PMA Capital Insurance v. Platinum Underwriters Bermuda, Ltd.

659 F. Supp. 2d 631, 2009 U.S. Dist. LEXIS 85046, 2009 WL 2989804
CourtDistrict Court, E.D. Pennsylvania
DecidedSeptember 17, 2009
DocketMisc. 09-84
StatusPublished
Cited by12 cases

This text of 659 F. Supp. 2d 631 (PMA Capital Insurance v. Platinum Underwriters Bermuda, Ltd.) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
PMA Capital Insurance v. Platinum Underwriters Bermuda, Ltd., 659 F. Supp. 2d 631, 2009 U.S. Dist. LEXIS 85046, 2009 WL 2989804 (E.D. Pa. 2009).

Opinion

MEMORANDUM

DIAMOND, District Judge.

PMA Capital Insurance Co. asks me to vacate or modify an arbitration award in this reinsurance dispute with Platinum Underwriters Bermuda. I will vacate the award because it is not rational.

I. BACKGROUND

A. The Parties’ 2003 Reinsurance Agreement

PMA is a Pennsylvania insurance company with its principal place of business in Philadelphia. (Doc. No. 19 at 1.) Platinum is a Bermuda reinsurance company with its principal place of business outside the United States. (Id. at 2; Doc. No. 9 at 2.) In 2003, PMA and Platinum entered into a reinsurance contract. PMA (the reinsured) paid a fee to Platinum (the reinsurer) to indemnify PMA for obligations PMA undertook through its issuance of insurance policies. (Doc. No. 19 at 3.) The Parties also agreed that in certain circumstances, Platinum was entitled to seek reimbursement for previously incurred losses that it could “carry forward.” (Id. at 4.) To capture these obligations and entitlements, the Parties employed terms of art common to the reinsurance industry. Although the meanings of those terms are not disputed, because the obligations are at the heart of this dispute, I will set out the agreed-upon meanings in some detail.

The Experience Account

In reinsurance contracts, the reinsured commonly deposits funds into an interest-bearing account controlled by the reinsur *633 er. As claims come due against the reinsured, they are paid first from this “experience account.” If the claims exceed the account, the reinsurer is obligated to pay that excess amount. At the contract’s conclusion, the reinsurer pays a “profit commission,” returning to the reinsured the funds (if any) remaining in the experience account. (Doc. No. 21 at 4-5.)

The Deficit Carry Forward Provision

Parties sometimes enter into separate reinsurance contracts that cover succeeding years. A “deficit carry forward provision” allows the reinsurer to carry forward any loss it may have incurred in one year to the next year, when the reinsurer can apply funds from that year’s experience account (assuming it has a positive balance) to offset the first year loss. If, after any offset is applied and the contract has concluded, there is money remaining in the experience account, the reinsurer would normally be obligated to return that profit commission to the reinsured. (Id. at 4-5.)

The actual operation of a deficit carry forward provision is less opaque than the terminology might suggest. If, for example, during the pendency of a one year reinsurance contract, combined claims against the experience account exceeded the account’s balance by $3 million, the reinsurer would pay $3 million to satisfy these claims. If the parties’ reinsurance contract for the following year included a deficit carry forward provision, this $3 million deficit would be carried forward and offset by funds still in the experience account at the conclusion of the second year contract. Any money then remaining in the account would be returned to the reinsured as a profit commission. (Id. at 5.)

B. The Deficit Carry Forward Provision in the Parties’ 2003 Agreement

PMA originally purchased reinsurance from St. Paul Re (a division of the St. Paul Insurance Company) for the coverage period 1999 through 2001. In 2002, St. Paul divested its reinsurance subsidiary, St. Paul Re, which became Platinum. In 2003, PMA and Platinum entered into the Reinsurance Agreement that is the subject of the instant dispute. (Id. at 6.)

Article 15 of the 2003 Agreement apparently provides that any deficit from PMA’s 1999-2001 contract with St. Paul Re may be carried forward to the 2003 Agreement year and applied at the Agreement’s conclusion to any positive balance remaining in the Experience Account. See Doc. No. 19 Mem., Ex. 1 at 01-20; Doc. No. 19 at 4; Doc. No. 21 at 6. Article 19 of the 2003 Agreement conditions when Platinum may retain any deficit thus carried forward:

Upon finalization of the payment of all Ultimate Loss Recoverable hereunder and/or Commutation, [Platinum] will relinquish to [PMA] 100% (one hundred percent) of the remaining Experience Account balance, if any, ... less any projected paid loss deficit, if any, in respect of [PMA’s 1999-2001 agreement with St. Paul Re].

(Doc. No. 19 Mem., Ex. 1 at 01-24.) “Finalization of Payment” of the “Ultimate Net Loss” refers to either: (1) the time at which Platinum has paid out the policy limits under the 2003 Agreement; or (2) December 31, 2021, whichever is earlier. (Doc. No. 19 Mem. at 3.) “Commutation” is the equivalent of a settlement, and terminates the Parties’ rights and obligations under the contract. (Id.)

The 2003 Agreement thus provides that once Platinum has paid out its policy limits or the Parties have agreed to Commutation (or December 31, 2021 — whichever is earlier), Platinum must return any money remaining in the Experience Account to *634 PMA. Because Platinum apparently is entitled to carry forward any losses that St. Paul Re may have incurred under its 1999-2001 contract with PMA, however, Platinum may first retain any funds remaining in the 2003 Experience Account to offset these losses before returning the residual balance to PMA.

C. The Arbitration

In 2008, a dispute arose between PMA and Platinum concerning the validity and scope of the Deficit Carry Forward Provision in the 2003 Agreement. PMA now concedes that this Provision “arguably would allow Platinum ... to obtain a benefit under the 2003 [Agreement] if there were a deficit under [PMA’s 1999-2001 contract with St. Paul Re].” (Doc. No. 19 at 4.) In 2008, however, PMA argued that Platinum was not entitled to carry forward any losses from the 1999-2001 contract because Platinum was not a party to that agreement. See Doc. No. 19 Mem., Ex. 5 at 456:25-457:5.

The Parties also disputed how to calculate St. Paul Re’s ostensible deficit under the 1999-2001 contract. (Doc. No. 21 at 6.) Despite previously reporting to the Pennsylvania Insurance

Department that this deficit was slightly more than $6 million, at the time of the arbitration, PMA argued that there would be no deficit under the 1999-2001 contract. Platinum argued that the deficit was $10.7 million on December 31, 2008.

(Id. at 6-7.)

The 2003 Agreement provides that upon the written request of either Party, any dispute respecting the Agreement’s interpretation is to be resolved by a Panel of Arbitrators, “one to be chosen by each party, and the third by the two so chosen.” (Doc. No. 19 Mem., Ex. 1 at 01-26.) Pursuant to this provision, on June 2, 2008, Platinum demanded an arbitration, seeking “a declaration that, in the calculation of the balance of the Experience Account under Article 15 of the Agreement, Platinum is entitled to the benefit of the ‘[d]eficit carry forward from [PMA’s 1999-2001 contract with St. Paul Re].’” (Doc. No. 19 Mem., Ex. 2.)

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Bluebook (online)
659 F. Supp. 2d 631, 2009 U.S. Dist. LEXIS 85046, 2009 WL 2989804, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pma-capital-insurance-v-platinum-underwriters-bermuda-ltd-paed-2009.