Mutuelle Generale Francaise Vie v. Life Assurance Co.

688 F. Supp. 386, 1988 U.S. Dist. LEXIS 5465, 1988 WL 60064
CourtDistrict Court, N.D. Illinois
DecidedJune 14, 1988
Docket87 C 10014
StatusPublished
Cited by31 cases

This text of 688 F. Supp. 386 (Mutuelle Generale Francaise Vie v. Life Assurance Co.) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mutuelle Generale Francaise Vie v. Life Assurance Co., 688 F. Supp. 386, 1988 U.S. Dist. LEXIS 5465, 1988 WL 60064 (N.D. Ill. 1988).

Opinion

MEMORANDUM OPINION AND ORDER

SHADUR, District Judge.

Mutuelle Generale Francaise Vie (“MGF”) has filed a seven-count Amended Complaint (the “Complaint”) against Life Assurance Company of Pennsylvania (“LA-COP”). 1 All of MGF’s asserted causes of *388 action, including claims of fraud and breach of contract, arise from a reinsurance contract or “treaty” between the parties.

LACOP has moved to dismiss the Complaint under:

1. Fed.R.Civ.P. (“Rule”) 12(b)(6), for failure to state a claim on which relief may be granted;
2. Rules 8(a) and 8(e)(1), for violation of their requirements of “a short and plain statement of the claim” and of a pleading that is “simple, concise, and direct”; and
3. Rule 9(b), for failure to plead fraud with particularity.

For the reasons stated in this memorandum opinion and order, LACOP’s motion is granted (even though not all the existing counts are substantively defective).

Facts 2

MGF is a French insurance company (¶ 1), while LACOP is a Pennsylvania insurance company with its principal place of business in Chicago (¶ 2). MGF’s claims in this diversity action relate to a risk-sharing contractual relationship between the parties, known in industry parlance as a reinsurance treaty. Under such arrangements the reinsured company — here LACOP— transfers or “cedes” to the reinsurer — here MGF — policies that the reinsured has written or assumed from other underwriters. In consideration of receiving the premiums paid by the policyholders to the reinsured, the reinsurer becomes responsible for claims made on the policies.

LACOP and MGF executed a Reinsurance Agreement (Ex. A, the “Treaty” 3 ) requiring LACOP to cede and MGF to accept a certain class of policies written at least during the period between August 1, 1982 and December 31, 1984 (Ex. A Arndt. 1 Art. XIX). More precisely, the Treaty was of unlimited duration but could be terminated by three months’ written notice from either party effective not earlier than the December 31, 1984 date (id.). LACOP was required to cede and MGF to accept 016(D):

“credit life and credit disability business written in the United States under the General Agency Agreement with Frank B. Führer and Associates [‘Fuhrer’],” as specified in an Amendment # 1 executed contemporaneously with the pertinent main agreement. 4

MGF was to reinsure that business automatically, but the Treaty required LACOP to forward regular monthly account statements giving “all pertinent information” on the ceded business (¶ 6(2)). Beyond the reporting requirements, the Treaty also set out the rates that would be used to calculate the premiums (¶ 6(3)) and required that any addenda be in writing (¶ 6(5)). Additionally, as part of an arbitration provision the parties agreed that “the customs and usages of the business of reinsurance” would be used to interpret the Treaty and *389 that the parties were to “act in all things with the highest faith” (Ex. A Art. XVI).

As n. 1 reflects, the parties utilized another insurance company, CICA, as a technical intermediary for some (though, as will be seen, not quite all) of the cessions (¶ 8). To implement that arrangement CICA and the parties executed complementary reinsurance agreements (Exs. B and C), which were not intended to alter the Treaty substantively (1111 9-11).

MGF also identifies two other parties involved in the transactions. Suburban Management and Consulting Ltd. (“Suburban”) acted as MGF’s exclusive marketing representative (¶ 6(5); Ex. A Art. XV). All communications between LACOP and MGF were to be transmitted through Suburban (id), and Suburban was to receive 10% of the premiums from MGF (¶ 12). Finally, E.T. Bailey Co. was to receive 2% of the premiums as the broker for the transaction Of 18).

In September 1984 MGF exercised its right to terminate the Treaty as of December 31, 1984. LACOP and MGF memorialized the termination by Treaty Amendment No. 2 (116(6); Ex. A Arndt. 2).

Because the Complaint is so long (205 paragraphs occupying 51 typewritten pages), the details of MGF’s allegations are best set out as needed in this opinion’s substantive discussion of the various aspects of the current motion. At this juncture it is useful to set out only the essence of the charges:

1. LACOP and Suburban conspired to cede business to MGF beyond the scope of the Treaty and to conceal that practice (MI 17, 29, 37).
2. As part of that scheme, LACOP had Suburban authorize modifications to the Treaty even though LACOP knew marketing representatives such as Suburban were not authorized to do so (111131-36).
3. In addition to ceding unauthorized business (and in one instance failing to cede certain business it was required to cede) to MGF, LACOP also violated many of its contractual obligations (see generally 11159), including:
(a) failing to provide the required account statements in a timely manner;
(b) providing inaccurate and incomplete information; and
(c) improperly administering the receipt and transfer of premiums and the payment of claims.
4.LACOP violated its fiduciary duty under the Treaty — a duty derived from (a) the customs and practices of reinsurance, (b) the contract provision that LA-COP was to act “with the highest faith” and (c) the relationship between the parties in which LACOP was acting as MGF’s agent (¶¶ 169-75).

Procedural History

In November 1987 MGF filed its original complaint, asserting eight claims for relief (including both contract and tort claims). When LACOP filed a motion for dismissal on grounds very close to those in the current motion, this Court did not set a briefing schedule. Instead it identified the obvious defects in the initial complaint in a January 14, 1988 oral ruling.

Though it is really not critical for current purposes (after all, the January 14 ruling was not a final order in any event), the parties hotly dispute the thrust of this Court’s remarks. LACOP insists this Court dismissed the original complaint as fatally defective (L. Mem. 1 5 ). MGF takes a more roseate view (M. Mem. 3):

Be that as it may, the Court indicated its belief that there may be merit to certain of LACOP’s arguments addressed to the legal sufficiency of the Complaint, and the Court having expressed its views on the issues, MGF determined to file an Amended Complaint to avoid engaging in motion practice....

But the January 14 transcript reveals the rulings were not so tentatively expressed as MGF would like to believe.

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Bluebook (online)
688 F. Supp. 386, 1988 U.S. Dist. LEXIS 5465, 1988 WL 60064, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mutuelle-generale-francaise-vie-v-life-assurance-co-ilnd-1988.