TIG Insurance Co. v. GLOBAL INTERNATIONAL REINSURANCE COMPANY, LTD.

640 F. Supp. 2d 519, 2009 U.S. Dist. LEXIS 69184, 2009 WL 2423259
CourtDistrict Court, S.D. New York
DecidedAugust 7, 2009
Docket09 Civ. 1289(JSR)
StatusPublished
Cited by5 cases

This text of 640 F. Supp. 2d 519 (TIG Insurance Co. v. GLOBAL INTERNATIONAL REINSURANCE COMPANY, LTD.) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
TIG Insurance Co. v. GLOBAL INTERNATIONAL REINSURANCE COMPANY, LTD., 640 F. Supp. 2d 519, 2009 U.S. Dist. LEXIS 69184, 2009 WL 2423259 (S.D.N.Y. 2009).

Opinion

MEMORANDUM ORDER

JED S. RAKOFF, District Judge.

Because an arbitrator is not required to proceed in formal fashion or to give reasons for his rulings, his decisions may often appear arbitrary, especially to the non-prevailing party. But having chosen to forego the procedural punctiliousness and reviewable reasoning of a court of law, the loser is hard-pressed to complain if there is even a colorable justification for the result. Here, the losing party got all that it bargained for when it elected arbitration.

Global International Reinsurance Company, Ltd. (“Global”) and TIG Insurance Company (“TIG”) are parties to a reinsurance agreement pursuant to which Global agreed to indemnify TIG for certain losses. In a previous Order dated October 30, 2008, the Court confirmed an arbitrator’s award granting TIG’s motion for partial summary judgment on the basis that Global had entered into a settlement agreement that released its right to audit and dispute TIG’s claims for certain of those losses. Global then asserted before the arbitrator that TIG had fraudulently induced it to enter into that release and settlement agreement, or, alternatively, that TIG had allocated the disputed claims in bad faith; but the arbitrator, in a one-sentence order, rejected those assertions as well. Global now petitions this Court to vacate the arbitration award pursuant to sections 10(a)(3) and 10(a)(4) of the Federal Arbitration Act, and TIG cross-petitions to confirm the award.

By way of background, Global agreed to reinsure TIG for certain losses pursuant to a Loss Reserve Reinsurance Agreement (the “LPT Agreement”) with an aggregate limit of $315 million. Declaration of Christopher Paul Anton (“Anton Decl.”) Ex. 20, Tab R, Art. V. A sublimit, which has been exhausted, capped Global’s exposure for *521 certain losses at $25 million. Id. Art. XII. In 1999, the parties disputed the scope of the sublimit, and on September 23, 2002 an arbitration panel agreed with TIG’s interpretation. Id. Ex. 20, Tab A.

In accordance with that decision, TIG undertook to have its auditor, Buxbaum Loggia & Associates (“Buxbaum”), perform an audit (the “Buxbaum Audit”) to ensure that claims were properly coded in accordance with the arbitration panels’ ruling. Anton Decl. Ex. 20, Tab V. In connection with that audit, TIG prepared a written protocol that set forth the procedure for allocating losses. Id. The protocol expressly noted that there was at least some subjectivity involved in both the original underwriters’ assignment of premium codes and in the claims coders’ assignment of codes. See, e.g., id. at 10 (identifying “[o]ne additional area in which a claims coder would have had the opportunity to make a choice that would affect the [code] ultimately assigned to the claim ... ”). TIG forwarded the protocol to Global, and solicited “any comment that [Global] may have regarding the methodology that TIG intends to employ in creating and verifying accuracy” of the proposed audit. Id. Global did not provide any comments, objections, or feedback on the protocol. TIG represented to Global and the arbitration panel that the Buxbaum Audit was “exhaustive” and based on a “carefully developed methodology” for “ensuring that the claims were properly coded.” Id. Ex. 1 at 1-2.

The results of the Buxbaum Audit, which TIG provided to Global in February 2003, showed, inter alia, that out of 1,118 audited claims valued at approximately $130 million, 162 claims with an incurred value of approximately $14 million had been miscoded as falling outside of the sublimit and 48 claims with an incurred value of approximately $7 million had been miscoded as falling inside the sublimit. Id. Ex. 20, Tab Q. TIG represented to Global that the Buxbaum Audit was accurate and that TIG had corrected the identified coding errors. Id. Ex. 13 ¶ 5. In March 2003, TIG forwarded to Global a Fourth Quarter 2002 Loss Report, which incorporated the results of the audit. Declaration of Sean Thomas Keely (“Keely Deck”) Ex. A at Ex. 4. Although the prior order of the arbitration panel required Global to object to any quarterly report within seven days, Anton Deck Ex. 6, Global never objected to or reserved its rights with respect to the Fourth Quarter 2002 Loss Report.

On May 13, 2004, the parties entered into a Settlement Agreement that dismissed with prejudice all claims raised but riot resolved in the parties’ ongoing arbitration proceedings and incorporated the arbitration panel’s September 23, 2002 interpretation of the sublimit. Id. Ex. 20, Tab B. Paragraph 14 of the Settlement Agreement required TIG to audit a statistically representative sample of Global’s claim to ensure that those claims were coded in a manner consistent with the September 23, 2002 Order. Id. Ex. 20, Tab B at ¶ 14. The Settlement Agreement also provided that, in any subsequent arbitration proceeding (including the one underlying this action), “[t]he arbitrator shall be relieved of all judicial formality and shall not be bound by the strict rules of law.” Id. ¶ 21.

Later in 2004, Global sought to amend the Settlement Agreement to permit Global to review the allocation of pre-2003 losses, together with additional losses reported between January 1, 2003 and March 15, 2004 that had not previously been reviewed as part of the first audit. Id. Ex. 20, Tab E. On July 28, 2004, David Thirkill of TIG informed Manjo Karnani of Global by e-mail that the Settlement Agreement had foreclosed Global’s right to audit pre-2003 claims. See id. (“We had *522 a deal. Whatever the words say, that deal was to draw a line in the sand and to move forward”). On July 29, 2004, Mr. Thirkill sent another e-mail to Mr. Karnani that served “as a clarification of Section 14 (audit scope) of the Settlement Agreement,” noting that, with certain exceptions, “[n]o other claim reported to TIG prior to 12/31/02 shall be subject to review in any future audit.” Id. Ex. 20, Tab C. Global agreed. Id.

In March 2005, TIG conducted the audit required by the Settlement Agreement. Id. Ex. 20, Tab O ¶¶ 9-10. Approximately 33% of the 64 claims reviewed were miscoded or lacked sufficient information to verify the coding. Id. ¶¶ 13-14. Global thereafter retained Edward McKinnon of Claims Resource Management, Inc. to conduct an independent inspection of TIG’s records pursuant to paragraph 11 of the Settlement Agreement. Id. Ex. 20, Tab O ¶ 19. McKinnon determined that 222 of 494 claims reviewing during its audit were miscoded, amounting to approximately $18 million that should have been subject to the sublimit. Id. Ex. 14, ¶¶ 2, 7, 10. McKinnon noted that 62 of these miscoded claims were previously audited by Buxbaum, which “either failed to recognize that TIG had miscoded the claims or erroneously determined that the claims should be recoded.” Id. Ex. 14, ¶ 19(e).

In October 2007, Global served a demand for arbitration on TIG, alleging, inter alia,

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Bluebook (online)
640 F. Supp. 2d 519, 2009 U.S. Dist. LEXIS 69184, 2009 WL 2423259, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tig-insurance-co-v-global-international-reinsurance-company-ltd-nysd-2009.