ExcessWorkers Compensation Reinsurance Contract Effective: January 1, 2002 issued to AmCOMP PreferredInsurance Company North Palm Beach,Florida AmCOMP AssuranceCorporation North Palm Beach,Florida and any and allinsurance companies which are now or hereafter comeunder the same ownership or management as the AmCOMP Group North Palm Beach,Florida

EX-10.41 40 a2164393zex-10_41.htm EXHIBIT 10.41

Exhibit 10.41

 

 

Excess Workers’ Compensation
Reinsurance Contract
Effective: January 1, 2002

 

issued to

 

AmCOMP Preferred Insurance Company

North Palm Beach, Florida

AmCOMP Assurance Corporation

North Palm Beach, Florida

and

any and all insurance companies which are now or

hereafter come under the same ownership or management as the

AmCOMP Group

North Palm Beach, Florida

 

 

BENFIELD BLANCH

 

 



 

Excess Workers’ Compensation
Reinsurance Contract
Effective: January 1, 2002

 

issued to

 

AmCOMP Preferred Insurance Company

North Palm Beach, Florida

AmCOMP Assurance Corporation

North Palm Beach, Florida

and

any and all insurance companies which are now or

hereafter come under the same ownership or management as the

AmCOMP Group

North Palm Beach, Florida

 

First Excess Casualty Reinsurance

 

Reinsurers

 

Participations

 

American Re-Insurance Company, A Delaware Corporation

 

50.0

%

Everest Reinsurance Company

 

20.0

 

GMAC Re Corporation (for Motors Insurance Corporation)

 

20.0

 

Overseas Partners US Reinsurance Company (OPUS)

 

10.0

 

 

 

 

 

Total

 

100.0

%

 

Second Excess Casualty Reinsurance

 

Reinsurers

 

Participations

 

American Re-Insurance Company, A Delaware Corporation

 

50.0

%

Everest Reinsurance Company

 

20.0

 

GMAC Re Corporation (for Motors Insurance Corporation)

 

20.0

 

Overseas Partners US Reinsurance Company (OPUS)

 

10.0

 

 

 

 

 

Total

 

100.0

%

 

1



 

Third Excess Casualty Reinsurance

 

Reinsurers

 

Participations

 

American Re-Insurance Company, A Delaware Corporation

 

50.0

%

Everest Reinsurance Company

 

10.0

 

Folksamerica Reinsurance Company

 

15.0

 

GMAC Re Corporation (for Motors Insurance Corporation)

 

15.0

 

Overseas Partners US Reinsurance Company (OPUS)

 

10.0

 

 

 

 

 

Total

 

100.0

%

 

2



 

Table of Contents

 

Article

 

 

Page

 

 

 

 

I

 

Classes of Business Reinsured

1

 

 

 

 

II

 

Commencement and Termination

1

 

 

 

 

III

 

Special Termination

2

 

 

 

 

IV

 

Territory (BRMA 51A)

3

 

 

 

 

V

 

Exclusions

3

 

 

 

 

VI

 

Retention and Limit

7

 

 

 

 

VII

 

Reinstatement

8

 

 

 

 

VIII

 

Definitions

9

 

 

 

 

IX

 

Other Reinsurance

12

 

 

 

 

X

 

Claims

12

 

 

 

 

XI

 

Subrogation

12

 

 

 

 

XII

 

Premium

12

 

 

 

 

XIII

 

Late Payments

13

 

 

 

 

XIV

 

Offset and Security

15

 

 

 

 

XV

 

Access to Records (BRMA 1D)

16

 

 

 

 

XVI

 

Liability of the Reinsurer

16

 

 

 

 

XVII

 

Net Retained Lines (BRMA 32E)

16

 

 

 

 

XVIII

 

Errors and Omissions (BRMA 14F)

16

 

 

 

 

XIX

 

Taxes (BRMA 50B)

17

 

 

 

 

XX

 

Unauthorized Reinsurers

17

 

 

 

 

XXI

 

Insolvency

18

 

 

 

 

XXII

 

Arbitration (BRMA 6J)

19

 

 

 

 

XXIII

 

Service of Suit (BRMA 49C)

20

 

 

 

 

XXIV

 

Material Changes

20

 

 

 

 

XXV

 

Agency Agreement

21

 

 

 

 

XXVI

 

Intermediary (BRMA 23A)

21

 

 

 

 

 

 

Schedule A

 

 


 

Excess Workers’ Compensation

Reinsurance Contract
Effective: January 1, 2002

 

issued to

 

AmCOMP Preferred Insurance Company

North Palm Beach, Florida

AmCOMP Assurance Corporation

North Palm Beach, Florida

and

any and all insurance companies which are now or
hereafter come under the same ownership or management as the

AmCOMP Group

North Palm Beach, Florida

(hereinafter referred to collectively as the “Company”)

 

by

 

The Subscribing Reinsurer(s) Executing the

Interests and Liabilities Agreement(s)

Attached Hereto

(hereinafter referred to as the “Reinsurer”)

 

Article I - Classes of Business Reinsured

 

By this Contract the Reinsurer agrees to reinsure the excess liability which may accrue to the Company under its policies, contracts and binders of insurance or reinsurance (hereinafter called “policies”) issued or renewed on or after the effective date hereof, and classified by the Company as Workers’ Compensation and Employers Liability business, subject to the terms, conditions and limitations set forth herein and in Schedule A attached to and forming part of this Contract.

 

Article II - Commencement and Termination

 

A.     This Contract shall become effective on January 1, 2002, with respect to losses arising out of occurrences commencing on or after that date, and shall continue in force thereafter until terminated.

 

B.      Either party may terminate this Contract at the end of any contract year by giving the other party not less than 90 days prior notice by certified mail.

 

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C.      Unless the Company elects that the Reinsurer have no liability for losses arising out of occurrences commencing after the effective date of termination, and so notifies the Reinsurer prior to or within 72 hours after the effective date of termination, reinsurance hereunder on business in force on the effective date of termination shall remain in full force and effect until expiration, cancellation or next premium anniversary of such business, whichever first occurs, but in no event beyond 12 months, plus odd time (not to exceed 18 months in all), following the effective date of termination.

 

D.      Notwithstanding the provisions above, in the event that any policy subject to this Contract is required by statute, regulation or by order of an insurance department to be continued in force, the Reinsurer agrees to extend reinsurance coverage hereunder following the termination of this Contract with respect to such policy until the first date that the Company may lawfully non-renew, cancel or terminate such policy, whether or not the Company actually does non-renew, cancel or terminate such policy.

 

E.      “Contract year” as used herein shall mean the period from January 1, 2002 through December 31, 2002, and each subsequent 12-month period (or portion thereof) thereafter that this Contract continues in force.

 

Article III - Special Termination

 

Notwithstanding the provisions of Article II, the Reinsurer may terminate this Contract on a “runoff” or “cutoff” basis at any time by giving the Company not less than 45 days prior notice by certified mail in the event any of the following occur:

 

1.     The Company’s policyholders’ surplus drops 25.0% or more in any 90-day period beginning on or after April 1, 2002. The first 90-day period shall be measured against policyholders’ surplus as provided in the Company’s year-end 2001 NAIC Statutory annual statement;

 

2.     The Company fails to pay reinsurance premiums in accordance with this Contract;

 

3.     The Company merges with, or is acquired by any other company, corporation or individual(s) not controlling the Company’s operations previously;

 

4.     The sale of any material portion of the Company or the sale or purchase of a portfolio of the Company’s business reasonably considered by the Reinsurer to be material to the business subject to this Contract;

 

5.     The Company’s underwriting abilities are restricted in any way by the Insurance Department of the State of Florida or any court of competent jurisdiction.

 

6.     There is any material change in the Company’s existing senior management.

 

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Article IV - Territory (BRMA 51A)

 

The territorial limits of this Contract shall be identical with those of the Company’s policies.

 

Article V - Exclusions

 

A.            This Contract does not apply to and specifically excludes the following:

 

1.             Reinsurance assumed by the Company under obligatory reinsurance agreements, except:

 

a.             Agency reinsurance where the policies involved are to be reunderwritten in accordance with the underwriting standards of the Company and reissued as Company policies at the next anniversary or expiration date;

 

b.             Intercompany reinsurance between any of the reinsured companies under this Contract.

 

2.             Ex-gratia payments.

 

3.             Risks subject to a deductible in excess of $25,000, or a self-insured retention excess of $25,000, unless such deductible or self-insured retention is otherwise mandated by statute or regulatory authority.

 

4.             Nuclear risks as defined in the “Nuclear Incident Exclusion Clause - Liability - Reinsurance (U.S.A.)” and the “Nuclear Incident Exclusion Clause - Liability - Reinsurance (Canada)” and loss or liability defined in the “Nuclear Incident Exclusion Clause - Reinsurance - No. 4” attached to and forming part of this Contract.

 

5.             Pollution liability coverages excluded under the provisions of the “Pollution Exclusion Clause - General Liability - Reinsurance (BRMA 39C)” attached to and forming part of this Contract.

 

6.             Liability as a member, subscriber or reinsurer of any Pool, Syndicate or Association, but this exclusion shall not apply to Assigned Risk Plans or similar state-mandated plans.

 

7.             All liability of the Company arising by contract, operation of law, or otherwise, from its participation or membership, whether voluntary or involuntary, in any insolvency fund. “Insolvency fund” includes any guaranty fund, insolvency fund, plan, pool, association, fund or other arrangement, however denominated, established or governed, which provides for any assessment of or payment or assumption by the Company of part or all of any claim, debt, charge, fee or other obligation of an insurer, or its successors or assigns, which has been declared by any competent authority to be

 

3



 

insolvent, or which is otherwise deemed unable to meet any claim, debt, charge, fee or other obligation in whole or in part.

 

8.             Any claim caused or contributed to by war, perpetrated by an official, employee or agent of a foreign state acting for or on behalf of such state.

 

9.             Operation under the jurisdiction of the U.S. Longshore and Harbor Workers’ Compensation Act, the Jones Act and the Maritime Employers Liability Act, except for incidental exposures (i.e., 10% or less of the insured’s payroll).

 

10.           Operations employing the process of nuclear fission or fusion or handling of radioactive material, which operations include but are not limited to:

 

a.             The use of nuclear reactors such as atomic piles, particle accelerators or generators, or

 

b.             The use, handling or transportation of radioactive materials, or the use, handling or transportation of any weapon of war or explosive device employing nuclear fission or fusion.

 

However, subparagraphs a and b above shall not apply to:

 

i.              The exclusive use of particle accelerators incidental to ordinary industrial or education research pursuits, or

 

ii.             The exclusive use, handling or transportation of radioisotopes for medical or industrial use, or to radium or radium compounds.

 

11.           Operation of docks or wharves as related to port authorities.

 

12.           The manufacturing, mining, refining, processing, distribution, installation, removal or encapsulment of asbestos.

 

13.           Risks involving known exposure to the following substances:

 

a.             Dioxin,

 

b.             Polychlorinated bipbenols,

 

c.             Asbestos.

 

14.           All railway operations except sidetrack agreements.

 

15.           Amusement parks, carnivals or circuses. This exclusion shall not include miniature golf courses or driving range operations.

 

4



 

16.           Subaquaeous operations.

 

17.           Underground mining, however this exclusion shall not be construed to apply to open pit-quarrying or “surface mining” operations.

 

18.           Blasting operations.

 

19.           Demolition of buildings or structures in excess of five stories.

 

20.           Shoring, underpinning or moving of buildings or structures.

 

21.           Erection or repair of scaffolds if 10.0% or more of the insured’s annual remuneration is attributed to NCCI Class Code 9529.

 

22.           Construction of tunnels or dams.

 

23.           Fireworks, fuses, or any explosive substance (as defined below) as follows:

 

a.             Manufacturers or importers of such items.

 

b.             Loading of such items into containers for use as explosive objects, propellant charges or detonation devices and the storage thereof.

 

c.             Manufacturers or importers of any product in which such items are an ingredient.

 

d.             Handling, storage, transportation or use of such items.

 

“Explosive substance” is defined as any substance manufactured for the express purpose of exploding as differentiated from commodities used industrially and which are only incidentally explosive.

 

24.           Onshore and offshore gas and oil drilling operations.

 

25.           Operations where principal business includes the use of any owned or unowned aircraft, or any device or machine intended for and/or aiding in the achievement of atmospheric flight, projection or orbit, for flight, and/or the ownership or operation of any airport. This exclusion shall not apply where exposure is incidental (i.e., constitutes 10.0% or less of the insured’s payroll) to the principal business operations and the aircraft contains eight seats or fewer.

 

26.           Municipal law enforcement organizations and municipal fire fighting organizations.

 

27.           Logging or forestry operations.

 

5



 

28.           Professional employment organizations (PEO’s).

 

6


 

29.           Operations where the principal business of the risk is manufacturing, production, distribution, refining or storage of natural or artificial fuel, gas, butane, propane, liquefied petroleum gases or gasoline. This exclusion shall not apply to any risk whose principal business operations are any of the following:

 

a.             Retail gasoline service station, either full or self service;

 

b.             Convenience store with gasoline sales with its petroleum gas and/or storage tanks located below ground;

 

c.             Any risk with a known incidental gasoline or diesel fuel storage and/or transportation exposure. For purposes of this exclusion, “incidental” will be defined as less than or equal to a total for any and all tanks at a covered location of no more than 1,000 gallons for propane and 10,000 gallons for gasoline or diesel fuel.

 

B.            In the event the Company is inadvertently bound on any risk which is excluded under subparagraph 9 or subparagraphs 14 through 29 of paragraph A above, the reinsurance provided under this Contract shall apply on such risk until discovery by the Company of the existence of such risk and for 30 days thereafter, or unless otherwise mandated by statute or regulatory authority. Coverage shall cease after such time, unless the Company has received from the Reinsurer written notice of its approval of such risk within 30 days.

 

C.            Notwithstanding the foregoing, any reinsurance falling within the scope of one or more of the exclusions set forth above that is specially accepted by the Reinsurer from the Company shall be covered under this Contract and subject to all of the terms and conditions hereof, except as such terms are modified by the special acceptance.

 

Article VI - Retention and Limit

 

A.            As respects all losses subject hereto except losses arising out of an occurrence of terrorism, as respects each excess layer of reinsurance coverage provided by this Contract, the Company shall retain and be liable for the first amount of ultimate net loss (whether involving any one or any combination of the classes of business covered hereunder, regardless of the number of policies under which such loss is payable or the number of different interests insured), shown as “Company’s Retention” for that excess layer in Schedule A attached hereto, arising out of each occurrence. The Reinsurer shall then be liable, as respects each excess layer, for the amount by which such ultimate net loss exceeds the Company’s retention, but the liability of the Reinsurer shall not exceed the amount, shown as “Reinsurer’s Per Occurrence Limit” for that excess layer in Schedule A attached hereto, as respects any one occurrence.

 

B.            As respects losses arising out of an occurrence of terrorism, as respects each excess layer of reinsurance coverage provided hereunder, the Company shall retain and be liable for the first amount of ultimate net loss, shown as “Company’s Retention” for that excess layer in Schedule A attached hereto, arising out of each occurrence. The Reinsurer shall then be liable, as respects each excess layer, for the amount by which such ultimate net loss exceeds the Company’s retention, but the liability of the Reinsurer shall not exceed the amount

 

7



 

shown as “Reinsurer’s Terrorism Per Occurrence Limit” for that excess layer in Schedule A attached hereto as respects any one occurrence of terrorism, nor shall it exceed the amount shown as “Reinsurer’s Total Terrorism Limit” for that excess layer in Schedule A attached hereto as respects loss or losses arising out of all occurrences of terrorism during the term of this Contract.

 

C.            Notwithstanding the provisions of paragraphs A and B above, if the Company’s net earned premium subject hereto exceeds $155,000,000 in any one contract year (excluding the runoff period of the final contract year), the Company’s recoveries from losses for each excess layer, as respects occurrences commencing during that contract year, shall be reduced in the same proportion that $155,000,000 bears to the Company’s actual net earned premium in such contract year. Any recoveries made prior to determination of the Company’s net earned premium for the contract year shall be adjusted accordingly.

 

Article VII - Reinstatement

 

A.            In the event all or any portion of the reinsurance under any excess layer of reinsurance coverage provided by this Contract is exhausted by loss, the amount so exhausted shall be reinstated immediately from the time the occurrence commences hereon.

 

1.             As respects each amount so reinstated under the first and second excess layers and as respects the first amount so reinstated under the third excess layer, the Company shall pay no additional premium.

 

2.             For the second amount so reinstated under the third excess layer the Company agrees to pay additional premium equal to the product of the following:

 

a.             The percentage of the occurrence limit for the excess layer reinstated (based on the loss paid by the Reinsurer under that excess layer); times

 

b.             The earned reinsurance premium for the excess layer reinstated for the contract year (exclusive of reinstatement premium); times

 

c.             125%.

 

B.            Whenever the Company requests payment by the Reinsurer of any loss under any excess layer hereunder, the Company shall submit a statement to the Reinsurer of reinstatement premium due the Reinsurer for that excess layer. If the earned reinsurance premium for any excess layer for the contract year has not been finally determined as of the date of any such statement, the calculation of reinstatement premium due for that excess layer shall be based on the annual deposit premium for that excess layer and shall be readjusted when the earned reinsurance premium for that excess layer for the contract year has been finally determined. Any reinstatement premium shown to be due the Reinsurer for any excess layer as reflected by any such statement (less prior payments, if any, for that excess layer) shall be payable by the Company concurrently with payment by the Reinsurer of the requested loss for that excess layer. Any return reinstatement premium shown to be due the Company shall be

 

8



 

remitted by the Reinsurer as promptly as possible after receipt and verification of the Company’s statement.

 

C.            Notwithstanding anything stated herein, the liability of the Reinsurer under the third excess layer of reinsurance coverage provided by this Contract shall not exceed $5,000,000 as respects loss or losses arising out of any one occurrence, nor shall it exceed $15,000,000 in all during any one contract year.

 

Article VIII - Definitions

 

A.            “Ultimate net loss” as used herein is defined as the sum or sums (including loss in excess of policy limits, extra contractual obligations and any loss adjustment expense, as hereinafter defined) paid or payable by the Company in settlement of claims and in satisfaction of judgments rendered on account of such claims, after deduction of all recoveries from subrogation, all recoveries and all claims on inuring insurance or reinsurance, whether collectible or not. Nothing herein shall be construed to mean that losses under this Contract are not recoverable until the Company’s ultimate net loss has been ascertained.

 

B.            “Loss in excess of policy limits” and “extra contractual obligations” as used herein shall be defined as follows:

 

1.             “Loss in excess of policy limits” shall mean 90.0% of any amount paid or payable by the Company in excess of its policy limits, but otherwise within the terms of its policy, such loss in excess of the Company’s policy limits having been incurred because of, but not limited to, failure by the Company to settle within the policy limits or by reason of the Company’s alleged or actual negligence, fraud or bad faith in rejecting an offer of settlement or in the preparation of the defense or in the trial of an action against its insured or reinsured or in the preparation or prosecution of an appeal consequent upon such an action.

 

2.             “Extra contractual obligations” shall mean 90.0% of any punitive, exemplary, compensatory or consequential damages paid or payable by the Company, not covered by any other provision of this Contract and which arise from the handling of any claim on business subject to this Contract, such liabilities arising because of, but not limited to, failure by the Company to settle within the policy limits or by reason of the Company’s alleged or actual negligence, fraud or bad faith in rejecting an offer of settlement or in the preparation of the defense or in the trial of an action against its insured or reinsured or in the preparation or prosecution of an appeal consequent upon such an action. An extra contractual obligation shall be deemed, in all circumstances, to have occurred on the same date as the loss covered or alleged to be covered under the policy.

 

Notwithstanding anything stated herein, this Contract shall not apply to any loss in excess of policy limits or any extra contractual obligation incurred by the Company as a result of any

 

9



 

fraudulent and/or criminal act by any officer or director of the Company acting individually or collectively or in collusion with any individual or corporation or any other organization or party involved in the presentation, defense or settlement of any claim covered hereunder.

 

C.            “Occurrence” as used herein is defined as an accident or occurrence or a series of accidents or occurrences arising out of or caused by one event, whether involving one or more of the Company’s policies, except that:

 

1.             As respects workers’ compensation policies, each occupational or industrial disease or cumulative injury case contracted by an employee of an insured shall be deemed to have been caused by a separate occurrence commencing on:

 

a.             The date of disability for which compensation is payable if the case is compensable under the Workers’ Compensation Law;

 

b.             The date disability due to the disease actually began if the case is not compensable under the Workers’ Compensation Law; or

 

c.             The date of cessation of employment if claim is made after employment has ceased.

 

2.             Notwithstanding the provisions of subparagraph 1 above, as respects losses resulting from occupational disease and cumulative trauma suffered by employees of an insured for which the employer is liable as a result of a sudden and accidental event not exceeding 48 hours in duration, all such losses shall be considered one occurrence and may be combined with losses not classified as occupational disease or cumulative trauma which arise out of the same event and the combination of such losses shall be considered as one occurrence within the meaning hereof.

 

3.             Notwithstanding the foregoing, the following shall apply to occurrences involving natural disasters:

 

a.             An occurrence shall be limited to damage, injury or loss arising out of a natural disaster during any continuous 168 hour period.

 

b.             The Company may choose the date and time when such 168 hour period commences and if the occurrence is of greater duration than 168 hours, the Company may divide such occurrence into two or more occurrences, provided no two periods overlap and provided no period commences earlier than the date and time of the first loss to the Company in such occurrence.

 

c.             “Natural disaster” shall mean loss caused by the perils of tornado, cyclone, windstorm, hurricane and hail arising from the same atmospheric disturbance; earthquake, including ensuing fire, landslide, mudslide, flood, tidal wave; volcanic eruptions; flood; tides; tidal wave; landslide/mudslide; and meteors.

 

10



 

D.            “Occupational or Industrial Disease” shall mean any abnormal condition that fulfills all of the following conditions:

 

1.             It is not traceable to a definite compensable accident occurring during the employee’s present or past employment; and

 

2.             It has been caused by exposure to a disease producing agent or agents present in the workers’ occupational environment; and

 

3.             It has resulted in a disability or death.

 

E.             “Cumulative Injury” is any injury that fulfills all of the following conditions:

 

1.             It is not traceable to a definite compensable accident occurring during the employee’s present or past employment; and

 

2.             It has occurred from, and has been aggravated by, a repetitive employment-related activity; and

 

3.             It has resulted in a disability or death.

 

F.             “Loss adjustment expense” as used herein shall mean expenses assignable to the investigation, appraisal, adjustment, settlement, litigation, defense and/or appeal of specific claims, regardless of how such expenses are classified for statutory reporting purposes. Loss adjustment expense shall include, but not be limited to, interest on judgments, expenses of outside adjusters and declaratory judgment expenses or other legal expenses and costs incurred in connection with coverage questions and legal actions connected thereto, but shall not include office expenses or salaries of the Company’s regular employees other than medical management personnel whose cost the Company will bill to specific cases on a time and expense basis.

 

G.            “Terrorism” as used herein is defined as any act defined as such by the Federal government as determined by the Federal Office of Homeland Security or other such Federal agency that may hold jurisdiction over whether a given act is terrorist in nature, or in the absence of any such federal determination, any act including any threat of any act within the United States causing loss or damage to property (whether tangible or intangible) or injury to persons for which there is reasonable belief that the perpetrator undertook such act for political, ideological, social or religious reasons and that the perpetrator’s principal purpose was to: (1) engender fear among the American people for their safety; (2) disrupt any segment of the American economy; or (3) influence governmental action or policy, provided, however, that an act of terrorism for purposes of this definition shall not include any act as described above perpetrated by an official, employee, or agent of a foreign state acting for or on behalf of such state, such acts to be considered “war” for purposes of this definition.

 

11


 

Article IX - Other Reinsurance

 

A.            The Company shall be permitted to carry facultative reinsurance, recoveries under which shall inure to the benefit of this Contract.

 

B.            The Company shall be permitted to carry underlying quota share reinsurance and underlying excess reinsurance, recoveries under which shall inure solely to the benefit of the Company and be entirely disregarded in applying all of the provisions of this Contract.

 

Article X - Claims

 

A.            Whenever a claim is reserved by the Company for an amount greater than $500,000 hereunder and/or whenever a claim appears likely to result in a claim under this Contract, the Company shall notify the Reinsurer. Further, the Company shall notify the Reinsurer whenever a claim involves a fatality, amputation, spinal cord damage, brain damage, blindness, extensive burns or multiple fractures, regardless of liability, if the policy limits or statutory benefits applicable to the claim are greater than the Company’s retention hereunder. The Reinsurer shall have the right to participate, at its own expense, in the defense of any claim or suit or proceeding involving this reinsurance.

 

B.            All claim settlements made by the Company, provided they are within the terms of this Contract, shall be binding upon the Reinsurer, and the Reinsurer agrees to pay all amounts for which it may be liable upon receipt of reasonable evidence of the amount paid by the Company.

 

Article XI - Subrogation

 

The Reinsurer shall be credited with recoveries from subrogation (i.e., reimbursement obtained or recovery made by the Company, less the actual cost, excluding salaries of officials and employees of the Company and sums paid to attorneys as retainer, of obtaining reimbursement or making such recovery) on account of claims and settlements involving reinsurance hereunder. Recoveries therefrom shall always be used to reimburse the excess carriers in the reverse order of their priority according to their participation before being used in any way to reimburse the Company for its primary loss. The Company hereby agrees to enforce its rights to subrogation relating to any loss, a part of which loss was sustained by the Reinsurer, and to prosecute all claims arising out of such rights.

 

Article XII - Premium

 

A.            As premium for each excess layer of reinsurance coverage provided by this Contract, the Company shall pay the Reinsurer the greater of the following for each contract year:

 

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1.             The amount (or pro rata portion thereof if this Contract is terminated prior to the end of any contract year), shown as “Annual Minimum Premium” for that excess layer in Schedule A attached hereto; or

 

2.             The percentage, shown as “Premium Rate” for that excess layer in Schedule A attached hereto, of the Company’s net earned premium for the contract year.

 

B.            The Company shall pay the Reinsurer an annual deposit premium for each excess layer of the amount, shown as “Annual Deposit Premium” for that excess layer in Schedule A attached hereto, in four equal installments of the amount, shown as “Quarterly Deposit Premium” for that excess layer in Schedule A attached hereto, on January 1, April 1, July 1and October 1 of each contract year. However, no deposit premium installments shall be due after the effective date of termination.

 

C.            Within 60 days following the end of each contract year and within 60 days following the12-month period thereafter, the Company shall provide a report to the Reinsurer setting forth the premium due hereunder for each excess layer for the contract year, computed in accordance with paragraph A, and any additional premium due the Reinsurer or return premium due the Company for each such excess layer shall be remitted promptly.

 

D.            In the event this Contract is terminated on a “runoff” basis, the Company shall pay the Reinsurer premium for the “runoff” period as respects each excess layer equal to the percentage, shown as “Premium Rate” for that excess layer in Schedule A attached hereto, of the Company’s unearned premium applicable to subject business in force on the effective date of termination, payable in four equal installments on the first day of each three-month period during the runoff period.

 

E.                                      “Net earned premium” as used herein is defined as the Company’s gross earned premium for the classes of business subject to this Contract, adjusted for experience modification, discounts, credits, surcharges, expense constants and deductible credits, plus or minus the Reinsurer’s pro rata share of any premium arising from audit adjustments, minus cancellation and return premium, minus premiums paid for facultative reinsurance which inures to the benefit of this Contract.

 

Article XIII - Late Payments

 

A.            The provisions of this Article shall not be implemented unless specifically invoked, in writing, by one of the parties to this Contract.

 

B.            In the event any premium, loss or other payment due either party is not received by the intermediary named Article XXVI (hereinafter referred to as the “Intermediary”) by the payment due date, the party to whom payment is due may, by notifying the Intermediary in writing, require the debtor party to pay, and the debtor party agrees to pay, an interest

 

13



 

penalty on the amount past due calculated for each such payment on the last business day of each month as follows:

 

1.             The number of full days which have expired since the due date or the last monthly calculation, whichever the lesser, times

 

2.             l/365ths of the six-month United States Treasury Bill rate as quoted in The Wall Street Journal on the first business day of the month for which the calculation is made; times

 

3.             The amount past due, including accrued interest.

 

It is agreed that interest shall accumulate until payment of the original amount due plus interest penalties have been received by the Intermediary.

 

C.                                     The establishment of the due date shall, for purposes of this Article, be determined as follows:

 

1.             As respects the payment of routine deposits and premiums due the Reinsurer, the due date shall be as provided for in the applicable section of this Contract. In the event a due date is not specifically stated for a given payment, it shall be deemed due 30 days after the date of transmittal by the Intermediary of the initial billing for each such payment.

 

2.             Any claim or loss payment due the Company hereunder shall be deemed due 30 business days after the proof of loss or demand for payment is transmitted to the Reinsurer. If such loss or claim payment is not received within the 30 days, interest will accrue on the payment or amount overdue in accordance with paragraph B above, from the date the proof of loss or demand for payment was transmitted to the Reinsurer.

 

3.             As respects any payment, adjustment or return due either party not otherwise provided for in subparagraphs 1 and 2 above, the due date shall be as provided for in the applicable section of this Contract. In the event a due date is not specifically stated for a given payment, it shall be deemed due 30 business days following transmittal of written notification that the provisions of this Article have been invoked.

 

For purposes of interest calculations only, amounts due hereunder shall be deemed paid upon receipt by the Intermediary.

 

D.                                    Nothing herein shall be construed as limiting or prohibiting a subscribing reinsurer from contesting the validity of any claim, or from participating in the defense of any claim or suit, or prohibiting either party from contesting the validity of any payment or from initiating any arbitration or other proceeding in accordance with the provisions of this Contract. If the debtor party prevails in an arbitration or other proceeding, then any interest penalties due hereunder on the amount in dispute shall be null and void. If the debtor party loses in such

 

14



 

proceeding, then the interest penalty on the amount determined to be due hereunder shall be calculated in accordance with the provisions set forth above unless otherwise determined by such proceedings. If a debtor party advances payment of any amount it is contesting, and proves to be correct in its contestation, either in whole or in part, the other party shall reimburse the debtor party for any such excess payment made plus interest on the excess amount calculated in accordance with this Article.

 

E.                                      Interest penalties arising out of the application of this Article that are $50,000 or less from any party shall be waived unless there is a pattern of late payments consisting of three or more items over the course of any 12-month period.

 

Article XIV - Offset and Security

 

A.            Each party hereto has the right, which may be exercised at any time, to offset any amounts, whether on account of premiums or losses or otherwise, due from such party to another party under this Contract or any other reinsurance contract heretofore or hereafter entered into between them, against any amounts, whether on account of premiums or losses or otherwise due from the latter party to the former party. The party asserting the right of offset may exercise this right, whether as assuming or ceding insurer or in both roles in the relevant agreement or agreements.

 

B.            Each party hereby assigns and pledges to the other party (or to each other party, if more than one) all of its rights under this Contract to receive premium or loss payments at any time from such other party (“collateral”), to secure its premium or loss obligations to such other party at any time under this Contract and any other reinsurance agreement heretofore or hereafter entered into by and between them (“secured obligations”). If at any time a party is in default under any secured obligation or shall be subject to any liquidation, rehabilitation, reorganization or conservation proceeding, each other party shall be entitled in its discretion, to apply, or to withhold for the purpose of applying in due course, any collateral assigned and pledged to it by the former party and otherwise to realize upon such collateral as security for such secured obligations.

 

C.            The security interest described herein, and the term “collateral,” shall apply to all payments and other proceeds in respect of the rights assigned and pledged. A party’s security interest in collateral shall be deemed evidenced only by the counterpart of this Contract delivered to such party.

 

D.            Each right under this Article is a separate and independent right, exercisable, without notice or demand, alone or together with other rights, in the sole election of the party entitled thereto, and no waiver, delay, or failure to exercise, in respect of any right, shall constitute a waiver of any other right. The provisions of this Article shall survive any cancellation or other termination of this Contract.

 

15



 

E.                                      In the event of the insolvency of a party hereto, offsets shall only be allowed in accordance with the laws of the insolvent party’s state of domicile.

 

Article XV - Access to Records (BRMA 1D)

 

The Reinsurer or its designated representatives shall have access at any reasonable time to all records of the Company which pertain in any way to this reinsurance.

 

Article XVI - Liability of the Reinsurer

 

A.                                   The liability of the Reinsurer shall follow that of the Company in every case and be subject in all respects to all the general and specific stipulations, clauses, waivers and modifications of the Company’s policies and any endorsements thereon. However, in no event shall this be construed in any way to provide coverage outside the terms and conditions set forth in this Contract.

 

B.                                     Nothing herein shall in any manner create any obligations or establish any rights against the Reinsurer in favor of any third party or any persons not parties to this Contract.

 

Article XVII - Net Retained Lines (BRMA 32E)

 

A.                                   This Contract applies only to that portion of any policy which the Company retains net for its own account (prior to deduction of any underlying reinsurance specifically permitted in this Contract), and in calculating the amount of any loss hereunder and also in computing the amount or amounts in excess of which this Contract attaches, only loss or losses in respect of that portion of any policy which the Company retains net for its own account shall be included.

 

B.                                     The amount of the Reinsurer’s liability hereunder in respect of any loss or losses shall not be increased by reason of the inability of the Company to collect from any other reinsurer(s), whether specific or general, any amounts which may have become due from such reinsurer(s), whether such inability arises from the insolvency of such other reinsurer(s) or otherwise.

 

Article XVIII - Errors and Omissions (BRMA 14F)

 

Inadvertent delays, errors or omissions made in connection with this Contract or any transaction hereunder shall not relieve either party from any liability which would have attached had such delay, error or omission not occurred, provided always that such error or omission is rectified as soon as possible after discovery.

 

16


 

Article XIX - Taxes (BRMA 50B)

 

In consideration of the terms under which this Contract is issued, the Company will not claim a deduction in respect of the premium hereon when making tax returns, other than income or profits tax returns, to any state or territory of the United States of America or the District of Columbia.

 

Article XX - Unauthorized Reinsurers

 

A.            If the Reinsurer is unauthorized in any state of the United States of America or the District of Columbia, the Reinsurer agrees to fund its share of the Company’s ceded outstanding loss and loss adjustment expense reserves (including incurred but not reported loss reserves) by:

 

1.             Clean, irrevocable and unconditional letters of credit issued and confirmed, if confirmation is required by the insurance regulatory authorities involved, by a bank or banks meeting the NAIC Securities Valuation Office credit standards for issuers of letters of credit and acceptable to said insurance regulatory authorities; and/or

 

2.             Escrow accounts for the benefit of the Company; and/or

 

3.             Cash advances;

 

if, without such funding, a penalty would accrue to the Company on any financial statement it is required to file with the insurance regulatory authorities involved. The Reinsurer, at its sole option, may fund in other than cash if its method and form of funding are acceptable to the insurance regulatory authorities involved.

 

B.            With regard to funding in whole or in part by letters of credit, it is agreed that each letter of credit will be in a form acceptable to insurance regulatory authorities involved, will be issued for a term of at least one year and will include an “evergreen clause,” which automatically extends the term for at least one additional year at each expiration date unless written notice of non-renewal is given to the Company not less than 30 days prior to said expiration date. The Company and the Reinsurer further agree, notwithstanding anything to the contrary in this Contract, that said letters of credit may be drawn upon by the Company or its successors in interest at any time, without diminution because of the insolvency of the Company or the Reinsurer, but only for one or more of the following purposes:

 

1.             To reimburse itself for the Reinsurer’s share of losses and/or loss adjustment expense paid under the terms of policies reinsured hereunder, unless paid in cash by the Reinsurer;

 

2.             To reimburse itself for the Reinsurer’s share of any other amounts claimed to be due hereunder, unless paid in cash by the Reinsurer;

 

17



 

 

3.             To fund a cash account in an amount equal to the Reinsurer’s share of any ceded outstanding loss and loss adjustment expense reserves (including incurred but not reported loss reserves) funded by means of a letter of credit which is under non-renewal notice, if said letter of credit has not been renewed or replaced by the Reinsurer 10 days prior to its expiration date;

 

4.             To refund to the Reinsurer any sum in excess of the actual amount required to fund the Reinsurer’s share of the Company’s ceded outstanding loss and loss adjustment expense reserves (including incurred but not reported loss reserves), if so requested by the Reinsurer.

 

In the event the amount drawn by the Company on any letter of credit is in excess of the actual amount required for B(1) or B(3), or in the case of B(2), the actual amount determined to be due, the Company shall promptly return to the Reinsurer the excess amount so drawn.

 

Article XXI - Insolvency

 

A.            In the event of the insolvency of one or more of the reinsured companies, this reinsurance shall be payable directly to the company or to its liquidator, receiver, conservator or statutory successor on the basis of the liability of the company without diminution because of the insolvency of the company or because the liquidator, receiver, conservator or statutory successor of the company has failed to pay all or a portion of any claim. It is agreed, however, that the liquidator, receiver, conservator or statutory successor of the company shall give written notice to the Reinsurer of the pendency of a claim against the company indicating the policy or bond reinsured which claim would involve a possible liability on the part of the Reinsurer within a reasonable time after such claim is filed in the conservation or liquidation proceeding or in the receivership, and that during the pendency of such claim, the Reinsurer may investigate such claim and interpose, at its own expense, in the proceeding where such claim is to be adjudicated, any defense or defenses that it may deem available to the company or its liquidator, receiver, conservator or statutory successor. The expense thus incurred by the Reinsurer shall be chargeable, subject to 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 reinsurers are involved in the same claim and a majority in interest elect to interpose defense to such claim, the expense shall be apportioned in accordance with the terms of this Contract as though such expense had been incurred by the company.

 

C.            It is further understood and agreed that, in the event of the insolvency of one or more of the reinsured companies, the reinsurance under this Contract shall be payable directly by the Reinsurer to the company or to its liquidator, receiver or statutory successor, except as

 

18



 

provided by Section 4118(a) of the New York Insurance Law or except (1) where this Contract specifically provides another payee of such reinsurance in the event of the insolvency of the company or (2) where the Reinsurer with the consent of the direct insured or insureds has assumed such policy obligations of the company as direct obligations of the Reinsurer to the payees under such policies and in substitution for the obligations of the company to such payees.

 

Article XXII - Arbitration (BRMA 6J)

 

A.            As a condition precedent to any right of action hereunder, in the event of any dispute or difference of opinion hereafter arising with respect to this Contract, it is hereby mutually agreed that such dispute or difference of opinion shall be submitted to arbitration. One Arbiter shall be chosen by the Company, the other by the Reinsurer, and an Umpire shall be chosen by the two Arbiters before they enter upon arbitration, all of whom shall be active or retired disinterested executive officers of insurance or reinsurance companies or Lloyd’s London Underwriters. In the event that either party should fail to choose an Arbiter within 30 days following a written request by the other party to do so, the requesting party may choose two Arbiters who shall in turn choose an Umpire before entering upon arbitration. If the two Arbiters fail to agree upon the selection of an Umpire within 30 days following their appointment, each Arbiter shall nominate three candidates within 10 days thereafter, two of whom the other shall decline, and the decision shall be made by drawing lots.

 

B.            Each party shall present its case to the Arbiters within 30 days following the date of appointment of the Umpire. The Arbiters shall consider this Contract as an honorable engagement rather than merely as a legal obligation and they are relieved of all judicial formalities and may abstain from following the strict rules of law. The decision of the Arbiters shall be final and binding on both parties; but failing to agree, they shall call in the Umpire and the decision of the majority shall be final and binding upon both parties. Judgment upon the final decision of the Arbiters may be entered in any court of competent jurisdiction.

 

C.            If more than one reinsurer is involved in the same dispute, 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 one party, provided, however, that nothing herein shall impair the rights of such reinsurers to assert several, rather than joint, defenses or claims, nor be construed as changing the liability of the reinsurers participating under the terms of this Contract from several to joint.

 

D.            Each party shall bear the expense of its own Arbiter, and shall jointly and equally bear with the other the expense of the Umpire and of the arbitration. In the event that the two Arbiters are chosen by one party, as above provided, the expense of the Arbiters, the Umpire and the arbitration shall be equally divided between the two parties.

 

19



 

E.                                      Any arbitration proceedings shall take place at a location mutually agreed upon by the parties to this Contract, but notwithstanding the location of the arbitration, all proceedings pursuant hereto shall be governed by the law of the state in which the Company has its principal office.

 

Article XXIII - Service of Suit (BRMA 49C)

 

(Applicable if the Reinsurer is not domiciled in the United States of America, and/or is not authorized in any State, Territory or District of the United States where authorization is required by insurance regulatory authorities)

 

A.            It is agreed that in the event the Reinsurer fails to pay any amount claimed to be due hereunder, the 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 Reinsurer’s rights 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.

 

B.            Further, pursuant to any statute of any state, territory or district of the United States which makes provision therefor, the Reinsurer hereby designates the party named in its Interests and Liabilities Agreement, or if no party is named therein, the Superintendent, Commissioner or Director of Insurance or other officer specified for that purpose in the statute, or his successor or successors in office, as its true and lawful attorney upon whom may be served any lawful process in any action, suit or proceeding instituted by or on behalf of the Company or any beneficiary hereunder arising out of this Contract.

 

Article XXIV - Material Changes

 

A.            It is understood that no material changes in business practices will take place during the term of this Contract that would significantly change the underwriting results of the subject business without prior approval by the Lead Reinsurer (i.e., American Re-Insurance Company, A Delaware Corporation) including, but not limited to, policyholder dividends, claims handling and/or settlement, business mix (i.e., hazard group, and class of insureds). If a material change in the Company’s business practices is to occur during the period, the Reinsurer shall be allowed to negotiate changes in the contractual terms of the Contract retroactively to remedy the change.

 

B.            It is further agreed that the Company will furnish statutory quarterly and annual financial statements to the Reinsurer at the same time these reports are filed with regulatory authorities.

 

20



 

Article XXV - Agency Agreement

 

If more than one reinsured company is named as a party to this Contract, the first named company shall be deemed the agent of the other reinsured companies (subject to the provisions of Article XXI) for purposes of sending or receiving notices required by the terms and conditions of this Contract, and for purposes of remitting or receiving any monies due any party.

 

Article XXVI - Intermediary (BRMA 23A)

 

Benfield Blanch Inc. is hereby recognized as the Intermediary negotiating this Contract for all business hereunder. All communications (including but not limited to notices, statements, premium, return premium, commissions, taxes, losses, loss adjustment expense, salvages and loss settlements) relating thereto shall be transmitted to the Company or the Reinsurer through Benfield Blanch Inc., 3600 West 80th Street, Minneapolis, Minnesota 55431. Payments by the Company to the Intermediary shall be deemed to constitute payment to the Reinsurer. Payments by the Reinsurer to the Intermediary shall be deemed to constitute payment to the Company only to the extent that such payments are actually received by the Company.

 

 

In Witness Whereof, the Company by its duly authorized representative has executed this Contract as of the date undermentioned at:

 

North Palm Beach, Florida this 28th day of May in the year 2002.

 

 

 

 

/s/ Debra Cerre-Ruedisili, President

 

AmCOMP Preferred Insurance Company (for and on behalf of the
“Company”)

 

21


 

Schedule A

 

Excess Workers’ Compensation
Reinsurance Contract
Effective: January 1, 2002

 

issued to

 

AmCOMP Preferred Insurance Company

North Palm Beach, Florida

AmCOMP Assurance Corporation

North Palm Beach, Florida

and

any and all insurance companies which are now or
hereafter come under the same ownership or management as the

AmCOMP Group
North Palm Beach, Florida

 

 

 

First
Excess

 

Second
Excess

 

Third
Excess

 

 

 

 

 

 

 

 

 

Company’s Retention

 

$

1,000,000

 

$

2,000,000

 

$

5,000,000

 

 

 

 

 

 

 

 

 

Reinsurer’s Per Occurrence Limit

 

$

1,000,000

 

$

3,000,000

 

$

5,000,000

 

 

 

 

 

 

 

 

 

Reinsurer’s Terrorism Per Occurrence Limit

 

$

1,000,000

 

$

3,000,000

 

$

10,000,000

 

 

 

 

 

 

 

 

 

Reinsurer’s Total Terrorism Limit

 

$

1,000,000

 

$

3,000,000

 

$

10,000,000

 

 

 

 

 

 

 

 

 

Annual Minimum Premium

 

$

3,280,500

 

$

2,308,500

 

$

1,215,000

 

 

 

 

 

 

 

 

 

Premium Rate

 

2.70

%

1.90

%

1.00

%

 

 

 

 

 

 

 

 

Annual Deposit Premium

 

$

3,645,000

 

$

2,565,000

 

$

1,350,000

 

 

 

 

 

 

 

 

 

Quarterly Deposit Premium

 

$

911,250

 

$

641,250

 

$

337,500

 

 

The figures listed above for each excess layer shall apply to each Subscribing Reinsurer in the percentage share for that excess layer as expressed in its Interests and Liabilities Agreement attached hereto.

 



 

U.S.A.

 

NUCLEAR INCIDENT EXCLUSION CLAUSE - LIABILITY - REINSURANCE

(Approved by Lloyd’s Underwriters’ Fire and Non-Marine Association)

 

(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 operation of paragraph (1) of this Clause it is understood and agreed that for all purposes of this reinsurance all the original policies of the Reassured (new, renewal and replacement) of the classes specified in Clause II of this paragraph (2) from the time specified in Clause III in this paragraph (2) shall be deemed to include the following provision (specified as the Limited Exclusion Provision):

 

Limited Exclusion Provision.*

 

I.              It is agreed that the policy does not apply under any liability coverage,
to  (injury, sickness, disease, death or destruction with respect to which an insured
     (bodily injury or property damage
under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters or Nuclear Insurance Association of Canada, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability.

 

II.            Family Automobile Policies (liability only), Special Automobile Policies (private passenger automobiles, liability only), Farmers Comprehensive Personal Liability Policies (liability only), Comprehensive Personal Liability Policies (liability only) or policies of a similar nature; and the liability portion of combination forms related to the four classes of policies stated above, such as the Comprehensive Dwelling Policy and the applicable types of Homeowners Policies.

 

III.           The inception dates and thereafter of all original policies as described in II above, whether new, renewal or replacement, being policies which either

(a)           become effective on or after 1st May, 1960, or

(b)           become effective before that date and contain the Limited Exclusion Provision set out above;

provided this paragraph (2) shall not be applicable to Family Automobile Policies, Special Automobile Policies, or policies or combination policies of a similar nature, issued by the Reassured on New York risks, until 90 days following approval of the Limited Exclusion Provision by the Governmental Authority having jurisdiction thereof.

 

(3)           Except for those classes of policies specified in Clause II of paragraph (2) and without in any way restricting the operation of paragraph (1) of this Clause, it is understood and agreed that for all purposes of this reinsurance the original liability policies of the Reassured (new, renewal and replacement) affording the following coverages:

 

Owners, Landlords and Tenants Liability, Contractual Liability, Elevator Liability, Owners or Contractors (including railroad) Protective Liability, Manufacturers and Contractors Liability, Product Liability, Professional and Malpractice Liability, Storekeepers Liability, Garage Liability, Automobile Liability (including Massachusetts Motor Vehicle or Garage Liability)

 

shall be deemed to include, with respect to such coverages, from the time specified in Clause V of this paragraph (3), the following provision (specified as the Broad Exclusion Provision):

 

Broad Exclusion Provision.*

 

It is agreed that the policy does not apply:

 

 

 

I.

 

Under any Liability Coverage to

(injury, sickness, disease, death or destruction

 

 

 

 

 

(bodily injury or property damage

 

(a)           with respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters or Nuclear Insurance Association of Canada, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability; or

(b)           resulting from the hazardous properties of nuclear material and with respect to which (1) any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954, or any law amendatory thereof, or (2) the insured is, or had this policy not been issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agreement entered into by the United States of America, or any agency thereof, with any person or organization.

 

1



 

II.            Under any Medical Payments Coverage, or under any Supplementary Payments Provision
relating to  (immediate medical or surgical relief to expenses incurred with respect
                  (first aid,
to  (bodily injury, sickness, disease or death resulting from the hazardous properties of
     (bodily injury
nuclear material and arising out of the operation of a nuclear facility by any person or organization.

 

III.           Under any Liability Coverage to   (injury, sickness, disease, death or destruction
                                                      
(bodily injury or property damage
resulting from the hazardous properties of nuclear material, if

 

(a)           the nuclear material (1) is at any nuclear facility owned by, or operated by or on behalf of, an insured or (2) has been discharged or dispersed therefrom;

(b)           the nuclear material is contained in spent fuel or waste at any time possessed, handled, used, processed, stored, transported or disposed of by or on behalf of an insured; or

(c)           the  (injury, sickness, disease, death or destruction arises out of the
       (bodily injury or property damage
furnishing by an insured of services, materials, parts or equipment in connection with the planning, construction, maintenance, operation or use of any nuclear facility, but if such facility is located within the United States of America, its territories, or possessions or Canada, this exclusion (c) applies
only to   (injury to or destruction of property at such nuclear facility
              
(property damage to such nuclear facility and any property thereat.

 

IV.        As used in this endorsement;

 

“hazardous properties” include radioactive, toxic or explosive properties; “nuclear material” means source material, special nuclear material or byproduct material; “source material”, “special nuclear material”, and “byproduct material” have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof; “spent fuel” means any fuel element or fuel component, solid or liquid, which has been used or exposed to radiation in a nuclear reactor; “waste” means any waste material (1) containing byproduct material and (2) resulting from the operation by any person or organization of any nuclear facility included within the definition of nuclear facility under paragraph (a) or (b) thereof; “nuclear facility” means

 

(a)           any nuclear reactor,

 

(b)           any equipment or device designed or used for (1) separating the isotopes of uranium or plutonium, (2) processing or utilizing spent fuel, or (3) handling processing or packaging waste,

 

(c)           any equipment or device used for the processing, fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235,

 

(d)           any structure, basin, excavation, premises or place prepared or used for the storage or disposal of waste,
and includes the site on which any of the foregoing is located, all operations conducted on such site and all premises used for such operations; “nuclear reactor” means any apparatus designed or used to sustain nuclear fission in a self-supporting chain reaction or to contain a critical mass of fissionable material;

(  With respect to injury to or destruction of property, the word “injury” or “destruction”

(  “property damage” includes all forms of radioactive contamination of property.

(  includes all forms of radioactive contamination of property.

 

V.            The inception dates and thereafter of all original policies affording coverages specified in this paragraph (3), whether new, renewal or replacement, being policies which become effective on or after 1st May, 1960, provided this paragraph (3) shall not be applicable to

(i) Garage and Automobile Policies issued by the Reassured on New York risks, or

(ii) statutory liability insurance required under Chapter 90, General Laws of Massachusetts, until 90 days following approval of the Broad Exclusion Provision by the Governmental Authority having jurisdiction thereof.

 

(4)           Without in any way restricting the operation of paragraph (1) of this Clause, it is understood and agreed that paragraphs (2) and (3) above are not applicable to original liability policies of the Reassured in Canada and that with respect to such policies this Clause shall be deemed to include the Nuclear Energy Liability Exclusion Provisions adopted by the Canadian Underwriters’ Association of the Independent Insurance Conference of Canada.

 


*NOTE.  The words printed in italics in the Limited Exclusion Provision and in the Broad Exclusion Provision shall apply only in relation to original liability policies which include a Limited Exclusion Provision or a Broad Exclusion Provision containing those words.

 

2



 

NUCLEAR INCIDENT EXCLUSION CLAUSE - LIABILITY - REINSURANCE

CANADA

 

1.             This Agreement does not cover any loss or liability accruing to the Reinsured as a member of, or subscriber to, any association of insurers or reinsurers formed for the purpose of covering nuclear energy risks or as a direct or indirect reinsurer of any such member, subscriber, or association.

 

2.             Without in any way restricting the operation of paragraph 1 of this clause it is agreed that for all purposes of this Agreement all the original liability contracts of the Reinsured, whether new, renewal or replacement, of the following classes, namely,

 

Personal Liability,

Farmers Liability,

Storekeepers Liability,

 

which become effective on or after 31st December 1984, shall be deemed to include, from their inception dates and thereafter, the following provision: —

 

Limited Exclusion Provision

 

This Policy does not apply to bodily injury or property damage with respect to which the Insured is also insured under a contract of nuclear energy liability insurance (whether the Insured is named in such contract or not and whether or not it is legally enforceable by the Insured) issued by the Nuclear Insurance Association of Canada or any other group or pool of insurers or would be an Insured under any such policy but for its termination upon exhaustion of its limit of liability.

 

With respect to property, loss of use of such property shall be deemed to be property damage.

 

3.             Without in any way restricting the operation of paragraph 1 of this clause it is agreed that for all purposes of this Agreement all the original liability contracts of the Reinsured, whether new, renewal or replacement, of any class whatsoever (other than Personal Liability, Farmers Liability, Storekeepers Liability or Automobile Liability contracts), which become effective on or after 31st December 1984, shall be deemed to include, from their inception dates and thereafter, the following provision: —

 

Broad Exclusion Provision

 

It is agreed that this Policy does not apply:

 

(a)           to liability imposed by or arising under the Nuclear Liability Act; or

 

(b)           to bodily injury or property damage with respect to which an Insured under this Policy is also insured under a contract of nuclear energy liability insurance (whether the Insured is named in such contract or not and whether or not it is legally enforceable by the Insured) issued by the Nuclear Insurance Association of Canada or any other insurer or group or pool of insurers or would be an Insured under any such policy but for its termination upon exhaustion of its limit of liability; or

 

(c)           to bodily injury or property damage resulting directly or indirectly from the nuclear energy hazard arising from:

 

(1)           the ownership, maintenance, operation or use of a nuclear facility by or on behalf of an Insured;

 

(2)           the furnishing by an Insured of services, materials, parts or equipment in connection with the planning, construction, maintenance, operation or use of any nuclear facility; and

 

1



 

(3)           The possession, consumption, use, handling, disposal or transportation of fissionable substances or of other radioactive material (except radioactive isotopes, away from a nuclear facility, which have reached the final stage of fabrication so as to be useable for any scientific, medical, agricultural, commercial or industrial purpose) used, distributed, handled or sold by an Insured.

As used in this Policy:

 

(I)            The term “nuclear energy hazard” means the radioactive, toxic, explosive or other hazardous properties of radioactive material;

 

(II)           The term “radioactive material” means uranium, thorium, plutonium, neptunium, their respective derivatives and compounds, radioactive isotopes of other elements and any other substances that the Atomic Energy Control Board may, by regulation, designate as being prescribed substances capable of releasing atomic energy, or as being requisite for the production, use or application of atomic energy;

 

(III)         The term “nuclear facility” means:

 

(a)           any apparatus designed or used to sustain nuclear fission in a self-supporting chain reaction or to contain a critical mass of plutonium, thorium and uranium or any one or more of them;

 

(b)           any equipment or device designed or used for (i) separating the isotopes of plutonium, thorium and uranium or any one or more of them, (ii) processing or utilizing spent fuel, or (iii) handling, processing or packaging waste;

 

(c)           any equipment or device used for the processing, fabricating or alloying of plutonium, thorium or uranium enriched in the isotope uranium 233 or in the isotope uranium 235, or any one or more of them if at any time the total amount of such material in the custody of the Insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235;

 

(d)           any structure, basin, excavation, premises or place prepared or used for the storage or disposal of waste radioactive material;

 

and includes the site on which any of the foregoing is located, together with all operations conducted thereon and all premises used for such operations.

 

(IV)         The term “fissionable substance” means any prescribed substance that is, or from which can be obtained, a substance capable of releasing atomic energy by nuclear fission.

 

(V)           With respect to property, loss of use of such property shall be deemed to be property damage.

 

2



 

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 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 Clause No. 1B - Liability, No. 2 - - Physical Damage, No. 3 - Boiler and Machinery and paragraph (1) of this clause, it is understood and agreed that for all purposes as respects the reinsurance assumed by the Reinsurer from the Reassured, all original insurance policies or contracts of the Reassured (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.

 



 

POLLUTION EXCLUSION CLAUSE - GENERAL LIABILITY - REINSURANCE

 

 

A.            This reinsurance excludes all loss and/or liability accruing to the reinsured company as a result of:

 

1.             bodily injury or property damage arising out of the actual, alleged or threatened discharge, dispersal, release or escape of pollutants:

 

a.             at or from premises owned, rented or occupied by a named insured;

 

b.             at or from any site or location used by or for a named insured or others for the handling, storage, disposal, processing or treatment of waste;

 

c.             which are at any time transported, handled, stored, treated, disposed of, or processed as waste by or for a named insured or any person or organization for whom a named insured may be legally responsible; or

 

d.             at or from any site or location on which a named insured or any contractors or subcontractors working directly or indirectly on behalf of a named insured are performing operations:

 

(i)            if the pollutants are brought on or to the site or location in connection with such operations; or

 

(ii)           if the operations are to test for, monitor, clean up, remove, contain, treat, detoxify or neutralize the pollutants;

 

2.             any governmental direction or request that a named insured test for, monitor, clean up, remove, contain, treat, detoxify or neutralize pollutants.

 

B.            Subparagraphs A(1)(a) and A(1)(d)(i) above do not apply to bodily injury or property damage caused by heat, smoke or fumes from a hostile fire.

 

C.            “Hostile fire” means a fire which becomes uncontrollable or breaks out from where it was intended to be.

 

D.            “Pollutants” means any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste.  Waste includes material to be recycled, reconditioned or reclaimed.