American Home Assurance Co. v. Fremont Indemnity Co.

745 F. Supp. 974, 1990 U.S. Dist. LEXIS 12337, 1990 WL 140055
CourtDistrict Court, S.D. New York
DecidedSeptember 19, 1990
Docket88 Civ. 3394 (RPP)
StatusPublished
Cited by2 cases

This text of 745 F. Supp. 974 (American Home Assurance Co. v. Fremont Indemnity Co.) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Home Assurance Co. v. Fremont Indemnity Co., 745 F. Supp. 974, 1990 U.S. Dist. LEXIS 12337, 1990 WL 140055 (S.D.N.Y. 1990).

Opinion

OPINION AND ORDER

ROBERT P. PATTERSON, Jr., District Judge.

This is an action by a reinsured (“AIG”) against a reinsurance company (“Fremont”) on two contracts of reinsurance, or “treaties.” Defendant has moved for summary judgment pursuant to Fed.R.Civ.P. 56 rescinding the reinsurance treaties and dismissing the complaint. For the reasons set forth below, defendant’s motion is denied.

BACKGROUND

1. First Blanket Treaty

In October 1978, Paul Napolitan, Inc. (“Napolitan”), an affiliate of AIG acting as a reinsurance intermediary, solicited defendant Fremont’s participation as a reinsurer of AIG under a proposed reinsurance agreement later termed the First Blanket Casualty Excess of Loss Reinsurance Agreement (the “First Blanket Treaty”). Under the agreement, plaintiff AIG remained liable for the first $1 million of loss for each occurrence in the ceded policies. The First Blanket Treaty provided reinsurance for the next $4 million (the “4 x 1 layer”) of covered loss per occurrence in excess of $1 million. However, AIG assumed responsibility for a portion of the losses in the 4x1 layer, a practice termed “additional aggregate retention.” Thus the reinsurers would not suffer a loss under the treaty until aggregate losses in the 4x1 layer exceeded the combination of AIG’s aggregate retention and the premium AIG paid to the reinsurers. For the first three years, the First Blanket Treaty provided the reinsurers with such a loss “cushion” ranging from $24.9 million in 1979 to $28.75 million in 1981. Fremont ultimately accepted a 1.5% participation in the First Blanket Treaty, a participation which increased to 4.5% on January 1,1980.

Prior to the solicitation of Fremont, Na-politan submitted a study to AIG entitled “Reinsurance Survey” (the “Napolitan Report”) on June 1, 1978, analyzing various features of the First Blanket Treaty. Roper Aff., Exh. F. The covering letter shows *976 that Kenneth Meyer, a Napolitan account executive, performed the analysis reflected in the report. Exhibit G to the Napolitan Report projected aggregate losses in the 4 X 1 layer ranging from $35.22 million in 1979 to $73,081 million in 1983 — at all times exceeding the reinsurers’ cushion under the terms of the treaty. These projections were not disclosed to Fremont in 1978 as part of the solicitation materials for the First Blanket Treaty, although Fremont did receive the underlying data and loss ratios from which the projections were calculated.

2. Blown Max Treaty 1

In October 1980, Interocean Agency, Inc. (“Interocean”), solicited Fremont’s participation as a reinsurer of AIG under the Aggregate Excess Liability Excess of Loss Treaty, or the “Blown Max” Treaty. Under the treaty, the reinsurers had no liability until covered losses on a policy had “blown max,” or exceeded the maximum premium. The maximum premium is typically expressed as a percentage (greater than 100) of standard premium, with higher percentages providing the reinsurers with a greater cushion before they are exposed to losses. If maximum premium is only 100% of standard premium, the reinsurers experience losses when covered losses reach an amount equal to the standard premium with no cushion at all. Standard premium on the risks covered by the Blown Max Treaty was $700,000.

Among the solicitation materials sent to Fremont was a letter from Dennis Busti, Executive Vice President of AIG, to Joseph Zaffarese, Senior Vice President of Intero-eean, representing that AIG’s “average maximum premium [was] 165% with our lowest being 120%.” Roper Aff., Exh. G, Exh IV thereto. The letter later refers to a “700,000 standard premium.” Id. Thus, AIG represented to the reinsurers that losses on the ceded policies must exceed a minimum cushion of at least $140,000 (20% of $700,000) above the $700,000 standard premium before the reinsurers’ liability attached.

However, an AIG internal memorandum (the “Taranto memorandum”) dated August 9, 1984, contained a chart reporting the average maximum premiums, established at the inception of the covered policies, for the years 1978 through 1983. The chart shows that the average maximum premium for the three years prior to the solicitation of Fremont was 120% of standard premium, not 165% as AIG had represented at the time. Roper Aff., Exh. I. As interpreted by Fremont, the difference would expose the reinsurers to additional potential exposure on each covered policy of $315,000.

In addition, AIG policy files contained premium adjustment worksheets relating to certain policies ceded to the Blown Max Treaty showing that the maximum premium had been set at 100% of standard premium, providing no cushion whatsoever and controverting the original representation that the lowest maximum premium was 120% of standard premium. Roper Aff., Exh. K.

Neither of these facts were disclosed to Fremont at the time AIG solicited Fremont’s participation in the Blown Max Treaty in 1980. Fremont bases its motion for summary judgment on the foregoing nondisclosures and misrepresentations, which it alleges were material.

DISCUSSION

To grant a motion for summary judgment a court must find that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law because, after sufficient time for discovery, the non-moving party has failed to make a sufficient showing of an essential element of its case as to which it has the burden of proof. Celotex Corp. v. Catrett, 477 U.S. 317, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986).

The parties agreed at oral argument that AIG had a duty to disclose to Fremont *977 all facts and circumstances known to AIG which materially affected the reinsurers’ risk. See, e.g., Puritan Ins. Co. v. Eagle S.S. Co. S.A., 779 F.2d 866, 870 (2d Cir.1985). Materiality in this context depends on whether the information “would have controlled the underwriter’s decision” to assume the risk. Id. at 871 (quoting Btesh v. Royal Ins. Co., 49 F.2d 720, 721 (2d Cir.1931)). The Court finds an issue of fact precluding summary judgment rescinding the First Blanket Treaty in whether or not the loss projections contained in Exhibit G to the Napolitan Report and not disclosed to Fremont were material. The issue of whether a nondisclosure is material so as to entitle an underwriter to void the policy is an issue of fact. Knight v. U.S. Fire Ins. Co., 651 F.Supp. 477, 481 (S.D.N.Y.), aff'd, 804 F.2d 9 (2d Cir.1986)

Fremont contends that the very fact that the Napolitan Report projected significantly greater losses than expected to the reinsurers makes the projections material. AIG, on the other hand, contends that the projections in Exhibit G represent Kenneth Meyer’s personal and subjective views as a non-actuary presented as a sales proposal and do not purport to be actuarial loss estimates of AIG.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
745 F. Supp. 974, 1990 U.S. Dist. LEXIS 12337, 1990 WL 140055, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-home-assurance-co-v-fremont-indemnity-co-nysd-1990.