Queensway Financial Holdings Ltd. v. Cotton & Allen, P.S.C.

237 S.W.3d 141, 2007 Ky. LEXIS 212, 2007 WL 3224692
CourtKentucky Supreme Court
DecidedNovember 1, 2007
Docket2004-SC-000254-DG
StatusPublished
Cited by25 cases

This text of 237 S.W.3d 141 (Queensway Financial Holdings Ltd. v. Cotton & Allen, P.S.C.) is published on Counsel Stack Legal Research, covering Kentucky Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Queensway Financial Holdings Ltd. v. Cotton & Allen, P.S.C., 237 S.W.3d 141, 2007 Ky. LEXIS 212, 2007 WL 3224692 (Ky. 2007).

Opinion

Opinion of the Court by

Justice NOBLE.

Queensway Financial Holdings, Ltd., and its subsidiaries filed a professional malpractice suit against Cotton & Allen, P.S.C., for alleged breach of contract and negligence related to audits of the financial statements of an insurance company to be bought by Queensway. A little over a year after the purchase, the Indiana Department of Insurance ordered a significant increase in the loss reserves of the *143 insurance company. The trial court and Court of Appeals held that the suit, filed approximately two years after the audits but less than a year after the ordered reserves increase, was filed outside the statute of limitations. This Court affirms.

I. Background

In 1997, Queensway Financial Holdings, Ltd., a publicly traded Canadian corporation, negotiated and agreed to buy Paradigm Insurance Company, which was incorporated in Indiana, headquartered in Louisville, Kentucky, and licensed to sell insurance in several states. Under the agreement, Paradigm was to produce an audited financial statement as of September 30, 1997. The audited statement, described as a “basis statement” created pursuant to generally accepted accounting principles (or GAAP), was to be used to set the purchase price. The audit was to be performed by Cotton & Allen, P.S.C., a certified public accounting firm that had performed Paradigm’s audits beginning in 1991 up to and including the one for the year ending on December 31,1996.

As part of the audit, Cotton & Allen was to review Paradigm’s reserves, the amount of money set aside to cover estimated claims, losses, and defense costs connected to outstanding policies over a particular period of time. The reserves involved in the audit were set by Paradigm’s management but were certified by actuaries employed by Arthur Andersen, LLP, which was hired either by Paradigm or Queens-way. Cotton & Allen relied on the certification of the reserves in its audit.

The audit process required Cotton & Allen’s employees to spend considerable time at Paradigm’s Louisville offices to review files and financial data. As part of Queensway’s due diligence before the purchase, several of its representatives were also present. The representatives included Sandra Dowling, Vice President of Finance and Administration; Cathy Wilson, Executive Vice President; Shawn Doherty, an in-house actuary; and David Rooney, President and CEO. Dowling, Wilson, and Rooney are all Canadian Chartered Accountants, the Canadian analog of certified public accountants. The Queensway representatives reviewed Paradigm’s claim files and had access to information about the company’s reserves, including the actuarial reports certifying them.

On December 5, 1997, before Cotton & Allen delivered the report on its audit, Greg Búbalo, Paradigm’s general counsel and head of claims, sent a memorandum titled “Changes in Reserving Philosophy” to Shawn Doherty, Queensway’s in-house actuary. The memorandum discussed Paradigm’s methodology for setting reserves and indicated a change in that methodology. Specifically, the memorandum stated:

The Company’s current reserving methodology was implemented in January of 1996 by Greg Búbalo, Vice President (Claims) and General Counsel. After evaluating the “by-line” loss development patterns, it was determined that the CMP [commercial multi-peril] loss reserving was in need of systematic revision. The intent of the selected loss reserving rehabilitation plan was to attain adequacy through the utilization of a “stair step” process.
It is important to note that a significant source of CMP adverse development for the 1993 to 1995 loss years is attributable to the broad spectrum of risk classes inappropriately incorporated into the “CMP” line of business. Although the bulk of the premium could be attributed to the risks involving hotels, motels, restaurants, night clubs and bars, this LOB [line of business] also contained a potpourri of other risks that *144 made consistent and predictable reserving difficult. In these years, the CMP line contained auto, construction, and a mixture of other “occurrence” based risks which contributed significantly to “long tail” losses, now being seen as more fully developed in the 1996 and 1997 time frame.
As the first in the “stair step” process, a major upward adjustment was made in 1996 to the CMP reserves. This was a direct consequence of additional information acquired in 1995, as well as the change in management of the Claims and Underwriting Departments. In accordance with this process, additional upward adjustments have been made in 1997.

The document continued, describing generally how and when Paradigm sets reserves for litigated matters, including indemnity and expenses, and matters not yet in litigation. It then focused on the specific lines of business, including commercial multi-peril (or general business insurance), medical professional liability, and maritime/ocean marine.

Cotton & Allen delivered its audit report on December 16, 1997. Queensway then completed its purchase of Paradigm and took over operations of the company as of December 31,1997.

When Queensway took over operations, Paradigm’s reserves were adjusted upward by approximately $3.3 million as reflected in a memorandum from Greg Búbalo dated December 31, 1997. The memorandum was sent to the president and two other officers of Paradigm, which at that point was owned by Queensway. A copy of the memorandum was also sent to Shawn Do-herty. The memorandum discussed recent unfavorable developments in Paradigm’s commercial multi-peril line of business that required the increase in reserves. It then went on to discuss the developments in specific cases requiring the reserves adjustment.

Queensway subsequently asked Cotton & Allen to perform an audit of Paradigm’s financial statement through December 31, 1997. This statement was the yearly statement required by Indiana’s insurance code. Cotton & Allen began work on it on January 15, 1998, and the final report was submitted on January 29, 1998. The reserves involved in this audit were certified by actuaries employed by [Pricewaterhou-sejCoopers, LLP, which again was hired either by Paradigm or Queensway. Cotton & Allen relied on the certification of the reserves in its audit.

On May 12, 1998, Shawn Doherty sent Greg Búbalo an email regarding the December 31, 1997 memorandum about the increase in reserves. In the email, he acknowledged receiving the memorandum, noted that it showed the amount by which the commercial multi-peril reserves had been changed, and asked, “What had happened in the first quarter with regard to those claims? Specifically, do you believe there is an [sic] deficiency remaining against those claims? (If so, please provide the amount so I can add it back into my estimates.)” Búbalo replied by email on June 2, 1998, discussing the specific developments in the cases mentioned in the December 31, 1997 memorandum. Several of the cases were settled and several were still outstanding with varying assessments of the chances of success. After discussing the specific cases, the email continued, in relevant part:

I think the cases as related above are not the problem.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Pryor v. Anderson
W.D. Kentucky, 2025
Dizney v. Back
E.D. Kentucky, 2025
James v. Thomas
W.D. Kentucky, 2024
Adams v. 3M Company
E.D. Kentucky, 2024
Shan Wolfe v. Joe Kimmel
Kentucky Supreme Court, 2023
Roark v. 3M Company
E.D. Kentucky, 2021
Saalwaechter v. Carroll
525 S.W.3d 100 (Court of Appeals of Kentucky, 2017)
Victory Community Bank v. Socol
524 S.W.3d 24 (Court of Appeals of Kentucky, 2017)
Osborn v. Griffin
50 F. Supp. 3d 772 (E.D. Kentucky, 2014)

Cite This Page — Counsel Stack

Bluebook (online)
237 S.W.3d 141, 2007 Ky. LEXIS 212, 2007 WL 3224692, Counsel Stack Legal Research, https://law.counselstack.com/opinion/queensway-financial-holdings-ltd-v-cotton-allen-psc-ky-2007.