Casualty Variable Quota Share Reinsurance Agreement between Allied World Assurance Companies and Various Reinsurers
This agreement is between several Allied World Assurance companies and various reinsurers. It sets out the terms under which the reinsurers will cover a portion of the risks and losses on certain casualty insurance policies issued by the Allied World companies. The agreement defines key terms, outlines the scope of reinsurance coverage, details premium payments, exclusions, and the handling of claims and settlements. It also addresses reporting, confidentiality, dispute resolution, and termination conditions. The agreement is designed to share risk and financial responsibility between the parties for specified insurance business.
ARTICLE | PAGE | |||
PREAMBLE | 2 | |||
DEFINITIONS ARTICLE | 2 | |||
REINSURANCE COVERAGE ARTICLE | 7 | |||
FOLLOW THE FORTUNES ARTICLE | 9 | |||
TERM ARTICLE | 10 | |||
SPECIAL TERMINATION OR SETTLEMENT ARTICLE | 11 | |||
TERRITORY ARTICLE | 13 | |||
EXCLUSIONS ARTICLE | 14 | |||
REINSURANCE PREMIUM AND CEDING COMMISSION ARTICLE | 22 | |||
OTHER REINSURANCE ARTICLE | 22 | |||
EXTRA CONTRACTUAL OBLIGATIONS AND EXCESS OF LIMITS LIABILITY | ||||
ARTICLE | 22 | |||
REPORTS AND REMITTANCES ARTICLE | 23 | |||
LOSS SETTLEMENTS ARTICLE | 25 | |||
OFFSET ARTICLE | 25 | |||
SALVAGE AND SUBROGATION ARTICLE | 25 | |||
DELAYS, ERRORS, OR OMISSIONS ARTICLE | 26 | |||
ENTIRE AGREEMENT, INTERPRETATION ARTICLE | 26 | |||
ACCESS TO RECORDS ARTICLE | 26 | |||
CONFIDENTIALITY ARTICLE | 27 | |||
INSOLVENCY ARTICLE | 27 | |||
ARBITRATION ARTICLE | 28 | |||
GOVERNING LAW ARTICLE | 30 | |||
CURRENCY REVALUATION AND FOREIGN EXCHANGE ARTICLE | 31 | |||
SERVICE OF SUIT ARTICLE | 33 | |||
AGENCY ARTICLE | 34 | |||
INTERMEDIARY ARTICLE | 34 | |||
RESERVES AND FUNDING ARTICLE | 35 | |||
TAXES ARTICLE | 37 | |||
FEDERAL EXCISE TAX ARTICLE | 37 | |||
SURVIVAL ARTICLE | 37 |
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A. | Advertising liability and advertising injury have the same meanings that they do in the companys policy. |
B. | Agreement means this contract of reinsurance, any exclusion clauses as may be referenced in the Exclusions Article and the INTERESTS AND LIABILITIES AGREEMENTS attached hereto as well as any written amendment to this agreement that has been by signed by both the company and the reinsurer. |
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E. | Critical auto parts means brakes and component parts, alternators, engines and engine control parts, clutch sets, axles/joints, fuel/gas tanks and component parts, ignition parts, shocks/struts, steering/suspensions, transmissions/gearboxes, wheels/tires, seatbelts, door latches, and airbags. |
1. | The date of the occurrence or accident as determined by a policy responding to the loss if the policy was issued on an occurrence basis; | ||
2. | The date the claim is made as determined by a policy responding to the loss if the policy was issued on a claims-made basis; or | ||
3. | The date the occurrence is reported as determined by a policy responding to the loss if the policy is issued on an occurrences-reported basis. |
G. | Declaratory judgment expense means all expenses incurred by the company in direct connection with declaratory judgment actions brought to determine the companys policy obligations that are allocable to specific policies and claims subject to this agreement. Declaratory judgment expense will be deemed to have been incurred by the company on the date of loss. |
H. | Extended reporting period and discovery period mean a specific time period after a policys termination date within which claims may be made or occurrences may be reported (under a policy written on a claims-made or occurrences-reported basis) with respect to occurrences happening between the policys retroactive date, if any, and the termination date of that policy. |
I. | Ethical pharmaceutical means the specific dosage(s) of a pharmaceutical or drug dispensable only directly by or upon prescription of a physician or other practitioner licensed by law to administer such pharmaceutical or drug. |
J. | Incidental with respect to any premises, operations, products, activities or work of an original insured means premises, operations, products, activities or work that generate 10.00% or less of such insureds total revenues for the 12-month period that immediately precedes the effective or renewal date of the policy written for such insured. |
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K. | Industrial aid aircraft and industrial aid aircraft use have the same meanings that they do in the companys policy. |
1. | Any liability, loss, cost or expense arising out of emergency first aid provided by any original insured that is not principally engaged in the provision of emergency medical services. | ||
2. | Any liability, loss, cost or expense arising out of medical, surgical, dental, x-ray, nursing or chiropractic services or care provided to any person, including the furnishing of drugs in connection therewith, by any original insured that is not principally engaged in the provision of such medical care or services. |
M. | Insureds products has the same meaning that it does in the companys policy. |
N. | Integrated occurrence or batch occurrence have the same meaning that they do in the companys policy, if applicable. |
1. | All expenses incurred by the company in the investigation, appraisal, adjustment, litigation and/or defense of claims under policies reinsured hereunder, including salaries and expenses of the companys field employees and salaried adjusters who have no administrative duties; | ||
2. | Charges or expenses incurred through the use of third party claim services or technical services; | ||
3. | Expenses of the companys officials incurred in connection with the loss; | ||
4. | Court costs; | ||
5. | Interest accrued prior to final judgment, if included as part of expense on reinsured policies; and | ||
6. | Interest accrued after final judgment; and | ||
7. | Declaratory judgment expense. |
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Q. | Low-rise residential construction operations mean the construction of: |
1. | Homes; | ||
2. | Town homes; | ||
3. | Residential apartment buildings; or | ||
4. | Residential condominium buildings; |
R. | Net subject written premium means the gross written premium of the company for the policies reinsured hereunder, including any premium paid by original insureds in respect of any extended reporting periods or discovery periods and any reinstatement premium payable by the original insureds, less returned premium for cancellations, premium audits and reductions, and less premium for inuring reinsurance as set forth in the OTHER REINSURANCE ARTICLE. |
S. | Occurrence has the same meaning that it does in the companys policy. If a policy has an each accident, each wrongful act, each common cause, each disease, each location, each claim, each employee or each offense limit of liability, then occurrence as used in this agreement will have the same meaning as an accident, wrongful act, common cause, disease, location, claim, employee, or offense in such policy with respect to such limit of liability. |
T. | Personal injury and personal and advertising injury have the same meanings that they do in the companys policy. |
U. | Policy means any policy, binder, contract, or agreement of insurance or reinsurance. Where the company has issued two or more ceded policies covering the same original named insured, or group of original named insureds, at different attachment points, then such policies will be deemed to be a single policy hereunder. | |
The maximum policy period for subject business will be: |
1. | 12 months plus odd time, not to exceed eighteen (18) months in all, for all policies other than those described in paragraph 2. below; and | ||
2. | 60 months plus odd time, not to exceed 66 months in all, for all policies written to insure a specific construction project or series of construction projects; |
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Provided, however: |
a. | That the limitation in 1. above will not apply to policies issued for policy periods of greater than 18 months if they can be re-priced and re-underwritten without limitation, other than such limitations as are described in c) below, at the expiration of each annual period during the policy period. The commencement of each subsequent annual period will be considered a separate renewal for purposes of this agreement; | ||
b. | In determining whether a policy has exceeded the maximum policy period, the policy period of such policy will not include any: |
1. | Extended reporting periods (whether basic, supplemental or both); | ||
2. | Discovery period(s); or | ||
3. | Products-completed operations extensions or extensions for maintenance defects liability; | ||
That are provided under the terms and conditions of that policy; and |
c. | If the company is limited or prevented by statute, regulation, or judicial decision from re-pricing, re-underwriting, cancelling, or non-renewing a policy, then the maximum policy period will be extended until the first renewal date when the company can lawfully re-price, re-underwrite, cancel or non-renew such policy. |
(1) | The longest applicable statute of repose (including any applicable extensions thereof); or | ||
(2) | The longest applicable statute of limitations (including any applicable extensions thereof). |
Y. | Renewal or renewed will include any policy with a policy period of one year or less that is renewed at its expiration or anniversary date as well as any policy that is issued for more than one year, but which can be re-priced and re-underwritten at the expiration of each annual period during its policy period. |
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Z. | Satisfactory proof of loss means reasonable evidence of amounts paid or payable by the company in any settlement, compromise or adjustment of loss made by the company. |
AA. | Ultimate net loss means the amount of any settlement, award, or judgment paid by the company, or for which the company has become liable to pay, including interest accrued prior to the final judgment, if such interest erodes the applicable limit of liability of the companys policy. All recoveries, salvages and subrogations that are actually recovered and all inuring reinsurance, whether recovered or not, will be deducted from the amount of the ultimate net loss. Ultimate net loss does not include: |
1. | Any element of loss adjustment expense, unless that element of loss adjustment expense erodes the applicable limit of liability of the companys policy; | ||
2. | Extra contractual obligations; or | ||
3. | Excess of limits liability. |
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1. | As respects policies with original limits in excess of $25,000,000, 25,000,000, or £15,000,000 each occurrence, the company will cede to the reinsurers a variable quota share cession, which will be calculated individually with respect to each policy. The variable quota share ceded percentage as used in this Section B will be calculated according to the following formula: For policies issued in U.S. Dollars, Euros or United Kingdom Pounds Sterling, the formula is: |
a. | The amount of the policys total original limit in excess of $25,000,000, 25,000,000 or £15,000,000 | ||
b. | Divided by the policys total original policy limit | ||
c. | Equals the policys variable quota share ceded percentage. |
2. | As respects policies issued in currency other than U.S. Dollars, Euros or United Kingdom Pounds Sterling, the policys total original limit will be converted into U.S. Dollars in accordance with the CURRENCY REVALUATION AND FOREIGN EXCHANGE ARTICLE, and the calculation described in 1. above will apply to such policy as if it had been initially written with limits in U.S. Dollars. |
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1. | Erosion of its initial attachment point due to payment of claims by underlying insurance and drops down; or |
2. | Reduction in its stated attachment point due to any provisions in any underlying insurance with respect to any joint venture; |
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1. | The reinsurer will not be liable for any losses with a date of loss on or after the date of expiration or termination of this agreement; and |
2. | The reinsurer will return immediately to the company the unearned portion of the net subject written premium less ceding commission as of the date of expiration or termination of this agreement, computed on a pro-rata basis. |
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(Applicable separately as between the company and each participating reinsurer)
A. | The company may terminate this agreement forthwith in the event that: |
1. | The reinsurer ceases writing reinsurance; | ||
2. | The reinsurer at any time: |
a. | Has a Standard & Poors (S&P) Insurer Financial Strength Rating of lower than A-; or | ||
b. | Ceases to have any S&P Insurer Financial Strength Rating (or has a designation of not rated or NR) after having had an S&P rating at or after the inception of this agreement; |
3. | The reinsurer at any time: |
a. | Has an A.M. Bests Financial Strength Rating of lower than A-; or | ||
b. | Ceases to have any A.M. Bests Financial Strength Rating (or has a designation of not rated or NR) after having had an A.M. Bests Financial Strength Rating at or after the inception of this agreement; |
4. | Over any period not exceeding twelve months, the policyholders surplus of the reinsurer, as reported in such financial statements of the reinsurer as designated by the company, drops by 20% or more; or | ||
5. | As respects each reinsurer domiciled in the United States of America only, upon application of the NAIC Insurance Regulatory Information System (IRIS) tests to the reinsurers most recent statutory Annual Statement (which the reinsurer hereby agrees to furnish to the company upon request), it is found that four or more of the reinsurers IRIS financial ratio values are outside of the usual range established in the IRIS system. |
B. | Termination under Section I A. above will be effected by written notice. The company will elect whether the termination will be on a run-off basis or a commutation with an immediate settlement of all present and future obligations under this agreement. If the company initially elects a run-off basis, within 15 calendar days after receiving notice of the |
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companys election, the reinsurer will secure all such obligations through a trust account or a clean, unconditional, irrevocable, and evergreen letter of credit from a financial institution acceptable to the company. However, even if such security is requested by the company or provided by the reinsurer, the company will retain the right to require an immediate settlement of all present and future obligations at any subsequent date. |
A. | After the expiration (if there is no Special Termination as governed by Section I above) of this agreement, if the reinsurer has any remaining present or future obligations to the company and any of the five events described in paragraph A. of Section I should occur, the company may require: |
1. | An immediate settlement of all present and future obligations under this agreement; or | ||
2. | The reinsurer to secure all such obligations through a trust account or a clean, unconditional, irrevocable, and evergreen letter of credit from a financial institution acceptable to the company. |
B. | If the company initially requires security under Paragraph A. 2. of this Section, it will notify the reinsurer in writing and the reinsurer will provide such trust account or letter of credit within 15 calendar days. However, even if such security is requested by the company or provided by the reinsurer, it is agreed that the company will retain the right to require an immediate settlement of all present and future obligations at any subsequent date. |
A. | For purposes of this Article, all present and future obligations means outstanding ultimate net loss, extra contractual obligations, excess of limits liability and loss adjustment expense [including reserves for incurred-but-not-reported ultimate net loss and loss adjustment expense (hereinafter IBNR)], return of unearned net subject written premium, and all other present or future balances, obligations, or amounts due the company under this agreement. |
B. | In no event will this Article be construed to limit the amount of, or the rights and obligations of the parties with respect to, any security withheld or required in accordance with the RESERVES AND FUNDING ARTICLE hereof (if applicable). |
C. | In the event of an immediate settlement of all present and future obligations, upon receipt of final payment, the company and the reinsurer will execute a full and final commutation and mutual release of their respective liabilities under the agreement. |
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D. | When requested by either party an appraisal of IBNR will be made by a panel of three disinterested actuaries to be selected as follows: |
1. | The company, or the reinsurer, may request in writing to the other party that any differences in the estimated amount of IBNR be settled by a panel of three actuaries, one to be chosen by each party and the third by the two so chosen. | ||
2. | If the other party refuses or neglects to appoint an actuary within 10 calendar days after the companys or reinsurers request in writing that the differences be settled by a panel of three actuaries, the other party may appoint two actuaries. | ||
3. | If the two actuaries fail to agree on the selection of a third actuary within 10 calendar days of their appointment, each of them will name two, of whom the other will decline one, and the decision will be made by drawing lots. All the actuaries will be regularly engaged in the valuation of excess general liability insurance claims, and each will be a Fellow of the Casualty Actuarial Society. None of the actuaries will be under the control of either party to this agreement. | ||
4. | Each party will submit its case to the actuary it selected within 10 calendar days of the appointment of the third actuary. The decision in writing of any two actuaries, when filed with the parties hereto, will be final and binding on both parties. The expense of the actuaries and of the commutation will be equally divided between the two parties. Said appraisal will take place in Hamilton, Bermuda unless some other place is mutually agreed upon by the company and the reinsurer. | ||
5. | Any appraisal rendered pursuant to this subparagraph D. will not be subject to arbitration, and either party to this agreement may proceed to a court of competent jurisdiction to initiate an action to enforce such an appraisal. |
E. | All demands, requests and notices pursuant to this Article will be given in writing and given by hand, prepaid express courier, airmail or telecopier properly addressed to the appropriate party and will be deemed as having been effected only upon actual receipt. |
F. | Settlements under this Article will be adjusted for net present value. The discount rate used for determining net present value will be the current yield of a United States Treasury 2-year note as quoted in the Wall Street Journal on the nearest working day prior to the date the commutation is executed. |
G. | In the event of any conflict between this Article and any other Article of this agreement, the terms of this Article will control. |
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I. | With respect to policies otherwise subject to Sections A, B or C of the REINSURANCE COVERAGE ARTICLE, this agreement does not apply to and specifically excludes the following: |
A. | Liability assumed by the company under treaty reinsurance; provided, however, that this exclusion does not apply to policies subject to an inter-company pooling reinsurance agreement among the parties comprising the company hereunder. | ||
B. | Loss or liability excluded by the Insolvency Funds Exclusion Clause, as attached to this agreement. | ||
C. | Loss or liability excluded by the following clauses, which are attached to this Agreement: |
1. | Nuclear Incident Exclusion ClauseLiabilityReinsurance (U.S.A.); | ||
2. | Nuclear Incident Exclusion ClauseLiabilityReinsurance (Canada); | ||
3. | Nuclear Energy Risks Exclusion Clause (Reinsurance) (1994), (Worldwide Excluding U.S.A. and Canada), (Includes Japanese Amendment); | ||
4. | Nuclear Incident Exclusion ClausePhysical DamageReinsurance (U.S.A.); | ||
5. | Nuclear Incident Exclusion ClausePhysical DamageReinsurance (Canada); | ||
6. | Nuclear Incident Exclusion ClausePhysical Damage and Liability (Boiler and Machinery Policies)Reinsurance (U.S.A.); and | ||
7. | Nuclear Incident Exclusion ClausePhysical Damage and Liability (Boiler and Machinery Policies)Reinsurance (Canada). |
D. | Loss caused directly, or indirectly, by war, whether or not declared, civil war, insurrection, rebellion or revolution or any act or condition incidental to any of the foregoing. If a policy contains, or follows as in the case of a follow-form policy, any war or terrorism exclusion that incorporates any provision(s) in conflict with any provision(s) of this exclusion, then the provision(s) of the companys policy will supersede the conflicting provision(s) of this exclusion. This exclusion will not be more limiting than any war or terrorism exclusion contained in, or followed by, any policy issued by the company. |
E. | Costs incurred for the withdrawal, inspection, repair, recall, return, replacement, or disposal of an original named insureds products or work. |
Except with respect to policies issued to original named insureds that are principally engaged in the manufacture of automobiles or critical auto parts, this exclusion does not apply to liability, loss, cost or expense incurred for the withdrawal, inspection, repair, recall, return, replacement, or disposal of products or work of a party other than an original named insured of which the original named insureds products or work forms a part. |
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F. | An integrated occurrence or batch occurrence; provided, however, that this exclusion applies only with respect to loss or liability arising out of the insureds products or the products-completed operations hazard and only with respect to policies issued to original named insureds that are principally engaged in the manufacture of automobiles or critical auto parts. |
G. | Business classified by the company as: |
1. | Directors and Officers Liability; | ||
2. | Surety; | ||
3. | Fidelity Insurance; | ||
4. | Credit Insurance; | ||
5. | Financial Guarantee Insurance; | ||
6. | Insolvency Insurance; | ||
7. | Environmental Impairment Liability; | ||
8. | Employment Practices Liability; or | ||
9. | Pure Financial Loss Insurance; |
When written as such. |
H. | Aviation Liability, unless such coverage pertains to an incidental part of the original insureds overall operations. Additionally, Aircraft Products Liability will not be covered when the policy is issued to an original named insured whose primary business is the manufacture of aircraft, aircraft engines, or aircraft propellers. This exclusion does not apply to: |
1. | Fuel or other fluids and lubricants utilized for aircraft; | ||
2. | Any aviation liability arising out of aircraft that an original insured leases to others if such insured is not principally engaged in the manufacture of aircraft, aircraft engines or aircraft propellers or in the carrying of passengers aboard aircraft for a fee. | ||
3. | Industrial aid aircraft or industrial aid aircraft use or incidental aircraft use or aviation liability. |
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I. | Errors and omissions (E&O) or professional liability coverage; provided, however, that this exclusion does not apply to: |
1. | Any: |
a. | Bodily injury; | ||
b. | Property damage; | ||
c. | Personal injury; | ||
d. | Advertising liability (or advertising injury or personal and advertising injury); or | ||
e. | Extra contractual obligations, excess of limits liability, or any loss adjustment expense associated with 1. a. through 1. d. above, |
2. | Druggists or Pharmacists Professional Liability; | ||
3. | Employee Benefits Liability; | ||
4. | Incidental medical malpractice; or | ||
5. | Incidental professional exposure. |
If a policy contains, or follows as in the case of a follow-form policy, any E&O or professional liability exclusion that incorporates any provision(s) in conflict with any provision(s) of this exclusion, then the provision(s) of the companys policy will supersede the conflicting provision(s) of this exclusion. This exclusion will not be more limiting than any E&O or professional liability exclusion contained in, or followed by, any policy issued by the company. | ||
J. | Loss or liability directly resulting from the rendering, or failure to render, the following professional services: | |
Medical, surgical, dental, x-ray, nursing or chiropractic services or care provided to any person, including the furnishing of drugs, in connection therewith. | ||
This exclusion will not apply to: |
1. | Druggists or Pharmacists Professional Liability; or | ||
2. | Incidental medical malpractice. |
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If a policy contains, or follows as in the case of a follow-form policy, any medical malpractice exclusion that incorporates any provision(s) in conflict with any provision(s) of this exclusion, then the provision(s) of the companys policy shall supersede the conflicting provision(s) of this exclusion. This exclusion will not be more limiting than any medical malpractice exclusion contained in, or followed by, any policy issued by the company. | ||
K. | Loss or liability arising out of a multi-year policy. The term multi-year policy as used herein means a policy issued for a policy period greater than the maximum policy period as specified under the DEFINITIONS ARTICLE. | |
L. | Business derived directly as a member of any pool, association, or syndicate. | |
M. | Asbestos, except as respects such coverage as may be provided by the XL 004 policy form (or similar provisions of other occurrence-reported or claims-made forms). | |
N. | 1. Loss or liability arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of methyl tertiary-butyl ether (MTBE) pollutants, but only with respect to policies issued to original insureds that are engaged in the: |
(a) | Refining or manufacturing of MTBE; | ||
(b) | Refining of petroleum products; or | ||
(c) | Blending of MTBE with other petroleum products; |
provided, however, that: |
(i) | This exclusion does not apply to persons or organizations that qualify as additional insureds under policies issued to original insureds that are not engaged in any of the operations described in 1. through 3. above. | ||
(ii) | As respects liability or alleged liability arising out of an actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of both MTBE and other pollutants, coverage hereon will not be excluded for that portion of such liability or alleged liability which arises out of pollutants that are not MTBE. |
2. | If a policy contains, or follows as in the case of a follow-form policy, any MTBE or fuel oxygenates exclusion that incorporates any provision(s) in conflict with any provision(s) of this exclusion, then the provision(s) of the companys policy will supersede the conflicting provision(s) of this exclusion. This exclusion will not be more limiting than any MTBE or fuel oxygenates exclusion contained in, or followed by, any policy issued by the company. |
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3. | However, solely with respect to bodily injury or property damage arising out of the insureds products or the products-completed operations hazard, if any MTBE or fuel oxygenates exclusion contained in, or followed by, the companys policy does not exclude a gradual discharge of MTBE pollutants, then: |
(a) | The provisions of paragraph 2. above will not apply to such coverage as may be allowed for such gradual discharge of MTBE pollutants by the companys policy; and | ||
(b) | The provisions of paragraph 1. above will apply to such gradual discharge of MTBE pollutants, notwithstanding that such provisions may be in conflict with the provisions of any MTBE or fuel oxygenates exclusion contained in, or followed by, the companys policy. |
(a) | The original insured is aware of it within 20 days following its commencement and if the original insured gives the company notice of such discharge within 80 days following its commencement; or | ||
(b) | Such discharge results from a covered pollution peril or named peril (as such terms are defined in the companys policy) or such perils as are listed or covered in the companys policy. |
II. | With respect to policies that are otherwise subject to Sections B or C of the REINSURANCE COVERAGE ARTICLE and issued to original named insureds that are ethical pharmaceutical manufacturers, this agreement does not apply to and specifically excludes bodily injury or property damage arising out of the insureds products or the products-completed operations hazard. However, this exclusion does not apply to: |
A. | Nutraceutical companies; | ||
B. | Over-the-counter (non-ethical) drug companies; or | ||
C. | Diversified manufacturers whose ethical pharmaceutical revenues are less than 20.00% of total corporate revenues for the 12-month period that immediately precedes the effective or renewal date of the policy. |
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III. | With respect to policies otherwise subject to Section C of the REINSURANCE COVERAGE ARTICLE, this agreement does not apply to and specifically excludes the following: |
A. | Bodily injury or property damage that directly results from the following premises or operations; provided, however, that this exclusion does not apply to such bodily injury or property damage that arises out of the insureds products or that is included in the products-completed operations hazard: |
1. | Demolition operations when written as such, but this exclusion does not apply to any mining or quarrying operations or any blasting operations of original insureds whose primary business is not demolition operations; | ||
2. | Fraternity premises when written as such, but this exclusion does not apply to any educational institution that is found liable for its oversight (or failure thereof) of the premises, operations, or conduct of fraternities; | ||
3. | Ship-building; ship repair yards, or dry dock operations; | ||
4. | Amusement parks, carnivals, or automobile racing events when written as such, but this exclusion does not apply to original insureds that do not operate such events or premises, but do: |
a. | Promote, market, or advertise such events or premises; | ||
b. | Use such events or premises in their promotional, marketing, or advertising activities; or | ||
c. | Sell or give away tickets to such events or premises; |
5. | Airports, but only as respects loss or liability that directly results from the ownership, maintenance, or use of aircraft or from flight operations; | ||
6. | Construction of subways, tunnels, or dams, but this exclusion does not apply to the construction of: |
a. | A dam that has an embankment less than 20 feet in height or a reservoir capacity less than 100 acre-feet; | ||
b. | A pool or impoundment; or | ||
c. | A pond; |
7. | The application of insecticides or pesticides within a building, but this exclusion does not apply to an original insured that owns, occupies, rents, leases, or uses such a building; | ||
8. | Underground mining operations, but this exclusion does not apply to surface mining or quarrying operations; or | ||
9. | Low-rise residential construction operations; |
(1) | A policy contains, or follows as in the case of a follow-form policy, an exclusion of any of the premises or operations (or both) listed above; and | ||
(2) | Such exclusion incorporates any provision(s) in conflict with any provision(s) of this exclusion A.; |
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Then the provision(s) of companys policy will supersede the conflicting provision(s) of this exclusion A. with respect to such premises or operations (or both). This exclusion A. will not be more limiting than any exclusion of such premises or operations (or both) listed above, which is contained in, or followed by, any policy issued by the company. | |||
This exclusion A. will not apply to any original insured that performs work or operations at, or incidental to, any of the premises or operations excluded above unless such insured is also principally engaged in the ownership of such premises or the performance of such work or operations excluded above. | |||
B. | Bodily injury or property damage included in the products-completed operations hazard, but only if such bodily injury or property damage directly results from the manufacturing of: |
1. | Automobiles or motorcycles; | ||
2. | Springboards or trampolines; | ||
3. | Helmets intended to be used in athletic events or athletic activities; | ||
4. | Underground storage tanks intended to be used for the storage of petroleum products; | ||
5. | Firearms or guns; | ||
6. | Paints containing lead; | ||
7. | Fireworks; | ||
8. | Medical devices intended to be used for implantation into humans; | ||
9. | Cell phones; | ||
10. | Smoke detectors; | ||
11. | NutraSweet or saccharin intended to be used in food or beverage products for human consumption, but this exclusion does not apply to an original insured who handles, sells, or distributes food or beverage products intended for human consumption that contain NutraSweet or saccharin, unless such insured is principally engaged in the manufacturing of NutraSweet or saccharin; | ||
12. | Latex gloves; | ||
13. | Rides intended for use in amusement parks; | ||
14. | Tobacco products, but this exclusion does not apply injury or damage due to a fire caused by lighted tobacco products; | ||
15. | Diving boards or diving towers; | ||
16. | Insecticides, pesticides or herbicides; | ||
17. | Manganese welding rods; or | ||
18. | Explosives or nitroglycerine, celluloid, pyroxlin, or other explosive substances intended for use in explosives; |
(1) | A policy contains, or follows as in the case of a follow-form policy, an exclusion of any of the products or completed operations (or both) listed above; and | ||
(2) | Such exclusion incorporates any provision(s) in conflict with any provision(s) of this exclusion B.; |
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Section A: | Flat rate of 25% of net subject written premium. | |
Section B: | Flat rate of 23.5% of net subject written premium. | |
Section C: | Flat rate of 22.5% of net subject written premium. |
REINSURANCE COVERAGE ARTICLE):
A. | Inter-company pooling reinsurance agreements among the parties comprising the company; and | |
B. | Aggregate excess of loss reinsurance written on an each-occurrence (a.k.a. clash) basis. |
A. | Failure of the company to agree to settle a claim within the policy limits or to provide a defense against such claims. |
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B. | Actual or alleged bad faith, fraud, or negligence in investigating or handling a claim or in rejecting an offer of settlement. |
C. | Negligence or breach of duty in the preparation of the defense or the conduct of a trial or the preparation or prosecution of any appeal or subrogation (or both) or any subsequent action resulting therefrom. |
1. | The reinsurers share, if applicable, of the Section A limit; | |
2. | The reinsurers share, if applicable, of the maximum possible limit under Section B.; or | |
3. | The reinsurers share, if applicable, of the Section C limit; |
A. | Within 75 calendar days after the close of each month, as respects all policies subject to this agreement that are underwritten by the companys London offices, and within 45 calendar days after the close of each month, as respects all other policies subject to this agreement, |
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the company will furnish the reinsurer with a report summarizing the premium ceded less return premium and ceding commission, ultimate net loss paid, loss adjustment expense paid, extra contractual obligations paid, excess of limits liability paid, monies recovered, and net balance due either party. Said monthly reports will also include the following information for each policy subject to this agreement that is written or renewed during the month: |
1. | First named insured; | ||
2. | Policy effective date; | ||
3. | Policy expiration date; | ||
4. | Policy limits; | ||
5. | Policy attachment point(s); | ||
6. | Policy premium; | ||
7. | Premium ceded to reinsurers; | ||
8. | Paid ultimate net loss; | ||
9. | Reserves for outstanding ultimate net loss; | ||
10. | Paid loss adjustment expense; and | ||
11. | Reserves for outstanding loss adjustment expense. |
Amounts due the reinsurer will accompany said reports. Except with respect to amounts due under paragraph C. of this Article, any balances due the company will be paid within 45 calendar days after the company has furnished the reinsurer with the report. | ||
B. | Semi-annually the company will provide the reinsurer with a report listing all claims subject to this agreement to which the company has assigned the claim code of D, P, or R. Such reports will be valued as of June 30th and December 31st, respectively, and will contain with respect to each claim listed the following information: |
1. | First named insured; | ||
2. | Policy effective date; | ||
3. | Date of loss; | ||
4. | Date of report; | ||
5. | Amount paid; | ||
6. | Amount reserved; | ||
7. | Status of claim (i.e., whether open or closed); and | ||
8. | Claim code. |
In addition, the company will furnish the reinsurer with such other information as may be required by the reinsurer for completion of its NAIC interim and/or annual statements. | ||
C. | If the amount due the company for the sum of ultimate net loss, loss adjustment expense, extra contractual obligations, or excess of limits liability (whether individually or collectively) recoverable under this agreement for any one occurrence is in excess of: |
1. | $1,500,000 with respect to policies subject to Section A of the REINSURANCE COVERAGE ARTICLE; |
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2. | $5,000,000 with respect to policies subject to Section B of the REINSURANCE COVERAGE ARTICLE; or | ||
3. | $1,500,000 with respect to policies subject to Section C of the REINSURANCE COVERAGE ARTICLE; |
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A. | In the event of the insolvency of the company, this reinsurance will be payable directly to the company, or to its liquidator, receiver, conservator or statutory successor, immediately upon demand on the basis of the liability of the company without diminution because of the insolvency of the company or because the liquidator, receiver, conservator or statutory successor of the company has failed to pay all or a portion of any claim. It is agreed, however, that the liquidator, receiver, conservator or statutory successor of the company will give written notice to the reinsurer of the pendency of a claim against the company, which would involve a possible liability on the part of the reinsurer, indicating the policy or bond reinsured, within a reasonable time after such claim is filed in the conservation or liquidation proceeding or in the receivership. It is further agreed that during the pendency of such claim the reinsurer may investigate such claim and interpose, at its own expense, in the proceeding |
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where such claim is to be adjudicated, any defense or defenses that it may deem available to the company or its liquidator, receiver, conservator, or statutory successor. The expense thus incurred by the reinsurer will be chargeable, subject to the approval of the Court, against the company as part of the expense of conservation or liquidation to the extent of a pro rata share of the benefit, which may accrue to the company solely as a result of the defense undertaken by the reinsurer. |
B. | Where two or more of the reinsurers are involved in the same claim and a majority in interest elects to interpose defense to such claim, the expense will be apportioned in accordance with the terms of the agreement as though such expense had been incurred by the company. |
C. | The reinsurance will be payable by the reinsurer to the company or to its liquidator, receiver, conservator, or statutory successor, except as provided by Section 4118(a) (1) (A) and 1114 (c) of the New York Insurance Law or except (a) where the agreement specifically provides another payee of such reinsurance in the event of the insolvency of the company or (b) where the reinsurer with the consent of the original insured or insureds has voluntarily assumed such policy obligations of the company as direct obligations of the reinsurer to the payees under such policies and in substitution for the obligations of the company to the payees. Then, and in that event only, the company, with the prior approval of the certificate of assumption on New York risks by the Superintendent of Insurance of the State of New York, is entirely released from its obligation and the reinsurer will pay any loss directly to payees under such policy. |
D. | Notwithstanding paragraphs A., B., and C., where the company is authorized under the Insurance Companies Act (Canada) to insure risks in Canada, in the event of the insolvency of the company, reinsurance payable in respect of the insurance business in Canada of the company will be payable to the Chief Agent in Canada of the company or to the liquidator, receiver, conservator or statutory successor appointed in Canada in respect of the insurance business in Canada of the company without diminution because of the insolvency of the company or because the company or a liquidator, receiver, conservator or statutory successor of the company has failed to pay all or any portion of any claim. All other terms and conditions of paragraphs A., B., and C. remain in effect and apply to this paragraph D., which will prevail if there is a conflict or inconsistency. |
A. | As a condition precedent to any right of action under this agreement, any and all disputes arising under or relating to this agreement, including its formation and validity, will be finally and fully determined in Hamilton, Bermuda under the provisions of The Bermuda International Conciliation and Arbitration Act of 1993 (exclusive of the Conciliation Part of such Act), as may be amended and supplemented, by a Board composed of three arbitrators to be selected for each controversy as follows: |
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B. | All claims, demands, denials of claims and notices pursuant to this Article will be given in writing and given by hand, prepaid express courier, airmail or telecopier properly addressed to the appropriate party and will be deemed as having been effected only upon actual receipt. |
C. | The Board of Arbitration will fix, by a notice in writing to the parties involved, a reasonable time and place for the hearing and may prescribe reasonable rules and regulations governing the course and conduct of the arbitration proceeding, including without limitation discovery by the parties. The Board will be relieved of all judicial formality and will not be bound by the strict rules of procedure evidence. The Board will interpret this agreement as if it were an honorable engagement rather than as merely a legal obligation. |
D. | The Board will, within 90 calendar days following the conclusion of the hearing, render its decision on the matter or matters in controversy in writing and will cause a copy thereof to be served on all the parties thereto. In case the Board fails to reach a unanimous decision, the decision of the majority of the members of the Board will be deemed to be the decision of the Board. Such decision will be a complete defense to any attempted appeal or litigation of such decision of the Board of Arbitration by, any court or other body to the fullest extent permitted by applicable law. |
E. | Any order as to the costs of the arbitration will be in the sole discretion of the Board, who may direct to whom and by whom and in what manner they will be paid. |
F. | All awards made by the Arbitration Board will be final and no right of appeal will lie from any award rendered by the Arbitration Board. The parties agree that the Supreme Court of Bermuda: (i) will not grant leave to appeal any award based upon a question of law arising out of the award; (ii) will not grant leave to make an application with respect to an award; |
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G. | If the company and more than one reinsurer are involved in the same dispute(s) or difference(s) arising out of this agreement, and the company requests consolidated arbitration with those reinsurers in an initial notice of arbitration or response, then those reinsurers will constitute and act as one party for purposes of the arbitration and thus will select a single party-appointed arbitrator among them. If the company requests consolidation in its notice of arbitration, then both parties will elect their party-appointed arbitrators within 45 calendar days of the commencement of the arbitration proceeding. If the company requests consolidation in its response, then (i) that response will be appended to the companys notice of arbitration to the additional reinsurer(s) joined in the proceeding, (ii) any arbitral appointment made before that response will be of no effect, and (iii) the reinsurers will select their arbitrator within 45 calendar days of their receipt of those pleadings. For purposes of this paragraph, any instance in which two or more of the reinsurers have not paid their proportional shares of the same balance claimed due by the company will be deemed to involve the same dispute(s) or difference(s) arising out of this Agreement. Communications will be made by the company to each of the reinsurers constituting one party. Nothing in this paragraph will impair the rights of reinsurers to assert several rather than joint defenses or claims, change their liability under this agreement from several to joint, or impair their rights to retain separate counsel in connection with the arbitration. |
H. | Unless prohibited by law, the Supreme Court of Bermuda will have exclusive jurisdiction over any and all court proceedings that either party may initiate in connection with the arbitration, including proceedings to compel, stay, or enjoin arbitration or to confirm, vacate, modify, or correct an arbitration award. |
A. | The payment of punitive damages; and | |
B. | The procedural law required under the ARBITRATION ARTICLE of this agreement, |
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I. | It is understood and agreed that any original limit(s) or original sub-limit(s) of liability, underlying limit(s) or attachment point(s) of a policy in currencies other than United States of America (U.S.) Dollars, Euros, or United Kingdom Pounds Sterling will be converted into its(their) U.S. dollar equivalent(s) using the same rate of exchange used by the company when such policy was entered by the company into its own books of account. In the event that there is a subsequent change in the parity value of the U.S. dollar (from that used by the company when such policy was entered by the company into its own books of account) which results in: |
A. | The reinsurers maximum limit of liability for such policy (as specified in the REINSURANCE COVERAGE ARTICLE) being exceeded; | ||
B. | Such policy being subject to Section A instead of Section B of this agreement (or subject to Section B instead of Section A of this agreement); | ||
C. | Any minimum initial attachment point threshold in U.S. Dollars, which is required by the REINSURANCE COVERAGE ARTICLE in order for such policy to be reinsured hereunder, not being met; or | ||
D. | A change in the companys retained percentage under the provisions of B. of the REINSURANCE COVERAGE ARTICLE (if applicable); |
then: |
1. | In the case of A. above, the company will be held covered for such excess limit; | ||
2. | In the case of B. above, the companys policy will remain subject to the section of this agreement that applied based on the exchange rate that was used by the company when such policy was entered by the company into its own books of account; and | ||
3. | In the case of C. above, the required minimum initial attachment point threshold will be deemed to have been met for such policy to be reinsured hereunder; | ||
4. | In the case of D. above, the companys retention under the provisions of Section B of the REINSURANCE COVERAGE ARTICLE (if applicable) will be deemed unchanged from what it was when such policy was entered by the company into its own books of account; |
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until the next renewal of the policy, at which time: |
a. | The warranted reinsurers maximum U.S. dollar limit of liability; | ||
b. | Section A or Section B under the REINSURANCE COVERAGE ARTICLE of this agreement; | ||
c. | The minimum initial attachment point threshold in U.S. Dollars, which is required by the REINSURANCE COVERAGE ARTICLE in order for such policy to be reinsured hereunder; and | ||
d. | The companys retention under provisions of Section B. of the REINSURANCE COVERAGE ARTICLE (if applicable); |
will apply to such policy based on the exchange rate used by the company when such renewal is entered by the company into its own books of account. |
II. | All amounts due to either the company or the reinsurer under this agreement will be paid in United States of America (U.S.) Dollars subject to paragraphs III. and IV. below. | |
III. | Net subject written premium, as well as any subsequent adjustments thereto, collected or returned by the company in other than U.S. Dollars will be paid to, or by, the reinsurer in U.S. Dollars at the same rates of exchange at which the company entered such transaction into its own books of account. | |
IV. | Amounts due the company for ultimate net loss, loss adjustment expense, extra contractual obligations, or excess of limits liability hereunder in other than U.S. Dollars will be converted into U.S. Dollars at the same rates of exchange at which the company entered the payment(s) of such loss into its own books of account. | |
V. | The sign $ in this agreement refers to United States of America (U.S.) Dollars. The sign refers to Euros, the currency of the European Union. The sign £ refers to United Kingdom Pounds Sterling. For the purposes of determining the manner in which policies are to be ceded to this agreement, the limits and attachment points set forth in this agreement that are to apply to a subject policy, based upon said policys issuing company, attachment point and limit, will be those limits and attachment points stated in the currency(ies) in which the policy is issued; however, in the event a policy is issued with limits or attachment points (or both) in a currency other than one of those set forth in this subparagraph V., such limit and attachment point will be converted to U.S. Dollars and said policy will be ceded as if it were originally written in U.S. Dollars. |
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A. | This paragraph A. applies: |
1. | Only to policies that are subject to Section A or Section B of the REINSURANCE COVERAGE ARTICLE; and | ||
2. | To a reinsurer unauthorized in any jurisdiction that has authority over the company and in which a subject suit has been instituted. |
In the event any reinsurer hereon fails to pay any amount claimed due hereunder, such reinsurer, at the request of the company, will submit to the jurisdiction of a court of competent jurisdiction within England or Bermuda and will comply with all requirements necessary to give that court jurisdiction. |
B. | This paragraph B. applies: |
1. | Only to policies that are subject to Section C of the REINSURANCE COVERAGE ARTICLE; and | ||
2. | To a reinsurer either: |
a. | Domiciled outside the United States of America; or | ||
b. | Unauthorized in any state, territory or district of the United States of America that has jurisdiction over the company and in which a subject suit has been instituted. |
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A. | As respects policies subject to Section C of the REINSURANCE COVERAGE ARTICLE only, this Article applies to the reinsurer in the event that the company is unable to recognize a statutory credit in any state having jurisdiction over the companys reserves as respects said reinsurers obligations hereunder. | |
B. | As regards policies issued by the company coming within the scope of this agreement, the company agrees that when it will file with the insurance regulatory authority or set up on its books reserves for unearned premium, losses, and loss adjustment expense reinsured hereunder, which it will be required by law to set up, it will forward to the reinsurer a statement showing the proportion of such reserves which is applicable to the reinsurer. The reinsurer hereby agrees to fund such reserves in respect of: |
1. | Unearned premium; | ||
2. | Known outstanding losses that have been reported to the reinsurer and loss adjustment expense relating thereto; | ||
3. | Losses and loss adjustment expense paid by the company but not recovered from the reinsurer; plus | ||
4. | Reserves, including incurred-but-not-reported (IBNR) reserves as determined by the company, for losses and loss adjustment expense relating thereto; |
C. | When funding by a letter of credit, the reinsurer will apply for and secure timely delivery to the company of a clean, irrevocable and unconditional letter of credit issued by a bank and containing provisions acceptable to the company and any insurance regulatory authorities having jurisdiction over the company in an amount equal to the reinsurers obligations. Such letter of credit will be issued for a period of not less than one year and will be automatically extended for one year from its date of expiration or any future expiration date unless 30 calendar days (60 calendar days where required by insurance regulatory authorities) prior to the expiration date of such letter of credit the issuing bank notifies the company by certified or registered mail that the issuing bank elects not to consider the letter of credit extended for any additional period. |
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D. | The reinsurer and company agree that the letters of credit provided by the reinsurer pursuant to the provisions of this agreement may be drawn upon at any time, notwithstanding any other provision of this agreement, and be utilized by the company or any successor, by operation of law, of the company including, without limitation, any liquidator, rehabilitator, receiver, or conservator of the company for the following purposes, unless otherwise provided for in a separate trust agreement: |
1. | To reimburse the company for the reinsurers obligations, the payment of which is due under the terms of this agreement and which has not been otherwise paid; | ||
2. | To make refund of any sum which is in excess of the actual amount required to pay the reinsurers obligations under this agreement; | ||
3. | To fund an account with the company for the reinsurers obligations. Such cash deposit will be held in an interest-bearing account separate from the companys other assets, and interest thereon not in excess of the prime rate will accrue to the benefit of the reinsurer. | ||
4. | If prior to any expiration date the issuing bank has sent notice that it elects not to consider the letter of credit extended for any additional period. | ||
This subparagraph 4. will only apply if the reinsurer has failed to replace the expiring letter of credit at least 15 calendar days prior its expiration with an irrevocable and unconditional, letter of credit issued by another bank and containing provisions acceptable to the company and any insurance regulatory authorities having jurisdiction over the company in an amount equal to the reinsurers obligations of said reserves. |
E. | In the event the amount drawn by the company on any letter of credit is in excess of the actual amount required for D.1., D.2. or D.4. above, the company will promptly return to the reinsurer the excess amount so drawn. All of the foregoing will be applied without diminution because of insolvency on the part of the company or the reinsurer. | |
F. | The issuing bank will have no responsibility whatsoever in connection with the propriety of withdrawals made by the company or the disposition of funds withdrawn, except to ensure that withdrawals are made only upon the order of properly authorized representatives of the company. | |
G. | At annual intervals, or more frequently as agreed but never more frequently than quarterly, the company will prepare a specific statement of the reinsurers obligations, for the sole purpose of amending the letter of credit, in the following manner: |
1. | If the statement shows that the reinsurers obligations exceed the balance of credit as of the statement date, the reinsurer will, within 30 calendar days after receipt of notice of such excess, secure delivery to the company of an amendment to the letter of credit increasing the amount of credit by the amount of such difference; |
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2. | If, however, the statement shows that the reinsurers obligations are less than the balance of credit as of the statement date, the company will, within thirty (30) calendar days after receipt of written request from the reinsurer, release such excess credit by agreeing to secure an amendment to the letter of credit reducing the amount of credit available by the amount of such excess credit. |
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