Travelers Insurance v. Central National Insurance

733 F. Supp. 522, 1990 WL 32677
CourtDistrict Court, D. Connecticut
DecidedMarch 21, 1990
DocketCiv. H-88-442(AHN)
StatusPublished
Cited by3 cases

This text of 733 F. Supp. 522 (Travelers Insurance v. Central National Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Travelers Insurance v. Central National Insurance, 733 F. Supp. 522, 1990 WL 32677 (D. Conn. 1990).

Opinion

FINDINGS OF FACT AND CONCLUSIONS OF LAW

NEVAS, District Judge.

This matter was tried to the court between January 30 and February 2, 1990. Pursuant to Rule 52(a), Fed.R.Civ.P., the court makes the following findings of fact and conclusions of law.

Findings of Fact

1. Travelers Insurance Company (“Travelers”) is a corporation duly organized and existing under the laws of the State of Connecticut with its principal place of business in the State of Connecticut.

2. The Central National Insurance Company of Omaha (“Central National”) is a corporation duly organized and existing under the laws of the State of Nebraska. During the time period relevant to the allegations in the complaint, it was licensed to do business, and did do business, in the State of Connecticut.

The Falls Claim

3. Travelers issued to Fleming Company, Inc. (“Fleming”) a liability insurance policy, effective from July 1,1982 to July 1, 1983, bearing policy no. TREE-SLG-104T377-8-82 (the “Fleming Policy”).

4. Central National issued to Travelers a casualty facultative reinsurance certificate no. ZAC-184-61-89 (the “Fleming Reinsurance Certificate”).

5. Pursuant to the Fleming Reinsurance Certificate and subject to certain conditions therein, Central National agreed to indemnify Travelers up to ninety percent, or $900,000, of Travelers’ insurance liability under the terms of the Fleming Policy, in excess of $100,000, plus Central National’s proportion of certain expenses incurred by Travelers. In the language of the reinsurance industry, Travelers’ “retention” was $100,000 and Central National’s “retention” was $900,000.

6. The Fleming Reinsurance Certificate provided that Central National indemnify Travelers:

with respect to its insurance liability assumed under the policy set forth in the *524 front of this Certificate subject to the following terms and conditions:
D. NOTICE OF OCCURRENCE. Prompt notice shall be given [Central National] by [Travelers] of any occurrence or accident which appears likely to involve loss under the reinsurance, whether [Travelers] considers it has an adequate defense or not.
E. DEFENSE OF CLAIMS OR SUITS. While [Central National] does not undertake to investigate or defend claims or suits, it shall nevertheless have the right to be given the opportunity to associate with [Travelers] and its representatives at its own expense in the defense and control of any claim, suit or proceeding involving this reinsurance, with full cooperation of [Travelers].

7. The Fleming Reinsurance Certificate (in Paragraph F, “Loss Payable”) provided as follows: “All claims involving this reinsurance, when settled by the Company [i.e., Travelers] shall be binding on the Reinsurer, which shall be bound to pay its proportion of such settlement promptly following receipt of proof of loss in the following manner....”

8. Travelers customarily sets reserves on a claim made against its insured by considering the insured’s potential liability and the damages suffered by the claimant.

9. It is the custom and practice in the insurance industry that primary insurers set only minimal reserves where they believe the potential liability of their insured to be slight, even where a claimant has suffered severe injuries.

10. Travelers customarily issues precautionary notice of a claim to a reinsurer, or a reinsurer’s intermediary if one is present, when the total reserves posted for that claim equal or exceed fifty percent of Travelers’ retention under the reinsurance certificate.

11. Thereafter, Travelers will issue interim notices reporting on the status of the claim and the level of reserves it has set.

12. It is the custom and practice in the reinsurance industry that reinsurers do not investigate claims made against their ceding company’s insured. Rather, they rely on the ceding company to do so.

13. It was Central National’s practice not to be associated with or participate in the management of claims or in the setting of reserves until after claims files were transferred to Central National’s attention by its broker/intermediary.

14. On February 9, 1983, Donald B. Falls was severely injured on the Fleming premises when a breaker panel he was working on exploded.

15. Falls, then age 26, received second and third degree burns over 75 percent of his body.

16. Travelers first received notice of Falls’ injury on or about May 5, 1983.

17. In September 1983 Travelers learned that Falls had initiated suit against Fleming and various other defendants (the “Falls claim”).

18. On May 25, 1983, Travelers’ claim department personnel visited the Fleming premises to investigate the Falls claim. They learned that Fleming’s workers compensation carrier had spent more than $100,000 on Falls’s injuries, and that Falls continued to be hospitalized.

19. On or about June 2, 1983 Travelers posted a $25,000 claim reserve and a $15,-000 expense reserve for the Falls claim.

20. Travelers set the reserve at this level because it believed that Fleming would not be subject to liability. Travelers based this belief on the thorough and complete on-site investigation of the Fleming premises by a senior claims supervisor from its Houston office.

21. Until May 1986 Travelers maintained its belief that Fleming probably would not be held liable.

22. By letter dated July 29, 1983, the attorney retained by Travelers to represent Fleming notified Travelers of “the potential for some exposure on the basis of unsafe premises” on the part of Fleming. The attorney stated that the unsafe condition had been created by the installer of the breaker panel and advised Travelers that it could expect to be indemnified by said installer. He further advised Travelers that *525 there was a “good cause of action against the manufacturer of the panel.”

23. In May 1986 Travelers learned for the first time that Fleming employees had worked on the breaker panel after its installation.

24. Based on this information, in or about July 1986, Travelers increased its expense reserve to $50,000. It left the $25,000 claim reserve unchanged.

25. In or about August 1986, Travelers increased its claim reserves from $25,000 to $750,000.

26. Transco Insurance Services (“Tran-sco”) acted as Central National’s agent for the purpose of assuming the risks under the Fleming Reinsurance Certificate. Transco also had authority to settle claims for Central National until August 1988.

27. Travelers sent notice of the Falls claim on July 12, 1986 to RFC Intermediaries, which acted as Travelers’ reinsurance intermediary.

28. Central National received notices of the Falls claim dated October 22, 1986, January 28, 1987, April 27, 1987 and June 3, 1987.

29. Central National first received notice of the Falls claim through its agent Transco in November 1986.

30.

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Bluebook (online)
733 F. Supp. 522, 1990 WL 32677, Counsel Stack Legal Research, https://law.counselstack.com/opinion/travelers-insurance-v-central-national-insurance-ctd-1990.