Reliastar Life Ins. v. IOA Re, Inc.

CourtCourt of Appeals for the Eighth Circuit
DecidedSeptember 9, 2002
Docket01-3287
StatusPublished

This text of Reliastar Life Ins. v. IOA Re, Inc. (Reliastar Life Ins. v. IOA Re, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Reliastar Life Ins. v. IOA Re, Inc., (8th Cir. 2002).

Opinion

United States Court of Appeals FOR THE EIGHTH CIRCUIT ___________

No. 01-3287 ___________

ReliaStar Life Insurance Company, * * Appellee, * * v. * * Appeal from the United States IOA Re, Inc.; Swiss Re Life Canada, * District Court for the * District of Minnesota. Appellants. * * -------------------------------- * * The Reinsurance Association, * * Amicus on Behalf of Appellants. * ___________

Submitted: June 13, 2002

Filed: September 9, 2002 ___________

Before HANSEN, Chief Judge, FAGG, and BOWMAN, Circuit Judges. ___________

BOWMAN, Circuit Judge.

ReliaStar Life Insurance Company sued IOA Re, Inc. and Swiss Re Life Canada (collectively, the retrocessionaires) for breach of contract arising out of an alleged failure to pay under reinsurance contracts. IOA Re and Swiss Re counterclaimed, alleging that they were entitled to rescind the reinsurance contracts, and that in any case ReliaStar committed a breach of contract by failing to remit premiums to the retrocessionaires. The parties filed cross-motions for summary judgment in the District Court,1 and the court denied the retrocessionaires' motion for partial summary judgment and granted ReliaStar's motion for summary judgment. The retrocessionaires appeal. We affirm, but remand for clarification of one issue related to the District Court's award of damages to ReliaStar.

I.

ReliaStar is a reinsurance company based in Minnesota. For the 1996 to 1997 policy year, ReliaStar reinsured the risk of Canada Life Assurance Company on a product commonly called "snowbird" insurance. This type of insurance provides "short-term medical insurance for individual Canadians traveling out of their home provinces [including out of country], where Canadian provincial medical coverage did not extend." Br. of Plaintiff-Appellee at 3. Canada Life ceded to ReliaStar its risk for seventy-five percent of the first $100,000 (Canadian) of each claim under the program; in exchange, ReliaStar was to receive seventy-five percent of the net premium collected.2 This variety of risk sharing is known as a quota-share arrangement.

ReliaStar then sought to spread the risk ceded to it by Canada Life through quota-share reinsurance from IOA Re, a Delaware corporation, and Swiss Re, a Canadian company. Reinsurers of a reinsurer, such as IOA Re and Swiss Re in this

1 The Honorable James M. Rosenbaum, Chief Judge, United States District Court for the District of Minnesota. 2 For reasons not made clear to this Court, the formal written reinsurance contract between ReliaStar and Canada Life was not executed until January 30, 1998. According to ReliaStar, this is not an uncommon practice in the reinsurance industry. Br. of Plaintiff-Appellee at 10 n.7.

-2- case, are known in the industry as retrocessionaires, and the coverage they provide is known as retrocessional coverage. Swiss Re's participation was arranged through a company called Reinsurance Management Associates (RMA), a managing general underwriter which "accepted risk and performed various administrative and management functions for insurance carrier clients." Br. of Plaintiff-Appellee at 6. Swiss Re issued a retrocessional placement slip for this coverage sometime in December 1996, and ReliaStar ceded one-third of its exposure under the Canada Life reinsurance policy (amounting to twenty-five percent of the total insurance liability of Canada Life) to Swiss Re. In return, Swiss Re was to receive twenty-five percent of the net premium collected by Canada Life.

IOA Re is also a managing general underwriter, and it accepted the retrocessional coverage from ReliaStar on behalf of the pool of other companies for which IOA Re provided services. Answer and Counterclaim of Defendants at 3. IOA Re signed a retrocessional placement slip for this coverage in early 1997, also assuming one-third of ReliaStar's liability in exchange for twenty-five percent of the net premium collected.

The snowbird insurance program for the 1996 to 1997 policy period paid out more than expected on claims and ended in a loss position. Before the end of the policy period, Canada Life began to bill losses to ReliaStar that exceeded the net premiums paid to ReliaStar. On October 2, 1997, ReliaStar submitted the first bills to the retrocessionaires for their portion of the losses. ReliaStar submitted these losses for payment despite the fact that it had not forwarded any premium payments to either retrocessionaire. ReliaStar maintains that it deducted the net premium payments to which the retrocessionaires were entitled from the amount of losses billed to them.

In November 1998, IOA Re notified ReliaStar that it was "canceling the Certificate of Reinsurance" and "rescinding the retrocessional coverage therein," for

-3- reasons that included non-payment of premium and failure to provide requested documentation of claims. Letter from Walter A. Dorosz, Chief Operating/Audit Officer, IOA Re, Inc., to Stephen J. Dvorak, Director of Reinsurance, ReliaStar Reinsurance Group (Nov. 11, 1998). Swiss Re, although it had reconfirmed its intention to pay in a May 1998 fax to ReliaStar, similarly refused to make any payments to ReliaStar, and eventually claimed that they owed no payment to ReliaStar. Br. of Plaintiff-Appellee at 13.

ReliaStar filed this diversity action in December 1999, bringing breach of contract claims under Minnesota law against the retrocessionaires for failure to pay under the retrocessional contracts. The District Court, on cross-motions for summary judgment, held that ReliaStar was entitled to judgment as a matter of law on its breach of retrocession contract claims. The District Court awarded ReliaStar $2,606,684 (Canadian) from each defendant for the amounts ReliaStar paid to Canada Life, and awarded ReliaStar $541,779 from each defendant based on ReliaStar's evidence of lost investment income attributable to the retrocessionaires' refusal to pay. The court ordered the retrocessionaires to pay the judgment in U.S. dollars at the currency exchange rate as of the date the retrocessionaires first refused to pay the losses billed to them on October 2, 1997.

II.

Reinsurance relationships are governed by the traditional principle of "utmost good faith." Unigard Sec. Ins. Co. v. N. River Ins. Co., 4 F.3d 1049, 1054 (2d Cir. 1993). The duty of good faith is essential to the industry, inasmuch as "[r]einsurers depend on ceding insurers to provide information concerning potential liability on the underlying policies." Travelers Indem. Co. v. Scor Reinsurance Co., 62 F.3d 74, 76 (2d Cir. 1995). Reinsurers must rely on this principle because they generally do not duplicate the functions of the ceding insurers, such as evaluating risks and processing

-4- claims. Unigard, 4 F.3d at 1054. To arrange their business otherwise would result in greatly increased costs for both reinsurance and the underlying policies themselves.

Flowing from this duty of good faith is a doctrine, widely recognized in the insurance industry, known as the "follow-the-fortunes" doctrine. Essentially, this doctrine posits that if the cedent has acted in good faith in handling the claims presented to it and in providing coverage of the claims, "the reinsurer may not second guess the coverage decisions of the cedent." Br. of Appellants at 22; see also, e.g., Am. Bankers Ins. Co. v. Northwestern Nat'l Ins. Co., 198 F.3d 1332, 1335 (11th Cir. 1999).3

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