In re the Liquidation of Workmen's & Suffolk Mutual Insurance

71 Misc. 2d 614, 336 N.Y.S.2d 389, 1972 N.Y. Misc. LEXIS 1502
New York Supreme Court·Decided October 4, 1972·Published·Cited by 1 cases

Opinion

Samuel J. Silverman, J.

This is a motion to confirm the “ partial ” report of the Referee dated May 24,1972 with respect to deferring certain claims in a liquidation proceeding of a mutual casualty insurance company.

The basic issue on this motion is whether Class II claims by persons who paid premiums on nonassessable policies for a period beyond the date of declaration of insolvency should be treated on a parity with claims for losses insured against, or whether they should be deferred to such claims.

The Superintendent of Insurance as liquidator of the company filed a report which recommended that claims filed by Class II policyholders for return of unearned premiums be suspended, to share if allowable only in the event there should be surplus assets, i.e., over amounts necessary to pay valid loss claims for fire and other casualty losses insured against by policies issued by the company. For different reasons the Referee has recommended that this procedure be followed.

[615] I do not agree with the liquidator and the Referee in their determination and I hold the claims for return of prepaid unearned premiums by Class II claimants shall share pari passu with claims for losses insured against.

It is, of course, a general principle of equity that persons in the same class should be treated alike, i.e., equally or proportionately. Prima facie, both a claim for return of prepaid unearned premium and a claim on a policy for losses insured against would seem to be general creditors’ claims and normally all general creditors’ claims share pari passu on a liquidation.

I see no decisive consideration the other way here.

There appears to be no controlling case law or .authority in New York on the precise point here involved.

Certain related points do seem to be settled with respect to insolvent mutual casualty insurance companies: (1) Claims for return of prepaid unearned premiums are a valid liability of the company, entitled to share in some order in the common fund created by premiums paid or obligated for by all the policyholders, “ members ” of the mutual insurance company. (Raegener v. Willard, 44 App. Div. 41 [1st Dept., 1899]; Regener v. Phillips, 26 Misc. 311, 313 [1899].) (2) A policyholder’s claim for losses insured against cannot be offset against his liability for premiums contracted to be paid. (Lawrence v. Nelson, 21 N. Y. 158 [1860]; cf. Insurance Law, § .538, subd. 2, par. [c].)

The problem arises presumably from the special nature of a mutual insurance company. In a mutual insurance company, all policyholders have a double capacity — they are both insureds and insurers or, more broadly, both debtors and creditors. The premiums paid by the policyholders constitute the fund for the payment of all the creditors, of whom the greatest number are usually the policyholders themselves. (Lawrence v. Nelson, 21 N. Y. 158, 160; Mygatt v. New York Protection Ins. Co., 21 N. Y. 52, 68 [1860].)

A major premise of the argument against permitting claims for unearned premiums to share on a parity with claims for insured losses in the case of insolvent mutual casualty insurance companies is that in mutual companies the premiums paid or payable are the sole guarantee — the common fund as it is called — for the payment of loss claims. (Of course, even in stock companies, the basic fund for the payment of losses is also premiums; but in stock companies this fund is at least supplemented as a guarantee fund by the capital stock.)

It is by no means obvious to me that this difference fairly calls for so drastic a difference in the treatment of claims for [616] unearned premiums as between mutual and stock companies, particularly when we deal with nonassessable policies.

However, I think that in New York, by statute, even the major premise fails, for the clear implication of section 345 of the Insurance Law is that the common fund for the payment of claims is only the earned premiums (or assessments proportionate to the earned premiums). The statute provides (Insurance Law, § 345): “1. Except as provided in section fifty-eight [nonassessable policies], every domestic mutual fire insurance company shall in its by-laws and policies prescribe the contingent mutual liability of its members for the payment of assessments, in such a way that each member shall be liable to pay his proportionate share, subjéct to the limitations hereinafter specified, of the amount of any assessment or assessments necessary to make good an impairment of the minimum surplus of such company. #**2***A member’s proportionate-part of any assessment shall be determined by applying to the premium earned on the member’s policy or policies in force during a period of one year next preceding the order of assessment the ratio of the total assessment to the total premiums earned during such period on all policies subject to assessment.” (Italics mine.)

The statute thus makes the obligation of the members for the payment of liabilities proportionate not to the entire premium paid or contracted for, but to the earned portion of the premium.

If, however, as the liquidator and the Referee have suggested, the claims for refund of prepaid unearned premiums are deferred to claims for losses, the contribution of policyholders who have claims for unearned premiums is disproportionately greater than the contribution of other policyholders, perhaps including those who have loss claims.

The earlier formulation of the statute, though I think not different in substance, makes even clearer that it is only earned premiums, not unearned premiums, that constitute the common fund to guarantee the company’s other liabilities. Thus subdivision 10 of section 111 of the former Insurance Law, prior to 1940, provided: “If the corporation is not possessed of cash funds above its unearned premiums or premium deposits sufficient for the payment of the incurred losses and expenses, the board of directors shall make an assessment * * * for the amount needed to pay such losses and expenses upon the members, in proportion to their several liability.” (Italics mine.) (L. 1921, ch. 237, § 3.)

[617] Furthermore the statute oro vides (Insurance Law. § 345, subd. 2): 2. If any domestic mutual fire insurance company * * * is at any time not possessed of admitted assets at least equal in amount to the aggregate of its liabilities, its reserves and its minimum surolus as required by the provisions of this chapter, and if such impairment is not otherwise made good, the board of directors of such company may * * * order an assessment * * * for an amount which will provide sufficient funds to make good such impairment ”.

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In re the Liquidation of Workmen's & Suffolk Mutual Insurance, 71 Misc. 2d 614, 336 N.Y.S.2d 389, 1972 N.Y. Misc. LEXIS 1502 (N.Y. Super. Ct. 1972).

71 Misc. 2d 614 (In re the Liquidation of Workmen's & Suffolk Mutual Insurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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