USX Corp. v. Adriatic Insurance

64 F. Supp. 2d 469, 1998 U.S. Dist. LEXIS 22614, 1998 WL 1110166
CourtDistrict Court, W.D. Pennsylvania
DecidedSeptember 30, 1998
DocketCIV.A. 95-866
StatusPublished
Cited by6 cases

This text of 64 F. Supp. 2d 469 (USX Corp. v. Adriatic Insurance) is published on Counsel Stack Legal Research, covering District Court, W.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
USX Corp. v. Adriatic Insurance, 64 F. Supp. 2d 469, 1998 U.S. Dist. LEXIS 22614, 1998 WL 1110166 (W.D. Pa. 1998).

Opinion

OPINION

DIAMOND, District Judge.

Plaintiffs commenced this action seeking indemnification under approximately 278 umbrella and excess policies of insurance for financial losses in excess of $590,218,-296.92 which plaintiffs incurred as a result of judgments and civil suit settlements following a criminal conviction and the entry of civil judgments against plaintiff Bessem *471 er & Lake Erie Railroad Company (“B & LE”) arising out of its participation in a twenty year conspiracy to violate federal and state antitrust laws. Presently before the court is plaintiffs’ motion to amend complaint to add “Equitas” as a party. 1 For the reasons set forth below, the motion will be denied.

Plaintiffs seek to add Equitas to this breach of insurance contract litigation pursuant to the theory that these entities have become directly responsible for any liabilities arising out of certain policies at issue. Plaintiffs argue that under the doctrine of assignment and delegation the London Defendants have transferred their contractual responsibilities in a manner which permits plaintiffs to assert a direct action against Equitas because of the central role it now plays in handling, settling and ultimately paying for claims under the policies. 2 Plaintiffs aver that the London Defendants contractually have delegated the responsibility to perform a duty owing to plaintiffs, the delegee has accepted that obligation and as a result the delegee is now directly liable to plaintiffs for the performance of the original contract obligation. The London Defendants oppose the motion on the ground that the contract under which plaintiffs seek to establish an enforceable delegation merely is a contract of reinsurance which fails to provide plaintiffs with the right to compel actual performance from the reinsurer.

Placing the parties’ arguments in proper context requires an understanding of the way in which insurance policies are underwritten at Lloyd’s. Lloyd’s is not an insurance company, but instead is a central location which functions as a marketplace where various investors buy and sell insurance risks. These investors are individuals who commonly are referred to as “Names.” Names invests funds and pledge assets as security for risks offered in the market.

To become a Name, a person must pledge personal assets and sign a membership agreement with Lloyd’s. The insurance obtained is thus secured by the Names, who are liable on the policy “down to their last cufflinks.” Employers Insurance of Wausau, a Mutual Company v. Central London Market Companies, et al., Civil Action 97-409 (W.D.Wisc. October 27, 1997), at p. 4, reprinted at Exhibit H of Appendix to London Defendants’ Opposition (Document 285). The British Parliament has established a central authority to oversee the market and a central fund has been created to protect the insurance purchased in the event that a Name defaults. Id. at 5.

Names participate in underwriting risks by appointing a managing agent. The managing agent employs an underwriter who assesses and underwrites risks for a given group of Names. Each Name is severally, but not jointly, hable to the insured for the risk undertaken on any particular policy.

Names organize into syndicates which perform collectively many of the administrative tasks of underwriting and servicing the policies. The Names appoint agents to handle the technical aspects of brokerage and risk and premium estimation. Syndicates bundle the risks underwritten by other syndicates over an accounting year, in effect reinsuring other syndicates.

Policies are “closed” on a periodic basis (usually every three years) and the profits or losses are allocated among the participating Names. When a policy period expires, the managing agent is responsible for estimating the amount, if any, which *472 the insured is or may be entitled to receive under the policy. The managing agent undertakes a process of “closing” the account and in this process considers the insured’s reported claims as well as any losses which have been incurred that have not yet been reported as claims. A managing agent may spread the Names’ risk of making additional payments on a closed policy by reinsuring the policy with other Names doing business at Lloyd’s in the amount of the estimated additional future payments. This process commonly is understood as “reinsurance-to-close” and in this way the Names who issued policies remain liable on the account, but the reinsurance coverage functions as a source from which the Names may seek indemnity in the event additional payments are required on a closed policy. See Long Island Lighting Co. v. Aetna Casualty & Surety Co., Civil Action 96-9664, 1997 WL 567342 (S.D.N.Y. Sept. 11, 1997), reprinted at Exhibit E of Appendix to London Defendants’ Opposition.

In the late 1980’s and early 1990’s Lloyd’s experienced unprecedented losses from asbestos and pollution claims, the questionable underwriting of excess reinsurance treaties and a string of catastrophic events. Plaintiffs’ Brief in Support at p. 5. The estimate for the losses for years prior to 1993 totaled approximately $22 billion. Id. The losses threatened the collapse of the entire market. A large number of Names instituted numerous actions in the United Kingdom and the United States against Lloyd’s, managing agents, members agents, errors & omissions insurers, auditors and Lloyd’s brokers. See generally Lloyd’s Reconstruction and Renewal Settlement Offer (July 1996) at pp. 22-26 reprinted at Tab B of Plaintiffs’ Appendix in Support. In the face of the increasing inability to close on prior policy years in the traditional manner and the threat of the collapse of the entire market, the counsel of Lloyd’s developed a plan for “reconstruction and renewal.” The group of entities which the parties commonly refer to as Equitas were established in order to contain the potential long-term losses and liabilities that had arisen. The plan provided for settlement of all pending litigation commenced by the Names.

Funding for Equitas came from various financial arrangements under a debt-credit package and a write-off by Lloyd’s of central fund debt owed by the Names, which in turn resulted in the transfer of part of the central fund to a new central fund created by Equitas. Additional funding came from various other sources interested in terminating the litigation commenced by the Names, including contributions by managing agents, members’ agents, errors and omissions insurance, auditors and Lloyd’s brokers. Id. The entire assets from the program of renewal were transferred to a discretionary trust solely for the benefit of the Names. The Names do not hold shares in the trust, but the trustees are required to act in the interests of the reinsured Names. See Report & Accounts for the Period Ending 4 September 1996 at p. 4 reprinted at Tab A in Plaintiffs’ Appendix in Support. Funding for Equitas also came about as a result of the transfer of syndicate reserves and reinsurance previously obtained for pre-1993 account years.

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123 A.D.3d 222 (Appellate Division of the Supreme Court of New York, 2014)
Employers Ins. Co. of Wausau v. EQUITAS HOLDINGS
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USX Corp. v. Adriatic Insurance
345 F.3d 190 (Third Circuit, 2003)
Usx Corporation v. Adriatic Insurance Company
345 F.3d 190 (First Circuit, 2003)

Cite This Page — Counsel Stack

Bluebook (online)
64 F. Supp. 2d 469, 1998 U.S. Dist. LEXIS 22614, 1998 WL 1110166, Counsel Stack Legal Research, https://law.counselstack.com/opinion/usx-corp-v-adriatic-insurance-pawd-1998.