Mississippi Insurance Guaranty Association v. MS Casualty Insurance Company

CourtMississippi Supreme Court
DecidedJune 8, 2005
Docket2005-CA-01158-SCT
StatusPublished

This text of Mississippi Insurance Guaranty Association v. MS Casualty Insurance Company (Mississippi Insurance Guaranty Association v. MS Casualty Insurance Company) is published on Counsel Stack Legal Research, covering Mississippi Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mississippi Insurance Guaranty Association v. MS Casualty Insurance Company, (Mich. 2005).

Opinion

IN THE SUPREME COURT OF MISSISSIPPI

NO. 2005-CA-01158-SCT

MISSISSIPPI INSURANCE GUARANTY ASSOCIATION

v.

MS CASUALTY INSURANCE COMPANY AND AMERICAN RELIABLE INSURANCE COMPANY, INC.

DATE OF JUDGMENT: 06/08/2005 TRIAL JUDGE: HON. WILLIAM JOSEPH LUTZ COURT FROM WHICH APPEALED: MADISON COUNTY CHANCERY COURT ATTORNEYS FOR APPELLANT: JAMES D. HOLLAND LOUIS GLAZIER BAINE, JR. ROBERT S. ADDISON TERRY R. LEVY JASON HOOD STRONG ATTORNEYS FOR APPELLEES: KELLY D. SIMPKINS WALTER D. WILLSON ROSEMARY G. DURFEY NATURE OF THE CASE: CIVIL - CONTRACT DISPOSITION: AFFIRMED - 10/26/2006 MOTION FOR REHEARING FILED: MANDATE ISSUED:

BEFORE WALLER, P.J., EASLEY AND CARLSON, JJ.

CARLSON, JUSTICE, FOR THE COURT:

¶1. Aggrieved by the Madison County Chancery Court’s grant of summary judgment in

favor of MS Casualty Insurance Company and American Reliable Insurance Company, Inc., the Mississippi Insurance Guaranty Association appeals to us. Finding no reversible error,

we affirm.

FACTS AND PROCEEDINGS IN THE TRIAL COURT

¶2. MS Casualty Insurance Company (MS Casualty) is a Mississippi-based insurance

company. It began issuing workers’ compensation insurance policies in 1993. American

Reliable Insurance Company, Inc. (American Reliable) is an Arizona-based insurance

company which also formerly issued workers’ compensation insurance policies. General

Reinsurance Corporation (Gen Re) was the reinsurer of MS Casualty’s workers’

compensation policies from January 1, 1993, to December 31, 1995. American Reinsurance

Company (Am Re) was the reinsurer of MS Casualty’s workers’ compensation policies

effective January 1, 1996. Gen Re was the reinsurer of American Reliable’s workers’

compensation policies.

¶3. On September 28, 2000, American Reliable exited the workers’ compensation

business by entering an “Assumption Reinsurance Agreement” (ARA) with Legion Insurance

Company (Legion), a Pennsylvania insurance company. MS Casualty followed suit on

September 29, 2000. The ARAs were approved by the Mississippi Department of Insurance.

The ARA between MS Casualty and Legion retroactively transferred MS Casualty’s

obligations under the policies to Legion as of January 1, 1993, through December 31, 2000.

Also, the ARA between American Reliable and Legion retroactively transferred American

Reliable’s obligations to Legion as of October 1, 1999, through December 31, 2000. MS

Casualty and American Reliable ceded all outstanding net loss and voluntary unearned

2 premium reserves to Legion. Gen Re and Am Re, the reinsurers, entered into assignment

agreements which transferred to Legion all obligations they owed MS Casualty and

American Reliable. As of January 1, 2001, Legion had sole responsibility to the

policyholders and claimants.

¶4. Legion sent policyholders “Certificates of Assumption” stating that Legion would be

responsible for any claims under the policies. Legion requested that all future claim requests

be directed to AmFed Companies, its claims administrator, and directed that all future

premiums be paid to Legion. The certificates also stated that Legion would be responsible

for any future claims. Legion did not contact the claimants who were already receiving

benefits under the MS Casualty and American Reliable policies.

¶5. Subsequently, Legion entered rehabilitation due to cash flow problems. The

Pennsylvania Insurance Commissioner petitioned for liquidation of Legion, and on July 25,

2003, liquidation was ordered by the Commonwealth Court of Pennsylvania. The insurance

commissioner was appointed as the statutory liquidator (Liquidator) and was responsible for

making arrangements for continued payment of claims under Legion’s policies.

¶6. The Liquidator ordered that policyholders asserting a right to proceeds of a

reinsurance agreement to which Legion was a party should file a petition to intervene with

the court. Subsequently, the Liquidator filed an emergency application for stay pending

appeal or confirmation of automatic stay with respect to the portion of the court’s Order of

Liquidation allowing direct access to reinsurance. Gen Re and Am Re were ordered to pay

any monies they would have owed to Legion as reinsurance to the Liquidator.

3 ¶7. Following the court’s entry of the Order of Liquidation, the Mississippi Insurance

Guaranty Association (MIGA), by statutory authority, stepped into the shoes of Legion to

protect the interests of Legion’s Mississippi policyholders and claimants. MIGA was

statutorily created by the Mississippi Legislature to pay “covered claims under direct

insurance” when an insurer becomes insolvent.

¶8. After reviewing the claims made to Legion, MIGA decided that the claims were not

“covered claims under direct insurance” within the meaning of the statute. MIGA requested

MS Casualty and American Reliable to pay any claims made under the policies to avoid

numerous multiparty lawsuits filed by the claimants. There were 181 claims at issue. Rather

than having to deal with all of these potential lawsuits, MIGA requested MS Casualty and

American Reliable to try one suit before a chancellor to decide if the claims were “covered

claims under direct insurance.” MIGA agreed to reimburse MS Casualty and American

Reliable for any claims the companies wrongly paid if a chancellor ordered MIGA to do so.

¶9. MS Casualty and American Reliable thereafter commenced suit against MIGA in the

Madison County Chancery Court demanding (1) reimbursement of claims paid by MS

Casualty and American Reliable, and (2) MIGA’s assumption of liability for future claims.

The reinsurers, Gen Re and Am Re, were original parties to the suit, but they were dismissed

by MS Casualty and American Reliable because Gen Re and Am Re were ordered to pay

their monies to the Liquidator.

4 ¶10. Chancellor William J. Lutz conducted a hearing on May 3, 2005, on the motion for

summary judgment filed by MS Casualty and American Reliable.1 The chancellor concluded

that (1) the ARAs constituted a novation between MS Casualty and American Reliable and

Legion, which ceded to Legion all responsibilities previously assumed by MS Casualty and

American Reliable; (2) the claims constituted covered claims according to the statute; (3) the

policies assumed by Legion were direct insurance according to the statute; and, (4) the

policyholders, and not the claimants themselves, were the only ones to whom notice had to

be given concerning the ARA. The chancellor granted summary judgment in favor of MS

Casualty and American Reliable and ordered MIGA to reimburse past claims and to assume

payments of future claims.2

¶11. Further, the chancellor recognized that the reinsurers, Gen Re and Am Re, were the

insurance companies that should be liable for the claims. The reinsurers were obligated to

pay the claims according to the reinsurance contracts; however, Gen Re and Am Re had

already been ordered to pay that sum to the Liquidator. Gen Re and Am Re had refused

MIGA’s demand that they pay MIGA directly inasmuch as this action would have resulted

in double payment by Gen Re and Am Re. The chancellor denied MIGA’s motion to rejoin

the reinsurers since it was the opinion of the chancellor that MS Casualty and American

Reliable should never have been parties to the suit. The chancellor urged MIGA to sue Gen

1 The chancellor held a total of three hearings on this matter.

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