Federal Insurance v. Elf Aquitaine, Inc.

511 F. Supp. 2d 390, 2007 U.S. Dist. LEXIS 69800, 2007 WL 2746813
CourtDistrict Court, S.D. New York
DecidedSeptember 18, 2007
Docket1:05-cv-07829
StatusPublished
Cited by2 cases

This text of 511 F. Supp. 2d 390 (Federal Insurance v. Elf Aquitaine, Inc.) 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
Federal Insurance v. Elf Aquitaine, Inc., 511 F. Supp. 2d 390, 2007 U.S. Dist. LEXIS 69800, 2007 WL 2746813 (S.D.N.Y. 2007).

Opinion

DECISION AND ORDER DENYING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT AND DEFENDANT’S MOTION FOR PARTIAL SUMMARY JUDGMENT

COLLEEN McMAHON, District Judge.

Plaintiff Federal Insurance Company (“Federal”) brings this suit against defendants PCS Phosphate Co. (“PCS”), Elf Aquitaine, Inc. (“Elf’), Elf Technologies, Inc. (“Elf Technologies”), Arkema, Inc. (“Arkema”), and Arkema Canada, Inc. (“Arkema Canada”), seeking $609,898 in retrospective premiums allegedly owed by defendants pursuant to the terms of a Workers Compensation Policy and a General Liability Policy issued by Federal.

Before this court are Federal’s motion for summary judgment and PCS’s cross-motion for partial summary judgment. While Federal moves for judgment on the totality of premiums owed, PCS moves for an order dismissing Federal’s claim for premiums that arose out of the Workers Compensation Policy on the grounds that payments made by Federal under this policy were improper.

For the reasons stated below, both motions are denied.

I. Background

This court notes at the outset that the Amended Complaint in this action is approximately one page in length, and that the numerous briefs submitted in support and in opposition to the instant motions range in length from one to six pages. The court has done its best to make sense of the largely impenetrable record, but this task has proven difficult given that none of the parties included a meaningful factual background in any of them briefs.

Unless otherwise indicated, the following facts are undisputed.

*392 A. The Insurance Policies

Federal provided insurance coverage to the defendants under Workers Compensation and Employers Liability Policy # 7161-29-99 (“Workers Compensation Policy”) and Commercial General Liability Insurance Policy # 3525-74-88 (“General Liability Policy” and, collectively, the “Policies”), both of which covered the period April 30, 1985 to June 17, 1986. (Affidavit of Margaret Klose (“Klose Aff.”), Ex. 1.) 1 The Workers Compensation Policy provided coverage for bodily injury by accident and disease. (Id. at 3.) The General Liability Policy provided insurance for bodily injury and property damage liability, personal injury and advertising injury liability, and medical expenses. (Id. at 2.)

While Federal maintains that it continues to fulfill its obligations under the terms of the Policies. PCS states that it “is not aware of any obligations' Plaintiff is obligated to fulfill under the Policies.” (PCS’s Response to Pl.’s R 56.1 Statement ¶ 4.)

B. The Retrospective Premium Agreement

The parties also executed a Retrospective Premium Agreement (“Retrospective Agreement”), which outlined the method for calculating the premiums due under the Policies. (Klose Aff. Ex. 2 at 1.) The only copy of the Agreement submitted to the court was signed by Federal on May 15, 1985, but was unsigned by defendants. (See id. at 4.)

Pursuant to this Agreement, the retrospective premium for the Policies “shall be the sum of: A. The Basic Premium, B. The Excess Loss Premium and C. The Modified Losses, multiplied by the Fax Multiplier.” (Id. at 2.) The definitions for each of these terms are included in the Retrospective Agreement, but are unnecessary for resolution of the instant motions. The Agreement further indicates that computation of retrospective premiums is an ongoing process: “The Company shall compute the Retrospective Premium based on incurred losses valued as of a date six months after termination of the policy and at twelve month intervals thereafter. Any computation of the Retrospective Premium may be deemed final if mutually agreed to by both [Federal] and the Insured.” (Id.; see also Klose Aff. ¶ 6.)

Last, the Agreement requires that, “If the Retrospective Premium determined by any computation made in accordance with [the formula described above] is greater than the premiums previously paid, the Insured shall pay the excess to [Federal]; if less, [Federal] shall return the difference to the Insured.” (Klose Aff., Ex. 2 at 3.)

According to Margaret Klose, Federal’s Vice-President, “a retrospective rating plan ... provides a means for the insured to share in the loss experience under the policy. If the insured is able to control and limit the losses filed under the retrospective policy, it can achieve a significant premium reduction. If, however, the losses are greater than anticipated, there is the likelihood that the retrospective premiums due will be greater [than] the standard premium would have been.” (Klose Aff. ¶4.)

C.The Disputed Retrospective Premiums

Federal claims that as of September 19, 2006, the amount of retrospective premiums due under the terms of the Agreement is $609,898. (PL’s R. 56.1 Statement ¶ 3; Klose Aff. ¶¶ 8-10.) This total amount consists of $367,075 under the *393 General Liability Policy, and $242,823 under the Workers Compensation Policy. (Klose Aff. Ex. 3 at 1.) The payments allegedly owed to Federal relate to the six most recent annual adjustment periods from 2000 through 2005 (the 14th through the 19th adjustment). (Am.CompU 7.)

In support of this amount, Federal cites approximately 90 pages of insurance documents contained in Exhibits 3-5 to Ms. Klose’s affidavit.

Exhibit 3 to the Klose Affidavit, titled the Retrospective Adjustment Summary and Loss History, consists of two pages of tables that purportedly “show[] the balance due of $609,898.” (Klose Aff. ¶ 9.) The first page includes a table that lists the amounts of retrospective premiums for each policy, during each adjustment period, and states at the bottom of the table, “Total amount due Chubb as of 9/19/06 ... $609,898.” 2 (Id., Ex. 3 at 1.) The second page contains two tables. The first lists the “current audited standard premium,” “current retro premium,” “gross A/P or R/P,” “total previous adjustments,” and “additional or return premiums due,” for each of the policies. The bottom line in this table states “Total Due Chubb ... ($9,282) R/P.” (Id. at 2.) The second table lists the “retro premium” owed during each adjustment period and indicates whether the premium is outstanding. (Id.) Notably, every one of the retro premiums allegedly owed by defendants is listed either as not outstanding or “n/a.” (Id.) Nothing in Exhibit 3 explains who drafted these tables or how the numbers that fill these tables were derived.

According to Ms. Klose, Exhibit 4, titled the 14th through 20th Retrospective Adjustment Reports, “set[s] forth the computation of the balance due.” (Klose Aff. ¶ 9.) This exhibit consists of ten pages; each page roughly corresponds to a different adjustment period, for example, the first page is “based on the 14th Adjustment Report,” and includes a table that appears to follow the formula for determining retrospective premiums outlined in the Retrospective Agreement, for each policy. (See id., Ex.

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511 F. Supp. 2d 390, 2007 U.S. Dist. LEXIS 69800, 2007 WL 2746813, Counsel Stack Legal Research, https://law.counselstack.com/opinion/federal-insurance-v-elf-aquitaine-inc-nysd-2007.