BCS Insur Co v. Guy Carpenter & Co

Court of Appeals for the Seventh Circuit·Decided June 18, 2007·No. 06-1050·Published

Opinion

In the

United States Court of Appeals For the Seventh Circuit

No. 06-1050 BCS INSURANCE COMPANY, Plaintiff-Appellant,

v.

GUY CARPENTER & CO., INCORPORATED, Defendant-Appellee.

Appeal from the United States District Court for the Northern District of Illinois, Eastern Division.

No. 04 C 3808—Samuel Der-Yeghiayan, Judge.

ARGUED OCTOBER 19, 2006—DECIDED JUNE 18, 2007

Before RIPPLE, MANION and ROVNER, Circuit Judges. RIPPLE, Circuit Judge. This case arises out of reinsurance agreements between BCS Insurance Company (“BCS”) and a third party, Insurance Specialists, Inc. (“ISI”). These reinsurance agreements were negotiated by BCS’ former reinsurance intermediary Guy Carpenter & Company, Inc. (“Guy Carpenter”). In a six-count complaint, BCS sued Guy Carpenter, alleging that Guy Carpenter had failed to obtain adequate reinsurance for BCS. BCS argues that Guy Carpenter’s actions resulted in an arbitration award against BCS and in favor of BCS’ reinsurers. The 2 No. 06-1050

parties filed cross-motions for summary judgment, and the district court ruled in favor of Guy Carpenter. For the reasons set forth in this opinion, we affirm in part and reverse in part the judgment of the district court.

I

BACKGROUND

A.

Guy Carpenter, through its predecessor in interest, H.S. Fox, introduced BCS to ISI. ISI sold extended warranty programs to a variety of businesses around the country for products including automobiles, recreational vehicles, computers and appliances. ISI itself was not an insurer and therefore needed to affiliate with a company licensed to provide insurance for the warranties it sold. The ISI program was a “fronting” program. An insurance company (here, BCS) issued insurance policies to customers, acting as the “front,” but was reinsured for the risk of loss associated with the program. BCS insured certain service contracts administered by ISI. Guy Carpenter served as the reinsurance intermediary; its responsibility was to secure reinsurance for BCS on the ISI program.

In 1992, BCS and ISI entered into a management agreement which governed this fronting relationship. This agreement established ISI as BCS’ agent in connection with the administration of the ISI program, giving ISI the authority to negotiate, underwrite, decline and accept risk. It also granted ISI the authority to consent to premium rates on behalf of BCS.

BCS had no experience in the extended warranty business . During these negotiations with ISI, Guy Carpenter

No. 06-1050 3

acted as BCS’ exclusive reinsurance intermediary, and in that capacity, was responsible for procuring reinsurance for BCS. Therefore, BCS, the insurance company, was reinsured against risks that it incurred as insurer for the ISI program. Under this arrangement, ISI would submit claims in connection with the ISI program to BCS; BCS would pay those claims and then seek reimbursement from the reinsurers. From 1992 to 1995, BCS, through Guy Carpenter, reinsured the program domestically and retained a portion of the “underwriting risk” associated with the program; BCS could incur liability despite the fact that it was reinsured.

In 1995, BCS notified Guy Carpenter of its intention to terminate its participation in the ISI program at the end of the 1995 reinsurance treaty year because the ISI program had been performing poorly. Guy Carpenter encouraged BCS to continue fronting the ISI program and stated that the reinsurance for the program was to move to the London market. The parties agreed then that BCS would continue its participation in the program. This agreement became known as the 1996 reinsurance treaty. However, unlike the previous arrangement, Guy Carpenter represented that the program would be 100% reinsured by a group of London-based reinsurers (the “London reinsurers ”). Therefore, BCS would no longer have any risk whatsoever associated with the program. Guy Carpenter further stated that it would procure this reinsurance on behalf of BCS. Guy Carpenter was never in privity with ISI.

BCS alleges that Guy Carpenter in fact never properly procured reinsurance for the ISI program. The London reinsurers consistently reimbursed BCS on all of its claims until 2000. However, apparently without the knowledge of BCS, the London reinsurers had sent a 4 No. 06-1050

reservation of rights letter to Guy Carpenter. This reservation of rights letter preserved the reinsurers’ right to raise coverage issues at some unspecified time in the future.

The ISI program continued to perform poorly and, ultimately, disputes arose as to who bore responsibility for the losses under the program. In 2000, after a monthly accounting, the London reinsurers refused to make any additional payments to BCS and demanded arbitration to rescind the reinsurance agreements or to obtain compensation from BCS for various losses. In order to toll the statute of limitations on any claims BCS had against Guy Carpenter, the parties entered into a tolling agreement on February 15, 2001.

BCS entered into arbitration with the London reinsurers seeking compensation for losses allegedly sustained by BCS. The London reinsurers brought a recision claim, on which the arbitrators found for BCS.1 The London reinsurers , however, prevailed in arbitration on two other claims. The arbitration panel found that BCS, rather than the reinsurers, was responsible for losses incurred as a result of the ISI program. The arbitration panel also found that contracts related to the ITT Lyndon business2 had not been ceded properly to the reinsurers and thus that business should be excluded from the reinsurance agreements.

1 This particular ruling is not contested or addressed on appeal to this court. 2 During this arbitration, the London reinsurers claimed, for the first time, according to BCS, that a block of business referred to as “ITT Lyndon” was in fact not part of the 1996 reinsurance treaty. BCS claims that Guy Carpenter had represented continuously that ITT Lyndon was in fact covered by the reinsurance agreement.

No. 06-1050 5

The arbitration panel ruled that the London reinsurers should recover $4,816,769. BCS paid this amount, and claims to have incurred over three million dollars in expenses and legal fees associated with the arbitration proceeding. BCS claims that the liability it owes to the London reinsurers is due to Guy Carpenter’s misrepresentation and general failure to procure properly reinsurance.

B.

BCS then brought this action against Guy Carpenter. The action included six counts: breach of contract (Count I), breach of implied contract (Count II), professional negligence (Count III), implied indemnity (Count IV), breach of fiduciary duty (Count V) and negligent misrepresentation (Count VI). On September 2, 2005, both parties moved for summary judgment.

The court held that the two year statute of limitations established by the Insurance Producers Limitations Act, 735 ILCS 5/13-214.4 (“IPLA”), applied to reinsurance intermediaries such as Guy Carpenter. After examining the authorities, the court decided that “reinsurance was subsumed within the statutory scheme of the Illinois Insurance Act and, therefore, reinsurance companies should be considered insurance producers for the purposes of the statute of limitations in Section 13-214.4.” R.82, Ex.A at 7.

Having determined that the IPLA applied to reinsurance intermediaries such as Guy Carpenter, the district court held that the claims in Counts I, II, III, V and VI of BCS’ complaint fell within the purview of that statute. In order to determine whether the claims were barred by the statute’s two-year statute of limitations, the district court undertook an analysis of when the claims accrued.

6 No. 06-1050

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