In Re Professional Insurance Management, Debtor. Professional Insurance Management v. The Ohio Casualty Group of Insurance Companies the Ohio Casualty Insurance Ohio Life Insurance Company Ohio Security Insurance Company and Ocasco Budget West American Insurance Company American Fire and Casualty Company

285 F.3d 268, 2002 U.S. App. LEXIS 5626
CourtCourt of Appeals for the Third Circuit
DecidedApril 1, 2002
Docket00-5201
StatusPublished
Cited by1 cases

This text of 285 F.3d 268 (In Re Professional Insurance Management, Debtor. Professional Insurance Management v. The Ohio Casualty Group of Insurance Companies the Ohio Casualty Insurance Ohio Life Insurance Company Ohio Security Insurance Company and Ocasco Budget West American Insurance Company American Fire and Casualty Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In Re Professional Insurance Management, Debtor. Professional Insurance Management v. The Ohio Casualty Group of Insurance Companies the Ohio Casualty Insurance Ohio Life Insurance Company Ohio Security Insurance Company and Ocasco Budget West American Insurance Company American Fire and Casualty Company, 285 F.3d 268, 2002 U.S. App. LEXIS 5626 (3d Cir. 2002).

Opinion

285 F.3d 268

In re PROFESSIONAL INSURANCE MANAGEMENT, Debtor.
Professional Insurance Management,
v.
The Ohio Casualty Group of Insurance Companies; The Ohio Casualty Insurance; Ohio Life Insurance Company; Ohio Security Insurance Company and Ocasco Budget; West American Insurance Company; American Fire and Casualty Company, Appellants.

No. 00-5201.

United States Court of Appeals, Third Circuit.

Argued May 14, 2001.

Filed April 1, 2002.

COPYRIGHT MATERIAL OMITTED COPYRIGHT MATERIAL OMITTED Charles X. Gormally (Argued), Carl J. Soranno (Argued), Brach, Eichler, Rosenberg, Silver, Bernstein, Hammer & Gladstone, Roseland, NJ, Attorneys for Appellants, The Ohio Casualty Group of Insurance Companies, et al.

Michael A. Zindler Teich, Groh, Frost & Zindler, Trenton, NJ, Samuel Mandel (Argued), Moorestown, NJ, Attorneys for Appellee, Professional Insurance Management.

Before SLOVITER, AMBRO, and GARTH, Circuit Judges.

OPINION OF THE COURT

AMBRO, Circuit Judge.

The primary issue presented by this appeal, stemming from a tortured procedural mess, is whether an insurance company must turn over to its terminated agent $259,315.95 in accrued commissions and interest, plus additional commissions that continue to be earned. The answer hinges on the interpretation of New Jersey's Agency Termination Statute found at N.J. Stat. Ann. § 17:22-6.14a (West 2000), a matter of first impression in this Court.1 Specifically, the parties call upon us to resolve the question of whether The Ohio Casualty Group of Insurance Companies ("Ohio Casualty") terminated its agent, Professional Insurance Management ("PIM"), essentially at will or, instead, for gross and willful misconduct or failure to pay over to Ohio Casualty moneys due after receipt of a written demand therefor. See N.J. Stat. Ann. § 17:22-6.14a(d), (e). The Bankruptcy Court ruled, and the District Court affirmed, that the termination was at will. The consequence of this ruling is that New Jersey's Agency Termination Statute requires Ohio Casualty to pay PIM commissions on all policies for one year following termination, and on automobile insurance policy renewals so long as PIM services the accounts. See N.J. Stat. Ann. § 17:22-6.14a(d), (l). Under a contrary ruling, PIM would have no right to these commissions.

The remaining issues on appeal arise from the ruling that the termination was at will, namely, (1) whether Ohio Casualty can successfully interpose the equitable remedy of recoupment against moneys PIM owed prior to its petition under Chapter 11 of the Bankruptcy Code, and (2) whether PIM is entitled to pre-judgment interest on the commissions.

For the reasons that follow, we vacate the order of the District Court requiring Ohio Casualty to turn over to PIM commissions due and accruing, plus interest. We remand to the Bankruptcy Court to apply to the facts of this case the legal determination that the initial at-will termination can become a termination for cause between the notice of termination and the effective termination date. We also vacate the orders denying the equitable remedy of recoupment and awarding PIM pre-judgment interest, pending the resolution of this question by the Bankruptcy Court on remand.2

I. Factual and Procedural Background

The facts of this case are set out at length in previous opinions of this Court3 and the District Court,4 and the letter opinions of the Bankruptcy Court dated July 12, 1999 and October 22, 1999. The following discussion recounts the factual history bearing on the matters in this appeal. Despite our shortened recounting of the facts, they nonetheless remain complex.

PIM is a New Jersey-licensed insurance broker and agent. In 1980, PIM entered into an agency agreement with Ohio Casualty that permitted PIM to market Ohio Casualty's personal and commercial insurance policies. This agreement permitted Ohio Casualty to cancel the contract on 90 days notice and also reads in relevant part:

The Company [Ohio Casualty], in the exercise of the right reserved to it above, may, at its option, retain all commissions which are payable or which may become payable under contracts of insurance represented by such expirations, or renewals thereof, and apply same against the amount of the Agent's [PIM's] indebtedness to the Company, or may sell, assign, transfer or otherwise dispose of such expirations to any other agent or broker. If, in either event, the Company does not realize sufficient return to satisfy Agent's indebtedness to the Company in full, the Agent shall remain liable for the unpaid balance. Amounts realized by the Company in excess of such indebtedness, less expenses incurred by the Company in handling or other disposition of such expirations, shall be paid to the Agent.

... This agreement may be suspended or canceled for non-payment of balances due. During suspension, commissions due and payable to the Agent for Automatic Renewal type policies will be applied against balances due, to the extent of the indebtedness.

In re Professional Ins. Management, No. 94-1312, letter op. at 10 (Bankr.D.N.J. July 12, 1999).

PIM located customers, ascertained their insurance needs, and sold them Ohio Casualty policies. For personal automobile insurance policies, Ohio Casualty collected premiums directly from the policyholders and sent PIM its sales commissions. For other types of insurance, namely commercial lines, PIM collected the premiums, deducted its commissions, and then forwarded the balance to Ohio Casualty.

Each month, a reconciliation process occurred whereby Ohio Casualty provided PIM an account statement detailing each insurance account, the type of insurance, the gross premium, the commission rate, and details of the amounts currently due, past due and due in the future. PIM would customarily receive Ohio Casualty's monthly statement at the beginning of each month. PIM would then compare its own records to the statement, and would reconcile the items contained in the currently due column. If PIM disagreed with an entry, it would line off the entry and provide an explanation and documentation in support. Ohio Casualty would then carry forward the item into the past due column where it would remain until Ohio Casualty researched the item and the parties resolved the issue. PIM's reconciliation and payments were due by the 15th of the month. If an item that Ohio Casualty determined was due was not paid after a "please remit" notice, an Ohio Casualty account technician would issue an "open item letter" demanding payment and, at times, threatening suspension unless payment was received by a certain deadline. The relevant point is that in the reconciliation process the parties mixed the policy types and took credits against all policies in one monthly transaction, as per the agency agreement. In addition, in the case of agent indebtedness, the agency agreement specifically called for the application of commissions due against balances due regardless of the policy type.

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

Related

Cite This Page — Counsel Stack

Bluebook (online)
285 F.3d 268, 2002 U.S. App. LEXIS 5626, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-professional-insurance-management-debtor-professional-insurance-ca3-2002.