Koken v. Reliance Insurance

846 A.2d 778
Commonwealth Court of Pennsylvania·Decided April 5, 2004·Published·Cited by 1 cases

Opinion

OPINION BY

President Judge COLINS.

OPINION and ORDER

Before the Court for its consideration is New Mexico Mutual Casualty Company (NMMCC) and Southwest Casualty Company’s (SWCC) Petition for Injunctive Relief and for Relief from Stay to Compel Arbitration. 1 The pivotal issue for review is whether the Liquidator can be compelled to pursue arbitration as set forth in an insurance contract.

SWCC is a wholly owned subsidiary of NMMCC and was formed by NMMCC to allow NMMCC write higher risk insurance policies on a separate rate schedule. NMMCC and SWCC are parties to an Intercompany Treaty (Treaty) under which terms SWCC cedes and NMMCC reinsures one hundred percent of the busi *780 ness written by SWCC. NMMCC and Reliance are parties to a reinsurance agreement (Agreement) which was effective for the period January 1,1998 through December 31, 2001. Under its terms, Re-banee cedes and NMMCC reinsurers one hundred percent of Reliance’s ultimate net loss on each subject policy and one hundred percent of all allocated loss expenses arising in connection with claims arising from subject policies. NMMCC secured its obligation under the Agreement by providing Reliance with a Letter of Credit (LOC) on which Reliance is entitled to draw to reimburse Rebanee for reinsured losses, which New Mexico fails to pay. NMMCC secured the letter of credit from Wells Fargo Bank in the amount of $1.4 million, naming Rebanee as the beneficiary. Under the Treaty, NMMCC may exercise the right to offset any balance or balances due from one party to the other party. Further, the agreement memorializing the transaction contains an arbitration clause wherein the parties agreed that all disputes were to be submitted to arbitration.

Reliance and NMMCC and SWCC are also parties to reinsurance agreements for the years 1995 through 1997 (2nd Treaty). The terms set forth that NMMCC and SWCC shab cede and Reliance and Transatlantic Reinsurance Company shall rein-sure 90% of NMMCC’s and SWCC’s net retained liability under all business rein-sured under the treaty, and 90% of NMMCC’s and SWCC’s net position from its participation in the New Mexico Workers’ Compensation Assigned Risk Pool. Under this treaty there is a right to off-set balances due from one party to the other. This treaty also contains an arbitration clause.

Rebanee now seeks to draw down on the LOC and NMMCC alleges that it is entitled to offset any sums due Reliance under the NMMCC Treaty against those sums due under the 2nd Treaty. NMMCC seeks relief from the Court in the nature of an order compelling the Liquidator to submit this matter to arbitration. In support of its position that the arbitration clause divests this Court of jurisdiction, NMMCC draws the Court’s attention to Foster v. Philadelphia Manufacturers, 140 Pa.Cmwlth. 186, 592 A.2d 131 (1991), Cologne Reinsurance (Barbados), Ltd., 34 F.Supp.2d 240 (M.D.Pa.1999), and Grode v. Mutual Fire, Marine & Inland Insurance Company, 132 Pa.Cmwlth. 196, 572 A.2d 798 (1990). The Liquidator disagrees with that position, arguing that the statute rests exclusive jurisdiction to resolve issues related to the liquidation in Commonwealth Court. Further, the Liquidator asserts that pursuant to the October 3, 2001 order of this Court, no entity may sue Rebanee without the Liquidator’s consent. Finally, the Liquidator disputes NMMCC’s interpretation of the holding in both Philadelphia Manufacturers and Grode.

In Philadelphia Manufacturers the Pennsylvania Insurance Commissioner, acting as the statutory rehabilitator of Mutual Fire, Marine and Inland Insurance Company (Mutual Fire), brought an action against Philadelphia Manufacturers alleging that it had breached several fa-cultative reinsurance and retrocession treaties. Philadelphia Manufacturers filed preliminary objections on jurisdictional grounds, alleging that the matters should be submitted to arbitration pursuant to the contractual arbitration clause. The Commonwealth Court agreed, concluding, that arbitration was binding upon the Re-habilitator and that she was compelled to arbitrate the alleged contractual dispute. Similarly, in Cologne Reinsurance (Barbados), the district court concluded that the inclusion of a broad arbitration clause in the coinsurance agreement rendered arbi *781 tration the appropriate forum in which to resolve the dispute. NMMCC asserts that there is no distinction between both cases and the situation herein. However, in advancing that position, NMMCC fails to address three distinguishing points: first, in this matter the Insurance Commissioner is acting as Liquidator and not as Rehabilitator; second, the Court has entered an order declaring that no action may be brought against the Liquidator; and third, unlike Philadelphia Manufacturers and Cologne, herein the Liquidator was not the initiator of the suit.

Section 526(a) of the Insurance Act, 40 P.S. § 221.26(a), plainly states, “no action at law or equity shall be brought by or against the insurer, whether in this Commonwealth or elsewhere, nor shall any such existing action be continued after issuance of such [liquidation] order.” Moreover, Paragraph 22 of this Court’s order of liquidation of October 3, 2001 provides,

Unless the Liquidator consents thereto in writing, no action at law or equity, or arbitration or mediation, shall be brought against Reliance or the Liquidator, whether in this Commonwealth or elsewhere, nor shall any such existing action be maintained or further prosecuted after the date of this Order. All actions, including arbitrations and medi-ations, currently pending against Reliance in the courts of the Commonwealth of Pennsylvania or elsewhere are hereby stayed. All actions, arbitrations and mediations, against Reliance or the Liquidator shall be submitted and considered as claims in the liquidation proceeding.

The October 3, 2001 order clearly advises that disputes will not be submitted to arbitration unless the Liquidator so agrees. That is the critical point herein. The Liquidator has not agreed to suit; the Liquidator has not initiated suit.

In so holding, there is no repudiation of the Philadelphia Manufacturers and Cologne; rather, the clarifying point is that consideration must be given to the party that initiates the lawsuit. When initiating the lawsuit, one submits to the jurisdiction of the Court in which the action is filed, and the mere filing of a suit automatically implicates any contractual agreement to pursue arbitration. Where such an agreement exists, agreement will be given primary consideration to determine the forum for continuation of the litigation. In both Philadelphia Manufacturers and Cologne, the Rehabilitator initiated the lawsuit. In initiating the lawsuit, the plaintiff must be bound by agreements to arbitrate unless grounds exist for the revocation of that agreement.

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Koken v. Reliance Insurance, 846 A.2d 778 (Pa. Ct. App. 2004).

846 A.2d 778 (Koken v. Reliance Insurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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