the Governing Law Article shall apply to this Arbitration Article. In addition, to the extent the Panel (or the umpire in an Alternative Streamlined Procedure) looks to applicable law, such Panel or umpire shall apply the law as set forth in the Governing Law Article of this Contract. |
I. | Survival of Article. This Article shall survive the termination or expiration of this Contract. |
ARTICLE XVII — ASSIGNMENT, NOVATION, OR TRANSFER (LM-00300-2007.10.05-A)
This Contract shall be binding upon and inure to the benefit of the Company and the Subscribing
Reinsurer and their respective successors and assigns; provided, however, that this Contract
may not be assigned, novated or transferred, including any attempted transfer of rights and/or
obligations under any U.S. or foreign statute, legislation or jurisprudence, by either the
Company or the Subscribing Reinsurer, or as the result of the actions of a parent company or
affiliated entity of either, without the
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prior written consent of the other. In the event of any assignment, novation or transfer,
the assignor, novator or transferor shall remain liable under this Contract, and further
guarantees the performance of all obligations of any assignee, novatee or transferee under this
Contract. Notwithstanding the foregoing, the Company may assign this Contract to an affiliated
entity, without the Subscribing Reinsurer’s written consent.
ARTICLE XVIII — CONFIDENTIALITY CLAUSE (LM-00400-2005.11.10-A)
A. | Confidential Information. The submission materials, and any Policy, financial, underwriting, accounting, and claims information, data statements, representations, and other materials provided by the Company or it affiliates and received by the Subscribing Reinsurer in the course of an audit, inspection, or otherwise, represent confidential or proprietary information (“Confidential Information”). This Confidential Information is intended for the sole use of the Subscribing Reinsurer (and its retrocessionaires, respective auditors, accountants, and legal counsel) as may be necessary in analyzing and/or accepting a participation in and/ or executing its responsibilities under or related to this Contract. The Subscribing Reinsurer acknowledges and agrees that with respect to any review of Confidential Information by the Subscribing Reinsurer, and/or discussion of Confidential Information, the Company and its affiliates do not waive and do not intend to waive any available privilege or protection. The review of Confidential Information by the Subscribing Reinsurer and/or discussion of Confidential Information with the Company or its affiliates shall not destroy, waive, or otherwise impair the proprietary and/or protected status of any Confidential Information or any information revealed in such discussion with the personnel of the Company or its affiliates, whether reviewed by and/or discussed with the Subscribing Reinsurer intentionally or inadvertently, nor does the review of the Confidential Information and/or discussion of Confidential Information with the Company or its affiliates constitute an estoppel or waiver of the Company’s or its affiliates’ rights to assert the attorney-client or work-product privileges, or any other applicable privilege or protection, over certain documents contained in the Company’s or its affiliates’ files and/or certain information. |
B. | The Company and the Subscribing Reinsurer agree that no confidentiality obligations will apply to Confidential Information to the extent such Confidential Information: (1) is or becomes available to the public, other than as a result of impermissible disclosure by the Subscribing Reinsurer, (2) was or became available lawfully to the Subscribing Reinsurer from a source, other than the Company, its affiliates or their personnel, that is not subject to a confidentiality obligation, (3) was developed independently by the Subscribing Reinsurer prior to disclosure by the Company, its affiliates or their personnel, as demonstrated by the Subscribing Reinsurer’s records, or (4) is required to be disclosed by law, regulation, court, or regulatory agency action. |
C. | The Subscribing Reinsurer agrees to preserve all confidentiality and privilege pertaining to all Confidential Information provided by the Company and all knowledge and information gained through its review of Confidential Information or discussions with the personnel of the Company or its affiliates. The Subscribing Reinsurer further agrees not to disclose any such Confidential Information to any other person or entity except as such disclosure may be necessary to its retrocessionaires, accountants, attorneys, auditors, actuaries or third party catastrophe modelers or as otherwise required by law. The Subscribing Reinsurer agrees that no Confidential Information is to be copied and/or removed from the Company’s or its affiliates’ premises without the express permission of the Company. |
D. | Non-Public Personally Identifiable Information. Additionally, any disclosure of non-public personally identifiable information shall comply with all state and federal statutes and regulations governing the disclosure of non-public personally identifiable information. “Non-public personally identifiable information” is financial or medical information of or concerning a private person which either has been obtained from sources which are not available to the general public or obtained from the person who is the subject and which information is included in data files exchanged by the parties hereto. For the purposes hereof, the terms shall include data elements such as names and |
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addresses of individuals. Disclosing or using this information for any purpose beyond the scope of this Contract, or beyond the exceptions set forth above, is expressly forbidden without the prior consent of the Company. |
E. | Third-Party Demand. Should the Subscribing Reinsurer receive a third-party demand pursuant to subpoena, summons, or court or governmental order, to disclose Confidential Information (including Non-public personally identifiable information) that has been provided by the Company or its affiliates, the Subscribing Reinsurer shall make commercially reasonable efforts to notify the Company promptly upon receipt of the demand and prior to disclosure of the Confidential Information and provide the Company a reasonable opportunity to object to the disclosure. If the Company timely objects to the release of the Confidential Information, the Subscribing Reinsurer will comply with the reasonable requests of the Company in connection with the Company’s efforts to resist release of the Confidential Information. The Company shall bear the cost of resisting the release of the Confidential Information. |
F. | Survival. The parties agree that the obligations contained in this Article shall survive the expiration or termination of this Contract. |
ARTICLE XIX — CURRENCY (LM-00500-2005.08.09)
Whenever a reference to a monetary currency appears in this Contract, it shall be construed to
mean United States Dollars (“USD”). However, in those cases where the Policies are issued by the
Company using Canadian Dollars (“CAD”), it shall mean Canadian Dollars. All payments made by
either party shall be made in United States Dollars except that payments made involving Policies
issued using Canadian Dollars shall be made in Canadian Dollars. All amounts paid or received by
the Company in any other currency shall be converted into United States Dollars at the rate of
exchange on the date at which it is entered on the books of the Company.
ARTICLE XX — DIVIDENDS AND TAXES (LM-00600-2005.06.02-A)
In consideration of the terms of this Contract, the Company shall not claim any deduction in
respect of any amount paid as dividends or as reinsurance premium when making tax returns, other
than income or profits tax returns to any State or to the District of Columbia.
ARTICLE XXI — ENTIRE AGREEMENT (LM-00701-2005.08.24-A)
This Contract shall constitute the entire agreement between the Company and the Subscribing
Reinsurer with respect to the subject matter of this Contract and shall supersede all prior
understandings, negotiations and discussions, whether oral or written, by or between the Company
and the Subscribing Reinsurer relating to the subject matter hereof. There are no general or
specific warranties, representations or other agreements by or among the Company and the
Subscribing Reinsurer in connection with entering into this Contract except as specifically set
forth in this Contract. Notwithstanding the foregoing, this Contract may be amended or modified
only by a writing signed by both the both the Company and the Subscribing Reinsurer.
ARTICLE XXII — ERRORS AND OMISSIONS (LM-00800-2005.06.02-A)
Any inadvertent delay, omission, or error in complying with the terms and conditions of this
Contract 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 upon discovery.
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ARTICLE XXIII — FEDERAL EXCISE TAX (LM-01000-2005.08.24-A)
A. | This Article is applicable to any Subscribing Reinsurer who is domiciled outside of the United States of America, except for any Subscribing Reinsurer exempt from Federal Excise Tax. A Subscribing Reinsurer that claims exempt status from Federal Excise Tax shall provide to the Company, upon its request, proof that the exempt status adequately satisfies the demands of the U.S. Internal Revenue Service, Department of the Treasury, or its successor and/or other applicable U.S. government authority. |
B. | Each Subscribing Reinsurer shall allow the applicable percentage of the premium payable hereon (as imposed under Section 4371 of the Internal Revenue Code) for the purpose of paying Federal Excise Tax to the extent such premium is subject to such tax. |
C. | In the event of any return of premium, the Subscribing Reinsurer shall deduct the aforesaid percentage from the return premium payable hereon and the Company or its agent shall recover such tax from the United States Government. |
ARTICLE XXIV — GOVERNING LAW (LM-01200-2005.06.02-A)
The validity and interpretation of this Contract shall be governed by and construed in accordance
with the law of the Commonwealth of Massachusetts.
ARTICLE XXV — INSOLVENCY (LM-01300-2005.08.24-A)
(If more than one reinsured company is referenced within the definition of “Company” in the
Preamble to this Contract, this Article shall apply severally to each such company. Further, this
Article and the laws of the domiciliary state shall apply in the event of the insolvency of any
company intended to be covered hereunder. In the event of a conflict between any provision of this
Article and the laws of the domiciliary state of any company intended to be covered hereunder, that
domiciliary state’s laws shall prevail.)
A. | In the event of the insolvency of the Company, reinsurance under this Contract shall be payable on demand, with reasonable provision for verification, on the basis of claims allowed against the insolvent Company by any court of competent jurisdiction or by any liquidator, receiver, conservator, or statutory successor of the Company having authority to allow such claims, without diminution because of such insolvency or because such liquidator, receiver, conservator, or statutory successor has failed to pay all or a portion of any claims. Such payments by the Subscribing Reinsurer shall be made directly to the Company or its liquidator, receiver, conservator, or statutory successor, except to the extent Section 4118(a) of the New York Insurance Law applies, or except (a) where the Contract specifically provides another payee of such reinsurance in the event of the insolvency of the Company, or (b) where the Subscribing Reinsurer with the consent of the direct insured or insureds has assumed such Policy obligations of the Company as direct obligations of the Subscribing Reinsurer to the payees under such Policies and in substitution for the obligations of the Company to such payees. |
B. | It is agreed, however, that the liquidator, receiver, conservator, or statutory successor of the insolvent Company shall give written notice to the Subscribing Reinsurer of the pendency of a claim against the insolvent Company on the Policy or Policies reinsured within a reasonable time after such claim is filed in the insolvency proceeding and that during the pendency of such claim the Subscribing 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 Subscribing Reinsurer shall be chargeable, subject to court approval, |
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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 Subscribing Reinsurer. |
C. | Where two or more Reinsurers are involved in the same claim and a majority in interest elects to interpose defense to such claim, the expense shall be apportioned in accordance with the terms of this Contract as though such expense had been incurred by the insolvent Company. |
ARTICLE XXVI — INTEREST PENALTY (LM-01400-2005.08.24-A)
A. | The interest amounts provided for in this Article shall apply to the Subscribing Reinsurer or to the Company in the following circumstances: |
1. | If a loss payment owed by the Subscribing Reinsurer to the Company is not received within 45 calendar days following the date of presentation to the Subscribing Reinsurer of information necessary to approve payment of the claim, and/or | ||
2. | If any premium payment owed by the Company to the Subscribing Reinsurer is not received within 45 calendar days following the date on which payment is due, and/or | ||
3. | If any premium adjustment, agreed by either Party to the other, is not received within 150 calendar days following the expiry or anniversary of this Contract, and/or | ||
4. | If any return of premiums, commissions, profit sharing, or any amounts not provided in subparagraphs 1, 2, and 3 above, are not received in accordance with the date specified in this Contract or if no date is specified, within 90 calendar days following the date the debtor Party received the billing. |
B. | Failure by the Subscribing Reinsurer or Company to comply with their respective payment obligations within the time periods as herein provided shall, as of that date, be subject to an interest payment computed by multiplying the amount due by a variable rate consisting of the U.S. Prime Rate as published in the Eastern Edition of The Wall Street Journal on the first day of the calendar month in which the amount became past due, plus 2%. The variable rate shall be adjusted monthly thereafter to equal the U.S. Prime Rate as published in the Eastern Edition of The Wall Street Journal on the first day of each successive month during which the amount due remains unpaid, plus 2%. The product shall then be multiplied by 1/365 for each day after the due date that the amount due and the interest amount remain unpaid. Any interest that occurs pursuant to this Article shall be calculated by the Party to which it is owed. |
C. | The validity of any claim or payment may be contested under the provisions of this Contract. If the debtor Party prevails in arbitration or any other proceeding with respect to the amounts in dispute, there shall be no interest penalty due. If the creditor Party wholly or partially prevails on any of the amounts in dispute, the interest penalty shall be awarded as outlined above. Such interest penalty shall be calculated from the date the monies were due and owing to the date of resolution of the arbitration or proceeding, and shall be payable as of the date of resolution of the arbitration or proceeding. |
D. | If a Subscribing Reinsurer advances the entire or partial payment of any claim it is contesting, and wholly or partially prevails in the contest, the Company shall promptly return the applicable amount of such payment. The arbitrator(s) hearing such dispute shall determine if interest shall be added to the amount returned by the Company. |
E. | Any interest owing pursuant to this Article may be waived by the Party to which it is owed. Further, any interest calculated pursuant to this Article that is $100 or less shall be waived. Any waiver of any interest pursuant to this paragraph, however, shall not affect the waiving Party’s right to claim |
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and/or pursue interest for any other failure by the other Party to make payment when due under this Article. |
ARTICLE XXVII — LOSS ADJUSTMENT AND SETTLEMENT (LM-01500-2006.09.07-A)
A. | The Company shall give notice, as soon as practicable, to the Subscribing Reinsurer of any claim that it has reason to believe could involve this Contract. The Company shall keep the Subscribing Reinsurer informed of significant developments likely to affect the cost of any claim or claims hereunder. |
B. | The Company or a Legal Entity may commence, continue, defend, settle, or withdraw from actions, suits, or prosecutions and, generally, do all such things relating to any claim or loss in which the Subscribing Reinsurer is interested as, in the Company’s or a Legal Entity’s judgment, may be beneficial or expedient to the Company and the Subscribing Reinsurer. The Company and the Legal Entities shall be the sole judges as to what claims are covered under the Policies. All of the Ultimate Net Loss (and Loss Occurrences), as well as all loss settlements made and judgments paid by the Company or a Legal Entity, provided they are within the terms of this Contract either under the strict conditions of the Policies or by way of compromise, shall be unconditionally binding upon the Subscribing Reinsurer, who agrees to pay all amounts for which they are liable immediately upon reasonable evidence of the amount due being furnished to the Subscribing Reinsurer by the Company. The true intent of this Contract is that the Subscribing Reinsurer shall, in every case to which this Contract applies, follow the settlements of the Company and the Legal Entities. |
ARTICLE XXVIII- MEDIATION (LM-03000-2005.12.20-A)
A. | In the event of any dispute or difference of opinion arising out of or relating to this Contract, including but not limited to the formation, interpretation, performance or breach of this Contract, whether such dispute arises before or after the expiration of this Contract, the Company and the Subscribing Reinsurer may mutually agree in writing that, prior to or at any time during an arbitration proceeding, they will submit such dispute or difference of opinion to non-binding mediation which will be held at a location mutually agreed by the parties. The parties agree that any non-binding mediation conducted during any stage of an arbitration process shall be conducted concurrently with such arbitration process, and that the arbitration process or proceedings shall not be stayed unless both the Company and the Subscribing Reinsurer otherwise agree. |
B. | Each party shall submit a list of not more than four (4) potential mediators to the other party within the fourteen (14) days of reaching such mutual agreement. The two parties shall then agree on the appointment on one (1) mediator from the combined lists within seven (7) days. The mediator shall be a neutral, impartial third party, without past employment or directorial relationships with the parties to the mediation. Such mediator shall make full disclosure of all past partisan relationships with either the Company or Subscribing Reinsurer to the parties within seven (7) days of his or her notification that he or she has been selected as a Mediator. |
C. | If the Company and the Subscribing Reinsurer cannot agree on a mediator within twenty-one (21) days from the date of a mutual agreement to mediate, then arbitration proceedings may commence in accordance with the Arbitration Article. |
D. | The mediator will schedule an initial mediation session within thirty (30) days of his or her appointment and will be responsible for the formulation of an agenda to be distributed to the parties involved in the mediation not less than five (5) days before the mediation commences. |
E. | The mediator will not have the power of enforcement of any agreement between the parties nor will the mediator have any right to assess any damages, including punitive damages, to either party participating in the mediation. |
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F. | If, in the opinion of the mediator, the parties cannot resolve the dispute or difference of opinion, arbitration proceedings may commence in accordance with the Arbitration Article. In any event, the mediation shall conclude within sixty (60) days of its referral to the mediator. Should the mediation not be resolved in sixty (60) days, then arbitration proceedings may commence in accordance with the Arbitration Article. |
G. | Each party shall bear the expense of its own representatives and shall jointly and equally bear with the other party the expenses of the mediator and the place of mediation. |
ARTICLE XXIX — OFFSET
(LM-01700-2005.06.02-A)
Each party to this Contract together with their successors or assigns shall have and may exercise, at any time, the right to offset any balance(s) due the other (or, if more than one, any other). Such offset may include balances due under this Contract, and any other contracts between the parties, whether such balances arises from premium, losses, or otherwise, and regardless of the capacity of any party, whether as assuming and/or ceding insurer, under the various reinsurance contracts involved, provided however, that in the event of insolvency of a party hereto, offsets shall only be allowed in accordance with the provisions of the applicable law, statute, or regulation governing such offset. |
ARTICLE XXX — REINSURER CLAIMS OBLIGATIONS (LM-03100-2007.10.10-A)
It is understood and agreed that the Subscribing Reinsurer will fulfill its obligations under the Loss Adjustment and Settlement Article, until all claims have been reported and settled. Without first obtaining the Company’s written consent, the Subscribing Reinsurer will not, either directly or as the result of an action of a parent company or an affiliated entity, invoke any U.S. or foreign statute, legislation, or jurisprudence that purports to enable the Subscribing Reinsurer to require the Company or a Legal Entity to settle their claims liabilities, including but not limited to any estimated or undetermined claims liabilities, under this Contract on an accelerated basis. It is further expressly understood and agreed that in the event the Subscribing Reinsurer attempts to require the Company or a Legal Entity to settle their claims liabilities on an accelerated basis, the Company shall continue to have the right to utilize or to draw upon Letters of Credit or other collateral, under the terms of this Contract. This Article does not prevent the Company and the Subscribing Reinsurer from settling any claims liabilities using a commutation process that is agreeable to both parties. This Article shall in no way affect the rights and obligations of the Company and the Subscribing Reinsurer under the Insolvency Article. |
ARTICLE XXXI — SALVAGE AND SUBROGATION (LM-01800-2006.09.12-A)
A. | The Subscribing Reinsurer shall be credited with its share of salvage and/or subrogation in respect of claims and settlements under this Contract, less its share of recovery expense. Unless the Company agrees to waive such rights in the settlement of a disputed claim, or the Company and the Subscribing Reinsurer agree to the contrary, the Company and the Legal Entities shall enforce the right to salvage and/or subrogation and shall prosecute all claims arising out of such right. Should the Company or the Legal Entities refuse or neglect to enforce this right, the Subscribing Reinsurer is hereby empowered and authorized to institute appropriate action in the name of the Company or the Legal Entities, as applicable. |
B. | Amounts recovered from salvage and/or subrogation shall always be used to reimburse the excess the Subscribing Reinsurer (and the Company, should it carry a portion of excess coverage net) in the reverse order of their participation in the loss before being used in any way to reimburse the Company or a Legal Entity for its primary loss. If the amount recovered exceeds the recovery expense, the recovery expense shall be borne by each party in proportion to its benefit from the |
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recovery. If the recovery expense exceeds the amount recovered, the amount recovered (if any) shall be applied to the reimbursement of recovery expense and the remaining expense, as well as any originally incurred loss expense, shall be added to the Ultimate Net Loss. If no amount is recovered from salvage and/or subrogation, the expense incurred in attempting such recovery shall be deemed loss expense and shall be added to the Ultimate Net Loss. |
C. | All salvage and/or subrogation recoveries obtained by either party, subsequent to payments made by the Subscribing Reinsurer under this Contract, shall be applied as if obtained prior to said payments and all necessary adjustments shall be made between the Company and the Subscribing Reinsurer as soon as practicable after said salvage and/or subrogation recovery is obtained. |
D. | The Company or a Legal Entity shall have the right, before the happening of the loss, to waive its right of subrogation as to that loss. |
ARTICLE XXXII — SERVICE OF SUIT (LM-01900-2005.08.24-A)
(This article applies to unauthorized Reinsurers and to Reinsurers who are domiciled outside the
United States of America.)
A. | This Service of Suit Article will not be read to conflict with or override the obligations of the parties to arbitrate their disputes as provided for in the Arbitration Article. This Article is intended as an aid to compelling arbitration or enforcing such arbitration or arbitral award, not as an alternative to the Arbitration Article for resolving disputes arising out of this Contract. |
B. | In the event of the failure of the Subscribing Reinsurer to pay any amount claimed to be due hereunder, the Subscribing Reinsurer, 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 Subscribing Reinsurer’s right to commence an action in any Court of competent 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. The Subscribing Reinsurer, once the appropriate Court is selected, whether such court is the one originally chosen by the Company and accepted by the Subscribing Reinsurer or is determined by removal, transfer, or otherwise, as provided for above, will comply with all requirements necessary to give said Court jurisdiction and, in any suit instituted against any of them upon this Contract, will abide by the final decision of such Court or of any Appellate Court in the event of an appeal. |
C. | Service of process in such suit may be made upon; Mendes & Mount, LLP, 000 Xxxxxxx Xxxxxx, Xxx Xxxx, XX 00000-0000.) |
D. | The above-named are authorized and directed to accept service of process on behalf of the Subscribing Reinsurer in any such suit. Further, pursuant to any statute of any state, territory, or district of the United States that makes provision therefore, the Subscribing Reinsurer hereby designates the Superintendent, Commissioner, or Director of Insurance, or other officer specified for that purpose in the statute, or their successor(s) in office, as their true and lawful attorney upon whom may be served any lawful process in any action, suit, or proceedings instituted by or on behalf of the Company or any beneficiary hereunder arising out of this Contract, and hereby designate the above-named as the person to whom the said officer is authorized to mail such process or a true copy thereof. |
ARTICLE XXXIII — SEVERABILITY (LM-02000-2005.06.02-A)
If any provision of this Contract 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
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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or enforceability of any other provision of this Contract or the enforceability of such provision
in any other jurisdiction.
ARTICLE XXXIV — SPECIAL CONDITIONS (LM-02100-2007.10.05-A)
A. | This Article applies only in the event that: |
1. | A State Insurance Department or other legal authority orders the Subscribing Reinsurer to cease writing business or has imposed upon it any other restrictions on or conditions relating to the Subscribing Reinsurer’s license or conduct of business in any jurisdiction; or | ||
2. | The Subscribing Reinsurer has become insolvent or has been placed into liquidation or receivership (whether voluntary or involuntary), or there have been instituted against it proceedings for the appointment of a receiver, liquidator, rehabilitator, conservator, trustee in bankruptcy, or other agent known by whatever name, to take possession of its assets or control of its operations; or | ||
3. | The Subscribing Reinsurer’s policyholders’ surplus has been reduced by 25% of the amount of surplus at the inception of this Contract; or | ||
4. | The Subscribing Reinsurer has entered into a definitive agreement to become merged with, acquired, or controlled by any company, corporation, or individual(s) not controlling the Subscribing Reinsurer’s operations at the inception of this Contract; or | ||
5. | The Subscribing Reinsurer’s A.M. Best Rating has been assigned or downgraded below A- or Standard and Poor’s Rating has been assigned or downgraded below A-; or | ||
6. | The Subscribing Reinsurer fails to maintain its surplus at a level of at least 200% of the Subscribing Reinsurer’s Authorized Control Level Risk-Based Capital; or | ||
7. | The Subscribing Reinsurer announces intentions to cease underwriting operations; or | ||
8. | The Subscribing Reinsurer voluntarily ceases underwriting operations; or | ||
9. | The Subscribing Reinsurer has reinsured its entire liability under this Contract; or | ||
10. | The Subscribing Reinsurer, directly or through the actions of a parent company or an affiliated entity, has or has attempted to assign, novate or transfer the Subscribing Reinsurer’s rights and/or obligations under this Contract, including any attempted transfer of rights and/or obligations under any U.S. or foreign statute, legislation or jurisprudence, without the Company’s prior written consent; or | ||
11. | The Subscribing Reinsurer, directly or through the actions of a parent company or an affiliated entity, has invoked any U.S. or foreign statute, legislation or jurisprudence which purports to enable the Reinsurer to require the Company to settle its claims liabilities, including but not limited to any estimated or undetermined claims liabilities under this Contract, on an accelerated basis. This condition does not apply to any attempt to enforce a settlement of claims liabilities under a commutation process to which the parties have agreed. |
B. | If one or more of the above-stated circumstances occur, the Company shall provide the Subscribing Reinsurer with a written statement of the Subscribing Reinsurer’s share of all paid recoverables, case reserves, loss adjustment expenses, incurred but not reported losses, reserves for unearned |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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premium, and ceding commissions due under this Contract (collectively “Obligations”). Within fifteen (15) days of the Subscribing Reinsurer’s receipt of such statement, the Subscribing Reinsurer agrees to fund all Obligations by clean, irrevocable, and unconditional Letters of Credit payable exclusively to the Company and issued by a bank acceptable to the Company. At the Company’s request, the Subscribing Reinsurer shall agree to provide separate Letters of Credit for each Legal Entity. Such Letters of Credit shall be issued for a period of not less than one year, and shall be automatically extended for one year from their dates of expiration or any future expiration dates, unless sixty (60) days prior to any expiration date the issuing bank shall notify the Company or a Legal Entity, as applicable by certified mail that the issuing bank elects not to extend any Letter of Credit for any additional period. | ||
C. | The Subscribing Reinsurer and Company agree that the Letters of Credit provided by the Subscribing Reinsurer, pursuant to the provisions of this Contract, may be drawn upon at any time, notwithstanding any other provision of this Contract, and be utilized by the Company, a Legal Entity, or any successor, by operation of law, of the Company or a Legal Entity, including without limitation, any liquidator, rehabilitator, receiver, or conservator of the Company or a Legal Entity, without diminution because of the insolvency of the Company, a Legal Entity or the Subscribing Reinsurer for one or more of the following purposes: |
1. | To pay or reimburse the Company or a Legal Entity for: |
a. | The Subscribing Reinsurer’s share under this Contract of premiums returned, but not yet recovered from the Subscribing Reinsurer, to the owners of Policies reinsured under this Contract due to cancellations of such Policies; and | ||
b. | The Subscribing Reinsurer’s share, under this Contract, of surrenders and benefits or liabilities paid by the Company or a Legal Entity, but not yet recovered from the Subscribing Reinsurer, under the terms and provisions of the Policies reinsured under this Contract; and | ||
c. | Any other amounts necessary to secure the credit or reduction from liability for reinsurance taken by the Company or a Legal Entity. |
2. | Where the Letters of Credit will expire without renewal or be reduced or replaced by Letters of Credit for a reduced amount and where the Subscribing Reinsurer’s entire obligations under this Contract remain unliquidated and undischarged ten (10) days prior to the termination date, to withdraw amounts equal to the Subscribing Reinsurer’s share of the liabilities, to the extent that the liabilities have not yet been funded by the Subscribing Reinsurer and exceed the amount of any reduced or replacement Letters of Credit, and deposit those amounts in a separate account in the name of the Company or a Legal Entity in a qualified U.S. financial institution apart from its general assets, in trust for such uses and purposes as specified above as may remain after withdrawal and for any period after the termination date. |
D. | At annual intervals, or at the Company’s option, on a quarterly basis, the Company shall prepare an adjusted statement of the Subscribing Reinsurer’s Obligations, for the sole purpose of amending the Letters of Credit, in the following manner: |
1. | If the statement shows that the Subscribing Reinsurer’s Obligations exceed the balance of credit as of the statement date, the Subscribing Reinsurer shall, within fifteen (15) days after receipt of notice of such excess, secure delivery to the Company of an amendment to the Letters of Credit increasing the amount of credit by the amount of such difference. | ||
2. | If, however, the statement shows that the Subscribing Reinsurer’s Obligations are less than the balance of credit as of the statement date, the Company shall, within fifteen (15) days after receipt of written request from the Subscribing Reinsurer, release such excess credit |
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by agreeing to secure an amendment to the Letters of Credit reducing the amount of credit available by the amount of such excess credit. |
E. | If the Subscribing Reinsurer fails to fund such Obligations by Letters of Credit as described above, the Company may terminate this Contract at any time by the giving of thirty (30) days prior written notice to the Subscribing Reinsurer. |
F. | The coverage afforded by this Contract shall cease as of the date of termination and the Subscribing Reinsurer shall return the unearned premium, if any. If coverage hereunder terminates while a claim covered by this Contract is in progress, the Subscribing Reinsurer shall be liable subject to all other conditions hereof for its proportion of the entire claim, provided that the event giving rise to the claim started before such termination. |
G. | If the Company elects to terminate this Contract, the Company shall have the option to commute the Subscribing Reinsurer’s liability for loss(es), whether reported or unreported, comprising the sum total of the present value of the ceded: (1) case reserves and allocated loss adjustment expense, (2) projected ultimate losses, (3) any unearned premium reserve, and (4) undiscounted outstanding paid claims (hereinafter the “Commutation Losses”), on Policies covered by this Contract as of the effective date of termination. |
1. | The Company shall submit a statement of valuation showing the elements considered reasonable to establish the Commutation Losses, and the Subscribing Reinsurer shall pay the amount requested. In the event the Company and the Subscribing Reinsurer cannot agree on the statement of valuation of the Subscribing Reinsurer’s liability under such Policies, either party may request in writing that the differences be settled by a panel of three actuaries. Each party shall appoint an actuary to assess such liability within fifteen (15) days after receipt of the written request for commutation. Upon such appointment, the two actuaries shall appoint a third actuary. If the two actuaries fail to agree on the third actuary within thirty (30) days of their appointment, each of them shall nominate three individuals, of whom the other shall decline two, and the final decision shall be made by drawing lots. The actuaries shall then investigate and capitalize such Commutation Loss(es) within thirty (30) days. As used herein, “capitalize” shall mean to determine the present value of Commutation Losses, without regard to the Subscribing Reinsurer’s ability to pay such losses. The panel shall meet in Boston, Massachusetts, unless the Company and Subscribing Reinsurer agree otherwise. | ||
2. | All actuaries shall be disinterested in the outcome of the commutation and shall be Fellows of the Society of Actuaries/Fellows of the Casualty Actuarial Society. Except as stated below, the expense of the actuaries and of the commutation shall be equally divided between the parties of the commutation. | ||
3. | The decision in writing of the actuaries, when filed with the parties hereto, shall be final and binding, except that if the Company does not agree with the capitalized value of the Commutation Loss(es), the Company shall have no obligation to commute. In the event the Company does not agree with the capitalized value of the Commutation Loss (es) and does not move forward with commutation, the expense of the actuaries including reasonable expense of the actuary appointed by the Subscribing Reinsurer will be paid by the Company. If the Contract is commuted, payment by the Subscribing Reinsurer to the Company or any other third party mutually agreed upon by the Subscribing Reinsurer and the Company shall constitute a complete and final release of the Subscribing Reinsurer in respect to its liability under this Contract. |
H. | Termination under the terms of this Article can be made after the date of expiration of this Contract. |
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ARTICLE XXXV — THIRD PARTIES (LM-02700-2005.09.27-A)
This Contract shall not be deemed to give any right or remedy to any third party whatsoever unless
said right or remedy is specifically granted to such third party by the terms of this Contract.
ARTICLE XXXVI — UNAUTHORIZED REINSURANCE (LM-02500-2006.10.26-A)
(Applies only to a Subscribing Reinsurer who at the inception of the Contract or at any time
thereafter does not qualify for full credit with any insurance regulatory authority having
jurisdiction over the Company’s reserves.)
A. | As regards Policies issued by the Company coming within the scope of this Contract, the Company agrees that when it shall file with the insurance regulatory authority or set up on its books reserves for unearned premium and losses covered hereunder which it shall be required by law to set up, it will forward to the Subscribing Reinsurer a statement showing the proportion of such reserves which is applicable to the Subscribing Reinsurer. The Subscribing Reinsurer hereby agrees to fund such reserves in respect of unearned premium, known outstanding losses that have been reported to the Subscribing Reinsurer and allocated loss adjustment expense relating thereto, losses and allocated loss adjustment expense paid by the Company or the Legal Entities but not recovered from the Subscribing Reinsurer, plus reserves for losses incurred but not reported as determined by the Company, as shown in the statement prepared by the Company (hereinafter referred to as “Subscribing Reinsurer Obligations”) by funds withheld, cash advances, or Letters of Credit unless the Company and the Subscribing Reinsurer otherwise agree, and/or the method of funding is determined by applicable law, statute, or regulation, the Subscribing Reinsurer shall agree to fund such Subscribing Reinsurer Obligations by Letters of Credit. |
B. | When funding by Letters of Credit, the Subscribing Reinsurer agrees to apply for and secure timely delivery to the Company of clean, irrevocable, and unconditional Letters of Credit issued by a bank that is a qualified U.S. financial institution and containing provisions acceptable to the insurance regulatory authorities having jurisdiction over the Company’s reserves in an amount equal to the Subscribing Reinsurer’s proportion of said reserves. At the Company’s request. Subscribing Reinsurer will agree to provide separate Letters of Credit for each Legal Entity. Such Letters of Credit shall be issued for a period of not less than one year, and shall be automatically extended for one year from their date of expiration or any future expiration date unless 60 days prior to any expiration date the issuing bank shall notify the Legal Entity by certified mail that the issuing bank elects not to consider the Letters of Credit extended for any additional period. |
C. | The Subscribing Reinsurer and Company agree that the Letters of Credit provided by the Subscribing Reinsurer pursuant to the provisions of this Contract may be drawn upon at any time, notwithstanding any other provision of this Contract, and be utilized by the Company, a Legal Entity or any successor, by operation of law, of the Company or a Legal Entity, including without limitation, any liquidator, rehabilitator, receiver, or conservator of the Company, without diminution because of the insolvency of the Company, a Legal Entity or the Subscribing Reinsurer for one or more of the following purposes: |
1. | To reimburse the Company or a Legal Entity for the Subscribing Reinsurer’s share of premiums returned to the owners of Policies reinsured under this Contract because of cancellations of the Policies; | ||
2. | To reimburse the Company or a Legal Entity for the Subscribing Reinsurer’s share of surrenders and benefits or losses paid by the Company or a Legal Entity under provisions of the Policies reinsured under this Contract; |
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3. | To fund an account with the Company or a Legal Entity in an amount at least equal to the deduction for reinsurance ceded from the Company’s or a Legal Entity’s liabilities for Policies ceded under this Contract. The account shall include, but not be limited to, amounts for Policy reserves, claims and losses incurred (including losses incurred but not reported), loss adjustment expenses, and unearned premium reserves; and | ||
4. | To pay any other amounts the Company claims are due under this Contract. |
D. | The issuing bank shall have no responsibility whatsoever in connection with the propriety of withdrawals made by the Company or a Legal Entity or the disposition of funds withdrawn, except to ensure that withdrawals are made only upon the order of properly authorized representatives of the Company or a Legal Entity as applicable. |
E. | At annual intervals, or at the Company’s option, on a quarterly basis, the Company shall prepare a specific statement of the Subscribing Reinsurer’s Obligations, for the sole purpose of amending the Letters of Credit, in the following manner: |
1. | If the statement shows that the Subscribing Reinsurer’s Obligations exceed the balance of credit as of the statement date, the Subscribing Reinsurer shall, within 30 days after receipt of notice of such excess, secure delivery to the Company of an amendment to the Letters of Credit increasing the amount of credit by the amount of such difference. | ||
2. | If, however, the statement shows that the Subscribing Reinsurer’s Obligations are less than the balance of credit as of the statement date, the Company shall, within 30 days after receipt of written request from the Subscribing Reinsurer, release such excess credit by agreeing to secure an amendment to the Letters of Credit reducing the amount of credit available by the amount of such excess credit. |
F. | Any and all disputes between the Company and any Subscribing Reinsurer or Reinsurers (“Party”, individually, or “Parties”, collectively) arising out of, relating to, or concerning this Article shall be resolved pursuant to the XXXXX-U.S. Newer Arbitrator Program. Unless the Parties otherwise agree, the XXXXX Newer Arbitrator Program expedited proceeding with a single Newer Arbitrator shall be used to resolve any such disputes. |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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EXHIBIT A
FIRST EXCESS OF LOSS
IS ATTACHED TO AND
FORMS PART OF
REINSURANCE CONTRACT No. 67316
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
Page 24 of 42
EXHIBIT A — FIRST EXCESS OF LOSS
SECTION | SUBJECT | PAGE | ||
1
|
LIMIT AND RETENTION | 26 | ||
2
|
REINSTATEMENT | 26 | ||
3
|
REINSURANCE PREMIUM | 26 |
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EXHIBIT A — FIRST EXCESS OF LOSS
SECTION 1 — LIMIT AND RETENTION (amounts shown are in terms of Ultimate Net Loss)
A. | As respects the Lines of Business covered under this Contract, the Company shall retain the first $5,000,000 of Ultimate Net Loss as respects each risk in any one Loss Occurrence. The Subscribing Reinsurer shall then be liable for the amount by which the Company’s Ultimate Net Loss exceeds the Company’s retention of $5,000,000, but the liability of the Subscribing Reinsurer shall never exceed $5,000,000 each risk any one Loss Occurrence, nor shall the Subscribing Reinsurer’s liability from all risks in each Loss Occurrence or in the aggregate for the calendar year, exceed $10,000,000. |
B. | It is understood and agreed that the limit and retention described above applies to both Employers Insurance Company of Wausau and Liberty Mutual Insurance Company. Any loss occurrence affecting each of them shall be combined with respect to the application of the limit and retention set forth herein. The limit, retention and reinsurance recovery will be allocated in the same ratio that the Ultimate Net Loss from each bears to the total Ultimate Net Loss of the Company. |
C. | Notwithstanding the foregoing, Subscribing Reinsurer’s liability arising out of an Act of Terrorism shall be limited to only $5,000,000 in the aggregate for all coverages combined, in each calendar year. |
SECTION 2 — REINSTATEMENT
A. | Each claim hereunder reduces the amount of indemnity from the time of occurrence of the loss by the sum paid, but any amount so exhausted is hereby reinstated from the time the Loss Occurrence commences hereon. |
B. | Reinstatements shall be provided as follows: |
1. | Five reinstatements at no additional premium. |
SECTION 3 — REINSURANCE PREMIUM
Rate applied to | ||||
Cover | Subject Earned Premium | |||
All Property Lines |
2.890 | % | ||
Estimated Subject Earned Premium to the Layer*: |
$ | 66,855,380 |
* | ALL Property Lines of Business are covered under this Contract however the rate is applied only to Commercial Multi-Peril Property (ASLOB — 051); as stipulated in Article XII, paragraph C. |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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EXHIBIT B
SECOND EXCESS OF LOSS
IS ATTACHED TO AND
FORMS PART OF
REINSURANCE CONTRACT No. 67316
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
Page 27 of 42
EXHIBIT B — SECOND EXCESS OF LOSS
SECTION | SUBJECT | PAGE | ||
1
|
LIMIT AND RETENTION | 29 | ||
2
|
REINSTATEMENT | 29 | ||
3
|
REINSURANCE PREMIUM | 29 |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
Page 28 of 42
EXHIBIT B — SECOND EXCESS OF LOSS
SECTION 1 — LIMIT AND RETENTION (amounts shown are in terms of Ultimate Net Loss)
A. | As respects the Lines of Business covered under this Contract, the Company shall retain the first $10,000,000 of Ultimate Net Loss as respects each risk in any one Loss Occurrence. The Subscribing Reinsurer shall then be liable for the amount by which the Company’s Ultimate Net Loss exceeds the Company’s retention of $10,000,000, but the liability of the Subscribing Reinsurer shall never exceed $15,000,000 each risk any one Loss Occurrence, nor shall the Subscribing Reinsurer’s liability from all risks in each Loss Occurrence or in the aggregate for the calendar year, exceed $30,000,000. |
B. | It is understood and agreed that the limit and retention described above applies to both Employers Insurance Company of Wausau and Liberty Mutual Insurance Company. Any loss occurrence affecting each of them shall be combined with respect to the application of the limit and retention set forth herein. The limit, retention and reinsurance recovery will be allocated in the same ratio that the Ultimate Net Loss from each bears to the total Ultimate Net Loss of the Company. |
C. | Notwithstanding the foregoing, Subscribing Reinsurer’s liability arising out of an Act of Terrorism shall be limited to only $10,000,000 in the aggregate for all coverages combined, in each calendar year. |
SECTION 2 — REINSTATEMENT
A. | Each claim hereunder reduces the amount of indemnity from the time of occurrence of the loss by the sum paid, but any amount so exhausted is hereby reinstated from the time the Loss Occurrence commences hereon. For purposes of calculating reinstatement premium, the reinsurance premium shall be multiplied by the ratio that each of the Employers Insurance Company of Wausau and Liberty Mutual Insurance Company’s reinsurance recovery bears to the total reinsurance recovery of the Company. |
B. Reinstatements shall be provided as follows:
1. | Three reinstatements at no additional premium. | ||
2. | One additional reinstatement for an additional premium calculated at pro rata of the annual premium hereon, being pro rata only as to the fraction of the limit of liability of this Agreement (i.e., the fraction of 100% of $15,000,000 so reinstated) and 100% as to the term. |
SECTION 3 — REINSURANCE PREMIUM
Cover | Rate applied to Subject Earned Premium |
|||
All Property Lines |
2.013 | % | ||
Estimated Subject Earned Premium to the Layer*: |
$ | 66,855,380 |
* | ALL Property Lines of Business are covered under this Contract however the rate is applied only to Commercial Multi-Peril Property (ASLOB — 051) as stipulated in Article XII, paragraph C. |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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EXHIBIT C
THIRD EXCESS OF LOSS
IS ATTACHED TO AND
FORMS PART OF
REINSURANCE CONTRACT No. 67316
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
Page 30 of 42
EXHIBIT C — THIRD EXCESS OF LOSS
SECTION | SUBJECT | PAGE | ||
1
|
LIMIT AND RETENTION | 32 | ||
2
|
REINSTATEMENT | 32 | ||
3
|
REINSURANCE PREMIUM | 33 |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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EXHIBIT C — THIRD EXCESS OF LOSS
SECTION 1 — LIMIT AND RETENTION (amounts shown are in terms of Ultimate Net Loss)
A. | As respects the Lines of Business covered under this Contract, the Company shall retain the first $25,000,000 of Ultimate Net Loss as respects each risk in any one Loss Occurrence. The Subscribing Reinsurer shall then be liable for the amount by which the Company’s Ultimate Net Loss exceeds the Company’s retention of $25,000,000, but the liability of the Subscribing Reinsurer shall never exceed $75,000,000 each risk any one Loss Occurrence, nor shall the Subscribing Reinsurer’s liability from all risks in each Loss Occurrence or in the aggregate for the calendar year, exceed $150,000,000 and will be shared with the Agency Markets Group. |
B. | It is understood and agreed that the limit and retention described above applies to the Company and to the Agency Markets Group. Any Loss Occurrence affecting both the Agency Markets Group and the Company shall be combined with respect to the application of the limit and retention set forth herein. The limit, retention and reinsurance recovery will be allocated to the Company in the same ratio that the Ultimate Net Loss bears to the total Ultimate Net Loss of the Company and the Agency Markets Group. It is further understood, any loss occurrence affecting each of Employers Insurance Company of Wausau and Liberty Mutual Insurance Company shall be combined with respect to the application of the limit and retention set forth herein. The limit, retention and reinsurance recovery will be allocated in the same ratio that the Ultimate Net Loss from each bears to the total Ultimate Net Loss of the Company. |
C. | Notwithstanding the foregoing, Subscribing Reinsurer’s liability arising out of an Act of Terrorism shall be limited to only $25,000,000 in the aggregate for all coverages combined, in each calendar year. |
SECTION 2 — REINSTATEMENT
A. | Each claim hereunder reduces the amount of indemnity from the time of occurrence of the loss by the sum paid, but any amount so exhausted is hereby reinstated from the time the Loss Occurrence commences hereon. For purposes of calculating reinstatement premium for reinstatement of losses in excess of $25,000,000 of the Company’s $25,000,000 retention, the reinsurance premium is deemed to be $4,200,000, multiplied by the ratio that the Company’s reinsurance recovery bears to the total reinsurance recovery of the Company and the Agency Markets Group. For reinstatement of losses in excess of $75,000,000 of the Company’s $50,000,000 retention, the reinsurance premium is deemed to be $2,000,000, multiplied by the ratio that the Company’s reinsurance recovery bears to the total reinsurance recovery of the Company and the Agency Markets Group. It is further understood, the reinsurance premium as stated above, shall be multiplied by the ratio that each of the Employers Insurance Company of Wausau and Liberty Mutual Insurance Company’s reinsurance recovery bears to the total reinsurance recovery of the Company. |
B. | Reinstatements shall be provided as follows: |
1. | One additional reinstatement for an additional premium calculated at pro rata of the annual premium hereon, being pro rata only as to the fraction of the limit of liability of this Agreement (i.e., the fraction of 100% of $75,000,000 so reinstated) and 100% as to the term. |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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SECTION 3 — REINSURANCE PREMIUM
Rate applied to | ||||
Cover | Subject Earned Premium | |||
All Property Lines |
0.491 | % | ||
Estimated Subject Premium to the Layer*: |
$ | 66,855,380 |
* | ALL Property Lines of Business are covered under this Contract however the rate is applied only to Commercial Multi-Peril Property (ASLOB — 051) as stipulated in Article XII, paragraph C. |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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SUPPLEMENT TO THE ATTACHMENTS
DEFINITION OF IDENTIFICATION TERMS USED WITHIN THE ATTACHMENTS
A. | Wherever the term “Company” or “Reinsured” or “Reassured” or whatever other term is used to designate the reinsured company or companies within the various attachments to the reinsurance Contract, the term shall be understood to mean Company or Reinsured or Reassured or whatever other term is used in the attached reinsurance Contract to designate the reinsured company or companies. |
B. | Wherever the term “Agreement” or “Contract” or “Policy” or whatever other term is used to designate the attached reinsurance contract within the various attachments to the reinsurance contract, the term shall be understood to mean Agreement or Contract or Policy or whatever other term is used to designate the attached reinsurance contract. |
C. | Wherever the term “Subscribing Reinsurer” or “Reinsurers” or “Underwriters” or whatever other term is used to designate the reinsurer or reinsurers in the various attachments to the reinsurance agreement, the term shall be understood to mean Reinsurer or Reinsurers or Underwriters or whatever other term is used to designate the reinsuring company or companies. |
INSOLVENCY FUNDS EXCLUSION CLAUSE
This Contract excludes 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 or from reimbursement of any person for any such liability. “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 any person of part or all of any claim, debt, charge, fee, or other obligation of an insurer, or
its successors or assigns, which has been 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.
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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POOLS, ASSOCIATIONS & SYNDICATES EXCLUSION CLAUSE
Section A:
Excluding:
(1) | All business derived directly or indirectly from any Pool, Association or Syndicate which maintains its own reinsurance facilities. | ||
(2) | Any Pool or Scheme (whether voluntary or mandatory) formed after March 1, 1968 for the purpose of insuring property whether on a country-wide 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: | |||
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, Global Aerospace. |
Section B does not apply:
(1) | Where the Total Insured Value over all interests of the risk in question is less than $250,000,000. | ||
(2) | To interests traditionally underwritten as Inland Marine and/or Stock and/or Contents written on a Blanket basis. | ||
(3) | 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 for under Section B(1). | ||
(4) | To risks as follows: | ||
Offices, Hotels, Apartments, Hospitals, Educational Establishments, Public Utilities (other than Railroad Schedules) and Builder’s Risks on the classes of risks specified in this subsection (4) only. |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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TOTAL INSURED VALUE EXCLUSION CLAUSE
It is the mutual intention of the parties to exclude risks, other than Offices, Hotels,
Apartments, Hospitals, Educational Establishments, Public Utilities (except Railroad schedules)
and Builders Risk on the above classes where, at the time of the cession, the Total Insured Value
over all interests exceeds $500,000,000. However, the Company shall be protected hereunder,
subject to the other terms and conditions of this Contract, if subsequently to cession being made
the Company becomes acquainted with the true facts of the case and discovers that the mutual
intention has been inadvertently breached, the Company shall at the first opportunity, and
certainly by next anniversary of the original Policy, exclude the risk in question.
It is agreed that this mutual intention does not apply to Contingent Business Interruption or to
interest traditionally underwritten as Inland Marine or to Stock and/or Contents written on a
blanket basis except where the Company is aware that the Total Insured Value of $500,000,000 is
already exceeded for buildings, machinery, equipment and direct use and occupancy at the key
location.
It is understood and agreed that this Clause shall not apply hereunder where the Company writes
100% of the risk.
Notwithstanding anything contained herein to the contrary, it is the mutual intention of the
parties in respect of bridges and tunnels to exclude such risks where the Total Insured Value over
all interests exceeds $500,000,000.
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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NUCLEAR INCIDENT EXCLUSION CLAUSE — PHYSICAL DAMAGE — REINSURANCE — U.S.A.
N.M.A. 1119
1. | This Reinsurance does not cover any loss or liability accruing to the Reassured, 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 Reassured, 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 operation of paragraphs 1. and 2. of this Clause, this Reinsurance does not cover any loss or liability by radioactive contamination accruing to the Reassured, 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 Reassured 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. 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 operation of paragraphs 1., 2. and 3. of this Clause, this Reinsurance does not cover any loss or liability by radioactive contamination accruing to the Reassured, 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 this Clause shall not extend to risks using radioactive isotopes in any form where the nuclear exposure is not considered by the Reassured to be the primary hazard. |
6. | The term “special nuclear material” shall have the meaning given to it by the Atomic Energy Act of 1954 or by any law amendatory thereof. |
7. Reassured to be sole judge of what constitutes:
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(a) | substantial quantities, and | ||
(b) | the extent of installation, plant or site. |
NOTE: — Without in any way restricting the operation of paragraph 1. hereof, it is understood and
agreed that
(a) | all Policies issued by the Reassured 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 Reassured 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. |
N.M.A. 1119
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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NUCLEAR INCIDENT EXCLUSION CLAUSE — PHYSICAL DAMAGE — REINSURANCE — CANADA
N.M.A. 1980
1. | This Contract 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 Contract 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: |
a. | Nuclear reactor power plants including all auxiliary property on the site, or | ||
b. | Any other nuclear reactor installation, including laboratories handling radioactive materials in connection with reactor installations, and critical facilities as such, or | ||
c. | 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 | ||
d. | Installations other than those listed in c. 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 Contract 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 Contract 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 |
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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 Contract 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. |
NOTE: | Without in any way restricting the operation of paragraphs 1., 2., 3. and 4. of this clause, paragraph 8. of this clause shall apply to all original Contracts of the Company whether new, renewal or replacement which become effective on or after December 31, 1984. |
N.M.A. 1980
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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NUCLEAR INCIDENT EXCLUSION CLAUSE — REINSURANCE — NO. 4
1. | This Reinsurance does not cover any loss or liability accruing to the Reassured 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 operations of Nuclear Incident Exclusion Clauses, — Liability, — Physical Damage, — Boiler and Machinery and paragraph 1. of this Clause, it is understood and agreed that for all purposes of the reinsurance assumed by the Reinsurer from the Reinsured, all original insurance Policies or Contracts of the Reinsured (new, renewal and replacement) shall be deemed to include the applicable existing Nuclear Clause and/or Nuclear Exclusion Clause(s) in effect at the time and any subsequent revisions thereto as agreed upon and approved by the Insurance Industry and/or a qualified Advisory or Rating Bureau. |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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TERRORISM EXCLUSION CLAUSE — REINSURANCE (PROPERTY)
A) This reinsurance does not cover any loss arising out of an Act of Terrorism as defined in
Section 102 of the Terrorism Risk Insurance Act of 2002 (TRIA) as modified by the Terrorism Risk
Insurance Extension Act of 2005, (hereinafter referred to as TRIA).
B) In addition this reinsurance does not cover any loss caused by, contributed to by, resulting
from or arising out of or in connection with biological, chemical, radioactive, or nuclear
pollution or contamination or explosion where such loss arises from a non-certified act of
terrorism.
A non-certified act of terrorism shall be defined as an act of terrorism that has not been
certified as such under the terms of TRIA. For the purposes of this section B, an act of terrorism
includes any act, or preparation in respect of action, or threat of action designed to influence
the government de jure or de facto of any nation or any political division thereof, or in pursuit
of political, religious, ideological or similar purposes to intimidate the public or a section of
the public of any nation by any person or group(s) of persons whether acting alone or on behalf of
or in connection with any organization(s) or government(s) de jure or de facto, and which:
(i) | involves violence against one or more persons; or | |
(ii) | involves damage to property; or | |
(iii) | endangers life other than that of the person committing the action; or | |
(iv) | creates a risk to health or safety of the public or a section of the public; or | |
(v) | is designed to interfere with or to disrupt an electronic system. |
Effective: January 1, 2008 | 2008 Wausau Property per Risk Excess Contract |
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