In re the Liquidation of American Mutual Liability Insurance

747 N.E.2d 1215, 434 Mass. 272, 2001 Mass. LEXIS 278
CourtMassachusetts Supreme Judicial Court
DecidedJune 1, 2001
StatusPublished
Cited by18 cases

This text of 747 N.E.2d 1215 (In re the Liquidation of American Mutual Liability Insurance) is published on Counsel Stack Legal Research, covering Massachusetts Supreme Judicial Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re the Liquidation of American Mutual Liability Insurance, 747 N.E.2d 1215, 434 Mass. 272, 2001 Mass. LEXIS 278 (Mass. 2001).

Opinion

Cordy, J.

A single justice of this court has reserved and reported four questions of law concerning the amended plan of liquidation of American Mutual Liability Insurance Company (AMLICO) and American Mutual Insurance Company of Boston (AMI) (collectively, American Mutual), which came before the county court on a motion for approval by the Commissioner of Insurance (commissioner), acting as the permanent receiver (receiver) of American Mutual.2

1. The questions. The questions reserved and reported to this court are as follows:

“a. Do claims under workers’ compensation policies have priority over claims under other types of insurance policies in the distribution of the AMLICO and AMI estates?
“b. If the answer to question (a) is yes, do claims presented by the Massachusetts Insurers Insolvency Fund [MUE] and other guaranty funds and associations attributable to covered claims under policies of workers’ compensation insurance have priority over claims under other types of insurance policies in the distribution of the AMLICO and AMI estates?
[274]*274“c. Are case reserves and incurred but not reported reserves established by insurers reinsured by AMLICO or AMI properly used as offsets against amounts presently due and owing from such insurers as reinsurers of AMLICO or AMI?
“d. Does the requisite mutuality for offset exist between obligations of AMLICO as reinsurer of First State Insurance Company (First State) and obligations of New England Reinsurance Corporation (NERCO) as reinsurer of AMLICO, where NERCO and First State are members of the First State Insurance Group that participate in an inter-company pooling and shared underwriting arrangement?”

2. The answers. For the reasons set forth later in this opinion, we answer these questions as follows. Question (a) concerns whether the priority accorded workers’ compensation claims in G. L. c. 175, § 180F, as amended after the March 9, 1989, liquidation date of American Mutual, applies retroactively, effectively ensuring no recovery for the objectors (Liggett Group Inc. and Avondale Mills, Inc.). We conclude that it does. As to question (b), we hold that the same priority applies to claims presented by MIIF and other guaranty funds and associations (guaranty funds) that are attributable to covered claims under policies of workers’ compensation insurance.

We answer question (c) in the negative, in the absence of a sufficient basis in the common law to conclude that case reserves and incurred but not reported reserves (IBNR) established by insurers reinsured by American Mutual may be used as offsets3 against amounts presently due and owing from such insurers as reinsurers of American Mutual. As to question (d), we conclude that the requisite mutuality for offset does not exist between obligations of AMLICO as reinsurer of First State, and obligations of NERCO as reinsurer of AMLICO.

3. Reported questions (a) and (b).

Background. American Mutual, property and casualty insurers domiciled in Massachusetts, wrote primarily workers’ compensation, general liability, and automobile lines of insur[275]*275anee for both commercial and personal lines policyholders. On March 9, 1989, pursuant to G. L. c. 175, § 180C,4 a single justice entered an order of liquidation, appointment of permanent receiver and permanent injunction (liquidation order), decreeing that American Mutual was insolvent, and appointing the commissioner as receiver. See Matter of the Liquidation of Am. Mut. Liab. Ins. Co., 417 Mass. 724, 725-726 & n.3 (1994) (Liquidation of AMLICO).

Most claims under policies of insurance issued by American Mutual are being handled by MIIF, a guaranty fund established by G. L. c. 175D, § 3, and at least forty-five other guaranty funds established in other jurisdictions.5 Pursuant to G. L. c. 175D, §§ 1 (2) and 5, MIIF pays any covered claims that are unpaid and that arise out of and are within the coverage of an insurance policy (to which G. L. c. 175D applies) issued by an insurer that subsequently becomes insolvent if (a) the claimant [276]*276or insured is a resident of the Commonwealth; or (b) the property from which the claim arises is permanently located in the Commonwealth. Guaranty funds in other jurisdictions are required by their respective statutes to pay comparable claims. See, e.g., Cal. Ins. Code § 1063.1(c)(1) (Deering 1992 & Supp. 2001); Conn. Gen. Stat. § 38a-838(6) (2000); D.C. Code Ann. § 35-3901(6) (1997); Fla. Stat. § 631.904(2) (Supp. 2001).

Unless a claim arises out of a workers’ compensation policy, MIIF' pays only “that amount of each covered claim which . . . is less than” $300,000. G. L. c. 175D, § 5 (1) (a). MIIF is required to pay claims arising under workers’ compensation policies, without limit. Id. Persons recovering from MIIF pursuant to G. L. c. 175D are deemed to have assigned the rights under their policies to MIIF, but retain the right to recover from the receiver any amounts under the coverage of their policies not paid by MIIF’. G. L. c. 175D, § 8 (1). Once MUF has paid a claim, the receiver is required to grant to MIIF “priority equal to that which the claimant would have been entitled in the absence of [G. L. c. 175D].” G. L. c. 175D, § 8 (2). This right to assume the priority of the claimant is granted to guaranty funds in other jurisdictions as well. See, e.g., 215 Ill. Comp. Stat. § 5/545(b) (1999); Me. Rev. Stat. Ann. tit. 24-A, § 4442 (2000); Va. Code Ann. § 38.2-1609(B) (1999).6

On March 22, 1989, an order entered in the county court requiring that creditors of American Mutual file proofs of claim with the receiver by March 9, 1990. Because the guaranty funds, including MIIF, are the largest creditors of American Mutual, they are in a position to receive the bulk of the distributions from the American Mutual estates.7

The priority of payment for allowed claims is governed by G. L. c. 175, § 180F (Supp. 2001). At the time of the March 9, 1989, liquidation order, the order of priorities read as follows:

[277]*277“The priorities of distribution in a liquidation proceeding shall be in the following order:
“(1) Expenses of administration;
“(2) Compensation of employees other than officers for services rendered within three months prior to the commencement of a proceeding under [G. L. c. 175, § 180C,] not to exceed [$1,000] for each such employee;
“(3) Claims for taxes and debts due to federal or any state or local government which are secured by liens perfected prior to tile commencement of delinquency proceedings;

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Bluebook (online)
747 N.E.2d 1215, 434 Mass. 272, 2001 Mass. LEXIS 278, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-the-liquidation-of-american-mutual-liability-insurance-mass-2001.