In re the Liquidation of Ideal Mutual Insurance

231 A.D.2d 59, 659 N.Y.S.2d 273, 1997 N.Y. App. Div. LEXIS 7054
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJuly 1, 1997
StatusPublished
Cited by7 cases

This text of 231 A.D.2d 59 (In re the Liquidation of Ideal Mutual Insurance) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York 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 Ideal Mutual Insurance, 231 A.D.2d 59, 659 N.Y.S.2d 273, 1997 N.Y. App. Div. LEXIS 7054 (N.Y. Ct. App. 1997).

Opinion

OPINION OF THE COURT

Mazzarelli, J.

Every insurer authorized to do business in New York is [61]*61required to file an annual statement of its financial condition with the New York State Superintendent of Insurance (Superintendent) (Insurance Law § 307 [a] [1]). Under Insurance Law § 1301 (a) (14), an insurer may include, as an "admitted asset” on its financial statement, reinsurance recoverable from an authorized reinsurer, and in certain circumstances from an unauthorized reinsurer.

In late 1983, the New York State Department of Insurance adopted a regulation prohibiting New York insurers from taking credit on their annual financial statements for reinsurance obtained from unauthorized reinsurers,1 unless adequate security was provided for such reinsurance (Department of Insurance Circular Letter 1983-19; see, 11 NYCRR 79.6, 79.2). This requirement would be satisfied by the issuance to the reinsurer of a "clean, irrevocable, and unconditional” letter of credit. At that time, Ideal Mutual Insurance Co. (Ideal) had existing reinsurance contracts with several unauthorized reinsurers whose letters of credit did not meet the regulation’s standard. Pursuant to the new regulation, Ideal would not have been able to credit these reinsurance contracts to its loss reserves for the year 1983, and its financial condition would suffer accordingly.

Given this predicament, Ideal’s vice-president Fred Packer approached the president of respondent Harbour Assurance Company (Harbour), Richard Casey, seeking temporary reinsurance coverage from Harbour until its existing unauthorized reinsurers obtained conforming letters of credit. Harbour, a reinsurance company licensed to do business in Bermuda, but not New York, was also subject to the new Department of Insurance regulation. In February 1984, the parties executed a "slip” agreement, which was intended to be superseded by a formal reinsurance contract. It never was. The "business covered” by the agreement was "[a]ll business written by [Ideal] as accounted for at December 31, 1983.” The losses covered were "[u]npaid loss recoveries, outstanding loss reserves (including LAE & IBNR)2 and unearned premium reserves applicable—to [Ideal’s foreign] reinsurers.” Harbour’s liability was limited to paying the "aggregate excess” of all the losses unpaid by the unauthorized reinsurers, up to the $5 million policy limit.

[62]*62The slip agreement further provided that Harbour would supply a $5 million clean, irrevocable letter of credit to secure its reinsurance obligations, in exchange for Ideal’s payment of a base annual premium of $108,300. The agreement was to be effective for a period of 12 months, commencing on December 31, 1983, and could be renewed. If either party elected not to renew the agreement, 15 days’ notice to the other party was required. On March 21, 1984, Harbour established a $5 million letter of credit in compliance with the regulation, with the same duration as the slip agreement.

On October 7, 1984, Harbour notified Ideal that it would not renew the agreement after December 31, 1984, and on December 4, 1984, Harbour issued a formal notice of cancellation of the reinsurance contract. Ideal did not object to these notices, but rather requested a new letter of credit. It was placed in rehabilitation on December 24, 1984. On December 27, 1984, the Superintendent drew down the entire amount of Harbour’s $5 million letter of credit. In February 1985, Ideal was found insolvent and placed into liquidation, with the Superintendent named as liquidator.

Harbour sought return of the $5 million proceeds of the letter of credit by filing with the Superintendent a proof of claim on February 3, 1986, and an amended proof of claim on February 6, 1990. Harbour argued that the Superintendent’s actions were unjustified since it had no liability under the reinsurance contract and letter of credit. It asserted that the reinsurance policy was a "claims-made” policy, in which its liability was limited to claims of which it received notice during the policy period. Since it is undisputed that Ideal did not provide notice of any claims prior to the agreement’s expiration on December 31, 1984, Harbour claims it is not liable for any amount. Harbour seeks return of the entire $5 million proceeds, plus interest.

In 1991, the Superintendent filed a petition with the court seeking dismissal of Harbour’s claim on the ground that the reinsurance agreement was an "occurrence-based” policy, which covers losses occurring during the policy period regardless of when the claim is made. The Superintendent argues that the liquidator was entitled to draw down the entire $5 million letter of credit to cover any losses incurred by the unauthorized reinsurers during the policy period. Harbour cross-petitioned for summary judgment.

By order dated February 4, 1994, the IAS Court denied both the petition and cross petition. However, it made a finding that [63]*63the reinsurance policy was an "occurrence” contract, accepting the Superintendent’s construction of the agreement. The Superintendent argued that the absence of a time-specific notice of claim provision in the slip agreement compelled the conclusion that notice was to be given within a "reasonable time” after the loss. It further asserted that the agreement was a "guarantee of collection” under which Ideal was obligated to exercise due diligence in attempting to collect from the unauthorized reinsurers before looking to Harbour for payment under the terms of the reinsurance contract. This obligation required Ideal to resort to litigation against the unauthorized reinsurers, to notify Harbour of its unsuccessful efforts at collection and to submit proof of such efforts. Since these notice and collection obligations were not subject to definite time periods, and most likely could not be completed within the one-year policy period, the Superintendent alleged that it would be practically impossible for Ideal to have provided notice of any claims during the policy period. Accordingly, the Superintendent concluded that the policy must be an occurrence-based policy rather than a claims-made policy. The IAS Court accepted this interpretation in its entirety.

The IAS Court erred in holding that the reinsurance agreement between the parties was an occurrence-based policy as a matter of law. Where the terms of an insurance policy are clear and unambiguous, they should be given their plain and ordinary meaning, and courts should refrain from rewriting the agreement (United States Fid. & Guar. Co. v Annunziata, 67 NY2d 229, 232; Amusement Consultants v Hartford Life Ins. Co., 214 AD2d 442, 443). However, where the policy is ambiguous and susceptible of two reasonable interpretations, extrinsic evidence may be admitted to resolve the ambiguity (see, State of New York v Home Indem. Co., 66 NY2d 669, 671; Starlo Fashions v Continental Ins. Co., 185 AD2d 114, 115-116).

The policy in this case was ambiguous on the crucial issue of whether it was a claims-made or occurrence-based policy. The slip agreement, the only writing memorializing the reinsurance arrangement, made no mention of which type of policy it was. This is not surprising since a slip, while binding, is merely intended to be an abbreviated, preliminary version of the policy terms (see, Employers Commercial Union Ins. Co. v Firemen’s Fund Ins. Co., 45 NY2d 608, 613).

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Bluebook (online)
231 A.D.2d 59, 659 N.Y.S.2d 273, 1997 N.Y. App. Div. LEXIS 7054, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-the-liquidation-of-ideal-mutual-insurance-nyappdiv-1997.