þ
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ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 | |
For the fiscal year ended December 31, 2010 | ||
OR
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o
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 | |
For the transition period from to |
Pennsylvania (State or other jurisdiction of incorporation or organization) |
80-0482459 (I.R.S. Employer Identification No.) |
Title of Each Class
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Name of Each Exchange of Which Registered
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Common Stock, par value $0.01 per share
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NASDAQ Global Market |
Large accelerated
filer o
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Accelerated filer o | Non-accelerated filer o | Smaller reporting company þ | |||
(Do not check if a smaller reporting company) |
Page |
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Number | ||||||
PART I | ||||||
Item 1. | Business | 1 | ||||
Item 1A. | Risk Factors | 26 | ||||
Item 1B. | Unresolved Staff Comments | 35 | ||||
Item 2. | Properties | 35 | ||||
Item 3. | Legal Proceedings | 35 | ||||
Item 4. | Removed and Reserved | 36 | ||||
PART II | ||||||
Item 5. | Market for Registrants Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities | 36 | ||||
Item 6. | Selected Financial Data | 37 | ||||
Item 7. | Managements Discussion and Analysis of Financial Condition and Results of Operations | 38 | ||||
Item 7A. | Quantitative and Qualitative Disclosures about Market Risk | 73 | ||||
Item 8. | Financial Statements and Supplementary Data | 75 | ||||
Item 9. | Changes in and Disagreements with Accountants on Accounting and Financial Disclosure | 76 | ||||
Item 9A. | Controls and Procedures | 76 | ||||
Item 9B. | Other Information | 76 | ||||
PART III | ||||||
Item 10. | Directors, Executive Officers and Corporate Governance | 76 | ||||
Item 11. | Executive Compensation | 77 | ||||
Item 12. | Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters | 77 | ||||
Item 13. | Certain Relationships and Related Transactions, and Director Independence | 77 | ||||
Item 14. | Principal Accounting Fees and Services | 77 | ||||
PART IV | ||||||
Item 15. | Exhibits, Financial Statement Schedules | 77 | ||||
SIGNATURES | 80 |
Item 1. | Business |
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Net Premiums Earned by Business Segment |
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For the Years Ended December 31, | ||||||||||||||||
2010 | % of Total | 2009 | % of Total | |||||||||||||
Business Segment:
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Agribusiness
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$ | 45,226 | 66.4 | % | $ | 45,289 | 60.1 | % | ||||||||
Commercial Business
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22,405 | 32.9 | % | 28,961 | 38.4 | % | ||||||||||
Other
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466 | 0.7 | % | 1,108 | 1.5 | % | ||||||||||
Total
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$ | 68,097 | 100.0 | % | $ | 75,358 | 100.0 | % | ||||||||
Consolidated | Agribusiness Segment | Commercial Business Segment | ||||||||||||||
State
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% of Total |
State
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% of Total |
State
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% of Total | |||||||||||
Pennsylvania
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10.0 | % | Illinois | 11.1 | % | New Jersey | 31.5 | % | ||||||||
New Jersey
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9.5 | % | Georgia | 8.3 | % | Pennsylvania | 24.8 | % | ||||||||
Illinois
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7.8 | % | North Carolina | 7.8 | % | Virginia | 14.2 | % | ||||||||
Georgia
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6.0 | % | Arkansas | 7.2 | % | Connecticut | 10.4 | % | ||||||||
North Carolina
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5.6 | % | Louisiana | 6.8 | % | Massachusetts | 8.3 | % | ||||||||
Arkansas
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5.1 | % | Missouri | 6.3 | % | Tennessee | 6.2 | % | ||||||||
Virginia
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5.0 | % | Kansas | 5.8 | % | All others(1) | 4.6 | % | ||||||||
Louisiana
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4.8 | % | Ohio | 5.0 | % | Total | 100.0 | % | ||||||||
Missouri
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4.5 | % | Minnesota | 4.5 | % | |||||||||||
Kansas
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4.1 | % | Pennsylvania | 3.8 | % | |||||||||||
Ohio
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3.5 | % | South Carolina | 3.5 | % | |||||||||||
All others(1)
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34.1 | % | Mississippi | 3.5 | % | |||||||||||
Total
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100.0 | % | All others(1) | 26.4 | % | |||||||||||
Total | 100.0 | % | ||||||||||||||
(1) | No other single state accounted for 3.5% or more of the individual total of direct written premiums. |
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Net Premiums Earned by Product Line |
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For the Years Ended December 31, | ||||||||||||||||
2010 | % of Total | 2009 | % of Total | |||||||||||||
Product Line:
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Property Agribusiness
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$ | 16,273 | 23.9 | % | $ | 16,546 | 22.0 | % | ||||||||
Liability Agribusiness
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9,192 | 13.5 | % | 9,196 | 12.2 | % | ||||||||||
Property and liability Commercial Business(1)
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13,542 | 19.9 | % | 17,731 | 23.5 | % | ||||||||||
Workers compensation Agribusiness and
Commercial Business
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11,933 | 17.5 | % | 13,473 | 17.9 | % | ||||||||||
Commercial auto Agribusiness and Commercial Business
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15,741 | 23.1 | % | 16,378 | 21.7 | % | ||||||||||
Other(2)
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1,416 | 2.1 | % | 2,034 | 2.7 | % | ||||||||||
Total
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$ | 68,097 | 100.0 | % | $ | 75,358 | 100.0 | % | ||||||||
(1) | Commercial business property and liability line of business is comprised primarily of a commercial multi-peril line of business where property and liability coverages under our business owners policy are rated together. | |
(2) | Other includes our non-core lines of business as described below, and the net premiums earned in our other segment of $466 and $1,108, for the years ended December 31, 2010 and, 2009, respectively. |
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| Our principal business strategy in both our agribusiness and commercial business segments is to identify niche segments where competition is limited and we can add value through personal service to our producers and insureds. Our plans are to continue to develop and market products for niche businesses and industries: |
| Agribusiness Grow our established niche |
| We have taken actions in 2010 in order to allow us to write our agribusiness product in Texas and South Dakota beginning in mid-2011. Because of its large footprint and significant agricultural resources, we believe that Texas especially provides us business opportunities that our agribusiness segment can capitalize on. | |
| We have transferred staff from other areas of the organization into our agribusiness marketing and underwriting operations, and we have positioned seasoned production underwriters in the Northwest and Midwest to generate new business. These production underwriters have extensive experience in agribusiness-specific property and casualty insurance and are extremely familiar with the areas we look to compete in, and the business and economic issues that matter to prospective customers in these areas. | |
| We have also organized our agribusiness staffing into territory teams made up of raters and underwriters with geographic knowledge and business development experience. We believe that this enhanced customer-centric focus will provide us with opportunities to expand our business (both agribusiness and PennEdge) in states where we are under-represented. |
| Commercial Business Move from being a generalist insurer of small business to being a specialist focused on select industries for small and middle market customers. |
| In early 2009, we introduced our new PennEdge product. PennEdge provides property and liability coverage to accounts that require a broader range of coverages than our traditional business owners or agribusiness products offer. | |
| PennEdge will allow us to develop additional niche markets out of our existing commercial business target markets. We will focus our marketing and underwriting efforts on those industry segments that we understand, and in which we can differentiate ourselves from other insurance companies. | |
| PennEdge is specifically tailored to unique business and industry segments, including wholesalers, manufacturing, hospitality, commercial laundries and dry cleaners, and printers. In 2010, we added hunting and fishing lodges, clubs, guides and outfitters and metal recyclers to our target classes of insureds. We choose our targeted segments based on the experience of our underwriting staff, the market opportunities available to our existing producers and where we believe there are opportunities to reach producers who have not traditionally carried our products. | |
| As of December 31, 2010 the PennEdge product was approved in twenty-four states, up from eight states at the end of 2009. Our plans are to sell the PennEdge product through existing commercial business agents and to capitalize on our already strong and established relationships with agents and brokers who sell our agribusiness program. |
| Strategic Alliances We have differentiated our coverage offerings by entering into strategic alliances in both our agribusiness and commercial business segments to offer equipment breakdown, employment practices liability, and miscellaneous professional liability coverage; and we have recently entered into a strategic alliance to begin offering environmental impairment liability (pollution) coverage. Under such strategic alliances, we typically reinsure all of the risk of loss to the strategic partner and earn a ceding commission. |
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| We believe that there are significant cross-selling opportunities available to us by having products like PennEdge and our agribusiness lines. The brokers and agents, to whom we look to promote our products, serve a diverse group of potential insureds: middle market customers in the businesses we target, as well as larger businesses in the agricultural sector. We also believe that our capital adequacy will allow us access to larger, more sophisticated classes of insureds. | |
| We will add new classes of business in areas we feel we can differentiate ourselves, capitalize on our established name and leverage our existing processes. For example, in 2010 we added coverage specifically tailored to hunting and fishing lodges, clubs, guides and outfitters, and metal recyclers. | |
| We will develop strategic relationships with third parties that have a particular expertise in order to meet the specialized needs of our insureds. This will allow us to grow premium volume, without incurring excessive costs, by offering unique, value-added products to potential or existing insureds. In 2010, we entered into an agreement with a national workers compensation consulting firm that specializes in providing tools, training and support to employers in order to manage and ultimately reduce workers compensation costs. We believe that offering this program to our insureds will not only differentiate us from our competitors who do not offer a similar service, but will also ultimately lower our workers compensation loss ratios over time. | |
| Penn Millers Insurance Companys policies are sold through select independent insurance producers. These producers significantly influence the insureds decision to choose our products over those of our competitors. We are currently represented by a small number of producers in a large geographic area. New producers are an important part of our growth strategy, and we intend to continue to add them in areas where we want to increase our market presence. | |
| In order to increase our market penetration, we have begun to more actively market our agribusiness and PennEdge offerings by using in-house out-bound telemarketing to reach out directly to potential commercial business insureds, targeted agribusiness customers, and brokers and agents who do not currently distribute our products. | |
| In 2010, we changed the roles of our marketing representatives and realigned our marketing and underwriting teams by creating a production underwriter position that combines the business-building expertise of a marketing representative with the underwriting acumen of a traditional underwriter. We believe that combining these disciplines improves efficiencies and gives us increased opportunities to quote accounts directly, with very specific underwriting and pricing guidelines and authority. The home office approves all |
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accounts beyond the individual production underwriters defined authority, and reviews all accounts written that are within the production underwriters authority. |
| We implemented new procedures in 2010 to more effectively use financial responsibility and credit information (credit) as part of the rating and risk selection process when underwriting our commercial business offerings. We believe that credit-based scoring is an effective predictor of risk with respect to the issuance of our policies, and have begun to place more reliance on this data in the underwriting and pricing of new and renewal policies. | |
| Although we do not have any current plans to grow our business by acquisition, we will consider any relevant opportunities that complement our strategies. |
| Our Solutions business owners policy is offered in eight states and provides enhanced coverages intended for small business insureds. While the Solutions offering has served a business need, it has not performed consistently well because its design serves a relatively small population of potential customers, and its use beyond preferred small business insureds has resulted in less-than profitable loss ratios. Our aim is to have a smaller but more profitable Solutions book of business. In order to improve the future results in our Solutions product, we have implemented the following strategies that we feel will improve our loss ratios in this product in the future: |
| In late 2008, we made the strategic decision to withdraw from certain unprofitable classes of business and terminate relationships with several underperforming producers. We believe that refocusing the Solutions offering toward select agents and preferred insureds will improve the profitability of the Solutions policy over time. This decision has resulted in significantly lower premium volume in our commercial business segment, but we believe that our development of PennEdge and our cost containment efforts in Solutions will improve our underwriting profit. | |
| We have begun to take aggressive pricing actions on renewing policies that have not been profitable to us, or present high-risk exposures. These pricing actions are intended to either generate an immediate underwriting profit, or to remove the business from our existing portfolio. | |
| As previously mentioned, we will place more reliance on credit-based scoring data in the underwriting and pricing of new and renewal Solutions policies. We think that this data can provide valuable insight as to the amount of risk we are ultimately taking on, thereby allowing us to price the risk more appropriately. |
| Reduce our ratio of expenses to net premiums earned |
| We are a relatively small insurance company competing on an almost national scale. We believe that the support functions we have in place information technology, accounting and finance, human resources, and management expertise can support significantly more production without increasing much of our costs. We believe that we will only need to add staff that directly relate to increased revenues the underwriting, marketing, claims and loss control functions. We believe that we can achieve improved economies of scale and lower underwriting expense ratios through our growth strategies. | |
| We continually try to identify opportunities for process efficiencies and expense reductions throughout the organization. In February 2011, we reduced staff by nearly 10% and identified other expense reductions that, all together, we expect will total approximately $1 million annually. |
| Investments |
| Our investment objectives are (i) accumulation and preservation of capital, (ii) optimization, within accepted risk levels, of after-tax returns, (iii) assuring proper levels of liquidity, (iv) providing for an acceptable and stable level of current income, (v) managing the maturities of our investment securities to |
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reflect the maturities of our liabilities, and (vi) maintaining a quality portfolio which will help attain the highest possible rating from A.M. Best. |
| We invest in high-quality corporate, government and municipal bonds with relatively short durations so as to position us to take advantage of changing market conditions and to match our estimated timing of claims payments. | |
| For more information regarding our investments, see Item 7 Managements Discussion and Analysis of Financial Condition and Results of Operations Critical Accounting Estimates Investments. |
| Loss reserves Estimating the ultimate liability for losses and LAE is an inherently uncertain process and reflects our best estimate at the balance sheet date. Our objective is to establish loss reserves that will ultimately prove to be adequate. For more information regarding our losses and loss adjustment expense reserves, refer to Item 7 Managements Discussion and Analysis of Financial Condition and Results of Operations Critical Accounting Estimates Losses and Loss Adjustment Expense Reserves. | |
| Strong reinsurers |
| Our reinsurance providers, the majority of whom are longstanding partners who understand our business, are all carefully selected with the help of our reinsurance brokers. We monitor the solvency of reinsurers through regular review of their financial statements and, if available, their A.M. Best ratings. All of our significant reinsurance partners that A.M. Best follows have at least an A- A.M. Best rating. According to A.M. Best, companies with a rating of A- or better have an excellent ability to meet their ongoing obligations to policyholders. In certain instances, we may partner with a reinsurer who is not rated by A.M. Best. However, in such instances the reinsurer must be well capitalized, and have a strong credit rating from Standard and Poors or Moodys rating agencies. We will generally only make exceptions for property related reinsurance in which there is typically little or no delay in the reporting of losses by insureds and the settlement of the claims. We have experienced no significant difficulties collecting amounts due from our reinsurers. | |
| For additional information concerning reinsurance, see Item 1 Business Reinsurance and Note 11 of the notes to the Companys consolidated financial statements in Part II Item 8 Financial Statements and Supplementary Data. |
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| reduce net liability on individual risks; | |
| mitigate the effect of individual loss occurrences (including catastrophic losses); | |
| stabilize underwriting results; | |
| decrease leverage; and | |
| increase our underwriting capacity. |
10
| Treaty reinsurance automatically reinsures an agreed-upon portion of a class of business without the need for approval by the reinsurer of the individual risks covered. We primarily use excess of loss reinsurance, where we limit our liability to all, or a particular portion, of the amount in excess of a predetermined deductible or retention. | |
| Facultative reinsurance reinsures each policy or portion of a risk individually with the prior approval of the reinsurer. We use facultative reinsurance to provide additional capacity to write higher limits of insurance coverage or to reduce retentions on an individual risk basis. | |
| Catastrophe reinsurance indemnifies us for an amount of loss resulting from a catastrophic event in excess of a predetermined retention. | |
| The Terrorism Risk Insurance Act of 2002, which was modified and extended through December 31, 2014 by the Terrorism Risk Insurance Program Reauthorization Act of 2007 (collectively referred to as TRIA), provides additional protection to us. For further information regarding TRIA, see Regulation Other Regulation and Item 1A Risk Factors of this Form 10-K. |
2010 | 2011 | |||||||||||||||
Ceded Under |
Ceded Under |
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Reinsurance |
Reinsurance |
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Property Losses Incurred
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Retained by Company | Treaties | Retained by Company | Treaties | ||||||||||||
Up to $500,000
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100 | % | 0 | % | 100 | % | 0 | % | ||||||||
$500,000 in excess of $500,000
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60 | % | 40 | % | 100 | % | 0 | % | ||||||||
$4 million in excess of $1 million
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0 | % | 100 | % | 0 | % | 100 | % | ||||||||
$15 million in excess of $5 million
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0 | % | 100 | % | 0 | % | 100 | % |
11
| For 2010, the $500,000 in excess of $500,000 layer provided unlimited reinstatements; no annual aggregate limit; | |
| For 2010 and 2011, the $4 million in excess of $1 million layer provides three reinstatements; | |
| For 2010 and 2011, the $5 million in excess of $5 million layer provides two reinstatements; and | |
| For 2010 and 2011, the $10 million in excess of $10 million layer provides one reinstatement. |
2010 | 2011 | |||||||||||||||
Ceded Under |
Ceded Under |
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Reinsurance |
Reinsurance |
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Casualty Losses Incurred
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Retained by Company | Treaties | Retained by Company | Treaties | ||||||||||||
Up to $500,000
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100 | % | 0 | % | 100 | % | 0 | % | ||||||||
$500,000 in excess of $500,000
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60 | % | 40 | % | 100 | % | 0 | % | ||||||||
$4 million in excess of $1 million
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0 | % | 100 | % | 0 | % | 100 | % | ||||||||
$5 million in excess of $5 million
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0 | % | 100 | % | 0 | % | 100 | % |
| For 2010, the $500,000 in excess of $500,000 layer provided unlimited reinstatements, no annual aggregate limit; | |
| For 2010 and 2011, the $4 million in excess of $1 million layer provides two reinstatements; and | |
| For 2010 and 2011, the $5 million in excess of $5 million layer provides one reinstatement. |
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Cumulative |
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Cumulative |
Accrue for Expected |
Accounting |
Experience |
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Recorded at |
Total |
Commutation and |
Impact |
Net |
Activity |
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December 31, |
Experience in |
December 31, |
Profit Sharing |
At December 31, |
Recorded in |
Recorded in |
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2008 | 2009 | 2009 | in 2009 | 2009 | 2009 | 2010 | ||||||||||||||||||||||
Stop loss ceded premiums base
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$ | 2,464 | $ | 2,401 | $ | 4,865 | $ | | $ | 4,865 | $ | 2,401 | $ | | ||||||||||||||
Additional premium @ 20% of ceded losses
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858 | (78 | ) | 780 | (780 | ) | | (858 | ) | | ||||||||||||||||||
Profit sharing returned premiums
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| | | (3,260 | ) | (3,260 | ) | (3,260 | ) | | ||||||||||||||||||
Total ceded premiums
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3,322 | 2,323 | 5,645 | (4,040 | ) | 1,605 | (1,717 | ) | | |||||||||||||||||||
Estimated accident year 2008 ceded losses
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(4,292 | ) | 394 | (3,898 | ) | 3,898 | | 4,292 | | |||||||||||||||||||
Interest expense
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86 | 171 | 257 | (257 | ) | | (86 | ) | | |||||||||||||||||||
Stop loss reinsurance (benefit) cost
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$ | (884 | ) | $ | 2,888 | $ | 2,004 | $ | (399 | ) | $ | 1,605 | $ | 2,489 | $ | | ||||||||||||
Losses & Loss |
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Expense |
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Recoverable |
Percentage of |
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on Unpaid |
Total |
A.M. Best |
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Claims | Recoverable | Rating | ||||||||||
Hannover Rueckversicherung AG
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$ | 7,786 | 34.9 | % | A | |||||||
Swiss Reinsurance America Corporation
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3,569 | 16.0 | % | A | ||||||||
Transatlantic Reinsurance Company
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2,414 | 10.8 | % | A | ||||||||
Employers Mutual Casualty Co.
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2,350 | 10.5 | % | A- | ||||||||
Partner Reinsurance Co. of the U.S.
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2,298 | 10.3 | % | A+ | ||||||||
R+V Versicherung AG(1)
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1,255 | 5.6 | % | NR-5 | ||||||||
Platinum Underwriters Reinsurance, Inc.
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504 | 2.3 | % | A | ||||||||
General Reinsurance Corporation
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470 | 2.1 | % | A++ | ||||||||
Aspen Insurance UK Limited
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453 | 2.0 | % | A | ||||||||
All Other
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1,223 | 5.5 | % | |||||||||
Total
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$ | 22,322 | 100.0 | % | ||||||||
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(1) | R+V Versicherung AG is not formally followed by A.M. Best. The company holds a Standard & Poors (S&P) financial strength rating of A+. This reinsurer participates in our property per-risk and catastrophe excess reinsurance programs, and has posted a letter of credit with us in order to mitigate the risk of non-performance. |
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For the Years Ended |
||||||||
December 31, | ||||||||
2010 | 2009 | |||||||
(In thousands) | ||||||||
Balance at January 1
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$ | 106,710 | $ | 108,065 | ||||
Less Reinsurance recoverable on unpaid losses and LAE
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18,356 | 22,625 | ||||||
Net liability at January 1
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88,354 | 85,440 | ||||||
Losses and LAE incurred, net:
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||||||||
Current year
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$ | 55,772 | $ | 51,199 | ||||
Prior years
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(2,086 | ) | 1,555 | |||||
Total incurred losses and LAE
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53,686 | 52,754 | ||||||
Less losses and LAE paid, net:
|
||||||||
Current year
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$ | 24,755 | $ | 21,296 | ||||
Prior years
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29,634 | 28,544 | ||||||
Total losses and LAE expenses paid
|
54,389 | 49,840 | ||||||
Net liability for unpaid losses and LAE, at December 31
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$ | 87,651 | $ | 88,354 | ||||
Reinsurance recoverable on unpaid losses and LAE
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22,322 | 18,356 | ||||||
Reserve for unpaid losses and LAE at December 31
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$ | 109,973 | $ | 106,710 | ||||
Return of 2008 losses ceded under stop loss contract
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$ | 4,292 | ||
Favorable development in 2009 on December 31, 2008 unpaid
losses and LAE reserves
|
(2,737 | ) | ||
Net prior years reserve development in 2009
unfavorable
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$ | 1,555 | ||
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For the Years Ended December 31, | ||||||||||||||||||||||||||||||||||||||||||||
2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | ||||||||||||||||||||||||||||||||||
(In thousands) | ||||||||||||||||||||||||||||||||||||||||||||
Liability for unpaid losses and LAE, net of reinsurance
recoverables
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$ | 29,476 | $ | 35,656 | $ | 42,731 | $ | 48,072 | $ | 55,804 | $ | 61,032 | $ | 69,316 | $ | 77,229 | $ | 85,440 | $ | 88,354 | $ | 87,651 | ||||||||||||||||||||||
Cumulative amount of liability paid through
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||||||||||||||||||||||||||||||||||||||||||||
One year later
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12,523 | 15,441 | 15,279 | 18,849 | 19,288 | 21,262 | 19,681 | 22,591 | 28,544 | 29,634 | | |||||||||||||||||||||||||||||||||
Two years later
|
20,032 | 23,640 | 25,731 | 27,719 | 28,977 | 32,372 | 31,974 | 35,344 | 46,138 | | | |||||||||||||||||||||||||||||||||
Three years later
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25,184 | 28,897 | 31,372 | 34,125 | 35,481 | 40,950 | 40,378 | 47,263 | | | | |||||||||||||||||||||||||||||||||
Four years later
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28,118 | 32,311 | 35,104 | 37,135 | 41,365 | 45,128 | 46,969 | | | | | |||||||||||||||||||||||||||||||||
Five years later
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30,318 | 33,755 | 36,561 | 39,446 | 43,494 | 48,754 | | | | | | |||||||||||||||||||||||||||||||||
Six years later
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31,333 | 34,786 | 37,978 | 40,937 | 45,462 | | | | | | | |||||||||||||||||||||||||||||||||
Seven years later
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32,039 | 35,847 | 38,932 | 41,969 | | | | | | | | |||||||||||||||||||||||||||||||||
Eight years later
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33,002 | 36,408 | 39,628 | | | | | | | | | |||||||||||||||||||||||||||||||||
Nine years later
|
33,531 | 37,051 | | | | | | | | | | |||||||||||||||||||||||||||||||||
Ten years later
|
34,144 | | | | | | | | | | |
17
For the Years Ended December 31, | ||||||||||||||||||||||||||||||||||||||||||||
2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009 | 2010 | ||||||||||||||||||||||||||||||||||
(In thousands) | ||||||||||||||||||||||||||||||||||||||||||||
Liability re-estimated as of
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||||||||||||||||||||||||||||||||||||||||||||
One year later
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34,545 | 38,657 | 44,764 | 49,658 | 54,729 | 61,017 | 64,679 | 72,004 | 86,995 | 86,268 | | |||||||||||||||||||||||||||||||||
Two years later
|
34,864 | 40,138 | 44,591 | 48,718 | 54,948 | 61,081 | 63,847 | 70,030 | 85,704 | | | |||||||||||||||||||||||||||||||||
Three years later
|
35,865 | 40,527 | 44,424 | 49,954 | 54,510 | 59,884 | 62,422 | 68,497 | | | | |||||||||||||||||||||||||||||||||
Four years later
|
36,594 | 40,416 | 45,405 | 49,617 | 54,411 | 58,891 | 62,555 | | | | | |||||||||||||||||||||||||||||||||
Five years later
|
37,108 | 40,696 | 45,603 | 49,284 | 53,575 | 59,175 | | | | | | |||||||||||||||||||||||||||||||||
Six years later
|
37,402 | 41,157 | 45,744 | 48,918 | 54,031 | | | | | | | |||||||||||||||||||||||||||||||||
Seven years later
|
38,193 | 41,513 | 45,308 | 49,161 | | | | | | | | |||||||||||||||||||||||||||||||||
Eight years later
|
38,590 | 41,271 | 45,629 | | | | | | | | | |||||||||||||||||||||||||||||||||
Nine years later
|
38,315 | 41,570 | | | | | | | | | | |||||||||||||||||||||||||||||||||
Ten years later
|
38,688 | | | | | | | | | | | |||||||||||||||||||||||||||||||||
Cumulative total redundancy (deficiency)
|
$ | (9,212 | ) | $ | (5,914 | ) | $ | (2,898 | ) | $ | (1,089 | ) | $ | 1,773 | $ | 1,857 | $ | 6,761 | $ | 8,732 | $ | (264 | ) | $ | 2,086 | $ | | |||||||||||||||||
Gross liability end of year
|
$ | 37,056 | $ | 47,084 | $ | 53,462 | $ | 69,463 | $ | 73,287 | $ | 83,849 | $ | 89,405 | $ | 95,956 | 108,065 | $ | 106,710 | $ | 109,973 | |||||||||||||||||||||||
Reinsurance recoverables
|
7,580 | 11,428 | 10,731 | 21,391 | 17,483 | 22,817 | 20,089 | 18,727 | 22,625 | 18,356 | 22,322 | |||||||||||||||||||||||||||||||||
Net liability end of year
|
$ | 29,476 | $ | 35,656 | $ | 42,731 | $ | 48,072 | $ | 55,804 | $ | 61,032 | $ | 69,316 | $ | 77,229 | $ | 85,440 | $ | 88,354 | $ | 87,651 | ||||||||||||||||||||||
Gross re-estimated liability latest
|
$ | 58,565 | $ | 63,414 | $ | 66,106 | $ | 68,906 | $ | 73,029 | $ | 85,952 | $ | 81,443 | $ | 89,029 | $ | 103,374 | $ | 106,205 | ||||||||||||||||||||||||
Re-estimated reinsurance recoverables latest
|
19,877 | 21,844 | 20,477 | 19,745 | 18,998 | 26,777 | 18,888 | 20,532 | 17,670 | 19,937 | ||||||||||||||||||||||||||||||||||
Net re-estimated liability latest
|
$ | 38,688 | $ | 41,570 | $ | 45,629 | $ | 49,161 | $ | 54,031 | $ | 59,175 | $ | 62,555 | $ | 68,497 | $ | 85,704 | $ | 86,268 | ||||||||||||||||||||||||
Gross cumulative redundancy (deficiency)
|
$ | (21,509 | ) | $ | (16,330 | ) | $ | (12,644 | ) | $ | 557 | $ | 258 | $ | (2,103 | ) | $ | 7,962 | $ | 6,927 | $ | 4,691 | $ | 505 | ||||||||||||||||||||
| Commodities and futures contracts; | |
| Options (except covered call options); | |
| Non-investment grade debt obligations (individual securities) at time of purchase excluding mutual funds with at least an average S&P credit rating of B; | |
| Preferred stocks (except trust preferred securities); | |
| Interest-only, principal-only, and residual tranche collateralized mortgage obligations; | |
| Private placements other than section 144A issuances with registration rights; | |
| Non-U.S. dollar denominated bonds; | |
| Foreign currency trading; | |
| Limited partnerships; | |
| Convertible securities; |
18
| Venture-capital investments; | |
| Real estate properties (except Real Estate Investment Trusts); | |
| Securities lending; | |
| Portfolio leveraging, i.e., margin transactions; and | |
| Short selling. |
At December 31, | ||||||||||||||||
2010 | 2009 | |||||||||||||||
Cost or Amortized |
Estimated Fair |
Cost or Amortized |
Estimated Fair |
|||||||||||||
Cost | Value | Cost | Value | |||||||||||||
Agencies not backed by the full faith and credit of the U.S.
government
|
$ | 14,111 | $ | 14,458 | $ | 16,933 | $ | 17,441 | ||||||||
U.S. Treasury securities
|
721 | 736 | 4,499 | 4,612 | ||||||||||||
State and political subdivisions
|
43,224 | 44,559 | 37,415 | 39,334 | ||||||||||||
Corporate securities
|
76,325 | 78,441 | 71,470 | 73,691 | ||||||||||||
Commercial mortgage-backed securities
|
1,589 | 1,662 | 3,806 | 3,775 | ||||||||||||
Residential mortgage-backed securities
|
22,223 | 22,915 | 27,607 | 28,302 | ||||||||||||
Total fixed maturities
|
$ | 158,193 | 162,771 | $ | 161,730 | $ | 167,155 | |||||||||
Total equity securities(1)
|
$ | 10,885 | $ | 10,874 | $ | | | |||||||||
(1) | Equity securities represent the amount invested in a high-yield bond mutual fund invested primarily in corporate fixed maturity securities. |
19
Estimated |
Percent |
|||||||
Rating(1)
|
Fair Value | of Total(2) | ||||||
Agencies not backed by the full faith and credit of the U.S.
government
|
$ | 14,458 | 8.3 | % | ||||
U.S. Treasury securities
|
736 | 0.4 | % | |||||
AAA
|
48,482 | 27.9 | % | |||||
AA
|
41,254 | 23.8 | % | |||||
A
|
45,354 | 26.1 | % | |||||
BBB
|
12,487 | 7.2 | % | |||||
B(3)
|
10,874 | 6.3 | % | |||||
Total
|
$ | 173,645 | 100.0 | % | ||||
(1) | The ratings set forth in this table are based on the ratings assigned by S&P. If S&Ps ratings were unavailable, the equivalent ratings supplied by Moodys Investor Service, Fitch Investors Service, Inc. or the National Association of Insurance Commissioners (NAIC) would be used where available. | |
(2) | Represents percent of fair value for classification as a percent of the total invested assets portfolio. | |
(3) | Represents the amount invested in a high-yield bond mutual fund invested primarily in corporate fixed maturity securities with an average S&P credit rating of B. |
Estimated Fair |
||||||||
Amortized Cost | Value(1) | |||||||
Less than one year
|
$ | 10,144 | $ | 10,283 | ||||
One though five years
|
88,455 | 91,582 | ||||||
Five through ten years
|
25,521 | 26,098 | ||||||
Greater than ten years
|
10,261 | 10,231 | ||||||
Commercial mortgaged-backed securities(2)
|
1,589 | 1,662 | ||||||
Residential mortgaged-backed securities(2)
|
22,223 | 22,915 | ||||||
Total fixed maturities
|
$ | 158,193 | $ | 162,771 | ||||
(1) | Fixed maturity securities are carried at fair value in our financial statements. | |
(2) | Mortgage-backed securities consist of residential and commercial mortgage-backed securities and securities collateralized by home equity loans. These securities are presented separately in the maturity schedule due to the inherent risk associated with prepayment or early amortization. Prepayment rates are influenced by a number of factors that cannot be predicted with certainty, including: the relative sensitivity of the underlying mortgages or other collateral to changes in interest rates; a variety of economic, geographic and other factors; and the repayment priority of the securities in the overall securitization structures. |
20
Fair Value at |
Fair Value at |
|||||||
December 31, |
December 31, |
|||||||
Insurer
|
2010 | 2009 | ||||||
AMBAC
|
$ | 3,262 | $ | 3,321 | ||||
FGIC
|
4,871 | 5,524 | ||||||
FSA
|
8,242 | 9,494 | ||||||
MBIA
|
3,687 | 4,356 | ||||||
Total
|
$ | 20,062 | $ | 22,695 | ||||
At December 31, |
||||||||||||
At December 31, 2010 | 2009 | |||||||||||
With |
Without |
With |
||||||||||
Guarantee |
Guarantee |
Guarantee |
||||||||||
Rating
|
Fair Value | Fair Value | Fair Value | |||||||||
AAA
|
$ | 8,175 | $ | 1,104 | $ | 9,476 | ||||||
AA
|
9,179 | 13,521 | 11,021 | |||||||||
A
|
2,708 | 5,437 | 2,198 | |||||||||
Total
|
$ | 20,062 | $ | 20,062 | $ | 22,695 | ||||||
21
| approval of policy forms and premium rates; | |
| standards of solvency, including establishing statutory and risk-based capital requirements for statutory surplus; | |
| classifying assets as admissible for purposes of determining statutory surplus; | |
| licensing of insurers and their producers; | |
| advertising and marketing practices; | |
| restrictions on the nature, quality and concentration of investments; | |
| assessments by guaranty associations; | |
| restrictions on the ability of Penn Millers Insurance Company to pay dividends to us; | |
| restrictions on transactions between Penn Millers Insurance Company and its affiliates; | |
| restrictions on the size of risks insurable under a single policy; | |
| requiring deposits for the benefit of policyholders; | |
| requiring certain methods of accounting; | |
| periodic examinations of our operations and finances; | |
| claims practices; | |
| prescribing the form and content of reports of financial condition required to be filed; and | |
| requiring reserves for unearned premiums, losses and other purposes. |
22
23
24
25
Item 1A. | Risk Factors |
26
27
| determining whether damages were caused by flooding versus wind; | |
| evaluating general liability and pollution exposures; | |
| the impact of increased demand for products and services necessary to repair or rebuild damaged properties; | |
| infrastructure disruption; | |
| fraud; | |
| the effect of mold damage; | |
| business interruption costs; and | |
| reinsurance collectability. |
28
| rising levels of actual costs that are not known by companies at the time they price their products; | |
| volatile and unpredictable developments, including man-made and natural catastrophes; | |
| changes in reserves resulting from the general claims and legal environments as different types of claims arise and judicial interpretations relating to the scope of insurers liability develop; and | |
| fluctuations in interest rates, inflationary pressures and other changes in the investment environment, which affect returns on invested capital and may impact the ultimate payout of losses. |
29
| trends in claim frequency and severity; | |
| information regarding each claim for losses; | |
| health care reform; | |
| legislative enactments, judicial decisions and legal developments regarding damages; and | |
| trends in general economic conditions, including inflation. |
| the availability of alternative products from our competitors; | |
| the price of our product relative to our competitors; | |
| the commissions paid to producers for the sale of our products relative to our competitors; | |
| the timing of our market entry; and | |
| our ability to market and distribute our products effectively. |
30
31
32
| approval of policy forms and premium rates; | |
| standards of solvency, including establishing requirements for minimum capital and surplus, and for risk-based capital; | |
| classifying assets as admissible for purposes of determining solvency and compliance with minimum capital and surplus requirements; | |
| licensing of insurers and their producers; | |
| advertising and marketing practices; | |
| restrictions on the nature, quality and concentration of investments; | |
| assessments by guaranty associations and mandatory pooling arrangements; | |
| restrictions on the ability to pay dividends; | |
| restrictions on transactions between affiliated companies; | |
| restrictions on the size of risks insurable under a single policy; | |
| requiring deposits for the benefit of policyholders; | |
| requiring certain methods of accounting; | |
| periodic examinations of our operations and finances; | |
| claims practices; | |
| prescribing the form and content of reports of financial condition required to be filed; and | |
| requiring reserves for unearned premiums, losses and other purposes. |
33
| a prohibition on a person, including a group acting in concert, from acquiring voting control of more than 10% of our outstanding stock without prior approval of the board of directors; | |
| a classified board of directors divided into three classes serving for successive terms of three years each; | |
| the prohibition of cumulative voting in the election of directors; | |
| the requirement that nominations for the election of directors made by shareholders and any shareholder proposals for inclusion on the agenda at any annual meeting must be made by notice (in writing) delivered or mailed to us not less than 90 days prior to the meeting; | |
| the prohibition of shareholders action without a meeting and of shareholders right to call a special meeting; | |
| unless otherwise waived by the board of directors, to be elected as a director, a person must be a shareholder of Penn Millers Holding Corporation for the lesser of one year or the time that has elapsed since the completion of the conversion; | |
| the requirement imposing a mandatory tender offering requirement on a shareholder that has a combined voting power of 25% or more of the votes that our shareholders are entitled to cast; |
34
| the requirement that certain provisions of our articles of incorporation can only be amended by an affirmative vote of shareholders entitled to cast at least 80% of all votes that shareholders are entitled to cast, unless approved by an affirmative vote of at least 80% of the members of the board of directors; and | |
| the requirement that certain provisions of our bylaws can only be amended by an affirmative vote of shareholders entitled to cast at least 662/3%, or in certain cases 80%, of all votes that shareholders are entitled to cast. |
Item 1B. | Unresolved Staff Comments |
Item 2. | Properties |
Item 3. | Legal Proceedings |
35
Item 4. | (Removed and Reserved) |
Item 5. | Market for Registrants Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities |
Share Price Range | ||||||||
Period:
|
High | Low | ||||||
2010 First Quarter
|
$ | 12.15 | $ | 10.40 | ||||
2010 Second Quarter
|
14.95 | 12.63 | ||||||
2010 Third Quarter
|
14.81 | 12.00 | ||||||
2010 Fourth Quarter
|
14.75 | 13.23 | ||||||
October 17, 2009 - December 31, 2009
|
$ | 11.08 | $ | 10.00 |
36
Number of Securities |
||||||||||||
Number of Securities |
Weighted-Average |
Remaining Available for |
||||||||||
to be Issued upon Exercise |
Exercise Price of |
Future Issuance Under |
||||||||||
of Outstanding Options, |
Outstanding Options, |
Equity Compensation |
||||||||||
Plan Category
|
Warrants and Rights | Warrants and Rights | Plans | |||||||||
Equity compensation plans approved by security holders
|
114,960 | $ | 14.83 | 506,081 | ||||||||
Equity compensation plans not approved by security holders
|
| | | |||||||||
Total
|
114,960 | $ | 14.83 | 506,081 | ||||||||
Item 6. | Selected Financial Data |
37
Item 7. | PENN MILLERS HOLDING CORPORATION AND SUBSIDIARY |
| 2010 Consolidated Results of Operations |
| Our net loss of $3,488 includes income tax expense of $2,615 mostly related to federal tax expense of $3,309 from a valuation allowance against our net deferred tax assets, and unusually high catastrophe losses in the second quarter of 2010. | |
| Our net premiums earned of $68,097 were $7,261 lower than 2009 as a result of underwriting actions taken in our commercial business segment during 2009 and 2010. | |
| We experienced pre-tax catastrophe losses of $5,578 (net of reinsurance), which were $3,599 higher than 2009. |
38
| We experienced net favorable prior year reserve development of $2,086, as compared to unfavorable development of $1,555 in 2009 ($4,292 of which was related to the stop loss reversal). | |
| Our consolidated GAAP combined ratio was 113.8% in 2010, an increase of 10.1 points compared to 2009. | |
| Our pre-tax net investment income of $5,700 was a modest increase over 2009. | |
| We recognized pre-tax net realized investment gains of $2,712 in 2010, compared to pre-tax net realized gains of $199 in 2009. |
| 2010 Consolidated Financial Condition |
| Our book value per share was $20.85 at December 31, 2010, compared to $21.31 at December 31, 2009. | |
| Total investments were $173,645 at December 31, 2010, compared to $167,155 at December 31, 2009. | |
| Total assets were $254,721 at December 31, 2010, compared to $263,450 at December 31, 2009. | |
| We repurchased 287,131 shares of our common stock at a total cost of $4,155 under our share repurchase program during 2010. | |
| Shareholders equity was $93,028 at December 31, 2010, compared to $100,048 at December 31, 2009. |
| For both our agribusiness and commercial business segments, we continue to emphasize that we will not compromise profitability for top line growth. However, competitive pressures in the marketplace continue to exert downward pressure on our prices, which will continue to affect our writing of new and renewal business. | |
| In our agribusiness segment, our focus on underwriting discipline and rate adequacy in the midst of this soft market (a market we expect to continue in 2011) has resulted in our premium revenue growth being relatively modest. | |
| In our commercial business segment, we believe that the steps we have taken to improve the quality of our accounts through more targeted underwriting, increased use of financial scoring, and more proactive agency management will improve our loss ratios in this segment over time. | |
| We believe our plans for the expansion of our PennEdge product, our strategic alliances and our plan to grow our producer network will position us to take advantage of profitable growth opportunities in the future. |
39
40
41
| 2, 3, 4, and 5-Year Averages (straight averages and loss-weighted averages); | |
| 5-Year Average Excluding Highest and Lowest LDFs; | |
| All-Year Average (straight average and loss-weighted average); and | |
| Selected LDF Pattern (LDFs are selected for each evaluation based on the actuarys review of the historical development). |
42
43
As of |
As of |
|||||||
December 31, |
December 31, |
|||||||
2010 | 2009 | |||||||
Case reserves
|
$ | 53,330 | $ | 55,258 | ||||
IBNR reserves
|
34,321 | 33,096 | ||||||
Net unpaid losses and LAE
|
87,651 | 88,354 | ||||||
Reinsurance recoverable on unpaid losses and LAE
|
22,322 | 18,356 | ||||||
Reserves for unpaid losses and LAE
|
$ | 109,973 | $ | 106,710 | ||||
Reserve Range for Unpaid Losses and LAE | ||||
Low End | Recorded | High End | ||
$80,201
|
$87,651 | $91,372 |
Reserve Range for Unpaid Losses and LAE | ||||
Low End | Recorded | High End | ||
$78,154
|
$88,354 | $91,086 |
| Historical industry development experience in our business lines; | |
| Historical company development experience; | |
| Trends in social and economic factors that may affect our loss experience, such as the impact of economic conditions on the speed in which injured workers return to their jobs; | |
| The impact of court decisions on insurance coverage issues, which can impact the ultimate cost of settling claims; | |
| Trends and risks in claim costs, such as risk that medical cost inflation could increase, or that increasing unemployment rates can impact workers compensation claim costs; | |
| The relatively small base of claims we have increases the risk that a few claims experiencing adverse development could significantly impact our loss reserve levels; and | |
| The impact of changes in our net retention (i.e., changes in reinsurance) over the past few years on the potential magnitude of reserve development. |
44
| The rate of increase in labor costs, medical costs, material costs, and commodity prices that underlie insured risks; | |
| Development of risk associated with our expanding producer relationships, new classes of business, and our growth in states where we currently have small market share; | |
| Impact of unemployment rates on behavior of injured insured workers; | |
| Impact of changes in laws or regulations; | |
| Adequacy of current pricing in relatively soft insurance markets; and | |
| Variability related to asbestos and environmental claims due to issues as to whether coverage exists, the definition of occurrence, the determination of ultimate damages, and the allocation of such damages to responsible parties. |
45
Actuarially Determined |
||||||||||||||||||||
Total |
Range of Estimates | |||||||||||||||||||
Case Reserves | IBNR Reserves | Reserves | Low | High | ||||||||||||||||
Commercial auto liability
|
$ | 8,586 | $ | 5,899 | $ | 14,485 | $ | 13,428 | $ | 15,023 | ||||||||||
Workers compensation
|
12,290 | 8,201 | 20,491 | 19,545 | 21,204 | |||||||||||||||
Commercial multi-peril
|
11,518 | 6,391 | 17,909 | 16,582 | 18,743 | |||||||||||||||
Liability
|
9,515 | 9,096 | 18,611 | 16,823 | 19,162 | |||||||||||||||
Fire & allied
|
5,748 | 1,109 | 6,857 | 5,826 | 7,190 | |||||||||||||||
Assumed
|
4,372 | 3,202 | 7,574 | 6,574 | 8,040 | |||||||||||||||
Other
|
1,301 | 423 | 1,724 | 1,423 | 2,010 | |||||||||||||||
Total net reserves
|
53,330 | 34,321 | 87,651 | $ | 80,201 | $ | 91,372 | |||||||||||||
Reinsurance recoverables
|
12,784 | 9,538 | 22,322 | |||||||||||||||||
Gross reserves
|
$ | 66,114 | $ | 43,859 | $ | 109,973 | ||||||||||||||
Actuarially Determined |
||||||||||||||||||||
Total |
Range of Estimates | |||||||||||||||||||
Case Reserves | IBNR Reserves | Reserves | Low | High | ||||||||||||||||
Commercial auto liability
|
$ | 9,115 | $ | 5,386 | $ | 14,501 | $ | 12,719 | $ | 14,681 | ||||||||||
Workers compensation
|
13,675 | 7,262 | 20,937 | 19,472 | 21,109 | |||||||||||||||
Commercial multi-peril
|
14,262 | 6,778 | 21,040 | 19,413 | 21,597 | |||||||||||||||
Liability
|
9,209 | 7,851 | 17,060 | 14,343 | 17,470 | |||||||||||||||
Fire & allied
|
3,546 | 1,244 | 4,790 | 3,927 | 4,920 | |||||||||||||||
Assumed
|
4,264 | 4,008 | 8,272 | 6,972 | 9,066 | |||||||||||||||
Other
|
1,187 | 567 | 1,754 | 1,308 | 2,243 | |||||||||||||||
Total net reserves
|
55,258 | 33,096 | 88,354 | $ | 78,154 | $ | 91,086 | |||||||||||||
Reinsurance recoverables
|
8,261 | 10,095 | 18,356 | |||||||||||||||||
Gross reserves
|
$ | 63,519 | $ | 43,191 | $ | 106,710 | ||||||||||||||
46
2004 | 2005 | 2006 | 2007 | 2008 | 2009 | |||||||||||||||||||
As originally estimated
|
$ | 55,804 | $ | 61,032 | $ | 69,316 | $ | 77,229 | $ | 85,440 | $ | 88,354 | ||||||||||||
As estimated at December 31, 2010
|
54,031 | 59,175 | 62,555 | 68,497 | 85,704 | 86,268 | ||||||||||||||||||
Net cumulative redundancy (deficiency)
|
$ | 1,773 | $ | 1,857 | $ | 6,761 | $ | 8,732 | $ | (264 | ) | $ | 2,086 | |||||||||||
% redundancy (deficiency)
|
3.2 | % | 3.0 | % | 9.8 | % | 11.3 | % | (0.3 | )% | 2.4 | % |
Percentage Change in |
||||||||
Aggregate Loss and |
Shareholders |
|||||||
Reserve Range for Unpaid Losses and LAE
|
LAE Reserve | Equity(1) | ||||||
Low End
|
$ | 80,201 | 5.3 | % | ||||
Recorded
|
87,651 | | ||||||
High End
|
91,372 | (2.6 | )% |
(1) | Net of tax |
47
48
49
Less than 12 Months | 12 Months or Longer | Total | ||||||||||||||||||||||
Fair |
Unrealized |
Fair |
Unrealized |
Fair |
Unrealized |
|||||||||||||||||||
Description of Securities
|
Value | Losses | Value | Losses | Value | Losses | ||||||||||||||||||
December 31, 2010:
|
||||||||||||||||||||||||
U.S. Treasuries
|
$ | 284 | $ | 17 | $ | | $ | | $ | 284 | $ | 17 | ||||||||||||
State and political subdivisions
|
9,477 | 182 | 2,803 | 47 | 12,280 | 229 | ||||||||||||||||||
Residential mortgage-backed securities
|
3,094 | 64 | 361 | 2 | 3,455 | 66 | ||||||||||||||||||
Corporate securities
|
9,658 | 200 | 928 | 9 | 10,586 | 209 | ||||||||||||||||||
Total fixed maturity securities
|
22,513 | 463 | 4,092 | 58 | 26,605 | 521 | ||||||||||||||||||
Equity securities(1)
|
10,874 | 11 | | | 10,874 | 11 | ||||||||||||||||||
Total temporarily impaired securities
|
$ | 33,387 | $ | 474 | $ | 4,092 | $ | 58 | $ | 37,479 | $ | 532 | ||||||||||||
(1) | Equity securities represent the amount invested in a high-yield bond mutual fund invested primarily in corporate fixed maturity securities. |
Less than 12 Months | 12 Months or Longer | Total | ||||||||||||||||||||||
Fair |
Unrealized |
Fair |
Unrealized |
Fair |
Unrealized |
|||||||||||||||||||
Description of Securities
|
Value | Losses | Value | Losses | Value | Losses | ||||||||||||||||||
December 31, 2009:
|
||||||||||||||||||||||||
Agencies not backed by the full faith and credit of the U.S.
government
|
$ | 5,965 | $ | 30 | $ | | $ | | $ | 5,965 | $ | 30 | ||||||||||||
State and political subdivisions
|
5,021 | 65 | 555 | 10 | 5,576 | 75 | ||||||||||||||||||
Commercial mortgage-backed securities
|
| | 1,938 | 65 | 1,938 | 65 | ||||||||||||||||||
Residential mortgage-backed securities
|
9,549 | 149 | | | 9,549 | 149 | ||||||||||||||||||
Corporate securities
|
21,283 | 179 | 3,471 | 63 | 24,754 | 242 | ||||||||||||||||||
Total temporarily impaired securities
|
$ | 41,818 | $ | 423 | $ | 5,964 | $ | 138 | $ | 47,782 | $ | 561 | ||||||||||||
50
51
52
December 31, | ||||||||
2010 | 2009 | |||||||
Agribusiness segment
|
||||||||
Deferred policy acquisition costs
|
$ | 6,658 | $ | 6,386 | ||||
Unearned premium reserves
|
$ | 30,117 | $ | 28,727 | ||||
Commercial business segment
|
||||||||
Deferred policy acquisition costs
|
$ | 3,075 | $ | 3,665 | ||||
Unearned premium reserves
|
$ | 12,683 | $ | 14,577 | ||||
Other
|
||||||||
Deferred policy acquisition costs
|
$ | 2 | $ | 2 | ||||
Unearned premium reserves
|
$ | 7 | $ | 9 | ||||
Total
|
||||||||
Deferred policy acquisition costs
|
$ | 9,735 | $ | 10,053 | ||||
Unearned premium reserves
|
$ | 42,807 | $ | 43,313 |
53
54
55
For the Years Ended |
||||||||
December 31, | ||||||||
2010 | 2009 | |||||||
Revenues:
|
||||||||
Premiums earned:
|
||||||||
Agribusiness
|
$ | 45,226 | $ | 45,289 | ||||
Commercial Business
|
22,405 | 28,961 | ||||||
Other
|
466 | 1,108 | ||||||
Total premiums earned
|
68,097 | 75,358 | ||||||
Investment income, net of investment expense
|
5,700 | 5,648 | ||||||
Realized investment gains, net
|
2,712 | 199 | ||||||
Other income
|
325 | 223 | ||||||
Total revenues
|
$ | 76,834 | $ | 81,428 | ||||
Components of net (loss) income:
|
||||||||
Underwriting (loss) income:
|
||||||||
Agribusiness
|
$ | (592 | ) | $ | 1,985 | |||
Commercial Business
|
(7,922 | ) | (4,509 | ) | ||||
Other
|
(362 | ) | 175 | |||||
Total underwriting losses
|
(8,876 | ) | (2,349 | ) | ||||
Investment income, net of investment expense
|
5,700 | 5,648 | ||||||
Realized investment gains, net
|
2,712 | 199 | ||||||
Other income
|
325 | 223 | ||||||
Corporate expense
|
(539 | ) | (429 | ) | ||||
Interest expense
|
(31 | ) | (22 | ) | ||||
Other expense, net
|
(164 | ) | (209 | ) | ||||
(Loss) income from continuing operations, before income taxes
|
(873 | ) | 3,061 | |||||
Income tax expense (benefit)
|
2,615 | (346 | ) | |||||
(Loss) income from continuing operations
|
(3,488 | ) | 3,407 | |||||
Discontinued operations:
|
||||||||
Income from discontinued operations, before income taxes
|
| 39 | ||||||
Income tax expense
|
| 879 | ||||||
Loss from discontinued operations
|
| (840 | ) | |||||
Net (loss) income
|
$ | (3,488 | ) | $ | 2,567 | |||
GAAP ratios:
|
||||||||
Loss and loss adjustment expense ratio
|
78.8 | % | 70.0 | % | ||||
Underwriting expense ratio
|
35.0 | % | 33.7 | % | ||||
Combined ratio
|
113.8 | % | 103.7 | % | ||||
56
Consolidated | 2010 | 2009 | ||||||||||||||
Written | Earned | Written | Earned | |||||||||||||
Direct
|
$ | 86,524 | $ | 86,638 | $ | 88,356 | $ | 90,332 | ||||||||
Assumed
|
295 | 297 | 873 | 876 | ||||||||||||
Ceded Stop loss contract reversal
|
| | 1,717 | 1,717 | ||||||||||||
Ceded All other
|
(19,082 | ) | (18,838 | ) | (17,300 | ) | (17,567 | ) | ||||||||
Net
|
$ | 67,737 | $ | 68,097 | $ | 73,646 | $ | 75,358 | ||||||||
| Consolidated direct premiums earned declined $3,694 primarily from a decline in direct premiums earned in our commercial business segment of $5,479 as we continue to see the effects of our efforts to improve our underwriting results in this segment by aggressively managing underperforming producers and classes of business. In 2010, direct premiums earned in our agribusiness segment increased by $1,848, or 3.2%, compared to 2009. This increase in direct premiums earned was due to improved retention of existing business, although competitive pressures have resulted in the loss of a few larger accounts in 2010, as well as the timing of new business acquired in 2009 and 2010. In our other segment, net premiums earned declined $642 for the year ended 2010, compared to the same period of 2009 due mostly to a decline in premiums assumed from the national workers compensation pool. | |
| For the year ended December 31, 2009, the net adjustment of ceded premium recorded under the stop loss contract was $1,717. The premiums ceded under the contract for the 2008 accident year were reversed in the third quarter of 2009 as a result of favorable development in the loss ratio subject to the contract. The stop loss contract was not renewed for 2010 because the reinsurance protection is no longer necessary as we raised additional capital through our stock offering which closed in October 2009. For additional information concerning the stop loss reinsurance contract, see Item 1 Business Reinsurance. | |
| Ceded premiums earned (excluding the stop loss) were higher in the year ended December 31, 2010, compared to the same period of 2009 primarily from increases in reinsurance rates on our 2010 reinsurance program. Also, the year ended 2009 includes a benefit from the reversal of a $645 reinsurance reinstatement premium accrual we had recognized in the second quarter of 2009. In 2010, we raised our participation rate on our per-risk reinsurance treaty: losses between $500 and $1,000 being retained at 60.0% in 2010 versus 52.5% in 2009. |
For the Years Ended |
||||||||
December 31, | ||||||||
2010 | 2009(1) | |||||||
Average cash and invested assets
|
$ | 183,765 | $ | 147,425 | ||||
Pre-tax investment income, net of expenses
|
5,700 | 5,648 | ||||||
Average pre-tax return on average cash and invested assets(1)
|
3.1 | % | 3.8 | % |
(1) | Our initial public offering on October 16, 2009 increased our cash and invested assets on that date by $45,666. Accordingly, we have weighted the average cash and invested assets for 2009 to account for the days in 2009 we were a public company. |
57
For the Years Ended |
||||||||
Consolidated | December 31, | |||||||
2010 | 2009 | |||||||
Net premiums earned
|
$ | 68,097 | $ | 75,358 | ||||
Incurred losses and LAE:
|
||||||||
Losses
|
$ | 46,721 | $ | 47,032 | ||||
Catastrophe losses
|
5,578 | 1,979 | ||||||
Other weather losses
|
3,473 | 2,188 | ||||||
Stop loss ceded reversal
|
| 4,292 | ||||||
Favorable prior year development(1)
|
(2,086 | ) | (2,737 | ) | ||||
Total incurred losses and LAE
|
$ | 53,686 | $ | 52,754 | ||||
Loss and LAE ratios:
|
||||||||
Losses
|
68.6 | % | 62.4 | % | ||||
Catastrophe losses
|
8.2 | % | 2.6 | % | ||||
Other weather losses
|
5.1 | % | 2.9 | % | ||||
Stop loss ceded reversal
|
| % | 5.7 | % | ||||
Prior year development(1)
|
(3.1 | )% | (3.6 | )% | ||||
Total Loss and LAE ratio
|
78.8 | % | 70.0 | % | ||||
(1) | 2009 Prior year development excludes the impact of the stop loss reversal. |
58
| On a consolidated basis, losses not attributable to catastrophes or weather were lower by $311 primarily due to lower claim severity in our commercial auto line of business and lower claim frequency in our workers compensation and liability lines of business within our agribusiness segment. In our commercial business segment, these losses were higher due to increased severity arising from several large property losses in our commercial multi-peril line, adverse workers compensation development in 2009 that impacted our estimates for 2010, and increased frequency in commercial auto liability and other liability claims in 2010 compared to 2009. | |
| Catastrophe losses were $3,599 higher in the year to date period of 2010, compared to the same period of 2009 due to severe second quarter 2010 storms in the Midwest that affected several of our large agribusiness insureds. These storm losses arose from catastrophic wind events in Arkansas, Minnesota, Kansas, and Illinois. Our loss ratio from catastrophes in 2010 was 8.2 points compared to 2.6 points in 2009. Catastrophe and weather loss ratios will vary significantly year to year and quarter to quarter due to the volatility of the frequency and the severity of such losses, relative to the small size of our company. We typically experience the highest level of weather-related loss activity in the second quarter of the year. Also, our catastrophe losses for 2010 include late winter storms in the Northeast and Mid-Atlantic states that adversely impacted first quarter 2010 results in our commercial business segment. | |
| The favorable prior year reserve development for 2010 of $2,086 includes reversals in additional reserves carried above the actuarial central estimate (see our discussion of Losses and Loss Adjustment Expense Reserves under the section entitled Critical Accounting Estimates) and was due to a lower level of incurred loss emergence relative to expectations in the workers compensation, commercial auto, and liability lines of business in our agribusiness segment. Within our agribusiness segment, the commercial auto line of business was also impacted positively by favorable prior year claims settlements. This favorable development was partly offset by unfavorable development in the fire and allied lines of business due to updated information on previously reported large property claims. In our commercial business segment, we experienced net favorable prior year reserve development of $26. Favorable loss emergence, relative to expectations, in the commercial multi-peril line and favorable claims settlements in the fire and allied lines were offset by unfavorable development in the commercial auto liability line and other liability lines. |
| In 2010, the combination of higher reinsurance costs (and therefore lower earned premium) and an overall decline in direct earned premium from our reduction of unprofitable business in our commercial business segment has caused this underwriting expense ratio to increase. | |
| Consolidated underwriting and administrative expenses, including amortization of deferred policy acquisition costs, were $23,826 for the year ended 2010 and $25,382 for the year ended 2009. In the second quarter of 2010, we recognized a net gain from the SERP termination of $679. The remainder of the decrease in underwriting and administrative expenses is primarily due to lower amortization of deferred policy acquisition costs of $1,213 resulting from our lower direct and assumed earned premiums, and the 2009 |
59
underwriting and administrative costs included employee incentive costs based on company performance. The lower deferred policy acquisition costs were partially offset by increases in insurance, consulting and legal costs associated with public company compliance requirements. |
(Loss) | Income from Continuing Operations, before Income Taxes |
| Net premiums earned in 2010 were $7,261 lower than 2009. The favorable impact of the stop loss on 2009 earned premiums was $1,717. | |
| For the year ended December 31, 2010 compared to the same period of 2009, losses and LAE were $53,686 and $52,754, respectively; catastrophe and weather-related losses were higher by $4,884, and losses and LAE were unfavorably impacted in 2009 by $4,292 from the stop loss reversal. | |
| Net realized gains from sales of fixed maturity and equity securities were higher by $2,316 in 2010 compared to 2009. Total net realized gains in 2009 included an other-than-temporary impairment charge of $197. | |
| Total underwriting and administrative expenses were lower by $1,556 in 2010 compared to 2009, due primarily to our lower level of earned premium in 2010 compared to 2009, which resulted in lower amortization expense for policy acquisition costs. The SERP termination gain recorded in the second quarter of 2010 was partly offset by increased public company compliance-related costs incurred in 2010. |
60
Agribusiness | For the Years Ended December 31, | |||||||
2010 | 2009 | |||||||
Direct premiums written
|
$ | 60,787 | $ | 58,675 | ||||
Net premiums written
|
46,605 | 46,787 | ||||||
Revenues:
|
||||||||
Net premiums earned
|
$ | 45,226 | $ | 45,289 | ||||
Other income
|
95 | 31 | ||||||
Total revenues(1)
|
$ | 45,321 | $ | 45,320 | ||||
Operating (loss) income:
|
||||||||
Underwriting (loss) income
|
$ | (592 | ) | $ | 1,985 | |||
Other income
|
95 | 31 | ||||||
Interest & other expenses
|
(83 | ) | (35 | ) | ||||
Total operating (loss) income(1)
|
$ | (580 | ) | $ | 1,981 | |||
Loss and loss expense ratio
|
71.5 | % | 65.5 | % | ||||
Underwriting expense ratio
|
29.8 | % | 30.1 | % | ||||
GAAP combined ratio
|
101.3 | % | 95.6 | % | ||||
(1) | Revenues exclude net realized investment gains (losses) and net investment income. Operating income equals pre-tax net income from continuing operations excluding the impact of net realized investment gains (losses) and net investment income. |
61
Agribusiness | 2010 | 2009 | ||||||||||||||
Written | Earned | Written | Earned | |||||||||||||
Direct
|
$ | 60,787 | $ | 59,128 | $ | 58,675 | $ | 57,280 | ||||||||
Ceded Stop loss contract reversal
|
| | 615 | 615 | ||||||||||||
Ceded All other
|
(14,182 | ) | (13,902 | ) | (12,503 | ) | (12,606 | ) | ||||||||
Net
|
$ | 46,605 | $ | 45,226 | $ | 46,787 | $ | 45,289 | ||||||||
For the Years Ended |
||||||||
Agribusiness | December 31, | |||||||
2010 | 2009 | |||||||
Net premiums earned
|
$ | 45,226 | $ | 45,289 | ||||
Incurred losses and LAE:
|
||||||||
Losses
|
$ | 27,688 | $ | 28,495 | ||||
Catastrophe losses
|
4,204 | 1,758 | ||||||
Other weather losses
|
2,586 | 1,348 | ||||||
Stop loss ceded reversal
|
| 568 | ||||||
Favorable prior year development(1)
|
(2,136 | ) | (2,515 | ) | ||||
Total incurred losses and LAE
|
$ | 32,342 | $ | 29,654 | ||||
62
For the Years Ended |
||||||||
Agribusiness | December 31, | |||||||
2010 | 2009 | |||||||
Loss and LAE ratios:
|
||||||||
Losses
|
61.2 | % | 62.9 | % | ||||
Catastrophe losses
|
9.3 | % | 3.9 | % | ||||
Other weather losses
|
5.7 | % | 3.0 | % | ||||
Stop loss ceded reversal
|
| % | 1.3 | % | ||||
Prior year development(1)
|
(4.7 | )% | (5.6 | )% | ||||
Total Loss and LAE ratio
|
71.5 | % | 65.5 | % | ||||
(1) | 2009 prior year development excludes the impact of the stop loss reversal. |
| Other current accident year losses were lower by $807 primarily due to lower claims severity in our commercial auto line of business and lower claim frequency in our workers compensation and liability lines of business. These improvements were partially offset by increased severity in our liability lines of business. | |
| Weather-related losses from both catastrophic and non-catastrophic events increased by $3,684 in 2010 compared to 2009. The catastrophe losses were primarily from several Midwest storms in the second quarter of 2010 that resulted in large claims mostly incurred by four of our agribusiness policyholders. Catastrophe losses accounted for 9.3 loss ratio points in 2010, compared to 3.9 loss ratio points in 2009. | |
| In 2009 we recorded a reversal of 2008 accident year losses we had previously ceded under our aggregate stop loss contract as a result of favorable development on that accident year. The impact of the reversal on our losses and LAE was $568 in the year ended December 31, 2009. We did not renew the stop loss contract in 2010. | |
| The favorable prior year reserve development of $2,136 in 2010 was due to favorable development in the workers compensation, commercial auto, and liability lines of business as a result of a lower level of incurred loss emergence relative to expectations. This favorable development was partly offset by unfavorable development in the fire and allied lines of business due to updated information on previously reported large property claims. |
63
For the Years Ended |
||||||||
Agribusiness | December 31, | |||||||
2010 | 2009 | |||||||
Direct Premiums Written:
|
||||||||
Property
|
$ | 22,815 | $ | 21,394 | ||||
Commercial Auto
|
13,123 | 13,025 | ||||||
Liability
|
10,023 | 10,595 | ||||||
Workers Compensation
|
8,590 | 7,950 | ||||||
Other
|
6,236 | 5,711 | ||||||
Total
|
$ | 60,787 | $ | 58,675 | ||||
Net Premiums Earned:
|
||||||||
Property
|
$ | 16,273 | $ | 16,546 | ||||
Commercial Auto
|
11,569 | 11,632 | ||||||
Liability
|
9,192 | 9,196 | ||||||
Workers Compensation
|
7,464 | 7,238 | ||||||
Other
|
728 | 677 | ||||||
Total
|
$ | 45,226 | $ | 45,289 | ||||
Loss and Loss Adjustment Expense Ratios:
|
||||||||
Property
|
103.7 | % | 70.8 | % | ||||
Commercial Auto
|
52.9 | % | 72.8 | % | ||||
Liability
|
62.5 | % | 52.3 | % | ||||
Workers Compensation
|
43.4 | % | 63.3 | % | ||||
Other
|
49.9 | % | 11.2 | % | ||||
Total
|
71.5 | % | 65.5 | % |
64
For the Years Ended |
||||||||
Commercial Business | December 31, | |||||||
2010 | 2009 | |||||||
Direct premiums written
|
$ | 25,568 | $ | 29,449 | ||||
Net premiums written
|
20,668 | 25,754 | ||||||
Revenues:
|
||||||||
Net premiums earned
|
$ | 22,405 | $ | 28,961 | ||||
Other income
|
230 | 189 | ||||||
Total revenues(1)
|
$ | 22,635 | $ | 29,150 | ||||
Operating loss:
|
||||||||
Underwriting loss
|
$ | (7,922 | ) | $ | (4,509 | ) | ||
Other income
|
230 | 189 | ||||||
Interest & other expenses
|
(113 | ) | (118 | ) | ||||
Total operating loss(1)
|
$ | (7,805 | ) | $ | (4,438 | ) | ||
Loss and loss adjustment expense ratio
|
93.0 | % | 78.4 | % | ||||
Underwriting expense ratio
|
42.4 | % | 37.2 | % | ||||
GAAP combined ratio
|
135.4 | % | 115.6 | % | ||||
(1) | Revenues exclude net realized investment gains (losses) and net investment income. Operating income (loss) equals pre-tax net income (loss) from continuing operations excluding the impact of net realized investment gains (losses) and net investment income. |
Commercial Business | 2010 | 2009 | ||||||||||||||
Written | Earned | Written | Earned | |||||||||||||
Direct
|
$ | 25,568 | $ | 27,341 | $ | 29,449 | $ | 32,820 | ||||||||
Ceded Stop loss contract reversal
|
| | 1,102 | 1,102 | ||||||||||||
Ceded All other
|
(4,900 | ) | (4,936 | ) | (4,797 | ) | (4,961 | ) | ||||||||
Net
|
$ | 20,668 | $ | 22,405 | $ | 25,754 | $ | 28,961 | ||||||||
65
| In late 2008 and 2009 we elected to withdraw from certain unprofitable classes of business and terminate relationships with several underperforming producers. These actions have continued to have an adverse impact on the premium volume in this segment as our agents adapted to our increased selectivity in the business we are willing to write. | |
| The commercial insurance marketplace continues to be very competitive, and we continue to experience downward pressure on our pricing. |
For the Years Ended |
||||||||
Commercial Business | December 31, | |||||||
2010 | 2009 | |||||||
Net premiums earned
|
$ | 22,405 | $ | 28,961 | ||||
Incurred losses and LAE:
|
||||||||
Losses
|
$ | 18,603 | $ | 17,587 | ||||
Catastrophe losses
|
1,374 | 221 | ||||||
Other weather losses
|
887 | 840 | ||||||
Stop loss ceded reversal
|
| 3,724 | ||||||
Prior year development(1)
|
(26 | ) | 323 | |||||
Total incurred losses and LAE
|
$ | 20,838 | $ | 22,695 | ||||
Loss and LAE ratios:
|
||||||||
Losses
|
83.0 | % | 60.7 | % | ||||
Catastrophe losses
|
6.1 | % | 0.8 | % | ||||
Other weather losses
|
4.0 | % | 2.9 | % | ||||
Stop loss ceded reversal
|
| % | 12.9 | % | ||||
Prior year development(1)
|
(0.1 | )% | 1.1 | % | ||||
Total Loss and LAE ratio
|
93.0 | % | 78.4 | % | ||||
66
(1) | 2009 prior year development excludes the impact of the stop loss reversal. |
| Current accident year losses in our commercial business segment were $1,016 higher in 2010 compared to 2009. The increase is primarily attributable to our commercial multi-peril line, which experienced three large fire losses, as well as an increase in the frequency of smaller-size claims. In addition, we have experienced greater severity on workers compensation claims in 2010 compared to 2009. Increases in the frequency of commercial auto liability and other liability claims also contributed to the increases in current year losses in 2010 compared to 2009. | |
| Catastrophe losses were $1,153 higher in 2010, compared to 2009. The spring storms that severely affected our agribusiness insureds also affected our commercial policyholders, and several winter storms in the first quarter of 2010 were designated as catastrophes. | |
| The reversal of the stop loss in the third quarter of 2009 resulted in $3,724 of ceded incurred losses being reversed for the commercial business segment. We did not renew the stop loss contract in 2010. | |
| Modest favorable prior year reserve development of $26 in 2010 represented an improvement over the $323 of unfavorable development in 2009. In 2010, we had favorable development in the commercial multi-peril line and the fire and allied lines of business. The development in the commercial multi-peril line was due to changes in loss emergence relative to expectations and the fire and allied lines development was the result of favorable claim settlements. This favorable development was mostly offset by unfavorable development in the liability lines as a result of changes in loss emergence relative to expectations and in the commercial auto liability line as a result of unfavorable development on prior year commercial auto claims. |
For the Years Ended |
||||||||
Commercial Business | December 31, | |||||||
2010 | 2009 | |||||||
Direct Premiums Written:
|
||||||||
Property & Liability
|
$ | 14,170 | $ | 16,453 | ||||
Workers Compensation
|
4,315 | 5,465 | ||||||
Commercial Auto
|
4,171 | 4,560 | ||||||
Other
|
2,912 | 2,971 | ||||||
Total
|
$ | 25,568 | $ | 29,449 | ||||
67
For the Years Ended |
||||||||
Commercial Business | December 31, | |||||||
2010 | 2009 | |||||||
Net Premiums Earned:
|
||||||||
Property & Liability
|
$ | 13,542 | $ | 17,731 | ||||
Workers Compensation
|
4,469 | 6,235 | ||||||
Commercial Auto
|
4,172 | 4,746 | ||||||
Other
|
222 | 249 | ||||||
Total
|
$ | 22,405 | $ | 28,961 | ||||
Loss and Loss Adjustment Expense Ratios:
|
||||||||
Property & Liability
|
91.8 | % | 63.7 | % | ||||
Workers Compensation
|
99.9 | % | 136.7 | % | ||||
Commercial Auto
|
88.1 | % | 61.3 | % | ||||
Other
|
117.0 | % | (10.3 | )% | ||||
Total
|
93.0 | % | 78.4 | % |
68
For the Years Ended |
||||||||
Other | December 31, | |||||||
2010 | 2009 | |||||||
Net premiums written
|
$ | 464 | $ | 1,105 | ||||
Revenues:
|
||||||||
Net premiums earned
|
$ | 466 | $ | 1,108 | ||||
Total revenues
|
$ | 466 | $ | 1,108 | ||||
Underwriting (loss) income
|
$ | (362 | ) | $ | 175 | |||
Total operating (loss) income
|
$ | (362 | ) | $ | 175 | |||
Loss and loss adjustment expense ratio
|
108.6 | % | 36.6 | % | ||||
Underwriting expense ratio
|
69.1 | % | 47.7 | % | ||||
GAAP combined ratio
|
177.7 | % | 84.3 | % | ||||
For the Years Ended |
||||||||
December 31, | ||||||||
2010 | 2009 | |||||||
Mandatory assumed reinsurance
|
$ | 372 | $ | 203 | ||||
Personal lines runoff
|
| 177 | ||||||
Voluntary assumed reinsurance runoff
|
(734 | ) | (205 | ) | ||||
Total operating (loss) income
|
$ | (362 | ) | $ | 175 | |||
69
70
For the Years Ended |
||||||||
December 31, | ||||||||
2010 | 2009 | |||||||
Cash flows (used in) provided by operating activities
|
$ | (6,439 | ) | $ | 6,280 | |||
Cash flows used in investing activities
|
(3,116 | ) | (39,087 | ) | ||||
Cash flows (used in) provided by financing activities
|
(4,155 | ) | 41,068 | |||||
Net (decrease) increase in cash and cash equivalents
|
$ | (13,710 | ) | $ | 8,261 | |||
71
72
Item 7A. | Quantitative and Qualitative Disclosures about Market Risk |
73
Hypothetical Change in |
Estimated Change |
|||||||
Interest Rates
|
in Fair Value | Fair Value | ||||||
200 basis point increase
|
$ | (13,187 | ) | $ | 160,458 | |||
100 basis point increase
|
(6,425 | ) | 167,220 | |||||
No change
|
| 173,645 | ||||||
100 basis point decrease
|
5,880 | 179,525 | ||||||
200 basis point decrease
|
11,342 | 184,987 |
74
Item 8. | Financial Statements and Supplementary Data |
Page | ||||
Consolidated Financial Statements
|
||||
Report of Independent Registered Public Accounting Firm
|
F-1 | |||
Consolidated Balance Sheets as of December 31, 2010 and 2009
|
F-2 | |||
Consolidated Statements of Operations for the Years Ended
December 31, 2010 and 2009
|
F-3 | |||
Consolidated Statements of Shareholders Equity for the
Years Ended December 31, 2010 and 2009
|
F-4 | |||
Consolidated Statements of Cash Flows for the Years Ended
December 31, 2010 and 2009
|
F-5 | |||
Notes to the Consolidated Financial Statements
|
F-6 |
75
F-1
December 31, |
December 31, |
|||||||
2010 | 2009 | |||||||
(Dollars in thousands, |
||||||||
except share data) | ||||||||
ASSETS
|
||||||||
Investments:
|
||||||||
Fixed maturities:
|
||||||||
Available for sale, at fair value (amortized cost $158,193 in
2010 and $161,730 in 2009)
|
$ | 162,771 | 167,155 | |||||
Equity Securities:
|
||||||||
Available for sale, at fair value (cost $10,885 in 2010)
|
10,874 | | ||||||
Cash and cash equivalents
|
6,510 | 20,220 | ||||||
Premiums and fees receivable
|
28,394 | 29,526 | ||||||
Reinsurance receivables and recoverables
|
24,912 | 19,502 | ||||||
Deferred policy acquisition costs
|
9,735 | 10,053 | ||||||
Prepaid reinsurance premiums
|
4,320 | 4,076 | ||||||
Accrued investment income
|
1,621 | 1,810 | ||||||
Property and equipment, net of accumulated depreciation
|
3,323 | 3,769 | ||||||
Income taxes receivable
|
1,253 | | ||||||
Deferred income taxes
|
| 3,518 | ||||||
Other
|
1,008 | 3,821 | ||||||
Total assets
|
$ | 254,721 | 263,450 | |||||
LIABILITIES AND SHAREHOLDERS EQUITY
|
||||||||
Liabilities:
|
||||||||
Losses and loss adjustment expense reserves
|
$ | 109,973 | 106,710 | |||||
Unearned premiums
|
42,807 | 43,313 | ||||||
Accounts payable and accrued expenses
|
8,913 | 12,762 | ||||||
Income taxes payable
|
| 617 | ||||||
Total liabilities
|
161,693 | 163,402 | ||||||
Shareholders equity:
|
||||||||
Preferred stock, no par value, authorized 1,000,000; no shares
issued or outstanding
|
| | ||||||
Common stock, $0.01 par value, authorized 10,000,000;
issued 2010, 5,444,022 and 2009, 5,444,022; outstanding 2010,
4,462,131 shares and 2009, 4,695,262 shares
|
54 | 54 | ||||||
Additional paid-in capital
|
51,068 | 50,520 | ||||||
Accumulated other comprehensive income
|
2,054 | 2,519 | ||||||
Retained earnings
|
50,993 | 54,481 | ||||||
Unearned ESOP, 476,999 and 530,999 shares
|
(4,770 | ) | (5,310 | ) | ||||
Treasury stock, at cost, 504,892 and 217,761 shares
|
(6,371 | ) | (2,216 | ) | ||||
Total shareholders equity
|
93,028 | 100,048 | ||||||
Total liabilities and shareholders equity
|
$ | 254,721 | 263,450 | |||||
F-2
2010 | 2009 | |||||||
(Dollars in thousands, except share data) | ||||||||
Revenues:
|
||||||||
Premiums earned
|
$ | 68,097 | 75,358 | |||||
Investment income, net of investment expense
|
5,700 | 5,648 | ||||||
Realized investment gains, net:
|
||||||||
Total
other-than-temporary
impairment losses
|
| (197 | ) | |||||
Portion of loss recognized in other comprehensive income
|
| | ||||||
Other realized investment gains, net
|
2,712 | 396 | ||||||
Total realized investment gains, net
|
2,712 | 199 | ||||||
Other income
|
325 | 223 | ||||||
Total revenues
|
76,834 | 81,428 | ||||||
Losses and expenses:
|
||||||||
Losses and loss adjustment expenses
|
53,686 | 52,754 | ||||||
Amortization of deferred policy acquisition costs
|
20,170 | 21,383 | ||||||
Underwriting and administrative expenses
|
3,656 | 3,999 | ||||||
Interest expense
|
31 | 22 | ||||||
Other expense, net
|
164 | 209 | ||||||
Total losses and expenses
|
77,707 | 78,367 | ||||||
(Loss) income from continuing operations, before income taxes
|
(873 | ) | 3,061 | |||||
Income tax expense (benefit)
|
2,615 | (346 | ) | |||||
(Loss) income from continuing operations
|
(3,488 | ) | 3,407 | |||||
Discontinued operations:
|
||||||||
Income from discontinued operations, before income taxes
|
| 39 | ||||||
Income tax expense
|
| 879 | ||||||
Loss from discontinued operations
|
| (840 | ) | |||||
Net (loss) income
|
$ | (3,488 | ) | 2,567 | ||||
Earnings per share (see note 19):
|
||||||||
Basic:
|
||||||||
(Loss) income from continuing operations
|
$ | (0.76 | ) | 0.19 | ||||
Loss from discontinued operations
|
| | ||||||
Net (loss) income per common share
|
$ | (0.76 | ) | 0.19 | ||||
Diluted:
|
||||||||
(Loss) income from continuing operations
|
$ | (0.76 | ) | 0.19 | ||||
Loss from discontinued operations
|
| | ||||||
Net (loss) income per common share
|
$ | (0.76 | ) | 0.19 | ||||
F-3
Accumulated |
||||||||||||||||||||||||||||||||
Additional |
Other |
|||||||||||||||||||||||||||||||
Common Stock |
Paid-in |
Comprehensive |
Retained |
Unearned |
Treasury |
|||||||||||||||||||||||||||
Shares | Amount | Capital | (Loss) Income | Earnings | ESOP | Stock | Total | |||||||||||||||||||||||||
(Dollars in thousands, except share data) | ||||||||||||||||||||||||||||||||
Balance at December 31, 2008
|
| $ | | | (1,159 | ) | 51,914 | | | 50,755 | ||||||||||||||||||||||
Net income
|
2,567 | 2,567 | ||||||||||||||||||||||||||||||
Other comprehensive income, net of taxes:
|
||||||||||||||||||||||||||||||||
Unrealized investment holding gain arising during period, net of
related income tax expense of $1,440
|
2,796 | 2,796 | ||||||||||||||||||||||||||||||
Reclassification adjustment for realized gains included in net
income, net of related income tax expense of $61
|
(119 | ) | (119 | ) | ||||||||||||||||||||||||||||
Net unrealized investment gain
|
2,677 | |||||||||||||||||||||||||||||||
Defined benefit pension plan, net of related income tax benefit
of $48
|
(94 | ) | (94 | ) | ||||||||||||||||||||||||||||
Curtailment benefit, net of related tax expense of $564
|
1,095 | 1,095 | ||||||||||||||||||||||||||||||
Comprehensive income
|
6,245 | |||||||||||||||||||||||||||||||
Net proceeds from issuance of common stock
|
5,444,022 | 54 | 50,518 | (5,400 | ) | 45,172 | ||||||||||||||||||||||||||
ESOP shares released
|
2 | 90 | 92 | |||||||||||||||||||||||||||||
Treasury stock purchased, 217,761 shares
|
(2,216 | ) | (2,216 | ) | ||||||||||||||||||||||||||||
Balance at December 31, 2009
|
5,444,022 | 54 | 50,520 | 2,519 | 54,481 | (5,310 | ) | (2,216 | ) | 100,048 | ||||||||||||||||||||||
Net loss
|
(3,488 | ) | (3,488 | ) | ||||||||||||||||||||||||||||
Other comprehensive income, net of taxes:
|
||||||||||||||||||||||||||||||||
Unrealized investment holding gain arising during period, net of
related income tax expense of $0
|
1,854 | 1,854 | ||||||||||||||||||||||||||||||
Reclassification adjustment for realized gains included in net
loss, net of related income tax expense of $0
|
(2,712 | ) | (2,712 | ) | ||||||||||||||||||||||||||||
Net unrealized investment loss
|
(858 | ) | ||||||||||||||||||||||||||||||
Defined benefit pension plans, net of related income tax expense
of $0
|
(70 | ) | (70 | ) | ||||||||||||||||||||||||||||
Recognition of prior service costs related to curtailment and
settlement, net of tax expense of $0 (see note 8)
|
463 | 463 | ||||||||||||||||||||||||||||||
Comprehensive loss
|
(3,953 | ) | ||||||||||||||||||||||||||||||
Stock-based compensation
|
385 | 385 | ||||||||||||||||||||||||||||||
ESOP shares released
|
163 | 540 | 703 | |||||||||||||||||||||||||||||
Treasury stock purchased, 287,131 shares
|
(4,155 | ) | (4,155 | ) | ||||||||||||||||||||||||||||
Balance at December 31, 2010
|
5,444,022 | $ | 54 | 51,068 | 2,054 | 50,993 | (4,770 | ) | (6,371 | ) | 93,028 | |||||||||||||||||||||
F-4
2010 | 2009 | |||||||
(Dollars in thousands) | ||||||||
Cash flows from operating activities:
|
||||||||
Net (loss) income
|
$ | (3,488 | ) | 2,567 | ||||
Loss from discontinued operations
|
| 840 | ||||||
Adjustments to reconcile net (loss) income to net cash (used in)
provided by operating activities:
|
||||||||
Change in receivables, unearned premiums, and prepaid reinsurance
|
(5,028 | ) | 1,366 | |||||
Change in losses and loss adjustment expense reserves
|
3,263 | (1,355 | ) | |||||
Change in accounts payable and accrued expenses
|
(3,456 | ) | 926 | |||||
Change in current income taxes
|
(1,870 | ) | 1,246 | |||||
Deferred income taxes
|
3,518 | (685 | ) | |||||
Change in deferred acquisition costs
|
318 | 548 | ||||||
Change in accrual and amortization of investment income
|
1,171 | 71 | ||||||
Amortization and depreciation
|
626 | 668 | ||||||
ESOP share allocation
|
703 | 92 | ||||||
Amortization of stock-based compensation
|
385 | | ||||||
Realized investment gains, net
|
(2,712 | ) | (199 | ) | ||||
Other, net
|
131 | 195 | ||||||
Net cash (used in) provided by operating activities
|
(6,439 | ) | 6,280 | |||||
Cash flows from investing activities:
|
||||||||
Available-for-sale
investments:
|
||||||||
Purchases of fixed maturity securities
|
(64,376 | ) | (69,637 | ) | ||||
Purchases of equity securities
|
(22,025 | ) | | |||||
Sales of fixed maturity securities
|
49,772 | 21,328 | ||||||
Sales of equity securities
|
11,542 | | ||||||
Maturities of fixed maturity securities
|
19,470 | 6,800 | ||||||
Proceeds from disposition of corporate owned life insurance
policies
|
2,682 | | ||||||
Proceeds on sale of net assets of subsidiaries
|
| 2,628 | ||||||
Purchases of property and equipment, net
|
(181 | ) | (206 | ) | ||||
Cash used in investing activities continuing
operations
|
(3,116 | ) | (39,087 | ) | ||||
Cash provided by investing activities discontinued
operations
|
| 285 | ||||||
Net cash used in investing activities
|
(3,116 | ) | (38,802 | ) | ||||
Cash flows from financing activities:
|
||||||||
Net proceeds from issuance of common stock
|
| 49,040 | ||||||
Purchase of treasury stock
|
(4,155 | ) | (2,216 | ) | ||||
Initial public offering costs paid
|
| (3,374 | ) | |||||
Net payments on line of credit
|
| (950 | ) | |||||
Repayment of long-term debt
|
| (1,432 | ) | |||||
Cash (used in) provided by financing activities
continuing operations
|
(4,155 | ) | 41,068 | |||||
Cash used in financing activities discontinued
operations
|
| (285 | ) | |||||
Net cash (used in) provided by financing activities
|
(4,155 | ) | 40,783 | |||||
Net (decrease) increase in cash
|
(13,710 | ) | 8,261 | |||||
Cash and cash equivalents at beginning of period
|
20,220 | 11,959 | ||||||
Cash and cash equivalents at end of period
|
6,510 | 20,220 | ||||||
Less cash of discontinued operations at end of period
|
| | ||||||
Cash and cash equivalents of continuing operations at end of
period
|
$ | 6,510 | 20,220 | |||||
F-5
(1) | Description of Business |
F-6
(2) | Summary of Significant Accounting Policies |
(a) | Basis of Presentation |
(b) | Use of Estimates |
(c) | Concentration of Risk |
(d) | Investments |
F-7
(e) | Cash and Cash Equivalents |
(f) | Reinsurance Accounting and Reporting |
(g) | Deferred Policy Acquisition Costs |
F-8
(h) | Property and Equipment |
(i) | Income Taxes |
(j) | Deferred Offering Costs |
(k) | Discontinued Operations |
(l) | Losses and Loss Adjustment Expenses |
F-9
(m) | Employee Benefit Plans |
(n) | Employee Stock Ownership Plan |
(o) | Premium Revenue |
(p) | Earnings per Share |
(q) | Adoption of New Accounting Standards |
F-10
(3) | Fair Value Measurements |
F-11
Level 1 | Level 2 | Level 3 | Total | |||||||||||||
December 31, 2010:
|
||||||||||||||||
Fixed maturities, available for sale
|
||||||||||||||||
U.S. Treasuries
|
$ | 736 | | | 736 | |||||||||||
Agencies not backed by the full faith and credit of the U.S.
government
|
| 14,458 | | 14,458 | ||||||||||||
State and political subdivisions
|
| 44,559 | | 44,559 | ||||||||||||
Commercial mortgage-backed securities
|
| 1,662 | | 1,662 | ||||||||||||
Residential mortgage-backed securities
|
| 22,915 | | 22,915 | ||||||||||||
Corporate securities
|
| 78,441 | | 78,441 | ||||||||||||
Total available for sale
|
$ | 736 | 162,035 | | 162,771 | |||||||||||
Equity securities
|
||||||||||||||||
High yield bond fund
|
$ | 10,874 | | | 10,874 | |||||||||||
Total equities
|
$ | 10,874 | | | 10,874 | |||||||||||
Total assets
|
$ | 11,610 | 162,035 | | 173,645 | |||||||||||
F-12
Level 1 | Level 2 | Level 3 | Total | |||||||||||||
December 31, 2009:
|
||||||||||||||||
Fixed maturities, available for sale
|
||||||||||||||||
U.S. Treasuries
|
$ | 4,612 | | | 4,612 | |||||||||||
Agencies not backed by the full faith and credit of the U.S.
government
|
| 17,441 | | 17,441 | ||||||||||||
State and political subdivisions
|
| 39,334 | | 39,334 | ||||||||||||
Commercial mortgage-backed securities
|
| 3,775 | | 3,775 | ||||||||||||
Residential mortgage-backed securities
|
| 28,302 | | 28,302 | ||||||||||||
Corporate securities
|
| 73,691 | | 73,691 | ||||||||||||
Total available for sale
|
$ | 4,612 | 162,543 | | 167,155 | |||||||||||
F-13
(4) | Investments |
Gross |
Gross |
|||||||||||||||
Amortized |
Unrealized |
Unrealized |
Estimated |
|||||||||||||
Cost | Gains | Losses | Fair Value | |||||||||||||
December 31, 2010:
|
||||||||||||||||
U.S. Treasuries
|
$ | 721 | 32 | 17 | 736 | |||||||||||
Agencies not backed by the full faith and credit of the U.S.
government
|
14,111 | 347 | | 14,458 | ||||||||||||
State and political subdivisions
|
43,224 | 1,564 | 229 | 44,559 | ||||||||||||
Commercial mortgage-backed securities
|
1,589 | 73 | | 1,662 | ||||||||||||
Residential mortgage-backed securities
|
22,223 | 758 | 66 | 22,915 | ||||||||||||
Corporate securities
|
76,325 | 2,325 | 209 | 78,441 | ||||||||||||
Total fixed maturities
|
$ | 158,193 | 5,099 | 521 | 162,771 | |||||||||||
Total equity securities
|
$ | 10,885 | | 11 | 10,874 | |||||||||||
F-14
Gross |
Gross |
|||||||||||||||
Amortized |
Unrealized |
Unrealized |
Estimated |
|||||||||||||
Cost | Gains | Losses | Fair Value | |||||||||||||
December 31, 2009:
|
||||||||||||||||
U.S. Treasuries
|
$ | 4,499 | 113 | | 4,612 | |||||||||||
Agencies not backed by the full faith and credit of the U.S.
government
|
16,933 | 538 | 30 | 17,441 | ||||||||||||
State and political subdivisions
|
37,415 | 1,994 | 75 | 39,334 | ||||||||||||
Commercial mortgage-backed securities
|
3,806 | 34 | 65 | 3,775 | ||||||||||||
Residential mortgage-backed securities
|
27,607 | 844 | 149 | 28,302 | ||||||||||||
Corporate securities
|
71,470 | 2,463 | 242 | 73,691 | ||||||||||||
Total fixed maturities
|
$ | 161,730 | 5,986 | 561 | 167,155 | |||||||||||
Amortized |
Estimated |
|||||||
Cost | Fair Value | |||||||
Due in one year or less
|
$ | 10,144 | 10,283 | |||||
Due after one year through five years
|
88,455 | 91,582 | ||||||
Due after five years through ten years
|
25,521 | 26,098 | ||||||
Due after ten years
|
10,261 | 10,231 | ||||||
134,381 | 138,194 | |||||||
Commercial mortgage-backed securities
|
1,589 | 1,662 | ||||||
Residential mortgage-backed securities
|
22,223 | 22,915 | ||||||
Total fixed maturities
|
$ | 158,193 | 162,771 | |||||
2010 | 2009 | |||||||
Interest on fixed maturities
|
$ | 6,134 | 6,187 | |||||
Dividends on equity securities
|
155 | | ||||||
Interest on cash and cash equivalents
|
7 | 19 | ||||||
Total investment income
|
6,296 | 6,206 | ||||||
Investment expense
|
(596 | ) | (558 | ) | ||||
Investment income, net of investment expense
|
$ | 5,700 | 5,648 | |||||
F-15
2010 | 2009 | |||||||
Fixed maturity securities:
|
||||||||
Available for sale:
|
||||||||
Gross gains
|
$ | 2,913 | 555 | |||||
Gross losses
|
(201 | ) | (178 | ) | ||||
Other-than-temporary
impairment losses
|
| (197 | ) | |||||
Realized investment gains, net
|
2,712 | 180 | ||||||
Change in value of interest rate swap
|
| 19 | ||||||
Realized investment gains after change in value of interest rate
swap, net
|
$ | 2,712 | 199 | |||||
Change in difference between fair value and cost of investments:
|
||||||||
Fixed maturity securities for continuing operations
|
$ | (847 | ) | 4,049 | ||||
Equity securities for continuing operations
|
(11 | ) | | |||||
Total for continuing operations
|
(858 | ) | 4,049 | |||||
Equity securities for discontinued operations
|
| 7 | ||||||
Total including discontinued operations
|
$ | (858 | ) | 4,056 | ||||
Less than 12 Months | 12 Months or Longer | Total | ||||||||||||||||||||||
Unrealized |
Unrealized |
Unrealized |
||||||||||||||||||||||
Description of Securities
|
Fair Value | Losses | Fair Value | Losses | Fair Value | Losses | ||||||||||||||||||
2010:
|
||||||||||||||||||||||||
U.S. Treasuries
|
284 | 17 | | | 284 | 17 | ||||||||||||||||||
State and political subdivisions
|
9,477 | 182 | 2,803 | 47 | 12,280 | 229 | ||||||||||||||||||
Residential mortgage-backed securities
|
3,094 | 64 | 361 | 2 | 3,455 | 66 | ||||||||||||||||||
Corporate securities
|
$ | 9,658 | 200 | 928 | 9 | 10,586 | 209 | |||||||||||||||||
Total fixed maturity securities
|
22,513 | 463 | 4,092 | 58 | 26,605 | 521 | ||||||||||||||||||
Equity securities
|
10,874 | 11 | | | 10,874 | 11 | ||||||||||||||||||
Total temporarily impaired securities
|
$ | 33,387 | 474 | 4,092 | 58 | 37,479 | 532 | |||||||||||||||||
F-16
Less than 12 Months | 12 Months or Longer | Total | ||||||||||||||||||||||
Unrealized |
Unrealized |
Unrealized |
||||||||||||||||||||||
Description of Securities
|
Fair Value | Losses | Fair Value | Losses | Fair Value | Losses | ||||||||||||||||||
2009:
|
||||||||||||||||||||||||
Agencies not backed by the full faith and credit of the U.S.
government
|
$ | 5,965 | 30 | | | 5,965 | 30 | |||||||||||||||||
State and political subdivisions
|
5,021 | 65 | 555 | 10 | 5,576 | 75 | ||||||||||||||||||
Commercial mortgage-backed securities
|
| | 1,938 | 65 | 1,938 | 65 | ||||||||||||||||||
Residential mortgage-backed securities
|
9,549 | 149 | | | 9,549 | 149 | ||||||||||||||||||
Corporate securities
|
21,283 | 179 | 3,471 | 63 | 24,754 | 242 | ||||||||||||||||||
Total temporarily impaired securities
|
$ | 41,818 | 423 | 5,964 | 138 | 47,782 | 561 | |||||||||||||||||
F-17
(5) | Comprehensive (Loss) Income |
2010 | 2009 | |||||||
Net (loss) income
|
$ | (3,488 | ) | 2,567 | ||||
Other comprehensive (loss) income:
|
||||||||
Unrealized gains on securities:
|
||||||||
Unrealized investment holding gains arising during period
|
1,854 | 2,796 | ||||||
Less:
|
||||||||
Reclassification adjustment for realized gains included in net
(loss) income
|
(2,712 | ) | (119 | ) | ||||
Net unrealized investment (losses) gains
|
(858 | ) | 2,677 | |||||
Change in defined benefit pension plans
|
(70 | ) | (94 | ) | ||||
Recognition of prior service costs related to curtailment and
settlement (see note 8)
|
463 | 1,095 | ||||||
Other comprehensive (loss) income
|
(465 | ) | 3,678 | |||||
Comprehensive (loss) income
|
$ | (3,953 | ) | 6,245 | ||||
December 31, |
December 31, |
|||||||
2010 | 2009 | |||||||
Unrealized investment gains for continuing operations
|
$ | 2,722 | 3,580 | |||||
Defined benefit pension plans net actuarial loss
|
(668 | ) | (1,061 | ) | ||||
Accumulated other comprehensive income
|
$ | 2,054 | 2,519 | |||||
(6) | Deferred Policy Acquisition Costs |
2010 | 2009 | |||||||
Balance, January 1
|
$ | 10,053 | 10,601 | |||||
Policy acquisition costs deferred
|
19,852 | 20,835 | ||||||
Amortization charged to operations
|
(20,170 | ) | (21,383 | ) | ||||
Balance, December 31
|
$ | 9,735 | 10,053 | |||||
(7) | Property and Equipment |
F-18
2011
|
74 | |||
2012
|
45 | |||
2013
|
29 | |||
Total
|
$ | 148 | ||
(8) | Employee Benefit Plans |
F-19
(a) | Obligations and Funded Status at December 31 |
2010 | 2009 | |||||||
Change in benefit obligation:
|
||||||||
Benefit obligation at beginning of year
|
$ | 9,059 | 9,773 | |||||
Service and administrative costs
|
102 | 465 | ||||||
Interest cost
|
475 | 571 | ||||||
Benefit payments
|
(309 | ) | (732 | ) | ||||
Administrative expense payments
|
(65 | ) | (76 | ) | ||||
Actuarial loss
|
517 | 717 | ||||||
Curtailment
|
(404 | ) | (1,659 | ) | ||||
Settlement
|
(747 | ) | | |||||
Benefit obligation at end of year
|
8,628 | 9,059 | ||||||
Change in plan assets:
|
||||||||
Fair value of plan assets at beginning of year
|
5,268 | 4,941 | ||||||
Employer contributions
|
952 | 371 | ||||||
Benefit payments
|
(309 | ) | (732 | ) | ||||
Administrative expenses
|
(65 | ) | (76 | ) | ||||
Actual return on plan assets
|
806 | 764 | ||||||
Fair value of plan assets at end of year
|
6,652 | 5,268 | ||||||
Funded status (net liability recognized)
|
$ | (1,976 | ) | (3,791 | ) | |||
2010 | 2009 | |||||||
Unrecognized prior service cost
|
$ | | (487 | ) | ||||
Unrecognized net loss
|
(1,216 | ) | (1,122 | ) | ||||
Accumulated other comprehensive loss
|
$ | (1,216 | ) | (1,609 | ) | |||
(b) | Components of Net Periodic Benefit Cost |
2010 | 2009 | |||||||
Service and administrative costs
|
$ | 102 | 465 | |||||
Interest cost
|
475 | 571 | ||||||
Expected return on plan assets
|
(414 | ) | (358 | ) | ||||
Amortization of prior service costs
|
15 | 41 | ||||||
Amortization of net loss
|
30 | 128 | ||||||
Net periodic pension expense
|
$ | 208 | 847 | |||||
F-20
(c) | Assumptions |
Pension Plan | SERP | |||||||||||||||
2010 | 2009 | 2010 | 2009 | |||||||||||||
Discount rate
|
5.31 | % | 5.84 | % | 5.01 | % | 5.67 | % | ||||||||
Rate of compensation increase
|
| | | 5.00 |
Pension Plan | SERP | |||||||||||||||
2010 | 2009 | 2010 | 2009 | |||||||||||||
Discount rate
|
5.84 | % | 6.16 | % | 5.67 | % | 6.56 | % | ||||||||
Expected long-term return on plan assets
|
7.50 | 7.50 | N/A | N/A | ||||||||||||
Rate of compensation increase
|
| 4.00 | 5.00 | 5.00 |
(d) | Plan Assets |
F-21
Level 1 | Level 2 | Level 3 | Total | |||||||||||||
December 31, 2010:
|
||||||||||||||||
Equity mutual funds:
|
||||||||||||||||
Vanguard Developed Markets Index Fund(a)
|
$ | 658 | | | 658 | |||||||||||
Vanguard Small Cap Index Fund(b)
|
687 | | | 687 | ||||||||||||
Vanguard 500 Index Fund(c)
|
3,042 | | | 3,042 | ||||||||||||
Debt mutual funds:
|
||||||||||||||||
Vanguard Bond Index Fund(d)
|
2,227 | | | 2,227 | ||||||||||||
Cash and cash equivalents
|
38 | | | 38 | ||||||||||||
Total assets
|
$ | 6,652 | | | 6,652 | |||||||||||
Level 1 | Level 2 | Level 3 | Total | |||||||||||||
December 31, 2009:
|
||||||||||||||||
Equity mutual funds:
|
||||||||||||||||
Vanguard Developed Markets Index Fund(a)
|
$ | 472 | | | 472 | |||||||||||
Vanguard Small Cap Index Fund(b)
|
503 | | | 503 | ||||||||||||
Vanguard 500 Index Fund(c)
|
2,314 | | | 2,314 | ||||||||||||
Debt mutual funds:
|
||||||||||||||||
Vanguard Bond Index Fund(d)
|
1,955 | | | 1,955 | ||||||||||||
Cash and cash equivalents
|
24 | | | 24 | ||||||||||||
Total assets
|
$ | 5,268 | | | 5,268 | |||||||||||
(a) | This category seeks to track the performance of a benchmark index that measures the investment return of stocks issued by companies located in the major markets of Europe and the Pacific region. It follows a passively managed, full replication approach. | |
(b) | This category seeks to track the performance of the MSCI® US Small Cap 1750 Index and it is a small-cap equity, diversified across growth and value styles. It follows a passively managed, full replication approach. | |
(c) | This category seeks to track the performance of a benchmark index that measures the investment return of large-capitalization stocks. The fund employs a passive management investment approach designed to track the performance of the Standard & Poors 500 index. It invests all, or substantially all, of its assets in the stocks that make up the index, holding each stock in approximately the same proportion as its weighting in the index. | |
(d) | This category seeks to track the performance of the Barclays Capital U.S. Long Government/Credit Float Adjusted Bond Index with diversified exposure to the long-term, investment-grade U.S. bond market. It is passively managed using index sampling. |
F-22
(e) | Cash Flows |
2011
|
$ | 260 | ||
2012
|
598 | |||
2013
|
340 | |||
2014
|
286 | |||
2015
|
395 | |||
2016 2020
|
3,517 |
F-23
For the Period |
||||||||
For the Year Ended |
October 17 through |
|||||||
December 31, 2010 | December 31, 2009 | |||||||
Suspense shares
|
530,999 | 539,999 | ||||||
Allocated shares
|
9,000 | | ||||||
Shares committed to be released
|
54,000 | 9,000 | ||||||
Average price per share
|
$ | 13.02 | 10.20 | |||||
Stock compensation expense
|
$ | 703 | 92 |
(9) | Stock-Based Compensation |
Expected volatility
|
| 36.00% | ||||
Expected term (in years)
|
| 5 | ||||
Risk-free interest rate
|
| 2.26% | ||||
Expected dividend yield
|
| 0.00% |
F-24
Stock Options | ||||||||||||||||
Weighted- |
Restricted Stock Awards | |||||||||||||||
Number of |
Average |
Number of |
Weighted- |
|||||||||||||
Shares | Exercise Price | Shares | Average Price | |||||||||||||
Outstanding at December 31, 2009
|
| $ | | | $ | | ||||||||||
Granted
|
114,960 | 14.83 | 141,122 | 14.83 | ||||||||||||
Exercised
|
| | | | ||||||||||||
Vested
|
| | | | ||||||||||||
Cancelled
|
| | | | ||||||||||||
Outstanding at December 31, 2010
|
114,960 | $ | 14.83 | 141,122 | $ | 14.83 | ||||||||||
(10) | Federal Income Tax |
2010 | 2009 | |||||||
Current (benefit) expense:
|
||||||||
Federal
|
$ | (903 | ) | 339 | ||||
Deferred expense (benefit):
|
||||||||
Federal
|
3,518 | (685 | ) | |||||
Total tax expense (benefit)
|
$ | 2,615 | (346 | ) | ||||
F-25
2010 | 2009 | |||||||
Expected tax (benefit) expense at 34%
|
$ | (297 | ) | 1,041 | ||||
State income tax benefit
|
(19 | ) | (80 | ) | ||||
Nontaxable investment income
|
(483 | ) | (385 | ) | ||||
Stock based compensation
|
77 | | ||||||
Change in valuation allowance federal taxes
|
3,468 | (1,026 | ) | |||||
Change in valuation allowance state taxes
|
19 | 80 | ||||||
Deferred tax on items in other comprehensive income
|
(159 | ) | | |||||
Other items, net
|
9 | 24 | ||||||
Total tax expense (benefit)
|
$ | 2,615 | (346 | ) | ||||
2010 | 2009 | |||||||
Deferred tax assets:
|
||||||||
Discounting of unpaid losses
|
$ | 3,229 | 3,391 | |||||
Unearned premium reserve
|
2,618 | 2,669 | ||||||
Accrued retirement benefit
|
689 | 1,112 | ||||||
Federal net operating losses
|
765 | | ||||||
State net operating losses
|
648 | 629 | ||||||
Guaranty fund liability
|
500 | 510 | ||||||
Capital loss carryforwards
|
384 | 1,191 | ||||||
Alternative minimum tax credit carryforwards
|
272 | | ||||||
Compensation related accruals
|
220 | 471 | ||||||
Other items
|
312 | 233 | ||||||
Gross deferred tax assets
|
9,637 | 10,206 | ||||||
Valuation allowance
|
(4,116 | ) | (629 | ) | ||||
Net deferred tax assets after valuation allowance
|
5,521 | 9,577 | ||||||
Deferred tax liabilities:
|
||||||||
Deferred policy acquisition costs
|
3,310 | 3,418 | ||||||
Unrealized investment gains, net
|
1,553 | 1,845 | ||||||
Accrued premium tax credits
|
206 | 206 | ||||||
Depreciation and amortization
|
202 | 279 | ||||||
Prepaid expenses
|
134 | 125 | ||||||
Other items
|
116 | 186 | ||||||
Gross deferred tax liabilities
|
5,521 | 6,059 | ||||||
Net deferred tax asset
|
$ | | 3,518 | |||||
F-26
Change for |
||||||||||||
2010 | 2009 | the Year | ||||||||||
Net unrealized investment gains
|
||||||||||||
Before tax gain
|
4,567 | 5,425 | (858 | ) | ||||||||
Tax expense
|
(1,845 | ) | (1,845 | ) | | |||||||
After tax gain
|
2,722 | 3,580 | (858 | ) | ||||||||
Defined benefit pension plans net actuarial loss
|
||||||||||||
Before tax loss
|
(1,216 | ) | (1,609 | ) | 393 | |||||||
Tax benefit
|
548 | 548 | | |||||||||
After tax loss
|
(668 | ) | (1,061 | ) | 393 | |||||||
Total Accumulated Other Comprehensive Income
|
||||||||||||
Before tax income
|
3,351 | 3,816 | (465 | ) | ||||||||
Tax expense
|
(1,297 | ) | (1,297 | ) | | |||||||
After tax income
|
2,054 | 2,519 | (465 | ) | ||||||||
F-27
(11) | Reinsurance |
(a) | Premiums |
2010 | 2009 | |||||||||||||||
Written | Earned | Written | Earned | |||||||||||||
Direct
|
$ | 86,524 | 86,638 | 88,356 | 90,332 | |||||||||||
Assumed
|
295 | 297 | 873 | 876 | ||||||||||||
Ceded
|
(19,082 | ) | (18,838 | ) | (15,583 | ) | (15,850 | ) | ||||||||
Net
|
$ | 67,737 | 68,097 | 73,646 | 75,358 | |||||||||||
(b) | Losses and Loss Adjustment Expenses |
2010 | 2009 | |||||||
Direct
|
$ | 67,338 | 58,665 | |||||
Assumed
|
423 | 462 | ||||||
Ceded
|
(14,075 | ) | (6,373 | ) | ||||
Net
|
$ | 53,686 | 52,754 | |||||
F-28
(c) | Unearned Premiums |
2010 | 2009 | |||||||
Direct
|
$ | 42,800 | 43,304 | |||||
Assumed
|
7 | 9 | ||||||
Prepaid reinsurance (ceded)
|
(4,320 | ) | (4,076 | ) | ||||
Net
|
$ | 38,487 | 39,237 | |||||
(d) | Loss and Loss Adjustment Expense Reserves |
2010 | 2009 | |||||||
Direct
|
$ | 101,876 | 97,889 | |||||
Assumed
|
8,097 | 8,821 | ||||||
Gross
|
$ | 109,973 | 106,710 | |||||
(12) | Liability for Losses and Loss Adjustment Expenses |
2010 | 2009 | |||||||
Balance at January 1
|
$ | 106,710 | 108,065 | |||||
Less reinsurance recoverables
|
18,356 | 22,625 | ||||||
Net liability at January 1
|
88,354 | 85,440 | ||||||
Incurred related to:
|
||||||||
Current year
|
55,772 | 51,199 | ||||||
Prior years
|
(2,086 | ) | 1,555 | |||||
Total incurred
|
53,686 | 52,754 | ||||||
Paid related to:
|
||||||||
Current year
|
24,755 | 21,296 | ||||||
Prior years
|
29,634 | 28,544 | ||||||
Total paid
|
54,389 | 49,840 | ||||||
Net liability at December 31
|
87,651 | 88,354 | ||||||
Add reinsurance recoverables
|
22,322 | 18,356 | ||||||
Balance at December 31
|
$ | 109,973 | 106,710 | |||||
F-29
(13) | Commitments and Contingencies |
(14) | Guaranty Fund and Other Insurance-Related Assessments |
(15) | Segment Information |
F-30
2010 | 2009 | |||||||
Revenues:
|
||||||||
Premiums earned:
|
||||||||
Agribusiness
|
$ | 45,226 | 45,289 | |||||
Commercial business
|
22,405 | 28,961 | ||||||
Other
|
466 | 1,108 | ||||||
Total premiums earned
|
68,097 | 75,358 | ||||||
Investment income, net of investment expense
|
5,700 | 5,648 | ||||||
Realized investment gains, net
|
2,712 | 199 | ||||||
Other income
|
325 | 223 | ||||||
Total revenues
|
$ | 76,834 | 81,428 | |||||
Components of net (loss) income:
|
||||||||
Underwriting (loss) income:
|
||||||||
Agribusiness
|
$ | (592 | ) | 1,985 | ||||
Commercial business
|
(7,922 | ) | (4,509 | ) | ||||
Other
|
(362 | ) | 175 | |||||
Total underwriting losses
|
(8,876 | ) | (2,349 | ) | ||||
Investment income, net of investment expense
|
5,700 | 5,648 | ||||||
Realized investment gains, net
|
2,712 | 199 | ||||||
Other income
|
325 | 223 | ||||||
Corporate expense
|
(539 | ) | (429 | ) | ||||
Interest expense
|
(31 | ) | (22 | ) | ||||
Other expense, net
|
(164 | ) | (209 | ) | ||||
(Loss) income from continuing operations, before income taxes
|
(873 | ) | 3,061 | |||||
Income tax expense (benefit)
|
2,615 | (346 | ) | |||||
(Loss) income from continuing operations
|
(3,488 | ) | 3,407 | |||||
Discontinued operations:
|
||||||||
Income from discontinued operations, before income taxes
|
| 39 | ||||||
Income tax expense
|
| 879 | ||||||
Loss from discontinued operations
|
| (840 | ) | |||||
Net (loss) income
|
$ | (3,488 | ) | 2,567 | ||||
F-31
2010 | 2009 | |||||||
Net premiums earned:
|
||||||||
Agribusiness
|
||||||||
Property
|
$ | 16,273 | 16,546 | |||||
Commercial auto
|
11,569 | 11,632 | ||||||
Liability
|
9,192 | 9,196 | ||||||
Workers compensation
|
7,464 | 7,238 | ||||||
Other
|
728 | 677 | ||||||
Agribusiness subtotal
|
45,226 | 45,289 | ||||||
Commercial lines
|
||||||||
Property & liability
|
13,542 | 17,731 | ||||||
Workers compensation
|
4,469 | 6,235 | ||||||
Commercial auto
|
4,172 | 4,746 | ||||||
Other
|
222 | 249 | ||||||
Commercial lines subtotal
|
22,405 | 28,961 | ||||||
Other
|
466 | 1,108 | ||||||
Total net premiums earned
|
$ | 68,097 | 75,358 | |||||
(16) | Reconciliation of Statutory Filings to Amounts Reported Herein |
2010 | 2009 | |||||||
Net (loss) income:
|
||||||||
Statutory net income
|
$ | 378 | 3,422 | |||||
Deferred policy acquisition costs
|
(318 | ) | (548 | ) | ||||
Deferred federal income taxes
|
(3,518 | ) | 685 | |||||
Other, including noninsurance amounts
|
(30 | ) | (152 | ) | ||||
Discontinued operations
|
| (840 | ) | |||||
GAAP net (loss) income
|
$ | (3,488 | ) | 2,567 | ||||
Surplus:
|
||||||||
Statutory capital and surplus
|
$ | 68,191 | 72,491 | |||||
Equity of noninsurance entities
|
11,179 | 15,065 | ||||||
Deferred policy acquisition costs
|
9,735 | 10,053 | ||||||
Deferred federal income taxes
|
| (3,760 | ) | |||||
Nonadmitted assets
|
659 | 2,150 | ||||||
Unrealized gains on fixed maturities, net of tax
|
3,022 | 3,581 | ||||||
Other items, net
|
242 | 468 | ||||||
GAAP shareholders equity
|
$ | 93,028 | 100,048 | |||||
F-32
(17) | Discontinued Operations |
(18) | Shareholders Equity |
2010 | 2009 | |||||||
(Number of shares) | ||||||||
Common stock issued
|
||||||||
Balance, beginning December 31, 2009 and October 16,
2009
|
5,444,022 | | ||||||
Issuance of shares
|
| 5,444,022 | ||||||
Balance, end of year
|
5,444,022 | 5,444,022 | ||||||
Treasury stock
|
||||||||
Balance, beginning December 31, 2009 and October 16,
2009
|
217,761 | | ||||||
Repurchase of shares
|
287,131 | 217,761 | ||||||
Issuance of shares stock incentive plan
|
(141,122 | ) | | |||||
Balance, end of year
|
363,770 | 217,761 | ||||||
(19) | Earnings Per Share |
F-33
For the Period |
||||||||
For the Year Ended |
October 17 through |
|||||||
December 31, |
December 31, |
|||||||
2010 | 2009 | |||||||
Numerator:
|
||||||||
Net (loss) income
|
$ | (3,488 | ) | 929 | ||||
Denominator:
|
||||||||
Weighted average shares outstanding
|
4,565,503 | 4,820,280 | ||||||
Effect of dilutive securities
|
| | ||||||
Weighted average shares diluted
|
4,565,503 | 4,820,280 | ||||||
Basic (loss) income per share
|
$ | (0.76 | ) | 0.19 | ||||
Diluted (loss) income per share
|
$ | (0.76 | ) | 0.19 | ||||
F-34
Item 9. | Changes in and Disagreements with Accountants on Accounting and Financial Disclosure |
Item 9A. | Controls and Procedures |
(a) | Evaluation of Disclosure Controls and Procedures |
(b) | Changes in Internal Control Over Financial Reporting |
| Pertain to the maintenance of records that in reasonable detail accurately and fairly reflect the transactions and dispositions of the assets of the company; | |
| Provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and | |
| Provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the companys assets that could have a material effect on the financial statements. |
Item 9B. | Other Information |
Item 10. | Directors, Executive Officers and Corporate Governance |
76
Item 11. | Executive Compensation |
Item 12. | Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters |
Item 13. | Certain Relationships and Related Transactions, and Director Independence |
Item 14. | Principal Accounting Fees and Services |
Item 15. | Exhibits, Financial Statement Schedules |
2 | .1 | Penn Millers Mutual Holding Company Plan of Conversion from Mutual to Stock Form is incorporated by reference herein to Exhibit No. 2.1 to the Companys Pre-Effective Amendment No. 1 to Form S-1, (Commission File No. 333-156936). | ||
3 | .1 | Articles of Incorporation of Penn Millers Holding Corporation are incorporated by reference herein to Exhibit No. 3.1 to the Companys Pre-Effective Amendment No. 1 to Form S-1, (Commission File No. 333-156936). | ||
3 | .2 | Bylaws of Penn Millers Holding Corporation are incorporated by reference herein to Exhibit No. 3.2 to the Companys Pre-Effective Amendment No. 1 to Form S-1, (Commission File No. 333-156936). |
77
4 | .1 | Form of certificate evidencing shares of common stock of Penn Millers Holding Corporation is incorporated by reference herein to Exhibit No. 4.1 to the Companys Pre-Effective Amendment No. 1 to Form S-1, (Commission File No. 333-156936). | ||
10 | .1 | Executive Employment Agreement between Penn Millers Mutual Holding Company, Penn Millers Holding Corporation, Penn Millers Insurance Company and Douglas A. Gaudet, as amended and restated, dated August 14, 2009, is incorporated by reference herein to Exhibit No. 10.2 to the Companys Pre-Effective Amendment No. 4 to Form S-1, (Commission File No. 333-156936). | ||
10 | .2 | Employment Agreement between Penn Millers Mutual Holding Company, Penn Millers Holding Corporation, Penn Millers Insurance Company and Michael O. Banks dated August 14, 2009, is incorporated by reference herein to Exhibit No. 10.3 to the Companys Pre-Effective Amendment No. 4 to Form S-1, (Commission File No. 333-156936). | ||
10 | .3 | Employment Agreement between Penn Millers Mutual Holding Company, Penn Millers Holding Corporation, Penn Millers Insurance Company and Kevin D. Higgins dated August 14, 2009 is incorporated by reference herein to Exhibit No. 10.4 to the Companys Pre-Effective Amendment No. 4 to Form S-1, (Commission File No. 333-156936). | ||
10 | .4 | Employment Agreement between Penn Millers Mutual Holding Company, Penn Millers Holding Corporation, Penn Millers Insurance Company and Harold W. Roberts dated August 14, 2009, is incorporated by reference herein to Exhibit No. 10.5 to the Companys Pre-Effective Amendment No. 4 to Form S-1, (Commission File No. 333-156936). | ||
10 | .5 | Employment Agreement between Penn Millers Mutual Holding Company, Penn Millers Holding Corporation, Penn Millers Insurance Company and Jonathan C. Couch dated August 14, 2009, is incorporated by reference herein to Exhibit No. 10.8 to the Companys Pre-Effective Amendment No. 4 to Form S-1, (Commission File No. 333-156936). | ||
10 | .6 | Employment Agreement, between Penn Millers Mutual Holding Company, Penn Millers Holding Corporation, Penn Millers Insurance Company and Keith A. Fry dated February 9, 2010 is incorporated by reference herein to Exhibit No. 10.1 to the Companys Current Report on Form 8-K filed February 9, 2010, (Commission File No. 001-34496). | ||
10 | .7 | Whole Account Accident Year Aggregate Excess of Loss Reinsurance Contract effective January 1, 2008 through January 1, 2009 is incorporated by reference herein to Exhibit No. 10.10 to the Companys Pre-Effective Amendment No. 1 to Form S-1, (Commission File No. 333-156936). | ||
10 | .8 | Property Catastrophe Excess of Loss Reinsurance Contract Effective January 1, 2011* | ||
10 | .9 | Casualty Excess of Loss Reinsurance Contract Effective January 1, 2011* | ||
10 | .10 | Umbrella Quota Share Reinsurance Contract Effective January 1, 2011* | ||
10 | .11 | Property Excess of Loss Reinsurance Contract Effective January 1, 2011* | ||
10 | .12 | Penn Millers Holding Corporation Supplemental Executive Retirement Plan, as amended and restated, effective January 1, 2006 is incorporated by reference herein to Exhibit No. 10.16 to the Companys Form S-1 Registration Statement, (Commission File No. 333-156936). | ||
10 | .13 | Amendment of the Penn Millers Holding Corporation Supplemental Executive Retirement Plan, effective October 31, 2009 is incorporated by reference to Exhibit 99.1 to the Companys Current Report on Form 8-K filed January 29, 2010, (Commission File No. 001-34496). | ||
10 | .14 | Penn Millers Holding Corporation Nonqualified Deferred Compensation and Company Incentive Plan, effective June 1, 2006 is incorporated by reference herein to Exhibit No. 10.17 to the Companys Form S-1 Registration Statement, (Commission File No. 333-156936). | ||
10 | .15 | 2009 Success Sharing Program for Employees of Penn Millers is incorporated by reference herein to Exhibit No. 10.18 to the Companys Pre-Effective Amendment No. 2 to Form S-1 Registration Statement, (Commission File No. 333-156936). | ||
10 | .16 | Penn Millers Holding Corporation Employee Stock Ownership Plan is incorporated by reference herein to Exhibit No. 10.19 to the Companys Pre-Effective Amendment No. 4 to Form S-1, (Commission File No. 333-156936). | ||
10 | .17 | Penn Millers Stock Incentive Plan, effective as of May 12, 2010 is incorporated by reference herein to Exhibit No. 10.1 to the Companys Current Report on Form 8-K filed May 14, 2010, (Commission File No. 001-34496). |
78
10 | .18 | Penn Millers Holding Corporation Open Market Share Purchase Incentive Plan is incorporated by reference herein to Exhibit No. 10.2 to the Companys Current Report on Form 8-K filed May 14, 2010, (Commission File No. 001-34496). | ||
10 | .19 | Form of Penn Millers Stock Incentive Plan Restricted Stock Agreement is incorporated by reference herein to Exhibit No. 10.3 to the Companys Current Report on Form 8-K filed May 14, 2010, (Commission File No. 001-34496). | ||
10 | .20 | Form of Penn Millers Stock Incentive Plan Restricted Stock Unit Agreement is incorporated by reference herein to Exhibit No. 10.4 to the Companys Current Report on Form 8-K filed May 14, 2010, (Commission File No. 001-34496). | ||
10 | .21 | Form of Penn Millers Stock Incentive Plan Stock Option Agreement for Incentive Stock Option is incorporated by reference herein to Exhibit No. 10.5 to the Companys Current Report on Form 8-K filed May 14, 2010, (Commission File No. 001-34496). | ||
10 | .22 | Form of Penn Millers Stock Incentive Plan Stock Option Agreement for Nonqualified Stock Option for Non-Management Directors is incorporated by reference herein to Exhibit No. 10.6 to the Companys Current Report on Form 8-K filed May 14, 2010, (Commission File No. 001-34496). | ||
10 | .23 | Form of Penn Millers Stock Incentive Plan Stock Option Agreement for Employees is incorporated by reference herein to Exhibit No. 10.7 to the Companys Current Report on Form 8-K filed May 14, 2010, (Commission File No. 001-34496). | ||
21 | .1 | Subsidiaries of Penn Millers Holding Corporation.* | ||
23 | .1 | Consent of Independent Registered Public Accounting Firm.* | ||
24 | .1 | Powers of Attorney (contained on signature page).* | ||
31 | .1 | Certification of Chief Executive Officer in accordance with Section 302 of the Sarbanes-Oxley Act of 2002.* | ||
31 | .2 | Certification of Chief Financial Officer in accordance with Section 302 of the Sarbanes-Oxley Act of 2002.* | ||
32 | .1 | Certification of Chief Executive Officer in accordance with Section 906 of the Sarbanes-Oxley Act of 2002.* | ||
32 | .2 | Certification of Chief Financial Officer in accordance with Section 906 of the Sarbanes-Oxley Act of 2002.* |
79
PENN MILLERS HOLDING CORPORATION | ||||
March 28, 2011
|
By: |
/s/ Douglas A. Gaudet |
||
Douglas A. Gaudet, President and | ||||
Chief Executive Officer | ||||
March 28, 2011
|
By: |
/s/ Michael O. Banks |
||
Michael O. Banks, Executive Vice President and | ||||
Chief Financial Officer |
80
Signature
|
Capacity
|
Date
|
||||
/s/ Douglas
A. Gaudet Douglas A. Gaudet |
Director President and Chief Executive Officer (Principal Executive Officer) |
March 28, 2011 | ||||
/s/ F.
Kenneth Ackerman, Jr. F. Kenneth Ackerman, Jr. |
Director and Chairman | March 28, 2011 | ||||
/s/ Heather
M. Acker Heather M. Acker |
Director | March 28, 2011 | ||||
/s/ E.
Lee Beard E. Lee Beard |
Director | March 28, 2011 | ||||
Dorrance R. Belin, Esq. |
Director | March 28, 2011 | ||||
/s/ John
L. Churnetski John L. Churnetski |
Director | March 28, 2011 | ||||
/s/ John
M. Coleman John M. Coleman |
Director | March 28, 2011 | ||||
/s/ Kim
E. Michelstein Kim E. Michelstein |
Director | March 28, 2011 | ||||
/s/ Robert
A. Nearing, Jr. Robert A. Nearing, Jr. |
Director | March 28, 2011 | ||||
/s/ Donald
A. Pizer Donald A. Pizer |
Director | March 28, 2011 | ||||
James M. Revie |
Director | March 28, 2011 |
81
TW No. G22283.11/G22287.11/G22288.11/G26396.11 FINAL |
![]() |
ARTICLE | SUBJECT | PAGE | ||||
ARTICLE 1
|
BUSINESS COVERED | 1 | ||||
ARTICLE 2
|
COMMENCEMENT AND TERMINATION | 1 | ||||
ARTICLE 3
|
SPECIAL TERMINATION | 1 | ||||
ARTICLE 4
|
EXCLUSIONS | 3 | ||||
ARTICLE 5
|
RETENTION AND LIMIT | 5 | ||||
ARTICLE 6
|
REINSTATEMENT | 5 | ||||
ARTICLE 7
|
PREMIUM | 5 | ||||
ARTICLE 8
|
DEFINITION OF LOSS OCCURRENCE | 5 | ||||
ARTICLE 9
|
NET RETAINED LINE | 8 | ||||
ARTICLE 10
|
NET LOSS | 8 | ||||
ARTICLE 11
|
EXTRA-CONTRACTUAL OBLIGATIONS/LOSS EXCESS OF POLICY LIMITS | 9 | ||||
ARTICLE 12
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NOTICE OF LOSS AND LOSS SETTLEMENT | 10 | ||||
ARTICLE 13
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ERRORS AND OMISSIONS | 10 | ||||
ARTICLE 14
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OFFSET | 11 | ||||
ARTICLE 15
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CURRENCY | 11 | ||||
ARTICLE 16
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FEDERAL EXCISE TAX AND OTHER TAXES | 11 | ||||
ARTICLE 17
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ACCESS TO RECORDS | 11 | ||||
ARTICLE 18
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SERVICE OF SUIT | 12 | ||||
ARTICLE 19
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CONFIDENTIALITY | 13 | ||||
ARTICLE 20
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PRIVACY | 13 | ||||
ARTICLE 21
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ARBITRATION | 14 | ||||
ARTICLE 22
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INSOLVENCY | 17 | ||||
ARTICLE 23
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RESERVES | 17 | ||||
ARTICLE 24
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MODE OF EXECUTION | 20 | ||||
ARTICLE 25
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LATE PAYMENTS | 20 | ||||
ARTICLE 26
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VARIOUS OTHER TERMS | 21 | ||||
ARTICLE 27
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INTERMEDIARY | 23 |
TW No. G22283.11/G22287.11/G22288.11/G26396.11 C11-119542-003 FINAL |
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1.
EXHIBIT I
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PROPERTY FIRST CATASTROPHE EXCESS OF LOSS REINSURANCE CONTRACT | |
EXHIBIT II
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PROPERTY SECOND CATASTROPHE EXCESS OF LOSS REINSURANCE CONTRACT | |
EXHIBIT III
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PROPERTY THIRD CATASTROPHE EXCESS OF LOSS REINSURANCE CONTRACT | |
EXHIBIT IV
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PROPERTY FOURTH CATASTROPHE EXCESS OF LOSS REINSURANCE CONTRACT |
TW No. G22283.11/G22287.11/G22288.11/G26396.11 C11-119542-003 FINAL |
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2.
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3.
i. | The following so-called Coastal Pools: Alabama Insurance Underwriting Association Florida Windstorm Underwriting Association Louisiana Insurance Underwriting Association Mississippi Insurance Underwriting Association North Carolina Insurance Underwriting Association South Carolina Windstorm and Hail Underwriting Association Texas Catastrophe Property Insurance Association Georgia Insurance Underwriting Association | ||
ii. | All FAIR Plan business |
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11.
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21.
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22.
1. | This reinsurance does not cover any loss or liability accruing to the Company, directly or indirectly, and whether as Insurer or Reinsurer, from any Pool of Insurers or Reinsurers formed for the purpose of covering Atomic or Nuclear Energy risks. | |
2. | Without in any way restricting the operation of paragraph (1) of this Clause, this reinsurance does not cover any loss or liability accruing to the Company, directly or indirectly, and whether as Insurer or Reinsurer, from any insurance against Physical Damage (including business interruption or consequential loss arising out of such Physical Damage) to: |
I. | Nuclear reactor power plants including all auxiliary property on the site, or | ||
II. | Any other nuclear reactor installation, including laboratories handling radioactive materials in connection with reactor installations and critical facilities as such, or | ||
III. | Installations for fabricating complete fuel elements or for processing substantial quantities of special nuclear material and for reprocessing, salvaging, chemically separating, storing or disposing of spent nuclear fuel or waste materials, or | ||
IV. | Installations other than those listed in paragraph (2) III above using substantial quantities of radioactive isotopes or other products of nuclear fission. |
3. | Without in any way restricting the operations of paragraphs (1) and (2) hereof, this reinsurance does not cover any loss or liability by radioactive contamination accruing to the Company, directly or indirectly, and whether as Insurer or Reinsurer, from any insurance on property which is on the same site as a nuclear reactor power plant or other nuclear installation and which normally would be insured therewith except that this paragraph (3) shall not operate: |
(a) | where Company does not have knowledge of such nuclear reactor power plant or nuclear installation, or | ||
(b) | where said insurance contains a provision excluding coverage for damage to property caused by or resulting from radioactive contamination, however caused. However, on and after 1st January 1960, this sub-paragraph (b) shall only apply provided the said radioactive contamination exclusion provision has been approved by the Governmental Authority having jurisdiction thereof. |
4. | Without in any way restricting the operations of paragraphs (1), (2) and (3) hereof, this reinsurance does not cover any loss or liability by radioactive contamination accruing to the Company, directly or indirectly, and whether as Insurer or Reinsurer, when such radioactive contamination is a named hazard specifically insured against. | |
5. | It is understood and agreed that this Clause shall not extend to risks using radioactive isotopes in any form where the nuclear exposure is not considered by the Company to be the primary hazard. | |
6. | The term special nuclear material shall have the meaning given it in the Atomic Energy Act of 1954 or by any law amendatory thereof. |
TW No. G22283.11/G22287.11/G22288.11/G26396.11 FINAL |
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1.
7. | Company to be sole judge of what constitutes: |
(a) | substantial quantities, and | ||
(b) | the extent of installation, plant or site. |
(a) | All Policies issued by the Company on or before 31st December 1957 shall be free from the application of the other provisions of this Clause until expiry date or 31st December 1960 whichever first occurs whereupon all the provisions of this Clause shall apply. | ||
(b) | With respect to any risk located in Canada Policies issued by the Company on or before 31st December 1958 shall be free from the application of the other provisions of this Clause until expiry date or 31st December 1960 whichever first occurs whereupon all the provisions of this Clause shall apply. |
TW No. G22283.11/G22287.11/G22288.11/G26396.11 FINAL |
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2.
A. | It is agreed that the following is excluded hereunder: |
(1) | All business derived directly or indirectly from any Pool, Association or Syndicate which maintains its own reinsurance facilities. | ||
(2) | Any Pool or Scheme, (whether voluntary or mandatory) formed after 1st March, 1968 for the purpose of insuring property whether on a country-wide basis or in respect of designated areas. This exclusion shall not apply to so-called Automobile Insurance Plans or other Pools formed to provide coverage for Automobile Physical Damage. | ||
(3) | Business written by the Company for the same perils, which is known at the time to be insured by, or in excess of underlying amounts placed in any Pool, Association or Syndicate formed for the purpose of writing oil, gas or petro-chemical plants and/or oil or gas drilling rigs. |
Nevertheless, this exclusion does not apply: |
(a) | where the Total Insured Value over all interests of the risk in question is less than $250,000,000. | ||
(b) | to interests traditionally underwritten as Inland Marine or Stock and/or Contents written on a Blanket Basis. | ||
(c) | to Contingent Business Interruption, except when the Company is aware that the key location is known at the time to be insured in any Pool, Association or Syndicate named above, other than as provided for under (a), above. | ||
(d) | Risks as follows: | ||
offices, hotels, apartments, hospitals, educational establishments, public utilities (other than railroad schedules) and builders risks on the classes of risks specified in this subsection (d) only. |
B. | Where this Clause attaches to Catastrophe Excess of Loss Reinsurance Agreements, the following SECTIONS are added: |
(1) | Nevertheless the Reinsurers specifically agree that liability accruing to the Company from its participation in Residual Market Mechanisms including but not limited to: |
(a) | Coastal Pools | ||
(b) | All Fair Plan and Rural Risk Plan Business, and | ||
(c) | California Earthquake Authority (CEA), and Citizens Property Insurance Corporation (Florida) (CPIC) |
for all perils otherwise protected hereunder shall not be excluded, except that this reinsurance does not include any increase in such liability resulting from: |
(i) | The inability of any other participant in such Residual Market Mechanisms to meet its liability. | ||
(ii) | Any claim against such Residual Market Mechanisms or any participant therein, including the Company, whether by way of subrogation or otherwise, brought by or on behalf of any insolvency fund (as defined in the Insolvency Funds Exclusion Clause incorporated in this Contract). |
(2) | In respect of the CEA, where an assessment is made against the Company by the CEA, the Company may include in its Ultimate Net Loss only that assessment directly attributable to each separate loss occurrence covered hereunder. The Companys initial capital contribution to the CEA shall not be included in the Ultimate Net Loss. | ||
(3) | In respect of the Citizens Property Insurance Corporation (CPIC), where an assessment is made against the Company by the Citizens Property Insurance Corporation, (CPIC) |
TW No. G22283.11/G22287.11/G22288.11/G26396.11 FINAL |
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1.
the maximum loss that the Company may include in the Ultimate Net Loss in respect of any loss occurrence hereunder shall not exceed the lesser of: |
(a) | The Companys assessment from CPIC for the accounting year in which the loss occurrence commenced, or | ||
(b) | The product of the following: |
(i) | The Companys percentage participation in CPIC for the accounting year in which the loss occurrence commenced; and | ||
(ii) | CPICs total losses in such loss occurrence. |
Assessments for accounting years other than the accounting year in which the Loss Occurrence commenced may not be included in the Companys Ultimate Net Loss hereunder. | |||
Moreover, in respect of the CPIC, Ultimate Net Loss hereunder shall not include any monies expended to purchase or retire bonds as a consequence of being a member of the CPIC or to meet any obligations arising from the deferment by CPIC of the collection of monies. |
Company shall be understood to mean Company, Reinsured, Reassured or whatever other term is used in the attached reinsurance document to designate the reinsured company or companies. | |||
Agreement shall be understood to mean Agreement, Contract, Policy or whatever other term is used to designate the attached reinsurance document. | |||
Coastal Pools means liability accruing to the Company from its participation in state Residual Market Mechanisms formed to protect property located in those states of the United States of America which border the Gulf of Mexico, Hawaii, Florida, Georgia, South Carolina and North Carolina. | |||
Pool, Syndicate or Association refers to a mandatory or voluntary collection of unaffiliated insurers, reinsurers or both, who are associated together and using a common underwriting manager, whether as an employee or as a third party contractor, for the purposes of accepting risk and providing insurance or reinsurance either severally or jointly. | |||
Reinsurers shall be understood to mean Reinsurers, Underwriters or whatever other term is used in the attached reinsurance document to designate the Reinsurer or Reinsurers. | |||
Ultimate Net Loss shall be understood to mean Loss, Net Loss or whatever other term is used to designate the amount of loss to which this reinsurance coverage and the limit and retention of the attached reinsurance document apply. |
TW No. G22283.11/G22287.11/G22288.11/G26396.11 FINAL |
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(i) | involves violence against one or more persons; or | |
(ii) | involves damage to property; or | |
(iii) | endangers life other than that of the person committing the action; or | |
(iv) | creates a risk to health or safety of the public or a section of the public; or | |
(v) | is designed to interfere with or to disrupt an electronic system. |
TW No. G22283.11/G22287.11/G22288.11/G26396.11 FINAL |
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(i) | loss of, alteration of, or damage to |
(ii) | a reduction in the functionality, availability or operation of | ||
a computer system, hardware, program, software, data, information repository, microchip, integrated circuit or similar device in computer equipment or non-computer equipment, whether the property of the policyholder of the reinsured or not, do not in and of themselves constitute an event unless arising out of one or more of the following perils: |
fire, lightning, explosion, aircraft or vehicle impact, falling objects, windstorm, hail, tornado, cyclone, hurricane, earthquake, volcano, tsunami, flood, freeze or weight of snow. |
TW No. G22283.11/G22287.11/G22288.11/G26396.11 FINAL |
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Effective: January 1, 2011
U6W20002 |
1 of 39 | DOC: January 21, 2011 |
Article | Page | |||
Preamble | 4 | |||
1 |
Business Covered | 4 | ||
2 |
Retention and Limit | 5 | ||
3 |
Term | 5 | ||
4 |
Special Termination | 6 | ||
5 |
Territory | 7 | ||
6 |
Exclusions | 7 | ||
7 |
Special Acceptance | 13 | ||
8 |
Premium | 13 | ||
9 |
Reinstatement | 14 | ||
10 |
Definitions | 15 | ||
11 |
Excess Terrorism Recovery | 18 | ||
12 |
Extra Contractual Obligations/Excess of Policy Limits | 19 | ||
13 |
Net Retained Liability | 20 | ||
14 |
Original Conditions | 20 | ||
15 |
No Third Party Rights | 20 | ||
16 |
Notice of Loss and Loss Settlements | 20 | ||
17 |
Offset | 21 | ||
18 |
Commutation | 21 | ||
19 |
Late Payments | 22 | ||
20 |
Currency | 23 | ||
21 |
Unauthorized Reinsurance | 23 | ||
22 |
Taxes | 26 | ||
23 |
Access to Records | 26 | ||
24 |
Confidentiality | 26 | ||
25 |
Indemnification and Errors and Omissions | 27 | ||
26 |
Insolvency | 28 | ||
27 |
Arbitration | 29 | ||
28 |
Service of Suit | 30 | ||
29 |
Severability | 31 | ||
30 |
Governing Law | 31 | ||
31 |
Entire Agreement | 31 | ||
32 |
Non-Waiver | 32 | ||
33 |
Intermediary | 32 | ||
34 |
Mode of Execution | 32 | ||
Company Signing Block | 33 |
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Attachments | Page | |||
Nuclear Incident Exclusion Clause Liability Reinsurance U.S.A. | 34 |
Effective: January 1, 2011
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A. | This Contract shall take effect at 12:01 a.m., Eastern Standard Time, January 1, 2011, and shall remain in effect until 12:01 a.m., Eastern Standard Time, January 1, 2012, applying to losses occurring during the term of this Contract. | |
B. | The Reinsurer shall have no liability for losses occurring after expiration of this Contract. | |
C. | However, at the Companys option, the Reinsurer shall remain liable hereunder in respect of Policies in force at expiration, until the earlier of the expiration or next renewal of such Policies. In such event, the Company shall pay to the Reinsurer an additional premium equal to the rate set forth in the Premium Article, multiplied by the Gross Net Earned Premium Income during the runoff period, payable within 30 days after the end of each quarter. | |
D. | In the event this Contract expires on a run-off basis, the Reinsurers liability hereunder shall continue if the Company is required by statute or regulation to continue coverage, until the earliest date on which the Company may cancel the Policy. |
Effective: January 1, 2011
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A. | The Company may terminate a Subscribing Reinsurers percentage share in this Contract at any time by giving written notice to the Subscribing Reinsurer in the event of any of the following circumstances: |
1. | The Subscribing Reinsurer ceases underwriting operations. | ||
2. | A state insurance department or other legal authority orders the Subscribing Reinsurer to cease writing business, or the Subscribing Reinsurer is placed under regulatory supervision. | ||
3. | The Subscribing Reinsurer has become insolvent or has been placed into liquidation or receivership (whether voluntary or involuntary), or there have been instituted against it proceedings for the appointment of a receiver, liquidator, rehabilitator, conservator, trustee in bankruptcy, or other agent known by whatever name, to take possession of its assets or control of its operations. | ||
4. | The Subscribing Reinsurers policyholders surplus (or the equivalent under the Subscribing Reinsurers accounting system) as reported in such financial statements of the Subscribing Reinsurer as designated by the Company, has been reduced by 20% of the amount thereof at any date during the prior 12-month period (including the period prior to the inception of this Contract). | ||
5. | The Subscribing Reinsurer has merged with or has become acquired or controlled by any company, corporation, or individual(s) not controlling the Subscribing Reinsurers operations at the inception of this Contract. | ||
6. | The Subscribing Reinsurer has retroceded its entire liability under this Contract without the Companys prior written consent, except for retrocessions to members of the Subscribing Reinsurers holding company group. | ||
7. | The Subscribing Reinsurer has been assigned an A.M. Bests rating of less than A- and/or an S&P rating of less than BBB+. However, as respects Underwriting Members of Lloyds, London, a Lloyds Market Rating of less than A- by A.M. Best and/or less than BBB+ by S&P shall apply. |
B. | Termination shall be effected on a run-off or cut-off basis as set forth in the Term Article, at the sole discretion of the Company. The reinsurance premium due the Subscribing Reinsurer hereunder (including any minimum reinsurance premium) shall be pro rated based on the period of the Subscribing Reinsurers participation hereon, and the Subscribing Reinsurer shall immediately return any excess reinsurance premium received. Reinstatement premium, if any, shall be calculated based on the Subscribing Reinsurers |
Effective: January 1, 2011
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reinsurance premium earned during the period of the Subscribing Reinsurers participation hereon. | ||
C. | Additionally, in the event of any of the circumstances listed in paragraph A of this Article, the Company shall have the option to commute the Subscribing Reinsurers liability for losses on Policies covered by this Contract. In the event the Company and the Subscribing Reinsurer cannot agree on the commutation amount, they shall appoint an actuary and/or appraiser to assess such amount and shall share equally any expense of the actuary and/or appraiser. If the Company and the Subscribing Reinsurer cannot agree on an actuary and/or appraiser, the Company and the Subscribing Reinsurer each shall nominate three individuals, of whom the other shall decline two, and the final appointment shall be made by drawing lots. Payment by the Subscribing Reinsurer of the amount of liability ascertained shall constitute a complete and final release of both parties in respect of liability arising from the Subscribing Reinsurers participation under this Contract. | |
D. | The Companys option to require commutation under paragraph C above shall survive the termination or expiration of this Contract. |
A. | This Contract shall not cover: |
1. | Reinsurance treaty business, including pro rata and excess of loss, assumed by the Company, but not to include business from affiliated companies; | ||
2. | Business written on a co-indemnity basis not controlled by the Company; | ||
3. | Loss or liability excluded by the provisions of the Nuclear Incident Exclusion Clause Liability Reinsurance USA attached to and forming part of this Contract; | ||
4. | Liability assumed by the Company as a member of a Syndicate, Pool or Underwriting Association; however, this does not apply to participation in assigned risk plans; | ||
5. | Any liability of the Company arising by contract, operation of law, or otherwise, from its participation or membership, whether voluntary or involuntary, in any insolvency fund. Insolvency Fund includes any guaranty fund, insolvency fund, plan, pool, association, fund or other arrangement, howsoever denominated, established or |
Effective: January 1, 2011
U6W20002 |
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governed, which provides for any assessment of or payment or assumption by the Company of part or all of any claim, debt, charge, fee, or other obligation of an insurer, or its successors or assigns, which has been declared by any competent authority to be insolvent, or which is otherwise deemed unable to meet any claim, debt, charge, fee or other obligation in whole or in part; | |||
6. | Financial Guarantee and Insolvency; | ||
7. | Loss resulting from an Act of Terrorism that involves the use, release, or escape of nuclear materials, or directly or indirectly results in nuclear reaction or radiation or radioactive contamination, or that is carried out by means of the dispersal or application of pathogenic or poisonous biological or chemical materials that are released; | ||
8. | Regarding interests which at time of loss or damage are on shore, any loss or damage which is occasioned by war, invasion, hostilities, acts of foreign enemies, civil war, rebellion, insurrection, military or usurped power, or martial law or confiscation by order of any government or public authority. This War Exclusion Clause shall not however, apply to interests which at time of loss or damage are within the territorial limits of the United States of America (comprising the 50 states of the Union and the District of Columbia and including bridges between the U.S.A. and Mexico, provided they are under United States ownership), Canada, St. Pierre and Miquelon, provided such interests are insured under Policies, endorsements, or binders containing a standard war or hostilities or warlike operations exclusion clause; | ||
9. | Umbrella Liability; | ||
10. | Public Utilities; | ||
11. | Pharmaceutical and Medical Device Manufacturers; | ||
12. | Operation, navigation, or handling of ships, or vessels owned by the insured other than: |
a. | Yachts, small pleasure crafts, sports fishing vessels, and | ||
b. | Vessels operating exclusively in inland and/or coastal waters where legal liability on such vessels is incidental to the coverage provided either under a general liability Policy or under a comprehensive form of a Policy; |
13. | Ownership, maintenance or use of aircraft and aircraft flight operations, but this exclusion does not apply to Workers Compensation/Employers Liability coverage; |
14. | Repair, cleaning or demolition of any vessel or barge used as petroleum tanker; |
Effective: January 1, 2011
U6W20002 |
8 of 39 | DOC: January 21, 2011 |
15. | Loss or liability excluded by whichever standard Insurance Services Office pollution exclusion(s) is included in the Policy under which such loss or liability arises. | ||
Notwithstanding the above, the Reinsurer agrees that this exclusion shall not apply to original Policies written in any state where the Standard ISO Pollution Exclusion(s) have not been approved or are not permitted to be included in or attached to original Policies. | |||
Further, the Reinsurer agrees that this exclusion shall not apply in any case where the Company has attached the Standard ISO Pollution Exclusion(s) to an original Policy but has sustained a loss as a result of that exclusion being deemed invalid or inapplicable by a court of law. | |||
Notwithstanding all of the foregoing, the Reinsurer agrees that this exclusion does not apply to environmental restoration coverage provided under an MCS-90 Endorsement attached to a commercial automobile Policy written in accordance with the Motor Carrier Act of 1980. | |||
Furthermore, the Reinsurer agrees that this exclusion does not apply to overspraying of anhydrous ammonia, fertilizers and agricultural chemicals, nor shall this exclusion apply to operations involving anhydrous ammonia, liquefied petroleum gas (LPG), or propane (including the transportation thereof) where the Company has attached the Solutions 2000 Liability PMAG-16 Pollution Exclusion Amendment to an original Policy. Furthermore, this exclusion does not apply to pollutants from mobile equipment where the Company has attached the Solutions 2000 Liability PMAG-16 Pollution Exclusion Amendment to an original Policy. | |||
Furthermore, the Reinsurer agrees that this exclusion does not apply to overspraying of anhydrous ammonia, fertilizers and agricultural chemicals, nor shall this exclusion apply to operations involving anhydrous ammonia, liquefied petroleum gas (LPG), or propane (including the transportation thereof) where the Company has attached the Solutions 2000 Liability PMAG-18 Pollution Exclusion Amendment to an original Policy. Furthermore, this exclusion does not apply to pollutants from a covered auto where the Company has attached the Solutions 2000 Liability PMAG-18 Pollution Exclusion Amendment to an original Policy. | |||
Furthermore, the Reinsurer agrees that this exclusion does not apply to operations meeting all standards of any statute, ordinance, regulation or license requirement of any federal, state or local government which apply to those operations, where the Company has attached the Solutions 2000 Liability PMAG-04 Pesticide or Fertilizer Applicator Amended Exclusions with Amendment of Limits of Insurance to an original Policy. Furthermore, this exclusion does not apply to fields on which the insured, or any contractor or subcontractor working on the behalf of the insured, is performing operations, where the Company has attached the Solutions 2000 Liability |
Effective: January 1, 2011
U6W20002 |
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PMAG-04 Pesticide or Fertilizer Applicator Amended Exclusions with Amendment of Limits of Insurance to an original Policy. | |||
16. | Manufacture, handling, transit or use of explosives, unless incidental to routine agriculture operation; | ||
17. | Manufacture of liquefied petroleum gas or petroleum; | ||
18. | Buses other than buses used to transport employees of the insured or property; | ||
19. | Loss or liability, whether direct or indirect, arising from the hazard of asbestos including the manufacturing, mining, storage, distribution, transportation, fabrication, installation or removal of asbestos or products containing asbestos; | ||
20. | All mining operations; | ||
21. | Products guarantee and/or recall and/or integrity impairment when written as such; | ||
22. | Blasting; | ||
23. | Nursing Homes; | ||
24. | All Workers Compensation business classified by the Company as Employee Leasing Corporations, Professional Employment Organizations (PEOs), Temporary Agencies, Police, Firefighters and EMT Workers, whether professional or volunteer; | ||
25. | Policies issued as excess coverage, other than insurance over a self-insured retention; | ||
26. | Manufacturing of fireworks, fuses, nitroglycerine, celluloid and pyroxylin; | ||
27. | Concerns when engaged in the demolition of buildings more than three stories in height except the insureds own structures; | ||
28. | Operation of animal shows, riding academies, circuses, carnivals, amusement parks or amusement devices; equestrian exposures of guides and outfitters are not excluded; | ||
29. | Municipalities, when written as such, but this exclusion does not apply as respects: |
a. | School districts; | ||
b. | Municipally-owned buildings or properties; | ||
c. | Municipalities named as an additional insured; |
30. | Auto Liability: |
a. | As a taxicab, public livery or bus; |
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b. | Public emergency vehicles such as fire trucks or police cars; | ||
c. | Ambulances; | ||
d. | Rent-a-car and leasing operations; | ||
e. | Vehicles carrying passengers for hire or reward; | ||
f. | Automobiles used in organized speed contests including but not limited to racing, rallies, and speed trials; | ||
g. | As a long haul public freight carrier or common carrier, except for incidental hauling of goods of others; |
However, this exclusion shall not exclude automobiles, buses and/or vans used to transport hotel/hospitality guests; | |||
31. | Products Liability: |
a. | The manufacture, sale or retail or wholesale distribution of aircraft, aircraft parts; | ||
b. | The manufacture of extracts, drugs, medicines, cosmetics or hair, scalp or skin preparations; | ||
c. | The manufacture of automobiles, buses, trucks and trailers, recreational vehicles, motorcycles or the manufacture of components critical to vehicle safety; | ||
d. | Products liability written without an annual aggregate limit; |
32. | Malpractice or Professional Liability, except: |
a. | Druggists Liability; | ||
b. | Printers Liability; | ||
c. | Barbers and Beauticians Liability (including nail salons); | ||
d. | Agricultural Consultants Liability; | ||
e. | Funeral Directors or Morticians Professional Liability; | ||
f. | Pastoral Professional Liability written in conjunction with a liability risk; | ||
g. | Incidental malpractice written in conjunction with a liability risk; |
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h. | Opticians; | ||
i. | Hearing Aid Providers; | ||
j. | Florists; | ||
k. | Veterinarians; | ||
l. | Animal Services; |
33. | Bridge construction when over three stories, over navigable waters, or over 100 feet in length; | ||
34. | Construction or maintenance of tunnels or subways more than 50 feet in length, dams, levees, cofferdams (except dams and levees constructed on farm premises which are incidental to farm operations), or with respect to business classified as commercial business, towers over two stories high; | ||
35. | Elevator construction and installation, except construction or installation of grain elevator facilities or related equipment; | ||
36. | Occupational Accident when written as such; | ||
37. | As respects Workers Compensation, and not Commercial General Liability Coverage, risks having maritime exposures or exposures including but not limited to: |
a. | Risks subject to the U.S. Longshore and Harbor Workers Compensation Act (except incidental which is defined as less than 10% of Workers Compensation Policy premium); | ||
b. | Operation of docks, quays, wharves, or drydocks; | ||
c. | Operations subject to the Jones Act; | ||
d. | Operations subject to the Outer Continental Shelf Act; |
38. | Roofing Contractors; | ||
39. | Scaffolding installations (except residential and commercial up to three stories); | ||
40. | Tower, steeple, chimney, or shaft construction and work. |
B. | If any business falling within the scope of one or more of the exclusions is assigned to the Company under an Assigned Risk Plan, such exclusion(s) shall not apply to the portion of the limits of liability prescribed by the Assigned Risk Plan which come within the Companys retention and limits of liability of the Reinsurer. |
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C. | If without the knowledge and contrary to the instructions of its supervisory underwriting personnel, insurance coverages are provided involving one or more of the above exclusions, except A(1), A(2), A(3), A(4), A(5), A(6), A(7), A(8), A(11), A(15), A(16), A(19), A(24), and A(25) either by an inadvertent acceptance or by an existing insured extending its operations, the reinsurance coverage provided hereunder shall apply from inception and for a period of 30 days or longer if required by law, but not to exceed the lesser of 18 months or Policy anniversary after said supervisory underwriting personnel receives knowledge thereof and promptly notifies the Reinsurer upon discovery. |
D. | Any exclusion listed above other than exclusions A(1), A(2), A(3), A(4), A(5), A(6), A(7), A(8), A(11), A(15), A(16), A(19), A(24), and A(25), shall be automatically waived as respects a Policy issued by the Company on a risk with respect to which only a minor or incidental part of the operations covered involves the exclusion. An incidental part of an insureds regular operations shall mean not greater than 10% of the insureds regular operations. |
A. | The Company shall pay the Reinsurer a deposit premium of $1,171,665 for the term of this Contract, to be paid in the amount of $292,916.25 on the first day of each calendar quarter. |
B. | As soon as practicable following the expiration of this Contract, the Company shall furnish to the Reinsurer a statement of the Gross Net Earned Premium Income for the term of this Contract and calculate a premium at a rate of 2.700% multiplied by the Companys Gross Net Earned Premium Income. Should the premium so calculated exceed the deposit premium paid in accordance with paragraph A above, the Company shall immediately pay |
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the Reinsurer the difference. Should the premium so calculated be less than the deposit premium paid in accordance with paragraph A above, the Reinsurer shall immediately pay the Company the difference, subject to a minimum premium for the term of this Contract of $937,332. |
A. | The Company shall pay the Reinsurer a deposit premium of $416,592 for the term of this Contract, to be paid in the amount of $104,148 on the first day of each calendar quarter. |
B. | As soon as practicable following the expiration of this Contract, the Company shall furnish to the Reinsurer a statement of the Gross Net Earned Premium Income for the term of this Contract and calculate a premium at a rate of 0.960% multiplied by the Companys Gross Net Earned Premium Income. Should the premium so calculated exceed the deposit premium paid in accordance with paragraph A above, the Company shall immediately pay the Reinsurer the difference. Should the premium so calculated be less than the deposit premium paid in accordance with paragraph A above, the Reinsurer shall immediately pay the Company the difference, subject to a minimum premium for the term of this Contract of $333,274. |
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A.
|
1. | Ultimate Net Loss means the actual loss paid by the Company or which the Company becomes liable to pay, such loss to include Loss Adjustment Expense, 90% of any Extra Contractual Obligation and 90% of any Loss in Excess of Policy Limits as defined in the Extra Contractual Obligations/Excess of Policy Limits Article. | ||||
2. | Salvages and all recoveries, including recoveries under all reinsurances that inure to the benefit of this Contract (whether recovered or not), shall be first deducted from such loss to arrive at the amount of liability attaching hereunder. | |||||
3. | All salvages, recoveries or payments recovered or received subsequent to loss settlement hereunder shall be applied as if recovered or received prior to the aforesaid settlement, and all necessary adjustments shall be made by the parties hereto. | |||||
4. | The Company shall be deemed to be liable to pay a loss when a judgment has been rendered that the Company does not plan to appeal, and/or the Company has obtained a release, and/or the Company has accepted a proof of loss. | |||||
5. | Nothing in this clause shall be construed to mean that losses are not recoverable hereunder until the Companys Ultimate Net Loss has been ascertained. |
B. | Loss Adjustment Expense means costs and expenses incurred by the Company in connection with the investigation, appraisal, adjustment, settlement, litigation, defense or appeal of a specific claim or loss, or alleged loss, including but not limited to: |
1. | court costs; | ||
2. | costs of supersedeas and appeal bonds; | ||
3. | monitoring counsel expenses; |
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4. | legal expenses and costs incurred in connection with coverage questions and legal actions connected thereto, including but not limited to declaratory judgment actions; | ||
5. | post-judgment interest; | ||
6. | pre-judgment interest, unless included as part of an award or judgment; | ||
7. | a pro rata share of salaries and expenses of Company field employees, calculated in accordance with the time occupied in adjusting such loss, and expenses of other Company employees who have been temporarily diverted from their normal and customary duties and assigned to the field adjustment of losses covered by this Contract; and | ||
8. | subrogation, salvage and recovery expenses. |
Loss Adjustment Expense does not include salaries and expenses of the Companys employees, except as provided in subparagraph (7) above, and office and other overhead expenses. |
C. | Loss Occurrence means any one accident, casualty, disaster, or occurrence or series of accidents, casualties, disasters, or occurrences arising out of or following on one event. Without limiting the generality of the foregoing, the same shall be held to include: |
1. | As regards Products Bodily Injury Liability and Products Property Damage Liability, all loss or losses included under the definition of occurrence as set forth in the Companys original Policies. | ||
2. | As regards Bodily Injury Liability other than Products, all claims against any one insured for all injuries to one or more than one person resulting from infection, contagion, poisoning, or contamination proceeding from, or traceable to, the same causative agency. | ||
3. | As regards Property Damage Liability other than Products, all loss or losses during a Policy year caused by a series of operations, events, or occurrences arising out of operations at any one specific site which cannot be attributed to any single one of such operations, events, or occurrences, but rather to the cumulative effect thereof. The date of such Loss Occurrence shall be deemed to be the date on which the first individual loss occurred. | ||
4. | As regards Workers Compensation and Employers Liability, all loss resulting from an occupational or other disease suffered by an employee, which disease arises out of the employment and for which the employer is liable. The date of loss as respects each such employee shall be deemed to be the date when compensable disability commences. However, if, during a Policy year, the Company should sustain more than one loss arising out of such an occupational or other disease of one specific kind |
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or class, suffered by more than one employee of one insured, all such losses shall be deemed to arise out of one Loss Occurrence, and the date of such Loss Occurrence shall be deemed to be the date on which the first individual loss became compensable. |
D. | Occupational Disease means any bodily injury (including resulting death) or disease suffered by an employee which fulfills all of the following conditions: |
1. | It is not traceable to a definite compensable accident occurring during the employees present or past employment; | ||
2. | It is not traceable to an event of 24 hours or less in duration; | ||
3. | It has been caused by exposure to conditions present in the workers occupational environment; | ||
4. | It has resulted in a disability or death. |
E. | Cumulative Injury means any bodily injury (including resulting death) or disease suffered by an employee which fulfills all of the following conditions: |
1. | It is not traceable to a definite compensable accident occurring during the employees present or past employment; | ||
2. | It is not traceable to an event of 24 hours or less in duration; | ||
3. | It has occurred from, and has been aggravated by, a repetitive employment-related activity. |
F. | Gross Net Earned Premium Income means gross earned premium of the Company for the classes of business reinsured hereunder, less the earned portion of premiums ceded by the Company for reinsurance that inures to the benefit of this Contract. |
G. | Policy means any binder, policy, or contract of insurance or reinsurance issued, accepted or held covered provisionally or otherwise, by or on behalf of the Company. |
H. | Act of Terrorism shall mean any act, including both Certified Acts of Terrorism in accordance with the Terrorism Risk Insurance Act of 2002, the Terrorism Risk Insurance Extension Act of 2005 and the Terrorism Risk Insurance Program Reauthorization Act of 2007 and any subsequent extension and those not certified in respect of action, or threat of action designed to influence the government de jure or de facto of any nation or any political division thereof, or in pursuit of any political, religious, ideological or similar purpose to intimidate the public or a section of the public of any nation by any person or group(s) of persons whether acting alone or on behalf of or in connection with any organization(s) or government(s) de jure or de facto and which: |
1. | involves violence against one or more persons; or |
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2. | involves damage to property; or | ||
3. | endangers life other than that of the person committing the action; or | ||
4. | creates a risk to health or safety of the public or a section of the public; or | ||
5. | is designed to interfere with or to disrupt an electronic system; or | ||
6. | involves loss, damage, cost, or expense directly or indirectly caused by, contributed to by, resulting from, or arising out of or in connection with any action in controlling, preventing, suppressing, retaliating against, or responding to any Act of Terrorism. |
Loss or damage occasioned by riot, strikes, civil commotion, vandalism or malicious mischief as those terms have been interpreted by United States Courts to apply to insurance Policies shall not be construed to be Acts of Terrorism. |
I. | Ex-gratia Settlements means all settlements of losses tendered but not covered under the Companys Policies, which Policies are otherwise reinsured hereunder, other than losses in Excess of Policy Limits and Extra Contractual Obligations as defined herein. Ex-gratia Settlements shall not include: |
1. | Settlements of losses that are arguably within the contemplation of coverage under the Companys Policies reinsured hereunder; | ||
2. | Settlements made to avoid costs that could be incurred in connection with potential or actual litigation relating to coverage issues arising under the Companys Policies reinsured hereunder; | ||
3. | Losses already excluded under this Contract. |
A. | A pro rata share of the amount, if any, by which financial assistance paid to the Company under the Terrorism Risk Insurance Act of 2002 as amended (TRIA) for Acts of Terrorism occurring during any one Program Year, combined with the Companys total private-sector reinsurance recoveries for such Acts of Terrorism, exceeds the amount of Insured Losses paid by the Company for such Acts of Terrorism, shall be reimbursed by the Company to the Reinsurer. Such pro rata share shall be calculated by dividing: |
1. | the Reinsurers payment under this Contract of Insured Losses for the Program Year; by | ||
2. | the Companys total private-sector reinsurance recoveries arising from all Act(s) of Terrorism covered under TRIA during the Program Year. |
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B. | Payment shall be made as promptly as possible after the Companys receipt of any recovery in excess of its Insured Losses. The Company shall provide the Reinsurer with all necessary data respecting the transactions covered under this Article. | |
C. | Such payment to the Reinsurer shall apply unless disallowed by the U.S. Department of the Treasury. | |
D. | Act of Terrorism, Insured Losses and Program Year shall follow the definitions provided in TRIA. |
A. | This Contract shall cover Extra Contractual Obligations, as provided in the definition of Ultimate Net Loss. Extra Contractual Obligations shall be defined as those liabilities not covered under any other provision of this Contract and that arise from the handling of any claim on business covered hereunder, such liabilities arising because of, but not limited to, the following: failure by the Company to settle within the Policy limit, or by reason of alleged or actual negligence, fraud or bad faith in rejecting an offer of settlement or in the preparation of the defense or in the trial of any action against its insured or reinsured or in the preparation or prosecution of an appeal consequent upon such action. | |
B. | This Contract shall cover Loss in Excess of Policy Limits, as provided in the definition of Ultimate Net Loss. Loss in Excess of Policy Limits shall be defined as Loss in excess of the Policy limit, having been incurred because of, but not limited to, failure by the Company to settle within the Policy limit or by reason of alleged or actual negligence, fraud or bad faith in rejecting an offer of settlement or in the preparation of the defense or in the trial of any action against its insured or reinsured or in the preparation or prosecution of an appeal consequent upon such action. | |
C. | An Extra Contractual Obligation and/or Loss in Excess of Policy Limits shall be deemed to have occurred on the same date as the loss covered under the Companys Policy, and shall constitute part of the original loss. | |
D. | For the purposes of the Loss in Excess of Policy Limits coverage hereunder, the word Loss shall mean any amounts for which the Company would have been contractually liable to pay had it not been for the limit of the original Policy. | |
E. | Loss Adjustment Expense in respect of Extra Contractual Obligations and/or Loss in Excess of Policy Limits shall be covered hereunder in the same manner as other Loss Adjustment Expense. | |
F. | However, this Article shall not apply where the loss has been incurred due to final legal adjudication of fraud of a member of the Board of Directors or a corporate officer of the |
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Company acting individually or collectively or in collusion with any individual or corporation or any other organization or party involved in the presentation, defense or settlement of any claim covered hereunder. | ||
G. | In no event shall coverage be provided to the extent not permitted under law. |
A. | This Contract applies only to that portion of any loss that the Company retains net for its own account (prior to deduction of any reinsurance that inures solely to the benefit of the Company). | |
B. | The amount of the Reinsurers liability hereunder in respect of any loss or losses shall not be increased by reason of the inability of the Company to collect from any other reinsurer(s), whether specific or general, any amounts that may have become due from such reinsurer(s), whether such inability arises from the insolvency of such other reinsurer(s) or otherwise. |
A. | The Company shall advise the Reinsurer promptly of all losses which, in the opinion of the Company, may result in a claim hereunder and of all subsequent developments thereto which, in the opinion of the Company, may materially affect the position of the Reinsurer. |
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Inadvertent omission or oversight in giving such notice shall in no way affect the liability of the Reinsurer. However, the Reinsurer shall be informed of such omission or oversight promptly upon its discovery. | ||
B. | Prompt notice shall be given to the Reinsurer by the Company of any Loss Occurrence wherein the Companys reserve exceeds 50% of the Companys loss retention. In addition, the Company shall promptly advise the Reinsurer of all bodily injury losses involving the following major injuries: |
1. | Fatality; | ||
2. | Spinal cord injuries (quadriplegia, paraplegia); | ||
3. | Brain damage (seizure, coma or physical/mental impairment); | ||
4. | Severe burn injuries resulting in disfigurement or scarring; | ||
5. | Total or partial blindness in one or both eyes; | ||
6. | Amputation of a limb; | ||
7. | Major organ (such as heart, lungs). |
C. | As respects losses subject to this Contract, all loss settlements made by the Company, whether under strict Policy terms or by way of compromise, shall be binding upon the Reinsurer, and the Reinsurer agrees to pay or allow, as the case may be, its share of each such settlement immediately upon receipt of proof of loss. |
A. | As respects Workers Compensation any loss or losses known to the Company that have not been finally settled and that may cause a claim under this Contract, the loss(es) may be commuted at the option of the Company not less than seven years after expiration of this Contract. In such event, the Company and the Reinsurer shall determine the commutation |
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value of the outstanding loss(es). In the event the Company and the Reinsurer cannot agree on the commutation value, the Reinsurer and the Company shall mutually appoint an independent actuary who shall investigate and determine the commutation value. In the event the Reinsurer and the Company cannot reach an agreement on an independent actuary, each party shall appoint an actuary within 30 days after receipt of the written request for commutation. Upon such appointment, the two actuaries shall appoint a third actuary. If the two actuaries fail to agree on the selection of a third actuary within 30 days of their appointment, each of them shall name three individuals, of whom the other shall decline two, and the decision shall be made by drawing lots. The actuaries shall then investigate and capitalize such loss(es). All actuaries shall be fellows of the Casualty Actuarial Society or the American Academy of Actuaries, and shall be disinterested in the outcome of the commutation. If the Company does not agree with the commutation value, the Company shall have no obligation to commute. | ||
B. | The Reinsurers proportion of the amount so determined shall be considered the Reinsurers total liability for the loss(es) and the lump sum payment thereof shall constitute a complete release of both parties from liability hereunder for the loss(es). |
A. | In the event any payment due from the Reinsurer to the Company after the expiration of this Contract is not received by the Intermediary by the payment due date, the Company may, by notifying the Intermediary in writing, require the Reinsurer to pay, and the Reinsurer agrees to pay, an interest penalty on the amount past due calculated for each such payment on the last business day of each month as follows: |
1. | The number of full days that have expired since the overdue date or the last monthly calculation, whichever the lesser; times | ||
2. | 1/365th of the sum of the six-month United States Treasury Bill rate as quoted in The Wall Street Journal on the first business day of the month for which the calculation is made, plus 1%; times | ||
3. | The amount past due, including accrued interest. |
Interest shall accumulate until payment of the original amount due plus interest penalties has been received by the Intermediary. | ||
B. | This Article applies only to amounts for which the demand for payment is received by the Reinsurer after the Company has paid the entire reinsurance premium for the term of this Contract, as provided in the Premium Article. |
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C. | The due date shall be the date on which the demand for payment is received by the Reinsurer, and the amount shall be deemed to be overdue 30 days thereafter. | |
D. | If the information contained in the Companys demand for payment is insufficient or not in accordance with the conditions of this Contract, then within 30 days the Reinsurer shall request from the Company all additional information necessary to validate its claim and the payment due date as defined in paragraph C shall be deemed to be the date upon which the Reinsurer received the requested additional information. This paragraph is only for the purpose of establishing when a payment is overdue, and shall not alter the provisions of the Notice of Loss and Loss Settlements Article or other pertinent contractual stipulations. | |
E. | Should the Reinsurer dispute a claim presented by the Company and the timeframe set out in paragraph C be exceeded, interest as stipulated in paragraph A shall be payable for the entire overdue period, but only for the amount of the final settlement with the Reinsurer. | |
F. | In the event arbitration is necessary to settle a dispute, the panel shall have the authority to make a determination awarding interest to the Company. Interest, if any, awarded by the panel shall supersede the interest amounts outlined herein. | |
G. | Any interest owed pursuant to this Article may be waived by the Company. Waiver of such interest, however, shall not affect the Companys rights to other interest amounts due as a result of this Article. |
A. | Where the word Dollars and/or the sign $ appear in this Contract, they shall mean United States Dollars. | |
B. | For purposes of this Contract, where the Company receives premiums or pays losses in currencies other than United States Dollars, such premiums or losses shall be converted into United States Dollars at the actual rates of exchange at which these premiums or losses are entered in the Companys books. |
A. | This Article applies only to the extent a Subscribing Reinsurer does not qualify for credit with any insurance regulatory authority having jurisdiction over the Companys reserves. | |
B. | The Company agrees, in respect of its Policies or bonds falling within the scope of this Contract, that when it files with its insurance regulatory authority, or sets up on its books liabilities as required by law, it shall forward to the Reinsurer a statement showing the |
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proportion of such liabilities applicable to the Reinsurer. The Reinsurers Obligations shall be defined as follows: |
1. | unearned premium (if applicable); | ||
2. | known outstanding losses that have been reported to the Reinsurer and Loss Adjustment Expense relating thereto; | ||
3. | losses and Loss Adjustment Expense paid by the Company but not recovered from the Reinsurer; | ||
4. | losses incurred but not reported and Loss Adjustment Expense relating thereto; | ||
5. | all other amounts for which the Company cannot take credit on its financial statements unless funding is provided by the Reinsurer. |
C. | The Reinsurers Obligations shall be funded by funds withheld, cash advances, Trust Agreement or a Letter of Credit (LOC). The Reinsurer shall have the option of determining the method of funding provided it is acceptable to the insurance regulatory authorities having jurisdiction over the Companys reserves. | |
D. | When funding by an LOC, the Reinsurer agrees to apply for and secure timely delivery to the Company of a clean, irrevocable and unconditional LOC issued by a bank and containing provisions acceptable to the insurance regulatory authorities having jurisdiction over the Companys reserves in an amount equal to the Reinsurers Obligations. Such LOC shall be issued for a period of not less than one year, and shall be automatically extended for one year from its date of expiration or any future expiration date unless 30 days (or such other time period as may be required by insurance regulatory authorities), prior to any expiration date the issuing bank shall notify the Company by certified or registered mail that the issuing bank elects not to consider the LOC extended for any additional period. | |
E. | The Reinsurer and the Company agree that any funding provided by the Reinsurer pursuant to the provisions of this Contract may be drawn upon at any time, notwithstanding any other provision of this Contract, and be utilized by the Company or any successor, by operation of law, of the Company including, without limitation, any liquidator, rehabilitator, receiver or conservator of the Company, for the following purposes, unless otherwise provided for in a separate Trust Agreement: |
1. | to reimburse the Company for the Reinsurers Obligations, the payment of which is due under the terms of this Contract and that has not been otherwise paid; | ||
2. | to make refund of any sum that is in excess of the actual amount required to pay the Reinsurers Obligations under this Contract (or in excess of 102% of the Reinsurers Obligations, if funding is provided by a Trust Agreement); |
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3. | to fund an account with the Company for the Reinsurers Obligations. Such cash deposit shall be held in an interest bearing account separate from the Companys other assets, and interest thereon not in excess of the prime rate shall accrue to the benefit of the Reinsurer. Any taxes payable on accrued interest shall be paid out of the assets in the account that are in excess of the Reinsurers Obligations (or in excess of 102% of the Reinsurers Obligations, if funding is provided by a Trust Agreement). If the assets are inadequate to pay taxes, any taxes due shall be paid by the Reinsurer; | ||
4. | to pay the Reinsurers share of any other amounts the Company claims are due under this Contract. |
F. | If the amount drawn by the Company is in excess of the actual amount required for E(1) or E(3), or in the case of E(4), the actual amount determined to be due, the Company shall promptly return to the Reinsurer the excess amount so drawn. All of the foregoing shall be applied without diminution because of insolvency on the part of the Company or the Reinsurer. | |
G. | The issuing bank shall have no responsibility whatsoever in connection with the propriety of withdrawals made by the Company or the disposition of funds withdrawn, except to ensure that withdrawals are made only upon the order of properly authorized representatives of the Company. | |
H. | At annual intervals, or more frequently at the discretion of the Company, but never more frequently than quarterly, the Company shall prepare a specific statement of the Reinsurers Obligations for the sole purpose of amending the LOC or other method of funding, in the following manner: |
1. | If the statement shows that the Reinsurers Obligations exceed the balance of the LOC as of the statement date, the Reinsurer shall, within 30 days after receipt of the statement, secure delivery to the Company of an amendment to the LOC increasing the amount of credit by the amount of such difference. Should another method of funding be used, the Reinsurer shall, within the time period outlined above, increase such funding by the amount of such difference. | ||
2. | If, however, the statement shows that the Reinsurers Obligations are less than the balance of the LOC (or that 102% of the Reinsurers Obligations are less than the trust account balance if funding is provided by a Trust Agreement), as of the statement date, the Company shall, within 30 days after receipt of written request from the Reinsurer, release such excess credit by agreeing to secure an amendment to the LOC reducing the amount of credit available by the amount of such excess credit. Should another method of funding be used, the Company shall, within the time period outlined above, decrease such funding by the amount of such excess. |
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A. | In consideration of the terms under which this Contract is issued, the Company undertakes not to claim any deduction of the premium hereon when making Canadian tax returns or when making tax returns, other than Income or Profits Tax returns, to any state or territory of the United States of America or to the District of Columbia. |
B. | 1. | Each Subscribing Reinsurer has agreed to allow, for the purpose of paying the Federal Excise Tax, the applicable percentage of the premium payable hereon (as imposed under the Internal Revenue Code) to the extent such premium is subject to Federal Excise Tax. | |
2. | In the event of any return of premium becoming due hereunder, the Subscribing Reinsurer shall deduct the applicable percentage of the premium from the amount of the return, and the Company or its agent should take steps to recover the Tax from the U.S. Government. |
A. | The Reinsurer hereby acknowledges that the documents, information and data provided to it by the Company, whether directly or through an authorized agent, in connection with the placement and execution of this Contract (Confidential Information) are proprietary and confidential to the Company. Confidential Information shall not include documents, information or data that the Reinsurer can show: |
1. | are publicly known or have become publicly known through no unauthorized act of the Reinsurer; |
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2. | have been rightfully received from a third person without obligation of confidentiality; or | ||
3. | were known by the Reinsurer prior to the placement of this Contract without an obligation of confidentiality. |
B. | Absent the written consent of the Company, the Reinsurer shall not disclose any Confidential Information to any third parties, including any affiliated companies, except: |
1. | when required by retrocessionaires subject to the business ceded to this Contract; | ||
2. | when required by regulators performing an audit of the Reinsurers records and/or financial condition; or | ||
3. | when required by external auditors performing an audit of the Reinsurers records in the normal course of business. |
Further, the Reinsurer agrees not to use any Confidential Information for any purpose not related to the performance of its obligations or enforcement of its rights under this Contract. | ||
C. | Notwithstanding the above, in the event that the Reinsurer is required by court order, other legal process or any regulatory authority to release or disclose any or all of the Confidential Information, the Reinsurer agrees to provide the Company with written notice of same at least 10 days prior to such release or disclosure and to use its best efforts to assist the Company in maintaining the confidentiality provided for in this Article. | |
D. | The provisions of this Article shall extend to the officers, directors and employees of the Reinsurer and its affiliates, and shall be binding upon their successors and assigns. |
A. | The Reinsurer is reinsuring, subject to the terms and conditions of this Contract, the obligations of the Company under any Policy. The Company shall be the sole judge as to: |
1. | what shall constitute a claim or loss covered under any Policy; | ||
2. | the Companys liability thereunder; | ||
3. | the amount or amounts that it shall be proper for the Company to pay thereunder. |
B. | The Reinsurer shall be bound by the judgment of the Company as to the obligation(s) and liability(ies) of the Company under any Policy. |
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C. | Any inadvertent error, omission or delay in complying with the terms and conditions of this Contract shall not be held to relieve either party hereto from any liability that would attach to it hereunder if such error, omission or delay had not been made, provided such error, omission or delay is rectified immediately upon discovery. |
A. | If more than one reinsured company is referenced within the definition of Company in the Preamble to this Contract, this Article shall apply severally to each such company. Further, this Article and the laws of the domiciliary state shall apply in the event of the insolvency of any company covered hereunder. In the event of a conflict between any provision of this Article and the laws of the domiciliary state of any company covered hereunder, that domiciliary states laws shall prevail. | |
B. | In the event of the insolvency of the Company, this reinsurance (or the portion of any risk or obligation assumed by the Reinsurer, if required by applicable law) shall be payable directly to the Company, or to its liquidator, receiver, conservator or statutory successor, either: (1) on the basis of the liability of the Company, or (2) on the basis of claims filed and allowed in the liquidation proceeding, whichever may be required by applicable statute, without diminution because of the insolvency of the Company or because the liquidator, receiver, conservator or statutory successor of the Company has failed to pay all or a portion of any claim. It is agreed, however, that the liquidator, receiver, conservator or statutory successor of the Company shall give written notice to the Reinsurer of the pendency of a claim against the Company indicating the Policy or bond reinsured, which claim would involve a possible liability on the part of the Reinsurer within a reasonable time after such claim is filed in the conservation or liquidation proceeding or in the receivership, and that during the pendency of such claim, the Reinsurer may investigate such claim and interpose, at its own expense, in the proceeding where such claim is to be adjudicated any defense or defenses that it may deem available to the Company or its liquidator, receiver, conservator or statutory successor. The expense thus incurred by the Reinsurer shall be chargeable, subject to the approval of the court, against the Company as part of the expense of conservation or liquidation to the extent of a pro rata share of the benefit that may accrue to the Company solely as a result of the defense undertaken by the Reinsurer. | |
C. | Where two or more reinsurers are involved in the same claim and a majority in interest elect to interpose defense to such claim, the expense shall be apportioned in accordance with the terms of this reinsurance Contract as though such expense had been incurred by the Company. | |
D. | As to all reinsurance made, ceded, renewed or otherwise becoming effective under this Contract, the reinsurance shall be payable as set forth above by the Reinsurer to the |
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Company or to its liquidator, receiver, conservator or statutory successor, (except as provided by Section 4118(a)(1)(A) of the New York Insurance Law, provided the conditions of 1114(c) of such law have been met, if New York law applies) or except (1) where the Contract specifically provides another payee in the event of the insolvency of the Company, or (2) where the Reinsurer, with the consent of the direct insured or insureds, has assumed such Policy obligations of the Company as direct obligations of the Reinsurer to the payees under such Policies and in substitution for the obligations of the Company to such payees. Then, and in that event only, the Company, with the prior approval of the certificate of assumption on New York risks by the Superintendent of Insurance of the State of New York, or with the prior approval of such other regulatory authority as may be applicable, is entirely released from its obligation and the Reinsurer shall pay any loss directly to payees under such Policy. |
A. | Any dispute arising out of the interpretation, performance or breach of this Contract, including the formation or validity thereof, shall be submitted for decision to a panel of three arbitrators. Notice requesting arbitration shall be in writing and sent certified or registered mail, return receipt requested. | |
B. | One arbitrator shall be chosen by each party and the two arbitrators shall then choose an impartial third arbitrator who shall preside at the hearing. If either party fails to appoint its arbitrator within 30 days after being requested to do so by the other party, the latter, after 10 days prior notice by certified or registered mail of its intention to do so, may appoint the second arbitrator. | |
C. | If the two arbitrators do not agree on a third arbitrator within 60 days of their appointment, the third arbitrator shall be chosen in accordance with the procedures for selecting the third arbitrator in force on the date the arbitration is demanded, established by the AIDA Reinsurance and Insurance Arbitration Society U.S. (ARIAS). The arbitrators shall be persons knowledgeable about insurance and reinsurance who have no personal or financial interest in the result of the arbitration. If a member of the panel dies, becomes disabled or is otherwise unwilling or unable to serve, a substitute shall be selected in the same manner as the departing member was chosen and the arbitration shall continue. | |
D. | Within 30 days after all arbitrators have been appointed, the panel shall meet and determine timely periods for briefs, discovery procedures and schedules of hearings. | |
E. | The panel shall be relieved of all judicial formality and shall not be bound by the strict rules of procedure and evidence. Notwithstanding anything to the contrary in this Contract, the arbitrators may at their discretion, consider underwriting and placement information provided by the Company to the Reinsurer, as well as any correspondence exchanged by |
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the parties that is related to this Contract. The arbitration shall take place in Wilkes-Barre, Pennsylvania, or at such other place as the parties shall agree. The decision of any two arbitrators shall be in writing and shall be final and binding. The panel is empowered to grant interim relief as it may deem appropriate. | ||
F. | The panel shall interpret this Contract as an honorable engagement rather than as merely a legal obligation and shall make its decision considering the custom and practice of the applicable insurance and reinsurance business as promptly as possible after the hearings. Judgment upon an award may be entered in any court having jurisdiction thereof. | |
G. | Each party shall bear the expense of its own arbitrator and shall jointly and equally bear with the other party the cost of the third arbitrator. The remaining costs of the arbitration shall be allocated by the panel. The panel may, at its discretion, award such further costs and expenses as it considers appropriate, including but not limited to attorneys fees, to the extent permitted by law. |
A. | This Article applies only to those Subscribing Reinsurers not domiciled in the United States of America, and/or not authorized in any state, territory and/or district of the United States of America where authorization is required by insurance regulatory authorities. | |
B. | This Article shall not be read to conflict with or override the obligations of the parties to arbitrate their disputes as provided for in the Arbitration Article. This Article is intended as an aid to compelling arbitration or enforcing such arbitration or arbitral award, not as an alternative to the Arbitration Article for resolving disputes arising out of this Contract. | |
C. | In the event of the failure of the Reinsurer to pay any amount claimed to be due hereunder, the Reinsurer, at the request of the Company, shall submit to the jurisdiction of a court of competent jurisdiction within the United States. Nothing in this Article constitutes or should be understood to constitute a waiver of the Reinsurers rights to commence an action in any court of competent jurisdiction in the United States, to remove an action to a United States District Court, or to seek a transfer of a case to another court as permitted by the laws of the United States or of any state in the United States. The Reinsurer, once the appropriate court is selected, whether such court is the one originally chosen by the Company and accepted by the Reinsurer or is determined by removal, transfer, or otherwise, as provided for above, shall comply with all requirements necessary to give said court jurisdiction and, in any suit instituted against the Reinsurer upon this Contract, shall abide by the final decision of such court or of any appellate court in the event of an appeal. | |
D. | Service of process in such suit may be made upon Messrs. Mendes and Mount, 750 Seventh Avenue, New York, New York 10019-6829, or another party specifically |
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designated in the applicable Interests and Liabilities Agreement attached hereto. The above-named are authorized and directed to accept service of process on behalf of the Reinsurer in any such suit. | ||
E. | Further, pursuant to any statute of any state, territory or district of the United States that makes provision therefor, the Reinsurer hereby designates the Superintendent, Commissioner or Director of Insurance, or other officer specified for that purpose in the statute, or his successor or successors in office, as its true and lawful attorney upon whom may be served any lawful process in any action, suit or proceeding instituted by or on behalf of the Company or any beneficiary hereunder arising out of this Contract, and hereby designates the above-named as the person to whom the said officer is authorized to mail such process or a true copy thereof. |
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A. | This Contract may be executed by: |
1. | an original written ink signature of paper documents; | ||
2. | an exchange of facsimile copies showing the original written ink signature of paper documents; | ||
3. | electronic signature technology employing computer software and a digital signature or digitizer pen pad to capture a persons handwritten signature in such a manner that the signature is unique to the person signing, is under the sole control of the person signing, is capable of verification to authenticate the signature and is linked to the document signed in such a manner that if the data is changed, such signature is invalidated. |
B. | The use of any one or a combination of these methods of execution shall constitute a legally binding and valid signing of this Contract. This Contract may be executed in one or more counterparts, each of which, when duly executed, shall be deemed an original. |
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(1) | This reinsurance does not cover any loss or liability accruing to the Reassured as a member of, or subscriber to, any association of insurers or reinsurers formed for the purpose of covering nuclear energy risks or as a direct or indirect reinsurer of any such member, subscriber or association. | |
(2) | Without in any way restricting the operation of paragraph (1) of this Clause it is understood and agreed that for all purposes of this reinsurance all the original policies of the Reassured (new, renewal and replacement) of the classes specified in Clause II of this paragraph (2) from the time specified in Clause III in this paragraph (2) shall be deemed to include the following provision (specified as the Limited Exclusion Provision): | |
Limited Exclusion Provision.* |
I. | It is agreed that the policy does not apply under any liability coverage, to |
injury, sickness, disease, death or destruction | |||
bodily injury or property damage |
with respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters or Nuclear Insurance Association of Canada, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability. | |||
II. | Family Automobile Policies (liability only), Special Automobile Policies (private passenger automobiles, liability only), Farmers Comprehensive Personal Liability Policies (liability only), Comprehensive Personal Liability Policies (liability only) or policies of a similar nature; and the liability portion of combination forms related to the four classes of policies stated above, such as the Comprehensive Dwelling Policy and the applicable types of Homeowners Policies. | ||
III. | The inception dates and thereafter of all original policies as described in II above, whether new, renewal or replacement, being policies which either |
(a) | become effective on or after 1st May, 1960, or | ||
(b) | become effective before that date and contain the Limited Exclusion Provision set out above; |
provided this paragraph (2) shall not be applicable to Family Automobile Policies, Special Automobile Policies, or policies or combination policies of a similar nature, issued by the Reassured on New York risks, until 90 days following approval of the Limited Exclusion Provision by the Governmental Authority having jurisdiction thereof. |
Effective: January 1, 2011 | DOC: January 21, 2011 | |||
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(3) | Except for those classes of policies specified in Clause II of paragraph (2) and without in any way restricting the operation of paragraph (1) of this Clause, it is understood and agreed that for all purposes of this reinsurance the original liability policies of the Reassured (new, renewal and replacement) affording the following coverages: |
Owners, Landlords and Tenants Liability, Contractual Liability, Elevator Liability, Owners or Contractors (including railroad) Protective Liability, Manufacturers and Contractors Liability, Product Liability, Professional and Malpractice Liability, Storekeepers Liability, Garage Liability, Automobile Liability (including Massachusetts Motor Vehicle or Garage Liability) |
shall be deemed to include, with respect to such coverages, from the time specified in Clause V of this paragraph (3), the following provision (specified as the Broad Exclusion Provision): | ||
Broad Exclusion Provision.* | ||
It is agreed that the policy does not apply: |
I. | Under any Liability Coverage, to | ||
injury, sickness, disease, death or destruction | |||
bodily injury or property damage |
(a) | with respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters or Nuclear Insurance Association of Canada, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability; or | ||
(b) | resulting from the hazardous properties of nuclear material and with respect to which (1) any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954, or any law amendatory thereof, or (2) the insured is, or had this policy not been issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agreement entered into by the United States of America, or any agency thereof, with any person or organization. |
II. | Under any Medical Payments Coverage, or under any Supplementary Payments Provision relating to |
immediate medical or surgical relief | |||
first aid, |
Effective: January 1, 2011 | DOC: January 21, 2011 | |||
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to expenses incurred with respect to |
bodily injury, sickness, disease or death | |||
bodily injury |
resulting from the hazardous properties of nuclear material and arising out of the operation of a nuclear facility by any person or organization. | |||
III. | Under any Liability Coverage, to |
injury, sickness, disease, death or destruction | |||
bodily injury or property damage |
resulting from the hazardous properties of nuclear material, if |
(a) | the nuclear material (1) is at any nuclear facility owned by, or operated by or on behalf of, an insured or (2) has been discharged or dispersed therefrom; | ||
(b) | the nuclear material is contained in spent fuel or waste at any time possessed, handled, used, processed, stored, transported or disposed of by or on behalf of an insured; or | ||
(c) | the |
injury, sickness, disease, death or destruction | |||
bodily injury or property damage |
arises out of the furnishing by an insured of services, materials, parts or equipment in connection with the planning, construction, maintenance, operation or use of any nuclear facility, but if such facility is located within the United States of America, its territories or possessions or Canada, this exclusion (c) applies only to |
injury to or destruction of property at such nuclear facility. | |||
property damage to such nuclear facility and any property thereat. |
IV. | As used in this endorsement: | ||
hazardous properties include radioactive, toxic or explosive properties; nuclear material means source material, special nuclear material or byproduct material; |
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source material, special nuclear material, and byproduct material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof; spent fuel means any fuel element or fuel component, solid or liquid, which has been used or exposed to radiation in a nuclear reactor; waste means any waste material (1) containing byproduct material other than the tailings or wastes produced by the extraction or concentration of uranium or thorium from any ore processed primarily for its source material content and (2) resulting from the operation by any person or organization of any nuclear facility included under the first two paragraphs of the definition of nuclear facility; nuclear facility means |
(a) | any nuclear reactor, | ||
(b) | any equipment or device designed or used for (1) separating the isotopes of uranium or plutonium, (2) processing or utilizing spent fuel, or (3) handling, processing or packaging waste, | ||
(c) | any equipment or device used for the processing, fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235, | ||
(d) | any structure, basin, excavation, premises or place prepared or used for the storage or disposal of waste, |
and includes the site on which any of the foregoing is located, all operations conducted on such site and all premises used for such operations; nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self-supporting chain reaction or to contain a critical mass of fissionable material; | |||
With respect to injury to or destruction of property, the word injury or destruction includes all forms of radioactive contamination of property. property damage includes all forms of radioactive contamination of property. | |||
V. | The inception dates and thereafter of all original policies affording coverages specified in this paragraph (3), whether new, renewal or replacement, being policies which become effective on or after 1st May, 1960, provided this paragraph (3) shall not be applicable to |
(i) | Garage and Automobile Policies issued by the Reassured on New York risks, or | ||
(ii) | statutory liability insurance required under Chapter 90, General Laws of Massachusetts, |
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until 90 days following approval of the Broad Exclusion Provision by the Governmental Authority having jurisdiction thereof. |
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(4) | Without in any way restricting the operation of paragraph (1) of this Clause, it is understood and agreed that paragraphs (2) and (3) above are not applicable to original liability policies of the Reassured in Canada and that with respect to such policies this Clause shall be deemed to include the Nuclear Energy Liability Exclusion Provisions adopted by the Canadian Underwriters Association or the Independent Insurance Conference of Canada. |
Reassured | shall be understood to mean Company, Reinsured, Reassured or whatever other term is used in the attached reinsurance document to designate the reinsured company or companies. | |||
Agreement | shall be understood to mean Agreement, Contract, Policy or whatever other term is used to designate the attached reinsurance document. | |||
Reinsurers | shall be understood to mean Reinsurers, Underwriters or whatever other term is used in the attached reinsurance document to designate the reinsurer or reinsurers. |
Effective: January 1, 2011 | DOC: January 21, 2011 | |||
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![]() |
Exhibit 10.10 |
Effective: January 1, 2011
|
DOC: January 21, 2011 | |||
U6W20001
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1 of 37 |
Article | Page | |||
Preamble |
4 | |||
1 |
Business Covered | 4 | ||
2 |
Retention and Limit | 5 | ||
3 |
Term | 5 | ||
4 |
Special Termination | 6 | ||
5 |
Territory | 7 | ||
6 |
Exclusions | 7 | ||
7 |
Special Acceptance | 13 | ||
8 |
Premium | 13 | ||
9 |
Ceding Commission | 14 | ||
10 |
Reports and Remittances | 14 | ||
11 |
Definitions | 15 | ||
12 |
Excess Terrorism Recovery | 17 | ||
13 |
Extra Contractual Obligations/Excess of Policy Limits | 17 | ||
14 |
Net Retained Liability | 18 | ||
15 |
Original Conditions | 19 | ||
16 |
No Third Party Rights | 19 | ||
17 |
Notice of Loss and Loss Settlements | 19 | ||
18 |
Salvage and Subrogation | 19 | ||
19 |
Late Payments | 20 | ||
20 |
Offset | 21 | ||
21 |
Currency | 21 | ||
22 |
Unauthorized Reinsurance | 21 | ||
23 |
Taxes | 23 | ||
24 |
Access to Records | 24 | ||
25 |
Confidentiality | 24 | ||
26 |
Indemnification and Errors and Omissions | 25 | ||
27 |
Insolvency | 26 | ||
28 |
Arbitration | 27 | ||
29 |
Service of Suit | 28 | ||
30 |
Severability | 29 | ||
31 |
Governing Law | 29 | ||
32 |
Entire Agreement | 30 | ||
33 |
Non-Waiver | 30 | ||
34 |
Intermediary | 30 | ||
35 |
Mode of Execution | 30 | ||
Company Signing Block | 32 |
Effective: January 1, 2011
|
DOC: January 21, 2011 | |||
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Attachments | Page | |||
Nuclear Incident Exclusion Clause Liability -
Reinsurance U.S.A. |
33 |
Effective: January 1, 2011
|
DOC: January 21, 2011 | |||
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DOC: January 21, 2011 | |||
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A. | This Contract is effective at 12:01 a.m., Eastern Standard Time, January 1, 2011, and shall remain in effect until 12:01 a.m., Eastern Standard Time, January 1, 2012, applying to losses occurring during the term of this Contract. | |
B. | At expiration of this Contract, the Reinsurer shall remain liable for all Policies covered by this Contract that are in force at expiration, until the termination, expiration or renewal of such Policies, whichever occurs first. | |
C. | However, at expiration of this Contract, the Company shall have the option to require a return of the ceded unearned premium, net of ceding commission, as of the date of expiration, on business in force at that date, in which event the Reinsurer shall be released from liability for losses occurring after expiration. |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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D. | In the event this Contract expires on a run-off basis, the Reinsurers liability hereunder shall continue if the Company is required by statute or regulation to continue coverage, until the earliest date on which the Company may cancel the Policy. |
A. | The Company may terminate a Subscribing Reinsurers percentage share in this Contract at any time by giving written notice to the Subscribing Reinsurer in the event of any of the following circumstances: |
1. | The Subscribing Reinsurer ceases underwriting operations. | ||
2. | A state insurance department or other legal authority orders the Subscribing Reinsurer to cease writing business, or the Subscribing Reinsurer is placed under regulatory supervision. | ||
3. | The Subscribing Reinsurer has become insolvent or has been placed into liquidation or receivership (whether voluntary or involuntary), or there have been instituted against it proceedings for the appointment of a receiver, liquidator, rehabilitator, conservator, trustee in bankruptcy, or other agent known by whatever name, to take possession of its assets or control of its operations. | ||
4. | The Subscribing Reinsurers policyholders surplus (or the equivalent under the Subscribing Reinsurers accounting system) as reported in such financial statements of the Subscribing Reinsurer as designated by the Company, has been reduced by 20% of the amount thereof at any date during the prior 12-month period (including the period prior to the inception of this Contract). | ||
5. | The Subscribing Reinsurer has merged with or has become acquired or controlled by any company, corporation, or individual(s) not controlling the Subscribing Reinsurers operations at the inception of this Contract. | ||
6. | The Subscribing Reinsurer has retroceded its entire liability under this Contract without the Companys prior written consent, except for retrocessions to members of the Subscribing Reinsurers holding company group. | ||
7. | The Subscribing Reinsurer has been assigned an A.M. Bests rating of less than A- and/or an S&P rating of less than BBB+. However, as respects Underwriting Members of Lloyds, London, a Lloyds Market Rating of less than A- by A.M. Best and/or less than BBB+ by S&P shall apply. |
B. | Termination shall be effected on a run-off or cut-off basis as set forth in the Term Article, at the sole discretion of the Company. The reinsurance premium due the Subscribing Reinsurer hereunder (including any minimum reinsurance premium) shall be pro rated |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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based on the period of the Subscribing Reinsurers participation hereon, and the Subscribing Reinsurer shall immediately return any excess reinsurance premium received. Reinstatement premium, if any, shall be calculated based on the Subscribing Reinsurers reinsurance premium earned during the period of the Subscribing Reinsurers participation hereon. |
C. | Additionally, in the event of any of the circumstances listed in paragraph A of this Article, the Company shall have the option to commute the Subscribing Reinsurers liability for losses on Policies covered by this Contract. In the event the Company and the Subscribing Reinsurer cannot agree on the commutation amount, they shall appoint an actuary and/or appraiser to assess such amount and shall share equally any expense of the actuary and/or appraiser. If the Company and the Subscribing Reinsurer cannot agree on an actuary and/or appraiser, the Company and the Subscribing Reinsurer each shall nominate three individuals, of whom the other shall decline two, and the final appointment shall be made by drawing lots. Payment by the Subscribing Reinsurer of the amount of liability ascertained shall constitute a complete and final release of both parties in respect of liability arising from the Subscribing Reinsurers participation under this Contract. | |
D. | The Companys option to require commutation under paragraph C above shall survive the termination or expiration of this Contract. |
A. | This Contract shall not cover: |
1. | Reinsurance treaty business, including pro rata and excess of loss, assumed by the Company, but not to include business from affiliated companies; | ||
2. | Business written on a co-indemnity basis not controlled by the Company; | ||
3. | Loss or liability excluded by the provisions of the Nuclear Incident Exclusion Clause Liability Reinsurance USA attached to and forming part of this Contract; | ||
4. | Liability assumed by the Company as a member of a Syndicate, Pool or Underwriting Association; however, this does not apply to participation in assigned risk plans; | ||
5. | Any liability of the Company arising by contract, operation of law, or otherwise, from its participation or membership, whether voluntary or involuntary, in any insolvency |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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fund. Insolvency Fund includes any guaranty fund, insolvency fund, plan, pool, association, fund or other arrangement, howsoever denominated, established or governed, which provides for any assessment of or payment or assumption by the Company of part or all of any claim, debt, charge, fee, or other obligation of an insurer, or its successors or assigns, which has been declared by any competent authority to be insolvent, or which is otherwise deemed unable to meet any claim, debt, charge, fee or other obligation in whole or in part; | |||
6. | Financial Guarantee and Insolvency; | ||
7. | Loss resulting from an Act of Terrorism that involves the use, release, or escape of nuclear materials, or directly or indirectly results in nuclear reaction or radiation or radioactive contamination, or that is carried out by means of the dispersal or application of pathogenic or poisonous biological or chemical materials that are released; | ||
8. | Regarding interests which at time of loss or damage are on shore, any loss or damage which is occasioned by war, invasion, hostilities, acts of foreign enemies, civil war, rebellion, insurrection, military or usurped power, or martial law or confiscation by order of any government or public authority. This War Exclusion Clause shall not however, apply to interests which at time of loss or damage are within the territorial limits of the United States of America (comprising the 50 states of the Union and the District of Columbia and including bridges between the U.S.A. and Mexico, provided they are under United States ownership), Canada, St. Pierre and Miquelon, provided such interests are insured under Policies, endorsements, or binders containing a standard war or hostilities or warlike operations exclusion clause; | ||
9. | Public Utilities; | ||
10. | Pharmaceutical and Medical Device Manufacturers; | ||
11. | Operation, navigation, or handling of ships, or vessels owned by the insured other than: |
a. | Yachts, small pleasure crafts, sports fishing vessels, and | ||
b. | Vessels operating exclusively in inland and/or coastal waters where legal liability on such vessels is incidental to the coverage provided either under a general liability Policy or under a comprehensive form of a Policy; |
12. | Ownership, maintenance or use of aircraft and aircraft flight operations, but this exclusion does not apply to Workers Compensation/Employers Liability coverage; | ||
13. | Repair, cleaning or demolition of any vessel or barge used as petroleum tanker; |
Effective: January 1, 2011
|
DOC: January 21, 2011 | |||
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14. | Loss or liability excluded by whichever standard Insurance Services Office pollution exclusion(s) is included in the Policy under which such loss or liability arises. | ||
Notwithstanding the above, the Reinsurer agrees that this exclusion shall not apply to original Policies written in any state where the Standard ISO Pollution Exclusion(s) have not been approved or are not permitted to be included in or attached to original Policies. | |||
Further, the Reinsurer agrees that this exclusion shall not apply in any case where the Company has attached the Standard ISO Pollution Exclusion(s) to an original Policy but has sustained a loss as a result of that exclusion being deemed invalid or inapplicable by a court of law. | |||
Notwithstanding all of the foregoing, the Reinsurer agrees that this exclusion does not apply to environmental restoration coverage provided under an MCS-90 Endorsement attached to a commercial automobile Policy written in accordance with the Motor Carrier Act of 1980. | |||
Furthermore, the Reinsurer agrees that this exclusion does not apply to overspraying of anhydrous ammonia, fertilizers and agricultural chemicals, nor shall this exclusion apply to operations involving anhydrous ammonia, liquefied petroleum gas (LPG), or propane (including the transportation thereof) where the Company has attached the Solutions 2000 Liability PMAG-16 Pollution Exclusion Amendment to an original Policy. Furthermore, this exclusion does not apply to pollutants from mobile equipment where the Company has attached the Solutions 2000 Liability PMAG-16 Pollution Exclusion Amendment to an original Policy. | |||
Furthermore, the Reinsurer agrees that this exclusion does not apply to overspraying of anhydrous ammonia, fertilizers and agricultural chemicals, nor shall this exclusion apply to operations involving anhydrous ammonia, liquefied petroleum gas (LPG), or propane (including the transportation thereof) where the Company has attached the Solutions 2000 Liability PMAG-18 Pollution Exclusion Amendment to an original Policy. Furthermore, this exclusion does not apply to pollutants from a covered auto where the Company has attached the Solutions 2000 Liability PMAG-18 Pollution Exclusion Amendment to an original Policy. | |||
Furthermore, the Reinsurer agrees that this exclusion does not apply to operations meeting all standards of any statute, ordinance, regulation or license requirement of any federal, state or local government which apply to those operations, where the Company has attached the Solutions 2000 Liability PMAG-04 Pesticide or Fertilizer Applicator Amended Exclusions with Amendment of Limits of Insurance to an original Policy. Furthermore, this exclusion does not apply to fields on which the insured, or any contractor or subcontractor working on the behalf of the insured, is performing operations, where the Company has attached the Solutions 2000 Liability |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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PMAG-04 Pesticide or Fertilizer Applicator Amended Exclusions with Amendment of Limits of Insurance to an original Policy. | |||
15. | Manufacture, handling, transit or use of explosives, unless incidental to routine agriculture operation; | ||
16. | Manufacture of liquefied petroleum gas or petroleum; | ||
17. | Buses other than buses used to transport employees of the insured or property; | ||
18. | Loss or liability, whether direct or indirect, arising from the hazard of asbestos including the manufacturing, mining, storage, distribution, transportation, fabrication, installation or removal of asbestos or products containing asbestos; | ||
19. | All mining operations; | ||
20. | Products guarantee and/or recall and/or integrity impairment when written as such; | ||
21. | Blasting; | ||
22. | Nursing Homes; | ||
23. | All Workers Compensation business classified by the Company as Employee Leasing Corporations, Professional Employment Organizations (PEOs), Temporary Agencies, Police, Firefighters and EMT Workers, whether professional or volunteer; | ||
24. | Policies issued as excess coverage, other than insurance over a self-insured retention; | ||
25. | Manufacturing of fireworks, fuses, nitroglycerine, celluloid and pyroxylin; | ||
26. | Concerns when engaged in the demolition of buildings more than three stories in height except the insureds own structures; | ||
27. | Operation of animal shows, riding academies, circuses, carnivals, amusement parks or amusement devices; equestrian exposures of guides and outfitters are not excluded; | ||
28. | Municipalities, when written as such, but this exclusion does not apply as respects: |
a. | School districts; | ||
b. | Municipally-owned buildings or properties; | ||
c. | Municipalities named as an additional insured; |
29. | Auto Liability: |
a. | As a taxicab, public livery or bus; |
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b. | Public emergency vehicles such as fire trucks or police cars; | ||
c. | Ambulances; | ||
d. | Rent-a-car and leasing operations; | ||
e. | Vehicles carrying passengers for hire or reward; | ||
f. | Automobiles used in organized speed contests including but not limited to racing, rallies, and speed trials; | ||
g. | As a long haul public freight carrier or common carrier, except for incidental hauling of goods of others; |
However, this exclusion shall not exclude automobiles, buses and/or vans used to transport hotel/hospitality guests; | |||
30. | Products Liability: |
a. | The manufacture, sale or retail or wholesale distribution of aircraft, aircraft parts; | ||
b. | The manufacture of extracts, drugs, medicines, cosmetics or hair, scalp or skin preparations; | ||
c. | The manufacture of automobiles, buses, trucks and trailers, recreational vehicles, motorcycles or the manufacture of components critical to vehicle safety; | ||
d. | Products liability written without an annual aggregate limit; |
31. | Malpractice or Professional Liability, except: |
a. | Druggists Liability; | ||
b. | Printers Liability; | ||
c. | Barbers and Beauticians Liability (including nail salons); | ||
d. | Agricultural Consultants Liability; | ||
e. | Funeral Directors or Morticians Professional Liability; | ||
f. | Pastoral Professional Liability written in conjunction with a liability risk; | ||
g. | Incidental malpractice written in conjunction with a liability risk; | ||
h. | Opticians; |
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i. | Hearing Aid Providers; | ||
j. | Florists; | ||
k. | Veterinarians; | ||
l. | Animal Services; |
32. | Bridge construction when over three stories, over navigable waters, or over 100 feet in length; | ||
33. | Construction or maintenance of tunnels or subways more than 50 feet in length, dams, levees, cofferdams (except dams and levees constructed on farm premises which are incidental to farm operations), or with respect to business classified as commercial business, towers over two stories high; | ||
34. | Elevator construction and installation, except construction or installation of grain elevator facilities or related equipment; | ||
35. | Occupational Accident when written as such; | ||
36. | As respects Workers Compensation, and not Commercial General Liability Coverage, risks having maritime exposures or exposures including but not limited to: |
a. | Risks subject to the U.S. Longshore and Harbor Workers Compensation Act (except incidental which is defined as less than 10% of Workers Compensation Policy premium); | ||
b. | Operation of docks, quays, wharves, or drydocks; | ||
c. | Operations subject to the Jones Act; | ||
d. | Operations subject to the Outer Continental Shelf Act; |
37. | Roofing Contractors; | ||
38. | Scaffolding installations (except residential and commercial up to three stories); | ||
39. | Tower, steeple, chimney, or shaft construction and work. |
B. | If any business falling within the scope of one or more of the exclusions is assigned to the Company under an Assigned Risk Plan, such exclusion(s) shall not apply to the portion of the limits of liability prescribed by the Assigned Risk Plan which come within the Companys retention and limits of liability of the Reinsurer. | |
C. | If without the knowledge and contrary to the instructions of its supervisory underwriting personnel, insurance coverages are provided involving one or more of the above |
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exclusions, except A(1), A(2), A(3), A(4), A(5), A(6), A(7), A(8), A(10), A(14), A(15), A(18), A(23), and A(24) either by an inadvertent acceptance or by an existing insured extending its operations, the reinsurance coverage provided hereunder shall apply from inception and for a period of 30 days or longer if required by law, but not to exceed the lesser of 18 months or Policy anniversary after said supervisory underwriting personnel receives knowledge thereof and promptly notifies the Reinsurer upon discovery. | ||
D. | Any exclusion listed above other than exclusions A(1), A(2), A(3), A(4), A(5), A(6), A(7), A(8), A(10), A(14), A(15), A(18), A(23), and A(24), shall be automatically waived as respects a Policy issued by the Company on a risk with respect to which only a minor or incidental part of the operations covered involves the exclusion. An incidental part of an insureds regular operations shall mean not greater than 10% of the insureds regular operations. |
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Quota Share:
|
32.0 | % | ||
First Excess:
|
32.0 | % | ||
Second Excess:
|
30.0 | % |
A. | As soon as practicable after the inception of this Contract, the Company shall report and pay to the Reinsurer the Reinsurers share of the unearned premium subject to this Contract, less any ceding commission, as of the inception date of inception. | |
B. | The Company shall report reinsurance cessions to the Reinsurer in writing on a quarterly bordereau by individual Policy or quarterly account (the Report). Each Report shall be submitted within 15 days after the end of the quarter covered by the Report. Each Report shall specify the following information by individual Policy, to the extent that such information is available to the Company: |
1. | Policy limits; | ||
2. | Named Insured; | ||
3. | Policy Number; | ||
4. | Premium written for the first $1,000,000 of limits; | ||
5. | Premium written for limits greater than $1,000,000; if any | ||
6. | Effective/Expiration Date. |
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C. | In addition to the information required by paragraph A above, the Report shall also reflect the total premiums written and ceding commission thereon during the quarter covered by the Report. | |
D. | Reinsurance premium due the Reinsurer shall be payable with the Report. |
A. | 1. | Ultimate Net Loss means the actual loss, as respects Umbrella Liability Coverage, paid by the Company or which the Company becomes liable to pay, such loss to include 90% of any Extra Contractual Obligation and 90% of any Loss in Excess of Policy Limits as defined in the Extra Contractual Obligations/Excess of Policy Limits Article, but excluding Loss Adjustment Expense, which shall be handled in accordance with subparagraph (4) below. | |
2. | The Company shall be deemed to be liable to pay a loss when a judgment has been rendered that the Company does not plan to appeal, and/or the Company has obtained a release, and/or the Company has accepted a proof of loss. | ||
3. | Nothing in this clause shall be construed to mean that losses are not recoverable hereunder until the Companys Ultimate Net Loss has been ascertained. | ||
4. | The Reinsurer shall pay to the Company the Reinsurers proportion of Loss Adjustment Expense in the ratio that the Reinsurers loss payment bears to the total Ultimate Net Loss. However, expense incurred in obtaining salvages or recoveries, or in the reduction or reversal of any award or judgment, shall be apportioned between the Company and the Reinsurer in the proportion that each benefits from such salvage, recovery, reduction, or reversal. Such payment shall be in addition to the limits stated in the Retention and Limit Article. |
B. | Loss Adjustment Expense means costs and expenses incurred by the Company in connection with the investigation, appraisal, adjustment, settlement, litigation, defense or appeal of a specific claim or loss, or alleged loss, including but not limited to: |
1. | court costs; | ||
2. | costs of supersedeas and appeal bonds; | ||
3. | monitoring counsel expenses; | ||
4. | legal expenses and costs incurred in connection with coverage questions and legal actions connected thereto, including but not limited to declaratory judgment actions, provided that the Reinsurers liability hereunder for the expense and costs described in this subparagraph (4) shall not exceed $500,000, any one Loss Occurrence; |
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5. | post-judgment interest; | ||
6. | pre-judgment interest, unless included as part of an award or judgment; | ||
7. | a pro rata share of salaries and expenses of Company field employees, calculated in accordance with the time occupied in adjusting such loss, and expenses of other Company employees who have been temporarily diverted from their normal and customary duties and assigned to the field adjustment of losses covered by this Contract; and | ||
8. | subrogation, salvage and recovery expenses. |
Loss Adjustment Expense does not include salaries and expenses of the Companys employees, except as provided in subparagraph (7) above, and office and other overhead expenses. | ||
C. | Gross Net Written Premium Income means gross written premium of the Company for the classes of business reinsured hereunder, less return premiums and less written premiums ceded by the Company for reinsurance that inures to the benefit of this Contract. | |
D. | Policy means any binder, policy, or contract of insurance or reinsurance issued, accepted or held covered provisionally or otherwise, by or on behalf of the Company. | |
F. | Act of Terrorism shall mean any act, including both Certified Acts of Terrorism in accordance with the Terrorism Risk Insurance Act of 2002, the Terrorism Risk Insurance Extension Act of 2005 and the Terrorism Risk Insurance Program Reauthorization Act of 2007 and any subsequent extension and those not certified in respect of action, or threat of action designed to influence the government de jure or de facto of any nation or any political division thereof, or in pursuit of any political, religious, ideological or similar purpose to intimidate the public or a section of the public of any nation by any person or group(s) of persons whether acting alone or on behalf of or in connection with any organization(s) or government(s) de jure or de facto and which: |
1. | involves violence against one or more persons; or | ||
2. | involves damage to property; or | ||
3. | endangers life other than that of the person committing the action; or | ||
4. | creates a risk to health or safety of the public or a section of the public; or | ||
5. | is designed to interfere with or to disrupt an electronic system; or | ||
6. | involves loss, damage, cost, or expense directly or indirectly caused by, contributed to by, resulting from, or arising out of or in connection with any action in controlling, preventing, suppressing, retaliating against, or responding to any Act of Terrorism. |
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Loss or damage occasioned by riot, strikes, civil commotion, vandalism or malicious mischief as those terms have been interpreted by United States Courts to apply to insurance Policies shall not be construed to be Acts of Terrorism. |
A. | A pro rata share of the amount, if any, by which financial assistance paid to the Company under the Terrorism Risk Insurance Act of 2002 as amended (TRIA) for Acts of Terrorism occurring during any one Program Year, combined with the Companys total private-sector reinsurance recoveries for such Acts of Terrorism, exceeds the amount of Insured Losses paid by the Company for such Acts of Terrorism, shall be reimbursed by the Company to the Reinsurer. Such pro rata share shall be calculated by dividing: |
1. | the Reinsurers payment under this Contract of Insured Losses for the Program Year; by | ||
2. | the Companys total private-sector reinsurance recoveries arising from all Act(s) of Terrorism covered under TRIA during the Program Year. |
B. | Payment shall be made as promptly as possible after the Companys receipt of any recovery in excess of its Insured Losses. The Company shall provide the Reinsurer with all necessary data respecting the transactions covered under this Article. | |
C. | Such payment to the Reinsurer shall apply unless disallowed by the U.S. Department of the Treasury. | |
D. | Act of Terrorism, Insured Losses and Program Year shall follow the definitions provided in TRIA. |
A. | This Contract shall cover Extra Contractual Obligations, as provided in the definition of Ultimate Net Loss and the Retention and Limit Article. Extra Contractual Obligations shall be defined as those liabilities not covered under any other provision of this Contract and that arise from the handling of any claim on business covered hereunder, such liabilities arising because of, but not limited to, the following: failure by the Company to settle within the Policy limit, or by reason of alleged or actual negligence, fraud or bad faith in rejecting an offer of settlement or in the preparation of the defense or in the trial of any action against its insured or reinsured or in the preparation or prosecution of an appeal consequent upon such action. |
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B. | This Contract shall cover Loss in Excess of Policy Limits, as provided in the definition of Ultimate Net Loss and the Retention and Limit Article. Loss in Excess of Policy Limits shall be defined as Loss in excess of the Policy limit, having been incurred because of, but not limited to, failure by the Company to settle within the Policy limit or by reason of alleged or actual negligence, fraud or bad faith in rejecting an offer of settlement or in the preparation of the defense or in the trial of any action against its insured or reinsured or in the preparation or prosecution of an appeal consequent upon such action. | |
C. | An Extra Contractual Obligation and/or Loss in Excess of Policy Limits shall be deemed to have occurred on the same date as the loss covered under the Companys Policy, and shall constitute part of the original loss. | |
D. | For the purposes of the Loss in Excess of Policy Limits coverage hereunder, the word Loss shall mean any amounts for which the Company would have been contractually liable to pay had it not been for the limit of the original Policy. | |
E. | Loss Adjustment Expense in respect of Extra Contractual Obligations and/or Loss in Excess of Policy Limits shall be covered hereunder in the same manner as other Loss Adjustment Expense. | |
F. | However, this Article shall not apply where the loss has been incurred due to final legal adjudication of fraud of a member of the Board of Directors or a corporate officer of the Company acting individually or collectively or in collusion with any individual or corporation or any other organization or party involved in the presentation, defense or settlement of any claim covered hereunder. | |
G. | In no event shall coverage be provided to the extent not permitted under law. |
A. | This Contract applies only to that portion of any loss that the Company retains net for its own account (prior to deduction of any reinsurance that inures solely to the benefit of the Company). | |
B. | The amount of the Reinsurers liability hereunder in respect of any loss or losses shall not be increased by reason of the inability of the Company to collect from any other reinsurer(s), whether specific or general, any amounts that may have become due from such reinsurer(s), whether such inability arises from the insolvency of such other reinsurer(s) or otherwise. |
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A. | The Company shall advise the Reinsurer promptly of all losses that, in the opinion of the Company, may result in a claim hereunder and of all subsequent developments thereto that may materially affect the position of the Reinsurer. | |
B. | The Company alone and at its full discretion shall adjust, settle or compromise all claims and losses. | |
C. | As respects losses subject to this Contract, all loss settlements made by the Company, whether under strict Policy terms or by way of compromise, and any Extra Contractual Obligations and/or Loss in Excess of Policy Limits, shall be binding upon the Reinsurer, and the Reinsurer agrees to pay or allow, as the case may be, its share of each such settlement immediately upon receipt of proof of loss. |
A. | Salvages and all recoveries (including amounts due from all reinsurances that inure to the benefit of this Contract, whether recovered or not), shall be first deducted from such loss to arrive at the amount of liability attaching hereunder. | |
B. | All salvages, recoveries or payments recovered or received subsequent to loss settlement hereunder shall be applied as if recovered or received prior to the aforesaid settlement, and all necessary adjustments shall be made by the parties hereto. |
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A. | In the event any payment due from the Reinsurer to the Company after the expiration of this Contract is not received by the Intermediary by the payment due date, the Company may, by notifying the Intermediary in writing, require the Reinsurer to pay, and the Reinsurer agrees to pay, an interest penalty on the amount past due calculated for each such payment on the last business day of each month as follows: |
1. | The number of full days that have expired since the overdue date or the last monthly calculation, whichever the lesser; times | ||
2. | 1/365th of the sum of the six-month United States Treasury Bill rate as quoted in The Wall Street Journal on the first business day of the month for which the calculation is made plus 1%; times | ||
3. | The amount past due, including accrued interest. |
Interest shall accumulate until payment of the original amount due plus interest penalties has been received by the Intermediary. | ||
B. | This Article applies only to amounts for which the demand for payment is received by the Reinsurer after the Company has paid the entire reinsurance premium for the term of this Contract, as provided in the Premium Article. | |
C. | The due date shall be the date on which the demand for payment is received by the Reinsurer, and the amount shall be deemed to be overdue 30 days thereafter. | |
D. | If the information contained in the Companys demand for payment is insufficient or not in accordance with the conditions of this Contract, then within 30 days the Reinsurer shall request from the Company all additional information necessary to validate its claim and the payment due date as defined in paragraph C shall be deemed to be the date upon which the Reinsurer received the requested additional information. This paragraph is only for the purpose of establishing when a payment is overdue, and shall not alter the provisions of the Notice of Loss and Loss Settlements Article or other pertinent contractual stipulations. | |
E. | Should the Reinsurer dispute a claim presented by the Company and the timeframe set out in paragraph C be exceeded, interest as stipulated in paragraph A shall be payable for the entire overdue period, but only for the amount of the final settlement with the Reinsurer. | |
F. | In the event arbitration is necessary to settle a dispute, the panel shall have the authority to make a determination awarding interest to the Company. Interest, if any, awarded by the panel shall supersede the interest amounts outlined herein. |
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G. | Any interest owed pursuant to this Article may be waived by the Company. Waiver of such interest, however, shall not affect the Companys rights to other interest amounts due as a result of this Article. |
A. | Where the word Dollars and/or the sign $ appear in this Contract, they shall mean United States Dollars. | |
B. | For purposes of this Contract, where the Company receives premiums or pays losses in currencies other than United States Dollars, such premiums or losses shall be converted into United States Dollars at the actual rates of exchange at which these premiums or losses are entered in the Companys books. |
A. | This Article applies only to the extent a Subscribing Reinsurer does not qualify for credit with any insurance regulatory authority having jurisdiction over the Companys reserves. | |
B. | The Company agrees, in respect of its Policies or bonds falling within the scope of this Contract, that when it files with its insurance regulatory authority, or sets up on its books liabilities as required by law, it shall forward to the Reinsurer a statement showing the proportion of such liabilities applicable to the Reinsurer. The Reinsurers Obligations shall be defined as follows: |
1. | unearned premium (if applicable); | ||
2. | known outstanding losses that have been reported to the Reinsurer and Loss Adjustment Expense relating thereto; | ||
3. | losses and Loss Adjustment Expense paid by the Company but not recovered from the Reinsurer; |
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4. | losses incurred but not reported and Loss Adjustment Expense relating thereto; | ||
5. | all other amounts for which the Company cannot take credit on its financial statements unless funding is provided by the Reinsurer. |
C. | The Reinsurers Obligations shall be funded by funds withheld, cash advances, Trust Agreement or a Letter of Credit (LOC). The Reinsurer shall have the option of determining the method of funding provided it is acceptable to the insurance regulatory authorities having jurisdiction over the Companys reserves. | |
D. | When funding by an LOC, the Reinsurer agrees to apply for and secure timely delivery to the Company of a clean, irrevocable and unconditional LOC issued by a bank and containing provisions acceptable to the insurance regulatory authorities having jurisdiction over the Companys reserves in an amount equal to the Reinsurers Obligations. Such LOC shall be issued for a period of not less than one year, and shall be automatically extended for one year from its date of expiration or any future expiration date unless 30 days (or such other time period as may be required by insurance regulatory authorities), prior to any expiration date the issuing bank shall notify the Company by certified or registered mail that the issuing bank elects not to consider the LOC extended for any additional period. | |
E. | The Reinsurer and the Company agree that any funding provided by the Reinsurer pursuant to the provisions of this Contract may be drawn upon at any time, notwithstanding any other provision of this Contract, and be utilized by the Company or any successor, by operation of law, of the Company including, without limitation, any liquidator, rehabilitator, receiver or conservator of the Company, for the following purposes, unless otherwise provided for in a separate Trust Agreement: |
1. | to reimburse the Company for the Reinsurers Obligations, the payment of which is due under the terms of this Contract and that has not been otherwise paid; | ||
2. | to make refund of any sum that is in excess of the actual amount required to pay the Reinsurers Obligations under this Contract (or in excess of 102% of the Reinsurers Obligations, if funding is provided by a Trust Agreement); | ||
3. | to fund an account with the Company for the Reinsurers Obligations. Such cash deposit shall be held in an interest bearing account separate from the Companys other assets, and interest thereon not in excess of the prime rate shall accrue to the benefit of the Reinsurer. Any taxes payable on accrued interest shall be paid out of the assets in the account that are in excess of the Reinsurers Obligations (or in excess of 102% of the Reinsurers Obligations, if funding is provided by a Trust Agreement). If the assets are inadequate to pay taxes, any taxes due shall be paid by the Reinsurer; | ||
4. | to pay the Reinsurers share of any other amounts the Company claims are due under this Contract. |
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F. | If the amount drawn by the Company is in excess of the actual amount required for E(1) or E(3), or in the case of E(4), the actual amount determined to be due, the Company shall promptly return to the Reinsurer the excess amount so drawn. All of the foregoing shall be applied without diminution because of insolvency on the part of the Company or the Reinsurer. | |
G. | The issuing bank shall have no responsibility whatsoever in connection with the propriety of withdrawals made by the Company or the disposition of funds withdrawn, except to ensure that withdrawals are made only upon the order of properly authorized representatives of the Company. | |
H. | At annual intervals, or more frequently at the discretion of the Company, but never more frequently than quarterly, the Company shall prepare a specific statement of the Reinsurers Obligations for the sole purpose of amending the LOC or other method of funding, in the following manner: |
1. | If the statement shows that the Reinsurers Obligations exceed the balance of the LOC as of the statement date, the Reinsurer shall, within 30 days after receipt of the statement, secure delivery to the Company of an amendment to the LOC increasing the amount of credit by the amount of such difference. Should another method of funding be used, the Reinsurer shall, within the time period outlined above, increase such funding by the amount of such difference. | ||
2. | If, however, the statement shows that the Reinsurers Obligations are less than the balance of the LOC (or that 102% of the Reinsurers Obligations are less than the trust account balance if funding is provided by a Trust Agreement), as of the statement date, the Company shall, within 30 days after receipt of written request from the Reinsurer, release such excess credit by agreeing to secure an amendment to the LOC reducing the amount of credit available by the amount of such excess credit. Should another method of funding be used, the Company shall, within the time period outlined above, decrease such funding by the amount of such excess. |
A. | In consideration of the terms under which this Contract is issued, the Company undertakes not to claim any deduction of the premium hereon when making Canadian tax returns or when making tax returns, other than Income or Profits Tax returns, to any state or territory of the United States of America or to the District of Columbia. |
B. | 1. | Each Subscribing Reinsurer has agreed to allow, for the purpose of paying the Federal Excise Tax, the applicable percentage of the premium payable hereon (as imposed under the Internal Revenue Code) to the extent such premium is subject to Federal Excise Tax. |
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2. | In the event of any return of premium becoming due hereunder, the Subscribing Reinsurer shall deduct the applicable percentage of the premium from the amount of the return, and the Company or its agent should take steps to recover the Tax from the U.S. Government. |
A. | The Reinsurer hereby acknowledges that the documents, information and data provided to it by the Company, whether directly or through an authorized agent, in connection with the placement and execution of this Contract (Confidential Information) are proprietary and confidential to the Company. Confidential Information shall not include documents, information or data that the Reinsurer can show: |
1. | are publicly known or have become publicly known through no unauthorized act of the Reinsurer; | ||
2. | have been rightfully received from a third person without obligation of confidentiality; or | ||
3. | were known by the Reinsurer prior to the placement of this Contract without an obligation of confidentiality. |
B. | Absent the written consent of the Company, the Reinsurer shall not disclose any Confidential Information to any third parties, including any affiliated companies, except: |
1. | when required by retrocessionaires subject to the business ceded to this Contract; | ||
2. | when required by regulators performing an audit of the Reinsurers records and/or financial condition; or | ||
3. | when required by external auditors performing an audit of the Reinsurers records in the normal course of business. |
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Further, the Reinsurer agrees not to use any Confidential Information for any purpose not related to the performance of its obligations or enforcement of its rights under this Contract. | ||
C. | Notwithstanding the above, in the event that the Reinsurer is required by court order, other legal process or any regulatory authority to release or disclose any or all of the Confidential Information, the Reinsurer agrees to provide the Company with written notice of same at least 10 days prior to such release or disclosure and to use its best efforts to assist the Company in maintaining the confidentiality provided for in this Article. | |
D. | The provisions of this Article shall extend to the officers, directors, shareholders and employees of the Reinsurer and its affiliates, and shall be binding upon their successors and assigns. |
A. | The Reinsurer is reinsuring, subject to the terms and conditions of this Contract, the obligations of the Company under any Policy. The Company shall be the sole judge as to: |
1. | what shall constitute a claim or loss covered under any Policy; | ||
2. | the Companys liability thereunder; | ||
3. | the amount or amounts that it shall be proper for the Company to pay thereunder. |
B. | The Reinsurer shall be bound by the judgment of the Company as to the obligation(s) and liability(ies) of the Company under any Policy. | |
C. | Any inadvertent error, omission or delay in complying with the terms and conditions of this Contract shall not be held to relieve either party hereto from any liability that would attach to it hereunder if such error, omission or delay had not been made, provided such error, omission or delay is rectified immediately upon discovery. |
A. | If more than one reinsured company is referenced within the definition of Company in the Preamble to this Contract, this Article shall apply severally to each such company. Further, this Article and the laws of the domiciliary state shall apply in the event of the insolvency of any company covered hereunder. In the event of a conflict between any provision of this Article and the laws of the domiciliary state of any company covered hereunder, that domiciliary states laws shall prevail. |
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B. | In the event of the insolvency of the Company, this reinsurance shall be payable directly to the Company, or to its liquidator, receiver, conservator or statutory successor, either: (1) on the basis of the liability of the Company, or (2) on the basis of claims filed and allowed in the liquidation proceeding, whichever may be required by applicable statute, without diminution because of the insolvency of the Company or because the liquidator, receiver, conservator or statutory successor of the Company has failed to pay all or a portion of any claim. It is agreed, however, that the liquidator, receiver, conservator or statutory successor of the Company shall give written notice to the Reinsurer of the pendency of a claim against the Company indicating the Policy or bond reinsured, which claim would involve a possible liability on the part of the Reinsurer within a reasonable time after such claim is filed in the conservation or liquidation proceeding or in the receivership, and that during the pendency of such claim, the Reinsurer may investigate such claim and interpose, at its own expense, in the proceeding where such claim is to be adjudicated any defense or defenses that it may deem available to the Company or its liquidator, receiver, conservator or statutory successor. The expense thus incurred by the Reinsurer shall be chargeable, subject to the approval of the court, against the Company as part of the expense of conservation or liquidation to the extent of a pro rata share of the benefit that may accrue to the Company solely as a result of the defense undertaken by the Reinsurer. | |
C. | Where two or more reinsurers are involved in the same claim and a majority in interest elect to interpose defense to such claim, the expense shall be apportioned in accordance with the terms of this reinsurance Contract as though such expense had been incurred by the Company. | |
D. | As to all reinsurance made, ceded, renewed or otherwise becoming effective under this Contract, the reinsurance shall be payable as set forth above by the Reinsurer to the Company or to its liquidator, receiver, conservator or statutory successor, (except as provided by Section 4118(a)(1)(A) of the New York Insurance Law, provided the conditions of 1114(c) of such law have been met, if New York law applies) or except (1) where the Contract specifically provides another payee in the event of the insolvency of the Company, or (2) where the Reinsurer, with the consent of the direct insured or insureds, has assumed such Policy obligations of the Company as direct obligations of the Reinsurer to the payees under such Policies and in substitution for the obligations of the Company to such payees. Then, and in that event only, the Company, with the prior approval of the certificate of assumption on New York risks by the Superintendent of Insurance of the State of New York, or with the prior approval of such other regulatory authority as may be applicable, is entirely released from its obligation and the Reinsurer shall pay any loss directly to payees under such Policy. |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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A. | Any dispute arising out of the interpretation, performance or breach of this Contract, including the formation or validity thereof, shall be submitted for decision to a panel of three arbitrators. Notice requesting arbitration shall be in writing and sent certified or registered mail, return receipt requested. | |
B. | One arbitrator shall be chosen by each party and the two arbitrators shall then choose an impartial third arbitrator who shall preside at the hearing. If either party fails to appoint its arbitrator within 30 days after being requested to do so by the other party, the latter, after 10 days prior notice by certified or registered mail of its intention to do so, may appoint the second arbitrator. | |
C. | If the two arbitrators do not agree on a third arbitrator within 60 days of their appointment, the third arbitrator shall be chosen in accordance with the procedures for selecting the third arbitrator in force on the date the arbitration is demanded, established by the AIDA Reinsurance and Insurance Arbitration Society U.S. (ARIAS). The arbitrators shall be persons knowledgeable about insurance and reinsurance who have no personal or financial interest in the result of the arbitration. If a member of the panel dies, becomes disabled or is otherwise unwilling or unable to serve, a substitute shall be selected in the same manner as the departing member was chosen and the arbitration shall continue. | |
D. | Within 30 days after all arbitrators have been appointed, the panel shall meet and determine timely periods for briefs, discovery procedures and schedules of hearings. | |
E. | The panel shall be relieved of all judicial formality and shall not be bound by the strict rules of procedure and evidence. Notwithstanding anything to the contrary in this Contract, the arbitrators may at their discretion, consider underwriting and placement information provided by the Company to the Reinsurer, as well as any correspondence exchanged by the parties that is related to this Contract. The arbitration shall take place in Wilkes-Barre, Pennsylvania, or at such other place as the parties shall agree. The decision of any two arbitrators shall be in writing and shall be final and binding. The panel is empowered to grant interim relief as it may deem appropriate. | |
F. | The panel shall interpret this Contract as an honorable engagement rather than as merely a legal obligation and shall make its decision considering the custom and practice of the applicable insurance and reinsurance business as promptly as possible after the hearings. Judgment upon an award may be entered in any court having jurisdiction thereof. | |
G. | Each party shall bear the expense of its own arbitrator and shall jointly and equally bear with the other party the cost of the third arbitrator. The remaining costs of the arbitration shall be allocated by the panel. The panel may, at its discretion, award such further costs |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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and expenses as it considers appropriate, including but not limited to attorneys fees, to the extent permitted by law. | ||
H. | At the Companys option, if more than one Subscribing Reinsurer is involved in arbitration relating to this Contract, where there are common questions of law or fact and a possibility of conflicting awards or inconsistent results, all such Subscribing Reinsurers shall constitute and act as one party for purposes of this Article and communications shall be made by the Company to each of the Subscribing Reinsurers constituting the one party. However, the Subscribing Reinsurers shall have the right to assert several, rather than joint defenses or claims, and to be represented by separate counsel. | |
I. | If any Subscribing Reinsurer has subscribed to other reinsurance agreements with the Company, under which a dispute has arisen where there are common questions of law or fact with the dispute being arbitrated under this Contract, and a possibility of conflicting awards or inconsistent results, then the Subscribing Reinsurer, at the Companys request, shall arbitrate all such reinsurance disputes involving the same loss in one consolidated proceeding, subject to the provisions of this Article. The provisions of this Article shall govern any arbitration involving multiple agreements between the Company and Subscribing Reinsurer, regardless of whether the other agreement(s) was entered into before or after the effective date of this Contract. | |
J. | If more than one of the Subscribing Reinsurers are involved in an arbitration as respondent, the time for the appointment of their party-appointed arbitrator shall be extended to 60 days. This provision shall not change the liability of each of the Subscribing Reinsurers under the terms of this Contract from several to joint. |
A. | This Article applies only to those Subscribing Reinsurers not domiciled in the United States of America, and/or not authorized in any state, territory and/or district of the United States of America where authorization is required by insurance regulatory authorities. | |
B. | This Article shall not be read to conflict with or override the obligations of the parties to arbitrate their disputes as provided for in the Arbitration Article. This Article is intended as an aid to compelling arbitration or enforcing such arbitration or arbitral award, not as an alternative to the Arbitration Article for resolving disputes arising out of this Contract. | |
C. | In the event of the failure of the Reinsurer to pay any amount claimed to be due hereunder, the Reinsurer, at the request of the Company, shall submit to the jurisdiction of a court of competent jurisdiction within the United States. Nothing in this Article constitutes or should be understood to constitute a waiver of the Reinsurers rights to commence an action in any court of competent jurisdiction in the United States, to remove an action to a United States District Court, or to seek a transfer of a case to another court as permitted by |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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the laws of the United States or of any state in the United States. The Reinsurer, once the appropriate court is selected, whether such court is the one originally chosen by the Company and accepted by the Reinsurer or is determined by removal, transfer, or otherwise, as provided for above, shall comply with all requirements necessary to give said court jurisdiction and, in any suit instituted against the Reinsurer upon this Contract, shall abide by the final decision of such court or of any appellate court in the event of an appeal. | ||
D. | Service of process in such suit may be made upon Messrs. Mendes and Mount, 750 Seventh Avenue, New York, New York 10019-6829, or another party specifically designated in the applicable Interests and Liabilities Agreement attached hereto. The above-named are authorized and directed to accept service of process on behalf of the Reinsurer in any such suit. | |
E. | Further, pursuant to any statute of any state, territory or district of the United States that makes provision therefor, the Reinsurer hereby designates the Superintendent, Commissioner or Director of Insurance, or other officer specified for that purpose in the statute, or his successor or successors in office, as its true and lawful attorney upon whom may be served any lawful process in any action, suit or proceeding instituted by or on behalf of the Company or any beneficiary hereunder arising out of this Contract, and hereby designates the above-named as the person to whom the said officer is authorized to mail such process or a true copy thereof. |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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A. | This Contract may be executed by: |
1. | an original written ink signature of paper documents; | ||
2. | an exchange of facsimile copies showing the original written ink signature of paper documents; | ||
3. | electronic signature technology employing computer software and a digital signature or digitizer pen pad to capture a persons handwritten signature in such a manner that the signature is unique to the person signing, is under the sole control of the person signing, is capable of verification to authenticate the signature and is linked to the document signed in such a manner that if the data is changed, such signature is invalidated. |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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B. | The use of any one or a combination of these methods of execution shall constitute a legally binding and valid signing of this Contract. This Contract may be executed in one or more counterparts, each of which, when duly executed, shall be deemed an original. |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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(1) | This reinsurance does not cover any loss or liability accruing to the Reassured as a member of, or subscriber to, any association of insurers or reinsurers formed for the purpose of covering nuclear energy risks or as a direct or indirect reinsurer of any such member, subscriber or association. | |
(2) | Without in any way restricting the operation of paragraph (1) of this Clause it is understood and agreed that for all purposes of this reinsurance all the original policies of the Reassured (new, renewal and replacement) of the classes specified in Clause II of this paragraph (2) from the time specified in Clause III in this paragraph (2) shall be deemed to include the following provision (specified as the Limited Exclusion Provision): | |
Limited Exclusion Provision.* |
I. | It is agreed that the policy does not apply under any liability coverage, to |
with respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters or Nuclear Insurance Association of Canada, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability. | |||
II. | Family Automobile Policies (liability only), Special Automobile Policies (private passenger automobiles, liability only), Farmers Comprehensive Personal Liability Policies (liability only), Comprehensive Personal Liability Policies (liability only) or policies of a similar nature; and the liability portion of combination forms related to the four classes of policies stated above, such as the Comprehensive Dwelling Policy and the applicable types of Homeowners Policies. | ||
III. | The inception dates and thereafter of all original policies as described in II above, whether new, renewal or replacement, being policies which either |
(a) | become effective on or after 1st May, 1960, or | ||
(b) | become effective before that date and contain the Limited Exclusion Provision set out above; |
provided this paragraph (2) shall not be applicable to Family Automobile Policies, Special Automobile Policies, or policies or combination policies of a similar nature, issued by the Reassured on New York risks, until 90 days following approval of the Limited Exclusion Provision by the Governmental Authority having jurisdiction thereof. |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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(3) | Except for those classes of policies specified in Clause II of paragraph (2) and without in any way restricting the operation of paragraph (1) of this Clause, it is understood and agreed that for all purposes of this reinsurance the original liability policies of the Reassured (new, renewal and replacement) affording the following coverages: |
Owners, Landlords and Tenants Liability, Contractual Liability, Elevator Liability, Owners or Contractors (including railroad) Protective Liability, Manufacturers and Contractors Liability, Product Liability, Professional and Malpractice Liability, Storekeepers Liability, Garage Liability, Automobile Liability (including Massachusetts Motor Vehicle or Garage Liability) |
shall be deemed to include, with respect to such coverages, from the time specified in Clause V of this paragraph (3), the following provision (specified as the Broad Exclusion Provision): | ||
Broad Exclusion Provision.* | ||
It is agreed that the policy does not apply: |
I. | Under any Liability Coverage, to | ||
injury, sickness, disease, death or destruction | |||
bodily injury or property damage |
(a) | with respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters or Nuclear Insurance Association of Canada, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability; or | ||
(b) | resulting from the hazardous properties of nuclear material and with respect to which (1) any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954, or any law amendatory thereof, or (2) the insured is, or had this policy not been issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agreement entered into by the United States of America, or any agency thereof, with any person or organization. |
II. | Under any Medical Payments Coverage, or under any Supplementary Payments Provision relating to |
immediate medical or surgical relief | |||
first aid, |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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to expenses incurred with respect to |
bodily injury, sickness, disease or death | |||
bodily injury |
resulting from the hazardous properties of nuclear material and arising out of the operation of a nuclear facility by any person or organization. |
III. | Under any Liability Coverage, to |
injury, sickness, disease, death or destruction | |||
bodily injury or property damage |
resulting from the hazardous properties of nuclear material, if |
(a) | the nuclear material (1) is at any nuclear facility owned by, or operated by or on behalf of, an insured or (2) has been discharged or dispersed therefrom; | ||
(b) | the nuclear material is contained in spent fuel or waste at any time possessed, handled, used, processed, stored, transported or disposed of by or on behalf of an insured; or | ||
(c) | the |
injury, sickness, disease, death or destruction | |||
bodily injury or property damage |
arises out of the furnishing by an insured of services, materials, parts or equipment in connection with the planning, construction, maintenance, operation or use of any nuclear facility, but if such facility is located within the United States of America, its territories or possessions or Canada, this exclusion (c) applies only to |
injury to or destruction of property at such nuclear facility. | |||
property damage to such nuclear facility and any property thereat. |
IV. | As used in this endorsement: | ||
hazardous properties include radioactive, toxic or explosive properties; nuclear material means source material, special nuclear material or byproduct material; source material, special nuclear material, and byproduct material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof; spent fuel means any fuel element or fuel component, solid or liquid, |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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which has been used or exposed to radiation in a nuclear reactor; waste means any waste material (1) containing byproduct material other than the tailings or wastes produced by the extraction or concentration of uranium or thorium from any ore processed primarily for its source material content and (2) resulting from the operation by any person or organization of any nuclear facility included under the first two paragraphs of the definition of nuclear facility; nuclear facility means |
(a) | any nuclear reactor, | ||
(b) | any equipment or device designed or used for (1) separating the isotopes of uranium or plutonium, (2) processing or utilizing spent fuel, or (3) handling, processing or packaging waste, | ||
(c) | any equipment or device used for the processing, fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235, | ||
(d) | any structure, basin, excavation, premises or place prepared or used for the storage or disposal of waste, |
and includes the site on which any of the foregoing is located, all operations conducted on such site and all premises used for such operations; nuclear reactor means any apparatus designed or used to sustain nuclear fission in a self-supporting chain reaction or to contain a critical mass of fissionable material; | |||
With respect to injury to or destruction of property, the word injury or destruction includes all forms of radioactive contamination of property. property damage includes all forms of radioactive contamination of property. | |||
V. | The inception dates and thereafter of all original policies affording coverages specified in this paragraph (3), whether new, renewal or replacement, being policies which become effective on or after 1st May, 1960, provided this paragraph (3) shall not be applicable to |
(i) | Garage and Automobile Policies issued by the Reassured on New York risks, or | ||
(ii) | statutory liability insurance required under Chapter 90, General Laws of Massachusetts, |
until 90 days following approval of the Broad Exclusion Provision by the Governmental Authority having jurisdiction thereof. |
Effective: January 1, 2011
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(4) | Without in any way restricting the operation of paragraph (1) of this Clause, it is understood and agreed that paragraphs (2) and (3) above are not applicable to original liability policies of the Reassured in Canada and that with respect to such policies this Clause shall be deemed to include the Nuclear Energy Liability Exclusion Provisions adopted by the Canadian Underwriters Association or the Independent Insurance Conference of Canada. |
NOTES: | Wherever used herein the terms: | |||
Reassured | shall be understood to mean Company, Reinsured, Reassured or whatever other term is used in the attached reinsurance document to designate the reinsured company or companies. | |||
Agreement | shall be understood to mean Agreement, Contract, Policy or whatever other term is used to designate the attached reinsurance document. | |||
Reinsurers | shall be understood to mean Reinsurers, Underwriters or whatever other term is used in the attached reinsurance document to designate the reinsurer or reinsurers. |
Effective: January 1, 2011
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DOC: January 21, 2011 | |||
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TW No. G25573.11/G25574.11/G26233.11 FINAL |
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ARTICLE | SUBJECT | PAGE | ||||
ARTICLE 1 | BUSINESS COVERED |
1 | ||||
ARTICLE 2 | COMMENCEMENT AND TERMINATION |
1 | ||||
ARTICLE 3 | SPECIAL TERMINATION |
1 | ||||
ARTICLE 4 | EXCLUSIONS |
3 | ||||
ARTICLE 5 | RETENTION AND LIMIT |
5 | ||||
ARTICLE 6 | REINSTATEMENT |
5 | ||||
ARTICLE 7 | PREMIUM |
5 | ||||
ARTICLE 8 | DEFINITION OF LOSS OCCURRENCE |
5 | ||||
ARTICLE 9 | NET LOSS |
6 | ||||
ARTICLE 10 | EXTRA CONTRACTUAL OBLIGATIONS/LOSS EXCESS OF POLICY LIMITS |
7 | ||||
ARTICLE 11 | TERRORISM RECOVERY |
8 | ||||
ARTICLE 12 | NET RETAINED LINE |
9 | ||||
ARTICLE 13 | NOTICE OF LOSS AND LOSS SETTLEMENT |
9 | ||||
ARTICLE 14 | ERRORS AND OMISSIONS |
10 | ||||
ARTICLE 15 | OFFSET |
10 | ||||
ARTICLE 16 | CURRENCY |
10 | ||||
ARTICLE 17 | FEDERAL EXCISE TAX AND OTHER TAXES |
10 | ||||
ARTICLE 18 | ACCESS TO RECORDS |
11 | ||||
ARTICLE 19 | INSOLVENCY |
11 | ||||
ARTICLE 20 | ARBITRATION |
12 | ||||
ARTICLE 21 | SERVICE OF SUIT |
14 | ||||
ARTICLE 22 | CONFIDENTIALITY |
15 | ||||
ARTICLE 23 | PRIVACY |
16 | ||||
ARTICLE 24 | RESERVES |
16 | ||||
ARTICLE 25 | LATE PAYMENTS |
19 | ||||
ARTICLE 26 | MODE OF EXECUTION |
20 | ||||
ARTICLE 27 | VARIOUS OTHER TERMS |
20 | ||||
ARTICLE 28 | INTERMEDIARY |
22 |
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22.
1. | This reinsurance does not cover any loss or liability accruing to the Company, directly or indirectly, and whether as Insurer or Reinsurer, from any Pool of Insurers or Reinsurers formed for the purpose of covering Atomic or Nuclear Energy risks. | |
2. | Without in any way restricting the operation of paragraph (1) of this Clause, this reinsurance does not cover any loss or liability accruing to the Company, directly or indirectly, and whether as Insurer or Reinsurer, from any insurance against Physical Damage (including business interruption or consequential loss arising out of such Physical Damage) to: |
I. | Nuclear reactor power plants including all auxiliary property on the site, or | ||
II. | Any other nuclear reactor installation, including laboratories handling radioactive materials in connection with reactor installations and critical facilities as such, or | ||
III. | Installations for fabricating complete fuel elements or for processing substantial quantities of special nuclear material and for reprocessing, salvaging, chemically separating, storing or disposing of spent nuclear fuel or waste materials, or | ||
IV. | Installations other than those listed in paragraph (2) III above using substantial quantities of radioactive isotopes or other products of nuclear fission. |
3. | Without in any way restricting the operations of paragraphs (1) and (2) hereof, this reinsurance does not cover any loss or liability by radioactive contamination accruing to the Company, directly or indirectly, and whether as Insurer or Reinsurer, from any insurance on property which is on the same site as a nuclear reactor power plant or other nuclear installation and which normally would be insured therewith except that this paragraph (3) shall not operate: |
(a) | where Company does not have knowledge of such nuclear reactor power plant or nuclear installation, or | ||
(b) | where said insurance contains a provision excluding coverage for damage to property caused by or resulting from radioactive contamination, however caused. However, on and after 1st January 1960, this sub-paragraph (b) shall only apply provided the said radioactive contamination exclusion provision has been approved by the Governmental Authority having jurisdiction thereof. |
4. | Without in any way restricting the operations of paragraphs (1), (2) and (3) hereof, this reinsurance does not cover any loss or liability by radioactive contamination accruing to the Company, directly or indirectly, and whether as Insurer or Reinsurer, when such radioactive contamination is a named hazard specifically insured against. | |
5. | It is understood and agreed that this Clause shall not extend to risks using radioactive isotopes in any form where the nuclear exposure is not considered by the Company to be the primary hazard. | |
6. | The term special nuclear material shall have the meaning given it in the Atomic Energy Act of 1954 or by any law amendatory thereof. | |
7. | Company to be sole judge of what constitutes: |
(a) | substantial quantities, and | ||
(b) | the extent of installation, plant or site. |
Notes: | Without in any way restricting the operation of paragraph (1) hereof, it is understood and agreed that: |
(a) | All Policies issued by the Company on or before 31st December 1957 shall be free from the application of the other provisions of this Clause until expiry date or 31st December 1960 whichever first occurs whereupon all the provisions of this Clause shall apply. | ||
(b) | With respect to any risk located in Canada Policies issued by the Company on or before 31st December 1958 shall be free from the application of the other provisions of this Clause until expiry date or 31st December 1960 whichever first occurs whereupon all the provisions of this Clause shall apply. |
TW No. G25573.11/G25574.11/G26233.11 FINAL |
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(i) | loss of, alteration of, or damage to |
or |
(ii) | a reduction in the functionality, availability or operation of | ||
a computer system, hardware, program, software, data, information repository, microchip, integrated circuit or similar device in computer equipment or non-computer equipment, whether the property of the policyholder of the reinsured or not, do not in and of themselves constitute an event unless arising out of one or more of the following perils: |
fire, lightning, explosion, aircraft or vehicle impact, falling objects, windstorm, hail, tornado, cyclone, hurricane, earthquake, volcano, tsunami, flood, freeze or weight of snow. |
TW No. G25573.11/G25574.11/G26233.11 FINAL |
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1. | involves violence against one or more persons; or | ||
2. | involves damage to property; or | ||
3. | endangers life other than that of the person committing the action; or | ||
4. | creates a risk to health or safety of the public or a section of the public; or |
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5. | is designed to interfere with or to disrupt an electronic system; or | ||
6. | involves loss, damage, cost, or expense directly or indirectly caused by, contributed to by, resulting from, or arising out of or in connection with any action in controlling, preventing, suppressing, retaliating against, or responding to any Act of Terrorism. |
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1. | involves violence against one or more persons; or | ||
2. | involves damage to property; or | ||
3. | endangers life other than that of the person committing the action; or | ||
4. | creates a risk to health or safety of the public or a section of the public; or |
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5. | is designed to interfere with or to disrupt an electronic system; or | ||
6. | involves loss, damage, cost, or expense directly or indirectly caused by, contributed to by, resulting from, or arising out of or in connection with any action in controlling, preventing, suppressing, retaliating against, or responding to any Act of Terrorism. |
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1. | involves violence against one or more persons; or | ||
2. | involves damage to property; or | ||
3. | endangers life other than that of the person committing the action; or |
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4. | creates a risk to health or safety of the public or a section of the public; or | ||
5. | is designed to interfere with or to disrupt an electronic system; or | ||
6. | involves loss, damage, cost, or expense directly or indirectly caused by, contributed to by, resulting from, or arising out of or in connection with any action in controlling, preventing, suppressing, retaliating against, or responding to any Act of Terrorism. |
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