Benham v. Pryke

744 P.2d 67, 1987 Colo. LEXIS 628
Supreme Court of Colorado·Decided October 5, 1987·No. 85SC197·Published·Cited by 8 cases

Opinion

VOLLACK, Justice.

We granted certiorari to review the court of appeals’ decision in Benham v. Pryke, 703 P.2d 644 (Colo.App.1985). The court of appeals held that under a reinsurance agreement, assessment liability coverage was available only for those subscribers with certificates of reinsurance that were valid on February 7, 1977, the date of the court-ordered assessment. We reject this analysis, but affirm the result reached by the court of appeals on other issues. We return the case to the court of appeals with directions to remand to the district court for a trial in accordance with the directions contained in this opinion.

I.

The Manufacturers and Wholesalers Indemnity Exchange [hereinafter M & W] was established in 1952 as an interinsur-anee exchange domiciled in Colorado and governed by sections 10-13-101 to -114, 4 C.R.S. (1973 & 1986 Supp.). As required by section 10-13-107, the M & W interin-surance exchange contract made each insurance exchange participant subject to an assessment equal to a maximum of one additional annual premium per policy if the assets of the exchange did not cover the claims against it for any twelve-month period. In order to protect themselves against the contingent liability of an additional assessment, various subscribers at M & W entered into a second contract [hereinafter the Master Agreement] with insurance underwriters or reinsurers at Lloyd’s of London [hereinafter Lloyds] to provide optional assessment liability reinsurance [hereinafter ALR]. A designated attorney-in-fact was authorized to issue ALR certificates to subscribers. Participating subscribers who elected coverage received individual certificates which were generally renewable on an annual basis, although they could be issued for up to three years. Only an estimated two to three dozen subscribers, most in the Western International Group, out of hundreds participating in the insurance exchange, held three-year certificates. The voluntary nature of the ALR coverage resulted in policies with a wide range of expiration dates. 1

Article 1 of the Master Agreement provided insurance coverage for “assessments made during the currency of this Agreement.” It also required that:

Each Subscriber hereby reinsured shall first pay or become liable to pay in respect of losses arising from insured perils incurred during the twelve months ending on the declared date of assessment, an amount the equivalent of 100% of the annual premium payable by such Subscriber on insurance in force during the twelve months ending on the declared date of the assessment and the Reinsurers shall then indemnify each *69 Subscriber reinsured hereunder for liability incurred under any assessment so declared up to the limit of liability provided for the individual Subscriber (after deducting all salvages and recoveries and all amounts due under other rein-surances) which is the excess over and above 100% of the Subscriber’s annual premium aforesaid and provided always that the said Subscriber has actually paid or become liable to pay such assessment.

(Emphasis added.) The maximum liability of Lloyds for all claims under the Agreement was set at $1,250,000. Article 5 stated:

Definite claim for loss hereunder on Certificates issued during any annual period of this Agreement shall be made upon the Reinsurers within 12 months after each anniversary date of this Agreement.

In addition, Article 14 stated:

The authority granted to the Attorney in Fact by the Reinsurers hereunder to grant cover and issue certificates on their behalf shall remain continuously in force from the First day of January 1973, however, this Agreement may be terminated by the Reinsurers giving 30 days notice of cancellation to the Attorney in Fact. It is understood and agreed, however, that while the right to issue certificates as aforesaid will terminate on the of [sic] cancellation of this Agreement, all certificates issued prior to the termination of such authority shall not immediately expire on the date of such termination, but shall remain in force until their natural expiration date unless any or all such certificates become can-celled by the Attorney in Fact.

(Emphasis added). If M & W became insolvent, Article 18 of the Agreement provided in pertinent part:

In the event of the insolvency of the Exchange, this reinsurance shall be payable directly to the Exchange or to its liquidator, receiver, conservator or statutory successor on the basis of the liability of the Exchange without diminution because of the insolvency of the Exchange or because the liquidator, receiver, conservator or statutory successor of the Exchange 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 Exchange shall give written notice to the Reinsurers of the pendency of a claim against the Exchange indicating the policy or bond reinsured which claim would involve a possible liability on the part of the Reinsurers within a reasonable time after such claim is filed in the conservation or liquidation proceeding or in the receivership, and that during the penden-cy of such claim, the Reinsurers may investigate such claim and interpose, at their own expense, in the proceeding where such claim is to-be adjudicated any defense or defenses that they may deem available to the Exchange or its liquidator, receiver, conservator or statutory successor....

(Emphasis added.) Although M & W could not produce any of the actual certificates at trial, the language that was to appear on the face of each certificate was attached to the Master Agreement and provided for:

reimbursement for assessment in accordance with the terms and conditions of the Master Agreement ... up to an amount equal to one annual premium provided that the Manufacturers and Wholesalers Indemnity Exchange shall have sustained losses from insured perils, during the twelve months immediately preceding the date of assessment, in excess of its earned premium income during the same period.
This Reinsurance is non-cancellable during the term of this Policy No_ to which it is attached.

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Benham v. Pryke, 744 P.2d 67, 1987 Colo. LEXIS 628 (Colo. 1987).

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