Considine v. Reliance Insurance

35 A.3d 1232, 2011 WL 3209095
CourtCommonwealth Court of Pennsylvania
DecidedApril 28, 2011
Docket269 M.D. 2001
StatusPublished

This text of 35 A.3d 1232 (Considine v. Reliance Insurance) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Considine v. Reliance Insurance, 35 A.3d 1232, 2011 WL 3209095 (Pa. Ct. App. 2011).

Opinion

MEMORANDUM OPINION

OPINION BY

LEADBETTER, President Judge.

KOT Insurance Company, a claimant against the Reliance Insurance Company (in Liquidation), objected to the Liquidator’s notice of determination on its claims and now takes exception to the recommended decision of the referee appointed by this Court to hear the objection. KOT asserts error in the referee’s conclusion that its claim was properly classified at priority level (e), as a claim under a policy of reinsurance, rather than (b), as a claim under a policy of direct insurance. Following consideration of the referee’s report, the exceptions and the Liquidator’s response, the exceptions are overruled, the referee’s recommendation is approved and his report, attached hereto, is adopted. The Liquidator’s notice of determination assigning priority (e) is affirmed.

There is no dispute that KOT is a captive insurance company created by Petról-eos Mexicanos (“Pemex”), Mexico’s state-owned petroleum company, for the purpose of covering the risks of its parent company. KOT insured the bulk of Pemex liability (97.5%) under a Multi-Peril Insurance Package Insurance Policy. KOT and Seguros Comercial America S.A. de C.V., the insurer assuming responsibility for the remaining 2.5% of liability, ceded the risk in excess of the first $40 million pursuant to a Multi-Peril Package Reinsurance Policy. Of the subscribing reinsurers assuming various portions of the risk, Reliance Insurance Company agreed to accept 10% of the ceded risk. Pemex sustained a loss in 1999, as a result of damage incurred during a tropical depression. At the time KOT filed its claim, Reliance had entered liquidation. The Liquidator determined the priority level of the claim to be (e) and KOT does not dispute that this is the appropriate priority level for a claim on a reinsurance contract. However, KOT has consistently asserted that the reinsurance contract effectively operated as a direct insurance policy and, therefore, the claim should be assigned priority (b).

This Court assigned the dispute to a referee. During a conference, the parties agreed that, if the referee concluded that the resolution of the dispute was controlled by the prior holding of this Court in the matter of objections by SOL Insurance Limited, then discovery and an evidentiary hearing would not be needed. See Koken v. Reliance Ins. Co. (Objections of SOL Ins. Ltd. POC 1959161), No. 269 M.D. 2001, Order filed April 21, 2005 (adopting the Report and Recommendation of Referee Schwartzman) (“SOL Insurance ”). After the parties filed stipulations and exhibits, the Liquidator moved for summary judgment. In opposition, KOT asserted that SOL Insurance does not establish that policies like the one at issue here must be treated as reinsurance. KOT further contended that the instant policy differs from the policy in SOL in that it more clearly evidences a recognition of Pemex as the true beneficiary of the reinsurance policy. KOT insisted that a question of *1233 material fact existed regarding the parties’ intent to create a right of direct coverage for Pemex. Following briefing and oral argument, the referee concluded that the reinsurance policy contained no ambiguities, thus obviating any need to look at extrinsic evidence of the parties’ intent, and that the holding in SOL Insurance dictated the decision here. Based on these conclusions, the referee recommended that the Court sustain the Liquidator’s decision assigning priority level (e). KOT submitted the instant exceptions.

Review of SOL Insurance reveals no material distinction with the present dispute. Both SOL and KOT involve reinsurance written for a captive insurer and both involve claims on a reinsurance policy that by its terms makes it readily apparent that the reinsurance was a 100% pass through of the parent company’s unretained risk. In arguing that the reinsurance here should be treated as direct insurance, KOT cites to Koken v. Legion Insurance Company, 831 A.2d 1196, 1240-41 (Pa.Cmwlth.2003), aff 'd sub. nom. Koken v. Villanova Insurance Company, 583 Pa. 400, 878 A.2d 51 (2005), a decision permitting a cut through to reinsurance by the direct insured, and to Reid v. Ruffin, 503 Pa. 458, 469 A.2d 1030 (1983), a decision applying the rule that the original insured, lacking privity with the reinsurer, can have no direct claim against the reinsurance. In pointing to these cases, KOT relies on a faulty syllogism. It does not follow that evidence demonstrating intent on the part of insurer and reinsurer sufficient to create third party beneficiary rights in the direct insured will work a transformation of the policy itself from reinsurance to direct insurance. The cases are not applicable to the very different question presented here, i.e., whether the policy against which the claim is made is a policy of reinsurance.

The referee’s thorough and well written report setting forth the reasons why the policy at issue is very clearly reinsurance is adopted as attached. The exceptions to the report and the objections to the notices of determination are overruled.

ORDER

And now, this 28th day of April 2011, upon consideration of the Report and Recommendation of the Referee, the exceptions submitted and the response thereto, the Referee’s Report and Recommendation is approved and it is hereby ORDERED that: the Objections of KOT Insurance Company to the Liquidator’s notices of determination (NODs) on claims numbered 1941038 and 1959707 are OVERRULED and the NODs assigning the claims to priority level (e) are AFFIRMED.

APPENDIX

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Joel S. Ario, Acting Insurance Commissioner of the Commonwealth of Pennsylvania, Plaintiff V. Reliance Insurance Company, Defendant

No. 269 M.D. 2001

POC Nos. 1941038 and 1959707

IN THE MATTER OF OBJECTION BY KOT INSURANCE COMPANY TO NOTICES OF DETERMINATION TO PROOF OF CLAIM (“POC”) NOS. 1941038 AND 1959707 REFEREE FINDINGS AND RECOMMENDATIONS

G. Alan Bailey, Esquire, duly appointed Referee in the Matter of Objection by KOT Insurance Company to Notices of Determination to Proof of Claim Numbers 1941038 and 1959707 hereby recommends *1234 to the Honorable Judges of the Commonwealth Court of Pennsylvania that, the Liquidator’s Motion for Summary Judgment be granted, the Notices of Determination be approved and KOT’s claims set at priority level (e) and in support thereof presents the following:

BACKGROUND

1. By Order of the Commonwealth Court of Pennsylvania (“Court”) dated October 3, 2001 (“Liquidation Order”), Reliance Insurance Company (“Reliance”) was found to be insolvent and placed into liquidation. M. Diane Koken, Insurance Commissioner of the Commonwealth of Pennsylvania (“Liquidator”) was appointed Liquidator of Reliance. 1

2.

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Bluebook (online)
35 A.3d 1232, 2011 WL 3209095, Counsel Stack Legal Research, https://law.counselstack.com/opinion/considine-v-reliance-insurance-pacommwct-2011.