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England and Wales High Court (Commercial Court) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Commercial Court) Decisions >> North Atlantic Insurance Co Ltd. v Nationwide General Insurance Co Ltd. & Ors [2003] EWHC 449 (Comm) (13 March 2003) URL: http://www.bailii.org/ew/cases/EWHC/Comm/2003/449.html Cite as: [2003] EWHC 449 (Comm), [2003] 2 CLC 731 |
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QUEENS BENCH DIVISION
COMMERCIAL COURT
Strand, London, WC2A 2LL |
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B e f o r e :
Between:
____________________
North Atlantic Insurance Co Ltd |
Claimant |
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-and- |
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1. Nationwide General Insurance Co Ltd 2. Zurich Agrippina Versicherungs Aktiengesellschaft 3. Wustenrot & Wurttembergische Aktiengesellschaft 4. AFG Insurances Ltd |
Defendant |
____________________
Mr D Mildon QC and Mr G Davis (instructed by Charles Russell) for the Defendant No. 1. The Second Defendant did not appeal and was not represented.
Mr J Hirst QC and Mr N Calver (instructed by Barlow Lyde & Gilbert) for Defendant No. 3
Mr A Zacaroli (instructed by Mayer Brown Rowe & Maw LLP) for Defendant No. 4
Hearing dates : 3rd March-6th March 2003
____________________
Crown Copyright ©
Mr Justice Cooke:
Introduction
The Agency Agreements
"Whereas the Agency has been incorporated in order to carry on the business of an underwriting agency .. and it has been agreed that it should enter into agreements with the Company and with the other Companies listed in the First Schedule hereto in the terms of this Agreement."
"2. The Company hereby authorises the Agency to underwrite any Risk whatsoever on its behalf for an amount not exceeding 25% of the limits set out in the Second Schedule hereto and the Company binds itself to accept liability for its share of each risk accepted on its behalf…"
"4. The Agency may at is absolute discretion reinsure the whole or part of any Risks and/or Insurances such as reinsurances being effected for the common account of the Participating Companies and the Company shall bear its proportionate part of the premium paid and expenses incurred in respect of such reinsurances".
The Participating Companies were defined as those companies listed in the first schedule to the Agreement which set out the names of the Pool members with their respective participations, each as an "initial fixed quota share".
"15. In the event of the Company going into liquidation becoming insolvent suspending payment entering into any arrangement with its creditors ceasing to carry on business or having a Receiver appointed or making any default hereunder or of notice being given in accordance with Clause 11 to terminate this Agreement no further payments under this Agreement or out of the Premium Reserve Fund shall be made by the Agency to the Company. All sums due or which may thereafter become due from the Agency to the Company shall be retained and held in Trust for the purposes herein mentioned. Thereafter any sums payable by the Company to the Agency in respect of losses or returns of premiums or otherwise shall be debited against and paid out of the Premium Reserve Fund and the balance (if any) of such Fund shall not be paid over to the Company until all its liabilities under this agreement shall have been ascertained and satisfied. In the event of the Premium Reserve Fund proving insufficient to satisfy all such liabilities the amount remaining unsatisfied shall be paid by the Company to the Agency forthwith.
Furthermore it is hereby agreed (in additional to the above provisions and without limiting same) that if and so far as may be necessary to secure the Agency in the event of liquidation either voluntary or compulsory of the Company the Agency have prior charge and lien on the said Premium Reserve Fund and also upon any further money with which the Company may be entitled to be credited under the present Agreement and the Agency shall be secured creditors to that extent."
"4(a). The Agency may at its absolute discretion reinsure the whole or part of any Risks and/or Insurances such reinsurances being effected for t common account of the Participating Companies and the Company shall bear its proportionate part of the premium paid and expenses incurred in respect of such reinsurances.
(b) It is understood and agreed that the Agency may at its absolute discretion underwrite Risks and/or Insurances in the names of two or more of the Participating Companies where it is deemed to be in the best interests of the Participating Companies so to do. Provided always that the Agency shall effect the necessary apportionment of premium in respect of such risks and/or insurances over all companies in accordance with the proportions listed in the first schedule and that each Company shall bear its proportion in accordance with the First schedule of any loss or losses arising on such risks and/or insurances."
"Whereas a situation may arise where one of the Participating Companies may be called upon by a policyholder or reinsured to pay a loss under the policy or insurance or contract of reinsurance, but subsequently discovers that one or more of the Participating Companies cannot pay its proportionate share of the loss under the quota share underwriting contract due to insolvency, so
Therefore in consideration of the mutual agreements of the parties and the exchange of these documents, each of the Participating Companies agrees that in the event that any on of the Participating Companies, which is a signatory to this agreement, is insolvent and unable to pay its share ion accordance with the provisions of the quota share underwriting contract, the remaining solvent Participating Companies will be liable for their proportionate share of the unpaid loss of the insolvent Participating Company, after all funds withheld by the Rutty Agency in the name of the insolvent Participating Company have been exhausted."
"4. The Agency may at its absolute discretion reinsure the whole or part of any Risk and/or Insurances where it is deemed to be in the best interests of the Participating Companies, such reinsurances being effected for the common account of the Participating Companies, and the Company shall bear its proportionate part of the premium paid and expenses incurred in respect of such reinsurances and shall be credited with any recoveries resulting there from. It is understood and agreed that the Agency may at its absolute discretion underwrite Risks and/or Insurances in the names of any one of the Participating Companies so to do, provided always that the Agency shall effect the necessary apportionment of premium in respect of such Risks and/or Insurances over all Companies in accordance with the proportions listed in the First Schedule and that each Company shall bear its proportion in accordance with the First Schedule of any loss or losses arising from such risks and/or Insurances."
It was common ground between the parties that the slight differences in this clause and, in particular the reference to crediting the Pool member with reinsurance recoveries, merely expressed what was implicit in the First Agency Agreement, to which each of the other Pool members was party.
"2. The Company hereby authorises the Agency to underwrite in London… and the Company binds itself to accept liability for its proportionate share of each risk accepted on its behalf….
4. The Agency has effected and may hereafter effect certain reinsurances for the whole or part of any risk and certain treaties for the common account of the Participating Companies…The overriding commission received on such reinsurances by the Agency will be proportionately credited to the Company.
8(a). The Agency hereby undertakes to use its best endeavours to collect all amounts due to the Participating Companies under this Agreement.
(b) it is mutually agreed between the parties hereto that any losses resulting from the failure of the Agency to collect such amounts due whether in respect of premiums or recoveries or reinsurance effected by the Agency pursuant to Clause 4 hereof or otherwise shall be borne by the Participating Companies to the extent of their respective proportionate shares…"
"18.(a) it is understood and agreed that the Agency may at its discretion underwrite Risks in the name of the Company or of any other Participating Company for a share in any one Risk exceeding the proportionate share stated in Clause 2 hereof but not exceeding however 100 per cent of the Groups Limit specified in the Second Schedule hereto PROVIDED ALWAYS that the Agency shall effect the necessary apportionment of premium only in respect of the Company's proportionate share in such Risks as stated in Clause 2 hereof.
(b) In the circumstances specified in sub-clause (a) of this Clause where on of the Participating Companies may be called upon by a policy holder or re-assured to pay a loss under the policy of insurance or contract of insurance but subsequently discovery is made that one or more of the Participating Companies cannot pay their proportionate share of the loss under this contract due to insolvency the Company hereby agrees with the Agency and the other Participating Companies that it will be liable to the fronting company for its proportionate share of the unpaid loss of the insolvent Participating Company or Companies after all funds retained by the Agency in the name of the insolvent Participating Company or Companies have been exhausted.
The Reinsurance Contracts
i) Facultative reinsurances on individual risks.
ii) Cessions to various proportional treaties, such as the first and second surplus treaties, after the application of any facultative reinsurances.
iii) Specific class Excess of Loss covers protecting the net retention after the application of (i) and (ii) above.
iv) General Excess of Loss covers operating after recoveries under (iii) above. Sometimes these general excess of loss covers protected the net retention of the Rutty Pool members as well as the liability of cessions to the surplus treaty reinsurers.
i) Category 1: Two quota share treaties and one Excess of Loss treaty contain variant forms of wording but referred to the reinsured as "the Member Companies of the ME Rutty Underwriting Agency Limited", "the Insurance Company and/or Companies in the Group as underwritten for by ME Rutty Underwriting Agency Limited" and "the Companies underwritten for by the ME Rutty Underwriting Agency Limited. Each of these contract wordings, albeit using different terminology, identified the reinsured as a principal or principals of the Rutty Agency.
ii) Category 2: Two surplus treaties, one a first surplus treaty and the other a second surplus treat, on top of the first, identify the reinsured as "the ME Rutty Underwriting Agency Limited". It was common ground between the parties that the Agency itself was not to be the reinsured, and that the reinsured was therefore an unidentified principal or unidentified principals. As the reinsurers would have well known.
iii) Category 3:- a further quota share treaty was exhibited which was renewal of one of the quota share treaties referred to in Category 1. However contracts in this category named and reinsured as the particular fronting company, in this case "Nationwide General Insurance Company per ME Rutty Underwriting Agency Limited". In each case where an individual reinsured was specifically named, that company was also the fronting company on the inward risk. Yet, although it was standard practice to use a fronting company or companies on the inward risk, there are a large number of situation where the reinsurance did not correspondingly use the fronter's name but used another format instead.
Analysis of the Pool Arrangements and the Reinsurance Arrangements
i) The insolvent Pool members, NAIC and AFG, contended that, in every reinsurance, the principals were all the Pool members, each for their several interest. The analogy they drew was with the position of Names on Lloyds Syndicates. In law each was entitled to recover for its several share on may reinsurances concluded on its behalf.
ii) The solvent Pool members' primary contention was that, in each case, the fronting company or companies were the reinsured. On the reinsurance treaties, they accepted that all the Pool members were parties, but said that a treaty was a contract for reinsurance and this had to cover all possible cedants, whilst for each cession, the fronting company or companies alone, who were liable to the inwards insured/reinsured, were the only parties to the contract of reinsurance or retrocession of the ceded risk.
iii) Alternatively, however, they contended that the reinsurance was a form of joint or collective reinsurance for the Rutty Pool, taken as a whole, which could only be enforced by or on behalf of the Pool as a whole.
iv) On either view, the solvent Pool Members said that any recoveries made were made for the Pool as a whole and had to be distributed as a matter of contract in accordance with the terms set out in the Agency Agreements. Moreover they maintained that all recoveries were held on trust to be dealt with on the terms of those Agreements.
v) It was common ground that, if the Rutty Agency had continued in business and there had been no insolvency, the Pool would have continued to be administered by the Rutty Agency which would have exhausted the premium reserve fund, looked to the Pool members to pay any additional losses and, having made claims on reinsurers, would have used these to satisfy the inward losses, repay those Pool members who had paid any inward losses in account, and ensure that the liabilities of the Pool were apportioned upon the basis agreed in the relevant Agency Agreements.
vi) In those circumstances the identify of the reinsured and the identity of those who could claim on the reinsurers, whether for themselves or on behalf of others, was of little significance: nor would there have been any issue as to the ownership of the proceeds of the reinsurance, since they would have been apportioned in accordance with the Agency Agreements, by the Rutty Agency who would have received the funds from Reinsurers or brokers.
"1. Where at the time when the contract of insurance was made, the principal assured or other contracting party had express or implied actual authority to enter that contract so as to bind some other party as co-assured and intended so to bind that party, the latter may sue on the policy as the undisclosed principal and co-assured, regardless of whether the policy described a class of co-assured of which he was or became a member.
3. Evidence as to whether in any particular case the principal assured or other party did have the requisite intention may be provided by the terms of the policy itself, by the terms of any contract between the principal assured or other contracting party and the alleged co-assured or by any other admissible material showing what was subjectively intended by the principal assured."
In his judgment, the Judge referred to third parties "who dealt with the Pool as a single underwriting entity".
"The essential question is whether the plaintiffs collectively have a common interest under the two contracts vis-à-vis the defendants. For this purpose it seems to me that the intermediate retrocession's between the contract issuing companies and the individual syndicate members are immaterial. At the end of the day, all of them (i.e. each contract issuing company and each syndicate member) together reinsured their own respective retrocession liabilities in combination under t terms of the 1980 and 1981 contracts. While of course each individual reinsured was put in direct contractual relations with each insurer with a separate and distinct insurable interest (The Zephyr [1984] 1 LLR 58 at page 71) they all shared an interest in each of the contracts under which, vis-à-vis the defendants, "liability arising under all policies and/or contracts and/or binders of reinsurance" of all the reinsured was covered without differentiation or individual allocation. They were thus all insured together on the same terms, and they all had a common interest in the defendants performing their obligations. The attack on the intrinsic validity of the representative proceedings thus fails."
The Contract between the Pool Members and its Effect
Trust and Proprietary Interests
Unjust Enrichment/Subrogation
The effect of insolvency – the British Eagle principle
The Questions upon which the Court's direction was sought
- Where Fronted Risks have been written solely by a Fronting Company or Fronting Companies (other than NAIC), and the Pool Members (or some of them) other than NAIC and the Fronting Company or Fronting Companies themselves ("the Contributing Members") have paid their full share of the liability underwritten by the Fronting Company or Fronting Companies in respect of which NAIC was liable pursuant to either clause 18(b) of the Second Agency Agreements or pursuant to the Contribution Agreement:
(a) does each of the Contributing Members have a claim against NAIC in a sum representing the proportion of the liability originally owed by NAIC to the Fronting Company or Fronting Companies to the extent that the liability ahs been paid by the Contributing Member;(b) does the Fronting Company or do the Fronting Companies have a claim against NAIC in sum representing the extent of the liability originally owed by NAIC to the Fronting Company or the Fronting Companies to the extent that that liability has not been paid by the Contributing Members ; or
(c) does the Fronting Company or do the Fronting Companies alone have a claim against NAIC representing the entire proportion of the liability originally owed by NAIC to the Fronting Company or Companies; or
(d) do neither the Contributing Members not the Fronting Company or Fronting Companies have any claim against NAIC; or
(e) none of the above.
Agreed Answer: Where Fronted Risks have been written solely by a Fronting Company or Fronting Companies (other than NAIC), and the Pool Members (or some of them) other than NAIC and the Fronting Company or Fronting Companies themselves ("the Contributing Members") have paid their full share of the liability underwritten by the Fronting Company or Fronting Companies in respect of which NAIC was liable pursuant to either clause 18(b) of the Second Agency Agreements or pursuant to the Contribution Agreement, then:
(a) each of the Contributing Members ahs a claim against NAIC in a sum representing the proportion of the liability originally owed by NAIC to the Fronting Company or Fronting Companies to the extent that the liability has been paid by the Contributing Member; and(b) the Fronting Company or Fronting Companies have a claim against NAIC in a sum representing the extent of the liability originally owed by NAIC to the Fronting Company or the Fronting Companies to the extent that that liability has not been paid by the Contributing Members.- If the answer to issue 1 is 1(a) and/or 1(b), what is the nature of the claims of the Contributing Members and/or Fronting Companies?
To this there was no fully agreed answer but, as follows from my earlier findings, the claim of the fronting company is based on the internal Quota Share Pool reinsurance contract and the claims of the Contributing members are based on the principles of subrogation as they apply to sureties and on restitutionary principles applicable where one party, under compulsion, discharges the liability of another.
(ii) The right to Claim under the Reinsurance Contracts
- Separately in respect of the Category 1 Contracts of Reinsurance, Category 2 Contracts of Reinsurance and the Category 3 Contracts of Reinsurance, who has the right to claim under those contracts of reinsurance?
As I have already held, each individual Pool member is entitled to claim for its several proportionate Pool share of liability on the inwards insurance or reinsurance contracts. It may be that the fronting companies could claim foe 100% of the Pool entitlement, but if so, any claimant would hold the proceeds as fiduciary/trustee for the Pool members for their several entitlements.
- Separately in respect of the Category 1 Contracts of Reinsurance, the Category 2 Contracts of Reinsurance and the Category 3 Contracts of Reinsurance, who has the right to deal with the relevant reinsurer, to negotiate claims and commute policies.
As to this there was no agreed answer, but as I have already held, each Pool member can deal with reinsurers in respect of its several proportionate Pool share of liability but it may authorise another to do so, so on its behalf.
- If the answer to issues 3 and/or 4 includes Pool Members other than the Fronting Company or Fronting Companies (or in the case of the Category 3 Contracts of Reinsurance, the specifically named companies) do such Pool Members' rights to claim from and/or right to deal with the reinsurers arise only:
5.1 after such Pool Members have actually made payment to the Fronting Company or Fronting Companies of their share under clause 2 of the Original Agency Agreements or clause 2 and Schedule 1 of the Second Agency Agreements? And/or5.2 after such Pool Members have actually made payment to the Fronting Company or Fronting Companies of their liability under the Contribution Agreement and/or clause 18(b) of the Second Agency Agreements? and/or
5.3 at any other time.
Agreed Answer: The rights of Pool Members other than the Fronting Company, Fronting Companies or specifically named companies to claim from and/or deal with reinsurers do not arise only:
5.1 after such Pool Members have made payment to the Fronting Company or Fronting Companies of their share under clause 2 of the Original Agency Agreement or clause 2 and Schedule 1 of the Second Agency Agreements; nor5.2 after such Pool Members have actually made payment to the Fronting Company or Fronting Companies of their liability under the Contribution Agreement and/or clause 18(b) of the Second Agency Agreements.
(iii) Ownership of Reinsurance Rights
- In respect of the Category 1 Contracts of Reinsurance in respect of Fronted Risks referred to in paragraph 1 above (being Fronted Risks where NAIC is not a Fronting Company), are the rights to receive and/or the proceeds of the reinsurance held on trust by the persons identified in answer to issue 3 above ("the Claimant Companies"), and if so, for which of the following categories of persons:
(a) the Fronting Company or Fronting Companies alone? or(b) each of the Pool Members (including NAIC and the Fronting Company or Fronting Companies) in the proportions set out in clause 2 of the Original Agency Agreements or clause 2 and Schedule 1 of the Second Agency Agreements? or
(c) each of the Pool Members (excluding NAIC) in the proportions which each of the Pool Members (excluding NAIC) are liable to pay in respect of the claim, taking into account their liabilities under (a) Clause 2 of the Original Agency Agreements or Clause 2 and Schedule 1 of the Second Agency Agreements; and (b) Clause 18(b) of the Second Agency Agreements or the Contribution Agreement (and in the case of the Fronting Company itself or the Fronting Companies themselves, to the extent of the loss on the risk which they are ultimately liable to bear after taking into account any payments due from the other Pool Members pursuant to their obligations under (a) Clause 2 of the Original Agency Agreements or Clause 2 and Schedule 1 of the Second Agency Agreements; and (b) Clause 18(b) of the Second Agency Agreements or the Contribution Agreement)? or
(d) none of the above.
(Provided that, in respect of each of issues 6, 7 and 8, where the Claimant Companies would be entitled to the beneficial interest under any such trust, it is understood that the Claimant Companies would be the sole owners of the proceeds at law and in equity, and hence no such trust would arise)
To this there was no agreed answer, but as I have already held, each individual Pool member could claim for its own several interest and would not hold any such rights, recoveries or proceeds attributable to that interest on any form of trust. If any claimant recovers more than is applicable to its several share it will hold the sum recovered as fiduciary/trustee for the Pool members in accordance with their several Pool shares.
- In respect of the Category 2 Contracts of Reinsurance in respect of Fronted Risks referred to in paragraph 1 above being Fronted Risks where NAIC is not Fronting Company), are the rights to receive and/or the proceeds of the reinsurance held on trust by the Claimant Companies, and if so, for which of the following categories of persons:
(a) the Fronting Company or Fronting Companies alone? or(b) each of the Pool Members (including NAIC and the Fronting Company or Fronting Companies) in the proportions set out in clause 2 and Schedule 1 of the Original Agency Agreements or clause 2 and Schedule 1 of the Second Agency Agreements or
(c) each of the Pool Members (excluding NAIC) in the proportions which each of the Pool Members (excluding NAIC) are liable to pay in respect of the claim, taking into account their liabilities under (a) Clause 2 of the Original Agency Agreements or Clause 2 and Schedule 1 of the Second Agency Agreements; and (b) Clause 18(b) of the Second Agency Agreements or the Contribution Agreement (and in the case of the Fronting Company itself or the Fronting Companies themselves, to the extent of the loss on the risk which they are ultimately liable to bear after taking into account any payments due from the other Pool Members pursuant to their obligations under (a) Clause 2 of the Original Agency Agreements or Clause 2 and Schedule 1 of the Second Agency Agreements; and (b) clause 18(b) of the Second Agency Agreements or the Contribution Agreement)? or
(d) none of the above.
The same answer applies as for question 6
- If the answer to issues 6, 7 or 8 includes in any case (b), does the vesting of a beneficial interest in either the rights to reinsurance, or the reinsurance proceeds themselves, depend upon whether the individual Pool Members have made payment (as opposed to being under an obligation to pay) pursuant to their obligation to indemnify the Fronting Company or Fronting Companies.
To this there was no agreed answer. The answer to questions 6-8 is repeated. The interests and rights do not depend on payment, since the cause of action on the external reinsurances arises when the Pool members' liability in respect of the inwards cover is established, which happens automatically upon ascertainment (by judgment, award or
Agreement) of the liability of the fronting company to the inward insured or reinsured as the case may be.
- If the answer to issues 6, 7 or 8 includes in any case (c):
(i) does the beneficial interest of the Pool Member in either the rights to reinsurance, or the reinsurance proceeds themselves, arise only when the Pool Member has in fact made payment pursuant to its obligation under (a) clause 2 of the Original Agency Agreements or clause 2 and Schedule 1 of the Second Agency Agreements; and/or (b) clause 18(b) of the Second Agency Agreements or the Contribution Agreement;(ii) is a Pool Member who has made payment in discharge of its obligation under (a) clause 2 of the Original Agency Agreements or clause 2 and Schedule 1 of the Second Agency Agreements; or (b) those clauses and clause 18(b) of the Second Agency Agreements and the Contribution Agreement, but has now itself become insolvent, beneficially entitle to either the rights to reinsurance or the reinsurance proceeds themselves.
To this there was no agreed answer. The answer to questions 6-8 is repeated. The interest and rights to not depend on payment, since the cause of action on the external reinsurances arises when the Pool members' liability in respect of the inwards cover is established, which happens automatically upon ascertainment (by judgment, award or agreement) of the liability of the fronting company to the inward insured or reinsured as the case may be.
- If the answer to issues 6, 7 and 8 is that the reinsurance receipts are not held on trust at all, are the Claimant Companies under any other obligation to account to any of the categories of persons identified under issues 6, 7 or 8 above, and if so, what is the nature of the obligation to account, and do any of the said categories of persons have any proprietary interest in the reinsurance receipts?
To this there was no agreed answer. The answer to questions 6-8 is repeated
(iv) Miscellaneous Consequential Issues
- If the answer to issue 3 is "the Fronting Company or Fronting Companies" (in respect of the Category 1 Contracts of Reinsurance and the Category 2 Contracts or Reinsurance) and "the specifically named companies" (in respect of the Category 3 Contracts of Reinsurance), and the answer to issues 6, 7 or 8 is in any case 6(a) or 7(a) or 8(a), in any such case are the Fronting Company or Companies (in the case of 6(a) or 7(a)) or the specifically named companies (in the case of 8(a)) entitled to claim from the other Pool Members under clause 18(b) of the Second Agency Agreements and/or the Contribution Agreement:
(a) only after giving credit to those other Pool Members in respect of sums recovered by the specifically named companies or the Fronting Company or the Fronting Companies under the reinsurance; and/or(b) only after giving credit to those other Pool Members in respect of sums payable by the reinsurers to the specifically named companies or the Fronting Company or the Fronting Companies (but not actually paid);
(c) leaving out of account any sums:
(i) recovered; and/or(ii) recoverable
by the specifically named companies or the Fronting Company or the Fronting Companies under the reinsurance? Or
(d) none of the above.
This does not arise in my judgment, as this is not the answer to question 3, but on the hypothesis given, the Agreed Answer was: The parties are agreed that if the answer to Former Issue 3 is "the Fronting Company or Fronting Companies" (in respect of the Category 1 Contracts of Reinsurance and the Category 2 Contracts of Reinsurance) and "the specifically named companies" (in respect of the Category 3 Contracts of Reinsurance), and if the answer to Former Issues 6, 7 or 8 is in any case 6(a) or 7(a) or 8(a) (all of which issues remain in dispute), then it is agreed that in any such case the Fronting Company or Fronting Companies (in the case of 6(a) or 7(a)) or the specifically named companies (in the case of 8(a)) are entitled to claim from the other Pool Members under clause 18(b) of the Second Agency Agreements and/or the Contribution Agreement only after giving credit to those other Pool Members in respect of sums recovered by the specifically named companies or the Fronting Company or Fronting Companies under the reinsurance, and do not have to give credit to those other Pool Members in respect of sums payable by the reinsurers to the specifically named companies or the Fronting Company or the Fronting Companies (but not actually paid).
(v) Valuation of Claims Against NAIC
- In the event that the answer to issue 1 above is 1(a), is the liability of NAIC to the Contributing Members:
(a) to be valued after taking into account any reinsurance receipts which have been recovered by the Contributing Members;(b) to be valued after taking into account any amounts in respect of which the reinsurers are liable to the Contributing Members; or
(c) to be valued leaving out of account any such sums? Or
(d) none of the above.
Agreed Answer: It being agreed that the answer to Former Issue 1 includes 1(a), it is further agreed that the liability of NAIC to the Contributing Members is to be valued after taking into account any reinsurance receipts which have been recovered by the Contributing Members, but leaving out of account any amounts in respect of which the reinsurers are liable to the Contributing Members.
- In the event that the answer to issue 1 is 1(b), is the liability of NAIC to the Fronting Company or Fronting Companies:
(a) to be valued after taking into account any reinsurance receipts which have been recovered by the Fronting Company or Fronting Companies;(b) to be valued after taking into account any amount sin respect of which the reinsurers are liable to the Fronting Company or Fronting Companies; or
(c) to be valued leaving out of account any such sums? or
(d) none of the above.
Agreed Answer: It being agreed that the answer to Former Issue 1 includes 1(b), it is further agreed that the liability of NAIC to the Fronting Company or Fronting Companies is to be valued after taking into account any reinsurance receipts which have been recovered by the Fronting Company or Fronting companies, but leaving out of account any amounts in respect of which the reinsurers are liable to the Fronting Company or Fronting Companies.
- In the event that the answer to issue 1 is 1(c), is the liability of NAIC to the Fronting Company or Fronting Companies:
(a) to be valued after taking into account any reinsurance receipts which have been recovered by the Fronting Company or Fronting Companies; and/or(b) to be valued after taking into account any amounts in respect of which the reinsurers are liable to the Fronting Company or Fronting Companies; or
(c) to be valued leaving out of account any such sums? or
(d) none of the above.
Agreed Answer: The parties are agreed that the answer to issue 1 is not 1(c), and hence this issue does not arise.
(vi) Rights of Set-Off
- In the event that the answer to issue 1 is 1(a), upon a winding-up order being made in respect of NAIC or NAIC entering voluntary liquidation, will a Contribution Member be entitled to a set-off under rule 4.90 of the Insolvency Rules 1986 in respect of any sums due from NAIC to the Contributing Member within the meaning of rule 4.90(2) of the Insolvency Rules 1986?
Agreed Answer: The parties are agreed that the answer to issue 1 is 1(a) (as well as 1 (b)), and the parties are further agreed that upon a winding-up order being made in respect of NAIC or NAIC entering voluntary liquidation, a Contributing Member will be entitled to a set-off under rule 4.90 of the Insolvency Rules 1986 in respect of any sums due from NAIC to the Contributing Member within the meaning of rule 4.90(2) of the Insolvency Rules 1986?
- In the event that the answer to issue 1 is 1(b), upon a winding-up order being made in respect of NAIC or NAIC entering voluntary liquidation, will a Fronting Company be entitled to a set-off under rule 4.90 of the Insolvency Rules 1986 in respect of any sums due from NAIC to the Fronting Company within the meaning of rule 4.90(2) of the Insolvency Rules 1986?
Agreed Answer: The parties are agreed that the answer to issue 1 is 1(b) (as well as 1 (a)), and the parties are further agreed that upon a winding-up order being made in respect of NAIC or NAIC entering voluntary liquidation, a Fronting Company or each of the Fronting Companies be entitled to a set-off under rule 4.90 of the Insolvency Rules 1986 in respect of any sums due from NAIC to the Fronting Company or Fronting Companies within the meaning of rule 4.90(2) of the Insolvency Rules 1986?
- In the event that the answer to issue 1 is 1(c), upon a winding-up order being made in respect of NAIC or NAIC entering voluntary liquidation, will the Fronting Company or each of the Fronting Companies be entitled to a set-off under rule 4.90 of the Insolvency Rules 1986 in respect of any sums due from NAIC to the Fronting Company or Fronting Companies within the meaning of rule 4.90(2) of the Insolvency Rules 1986?
Agreed Answer: The parties are agreed that the answer to issue 1 is not 1(c), and hence this issue does not arise.
- If the answer to any of questions 16, 17 or 18 above is yes, is the Contributing member or the Fronting Company (as the case may be) entitled to set-off, against any sums due from NAIC to it, a liability due from the Contributing Member/Fronting Company to NAIC under the IAIA Pool in addition to a liability due from the Contributing Member/Fronting Company under the Rutty Pool?
Agreed Answer: Further to the agreed answers to issues 4 and 5 above, the Contributing Member or the Fronting Company (as the case may be) is entitled to set-off, against any sums due from NAIC to it, a liability due from the Contributing Member/Fronting Company to NAIC under the IAIA Pool in addition to a liability due from the Contributing Member/Fronting Company under the Rutty Pool.
(vii) Rights of Set-Off: Continent Claims
- If the answer to issue 1 is 1(a), then in the event that NAIC enters compulsory or voluntary liquidation, and at the time that a Fronting Company proves in the liquidation of NAIC, a Pool Member other than NAIC is obliged to make payment to the Fronting Company under the Contribution Agreement and/or clause 18(b) of the Second Agency Agreement, but has not at that time made such payment ("the unpaid share"):
(a) does the Fronting Company have a right to prove in the liquidation of NAIC in respect of the unpaid share?(b) if the answer is "Yes", does the Pool Member who has failed to pay the unpaid share have a right to prove in the liquidation of NAIC as a contingent creditor in respect of the unpaid share?
(c) if the answer to (a) is "Yes", and (b) is "No", and if the Fronting Company renounces its right of proof in respect of the unpaid share, does the Pool Member who has failed to pay the unpaid share have a right to prove in the liquidation of NAIC as a contingent creditor in respect of the unpaid share?
Agreed Answer: It being argued that the answer to issue 1 includes 1(a), it is agreed that in the event that NAIC enters compulsory or voluntary liquidation, and at the time that Fronting Company proves in the liquidation of NAIC, a Pool Member other than NAIC is obliged to make payment to the Fronting Company under the Contribution Agreement and/or clause 18(b) of the Second Agency Agreement, but has not at that time made such payment ("the unpaid share"), then:
(a) the Fronting Company has a right to prove in the liquidation of NAIC in respect of the unpaid share:(b) the Pool Member who has failed to pay the unpaid share has no right to prove in the liquidation of NAIC as a contingent creditor in respect of the unpaid share, by reason of the rule against double proof;
(c) if the Fronting Company renounces its right of proof in respect of the unpaid share, the Pool Member who has failed to pay the unpaid share then has a right to prove in the liquidation of NACI as a contingent creditor in respect of the unpaid share, since then the rule against double proof no longer applies.
- If the answer to issue 20(a) is "Yes", to issue 20(b) is "No", and issue 20(c) does not arise, and the relevant Pool Member makes payment of the unpaid share to the Fronting Company after the Fronting Company has proved in respect of the unpaid share:
(a) is the relevant Pool Member subrogated to the proof of the Fronting Company in so far as it relates to the unpaid share? and/or(b) is the relevant Pool Member entitled to prove directly in the liquidation of NAIC in respect of the unpaid share and to require the Fronting Company's proof to be reduced to the extent that it represents the unpaid share?
(c) if the Fronting Company has at the time of the payment of the unpaid share by the relevant Pool Member received a dividend in respect of its proof in respect of the unpaid share, is the liability of the relevant Pool Member to the Fronting Company reduced by the amount of such dividend? or
(d) none of the above.
Agreed Answer: It being agreed that the answer to Former Issue 20(a) is "yes", and to 20(b) is "no", then if issue 20(c) does not arise (ie the Fronting Company does not renounce its right of proof), it is agreed that if the relevant Pool Member makes payment of the unpaid share to the Fronting Company after the Fronting Company has proved in respect of the unpaid share, then:
(a) the relevant Pool Member is subrogated to the proof of the Fronting Company in so far as it relates to the unpaid share;(b) the relevant Pool Member is entitled to prove directly in the liquidation of NAIC in respect of the unpaid share and to require the Fronting Company's proof to be reduced to the extent that it represents the unpaid share;
(c) if the Fronting Company has at the time of payment of the unpaid share by the relevant Pool Member received a dividend in respect of its proof in respect of the unpaid share, the liability of the relevant Pool Member to the Fronting Company is reduced by the amount of the dividend.
- If the answer to issue 20 is 20(a), and the Fronting Company has a right to and does prove in respect of the unpaid share and further has a right of set-off under rule 4.90 of the Insolvency Rules 1986 in respect of a liability owed by the Fronting Company to NAIC, then is the amount due from the relevant Pool Member to the Fronting Company reduced by the amount of the set-off to which the Fronting Company is entitled in the liquidation of NAIC?
Agreed Answer: It being agreed between the parties that a Fronting Company has a right to prove in the liquidation of NAIC in respect of the unpaid shares in the circumstances set out in Former Issue 20, then when the Fronting Company does prove in respect of the unpaid share and further has a right of set-off under rule 4.90 of the Insolvency Rules 1986 in respect of a liability owed by the Fronting Company to NAIC, the parties agree that the amount due from the relevant Pool Member to the Fronting Company is reduced by the amount of the set-off to which the Fronting Company is entitled in the liquidation of NAIC.
(vii) Rights where NAIC is a Fronting Company
- In respect of Fronted Risks where NAIC is the Fronting Company or one of the Fronting Companies, are the Pool Members liable to indemnify NAIC in the proportions set out in clause 2 of the Original Agency Agreements and/or clause 2 and Schedule 1 of the Second Agency Agreements, where NAIC has not actually paid its liability in respect of the Fronted Risk to the insured or reinsured on the risk, and notwithstanding the fact that NAIC will not actually pay in full such liability?
Agreed Answer: In respect of Fronted Risks where NAIC is the Fronting Company or one of the Fronting Companies, the Pool Members are liable to indemnify NAIC in the proportions set out in clause 2 of the Original Agency Agreements and/or clause 2 and Schedule 1 of the Second Agency Agreements, where NAIC has not actually paid its liability in respect of the Fronted Risk to the insured or reinsured on the risk, and notwithstanding the fact that NAIC will not actually pay in full such liability.
- In any case where NAIC is the Fronting Company, or one of the Fronting Companies, and the answer to issues 3 and 4 includes Pool Members other than NAIC and any other Fronting Company or Fronting Companies (or in the case of the category 3 Contracts of Reinsurance, the specifically named companies), do such Pool Members' rights to claim from and/or rights to deal with the reinsurers arise only after such Pool Members have actually made payment to NAIC and any other Fronting Company or Fronting Companies of their share under clause 2 of the Original Agency Agreements or clause 2 and Schedule 1 of the Second Agency Agreements?
Agreed Answer: In any case where NAIC is the Fronting Company, or one of the Fronting Companies, and the answer to Former Issues 3 and 4 includes Pool Members other than NAIC and any other Fronting Company or Fronting Companies (or in the case of the category 3 Contracts of Reinsurance, the specifically named companies), the parties agree that the rights of such Pool members to claim from and/or deal with the reinsurers do not arise only after such Pool Members have actually made payment to NAIC and any other Fronting Company or Fronting Companies of their share under clause 2 of the Original Agency Agreements or clause 2 and Schedule 1 of the Second Agency Agreements.
- In respect of, respectively, the Category 1, 2 or3 Contracts of Reinsurance where NAIC is a Fronting Company, are the rights to receive, and (upon receipt of the proceeds of the reinsurance by the Claimant Companies), are those receipts held on trust by the Claimant Companies, and if so, for which of the following categories of persons:
(a) NAIC and any other Fronting Company or Fronting Companies alone? or(b) each of the Pool Members (including NAIC and the Fronting Company or Fronting Companies) in the proportions set out in [clause 2 of the Original Agency Agreements or clause 2 and Schedule 1 of the Second Agency Agreements]? or
(c) none of the above.
To this there was no agreed answer. The answer to questions 6-8 is repeated. It makes no difference whether a fronting company is insolvent or not. Each Pool member can claim and recover his severable share of the external reinsurances. If it recovers more than is attributable to its own proportionate share, the sum is held as fiduciary/trustee for all the Pool members in accordance with their proportionate several Pool shares.
- Would the answer to each of the above issues be the same in respect of any of the Pool members in the event that they were subject to insolvency proceedings governed by English law and/or English law is otherwise the law applicable to the issue?
Agreed Answer: It is agreed that the answer to each of the above issues, and those issues that remain in dispute, would be the same in respect of any of the Pool Members in the event that they were subject to insolvency proceedings governed by English law and/or English law is otherwise the law applicable to the issue.
Conclusion