Travelers Casualty & Surety Co. v. Insurance Co. of North America

609 F.3d 143, 2010 WL 2293208
CourtCourt of Appeals for the Third Circuit
DecidedJune 9, 2010
Docket06-4100, 06-4101, 07-4690, 08-1032
StatusPublished
Cited by68 cases

This text of 609 F.3d 143 (Travelers Casualty & Surety Co. v. Insurance Co. of North America) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Travelers Casualty & Surety Co. v. Insurance Co. of North America, 609 F.3d 143, 2010 WL 2293208 (3d Cir. 2010).

Opinion

*148 OPINION OF THE COURT

AMBRO, Circuit Judge.

This is a dispute over reinsurance coverage. In 1998, Travelers Casualty and Surety Co. (“Travelers”) reached a $137 million settlement with its insured, Acme Corporation (“Acme”). 1 Travelers then proceeded to allocate those $137 million dollars among three tiers of insurance coverage, only the highest of which — the so-called “excess” layer — included policies reinsured by Ace America Reinsurance Company and Insurance Company of North America (collectively, “INA”). When Travelers billed INA $13,762,395 based on its allocation, INA refused to pay, and Travelers sued to recover in the Eastern District of Pennsylvania.

At issue before the District Court was whether Travelers manipulated its post-settlement allocation so as to maximize the amount allocated to policies reinsured by INA, thus excusing INA from its normal duty as a reinsurer to “follow” all coverage decisions made by its reinsured. The District Court held two bench trials, each addressing a different aspect of Travelers’ allocation, and ultimately reached what was, in effect, a split decision. The Court ruled, following the first bench trial, that Travelers had not manipulated its allocation of the settlement dollars so as to allow it to reach the excess layer of coverage (and thus tap into its reinsurance). But the Court also ruled after the second bench trial that, once Travelers reached the highest tier of coverage, it allocated more to certain policies reinsured by INA than was reasonably allowed by their policy limits. The result of those two verdicts was to leave INA responsible for only $8,226,817 of the loss initially allocated to it.

The Court then issued two consequential post-trial rulings. In the first, it held that prejudgment interest on Travelers’ award should be calculated according to the Pennsylvania rate, even though the reinsurance contracts under which Travelers sued were governed by New York law. In the second, it held that post-judgment interest on the prejudgment interest did not begin to accrue until the District Court issued its order quantifying the amount of prejudgment interest due.

Both parties appealed. 2 We affirm both trial verdicts as well as the ruling concerning when post-judgment interest on the prejudgment interest began to accrue. However, because we believe that Travelers’ award of prejudgment interest should be calculated according to the higher New York rate, we remand on that issue only so that the prejudgment interest can be recalculated.

I. BACKGROUND

A. The Follow-the-Fortunes Doctrine and the Reinsurance Relationship

Because the events that gave rise to this dispute occurred in the context of a relationship between an insurer (Travelers) and its reinsurer (INA), we begin with some background into the reinsurance relationship. Reinsurance is a mechanism “ ‘by which one insurer insures the risk of *149 another insurer.’” N. River Ins. Co. v. Ace Am. Reins. Co., 361 F.3d 134, 137 (2d Cir.2004) (quoting People ex rel. Cont’l Ins. Co. v. Miller, 177 N.Y. 515, 70 N.E. 10, 12 (1904)). The insurer pays the rein-surer a premium in exchange for which the reinsurer assumes “a portion of the [insurer’s] potential financial exposure under certain direct insurance policies it has issued to its insured.” Id. Obtaining reinsurance allows an insurer to diversify its risk exposure, thus increasing its “capacity to insure other customers and decreasing] the likelihood that ... insolvency will result from any large claim.” N. River Ins. Co. v. CIGNA Reins. Co., 52 F.3d 1194, 1199 (3d Cir.1995).

A crucial feature of the reinsurance relationship is that “[r]einsurance involves contracts of indemnity, not liability.” Unigard Sec. Ins. Co. v. N. River Ins. Co., 4 F.3d 1049, 1054 (2d Cir.1993). That is, in providing reinsurance, the rein-surer . acquires no direct liability to the original policyholder; rather, the reinsurer assumes an obligation to indemnify the insurer for payments it makes under the reinsured policies. Id. Indeed, a reinsurance agreement typically contains two specific provisions designed to prevent the reinsurance relationship from encroaching on coverage disputes between the insurer and its insured: a “follow-the-form” provision, in which the reinsurer agrees to rein-sure the policies as written, and a “follow-the-fortunes” provision, in which the rein-surer agrees to “follow” the coverage provided by the insurer. See CIGNA, 52 F.3d at 1199-1200.

Of these two provisions, the most crucial is the follow-the-fortunes provision. See Barry R. Ostrager & Mary Kay Vyskocil, Modem Reinsurance Law & Practice § 2.03[d] (2d ed.2000), at 2-17 (noting that the “follow-the-fortunes” provision lies “at the heart of the reinsurance agreement”). The follow-the-fortunes doctrine significantly restricts a reinsurer’s ability to challenge the coverage decisions that led to its liability to the insurer. This is so for a basic reason — “[i]f the [insurer] knew that its settlement decisions could be challenged by every reinsurer, there would be little incentive to settle with the insured. The costs and risks of litigation avoided by settling with the insured would only be revived at the reinsurance stage.” Commercial Union Ins. Co. v. Seven Provinces Ins. Co., 9 F.Supp.2d 49, 66 (D.Mass.1998); see also CIGNA, 52 F.3d at 1206 (“To permit the reinsurer to revisit coverage issues resolved between the insurer and its insured would place insurers in the untenable position of advancing defenses in coverage contests that would be used against them by reinsurers seeking to deny coverage.”).

Accordingly, the follow-the-fortunes doctrine “insulates a reinsured’s liability determinations from challenge by a reinsurer unless they are ... in bad faith, or the payments are clearly beyond the scope of the original policy.” 3 Ace, 361 F.3d at 140 (internal quotation marks and citation omitted). In other words, a rein-surer seeking to avoid payment must show either that the coverage decisions that led to the reinsurer’s liability to the insurer were made in bad faith, or that the coverage provided clearly fell outside the scope of the policies the reinsurer agreed to rein-sure. See Mentor Ins. Co. (U.K.) Ltd. v. Brannkasse, 996 F.2d 506, 517 (2d Cir. *150 1993). Otherwise, the reinsurer must simply cover the losses allocated to it.

B. Acme v. Travelers and Travelers v. INA

In April 1996, Travelers acquired Aetna Casualty and Surety Company (“Aetna CS”). . At the time, Acme was seeking coverage under insurance policies issued by Aetna CS in the 1970s and 1980s.

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609 F.3d 143, 2010 WL 2293208, Counsel Stack Legal Research, https://law.counselstack.com/opinion/travelers-casualty-surety-co-v-insurance-co-of-north-america-ca3-2010.