<?xml version="1.0" encoding="UTF-8"?>
<rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:wfw="http://wellformedweb.org/CommentAPI/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
	xmlns:slash="http://purl.org/rss/1.0/modules/slash/"
	>

<channel>
	<title>Loree Reinsurance and Arbitration Law Forum &#187; Contract Interpretation</title>
	<atom:link href="http://loreelawfirm.com/blog/category/contract-interpretation/feed" rel="self" type="application/rss+xml" />
	<link>http://loreelawfirm.com/blog</link>
	<description></description>
	<lastBuildDate>Wed, 28 Sep 2011 19:24:52 +0000</lastBuildDate>
	<language>en</language>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<generator>http://wordpress.org/?v=3.0.4</generator>
		<item>
		<title>Reinsurance Nuts &amp; Bolts:  A Potpourri of Reinsurance Issues: Gulf Ins. Co. v Transatlantic Reins. Co. (1st Dep’t Oct. 1, 2009) (Part II of a Two-Part Post).</title>
		<link>http://loreelawfirm.com/blog/reinsurance-nuts-bolts-a-potpourri-of-reinsurance-issues-gulf-ins-co-v-transatlantic-reins-co-1st-dep%e2%80%99t-oct-1-2009-part-ii-of-a-two-part-post</link>
		<comments>http://loreelawfirm.com/blog/reinsurance-nuts-bolts-a-potpourri-of-reinsurance-issues-gulf-ins-co-v-transatlantic-reins-co-1st-dep%e2%80%99t-oct-1-2009-part-ii-of-a-two-part-post#comments</comments>
		<pubDate>Fri, 20 Nov 2009 17:56:45 +0000</pubDate>
		<dc:creator>Philip J. Loree Jr.</dc:creator>
				<category><![CDATA[Appellate Practice]]></category>
		<category><![CDATA[Contract Interpretation]]></category>
		<category><![CDATA[New York State Courts]]></category>
		<category><![CDATA[Nuts & Bolts]]></category>
		<category><![CDATA[Nuts & Bolts: Reinsurance]]></category>
		<category><![CDATA[Amount of Reinsurance Accepted]]></category>
		<category><![CDATA[Appellate Division First Department]]></category>
		<category><![CDATA[Course of Performance]]></category>
		<category><![CDATA[Extrinsic Evidence]]></category>
		<category><![CDATA[Gulf Ins. Co. v Transatlantic Reins. Co]]></category>
		<category><![CDATA[Inuring Reinsurance]]></category>
		<category><![CDATA[Mutual Mistake]]></category>
		<category><![CDATA[Parol Evidence Rule]]></category>
		<category><![CDATA[Quota Share Treaty]]></category>
		<category><![CDATA[Reformation]]></category>
		<category><![CDATA[Rescission]]></category>
		<category><![CDATA[Residual Value Policies]]></category>
		<category><![CDATA[Retention]]></category>
		<category><![CDATA[Summary Judgment]]></category>

		<guid isPermaLink="false">http://loreelawfirm.com/blog/?p=1809</guid>
		<description><![CDATA[Introduction In Part I of this two-part post (here) we discussed the background and procedural history of Gulf/Transatlantic and how New York&#8217;s Appellate Division, First Department resolved the issues of:  (a) the amount of reinsurance accepted by Gerling; and (b) whether the trial court should have granted Gerling’s motion for summary judgment on Gulf’s reformation claim.  [...]]]></description>
			<content:encoded><![CDATA[<p><strong><em><span style="text-decoration: underline;">Introduction </span></em></strong></p>
<p>In Part I of this two-part post (<a title="Gulf/Transatlantic Part I" href="http://loreelawfirm.com/blog/reinsurance-nuts-bolts-a-potpourri-of-reinsurance-issues-courtesy-of-gulf-ins-co-v-transatlantic-reins-co-part-i-of-a-two-part-post" target="_blank"><strong>here</strong></a>) we discussed the background and procedural history of <em>Gulf/Transatlantic </em>and how New York&#8217;s Appellate Division, First Department resolved the issues of:  (a) the amount of reinsurance accepted by Gerling; and (b) whether the trial court should have granted Gerling’s motion for summary judgment on Gulf’s reformation claim.  This Part II covers the remaining three issues whether:  (a) the 1998 First Union Policy “attached” to the 1999 Treaty; (b) Gerling reinsured the policies Gulf issued to a subsidiary of the General Electric Company; and (c) Gerling established a question of material fact concerning whether it was entitled to rescind the 1999 Treaty.   <span id="more-1809"></span> </p>
<p><strong><em><span style="text-decoration: underline;">Discussion</span></em></strong></p>
<p><em>A.     </em><em>Did a three-month stub period of the 1998 First Union Corporation Policy “attach” to the 1999 Treaty?  </em></p>
<p>Gerling sought a declaration that the policy issued to First Union Corporation (the “First Union Policy”) was not covered by the 1999 Treaty, and Gulf sought a declaration that Gerling was “obligated to indemnify Gulf under the 1999 treaty for Gerling&#8217;s share of [a settlement Gulf entered into with First Union and for which it sought partial reimbursement under].  .  .  the 1999…Treaty.”  Slip op. at 13.  Both parties moved for partial summary judgment on this claim, and the trial court granted partial summary judgment in favor of Gerling and denied partial summary judgment in favor of Gulf.  The Court held that the trial court should have denied both parties’ summary judgment motions on this claim because neither party met its burden on its motion. </p>
<p>Effective January 1, 1996 Gulf issued a twelve-month policy to First Union (the “1996 First Union Policy”).  Gulf issued two subsequent policies effective January 1, 1997 (the “1997 First Union Policy”), and January 1, 1998 (the “1998 First Union Policy”).  Gulf and First Union reached an agreement to extend coverage for three months into 1999 under the same terms of the 1998 First Union Policy pending negotiations, but neither Gulf nor Gerling presented any evidence whether the agreement was oral or written, or cited “any evidence bearing on the question of whether the agreement, as opposed to the coverage, was effective as of a date in 1998, as of.  .  .  January 1, 1999 or as of a later time and date in 1999.”  Slip op. at 13.   </p>
<p>The 1999 Treaty was &#8220;’[e]ffective January 1, 1999 at 12:01 a.m., Eastern Standard Time, to January 1, 2000 at 12:01 a.m. Eastern Standard Time, as respects losses occurring on <em>policies attaching during the term’</em>&#8220;  Slip op. at 12 (emphasis in original; quoting 1999 Treaty).  The “Business Covered” article said that Gulf ceded to its reinsurers a &#8220;’quota share participation of the net retained insurance liability of [Gulf] on each risk insured under <em>new and renewal policies becoming effective </em>at and after 12:01 a.m., Eastern Standard Time, January 1, 1999, as respects losses occurring at and after said date covering business classified by [Gulf] as Automobile Residual Value Insurance’&#8221;  Slip op. at 12. (emphasis in original; quoting 1999 Treaty).  “Policies” were defined as &#8220;’[Gulf's] binders, policies and contracts providing insurance and reinsurance on the business covered under this Agreement.’&#8221; Slip op. at 12 (emphasis in original; quoting 1999 Treaty).  The Treaty’s choice-of-law clause provided that &#8220;’[t]his Agreement shall be governed by and construed according to the laws of the State of New York.’&#8221;  Slip op. at 12 (emphasis in original; quoting 1999 Treaty).</p>
<p>While the Treaty did not define the verb “attaching,” the Court said that “[i]ts meaning.  .  .  seems clear from the above-quoted language of Article I of the treaty, and the parties appear to be in agreement that a policy, be it a &#8220;new&#8221; or a &#8220;renewal&#8221; policy, &#8220;attach[es]&#8221; during the term of the treaty if it becomes effective during the treaty&#8217;s term.”  Slip op. at 12.  Thus, concluded the Court, “[r]egardless of whether the agreement is characterized as an ‘extension,’ a ‘new’ or a ‘renewal’ policy, the decisive question is whether that policy attached — i.e., became effective — during the term of the [T]reaty.”  Slip op. at 15-16.  And the resolution of that question turned on whether First Union and Gulf intended “that the agreement become effective on a date during the term of the” Treaty.  Slip op. at 16. </p>
<p>The problem for both Gerling and Gulf was that neither came forward with any evidence as to what First Union’s and Gulf’s intent was as respects when the parties intended the agreement to extend the term of the policy to be effective:</p>
<p style="padding-left: 30px;">[I]f Gulf and First Union agreed in 1998 to extend the 1998 policy and intended their agreement to be effective in 1998, Gerling would be entitled to summary judgment.  But if Gulf and First Union agreed in 1999 to extend the 1998 policy, or agreed in 1998 to such an extension but intended their agreement to be effective in 1999, Gulf would be entitled to summary judgment (putting aside, of course, Gerling&#8217;s claim that it is entitled to rescission of the 1999 treaty [See Section C., below]).  As neither party alerts us to any evidence presented to Supreme Court bearing on when the agreement was reached or when it was intended to be effective, neither party met its burden and each party&#8217;s motion for partial summary judgment should have been denied.</p>
<p>Slip op. at 16.  </p>
<p><em>B.     </em><em> Did Gerling agree to reinsure Gulf’s Section B coverage in 1998?  </em></p>
<p>The Treaties contained two separate coverage types:  Section A, which consisted of RVI policies Gulf issued to various insureds; and Section B, which consisted solely of the RVI policies Gulf issued to a subsidiary of the General Electric Company.  The issues we have discussed thus far have applied to both coverage sections, so we have not yet had occasion to distinguish between the two. </p>
<p>But Gulf contended that there was an oral agreement between Gerling and Gulf under which Gerling agreed to reinsure Gulf’s section B coverage during the period August 1, 1998 until and including December 31, 1998.  Gulf contended this was a separate agreement from the 1999 Treaty, and therefore proof of its existence was not barred by the integration clause in the 1999 Treaty.  Gerling moved for partial summary judgment on Gulf’s claim, which the trial court granted, and which the Court affirmed. </p>
<p>The Court did not have to address Gulf’s claim that the agreement was separate from the 1999 Treaty, because it found that Gulf failed to meet its burden to establish the existence of a material issue of fact warranting the denial of summary judgment.  <em>See </em>Slip op. at 17-18.   </p>
<p>Under New York law, said the Court, “’[t]o create a binding contract, there must be a manifestation of mutual assent sufficiently definite to assure that the parties are truly in agreement with respect to all material terms.’”  Slip op. at 17  (quoting <em>Re  Express Indus. &amp; Term. Corp. v New York State Dept. of Transp.</em>, 93 N.Y.2d 584, 589 (1999) (<a title="Express Indus. &amp; Term. Corp." href="http://www.law.cornell.edu/nyctap/I99_0118.htm" target="_blank"><strong>here</strong></a>)).   And to defeat summary judgment on a claim predicated on the existence of an oral agreement, the party opposing summary judgment must “’set forth such necessary evidentiary details as when, where or by whom the alleged oral agreement was made or the substance of the conversations.’&#8221;  Slip op. at 17 (quoting <em>Apache-Beals Corp. v Intl. Adjusters, Ltd.</em>, 59 A.D.2d 1032, 1033 (4<sup>th</sup> Dep’t 1977), <em>aff’d, </em>46 N.Y.2d 888 (1979) (<a title="Apache-Beals Corp." href="http://scholar.google.com/scholar_case?case=11676238624478785494&amp;q=%2259+A.D.2d+1032%22&amp;hl=en&amp;as_sdt=2002" target="_blank"><strong>here</strong></a>)). </p>
<p>Gulf’s evidentiary submissions did not meet this burden, and the Court affirmed the trial court’s grant of partial summary judgment.  Gulf relied on a March 29, 1999 fax from the broker to Gerling’s underwriter which purported to &#8220;confirm,’ among other things, coverage under Section B  effective August 1, 1998,” but the fax did not “identify when, where or by whom Gerling agreed to such coverage,” and the underwriter “did not respond to the fax or to a subsequent letter” from the Broker “enclosing for [the underwriter’s] signature an I &amp; L contract for Section B coverage only for the period from August 1, 1998 through December 31, 1998.”  Slip op. at 17 (quotations omitted).  Gerling also relied on other facts, “including Gerling&#8217;s receipt of a premium from Gulf consistent with participation by Gerling on Section B coverage for the last five months of 1998.”  Slip op. at 17-18.  While those facts might have established an implied contract, Gulf’s claim was based on an oral contract, and they  did not establish the existence of such a contract.  See slip op. at 17-18.</p>
<p><em>C.     Did Gerling establish that there was a question of material fact as to whether it was entitled to rescind the 1999 Treaty?  </em><em>    </em></p>
<p>Rescission was one of the grounds on which Gerling opposed Gulf’s motion for summary judgment concerning Gerling’s indemnification obligations under the 1999 Treaty.  The trial court ruled there was a material question of fact as to whether Gerling was entitled to rescind the 1999 Treaty.  The Court affirmed, albeit on different grounds. </p>
<p>For the benefit of readers not already familiar with the law governing rescission of reinsurance contracts, a reinsurer need not prove actual – or even constructive – fraud or mutual mistake to rescind a reinsurance contract.  What sets reinsurance contracts apart is the duty of utmost good faith (<em>uberrimae fidei</em>):   To establish a prima facie case for rescission, a reinsurer need only show that pre-contract the cedent failed to disclose material facts concerning the original risk of loss.  Even an innocent nondisclosure may suffice.  <em>See, e.g.</em>, <em>Union Indemnity Ins. Co. v. American Centennial Ins. Co.</em>, 89 N.Y.2d 94, 106-07 (1996) (copy <a title="here" href="http://www.law.cornell.edu/nyctap/I96_0210.htm" target="_blank"><strong>here</strong></a>).   For a more thorough recitation of the applicable legal principles, and cites to other key cases, see slip op. at 18. </p>
<p>Gerling’s rescission defense concerned events surrounding the First Union policy, which was discussed in Section A., above.  As discussed, there is a question of fact as to whether that policy was ceded to the 1999 Treaty in the first place.  But Gerling’s rescission defense is predicated on different facts. </p>
<p>Gerling adduced evidence that, when Gulf solicited Gerling’s participation in the 1999 Treaty, Gulf failed to disclose that L&amp;M – Gulf’s managing general agent (“MGA”) – “was seeking a 360% increase in the premium rate on.  .  .  the First Union policy, even though, in response to inquiries from.  .  .  Gerling&#8217;s underwriter, Gulf stated that it was too early in the program to seek premium adjustments from its insureds.”  Slip op. at 18-19.  It was undisputed that:  (a) the First Union Policy – due to expire on December 31, 1998 – accounted for approximately one-half the premium reported under the reinsured RVI program; (b) “L&amp;M was seeking … a substantial premium increase;” and (c) Gerling was not informed of the request prior to agreeing to participate in the 1999 Treaty.  Slip op. at 19. </p>
<p>The crux of Gulf’s position was that there was no evidence that Gulf knew, at the time of placement, that L&amp;M was requesting a substantial increase in premium for the First Union policy, and that L&amp;M’s knowledge cannot be imputed to Gulf because L&amp;M was acting not as an agent, but as an independent contractor of Gulf.  In support Gulf cited the agency agreement between L&amp;M and Gulf, which expressly recited that L&amp;M acted as an independent contractor,  not an employee of Gulf. </p>
<p>The Court held that L&amp;M’s knowledge could be imputed to Gulf.  It recited New York’s common-law definition of an agency relationship – one that “results from a manifestation of consent by one person to another that the other shall act on his behalf and subject to his control, and the consent by the other to act.”  Slip op. at 19 (quotations and citations omitted).  While it did not discuss the terms of the Gulf/L&amp;M agency agreement, it said that “a review” of it “makes clear” that “the true relationship between Gulf and L&amp;M with respect to Gulf’s RVI program is that of principal and agent.”  Slip op. at 19.  The Court also rejected Gulf’s fallback argument that there can be no imputation of knowledge from agent to principal for the purposes of a reinsurance nondisclosure claim, noting that “[n]o case cited by Gulf purports so to hold or even to suggest that the common-law rule imputing the knowledge of an agent to the principal is not applicable in the reinsurance context,” and that Gulf provided no “justification for such an exception” or any attempt to “reconcile it with the duty of utmost good faith owed by reinsureds.”  Slip op. at 19-20.   </p>
<p>The Court held that Gerling satisfied its burden to defeat Gulf’s motion for summary judgment, and that the materiality of the nondisclosure presented a question of fact for trial.  Slip op. at 20.</p>
]]></content:encoded>
			<wfw:commentRss>http://loreelawfirm.com/blog/reinsurance-nuts-bolts-a-potpourri-of-reinsurance-issues-gulf-ins-co-v-transatlantic-reins-co-1st-dep%e2%80%99t-oct-1-2009-part-ii-of-a-two-part-post/feed</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Reinsurance Nuts &amp; Bolts:  A Potpourri of Reinsurance Issues Courtesy of Gulf Ins. Co. v Transatlantic Reins. Co. (Part I of a Two-Part Post)</title>
		<link>http://loreelawfirm.com/blog/reinsurance-nuts-bolts-a-potpourri-of-reinsurance-issues-courtesy-of-gulf-ins-co-v-transatlantic-reins-co-part-i-of-a-two-part-post</link>
		<comments>http://loreelawfirm.com/blog/reinsurance-nuts-bolts-a-potpourri-of-reinsurance-issues-courtesy-of-gulf-ins-co-v-transatlantic-reins-co-part-i-of-a-two-part-post#comments</comments>
		<pubDate>Tue, 17 Nov 2009 16:13:28 +0000</pubDate>
		<dc:creator>Philip J. Loree Jr.</dc:creator>
				<category><![CDATA[Appellate Practice]]></category>
		<category><![CDATA[Contract Interpretation]]></category>
		<category><![CDATA[New York State Courts]]></category>
		<category><![CDATA[Nuts & Bolts]]></category>
		<category><![CDATA[Nuts & Bolts: Reinsurance]]></category>
		<category><![CDATA[Rescission and Reformation]]></category>
		<category><![CDATA[Amount of Reinsurance Accepted]]></category>
		<category><![CDATA[Appellate Division First Department]]></category>
		<category><![CDATA[Course of Performance]]></category>
		<category><![CDATA[Extrinsic Evidence]]></category>
		<category><![CDATA[Gulf Ins. Co. v Transatlantic Reins. Co]]></category>
		<category><![CDATA[Inuring Reinsurance]]></category>
		<category><![CDATA[Mutual Mistake]]></category>
		<category><![CDATA[Parol Evidence Rule]]></category>
		<category><![CDATA[Quota Share Treaty]]></category>
		<category><![CDATA[Reformation]]></category>
		<category><![CDATA[Rescission]]></category>
		<category><![CDATA[Residual Value Policies]]></category>
		<category><![CDATA[Retention]]></category>
		<category><![CDATA[Summary Judgment]]></category>

		<guid isPermaLink="false">http://loreelawfirm.com/blog/?p=1759</guid>
		<description><![CDATA[Introduction Today we look at a reinsurance case recently decided by the New York Supreme Court, Appellate Division, First Department, New York’s intermediate appellate court for cases originating in New York County (Manhattan) and certain other counties in the New York metropolitan area.  We would not characterize Gulf Ins. Co. v Transatlantic Reins. Co., ___ [...]]]></description>
			<content:encoded><![CDATA[<p><strong><em><span style="text-decoration: underline;">Introduction </span></em></strong></p>
<p>Today we look at a reinsurance case recently decided by the New York Supreme Court, Appellate Division, First Department, New York’s intermediate appellate court for cases originating in New York County (Manhattan) and certain other counties in the New York metropolitan area.  We would not characterize <em>Gulf Ins. Co. v Transatlantic Reins. Co.</em>,<strong> ___ </strong>A.D.3d ___, <strong> </strong>2009 NY Slip Op. 06788 (1<sup>st</sup> Dep’t Oct. 1, 2009) (copy <a title="Gulf/Transatlantic" href="http://www.nycourts.gov/reporter/3dseries/2009/2009_06788.htm" target="_blank">here</a>), as a ground-breaker, but it involves a number of interesting  issues, including the interpretation and construction of a quota share treaty, course of performance, reformation and rescission. </p>
<p>Substantive reinsurance cases are a relatively rare breed to begin with (especially in recent years), and cases that discuss a broad range of issues in some depth are rarer still.  That makes <em>Gulf/Transatlantic</em> worthy of some attention, especially to those interested in learning a few reinsurance law basics.  Hat tip to my friend and former colleague James P. Tenney for bringing the case to our attention.</p>
<p><span id="more-1759"></span> A few caveats are in order.  First, one of the reasons we do not see that many substantive reinsurance cases arising out of reinsurance treaties (as opposed to facultative certificates) is because arbitration clauses have historically been the norm in the treaty context.  Disputes like those in <em>Gulf/Transatlantic </em>are therefore more commonly resolved in arbitration.  That may change in the future as attitudes about the desirability of arbitration as a method to resolve reinsurance disputes appear to be in flux (let’s hold that thought for another day). </p>
<p>Second, as most reinsurance lawyers know (or quickly learn), courts usually decide reinsurance cases according to the strict rules of law, while arbitration panels generally do not, particularly when there is an honorable engagement clause in the contract.  (See our discussion of honorable engagement clauses, <a title="Honorable Engagement Post" href="http://loreelawfirm.com/blog/reinsurance-nuts-bolts-honorable-engagement-clauses" target="_blank">here</a>.)   Never assume that the outcome of a reinsurance case in arbitration is going to mirror one a court would reach, although courts and arbitrators may occasionally reach the same or similar conclusions based on the same set of facts.          </p>
<p>Third, given the number of issues raised in the case, and their somewhat technical nature, we thought it best simply to discuss what they were, how they arose and how the Court ruled on them, rather than engaging in a critical analysis or providing our thoughts on how a typical arbitration panel might have decided them.  We simply attempt to make the opinion a little easier for reinsurance professionals and others interested in the subject to digest.   </p>
<p>Part I of this two-part post sets forth the background, and deals with two issues, both of which relate to the amount of reinsurance accepted by the reinsurer.  One involves contract interpretation, the other, reformation.  Part II of this post will tackle three issues:  one involving whether a stub period of a policy was reinsured by one of the treaties, one concerning whether the reinsurer agreed to reinsure both coverage types specified in parts A and B of the treaty, and another concerning whether the reinsurer’s rescission claim raised a question of fact sufficient to defeat summary judgment.  </p>
<p><strong><em><span style="text-decoration: underline;">Background</span></em></strong></p>
<p>Beginning in 1996 Gulf Insurance Company (&#8220;Gulf&#8221;) wrote automobile residual value insurance (“RVI”) policies.   Gulf obtained reinsurance for these policies, including a series of quota share treaties in which various reinsurers participated.  As is frequently the case, each treaty was evidenced by a treaty wording, and an interest &amp; liabilities agreement (“I &amp; L”), which set forth each reinsurers’ participation in the treaty.  Gerling Global Reinsurance Corporation of America (&#8220;Gerling&#8221;) (n/k/a &#8220;GLOBAL Reinsurance Corporation of America&#8221;) participated only in the treaties effective 1999, 2000, and 2001. </p>
<p>In March 2000 a Gulf policyholder, First Union Corporation (&#8220;First Union&#8221;), commenced a coverage action against Gulf, claiming $418 million was due it under its RVI policy.  In 2003 Gulf and First Union settled the coverage action for $266 million and Gulf billed its 1996, 1997 and 1998 reinsurers for what it claimed were their respective shares of the settlement.  Gerling was not billed because it did not participate in any of those treaty years.  The reinsurers refused to pay and Gulf commenced an action in Supreme Court, New York County (New York County’s trial court of general jurisdiction) to collect the disputed reinsurance balances.</p>
<p>In March 2004 Gulf billed a portion of the settlement to reinsurers participating in treaties in later years, including the treaty effective 1999 in which Gerling participated.  Gerling refused to pay and Gulf commenced an action against it in Supreme Court, New York County.  Gerling, in turn, commenced a separate action in the same court seeking rescission of the treaties effective 1999, 2000 and 2001, and, in the alternative, certain declaratory relief.  Pretrial proceedings in these two actions were consolidated. </p>
<p>After discovery, the parties filed cross-motions for summary judgment.  The issues raised by the motions for summary judgment, and their resolution by the trial and appellate courts, are discussed in detail in this two-part post (in the order in which they were addressed by the Court).      </p>
<p><strong><em><span style="text-decoration: underline;">Discussion</span></em></strong></p>
<p><em>A.  What Amount of Reinsurance did Gerling Accept</em>? </p>
<p>A key issue informing the resolution of the summary judgment motions was whether Gerling’s percentage participation in the 1999 and 2000 Treaties, as stated in the I &amp; Ls, was intended to be a percentage participation of a 45% quota share of Gulf’s gross liability under the applicable RVI policies, or simply a percentage participation of Gulf’s gross liability under those policies.  The Court held that Gerling accepted 6.5% of 45% of Gulf’s gross liability under the policies reinsured by the Treaties, not 6.5% of 100% of that gross liability. </p>
<p>Most versed in reinsurance law and practice would correctly observe that this holding was uncontroversial.  But there was nevertheless some support for Gulf&#8217;s position based on the maxim “loss follows premium.” </p>
<p> Let’s take a look at what the Treaties and I &amp; Ls provided as respects Gerling’s participation.  As the 1999 and 2000 Treaties were identical, we need only consider the 1999 Treaty wording and I &amp; L (collectively, “the Treaty”).  The applicable &#8220;Business Covered&#8221; section of the Treaty wording said that &#8220;[t]he Company [Gulf] shall cede to the Reinsurer [defined to include all participating reinsurers collectively] and the Reinsurer shall accept from the Company a 45% quota share participation of the net retained insurance liability of the Company on each risk insured.&#8221;  “Net retained insurance liability” was defined as &#8220;the remaining portion of the Company&#8217;s gross liability on each risk reinsured under this Agreement after deducting recoveries from all reinsurance, other than the reinsurance provided hereunder and the reinsurance provided in the Company Retention Article.&#8221;  The “Company Retention Article” said that &#8220;[t]he Company will maintain for its net account a 55% participation in the business reinsured hereunder.  However, at its discretion, the Company may purchase facultative reinsurance.&#8221;</p>
<p>Let&#8217;s pause briefly here to deal with a wrinkle in the contract language that did not affect the outcome, but which might otherwise cause confusion.   The definition of &#8220;net retained insurance liability&#8221; set forth above suffered from what presumably was a scrivener&#8217;s error.  It provided for the deduction of &#8220;recoveries from all reinsurance, <em>other than</em> the reinsurance provided hereunder <em>and the reinsurance provided by the Company Retention Article.”   </em>Slip op. at 4 (emphasis added).  Where, as here, Gulf’s retention was expressed on a pro-rata basis (55%), not deducting inuring facultative reinsurance for the purposes of calculating net retained insurance liability would result in Gulf effectively receiving additional quota share reinsurance on loss that was already reinsured 100% by inuring facultative reinsurance.  The parties therefore agreed that “net retained insurance liability” simply meant “the remaining portion of the Company’s gross liability.  .  .  after deducting recoveries from all reinsurance, other than the reinsurance provided hereunder.&#8221;     </p>
<p>Turning back to the rest of the contract, the I &amp; L stated that “[Gerling] shall have a 6.50% participation &#8230; in the Interests and Liabilities of the Reinsurer as set forth in the Agreement attached hereto entitled Quota Share Reinsurance Agreement.&#8221;  The Treaty wording said &#8220;Gulf shall cede to the Reinsurer and the Reinsurer shall accept from [Gulf] a 45% quota share participation of [Gulf's] net retained insurance liability &#8230; on each risk insured.&#8221;  These two documents, taken together, showed that Gerling accepted a 6.5% participation in the 45% quota share of Gulf&#8217;s net retained insurance liability.  The Court said that whether or not Gulf had inuring reinsurance, “[t]he crucial and unambiguous fact is that Gerling has a 6.5% participation in the 45% quota share and that quota share cannot be equal to 100% of Gulf&#8217;s net retained insurance liability.”  Slip op. at 7.  </p>
<p>The premium provisions of the I &amp; L buttressed this conclusion.  They stated that &#8220;[Gulf] shall pay [Gerling] 6.50% of all premiums <em>due</em> &#8230; <em>the Reinsurer</em> in accordance with the provisions of the Agreement [the Treaty] attached.&#8221;  (emphasis added)  The Treaty wording, in turn, stated that &#8220;[Gulf] shall pay to the Reinsurer 45% of [Gulf's] original gross net written premium &#8230; in respect to its net retained insurance liability.&#8221;  And the Treaty defined &#8220;original gross net written premium&#8221; as &#8220;gross written premium less returns, cancellations, inuring excess of loss reinsurance and facultative reinsurance, if any.” </p>
<p>So putting aside for the moment any extrinsic evidence, the I &amp; L and Treaty wording provided that Gerling was entitled to a 6.5% share of 45% of the “original gross net written premium.”  That, in turn, meant that Gerling accepted a 6.5% share of “a 45% quota share participation of the net retained insurance liability of the Company on each risk insured.&#8221;  Slip op. at 6-7.  </p>
<p>But the extrinsic evidence arguably cast matters in a different light.  First, Gulf had not procured any inuring reinsurance.  Second, Gulf paid Gerling – and Gerling accepted without objection &#8212; 6.5% of 100% of the “original gross net written premium.”  Third, as Gulf pointed out, &#8220;when all of the reinsurers&#8217; individual participations under their I &amp; L contracts were added up (TRC 12.5%; XL 11.25%; Odyssey 11.25%; and Gerling 10%), they total the 45% share of Gulf&#8217;s gross liabilities that the .  .  . reinsurers agreed collectively to accept under the [Treaty].&#8221;  Slip op. at 5.  </p>
<p>Gerling explained “’that its acceptance of the [higher amounts of premium] was based upon its mistaken acceptance of the broker&#8217;s representations to its bookkeeping department that the amounts were correct.’&#8221;  Slip op. at 6 (quoting trial court).  Gerling also pointed out that “because the premium was received <em>after</em> &#8212; not contemporaneously with &#8212; execution of the contract documents, its receipt and related documents of its bookkeepers ‘do not reflect any interpretation of treaty wordings.’&#8221;  Slip op. at 6 (quoting trial court) (emphasis added). </p>
<p>While Gulf’s extrinsic evidence was consistent with Gulf’s position that Gerling accepted a 6.5% participation of Gulf’s gross liability under the reinsured RVI policies, it contradicted what the Court found to be the clear and unambiguous provisions of the I &amp; L and Treaty wording.  New York law does not permit consideration of extrinsic evidence to vary the terms of clear and unambiguous contract language.  Because the I &amp; L and Treaty provisions were unambiguous, the Court found that the conflicting extrinsic evidence was irrelevant.  Slip op. at 7 (citation omitted).  Accordingly, the Court held that the trial court “correctly concluded that the relevant provisions of the 1999 and 2000 treaties and I &amp; L contracts unambiguously state Gerling&#8217;s percentage participation as a percentage of all risk assumed by the reinsurers.”  Slip op. at 8.  </p>
<p><em> B.  Did the Trial Court Properly Grant Summary Judgment on Gulf’s Reformation Claim?</em></p>
<p>In the event it lost on the amount of reinsurance accepted issue, Gulf sought, in the alternative, reformation of the Treaties to provide that Gerling accepted a 6.5% share of Gulf’s gross liability under the reinsured policies.  The predicate for reformation was mutual mistake.  The trial court granted Gerling’s motion for summary judgment, but the Court reversed, finding that Gulf had adequately established its burden to show that there was a material issue of fact precluding summary judgment.  Slip op. at 12.  </p>
<p>Given its finding that the Treaties clearly and unambiguously provided that Gerling accepted a 6.5% share of 45% of Gulf’s gross liability, the Court had to square this case with two prior New York Court of Appeals decisions holding that a party resisting summary judgment of a claim for reformation of a clear and unambiguous contract between sophisticated parties must come forward with “unequivocal and persuasive evidence of mutual mistake”  Slip op. at 8, 8-10; <em>see Chimart Assoc. v Paul</em>, 66 N.Y. 2d 570 (1986) (<a title="Chimart v. Paul" href="http://content.lawyerlinks.com/library/sec/cases/pdfs/498_nys2d_344.pdf" target="_blank">here</a>);  <em>Backer Mgt. Corp.</em><em>v Acme Quilting Co</em>, 46 N.Y. 2d 211 (1978). </p>
<p>Gulf was required to show that the mutual mistake existed at the time the contract was executed.  But the Court found that, while “[h]ow the parties perform a contract necessarily is manifested after execution of the contract…,” “their [subsequent] performance is highly probative of their state of mind at the time the contract was signed.”  Slip op. at 10.   The Court acknowledged that “neither Gulf&#8217;s course-of-performance evidence nor the Gerling ‘Account Instructions’ conclusively establish mutual mistake.”  Slip op. at 11.  And if Gerling’s version of the events was “accepted, Gulf&#8217;s course-of-performance evidence could be viewed as equivocal,” because “the interpretation of a contract manifested by a party&#8217;s performance ‘must be the conscious action of a responsible agent of the party against whom the interpretation is urged[.]’”  Slip op. at 11 (quoting <em>Jansen v United States</em>, 344 F.2d 363, 369 (Ct. Cl. 1965)): </p>
<p style="padding-left: 30px;"> Gerling countered Gulf&#8217;s evidence with an affidavit from Alice Belkin, an assistant secretary and account analyst in Gerling&#8217;s accounting department who was involved in reviewing and booking premiums and losses reported to Gerling by Gulf through its broker, Guy Carpenter. According to Ms. Belkin, she recorded in Gerling&#8217;s books premium and loss experience relating to the reinsurance agreements with Gulf in accordance with assurances she received from Guy Carpenter, not on the basis either of any review by her of the terms of the treaties and I &amp; L contracts or of discussions with Gerling underwriters knowledgeable about those terms. Referring to Ms. Belkin&#8217;s affidavit, and apparently accepting the truth of its factual assertions, Supreme Court wrote that “Gerling explains that its acceptance of the [higher amounts of premium] was based on its mistaken acceptance of the broker&#8217;s representations to its bookkeeping department that the amounts were correct.&#8221;</p>
<p>Slip op. at 11.  </p>
<p>But, for the purposes of summary judgment, the trial court should have taken Gulf’s version of the facts as true, and not effectively have ruled that Gerling’s evidence was more credible than Gulf’s: </p>
<p style="padding-left: 30px;">The trier of fact might have a favorable impression of Ms. Belkin&#8217;s credibility.  But it also might regard testimony in accordance with those factual assertions as a <em>deus ex machina</em>, appearing too suddenly and conveniently after Gulf ceded the First Union claim to its reinsurers. Gulf contends, and we agree, that from all the evidence it submitted, a fact finder reasonably could conclude that a multibillion dollar reinsurance company does not collect the premium and pay losses for more than three years without any internal controls whatsoever to ensure that the substantial amounts it receives and pays are consistent with the terms of the underlying contracts.  As a panel of the Third Department stated in a similar context, &#8220;we think it cannot be said on this record that a reasonable person could by no rational process find the evidence of mutual mistake to be clear, positive and convincing.  Summary judgment on affidavits should not be granted where there is any doubt as to the existence of triable issues of fact.</p>
<p>Slip op. at 11-12 (citations omitted). </p>
<p>Accordingly, the Court reversed the trial court’s grant of summary judgment, holding that “Gulf was not required to come forward with incontrovertible proof of mutual mistake. It met the heavy burden it was required to shoulder of coming forward with &#8216;unequivocal evidence of mutual mistake&#8217; in evidentiary form.&#8221;  Slip op. at 12. </p>
<p>In Part II we discussed the remaining three issues considered by the Court, so stay tuned.  .  .  .</p>
]]></content:encoded>
			<wfw:commentRss>http://loreelawfirm.com/blog/reinsurance-nuts-bolts-a-potpourri-of-reinsurance-issues-courtesy-of-gulf-ins-co-v-transatlantic-reins-co-part-i-of-a-two-part-post/feed</wfw:commentRss>
		<slash:comments>1</slash:comments>
		</item>
	</channel>
</rss>

